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High Flow Nasal Cannula And Non-Invasive Mechanical Ventilation In Management Of Covid-19 Associated Respiratory Failure, Hanady Mohammad Elfeky, Ayman Ahmed Rady, Ashraf Mohamed Mostafa, Menan Hany Nassar, Amany Ali Sultan Jan 2024

High Flow Nasal Cannula And Non-Invasive Mechanical Ventilation In Management Of Covid-19 Associated Respiratory Failure, Hanady Mohammad Elfeky, Ayman Ahmed Rady, Ashraf Mohamed Mostafa, Menan Hany Nassar, Amany Ali Sultan

Menoufia Medical Journal

Objectives: To analyze the clinical data and outcomes of different non-invasive oxygen therapy modalities used for the treatment of type 1 respiratory failure associated with COVID 19 virus infection. Background: Despite the variety of oxygen delivery modes, there is still uncertainty regarding the benefit of HFNC as a non-invasive oxygen delivery method during the coronavirus pandemic. Methods: In 100 patients with ARF associated with COVID-19, We performed an observational prospective cohort study in which they divided into the NIV and HFNC groups. The primary outcome was treatment failure, characterized by switching to invasive mechanical ventilation or the other oxygen therapy …


Study Of Tp53 Gene Expression In Multiple Sclerosis Patients, Enas Said Essa, Safa Sayed Meshaal, Ahmed Nabil Mounir, Zahraa Azab Mohamed Abouelatta Jan 2024

Study Of Tp53 Gene Expression In Multiple Sclerosis Patients, Enas Said Essa, Safa Sayed Meshaal, Ahmed Nabil Mounir, Zahraa Azab Mohamed Abouelatta

Menoufia Medical Journal

Objectives: to evaluate the role of TP53 gene expression as a potential biomarker for multiple sclerosis. Background: Multiple sclerosis (MS) is the most prevalent non-traumatic illness among young adults. The frequency of MS and its socioeconomic effects are growing globally. Up until now, the diagnosis of MS has been considered a big challenge as it depends on a group of findings known as the McDonald criteria. However, none of those criteria is particularly specific to MS disease. This study aims to evaluate TP53 gene expression as a diagnostic marker for MS. Methods: Twenty-eight MS cases were recruited according to modified …


Relationship Between Non-Alcoholic Steatohepatitis And Left Ventricular Diastolic Dysfunction In Type 2 Diabetic Patients, Alaa Eldin A. Dawood, Mervat A. Mostafa, Wessam E. El-Shafey, Esraa N. Abo El-Rous, Shimaa K. Zewain Jan 2024

Relationship Between Non-Alcoholic Steatohepatitis And Left Ventricular Diastolic Dysfunction In Type 2 Diabetic Patients, Alaa Eldin A. Dawood, Mervat A. Mostafa, Wessam E. El-Shafey, Esraa N. Abo El-Rous, Shimaa K. Zewain

Menoufia Medical Journal

Objectives: To determine if the poor diastolic function of the left ventricle was independently correlated with hepatic steatosis and fibrosis in type 2 diabetes mellitus (T2DM). Background: There is growing evidence that it is related to nonalcoholic fatty liver disease (NAFLD) and left ventricular diastolic dysfunction (LVDD). We sought to learn more about the relationship between LV diastolic dysfunction and liver fibrosis in T2DM patients. Methods: a case control study was conducted on 100 patients, 50 of them with type 2 diabetes patients without NAFLD and 50 diabetic patients with NAFLD. NAFLD fibrosis score (NFS) and abdominal ultrasonography were used …


Modified Inferior Based Reduction Mammoplasty Versus Matrix Rotational Flap In Upper Inner Quadrant Breast Cancer, Abdelaziz Ragab Abdelaziz Sakr, Alaa Abd Elazeem Elsisi, Tarek Mohey Rageh, Mahmoud Ahmed Shahin Jan 2024

Modified Inferior Based Reduction Mammoplasty Versus Matrix Rotational Flap In Upper Inner Quadrant Breast Cancer, Abdelaziz Ragab Abdelaziz Sakr, Alaa Abd Elazeem Elsisi, Tarek Mohey Rageh, Mahmoud Ahmed Shahin

Menoufia Medical Journal

Objectives: to compare between inferior pedicle mammaplasty and matrix rotational advancement flap as techniques for upper inner quadrant breast cancers regarding oncoplastic and aesthetic results. Background: Breast conserving therapy (BCT) is the standard of care in early breast cancer; has a value to provide a treatment as effective as mastectomy with benefits of breast preservation. However, traditional conservative surgery in the upper inner quadrant may not have good cosmetic results. Methods: All 30 patients were candidates for breast conservation and with upper inner breast tumors; patients were randomly categorized into two groups. Group A (16 patients) included patients who underwent …


