📄 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
📄 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