📄 medicine

Distinct Mortality Risk Patterns of TyG- ABSI and TyG-BMI in Older Adults With Type 2 Diabetes: A Community-Based Cohort Study

在这项针对 54,973 名患有 2 型糖尿病的老年人进行的社区队列研究中,研究发现,尽管 TyG-ABSI 和独立的 TyG 指数均与全因死亡率及心血管死亡率呈强正相关,但 TyG-BMI 指数呈现出独特的 U 型关系,这凸显了 TyG-ABSI 更优越的预测价值,并提示在老年糖尿病人群中使用基于 BMI 的衍生指标时需保持谨慎。

Wenze Hu, Canyan Huang, Juan Dai, Yuanyuan Zhao, Leqi Wang, Yaqiong Yan, Qing Liu2026-07-20
📄 medicine

Clinical Characteristics and Outcomes of Adult Patients Presenting to the Emergency Department After Hanging: An Eight-Year Retrospective Study

这项针对99例成年急诊科悬吊伤患者的八年回顾性研究,确定了入院时心跳骤停、完全悬吊、严重神经功能受损、代谢紊乱以及脑水肿是与住院死亡率相关的关键因素,强调了它们在早期风险分层中的潜在应用价值。

Ahmet Burak Urfalioglu, Mustafa Oguz Tugcan, Akkan Avci2026-07-20
📄 medicine

Prevalence and Association of Adverse Childhood Experiences among People with Substance Use Disorder in Thailand

这项研究表明,在泰国物质使用障碍患者中,不良童年经历非常普遍,并且与高风险的多种物质使用、镇静剂使用及大麻使用显著相关,凸显了该地区对创伤知情药物政策的迫切需求。

Pimarnpol Siriwongwan-ngarm, Wichuda Jiraporncharoen, Chaisiri Angkurawaranon, Patcharin Pingmuangkaew, Unyanee Kitiruan (…)2026-07-20
📄 medicine

Early Plasma Cytokine Profiling Refines Relapse Risk Beyond Interim Pet/Ct in Classical Hodgkin Lymphoma

本研究表明,早期血浆细胞因子谱分析,特别是 IL-6 的动态变化以及 IL-7 与碱性成纤维细胞生长因子(Basic FGF)的综合评分,能够为经典型霍奇金淋巴瘤的复发风险提供显著的预后价值,且即使在达到完全代谢缓解的患者中,也能对中期 PET/CT 反应进行优化与补充。

Laura Gálvez-Carvajal, Jesús Velasco-Suelto, Silvia Sequero-López, Marcos Melián-Sosa, Natividad Martínez-Banaclocha, Ma (…)2026-07-20
📄 medicine

Neuroactive Medication Exposure Across Neonatal Intensive Care Units of a Large, Multistate Healthcare System

这项针对近17,000名新生儿重症监护病房(NICU)婴儿的回顾性队列研究表明,神经活性药物暴露在早产儿和白人婴儿中最为普遍,且在六年间,药物使用模式呈现出向增加右美托咪定和芬太尼等制剂的使用、同时减少对苯二氮卓类药物和巴比妥类药物依赖转变的趋势。

Daley Owens, Timothy Bahr, Ariel Tarrell, Brian Winther, Tara Dupont, Jared Olson, Shelley Lawerence2026-07-20
📄 medicine

Effects of Comprehensive Chest Physiotherapy on Early Peripheral Blood Th17/Treg Immune Balance and Its Association with Key Clinical Outcomes in Postoperative Patients Receiving Mechanical Ventilation in the Surgical Intensive Care Unit: A Prospective, Single-Blind, Randomized Controlled Trial

这项前瞻性、单盲、随机对照试验表明,综合胸部物理治疗能显著抑制术后机械通气患者的 STAT3 信号转导,促进 Th17/Treg 免疫平衡的恢复,并大幅缩短机械通气时间及 ICU 住院时长。

zheng luo, sheng tang, Yang Yang, Yunjing Hou, Yue Wang, Xueling Ren, Keke Kang, Guiying Wu, Yan Gao, Hongying Pi, Hongj (…)2026-07-20
📄 medicine

An Injectable Self-Healing Alginate–Gelatin Hydrogel Incorporating Ag-based Metal-Organic Framework and Diclofenac as Sustained Anti-bacterial and Anti-Inflammatory Therapy for Potential Osteochondral Repair

本研究提出了一种可注射、具有自修复能力的海藻酸钠-明胶水凝胶,该水凝胶通过原位形成的银基金属有机框架纳米颗粒进行增强,用于双氯芬酸的持续协同递送,从而提供一种多功能治疗策略,在对抗感染、减轻炎症并促进软骨下骨修复的同时,最大限度地降低全身毒性。

Amin Hashemi Aghdam, Reza Mohammadi2026-07-20
📄 medicine

Quantifying service pressure in the public oral health system in India and its implications for curative care and public health dentistry

本文引入了服务压力指数(SPI)来量化印度公共口腔卫生系统中实际可用临床能力与需求之间的显著差距,揭示了高服务压力如何迫使医疗模式向症状性治疗转变,并强调了实施预防策略和加强系统建设以确保有效服务交付的紧迫性。

SRINIVAS PACHAVA, HARSHA VARDHAN REDDY NANDYALA, KAVYA SRAVANI JAMMALAMADAKA, UJWALA KUKKALA, SRUJANA BHASHYAM, RAJA SEK (…)2026-07-20