Cuestiones de Fisioterapia
type: channel
description: IMPORTANT NOTICE: Manuscript Submission and Editorial Contact Researchers and authors are invited to submit their articles through email. For submissions and all editorial inquiries, contact: cuestionesdefisioterapia.editor@gmail.com Communication email for Cuestiones de Fisioterapia is: editor@cuestionesdefisioterapia.com , So, we inform you to communicate through this given email only. Sending communication to any other email id will not be considered for enquiries or submissions. The journal CUESTIONES DE FISIOTERAPIA journal publisher is a organization that produces and distributes scientific journal focused on various aspects of medicine, healthcare, and life sciences. The journal CUESTIONES DE FISIOTERAPIA play a crucial role in disseminating research findings, reviews, and editorials to the medical community, academia, and industry professionals. The journal CUESTIONES DE FISIOTERAPIA - online journal with open access options - Manage the peer-review process to ensure manuscript quality and validity - Work with editors, reviewers, and authors to improve manuscript quality - Provide indexing and abstracting services to increase journal visibility - Maintain ethical standards and publication integrity - Offer reprints, permissions, and licensing services - Keep up with industry trends, technological advancements, and changing research landscapes The journal CUESTIONES DE FISIOTERAPIA specialize in specific Physician therapy or cover a broad range of topics, contributing to the advancement of social science knowledge. NOTE: Please be aware that Cuestiones de Fisioterapia does not guarantee indexing of any kind. Indexing is entirely at the discretion of the indexing authorities and not the publisher. Our responsibility as publishers is to maintain high standards of publication quality, but the ultimate decision on indexing lies with the indexing agencies. Additionally, the Article Processing Charges (APC) are a one-time fee for editing, reviewing, and publishing …
publisher: SOFIA
language: en
publication name: Cuestiones de Fisioterapia
issn: 1135-8599
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items: TENSILE PROPERTIES FOR 2 DIFFERENT ELASTOMERIC CHAINS - A COMPARATIVE STUDY
items: AWARENESS ON THE MANAGEMENT OF CHEMICAL BURNS IN DENTAL OPERATORY AMONG UNDERGRADUATE STUDENTS- - A QUESTIONNAIRE SURVEY
items: Relationship Between Coronary Plaque Morphology on Coronary CT Angiography and Invasive Functional Assessment in Stable Coronary Artery Disease
items: Instantaneous Wave-Free Ratio–Guided PCI Versus CABG for Distal Left Main Coronary Disease: A Contemporary Review
items: Modulation of Fibrosis After Ahmed Glaucoma Valve Implantation: Comparing Ologen and Anti-VEGF Therapy in Refractory Glaucoma
items: FABRICATION OF HEMOSTATIC WOUND DRESSING USING CHITOSAN-PRP COMPOSITE MEMBRANE
items: EVALUATION OF RESIN TAGS IN SEALANT WITH DIFFERENT ETCHANTS ON MANDIBULAR MOLARS - AN IN VITRO COMPARATIVE STUDY
items: Biosynthesis of Silver–Selenium Nanoparticles Using Sophorin and Their Anticandidal Activities
items: Prognostic Determinants in Acute Paracetamol Toxicity: Integrating Clinical Features and Biomarkers for Outcome Prediction
items: Effect of Educational Program on Nurses Performance Regarding Care of Critical Burn and Patient's Outcomes
items: Comprehensive Overview of Pain Management Modalities and Therapeutic Approaches
items: Quality of Life in Chronic Polyneuropathy: Drivers, Modifiers, and Targets for Intervention
items: STABILITY INDICATING RP-HPLC METHOD FOR THE SIMULTANEOUS ESTIMATION OF HYDROCHLOROTHIAZIDE AND FIMSARTAN IN SYNTHETIC MIXTURE
items: Association of TCF7L2 Gene Polymorphisms (rs7903146 and rs7901695) with Type 2 Diabetes Mellitus and Gestational Diabetes Mellitus in East Godavari, Andhra Pradesh, India
items: SELF-EFFICACY AND CAREER GUIDANCE SERVICES AS PREDICTORS OF STUDENTS’ ACADEMIC ADJUSTMENT IN NSUKKA EDUCATION ZONE, ENUGU STATE
items: MRI-Based Evaluation of Extremity Soft Tissue Tumors: Diagnostic Accuracy and Reliability of the Soft Tissue Tumor Reporting and Data System (ST-RADS)
items: Regional versus Systemic Analgesia in Otologic Surgery: Evaluating Greater Auricular Nerve Block Against Intravenous Nalbuphine
items: ANALYSIS OF THE CHANGES IN PERCENT BODY FAT DURING PREPARATORY PERIOD OF TRAINING AMONG HANDBALL PLAYERS
items: Anoctamin-1 (ANO1) and Paired Box Gene 8 (PAX8) as Emerging Immunohistochemical Biomarkers in Endocervical Adenocarcinoma
items: Preventive Measures regarding Fluid and Electrolyte Imbalance for Patients with Burn
items: Negative Pressure Wound Therapy Versus Conventional Management in Poststernotomy Mediastinitis: A Comprehensive Review of Clinical Outcomes
items: CULTURAL AND PSYCHOLOGICAL SCHOOL ENVIRONMENT AS CORRELATE OF ACADEMIC ACHIEVEMENT OF SECONDARY SCHOOL ENGLISH LANGUAGE STUDENTS IN ENUGU STATE
items: Revisiting Prevention of Maternal Hypotension After Spinal Anesthesia: The Potential Role of Preoperative Oral Midodrine
items: Distal Penile Hypospadias Repair: Revisiting Anterior Urethral Advancement Versus Tubularized Incised Plate Techniques
items: Immunogenetic Determinants of Therapeutic Resistance in Glanzmann Thrombasthenia
items: Hemophilic Arthropathy in Children: Impact of Inhibitors on Musculoskeletal Outcomes and Disease Progression
items: AI DRIVEN CLINICAL DECISION SUPPORT SYSTEMS: A RETRIEVAL AUGMENTED GENERATION APPROACH FOR HEALTHCARE DELIVERY AND EFFICIENCY

