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Decision Pathway for Early Hospital Response to CBRNE Incidents
Ludovici GM1,2*, Tassi PA2, Cusimano L3, D’Agostino F3 and Malizia A1,2
Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) incidents remain among the most demanding challenges for acute care because they combine uncertain hazard characterization, contamination risk, and time-critical decisions under resource constraints. Recent hospital focused studies show persistent gaps in preparedness, particularly in staff training, personal protective equipment, decontamination capability, and
Uncovered self-expanding metal stent placement for unresectable malignant biliary obstruction: Hope or Hype?
Lalit Chandra K, Venkatesh Vaithiyam, Sanjeev Sachdeva, Ashok Dalal, Ujjwal Sonika, Ajay Kumar, Barjesh Chander S and Siddharth Srivastava*
Background: Biliary drainage is recommended for unresectable malignant Extrahepatic Biliary Obstruction (EHBO) to palliate jaundice, pruritus, and cholangitis, yet real-world data from India on uncovered Self-Expanding Metal Stents (SEMS) remain limited. Methods: This single-center retrospective analysis of prospectively collected data from GB Pant Hospital, New Delhi, evaluated stent patency and
Expanding the Phenotypic Spectrum of KCNT2-Related Encephalopathy: A Novel de Novo Stop-Gain Variant with Coffin–Siris–Like Features
Hari Prasath C* and P Anil Kumar
Pathogenic variants in KCNT2 have recently been recognized as a rare cause of Developmental and Epileptic Encephalopathy (DEE-57), characterized by early-onset refractory seizures and severe neurodevelopmental impairment, with only a limited number of cases reported worldwide. We describe a 7-month-old female infant, born to non-consanguineous parents, who presented with recurrent
The Assessment of Nutritional Status in Pediatrics: New Tools and Challenges. Review
Ignacio Díez López
Abstract Nutritional assessment in the pediatric population is a cornerstone of health monitoring, yet it faces unprecedented challenges. This review analyzes the transition from traditional anthropometry to advanced morphofunctional assessment. We evaluate the limitations of the Body Mass Index (BMI) and the emerging superiority of the Tri-ponderal Mass Index (TMI).
Safe Removal of a Tightly Impacted Metal Vessel from the Face and Head of a Toddler using a Handheld Metal Cutter in the Emergency Department – A Case Report
Khatri LK, Govani DR, Swamy KB, Mehta AR, Midha PK, Govani ND, Patel RR and Patel RV
Abstract Background: Facial entrapment in rigid metallic objects is rare in toddlers and may pose risks including airway compromise, soft‑tissue injury, and psychological distress. Removal becomes challenging when non‑invasive methods fail and specialized tools are unavailable. Case Report: A 3‑year‑old boy presented with a tightly impacted aluminum alloy vessel over
Delayed Diagnosis of Tuberculous Meningitis in an Elderly Male: A Case Report
Kelly Silnes1*, Elina Garg1, Lomash Sood1 and Rabinder Randhawa2
Abstract Background: Tuberculous Meningitis (TBM) remains a significant global health concern, with over 164,000 cases occurring annually worldwide with a mortality rate of approximately 48%. Despite England’s status as a country with low rates of tuberculosis, recent data shows a concerning 11% increase in TB notifications in 2023, with extrapulmonary
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DOAJ’s 2026–2028 Strategy: A Turning Point for Open Access Publishing
Open Access has scaled rapidly. Now DOAJ is signalling that governance, trust, and accountability must scale with it. When I read the Directory of Open
Recent Articles
Upcoming Articles
Open Access Journals
Futuristic, Scientific, Minimal
- Built for Tomorrow
- Intelligence at the Core
- Science Without Walls
- Publishing, Reinvented
AI-Forward, Founder Vision Tone
- Where Ideas Become Insight
- AI that Elevates Science
- Human Expertise × Machine Precision
- The Zenith Standard
Bold, Distinctive & Memorable
- Beyond Traditional Publishing
- Powered by Meaningful Intelligence
- Research that Moves Healthcare Forward
- Innovation Starts Here
Announcements
Happy to Announce Our Editorial Team
Dr. Attaleb Mohammed, PhD
- Morocco
Dr. Nimra Khan
- UK
Dr. Chengxin Luan
- China
Dr. Tian Ruan, MD
- China
Dr. Caroline Rodrigues Thomes
- Brazil
Dr. Fausto D’Agostino, PhD
- Italy