📄 medicine

Large Language Model–Assisted Estimation of Left Double-Lumen Tube Insertion Depth Using Preoperative Chest Radiography

This retrospective study demonstrates that a large language model can accurately predict the optimal insertion depth of left-sided double-lumen tubes, with performance significantly improved and statistically comparable to physician measurements when preoperative chest radiographs are incorporated alongside demographic data.

Cansu Kılınç Berktaş, Hilal Akça, Furkan Tontu, Emine Şeyda Teloğlu, Funda Gümüş Özcan2026-06-29
📄 medicine

Sexual Health Literacy and Sexual and Reproductive Health Knowledge Among Midwives and Nurses in Turkey: Implications for Disaster and Emergency Situations

This cross-sectional study of 360 Turkish midwives and nurses reveals moderate sexual health literacy but low SRH knowledge levels, highlighting that higher education, intensive care experience, and familiarity with disaster protocols significantly improve knowledge and underscoring the need for comprehensive, rights-based training to enhance SRH services during emergencies.

Merve Gizem BAGCI, Sevde AKSU2026-06-29
📄 medicine

Prognostic value of circulating tumor DNA and copy-number alterations in patients receiving tandem [225 Ac]Ac-/[177 Lu]Lu-PSMA-617 therapy for metastatic castration- resistant prostate cancer: a prospective observational study

This prospective observational study demonstrates that circulating tumor DNA-derived tumor fraction and genome-wide copy-number alterations serve as dynamic, non-invasive biomarkers for predicting treatment response, progression risk, and resistance mechanisms in metastatic castration-resistant prostate cancer patients undergoing tandem [225Ac]Ac-/[177Lu]Lu-PSMA-617 therapy.

Mariam Amghar, Thomas Hielscher, Tobias Rausch, Hilal Ozgur, Ulrike Bauder-Wüst, Hendrik Rathke, Frank Bruchertseifer, A (…)2026-06-29
📄 medicine

Development of a Perioperative Care Journey Map for Parents of Rural Infants with Congenital Heart Disease

This qualitative study explores the perioperative experiences and needs of parents of rural infants with congenital heart disease through interviews with 27 participants, resulting in a four-stage care journey map that identifies specific concerns, emotional experiences, pain points, and needs to guide the development of targeted, stage-specific nursing support.

siyu yang, yan zhang, mengcan zhu, lijie wu2026-06-29
📄 medicine

The effect of early tourniquet release on primary total knee arthroplasty and an analysis of risk factors for deep vein thrombosis

This retrospective study of 335 primary total knee arthroplasty patients demonstrates that early tourniquet release significantly reduces the incidence of proximal deep vein thrombosis without compromising other clinical outcomes, while identifying tourniquet duration and postoperative thrombin-antithrombin complex levels as independent risk factors for thrombosis.

Yingjie Lu, Mengdan Xu, Chenqi Yu, Xuesong Zhu, Huilin Yang, Yong Zhang2026-06-29
📄 medicine

Public Health Trade-Offs During the COVID-19 Pandemic: Mobility Decline and Blood Pressure in India

This study analyzes district-level data in India to reveal that reduced mobility during the COVID-19 pandemic significantly increased the prevalence of pre-hypertension and mildly elevated blood pressure, likely driven by decreased physical activity, thereby highlighting the need to account for chronic disease risks when designing public health interventions involving mobility restrictions.

Arpita Khanna, Tomoki Fujii2026-06-29
📄 medicine

Clinical and Cost-Effectiveness of Home-Based Rehabilitation Following Hip Fracture Surgery: A Real-World Comparative Study

This prospective real-world comparative study demonstrates that home-based rehabilitation following hip fracture surgery is clinically more effective in improving physical performance and activities of daily living, achieves higher adherence without complications, and is cost-effective from a societal perspective compared to facility-based rehabilitation.

Rapeepat Jitmal, Mantana Vongsirinavarat, Wanlop Kunanusornchai, Pattara Leelahavarong, Piyaporn Pramuksun2026-06-29
📄 medicine

Evaluation of the Tuberculosis Local Organization Network 3 Programme for Early Detection of Tuberculosis Cases in Sagamu Local Government Area, Ogun State, Nigeria, 2015-2024

While the TB Local Organization Network 3 program in Sagamu, Nigeria, significantly increased tuberculosis case detection and bacteriological confirmation between 2015 and 2024, it failed to improve treatment success rates, which actually declined post-implementation, highlighting an urgent need to strengthen patient support and follow-up systems.

AYO ADEBOWALE, Samuel Odunjo2026-06-29
📄 medicine

Assessing the appropriateness of outpatient physician and inpatient bed allocation in China: evidence from national health statistics, 2013–2023

This study analyzes China's 2013–2023 health resource allocation and finds that while outpatient physician distribution has improved, it remains insufficient relative to demand, whereas inpatient beds are oversupplied, particularly in primary care, highlighting the need for demand-sensitive planning over aggregate expansion.

Biao Wang, Lin Pan, Xin Jiang, Junyu Niu, Li Luo2026-06-29
📄 medicine

Individualized Sequential Management for Maxillary Anterior Teeth with Concurrent Oehlers TypeⅠ, Ⅱ and ⅢA Dens Invaginatus: A 2-Year Successful Follow-Up Case Report

This case report demonstrates that CBCT-guided, individualized sequential management—including conservative restoration, apicoectomy, and a combined approach of extraoral accessory root resection with intentional replantation—successfully treated a rare case of concurrent Oehlers Type I, II, and IIIA dens invaginatus in maxillary anterior teeth with a two-year favorable outcome.

yanhui Wu, Jiuyu Ge, Li Yao, Han Xia, Shunchu Zhang2026-06-29