📄 medicine

Long-Term Outcomes of Maintenance Peritoneal Dialysis Initiated During Infancy: A Temporally Aligned Comparative Study

This retrospective study reveals that infants initiating maintenance peritoneal dialysis face significantly higher mortality and complication rates compared to temporally aligned older children, yet more than half successfully undergo kidney transplantation, supporting PD as a viable bridge to transplant despite the high risks.

Ruveyda Gulmez, Nur Canpolat, Esra Karabag Yilmaz, Seha Saygılı, Ayse Agbas, Gulseren Pehlıvan, Salim Caliskan, Lale Sev (…)2026-10-11
📄 medicine

Impact of donor kidney weight and recipient body mass index on long-term renal function decline following living donor kidney transplantation

This multicenter retrospective study of 536 living donor kidney transplant recipients demonstrates that the combination of low donor kidney weight and high recipient body mass index is an independent predictor of long-term graft function decline, underscoring the critical importance of nephron mass matching in donor selection and recipient risk stratification.

Kenta Ishikawa, Ayato Ito, Ryohei Yamamoto, Mitsuru Saito, Ryuichiro Sagehashi, Kengo Furihata, Chika Kajiwara, Mizuki M (…)2026-10-11
📄 medicine

Symptom Network Analysis of Insomnia, Depression, and Anxiety Among Incarcerated Men in China: Implications for Correctional Mental Health Assessment

This study utilized network analysis on 584 incarcerated men in China to identify "awakenings during night" and "daytime functioning capacity" as core insomnia symptoms, while pinpointing "restlessness," "sleep," and "sad mood" as key bridge symptoms, thereby offering targeted insights for mental health screening and intervention strategies within correctional facilities.

Tong Chen, Shuqing Wang, Qingyin Xiao, Yuwei Lu, Meng-Cheng Wang2026-10-11
📄 medicine

Comparative performance of DeepSeek-R1 and GPT-4o on standardized ophthalmic diagnostic and treatment tasks

In a comparative study using standardized ophthalmology residency cases, DeepSeek-R1 demonstrated significantly higher accuracy and completeness than GPT-4o in diagnostic and treatment tasks, particularly in retinal diseases, glaucoma, strabismus, and optic nerve disorders, though the findings remain preliminary due to the limited sample size and text-only design.

Junxiu Zhang, Yao Ma, Rong Zhang, Rina Su, Ke Ma2026-10-11
📄 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