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Transcranial Ultrasonography For Prediction Of Stroke In Children With Sickle-Cell Disease, Asmaa G. G. Barseem, Mohamed S. Abdullah, Tarek F. Abd Ella Oct 2022

Transcranial Ultrasonography For Prediction Of Stroke In Children With Sickle-Cell Disease, Asmaa G. G. Barseem, Mohamed S. Abdullah, Tarek F. Abd Ella

Menoufia Medical Journal

Objective To assess the role of transcranial ultrasound in children with sickle-cell disease to predict stroke and prevent its occurrence. Background Transcranial Doppler (TCD) ultrasound is a noninvasive and inexpensive imaging modality to measure mean blood-flow velocities through large intracerebral arteries in children with sickle-cell disease. Patients and methods The study was conducted on 20 patients presenting sickle-cell disease diagnosed by clinical examination and laboratory investigations. Patients included in this study were subjected to detailed history with special emphasis on the history of present illness suggestive of sickle-cell disease, clinical examination, and TCD ultrasonography for all patients. Results The best …


Effect Of Rheumatoid Arthritis Treatment On The Posterior Segment Of The Eye, Abdelkawy Moghazy, Ahmed S. Fayed, Heba A. R. Rizk, Moataz El-Sawy Oct 2022

Effect Of Rheumatoid Arthritis Treatment On The Posterior Segment Of The Eye, Abdelkawy Moghazy, Ahmed S. Fayed, Heba A. R. Rizk, Moataz El-Sawy

Menoufia Medical Journal

Objective The aim of the study was to evaluate the influence of rheumatoid arthritis (RA) treatment on the posterior segment of the eye using spectral-domain optical coherence tomography. Background RA is a common chronic autoimmune systemic inflammatory disease that primarily affects mainly small joints. It may affect many parts of the eye, such as conjunctiva, cornea, sclera, uvea, choroid, and retina. Patients and methods The study included 44 RA patients (22 on methotrexate and 22 on etanercept), and 21 healthy controls. Results A significant increase in choroidal thickness in the RA group compared with the control group. There were no …


Distal Tibial-Fracture Management Using Expert Tibial-Nailing Technique, Ahmed Zayda, Ahmed R Abuzeed Ragab, Emad Badawy, Mahmoud Hadhoud Oct 2022

Distal Tibial-Fracture Management Using Expert Tibial-Nailing Technique, Ahmed Zayda, Ahmed R Abuzeed Ragab, Emad Badawy, Mahmoud Hadhoud

Menoufia Medical Journal

Objective In this series, we will assess the expert tibial nails (ETN) in treating distal tibial metaphyseal fractures and their effectiveness as an implant in these fractures. Background Therapy of distal tibial fractures in adults without articular extension is difficult due to its anatomical features of their minimal soft-tissue covering, poor supply of blood, and closeness to the ankle joint. Internal fixation and open reduction result in revascularized fracture fragments with soft tissue and skin complications. Conventional nails have limited interlocking options. ETN offers an alternative for these fractures with multilocking options and higher stability. The aim of this research …


Comparative Study Between Threaded Kirschner Wires And Herbert Screw In Fixation Of Scaphoid Nonunion Fractures Using Iliac Crest Bone Graft, Ahmed Shams, Ahmed H. E. A. Hamad, Rasha Saleh, Samy Sakr Oct 2022

Comparative Study Between Threaded Kirschner Wires And Herbert Screw In Fixation Of Scaphoid Nonunion Fractures Using Iliac Crest Bone Graft, Ahmed Shams, Ahmed H. E. A. Hamad, Rasha Saleh, Samy Sakr

Menoufia Medical Journal

Objectives To compare the results of threaded Kirschner wire (K-wires) and Herbert screw in the treatment of nonunion scaphoid using iliac graft. Background Scaphoid nonunion is challenging to manage because of its geometry, the direction and type of fracture, and the vascular supply to it. Patients and methods This prospective study included 30 patients with nonunion scaphoid fracture in the Orthopedic Department of Menoufia University and El-Qabary Hospital from 2019 to 2021. Patients were divided into two equal groups according to the fixation method (group A by threaded K-wires, and group B by Herbert screw) with open reduction and iliac …


