Al Ain Hospital

<ns7:p>Background Peer tutoring, a pedagogical approach in which students assist one another in the learning process, has demonstrated strong educational and psychosocial benefits in health professions education. It enhances cognitive development, communication, self-efficacy, and social connectedness. Within nursing education, peer tutoring encourages reflective learning and professional growth. However, limited research has explored its impact within culturally and linguistically diverse student populations in the United Arab Emirates (UAE). Aims This study explored the experiences of nursing student tutors and tutees at the University of Sharjah, evaluating their impact on academic development, emotional resilience, interpersonal connections, and the overall learning experience within a culturally and linguistically diverse population. Methods This qualitative study used semi-structured interviews with a purposive sampling of 20 undergraduate nursing students (6tutors and12 tutees) at the University of Sharjah. Data were analyzed inductively through thematic content analysis following the COREQ guidelines. Results Three main themes emerged: (1) Tutors’ perspectives and experiences, (2) Tutees’ perspectives and experiences, and (3) Barriers to peer tutoring. Peer tutoring was found to enhance academic comprehension, communication, and confidence, while also fostering collaboration and empathy. Challenges included language barriers, inconsistent commitment, and limited time for relationship building Conclusions Peer tutoring represents an effective, student-centered learning strategy that supports academic success, promotes psychological safety, and nurtures professional competencies among nursing students. Findings underscore the need for structured, institutionally supported peer tutoring programs that address linguistic diversity, ensure tutor preparation, and integrate emotional and cultural sensitivity into nursing curricula.</ns7:p>

Aim &amp; Background Recent research has documented that new bone can form in and around the dental implants placed after maxillary sinus floor elevation (SFE) without the use of bone grafts. This article reviews the existing literature on the SFE technique without the use of bone grafts to determine the extent of research on this topic. The objectives of the study are to evaluate the vertical bone gain and implant survival rates associated with the technique. Materials and Methods A review was conducted by searching the relevant articles based on the inclusion and exclusion criteria. The main search engines were PubMed, Google Scholar, and Cochrane. We used special algorithms related to the keywords ‘maxillary sinus lift’ and ‘graftless’ to identify the randomized controlled trials (RCTs) that studied the effectiveness of the graftless SFE with respect to implant survival and vertical bone gain. We included only RCTs that studied the graftless sinus lift technique related to implant survival rates and vertical bone gain, including both direct and indirect approaches to graftless SFE, and studies with at least 6 months of follow-up. Only English-language articles were considered. We excluded non-randomized studies and studies that did not report implant survival rates and vertical bone gain. Results Out of 429 articles, only ten RCTs involving 209 participants satisfied the inclusion criteria. Increased implant survival rates were demonstrated with the graftless procedure, using both direct and indirect approaches. Significant effectiveness in terms of endosinus bone gain (ESBG) using the graftless SFE technique was reported. The results were comparable to SFE with graft placement. Discussion Traditional approaches for the maxillary sinus floor augmentation have utilised the use of bone grafts. Regardless of the high success documented with these techniques, the use of bone grafts has several limitations, such as prolonged operating time and disease transmission. Additionally, the risk of complications and failures is common. Consequently, the graft-free SFE appears to be a valid minimally invasive alternative. Using this approach, most of the complications can be prevented or eliminated. Therefore, understanding this technique is essential for optimizing dental implantology practices. Conclusion Graftless SFE may be a viable technique for maxillary sinus floor augmentation. The utility of this technique lies in mitigating the complications associated with the grafting materials, thereby reducing the morbidity of the procedure and the cost burden. Future research with large RCTs using standardised methods and outcome measures is required to provide more robust evidence on the utility of this technique.

Background: Cervical radiculopathy is a common cause of neck and upper-extremity pain, often resulting from degenerative cervical spine conditions. While many patients respond to conservative management, a substantial proportion experience persistent symptoms requiring interventional treatment. Cervical epidural corticosteroid injections have emerged as a widely used option for short-term pain relief in refractory cases. Aim: This article aims to review the indications, anatomical considerations, procedural techniques, complications, and nursing roles associated with cervical epidural corticosteroid injections in the management of cervical radiculopathy. Methods: A narrative review approach was used, integrating anatomical knowledge, clinical indications, injection techniques, imaging guidance, complication profiles, and interprofessional nursing responsibilities. Evidence from clinical studies and established procedural practices was synthesized to provide a comprehensive clinical overview. Results: Cervical epidural injections, particularly via the interlaminar approach, demonstrate effective short-term pain relief for selected patients, with approximately half achieving significant symptom reduction for up to three months. Fluoroscopic guidance enhances procedural accuracy and safety. Although generally safe, these injections are associated with potential complications, especially with transforaminal techniques, underscoring the importance of meticulous patient selection and skilled execution. Nursing involvement is critical in pre-procedural preparation, intra-procedural monitoring, and post-procedural care. Conclusion: Cervical epidural corticosteroid injections represent a valuable interventional modality for cervical radiculopathy when conservative therapies fail. Optimal outcomes depend on appropriate patient selection, precise technique, and coordinated interprofessional care.

