📄 medicine

Trio-WES with CNV-seq for Genetic Diagnosis of DD/ID in Children: A Single-Center Study in China

This single-center study in China demonstrates that combining trio whole-exome sequencing with copy number variation sequencing significantly improves the diagnostic yield for developmental delay and intellectual disability in children, while also identifying novel genetic variants and suggesting potential roles for nitrogen and sulfur metabolism in the condition's pathogenesis.

Aojie Cai, Peina Jin, Yu Zhang, Yao Wang, Jiechao Niu, Jiandong Wang, Wei Wang, Zheng Chen, Wei Ma, Erhu Wei, Zhihong Zh (…)2026-07-02
📄 medicine

Therapeutic Effects of Phosphatidylserine on Functional Recovery After Spinal Cord Injury

This study demonstrates that phosphatidylserine (PS) treatment, particularly at a dose of 40 mg/kg, significantly promotes functional recovery and reduces neuropathic pain in a rat spinal cord injury model by suppressing inflammatory cytokines and inhibiting key signaling pathways (MAPK, ERK1/2, and NF-κB), thereby offering a promising therapeutic adjunct to current treatments.

Ali Darabniya, Reza Fazeli, Sara Shahriari, Seyed Mohammad Tavangar, Ramin Goudarzi, Alireza Partoazar, Ahmad Reza Dehpo (…)2026-07-02
📄 medicine

Endoluminal Complement Accessibility as a Spatial Determinant of Glomerular Injury: A Systematic Review with Integrated Narrative Analysis

This systematic review proposes that the architectural pattern of inflammatory glomerular injury is determined not merely by the presence of complement deposition, but specifically by its endothelial accessibility, which dictates whether neutrophil-mediated damage occurs within the glomerular capillary lumen or in extraglomerular compartments.

George N. Zsidisin, Sophia Talha2026-07-02
📄 medicine

Active Cerebrospinal Fluid Exchange with IRRAflow® in Difficult Cerebrospinal Fluid: A Multicenter Italian Retrospective Cohort Study

This multicenter Italian retrospective study demonstrates that IRRAflow®-based active cerebrospinal fluid exchange is a feasible and generally safe real-world intervention for managing difficult CSF in neurocritical care, showing significant clinical improvement despite higher adverse event rates in infectious compared to hemorrhagic cases.

Arsi Skendaj, Raffaele Aspide, Carlo Alberto Castioni, Luigino Tosatto, Carmine Antonio Donofrio, Claudio Schönauer, Dom (…)2026-07-02
📄 medicine

The “Clinician Educator” Model: An Ambulatory Learning Model Emphasizing Medical Student Autonomy and Skill Development

The University of Central Florida's "Clinician Educator" model addresses primary care shortages and traditional clerkship limitations by restructuring outpatient training to prioritize student autonomy, standardized teaching, and skill development through a modified clinic workflow that balances educational goals with clinical productivity.

Joyce Ann Paulson, Yanisa Del Toro, Silas Pierson Trumbo, Naziha Slimani, Carolyn Dang, Anela Carrazana, Nidhi Patel, Ed (…)2026-07-02
📄 medicine

Limited Evidence for Flexibility as an Independent Predictor of Health Outcomes in Adults: A Systematic Review and Meta-Analysis of Prospective Studies

This systematic review and meta-analysis of 45 prospective studies involving over 48,000 adults found that while greater baseline flexibility is weakly associated with reduced risks of future pain, disability, and frailty, current evidence provides limited support for flexibility as an independent predictor of broader health outcomes due to methodological limitations and low certainty of evidence.

Lewis Ingram, Grant R. Tomkinson, Bethany Gower, Noah M. A. d’Unienville, Terry Boyle, Justin J. Lang, Hunter Bennett2026-07-02
📄 medicine

The Role of Flexibility in Predicting Health and Disease Progression in Patients with Chronic Health Conditions: A Systematic Review and Meta-Analysis​

This systematic review and meta-analysis of 35 prospective cohort studies concludes that while general flexibility shows limited value as a prognostic marker for chronic conditions, specific joint range-of-motion assessments may offer clinical utility for certain diseases like osteoarthritis and ankylosing spondylitis, though high-quality longitudinal evidence remains scarce for most major chronic conditions.

Lewis Anthony Ingram, Grant R. Tomkinson, Bethany Gower, Noah M. A. d'Unienville, Terry Boyle, Justin J. Lang, Hunter Be (…)2026-07-02