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Association Between Serum Uric Acid Concentration And Clinical Features Of Psoriasis, Heba Y. Yehia, Naglaa M. Ghanayem, Shawky M. El Farargy Dec 2021

Association Between Serum Uric Acid Concentration And Clinical Features Of Psoriasis, Heba Y. Yehia, Naglaa M. Ghanayem, Shawky M. El Farargy

Menoufia Medical Journal

Objective The aim was to assess linkage between serum uric acid (UA) and clinical features of psoriasis. Background Psoriasis is a chronic immune-mediated skin disease. UA is an end product of purine metabolism and is produced endogenously. Patients and methods A case–control study was conducted on 100 patients with chronic generalized psoriasis (group 1) and 100 age-matched and sex-matched healthy individuals (group 2). Patients of group 1 were subdivided into three subgroups with respect to grades of psoriasis: group 1a included patients with mild psoriasis, group 1b included patients with moderate psoriasis, and group 1c included patients with severe psoriasis. …


Religiosity And The Sexuality Of Women, Mohamed A. Gaber, Shaimaa E. A. Mousa Dec 2021

Religiosity And The Sexuality Of Women, Mohamed A. Gaber, Shaimaa E. A. Mousa

Menoufia Medical Journal

Objective To evaluate the role of religiosity in sexuality of women. Background Religiosity is a characteristic of an individual, and sexual interactions are characteristics of pairs. Sexuality is the constitution or life of the individual as related to 'sex' or exercise of sexual functions. Patients and methods This study was done on 135 married women attending the Outpatient Clinic of Obstetrics and Gynecology in Menoufia University Hospital during the period from May 2020 to August 2020. Results In the present study, most participants were wearing hijab (89.6%) and 5.9% were wearing niqab. Regarding coital frequency in the present study, most …


Quantification Of Serum Melatonin Level And Its Association With Erectile Dysfunction, Mohamed A. Gaber, Mohamed H. A. Ghoniem, Noha R. Bayomy, Reem A. Abdelaziz Hassan Dec 2021

Quantification Of Serum Melatonin Level And Its Association With Erectile Dysfunction, Mohamed A. Gaber, Mohamed H. A. Ghoniem, Noha R. Bayomy, Reem A. Abdelaziz Hassan

Menoufia Medical Journal

Objectives The work aimed to evaluate the role of melatonin in erectile dysfunction (ED) by measuring its level in the serum of these patients and correlating its level with the clinical data. Background One common issue is ED. It is the persistent inability to obtain or maintain a sufficient penile erection for satisfactory sexual performance. One of the hormones secreted from the pineal gland is melatonin. It has antioxidative and antiinflammatory effects. It plays a role in erectile function. In the etiology of ED, oxidative stress is an essential factor, and promising results have been obtained with melatonin treatment in …


Prognostic Factors In Management Of Postoperative Spondylodiscitis, Adel M. Hanafy, Hisham M. A. Rahma, Mohamed M. Al Mashad, Tarek M. Rageh, Yasser I. Mahgoub Jun 2021

Prognostic Factors In Management Of Postoperative Spondylodiscitis, Adel M. Hanafy, Hisham M. A. Rahma, Mohamed M. Al Mashad, Tarek M. Rageh, Yasser I. Mahgoub

Menoufia Medical Journal

Background Spinal infection is an uncommon disease, which may result in serious complications with potentially high morbidity and mortality. Objective The aim was to evaluate the outcome of patients with postoperative spondylodiscitis after management in relation to age, sex, general condition, symptoms, signs, radiological findings, type, and time of intervention. Patients and methods A prospective study was conducted on 20 patients having postoperative spinal infection managed in the period between June 2017 to June 2019 in the Neurosurgery Department at Menoufia University Hospitals and Al Haram Hospital. Patients with postoperative spinal infection were evaluated neurologically by American Spinal Injury Association …


