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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 …

Efficacy Of Moderate Exercise Training On Heart Rate Variability And Left Ventricular Remodeling After Myocardial Infarction, Mai H. Hassan, Mohamad El Bordy

Journal of Medicine in Scientific Research

Background After myocardial infarction (MI), elevated sympathetic activity and/or reduced parasympathetic activity are observed. As a result, these patients have a decreased heart rate variability (HRV), which has been linked to an elevated risk of adverse effects and death. Following MI, the remodeling of the left ventricle (LV) is a complex and multifactorial mechanism, with therapeutic and prognostic consequences. Medications that reduced LV improved survival and standard of living. Aim We aimed to evaluate the effect of continuous exercise remodeling training on HRV, function capacity [6-min walk test (6MWT)], and LV remodeling in patients who had experienced MI. Patients and …

Prognostic Effect Of Glycated Hemoglobin In Acute Myocardial Infarction, Mohamad El Bordy, Nadia Youssef Riad

Journal of Medicine in Scientific Research

Background Impaired glucose tolerance and even prediabetic states have a crucial role as risk factors among several different risk factors in acute myocardial infarction (AMI). Some recent studies have shown that poor diabetes management, diagnosed by glycated hemoglobin (HbA1C), has poor prognostic value regarding future cardiovascular events, whereas other studies recommend that it is the blood glucose level at admission that predicts short-term mortality after AMI and not the HbA1C level. Aim The target of this research is to detect the correlation between the level of HbA1C and risk factors in the patients with AMI and its value regarding the …

Predictors Of Mortality Among Egyptian Hemodialysis Patients With Coronavirus Disease 2019: A Multicenter Retrospective Cohort, Amany A. Salem, Enass E. El-Sayed, Hala M. Abd-Elmaguid, K Allayeh Abdou, Mona Abd Elmotaleb A. Hussein, Muhammed M. Abdul-Ghaffar, Omnia S. Ali, Sheren M. Omar, Wael M. Essa

Journal of Medicine in Scientific Research

Background With a diagnostic problem, the emerging severe acute respiratory syndrome coronavirus 2 caused a devastating global consequence. We were identifying severity/mortality risk variables that assist in determining the need for early admission. As a result, we sought to establish for the first time the clinical, biochemical, and radiological characteristics of coronavirus disease 2019 (COVID-19) in Egyptian hemodialysis patients and to identify the risk factors for mortality. Patients and methods In this observational multicenter retrospective cohort study in Egypt, the data of 377 confirmed COVID-19 patients on regular hemodialysis were collected from hospitals affiliated to the general organization of teaching …

Lower-Limb Resistive Versus Aerobic Training Impact On Quality Of Life In Post-Covid-19 Patients, Asmaa M. Mohamed, Elsaeed E. Shaaban, Esraa A. Mohamed, Zahra M. H. Serry

Journal of Medicine in Scientific Research

Objective To determine the effect of lower-limb resistive versus aerobic training impact on quality of life (QOL) in post-COVID-19 patients. Participants and methods Sixty young volunteer patients participated in this study and randomly divided into two equal groups: group A that received an aerobic exercise program three times per week, group B, which received lower-body-resistance exercises. Both groups were evaluated before and after therapy (6 weeks) through measuring resting heart rate (RHR), peak heart rate (PHR), neutrophil/lymphocyte ratio, one-repetition maximum (1-RM) of selected muscle groups, and QOL assessment using the Short-Form (SF-12) Health Survey Questionnaire. Results The results revealed a …

Assessment Of Auditory Dysfunction As An Extra-Articular Manifestation In Rheumatoid Arthritis Using Brainstem Auditory-Evoked Potential, Abeer H. Ismaiel, Ahmad M. A. Gawad, Amany F. Hakim, Soha S. Shaaban

