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Hyperinsulinemic–Normoglycemic Technique In Patients With Cirrhosis Undergoing Hepatic Resection: A Randomized Controlled Trial, Magdy K. Khalil, Maha L. El-Sheikh, Mohammed H. Afifi, Mohammed Z. Khalil
Hyperinsulinemic–Normoglycemic Technique In Patients With Cirrhosis Undergoing Hepatic Resection: A Randomized Controlled Trial, Magdy K. Khalil, Maha L. El-Sheikh, Mohammed H. Afifi, Mohammed Z. Khalil
Menoufia Medical Journal
Objective To evaluate the efficacy of hyperinsulinemic–normoglycemic clamp technique (HNCT) versus the insulin sliding scale for glycemic control in patients with cirrhosis undergoing hepatic resection. Backgrounds There is a consensus in the published literature about the increased risk of hyperglycemia among patients undergoing hepatic resection. Previous reports have established the significant association between hyperglycemia and the extent of hepatic injury in hepatectomized patients. Patients and methods A randomized controlled trial was conducted on 60 patients with cirrhosis who underwent hepatic resection. Patients were randomly assigned to either HNCT group control (n = 30) or insulin sliding scale group ( …
Visceral Adiposity And Insulin Resistance In The Prediction Of Gestational Diabetes Mellitus In Early Pregnancy: A Prospective Observational Study, Abeer E. Abo El-Fetouh, Alaa E. Elahalaby, Ibrahim Saif Elnasr, Osama A. Elkelani
Visceral Adiposity And Insulin Resistance In The Prediction Of Gestational Diabetes Mellitus In Early Pregnancy: A Prospective Observational Study, Abeer E. Abo El-Fetouh, Alaa E. Elahalaby, Ibrahim Saif Elnasr, Osama A. Elkelani
Menoufia Medical Journal
Objective The aim was to study the relationship between abdominal adiposity and insulin resistance in the prediction of gestational diabetes mellitus (GDM) in early pregnancy. Background There is a positive association between high prepregnancy BMI and risk of GDM. Patients and methods This prospective cohort study included 83 women at 11–14 weeks for abdominal adiposity measurement and at 16–22 weeks for oral glucose tolerance test measurement. The patients were divided into two groups: group 1included patients who did not develop GDM and group 2included patients who developed GDM. This study was conducted at the Obstetrics and Gynecology Department, Menoufia University …
Three-Dimensional Sonographic Assessment Of Placental Volume And Vascularization In Pregnancies Complicated By Hypertensive Disorders, Abd Elhamid E. Shaheen, Emad A. Soliman, Hamed H. E. Yassin, Mohammed A. Emarah
Three-Dimensional Sonographic Assessment Of Placental Volume And Vascularization In Pregnancies Complicated By Hypertensive Disorders, Abd Elhamid E. Shaheen, Emad A. Soliman, Hamed H. E. Yassin, Mohammed A. Emarah
Menoufia Medical Journal
Objective The aim was to compare placental volumes (PVs) and vascularization between normotensive pregnant women and women with hypertensive disorders using three-dimensional sonography. Background Hypertensive disorders in pregnancy are responsible for substantial maternal and fetal morbidity and mortality. Materials and methods This study was conducted at the Outpatient Clinic and Obstetric Departments of Shebin El Kom Teaching Hospital from February 2017 to January 2018. This study included 60 pregnant women, among which 20 were with normal blood pressure which served as the control group (group 1) and 20 were having chronic hypertension (group 2), and 20 with mild preeclampsia (group …
Assessment Of Metabolic Bariatric Surgery For The Remisson Of Obesity And Type 2 Diabetes, Abd Al-Kareem Elias, Adel M. Khalf, Farag Khalil
Assessment Of Metabolic Bariatric Surgery For The Remisson Of Obesity And Type 2 Diabetes, Abd Al-Kareem Elias, Adel M. Khalf, Farag Khalil
Menoufia Medical Journal
