📄 medicine

Current Trend in Drug Resistance Pattern Among Extrapulmonary Tuberculosis Cases at Reference Laboratory of Western India

This cross-sectional study conducted in Western India from 2024 to 2025 analyzed 6,068 extrapulmonary tuberculosis samples and found a 16.43% molecular positivity rate with a 6.11% drug resistance prevalence dominated by rifampicin resistance, underscoring the critical need for universal drug susceptibility testing and enhanced surveillance.

Krunal D. Mehta, Payal Mankodi, Gaurav Chotaliya, Ruchi Shah, Tirth Patel2026-06-28
📄 medicine

A Novel Homozygous HSD3B7 Frameshift Variant Causing Congenital Bile Acid Synthesis Disorder Type 1 Presenting in Mid-Childhood with Malabsorption-Dominant Phenotype and Renal Microcysts: A Case Report

This case report describes a 7-year-old girl with a novel homozygous HSD3B7 frameshift variant who presented with a rare, late-onset, malabsorption-dominant phenotype of congenital bile acid synthesis disorder type 1 accompanied by renal microcysts, highlighting the critical need to consider urinary bile acid analysis in children with unexplained malabsorption regardless of neonatal history to enable early, disease-modifying treatment.

Cormac Duff, Kai Mun Hong, Joy Yaplito-Lee, Abisha Srikumar, Rebecca Quin2026-06-28
📄 medicine

Prevalence of Cutaneous Leishmaniasis and Community Knowledge, Attitudes, and Practices in Dara Malo District, Southern Ethiopia: A Cross-Sectional Study

This cross-sectional study in Dara Malo district, Southern Ethiopia, found a household-level prevalence of 5.11% for parasitologically confirmed cutaneous leishmaniasis and identified significant deficiencies in community knowledge, attitudes, and preventive practices, particularly among males, those with lower education and income, and farming households.

Adisu Asefa, Amanuel Albene, Debisa Eshatu Wendimu, Teklu Cherkose, Galana Mamo Ayana, Eshetu Molla, Girma Shumie, Deres (…)2026-06-28
📄 medicine

Burden of Diagnosed Diabetes among People With and Without HIV in Uganda: a Cross-Sectional Analysis of the Rakai Community Cohort Study

In a cross-sectional analysis of the Rakai Community Cohort Study in Uganda, HIV serostatus was not found to be significantly associated with diagnosed diabetes, whereas older age, higher BMI, higher socioeconomic status, and residence in a fishing community were identified as significant independent risk factors.

Rusi Long, Helena Baffoe-Bonnie, Xinyi Feng, Anthony Ndyanabo, Hadijja Nakawooya, Steven J. Reynolds, Ronald Galiwango (…)2026-06-28
📄 medicine

Hand Sanitizer with Sustained Antibacterial and Virucidal Activities Mitigates Upper Respiratory Symptoms and Work Restrictions: Double-blind Household Cluster- randomized Controlled Trial

A double-blind, cluster-randomized controlled trial demonstrated that repeated use of a novel hand sanitizer with sustained antimicrobial activity significantly reduced the incidence of upper respiratory symptoms and work restrictions compared to a conventional ethanol-based sanitizer over a 72-day winter period.

Nami Yamanaka, Kaori Mizukoshi, Kentaro Asaoka, Toshiya Morikawa, Yu Nakashima, Atsuko Hayase2026-06-28
📄 medicine

Prevalence and determinants of tuberculosis-diabetes comorbidity in the Democratic Republic of Congo: a multi-provincial cross-sectional study

This multi-provincial cross-sectional study in the Democratic Republic of Congo reveals that nearly 19% of tuberculosis patients have undiagnosed hyperglycemia, with age, specific geographic locations, family history, hypertension, comorbidities, and multidrug-resistant tuberculosis identified as key independent determinants, thereby supporting the integration of systematic diabetes screening into TB programs.

Lukanu Ngwala Philippe, Likwela Losimba Joris, Tshibungu Ntumba Jeanne, Shoma Matota Mamie, Kufundu Kilonda Isabelle, Ns (…)2026-06-28
📄 medicine

Impact of Initial Therapy and Treatment Interval on Survival in Hepatocellular Carcinoma by Tumor Stage and Child–Pugh Class: Korean Primary Liver Cancer Registry Analysis

Analysis of the Korean Primary Liver Cancer Registry reveals that initial curative-intent therapies are associated with longer intervals before subsequent treatment and independently predict improved overall survival in hepatocellular carcinoma patients across various tumor stages and liver function classes.

Woo Sun Rou, Hyuk Soo Eun, In Sun Kwon, Hong Jae Jeon, Jong Seok Joo, Ju Seok Kim, Eaum Seok Lee, Seok Hyun Kim, Byung S (…)2026-06-28
📄 medicine

Quantitative Assessment of Regional Aerosol Deposition and Early Airway Clearance Using [18F]NaF Nebulized Inhalation PET/CT

This prospective study demonstrates that aerosolized [18F]NaF PET/CT effectively quantifies significantly reduced regional deposition and mucociliary-dominant early clearance in bronchiectatic lungs compared to healthy tissue, establishing 0 minutes as the optimal time point for assessing aerosol delivery.

Xinlu Zhang, Ruiyue Zhao, Shaoyu Liu, Yu Wang, Ziqi Zhang, Shaonan Zhong, Xiang Yan, Zeguang Zheng, Nanshan Zhong, Linli (…)2026-06-28
📄 medicine

Knowledge, attitude, and practice (KAP)-based health education programme for parents of adolescent fixed orthodontic patients: a mixed-methods randomized controlled trial

This mixed-methods randomized controlled trial demonstrates that a Knowledge, Attitude, and Practice (KAP)-based health education programme for parents of adolescents with fixed orthodontic appliances significantly improves parental health literacy, enhances adolescent treatment compliance, and optimizes periodontal outcomes compared to routine care.

Xiaona Sui, Wei Zhang, Sheng Zhai, Jiale Zhu, Xin Liu2026-06-28