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1316 articles

October 202624

Clinical ResearchPreventive Medicine / Public Health

Effectiveness of Immersive and Embodied Enhancement via "Virtual Reality" on the Sustainability of Hand Hygiene Compliance:Protocol for a Randomized Controlled Trial of a School-Based Training Program.

This protocol describes a three-arm randomized controlled trial evaluating customized virtual reality (VR) handwashing education among secondary school students in Hong Kong.

JMIR Res ProtocOct 6, 2026Read summary
Clinical ResearchOncology (Medical)

5-year survival rate and determinants of decreased survival among patients with breast cancer in Africa: a systematic review and meta-analysis.

This systematic review and meta-analysis evaluated the 5-year survival rate of breast cancer patients in Africa, analyzing 55 studies with 19,577 participants. The pooled 5-year survival rate was found to be 40.38%.

BMJ Glob HealthOct 6, 2026Read summary
Clinical ResearchPsychiatry

Randomised controlled trial of fluoxetine versus naltrexone in compulsive sexual behaviour disorder.

This randomized controlled trial compared the efficacy and tolerability of fluoxetine and naltrexone in 80 participants with compulsive sexual behaviour disorder (CSBD).

BMJ Ment HealthOct 6, 2026Read summary
Clinical ResearchPulmonologyOpen access

Neuromuscular, Balance, and Gait Factors Associated with Falls and Fall-Related Outcomes in Individuals with COPD: A Systematic Review.

This systematic review examined associations between muscle strength, balance, gait and falls or fall-related outcomes in people with COPD. It included 25 original studies involving 1295 participants.

Int J Chron Obstruct Pulmon DisOct 6, 2026Read summary
Clinical ResearchOrthopedic Surgery

Smartphone Measurement Application for Percutaneous Vertebroplasty in Osteoporotic Vertebral Compression Fractures: A Randomized Trial.

This single-center randomized controlled trial compared a LiDAR-enabled smartphone measurement application with conventional anatomical localization and C-arm verification in 43 patients with acute thoracolumbar…

J Vis ExpOct 6, 2026Read summary
Clinical ResearchInfectious Diseases

#aware.hiv Europe study: protocol for a stepped-wedge cluster randomised trial of a multimodal hospital-based implementation strategy targeting HIV indicator-condition-guided testing in European hospitals.

The #aware.hiv Europe study is a stepped-wedge cluster randomised trial conducted in 30 hospitals across ten European countries, aiming to improve HIV testing rates among patients with HIV indicator conditions.

BMJ OpenOct 6, 2026Read summary
Clinical ResearchGeneral Surgery

Hernia, mesh, microbes, and phage promise: Mapping 35 years of evidence through a systematic review.

This systematic review examined published evidence on microbiology and outcomes of hernia mesh infections, including studies from 1990–2025. Of 584 studies meeting inclusion criteria, 32 contributed to meta-analysis.

J Infect Public HealthOct 6, 2026Read summary
Clinical ResearchPediatricsOpen access

Iron or Multiple Micronutrient Powder Supplements With Malaria Chemoprevention in Rural Malawian Children: The IRMA Randomized Clinical Trial.

This randomized clinical trial evaluated the effects of iron supplements combined with malaria chemoprevention on cognitive outcomes in 6-month-old infants in rural Malawi.

JAMAOct 6, 2026Read summary
Clinical ResearchNeurologyOpen access

TRICALS risk score augments but cannot replace neurofilament as a prognostic biomarker in ALS.

This randomized controlled trial evaluated the TRICALS risk score as a prognostic tool in amyotrophic lateral sclerosis (ALS) using data from the MIROCALS trial (n = 220).

J NeurolOct 6, 2026Read summary
Clinical ResearchNeurology

Standardized Acupuncture Plus Modified Xiaoxuming Decoction for Acute Ischemic Stroke: A Randomized Controlled Trial.

This single-center, assessor-blinded randomized controlled trial enrolled adults with imaging-confirmed acute ischemic stroke within 72 hours and compared standard care with or without standardized acupuncture plus…

J Vis ExpOct 6, 2026Read summary
Clinical ResearchCardiothoracic Surgery

Minimally Invasive Versus Sternotomy in Redo Mitral Valve Surgery: Short- and Long-Term Outcomes with Meta-Regression and Time-to-Event Analysis.

This meta-analysis compared minimally invasive mitral valve surgery (MI-MVS) with sternotomy for redo surgery in adults. It included 15 studies and 3457 patients, pooling perioperative outcomes and reconstructing…

J Am Heart AssocOct 6, 2026Read summary
Clinical ResearchOncology (Medical)Open access

Preoperative CA15-3 as a predictor of axillary lymph node metastasis and prognosis in women with breast cancer: a GRADE-assessed systematic review and meta-analysis.

