Medicine and Health Sciences Commons^™

Profound Vasoplegia After Coronary Artery Bypass Grafting, Subhasis Chatterjee

Journal of Shock and Hemodynamics

Vasoplegic shock after cardiac surgery is characterized by a high cardiac output, low systemic vascular resistance, refractory hypotension, and ongoing need for vasopressors. In this case, management considerations are discussed, including vasoactive medications and other adjuncts to sustain a satisfactory mean arterial pressure and improve outcomes.

Reperfusion Injury In Acute Myocardial Infarction Shock- Role Of Mechanical Circulatory Support Devices, Finn Gustafsson

Journal of Shock and Hemodynamics

The efficacy of mechanical circulatory support in acute myocardial infarction is dependent upon the size of the infarct. If applied early, mechanical support to reduce reperfusion injury appears to be effective in reducing infarct size in animal studies. The optimal timing of reperfusion is uncertain and requires further investigation. Efficient unloading appears to be essential in increasing the efficacy of the type of mechanical support and may favor one over another.

Racial Variations In Shock Presentation And Outcome, Steven Bailey

Journal of Shock and Hemodynamics

Working toward inclusive strategies for data sampling, trials, and triage is essential. Whatever the approach, it is important to do better than what has been done in the past when considering race and ethnicity in patient care. Although there may be limited publications with information on this topic, they have shown clear differences in patient outcomes with possible associations with gender, race, and ethnicity. It is critical to view the implications of this on socioeconomic status, access, resources, patient phenotypes, and patient desires and expectations. The disparities must first be recognized before any treatment options can be identified.

Hemodynamic Goals In Shock Management: Is There One Target For All?, Maya Guglin

Journal of Shock and Hemodynamics

The current guidelines for managing cardiogenic shock lack specificity and clarification. The main criterion for cardiogenic shock is low cardiac output, and the most important goal is to achieve adequate output from a shock state. Because of the complex nature of cardiogenic shock, a “one-size-fits-all" outline may not be the best solution. Historically, hemodynamic goals in cardiogenic shock are copied from septic shock. Because septic shock and cardiogenic shock are different hemodynamic entities, the goals should be different.

Hemodynamics And Kinetics Of Heart Failure With Preserved Ejection Fraction Shock, Yevgeniy Brailovsky, J. Eduardo Rame, Thierry Le Jemtel, Indranee Rajapreyar

Journal of Shock and Hemodynamics

The classical paradigm of cardiogenic shock is severe impairment of left ventricular, right ventricular, or biventricular contractility resulting in decreased cardiac output and end-organ failure. In patients with preserved ejection fraction, cardiogenic shock results from impaired left ventricular filling leading to decreased cardiac output and end-organ hypoperfusion. Heart failure with preserved ejection fraction (HFpEF) comprises a heterogenous group of myocardial and systemic metabolic derangements. Cardiogenic shock with preserved left ventricular ejection is thought to be less common than with reduced left ventricular ejection fraction, and therapeutic approaches are not well standardized. We aim to review the pathophysiology of cardiogenic shock …

Micro-Tensile Bond Strength Of Three Different Dual Cure Resin Composites Bonded To Dentin, Atya A. Alzarouq, Rabab Mehesen, Ashraf I. Ali

Mansoura Journal of Dentistry

Objective: To evaluate the micro-tensile bond strength (μTBS) and micro-morphological analysis of composite dentin interface of dual-cure resin composites bonded to dentin. Materials and Methods: For the micro-tensile bond strength test, sixty sound human maxillary and mandibular molars were collected. After embedding the selected molars in an acrylic resin block, the occlusal enamel and superficial dentin of each tooth were removed, exposing the mid-dentin area. They were assigned randomly into three groups (n=20) according to the restorative system. Then both groups were further divided into two subgroups; subgroup 1 for immediately tested specimens after 24 h (n=10), and subgroup 2 …

Evaluation Of Microtensile Bond Strength, Microleakage Pattern And Micromorphological Analysis Of New Functional Monomer-Based Universal Adhesive Tooth Interface, Hussain R. Khaled, Hamdi H. Hammama, Salah H. Mahmoud

