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Evidence-Based Medicine2026-09-18

Dietary Nursing for Diabetes Under North-South Dietary Differences in China: A Cross-Sectional Survey

Diabetes dietary care rarely fails inside the guideline; it fails between the guideline and the table. Southern patients build meals on refined rice, northern patients on wheat flour, and both patterns sit outside medical nutrition therapy targets in opposite directions, so one dietary plan cannot fit both. This article follows the evidence from dietary phenotype to instrument design and asks why adherence gaps persist after knowledge is controlled for.

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Evidence-Based Medicine2026-09-17

Multidisciplinary Treatment Advances, Prognostic Assessment and Research Outlook for Spinal Metastases

About 30 to 90 percent of patients dying of cancer harbour spinal metastases, and the resulting pain, neurological deficit and instability force decisions no single specialty can make alone. This article traces four steps: disease burden and multidisciplinary care, surgery versus radiotherapy, newer ablation options, and the scores setting treatment intensity. It explains why stereotactic radiotherapy and separation surgery redrew local control, and why legacy scores now under-predict survival.

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Evidence-Based Medicine2026-09-18

Multidisciplinary Quality Improvement for Fall Prevention in Cardiology Inpatients

Falls among cardiology inpatients are not general-medical risk simply scaled up. Arrhythmic collapse of cardiac output, orthostatic hypotension from diuretics and vasodilators, and bleeding amplified by anticoagulation form one interlocking chain, so a fall becomes the endpoint of haemodynamic instability rather than a slip in nursing routine. This article follows that chain from mechanism to tooling, and explains why a cardiology-specific score outperforms generic scales.

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Evidence-Based Medicine2026-09-16

Aging Psychology and Communication Strategies: An Evidence-Based Textbook Development Study

How do you talk to an older patient who says life has no meaning? Erikson's integrity-versus-despair crisis determines whether reassurance is accepted or read as a script; selective optimisation with compensation predicts that overloaded messages lose their factual core; socioemotional selectivity explains why positivity can hide depression. This article links those mechanisms to concrete communication parameters and to the staged choice between validation therapy and reality orientation.

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Evidence-Based Medicine2026-09-17

Surgical Principles and Research Advances in Spinal Tumours: A Review

Once confined to intralesional curettage and palliative decompression, spinal tumour surgery must now solve oncological margin, mechanical stability and neurological preservation at once. This article traces the core principles, primary and metastatic strategies, navigation, 3D printing and artificial intelligence, and the complications and controversies that remain. It explains why WBB zoning defines the resection plan and why three-column defects dictate reconstruction.

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Evidence-Based Medicine2026-09-16

Identifying Common Psychological Problems in Older Adults and Communicating Effectively: A Textbook Development Study Based on Five Years of Chinese-Language Literature

Late-life depression, anxiety, and dementia-related behavioural symptoms are often missed because the conversation never reaches them. Somatic complaints displace emotional ones and short consultations close the window early. Using five years of Chinese-language literature, this article asks why prevalence is high yet presentation atypical, how barriers interlock across patient, clinician, and system levels, and why a teaching text must bridge recognition and communication.

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