📄 medicine

Evaluation of Lens Parameters Using Anterior Segment Optical Coherence Tomography for Zonular Weakness Risk in Cataract Surgery

This prospective study demonstrates that preoperative anterior segment optical coherence tomography can identify zonular weakness risk in cataract surgery patients, where a reduced lens front radius (≤ 8.58 mm) predicts mild-to-severe weakness and significant lens decentration (≥ 0.25 mm) specifically indicates severe weakness.

Tatsuaki Amari, Suguru Nakagawa, Kiyoshi Isii2026-06-29
📄 medicine

Machine Learning for Predicting Pediatric Mortality After Cardiopulmonary Bypass: Harnessing the Complex Predictive Power of Accessible Inflammatory Markers

This study demonstrates that an ensemble machine learning model utilizing readily available inflammatory markers, such as complete blood count parameters and C-reactive protein, can accurately predict 30-day mortality in pediatric patients following cardiopulmonary bypass, with SHAP analysis revealing that low platelet counts and paradoxically low C-reactive protein levels are key risk indicators.

Ekaterine Apostolos Dagios, Felipe Yu Matsushita, Andressa Almeida de Noronha, Carolina Vieira de Campos, Paula Vieira d (…)2026-06-29
📄 medicine

The Hidden Tail: Rapunzel Syndrome Complicated by Gangrenous Small Bowel Obstruction — A Case Report

This case report describes a 19-year-old female with Rapunzel syndrome who developed gangrenous small bowel obstruction due to a trichobezoar, highlighting the critical need for early surgical intervention and long-term psychiatric management in young females with trichophagia presenting with intestinal obstruction.

Shivam Manoj Pandey, Shashank Chaudhry, Garima Dubey, Jagadesh G.M.2026-06-29
📄 medicine

A 3D Bioprinted Spheroid Model of Nasopharyngeal Carcinoma Uncovers Constitutive IGF‑1R/PI3K/AKT Signaling as a Mediator of Intrinsic Cetuximab Resistance and a Therapeutic Vulnerability

This study utilizes a 3D bioprinted nasopharyngeal carcinoma spheroid model to demonstrate that constitutive IGF-1R/PI3K/AKT signaling drives intrinsic cetuximab resistance and that targeting this pathway with OSI-906 effectively reverses resistance, offering a promising therapeutic strategy for the disease.

Yuju Xie, Yiwen Wang, Xiaolei Chen, Haolei Hu, Yi Li2026-06-29
📄 medicine

Early Ultrasound and Time to Antibiotic Therapy in Emergency Department Patients With Suspected Infection: A Propensity-Weighted Analysis of 15,660 Encounters

In a propensity-weighted analysis of 15,660 hospitalized emergency department patients with suspected infection, early ultrasound was associated with significantly faster antibiotic administration but showed no significant impact on hospital mortality, ICU admission, or vasopressor use, suggesting its primary role is as a diagnostic process accelerator.

Daniele Orso, Carmine Cristiano Di Gioia, Francesco Cugini, Sergio Venturini2026-06-29
📄 medicine

Association between glycemic control and anti-tuberculosis treatment outcomes in patients with diabetes mellitus complicated by pulmonary tuberculosis: a systematic review and meta-analysis

This systematic review and meta-analysis of 97 studies demonstrates that poor glycemic control in patients with diabetes and pulmonary tuberculosis is significantly associated with worse treatment outcomes, including lower response and sputum conversion rates, reduced lesion resolution, higher recurrence, and impaired inflammatory and immune markers, exhibiting a clear dose-response relationship.

Xiao-Xiao Li, Liu-Wei Lin, Rou-Yan Li, Shu-lan Qin2026-06-29
📄 medicine

Evaluating the implementation of measurement-based care in youth mental health services as part of a learning health system

This convergent mixed-methods study evaluates the implementation of measurement-based care across three child and adolescent mental health services within an academic-health system partnership, finding high acceptability and fidelity in intensive settings while identifying leadership support, innovation culture, and partnership dynamics as key determinants of success.

Erin McCabe, Bajgain Bishnu, Whitney Hindmarch, Michele Dyson, Deborah McNeil, Iliana Ortega, Paul D. Arnold, Gina Dimit (…)2026-06-29
📄 medicine

Scalable Patient-Level Prediction in a Trusted Research Environment: New Capabilities for the Veterans Precision Oncology Data Commons

The Veterans Precision Oncology Data Commons (VPODC) introduces a secure, app-centric framework that enables researchers to rapidly train and validate privacy-preserving patient-level prediction models on large-scale VA clinical and genomic data without direct data access, demonstrating high predictive accuracy and cost-efficiency.

Aarti Venkat, Victoria Zaksas, Antwan Baker, Mary Brophy, Michael Davenport, Danne Elbers, Nathanael Fillmore, Osama Ham (…)2026-06-29
📄 medicine

Clinical characteristics and risk factors for Influenza A(H1N1) complicated by bacterial pneumonia: a retrospective study

This retrospective study of 460 hospitalized adults with Influenza A(H1N1) in Xi'an identifies chronic respiratory diseases and hypoproteinemia as independent risk factors for bacterial pneumonia, a complication associated with heightened inflammatory markers, greater clinical severity, and longer hospital stays.

Yiping Li, Xiaojuan Yang, Yuhang Wan, Taotao Li, Qing Wei2026-06-29