📄 medicine

Social Determinants of Health Among U.S.-Born Black and Haitian Adults with HIV in Miami: Baseline Characteristics from the INSTACARE Study

This study highlights that while U.S.-born Black and Haitian adults with HIV in Miami share similar clinical viral loads, they exhibit distinct social determinants of health profiles—specifically higher housing instability and depression among U.S.-born Black participants versus significant language barriers among Haitian participants—underscoring the need for targeted interventions that address sub-group specific needs rather than broad racial categorizations.

Sonjia Kenya, Olveen Carrasquillo, Deborah Jones, Natalie Bally, Ashley Gray, Ana Riccio, Allan Rodriguez, Yue Pan2026-07-15
📄 medicine

Design, rollout and early institutionalisation of a digital 360-degree performance management system in Cameroon’s Expanded Programme on Immunization: an implementation study

This implementation study documents the successful design, rollout, and early institutionalization of a role-specific digital 360-degree performance management system within Cameroon's Expanded Programme on Immunization, highlighting how user-centered adaptations, capacity building, and integration into routine cycles facilitated adoption while identifying areas for future calibration and validation.

Oluwaleke Jegede, King Ewa-Henshaw, Chelsea Osayande, Shalom Tchokfe Ndoula, Andreas Ateke Njoh, Ernest Njukang, Aderant (…)2026-07-15
📄 medicine

Investigating the perspectives of Liberian frontline health workers on ethical tensions experienced during the Ebola epidemic and the COVID-19 pandemic

This qualitative study explores the ethical tensions faced by Liberian primary healthcare workers during the Ebola and COVID-19 pandemics, highlighting conflicts between professional duty and personal safety, experiences of stigma, and the need for systemic improvements to support frontline staff in low-resource settings.

Parnor Madjitey, Joseph M. Sieka, Marie-Edith Nepveu-Traversy, Gary Kobinger, Matthew Hunt2026-07-15
📄 medicine

Predicting the distribution of 16 tick species in Japan and its association with the occurrence of tick-borne diseases

By combining nationwide field surveys with species distribution modeling, this study established the first comprehensive maps of 16 tick species across Japan, revealing that snow depth is a key environmental determinant and demonstrating significant correlations between the predicted occupancy rates of specific vector ticks and the occurrence of associated tick-borne diseases.

Mebuki Ito, Yuma Ohari, Yuki Ohsugi, Yurie Taya, Naoki Hayashi, Shohei Ogata, Kodai Kusakisako, Yongjin Qiu, Nariaki Non (…)2026-07-15
📄 medicine

Associations of Short-term Exposure to Multiple Air Pollutants with Hospital Admissions for Ischemic Stroke in Lanzhou, China

This study demonstrates that short-term exposure to PM₂.₅, PM₁₀, SO₂, and CO significantly increases the risk of ischemic stroke hospital admissions in Lanzhou, China, with heightened vulnerability observed among females, the elderly, and during the cold season, while no safe exposure thresholds were identified for particulate matter and carbon monoxide.

Sixuan Chen, Yongmei He, Yongcong Chen2026-07-15
📄 medicine

Under-reporting of Needlestick Injuries Among Doctors in Teaching Hospitals in Sudan: A cross-sectional study

This cross-sectional study of 484 physicians in Sudanese teaching hospitals reveals a high prevalence of needlestick injuries and significant under-reporting, primarily driven by infrastructural gaps and lack of awareness regarding reporting systems rather than psychosocial factors.

Mohamed Ibrahim, Ali Shamsaldeen, Arif Mohd.Taha, Abdulrahman Mohammed, Salma Alsidig, Amany Hussien2026-07-15
📄 medicine

Beyond Attendance: Facility-level variations in the delivery of essential Antenatal Care interventions during routine Group Antenatal Care implementation in Tanzania: A Secondary Analysis

This secondary analysis of routine Group Antenatal Care implementation in Tanzania reveals that while attendance and facility delivery rates are consistently high across six public facilities, substantial variations persist in the delivery of essential preventive and diagnostic interventions, underscoring the need to shift monitoring focus from mere attendance to the quality and completeness of care content.

Augustino Hellar, Hamid Mandali, Alen Kinyina, Edwin Ernest, Isaac Lyatuu, Raymond Bandio, Phineas Sospeter, Ahmad Makuw (…)2026-07-15
📄 medicine

Pilot study testing varenicline for promoting smoking cessation and pain management among patients with cancer

This pilot study demonstrates that combining varenicline with a behavioral intervention targeting both smoking cessation and pain management is feasible, acceptable, and preliminarily effective for helping patients with cancer quit smoking, though further refinement is needed to improve pain management outcomes.

Kathryn I. Pollak, James M. Davis, Laura J. Fish, Linda M. Sutton, Maren K. Olsen, Lynda Owen, Sarah Hantzmon, Brianna R (…)2026-07-15
📄 medicine

The Student-Nurse Educator Interactive Model: A Middle-Range Theory for the Acquisition of Clinical Reasoning Skills in Undergraduate Nursing Students

This paper introduces the Student-Nurse Educator Interactive Model (SNEIM), a contextually grounded middle-range theory developed through mixed-methods research in Malawi to guide the acquisition of clinical reasoning skills in undergraduate nursing students by integrating six key themes into five interdependent anchors within a conducive clinical environment.

Omero Gonekani Mwale, Patricia Katowa-Mukwato, Marjorie makukula chiluba2026-07-15
📄 medicine

A Cost Analysis for the Implementation of a Dementia Patient and Carer Public Advisory Board for Health Research

This paper presents a four-year cost analysis of a dementia patient and carer Public Advisory Board, revealing that while PPI is resource-intensive with design and implementation as the primary cost drivers, early and deep community engagement ultimately enhances financial efficiency and ensures meaningful participation.

Paola Vásquez, Daniel X. Bailey, Paul Prudon, Jane Thompson, Melinda Martin-Khan, Len C. Gray2026-07-15