📄 medicine

Synchronous Pancreatic and Renal Involvement by Diffuse Large B-Cell Lymphoma Presenting with Obstructive Jaundice: A Rare Extranodal Manifestation

This case report describes a rare instance of synchronous diffuse large B-cell lymphoma involving both the pancreas and kidney in a 43-year-old woman, which initially mimicked solid organ malignancies causing obstructive jaundice but was successfully diagnosed via biopsy and PET-CT and treated with systemic immunochemotherapy.

Mohammad Minakari, Hoda Imani2026-06-30
📄 medicine

Molecular Based Diagnostic Testing for Urinary Tract Infections: The Results Remain Unclear

This systematic review of recent literature indicates that while molecular-based testing for urinary tract infections offers superior sensitivity and short-term symptom reduction compared to standard culture, the current evidence is limited by a lack of specificity, potential industry funding bias, and insufficient long-term clinical outcome data, underscoring the urgent need for further independent, multicentric studies.

Meghana Reddy, Christina Sze, Bonnie Prokesch, Philippe Zimmern2026-06-30
📄 medicine

Construction of an Improved Orthotopic Transplantation Model of Breast Cancer and Study of Tumor Metastasis Mechanisms

This study establishes an improved, cryopreservable orthotopic breast cancer mouse model derived from MMTV-PyMT tumors that offers mass production capabilities, a broad metastatic spectrum, and low costs while revealing a TGF-β-mediated epithelial-mesenchymal transition mechanism driving metastasis.

Sunmian Xu, Yuyao Zhu, Xingji You, Qi Wang, Qiuxin Lu, Qian Cai, Xuexin Chen, Jingxiang Wu2026-06-30
📄 medicine

Characterization of the simulation technician profile in Portugal: a cross-sectional study

This cross-sectional study characterizes Portugal's heterogeneous and non-standardized simulation technician workforce, revealing a critical gap between their administrative confidence and pedagogical/technical skills that necessitates a national, hands-on training program to ensure the sustainability of simulation-based education.

Abel Nicolau, Elaine Gonçalves, Cristina Granja, Isabel Pereira2026-06-30
📄 medicine

Identifying Quality and Safety Learning Opportunities Through EHR Data Analytics in Musculoskeletal Practice

This retrospective study of Australian occupational healthcare data demonstrates that analyzing routine Electronic Health Record (EHR) data reveals significant variability in clinical practices and outcomes among musculoskeletal clinicians, thereby identifying actionable learning opportunities to enhance patient safety and professional development beyond traditional adverse event monitoring.

Melinda Wassell, Henry Pollard, Kerryn Butler-Henderson, Karin Verspoor2026-06-30
📄 medicine

Analysis of Risk Factors for Macrosomia in Gestational Diabetes

This study identifies pre-pregnancy obesity as a significant risk factor for fetal macrosomia in women with gestational diabetes, while excessive gestational weight gain is the primary risk factor for macrosomia in women with normal glucose metabolism, highlighting the need for targeted management to reduce adverse outcomes.

Mengting Liu, Yanmin Chen, Guanchong Li, Shuying Yang, Yan Ma, Haibo Song, Yingchun Yu, Danqing Chen2026-06-30
📄 medicine

Pan-cancer prevalence of microsatellite instability and Lynch syndrome in India 

This pan-cancer study of 519 Indian patients reveals a 25.6% prevalence of microsatellite instability/mismatch repair deficiency, identifying a high burden of Lynch syndrome (49.6% of MSI-high/MMRd cases) driven largely by specific *MLH1* founder variants, thereby validating a tumor-first screening approach to improve detection and management across diverse cancer types in India.

Harsh Sheth, Jyoti Sadhwani, Bhawna Sirohi, Senthilkumar Ramasamy, Yashwant Kashyap, Pankaj Shah, Mithun Shah, Suresh Ad (…)2026-06-30
📄 medicine

Integrated Multi-Omics Bioinformatics and Machine Learning Framework Identifies SPATA18 and IGF2BP2 as Robust Prognostic Biomarkers for Papillary Thyroid Carcinoma

This study integrates multi-omics bioinformatics and machine learning to identify SPATA18 and IGF2BP2 as robust, highly accurate diagnostic and prognostic biomarkers for Papillary Thyroid Carcinoma, elucidating their roles in key metabolic and immune pathways through a validated predictive nomogram and regulatory network.

Xingxing Zhao, Zhitao Chen, Chuan Zhang, Jie Peng, Chunyan Mao, Guangmin Meng, Jie Tian, Xinying Quan, Lei Shi, Lu Pan (…)2026-06-30
📄 medicine

Scaling Non-Communicable Disease Care in Udupi District, Karnataka, India: Implementation Lessons and Programmatic Directions

This study evaluates the implementation of non-communicable disease care in Udupi District, India, identifying strengths in service delivery and governance while highlighting critical gaps in diagnostics, data systems, and workforce capacity, ultimately proposing a multi-sectoral approach to scale up effective NCD services.

Rakshitha K, Ashmitha Prasad, Shreya Shet, Arathi P Rao, Prashanth Bhat, Nagarathna Shashtry, Latha Nayak, Anjali Raj, C (…)2026-06-30