Objectives The aim of this study was to assess the short-term remission of both obesity and type 2 diabetes (T2D) after metabolic bariatric surgery (MBS). Background The prevalence of obesity is increasing at a rapid rate internationally, paralleled with an increase in the number of people with T2D. Bariatric surgery may induce a lot of anatomical, physiologic, and hormonal changes that improve diabetes with obesity, with durable effects. Patients and methods This study includes 20 obese diabetic patients who underwent MBS treatment of obesity and T2D. Surgical outcome, weight loss, glycated hemoglobin level, comorbidities, and complications were recorded. Patients were …
Correlation Between Second And Third Trimester Placental Thickness With Ultrasonographic Gestational Age, Abdel Hamid E. Shahin, Ahmed N. Abdelhamid, Mohammed A. Zerban, Tarek M. Sayyed
Correlation Between Second And Third Trimester Placental Thickness With Ultrasonographic Gestational Age, Abdel Hamid E. Shahin, Ahmed N. Abdelhamid, Mohammed A. Zerban, Tarek M. Sayyed
Menoufia Medical Journal
Objectives The objective of this study was to evaluate the correlation between placental thickness in the second and third trimesters with gestational age, weight, and fetal outcome. Background Ultrasonography enables the evaluation of the placenta and the detection of placental abnormalities using different parameters such as placental thickness and volume or special techniques like three-dimensional power Doppler. Materials and methods This cohort study was conducted at the Departments of Obstetrics and Gynecology of Menoufia University Hospitals and Shebien Elkom Teaching Hospital from June 2017 to May 2018. This cohort study comprised 100 pregnant women who were attending the antenatal clinic …
Incidence And Pattern Of Ocular Trauma Among Ophthalmic Patients In Menoufia University Hospitals, Ahmad Al-Kamel Hamed, Amin F. A. Ellakwa, Hoda M. K. El-Sobky, Moataz F. A. El-Sawy
Incidence And Pattern Of Ocular Trauma Among Ophthalmic Patients In Menoufia University Hospitals, Ahmad Al-Kamel Hamed, Amin F. A. Ellakwa, Hoda M. K. El-Sobky, Moataz F. A. El-Sawy
Menoufia Medical Journal
Objectives The aim of this study was to determine the incidence and pattern of ocular trauma among ophthalmic patients who presented to Menoufia University Hospitals. Background Ocular trauma is a major preventable cause for monocular morbidity and blindness worldwide. Patients and methods This was a prospective study estimating patients who sustained ocular trauma within a 1-year period (January 2016–December 2016); the association between variables was checked by the χ2 test. Results A total of 1138 eyes of 1129 patients had sustained ocular trauma in a 1-year period (2016). The incidence of ocular trauma was 6.1%, and hospitalized patients accounted …
Evaluation Of Dorsal Metacarpal Artery Perforator Flaps In The Reconstruction Of Hand Soft-Tissue Defects, Medhat S. Aly, Shawky S. Gad, Tamer H. Al-Baz, Tarek F. Keshk
Evaluation Of Dorsal Metacarpal Artery Perforator Flaps In The Reconstruction Of Hand Soft-Tissue Defects, Medhat S. Aly, Shawky S. Gad, Tamer H. Al-Baz, Tarek F. Keshk
Menoufia Medical Journal
Objective Evaluation of the dorsal metacarpal artery perforator (DMAP) flaps in the reconstruction of hand soft-tissue defects. Background The DMAP flap is a nonconventional solution for treating hand and finger defects. We present our experience in resurfacing a variety of soft-tissue defects of hand and fingers with this single-stage flap, reducing the need for other conventional flaps which may need more than one stage for reconstruction. Patients and methods This study was done on 20 patients (18–65 years) with soft-tissue defects of the hand and fingers, following trauma in 15 patients, postburn deformity reconstruction in four patients, and in one …
Evaluation Of Foam Sclerotherapy In Treatment Of Lower Limbs – Primary Varicose Veins, Ahmed T. Gafar, Ayman A. Albatanony, Walid M. Omran, Yahia M. Alkhateep
Evaluation Of Foam Sclerotherapy In Treatment Of Lower Limbs – Primary Varicose Veins, Ahmed T. Gafar, Ayman A. Albatanony, Walid M. Omran, Yahia M. Alkhateep
