Medicine and Health Sciences Commons^™

Delayed Tooth Eruption As An Early Clinical Indicator Of Genetical Tooth Agenesis: A Family-Based Study Of Cases With Whole-Exome Sequencing, Yu-Chen Jeng, I-Ting Chen, Hui-Ching Cheng, Hsin-Yu Huang, Chao-Kai Hsu, Yu-Fen Yen

Journal of Dental Sciences

Delayed tooth eruption is frequently considered a benign developmental variation but may represent an early sign of genetically driven tooth agenesis. We evaluated a 22-month-old female presenting with markedly delayed eruption (only eight primary teeth) and a positive family history of ectodermal features. Given the inconclusive early radiographic findings, whole-exome sequencing (WES) was utilized. WES revealed the proband carried a heterozygous EDARADD variant (NM_080738:c.328G>T; p.Asp110Tyr). Subsequent familial segregation analysis identified an additional heterozygous WNT10A variant (NM_025216:c.637G>A; p.Gly213Ser) within the broader family. The EDARADD variant alone was associated with varying presentations from normal dentition to delayed eruption. Furthermore, the …

The Use Of Coronary Sinus Diameter Measurements To Distinguish Atrioventricular Nodal Reentrant Tachycardia From Atrioventricular Reentrant Tachycardia, Mohamed Ibrahim Ataalla Khalil, Sherif Abd El Salam Sakr, Hany Mahmoud Abd Elshakour, Hoda Mohamed Sobh

Mansoura Medical Journal

Background: Supraventricular tachycardia (SVT) is a common clinical arrhythmia, with atrioventricular nodal reentrant tachycardia (AVNRT) and atrioventricular reentrant tachycardia (AVRT) being the most frequent subtypes. Distinguishing between these arrhythmias is crucial for determining the appropriate treatment strategy. Aim: To evaluate the clinical utility of echocardiographic measurement of coronary sinus (CS) diameter in distinguishing AVNRT from AVRT. Methods: This prospective descriptive study included 54 patients with narrow complex tachycardia who underwent echocardiography then electrophysiology study (EPS). CS diameter was measured at the ostium and 1 cm distal using 2D echocardiography then CS ostium area by 4D echocardiography was measured. Results: Patients …

Factors Affecting In-Hospital Mortality After Sudden Cardiac Arrest In The Emergency Department: A Retrospective Cohort Study, Erkan Boğa, Abdullah Algın

Mansoura Medical Journal

Giriş: Ani kalp hastalıkları (SCA), özellikle acil serviste (AS) yüksek hastane içi ölüm tutarları ve önemli bir tıbbi acil durumları. Prognostik bilgilerin belirlenmesi, sonuçların değiştirilmesi için çok önemlidir. Amaç: Acil serviste SCA'lı hastane içi ölümle sağlanan klinik ve demografik oranların belirlenmesi. Yöntemler: Bu retrospektif kohort çalışmaları Ocak 2023 ile Aralık 2024 arasında üçüncü basamaktaki bir hastanenin AS'sinde SCA'nın 345 yıl boyunca geçirdiği süre dahil edildi. Demografik özellikler, türü olmayan yayılma, durma özellikleri, resüsitasyon süresi, laboratuvar gelişimi ve patoloji durumuyla ilgili veriler toplandı. Bağımsız ölüm öngörmelerini belirlemek için lojistik regresyon kaydı. Sonuçlar: Hastane içi ölüm %38,3 idi. Çok değişkenli analiz, resüsitasyon …

Clinical And Radiological Outcomes Of Posterior Malleolar Fractures Fixation Through Posterolateral Approach: A Prospective Case Series Study, Mohammed Abdulrafei Farag, Ahmed Elsayed Elhawary, Ahmed Salah-Eldeen Zaghloul

Mansoura Medical Journal

Background: Posterior malleolar fractures are frequently associated with other malleolar injuries and significantly affect ankle stability through the posterior tibiofibular ligament. CT imaging is vital for preoperative classification, fragment size measurement, and syndesmotic evaluation. Objective: To assess clinical and radiological outcomes of posterior malleolar fractures treated using the posterolateral approach. Methods: This prospective case series included 20 skeletally mature patients treated between March 2022 and January 2024. Preoperative evaluation included radiographs and CT scans for classification, fragment size, articular step-off, and syndesmotic injury. Postoperative reduction and alignment were assessed with X-ray and CT. Functional outcomes were evaluated at ≥6 months …