Nasal Foreign Bodies In Children – Our Experiences At A Tertiary Care Teaching Hospital In Eastern India, Jasashree Choudhury, Santosh K. Swain Jun 2021

Nasal Foreign Bodies In Children – Our Experiences At A Tertiary Care Teaching Hospital In Eastern India, Jasashree Choudhury, Santosh K. Swain

Menoufia Medical Journal

Background Children with nasal foreign body (FB) often come to clinician for its removal. These children often present with foul-smelling nasal discharge, nasal obstruction, nasal mucosal irritation, and epistaxis. In most cases, unilateral nasal FB is easily removed but occasionally may lead to life-threatening situation. Objectives To study the details of the nasal FBs including treatment in children at a tertiary care teaching hospital of Eastern India. Patients and methods This retrospective study was done between June 2015 and July 2020 and included children attending the otorhinolaryngology clinic and emergency unit for nasal FB. Patient details such as age, sex, …


Intussusception In Children: Effect Of Symptom Duration On The Outcome Of Hydrostatic Reduction, Chukwubuike K. Emeka Jun 2021

Intussusception In Children: Effect Of Symptom Duration On The Outcome Of Hydrostatic Reduction, Chukwubuike K. Emeka

Menoufia Medical Journal

Background Intussusception is a common cause of intestinal obstruction in children, especially in infants. Intussusception is a pediatric abdominal surgical emergency, and hydrostatic reduction is an effective modality of treatment in selected group of patients. There are lack of data in Nigeria on the effect of symptom duration on hydrostatic reduction. Aim To evaluate the effect of duration of symptoms on the outcome of hydrostatic reduction of intussusception. Patients and methods This was a prospective study on the effect of symptom duration on the success of hydrostatic reduction of intussusception in children. This study was carried out at the pediatric …


Intracranial Hydatid Cysts: A Report On 16 Cases, Ahmed Saro, Samy M. Selim Jun 2021

Intracranial Hydatid Cysts: A Report On 16 Cases, Ahmed Saro, Samy M. Selim

Menoufia Medical Journal

Aim To describe the epidemiological and clinical criteria of those patients with rare intracranial cysts. Background Central nervous system (CNS) hydatid cysts are a rare presentation of hydatid cyst, although may be the cause of intracranial space-occupying lesions in 4% in endemic countries. It affects mostly children. The diagnosis of CNS hydatid is still problematic despite the advancements in imaging techniques (computed tomography or MRI). Extirpation of the intact cyst is the treatment of choice, resulting in most cases to a complete recovery. Patients and methods A retrospective descriptive study was conducted on the CNS hydatid cases operated in our …


Clinical Implications Of Dexamethasone Administration On Doppler Indices Of Umbilical And Middle Cerebral Arteries In Preterm Fetuses, Abdelhamid E. Shaheen, Dalia I. Morsi, Mohamed A. Alsayed, Moustafa M. Youniss Jun 2021

Clinical Implications Of Dexamethasone Administration On Doppler Indices Of Umbilical And Middle Cerebral Arteries In Preterm Fetuses, Abdelhamid E. Shaheen, Dalia I. Morsi, Mohamed A. Alsayed, Moustafa M. Youniss

Menoufia Medical Journal

Background Maternal administration of dexamethasone is essential to improve fetal lung surfactant production and hasten the fetal lung maturity in women at risk for preterm birth. Umbilical and fetal middle cerebral arteries' (MCAs) Doppler indices are important to evaluate the effects of dexamethason on fetal and uteroplacental circulation in pregnancies at risk for preterm birth. Objective The aim was to evaluate the effects of maternal dexamethasone administration on umbilical and fetal MCAs Doppler indices (Resistance index (RI), Pulsalitility index (PI), and S/D ratio) in singleton pregnancies considered at risk for preterm delivery. Patients and methods A total of 100 women …