Background: Craniotomy is a cornerstone neurosurgical procedure that provides direct access to intracranial structures for treating tumors, vascular lesions, trauma, and infections. Despite technological advances, it remains a high-risk intervention requiring meticulous planning and multidisciplinary coordination. Aim: To review craniotomy in nursing practice, emphasizing perioperative care, neurologic monitoring, and patient safety. Methods: This narrative review synthesizes historical evolution, anatomical considerations, indications, contraindications, equipment, personnel roles, preparation, surgical technique, complications, and postoperative management. Sources include contemporary neurosurgical literature and evidence-based nursing guidelines. Results: Craniotomy techniques have evolved from ancient trephination to modern neuronavigation-assisted approaches. Indications span trauma, neoplasms, vascular disorders, and functional neurosurgery. Contraindications are rare but include severe systemic instability and coagulopathy. Nursing interventions are critical across all phases: preoperative optimization, intraoperative sterility and monitoring, and postoperative surveillance for complications such as hemorrhage, infection, and electrolyte imbalance. Enhanced Recovery After Surgery (ERAS) principles and interprofessional collaboration improve outcomes. Conclusion: Craniotomy remains indispensable for managing complex intracranial pathology. Success depends on anatomical precision, technological integration, and coordinated perioperative care. Nursing professionals play a pivotal role in ensuring safety, reducing complications, and supporting recovery through structured protocols and interdisciplinary teamwork.

Background: This study investigated how static postural parameters influence dynamic spinopelvic balance across varying walking speeds. One hundred healthy young adults (aged 18-25) underwent rasterstereographic assessment (DIERS 4Dmotion®) to quantify static global alignment metrics including craniovertebral angle (CVA), Q-angle, sagittal and coronal imbalance, pelvic rotation, torsion, obliquity, vertebral rotation, thoracic kyphosis, lumbar lordosis, and pelvic tilt, followed by dynamic spinopelvic analysis during treadmill walking at 1, 2, 4, and 5 km/h. Methods: Multiple linear regression models were used to determine the predictive value of static postural measures for dynamic outcomes at each speed. At slower walking speeds (1-2 km/h), static alignment variables significantly predicted dynamic spinopelvic parameters (adjusted R2 = 0.53-0.73; RMSE = 0.59-0.81), with CVA, sagittal imbalance, and pelvic torsion emerging as the most consistent predictors. Results: At higher speeds (4-5 km/h), predictive strength declined substantially (adjusted R2 = 0.04-0.34), indicating a shift from posture-driven to neuromuscular-governed gait control. The Q-angle showed limited and inconsistent predictive value across all conditions. Conclusions: Overall, static postural alignment, particularly CVA, sagittal imbalance, and pelvic torsion, serves as a moderate predictor of spinopelvic dynamics at slow to moderate gait speeds but loses explanatory power as velocity increases, emphasizing the growing role of neuromuscular control in maintaining dynamic balance. These findings highlight the clinical relevance of integrating both static and dynamic assessments to comprehensively evaluate postural and locomotor function.

Background: Emotional weariness, depersonalization, and a weakened sense of personal success are the hallmarks of nurse burnout, a widespread problem in healthcare systems around the world. The well-being of nurses, patient safety, and the general effectiveness of healthcare delivery are all significantly impacted by this occurrence. Resilience, or the capacity to adjust and bounce back from adversity, has become a crucial mitigating element, even when burnout is caused by things like heavy workloads, a lack of support, and emotional labor. Designing successful solutions that address organizational and individual difficulties requires an understanding of how burnout and resilience interact. Aim: This research is to examine the complex relationship between resilience and nurse burnout, pinpoint the main causes of burnout, and assess evidence-based tactics for building resilience in nursing professionals. Methods: A mixed-methods approach was used, which included qualitative interviews with nurses in various healthcare settings, a systematic review of recent research, and an assessment of interventions meant to improve resilience and lessen burnout. The influence of team-based, individual, and organizational tactics was the main focus of quantitative data analysis. Results: The results show that a lack of emotional support, an excessive workload, and inadequate staffing are the main causes of burnout among nurses. Burnout symptoms are considerably lessened by resilience-building techniques like flexible scheduling, peer support groups, and mindfulness training. The culture and leadership of the organization are crucial to the continuation of resilience-building programs. Conclusion: addressing nursing burnout necessitates a thorough strategy that incorporates interventions at the individual, organizational, and policy levels. To ensure high-quality patient care and enhance nurses' well-being, resilience building is essential.Future studies should concentrate on creative, scalable solutions, such as AI-based early detection systems and digital tools.

BackgroundRevision lumbar surgery is technically challenging due to postoperative scarring, altered anatomy, and high complication risks. Conventional open revisions cause more tissue damage and slower recovery. The Unilateral Biportal Endoscopic (UBE) technique, offering improved visualization and maneuverability, may enhance safety and outcomes in revision procedures.ObjectiveThis study aimed to evaluate the efficacy and safety of the UBE technique in managing complex lumbar revision surgeries.MethodologyA retrospective analysis was conducted on 10 patients who underwent revision lumbar surgery using the UBE technique between February 2022 and February 2024. Clinical outcomes were assessed using the Visual Analog Scale (VAS) for pain and the Oswestry Disability Index (ODI). Complications and patient satisfaction were also evaluated.ResultsSignificant reductions in pain and disability were observed postoperatively. The mean preoperative VAS scores for leg and back pain decreased from 8.1 to 0.8 and from 7.5 to 1.7, respectively (p < 0.001). The mean ODI score improved from 67.5 to 17.5 (p < 0.001). No major complications occurred, and 70% of patients reported excellent satisfaction.ConclusionUBE is a safe and effective minimally invasive approach for complex lumbar revision surgeries. It provides substantial pain relief, functional recovery, and low complication rates. By preserving soft tissues and offering superior visualization, UBE shows promise as an advanced alternative to conventional revision techniques.