Oncologic Outcome Of Hemithyroidectomy For Low Risk Patients With Well Differentiated Thyroid Carcinoma, Yasser Sharaf El Din, Khaled Gaballa, Mohamed Attia, Mohamed A. Hegazy

Mansoura Medical Journal

Background: The incidence of well-differentiated thyroid cancer (WDTC) has increased in recent decades, yet most cases remain indolent and categorized as low-risk, typically associated with excellent prognoses. The rising identification of these tumors has led to continued discussion about optimal surgical management. In recent years, there has been a clear trend in the evolution of guidelines addressing surgical management of WDTC toward de-escalation, including hemithyroidectomy, for appropriately selected low-risk WDTC patients. Methods: We performed a retrospective case series included 24 individuals with an incidentally discovered and pathologically proven diagnosis of WDTC following hemithyroidectomy, over a five-year period (January 2018-December 2022) …

Effect Of Dexmedetomidine Versus Magnesium Sulfate On Intraocular Pressure In Glaucoma Surgery: A Randomized Controlled Trial, Nourhan E. Elhadidi, Nevert A. Abdelghaffar, Nabil A. Mageed, Amany Tarbay

Mansoura Medical Journal

Background : Lowering the intraocular pressure (IOP) is regarded as a primary and initial treatment option for glaucoma. Dexmedetomidine and Magnesium sulfate are known to have intraocular pressure-lowering effects which improve visual fields in patients with primary open angle glaucoma and attenuate intraocular pressure spikes induced by tracheal intubation. Aim: To evaluate and compare the safety and efficacy of using Dexmedetomidine versus Magnesium Sulfate on intraocular pressure and the incidence of postoperative hyphema. Methods : This study included 100 patients both male and female with American Society of Anesthesiologists (ASA) physical status class ɪ and ɪɪ scheduled to undergo elective …

The Relationship Between Nutrition Knowledge And Dietary Behavior Of Student-Athletes, Kerry A. Smith, Kathleen Fritch, James Rost, Amy Jo Riggs, Juliann Sergi Mcbrayer, Monika Krah

Georgia Educational Researcher

The purpose of this study was to examine the relationship between nutrition knowledge and dietary behavior while controlling for academic major, year, and gender among Division III student-athletes. Sufficient nutrition is essential for athletic performance, injury reduction, and overall health. However, student-athletes face unique challenges that can disrupt optimal nutrition, including poor nutrition knowledge and access to available resources. While several studies have examined the relationship between nutrition knowledge and dietary behavior, no known studies have addressed this among Division III student-athletes. This non-experimental correlational study examined dietary behavior using the Rapid Eating and Activity Assessment for Participants (REAP-S) and …

Exploring The Perception Of Learning Environment Among Undergraduate Medical Students In South India – A Cross-Sectional Study, Suba A, Suma S, Shobana R, Abeetha S, Chitra M, Shruthy K M

Health Professions Education

Purpose: The term "learning environment" refers to the combined social, physical, and psychological context in which the students learn. While a dismissive environment can lead to stress and burnout, a supportive environment enhances professionalism and academic success. Students' perceptions of the medical school learning environment might vary significantly depending on their age, gender, kind of institution and based on their academic year. Comprehending the disparities in perceptions towards the educational setting related to the above said variations may aid in devising interventions that promote favourable experiences for medical students. This study aimed to assess perception of learning environment by South …

Four Beating Quadrants, Sumaita Mahmood

Quill & Scope

No abstract provided.

He Wore Gold: A Pulse In Metal, A Story In Links, Priyanka Gera

Quill & Scope

No abstract provided.

Evolution, Karen Jackson

Quill & Scope

Sparked by a Microbiology II lecture on plague, this piece reflects on the evolution of medicine across centuries. From herbs and leeches to vaccines and antibiotics, our tools have changed, but the plague doctor and the modern scientist are united by a shared desire to help and heal.

First Light, First Steps, Simoni Haji

Quill & Scope

No abstract provided.

