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Preventive Measures regarding Fluid and Electrolyte Imbalance for Patients with Burn
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
Burn, Electrolyte disturbance, Fluid balance, Preventive measures
Aya Mohamed Hassan, Nadia Mohamed Taha, Amal Hemed Hamad, and Fatma Mohamed Abdelhamed
Copyright (c) 2026 https://creativecommons.org/licenses/by/4.0/deed.en
Negative Pressure Wound Therapy Versus Conventional Management in Poststernotomy Mediastinitis: A Comprehensive Review of Clinical Outcomes
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
Negative Pressure Wound Therapy, Conventional Management, Poststernotomy Mediastinitis
Yousry Mamdouh Mohamed Selim, Mostafa Abdelmohsen Elnewehy, Ahmed Mohamed Amin Bakry, Waleed Abd Allah Atya Hassan Sherif, Sameh El Sayed Saeed
CULTURAL AND PSYCHOLOGICAL SCHOOL ENVIRONMENT AS CORRELATE OF ACADEMIC ACHIEVEMENT OF SECONDARY SCHOOL ENGLISH LANGUAGE STUDENTS IN ENUGU STATE
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 that will correspond with the school environment for effective teaching and learning to take place in English Language classrooms.
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
Revisiting Prevention of Maternal Hypotension After Spinal Anesthesia: The Potential Role of Preoperative Oral Midodrine
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
Prevention, Maternal Hypotension, Spinal Anesthesia: Oral Midodrine
Mohammed Al-Saeed Mohammed Al-Bakry, Mohammed Anwar Refky, Hossam Abd Elbaky Mohammed, Mohammed Saad Ahmed Mousa
Distal Penile Hypospadias Repair: Revisiting Anterior Urethral Advancement Versus Tubularized Incised Plate Techniques
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
Distal Penile Hypospadias, Urethral Advancement ,Tubularized Incised Plate, Techniques
Menna Ahmed Ibrahim WalyAllah, Mohammed Salah Awad, Mohamed Hamed Abdel-Raheem
Immunogenetic Determinants of Therapeutic Resistance in Glanzmann Thrombasthenia
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
Immunogenetic Determinants, Therapeutic Resistance, Glanzmann Thrombasthenia
Tamer Hasan Hassan , Ola Ashraf Abdelmoamen , Sara Fouad Saadawy, Diana Hanna
Hemophilic Arthropathy in Children: Impact of Inhibitors on Musculoskeletal Outcomes and Disease Progression
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
Hemophilia; Pediatric hemophilia; Hemophilic arthropathy; Musculoskeletal assessment; Hemarthrosis; Hemophilia Joint Health Score (HJHS); Ultrasound; Magnetic resonance imaging; Joint evaluation; Early detection
Mervat ATfy Mohammed , Hossam Mostafa Kamal , Mohamed Atia Mortada , Moursy Mabrouk Abdallah Attia Moursy
AI DRIVEN CLINICAL DECISION SUPPORT SYSTEMS: A RETRIEVAL AUGMENTED GENERATION APPROACH FOR HEALTHCARE DELIVERY AND EFFICIENCY
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.
Copyright (c) 2024 https://creativecommons.org/licenses/by/4.0/deed.en
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
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.
Tamer Hasan Hassan ,Ola Ashraf Abdelmoamen , Sara Fouad Saadawy, Diana Hanna
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. This chronic musculoskeletal complication is a major source of morbidity, resulting in progressive joint destruction, pain, functional impairment, and reduced quality of life. Despite advances in prophylactic therapies, musculoskeletal complications remain prevalent, particularly in children with severe disease phenotypes. The development of inhibitors—neutralizing antibodies against replacement clotting factors—has emerged as one of the most challenging complications in hemophilia management. Inhibitors compromise the efficacy of standard replacement therapy, leading to poorly controlled bleeding episodes and increased frequency of hemarthrosis. Consequently, children with inhibitors are at a significantly higher risk of accelerated joint damage and early onset of arthropathy. The interaction between inhibitor status and musculoskeletal outcomes is complex,involving increased inflammatory responses, persistent synovitis, and impaired hemostatic control, all of which contribute to disease progression. The pathophysiology of hemophilic arthropathy involves recurrent intra-articular bleeding, iron deposition, synovial hypertrophy, and chronic inflammation, ultimately resulting in cartilage degradation and osteochondral damage. These processes are particularly detrimental in children, as growing joints are more susceptible to irreversible structural changes. Additionally, various genetic, environmental, and treatment-related factors—including timing of prophylaxis, treatment adherence, and physical activity—modulate disease severity and progression. This review aims to provide a comprehensive overview of hemophilic arthropathy in pediatric patients, with a particular focus on the impact of inhibitors on musculoskeletal outcomes and disease progression. It explores the underlying mechanisms, clinical manifestations, and contributing risk factors, while highlighting the critical importance of early diagnosis, individualized management strategies, and emerging therapeutic approaches. Understanding the interplay between inhibitors and joint disease is essential for optimizing long-term musculoskeletal health and improving functional outcomes in children with hemophilia.
