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1. Diabetes Mellitus and Early Antiplatelet Treatment for Minor Stroke Following Intravenous Thrombolysis: Prespecified Secondary Analysis of the EAST Trial. [Diabetes Mellitus]
Diabetes, obesity & metabolism | 2026-04-07 | IF 5.4
AI对于有糖尿病史的静脉溶栓后轻度卒中患者,早期启动双联抗血小板治疗可能改善90天功能预后,但需谨慎解读并等待更大样本验证。
摘要Early dual antiplatelet therapy (DAPT) after intravenous thrombolysis is safe but ineffective in improving 90-day functional outcomes in minor stroke. Given the effect of diabetes mellitus (DM) with antiplatelet treatment, we investigated whether DM status modifies the effect of early DAPT.
This secondary analysis of the Early Antiplatelet for Minor Stroke following Thrombolysis trial included pat...查看完整摘要
2. Impact of Real Time, Flash and Retrospective Continuous Glucose Monitoring on Feto-Maternal Outcomes in Women With Gestational Diabetes and Pre-Gestational Diabetes: A Systematic Review and Meta-Analysis With Trial Sequential Analysis of Randomized Controlled Trials. [Diabetes Mellitus]
Diabetes, obesity & metabolism | 2026-04-07 | IF 5.4
AI对于GDM患者,实时CGM可能降低新生儿NICU入院风险,但现有证据信息量仍不足,临床决策需权衡利弊并期待更多高质量研究。
摘要Prior systematic reviews and meta-analyses (SRMs) evaluating continuous glucose monitoring (CGM) in pregnancy have yielded heterogeneous results due to pooling gestational diabetes mellitus (GDM) with pregestational diabetes, combining different CGM technologies (real-time, flash and retrospective) and mixing randomized controlled trials (RCTs) with observational designs. Several large RCTs have r...查看完整摘要
3. Interrelationship Between Baseline HbA1c, SGLT-2 Inhibitor Use and Risk of Diabetic Ketoacidosis in Adults With Type 2 Diabetes: A Systematic Review and Meta-Analysis. [Diabetic Ketoacidosis]
Diabetes, obesity & metabolism | 2026-04-07 | IF 5.4
AI对于基线HbA1c较高的2型糖尿病患者,启动SGLT-2i治疗时应密切监测酮体和代谢状态,权衡心血管获益与DKA潜在风险。
摘要There is ongoing uncertainty about whether initiating sodium-glucose co-transporter 2 inhibitor (SGLT-2i) therapy in individuals with type 2 diabetes (T2D) who have elevated baseline HbA1c levels may lead to an additive or potentially synergistic increase in the risk of diabetic ketoacidosis (DKA). This systematic review and meta-analysis aimed to investigate the interrelationship between baseline...查看完整摘要
4. Out-of-Pocket Spending for Insulin by Medicare Beneficiaries After Monthly Caps. [Hypoglycemia]
JAMA internal medicine | 2026-04-06 | IF 22.5
AI胰岛素自付费用封顶政策在降低患者经济负担的同时显著改善了血糖控制,提示降低用药成本可有效提升慢性病患者用药依从性。
摘要In Medicare, out-of-pocket spending for insulin was capped at $35 per month for some patients in 2021 and for all patients in 2023. However, independent evaluations of the federal cap and clinical outcomes are lacking.
To measure changes in patient spending, insulin use, and health outcomes associated with the $35 monthly insulin out-of-pocket cap.
This cohort study used an interrupted time-series...查看完整摘要
5. Automated Insulin Delivery Systems in Type 2 Diabetes Mellitus: A Systematic Review and Meta-analysis. [Diabetes Mellitus]
Diabetes care | 2026-04-06 | IF 14.8
AIAID系统可显著改善2型糖尿病患者的血糖控制(HbA1c降低1.27%,TIR提升16%),同时减少低血糖风险,为需胰岛素治疗的2型糖尿病患者提供了安全有效的新治疗选择。
摘要Automated insulin delivery (AID) systems are the standard of care in type 1 diabetes. Recent studies suggest benefits of these systems for people with type 2 diabetes, as well.
To evaluate the effects of AID systems on glycemic outcomes in people with type 2 diabetes requiring insulin.