Dancing In Poughkeepsie, Ivan Dominguez

Quill & Scope

New York, 2024

Four Seasons From The Bear Mountain Bridge, Steven Chen

Quill & Scope

In every season, I visited the Bear Mountain Bridge and captured the same view of a southbound Amtrak train gliding along the east side of the Hudson River on its journey to Penn Station in New York City. Traveling alongside the Hudson, Amtrak forms an essential part of the passenger commute between places like Burlington, VT; Chicago, IL; Albany, NY; and New York City. I enjoyed exploring this area throughout all four seasons, and I hope this photo conveys some of my excitement and appreciation for its natural beauty. // 2024-2025

Last Light At Peekskill, Steven Chen

Quill & Scope

A late autumn afternoon finds the southbound Amtrak Lake Shore Limited train approaching the town of Peekskill, NY, as birds play along the water and the fiery colors of fall shimmer in the breeze blowing off the Hudson River. // Fall 2024

Water, Wind, And Drama At Dobbs Ferry, Steven Chen

Quill & Scope

A classic spring afternoon unfolds with strong gusts stirring the Hudson River into whitecaps crashing against the shoreline, as a northbound Metro-North train bound for Poughkeepsie glides along the water-level route, departing New York City and hugging the rugged riverbank. The One World Trade Center can be seen on the distant NYC skyline. // Spring 2025

Hazy Summer Sunset At Scarborough, Steven Chen

Quill & Scope

The faint glimmers of the setting sun reflect off a northbound Metro-North passenger train as it travels through Scarborough, NY, with the Mario M. Cuomo Tappan Zee Bridge and Sleepy Hollow Lighthouse visible in the background. // Summer 2024

Retention Rate Of The Human Performance Course In Flight Training, Ahmet Uğur Avcı, Erdinç Ercan

Journal of Aviation/Aerospace Education & Research

Pilots are obliged to accurately assess a situation that poses a risk to flight safety and take the necessary corrective action. The theoretical knowledge in flight training is essential to accomplish this. The objective of the study is to ascertain the retention rate of the human performance (HP) course and to determine the necessity of refresher training. Sixteen questions were prepared for pre- and post-tests about the atmosphere, hypoxia and hyperventilation, barotrauma, and spatial disorientation. After completion of the pre-test, participants were instructed to watch the online training video covering the same HP subjects, and finally, a post-test was administered …

The Emotional Landscape Of Aviation Pilots: Analysis Of Online Professional Forums Using Natural Language Processing, Adrienne S. Renwick, Leo Gonzalez, Charles L. Silber, Alyson Mullen, Cass Dykeman, Adam Stewart, Jennifer C. Ross, James Geisler

Journal of Aviation/Aerospace Education & Research

This study investigated burnout related to emotions in three categories of pilots: commercial passenger, commercial cargo, and military. While pilot burnout has been previously studied, challenges in self-reporting limit understanding. This study extends previous research by analyzing pilots' anonymous online forum posts to gain insight into burnout-related emotions. Natural Language Processing was conducted with the RoBERTa-base-go_emotions model, which analyzed 1,130,530 online forum posts from commercial passengers, commercial cargo, and military pilots for 27 emotion categories and one absence of emotion category (i.e., neutral). An exploratory composite score reflecting burnout-related emotional expression omnibus burnout score was calculated using seven burnout-related emotions …

Gambaran Kasus Gondongan Pada Sekolah Dasar Negeri 010 Makroman, Samarinda, Dwi Listiani, Ashri Budi Astuti, Jami'an Jami'an, Eko Prasetya Budi, Arif Sumarianto, Irfansyah Baharuddin Pakki

Jurnal Epidemiologi Kesehatan Indonesia

Mumps is an infectious disease caused by a viral infection, often attacking the salivary glands, especially the parotid glands. This disease is self-limiting and common in elementary school children. This study aims to describe the prevalence, symptoms, and impact of mumps in students of SD Negeri 010 Makroman, Samarinda, as well as evaluate risk factors and relevant prevention efforts. With a descriptive research design, data was obtained from a population of 307 students through secondary data from the Makroman Health Center and direct on-site investigations. An attack rate of 3.58% indicates a limited impact on at-risk populations, but it is …

Analisis Situasi Masalah Penyakit Infeksi Menular Seksual Di Kota Bogor Tahun 2024, Wardiman Wardiman, Ratna Djuwita, Bai Kusnadi