Premenopausal Women`s Knowledge Regarding Dysfunctional Uterine Bleeding
Background: Dysfunctional uterine bleeding (DUB) is irregular menstrual bleeding that is not caused by a serious condition such as disease or pregnancy complications it is usually caused by changing hormone levels which may affect ovulation. DUB is the most common problem faced by gynecologist today with many treatment options with existing and new ones being developed
Premenopausal Women, Knowledge, Dysfunctional Uterine Bleeding
Asmaa kamal Abdullah moustafa ,Amina Saad Gonied ,Amany Abdo Hussein and Noha Elsayed Mahmoud Radwan
Right Anterolateral Thoracotomy Compared with Median Sternotomy in Atrial Septal Defect Closure: Surgical Outcomes
Background: Atrial septal defect (ASD) is one of the most common congenital heart diseases requiring surgical intervention when transcatheter closure is not feasible. Median sternotomy has traditionally been the standard surgical approach, offering excellent exposure and reliable outcomes. However, advances in cardiothoracic surgical techniques have led to the development of minimally invasive approaches, particularly right anterolateral thoracotomy, which aim to reduce surgical trauma while preserving the safety and efficacy ofconventional methods
Right Anterolateral Thoracotomy, Median Sternotomy, Atrial Septal Defect Closure
Ahmed Samy Fadaly, Elsayed Soliman Salem Metwally , Ahmed Mohamed Deebis, Ali Mohamed Refat, Waleed Abd Allah Atya Hassan Sherif
Predictors of Knowledge Regarding Artificial Intelligence Among Medical Sector Student
Background: The adoption of artificial intelligence (AI) in healthcare is expanding rapidly, impacting clinical decision-making, diagnostics, and patient care. For medical sector students, possessing a strong understanding of AI is crucial to ensure they can effectively engage with these technologies in their future professional roles. Exploring the determinants of AI knowledge among students provides valuableinsight for designing educational interventions that enhance readiness and competence
predictors, knowledge, Artificial intelligence, medical sector students
Safaa Ahmed Hassan I, Salwa Abbas Ali , Asmaa Ali Elsayed
SCHOOL SAFETY MANAGEMENT AND TEACHERS’ ORGANIZATIONAL COMMITMENT AS PREDICTORS OF TEACHERS’ JOB PERFORMANCE IN EBONYI STATE, NIGERIA
This study investigated school safety management and teachers’ organizational commitment as predictors of teachers’ job performance in Ebonyi State, Nigeria. Three research questions and three null hypotheses guided the study. The study adopted a correlational research design. The population of the study comprised all public secondary school teachers in Ebonyi State, while a representative sample size of 294 public secondary school teachers was sampled using a multi-stage sampling procedure. Data were collected using three researchers’-developed instruments titled School Safety Management Questionnaire (SSMQ), Teachers’ Organizational Commitment Questionnaire (TOCQ), and Teachers’ Job Performance Questionnaire (TJPQ). The instruments were validated by experts in Educational Management and Measurement and Evaluation, while their reliability was established using Cronbach’s alpha coefficient, which yielded acceptable reliability indices of 0.92, 0.89 and 0.91 for SSMQ, TOCQ and TJPQ respectively. Data collected were analyzed using regression analysis. Specifically, linear regression was used to answer research questions 1-2, while research question 3 was answered using multiple regression. Hypotheses 1-2 were tested using regression t-test, while regression ANOVA was used to test hypotheses 3. The findings of the study revealed that school safety management accounted for 7.3% of the variation in teachers’ job performance and significantly predicted teachers’ job performance in Ebonyi State. Teachers’ organizational commitment accounted for 16.9% of the variation in teachers’ job performance and also significantly predicted teachers’ job performance. Furthermore, school safety management and teachers’ organizational commitment jointly accounted for 20.4% of the variation in teachers’ job performance, indicating a significant joint predictive power on teachers’ job performance. The study concluded that both school safety management and teachers’ organizational commitment are significant predictors of teachers’ job performance, with organizational commitment having a stronger influence. It was therefore recommended among others that government and school administrators should improve school safety measures, provide supportive leadership, enhance teachers’ welfare, and promote professional development opportunities to strengthen teachers’ commitment and improve job performance.
Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0/deed.en
Relation Between Perceived Social Support and Recovery Among Patients with Schizophrenia
Background: Background: Schizophrenia is a debilitating chronic and intense neurobiological disorder that impacts all major life areas with a significant risk of impaired perceived social support which negatively affects the level of recovery. Aim of the study was to examine the relation between perceived social support and recovery among patients with schizophrenia
Schizophrenia, Perceived Social Support, Recovery
EFFICACY OF TWO MODES OF METACOGNITIVE TEACHING STRATEGIES ON JUNIOR SECONDARY SCHOOL STUDENTS’ INTEREST IN CULTURAL AND CREATIVE ARTS IN BENUE STATE, NIGERIA
The study investigated the effect of two metacognitive teaching strategies on Junior Secondary School Students’ interest in Cultural and Creative Arts (CCA) in Benue State, North-Central Nigeria. Guided by three research questions and corresponding null hypotheses, the study adopted a quasi-experimental design. The population comprised all Junior Secondary School II students offering CCA in Benue State, from which a sample was drawn using a multi-stage sampling procedure. Two intact classes were assigned to experimental group I (Think-Aloud Problem-Solving Strategy), and experimental group II (Elaboration Strategy). An instrument titled “Cultural and Creative Arts Interest Inventory (CCAII) designed by the researchers was used for data collection. The instrument was validated by three experts in Department of Art Education (Cultural and Creative Arts), Department of Science Education (Measurement and Evaluation) and Department of Educational Foundations (Educational Psychology), and its reliability established using Cronbach’s Alpha, yielding a coefficient of 0.76. Data were analyzed using mean and standard deviation to answer the research questions, while Analysis of Covariance (ANCOVA) was employed to test the hypotheses at a 0.05 level of significance. Findings of the study revealed that think-aloud problem solving strategy significantly enhancing students’ interest more than both the Elaboration Strategy. However, gender did not significantly influence students’ interest in CCA, and the interaction effect of teaching strategies and gender on students’ interest was not significant. It was recommended, among others, that Cultural and Creative Arts teachers should adopt metacognitive teaching strategies such as the think-aloud problem solving strategy to enhance students’ sustained interest and participation in the subject. Teacher education programs and curriculum planners should also emphasize the integration of metacognitive pedagogy in art instruction to promote creativity, inclusiveness, and reflective learning among students.
