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2000 articles

October 202624

Clinical ResearchInfectious DiseasesOpen access

Initial HIV Therapy for Adults and Treatment-Associated Weight Gain: The Opti-DOR Randomized Clinical Trial.

The Opti-DOR open-label, noninferiority randomized trial compared two initial antiretroviral regimens in 600 ART-naive adults at two South African sites; 99.5% of participants were Black African.

JAMAOct 20, 2026Read summary
Case ReportInfectious DiseasesOpen access

Clinical Recovery Following Conservative Management of a Large Presumed Brain Abscess with a Concomitant Streptococcus intermedius Lung Abscess in a Severely Malnourished Young Adult in a Resource-Limited Setting: A Case Report.

A severely malnourished 22-year-old man presented with progressive left-sided weakness after weeks of productive cough, fever, and weight loss. Examination showed impaired consciousness and flaccid hemiplegia.

Int Med Case Rep JOct 19, 2026Read case
Clinical ResearchOrthopedic Surgery

Clinical and functional outcomes of aquatic plyometrics in adolescent patellofemoral pain syndrome: a dual-arm randomized controlled trial.

This dual-arm randomized controlled trial compared aquatic plyometric exercises with conventional exercises in 56 adolescents aged 10–18 years with patellofemoral pain syndrome.

J Rehabil MedOct 19, 2026Read summary
Case ReportNeurologyOpen access

Cerebrospinal fluid positive for SARS-CoV-2 associated with neurological manifestations and proteome alterations in a multiple myeloma patient.

A 67-year-old woman with multiple myeloma and recent exposure to a person with COVID-19 developed rapidly progressive dysarthria, dysphagia, and hypoesthesia without respiratory symptoms.

Neurol SciOct 19, 2026Read case
Clinical ResearchGeneral SurgeryOpen access

Tranexamic acid in laparoscopic sleeve gastrectomy: bleeding control amid thrombotic concerns and hemodynamic instability: a randomized double-blinded clinical trial.

This randomized, double-blinded clinical trial assessed tranexamic acid (TXA) for perioperative bleeding prevention in 185 patients with morbid obesity undergoing elective laparoscopic sleeve gastrectomy.

Acta Cir BrasOct 19, 2026Read summary
Case ReportDermatology

Oral mucous membrane pemphigoid as a window to systemic autoimmunity: two cases associated with rheumatoid arthritis and Sjögren's disease.

Two women presented with oral mucous membrane pemphigoid (MMP) in the setting of systemic autoimmunity. A 68-year-old woman with longstanding rheumatoid arthritis had recurrent oral ulcerations confirmed as MMP on…

Einstein (Sao Paulo)Oct 19, 2026Read case
Clinical ResearchCardiology

Safety and effectiveness of the Vertex Pulmonary Embolectomy System in acute intermediate-risk pulmonary embolism: the SPIRARE II pivotal trial.

SPIRARE II was a prospective, single-arm, multicentre pivotal trial evaluating the Vertex Pulmonary Embolectomy System for aspiration thrombectomy in patients with acute intermediate-risk pulmonary embolism.

EuroInterventionOct 19, 2026Read summary
Case ReportCardiothoracic Surgery

Robotic resection of cardiac papillary fibroelastoma guided by three-dimensional transesophageal echocardiography: a case report.

A patient was diagnosed with a papillary fibroelastoma involving the mitral valve. Three-dimensional transesophageal echocardiography (3D TEE) was used to characterize the suspected lesion and assess its anatomy…

Einstein (Sao Paulo)Oct 19, 2026Read case
Clinical ResearchPhysical Medicine & Rehabilitation

Loop Taping for Heel Fat Pad Syndrome: A Crossover Pilot Randomized Controlled Trial.

This two-period crossover pilot randomized controlled trial assessed loop taping in adults with heel fat pad syndrome, comparing it with control taping in randomized order.

J Foot Ankle ResOct 19, 2026Read summary
Clinical ResearchGastroenterology

Effects of the GnRH agonist leuprorelin on liver volume in premenopausal women with severe polycystic liver disease.

This prospective, open-label randomized trial evaluated leuprorelin in premenopausal women aged 18–45 years with severe polycystic liver disease (PLD).

Hepatol CommunOct 19, 2026Read summary
Clinical ResearchNeurosurgeryOpen access

Comparison of outcomes after direct extracranial-to-intracranial bypass for moyamoya disease and non-moyamoya pathology: A systematic review and meta-analysis.

This systematic review and meta-analysis compared direct extracranial-to-intracranial (EC-IC) bypass outcomes in adults with moyamoya disease or syndrome (MMD) versus non-moyamoya steno-occlusive disease, mainly…

Neurosurg RevOct 19, 2026Read summary
Clinical ResearchPreventive Medicine / Public Health

Walnut consumption improves mood and is associated with increased urinary excretion of 5-hydroxyindoleacetic acid and urolithins in a randomized crossover trial.

