📄 medicine

Preliminary Validation and Responsiveness of the NMSS-OFF/ON Scale for Rapid Assessment of Non-Motor Fluctuations in Parkinson’s Disease

This study provides preliminary psychometric evidence that the 10-item clinician-rated NMSS-OFF/ON scale is a valid, internally consistent, and highly responsive instrument for assessing non-motor fluctuations in Parkinson's disease, though larger independent studies are needed to fully establish its structural validity and clinical thresholds.

Diego Santos García¹²³⁴⁵, María Cerdán Sánchez⁶, Rosa Yáñez Baña⁷, Iria Cabo, Maria Icíar Cimas2026-10-19
📄 medicine

Willingness to serve is high, but task expectations diverge in disasters

While health profession students and disaster response organizations in Germany both express high willingness to integrate students into emergency surge capacity, their specific task expectations diverge significantly, with students favoring patient-facing acute care and organizations prioritizing logistical and nursing support, highlighting a critical need to align these perspectives through targeted training and insurance frameworks.

Klaas F. Franzen, Markus Ries, Timo Ziegmann, Andreas Batsios, Florian Fischer, Victoria Edwards, Amelie Klapproth, Erik (…)2026-10-19
📄 medicine

Medical Students’ Attitudes Towards Disability Before and After a Five-Day Community-Based Immersion Program

A five-day community-based immersion program significantly improved second-year medical students' attitudes toward people with disabilities, reduced their discomfort, and enhanced their perceived social competence and coping skills, highlighting the value of direct interaction in medical education while suggesting the need for broader, longitudinal curriculum integration.

Lisa Biasio, François Constant Boyer, Delphine Giusti, Sandy Carazo Mendez, Aline Gérard, Adeline-Sophie Ferreira Deus C (…)2026-10-19
📄 medicine

Safety and Efficacy of a Novel Balloon Angiographic Catheter for Coronary Venography During Left Ventricular Lead Implantation: A Prospective Multicenter Single-arm Trial

In a prospective multicenter single-arm trial involving 97 patients, the novel LeesCa™ balloon angiographic catheter demonstrated 100% device success and a 98.97% procedural success rate with a low adverse event profile, confirming its safety and efficacy for coronary venography during left ventricular lead implantation for cardiac resynchronization therapy.

Jingyao Zhang, Shan Yu, Bo Yu, Fei Liu, Feng Ze, Ding Li, Long Wang, Jinshan He, Xuebin Li, Cuncao Wu2026-10-19
📄 medicine

Pediatric Pancreatic Trauma: A Retrospective cohort study using the National trauma Database 2017–2020 Operative Versus Non-Operative Management

This retrospective cohort study of the US National Trauma Database (2017–2020) reveals that while nonoperative management is the predominant approach for pediatric pancreatic trauma, operative management is associated with significantly longer hospital and ICU stays but lower mortality rates, supporting the need for individualized treatment strategies.

Amanda Gaccione, Sean P. Hurley, Anne E. Pierce, Sathyaprasad C. Burjonrappa2026-10-19
📄 medicine

Syphilitic hepatitis mimicking autoimmune liver disease: a case report and review of the literature

This case report illustrates that secondary syphilitic hepatitis can mimic autoimmune liver disease through overlapping cholestatic biochemistry and positive autoantibodies, highlighting the critical importance of syphilis testing to avoid inappropriate immunosuppression and ensure resolution with antimicrobial therapy.

Pesala Adikaranayake, Chiranthi Welhenge, Praveen Weeratunga, Ushani Wariyapperuma2026-10-19
📄 medicine

Intraocular Pressure Changes During Prolonged Dry Static Apnea in Breath-Hold Divers

This prospective observational study of 40 breath-hold divers demonstrates that prolonged dry static apnea induces a significant, rapid-onset increase in intraocular pressure that correlates with elevated blood pressure and decreased oxygen saturation, likely driven by increased episcleral venous pressure, followed by immediate normalization upon resumption of breathing.

Pavla Potěšilová, Zuzana Schreiberová, Martin Šín, Marta Karhanová2026-10-19
📄 medicine

Ventricular repolarization heterogeneity on the admission electrocardiogram in acute coronary syndrome: relationship of the Tpeak–Tend interval and Tp-e/QTc ratio to angiographic complexity, clinical risk and six-month outcome

In patients with acute coronary syndrome, admission Tpeak–Tend interval and Tp-e/QTc ratio correlate with angiographic and clinical severity, with the Tp-e/QTc ratio serving as an independent predictor of six-month adverse outcomes that enhances the prognostic accuracy of the GRACE score.

Santoshi Shamad, Sura Kishore Mishra, Pankaj Kumar Maravi, Siddharth Pradhan2026-10-19
📄 medicine

Harnessing Artificial Intelligence (AI) for Surgical Education: Comparing AI- and Surgeon-Generated Feedback in Informed Consent Training

While AI-generated feedback for informed consent training was rated as higher quality and more comprehensive than surgeon-generated feedback, the AI systematically assigned more favorable performance scores, indicating that high feedback quality does not guarantee evaluative validity and highlighting the need for human oversight in nuanced surgical assessments.

Catherine Gbekie, Brianna M. Peet, Mary Grace Whelan, Grace B. Simmons, Daniel P. Pacella, Viemma Nwigwe, Angel Rosario2026-10-19