Digital Commons Network^™

Pulmonary Gas Exchange And Acute Neurological Complications In Nonbypass Versus Bypass Cardiac Surgery In Children, Ahmed T. Mahmoud, Aitizaz Syed, Maha A. Tawfik, Mahmoud M. El Behiry, Mohamed M. Morsy, Mostafa I. Elbehery, Sherif S. Salem

Menoufia Medical Journal

Objective The study aimed to compare neurological complications, pulmonary gas exchange, and mortality among children with congenital heart disease after nonbypass versus bypass cardiac surgery. Background Whether off-pump cardiac surgical procedures have less pulmonary gas exchange problems, neurological complications, and less mortality compared with operations involving cardiopulmonary bypass is debatable. We compared these outcome parameters in comparable groups of children who have undergone cardiac surgical procedures with or without cardiopulmonary bypass in our center. Patients and methods A total of 129 patients who underwent congenital heart surgery were allocated into two groups: group 1 underwent nonbypass cardiac surgery (n …

Assessment Of Serum Interleukin.6 Level In Children With Bacterial And Viral Meningitis, Ghada M. Elmashad, Hebatallah M. Bahbah, Sara Abdelfattah Sobh, Sherin Sobhy El-Sayed El-Naidany

Menoufia Medical Journal

Objectives To evaluate the role of serum interleukin-6 (IL-6) in the diagnosis of meningitis and differentiation between bacterial and viral causes. Background Acute bacterial meningitis (BM) is a pediatric emergency with high mortality and morbidity requiring prompt diagnosis and treatment. Differentiation of BM from viral meningitis (VM) is difficult. Hence, this study was done to evaluate serum IL-6 as a marker to differentiate BM and VM in children and assess its efficacy. Patients and methods This case–control study was conducted on a group of 90 children, comprising 60 with definite acute meningitis diagnosed clinically and confirmed by cerebrospinal fluid analysis …

Study Of Blood Levels Of Lactate, Vitamin D, And Nucleated Red Blood Cells For Hypoxic-Ischemic Encephalopathy Prediction, Ahmed T. Mahmoud, Ahmed H. Saad, Alyaa A. Abdelaziz, Mohamed A. Soliman

Menoufia Medical Journal

Background Perinatal asphyxia is a serious medical condition in which there is a lack of oxygen or blood flow during or even after the labor process. Objective This study aimed to study the serum blood levels of lactate, vitamin D, and count of nucleated red blood cells per 100 white blood cells (nRBC/100 WBC) as early biological predictors of hypoxic–ischemic encephalopathy (HIE) after perinatal asphyxia. Patients and methods A case–control study was conducted on 20 neonates with HIE, comprising the cases, and another 20 neonates, representing the control group, with their gestational age, sex, and weight matched, admitted to a …

Hypoalbuminemia As A Predictor Of Adverse Outcome In Critically Ill Children: A Prospective Cohort Study, Abeer Y. El-Shamy, Ahmed A. Khattab, Alyaa A. Abdelaziz

Menoufia Medical Journal

Objectives To evaluate the incidence of hypoalbuminemia as a predictor of clinical outcome in critically ill pediatric patients. Background Hypoalbuminemia is a common finding in critically ill patients associated with a high risk of poor outcome, but there is limited data on its role in pediatric patients. The aim of this study was to investigate the effect of low albumin levels in pediatric patients on poor prognosis and high risk of mortality in the pediatric intensive care unit (PICU). Patients and methods This was a prospective cohort study conducted at the PICU at El-Bagour Hospital from November 2018 to November …

Inherited Bleeding Disorders Other Than Hemophilia In Pediatrics: Single-Center Experience, Dalia M. Adel, Dina A. Ezzat, Rehab M.A. Elkareem, Yasmen A. Mohamed

