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Journal

2023

Pediatrics

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Assessment Of Levels Of Ischemia-Modified Albumin In Neonates With Transient Tachypnea Of The Newborn, Ali R. El-Marakby, Fady M. El-Gendy, Noha M. Ashour, Sara M. El-Deeb Mar 2023

Assessment Of Levels Of Ischemia-Modified Albumin In Neonates With Transient Tachypnea Of The Newborn, Ali R. El-Marakby, Fady M. El-Gendy, Noha M. Ashour, Sara M. El-Deeb

Menoufia Medical Journal

Objective To assess the diagnostic and prognostic values of ischemia-modified albumin (IMA) in neonates with transient tachypnea of the newborn (TTN). Background TTN results from failure of the newborn to effectively clear fetal lung fluids after birth. TTN represents a common etiology of respiratory distress in term newborns. IMA is a modification of serum albumin and results from oxidative stress that occurs during ischemic events regardless of its tissue specificity. Patients and method This prospective case–control study was conducted on 88 full-term newborns, who were admitted to the neonatal ICU of Menoufia University Hospital. They were divided into two groups, …

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Urine-Based Detection Of Intestinal Mucosal Cell Damage In Neonates With Suspected Necrotizing Enterocolitis, Fady M. Elgendy, Hanan M. El-Sayed, Nesma B. El-Desokyc, Nouran T. Aboelkhair Mar 2023

Urine-Based Detection Of Intestinal Mucosal Cell Damage In Neonates With Suspected Necrotizing Enterocolitis, Fady M. Elgendy, Hanan M. El-Sayed, Nesma B. El-Desokyc, Nouran T. Aboelkhair

Menoufia Medical Journal

Objectives To assess the diagnostic value of the urinary intestinal fatty acid-binding protein (iFABP) in neonatal necrotizing enterocolitis (NEC) in the early stage of the disease. Background NEC is a severe acute gastrointestinal disease affecting preterm newborns. iFABP has been associated with injury to the intestinal mucosa common to NEC. Patients and methods This cross-sectional study included 40 preterm neonates divided into two groups: group I included 20 preterm neonates with suspected NEC according to Modified Bell Staging Criteria for NEC and group II included 20 preterm neonates with non-NEC. All the included participants underwent full history taking, full examination, …

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The Validity Of The Disseminated Intravascular Coagulopathy Score Among Septic Children, Ahmed B. Rashad, Mona S. Habib, Nagwan Y. Saleh, Wafaa M. Abo El Fotoh Mar 2023

The Validity Of The Disseminated Intravascular Coagulopathy Score Among Septic Children, Ahmed B. Rashad, Mona S. Habib, Nagwan Y. Saleh, Wafaa M. Abo El Fotoh

Menoufia Medical Journal

Objective To assess whether the disseminated intravascular coagulation (DIC) score is more valuable than other mortality scores in predicting in-hospital mortality in septic children admitted to the pediatric intensive care unit (PICU). Background Sepsis is one of the most common causes of death among hospitalized children in the PICU. Patients and methods This prospective observational study was conducted on 96 critically ill children. Laboratory and clinical data were measured within 24 h of PICU admission. Pediatric Risk of Mortality (PRISM), Pediatric Index of Mortality II (PIM II), and Pediatric Sequential Organ Failure Assessment (pSOFA) scores were calculated. DIC score was …

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Programmed Death Receptor-1 Expression In Neonatal Sepsis As A Diagnostic And Prognostic Marker, Aisha N. Omar, Dina A. Midan, Iman A. Ahmedy, Noha M. Ashour, Reem M. Elkholy Mar 2023

Programmed Death Receptor-1 Expression In Neonatal Sepsis As A Diagnostic And Prognostic Marker, Aisha N. Omar, Dina A. Midan, Iman A. Ahmedy, Noha M. Ashour, Reem M. Elkholy

Menoufia Medical Journal

Objective To determine potential diagnostic and prognostic values of programmed death receptor-1 (PD-1) expression in neonatal sepsis. Background In neonatal ICUs across the world, sepsis is a frequent disease associated with high rates of death and morbidity. In sepsis, chronic immunosuppression following a fast proinflammatory response results in high rates of morbidity and death. PD-1 (CD279) is an immunoglobulin superfamily cell surface receptor that inhibits proinflammatory activity. Patients and methods This prospective observational study was carried out on 102 newborns. They were divided into two groups: group I (cases group) (n = 52) included newborns with suspected or proven …

