📄 medicine

Longitudinal Trends and Programmatic Gaps in Selected Neglected Tropical Disease Control Indicators in Nigeria, 2005–2023: A WHO Global Health Observatory Secondary Data Analysis

This secondary analysis of WHO Global Health Observatory data from 2005 to 2023 reveals that while Nigeria has achieved significant onchocerciasis scale-up and sustained zero human African trypanosomiasis cases, persistent treatment gaps, COVID-19-related programmatic disruptions, and surveillance fragility threaten the country's progress toward 2030 Neglected Tropical Disease elimination targets.

Fabunmi Abiola David, Fayomi Blessing Esther, Babatunde Taiye Olayinka2026-07-07
📄 medicine

Reproducibility and incremental predictive value of pattern and constitution diagnosis in chronic musculoskeletal pain: a scoping review

This scoping review finds that East Asian medicine's pattern and constitution diagnoses for chronic musculoskeletal pain exhibit low-to-moderate reproducibility and lack evidence of incremental predictive value over established stratification tools, highlighting an urgent need for standardized diagnostic protocols and rigorous validation against clinical outcomes.

Byungwoong Yoo2026-07-07
📄 medicine

Changes in Pharmacists’ Perceptions of their Roles During Pharmacy Policy Reforms: A Comparative Repeated-Cross-Sectional Study of Patients and Pharmacists

This repeated cross-sectional study of Japanese patients and pharmacists from 2014 to 2023 reveals that while pharmacists consistently maintained high role perception scores, patients' perceptions significantly improved over time—particularly regarding communication and condition assessment—thereby narrowing the gap between the two groups and suggesting that pharmacy policy reforms are increasingly aligning public understanding with professional realities.

Naohito Takahashi, Akira Yoshida, Norimitsu Horii, Shigeru Ohshima, Junya Mikata, Daisuke Kobayashi, Shinji Oshima2026-07-07
📄 medicine

Benzodiazepine Use Disorder and Withdrawal Challenges in Anxiety Disorders: An Evidence-Informed Scoping Review and Patient-Centered Four-Step Tapering Framework

This scoping review synthesizes evidence on benzodiazepine dependence in anxiety disorders to advocate for a patient-centered, four-step tapering framework that prioritizes slow, individualized withdrawal supported by cognitive behavioral therapy over abrupt cessation, emphasizing a longitudinal therapeutic relationship to mitigate withdrawal risks and prevent relapse.

Pooya Zeinali, Negar Zeinali2026-07-07
📄 medicine

Predictive models for stillbirth and neonatal death: A global scoping review of model performance, validation, transportability and implications for sub-Saharan Africa

This global scoping review of 93 predictive models for stillbirth and neonatal death reveals that while 28% of studies focus on sub-Saharan Africa, most models lack rigorous external validation, calibration assessment, and evidence of clinical utility, highlighting an urgent need for standardized, multi-site validation in independent African cohorts to ensure effective deployment.

Tanida Chaweewong, Audencio Victor, Phillip Wanduru, Miriam Bourke, Peter Waiswa, Hannah Blencowe, Eric O. Ohuma, Joseph (…)2026-07-07
📄 medicine

Efficacy, Safety, and Certainty of Evidence for Systemic Antineoplastic Therapies in Treatment-resistant Adult Malignancies: A Systematic Review, Exploratory Meta-analysis, and Grade Assessment

This systematic review and exploratory meta-analysis of 18 randomized clinical trials (2021–2026) concludes that while selected systemic antineoplastic therapies offer clinically meaningful survival and response benefits for adults with treatment-resistant malignancies, high-certainty evidence is concentrated in specific therapeutic contexts and pooled estimates must be interpreted cautiously due to substantial heterogeneity.

Mayky Sousa Rodrigues, Luid Alberto Silva, Carlos Eduardo de Moura Silva2026-07-07
📄 medicine

Effect of Olive Oil Back Massage on Selected Fetomaternal Parameters and Maternal Satisfaction Among Primigravid Women During the First Stage of Labour: A Quasi-Experimental Study

This quasi-experimental study demonstrates that olive oil back massage significantly improves uterine contraction characteristics and yields high maternal satisfaction among primigravid women during the first stage of labour, while maintaining stable fetal and maternal physiological parameters.

Mekala Moorthy2026-07-07
📄 medicine

Work-Related Musculoskeletal Disorders among Public Bus Drivers in Kerala: A Cross-Sectional Study Linking Ergonomic Strain to Road Safety Risk

This cross-sectional study of 405 Kerala bus drivers reveals an alarmingly high prevalence of work-related musculoskeletal disorders, particularly in the lumbar region, which is significantly associated with excessive daytime sleepiness, shorter sleep duration, and excessive working hours, thereby linking ergonomic strain to increased road safety risks.

ARUN CHAND, A B Bhasi2026-07-07
📄 medicine

Structural Findings Transfer, Texture Findings Do Not: An Adaptation Ladder for Cross-Center Dental Diagnosis

This paper demonstrates that while a safety-enforced adaptation framework can successfully transfer structural dental pathology detection across clinical centers using minimal resources, it fails to bridge the domain gap for texture-based findings like caries, suggesting that safe cross-center deployment requires adapting to transferable features while formally refusing non-transferable ones rather than pursuing a universal model.

Prof. Ayman Elnashar, Norsin Elnashar, Prof. Ahmed Elemam2026-07-07