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1687 articles

October 202624

Case ReportUrology

Pyelolymphatic backflow demonstrated on computed tomography urography in acute ureteric obstruction.

A man in his early 40s presented with acute right flank pain, vomiting and dysuria. Ultrasonography demonstrated an obstructing right upper ureteric calculus with a contralateral renal calculus.

BMJ Case RepOct 6, 2026Read case
Case ReportHematology

Presumed transdermal superwarfarin toxicity in a pest control worker.

A man in his early 60s presented with dyspnoea and a 2-3 month history of spontaneous mucocutaneous bleeding. Laboratory tests showed unmeasurably elevated INR and activated partial thromboplastin time.

BMJ Case RepOct 6, 2026Read case
Case ReportHematology

Haemophagocytic lymphohistiocytosis triggered by Kikuchi-Fujimoto disease: a diagnostic challenge.

A man in his 40s presented with fever, confusion, a widespread erythematous rash, weight loss, and generalized lymphadenopathy over three weeks.

BMJ Case RepOct 6, 2026Read case
Case ReportOncology (Medical)

Same-day diagnosis and robotic resection of rare primary pulmonary melanoma: a robotic bronchoscopy-guided approach.

A man in his 70s presented with a lingular pulmonary nodule suspicious for non-small cell lung cancer. He underwent robotic navigation bronchoscopy for biopsy, which was followed by robotic-assisted thoracic surgery.

BMJ Case RepOct 6, 2026Read case
Clinical ResearchOncology (Medical)

5-year survival rate and determinants of decreased survival among patients with breast cancer in Africa: a systematic review and meta-analysis.

This systematic review and meta-analysis evaluated the 5-year survival rate of breast cancer patients in Africa, analyzing 55 studies with 19,577 participants. The pooled 5-year survival rate was found to be 40.38%.

BMJ Glob HealthOct 6, 2026Read summary
Clinical ResearchInfectious Diseases

#aware.hiv Europe study: protocol for a stepped-wedge cluster randomised trial of a multimodal hospital-based implementation strategy targeting HIV indicator-condition-guided testing in European hospitals.

The #aware.hiv Europe study is a stepped-wedge cluster randomised trial conducted in 30 hospitals across ten European countries, aiming to improve HIV testing rates among patients with HIV indicator conditions.

BMJ OpenOct 6, 2026Read summary
Clinical ResearchUrology

Immersive 3D vs Physical Simulation in Training Novices for Laser-Based Endourological Procedures: Protocol for a Randomized Controlled Trial.

This randomized controlled trial aims to compare immersive 3D simulation and physical simulation training for novice medical students in endourological laser-based procedures.

JMIR Res ProtocOct 6, 2026Read summary
Clinical ResearchPulmonology

Digital Twin-Assisted Risk Disclosure in Adults Undergoing Elective Bronchoscopy: Multicenter Randomized Controlled Trial.

This multicenter randomized controlled trial evaluated the impact of digital twin-assisted risk disclosure on prebronchoscopy anxiety and postbronchoscopy satisfaction in adults undergoing elective bronchoscopy.

J Med Internet ResOct 6, 2026Read summary
Clinical ResearchPsychiatry

Effectiveness of Chatbots in Mental Health Screening and Assessment: Systematic Review.

This systematic review evaluated the effectiveness of chatbots and AI-based conversational agents for mental health screening and assessment in adults.

JMIR Ment HealthOct 6, 2026Read summary
Clinical ResearchPsychiatry

Reliability of Childhood Autism Rating Scale, Second Edition, Assessments Using Telepsychiatry for Children With Neurodevelopmental Disorders and Their Caregivers: Randomized Feasibility Study.

This randomized feasibility study evaluated the interrater reliability of the Childhood Autism Rating Scale, Second Edition (CARS2) between telepsychiatry and face-to-face assessments in 73 children aged 6 to 17 with…

JMIR Form ResOct 6, 2026Read summary
Clinical ResearchPsychiatry

Australian Digital Mental Health Services for Anxiety and Depression: Meta-Analysis and Comparison Study.

This meta-analysis evaluated the effectiveness and uptake of three Australian digital mental health services (DMHSs) for anxiety and depression. Over 282,000 consumers accessed these services from 2013 to 2021.

JMIR Form ResOct 6, 2026Read summary
Clinical ResearchOncology (Medical)

Efficacy and safety of MEK inhibitors for NF1-associated symptomatic, inoperable plexiform neurofibromas: A systematic review and meta-analysis.

This systematic review and meta-analysis evaluated the efficacy and safety of MEK inhibitors for treating symptomatic, inoperable plexiform neurofibromas in patients with neurofibromatosis type 1 (NF1).

