📄 medicine

Dementia and PDE5 inhibitors: A retrospective cohort study of veterans

This retrospective cohort study of over 878,000 U.S. male veterans with erectile dysfunction found that the use of PDE5 inhibitors was significantly associated with a reduced incidence and delayed onset of Alzheimer's, frontotemporal, and vascular dementia, suggesting a potential protective role for these medications that warrants further prospective investigation.

Vikas Singh, Rishi Sharma, Mukut Sharma, Thomas Wiegmann, Ram Sharma2026-10-13
📄 medicine

Determinants of Maternal Health Services Utilisation and Maternal Complications Among Puerperium Women at Muko Health Centre Iv, Rubanda District, Uganda

This cross-sectional study of 190 puerperium women at Muko Health Centre IV in Uganda identifies that while most mothers attend antenatal care, the utilization of maternal health services is significantly influenced by distance, transport costs, maternal age, marital status, and partner support, highlighting the need to address these barriers to reduce maternal complications.

Denis Atuheire, Mathew Igwe, Tamale Andrew, CHARLES IDEHEN2026-10-13
📄 medicine

The Many Faces of Salmonella: Atypical Extraintestinal Infections in a Tertiary Care Hospital in Pakistan

This case series from a tertiary care hospital in Pakistan describes five atypical extraintestinal Salmonella Typhi infections—including meningitis, thyroid abscess, spondylodiscitis, and hydatid cyst involvement—highlighting the importance of considering Salmonella in unusual focal infections within endemic settings and tailoring treatment based on culture and susceptibility testing.

Muhammad Shabir, Faiza zaheer, Faisal Hanif, Ibrar Hussain, Muhammad Huzifa, Taimoor Shahzad, Yumna Rubab, Amir Afzal kh (…)2026-10-13
📄 medicine

Nutritional Risk Stratification, Functional Impairment, and Symptom Burden Among Cancer Patients: An Integrative Study on PG-SGA Scoring and Biochemical Profiling

This study of 300 cancer patients in Pakistan demonstrates a high prevalence of malnutrition (42.7%) that is significantly associated with advancing disease stage, reduced dietary intake, and functional decline, thereby validating the PG-SGA tool as an effective method for identifying at-risk patients who require early nutritional intervention.

Aniq Ur Rehman, Azmat Ullah Khan, Quratulain Maqsood, Rehan Abdullah, Waheed Ahmad, Muhammad Mushtaq Ahmad2026-10-13
📄 medicine

Effectiveness of Zinc as an Adjuvant to Standard Therapy Versus Standard Therapy Alone in Children (5-10 Years) with Moderate Persistent Asthma

This randomized controlled trial conducted in Lahore, Pakistan, demonstrates that adding oral zinc to standard therapy significantly improves asthma control and reduces emergency department visits in children aged 5–10 with moderate persistent asthma compared to standard therapy alone.

Kaushal Kumar Shah, Sadia Shabir, Muhammad Haroon Hamid, Manish Kumar Sah, Anish Sah, Pankaj Shah, Rana Muhammad Sohail (…)2026-10-13
📄 medicine

Network pharmacology-based study on the lipid-lowering effect of Bidens bipinnata L. extract with experimental validation in a hyperlipidemia rat model

This study demonstrates that *Bidens bipinnata* L. extract effectively alleviates hyperlipidemia in rats by modulating lipid profiles through a multicomponent, multitarget mechanism involving the regulation of key genes and pathways related to fatty acid oxidation, cholesterol metabolism, and apolipoprotein transport.

Xu Jiang, Yu-Qing Wang, Shu-Jiao Li, Yong-Hong Man, Guo Zhuang, Xiao-Yu Wang2026-10-13
📄 medicine

Untargeted metabolomics reveals Shugan Jianpi Yangxin Prescription treatment for insomnia disorder: A randomized, double-blind, placebo-controlled, multi-center clinical trial

This randomized, double-blind, placebo-controlled, multi-center clinical trial demonstrates that the Shugan Jianpi Yangxin Prescription (SJYP) is an effective and safe treatment for insomnia disorder with liver depression and spleen deficiency, significantly improving sleep quality and comorbid symptoms while modulating specific serum metabolites and metabolic pathways such as the GABAergic synapse.

Xu Wang, Jie Zhang, Min Zhao, Jianping Duan, Sen Ma, Yang Guo, Xiaochun Wang, Hongju Zhang, Feng Wang2026-10-13
📄 medicine

Latent developmental-arrest burden after cleavage-stage transfer: a counterfactual reanalysis of a published IVF cohort

This counterfactual reanalysis of an IVF cohort estimates that approximately 22% of cleavage-stage transfers in low-zygote cycles were potentially futile because extended culture would have yielded no transferable blastocysts, suggesting that while day-3 transfers in these specific cases may be unnecessary, the findings should guide personalized counseling rather than dictate universal policy changes.

Enver Kerem Dirican, Şafak Olgan2026-10-13
📄 medicine

The nature, scope and type of exercise and physical activity undertaken by Middle Eastern women post-coronary artery disease diagnosis: a scoping review

This scoping review reveals that Middle Eastern women diagnosed with coronary artery disease exhibit low levels of physical activity and poor participation in cardiac rehabilitation, highlighting a critical gap in research regarding the support and education needed to promote exercise in this population.

Al-Sabei Zainab, Gretl A. McHugh, Horne Maria2026-10-13