📄 medicine

Clinical and Histopathological Assessment of Actinomycosis in Patients with Medication-Related Osteonecrosis of the Jaw

This retrospective study of 70 MRONJ patients highlights that *Actinomyces* colonization occurs in 30% of cases, is significantly associated with specific oncological diagnoses like breast cancer, and responds well to combined surgical and targeted antibiotic therapy, supporting its consideration in multidisciplinary treatment planning.

Aylin Ekmekcioglu, Selen Adiloglu, Ahmet Cagkan Inkaya, Kemal Kosemehmetoglu, Osman Taha Koseoglu, Serhat Unal2026-06-29
📄 medicine

An Electronic Phenotype Series for Measuring Adherence to the Wake Up and Breathe Protocol in Mechanically Ventilated ICU Patients

This paper defines and validates a series of seven electronic phenotypes using real-world EHR data to enable scalable, reliable, and retrospective measurement of adherence to the Wake Up and Breathe protocol for mechanically ventilated ICU patients, demonstrating moderate to near-perfect agreement with manual chart review.

Andrew J King, Billie S Davis, Kathryn A Connell, Leigh A Bukowski, Kanupriya Soni, Susan Graf, Jeremy M Kahn2026-06-29
📄 medicine

Beyond Individual Risk Factors: A Network Analysis of Incident Dementia in the Sydney Memory and Ageing Study

This study utilizes network analysis of baseline data from the Sydney Memory and Ageing Study to reveal that individuals who develop dementia exhibit distinct biomarker connectivity patterns, such as the loss of cognition-age links and the emergence of mood-metabolic connections, years before clinical diagnosis.

Rebecca A. Chalmers, Matti Cervin, Carol Choo, Katya Numbers, Karen A. Mather, Henry Brodaty, Nicole A. Kochan, Perminde (…)2026-06-29
📄 medicine

The Knowledge-Practice Gap in Exclusive Breastfeeding and Milk Expression Among Healthcare Providers: A Hospital-Based Cross-sectional Study in Kigali, Rwanda

Despite near-universal knowledge of exclusive breastfeeding benefits, healthcare providers in Kigali, Rwanda, exhibit a significant knowledge-practice gap characterized by low exclusive breastfeeding rates and high mixed feeding, primarily driven by workplace barriers such as lack of time, inadequate support, and insufficient institutional policies.

Zubeda Igiraneza, Zephanie Nzeyimana, Joella Mukashyaka, Richard Nsengiyumva, Christophe Mugwaneza, Assoumana Bin Ally H (…)2026-06-29
📄 medicine

Clinical phenotype, family segregation, and follow-up of pediatric distal renal tubular acidosis associated with a homozygous SLC4A1 p.G701D variant

This study reports a pediatric case of hereditary distal renal tubular acidosis caused by a homozygous SLC4A1 p.G701D variant, characterized by recurrent hypokalemia and severe skeletal deformities, and highlights the importance of early genetic diagnosis and longitudinal follow-up for optimizing clinical management.

Qinying Feng, Juan Lu, Wangming Zhang, Xinzhong Zhou, Xiaoyu Song, Anhua Mo, Xiaoying Li, Lianyang Lin, Li Liu, Wanqing (…)2026-06-29
📄 medicine

Virtual Phase I trials predict drug induced QT prolongation from human ventricular tissue

This paper presents a validated in silico Phase I trial framework that integrates human-calibrated cardiomyocyte populations, ion-channel blocking, tissue-level propagation, and physiological fibrosis to accurately predict drug-induced QT prolongation and inter-individual variability, demonstrating that including low-degree tissue heterogeneity is essential for achieving high concordance with clinical safety data.

Matteo Costi, Jose Felix Rodriguez Matas2026-06-29
📄 medicine

Exploratory machine learning analysis of factors associated with positive circumferential resection margins following transanal total mesorectal excision: a multicenter registry study

This multicenter registry study utilized machine learning to identify pathological N stage, threatened mesorectal fascia on preoperative MRI, and intersphincteric resection as key factors associated with positive circumferential resection margins following transanal total mesorectal excision, while noting that the resulting models require further preoperative-focused validation before clinical application.

Pengyu Wei, Cong Meng, Yang Li, Mingyang Ren, Hongyu Zhang, Hong Zhang, Quan Wang, Weidong Tong, Qing Xu, Chi Chung Foo (…)2026-06-29
📄 medicine

Are vegan women at a disadvantage regarding bone mineral density during peak bone mass acquisition? Findings from the BELIEVE (Bone mEtabolism Legacy In fEmale Vegetarians) study

The BELIEVE study found that strict vegetarian women aged 20–35 exhibit significantly lower bone mineral density and higher bone turnover compared to omnivores, primarily driven by inadequate intakes of calcium, protein, and vitamin D during peak bone mass acquisition.

Ana Clara Ribeiro Gazeta, Alex Rocha Bernardes da Silva, Giuliano Grandi, Ingride Ramos Carvalho Oliveira, Charlles Held (…)2026-06-29
📄 medicine

Association between C-reactive protein-triglyceride-glucose index and the progress of frailty: two nationwide prospective cohort studies

This study utilizes data from two nationwide prospective cohorts (CHARLS and ELSA) to demonstrate that the C-reactive protein-triglyceride-glucose index (CTI) is a robust, independent predictor of both incident frailty and accelerated frailty progression in older adults, highlighting the critical role of combined metabolic and inflammatory dysregulation in physiological decline.

Zhenyu Liu, Zhi-Ran Yue, Fangjun Xu, Rui-Yan Zhang2026-06-29
📄 medicine

Association of Knowledge of Tuberculosis Infection Control among Pulmonary Tuberculosis Patients and Their Household Close Contacts with Treatment Compliance

This prospective cohort study demonstrates that concordant high levels of tuberculosis infection control knowledge in both pulmonary TB patients and their household contacts are significantly associated with improved treatment adherence, suggesting that family-based health education is a promising strategy to strengthen TB control efforts.

Yulin Huang, Fangchao Liu, Xiaoying Jiang, Di Zhang, Xinting Yang, Wen Zhang, Mengqiu Gao, Fengling Mi2026-06-29