📄 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
📄 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