📄 medicine

Impact of a Structured Transition Education Program on Knowledge and Transition Readiness Among Adolescents With Congenital Heart Disease: A Single-Center Quality Improvement Study

This single-center quality improvement study demonstrates that a structured, physician-led educational intervention significantly enhances transition readiness, disease knowledge, self-management skills, and reproductive health awareness among adolescents with congenital heart disease.

Keerthana Banala, Leonardo Morales, Nelson Claure, Satinder Sandhu2026-07-15
📄 medicine

The boundaries of biomedical result appraisal: mapping the gap between a result and its interpretation

This conceptual analysis argues that while existing biomedical appraisal tools effectively evaluate the technical soundness of study results, they fail to routinely verify whether the broader interpretations drawn from those results are actually supported by the specific comparisons the studies made, creating a critical gap between a result's validity and its application.

Ozren Polašek2026-07-15
📄 medicine

Divergent Cardiometabolic Comorbidity Patterns Between Physically Active and Inactive US Adults With Prediabetes: An Association Rule Analysis and Explainable Machine Learning Study Using NHANES 2011–2018

This study utilizing NHANES 2011–2018 data reveals that physically active US adults with prediabetes exhibit more diverse and strongly clustered cardiometabolic comorbidity patterns compared to their inactive counterparts, suggesting that physical activity fundamentally reshapes disease architecture rather than merely reducing prevalence.

Zhongwei Sun, Yongping Ma, Xinran Wu, Ping Wang2026-07-15
📄 medicine

Prognostic Association and Predictive Value of the Stress Hyperglycemia Ratio for All‑Cause Mortality in Elderly Hip Fracture Patients with Perioperative Atrial Fibrillation

This retrospective cohort study of 340 elderly hip fracture patients with perioperative atrial fibrillation reveals that the stress hyperglycemia ratio (SHR) exhibits a J-shaped nonlinear association with all-cause mortality and serves as an independent predictor that significantly enhances the prognostic accuracy of clinical models.

Qisheng Dou, Mingming Fu, Haiying Hu, Wei Li, Zhiqian Wang, Zhiyong Hou2026-07-15
📄 medicine

Multidisciplinary Management of an Preterm Infant with CMV Infection : A Case Report

This case report details the complex clinical course and successful multidisciplinary management of a preterm infant with congenital cytomegalovirus infection who presented with severe neurological, hematological, hepatobiliary, cardiac, and ophthalmological complications, underscoring the critical importance of early diagnosis, coordinated specialist care, and long-term follow-up to optimize outcomes in this vulnerable population.

Mevlane Islami Limani, Elizabeta Petkovska, Оrhideja Stomnaroska, Sanja Risteska, Gazmend Elezi2026-07-15
📄 medicine

Sodium-Glucose Cotransporter-2 Inhibitors and Cutaneous Adverse Reactions: A Systematic Review of Clinical Phenotypes, Time-to- Onset Profiles, and Management Strategies (2020–2026)

This systematic review of 42 studies (2020–2026) characterizes the diverse spectrum of SGLT2 inhibitor-induced cutaneous adverse reactions, distinguishing between early-onset mild eruptions manageable with symptomatic treatment and delayed-onset severe immune-mediated or necrotizing conditions that require drug withdrawal and multidisciplinary intervention.

Yasser Mohammed Abdo Ali Al-Shawki, Ziryab M. Al-Shawki2026-07-15
📄 medicine

Unilateral Internal Carotid Artery Agenesis Incidentally Detected on Trauma CT Angiography: A Case Report and Diagnostic Considerations

This case report describes a 32-year-old man with congenital agenesis of the left internal carotid artery, incidentally identified on trauma CT angiography by the absence of the bony carotid canal, highlighting the critical importance of distinguishing this rare anomaly from acquired occlusion to guide clinical management and future procedural planning.

Deep Parkash, Rani Bai, AlMajd AlYazidi, Moosa Alwadi, Essem Ahmed, Ayman Albatanony, Hosam Elghadban2026-07-15
📄 medicine

Time to Maximal Response of Trastuzumab Deruxtecan in Patients with HER2-Positive Metastatic Breast Cancer: A Multicenter Retrospective Study (TRACE)

In a multicenter retrospective study of 93 patients with HER2-positive metastatic breast cancer, Trastuzumab Deruxtecan achieved maximal tumor shrinkage at a median of 4.57 months, with minimal additional tumor burden reduction observed beyond 18 weeks, suggesting that treatment duration may be optimized by considering this timeframe for induction strategies.

Yukinori Ozaki, Emi Taniguchi, Kazuki Nozawa, Yuka Niwa, Fumikata Hara, Kiyomi Nonogaki, Masahiro Kuno, Yosuke Aoyama, L (…)2026-07-15
📄 medicine

Effects of preference-based workplace active breaks on physical function, muscular strength, and pain

In a pragmatic workplace setting where workers selected their preferred intervention, an 8-week high-intensity strength active-break program yielded superior improvements in physical function and muscular strength compared to a standard stretching program, while both approaches effectively reduced pain-related outcomes.

Iñigo Perez-Garcia, Natalia Burgos Alonso, Ana Belén Fraile-Bermúdez, Idoia Zarrazquin-Arizaga, Amaya Irazusta, Lars Lou (…)2026-07-15