📄 Category

medicine

6374 papers

📄 medicine

Effect of Transformational leadership style on work engagement among nurses working at public hospital globally: a systematic review and meta-analysis

This systematic review and meta-analysis of 18 studies published between 2016 and 2026 reveals a significant, moderate positive correlation (r ≈ 0.50) between transformational leadership and work engagement among nurses in public hospitals globally, with variations attributed to measurement tools and geographical regions rather than publication year.

Degu Tegegne, Fentahun Meseret, Tesfaye Assebe, Nega Assefa2026-06-28
📄 medicine

Uncovering Africa's hidden crisis of early childhood malnutrition and the path forward

This scoping review of 120 studies reveals that Africa's early childhood malnutrition crisis stems from a complex interplay of structural and immediate factors, highlighting critical knowledge gaps and advocating for a three-pronged strategy of strengthened governance, scaled-up interventions with implementation research, and community empowerment to achieve sustainable development goals.

Dereje Dakamo Tomora, Biruk Dakamo Tomora2026-06-28
📄 medicine

Behavioral–Physiological Risk Discordance and Incident Cardiometabolic Multimorbidity in Middle-Aged and Ol der Chinese Adults: A Longitudinal Analysis Based on CHARLS

This longitudinal study of 7,454 Chinese adults reveals that both the behavioral–physiological risk discordance index (BPRDI) and specific risk phenotypes, particularly those characterized by high physiological burden, are significantly associated with an increased risk of incident cardiometabolic multimorbidity, with their combined use enhancing predictive accuracy for future disease onset.

Congcong Qin, Weiwei Wang, Qinyuan Du, Li Kong, Guochen Li2026-06-28
📄 medicine

Multimodal Fusion of Radiomics, 2D Deep Learning, and Clinical Risk Factors for Preoperative Prediction of Lymphovascular Invasion in Breast Cancer: A Multicenter External Validation Study

This multicenter external validation study demonstrates that a multimodal fusion model integrating radiomics, 2D deep learning features from DCE-MRI (using an optimal rectangular ROI cropping strategy), and clinical risk factors achieves high sensitivity and clinical utility for the preoperative prediction of lymphovascular invasion in breast cancer.

Hongen Li, Qingwen Xiao, Yihui Zeng, Xia Wang, Yan Zhang2026-06-28
📄 medicine

Intravenous Buprenorphine Micro-Induction for Opioid Use Disorder in Patients Who Use Fentanyl: A Retrospective Review

This retrospective review demonstrates that intravenous buprenorphine micro-induction is an effective inpatient strategy for transitioning patients using fentanyl to maintenance therapy, with a 2 mg sublingual start post-IV offering a simplified workflow and reduced dosing burden compared to a 1 mg start without compromising withdrawal improvement.

Morgan Kirkpatrick, DO Lorenz Choi, MPH Victor Ringgold, DO Matthew Lamon, Tipu Khan2026-06-28
📄 medicine

Serum Phosphate Levels and Increased Mortality in Cardiac Arrest Patients: A Retrospective Cohort Study Based on the MIMIC-IV Database

This retrospective cohort study utilizing the MIMIC-IV database reveals that higher admission serum phosphate levels are an independent, non-linear predictor of increased 30-day and 90-day mortality in adult cardiac arrest patients, demonstrating moderate predictive performance comparable to the SOFA score.

Hongbo Gao, Shuting Ren, Xin Sui, Jingshun Zhao, Runfeng Zhou, Wenjia Xu, Baobin Cui, Tong Wu, Fei Han2026-06-28
📄 medicine

Congenital anomaly mortality in India : Implications of the Medical Certification of Cause of Death data, 2023

This 2023 study analyzing India's Medical Certification of Cause of Death data reveals that congenital anomalies, particularly circulatory system defects, remain a leading cause of child mortality with higher rates in males and surprisingly higher odds in states with better child health indicators, underscoring the urgent need for early detection, targeted treatment of heart defects, and strengthened civil registration systems.

Anita Kar, Samruddhi Gopal, Dhanshri Kalokhe, Prerna Narendra Bansode2026-06-28