📄 medicine

Development and External Validation of a 72-Hour Dynamic Trajectory-Based Machine Learning Model for Mortality Prediction in ICU Patients with Sepsis and Pre-Existing Hypertension

This study developed and externally validated a 72-hour landmark XGBoost model integrating static and dynamic clinical features that outperformed conventional severity scores in predicting in-hospital mortality for ICU patients with sepsis and pre-existing hypertension.

Yufeng Chen¹, Yuan Tian, Hongyang Bian, Wenqing Sun, Xueyan Zhang, Jingjing Zhang¹2026-06-28
📄 medicine

Association between non-HDL cholesterol/HDL cholesterol ratio and new-onset type 2 diabetes: a causal mediation analysis of hs-CRP in the China Health and Retirement Longitudinal Study

In a prospective cohort study of 7,137 Chinese adults aged 45 and older, a higher non-HDL to HDL cholesterol ratio was found to be independently associated with an increased risk of new-onset type 2 diabetes, an association that was not significantly mediated by systemic inflammation as measured by hs-CRP.

Liwei Liu, Zhexue Ren, xuemei jiang, wei deng, yikuan chen2026-06-28
📄 medicine

Unsupervised phenotyping of orofacial function and oral dryness for the identification of dysphagia-risk–enriched profiles in community-dwelling older adults

This study utilized unsupervised clustering of ten oral biomarkers in 200 community-dwelling older adults to identify a reproducible dysphagia-risk-enriched phenotype characterized by lower orofacial function and greater dryness, which showed significant associations with elevated dysphagia screening scores and aspiration risk.

Ji-Su Park, Ga-Yeon Lim, Moon-Young Chang, Gihyoun Lee2026-06-28
📄 medicine

A nomogram prediction model for ovarian endometrioma in patients with endometriosis: a retrospective study based on clinical indicators

This retrospective study developed and validated a high-accuracy nomogram model incorporating history of dysmenorrhea, infertility, fibrinogen levels, and lymphocyte count to effectively predict the risk of ovarian endometrioma in patients with endometriosis, thereby facilitating early identification and stratified clinical management.

Li Shan, Lin Zhong, Li Weihong, Meng Fengyun, Bai Rui, Tang Zhenyu, Guo Pei, Huang Junming, Huang Shuping, Xie Ganzhen2026-06-28
📄 medicine

Fibrotic Abdominal Tuberculosis Presenting as Acute Small Bowel Obstruction Due to Multiple Bands in a Virgin Abdomen: case report

This case report highlights fibrotic abdominal tuberculosis as a rare but critical cause of small bowel obstruction in a "virgin abdomen," emphasizing the importance of considering this diagnosis in endemic regions despite misleading radiological findings and the necessity of surgical intervention combined with anti-tubercular therapy for favorable outcomes.

Hussam Mohamed Hassan Ibrahim, Waleed M. A. Jebreel, Mohamed Ezeldin Elazz Ibrahim, Ibrahim Mohammed Abbakker Mohammed (…)2026-06-28
📄 medicine

Gambling related harm among active electronic gaming machine players within a social determinants of health framework

This qualitative study of twelve regular electronic gaming machine users in New Zealand reveals that gambling-related harm is sustained by a complex interplay of structural, environmental, and psychological factors, underscoring the need for population-level public health strategies that address commercial and social determinants rather than relying solely on individual-focused harm minimization.

Retina Rimal, Robin-Marie Shepherd, Louise Elizabeth Curley, Frederick Sundram2026-06-28
📄 medicine

SHAP-interpretable machine learning model for early prediction of periventricular leukomalacia in preterm infants younger than 32 weeks: a multicenter validation study

This multicenter validation study developed and validated a highly accurate, SHAP-interpretable Random Forest machine learning model using early clinical data to predict periventricular leukomalacia in preterm infants under 32 weeks gestation, achieving an AUC of 0.930 to facilitate early screening and targeted interventions.

Jiao Yuan, Lingling Xie, Luran Wang, Cuihong Yang, Jie Gu, Yu Wang, Yaoda Wang, Naiying Miao, Huiyu Yang, Yanting Song (…)2026-06-28
📄 medicine

Pre-hospital and Health-System Factors Associated with Emergency Department Disposition Among EMS-Transported Stroke Patients : A Nationwide Thai Cohort

This nationwide Thai cohort study of over 126,000 EMS-transported stroke patients identifies pre-hospital level of consciousness and blood pressure as the strongest predictors of emergency department outcomes, while highlighting significant regional disparities and higher mortality among uninsured and advanced life support-dispatched patients to underscore the need for equity-oriented EMS reforms.

Naruenet Linla, Kittipong Sornlorm, Wongsa Laohasiriwong, Krissana Aunthakot, Phichet Nongchang, Thongsakchai Saiphraraj (…)2026-06-28
📄 medicine

Epidemiology and antimicrobial resistance patterns of neonatal sepsis in a tertiary NICU in Western Ukraine: a 2023–2025 retrospective surveillance study

This 2023–2025 retrospective study of a tertiary NICU in Western Ukraine reveals that neonatal sepsis is predominantly caused by multidrug-resistant organisms, with a notable prevalence of coagulase-negative staphylococci and an increasing burden of resistant Gram-negative pathogens that significantly complicates treatment and contributes to mortality.

Olena Koloskova, Larysa Koliubakina, Ksenia Rudan, Olena Vlasova, Kateryna Vlasova, Victoria Khilchevska2026-06-28