📄 medicine

Adult-Onset Still’s Disease – Still a Diagnostic Dilemma: A Case Report

This case report describes a 31-year-old male with extreme hyperferritinemia and fever of unknown origin who was successfully diagnosed with Adult-Onset Still's Disease and treated with corticosteroids followed by Tocilizumab, underscoring the critical importance of early recognition and targeted therapy to prevent severe complications like macrophage activation syndrome.

SYED SIKANDAR SHAH, Assadullah Dahani, Aftab Alam, Hadeel Eyad Abdel latief Shalabi, Jamil Ahmed, Nour Aymn Ahmad, Marya (…)2026-07-15
📄 medicine

High Overall Performance but Limited Multidisciplinary Depth: A Cross- Sectional Evaluation of ChatGPT in Pathological Fractures of Plasma Cell Tumors

This cross-sectional study found that while ChatGPT generates clear, generally accurate, and patient-friendly responses regarding pathological fractures from plasma cell tumors, it demonstrates limited depth and consistency in complex multidisciplinary clinical scenarios.

MÜJDAT ADAŞ, AHMET MURAT ÇÖREKCİ, İSMAİL DEMİRKALE, TANJU BERBER, EMRE UYSAL, EMRACAN AKDEMİR, FURKAN BARIŞ, Berna Akkus (…)2026-07-15
📄 medicine

Reasonable Adjustments Across the Learning Disability Annual Health Check Pathway: A Co-designed Qualitative Study

This co-designed qualitative study reveals that the inconsistent implementation of reasonable adjustments across the learning disability annual health check pathway stems from reactive rather than proactive approaches involving personal, professional, and organizational factors, highlighting the need for system-level changes to effectively reduce health inequalities.

Nicola Ditzel, Kelly Howells, Louise Gorman, Tom Blakeman, Stephanie Gillibrand, Caroline Sanders, Umesh Chauhan2026-07-15
📄 medicine

Primary healthcare system readiness for the prevention and management of non- communicable diseases in Nepal

This mixed-methods study evaluating Nepal's primary healthcare system readiness for non-communicable disease management between 2020 and 2022 reveals that while readiness varies by facility type and region, overall capacity remains insufficient due to critical shortages in equipment, medicines, trained staff, and guidelines, necessitating targeted government interventions to strengthen infrastructure and supply chains.

Chandani Singh Nakarmi, Sanju Bhattarai, Elizabeth C Rhodes, Meghnath Dhimal, Phanindra Prasad Baral, Bikram Poudel, Bin (…)2026-07-15
📄 medicine

Knowledge, Attitudes, and Practices of Menstrual Hygiene Management Among Women of Reproductive Age in Nakuru City, Kenya

This study of 330 women in Nakuru City, Kenya, reveals that while personal hygiene knowledge is adequate, menstrual waste disposal is predominantly high-risk due to infrastructural deficits, and the adoption of sustainable alternatives is hindered by low awareness, cultural taboos, and negative attitudes toward reusable products.

Emily Wambui Kimani, Wilkister Nyaora Moturi, Ramadhan Mawenzi2026-07-15
📄 medicine

Prenatal Maternal Stress, Socioeconomic and Cultural Determinants, and Early Childhood Physical and Neurodevelopmental Outcomes: Evidence From a Prospective Cohort Study in Georgia

This prospective cohort study conducted in Georgia demonstrates that prenatal maternal stress, characterized by elevated salivary cortisol levels, is significantly associated with poorer physical growth and lower neurodevelopmental scores in infants during their first year of life.

N. Masiukovichi, W. M. Caudle, T. Masiukovichi, E. Nikoleishvili2026-07-15
📄 medicine

Nutrition transition and nutrient inadequacy in Korea, 1998–2024: a national repeated cross-sectional trend study

This national repeated cross-sectional study of Korea from 1998 to 2024 reveals a mixed nutrition transition characterized by reduced carbohydrate and sodium intake but a concerning shift toward higher fat consumption, decreased fruit and vegetable adequacy, and persistent micronutrient vulnerabilities, underscoring the need for policies that prioritize overall dietary quality beyond simple energy balance or sodium reduction.

Rajitha Kawshalya Mailan Arachchige Don2026-07-15
📄 medicine

Assault-related hospitalisation among mothers with psychotic illness: A population-based cohort study

A population-based cohort study in Western Australia reveals that mothers with psychotic illness face a significantly elevated risk (approximately 12 times higher) of assault-related hospitalization compared to those without mental illness, underscoring the critical need for routine violence screening and trauma-informed care in perinatal and psychiatric services.

Tammy M Hall, Patsy Di Prinzio, Anna Waterreus, Vera A Morgan2026-07-15