📄 medicine

Nutrition and food safety knowledge, attitudes and practices of food handlers in primary schools in the Westrand district, Gauteng province, South Africa

This qualitative study of food handlers in West Rand primary schools reveals that while they possess adequate food safety knowledge and positive attitudes, their ability to consistently implement safe and nutritious meal practices is significantly hindered by structural and resource constraints within the National School Nutrition Programme.

Ntsako Mathye, Jane Muchiri, Nothando Mbatha2026-06-30
📄 medicine

Effect of digital behavior change intervention on malaria prevention practices in selected local government areas in Lagos State, Nigeria

This quasi-experimental study demonstrates that a six-week, theory-driven digital behavior change intervention delivered via WhatsApp and SMS significantly and sustainably improved malaria knowledge, risk perception, and preventive practices among adults in Lagos State, Nigeria.

Bernard Ifeanyi Muoneme, Adelere Ezekiel Adeniran, Abdulaziz Abubakar Rasheed2026-06-30
📄 medicine

Perceived Family Support, Level of Depression and Commonly Abused Drug among the People with Substance Use Disorder in Rehabilitation Centres in Bagamati Province, Nepal

This cross-sectional study of 263 individuals in Bagamati Province, Nepal, reveals a high prevalence of severe drug abuse and comorbid depression among male participants, with findings indicating that lower education levels and reduced family support are significantly associated with greater substance use severity.

Keshav Dhakal, Biswash Sapkota, Surakshya Adhikari, Suresh Adhikari, Pratigya Sapkota, Bishal Sapkota, Santusta Adhikari2026-06-30
📄 medicine

Comparative Effects of Ephedrine and Norepinephrine on Fetal Acid–Base Status during Cesarean Delivery under Spinal Anesthesia: A Randomized Double-Blind Study

In a randomized double-blind study of women undergoing cesarean delivery, norepinephrine was found to result in a statistically lower umbilical arterial pH compared to ephedrine, yet both vasopressors maintained fetal acid–base parameters and maternal hemodynamics within safe physiological ranges.

Mehmet Özkılıç, Recep Urat, Abid Karagöz, Selen Topalel, Fatma Acil, Ali Kendal Oğuz, Mehmet Yaman, Yusuf Beker, Osman U (…)2026-06-30
📄 medicine

Knowledge, Attitudes, Practices Intention, and Barriers Toward Bystander Cardiopulmonary Resuscitation in Resource-Limited Settings: A Multi-National Cross-Sectional Survey

This multi-national cross-sectional survey of 1,792 participants across six African nations reveals that while attitudes toward bystander CPR are relatively positive, knowledge and training remain critically low, with lack of skills and fear of disease transmission identified as the primary barriers to intervention.

Kaiyue Li, Jian Yin, Ting Zhou, Yixin Wang, Xinshuang Zhao, Yuanling Yang, Min Zhang, Binghua Li, Dan Chen, Tongxiang Gu (…)2026-06-30
📄 medicine

Thyroid Autoimmunity, Thyroid Functions, and Metabolic Risk in Nonfunctional Adrenal Adenomas: A Case-Control Study

This case-control study reveals that euthyroid patients with non-functioning adrenal adenomas exhibit lower free T4 levels and elevated metabolic risk markers compared to healthy controls, alongside a significant positive correlation between anti-TPO antibodies and aldosterone levels, suggesting a need for comprehensive metabolic and cardiovascular monitoring in this population.

Emre Dökmetaş, Seher Çetinkaya ALTUNTAŞ, Eren Can Öztürk2026-06-30
📄 medicine

More Than a Social Hour: Residency Retreats for Core Skill-Building and Professional Identity Formation

This paper outlines a framework for transforming residency retreats from social events into structured educational opportunities that utilize Kern's 6-step approach to integrate core skill-building and professional identity formation within the UCSF internal medicine program.

Viridiana Garcia, Lauren Phinney, Lekshmi Santhosh, Veronica Manzo, Diana Funk, Rebecca Berman, Megha Garg2026-06-30
📄 medicine

Academic Success Among Medical Students Is Not Associated with Chronotype or Creativity: The Only Significant Determinant Among Sociodemographic Variables Is Mother’s Educational Level

This cross-sectional study of third-year medical students at Sakarya University found that academic achievement is independent of chronotype and creative personality traits, with maternal education level being the only sociodemographic variable significantly associated with creative traits.

Kübra Akbulut, Ayberk Alemdar, Nurperi Bezci, Abdülselam Şengül, Esra Yazıcı2026-06-30
📄 medicine

Who is missing out on GP enrolment? Determinants of GP non-enrolment in the Netherlands and its impact on healthcare utilization and health

This study of Dutch residents from 2017–2023 reveals that individuals with non-Dutch origins, low incomes, and specific demographic characteristics are disproportionately unenrolled with general practitioners, a status associated with lower healthcare utilization but a significantly increased risk of mortality.

Peter Paul Klein, Mieke Reuser, Johan Polder, Martin Salm2026-06-30
📄 medicine

Assessment of Lifestyle Modification Adherence Among Adult Hypertensive Patients Attending the General Outpatient Clinic of a Tertiary Care Centre in North-Western Nigeria: A Cross-Sectional Survey

This cross-sectional study of hypertensive patients in North-Western Nigeria reveals a high prevalence of uncontrolled blood pressure and inconsistent lifestyle adherence, highlighting an urgent need for targeted interventions to address excessive dietary sodium intake and improve early hypertension management despite the protective influence of cultural factors on tobacco and alcohol use.

Abitare HOPE, Chinyere Beatrice NWOSU, AbdulRauf Segun IBRAHEEM, Lateeph Shola MUSTAPHA, Lawal BADRUL, Akeem Opeyemi AKi (…)2026-06-30