📄 medicine

Effectiveness of a Nurse-Led Online Health Education Programme on Empowerment, Pain Catastrophizing, and Perceived Health Improvement in Women with Endometriosis: A Longitudinal Quasi-Experimental Study

This longitudinal quasi-experimental study demonstrates that a nurse-led online health education programme significantly and sustainably improves patient empowerment and reduces pain catastrophizing among women with endometriosis over a 12-month period, while maintaining high levels of patient satisfaction.

Georgina Feixas, Marta Garcia, Sandra Parés, Lara Quintas-Marquès, Meritxell Gracia, Mariona Rius, Francisco Carmona, Ma (…)2026-10-11
📄 medicine

Preoperative prediction and perioperative risk updating for adjacent vertebral fracture after percutaneous vertebroplasty: development and internal validation of a two-stage prediction strategy

This study developed and internally validated a two-stage prediction strategy for adjacent vertebral fracture after percutaneous vertebroplasty, demonstrating that a six-predictor preoperative model effectively estimates risk while perioperative cement distribution data provides additional prognostic value with minimal improvement in discrimination.

Linyang Song, Yingnan Li, Xin Liu, Hengfei Qiu, Yanting Wang, Zhiyong Ren, Guangjun Jiao2026-10-11
📄 medicine

Safety and Acceptance of a Relaxed Gluten-Free Diet in Celiac Disease: Protocol for a Mixed Methods Pilot Randomized Controlled Trial

This protocol outlines a mixed-methods pilot randomized controlled trial designed to evaluate the histological safety and patient acceptance of a relaxed gluten-free diet permitting up to 200 ppm gluten cross-contact compared to a strict diet in adults with celiac disease over 24 weeks.

Diana Studerus, Jonas Zeitz, Vanessa Dürr, Nadine Bosbach, Ewerton Marques Maggio, Lauren Clack, Michael Scharl2026-10-10
📄 medicine

Pseudoangina as an Unusual Presentation of Non-Osseous Arterial Thoracic Outlet Syndrome: A Case Report.

This case report describes a rare instance of non-osseous arterial thoracic outlet syndrome presenting as pseudoangina in a young man, highlighting the critical need for high clinical suspicion and dynamic vascular imaging to diagnose the condition when cardiac causes are excluded and osseous abnormalities are absent.

Manish Singh, Puneet Saxena, Simple Gupta, Deepu K Peter, Rahul Dudhal2026-10-10
📄 medicine

District-Level Supervision and Stakeholder Recommendations for Strengthening Routine Health Information System Data Quality in Osun State, Nigeria: A Qualitative Study

This qualitative study in Osun State, Nigeria, reveals that while district-level supervision functions as a coherent cycle for improving Routine Health Information System data quality, its reliability is hindered by shared logistical constraints, and stakeholders' prioritization of training over incentive structures suggests a critical gap between perceived needs and the systemic changes required for sustainable improvement.

Sunday Akingbola Omokanye, Olayinka Isiaka Baruwa, Olutunde Samuel Michael2026-10-10
📄 medicine

Beyond Single-Axis Inequality: An Intersectional MAIHDA Analysis of Major Cardiovascular Disease in Europe

This study utilizes an intersectional MAIHDA approach on data from 30 European countries to demonstrate that while major cardiovascular disease is socially patterned, these inequalities primarily stem from the accumulation of measured disadvantages like low income and male gender rather than unique effects specific to particular social intersections.

Ana Margarida Pereira Silva, Juan A López-Rodríguez, Luis Andrés Gimeno-Feliu2026-10-10
📄 medicine

A decade of developments in dermatological care within Dutch nursing homes: a repeated cross-sectional study

This repeated cross-sectional study comparing Dutch nursing home physicians from 2013–2014 and 2024 reveals that while the use of teleconsultation and availability of diagnostic tools have significantly increased over the past decade, the rising burden of cutaneous (pre)malignancies highlights an urgent need for targeted education and skills training to bridge the gap between available resources and physician competence.

M. (Marleen) van Oosterhout, J. (Jos) M.G.A. Schols, R. (Raymond) T.C.M. Koopmans, E. (Elke) M.G.J. de Jong, S.(Satish) (…)2026-10-10
📄 medicine

The Relationship Between Spiritual Health and the Provision of Spiritual Care to Patients Among Iranian Nurses

This 2024 cross-sectional study of 151 Iranian nurses reveals a significant positive correlation between their personal spiritual health and their competence in providing spiritual care to patients, suggesting that enhancing nurses' spiritual well-being can improve their ability to address patients' spiritual needs.

Razieh Montazeralfaraj, Mohammad Ali Zareian Baghdadabadi, Elahe Rahmani2026-10-10