Metacognitive Strategies, Think-aloud problem-solving, Elaboration strategy, Cultural and Creative Arts, Students’ interest, Gender
Clinical Outcomes and Postoperative Complications of VATS Versus Open Thoracotomy for Pulmonary Decortication
Background: Decortication is a surgical procedure aimed at removing fibrous pleural peel to allow lung re-expansion in chronic pleural diseases such as empyema, hemothorax, and pleural thickening. Over time, surgical approaches have evolved from traditional open thoracotomy to minimally invasive Video-Assisted Thoracoscopic Surgery
Chronic lung conditions, Open Thoracotomy, decortication, Video Assisted Thoracoscopic Surgery (VATS)
Mahmoud Ayman Mohamed Soliman, Mohamed Atef Ghali, Alaa Ibrahim Abdelhafeez, El-Rady Kamal Emam, Amr El Sayed Tawfek
Albumin-to-Fibrinogen Ratio as a Prognostic Biomarker in Acute Myeloid Leukemia
Background: Acute myeloid leukemia (AML) is a heterogeneous hematologic malignancy characterized by clonal proliferation of myeloid precursor cells in the bone marrow and peripheral blood. Despite advances in molecular diagnostics and risk-adapted therapies, prognosis remains poor for many patients, and accurate prognostic biomarkers are essential for improving risk stratification
Albumin-to-fibrinogen ratio; Acute myeloid leukemia; Prognostic biomarker
Ayman Fathy Abd El-halim , Heba Allah Elsayed Mohammed Abdelrhman , Ahmed Mahmoud Ali Ahmed , Elsayed Anany Metwally Mohamed
Inflammation and Tumor Biomarkers in HCC Immunotherapy: The Emerging Role of C Reactive Protein and Alpha-Fetoprotein
Background: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality worldwide, with its incidence driven by chronic liver diseases such as viral hepatitis, alcohol-related liver disease, and metabolic dysfunction–associated steatotic liver disease. Despite advances in surveillance and treatment
HCC Immunotherapy, C-Reactive Protein ,Alpha-Fetoprotein
Mohamed Ali Elsayed , Mostafa H. Elshamy , Amrallah A. Mohamed , Mostafa Moaz , Ahmed M. El-Gebaly
Relation Between Toxic Leadership and Job Embeddedness
Background: Toxic leadership is defined as a persistent pattern of destructive behaviors by individuals in leadership positions that harm employees and organizational culture. In nursing, toxic leadership undermines morale, increases stress and contributes to burnout and turnover. It is characterized by manipulation, hostility and disregard for staff well-being, making it a serious threat to healthcarequality and safety. Aim: To investigate relation between nurse managers’ toxic leadership behaviors and Job Embeddedness.
toxic Leadership, Nurses, Job Embeddedness
Raghda Salah Mohamed , Magda AtiyaGaber , Aisha El-Sayed El-Araby
Predicting Preeclampsia Using Placental Laterality and Uterine Artery Doppler: Clinical Performance, Pitfalls, and Imaging Protocols
Background: Preeclampsia remains one of the leading causes of maternal and perinatal morbidity and mortality worldwide. Despite advances in obstetric care, early identification of women at increased risk continues to be a clinical challenge. Abnormal placentation and impaired spiral artery remodeling are central to the pathophysiology of preeclampsia and precede the onset of clinical disease by several weeks to months. Ultrasound-based markers, particularly placental location and uterine artery D
Placental Location, Uterine Artery Doppler, Preeclampsia
Helmy Ismail Abdel Samad Ismail, Taghreed Mohamad Azmy, Ahmed Abdel Aziz El Sammak, Ghada Adel AbdelHamid
Enhancing Innovative Work Behavior in Nursing through Job Crafting Intervention
Background: Job crafting facilitates change and motivates the nurse to find novel means of performing tasks. Changing work methods increases involvement and decreases the level of boredom, frustration, and emotional exhaustion. Therefore, nurses feel enthusiastic and energetic, which stimulates the creation of new ideas
Job Crafting; Innovative Work Behavior; Intervention Program; Nurses.
Ehsan Hussein Gouda Magda Atiya Gaber Wafaa Mostafa Mohamed Aisha El-Sayed El Araby
Acute Non-Cardioembolic Ischemic Stroke: Dual Antiplatelets for Secondary Prevention— Clinical Profile, Timing, Duration, and Outcomes
Background: Acute non-cardioembolic ischemic stroke accounts for the majority of ischemic cerebrovascular events and remains a leading cause of long-term disability and mortality worldwide. Early secondary prevention is crucial, as the risk of recurrent ischemic stroke is highest within the first days to weeks following the index event. Antiplatelet therapy represents the cornerstone of management in this population, with aspirin traditionally used as monotherapy. However, residual early recurrence despite single antiplatelet therapy has prompted growing interest in dual antiplatelet therapy (DAPT) as a more effective short-term strategy to reduce ischemic events.