Menoufia Medical Journal

Objective The aim was to study the inherited bleeding disorders other than hemophilia with special emphasis on clinical spectrum, diagnosis, and management. Background Inherited bleeding disorders are a variable group of disorders that vary in incidence and clinical presentations. They include hemophilia A, hemophilia B, von Willebrand disease (VWD), inherited platelet-function disorders (IPFDs), and rare bleeding disorders (factors I, II, V, combined Vand VIII, VII, X, XI, and XIII deficiencies). Patients and methods It is a prospective follow-up study over a period of 5 years, in which patients suffering from bleeding tendency and referred to the hematology clinic were included …

Value Of Transforming Growth Factor-Β2 In Infant's Serum, Mother's Breast Milk, And Its Correlation With Feeding Intolerance, Ahmed A. Khattab, Dalia M. Allahonya, Mohamed S. M. Rizk, Walaa A. M Abdel Hamed, Zein A. Omar

Menoufia Medical Journal

Objective The study value of transforming growth factor-beta2 (TGF-β2) measurement in infant's serum and mother's breast milk and its correlation with feeding intolerance (FI). Background The occurrence of FI remains a concern for care providers in the neonatal intensive care unit and may adversely affect preterm infants. In the intestine, TGF-β2 is involved in regulating inflammatory responses and establishing oral tolerance. The current study was designed to clear whether preterm infants are more susceptible to FI than term infants. Patients and methods A prospective, clinical study on 60 patients admitted to the neonatal intensive care unit and nutritional unit of …

Lung Ultrasonography To Diagnose Transient Tachypnea Of The Newborn, Amany A. El-Banna, Dalia M. El-Llahony, Fady M. El-Gendy, Waleed A. Mousa

Menoufia Medical Journal

Objective This study aimed to diagnose transient tachypnea of newborn (TTN) and differentiate it from respiratory distress syndrome (RDS) using lung ultrasound. Background TTN is a very common cause of neonatal respiratory distress and must be accurately differentiated from other causes of respiratory distress. Participants and methods A prospective observational cohort study was carried out on 120 newborns at the Neonatal Intensive Care Unit, Menoufia University Hospital, admitted with respiratory distress and subjected to an assessment of full history, clinical examination, arterial blood gas, chest radiography, and lung ultrasound. Results On lung ultrasound, TTN was found in 77.5% of cases …

Viloxazine In The Treatment Of Attention Deficit Hyperactivity Disorder, Amber N. Edinoff, Haseeb A. Akuly, John H. Wagner, Megan A. Boudreaux, Leah A. Kaplan, Shadman Yusuf, Elisa E. Neuchat, Elyse M. Cornett, Andrea G. Boyer, Adam M. Kaye, Alan David Kaye

School of Pharmacy Faculty Articles

Attention deficit hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder in children. Over the past twenty years, research on the disease and its characteristics and treatment options has grown exponentially. The first-line pharmacologic treatment of ADHD is stimulants, which have a response rate of ~70%. With the support of four phase 3 studies involving more than 1,000 pediatric patients 6–17 years old, the FDA has approved the non-stimulant, serotonin-norepinephrine modulating agent (SNMA) viloxazine in an extended-release capsule (viloxazine ER) for treatment of ADHD in children aged 6–17. Viloxazine modulates serotonergic activity as a selective 5-HT22B receptor antagonist and 5-HT2C …

Standardization Of Bedside Shift Report In Pediatrics, Edwin Tadeo

Master's Projects and Capstones

Problem: In the pediatric setting, the change-of-shift report does not traditionally happen at the bedside. Medical error is a significant health challenge in the healthcare system, with substantial effects on patient safety, including disability or death. Failure of effective communication during the hand-off process contributes to approximately 30% of all malpractice claims. Furthermore, inadequate hand-offs have been shown to contribute to 1,744 deaths and $1.7 billion in malpractice costs over five years (Joint Commission, 2017).

