Medicine and Health Sciences Commons^™

Exploring The Interaction Between Cranial Nerves V And Vii In Chronic Eyelid Myokymia: A Case Report, Karina Miramontes, Adam Walsh, Tomas Tafoya

Western Journal of Orthopaedics

Eyelid myokymia involves involuntary contractions of the orbicularis oculi muscle and is commonly associated with stress, fatigue, and craniocervical factors. Emerging evidence suggests that altered trigeminocervical interactions and craniomandibular muscle tension may contribute to symptom persistence; however, the condition remains underrecognized in physical therapy. This report describes a 65-year-old woman with chronic benign eyelid myokymia and cervical pain who completed 12 physical therapy sessions that included suboccipital functional dry needling, temporomandibular soft-tissue mobilization (STM), and cervical stabilization exercises. A reduction in eyelid myokymia was first observed at the fifth visit, coinciding with the initiation of temporomandibular STM. These findings suggest …

Prosthetic Knee Joint Infection Caused By Gemella Morbillorum, Nataly Echevarria-Castro, Shaleen Duhra, Leonor Echevarria

Western Journal of Orthopaedics

Gemella morbillorum is a gram-positive coccus found in the gastrointestinal tract, and is an uncommon cause of human infections, including prosthetic joint infections (PJI). Reported risk factors include immunosuppression, recent gastrointestinal procedures, and poor dental hygiene. This report describes a case of knee PJI caused by G. morbillorum, likely due to hematogenous seeding following a colonoscopy three months earlier. The patient is a 70-year-old man with well-controlled diabetes mellitus who had undergone total knee arthroplasty three years prior. He presented with three weeks of left knee swelling. Synovial fluid culture revealed G. morbillorum. The patient was treated with debridement, antibiotics, …

Arthroscopic Management Of A Loose Body In The Pisotriquetral Joint: A Case Report, Giovanni Chioda, Tomas Holy, Nicholas Newcomb, Nathan Morrell

Western Journal of Orthopaedics

The pisotriquetral joint is the smallest of the four joints comprising the wrist and is a source of ulnar-sided wrist pain. This condyloid joint connects the pisiform to the triquetrum and is supported by several surrounding ligaments. A variety of pathologies may affect the pisotriquetral joint, including the presence of loose bodies. Because of its small size and the inherent difficulty of visualization, the pisotriquetral joint is often overlooked as an independent joint. Techniques for arthroscopic visualization and loose-body removal have previously been described using the 6R and 4-5 portals. In the following case report, the authors describe successful visualization …

Study Of The Relationship Between Insulin Resistance And Osteoporosis In Type 2 Diabetes Mellitus And Diabetic Nephropathy Elderly Patients, Mohamed Zakarya Nooh, Alaa Abdelsalam Dawood, Bassant Samy Hamed Hafez, Moustafa Bakrey Hamed Ata

Mansoura Medical Journal

Background Type 2 diabetes mellitus and diabetic kidney disease play a major role in bone deterioration and increased fracture risk because they influence both insulin sensitivity and bone metabolism. Objective The purpose of this study was to investigate the connection between osteoporosis and insulin resistance in older individuals with type 2 diabetes and diabetic kidney disease (DKD). Methods: A total of 105 participants were enrolled in the study and divided equally into three groups: 35 diabetic patients with albuminuria, 35 diabetic patients without albuminuria, and 35 age- and gender-matched healthy controls. The study was conducted at the Endocrinology & DM …

Facial Expression With Type Of Eye Opening Associates With Multi-Organ Failure: An Observational Prospective Icu Cohort Study, Talal Ibrahim Mostafa Hagag

