Background

Mental health nurses encounter distinctive occupational challenges that significantly influence their psychological well-being and resilience capacity. These challenges include managing patients with complex mental health conditions, navigating high-stress clinical environments, and addressing the substantial emotional demands inherent in psychiatric nursing practice. This study aimed to assess the psychological well-being and workplace resilience of nurses employed in mental health hospitals in Upper Egypt and to identify factors associated with these outcomes.

Methods

A cross-sectional study was conducted among 200 mental health nurses in mental health hospitals located in Assiut district, Upper Egypt. Data were collected through semi-structured questionnaires administered via direct interviews with study participants. Psychological well-being was measured using Ryff’s Psychological Well-Being Scale, while workplace resilience was assessed using the Resilience at Work Scale.

Results

The overall mean psychological well-being score was 4.32 ± 0.46. Among the psychological well-being dimensions, personal growth demonstrated the highest mean score (4.58 ± 0.81). The overall mean resilience at work score was 4.60 ± 0.56. Cooperative interaction exhibited the highest mean score (5.48 ± 0.54), whereas maintaining perspective showed the lowest mean score (3.67 ± 1.00). Significant predictors of both psychological well-being and workplace resilience included employment in university hospitals and higher socioeconomic status. Male gender emerged as a significant predictor of psychological well-being.

Conclusions

This study demonstrates that a substantial proportion of mental health nurses exhibit high levels of workplace resilience, while the majority demonstrate moderate levels of psychological well-being. Strengthening workplace resilience represents a critical strategy for healthcare organizations seeking to support the psychological well-being of mental health nursing staff. The results emphasize the essential role of organizational support and structured interventions in fostering workplace resilience and safeguarding the psychological well-being of mental health nurses.

Background and Objectives: Quality of life (QoL) among healthcare professionals (HCPs) is a critical determinant of workforce performance and patient care. Therefore, the present study aimed to assess QoL and its determinants among HCPs in the Hail region, Saudi Arabia. Methods: In this cross-sectional study, data were collected from 388 HCPs from multiple healthcare facilities using the WHOQOL-BREF questionnaire. The survey was conducted from August 2025 to October 2025. Convenience sampling was used, and QoL domain scores were calculated according to WHO guidelines. We applied Spearman’s correlation test to assess correlations across domains and logistic regression to identify factors associated with individual and overall QoL. Results: Among the HCPs studied, overall QoL had a median score of 80, while the physical, psychological, social, and environmental domains showed moderate scores with considerable variability. We found a significant positive correlation between the various QoL domains (p = 0.001). Non-Saudi nationals (p = 0.010) and participants with chronic diseases (p = 0.032) reported significantly lower overall QoL. Furthermore, age group, work experience, HCPs category, work setting, nationality, and the presence of chronic disease were significant predictors across multiple QoL domains. Conclusions: The findings highlight the need for targeted workplace and health support interventions to manage the mental and physical health of HCPs, particularly for non-Saudi HCPs and those with chronic conditions, through tailored training, education, and lifestyle-based support program

Background 

Pediatric patients with facial fractures are a unique challenge in terms of their treatment planning, which is different from that of adult patients. Early literature has advocated conservative closed management of pediatric facial fractures to prevent complications. However, recent advances in treatment have enabled us to use biodegradable plates and screws, which overcome the limitations of metallic plates.

Aim 

This study was conducted to evaluate the effectiveness of Inion CPS biodegradable plates and screws on pediatric facial fractures.

Patients and methods 

The study was conducted on 30 pediatric patients with maxillofacial fractures requiring open reduction and internal fixation. Fractures with infection and comminuted fractures were excluded. Patients were aged 3–12 years, 18 boys and 12 girls, with different types of trauma: 12 patients had suffered falls, 12 patients had middle cerebral artery (MCA), four patients had sports-related fracture; and two patients had assault-related fractures. The site of fracture was different: 18 patients had mandibular fractures, four patients had zygomatic complex fractures, four patients had orbital fractures, two patients had maxillary fractures (one isolated and the other with mandibular fracture), and one patient had frontal bone and sinus fractures (anterior wall). Fractures were plated with a biodegradable system (Inion CPS) using standard plating principles. Postoperative complications were assessed.

Results 

Satisfactory reduction was obtained in all patients, as judged from the position of the fracture segments in 24-h postoperative radiographs compared with all subsequently obtained images. The undisturbed reduction was considered as a marker of the stable fixation provided by the bioresorbable system. The screw holes visible as radiolucencies on the radiograph were also seen to maintain their position throughout the period of follow-up.

