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The Value Of Right Ventricular Systolic Function Assessment By 2d Speckle Tracking Echocardiography In Severe Ms, Alaa Ramadan Youssuf, Mohammad Morsy, Ibrahim Afifi, Mohamed Mansour, Eman H Seddik

Journal of Medicine in Scientific Research

Background: Many patients with long-standing mitral stenosis (MS) experience pulmonary hypertension (PH), which can eventually result in right heart failure. Several studies investigated the RV function changes in MS patients in the perioperative periods but focused on balloon mitral valvotomy (BMV). So our study aimed to assess the RV changes in severe MS patients planned for surgical mitral valve replacement (MVR).

Methods: A case-control study was carried out on severe MS patients planned for surgical MVR being unfit for BMV were subjected to conventional MS indices, RV Fractional area change (FAC), lateral tricuspid annular plane systolic excursion (TAPSE), RV global …

Mediastinal Packing For Massive Bleeding Following Acute Ascending Aortic Dissection Surgery: Outcomes And Risk Factors Analysis, Ahmed Shafeek Ali, Mostafa Abd Al Salam Mohamed Ghazi, Mahmoud Maher Abdou Ibrahim, Haitham Alshahat Ramadan

Journal of Medicine in Scientific Research

Background: Surgery for Acute Ascending Aortic Dissection (AAAD) is often complicated by severe perioperative coagulopathy and critical bleeding. Mediastinal packing is a widely recognised technique used to manage and control this complication. This retrospective study aims to analyze early outcomes and potential risk factors for patients subjected to mediastinal packing after AAAD surgery.

Methods: 352 consecutive patients who had undergone acute ascending aortic dissection (AAAD) surgery were studied at the National Heart Institution between February 2014 and Mars 2023. These patients were divided into two groups: the mediastinal packing with delayed closure group (n = 53; 15.05%) and …

Causes And Predictors Of Early 30-Day Rehospitalization After Isolated Elective Coronary Artery Bypass Surgery., Ahmed A Faragalla, Ahmed M Elshiemy, Sherif A Elhindawy, Ahmed A. Aziz

Journal of Medicine in Scientific Research

Background Despite advancements in interventional cardiology, CABG remains essential for many CAD patients. While surgical outcome scoring exists, early post-CABG re-hospitalization remains poorly understood.

Aim of the work This study investigates risk factors and underlying causes of 30-day readmission following elective isolated coronary artery bypass grafting (CABG).

Methods A prospective analysis of 550 consecutive elective isolated CABG patients at the National Heart Institute (January 2022 - June 2023) was undertaken to investigate the 30-day readmission rate, diagnoses, and independent predictors using a follow-up phone call strategy.

Results Analysis revealed a 2.9% (16/545) 30-day readmission rate. Surgical site infection was the …

Peroneal Artery Angioplasty As An Alternative For Limb Salvage In Patients With Critical Threatening Limb Ischemia, Mohamed Abdelsamie Abdelkhalek Elbahat, Mohamed Atef Almoslemany

Journal of Medicine in Scientific Research

Background: Chronic limb-threatening ischemia (CLTI) presents a significant health concern, particularly among patients with blockages in the lower leg arteries. Objectives: This prospective investigation aimed to evaluate the results of revascularization in CLTI patients, with particular attention to the peroneal artery as the preferred target vessel for limb salvage.

Materials and Methods: 50 CLTI patients were enrolled in the study and underwent thorough clinical evaluation, laboratory tests, and duplex scanning at regular intervals. Revascularization procedures, primarily using the antegrade femoral approach on the same side as the affected limb, involved balloon angioplasty. Postoperative outcomes were assessed based on the rates …

Safe Monsplasty Technique Combined With Abdominoplasty, Ebrahim Awad Rizk, Maurice Fekry Khalil

Journal of Medicine in Scientific Research

Background: One of the most common procedures for changing the shape of a person's body is abdominoplasty, which often includes monsplasty. It is one of the top five procedures in cosmetic surgery. Abdominoplasty and body lift operations may begin with a monsplasty. Here, we detail a novel method for treating pubic deformities triggered by massive weight reduction.

Aim and objectives; The purpose of this research was to evaluate how happy our patients were with the results of their monsplasty and abdominoplasty procedures following significant weight loss. Our team also tried to develop a surgical care decision-making system.

