Medicine and Health Sciences Commons^™

J Mich Dent Assoc January 2021

The Journal of the Michigan Dental Association

Every month, The Journal of the Michigan Dental Association brings news, information, and features about Michigan dentistry to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on “The Dentist’s Role in Recognizing Sleep-Disordered Breathing in Children”.
• A feature article, “Dental Sleep Medicine Education: Do You Want a Nap or a Full Night’s Sleep?”.
• The feature article, “In-office Plans: Where Are We Now? What Have We Learned?”
• News you need, Editorial and regular department articles on MDA Foundation activities, …

Value Of Ipack Block (Interspace Between The Popliteal Artery And The Capsule Of The Posterior Knee) With Adductor Canal Block In Total Knee Arthroplasty, Mohamed Amin, Usama Abotaleb

Al-Azhar International Medical Journal

Background: Acute postoperative pain after total knee arthroplasty (TKA) is so severe to the degree that necessitates proper analgesia which is one of the patients' human rights and prevents the drawbacks of pain on various body systems. Local anesthetic Infiltration between the Popliteal Artery and the Capsule of the Knee (IPACK) can represent a promising technique for management of postoperative pain in combination with adductor canal block (ACB) after TKA. Methods: Patients received an ACB (Group I) or ACB plus IPACK (Group II) as a component of a multimodal analgesic for TKA. Visual analogue scale (VAS) for postoperative pain assessment …

Severity Of Maternal Iron Deficiency Anemia And Risk For Low Birth Weight Babies, Al-Hasan Gomaa, Mohamed Mohamed, Mohamed Radwan, Ahmed El Sheikh

Al-Azhar International Medical Journal

Background: Anemia is one of the most common diseases in the world, affecting patients of all ages and races. Anemia is one of the most common diseases in the world, affecting patients of all ages and races. Anemia is one of the most prevalent diseases in the world affecting all ages and races of patients. Root causes and prevalence vary by age group and socio-economic context. Objective: Therefore, the aim of this study is to evaluate maternal hemoglobin before birth and to know its effect on fetal weight at birth. Patients and Methods: This is a cross-sectional study which included …

Problems In Scientific Research, Mostafa Abd El-Nasser

Al-Azhar International Medical Journal

Scientific research faces many problems and obstacles especially in developing countries. So, from the early beginning, if we start with a problem, then ways and methods will also be accompanied by obstacles which may lead to more complications. The aim of this study was to clarify some of the most important problems in the field of scientific research in our organization and to suggest solutions for them. Some of these research problems are addressed as follows: 1) is there a difficulty in choosing the research topic? 2) is the topic common or rare? 3) is the research proposal approved from …

Assessment Of Serum Level Of Interferon Gamma In Patients Of Lupus Nephritis And Without Nephritis, Abdelwahab Bayoumy, Medhat Shalaby, Mostafa Eldahan, Ahmed Abdelaziz, Ibrahim Metwaly

Al-Azhar International Medical Journal

Background: One of the major immunological problems is SLE (systemic lupus erythematosus)and lupus nephritis is one of the main complications, INF (interferon) plays an important role in disease pathogenesis Aim of the work: The aim of this work to assess the level of INF gamma in sufferers with lupus nephritis in comparison to patients with non-nephritis lupus and their correlation to the disease activity. Patients and methods: This research was conducted on 60 persons divided into two groups: group I (group SLE) comprising 40 patients, 20 patients with nephritis and 20 patients without nephritis, and group II (control group) comprising …

Accuracy Of Second Trimester Prediction Of Preterm Preeclampsia By Three Different Screening Algorithms, Mostafa Hegab, Osama Ali, Wael Amin

Al-Azhar International Medical Journal

ABSTRACT Background: Preeclampsia is a condition unique to pregnancy, which can lead to significant maternal and fetal morbidity and death. Early detection of women at greater risk of preeclampsia helps avoid and treat early illness. Aim of the work: current study aimed to compare the performance of the NICE guidelines, the ACOG recommendations and (FMF) algorithm, for the early detection of preeclampsia. Patient & Methods: Current study was a cohort prospective study included 400 women who attended for their routine antenatal care during the second trimester. All demographic and clinical data and follow up cases collected. Result: The incidence of …

Early Outcome Of Transannular Patch Repair Of Tetralogy Of Fallot With Or Without Pericardial Monocusp In Pulmonary Position, Ahmed Aboufandoud, Elhusseiny Gamil, Monir Amin, Mohamed Sharaa, Al Sayed Salem, Mohamed Mosa

Al-Azhar International Medical Journal

Background: In repair of tetralogy of Fallot (TOF), the use of monocusp to protect the right ventricle from volume overload is debatable. Aim of work: Evaluates early outcome of pericardial monocusp in pulmonary position in transannular patch repair (TAP). Patients and Methods: 60 patients underwent TOF repair with TAP from June 2016 to December 2018 in Al-Azhar University Hospital and National Heart Institute, group I thirty patients without pericardial monocusp and group II thirty patients received it in pulmonary position. Results: We had Thirty-four male patients representing (56.66%). The mean age of our patients was 14.983±6.533 months. The mean aortic …

Comparison Between Gamma Nail And Proximal Femoral Nail In Management Of Unstable Intertrochanteric Fractures, Ali Mohamed, Ahmed Hammouda, Younis Akl

Al-Azhar International Medical Journal

Background: Proximal femoral fractures have been on the rise with the increase in life expectancy and osteoporosis in the elderly population and road traffic accidents among the younger counterparts. Aim of the Work: To evaluate and compare the outcome f using Gamma nail and Proximal femoral nail in internal fixation of unstable intertrochanteric fractures regarding preoperative parameters, intraoperative variables, postoperative complications. Patient and Methodology: A prospective study on 30 cases suffering from unstable intertrochanteric fractures managed using either Gamma Nail or Proximal femoral nail to assess the functional and radiological results. Results: There was a significant difference found between the …

