📄 medicine

Uptake and associated factors of the second dose of measles–rubella vaccine among children aged 18–23 months in Uganda, August-September 2024

A 2024 cross-sectional survey in Uganda reveals that the national coverage of the second dose of the measles–rubella vaccine remains critically low at 32.0%, driven by significant regional disparities and influenced by factors such as birth order, household composition, age, and caregiver experiences with vaccine safety and service quality.

Sharon Namasambi¹, Brian Boneventure Kawere, Daniel Kiiza, Ivan Segawa, Duncan Matovu, Richard Migisha¹, Collins Ankunda (…)2026-07-15
📄 medicine

Implementing a Cross-organisational Oral Health Randomised Controlled Trial in Home Care: A Qualitative Study of Organisational Readiness, Coordination and Adaptation

This qualitative study demonstrates that implementing a cross-organisational oral health randomised controlled trial in Swedish home care is feasible but critically depends on substantial organisational readiness, clear cross-sector coordination, and the adaptive strategies employed by frontline staff to navigate structural ambiguities and complex workflows.

Theresa Larsen, Sven Persson Kylén, Helle Wijk, Annsofi Brattbäck Atzori, Ingela Grönbeck Lindén, Jessica Persson Kylén2026-07-15
📄 medicine

Evaluation of Organizational Readiness and Implementation Barriers of Electronic Health Record Systems in Hospitals: A Socio-Technical Assessment during Deployment Phase

This study evaluates the socio-technical barriers to Electronic Health Record implementation at a tertiary hospital in Iran, revealing that despite high user satisfaction and acceptance, inadequate training and organizational readiness remain the primary obstacles to successful deployment.

Zeynab Dehghan, Zahra Mojaradi2026-07-15
📄 medicine

Short-term anatomical outcome of Verteporfin photodynamic therapy for treatment-naiive chronic central serous chorioretinopathy as a predictor for long-term anatomical outcome

This retrospective study of 58 eyes with treatment-naive chronic central serous chorioretinopathy suggests that the presence of subretinal fluid at the 3-month follow-up after a single session of verteporfin photodynamic therapy predicts persistent fluid and the need for further treatment, as no eyes with initial fluid later achieved a dry macula.

Mania Horani, Ghyath Kafa, Romi Chhabra2026-07-15
📄 medicine

Psychological Distress, Physical Symptoms, Financial Toxicity, and Unmet Supportive Care Needs in Breast and Gynecological Cancer Patients

This prospective study of 234 Turkish women with breast and gynecological cancers reveals that high levels of psychological distress, physical symptoms, and financial toxicity are significantly interrelated, underscoring the critical need for routine, holistic screening and multidisciplinary support to address these interconnected challenges.

Dilek YILDIRIM, VİLDAN KOCATEPE, ARZU GÜNGÖR TOLASA2026-07-15
📄 medicine

Back-Localized Restless Legs Syndrome–Like Symptoms Without Limb Involvement, Accompanied by Urinary Urgency and Generalized Heat Sensation, With Differential Responses to Dopamine Agonist Therapy and Somatosensory Stimulation: A Case Report

This case report describes a 50-year-old man with an atypical presentation of Restless Legs Syndrome characterized by back-localized discomfort, urinary urgency, and generalized heat sensation, which showed complete relief with the dopamine agonist ropinirole but only partial improvement with acupressure mat therapy, suggesting distinct yet interacting neural mechanisms for somatosensory and autonomic symptoms within the RLS spectrum.

Yumiko Higami, Seiji Nishino2026-07-15
📄 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