Medicine and Health Sciences Commons^™

Kay Annuloplasty Of The Tricuspid Valve Versus Ring Annuloplasty For Repair Of Functional Tricuspid Regurgitation, Emad Sarawy, Maged Kisho, Wael Abdelateif

Journal of Medicine in Scientific Research

Objective Ideal management of functional tricuspid regurgitation (TR) has been a matter of debate for a long time. We try to discuss the midterm results with tricuspid Kay annuloplasty versus ring tricuspid annuloplasty for the treatment of functional TR. Patients and methods From January 2015 to January 2019, 82 patients underwent tricuspid annuloplasty for functional TR as part of their cardiac surgical procedure. Kay annuloplasty was performed in 55 patients and ring annuloplasty in 27 patients. Preoperatively, patients had moderate or greater TR with a median regurgitation of +3. Follow-up information was obtained for the patients with a mean follow-up …

Complete Preservation Of Mitral Valve Apparatus Versus Posterior Leaflet Preservation Only During Mitral Valve Replacement For Rheumatic Mitral Regurgitation, Maged M. Kisho

Journal of Medicine in Scientific Research

Objectives In the present study we investigated whether preservation of both leaflets (anterior and Posterior with subvalvular apparatus) is superior to preservation of the posterior leaflet Alone. Patients and Methods 30 patients who underwent mitral valve replacement in our institute were divided into 2 groups: MVR-C (n=16), in whom both leaflets were preserved, and MVR-P (n=14), in Whom only the posterior leaflet was preserved. The preoperative and postoperative clinical And echocardiographic findings were evaluated. Results No evidence of obstruction at the left ventricular outflow tract was observed in both groups. In the MVR-C group, no deterioration …

Advantages Of Transradial Cardiac Catheterization Regarding Complications (Bleeding And Hematomas), Care, And Hospital Stay Over The Femoral Techniques, Tarek Alkholi

Journal of Medicine in Scientific Research

Background In the hands of experienced operators and high-volume transradial catheterization centers, transradial coronary angiography and intervention offers improved patient comfort, decreased access-site complications, and decreased costs without compromising procedural success or long-term outcomes. Patients presenting with ST-elevation myocardial infarction, in particular, benefit from a transradial approach to coronary intervention. Transradial access has become the default mode of catheterization for a growing number of cardiologists and will undoubtedly continue to be increasingly performed. Objective This was a retrograde study in 100 patients who were involved in coronary angiography whether as emergency acute coronary syndrome or elective cases. The patients were …

Percutaneous Transluminal Angioplasty For Isolated Infrapopliteal Arterial Occlusive Disease In Diabetic Patients With Critical Limb Ischemia, Asim M. Herz-Allah, Mohamad T. Yousuf, Mohamad M. Gouda, Sherine I. Elwan

Journal of Medicine in Scientific Research

Background Critical limb ischemia (CLI) is considered the most severe stage of peripheral artery disease. Patients with CLI typically have the disease affecting multiple levels (i.e. aortoiliac, femoropopliteal, and infrapopliteal). CLI due to isolated infrapopliteal arterial disease is commonly seen in patients with long-standing diabetes mellitus, chronic kidney disease, or the elderly. Endovascular treatment of infrapopliteal arteries has been considered a primary approach for revascularization in CLI. Objective The aim of this study was to evaluate the efficacy of percutaneous transluminal angioplasty (PTA) for isolated infrapopliteal arterial occlusive disease in diabetic patients with CLI. Patients and methods This prospective study …

Comparative Study Between Standard Aortic Valve Replacement And Ministernotomy Aortic Valve Replacement, Ahmed El Shemy, Emad Sarawy, Maged Kisho

Journal of Medicine in Scientific Research

Objectives The aim of this study is to evaluate the outcome of the recalled upper minimally invasive aortic valve replacement (MIAVR) J-shaped technique and full standard median sternotomy techniques aortic valve replacement (AVR). Background Over the past 20 years, MIAVR has evolved into a safe, well-tolerated, and efficient surgical treatment option for aortic valve disease. It has been shown to reduce postoperative morbidity, providing faster recovery and rehabilitation, shorter hospital stays, and better cosmetic results, as it reduces the incidences of wound infection owing to small incision length, especially in our diabetic fatty Egyptian female patients. Patients and methods Between …