Effectiveness Of Single Use Flexible Ureteroscope In Treatment Of Less Than 2cm Renal Stones, Baher M. Abdelraouf, Fouad M. Zanaty, Hossam A. Kandeel, Mohamed A. Elshazly Oct 2022

Effectiveness Of Single Use Flexible Ureteroscope In Treatment Of Less Than 2cm Renal Stones, Baher M. Abdelraouf, Fouad M. Zanaty, Hossam A. Kandeel, Mohamed A. Elshazly

Menoufia Medical Journal

Background The miniaturization of endourological instruments and improvements in laser lithotripsy have revolutionized the approach to renal stones. Flexible ureteroscopy (FURS) is an integral part of minimally invasive contemporary treatment of urinary stone disease. Objective To assess the effectiveness of FURS in the treatment of renal stones. Patients and methods Symptomatic patients with renal stones less than 2 cm were prospectively enrolled and treated using FURS (Boston Scientific LithoVue). Patients were considered stone free if no residual stones were seen endoscopically and radiographically after the procedure. The efficiency and the safety of the procedures were analyzed. Results Between June 2020 …


Prognostic Value Of Coronary Computed Tomography Angiography In Asymptomatic Diabetic Patients, Abdalla Mostafa, Ahmed Abdalla, Ahmed Gaafar, Mahmoud Z. Attia, Waleed Abdou Oct 2022

Prognostic Value Of Coronary Computed Tomography Angiography In Asymptomatic Diabetic Patients, Abdalla Mostafa, Ahmed Abdalla, Ahmed Gaafar, Mahmoud Z. Attia, Waleed Abdou

Menoufia Medical Journal

Objectives To study the prognostic value of coronary computed tomography (CT) angiography in asymptomatic diabetic patients. Background Diabetic patients have a higher prevalence of coronary artery disease (CAD) and are more likely to have silent myocardial ischemia and myocardial infarction than nondiabetics and are characterized by multivessel disease and calcified, diffuse, and distal lesions. CT coronary angiography is a safe, accurate, and reliable technique of high ability to detect CAD and estimate the degree of obstruction, number of affected arteries, and the pattern of their affection and a reliable modality for exclusion of CAD. Patients and methods This study was …


Do Apheresis Platelet Concentrates With Additive Solution Offer Advantages In Vitro Or In Therapeutic Utility?, Amira Z. Badawy, Hanan M. Bedair, Iman A. El-Tounsi, Rawhia H. El-Edel, Reham S. El-Zaiat Oct 2022

Do Apheresis Platelet Concentrates With Additive Solution Offer Advantages In Vitro Or In Therapeutic Utility?, Amira Z. Badawy, Hanan M. Bedair, Iman A. El-Tounsi, Rawhia H. El-Edel, Reham S. El-Zaiat

Menoufia Medical Journal

Objective To investigate the in vitro quality of room temperature stored apheresis platelet concentrates (PCs) with and without adding a platelet additive solution (PAS) and to evaluate its therapeutic utility in oncology patients. Background Several studies have highlighted using PAS as a way to improve the storage conditions of PCs. PAS is a synthetic media used in the place of plasma for platelet (PLT) storage. It is used to support metabolism, provide buffering capacity, and to protect PLTs from the storage lesion. So, it can be used to extend shelf life of PCs. To date, its application in Egyptian blood …


Fat Mass And Obesity-Associated Gene Polymorphisms Rs9939609 And Rs17817449 In Type 2 Diabetic Egyptians, Gehan K. El Saeed, Marwa M. Omar, Shaza E. Ahmed, Thoria A. Omar, Walid A. Shehab-Eldin Oct 2022

Fat Mass And Obesity-Associated Gene Polymorphisms Rs9939609 And Rs17817449 In Type 2 Diabetic Egyptians, Gehan K. El Saeed, Marwa M. Omar, Shaza E. Ahmed, Thoria A. Omar, Walid A. Shehab-Eldin