This GRADE-assessed systematic review and random-effects meta-analysis examined cohort studies of preoperative CA15-3 in women with breast cancer, assessing survival and metastatic outcomes.

Breast CancerOct 5, 2026Read summary
Clinical ResearchRheumatologyOpen access

Drug treatments for fibromyalgia: systematic review and network meta-analysis of randomised trials.

This systematic review and network meta-analysis compared drug treatments for fibromyalgia in adults, including evidence from 151 randomised trials involving 32 592 participants.

BMJ MedOct 5, 2026Read summary
Clinical ResearchInfectious Diseases

A phase III randomized study: Immunogenicity and safety of a quadrivalent meningococcal conjugate vaccine in healthy adults, adolescents, and children in India and healthy adolescents and children in South Africa.

This Phase III randomized controlled trial assessed the immunogenicity and safety of a single dose of MenACYW-TT in healthy adults, adolescents, and children in India and in adolescents and children in South Africa.

VaccineOct 5, 2026Read summary
Clinical ResearchAnesthesiology

Impact of opioid-free general anesthesia with locoregional blocks during breast cancer surgery on systemic inflammatory response: results from a randomized controlled trial.

This randomized controlled trial evaluated the effects of opioid-free general anesthesia with locoregional blocks (OfGA) versus traditional opioid-based general anesthesia (GA) on postoperative inflammation in breast…

Reg Anesth Pain MedOct 5, 2026Read summary
Clinical ResearchPlastic Surgery

Feeding following cleft palate surgery: a prospective randomized clinical trial comparing suprazygomatic maxillary nerve block and greater palatine nerve block.

This randomized controlled trial evaluated the effectiveness of suprazygomatic maxillary nerve blocks (SZMNB) versus greater palatine nerve blocks (GPNB) in children aged 1-10 undergoing cleft palate surgery.

Reg Anesth Pain MedOct 5, 2026Read summary
Clinical ResearchAnesthesiology

Clinical utility of randomized controlled trials of regional anesthesia for lower-extremity surgery: a systematic review.

This systematic review evaluated the clinical utility and transparency of randomized controlled trials (RCTs) on regional anesthesia (RA) for lower-extremity surgeries.

Reg Anesth Pain MedOct 5, 2026Read summary
Clinical ResearchAnesthesiology

Assessing the completeness of safety reporting in clinical trials of regional anesthesia interventions: a registry-publication comparison systematic review.

This systematic review evaluated the completeness of adverse event (AE) reporting in interventional regional anesthesia trials registered on ClinicalTrials.gov and their corresponding publications.

Reg Anesth Pain MedOct 5, 2026Read summary
Clinical ResearchEmergency Medicine

Comparative Ultrasound Assessment of Standard and Wire-Core Airway Bougie Introducers in a Cadaver Model.

This randomized controlled trial evaluated the accuracy of point-of-care ultrasound (POCUS) in identifying standard bougie (SB) versus wire-core bougie (WCB) placements in cadaver models.

J Spec Oper MedOct 5, 2026Read summary
Clinical ResearchEndocrinology

Chestnut flour-enriched bread reduces postprandial glycaemic response in healthy adults: a randomised, controlled crossover study.

This randomized controlled crossover study evaluated the impact of chestnut flour-enriched bread on postprandial glycaemic responses in fourteen healthy adults.

Food FunctOct 5, 2026Read summary
Clinical ResearchPsychiatry

Nutraceuticals and phytoceuticals in the treatment of bipolar disorder: A systematic review and network meta-analysis.

This systematic review and network meta-analysis assessed randomized controlled trials of nutraceuticals and phytoceuticals for bipolar disorder. Twenty-eight trials involving 2,222 participants evaluated 22 treatments.

Eur NeuropsychopharmacolOct 5, 2026Read summary
Clinical ResearchUrology

Caudal versus penile block and urethrocutaneous fistula formation following hypospadias repair in children <2 years: a multicenter randomized clinical trial.

This multicenter randomized controlled trial evaluated the incidence of urethrocutaneous fistula (UCF) formation in children under 2 years undergoing hypospadias repair with either caudal or penile block.

Reg Anesth Pain MedOct 5, 2026Read summary
Clinical ResearchInfectious Diseases

Geographical and temporal patterns of cutaneous leishmaniasis in Pakistan: insight from a decade of epidemiology.

This systematic review examined the geographical distribution and epidemiological trends of cutaneous leishmaniasis (CL) in Pakistan from 2014 to 2024.

Trans R Soc Trop Med HygOct 5, 2026Read summary
Clinical ResearchCardiology

Flavonoid-rich foods and vascular functions in healthy adults: a systematic review and meta-analysis of randomized controlled trials.

This systematic review and meta-analysis evaluated the effects of flavonoid-rich foods on vascular function in 561 healthy adults across 11 randomized controlled trials.

Food FunctOct 5, 2026Read summary

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