Enhanced Recovery For Patients Undergoing Radical Cystectomy. A Randomized Controlled Study, Ashraf M Eskandr, Ezzeldin S Ibrahim, Mohamed M Abdallah, Asmaa I Elzwedy, A.M. Sedky Jan 2024

Enhanced Recovery For Patients Undergoing Radical Cystectomy. A Randomized Controlled Study, Ashraf M Eskandr, Ezzeldin S Ibrahim, Mohamed M Abdallah, Asmaa I Elzwedy, A.M. Sedky

Menoufia Medical Journal

Objective: To evaluate the effectiveness of the enhanced recovery protocol versus traditional care on postoperative hospital stay, patients, recovery and complications in patients undergoing radical cystectomy. Background: Despite improvements in surgical technique, anesthesia, and perioperative care, radical cystectomy is still associated with significant morbidity and prolonged hospital stay after surgery more than other urological procedures. Methods: This study included 50 adult patients of both sexes, ASA (American Society of anesthesiology) II-III physical status, aged 40-70 years, scheduled for radical cystectomy. Patients were randomly divided into two equal groups: 25 patients following enhanced recovery protocol after surgery (ERAS group) and 25 …


Percutaneous Vertebroplasty: A Minimally Invasive Procedure For The Management Of Dorsolumbar Compression Fractures, Yasser Bahgat Elsisi, Ahmed Gabry El Nagar, Osama Saber Shereef Jan 2024

Percutaneous Vertebroplasty: A Minimally Invasive Procedure For The Management Of Dorsolumbar Compression Fractures, Yasser Bahgat Elsisi, Ahmed Gabry El Nagar, Osama Saber Shereef

Menoufia Medical Journal

Objectives: to study percutaneous vertebroplasty in the management of compression fractures of thoracolumbar spine regarding its advantages, drawbacks, complications, and outcome. Background: The lifetime risk of a vertebral body compression fracture is 16% for women and 5% for men. Vertebroplasty require the clinician to be experienced in spinal anatomy, fluoroscopic imaging, and the use of these methods to perform interventional procedures. Methods: a retrospective study over a 3-year period, cluster sample of patients. 30 patients with stable compression fractures from January 2018 to January 2021 who were surgically treated by percutaneous vertebroplasty at the Neurosurgery Department, Faculty of Medicine, Menoufia …


Evaluation Of Myocardial Function In Neonatal Sepsis Using Tissue Doppler Imaging, Fahima Mohamed Hassan, Dina Abdel Razek Midan, Afaf Hassan Sayed Ahmed El Roba, Basim Abdelfattah Ali Elgazzar Jan 2024

Evaluation Of Myocardial Function In Neonatal Sepsis Using Tissue Doppler Imaging, Fahima Mohamed Hassan, Dina Abdel Razek Midan, Afaf Hassan Sayed Ahmed El Roba, Basim Abdelfattah Ali Elgazzar

Menoufia Medical Journal

Objectives: To assess the ventricular function in neonatal sepsis using tissue Doppler imaging (TDI). Background: A leading cause of newborn morbidity and mortality is neonatal sepsis. Cardiac dysfunction is a significant side effect of severe sepsis. Methods: This study is a prospective case-control study that was conducted from August 2020 to March 2021with 50 neonates having culture-proven sepsis (cases), recruited from Neonatal Intensive Care Unit (NICU) of Menoufia University Hospital together with another 50 age and sex-matched sepsis-free neonates (control). Patients were subjected to history taking, clinical examination, routine investigations (complete blood count (CBC), quantitative C-reactive protein, ALT, AST, creatinine, …


Serum Neuron-Specific Enolase And S100Β Protein As Serum Biomarkers Of Brain Injury To Classify Outcome After Pediatric Sepsis, Fady M Elgendy, Fahima M Hasaan, Hassan S Bader, Mohamed S Rizk, Neveen M Fawzy Jan 2024

Serum Neuron-Specific Enolase And S100Β Protein As Serum Biomarkers Of Brain Injury To Classify Outcome After Pediatric Sepsis, Fady M Elgendy, Fahima M Hasaan, Hassan S Bader, Mohamed S Rizk, Neveen M Fawzy

Menoufia Medical Journal

Objectives: To evaluate serum neuron-specific enolase and S100β protein as biomarkers for the detection of brain injury in pediatric sepsis and mortality. Background Septic-associated encephalopathy (SAE) is a common manifestation of sepsis, which associated with higher rates of mortality.

