- The need for adaptive laparoscopic training, depending on conventional and robotic procedures. Evidence from an experimental profiling study. [Journal Article]Surg Endosc. 2026 Sep 28. [Online ahead of print]SE
- CONCLUSIONS: Surgical training outcomes differ significantly between conventional and robotic laparoscopy. Conventional laparoscopy supports faster learning, with a good start performance strongly influencing training success, whereas good robotic start performance correlated with slower learning. Different individual factors influenced effective training of surgical skills according to the surgical method and prior experience and skills level, suggesting tailored training curricula.
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- "The Surgical Nasoalveolar Molding (SNAM) for Unilateral Cleft Lip Nose and Palate Repair". [Journal Article]J Craniofac Surg. 2026 Sep 28. [Online ahead of print]JC
- CONCLUSIONS: Surgical techniques based on the surgical nasoalveolar molding principle proposed by the author are an alternative for the treatment of the nasal deformity associated with the unilateral cleft lip and palate. These results should be confirmed with a longer follow-up period and experimental studies.
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- Phenotype-associated immune-hematological profiles in men undergoing semen analysis: a real-world laboratory study. [Journal Article]Arch Ital Urol Androl. 2026 Sep 25; 98(3):15826.AI
- Male reproductive dysfunction reflects the interaction of endocrine, metabolic, genetic, environmental, oxidative, and immune-related factors. Although semen analysis remains the principal laboratory assessment, it is largely descriptive and provides limited insight into the systemic biological context in which semen abnormalities arise. Complete blood count (CBC)-derived inflammatory indices may…
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- Development and Validation of a Competency-Based OSCE Model in Undergraduate Periodontology Using Messick's Framework. [Journal Article]J Dent Educ. 2026 Sep 28. [Online ahead of print]JD
- CONCLUSIONS: The present OSCE assessment tool, demonstrated favorable evidence across content validity, response process, and internal structure, along with high acceptability and perceived educational relevance. Further studies incorporating objective performance outcomes, external validation measures, and longitudinal evaluation are needed to establish its broader educational impact.
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- Vitamin D Status, Supplementation and Radiographic Healing in Pediatric Both-Bone Forearm Fractures: A Prospective Controlled Study. [Journal Article]J Pediatr Orthop. 2026 Sep 28. [Online ahead of print]JP
- CONCLUSIONS: Vitamin D status appears to influence fracture healing progression in pediatric forearm fractures. Lower vitamin D levels were associated with delayed radiographic healing, while higher-dose supplementation was associated with more favorable healing outcomes. Early identification and correction of vitamin D deficiency may represent a potentially modifiable factor in optimizing pediatric fracture healing.
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- System-Level Reduction in Anesthetic Greenhouse Gas Emissions: Central Nitrous Oxide Deactivation, Clinical Decision Support, and Secular Change in a Multicenter Interrupted Time-Series Study. [Journal Article]Anesth Analg. 2026 Sep 28. [Online ahead of print]A&A
- CONCLUSIONS: Central N2O pipeline deactivation was associated with the largest reduction in the N2O-attributable hourly CO2e emission rate; the association with total emissions in the primary model was not statistically significant (P = .069). Concurrent secular declines in N2O and desflurane use contributed additionally, whereas the clinical decision support Advisory was associated with a modest but statistically significant reduction in FGF rate and total hourly CO2e emission rate. These findings support the 2024 American Society of Anesthesiologists recommendation to deactivate centrally piped N2O to reduce health care emissions.
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- Limited evidence for reduced learning rate adaptation in anxious-depression, before or after treatment. [Randomized Controlled Trial]Psychol Med. 2026 Sep 28; 56:e302.PM
- CONCLUSIONS: Overall, our results suggest that associations between learning rate adaptation and anxious-depression, if present, are likely modest, depend on task characteristics, may not be present in treatment-seeking adults, and do not improve following treatment.
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- A kynurenine immune-metabolic subtype of depression defined by childhood maltreatment and IDO2: Evidence from multi-omics profiling. [Journal Article]Psychol Med. 2026 Sep 28; 56:e300.PM
- CONCLUSIONS: CM interacting with IDO2 genotype defines a biologically distinct MDD subtype characterized by poor antidepressant response and convergent multi-omics evidence of KP bias toward neurotoxic metabolism. These findings support a stratification strategy and highlight the KP as a potential target for precision treatment in depression.
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- Institutional Volume and County-Level Socioeconomic Characteristics in Transcatheter Aortic Valve Replacement Outcomes. [Journal Article]J Am Coll Surg. 2026 Sep 28. [Online ahead of print]JA
- CONCLUSIONS: Institutional TAVR procedural volume was the most reproducible correlate of favorable short-term outcomes, particularly stroke, whereas county-level socioeconomic and demographic characteristics demonstrated limited, model-dependent associations. These ecological findings do not exclude patient-level disparities and support further investigation of care-delivery characteristics associated with experienced TAVR centers.
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- Clinical coders' work engagement under China's healthcare payment reform: A cross-sectional study. [Journal Article]Health Inf Manag. 2026 Sep 28; :18333583261476770. [Online ahead of print]HI
- CONCLUSIONS: Clinical coders in China demonstrated moderate-to-low work engagement, shaped primarily by objective career development conditions, along with their perceived software support and organizational support.Implications for health information management practice:Enhancing work engagement requires managerial focus on continuing education, software usability, and perceived leadership support.
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- Barriers and facilitators to physical activity engagement among chronic brain injury survivors: A qualitative exploration. [Journal Article]Physiother Theory Pract. 2026 Sep 28; :1-13. [Online ahead of print]PT
- CONCLUSIONS: The study results illuminate the unique barriers and facilitators survivors of CBIs experience, informing the design of rehabilitation programs tailored to their individualized needs. As a next step, we propose that virtual exercise programming might be a promising avenue through which to increase access, enhance facilitators, and mitigate barriers to PA for this special population.
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- National Atlas of Surgeon Supply Across Specialty and Geographic Area. [Journal Article]J Am Coll Surg. 2026 Sep 28. [Online ahead of print]JA
- CONCLUSIONS: Surgeon availability varies substantially by specialty and geographic unit, and aggregate workforce counts may mask communities and healthcare facilities without locally identified surgeons. These data provide a national framework for geographically targeted workforce planning; future benchmarks should incorporate population need, surgical capability, and appropriate regionalization.
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- Current Evidence for Integrating Mass Spectrometry into Clinical M-Protein Assessment in Plasma Cell Dyscrasias. [Journal Article]Clin Chem. 2026 Sep 28. [Online ahead of print]CC
- CONCLUSIONS: MS-based M-protein detection represents a clinically meaningful advancement in plasma cell dyscrasias. Prospective studies with standardized work flows and direct comparison to bone marrow assays and functional imaging are required before full integration into updated response criteria.
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- Reducing suicidal ideation through protective media content in India: randomised controlled trial. [Journal Article]Br J Psychiatry. 2026 Sep 28; :1-8. [Online ahead of print]BJ
- CONCLUSIONS: Exposure to educative print media articles can result in small improvements in suicidal ideation that would represent a substantial population-level impact.
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- Effect of pharmacological treatment of attention-deficit hyperactivity disorder on academic performance: registry-based population study. [Journal Article]Br J Psychiatry. 2026 Sep 28; :1-8. [Online ahead of print]BJ
- CONCLUSIONS: For children and adolescents on the margin of pharmacological treatment for ADHD, we found no causal effect of pharmacological treatment on any of our measures of academic performance. Although further research is needed, this finding should be considered in the context of clinical decision-making and treatment planning.
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