Mansoura Journal of Dentistry

Objective: This study was intended to evaluate the micro tensile bond strength (μTBS), micro leakage pattern, and micro morphological analysis of new 10-MDP-based universal adhesive/tooth interface and compare it with other two 10-MDP-based adhesive systems before and after storage. Materials and Methods: Two Universal adhesives (Single Bond Universal Adhesive and Ambar Universal) and one all-in-one adhesive (CLEARFIL S3BOND) were used. A total of 102 permanent human molars were used in this study. The teeth were randomly divided into three groups (n=34) according to the type of used adhesive; Ambar Universal (AU), CLEARFIL S3BOND (CTS), and Single Bond Universal (SBU). Each …

Point Of View Video Modeling For Improved Self Care Among Asd Population, Liana Mae Atizado, Cassey Dela Pena, Anali Flores, Jeffrey Garcia, Timothy Zeng

Occupational Therapy Student Research

Meristem is a program designed for young adults with autism spectrum disorder (ASD) that emphasizes teaching the necessary skills for students to live life independently with confidence. Through structured and semi-structured interviews with staff members and students, a need that was identified within this organization is to have a thorough and consistent personal hygiene regimen for their students. While Meristem is currently implementing standard personal hygiene care in their curriculum, the variability of students understanding and implementing personal hygiene education has become an obstacle within this organization. To address this need for individuals with ASD, Video Modeling (VM) can offer …

Beyond Verbal: A Low-Cost Communication Tool To Address Language Barriers In A Community-Based Setting, Nikki Atis, Raman Dhillon, Victoria Maichel, Gabe Soto, Brenda Vergara

Occupational Therapy Student Research

Augmentative and Alternative Communication (AAC) are tools, technologies, and approaches used to provide ways other than speech to aid communication-related challenges (American Speech-Language-Hearing Association, n.d.). A communication board is a low-tech AAC tool seen in various formats such as printed on a poster board or digital applications on electronic devices. It consists of rows and columns of squares with simple pictures and minimally-worded labels in the preferred language.

Weighted Devices For Somatosensory Regulation, Bri Swain, Kaelyn Obryan, Lauren Magat, Nik Gargiulo, Hailey Houck

Occupational Therapy Student Research

Description: A weighted vest is a vest that typically has 10% of a person’s body weight evenly distributed around the vest (Olson et al., 2004). A weighted vest can provide sensory input that is believed to alleviate dysregulation, inattentiveness, and stereotypic behaviors (Carter et al., 2009).

Goal: Our community group is specifically targeting children with sensory processing impairments who are attending speech therapy sessions at the RiteCare clinic. Sensory behaviors exhibited by the clients are most commonly shown through dysregulation, outbursts, inattentiveness, and hyperactivity. The goal is to limit these maladaptive behaviors and increase attention span during intervention sessions. Weighted …

Comparison Of A Dynamic Ankle Orthosis To A Walking Boot For Preserving Ankle Joint Motion And Reducing Tibial Bone Load And Strain, Perri Johnson Jr.

Theses and Dissertations (ETD)

Tibial stress fractures are a common overuse injury accounting for 21.9 – 69% of stress fractures among runners and 24 – 51.2% of stress fractures in military cadets. Current treatment involves wearing a walking boot for 3 – 12 weeks, which limits ankle motion and causes lower limb muscle atrophy. A Dynamic Ankle Orthosis (DAO) provided a distractive force that offloaded the ankle and retained sagittal ankle excursion during walking. It remains unclear how tibial loading is affected by a walking boot or the DAO. This thesis presents a feasibility study confirming the offloading effects of the DAO on tibial …

Diverse Glycosides From Gardenia Latifolia With Antiviral Activity And Chemosystematic Significance, Shaymaa M. Mohamed, Samir A. Ross, Mai A. M. Ahmed

