📄 medicine

Vocal acoustic parameters as objective biomarkers of major depressive disorder and its severity: a case-control study using WhatsApp audio messages

This case-control study demonstrates that acoustic parameters extracted from naturalistic WhatsApp audio messages, particularly Formant 1, shimmer, and spectral entropy, serve as robust, non-invasive objective biomarkers for distinguishing adults with major depressive disorder from healthy controls and correlating with symptom severity.

Luiza Braconi Grilo, Victor H. O. Otani, Felipe O. Aguiar, Hudson S. Buck, Lucas M. Marques, Ricardo R. Uchida2026-10-22
📄 medicine

Clinicopathological and molecular features of DICER1-altered follicular-patterned differentiated high-grade thyroid carcinoma: a case series

This study characterizes a distinct molecular subgroup of differentiated high-grade thyroid carcinoma (DHGTC) driven by *DICER1* alterations, which are associated with follicular morphology, the absence of canonical MAPK drivers, and smaller tumor sizes compared to *DICER1*-wild-type cases.

Shanshan Yang, Ruiping Li, Yanhua Wei, Zhongyuan Shi, Zheng Zeng2026-10-22
📄 medicine

Germline Whole-Gene Deletion of SDHA in a Carotid Body Paraganglioma Identified by Whole-Genome Sequencing and Confirmed by MLPA: A Case Report and Review of the Literature

This case report describes the first identification of a germline whole-gene deletion of *SDHA* in a carotid body paraganglioma using whole-genome sequencing and MLPA, demonstrating the critical necessity of these advanced methods to detect elusive structural variants that standard exome-based workflows often miss.

Sena Kitama, Kohei Nakamura, Hiroshi Nishihara, Akihisa Ueno, Takenori Akiyama, Katsuhiro Mizutani, Hideaki Obara, Ippei (…)2026-10-22
📄 medicine

Adaptive motor reorganization in acute intermittent porphyria with cerebellar dysfunction and normal neuroimaging: a case report

This case report demonstrates that a 44-year-old woman with acute intermittent porphyria and cerebellar motor dysfunction, despite normal neuroimaging and electrophysiology, achieved measurable functional improvements through a structured sensorimotor training program, suggesting that adaptive motor reorganization is possible in such cases.

Caroline Borges Gonçalves, Evandro Luiz Cardoso Da Silva, Juliana Bayeux Dascal, Suhaila Mahmoud Smaili Santos, Silvana (…)2026-10-22
📄 medicine

Clinical diagnoses associated with FIV seropositivity: reexamining expected clinical patterns in a large matched primary care cohort

This large-scale retrospective cohort study challenges the historical view of Feline Immunodeficiency Virus (FIV) as a broadly progressive systemic disease by demonstrating that, beyond a strong association with hematological issues like anemia and a moderate link to dermatological conditions, FIV seropositivity is not significantly associated with most other organ system diagnoses, suggesting that naturally acquired infection often has a milder clinical impact than previously believed.

Becky L. Morrow, Morgan Taylor-Rakocevic, Olivia L. Beck, Bridgid Twomey, Dianjun Lin, Kseniya Topdjian2026-10-22
📄 medicine

Safety of Early Mobilisation and Rehabilitation in Critically Ill Patients: A Prospective Multicentre Cohort Study

This prospective multicentre cohort study demonstrates that early mobilisation and rehabilitation in critically ill patients, including those receiving vasopressor support, is generally safe with infrequent, transient adverse events and no statistically significant association between vasopressor use and safety incidents.

Henry Mauricio Parada-Gereda, Johana Bustos, Marcela P. Duarte, Claudia Ruiz, Janneth Milena Avendaño, Nataly Rojas, Pil (…)2026-10-22
📄 medicine

From Threat to Meaning Reconstruction: A Qualitative Study of Needling-Related Suffering and Coping Trajectory in Hemodialysis Patients——Based on Cassel's Framework of Suffering

This qualitative study applies Cassel's framework to reveal that needling-related suffering in hemodialysis patients follows a dynamic trajectory from threats to personhood through oscillating coping and unmet needs, ultimately leading to meaning reconstruction, thereby offering a stage-based roadmap for person-centered clinical interventions.

Xuemei Jiang, Qiongfang Zhang, Qianlin Yang, Yuting Wang, Wen Yang, Li Wei, Yi Wu2026-10-22
📄 medicine

A three-axis burden score and in-hospital mortality in ICU patients with heart failure and atrial fibrillation: limited incremental discrimination and transportability in a retrospective cohort study

This retrospective cohort study concludes that while a three-axis burden score based on nutritional status, inflammation, and lactate clearance shows a descriptive association with in-hospital mortality in heart failure patients with atrial fibrillation within the derivation dataset, it fails to demonstrate transportable predictive value or significant incremental discrimination when validated in an external ICU cohort.

Jiaodan Wang¹, Rui Yu2026-10-22