Letrozole Versus Clomiphene And Tamoxifen In Ovulation Induction In Clomiphene-Resistant Polycystic Ovary Syndrome Cases, Heba Maged, Mohammed Abdel-Allah Rezk, Omayma G. Abdel-Latif, Ragab Dawood Jun 2021

Letrozole Versus Clomiphene And Tamoxifen In Ovulation Induction In Clomiphene-Resistant Polycystic Ovary Syndrome Cases, Heba Maged, Mohammed Abdel-Allah Rezk, Omayma G. Abdel-Latif, Ragab Dawood

Menoufia Medical Journal

Objective The aim of this study was to make a comparison between the effects of letrozole and a combination of clomiphene citrate and tamoxifen in ovulation induction in clomiphene citrate-resistant women with polycystic ovary syndrome (PCOS). Background PCOS is the most common endocrine disorder affecting ~ 6–15% of women of reproductive age causing several medical problems mainly infertility. Ovulation induction can be achieved by administration of an oral drug or a combination of drugs such as clomiphene citrate, tamoxifen, and letrozole, which are considered the first-line treatment for anovulatory PCOS. Patients and methods This prospective comparative study has been performed …


Antenatal Ultrasound Measurement Of Fetal-Thigh Soft-Tissue Thickness As A Predictor Of Fetal Birth Weight, Alaa M. Abdelgied, Ayman E. Solyman, Mohammed F. M. Attalla, Sayed Abdelmoneim, Waleed A. Mousa Jun 2021

Antenatal Ultrasound Measurement Of Fetal-Thigh Soft-Tissue Thickness As A Predictor Of Fetal Birth Weight, Alaa M. Abdelgied, Ayman E. Solyman, Mohammed F. M. Attalla, Sayed Abdelmoneim, Waleed A. Mousa

Menoufia Medical Journal

Objectives To assess the use of antenatal estimation of fetal-thigh soft-tissue thickness as a predictor for the actual neonatal birth weight (ABW) after delivery. Background Fetal weight estimation has become increasingly important, especially for evaluation of fetopelvic disproportion, decision for mode of delivery in complications of pregnancy, and in detection of intrauterine growth restriction. Patients and methods A prospective study was conducted on 72 pregnant women with different gravidity and parity attending the delivery room at Obstetrics and Gynecology Department, Menoufia University Hospital during April 2019 till June 2020. An antenatal ultrasound examination within 48 h of their delivery was …


Maternal Sociodemographic And Antenatal Factors As Predictors Of Low-Birth Weight In Ghana, Alhassan A. Rauf, Mariah A. Sulemana Jun 2021

Maternal Sociodemographic And Antenatal Factors As Predictors Of Low-Birth Weight In Ghana, Alhassan A. Rauf, Mariah A. Sulemana

Menoufia Medical Journal

Introduction Globally, neonates with lower birth weight (LBW) are at higher risk of death as compared with those with normal birth weight, yet in Ghana, little is known about the nationwide predictors of LBW in terms of maternal demographic and antenatal factors. Aim To identify maternal sociodemographic and antenatal factors as a predictors of LBW in Ghana. Patients and methods A descriptive cross-sectional design was adopted for this study using Ghana Maternal Health Survey data for 2017. The data analysis was done using SPSS. χ2 and binary logistics regression model was used for associations at significance of P value …


Ologen Implantation With Silicon Tube Implantation In Dacryocystorhinostomy Surgery, Diaa A. Kamel, Hesham M. F. Elmazar, Osama A. Elmorsy Jun 2021

Ologen Implantation With Silicon Tube Implantation In Dacryocystorhinostomy Surgery, Diaa A. Kamel, Hesham M. F. Elmazar, Osama A. Elmorsy

