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Serum Estradiol/Testosterone ratio as a cost-effective biomarker for early prediction of pre-eclampsia in LMIC settings: A prospective cohort study

This prospective cohort study demonstrates that a first-trimester serum estradiol-to-testosterone ratio of ≤3.92 serves as a cost-effective, independent biomarker for predicting pre-eclampsia in low- and middle-income country settings, offering high sensitivity and a more than five-fold increased risk for affected women.

Farzana Hamid, Lubna Jahan Khan, Ashik Chowdhury, Reefaat Rahman2026-07-25
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Analysis of risk factors for contralateral occult inguinal hernia and construction and validation of a nomogram prediction model

This study identified age, smoking, diabetes mellitus, hernia type, and intra-abdominal hypertension risk factors as independent predictors of contralateral occult inguinal hernia and successfully developed a validated nomogram model to effectively guide early screening and personalized treatment strategies for high-risk patients.

Xigui Tian, Jiaming Lan2026-07-25
📄 other

Challenging the Pediatric Paradigm: Associations Between Outdoor and High-Intensity Activities and Myopia in U.S. Adults and Adolescents

Contrary to the established pediatric "outdoor activity hypothesis," this NHANES-based study of U.S. individuals aged 12 and older reveals that outdoor and high-intensity physical activities are associated with a modestly increased risk of myopia in adults, suggesting that the protective effects of outdoor time observed in children do not extend to adult populations and may be confounded by factors like near-work and education.

hui wang, yajun xue, wenjuan zhuang, xiaojun bi, In-chul Jeon, ying zhou2026-07-25
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Evaluation of Slow-release Mucoadhesive Paste of” MUCODENTOL “in Oral Vestibule on Prophylaxis of Symptoms and Signs of COVID-19 Disease: A triple-blind, randomized clinical trials

In a triple-blind, randomized clinical trial involving 1,624 asymptomatic healthcare workers, the slow-release mucoadhesive paste "Mucodentol" (containing 3% Carvacrol) was found to significantly and progressively reduce the severity of COVID-19 symptoms compared to a placebo over a four-week period.

Sepideh Vahabi, Ali Salehnia, Zahra Abbasi, Ghasem Azimi2026-07-25
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Nested cross-validation reduces optimism in metabolomics-based prediction of immune checkpoint inhibitor outcomes

This study demonstrates that nested cross-validation significantly reduces optimism and provides more reliable performance estimates than single-split holdout or non-nested cross-validation when developing metabolomics-based predictive models for immune checkpoint inhibitor outcomes.

Hirokazu Taguchi, Mirei Shirakashi, Hirotake Tsukamoto, Yuji Miura, Akio Morinobu, Yuki Sugiura2026-07-25
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The Symptom Burden and Hospital Utilization in Patients with Upper Gastrointestinal Cancer Recommended Best Supportive Care – Is There Anything To Improve?

This retrospective study of 355 patients with upper gastrointestinal cancer recommended for best supportive care reveals a high symptom burden, short median survival of 69 days, and frequent hospital admissions, suggesting that structured follow-up could improve outcomes and reduce unplanned care.

Emil Larsson, Björn Wilder, Cecilia Engström, Britt-Marie Iresjö, Helena Taflin, Christina Biörserud, Johanna Wennerblom2026-07-25
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Cost-effectiveness analysis of C-GALAD for early hepatocellular carcinoma screening in HBV-related cirrhotic patients in China

This study demonstrates that C-GALAD is the most cost-effective biomarker-only strategy, and GALAD combined with ultrasound is also cost-effective, for early hepatocellular carcinoma screening in Chinese patients with HBV-related cirrhosis compared to conventional approaches.

Yao Yao, Dunming Xiao, Jingna Sun, Yanhua Yu, Yu Liu, Han Li, Na Li, Xiaoyuan Xu, Calvin Q. Pan, Yujie Cui2026-07-25
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Influence of AI Chatbot Use on Healthcare-Seeking Behavior among Outpatient Clinic Visitors of Two Healthcare Institutions in Northern Cyprus: A Cross-Sectional Study

This cross-sectional study of 2,825 outpatient visitors in Northern Cyprus reveals that while AI chatbots are widely used for health information, particularly by younger individuals, their impact on healthcare-seeking behavior is mixed due to low trust levels and concerns about potential delays in seeking professional medical care.

Ozen Asut, Sanda Cali, Adanze Nge Cynthia, Roya Abdallah Omar Awad, Habibu Shitu Muhammad, Abdulkarim Suleiman Usman, Hu (…)2026-07-25
📄 other

Changes in reticulocyte hemoglobin content (Ret‑He) and serum ferritin (SF) in very preterm infants within the first 14 days after birth

In very preterm infants, serum ferritin levels significantly increase while reticulocyte hemoglobin content remains stable during the first 14 days of life, suggesting that endogenous iron stores are generally sufficient to support hematopoiesis and that routine iron supplementation before day 14 may not be necessary.

Jiangfeng Ou, Yan Wu, Yefang Zhu, Guilin Yang, Gongxue Chen2026-07-25
📄 other

When Is Enough Precedent Enough? A Decision-Responsive Stopping Rule for Regulatory Precedent Research in Target Product Profile and Label Development

This paper proposes a decision-responsive stopping rule for regulatory precedent research that synthesizes Value of Information, saturation, and capture–recapture frameworks to determine when sufficient evidence has been gathered for Target Product Profile and label development, demonstrating through GLP-1 case studies that fixed-volume approaches often lead to premature conclusions while context-aware methods align with the evolving regulatory landscape.

Saman Kay2026-07-25