Analysis of value-based healthcare (VBHC) framework by incremental cost-effectiveness of surgical and therapeutic interventions: a retrospective study at tertiary private health group.

Background: Rising healthcare costs have led to the adoption of value-based healthcare (VBHC), emphasizing patient outcomes and cost efficiency. This study evaluates VBHC in a tertiary private health group, focusing on cost-effectiveness using the median incremental cost-effectiveness ratio (ICER).

Methodology: A retrospective cohort study analyzed 1576 patients treated between 2021 and 2024 in Almoosa Health Group, Al-Ahsa, Saudi Arabia.

Integrative review of artificial intelligence applications in nursing: education, clinical practice, workload management, and professional perceptions.

Background: Artificial Intelligence (AI) is rapidly transforming the nursing profession, presenting significant opportunities and challenges. Despite its promising potential in enhancing nursing education, clinical practice, and operational efficiency, critical barriers related to ethics, workforce adaptation, and humanistic care persist.

Aim: This integrative review systematically evaluates the integration of AI in nursing practice, with a specific focus on nursing education, clinical care, workload management, and professional perceptions.

Healthcare staff acceptance and satisfaction with automated medication dispensing cabinets: a neural network-based analysis.

Background: The Automated Dispensing Cabinets (ADCs) represent one of the most widely deployed forms of technology integrated with today's medication-use systems. Despite the rise of ADC use and subsequent benefits, research exploring the impacts of ADCs on staff acceptance and satisfaction is still relatively limited and not thoroughly investigated. The present study aims to address this by assessing the impact of ADC implementation on healthcare staff satisfaction.

Exploring facilitators, barriers, and maternal perspectives of a novel educational intervention in promoting skin-to-skin contact.

Objectives: The study focuses on (1) investigating the facilitators and barriers associated with skin-to-skin contact and (2) exploring Saudi women's perspectives in the evaluation of an educational intervention designed to promote skin-to-skin contact.

Method: An online survey was carried out in two hospitals (control and intervention) in Saudi Arabia post SkiTS educational intervention, which was offered only to participants in the intervention group. Three weeks after birth, a semi-structured interview was carried out among participants from the intervention group to explore the impact of SkiTS educational intervention on their experience with skin-to-skin contact.

Prevalence and Associated Factors of Burnout Among Nurses at Private Tertiary Hospitals in the Gulf Region: A Cross-Sectional Multicenter Study.

Introduction: Burnout among nurses has emerged as a critical issue in healthcare and is gaining considerable attention due to its profound negative effects. The pervasive nature and significant effects that burnout might hold underscore the crucial need to assess this issue and its contributing factors among nurses. However, there is an evident gap in research precisely addressing this issue among nurses working in private hospitals in the Gulf Region.

Tocilizumab as a targeted immunomodulatory therapy in the management of severe respiratory illnesses: a multicenter cohort study of COVID-19 patients.

Respiratory pandemics like COVID-19 continued to strain healthcare systems worldwide. Numerous antiviral, antimalarial, and anti-inflammatory treatments were administered to many patients to pursue effective therapeutics. This study aims to assess the efficacy of the anti-inflammatory agent tocilizumab for critically ill patients, specifically in managing respiratory illnesses.

Impostor phenomenon among nursing leaders: Socio-demographic predictors and its impact on innovative work behavior.

Background: The Impostor Phenomenon (IP) is a psychological condition characterized by persistent self-doubt and fear of being exposed as a fraud despite objective success. This study aims to assess the prevalence of IP among nursing leaders (NLs) and explore its association with socio-demographic factors and innovation-related work behaviors.

Methods: A cross-sectional study was conducted among 255 nursing leaders at a Saudi tertiary care hospital, selected through purposive sampling.

Comparative efficacy of clindamycin phosphate with benzoyl peroxide versus clindamycin phosphate with adapalene in acne vulgaris: a systematic review and meta-analysis.

Acne vulgaris is a common skin condition that significantly impacts both physical appearance and mental well-being. Acne, being a chronic skin condition, often requires continuous treatment. This study aims to evaluate the efficacy and safety of clindamycin phosphate 1.

Use of repetitive transcranial magnetic stimulation in traumatic brain injury: A systematic review and meta-analysis of randomized controlled trials.

Background: Traumatic brain injury (TBI) is an injury resulting from external force exerted directly or indirectly on the skull. This is presently the major cause of mortality and disability among youth globally. Repetitive transcranial magnetic stimulation (rTMS) was proposed for the treatment of various neurological disorders such as TBI.

Comparison of anterior and posterior approaches for functional improvement in cervical myelopathy: A systematic review and meta-analysis of 33,025 patients.

Background: Cervical myelopathy is caused by pressure on the spinal cord in the neck, leading to pain, numbness, and balance issues. Surgery aims to decompress the spinal cord, with different approaches; anterior, posterior, or both depending on specifies. This systematic review and meta-analysis aimed to compare the risks and benefits of anterior and posterior surgical techniques.

Domestic violence and childhood trauma among married women using machine learning approach: a cross-sectional study.

Background: Globally, 27% of ever-partnered women aged 15-49 have experienced physical, sexual, or intimate partner violence at least once in their lifetime. In Saudi Arabia, domestic violence (DV) remains a concern despite cultural and economic advancements. This study aims to measure the prevalence and factors associated with DV as well as childhood trauma (CT) in the Al Hasa region.

