📄 medicine

Posterior Column Tibial Plateau Fractures: Is a Dedicated Posterior Approach Necessary? A 10-Year Retrospective Clinical and Radiological Study

This 10-year retrospective study of 20 patients concludes that traditional anterior or medial approaches for posterior column tibial plateau fractures yield clinical and radiographic outcomes comparable to direct posterolateral approaches while offering a superior safety profile regarding peroneal nerve injury, suggesting that routine use of the latter is unnecessary.

Giacomo Maria Galbiati, Andrea Ferrero, Emanuela Morenghi, Lorenzo Di Mento, Matteo Cavanna2026-07-16
📄 medicine

Self-reported impulsivity and psychiatric history across three Latin American cities: a cross-sectional study in children and adults

This cross-sectional study of children and adults in Bogotá, Pereira, and Arequipa reveals that self-reported impulsivity differences across cities are primarily driven by childhood ADHD history rather than urban context, while also highlighting structural inconsistencies in the adult BIS-11 scale that caution against pooling Latin American populations for cross-cultural research without further psychometric validation.

Jorge Avila-Campos, Marcio Soto-Añari, Paula Herrera-Gómez2026-07-16
📄 medicine

Association of imipenem/cilastatin with development of acute kidney injury in critically ill patients requiring carbapenem treatment

A retrospective cohort study analyzing data from three large ICU databases found no significant overall association between imipenem/cilastatin treatment and a reduced risk of acute kidney injury compared to non-cilastatin carbapenems in critically ill patients, despite some conflicting results in individual datasets.

Daiki Aomura, Tahnee Groat, Alberto Lazaro, Darren Malinoski, Ian Stewart, Jeffrey Howard, Michael Hutchens2026-07-16
📄 medicine

Prenatal prediction model for gestational trophoblastic neoplasia after hydatidiform mole with a coexistent normal fetus: a retrospective cohort study

This retrospective cohort study developed and internally validated a simple prenatal nomogram based on peak serum hCG levels and molar tissue volume that effectively predicts the risk of gestational trophoblastic neoplasia in women with hydatidiform mole coexisting with a normal fetus, enabling risk stratification to guide post-molar surveillance.

Xiaoxiu Huang, Wenzi Huang, Qin Chen, Ziyi Quan, Xiaoxiao Lan, Na Li, Na Yu, Baohua Li2026-07-16
📄 medicine

One-Hole Split Endoscopy Versus Open Laminectomy for Single-Level Thoracic Ossification of the Ligamentum Flavum: A Multicenter Propensity Score-Matched Cohort Study

This multicenter propensity score-matched study demonstrates that one-hole split endoscopy (OSE) offers comparable neurological recovery to open laminectomy for single-level thoracic ossification of the ligamentum flavum while significantly reducing surgical trauma, preserving paraspinal muscles, limiting local Cobb angle progression, and lowering overall complication rates.

Xianyi Zhang, Mustafa Abbas Farhood Sultani, Jie Shang, Liang Guo, Guizhu Ji, Ziwei Xia, Chao Ma, Meng Han2026-07-16
📄 medicine

Comparison of microdrop administration using a bottle adapter of 2.5% phenylephrine and 0.8% tropicamide with standard drop for ROP examination: a randomized controlled noninferiority trial

This randomized controlled noninferiority trial demonstrates that administering microdrops of phenylephrine and tropicamide via a bottle adapter achieves pupillary dilation comparable to standard drops for retinopathy of prematurity screening while reducing drug exposure in preterm infants without increasing adverse effects.

Vivetha Elango, E Narayanan, Muthukumaran N2026-07-16
📄 medicine

Effect of Neoadjuvant Therapy on Postoperative Complications in Colorectal Cancer: A Multicenter Prospective Propensity-Matched Cohort Study

This multicenter prospective propensity-matched cohort study demonstrates that neoadjuvant therapy is an independent risk factor for increased overall postoperative complications, including mechanical bowel obstruction and delayed gastric emptying, in colorectal cancer patients undergoing radical resection.

Xuechao Liu, Zhen Zhang, Enzi Lin, Hao Zhong, Yi Li, Ziyu Li, Zhouqiao Wu, Zhaojian Niu2026-07-16
📄 medicine

Evaluation of Shear Bond Strength of Co-Cr Alloys Fabricated via Selective Laser Melting to Various Luting Cements

This study demonstrates that selective laser melting (SLM) fabricated Co-Cr alloys exhibit superior shear bond strength compared to conventionally cast alloys when used with zinc phosphate cement, while resin-modified glass ionomer cement consistently provides the highest bond strength across both fabrication methods.

Hiba Alhelou, Tareq Mohammad Ziad Bylasani, Wael Ahmed Zaidani, Manar Almousli2026-07-16
📄 medicine

Intratumoral and Peritumoral Radiomics Based on T2WI and DWI Sequences for predicting microvascular invasion of intrahepatic mass-forming cholangiocarcinoma

This study demonstrates that a Random Forest-based radiomics model integrating intratumoral and 15-mm peritumoral features from DWI sequences outperforms clinical imaging and combined models in noninvasively predicting microvascular invasion in intrahepatic mass-forming cholangiocarcinoma, thereby offering valuable guidance for preoperative treatment decisions.

Jiamei Ma, Zhenlong Wang, Xiaomeng Li, Lihong Xing, Liu Sun, Shuai Han, Jinrong Qu, Jinghui Dong, Hongjun Li, JIaning Wa (…)2026-07-16
📄 medicine

Effect of a School-Based Salt Reduction Health Education Program on Urinary Sodium, Potassium, and KAP Among Primary School Students and Their Parents: A Quasi-Experimental Study

This quasi-experimental study in Jiangsu, China, found that a multi-component school-based salt reduction program significantly improved knowledge, attitudes, and practices, reduced parental sodium intake, and lowered cafeteria sodium content, but failed to significantly decrease overall urinary sodium excretion among primary school students.

Zhiwen Zhang, Da Pan, Ruilong Xun, Hong Zhang, Jin Yang, Tao Mao, Chen Qu, Hui Xia, Guiju Sun, Shiqi Zhen2026-07-16