Management of intercostal artery pseudoaneurysm following posterior pedicle screw insertion: illustrative case.

Background: Pedicle screw insertion in posterior spinal surgery can cause vascular injuries, including rare intercostal artery pseudoaneurysms, which are typically discovered incidentally during reimaging. Onyx embolization is an effective treatment for small artery pseudoaneurysms.

Observations: A 36-year-old man who had initially presented with back pain that remained unresponsive to nonsteroidal anti-inflammatory drugs was diagnosed with a T7-8 sarcomatous lesion confirmed by magnetic resonance imaging and biopsy.

A Cascade of Abscess, Fasciitis, and Obstruction: Rare Presentation of Perforated Appendicitis.

Fasciitis and abdominal abscess, followed by bowel obstruction could be the first manifestation of a silent perforated appendicitis. So, clinicians should evaluate the patient's complete clinical picture to prevent misdiagnoses and delays in care.

Effect of -induced gastric cancer on gastrointestinal microbiota: a narrative review.

() infection is a typical microbial agent that interferes with the complex mechanisms of gastric homeostasis by disrupting the balance between the host gastric microbiota and mucosa-related factors, ultimately leading to inflammatory changes, dysbiosis, and gastric cancer (GC). We searched this field on the basis of PubMed, Google Scholar, Web of Science, and Scopus databases. Most studies show that inhibits the colonization of other bacteria, resulting in a less variety of bacteria in the gastrointestinal (GI) tract.

The Impact of Audience Response System in Changing Students' Attitudes Towards Lectures During Training Courses; A Before-After Study.

Background And Aims: The primary teaching approach known as "traditional lecture" has drawbacks, including being dull and reducing student participation, which has made students feel negatively about it. It seems that by implementing certain changes, active learning techniques like the "Audience Response System" could alter students' perceptions of lectures. The purpose of this study is to find out how employing "ARS" throughout a course has affected nursing students' perceptions of traditional lectures.

Efficacy of Cevimeline on Xerostomia in Sjögren's Syndrome Patients: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Background: Xerostomia, or dry mouth, is a common and debilitating symptom in patients with Sjögren's syndrome, affecting their quality of life. Although Cevimeline, a muscarinic agonist, has been investigated as a potential treatment, its efficacy and optimal dosage remain uncertain. This study aims to assess the effectiveness of Cevimeline in relieving xerostomia in patients with Sjögren's syndrome by a meta-analysis of randomized clinical trials (RCT).

Evaluation of Emerging Antimicrobials Resistance in Nosocomial Infections Caused by : The Comparison Results of Observed Cases and Compartmental Model.

In recent years, the global rise of antibiotic-resistant () has become a significant threat to public health. This study aimed to identify and track outbreaks of antibiotic resistance, specifically among the antibiotics used to treat nosocomial infections. This hospital-based study utilized data from a nosocomial infection surveillance system to investigate reported cases of antibiotic resistance.

Improving reproductive outcomes in frozen embryo transfer over fresh embryo transfer in women with endometrioma: A historical cohort study.

Background: Endometrioma, a common manifestation of endometriosis, often indicates the severity of the disease. In vitro fertilization and embryo transfer (ET) are key therapeutic strategies for infertility associated with endometriosis. However, the optimal type of ET (frozen or fresh) and its impact on pregnancy success rates remain debated, with limited studies available.

Psychometric Properties of the Persian Version of PID5BF + M in Iranian Drug Users.

Background: This study aimed to adapt and evaluate the psychometric properties of the PID5BF + M as a brief measure for assessing DSM-5 and ICD-11 personality disorder traits in Iranian drug users. The sample consisted of 380 participants, including both clinical (28.68%) and nonclinical (71.

Early effects of LT3 + LT4 combination therapy on quality of life in hypothyroid patients: a randomized, double-blind, parallel-group comparison trial.

Background: This study aimed to evaluate the impact of combined levothyroxine (LT4) and triiodothyronine (LT3) therapy on quality of life in patients with primary hypothyroidism.

Methods: In a randomized, double-blind, parallel-group trial, 151 Iranian patients diagnosed with primary hypothyroidism between 2020 and 2021 were enrolled. One group received LT4 alone (n = 80), while the other received LT4 and LT3 (n = 71) for a minimum of six months.

A dynamic co-expression approach reveals Gins2 as a potential upstream modulator of HNSCC metastasis.

Head and neck squamous cell carcinoma (HNSCC) is an aggressive cancer that is notably associated with a high risk of lymph node metastasis, a major cause of cancer mortality. Current therapeutic options remain limited to surgery supplemented by radio- or chemotherapy; however, these interventions often result in high-grade toxicities. Distant metastasis significantly contributed to the poor prognosis and decreased survival rates.

Prioritizing implementation solutions for the urban family physician policy in Iran: a multi-criteria decision-making study.

Background: Family physician program is one of the effective reforms of the health system in Iran, but despite the implementation of this program in rural areas and the passage of ten years since its implementation in two provinces of Fars and Mazandaran, its implementation has faced problems. The aim of this study is to identify and prioritize implementation solutions related to the challenges of the family physician program in Iran.

Methods: This is a qualitative study using semi-structured interviews with 22 snowball-sampled experts and managers of basic health insurers to extract problems and executive solutions through coding and data analysis using Atlas Ti software and content analysis in the first stage.

Evaluation of nutritional, anthropometric, and psychological outcomes in different metabolic and bariatric surgery techniques: a follow up study.

Background: Metabolic and bariatric surgery (MBS) is a suitable solution for the treatment of morbid obesity. Investigating an MBS method that has the best outcomes has always been the main concern of physicians. The current study aimed to compare nutritional, anthropometric, and psychological complications of individuals undergoing various MBS Techniques.

