📄 medicine

Development and internal validation of a modified Caprini score for postoperative venous thromboembolism in gastrointestinal adenocarcinoma: a retrospective cohort study

This retrospective cohort study developed and internally validated a modified Caprini score incorporating tumor stage, operative time, blood transfusion, and postoperative D-dimer levels, which demonstrated significantly improved discrimination for predicting venous thromboembolism in gastrointestinal adenocarcinoma patients compared to the conventional score, though its clinical utility requires further external validation.

Zheyan Mi, Huaping Shen, Jiajie Zhong, Xuedong Chen, Shiyu Zhou2026-10-19
📄 medicine

Trajectories of depressive symptoms and chronic disease multimorbidity among middle-aged and older Chinese adults: A group-based trajectory modeling study

Using data from the China Health and Retirement Longitudinal Study, this group-based trajectory modeling study reveals that depressive symptoms among middle-aged and older Chinese adults follow three distinct, stable patterns (low, moderate, and high) that exhibit a strong, graded association with increasing chronic disease multimorbidity and specific sociodemographic risk factors.

Siqi Wang, Lichao Yang, Jianqiu Xiao, Wei Tian2026-10-19
📄 medicine

Gastric mucormycosis as a rare cause of gastric mucosal sloughing and gastrointestinal bleeding: A case report

This case report describes a fatal instance of gastric mucormycosis causing severe mucosal sloughing and gastrointestinal bleeding in a 75-year-old immunocompromised male on biologic therapy, highlighting the critical need for early endoscopic diagnosis and aggressive intervention in similar high-risk patients.

Libin Liu, Bin Fu, Kuijin Xue, Kun Zhao, Bin Cao, Peng Qi2026-10-19
📄 medicine

Rectal Remnant Length Affects Functional Outcomes After Laparoscopic Subtotal Colectomy With Antegrade Cecorectal Anastomosis for Slow-Transit Constipation: A Prospective Observational Study

This prospective observational study suggests that while shorter rectal remnants (< 5 cm) after laparoscopic subtotal colectomy for slow-transit constipation are associated with superior long-term relief of constipation and quality of life compared to longer remnants, the latter offer only transient continence benefits, though these findings are limited by the non-randomized study design and confounding by indication.

Kangwen cheng, Jemin Huang, Liangliang Li, Qiang Chen, Sixin Zheng, Junyi Chen, Zhiqiang Wu, Yixin Zheng, Liang Wang, Ka (…)2026-10-19
📄 medicine

Effect of Platelet-Rich Fibrin on Neurosensory Recovery Following Bilateral Sagittal Split Osteotomy: A Randomized, Participant- and Assessor-Blinded, Split- Mouth Clinical Trial

This randomized, split-mouth clinical trial demonstrates that the local application of Platelet-Rich Fibrin (PRF) significantly accelerates neurosensory recovery and improves sensory function outcomes at 3 and 6 months following bilateral sagittal split osteotomy compared to untreated control sites.

Farnoosh Razmara, Abolfazl Razi Avarzamani, Narges Hajiani, Mohammad Javad Kharazifard, Zahra Alsadat Emami Meybodi2026-10-19✓ Author reviewed ⓘ
📄 medicine

NLR, PLR, and SII Do Not Predict In-Hospital Mortality in Oldest-Old Male Patients with Acute Coronary Syndrome and Type 2 Diabetes: A Head-to-Head Comparative Study

This study concludes that the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) lack independent prognostic value for predicting in-hospital mortality in oldest-old male patients with acute coronary syndrome, coronary heart disease, and type 2 diabetes.

Ting Lu, Zhiyi Guo, Ziyi Yi, Shuyue Cao, Jiaqi Bai, Hua Cai, Min Li, Lin Xu2026-10-19
📄 medicine

Liposomal bupivacaine alone or combined with tranexamic acid and flurbiprofen axetil for local infiltration analgesia in total hip arthroplasty for displaced femoral neck fractures: a randomized controlled trial

In patients undergoing total hip arthroplasty for displaced femoral neck fractures, local infiltration analgesia with liposomal bupivacaine significantly reduced early postoperative pain and opioid consumption compared to no infiltration, but adding tranexamic acid and flurbiprofen axetil provided no additional analgesic benefit.

Xingrui Qiu, Yongcai Wang, Qiu Huang, Yujie Li, Zhenyu Wen, Yixin Rao, Maozhuo Jiang, Jian Zhang2026-10-19
📄 medicine

Pubertal delay in children and adolescents with sickle cell disease in eastern Uganda: a cross-sectional study

This cross-sectional study in eastern Uganda reveals a high prevalence (64.1%) of pubertal delay among children and adolescents with sickle cell disease, identifying male sex, taller stature, and higher fruit intake as protective factors while noting that treatment status was paradoxically associated with increased odds of delay.

Joanitah Nampijja, Kevin Otoro, Jimmy Patrick Alunyo, David Mukunya, Sarah Kiguli, Crispus Tegu, Lisa Rynn, Simon Odoch2026-10-19
📄 medicine

Single centre experience of Robotic primary midline ventral hernias (PMVH) repairs using a novel modular robotic system and comparative study of the two techniques used [robotic Preperitoneal extended Total Extraperitoneal (rPeTEP) vs robotic Transabdominal Preperitoneal (rTAPP)]

This single-centre retrospective study comparing robotic preperitoneal extended totally extraperitoneal (rPeTEP) and robotic transabdominal preperitoneal (rTAPP) repairs for primary midline ventral hernias found that while both techniques are safe and feasible, rPeTEP offers the advantage of reduced early postoperative pain and suitability for extensive rectus divarication, whereas rTAPP demonstrates a shorter learning curve and better accommodates concomitant intra-abdominal procedures.

Magan Mehrotra, Anurag Pasula2026-10-19