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2022

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Full-Text Articles in Medicine and Health Sciences

Wakeful Rest Benefits Recall, But Not Recognition, Of Incidentally Encoded Memory Stimuli In Younger And Older Adults, Peter R Millar, David A Balota Nov 2022

Wakeful Rest Benefits Recall, But Not Recognition, Of Incidentally Encoded Memory Stimuli In Younger And Older Adults, Peter R Millar, David A Balota

2020-Current year OA Pubs

Older adults exhibit deficits in episodic memory tasks, which have often been attributed to encoding or retrieval deficits, with little attention to consolidation mechanisms. More recently, researchers have attempted to measure consolidation in the context of a behavioral experiment using the wakeful rest paradigm (i.e., a brief, quiet period of minimal stimulation, which facilitates memory performance, compared to a distractor task). Critically, older adults might not produce this effect, given established age differences in other episodic memory processes and mind-wandering. In three experiments, we directly compared younger and older adults in modified versions of the wakeful rest paradigm. Critically, we …


Csf Tau Microtubule-Binding Region Identifies Pathological Changes In Primary Tauopathies, Kanta Horie, Nicolas R Barthélemy, Yingxin He, Albert A Davis, Celeste M Karch, Richard J Perrin, Rama K Koppisetti, Faris Shaikh, Nupur Ghoshal, Randall J Bateman, Chihiro Sato, Et Al. Nov 2022

Csf Tau Microtubule-Binding Region Identifies Pathological Changes In Primary Tauopathies, Kanta Horie, Nicolas R Barthélemy, Yingxin He, Albert A Davis, Celeste M Karch, Richard J Perrin, Rama K Koppisetti, Faris Shaikh, Nupur Ghoshal, Randall J Bateman, Chihiro Sato, Et Al.

2020-Current year OA Pubs

Despite recent advances in fluid biomarker research in Alzheimer's disease (AD), there are no fluid biomarkers or imaging tracers with utility for diagnosis and/or theragnosis available for other tauopathies. Using immunoprecipitation and mass spectrometry, we show that 4 repeat (4R) isoform-specific tau species from microtubule-binding region (MTBR-tau


Representations Of Depression And Schizophrenia In The Community: The Role Of Illness And Risk Perceptions On Help-Seeking Intentions, David Dias Neto, Maria João Figueiras, Rita Sebastião Nov 2022

Representations Of Depression And Schizophrenia In The Community: The Role Of Illness And Risk Perceptions On Help-Seeking Intentions, David Dias Neto, Maria João Figueiras, Rita Sebastião

All Works

Illness perceptions (IPs) are important in understanding human reactions to illnesses, including mental health disorders. They influence risk perceptions and several variables relevant to the adjustment to a disorder, treatment seeking, and health outcomes. This study sought to compare IP, risk perception, and help-seeking intention for depression and schizophrenia in a community sample and to assess the mediating role of risk perception in the relationship between IP and help-seeking intention. A total of 380 adults participated in this study and filled out self-report measures of IPs, risk perceptions, and help-seeking intention. The previous diagnosis of depression was used to control …


Altered Expression Of Glycobiology-Related Genes In Parkinson’S Disease Brain, Jay S Schneider, Garima Singh Nov 2022

Altered Expression Of Glycobiology-Related Genes In Parkinson’S Disease Brain, Jay S Schneider, Garima Singh

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

The precise mechanisms initiating and perpetuating the cellular degeneration in Parkinson's disease (PD) remain unclear. There is decreased expression of the main brain gangliosides, and GM1 ganglioside in particular, in the PD brain along with decreased expression of the genes coding for the glycosyltranferase and the sialyltransferase responsible for the synthesis of these brain gangliosides. However, potentially important pathogenic mechanisms contributing to the neurodegeneration in PD may also include altered levels of expression of genes involved in glycosylation, sialylation and sphingolipid synthesis and metabolism. Although various studies have described pathological lipid and glycolipid changes in PD brain, there have been …


Stakeholder Engagement In Eight Comparative Effectiveness Trials In African Americans And Latinos With Asthma, Tiffany Dy, Winifred J Hamilton, C Bradley Kramer, Andrea Apter, Jerry A Krishnan, James W Stout, Stephen J Teach, Alex Federman, John Elder, Tyra Bryant-Stephens, Rebecca J Bruhl, Shawni Jackson, Kaharu Sumino Nov 2022