Menoufia Medical Journal

Background Individual predisposition to obesity and type 2 diabetes mellitus (T2DM) is determined by the interaction between genetic and environmental factors. The fat mass and obesity-associated gene (FTO) is an obesity-susceptibility gene identified to have a huge effect on obesity and DM in different populations. Objectives To investigate the association between FTO gene polymorphisms rs9939609 and rs17817449 and prediction of T2DM in Egyptian obese patients. Patients and methods In this case–control study, PCR–restriction fragment length polymorphism was used for investigating allele and genotype frequencies of FTO rs9939609 and rs17817449 in 90 participants divided into two groups: diabetic group …


Protein 70 In Alopecia Areata, Aya H M. Elgendy, Eman S.E Elsayed Arafat, Mostafa M. Soliman Oct 2022

Protein 70 In Alopecia Areata, Aya H M. Elgendy, Eman S.E Elsayed Arafat, Mostafa M. Soliman

Menoufia Medical Journal

Background Heat shock proteins (HSPs) are proteins that are expressed under a variety of stresses. How stresses and HSPs affect alopecia areata (AA) is not fully understood. Objectives To evaluate the possible role of serum level of HSP70 in the pathogenesis of AA. Patients and methods The current work examined 43 individuals with AA and 40 analogous age-matched and sex-matched healthy controls. Patients underwent full history taking, clinical examination, and investigations (HSP70 serum levels using the enzyme-linked immunosorbent assay). The data were analyzed using the SPSS software. Results In the current study, among patients, serum HSP70 ranged between 3 and …


Efficacy And Evaluation Of Hair Transplantation In Patients With Androgenic Alopecia, Dalia M. Elsakka, Marwa S. Elkhesy, Mohamed A. Gaber Oct 2022

Efficacy And Evaluation Of Hair Transplantation In Patients With Androgenic Alopecia, Dalia M. Elsakka, Marwa S. Elkhesy, Mohamed A. Gaber

Menoufia Medical Journal

Objectives To evaluate the effect of follicular unit extraction (FUE) in patients with androgenic alopecia (AGA) and evaluate the satisfaction factors after surgery. Background AGA greatly influences individual's quality of life and psychological state. So, effective and available treatments are sought for patients with AGA. Among the different hair restoration methods, hair transplantation, especially FUE, is the most popular and acceptable option known for patients with hair loss. Patients and methods A prospective cohort study was conducted at the Departments of Dermatology and Plastic Surgery, Menoufia University Hospital, from June 2019 till October 2021. The study was approved by the …


Evaluation Of Superoxide Dismutase Enzyme In Patients With Melasma: A Clinical And Immunohistochemical Study, Abeer S. Refay, Asmaa G. Abdou, Hesham N. Khaled, Reem A.A Elaziz Hassan Oct 2022

Evaluation Of Superoxide Dismutase Enzyme In Patients With Melasma: A Clinical And Immunohistochemical Study, Abeer S. Refay, Asmaa G. Abdou, Hesham N. Khaled, Reem A.A Elaziz Hassan

Menoufia Medical Journal

Objective To evaluate the role of superoxide dismutase (SOD) enzyme in melasma. Background Melasma is one of the most common acquired disorders of hyperpigmentation. SOD enzyme is upregulated in the presence of oxidative stress and can be utilized to detect it. Even though many potential etiological factors have been proposed, there is still much to learn about the pathophysiology of melasma. Patients and methods A cross-sectional study was conducted on 50 patients presenting with melasma and 50 apparently normal individuals as a control group selected from the Outpatient Clinic, Dermatology, Andrology and Sexually Transmitted Diseases Department, Faculty of Medicine, Menoufia …


Fragmented Qrs: A Novel Marker Of Cardiovascular Diseases In Patients With Erectile Dysfunction, Ahmed M. Elkersh, Alaa H. Maree, Heba A S. Bazid, Hosna El-Sayed Ali El-Nager, Mohamed B. Alghannam Oct 2022

Fragmented Qrs: A Novel Marker Of Cardiovascular Diseases In Patients With Erectile Dysfunction, Ahmed M. Elkersh, Alaa H. Maree, Heba A S. Bazid, Hosna El-Sayed Ali El-Nager, Mohamed B. Alghannam