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Prognostic Value Of Nucleated Red Blood Cells In Critically Ill Neonates, Ghada M. El Mashad, Hanan M. El Saied, Heba A. El-Koomy, Noran T. Abo El-Khair Mar 2023

Prognostic Value Of Nucleated Red Blood Cells In Critically Ill Neonates, Ghada M. El Mashad, Hanan M. El Saied, Heba A. El-Koomy, Noran T. Abo El-Khair

Menoufia Medical Journal

Objectives To evaluate nucleated red blood cells (nRBCs) as a prognostic value in critically ill neonates. Background nRBCs are premature red blood cells, are an indicator of hematopoiesis in a newborn infant, and have been known to be associated with intrauterine hypoxia. Patients and methods This cohort study included 94 newborn infants who presented to the neonatal ICU in Menoufia University and Shebin El-Kom Teaching Hospital and fulfilled the following inclusion criteria: infants with sepsis, hypoxic ischemic encephalopathy, necrotizing enterocolitis, patent ductus arteriosus, and preterm infants. Infants were only excluded if they did not perform a complete blood count during …

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Evaluation Of Pcr Technique As A Rapid Screening Method For Detection Of Group B Streptococci Colonization In Pregnant Women, Mahmood D. Al-Mendalawi Mar 2023

Evaluation Of Pcr Technique As A Rapid Screening Method For Detection Of Group B Streptococci Colonization In Pregnant Women, Mahmood D. Al-Mendalawi

Menoufia Medical Journal

We read the interesting study by El‑edel et al. [1] published in April–June 2022 issue of the Menoufia Medical Journal. El‑edel et al. [1] studied the performance of the PCR as a screening tool for detecting group B streptococci (GBS) colonization in the urogenital tract of Egyptian pregnant women and estimated its prevalence among these pregnant women. They found that the prevalence of colonization with GBS in the studied pregnant women was 20%. The PCR had 99.0% sensitivity and 98.0% specificity with 72.11% positive predicted value and 70.4% negative predictive value [1]. They concluded that the PCR technique is a …

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From In-Person To Virtual: A Case Study Of An Animal-Assisted Visiting Program In A Pediatric Setting, Whitney Romine Feb 2023

From In-Person To Virtual: A Case Study Of An Animal-Assisted Visiting Program In A Pediatric Setting, Whitney Romine

People and Animals: The International Journal of Research and Practice

This article focuses on the practical aspects of converting a successful in-person AAA program to a virtual program in a health care setting including human, canine, and physical resources; animal welfare considerations; training, infection control, and safety guidelines; and visit delivery procedures. In 1992, an interdisciplinary team at Akron Children’s Hospital founded the Doggie Brigade, an animal-assisted activities (AAA) program where volunteer therapy dogs and their handlers visit pediatric patients. The program has become a cornerstone of the hospital’s culture over its now 30-year tenure. In March 2020, the announcement of the COVID-19 pandemic forced health care organizations to suspend …

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Community-Acquired Pneumonia Among Hospitalized Children: Risk Factors, Characteristics, And Outcomes, Marwa Taha, Hanaa Abdel-Wahab Jan 2023

Community-Acquired Pneumonia Among Hospitalized Children: Risk Factors, Characteristics, And Outcomes, Marwa Taha, Hanaa Abdel-Wahab

Journal of Medicine in Scientific Research

Background Community-acquired pneumonia (CAP) represents one of the main causes of mortality and morbidity among under-five children worldwide. More than 75% of these fatalities are caused by severe pneumonia. Objectives to identify the potential risk factors associated with severe CAP among under-five children hospitalized with CAP. Patients and Methods This prospective observational study was conducted on children, aged 1 to 59 months, who were admitted with CAP to the Department of Pediatrics, Mataria Teaching Hospital, Egypt. Based on World Health Organization (WHO) guidelines, patients were classified into two groups; CAP and severe CAP. Data including demographic, children's history, clinical assessment, …

