📄 medicine

Elevated serum gamma-glutamyl transferase and frailty risk: evidence from prospective cohort, metabolomic, and integrative genetic evidence

This study demonstrates through prospective cohort and integrative genetic analyses that elevated serum gamma-glutamyl transferase (GGT) levels are significantly associated with an increased risk of frailty, mediated by metabolic, immune, and vascular pathways, suggesting GGT as a promising biomarker for identifying individuals at high risk.

Youxiang Wang, Jingfeng Chen, Shifeng Sheng, Shuaiyin Chen, Suying Ding2026-07-15
📄 medicine

Association of Cumulative Exposure and Dynamic Trajectories of C-Reactive Protein-Triglyceride-Glucose Index with Incident Cardiovascular-Kidney-Metabolic Syndrome Stage 4: A Nationwide Cohort Study from CHARLS

This nationwide cohort study of Chinese middle-aged and older adults demonstrates that both higher cumulative exposure to and persistently high dynamic trajectories of the C-reactive protein-triglyceride-glucose index (CTI) are significantly associated with an increased risk of developing Cardiovascular-Kidney-Metabolic (CKM) syndrome stage 4.

Wenting Zhao, Yaoweilai Zhao, Wenxin Li, Yayi Mao, Jiaxin Li, Feiyan Li, Nan Mao2026-07-15
📄 medicine

Obesity and Its Association with Delayed Pregnancy Among Women Attending Healthcare Facilities in Damascus Hospitals: A Cross-Sectional Study

This cross-sectional study of 401 women in Damascus hospitals reveals that obesity, PCOS, diabetes mellitus, and tobacco exposure are significantly associated with delayed conception, underscoring the need for integrated screening and lifestyle interventions in Syrian fertility care.

Mays Melli, Douha Albastaty, Haidar Yousef, raaed ABDALLAH2026-07-15
📄 medicine

Comparing Design Thinking and Focus Groups for Stakeholder Engagement in Hispanic and Latino Autism Research

This comparative randomized mixed-methods study demonstrates that both Design Thinking and Focus Groups are effective methods for engaging Hispanic and Latino stakeholders in autism research, with Design Thinking offering distinct advantages in fostering mutual learning and co-developing actionable solutions.

Lady J. Rios-Vega, Kristin Rising, J. Matthew Fields, Alexzandra T. Gentsch, Brian Freedman, Lisa DeCamp, Erin Martinsen (…)2026-07-15
📄 medicine

Genotype–cognitive Phenotype Associations in Duchenne Muscular Dystrophy: The Role of Mutation Location and Ambulatory Status in a Pediatric Cohort

This study of 37 boys with Duchenne muscular dystrophy found that while cognitive functioning is independent of mutation location and ambulatory status, health-related quality of life is significantly lower in non-ambulatory patients, highlighting the need for multidisciplinary care to address functional limitations.

Begum YULUG-TAS, Yıgıthan GUZIN, Simge KOKTURK, Eylem OGUN, Simge Kezban KUYUCU-KARADUMAN, Yunus Emre KARADUMAN, Figen B (…)2026-07-15
📄 medicine

Uptake and associated factors of the second dose of measles–rubella vaccine among children aged 18–23 months in Uganda, August-September 2024

A 2024 cross-sectional survey in Uganda reveals that the national coverage of the second dose of the measles–rubella vaccine remains critically low at 32.0%, driven by significant regional disparities and influenced by factors such as birth order, household composition, age, and caregiver experiences with vaccine safety and service quality.

Sharon Namasambi¹, Brian Boneventure Kawere, Daniel Kiiza, Ivan Segawa, Duncan Matovu, Richard Migisha¹, Collins Ankunda (…)2026-07-15
📄 medicine

Implementing a Cross-organisational Oral Health Randomised Controlled Trial in Home Care: A Qualitative Study of Organisational Readiness, Coordination and Adaptation

This qualitative study demonstrates that implementing a cross-organisational oral health randomised controlled trial in Swedish home care is feasible but critically depends on substantial organisational readiness, clear cross-sector coordination, and the adaptive strategies employed by frontline staff to navigate structural ambiguities and complex workflows.

Theresa Larsen, Sven Persson Kylén, Helle Wijk, Annsofi Brattbäck Atzori, Ingela Grönbeck Lindén, Jessica Persson Kylén2026-07-15
📄 medicine

Evaluation of Organizational Readiness and Implementation Barriers of Electronic Health Record Systems in Hospitals: A Socio-Technical Assessment during Deployment Phase

This study evaluates the socio-technical barriers to Electronic Health Record implementation at a tertiary hospital in Iran, revealing that despite high user satisfaction and acceptance, inadequate training and organizational readiness remain the primary obstacles to successful deployment.

Zeynab Dehghan, Zahra Mojaradi2026-07-15