13699 papers
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.
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.
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.
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.
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.
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.
This participatory mixed-methods study in semi-rural Quebec demonstrates that while co-designing an intersectoral learning community successfully strengthened relational and cognitive foundations for collaboration among diverse stakeholders to address obesity, the initiative has not yet achieved fully integrated collective action due to challenges in strategic representation, governance, and resource allocation.
This single-center cohort study demonstrates that machine learning models, particularly random forest for mortality and XGBoost for renal replacement therapy, effectively predict adverse outcomes in ANCA-associated vasculitis patients by identifying advanced age, dialysis requirement at diagnosis, and low eGFR as key independent risk factors.
This retrospective cohort study of nearly one million US kidney transplant candidates found that, among those already waitlisted, a recorded prior malignancy is associated with a modestly higher five-year probability of transplantation—driven by increased living-donor transplants—alongside a higher risk of removal due to being too sick.
This multicohort longitudinal study of over 52,000 middle-aged and older adults found that higher cumulative levels of visual impairment, hearing impairment, and particularly dual sensory impairment are significantly associated with an increased risk of developing incident cardiometabolic diseases.