Medicine and Health Sciences Commons^™

Medmicromaps, A Novel Decision-Tree Guide For Infectious Diseases Differential Diagnoses, And Evaluation Of Pre- And Post-Pandemic User Engagement By Preclinical Medical Students, Jason Ceballos, Tavsimran Luthra, Lucia Garces-Torres, Valerie Lentz, Jack Nelson, Claudia Carceles-Roman, Ian Holyoak, Jane Harrington

International Journal of Emerging and Disruptive Innovation in Education : VISIONARIUM

Background: Medical education has undergone major changes in the past 5 years to adapt to the digital-centered student population with diverse learning preferences. To address the challenges of shifting delivery modalities, multimedia resources were created to provide interactive e-learning material on infectious diseases for year 2 medical students.

Methods: Medical students at a USA-accredited Caribbean medical school were provided with supplemental e-learning materials including animations, illustrations, diagnostic algorithms aka MedMicroMaps, and Case-Based tutorials. Participants were classified by semester and lecture delivery: In-person: Cohort 1 (n=526); Virtual: Cohort 2 (n=651); and Hybrid: Cohort 3 ( …

Evaluation Of Glycerol Antiseptic Effect On Gram Positive And Gram Negative Bacteria, Asmaa S. Sleem, Samar S. Salman, Wafaa A. Shehata, Amal M. Dawoud

Menoufia Medical Journal

Objectives: To assess glycerol antibacterial activity against both Gram positive and negative microorganisms, detect impact of increasing glycerol concentration in bacterial cultures on extra/ intracellular Glycerol-3-phosphate (G3P) concentration, evaluate antiseptic efficacy of different glycerol/alcohol formulations and monitor HCWs tolerability to these formulations to recommend the best antiseptic preparation in vitro. Background: The progressively rising nosocomial infections have enforced the need for novel infection prevention modalities. Glycerol emerges as a significant and cheap antibacterial agent against both Gram positive and negative organisms without any toxic effects. Methodology: Different glycerol/ethanol formulations were evaluated for both bacterial inhibitory and bactericidal activity against selected …

Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin

Al-Azhar International Medical Journal

Background: Prematurity lowers body weight and bone mineral density in nearly 30% of preterm newborns. Premature newborns are not screened for metabolic bone disease, hence bone biochemical markers should be investigated. Acetylcholinesterase mediates bone remodeling in recent investigations. Bone biochemical indicators and acetylcholinesterase (AChE) levels in preterm newborns may be linked. Objective: The aim of our study is to evaluate the probable correlation of AChE levels with multiple bone biomarkers in full-term and premature neonates. Subjects and Methods: This study was designed as a case control study. We examined 80 newborns (40 preterm with gestational age less than 37 weeks, …

Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry

Al-Azhar International Medical Journal

Background: In-Vitro Fertilization (IVF). Patients with infertility are usually advised to have intracytoplasmic sperm injections (ICSI). Doppler ultrasound, which uses high frequency transvaginal probes and coloured pictures, is one of the most frequently used methods in this field. One of the parameters supplied by an ultrasonographic test for determining the success of IVF includes endometrial thickness, endometrial pattern, endometrial volume, and endometrial blood flow. Aim: To detect implantation window using uterine artery indices in ICSI cycles. Subject and Methods: This study will be concluded at the assisted reproductive techniques unit of AlAzhar University on 100 patients. Results: Regarding BMI, there …

Phenotypic And Molecular Identification Of Carbapenemase-Producing Escherichia Coli And Klebsiella Isolates, Mabrok M. Ghonaim, Rawhia H. El-Adel, Reem M. Elkholy, Samar S. Salman

Menoufia Medical Journal

Background Carbapenemase-producing carbapenem-resistant Enterobacteriaceae are a significant problem worldwide that causes life-threatening infections. Objectives To evaluate the performance of the phenotypic method [modified carbapenem-inactivation method (mCIM) and EDTA-modified carbapenem inactivation method (eCIM)] tests to detect carbapenemase production compared with the genotypic method (real-time PCR) in Escherichia coli and Klebsiella species strains that were isolated from patients in the Menoufia University Hospitals. Methods E. coli and Klebsiella species strains were isolated from patients in different departments of the Menoufia University Hospitals. The isolated strains were tested by the phenotypic method (mCIM and eCIM) tests to detect carbapenemase production, and screened by …

Food Safety Practices Among Food Carts In -North Lebanon, Hanin Hassan, Nada El Darra, Alissar Al Khatib

BAU Journal - Health and Wellbeing

Street food carts serve different types of popular and traditional foods; it is a common economic sector worldwide. In North Lebanon, food carts are mobile or centered in specific places serving common and well known RTE meals. In addition, the increasing incidence of foodborne illnesses associated with street foods sheds light on the importance of inspecting the practices of street vendors. Therefore, the aim of this study is to assess the food safety in 30 food carts using an observational checklist and to perform microbiological analysis for the detection of foodborne pathogens namely; yeast, mold, Listeria monocytogenes, Salmonella, Enterohemorrhagic E.coli, …

Microbiological Profile Of Isolated Microorganisms From Patients In Intensive Care Units Of A Hospital In Lambayeque, Peru, 2019-2020, Marco A. Chilon-Chavez, Jery G. Muñoz-Inga, Heber Silva-Díaz

