📄 medicine

Vaping with nicotine causes an acute increase in endothelial-dependent vasodilation

This double-blind, randomized crossover study demonstrates that acute nicotine exposure via e-cigarettes significantly enhances endothelium-dependent vasodilation in healthy male sporadic tobacco users, a response likely mediated by nicotinic acetylcholine receptors that may represent an early pathological adaptation rather than a protective effect.

Mikael Kabéle, Amelie Brynedal, Lukasz Antoniewicz, Anders Blomberg, Magnus Lundbäck, Jenny A Bosson2026-06-28
📄 medicine

Incremental Diagnostic Yield of Bronchoscopy in Non-Resolving Pneumonia: A Prospective Observational Study from Eastern India

This prospective observational study from Eastern India demonstrates that while non-bronchoscopic methods provide an initial diagnosis in 40% of non-resolving pneumonia cases, bronchoscopy significantly increases the overall diagnostic yield to 66.2% by identifying additional malignancies and fungal infections in patients with inconclusive initial evaluations.

SAPTAPARNI GUPTA, SWADIP MISHRA, PRAVATI DUTTA, ADITI AJIT JAISWAL2026-06-28
📄 medicine

High-Freq uency U lt ras onography in the Evaluation of Cutaneous C hanges in Chron ic Venous Dise ase: C orrel ati on wit h CEA P C linical Classification

This prospective study demonstrates that high-frequency ultrasonography effectively detects progressive cutaneous and subcutaneous structural changes in chronic venous disease, with findings that significantly correlate with the clinical severity defined by the CEAP classification.

Pabbisetty Sushma, Jaya Selin Praveena Joseph, Senthil Kumar Aiyappan2026-06-28
📄 medicine

Association between integrated specialist–generalist outpatient care and patient-reported primary care experience among patients with chronic diseases in Shanghai: a cross-sectional study

This cross-sectional study in Shanghai found that patients with chronic diseases attending integrated specialist–generalist outpatient clinics reported significantly better primary care experiences compared to those in general outpatient clinics, suggesting this model effectively enhances chronic disease management.

Sen Yang, Hong-Ya Liu, Han-Zhi Zhang, Jiao-Jiao Wang, Qiang-Qiang Fu, Hua Jin, De-Hua Yu2026-06-28
📄 medicine

Association Between Early Postoperative Fraction of Inspired Oxygen and Pulmonary Complications After Coronary Artery Bypass Grafting: A Retrospective Cohort Study Using Public Databases

This retrospective cohort study utilizing the MIMIC-IV and eICU databases reveals that higher early postoperative fraction of inspired oxygen (FiO₂) exposure is significantly associated with an increased risk of pulmonary complications in patients undergoing coronary artery bypass grafting, supporting the need for individualized oxygen titration to avoid unnecessary high FiO₂ levels.

fei gao, zixiao kong, shuwen li, sheng wang2026-06-28
📄 medicine

Circulating immune biomarkers indicate patients' immune imbalance and predict their severity and poor prognosis in pulmonary tuberculosis

This study demonstrates that circulating immune biomarkers, particularly soluble immune checkpoints and cytokines, reflect an immune imbalance in pulmonary tuberculosis patients and that a derived Immune Imbalance Score (IIS) effectively predicts disease severity and poor prognosis.

Ling Yi, Sibo Long, Bin Yang, Yu Xue, Yiheng Shi, Weibing Lin, Huimin Li, Yun Zhang, Xinting Yang, Shuye Lin, Guirong Wa (…)2026-06-28
📄 medicine

Clinical Characteristics and Surgical Outcomes of Thoracolumbar Ossification of the Ligamentum Flavum with Concomitant Thoracolumbar Scheuermann’s Disease: A Retrospective Study

This retrospective study reveals that patients with thoracolumbar ossification of the ligamentum flavum (TLOLF) concomitant with Scheuermann's disease exhibit greater thoracolumbar kyphosis, a shorter symptom duration, and superior postoperative neurological recovery compared to those without the condition, suggesting that the associated kyphosis may accelerate ossification and improve surgical prognosis.

Zixuan Xu, Guanghui Chen, Lei Yuan, Yuanyu Hu, Shuai Jiang, Xinhu Guo, Woquan Zhong, Weishi Li, Feifei Zhou, Chuiguo Sun2026-06-28
📄 medicine

Epidemiology, Treatment Patterns, and Healthcare Utilisation Costs of Essential Tremor in Japan: An Analysis of Insurance Claims Data

This retrospective study utilizing Japanese insurance claims data from 2016 to 2022 reveals that while essential tremor prevalence is rising among the elderly, treatment rates remain low with limited use of first-line beta-blockers, suggesting potential undertreatment and highlighting the condition's significant role in escalating healthcare costs for Japan's aging population.

Keiichi Abe, Ataru Igarashi, Michael LoPresti, Masahiko Shinohara, Javier Sabater, Natasha Dzimitrowicz2026-06-28
📄 medicine

Nonlinear association between the HALP score and all-cause mortality in U.S. adults with early-stage cardio-kidney-metabolic syndrome: a nationally representative cohort study

This nationally representative cohort study of U.S. adults with early-stage cardio-kidney-metabolic syndrome reveals that higher HALP scores are significantly associated with reduced all-cause mortality through a nonlinear, L-shaped relationship, where the protective effect plateaus at a threshold of approximately 48.8.

Yunyan Jing, Bin Ni, Ji Li, Leqing Lin2026-06-28
📄 medicine

Circulating Cell-Free DNA fragmentomics distinguishes pancreatic ductal adenocarcinoma from non- malignant conditions

This prospective study demonstrates that analyzing circulating cell-free DNA fragmentomics, specifically shorter fragment lengths and higher concentrations, can effectively distinguish pancreatic ductal adenocarcinoma from chronic pancreatitis and healthy controls, offering a promising minimally invasive diagnostic approach.

Romualdas Riauka, Darius Stukas, Arenida Bartkeviciene, Inga Zievyte, Sandra Ivanauskiene, Rita Kupcinskaite, Ingrida Gr (…)2026-06-28