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  • Open Access

    ARTICLE

    Glucocorticoid Therapy for Severe Infection in Children with Congenital Heart Disease: Effects on Immune Regulation and Clinical Outcomes

    Jie Wu1,#, Guiwen Liang1,#, Ya Pan1,#, Talaibaike Maimaijuma2,3, Xianggui Xu2,3, Juying Lu1, Zhongwei Huang1,*, Lei Qi1,*, Haiyan Jiang1,*

    Structural and Congenital Heart Disease, Vol.21, No.2, 2026, DOI:10.32604/schd.2026.077080 - 11 June 2026

    Abstract Background: Children with congenital heart disease (CHD) complicated by severe infection often present with immature immune function and poor prognosis. Evidence supporting the use of glucocorticoids in this population, particularly with dynamic immune monitoring, remains limited. Methods: A retrospective analysis was conducted on 183 CHD children with severe infections admitted to the Pediatric Intensive Care Unit (PICU) from 2019 to 2023. Patients were divided into two groups: the glucocorticoid intervention group (n = 92, methylprednisolone + standard treatment) and the control group (n = 91, standard treatment). Immune indicators (Interleukins-6 (IL-6), C-reactive protein (CRP), procalcitonin (PCT), CD4+/CD8+ ratio… More >

  • Open Access

    ARTICLE

    Anatomical Ventricular Type Determines 30-Year Outcomes in Fontan Patients: Insights from National Korean Registry

    Jae Suk Baek1, Soo-Jin Kim2,*, Sang-Yun Lee3, Chang-Ha Lee4, Chun Soo Park5, Eun Seok Choi5, Hoon Ko6, Hyo Soon An3, I. Seok Kang7, Ja Kyoung Yoon7, Jae-Young Lee8, Jinyoung Song7, Joo Won Lee9, June Huh7, Kyung-Jin Ahn10, Se-Yong Jung11, Seul Gi Cha1, Yeo-Hyang Kim12, Young-Seok Lee13, Sang-Hoon Cho14

    Structural and Congenital Heart Disease, Vol.21, No.2, 2026, DOI:10.32604/schd.2026.077034 - 11 June 2026

    Abstract Background: Systemic right ventricular morphology is associated with poor Fontan outcomes, but its independent effect remains uncertain due to confounding by atrioventricular valve regurgitation (AVVR). The prognostic role of two adequately sized ventricles is also unclear. This study aimed to evaluate the independent impact of ventricular morphology on long-term Fontan outcomes after adjustment for AVVR, using a large national registry. Methods: A total of 1631 Fontan survivors were analyzed. Death or heart transplantation and Fontan failure were primarily evaluated using inverse probability of treatment weighting. Fontan failure was defined as death, heart transplantation, Fontan takedown… More > Graphic Abstract

    Anatomical Ventricular Type Determines 30-Year Outcomes in Fontan Patients: Insights from National Korean Registry

  • Open Access

    ARTICLE

    Ethnic Disparities in Glioblastoma Markers: Impact of Chromosome 7 Gain and 10 Loss Alterations on Clinical Survival Outcomes

    Fang-Ying Chiu1,2,3,*, Yun Yen2,4,5,6

    Oncology Research, Vol.34, No.6, 2026, DOI:10.32604/or.2026.077076 - 21 May 2026

    Abstract Objective: Glioblastoma (GBM) is the most common primary malignant brain tumor and is characterized by significant intratumoral heterogeneity. This study aimed to investigate the clinical and genomic landscapes of GBM across diverse ethnic populations to identify potential prognostic markers. Methods: Leveraging The Cancer Imaging Archive (TCIA) and bioinformatics modeling, White, African, and Asian American cohorts were analyzed. Patients were stratified according to the 2021 WHO classification of central nervous system (CNS) tumors. Population-specific genomic drivers and phenotypic markers were evaluated for their impact on outcomes. Survival rates across age, sex, and ethnicity were estimated using the… More >

  • Open Access

    ARTICLE

    Impact of Germline BRCA1/2 Mutations on Clinical Outcomes in Metastatic Triple-Negative Breast Cancer Patients Treated with Sacituzumab Govitecan—An International CEBCC Study from Poland, the Czech Republic and Slovakia