Context: The microsystem setting for this improvement project is a 32-bed pediatric unit in Northern California. It was concluded that the organization could support any …

Vitamin D And Vitamin D-Binding Protein In Type 1 Diabetes Mellitus, Eman R. Amer, Gehan F. Oreby, Sahar H. Quashwa

Journal of Medicine in Scientific Research

Background and aim Type 1 diabetes mellitus (T1DM) is an autoimmune disease caused by destruction of pancreatic islet βcells, leading to absolute insulin deficiency. The D vitamins are a group of sterols that have a hormone-like function, which bind to vitamin D receptor. Vitamin D (25(OH) D) deficiency is involved in the induction of autoimmune destruction of β-cells and onset of T1DM. The majority of circulating 25(OH) D is bound to vitamin D-binding protein (VDBP), which protects it from biodegradation, limits its access to target tissues, and helps its reabsorption from the kidneys. VDBP also binds fatty acids, activates macrophages, …

Challenges And Solutions For Cochlear Implant Rehabilitation During Coronavirus Disease 2019 Pandemic, Ahmed Mostafa, Iman Elrouby, Mohamed F. Alsoda

Journal of Medicine in Scientific Research

Objective The current study was intended to detect the challenges facing cochlear implantation (CI) and rehabilitation during coronavirus disease 2019 (COVID-19) and to investigate the influence of the application of the required hygiene measures on the success of CI rehabilitation during coronavirus situations. Patients and methods The present research included 151 patients had CI in the Hearing and Speech Institute in the year of 2020. A total of 116 cases (22 adults and 94 children) have been implanted from August 2020 to December 2020. Of the 94 children (45 males and 49 females), 26 neonates with significant sensorineural hearing loss …

The Effect Of Reciprocal Electrical Stimulation On Handgrip And Pinch Grip Strength In Spastic Hemiplegic Cerebral Palsy Child, Abeer El Sayed Hamed, Shymaa Mahmoud Matty, Taher Salah El-Din Taha

Journal of Medicine in Scientific Research

Background In hemiplegic spastic cerebral palsy (CP) patients, the affected hand can present with a combination of spasticity, weakness, and dystonia. Electrical stimulation is a part of a physical therapy program that is used for improving hand function, and one of the methods of electrical stimulation is reciprocal electrical stimulation (RES). RES mimics the neuromuscular-stimulation procedure for alternate activation of agonist and antagonist muscle groups. Also, RES has been reported to decrease the cortical excitability of the spastic muscle and to improve neural drive through stimulation of sensory receptors and sensory neurons of agonist and antagonist muscles. Our study aims …

Coping In Pediatric Burn Survivors And Its Relation To Social Functioning And Self-Concept, Mira D H Snider, Sarah Young, Paul T Enlow, Corrine Ahrabi-Nejad, Ariel M Aballay, Christina L Duncan

Department of Pediatrics Faculty Papers

Pediatric burn survivors experience increased risk for bullying, stigmatization, body image concerns, and problematic social functioning. Although coping behaviors are associated with engagement in social supports and positive self-concept in multiple pediatric illness populations, their relation has not been examined in pediatric burns. This study examined coping in relation to social functioning and self-concept in 51 pediatric burn survivors aged 7–17years (M=12.54; SD=2.65). Survivors and their caregivers completed the Child Coping Strategies Checklist (CCSC; youth report); the Burn Injury Social Questionnaire (BISQ; parent and youth report); and the Piers-Harris Children’s Self-Concept Scale-2 (PH-2; youth report). Associations between coping, social functioning, …

Evaluation Of Pediatric Rheumatology Telehealth Satisfaction During The Covid-19 Pandemic, Lindsay N Waqar-Cowles, John Chuo, Pamela F Weiss, Sabrina Gmuca, Marianna Lanoue, Jon M Burnham

College of Population Health Faculty Papers

Background: During the Coronavirus disease 2019 pandemic, ambulatory pediatric rheumatology healthcare rapidly transformed to a mainly telehealth model. However, pediatric patient and caregiver satisfaction with broadly deployed telehealth programs remains largely unknown. This study aimed to evaluate patient/caregiver satisfaction with telehealth and identify the factors associated with satisfaction in a generalizable sample of pediatric rheumatology patients.