Journal of Medicine in Scientific Research

Title Facial expression with the type of eye opening associates with multi-organ failure: an Observational prospective ICU cohort study Background Accurate prognostication in the intensive care unit (ICU) remains a challenging task. Conventional severity scores such as the Acute Physiology and Chronic Health Evaluation II (APACHE II) quantify physiological derangement but overlook real-time neurological and affective responsiveness. Behavioral indicators—particularly facial expressivity and eye-opening response—may reflect cortical and brainstem integrity, offering a simple, non-invasive adjunct for bedside mortality prediction. Methods In this single-center, prospective observational study, 210 adult patients in the ICU were assessed within 24 hours of admission. Two blinded …

Frequency Of Carpal Tunnel Syndrome Presenting With Symptoms In An Ulnar Nerve Distribution In A Prospective Study, Wessam Eissa Hamed

Journal of Medicine in Scientific Research

Objective Assessing frequency of pain and/or paresthesia in the ulnar nerve distribution in patients documented electro-diagnostically with median mononeuropathy at the wrist (MNW). Although occurrence of this clinical symptom has been explored in some literature but remains unaddressed. Method Study participants were assessed to measure the distribution and intensity of their symptoms in hand using the Katz hand diagram and the Boston Carpal Tunnel Questionnaire-Symptom Severity Scale (BCTQ-SSS). 30 participants satisfied the study's criteria regarding ulnar neuropathy and completed a clinical examination. All participants also were subjected to nerve ultrasonography and electro-diagnostic study. Results Isolated median mononeuropathy at the wrist …

Study Of Endocrine Complications In Children With Beta-Thalassemia Major. A Recent Insight, Randa Mohamed Darwish, Omnia Salah El-Din, Samar Mohamed Samir, Mona Ahmed Gabr

Journal of Medicine in Scientific Research

Background β-thalassemia major (BTM) is a severe form of transfusion-dependent hemolytic anemia associated with multiple complications, primarily due to iron overload. Endocrinopathies are among the most common long-term morbidities in this population. Objectives To evaluate the prevalence of endocrine complications including hypothyroidism, hypocalcemia, delayed puberty, impaired fasting blood glucose, and diabetes mellitus in children and adolescents with β-thalassemia major, and to assess their association with serum iron overload. Methods This cross-sectional study included 52 children and adolescents 11-18 years age with β-thalassemia major attending Ahmed Maher Teaching Hospital (2022–2024). Anthropometric measurements, Tanner staging, thyroid function tests, gonadal hormones, serum calcium, …

Are The Risks Of Asthma And Allergic Diseases In Children Born By Cesareansection (Cs) Influenced By Maternal Factors (E.G., Maternal Asthma, Diet, Antibiotic Use During Pregnancy)?, Rehab Fawzy Abdel Mohsen Soliman, Samar Mahmoud Ahmed, Yasmen Ahmed Said, Shaimaa Mohamed Hassan, Dalia Hassanin Hussin, Dina Gaber Soliman, Zeinab Abdalla Ali

Journal of Medicine in Scientific Research

Background and Aim The increase in the number of Cesarean Section deliveries (CS) in the world has triggered questions about the possible long-term health consequences for the children being delivered, particularly the chances of being affected by asthma and other allergic ailments. Some prior studies suggested that CS deliveries may negatively influence immune system development due to altered microbial colonization and an increased risk of respiratory morbidities. However, trying to separate the impact of delivery methods and the maternal as well as the surroundings is a hard nut to crack. The present study aims to establish whether maternal asthma, diet, …

Perceptions Of Managerial Roles In Physician Leadership Among First- And Final-Year Medical Students: A Cross-Sectional Study Using Mintzberg’S Framework, Sari Huikko-Tarvainen, Timo Tuovinen, Petri Kulmala

Health Professions Education

Purpose: This study investigated how medical students – as future physicians – perceive the relevance of Mintzberg’s ten managerial roles to physician leadership, and whether these perceptions change throughout medical education.

