📄 medicine

Cholinergic signals regulate acute myeloid leukemia and chemotherapy response

This study reveals that autonomic cholinergic signaling drives acute myeloid leukemia progression and chemoresistance through a dual mechanism involving direct activation of leukemic cells via nicotinic receptors and indirect induction of stem cell quiescence in the bone marrow niche, suggesting that targeting this pathway could improve AML treatment outcomes.

Simon Mendez-Ferrer, Yexuan Zhu, Michelle Buri, Claire Fielding, Xiaochi Ma, Jose Antonio Bejarano-garcia, Benian Uzun (…)2026-10-22
📄 medicine

Treatment Success in Adults With Newly Diagnosed Type 2 Diabetes During the COVID-19 Pandemic: A Single-Center Cross-Sectional Study

This single-center cross-sectional study of adults newly diagnosed with type 2 diabetes during the COVID-19 pandemic in Türkiye found that treatment success was primarily driven by pharmacological adherence and baseline glycemic status, with a cautionary note on an unexpected association between prior COVID-19 infection and improved outcomes.

Ecem Özyaprak Erdem, Nazlı Hacıağaoğlu, Engin Ersin Şimşek2026-10-22
📄 medicine

Development and internal validation of a prediction model for moderate-to-severe insomnia among nurses using machine learning-assisted predictor selection: a multicenter cross-sectional study

This multicenter cross-sectional study developed and internally validated a parsimonious logistic regression model identifying night-shift burden, work stress, and career adaptability as key predictors for moderate-to-severe insomnia among Chinese nurses, achieving modest discrimination (AUC ~0.71) where machine learning offered no significant advantage over traditional methods, thus highlighting the need for external validation before clinical application.

Yue Zhao, Zhe Liu, Lu Chen, Huaxin Si, Yan Ma, Mi Zhao, Li Song, Xiaoyu Zhang, Dong Li, Xu Zhang2026-10-22
📄 medicine

Heat-related mortality by comorbidity and cause of death: a time-stratified case-crossover study of 3.7 million deaths in Brazil, 2014–2025

This large-scale time-stratified case-crossover study of over 3.7 million deaths in Brazil reveals that dementia and drowning exhibit the strongest heat-related mortality risks, while challenging the prevailing assumption that common cardiometabolic conditions like obesity and diabetes significantly increase heat susceptibility.

Fabio Luiz Vieira2026-10-22
📄 medicine

Immunogenicity of Heterologous SARS-CoV-2 PHH-1V Protein Booster vaccination in People with Immunocompromising Conditions

In a phase IIb/III trial involving 238 immunocompromised adults, the PHH-1V protein-based booster vaccine demonstrated enhanced immunogenicity against Omicron variants and was well-tolerated, eliciting durable antibody and T-cell responses particularly in people living with HIV and those on hemodialysis, though responses were limited in anti-CD20-treated autoimmune disease patients.

Beatriz Mothe, Susana Benet, Benjamin Trinité, Raúl Pérez-Caballero, Antoni Castro, Dalia Raich Regue, Erola Ainsua-Enri (…)2026-10-22
📄 medicine

Sport-Specific Differences in Spinal Mobility, Hamstring Flexibility, and Dynamic Balance in Elite Male Adolescent Athletes

This study of elite male adolescent athletes reveals that while dynamic balance, spinal mobility, and hamstring flexibility vary across sports, individual body fat percentage and hamstring flexibility are the primary independent predictors of balance performance, suggesting that monitoring these modifiable factors is more critical for identifying balance deficits than focusing on sport discipline alone.

burcin ugur, idil esin unlu2026-10-22
📄 medicine

Clinical characteristics and health profiles of Swedish young children with avoidant/restrictive food intake disorder (ARFID)

This study characterizes a Swedish tertiary-care sample of young children with avoidant/restrictive food intake disorder (ARFID) as presenting with sensory-based avoidance and low interest in eating, frequently accompanied by significant medical comorbidities and neurodevelopmental difficulties that underscore the need for early screening and multidisciplinary intervention.

Katarzyna Brimo, Helena Holmäng, Anna Ås, Maria Törnhage, Lisa Dinkler, Rachel Bryant-Waugh, Christopher Gillberg, Maria (…)2026-10-22
📄 medicine

Incidental diagnosis of moderate congenital factor XI deficiency in a child during preoperative screening : a case report

This case report describes the incidental diagnosis of moderate congenital factor XI deficiency in a 3-year-old Moroccan boy during preoperative screening for circumcision, highlighting the importance of investigating isolated prolonged aPTT even in the absence of a significant bleeding history to ensure appropriate management before invasive procedures.

S EL assri, S Lakrami, H Mamad, A Masrar2026-10-22