Latest research

  1. Article

    Arthroplasty centers logistically separated from general orthopedic departments were associated with a more successful implementation of a standardized day-case setup

    • Christian Bredgaard Jensen
    • Oddrún Danielsen
    • Kirill Gromov

    Background Day-case hip and knee arthroplasty can reduce bed occupancy and improve cost-effectiveness, which is crucial for addressing the increasing demand among hip and knee osteoarthritis patients. This study investigated how different...

    29 October 2026 Open access
  2. Article

    Fragmented leadership and regulatory dualism in Nigeria’s laboratory medicine practice and their implications for ISO 15189:2022 implementation

    • Bruno Basil
    • Blessing Kenechi Myke-Mbata
    • Izuchukwu Nnachi Mba

    The ISO 15189:2022 standard establishes a global benchmark for medical laboratory quality and competence, emphasizing clear organizational responsibility, authority, accountability, and patient-centered risk management. In Nigeria, however,...

    29 October 2026 Open access
  3. Article

    A Clause-Level Coverage Catalog of the Indian National Construction Project Management Standard by CPWD & FIDIC General Conditions of Contract

    Indian construction projects exhibit chronic time and cost overruns, with procedural infrastructure absences identified as one diagnostic factor. India has its own national construction project management standard, the twelve-part IS 15883 series...

    26 October 2026
  4. Article

    Waived semen analyzers in clinical practice: analytical standards, regulatory categorization, and the limits of automated assessment

    • David H. McCulloh
    • Jeff Boldt
    • Carol L. Curchoe

    Background The award of Clinical Laboratory Improvement Amendment (CLIA)-waived status to automated semen analyzers, including the LensHooke (Bonraybio) and SQA-iOw (Medical Electronic Systems), has prompted substantive debate regarding analytic...

    26 October 2026
  5. Article

    The rules of actionable reporting

    • Paul McCoubrie

    Abstract Actionable reporting in radiology is a concept that has gained traction since its inception in 2014. The notion is simple: radiology reports should easily translate into clinical action, particularly when the study is abnormal. This is not...

    25 October 2026 Open access
  6. Article

    Cross-national transportability and local adaptation of a parsimonious 30-day mortality prediction model for ICU patients with bloodstream infection: from MIMIC-IV to a Chinese tertiary hospital

    • Yinting Zhu
    • Wen Song
    • Qiongfang Zhu

    Background Timely risk stratification of ICU patients with bloodstream infection (BSI) is essential for guiding clinical decisions. Prediction models developed in Western populations may not generalize to other regions because healthcare systems,...

    24 October 2026 Open access
  7. Article

    Counting the uncounted: suicide mortality and the limits of death registration in West Africa, a cross-sectional surveillance capacity analysis

    • Promise U. Okereke
    • Barakat K. Alaaya
    • Oladayo D. Akinwale

    Background Suicide prevention policy in West Africa is based on mortality statistics whose empirical basis has not been quantified. Civil registration and vital statistics (CRVS) systems are the standard source of suicide mortality data worldwide,...

    24 October 2026 Open access
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