Menoufia Medical Journal

Background The most common cause of erectile dysfunction (ED) is vascular insufficiency. Fragmented QRS (fQRS) is an ECG marker of myocardial ischemia in patients with coronary artery disease. Objectives To evaluate if the fQRS by ECG can be detected earlier and if it is possible to track simpler markers of cardiovascular involvement in patients with arteriogenic ED than pharmaco-penile duplex ultrasonography. Patients and methods A total of 100 patients with ED were included. They were classified according to International Index of Erectile Function-5 and subjected to detailed history taking, thorough clinical examination, and imaging studies, including pharmaco-penile duplex ultrasonography and …


Assessment Of The Efficacy And Safety Of Platelet-Poor Plasma Gel As Autologous Dermal Filler For Facial Rejuvenation, Amira F M. El-Sandebisi, Mohammed A El-Wahed Gaber, Ola H A. El-Shafey Oct 2022

Assessment Of The Efficacy And Safety Of Platelet-Poor Plasma Gel As Autologous Dermal Filler For Facial Rejuvenation, Amira F M. El-Sandebisi, Mohammed A El-Wahed Gaber, Ola H A. El-Shafey

Menoufia Medical Journal

Objective This study was designed to evaluate the clinical efficacy and safety of plasma gel as a dermal-filler injection for facial rejuvenation. Background The popularity of dermal fillers has grown rapidly in the last few years for facial rejuvenation. Plasma gel is an autologous gelatinous material that is prepared from the patient's own platelet-poor plasma (PPP). Plasma gel had gained popularity in plastic surgery, orthopedic surgery, oral surgery, and various other fields. Patients and methods A cross-sectional study was carried out on 200 females more than 40 years presented with facial aging. They were divided into two main groups: group …


Prevalence And Risk Factors Of Overweight And Obesity Among Adolescents: A Cross-Sectional Study, Fatma A. El-Srrigy, Hala M. Elmoselhy, Samar Abd El-Rhman Alkaffas Oct 2022

Prevalence And Risk Factors Of Overweight And Obesity Among Adolescents: A Cross-Sectional Study, Fatma A. El-Srrigy, Hala M. Elmoselhy, Samar Abd El-Rhman Alkaffas

Menoufia Medical Journal

Objective This study aimed to assess the prevalence and risk factors of overweight and obesity among adolescents. Background Obesity is a significant public health concern affecting more than half-a-billion people worldwide, with increasing its prevalence among adolescents. Its consequences include hypertension, diabetes mellitus, hyperlipidemia, coronary-artery diseases, and some cancers. Patients and methods This cross-sectional study included 200 adolescents aged 10–19 years old from two preparatory schools and two secondary schools in Shebin El-kom district (one city and one village selected randomly). Data were collected through a predesigned questionnaire. Participants were evaluated for sociodemographic characteristics, nutritional, family history, and physical activity. …


Predictors Of Diabetic Foot Ulcer Severity Among Patients Attending Menoufia University Hospital, Egypt, Ayah M. Barakat, Hala M. Shaheen, Manal H Mohamed Al-Siad, Nora A. Khalil, Yahia M. Alkhateep Oct 2022

Predictors Of Diabetic Foot Ulcer Severity Among Patients Attending Menoufia University Hospital, Egypt, Ayah M. Barakat, Hala M. Shaheen, Manal H Mohamed Al-Siad, Nora A. Khalil, Yahia M. Alkhateep

Menoufia Medical Journal

Background Diabetic foot ulcer (DFU) results in major medical, financial, and social burden for the patients, their families, and society. Objective To assess the severity of DFU and identify the predictors of ulcer severity among the studied patients. Patients and methods A cross-sectional study of 70 DFU patients was undertaken. They were evaluated through a structured self-administrated questionnaire composed of four parts (sociodemographic data, diabetes-related data, knowledge, and practice about foot care) followed by physical examination to assess DFU severity. Results According to Wagner's classification, grade 2 DFU was the most prevalent among the studied group (42.9%), Followed by Grade …


