📄 medicine

Cost-Effectiveness Analysis of Ivonescimab Plus Chemotherapy versus Tislelizumab Plus Chemotherapy as First-Line Treatment for Advanced Squamous Non-Small Cell Lung Cancer: A Chinese Healthcare Perspective

From a Chinese healthcare perspective, a cost-effectiveness analysis based on the HARMONi-6 trial indicates that first-line treatment with ivonescimab plus chemotherapy is likely to be cost-effective compared to tislelizumab plus chemotherapy for advanced squamous non-small cell lung cancer, with an incremental cost-effectiveness ratio of $23,366.05 per quality-adjusted life-year gained.

Chuang Yang, Shixian Liu, Tiantian Xuan, Wen Zhao, Jisheng Li2026-10-20
📄 medicine

Molecular Mechanisms and Clinical Impact of HighLevel Ceftazidime Avibactam Resistance in CarbapenemResistant Pseudomonas aeruginosa

This study elucidates that high-level ceftazidime-avibactam resistance in carbapenem-resistant *Pseudomonas aeruginosa* is primarily driven by metallo-β-lactamase production (specifically AFM-1 and IMP-45), novel GES variants, and synergistic efflux pump overexpression, contributing to a high mortality rate of 68.1% among critically ill patients.

Jiao Chen, Chenyan Gao, Fen Wan, Xinhui Liao, Wenjie Liu, Xinyi Tian, Heng Zhao, Dandan Wei, Yang Liu, Guanghui Li2026-10-19
📄 medicine

Development and Preliminary Application of an Entrustable Professional Activities-Based Evaluation Indicator System for Rehabilitation Nursing among Undergraduate Nursing Interns

This study successfully developed and preliminarily validated a seven-domain, 46-item Entrustable Professional Activities (EPA) evaluation indicator system for undergraduate nursing interns in rehabilitation, demonstrating strong expert consensus and clinical feasibility to inform future rehabilitation nursing education.

Junying Qian, Ruixin Wang, Xin Zhang, Xiaoqing Si, Yiying Zhu, Yun Li, Yue Sun, Dongxu Liu, Yan Wang2026-10-19
📄 medicine

Feasibility, acceptability and adaptation of S-Condom Uterine Balloon Tamponade (UBT) in managing atraumatic post-partum hemorrhage at a tertiary care facility in Bangladesh

This prospective mixed-methods study demonstrates that the low-cost, prepackaged S-Condom Uterine Balloon Tamponade is a highly feasible, safe, and acceptable intervention for managing refractory atraumatic postpartum hemorrhage in Bangladesh, achieving a 100% success rate and high provider and patient satisfaction.

Tanjila Karim, Sayeba Akhter, Saria Tasnim, Shahena Akter, Shahanara Chowdhury, Md. Zulqarnine Ibne Noman, Quamrun Nahar2026-10-19
📄 medicine

Enzymatic Debridement as a Tissue-Sparing Wound Bed Preparation Strategy in a Preterm Newborn With Postoperative Wound Dehiscence: An Off-Label Case Report

This case report demonstrates that off-label bromelain-based enzymatic debridement is a safe and effective tissue-sparing strategy for managing complex postoperative wound dehiscence in a preterm newborn, leading to rapid wound closure without adverse events.

Biagio Nicolosi, Greta Ghizzardi, Benedetta Virginia Difalco, Bettina Violini, Enrico Ciardini, Marco Moroni, Alessandra (…)2026-10-19
📄 medicine

Endocrine toxicity associated with anti - neoplastic drugs: a pharmacovigilance analysis based on the FDA adverse event reporting system database

This pharmacovigilance study analyzing over 40,000 FAERS reports identifies robust safety signals linking anti-neoplastic drugs, particularly immune checkpoint inhibitors like pembrolizumab and ipilimumab, to endocrine toxicity, highlighting a higher prevalence in females and a tendency for early onset to underscore the need for enhanced clinical monitoring.

Xingnong Xu, Cheng Fan, Xiaofeng Cheng2026-10-19
📄 medicine

Supply and Demand Constraints Generating Health Policy and Systems Research in Cambodia: A Qualitative Institutional Analysis

This qualitative institutional analysis of Health Policy and Systems Research (HPSR) in Cambodia identifies critical supply and demand constraints, including limited local capacity, low domestic demand for evidence, and donor dominance, which collectively hinder the generation of contextually relevant, evidence-informed health policies and underscore the urgent need for strengthened local ownership and resource allocation to ensure sustainable system learning.

Laura Trakman, Savina Chham, Hay Vannith, Chhorvann Chhea, Ziru Deng, Karen Grépin2026-10-19