📄 medicine

Global Validation and Cognitive Diagnosis Evaluation of the Pharmacology Concept Inventory: Multinational, Multi-Stage Psychometric and Invariance Analysis

This multinational study validates the 24-item Pharmacology Concept Inventory (PCI) as a reliable, unidimensional, and diagnostically informative tool for assessing conceptual understanding and identifying specific misconceptions across diverse international student cohorts.

Adeladlew K. Netere, Tony Hughes, Clare Guilding, Anna-Marie Babey, Willmann Liang, Lynette B. Fernandes, Shola Olafuyi (…)2026-07-01
📄 medicine

Blood-Derived Systemic Inflammatory Biomarkers and Intraocular Pressure in a Routine Health Examination Population   

In a cross-sectional study of 1,840 routine health examination participants, higher levels of systemic inflammatory biomarkers—specifically the neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII), and systemic inflammation response index (SIRI)—were found to be independently and positively associated with elevated intraocular pressure, suggesting a link between systemic inflammation and IOP regulation.

Hu Li, Qian Xie, Chunmao Jiang, Jie Wan, Xia Gao, Liang Huang, Yan Long, Xiaotong Hu2026-07-01
📄 medicine

Variant annotation across homologous proteins (“Paralogue Annotation”) identifies disease-causing missense variants with high precision, and is widely applicable across protein families

This paper introduces "Paralogue Annotation," a high-precision computational framework that leverages known pathogenic variants in homologous proteins to accurately predict disease-causing missense variants, offering a complementary and scalable approach for clinical genetic interpretation.

Nicholas Li, Xiaolei Zhang, Erica Mazaika, Pantazis Theotokis, Mikyung Jang, Mian Ahmad, George Powell, Henrike O. Heyne (…)2026-07-01
📄 medicine

Effects of physical exercise on subjective well-being in older adults --- is based on the analysis of multiple mediating effect models of physical and mental health

This cross-sectional study of 1,872 Chinese older adults reveals that higher physical exercise frequency significantly enhances subjective well-being, a relationship that is partially mediated by improved self-rated health and reduced depressive symptoms, with stronger effects observed among men, those aged 70 or older, and individuals with better socioeconomic status or spousal co-residence.

Yanhong Wu, Ao Wang, Ziliang Wen2026-07-01
📄 medicine

Biopsy-free Radical Prostatectomy in Suspected Clinically Significant Prostate Cancer: A Systematic Review and Meta-Analysis of Diagnostic Accuracy, Pathology, and Surgical Outcomes

This systematic review and meta-analysis of 381 patients indicates that while biopsy-free radical prostatectomy for suspected clinically significant prostate cancer results in a high proportion of confirmed significant disease on final pathology, the approach is supported only by very low-certainty evidence due to high bias and heterogeneity, warranting its restriction to prospective studies rather than standard clinical practice.

Tuan Nguyen, Trong Huan Tran, mohammed Shahait, Quang Sinh Tran, Nguyen Xuong Duong, David-Dan Nguyen, Ryan Dobbs, Hung (…)2026-07-01
📄 medicine

Discrimination, Islamophobia, and Stigma as Barriers to Diabetic Retinopathy Screening Attendance Among Muslims in London: A Qualitative Study

This qualitative study of Muslims in London reveals that discrimination, Islamophobia, and stigma—both experienced and anticipated within and beyond healthcare settings—act as significant structural barriers to diabetic retinopathy screening attendance, necessitating culturally safe care and anti-racist training to improve equitable access.

Rahima M. Kashim¹, Julia Morgan², Paul Newton², Omorogieva Ojo²2026-07-01
📄 medicine

Optimal composition of movement behaviours for healthy weight across the lifespan: a one-stage individual participant data meta-analysis of 11 studies

This one-stage individual participant data meta-analysis of 11 studies identifies the optimal daily compositions of sleep, sedentary behavior, light physical activity, and moderate-to-vigorous physical activity associated with a healthy weight for children, adolescents, adults, and older adults, providing evidence to inform lifespan movement behavior guidelines.

Aleš Gába, Željko Pedišić, Timothy B Hartwig, Paulína Ševčíková, Taren Sanders, Jan Dygrýn, Ondřej Vencálek, Devan Antcz (…)2026-07-01
📄 medicine

Dual-Site Central and Peripheral Electrical Stimulation for Post-Stroke Hand Rehabilitation: A Randomized Crossover Trial

This randomized crossover trial demonstrates that combining transcranial alternating current stimulation (tACS) with neuromuscular electrical stimulation (NMES) is safe and feasible for chronic stroke hand rehabilitation, showing promising but non-significant exploratory functional improvements and reduced sleepiness in a small cohort.

Syoichi Tashiro, Mitsuaki Takemi, Shin Yamada, Tetsuya Tsuji2026-07-01