📄 medicine

Traditional, complementary and integrative medicine practitioners’ approach to clinical delivery of health promotion: A systematic review

This systematic review of 24 studies involving approximately 10,000 traditional, complementary, and integrative medicine practitioners reveals that while they actively engage in health promotion—particularly regarding diet, physical activity, and stress management—their practice is shaped by capability, opportunity, and motivation factors, and is currently limited by inconsistent terminology and a need for greater integration into mainstream health systems to enhance their preventive roles.

Tina Taylor, Amie Steel, Hope Foley, Deborah Debono, Felicity L. Bishop2026-06-30
📄 medicine

Diagnostic Value of Anterior Segment Optical Coherence Tomography-Derived Schlemm's Canal Morphometry for Detecting Ocular Hypertension in Thyroid Eye Disease

This study demonstrates that anterior segment optical coherence tomography-derived Schlemm's canal cross-sectional area is a highly sensitive, non-invasive biomarker for detecting ocular hypertension in patients with thyroid eye disease, showing superior diagnostic performance compared to canal length.

Okilkhon I. Oripov, Erkin N. Bilalov, Rustam A. Zakirkhodjaev, Rahbarali Sh. Makhmudov, Eldor M. Mirkomilov2026-06-30
📄 medicine

The Volumetric Loophole: Why 'Less Sugar' Comparative Claims and Deceptive GDA Metrics on 500ml and 600ml Soft Drinks Exacerbate Population-Level Obesity and Dental Caries in Nigeria

This study demonstrates that "less sugar" comparative claims and misleading Guideline Daily Amount (GDA) metrics on large-volume soft drinks in Nigeria create a false sense of dietary safety by obscuring dangerously high absolute sugar payloads that exceed WHO limits, thereby exacerbating national obesity and dental caries rates and necessitating urgent regulatory reform by NAFDAC.

Christopher Enasor Fregene, Dike Bevis Ojji, Abimbola Opeyemi Adegboye2026-06-30
📄 medicine

The 125ml and 200ml Sugar Bomb: Why Nigeria Must Enforce a 0g Marketing Threshold on Children Fruit Drinks

This study reveals that popular 125ml and 200ml fruit drinks in Nigeria contain sugar levels that drastically exceed WHO limits for children, with single servings providing up to 80% of the daily recommended sugar intake, thereby necessitating immediate enforcement of a zero-sugar marketing threshold by NAFDAC to protect public health.

Christopher Enasor Fregene, Dike Bevis Ojji, Abimbola Opeyemi Adegboye2026-06-30
📄 medicine

Estimating the association between experiences of violence and HIV test uptake, and potential effect modification with marital status, among women aged 15 to 49 in Cambodia and the Philippines: a cross-sectional study of National Demographic and Health Survey data

This cross-sectional study of over 124,000 women in Cambodia and the Philippines reveals that while experiences of violence generally hinder HIV testing among married women, the relationship varies by marital status and is significantly influenced by women's autonomy, underscoring the need for violence-informed HIV strategies that address relational and structural barriers to ensure no one is left behind.

Elise Imray Papineau, Patricia Blardony Miranda, Joshua Dawe2026-06-30
📄 medicine

So What They Do Can Be Seen – A Realist-informed Evaluation of and Theory Refinement for a Digital Counseling Tool to Support Family Caregivers in Austria

This realist-informed evaluation of the Austrian digital counseling tool "Alles Clara" demonstrates that it effectively supports family caregivers by fostering anonymous, person-centered relationships that alleviate isolation and empower both caregivers and nursing counselors through visible, meaningful professional practice.

Katharina Gabl, Theresa Clement, Jasmin Eppel-Meichlinger, Hanna Mayer2026-06-30
📄 medicine

Gut Regulated Associations of Neuronal Signalling in High Blood Pressure (GRAINS-BP): a Double-Blinded Randomised Crossover Placebo-Controlled Trial

The GRAINS-BP trial is a double-blinded, randomized, crossover study designed to determine whether high-amylose maize starch enriched with acetate and butyrate lowers blood pressure in hypertensive adults by modulating the gut-brain axis and reducing muscle sympathetic nerve activity.

Malindi Welathanthree, Matthew Snelson, Donggyu Rim, Brendan McCarthy, Gianni Sesa-Ashton, David GS Farmer, Chaoran Yang (…)2026-06-30
📄 medicine

Why Food Stays Contaminated: A COM-B Framework Analysis of Child Feeding Practices in Dhaka's Informal Settlements

This qualitative study in Dhaka's Korail slum utilizes the COM-B framework to reveal that while caregivers possess the knowledge and motivation for safe child feeding, their hygiene practices are primarily hindered by structural resource constraints and habitual reliance on sensory cues, necessitating interventions that combine environmental enablement with behaviorally informed strategies.

Rehnuma Haque, Syeda Nurunnahar, Mahbubur Rahman, Nazrin Akther, Musarrat Jabeen Rahman, Tarique Md. Nurul, Robert Dreib (…)2026-06-30
📄 medicine

Development and validation of a machine learning-based risk stratification model for 30-day mortality in sepsis patients with gastrointestinal bleeding

This study developed and validated an interpretable XGBoost-based machine learning model using MIMIC-IV and an external cohort that accurately predicts 30-day mortality in sepsis patients with gastrointestinal bleeding, outperforming existing prognostic tools by identifying key risk factors such as APS III, age, and SOFA scores.

Junpeng Tang, Huiling Lan, Fanrong Lin, Shunhua Ye, Tong Li, Li Li, Fengqing Song, Pengfei Wang, Tao Yu2026-06-30