TENSILE PROPERTIES FOR 2 DIFFERENT ELASTOMERIC CHAINS - A COMPARATIVE STUDY
type: item
description: Elastomeric chains were introduced to the orthodontic profession in the 1960s, and are now an integral part of many practices. They are used for correcting rotations, consolidating spaces, and retracting canines. Force decay in these materials is significant and has been a clinical problem.
subject: Original
  topic: section
subject: RANA, e-chain, elasticity, tensile strength
  topic: keywords
creator: Nehal Safiya S, Dr. Naveen Kumar
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2022-04-20
publication date: 2022-04-20
starting page: 394
ending page: 405
doi: 10.48047/9q1ehk06

AWARENESS ON THE MANAGEMENT OF CHEMICAL BURNS IN DENTAL OPERATORY AMONG UNDERGRADUATE STUDENTS- - A QUESTIONNAIRE SURVEY
type: item
description: INTRODUCTION: Chemical burns are injuries to the skin, eyes, mouth, or internal organs caused by contact with a corrosive substance. Chemical burns may occur through direct contact on body surfaces, including skin and eyes, via inhalation, and/or by ingestion.The chemical agents used in day-to-day dental practice ranging from mouthwash, cavity varnish, or de-vitalizing pastes if used injudiciously can harm the integrity of the soft tissues in the oral cavity.
subject: Original
  topic: section
subject: awareness, Chemical burns, dental operatory, innovative method.
  topic: keywords
creator: Nehal Safiya S, Dhanraj M. Ganapathy ,L. Keerthi Sasanka
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2021-03-20
publication date: 2021-03-20
starting page: 291
ending page: 303
doi: 10.48047/7nnekn39

Relationship Between Coronary Plaque Morphology on Coronary CT Angiography and Invasive Functional Assessment in Stable Coronary Artery Disease
type: item
description: Background: Stable coronary artery disease (SCAD) remains a major contributor to cardiovascular morbidity and mortality worldwide despite substantial advances in diagnostic imaging and preventive cardiology. Accurate identification of hemodynamically significant coronary lesions is essential for guiding revascularization decisions and optimizing patient outcomes. Although invasive physiologicalassessment using fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) remains the reference standard
subject: Original
  topic: section
subject: Plaque Criteria, Multi-Slice Computed Tomography, Stable Coronary Artery Diseases
  topic: keywords
creator: Moataz Abdelmonem EL kot , Tarek Ahmed Naguib, Ahmed Abdelfatah El Zayat, Ramy Saeed Mahmoud Mabrouk
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7642
ending page: 7655
doi: 10.48047/qpk48x42

Instantaneous Wave-Free Ratio–Guided PCI Versus CABG for Distal Left Main Coronary Disease: A Contemporary Review
type: item
description: Background: Distal left main coronary artery disease (LMCAD) represents one of the most challenging and prognostically significant subsets of coronary artery disease because of the large myocardial territory at risk and the frequent association with complex bifurcation anatomy. Coronary artery bypass grafting (CABG) has historically been considered the standard revascularization strategy for significantunprotected left main disease, particularly in patients with complex coronary anatomy.
subject: Original
  topic: section
subject: Distal Left Main Disease; Instantaneous Wave-Free Ratio; Coronary Revascularization
  topic: keywords
creator: Ahmed Saed Eldamanhoury , Mohammed Hossam El-Din Elshaer Mohammed Abdelnaby Elsayed Mohammed Emara , Alaa Elsayed Salama
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7625
ending page: 7641
doi: 10.48047/rnqyx252