The relationship between intrinsic capacity and functional ability in older adults.

Introduction: Intrinsic Capacity in integrated geriatric care emphasizes the importance of a thorough functional assessment. Monitoring the intrinsic capacity of older individuals provides standardized and reliable information to prevent early disability. This study assessed the relationship between intrinsic capacity and functional ability in older adults.

Colistin antibacterial activity, clinical effectiveness, and mechanisms of intrinsic and acquired resistance.

Following a period of disuse owing to the emergence of multidrug-resistant Gram-negative bacteria, colistin has regained global attention as an antibiotic of last resort. The resurgence in its utilization has led to a concurrent increase in acquired resistance, presenting a significant challenge in clinical treatment. Predominantly, resistance mechanisms involve alterations in the lipid A component of the lipopolysaccharide (LPS) structure.

Effect of play therapy and storytelling on the anxiety level of hospitalized children: a randomized controlled trial.

Background: Children are anxious when hospitalized due to being away from home and undergoing treatment.This anxiety has an effect on their disease process, treatment, growth and development.Children's anxiety has an effect on parents' anxiety and can lead to lower level of cooperation among the children and their parents with the treatment team.

Investigation of the Potency of KALA and REV Cell-Penetrating Peptides for In Vitro/In Vivo Delivery of an HPV Multiepitope DNA Construct.

Developing human papillomavirus (HPV) therapeutic DNA vaccines requires an effective delivery system, such as cell-penetrating peptides (CPPs). In the current study, the multiepitope DNA constructs harboring the immunogenic and conserved epitopes of the L1, L2, and E7 proteins of HPV16/18 (pcDNA-L1-L2-E7 and pEGFP-L1-L2-E7) were delivered using KALA and REV CPPs with different properties in vitro and in vivo. Herein, after confirmation of the REV/DNA and KALA/DNA complexes, their stability was investigated against DNase I and serum protease.

Prediction of facial nerve outcomes after surgery for vestibular schwannoma using machine learning-based models: a systematic review and meta-analysis.

Postoperative facial nerve (FN) dysfunction is associated with a significant impact on the quality of life of patients and can result in psychological stress and disorders such as depression and social isolation. Preoperative prediction of FN outcomes can play a critical role in vestibular schwannomas (VSs) patient care. Several studies have developed machine learning (ML)-based models in predicting FN outcomes following resection of VS.

Arthroscopic-Assisted Posterolateral Corner Reconstruction of the Knee: Novel Technique, Classification, Surgical Algorithm, and Midterm Results.

Objectives: This study aimed to introduce a new arthroscopic method for reconstructing the popliteus tendon (PT). This minimally invasive technique is performed through the posterolateral corner (PLC) of the knee, which can reconstruct the posterolateral rotary instability (PLRI) of the knee.

Methods: Thirty-nine patients (8 females, 31 males) with PLC injury and normal knee alignment underwent arthroscopic PT reconstruction.

Slope of the Medial Tibial Plateau and the Incidence of a Medial Meniscal Tear.

Objectives: Previous studies of the association between tibial slope and meniscal tear have led to contradictory results. In this regard, the present study aimed to examine the effect of medial tibial plateau slope on the incidence of isolated medial meniscal tear.

Methods: This study was performed on 75 patients with a posterior horn medial meniscal tear and 150 matched control subjects.

Nurses' viewpoint of sustaining work despite musculoskeletal pain: A qualitative study.

Background: The nursing profession consistently has the highest rates of musculoskeletal disorders (MSDs) among occupations due to physical and psychological pressures, leading to an increased number of sickness absences, early retirement, staff shortage, poor health conditions, and need for medical care. Absence among healthcare workers puts the quality of patient care at risk, and increase colleagues' workload and employer staffing expenses. This study aimed to investigate the viewpoints of Iranian nurses about sustaining work despite musculoskeletal pain.

Effect of acupressure on childbirth outcomes in nulliparous women: A randomized clinical trial.

Background: Non-pharmaceutical method is one of the conventional methods of reducing labor pain. Acupressure is suggested as an effective method for reducing labor pain with favorable effects on the outcome of childbirth. Different acupressure methods are suggested for this purpose; the most effective one has to be investigated.

Using the mind map method in medical education, its advantages and challenges: A systematic review.

Mind mapping stands as a contemporary approach to education, introducing an innovative means of teaching and learning. In current times, this technique is embraced due to its ability to enhance the learning and retention process. This investigation explored the imperative nature of adopting novel educational methodologies such as mind mapping, while also examining its benefits and constraints.

Barriers and facilitators of community-based nursing development: A scoping review.

In the last few decades, chronic diseases have spread and new and emerging health and social issues have affected people's health. COVID-19 and other emerging and re-emerging diseases are creating new challenges for societies that affect how healthcare is managed. It is through the development of community-based nursing that some of these problems can be solved.

The persian version of mhealth app usability questionnaire (MAUQ) for patients: a psychometric assessment study.

Introduction: The growing importance of mobile apps in osteoporosis management highlights the crucial need for evaluating their utility and usability, particularly for Osteoporosis support apps. Addressing this need, the mHealth App Usability Questionnaire (MAUQ) was crafted in four different versions, categorized based on the nature of the app (interactive or standalone) and the intended user (patient or provider). Due to its usage by diverse users with varying languages, this questionnaire requires psychometric assessment in multiple languages.

Empowerment of volunteer nursing service providers during disasters: A qualitative study.

Background: Volunteers providing nursing services are among the first individuals to arrive at the scene after an incident; therefore, they must use their skills and capabilities to provide necessary care for the injured to prevent problems from worsening and complications from arising. Consequently, having structured empowerment courses for volunteers before disasters seems essential. This research aimed to determine the dimensions and components of empowering volunteer nursing service providers in disasters.