Menoufia Medical Journal
Objective The aim was to evaluate the efficacy of foam sclerotherapy for treating primary varicose veins. Background Foam sclerotherapy is a standard method of treatment of primary varicose veins. It is a less invasive method, simple, effective, and can be done in outpatient. Materials and methods This is a prospective study on 50 consecutive patients who were diagnosed to have clinical and radiological evidence of primary varicose veins in the Department of Vascular Surgery Unit in Menoufia University hospitals from February 2017 to February 2018. Local ethics committee's approval and a written consent were obtained. The foam was generated by …
Comparing The Efficacy Of Cefixime Versus Amoxicillin/Clavulanate In The Treatment Of Asymptomatic Bacteriuria In Pregnant Women, Abdelhamid E. Shahin, Emad Eldeen Soliman, Mahmoud A M Nafie, Mohamed A. Emara
Comparing The Efficacy Of Cefixime Versus Amoxicillin/Clavulanate In The Treatment Of Asymptomatic Bacteriuria In Pregnant Women, Abdelhamid E. Shahin, Emad Eldeen Soliman, Mahmoud A M Nafie, Mohamed A. Emara
Menoufia Medical Journal
Objective To evaluate efficacy of cefixime and amoxicillin/clavulanate in the treatment of asymptomatic bacteriuria (ASB) in pregnant women. Background ASB can cause progressive and severe infections and endanger maternal as well as fetal health. Bacteriuria is usually associated with low birth weight, high blood pressure during pregnancy, maternal anemia, and fetal death. Patients and methods A prospective randomized study was conducted on 100 pregnant women having ASB in the first and early second trimester attending the pregnancy follow-up clinic in Galaa Teaching Hospital. Detailed history, laboratory investigations, obstetric, and ultrasound follow-up study were done. Results Maternal age (year) of patients …
Outcome Of Keratoprosthesis Implantation In End-Stage Corneal Diseases, Ehab S. Othman, Hany A. Khairy, Mahmoud Y. Mahmoud, Sameh S. Mandour
Outcome Of Keratoprosthesis Implantation In End-Stage Corneal Diseases, Ehab S. Othman, Hany A. Khairy, Mahmoud Y. Mahmoud, Sameh S. Mandour
Menoufia Medical Journal
Objective The objective of this study was to evaluate the indications, outcomes, and complications of keratoprosthesis (type I Boston keratoprosthesis) in end-stage corneal disease. Background Corneal diseases are the leading cause of blindness worldwide, second after cataract. Eyes with deep corneal vascularization, limbal stem cell deficiency, autoimmune diseases, and chemical injury are prone to graft rejection. Keratoprosthesis offers visual rehabilitation in such situations. Patients and methods In this prospective clinical study, 10 eyes of 10 patients with an end-stage corneal disease underwent implantation of type I Boston keratoprosthesis, with a mean follow-up of 6.9 ± 1.4 months. The indications included …
Applications Of Bone Marrow-Derived Cells In Acute Liver Disease, Dina S. El-Azab, Gehan A. Tawfeek, Laila M. Montaser, Sara A. Saied
Applications Of Bone Marrow-Derived Cells In Acute Liver Disease, Dina S. El-Azab, Gehan A. Tawfeek, Laila M. Montaser, Sara A. Saied
Menoufia Medical Journal
Objective To evaluate the effects of bone marrow mononuclear cells (BMMCs) transplantation in rats with toxic acute liver damage induced by carbon tetrachloride (CCL4). Background Acute liver failure is a severe syndrome which need rapid and effective treatment. The present study was to examine whether BMMCs might be useful in the management of acute liver failure in an animal model or not. Materials and methods BMMCs were obtained from 8 to 10 ml of human bone marrow (10 × 106 cells) injected into the portal vein of rats 24 h (n = 32) after liver damage with CCL4. …
Dermatological Adverse Effects Of New Era Of Direct-Acting Antivirals In Hepatitis C Virus Treatment, Ahmed E. Sallam, Mohamed A. Gaber, Shaza A. M. Elhamaky