This 18-week open-label randomized crossover trial assessed whether daily walnut consumption affected mood and urinary metabolites in 31 healthy young adults.

Food FunctOct 19, 2026Read summary
Clinical ResearchNeurology

Association of dietary choline intake with cognitive decline and related outcomes: a systematic review and dose-response meta-analysis of observational studies.

This systematic review and dose-response meta-analysis examined observational evidence on dietary choline intake and cognitive decline or related outcomes.

Food FunctOct 19, 2026Read summary
Clinical ResearchInfectious Diseases

Evaluating the impact of conditional micro-incentives on linkage to HIV care in rural South Africa: results from the Home-Based Intervention to Test and Start (HITS) trial.

The HITS real-world randomized trial assessed whether conditional food vouchers improved linkage to HIV care after home-based testing in rural KwaZulu-Natal, South Africa.

Health Policy PlanOct 19, 2026Read summary
Clinical ResearchNeurology

Daily consumption of unsalted, skin-roasted peanuts beneficially affects regional brain insulin responsiveness in older adults: results of a longer-term randomized controlled trial.

This randomized, single-blind, controlled crossover trial examined whether peanut intake altered brain insulin responsiveness in 31 older adults (67 ± 4 years).

Food FunctOct 19, 2026Read summary
Clinical ResearchNeurologyOpen access

Efficacy and safety of tolebrutinib in multiple sclerosis: a systematic review and meta-analysis.

This systematic review and meta-analysis assessed tolebrutinib’s efficacy and safety in multiple sclerosis, drawing on four publications covering four randomised controlled trials and one long-term extension study.

Neurol SciOct 19, 2026Read summary
Case ReportRadiology (Diagnostic)

Contrast-Enhanced Ultrasound Combined With Biopsy for the Preoperative Diagnosis of a Rare Pelvic Schwannoma: A Case Report.

A 66-year-old man with dysuria and lumbago had a large mixed cystic-solid pelvic mass. Conventional ultrasound showed limited Doppler flow; contrast-enhanced ultrasound (CEUS) demonstrated progressive…

Am J Case RepOct 19, 2026Read case
Case ReportNeurologyOpen access

Delayed diagnosis of cerebrotendinous xanthomatosis with progressive neurological involvement: a case report.

A 34-year-old man with genetically confirmed cerebrotendinous xanthomatosis presented with progressive gait instability, dysarthria, dysphagia, and cognitive impairment.

Neurol SciOct 19, 2026Read case
Clinical ResearchOphthalmology

Cost-effectiveness of monotherapy and combination therapy for myopia control in Chinese children.

This network meta-analysis and decision-analytic Markov model assessed the cost-effectiveness of 16 myopia-control strategies for Chinese children and adolescents, modelling eight-year-old children over eight years.

J Glob HealthOct 19, 2026Read summary
Clinical ResearchPediatrics

Effectiveness of digital educational technologies in knowledge acquisition for adolescent health promotion: a systematic review.

This systematic review assessed whether digital educational technologies improve health-promotion knowledge among adolescents.

Rev Gaucha EnfermOct 19, 2026Read summary
Clinical ResearchPsychiatry

Characterizing Behavioral Engagement in Smartphone Cognitive Behavioral Therapy for Obsessive Compulsive Disorder: Secondary Analysis of a Randomized Controlled Trial.

This exploratory secondary analysis of a 12-week randomized controlled trial examined behavioral engagement with smartphone cognitive behavioral therapy for obsessive compulsive disorder (OCD) in 60 participants.

JMIR Form ResOct 19, 2026Read summary
Clinical ResearchInfectious Diseases

A process evaluation of community-led distribution of HIV self-testing kits in rural communities in Zimbabwe.

This process evaluation examined community-led HIV self-testing (HIVST) distribution in rural Zimbabwe, within the community-led arm of a cluster-randomized trial comparing it with paid, community-based distribution.

Health Policy PlanOct 19, 2026Read summary
Clinical ResearchPediatricsOpen access

Paediatric Helicobacter pylori infection and allergic and inflammatory diseases: a contemporary systematic review with meta-analysis.

This systematic review and meta-analysis assessed recent evidence on Helicobacter pylori infection and allergic or immune-mediated diseases in children.

Eur J PediatrOct 19, 2026Read summary
Clinical ResearchPsychiatry

The effectiveness of meaning-based interventions in reducing suicide-related vulnerability: A systematic review.

This systematic review examined whether meaning-based interventions affect suicide-related outcomes and how their effects may operate.

Palliat Support CareOct 19, 2026Read summary

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