📄 medicine

The Changing Face of Endogenous Cushing Syndrome: From Growth Failure in Childhood to Cardiometabolic Burden in Adulthood

This retrospective study of 281 patients with endogenous Cushing syndrome reveals distinct age-dependent phenotypes, where pediatric cases are characterized primarily by growth failure and pubertal disturbances, while adult presentations are dominated by a higher cumulative burden of cardiometabolic, myopathic, and skeletal complications.

Vivek Jha, Rakhi Pooja, Kavyanjali Kundu, Bhawna Sharma, Jashanpreet Kaur, Jasmine Jain, Chitra Anand, Sanjay Kumar Bhad (…)2026-06-25
📄 medicine

Application of wearable photoplethysmography- electrocardiogram monitor (HC3A250) in monitoring paroxysmal atrial fibrillation after mechanical thrombectomy for acute ischemic stroke

This study validates the HC3A250 wearable monitor as a reliable tool for detecting post-stroke paroxysmal atrial fibrillation compared to standard 12-lead ECG, though it found no statistically significant association between mechanical thrombectomy and new-onset atrial fibrillation after adjusting for confounders.

Shanglun Xie, Xiaohui Lin, Yonghui Pang, Hengyu Bai, Yinzhu Huang, Jian Wen2026-06-25
📄 medicine

Psychosocial and Existential Factors Associated with Medication Adherence in Older Adults with Chronic Diseases

This cross-sectional study of 123 older adults with chronic diseases reveals that intentional medication non-adherence is significantly predicted by economic sufficiency and specific attitudes toward death, highlighting the critical role of psychosocial and existential factors in shaping treatment decisions.

Leovaldo Alcântara, Luís Midão, Elísio Costa, Constança Paúl2026-06-25
📄 medicine

An 18F-FDG PET/CT-Based Multiparametric Nomogram for Preoperative Prediction of Spread Through Air Spaces in Clinical Stage IA Lung Adenocarcinoma

This study developed and validated a multiparametric nomogram integrating 18F-FDG PET/CT metabolic parameters, CT imaging features, and the lymphocyte-to-monocyte ratio to accurately predict the presence of spread through air spaces (STAS) in patients with clinical stage IA lung adenocarcinoma, thereby aiding preoperative risk stratification and surgical decision-making.

Xiaoxuan Zhang, Nana Luo, Lei Li, Dasheng Qiu, Xiaoyan Hu2026-06-25
📄 medicine

Biofilm-mineral intergrowth defines the hierarchical microarchitecture of calcium oxalate kidney stones

By integrating X-ray micro-CT and Raman spectroscopy, this study reveals that calcium oxalate kidney stones possess a complex hierarchical microarchitecture defined by concentric mineral layers intergrown with microbial biofilms, challenging traditional precipitation models and highlighting biofilms as fundamental structural determinants.

Ava Mousavi, Victoria Cassady, Gerson Gonzalez Marin, Seema Thapa, Javier Prieto, Doug Rowland, Jeff Gelb, Frank Corsett (…)2026-06-25
📄 medicine

In vitro activity of cefiderocol against multidrug-resistant Gram-negative bacteria and molecular characterization of carbapenem-resistant isolates in Niger

This study demonstrates that cefiderocol exhibits potent in vitro activity against 97.4% of multidrug-resistant Gram-negative isolates collected in Niger, supporting its potential as a last-line therapeutic option despite rare resistance cases linked primarily to NDM-1 producers.

Issoufou Noma Massir, Yacouba Abdourahamane, Tapha Ounoussa, Kiemou Ismael, Hamidou Oumou, Ousmane Abdoulaye, Moussa Har (…)2026-06-25
📄 medicine

Uncontrolled manifold analysis of center-of-mass control during gait before and after total hip arthroplasty in patients with hip osteoarthritis

This study utilized uncontrolled manifold analysis on a gait dataset of 53 hip osteoarthritis patients to demonstrate that while total hip arthroplasty alters specific coordination variances, the body maintains stable center-of-mass control by flexibly exploiting available degrees of freedom, suggesting that postoperative rehabilitation should prioritize whole-movement system coordination over isolated joint function.

Ryuya Yamakawa, Yusuke Sakaue, Shima Okada, Naruhiro Shiozawa2026-06-25
📄 medicine

Association between the non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) and the presence of hyperuricemiain patients with acute ischemic stroke: a retrospective study

This retrospective study of 318 acute ischemic stroke patients reveals that higher non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratios (NHHR) are significantly associated with an increased prevalence of hyperuricemia, particularly among non-smokers and non-diabetic individuals.

Yu Shang, Jiuling Liu, Min Ye2026-06-24