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464 articles

August 202624

Clinical ResearchCardiology

Comparative Effectiveness of Chlorthalidone Versus Hydrochlorothiazide and Dose-Response of Amiloride on Blood Pressure and Biochemical Parameters.

This 12-week factorial randomized clinical trial compared chlorthalidone 25 mg with hydrochlorothiazide 50 mg, and amiloride 5 mg with 10 mg, assessing office and ambulatory blood pressure and laboratory parameters.

J Am Heart AssocAug 30, 2026Read summary
Clinical ResearchGeriatrics

Acute water ingestion influences lean soft tissue estimation from dual-energy x-ray absorptiometry: Implications for clinical diagnosis.

This randomized controlled trial investigated the effects of acute water ingestion (AWI) on dual-energy X-ray absorptiometry (DXA) estimates of lean soft tissue (LST) in 46 participants.

Clin Nutr ESPENAug 29, 2026Read summary
Clinical ResearchCardiology

Anticoagulation for Atrial Fibrillation with Intermediate Stroke Risk.

This multicenter randomized controlled trial evaluated the efficacy of direct oral anticoagulant (DOAC) therapy in patients with atrial fibrillation at intermediate stroke risk in South Korea.

N Engl J MedAug 28, 2026Read summary
Clinical ResearchPulmonology

Acetazolamide mitigates opioid-associated sleep-disordered breathing.

This randomized controlled trial investigated the effects of oral acetazolamide on sleep-disordered breathing (SDB) in nine adults with opioid-associated SDB.

J Appl Physiol (1985)Aug 28, 2026Read summary
Clinical ResearchInfectious Diseases

Traditional, complementary, and integrative medicine therapies for mild/moderate acute COVID-19: a systematic review and network meta-analysis.

This systematic review and network meta-analysis evaluated the effectiveness of Traditional, Complementary, and Integrative Medicine (TCIM) therapies for mild/moderate acute COVID-19 in 18,627 patients across 69 trials.

PhytomedicineAug 27, 2026Read summary
Clinical ResearchPulmonologyOpen access

Kratom-Associated Pulmonary Toxicity: A Systematic Review of Case Reports and Forensic Series with a Proposed Clinical Phenotype Classification.

Kratom use has increased, including concentrated 7-hydroxymitragynine products, but pulmonary toxicity has not been systematically synthesized.

J Med ToxicolAug 27, 2026Read summary
Clinical ResearchEndocrinologyOpen access

Effect of diet macronutrient content on the cardiometabolic response to weight loss: A randomized clinical trial.

This randomized clinical trial examined the impact of different macronutrient compositions in diets on cardiometabolic responses to moderate weight loss in individuals with metabolically unhealthy obesity.

Cell MetabAug 27, 2026Read summary
Clinical ResearchCardiologyOpen access

Achieved home systolic blood pressure and cardiovascular risk in older hypertensive patients.

This secondary analysis of a randomized controlled trial examined achieved home systolic blood pressure (SBP) and cardiovascular outcomes in older adults with hypertension.

Hypertens ResAug 27, 2026Read summary
Clinical ResearchInfectious Diseases

Effectiveness of Antiseptic and Antibiotic Use to Prevent Central Line-Associated Bloodstream Infections in ICU Patients: A Systematic Review and Narrative Synthesis of Randomized Clinical Trials.

This systematic review evaluated the effectiveness of antiseptics and antibiotics in preventing central line-associated bloodstream infections (CLABSI) in ICU patients.

J Infus NursAug 25, 2026Read summary
Clinical ResearchInternal Medicine (General)Open access

Butyrylcholinesterase Activity as a Mortality Marker in ICU Patients: An Individual Participant Data Meta-Analysis.

This meta-analysis evaluated the prognostic value of butyrylcholinesterase (BChE) activity for in-hospital mortality in critically ill adults, primarily those with sepsis.

Crit Care ExplorAug 25, 2026Read summary
Clinical ResearchInternal Medicine (General)

Effect of Peer Comparison Feedback and Professional Norms on Vitamin D Testing and Generic Medication Prescribing.

This randomized controlled trial evaluated the impact of peer comparison feedback on vitamin D testing and generic medication prescribing among primary care physicians in Switzerland.

NEJM EvidAug 25, 2026Read summary
Clinical ResearchGastroenterologyOpen access

Cardiorespiratory and Metabolic Responses After Sleeve Gastrectomy in Adults With Obesity: Systematic Review.

