📄 medicine

Comparing Intermittent Fasting, Clean Ketogenic Diet, and Their Combined Effects on Body Composition, Cardiometabolic Markers, and Metabolic Health: A Three-Arm Randomized Pre-Post Study

This three-arm randomized pre-post study found that while a clean ketogenic diet alone produced the greatest weight loss and cardiometabolic improvements, combining it with intermittent fasting provided additional, independent benefits for glycemic control and grip strength.

Angie MacKewn, Julie Floyd, Todd Sherman, Alison Ellis, Anna Dunn, Diana Sanford2026-07-03
📄 medicine

Dexmedetomidine attenuates methamphetamine-induced hyperthermia and hyperlocomotion by modulating monoamine dynamics in the anterior hypothalamus

Dexmedetomidine attenuates methamphetamine-induced hyperthermia and hyperlocomotion in rats primarily through α2A-adrenergic receptor mechanisms by suppressing the release of dopamine and noradrenaline in the anterior hypothalamus, suggesting its potential as a therapeutic intervention for severe methamphetamine intoxication.

Tsuyoshi Okada, Seiji Obi, Katsutoshi Shioda, Chikara Yonekawa, Shiro Suda2026-07-03
📄 medicine

Implementation and Evaluation of a Mobile App to Support Communication in Paediatric Palliative Home Care: Results of a Multicentre Observational Pilot Study

This multicentre observational pilot study demonstrates that the co-designed PalliDoc Mobile App is a sustainable and beneficial addition to paediatric palliative home care in Germany, showing high adoption rates, good usability, and effective asynchronous communication, though synchronous video consultations had no measurable impact on care delivery.

Merlin J. Deckers, Klara Sogl, Sarmad Ghori, Rebekka Hocher, Sebastian Kruempelmann, Cornelia Messerschmidt, Heidi Moell (…)2026-07-03
📄 medicine

ECG-LLM: Foundation Model for ECG-Based Cardiac Reasoning

The paper introduces ECG-LLM, a large language model trained on over 679,000 ECG studies that leverages multimodal supervision to enable question-driven cardiovascular reasoning, allowing front-line clinicians to derive complex cardiac phenotypes and diagnostic insights directly from 12-lead ECGs without immediate access to advanced imaging.

Alexander Selivanov, Friederike Jungmann, Jan Andreas Kehrer, Karl-Ludwig Laugwitz, Eimo Martens, Daniel Rueckert2026-07-03
📄 medicine

Dosiomics-based prediction of late genitourinary toxicity after Cyberknife for prostate cancer: a SHAP-explainable machine learning approach

This study demonstrates that an explainable machine learning model utilizing organ-specific dosiomics features from CyberKnife SBRT plans can effectively predict late genitourinary toxicity in prostate cancer patients, achieving high accuracy while identifying clinically interpretable risk drivers through SHAP analysis.

Rocco Mottareale, Marcello Serra, Donato Pezzulla, Savino Cilla, Valentina Borzillo, Esmeralda Scipilliti, Dario Franzes (…)2026-07-03
📄 medicine

Two-Year Functional Outcomes of Kinematic Versus Mechanical Alignment in Primary Total Knee Arthroplasty: A Single-Surgeon Propensity-Matched Study in an Asian Population

In a propensity-matched study of an Asian population, kinematic alignment in primary total knee arthroplasty demonstrated comparable or superior two-year functional outcomes and patient satisfaction relative to mechanical alignment, with equivalent safety and revision-free survival rates.

Bo Xiang Bryan Neo, Vishwajit Vijay Patil, Keng-Jin Darren Tay, Hee-Nee Pang, Seng-Jin Yeo, Ming Han Lincoln Liow2026-07-03
📄 medicine

Evaluation of Microplastic Density in Bronchoalveolar Lavage Fluid of Newly Diagnosed Lung Cancer Patients: A Prospective Observational Controlled Study

This prospective observational study found that while microplastics are universally present in the bronchoalveolar lavage fluid of both newly diagnosed lung cancer patients and controls, their densities are comparable between the two groups, suggesting that these particles reflect general environmental inhalation rather than serving as a specific indicator of malignancy.

Nalan Ogan, Aysegul Tuna, Murat Koc, Ipek Candemir, Ersin Gunay2026-07-03
📄 medicine

Acute kidney injury risk with SGLT2 inhibitors versus sulfonylureas by baseline cardiorenal status in type 2 diabetes: A nationwide cohort study

In a large nationwide Korean cohort study, initiating SGLT2 inhibitors as second-line therapy for type 2 diabetes was associated with a significantly lower 180-day risk of acute kidney injury compared to sulfonylureas, a protective effect that persisted in patients with heart failure but was attenuated among those with pre-existing chronic kidney disease.

Eonji Na, Hyeri Yang, Bonggi Kim, Sungho Won2026-07-03