Method: In 2021, all first‑year (n = 116/116) and 98% of final‑year (n = 107/109) students at the University of Oulu, Finland completed a web‑based survey rating Mintzberg’s ten managerial roles in fulfilling physician leaders’ leadership work on a 5‑point Likert scale. Item reliability and internal consistency were examined with Cronbach’s α. Because Likert data are ordinal, medians and interquartile ranges (IQRs) were calculated, and group differences were tested …

Bovine Colostrum And Late-Onset Sepsis In Premature Infants: A Multicenter Randomized Controlled Trial (Bcsp Study), Hany Wifky Gendy Michael, Hassan Mohamed Hassan Mohamed, Dalia Abu Elmaaref Mohamed Ibrahim

Journal of Medicine in Scientific Research

Aim: Neonatal sepsis and necrotizing enterocolitis (NEC) have a great impact on morbidity and mortality in immature newborns. We performed our trial to examine the impact of enteral bovine colostrum administration upon late neonatal sepsis in premature newborns. Patients &Procedures: The study included neonates who had a birth weight (BW) of 1-1.8 kg, a gestational age (GA) of full 28-34 weeks, and a postnatal age of ≤ 96 hours. A blinded, randomized, placebo-controlled study was done using two groups; one of them received bovine colostrum daily within the first 96 hours starting from the 2nd day of feeding and for …

Auditory Memory In Children Who Stutter, Sanaa Mahran Mohamed Qandel, Nihal Hisham Abdelhamid Mostafa, Nihal Hisham Abdelhamid

Journal of Medicine in Scientific Research

Background Stuttering has been described as a disorder in motor speech in which disruption in the timing between laryngeal, respiratory, and vocal tract rhythm of speech. It is characterized by prolongations and involuntary repetitions of sounds. Children who stutter (CWS) characterized by inability to produce sounds, with intra-phonemic disruption and involuntary silent pauses. Many studies have examined central auditory processing skills and reported impairments, yet auditory memory skills have not been adequately evaluated, leaving a gap in the available information. Aim of the study Assessing auditory memory performance and auditory memory abilities in CWS. Methods: Measuring recognition memory, memory for …

Early Clinical Outcomes Of The Use Of Del Nido Versus Intermittent Warm Blood Cardioplegia After Isolated Coronary Artery Bypass Surgery, Ahmed Abdalla Mohamed, Ahmed M Elshemy, Sherif M Elboghdady, Wael S Nekhila, Ismail R Barrada

Journal of Medicine in Scientific Research

Background While the best approach to protecting the heart during surgery varies based on the specific operation and the surgeon's preferences, del Nido cardioplegia, initially successful in children, is gaining traction as an alternative to the traditional blood cardioplegia in adult cardiac procedures. Aim This investigation comparatively analysed the early postoperative consequences in adult patients undergoing isolated coronary artery bypass grafting, contrasting the application of del Nido cardioplegia with conventional warm blood cardioplegia techniques. Methods Randomised controlled clinical research was conducted to compare the efficacy of antegrade del Nido (DNC) and intermittent warm blood cardioplegia (IWBC) in safeguarding myocardial function …

Prevalence Of Diabetic-Nephropathy In Children And Adolescents With Type-One- Diabetes Mellitus: A Recent Perspective, Randa Mohamed Darwish, Ayat Ibrahim Ghanem, Jehan Ibrahim Altohamy, Dina Mahmoud Khalifa

Journal of Medicine in Scientific Research

Background Among the most important microvascular complications in Type-one-Diabetes Mellitus (T-1-DM) in adolescents and children, Diabetic-nephropathy (DN) stands high. Early detection is crucial to prevent its progress to chronic kidney disease. Objective This study was designed aiming at the elaboration of an updated prevalence for Diabetic-nephropathy and to identify the risk factors among pediatric patients age group with T-1-DM . Methods The present cross-sectional-study was conducted starting from September 2023 to September 2025 including a group of 100 cases of adolescents and children with T-1- DM (aged 5–16 years) and 100-matched age and sex healthy control group. Clinical evaluation included …

Usage Of Valved Conduit In Replacing The Mitral Valve In Heavily Calcific Or Destroyed Annulus: A Prospective Cohort Study, Yosry M Thakeb, Ahmed Kamel Abdel Ghany Hassan, Wael Abdelatief Mohamed Elhakeem