A meta analysis of efficacy and safety of nefopam for laparoscopic cholecystectomy pain management.

Background: Nefopam is a safe analgesic with mild side effects including drowsiness, nausea, vomiting, and sweating. Nevertheless, research is scarce on the impact of nefopam in managing postoperative pain following laparoscopic cholecystectomy (LC), and the advantageous effects of nefopam remain unclear. In this research, the effectiveness of nefopam was compared to placebo for the treatment of postoperative pain following LC.

A Meta-Analysis of the Impact of Intranasal Dexmedetomidine on Emergence Delirium and Agitation in Children and Adolescents Undergoing Tonsillectomy and/or Adenoidectomy.

Tonsillectomy and adenoidectomy are two common pediatric operations that are frequently associated with postoperative problems like emergence agitation (EA) and emergence delirium (ED). Intranasal dexmedetomidine, which has anxiolytic and sedative qualities with low respiratory effects, is becoming increasingly popular as a premedication in pediatric patients. However, there is limited evidence on its efficacy in tonsillectomy and/or adenoidectomy.

Efficacy of platelet-rich plasma versus corticosteroid injections in recovery from plantar fasciitis: A systematic review and meta-analysis.

Introduction: Chronic plantar fasciitis (CPF) is a degenerative condition causing persistent heel pain, making clinical management challenging. Among treatment options, the comparative effectiveness of platelet-rich plasma (PRP) and corticosteroid injections (CSIs) remains unclear. This systematic review and meta-analysis evaluate their impact on pain relief and functional improvement.

WhatsApp-Delivered Education: Performance and Satisfaction of Nursing Students.

Background: The drastic evolution in digital technologies has significantly transformed educational and learning processes, necessitating faculty members to incorporate these advancements into their teaching strategies. A research gap exists in investigating the use and acceptance of these technologies in nursing education. Thus, this research aims to assess how education delivered through WhatsApp (Meta) impacts undergraduate nursing students' performance level and satisfaction.

Dry needling for mechanical neck pain: A systematic review and meta-analysis of randomized controlled trials.

Background: Dry needling (DN) has emerged as a potential treatment for mechanical neck pain, but the evidence remains inconclusive. This study aimed to assess the efficacy of DN in improving pain and functionality in patients with chronic mechanical neck pain.

Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines.

Exploring the Benefits, Barriers and Improvement Opportunities in Implementing Automated Dispensing Cabinets: A Qualitative Study.

Technology has increasingly influenced the provision of healthcare services by enhancing patient safety, optimising workflows, and improving efficiency. Large healthcare facilities have adopted automated dispensing cabinets (ADCs) as an advanced technological solution. A key gap exists in understanding the ADC implementation experience in different contexts.

Incidence and complication rate of arthroplasty in Perthes disease management: A systematic review and meta-analysis.

Background: Perthes disease presents a challenge in orthopedic management, often necessitating surgical intervention such as arthroplasty. This meta-analysis systematically evaluated the rate of occurrence and complications associated with arthroplasty in Perthes disease.

Methods: A comprehensive search was conducted across PubMed, Web of Sciences, Scopus, and Cochrane Library databases to identify relevant studies.

Effect of preoperative hair removal vs. no removal on surgical site infections: a systematic review and meta-analysis.

Background: The practice of preoperative hair removal has been debated regarding its role in Surgical Site Infection (SSI) prevention. This study aimed to compare the different hair removing modalities and investigate the effect of preoperative hair removal on SSI rates.

Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines.

Correction: Saudi women's leadership experiences in the healthcare sector: A qualitative study.

[This corrects the article DOI: 10.1371/journal.pone.

A scoping review of health models for the community mental health needs of the United Arab Emirates: Nurturing the social determinants of mental health through social prescribing in the Middle East.

Despite the growing interest in social prescribing the diversification of health and social care strategies to support the well-being of patients has remained entrenched with a focus on the hospital setting within the Middle East. The United Arab Emirates has commenced progressing community mental health care to lead changes in how care and treatment are delivered within the United Arab Emirates. The authors adopted the use of the framework of Arksey and O'Malley (2005) to provide a systematic approach to searching the literature and creating a comprehensive foundation to guide the review.

Which is better in the management of chronic subdural hematoma: Irrigation, or no irrigation? A systematic review and meta-analysis of randomized controlled trials.

Background: Chronic subdural hematoma (CSDH) is a prevalent neurological disorder, especially among the elderly, where blood accumulates between the brain and its outer covering. The primary treatment for CSDH involves surgical intervention, such as burr-hole craniotomy, with or without irrigation of the subdural space. The efficacy of irrigation versus no irrigation in reducing recurrence, mortality, and postoperative complications remains debated.

Adherence to Systemic Therapy for Atopic Dermatitis in Adult Patients in Saudi Arabia: A Cross-Sectional Study.

Introduction: Atopic dermatitis (AD) is a chronic inflammatory skin disease that significantly impacts both pediatrics and adults. Despite the availability and proven efficacy of systemic medications, there remains a critical issue of non-adherence among patients. This study aimed to assess adherence to systemic therapy among Saudi adult patients with AD.