📄 medicine

Percutaneous Nephrolithotomy versus Retrograde Intrarenal Surgery for Lower Pole Renal Stones in Geriatric Patients: A Comparative Study

This comparative study of 133 geriatric patients with isolated lower pole renal stones found that while PCNL involves greater perioperative morbidity than RIRS, both procedures yield comparable stone-free rates, suggesting that treatment selection should be guided by stone burden and overall patient risk rather than clearance expectations alone.

Furkan Yildiz, Serkan Yarimoglu, Murat Sahan, Tansu Degirmenci, Ibrahim Halil Bozkurt, Ahmet Alper Özdeş2026-06-30
📄 medicine

Analysis of the Current Status of Injuries Caused by Dog-Related Animals in the Taihu Lake Region: A Quality Assessment of Post-Exposure Prophylaxis in 40,222 Cases (2023–2025) and Implications for Rabies-Free Areas

This study of 40,222 animal injury cases in the Taihu Lake region (2023–2025) reveals that despite the area's rabies-free status, "prevention fatigue" has led to suboptimal post-exposure prophylaxis quality—particularly among young adults, scratch victims, and delayed presenters—though recent data suggests targeted interventions are beginning to reverse these trends.

Xin Wang¹, Zhiwen Jia¹, Rong Cao¹, Xingyu Chen¹, Mengying Li¹2026-06-30
📄 medicine

Prevalence and Determinants of Postpartum Anaemia Among Adolescent Mothers in the Tolon District

This study in Ghana's Tolon District reveals that 31.3% of adolescent mothers suffer from mild postpartum anaemia, a condition significantly predicted by older age (18–19 years), Muslim faith, multiparity, home delivery, and a prior history of anaemia, underscoring the urgent need for targeted nutritional support and facility-based birth promotion.

Bernice Amabrika Ayiak, Emmanuel Keku, Seth J. Nti, Martin N. Adokiya, Abena N. Cann, Abigail Keku2026-06-30
📄 medicine

Transnasal Humidified Rapid-Insufflation Ventilatory Exchange in Preoperative Hypoxemic Patients During General Anesthesia Induction and Recovery: A Prospective Randomized Controlled Trial

This prospective randomized controlled trial demonstrates that Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) significantly improves perioperative oxygenation and reduces the risk of oxygenation deterioration during recovery in preoperative hypoxemic patients undergoing general anesthesia compared to conventional oxygenation methods.

Hao Yin, rongrong li, xingying he, hongbin yuan2026-06-30
📄 medicine

Factors influencing to nurses’ retention in developing countries: A systematic review of attributes of effective strategies in health organization

This systematic review of 16 studies identifies that while financial incentives play a role, career development and a supportive working environment are the primary cornerstones for retaining nurses in developing countries, suggesting that effective retention strategies require a multifaceted approach beyond monetary compensation.

Boonyapa Pokasem, Netrachanee Kanonratananun, Areewan Oumtanee, Chaowarit Ngernthaisong, Sorut Wongsutithum, Nujaree Cha (…)2026-06-30
📄 medicine

Observed Infant Sleep Practices in Postnatal Wards of the Western Cape, South Africa: Insight into what is being practised

A 2025 observational study of postnatal wards in the Western Cape, South Africa, reveals a high prevalence of unsafe infant sleep practices, including predominant side-lying positioning and bed-sharing, which significantly deviate from safe-sleep guidelines and increase the risk of sudden infant death syndrome.

Denise Sproul, D Kaura, DB Demissie, GS Gebhardt2026-06-30
📄 medicine

Educational and sociocultural determinants of surgical career interest among female medical students in Nigeria: a national cross-sectional study

This national cross-sectional study of Nigerian female medical students reveals that while nearly half express interest in surgical careers, this choice is significantly driven by mentorship and role models but hindered by concerns regarding work-life balance and cultural expectations, underscoring the need for targeted interventions to promote gender equity in the surgical workforce.

Adeniyi Abraham Adesola, Abigail Olawumi Oyedokun, Oluwawapelumi Daniel Akin-Ajani, Promise Izuchukwu Okoroafor, Ifeoluw (…)2026-06-30
📄 medicine

Early Blood Urea Nitrogen-to-Creatinine Ratio Trajectories and Short-Term Mortality in Older ICU Patients With Sepsis: A Retrospective MIMIC-IV Cohort Study

This retrospective MIMIC-IV cohort study of older ICU patients with sepsis reveals that while crude mortality was similar across different early blood urea nitrogen-to-creatinine ratio (BCR) patterns, a rising BCR trajectory over the first week was independently associated with a modestly increased risk of 28-day mortality compared to a low/stable trajectory.

Mingyue Sun, Huanhuan Zhang, Guoxin Zhang, Jingjing Li2026-06-30
📄 medicine

Prevalence and Factors Associated with Incomplete Vaccination Among Children Under Five Years in N’Djamena-South Health District, Chad, 2025: A Community-Based Case-Control Study

A 2025 community-based case-control study in N'Djamena-South, Chad, reveals that 34.3% of children under five are incompletely vaccinated, a disparity primarily driven by low parental education and income despite the widespread physical availability of free vaccination services.

Cavin Epie Bekolo, Marguerita Aida Totolla, Jerome Ateudjieu2026-06-30