SAGE Open Medicine最新文献

{"title":"Factors affecting the survival rate after living donor liver transplantation in the country of Georgia.","authors":"Marika Mortuladze, Sophio Beridze, Kakhaber Kashibadze, George Kamkamidze, Lela Shengelia","doi":"10.1177/20503121261463213","DOIUrl":"10.1177/20503121261463213","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to evaluate factors influencing survival after LDLT in Georgia and to identify underlying causes and strategies for improved outcomes.</p><p><strong>Methods: </strong>A cross-sectional retrospective study including 103 living donor recipients transplanted <b>between December 2014 and July 2024</b> was conducted. Survival was analyzed from the date of transplantation to death or censoring at the last available follow up. Kaplan Meier methods were used to estimate overall survival at 1, 3 and 5 years. Cox proportional hazards regression was used to evaluate factors associated with mortality.</p><p><strong>Results: </strong>Overall survival (OS) declined significantly during the first post-transplant year. Kaplan Meier estimated patient survival was 72.8 percent at 1 year, 64.5 percent at 3 years and 63.0 percent at 5 years. The number at risk was 71 at 1 year, 47 at 3 years and 29 at 5 years. Among 103 LDLT recipients, 38 deaths occurred and 65 patients were censored alive during follow up. Median observed follow up was 878 days, IQR 286 to 1989. In the primary Cox proportional hazards model, intra or postoperative complications were associated with higher mortality, adjusted HR 2.67, 95 percent CI 1.38 to 5.16, p = 0.004. HCC was also associated with higher mortality, adjusted HR 3.37, 95 percent CI 1.65 to 6.91, p = <0.001. Schoenfeld residual based tests did not indicate violation of the proportional hazards assumption.</p><p><strong>Conclusion: </strong>This study offers valuable insight into post-transplant LDLT outcomes in Georgia. Identification of key clinical risk factors highlights opportunities for targeted intervention. Given that Georgia's short-term survival rates remain lower than those reported in high-income countries, optimizing modifiable risk factors may improve long-term outcomes.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261463213"},"PeriodicalIF":2.2,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of mind mapping in undergraduate nursing education: A quasi-experimental study.","authors":"Zeenat Mesk, Mohammad Qtait, Nesreen Alqaissi, Ahmad Amro, Mahmood Asafrah, Fayez Zeedat, Hasan Zeedat, Mohammad Daoud, Dana Asafrah, Nour Hmedat","doi":"10.1177/20503121261462854","DOIUrl":"10.1177/20503121261462854","url":null,"abstract":"<p><strong>Background: </strong>Anatomy and physiology courses are cognitively demanding and may be associated with academic difficulty and reduced motivation among undergraduate nursing students. Learner-centered strategies, including mind mapping, may enhance learning by supporting active knowledge construction, conceptual integration, and engagement.</p><p><strong>Aim: </strong>This study evaluated the effectiveness of mind mapping on academic achievement and motivation among undergraduate nursing students enrolled in an Anatomy and Physiology I course. A secondary exploratory aim was to examine whether improved outcomes could be achieved without increased self-reported study time.</p><p><strong>Methods: </strong>A quasi-experimental, non-randomized controlled design was conducted during the 2024-2025 academic year among undergraduate nursing students at Palestine Polytechnic University, Palestine. Participants were allocated to an experimental group receiving mind mapping-based instruction (n = 41) or a control group receiving traditional lecture-based teaching (n = 41). Academic achievement was assessed using a structured post-test aligned with course learning outcomes. Motivation was measured using a validated questionnaire at the end of the intervention only. Weekly study time was assessed using a self-reported categorical item. Independent-samples t-tests and chi-square tests were used, with effect sizes and 95% confidence intervals calculated.