📄 medicine

Clinical Characteristics, Staging, and Treatment Outcomes of Retinoblastoma at a National Referral Center in Tanzania: A Retrospective Study (2023–2025)

This retrospective study of 111 pediatric patients at a Tanzanian national referral center reveals that retinoblastoma is predominantly diagnosed at advanced stages due to late presentation, resulting in high rates of enucleation and 15.2% mortality, which underscores the urgent need for improved community awareness and early screening to enhance survival and eye preservation.

Mohamed Shawgi Abdelsid, Joachim Kilemile, NABILA Elyas2026-10-19
📄 medicine

Governing medical tourism in Asia: comparative policy evidence and implications for China

This paper employs a comparative analysis of medical tourism policies across six Asian nations to identify gaps in accountability and implementation evidence, ultimately recommending that China prioritize clarifying cross-jurisdictional responsibilities and distinguishing patient populations rather than relying solely on national promotion.

Ying Zhou, Di Xu, Yaxu Zhou, Yuru Yan, Chunming Wang2026-10-19
📄 medicine

Feasibility of a parent-led Premalocom crawling training protocol for preterm infants with high risk of motor deficits

This study demonstrates that a parent-led Premalocom crawling training protocol, delivered at home with professional supervision for high-risk preterm infants, is feasible and effectively stimulates active locomotion, although parental adherence is lower than professional-led delivery and correlates with socioeconomic status.

Léa GUERET, Valérie Biran, Marie-Victorine Dumuids-Vernet, Joëlle Provasi, David Ian Anderson, Viviane Huet, Anne-Lyse F (…)2026-10-19
📄 medicine

Implementation Fidelity and Quality of the Community Health Information System at Primary Health Care Level in Rural Ethiopia: A Historical Process Evaluation of the 2016 CHIS Implementation

This historical process evaluation of the 2016 Community Health Information System (CHIS) implementation in rural Ethiopia found that while the system achieved a "very good" overall performance score with strong resource availability and household registration, it faced significant challenges in data consistency and routine updating that require targeted improvements in supervision and training.

Mesaud Mohammedbirhan Adem, Kiros Demoz, Taddele Weldeslassie Awalom, Mengistu Hagazi Tequar, Tesfay Gebregzabher2026-10-19
📄 medicine

Co-Designing a Social Prescribing Intervention for Carer-Employees: A Qualitative Exploration of Stakeholder Perspectives

This qualitative study explores the lived experiences and needs of carer-employees through stakeholder interviews and a co-design workshop to inform the development of a scalable social prescribing intervention aimed at improving caregiver well-being and sustaining workforce participation in Canada.

Allison Williams, Reemal Shahbaz, Zeest Kadri, Brooke Chmiel, Sarah Neil-Sztramko, Kate Mulligan, Winny Fung2026-10-19
📄 medicine

Electroacupuncture at Shenting (GV24) and Baihui (GV20) Alleviates Cognitive Impairment in MCAO/R Rats by Inhibiting cGAS–STING Signaling Pathway–Associated Ferroptosis

This study demonstrates that electroacupuncture at Shenting (GV24) and Baihui (GV20) alleviates post-stroke cognitive impairment in MCAO/R rats by inhibiting the cGAS-STING signaling pathway, thereby suppressing ferroptosis.

Jun Chen, Yamin Wang, Yujie Zhang, Yaqi Luo, Kewen Ma, Xinbao Tian, Zhaochun Wang, Tao Hu, Jing Gao, Xiaodong Feng2026-10-19
📄 medicine

Beyond biological threats: A global ecological study of International Health Regulations (2005) core capacities and multi-hazard disaster outcomes, 2015–2023

This global ecological study demonstrates that stronger International Health Regulations (2005) core capacities, particularly in laboratory, coordination, surveillance, and risk communication, are significantly associated with reduced mortality and morbidity from multi-hazard disasters, thereby validating the framework's relevance beyond biological threats.

Thein Than Htay -, Feng-Jen Tsai2026-10-19
📄 medicine

Delayed graft function and outcome-data readiness after pediatric kidney transplantation in Ecuador: a single-center retrospective cohort

This single-center retrospective study of 62 pediatric kidney transplants in Ecuador highlights a 12.3% delayed graft function rate and significant data completeness gaps, underscoring the urgent need for standardized minimum datasets to enable reliable longitudinal outcome analysis in settings with limited registry infrastructure.

Santiago Alejandro Chávez Fuenmayor, Frances Johanna Fuenmayor Oramas, Junior Rafael Gahona Villegas, Rosa Alba Quiguant (…)2026-10-19
📄 medicine

Prenatal phenotypes and outcomes of left-sided and duplicated inferior vena cava according to hepatic IVC continuity: a retrospective cohort study

This retrospective cohort study of 167 fetuses with left-sided or duplicated inferior vena cava reveals that while the interrupted hepatic IVC pattern (Type B) is strongly associated with complex cardiac anomalies and left isomerism, the drainage pattern itself does not independently predict fetal death, though it necessitates comprehensive prenatal assessment.

Bin Ma^, Yanfang Wang^, Lan Bu^, Fang Nie2026-10-19
📄 medicine

Rafiq: An Arabic Conversational AI System for Early Depression Detection with Integrated Symptom Monitoring, PHQ-9 Screening, and Retrieval-Augmented Generation

This paper introduces Rafiq, a clinically validated Arabic conversational AI system that integrates a curated mental health knowledge base, a 217-expression PHQ-9 lexicon for symptom detection, and a retrieval-augmented generation pipeline to enable early depression screening and psychoeducation for Arabic-speaking communities.

Alaa Alshurafa, Basem Alijla, Motaz K H SAAD2026-10-19