Transcatheter Aortic Valve Implantation Vs Surgical Aortic Valve Replacement In High-Risk Patients With Aortic Stenosis, Emad Sarawy

Journal of Medicine in Scientific Research

Objective The aim was to demonstrate whether transcatheter aortic valve implantation (TAVI) improves mortality and morbidity compared with standard surgical aortic valve replacement (SAVR) in high-risk patients requiring intervention for aortic valve stenosis (AS). Many patients with severe AS and coexisting morbidity are not candidates for surgical replacement of the aortic valve (AV). TAVI has been suggested as an alternative less invasive treatment for high-risk patients with AS. Patients and methods A total of 50 patients with high-risk severe AS for AV intervention were classified into: group A, the TAVI group, including 25 patients who underwent AV replacement via the …

Effectiveness Of Posterior Long-Segment Fixation And Decompression In Comparison With Short-Segment Fixation And Decompression In Management Of Traumatic Burst Thoracolumbar Fractures, Sameh M. Saleh

Journal of Medicine in Scientific Research

Background The optimal management of thoracolumbar spine fractures remains a matter of controversy. The literature implies that the use of short-segment (SS) pedicle screw fixation may be inappropriate because of its high reported failure rate. To overcome this, currently long-segment (LS) pedicle instrumentation for thoracolumbar (T-L) fractures is gaining popularity. Aim The aim was to assess and compare the efficacy and safety of LS versus SS fixation with posterior decompression for the treatment of traumatic thoracolumbar burst fractures. Patients and methods This prospective study was carried out at the Department of Neurosurgery, Matarya Teaching Hospital. A total of 70 patients …

Unusual False-Negative Serum Human Chorionic Gonadotropin Detected By Qualitative Immunoassay: A Case Report Of Two Iraqi Women, Bashar J. Kadem, Falah H.O Al-Khikani

Journal of Medicine in Scientific Research

Human chorionic gonadotropin (hCG) is a human pregnancy hormone that plays a crucial role in the promotion, maintenance, and establishment of pregnancy. Measurement of hCG in early pregnancy is the first and most common test. Blood is considered to have more concentration of hCG than urine, so early detection of pregnancy test is more advised in serum than urine, but this study showed two Iraqi pregnant women with false-negative hCG result in the blood, whereas it was positive in urine, with persisting pregnancy symptoms. This study is considered the first report regarding this finding. In spite of hCG in serum …

Cochlear Implant – Experience And Analysis Of Consecutive Cases Done In The Hearing And Speech Institute Over A Period Of Three Months, Essam Fathy, Mohammad M. Gaballah, Wael A. Alzamil

Journal of Medicine in Scientific Research

Purpose The aim was to analyze demographic and perioperative data of patients who underwent cochlear implantation (CI) at the Hearing and Speech Institute in the period between November 2019 and January 2020. Materials and methods Files of all patients undergoing CI in the period between November 2019 and January 2020 were collected used a specially designed checklist to record demographic, preoperative, operative, and early postoperative data. Data were recorded and analyzed using proper statistical analysis. Results Of 80 files reviewed, the data of 73 files were included. Average age was 4.3 ± 3.3 years, and 41 (56.2%) of them were …

Comparative Study Between Visual Evoked Potential And Visual Acuity, Field Of Vision, And Fundus Examination As Screening Tool For Early Diagnosis Of Hydroxychloroquine And Chloroquine Retinal Toxicity In Rheumatic Patients, Abeer H. Ismaiel, Amal Arafa Mohsen, Assem Anwar

Journal of Medicine in Scientific Research

Objectives The current study was conducted to compare between the conventional eye examination methods named as visual acuity, fundus examination, and field of vision evaluation in one hand and electrophysiologic methods of eye examination as visual evoked potential eye study in the other hand in detecting antimalarial medications toxicity on the eye macula in rheumatic patients. Materials and methods Fifty rheumatic patients group and fifty healthy control group age and sex matched were studied. Patients receiving anti-malarial medications for more than 6 months with cumulative dosage of at least 200 grams were included. All patients and control were subjected to …