Journal of Medicine in Scientific Research

Background: Heavily calcified or destroyed mitral annulus present significant technical challenges for conventional valve replacement, often requiring alternative surgical strategies. Aim: To evaluate the safety, efficacy, operative outcomes, and the competency of valved conduit in patients with heavily calcified or destroyed mitral valve annulus. Methods: Fifteen patients (mean age 58.8±8.21 years, 53.3% female) underwent valved conduit mitral valve replacement at the Cardiothoracic Surgery Department, National Heart Institute, General Organization for Teaching Hospitals and Institutes (GOTHI), Egypt. Preoperatively, 80% presented in NYHA class III-IV with mean ejection fraction of 37.6±7.65% and pulmonary artery pressure of 50.6±11.39 mmHg. Bioprosthetic valves were used …

A Randomized Controlled Trial In A Teaching Hospital Comparing The Outcomes Of ‎Single-Layer Versus Double-Layer Uterine Suturing With Polyglactin In The Development ‎Of Uterine Niche Following Caesarean Section, Ahmed A. Kassab, Ali E. Khayal

Journal of Medicine in Scientific Research

Background Caesarean section (CS) rates are rising globally, with Egypt reporting one of the highest rates. A potential complication of CS is the development of a uterine scar defect, or niche, which may be associated with abnormal bleeding, dysmenorrhea, and infertility. The technique of uterine closure may play a significant role in the prevention of niche formation. Aim To evaluate the effectiveness of double-layer uterine closure versus single-layer closure in preventing niche formation after a first CS, as assessed by transvaginal ultrasound (TVUS) at six weeks postpartum. Methods This randomized controlled trial was conducted at Mataryia Teaching Hospital, Cairo, including …

Decoding A Decade: Evolution In Distal Radius Fracture Techniques From Past To Present, Embracing The Efcr Method, Natasha G. Dark, Ahmed S. Raihane, Laurie G. Wells, Deana Mercer

Western Journal of Orthopaedics

No abstract provided.

Impact Of Social Media On Acne Treatment Practices In Egypt, Hadeer Fathy, Moheiddin Fakhry Alghobary, Nada Mohmed Elhadidy, Sara Hamdy Fouad

Mansoura Medical Journal

Background: Acne is one of the most prevalent global diseases, affecting up to 85% of adolescents and young adults and contributing to significant psychological burden. Despite available treatments, many patients rely on social media for guidance, where misinformation and unauthorized drug promotion can negatively influence Acne Vulgaris management.

Aim: The aim of this research is to determine the influence of social media information on the selected treatment method of Egyptian patients with Acne Vulgaris

Patients and methods: This is cross‑sectional study targets Acne Vulgaris patients aged ≥15 with current or past AV who use social media. Data was collected through …

Effect Of Active Music-Based Intervention Conducted By Music Therapists Or Medical Professionals On Reducing Agitation In Patients With Dementia: A Systematic Review And Meta-Analysis, Jian-Jia Huang, Yu-Hsuan Chen, Yun-Chen Chung, Yu-Peng Huang, Yu-Cheng Pei

Rehabilitation Practice and Science

Music-based interventions (MI), including music therapy and music medicine, have been proposed to reduce agitation in patients with dementia, yet evidence from randomized controlled trials (RCTs) and systematic reviews remains inconsistent. Moreover, the efficacy of MI may vary by method and professional involvement, which has not been fully examined. This study aimed to evaluate the effects of active MI conducted by music therapists or medical professionals on agitation in patients with dementia compared with those of general therapy (GT). RCTs published between January 1, 2010, and July 31, 2021, were identified from MEDLINE, PubMed, and the Cochrane Library. Study quality …

Embracing Imperfection And Stress As The Foundation For Growth, Excellence, And Well-Being In Dentistry, John W. Claytor Jr., Dds, Magd-Llsr, Facd

