📄 medicine

Serum Metabolomic Profiling Reveals Mitochondrial Dysfunction and Novel Diagnostic Biomarkers in Autoimmune Gastritis

This study identifies a distinct serum metabolomic signature in autoimmune gastritis characterized by acylcarnitine and amino acid alterations linked to mitochondrial dysfunction, establishing the C2/C0 ratio as a promising non-invasive diagnostic biomarker.

Jihua Shi, Xue Xu, Yunhan Yang, Yiran Wang, Zhe Chen, Ziyun Li, Dan Chen, Wenbin Li, Hao Luo, Cong Lv, Ruiyue Yang, Qing (…)2026-07-07
📄 medicine

Feeding Patterns and Neonatal Sleep: A Multicenter Cross-Sectional Study

This multicenter cross-sectional study of 634 neonates in China found that feeding patterns are significantly associated with sleep duration and nighttime awakenings, with formula-fed infants exhibiting longer daytime sleep but shorter nighttime sleep and more frequent awakenings compared to exclusively breastfed infants.

Qiuyue Zhai, Haoyang Chen, Xinxin Mao, Wei Sha, Minmin Sun, Jianhua Jin, Hua Cai, Ting Bai, Fan fan, Biyu Shen2026-07-07
📄 medicine

Preparedness for Independent Practice Among Residency Graduates: Validation of the ORPI-26 Survey Tool and a Cross-Specialty Comparative Analysis

This study validates the ORPI-26 survey as a reliable tool for assessing residency graduates' self-perceived preparedness in Oman, revealing high overall readiness but identifying specific deficits in systems-based practice, legal/risk management, and research planning that warrant targeted curricular improvements.

Dina Al Hinai, Thuraya Al Busaidi, Badriya Al Farsi, Abdullah Al Alawi, Ibrahim Al Busaidi, Nawaf Al Muqaimi, Aysha Al B (…)2026-07-07
📄 medicine

Open Approach Septoplasty and Closed Endonasal Septoplasty: A Comparative Analysis of Surgical Outcomes, Postoperative Pain, and Quality of Life

This prospective comparative study of 74 patients found that while closed endonasal septoplasty offers shorter operative times and less early postoperative pain, open approach septoplasty yields superior quality of life outcomes and fewer complications at one month, particularly for complex septal deviations.

Hasan Sami Bircan, Emre Baran, Yusuf Ozkan, Burak Arpacı, Ozan Ozdemir2026-07-07
📄 medicine

Evaluating Water, Sanitation, and Hygiene (WaSH) Infrastructure and Behavioral Health Factors: A Community-Based Study in Mattu Town, Ethiopia in 2024

This 2024 mixed-methods study in Mattu Town, Ethiopia, reveals that despite high latrine coverage and disease knowledge, critical deficiencies in water quality, handwashing facilities, and waste management persist, necessitating a shift from general awareness campaigns to targeted infrastructure improvements and specific behavioral interventions.

Dagim Dagne2026-07-07✓ Author reviewed
📄 medicine

Best Evidence Summary of the Best Evidence for Postoperative Pain Management in Elderly Patients with Hip Fragility Fractures

This study synthesizes 25 best pieces of evidence from 15 high-quality sources to provide a comprehensive, evidence-based framework for postoperative pain management in elderly patients with hip fragility fractures, covering assessment, pharmacological and non-pharmacological interventions, and health education.

Wu Jiao, Zang Yuantong, Li li, Li Delong, Zhuang ShuYuan, Dong SiHong, She Na, Sun Nalin, Pan Linlin, Dang Yu2026-07-07
📄 medicine

Self-assessed Palliative Care Competency Acquisition among Brazilian Medical Students: A Cross-Sectional Study

This cross-sectional study of 385 Brazilian medical students reveals that while self-assessed palliative care competencies generally improve throughout medical training, significant gaps remain in care coordination, teamwork, and self-awareness, highlighting the urgent need to strengthen palliative care education in Brazil.

Maisa Vitória Gayoso, Úrsula Bueno do Prado Guirro, Thomas Nogueira Vilches, Guilherme Antonio Moreira de Barros2026-07-07
📄 medicine

Elderly men are at higher risk of severe COVID-19: linking sex- and age-related immune dysregulation to multi-organ complications

This retrospective cohort study of 395 hospitalized COVID-19 patients reveals that elderly males face the highest risk of severe disease and multi-organ complications due to a synergistic effect of age- and sex-related immune dysregulation, underscoring the critical need for tailored therapeutic strategies rather than a one-size-fits-all approach.

Yingying Zhao, Yanjun Lai, Xiaoxia Chang, Qi Gao, Yunchao Zhang, Guochao Zhang2026-07-07
📄 medicine

The Digital Path Toward Perceived Medication Error Prevention From the Physician Perspective in Private Clinics in Eastern Indonesia: A Mixed Methods Study

This mixed-methods study of general practitioners in private clinics in Eastern Indonesia reveals that perceived medication error prevention is primarily driven by effective digital workflow alignment, which is significantly influenced by AI readiness, digital competency, EMR system quality, and peer influence, while remaining unaffected by capitation-based financing regulations.

Debora Natalia, Waynhena Sarawa Nesia, Dewi Sri Surya Wuisan, Ferdi Antonio2026-07-07
📄 medicine

Rapid Recurrence of Pediatric Cerebellar Pilocytic Astrocytoma with High Ki-67 Index and KIAA1549-BRAF Fusion: A Case Report

This case report describes a rare instance of a pediatric cerebellar pilocytic astrocytoma with a high Ki-67 index and KIAA1549-BRAF fusion that exhibited exceptionally rapid recurrence despite surgical resection, but achieved durable disease control following the initiation of targeted trametinib and dabrafenib therapy.

Abhinav A Karnati, Vishal Bandaru, Ryan D Morgan, Nannette Colon Diaz, Muhittin Belirgen2026-07-07