📄 medicine

Dissociation of Presynaptic and Postsynaptic Dopaminergic Associations with Microstructural Alterations in Parkinson’s Disease

This study reveals a spatial dissociation in Parkinson's disease where subcortical microstructural alterations are strongly linked to presynaptic dopaminergic terminal loss, while cortical changes exhibit consistent, neuroinflammation-related associations with dopaminergic markers.

Marta M. Pokotylo, Norman Griebner, Luzian Weske, Martin Göttlich, Jan Uter, Julia Henkel, Norbert Brüggemann, Jannik Pr (…)2026-07-07
📄 medicine

An orally active apelin receptor agonist improves Alzheimer’s disease pathology and cognitive functions by restoring microglial metabolism

The orally active apelin receptor agonist CMF-019 crosses the blood-brain barrier to restore microglial metabolism, enhance amyloid-β clearance, and improve cognitive functions in Alzheimer's disease mouse models.

Oscar Ka-Fai Ma, Luiseach Gillespie, Peilin Wang, Carlton Wong, Guang-Jei Zhou, James Bagnall, Kenneth Mei Yee Leung, As (…)2026-07-07
📄 medicine

Cross-cultural Validation of the SOS-scale for Iatrogenic Withdrawal Syndrome in Brazilian PICUs: Comparison with the WAT-1

This study validates the Brazilian Portuguese version of the SOS-scale as a reliable and highly accurate tool for detecting iatrogenic withdrawal syndrome in critically ill children, demonstrating strong correlation with the WAT-1 and establishing an optimal diagnostic cut-off score of ≥ 4.

Kátia Lins Curtinaz, Kassiely Klein, Marcela Weber, Miriam Neis, Paulo Carvalho, Taís Sica da Rocha2026-07-07
📄 medicine

Admission Creatinine, Not Anticoagulant Class, Predicts In-Hospital Mortality in Anticoagulated Patients With Upper Gastrointestinal Bleeding

In a retrospective multicenter study of anticoagulated patients hospitalized with upper gastrointestinal bleeding, the specific class of anticoagulant did not predict in-hospital mortality or other clinical outcomes, whereas admission serum creatinine was identified as an independent predictor of death.

Ali Sohail, Uday Sankar Akash Vankayala, Bivin George, Muhammad Abdurrahman Butt, Jessica Meng, Liliane Deeb2026-07-07
📄 medicine

Multidisciplinary Intervention for a Craniovertebral Junction Chondromyxoid Fibroma with Mutant-Pattern P53 Expression and Myogenic Differentiation:A Case Report

This case report details the successful total resection of an extremely rare craniovertebral junction chondromyxoid fibroma with myogenic differentiation and mutant-pattern P53 expression using a precision multimodal surgical approach, highlighting the tumor's potential for malignant transformation and the critical need for rigorous surveillance and targeted therapeutic strategies.

Shaopeng Peng, Ke Shuai, Yan Yang, Bingwen Yu2026-07-07
📄 medicine

Prognostic Value of Preoperative Paraspinal, Gluteal and Abdominal Muscle Sarcopenia in Patients Undergoing One-hole Split Endoscopy for Lumbar Disc Herniation: A Retrospective Cohort Study

This retrospective cohort study of 265 patients undergoing one-hole split endoscopy for lumbar disc herniation demonstrates that preoperative sarcopenia and fatty infiltration in paraspinal and gluteal muscles are independent predictors of chronic postoperative low back pain and inferior long-term functional outcomes, suggesting that muscle-sparing surgical techniques alone cannot fully compensate for pre-existing biomechanical impairments.

Xianyi Zhang, Mustafa Abbas Farhood Sultani, Jie Shang, Liang Guo, Guizhu Ji, Ziwei Xia, Chao Ma, Meng Han2026-07-07
📄 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