📄 medicine

Feasibility and Usability of Mixed Reality Cognitive Training in Older Adults with and without Mild Cognitive Impairment

This study demonstrates that Mixed Reality exergames using the HoloLens 2 are feasible and equally usable for older adults with Mild Cognitive Impairment compared to healthy older adults, showing no significant differences in system usability, motivation, or cybersickness.

Supatta Chueycham, Jenjira Thanakamchokchai, Joep Janssen, Karin Valkenet, Phunsuk Kantha, Fuengfa Khobkhun, Khanitha Ji (…)2026-06-25
📄 medicine

Surgical Ward Innovation: Primary results of implementation of in-hospital telemonitoring

This prospective observational study demonstrates that implementing a continuous in-hospital telemonitoring system in a surgical oncology ward significantly improved nursing efficiency by reducing routine assessments and perceived workload while increasing system usability and staff acceptance.

Friso MJF Schonck, Misha DP Luyer, Evert L Koldewijn, Jurgen MJ Piek, Nardo JM Van Der Meer, Arthur RA Bouwman, Simon W (…)2026-06-25
📄 medicine

Associations between occupational balance and health- related quality of life in informal caregivers of persons after stroke: a cross-sectional study

This cross-sectional study of 138 Austrian informal caregivers of stroke survivors reveals that restricted occupational balance is significantly associated with poorer health-related quality of life, particularly mental health, with the impact of task-related characteristics varying based on positive caregiving experiences.

Hanna Köttl, Stefanie Lentner, Mandana Fallahpour, Evelyn Haberl, Larisa Baciu, Susanne Guidetti, Michael Schön, Corneli (…)2026-06-25
📄 medicine

Psychosocial-functional profiles among older adults with chronic subjective tinnitus in long-term care facilities: a cross-sectional latent profile analysis

This cross-sectional study of 390 older adults in Chinese long-term care facilities identified four distinct psychosocial-functional profiles among those with chronic subjective tinnitus, revealing a unique subgroup with low disability but high psychosocial vulnerability that underscores the need for comprehensive assessments beyond traditional disability metrics.

Lan Zhang, Yingchun Li, Yan Liu, Manman Wang, Huifang Lu, Yi Sun2026-06-25
📄 medicine

Clinical Efficacy and Prognostic Factors of Universal Red Blood Cell Transfusion in Patients with Acute Hemorrhage: A Single-Center Retrospective Cohort Study

This single-center retrospective study of 65 patients with acute hemorrhage demonstrates that universal red blood cell transfusion is safe and effective, identifying coagulation-fibrinolysis disorders and electrolyte imbalances as key prognostic factors while highlighting the superior coagulation stability provided by low-titer whole blood compared to leukocyte-reduced suspended red blood cells.

Yu Zou, Tianhua Jiang, Ling Xiao, Nan Yin Xiao, Mao Zheng2026-06-25
📄 medicine

Mapping Paramedic Inclusion in Canada's Illicit Drug Strategy Landscape: A Critical Realist-Informed Policy Analysis and Typology

This critical realist-informed policy analysis of 45 Canadian drug strategy documents reveals that paramedic inclusion is fragmented and predominantly limited to emergency response contexts, highlighting a need for better policy alignment to leverage their potential in integrated, harm-reducing care models.

Jennifer L. Bolster¹'², Alan M. Batt²'³, Elizabeth A. Donnelly⁴, Polly Ford-Jones⁵2026-06-25
📄 medicine

Prediction Model for Severe Complications in Patients with Failed Conservative Treatment of Acute Intestinal Obstruction Based on Clinical and Imaging Features: Development and Validation

This study developed and internally validated a prediction model combining clinical and CT imaging features to effectively identify patients with acute intestinal obstruction who are at high risk of developing severe complications after failing conservative treatment.

Mingjie Zhu, Jie Dan, Ming Li, Yonghong Wang, Wenjie Zhou, Ke Liu2026-06-25
📄 medicine

Neoaortoiliac System (NAIS) Reconstruction for Secondary Aortoenteric Fistula Following Infected Aortobiiliac Graft in a Patient with nonspecific aortitis

This case report describes the successful management of a secondary aortoenteric fistula caused by an infected aortobiiliac graft in a patient with nonspecific aortitis through emergent graft explantation, duodenal repair, and in-situ reconstruction using a neoaortoiliac system (NAIS) conduit derived from autologous femoral veins.

Tamer Fekry, Hatem Elamer, Ibrahim Fares Hegazy2026-06-25