📄 medicine

Network structure of daily life difficulties in children with attention- deficit/hyperactivity disorder: a cross-sectional network analysis

This cross-sectional network analysis of 1,188 children with ADHD reveals that daily-life impairments exhibit clear temporal clustering with specific morning and nighttime routines as central nodes, while demonstrating that parenting stress and family adjustment have phase-dependent associations with these difficulties, thereby suggesting the need for temporally tailored, family-system-oriented interventions.

Ran Wei, Shanshan Ding, Hua Jin, Yiyuan Chen, Hui Zhong, Lei Xu, Tianyu Lei, Kan Ye2026-07-01
📄 medicine

Model construction and validation of Dual-Energy CT multi-parameters combined with clinical indicators for predicting lymph node metastasis in pancreatic ductal adenocarcinoma

This study developed and validated a preoperative model combining dual-energy CT multiparameters (specifically venous phase energy attenuation slope and intratumoral necrosis) with CA19-9 levels to effectively predict lymph node metastasis in pancreatic ductal adenocarcinoma, demonstrating favorable diagnostic accuracy and clinical utility.

HONGJI Zhu, Shuai Ming, Peng Cheng, Wuyang Zhang, Jingyu Li, Bin Wang, Meimei Jiang, Chenglin Zhu, Aiyun Sun, Wei Wei2026-07-01
📄 medicine

Association of the C-reactive Protein–Albumin–Lymphocyte Index With Long-term All-cause Mortality After Percutaneous Coronary Intervention for Acute Coronary Syndrome: A Retrospective Cohort Study

This retrospective cohort study of 388 acute coronary syndrome patients undergoing percutaneous coronary intervention demonstrates that a higher baseline C-reactive protein–albumin–lymphocyte index is independently associated with significantly lower long-term all-cause mortality, suggesting its potential utility as a prognostic biomarker for risk stratification.

Yuan-Bo Zhang, Chi Chen, Tao Zheng2026-07-01
📄 medicine

Unraveling Complex Brain-Behavior Relationships in Alzheimer’s Disease: A Synchronized Multi-metric Analysis of Cognitive Correlates

This study utilizes a synchronized multimodal imaging and neuropsychological analysis of Alzheimer's disease patients to reveal a counterintuitive "local compensation versus global disconnection" profile, where paradoxically reduced neural activity and connectivity in specific regions correlate with better cognitive performance, suggesting neural inefficiency and aberrant compensation mechanisms.

Jiayi Liang, Yan Gao, Yang Li, Mengwei Yuan, Fangyuan Yan, Shuo Qu, Li Liu, Xiaowei Ma2026-07-01
📄 medicine

Small-area inequalities in weight excess and obesity among adults in Belo Horizonte, Brazil: a repeated cross-sectional ecological study using Vigitel and synthetic populations

This ecological study utilized Vigitel survey data enhanced by synthetic populations to reveal that weight excess and obesity in Belo Horizonte, Brazil, increased from 2006 to 2018 with distinct patterns driven by the intersection of sex and territorial vulnerability, demonstrating the value of small-area surveillance for targeted public health planning.

Larissa F Araújo, Jussara M Almeida, Crizian S Gomes, Regina T I Bernal, Marcos A Gonçalves, Gregorio V Rodrigues, Thani (…)2026-07-01
📄 medicine

Anesthesia Modality Affects Clinical Outcomes in Patients with Anterior Circulation Acute Ischemic Stroke Undergoing Endovascular Mechanical Thrombectomy: A Retrospective Study with Propensity Score Matching

This retrospective propensity score-matched study demonstrates that non-general anesthesia, compared to general anesthesia, leads to shorter procedural times, improved neurological recovery, and lower mortality rates in patients with anterior circulation acute ischemic stroke undergoing mechanical thrombectomy.

Lijuan Zhou, Xiaoying Pan, Jialin Li, Yuanqiang Q Dai2026-07-01
📄 medicine

Hospital Admissions and Disease Outcomes in Systemic Lupus Erythematosus: A Retrospective Study from a Tertiary Rheumatology Care Unit

This retrospective study of 89 hospitalized SLE patients reveals that bacterial infections are the primary cause of admission and cardiovascular complications are the leading cause of death, highlighting the critical need for enhanced infection monitoring and proactive cardiovascular risk management in this population.

Eiman Soliman, Rania Menesy, Shirene Abdelkhalek2026-07-01
📄 medicine

Neo-aortic root dilatation following Ross procedure in school-aged children

This retrospective study of 69 pediatric patients at The Children's Hospital at Westmead reveals that school-aged children face a significantly higher risk of neo-aortic root dilatation following the Ross procedure compared to infants, highlighting the need for closer scrutiny and potential reinforcement strategies for this specific age group.

Zeynep Gulben Kuk Ozalp, Elie Sawan, Gerald Riordan, Julian Ayer, Ian Nicholson2026-07-01
📄 medicine

Oral Health Knowledge and Behaviour among School Children in Al-Bab City, Syria

This cross-sectional study of 369 schoolchildren in conflict-affected Al-Bab City, Syria, reveals significant gaps between general awareness of oral health importance and actual knowledge or behaviors, particularly regarding fluoride, plaque, and professional dental visits, underscoring the urgent need for targeted public health education initiatives.

Fares Alshadidi, Mehmet Enes Gökler, Nimetcan Mehmet Orhun2026-07-01