Revista de la Facultad de Medicina Humana

Objective: To describe the microbiological profile of microorganisms isolated from patients in critical care units of a hospital in the Lambayeque region in 2019-2020. Materials and methods: Descriptive, retrospective, cross-sectional study with a quantitative approach. A census study was carried out on 332 patients from critical care units with a positive microbiological culture registered in the file of the microbiology laboratory of the Lambayeque Regional Hospital in 2019-2020. The statistical software Info stat v8 was used for statistical analysis. Results: The median age was 50 years, predominantly male (55.1%). The most frequent culture sample was bronchial secretion (35.8%). The most …

Evaluation Of The Seroprevalence Of Dengue Virus Infection Among Patients Visiting A Tertiary Care Center In Indore, Bharat Singh, Chandra Pratap Singh Rathore, Neelesh Gagrani, Prachi Shaw, Rituja Prakash, Trupti Bajpai

Menoufia Medical Journal

Background Dengue has been emerging as one of the serious public health problems that has played havocs in terms of morbidity and mortality, especially in a developing country like India. Objective To study the seroprevalence of dengue disease and month-wise frequency of dengue virus infection cases among the patients admitted in a tertiary care center located in Central India. Patients and methods The present prospective study was conducted from January 2019 to March 2020 for a period of 15 months. Overall, 3–5 ml of venous blood collected from all the patients suspected of dengue virus infection was subjected to rapid …

Case Of Enterococcus Cecorum Human Bacteremia, United States, Alexander D. Lake, Ryan Fields, Francia Guerrero, Yousef Almuzaini, Koravangala Sundaresh, Joseph Staffetti

HCA Healthcare Journal of Medicine

Enterococcus cecorum rarely serves as a human pathogen, and only 6 cases of this microbe inoculating humans have been documented. We present an elderly female with a marked vascular history presenting with epigastric pain and diarrhea, followed by shaking chills. Laboratory findings revealed leukocytosis, with imaging showing diffuse colonic thickening. She had a bout of bloody diarrhea, raising the likelihood of ischemic colitis with her vascular history. To our surprise, both sets of blood cultures drawn on admission grew Enterococcus cecorum. This case is unique as it is the first documented case of E. cecorum human infection in the …

Role Of Β-Catenin In Vitiligo: A Clinical And Immunohistochemical Study, Azza G. A. Farag, Dalia R. Al-Sharaky, Eman N. El-Shafey, Heba N. N. Shehata, Mohamed A. Shoeib, Reem A. Hassan

Menoufia Medical Journal

Objective This study aimed at evaluating the immunohistochemical expression of β-catenin in the involved skin in vitiligo patients and to correlate its evaluated expression with the available clinicopathological parameters in those patients. Background Vitiligo is an autoimmune skin disorder in which the loss of melanocytes is mainly attributed to defective autoimmune mechanisms, cytotoxic mechanisms, an intrinsic defect of melanocytes, oxidant–antioxidant mechanisms, and neural mechanisms. The assessment of maintenance of vitiligo could be related to β-catenin expression. The treatment of vitiligo remains a challenge. Patients and methods Thirty-five patients with different degrees of vitiligo severity versus 20 patients of age-matched and …

Assessment Of Left Atrial Function In Patients With Ischemic And Nonischemic Dilated Cardiomyopathy Using Speckle-Tracking Echocardiography, Abdalla M. Kamal, Ahmed A. Kamal, Mohamed H. Mostafa, Naglaa F. Ahmed

Menoufia Medical Journal

Objective The aim was to assess left atrial (LA) function in patients with ischemic and nonischemic dilated cardiomyopathy using speckle tracking echocardiography. Background LA changes occur in patients with dilated cardiomyopathy and LA enlargement is commonly found by echocardiography. Two-dimensional speckle tracking echocardiography is a tool for the evaluation of LA function. Patients and methods This casecontrol study was conducted on 67 randomly selected individuals who presented to the Cardiology Department of Faculty of Medicine, Menoufia University, Egypt, during the period from January 2017 to December 2017. They included 52 patients with systolic heart failure (HF) and 15 normal individuals. …

Communication Between Clinicians And The Hospital-Based Microbiology Laboratory: Strategies For 2018 And Beyond, Hans H. Liu

The University of Louisville Journal of Respiratory Infections

No abstract provided.

The Controversy Of Vaccinations, Nicholas G. Aboreden

The Kabod

Recently vaccination has become a controversial topic. There is a growing number of people who believe that vaccines carry great health risks to patients and therefore refuse to be vaccinated or to vaccinate their children. This ill-informed view of immunizations is beginning to cause serious problems in the United States as growing numbers of disease cases are being seen. A closer look into the science of vaccines and the benefits they have brought, clearly show that not only do vaccines carry very little risk to patients, but they are responsible for the eradication and reduction of multiple debilitating diseases.

Mycological Study For A Management Plan Of A Neotropical Show Cave (Brazil), Erika Linzi Silva Taylor, Maria Aparecida De Resende Stoianoff, Rodrigo Lopes Ferreira

International Journal of Speleology

Caves are stable environments with characteristics favoring the development of microorganisms. The allocthonous input of organic matter and microbes into the warm Neotropical caves may favor the development of filamentous fungi, including pathogenic species. Histoplasma capsulatum is a pathogenic species commonly found in caves and associated with bat and bird guano. Many Brazilian caves have been historically visited due to scenic and religious tourism. The objective of this study was to perform a microbiology study for a management plan of a show cave in Brazil, focusing on the presence and distribution of pathogenic and opportunistic fungi in the cave. Statistics …