medicine papers | Gist.Science

Development and Validation of a Nomogram for Predicting Recurrence Risk After the First Episode of Primary Spontaneous Pneumothorax: A Long-Term Follow-Up Study

This study developed and validated a nomogram based on chest CT findings of obvious bullae and non-surgical treatment as independent risk factors to predict the recurrence risk of primary spontaneous pneumothorax after the first episode, demonstrating good predictive accuracy with an AUC of 0.78 to guide clinical treatment strategies.

Chenxi Yu, Chenye Shao, Ziyan Chu, Zhiheng Lu, Xianzheng Li, Zechen Cao, Jian Yang, Yuan Cui, Hualong Qin2026-10-11

📄 medicine

Rare conjunctival Rhinosporidiosis: Two cases of superior bulbar involvement, one with associated Scleromalacia

This paper reports two rare cases of superior bulbar conjunctival rhinosporidiosis in young boys, highlighting the condition's silent progression, characteristic clinical features, and the potential for severe complications like scleromalacia requiring tectonic grafting despite successful initial excision.

Leena Bajracharya, Kripa Bhattarai, Jessica Zarwan2026-10-11

📄 medicine

Intraoperative Inhalation of Indocyanine Green for Near-Infrared Visualization of Adult Intralobar Pulmonary Sequestration

This paper demonstrates that intraoperative aerosolized indocyanine green inhalation combined with near-infrared thoracoscopy safely and effectively visualizes the ventilation-based boundary of adult intralobar pulmonary sequestration, enabling precise and minimally invasive resection.

Zhenfan Wang, Tong Xu, Zhijian Liang, Songjing Zhao, Zhuoer Cui, Qiang Liu, Hao Li, Jian Zhou2026-10-11

📄 medicine

Healthcare utilization profiles, facilitating resources, and continuity of care among transgender people in Brazil: A latent class analysis

A latent class analysis of transgender people in Brazil reveals that healthcare navigation profiles, particularly engagement with primary or emergency care, are more strongly associated with continuity of care than individual facilitating resources, underscoring the critical role of structural healthcare system factors.

Lilian de Fatima Zanoni Nogueira, Maria Luísa Corrêa Muniz, Lilian Victoria Perez Espínola, Carla Gianna Luppi, Gabriela (…)2026-10-11

📄 medicine

Clinical Application of a Modified Gastric-Nasopharyngeal Suction Catheter for Continuous Supraglottic Secretion Management in an Older Patient With Silent Aspiration: A Case Report

This case report demonstrates that continuous supraglottic secretion drainage using a modified gastric-nasopharyngeal suction catheter effectively resolved persistent silent aspiration and associated pulmonary infection in a 93-year-old patient with cognitive impairment, offering a feasible adjunctive management strategy for non-ventilated individuals.

Xiaoyu Zhang, Zhenzhen Liu, Zhiwei Nie, Caiping Liu, Huimin He, Ming Yang, Juan Liu2026-10-11

📄 medicine

Macro TSH and the Misdiagnosis of Hypothyroidism: Evidence from a Cross-Sectional Study

This cross-sectional study demonstrates that relying solely on total TSH levels leads to significant overdiagnosis of hypothyroidism due to macro TSH interference, particularly in asymptomatic and pregnant populations, and advocates for macro TSH screening to prevent unnecessary treatment and improve diagnostic accuracy.

Davoud Amirkashani, Mostafa Abdollahi Sarvi, Mostafa Masoumi, Mona Nourbakhash2026-10-11

📄 medicine

Turnaround time in diagnostics, analysing delays and strategic improvements in a tertiary care hospital

This study evaluates turnaround time delays in a New Delhi tertiary care hospital's biochemistry and haematology laboratories, revealing that while the analytical phase constitutes the largest time proportion, significant delays stem from pre- and post-analytical factors such as administrative bottlenecks, specimen transportation, and HIS inefficiencies, necessitating targeted workflow and staffing improvements.

Danish Ahmad, Saumya Sajiv Kumar Sharma, Manish Sabharwal2026-10-11

📄 medicine

An EEG-informed fNIRS framework uncovers stage-associated cortical dynamics during unassisted upper-limb movement after stroke

This study demonstrates that an EEG-informed multimodal framework combining FBCSP and GLM effectively mitigates hemodynamic artifacts during ecological upper-limb movements in stroke patients, successfully revealing distinct, stage-associated patterns of cortical reorganization across Brunnstrom recovery stages that conventional methods fail to capture.

Mingyang Wang, Xiaojuan Chen, Zhenlan Li, Yulin Gong2026-10-11

📄 medicine

Giant intramuscular lipoma of the thigh: a case report

This case report describes the successful surgical excision and histopathological confirmation of a rare, giant intramuscular lipoma in the thigh of a 42-year-old man, emphasizing the critical role of detailed imaging in preoperative planning for such deep-seated benign tumors.

Abhaya Mahto, Abhishek Bhattarai2026-10-11

📄 medicine

Effects of Frailty Status on Hospitalization Risk and Healthcare Costs among Patients Undergoing Maintenance Haemodialysis: A Retrospective Cohort Study

This retrospective cohort study of 738 maintenance haemodialysis patients in East China demonstrates that pre-frailty and frailty are independently associated with significantly increased frequencies and costs of all-cause hospitalizations, revealing a clear dose-response relationship that underscores the need for early frailty detection to reduce healthcare burdens.

JINPING YING, YAHUI ZHOU, YINV WU, LINGLIN CHEN, HUIMIN BAO, YUJIAO ZHANG, QI GUO, GENLIAN CAI, JIEHUI FENG2026-10-11

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