Role Of Intravascular Ultrasound In Prediction Of Acute Side Branch Occlusion In Coronary Artery Bifurcation Lesions Just After Provisional Stenting, Ahmed Hamed, Ayman Abo Elmagd, Mostafa Mokarrab, Ahmed Sabry

Al-Azhar International Medical Journal

Background: Coronary bifurcation lesion is important subject in percutaneous coronary intervention (PCIs). While much progress has been made in PCI facilities, bifurcation stenting is still has a lot of problems. Objectives: The aim of this study was the usefulness of intravascular ultrasound (IVUS) to help in the prediction of occlusion of side branch (SB) after stenting the main vessel (MV) in bifurcation lesions. Patients and methods: The period of this study was from May 2019 to December 2020, and included 80 patients who were submitted for elective coronary angiography to the cardiology department at Maadi Military Hospital, and showed bifurcation …

Post-Operative Clinical And Radiological Assessment After Submucosal Resection Of Inferior Turbinate And Partial Inferior Turbinectomy, Tarek Mansour, Mahmoud El Bahrawy, Mohamed El-Barody, Ahmed Okasha

Al-Azhar International Medical Journal

ABSTRACT Background: Hypertrophied inferior turbinates, commonly caused by allergic rhinitis, cause nasal obstruction. Aim of this study: This study aimed to evaluate nasal patency following submucosal resection of the inferior turbinate as a mucosa and bone-preserving method for reducing the size of the hypertrophied inferior turbinate, in comparison with the traditional method (partial inferior turbinectomy). Patient and methods: This study was performed on patients with moderate to severe turbinate hypertrophy, selected from our ear, nose, and throat outpatient clinic, during March 2018 to March 2020. Patients were divided into GROUP I (n = 40; 25 males and 15 females), subjected …

Endoscopic Endonasal Surgery For Adult Craniopharyngiomas, Adel Almelesy

Al-Azhar International Medical Journal

ABSTRACT Background: Craniopharyngiomas are challenging tumors that most frequently occur in the sellar or suprasellar regions. The endoscopic endonasal transsphenoidal approach is a minimal-invasive technique for managing craniopharyngiomas. The aim of this study is evaluation of endoscopic endonasal trans-sphenoidal approach in management of craniopharyngioma as regard the indications, operative difficulties, post-operative complications and outcomes. Patients and Methods: An analytical prospective study conducted on 12 Craniopharyngioma patients treated via endoscopic endonasal, trans-sphenoid approach in Al Azhar university hospitals. Follow up of patients done clinically and radiologically over 6 months. Results: The study included 12 patients, 2 (16.7%) males and 10 (83.3%) …

A Model For Inhalation Of Infectious Aerosol Contaminants In An Aircraft Passenger Cabin, Bert A. Silich

International Journal of Aviation, Aeronautics, and Aerospace

Aerosol contamination of an aircraft cabin by infectious passengers is a concern of passengers, aircrew and the aviation industry. This may be especially important during a pandemic, such as COVID-19, where the full extent of aerosol transmission is not well understood. A statistical method to determine the number of infectious passengers on board along with a mathematical model estimating the contaminant concentration of aerosols in the cabin and the number of inhaled infectious particles by passengers is presented. An example is used to demonstrated how the results can be estimated during normal operations and emergency conditions with malfunctions of the …

Servqual Measurement In A Healthcare Setting: Before And After Corrective Strategy Implementation, Jerome Christia, Aaron Ard, Lorraine Runion

Atlantic Marketing Journal

In the United States, the most dominant industry is services, yielding the highest volume of total employment and gross domestic product. Due to this insight, academics and business professionals continue to research and apply strategies to achieve distinctive competitive advantages in the services arena. The steady growth and increasing significance of the service sector in the United States and other developed markets has resulted in a sizeable body of related research addressing a variety of issues such as service quality and its characteristics. Healthcare is an impactful service industry that has received a considerable amount of attention. In the healthcare …

Cost Outcomes Of Physical Therapist Providers Compared To Primary Care Providers In The Treatment Of Musculoskeletal Patients In A Military Treatment Facility: A Retrospective Chart Review”, Troy E. Mcgill, Debra F. Stern, Morey J. Kolber, John Mcgee

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to compare the cost of physical therapist (PT) management of patients with musculoskeletal (MSK) disorders to management by traditional primary care managers (PCMs); medical doctors (MDs), doctors of osteopathic medicine (DOs), advanced registered nurse practitioners (ARNPs), and physician assistants (PAs). Methods: This is a retrospective study of electronic medical records using an exploratory, non-experimental, cross-sectional, and quantitative design method. The records of patients with MSK disorders were assessed at an Air Force military medical clinic for 18 months from January 2016 through June 2017. Results: PT management of MSK patients resulted in a …

How Duty Rosters And Stress Relate To Sleep Problems And Fatigue Of International Pilots, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

While previous research focused on pilots’ fatigue, rosters, potential performance-impairment and aviation-safety, this research investigates, how pilots’ work-related and psychosocial stress and rosters can affect their sleep and fatigue. A cross-sectional online survey was completed by 192 pilots flying for European operators, 180 Australian pilots and 34 pilots from UAE, Turkey and Asia Pacific. Pilots reported their actual duty- and flight-hours, flown sectors, standby, rest, vacation days, number of early starts, night-flights and sports-hours for the last two months. Schedule-related data, way to work, age, flight-hours on the present type of aircraft, subjective job-security and psychosocial stress were used as …