Faculty and Student Publications

Several influenza pandemics have impacted our life, each with variable prevalence and severity. In a search for natural antivirals, further phytochemical investigation of Gardenia latifolia Aiton, Rubiaceae, was conducted. As a result, five structurally diverse glycosides were isolated, offering valuable chemotaxonomic data. Using the crystal violet technique, three isolates, canthoside C, (6R,7S,8S)-7α-[(β-d-glucopyranosyl) oxy] lyoniresinol, and ecdysanrosin A, were evaluated for their anti-influenza A (H1N1) activities. Based on previously reported anti-inflammatory activity of the guaiane class, we investigated the inhibitory effect of (1R,7R,8S,10R)-7,8,11-trihydroxy-guai-4-ene-3-one 8-O-β-d-glucopyranoside, a rare guaiane sesquiterpene glucoside, on inducible nitric oxide (NO) production by Griess assay. Regarding antiviral assay, …

Nursing Students' Knowledge Of And Attitudes Towards Near-Death Experiences, Laura Lee Varela

Theses & Dissertations

Incidence of reported near-death experiences (NDEs) has increased over decades; however, they continue to be inappropriately pathologized or dismissed. These types of responses to disclosures of NDEs by patients can potentially lead to them having problems integrating the experience into their lives. The purpose of this study was to assess undergraduate nursing students’ levels of accurate knowledge of and attitudes towards NDEs and to determine the predictors of nursing students’ knowledge of and attitudes toward NDEs. Additionally, I explored the sources in which nursing students acquire NDE knowledge. I accomplished this by using a cross-sectional, correlational research study design. I …

U.S. Army Physician Assistant Retention: A Latent Class Analysis, Robert Greener

Theses & Dissertations

Introduction: Retaining employees is crucial to the success of organizations. While significant effort has been made to model employee retention, models have been unable to significantly predict retention. The purpose of this quantitative, non-experimental, cross-sectional study was to develop an improved employee retention model which could be used as a practical guide to improve employee retention. Materials and Methods: The study analyzed a survey created, implemented, and collected by the Statistical Cell at the U.S. Army Center of Excellence. In September of 2020, all 864 active-duty PAs were sent a link to the survey and 290 completed the survey, …

Anti-Dysplastic Effect Of Nettle Extract And Its Nano-Formulation On 7,12-Dimethylbenz[A]Anthracene Induced Hamster Buccal Pouch Carcinogenesis, Samah K. Ezzat, Amira M. Elsherbini

Mansoura Journal of Dentistry

Objective: Oral squamous cell carcinoma (OSCC) is the most common malignancy in the oral cavity with no definitive cure. In this study, chitosan loaded with nettle was used for the treatment of 7,12-Dimethylbenz[a] anthracene (DMBA)-induced oral squamous cell carcinoma compared to regular chemotherapy with 5-Fluorouracil (5-FU).Material and methods: Sixty pathogen-free male Syrian golden hamsters were used. The control group served as a negative control with no intervention, while the remaining animals received DMBA for 16 weeks then they were divided equally into 5 groups as follows; DMBA group received no treatment, while the 5-FU group was treated with 15mg/kg of …

Immunohistochemical Assessment Of Angiogenesis And Cell Proliferation In Aggressive Versus Non-Aggressive Central Giant Cell Granuloma., Mena F. Mesiha, Mahmoud F. El Sherbeny, Sherif Y. El Nagdy

Mansoura Journal of Dentistry

Objective: The current study investigated the expression of MCM3 and CD31 in aggressive versus non-aggressive central giant cell granuloma (CGCG ) Materials and methods: Thirty-three paraffin blocks for CGCG cases were collected from Oral Pathology Departments, Faculty of Dentistry, Mansoura, and Alexandria Universities. The Immunohistochemical staining for CD31 and MCM 3 was performed, assessed, and scored. Results: Mean age of the studied cases was 35.6±9.1 years. The lesions that occurred in the mandible represented the majority of cases [27 cases (81.8%)]. The study revealed an association between aggressiveness and the presence of large swelling, pain, cortical perforation, root resorption, and …

Stem Cell Marker As A Factor For The Different Biological Behavior Of Ameloblastoma And Odontogenic Keratocyst, Hanan M. Sayed Ahmed, Doaa A. Esmaeil, Sherif Y. Elnagdy

