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Clinical Updates

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Emergency Medicine

Enhancing Opioid Use Disorder Detection in Emergency Departments: Comparing Structured Phenotypes and Large Language Models

This study compares a rule-based computable phenotype with a large language model for detecting opioid use disorder in emergency department records, highlighting strengths in sensitivity and specificity for each method and implications for

Nov 7, 2026
Internal Medicine

Impact of Admission Dysphagia Screening on Reducing Hospital-Acquired Aspiration Pneumonia in General Wards: Insights from a Large Retrospective Cohort Study

Admission dysphagia screening using a nurse-led protocol was associated with a significant reduction in hospital-acquired aspiration pneumonia among general ward patients, highlighting its role in preventative hospital care.

Nov 7, 2026
Hematology-Oncology

Unraveling the SRSF1-LCK Splicing Axis: A Novel Mechanism Underlying Regulatory T-Cell Impairment in Immune Thrombocytopenia

Reduced expression of splicing factor SRSF1 disrupts LCK exon 8 inclusion, impairing TCR signaling and regulatory T-cell induction, thereby contributing to immune dysregulation in immune thrombocytopenia.

Nov 7, 2026
Respiratory

Respiratory Effort During Sleep as a New Prognostic Indicator in Suspected Obstructive Sleep Apnea

In patients with suspected obstructive sleep apnea, increased respiratory effort measured by negative esophageal pressure during sleep independently predicts long-term mortality beyond traditional markers, underscoring its clinical importan

Nov 7, 2026
Ophthalmology

Polygenic Risk Impact on Lifetime Risk and Prognosis of Glaucoma: Clinical Insights and Future Applications

This review synthesizes recent evidence demonstrating that glaucoma polygenic risk scores (PRS) enhance risk stratification and prognosis, outperforming family history, and supporting PRS-guided screening and management interventions.

Nov 7, 2026
Diabetes & Endocrinology

Preserving Parathyroid Function: Comparing Postoperative Hypocalcemia in Total Versus Completion Thyroidectomy

Completion thyroidectomy performed after an interval shows superior parathyroid preservation and lower postoperative hypocalcemia risk compared to initial total thyroidectomy, supporting a staged surgical approach for optimized safety.

Nov 7, 2026
OB/GYN & Women's Health

Noninferiority of Periurethral vs Intravaginal Estrogen Application in Preventing Recurrent Urinary Tract Infections in Postmenopausal Women

This randomized trial demonstrates that periurethral estradiol cream application is noninferior to intravaginal application for preventing recurrent urinary tract infections in postmenopausal individuals, with comparable efficacy and improv

Nov 7, 2026
Gastroenterology

Intravenous Albumin Post-Outpatient Paracentesis Lowers AKI Hospitalization Risk in Cirrhosis: Insights from a National Cohort Study

This national cohort study reveals that intravenous albumin administration after outpatient paracentesis significantly reduces hospitalization rates for acute kidney injury, especially in cirrhotic patients with impaired renal function.

Nov 7, 2026
Neurology

Cenobamate in Focal-Onset Refractory and Super-Refractory Status Epilepticus: A Multicenter Cohort Study With Matched Analysis

This multicenter study shows cenobamate is effective and safe as adjunctive therapy for refractory focal-onset status epilepticus, improving seizure control and outcomes.

Nov 7, 2026
Diabetes & Endocrinology

Efficacy and Safety of Oral Orforglipron in Japanese Adults with Obesity Disease: Insights from the ATTAIN-J Phase 3 Trial

The ATTAIN-J trial demonstrated that once-daily oral orforglipron significantly reduced bodyweight with a favorable safety profile in Japanese adults with obesity disease, aligning with global findings on GLP-1 receptor agonists.

Nov 7, 2026
Cardiology

Transcatheter Aortic Valve Replacement in Severe Pure Aortic Regurgitation: Insights from the SEASON-AR Randomized Trial

This article reviews the SEASON-AR trial demonstrating that TAVR plus medical therapy significantly reduces death, disabling stroke, and heart failure rehospitalization at one year compared to medical therapy alone in high-risk patients wit

Nov 7, 2026
Oncology

FGFR Alterations in Bladder Cancer: From Molecular Pathogenesis to Precision Oncology

FGFR alterations, especially in FGFR3 and FGFR2, are pivotal biomarkers in urothelial carcinoma, advancing personalized diagnosis, treatment, and monitoring across disease stages. Emerging molecular diagnostics and targeted therapies promis

Nov 7, 2026
Cardiology

Unlocking the Variability in Cardiopulmonary Exercise Testing: Impact of Prediction Equations on Exercise Capacity Classification

Different cardiopulmonary exercise testing prediction equations yield widely variable percent-predicted values for peak oxygen uptake, leading to frequent reclassification of exercise performance influenced mainly by body mass index, age, a

Nov 7, 2026
Psychiatry

Persistent Pain and Pruritus in Burn Survivors: Long-Term Outcomes and PTSD as a Key Predictor

This prospective multicenter study highlights the persistence of chronic pain and pruritus up to one year after burn injury and identifies PTSD symptoms as a significant risk factor, underscoring the need for integrated psychosomatic rehabi

Nov 7, 2026
Dentistry

Porphyromonas gingivalis-Induced NETs: A Bridge Between Periodontitis and Alzheimer’s Disease via TLR4 Activation

This study elucidates how Porphyromonas gingivalis-induced neutrophil extracellular traps (NETs) contribute to neuroinflammation and cognitive impairment through TLR4 activation, revealing a mechanistic link between periodontitis and Alzhei

Nov 7, 2026
OB/GYN & Women's Health

IVF versus IUI in Unexplained Infertility: Evaluating Efficacy and Safety in a Multicenter RCT

A landmark multicenter randomized trial reveals that first-line IVF yields higher live-birth rates than IUI with ovarian stimulation in unexplained infertility, with cumulative outcomes equalized after subsequent cycles.

Nov 7, 2026
Internal Medicine

Advancing Diagnosis in Metabolic Dysfunction-Associated Steatotic Liver Disease: Insights from the LITMUS Multicentre Study

The LITMUS study evaluates non-invasive biomarkers for diagnosing metabolic dysfunction-associated steatotic liver disease, highlighting proteomic panels’ promise in detecting at-risk steatohepatitis and fibrosis stages, potentially r

Nov 6, 2026
Critical Care

Reducing Post-PICU Acute Care through Early Primary Care Follow-Up: Evidence from Pediatric Hospitalizations

Early primary care follow-up within 7 days after pediatric ICU discharge is significantly associated with reduced acute care use, including emergency visits and rehospitalizations, highlighting a critical opportunity to improve post-critica

Nov 6, 2026
Rheumatology

Targeting IL-4 Receptor-α in Localised Scleroderma: Promising Phase 2 Evidence for Fibrosis Modulation

This phase 2 randomized trial demonstrates that IL-4-receptor-α blockade with dupilumab significantly improves clinical outcomes and reduces fibrosis-associated inflammation and gene signatures in localised scleroderma, supporting a novel t

Nov 6, 2026
OB/GYN & Women's Health

Optimizing Outcomes in Uterus Transplantation: Comprehensive Living Donor Evaluation from the Dallas Program

This article reviews the Dallas Uterus Transplant Program’s rigorous living donor evaluation process, highlighting its critical role in optimizing donor safety and recipient success in uterus transplantation.

Nov 6, 2026
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    Physical Activity Trajectories Before and After Cardiovascular Disease: Insights from the CARDIA Study

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