📄 medicine

Ownership–Utilization Gap in Long-Lasting Insecticidal Net Use Among Pregnant Women in Bonsu Sub-Municipality, Ghana: A Cross-Sectional Study

Despite near-universal ownership of long-lasting insecticidal nets among pregnant women in Bonsu Sub-Municipality, Ghana, a significant utilization gap persists primarily due to knowledge deficits regarding insecticide efficacy and physical discomfort from side effects, rather than supply-side barriers.

Richmond Yaw Osei, Ishmael Awini Aburi, Abigail Boatemaa, Baffour Osei, Gabriel Osei Forkuo2026-07-13
📄 medicine

Where Are Our Physicians? Mapping the distribution of medical schools, training hospitals, and social health insurance accredited physicians in the Philippines

This study reveals that the Philippines' PhilHealth-accredited physician workforce is critically insufficient and heavily concentrated in the National Capital Region, with a distribution pattern mirroring that of medical schools and training hospitals, leaving dozens of provinces without access to essential specialist care.

Ryan Gabriel C. Molen, Veincent Christian F. Pepito, Hazel Ivy M. Jeremias, Ann Rose D. Payumo, Theo Prudencio Juhani Z. (…)2026-07-13
📄 medicine

Socioeconomic Disparities in Telemedicine Use and High-Need Nonuse Among Older Adults With Multimorbidity: A Cross-Sectional Analysis of NHANES August 2021–August 2023

This cross-sectional analysis of NHANES data reveals that while telemedicine use among older adults with multimorbidity is associated with both clinical need and socioeconomic resources, lower income significantly increases the likelihood of high-need nonuse, highlighting persistent disparities in access to remote care.

Yan Zou, Shan Hui2026-07-13
📄 medicine

Beyond Trans Fats: Operationalizing Codex NRV-NCD Standard and Comparative Predictive Cardiovascular Risk Modeling for Refined Palm Olein Policy in Nigeria

This paper argues that Nigeria's unregulated high-saturated-fat palm olein market poses a severe cardiovascular threat and proposes a dual regulatory strategy combining mandatory compositional reformulation (capping SFAs at 35 g/100 g or lower) with volumetric consumption limits to significantly reduce ischemic heart disease risk across the population.

CHRISTOPHER ENASOR FREGENE, Dike Bevis Ojji, Abimbola Opeyemi Adegboye2026-07-13
📄 medicine

Hepatitis B virus in Pakistan: serological marker prevalence, clinical correlates, and genotype-informed interpretation

This study analyzes serological markers, clinical characteristics, and treatment outcomes in a Pakistani cohort with hepatitis B virus, revealing a 1.85% HBsAg prevalence with a significant active-replication subgroup, and underscores the urgent need for enhanced vaccination, early diagnosis, and genotype-informed surveillance to manage chronic HBV in Pakistan.

Muhammad Rehan Uppal, Rizwan Uppal, Umar Saeed, Muhammad Saad Uppal, Aftab Ahmed Khan, Zahra Zahid Piracha2026-07-13
📄 medicine

Percutaneous Endoscopic Interlaminar Discectomy For Lumbar Disc: Early Experience, Outcome and Complication: a Retrospective Observational Study With a Pre–Post Design

This retrospective observational study of 41 patients at H. Adam Malik General Hospital demonstrates that Percutaneous Endoscopic Interlaminar Discectomy (PEID) is a safe and effective minimally invasive treatment for lumbar disc herniation, significantly reducing pain and improving physical function with a low complication rate.

Sabri Ibrahim, Muhammad Deni Nasution, Muhammad Fahmi Rasyid2026-07-13
📄 medicine

An Open, Reproducible Implementation of the CMS Hospital-Wide Readmission Measure on MIMIC-IV

This paper presents an open, reproducible reference implementation of the clinically accurate CMS Hospital-Wide Readmission measure on MIMIC-IV, demonstrating that faithfully applying its complex exclusion and stratification rules significantly alters the prediction target compared to naive definitions while providing a calibrated baseline model and resources for fair, leakage-controlled research.

Sai Sharan Kasa2026-07-13
📄 medicine

Real-World Event-Free Survival and Real-World Pathological Complete Response in Early-Stage Triple-Negative Breast Cancer: Concordance with Estimates from the control arm of the KEYNOTE-522 Trial

This retrospective study demonstrates that real-world event-free survival and pathological complete response rates for early-stage triple-negative breast cancer are concordant with the control arm estimates from the KEYNOTE-522 clinical trial, confirming the replicability of trial outcomes in matched real-world populations.

Carole R. Berini, Jessica K. Paulus, Malcolm Charles, Zhaohui Su, Paul Conkling, Jagadeswara Rao Earla, Amin Haiderali (…)2026-07-13