</p><p><strong>Results: </strong>The experimental group achieved significantly higher academic achievement scores (M = 22.07, SD = 4.20) than the control group (M = 20.15, SD = 3.21), t (80) = 2.33, p = .022, Cohen's d = 0.52. Motivation scores were also higher in the experimental group (M = 4.02, SD = 0.36) than the control group (M = 3.58, SD = 0.66), t (80) = 3.26, p = .002, Cohen's d = 0.75. Weekly study time did not differ significantly, χ² (3) = 5.93, p = .205.</p><p><strong>Conclusion: </strong>Mind mapping improved academic achievement and post-intervention motivation. However, learning-efficiency findings should be interpreted cautiously because study time was self-reported and efficiency was not directly measured.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261462854"},"PeriodicalIF":2.2,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of probiotics and synbiotics supplementation on bone health; an umbrella review of systematic reviews and meta-analysis.","authors":"Mahdi Mazandarani, Narges Lashkarbolouk, Hanieh-Sadat Ejtahed, Azadeh Dehghani, Roghayeh Molani-Gol, Shirin Hasani-Ranjbar, Bagher Larijani","doi":"10.1177/20503121261460585","DOIUrl":"10.1177/20503121261460585","url":null,"abstract":"<p><strong>Background: </strong>The effects of probiotics and synbiotics on bone health remain uncertain due to conflicting results across existing systematic reviews and meta-analyses (SRs/MAs).</p><p><strong>Methods: </strong>PubMed/Medline, Cochrane, and Web of Science were searched through February 2025. SRs/MAs on probiotics or synbiotics for bone health were included. An umbrella review with meta-analysis of pooled effect sizes was conducted using random-effects models: Hedges' g for bone mineral density (BMD) and muscle mass, and mean difference for muscle strength. Heterogeneity was assessed via I², and AMSTAR2 rated confidence. PROSPERO ID: CRD42025636002.</p><p><strong>Results: </strong>Our initial search identified 930 articles (488 from PubMed/MEDLINE, 260 from Web of Science, and 182 from Cochrane). After removing duplicates and screening titles, abstracts, and full texts, sixteen systematic reviews and meta-analyses were included (with 3,245 participants), and only human studies were considered for meta-analysis. Most studies investigated <i>Lactobacillus</i> and <i>Bifidobacterium</i> strains as probiotics. Probiotics and synbiotics supplementation significantly improved BMD (Weighted mean difference (WMD) = 0.39, 95% Confidence interval (CI): 0.14, 0.63, p = 0.002), muscle mass (WMD = 0.46, 95% CI: 0.23, 0.68, p < 0.001), and muscle strength (WMD = 1.99, 95% CI: 0.42, 3.57, p = 0.013). Subgroup analyses identified BMD measurement site, number of studies, sample size, and gender as sources of heterogeneity. According to AMSTAR2, 11 reviews were rated as high confidence, one as moderate confidence, and four as low confidences.</p><p><strong>Conclusion: </strong>Probiotic/synbiotic supplementation showed modest, statistically significant BMD benefits, but with substantial heterogeneity. Findings for muscle mass and strength were based on a few meta-analyses, showed high heterogeneity, and sensitivity analyses nullified significance. Current evidence does not support clinical recommendations for probiotics/synbiotics in bone health prevention.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261460585"},"PeriodicalIF":2.2,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of voluntary chronic alcohol consumption on Th1/Th2 cytokine signature during adolescence in Sprague-Dawley Rats.","authors":"Kutlwano Moeketsi, Bongani B Nkambule, Kennedy H Erlwanger, Xitsakiso E Mabasa, Muzi J Maseko, Tawanda M Nyambuya","doi":"10.1177/20503121261434123","DOIUrl":"10.1177/20503121261434123","url":null,"abstract":"<p><strong>Background: </strong>Chronic alcohol use is a global health concern with adverse effects on immune function, potentially altering the T-helper (Th)1/Th2 axis. This study modelled chronic alcohol consumption using Sprague-Dawley (SD) rats to determine whether chronic alcohol consumption during adolescence skews Th1/Th2 cytokine release.</p><p><strong>Methods: </strong>A two-bottle choice rat model was used for voluntary adolescent alcohol intake. Twenty (<i>n</i> = 20) male SD rats aged 25 days were randomised into alcohol (20% w/v) and control groups (<i>n</i> = 10/group) for 30 days. Blood was collected at termination via cardiac puncture. Th1/Th2 cytokines were analysed using the Rat LEGENDplex™ Panel (9-plex) kit and BD Accuri™ C6 flow cytometer. An unpaired two-tailed student's <i>t</i>-test compared the cytokine level between the groups.