Stakeholder Engagement In Eight Comparative Effectiveness Trials In African Americans And Latinos With Asthma, Tiffany Dy, Winifred J Hamilton, C Bradley Kramer, Andrea Apter, Jerry A Krishnan, James W Stout, Stephen J Teach, Alex Federman, John Elder, Tyra Bryant-Stephens, Rebecca J Bruhl, Shawni Jackson, Kaharu Sumino

2020-Current year OA Pubs

BACKGROUND: The effects of stakeholder engagement, particularly in comparative effectiveness trials, have not been widely reported. In 2014, eight comparative effectiveness studies targeting African Americans and Hispanics/Latinos with uncontrolled asthma were funded by the Patient-Centered Outcomes Research Institute (PCORI) as part of its Addressing Disparities Program. Awardees were required to meaningfully involve patients and other stakeholders. Using specific examples, we describe how these stakeholders substantially changed the research protocols and in other ways participated meaningfully as full partners in the development and conduct of the eight studies.

METHODS: Using the method content analysis of cases, we identified themes regarding the …


Mahpic Malaria Systems Biology Data From Plasmodium Cynomolgi Sporozoite Longitudinal Infections In Macaques, Jeremy D Debarry, Xuntian Jiang, Daniel S Ory, Et Al. Nov 2022

Mahpic Malaria Systems Biology Data From Plasmodium Cynomolgi Sporozoite Longitudinal Infections In Macaques, Jeremy D Debarry, Xuntian Jiang, Daniel S Ory, Et Al.

2020-Current year OA Pubs

Plasmodium cynomolgi causes zoonotic malarial infections in Southeast Asia and this parasite species is important as a model for Plasmodium vivax and Plasmodium ovale. Each of these species produces hypnozoites in the liver, which can cause relapsing infections in the blood. Here we present methods and data generated from iterative longitudinal systems biology infection experiments designed and performed by the Malaria Host-Pathogen Interaction Center (MaHPIC) to delve deeper into the biology, pathogenesis, and immune responses of P. cynomolgi in the Macaca mulatta host. Infections were initiated by sporozoite inoculation. Blood and bone marrow samples were collected at defined timepoints for …


Stakeholder Engagement In Eight Comparative Effectiveness Trials In African Americans And Latinos With Asthma, Tiffany Dy, Winifred J Hamilton, C Bradley Kramer, Andrea Apter, Jerry A Krishnan, James W Stout, Stephen J Teach, Alex Federman, John Elder, Tyra Bryant-Stephens, Rebecca J Bruhl, Shawni Jackson, Kaharu Sumino Nov 2022

Stakeholder Engagement In Eight Comparative Effectiveness Trials In African Americans And Latinos With Asthma, Tiffany Dy, Winifred J Hamilton, C Bradley Kramer, Andrea Apter, Jerry A Krishnan, James W Stout, Stephen J Teach, Alex Federman, John Elder, Tyra Bryant-Stephens, Rebecca J Bruhl, Shawni Jackson, Kaharu Sumino

Faculty, Staff and Students Publications

BACKGROUND: The effects of stakeholder engagement, particularly in comparative effectiveness trials, have not been widely reported. In 2014, eight comparative effectiveness studies targeting African Americans and Hispanics/Latinos with uncontrolled asthma were funded by the Patient-Centered Outcomes Research Institute (PCORI) as part of its Addressing Disparities Program. Awardees were required to meaningfully involve patients and other stakeholders. Using specific examples, we describe how these stakeholders substantially changed the research protocols and in other ways participated meaningfully as full partners in the development and conduct of the eight studies.

METHODS: Using the method content analysis of cases, we identified themes regarding the …


Association Of Bradycardia And Asystole Episodes With Dialytic Parameters: An Analysis Of The Monitoring In Dialysis (Mid) Study, Qandeel H Soomro, Nisha Bansal, Wolfgang C Winkelmayer, Bruce A Koplan, Alexandru I Costea, Prabir Roy-Chaudhury, James A Tumlin, Vijay Kher, Don E Williamson, Saurabh Pokhariyal, Candace K Mcclure, David M Charytan, Mid Investigators Nov 2022

