📄 Category

medicine

4814 papers

📄 medicine

Enabling Conditions and Sequencing for Sustainable Prosthetic and Orthotic Care: Development of the ROOTS Framework through Realist Evaluation in Post-Conflict Sierra Leone

Through a realist evaluation of a prosthetic and orthotic care initiative in post-conflict Sierra Leone, this study develops the ROOTS framework, which establishes that sustainable outcomes depend on a specific, non-shortcuttable sequence of foundational local capacity conditions—infrastructure, supply chain reliability, workforce development, and technical quality assurance—rather than prioritizing patient volume alone.

Francesca Riccio-Ackerman, Tarek Meah, Claudine Humure, Adikalie Kamara, Prince Kaili, Nathaniel Kargbo, Camila Planells (…)2026-07-03
📄 medicine

Individualized Prediction of Postoperative Nausea and Vomiting Following Thoracoscopic Lung Surgery Through a Penalized Multivariable Nomogram

This study developed and validated a machine learning-based penalized nomogram using 14 routine preoperative and intraoperative variables to accurately predict postoperative nausea and vomiting in patients undergoing thoracoscopic lung surgery, offering a practical tool for individualized risk stratification and prophylactic decision-making.

Xiuxiu Wang, Yingying Duan, Huihui Fan, Lulu Sun, Yueting Miao, Luyuan Xing, Yamin Hu, Tuo Zheng, Yingying Sang2026-07-03
📄 medicine

Prevalence of Chronic Respiratory Disease Symptoms and Associated Occupational Risk Factors among Certified Silicosis Patients in BalesarBlock, Jodhpur, Rajasthan

A cross-sectional study of 355 certified silicosis patients in Balesar Block, Rajasthan, reveals that 80.6% suffer from chronic respiratory disease symptoms, with continuous 8-hour daily work shifts and residing 6–10 km from quarries identified as the strongest independent predictors, underscoring the urgent need for stricter exposure limits and dust suppression measures.

Suresh Yadav, Pranali Ahir, Dinesh Singh Bhati2026-07-03
📄 medicine

Cataract Surgical Outcomes, Coverage, and Barriers to Surgery among Tribal Populations in Jhargram, West Bengal: Findings from a Population-Based Eye Health Survey

A population-based survey in Jhargram, West Bengal, reveals that while cataract surgical coverage for blindness is high among tribal populations, significant gaps in effective coverage persist due to suboptimal surgical outcomes, gender disparities, and barriers such as lack of perceived need and fear of surgery.

Ananta Basudev Sahu, Jhumki Kundu, Sudipta Mohanty, R. N. Mohanty2026-07-03
📄 medicine

Physical Therapy Intervention for Functional Decline in a Young Adult with End-Stage Renal Disease on Hemodialysis: A Case Report

This case report demonstrates that a structured 12-week physical therapy intervention delivered during hemodialysis sessions significantly improved functional strength, balance, and mobility in a young Ethiopian woman with end-stage renal disease, highlighting the potential of rehabilitation as an essential adjunctive care in low-resource settings.

Biruk Getiso Awata2026-07-03
📄 medicine

Strengthening regional public health intelligence: insights and experiences from the Pacific Public Health Surveillance Network, 2023

A 2023 evaluation of the Pacific Public Health Surveillance Network (PPHSN) involving 149 respondents found that the network effectively strengthens regional surveillance and response through its six service arms, particularly as a communication platform and early warning system, while highlighting critical challenges in workforce retention, data reporting, and sustainable funding.

Adeline Tinessia, Adam Craig, Peta-Anne Zimmerman, Rebecca Rockett, Jessica Hall, Sajani Nadeeka, Amy Simpson, Sala Sake (…)2026-07-03
📄 medicine

A Transparent Multidimensional Framework for Identifying Oncology Early Adopters Under Sparse Real-World Evidence

This paper proposes a transparent, multidimensional framework that identifies oncology early adopters under sparse real-world evidence by synthesizing clinical influence, patient opportunity, and therapeutic familiarity into a Euclidean readiness score, thereby enabling auditable prioritization for clinical education and evidence translation without relying on traditional labeled training data.

Sabyasachi Das Choudhury2026-07-03
📄 medicine

A multi-method evaluation of the effectiveness of the North and Central and East London Breast Screening Service enhancement project in improving uptake and engagement among women with learning disabilities

This multi-method evaluation demonstrates that a co-developed enhancement project in North and Central/East London successfully improved breast screening uptake and engagement among women with learning disabilities by addressing initial data and engagement gaps through targeted community collaboration, tailored health information, and accessible appointment systems.

Darren Sharpe, Nora Morocza, Oliver Keenan, Theeba Krishnamoorthy, Emmanuela Osei-Asemani, Liliana Galicia Mesa, Mansi T (…)2026-07-03
📄 medicine

Delayed recurrent arterial hemorrhage after free gingival graft harvesting: a case report with retrospective vascular mapping of the palatal donor site

This case report describes a rare instance of delayed recurrent arterial hemorrhage following free gingival graft harvesting caused by an atypical palatal vessel, which was successfully managed with a combination of oxidized regenerated cellulose and cyanoacrylate adhesive, underscoring the potential value of preoperative vascular mapping to prevent such complications.

Daniel Stercula, Daria Wziątek-Kuczmik, Rafał Wiench, Iwona Niedzielska2026-07-03