</p><p><strong>Results: </strong>White blood cell and lymphocyte counts were elevated in the alcohol group, while platelet counts decreased (<i>p</i> < 0.05). Interleukin (IL)-2 (<i>p</i> = 0.0390) and interferon-γ (<i>p</i> = 0.0292) were lower in the alcohol group. Similarly, IL-5 (<i>p</i> = 0.0189), IL-6 (<i>p</i> = 0.0284) and IL-10 (<i>p</i> = 0.0117) levels decreased.</p><p><strong>Conclusion: </strong>Chronic voluntary alcohol consumption during adolescence does not skew the immune response towards Th1 or Th2 cytokine release. Instead, it is associated with an overall decrease in the levels of Th1/Th2 cytokines, thus suggesting the immune-suppressive effect of alcohol.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261434123"},"PeriodicalIF":2.2,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time to death and its predictors among adults on mechanical ventilation at Hiwot Fana comprehensive specialized hospital, eastern Ethiopia: A retrospective cohort study.","authors":"Rahma Esmael, Behailu Hawulte Ayele, Adisu Birhanu Weldesenbet","doi":"10.1177/20503121261460591","DOIUrl":"10.1177/20503121261460591","url":null,"abstract":"<p><strong>Introduction: </strong>Mechanical ventilation is an essential lifesaving intervention for patients with severe illness. Mortality among patients receiving mechanical ventilation is high in low-resource settings, including Ethiopia. Evidence on predictors of time to death in such settings is limited. Therefore, this study aimed to assess time to death and its predictors among adult patients receiving mechanical ventilation in intensive care unit at Hiwot Fana comprehensive specialized Hospital, Eastern Ethiopia.</p><p><strong>Method: </strong>An institution-based retrospective cohort study was conducted among 586 mechanically ventilated adult patients. Data were collected using structured checklist. Time to event analysis was performed using cox proportional hazards model to identify predictors of time to death. The proportional hazard assumption was assessed using schoenfeld residuals. Adjusted hazard ratios with 95% confidence interval were used to quantify associations.</p><p><strong>Results: </strong>The incidence density of mortality was 6.74 per 100 person-days observations (95% CI: 5.92-7.68). Factors associated with a higher hazards of death included platelet count less than 150,000*10⁶/L (Adjusted Hazard Ratio (AHR)=1.74, 95% CI: 1.26-2.40), cardiovascular failure during mechanical ventilation (AHR=1.62, 95% CI: 1.08-2.43), cardiopulmonary resuscitation (AHR=2.36, 95% CI: 1.71-3.31), vasopressor use (AHR=2.94, 95% CI: 2.02-4.27), and higher fraction of inspired oxygen at initiation of mechanical ventilation (AHR=1.01, 95% CI: 1.007-1.019) had higher risk of death. Gastrostomy was associated wit lower hazard of death (AHR=0.35, 95% CI: 0.18-0.68).</p><p><strong>Conclusion: </strong>Several clinical and treatment related factors were associated with time to death among mechanically ventilated Intensive Care Unit (ICU) patients. Close monitoring and appropriate management of high risk patients are essential needed.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261460591"},"PeriodicalIF":2.2,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13276226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between hospital overcrowding-related stress and self-reported medical errors among nurses in government healthcare facilities.","authors":"Khalaf Awwad, Mohammad Qtait, Nesreen Alqaissi","doi":"10.1177/20503121261462807","DOIUrl":"10.1177/20503121261462807","url":null,"abstract":"<p><strong>Background: </strong>Hospital overcrowding is a patient-safety concern in resource-constrained health systems, where limited bed capacity, staffing shortages, high patient acuity, and weak organizational support increase pressure on nurses. Although international evidence links crowded clinical environments with nurse stress, workload pressure, burnout, and patient-safety risks, limited evidence from Palestine has examined overcrowding-related stress as a distinct factor associated with self-reported medical errors among nurses.