Methods: This case-control study was conducted on 45 septic cases admitted to the Pediatric Intensive Care Unit (PICU), Pediatric Department, Menoufia University Hospitals and 45 apparently healthy children. NSE and S100β protein serum biomarkers were measured by ELISA kits in the second day of sepsis diagnosis and patients were followed for a month.

Results: There was a highly significant increase in …


Lupus Kidney Disease Spectrum And Characteristics Among Egyptian Adults And Children With Sle, Emad Mohammad Elshebiny, Simon Alphonse Botros, Mohamed Shokry Elharoun, Zeinab Abdelaziz Kasemy, Samar Tharwat Radwan, Enas Sobhy Zahran Jan 2024

Lupus Kidney Disease Spectrum And Characteristics Among Egyptian Adults And Children With Sle, Emad Mohammad Elshebiny, Simon Alphonse Botros, Mohamed Shokry Elharoun, Zeinab Abdelaziz Kasemy, Samar Tharwat Radwan, Enas Sobhy Zahran

Menoufia Medical Journal

Objective: This research aimed to study the renal involvement among adults and children with systemic lupus erythematosus. Background: In addition to the glomerular affection "lupus Nephritis"(LN), there are other forms of lupus kidney disease; tubulointerstitial nephritis (TIN); vascular disease; and drug-induced renal disease can be found in Systemic Lupus Erythematosus (SLE) patients. Patient and Methods: A cross-sectional hospital-based study was conducted on 100 SLE patients (74 adults and 26 children) with presumed renal involvement. Patients were assessed clinically and by laboratory tests for renal involvement and renal biopsy findings were recorded to classify renal affection stage and type. Results: Clinically …


Low Inguinal Microsurgical Varicocele Ligation Versus Conventional Inguinal Approach: Prospective Comparison Of Reproductive And Functional Outcomes, Ahmed Gamal El Din, Ahmed Moustafa Barsim, Mohamed Marzouk Abdallah, Eid Abdel Rasol El-Sherif Jan 2024

Low Inguinal Microsurgical Varicocele Ligation Versus Conventional Inguinal Approach: Prospective Comparison Of Reproductive And Functional Outcomes, Ahmed Gamal El Din, Ahmed Moustafa Barsim, Mohamed Marzouk Abdallah, Eid Abdel Rasol El-Sherif

Menoufia Medical Journal

Objectives: to evaluate the effectiveness and complications rates after microsurgical varicocele ligation in comparison to conventional inguinal approach. Methods: This study was a clinical randomized trial done in Menoufia Urology Department including eighty-three patients with varicocele from December 2018 to December 2020. Patients with clinical varicoceles and affected semen parameters were randomized to either conventional or microsurgical inguinal varicocelectomy. Intraoperative and post-operative complications were documented including hydrocele formation, varicocele recurrence, and testicular atrophy. Semen analysis was repeated after 3 months from date of surgery and compared to the pre-operative one. Results: Semen parameters improved significantly after varicocelectomy in both groups …


Urodynamic And Ultrasonic Findings After Anterior Vaginal Wall Prolapse Repair In Stress Urinary Incontinence, Mahy N. Egiz, Mohammed A. Elsayed, Mohammed A. Elshazly, Alaa M. Gomaa, Mohammed W. Abdelaziz Jan 2024

Urodynamic And Ultrasonic Findings After Anterior Vaginal Wall Prolapse Repair In Stress Urinary Incontinence, Mahy N. Egiz, Mohammed A. Elsayed, Mohammed A. Elshazly, Alaa M. Gomaa, Mohammed W. Abdelaziz

Menoufia Medical Journal

Objectives: To detect changes in ultrasound and urodynamic study in patients with stress urinary incontinence. Background: Assessment of urinary bladder neck mobility as part of assessment of SUI can be done by ultrasonography. It can be done through assessing urethral angles and bladder neck descent distance has for objective documentation of anatomical and functional parameters of the pelvic floor before and after surgery. Methods: a prospective longitudinal study was done on three groups of patients, first group included 16 cases of normal healthy individuals as control, the second group included 16 cases with anterior vaginal wall prolapse complicated by SUI, …


Major Incidental Findings In Ct Chest During Covid 19 Outbreak, Mohamed Basiony Alghannam, Amira Shawky Abdelhakim Eissa, Rehab Mohammed Habib Jan 2024

