📄 medicine

Multimodal Imaging-Assisted Diagnosis of a Rare Primary Cutaneous T-Cell Lymphoma Secondary to Imatinib plus Sintilimab in a Postoperative GIST Patient

This case report describes a rare instance of primary cutaneous T-cell lymphoma developing in a postoperative GIST patient following combined imatinib and sintilimab therapy, highlighting the utility of multimodal non-invasive skin imaging as an early diagnostic aid while emphasizing the necessity of histopathological confirmation.

Ying Chen, Hua Zhong, Wanying Deng, Ruofan Wang2026-10-22
📄 medicine

Climate-zone-dependent temperature sensitivity of Japanese encephalitis and the reversal of its age identity in China: a two-stage distributed lag non-linear analysis of six provinces, 2005–2020

This study of six Chinese provinces from 2005 to 2020 reveals that while temperature acts as a strong, threshold-shaped driver of Japanese encephalitis with sensitivity increasing by latitude, its effect is uniform across age groups, indicating that the observed shift from pediatric to adult cases is driven by cohort immunity rather than age-specific climate sensitivity.

Fei Wang, Minghui Tai, Mi Ke, Yuxin Liu, Yuanyuan Duan, Tianyan Chen, Zhen Tian2026-10-22
📄 medicine

Multifocal Well-Differentiated Small Intestinal Neuroendocrine Tumor Presenting as Partial Small Bowel Obstruction in an Elderly Female: A Case Report

This case report describes a 77-year-old female with multifocal small intestinal neuroendocrine tumors who experienced diagnostic delays due to missed biomarker screening, underwent complex surgical resections revealing discordant findings between advanced imaging and final pathology, and ultimately highlights the critical need for early biomarker utilization in patients with unexplained gastrointestinal symptoms.

Payal Arora, Benjamin Smith, Bethany Powers2026-10-22
📄 medicine

Retrospective analysis of HLA mismatch burden and transplant outcomes after deceased-donor kidney transplantation in a setting without HLA-based allocation

This retrospective study of deceased-donor kidney transplants in Sri Lanka found that while higher HLA mismatch burden significantly increases the risk of acute rejection and reduces rejection-free survival, it does not independently predict graft or patient survival, which are primarily driven by infection and recipient factors such as age and diabetes.

Thivacaren Sritharan, Chanaka Muthukuda, Eranga Wijewickrama, Mathu Selvarajah, Chanaka Abeyratne, Latif Nazar, Anura He (…)2026-10-22
📄 medicine

Prevalence, Geographic Variation, and Factors Associated with Caesarean Section Delivery in Bangladesh: A Multilevel Analysis of MICS 2025

This study analyzes 2025 MICS data to reveal a strikingly high prevalence of Caesarean section deliveries in Bangladesh (72.75%), characterized by significant geographic disparities and strong associations with wealth, residence, maternal age, parity, and antenatal care utilization, underscoring the urgent need for monitoring and promoting clinically appropriate childbirth practices.

Md. Rafi Hasan2026-10-22
📄 medicine

Point-of-care ultrasound–guided early decongestion and 6-month outcomes in patients hospitalized with acute decompensated heart failure on an internal medicine ward: a comparative cohort study

In a comparative cohort study of patients hospitalized with acute decompensated heart failure, a point-of-care ultrasound–guided early decongestion strategy was not associated with improved 6-month outcomes of death or heart failure readmission compared to standard care.

Abdussamet Genc¹, Hande Erman¹, Banu Boyuk¹2026-10-22