</p><p><strong>Objective: </strong>This study aimed to examine the association between hospital overcrowding-related stress and self-reported medical errors among nurses working in government healthcare facilities in the West Bank, Palestine.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted between January and March 2025 among nurses working in five West Bank government hospitals. Of 220 distributed questionnaires, 213 were completed and analyzed, yielding a response rate of 96.8%. Data were collected using a structured self-administered questionnaire assessing sociodemographic characteristics, overcrowding-related stress, and self-reported medical errors. Data were analyzed using descriptive statistics, correlation analysis, and binary logistic regression, with significance set at p < 0.05.</p><p><strong>Results: </strong>The mean age was 31.07 years (SD = 7.77). Most participants were male (68.1%), married (59.2%), held a bachelor's degree in nursing (65.7%), and had 6-10 years of experience (31.9%). Very extreme overcrowding-related stress was reported by 49.3%, followed by extreme stress (27.7%), moderate stress (19.7%), and no stress (3.3%). The mean stress-category score was 3.23 (SD = 0.88). Overcrowding-related stress was weakly but significantly associated with self-reported medical errors (r = 0.326, p < 0.001), explaining 10.6% of the variance. In adjusted regression, marital status and years of experience were significant predictors, although confidence intervals were wide.</p><p><strong>Conclusion: </strong>Overcrowding-related stress was common and weakly but significantly associated with self-reported medical errors. Findings support staffing review, workload management, early-career nurse support, and non-punitive error reporting.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261462807"},"PeriodicalIF":2.2,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13276222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of COVID-19 vaccination before 12 weeks of gestation with ultrasound-detected congenital anomalies compared with later or no vaccination: A registry-based cohort study.","authors":"Seyed-Abdolvahab Taghavi, Fatemeh Bazarganipour, Mohammad Moradi-Joo, Zahra Seyedi, Fatemeh Dabiri, Leila Bozorgian, Leila Manzori","doi":"10.1177/20503121261460259","DOIUrl":"10.1177/20503121261460259","url":null,"abstract":"<p><strong>Objective: </strong>Our objective was to evaluate the occurrence of congenital anomalies in pregnant women who received at least one dose of COVID-19 vaccine from conception up to 11^w and 6^d in comparison to those vaccinated after 12 weeks of pregnancy or not vaccinated at all.</p><p><strong>Methods: </strong>This study is a Registry-Based Cohort Study carried out in the cities of Yasuj and Hormozgan, Iran. Participants involved divided into three groups for analysis: unvaccinated individuals, vaccinated during the teratogenic window (defined as women who received at least one dose of COVID-19 vaccine from conception up to 11^w and 6^d) and participants who received the vaccine after the first 12 weeks of pregnancy, (categorized as women vaccinated outside the organogenesis period). The primary outcome was congenital anomalies, which were identified as the presence of at least one birth defect detected prenatally through ultrasound.</p><p><strong>Results: </strong>Overall, most congenital anomalies were rare and occurred at very low frequencies across groups. Atrioventricular septal defects (AVSD) were observed more frequently in women vaccinated within the teratogenic window compared with unvaccinated women (SMD = 0.22). Cleft palate also occurred slightly more frequently in this group (SMD = 0.13). For all other anomalies, effect sizes were small (SMD < 0.15) and no clinically meaningful differences were observed.</p><p><strong>Conclusion: </strong>This study provides preliminary descriptive evidence regarding the occurrence of congenital anomalies following COVID-19 vaccination during early pregnancy. Because of the low number of events and the exploratory nature of the analyses, no causal inference can be made.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261460259"},"PeriodicalIF":2.