Acute Non-Cardioembolic Ischemic Stroke, Dual Antiplatelets, Outcomes
El-Hady Ahmed Abd El Gawwad, Tarek Abd El Rahman Goda, Eman Mohamed Elewa Mansour, Nancy Abd El Hameed Mohamed
Cemented Bipolar Hemiarthroplasty for Femoral Neck Fractures in Osteoporotic Patients: An Evidence-Based Review
Background: Femoral neck fractures represent a major public health concern, particularly among elderly osteoporotic patients, due to their association with high morbidity, mortality, and socioeconomic burden. Osteoporosis compromises bone quality, making internal fixation unreliable and increasing the risk of fixation failure, nonunion, and reoperation. Arthroplasty has therefore become the preferred treatment for displaced femoral neck fractures in this population. Among available options
Cemented Bipolar Hemiarthroplasty, Femoral Neck Fractures, Osteoporotic Patients
Adel Mohamed Salama, Mohamed Khaled Saleh, Gehad Mohamed Ali, Ahmed Hassan Zaki
Elafin in Behçet’s Disease: A Potential Link Between Neutrophilic Inflammation and Disease Activity
Background: Behçet’s disease (BD) is a chronic, relapsing, multisystem inflammatory disorder characterized by recurrent mucocutaneous lesions, ocular involvement, and systemic manifestations, with a pathogenesis strongly driven by neutrophilic hyperactivity and dysregulated innate immunity. Among emerging biomarkers reflecting neutrophil-mediated inflammation,
Elafin ,Behçet’s Disease, Disease Activity
Lobna. I. Kotb , Dalia Samir Fahmi, Leila Elsayed Ismail , Marwa Abo Shabana
Efficacy of Probiotics in Reducing Pathological Jaundice in Neonates: An Evidence-Based Review of Preterm and Full-Term Neonates
Background: Neonatal jaundice is one of the most common clinical conditions encountered in both preterm and full-term Neonates, with pathological hyperbilirubinemia posing significant risks for bilirubin-induced neurologic dysfunction, including acute bilirubin encephalopathy and kernicterus
Probiotics , Pathological Jaundice ,Neonates: Preterm, Full-Term Neonates
Abdelrazek Elsheikh , Maha Abdelaziz Nouh , Amira Raafat , Samaa Mohammed Abdel Moneim JCDR
Closed Reduction of Nasal Fractures: Outcomes, Pitfalls, and Contemporary Controversies
Background: Nasal fractures represent the most common type of facial fracture, accounting for a substantial proportion of emergency and outpatient otolaryngologic and plastic surgery consultations. Despite their frequency, optimal management remains a subject of ongoing debate, particularly regarding the role and effectiveness of closed reduction.
Closed Reduction, Nasal Fractures, Controversies
Fady Ghaly Shafik, Mohamed Ali Mostafa Nasr , Hisham Abo-alez Ibrahim
Coronal and Sagittal Plane Malalignment in Anterior Cruciate Ligament Deficiency: Clinical Implications, and Surgical Strategies
Background: Anterior cruciate ligament (ACL) deficiency is a complex pathological condition that extends beyond isolated ligament disruption, involving significant alterations in knee biomechanics influenced by both coronal and sagittal plane malalignment. Increasing evidence suggests that factors such as varus deformity and increased posterior tibial slope (PTS) play a pivotal role in the pathogenesis of ACL injury, persistence of instability, and failure of reconstruction. Despite advances in surgical techniques, failure rates followingACL reconstruction (ACLR) remain notable, highlighting the importance of addressing underlying osseous malalignment.
Coronal,Sagittal Plane Malalignment, Anterior Cruciate Ligament Deficiency
Eslam Nagy Hadhoud , Khalid Mohamed Hassan, Mohamed AbdAlla M. Abdelsalam, Mohamed Attia Abdelmoeti
Contemporary Management of Giant Cell Tumor of the Distal Femur: Role of Extended Curettage and Bone Cement Reconstruction
Background: Giant cell tumor of bone (GCTB) is a locally aggressive, osteolytic neoplasm that typically affects skeletally mature individuals, with a predilection for the epimetaphyseal region of long bones. The distal femur represents one of the most commonly involved sites and poses unique challenges due to its proximity to the knee joint, high functional demands, and risk of local recurrence. Historically, wide resection was advocated to minimize recurrence; however, this approach often compromises joint integrity and functionaloutcomes. Advances in surgical techniques and local adjuvant therapies have led to a paradigm shift toward limb- and joint-preserving strategies.
Giant Cell Tumor, Distal Femur, Extended Curettage and Bone Cement Reconstruction
Omar Mohamed Abdel-Wahab Kelany , Reda Hussein El-Kady , Shreef Ehab Mohamed Sedky Rohoma, Mohamed Hassan Abd ellatief