medicine papers | Gist.Science

Task and Workflow Mapping in Internal Medicine Hospital Departments: Implications for Operational and Digital Transformation in A Large Tertiary Medical Center

This study utilizes structured observational data from a large tertiary medical center to map task distribution and workflow patterns across internal medicine wards, revealing that a significant portion of work consists of non-value-adding activities and misaligned scope-of-practice, thereby providing an empirical foundation for operational redesign and digital transformation.

Abigail Zchout, Hila Barak, Ori Yermiyah, Orna Rachaminov, Uri Manor, Eyal Zimlichman, Gad Segal2026-06-24

📄 medicine

Outcomes of pregnancies complicated by Type 1, Type 2 or Gestational Diabetes, in Southeastern Sweden

This retrospective study of pregnancies in southeastern Sweden (2013–2018) reveals that while diabetes significantly increases risks of preeclampsia, cesarean sections, and large-for-gestational-age infants compared to non-diabetic controls, targeted care interventions have successfully reduced specific adverse outcomes like large-for-gestational-age in type 1 diabetes and preterm delivery in gestational and type 2 diabetes, though regional disparities and ethnic overrepresentation in certain diabetes types highlight areas for improved, tailored care.

Anna Stogianni, Malin Penna, Annika Jönsson, Anna-Stina Wanby, Michael Alvarsson, Mona Landin-Olsson, Pär Wanby, Maria T (…)2026-06-24

📄 medicine

The Dual-Track Adaptation Model of Family Caregivers for Older Adults with Hip Fractures and Comorbidities: A Descriptive Qualitative Study

This descriptive qualitative study of family caregivers in mainland China introduces a "Dual-Track Adaptation Model" to explain how they navigate multidimensional stressors and systemic healthcare gaps through a combination of internal psychosocial resilience and external structural support, ultimately calling for nursing-led interventions to optimize care across acute, transitional, and home settings.

Baohua Chen, Lili Wang, Huihui Wang, Yuzhi Song, Mengdi Liu2026-06-24

📄 medicine

Comparison of General Health, Perceived Social Support, and Moral Courage Between Nurses With and Without COVID-19 Infection: A Cross-Sectional Study

This cross-sectional study reveals that nurses who contracted COVID-19 exhibited significantly poorer general health, lower perceived social support, and reduced moral courage compared to their uninfected counterparts, highlighting the need for targeted organizational support to bolster their well-being and ethical resilience during healthcare crises.

Saeideh Namazian, Mahnaz Khatiban, Hiva Azami, Leili Tapak2026-06-24

📄 medicine

One Lung Ventilation (OLV) Effects on Troponin T and I Levels in Thoracic Surgical Procedures

This cohort study of 39 thoracic surgery patients at Prof. Dr. Margono Soekarjo Hospital found that one-lung ventilation significantly increases postoperative troponin T and I levels, with postoperative PaO₂ identified as the most influential factor affecting these cardiac biomarkers.

MM Rudi Prihatno, Rania A Hapsari, Iwan D Cahyono2026-06-24

📄 medicine

Bridging Evidence and Clinical Practice: Analgesic Effectiveness of Serratus Posterior Superior Intercostal Plane Block in Mastectomy

This retrospective observational study demonstrates that the serratus posterior superior intercostal plane block (SPSIPB) significantly improves postoperative pain control and reduces opioid consumption in patients undergoing unilateral mastectomy compared to those without the block.

Buse Kozlu, Ece Okgil, Rıdvan Kurtulmuş, Canan Balcı2026-06-24

📄 medicine

Assessment of Iranian Orthodontic Specialists’ Knowledge and Perceptions Regarding the Efficacy of Clear Aligner Therapy in Various Orthodontic Tooth Movements (2024)

This 2024 study reveals that Iranian orthodontic specialists generally view clear aligner therapy as effective for Class I spacing and crowding but perceive significant limitations in movements such as extrusion, derotation, and anterior retraction, with younger clinicians demonstrating higher overall acceptance of the technology than their older counterparts.

Sana Malekzadeh¹, Mehdi Esmaili²2026-06-24

📄 medicine

Judicial Adjudication of Medication Provision Disputes During COVID-19 in Brazil: Health Misinformation, Therapeutic Evidence, and Implications for Pharmacovigilance and Public Health Practice

This qualitative study of 585 Brazilian COVID-19 litigation cases reveals that judicial orders for unproven medications like hydroxychloroquine and ivermectin were driven by misinformation and social pressure, highlighting the urgent need to integrate regulatory evidence into legal proceedings and strengthen pharmacovigilance to safeguard evidence-based public health practices.

Felipe Gabriel Barbosa de Oliveira, Simone Luzia Fidélis de Oliveira, Alessandra Lima Fontenele, Dirce Bellezi Guilhem2026-06-24

📄 medicine

Performance management competencies for hospital healthcare managers: a mixed-methods mapping study and implications for quality of care and community health outcomes

This mixed-methods mapping study identifies and validates a comprehensive set of technical and behavioral performance management competencies for hospital managers in a large Brazilian private hospital, establishing their critical role in enhancing care quality and community health outcomes.

Felipe Gabriel Barbosa de Oliveira, Lucas de Souza2026-06-24

📄 medicine

Participant-Level Costing of Community-Managed Pressure Injuries: An Embedded Analysis within the INCA Trial

Embedded within the INCA trial, this prospective micro-costing analysis in Singapore reveals that managing community-based pressure injuries incurs substantial 90-day costs of approximately S$2,400 for the public healthcare system and S$2,100 for households, driven largely by nursing and dietetic resources and significantly higher for patients with multiple wounds.

Alvin Wong, Precilla Lai, Hui Hsien Chong, Christopher T C Lien, Nicholas Graves2026-06-24

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