📄 medicine

Does Medical Insurance Coverage Translate Into Professional Care Seeking After Illness? Temporal Heterogeneity and Within-Person Evidence From the China Health and Nutrition Survey, 2004-2015

This study utilizing China Health and Nutrition Survey data from 2004 to 2015 reveals that while a pooled analysis suggests no overall link between medical insurance and professional care seeking, a deeper examination uncovers significant temporal heterogeneity where the positive association emerged and strengthened in later years, indicating that a single average estimate fails to capture the evolving impact of insurance expansion on healthcare access.

Yongji Zheng, Jing Wang2026-10-20
📄 medicine

Cerebrospinal Fluid Production Rate and Functional Outcome After Aneurysmal Subarachnoid Haemorrhage

This prospective observational study demonstrates that a higher cerebrospinal fluid production rate in patients with aneurysmal subarachnoid haemorrhage is significantly associated with more favorable six-month functional outcomes and improved prognostic model discrimination beyond admission clinical grades.

Kanza Tariq, Ms Sogha Khawari, Jesvin Sunny, Lewis Thorne, Ahmed K. Toma, Laurence Watkins2026-10-20
📄 medicine

Desiderosmia as the presenting feature of iron deficiency anaemia secondary to undiagnosed ulcerative colitis in an adolescent – A Case Report

This case report describes a 15-year-old boy whose compulsive craving to smell non-food substances (desiderosmia) served as the presenting symptom of severe iron deficiency anaemia caused by previously undiagnosed ulcerative colitis, a condition that resolved following appropriate medical treatment.

L Rajayohan, L. Soysa, N Dikmadugodda, H Karunatilake2026-10-20
📄 medicine

The hidden workload of “free” communication: a longitudinal case study of physician e- mail traffic at a Swiss tertiary care centre

This longitudinal case study of a Swiss physician's email traffic reveals that routine digital communication constitutes a substantial, largely uncompensated workload of approximately 2.5 hours daily, with the majority of time spent on administrative and scientific tasks rather than direct patient care, highlighting a significant gap in conventional clinical activity metrics.

Ulf C. Schneider, Miriam Schneider2026-10-20
📄 medicine

Heart-rate-based clock alignment in intensive-care ECGs, serial-ECG matching and administrative follow-up in MIMIC-IV

This study auditing MIMIC-IV data reveals that heart-rate-based clock alignment for serial ECGs in intensive care is rarely successful due to low identifiability of offsets, while also highlighting how matching sensitivity depends on tolerance thresholds and how missing administrative follow-up does not necessarily indicate a lack of clinical events.

Leo Probst2026-10-20
📄 medicine

Molecularly distinct neurodegeneration shapes the DOPA-dependent dynamic of large-scale brain connectomics in GBA-associated Parkinson’s disease

This study demonstrates that GBA1-associated Parkinson's disease exhibits a distinct, genotype-specific resting-state EEG connectome signature characterized by a selective increase in gamma-band network clustering under dopaminergic treatment, differentiating it from LRRK2 and sporadic forms of the disease.

Mauro Treddenti, Andrea Guerra, Valentina D’Onofrio, Matteo Guidetti, Gabriele Lucchi, Vidal Yahya, Elisa Sartirana, Fil (…)2026-10-20
📄 medicine

Diabetes Screening Interventions in Low- and Middle- Income Countries: A Systematic Review

This systematic review of 19 studies across 12 low- and middle-income countries characterizes heterogeneous type 2 diabetes screening interventions, identifying task-shifting and integration into existing health systems as key facilitators while highlighting critical gaps in care linkage, follow-up, and economic evidence that necessitate future programs to prioritize at-risk populations and embed comprehensive linkage-to-care strategies.

Catherine Akoth, Chloe V. Thomas, James Odhiambo Oguta, Peter J. Dodd2026-10-20
📄 medicine

Exploring the Underlying Causes and Contextual Determinants of Suicide Among Adolescents Under 19 Years of Age in Dezful, Iran: A Qualitative Study (2024–2025)

This 2024–2025 qualitative study of 31 participants in Dezful, Iran, identifies nine interconnected themes ranging from family violence and economic hardship to psychiatric disorders and sociocultural pressures as the primary drivers of adolescent suicide, underscoring the urgent need for comprehensive, culturally sensitive prevention strategies.

Hooman Etedali, Hamidreza Aghababeian, Mansoureh Safarzadeh Dezfuli, Mohsen Nouri, Mobina Nabizadeh, Sajad Nazari Gooran (…)2026-10-20
📄 medicine

Barriers to Seeking Mental Health Support Among Nurses and Midwives in Sub-Saharan Africa: A Scoping Review

This scoping review of 20 studies published between 2020 and 2026 reveals that nurses and midwives in Sub-Saharan Africa face significant individual, organizational, and socio-cultural barriers to seeking mental health support, highlighting a critical lack of direct evidence on help-seeking behaviors and the need for strengthened workplace support and targeted interventions.

Ronix Odero, Jeremiah Chirchir, Sinenjongo Ndzulu2026-10-20