Modulation of Fibrosis After Ahmed Glaucoma Valve Implantation: Comparing Ologen and Anti-VEGF Therapy in Refractory Glaucoma
type: item
description: Background: Refractory glaucoma represents a major therapeutic challenge in ophthalmology because of the high risk of progressive optic neuropathy and failure of conventional filtration procedures. Ahmed glaucoma valve (AGV) implantation has become one of the most widely used surgical options for refractory glaucoma owing to its efficacy in lowering intraocular pressure
subject: Original
  topic: section
subject: Ahmed Glaucoma Valve Implantation, Ologen , Anti-VEGF Therapy ,Refractory Glaucoma
  topic: keywords
creator: Noran Mohamed Mansour Hafez, Mohamed Abdelkader Ibrahim, Salah Mohamed Al Sayed Al-Mosallamy, Ahmed Mahmoud Alyan
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7608
ending page: 7624
doi: 10.48047/16fzxc45

FABRICATION OF HEMOSTATIC WOUND DRESSING USING CHITOSAN-PRP COMPOSITE MEMBRANE
type: item
description: Chitosan, a versatile and biocompatible polysaccharide derived from chitin, and Platelet-Rich Plasma (PRP), a biological component teeming with growth factors and cytokines, converge in this groundbreaking composite membrane.
subject: Original
  topic: section
subject: Hemostat, wound, dressing, chitosan, PRP
  topic: keywords
creator: Nehal Safiya S, Bargavi Purushothaman, Reshma Poothakulath Krishnan
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-05-25
publication date: 2023-05-25
starting page: 900
ending page: 907
doi: 10.48047/1gc0z398

EVALUATION OF RESIN TAGS IN SEALANT WITH DIFFERENT ETCHANTS ON MANDIBULAR MOLARS - AN IN VITRO COMPARATIVE STUDY
type: item
description: INTRODUCTION :-Dental caries is a microbial disease of the calcified tissues of the teeth, characterized by demineralization of the inorganic substance and destruction of the organic substance of the tooth. The prevalence of caries is increasing in children due to their lifestyle and their habits
subject: Original
  topic: section
subject: Pit & fissure sealant, orthophosphoric acid, resin tag, etchant, SEM
  topic: keywords
creator: Nehal Safiya S, Dr. Pooja VR
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2023-11-20
publication date: 2023-11-20
starting page: 887
ending page: 899
doi: 10.48047/fnb99b86

Biosynthesis of Silver–Selenium Nanoparticles Using Sophorin and Their Anticandidal Activities
type: item
description: Introduction :-Fungal infections caused by Candida species are increasing due to antifungal drug resistance. Green synthesis of nanoparticles using plant-derived compounds has emerged as an eco-friendly approach for developing effectiveantimicrobial agents. Sophorin-mediated silver–selenium nanoparticles were synthesized and evaluated for their anticandidal activity.
subject: Original
  topic: section
subject: .
  topic: keywords
creator: Nehal Safiya S, L. Keerthi Sasanka
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2022-11-20
publication date: 2022-11-20
starting page: 382
ending page: 393
doi: 10.48047/b2n1hk90

Prognostic Determinants in Acute Paracetamol Toxicity: Integrating Clinical Features and Biomarkers for Outcome Prediction
type: item
description: Background: Acute paracetamol (acetaminophen) toxicity remains a leading cause of drug-induced acute liver failure worldwide. Although early administration of the antidote, N-acetylcysteine (NAC), markedly improves prognosis, the outcome prediction is still challenging in several practical scenarios: uncertain time of ingestion, delayed presentation, staggered or repeated supratherapeutic dosing, co-ingestions, and patients with evolving multiorgan dysfunction. Traditional risk assessment commonly relies on exposure h
subject: Original
  topic: section
subject: Paracetamol; acetaminophen; overdose; acute liver injury; acute liver failure; prognosis; risk stratification; biomarkers; INR; hypoglycemia; renal injury; N-acetylcysteine; clinical toxicology.
  topic: keywords
creator: Nada Mohamed Mohamed Abdelhady, Manar Ali Elsayed, Wafaa Ibrahim Soliman, Omaima Ibrahim Abdel Hamid
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7597
ending page: 7607
doi: 10.48047/dk92t507

