📄 medicine

C5aR1 signaling in sensory neuron-associated macrophages drives neuropathic pain

This study identifies that C5a/C5aR1 signaling specifically activates sensory neuron-associated macrophages in the dorsal root ganglia to drive neuropathic pain via IL-1β, while excluding the involvement of C5aR1 in spinal microglia, peripheral injury-site macrophages, or primary nociceptive neurons.

Andreza Quadros, Conceição Anibal-Silva, Gabriel V. Lucena-Silva, Arthur S. Prudente, Alexandre G. M. Maganin, Glauce R. (…)2026-07-03
📄 medicine

Phenylephrine versus Norepinephrine for Hemodynamic Support in Tachycardic Septic Shock: A Propensity-Weighted Retrospective Cohort Study

In a propensity-weighted retrospective cohort study of septic shock patients with tachycardia, phenylephrine failed to improve heart rate control compared to norepinephrine and was associated with increased risks of new renal replacement therapy and fewer ventilator-free days, arguing against its routine use even in this specific population.

Yosep Shin, George Michael, Zachary Harris, Jonathan Koff, Dominic Mancini, Bilori Bilori, Kathleen Chaisson, Youjin Lee2026-07-03
📄 medicine

Hemodynamic Disruption Triggers Glomerular Barrier Injury via Endothelial Glycocalyx Degradation in Nephrotic Syndrome

This study elucidates that hemodynamic disruption in nephrotic syndrome triggers glomerular barrier injury via endothelial glycocalyx degradation, a mechanism validated through integrated in vivo and organ-on-a-chip models and shown to be effectively mitigated by sulodexide therapy.

Ye Feng, Shuo Wang, Yunlai Wang, Mo Yang, Chunguang Miao, Qian Wang, Weiping Ding, Hui Tan, Tianzhi Luo, Fan Xu2026-07-03
📄 medicine

Effectiveness of a KMS-SECI-based module and video-assisted education for improving early initiation of breastfeeding among primigravida mothers

This study demonstrates that a KMS-SECI-based educational module combined with video-assisted learning and husband support significantly improves knowledge, self-efficacy, and the rate of early breastfeeding initiation within one hour among primigravida mothers compared to conventional care.

Helmi Nasution, Damris Damris, Humaryanto Humaryanto2026-07-03
📄 medicine

Real-world outcomes of glofitamab monotherapy in heavily pretreated patients with relapsed/refractory diffuse large B-cell lymphoma: a multicenter Korean cohort

In a multicenter Korean cohort of heavily pretreated relapsed/refractory diffuse large B-cell lymphoma patients, glofitamab monotherapy demonstrated meaningful efficacy and a manageable safety profile, particularly for those with a longer treatment-free interval, while identifying rapid disease progression as a predictor of limited benefit.

Changgon Kim, Youngil Koh, Youngwoo Jeon, Yoon Seok Choi, Seok Jin Kim, Won Seog Kim, Sang Eun Yoon2026-07-03
📄 medicine

Psychophysiological determinants of diagnostic confidence and repeat-scan risk in pediatric MRI: a multicenter structural equation modeling study

This multicenter study demonstrates that in children undergoing MRI, autonomic regulation (measured by heart rate variability) influences diagnostic confidence and repeat-scan risk through a pathway mediated by psychological distress and behavioral dysregulation, with preparation interventions significantly improving these outcomes.

Kousong Guo, Hong Wan, Ting Zhao, Lanying Wang, Qihua Guo2026-07-03