Subjects and methods; …

Adverse Pregnancy Outcomes Among Elderly Primigravida Women At Al-Galaa Maternity Teaching Hospital, Sherif M. Safwat, Marwa R. Shahin

Journal of Medicine in Scientific Research

Backgrounds: Pregnancy at advanced maternal age (AMA) is seen as a risk factor for poor maternal and perinatal outcomes. However, pregnancies with advanced maternal age have become more common in recent decades. This is attributable to increased employment options for women, a shift in gender norms, and improved reproductive medicine.

Objectives: Reviewing and assessment of the adverse pregnancy outcomes in elderly primigravida women compared to those with younger age.

Methodology: A case-control research study was conducted on patients who had attended for delivery at Al-Galaa Maternity Teaching Hospital during the period of one year from January 2022 to January 2023. …

Detection Of Cardiac Involvement Using Speckle Tracking Echocardiography In Covid-19 Recovered Patients And Its Relation To Leucocyte Count., Shaimaa Wageeh, Eman H Seddik, Alaa Ramadan Youssuf

Journal of Medicine in Scientific Research

Background: Globally, the coronavirus disease-2019 (COVID-19) pandemic remains a leading cause of morbidity and mortality. Our research aimed to assess the relationship between recovered COVID-19 patients' left ventricular (LV) systolic function and a range of inflammatory and hematological markers

Methods: For cases; baseline clinical and biochemical data such as the complete blood count (CBC), serum ferritin, C-reactive protein (CRP), lactate dehydrogenase (LDH), and D-dimer were measured Echocardiographic parameters of left ventricular (LV) functions, including global longitudinal strain (GLS), myocardial performance index (MPI), left atrial volume index (LAVI), and ejection fraction, were done to all cases and controls.

Results: GLS was …

The Value Of Neutrophil, Platelet-To-Lymphocyte Ratio And Lymphocyte To Monocyte Ratio With Disease Activity In Rheumatoid Arthritis, Lamis Safwat, Shaimaa Mohamed Abd El Aziz

Journal of Medicine in Scientific Research

For rheumatoid arthritis (RA) patients, altering their disease activity is crucial to their treatment plan. Utilising the platelet/lymphocyte ratio (PLR), neutrophil/lymphocyte ratio (NLR), and lymphocyte/monocyte ratio (LMR) as indicators of inflammation as a result of inflammatory process that led to alteration in platelets, neutrophils, monocytes, and lymphocytes absolute number. We aim to provide an overview of the most recent research on the diagnostic potential of three systemic inflammatory ratios as indicators of rheumatoid activity:), platelet/lymphocyte (PLR), neutrophil/lymphocyte (NLR) and lymphocyte/monocyte (LMR) . We concentrated on the research that evaluated blood cell parameters' diagnostic usefulness depending on the ROC ie area …

A Retro- Spective Cohort Study Of Acute Mesenteric Ischemia In Severe Coronavirus-19 Pneumonia At Shebin-Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Salwa Mohamed Ahmed Dahesh, Shimaa Mohamed Kalama

Journal of Medicine in Scientific Research

The purpose of this study was to examine the link between acute mesenteric ischemia and COVID-19 illness in terms of time to admission and intervention. Furthermore, the study focused on the critical time to admission for all patients of mesenteric occlusion. Methods: This study is a retrospective cohort conducted on 60 adults Patients with mesenteric occlusion were hospitalized to Shebein Elkom Teaching Hospital's Intensive Care Unit from March 2020 to September 30, 2022. The study involved two groups of mesenteric occlusion patients: 30 with proven covid19 and 30 without covid19. All medical histories, clinical and laboratory examinations, and the time …

Effect Of Yellow (577) Sub-Liminal Laser In Treatment Of Center Involved Macular Edema, Mohammed Shikhoun Ahmed, Eman Mohamed Etify, Tomas Nader Zakaria

Journal of Medicine in Scientific Research

Background: Advances in laser technology have led to the development of selective treatment without chorio-retinal damage. Subthreshold micropulse yellow laser has widespread benefits for the treatment of different macular disorders, as it allows the treatment of central macular edema without damage of photoreceptors or ganglion cell complex. Methods: Two hundred eyes of 120 patients with center involved mild to moderate macular edema attending at vitro-retinal unit/ ophthalmology department at Sohag Teaching Hospital were included. A pre-subliminal laser assessment of BCVA, CMT, and GCC was performed. Follow-up assessments were performed at one month, three months and six months post-laser treatment. Results: …