Association Of Bradycardia And Asystole Episodes With Dialytic Parameters: An Analysis Of The Monitoring In Dialysis (Mid) Study, Qandeel H Soomro, Nisha Bansal, Wolfgang C Winkelmayer, Bruce A Koplan, Alexandru I Costea, Prabir Roy-Chaudhury, James A Tumlin, Vijay Kher, Don E Williamson, Saurabh Pokhariyal, Candace K Mcclure, David M Charytan, Mid Investigators

Faculty, Staff and Students Publications

BACKGROUND: Bradycardia and asystole events are common among patients treated with maintenance hemodialysis. However, triggers of these events in patients on maintenance hemodialysis (HD), particularly during the long interdialytic period when these events cluster, are uncertain.

METHODS: The Monitoring in Dialysis Study (MiD) enrolled 66 patients on maintenance HD who were implanted with loop recorders and followed for 6 months. We analyzed associations of predialysis laboratory values with clinically significant bradyarrhythmia or asystole (CSBA) during the 12 hours before an HD session. Associations with CSBA were analyzed with mixed-effect models. Adjusted negative binomial mixed-effect regression was used to estimate incidence …


The Expression Of Acat1 In Oral Squamous Cell Carcinoma And The Adjacent Pre-Tumour Tissue, Hadis Firouzpour, Seyed Mohammad Shokrolahi, Ekaterina Bourova-Flin, Samira Derakhshan, Zahra Shahsavari, Abbas Karimi, Hassan Mir Mohammad Sadeghi, Afsaneh Goudarzi Nov 2022

The Expression Of Acat1 In Oral Squamous Cell Carcinoma And The Adjacent Pre-Tumour Tissue, Hadis Firouzpour, Seyed Mohammad Shokrolahi, Ekaterina Bourova-Flin, Samira Derakhshan, Zahra Shahsavari, Abbas Karimi, Hassan Mir Mohammad Sadeghi, Afsaneh Goudarzi

BioMedicine

Background: Altered acetyl CoA acetyltransferase 1 (ACAT1) expression has been reported in diverse cancers. However, the expression of ACAT1 and its prognostic value in oral squamous cell carcinoma (OSCC) has remained unexplored. Materials and methods: In this study, the expression of ACAT1 was analysed by immunohistochemistry (IHC) in 61 OSCC patients and compared between OSCC and adjacent pre-tumour tissue of 21 patients. Results: The expression of ACAT1 in OSCC tumours is heterogeneous between patients. More specifically, 52.38% of the patients show low expression of ACAT1 in both tumour and adjacent pre-tumour tissues, 9.52% of the patients show high expression of …


The Effect Of Ghrelin On Antioxidant Status In The Rat’S Model Of Alzheimer's Disease Induced By Amyloid-Beta, Fatemeh Sarlaki, Zahra Shahsavari, Fatemeh Goshadrou, Faezeh Naseri, Mohammad Keimasi, Majid Sirati-Sabet Dr Nov 2022

The Effect Of Ghrelin On Antioxidant Status In The Rat’S Model Of Alzheimer's Disease Induced By Amyloid-Beta, Fatemeh Sarlaki, Zahra Shahsavari, Fatemeh Goshadrou, Faezeh Naseri, Mohammad Keimasi, Majid Sirati-Sabet Dr

BioMedicine

Alzheimer's disease (AD) is a neurodegenerative disorder associated with amyloid-beta (Aβ) plaque formation and oxidative stress in the brain. Ghrelin has been proven to exert antioxidant activity and neuroprotection in different neurological diseases. This study is going on to examine the effect of ghrelin on antioxidant status in the rat’s model of AD induced by Aβ. Cognitive impairment was induced by intra-hippocampal administration of Aβ (10 µg) in Wistar rats and ghrelin (80 μg/kg) was administrated intraperitoneal for ten consecutive days. Behavior was assessed with Morris water maze and passive avoidance tests. Malondialdehyde (MDA) level as a marker of lipid …


Clinicopathological And Prognostic Significance Of Cxcr4 Expression In Osteosarcoma: A Meta-Analysis, I Gusti Ngurah Ananda Wira Kusuma, Grace Yulia Alphani Yapson, John Nolan, I Gede Eka Wiratnaya, I Gede Putu Supadmanaba Nov 2022

Clinicopathological And Prognostic Significance Of Cxcr4 Expression In Osteosarcoma: A Meta-Analysis, I Gusti Ngurah Ananda Wira Kusuma, Grace Yulia Alphani Yapson, John Nolan, I Gede Eka Wiratnaya, I Gede Putu Supadmanaba

BioMedicine

Background: The C-X-C Motif Chemokine Receptor (CXCR4) is an oncogene that has been widely studied and associated with worse clinicopathological features and prognosis outcomes in many types of cancer. Besides that, significance of CXCR4 expression on clinicopathological features and prognostic factors in osteosarcoma (OS) requires further validation.

