📄 medicine

Nurse-led culturally adapted therapeutic play for reducing procedural distress during outpatient nebulization in children: a pragmatic cluster-randomized controlled trial

This pragmatic cluster-randomized trial demonstrates that a nurse-led, culturally adapted therapeutic play intervention significantly reduces procedural distress and improves cooperation in children aged 2–7 years undergoing outpatient nebulization compared to standard care alone.

Jun Wu, Suyi Xu, Jianwen Fan, Qianqian Shen, Xin Wang, Qinyue Lan, Shuangyang Feng, Huafen Wang2026-06-24
📄 medicine

Real-time Sepsis Risk Stratification on Cloud Data Warehouses: A Fuzzy Inference System on MIMIC-IV

This paper presents an end-to-end, event-based framework leveraging Google BigQuery and a Mamdani fuzzy inference system to perform real-time, interpretable sepsis risk stratification on MIMIC-IV data, demonstrating that managed cloud warehouses can support temporally aware clinical analytics without specialized stream processors.

Jagan Mohan Reddy Danda, Sakib Nazmus, Haritha IVSL, Lakshmi Prasanna Yeluri, Shareef Sk Khaja2026-06-24✓ Author reviewed
📄 medicine

Spontaneous Resorption of Traumatic Cervical Disc Herniation with Transient Syringomyelia in a 6-Year-Old Child

This case report documents the first known instance of spontaneous resorption of a traumatic, non-calcified cervical disc herniation accompanied by a transient syrinx in a 6-year-old child, which was successfully managed with conservative treatment leading to full neurological recovery.

Mustafa Kavcar, Burak Şener, Muhammed Erkan Emrahoğlu, Mehmet Erhan Türkoğlu, Erdal Reşit Yılmaz2026-06-24
📄 medicine

Incidences And Predictors of Attrition among Adults Receiving First-Line Anti-Retroviral Therapy at Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital, Hosanna, Central Ethiopia, 2024: Retrospective Follow-Up Study

This 2024 retrospective study at Wachemo University Nigist Eleni Mohamed Memorial Comprehensive Specialized Hospital in Ethiopia identified an attrition rate of 10.47 per 100 person-years among adults on first-line ART, revealing that younger age, unemployment, poor adherence, low baseline CD4 counts, and co-infection with tuberculosis are significant predictors of treatment dropout.

Bantayehu Getachew Nigusie, Mekdim Kassa, Amanuel Kefyalew Assefa, Addis mekuanint, Mekuanint Mulken Sewnet2026-06-24
📄 medicine

Imaging of White Matter Injury Associated with Iron Overload After Intracerebral Hemorrhage: A Study Based on MRI QSM and DTI

This study demonstrates that severe iron overload within the hematoma core is significantly associated with exacerbated secondary white matter disruption in the adjacent peri-hematoma edema, suggesting that localized iron toxicity drives demyelination and vasogenic edema, making this region a promising target for neuroprotective interventions.

Jianchun Wang, Chen Ling, Jingru Ren, Zhenyu Niu, Lei Yu, Yi Liu, Shui Liu, Zhaoxia Wang, Ran Liu2026-06-24
📄 medicine

Explaining factors influencing abdominal trauma triage from specialists’ perspectives: A conventional content analysis study

This conventional content analysis study involving Iranian specialists reveals that accurate abdominal trauma triage requires integrating clinical judgment with standard protocols by considering multidimensional factors such as physiological status, individual characteristics, injury patterns, and neurological signs, rather than relying solely on quantitative scoring systems.

Hooman Etedali, Leila Kalani, Rashidi Neda, Armin Zareiyan, Farhad Nanaei, Marzieh Beigom Bigdeli Shamloo2026-06-24
📄 medicine

Development of the multicomponent PATH@work intervention for musculoskeletal disorders among blue-collar workers Integrating evidence-based clinical care and workplace interventions

This study describes the development and initial evaluation of PATH@work, a multi-component intervention integrating musculoskeletal health literacy, physical exercise, and participatory ergonomics for blue-collar workers, alongside a corresponding training course for occupational safety and health professionals, which was found to be appropriate and feasible but only partially acceptable regarding its participatory elements.

Maja Schønheyder, Mia Nyvang Stilling, Charlotte Diana Nørregaard Rasmussen, Alice Kongsted, Karen Søgaard, Andreas Holt (…)2026-06-24
📄 medicine

Admission Lactate and Red Cell Distribution Width Predict Outcomes in Critically Ill Patients with Heart Failure

This retrospective study of 9,301 critically ill heart failure patients demonstrates that elevated admission lactate and red cell distribution width (RDW-CV) are independent and synergistically predictive of increased 28-day mortality, suggesting their combined use enhances early risk stratification.

Yongsheng Qu, Junpeng Xie, Abudunaibi Balati, Songwei Wang, Lei Dai, Chen Zhang, Cunzhen Wang, Min Liu, Jianchao Li, Dan (…)2026-06-24
📄 medicine

Construction and Validation of a Nomogram for Risk Factors of Nonunion Following Surgical Treatment of Tibial Shaft Fractures

This study developed and validated a highly accurate nomogram based on seven independent risk factors—including age, sex, smoking history, fracture type, infection, morphology, and fixation method—to predict the likelihood of nonunion following surgical treatment of tibial shaft fractures, thereby facilitating individualized risk assessment and clinical decision-making.

Zhipeng Fan, Yuhang Jin, Xuesong Yan, Jiawei Li, Zhuohang Wu, Yongxian Zhang2026-06-24