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Mortality Rate Among Preterm Infants With Respiratory Distress Syndrome On Non-Invasive Respiratory Support (Nirs): A ٌRetrospective Multicenter Study, Abeer E.S. Hamed, Alaa A. Rashad, Manar A. El Desouky, Mahmoud H. Dawabah, Mohamed M. A. Shaheen, Heba Allah M. Sherief, Mohamed A. Ibrahim, Sohaila A Abd El-Halim Jan 2023

Mortality Rate Among Preterm Infants With Respiratory Distress Syndrome On Non-Invasive Respiratory Support (Nirs): A ٌRetrospective Multicenter Study, Abeer E.S. Hamed, Alaa A. Rashad, Manar A. El Desouky, Mahmoud H. Dawabah, Mohamed M. A. Shaheen, Heba Allah M. Sherief, Mohamed A. Ibrahim, Sohaila A Abd El-Halim

Journal of Medicine in Scientific Research

Background: Neonatal acute respiratory distress is a common cause for mortality and morbidity in preterm neonates. Non-invasive ventilation is crucial for preterm neonates, nasal intermittent positive pressure ventilation and nasal continuous positive airway pressure. Recently, heated humidified high-flow nasal cannula modes have been revealed as more efficient non-invasive ventilation mode in improving functional residual capacity however, other studies have questioned its efficacy and safety in comparison to other non-invasive ventilation. Many studies have investigated the common predictive factors that are associated with intubation and failure of spontaneous breathing. Consequently, this study aimed at investigating the common factors associated with prolonged …

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Ultrasonography Can Be Early Diagnostic Modality For Pediatric Calcaneus Fractures: A Case Report, Ying-Chu Chen, Szu-En Chen Jan 2023

Ultrasonography Can Be Early Diagnostic Modality For Pediatric Calcaneus Fractures: A Case Report, Ying-Chu Chen, Szu-En Chen

Rehabilitation Practice and Science

Although calcaneus fractures may be the most common pediatric tarsal bone fracture, most occult calcaneus fractures are not visible on plain radiography, resulting in delayed diagnosis. However, ultrasonography can aid early diagnosis of this fracture with an unspecified mechanism of injury and unremarkable radiographic findings. In a pediatric patient with progressive ankle swelling and pain, initial plain radiography was unremarkable, and antibiotics were administered for suspected infective arthritis. After limping developed, ultrasonography showed symmetric growth plates of bilateral distal tibia, fibula, and tarsal bone; a step-off calcaneus cortex with periosteal reaction; increased power Doppler flow; and probe tenderness, indicating a …

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Analgesic Efficacy Of Ultrasound-Guided Bilateral Transversus Abdominis Plane Block In Children: Retrospective Analysis Of 97 Cases, Hasan Kutluk Pampal, Seli̇n Erel, Semi̇n Turhan, Asi̇ye Uğraş Di̇kmen, Berri̇n Işik Jan 2023

Analgesic Efficacy Of Ultrasound-Guided Bilateral Transversus Abdominis Plane Block In Children: Retrospective Analysis Of 97 Cases, Hasan Kutluk Pampal, Seli̇n Erel, Semi̇n Turhan, Asi̇ye Uğraş Di̇kmen, Berri̇n Işik

Turkish Journal of Medical Sciences

Background/aim: Transversus abdominis plane (TAP) block is a method for postoperative pain management. Studies on children are gradually increasing. The aim of this retrospective study was to evaluate effectiveness of TAP block on pain control, its side effects, and parental satisfaction levels in children. Material and methods: Study included patients operated between January 2019 and December 2020 in Gazi University Faculty of Medicine. Total of 97 patients (35 girls, 62 boys) between 5 and 18 years who had an ultrasound guided TAP block for lower abdominal or inguinal surgery were examined retrospectively. TAP block application time, hemodynamic variables, postoperative pain …

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Unusual Late Presentation Of Kartagener Syndrome: A Case Report, Abdulhadi H. Al-Mazroea Jan 2023

Unusual Late Presentation Of Kartagener Syndrome: A Case Report, Abdulhadi H. Al-Mazroea

