📄 medicine

Albumin-Corrected Anion Gap and Congestive Heart Failure Predict 90-Day Readmission in Sepsis Survivors with COPD: A Competing Risk Analysis from the MIMIC-IV Database

In a competing risk analysis of 3,678 sepsis survivors with COPD from the MIMIC-IV database, lower albumin-corrected anion gap and congestive heart failure were identified as independent predictors of 90-day hospital readmission, with the latter's statistical significance attenuated by the high competing risk of death.

Xiaoming Yang, Zunjing Zhang, Zhongda Liu, Hui Huang, Tao Sun2026-07-07
📄 medicine

Listening to Learners: A Resident-Driven Approach to Program-Wide Curriculum Reform in General Surgery

This study demonstrates that applying Kern's Six-Step framework to a resident-driven, mixed-methods needs assessment across didactic, simulation, and clinical domains successfully guided comprehensive curriculum reforms in a general surgery residency program, resulting in measurable improvements in educational quality.

Abigail J. Hatcher, Blake T. Beneville, Nikki E. Rossetti, Paul E. Wise, Jennifer Yu, Michael M. Awad2026-07-07
📄 medicine

Serial Energy Availability and the IOC REDs CAT2 Severity Gradient: A Prospective Validation Study in Tier 3–4 Athletes

This prospective validation study demonstrates that serially measured energy availability tracks the IOC REDs CAT2 severity gradient, confirming lower energy availability in athletes classified with REDs—particularly in weight-sensitive sports and males with suppressed testosterone—while noting that findings remain hypothesis-generating due to sample limitations.

Shao-Chih Hsu, Chih-Kuan Wu, Tsung-Hsun Yang, Kuei-Hui Chan, Chien-Hung Chen, Yin-Chou Lin2026-07-07
📄 medicine

Apoptotic Cell Death of Human Bladder Cancer Cells in-vitro by a High Voltage AC-Driven Atmospheric Pressure Helium Plasma Jet

This study demonstrates that a high-voltage, sinusoidally driven atmospheric pressure helium plasma jet effectively induces apoptosis and reduces viability in human bladder cancer cells, with enhanced efficacy observed in chemoresistant lines and when oxygen is supplemented to the gas flow.

GI-EUN YANG, MIN-JEONG SEONG, SUN-JA KIM, HAE-MIN JOH, SUN-HEE LEEM, TAE-HUN CHUNG2026-07-07
📄 medicine

Corneal Confocal Microscopy Reveals Neuroimmune Alterations in Drug-Naïve Patients With Obsessive–Compulsive Disorder: A Case-Control Study

This case-control study demonstrates that drug-naïve patients with obsessive–compulsive disorder exhibit significant corneal neuroinflammatory alterations, characterized by increased dendritic cell density and reduced nerve fiber parameters via corneal confocal microscopy, suggesting these noninvasive ocular biomarkers may reflect underlying neuroimmune mechanisms in the disorder.

Hatice Cansu Selvi, Burcu Atay, İrem Arslanyürek, Mehmet Cüneyt Özmen, İrem Ekmekci2026-07-07
📄 medicine

TSH-induced post thyroidectomy spontaneous ovarian hyperstimulation syndrome: a rare case report of molecular mimicry

This case report describes a rare instance of spontaneous ovarian hyperstimulation syndrome in a post-thyroidectomy patient, caused by extreme TSH levels cross-activating FSH receptors via molecular mimicry, which was successfully resolved through levothyroxine replacement and supportive care without surgical intervention.

Jose Luis Rojas-Oviedo, María Fernanda Leal Walteros, Dauris Lineth Mejía Pérez, Jorge Eliecer Castellanos Corredor, Dia (…)2026-07-07
📄 medicine

L1CAM expression is a prognostic biomarker for head and neck squamous cell carcinoma (HNSCC)

This study demonstrates that high L1CAM expression, detected via immunohistochemistry in a cohort of 233 patients, serves as a significant prognostic biomarker for poor overall and relapse-free survival in head and neck squamous cell carcinoma (HNSCC), particularly in early-stage and node-negative cases.

Lidia Martin, Sandra Schwarzlose-Schwarck, Thomas Kalinski, Mark Reinwald, Norbert Nass2026-07-07
📄 medicine

Pathway Analysis of Depression Status and Influencing Factors in Elderly Diabetic Patients: The Mediating Role of duration of sleep

Based on a 2020 survey of 1,440 elderly diabetic patients in China, this study reveals a 46.67% depression prevalence and identifies that shorter sleep duration, lower income, poor self-rated health, pain, multiple comorbidities, memory concerns, and reduced daily activity ability significantly influence depression, with sleep duration acting as a mediating factor in these relationships.

Shengchun Liu, Qian Sun, Yancheng Ye, Falin Shi2026-07-07
📄 medicine

Concurrent Factor XI and Factor XII Deficiency with Suspected Diminished Factor XIII Activity in a Young Bangladeshi Male: A Rare Case Report

This case report describes a rare instance of concurrent Factor XI and Factor XII deficiencies with suspected diminished Factor XIII activity in a 23-year-old Bangladeshi male, highlighting the importance of systematically investigating all intrinsic pathway factors in patients with prolonged aPTT and mild bleeding symptoms.

Md. Nazmul Hasan, Iftekhar Ahmed Sakib, Fardin Shariar, Sanjida Islam Shuma, Erfat Jahan Lubna, Sudeshna Paul Tultul2026-07-07