Conclusion 

In our study, we concluded that the use of Inion bioresorbable plates is effective in the treatment of facial fracture in pediatric patients. There was no complication and no growth disturbance in the follow-up period, which proves that bioresorbable plates provide stable fixation in children. Our data support the use of bioresorbable plate fixation in pediatric craniofacial surgery as a means of avoiding the potential and well-documented problems associated with rigid metal fixation.

Median cleft deformities of the lower lip and mandible are very rare congenital anomalies. Our patient had median cleft of the lower lip, mandible, and the chin with tongue duplication, ankyloglossia, and cleft strap muscles with 2 neck contracture bands. This anomaly was associated with congenital heart disease transposition of great vessels, large ventricular septal defect, and severe pulmonary stenosis. Early repair was done at 6 months to improve feeding.

Abstract:
Introduction: Reconstruction of soft tissue defects of the lower third leg and foot
presents a great challenge for the reconstructive surgeons. The distally based sural flap
provides a good option for coverage. However, some complications usually occur
specially venous congestion and edema, different modifications had made to reduce
complications and to increase the reliability and outcomes of the flap. Our goal is to
describe the most frequent errors and methods to overcome the incidence of these
complications. Some of these methods are supercharging the flap, delaying the
flap,exteriorize the lesser saphenous vein, leg elevation, orientation of the flap,
increasing the width of the pedicle, incorporating a gastrocnemius muscle cuff around
sural pedicle, lowering the pivot point or any other methods to overcome the incidence
of complication. Patients and methods: A total of 30 patients, there were 24 were
males(80%) and 6 were females(20%) , the average patient age was 37 yrs ( ranges from
5 to 69yrs ), in 14 patients defects were post traumatic skin defects (46%), in 6 patients
defects were due to unsteady scars(20%), in 5 patients skin defects were due to diabetic
ulcers(16.5%) , in 4 patients defects were trophic ulcers (13.5%) , and one patient had
post amputation raw area with exposed bone(4%).The reconstructed sites were the
weight-bearing heel in20 patients, the dorsum of the ankle in 4 patients, the dorsum of
the foot in 3 patients, and the mid foot in 1 patient, lower third of the leg in 2 patients.
Results: All patients were followed up for a period from 6 to 12 months (mean= 9
months), minor complications had occurred such as three cases (3cases) with superficial
epidermolysis (10%) (three cases need debridment one of them healed by secondary
intention and two need skin graft) , two cases (2cases) complicated with loss of the graft
on pedicle which need another skin graft(7%), one case (1case) with partial flap necrosis
at the distal part which need debridment and healed by secondary intention(3.5%), and
two cases (2cases) with partial dehiscence of the flap which treated by debridment and
restitch (7%) .The flaps usually healed eventually by 3rdto 4th week but full weight
bearing on them postponed up to 6th or 8th week and the patients were satisfied with the
functional and aesthetic outcomes. Conclusion: The distally based the sural flap is a
versatile flap for the reconstruction of soft tissue defects of the lower leg and heel.
Despite its complications, some modifications are available to overcome these
complications and increase its reliability.
Key words:
Sural flap, foot and
ankle
reconstruction
2
However, fasciocutaneous flaps; first
reported by
Ponten in 1981; are excellent option in
the repair of these soft-tissue defects,
(1).
The distally based
suralfasciocutaneous flap was;
introduced by Donski and Fogdestam
in 1983; one of the earliest
fasciocutaneous flaps used.(2).The
sural flap acts as an axial flap and has
3 sources of nutrition: the vascular
plexus of the deep fascia; the median
superficial sural artery, which follows
the medial sural nerve; and the arteries
that follow the lesser saphenous vein.
Venous return is ensured by the lesser
saphenous vein, which may be used as
a distal pedicle to provide reverse flow.
This vein must be preserved at least as
high as the caliber perforator of the
fibular artery, which is located 5 cm
above the lateral malleolus and spreads
with the medial superficial sural
artery,(3).Masquelet, et al then
reintroduced the sural flap in 1992
with a complete concise description of
the relevant anatomy and the surgical
procedure. After the work of
Masquelet, et al the distally based
suralfasciocutaneous flap has become a
mainstay in the reconstruction of the
lower leg, heel and foot, (4).
An advantage of the sural flap over
other flaps