Effect Of Covid 19 On Pre-Existent Hypertension And Its Impact On Unmasking New Onset Hypertension In Recovered Cases: A Single Center Experience, Devang Kulkarni, Shital Patil, Anant Kulkarni, Gajanan Gondhali

Journal of Medicine in Scientific Research

Introduction New onset hypertension and aggravation of hypertension during the post-COVID period are issues of concern having very limited data published on them. Hence, the current study was conducted with the aim of studying the blood pressure profiles as new onset hypertension, preexistent hypertension and an aggravation of preexistent hypertension in post-COVID patients. Methods Retrospective cohort study conducted between October 2021 to March 2022, included 800 post-COVID patients above 18 years of age treated at the DCC (dedicated covid care center) irrespective of their disease severity and comorbidity after a valid written consent. All the study cases were followed after …

Evaluation Of Iron, Zinc And Vitamin D Deficiencies In Children With Autism Spectrum Disorder At The Hearing And Speech Institute, In Egypt, Azza Samy, Iman Elrouby, Eman S. Eldin, Eman S. Abd El-Ghaffar

Journal of Medicine in Scientific Research

Background Autism spectrum disorder (ASD) is a complex neurodevelopment disorder with a multifactorial etiology. Each iron, zinc and vitamin D are essential for cognitive, behavioral and motor development. Deficiency of any of these micronutrients may affect ASD symptoms.

Objective The aim of this study is to evaluate and compare the level of iron, zinc and vitamin D levels in children with autism spectrum disorder (ASD) with normal children and to associate between the deficiency of these nutrient elements and the severity of ASD symptoms, in order to help in improvement of ASD symptoms by supplying the deficient elements.

Patients and …

Inter-Reader Agreement And Accuracy Of O-Rads Mr Risk Stratification System In Assessment Of Adnexal Lesions, Mena Elerian Youssef Ekladious, Jehan Ibrahim M. Altohamy, Rania Hassan Mostafa Ahmed, Suzan Farouk Ibrahim Salib, Shrouk Mohamed Awadallah

Journal of Medicine in Scientific Research

Background Ultrasound is the initial modality employed to investigate adnexal lesions due to its high sensitivity and specificity in excluding malignancy when classic benign characteristics are observed. Nevertheless, the positive predictive value (PPV) of cancer can vary from 7% to 50% when a lesion has indeterminate imaging features in the US, and the PPV for cancer can range from 29% up to more than 50% when a lesion exhibits characteristics that are concerned for malignancy. (2). MRI has the capacity to enhance the PPV from cancer to 71%, with a negative predictive value of 98%. (3). The MRI's ability to …

Factors Affecting Non-Compliance With Treatment Among Diabetic Students At Sohag University, Rasha Gamal-El-Din Abu-El-Goud, Samah Wagdy Elkhayat, Ahmed Fathy Hamed, Seham Ahmed Abokresha

Journal of Medicine in Scientific Research

Background and objectives: Diabetes mellitus (DM) is a metabolic disease characterized by insufficient insulin synthesis, action, or both. Its prevalence is estimated to be alarmingly increasing. The aim of the study was studying factors influencing the non-compliance of diabetic students at Sohag University with treatment. Methods: Cross-sectional study at Sohag University for 7 months. Total number of diabetic students involved in the study was 153 students chosen from medical reports of administration of medical affairs in the university from May to November 2022; the participants who were studying in a scientific faculty were 51 (33.3%), and in Literary faculty were …

Understanding Impact Resistance Of Hollow Core Slabs Using Frp Retrofitting. A Comparative Analysis Of Gfrp And Cfrp, Rana Essam, Mina Maxi, Mariam Ehab

Civil Engineering

No abstract provided.

