📄 medicine

Mechanical Digitorum Sensory Stimulation Enhances Hemiplegic Upper Limb Motor Function in Stroke Patients by Increasing Cortical Excitability and Functional Connectivity

This study demonstrates that Mechanical Digitorum Sensory Stimulation (MDSS) effectively improves upper-limb motor function and reduces spasticity in stroke patients by enhancing cortical excitability and functional connectivity, as evidenced by clinical assessments and fNIRS imaging.

Wei Huang, Heyan Zhang, Jinqiang Yu, Yuan Ma, Qiqi Li, Rui Wu, Yuyou Yao, Shuting Zhang, Yongfeng Hong2026-10-11
📄 medicine

Social isolation, loneliness and functional transitions among middle-aged and older adults with cardiometabolic multimorbidity: a multistate Markov analysis of CHARLS

This multistate Markov analysis of Chinese adults with cardiometabolic multimorbidity reveals that while loneliness primarily accelerates the onset of functional decline, the combination of loneliness and social isolation significantly impairs recovery from disability and increases post-disability mortality, resulting in a substantial reduction in expected years of independent living.

Jiayi Sun, Zuochen Xue, Aijuan Cheng2026-10-11
📄 medicine

Patient-derived organoids inform treatment response and clinical outcomes in tumors of uncertain differentiation

This study demonstrates that patient-derived organoid (PDO) drug sensitivity profiling effectively guides personalized treatment for tumors of uncertain differentiation, resulting in significantly improved progression-free survival and clinical outcomes compared to standard care.

Qian Kong, Lina Tang, Chenming Zhong, Yujing Huang, Chenghao Yin, Yunyu Wang, Hao Luo, Qingcheng Yang, Dongdong Cheng, Y (…)2026-10-11
📄 medicine

Application Effects of Modified Coronectomy in Mandibular Third Molars with High-Risk Proximity to the Mandibular Canal and Characteristics of Residual Root Migration

This study demonstrates that modified coronectomy effectively prevents inferior alveolar nerve injury in high-risk mandibular third molar cases with minimal postoperative pain, despite requiring longer operative time, while revealing that residual root migration over 12 months is influenced by root length and morphology, with 5–10 mm roots showing the greatest stability.

Jianxian Hu, Jianguo Xu, Mengjie Shen, Xiaoyi Liu, Ruixue Cheng, Yuanyuan Ma, Gang Li, Yu Xiong2026-10-11
📄 medicine

Sperm Telomere Length and Its Correlation with Semen Parameters and Chromatin Protamination Across Semen Phenotypes in Infertile Men

This study demonstrates that while sperm telomere length shows no significant correlation with conventional semen parameters, chromatin protamination serves as the sole independent predictor of telomere length, revealing hidden molecular defects in normozoospermic men and highlighting its utility as a functional biomarker for paternal genomic integrity in fertility assessments.

Swathy Yuvaraj, Radha Vembu, Teena Koshy, Yamini Asokan2026-10-11
📄 medicine

Whole genome sequencing identified a novel copy number variant on TPK1 gene in a Chinese family with thiamine metabolism dysfunction syndrome 5

This study reports a novel TPK1 tandem duplication identified via whole genome sequencing in a Chinese family with thiamine metabolism dysfunction syndrome 5, highlighting the diagnostic superiority of WGS for detecting copy number variants and emphasizing the critical need for high-dose, lifelong thiamine therapy to prevent neurological decline.

Ruojie He, Jiayi He, Sen Huang, Xiaoli Yao2026-10-11
📄 medicine

Mental distress modifies the association between cost-related barriers and cervical cancer screening adherence: interaction and stratified analyses of BRFSS 2024

Analysis of 2024 BRFSS data reveals that both cost-related barriers and mental distress are independently associated with reduced cervical cancer screening adherence among U.S. women, suggesting that integrated financial and mental health interventions could improve screening uptake.

Li Liu, Xin Du, Yangdan Zhao, Haijuan Chen, Chenglin Zhang2026-10-11
📄 medicine

The Effect of Percutaneous Auricular Vagus Nerve Stimulation on Postoperative Delirium in Elderly Patients Undergoing Colorectal Cancer Surgery

This study demonstrates that transcutaneous auricular vagus nerve stimulation effectively reduces the incidence of postoperative delirium in elderly colorectal cancer surgery patients, likely by inhibiting central nervous system injury markers and pro-inflammatory cytokines.

Ying Zhu, Juan Fan, Xiaowen Yan, Tingxue Wang, Hongru Liu, Jie Yao2026-10-11
📄 medicine

Abrupt Onset of Crescentic IgA Nephropathy Superimposed on Glycogen Storage Disease Type Ia: A 15-Year Longitudinal Pediatric Case Report

This 15-year longitudinal case report describes the first pediatric instance of abrupt-onset crescentic IgA nephropathy superimposed on glycogen storage disease type Ia, demonstrating that such atypical presentations require prompt renal biopsy and a dual-track therapeutic approach combining metabolic control with targeted immunosuppression to achieve durable clinical remission.

Xu Zhang, Fengjie Yang, Yaping Liu, Yu Zhang, Jianhua Zhou2026-10-11
📄 medicine

Preoperative endoscopic ultrasonography wall-layer stratification and bowel surgical management in rectosigmoid deep infiltrating endometriosis: a single-center retrospective study

This single-center retrospective study of 25 patients demonstrates that higher preoperative endoscopic ultrasonography (EUS) wall-layer grades in rectosigmoid deep infiltrating endometriosis are significantly associated with more extensive bowel surgical management, suggesting EUS is a valuable tool for surgical planning and counseling despite not being a standalone indicator for segmental resection.

Weina Kong, Jia Xi, Boyi Ma, Hong Yang, Shuhua Zhao2026-10-11