📄 medicine

Current status and influencing factors of digital health literacy and health self-management ability of older adults with chronic diseases in China: a cross-sectional study

This cross-sectional study of 286 older Chinese adults with chronic diseases reveals that digital health literacy and health self-management abilities are at moderate levels and are significantly influenced by sociodemographic and internet usage factors, while also showing that subjective health ratings often fail to reflect actual disease prevalence.

Zhen Cheng, Ting Liu, Likun Luo, Shasha Jian, Xiaohong Huang, Yunhong Li, Li Sun, Zongtao Chen2026-07-14
📄 medicine

Intraday Location Variance as a Digital Marker for Mood Dynamics and Diagnosis in Bipolar and Major Depressive Disorders

This six-month longitudinal study demonstrates that time-segmented intraday location variance derived from passive GPS data serves as a valuable digital marker for distinguishing between bipolar and major depressive disorders and tracking mood dynamics, particularly through elevated morning mobility in bipolar patients and reduced evening mobility associated with severe depression.

Ting-Yi Lee, Ching-Hsuan Chen, Chih-Min Liu, I-Ming Chen, Hsi-Chung Chen, Shu-I Wu, Cheng-Dien Hsu, Chuhsing Kate Hsiao (…)2026-07-14
📄 medicine

An Automated Listener-Effort Measure for ALS Generalizes across Diverse Platforms and Protocols

This study demonstrates that a machine learning model utilizing speaking rate and transcription confidence can accurately and reliably predict Speech-Language Pathologist-rated Listener Effort across diverse ALS datasets, offering a scalable and efficient solution for remote speech monitoring and clinical trial endpoints.

Esteban G. Roitberg, Marcos A. Trevisan, Julian Peller, Federico Sevlever, Felipe Aguirre, Diego E. Shalom, Alan Taitz (…)2026-07-14
📄 medicine

Cultural adaptation of the EQ-5D-Y-5L into Amharic and Tigrinya languages in Ethiopia

This study successfully translated and culturally adapted the EQ-5D-Y-5L into Amharic and Tigrinya for use in Ethiopia, employing an iterative process of forward-backward translation, card-ranking, and cognitive interviews to ensure the resulting paper and digital versions are conceptually equivalent, comprehensible, and culturally relevant for children and adolescents.

Abraham G Welie, Elly Stolk, Laura Duncan, Mike Herdman, Feng Xie2026-07-14
📄 medicine

Effects of COVID-19 social restrictions on prevalence of age-related disorders and risk factor analyses: Evidence from a two-stage study

This two-stage study reveals that COVID-19 social restrictions in Japan were associated with increased rates of insomnia and hip fractures, decreased dyslipidemia, and identified reduced physical activity as a key modifiable risk factor for multiple adverse health outcomes among older adults.

Toshihiro Yamagata, Yasushi Terada, Munenori Nagao, Kaori Koyama, Atsuhiro Kanno, Katsutoshi Furukawa2026-07-14
📄 medicine

Barriers and Facilitators to Implementing Shared Decision-Making in Critical Care: A Qualitative Study of Lebanese Health Service Delivery

This qualitative study of 20 critical care nurses in Beirut reveals that while heart failure patients face significant barriers to shared decision-making regarding life-or-death choices and discharge, nurses play a vital role in advocating for patients and facilitating collaborative care through improved communication and planning.

Dalyal Al-osaimi2026-07-14
📄 medicine

Short-Term PT-INR Dynamics in Refractory Protein-Losing Enteropathy: Dose- Dependent Effects of Albumin in a Time-Lagged Longitudinal Analysis

This longitudinal analysis of a single patient with refractory protein-losing enteropathy reveals that short-term PT-INR variability is primarily driven by prior coagulation status and serum albumin levels, with albumin infusions exerting a significant, dose-dependent interaction effect on anticoagulation stability.

Tomonori Kurimoto, Kenichi Kurosaki, Tohru Iwasa2026-07-14
📄 medicine

Impact of Physical and Smart Cognitive Games on Cognitive Performance in Older Adults: A Randomized Controlled Trial

This randomized controlled trial involving 60 Iranian older adults demonstrates that both physical and smart cognitive games significantly improve cognitive performance compared to usual care, with physical games showing superior benefits for memory and associative learning, while smart games excel in enhancing mental control and digit memory.

Feze Hajizadegan, Shadi Ghasemi, Zahra Aliakbarzadeh Arani2026-07-14
📄 medicine

A longitudinal study on differential impacts of the COVID-19 pandemic and normalized prevention and control on overweight and obese adolescents in China

This longitudinal study of over 120,000 Chinese adolescents reveals that the initial phase of the COVID-19 pandemic significantly increased BMI and overweight/obesity rates, particularly among girls, but these negative impacts began to diminish and reverse as prevention measures became normalized, highlighting the need for continued monitoring and targeted health interventions.

Yulituzeayi Maitituersun, Ran Su, Guan Yang, ALIMUJIANG· Yimiti·Taerken2026-07-14