Advancing Seismic Retrofitting: Unveiling The Impact Of Shape Memory Alloys On Structural Resilience And Beyond, Mariam Ehab, Mina Maxy, Nermin Ahmed

Civil Engineering

Reinforced concrete (RC) buildings face significant risks from natural disasters such as earthquakes and hurricanes, necessitating prompt maintenance and retrofitting. This study explores the application of shape memory alloys (SMAs) as a promising retrofitting technique, leveraging their unique attributes such as super elasticity and shape memory effect. This research focuses on seismic retrofitting with SMAs, aiming to address gaps in understanding their behaviour under extreme loading conditions, such as seismic or impact loading. Employing a comprehensive methodology, combining quantitative and qualitative analyses, the study reviews relevant literature, categorizes key aspects, and conducts a comparative analysis of the selected papers. The …

Surviving The Megadrought, Warigia Bowman

Faculty Scholarship

According to NASA, the Earth experienced its hottest day in recorded history on July 22, 2024, surpassing the previous hottest day, which was set in 2023. The year 2024 will enter the record books as the hottest year since pre-industrial times. The temperatures in 2024 exceeded the year 2023, during which the average global surface temperature was the warmest ever recorded in the past 174 years. These meteorological facts—although alarming on their own—are the backdrop for the legal analysis contained in this Article. The driest states in the Southwest, including Arizona, Colorado, Nevada, New Mexico, and Utah, have long relied …

A Spanish Language Educator’S Guide To Radio Ambulante, "El Juez", Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

A Spanish Language Educator’S Guide To Radio Ambulante, Episode 27: Boom/Colapso, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Afro-Latinidad: Cultural Traditions, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Morning Girl: A Novel Study, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Latin America Through Film: Which Way Home, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

In The Wake Of Juárez: Teaching Politics Through Art (Complete Guide), Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Buena Vista Social Club Film Guide, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

A Spanish Language Educator’S Guide To Radio Ambulante, "Guerra En El Bío Bío", Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

A Spanish Language Educator’S Guide To Radio Ambulante Season 2, Episode 18: Fue El Estado, Latin American And Iberian Institute

K-12 Lesson Plans

No abstract provided.

Time Series Anomaly Detection Using Generative Adversarial Networks, Shyam Sundar Saravanan

Masters Theses

"Anomaly detection is widely used in network intrusion detection, autonomous driving, medical diagnosis, credit card frauds, etc. However, several key challenges remain open, such as lack of ground truth labels, presence of complex temporal patterns, and generalizing over different datasets. In this work, we propose TSI-GAN, an unsupervised anomaly detection model for time-series that can learn complex temporal patterns automatically and generalize well, i.e., no need for choosing dataset-specific parameters, making statistical assumptions about underlying data, or changing model architectures. To achieve these goals, we convert each input time-series into a sequence of 2D images using two encoding techniques with …

Dig Limits Optimization Using Binary Integer Linear Programming Method In Open Pit Mines, Hussam Naif Altalhi

Masters Theses

"Dig limits optimization is the process for classifying different materials (e.g., ore, stockpile material, and waste) into appropriately sized contiguous zones for open pit mining. The efficient determination of dig-limits is crucial for profitable and sustainable resource extraction in mining. Previous research has focused on defining dig-limits manually or using optimization approaches, but these methods are limited to only handling two material destinations (ore and waste). Thus, there is a need for operations research methods that consider the selectivity of mining equipment and can optimize dig-limits for metal mining operations with more than two material destinations. Consequently, the objective of …

Upa-Mediated Polyamidoamine Dendrimer-Based Targeted Gene Delivery System On Triple-Negative Breast Cancer, Hsin-Yin Chuang

Masters Theses

"Around 15% of breast cancers are triple-negative breast cancer (TNBC), which is characterized by the absence of three common receptors—ER, PR, and HER2, and therefore do not respond to hormonal or anti-HER2 therapies. It is urgent to explore targeted therapeutic strategies for TNBC due to its poor prognosis and rare effective targeted therapy. In this study, we developed a polyamidoamine (PAMAM) dendrimer-based targeted gene delivery system—GDP-uPA, to utilize urokinase-type plasminogen activator (uPA) to target uPA receptor (uPAR), which is highly expressed in both TNBC cells and cancer-associated stromal cells. Our results of 1H NMR spectrum, TEM imaging, and MTT assay …

Enabling Smart Healthcare Applications Through Visible Light Communication Networks, Jack Manhardt

Masters Theses

"Future smart healthcare operations are envisioned to require the support of high-performance wireless networks. Researchers are presented with a problem, however, as the hospital environment brings unique challenges to the application of traditional radio-frequency wireless communication networks due to health concerns and electromagnetic compatibility standards. To meet these challenges and support the advancement of high-quality healthcare, we propose the use of an alternative wireless technology in visible light communication (VLC). Contributing to the growing interest in VLC amongst researchers, we construct both a VLC network simulation testbed as well as real-world testbed to serve as a platform for the development …