Journal of Medicine in Scientific Research

Objectives The paper aims to study brainstem auditory-evoked potential parameter changes in rheumatoid arthritis (RA) patients, and their relation to the duration of illness, degree of disease activity, functional stage of the disease, and intensity of pain. Materials and methods Control (group 1) comprised 25 healthy female patients of age 50–60 years, while the study group (group 2) comprised 25 female patients with RA of more than 5 years. Proven cases of RA (according to american college of rheumatology (ACR) 2010 criteria) underwent brainstem auditory-evoked potentials. The recording was carried out by using RMS EMG EPMK2. In the RA group, …

Posterior Tympanotomy Versus Posterior Atticotomy In Creating Well-Ventilated Middle Ear Cleft Pros And Cons, Essam F. Abdelfattah, Wael A. Alzami

Journal of Medicine in Scientific Research

Background Cortical mastoidectomy is considered a cornerstone step in the surgical management of noncholesteatomatous chronic suppurative otitis media. It comprises the canal wall-up technique, preserving the posterior and superior bony canal walls. The goal of cortical mastoidectomy is mainly to ventilate the middle ear cleft besides eradication of diseased mastoid air cells. The ventilation of the middle ear cleft has no way except through the aditus ad antrum and patent epitympanic diaphragm besides well-functioning Eustachian tube. This way of ventilation is usually affected in chronic infected ears by edematous and polypoid mucosa, leading to its obstruction. Traditional practice used to …

Prediction Of Cardiac Surgery-Associated Acute Kidney Injury Using Cleveland And Mehta Scores, Maged M. A. Kisho

Journal of Medicine in Scientific Research

Objective To detect the clinical accuracy of two models for the prediction of cardiac surgery-associated acute kidney injury (AKI) and severe AKI that need renal replacement therapy according to Cleveland and Mehta scores and using Kidney Disease Improving Global Outcomes (KDIGO) definitions for AKI. Patients and methods In total, 742 patients who underwent cardiac surgery in the Department of Cardiac Surgery NHI of Egypt, between January 2016 and December 2018, were enrolled in this research. We evaluate the prediction for cardiac surgery-associated AKI using Cleveland and Mehta scores. We also evaluate the effect of hemofiltration during cardiopulmonary bypass as a …

Nn-Topsis Strategy For Madm In Neutrosophic Number Setting, Kalyan Mondal, Surapati Pramanik, Bibhas C. Giri

Neutrosophic Sets and Systems

No abstract provided.

Topology On Ultra Neutrosophic Set, Suman Das, Rakhal Das, Surapati Pramanik

Neutrosophic Sets and Systems

No abstract provided.

Generalized Closed Sets And Pre-Closed Sets Via Bipolar Single-Valued Neutrosophic Topological Spaces, Christy V, Mohana K

Neutrosophic Sets and Systems

No abstract provided.

Split Domination In Neutrosophic Graphs, M. Mullai, S. Broumi, R. Jeyabalan, R. Meenakshi

Neutrosophic Sets and Systems

No abstract provided.

P And R Order Of Plithogenic Neutrosophic Cubic Sets, S.P. Priyadharshini, F. Nirmala Irudayam

Neutrosophic Sets and Systems

No abstract provided.

Selection A Suitable Supplier For Enhancing Supply Chain Management Under Neutrosophic Environment, Hager Hosny, Ibrahim El-Henawey, Samah Abo-Elhadid

Neutrosophic Sets and Systems

No abstract provided.

Single Valued Neutrosophic Hypersoft Expert Set With Application In Decision Making, Muhammad Ihsan, Atiqe Ur Rahman, Muhammad Saeed

Neutrosophic Sets and Systems

No abstract provided.

Optimal Supplier Selection Via Decision-Making Algorithmic Technique Based On Single-Valued Neutrosophic Fuzzy Hypersoft Set, Muhammad Saeed, Atiqe Ur Rahman, Ume-E Farw

Neutrosophic Sets and Systems

No abstract provided.

Generalized Neutrosophic Semirings, Muhammad Gulistan, Inayatur Rehman, Muhammad Shahzad, Shah Nawaz, Salma Khan

Neutrosophic Sets and Systems

No abstract provided.

Practical Applications Of The Independent Neutrosophic Components And Of The Neutrosophic Offset Components, Florentin Smarandache

Neutrosophic Sets and Systems

No abstract provided.

