Finger replantation in Jordan: evaluating the knowledge, attitudes, practices, and barriers among doctors and medical students.

Background: Finger replantation is a complex microsurgical procedure that requires optimal conditions for success. Understanding the knowledge and awareness of healthcare professionals regarding finger preservation and replantation can help improve outcomes for patients with amputated fingers.

Methods: A cross-sectional survey was conducted among healthcare professionals, including clinical years medical students, surgical residents, and specialists.

Ergonomic stress and surgical performance of general surgeons: a cross-sectional comparison of laparoscopic and open procedures.

Background: Surgeons are actively seeking ways to enhance operating room ergonomics. A comprehensive report on surgeon job-related disease and injuries could raise awareness, encourage workplace improvements, and emphasize the importance of ergonomic practices such as body posture awareness, appropriate operating room setup, and exercise to lessen discomfort and improve general health.

Purpose: To address the ergonomic challenges that surgeons in Jordan face during their work and to investigate how demographic variables may impact a surgeon's ability to perform open and laparoscopic procedures proficiently.

MicroRNAs as Biomarkers and Therapeutic Targets in Treatment-Resistant Depression: Unveiling Diagnostic and Treatment Pathways.

Introduction: Treatment-Resistant Depression (TRD) is a complex clinical condition characterized by inadequate response to conventional antidepressant treatments. There is growing evidence that microRNAs (miRNAs) play a role in the underlying pathophysiology of TRD and may offer new avenues for diagnostics and therapy.

Methods: A structured literature review of peer-reviewed publications indexed in PubMed, Scopus, and Web of Science was conducted.

Safety and efficacy of ultrasonic dissection versus electrocautery dissection in laparoscopic cholecystectomy for acute cholecystitis: an updated systematic review and meta-analysis.

Background: Laparoscopic cholecystectomy (LC) is the current gold standard for the management of acute cholecystitis, where ultrasonic dissection and electrocautery dissection are the two primary techniques used, however, it remains uncertain which approach is safer and more effective.

Objectives: This systematic review and meta-analysis aimed to compare the clinical outcomes of ultrasonic dissection versus electrocautery dissection in LC for acute cholecystitis, particularly in operative time, hospital stay, blood loss, intraoperative and postoperative complications.

Method: A systematic literature search was conducted in PubMed (MEDLINE), Scopus, Web of Science (WOS), EMBASE, and Cochrane CENTRAL up to January 7, 2025, following PRISMA guidelines.

Breastfeeding practices among long-standing refugees in Jordan: insights from a cross-sectional study.

Exclusive breastfeeding (EBF) is a crucial public health strategy that reduces infant morbidity and mortality, yet rates remain suboptimal among refugee populations. This study examines breastfeeding practices and determinants of EBF among long-standing Palestinian refugees in Jordan through a cross-sectional survey of 249 mothers at the UNRWA Zarqa Camp Health Center. The prevalence of EBF among infants under 6 months was 38.

Synthesis, In Silico, and Biological Evaluation of Non-Hydroxamate Benzoic Acid-Based Derivatives as Potential Histone Deacetylase Inhibitors (HDACi).

Unregulated epigenetic modifications, including histone acetylation/deacetylation mediated by histone acetyltransferases (HATs) and histone deacetylases (HDACs), contribute to cancer progression. HDACs, often overexpressed in cancer, downregulate tumor suppressor genes, making them crucial targets for treatment. This work aimed to develop non-hydroxamate benzoic acid-based HDAC inhibitors (HDACi) with comparable effect to the currently four FDA-approved HDACi, which are known for their poor solubility, poor distribution, and significant side effects.

Evaluating Myotomy Length in POEM for Achalasia: A Grade-Assessed Meta-Analysis of Randomized Controlled Trials.

Background: Peroral endoscopic myotomy (POEM) is a standard achalasia treatment, matching surgery in efficacy. However, myotomy length varies. Shorter myotomies are gaining attention for potential benefits.

Arabic translation and psychometric validation of the revised Patient Perception of Patient-Centeredness (PPPC-R) questionnaire.

Background: The Revised Patient Perception of Patient-Centeredness (PPPC-R) scale was originally formulated in English to examine patient-centeredness.

