{
  "abstract": "Background\n\nAcute fractures often require prolonged immobilization, which is frequently associated with significant pain and physical discomfort. This study aimed to evaluate the efficacy of an innovative birch sawdust-plaster mixture in reducing pain and improving clinical outcomes compared with traditional plaster of Paris.Materials and methods\n\nA single-blind, true experimental design was conducted between May and September 2025 in Baghdad, Iraq. A total of 56 adult patients with upper limb fractures who met the inclusion criteria were recruited and randomly allocated into two groups: the intervention group (n = 27, sawdust-plaster back-slab) and the control group (n = 29, traditional back-slab). Randomization was achieved using sequentially numbered, opaque, sealed envelopes. Data were collected using a sociodemographic sheet and the Visual Analogue Scale (VAS). Statistical analysis was performed using SPSS version 30 employing independent t-tests and Chi-square tests to compare outcomes.Results\n\nThe intervention group demonstrated a statistically significant reduction in pain scores (25.24 \\pm 4.1) compared with the control group (31.53 \\pm 5.2; P = 0.039). In addition, the intervention group reported a shorter duration to reach clinical comfort (24.37 days) and a higher prevalence of mild pain levels (77.8%) postintervention. While age influenced pain perception in the intervention group, the primary improvements were attributed to the material's properties.Conclusions\n\nThe sawdust-plaster mixture is significantly more effective than traditional casting in reducing pain and accelerating clinical recovery. To improve patient outcomes, we propose that healthcare facilities integrate this low-cost and sustainable mixture into standard orthopedic protocols. Furthermore, it is recommended that nursing professionals and policy-makers advocate for the use of such eco-friendly materials to enhance patient satisfaction and minimize the physical burden of immobilization.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Adult Nursing, College of Nursing, University of Baghdad, Baghdad, Iraq."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rasool R Lafta"
    },
    {
      "affs": [
        0
      ],
      "name": "Haider M Majeed"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/dxmbsy5g8rwzj.bib",
  "cited_by": 0,
  "doi": "10.4103/jehp.jehp_2339_25",
  "fulltext_url": "https://europepmc.org/articles/PMC13690106",
  "id": "dxmbsy5g8rwzj",
  "issns": [
    "2277-9531",
    "2319-6440"
  ],
  "landing_url": "https://europepmc.org/article/MED/42924301",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7214974015",
  "pdf_url": "https://europepmc.org/articles/PMC13690106?pdf=render",
  "pmcid": "PMC13690106",
  "pmid": "42924301",
  "published": "2026-09-30",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/dxmbsy5g8rwzj.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:36Z",
      "native_id": "MED:42924301",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42924301"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Bone fractures and treatments",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Efficacy of new a novel sawdust-plaster material related to improved pain reduction and healing among fracture patients: A randomized clinical trial.",
  "title_text": "Efficacy of new a novel sawdust-plaster material related to improved pain reduction and healing among fracture patients: A randomized clinical trial.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:36Z",
  "url": "https://research.draconitic.com/paper/dxmbsy5g8rwzj",
  "venue": "Journal of education and health promotion",
  "versions": []
}