Mansoura Journal of Dentistry

Objective: To investigate the immunohistochemical expression of SOX2 among the studied cases of ameloblastoma and odontogenic keratocyst in order to show if it correlates to the biological behavior of those odontogenic lesions. Materials and Methods: The study was carried out on 30 histo-pathologically confirmed cases of (15 ameloblastomas and 15 odontogenic keratocysts). These blocks were collected from archived files of the Department of Oral Pathology, Faculty of Dentistry, Mansoura University. Sections were subjected to Immunohistochemical staining by SOX2 according to a standard protocol. Results: OKCs showed higher expression of SOX2 than Ab in all epithelial layers not confined to the …

Clinicopathological Study Of Oral Plasma Cell Granuloma, Aya M. El-Bastawesi, Mona M. Ibrahim, Nadia A. El-Sissy

Mansoura Journal of Dentistry

Objective: To identify the characteristic clinical and Histopathologic features encountered in the oral lesions of PCG and thus, clarifying the variability nature of the studied oral plasma cell granulomas (OPCGS). Materials and Methods a sample of 25 retrospective paraffin blocks of the OPCGS were thoroughly investigated histopathologically. Results: the studied OPCG was mainly represented as a gingival swelling, there was a female tendency in most of the studied OPCGS (92%), ranging from 11-73 years with a mean of 42.40. the majority of the current OPCG (64%) did not express any bone changes. the OPCGS of the present work were characterized …

Immunohistochemical Expression Of Ezh2 In Mucoepidermoid Carcinoma Of Salivary Glands, Amira A. Mansour, Mona M. Ibrahim, Ahmed E. Ahmed, Azza A. El Sissi

Mansoura Journal of Dentistry

Objective: To disclose the variation in EZH2 expression among the different grades of MEC and to analyze the marker's immunohistochemical (IHC) expression in relation to the clinicopathologic data of all cases. Material and methods: The present study was conducted on 15 blocks diagnosed as MEC including equal numbers of different grades. These blocks were selected from the archives of the Oncology Center, Mansoura University. The specimens embedded in the retrieved paraffin blocks were all fixed in 10% formalin. Sections of 4 microns’ thickness intervals were serially cut and prepared for the EZH2 staining. Chi-square, Monte Carlo, and Fisher Exact tests …

Effect Of Food Simulating Solvents On Surface Roughness And Microhardness Of Bulk Fill Resin Composites., Hadeer M. Hal, Ashraf I. Ali, Noha A. El-Wassefy, Marmar A. Montaser

Mansoura Journal of Dentistry

Objectives: To evaluate the effect of food simulating solvents on surface roughness and microhardness of bulk fill resin composites in-vitro. Materials and methods: A total of 180 discs were made with (Filtek One bulk fill, REVEAL HD and x-tra fil bulk fill (n=60). The baseline data of surface roughness and microhardness measurements were recorded. Each group was divided into three subgroups, subgroup1 was immersed into methyl ethyl ketone (n=20), subgroup2 was immersed into ethanol (n=20) and, subgroup3 was immersed into artificial saliva (n=20) as control group. After 30 days, half of each subgroup was tested for surface roughness (n=10) by …

Mdpb-Containing Self-Etch Dental Adhesive: Antibacterial Activity And Effect Of Different Dentinal Surface Preparation, Sally N. Zaki, Ragy N. Saad, Hamdi H. Hamdan, Salah H. Mahmoud

Mansoura Journal of Dentistry

Objective: To evaluate the effect of MDBP-containing self-etch (SE) adhesive and different dentin surface pretreatments on antibacterial activity Materials and Methods: A total of forty disc shaped specimens fabricated (8 mm in diameter and 1.5 mm thickness) were divided into four main groups according to type of the surface treatment method; deionized water(control), CHX, Papin enzyme and Riboflavin. Each group was sub-divided into 2subgroups (n=5) according to the type of adhesive: classic or MDPB containing SE adhesives. Bonded specimens were stored in deionized water for 24 hr. (n=6). The plates contained dices shaped specimen was incubated at 37o C for …

Lifestyle Interventions For Prevention And Management Of Diet-Linked Non-Communicable Diseases Among Adults In Arab Countries, Maryam Naveed Muhammad Tariq, Lily Stojanovska, Ayesha S. Al Dhaheri, Leila Cheikh Ismail, Vasso Apostolopoulos, Habiba I. Ali