Menoufia Medical Journal

Objectives To evaluate the role of ologen implant with silicon tube implantation in dacryocystorhinostomy (DCR) surgery regarding the success rate. Background External DCR is the treatment option for most cases of lacrimal drainage obstruction, including distal canalicular obstruction, common canalicular obstruction, and nasolacrimal duct obstruction. Patients and methods This prospective comparative case–control study was carried out on 30 patients attending the Ophthalmology Department, Menoufia University Hospitals. Patients included were those with primary acquired nasolacrimal duct obstruction with a positive regurge test. Patients were randomly enrolled into two groups using the alternating choice technique. Group A included 15 patients who had …


Does Finasteride Affect Blood Loss During Monopolar Transurethral Resection Of The Prostate?, Mohamed Metwalli, Mohamed Selim, Mohamed Badr Eldin, Tarek M. Abd El Baky Jun 2021

Does Finasteride Affect Blood Loss During Monopolar Transurethral Resection Of The Prostate?, Mohamed Metwalli, Mohamed Selim, Mohamed Badr Eldin, Tarek M. Abd El Baky

Menoufia Medical Journal

Objectives To evaluate the effect of preoperative finasteride on the surgical blood loss during monopolar transurethral resection of the prostate (TURP). Background Benign prostatic hyperplasia (BPH) is one of the most common causes of lower urinary tract symptoms in elder men. Prophylactic measures have been employed to reduce perioperative bleeding, including preoperative 5α-reductase inhibitors administration. Finasteride and dutasteride can block the conversion of testosterone to dihydrotestosterone and have been used to treat BPH and BPH-related hematuria. Patients and methods We conducted a randomized controlled study at the Urology Department of Menoufia University Hospital, comparing the preoperative use of finasteride 5 …


Deaths Among Covid-19-Infected Patients: Not All Are Owing To Infection, Beuy Joob, Viroj Wiwanitkit Jun 2021

Deaths Among Covid-19-Infected Patients: Not All Are Owing To Infection, Beuy Joob, Viroj Wiwanitkit

Menoufia Medical Journal

No abstract provided.


Preoperative Prediction And Good Planning For Technically Difficult Laparoscopic Cholecystectomy: A Scoring Method, Ahmed M. Omar, Asem F. Moustafa, Moharram A. S. Mohammed Jun 2021

Preoperative Prediction And Good Planning For Technically Difficult Laparoscopic Cholecystectomy: A Scoring Method, Ahmed M. Omar, Asem F. Moustafa, Moharram A. S. Mohammed

Menoufia Medical Journal

Background Laparoscopic cholecystectomy (LC) has become the standard procedure of choice for management of symptomatic gallstone disease recently. Sometimes, it is difficult and takes longer time or it may be converted to an open procedure. Aim This study was undertaken to determine the preoperative factors and their predictive value for the difficulty of LC. The study used some important factors preoperatively that have a significant effect in the literature that can predict difficult LC via a scoring method in Menoufia University hospitals. Patients and methods The present retrospective study was conducted by an experienced laparoscopic surgeon in the period of …


Percutaneous Transluminal Angioplasty As A Treatment Of Stenosis Of Arteriovenous Fistula For Hemodialysis, Hesham S. Abu-Gruidah, Hossam M. Adel Ibrahim Eissa, Nehad A. Zaida, Walid M. Omran Jun 2021

Percutaneous Transluminal Angioplasty As A Treatment Of Stenosis Of Arteriovenous Fistula For Hemodialysis, Hesham S. Abu-Gruidah, Hossam M. Adel Ibrahim Eissa, Nehad A. Zaida, Walid M. Omran

Menoufia Medical Journal

Objective The aim of our study is to evaluate the endovascular option for treatment of arteriovenous fistula (AVF) stenosis through assessment of success rates and primary patency rate after the angioplasty procedure. Background The quality of life of hemodialysis patients depends mainly on the patency and proper function of their vascular access. The main cause of AVF dysfunction is stenosis of the fistula. Vascular surgeons should have many surgical and endovascular plans to keep the hemodialysis access patent and functioning. Percutaneous transluminal angioplasty has become an established treatment of dysfunctional AVFs, with many advantages and benefits for the patients. Patients …