    Renata Pacholczak-Madej1,2,*, Mirosława Püsküllüoğlu3,*, Anna Polakiewicz-Gilowska4, Małgorzata Pieniążek5, Iveta Kolářová6, Miroslava Malejčíková7, Lenka Rušinová8, Miloš Holánek9, Renata Soumarová10, Karolina Winsko-Szczęsnowicz11, Justyna Żubrowska12, Aleksandra Konieczna13, Agnieszka Młodzińska13, Daniel Krejčí14, Iwona Danielewicz15, Magdalena Szymanik-Resko15, Tomasz Ciszewski16, Maja Lisik-Habib17, Anika Pękala17, Hana Študentová18, Jan Šustr19, Bogumiła Czartoryska-Arłukowicz11, Aleksandra Łacko5, Jolanta Smok-Kalwat12, Michał Jarząb4, Zuzana Bielčiková20, Marcin Kubeczko4

    Oncology Research, Vol.34, No.6, 2026, DOI:10.32604/or.2026.076384 - 21 May 2026

    Abstract Background: Germline breast cancer susceptibility gene 1/2 (BRCA1/2) variants guide breast cancer treatment, but their clinical relevance in metastatic triple-negative breast cancer (mTNBC) treated with sacituzumab govitecan (SG) remains unclear. The study aimed to evaluate the association between BRCA status and outcomes in SG-treated mTNBC. Methods: We retrospectively analyzed 264 patients with mTNBC and known germline BRCA1/2 (gBRCA1/2) status who received SG between August 2021 and May 2025 across multiple oncology centers in Poland, the Czech Republic and Slovakia. Survival outcomes were compared between patients with gBRCA1/2 mutations (gBRCA1/2m) and those with gBRCA1/2 wild-type (gBRCA1/2wt) using Kaplan–Meier estimates, the log-rank… More >

  • Open Access

    ARTICLE

    Ethnic Inequalities in Aging: Multilevel Social Capital and Mental Health Outcomes among Han Chinese and Minority Older Adults

    Zizhen Wang, Shitian Su*

    International Journal of Mental Health Promotion, Vol.28, No.4, 2026, DOI:10.32604/ijmhp.2026.076161 - 28 April 2026

    Abstract Objectives: Structural and cognitive social capital are increasingly recognized as key factors influencing mental well-being. In China, older adults from minority groups often experience different levels of network support, trust, and social connection compared with their Han counterparts. These differences may contribute to the mental health gap observed between the two groups. This study aims to examine how structural and cognitive social capital are associated with mental health outcomes among Han and minority older adults in China, and to assess the extent to which these dimensions of social capital explain mental health disparities between the two… More >

  • Open Access

    ARTICLE

    Overweight status predicts improved overall survival after radical nephroureterectomy for upper tract urothelial carcinoma

    Shu-Yu Wu1,2, Ching-Chia Li3,4,5, Wen-Jeng Wu3,4,5, Kuan-Hua Huang6,7, Chien-Liang Liu8,9, Shian-Shiang Wang10,11,12, Jian-Ri Li10,11, Han-Yu Weng13, Ta-Yao Tai13, Pi-Che Chen14, Ian-Seng Cheong14, Chung-You Tsai15,16, Pai-Yu Cheng15,17, Jian-Hua Hong18,19, Chung-Hsin Chen19, Jen-Shu Tseng20,21,22, Wun-Rong Lin20,21, Yuan-Hong Jiang2,23, Yu-Khun Lee2,23, Po-Hung Lin24,25,26, See-Tong Pang24, Yung-Tai Chen27, Wei-Chieh Chen28, Chia-Chang Wu29,30,31, Thomas Y. Hsueh32,33, Hsu-Che Huang34,35, Wei-Yu Lin36,37,38, Chia-Cheng Yu39, Jen-Kai Fang40, Chih-Chin Yu1,2, Yao-Chou Tsai1,2,28,*

    Canadian Journal of Urology, Vol.33, No.2, pp. 325-337, 2026, DOI:10.32604/cju.2025.069390 - 20 April 2026

    Abstract Introduction: Upper urinary tract urothelial carcinoma (UTUC) is a rare malignancy, particularly in the ureter, and is associated with high rates of recurrence and metastasis. Although body mass index (BMI) has been associated with prognosis in multiple cancer types, its role as a predictive factor in UTUC is still debated. This study aimed to investigate how BMI influences survival outcomes in patients with UTUC treated with radical nephroureterectomy (RNU). Methods: This multi-center retrospective analysis by the Taiwan UTUC Collaboration Group involved 2503 patients who underwent treatment across 19 hospitals from 1988 to 2022. Patients were… More >

  • Open Access

    REVIEW

    Research Advances on the Mechanisms and Clinical Outcomes of Hyperglycemia in Pregnancy Leading to Congenital Heart Disease in Offspring

