📄 medicine

Latent Profile Analysis of Patients' Acceptance of Companion Robots in Unaccompanied Wards: A Cross-sectional Study

This cross-sectional study of 425 inpatients in China utilized latent profile analysis to identify three distinct acceptance profiles for companion robots in unaccompanied wards, revealing that older age, lower socioeconomic status, insufficient social support, low self-efficacy, and negative robot perceptions are key predictors of low acceptance, thereby highlighting the need for stratified health education and optimized robot design.

Jing Ren, Chenxi Gao, Jun Zhang, Mingzhu Feng, Jinrong Fu, Zhengjuan Shi2026-10-22
📄 medicine

Operator-rated puncture performance and first-pass lesion tissue area in pancreatic ductal adenocarcinoma: an exploratory single-center sub-analysis of endoscopic ultrasound- guided tissue acquisition

This exploratory single-center sub-analysis of patients with pancreatic ductal adenocarcinoma found that an endoscopist's "very easy" rating of puncture performance was significantly associated with greater first-pass lesion tissue area and higher likelihood of meeting a tissue benchmark, suggesting a potential link between procedural ease and sample adequacy that warrants further prospective validation.

Yoshihisa Takada, Takuya Ishikawa, Kentaro Yamao, Yasuyuki Mizutani, Tadashi Iida, Hironori Aoi, Ryohei Kumano, Yachiyo (…)2026-10-22
📄 medicine

Comparative evaluation of large language models for guideline-based oral cancer management: a standardized assessment of GPT-4o, DeepSeek-R1, and Grok-3

This study evaluates GPT-4o, DeepSeek-R1, and Grok-3 against NCCN guidelines for oral cancer management, finding that while DeepSeek-R1 demonstrated superior performance in guideline summarization and treatment planning, all models exhibited clinically significant variability and should remain assistive rather than autonomous tools.

Jiayu Shen, Yao yuan, Sichen Han, Xinliang Duan, Peng Liu, Zilin Wang2026-10-22
📄 medicine

Ramus Intermedius Anatomy and Left Main Coronary Geometry on Coronary Computed Tomography Angiography: A Retrospective Single-Center Study

This retrospective single-center study of 300 patients demonstrates that the presence of a Ramus intermedius is associated with a significantly wider left main coronary bifurcation angle and larger vessel dimensions on coronary computed tomography angiography, with specific ostial location variations linked to smaller left anterior descending artery cross-sectional areas and more frequent functional ischemia, though the findings require cautious interpretation due to the observational design and sparse functional data.

Hongwei Lv, Xinxin Luo, Yapeng Dong, Li Zhang, Shujing Yu, Yanfeng Xu2026-10-22
📄 medicine

Establishment of a risk prediction model for conversion to cesarean delivery in multiparous women after a failed trial of labor

This study developed and validated a nomogram-based prediction model using seven independent risk factors—including interdelivery interval, BMI, fetal head circumference, labor induction, analgesia, intrapartum fever, and amniotic fluid contamination—to accurately identify multiparous women at high risk of requiring an unplanned cesarean delivery after a failed trial of labor.

Feng Man, Jiny-in Fan, Yan-qing liu, Fan Teng, Yong-yi Lei2026-10-22
📄 medicine

Associations of average sleep duration and cumulative AIP with cardiometabolic multimorbidity risk in middle-aged and older Chinese adults: a CHARLS longitudinal study

This longitudinal study of 3,422 middle-aged and older Chinese adults reveals that cumulative average sleep duration and the atherogenic index of plasma (AIP) are independent risk factors for cardiometabolic multimorbidity, with longer sleep providing significant protective benefits primarily among individuals with low AIP levels.

Zixuan Feng, Siyuan Zhang, Linxian Han, Jingwen Li, Yunfeng Gao, Ping Jiang, Yi Zheng, Huarong Wang, Li Duan2026-10-22
📄 medicine

Same day urinary catheter removal after pelvic organ prolapse surgery: a randomized controlled trial

This randomized controlled trial demonstrates that same-day urinary catheter removal following pelvic organ prolapse surgery is a safe and feasible strategy that facilitates earlier ambulation and shorter hospitalization without increasing complications, despite yielding similar objective voiding success rates compared to standard post-operative day 1 removal.

Hui Men Selina Chin, Eugene Youjin Huang, Tricia Mae Wong, Hong Liang Chua, Xinyi Li2026-10-22
📄 medicine

Pneumocephalus Following Dural Puncture Epidural Technique for Labor Analgesia

This case report describes a rare instance of symptomatic pneumocephalus following a dural puncture epidural technique for labor analgesia, highlighting the importance of considering intracranial air in atypical postpartum headaches and recommending the use of saline rather than air for loss of resistance to avoid further air introduction.

Chenyang Shi, Fangzheng Hu, Qiumin Huang, Xianlan Zhang, Henrui Zhang, Yang Niu, Su Liu, Linlin Zhao2026-10-22
📄 medicine

Cohort profile: Bushehr Elderly Health (BEH) Program, Phase III

This article profiles the third phase of the Bushehr Elderly Health (BEH) Program, a prospective cohort study that successfully enrolled 1,345 Iranian adults aged 60 and older to conduct repeated comprehensive assessments of non-communicable diseases, cognitive function, and biological samples, thereby establishing a valuable longitudinal dataset for future research on aging-related health challenges.

Kazem Khalagi, Zahra Hoseini Tavassol, Hanieh-Sadat Ejtahed, Gita Shafiee, Farideh Razi, Vahid Haghpanah, Mohammad Javad (…)2026-10-22
📄 medicine

Serum uric acid-to-creatinine ratio and preeclampsia: a retrospective cross-sectional analysis with machine learning discrimination using the MIMIC-IV database

This retrospective cross-sectional study using the MIMIC-IV database found that a higher serum uric acid-to-creatinine ratio at admission is significantly associated with preeclampsia and serves as a key feature in machine learning models with moderate discriminative ability, though prospective validation is required before clinical application.

Yangyang Xie, Zixin Pi2026-10-22