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using latent class analysis to identify subgroups of postoperative older adults.","authors":"Kevin H McLaughlin, Amie Bettencourt, Daniel Young, Erik Hoyer, Michael Friedman, Elizabeth Colantuoni, Lee A Goeddel, Pedro Gozalo","doi":"10.1177/20503121261457291","DOIUrl":"10.1177/20503121261457291","url":null,"abstract":"<p><strong>Objective: </strong>Identify subgroups of postoperative older adults using a latent class analysis (LCA) of routinely collected patient data, including preoperative frailty and postoperative mobility.</p><p><strong>Methods: </strong>Retrospective analysis of routinely collected data for adults 65 years and older (N=2,036) admitted to the hospital following surgery at our institution. We utilized LCA to identify patient subgroups based on routinely collected measures of frailty, mobility, activities of daily living, and general health status. We compared hospital outcomes between the identified groups, including extended length of stay (LOS) (>0.5 SD beyond mean LOS by surgical category), discharge disposition (i.e., home versus non-home discharge), and utilization (weekly visit frequency) of physical therapy (PT) and occupational therapy (OT).</p><p><strong>Results: </strong>We identified 3 subgroups of patients that we labeled Low Frailty-High Mobility (LF-HM), High Frailty-Low Mobility (HF-LM), and Low Frailty-Low Mobility (LF-LM), representing 15.3%, 27.6%, and 57.1% of the cohort, respectively. Discharge to home was highest among the LF-HM group (99%), followed by LF-LM (96%), and HF-LM (77%). Extended LOS was most common among the HF-LM group (27%), followed by LF-LM (18%), and LF-HM (6%). PT and OT visit frequencies were highest in the HF-LM group followed by the LF-LM and LF-HM groups.</p><p><strong>Conclusions: </strong>This study identified 3 subgroups of postoperative older adults using routinely collected patient data. These groups may help to explain variations in hospital outcomes that have not been adequately explained using measures of preoperative or postoperative measures alone. These results may be useful in developing tailored postoperative care for older adults.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261457291"},"PeriodicalIF":2.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of critical care nurses' emotional intelligence on patient safety at King Fahad Hospital in Jazan province.","authors":"Saudah Dibaji, Nawal Dibaji, Layla Atti, Fatimah Moqri, Balgees Makin, Ohud Shutayfi, Gameela Ogdi, Bijesh Yadav, Imran Ali Khan","doi":"10.1177/20503121261445212","DOIUrl":"10.1177/20503121261445212","url":null,"abstract":"<p><strong>Objective: </strong>Emotional intelligence plays an essential role in working nurses towards communication, decision-making on critical issues in high-stress environments, and collaborating with colleagues. Higher emotional intelligence nurses provide safe and high-quality care towards patient safety. This study was designed to be implemented on the premises of Jazan at King Fahad Hospital to examine the emotional intelligence in working nurses and how they deal with the patients.</p><p><strong>Methods: </strong>In this cross-sectional study, 132 individuals were recruited among working nurses based on the recommended sample size formula. Data were collected using the self-administered questionnaire from all the participated individuals after signing the consent form. This study was carried out between August 2024 and September 2024. Three scales, such as demographic data, the emotional intelligence questionnaire, and Patient Safety Scales, were used to measure the study variables with the help of a five-point Likert scale. Emotional intelligence levels were categorized as low, moderate, and high, while patient safety was assessed through adherence to safety practices.