📄 Category

medicine

6901 papers

📄 medicine

Barriers and Facilitators to Child Growth Monitoring and Promotion Service Utilization in Gorkha District, Nepal: A Qualitative Study

This qualitative study conducted in Gorkha District, Nepal, identifies multi-level barriers—including geographical inaccessibility, competing household responsibilities, and health system constraints—as the primary drivers of low Growth Monitoring and Promotion (GMP) service utilization, while highlighting community support and service integration as key facilitators for improving uptake.

Jagat Prasad Upadhyay, Damaru Prasad Paneru, Yam Prasad Sharma, Nava Raj Khadka2026-06-28
📄 medicine

Prevalence Associated Factors and Maternal-Perinatal Outcomes of Teenage Pregnancy in Nigeria: A Secondary Analysis of Maternal and Perinatal Database for Quality, Equity and Dignity Data

This secondary analysis of data from 54 Nigerian tertiary hospitals reveals that teenage pregnancy, which has a national prevalence of 3.5% and is concentrated in the North, is associated with significant socio-demographic disadvantages and significantly increased risks of preeclampsia/eclampsia and adverse perinatal outcomes compared to non-teenage pregnancies.

Aisha Abdurrahman, Adewale Olufemi Ashimi, Lawal Ibrahim Magaji, Hadiza Shehu Galadanci, Jamilu Tukur, Hasheem Ibrahim (…)2026-06-28
📄 medicine

Varicella-Zoster Virus Encephalitis Mimicking Acute Stroke: A Case Report

This case report describes a 16-year-old Ghanaian female who was successfully treated for Varicella-Zoster Virus encephalitis mimicking an acute stroke, highlighting the critical importance of maintaining a high index of suspicion for viral encephalitis in patients with vague neurological symptoms to ensure timely antiviral intervention and prevent severe morbidity or mortality.

Felix Owusu Osae, Emmanuel Ansah Owusu, Francis Agyapong, Amos Polibu2026-06-28
📄 medicine

The Predictive Value of Ultrasonographic Gallbladder Wall Thickness for Complications in Laparoscopic Cholecystectomy

This study demonstrates that increased preoperative ultrasonographic gallbladder wall thickness is significantly associated with longer operative times, more frequent intraoperative events, extended hospital stays, and higher rates of postoperative complications in patients undergoing laparoscopic cholecystectomy, suggesting its utility as a predictor for surgical difficulty and perioperative planning.

Mojtaba Ahmadinejad, Kourosh Kabir, Erfan Nazari, Amirhossein Hajialigol2026-06-28
📄 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