Validity Of New Insulin Resistance Indices In Correlation With Atherosclerotic Cardiovascular Disease, Ahmed M. Mohamed, Mai A. Kamel, Nabil Abd El-Fatah El-Kafrawy, Reham S. El Zaiat Oct 2022

Validity Of New Insulin Resistance Indices In Correlation With Atherosclerotic Cardiovascular Disease, Ahmed M. Mohamed, Mai A. Kamel, Nabil Abd El-Fatah El-Kafrawy, Reham S. El Zaiat

Menoufia Medical Journal

Objective To study the validity of triglyceride–glucose (TyG) index and triglyceride/high-density lipoprotein (TG/HDL) ratio as insulin resistance (IR) markers and correlating them with atherosclerotic cardiovascular disease (ASCVD). Background IR is a metabolic disorder that leads to metabolic syndrome, which is an important risk factor for ASCVD; early detection by noninvasive, easy and cheap markers is important. Patients and methods A cross-sectional study carried out on 81 participants attending to the outpatient clinic and inpatient ward in the Internal Medicine Department. Full history, physical examination, and biochemical profiles were obtained. Participants were classified according to the Framingham Wilson score into two …


Acute Kidney Injury In Hospitalized Patients With Covid-19, Heba El-Sayed Kasem, Mahmoud A. Kora, Mahmoud M. Emara, Shaban E E. Mohamed Oct 2022

Acute Kidney Injury In Hospitalized Patients With Covid-19, Heba El-Sayed Kasem, Mahmoud A. Kora, Mahmoud M. Emara, Shaban E E. Mohamed

Menoufia Medical Journal

Objectives To investigate the severity, risk factors, and outcomes of acute kidney injury (AKI) in hospitalized patients with coronavirus disease 2019 (COVID-19). Background COVID-19 has been associated with elevated incidence of AKI. More search is required to confirm the role of COVID-19 as an independent risk factor for AKI. Patients and methods This retrospective cohort study included data collected from medical records, patients' follow-up, and charts of 100 patients who were diagnosed with COVID-19 infection by a positive RT-PCR assay of a specimen collected via nasopharyngeal swab between the first of December 2020 and 31 May 2021 in COVID-19 isolation …


Phenotypic And Molecular Identification Of Carbapenemase-Producing Escherichia Coli And Klebsiella Isolates, Mabrok M. Ghonaim, Rawhia H. El-Adel, Reem M. Elkholy, Samar S. Salman Oct 2022

Phenotypic And Molecular Identification Of Carbapenemase-Producing Escherichia Coli And Klebsiella Isolates, Mabrok M. Ghonaim, Rawhia H. El-Adel, Reem M. Elkholy, Samar S. Salman

Menoufia Medical Journal

Background Carbapenemase-producing carbapenem-resistant Enterobacteriaceae are a significant problem worldwide that causes life-threatening infections. Objectives To evaluate the performance of the phenotypic method [modified carbapenem-inactivation method (mCIM) and EDTA-modified carbapenem inactivation method (eCIM)] tests to detect carbapenemase production compared with the genotypic method (real-time PCR) in Escherichia coli and Klebsiella species strains that were isolated from patients in the Menoufia University Hospitals. Methods E. coli and Klebsiella species strains were isolated from patients in different departments of the Menoufia University Hospitals. The isolated strains were tested by the phenotypic method (mCIM and eCIM) tests to detect carbapenemase production, and screened by …


Assessment Of Cognitive Function In Patients With Sleep Apnea Syndrome, Gehan A. Abdelaal, Hend R. Omara, Mai M. El-Kalashy, Nehad B. Abdelaty Oct 2022

Assessment Of Cognitive Function In Patients With Sleep Apnea Syndrome, Gehan A. Abdelaal, Hend R. Omara, Mai M. El-Kalashy, Nehad B. Abdelaty

