📄 medicine

Does a High-Protein Diet Influence C-Reactive Protein Levels in Type 2 Diabetes? A Systematic Review and Meta-Analysis of Randomized Controlled Trials

This systematic review and meta-analysis of ten randomized controlled trials involving 1,231 patients with type 2 diabetes suggests that while a high-protein diet leads to a statistically significant but clinically modest reduction in C-reactive protein levels, further research is needed to confirm its practical significance.

Hanieh Barghchi, Abbas Mohtashamian, Mehrara Hashempour, Fatemeh Almasi, Fatemeh Sadat Hashemi Javaheri, Mohammad Safari (…)2026-07-03
📄 medicine

Life expectancy nexus mortality in 14 selected SADC countries with trend analysis

This study analyzes 13 years of data from 14 SADC countries using GMM and Random Forest models to identify infant mortality, under-5 mortality, HIV prevalence, and GDP per capita as key determinants of life expectancy, projecting continued regional growth with significant disparities through 2027 while recommending targeted health interventions to address these gaps.

Talent Kondo, Sithokozile Bafana, Mosty Kenama2026-07-03
📄 medicine

Knowledge, Attitude, and Practice Regarding Biomedical Waste Management Among Healthcare Workers in Aden, Yemen: A Multilevel Cross-Sectional Study

This multilevel cross-sectional study of 502 healthcare workers in Aden, Yemen, reveals a significant gap between favorable attitudes and poor biomedical waste management practices, identifying previous training and facility-level support as critical predictors of safe practices in conflict-affected settings.

Ali N.M. Gubran, Hanan A. A. Mohammed, Naif Taleb Ali, Esra Hani Abdo Qasem, Siba Mamoon Anis Abdo Ahmed, Abdulrahman Mo (…)2026-07-03
📄 medicine

Payer-Side Medical Audit for SOAT Claims in Colombia: A Methodological Description

This paper describes a six-phase, rule-based payer-side medical audit architecture designed for Colombia's SOAT claims system, which integrates documentary and clinical validation with mandatory human review to address regulatory fragmentation while preserving source-level traceability.

Elmer Raúl Escandón, Katherine Monsalve, Fiorella Ramírez, José Zea, Natalia Castaño-Villegas, Laura Velásquez2026-07-03
📄 medicine

Acute Limb Ischemia After Spinal Decompression Unmasking Occult Aortoiliac Occlusive Disease: A Case Report

This case report describes a 70-year-old man who developed acute limb ischemia shortly after spinal decompression for presumed neurogenic claudication, revealing that mildly reduced preoperative ankle-brachial indices in high-risk patients should trigger vascular imaging to prevent missed aortoiliac occlusive disease and perioperative thrombotic decompensation.

Mehdi Mahmoodkhani, Navid Askariardehjani, Nastaran Miranzade, Ali Rostami, Reza Ajudani, Saeed Kargar-Soleimanabad, Moh (…)2026-07-03
📄 medicine

Endpoint Modernization in Registered Multiple Sclerosis Trials: A ClinicalTrials.gov Analysis of Progression-Sensitive, Biomarker, Patient-Reported, and Digital Outcomes

This analysis of ClinicalTrials.gov reveals that while registered Multiple Sclerosis trials have increasingly adopted patient-centered, cognitive, biomarker, and digital endpoints since 2010, they continue to rarely incorporate explicit measures of progression independent of relapse activity (PIRA) or smoldering disease biology, highlighting a significant gap between modern disease concepts and current trial design.

Viswabhaskar Susarla, Lokesh Katiki2026-07-03
📄 medicine

InSilico-K: a drug-agnostic digital twin showing that molecular weight, not molecular target, governs biologic delivery and its telmisartan-mediated rescue in non-small cell lung cancer

This study introduces InSilico-K, a drug-agnostic digital twin demonstrating that tumor interstitial fluid pressure acts as a universal barrier specifically to macromolecular biologics based on their high molecular weight, and that telmisartan-mediated decompression of this pressure can dramatically improve therapeutic efficacy for these agents in non-small cell lung cancer without benefiting small-molecule drugs.

Junichi Shimada2026-07-03
📄 medicine

Self-Medication Use and Its Associated Factors Among Elderly Patients At University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2024

A 2024 cross-sectional study at the University of Gondar Comprehensive Specialized Hospital revealed that self-medication is highly prevalent (83.5%) among elderly patients and is significantly associated with female gender, higher monthly income, and lower educational levels, highlighting the urgent need for targeted patient education and stricter regulatory controls on non-prescription drug access.

Abebech Tewabe, Abedulwas Mohammed Seid2026-07-03