📄 medicine

Trajectories of depressive symptoms and incident cardiometabolic multimorbidity among middle-aged and older adults: a prospective cohort study

This prospective cohort study of Chinese middle-aged and older adults reveals that persistent and worsening depressive symptom trajectories are associated with more than double the risk of developing incident cardiometabolic multimorbidity compared to low and decreasing symptom patterns.

Zhaoxuan Liu, Jiyu Li, Xiaoxue Zhang, Huifang Wu, Guili Wang, Xiwen Liu2026-07-03
📄 medicine

Effect of Puberty on Kidney Function in children with chronic kidney disease

This study demonstrates that puberty is associated with a significant and accelerated decline in kidney function (eGFR) among children with chronic kidney disease, including those with early-stage disease, a trend observed across both sexes and not solely attributable to pubertal changes in muscle mass.

Ji Yeon Song, Eun Mi Yang, Seon Hee Lim, Seong Heon Kim, Yo Han Ahn, Hee Gyung Kang, Eujin Park, Joo Hoon Lee, Jiwon Jun (…)2026-07-03
📄 medicine

Associations of nine C-reactive protein-triglyceride-glucose index- derived adiposity phenotypes with incident cardiovascular-liver- metabolic multimorbidity: a prospective cohort study

This prospective cohort study of 6,534 Chinese adults demonstrates that nine C-reactive protein-triglyceride-glucose index (CTI)-derived adiposity phenotypes are significantly associated with the risk of incident cardiovascular-liver-metabolic multimorbidity, with the CTI-BMI index showing the strongest and most robust predictive performance.

Jing Chen, Zhonghua Sun, Jiajun Qiu, Zhongqing Zhou, Kaiqi Ma, Yongxin Liang, Chunqun Li, Shicong Liang2026-07-03
📄 medicine

Understanding Primary Care Physicians’ Comprehension of Eye Care Notes to Improve Diabetes Care Coordination

A cross-sectional survey of 82 primary care providers and endocrinologists reveals significant gaps in their ability to accurately interpret key elements of ophthalmology notes for diabetic retinopathy, highlighting the need for standardized documentation to improve inter-specialty care coordination.

Lauren E. Wedekind, Fritz Gerald P. Kalaw, Helena Gali, Kristen Kulasa, Kendall Moore, Quinn Quackenbush, Sally L. Baxte (…)2026-07-03
📄 medicine

Association of perioperative acetate-buffered balanced crystalloid solution with postoperative myocardial injury after hip replacement: A retrospective cohort study

This retrospective cohort study of 865 hip replacement patients found that perioperative administration of acetate-buffered balanced crystalloid solution (SPMCG) was significantly associated with a reduced risk of postoperative myocardial injury within 3 and 7 days compared to non-SPMCG use.

Nanbo Luo, Niannian Shuai, Yanling Zhang, Jianming Chen, Zhao Zhao, Xinping Yang, Xiaoyang Huang, Wei You, Qingsheng Xue (…)2026-07-03
📄 medicine

Spatial Distribution and Environmental-Climatic Determinants of Malaria Infection Among Children Under Five in Liberia

This study analyzes the 2022 Liberia Malaria Indicator Survey data to reveal significant spatial heterogeneity in under-five malaria prevalence, identifying southern and southeastern hotspots driven by rainfall, vegetation, and water proximity, thereby advocating for geographically differentiated control strategies.

Richard Sagacity Tugbeh, Veliah Geetha, Samadou Tchakondo, Komi Selassi Gayi, George B. Davis, Josiah Brown Wilson, Ayao (…)2026-07-03
📄 medicine

Concordance of a ChatGPT-4o–based triage model with emergency physician categorization in the emergency department: a prospective observational comparison with emergency medical technicians

This prospective observational study found that a ChatGPT-4o-based triage model demonstrated significantly higher concordance with emergency physician categorization than emergency medical technicians when using identical structured clinical data, though this agreement reflects rater consistency rather than diagnostic validity and is accompanied by a tendency to over-triage high-acuity patients.

Zülküf Sergen Ünlü, Murat Seyit, İbrahim Türkçüer, Atakan Yılmaz, Mert Özen, Alten Oskay2026-07-03