📄 medicine

Clinical Determinants of Surgical Difficulty in Robotic Rectal Cancer Surgery: Toward Preoperative Risk Stratification

This retrospective study of 638 patients identifies male sex, higher body mass index, neoadjuvant chemoradiotherapy, and mid-rectal tumor location as independent predictors of increased surgical difficulty in robotic-assisted rectal cancer surgery, providing a basis for improved preoperative risk stratification.

Tzu-Chieh Yin, Wei-Chih Su, Tsung-Kun Chang, I-Chieh Lee, Fan-Sheng Chen, Po-Jung Chen, Ching-Chun Li, Yen-Cheng Chen, C (…)2026-10-12
📄 medicine

Clinical Efficacy and Electrophysiological Mechanisms of Closed-Loop Neuromodulation for the Treatment of Drug-Resistant Epilepsy

This study demonstrates that closed-loop neuromodulation provides safe, cumulative, and patient-specific seizure control for drug-resistant epilepsy through the plastic reorganization of local inhibitory microcircuits and suppression of long-range epileptic propagation, as evidenced by distinct intracranial gamma-band enhancements and scalp slow-wave changes.

Zihao Wang, Tianqi Hu, Haipeng Xie, Di Zhang, Yaning Sun, Jingwen Zhang, Xuehua Cui, Jie Zheng, Jiegang Yu, Shunyao Zhan (…)2026-10-12
📄 medicine

Social participation diversity and cognitive trajectories in older adults with hypertension and diabetes: a longitudinal cohort study

This longitudinal study of older adults with hypertension and/or diabetes reveals that greater diversity in social participation, particularly engaging in three to four different activity types, is significantly associated with better long-term cognitive trajectories, whereas vigorous physical activity showed no significant link to cognitive function.

yiran zhu¹, jiahao wang¹, yangnian li¹, xiaohui zhang¹, junyuan chen2026-10-12
📄 medicine

Targeted Next-Generation Sequencing Reveals Co-infection Patterns and Risk Factors for Severe Pneumonia in Influenza A(H1N1) pdm09

This retrospective study utilizing targeted next-generation sequencing identifies advanced age, elevated BMI, specific respiratory symptoms, and a distinct shift toward fungal and viral co-infections as key risk factors and pathogen profiles distinguishing severe from mild Influenza A(H1N1)pdm09 pneumonia.

Zhihao Lie, Yinghong Hu, Jiaqi Chen, Zeqi Lai, Zixin Fang, Huizhong Liu, Jingyi Liang, Zhiqi Zeng, Zifeng Yang2026-10-12
📄 medicine

Divergent fall burden across multidimensional health, functional, and social profiles among adults aged 60 years and older: a cross-sectional latent class analysis of BRFSS

This cross-sectional latent class analysis of over 189,000 U.S. adults aged 60 and older reveals that fall burden varies significantly across six distinct multidimensional profiles, demonstrating that functional, cognitive, mobility, and social characteristics are more predictive of fall risk than morbidity or cardiometabolic treatment status alone.

Onchira Vadtanapong, Prasert Kham-ai, Kancharee Pattana, Peng Li2026-10-12
📄 medicine

Facilitator-Mediated Versus AI-Mediated Problem-Based Learning in Pharmacology Education: A Quasi-Experimental Study Among Second Year Medical Students

This quasi-experimental study involving 136 second-year medical students found that while both facilitator-led and AI-mediated problem-based learning (PBL) significantly improved pharmacology knowledge, facilitator-led PBL resulted in superior critical thinking and group dynamics, whereas AI-mediated PBL offered better access to resources and discussion, suggesting a hybrid model combining both approaches may be most effective for medical education.

Padmaja Shetty, Mangala Rao2026-10-12
📄 medicine

Methodology of a prospective, single-arm, multicenter, physician-initiated study to assess the long-term safety and efficacy of the Restorer stent system for the treatment of aorto-iliac lesions. BARISTA trial.

The BARISTA trial is a prospective, single-arm, multicenter study enrolling 200 patients across 14 Belgian centers to evaluate the two-year safety and efficacy of the Restorer iliac stent system for treating symptomatic aorto-iliac lesions, with the goal of providing comparative evidence to guide stent selection in complex disease.

Lieven Maene, Leslie Moerman, Elien Vernez, Koen Deloose2026-10-12
📄 medicine

Hepatobiliary Dysfunction in an Egyptian Tertiary Neonatal Intensive Care Unit: Incidence, Risk Factors, and Mortality Outcomes

In a retrospective study of 236 neonates at an Egyptian tertiary NICU, hepatobiliary dysfunction affected 27.1% of admissions, was independently predicted by total parenteral nutrition exposure and multi-organ failure, and served as a marker of severe systemic illness associated with higher mortality without independently driving overall death rates.

Mohamed Eladawy, Kyrolos Rizkallah, Sondos Ahmed, Lerine Bahy El-Din Ahmed, Iman Talaat2026-10-12