Major Incidental Findings In Ct Chest During Covid 19 Outbreak, Mohamed Basiony Alghannam, Amira Shawky Abdelhakim Eissa, Rehab Mohammed Habib

Menoufia Medical Journal

Objective: The objective of this study was to evaluate the role of multidetector computed tomography (CT) in the detection of major incidental findings of COVID 19 patients and to detect their clinical importance. Background: The outbreak of COVID-19 has caused concerns globally. On 30 January WHO has declared it as a global health emergency. Chest CT has a potential role in the diagnosis of coronavirus disease 2019 (COVID-19). Parenchymal and extra parenchymal incidental findings were detected and defined as any finding in the report not related to the purpose of the scan. Incidental findings on chest CT may represent highly …


Immunohistochemical Expression Of Heparanase Ii In Non-Melanoma Skin Cancer, Ola A. Elbakry, Mohamed A. Shoeib, Menna A. Abdelmonsif, Marwa M. Dawoud Jan 2024

Immunohistochemical Expression Of Heparanase Ii In Non-Melanoma Skin Cancer, Ola A. Elbakry, Mohamed A. Shoeib, Menna A. Abdelmonsif, Marwa M. Dawoud

Menoufia Medical Journal

Background: Heparan sulphate is present in the extracellular matrix of the skin. Heparanase is implicated in cellular invasion related to inflammation, cancer metastasis and angiogenesis. Heparanase II may inhibit heparanase activity by competing for the HS substrate. Heparanase II regulates selected genes that promote normal differentiation, endoplasmic reticulum stress, tumor fibrosis, and apoptosis, together resulting in tumor suppression. Aim: to investigate the involvement of heapranase II in non-melanoma skin cancer (NMSC) pathogenesis. Materials and Method: This study was carried out on a total number of 60 subjects, 30 cases with NMSC [15 cases with BCC and 15 cases with SCC] …


Role Of Neutrophil- Lymphocytic Ratio And Prognostic Nutritional Index After Transarterial Chemoembolization In Hepatocellular Carcinoma, Ayman M. El Lehleh, Shaimaa A. Hassanein, Mohamed A. Attya, Moamena S. El-Hamouli Jan 2024

Role Of Neutrophil- Lymphocytic Ratio And Prognostic Nutritional Index After Transarterial Chemoembolization In Hepatocellular Carcinoma, Ayman M. El Lehleh, Shaimaa A. Hassanein, Mohamed A. Attya, Moamena S. El-Hamouli

Menoufia Medical Journal

Objective: To evaluate the role of combined preoperative neutrophil lymphocytic ratio (NLR) and Prognostic nutritional index (PNI) as a predictor of the postoperative outcomes of unresectable Hepatocellular carcinoma (HCC) TACE-treated patients. Background: NLR and PNI are immunonutritional indices associated with postoperative outcomes in HCC TACE-treated patients. Patients and methods: NLR-PNI score calculated for 40 candidates and classified into 3 groups (NLR-PNI0, NLR-PNI1 and NLR-PNI2). Patients underwent TACE and investigations repeated after one month. Results: 22(100%) in NLR-PNI0 and 6(60%) in NLR-PNI1 had well ablated tumour. 4(40%) in NLR-PNI1 with residual tumour. All 8(100%) in NLR-PNI2 with largest sizes (8.64 ± …


Jak2 And Ptprc Mrna Expression Levels In Ankylosing Spondylitis And Systemic Lupus Erythematosus Patients, Yasser As El Ghobashy, Ibrahim Elmadbouh, Dina Salem Fotoh, Enas Subhi Zahran, Asmaa Mahmoud Shukry, Sherin Sobhy El Naidany Jan 2024

Jak2 And Ptprc Mrna Expression Levels In Ankylosing Spondylitis And Systemic Lupus Erythematosus Patients, Yasser As El Ghobashy, Ibrahim Elmadbouh, Dina Salem Fotoh, Enas Subhi Zahran, Asmaa Mahmoud Shukry, Sherin Sobhy El Naidany

Menoufia Medical Journal

Objectives: to evaluate RNA expression levels of Janus Kinase 2 (JAK 2) and protein tyrosine phosphatase receptor type C (PTPRC) genes in SLE and AS and correlate them with the severity of the two diseases. Background: Systemic lupus erythematosus (SLE) is an autoimmune disorder with a wide range of clinical symptoms. Ankylosing spondylitis (AS) is an autoimmune inflammatory disease of young adult, affecting the axial skeleton and articular joints. Methods: A case-control study included 96 subjects: (32 SLE patients, 32 AS patients, and 32 healthy control subjects). Differences in the expression levels of JAK2 and PTPRC in the blood of …