Dermatological Adverse Effects Of New Era Of Direct-Acting Antivirals In Hepatitis C Virus Treatment, Ahmed E. Sallam, Mohamed A. Gaber, Shaza A. M. Elhamaky
Menoufia Medical Journal
Objective To detect dermatological adverse effects of direct-acting antiviral (DAAs) drugs in treating patients infected with hepatitis C virus (HCV). Background HCV affects more than 200 million people, with an estimated HCV prevalence of 2.2% globally; the highest prevalence (15–20%) has been reported from Egypt. Patients and methods This prospective study was conducted on 108 patients with HCV infection. Patients with any dermatological manifestations before treatment by DAAs were excluded. Patients who came during treatment of HCV or after treatment were examined for dermatological adverse effects that appeared during or after treatment by DAAs. Results The data collected were tabulated …
Evaluation Of Placenta Accreta Index To Predict Placental Invasion In Patients With Placenta Previa, Amr Samak, Haitham A. Hamza, Hamed Ellakwa, Mohamed El-Sheikh, Nareman Elhamamy, Zakaria Sanad
Evaluation Of Placenta Accreta Index To Predict Placental Invasion In Patients With Placenta Previa, Amr Samak, Haitham A. Hamza, Hamed Ellakwa, Mohamed El-Sheikh, Nareman Elhamamy, Zakaria Sanad
Menoufia Medical Journal
Objective To evaluate the role of placenta accreta index in predicting placental invasion in patients with placenta previa. Background Placenta accreta placenta is a condition in which placenta is adherent to the uterine wall because of myometrial invasion. Patients and methods In this prospective study, 60 pregnant women with placenta previa were enrolled at the Obstetrics Clinics of Menoufia University Hospitals in the period from January 2016 to December 2017. The placenta was scanned using gray-scale ultrasound and color Doppler. Placenta accreta index was formulated for each patient. Definitive diagnosis was made at delivery when the myometrium invasion by the …
Role Of Transvaginal Doppler Sonography In Cases Of Irregular Uterine Bleeding With Depot Medroxyprogesterone Acetate, Alaa Alhalabi, Haitham Hamza, Medhat Essam, Mohammed Wahid Al-Sarag
Role Of Transvaginal Doppler Sonography In Cases Of Irregular Uterine Bleeding With Depot Medroxyprogesterone Acetate, Alaa Alhalabi, Haitham Hamza, Medhat Essam, Mohammed Wahid Al-Sarag
Menoufia Medical Journal
Objectives To evaluate role of transvaginal Doppler sonography in cases of irregular uterine bleeding with depot medroxyprogesterone acetate (DMPA). Background Abnormal uterine bleeding is the leading cause of cessation of DMPA use. The definite mechanism of abnormal uterine bleeding has remained vague. Transvaginal Doppler is a noninvasive technique for studying Doppler changes of uterine and spiral artery in cases of abnormal uterine bleeding with DMPA. Patients and methods A case–control study was done on two groups of users of DMPA, one group included 21 cases with abnormal uterine bleeding, and the second group included 21 cases with amenorrhea. Transvaginal sonography …
Plantar Pressure Changes In Diabetic Peripheral Neuropathy, Chol-Jun Ho, Hak-Chol Ri, Ri-Hyang Paek, Sin-Hyok Hwang
Plantar Pressure Changes In Diabetic Peripheral Neuropathy, Chol-Jun Ho, Hak-Chol Ri, Ri-Hyang Paek, Sin-Hyok Hwang
Menoufia Medical Journal
Objective To assess the plantar pressure changes in diabetic peripheral neuropathy compared to healthy condition. Patients and methods The study was performed with 150 participants containing 42 nondiabetic, 66 diabetic without peripheral neuropathy and 42 patients with diabetes mellitus with peripheral neuropathy. Using the plantar pressure platform, dynamic pressure variables such as peak plantar pressures and pressure–time integral (PTI) were measured in each foot. Results We have divided the participants into three groups: group A, healthy individuals (n = 42); group B, those with diabetes mellitus without peripheral neuropathy and plantar foot ulceration (n = 66); and group …
