📄 medicine

Associations Between Pre-Pregnancy Chronic Health Conditions and Spontaneous Abortion: A Large Retrospective Cohort Study

This large retrospective cohort study of over 384,000 pregnancies found that several pre-pregnancy chronic health conditions are significantly associated with an increased risk of spontaneous abortion, leading to the development of an exploratory risk score that showed moderate discrimination but requires further validation before clinical application.

Hila SHALEV-RAM, Shai RAM, Nofar GABAY, Gal COHEN, Netanella MILLER, Tal BIRON-SHENTAL, Michal KOVO, Yael YAGUR2026-07-07
📄 medicine

Postoperative T10 Tilt at Two Weeks as an Early Prognostic Marker for Proximal Junctional Kyphosis and Failure After Adult Spinal Deformity Surgery

This study demonstrates that two-week postoperative T10 tilt is an independent prognostic marker for proximal junctional kyphosis and failure in adult spinal deformity patients with an upper instrumented vertebra at T9 or T10, offering modest predictive value comparable to or slightly better than L1 pelvic angle for early risk assessment.

Jae Heouk Choi, Dong Seok Kim, Jin S. Yeom, Sang-Min Park, Ohsang Kwon, Ho-Joong Kim2026-07-07
📄 medicine

Single-cell and spatial profiling of cysteine cathepsins identifies tumor states relevant to antibody-drug conjugates in breast cancer

This study utilizes single-cell and spatial profiling to map the heterogeneous distribution and activity of cysteine cathepsins across breast cancer ecosystems, revealing that integrating protease abundance and activity with target antigen expression is crucial for optimizing the design and patient stratification of protease-cleavable antibody-drug conjugates.

Natalia Ćwilichowska-Puślecka, Natalia Małek-Chudzik, Oliwia Gorzeń, Tobiasz Puślecki, Jakub Mlost, Julia Nguyen, Bartos (…)2026-07-07
📄 medicine

Genomic Copy Number Variation Profiling of Pleural Effusion cfDNA via LP-WGS for Precision Diagnosis and Prognostic Stratification in Lung Adenocarcinoma-associated Malignant Pleural Effusion running title: cfDNA CNV for LUAD-MPE Diagnosis and Prognosis

This study demonstrates that low-pass whole-genome sequencing-based copy number variation profiling of pleural effusion cfDNA is a highly sensitive, noninvasive, and cost-effective tool for accurately diagnosing lung adenocarcinoma-associated malignant pleural effusion and stratifying patient prognosis, outperforming traditional cytology and CEA testing.

Yujia Liu, Chao Shi, Haosong Zhou, Fangping Wang, Yupeng Liang, Xin Gan, Longhua Sun, Quqin Lu, Shiwen Luo2026-07-07
📄 medicine

Prophylactic PEG-rhG-CSF Is Associated With Fewer Severe Neutropenic Events and Preserved Chemotherapy Delivery During Platinum-Taxane-Based Concurrent Chemoradiotherapy for Locally Advanced Cervical Cancer: A Real-World Study Using Inverse Probability of Treatment Weighting

In a real-world study of locally advanced cervical cancer patients undergoing platinum-taxane-based concurrent chemoradiotherapy, prophylactic PEG-rhG-CSF significantly reduced severe neutropenic events and improved chemotherapy delivery compared to reactive short-acting support.

Shuishui Yin, Liu He, Xingzhou Tang, Bolv Zhu, Yuanli Zhou2026-07-07
📄 medicine

Machine Learning to Optimize Busulfan Exposure and Predict Survival in HSCT: Toward Personalized Dosing Strategies

This study demonstrates that machine learning models integrating clinical and pharmacokinetic variables outperform traditional methods in predicting busulfan exposure and survival, thereby enabling more precise, personalized dosing strategies for patients undergoing hematopoietic stem cell transplantation.

Dorian Protzenko, Laurent Bourguignon, Clara Boérie, Benjamin Bouchacourt, Raynier Devillier, Joseph Ciccolini2026-07-07
📄 medicine

High-Intensity Theatre Lists for Robot-Assisted Thoracic Resection: a proof-of-concept series

This proof-of-concept study demonstrates that a high-intensity theatre model utilizing parallel anaesthetic preparation enables the safe and efficient completion of fifteen major robot-assisted thoracic resections with 100% list completion and zero mortality, significantly increasing surgical throughput without additional resources.

Nabih Berjaoui, micayla pather, Fuhazia Arif, Craig Johnstone, George Christodoulides, Hani Abdalla, Imran Ahmed, Abulla (…)2026-07-07
📄 medicine

Multimodal deep learning enables precise early-versus-late ARCO stratification at the critical threshold for hip preservation in osteonecrosis of the femoral head

This study developed and validated an interpretable multimodal deep learning framework that integrates biparametric MRI sequences with clinical parameters to achieve highly accurate, objective stratification of early- versus late-stage osteonecrosis of the femoral head, thereby aiding critical decision-making for hip preservation.

Siyuan Li, Huimin Huang, Yetong He, Xiaowan Zhang, Xiaoxia Li, Lin Wang, Wei He, Xiaorui Han, Xudong Huang, Gengxin Chen2026-07-07
📄 medicine

Transsectoral optimization of sepsis care processes based on interoperable routine data (optiSEP): Results of a monocentric pilot study

This monocentric pilot study demonstrates that merging routine data across emergency, inpatient, and intensive care sectors is feasible and effectively reveals heterogeneities in sepsis care processes, thereby identifying critical areas for optimization to improve patient outcomes.

Angela Daniela Fuchs, Alexandra Ramshorn-Zimmer, Leonard Martin Weber, Manuel Feisst, Marieke Witt, Fabian Kueck, Rainer (…)2026-07-07