Outcome Of Combined Or Single Flexor Digitorum Superficialis And Flexor Digitorum Profundus Repair In Zone Ii, Mayadah Adel Nossir, Dalia Mofreh Elsakka, Hady Saleh Abou-Ashour, Mohamed Abdallah Elnahas Jan 2024

Outcome Of Combined Or Single Flexor Digitorum Superficialis And Flexor Digitorum Profundus Repair In Zone Ii, Mayadah Adel Nossir, Dalia Mofreh Elsakka, Hady Saleh Abou-Ashour, Mohamed Abdallah Elnahas

Menoufia Medical Journal

Objectives: To evaluate the outcomes of the repair of flexor digitorum Profundus (FDP) alone versus its repair combined with flexor digitorum superficialis (FDS) repair in Zone II flexor tendon injury. Background: Flexor tendon injuries in zone II of the hand present a challenging problem for hand surgeons. Injuries involving the FDP and FDS tendons require careful assessment and planning. The primary goals of repair are to achieve optimal tendon healing, maximize range of motion, and restore functional strength. Methods: A total of 24 patients presenting with FDP and FDP injury at zone II were surgically treated from 2020 to 2022. …


Treatment Of Post-Burn Hypopigmentation With Non-Cultured Epidermal Grafting, Islam Ibrahim Abd Elmohsen, Ahmed Tharwat Nassar, Tarek Fouad Kishk, Ahmed Fergany Saber, Hossam Hassan Fawzy Jan 2024

Treatment Of Post-Burn Hypopigmentation With Non-Cultured Epidermal Grafting, Islam Ibrahim Abd Elmohsen, Ahmed Tharwat Nassar, Tarek Fouad Kishk, Ahmed Fergany Saber, Hossam Hassan Fawzy

Menoufia Medical Journal

Objectives: To evaluate the applicability of cell therapy using non-cultured epidermal transplantation regarding the aesthetic outcome, , and possible complications in the treatment of post-burn hypopigmentation. Background: new non-cultured autologous epidermal techniques have been developed with similar results to the cultured melanocytes techniques, but are simpler, less expensive, and less time-consuming. Methods: This prospective study was conducted on 35 post-burn hypopigmentation patients presented at the Plastic and Reconstructive Surgery Department in Menoufia University Hospitals between April 2020 to April 2023. Results: We found that the repigmentation ranged between 20-95%, and the color matching ranged between 30-80%. Most cases had good …


Treatment Of Acute Lower Extremity Deep Venous Thrombosis With Rivaroxiban Versus Warfarin, Mahmoud S. Eldesouky, Walid Salah-Eldin Gaber Elsayed, Abdelmoniem Farid Mohammed Jan 2024

Treatment Of Acute Lower Extremity Deep Venous Thrombosis With Rivaroxiban Versus Warfarin, Mahmoud S. Eldesouky, Walid Salah-Eldin Gaber Elsayed, Abdelmoniem Farid Mohammed

Menoufia Medical Journal

Objectives: to assess extent of thrombus resolution and rate of complications in patients with lower extremity acute Deep Venous Thrombosis (DVT) treated with rivaroxaban compared to warfarin therapy. Background: For years, the standard treatment for acute lower extremity DVT has been the use of warfarin with bridge therapy by enoxaparin. New oral anticoagulant drugs such as rivaroxaban have been developed and used as an alternative to warfarin in the treatment of acute lower extremity DVT. Methods: This is a prospective study that was conducted on 130 patients to assess extent of thrombus resolution and rate of complications in patients with …


Study Of The Different Modalities For Scrotal Skin Reconstruction, Mohamed Ahmed Megahed, Ahmed Tharwat Nassar, Khaled Mohamed Albassam, Qutaibah Alkandari, Ahmed Fergany Saber, Mina Safwat Zaki Jan 2024

Study Of The Different Modalities For Scrotal Skin Reconstruction, Mohamed Ahmed Megahed, Ahmed Tharwat Nassar, Khaled Mohamed Albassam, Qutaibah Alkandari, Ahmed Fergany Saber, Mina Safwat Zaki

Menoufia Medical Journal

Objectives: to study different modalities of reconstruction of defects in the scrotum and to verify indications and efficacy of each technique. Background: Techniques of genital reconstruction continue to evolve. However, mainstays of therapy include split-thickness skin graft, primary closure, and musculocutaneous flap. The best cosmetic and functional outcomes appear to occur in patients being treated for local cutaneous and lymphatic conditions. Methods: A prospective cross-sectional study was conducted on thirty male patients with a defect of scrotal skin with age range between 20 and 70 years old. They attended the plastic surgery and burn department of Menoufia University during the …