Journal of the American College of Dentists

Studies reveal that stress in dentistry begins early in training and may progress throughout a dentist’s career. Fear of managing patient dissatisfaction, demanding schedules, time constraints, staff issues, and the stressors of clinical dentistry all contribute to professional strain. Difficulties associated with perfectionistic tendencies, burnout, and mental health concerns remain ever-present challenges within the profession. This article discusses evidence-based strategies, coping skills, organizational approaches, and professional resources that may help mitigate the effects of stress in dentistry. Particular emphasis is placed on reducing stigma surrounding mental health care and supporting initiatives such as the Lorna Breen Heroes Foundation’s “Safe Haven” …

Diagnostic Accuracy Of Combined B-Mode Ultrasound, Color Doppler And Strain Elastography In Assessment Of Cervical And Axillary Lymph Nodes, Marwa Mostafa, Nihal M. Batouty, Amani Ezzat Mousa

Mansoura Medical Journal

Background: Lymphadenopathy is a common condition caused by many benign and malignant disorders; therefore, determining their nature is important in clinical setting. The objective of research is to assess diagnostic accuracy of B-mode ultrasound, color Doppler, and strain elastography in lymph nodes evaluation with pathological correlation and to determine cut-off value of strain ratio that differentiates benign from malignant nodes.

Methods: All patients underwent ultrasound examination, Doppler study and strain elastography in supine position using a high-frequency probe (6.2-12 MHz). Out of 80 enrolled patients, only 53 were subjected to biopsy from the lymph nodes, then their pathological results …

Extradigital Glomus Tumor Mimicking Incisional Neuroma After Total Knee Arthroplasty: A Case Report, James W. Li, Michael J. Sayegh, Heng Hong, Zhongyu Li

Stony Brook Orthopaedic and Musculoskeletal Journal

This case report describes a patient who was presented with severe incisional pain following an uncomplicated total knee arthroplasty. There was suspicion for an incisional neuroma; however, excisional biopsy revealed an extradigital glomus tumor. The patient had immediate symptom resolution post-operatively. Clinicians should maintain a suspicion for the possibility of extra-digital glomus tumors at sites of prior extremity surgery, causing exquisite tenderness and pain.

The Mitosis-Specific Antibody Anti-Phosphohistone-H3 (Phh3) And Its Relation To The Histopathological And Biological Characteristics Of Ameloblastoma And Ameloblastic Carcinoma, Husam Asadiq S. Alrumayh, Samar Soliman, Khadiga M. Ali, Hoda M Ismail, Azza Abbas El-Sissi

Mansoura Journal of Dentistry

Aim This study aimed to assess the immunohistochemical (IHC) expression of phosphohistone H3 (PHH3) in multicystic ameloblastoma (AB), unicystic AB and ameloblastic carcinoma (AC) and to investigate the mitotic activity difference between these lesions. Material and Methods This study was carried out on 30 cases, classified into three groups Group I 13 cases of multicystic AB. Group II 7 cases of unicystic AB Group III 10 cases of AC. These cases were selected from the Oral Pathology Department, Mansoura University and Cairo University archives from 2023 to 2024. Immunohistochemistry for PHH3 was done and the immunoreactivity was evaluated by the …

Evaluation Of Soft Tissue Response Of Two Different Provisional Prothesis Used For Immediate Load Full Arch Implant Prosthesis. Randomized Control Clinical Trial, Mubeen Jaafar Imran, Mohammed Hussein Raafat Abd Elfatah, Sally Elsayed Abdelsameaa, Moustafa Abdou Moustafa Elsyad

Mansoura Journal of Dentistry

Purpose: The study seeks to evaluate the gingival index (GI), probing depth (PD), plaque index (PI) for bar reinforced 3D printed provisional full arch and Milled PMMA (polymethyl methacrylate) provisional full arch prostheses. Materials and methods: This study involves immediate implant placement in completely edentulous mandibles using computer-guided surgery. Patients are selected based on CBCT evaluation, ensuring bone density between D1 and D3. A removable complete denture was first fabricated to restore the occlusal plane. A dual scan technique was used with radiopaque markers for digital planning. Virtual prosthesis planning was performed using Exocad software. A stackable surgical guide was …

