📄 medicine

Complicated Acute Appendicitis in a Horseshoe Appendix: A Case Report

This case report describes the successful laparoscopic management of a rare horseshoe appendix (Type D anomaly) with dual perforated cecal insertions in a 60-year-old diabetic woman, emphasizing the critical need for systematic intraoperative exploration to ensure complete resection and prevent complications in such anatomically complex presentations.

Milton Omar Sandoval Reyes, Edy Quizhpe, Miguel Ángel Moreno Villavicencio, Alex Paul Guachilema Ribadeneira, Andrea Dan (…)2026-10-11
📄 medicine

Suture Retraction to Preserve the Infrapatellar Fat Pad During Anterior Cruciate Ligament Reconstruction: A Retrospective Cohort Study

This retrospective cohort study demonstrates that preserving the infrapatellar fat pad using PDS suture retraction during anterior cruciate ligament reconstruction significantly reduces postoperative fibrosis and improves early pain and functional outcomes compared to conventional selective resection, although these findings require prospective validation.

Shenbo Huang, Zhenxin Zheng, Chao Qian, Hang Yuan, Huricha Bao2026-10-11
📄 medicine

Screening and brief intervention of risky post-war alcohol consumption among hospital outpatients in Tigray, 2026: results from randomized control trial

This 2026 randomized controlled trial conducted in Tigray demonstrates that a screening and brief intervention strategy significantly reduced risky post-war alcohol consumption among public hospital outpatients at 6- and 12-month follow-ups compared to a control group.

Abraha Gosh Woldemariam, Welu Abadi Gebru, Hilawie Mezraete Gebrihiwet, Merhawit Gebremeskel Hagos, Etsay Hailu Gebremar (…)2026-10-11
📄 medicine

Gender bias in AI-based model according to the sex composition of the training sets: the case of a model triaging patients requiring referral to hospital emergencies among those seeking emergency or unscheduled care by phone

This study demonstrates that balancing training data by sex is insufficient to ensure fairness in AI-based emergency triage models, as a female-only model generalized well to both sexes while a male-only model performed poorly for women, highlighting the need to address structural biases during the design phase rather than relying solely on data composition.

Laurent RIGAL, Camille REVOL, Thibault BACQUEYRISSES, Henri PANJO, Urfan ASHRAF, Jean-Baptiste PERNEY2026-10-11
📄 medicine

A Decade-Old Retained Intrapleural Glass Fragment in an Asymptomatic Skydiver: A Case Report and Review of the Literature

This case report describes the rare discovery and successful surgical removal of a large, asymptomatic glass fragment retained in the pleural space for a decade in a skydiver, highlighting the challenges of detecting and managing such foreign bodies that may migrate years after the initial trauma.

Manish Singh, Puneet Saxena, Paul Varghese, Simple Gupta, Saurabh Dawra2026-10-11
📄 medicine

Complicated Sigmoid Diverticular Disease Presenting as Extensive Retroperitoneal and Thigh Necrotizing Soft-Tissue Infection: A Case Report

This case report describes a fatal outcome in a 57-year-old woman with complicated sigmoid diverticulitis that progressed to extensive retroperitoneal and thigh necrotizing soft-tissue infection, underscoring the critical importance of early imaging and surgical source control despite the challenges of diagnosis and subsequent complications.

Masara Samara, Shahd Rajabi, Mohammed Madi, Yazan AL-Khateeb, Yazan Dibas, Omar Abu Zaydeh2026-10-11
📄 medicine

Persistent Hiccups After Diaphragmatic Plication Despite Previous Phrenic Nerve Sacrifice

This case report describes a patient with myasthenia gravis who developed persistent postoperative hiccups following diaphragmatic plication despite prior phrenic nerve sacrifice, a condition that was successfully resolved with low-dose gabapentin, suggesting that residual sensory pathways can sustain the hiccup reflex even after motor denervation.

Arthur Streit, Florent Stasiak, Joseph Seitlinger, Stéphane Renaud2026-10-11
📄 medicine

Perception of AI in medical research among medical students and doctors in Nigeria: impact of a structured AI training program using a pre-post quasi-experimental design

This pre-post quasi-experimental study demonstrates that a structured two-day online training program significantly improved knowledge, self-efficacy, and other perception domains regarding AI in medical research among Nigerian medical students and doctors, although ethical concerns remained unchanged and warrant greater emphasis in future interventions.

Amir Yahaya, Stanley Chukwudi Okafor, Amal Mohammed Pantami, Uzoma Kaosisochukwu, Jude Chigozie Ohaji, Chisom Mary-Joan (…)2026-10-11
📄 medicine

Arthritis and Risk of Falls, Hospitalization, and Out-of-Pocket Medical Spending Among Middle-Aged and Older Chinese Adults: A Time- Dependent Cox Analysis of the CHARLS Cohort, 2011-2020

Based on a time-dependent analysis of the CHARLS cohort from 2011 to 2020, this study demonstrates that arthritis, whether prevalent or incident, serves as an independent and persistent predictor of increased risks for falls, hospitalization, and out-of-pocket medical spending among Chinese adults aged 45 and older, while showing no significant association with cognitive decline.

Yaling Zhao, Huihui Chen, Shuo Zhang, Yongchao Wang, Weiyuan Wang, Wei Fan, Xi Liu2026-10-11
📄 medicine

Outcomes of Repeat Stereotactic Radiosurgery for Locally Recurrent Brain Metastases Following Initial Stereotactic Radiosurgery

This retrospective study demonstrates that repeat stereotactic radiosurgery is an effective salvage treatment for locally recurrent brain metastases, identifying specific cumulative dose thresholds (BED10 >177 Gy and EQD2 >75 Gy) that significantly increase the risk of radiation necrosis without improving local control.

Ceren Atahan, Gamze Ugurluer, Evrim Tezcanli, Alptekin Arifoglu, Zeynep Ozen, Banu Atalar, Meric Sengoz, Enis Ozyar, Ufu (…)2026-10-11