Endovascular Intervention For Symptomatic Complete Central Venous Occlusion In Hemodialysis Patients, Herzallah A. M. Assem Mohamed, Mohamed T. Yousuf, Mohamed M. Gouda Wahdan

Journal of Medicine in Scientific Research

Background Centralven ous occlusion (CVO) is a common complication in hemodialysis patients, causing significant morbidity and arteriovenous fistula (AVF) dysfunction. CVO occurs in ~25–40% of hemodialysis patients. CVO most commonly occurs as a result of endovenous scarring secondary to repeated central venous catheterizations. The aim of the endovascular intervention is to provide symptomatic relief to the patients while preserving the function of AVF. Objective The aim of this study was to evaluate the efficacy and safety of endovascular intervention for central venous obstruction (CVO) in hemodialysis patients. Patients and methods This prospective study included 17 hemodialysis patients with symptomatic complete …

Predoctoral Periodontal Education And Covid-19: Challenges, Actions, And Learned Lessons, Karo Parsegian, Srinivas Ayilavarapu, Amity L Gardner, Nikola Angelov

Faculty, Staff and Student Publications

No abstract provided.

Using The Integrated Developmental Model Of Supervision In A Vocational Counseling Setting, Viviana Garza

School of Rehabilitation Services & Counseling Faculty Publications

This paper proposes a concept of supervision at a vocational counseling setting. Using the Integrated Developmental Model with triadic supervision for trainees employed at YGS Placement Service agency will facilitate client welfare and counselor in training development. Along with supervision comes evaluating and assessing trainees' competence. Using the Counseling Competency Scale, the Supervisee Levels Questionnaire-Revised, and reflective journaling will benefit the supervision experience. Determining the level of development of trainees using the integrated development model is the first step to organize and plan the supervision meetings.

Histopathology Of Celiac Disease. Position Statements Of The Italian Group Of Gastrointestinal Pathologists (Gipad-Siapec), Carolina Ciacci

Translational Medicine @ UniSa

Celiac Disease (CeD) is an immunemediated inflammatory disorder of the small intestine, affecting genetically susceptible individuals when exposed to gluten. Small intestinal biopsy interpretation has been the "gold standard" for celiac disease (CeD) for over 50 years. Despite today's availability of sensitive and specific serological tests, the histopathological features from mucosal biopsy play a key role in diagnosing when CeD is suspected. Such a diagnostic approach requires a multidisciplinary team to optimize both tissue sampling and interpretation via the interaction between the pathologist and the gastroenterologist. Pathologists of the Italian Group of Gastrointestinal Pathology (GIPAD-SIAPEC), together with a member (TR) …

Assessing The Impact Of A Community-Based Pro-Active Monitoring Program Addressing The Need For Care Of Community-Dwelling Citizens Aged More Than 80: Protocol For A Prospective Pragmatic Trial And Results Of The Baseline Assessment, Elisa Terracciano

Translational Medicine @ UniSa

The aim of this paper is to describe the protocol of a study assessing the impact of a Communitybased pro-Active Monitoring Program, by measuring the effect in counteracting the adverse outcomes related to frailty. Methods: a prospective pragmatic trial will be carried out to describe the impact of an intervention on people aged>80, adjusted for relevant parameters: demographic variables, comorbidities, disability and bio-psycho-social frailty. They have been assessed with the Functional Geriatric Evaluation questionnaire that is a validated tool. Mortality, Acute Hospital Admission rates, Emergency Room Visit rates and Institutionalization rates are the main outcomes to be evaluated annually, …

The Many Faces Of Covid-19: Organizing Pneumonia (Op) Pattern Hrct Features, Gaetano Rea

Translational Medicine @ UniSa

Covid-19 (coronavirus disease 2019) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On 30 January 2020 the World Health Organization (WHO) declared that the outbreak of Covid-19 realizes a public health emergency of international concern. Because of the primary involvement of the respiratory system, chest CT is strongly recommended in suspected Covid-19 cases, for both initial and follow-up. We present the case of a Covid-19 patient, a 57-year-old man, with a typical HRCT course of OP reaction.

