📄 medicine

Normotension as a Red Flag: A Proposed Framework for Early Recognition of Masked Preeclampsia in Couvelaire Uterus – A Case Report and a Teaching Tool

This case report presents a 19-year-old patient with Couvelaire uterus and masked preeclampsia to propose a new framework emphasizing that normotension in placental abruption with proteinuria is a critical red flag, advocating for surgical intervention within 6–8 hours to prevent irreversible disseminated intravascular coagulation and preserve uterine function.

Kheder Mostafa, Hadi Ismaiel, Hussein Shaar, Ali Allosh, Mohammad Jamalih2026-10-11✓ Author reviewed ⓘ
📄 medicine

Food Allergy-Related Quality of Life and Psychosocial Burden in the United Arab Emirates: A Cross-Sectional Study

This cross-sectional study of 58 adults in the United Arab Emirates demonstrates that food allergies impose a significant multidimensional psychosocial burden, particularly regarding emotional well-being and social interactions, while confirming the high internal consistency and interpretable factor structure of the Food Allergy Quality of Life Questionnaire-Adult Form (FAQLQ-AF) in this population.

Nada Bin Haider, Dalia Haroun2026-10-11
📄 medicine

Development of a Multimodal Large Language Model for Early Warning and Diagnosis of Dry Eye Disease

This study presents DED-MLLM, an instruction-tuned multimodal large language model based on Qwen2-VL that integrates clinical data, questionnaires, and ophthalmic imaging to achieve high accuracy in the early warning and diagnosis of dry eye disease across both Chinese and international diagnostic criteria.

Mingyan He, Lili cao, Kechao Zheng, Zhiping Lin, Haoran Wu, Shuzhen Wang, Rui Tian, Yu Wang, Tiehong Chen, Wei Wang, Lia (…)2026-10-11
📄 medicine

Pakistan's Persisting Trend of High Neonatal Mortality and Its Determinants: An In-depth Analysis of Pakistan Maternal Mortality and Morbidity Survey 2019

This secondary analysis of the 2019 Pakistan Maternal Mortality Survey reveals that neonatal mortality remains disproportionately high with significant provincial disparities, driven primarily by socioeconomic factors like poverty and high parity, as well as biological risks including young maternal age and prematurity.

Farid Midhet, Samina Naeem Khalid, Qudsia Uzma, Shehla Baqai2026-10-11
📄 medicine

Electronic Health Record-Based Machine Learning Models for Predicting Revascularization, Amputation, and Cardiovascular Mortality in At-Risk Patients

This study demonstrates that machine learning models trained on harmonized electronic health record data from nearly 179,000 patients effectively predict revascularization and amputation with high accuracy, while showing more modest performance for cardiovascular mortality, thereby supporting the utility of EHR-based risk stratification for at-risk vascular patients.

Sydney E. Browder, Mirjami Laivuori, Tomas McIntee, Peter J. Leese, Olamide Alabi, Katharine L. McGinigle2026-10-11
📄 medicine

Fatal cut-throat injuries: a retrospective comparative autopsy study of homicidal and suicidal deaths

This retrospective comparative autopsy study of 43 fatal cut-throat injuries in Türkiye identifies specific morphological and toxicological patterns that statistically differentiate homicides from suicides, yet concludes that significant overlap necessitates an integrated assessment of autopsy, toxicology, and scene findings rather than reliance on isolated injury features for determining the manner of death.

Mehmet Doğan, Çağlar Altıntop, İsmail Çoban, Yusuf Atan2026-10-11
📄 medicine

Preoperative Machine-Learning Models for Predicting Postoperative Morbidity after Anterior Clinoidal Meningioma Surgery: Development and External Validation

This study developed and externally validated preoperative machine learning models that successfully predict medical complications, motor deficits, and cognitive decline following anterior clinoidal meningioma surgery, leading to the creation of an investigational online risk calculator.

Noa Ben Dor, Gal Ziv, Filippo Friso, Carlo Bortolotti, Diego Mazzatenta, Matteo Zoli, Matteo Martinoni, Filippo Badaloni (…)2026-10-11
📄 medicine

Association of Body Roundness Index with Cardiovascular Diseases in Middle-Aged and Older Chinese Adults with Cardiovascular-Kidney-Metabolic Syndrome Stage 0-3: Evidence from the CHARLS Study

Based on data from 7,566 middle-aged and older Chinese adults in the CHARLS study, this research demonstrates that a higher Body Roundness Index (BRI) is independently and linearly associated with an increased risk of incident cardiovascular disease in those with cardiovascular-kidney-metabolic syndrome stages 0–3, outperforming BMI and ABSI in predictive accuracy.

Ping-an Lian, Xiang Wu, Fei Xie, Shan-fu Liang, Shuais Cheng, Lei Yin, Shenwei Zhang2026-10-11
📄 medicine

Epidemiological Profile of Hypervirulent Klebsiella pneumoniae Isolates: A Multicenter Cross- sectional Study in Hebei Province, China

This multicenter cross-sectional study in Hebei Province, China, reveals that hypervirulent *Klebsiella pneumoniae* (hvKP) accounts for 25.3% of isolates, is predominantly characterized by the ST23-K1 genotype with lower antimicrobial resistance than classical strains, and primarily affects patients with respiratory or neurological disorders in ICU and respiratory departments.

MingZhi Guo, KaiYue Xu, Pu Qin, Cuixin Qiang, Jing Yang, Yanan Niu, Weigang Wang, Ye Gan, Min Zhao, Qiuyue Huo, Qianqing (…)2026-10-11