📄 medicine

The effect of Niosomes-Loaded Rapamycin against Leishmania major: An in vitro and in vivo study

Although Niosome-encapsulated Rapamycin demonstrated promising physicochemical stability and comparable in vitro efficacy against Leishmania major amastigotes to the standard drug Glucantime, its topical application failed to reduce lesion sizes in a murine model, highlighting that systemic delivery remains superior for treating leishmaniasis due to the limitations of topical drug penetration.

Leila Ghomi, Minoo Tasbihi, Akram Amin-Mohamadi, Fatemeh Atyabi, Ali Khamesipour, Farid Mohamadi, Forouhe Zahir-Jouzdani2026-06-29
📄 medicine

Mortality rate and determinants of death in HIV-associated extrapulmonary tuberculosis: A ten-year retrospective cohort study

This ten-year retrospective cohort study in Abidjan, Côte d'Ivoire, reveals that extrapulmonary tuberculosis is highly lethal among HIV-infected adults, with mortality rates reaching 58% for tuberculous meningitis and peaking within the first two months of treatment, while identifying cotrimoxazole prophylaxis and higher CD4 counts as significant protective factors.

Frederic Nogbou Ello, Affoue Gisele Kouakou, Doumbia Adama, Alain N’douba Kassi, Chrysostome Mossou, Anatole Mian, Arist (…)2026-06-29
📄 medicine

Alpha-2 Agonists in Bariatric Surgery: Effects on Postoperative Recovery—A Retrospective Study

This retrospective study of 322 bariatric surgery patients in Qatar demonstrates that intraoperative clonidine administration significantly improves postoperative recovery by reducing pain scores, opioid consumption, and PACU stay while enhancing hemodynamic stability, despite a higher incidence of manageable bradycardia.

Khaled Zaza, Roaa Suleiman, Maya Omran, Malek Abusannuga, Hamed Elgendy2026-06-29
📄 medicine

Cruciate Ligament Injuries in the German Statutory Accident Insurance System: Epidemiology, Work Disability, and Socioeconomic Impact

This retrospective study of the German Statutory Accident Insurance system reveals a significant rise in cruciate ligament injuries among young individuals from 2010 to 2020, resulting in prolonged work disability and substantial lifetime costs averaging over €209,000 per case.

Tobias C. Drenck, Julius Dehoust, Maximilian M. Mueller, Lena Eggeling, Stefan Mangelsdorf, Karl-Heinz Frosch, Ralph Ako (…)2026-06-29
📄 medicine

Endoscopic NIRAF-LSCI Multimodal System with Pseudo-Color Visualization for Parathyroid Autofluorescence Localization and Tissue Perfusion Assessment: Preclinical Validation

This study validates a multimodal endoscopic system integrating near-infrared autofluorescence and laser speckle contrast imaging with pseudo-color visualization, demonstrating its ability to accurately localize parathyroid glands and provide real-time, label-free perfusion assessment in a preclinical rat model to guide intraoperative preservation decisions.

Chang Cai, Chuoqi Yang, Wanyu Sun, Qiye Wen, Xiao Xiao, Dianxin Zhou, Zifeng Luo, Chao Zheng, Xuhui Geng, Zhenhao Liang (…)2026-06-29
📄 medicine

Machine Learning Models for Predicting Active Bleeding in Patients Presenting to the Emergency Department with Upper Gastrointestinal Bleeding: A Retrospective Cross-Sectional Study

This retrospective study demonstrates that machine learning models, particularly Random Forest, trained on routine admission data can achieve high negative predictive values (≥95%) for endoscopically confirmed active upper gastrointestinal bleeding, offering a potential tool to improve specificity and reduce unnecessary endoscopies in emergency department patients.

Melih Uçan, Serkan Doğan, Bilal Yeniyurt, Burçe Serra Koçkan Pamuk, Ahmed Edizer, Süreyya Tuba Fettahoğlu, Salih Fettaho (…)2026-06-29