📄 medicine

Structural Findings Transfer, Texture Findings Do Not: An Adaptation Ladder for Cross-Center Dental Diagnosis

This paper demonstrates that while a safety-enforced adaptation framework can successfully transfer structural dental pathology detection across clinical centers using minimal resources, it fails to bridge the domain gap for texture-based findings like caries, suggesting that safe cross-center deployment requires adapting to transferable features while formally refusing non-transferable ones rather than pursuing a universal model.

Prof. Ayman Elnashar, Norsin Elnashar, Prof. Ahmed Elemam2026-07-07
📄 medicine

Hate speech and rage bait on social media in Greece: Prevalence and association with mental health

This cross-sectional study conducted in Greece reveals that hate speech and rage bait are highly prevalent on social media and are independently associated with increased anxiety, depression, and loneliness among users, whether they experience them as victims, bystanders, or through engagement with such content.

Petros Galanis, Aglaia Katsiroumpa, Panagiota Peleka, Antigoni Kolisiati, Ioannis Moisoglou2026-07-07
📄 medicine

Rethinking Pain: A Systems Change Model for Integrating the VCSE and NHS to provide place-based community pain support

This paper presents a Theory of Change-based systems model for integrating the NHS and VCSE sectors to deliver place-based, whole-person chronic pain support in Bradford, aiming to shift care from biomedical interventions to community resources, reduce health inequalities, and alleviate NHS pressures.

Kate Thompson, Shahzad Jamil, Kerry Page, Ghazala Tabasam, James Woodall, Mark I. Johnson2026-07-07
📄 medicine

The Social Determinants of Health and Perioperative Outcomes by Surgical Specialty: A Scoping Review

This scoping review of 167 articles synthesizes existing evidence on the relationship between social determinants of health and perioperative outcomes, revealing strong links between socioeconomic status and mortality as well as insurance status and hospital utilization, while highlighting significant gaps in research regarding language, health literacy, and other demographic factors.

Bridget Lally, Jessica Cao, Jeremy Sullivan, Kelly McQueen2026-07-07
📄 medicine

Mapping EQ-5D-3L Utility Values from the UK to EQ-5D-5L for Type 2 Diabetes Patients in Saudi Arabia

This study develops a robust hybrid heteroskedastic mapping method to convert UK-based EQ-5D-3L utility values into Saudi Arabia-specific EQ-5D-5L values for Type 2 Diabetes patients, demonstrating significant variations in health utility based on the presence of complications to support accurate local economic evaluations.

Hajer AlMudaiheem, Ahmed Al Jedai, Mohamed Al Shennawi, Mohammed Alluhidan, Wejdan Aburas, Mohamed Khedr, Pratik Dhopte (…)2026-07-07
📄 medicine

Clinical Outcomes of Kidney Re-transplantation in Elderly vs. Young Recipients: A Nationwide Cohort Study from the Korean Organ Transplantation Registry

This nationwide cohort study from the Korean Organ Transplantation Registry reveals that while elderly kidney re-transplant recipients achieve graft survival rates comparable to younger recipients, they face significantly higher risks of infection and mortality driven by comorbidities, highlighting the need for tailored peri- and post-transplant care.

Hanbi Lee, Hye Eun Yoon, Sang Hun Eum, Young Joo Kwon, Ji Yoon Choi, Jaeseok Yang, Myoung Soo Kim, Byung Ha Chung2026-07-07
📄 medicine

What Should Trialists Consider When Adapting a Complex Intervention for Remote Delivery? A qualitative interview study

This qualitative interview study of 19 trialists identifies three critical considerations for adapting complex interventions to remote delivery during clinical trials: the need to reconfigure costs and resources, the management of implementation challenges affecting engagement and fidelity, and the adaptation of safety management protocols.

Ella Howes, Katie Gillies, Samuel G. Smith, Sadia Ahmed, Amanda Farrin2026-07-07
📄 medicine

Lived Experiences Of Hospital Service Utilisation Among Older Adults: An Interpretive Phenomenological Study Using A Socio-Ecological Framework

This interpretive phenomenological study of 17 older adults in suburban Kerala, India, reveals that hospital service utilization is shaped by a complex interplay of individual vulnerabilities, interpersonal dynamics, community barriers, healthcare system deficiencies, and policy gaps, underscoring the urgent need for age-friendly, person-centered care reforms.

Annu Antony, Vivek S, Asvini KP, Soorya S, Sneha P V, Jamie Elizabeth Idiculla, Kripa Mohan S, Kadeeja Hamna A, Sneha Sh (…)2026-07-07
📄 medicine

Efficacy and Safety Analysis of Camrelizumab, Sintilimab, and Tislelizumab in the Treatment of NSCLC in Xuanwei, China: A Retrospective Real-World Study

This retrospective real-world study from Xuanwei, China, demonstrates that NSCLC patients in this high-incidence region achieved significantly higher disease control rates with camrelizumab and sintilimab compared to non-Xuanwei patients, suggesting unique regional factors may influence the efficacy of specific PD-1 inhibitors.

Fang Long, Jin He, Xin Pan, Juan Li, Xiaoying Liu, Shanshan Lu, Xi Wang, Shujia Kong2026-07-07