Effect of Educational Program on Nurses Performance Regarding Care of Critical Burn and Patient's Outcomes
type: item
description: Background: Critical burns are potentially life threatening, disfiguring, and disabling, and requires immediate medical attention, the critical burns care nurse is responsible for treating and monitoring burn wounds. Patient outcomes are the results from care and treatments that critical burn patients have received in hospital. They focus on meeting the physical, social,
subject: Original
  topic: section
subject: Care of Critical Burn, Educational Program, Nurses Performance, and Patient's Outcomes.
  topic: keywords
creator: Neamat Rafat Ahmed Abd El-Aziz, Nadia Mohamed Taha, Fathia Attia Mohamed, Amal Hemed Hamad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7582
ending page: 7596
doi: 10.48047/fcmptb03

Comprehensive Overview of Pain Management Modalities and Therapeutic Approaches
type: item
description: Pain treatment involves informed consent, regulations for addictive drugs, and monitoring to prevent abuse. Clear communication on risks is essential
subject: Articles
  topic: section
subject: Food Additives; Preservatives, Artificial Colorants, Childhood, Flavor Enhancers, Non-Nutritive Sweeteners
  topic: keywords
creator: Anas Yaseen Hasan, Aya Sh. Metwally
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-05-20
publication date: 2026-05-20
starting page: 7582
ending page: 7588
doi: 10.48047/kr85hj44

Quality of Life in Chronic Polyneuropathy: Drivers, Modifiers, and Targets for Intervention
type: item
description: Background: Chronic polyneuropathy comprises a heterogeneous group of peripheral nerve disorders that collectively impose a substantial and long-lasting burden on affected individuals. While traditional neurological assessment emphasizes objective measures of impairment such as sensory loss, weakness, and electrophysiological abnormalities, these parameters
subject: Original
  topic: section
subject: Chronic polyneuropathy; Quality of life; Health-related quality of life; Neuropathic pain; Fatigue; Gait and balance; Autonomic dysfunction; Depression; Patient-reported outcomes
  topic: keywords
creator: Adham Mahmoud Mohamed Ismail, Wafaa Samir Mohammed Hassan , Eman Hamdi Ahmed Mohammed , Shimaa Ahmed Attia Elaidy
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7571
ending page: 7580
doi: 10.48047/3q1wnm31

Quality of Life in Chronic Polyneuropathy: Drivers, Modifiers, and Targets for Intervention
type: item
description: Background: Chronic polyneuropathy comprises a heterogeneous group of peripheral nerve disorders that collectively impose a substantial and long-lasting burden on affected individuals. While traditional neurological assessment emphasizes objective measures of impairment such as sensory loss, weakness, and electrophysiological abnormalities, these parameters incompletely capture the lived experience of patients. Increasing evidence indicates that quality of life represents a distinct and critically important outcome domain that is often only weakly correlated with neurological severity. Understanding the determinants of quality of life in chronic polyneuropathy is therefore essential for optimizing patient-centered care and guiding effective interventions.
subject: Articles
  topic: section
subject: Chronic polyneuropathy; Quality of life; Health-related quality of life; Neuropathic pain; Fatigue; Gait and balance; Autonomic dysfunction; Depression; Patient-reported outcomes
  topic: keywords
creator: Adham Mahmoud Mohamed Ismail, Wafaa Samir Mohammed Hassan , Eman Hamdi Ahmed Mohammed , Shimaa Ahmed Attia Elaidy
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-05-20
publication date: 2026-05-20
starting page: 7571
ending page: 7580
doi: 10.48047/q9vgmk67

STABILITY INDICATING RP-HPLC METHOD FOR THE SIMULTANEOUS ESTIMATION OF HYDROCHLOROTHIAZIDE AND FIMSARTAN IN SYNTHETIC MIXTURE
type: item
description: Stability indicating RP-HPLC method has been developed for the simultaneous estimation of HCTZ and FIM in combination. In RP-HPLC method, chromatographic separation was achieved using Hibar ODS C18 (250*4.6 mm, 5µm) as mobile phase at flow rate of 1.0 ml/min with detection
subject: Original
  topic: section
subject: Hydrochlorothaizide, Fimasartan, Validation, Stability indicating RP-HPLC.
  topic: keywords
creator: Ms. Nirma Chavda,Dr. Suresh Kumar
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-03-20
publication date: 2024-03-20
starting page: 5912
ending page: 5924
doi: 10.48047/ge9b8497

Association of TCF7L2 Gene Polymorphisms (rs7903146 and rs7901695) with Type 2 Diabetes Mellitus and Gestational Diabetes Mellitus in East Godavari, Andhra Pradesh, India
type: item
description: Type 2 Diabetes Mellitus (T2DM) and Gestational Diabetes Mellitus (GDM) are prevalent metabolic disorders with rising incidence in India. Variants in the TCF7L2 gene, particularly rs7903146 (C>T) and rs7901695 (T>C), have been linked to T2DM risk, but their role in GDM remains unclear in specific regional populations.
subject: Original
  topic: section
subject: Type 2 Diabetes Mellitus (T2DM), Gestational Diabetes Mellitus (GDM), TCF7L2 gene, rs7903146, rs7901695, Single Nucleotide Polymorphisms (SNPs), Genetic association
  topic: keywords
creator: Surekha Aravalamma Dasari, Hima Girisha Dasari, Sai Kandula, Sudhakar Godi
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7572
ending page: 7581
doi: 10.48047/p7a9t861