The PubMed, Embase, Cochrane Library, and ClinicalTrials.gov databases were searched through 10 March 2025. This ...查看完整摘要
6. The anti-obesogenic metabolite, Lac-Phe, is elevated by metformin treatment in prostate cancer patients. [Melanoma]
EMBO molecular medicine | 2026-04-06 | IF 9.0
AI二甲双胍可能通过升高Lac-Phe水平,为前列腺癌患者提供代谢益处,支持其在肿瘤学领域的再利用价值。
摘要Randomized clinical trials have highlighted the importance of weight control and exercise in improving cancer outcomes, yet the molecular mediators of these benefits remain poorly understood. Recent studies in Type 2 diabetic patients reported that the insulin-sensitizing drug, metformin, exerts its anorexigenic and anti-obesogenic effects through elevation of N-lactoyl-phenylalanine (Lac-Phe), a ...查看完整摘要
7. Prospective Evidence on Artificial Intelligence-Assisted Melanoma Diagnostics: A Systematic Review and Meta-Analysis. [Melanoma]
JAMA dermatology | 2026-03-25 | IF 11.5
AIAI系统可作为黑色素瘤诊断的有效决策支持工具,辅助皮肤科医生将诊断敏感性从78.6%提升至91.9%,建议在标准化验证后考虑临床推广应用。
摘要Dermoscopy is a standard of care for melanoma diagnostics, and artificial intelligence (AI) systems are increasingly investigated as decision-support tools. Prospective evidence is essential to assess their performance compared to dermatologists.
To evaluate the diagnostic performance of dermatologists, AI systems, and dermatologists assisted by AI in prospective studies of melanoma detection, and...查看完整摘要
8. Paediatric psoriasis and biologics: An evidence gap in plain sight. [Psoriasis]
Journal of the European Academy of Dermatology and Venereology : JEADV | 2026-03-25 | IF 8.4
AI儿童银屑病生物制剂治疗证据严重匮乏,临床应用需权衡风险获益,亟需更多儿科专项研究。
9. Early biological therapy in hidradenitis suppurativa: A commentary. [Hidradenitis Suppurativa]
Journal of the European Academy of Dermatology and Venereology : JEADV | 2026-03-25 | IF 8.4
AI对于中重度HS患者,早期启动生物治疗可能改变疾病自然史,减少并发症发生,临床医生应重新评估传统阶梯式治疗的时序安排。
10. Mind-skin interactions in chronic hand eczema: A call for integrated dermatologic practice. [Eczema]
Journal of the European Academy of Dermatology and Venereology : JEADV | 2026-03-25 | IF 8.4
AI慢性手部湿疹的治疗需突破传统生物医学模式,将心理评估与干预纳入常规诊疗,以打破心理-皮肤恶性循环,改善患者整体预后。
11. Extending the ecological model of distress to social functioning among refugees and asylum-seekers. [Stress Disorders, Post-Traumatic]
Epidemiology and psychiatric sciences | 2026-04-07 | IF 5.9
AI冲突相关创伤可能同时触发功能退化与代偿性社会适应机制,临床干预需平衡心理健康治疗与社会功能重建,尤其关注位移后压力源的缓解。
摘要Social functioning is a crucial aspect of psychosocial adaptation following forced displacement. Yet, it has received far less attention than understanding and addressing mental health problems among refugees and asylum-seekers. This study aimed to extend the ecological model of refugee distress - one of the most widely used frameworks in refugee mental health - to social functioning, and to ident...查看完整摘要
12. Selective Serotonin Reuptake Inhibitor Treatment in Adolescence and Subsequent Risk of Nonaffective Psychosis: A Quasi-Experimental Study. [Psychotic Disorders]
Acta psychiatrica Scandinavica | 2026-04-07 | IF 5.3
AI青少年期使用SSRI治疗抑郁不会增加或减少后续精神病风险,临床医生可基于当前抑郁症状控制需求处方SSRI,无需担忧其对精神病风险的影响。
摘要Psychotic disorders are frequently preceded by common mental disorders (CMDs), like depression and anxiety. It remains unclear whether treating CMDs in adolescence can reduce subsequent psychosis risk. We applied quasi-experimental methods to national register data to assess whether a causal relationship exists between selective serotonin reuptake inhibitor (SSRI) treatment in adolescence and subs...查看完整摘要
13. Downregulated transcription in chromosomal domains of midbrain dopamine neurons linked to schizophrenia. [Bipolar Disorder]
Nature communications | 2026-04-06 | IF 14.7
AI多巴胺神经元中特定染色体结构域的转录下调可能驱动SCZ发病机制,提示针对突触可塑性和神经连接的干预策略具有潜在临床价值。
摘要Ventral midbrain dopaminergic neurons are a key cell type for schizophrenia pathophysiology but information about cell type-specific genomic dysregulation in diseased brains is missing. We generated a unique midbrain functional genomics resource with 97 RNA-seq and 34 Hi-C chromosomal contact libraries for Nurr1 + /NeuN+ dopaminergic and their surrounding Nurr1-/NeuN- nuclei, collected from donors...查看完整摘要