Clinical Results Of Single-Vessel Versus Multiple-Vessel Infrapopliteal Intervention In Critical Limb Ischemia, Yahia M. Elkhateep, Ahmed Hossni, Fawzi Bakr, Mostafa Kamel Abdelrahman, Mahmoud S. Eldesouky Jan 2024

Clinical Results Of Single-Vessel Versus Multiple-Vessel Infrapopliteal Intervention In Critical Limb Ischemia, Yahia M. Elkhateep, Ahmed Hossni, Fawzi Bakr, Mostafa Kamel Abdelrahman, Mahmoud S. Eldesouky

Menoufia Medical Journal

Objectives: to compare the clinical outcomes of single-vessel versus multiple-vessel infrapopliteal interventions in patients diagnosed with critical limb ischemia (CLI) undergoing infrapopliteal revascularization. Background: Critical limb ischemia is a severe condition requiring revascularization procedures to restore blood flow. The choice between single-vessel and multiple-vessel interventions remains debatable. Understanding the clinical outcomes associated with each approach can guide treatment decisions and optimize patient care. Methods: A prospective study was conducted on 60 adult patients diagnosed with CLI who underwent infrapopliteal revascularization between January 2021 and January 2023. Single-vessel interventions were performed on 30 patients, while multiple-vessel interventions were performed on the …


Prevalence And Risk Factors Of Post-Partum Infections At Family Health Facilities In North Sinai, Egypt, Aml Ahmed Salama, Samah Abduallah Salim, Safa Hamdy Alkalash Jan 2024

Prevalence And Risk Factors Of Post-Partum Infections At Family Health Facilities In North Sinai, Egypt, Aml Ahmed Salama, Samah Abduallah Salim, Safa Hamdy Alkalash

Menoufia Medical Journal

Objectives: To assess the prevalence of different types of postpartum infections and their risk factors among women attending family health facilities in Bir El-Abd district, North Sinai, Egypt. Background: The postpartum period is an imminent period among women; infection in this critical period is a preventable cause of maternal morbidity and mortality. Methods: An analytical cross-sectional study was conducted among a random sample of 220 women attending primary health facilities in Bir El-Abd district, North Sinai, during their postpartum period. They were assessed through a complete history taken via a pre-designed questionnaire. Complete general and local examinations were done through …


Evaluation Of Percutaneous Transpedicular Fixation In Thoracic And Lumbar Spine Instability, Mohammed Gamal Hasmany, Hossam Abdel Hakim Elnoamany, Mohamed Leithy Ahmed Badr, Mohamed Ahmed Elnaggar, Ahmed Said Fahim Mansour Jan 2024

Evaluation Of Percutaneous Transpedicular Fixation In Thoracic And Lumbar Spine Instability, Mohammed Gamal Hasmany, Hossam Abdel Hakim Elnoamany, Mohamed Leithy Ahmed Badr, Mohamed Ahmed Elnaggar, Ahmed Said Fahim Mansour

Menoufia Medical Journal

Objective: to evaluate the safety and efficacy of percutaneous fixation in thoracic and lumbar spine instability. Background: Percutaneous pedicle screw technology has been widely used in clinical treatment of spinal fractures, degenerative diseases and spinal deformities with confirmed effectiveness Patients and methods: this study included 20 patients with traumatic lumbar, thoracolumbar fractures and spondylolisthesis grade zero and grade 1. These patients were treated by percutaneous transpedicular fixation. this study was conducted in Menoufia university hospitals from July 2021 to December 2022.they were neurologically free. Results: this series consist of 20 patients presented with fractures of thoracic and lumbar spine (D11-L5) …


Comparison Of Ultrasound-Guided High Thoracic Erector Spinae Plane Block With Shoulder Block For Postoperative Analgesia In Arthroscopic Shoulder Surgery Phrenic Sparing Blocks In Shoulder Arthroscopy, Nevine Mostafa Soliman Jan 2024

Comparison Of Ultrasound-Guided High Thoracic Erector Spinae Plane Block With Shoulder Block For Postoperative Analgesia In Arthroscopic Shoulder Surgery Phrenic Sparing Blocks In Shoulder Arthroscopy, Nevine Mostafa Soliman

Menoufia Medical Journal

Objectives: This study aimed to compare the ultrasound-guided shoulder block (combined suprascapular nerve block (SSNB) and axillary nerve block (ANB)) with ultrasound-guided erector spinae plane block at the second thoracic vertebral level (high thoracic-ESPB) as an alternative pain management techniques for shoulder arthroscopy.

