📄 medicine

Perceived Insecticide Obsolescence Drives Non-Use Despite Near-Universal Bed Net Ownership Among Pregnant Women in Ghana: A Cross-Sectional Study

Despite near-universal ownership of insecticide-treated bed nets among pregnant women in Ghana, a significant utilization gap persists due to perceived insecticide obsolescence and physical discomfort, highlighting the need for a "Distribution Plus" approach that prioritizes education and behavioral support over mere supply.

Richmond Yaw Osei, Ishmael Awini Aburi, Abigail Boatemaa, Baffour Osei, Gabriel Osei Forkuo2026-07-21
📄 medicine

Alveolar-Arterial PO2 via Metabolic CO2 Mass Balance: Intrapulmonary Shunt as the Determinant during Heavy Normoxic Exercise

By applying a deterministic metabolic CO2 mass balance model to experimental data, this study demonstrates that a functional intrapulmonary shunt of approximately 2.39%—previously obscured by inert gas techniques due to methodological limitations—is the primary determinant of the widened alveolar-arterial PO2 difference during heavy normoxic exercise, offering a noninvasive analytical framework for cardiorespiratory monitoring.

Rosalba Vanni2026-07-21
📄 medicine

Family Quality of Life in Childhood Allergic Diseases: A Systematic Review of Psychosocial, Social, and Economic Burden

This systematic review of 51 observational studies reveals that childhood allergic diseases impose a substantial, multidimensional burden on family quality of life—particularly through emotional distress, social restrictions, and sleep disruption—while highlighting that disease severity, socioeconomic factors, and parental coping mechanisms significantly influence these outcomes and underscoring the need for coordinated, family-centered care.

PAVLOS VIDALIS, Nikolaos Papadopoulos, George Dounias, Anastasia Kikemenis, Konstantina Trimmi, Kyriakoula Merakou2026-07-21
📄 medicine

Predicting global and regional respiratory response in ARDS patients through individualized physics-based computational lung models: A prospective clinical pilot study

This prospective pilot study demonstrates that individualized, regionally resolved physics-based computational lung models can accurately predict global and regional respiratory responses in ARDS patients across various ventilator settings, showing strong agreement with clinical measurements and supporting their potential for guiding personalized ventilation strategies.

Armin Sablewski, Maximilian Ludwig, Carolin Eichinger, Matthias Lindner, Inéz Frerichs, Patrick Langguth, Dirk Schädler (…)2026-07-21
📄 medicine

Knowledge, Attitude, and Practice Regarding Tuberculosis Among University Students in Aden, Yemen: A Cross-Sectional Study with Advanced Statistical Analysis

This cross-sectional study of 302 university students in Aden, Yemen, reveals dangerously inadequate knowledge, attitudes, and practices regarding tuberculosis—particularly among males and non-medical students—and utilizes advanced statistical modeling to demonstrate that attitude partially mediates the link between knowledge and practice, thereby identifying distinct student profiles to guide targeted, dual-focus interventions.

Ali N. M. Gubran, Naif Taleb Ali, Hanan A. A. Mohammed, Sara Mohammed Ali Kolais, Arwa Badr Mohammed Saleh Ba Saeed, Ama (…)2026-07-21
📄 medicine

Evaluating the Nutrition Transition in Sub-Saharan and North Africa: Balancing Saturated Fatty Acid (SFA) Caps Against Micronutrient Deficiencies and Food Security

This paper argues that applying a uniform global limit on saturated fats to Sub-Saharan and North African countries would undermine food security and exacerbate micronutrient deficiencies, necessitating a shift toward context-specific nutritional frameworks that distinguish between industrial oils and essential, affordable dietary staples like palm oil.

Christopher Enasor Fregene, Dike Bevis Ojji, Abimbola Opeyemi2026-07-21
📄 medicine

Studying the effect of Scrophularia striata extract on the improvement of recurrent oral ulcers: A clinical trial study

This clinical trial demonstrates that a hydroalcoholic extract of *Scrophularia striata* significantly accelerates the healing and reduces the inflammation of recurrent oral ulcers compared to control treatments, supporting its recommendation as an effective therapeutic option.

Masoumeh Shohani, Mohamad Ali Roozegar, Naser Abasi, Mahboobeh Rasouli, Navid Ghazizadeh, Alireza Vasiee2026-07-21
📄 medicine

Towards systematic assessment of health governance: a framework-based assessment of the South African National Health Insurance (NHI) Governance Structure

This paper introduces a bespoke governance assessment framework, combining South Africa's King IV Report and OECD guidelines, to evaluate the National Health Insurance Act and reveals that its design concentrates power in the Minister of Health, creating significant risks of political interference and reduced operational autonomy.

Geetesh Solanki, Mina Haji, Susan Cleary, Reno Morar, Time Tucker2026-07-21