The suspicion of mediastinal alterations, always includes in its initial study, the chest radiography. The identification of mediastinal alterations in the X-ray is a priority. The knowledge of the mediastinal references and the identification of their alterations allows the suspicion of a pathology specific to each of the mediastinal spaces. When the semiology of mediastinal lesions, their location and the three most frequent pathologies are taken into account, the possibility of having an etiological diagnosis increases^[1]. This is a review article based on a detailed literature search, in which radiological mediastinal references are studied, with emphasis on the epidemiological data of each one of them.

MXenes are one of the most important classes of materials discussed worldwide by many researchers of diverse fields for diverse applications in recent years. It is a nanomaterial with a wide range of applications due to its multiple forms and structures with fascinating properties, for example, high surface area and porosity, biocompatibility, ease of fictionalizing with various active chemical moieties, benefit of high metallic conductivity, activated metallic hydroxide sites, and sensitivity to moisture. MXenes have great chances for potential applications in environmental issues, water purification, biological applications, and energy storage devices and sensors. MXenes show great selectivity towards the absorption of heavy metals and a good capability to reduce chemical and biological pollutants present in the water. The present review article critically analyzed advancements in water purification using the adsorption and reduction abilities of MXenes and their composites. The mechanism of various procedures, important challenges, and associated problems using MXene and their composites are discussed in detail. The future research directions can be extracted from this article efficiently and comprehensively. The energy storage issues of rechargeable lithium-ion batteries, batteries other than lithium-ion batteries, and electrochemical capacitors are also discussed in detail.

This study develops an optimisation model to facilitate inter-facility medicine sharing in response to anticipated medicine shortages. These facilities include hospitals and medical representatives. We adopt the concept of collective response proposed in our study literature. The optimisation model is developed according to the real-world practices of inter-facility medicine sharing. We utilise case studies of particular healthcare networks to demonstrate the efficacy of the developed model. The efficacy encompasses the model’s application to real-world case studies, as well as its validity and reliability within a specific system. The results show that the developed model is able to determine which facilities should share the requested amount of medicines; and to reduce total lead times by at least one day compared to the ones obtained in the current practice. The model can be used as a decision-support tool for healthcare practitioners when responding to shortages. The study presents the managerial implications of medicine sharing at the network level and supports the development of collaboration amongst facilities in response to medicine shortages.

Hospital performance possesses strategic significance in achieving an essential completive advantage for the public hospitals. This study aimed to examine the relationship between patient safety culture (PSC) and the performance of traditional Chinese medicine (TCM) public hospitals in Sichuan, China. To address the research purpose, this study analyses the hospital performance and Patient safety culture in traditional Chinese medicine public hospital in China. We examine the propose model by analyzing cross-sectional survey data from 194 clinical directors at 194 public traditional Chinese medicine hospitals using the Partial least squares structural equation model in Smart PLS 4.0. This study provides predictive evidence that PSC in unit management and management support can lead to better patient safety outcomes. The results revealed patient safety outcomes significantly and positively effects of patient safety related to unit management and management support on overall hospital performance (p-value: 0.000–0.003).

Technological advancements in genetic research are crucial for nations aiming to uplift their population’s quality of life and ensure a sustainable economy. Genomic information and biotechnology can enhance healthcare quality, outcomes, and affordability. The “P4 medicine approach”—predictive, preventive, personalized, and participatory—aligns with objectives like promoting long-term well-being, optimizing resources, and reducing environmental impacts, all vital for sustainable healthcare. This paper highlights the importance of adopting the P4 approach extensively. It emphasizes the need to enhance healthcare operations in real-time and integrate cutting-edge genomic technologies. Eco-friendly designs can significantly reduce the environmental impact of healthcare. Additionally, addressing health disparities is crucial for successful healthcare reforms.

Lean (also referred to as the Toyota Production System, TPS) is considered to be a radical alternative to the traditional method of mass production and batching principles for maximising operational efficiency, quality, speed and cost. Many hospitals inspired from lean manufacturing to develop their process. They had many improvements in their process. Hospitals reduced their patient waiting times, defects, wastes related to inventory, staff movement and patient transportation by implementing. This study utilizes scientometric and bibliometric tools to analyze visually the literature published in the field of medical lean manufacturing from 2009 to 2023. The relevant articles published from 2009 to 2023 were retrieved from the Web of Science Core Collection, VOSviewer and R software were used for bibliometric analysis and visualization. The number of publications related to the research has been increasing year by year before 2021, and then showed a downward trend, including 418 articles from 64 countries and regions, 743 institutions, 198 journals, and 1766 authors. The United States, Italy, and England are the main publishing countries in this research field. The journal “International Journal of Lean Six Sigma” published the most papers (n = 21) about lean manufacturing in medicine, the author with the most publications is Teeling SP, and the most influential author is Improta G. The top three keywords are “Healthcare”, “Quality improvement” and “Management”. This study provides a comprehensive bibliometric analysis of lean manufacturing in medicine, which can help researchers understand the current research hotspots in this field, explore potential research directions, and identify future development trends.