Jurnal Epidemiologi Kesehatan Indonesia

Abstrak

Infeksi menular seksual (IMS) masih menjadi tantangan kesehatan global, termasuk di Indonesia, terutama pada kelompok usia produktif 15-49 tahun. Di Kota Bogor, angka kasus IMS mengalami peningkatan, namum belum sepenuhnya menggambarkan kondisi yang sebenarnya. Penelitian ini bertujuan untuk menganalisis situasi IMS secara mendalam dan menetapkan prioritas masalah kesehatan menggunakan metode PAHO-adapted Hanlon, yang mengacu pada pembobotan Basic Priority Rating (BPR) berdasarkan lima kriteria utama, yaitu, A=Masalah utama; B=Keseriusan masalah; C=Efektivitas intervensi; E=Ketidakadilan; F=Kapasitas institusi dalam mengatasi masalah. Penelitian ini dilaksanakan di Dinas kesehatan Kota Bogor pada Oktober 2024 hingga Januari 2025, dengan pendekatan kualitatif dan kuantitatif, serta disajikan secara …

Understanding The Impact Of Admissions Variables On Admissions Diversity: A Single Doctor Of Physical Therapy Program Review, Michael Bourassa, Allison Bourassa, Saurabh Mehta

Health Professions Education

Purpose: The U.S. physical therapy workforce lacks diversity, largely influenced by healthcare program admission procedures that affect student diversity and, in turn, the profession itself. This study aimed to characterize applicants' demographic and educational profiles applying to a single accredited Doctor of Physical Therapy program and examine factors associated with admission outcomes when considering race.

Methods: This retrospective descriptive study analyzed data from 1,409 applicants to the U.S. Doctor of Physical Therapy program from 2017 to 2022. Data from pre-admission applications encompassed demographic details, overall grade point average (GPA), prerequisite GPA, graduate record examination (GRE) scores, average professional reference scores, …

A Bibliometric Analysis On Climate Change And Its Implications For Medical Education, Sungkono Sungkono, Firdian Makrufardi, Annisa Fairuz Nur Azizah, Firdiawan Ekaputra

Health Professions Education

This study aims to conduct a comprehensive examination of research in medical education, especially in graduate medical education within the context of climate change. Moreover, this study examined the current research trends on climate change for graduate medical education. The analysis encompasses citation, co-citation, co-occurrence, thematic mapping and evolutionary analyses. Through this bibliometric review, researchers will gain valuable insights by identifying influential publications and understanding the fundamental structure of the field. Additionally, this review paved the way for future studies by highlighting influential research trends and emerging topics. The findings delineate various approaches of discussion based on clusters identified through …

Short-Term Effect Of Water-Soluble Iodinated Contrast “Urografin” Used For Hysterosalpingography On Thyroid Profile, Mohamed Roshdi, Ahmed Mahmoud El Menayyer, Aya Mohamed Elbialy

Mansoura Medical Journal

Background: Lipiodol is one of the most used oil-soluble contrast media (OSCM) for hysterosalpingography (HSG). Particularly concerning are its long t1/2 in tissue (50 days) and high iodine concentration (480 mg/ml). Such high iodine content can cause either Wolff-Chaikoff effect (WCE) or hyperthyroidism (Jod-Basedow phenomena (JBP)), in particular in those who have pre-existing Graves' disease or multinodular goiter. Urografin is an ionic water-soluble contrast medium (WSCM) having lower iodine concentration (300 mg/ml). Our study aimed to evaluate the short-term influence of Urografin for HSG on thyroid function. Patients and Methods: Our study is a prospective one enrolling 49 women over …

Developing A Prognostic Panel In Hormone Receptor Positive Breast Cancer; An Immunohistochemical Study With Clinicopathological Correlation, Shaimaa M Yussif, Reham Naguib, Nahed Soliman

Mansoura Medical Journal

Introduction

Breast cancer is a heterogeneous disease with a wide range of clinical, histological, and molecular characteristics. Various diagnostic methods have been used to ascertain prognosis by evaluating various clinicopathological data, such as tumor size, nodal stage, hormone receptor status, and human epidermal growth factor 2 (HER2) status, metastasis, tumor grade and lymphovascular emboli. Accurate substratification of prognostic groups with varying clinical outcomes is needed. This is particularly valid for cases of hormone receptor-positive breast cancer. The purpose of this study is to examine the immunohistochemical expression of a set of markers in hormone positive breast carcinoma cases and test …

Medial Meniscus Posterior Root Tear. A Short-Term Intervention Study, Mohamed Aboelnour Badran, Mohamed H. Eltahery, Abdelrahman Elganiny, Roshdy Mostafa Elsallab