Menoufia Medical Journal

Background Obstructive sleep apnea (OSA) can negatively affect patients' physical and psychological functioning, as well as their quality of life. A major consequence of OSA is impaired cognitive functioning. Indeed, several studies have shown that OSA mainly leads to deficits in executive functions, attention, and memory. Objectives To assess cognitive function in patients with sleep apnea syndrome. Patients and methods This prospective study was done on 70 patients with sleep apnea syndrome who were referred to Chest and Neurology Departments, Menoufia University Hospital, in the period from January 2021 to April 2022. The study was done after written consents from …


A Decreased Need For Systemic Psoriasis Treatment With Associated Use Of Serotonin Reuptake Inhibitors, Ahmed N. Ramadan, Ayman A. El-Hadad, Azza G. A. Farag, Ibrahim H M. Al Fayoumy Oct 2022

A Decreased Need For Systemic Psoriasis Treatment With Associated Use Of Serotonin Reuptake Inhibitors, Ahmed N. Ramadan, Ayman A. El-Hadad, Azza G. A. Farag, Ibrahim H M. Al Fayoumy

Menoufia Medical Journal

Objectives The aim was to investigate whether psoriasis is affected by the use of selective serotonin reuptake inhibitors (SSRIs). Background Psoriasis is an immune-mediated dermatological disorder with psychological and social morbidity. Stress plays an important role in psoriasis, including the negative somato–psychiatric rebound occurring in the disease. Patients and methods This prospective, analytic, cohort study was conducted at the Neuropsychiatry Department, Faculty of Medicine, Menoufia University, and included 64 patients with psoriasis attending Outpatient Clinic of Dermatology Department, Faculty of Medicine, Menoufia University Hospitals, between November 2020 and October 2021, after approval from the Research and Ethics Committee. Patients were …


Immunohistochemical Expression Of Programmed Death-Ligand 1 In Urothelial Bladder Carcinoma, Hayam Abd El-Samie Aiad, Nanis S. Holah, Sara F Abo El-Soud, Shereen F. Mahmoud Oct 2022

Immunohistochemical Expression Of Programmed Death-Ligand 1 In Urothelial Bladder Carcinoma, Hayam Abd El-Samie Aiad, Nanis S. Holah, Sara F Abo El-Soud, Shereen F. Mahmoud

Menoufia Medical Journal

Objectives To assess the immunohistochemical expression of programmed death-ligand 1 (PDL1) in tumor cells and tumor-infiltrating immune cells of the urothelial bladder carcinoma (UBC) and correlate it with the available clinicopathological data. Background UBC is the tenth most frequent cancer worldwide and ranks 13th in terms of death ranks. In Egypt, UBC is classified as the third malignancy after breast and colorectal cancers. PDL1 is one of the most important checkpoint molecules that have been studied and become clinically important targets of drug therapy. Patients and methods This retrospective study included 83 UBC cases retrieved from the archives of …


Prevalence Of Metabolic Syndrome In School-Aged Obese Children, Maha A. Tawfik, Mohamed A Abdo Al-Fiqi, Soheir S. Abou El-Ella, Zeinab S. Abou Zouna Oct 2022

Prevalence Of Metabolic Syndrome In School-Aged Obese Children, Maha A. Tawfik, Mohamed A Abdo Al-Fiqi, Soheir S. Abou El-Ella, Zeinab S. Abou Zouna

Menoufia Medical Journal

Objective To evaluate the prevalence of metabolic syndrome (MS) in a group of school-aged obese children of both sexes. Background Data about MS in children are limited in Egypt as the prevalence and magnitude of obesity among school-aged children has been increasing dramatically. We examined the effect of varying degrees of obesity on the prevalence of the MS. Patients and methods This cross-sectional study was conducted on obese children (BMI ≥ 95th percentile), aged 6–16 years. Detailed history taking with family pedigree; complete systemic examination; anthropometric measurements, including weight (kg) on Z score, height (m) on Z score, waist …


Anthropometry Of The Lower Zone Of The Face In Preschool-Aged Children, Assem M. Salama, Maha A. Tawfik, Naglaa F. Barseem Oct 2022

Anthropometry Of The Lower Zone Of The Face In Preschool-Aged Children, Assem M. Salama, Maha A. Tawfik, Naglaa F. Barseem

