📄 medicine

Evaluating Technical Efficiency of Voluntary Medical Male Circumcision Service Delivery In Zambia: Data Envelopment Analysis Approach

A study of 67 Zambian health facilities using Data Envelopment Analysis reveals substantial technical inefficiency in Voluntary Medical Male Circumcision service delivery, indicating that optimizing resource utilization and management interventions could significantly increase service output without requiring additional funding.

Nanzaluka Hatontola, Wilbroad Mutale, Chris Mweemba, Mwimba Chewe2026-06-24
📄 medicine

Oropouche, Dengue, and Chikungunya differential diagnosis using Brazilian surveillance data: development and validation of predictive models

This study developed and validated clinical prediction models using Brazilian surveillance data to effectively differentiate between dengue, chikungunya, and Oropouche fever, identifying distinct symptom profiles for each and achieving moderate to very good diagnostic performance.

Elry Cristine Nickel Valerio, Gabriela Maria Coli Seidel, Rafael Silva Nunes, Pedro Emmanuel Alvarenga Americano do Bras (…)2026-06-24
📄 medicine

Levobupivacaine 0.5% versus ropivacaine 0.75% for ultrasound-guided costoclavicular block in upper limb surgery: A randomized controlled trial

This randomized controlled trial involving 60 patients demonstrates that 0.5% levobupivacaine and 0.75% ropivacaine provide comparable efficacy and safety for ultrasound-guided costoclavicular blocks in upper limb surgery, with levobupivacaine showing slightly faster early onset and ropivacaine exhibiting marginally prolonged recovery times.

Diksha Dmello, Sachin P Sogal, Arun Parthasarathy, Anula S. Dsouza, Suvajit Podder, Hemamalini Sridharan2026-06-24
📄 medicine

A Cohort Study on Reflective Practice Among Healthcare Interns at King Abdulaziz University

This cohort study of 126 healthcare interns at King Abdulaziz University reveals limited awareness and inconsistent use of reflective practices, highlighting significant disciplinary differences and a critical need for better curriculum integration to enhance reflection skills.

Alwalaa A. Abulaban¹, Lana Adey AlShawwa¹, Abeer AlNowaiser², Maram Ahmed Banakhar³, Atef Moussa, Rani Ahmad⁶, Seham Ban (…)2026-06-24
📄 medicine

Health system challenges and barriers to care at initiation of hemodialysis in low- resource settings—a multicentric study in Andhra Pradesh, India

This multicentric study in Andhra Pradesh, India, reveals that the nascent state of public hemodialysis systems, combined with significant barriers such as illiteracy, inadequate vascular access (catheter reliance), and suboptimal treatment frequency, drives a high 90-day mortality rate among patients in low-resource settings.

Suresh Sankarasubbaiyan, Savitha Kasiviswanathan, Kamal D Shah, Rajesh P, Roberto Picoitis – Filho, Angelo Karaboyas2026-06-24
📄 medicine

Nursing Students’ Perceptions of the Metaverse in Nursing Education and Associated Factors: A Cross-Sectional Study

This cross-sectional study of 715 nursing students reveals generally positive perceptions of the metaverse in nursing education, particularly regarding its educational potential, with more favorable views significantly associated with prior digital experience, familiarity with immersive technologies, and specific sociodemographic factors.

Çiğdem Gamze ÖZKAN, Gülay SAVAŞ, Meryem AVCİ2026-06-24
📄 medicine

Impact of Family Illness on Psychological Status and Academic Performance Among Medical Students, at 21 September University for Medical and Applied Sciences, Sana'a, Yemen – 2024

This 2024 cross-sectional study of 374 medical students in Sana'a, Yemen, reveals that having an ill family member significantly exacerbates psychological distress and negatively impacts academic performance, particularly among female students and those caring for seriously ill parents, highlighting an urgent need for targeted institutional mental health support and flexible academic policies.

Shaif Fateh Allah Al-Wajih, Ghamdan Ali Bazel Aram, Mohammed Faed Ali Al-Ghazali, Hussein Nasser Hopish, Emad Adel Ahmed (…)2026-06-24
📄 medicine

Spatio-temporal trends and forecasting of HIV Positivity rates at district level in the Amhara Region, Ethiopia

This retrospective ecological study analyzes district-level spatio-temporal trends in the Amhara Region, Ethiopia, from 2016 to 2024, revealing a pattern of initial rise, decline, and resurgence in HIV positivity rates driven by conflict and testing volume, with forecasts predicting rates will remain around 5% through 2030, underscoring the urgent need for conflict-sensitive, targeted interventions to meet elimination goals.

Gizachew Yismaw Wubetu, Abeba Kasahun, Etsegenet Kindie, Desalegn Atinafu, Melaku Tadege, Abye Azene, Getasew Mulat Bant (…)2026-06-24
📄 medicine

Developing Implementation Strategies to Normalise Unaccompanied-Care Model Using the CFIR-ERIC Approach:A Qualitative Study

This qualitative study utilizes the CFIR-ERIC approach to identify barriers and facilitators for implementing China's unaccompanied-care model, proposing five targeted strategies to overcome financial, legal, and cultural challenges in normalizing this professionalized caregiving system.

Tao Liu, Jie Li, Le Zhang, Yue Hou, Mengyuan Zhang, Ting Huang, Yilin Li, Junlian Gu, Yufang Guo, Ou Chen2026-06-24