📄 medicine

M&M Across Borders: Practices, Perceptions, and Challenges of Morbidity and Mortality Conferences in Pediatric Surgery Training Programs Across Sub-Saharan Africa

This mixed-methods study reveals that while Morbidity and Mortality conferences are near-universal and highly valued across pediatric surgery training programs in Sub-Saharan Africa, their effectiveness is significantly hindered by inconsistent implementation, data collection challenges, and resource limitations, prompting a call for standardized, locally adapted formats to better translate discussions into improved patient care.

Nadia Lara Hussein, Xinyi Luo, Amarylis Mapurisa, Anthony Charles, Lindsey Wolf, Bip Nandi2026-07-03
📄 medicine

Barriers, facilitators and interventions for foot abduction brace adherence in the Ponseti management of idiopathic clubfoot in low- and middle-income countries: a scoping review

This scoping review identifies that foot abduction brace non-adherence in low- and middle-income countries is driven by a complex interplay of structural, economic, and psychological barriers, necessitating multi-component interventions that address environmental constraints alongside caregiver education and support to prevent clubfoot relapse.

Kaweesi Calvin Nantalaga2026-07-03
📄 medicine

Comparative Clinical Outcomes of Left Bundle Branch Area Pacing versus Right Ventricular Pacing in Patients with Preserved Ejection Fraction: A 3- Year Follow-Up Study

In patients with preserved left ventricular ejection fraction and a high expected pacing burden, a 3-year prospective study demonstrates that left bundle branch area pacing (LBBAP) yields significantly better clinical outcomes, including lower rates of composite adverse events, compared to right ventricular pacing (RVP), likely due to narrower paced QRS durations and better-preserved global longitudinal strain.

Hyung Ki Jeong, Sung Soo Kim, Hyun Kuk Kim, Young Jae Ki, Dong Hyun Choi, Keun Ho Park2026-07-03
📄 medicine

Noninvasive assessment of metabolic dysfunction-associated steatotic liver disease (MASLD) via ultrasonography, shear wave elastography and their association with serum biomarkers

This cross-sectional study of 150 adults demonstrates that ultrasonographic fatty liver grading and 2D-SWE liver stiffness measurements are significantly associated with each other and with the NAFLD fibrosis score, supporting their complementary use as noninvasive tools for assessing metabolic dysfunction-associated steatotic liver disease (MASLD), although the hepatic steatosis index (HSI) showed no significant correlation with imaging findings.

Manikandan Ramani, Vijaya karthikeyan M2026-07-03
📄 medicine

Analysis of Influencing Factors of Postpartum Diastasis Recti Abdominis Based on Ultrasound Assessment

This cross-sectional study of 2,379 postpartum women utilized ultrasound assessments to identify maternal age, body mass index, gestational weight gain, gravidity, parity, mode of delivery, and neonatal birth weight as significant independent risk factors for postpartum diastasis recti abdominis, providing a basis for targeted preventive strategies.

Hongqin Tu, Xiaohong Yang, Cong Yao, Liangping Zhao, Shubo Li2026-07-03
📄 medicine

Does antenatal care utilisation vary in urban and rural health facilities in Ghana? A comparative cross-sectional study

This comparative cross-sectional study in Ghana's Bono Region found that while sociodemographic characteristics differ significantly between urban and rural postpartum women, there are no significant differences in antenatal care utilization between the two settings, with marital status identified as the only independent predictor of adequate care.

Simon Agongo Azure, Kofi Amegah, Emmanuel Timmy Donkoh, Best Ordinioha, Seye Babatunde2026-07-03
📄 medicine

Prospective Clinical Evaluation of a Fully Automated AI- Guided Echocardiographic Workflow

This prospective study demonstrates that a fully automated AI-guided echocardiographic workflow significantly reduces examination time by 66.7% and increases the number of acquired quantitative parameters by 152.6% compared to manual methods, while maintaining high accuracy, image quality, and expert acceptance rates.

Hongquan Lu, Hongxia Qi, Muzi Li, Yongwen Zhao, Fei Zhu, Ran Qv, Hui Li, Zhenhui Zhu2026-07-03
📄 medicine

Comparative Diagnostic Efficacy of CBBCT, MRI, Ultrasound and Combined Modalities for Mass Enhancement Breast Lesions

This prospective study of 85 breast lesions demonstrates that while MRI and ultrasound achieve 100% detection rates, combining cone-beam breast CT (CBBCT) with ultrasound offers diagnostic efficacy comparable to MRI, positioning it as a promising alternative for evaluating breast mass enhancement lesions.

fang he, Yu zhang, Bai he, Yanning fu, Yan-Jun zhang, Ying li2026-07-03
📄 medicine

ICAM-1 and E-selectin Levels in the Aqueous Humor and in the Ocular Tissue and Their Correlation With Oxidative Stress Markers in Endotoxin-induced Uveitis

This study demonstrates that in a rat model of endotoxin-induced uveitis, levels of adhesion molecules ICAM-1 and E-selectin are significantly elevated in ocular tissues and aqueous humor, showing a strong positive correlation with oxidative stress markers, which suggests their combined role in driving inflammatory cell recruitment.

Erdem Doğan, Tuğba Göncü Fırat, Elif Oğuz, Sezen Koçarslan, Hatice Sezen, Fatih Mehmet Adıbelli2026-07-03
📄 medicine

Beyond general distress: the antenatal screening gap for childbirth- specific fear A secondary analysis of open survey data from primary care in Lagos, Nigeria

This study of pregnant women in Lagos, Nigeria, reveals that general anxiety and depression screening tools fail to capture the majority of childbirth-specific fear cases, demonstrating that generic mental health assessments are inadequate substitutes for targeted, culturally appropriate screening of childbirth anxiety in antenatal care.

Francesca Pignataro2026-07-03