📄 medicine

Impact of a Structured Menstrual Hygiene Education Programme on Knowledge, Practices, and Reproductive Health Outcomes Among Adolescent School Girls in Anantapur District, Andhra Pradesh, India: A Prospective Cohort Study

This prospective cohort study demonstrates that a structured, multi-component menstrual hygiene education programme delivered in Anantapur district significantly improved knowledge, hygienic practices, and reproductive health outcomes among adolescent school girls over a twelve-month period compared to a control group.

Sruthi Marthadu, Rajavardhana Thamineni, Maneesh Kumar Maddirevula, Murali Iguduru, Sahithi Bogireddy, Hemalatha Vemredd (…)2026-06-26
📄 medicine

Factors influencing delivery, effectiveness, and implementation of a patient-centered communication skills training in nursing care: multimethod process evaluation of a randomized controlled trial

This multimethod process evaluation of a randomized controlled trial identifies key factors—ranging from recruitment challenges and contextual influences to management support—that shaped the delivery and effectiveness of a patient-centered communication skills training for nurses, offering practical guidance for its future long-term implementation.

Kendra MIELKE, Wiebke FRERICHS, Katja CÖLLEN, Martin HÄRTER, Isabelle SCHOLL2026-06-26
📄 medicine

Comparison of views on aging between family caregivers of people living with dementia and non-caregivers: Australian data spanning the full adult lifespan 

This Australian cross-sectional study spanning the adult lifespan reveals that family caregivers of people with dementia hold more negative general and personal views on aging compared to non-caregivers, with the tendency to feel older being particularly pronounced among older caregivers.

Serena Sabatini, Katya Numbers, Fiona S Rupprecht, Enrico Sella, Amber Izett, Erika Borella, Elena Carbone, Victoria Tis (…)2026-06-26
📄 medicine

Longitudinal associations between depressive and anxiety symptom trajectories during pregnancy: comorbidity patterns and the sequential role of second-trimester anxiety

This study of 275 Chinese pregnant women reveals U-shaped trajectories for depressive and anxiety symptoms across trimesters, establishes first-trimester screening cut-offs, identifies lower education as a risk factor for comorbidity, and highlights second-trimester anxiety as a key sequential mediator linking early and late-pregnancy depression.

Yueping Ding, Shaohe Hong, Jing Li2026-06-26
📄 medicine

Data Driven Reappraisal of Prophylactic Fasciotomy in Penetrating Lower Extremity Arterial Trauma

This single-center study challenges the routine use of prophylactic fasciotomy in penetrating lower extremity arterial trauma by demonstrating that the risk of developing compartment syndrome is significantly higher in popliteal artery injuries (43.4%) compared to femoral injuries (6.3%) and is not influenced by concomitant venous injury, thereby supporting injury-specific risk stratification over liberal surgical dogma.

John Gaspich, Taylor Nordan, Karthik Thangappan, Kerri McKie, Jonathan Gates, Molly Jarman, Ali Salim, Nicholas Swerdlow (…)2026-06-26
📄 medicine

Analysis of Clinical Characteristics and Influencing Factors of Patients with Tuberculosis Complicated by Diabetes in Bao'an District, Shenzhen from 2016 to 2024

This study analyzes tuberculosis data from Bao'an District, Shenzhen (2016–2024) to reveal a significant year-on-year increase in the prevalence of diabetes comorbidity among patients, identifying male gender, older age, local residency, and specific treatment outcomes as key risk factors that necessitate enhanced early detection and monitoring strategies.

Yali Qu, Zhenyang Liu, Peipei Huang, Jinzhou Mei, Li'ai Peng, Fangxiang Hu, Fan Huang, Yunxia Wang2026-06-26
📄 medicine

Evaluation of CA-125, HE4, ROMA, and Copenhagen Index for Preoperative Risk Stratification of Adnexal Masses in Indian Women: A Prospective Cross-Sectional Study

This prospective study of Indian women demonstrates that while HE4 and ROMA offer superior diagnostic accuracy for premenopausal adnexal masses, the Copenhagen Index provides the highest specificity and AUC for postmenopausal women, establishing these biomarkers as effective adjunctive tools for preoperative risk stratification.

Nilanchali Singh¹, Chetanya Mittal¹, Aaroshi Gupta¹, Ishika Gupta¹, Sadaf Kunwar¹, Anjli Gaur¹, Sushmitha Somagattu¹, Ta (…)2026-06-25✓ Author reviewed
📄 medicine

Specialist Physician Composition and Hospital Supply Expense Structure: A Four-Year Panel Study of General and Tertiary General Hospitals in the Republic of Korea

This four-year panel study of 285 Korean hospitals reveals that supply expense ratios vary significantly based on hospital type, ownership, region, and specialist physician composition, suggesting these differences reflect clinical functions and operational contexts rather than mere inefficiency.

Do Won Kim, Vasuki Rajaguru, Tae Hyun Kim2026-06-25
📄 medicine

Trends in obesity and socioeconomic status in the Peruvian population between the years 2015-2024: an analysis of a national survey

This study analyzes 2015–2024 national survey data to reveal that obesity prevalence among Peruvian adults increased significantly from 20.4% to 29.1%, with a persistent positive socioeconomic gradient and higher rates observed among women, urban residents, and older individuals.

Roger Hiroshi Albornoz-Toyohama, Sergio Daniel Bobadilla-Bautista, Javier Linkolk López-Gonzales2026-06-25