Aim: We conducted a meta-analysis to evaluate the association between positive CXCR4 expression with clinicopathological features and prognosis in OS.

Methods: Literature searches on Pubmed, Cochrane Library, and Web of Science were conducted systematically up to December 2021 to find relevant references. The effects of CXCR4 expression on clinicopathological characteristics and prognostic were …


Analysis Of Antiquorum-Sensing And Antibiofilm Activity By Pomelo Peel Extract (Citrus Maxima) On Multidrug-Resistance Pseudomonas Aeruginosa, I Gede Krisna Arim Sadeva, Putri Ayu Wulandari, Aizar Vesa Prasetyo, Luh Putu Nike Wahyuntika, Putu Nindya Krisnadewi Rahadi, I Gede Aswin Parisya Sasmana, I Made Rhamandana Putra, Agus Eka Darwinata Nov 2022

Analysis Of Antiquorum-Sensing And Antibiofilm Activity By Pomelo Peel Extract (Citrus Maxima) On Multidrug-Resistance Pseudomonas Aeruginosa, I Gede Krisna Arim Sadeva, Putri Ayu Wulandari, Aizar Vesa Prasetyo, Luh Putu Nike Wahyuntika, Putu Nindya Krisnadewi Rahadi, I Gede Aswin Parisya Sasmana, I Made Rhamandana Putra, Agus Eka Darwinata

BioMedicine

Pseudomonas aeruginosa is gram-negative bacteria with high adaptability by forming biofilms and quorum-sensing mechanisms to avoid immune responses and antimicrobial agents which tend to develop into Multidrug Resistance (MDR) related to Healthcare-Associated Infection (HAI) with a prevalence of 3,8% in Indonesia and a mortality of up to 69%. Polyphenol compounds found in pomelo peels (Citrus maxima) have been shown to have antibiofilm and antiquorum-sensing effects but are less investigated. Therefore, this study aimed to investigate those effects on MDR P. aeruginosa. In vitro study design is performed to evaluate the inhibition effect of ethanolic extract on bacterial …


Crosstalk Between Fatty Acid Metabolism And Tumour-Associated Macrophages In Cancer Progression, Noorzaileen Eileena Zaidi, Nur Aima Hafiza Shazali, Thean Chor Leow, Mohd Azuraidi Osman, Kamariah Ibrahim, Nik Mohd Afizan Nik Abd Rahman Nov 2022

Crosstalk Between Fatty Acid Metabolism And Tumour-Associated Macrophages In Cancer Progression, Noorzaileen Eileena Zaidi, Nur Aima Hafiza Shazali, Thean Chor Leow, Mohd Azuraidi Osman, Kamariah Ibrahim, Nik Mohd Afizan Nik Abd Rahman

BioMedicine

Over the last few decades, cancer has been regarded as an independent and selfsustaining progression. The earliest hallmarks of cancer comprise of sustaining proliferative signalling, avoiding growth suppressors, resisting cell death, enabling replicative immortality, inducing angiogenesis, and activating invasion and metastasis. Nonetheless, two emerging hallmarks are being described: aberrant metabolic pathways and evasion of immune destruction. Changes in tumour cell metabolism are not restricted to tumour cells alone; the products of the altered metabolism have a direct impact on the activity of immune cells inside the tumour microenvironment, particularly tumour-associated macrophages (TAMs). The complicated process of cancer growth is orchestrated …


Is Autologous Platelet Activation The Key Step In Ovarian Therapy For Fertility Recovery And Menopause Reversal?, Natalie S. Rickers, E. Scott Sills Nov 2022

Is Autologous Platelet Activation The Key Step In Ovarian Therapy For Fertility Recovery And Menopause Reversal?, Natalie S. Rickers, E. Scott Sills

