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Latest medical news · page 89

The latest headlines across every section, pulled from official and open-access sources.

MHRA (UK) · Jul 9, 2026

Research: Use of UK plasma for the manufacture of five further plasma derived medicinal products and vCJD risk

The Medicines and Healthcare products Regulatory Agency (MHRA) published a review of the safety of albumins manufactured from UK-sourced plasma with respect to variant Creutzfeldt-Jakob disease (vCJD) risk in August 2023. A further review of the safety of five additional plasma derived medicinal products (Fibrinogen, Prothrombin Complex Concentrates (PCCs), C1 Esterase Inhibitor, Factor X and Protein C) manufactured from UK-sourced plasma with respect to vCJD risk has now been completed, with the results published in July 2026.

BMJ Open · Jul 9, 2026

Indicated interventions for undergraduate university students experiencing anxiety and depression in low-income and middle-income countries (LMICs): a scoping review protocol

Introduction Depression and anxiety are significantly elevated among undergraduate university students worldwide. Despite this, treatment rates among this population remain low. To address this gap, there is a need for not only the provision of treatment options but also for relevant scalable prevention interventions. Such programmes have become more common in high-income countries but remain limited in low-income and middle-income countries (LMICs). This scoping review will identify and map key components, delivery and assessment methods and reported outcomes of indicated prevention…

BMJ Open · Jul 9, 2026

Work stressors associated with mental health, well-being and intention to leave among ambulance staff in England: an explanatory mixed-methods study

Background and aim(s) Ambulance staff have the highest sickness absence, burnout and turnover intentions in the National Health Service, with work-related stress and anxiety identified as key drivers. Although multiple occupational stressors have been reported, it remains unclear which have the greatest impact. This study examined which work stressors are most strongly associated with mental health, well-being and intention to leave; whether these associations are explained by stress appraisals and mental rest; and which staff are most vulnerable to adverse outcomes. Methods A mixed-methods…

BMJ Open · Jul 9, 2026

Efficacy and safety of haemostatic agents for patients receiving antiplatelet therapy before coronary artery bypass grafting: a protocol for a systematic review and network meta-analysis of randomised controlled trials

Introduction Most patients undergoing coronary artery bypass grafting (CABG) receive preoperative antiplatelet therapy to reduce ischaemic events but this increases perioperative bleeding and transfusion risk. Tranexamic acid, aminocaproic acid, aprotinin and desmopressin are commonly employed to reduce such risk; however, robust direct head-to-head comparative evidence remains limited in this specific population. Therefore, we will conduct a network meta-analysis (NMA) of randomised controlled trials (RCTs) to compare their relative efficacy and safety. Methods and analysis We will…

BMJ Open · Jul 9, 2026

Association between insufficient balloon dilatation during endoscopic papillary balloon dilatation and post-ERCP pancreatitis in patients with choledocholithiasis: a multicentre retrospective study in China

Objectives To determine whether insufficient balloon dilatation during endoscopic papillary balloon dilatation (EPBD) is associated with postendoscopic retrograde cholangiopancreatography pancreatitis (PEP) and prolonged hospitalisation and to identify clinical and anatomical factors related to insufficient dilatation. Design Multicentre retrospective cohort study with propensity score matching analysis. Setting Three tertiary referral hospitals in China: Union Hospital of Tongji Medical College of Huazhong University of Science and Technology, the Gastroenterology and Endoscopy Center of the…

BMJ Open · Jul 9, 2026

Association of wearable device-based perioperative physical activity with recovery outcomes in patients undergoing lung cancer surgery: a systematic review and meta-analysis protocol

Introduction Lung cancer surgery is a cornerstone of curative treatment for resectable disease, but postoperative recovery is often prolonged and may be complicated by impaired pulmonary function, reduced physical activity, symptom burden and delayed functional restoration. Wearable devices may support perioperative physical activity through objective monitoring and activity promotion; however, existing evidence remains fragmented and has not been synthesised in a focused review. This protocol describes a systematic review and meta-analysis to evaluate the association of wearable device-based…

BMJ Open · Jul 9, 2026

Effects of a fasting-mimicking diet on long-term prognosis in patients with colorectal cancer undergoing radical resection: protocol for a multicentre, prospective, randomised controlled trial

Introduction Given the metabolic vulnerability of colorectal cancer (CRC) cells, periodic fasting-mimicking diets (FMDs) have emerged as a promising dietary strategy for improving clinical outcomes. Although preclinical studies have suggested that FMDs may suppress tumour growth and early-phase clinical trials have demonstrated their safety and feasibility, evidence regarding their effects on long-term survival outcomes in CRC remains limited because of certain constraints in patient cohorts and study designs. Method and analysis This multicentre, prospective, randomised controlled trial will…

BMJ Open · Jul 9, 2026

Effect of preconception care on under-five childrens nutritional status: a follow-up study of a randomised controlled trial in a North Maharashtra district, India

Background Child undernutrition has remained a major public health problem. Preconception care is evident to improve pregnancy outcomes. However, the role of preconception care services in long-term child health outcomes is unknown. Objective To compare the nutritional status of preschool children born to women who received preconception care with children born to women who did not receive preconception care. Design This was an analytical cross-sectional study conducted 2 years after the end of the preconception care services provided. Settings Rural area in Nashik district, including two…

BMJ Open · Jul 9, 2026

Oliceridine compared with sufentanil in multimodal analgesia after renal transplantation: protocol for a single-centre, randomised, double-blind, positive-controlled trial