</p><p><strong>Results: </strong>The results of this study confirmed that emotional intelligence has a high mean value of 3.91 ± 0.57, and the Patient Safety Scale also showed 3.73 ± 0.48 levels. Correlation analysis confirmed the positive association between emotional intelligence and Patient Safety Scale (<i>r</i> = 0.68; <i>p</i> < 0.001). Bivariate analysis also showed the significant association between emotional intelligence and Patient Safety Scale in different variables studied (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>This study validates that emotional intelligence is a significant determinant of patient safety among critical care nurses in Jazan. Nurses with high emotional intelligence are superior at handling stress, clear communication, and sounding clear in making clinical decisions, all of which contribute to safer patient care in high-stress environments. Health care organizations should focus on developing emotional intelligence through structured training programs, incorporate emotional competencies into nursing education, and tackle organizational obstacles that prevent the implementation of individual emotional skills to enhance system-level safety, as these measures can lead to improved patient outcomes and a more resilient healthcare workforce. These efforts aligned with the goals of Saudi Vision 2030, which aims to enhance the improvement of the quality of healthcare and patient safety in the Kingdom.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261445212"},"PeriodicalIF":2.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13269979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-to-delivery interval and associated factors among women undergoing emergency caesarean section in public hospitals of West and North Gojjam Zones, Northwest Ethiopia: A cross-sectional study, 2024.","authors":"Nurlign Zelalem, Mulunesh Alemayehu, Mulatu Kassahun, Bekalu Endalew, Daniel Mulat Eshetu, Alehegn Chalie, Andinet Bewketu, Gedefaw Diress","doi":"10.1177/20503121261460552","DOIUrl":"10.1177/20503121261460552","url":null,"abstract":"<p><strong>Background: </strong>The decision-to-delivery interval is the time between the decision to perform an emergency cesarean section and the delivery of the newborn. Prolonged decision-to-delivery interval increase the risk of adverse maternal and neonatal outcomes, including fetal hypoxia, neonatal morbidity, and maternal complications. World Health Organization recommend that delivery should occur within 30 minutes when there is an immediate threat to the life of the mother or fetus. According to the World Health Organization classification, emergency cesarean sections are categorized based on urgency, with Category 1 indicating an immediate threat to maternal or fetal life requiring rapid intervention. However, achieving the recommended decision-to-delivery interval remains challenging in low-resource settings. Therefore, this study aimed to assess delayed decision-to-delivery interval and identify factors among women undergoing emergency cesarean section in public hospitals, Northwest Ethiopia.</p><p><strong>Methods: </strong>Institution-based cross-sectional study was conducted from January to March 2024 among 523 women who underwent emergency cesarean section in public hospitals. Participants were selected using systematic random sampling. Data were collected using a pretested interviewer-administered questionnaire, medical record review, and an observational checklist assessing operating room readiness and availability of surgical materials. Data were entered into Epi-Data and analyzed using SPSS. Binary logistic regression analysis was used to identify factors.</p><p><strong>Result: </strong>The proportion of delayed decision-to-delivery interval (>30 minutes) was 79.9% (95% confidence interval: 76.2-83.3). Non-availability of operating room materials (adjusted odds ratio= 12.0; 95% confidence interval: 1.6-89.7), lack of a free operating room (adjusted odds ratio = 4.9; 95% confidence interval: 2.27-10.47), and cesarean section performed by integrated emergency obstetric surgeons (adjusted odds ratio = 2.98; 95% confidence interval: 1.03-8.62) were significantly associated with delayed.</p><p><strong>Conclusion: </strong>Only one-fifth of emergency caesarean sections met the recommended 30-minute standard. Delays were mainly related to operating room availability, shortages of surgical materials, and surgery performed by integrated emergency obstetric surgeons rather than gynaecologists. Addressing these system-level and human resource constraints, and conducting further qualitative or quality improvement studies, is recommended.</p>","PeriodicalId":21398,"journal":{"name":"SAGE Open Medicine","volume":"14 ","pages":"20503121261460552"},"PeriodicalIF":2.2,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148252868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}