📄 medicine

Determinants and regional disparities of caretaker-reported acute respiratory infection symptoms among children under five in Ghana: a multilevel analysis of the 2022 Demographic and Health Survey

This multilevel analysis of the 2022 Ghana Demographic and Health Survey reveals that caretaker-reported acute respiratory infection symptoms among children under five are significantly lower in urban areas and the Greater Accra region, while being highest in the Northern, Savannah, and Bono East regions, with no evidence of harm from full vaccination.

Richmond Balinia Adda2026-07-09
📄 medicine

Long term results of Calcar Hemiarthroplasty versus proximal femoral nailing in unstable intertrochanteric fractures in elderly patients: a prospective comparative study

This prospective comparative study of elderly patients with unstable intertrochanteric fractures found that while proximal femoral nailing offers shorter operative time and less blood loss, cemented calcar-replacement hemiarthroplasty provides a reliable alternative with earlier mobilization, fewer immobilization-related complications, and reduced mechanical failure, ultimately resulting in comparable long-term functional outcomes.

mohamed kotb, Ahmed Elsayed Elmalt, Islam Hamada, Elsayed Mohamed Selim Ali, Mohammed M. Mansour2026-07-09
📄 medicine

From training to practice: how nurse specialists transfer learning in geriatric care: A mixed-methods study

This mixed-methods study reveals that while geriatric nurse specialists' training transfer is positively driven by their advanced practice competencies, it is significantly constrained by organizational barriers such as resource shortages, role ambiguity, and a lack of incentives, necessitating targeted policy and systemic improvements to fully realize their professional value.

Wang Fen, Lu Shuhua, Shi Guang2026-07-09
📄 medicine

Outcomes of Type A Aortic Dissection with Malperfusion Syndrome: An Asian Multi-Institutional Cohort Study

This multi-institutional Asian cohort study of 1,021 patients demonstrates that type A aortic dissection with malperfusion carries significantly higher short- and long-term mortality risks compared to cases without malperfusion, with cerebral malperfusion identified as a critical predictor of surgical death that should be integrated into risk stratification models.

Tsung-Han Cheng, Shao-Wei Chen, Shuo-Kang Hsieh, Ming-Jer Hsieh, Chia-Pin Lin, Dong-Yi Chen, Ying-Chang Tung, Fu-Chih Hs (…)2026-07-09
📄 medicine

Periurethral urinoma mimicking scrotal cellulitis in a child: an unusual presentation of congenital anterior urethral diverticulum

This case report describes a 4-year-old boy whose periurethral urinoma, caused by a congenital anterior urethral diverticulum, initially mimicked scrotal cellulitis and required advanced imaging and surgical intervention for correct diagnosis and treatment after failing standard antibiotic therapy.

Andrea Smarrazzo, Filippo Tripodi, Emanuela Peschiaroli, Caterina Marabotto, Massimiliano Silveri, Andrea Campana2026-07-09
📄 medicine

Assessing Health Related Quality of Life Among Persons Living With Liver Cancer in Selected Ghanaian Teaching Hospitals

A cross-sectional study of 121 liver cancer patients in three Ghanaian teaching hospitals reveals that the disease severely impairs health-related quality of life, particularly through anxiety and pain, with significant deterioration observed as the cancer stage advances, highlighting an urgent need for integrated psychosocial support and early detection programs.

EBENEZER OWIREDU NKANSAH, ROSINA ENYONAM DAITEY2026-07-09
📄 medicine

Individual and Organisational Factors Associated with Mpox Outbreak Preparedness Among Healthcare Workers in Zambia

This study of 202 Zambian healthcare workers reveals that while cognitive and structural factors both influence Mpox outbreak preparedness, structural organizational readiness has a stronger impact on actual preparedness practices, highlighting the critical need for integrated investments in institutional capabilities alongside workforce training.

Jeff Mugoba, Chimuka Mwaanga, Rajesh Amberpet, Mathew Nyashanu, Hendrix Lubasi, Niza Rean Simwanza2026-07-09
📄 medicine

Analysis of Factors Influencing the Utilization and Future Intentions of Professional Postpartum Exercise Rehabilitation Services: A Cross-Sectional Study Using Hierarchical Analysis and Firth Logistic Regression

This cross-sectional study of 1,059 women reveals that while structural barriers and postpartum stage are the primary determinants of current utilization of professional postpartum exercise rehabilitation services, cognitive awareness and education levels better predict future intentions, highlighting a critical intention–behavior gap that necessitates interventions focused on reducing structural barriers rather than solely providing health education.

Ge Wen, Ju Wen, Haitao Liu, Yiqing Xu2026-07-09