📄 medicine

Children with disabilities are left behind where schools promote physical activity: intervention-generated inequalities in a national survey of Chilean children and adolescents

A national survey of Chilean children reveals that school-based physical activity promotion measures inadvertently widen the gap between children with and without disabilities, as these initiatives primarily benefit non-disabled peers while leaving children with disabilities more inactive and sedentary.

Josivaldo Souza-Lima, Dilan Galeano-Rojas, Maribel Parra-Saldías, Claudio Farías-Valenzuela, Andrés Godoy-Cumillaf, Pedr (…)2026-10-13
📄 medicine

Age- and Sex-Dependent Bone Density Decline in the Calcar Region of the Proximal Humerus: A CT-Based Population Analysis

This CT-based study of 739 proximal humeri reveals that calcar bone density significantly declines with age and is lower in females, with elderly women showing the most severe bone loss that may compromise implant fixation in osteoporotic fractures.

Lukas F. Heilmann, Franziska Schreiber, Sarah I. Schmitz, Luis Enrique Jimenez Garcia, Bernhard Hofstätter, Darius Thies (…)2026-10-13
📄 medicine

Proactive pelvic floor health behaviors during pregnancy: A qualitative study based on the integrated theory of health behavior change

This qualitative study, grounded in the Integrated Theory of Health Behavior Change, reveals that pregnant women's proactive engagement in pelvic floor health is shaped by dynamic interactions of fragmented knowledge, self-regulatory challenges, and unstable social support, suggesting a need for personalized, empowerment-oriented interventions that integrate credible digital tools and cultural sensitivity.

Yu Bao, Si Lu, Dan Luo, Wei Ren, Ling Chen, Wenzhi Cai2026-10-13
📄 medicine

Geographic Distribution of Maternal and Neonatal Mortality and Inequalities in Obstetric Emergency Care Supply in Ecuador, 2006–2024

This ecological study of Ecuador (2006–2024) reveals that while maternal and neonatal mortality lack significant provincial-level spatial clustering due to a modifiable areal unit effect, a cantonal-level analysis uncovers critical geographic disparities where over 16% of cantons face simultaneous shortages of obstetric beds and workforce, highlighting specific infrastructure gaps distinct from workforce deployment as actionable targets for intervention.

Enrique Santiago Lanas Mendoza, Alex Wladimir Guayta Valladares, ANDRES SEBASTIAN HERDOIZA ALMEIDA2026-10-13
📄 medicine

Glycaemic Burden and Cognitive Screen-Positive Status in Younger Indian Adults with Long-Standing Type 2 Diabetes: A Cross-Sectional Study with a MoCA Cutoff Sensitivity Analysis in a Lower-Education Population

This cross-sectional study of younger Indian adults with long-standing type 2 diabetes reveals that while cognitive screen-positive status correlates continuously with higher HbA1c levels and longer disease duration, the standard MoCA cutoff of <26 is ineffective for distinguishing diabetics from controls in lower-education populations, whereas a lower cutoff of <23 successfully identifies a significantly higher prevalence of screen-positive cases in the diabetic group.

Siddharth Manish Lodha, Sumit Kumar, Shubho Acharya, Ritvik Baweja, Sandeep Garg2026-10-13
📄 medicine

Altered expression of Cx26/Cx32 of cumulus cells by β-adenoceptor drugs in women with polycystic ovary syndrome and poor response

This experimental study demonstrates that inhibiting beta-adrenergic receptors with propranolol upregulates Cx26 and Cx32 expression and reduces apoptosis in cumulus cells from women with PCOS and poor ovarian response, suggesting a novel therapeutic strategy to improve oocyte competence in assisted reproductive technologies.

Farideh Zangeneh, Mohammad Mehdi Naghizadeh, Sara Zabihzadeh, Masoumeh Dehghan, Malihe Afiat2026-10-13
📄 medicine

Food Noise, Control of Eating, and Mental Health Outcomes During Carbohydrate-Reduced Nutrition Therapy in Adults with Overweight or Obesity

This observational study demonstrates that carbohydrate-reduced nutrition therapy significantly improves food noise, eating control, and mental health outcomes in adults with overweight or obesity, with enhanced benefits observed in those also using GLP-1 receptor agonists.

Alison Zoller, Shaminie Athinarayanan, Matthew Bernstein, Rebecca Adams, Michelle Cardel2026-10-13
📄 medicine

Inequalities in Health Care Utilization for Common Illnesses Among Under- Five Children in Bangladesh

This study analyzes the 2014 Bangladesh Demographic and Health Survey data to reveal that significant socioeconomic, geographic, and demographic inequalities persist in the utilization of medical treatment for fever, cough, and diarrhea among under-five children, highlighting the urgent need for targeted interventions to improve access for poor and underserved populations.

Pramit Debnath, Md. Kamrul Hasan Molla, Md. Nahidul Haque Rabbi2026-10-13
📄 medicine

Songs, Stories, Design, and Dialogue: Intervention Mapping, Human- Centered Design, and Arts-Based Methods for a Chhaupadi (Menstrual Seclusion) Intervention Development in Nepal

This paper demonstrates that integrating Intervention Mapping with Human-Centered Design and arts-based methods in rural Nepal effectively engages women in co-designing menstrual health interventions, revealing that the participatory process itself can catalyze immediate behavior change while highlighting the necessity of relational infrastructure and addressing practical barriers like childcare and economic needs.

Sara Baumann, Sanjana Murthy, Nikita Sharma, Annika Agarwal, Sudha Ghimire, Aubree E. McMahon, Bhimsen Devkota, Elizabet (…)2026-10-13
📄 medicine

The safety-in-use and clinical efficacy of a novel 360° U-shaped sonic toothbrush: a 30-day randomized, controlled study on plaque and gingivitis

In a 30-day randomized controlled trial, the novel 360° U-shaped Autobrush® sonic toothbrush demonstrated superior safety and significantly greater efficacy in reducing plaque and gingivitis compared to a standard manual toothbrush, achieving these results with only 30 seconds of brushing twice daily versus two minutes.

Kimberly R Milleman, Abigale L Yoder, Kaylie S Wills, Sylvia L Santos, Howard M Proskin, Chris Lander, Jeffery L Millema (…)2026-10-13