📄 Category

medicine

4098 papers

📄 medicine

Knowledge and observed practice of intensive care nurses regarding weaning criteria from mechanical ventilation in public and private hospitals in the Northern West Bank, Palestine

This study of 93 ICU nurses in the Northern West Bank reveals moderate knowledge and variable practice regarding mechanical ventilation weaning, characterized by the absence of written protocols and a significant gap between supportive actions and critical decision-making tasks like structured assessments and documentation.

Amjad Qasim Suliman, Sajed Faisal Ghawadra, Loai M. Zabin2026-07-10
📄 medicine

Extracorporeal carbon dioxide removal integrated into continuous renal replacement therapy for pediatric patients with ARDS and AKI: a retrospective single-center analysis

This retrospective single-center study demonstrates that integrating extracorporeal carbon dioxide removal (ECCO₂R) into continuous renal replacement therapy (CRRT) is a feasible and safe strategy for pediatric patients with both ARDS and AKI, effectively facilitating lung-protective ventilation through significant reductions in airway pressures and CO₂ levels without major adverse events.

Martin Kuntz, Daniel Matheisl, Isabel Schüle, Daniel Klotz, Hans Fuchs, Hendryk Schneider2026-07-10
📄 medicine

Legionella pneumophila pneumonia with rhabdomyolysis and myocarditis diagnosed by paired bronchoalveolar lavage fluid and blood metagenomic sequencing: a case report

This case report highlights the diagnostic value of paired bronchoalveolar lavage fluid and blood metagenomic sequencing in identifying *Legionella pneumophila* pneumonia presenting with severe extrapulmonary manifestations, including rhabdomyolysis and myocarditis, even when respiratory symptoms are initially mild.

Yu Gu, Peixi Zhou, Jinghan Lei, Shunyao Cui, Yuanxing Wu2026-07-10
📄 medicine

Polyhexamethylene Biguanide 0.08% Monotherapy for Acanthamoeba Keratitis: A Real- World Clinical Experience

This study reports the first real-world experience in Spain demonstrating that Polyhexamethylene Biguanide (PHMB) 0.08% monotherapy effectively achieves medical cure and visual recovery in all 14 PCR-confirmed Acanthamoeba keratitis patients, confirming the efficacy observed in clinical trials.

Ana Hervás Ontiveros, Sergio Inat, Juan Carlos Nieto Fernández, Sara Fathi Nieto, Enrique España Gregori2026-07-10
📄 medicine

A 50-State Comparative Analysis of Advance Directive Forms: Execution Requirements, Language Clarity, and Autonomy Features

This study systematically analyzes advance directive forms across all 50 U.S. states, the District of Columbia, and Puerto Rico, revealing substantial structural heterogeneity in execution requirements, language clarity, and autonomy features that may significantly impact patient autonomy and equity in access to advance care planning.

Makalie Lackey, Caden Forbes, Tanner Livsey, Carter Christman, Alec Young, Zach Fisher, Nicole Farrar, Matt Vassar2026-07-10
📄 medicine

Constructing Culturally Sensitive Patient Experience: A Constructivist Grounded Theory Study of Emirati Patients in Outpatient Care in Abu Dhabi

This Constructivist Grounded Theory study develops a culturally sensitive patient experience framework for Emirati patients in Abu Dhabi outpatient care, revealing that their interpretation of healthcare encounters is a dynamic process of negotiating cultural-personal fit through the relational movements of monitoring, validating, and connecting, rather than adhering to Western-derived models.

Alaa Mohammad Ahmed, Nor Hasliza Binti Md S, Ahmed Saifan, Hana Abu Sharib, Nabeel Al-Yateem2026-07-10
📄 medicine

Diagnostic challenge and surgical decision making for a duodenal spindle cell tumor mimicking a gastrointestinal stromal tumor

This case report highlights the diagnostic difficulty of distinguishing rare non-GIST duodenal spindle cell tumors from gastrointestinal stromal tumors when imaging and superficial biopsies are discordant, ultimately demonstrating that surgical strategy in such complex anatomical scenarios should prioritize local resectability over a presumed preoperative diagnosis.

Jie Li, Guangyi Li2026-07-10
📄 medicine

Transverse myelitis and Guillain Barre Syndrome secondary to reactivation of viral hepatitis B

This case report describes the first documented instance of concurrent transverse myelitis and Guillain-Barré syndrome triggered by hepatitis B virus reactivation in a patient following rituximab-based chemotherapy, highlighting the critical need to consider HBV reactivation in immunosuppressed patients presenting with acute inflammatory neurological syndromes.

Wai Kin Su, Saad Shams Bin Shaheen, Jacob George, Natasha Gerbis, Simone I Strasser, Salim Maher, Cameron Gofton2026-07-10
📄 medicine

Network Analysis of Teaching Self-Efficacy and Tacit Knowledge Sharing among Clinical Nursing Preceptors: A Multicenter Cross-Sectional Study

This multicenter cross-sectional study utilized network analysis to map the item-level associations between teaching self-efficacy and tacit knowledge sharing among 1,221 clinical nursing preceptors in China, identifying key central and bridge nodes—such as creating learning opportunities and externalizing experience—that can inform targeted preceptor training strategies.

Jie Li, Zhining Liu, Chengwei Xu, Ming Jin, Zhiqiang Wang2026-07-10