📄 medicine

Access to End-of-Life Medicines in Care Homes: Barriers, Variability and Opportunities for Improvement

A UK-wide survey of care home professionals reveals that significant delays in accessing controlled drugs for end-of-life care stem from fragmented pathways and staffing shortages, leading to a strong consensus that implementing on-site centralised stock—provided with robust governance and training—could substantially improve timely symptom management.

Swapnil Ghotane, Emyr Jones, Phillippa Ashcroft, Julie Watson, Ben Bowers2026-10-23
📄 medicine

Urban–rural Differences in Home Caregiving Environments Among Children Aged 0–3 Years in China: A Multi-region Cross-sectional Study

This large multi-region cross-sectional study of nearly 10,000 Chinese families with children aged 0–3 reveals significant urban–rural disparities in home caregiving environments, particularly regarding higher screen exposure and fewer early learning resources in rural areas, while highlighting the predominant role of grandparents as primary caregivers across both groups.

Yuhan Shi, Chuchu He, Yifan Tang, Jiaqi Jiang, Zhongliang Zhu, Hui Li2026-10-23
📄 medicine

Risk Factors for Postoperative Gastrointestinal Dysfunction After Percutaneous Dilatational Tracheostomy in Patients with Traumatic Cervical Spinal Cord Injury: A Single‑Center Retrospective Study

This single-center retrospective study of 89 patients with traumatic cervical spinal cord injury identifies neuromuscular blocker use and high-level cervical injury (C1–C4) as independent risk factors for postoperative gastrointestinal dysfunction, revealing that while high-level injury confers a substantial baseline risk, neuromuscular blockers significantly increase the incidence of dysfunction in patients with lower-level injuries, suggesting that routine neuromuscular blocker use should be avoided.

jianfeng huang2026-10-23
📄 medicine

Persistent Hib Invasive Disease and Rising Dominance of Highly Resistant NTHi in Chinese Children: A Retrospective Single-Centre Study, 2013–2023

This retrospective single-center study of Chinese children (2013–2023) reveals that while the Hib vaccine remains available but underutilized, allowing encapsulated *H. influenzae* to persist as a major cause of invasive disease, non-typeable *H. influenzae* (NTHi) has emerged as the predominant pathogen across all infection types with a significantly higher burden of antimicrobial resistance and distinct clonal characteristics.

Jing Sun, Huan Chen, Wei Shi, Jinghui Zhen, Xi Yang, Wei Gao, Fang Dong, Kaihu Yao2026-10-23
📄 medicine

Network structure of education quality elements for Chinese Master of Nursing Specialist students: a GLASSO network analysis of interaction effects and core hub identification

This study utilizes GLASSO network analysis to reveal that Master of Nursing Specialist education quality in China is characterized by a multi-centred, flat network structure where supervisor support, research ability, and clinical practice ability serve as core hubs, while also demonstrating a synergistic interaction between management service and supervisor support.

rong zhao, Liyan Jia, Cuiping Wang, Fenglin Wang, Ying Wang2026-10-23
📄 medicine

Overall behavior patterns of Chinese students and their associations with emotional and behavioral problems: A large-scale latent profile analysis

This large-scale study of over 173,000 Chinese students identifies four distinct overall behavior patterns and reveals that profiles characterized by academic overload and excessive screen time are significantly associated with higher emotional and behavioral problems, while highlighting the moderating roles of gender, grade, and maternal education.

Qiqi Lai, Wenxin Ge, Liqing Yao, Zhengge Jin, Wanxin Wu, Lixin Hu, Yinhuan Guo, Sichun Lin, Jingyang Fang, Yajun Chen2026-10-23
📄 medicine

Adaptive Responses to PARP Inhibition Predict Response to Olaparib and Durvalumab in the AMTEC Trial

Although the phase II AMTEC trial evaluating olaparib plus durvalumab in non-BRCA-mutated metastatic triple-negative breast cancer failed to meet its primary endpoint, exploratory multi-omic analyses of on-treatment biopsies revealed that PARP inhibitor-induced adaptive changes in tumor and immune biology serve as robust predictors of response to the combination therapy.

Zahi I. Mitri, Jayne M. Stommel, Allison L. Creason, Tugba Y. Ozmen, Matthew J. Rames, Furkan Ozmen, Daniel Bottomly, Bo (…)2026-10-23