📄 medicine

Attenuation of Reactive Astrogliosis Accompanies Neurological Recovery Induced by Novel Poly-Target 2,3-Benzodiazepines After Experimental Traumatic Brain Injury

Novel poly-target 2,3-benzodiazepine derivatives, MPTD-01 and BS34-20, significantly improved neurological recovery and survival while attenuating reactive astrogliosis in a rat model of traumatic brain injury, supporting their potential as multi-target neuroprotective agents.

Sergiy Ziablitsev, Nadia Aleksandrenko, Danylo Yevstifeiev, Mykola Babenko, Volodymyr Likhodiievskyi2026-07-01
📄 medicine

Analysis of Risk Factors for Necrotizing Enterocolitis in Premature Infants and Clinical Significance of Serum SMOX and ACR

This study identifies sepsis and early fluid overload as independent risk factors for necrotizing enterocolitis in preterm infants and demonstrates that a predictive model combining these clinical factors with elevated serum spermine oxidase (SMOX) and acrolein (ACR) levels offers high accuracy for early NEC detection.

shuyang xu, chengzhu wang, xueping zhu2026-07-01
📄 medicine

Osteocutaneous Approaches and Free Tissue Transfers for Skull Base Tumours

This paper outlines a multidisciplinary approach to skull base tumor management, emphasizing the importance of early diagnosis, osteocutaneous exposure techniques for en bloc resection, and the use of free tissue transfers for reconstruction, based on the authors' experience with 32 patients.

Horácio Costa, Filipa Poleri, Yasmine Temucin, Diogo Castelo, Mário Resende, Rui Leitão, José G. Teixeira, Horácio Zenha2026-07-01
📄 medicine

Diagnostic Accuracy of Colonoscopy and Histopathological Yield of Routine Biopsy: A Prospective Cohort Study in a Tertiary Care Hospital

This prospective cohort study demonstrates that colonoscopy exhibits substantial concordance with histopathology and excellent accuracy for malignancy detection, while also validating the clinical utility of routine biopsy in macroscopically normal mucosa, which revealed significant inflammatory pathology in approximately one-fifth of cases.

VINAYAK KSHIRSAGAR, VINAY BADANGI, AMIT GIRME, GARVIT SHARMA, SIMRAN SHAH2026-07-01
📄 medicine

Maintaining surgical continuity during regional conflict: application of a 4S operational framework within a tertiary medical centre

This study demonstrates that a tertiary medical centre in the Middle East successfully maintained 67% of its baseline surgical activity during the 2026 regional conflict despite a 71% reduction in operating room capacity by implementing a structured 4S (Staff, Stuff, Space, and System) operational framework that balanced service continuity with mass casualty readiness and workforce well-being.

Shoshana Sperber Kleiman, Atalya Tuval, Haim Berkenstadt, Dina Orkin2026-07-01
📄 medicine

Risk Factors for Failure of Conservative Treatment Requiring Surgical Intervention in Male Patients with First-Time Acute Lateral Ankle Sprains

This cohort study identifies extensive talar bone marrow lesions, severe tibiotalar joint effusion, elevated anxiety and depression levels, and impaired walking function as independent predictors of conservative treatment failure requiring surgical intervention in young and middle-aged male patients with first-time acute lateral ankle sprains.

Kai Zou, Gaobing Xu, Guojian Chen, Dongdong Shi, Yu Jiang2026-07-01
📄 medicine

Global Validation and Cognitive Diagnosis Evaluation of the Pharmacology Concept Inventory: Multinational, Multi-Stage Psychometric and Invariance Analysis

This multinational study validates the 24-item Pharmacology Concept Inventory (PCI) as a reliable, unidimensional, and diagnostically informative tool for assessing conceptual understanding and identifying specific misconceptions across diverse international student cohorts.

Adeladlew K. Netere, Tony Hughes, Clare Guilding, Anna-Marie Babey, Willmann Liang, Lynette B. Fernandes, Shola Olafuyi (…)2026-07-01
📄 medicine

Blood-Derived Systemic Inflammatory Biomarkers and Intraocular Pressure in a Routine Health Examination Population   

In a cross-sectional study of 1,840 routine health examination participants, higher levels of systemic inflammatory biomarkers—specifically the neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI)—were found to be independently and positively associated with elevated intraocular pressure, suggesting a link between systemic inflammation and IOP regulation.

Hu Li, Qian Xie, Chunmao Jiang, Jie Wan, Xia Gao, Liang Huang, Yan Long, Xiaotong Hu2026-07-01
📄 medicine

Variant annotation across homologous proteins (“Paralogue Annotation”) identifies disease-causing missense variants with high precision, and is widely applicable across protein families

This paper introduces "Paralogue Annotation," a high-precision computational framework that leverages known pathogenic variants in homologous proteins to accurately predict disease-causing missense variants, offering a complementary and scalable approach for clinical genetic interpretation.

Nicholas Li, Xiaolei Zhang, Erica Mazaika, Pantazis Theotokis, Mikyung Jang, Mian Ahmad, George Powell, Henrike O. Heyne (…)2026-07-01