📄 medicine

Building Trauma Care Capacity through multidisciplinary Simulation in Nepal: descriptive mixed- methods educational research

This descriptive mixed-methods study demonstrates that Nepal's first hybrid multidisciplinary trauma simulation training significantly boosted participant confidence and satisfaction while highlighting its feasibility and impact for strengthening trauma care capacity in low-resource settings.

Roshana Shrestha, Anmol Purna Shrestha, Kristopher Brickman, Heather Klepacz, Cristina Alvarado, Kristin Calkins2026-10-19
📄 medicine

Systemic inflammatory markers do not independently predict positive surgical margins after loop electrosurgical excision procedure in patients with cervical intraepithelial neoplasia grade 3: a single-center retrospective study

This single-center retrospective study of 1,373 CIN3 patients undergoing LEEP demonstrates that while a nomogram incorporating TCT grade, age, BMI, multiple HPV infection, and parity effectively predicts positive surgical margins (AUC 0.80), systemic inflammatory markers such as SIRI and NLR do not serve as independent predictors.

Jing LIU, Fengying Wu, Qiang Deng, Tingzhu Meng, Qianhui Ke, Xiyan Ouyang, Han Gao, Yanli Li, Jie Shi2026-10-19
📄 medicine

Routine Postoperative Biomarkers for Early Detection of Anastomotic Leakage After Hartmann’s Reversal: A Comparative Study

This retrospective study of 86 patients undergoing Hartmann's reversal demonstrates that routine postoperative inflammatory biomarkers, particularly the platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR) measured on day 3, show clinically relevant discrimination for detecting anastomotic leakage, although no single marker proved statistically superior to the others.

Daniel Ivan Astorga Guardado, Ana Jimena Iberri Jaime, Jorge De León Rendón, Joel Maya Vacio, Billy Jiménez Bobadilla, B (…)2026-10-19
📄 medicine

Intraoperative Inspired Oxygen Exposure and Mechanical Ventilation Recorded 24–48 Hours After Intracranial Neurosurgery: An INSPIRE Cohort Study

In a retrospective cohort study of 1,602 adults undergoing intracranial neurosurgery, greater intraoperative time-weighted average excess oxygen exposure was significantly associated with an increased likelihood of mechanical ventilation being recorded 24–48 hours postoperatively, though the findings do not establish causality or define a specific clinical oxygen target.

Shikun Li¹, Xu Chen¹, Rudong Chen¹, Zhuo Yang¹, Yuyang Hou¹, Jiasheng Yu¹2026-10-19
📄 medicine

A Combined Diagnostic Model for Distinguishing Mycoplasma pneumoniae Infection from Carriers in Children

This study retrospectively analyzed 1,320 children to demonstrate that a combined diagnostic model utilizing white blood cell counts, C-reactive protein levels, and clinical features effectively distinguishes genuine *Mycoplasma pneumoniae* infections from asymptomatic carriers, addressing the limitations of conventional PCR and serological tests.

Zhiyuan Lin, Minjing Cai, Hanyu You, Zhen Lin, Xianming Liang, Ping Chen2026-10-19
📄 medicine

Association between dietary fiber intake and perioperative neurocognitive disorders in elderly arthroplasty patients: a mediation analysis of short-chain fatty acids

This prospective cohort study of 442 elderly arthroplasty patients demonstrates that higher preoperative dietary fiber intake significantly reduces the risk of perioperative neurocognitive disorders, with short-chain fatty acids acting as a complete mediator in this protective gut-brain axis mechanism.

Xiang Liu, Xiaona Tan, Yaozong Yu, Xuechong Zhao, Ziyi Zang, Xupeng Wang, Qiujun Wang2026-10-19
📄 medicine

Low-Cost Early Prediction of Retinopathy of Prematurity Using Arterial Blood Gas Analysis: A Retrospective Cohort Study

This retrospective cohort study demonstrates that an XGBoost-based machine learning model, utilizing only arterial blood gas parameters and minimal clinical features, achieves robust early prediction of retinopathy of prematurity with high sensitivity and accuracy across multiple Chinese medical institutions.

Chaoqin Yu, Qianyu Hao, Moyan Liu, Junfeng Mao, Yuanyuan Chen, Xiao Chen, Junlong Tang, Xiaobo Xia, Huizhuo Xu, Wei Zhen (…)2026-10-19
📄 medicine

Immune checkpoint inhibitor adverse events in colorectal cancer: a disproportionality analysis of FAERS with cross-database validation in JADER

This study utilizes a disproportionality analysis of FAERS and cross-database validation in JADER to identify seven confirmed immune-related adverse events associated with pembrolizumab and nivolumab in colorectal cancer patients, demonstrating that disease-matched comparators are essential to distinguish true drug toxicity from background disease symptoms.

Yunfei Yan, Wenjing Yue, Hua Song, Zirong Li, Wanhui Li, Xinyi Liu, Jianbo Pan, Shuang Cai2026-10-19
📄 medicine

Giant ileocecal inflammatory myofibroblastic tumor associated with paraneoplastic inflammatory syndrome in an 11-year-old girl: a case report

This case report describes an 11-year-old girl with a rare giant ileocecal inflammatory myofibroblastic tumor causing severe paraneoplastic inflammatory syndrome, which was successfully treated with complete surgical resection, leading to the rapid resolution of systemic inflammatory and hematologic abnormalities.

junxiao wang, jianping zhang, guihua le, chuanqi ren, yihan zhang, ezhang liu2026-10-19