    Jiafei He1,2, Ailixiati Alifu2, Haifan Wang2, Renwei Chen1,2,*

    Structural and Congenital Heart Disease, Vol.21, No.1, 2026, DOI:10.32604/schd.2026.075858 - 31 March 2026

    Abstract Hyperglycemia in pregnancy (HIP) is an important independent risk factor for congenital heart disease (CHD) in offspring. With an increasing number of women of childbearing age experiencing gestational hyperglycemia, the impact of an intrauterine hyperglycemic environment on fetal development has drawn significant attention. However, the teratogenic mechanisms underlying its effects on cardiac development remain incompletely understood. This review systematically analyzes relevant literature to summarize its underlying mechanisms and key findings: A hyperglycemic environment disrupts cardiac neural crest cell migration, differentiation, and the proliferation/apoptosis balance of cardiomyocytes by inducing oxidative stress, endoplasmic reticulum stress, and inflammatory… More >

  • Open Access

    REVIEW

    Surgery Alone Treatment vs. Surgery with Adjuvant Therapy for Laryngeal Mucoepidermoid Cancer: A Systematic Review

    Francesco Chiari1,*, Giovanni Motta2, Daria Maria Filippini3, Claudio Donadio Caporale1, Pierre Guarino1

    Oncology Research, Vol.34, No.4, 2026, DOI:10.32604/or.2026.073086 - 23 March 2026

    Abstract Objective: Mucoepidermoid carcinoma (MEC) of the larynx is an extremely rare malignancy, accounting for less than 1% of primary laryngeal tumors. The optimal role of adjuvant therapy, particularly radiotherapy (RT), remains unclear due to limited evidence. This systematic review aimed to evaluate oncologic outcomes and the impact of adjuvant treatment in patients with early- and advanced-stage laryngeal MEC. Methods: A systematic literature search was performed according to PRISMA 2020 guidelines in PubMed/Embase, Scopus, and Cochrane for studies published up to 31 July 2025. Results: Twenty-two studies, encompassing 55 patients, were included. Early-stage (T1–T2) patients (n =… More >

  • Open Access

    ARTICLE

    Oncological outcomes of I125 low dose brachytherapy in localized prostate cancer

    Gilberto Chéchile Toniolo1, Nuria Jornet1,*, Jady Rojas1, Natalia Tejedor1, Santiago Carrara1, Alicia Maccagno2, Teresa Brufau1

    Canadian Journal of Urology, Vol.33, No.1, pp. 93-103, 2026, DOI:10.32604/cju.2026.069182 - 28 February 2026

    Abstract Background: Low-dose rate (LDR) prostate brachytherapy is a recommended treatment of localized prostate cancer in current guidelines. The study aimed to determine biochemical relapse-free survival (BRFS) in patients treated with dynamic real-time low-dose rate (LDR) brachytherapy using Iodine 125 (I125). Methods: We retrospectively reviewed 499 patients with localized prostate cancer treated with I125 LDR real-time brachytherapy between 2003 and 2021. The mean patient age was 65 years (range: 45–84 years). Based on the National Comprehensive Cancer Network (NCCN) risk classification, 230 patients (46.1%) were categorized as low risk, 235 (47.1%) as intermediate risk, and 34 (6.8%)… More >

  • Open Access

    ARTICLE

    Initial case series and perioperative outcomes of single-port robotic radical prostatectomy: the Italian experience

    Gianluca Spena1, Francesco Passaro1, Achille Aveta1, Roberto Contieri1,*, Alessandro Izzo1, Giuseppe Quarto1, Giovanni Grimaldi1, Luigi Castaldo1, Dario Franzese1, Raffaele Muscariello1, Savio Domenico Pandolfo2, Antonio Tufano3, Sisto Perdonà1

    Canadian Journal of Urology, Vol.33, No.1, pp. 117-123, 2026, DOI:10.32604/cju.2025.068026 - 28 February 2026

    Abstract Background: The Da Vinci Single-Port Robotic System (Da Vinci-SP), introduced by Intuitive (CA, USA) in 2018 in the USA and in 2024 in Europe, integrates advanced features like a flexible camera and articulating instruments. It has garnered significant interest in urology. Our report presents the first described European series of Radical Prostatectomies using the Da Vinci SP at the leading Italian center, Istituto Nazionale Tumori di Napoli, IRCCS “G. Pascale” Foundation, detailing the technical differences and challenges faced by experienced multiport robotic surgeons. Methods: Sixteen patients have been enrolled and underwent Single-Port (SP) Robot-Assisted Radical… More >

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