📄 medicine

Peripheral blood neutrophil-to-lymphocyte ratio reflects inflammaging-associated osteoarthritis but not mechanically driven disease

This study demonstrates that peripheral blood neutrophil-to-lymphocyte ratio (NLR) is a sensitive biomarker for age-associated systemic inflammation in osteoarthritis but fails to reflect mechanically driven disease progression or radiographic severity, highlighting distinct inflammatory endotypes within the condition.

Tao Jiang, Kai Zhao, Mu Shao, Jian Wang, Haifeng Li2026-07-21
📄 medicine

Factors associated with severe malaria and in-hospital mortality among hospitalised children under 15 years of age in Brazzaville, Republic of the Congo: a multicentre cross-sectional study

This multicentre cross-sectional study in Brazzaville, Republic of the Congo, reveals that severe paediatric malaria carries a high in-hospital mortality rate of 18%, driven primarily by acute kidney injury and age under five, while pre-hospital self-medication and delayed consultation are the key modifiable factors contributing to severe disease.

Géril Sékangué Obili, Lucie Charlotte Ollandzobo Ikobo Atipo Ibara, Judicaël Kambourou, Jean Robert Mabiala Babéla, Mari (…)2026-07-21
📄 medicine

Association Between Endothelial Activation and Stress Index and Delirium in Septic ICU Patients: A Competing-Risk Analysis

This retrospective cohort study utilizing the MIMIC-IV database demonstrates that the Endothelial Activation and Stress Index (EASIX), calculated from routine laboratory values within the first 24 hours of ICU admission, is independently associated with an increased risk of delirium in septic patients when accounting for death as a competing risk.

Jie Liao, Dongquan Li, Guanyuan Chen, Yahan Shen, Yuanyuan Xiao, YuJie Zhou, Jianfu Zhao, Na Wang2026-07-21
📄 medicine

Complementary vs. Alternative Medicine Use, Related Attitudes and the Role of the Internet: A Cross-Sectional Study Using the ISSP 2021

This cross-sectional study utilizing ISSP 2021 data reveals that while internet access and usage generally promote complementary and alternative medicine (CAM) use, the effects diverge significantly when distinguishing between complementary and alternative medicine, highlighting the critical need to differentiate these concepts in future research.

Alexander Helbing, Juliane Heise2026-07-21
📄 medicine

Risk of Food Insecurity and Stratified difference for Bronchus and lung cancer-related mortality: County-Level Evidence from the United States

This county-level study in the United States reveals that higher food insecurity and poorer food environments are independently associated with increased bronchus and lung cancer-related mortality, highlighting the need to integrate food security into cancer prevention strategies to address persistent socioeconomic and geographic disparities.

Mingfeng Wei, Shixiang Guo, Zheng Li, Xiaoyu Chen, Xuelin Zhang, Fuzhi Yang, Shuai Jiang, Lefei Hu, Jing Sun, Xiaoyong S (…)2026-07-20
📄 medicine

Validation of the Ukrainian Prolonged Grief Assessment for Children (PGA‑C) in a Wartime Context

This study validates the Ukrainian version of the Prolonged Grief Assessment for Children (PGA-C) as a reliable and valid tool for identifying clinically significant grief among bereaved youth living in wartime conditions, demonstrating excellent internal consistency, strong test-retest reliability, and robust convergent and divergent validity despite a limited fit for its proposed two-factor structure.

Oleksandr Avramchuk, R Balahurak, Halyna Shved, Holly Prigerson2026-07-20
📄 medicine

Patient Reporting of Preventive Practices and Experiences of Suspected Adverse Drug and Vaccine Events During and After the COVID-19 Pandemic

This cross-sectional study of 400 outpatients reveals that while preventive practices declined post-pandemic, a significant portion of patients experienced unreported mild adverse events from COVID-19 vaccines and drugs, with self-medication identified as a key risk factor and vaccine safety concerns as the primary barrier to prevention.

Sasina Kaiyarat, Kamonphat Wongtaweepkij, Anthony R. Cox, Narumol Jarernsiripornkul2026-07-20
📄 medicine

Esketamine's Therapeutic Effect on Anhedonia: A Post-hoc of a Randomized Controlled Trial

This post-hoc analysis of a randomized controlled trial suggests that adjunctive esketamine significantly improves anhedonia in adolescents with moderate-to-severe major depressive disorder over the long term, with therapeutic effects becoming evident from Day 12 onward.

Qianqian Wu, Weicheng Li, Zhanjie Luo, Chengyu Wang, Xiaofeng Lan, Junhao Shen, Ziying Chen, Jincai Pan, Xuan Liu, Haobi (…)2026-07-20
📄 medicine

Development of a Prognostic Predictive Model for Barcelona Clinic Liver Cancer Stage C Hepatocellular Carcinoma Receiving First-line Targeted Therapy plus Immunotherapy

This study developed and validated a prognostic nomogram based on four independent clinical variables (extrahepatic metastasis, elevated alkaline phosphatase, elevated lactate dehydrogenase, and locoregional therapy) to effectively stratify survival outcomes for patients with BCLC stage C hepatocellular carcinoma receiving first-line targeted therapy plus immunotherapy.

Zhangyan Du, Xueyi Xie, Weilun Fang, Xuan Wang, Qianwen Zhou, Honghua Peng, Peiguo Cao2026-07-20