Comparative Study Between High Performance Polymers Versus Metallic Definitive Obturator: A Finite Element Analysis, Mostafa S. Swedan

Mansoura Journal of Dentistry

Aim: This study investigates the mechanical performance of obturators fabricated from PEKKTON, PEEK, and traditional Cobalet-chromium materials using finite element analysis. Methods : One three dimensional finite element model was created for this study. Starting by cast laser scanning to create solid parts of the model "cortical, cancellous, mucosa, obturator, and partial denture" that to simulate restoration of maxillectomy defects. The model was subjected to average masticatory load of 200N distributed on the partial denture vertically and oblique. Results: The results of the three obturator materials showed too similar deformation and stresses distributions with small variation in values. The obturator …

The Use Of Pekk Versus Peek In The Fabrication Of Maxillary Definitive Obturators, Mostafa S. Swedan, Sherin F. Donia, Salah Af. Hegazy

Mansoura Journal of Dentistry

Purpose. This study aimed to evaluate the clinical performance of CAD-CAM-milled PEKK frameworks versus PEEK frameworks in the fabrication of clasp-retained maxillary obturators, assessing retention outcomes and patient satisfaction over a sixmonth follow-up period. Materials and Methods. Ten patients with maxillary defects (Armany class I) were randomly assigned to two equal groups (n=5). Group 1 received obturators with CADCAM- milled PEKK frameworks (Pekkton, Cendres+Métaux), while Group 2 received obturators with CAD-CAM-milled PEEK frameworks (Bio-HPP, bredent), both incorporating hollow bulb extensions fabricated from PMMA. A standardized digital workflow including exocad software design, and subtractive manufacturing was employed for all prostheses. Framework …

Extended Platelet Rich Fibrin In Mandibular Alveolar Ridge Splitting With Simultaneous Implant Placement, Faisal Hammad Nuhater Alshammary, Heba Abo-Elfetooh Elsheikh, Walid Abd El-Ghafar Al-Zordk, Noha Ahmed Mansour

Mansoura Journal of Dentistry

Purpose: To evaluate, both clinically and radiographically, the use of extended platelet-rich fibrin versus a pericardium membrane in mandibular ridge splitting accompanied by immediate implant placement.

Materials and Methods: A total of sixteen implants were placed in eight patients with horizontally atrophic posterior mandibular ridges measuring 3–6 mm in width were randomly assigned to two groups with equal numbers. Both groups underwent ridge splitting with simultaneous implant insertion. In Group I, the intercortical defect was grafted with bone allograft and covered using a pericardium membrane, while Group II received extended platelet-rich fibrin (e-PRF) membrane instead. Clinical assessment focused on assessment …

Influence Of Serum Vitamin D Levels On Marginal Bone Loss Around Unsplinted Mandibular Implant Overdentures: A Retrospective Study, Rahma El Hussany Mohammed El Desouky, Fatma Ahmad El-Waseef

Mansoura Journal of Dentistry

Objective: To investigate the impact of serum vitamin D levels on marginal bone loss (MBL) in patients restored with unsplinted-mandibular-implant overdentures using LOCATOR attachments. Materials and Methods: Thirty participants rehabilitated with three-implant-mandibular overdentures were included. Based on serum vitamin D at the time of prosthetic loading, participants were categorized into two equal groups: a test group with deficient vitamin D (< 20 ng/mL) and a control group with sufficient levels (≥30 ng/mL). Patients with borderline levels (21–29 ng/mL) were excluded. Peri-implant vertical (VBL) and horizontal bone loss (HBL) were measured at baseline (T0), 6 months (T6), and 12 months (T12). Results: The vitamin D-deficient group exhibited significantly elevated VBL and HBLover the sufficient group at all-time points (P