The Frailty Of The Invincible, Donatella Tramontano

Translational Medicine @ UniSa

The COVID-19 pandemic has unveiled the frailty of our societies from too many points of view to look away. We need to understand why we were all caught unprepared. On the one hand, we have all short memories. As we forget too quickly, we were unable to recognize key factors influencing response and preparedness to public health threats. For many years, economic evaluation pushed governments all over the world to cut resources for public health systems, with COVID-19 pandemic the question arises: do we spend too much or too little on health care? What is the right amount to spend …

2020-10-03_Michigandaily_Covidmap, Michigan Department Of Health & Human Services

Daily Michigan COVID-19 Update

The "WHERE WE STAND WITH COVID-19" map was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily at 3p.m., Monday - Saturday.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled.

The image contained a map, indicating total cases by county, and also provides statistics on Total Confirmed Cases, Total COVID-19 Deaths, Daily Confirmed Cases, and Daily COVID-19 Deaths. There …

2020-10-03_Michiganoverview_Covidsymptoms, Michigan Department Of Health & Human Services

Michigan COVID-19 Syndromic Surveillance System Data

The Syndromic Surveillance System Data report was obtained from Michigan's COVID-19 dashboard, from under the link "​Coronavirus Symptoms": https://www.michigan.gov/coronavirus. Data was compiled by the Michigan Department of Health and Human Services (MDHHS). The information was updated daily.

Syndromic Surveillance System data is obtained from approximately 183 facilities participating in syndromic surveillance (132 Emergency Departments (ED), 51 Urgent Cares) across the State of Michigan. The reporting is based on individuals who present at EDs and may not be representative of the overall population. The coronavirus-like symptoms query searches visit free-text (chief complaint, triage notes, and clinical impression) for fever or …

Accidental Silver Clay Tattoo: Mystery Finding In A Jewelry Smith, Tom Selby, Christina E. Borchers, Jeffery B. Travers, Samia Borchers

Dermatology Faculty Publications

Permanent tattoos result from the introduction of insoluble pigmentsinto the dermis. The mechanism can be intentional for cosmetic ormedical purposes, as with professional tattooing; or accidental asseen with carbon-related traumatic tattooing. Pigments are generallycomposed of various inorganic salts or metals. Pathology in non-inflamed tattoos will show dermal pigment granules of different sizesand shapes.1 Local inflammatory reactions can occur.Unintentional tattooing related to trauma involving asphalt, carbon,graphite, and gun powder are well known. Other cases involvingjewelry and fireworks have been reported in the literature.2,3 Similarissues arise with accidental placement of amalgam in the oralmucosa during dental procedures.4 We present an interesting caseof …

2020-10-03_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

An Exploration Of Pediatricians’ Personal Value On Mental Health: Experience With Integrated Healthcare And Its Impact On Physicians’ Lives, Bridget Anton, Jason D. Reynolds 4858637

The Qualitative Report

An integrated healthcare model incorporates behavioral health services into a medical setting to address patients’ physical, emotional, and behavioral healthcare concerns. The integrated healthcare model has been associated with positive patient satisfaction and health outcomes, yet limited studies have examined, using qualitative methods, physicians’ experiences of working alongside behavioral health consultants (BHCs) in integrated healthcare settings. Data was gathered through semi-structured interviews with pediatricians (N=4) working in an integrated healthcare model. Participants shared that as pediatricians they received personal, educational, and organizational benefits from an integrated healthcare model. Pediatricians also reported increased knowledge in effectively addressing mental health concerns for …

Identifying Medical Residents’ Perceived Needs In Vaccine Education Though A Needs Assessment Survey, Sarah Williams, Shannon Clark, Sharon Humiston, Barbara Pahud, Donald Middleton, Kadriye O. Lewis

Manuscripts, Articles, Book Chapters and Other Papers

Background: Vaccine education during residency is not standardized. Little is known about resident perspectives on vaccines and ideal vaccine training.