Objective: To translate and validate the PPPC-R questionnaire into Arabic.

Methodology: Translating the PPPC-R into Arabic involved forward and back translations by bilingual experts.

Reactivated CMV Proctitis/Anitis Presenting as a Localized Proximal Anal Swelling and Anal Pain in a Diabetic Patient: Case Report and Literature Review.

Background: Cytomegalovirus (CMV) colitis is commonly seen in patients who are immunodeficient or have inflammatory bowel disease. Among the gastrointestinal sites affected by CMV, the colon is the most frequently affected, though rectal involvement is relatively rare. Reactivated CMV proctitis primarily occurs in elderly patients with comorbidities and is quite uncommon in immunocompetent individuals.

Metagenomic Signatures of Colorectal Cancer in the Jordanian Population: A Regional Case-Control Analysis Using 16S rRNA Profiling.

The gut microbiota plays a pivotal role in developing colorectal cancer (CRC) through interactions with host immunity, metabolism, and inflammation. However, microbiome-based studies remain scarce in Middle Eastern populations, limiting regional insights into microbial signatures associated with CRC. This study aimed to characterize the gut microbiota profiles of Jordanian CRC patients using 16S rRNA gene sequencing and compare them to those of healthy controls from the GutFeeling KnowledgeBase (GutFeelingKB).

Golgi-Cox Staining Protocol for Medium Spiny Neurons in the Striatum of Neonatal and Early Postnatal Mouse Brain Using Cryosections.

Studying the morphological changes in dendrites and dendritic spines during the early postnatal period is essential for unraveling the development of neural circuits and synaptic connectivity. Structural alterations in the dendritic arborization and spine morphology of medium spiny neurons (MSNs) have been closely linked to various neurodevelopmental disorders (NDDs). While Golgi-Cox staining remains a powerful technique for visualizing individual neurons, existing protocols are predominantly optimized for adult rodent brains only.

Epidemiology, antibiotic resistance, and molecular detection of blaOXA and blaCTX-M Genes in ESBL-Producing Escherichia coli from urinary tract infections in Jordanian hospitals.

Background: Urinary tract infections (UTIs) impose significant challenges among patients infected with multidrug-resistant Escherichia coli (E. coli). The emergence of the extended-spectrum beta-lactamase (ESBL) strains complicates the treatment and exacerbates life-threatening infections.

Evaluation of a long-term antimicrobial dental adhesive via in vitro biodegradation and in vivo rodent secondary caries models.

Objectives: Bacterial-derived secondary caries is a primary cause of dental treatment failure at the artificial material-tissue interface. We previously developed ultra-long-term antimicrobial/antidegradative drug-silica particles (DSPs) to counter this interfacial failure. The aim of the current study was to evaluate a novel DSP-filled-adhesive system via in vitro and in vivo (rat) anti-secondary-caries studies.

Antimicrobial resistance patterns of Campylobacter jejuni isolated from retail raw chicken meat in Jordan.

Campylobacteriosis is among the most common infectious foodborne diseases caused by the bacterium Campylobacter jejuni. The objective of this study was to investigate the prevalence rate, antimicrobial resistance (AMR) profiles, and the presence of targeted AMR genes among C. jejuni isolated from chilled raw chicken meat at different retail markets and abattoirs in Jordan.

Parental quality of life and its predictors in Jordanian families with children with cerebral palsy.

Background: The lifelong care responsibilities associated with cerebral palsy (CP) may place significant physical and psychological burdens on parents, which might hinder their quality of life (QOL). Despite their importance, factors affecting parents' QOL in CP cases remain understudied globally, including Jordan. This study aimed to assess the QOL of parents of children with CP and investigate its predictors.

Clinical learning environments and experiences of nursing students in West Bank Universities: A mixed-methods study.

Background: Clinical learning environments (CLEs) play a vital role in shaping nursing students' competencies, yet their dynamics in conflict-affected settings remain underexplored. This study investigated how CLE factors, measured via the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale, relate to students' clinical learning (CL) experiences across West Bank universities in Palestine. The findings are specific to the Palestinian context but may offer insights for other conflict-affected educational settings.