Background: Effective analgesia of the shoulder is hampered by unfavorable side effects of interscalene brachial plexus block, this forced scientists to discover new alternatives.

Methods: A prospective randomized double-blinded trial for 40 patients, aged 18 to 70, of both sexes, ASAI-II was planned for arthroscopic shoulder surgery under general anesthesia. They divided into 2 equal groups …


Cardiovascular Risk In Egyptians With Chronic Lymphocytic Leukemia, Mohamed Ahmed Abd El Hafez, Sabry Abdullah Shoeib, Ali Mohamed El Khouly, Rania Mohamed Afifi, Rahma Abd Al Naser Abd Al Salam, Doaa Mohamed El Shamy Jan 2024

Cardiovascular Risk In Egyptians With Chronic Lymphocytic Leukemia, Mohamed Ahmed Abd El Hafez, Sabry Abdullah Shoeib, Ali Mohamed El Khouly, Rania Mohamed Afifi, Rahma Abd Al Naser Abd Al Salam, Doaa Mohamed El Shamy

Menoufia Medical Journal

Objectives: To evaluate the prevalence of cardiovascular disease risk in Egyptian patients with chronic lymphocytic leukemia (CLL), and their clinical & molecular correlations. Background: Chronic lymphocytic leukemia (CLL) is a monoclonal disorder characterized by a progressive accumulation of functionally incompetent lymphocytes. CLL primarily affects elderly patients, for this reason, the incidence and prevalence of co-existing cardiovascular disease (CVD) is expected to be high in this population. Methods: A cases control study that was conducted on 60 persons (including cases and controls) of Hematology Unit of Menoufia University Hospital. Also, they divided into Group I included 30 patients with CLL and …


Role Of Lung Ultrasonography In Follow Up Of Adult Patients With Corona Virus Disease 2019, Nevine M. Soliman, Safaa M. Helal, Sabry I. Abdalla, Abdelsalam S. Abdelsalam, Amal I. Abdelrahman Jan 2024

Role Of Lung Ultrasonography In Follow Up Of Adult Patients With Corona Virus Disease 2019, Nevine M. Soliman, Safaa M. Helal, Sabry I. Abdalla, Abdelsalam S. Abdelsalam, Amal I. Abdelrahman

Menoufia Medical Journal

Objectives: To evaluate the role of LUS in the follow up of adult patients with COVID 19 in relation to clinical and laboratory data.

Background: LUS has a well -established role in diagnosis of covid-19 infection, and also has advantages over computed tomography (CT) as there is no risk of patients transfer, spread of infection and radiation exposure.

Methods: In this prospective observational single group study, 116 patients confirmed to have (COVID-19) by polymerase chain reaction (PCR) or CT chest were included. LUS, laboratory data including (lymphocytic count, C-reactive protein (CRP), Interleukin 6 (IL- 6), D dimer, …


Comparative Study Between Laparoscopic One Anastomosis Gastric Bypass And Laparoscopic Single Anastomosis Sleeve Ileum Bypass, Hatem M. Soltan, Ahmed M. Megreya, Mahmoud A. Bahram, Amira M. Elfeky Jan 2024

Comparative Study Between Laparoscopic One Anastomosis Gastric Bypass And Laparoscopic Single Anastomosis Sleeve Ileum Bypass, Hatem M. Soltan, Ahmed M. Megreya, Mahmoud A. Bahram, Amira M. Elfeky

Menoufia Medical Journal

Abstract

Objectives: This study aims to compare the short-term outcome of morbidly obese patients treated with one-anastomosis gastric bypass (OAGB) with those treated with single-anastomosis sleeve ileal (SASI) operation.

Background: OAGB and SASI are two new operations of the mini-gastric bypass that have been commonly used in the treatment of obesity recently.

