📄 medicine

Randomized Placebo-Controlled Trial of Psyllium Fiber in Functional Abdominal Pain Disorders in Children

This randomized placebo-controlled trial demonstrates that a 12-week course of psyllium fiber significantly improves abdominal pain and quality of life in children with functional abdominal pain disorders (including IBS and FAP-NOS), with the majority of responders experiencing sustained relief after discontinuation.

Manjit Kaur, Ujjal Poddar, Anshu Srivastava, Moinak Sen Sarma, Prabhakar Mishra2026-07-03
📄 medicine

A Study on the Heterogeneous Effects of China’s Volume- Based Procurement on Gastrointestinal and Metabolic Medications

This study employs a multi-method approach to reveal that China's Volume-Based Procurement policy has exerted heterogeneous effects on the gastrointestinal and metabolic medication market, characterized by a drastic 82% decline in insulin sales versus a 50% growth in oral antidiabetics, with national policies and hospital channels demonstrating significantly stronger impacts than regional alliances and retail pharmacies.

Liping Wang, Yi Tao, Yiyuan Zhang, Linfang Deng2026-07-03
📄 medicine

Training the Next Generation of Minimally Invasive HPB Surgeons: Are Current Fellowships Crossing the Learning Curve?

A retrospective analysis of fellowship case logs reveals significant disparities in minimally invasive surgical exposure across HPB, CGSO, and transplant training pathways, with HPB fellows demonstrating superior robotic experience and highlighting an urgent need for standardized curricula to ensure technical proficiency across all HPB surgery pipelines.

Katharine E Caldwell, Dominic Sanford, Natasha Leigh2026-07-03
📄 medicine

Stroke code in a term pregnant woman: a case report.

This case report describes a term pregnant woman who presented with an acute ischemic stroke caused by a missed Stanford type A aortic dissection, highlighting the diagnostic challenges of atypical presentations in pregnancy and the critical role of bedside echocardiography in enabling a successful multidisciplinary intervention with favorable outcomes for both mother and child.

Mario José Recio Ibarz, David Gómez Martín, David Brun Guinda, Jara Pascual Mancho, Irene Sampedro Martín, Javier André (…)2026-07-03
📄 medicine

Normothermia vs Hypothermia in On-Pump Coronary Artery Bypass Grafting: A Randomised Clinical Trial

In a multicentre randomised clinical trial involving adults undergoing isolated on-pump coronary artery bypass grafting, normothermic cardiopulmonary bypass did not demonstrate superiority over mild hypothermic bypass in reducing postoperative bleeding or other clinical outcomes, although the study was underpowered.

Jing Wang, Shifu Wang, Yi Song, Fuqing Jiang, Haige Zhao, Jiani Li, Renbin Tian, Chang Liu, Meice Tian, Qiaoni Zhang, Ji (…)2026-07-03
📄 medicine

Exogenous Prolactin Receptor Antagonism Attenuates Post-thyroidectomy Retching-like Behavior by Inhibiting Dopaminergic Neuronal Activation in the Nucleus Tractus Solitarius

This study demonstrates that exogenous antagonism of the prolactin receptor in the nucleus tractus solitarius attenuates post-thyroidectomy retching-like behavior by inhibiting the activation of dopaminergic neurons, thereby identifying a novel neuroendocrine pathway and therapeutic target for postoperative nausea and vomiting.

Jian-Lei Ge, Xiao-Yi Ma, Jing-Yu Hui, Hong–Lian Duan, Meng–Yue Wang, Yue Fu, Ting–Ting Feng, Hu–Wei Duan, Yi Zhang, Li–M (…)2026-07-03
📄 medicine

Teaching African Traditional Health Knowledge and Practices in Undergraduate Nursing Education: A National Survey of South African Nurse Educators

A national survey of South African nurse educators reveals a significant gap between the recognized importance of African traditional health knowledge and practices and their minimal, inconsistent, and largely theoretical integration into undergraduate nursing curricula, highlighting an urgent need for structured educational reform to better prepare nurses for pluralistic healthcare systems.

Mabitja Moeta, Fhumulani Mavis Mulaudzi2026-07-03
📄 medicine

Perceived Mental Health Service Priorities among Social Service Personnel in South Korea: An Importance–Performance Analysis by Depression Severity

This study utilizes Importance–Performance Analysis on 201 South Korean social service personnel to reveal that mental health service priorities and unmet needs vary significantly by depression severity, advocating for a shift from uniform support to a coordinated, severity-responsive framework with strengthened referral pathways.

Jong-Eun Park, Yujin Kim, Young-Eun Son2026-07-03