Topical Timolol Versus Oral Propranolol For The Treatment Of Hemangioma In Children, Saad M. Abd Elnaby, Tamer A. Sultan, Tamer F. Abd Elaziz Jun 2021

Topical Timolol Versus Oral Propranolol For The Treatment Of Hemangioma In Children, Saad M. Abd Elnaby, Tamer A. Sultan, Tamer F. Abd Elaziz

Menoufia Medical Journal

Objective To evaluate the clinical efficacy and adverse effects of oral propranolol in comparison with topical timolol for the treatment of hemangioma. Background Previous research declares that hemangioma is the most common tumor of infancy and childhood, occurring in 4–10% of white infants. Patients and methods To reach the goal of this research, a prospective randomized study was performed by selecting 20 patients with hemangioma attending the Pediatric Surgery Clinic at Menoufia Main University Hospital and Damanhur National Medical Institute. All patients were subjected to detailed history taking, clinical examination, echocardiogram, complete blood picture, liver and kidney functions, and blood …


Study Of The Relation Between The Colorectal Neoplasm And Visceral Fat Accumulation In Postmenopausal Women, Ahmed E. Abd El-Alim, Ehab A. Abdel Atty, Elsayed I. Elshayeb, Mohamed I. Shaaban, Mostafa M. Arafa Mar 2021

Study Of The Relation Between The Colorectal Neoplasm And Visceral Fat Accumulation In Postmenopausal Women, Ahmed E. Abd El-Alim, Ehab A. Abdel Atty, Elsayed I. Elshayeb, Mohamed I. Shaaban, Mostafa M. Arafa

Menoufia Medical Journal

Objective This study aimed to show the relation ship between colorectal carcinoma (CRC) and visceral adiposity in Egyptian postmenopausal women. Background Obesity is known to be an important risk factor for CRC, especially in women. The risk of CRC is greater with the visceral fat accumulation not total body fat content. Patients and methods This case–control study included 90 postmenopausal female patients: 45 women with CRC, 20 women with colorectal polyps, and 25 healthy women. Data were collected and statistically analyzed. CRC was diagnosed by colonoscopy and histopathology. Metabolic parameters were assessed according to the BMI and the waist to …


Role Of Circulating Micro-Rna-21 As A Noninvasive Biomarker For Detection Of Colorectal Cancer, Ahmed A. Sonbl, Ehab A. Abdel-Atti, El-Sayed I. El-Shaib, Mohamed A. Shehata, Mohamed H. Badr, Mohamed H. Gohar Mar 2021

Role Of Circulating Micro-Rna-21 As A Noninvasive Biomarker For Detection Of Colorectal Cancer, Ahmed A. Sonbl, Ehab A. Abdel-Atti, El-Sayed I. El-Shaib, Mohamed A. Shehata, Mohamed H. Badr, Mohamed H. Gohar

Menoufia Medical Journal

Objective To assess serum micro-RNA-21 (miR-21) expression level as a stable blood-based biomarker for colorectal cancer (CRC). Background CRC represents the third most common tumor worldwide with male predominance, with significant morbidity and mortality despite the recent therapeutic improvements. Therefore, a noninvasive diagnostic marker with good sensitivity and specificity is very important, which leads to better clinical outcomes. MiR-21 is an oncogenic miRNA that modulates the expression of multiple cancer-related target genes. MiR-21 expression was upregulated in the serum and in the malignant tissues in relation to the normal tissues. Its elevated level is claimed to be associated with poor …


Response And Safety Of Treatment Of Chronic Hepatitis C By Direct-Acting Antiviral Drugs In Patients With Child B-Related Cirrhosis, Ayman A. Sakr, Hosam M. Ibrahim, Mohamed R. Moussa Mar 2021

Response And Safety Of Treatment Of Chronic Hepatitis C By Direct-Acting Antiviral Drugs In Patients With Child B-Related Cirrhosis, Ayman A. Sakr, Hosam M. Ibrahim, Mohamed R. Moussa

