📄 medicine

Pilot study testing varenicline for promoting smoking cessation and pain management among patients with cancer

This pilot study demonstrates that combining varenicline with a behavioral intervention targeting both smoking cessation and pain management is feasible, acceptable, and preliminarily effective for helping patients with cancer quit smoking, though further refinement is needed to improve pain management outcomes.

Kathryn I. Pollak, James M. Davis, Laura J. Fish, Linda M. Sutton, Maren K. Olsen, Lynda Owen, Sarah Hantzmon, Brianna R (…)2026-07-15
📄 medicine

The Student-Nurse Educator Interactive Model: A Middle-Range Theory for the Acquisition of Clinical Reasoning Skills in Undergraduate Nursing Students

This paper introduces the Student-Nurse Educator Interactive Model (SNEIM), a contextually grounded middle-range theory developed through mixed-methods research in Malawi to guide the acquisition of clinical reasoning skills in undergraduate nursing students by integrating six key themes into five interdependent anchors within a conducive clinical environment.

Omero Gonekani Mwale, Patricia Katowa-Mukwato, Marjorie makukula chiluba2026-07-15
📄 medicine

A Cost Analysis for the Implementation of a Dementia Patient and Carer Public Advisory Board for Health Research

This paper presents a four-year cost analysis of a dementia patient and carer Public Advisory Board, revealing that while PPI is resource-intensive with design and implementation as the primary cost drivers, early and deep community engagement ultimately enhances financial efficiency and ensures meaningful participation.

Paola Vásquez, Daniel X. Bailey, Paul Prudon, Jane Thompson, Melinda Martin-Khan, Len C. Gray2026-07-15
📄 medicine

Developing early warning systems using predictive models to identify Lassa fever threats in Ondo State, Nigeria

This study developed a SARIMA(3,0,2)(1,0,1)[52] predictive model using routine weekly data to forecast Lassa fever outbreaks in Ondo State, Nigeria, successfully identifying seasonal peaks between weeks 48 and 52 to guide proactive public health interventions and resource allocation.

Emmanuel A. Bakare, Seun D. Olufolaji, Dolapo A. Bakare, Didier D. Dukundane, Habeeb R. Abdulrahman, Daniel M. Adefisoye (…)2026-07-15
📄 medicine

Intranasal clozapine sol-gel formulation induces long-term antipsychotic effects in experimental animals at a fraction of a comparable oral therapeutic dose

This study demonstrates that a poloxamer-based intranasal clozapine sol-gel formulation achieves long-term antipsychotic effects in rats at just 4% of the oral therapeutic dose while potentially mitigating gut microbiome disruption associated with oral administration.

Darryl Eyles, Xiaoying Cui, Harendra Parekh, Suzy Alexander, Emma Hilsley, Preeti Pandey, Dan Siskind, Masood Ali, Manku (…)2026-07-15
📄 medicine

Serum Golgi Protein 73 as a Noninvasive Biomarker for Assessing Liver Diseases in a Tertiary Care Hospital

This prospective study conducted in a Nepalese tertiary care hospital demonstrates that serum Golgi Protein 73 (GP73) is a highly accurate noninvasive biomarker for distinguishing advanced chronic liver disease and severe fatty liver disease from early-stage fatty liver, outperforming conventional markers like FIB-4 and APRI.

Narayan Gautam, Sujit Das, Parikshit Prasai, Sanju Rawal, Buddhi R. Pokhrel, Jharana Shrestha, Binaya Tamang, Binit K. S (…)2026-07-15
📄 medicine

Unintended Pregnancies in Liberia among Reproductive Age Women: Trends and Associated Factors: A Cross-Sectional Study Using Three Rounds of the Liberia Demographic Health Survey (LDHS) 2007 to 2019-20

This cross-sectional study analyzing three rounds of Liberia Demographic Health Survey data (2007–2019) reveals a concerning upward trend in unintended pregnancies among reproductive-age women, particularly adolescents, driven by factors such as unmet family planning needs, low modern contraceptive use, and specific demographic characteristics.

Tamba Fayiah¹2026-07-15
📄 medicine

Dreaming, sleep quality, and psychological distress among patients with chronic kidney disease at a national nephrology hospital in Sri Lanka: a descriptive cross-sectional study

This descriptive cross-sectional study of 422 chronic kidney disease patients in Sri Lanka reveals that poor sleep quality and frequent distressing dreams, particularly nightmares, are prevalent and independently associated with higher levels of psychological distress, underscoring the need for routine screening of sleep and dream characteristics in nephrology care within low- and middle-income countries.

E.M.S.K Edirisinghe, A.J.W.A.N Wimalasiri, S.S Sirithunga, A.G.W.K Ekanayake, D.A.S Edirisinghe, K.N. Rathnakumari, A.C. (…)2026-07-15