📄 medicine

Age- and cause-specific contributions of deaths of despair to changes in life expectancy across European countries, 2001-2021

This study quantifies the age- and cause-specific contributions of deaths of despair to life expectancy changes across European countries from 2001 to 2021, revealing that while these deaths generally aided life expectancy gains before the pandemic, they contributed to losses during the pandemic—particularly due to alcohol-related mortality—and that their impact varies significantly by region, sex, and specific cause, challenging a unified framework for policy responses.

Ali Kiadaliri2026-07-10
📄 medicine

Superior Mesenteric Artery Syndrome Complicating Severe Acute Malnutrition Secondary to Pulmonary Tuberculosis in an Adolescent: A Case Report

This case report describes a 16-year-old male with severe acute malnutrition secondary to pulmonary tuberculosis who developed Superior Mesenteric Artery syndrome, a condition successfully managed through conservative nutritional rehabilitation and anti-tuberculosis therapy without the need for surgical intervention.

Tesfa Gebremeskel, Nuri Mama, Ayalneh Demise, Samuel Gashu2026-07-10
📄 medicine

Survival and Recurrence in Thyroid Cancer Brain Metastases: Prognostic Factors and Treatment Implications

This retrospective study of 37 thyroid cancer patients with brain metastases identifies Ki-67 > 10% as a significant predictor of both survival and recurrence, while also highlighting the prognostic value of extracranial disease burden, solitary lesions, active retreatment, and quantitative tumor microenvironment features.

Tonglin Pan, Zongze Li, Hu Du, Yingjun Liu, Yifei Cao, Sichen Li2026-07-10
📄 medicine

Statistical Analysis of Dental Consultation History and Inappropriate Dental Treatment in Patients with Trigeminal Neuralgia Undergoing Microvascular Decompression

This retrospective study of 180 trigeminal neuralgia patients undergoing microvascular decompression reveals that the presence of toothache is the strongest independent risk factor for unnecessary irreversible dental treatments, highlighting the critical need for improved collaboration between dental and medical professionals to prevent misdiagnosis.

Hiroki Inoue, Syoya MIzuno, Arihiro Nakamura, Marika Kakazu, Mari Fujiki, Tetsushi Oguma, Hiroshi Furuta, Atsushi Nakaya (…)2026-07-10
📄 medicine

Initial Excisional Biopsy Is Associated With Reduced Breast-Conserving Surgery Compared With Core Needle Biopsy in BI-RADS 4–5 Breast Lesions

This study demonstrates that for high-risk BI-RADS 4–5 breast lesions, initial excisional biopsy without prior core needle biopsy leads to significantly higher mastectomy rates, increased residual tumor findings, and compromised surgical planning compared to core needle biopsy, supporting the latter as the essential primary diagnostic modality.

Cüneyt Akyüz, Hüseyin Pülat, Serdar Gümüş, Oğuzhan Söyler, Deniz Öztaşan, Cezmi Baran Özalp, Cemil Yüksel2026-07-10
📄 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