📄 medicine

Maternal Pregnancy Complications and Child Growth Trajectories from Birth to Age Five: A Population-Based Cohort Study of 548,318 Mother–Child Pairs

This population-based cohort study of over 548,000 mother–child pairs in northeastern Iran found that hypertensive disorders of pregnancy and gestational diabetes are associated with early growth deficits in weight and height that significantly narrow by age five, suggesting a need for targeted early monitoring of exposed infants.

Veda Vakili2026-10-19
📄 medicine

Vitamin E Augments Metformin Efficacy in Reversing Dexamethasone-Induced Glucose Dysregulation, Dyslipidemia, and Oxidative Stress via GLUT-4 Modulation in Mice

This study demonstrates that in a mouse model of dexamethasone-induced insulin resistance, the combined administration of Vitamin E and Metformin significantly outperforms monotherapy in reversing hyperglycemia, oxidative stress, and insulin resistance by markedly enhancing muscular GLUT-4 protein expression.

Roozbeh Zare ghashti, Forouzan Sadeghimahalli, Mansooreh Mirzaei, Hanieh Baghaeishiva, Mozhgan Esmaili2026-10-19
📄 medicine

Family Perspectives on Long-Term Care Facility Selection and Quality Monitoring for Older Adults in an Emerging Ageing Region of Malaysia: A Qualitative Study

This qualitative study of family members in Sarawak, Malaysia, reveals that institutional care is often a last resort driven by a lack of alternatives, with families acting as de facto quality regulators due to the absence of formal oversight, thereby highlighting an urgent need for strengthened governance, workforce training, and independent complaint mechanisms in the region's private long-term care sector.

Sumaira Hussain, Cheong Beng Wui, Nicole Chen, Lai Pei Kuan2026-10-19
📄 medicine

Maternity Care Service Quality, Women’s Satisfaction, and Associated Factors in Public Hospitals in Sana'a City, Yemen

This facility-based cross-sectional study in Sana'a, Yemen, reveals that while overall maternity care quality is moderate, women's satisfaction is significantly higher among those who received antenatal education, had a birth plan, underwent Caesarean delivery, or experienced a live normal newborn outcome, highlighting the need to strengthen education and provider responsiveness to improve maternal care.

Nabil Ahmed Ahmed Al-Rabeei, Fawz Mohammed Abol Gaith, Aisha Faisal Ahmed Al-Wadhaf, Ghaida'a Ibrahim Ahmed Hafedh2026-10-19
📄 medicine

Assessment of research thesis publication rates among alumni from postgraduate colleges of pharmacists in Ghana – A cross-sectional study

This cross-sectional study of Ghanaian pharmacists reveals that alumni who completed Fellowship programs have significantly higher thesis publication rates than those with Membership qualifications, highlighting the need for early post-qualification support and publication training to overcome barriers.

Frempomaa Nelson, Mark Amankwa Harrison, Mercy Naa Adueley Opare-Addo, Daniel Nii Amoo Ankrah2026-10-19
📄 medicine

Multivariate Decomposition of Factors Contributing to Changes in Attempts to Quit Smoking in India and Bangladesh: Evidence from the Global Adult Tobacco Survey

This study utilizes multivariate decomposition of Global Adult Tobacco Survey data to reveal that while increased exposure to anti-smoking media and smoke-free environments drove a rise in quit attempts in India, a weakening association between workplace restrictions and quit behavior contributed to a decline in Bangladesh, highlighting the need for context-specific cessation strategies.

Monika Arora, Manu Raj Mathur, Tina Rawal, Shalini Bassi, Navpreet Kaur, Ali Golkari2026-10-19
📄 medicine

Feasibility of Telerehabilitation in Orthotic Care: A Systematic Review of Acceptability, Implementation Outcomes, and Clinical Effectiveness

This systematic review of 12 studies demonstrates that telerehabilitation in orthotic care is a feasible, acceptable, and clinically effective alternative to traditional face-to-face treatment, offering equivalent or superior functional outcomes and significant cost savings while highlighting the need for hybrid models to address limitations like physical palpation and custom fabrication.

Asongafac N/A, Navjyot Trivedi2026-10-19
📄 medicine

Gaps in Knowledge and Diagnostic Practice for Obstetric Anal Sphincter Injuries: A Multicountry Cross-Sectional Survey of Maternity Care Providers

A multicountry survey of 530 maternity care providers across seven Middle Eastern countries reveals significant gaps in knowledge and diagnostic practices regarding obstetric anal sphincter injuries, highlighting that while structured training and guidelines improve awareness of clinically unrecognised injuries, overreliance on digital rectal examination as a sufficient detection method remains a critical barrier to optimal care.

Diaa Rizk, Angeleena Esther, Hussein Alhafnawi, Kacper Korzeniewski, Katarzyna Borycka2026-10-19