📄 medicine

Analysis of Factors Influencing the Utilization and Future Intentions of Professional Postpartum Exercise Rehabilitation Services: A Cross-Sectional Study Using Hierarchical Analysis and Firth Logistic Regression

This cross-sectional study of 1,059 women reveals that while structural barriers and postpartum stage are the primary determinants of current utilization of professional postpartum exercise rehabilitation services, cognitive awareness and education levels better predict future intentions, highlighting a critical intention–behavior gap that necessitates interventions focused on reducing structural barriers rather than solely providing health education.

Ge Wen, Ju Wen, Haitao Liu, Yiqing Xu2026-07-09
📄 medicine

Health-Risk Behaviours and Stress-Related Determinants of Video Gaming and Television Watching among Secondary School Adolescents in Botswana

This study of secondary school adolescents in Botswana reveals that video gaming and television watching are significantly associated with health-risk behaviors and stress-related factors, suggesting that screen time may serve as a coping mechanism for distress and highlighting the need for strategies promoting healthier alternatives.

Khumo Motshwari, Sinah Moreti, Gabriel Faimau2026-07-09
📄 medicine

Alignment of outpatient healthcare services with the Client Service Charter: A mixed-methods study of patients and clinicians in public health facilities in Dar es Salaam, Tanzania

This mixed-methods study conducted in Dar es Salaam, Tanzania, reveals that while outpatient healthcare services largely align with Client Service Charter principles according to both patients and clinicians, significant operational challenges such as staff shortages and infrastructure constraints persist, necessitating targeted training and systemic improvements to fully realize equitable, patient-centered care.

Anna Peter, Johnson Jeremia Mshiu, Elia Nyangi, Amani Anaeli, Phares G. M. Mujinja2026-07-09
📄 medicine

Prevalence and associated factors of possible sarcopenia and possible sarcopenia with obesity among community-dwellin g older adults in urban Shanghai: a cross-sectional study

This cross-sectional study of 2,605 community-dwelling older adults in urban Shanghai reveals that while possible sarcopenia affects 19.0% of the population and is strongly associated with advancing age, the co-occurrence of possible sarcopenia with obesity is rare (1.6%) and linked to daily exercise, highlighting the need for age-targeted screening and physical activity promotion in local healthy aging programs.

xiyuan zeng, Jie Dai, Kang Zhu, Xinying Yang, Xialiang Xu, Changzhou Chen, Yiman Jin, Wenxian Gu2026-07-09
📄 medicine

Life’s Crucial 9, Weight-adjusted Waist Index, and Diabetic Kidney Disease Among US Adults: A Nationally Representative NHANES Study

In a nationally representative study of US adults, higher Life's Crucial 9 scores were significantly associated with lower odds of diabetic kidney disease, with the weight-adjusted waist index (WWI) partially mediating this protective relationship by accounting for approximately 19.6% of the association.

xin li, Jing Duan, Chunmiao Xie, Xiwen Ma, Xiaoyan Jia2026-07-09
📄 medicine

Clinical Features and Treatment Outcomes of Scapular Chondrosarcoma with Literature Review: Cases Report

This case report describes five instances of scapular chondrosarcoma treated with tumor resection and reconstruction using 3D-printed prostheses and LARS artificial ligaments, demonstrating that this multidisciplinary approach effectively preserves upper limb function and shoulder stability.

Zhengkun Yang, Gaokun Yang, Heyi Shen, Xuemin Fan, Quan Zhang, Lizhi Li, Ruizhong Yan2026-07-08
📄 medicine

Adult users of a digital binge-eating intervention wanted adaptations for type 2 diabetes: Qualitative study of post-intervention preferences

This qualitative study reveals that adults with type 2 diabetes and binge eating who completed a digital intervention identified specific barriers and requested adaptations such as psychoeducation, glucose tracking, and enhanced medical support to better address their dual health needs.

Isabel R. Rooper, Alyssa M. Vela, Rebecca L. Flynn, Rosa Saavedra, Thomas Vorisek, Nathan Chan, Graham Miller, Jennifer (…)2026-07-08
📄 medicine

Thyroid eye disease in patients with multiple sclerosis who have been exposed to immune reconstitution therapies

This study reports the first documented cases of thyroid eye disease following autologous haematopoietic stem cell transplantation for multiple sclerosis, highlighting that while patients often present with low clinical activity scores, the condition frequently progresses to moderate-to-severe disease, necessitating prolonged multidisciplinary surveillance and careful consideration of future biologic therapies.

Vickie Lee, Mohammud Musleh, Kunwar Bhatia, Richard Nicholas, Sandhi Nyunt, Claire Feeney, Karim Meeran2026-07-08