CoMHS Faculty Work

The increased incidences of diet-related non-communicable diseases (NCDs) such as diabetes, obesity, and cardiovascular diseases among adults are becoming the chief public health concern in most Arab countries. Economic expansion has contributed to a nutrition shift from a traditional seasonal diet to Westernized eating habits coupled with a sedentary lifestyle. Despite the rising concern for NCD mortality, public health policies are inadequately addressed. This narrative review aims to discuss the effectiveness of nutritional interventions focusing on diet and physical activity in the management of NCDs among Arab adults. A comprehensive literature search was performed using different database platforms such as …

Tlr4/Nfκb-Mediated Anti-Inflammatory And Antioxidative Effect Of Hexanic And Ethanolic Extracts Of Curcuma Longa L. In Buffalo Mammary Epithelial Cells, Insha Amin, Shahzada Mudasir Rashid, Sheikh Shubeena, Ishraq Hussain

Faculty and Student Publications

Mastitis is the commonest disease of bovines imposing a great economic setback and a drastic public health concern worldwide. Antibiotic resistance is the preliminary con of excessive antibiotics use for disease treatment. Studies validate an alarming increase in the antibiotic resistance of both humans and animals. For ages, medicinal plants have been used to treat a number of ailments in humans and animals, including mastitis. Curcuma longa, or turmeric, is the prerequisite in Indian cooking and has been used in traditional medicine for its magical properties. The rhizome of C. longa possesses significant anti-inflammatory, antibacterial, antifungal, and antioxidative properties. In …

Immunogenetic Role Of Il17a Polymorphism In The Pathogenesis Of Recurrent Miscarriage, Shafat Ali, Sabhiya Majid, Md Niamat Ali, Mujeeb Zafar Banday

Faculty and Student Publications

Interleukin-17A (IL17A) is a proinflammatory cytokine and is assumed to play an important role in fetal rejection. In order to evaluate the potential role of IL17A polymorphism in the pathogenesis of recurrent miscarriage (RM), serum IL17A levels were estimated by ELISA. Single-nucleotide polymorphism was assessed by polymerase chain reaction-restriction fragment-length polymorphism (PCR-RFLP) using gene-specific primers and the EcoNI restriction enzyme. Serum IL17A levels were nonsignificantly (p > 0.5) low in RM patients compared with the control group. IL17A gene amplification by PCR yielded the undigested product of 815 bp, and its digestion with EcoNI enzyme produced 815, 529, 286, and 270 …

Antitrypanosomal, Antitopoisomerase-I, And Cytotoxic Biological Evaluation Of Some African Plants Belonging To Crassulaceae; Chemical Profiling Of Extract Using Uhplc/Qtof-Ms/Ms, Mostafa M. Hegazy, Wael M. Afifi, Ahmed M. Metwaly, Mohamed M. Radwan

Faculty and Student Publications

In our continuous study for some African plants as a source for antitrypanosomally and cytotoxic active drugs, nine different plants belonging to the Crassulaceae family have been selected for the present study. Sedum sieboldii leaves extract showed an antitrypanosomal activity against Trypanosoma brucei with an IC50 value of 8.5 µg/mL. In addition, they have cytotoxic activities against (HCT-116), (HEPG-2) and (MCF-7), with IC50 values of 28.18 ± 0.24, 22.05 ± 0.66, and 26.47 ± 0.85 µg/mL, respectively. Furthermore, the extract displayed inhibition against Topoisomerase-1 with an IC50 value of 1.31 µg/mL. It showed the highest phenolics and flavonoids content among …

Isolation And Characterization Of Flavonoid Naringenin And Evaluation Of Cytotoxic And Biological Efficacy Of Water Lilly (Nymphaea Mexicana Zucc.), Shajrath Din, Saima Hamid, Aadil Yaseen, Ali Mohd Yatoo

Faculty and Student Publications

Despite its limited exploration, Nymphaea mexicana Zucc. can be beneficial if pharmacology, isolation, and biological evaluation are given attention. It is an aquatic species that belongs to the family Nymphaeaceae. The thrust area of the work was the extraction, isolation, and biological evaluation of different extracts of the N. mexicana Zucc. plant. The primary goal of this research was to assess the antimicrobial, antioxidant, and anticancer activities of the extracts and to isolate the target naringenin compound. Comparative FT IR analysis of different extracts of this plant revealed the presence of functional groups of plant secondary metabolites, including polyphenols, flavonoids, …