Mansoura Medical Journal

Kartagener's syndrome (KS) is a rare inherited autosomal recessive condition. It comprises of the triad chronic sinusitis, bronchiectasis, and situs inversus. The symptoms are more prevalent in children in the early years of life. We describe a case of a 15-year-old child showing severe respiratory distress with a history of intermittent wet cough and rhinitis for the past six months. The patient was diagnosed with dextrocardia at birth and had no significant medical history since then. Based on his clinical presentation and imaging findings, he was diagnosed with KS that was confirmed by whole-exome sequencing. The patient was managed with …

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Effectiveness Of Management Program Of Chronic Functional Constipation In Children Who Are Attending The Pediatric Gastroenterology Clinic At Elbeheira Specialized Children's Hospital, Hamouda E. El-Gazzar, Sabreen Ahmed Ali Elsaka, Eman Adel Elsaid Elhaddad Jan 2023

Effectiveness Of Management Program Of Chronic Functional Constipation In Children Who Are Attending The Pediatric Gastroenterology Clinic At Elbeheira Specialized Children's Hospital, Hamouda E. El-Gazzar, Sabreen Ahmed Ali Elsaka, Eman Adel Elsaid Elhaddad

Journal of Medicine in Scientific Research

Background: A chronic constipation is one of the most common functional gastrointestinal complaints in pediatric outpatient clinics. The prevalence of childhood constipation in the general population ranges widely from 0.7% to 29.6% internationally. Pediatric Gastroenterology Clinic at Elbeheira specialized children's Hospital is a referral center from the whole governorate. Objectives: To evaluate the current approach to management, risk factors associated, and clinical characteristics, the challenge of functional constipation in the pediatrics who are attending the Pediatric Gastroenterology Clinic at Elbeheira Specialized Children's Hospital. Methods: This retrospective study was conducted in Pediatric Gastroenterology Clinic at Elbeheira Children's Specialized Hospital for 6 …

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Assessment Of Carotid Intima-Media Thickness And Its Relation To Cardiovascular Risk Factors In Obese Children, Faten A.A. Fathi, Somaya M. Abd El Ghany, Ahmed A.H. Taha, Gihan F.A. Hassan, Eman Fouad Jan 2023

Assessment Of Carotid Intima-Media Thickness And Its Relation To Cardiovascular Risk Factors In Obese Children, Faten A.A. Fathi, Somaya M. Abd El Ghany, Ahmed A.H. Taha, Gihan F.A. Hassan, Eman Fouad

Journal of Medicine in Scientific Research

Background Childhood obesity is one of the most critical public health problems today. This study aims to assess the relation between carotid intima-media thickness (CIMT) and cardiovascular risk factors in obese children. Patients and methods This is a case–control study conducted on 80 Egyptian children aged 6–18 years; 40 children with simple obesity as defined by WHO (2011) and 40 healthy children age matched and sex matched were taken as a control group. Cases were selected from the National Nutritional Institute randomly from December 2017 to March 2018. All patients and control groups were subjected to the following: full history …

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Yersinia Infection In Acute Appendicitis In Children In Shebin Elkom Teaching Hospital, Salama M. El- Shennawy, Khaled S.A. Elkelany, Mariam A. Fouad, Shimaa M.M Bebars, Faisel Goda, Abdelghany Abdelsattar Aish Jan 2023

Yersinia Infection In Acute Appendicitis In Children In Shebin Elkom Teaching Hospital, Salama M. El- Shennawy, Khaled S.A. Elkelany, Mariam A. Fouad, Shimaa M.M Bebars, Faisel Goda, Abdelghany Abdelsattar Aish

Journal of Medicine in Scientific Research

Background: Yersinia enterocolotica is being recognized as an important bacterial cause of acute gastrointestinal infection. The association of yersinia entrocolotica infections with acute appendicitis has been suggested (Tae Joon Son et. al, 2009). The aim to ascertain whether yersinia entrocolotica is a possible infectious agent in appendicitis in Shebin Elkom. We try to support or to deny this suggestion. Methods: A prospective randomized study was done to 48 patients admitted to surgical department from outpatient clinic of Shebin Elkom Teaching Hospital over 14 months from January 2020 to March 2021The purpose and nature of the study were explained to all …

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