Accuracy Of Change In Leukocytic Count In Relation To Clinical Pictures And Histopathology In Diagnosis Of Acute Appendicitis, Abd Elmieniem F. Mohamed, Awatef E. Farghaly, Mohamed I. Hamza
Accuracy Of Change In Leukocytic Count In Relation To Clinical Pictures And Histopathology In Diagnosis Of Acute Appendicitis, Abd Elmieniem F. Mohamed, Awatef E. Farghaly, Mohamed I. Hamza
Menoufia Medical Journal
Objective To evaluate the accuracy of change in leukocytes count in comparison with clinical pictures and histopathology in diagnosis of acute appendicitis. Background The diagnosis of acute appendicitis is primarily clinical and should be made on clinical symptoms and signs. However, some patients have equivocal physical findings and may be admitted for a period of observation. We suggest that these patients could also have serial total white cell counts taken as an aid for diagnosis. Patients and methods The study is a prospective randomized clinical trial. This study was conducted on patients presenting to the General Surgery Department in Menoufia …
Is It Safe To Do Laparoscopic Cholecystectomy For Acute Cholecystitis Up To 7 Days?, Ahmed M. Shaat, Mamdouh M. Ibrahim, Mohamed M. Abdalgaleil, Mohamed S. Elnagaar, Osama S. Elbalky
Is It Safe To Do Laparoscopic Cholecystectomy For Acute Cholecystitis Up To 7 Days?, Ahmed M. Shaat, Mamdouh M. Ibrahim, Mohamed M. Abdalgaleil, Mohamed S. Elnagaar, Osama S. Elbalky
Menoufia Medical Journal
Objective The aim was to compare the safety of early (≤72 h) vs late (>72 h to 7 days) laparoscopic cholecystectomy (LC) from symptom onset for acute cholecystitis (AC). Background As LC within 72 h of symptom onset was considered the optimum time, sometimes there was a delay in diagnosis and management. So, we raised the question of safety and feasibility of performing LC for patients with AC who failed to have LC within 72 h of acute attack. Patients and methods This was a prospective randomized comparative study carried out on 120 patients presented with AC at Damanhour …
Short-Term Results Of Coronary Artery Bypass Grafting For Vessels With Previous Percutaneous Coronary Intervention, Ahmed L. Dokhan, Bassem A. Hafez, Michael Adel Soliman Yousef, Mohammed A. El-Hag-Aly
Short-Term Results Of Coronary Artery Bypass Grafting For Vessels With Previous Percutaneous Coronary Intervention, Ahmed L. Dokhan, Bassem A. Hafez, Michael Adel Soliman Yousef, Mohammed A. El-Hag-Aly
Menoufia Medical Journal
Objectives To determine whether previous percutaneous coronary intervention (PCI) has a prognostic impact on the outcome of subsequent coronary artery bypass grafting (CABG). Background Interventional cardiologists have a growing role in the treatment of coronary artery diseases due to improvement of technology. Its 'less invasiveness' is more attractive to patients. Around one-third of patients with multivessel disease treated with bare metal stents will require reintervention within few years. CABG and PCI have a long history as invasive options for treating patients with coronary artery disease. The interventional efficacy and relative benefits have been compared in several randomized and observational studies. …
Effect Of Transdermal Nitroglycerin Compared With Sildenafil Citrate On Doppler Indices In Intrauterine Growth Restriction, Ahmed Z. Nofal, Hamed E. El-Lakwa, Hesham S E Mahmoud, Mustafa Abd El-Hakeem Muhammad, Zakaria F. Sanad
Effect Of Transdermal Nitroglycerin Compared With Sildenafil Citrate On Doppler Indices In Intrauterine Growth Restriction, Ahmed Z. Nofal, Hamed E. El-Lakwa, Hesham S E Mahmoud, Mustafa Abd El-Hakeem Muhammad, Zakaria F. Sanad
Menoufia Medical Journal