Physical and mental health well-being of COVID-19 recovered patients: A phenomenological study.

Aim: This study aims to describe the experience of COVID-19 recovered patients' physical and mental health well-being.

Method: A qualitative research approach was employed utilizing an unstructured interview protocol to explore the experiences of individuals recovering from COVID-19. Data were collected from 30 participants who had recovered from a moderate to severe form of the disease, all of whom required hospitalization with oxygen support during their illness.

Talazoparib and radiation enhance the senolytic efficacy of venetoclax in therapy-induced senescent triple-negative breast cancer cells.

Triple-negative breast cancer (TNBC) presents ongoing clinical challenges, often leading to relapse in many patients. The relapse is partly explained by tumor cells transitioning into a senescent state following chemotherapy or radiation, resulting in a more aggressive phenotype, contributing to disease recurrence. Consequently, combining senolytics with traditional treatments could be a viable and promising strategy in treating TNBC.

Human Epidermal Growth Factor Receptor 2-Low Breast Cancer: Prevalence Rate and Scoring Concordance Among Pathologists.

Background: Breast cancer with low expression of human epidermal growth factor receptor 2 (HER2) has emerged as a new category benefiting from anti-HER2 therapies. This study evaluated the prevalence of HER2-low expression and concordance of HER2 scoring among pathologists at King Hussein Cancer Center (KHCC) in Jordan.

Objectives: To determine the prevalence of HER2-low breast cancer tumors and evaluate the interpathologist concordance in HER2 scoring using the 2018 American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines.

Cucurbit[10]uril binding of heteroleptic iridium(iii) complexes: synthesis and photophysical characterization.

The supramolecular host-guest interaction between heteroleptic iridium(iii) complexes and cucurbit[10]uril (Q[10]) in an aqueous medium was investigated in this work. Both studied iridium complexes, [Ir(ppy)(bpy-(CHO))] (complex 1) and [Ir(ppy)(bpy-(COOH))] (complex 2), possessed two phenylpyridine ligands and a single R-bipyridine ligand. The formation of the encapsulated species (Q[10]·1 and Q[10]·2) was demonstrated by H NMR and luminescence studies.

Examining differences in postpartum depression, anxiety, and stress levels among women in the first six months after birth based on breastfeeding patterns using subjective and objective measures: A national representative sample from Jordan.

Objective: Studies have reported a lower incidence of postpartum depression, anxiety, and perceived stress among exclusive breastfeeding mothers compared to non-exclusive and formula-feeding mothers. However, the molecular mechanisms underlying the protective action of exclusive breastfeeding against these mental disorders remain unclear. This study examined the differences between exclusive and non-exclusive breastfeeding mothers in terms of postpartum depression, anxiety, and perceived stress, measured subjectively and objectively (based on cortisol, immunoglobulin A, and ghrelin saliva levels).

Thoracoscopic Approach for Treating a Primary Hydatid Cyst in the Thymus in a Teenager: A Case Report.

BACKGROUND Hydatid disease remains a major clinical concern, particularly in regions where it is endemic. This parasitic infection is caused by Echinococcus species. The liver and lungs are the most affected organs.

Safety of alisertib in the treatment of solid and hematological cancers: A systematic review and meta-analysis of randomized controlled trials.

BackgroundAlisertib, an Aurora kinase A inhibitor, has been investigated as a potential treatment for various hematologic and solid tumors. While clinical trials have suggested its efficacy in both cancer types, concerns persist regarding its safety profile particularly its hematologic and gastrointestinal toxicities. This systematic review and meta-analysis evaluate the safety of alisertib in patients with hematologic cancers and solid tumors across randomized controlled trials.

Optimal energy management of distributed generation resources in a microgrid under various load and solar irradiance conditions using the artificial bee colony algorithm.

Optimal energy management of distributed generation and storage systems in microgrids plays a critical role in minimizing operational costs, reducing environmental emissions, improving power quality, and enhancing system reliability. Achieving these objectives requires comprehensive modeling of all microgrid components, including load profiles, generation sources, and the network structure. In recent years, metaheuristic optimization techniques have gained significant traction due to their flexibility and robustness in handling complex, nonlinear, and multi-objective problems without the need for initial estimations.