📄 medicine

Convolutional Neural Network-Based Model to Differentiate Distal Ureteral Stones, Vascular Calcification, and Normal Cases

This study developed and evaluated a convolutional neural network model trained on non-contrast CT images that achieved high accuracy (94.6%) and excellent discriminative performance in differentiating distal ureteral stones, vascular calcifications, and normal cases to assist radiologists in clinical decision-making.

Atefeh Tahmasebzadeh, Alireza Abrishami, Ali Neshastehriz, Mojtaba Majdifar2026-07-17
📄 medicine

Endometriosis, High-Risk HPV Infection, and Colposcopic Abnormalities in HPV-Positive Women: A Cross-Sectional Study

This cross-sectional study of 800 HPV-positive women in Tehran found that endometriosis is significantly associated with a higher prevalence of high-risk HPV infection and abnormal colposcopic findings, suggesting a need for individualized cervical surveillance in this population.

Shaghayegh Vandadi, Akram Ghahghaei Nezamabadi, Reyhane Hosseini, Kasra Jafari, Amirhossein Hajialigol2026-07-17
📄 medicine

Retrospective Survival Analysis of Time to Self-Reported Medical Care Deprivation in Ghana: Evidence from a National Cross-Sectional Survey

This retrospective survival analysis of Ghanaian adults reveals that severe self-reported healthcare deprivation is most strongly and independently associated with high lived poverty, lack of electricity access, and difficulty accessing healthcare services, suggesting that addressing material living conditions and physical infrastructure is crucial for improving health equity alongside conventional health system interventions.

Richmond Balinia Adda, Conrad Pwayirane, Jeremiah Kwame Ganyo2026-07-17
📄 medicine

Psychosocial, Sleep-Related, and Behavioral Correlates of Adult Psychological Burden: Evidence from a Cross-Sectional Survey and the China Health and Nutrition Survey

This study demonstrates that subjective sleep problems are the primary pathway linking lower perceived social support to increased psychological symptom burden, while longer and increasing sleep durations are associated with higher perceived stress in adults.

Mengsha Qi, Yutong Gao, Xiaoning Li, Yiwei Wang, Liuchang Feng, Haixing Wang, Shuyun Liu2026-07-17
📄 medicine

Predictors of Mortality and Etiological Patterns of Altered Consciousness Among Adult Intensive care unit (ICU) Patients: A Retrospective Cohort Study from Syria

This retrospective cohort study of 110 adult ICU patients in Syria identifies severe neurological impairment (GCS ≤8), sepsis, mechanical ventilation, male sex, and older age as significant independent predictors of the 36.4% mortality rate associated with altered consciousness, highlighting the critical need for early risk stratification and management in resource-limited settings.

Maamoun Ayman ALfawares, Lana M. Haitham Jalnbo, Nancy Farouk Drwisha, Ibrahim Michal Labbad2026-07-17
📄 medicine

Dosimetric Impact of CT/MRI-Based Target Delineation Differences in Radiotherapy for Brain Metastases Close to the Skull

This study demonstrates that relying solely on CT for target delineation in brain metastases near the skull leads to significant underestimation of tumor volume and inadequate dose coverage compared to MRI-based delineation, particularly in local and simultaneous integrated boost radiotherapy, thereby highlighting the necessity of integrating contrast-enhanced MRI into treatment planning to prevent local failure.

Song Sun, Guanzhong Gong, Lu Zhao, Yong Yin2026-07-17
📄 medicine

Retro superior costotransverse ligament space block versus erector spinae plane block for laparoscopic and robot-assisted partial nephrectomy: a randomized controlled trial

In a randomized controlled trial involving patients undergoing laparoscopic or robot-assisted partial nephrectomy, the retro superior costotransverse ligament space block (RSSB) did not demonstrate superior postoperative analgesia or reduced opioid consumption compared to the erector spinae plane block (ESPB), although exploratory data suggested RSSB may offer better intraoperative hemodynamic stability and reduced remifentanil requirements.

Kailai zhu, Yijing Shen, Wu Wang, Tengfei Gu, Yukun Zong, Zetao Yu, Chuanguang Wang2026-07-17
📄 medicine

Thalassemia carrier screening in pregnant women based on targeted quantification of hemoglobin subunits by LC-MS/MS

This study demonstrates that pregnancy significantly alters hematological and proteomic profiles, leading to misclassification in standard thalassemia screening, but a pregnancy-adapted LC-MS/MS strategy combined with machine learning effectively improves carrier detection accuracy by accounting for gestation-specific changes.

Aiqi Cai, Yixi Cai, Siying Wu, Xiaotong Zhang, Yinhong Zhang, Yang Feng, Yang Yang, Fangfang Long, Jiahua Mu, Suyun Li (…)2026-07-17