📄 medicine

Spiritual health in palliative care: a phenomenological inquiry into the indicators of the NOC outcome Spiritual Health (2001) and the preservation of dignity

This phenomenological study of 19 palliative care patients identifies key indicators of the NOC "Spiritual Health" outcome—specifically meaning, purpose, and inner connectedness—to clinically operationalize this abstract dimension and thereby support the preservation of patient dignity at the end of life.

Francisco Lencina-Navarro, Paloma Echeverria-Pérez, Natalia Mudarra-García, David Casero-Benavente, Paula Panadero-Puent (…)2026-09-03
📄 medicine

DTI-based mesoscale connectomics detects survival-relevant white matter substructures in glioblastoma patients

This study demonstrates that connectometry-based analysis of white matter microstructural integrity in glioblastoma patients identifies specific fiber subcomponents, particularly in the thalamic radiation and corpus callosum, whose preservation is independently associated with significantly improved overall survival.

Andreas Stadlbauer, Stefan Oberndorfer, Gertraud Heinz, Arnd Dörfler, Franz Marhold, Oliver Schnell, Mario Dorostkar, Uw (…)2026-09-03
📄 medicine

Preventing digital exclusion through nurse-assisted teleconsultation: equity-stratified analysis of patient-reported outcomes and usability from the TELECONSULTA pragmatic randomized trial

In a Brazilian pragmatic randomized trial involving adults with type 2 diabetes, nurse-assisted teleconsultation demonstrated equitable usability and preserved patient-centered outcomes without widening digital divides, suggesting that human facilitation and primary care integration can effectively mitigate digital exclusion in universal health systems.

Daniela Laranja Gomes Rodrigues, Gisele Silvestre Belber, Marcos Aurélio Maeyama, Frederica Valle de Queiroz Padilha, Ro (…)2026-09-03
📄 medicine

Novel SRRM2-Targeted CAR-T cells in a Relapsed and Refractory Multiple Myeloma Patient with Extramedullary Diseases: a case report

This case report demonstrates that SRRM2-targeted CAR-T cell therapy is a safe and effective short-term treatment for a patient with relapsed/refractory multiple myeloma and extramedullary disease, achieving a very good partial response with minimal toxicity despite eventual disease relapse.

Zhitao Wang, Zhimai Gao, Fan Wu, Huiping Wang, Yingwei Li, Zijian Li, Lietao Li, Cong Li, Xue Liang, Lili Tao, Kathrin G (…)2026-09-03
📄 medicine

Cause-of-Death Chains and Years of Life Lost Among Children and Adolescents in Chengdu, China: A Hospital-Based Case Series

This hospital-based study in Chengdu analyzes 666 pediatric deaths from 2018 to 2024 to reveal an age-dependent epidemiological transition from perinatal conditions in infancy to external injuries and chronic diseases in later childhood, utilizing cause-of-death chain analysis to advocate for life-course-specific prevention strategies.

Mei Cha, Yutong Luo, Qin Zhang, Bo Zhang, Xiaobing Ren, Wenjie Qing, Jianjun Xu, Qi Tang, Hongju Zhang, Ronghui Li, Jiao (…)2026-09-03
📄 medicine

Knowing the Horses and Recognizing the Zebras: Clinicians’ Perspectives on End-of-Life Trajectories in Advanced Breast Cancer Using a Nominal Group Technique

Using a Nominal Group Technique with healthcare professionals, this study identifies and prioritizes both common ("horses") and rare but critical ("zebras") end-of-life trajectories in advanced breast cancer to enhance clinical recognition and improve anticipatory care.

Anouk Putker, Marieke Perry, Yvonne Engels, Evelien Kuip2026-09-03
📄 medicine

Characterization of Beta-Lactam Resistance in Clinical Pseudomonas aeruginosa and Escherichia coli Isolates from Trinidad and Tobago

This study characterizes beta-lactam resistance in clinical *Escherichia coli* and *Pseudomonas aeruginosa* isolates from Trinidad and Tobago, revealing significant carbapenem resistance in *P. aeruginosa* and distinct molecular resistance profiles between the two species that underscore the need for continued local surveillance.

Reinand Thompson¹, Samantha Alexis¹, Aleisha Ali¹, Navin Ramdass, Zara Aziz, Kayren Sumai, Chandrashekhar Unakal¹, Ebere (…)2026-09-03
📄 medicine

Cognitive Trajectories Before and After Osteoporosis Onset: Evidence from a 17-Year UK

Based on a 17-year longitudinal study of UK adults, this paper reveals that while cognitive decline does not precede osteoporosis, the onset of the condition marks a significant inflection point triggering accelerated deterioration in global cognition, episodic memory, and orientation, particularly among older adults and those with specific comorbidities.

Shengzhang Chen, Binyan Chen, Ying Yang, Shixie Jiang, Tianshu Shao, Jianghua Zhou, Pan Huang, Hongxia Wang2026-09-03
📄 medicine

A Quality, Reliability, and Dissemination Characteristics of Pneumoconiosis-Related Videos on TikTok and Bilibili: A Cross-Sectional Study

This cross-sectional study reveals that while pneumoconiosis-related videos on Bilibili and TikTok offer moderate quality information, there is a significant mismatch between user engagement and content reliability, with TikTok's high-traffic content often being of lower quality compared to Bilibili's more in-depth educational material, highlighting an urgent need for platform-specific strategies to improve the dissemination of evidence-based occupational health guidance.

Jinlin Zhang, Piyang Pang, Dian Wang, Peijuan Xie, Jing Zhong, Jiaqin Yuan2026-09-03
📄 medicine

Successful Management Of Refractory Precipitated Opioid Withdrawal Syndrome Following Buprenorphine Intake Using Ketamine: A Case Report

This case report describes the successful management of a 50-year-old man with refractory precipitated opioid withdrawal syndrome, which was unresponsive to standard therapies, using sedative doses of ketamine to rapidly stabilize his vital signs and alleviate severe agitation and pain.

Iman Attackpour Torik, Mohammad Moeini, Shahram Moghaddam, Seyede Almas Fahim Yegane2026-09-03