📄 medicine

Barriers and Facilitators to Implementing Shared Decision-Making in Critical Care: A Qualitative Study of Lebanese Health Service Delivery

This qualitative study of 20 critical care nurses in Beirut reveals that while heart failure patients face significant barriers to shared decision-making regarding life-or-death choices and discharge, nurses play a vital role in advocating for patients and facilitating collaborative care through improved communication and planning.

Dalyal Al-osaimi2026-07-14
📄 medicine

Short-Term PT-INR Dynamics in Refractory Protein-Losing Enteropathy: Dose- Dependent Effects of Albumin in a Time-Lagged Longitudinal Analysis

This longitudinal analysis of a single patient with refractory protein-losing enteropathy reveals that short-term PT-INR variability is primarily driven by prior coagulation status and serum albumin levels, with albumin infusions exerting a significant, dose-dependent interaction effect on anticoagulation stability.

Tomonori Kurimoto, Kenichi Kurosaki, Tohru Iwasa2026-07-14
📄 medicine

Impact of Physical and Smart Cognitive Games on Cognitive Performance in Older Adults: A Randomized Controlled Trial

This randomized controlled trial involving 60 Iranian older adults demonstrates that both physical and smart cognitive games significantly improve cognitive performance compared to usual care, with physical games showing superior benefits for memory and associative learning, while smart games excel in enhancing mental control and digit memory.

Feze Hajizadegan, Shadi Ghasemi, Zahra Aliakbarzadeh Arani2026-07-14
📄 medicine

A longitudinal study on differential impacts of the COVID-19 pandemic and normalized prevention and control on overweight and obese adolescents in China

This longitudinal study of over 120,000 Chinese adolescents reveals that the initial phase of the COVID-19 pandemic significantly increased BMI and overweight/obesity rates, particularly among girls, but these negative impacts began to diminish and reverse as prevention measures became normalized, highlighting the need for continued monitoring and targeted health interventions.

Yulituzeayi Maitituersun, Ran Su, Guan Yang, ALIMUJIANG· Yimiti·Taerken2026-07-14
📄 medicine

Chinese nursing students’ experiences of workplace violence in the clinical setting: a qualitative study

This qualitative phenomenological study of 16 Chinese nursing students reveals that workplace violence in clinical settings stems largely from students' inexperience and inadequate instructor supervision, leading to emotional distress and prompting coping strategies such as ignoring incidents or seeking peer support, thereby highlighting the need for improved instructor selection and targeted training in violence prevention and resilience.

Lanxia Pan, Xiuyun Wang, Longwei Zhang2026-07-14
📄 medicine

Angiographic Patterns of Supraclinoid ICA Blister-Like Aneurysms: Association with Lesion Instability and Natural History

This study demonstrates that distinct angiographic patterns of supraclinoid internal carotid artery blister-like aneurysms correlate with varying degrees of lesion instability and natural history, supporting the need for individualized surveillance and treatment strategies.

Emre Ozkara, Ozlem Aykac, Zehra Uysal Kocabas, Eray Horoz, Zakir Erat, Atilla Ozcan Ozdemir2026-07-14✓ Author reviewed
📄 medicine

Effectiveness of a telephone-based brief intervention delivered by nurses to reduce risky alcohol use among women in primary care in Brazil: a randomized controlled trial

This randomized controlled trial in Brazil demonstrates that a telephone-based brief intervention delivered by nurses effectively reduces risky alcohol use among women in primary care for up to six months, though the benefits may diminish over time without booster sessions.

ANA VITORIA CORREA LIMA, JESSICA LIMA DE OLIVEIRA PINHEIRO GAIA, DIVANE DE VARGAS2026-07-14
📄 medicine

Endocrine Complications and Iron Chelation Practices among Transfusion-Dependent Thalassaemia Patients

This cross-sectional study of 107 transfusion-dependent thalassaemia patients reveals a high prevalence of iron overload and endocrine abnormalities, particularly delayed puberty and altered LH and testosterone levels, though no statistically significant association was found between these hormonal disturbances and serum ferritin levels or iron chelation therapy adherence.

Al Amin Sabuj, Shahjada Selim, Mehnaj Ashraf, Md. Raiq Raihan Chowdhury, Muhammad Saiful Islam, Kishan Sarker, Hilary Ya (…)2026-07-14
📄 medicine

Sex- and Age- Specific Reference Ranges for CT-Derived Airway Parameters in Older Chinese Adults with Normal Lungs: A Multicenter Study

This multicenter study establishes sex- and age-specific reference ranges for CT-derived airway parameters in older Chinese adults with normal lungs, revealing that airway structure is primarily determined by sex, body size, and smoking status rather than age, thereby challenging the conventional assumption of progressive age-related airway thickening.

Lingyan Le, Zhehao Zhang, Zeqin Zhang, Lixin Ni, Haonan Zhao, Zhenhong Shao, Hongying Ma, Mingrui Song, Yuning Pan2026-07-14
📄 medicine

Hypoxia-Induced Senescence Drives Immunosuppression in NPC via the MIF-CD74 Axis, an Actionable Therapeutic Target

This study utilizes single-cell RNA sequencing and a computational framework to reveal that hypoxia-induced senescence in nasopharyngeal carcinoma drives immunosuppression via the MIF-CD74 axis, leading to the identification of a novel prognostic transcription factor signature and actionable therapeutic targets.

Taoyuan Xiao, Ying Zhang, Quan Li, Xianfang Chen, Fusen Peng2026-07-14