Menoufia Medical Journal

Objectives To evaluate the response and safety of treatment of chronic hepatitis C virus (HCV) by direct-acting antiviral (DAAs) drugs in patients with Child B-related cirrhosis. Background Chronic HCV infection is considered to be one of the major public health diseases that affect most Egyptian population. The appearance of DAAs with its safety and high successful eradication rates has replaced the old treatment protocols, which used interferon. Patients and methods This was a cross-sectional study to collect data and outcome of chronic HCV-infected patients who were treated with DAAs. Treatment-naive patients without cirrhosis were treated without ribavirin, and those who …


Influence Of Risk Factors On In-Hospital Outcomes In Women Presenting With Acute Coronary Syndrome In A Tertiary Care Center, Ahmed A. Reda, Ahmed M. El Kersh, Amr I. El-Sayed, Ghada A. Kazamal Mar 2021

Influence Of Risk Factors On In-Hospital Outcomes In Women Presenting With Acute Coronary Syndrome In A Tertiary Care Center, Ahmed A. Reda, Ahmed M. El Kersh, Amr I. El-Sayed, Ghada A. Kazamal

Menoufia Medical Journal

Objective The aim of this study is to assess the influence of risk factors on in-hospital outcomes in women presenting with acute coronary syndrome. Background Cardiovascular disease is the cause of death in 55% of women compared with 43% of men. Acute coronary syndrome risk factors increase the likelihood of disease. Clinical research studies have demonstrated that effective risk factor reduction results in decreases in acute coronary syndrome morbidity and mortality. Patients and methods This is a cross-sectional study in which data were collected from September 2015 to September 2016. The study included 207 patients admitted in Cardiology Department, National …


Ankle Brachial Index In Patients With Type Ii Diabetes Mellitus Undergoing Coronary Angiography, Ahmed A. Reda, Ahmed M. El-Kersh, Eslam M. El-Habashy Mar 2021

Ankle Brachial Index In Patients With Type Ii Diabetes Mellitus Undergoing Coronary Angiography, Ahmed A. Reda, Ahmed M. El-Kersh, Eslam M. El-Habashy

Menoufia Medical Journal

Objective The aim was to determine the relation between ankle-brachial index (ABI) with angiographic stenosis and major cardiovascular risk factors in type II diabetes mellitus (DM) patients. Background The role of DM in relation to coronary artery disease (CAD) was believed to be as important as CAD itself. Patients with DM were frequently combined with peripheral arterial disease. ABI is a noninvasive tool for identifying atherosclerosis, CAD. Patients and methods Patients under study were those admitted to Menoufia University Hospital and who had undergone coronary angiography. A total of 80 patients over 35 years of age with suspected CAD had …


Detection Of Thalassemia Trait And Iron-Deficiency Anemia Among Relatives Of Thalassemic Patients – Menoufia Governorate, Amr Mohammed R.I. Nassar, Mohamed A. Soliman, Sameh A. Abd El Naby, Seham M. Ragab Mar 2021

Detection Of Thalassemia Trait And Iron-Deficiency Anemia Among Relatives Of Thalassemic Patients – Menoufia Governorate, Amr Mohammed R.I. Nassar, Mohamed A. Soliman, Sameh A. Abd El Naby, Seham M. Ragab

Menoufia Medical Journal

Objective To detect thalassemia trait and iron-deficiency anemia (IDA) among children relatives of thalassemic patients. Background Beta-thalassemia represents a major public health problem in Egypt. β-thalassemia trait (BTT) often shows microcytosis and an elevated level of hemoglobin A2. Despite the start of iron fortification, the prevalence of iron deficiency is still rather high in the Middle East countries. Patients and methods A cross-sectional study was conducted on 200 pediatric relatives of β-thalassemic pediatric patients attending the Hematology Unit of the Pediatric Department, Menoufia University Hospitals, during the period from October 2015 to April 2018. Full history, clinical examination, …