Methods: Patients with an initial telehealth video visit with a rheumatology provider between April and June 2020 were eligible. All patients/caregivers were sent a post-visit survey to assess a modified version of the Telehealth Usability Questionnaire (TUQ) and demographic and clinical characteristics. TUQ total …

Adverse Childhood Experiences: Effects Of Covid-19, Evan Guo

Honors Projects

The evaluation of an adult's health status consists of several entities. These factors can include physical, mental, and emotional health in an individual's history contributing to their overall health. When studying such factors, some researchers emphasize the importance of recognizing events experienced during a person's childhood that affect their development, and therefore, their adult health status. Today, as people continue adapting to the COVID-19 pandemic and changes in regulation of standards for socialization, it is becoming apparent to healthcare researchers how these new modifications are highly impactful to the development of children and adolescents. When studying the various factors that …

Gross Motor Interventions Support Play Engagement In Children With Developmental Delays: An Evidence-Based Practice Project, Olivia Beaulieu, Olivia Dains, Carlena Ebersole, Brooke Heaney, Chase Lees, Taylor Lennartson, Greta Silvernagel, Sara Stuckey, Amanda Way, Hinako Yokokura

Graduate Occupational Therapy Research and Projects

The overall focus of each of case scenarios are related to assessment or interventions that are related to Choosing Wisely Campaign items 1, 2, 3, 5, 8, 10. Case scenarios were developed related to each initiative with clientele and conditions across the lifespan in various practice settings. Practice settings included school district, outpatient pediatric, primary care, skilled nursing facility, work rehabilitation, and acute care.

Effects Of Seat And Axle Position On Pain, Pathology, And Independence In Pediatric Manual Wheelchair Users With Spinal Cord Injury, Hannah Frank

Theses and Dissertations

Manual wheelchair (MWC) users with spinal cord injury (SCI) rely heavily on their upperextremities to complete daily occupations. Due to repetitive shoulder use during wheelchair mobility and propulsion, MWC users are at greater risk of shoulder pain and shoulder pathology, and thus decreased independence, and lower quality of life. The relative fit of the wheelchair and its parameters are critical and can further impact the user’s propulsion biomechanics. Parameters such as seat angle and axle position may put the user in detrimental shoulder positions for longer periods of time, impacting health outcomes even more. Although the effects of wheelchair setup …

The Influence Of Gender Bias On Male Nurses And Nursing Students In The Obstetric, Maternal, And Pediatric Nursing Profession., Julian Alvarez

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This literature review analyzes if gender bias influences the disproportionate number of male nurses and male nursing students in the pediatric, maternal, and obstetric nursing fields as compared to nursing as a whole. PubMed and CINAHL databases were utilized to find 15 research articles focused on the experiences of male nurses and male nursing students. These articles were compared amongst each other to find common themes of the male experience in the nursing fields of pediatrics, maternity, and obstetrics. The three common themes found were 1) Men tend to encounter situations where their professionalism will be monitored more closely when …

Leadership Rounding To Improve Patient Satisfaction In Pediatric Ambulatory Care, Tara J. Haskell

Student Scholarly Projects

Practice Problem: Low patient satisfaction has been linked to poor treatment compliance, patients leaving the practice, staff decreased job satisfaction, and high staff turnover (Haskard Zolnierek & DiMatteo, 2009; Prakash, 2010). Magnet reporting has identified wide discrepancies in ambulatory clinics, with some clinics reporting below benchmark patient satisfaction ratings.

PICOT: In pediatric ambulatory and primary care services, how will the implementation of leader-led customer service rounding, compared to current practice, increase family and/or patient satisfaction over 4 weeks?