SELF-EFFICACY AND CAREER GUIDANCE SERVICES AS PREDICTORS OF STUDENTS’ ACADEMIC ADJUSTMENT IN NSUKKA EDUCATION ZONE, ENUGU STATE
type: item
description: This study examined self-efficacy and career guidance services as predictors of students’ academic adjustment in Nsukka Education Zone, Enugu State. Three research questions and three null hypotheses guided the study. The study adopted a correlational research design. The population of the study comprised 4,382 Senior Secondary School Two (SS2) students in public secondary schools in Nsukka Education Zone, Enugu State. Using Krejcie and Morgan (1970) sample size determination table, a sample size of 351 students were sampled through multi-stage sampling procedure. Data were collected using three structured questionnaire titled, Self-Efficacy Questionnaire (SEQ), Career Guidance Services Questionnaire (CGSQ) and Academic Adjustment Questionnaire (AAQ). The instrument was validated by three experts, while its reliability was established using Cronbach Alpha method. The internal consistency of the instruments yielded reliability coefficients of 0.83, 0.88 and 0.87 for SEQ, CGSQ, and AAQ respectively. Data collected were analyzed using regression analysis. The hypotheses were tested at 0.05 level of significance. The findings of the study revealed that self-efficacy significantly predicts students’ academic adjustment and accounts for 20.7% of the variation in students’ academic adjustment in Nsukka Education Zone, Enugu State. The study also revealed that career guidance services significantly predict students’ academic adjustment and account for 14.7% of the variation in students’ academic adjustment. Furthermore, the findings showed that self-efficacy and career guidance services jointly account for 28.9% of the variation in students’ academic adjustment and significantly predict students’ academic adjustment in the study area. Based on the findings, it was concluded that self-efficacy and career guidance services are important determinants of students’ academic adjustment. It was therefore recommended, among others, that school counsellors should organize programmes…
subject: Articles
  topic: section
subject: Self-Efficacy
  topic: keywords
subject: Career Guidance Services
  topic: keywords
subject: Academic Adjustment
  topic: keywords
subject: Secondary School Students.
  topic: keywords
creator: Daniel Izuchukwu Omatalu
creator: Offor Ukamaka Chinonso
creator: Chukwu Catherine Ekwutosi
creator: Agagwu Helen
creator: Nwafor Chinenye Chinwe
creator: Udenka Andrew Nonso
creator: Nduka Azubike
creator: Nnaedozie Oluchi Nnenta
creator: Okoro Pauline Ekwutosim
rights: Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2025-09-30
publication date: 2025-09-30
starting page: 6985
ending page: 6997
doi: 10.48047/118wy571

MRI-Based Evaluation of Extremity Soft Tissue Tumors: Diagnostic Accuracy and Reliability of the Soft Tissue Tumor Reporting and Data System (ST-RADS)
type: item
description: Background: Soft tissue tumors of the extremities represent a heterogeneous group of lesions with wide variability in biological behavior, ranging from benign masses to highly aggressive sarcomas. Despite their rarity, accounting for less than 1% of adult malignancies, their clinical significance lies in the diagnostic challenges
subject: Original
  topic: section
subject: MRI-Based, Extremity Soft Tissue Tumors, Diagnostic Accuracy and Reliability, Soft Tissue Tumor Reporting and Data System (ST-RADS)
  topic: keywords
creator: Shaimaa Khaled Idris Abdelrahman Ghoneim, Khalid Mohamed Shawky , Alaa Ahmed Mostafa El-Negehy , Sameh Saber Hegab , Mohamed Abd El-Khalek Basha
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7561
ending page: 7571
doi: 10.48047/9xy5xq12

Regional versus Systemic Analgesia in Otologic Surgery: Evaluating Greater Auricular Nerve Block Against Intravenous Nalbuphine
type: item
description: Effective perioperative analgesia in tympanomastoid surgeries remains a critical component of anesthesia practice, as inadequate pain control may lead to increased sympathetic responses, delayed recovery, and higher opioid consumption. Traditionally, systemic opioids such as Nalbuphine have been used due to their dual agonist–antagonist profile
subject: Original
  topic: section
subject: Regional, Systemic Analgesia, Otologic Surgery, Greater Auricular Nerve Block, Intravenous Nalbuphine
  topic: keywords
creator: Samia Mohamed Massoud, Amani Abdelazim Aly Ahmed, Amal Tarek Saad Mohamed, Aya Mohamed Mohamed Abbas
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7554
ending page: 7560
doi: 10.48047/8ncpd454