Patients and methods: This prospective controlled study was conducted at the General Surgery Department, Menoufia University, and it included 40 patients divided randomly into two groups: group (A) included 20 morbidly obese patients who were treated with OAGB, and group B included 20 morbidly …


Results Of Arthroscopic Capsular Release For Treatment Of Frozen Shoulder, Ahmed Mohamed El Behiry, Amr Saber El Sayed, Mohamed Abdelwahed Saber El Telb, Ahmed Abdel-Monem Dewidar Jan 2024

Results Of Arthroscopic Capsular Release For Treatment Of Frozen Shoulder, Ahmed Mohamed El Behiry, Amr Saber El Sayed, Mohamed Abdelwahed Saber El Telb, Ahmed Abdel-Monem Dewidar

Menoufia Medical Journal

Objectives: To evaluate the functional outcome of arthroscopic capsular release for treatment of frozen shoulder. Background: Frozen Shoulder is a painful restriction of both active and passive glenohumeral movement. Most impaired directions of motion are flexion, abduction and external rotation. Arthroscopic capsular release treatment of frozen shoulder was found to be safer than open surgical release and manipulation under general anesthesia as it is less probable to cause iatrogenic humeral fracture bone or the rotator cuff tear. Methods: A prospective study on 18 patients with frozen shoulder treated by arthroscopic capsular release. Results: At the end of the follow up, …


Electrolytes Disorders In Post Kidney Transplanted Recipients, Said Sayed Ahmed Khamis, Yasin Salah Yasin, Ashraf Abdel Maged Donia, Ali Mohamed Abdel Wahab Shams El Din, Azza Abd Al Monsef Gomah Jan 2024

Electrolytes Disorders In Post Kidney Transplanted Recipients, Said Sayed Ahmed Khamis, Yasin Salah Yasin, Ashraf Abdel Maged Donia, Ali Mohamed Abdel Wahab Shams El Din, Azza Abd Al Monsef Gomah

Menoufia Medical Journal

Objectives: to delineate the demographic profile of the study cohort, assess preoperative clinical and laboratory parameters, and investigate postoperative electrolyte abnormalities at different time points.

Background: Kidney transplantation is a vital intervention for end-stage renal disease, with postoperative electrolyte abnormalities posing a significant clinical challenge.

Patients and Methods: Eligible participants from the Nasser Institute, meeting inclusion criteria, underwent a thorough assessment of demographics, medical history, and clinical examinations. Laboratory investigations included blood tests and immunological assays. Statistical analysis employed descriptive statistics and correlation analyses.

Results: The study included 41 recipients, with a mean age of 29.63 years (SD±12.40). Within the …


Ketogenic Diet, Caloric Restriction And Intermittent Fasting Increase The Mitochondrial Activity In Aged Rats, Mohamed H.A. Hassan, Hesham A.D. Abdel-Razek, Yahya M. Naguib, Eman A. Badr, Sara E. Abdou, Ahmed M. Gaafar Jan 2024

Ketogenic Diet, Caloric Restriction And Intermittent Fasting Increase The Mitochondrial Activity In Aged Rats, Mohamed H.A. Hassan, Hesham A.D. Abdel-Razek, Yahya M. Naguib, Eman A. Badr, Sara E. Abdou, Ahmed M. Gaafar

Menoufia Medical Journal

Objective: Studying the effect of multiple dietary strategies on mitochondrial activity of aged rats. Background: Healthy aging may be achieved by intermittent fasting, caloric restriction or ketogenic diet regimens. Material and methods: Thirty-two male Wistar rats, 20-22-week-old, were randomized into four equal groups: control, ketogenic diet (KD), caloric restriction (CR) and intermittent fasting (IF) groups. After 8 weeks, rats were weighed, and subjected for measurement of systolic blood pressure (SBP) using a rat-tail sphygmomanometer, and neurobehavioral assessment via open field examination. Then, fasting retro-orbital blood samples were collected to measure free fatty acids (FFA), liver and kidney function tests and …


Histopathological Changes Of Levator Palpaberae Superioris Muscle In Different Degrees Of Congenital Ptosis, Osama A. Al-Morsy, Ali A. Elhayes, Gamal A.R. Barakat Jan 2024

Histopathological Changes Of Levator Palpaberae Superioris Muscle In Different Degrees Of Congenital Ptosis, Osama A. Al-Morsy, Ali A. Elhayes, Gamal A.R. Barakat

Menoufia Medical Journal

Objectives: To evaluate the Histopathological changes in specimens of levator palpaberae superioris muscle of patients with different degrees of congenital Ptosis. Background: Ptosis, also called blepharoptosis, is known as the drooping of the upper eyelid. Simple congenital ptosis is the most prevalent form of congenital ptosis. Levator palpebrae superioris (LPS) and Muller's muscle are two muscles of upper eyelid responsible for its elevation. The levator palpebrae superioris is a triangular-shaped muscle located in each upper eyelid. Subjects and methods: This prospective analysis included a total of 30 eyelids of patients with different degrees of ptosis eligible for the study who …