medicine papers | Gist.Science

Scoping review of governance, privacy, and design in AI- supported conversational agents for perinatal mental health

This scoping review of 35 studies reveals that while AI-supported conversational agents for perinatal mental health are rapidly evolving toward advanced architectures, they suffer from a critical "AI perinatal paradox" characterized by inadequate governance, privacy safeguards, and inclusivity, prompting the proposal of eight minimum standards to prioritize safety and equity in their development.

Desmond O. Obe, Samantha J. Teague, Ickjai Lee, Adrian B. R. Shatte2026-10-15

📄 medicine

Online Group antenatal care: reaching out to Eritrean refugees. A mixed method study

This mixed-methods study demonstrates that online group antenatal care, facilitated by a midwife and Tigrinya-speaking cultural mediator, effectively improves health literacy, confidence, and cultural safety for Eritrean refugee women in the Netherlands, though it faces challenges in fostering sustained community connection that require further optimization.

Suze Jans, Matty Crone, Anne Bedaux, Amy Weldeselase, Marlies Rijnders2026-10-15

📄 medicine

Childhood Trauma, Antenatal Depression, and Neutrophil-to-Lymphocyte Ratio in High-Risk Pregnant Women: A Brazilian Cross-Sectional Study

This Brazilian cross-sectional study of high-risk pregnant women found that while anxiety strongly predicted antenatal depression and childhood trauma was highly prevalent, no direct association was observed between childhood trauma or the neutrophil-to-lymphocyte ratio and antenatal depression, though a moderate correlation between childhood sexual abuse and inflammation was noted specifically among depressed women.

Gabrielle Maciel-Pereira, Letícia Ruthes Niz, Renato Mitsunori Nisihara, Sarah Cristina Zanghellini Rückl2026-10-15

📄 medicine

Beyond Coverage: Quality and Continuity of Maternal Care in India

Using data from India's National Family Health Survey (2019–21), this study demonstrates that while expanding maternal healthcare coverage has not proportionately improved child health outcomes, a quality-adjusted analysis reveals that higher-quality care at all stages significantly improves infant survival and birth weight, with social inequalities manifesting not as uniform deficits but as specific, structurally located fractures in the continuity of care—particularly at the delivery-to-postnatal transition for Scheduled Tribe women.

Sonali Mishra, Neha Gupta, Karan Babbar2026-10-15

📄 medicine

A Qualitative Study of Screening Logs in Clinical Trials: How Can We Improve Current Practice?

This qualitative study identifies significant challenges in the inconsistent collection and reporting of screening data in clinical trials and advocates for the development and implementation of standardized guidelines to improve data quality and methodological rigor.

Juliet High, Matthew Hammond, Susan Stirling2026-10-15

📄 medicine

Reclassifying Neuroleptic Malignant Syndrome as a Designated Medical Event to enhance regulatory signal detection

This paper argues that Neuroleptic Malignant Syndrome (NMS) meets all European Medicines Agency criteria for a Designated Medical Event and should be reclassified from an Important Medical Event to enable immediate single-case safety surveillance, thereby improving the detection of this rare, severe, and cross-specialty drug-induced condition.

Juan Roca-Pogo2026-10-15

📄 medicine

Virtual Integrated Reliable Transformative User-driven E-health System for pacemakers and implantable cardioverter defibrillators

The VIRTUES randomized controlled trials demonstrated that a virtual integrated digital health platform for remote monitoring of pacemakers and implantable cardioverter defibrillators is non-inferior to standard care regarding safety and efficacy while achieving significant cost savings.

Ratika Parkash, George Wells, Amir AbdelWahab, Habib Khan, Laurence Sterns, Martin van Zyl, Isabelle Nault, Francois Sar (…)2026-10-15

📄 medicine

A Study on Common Oral Lesions in Psychiatric Inpatients at Shahid Lavasani Hospital

This 2024 study at Shahid Lavasani Hospital reveals that psychiatric inpatients exhibit a high prevalence of oral lesions, particularly fissured tongue, sublingual varices, and xerostomia, with significant correlations found between specific psychiatric disorders, anticholinergic medication use, and various oral health complications.

Ghazal Ghorbani, Maryam Vahdat Shariatpanahi, Arman Sam Daliri, Arezoo Alaee2026-10-15

📄 medicine

PHASE-ED: Recorded Emergency Department Stay and Temporal Prediction Across Pandemic Phases at Jordanian Public Hospitals

This study analyzes Jordanian Ministry of Health data from 2018 to 2025 to characterize pandemic-phase variations in emergency department stay durations and evaluate temporal prediction models, revealing that while recorded lengths of stay decreased during the recovery phase, predictive modeling offered only modest accuracy improvements and exhibited uneven uncertainty coverage across patient categories.

Samer Abaddi2026-10-15

📄 medicine

Association of Poor Mental Health and Cardiovascular Events Among Middle-Aged and older people's: A population-based case control study

This population-based case-control study of 14,674 Iranian adults aged 50 and older reveals that poor mental health, particularly depression and anxiety, is an independent risk factor significantly associated with increased odds of cardiovascular events, underscoring the need to integrate mental health care into cardiovascular prevention strategies.

Amin Moradi, Mehdi Norouzi, Ehsan Mosafarkhani2026-10-15

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