BioMedicine

Platelets are a uniquely mammalian physiologic feature. As the only non-marine vertebrates to experience menopause, humans have a substantial post-reproductive lifespan and are believed to have a limited, non-renewable oocyte supply. Ovarian reserve typically declines after about age 35yrs, marking losses which cannot be recovered by available fertility medications. When in vitro fertilization fails due to low or absent ovarian response, gonadotropin adjustments are often ineffectual and if additional oocytes are occasionally harvested, egg quality is usually poor. This problem was confronted by Greek researchers who developed a new surgical method to insert autologous platelet-rich plasma (PRP) into ovaries; the …


2022-11-23_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services Nov 2022

2022-11-23_Michiganoverview_Covidvaccinestats, Michigan Department Of Health & Human Services

Michigan COVID-19 Vaccine Data

The COVID Vaccine Dashboard page was obtained from Michigan's main COVID-19 page: https://www.michigan.gov/coronavirus/resources/covid-19-vaccine/covid-19-dashboard.

First-dose tracker above is for entire Michigan Population. Coverage maps below are for age 5+.

Previously reported numbers of administered vaccine doses may change as new data are received. A possible lag in reporting vaccine doses will result in increases in numbers previously reported.

This report is created by the Michigan Department of Health and Human Services Division of Immunization from data reported to the Michigan Care Improvement Registry (MCIR).

The dashboard contained the tabs Primary Series Doses Administered, Primary Series Doses by Vaccine, …


Academic Leadership In Physician Assistant/Associate Medical Education: A Cross-Sectional Analysis Of The Association With Doctoral Degree, Gender, And Minority Status, Lucy W. Kibe, Gerald Kayingo, Katrina M. Schrode, Alicia Klein Nov 2022

Academic Leadership In Physician Assistant/Associate Medical Education: A Cross-Sectional Analysis Of The Association With Doctoral Degree, Gender, And Minority Status, Lucy W. Kibe, Gerald Kayingo, Katrina M. Schrode, Alicia Klein

Graduate School Faculty Publications

Background

There is a critical need for a diverse pool of academic leaders to increase the number and diversity of the medical workforce. Physician Assistant/Associate (PA) is a growing medical profession. Although the master’s degree is the terminal degree for PAs, a growing number of PAs obtain a variety of doctoral degrees. However, there is no standardized training for academic PA leaders. The purpose of this study was to identify factors associated with PA academic leadership. Specifically, this study explored the following factors: doctoral degree credentials, gender and underrepresented minority status.

Methods

Using the 2019 Physician Assistant Education Association Faculty …


Study Of Arterial Blood Gases In Different Stages Of Chronic Liver Diseases, Moheb W. Elfaizy, Therese S. Ghatas Nov 2022

Study Of Arterial Blood Gases In Different Stages Of Chronic Liver Diseases, Moheb W. Elfaizy, Therese S. Ghatas

Journal of Medicine in Scientific Research

Background Early detection of arterial gas abnormalities and acid–base disturbances in patients with chronic liver disease is essential to improve prognosis on the basis of pulmonary and liver diseases. The aim of the current study was to detect arterial blood gas changes, acid–base disturbances, and prevalence of hepatopulmonary syndrome (HPS) in different classes of severity of chronic hepatic disease for achieving a higher survival rate. Results Patients with hypoxemia represented 38 (33.6%) cases: three (15.7%) of 19 patients in group A, 16 (33.3%) of 48 patients in group B, 12 (34.2%) of 35 patients in group C, and seven (63.6%) …


Short-Term Results Of Off-Pump And On-Pump Aortic Arch Debranching During Type I Hybrid Arch Repair: A Single-Center Experience, Ahmed S. Emara, Hussein A. Zaher, Mahmoud F. El-Safty, Mohamed A. El-Badawy, Mohamed A. El-Hady, Mostafa M. Abdalraouf Nov 2022

Short-Term Results Of Off-Pump And On-Pump Aortic Arch Debranching During Type I Hybrid Arch Repair: A Single-Center Experience, Ahmed S. Emara, Hussein A. Zaher, Mahmoud F. El-Safty, Mohamed A. El-Badawy, Mohamed A. El-Hady, Mostafa M. Abdalraouf