Determine Upper Limit Of Normal Range Of Antistreptolysin-O Titer In Normal School Children From 5 To 15 Years Old, Ahmed A. Khattab, Dalia H. Abou-Elela, Tamer S. Mohammed, Wael A. Bahbah Mar 2021

Determine Upper Limit Of Normal Range Of Antistreptolysin-O Titer In Normal School Children From 5 To 15 Years Old, Ahmed A. Khattab, Dalia H. Abou-Elela, Tamer S. Mohammed, Wael A. Bahbah

Menoufia Medical Journal

Objective To determine upper limit of normal range of antistreptolysin-O (ASO) titer in normal school children from 5 to 15 years old in Menoufia Governorate. Background Although ASO titer has provided a useful guideline to physicians this has been shown to vary with age, geographical location, and site of infection. Patients and methods A cross-sectional study was carried out in Menoufia Governorate and the samples were collected from outpatient clinics of Menoufia university hospital other than infection (by advertising in the outpatient clinics for analysis streptococcus laboratory for free in children aged 5–15 years) in the period from July 2016 …


Effect Of The Mean Platelet Volume/Platelet Count Ratio On Arteriovenous Fistula Function In Chronic Hemodialysis Patients, Hassan A. Ahmed, Heba E. Kasem, Mahmoud M. Emara, Manar A. H. Tahoon Mar 2021

Effect Of The Mean Platelet Volume/Platelet Count Ratio On Arteriovenous Fistula Function In Chronic Hemodialysis Patients, Hassan A. Ahmed, Heba E. Kasem, Mahmoud M. Emara, Manar A. H. Tahoon

Menoufia Medical Journal

Objective The aim was to study the effect of increased mean platelet volume/platelet count (MPV/PL count) on arteriovenous fistula (AVF) function in chronic hemodialysis (HD) patients. Background Vascular access failure substantially contributes to morbidity and hospitalization in HD patients. Patients and methods A case–control study was conducted on 50 HD patients on regular HD for more than 6 months in Shebin El-Koom Teaching Hospital, Menoufia, Egypt. The patients were divided into two groups: 25 patients with functioning AVF as group 1 and 25 patients with nonfunctioning AVF as group 2. Patients were subjected to full history taking, clinical examination, laboratory …


Role Of Urinary Neutrophil Gelatinase-Associated Lipocalin In Diabetic And Nondiabetic Patients With Nephropathy, Ahmed R. Tawfeek, Ghada I. E. A. Dwidar, Mohamed A. E. R. Korani, Sanaa S. Gazareen, Thoria A. Omar Mar 2021

Role Of Urinary Neutrophil Gelatinase-Associated Lipocalin In Diabetic And Nondiabetic Patients With Nephropathy, Ahmed R. Tawfeek, Ghada I. E. A. Dwidar, Mohamed A. E. R. Korani, Sanaa S. Gazareen, Thoria A. Omar

Menoufia Medical Journal

Objective The aim was to study the role of neutrophil gelatinase-associated lipocalin (NGAL) in diabetic nephropathy patients with type 2 diabetes. Background Due to the high morbidity and mortality associated with diabetic nephropathy, it is important to establish a diagnosis and initiate therapy as soon as possible. Patients and methods This observational study was conducted on 88 subjects who were divided into four groups: Group 1 included 22 healthy individuals; group 2 included 22 type 2 diabetic patients with normoalbuminuria;, group 3 included 22 type 2 diabetic nephropathy patients; and group 4 included 22 nondiabetic patients with chronic kidney disease …


Vascular Access In Hemodialysis Patients – Tanta University Hospital Hemodialysis Center's Experience, Ghada M. Alghazaly, Manal S. Negm, Rasha Y. Hagag, Shimaa H. El-Attar Mar 2021