Introduction Most patients undergoing renal transplantation experience moderate to severe postoperative pain, which may induce physiological stress, exacerbate preexisting complications and impair functional recovery of the transplanted kidney. Although opioids are commonly used for postoperative analgesia, they are associated with various opioid-related adverse events (ORAEs). Oliceridine, a novel G protein-biased ligand μ-opioid receptor agonist, has been shown to provide effective analgesia while reducing the incidence of ORAEs without adversely affecting renal function. Therefore…

BMJ Open · Jul 9, 2026

BEnefit of HYpnosis on Pain during stitches in an Emergency Room: a study protocol using a randomised controlled trial - the BE-HYPER protocol

Introduction Wounds are one of the most common causes of emergency department visits. Their care often involves stitches, a potentially painful and stressful procedure. Pain and stress management is usually based on local anaesthesia, which is not always optimal. Medical hypnosis may offer a non-pharmacological alternative. Heart rate variability is a pain-free, easy-to-use and objective biomarker of stress. This study aims to assess the benefit of hypnosis on stress and pain during stitching using a randomised controlled trial. Methods and analysis This is a single-centre, randomised…

BMJ Open · Jul 9, 2026

Determinants of cervical screening in Ghana: a systematic review

Background Cervical cancer remains a leading cause of morbidity and mortality among women in Ghana, yet screening coverage is extremely low and organised national programmes are limited. Although several studies have examined determinants of screening, no comprehensive synthesis has summarised the evidence to guide effective policy and intervention design. Objective To synthesise existing evidence on determinants of cervical screening in Ghana and identify opportunities to strengthen national screening strategies. Design This is a systematic review conducted following Aromataris and Pearson’s…

BMJ Open · Jul 9, 2026

Effectiveness of ergonomic interventions in the 21st century: a protocol for an umbrella review of systematic reviews

Introduction Work-related musculoskeletal disorders (WMSDs) remain a global challenge despite technological advancements and evolving workplace practices. Ergonomic interventions—including workplace redesign, equipment modification, training and organisational strategies—have been increasingly adopted to address these challenges. However, systematic reviews assessing their effectiveness have yielded heterogeneous and sometimes contradictory findings. This protocol outlines a methodology for an umbrella review of systematic reviews aimed at synthesising high-quality evidence on ergonomic…

BMJ Open · Jul 9, 2026

Nursing managers experiences of delegation strategies and practices: a qualitative content analysis in Tehran, Iran

Objective Delegation is a key nursing management skill that enhances staff empowerment, team performance and quality of care. In complex healthcare environments, effective delegation requires structured managerial strategies that balance responsibility with staff empowerment. This study aimed to explore nursing managers’ experiences of delegation strategies and practices in clinical settings. Design A qualitative study using a conventional content analysis approach. Data were collected between 2024 and 2025 through semistructured, in-depth interviews and analysed concurrently using an…

BMJ Open · Jul 9, 2026

Impact of geographical location on ICU outcomes in adults: a scoping review

Objectives Rural populations experience poorer health outcomes than urban counterparts globally. Limited studies have examined the impact of geographical location—specifically travel distance/time and rurality—on intensive care unit (ICU) outcomes. This scoping review aimed to map literature on geographical location and ICU outcomes to better inform policy and improve ICU access in underserved communities. Design Scoping review. Data sources MEDLINE, CINAHL and Embase were searched through to 8 May 2025. Grey literature was identified through ProQuest Dissertations and Theses Global, including…

BMJ Open · Jul 9, 2026

Quality of maternal and newborn care, perinatal mental health and the emotional birth experience of women: findings of the IMAgiNE EURO study in Belgium

Objective This study explored the quality of maternal and newborn care (QMNC) in Belgium, focusing on women’s experience with care and their mental health (MH). Design We conducted a cross-sectional survey using the WHO-based IMAgiNE EURO questionnaire, updated with MH items. Setting All women who gave birth in a health facility in Belgium were included. Participants Data were collected from 621 women who gave birth between March 2022 and January 2025. Primary and secondary outcome measures Descriptive statistics summarised QMNC and MH outcomes, while logistic regression examined factors…

BMJ Open · Jul 9, 2026

Guided group reflection versus SNAPPS in enhancing clinical reasoning in final-year MBBS students at a public-sector teaching hospital in Pakistan: a quasi-experimental study

Objectives (1) To compare the effectiveness of guided group reflection (GGR) versus SNAPPS (Summarise history and physical examination, Narrow differentials, Analyse the differentials, Probe the preceptor, Plan of patient management, Self-directed learning), as a teaching intervention in improving clinical reasoning (CR) skills of final-year MBBS (Bachelor of Medicine, Bachelor of Surgery) students. (2) To determine which teaching intervention is more effective in improving specific components of CR (data acquisition, problem presentation, hypothesis generation, illness script comparison and…

BMJ Open · Jul 9, 2026

Infection prevention and control measures for Ebola and Marburg disease: a series of rapid reviews

Objectives An evidence synthesis informed the 2023 WHO infection prevention and control (IPC) guideline for Ebola disease (EBOD) and Marburg disease (MARD). Design A series of rapid reviews addressed 14 key questions (KQs) related to IPC measures for EBOD and MARD across three themes: (1) transmission/exposure, (2) personal protective equipment (PPE) and (3) decontamination/disinfection. Data sources Databases (Embase, Cochrane Database of Systematic Reviews, CENTRAL, Global Index Medicus) were searched from inception to May 2024, in addition to searches in MEDLINE and bio/medRxiv servers…

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