Methods: A convenience sample of pediatric and family medicine (FM) residents were surveyed using a de novo 22 question survey to understand perspectives on vaccines and current and preferred vaccine education curriculum. Responses were analyzed categorically and compared by resident year using Fisher’s Exact test.

Results: In October 2016, 126 residents from 9 pediatric and FM programs completed the survey. Resident respondents’ training levels varied. Most were 25-29 years old and female. High familiarity with vaccines and agreeing to defer …

Histone Demethylase Phf8 Drives Neuroendocrine Prostate Cancer Progression By Epigenetically Upregulating Foxa2., Qiuli Liu, Jian Pang, Lin-Ang Wang, Zhuowei Huang, Jing Xu, Xingxia Yang, Qiubo Xie, Yiqiang Huang, Tang Tang, Dali Tong, Gaolei Liu, Luofu Wang, Dianzheng Zhang, Qiang Ma, Hualiang Xiao, Weihua Lan, Jun Qin, Jun Jiang

PCOM Scholarly Works

Neuroendocrine prostate cancer (NEPC) is a more aggressive subtype of castration-resistant prostate cancer (CRPC). Although it is well established that PHF8 can enhance prostate cancer cell proliferation, whether PHF8 is involved in prostate cancer initiation and progression is relatively unclear. By comparing the transgenic adenocarcinoma of the mouse prostate (TRAMP) mice with or without Phf8 knockout, we systemically examined the role of PHF8 in prostate cancer development. We found that PHF8 plays a minimum role in initiation and progression of adenocarcinoma. However, PHF8 is essential for NEPC because not only is PHF8 highly expressed in NEPC but also animals without …

Doulas In The U.S.: State Of Science – Can Nursing Students Help Support Laboring Women And Reduce Health Disparities? A Literature Review, Miah Arechiga

McNair Research Journal SJSU

No abstract provided.

Full Issue

McNair Research Journal SJSU

No abstract provided.

Angiotensin Inhibition And Gastrointestinal Bleeding Prevention In Patients With Left Ventricular Assist Devices, Phillip A. Weeks

The VAD Journal

Gastrointestinal bleeding remains a common complication in advanced heart failure patients following implantation of continuous-flow left ventricular assist devices. While the cause is likely multifactorial, development of arterial venous malformations in the gastrointestinal mucosa are a key factor. Inhibition of angiotensin II activity has been postulated to disrupt the signaling that promotes angiogenesis in these patients. We aim to review the theoretical basis for angiotensin receptor blockade, which has been proposed and explore the published evidence regarding this therapy and gastrointestinal bleeding in LVAD patients.

2020-10-02_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Hospital Capacity Report for COVID-19, COVID-19 Metrics, Statewide Hospital Available PPE Tracking for COVID-19, as well as the tables PPE Days On Hand and Patient Census.

2020-10-02_Michiganoverview_Covidstats, Michigan Department Of Health & Human Services

Cumulative Michigan COVID-19 Data

The COVID Overview page was obtained from Michigan's main COVID-19 page: https:/www.michigan.gov/coronavirus/0,9753,7-406-98163-520743--,00.html.

The State of Michigan is working around the clock to test and treat COVID-19 patients. Below is the most recent data healthcare experts across the state have compiled. It is updated Monday - Saturday.
This report is provisional and subject to change. City of Detroit and Wayne County are reported separately. MDHHS began tracking probable cases April 5, 2020. FCI indicates federal correctional institute. MDOC indicates Michigan Department of Corrections. Diagnostic tests, including nucleic acid amplification/real-time polymerase chain reaction (NAAT/RT-PCR) and rapid virus antigen detection point of …

Coronavirus Update 10-2-20, The Coronavirus Planning Team

University Briefings & Virtual Events

Our ramped-up random testing of asymptomatic students went well this week, and we are processing the results. We tested more than 1,200 students and some faculty and staff. Next week, we begin saliva testing and will test even more community members. The testing method, called SalivaDirect, was developed by researchers at the Yale School of Public Health. It was granted an emergency use authorization by the U.S. Food and Drug Administration and has been used to test asymptomatic players and staff in the NBA. We are one of the first education institutions to use this test—if not the very first.