📄 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
📄 medicine

Assessing the Satisfaction with knowledge transferring in Clinical Simulation: Development of the Clinical Simulation Learning Satisfaction Scale

This study developed and validated the Clinical Simulation Learning Satisfaction Scale, a reliable eight-item instrument, to effectively assess nursing students' satisfaction with knowledge transfer from clinical simulation to real healthcare settings.

Beatriz Rodríguez-Díez Caballero, Rafael González Moret, Manuel Romero Saldaña, Daniel García Gutiérrez, Cristina García (…)2026-09-03
📄 medicine

Evaluation of Digital Interventions for Perinatal Mental Health: A MARS- Based Analysis of Mobile and Web-Based Applications

This study evaluated 11 English-language digital applications for perinatal mental health in Australia using the Mobile App Rating Scale (MARS), finding that while functionality was strong, overall quality was moderate with limited evidence-based content, validated screening tools, and crisis referrals, highlighting a need for improved visibility and targeted collaboration to ensure equitable access.

Areni Altun, Xin Yi Lim, Heidi Ng, Malavika Kadwadkar, Naba Alfayadh, Levita DSouza, Jacqueline Boyle2026-09-03
📄 medicine

Peak Expiratory Flow and Incident Hip Fracture: A National Prospective Cohort Study — The Mediating Role of Activities of Daily Living Disability

This national prospective cohort study of over 11,000 older Chinese adults demonstrates that higher and more sustained peak expiratory flow (PEF) is independently associated with a reduced risk of incident hip fracture, with approximately 32% of this protective effect mediated by activities of daily living (ADL) disability.

Canyang Huang, Le Chang, Canhong Zhang, Rongdong Zeng, Zhenyu Cai2026-09-03
📄 medicine

Gender-Specific Determinants of Tuberculosis Treatment Interruption in an Urban High- Burden African Setting: A Retrospective Cohort Study of Males in Nairobi, Kenya (2019– 2023)

This retrospective cohort study of 24,794 men in Nairobi (2019–2023) identifies malnutrition, adverse drug reactions, and alcohol use as key risk factors for tuberculosis treatment interruption, while highlighting that consistent clinic attendance serves as a strong protective factor, suggesting that targeted nutritional support and improved health system engagement are critical for improving treatment continuity in urban high-burden settings.

L. Nkirote Mugambi-Nyaboga, Kevin Owuor, Maerro Lutta, Elizabeth Mueni, Martin Githiomi, Aiban Rono, Immaculate Kathure (…)2026-09-03
📄 medicine

Professionalism as a developmental competency: insights from workplace-based assessment in Brazilian pediatric residency

This study demonstrates the feasibility of using the Brazilian version of the Professionalism Mini-Evaluation Exercise (P-MEX) to assess pediatric residents, revealing that professionalism is a developmental competency that varies across domains and years of training rather than being a stable attribute.

Mariana Holdefer, Cláudia Sena, Edna Pereira, Alessandra Naghettini2026-09-03
📄 medicine

Early Ambulation and Walking Recovery Trajectories After Hip Fracture: Insights to Improve Post-Acute Care Pathways

This retrospective study of 1,020 hip fracture patients demonstrates that early postoperative ambulation, particularly by day three, is a critical modifiable predictor of shorter hospital stays and successful home discharge, with recovery frequently delayed by reversible barriers such as delirium, frailty, anemia, and malnutrition.

Unchana Sura-amonrattana, Ekkaphop Morkphrom, Suparat Saetan, Pornjuree Saepoo, Varalak Srinonprasert, Direk Tantigate (…)2026-09-03