Cephalometric Norms And Sexual Dimorphism In The Tanzanian Population: A Comparative Study With Caucasian And West African Norms, Ali K. Hamad, Ferdinand M. Machibya, Matilda M. Mlangwa, David N. Ngassapa

Mansoura Journal of Dentistry

Objective: This study aimed to establish cephalometric norms for the Tanzanian population, assess sexual dimorphism in cephalometric measurements, and compare these findings with established Caucasian and West African norms to enhance orthodontic diagnosis and treatment planning. Materials and Methods: A crosssectional study was conducted on 309 subjects (142 males, 167 females) at Muhimbili University Dental Clinic. Cephalometric radiographs were digitally traced using Quick Ceph Studio. Reliability was assessed using the inter-class correlation coefficient. The Kolmogorov-Smirnov test checked normality, while one-sample t-tests and Student’s ttests (p < 0.05) were used for comparisons. Data were analyzed with RStudio. Results: Tanzanians showed significantly smaller craniofacial measurements than Caucasians. Males had larger skeletal dimensions than females. Compared to West Africans, Tanzanians had generally higher values, with a few exceptions. Conclusion: Tanzanians display distinct craniofacial characteristics, differing from both Caucasians and West Africans. These findings support the need for population-specific cephalometric norms to guide accurate orthodontic diagnosis and treatment.

สมรรถนะพยาบาลเฉพาะทางการบำบัดทดแทนไต : แนวทางการพัฒนาคุณภาพการดูแลผู้ป่วยโรคไตเรื้อรังระยะสุดท้าย, ชลชญา บุญจันทร์ตรี, ณัฐชมนต์ วรพัฒน์วัชรกุล

Journal of Nursing Research, Innovation, and Health

บทความวิชาการนี้เป็นการสังเคราะห์องค์ความรู้เกี่ยวกับสมรรถนะของพยาบาลเฉพาะทางการบำบัดทดแทนไตและแนวทางการพัฒนาคุณภาพการดูแลผู้ป่วยโรคไตเรื้อรังระยะสุดท้ายโดยทบทวนวรรณกรรมและเอกสารทางวิชาการที่เกี่ยวข้องทั้งในและต่างประเทศรวมถึงแนวปฏิบัติทางคลินิกและมาตรฐานวิชาชีพพยาบาลเพื่อนำเสนอกรอบสมรรถนะหลักที่จำเป็นสำหรับพยาบาลเฉพาะทางในการให้การดูแลผู้ป่วยที่ได้รับการบำบัดทดแทนไตทั้ง3รูปแบบได้แก่การฟอกเลือดด้วยเครื่องไตเทียม การล้างไตทางช่องท้อง และการปลูกถ่ายไต  ผลลัพธ์ที่ได้จากการศึกษาพบว่าสมรรถนะหลักของพยาบาลเฉพาะทางการบำบัดทดแทนไตประกอบด้วย 9 หัวข้อสำคัญ ได้แก่ 1)สมรรถนะด้านการปฏิบัติการพยาบาลทางคลินิก 2)สมรรถนะด้านเทคโนโลยีและทักษะการใช้เครื่องมือฟอกไต 3)สมรรถนะด้านการสอนและการให้คำปรึกษา 4)สมรรถนะด้านจริยธรรมและความเป็นมืออาชีพ 5)สมรรถนะด้านการใช้เทคโนโลยีสาร 6)สมรรถนะด้านการสื่อสารและการทำงานเป็นทีม 7)สมรรถนะด้านการป้องกันและควบคุมการติดเชื้อ 8)สมรรถนะด้านคุณภาพและงานวิจัย 9) สมรรถนะด้านผู้นำและบริหารจัดการการพัฒนาคุณภาพการดูแลสามารถดำเนินการผ่าน4แนวทางหลักคือการพัฒนาศักยภาพบุคลากรอย่างต่อเนื่องผ่านการฝึกอบรมและการพัฒนาทางคลินิกการจัดทำและใช้แนวปฏิบัติทางคลินิกที่เป็นมาตรฐานการพัฒนาระบบติดตามประเมินผลและตัวชี้วัดคุณภาพและการส่งเสริมการทำงานเป็นทีมสหสาขาวิชาชีพ ซึ่งส่งผลให้ผู้ป่วยได้รับการดูแลที่มีคุณภาพ ลดภาวะแทรกซ้อน และมีคุณภาพชีวิตที่ดีขึ้น

