📄 medicine

Multimodal addiction prevention in sports settings: implementation and evaluation of the PAMS* program in France

The PAMS program, a multimodal addiction prevention initiative in French sports settings utilizing social media, professional training, and athlete testimonies, demonstrated successful implementation and high engagement among both digital audiences and sports professionals.

Carole Boyer, ingrid De Chazeron, Amael Seddeki, Florence Morel, Alison Judet, Mickael Bisch, Julien Cabe, Georges Brous (…)2026-06-30
📄 medicine

Sex- and Menopause-Related Differences in Immune and Gastrointestinal Symptom Architecture in ME/CFS: Evidence from Factor Analysis and Structural Equation Modeling

This study reveals that immune and gastrointestinal symptoms in ME/CFS exhibit distinct latent structures that differ by sex, with women showing separable but related immune and gut clusters that are differentially modulated by menopausal status, whereas men display a single integrated immune–gastrointestinal factor.

Lotte Habermann-Horstmeier, Lukas Maximilian Horstmeier2026-06-30
📄 medicine

Incidence and risk factors for cardiovascular diseases in middle-aged and older adults : a 9-year prospective nationwide cohort study in China

This 9-year prospective nationwide cohort study of over 10,000 Chinese adults identified fifteen independent risk factors for cardiovascular disease, including dyslipidemia, hypertension, and specific chronic conditions, while demonstrating that a hierarchical analytical approach reveals significant variations in risk by age and sex to inform personalized prevention strategies.

Jing Ma, Jian-Li Wang, Zhi-Jie Dou2026-06-30
📄 medicine

Advanced Age and Anemia Predict Endoscopic Hemostasis Outcomes, Whereas Combination Therapy Shows a Trend Toward Reduced Mortality in Upper Gastrointestinal Bleeding: A Retrospective Cohort Study

This retrospective cohort study of 251 patients with upper gastrointestinal bleeding identifies advanced age (≥80 years) and severe anemia (hemoglobin <60 g/L) as independent predictors of endoscopic hemostasis failure and mortality, respectively, while suggesting a potential mortality benefit for combined hemostatic therapy in non-variceal cases.

Rujing Zhang, Shanwen Tan, Xuan Zhou, Yangda Song, Shanping Wang, Li Zhang2026-06-30
📄 medicine

From Multicohort Comparison to Predictive Modeling: A Tool for Evaluating Mortality Risk Based on the Optimal Smoking Exposure Indicator in High-Risk Cardiovascular Disease Populations

This study identifies the Comprehensive Smoking Index (CSI) as the optimal indicator for predicting mortality risk in high-risk cardiovascular disease populations and demonstrates that a Cox model based on CSI achieves robust predictive performance comparable to complex machine learning algorithms.

Xing Zhang, Xinchao Zhang, Ruoming Huang, Hong Li, Jianhua Liu, Youqiong Xu2026-06-30
📄 medicine

Differential Associations of Diabetic Retinopathy and Diabetic Macular Edema with Proteinuria and Reduced eGFR in Patients with Type 2 Diabetes

This study demonstrates that while diabetic retinopathy is primarily associated with proteinuria in patients with type 2 diabetes, the presence of concomitant diabetic macular edema is a stronger indicator linked to all forms of chronic kidney disease, including reduced eGFR, suggesting fundus findings can aid in non-invasive renal risk stratification.

Feng Hua Wang, Liang Wen, Yu Wang, Jing Jiang, Dong Xiao Zhang, Yuan Bo Liang2026-06-30
📄 medicine

Predictive Value of Low Muscle Mass and High Fat Mass Phenotype for Prediabetes Risk in Chinese Adults: A Retrospective Cohort Study

This retrospective cohort study of 910 Chinese adults reveals that while high fat mass is an independent risk factor for prediabetes, the combined low muscle mass and high fat mass phenotype offers limited incremental predictive value beyond traditional indicators like waist circumference and GGT, except potentially for identifying high-risk males.

Hongyan Wei#, Xin Lan#, Guodong Xia, Qian Wang, Yujie Xie, Chi Zhang2026-06-30
📄 medicine

Construction of an Early Recurrence Prediction Model and Real-World Efficacy of Adjuvant Chemoimmunotherapy in High-Risk Biliary Tract Cancer

This study developed and validated a nomogram incorporating multidimensional features like LODDS and SII to predict early recurrence in high-risk biliary tract cancer, while real-world evidence demonstrated that adjuvant chemoimmunotherapy significantly reduces the risk of early postoperative recurrence compared to surgery alone or chemotherapy.

Jianguo Liao, Xinran Xie, Yin Long, Jue Huang, Lei Zhang2026-06-30
📄 medicine

TERC lncRNA in situ detection is useful in confirming cervical intraepithelial neoplasia in women with discordant histo-cytology diagnosis

This study demonstrates that TERC-FISH is a reliable biomarker for confirming cervical intraepithelial neoplasia and resolving discrepancies between histological and cytological diagnoses, as TERC amplification correlates strongly with lesion severity and high-risk HPV infection.

Youchaou Mobet, Loic P Kojom Foko, Yacouba Foupouapouognigni, Elisé Embolo EL, Zhuojun Pan, Rachisan Djiake Tihagam, Awa (…)2026-06-30
📄 medicine

Functional–behavioral patterns associated with care-related risk in hospitalized patients with Alzheimer’s disease: a real-world clustering analysis

This retrospective study of 118 hospitalized Alzheimer's disease patients utilized K-means clustering to identify three distinct functional–behavioral subtypes characterized by varying levels of impairment and symptom severity, thereby supporting the development of multidimensional risk stratification and individualized care planning.

文燕 揭, Xi Yu, Jingying Wu, Yuanyuan Xu, Caiping He, Yuting Fan, Yongjun Wang, Haiqiang Wu2026-06-30