Evidence: Key findings are that the rounding needs to be population-specific, intentional, and swiftly followed up when problems are identified. The body …

Ms 013 Guide To Laura C. Bickel, Md Papers (1938-1967), Laura C. Bickel (1912-1977)

Manuscript Finding Aids

The Laura C. Bickel, MD papers contain article reprints, correspondance, case studies, photographs, and xrays related to her research into the Rubella virus and congenital defects and her career in pediatrics. See more at MS 013.

Ms 101 Guide To Robert W. Miller, Md Papers (1921-2006), Robert W. Miller (1921-2006)

Manuscript Finding Aids

The Robert W. Miller, MD, papers, MS 101, includes materials from 1953 through 1998 related to the Atomic Bomb Casualty Commission (ABCC) and the Radiation Effects Research Foundation (RERF). Miller was the chief pediatric physician on the team that conducted the research and observations in Hiroshima. This collection encompasses this period of time in Dr. Miller's career, as well as scholarly work relating to the results of the ABCC's research. Dr. Miller donated his collection of personal and business correspondence, journal articles, book reviews, business reports, newspaper articles, pamphlets, and a book to the John P. McGovern Historical Collections and …

Distance From Healthcare Facilities Is Associated With Increased Morbidity Of Acute Infection In Pediatric Patients In Matiari, Pakistan, Elise Corden, Saman Hasan Siddiqui, Yash Sharma, Sheraz Ahmed, Fayyaz Umrani, Najeeb Rahman, Rafey Ali, Najeeha Talat Iqbal, Syed Asad Ali, Sana Syed

Department of Paediatrics and Child Health

The relationship between environmental factors and child health is not well understood in rural Pakistan. This study characterized the environmental factors related to the morbidity of acute respiratory infections (ARIs), diarrhea, and growth using geographical information systems (GIS) technology. Anthropometric, address and disease prevalence data were collected through the SEEM (Study of Environmental Enteropathy and Malnutrition) study in Matiari, Pakistan. Publicly available map data were used to compile coordinates of healthcare facilities. A Pearson correlation coefficient (r) was used to calculate the correlation between distance from healthcare facilities and participant growth and morbidity. Other continuous variables influencing these …

Comparing Patient Experience Survey Scores Between Telehealth And In-Person Ambulatory Pediatric Subspecialty Visits, Sean T. Bomher, Matthew Wood, Elizabeth Uhlhorn, Sandro Marques, Lee Kwiatkowski, Natasa Tekic, Cameron D'Alpe, Natalie M. Pageler, Lane F. Donnelly

Patient Experience Journal

To determine the effect of encounter methods on patient experience, we evaluated patient experience survey data comparing scores between telehealth and in-person visits and pre-COVID-19 and COVID-19 time periods. Pediatric subspecialty visits were either in-person or via telehealth and received the same 16-question patient experience survey. Top box (5/5) scores were compared between in-person and telehealth visits for pre-COVID-19 and COVID-19 periods as well as between periods for in-person and telehealth visits. In addition, for both time periods and encounter methods, correlation analysis was performed to evaluate best correlation between likelihood to recommend practice and the 15 other survey questions. …

Pharmacy Students As Volunteer Medical Staff For American Diabetes Association Summer Camp, Emily Harvath

Purdue Journal of Service-Learning and International Engagement

For children living with a diagnosis of diabetes, com-munity support and education about proper disease management are critical for the mental and physical health of the child and their family. The experiences offered at summer camps hosted by the American Diabetes Association address both of these needs for the pediatric diabetes community. These camps provide children with the opportunity to participate in a traditional camp experience—swimming, rock climbing, tubing, and more—while giving parents peace of mind in the knowledge that their child’s diabetes will be closely monitored by a team of health care professionals. During my time as volunteer medical …

Incorporating Emergency Management Training Within School-Based Health Centers, Alicia Christian

Seton Hall University Dissertations and Theses (ETDs)