ANALYSIS OF THE CHANGES IN PERCENT BODY FAT DURING PREPARATORY PERIOD OF TRAINING AMONG HANDBALL PLAYERS
type: item
description: The aim of this study was to find out the changes in percent body fat during preparatory period of training among Handball Players. The present study was confined to randomly select 30 college Handball players from affiliated to Andhra Kesari University, Ongole, Andhra Pradesh State.
subject: Original
  topic: section
subject: Percent body fat, Preparatory period, Handball Players
  topic: keywords
creator: Dr. I. Devi Vara Prasad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7554
ending page: 7561
doi: 10.48047/4ycptx97

Anoctamin-1 (ANO1) and Paired Box Gene 8 (PAX8) as Emerging Immunohistochemical Biomarkers in Endocervical Adenocarcinoma
type: item
description: Background: Endocervical adenocarcinoma represents a heterogeneous group of malignancies with diverse etiopathogenetic mechanisms, morphological features, and clinical behaviors. Accurate diagnosis remains challenging, particularly in distinguishing primary endocervical adenocarcinoma from metastatic adenocarcinomas involving
subject: Original
  topic: section
subject: ANO1, PAX8, Endocervical Adenocarcinoma
  topic: keywords
creator: Raafat Awad Hegazy, Wafaa Mohamed El Gohary, Enas Mohamed Foad, Aya Reda Samy Abd El Samad
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7543
ending page: 7553
doi: 10.48047/1e9jv941

Preventive Measures regarding Fluid and Electrolyte Imbalance for Patients with Burn
type: item
description: Background: One of the most serious side effects of burn injuries is fluid and electrolyte imbalance. To lower morbidity and enhance patient outcomes, early prevention and appropriate care are crucial. The aim of The study was to assess preventive measures of fluid and electrolyte imbalance for patients with burn. Research
subject: Original
  topic: section
subject: Burn, Electrolyte disturbance, Fluid balance, Preventive measures
  topic: keywords
creator: Aya Mohamed Hassan, Nadia Mohamed Taha, Amal Hemed Hamad, and Fatma Mohamed Abdelhamed
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7530
ending page: 7542
doi: 10.48047/5npp1y98

Negative Pressure Wound Therapy Versus Conventional Management in Poststernotomy Mediastinitis: A Comprehensive Review of Clinical Outcomes
type: item
description: Background: Poststernotomy mediastinitis is a serious and potentially life-threatening complication following cardiac surgery, associated with high morbidity, mortality, prolonged hospitalization, and increased healthcare costs. Despite improvements in surgical techniques and perioperative management, deep sternal wound infection remains
subject: Original
  topic: section
subject: Negative Pressure Wound Therapy, Conventional Management, Poststernotomy Mediastinitis
  topic: keywords
creator: Yousry Mamdouh Mohamed Selim, Mostafa Abdelmohsen Elnewehy, Ahmed Mohamed Amin Bakry, Waleed Abd Allah Atya Hassan Sherif, Sameh El Sayed Saeed
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7518
ending page: 7529
doi: 10.48047/aserh279

CULTURAL AND PSYCHOLOGICAL SCHOOL ENVIRONMENT AS CORRELATE OF ACADEMIC ACHIEVEMENT OF SECONDARY SCHOOL ENGLISH LANGUAGE STUDENTS IN ENUGU STATE
type: item
description: The study examined the relationship between cultural and psychological school environment and academic achievement of secondary school English language students in Enugu state. Two research questions and two hypotheses guided the study. The study adopted a correlation design. The population of the study consists of 10,560 SSS 2 English language students of 2023/2024 academic session in all the 290 schools owned by the government in Enugu state. A sample of 385 SS2 students was used for the study. The sample was drawn using multistage approach. The instruments used for data collection are a questionnaire and an English language achievement test. The questionnaire is titled: “School environment Questionnaire (SEQ) while the achievement test is titled: English Language Achievement Test (ELAT). The instruments were validated by three specialists/experts. The reliabilities of the instruments were established using Cronbach alpha and Kuder Richardson (KR20) methods. Reliability indices of 0.83 and 0.88 were obtained for SEQ and ELAT respectively. Pearson Product Moment Correlation Coefficient was used to answer the research questions while Linear Regression analysis was used to test the null hypotheses at .05 level of significance. Result of the analysis revealed among others that; there is a high positive relationship between cultural school environment and academic achievement of secondary school English language students in Enugu state; there is a moderate positive relationship between Psychological school environment and academic achievement of secondary school English language students in Enugu state. Cultural environment and psychological environment are significant associated variables with academic achievement of secondary school English language students in Enugu State. Based on the findings, the researcher recommended that; teachers should understand the cultural and psychological school environment of their students and use appropriate instructional strategies …
subject: Articles
  topic: section
subject: School Environment
  topic: keywords
subject: Academic Achievement
  topic: keywords
subject: Cultural School Environment
  topic: keywords
subject: Psychological School Environment
  topic: keywords
subject: English Language
  topic: keywords
creator: Nneka Charity Emeasoba
creator: Chinwe Nene Nwatarali
creator: Juliet Nkechi VictorIgwe
creator: Blessing Onyeka Onyiorah
creator: Ezeabii, Ijeoma C
rights: Copyright (c) 2026 Dr. Nneka Charity Emeasoba, Dr. Chinwe Nene Nwatarali, Juliet Nkechi VictorIgwe, Dr. Blessing Onyeka Onyiorah (Author) https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-04-17
publication date: 2026-04-17
starting page: 80
ending page: 92
doi: 10.48047/gg2rpy35

