📄 medicine

Trends and Geographic Inequalities in Place of Delivery in Nigeria: Evidence from the 2013–2024 Nigeria Demographic and Health Surveys

This study analyzes 2013–2024 Nigeria Demographic and Health Survey data to reveal that while facility-based deliveries increased slightly, progress has stalled since 2018 and is hindered by persistent, stark geographic and socioeconomic disparities, necessitating targeted interventions in underserved regions.

Sunday Akingbola Omokanye, Kayode Olayiwola Adepoju, Afolabi Abiodun Yinusa, Jacob Kehinde Opele, Adeolu Akinyele Adelek (…)2026-10-14
📄 medicine

Administrative Primacy as an Interpretive Framework for Health System Governance: A Document-Based Analysis of Three Publicly Reported Episodes During the 2021 Fujian COVID-19 Outbreak Response

This document-based case study analyzes three episodes from the 2021 Fujian COVID-19 outbreak through the "Administrative Primacy" framework, illustrating how an overemphasis on administrative performance metrics may have conflicted with clinical ethics, occupational safety norms, and institutional transparency during the emergency response.

Dingnan Cai2026-10-14
📄 medicine

Airway Control with a Laryngeal Mask Combined with High‑Flow Oxygen During Tracheal Resection and Reconstruction for Tumor‑Induced Critical Airway Obstruction: A Case Report

This case report demonstrates that a multimodal airway strategy combining laryngeal mask ventilation, staged distal tracheal intubation, and high-flow apneic oxygenation successfully enabled safe emergency tracheal resection and reconstruction in a patient with critical tumor-induced airway obstruction.

Ly Nguyen Minh, Hung Tong Xuan, Hai Ngo Vi, Hung Tran Duc, Trang Dinh Thi Thu2026-10-14✓ Author reviewed ⓘ
📄 medicine

Differential Risk Profiles of Needlestick versus Sharps Injuries Among Dental Healthcare Workers: An 11-Year Retrospective Analysis in a Tertiary Stomatological Hospital

This 11-year retrospective analysis of 363 occupational percutaneous injuries in a tertiary stomatological hospital reveals that needlestick and sharps injuries possess distinct epidemiological profiles, with needlestick risks significantly elevated in oral surgery and implantology among younger staff, students, and nurses, thereby necessitating targeted, specialty-specific prevention strategies.

Weijia Liu, Shimin Yang, Zhou Lan, Yifei Ge, Xiaoxi He, Yang Du, Zhexuan Bao2026-10-14
📄 medicine

Radiation therapists' knowledge and training needs regarding pelvic organ preparation in endometrial cancer radiotherapy: a multicenter cross-sectional survey of the radiotherapy health workforce

A multicenter survey of Chinese radiation therapists reveals a significant gap between their high subjective confidence and low objective knowledge regarding pelvic organ preparation for endometrial cancer radiotherapy, highlighting an urgent need for high-quality, hands-on training focused on bladder and rectal management rather than mere exposure to existing curricula.

Wenhui Wang, Guorui Zhang, Xin Jiang, Yingchao Zhao, Zi Liu, Xiaofan Li, Zhijian Chen, Tiejun Wang, Jianping Ma, Wei Zho (…)2026-10-14
📄 medicine

Family engagement and adaptation among home-dwelling colorectal ostomy patient-primary caregiver dyads: A qualitative study

This qualitative study of 14 colorectal ostomy patient-caregiver dyads in China reveals that family adaptation is a multidimensional, dynamic process shaped by divergent stress perceptions and culturally rooted beliefs, highlighting the need for whole-family, stratified continuing care interventions.

Zhihui Lu, Wenxin Sun, Zijing Huang, Yaxin Gao, Li Zhu2026-10-14
📄 medicine

Impact of War on Scabies Outbreaks: A Cross-Sectional Study in Argo, Northern Sudan, 2024

This 2024 cross-sectional study in Argo, Northern Sudan, reveals that the 2023 armed conflict has driven a scabies outbreak among displaced populations, where overcrowding, poor water and sanitation, and financial instability independently predict household transmission and delayed care-seeking, necessitating urgent targeted interventions.

Amna Mahmoud. Ahmed, Faisal. M.A. Bababtoud, A. F. Shadoul, Fayza Yassin. A. Mohamed, Sousun Mahmood ahmed, Amna. A. Bab (…)2026-10-14
📄 medicine

Outcome of transcarotid versus transthoracic access for transcatheter aortic valve replacement

This study demonstrates that while transcarotid access for transcatheter aortic valve replacement offers advantages over transthoracic access by reducing postoperative atrial fibrillation and shortening hospital stays, both approaches yield comparable short- and mid-term survival rates.

Chikashi Nakai, Junyi Liu, Asavari Gowda, Saeed Tarabichi, Shahid Khan, Kamal Singh, Krzysztof Drzymalski, Augustin DeLa (…)2026-10-14
📄 medicine

Effectiveness and safety of cataract surgery in eyes treated for retinoblastoma in the past. - A cohort study

This retrospective cohort study of 74 eyes from Saudi Arabia demonstrates that cataract surgery in eyes previously treated for retinoblastoma significantly improves visual outcomes for over one-third of patients, though it carries a 50% complication rate and necessitates lifelong monitoring for tumor recurrence and adverse events.

Ramah Nazer, Hanan Makhdoum, Mohammed AlMatrafi, Azza Maktabi, Saleh Almesfer, Abdullah Khan2026-10-14
📄 medicine

Strengthening the Identification and Enumeration of Pregnant Women, Under-five Children and Adolescent Girls to Improve Immunisation, Maternal Health and Other PHC Services: Lessons from Sokoto State, Nigeria

This study evaluates the 2025 Identify, Enumerate and Vaccinate (IEV) exercise in Sokoto State, Nigeria, demonstrating that while digital enumeration successfully strengthened population identification for maternal and child health services, its full impact was constrained by operational challenges such as network failures, security issues, and sociocultural barriers, necessitating future strategies that integrate offline digital systems, extended timelines, and stronger subnational leadership.

Mannir Ahmad, Usman Lawan Muhammad, Obiageli Onwusaka, Geraldine Mbagwu, Olamide Akeboi, Sabbath Usen-Obong, Shammah Ado (…)2026-10-14