คำสำคัญ:โรคไตวายเรื้อรังระยะสุดท้าย/การบำบัดทดแทนไต/สมรรถนะพยาบาล/คุณภาพการดูแล

ปัญญาประดิษฐ์ : พลิกโฉมบทบาทใหม่พยาบาลวิชาชีพ, เสาวณีย์ เม่าทับ, ชนัดดา จำปาพันธ์ุ, จิราพร ธิมาเกตุ, ฉัตรตราภรณ์ หวังสาและ, นิรมล วงศ์ใหญ่, วาสินี วิเศษฤทธิ์

Journal of Nursing Research, Innovation, and Health

ในยุคแห่งการเปลี่ยนผ่านสู่เทคโนโลยีดิจิทัล ปัญญาประดิษฐ์ (Artificial Intelligence: AI) มิได้เป็นเพียงเครื่องมือที่ช่วยวิเคราะห์ข้อมูลเท่านั้น แต่กำลังพลิกโฉมบทบาทของวิชาชีพพยาบาลอย่างรอบด้าน บทความนี้มีวัตถุประสงค์เพื่อวิเคราะห์ผลกระทบของปัญญาประดิษฐ์ต่อบทบาทของพยาบาลระดับปฏิบัติการขึ้นไปผ่านกรอบแนวคิด 3 มิติ ได้แก่ มิติด้านการปฏิบัติงาน มิติด้านความสัมพันธ์และจริยธรรม และมิติด้าน อัตลักษณ์ทางวิชาชีพ  ผลการวิเคราะห์พบว่า มิติด้านการปฏิบัติงาน ปัญญาประดิษฐ์ปรับบทบาทพยาบาลจากผู้ปฏิบัติตามกระบวนการสู่ผู้วิเคราะห์และกำกับการใช้ข้อมูลเพื่อสนับสนุนการตัดสินใจทางคลินิกมิติด้านความสัมพันธ์และจริยธรรมแม้ปัญญาประดิษฐ์จะเพิ่มความแม่นยำในการประเมินและเฝ้าระวังภาวะสุขภาพแต่ยังมีข้อจำกัดในด้านความฉลาดทางอารมณ์ ซึ่งไม่สามารถทดแทนความเข้าอกเข้าใจ การสัมผัสและเอาใจใส่ต่อผู้ป่วยได้ สำหรับมิติด้านอัตลักษณ์ทางวิชาชีพ การประยุกต์ใช้ปัญญาประดิษฐ์นำไปสู่การปรับขอบเขตความเชี่ยวชาญของพยาบาลโดยจำเป็นต้องพัฒนาสมรรถนะด้านดิจิทัลและการคิดเชิงวิพากษ์ควบคู่กับการดูแลที่ยึดผู้ป่วยเป็นศูนย์กลาง บทความนี้เสนอแนวคิดว่า พยาบาลควรเป็นผู้ใช้ปัญญาประดิษฐ์อย่างมีวิจารณญาณ โดยยึดหลักแนวคิดการบูรณาการระหว่างศักยภาพมนุษย์และปัญญาประดิษฐ์เพื่อยกระดับบทบาทของพยาบาลให้ สามารถคิด วิเคราะห์ และสร้างนวัตกรรมการดูแลที่ผสมผสานระหว่างเทคโนโลยีและหัวใจของความเป็นมนุษย์ได้อย่างสมดุล