Revisiting Prevention of Maternal Hypotension After Spinal Anesthesia: The Potential Role of Preoperative Oral Midodrine
type: item
description: Background: Spinal anesthesia is the preferred anesthetic technique for elective cesarean section due to its rapid onset, dense neural blockade, and favorable maternal and neonatal outcomes. However, maternal hypotension remains its most frequent and clinically significant complication, with reported incidence exceeding 70% in the absence of prophylactic measures
subject: Original
  topic: section
subject: Prevention, Maternal Hypotension, Spinal Anesthesia: Oral Midodrine
  topic: keywords
creator: Mohammed Al-Saeed Mohammed Al-Bakry, Mohammed Anwar Refky, Hossam Abd Elbaky Mohammed, Mohammed Saad Ahmed Mousa
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7508
ending page: 7517
doi: 10.48047/dd688w58

Distal Penile Hypospadias Repair: Revisiting Anterior Urethral Advancement Versus Tubularized Incised Plate Techniques
type: item
description: Background: Distal penile hypospadias represents the most common form of hypospadias, accounting for nearly 70% of cases, and continues to be a focal point of innovation in pediatric urologic and reconstructive surgery. Surgical correction aims to achieve a functionally straight penis with a terminally positioned meatus and satisfactory cosmetic appearance
subject: Original
  topic: section
subject: Distal Penile Hypospadias, Urethral Advancement ,Tubularized Incised Plate, Techniques
  topic: keywords
creator: Menna Ahmed Ibrahim WalyAllah, Mohammed Salah Awad, Mohamed Hamed Abdel-Raheem
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7498
ending page: 7507
doi: 10.48047/4bqhva58

Immunogenetic Determinants of Therapeutic Resistance in Glanzmann Thrombasthenia
type: item
description: Background: Glanzmann thrombasthenia (GT) is a rare inherited platelet function disorder characterized by qualitative or quantitative defects in the platelet glycoprotein IIb/IIIa (αIIbβ3) integrin, leading to impaired platelet aggregation and a lifelong bleeding tendency. Despite advances in supportive management, including platelet transfusions and recombinant activated factor VII (rFVIIa), a subset ofpatients demonstrates poor or diminishing therapeutic response
subject: Original
  topic: section
subject: Immunogenetic Determinants, Therapeutic Resistance, Glanzmann Thrombasthenia
  topic: keywords
creator: Tamer Hasan Hassan , Ola Ashraf Abdelmoamen , Sara Fouad Saadawy, Diana Hanna
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7483
ending page: 7497
doi: 10.48047/ymc6ny10

Hemophilic Arthropathy in Children: Impact of Inhibitors on Musculoskeletal Outcomes and Disease Progression
type: item
description: Background: Hemophilia is a hereditary X-linked bleeding disorder characterized by deficiency of coagulation factors VIII or IX, leading to recurrent bleeding episodes, particularly within joints and muscles. In pediatric patients, repeated hemarthroses represent the most significant clinical manifestation, initiating a cascade of pathological events that culminate in hemophilic arthropathy
subject: Original
  topic: section
subject:
  topic: keywords
  value: Hemophilia; Pediatric hemophilia; Hemophilic arthropathy; Musculoskeletal assessment; Hemarthrosis; Hemophilia Joint Health Score (HJHS); Ultrasound; Magnetic resonance imaging; Joint evaluation; Early detection
creator: Mervat ATfy Mohammed , Hossam Mostafa Kamal , Mohamed Atia Mortada , Moursy Mabrouk Abdallah Attia Moursy
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-11-20
publication date: 2024-11-20
starting page: 7469
ending page: 7482
doi: 10.48047/d8w23156

