📄 medicine

Plasma proteomic profiling reveals distinct molecular signatures associated with coronary collateral circulation in patients with chronic total occlusion

本研究利用血浆蛋白质组学谱分析来识别独特的分子特征,并开发出一种高准确度的机器学习模型,以有效预测慢性完全闭塞患者的冠状动脉侧支循环状态并进行心血管风险分层。

Yi-Ning yang, Jun-Yi Luo, Peng Ran, Fen Liu, Ya-Jing Qiu, Bin-Bin Fang, Yunzhi Wang, Sha Tian, Xiao-Mei Li, Chen Ding2026-07-02
📄 medicine

Physiological comparison of high-flow oxygen via endotracheal tube and T-piece strategies during spontaneous breathing trials: a randomized crossover study

这项随机交叉研究表明,通过气管插管输送的高流量氧气,特别是配合较小的呼气口和较高的流速时,能够产生有益的压力依赖性生理效应——包括改善肺容量、氧合作用并减轻动态应力——同时保持与拔管后水平相当的吸气努力,使其成为替代 T 签策略进行自主呼吸试验的一种极具前景的选择。

Shan-Shan Xu, Rui-Zhi Zhang, Jun-Tong Liu, Lin Wang, Meng-Xue Hou, Xu An, Ming-Yue Miao, Hong-Liang Li, Yue-Fu Wang, Jia (…)2026-07-02
📄 medicine

Rapid evaluation of risk communication and population acceptance following detections of vaccine-derived poliovirus in wastewater, Germany, 2024–2025

尽管在 2024-2025 年德国废水检测出脊髓灰质炎病毒后,疫苗整体接受度较高,但有限的风险沟通仅实现了中等程度的覆盖范围,且未能填补疫苗接种缺口,尤其是在具有民粹主义政治倾向的家长群体中,该群体表现出较低的信任度和接种率。

Julia Neufeind, Cornelius Rau, Johannes Lemcke, Ole Wichmann, Nora Schmid-Küpke2026-07-02
📄 medicine

Outcomes of Laparoscopic Versus Open Excision of Choledochal Cyst in Preschool-Aged Children: Analysis From a Nationally Representative Database

这项利用全国代表性数据库的研究发现,虽然学龄前儿童胆总管囊肿的腹腔镜切除术与开放式切除术在短期并发症发生率方面相似,但腹腔镜手术在围术期恢复、降低资源利用以及缩短住院时间方面具有更优越的优势。

Maria Grazia Sacco Casamassima, Nadeen Alturki, Janelle R. Noel-MacDonnell, Tolulope A Oyetunji, Shawn D. St. Peter2026-07-02
📄 medicine

Clinicopathological factors associated with brain metastases development among breast cancer patients receiving neoadjuvant chemotherapy

这项针对586例接受新辅助化疗的乳腺癌患者的回顾性研究表明,残留淋巴结受累、炎性乳腺癌以及HER2阳性或三阴性亚型是脑转移发生较早的独立预测因子,提示有必要对这些高风险群体进行针对性的筛查研究。

Jie Wei Zhu, Italo Fernandes, Julia Lopes, Veronika Moravan, William Tran, Katarzyna Jerzak2026-07-02
📄 medicine

Molar Incisor Hypomineralization and Self-perception of Mother's Positive Oral Health - a Comparative Cross-sectional Study

这项比较横断面研究发现,患有磨牙牙本质发育不全(MIH)儿童的母亲,尤其是针对严重病例,其报告的口腔健康积极自我感知低于非 MIH 儿童的母亲,而较高的母亲受教育程度则与更积极的口腔健康自我感知相关。

Letícia Cristine-Silva, Saul Martins Paiva, Jéssica Madeira Bittencourt, Raquel Vieira Vieira-Andrade, Marco Aurelio Ben (…)2026-07-02
📄 medicine

Tetrastigma hemsleyanum protects against sepsis-induced intestinal injury by suppressing TLR4/NF-κB signaling and macrophage polarization

葛根藤(Tetrastigma hemsleyanum)通过调节肠道菌群—巨噬细胞—TLR4/NF-κB轴,从而抑制炎症、促进M2型巨噬细胞极化并修复肠道屏障完整性,进而保护大鼠免受脓毒症诱导的肠损伤。

Lisha Pang, Muhua Dai, Wei Zhang, Jianbiao Meng, Chunlian Ji, Jiayan Li, Jiahua Chi, Mahong Hu, Zhipeng Xu2026-07-02