13473 papers
This 2024 cross-sectional study of 355 nurses in Dessie City, Ethiopia, found a high prevalence (66.5%) of moral distress significantly associated with factors such as perceived powerlessness, lack of confidence in decision-making, inadequate staffing, weak organizational support, and job dissatisfaction.
This retrospective study of Indian UN peacekeepers in South Sudan demonstrates that consistent adherence to Mefloquine prophylaxis significantly reduces malaria risk, though fear of and experience with neuropsychiatric adverse effects remain the primary barriers to compliance.
This qualitative study identifies and classifies ethical tensions experienced by healthcare professionals in supportive cancer care into non-dilemmatic and dilemmatic categories, proposing the PTR (Patient, Temporality, Resources) model as a diagnostic tool to address the recurrent causes of these tensions and improve access to care.
This study demonstrates that while CMS's digital quality measures for severe hypoglycemia and hyperglycemia can be executed efficiently and consistently on real hospital data using FHIR, the resulting metrics are highly sensitive to underlying data quality issues—such as missing units and admission status classifications—rather than execution engine errors, underscoring the critical need for data readiness testing before mandatory FHIR reporting.
This study demonstrates that longitudinal functional epigenomic liquid biopsy using H3K4me2 cfChIP-seq can identify dynamic regulatory reprogramming and emerging therapeutic vulnerabilities, such as ERBB2 activation, in metastatic urothelial carcinoma patients developing resistance to enfortumab vedotin–pembrolizumab, thereby offering a strategy to guide subsequent biomarker-driven treatment.
This study developed and applied a consensus-based seven-domain scoring framework to assess six hospitals in eastern Uganda, revealing that only one facility met the readiness threshold for routine obstetric fistula surgery due primarily to critical deficits in specialized human resources, equipment, and clinical protocols.
This paper reports a rare case of hidradenocarcinoma of the ear in a 75-year-old male, emphasizing the diagnostic challenge of distinguishing this aggressive malignancy from benign lesions and highlighting the importance of histopathological confirmation and long-term surveillance following surgical excision.
This paper reports a rare case of an 18-year-old Malay male diagnosed with extrapulmonary tuberculosis manifesting as an infected preauricular sinus, which was successfully treated with anti-tuberculosis medication followed by surgical excision.
This multicenter Italian study demonstrates that the NT-proBNP/hs-cTnT ratio stratifies patients with wild-type transthyretin cardiac amyloidosis into three distinct hemodynamic phenotypes characterized by progressively worsening cardiac function, renal impairment, and atrial fibrillation prevalence.
This prospective controlled pilot study suggests that six weeks of structured simulation-based training improves clinical ultrasound performance and technical skills in obstetric residents compared to routine training, although the results did not reach statistical significance due to the small sample size.