📄 medicine

A multi-method evaluation of the effectiveness of the North and Central and East London Breast Screening Service enhancement project in improving uptake and engagement among women with learning disabilities

This multi-method evaluation demonstrates that a co-developed enhancement project in North and Central/East London successfully improved breast screening uptake and engagement among women with learning disabilities by addressing initial data and engagement gaps through targeted community collaboration, tailored health information, and accessible appointment systems.

Darren Sharpe, Nora Morocza, Oliver Keenan, Theeba Krishnamoorthy, Emmanuela Osei-Asemani, Liliana Galicia Mesa, Mansi T (…)2026-07-03
📄 medicine

Delayed recurrent arterial hemorrhage after free gingival graft harvesting: a case report with retrospective vascular mapping of the palatal donor site

This case report describes a rare instance of delayed recurrent arterial hemorrhage following free gingival graft harvesting caused by an atypical palatal vessel, which was successfully managed with a combination of oxidized regenerated cellulose and cyanoacrylate adhesive, underscoring the potential value of preoperative vascular mapping to prevent such complications.

Daniel Stercula, Daria Wziątek-Kuczmik, Rafał Wiench, Iwona Niedzielska2026-07-03
📄 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