📄 Category

medicine

3175 papers

📄 medicine

Patient-Reported Outcomes and Sexual Function After Nerve-Sparing Pelvic and Para-Aortic Lymphadenectomy With or Without Suprarenal Extension in Presumed Early-Stage Endometrial Cancer

In patients with presumed early-stage endometrial cancer, nerve-sparing pelvic and infrarenal lymphadenectomy does not significantly impair long-term quality of life or sexual function, whereas suprarenal extension is associated with worse outcomes, and extensive lymphovascular space invasion serves as a strong predictor of nodal metastasis.

Valentina Auletta, Lydia Kirstan, Angela Kather, Davit Bokhua, Tobias Franiel, Ingo Bernarnd Runnebaum2026-07-12
📄 medicine

Association between the blood urea nitrogen to albumin ratio and all-cause mortality in critically ill patients with non-traumatic subarachnoid hemorrhage: a multicenter retrospective study and machine learning with external validation

This multicenter retrospective study with external validation and machine learning analysis demonstrates that a higher blood urea nitrogen to albumin ratio (BAR) is an independent predictor of increased all-cause mortality at 30, 90, and 365 days in critically ill patients with non-traumatic subarachnoid hemorrhage.

Liang Liu, Zhilei Huang, Binbin Gui, Lin Xu, Wei Zhang, Yansong Liu, Haowei Luo, Xiangtong Zhang2026-07-12
📄 medicine

Joint Associations of Serum Vitamin D and Physical Activity with Bone Mineral Density and Body Composition in U.S. Adolescents: A Cross-Sectional Study Based on NHANES 2011-2018

This cross-sectional study of U.S. adolescents using NHANES 2011–2018 data reveals that higher serum vitamin D levels are positively associated with better bone mineral density and lean mass while negatively linked to visceral fat, with these beneficial effects being significantly stronger among physically active individuals.

Bingrong Tang¹, Chunxiang Yan¹, Han Xia¹, Min Wang¹, Ji Wu², Xiaobing Feng¹2026-07-12
📄 medicine

Epidemiological Characteristics of Emergency Medical Service Calls in a Large Chinese City: A Retrospective Analysis of 191,730 Prehospital Dispatches in 2024

This retrospective analysis of 191,730 EMS dispatches in a large Chinese city during 2024 reveals that emergency demand is heavily concentrated among older adults and driven by injuries and time-sensitive medical conditions with distinct diurnal and age-related patterns, highlighting the need for optimized staffing, targeted prevention strategies, and the diversion of low-acuity non-emergency transport to dedicated services to improve resource efficiency.

Hao Zou, Guanguan Luo, Cheng Jiang, Jing Wan, Yong Zou, Jian Xia2026-07-11
📄 medicine

Burden, Geographic Variation, and Determinants of High-Risk Fertility Behavior Among Women in Bangladesh: Insights from the BDHS 2022 

Utilizing 2022 BDHS data, this study reveals that approximately 23% of married women in Bangladesh engage in single high-risk fertility behavior and 4% in multiple high-risk behaviors, with significant geographic disparities and distinct socioeconomic determinants such as education, healthcare access, and rural residence influencing these outcomes.

Md Rafi Hasan, Dalia Akter, Md Sabbir Hossain, Md Jamal Uddin2026-07-10
📄 medicine

An interpretable machine learning model to predict postoperative acute kidney injury following pancreatic surgery

This study developed and validated an interpretable Random Forest model using five readily available preoperative and intraoperative variables to accurately predict post-pancreatectomy acute kidney injury, with SHAP analysis identifying intraoperative blood loss as the strongest risk factor.

Zhou Chen, Hanchen Wu, Yifan Wang, Jun Zhang, Bin Song, Zhiyong Guo, Qi Bian2026-07-10
📄 medicine

Identifying symptom clusters in adults with gastrointestinal, breast, uterine, and ovarian advanced cancers in Iran

This longitudinal study of 300 Iranian adults with advanced gastrointestinal, breast, uterine, and ovarian cancers identified five distinct symptom clusters—including digestive, appearance, gastrointestinal, psychological, and core distress groups—using hierarchical clustering on data collected via the Memorial Symptom Assessment Scale to inform comprehensive care strategies.

Mojtaba Miladinia, Shahram Molavynejad, Shahriar Salehi tali, Kiavash Fekri, Rohollah Masumi, Hadi Raeisi Shahraki2026-07-10
📄 medicine

Mental Health Correlates of Alcohol Dependence: A Study of Psychological Distress and Self-esteem in Odisha, India Running Title: Self-Esteem Among Individuals with Alcohol Dependence

This cross-sectional study of 100 patients in Bhubaneswar, India, reveals a high prevalence of psychological distress and low self-esteem among individuals with alcohol dependence, noting a positive correlation between these factors despite a lack of significant association with socio-demographic variables, thereby highlighting the need for integrated psychological interventions in treatment plans.

Ritarani Nayak, Puspanjali Mohapatro, Kabita Puhan, Rubi Pradhan, Itishree Pradhan, Krishna Samantaray2026-07-10
📄 medicine

Multimodal B-Mode and Contrast-Enhanced Ultrasound Radiomics With Two-Stage Supervised Contrastive Representation Learning for Differentiating Benign and Malignant Breast Lesions

This study demonstrates that a multimodal radiomics-based two-stage supervised contrastive representation learning model (Radiomics-TSMCR), which integrates B-mode and contrast-enhanced ultrasound features, achieves superior diagnostic performance in differentiating benign from malignant breast lesions compared to conventional radiomics and fusion methods, while performing comparably to deep learning approaches.

Yuhang Cheng, Zhen Wang, Yang Yang, Jingyi Sha, Jun Li, Ting Ma2026-07-10