📄 medicine

Diagnostic accuracy and cost-efficiency of pooled sputum testing for tuberculosis among people deprived of liberty in Northeast Brazil

A cross-sectional study in Northeast Brazil demonstrates that four-sample sputum pooling with Xpert Ultra offers high diagnostic accuracy and significant cost-efficiency for tuberculosis screening among people deprived of liberty, supporting its scale-up to expand TB detection in prison settings.

Maria Luiza Aguiar Martins Moraes, Konstantina Kontogianni, Cliomar Alves Santos, Lucyano Renovato Jacob, Franciely Mont (…)2026-09-04
📄 medicine

Assessing Systemic Barriers to Veteran Health Using Systems Thinking: Tools for Community Assessment and Action

This study developed and validated systems thinking tools, specifically causal loop diagrams and an iceberg model, to synthesize evidence on community-level barriers and leverage points, thereby equipping stakeholders with actionable frameworks to address complex challenges in Veteran health and safety.

Maria Guta, Eleanor Hummel, Jessica Simon, Kristen Hassmiller Lich2026-09-04
📄 medicine

Development and internal validation of a routine metabolic screening model for hyperuricemia among gas station workers in Guangxi, China

This study developed and internally validated a routine metabolic screening model for hyperuricemia among gas station workers in Guangxi, China, using four easily accessible variables (sex, waist circumference, triglycerides, and HDL-C) that demonstrated good discrimination and calibration without relying on serum uric acid or renal function indicators.

Jinbo Wang, Xinna He, Yinxia Lin, Zhuoheng Chen, Jianing Cong, Yaqin Pang, Guangzi Qi2026-09-04
📄 medicine

Evolutionary logic and governance mechanisms of China's non-public hemodialysis centres (2009--2026): a mixed-methods policy analysis extending Kingdon's Multiple Streams Framework

This mixed-methods study analyzes the 2009–2026 evolution of China's non-public hemodialysis sector through a novel Regulation–Response–Feedback–Adjustment (RRFA) model, revealing how state-guided collaborative governance and iterative policy-market interactions have driven the industry's transition from experimental exploration to high-quality transformation.

Yong-gang WANG, Yong-kun XU, Bo JIANG, Hui-jun XIN, Yi-cheng MENG, Ying YANG, Xue-ting BAI, Jiu-sheng WANG2026-09-04
📄 medicine

Understanding ICU nurses’ pain management behaviours: A qualitative study guided by the COM-B model

This qualitative study of 21 ICU nurses in China utilizes the COM-B model to identify how capability, opportunity, and motivation factors interact to shape complex pain management behaviors, highlighting the need for context-specific interventions to address practice variations.

Hong zhu, Chuchu Zhang, Xiaoyan Gong, Xiangping Chen, Li Wang, Weilin Jiang, Qianqian Chen, Yiyu Zhuang2026-09-04
📄 medicine

Recognition and management of hidradenitis suppurativa in office-based gynecological practices in the Rhine-Main region of Germany: a cross-sectional survey

A cross-sectional survey of 142 gynecological practices in Germany's Rhine-Main region reveals that while most clinicians recognize hidradenitis suppurativa, they inconsistently apply guideline-recommended severity classifications and comprehensive management strategies, highlighting a critical need for targeted education and improved interdisciplinary care pathways.

Kristine Rothe, Anke König, Tanja Ickelsheimer, Julia-Tatjana Maul, Andreas Pinter2026-09-04
📄 medicine

The Effect of Implementing Clinical Alarm Nursing Intervention Program on Nurses' Knowledge and Practice in the Intensive Care Units at A Tertiary Hospital- A quasi-experimental study

This quasi-experimental study demonstrates that a structured, three-month Learning Management System (LMS) training program significantly improved the knowledge and practice of 82 ICU nurses regarding clinical alarm management, with notable enhancements in institutional requirements, alarm management, and related domains, thereby supporting the efficacy of digital educational interventions for patient safety.

Fatima Hirzallah, Jafer Abdallah, Abdallah Abdallah, Fadi Abedalhadi2026-09-04
📄 medicine

Barriers and enablers of research participation among medical students in Burundi: A cross-sectional study

Despite expressing strong interest in research, medical students in Burundi face significant barriers such as low confidence and a lack of mentors, resulting in limited direct participation that necessitates strengthened mentorship and structured support mechanisms to enhance their research engagement.

Yves Jacket Nsavyimana, Jerry Ikorineza, Fabrice Niyonkuru, Aime Bryan Igiraneza, Roberto Muheto, Axel Keza, Eric Mugabo (…)2026-09-04
📄 medicine

Development of a Narrative Nursing Competency Training Programme for Clinical Nurses: A Delphi Study

This study utilized a Delphi method and focus group discussions to develop and preliminarily validate a systematic, consensus-based narrative nursing competency training programme for clinical nurses in China, which was found to be feasible and well-structured despite the need for further empirical evaluation of its effectiveness.

junhua li, bowen xue, sui li, lanming zhu, xiang li, yaping feng2026-09-04