This systematic review examined cardiorespiratory and metabolic responses after sleeve gastrectomy in adults with obesity. It included seven observational reports involving 162 participants from two independent cohorts…

Obes SurgAug 25, 2026Read summary
Clinical ResearchCardiologyOpen access

Additional blood-pressure-lowering effect of exercise in adults on stable antihypertensive medication: a systematic review and meta-analysis of randomised controlled trials.

This systematic review and meta-analysis pooled randomised controlled trials of exercise in adults taking stable antihypertensive medication.

Hypertens ResAug 25, 2026Read summary
Clinical ResearchEndocrinologyOpen access

Assessment of the safety and efficacy of sodium pentaborate pentahydrate in individuals with overweight and obesity: a randomized, double-blind, placebo-controlled, phase 1/2 dose-finding trial.

This randomized, double-blind, placebo-controlled phase 1/2 trial evaluated the safety and preliminary efficacy of sodium pentaborate pentahydrate in 177 adults with overweight or obesity over 12 weeks.

AdipocyteAug 24, 2026Read summary
Clinical ResearchNephrology

Protein requirements and determinants of protein catabolic rate in critically ill patients with acute kidney injury: A post hoc analysis of the ENGINE randomized controlled trial.

This post hoc analysis of the ENGINE randomized controlled trial evaluated protein requirements in 78 critically ill patients with acute kidney injury (AKI).

Clin Nutr ESPENAug 21, 2026Read summary
Clinical ResearchInternal Medicine (General)

Quadriceps muscle behavior assessed by ultrasound in septic patients: A systematic review.

This systematic review examined the use of ultrasound to assess quadriceps muscle atrophy in adults with sepsis or septic shock in ICUs.

Clin Nutr ESPENAug 21, 2026Read summary
Clinical ResearchUrology

Association between seminal and serum iron parameters and male infertility: a systematic review and meta-analysis.

This systematic review and meta-analysis evaluated the relationship between iron levels and male infertility, analyzing data from ten studies with 985 participants.

Aging MaleAug 20, 2026Read summary
Clinical ResearchGastroenterologyOpen access

Effects of diabetes, obesity, and metabolic syndrome on alcohol-associated liver disease: A systematic review.

This systematic review evaluated the impact of cardiometabolic risk factors (CMRFs) on clinical outcomes in adults with alcohol-associated liver disease (ALD).

Hepatol CommunAug 20, 2026Read summary
Clinical ResearchEndocrinology

Food intake sequence affects postprandial metabolic, hormonal, and appetite responses in healthy male football players: A randomised crossover trial.

This randomized crossover trial examined the effects of food intake sequence on postprandial responses in 14 highly trained male football players.

Clin Nutr ESPENAug 19, 2026Read summary
Case ReportInfectious DiseasesOpen access

Severe Disseminated Melioidosis with Pulmonary, Cutaneous, and Osteoarticular Involvement in the Peruvian Amazon.

A 35-year-old man with poorly controlled diabetes living in the Peruvian Amazon presented with multifocal pneumonia, bacteremia, and septic shock requiring mechanical ventilation and vasopressors.

Am J Trop Med HygAug 18, 2026Read case
Clinical ResearchCardiology

Association Between Follow-Up Mean Blood Pressure and Blood Pressure Control: A Meta-Regression Analysis of 101 Randomized Trials.

This meta-regression analysis examined the relationship between mean blood pressure (BP) and BP control in 101 randomized trials involving over 85,000 participants.

HypertensionAug 17, 2026Read summary
Clinical ResearchInfectious Diseases

Programmatic effectiveness of tuberculosis preventive treatment for people with HIV in six high-tuberculosis-burden countries (PROTECT): a prospective cohort study and meta-analysis.

This prospective cohort study and meta-analysis evaluated the effectiveness of tuberculosis preventive treatment (TPT) in reducing tuberculosis incidence and all-cause mortality among 235,424 people with HIV initiating…

Lancet HIVAug 17, 2026Read summary
Clinical ResearchPulmonology

Toward a standardized framework for chronic obstructive pulmonary disease self-care: An umbrella review.

This umbrella review synthesized international COPD guidelines and systematic reviews to define core components of COPD self-care and assess their alignment with guidance.

Int J Nurs StudAug 17, 2026Read summary
Case ReportInternal Medicine (General)

Shared Decision-Making and the Role of Maternalism in Resolving Difficult End-of-Life Decisions.

We explore the spectrum of shared decision-making, especially the idea of maternalism, which combines patient or surrogate preferences and goals with the clinician's responsibility to provide care within the boundaries…

J Am Coll SurgAug 14, 2026Read case

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