📄 medicine

Frequency and correlates of a survey-derived composite indicator of poor sleep among adults in a Chengdu online survey: a cross- sectional secondary analysis

This cross-sectional secondary analysis of 6,322 Chengdu adults reveals that 38.4% experienced poor sleep, which was significantly associated with lower mental health literacy, chronic conditions, poor self-rated health, and depressive and anxiety symptoms.

Yajun Zhang, Xianmei Luo, Xiao Cai, Shuai Yuan, Jing Xie, Linna Fu, Wanyi Li, Chuntao Shen, Wanhong Peng, Yu Wang, Xiang (…)2026-10-22
📄 medicine

Development and Characterization of Pazopanib-Loaded Amino-FunctionalizedMesoporous Silica Encapsulated As Oral Delivery System in Cancer Treatment

This study successfully developed and optimized amino-functionalized mesoporous silica nanoparticles encapsulated in hard gelatin capsules to significantly enhance the oral bioavailability, dissolution, and cytotoxic efficacy of pazopanib for the treatment of renal cell carcinoma.

Swati B Kakade, Mayuri J Deore, Shivani R Gaikwad, Prachi P Udapurkar, Amar A Shejul, Santosh R Jain2026-10-22
📄 medicine

Prevalence and Temporal Trends of Type 2 Diabetes Mellitus Among Adults in Cameroon: A Systematic Review and Meta-analysis

This systematic review and meta-analysis of 11 studies involving over 20,000 adults in Cameroon reveals a pooled Type 2 diabetes prevalence of 3.5% that has significantly increased over time, particularly among older populations, underscoring the urgent need for enhanced surveillance and targeted prevention strategies.

Sancho Pedro Xavier, Esoh Rene Tanwieh, Nelson Domingos Cote, John Ricky, Kiranjot Kaur, Boudhayan Das Munshi, Amit Pal2026-10-22
📄 medicine

Unveiling the protective mechanism of pre- and post-processed Viticis Fructus against acute lung injury: Integrating network pharmacology, metabolomics, and experimental validation

This study elucidates the anti-inflammatory and protective mechanisms of Viticis Fructus and its stir-fried processed form against acute lung injury by integrating network pharmacology, metabolomics, and experimental validation to identify key compounds, targets, and the PI3K-AKT signaling pathway.

Ying Zhang, Yuman Li, Xun Gao, Xuelin Zong, Chenfeng Zhang, Kunming Qin, Yun Shi2026-10-22
📄 medicine

Disease activity and functional trajectories with biologic DMARDs in Brazil's public health system: the REAL study, 2015--2017

In a Brazilian real-world cohort of rheumatoid arthritis patients treated within the public health system, disease activity and functional capacity failed to show sustained improvement over 12 months of biologic DMARD therapy, highlighting that effectiveness observed in high-income countries may not translate to this setting and underscoring the need for closer monitoring and timely therapeutic adjustments.

Júlia Andrade Ibiapina Parente, Victor Eduardo Ramos Camargo, Diógenes Almeida Zortea, Andrea Dias Stephanus, Luiz Sérgi (…)2026-10-22
📄 medicine

Indigenous Health Knowledge Integration and Health Outcomes in Low- and Middle-Income Countries: A Scoping Review

This scoping review of 61 studies across 25 low- and middle-income countries reveals that while the integration of indigenous health knowledge into formal systems is hindered by structural isolation and a lack of rigorous outcome data, the proposed Integrated Community Health Systems (ICHS) framework offers a six-pillar policy architecture to bridge this gap and improve health outcomes.

Joel Mumo Musyoki, Yashika Bhardwaj, Karim Abdalrahman, Samer Alshurieki, Terezija Gložinić2026-10-22✓ Author reviewed ⓘ
📄 medicine

Silent Circulation of Rickettsia Spp. In a Non-Endemic Area of Northeastern Brazil Revealed by Molecular and Serological Evidence in Animals From Probable Sites of Human Spotted Fever Infection

This study provides the first molecular and serological evidence of silent *Rickettsia* spp. circulation in the non-endemic Alagoas State of Brazil, revealing high exposure rates in dogs and horses and identifying them as key sentinel species for spotted fever surveillance.

Clarício Alvim Bugarim-Neto, Rodrigo Costa Maia, Jean Phellipe Marques Nascimento, Camila Rose Bezerra Lima, Gláucia Gra (…)2026-10-22