A European expert project has produced practical guidance for adult-onset IgA vasculitis, but the review found major gaps in evidence for treatment and long-term kidney care.
Adults assessed after ACL reconstruction had poorer operated-limb proprioception and dynamic balance than healthy controls, while muscle-activity differences did not remain significant after correction.
An analysis of 96 fatal pediatric traumatic brain injury cases found that traffic accidents involved mainly adolescents, while abusive head trauma was concentrated in children aged two or younger.
In 65 adults using the MiniMed 780G system, mean infusion-set wear rose to 6.1 days after the switch, while only 48.3% maintained the full seven-day duration at six months.
An analysis of public tissue gene-expression data found overlapping aging-related signals in periodontitis and rheumatoid arthritis, alongside similar immune-cell patterns.
A survey of healthcare professionals highlights organizational and patient-facing barriers to delivering prehabilitation for people with pancreatic cancer.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer3 min read
Patients carefully chose family caregivers for a web-based support programme, linking the decision to caregiver burden and hopes for difficult conversations.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer4 min read
Orange-peel-mediated zinc oxide nanoparticles showed activity against selected microbial isolates and cancer cell lines in laboratory assays. The findings do not establish treatment efficacy or safety in people.
An automated fluorescence video system detected D. immitis microfilariae more often than a manual wet mount in diluted blood, but the evidence came from one infected donor and one uninfected animal.
In 1,198 non-shockable out-of-hospital cardiac arrests, 13.9% had any documented return of spontaneous circulation and 12.2% maintained it through EMS care. Witnessed arrests and PEA were associated with higher odds in adjusted models, while the study could not establish cause and effect.
International journal of emergency medicine4 min read
A multidisciplinary expert consensus recommends finerenone for selected older adults with chronic kidney disease and albuminuria, while urging individualized monitoring and caution about gaps in evidence.
Compound 2 reacted less with an 8mer DNA model than Compound 1, DDP and OxPt, but limited mass-spectrometry evidence could not establish where it attached or whether the pattern would hold in living systems.
In 66 recordings from 22 children, scalp high-frequency oscillations were more common in hypsarrhythmia groups and occurred at higher rates than in IED groups. The authors say the measures may complement EEG assessment, but are not ready to stand alone.
Researchers found several ovarian changes in female rats given environmentally relevant naproxen exposure, alone or in a chemical mixture. The results raise a reproductive-risk question without establishing human effects.
Clinical and experimental reproductive medicine4 min read
A study found higher TRIM59 expression in bladder cancer tissues and cell lines, with links to advanced clinical features and shorter survival. Experiments connected TRIM59 to PTRF protein turnover and cancer-cell growth and invasion, but did not test treatment response.
A narrative review maps standard care and newer therapies for discoid lupus erythematosus, finding the clearest reported skin signals with anifrolumab and enpatoran while highlighting gaps in DLE-specific and long-term evidence.
In patients with newly diagnosed non-muscle-invasive bladder cancer, higher fruit and vegetable intake three months after diagnosis was associated with a lower hazard of a first recurrence. The study found no clear overall association with progression or carotenoid levels.
A mouse study with human colorectal cancer data points to a macrophage PABPC4-SPP1 pathway linked to tumor growth and immune suppression, but it does not test a treatment in patients.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)4 min read
A preclinical rat study found that a bacteria-loaded hydrogel improved implantation and tissue repair while shifting immune and uterine microbial markers toward sham-operated animals.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)4 min read
A laboratory study found that hip-specific DXA and newer measures of bone quality were strongly associated with the force needed to pull screws from cadaveric femurs.
Alpha-synuclein showed properties consistent with small, micelle-like assemblies in low-salt laboratory conditions, while higher salt was linked to larger clusters, condensates and some fibrils over time.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)4 min read
Fatty pancreas was present in 8 of 22 patients with pancreatic neoplastic cystic lesions, but the study found no statistically significant overall difference from matched controls.
The findings point to endosomal acidity, the pH inside cell compartments called endosomes, as a possible way to influence harmful microglial activity after stroke. The evidence remains preclinical and does not establish a treatment for people.
Advanced science (Weinheim, Baden-Wurttemberg, Germany)5 min read
A Seoul analysis of daily health-service counts for people under 19 found that ambient VOC mixtures were associated with higher outpatient visits and hospital admissions for atopic dermatitis and asthma. Toluene carried the highest mixture weight for both outcomes, while scenario-based burden estimates depended on a hypothetical lower-exposure benchmark.
Journal of exposure science & environmental epidemiology3 min read
An analysis of non-contrast CT scans found distinct radiomic patterns in subcutaneous and visceral abdominal fat. Total abdominal fat radiomics improved detection of coronary calcification beyond total fat area, but the cross-sectional findings do not establish cause or clinical benefit.
Among people with hypertension, esaxerenone was associated with fewer cardiovascular events than spironolactone, with the gap concentrated in heart failure and atrial fibrillation.
A retrospective study of 611 patients reports a mean AUC of 0.975 and higher attention scores in physician-annotated regions, while clinical benefit remains untested.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery4 min read
In a retrospective study, ultrasound measures were associated with previous enlargement among small ACR TI-RADS 5 thyroid nodules, while the predictive model still needs prospective testing.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery4 min read
The report describes outcomes after transoral CO₂ laser modified posterior cordotomy in women with post-thyroidectomy bilateral vocal fold paralysis, but it cannot establish causation.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery3 min read
A study of 402 shelter dogs in Albuquerque found different Dirofilaria immitis antigen counts before and after a heat-based serum treatment. Four dogs tested positive before immune complex dissociation, and 14 did afterward, while a molecular test detected no microfilariae DNA.
In 56 patients with F2–F3 esophagogastric varices, rebleeding was more common and variceal remission less frequent in groups with more severe EUS-defined vascular abnormalities. The retrospective findings suggest a possible risk-stratification tool, but they do not show that using it to choose treatment improves outcomes.
Among 2,604 cancer survivors transitioned to primary care, 440 later had an oncology visit, and recurrence or new disease was detected in 4.8% of the full cohort.
Journal of cancer survivorship : research and practice3 min read
Among 106 peer surgeons, 50 adopted robotics, while high-volume index adopters were associated with lower peer adoption across seven analytical approaches.
A cohort analysis of 6,793 Chinese adults found associations between reported cognitive problems, frailty progression and subsequent all-cause mortality, with larger estimates when self- and interviewer-reported problems were combined.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology4 min read
Researchers reported distinct craniofacial skeletal and masticatory-muscle patterns between patients with dislocation/subluxation and internal derangement, along with several muscle-bone correlations.
A trial of 36 healthy patients found lower self-reported pain with a 20% benzocaine patch than gel for cheek-side and palate-side injections, but observer-rated buccal pain did not differ significantly.
A study of 395 adults treated for distal femur fractures found similar rates of later same-side hip fracture whether surgeons added a prophylactic femoral neck screw or not. Only six fractures occurred, and differences between the groups mean the findings cannot settle whether the added fixation is protective.
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie3 min read