Objective This study aimed to compare the effect of sildenafil citrate on pulsatility index of uterine, umbilical and middle cerebral arteries to that of nitroglycerine in cases of intrauterine growth restriction (IUGR). Background IUGR is one of the most common and serious complications of pregnancy. Sildenafil citrate and nitroglycerine are emerging as potential candidates for the treatment of IUGR through improving uteroplacental blood flow. Participants and methods Ninety singleton pregnancies, with IUGR and abnormal uterine and umbilical arteries Doppler, were included in the study and randomized into three groups to receive either oral sildenafil citrate (50 mg), a transdermal nitroglycerine …
Earlier Start Versus Standard Start Dialysis In Patients With Acute Kidney Injury: Systematic Review And Meta-Analysis, Khaled M. Gaballah, Mohamed Sm Elshahat, Osama A. El-Sharqawy
Earlier Start Versus Standard Start Dialysis In Patients With Acute Kidney Injury: Systematic Review And Meta-Analysis, Khaled M. Gaballah, Mohamed Sm Elshahat, Osama A. El-Sharqawy
Menoufia Medical Journal
Objectives The aim of the present review is to synthesize evidence from the published literature about the effect of early versus late initiation of renal replacement therapy (RRT) on the outcomes of patients with acute kidney injury (AKI). Backgrounds AKI is a serious clinical disorder with significant increase in risk of mortality and morbidity, especially among hospitalized patients. Data sources A computer literature search of Medline via PubMed, Cochrane CENTRAL Register of Controlled Trials, SCOPUS, and Web of science was conducted. Study selection Records were screened for eligible studies according to the predetermined inclusion and exclusion criteria. Data extraction Data …
Predictors Of Outcomes In Bariatric Surgery And Anesthesia, Ashraf M. Moustafa, Ayman A. Rady, Hala M. Koptan, Mansour Gamal Shaban Alhanouny
Predictors Of Outcomes In Bariatric Surgery And Anesthesia, Ashraf M. Moustafa, Ayman A. Rady, Hala M. Koptan, Mansour Gamal Shaban Alhanouny
Menoufia Medical Journal
Objective The aim of this study was to assess the perioperative and postoperative complications and predictors of outcomes in bariatric surgery and anesthesia. Materials and methods We reviewed papers on the predictors of outcomes in bariatric surgery and anesthesia from Medline databases, which are PubMed, Medscape, Science Direct, and EMF-Portal, and all materials available in the internet up to 2017. The initial search presented articles that studied the predictors of outcomes in bariatric surgery and anesthesia. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment included whether ethical approval was gained, eligibility criteria specified, …
The Role Of Root Cause Analysis In The Prevention Of Venous Thromboembolism In Intensive Care Patients, Ayman A. Rayan, Mohamed H. Younis, Osama A. El Sharkawy
The Role Of Root Cause Analysis In The Prevention Of Venous Thromboembolism In Intensive Care Patients, Ayman A. Rayan, Mohamed H. Younis, Osama A. El Sharkawy
Menoufia Medical Journal
Objective To review the role of root cause analysis (RCA) in the prevention of venous thromboembolism (VTE) in intensive care patients. Data sources A systematic search of MEDLINE (PubMed, Medscape, Science Direct, and EMF-Portal) and internet was conducted on all articles published from 2003 to 2017. Study selection English-language reports of the indications of revision sinus surge were included. Data extraction Articles not reporting on the role of RCA in the prevention of VTE in intensive care patients were not included. Three independent investigators extracted data on methods, health outcome, and prevention protocols. Data synthesis Comparisons were made by structured …
Assessment Of The Central Venous-To-Arterial Carbon Dioxide Tension Difference (Pco2 Delta) In Adult Patients With Sepsis: A Systematic Review, Abd El Rahman A Ahmed, Ahmed A. M Abd El Aziz, Khaled M. Gaballah, Yasser I. Mohamed
Assessment Of The Central Venous-To-Arterial Carbon Dioxide Tension Difference (Pco2 Delta) In Adult Patients With Sepsis: A Systematic Review, Abd El Rahman A Ahmed, Ahmed A. M Abd El Aziz, Khaled M. Gaballah, Yasser I. Mohamed