Mansoura Medical Journal

Objective To compare the short-term clinical outcomes of partial meniscectomy and anatomical root repair for medial meniscus posterior root tears (MMPRT) in terms of knee function, pain relief, and joint stability. Methods This prospective, randomized case-control study was conducted at Mansoura University’s Knee Surgery, Arthroscopy, and Sports Injuries Unit from February 2016 to August 2018. Sixty-three patients diagnosed with MMPRT were randomized into two groups: 30 underwent arthroscopic root repair (R group) with stable fixation, and 28 underwent partial meniscectomy (M group). Patient evaluation included preoperative and postoperative Knee Injury and Osteoarthritis Outcome Scores (KOOS) across pain, symptoms, activities of …

Clinical Features And Prognosis Of Acute Kidney Injury In Hospital-Admitted Patients With Covid-19 In Egypt: A Single-Center Experience, Hoda M. M. Abdulaziz, Aya Ahmed Mohamed Elsayed, Elshahat A. Yousef

Mansoura Medical Journal

Background While COVID-19 primarily manifests clinically as a respiratory disease, it can also impact other organs, such as the kidneys. Acute kidney injury (AKI) is frequently seen in hospital-admitted patients with COVID-19 and is linked to poorer outcomes. This research sought to explore the rate, contributing elements, and consequences of AKI in individuals with COVID-19. Methods Data from 236 COVID-19-infected patients hospitalized at wards and intensive care units (ICUs) dedicated to isolation between September 2020 and February 2021 were analyzed. Comparisons between patients with and without AKI were done using statistical tests as appropriate. Binary logistic regression analyses were performed …

The Effect Of Intraoperative Facet Joint Denervation In The Prophylaxis Of Back Pain After Spinal Fixation: A Randomized Prospective Controlled Single-Blind Study, Mohamed Ali Abbas, Ahmed Zaghlol, Ayman M Ismail, Hamdy Nabwi, Mohamed Ismail, Ahmed Sameh Nada, Mona Mokhtar, Ahmed Shaker Elakhras

Mansoura Medical Journal

Background: Failed back surgery syndrome (FBSS) remains a significant challenge after fixation procedures of the spine. The present research assessed the efficacy of intraoperative facet joint denervation in preventing postoperative back pain in individuals undergoing spinal fixation. Methods: A randomized retrospective controlled single-blind study was carried out on 70 patients requiring spinal fixation assigned to two equal groups: Group A: intraoperative facet joint denervation was performed, while Group B was a control group. Pain levels were evaluated utilizing the visual analog scale (VAS) for 7 days following surgery. Follow-up visits occurred at 2 weeks, 1, 3, and 6 months. The …

Urinary Kidney Injury Molecule-1 As A Biomarker For Detection Of Albuminuria And Retinopathy Among Patients With Type 2 Diabetes Mellitus, Amr Y. El Feky, Yehia M. Ghanem, Talaat A. Abdelaaty, Magdy M. Elbordeny, Rabab H. Neanaa

Mansoura Medical Journal

Background: Diabetic retinopathy (DR) and diabetic kidney disease (DKD) are prevalent microvascular complications of type 2 diabetes mellitus (T2DM). The objective of this study was to examine the potential relevance of urinary kidney injury molecule-1 (uKIM-1) as a marker of DKD and DR in cases who have T2DM. Methods: A cross-sectional study has been performed among 60 cases with T2DM. They were subdivided into 30 patients with albuminuria and 30 patients without albuminuria. Sociodemographic data, fundus examination, laboratory investigations involving fasting blood glucose (FBG), fasting insulin, HbA1c, HOMA-IR, lipid profile, creatinine, and urinary albumin to creatinine ratio (ACR) have been …

Split-Dose Versus Single-Dose Bowel Preparation For Colonoscopy: A Single Center Study, Mohamed Adel, Seham Seif, Hany Shabana, Asmaa Gameel

Mansoura Medical Journal

Background Colonscopy is now the gold standard for colorectal screening. Colon preparation is an important parameter for adequate bowel examination. Detection of small colorectal polyps which are precusors for colorectal adenocarcinoma needs effective bowel cleansing. Aim we performed a prospective randomized controlled trail to compare bowel cleanliness, compliance, tolerability, and patient satisfaction of a single regimen versus a split regimen for colonoscopy. Results The number of detected polyps was statistically significantly higher in the split method group as compared to the single method group (p= 0.040).Also, the prevalence features of ulcerative colitis was statistically significantly higher in the split method …