14. Sex and tissue resolved co-expression networks reveal a female placental-brain axis protective against prenatal PCB exposure. [Neurodevelopmental Disorders]
Genome biology | 2026-04-06 | IF 10.1
AI该研究为孕妇叶酸补充在降低环境污染物神经发育毒性方面提供了分子证据,提示女性胎儿可能通过胎盘代谢调控获得特殊保护。
摘要Neurodevelopmental disorders have a strong male bias that is poorly understood. The placenta provides molecular information about environmental interactions with genetics (including biological sex) that shape developmental processes in the brain. We investigate placental-brain transcriptional responses in an established mouse model of prenatal exposure to a human-relevant mixture of polychlorinate...查看完整摘要
15. Orexin receptor antagonists for major depressive disorder: perspectives from a systematic review and meta-analysis. [Major Depressive Disorder]
信函 | Molecular psychiatry | 2026-04-06 | IF 9.6
AI食欲素受体拮抗剂可能成为重度抑郁症辅助治疗的新选择,为失眠共病抑郁患者提供潜在临床获益。
16. Multi-Organ Physiologic Deficits During Exercise Identify Clinical and Molecular Predisposition to Heart Failure with Preserved Ejection Fraction. [Heart Failure]
Circulation | 2026-04-07 | IF 6.5
AI运动试验中的多器官生理缺陷数量可有效预测HFpEF预后,代谢物特征为早期风险分层和个体化干预提供新靶点。
摘要Exercise unmasks limitations in multi-organ system reserve capacity characteristic of heart failure with preserved ejection fraction (HFpEF). However, the metabolic and genetic underpinnings of exercise deficits, and their cumulative contribution to HFpEF severity and prognosis, remain incompletely understood.
We used invasive cardiopulmonary exercise testing (iCPET), metabolite profiling, and gen...查看完整摘要
17. Revascularization of Single-Vessel Coronary Artery Disease: Is it Still Worth Doing? [Coronary Artery Disease]
社论 | Circulation. Cardiovascular imaging | 2026-04-07 | IF 6.5
AI单支冠脉疾病的血运重建决策需权衡患者症状、缺血程度及手术风险,精准筛选可能获益人群是关键。
18. Cardiac Imaging in Clinical Trials of Intervention in Aortic Valve Stenosis. [Aortic Valve Stenosis]
Circulation. Cardiovascular imaging | 2026-04-07 | IF 6.5
AI在主动脉瓣狭窄介入治疗的临床试验中,多模态影像学评估(以经胸超声心动图为核心,必要时结合CT和经食道超声心动图)是确保患者筛选、手术成功判定和长期瓣膜耐久性监测规范性的关键。
摘要Cardiac imaging and in particular transthoracic echocardiography and computed tomography play a major role in the selection of the patients for surgical or transcatheter aortic valve replacement, for the assessment or procedural success and early prosthetic valve hemodynamics following aortic valve replacement, and for the evaluation and follow-up of the prosthetic valve structure and function in ...查看完整摘要
19. Chondroitin sulfate in osteoarthritis treatment: a twenty-year bibliometric analysis and comprehensive review. [Osteoarthritis]
综述 | Journal of materials chemistry. B | 2026-04-07 | IF 6.1
AI基于水凝胶和纳米颗粒的精准药物递送系统是CS治疗OA的技术前沿,临床医生应关注这些新型递送平台的研发进展,它们有望突破传统CS疗效的局限性。
摘要This study employs bibliometric methods to systematically analyze the research trajectory and frontier trends in the application of chondroitin sulfate (CS) for the treatment of osteoarthritis (OA) from 2005 to 2025. Through a visual analysis of 2004 relevant articles from the Web of Science core collection, the field is revealed to have evolved through three distinct stages: from early pharmacolo...查看完整摘要
20. The interplay of multimorbidity and depressive symptoms: mediation role of functional dependence. [Cardiovascular Diseases]
Epidemiology and psychiatric sciences | 2026-04-07 | IF 5.9
AI对于合并多种慢性病的中老年患者,功能依赖是连接多病共存与抑郁的关键环节,预防和改善日常功能能力有望打破身心共病的恶性循环。
摘要Mental-physical multimorbidity is an emerging prevalent global health challenge. This study aims to examine reciprocal relationships between depressive symptoms and multimorbidity, with the mediation role of functional dependence in activities of daily living.
Data were derived from the China Health and Retirement Longitudinal Study, which included 11,572 Chinese residents aged 45 years and older,...查看完整摘要
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