Bioassay-Guided Fractionation With Antimalarial And Antimicrobial Activities Of Paeonia Officinalis, Mamdouh Nabil Samy, Basma Khalaf Mahmoud, Nourhan Hisham Shady, Usama Ramadan Abdelmohsen

Faculty and Student Publications

Bioassay-guided fractionation technique of roots of Paeonia officinalis led to isolation and structure elucidation of seven known compounds, including four monoterpene glycosides: lactiflorin (1), paeoniflorin (4), galloyl paeoniflorin (5), and (Z)-(1S,5R)-β-pinen-10-yl β-vicianoside (7); two phenolics: benzoic acid (2) and methyl gallate (3); and one sterol glycoside: β-sitosterol 3-O-β-D-glucopyranoside (6). The different fractions and the isolated compounds were evaluated for their antimicrobial and antimalarial activities. Fraction II and III showed antifungal activity against Candida neoformans with IC50 values of 28.11 and 74.37 µg/mL, respectively, compared with the standard fluconazole (IC50 = 4.68 µg/mL), and antibacterial potential against Pseudomonas aeruginosa (IC50 = …

Cannabidiol Loaded Topical Ophthalmic Nanoemulsion Lowers Intraocular Pressure In Normotensive Dutch-Belted Rabbits, Samir Senapati, Ahmed Adel Ali Youssef, Corinne Sweeney, Chuntian Cai

Faculty and Student Publications

Cannabidiol (CBD) is the major non-psychoactive and most widely studied of the cannabinoid constituents and has great therapeutic potential in a variety of diseases. However, contradictory reports in the literature with respect to CBD’s effect on intraocular pressure (IOP) have raised concerns and halted research exploring its use in ocular therapeutics. Therefore, the current investigation aimed to further evaluate CBD’s impact on the IOP in the rabbit model. CBD nanoemulsions, containing Carbopol® 940 NF as a mucoadhesive agent (CBD-NEC), were prepared using hot-homogenization followed by probe sonication. The stability of the formulations post-moist-heat sterilization, in terms of physical and chemical …

Abcg2 Polymorphisms And Predictive Fluoroquinolone Phototoxicity In Nondomestic Felids, Alexandria E. Gochenauer, Dayna L. Dreger, Brian W. Davis, Shawna Cook

Faculty and Student Publications

Fluoroquinolones are a widely used class of chemotherapeutics within veterinary medicine, prized for their broad-spectrum bactericidal activity. These drugs present a known risk of retinal phototoxicity in domestic cats (Felis catus); therefore, using lower doses and alternative antibiotic classes is encouraged in this species. This adverse drug effect of fluoroquinolones, and enrofloxacin specifically, has been determined to be species-specific in domestic felids. Four feline-specific missense variants in ABCG2 result in four amino acid changes (E159M, S279L, H283Q, and T644I) that are unique to the domestic cat compared with multiple other nonfeline mammalian species. These changes alter the ABCG2 protein involved …

How Carbon Nanoparticles, Arbuscular Mycorrhiza, And Compost Mitigate Drought Stress In Maize Plant: A Growth And Biochemical Study, Emad A. Alsherif, Omar Almaghrabi, Ahmed M. Elazzazy, Mohamed Abdel-Mawgoud

Faculty and Student Publications

Drought negatively affects crop growth and development, so it is crucial to develop practical ways to reduce these consequences of water scarcity. The effect of the interactive potential of compost (Comp), mycorrhizal fungi (AMF), and carbon nanoparticles (CNPS) on plant growth, photosynthesis rate, primary metabolism, and secondary metabolism was studied as a novel approach to mitigating drought stress in maize plants. Drought stress significantly reduced maize growth and photosynthesis and altered metabolism. Here, the combined treatments Com-AMF or Com-AMF-CNPs mitigated drought-induced reductions in fresh and dry weights. The treatments with AMF or CNPS significantly increased photosynthesis (by 10%) in comparison …