📄 medicine

Enamel Microhardness Preservation Under a Cariogenic Challenge and Shear Bond Strength of a Universal Adhesive Loaded with L-arginine-Containing Mesoporous Silica Nanoparticles (ArgC18@MSNs)

Incorporating L-arginine-containing mesoporous silica nanoparticles (ArgC18@MSNs) into a universal adhesive effectively preserves enamel microhardness against cariogenic challenges and prevents white spot lesions without compromising shear bond strength during orthodontic bracket bonding.

Daniel Jiménez-Díez, Camila Falconí-Páez, Gabriel Cochinski, Byron Carpio-Salvatierra, Francisco Navas, Victoria Morales (…)2026-07-09
📄 medicine

Australian general practitioners’ perspectives on antenatal congenital cytomegalovirus prevention and screening: a cross-sectional survey

A national cross-sectional survey of Australian general practitioners reveals that while they are highly receptive to guideline-endorsed antenatal congenital cytomegalovirus screening and view it as feasible to implement, current inconsistencies in care and gaps in resources necessitate clear guidance, education, and referral pathways for successful adoption.

Natalia Rode, Ines Rio, Tanya Tripathi, Hayley Smithers-Sheedy, Kath Swinburn, Melvin Marzan, Lisa Hui2026-07-09
📄 medicine

Pedicled Conjunctival Rotational/Transpositional Flap versus Free Conjunctival Autograft for Pterygium Surgery: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis of 17 studies involving 1,241 eyes indicates that pedicled conjunctival rotational/transpositional flaps offer a comparable recurrence rate to free conjunctival autografts for pterygium surgery while providing shorter operative times and less graft edema, though they are associated with a higher risk of postoperative inflammation.

Azza Mi’raj Alfadhila, Azza Fithra Alhanifa, I Wayan Gede Jayanegara2026-07-09
📄 medicine

Understanding the implementation and impact of health equity frameworks in health systems: a mixed methods systematic review

This mixed-methods systematic review of 11 studies from high-income countries finds that while health equity frameworks show promise in embedding equity across health systems through factors like Indigenous leadership and robust data, their sustained impact requires overcoming barriers such as policy instability and resource constraints via long-term organizational commitment and culturally legitimate governance.

Nouhad El-Haddad, Emma Quinn, Sarah Yeun-Sim Jeong, Angelique Barrett, Cheryl Brady, Kelly Williams, Cathy O’Callaghan (…)2026-07-09
📄 medicine

Findings from a qualitative study of the Pacific Public Health Surveillance Network’s stakeholders in 2023

This 2023 qualitative study evaluates the Pacific Public Health Surveillance Network through stakeholder focus groups, affirming its critical role as a trusted platform for regional health security while identifying key operational challenges such as communication delays, staff turnover, and funding transparency that require strategic improvement.

Ikram Abdi, Adeline Tinessia, Peta-Anne Zimmerman, Adam Craig, Rebecca Rocket, Sajani Nadeeka, Amy Simpson, Sala Saketa (…)2026-07-09
📄 medicine

Hemoglobin-to-Red Blood Cell Distribution Width Ratio and All-Cause Mortality in Older Adults: The Mediating Role of Cognitive Impairment — A Prospective Cohort Study from NHANES 2011–2014

This prospective cohort study of older adults from NHANES 2011–2014 demonstrates that a higher hemoglobin-to-red blood cell distribution width ratio (HRR) is significantly associated with reduced all-cause mortality, with cognitive impairment—specifically deficits in processing speed—mediating approximately 19% to 21% of this protective effect.

Miaomiao Lv, Xiangzhong Meng, Shaowen Zhou, Junkai Hu, Xude Sun2026-07-09
📄 medicine

The glycogen synthase kinase-3β inhibitor 9-ING-41 enhances chemoimmunotherapy efficacy in preclinical models of high-risk neuroblastoma

This preclinical study demonstrates that the GSK-3β inhibitor 9-ING-41 significantly enhances the efficacy of chemoimmunotherapy in high-risk neuroblastoma models by promoting immune activation, leading to complete tumor regression and long-term survival in immunocompetent mice.

Jayne Murray, Klaartje Somers, Crystal Mak, Stephanie Alfred, Jennifer Brand, Caitlin Wesley, Esmee Broekhuizen, Deborah (…)2026-07-09
📄 medicine

Contraceptive utilization and associated factors among reproductive-age women attending psychiatric outpatients' services in sub-Saharan Africa

This meta-analysis reveals that contraceptive utilization among reproductive-age women with psychiatric disorders in sub-Saharan Africa is suboptimal at 47.63%, influenced by factors such as marital status, education, future childbearing intentions, physician counseling, knowledge, and fear of side effects, highlighting the urgent need for integrated mental and reproductive health services.

Getanew Kegne Nigate, Berhanu Wale Yirdaw, Getaw Wubie Assefa, Worku Chekol Tassew, Yeshiwas Ayal Ferede2026-07-09
📄 medicine

The Isfahan ERCP Registry: A 5-Year Comprehensive Report of Demographics, Indications, and Outcomes in Central Iran

This five-year retrospective study of 1,511 ERCP procedures at a major Iranian tertiary center demonstrates high technical success and acceptable safety rates comparable to global benchmarks, while identifying a significantly higher risk of post-ERCP pancreatitis in female patients that warrants targeted prophylactic strategies.

Mohammad jafari, Mahsa Baymaninejad, Amirhosein Faraji, Mohammad Minakari, Vahid Sebghatollahi, Hadi Abdolahi, Yasaman S (…)2026-07-09
📄 medicine

Long-Term Validation of E-selectin Gene S128R Polymorphism as a Predictor of Cyst Growth in Autosomal Dominant Polycystic Kidney Disease

This 10-year prospective study demonstrates that while serum E-selectin levels remain stable and show no association with disease progression in ADPKD, the AA genotype of the SELE S128R polymorphism is significantly associated with greater long-term increases in total kidney volume, cyst growth, and functional decline compared to AC and CC genotypes.

Bennur Esen, Ahmet Engin Atay, Tarik Sayin, Ferdi Karagoz, Halit Akbas2026-07-09