Predictors Of Left Ventricular Systolic Dysfunction After Primary Percutaneous Coronary Intervention For Patients With Left Anterior Descending Artery Occlusion, Ahmed Galal A Fattah Fahmy, Mohamed E. L Bordy

Journal of Medicine in Scientific Research

Background Depressed left ventricular (LV) systolic function after acute coronary syndrome is the most important predictor affecting morbidity and mortality. The primary objective of reperfusion therapy is to restore epicardial flow and to reperfuse the myocardial tissue. However, not all the patients show improvement, and a group of patients may experience depression in heart function. Aim To determine the factors affecting impairment of LV function assessed by echocardiography following successful primary percutaneous coronary intervention (PCI) in patients with acute coronary syndrome involving the left anterior descending (LAD) artery. Patients and methods A total of 50 patients were included in this …

Metabolic Syndrome And Asthma, Therese S. Ghatas

Journal of Medicine in Scientific Research

Introduction Bronchial asthma is one of the chronic diseases that most commonly present worldwide. Asthma is still a poorly controlled disease despite the availability and intake of medications in a large percentage of asthmatic patients. Research studies are indicated to identify the effect of metabolic syndrome on the occurrence of asthma and its severity and also to clear the underlying important mechanisms. Patients and methods This cross-section study was carried out on 108 patients with asthma. Asthma was diagnosed and classify according to Global Initiative for Asthma guideline. All asthmatic patients were tested for the criteria of metabolic syndrome. Aim …

Health-Related Quality Of Life In Children And Adolescents With Chronic Kidney Diseases At Sohag, Egypt: A Case–Control Study, Ahmed M. Hegab, Eman Abdel-Baset Mohamed, Fouad M. A. Yousef, Rasha Gamal-El-Din Abu-El-Goud

Journal of Medicine in Scientific Research

Background and objectives Chronic kidney diseases (CKD) have multiple complications that could impair the quality of life in the affected children and their families. This study aimed to assess the health-related quality of life (HRQOL) and detect factors affecting it in children with CKD and their families at Sohag, Egypt. Patients and methods The study included 113 children and adolescents with CKD stages 1–5, aged 2–18 years old, attending the pediatric nephrology outpatient clinic and the pediatric dialysis unit at Sohag University Hospital. Two hundred twenty-six children were in the control-group age and sex matched to cases with urinary-system condition …

The Effect Of Cervical Spondylosis On Diaphragmatic Thickness And Excursion In Nonsmoking Adults, Akram A. Elaziz, Bishoy G. Khalil, Saif Mehmed, Tamer A. El-Kassas

Journal of Medicine in Scientific Research

Background Cervical spondylosis is defined as a series of signs and symptoms that result in anatomical and physiological changes in the vertebral column that may impair phrenic nerve function by compressing the C3/C5 that affect diaphragmatic movements. Purpose The purpose of this study was to investigate the effect of cervical spondylosis on diaphragmatic thickness and excursion in nonsmoking adults by using ultrasonographic evaluation of the diaphragm. Eighty-four nonsmoking volunteers participated in this study and were divided into two equal groups: group A, patients with cervical spondylosis and group B, healthy volunteers with a normal cervical spine. Both groups were evaluated …

Effectiveness Of Ultrasound-Guided Platelets Rich Plasma Injection In Knee Osteoarthritic Cases, Abeer N. A. Aziz, Gamal S.E E. Khalifa, Hesham Alshabrawy, Lamis Safwat

Journal of Medicine in Scientific Research

Backgroud Knee osteoarthritis is the most common articular disease. Different methods are used to alleviate the symptoms of patients with knee osteoarthritis, including analgesics, physical therapy, exercise prescription, and intra-articular injections (glucocorticoids, hyaluronic acid). New studies have focused on modern therapeutic methods that stimulate the cartilage healing process and improve the damage, including the use of platelet-rich plasma as a complex growth factor. Aim of the work To evaluate the effectiveness of intra articular PRP in mild to moderate degree knee osteoarthritis. Objectives To slow the rate of progression of knee Osteoarthritis by injection of PRP intraarticular. Decrease pain and …

