📄 medicine

Micronutrient Intake and Dietary Patterns Associated with Cardiometabolic Health Outcomes of Overweight and Obese Pregnant Women in Dodoma, Tanzania

This study in Dodoma, Tanzania, reveals that overweight and obese pregnant women, despite consuming diets linked to both improved hemoglobin and increased cardiometabolic risks, frequently fail to meet micronutrient recommendations and neglect essential supplements.

Jacktan J Ruhighira, Alexander M Tungu, Costantine C Kamata, Elizabeth A John, Davis Ngarashi, Evangelista Malindisa, Fr (…)2026-06-28
📄 medicine

Time in Range Predicts Mortality in Severe Subarachnoid Hemorrhage: A Retrospective Cohort Study on the Mediating Role of Inflammation

This retrospective cohort study of 1,594 severe subarachnoid hemorrhage patients demonstrates that higher Time in Range (TIR) is an independent, potent protective factor against short- and long-term mortality, an association partially mediated by reduced systemic inflammation and most pronounced in non-septic patients.

Yuhang Hu, Xuemei Xu, Jian Chen, Jing Xu, Li Tang, Kangxing Wang, Xianmin Wang2026-06-28
📄 medicine

Barriers and Facilitators to Child Growth Monitoring and Promotion Service Utilization in Gorkha District, Nepal: A Qualitative Study

This qualitative study conducted in Gorkha District, Nepal, identifies multi-level barriers—including geographical inaccessibility, competing household responsibilities, and health system constraints—as the primary drivers of low Growth Monitoring and Promotion (GMP) service utilization, while highlighting community support and service integration as key facilitators for improving uptake.

Jagat Prasad Upadhyay, Damaru Prasad Paneru, Yam Prasad Sharma, Nava Raj Khadka2026-06-28
📄 medicine

Prevalence Associated Factors and Maternal-Perinatal Outcomes of Teenage Pregnancy in Nigeria: A Secondary Analysis of Maternal and Perinatal Database for Quality, Equity and Dignity Data

This secondary analysis of data from 54 Nigerian tertiary hospitals reveals that teenage pregnancy, which has a national prevalence of 3.5% and is concentrated in the North, is associated with significant socio-demographic disadvantages and significantly increased risks of preeclampsia/eclampsia and adverse perinatal outcomes compared to non-teenage pregnancies.

Aisha Abdurrahman, Adewale Olufemi Ashimi, Lawal Ibrahim Magaji, Hadiza Shehu Galadanci, Jamilu Tukur, Hasheem Ibrahim (…)2026-06-28
📄 medicine

Varicella-Zoster Virus Encephalitis Mimicking Acute Stroke: A Case Report

This case report describes a 16-year-old Ghanaian female who was successfully treated for Varicella-Zoster Virus encephalitis mimicking an acute stroke, highlighting the critical importance of maintaining a high index of suspicion for viral encephalitis in patients with vague neurological symptoms to ensure timely antiviral intervention and prevent severe morbidity or mortality.

Felix Owusu Osae, Emmanuel Ansah Owusu, Francis Agyapong, Amos Polibu2026-06-28
📄 medicine

The Predictive Value of Ultrasonographic Gallbladder Wall Thickness for Complications in Laparoscopic Cholecystectomy

This study demonstrates that increased preoperative ultrasonographic gallbladder wall thickness is significantly associated with longer operative times, more frequent intraoperative events, extended hospital stays, and higher rates of postoperative complications in patients undergoing laparoscopic cholecystectomy, suggesting its utility as a predictor for surgical difficulty and perioperative planning.

Mojtaba Ahmadinejad, Kourosh Kabir, Erfan Nazari, Amirhossein Hajialigol2026-06-28