Menoufia Medical Journal

Objective To assess anthropometry of the lower zone of the face (philtrum length, philtrum width, intercommissural distance, and lower lip to chin length) in preschool-aged children in Menoufia Governorate. Background All health personnel having a responsibility toward the care of children should be sufficiently familiar with normal patterns of growth and milestones so that they can recognize overt deviations from the normal range as early as possible, for underlying disorders to be identified and given appropriate attention. Patients and methods This was a cross-sectional study conducted on 516 Egyptian apparently healthy preschool children of both sexes (between 3 and 6 …


Study Of Serum Albumin Level In Critically Ill Children Admitted To Icus, Dina M M. Ali, Maha A. Tawfik, Noran T. Aboelkhair, Zeinab S Abou Zouna Oct 2022

Study Of Serum Albumin Level In Critically Ill Children Admitted To Icus, Dina M M. Ali, Maha A. Tawfik, Noran T. Aboelkhair, Zeinab S Abou Zouna

Menoufia Medical Journal

Objectives The aim of the current study was to study serum albumin level in critically ill children admitted to the pediatric ICU in Menoufia University hospital and its relation to the outcome. Background Hypoalbuminemia is a common feature in critically ill children in pediatric ICUs and is associated with a poor outcome. Patients and methods A cross-sectional study was conducted on 118 critically ill children from January 2021 to December 2021. All patients in the present study were subjected to detailed history, physical examination, and laboratory investigations. Pediatric Sequential Organ Failure Assessment (PSOFA), Pediatric Risk of Mortality III (PRISM III), …


Prevalence Of Helicobacter Pylori Infection Among Children With Nephrotic Syndrome, Fahima M. Hassan, Heba B Abd Elsalam, Mahmoud A. E.M. A. Eldaher, Nagwan Y. Saleh Oct 2022

Prevalence Of Helicobacter Pylori Infection Among Children With Nephrotic Syndrome, Fahima M. Hassan, Heba B Abd Elsalam, Mahmoud A. E.M. A. Eldaher, Nagwan Y. Saleh

Menoufia Medical Journal

Objective To evaluate the prevalence of Helicobacter pylori infection among children diagnosed as having nephrotic syndrome (NS). Background NS is primarily a pediatric disorder and is 15 times more common in children than adults. H. pylori colonizes more than 50% of people worldwide. Patients and methods This prospective study was conducted on 50 children with NS admitted and followed up in the Pediatric Nephrology Unit at Menoufia University Hospital. They were screened for H. pylori by urea breath test, stool analysis (Rapid HpSA test), and serum H. pylori antibodies. The included patients were divided into two groups regarding clinical manifestations …


Clinical Assessment And Follow-Up Of School-Aged Diabetic Children, Kamel Gomaa, Maha A. Tawfik, Soheir S. A. El-Ella, Zeinab S. Abouzouna Oct 2022

Clinical Assessment And Follow-Up Of School-Aged Diabetic Children, Kamel Gomaa, Maha A. Tawfik, Soheir S. A. El-Ella, Zeinab S. Abouzouna

Menoufia Medical Journal

Objective Clinical assessment and follow-up in school-aged diabetic children. Background Diabetes mellitus requires continuous medical care, patient self-management, education, and support to prevent acute complications and to reduce long-term complications. Patients and methods This descriptive study was conducted on 110 diabetic Egyptian children. All patients were subjected to detailed history taking, complete general examination including anthropometric measurements and laboratory investigations including estimation of fasting blood glucose level (mg/dl), postprandial blood glucose level (mg/dl), glycosylated hemoglobin (HbA1c%), lipid profile (cholesterol, low-density lipoprotein, and triglyceride), microalbumin in urine, and thyroid function (thyroid-stimulating hormone and FT4). Results The mean age of the studied …


Evaluation Of Noninvasive Tests For Diagnosis Of Helicobacter Pylori Infection In Hemodialysis Pediatric Patients, Alia E. El-Sayad Oqdah, Fahima M. Hassan, Heba B Abdel Salam, Nagwan Y. Saleh Oct 2022

