📄 medicine

Elderly men are at higher risk of severe COVID-19: linking sex- and age-related immune dysregulation to multi-organ complications

This retrospective cohort study of 395 hospitalized COVID-19 patients reveals that elderly males face the highest risk of severe disease and multi-organ complications due to a synergistic effect of age- and sex-related immune dysregulation, underscoring the critical need for tailored therapeutic strategies rather than a one-size-fits-all approach.

Yingying Zhao, Yanjun Lai, Xiaoxia Chang, Qi Gao, Yunchao Zhang, Guochao Zhang2026-07-07
📄 medicine

The Digital Path Toward Perceived Medication Error Prevention From the Physician Perspective in Private Clinics in Eastern Indonesia: A Mixed Methods Study

This mixed-methods study of general practitioners in private clinics in Eastern Indonesia reveals that perceived medication error prevention is primarily driven by effective digital workflow alignment, which is significantly influenced by AI readiness, digital competency, EMR system quality, and peer influence, while remaining unaffected by capitation-based financing regulations.

Debora Natalia, Waynhena Sarawa Nesia, Dewi Sri Surya Wuisan, Ferdi Antonio2026-07-07
📄 medicine

Rapid Recurrence of Pediatric Cerebellar Pilocytic Astrocytoma with High Ki-67 Index and KIAA1549-BRAF Fusion: A Case Report

This case report describes a rare instance of a pediatric cerebellar pilocytic astrocytoma with a high Ki-67 index and KIAA1549-BRAF fusion that exhibited exceptionally rapid recurrence despite surgical resection, but achieved durable disease control following the initiation of targeted trametinib and dabrafenib therapy.

Abhinav A Karnati, Vishal Bandaru, Ryan D Morgan, Nannette Colon Diaz, Muhittin Belirgen2026-07-07
📄 medicine

Bentall procedure for pseudoaneurysm of mitral-aortic intervalvular fibrosa in a patient with Y- incision root enlargement: a case report

This case report describes the successful treatment of a rare pseudoaneurysm of the mitral-aortic intervalvular fibrosa in a 42-year-old woman, which developed two years after aortic valve replacement with Y-incision root enlargement, through a Bentall procedure following a diagnosis complicated by mechanical valve artifacts and ineffective antibiotic therapy for Staphylococcus capitis bacteremia.

Shibo Song, Feimin Shen, Shaoling Chen, Mingcheng Huang, Bin You, Yuxin Kang, Wencong Yang, Jinping Liu2026-07-07
📄 medicine

Capillary associated macrophages regulate vascular permeability through VEGF / PI3K / Akt pathway to affect the effect of lung cancer chemotherapy

This study reveals that capillary-associated macrophages (CAMs) promote lung cancer chemotherapy resistance by increasing vascular permeability via the VEGF/PI3K/Akt pathway, and demonstrates that depleting CAMs or blocking this signaling axis significantly enhances drug delivery and therapeutic efficacy.

Yafeng Zhang, Benting Ma, Wentian Zhang, Lei Jiang2026-07-07
📄 medicine

Evaluation of risk prediction models for coronary artery disease: a systematic review, meta- analysis, and machine learning validation

This systematic review and meta-analysis of 68 studies reveals that while existing coronary artery disease risk prediction models show moderate discriminative ability, their high risk of bias and heterogeneity limit clinical applicability, suggesting a need for future research focused on specific subgroups and machine learning-based models.

Tanglin Ouyang, Daoxi Qi, Xinxin Miao, Xinai Xie, Xinyu Deng, Fan Wang, Liang Cao, Chang Zhao, Ruiyang Zhu, Shuyang Shen (…)2026-07-07
📄 medicine

Low agreement between self- and informant-reports in ADHD symptoms and executive functioning in parents of children with ADHD

This study reveals that parents of children with ADHD show low to moderate agreement between their self-reports and informant reports regarding ADHD symptoms and executive functioning, suggesting that such discrepancies likely stem from genuine differences in perspective rather than simple self-report bias.

Cristina Corredera Pardo, Adriana Junquera Blanco, Sonia Perez Aranda, Pablo Albarracin Marcos, Alicia Lopez Toledo, Pat (…)2026-07-07
📄 medicine

Grip strength, walking pace, and hospital-record-defined incident degenerative cervical myelopathy: a UK Biobank cohort study

This UK Biobank cohort study of over 500,000 participants demonstrates that lower grip strength and slower walking pace are independently associated with an increased risk of incident degenerative cervical myelopathy, offering modest risk enrichment for early clinical suspicion but insufficient standalone value for screening or replacing standard neurological evaluation.

Simin Yang, Le Kang, Yuqian Yang, Jiahao Du, Zhenhui Wang, Shengxuan Ding, Xiangwei He, Shuizhong Cen2026-07-07