📄 medicine

Diminished ovarian reserve is associated with impaired oocyte morphology and reduced ART outcomes in women under 35 years: a prospective cohort study

This prospective cohort study demonstrates that in women under 35, diminished ovarian reserve is associated not only with reduced oocyte yield but also with significantly impaired oocyte morphology, lower fertilization and embryo quality rates, and decreased clinical pregnancy outcomes compared to women with normal ovarian reserve.

Fatemeh Dehghanpour, Nooshin Hatamizadeh, Hossein Fallahzadeh, Saeideh Dashti2026-07-06
📄 medicine

Association of Anemia Severity and Lactate Dehydrogenase With Clinical Complications in Adults With Sickle Cell Disease: A Panamanian Cohort

In a Panamanian cohort of adults with sickle cell disease, lower hemoglobin levels were associated with a reduced risk of avascular necrosis, while higher lactate dehydrogenase levels were linked to an increased risk of acute chest syndrome and avascular necrosis, highlighting the distinct yet overlapping contributions of anemia severity and hemolysis to specific clinical complications.

Niko Diaz García, María Mantilla, Fernando Carrillo, Lorena Ordoñez, Germán Espino2026-07-06
📄 medicine

30-Day Mortality Risk Prediction Model for Intracerebral Hemorrhage Patients Combined with Albumin Infusion Characteristics

This study developed and validated a Logistic Regression model using MIMIC-IV and MIMIC-III data to predict 30-day mortality in intracerebral hemorrhage patients with albumin infusion characteristics, achieving strong predictive performance (AUC > 0.80) and providing interpretable insights via SHAP analysis to guide clinical risk assessment and treatment optimization.

Xiangjun Chen, Zhigang Huang2026-07-06
📄 medicine

Antimicrobial Resistance Patterns in Uropathogens Isolated from Type 2 Diabetic Patients in a Tertiary Hospital, Ghana: A Cross-Sectional Approach

This cross-sectional study at Sunyani Teaching Hospital, Ghana, reveals a 27.6% prevalence of uropathogens among Type 2 diabetic patients, identifies Enterococcus species as the most common isolate, highlights specific risk factors and clinical markers for infection, and confirms that while multidrug resistance is prevalent, meropenem, amikacin, and levofloxacin remain highly effective treatment options.

George Owusu, Meshack Antwi-Adjei, Ibrahim Nana Boakye, Akosua Ankomaa Owusu Peprah, Mohammed Sherifa, Jones Ofori-Amoah2026-07-06
📄 medicine

Exploring The Mechanism Of Duhuo In Treating Rheumatoid Arthritis

This study elucidates the mechanism by which *Angelicae Pubescentis Radix* (Duhuo) treats rheumatoid arthritis by integrating network pharmacology and experimental validation to demonstrate that its active constituents suppress synovial fibroblast proliferation and induce apoptosis through the inhibition of the PIK3CA/JAK2/PIK3CG signaling pathway.

Yunxiang Zhang, Zhongrui Tu, Mingke Yi, Yulan Fang, Chunlei Yu, Na Niu, Jianhua Chen2026-07-06
📄 medicine

To Put All the Pieces Together: An Exploratory Study of The Referral Process of Critically Ill Children in Indonesia from The Perspective of Pre-Referral Setting

This qualitative study involving 30 healthcare providers in the Yogyakarta region identifies substantial barriers within Indonesia's referral system for critically ill children, highlighting the urgent need to improve communication, human resources, and organizational services across pre-referral and referral facilities.

Desy Rusmawatiningtyas, Fitriana Murriya Ekawati, Umar Muhammad, Nurnaningsih -, Antonius H Pudjiadi, Hennie Knoester, J (…)2026-07-06