PLoS OneOct 6, 2026Read summary
Case ReportOrthopedic Surgery

A High-Energy Military Femoral Fracture With Multidrug-Resistant Infection: A Case Report.

A 37-year-old military man presented with a high-energy femoral fracture complicated by a multidrug-resistant infection. After multiple debridement procedures and the use of an external fixation device, he underwent…

Am J Case RepOct 6, 2026Read case
Clinical ResearchNeurologyOpen access

A Systematic Review of Stem Cell Secretome-Derived Exosomes for Neuropathic Pain: Therapeutic Mechanisms and Translational Potential.

This systematic review assessed the therapeutic mechanisms and potential of stem cell secretome-derived exosomes for neuropathic pain (NP) in preclinical and clinical studies.

Mol NeurobiolOct 6, 2026Read summary
Clinical ResearchCardiologyOpen access

Comparative efficacy and safety of orally administered PCSK9 inhibitors in patients with Hypercholesterolaemia: a dose-stratified systematic review and network meta-analysis.

This network meta-analysis evaluated the efficacy and safety of orally administered PCSK9 inhibitors in patients with hypercholesterolemia, analyzing five randomized trials with 4,227 participants.

EndocrineOct 6, 2026Read summary
Clinical ResearchNeurosurgeryOpen access

Outcomes after middle meningeal artery embolization using coils alone for chronic subdural hematoma: A systematic review and single-arm meta-analysis.

This systematic review and single-arm meta-analysis evaluated the outcomes of coil-only middle meningeal artery embolization (MMAE) for chronic subdural hematoma (cSDH) in 397 patients across 10 studies.

Neurosurg RevOct 6, 2026Read summary
Clinical ResearchCardiologyOpen access

Ventriculo-arterial coupling in acute heart failure: prognostic and therapeutic insights - a systematic review and meta-analysis of multivariable-adjusted data.

This systematic review and meta-analysis evaluated the prognostic significance of non-invasive ventricular-arterial coupling (VAC) in 36,989 patients hospitalized with acute heart failure (AHF).

Heart Fail RevOct 6, 2026Read summary
Clinical ResearchEndocrinologyOpen access

GLP-1 receptor agonists for obstructive sleep apnea: a meta-analysis of randomized controlled trials.

This meta-analysis of randomized controlled trials evaluated the efficacy and safety of GLP-1 receptor agonists in adults with moderate-to-severe obstructive sleep apnea (OSA).

Sleep BreathOct 6, 2026Read summary
Clinical ResearchGeneral SurgeryOpen access

Early structured rehabilitation following open retromuscular incisional hernia repair: a prospective randomized controlled trial.

This randomized controlled trial evaluated the impact of structured early rehabilitation on functional recovery after open retromuscular incisional hernia repair in 30 adults.

HerniaOct 6, 2026Read summary
Clinical ResearchNeurologyOpen access

TRICALS risk score augments but cannot replace neurofilament as a prognostic biomarker in ALS.

This randomized controlled trial evaluated the TRICALS risk score as a prognostic tool in amyotrophic lateral sclerosis (ALS) using data from the MIROCALS trial (n = 220).

J NeurolOct 6, 2026Read summary
Case ReportHematologyOpen access

Early-onset VEXAS syndrome mimicking orbital cellulitis and successfully treated with allogeneic hematopoietic stem cell transplantation.

A 25-year-old male presented with recurrent fever, weight loss, arthralgia, and symptoms resembling orbital cellulitis. Imaging revealed orbital soft tissue inflammation, while laboratory tests showed macrocytic anemia…

J HematopOct 6, 2026Read case
Clinical ResearchEndocrinologyOpen access

Cardiovascular safety in middle-aged and older men under testosterone replacement therapy: a systematic review and meta-analysis.

This systematic review and meta-analysis evaluated the cardiovascular safety of testosterone replacement therapy (TRT) in middle-aged and older men, analyzing data from 31 randomized-controlled trials involving 9,437…

EndocrineOct 6, 2026Read summary
Clinical ResearchNeurologyOpen access

Associations between duration of status epilepticus and clinical outcomes in adults: a systematic review.

This systematic review examined the relationship between the duration of status epilepticus (SE) and clinical outcomes in adults, analyzing 43 studies.

J NeurolOct 6, 2026Read summary
Case ReportGeneral Surgery

Parenchymal Injury Caused by Complete Migration of a Bone of Japanese Horse Mackerel Within the Pancreatic Uncinate Process Through a Duodenal Diverticulum, Resulting in Sepsis and Multiple Pyogenic Liver Abscesses.

A 79-year-old man developed abdominal pain and fever three days after ingesting grilled Japanese horse mackerel. Imaging revealed a fish bone fully migrated into the pancreatic uncus through a duodenal diverticulum…

Am J Case RepOct 6, 2026Read case

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