Perceptions Of A Virtual Interview Exercise For Ophthalmology Residency Applicants, Bilal Ahmed, Victoria Ly, Ankur Parikh, Arjun Watane, Sanah Aslam, Anjalee Choudhury, Benjamin Lin, Yoshihiro Yonekawa, Jayanth Sridhar

Journal of Academic Ophthalmology

Abstract

Importance In-person interviews have traditionally been considered a crucial component of the residency application process. Virtual interviews (VIs) became the standard format for the 2020 to 2021 application cycle due to the novel coronavirus disease 2019 (COVID-19) pandemic. VIs offer a new perspective and challenge to this process which warrants unique considerations and further understanding of effects on applicants.

Objective This study aimed to assess the perceived efficacy of a VI preparedness exercise for ophthalmology residency applicants in the 2021 residency application cycle.

Design, Setting, and Participants A cross-sectional survey was distributed online. All participants in a mock VI …

Relationship Between Chronic Obstructive Pulmonary Disease And Helicobacter Pylori Infection, Moheb W. Elfaizy, Therese S. Ghatas

Journal of Medicine in Scientific Research

Introduction There are insignificant observations and few research studies that indicate the action of Helicobacter pylori in the induction of extra-gastrointestinal tract diseases, which include autoimmune, skin, and vascular diseases, and also some pulmonary diseases. Moreover, it has been documented that the incidence of chronic bronchitis may be elevated in patients who experienced H. pylori infection. Aim To assess infection with H. pylori in patients with chronic obstructive pulmonary disease (COPD) and in control persons and also to determine the association between serology level of H. pylori and spirometry parameters in patients experiencing COPD. Results A total of 100 individuals …

The Role Of Postoperative Imaging In Cochlear Implants, Essam F. Mohammed

Journal of Medicine in Scientific Research

Objective The aim was to evaluate the role and efficacy of high-resolution computed tomography (CT) scan after cochlear implantation in evaluating the integrity and insertion of the electrode, whether complete or incomplete, whether intracochlear or extracochlear, and whether to change the decision for revision or not. Sitting The study was conducted at the Hearing and Speech Institute. Patients and methods All the patients 300 cases undergo CT scan radiology within one week postoeratively and reevaluated for electrode insertion. Complete, incomplete, or over insertion. intracochlear or extracchlear. Results This study was carried out on 312 cases from January 2019 to December …

Patient–Valve Mismatch: A Comparison Of Mechanical Versus Biological Prostheses In Ischemic Mitral Patients Undergoing Chordal-Sparing Mitral Valve Replacement, Ahmed S. Ali, Rania D.E A. Shokka, Rasha H. Mohammed

Journal of Medicine in Scientific Research

Background Chordal-sparing mitral valve replacement (MVR) is now preferred over downsized annuloplasty repair in treating chronic severe ischemic mitral regurgitation. However, total leaflet preservation carries the risk of patient–valve mismatch (PVM). The authors aimed to investigate the incidence of PVM among those groups of patients who were treated with either mechanical or biological MVR. Objective This study aimed to compare the incidence of PVM in ischemic mitral regurgitation patients undergoing total revascularization together with chordal-sparing MVR with either biological or mechanical prosthesis. Patients and methods A controlled prospective study was carried out at the National Heart Institute Cairo, Egypt. 50 …

Svpns-Madm Strategy Based On Gra In Svpns Environment, Suman Das, Bimal Shil, Surapati Pramanik

Neutrosophic Sets and Systems

No abstract provided.

Complex Bipolar- Valued Neutrosophic S, Ashraf Al-Quran, Shawkat Alkhazaleh, Lazim Abdullah

Neutrosophic Sets and Systems

No abstract provided.

A New Approach For Solving Bi-Level Multi-Objective Nonlinear Programming Model Under Neutrosophic Environment, Azza H. Amer, Mahmoud A. Abo-Sinna

Neutrosophic Sets and Systems

No abstract provided.