📄 medicine

Physician Competence and Patient Satisfaction: A Systematic Literature Review

This systematic literature review establishes that physician competence—specifically communication skills, professionalism, clinical ability, and patient-centered care—significantly drives patient satisfaction through the mediating role of perceived service quality, while highlighting critical gaps in research regarding Islamic hospitals, longitudinal designs, and integrative frameworks.

Tjatur Prijambodo, Moses Glorino Rumambo Pandin2026-07-08
📄 medicine

Benefit of Erdosteine and Azithromycin Therapy in Preventing Exacerbations in Bronchiectasis (BEAT-BX Study) – A Long-term Comparative Efficacy Study

The BEAT-BX study demonstrates that long-term combination therapy with erdosteine and azithromycin significantly reduces the severity and duration of exacerbations, prolongs exacerbation-free intervals, and improves sputum rheology in bronchiectasis patients compared to standard care, while maintaining a favorable safety profile.

Prof Dr Shital2026-07-08
📄 medicine

Nutritional Considerations and Dietary Interventions for Patients with Neurofibromatosis Type 1: A Systematic Review

This systematic review highlights the scarcity of robust evidence regarding dietary interventions for Neurofibromatosis Type 1, noting that while limited studies suggest potential benefits from specific nutrients like vitamin D and L-carnitine for bone health and muscle function, further research is essential to establish definitive clinical guidelines.

Rajvi Babaria, Arjun Yogaratnam, Stavriani Makri, Carlos G. Romo2026-07-08
📄 medicine

When Swallowing Becomes Impossible: A Nurse’s Journey with a Farmer Facing Esophageal Cancer: A Nursing Concern Case Report

This CARE-guideline case report details a nurse's holistic yet systemically constrained care for a malnourished Ethiopian farmer with early-stage esophageal cancer, illustrating how compassionate nursing can alleviate immediate suffering and restore hope while highlighting critical gaps in psychological support and timely surgical access within resource-limited healthcare settings.

Biruk Getiso Awata2026-07-08
📄 medicine

Investigating the Impact of Establishing Chest Pain Units in Rural Areas on the Treatment and Prognosis of Patients with Acute ST-Segment Elevation Myocardial Infarction

This retrospective study demonstrates that establishing standardized chest pain units in rural areas significantly reduces treatment delays and major adverse cardiac events while improving the 12-month prognosis for patients with acute ST-segment elevation myocardial infarction.

Qi Zhang, Thandolwenkosi Lisa Mpofu, Yuan Lu, Xianliang Yan, Hua Weng, Ying Qiu, Ruili Wang, Wensu Chen2026-07-08
📄 medicine

A stochastic, physiology-based digital twin model of hemostasis and oxygenation in trauma resuscitation

This paper presents a stochastic, physiology-based digital twin model of hemostasis and oxygenation that simulates trauma resuscitation to demonstrate the superior efficacy of cold-stored low titer group O whole blood (LTOWB) over conventional component therapy in reducing critical hemostatic deficits and improving survival for severe hemorrhagic shock, while also offering a platform for precision transfusion strategies and blood bank demand forecasting.

Casey Vieni, Anika Iftekharuddin, Kevin Ward, Roland Pittman, Andrew Norgan, Matthew Neal, Darrell Triulzi, Phillip Spin (…)2026-07-08