Background: Emergencies are situations that present without warning but require skilled individuals to provide aid to someone needing assistance. The pediatric primary care setting rarely experiences emergency-based care, which could lead to a lack of training in this area of expertise. As pediatric primary care extends to schools, there is also a need to ensure staff and providers have an annual emergency management training program. Project Aim: The current program aimed to determine the need to incorporate emergency management training in the school-based health center (SBHC) setting. Methods: This quality improvement project method was a pre-intervention with post-intervention design. The …

Conference Proceedings: Select Abstracts Presented At 2021 Advocate Aurora Health Scientific Day

Journal of Patient-Centered Research and Reviews

Abstracts published within this supplement were presented at the 47th annual Advocate Aurora Health Scientific Day, held virtually on May 26, 2021. This research symposium provides a forum for disseminating results from studies conducted by faculty, fellows, residents, and other allied health professionals associated with Midwest-based health system Advocate Aurora Health, which publishes the Journal of Patient-Centered Research and Reviews.

Estimation Of Awareness Of Sexually Transmitted Diseases Among Married Women Of Menoufia Governorate, Egypt, Mohamed A. Gaber, Salma E. Abdelmagid Abouelkomsan

Menoufia Medical Journal

Objective The aim of this study was to explore the awareness about common sexually transmitted diseases (STDs) among a sample of married women of Menoufia governorate and to educate those who lack information about STDs. Furthermore, it could be used to serve as a tool to prevent and minimize the problems of STDs. Background Sexually transmitted infections are a major global cause of acute illness, infertility, long-term disability, and death, with serious medical and psychological consequences to millions of men, women, and infants. Patients and methods This was a cross-sectional study by interviewing participants using a questionnaire. The study was …

Assessment Of Serum Vascular Endothelial Growth Factor Receptor-3 In Psoriatic Patients, Alaa H. Maraee, Hadiel O. El Banhawy, Rania M. Azmy, Reem A. Hassan

Menoufia Medical Journal

Objective This study aimed to assess serum vascular endothelial growth factor-3 (VEGFR-3) as a potential biomarker of psoriasis and correlate its expression with the clinical parameters. Background VEGFR-3 has gained a lot of interest in psoriasis research owing to its role in disease progression. Psoriasis biomarkers could potentially aid in the diagnosis, tracking disease progression, and monitoring response to treatments. Patients and methods This prospective case–control study was conducted on 40 patients with psoriasis and 40 age-matched and sex-matched healthy controls. Patients were selected from the Dermatology Outpatient Clinic at Menoufia University Hospital. Enzyme-linked immunosorbent assay validation studies were conducted …

Erectile Dysfunction In Psoriatic Patients, Abdalla M. Attiaa, Ahmed S. Rashed

Menoufia Medical Journal

Objective The aim of this study was to determine the role of psoriasis per se in erectile dysfunction (ED). Background An association between psoriasis and ED has been explored and proved in several studies. However, not much is known about the role of psoriasis per se in the pathogenesis of ED in these patients. Patients and methods This case–control study included 40 male participants aged 25–50 years who were divided into two groups: a case group composed of 20 psoriatic patients with moderate to severe psoriasis and an age-matched control group composed of 20 healthy men. All participants completed the …

Role Of Signal Transducer And Activator Of Transcription 3 In Cutaneous Squamous Cell Carcinoma, Aya S. Serag, Mohammed A. Basha, Rehab M. Samaka

Menoufia Medical Journal

Objective To assess the role of signal transducer and activator of transcription 3 (STAT3) in cutaneous squamous cell carcinoma (cSCC). Background cSCC is considered the second most frequent type of nonmelanoma skin cancer. The Janus kinase-STAT pathway plays a significant role in the proliferation and survival of various cancer cells. Between seven mammalian STAT proteins, continuous activation of STAT3 is commonly observed in several cancer cells. Patients and methods This prospective and retrospective case–control study was conducted on 48 cases with cSCC and 47 age-matched and sex-matched apparently healthy participants. All sections were immunohistochemically stained for the STAT3 antibody. Results …