📄 medicine

The Effect of Obesity on the Coccoid Form Transformation of Helicobacter pylori and Its Relationship with Gastric Inflammation Pattern: A Retrospective Comparative Study

This retrospective study demonstrates that obesity, particularly severe obesity, is a strong independent predictor of *Helicobacter pylori* transformation into the coccoid form and increased crypt colonization, suggesting a need for tailored diagnostic and eradication strategies in obese patients.

Burcu SANAL YILMAZ, Sibel ACAT2026-07-02
📄 medicine

Partial Occlusion Device - A Novel 3D-Printed Tool for Microsurgical Anastomosis Revision

This study introduces a novel 3D-printed Partial Occlusion Device (POD) that serves as a stable, reusable, and fiber-free alternative to cotton-tip applicators for microsurgical anastomosis revision, demonstrating comparable efficacy and safety while offering surgeons improved stability and control in a rat femoral artery model.

Yuzhu Huang, Abraham Joshua Johnson, Jonas Zhao, Shahabeddin Yazdanpanah, Elan Shukhmakher, Omer Bilal, Hui Zhang, Tina (…)2026-07-02
📄 medicine

Actinotignum-associated prosthetic aortic valve infective endocarditis complicated by postoperative mixed shock and dialysis-dependent acute kidney injury: a case report

This case report describes a rare instance of *Actinotignum sanguinis*-associated prosthetic aortic valve infective endocarditis in a urologically compromised elderly man, highlighting the diagnostic challenges of slow-growing anaerobes, the necessity of early surgical intervention despite pending microbiological confirmation, and the complex management of postoperative mixed shock leading to patient recovery.

Norihiro Sakai, Aya Seki, Tomohiro Michino2026-07-02
📄 medicine

Low-grade Pancreatic Intraepithelial Neoplasia Mimicking Branch-Duct IPMN in a Patient with Long-standing Systemic Lupus Erythematosus: A Case Report

This case report describes a rare instance of low-grade pancreatic intraepithelial neoplasia mimicking a branch-duct IPMN in a patient with long-standing systemic lupus erythematosus, highlighting the diagnostic limitations of conventional imaging and the severe, life-threatening postoperative complications arising from surgery in immunosuppressed patients.

YuXiao Wang, FuHong Li, Meng Zhu, ZhiRen Xu, Kun Su, XiaWei Yang, Tao Wu2026-07-02
📄 medicine

Beyond 3 Sets of 10: A Critical Evaluation of the Dosage Parameters Prescribed for Exercise Interventions in Highly Influential Musculoskeletal and Sports Physiotherapy Research

This meta-research study reveals that highly influential musculoskeletal and sports physiotherapy trials frequently lack complete exercise dosage reporting and often prescribe parameters inconsistent with physiological rationale, thereby compromising the replicability and potential efficacy of these interventions.

Lewis Anthony Ingram, Hunter Bennett2026-07-02
📄 medicine

Antimicrobial Resistance and Empirical Antibiotic Prescribing Among Cancer Patients at a Tertiary Referral Hospital in Rwanda, 2019–2024

This retrospective study of 297 culture-confirmed infection episodes at a Rwandan tertiary hospital reveals that multidrug-resistant pathogens, particularly in urinary tract infections, are prevalent among cancer patients and often resistant to commonly prescribed empirical antibiotics like ceftriaxone, highlighting an urgent need for locally informed stewardship protocols and improved data capture.

Brandon Niyibizi Asuman, Damas Dukundane, Marrigje Jacoba Kreuger, Simon Ganal, Katarina Stete, Hajo Grundmann, Vanessa (…)2026-07-02
📄 medicine

Illustrative Integration of Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) Data in Dose-Cohort Review for a Phase I Clinical Trial

This paper illustrates how integrating Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) with clinician-graded CTCAE data in a Phase I acute myeloid leukemia trial provides a more comprehensive assessment of patient symptom burden and tolerability to inform dose-escalation decisions.

Carolyn Mead-Harvey, Brie Noble, Claire Yee, Gina Mazza, Blake Langlais, Sheetal Patel, Peter Trask, Lauren Rogak, Ethan (…)2026-07-02
📄 medicine

Mismatch between Urban Eco-sanitation Improvement and Health Service Supply Capacity: Evidence from Chinese City Panel Data and Interpretable Machine Learning

Using panel data from Chinese cities and interpretable machine learning, this study reveals that while urban eco-sanitation conditions have improved, they do not automatically translate into enhanced health service supply capacity due to a mismatch in resource allocation and fiscal mechanisms, necessitating an integrated governance framework to bridge the gap.

Zhen Peng, Lin Wang2026-07-02
📄 medicine

Protease activity in plasma extracellular vesicles enables diffuse large B-cell lymphoma detection, relapse- and therapy monitoring

This study presents a sensitive, cost-effective liquid biopsy assay that measures protease activity in plasma extracellular vesicles to accurately detect diffuse large B-cell lymphoma, predict treatment response, and monitor disease relapse.

Andreas Baur, Xin Lai, Jan Van Deun, Rebecca Bauer, Jan-Ole Baur, Kristin Mentz, Fabian Müller, Andreas Gießl, Andreas M (…)2026-07-02
📄 medicine

European LeukemiaNet Clinical Signs and Symptoms as Prognostic Markers in Polycythemia Vera During Ruxolitinib

This study demonstrates that European LeukemiaNet-defined clinical signs and symptoms serve as superior prognostic markers for predicting thrombosis and disease progression in polycythemia vera patients treated with ruxolitinib, outperforming conventional risk stratification methods.

Filippo Branzanti, Francesca Palandri, Elena Rossi, Massimo Breccia, Elena Elli, Chiara Sartor, Alessandra Dedola, Aless (…)2026-07-02