📄 medicine

IVUS-Guided versus Angiography-Guided PCI in Unprotected Left Main Coronary Artery Disease: An Updated Systematic Review and Meta-Analysis

This updated systematic review and meta-analysis of 12 studies involving over 20,000 patients suggests that IVUS-guided PCI for unprotected left main coronary artery disease is associated with significantly lower rates of all-cause mortality, cardiac mortality, myocardial infarction, and target vessel revascularization compared to angiography-guided PCI, although these benefits were primarily driven by observational data while randomized controlled trials showed neutral results.

Eashan Aneja, Vinicius de Pontes, Mauricio Boneli, Prakhar Gupta, Shivani Phugat, Veda Chanda, Thierry Trevisan, Michael (…)2026-07-06
📄 medicine

Predictive Modeling of Dietary Sugar Reductions and Fiscal Yields Under a Tiered Specific Tax Framework in Nigeria

This study models that shifting Nigeria's sugar tax from an ad valorem system to a tiered, gram-based specific tax with a 4 g/100 ml threshold would simultaneously drive a significant reduction in national sugar consumption through industry reformulation and generate substantial, predictable fiscal revenue to support healthcare infrastructure.

Christopher Enasor Fregene, Dike Bevis Ojji, Abimbola Opeyemi Adegboye2026-07-06
📄 medicine

How do culturally and linguistically diverse families of autistic children experience online parent-led therapy? A reflexive thematic analysis of parent perspectives

This reflexive thematic analysis of 19 culturally and linguistically diverse parents reveals that while online parent-led therapy is broadly acceptable, its effectiveness and engagement depend critically on adapting programs to address specific linguistic proficiencies, sociocultural contexts, and material access barriers rather than relying on monolingual, Western-centric designs.

Sarah Oudet, Gwen Brekelmans, Sakshi Pal, Napoleon Katsos, Stephanie Durrleman2026-07-06
📄 medicine

Assessing the Eligibility for Marketing of Six Different Brands of Cornflakes to Children in Nigeria Using Nutrient Profile Model for the Who African Region

This study evaluates six cornflake brands available in Nigeria against the WHO African Region nutrient profile model and finds that five of them exceed sodium or sugar thresholds, rendering them ineligible for marketing to children and necessitating reformulation.

Christopher Enasor Fregene, Dike Bevis Ojji, Abimbola Opeyemi Adegboye2026-07-06
📄 medicine

EEG Microstate Aggregate Conditional Entropy Derived from Markov Modelling as a AD-Specific Biomarker: Differentiating Alzheimer’s Disease from Frontotemporal Dementia and Healthy Controls

This study proposes and validates a novel, theory-grounded biomarker based on the aggregate conditional entropy of EEG microstate transition sequences derived from Markov modelling, demonstrating its ability to differentiate Alzheimer's disease from healthy controls and frontotemporal dementia with high interpretability and without reliance on MRI or deep learning.

Hassan Farooq2026-07-06
📄 medicine

Five Factors of Frailty: A Multidimensional Psychometrically Robust Research Tool

This study utilizes data from the English Longitudinal Study on Ageing to develop and validate a psychometrically robust, multidimensional research tool consisting of five distinct frailty factors—Mobility/Severe Pain, Planning/Self Care, Depression, Moderate Pain/Movement/Arthritis, and Cardio-Metabolic—to facilitate accurate longitudinal assessment of frailty in aging populations.

Stacey Voll, Graciela Muniz-Terrera, Stuart W.S. MacDonald2026-07-06
📄 medicine

Free Maternal and Neonatal Care in Urban DRC: Effects on Service Utilization and Implementation Challenges in Kinshasa

While the 2023 policy removing user fees for maternal and neonatal care in Kinshasa, DRC, significantly increased service utilization, its effectiveness in improving health outcomes was constrained by systemic challenges such as staff shortages, supply stock-outs, and overcrowding, highlighting the need for parallel investments in health system capacity.

Mamyssa Katchelewa, Anki Yambare, Harry Kayembe, Didier Bompangue2026-07-06
📄 medicine

Beliefs, perceptions and helping behaviors regarding chronic lung disease among healthcare professionals in Kyrgyzstan: a mixed-method FRESHAIR study

This mixed-method FRESHAIR study reveals that healthcare professionals in Kyrgyzstan hold negative perceptions and misbeliefs about chronic lung disease, leading to resource-constrained, experience-based care that varies by profession and setting, thereby highlighting the urgent need for targeted training and improved facility support.

Chao Sun, Eline Meijer, Evelyn A. Brakema, Maamed Mademilov, Charlotte C. Poot, Talant Sooronbaev, Niels H. Chavannes, R (…)2026-07-06
📄 medicine

Hearing Preservation after Cochlear Implantation: Electrocochleography and Impedance are Complementary Biomarkers

This study demonstrates that combining electrocochleography and electrode impedance measurements significantly improves the objective monitoring of residual hearing after cochlear implantation compared to using either biomarker alone, confirming their complementary value in assessing cochlear health.

Stefan Weder, Wilhelm Wimmer, Martin Kompis, Georgios Mantokoudis, Marco Caversaccio, Raphael Andonie2026-07-06