Menoufia Medical Journal
Objective The aim was to review studies that assessed the central venous-to-arterial carbon dioxide tension difference (pCO2 delta) in septic adult patients, published between 1990 and 2016 in the MEDLINE (PubMed, Medscape, and Science Direct) and EMF-Portal, and methodological quality was evaluated. Materials and methods A systematic search of MEDLINE (PubMed, Medscape, and Science Direct), EMF-portal, and Internet was conducted on all articles published from 1990 to 2016. English-language reports of pCO2 delta in patients with sepsis were reviewed. The initial search presented 135 articles, where 30 fulfilled the inclusion criteria. Articles not reporting on pCO2 in …
The Role Of Endothelin-1 In Intradialytic Hypertension, Amal M Abdelraouf Baghdadi, Gehan A. Tawfeek, Khaled M. Elzorkany, Mahmoud A. Kora, Yassein S. Mohammed
The Role Of Endothelin-1 In Intradialytic Hypertension, Amal M Abdelraouf Baghdadi, Gehan A. Tawfeek, Khaled M. Elzorkany, Mahmoud A. Kora, Yassein S. Mohammed
Menoufia Medical Journal
Objectives To evaluate the role of endothelin-1 (ET-1) in intradialytic hypertension (IDH). Background The etiology and pathogenesis of hemodialysis (HD)-induced hypertension remains complex and speculative. There is mounting evidence that ET-1 may play a vital role in IDH. Patients and methods This is a case–control study on 84 individuals including 56 end-stage renal disease patients on regular HD and 28 normal individuals. The patients were divided into three groups. Group I (cases group): 28 patients with IDH, group II (HD control group): 28 patients with well-controlled blood pressure and no history of IDH throughout HD, and group III (healthy control …
Screening For Bacterial Vaginosis Before And After Intrauterine Device Insertion, Ahmed N. Abd El-Hamid, Asmaa N. Hasan, Eman H. Salem, Tarek M. Sayyed
Screening For Bacterial Vaginosis Before And After Intrauterine Device Insertion, Ahmed N. Abd El-Hamid, Asmaa N. Hasan, Eman H. Salem, Tarek M. Sayyed
Menoufia Medical Journal
Objective To screen for bacterial vaginosis (BV) before and after insertion of intrauterine device (IUD), screen for complications of IUD, and evaluate the relation between BV and complication of IUD. Background IUD is one of the most prevalent and effective reversible methods of contraception worldwide. Users of the IUD may be at increased risk for BV, pelvic inflammatory diseases, and other complications. Patients and methods An observational cohort study was done for 147 women who came for IUD insertion. Complete history was taken, questionnaire was filled out, and vaginal swabs were taken from the posterior vaginal fornix before insertion of …
Uterine Artery Doppler Indices May Predict Significant Causes Of Perimenopausal Bleeding, Ayman Shabana, Dalia Ibrahim, Mohamed Rezk, Mohammed Salah, Shaimaa Abd-Elhamid
Uterine Artery Doppler Indices May Predict Significant Causes Of Perimenopausal Bleeding, Ayman Shabana, Dalia Ibrahim, Mohamed Rezk, Mohammed Salah, Shaimaa Abd-Elhamid
Menoufia Medical Journal
Objective The aim was to assess whether uterine artery Doppler indices can predict significant causes of uterine bleeding in patients with perimenopausal bleeding or not. Background Treatment of abnormal uterine bleeding needs easy diagnostic procedure, for determining the etiological factor of disease. The abnormal uterine bleeding is more common in the perimenopausal than in the postmenopausal women, and it is a sign of endometrial proliferative or hyperplastic changes. Patients and methods This prospective observational study was conducted on 106 women with perimenopausal bleeding [who were subdivided into two groups, one with nonsignificant causes (52 patients) and the other with significant …
Evaluation Of Nasal And Paranasal Findings In Cases Of Migraine, Essam A. Behairy, Khaled H. Afifi, Marwa K. Moustafa, Tarek A. Abd El-Hafez
Evaluation Of Nasal And Paranasal Findings In Cases Of Migraine, Essam A. Behairy, Khaled H. Afifi, Marwa K. Moustafa, Tarek A. Abd El-Hafez
