📄 medicine

Role of Ultrasound Elastography in the Evaluation of Thyroid Nodules With Cytological Correlation

This prospective study demonstrates that ultrasound elastography, particularly when combining quantitative strain ratio analysis with qualitative assessment, significantly enhances the diagnostic accuracy and specificity for differentiating benign from malignant thyroid nodules compared to conventional TIRADS-based ultrasonography alone.

Sachin Khanduri, K Prithvi Perumal, Sajida Ansari, Kunal Nilambar Dwari, Sana Fatima, Prity Kumari, Yash milind Deole2026-07-01
📄 medicine

Admission and In-Hospital Laboratory Parameters Predict Mortality in Acute Paraquat Poisoning

This study of 119 Iranian patients demonstrates that admission and in-hospital laboratory parameters, specifically elevated creatinine, decreased oxygen saturation, and low potassium levels, serve as valuable prognostic indicators for mortality in acute paraquat poisoning, offering a practical alternative where specific urinary testing is unavailable.

Peyman Astaraki, Kiandokht Khorshidi, Mohammad Meshkini, Maryam Ahadi, Hamze Asadollahi2026-07-01
📄 medicine

Identifying the heterogeneity of physical resilience in Chinese older adult stroke patients using latent profile analysis and network analysis

This cross-sectional study of 346 Chinese older stroke patients utilized latent profile analysis and network analysis to identify three distinct physical resilience subgroups—low externally dependent, moderate balanced, and high proactive optimistic—revealing that education, comorbidities, and psychosocial factors predict profile membership while highlighting coping and lifestyle adjustment as core bridge nodes for targeted nursing interventions.

Maohua Li, Qing Li, Rong Tang, Yuqin Liu, Wei Xue, Yongkui Han2026-07-01
📄 medicine

A Highly Potent Nanomedicine for Precision Pancreatic Enzyme Replacement Therapy

This study presents PER301, a scalable, non-absorbable nanomedicine that integrates enzyme shielding, mucoadhesive retention, and biomimetic activation to achieve a 69-fold increase in digestive potency and fully restore lipid absorption in pancreatic insufficiency models, offering a stable and precise alternative to conventional oral enzyme therapies.

Manon Briand, Kristen Skvorak, Gabriele Specioso, Thomas Meister, John Watson, Christos Karamitros, Linda Martin, Megan (…)2026-07-01
📄 medicine

Andexanet alfa versus Prothrombin Complex Concentrate for Direct Anticoagulation Reversal in Intracranial Hemorrhage: A Comparative Effectiveness Study

In a retrospective study of patients with intracranial hemorrhage on factor Xa inhibitors, andexanet alfa was associated with a higher rate of significant hemorrhage growth compared to 4-factor prothrombin complex concentrate, while both treatments showed similar outcomes regarding neurological deterioration, thromboembolic events, and mortality.

Hemangi Rajpal, Deepika Dilip, Audrey Huang, Jenny Yang, William Liu, Nimrod Gozum, Hannah Young, Gular Mammadli, Nicole (…)2026-07-01
📄 medicine

Point-of-care HPV DNA testing for the early detection and treatment of cervical pre-cancer among women living with HIV in Papua New Guinea: a prospective clinical cohort study

This prospective cohort study in Papua New Guinea demonstrates that modifying the WHO-prequalified Xpert HPV test by restricting detection to the eight most oncogenic HPV types and applying stricter cycle threshold cut-offs significantly improves the specificity and positive predictive value for detecting high-grade cervical pre-cancer among women living with HIV, offering a pragmatic, single-visit "screen-and-treat" solution for low-resource settings.

Sauk Joyce, Michaela Riddell, Joy Tongela, Fredah Koluk, Hari Lialu, Grace Tan, Robert Jones, Arthur Elijah, Josephine G (…)2026-07-01
📄 medicine

Continuous calcimimetic use with erythropoiesis-stimulating agent co-administration within a target hemoglobin range is associated with lower mortality in dialysis patients

This retrospective propensity score-matched study demonstrates that continuous calcimimetic use in dialysis patients receiving erythropoiesis-stimulating agents within a target hemoglobin range is significantly associated with lower all-cause mortality, particularly among elderly patients with high ESA doses, cardiovascular disease, low body mass, or inflammation.

Kazuyoshi Okada, Manabu Tashiro, Daisuke Hara, Shimpei Araki, Ryo Mochizuki, Tomoko Inoue, Takahiro Kuragano, Jun Minaku (…)2026-07-01
📄 medicine

Pattern of Eye Diseases Among Hearing Impaired Students of Alamal School for The Deaf - Kassala 2024

This 2024 cross-sectional study of 33 hearing-impaired students at Alamal School in Kassala, Sudan, reveals a high prevalence of ophthalmic disorders—particularly refractive errors and posterior segment abnormalities—and identifies significant statistical associations between these eye conditions, parental consanguinity, and the etiology of hearing loss, underscoring the need for integrated visual and auditory health assessments.

Fatima Ahmed Mohamed Sharif Sharif, Israa Fadlalla Elbasheir Rabih Rabih2026-07-01
📄 medicine

From monitored safety to calibrated caregiving: a qualitative descriptive study of parents' transition from neonatal intensive care unit to home with preterm infants

This qualitative descriptive study of 24 Chinese parents of preterm infants reveals that the transition from NICU to home involves a shift from monitored safety to "calibrated caregiving," where families must learn to interpret uncertain infant cues and manage fragmented care tasks, suggesting that nursing support should be restructured around staged transition touchpoints, embodied rehearsal, and accessible post-discharge connections rather than simple information handovers.

Kejimu Sunzi, Qin Huang, Yiluo Xu, Yang Gao, Ting Zeng, Hui Luo, Quanmin Deng2026-07-01