📄 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
📄 medicine

Health-Risk Behaviours and Stress-Related Determinants of Video Gaming and Television Watching among Secondary School Adolescents in Botswana

This study of secondary school adolescents in Botswana reveals that video gaming and television watching are significantly associated with health-risk behaviors and stress-related factors, suggesting that screen time may serve as a coping mechanism for distress and highlighting the need for strategies promoting healthier alternatives.

Khumo Motshwari, Sinah Moreti, Gabriel Faimau2026-07-09
📄 medicine

Alignment of outpatient healthcare services with the Client Service Charter: A mixed-methods study of patients and clinicians in public health facilities in Dar es Salaam, Tanzania

This mixed-methods study conducted in Dar es Salaam, Tanzania, reveals that while outpatient healthcare services largely align with Client Service Charter principles according to both patients and clinicians, significant operational challenges such as staff shortages and infrastructure constraints persist, necessitating targeted training and systemic improvements to fully realize equitable, patient-centered care.

Anna Peter, Johnson Jeremia Mshiu, Elia Nyangi, Amani Anaeli, Phares G. M. Mujinja2026-07-09
📄 medicine

Prevalence and associated factors of possible sarcopenia and possible sarcopenia with obesity among community-dwellin g older adults in urban Shanghai: a cross-sectional study

This cross-sectional study of 2,605 community-dwelling older adults in urban Shanghai reveals that while possible sarcopenia affects 19.0% of the population and is strongly associated with advancing age, the co-occurrence of possible sarcopenia with obesity is rare (1.6%) and linked to daily exercise, highlighting the need for age-targeted screening and physical activity promotion in local healthy aging programs.

xiyuan zeng, Jie Dai, Kang Zhu, Xinying Yang, Xialiang Xu, Changzhou Chen, Yiman Jin, Wenxian Gu2026-07-09
📄 medicine

Life’s Crucial 9, Weight-adjusted Waist Index, and Diabetic Kidney Disease Among US Adults: A Nationally Representative NHANES Study

In a nationally representative study of US adults, higher Life's Crucial 9 scores were significantly associated with lower odds of diabetic kidney disease, with the weight-adjusted waist index (WWI) partially mediating this protective relationship by accounting for approximately 19.6% of the association.

xin li, Jing Duan, Chunmiao Xie, Xiwen Ma, Xiaoyan Jia2026-07-09