📄 medicine

Prevalence of Burtonian Lines and its Correlation with Environmental and Occupational Factors Among Individuals Residing in Rural Areas of Haryana, India

This cross-sectional study of 725 rural residents in Haryana, India, reveals a 100% prevalence of Burtonian lines linked to high environmental lead levels in soil and water, identifying the condition as a reliable, non-invasive biomarker for systemic lead burden that warrants integration into routine public health screening programs.

Surbhi Priyadarshi, Shalini Kapoor2026-07-10
📄 medicine

Clinical overlap between intentional and unintentional drug intoxication in elderly emergency patients: a retrospective study

This retrospective study of 132 elderly emergency patients reveals that intentional and unintentional drug intoxication share similar clinical backgrounds and medication patterns, with the notable exception of higher pesticide use in intentional cases, suggesting that distinguishing between the two based solely on intent may have limited clinical utility.

Hitoshi Koga, Kenji Fukuda, Sachiko Ishii, Shuichiro Sagara, Seiya Janado, Chiyo Tsutsumi, Yuichiro Ide, Masahiko Tanigu (…)2026-07-10
📄 medicine

The Utilization of Modern Contraceptives by Adolescent Girls in Senior High Schools (SHSs) in Upper East Region, Northern Ghana

Despite high awareness, only 28.8% of adolescent girls in senior high schools in Northern Ghana currently use modern contraceptives, with prior usage and comfort discussing contraception identified as the strongest predictors of utilization.

PeterPaul Akagwire, Bhavana Singh, Jeffrey Kaba, Patience Omoh Krakani, Sulemana Baba Abudulai, Mildred Awinpiini Asore (…)2026-07-10
📄 medicine

The effect of supraphysiological estradiol levels in ovarian stimulation cycles on the birthweight of neonates conceived through subsequent frozen-thawed cycles is modified by endometrial preparation protocols

This retrospective cohort study demonstrates that the impact of supraphysiological estradiol levels during ovarian stimulation on neonatal birthweight in subsequent frozen-thawed embryo transfer cycles is significantly modified by the endometrial preparation protocol, with natural cycles showing a linear negative association while hormone replacement therapy exhibits a non-linear relationship that may mitigate adverse effects at high estradiol levels.

Jie Geng, Yurong Chen, Ling Ouyang, Lanlan Liu, Zhenfang Liu, Caihui Ma, haixiao Chen, Jianzhi Ren, Jiali Cai, Xiaoming (…)2026-07-09
📄 medicine

Quality of recovery and associated factors of among mothers undergoing cesarean section under spinal anesthesia at Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, Ethiopia, 2025: A cross sectional study

This 2025 cross-sectional study at Wachemo University in Ethiopia found that while 78% of mothers undergoing cesarean sections under spinal anesthesia experienced good postoperative recovery, 22% faced poor recovery significantly associated with factors such as postoperative pain, nausea, anxiety, emergency procedures, and delayed mobilization, highlighting the need for optimized perioperative care and pain management.

Dejene Moreda Jiru, Teketel Abebe, Yisehak Wolde, Zekarias Markos2026-07-09
📄 medicine

Clinical-Prompt-Enhanced Deep Learning Model for Precise Preoperative Prediction of Gallbladder Polypoid Lesion Subtypes

This study presents GB-DualmodalNet, a clinical-prompt-enhanced deep learning framework that integrates preoperative ultrasound images with natural language-processed clinical data to accurately predict gallbladder polypoid lesion subtypes, thereby improving diagnostic performance over image-only models and reducing unnecessary cholecystectomies.

Qingyu Tang, Zhibo Wang, Zhenqi Tang, Hengchao Liu, Hongzhan Wang, Yubo Ma, Jiashu Song, Kangpeng Li, Minghui Dou, Ziyan (…)2026-07-09
📄 medicine

Development and validation of a sarcopenia screening scale for community-dwelling older adults in China: A risk score model based on multivariate logistic regression

This study developed and validated a simple, seven-point risk scoring scale based on five independent factors (age, lifting/carrying ability, maximum walking distance, finger-ring test, and mood status) to effectively screen for sarcopenia among community-dwelling older adults in China using the 2025 AWGS criteria, demonstrating good discrimination, calibration, and clinical utility for primary care settings.

Jing Xu, Can Duan, Zhengliang Li, Xi Sun, LingZhi Wang, Min Yang, Wenguang Xia, Chanjuan Zheng2026-07-09
📄 medicine

Early prediction of weaning trajectories and outcomes with machine learning in patients receiving Invasive Mechanical Ventilation in the WEAN SAFE cohort

This study demonstrates that machine learning models, particularly TabICL and TabPFN, can effectively predict weaning trajectories and extubation success in mechanically ventilated patients early in the weaning process by leveraging clinically meaningful and potentially modifiable factors such as organ dysfunction, frailty, and sedation state.

Nadeem Iqbal Kajla, Reginald Caldecott, Emma Urquhart, Bairbre McNicholas, Taï Pham, Leo Heunks, Giacomo Bellani, Lauren (…)2026-07-09
📄 medicine

When drugs speak: an exploratory convergent mixed-methods study of a first- person creative narrative activity for anti-seizure medication pharmacology in undergraduate medical education

This exploratory convergent mixed-methods study demonstrates that a zero-cost, first-person creative narrative activity ("When Drugs Speak") significantly enhances undergraduate medical students' engagement, retention, and conceptual understanding of anti-seizure medications by leveraging retrieval practice and elaborative encoding, as evidenced by high student preference and qualitative themes of narrative schema-building.

Divyashanthi Chellathambi Malathi, Kumaravel J, Dineshkumar Narayanasamy2026-07-09