AI DRIVEN CLINICAL DECISION SUPPORT SYSTEMS: A RETRIEVAL AUGMENTED GENERATION APPROACH FOR HEALTHCARE DELIVERY AND EFFICIENCY
type: item
description: Clinical decision support systems have become increasingly important in modern healthcare, yet many language model-based approaches remain limited by unsupported responses, insufficient contextual grounding, and inadequate reliability for routine clinical use. To address these limitations, this study proposes a guideline-grounded retrieval-augmented generation framework that combines dense semantic retrieval with large-language model-based answer generation for healthcare question answering. The framework was developed using the epfl_llm/guidelines dataset, from which a large-scale retrieval corpus of 970,584 text chunks was constructed through systematic preprocessing, recursive text chunking, metadata preservation, embedding generation, and vector indexing in ChromaDB. Three embedding models, namely all-MiniLM-L6-v2, E5-base-v2, and BGE-base-v1.5, were evaluated alongside three language model configurations, including Phi-3 Mini, LLaMA 7B, and GPT-4o-mini, to assess retrieval effectiveness, answer relevance, contextual alignment, and inference efficiency across a manually curated set of 56 clinical questions. The results demonstrate that retrieval quality strongly influences final response quality, with BAAI/BGE-base-v1.5 achieving the highest retrieval performance across all ranking metrics. Furthermore, the RAG-based framework consistently outperformed direct language model generation across all lexical and semantic evaluation metrics, confirming the benefit of grounding generated responses in retrieved clinical evidence. A practical trade-off between response quality and inference latency was also observed across model configurations. These findings suggest that guideline-grounded retrieval-augmented generation is a promising, practically viable approach for developing more trustworthy, context-aware, and evidence-based clinical decision support systems.
subject: Articles
  topic: section
creator: Abdur Rahman Lindon
creator: Hafiz Aziz Khan
creator: Nusrat Yasmin Nadia
creator: Habibor Rahman Rabby
creator: Md Habibul Arif
rights: Copyright (c) 2024 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-12-30
publication date: 2024-12-30
starting page: 5172
ending page: 5189
doi: 10.48047/v90mq567

Distal Penile Hypospadias Repair: Revisiting Anterior Urethral Advancement Versus Tubularized Incised Plate Techniques
type: item
description: Background: Distal penile hypospadias represents the most common form of hypospadias, accounting for nearly 70% of cases, and continues to be a focal point of innovation in pediatric urologic and reconstructive surgery. Surgical correction aims to achieve a functionally straight penis with a terminally positioned meatus and satisfactory cosmetic appearance, while minimizing complications such as urethrocutaneous fistula, meatal stenosis, and glans dehiscence. Among the numerous operative techniques described, the tubularized incised plate (TIP) urethroplasty, popularized by Snodgrass, has emerged as the most widely adopted approach due to its reproducibility and favorable cosmetic outcomes. In contrast, anterior urethral advancement techniques, including variants of urethral mobilization and advancement without urethral plate incision, have been revisited as tissue-preserving alternatives that avoid urethral reconstruction and its associated morbidity
subject: Articles
  topic: section
subject: Distal Penile Hypospadias, Urethral Advancement ,Tubularized Incised Plate, Techniques
  topic: keywords
creator: Menna Ahmed Ibrahim WalyAllah, Mohammed Salah Awad, Mohamed Hamed Abdel-Raheem
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2026-04-30
publication date: 2026-04-30
starting page: 7498
ending page: 7507
doi: 10.48047/waxem956

Immunogenetic Determinants of Therapeutic Resistance in Glanzmann Thrombasthenia
type: item
description: Background: Glanzmann thrombasthenia (GT) is a rare inherited platelet function disorder characterized by qualitative or quantitative defects in the platelet glycoprotein IIb/IIIa (αIIbβ3) integrin, leading to impaired platelet aggregation and a lifelong bleeding tendency. Despite advances in supportive management, including platelet transfusions and recombinant activated factor VII (rFVIIa), a subset of patients demonstrates poor or diminishing therapeutic response. Increasing evidence suggests that immunogenetic factors play a pivotal role in modulating treatment outcomes in GT, particularly through mechanisms involving alloimmunization and immune-mediated platelet refractoriness.
subject: Articles
  topic: section
subject: Immunogenetic Determinants, Therapeutic Resistance, Glanzmann Thrombasthenia
  topic: keywords
creator: Tamer Hasan Hassan ,Ola Ashraf Abdelmoamen , Sara Fouad Saadawy, Diana Hanna
rights: Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
date: 2024-12-08
publication date: 2024-12-08
starting page: 7483
ending page: 7497
doi: 10.48047/mwpd7452