📄 medicine

Association between dietary fiber intake and perioperative neurocognitive disorders in elderly arthroplasty patients: a mediation analysis of short-chain fatty acids

This prospective cohort study of 442 elderly arthroplasty patients demonstrates that higher preoperative dietary fiber intake significantly reduces the risk of perioperative neurocognitive disorders, with short-chain fatty acids acting as a complete mediator in this protective gut-brain axis mechanism.

Xiang Liu, Xiaona Tan, Yaozong Yu, Xuechong Zhao, Ziyi Zang, Xupeng Wang, Qiujun Wang2026-10-19
📄 medicine

Low-Cost Early Prediction of Retinopathy of Prematurity Using Arterial Blood Gas Analysis: A Retrospective Cohort Study

This retrospective cohort study demonstrates that an XGBoost-based machine learning model, utilizing only arterial blood gas parameters and minimal clinical features, achieves robust early prediction of retinopathy of prematurity with high sensitivity and accuracy across multiple Chinese medical institutions.

Chaoqin Yu, Qianyu Hao, Moyan Liu, Junfeng Mao, Yuanyuan Chen, Xiao Chen, Junlong Tang, Xiaobo Xia, Huizhuo Xu, Wei Zhen (…)2026-10-19
📄 medicine

Immune checkpoint inhibitor adverse events in colorectal cancer: a disproportionality analysis of FAERS with cross-database validation in JADER

This study utilizes a disproportionality analysis of FAERS and cross-database validation in JADER to identify seven confirmed immune-related adverse events associated with pembrolizumab and nivolumab in colorectal cancer patients, demonstrating that disease-matched comparators are essential to distinguish true drug toxicity from background disease symptoms.

Yunfei Yan, Wenjing Yue, Hua Song, Zirong Li, Wanhui Li, Xinyi Liu, Jianbo Pan, Shuang Cai2026-10-19
📄 medicine

Giant ileocecal inflammatory myofibroblastic tumor associated with paraneoplastic inflammatory syndrome in an 11-year-old girl: a case report

This case report describes an 11-year-old girl with a rare giant ileocecal inflammatory myofibroblastic tumor causing severe paraneoplastic inflammatory syndrome, which was successfully treated with complete surgical resection, leading to the rapid resolution of systemic inflammatory and hematologic abnormalities.

junxiao wang, jianping zhang, guihua le, chuanqi ren, yihan zhang, ezhang liu2026-10-19
📄 medicine

Dietary Non-adherence and Associated Factors among Adults with Type 2 Diabetes in Ethiopia: A Sequential Explanatory Mixed- Methods Study

This sequential explanatory mixed-methods study conducted in Ethiopia reveals that nearly 69% of adults with Type 2 diabetes are non-adherent to dietary recommendations, a high rate driven by significant barriers including household food insecurity, poor dietary knowledge, lack of family support, and economic constraints.

Abowak Ulfata Megersa, Kinfe Haile Wachima2026-10-19
📄 medicine

Gastrointestinal Adverse Events Associated With GLP-1 Receptor Agonists Versus DPP-4 Inhibitors in Patients with Type 2 Diabetes: A Multicenter Retrospective Cohort Study

This multicenter retrospective cohort study in China found that initiating GLP-1 receptor agonists, compared to DPP-4 inhibitors, significantly increases the risk of composite gastrointestinal adverse events in adults with type 2 diabetes, primarily driven by a twofold higher risk of gastroparesis.

Yiling Yan, Manrong Xu, Shengdi Lu, Zhonglin Liang, Yun Shen2026-10-19
📄 medicine

Evaluation of the Mineral, Physical and Chemical Properties of Enteral Tube Feeds Powder Administered in Jos University Teaching Hospital, Jos Plateau State, Nigeria

This study evaluated the mineral composition and physicochemical properties of three locally prepared enteral tube feeds at Jos University Teaching Hospital, revealing significant variations in their nutritional profiles and physical characteristics that suggest a need for strategic reformulation and quality control to ensure clinical suitability.

Chukwuweiken Victor Ebie, Egom Emmanuel Ofem, Udoka Bessie Igue, Elizabeth Okonkwo, Mayowa Mariam Oyedele2026-10-19
📄 medicine

Characteristics and working conditions of community health workers managing childhood illness in the Democratic Republic of the Congo, Nigeria, and Uganda: a cross-sectional survey study

This cross-sectional survey of 108 Community Health Workers across the Democratic Republic of the Congo, Nigeria, and Uganda reveals that while most receive regular supervision and training, gaps in drug supply, payment, and working tools significantly hinder their ability to effectively manage and refer severely ill children under Integrated Community Case Management (iCCM) programs.

Sharon Mukankaka, Giulia Delvento, Elizabeth Omoluabi, Phyllis Awor, Jean Okitawutshu, Antoinette Tshefu, Kazeem Ayodeji (…)2026-10-19
📄 medicine

Patients’ Perceptions and Experiences of Medical Laboratory Service Quality in the Kumasi Metropolis, Ghana: A Convergent Parallel Mixed-Methods Study

This convergent parallel mixed-methods study of 539 patients in Kumasi, Ghana, reveals that while service quality perceptions vary by facility type and gender, patients' expectations consistently exceed their experiences—particularly regarding responsiveness—resulting in overall dissatisfaction with medical laboratory services.

Elizabeth Sorvor, Mawuli Dzodzomenyo, Justice Nonvignon, Felix Kodzo Besah Sorvor, Michael Opoku-Mireku, Genevieve Cecil (…)2026-10-19
📄 medicine

Rising Incidence and Prevalence of Eosinophilic Esophagitis in the United Arab Emirates, Comorbidities, and Clinical Outcomes: A Single-Center Cohort Study

This single-center cohort study from the United Arab Emirates reveals a dramatic increase in the incidence and prevalence of eosinophilic esophagitis between 2019 and 2024, characterizing a patient population with symptoms and demographics similar to global trends while highlighting the superior histologic response observed in patients treated with biologic therapies.

Eyad Alakrad, Evan S. Dellon, Shaima Wasim Khan, Khalifa Saleh Al-Tenaiji, Mohamed Al Zaabi, Hosameldin Abdelrahman, Ame (…)2026-10-19