Vascular Access In Hemodialysis Patients – Tanta University Hospital Hemodialysis Center's Experience, Ghada M. Alghazaly, Manal S. Negm, Rasha Y. Hagag, Shimaa H. El-Attar

Menoufia Medical Journal

Background A well-functioning vascular access is essential to provide efficient dialysis therapy. Morbidity related to vascular access is the leading cause of hospitalization in hemodialysis (HD) patients. Objectives To analyze the vascular access in maintenance HD patients and to assess its associated complications. Patients and methods A total of 101 patients on regular HD were included, and data were collected through a preformed questionnaire focusing on vascular access. Results Of the 101 patients studied, the vascular access at initiation of HD was temporary catheter in 95% and arteriovenous fistula (AVF) in 5% of the patients. Current vascular access was native …


Assessment Of Serum Magnesium Level In Patients With Liver Cirrhosis, Atef A. Ali, Ayman A. Elgamal, Ayman M. Enab Mar 2021

Assessment Of Serum Magnesium Level In Patients With Liver Cirrhosis, Atef A. Ali, Ayman A. Elgamal, Ayman M. Enab

Menoufia Medical Journal

Objective The aim was to assess serum magnesium level in patients with liver cirrhosis. Background Cirrhosis is a chronic disease of the liver in which diffuse destruction and regeneration of hepatic parenchymal cells and diffuse increase in connective tissue result in disorganization of the lobular architecture. Micronutrients play a significant role in liver diseases. Patients and methods A case–control study was conducted on 60 patients with liver cirrhosis who were classified into the following groups. Group I included 60 patients with liver cirrhosis. They were classified according to the Child-Pugh class into: group Ia which included 20 Child-Pugh A cirrhotic …


Recent Myocardial Ischemia In Patients Presented With Upper Gastrointestinal Bleeding With And Without Portal Hypertension, Atef A. Ali, Awni G. Shalaby, Ayman A. Sakr, Dina Y. Abd Alshafy, Reham S. El-Zaiat Mar 2021

Recent Myocardial Ischemia In Patients Presented With Upper Gastrointestinal Bleeding With And Without Portal Hypertension, Atef A. Ali, Awni G. Shalaby, Ayman A. Sakr, Dina Y. Abd Alshafy, Reham S. El-Zaiat

Menoufia Medical Journal

Objective To assess the relationship between upper gastrointestinal bleeding (UGIB) in both cirrhotic and noncirrhotic groups and the development of acute myocardial infarction (AMI). Background UGIB can cause myocardial ischemia and necrosis. Both UGIB and liver cirrhosis have a higher mortality with the development of AMI, than either of them alone. Patients and methods A cross-sectional comparative study was done on 263 patients who presented with UGIB, and they were divided into four groups: GI (n = 118), cirrhotic patients; GII (n = 85), noncirrhotic patients; GIII (n = 30), cirrhotic patients with no history of UGIB; …


Assessment Of Coronary Artery Disease Extension And Severity In Hepatitis C-Infected Patients, Ahmed M. El Kersh, John R. Nageh, Mahmoud A. Soliman, Niveen S. Ibrahim Mar 2021

Assessment Of Coronary Artery Disease Extension And Severity In Hepatitis C-Infected Patients, Ahmed M. El Kersh, John R. Nageh, Mahmoud A. Soliman, Niveen S. Ibrahim

Menoufia Medical Journal

Objectives To assess extension and severity of coronary artery disease (CAD) in patients with hepatitis C viral infection. Background Chronic HCV infection causes hepatic and systemic inflammation via increased levels of proatherogenic chemokines and cytokines Patients and methods This prospective cohort study was conducted on 200 stable patients scheduled for elective coronary angiography. All patients were evaluated by history taking and clinical, coronary angiography, and laboratory investigations, and the severity of the coronary lesions was estimated using the Gensini score. Results There were statistically significant differences between both groups regarding the presence of ischemic ST-T changes, where 38 patients of …