📄 medicine

Scalpel Versus Monopolar Electrocautery in Reduction Mammaplasty: An Intra-Patient Comparative Study

This retrospective intra-patient comparative study of 40 patients undergoing bilateral reduction mammaplasty demonstrates that while monopolar electrocautery offers superior hemostasis and reduced bleeding compared to scalpel dissection, it is associated with higher early postoperative pain and drainage, yet yields comparable mid-term scar quality, establishing it as a reliable alternative when used with careful technique.

Ceyhun Uzun, Berkay Çınar, Mehmet Bayram, Kübra Nur Baktikar, Emrah Kagan Yasar, Murat Sahin Alagoz2026-06-25
📄 medicine

Robotic-Assisted Surgery in Vascular Surgery: A 29-Year Bibliometric Analysis and Emerging Research Trends

This 29-year bibliometric analysis of 201 publications reveals that while China leads global research output in robotic-assisted vascular surgery, the field is rapidly evolving from traditional open procedures toward advanced robot-assisted endovascular and extravascular techniques, with key themes focusing on efficacy, safety, and systematic implementation.

Qingtao Shi, Chenglou Zhu, Naiqing Liu2026-06-25
📄 medicine

Parallel and contrasting HIV epidemics among people who inject drugs in Oakland and San Francisco: implications for getting to zero infections by 2030

Despite comparable HIV prevalence among people who inject drugs in neighboring Oakland and San Francisco, significant disparities in demographics, drug use patterns, and access to prevention services highlight the need for coordinated, locally tailored strategies to achieve HIV elimination by 2030.

Hayoung Oh, Bow Suprasert, Raul Ruiz, Paavani Lella, Gueslyn Velasquez, Glenda Baguso, Eileen F. Dunne, Erin C. Wilson (…)2026-06-25
📄 medicine

Factors Associated with the Utilisation of HIV Post-Exposure Prophylaxis Among Frontline Healthcare Workers in Ghana: A Cross-Sectional Study

This cross-sectional study of 2,006 healthcare workers in Ghana reveals that female sex, shorter work experience, and good knowledge of HIV post-exposure prophylaxis (PEP) are significant predictors of higher PEP utilization, highlighting the need for targeted education and improved reporting systems to address existing gaps.

Promise Kwame Salu, Jacob Owusu Sarfo, Thomas Hormenu2026-06-25
📄 medicine

Association between Nighttime Sleep Duration and Tear Film Parameters in Young Adults

This cross-sectional study of young adults reveals that shorter nighttime sleep duration is significantly associated with worse tear film parameters, increased dry eye symptoms, and a higher risk of dry eye syndrome, suggesting that sleep hygiene is a modifiable factor in ocular surface health.

Seyed Saber SahihAlnasab, Asgar Doostdar, Mehdi Khabazkhoob, Abdollah Farzaneh, Mohammad Kamali, Saeed Rahmani, Mohammad (…)2026-06-25
📄 medicine

Multimodal Imaging Features of Leiomyomatosis Peritonealis Disseminata: A Retrospective Analysis of 34 Cases

This retrospective analysis of 34 female patients characterizes the multimodal imaging features of Leiomyomatosis Peritonealis Disseminata (LPD), revealing that while its appearance closely mimics uterine leiomyomas and frequently leads to misdiagnosis, integrating a history of prior myomectomy with specific ultrasound, CT, and MRI findings can significantly improve preoperative diagnostic accuracy.

Yu Yang, Xiuxiu Zhang, Dandan Zhang, Taotao Sun, Bangchun Lu, Juan Li, Ping Chen, Baoying Ye, Jiong Chen2026-06-25
📄 medicine

Hypertension in India: Shared Metabolic and Heterogeneous Social and Behavioural Correlates Across Regions and Sexes

This study of over 756,000 Indian adults reveals that while hypertension is consistently linked to metabolic factors like obesity and high blood glucose across all regions and sexes, its social and behavioral correlates vary significantly by geography and gender, highlighting the need for context-specific prevention strategies.

Abigail Lalnuneng, Thiyam Seityajit Singh, Naorem Devi, Kallur Nava Saraswathy, Ved Prakash2026-06-25
📄 medicine

Asynchronous Modules on Transgender, Gender Diverse, and Intersex Patient Care in an Obstetrics and Gynecology Clerkship: A Retrospective Pre-Post Study

This retrospective pre-post study demonstrates that implementing brief, required asynchronous modules on transgender, gender diverse, and intersex patient care within an obstetrics and gynecology clerkship significantly improved medical students' self-reported knowledge, comfort, and clinical vignette scores.

Omid Cohensedgh, Anne-Sophie van Wingerden, Michelle L. Shui, Said S. Saab, Taylor B. Sewell2026-06-25
📄 medicine

Instructional Skills Workshops Improve Clinical Teachers' Self-Efficacy, but Only Some Gains Track Feedback Experience_ A Two-Cohort Study 

This two-cohort study demonstrates that while an Instructional Skills Workshop significantly and replicably boosts clinical teachers' self-efficacy across student engagement, instructional strategies, and classroom management, only gains in the first two dimensions are consistently associated with specific feedback experiences, suggesting classroom management improvements may stem from other sources.

Leyuan Xiang, Huan Mao, Jing Shu2026-06-25
📄 medicine

Impact of robotic access and dedicated kidney surgery teams on nephron-sparing surgery for T1 renal masses: Evidence from a Spanish multicenter registry

Based on a Spanish multicenter registry, access to robotic-assisted surgery significantly increased the utilization of partial nephrectomy for T1 renal masses—particularly cT1b tumors—while dedicated kidney surgery teams were associated with fewer cases recorded as technically infeasible despite not independently increasing partial nephrectomy rates after stratification.

Itzhak Testa Sklofsky, Daniel Pérez-Fuentes, Inmaculada Bravo Fernández, Mario De Arriba Alonso, Diego Roberto Ballester (…)2026-06-25