This cross-sectional study uses electronic health record data to assess the association of documented postpartum in-hospital breastfeeding care with exclusive breastfeeding and to test differences in care by feeding intention and demographic and clinical characteristics.
This case-crossover study examines the association of exposure to fine particulate matter (PM2.5) from wildfires with emergency department (ED) visits for migraine and other primary headache syndromes in 2 provinces in Canada.
This cohort study estimates the rate of automated external defibrillator (AED) use prior to emergency medical service (EMS) arrival in pediatric out-of-hospital cardiac arrest (OHCA) and assesses whether AED use is associated with neurological outcomes in this population.
This survey study describes the intentions, behaviors, and preferences regarding maternal vaccination during pregnancy or respiratory syncytial virus antibody shot administration for infants after birth among pregnant women and parents of children younger than 5 years.
This cohort study examines whether the Tigray War was associated with HIV diagnosis, linkage to care, and provision of antiretroviral therapy in Mekelle City, Ethiopia.
This comparative effectiveness study evaluates the association between glucagon-like peptide-1 receptor agonist (GLP-1 RA) initiation and 3-year fragility fracture risk among adults with type 2 diabetes.
SCAN Health Plan CEO Sachin Jain and Ascendiun CEO Paul Markovich argued that healthcare leaders share responsibility for the industry’s shortcomings and called for greater accountability and systemic reform. The post Who Broke the Healthcare System? appeared first on MedCity News .
“Musculoskeletal Injections in Primary Care: A Practical Guide to Safe and Simple Techniques,” by Ted Parks, MD, is a 96-page portable guide designed for use in the exam room.
AI-focused Formation Bio has found a new chief scientist with extensive experience in biotech, Big Pharma and academia. Michael Ehlers, M.D., Ph.D., is joining the 2025 Fierce 15 honoree as chief scientific officer and head of R&D.
Objectives Consent processes for adolescent vaccination in Canada have been identified as potential barriers to vaccine uptake. This study examined current practices for obtaining consent for adolescent vaccines across Canadian jurisdictions to better understand the variation, complexity and opportunities for improvement. Design An environmental scan. Setting The study was conducted between 25 March 2025 and 27 February 2026, across public health systems in Canada. Data were drawn from relevant written documents and from key informants (KIs) representing public health, vaccine administration…
Introduction Liver resection is a technically demanding procedure due to the complex and highly variable anatomy of the liver. Conventional preoperative planning relies on two-dimensional imaging, which requires mental reconstruction of three-dimensional anatomical relationships and may increase cognitive workload and intraoperative decision-making time. Patient-specific three-dimensional (3D) liver mapping has been shown to improve anatomical understanding and planning accuracy; however its impact on intraoperative efficiency has not been adequately investigated. Methods and analysis This is…
Introduction Up to 40% of women with breast cancer will require a mastectomy, and breast reconstruction is routinely offered to restore symmetry. While not all women want, or are suitable for, breast reconstruction, many want to be symmetrical following breast cancer surgery. For these women, contralateral mastectomy for ‘flat symmetry’ is a good alternative, but in the UK, access to contralateral ‘symmetrising’ mastectomy (CSM) is highly variable. Many women seeking this option describe feeling frustrated, unsupported and having to ‘fight’ to access care, while clinicians express concerns…
Background Short peripheral catheters (SPCs) are the most frequently used vascular access devices in neonates but are associated with complications and limited dwell times. International guidelines recommend using the smallest appropriate catheter gauge, yet 24G SPCs remain the default choice in many neonatal intensive care units (NICUs) while 26G SPCs are less often used because of concerns about flow adequacy particularly during blood transfusions. Evidence directly comparing these gauges in neonates is limited. Methods We conducted a retrospective cohort study in a tertiary NICU and…
Objective To determine the pattern and determinants of exclusive breastfeeding (EBF) among infants visiting a tertiary care hospital of underprivileged population. Design Cross-sectional study. Study The Department of Pediatrics, Pakistan Railway Hospital, Rawalpindi, Pakistan. Methods A total of 385 infants, born with gestational age between 34–42 weeks, were analysed. Data collection was performed through a structured questionnaire designed to capture relevant demographic and clinical details. The pattern of breastfeeding (BF), including EBF, formula milk, animal milk (cow/buffalo/goat milk)…
Introduction Methamphetamine use has risen dramatically in North America, contributing to increased emergency department (ED) visits marked by agitation and complex psychosocial needs. While clinical consequences of methamphetamine use are well-documented, there is a paucity of research capturing the perspectives of people who use methamphetamines (PWUM) when accessing emergency care. This study aimed to explore the lived experiences of PWUM in ED settings to identify service gaps and inform patient-centered care strategies. Methods A qualitative exploratory study was conducted using…
Objectives To examine the associations between violence perpetrated by patients and caregivers and nursing work interruptions, burnout and quality of nursing care, and to explore potential mediation pathways among these variables. Design A descriptive, cross-sectional correlational study using path analysis. Setting A tertiary university-affiliated hospital in South Korea. Participants A convenience sample of 200 registered nurses providing direct patient care, recruited between September and October 2024. Main outcome measures Patient and caregiver violence, nursing work interruptions…
Objectives To explore implementation processes, acceptability among participants who engaged with virtual reality (VR), recruitment feasibility and exploratory within-session effects of recreational VR programmes in a closed psychiatric intensive care unit (PICU). The qualitative component focused on patients’ and professionals’ experiences of VR use, while quantitative measures examined inclusion rates, exploratory within-session changes in emotional distress and descriptive trends in coercive events, pro re nata (PRN) medication, perceived stress and length of hospitalisation during a year…
Introduction Patients frequently face excessive waiting times for specialist medical outpatient clinics, negatively impacting health outcomes. Previous research has demonstrated that translation of demand-driven strategies incorporated within the evidence-based Specific Timely Assessment and Triage (STAT) model effectively reduces wait times in a range of healthcare settings. We outline the study protocol for a hybrid type II implementation effectiveness study, using a stepped wedge cluster randomised controlled trial design, to evaluate whether the STAT model can be implemented in specialist…
Introduction Women with postpartum pre-diabetes following gestational diabetes mellitus (GDM) are at particularly high risk of developing type 2 diabetes mellitus (T2DM). While the implementation of effective lifestyle interventions in the early postpartum period is often difficult and has in general limited efficacy to prevent T2DM after GDM, effective preventive strategies, including medical therapies, are needed in this population. The ‘semaglutide for the treatment of pre-diabetes in women with prior gestational diabetes (SERENA) study’ aims to evaluate the efficacy, safety and…
Introduction The Dutch guideline ‘Gallstone disease’ (2016) recommends performing a cholecystectomy within 72 hours following endoscopic retrograde cholangiopancreatography (ERCP) for common bile duct stones to prevent recurrent gallstone-related complications. Nevertheless, guideline adherence in the Netherlands remains low, and the time between ERCP and cholecystectomy often exceeds 72 hours. Our project aims to improve national guideline adherence to 85% or higher and thereby reduce the incidence of gallstone-related complications after ERCP. Methods and analysis The Dutch-TIMELINESS is a…
Introduction Parosmia is a qualitative olfactory disorder characterised by a distorted perception of smell, often experienced as unpleasant or offensive. Although parosmia has multiple aetiologies, post-viral parosmia has become increasingly prevalent following the COVID-19 pandemic. In the UK, post-viral parosmia affects an estimated 637 836 individuals and has a substantial negative impact on quality of life and mood. At present, there is no licensed or standardised treatment for this condition. Gabapentin, a gamma-aminobutyric acid analogue with neuromodulatory properties, has shown…