📄 medicine

Transcutaneous Skin Perforation by a Protruding Xiphoid Process in a Bedbound Patient With Post-Traumatic Cervical Myelopathy: A Case Report and Review of the Literature

This case report describes a rare instance of complete transcutaneous skin perforation by a protruding xiphoid process in a bedbound patient with cervical myelopathy and diabetes, which was successfully treated with xiphoidectomy and targeted antimicrobial therapy while highlighting the importance of distinguishing reactive pseudoepitheliomatous hyperplasia from malignancy.

Hamdi Abu Ali, Walid Joulani, Noor Abdulbaqi2026-10-11
📄 medicine

Radial Artery Versus Saphenous Vein Grafts in Coronary Artery Bypass Surgery: A Grade- Assessed Meta-Analysis of Randomized Controlled Trials

This meta-analysis of randomized controlled trials indicates that while radial artery grafts reduce complete anatomical occlusion compared to saphenous vein grafts, their overall superiority is limited by a higher risk of functional occlusion due to competitive flow, suggesting that conduit selection should be individualized based on patient and vessel characteristics.

Muhammad Hamza, Aizaz Anwar Khalid, Zohad Shah, Hasnain Wajeeh Saqib, Anoosha Ashfaq, Mahad Ahmad, Talha Bin Fazal, Ikra (…)2026-10-11
📄 medicine

Safety and Efficacy Results from a Randomized Controlled Trial Comparing Thulium Fiber Laser and Holmium: YAG Laser Lithotripsy in Mini-Percutaneous Nephrolithotomy

This randomized controlled trial involving 180 patients demonstrates that Thulium fiber laser lithotripsy in mini-PCNL offers significantly superior stone disintegration speed and stone-free rates compared to Holmium:YAG laser, while maintaining a comparable overall safety profile despite a slightly higher hemoglobin drop.

Venkata Srinadh Gaddam, Sunil Pillai Bhaskara, Arun Kumar Chawla, Padmaraj Hegde, K S Chaitanya Krishna, Gautam Girish (…)2026-10-11
📄 medicine

A Prediction Model for In-Hospital Sternal Wound Complications After Aortic Dissection Surgery Based on Rewarming Time, Drainage Output, and Hemoglobin: A Retrospective Study

This retrospective study developed and internally validated a prediction model using rewarming time, postoperative day 2 drainage output, and postoperative day 1 hemoglobin to stratify the risk of in-hospital sternal wound complications following aortic dissection surgery.

Yuji Xiao, Wanru Ma, Yaoguang Feng, Juan Wu, Jia Liu, Jinzhi Yin, Hongzhen Wei, Juan Luo2026-10-11
📄 medicine

Expanded phenotype of new DOCK4-related neurodevelopmental disease in patient with pituitary stalk interruption syndrome and septo-optic dysplasia

This study reports a 17-year-old female with a de novo DOCK4 truncating variant who presents with global developmental delay, intellectual disability, and structural brain abnormalities including pituitary stalk interruption syndrome and septo-optic dysplasia, thereby expanding the phenotypic spectrum of DOCK4-related neurodevelopmental disorders.

Joanna Chrzanowska, Paweł Karpiński, Maria Szczygieł, Mateusz Dudek, Piotr Chrzanowski, Mateusz Patyk, Małgorzata Rydzan (…)2026-10-11
📄 medicine

Lunate excision combined with palmaris longus tendon ball arthroplasty for stage III Kienböck’s disease: a retrospective case series

This retrospective case series of six patients demonstrates that lunate excision combined with palmaris longus tendon ball arthroplasty is a viable surgical option for stage III Kienböck's disease, yielding satisfactory short-term pain relief and functional recovery without complications at a mean 12-month follow-up.

Wei Zhao, Rong-Rong Ren, Yan-Bin Wu, Si-Ce Wang, Xiao-Yang Fu, Xi-Wei Peng, Qian-Ru Yao, Gui-Lan Zhang, Yong-Tao Liu, Ku (…)2026-10-11
📄 medicine

From Whole-Tooth to Root-Specific Vitality Preservation: Partial Pulpotomy, Full Pulpotomy, and Selective Endodontic Treatment in Mature Permanent Teeth with Symptomatic Irreversible Pulpitis — A Case Series with 12–24 Month Follow-up

This case series demonstrates that a graded, root-specific approach to managing symptomatic irreversible pulpitis in mature multirooted teeth—ranging from partial and full pulpotomy to selective endodontic treatment—can successfully preserve pulp vitality and ensure periapical health in all treated roots over 12–24 months.

Abhijith P P, Rayaz Rasheed, Sapna C Muddappa, Rakesh R Rajan, Prabath Singh V P2026-10-11
📄 medicine

Agreement of Radiographic Parameters Between Digitally Reconstructed Radiographs from Weight-Bearing Cone-Beam CT and Whole-Spine Radiographs

This study demonstrates that digitally reconstructed radiographs generated from weight-bearing cone-beam CT exhibit high agreement and superior interobserver reliability compared to standard whole-spine radiographs for most spinal and pelvic structural parameters, though some discrepancies remain in global balance and specific sagittal curvature measurements.

Xiangyu Nie, Guilin Chen, Jie Wang, Haonan Chen, Jingxi Su, Xiangjie Yin, Lin Xu, Yun Wang, Ruiyao Qin, Shuo Ma, Zhe Zha (…)2026-10-11
📄 medicine

Diversity, Distribution, and Plasmodium falciparum Sporozoite Infectivity of Anopheles Mosquitoes in Flood-Prone Communities of Kasese District, Western Uganda: A Cross- Sectional Household Entomological Study

This cross-sectional study in flood-prone communities of Kasese District, Uganda, reveals a diverse assemblage of Anopheles mosquito species and ongoing low-level Plasmodium falciparum transmission, highlighting the need for targeted vector control interventions in these climate-vulnerable areas.

Rogers Kalyetsi, Kaylin Lewandowski, Ronnie Ndizeye, Raquel Reyes, Mbusa Rapheal, Abel Bwambale, Emmanuel Baguma, Liao H (…)2026-10-11