📄 medicine

Adoption and Implementation of Framework Contracting for Essential Medicines in Ghana: Qualitative Insights from Stakeholders

This qualitative study reveals that while Ghana's framework contracting for essential medicines has improved price consistency and supplier accountability, its failure to ensure uninterrupted availability stems from design flaws that misallocate financial and volume risks, necessitating comprehensive system-wide reforms beyond mere implementation adjustments.

Sarah Ama Kafui Okine, Brian Adu Asare, Desmond Dzidzornu Otoo, Saviour Kwame Yevutsey, Maxwell Ayindenaba Dalaba, Matil (…)2026-10-19
📄 medicine

Umbilical Cord Hernia is Not an Isolated Pathology: High Rate of Associated Anomalies in a Tertiary Center Cohort

This retrospective study of a tertiary center cohort reveals that umbilical cord hernia is frequently associated with major cardiac, chromosomal, and multisystemic anomalies in over half of cases, challenging its traditional classification as an isolated defect and necessitating comprehensive screening protocols similar to those for omphalocele.

MUGE YILDIZ, YAVUZ YILMAZ, ELIF EMEL ERTEN, MUJDEM NUR AZILI, EMRAH SENEL2026-10-19
📄 medicine

Correlation between Serum MMP-1/TIMP-1 Ratio and the Severity of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

This cross-sectional study of 64 Chinese patients with type 2 diabetes reveals that serum MMP-1 levels and the MMP-1/TIMP-1 ratio significantly increase with the severity of diabetic retinopathy, suggesting their potential as novel serological biomarkers for assessing disease progression.

Yanhao Ma, Jing Xiao, Yao Yao, Lijing Cui, Jian Guo, Ruixuan Jia, Xiaotong Ren2026-10-19
📄 medicine

Validating Acute Coronary Syndrome ICD Codes as Training Labels for Clinical AI

This 10-year retrospective study of nearly 620,000 emergency department encounters validates that while ICD-coded Acute Coronary Syndrome labels exhibit high sensitivity and specificity, their moderate positive predictive value is driven by systematic, interpretable errors—primarily suspected cases later ruled out or coder omissions—making them suitable training labels for AI screening models where missing a diagnosis is more critical than over-identification.

Daniel K. Amponsah, Gabrielle Bunney, Kate Miller, Ariadna Garcia, Anna Graber-Naidich, Keejeong Ryu, Himani Darji, Mari (…)2026-10-19
📄 medicine

Dietary behaviors, diet quality and nutritional status of motorcycle taxi (zémidjan) drivers in Cotonou, Benin: a cross-sectional study

This cross-sectional study of 253 motorcycle taxi drivers in Cotonou, Benin, reveals a coexisting double burden of underweight and overweight driven by a poorly diversified, carbohydrate-dominant diet, with low dietary diversity linked to underweight and alcohol consumption associated with overweight.

Colette Sylvie Azandjème, Folachadé Ibidoun Rodiath Bankole, Gbemahon Roger Houssou, Schadrac Gbaguidi, Clémence Metonno (…)2026-10-19
📄 medicine

Five-Year Longitudinal Changes and Determinants of Serum PFAS Exposure Profiles in a Community-Based Cohort from Southern China

This five-year longitudinal study of 958 Guangzhou residents reveals heterogeneous trends in serum legacy PFAS levels, characterized by decreases in most compounds but a notable increase in PFOA, with exposure patterns significantly influenced by age and residential location.

Heng Zhao, Yan Wu, Yuling Chen, Wenru Feng, Jie Shi, Chuangwei Weng, Wenjing Liang, Yongcong Deng, Li Bu, Tianji Lin, Si (…)2026-10-19
📄 medicine

Prevalence and Risk Factors of Child Sexual Abuse in Early Childhood Across Africa: A Protocol for a Systematic Review and Meta-Analysis

This protocol outlines a systematic review and meta-analysis designed to synthesize evidence on the prevalence and risk factors of child sexual abuse among children aged 8 years and younger across Africa, aiming to address critical knowledge gaps and inform targeted prevention policies and child protection systems.

Hawa Abdillah, Xiangmin Tan, Anne Nyambura Njogu, Nan Hua, Yi Zeng, Yuqing He, Siyuan Tang, Mei Sun, Maritta Välimäki2026-10-19