Menoufia Medical Journal
Objective The objective of this study was to evaluate nasal and paranasal findings in cases of migraine. Background Migraine triggers are abundant, and anatomical nasal variations like septal spur, concha bullosa, and hypertrophied inferior turbinate may be considered as important trigger factors for migrainous headache by mucosal contact according to the trigeminovascular theory as a proposed mechanism for migraine. Patients and methods This was an observational cross-sectional study comparing 60 patients with migraine versus 40 normal participants with neither migraine nor nasal presentations. History was taken to define the type of migraine and its severity according to Migraine Disability Assessment …
Synovial Haemangioma Of The Knee Joint Diagnosed On Magnetic Resonance Imaging: A Rare Case Report, Ashish Verma, Ishan Kumar, Pramod K. Singh
Synovial Haemangioma Of The Knee Joint Diagnosed On Magnetic Resonance Imaging: A Rare Case Report, Ashish Verma, Ishan Kumar, Pramod K. Singh
Menoufia Medical Journal
Synovial haemangioma is an extremely uncommon condition which presents with nonspecific clinical symptoms. The diagnosis, if delayed, can ensue early arthritis, early epiphyseal fusion, and growth abnormality. As it resembles various benign cystic lesions on MRI, utility of contrast MRI, Doppler study, and presence of high index of suspicion are crucial in the diagnosis. We report a case of synovial haemangioma in a 45-year-old female patient, in which the diagnosis was missed on initial MRI.
Role Of Multidetector Computed Tomography Imaging In The Management Of Patients With Blunt Chest Trauma, Basma Abdel-Moneim Dessouky, Mohammed M. Salaheldin Abdelrehim, Shaimaa Abdel-Hamid Hassanein
Role Of Multidetector Computed Tomography Imaging In The Management Of Patients With Blunt Chest Trauma, Basma Abdel-Moneim Dessouky, Mohammed M. Salaheldin Abdelrehim, Shaimaa Abdel-Hamid Hassanein
Menoufia Medical Journal
Objectives To demonstrate the capabilities of multidetector computed tomography (MDCT), in revealing injuries and guiding management of patients with blunt chest trauma. Background MDCT has become a cornerstone tool for evaluating blunt chest trauma owing to quick scanning, identification of concealed injuries, viewing images in many planes, providing three-dimensional images, ability to clarify tracheobronchial or vascular injuries, usage of contrast media, and detection of coexisting nonthoracic injuries. Patients and methods This study included 40 patients referred from Emergency Department with blunt chest trauma presented mainly with chest pain and dyspnea. All were subjected to clinical history, general and local examination, …
Comparative Study Between Thoracic Epidural And Ultrasound-Guided Thoracic Paravertebral Block In Perioperative Pain Management For Mastectomy, Ahmed A. Abdel Aziz, Eman G. Ramadan, Khaled A. Gab-Allah, Safaa M. Helal
Comparative Study Between Thoracic Epidural And Ultrasound-Guided Thoracic Paravertebral Block In Perioperative Pain Management For Mastectomy, Ahmed A. Abdel Aziz, Eman G. Ramadan, Khaled A. Gab-Allah, Safaa M. Helal
Menoufia Medical Journal
Objectives To compare between ultrasound-guided thoracic paravertebral block (PVB) and thoracic epidural block in patients undergoing mastectomy for pain control, intraoperative hemodynamics, and postoperative patient satisfaction. Background Thoracic PVB and thoracic epidural appears promising when combined with general anesthesia in reduction of postoperative pain. Patients and methods Between mid-2016 and December 2017, this prospective clinical study included 60 female patients scheduled for a unilateral mastectomy in Menoufia University Hospitals and divided into two groups, 30 each. Patients in group A were given single shot ultrasound-guided PVB at T4 level using 0.3 ml/kg of 0.5% bupivacaine. Patients in group B were …