Evaluation Of Noninvasive Tests For Diagnosis Of Helicobacter Pylori Infection In Hemodialysis Pediatric Patients, Alia E. El-Sayad Oqdah, Fahima M. Hassan, Heba B Abdel Salam, Nagwan Y. Saleh

Menoufia Medical Journal

Background Patients on hemodialysis often have gastrointestinal complications; however, it is unclear whether Helicobacter pylori infection is more prevalent in these patients. Objective To determine the incidence of H. pylori infection in pediatric patients with chronic kidney disease on regular hemodialysis and to investigate the diagnostic value of noninvasive tests [urea-breath test (UBT), stool-antigen test (SAT), and serology] in diagnosing H. pylori infection in hemodialysis patients. Patients and methods An analytical cross-sectional study was carried out on 62 children with the end-stage renal disease treated by regular-maintenance hemodialysis in the Nephrology Unit in Pediatric Department, Menoufia University Hospital, to determine …


Ultrasound-Guided Erector Spinae-Plane Block For Postoperative Pain In Neonates Undergoing Tracheoesophageal Fistula Repair, Ashraf M. Eskander, Heba R, M. Elsharaky, Khalid M. Abo Elanin, Nadia M. Bahgat, Zeinab A. Kasemy Oct 2022

Ultrasound-Guided Erector Spinae-Plane Block For Postoperative Pain In Neonates Undergoing Tracheoesophageal Fistula Repair, Ashraf M. Eskander, Heba R, M. Elsharaky, Khalid M. Abo Elanin, Nadia M. Bahgat, Zeinab A. Kasemy

Menoufia Medical Journal

Objectives To assess the efficacy and safety of ultrasound-guided erector spinae-plane block (ESPB) in neonates undergoing tracheoesophageal fistula repair regarding postoperative pain management with measurement of narcotic and anesthetic consumption, hemodynamic changes, and incidence of complications. Background Neonates' pain causes significant stress, which has adverse circulatory and ventilator effects. Thoracotomy produces damaging surgical insults due to damage to ribs and peripheral nerves. Patients and methods A prospective control study on 40 neonates scheduled for a trachea–esophageal fistula repair via thoracotomy was randomized to group E (20 patients). Ultrasound-guided ESPB group: 2.5 mg/kg bupivacaine 0.25% with epinephrine 1: 200 000 (maximum …


Prediction And Outcomes Of Acute Kidney Injury In Severe Trauma Patients, Ahmed M. Zahran, Ibrahim M. S K. El Ghobashy, Magdi A. Lolah Oct 2022

Prediction And Outcomes Of Acute Kidney Injury In Severe Trauma Patients, Ahmed M. Zahran, Ibrahim M. S K. El Ghobashy, Magdi A. Lolah

Menoufia Medical Journal

Objective To define and determine acute kidney injury (AKI) based on the Kidney Disease Improving Global Outcome criteria in severe trauma patients, and to evaluate injury severity score (ISS) in the prediction of AKI and outcomes. Background Because of the great risk of AKI in severe trauma that may be life threatening especially if uncontrolled, early assessment of it reduces mortality of polytraumatized patients. Patients and methods This is a prospective study on 116 trauma patients, who were presented to the Emergency Department of Menoufia University Hospital from April 2019 to April 2020. ISS and the Acute Physiology and Chronic …


The Big Score And Prediction Of Mortality In Pediatric Blunt Trauma, Ashraf M. Alqasas, Magdy A. Lolah, Youssef A. Mohamed Oct 2022

The Big Score And Prediction Of Mortality In Pediatric Blunt Trauma, Ashraf M. Alqasas, Magdy A. Lolah, Youssef A. Mohamed

Menoufia Medical Journal

Objectives To use the BIG score to predict the mortality in the pediatric blunt trauma. Background There are many scores to predict mortality in pediatric blunt trauma and BIG score is one of them. Patients and methods This study is prospective and cross-sectional and included 50 pediatric patients with blunt trauma treated at the Emergency Department of Menoufia University Hospital. They were selected according to certain inclusion and exclusion criteria, and then, we calculated BIG score for those patients, which is calculated by a combination of results from three categories: [Glasgow Coma Scale (GCS), international normalized ratio, and base deficit]: …