Journal of Medicine in Scientific Research

Background Compared with off-pump surgeries, cardiopulmonary bypass (CPB) is associated with a high systemic inflammatory response and with substantial myocardial injury, especially in high-risk subgroups. Every effort should be exerted to minimize the role of CPB without affecting the safety and outcome. Classically, aortic arch surgeries were done using CPB and deep circulatory arrest together with cerebral brain protection strategies. With the development of endovascular techniques, the role of CPB decreased. Management of aortic arch pathologies carries special needs, specifically rerouting of the great vessels and preparing a landing zone. Objectives To assess the effectiveness and safety of off-pump aortic …


Mitral Valve Repair For Mitral Regurgitation In Pediatrics And Children: Initial Experience, Waleed El-Awady Nov 2022

Mitral Valve Repair For Mitral Regurgitation In Pediatrics And Children: Initial Experience, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction Mitral valve repair in pediatrics has been slow because of the great variety in congenital mitral valve malformations and the still unknown growing effect over the mitral valve. The aim of this study is to evaluate the early and mid-term results in surgical repair of mitral valve regurgitation in pediatrics and children. Patients and methods A total of 16 patients had mitral valve repair for mitral regurgitation (MR) between November 2016 and December 2020 at the National Heart Institute. There were seven (43.75%) males and nine (56.25%) females. The mean age was 7.5 years (5 months and 14 years). …


Fontan Procedure With Extracardiac Conduit In Pediatrics And Children: Short-Term Results, Amal Younan, Hanan Hassan, Waleed El-Awady Nov 2022

Fontan Procedure With Extracardiac Conduit In Pediatrics And Children: Short-Term Results, Amal Younan, Hanan Hassan, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction The concept of Fontan circulation was first clinically introduced in 1971. Technical modifications have been advocated with the concept of total cavopulmonary connection, introduced in the late 80s. Recently, an extracardiac conduit to divert inferior vena cava flow to the pulmonary arteries has been advocated, and it affords excellent palliation for patients with various forms of the anatomic or functional single ventricle. Patients and methods From September 2019 to August 2021, 12 patients (five males and seven females) with a mean age of 10.7 (6–15) years underwent a Fontan procedure with extracardiac conduit at the National Heart Institute. The …


Combined Macular Detachment And Macular Massage In Large Macular Hole, Hazem A. Elnashar Nov 2022

Combined Macular Detachment And Macular Massage In Large Macular Hole, Hazem A. Elnashar

Journal of Medicine in Scientific Research

Background Over the past two decades, the surgical treatment of full-thickness macular holes (MHs) has advanced significantly, with current hole closure rate increasing more than 95%. Aim To assess the visual and anatomical outcomes of combined macular detachment and macular massage techniques for large MHs. Patients and methods The current work involved 12 eyes of 12 patients with large full-thickness idiopathic or traumatic MH. All participants were subjected to full ophthalmic assessment and measurement of best-correctable Snellen visual acuity, intraocular pressure, fundus photograph, and spectral-domain ocular coherence tomography at preoperative and postoperative periods. All surgeries were done by two surgeons …


Relation Of Multimineral-Vitamin D Supplementation And The Risk Of Preeclampsia, Abear El Shabacy, Mohamed A. El-Naggar, Mohamed S. A. Emarah, Osama S. Eltaher, Saher H. Qushwa Nov 2022

Relation Of Multimineral-Vitamin D Supplementation And The Risk Of Preeclampsia, Abear El Shabacy, Mohamed A. El-Naggar, Mohamed S. A. Emarah, Osama S. Eltaher, Saher H. Qushwa

Journal of Medicine in Scientific Research

Background The objective of this study was to determine the favorable effects of multimineral-vitamin D supplementation on pregnancy outcomes among women at risk for preeclampsia. Patients and methods This randomized double-blind controlled clinical trial was conducted among 46 women at risk for preeclampsia at 27 weeks of gestation, with positive roll-over test. Pregnant women were randomly assigned to receive either the multimineral-vitamin D supplements (n = 23) or the placebo (n = 23) for 9 weeks. Multimineral-vitamin D supplements were containing 800 mg calcium, 200 mg magnesium, 8 mg zinc, and 400 IU vitamin D3. Fasting blood samples …


Role Of Vaginal Progesterone On Uterine Artery Doppler Changes In Pregnant Women At Risk Of Preterm Labor, Ahmed A. Badr, Ibrahim M. El-Maghraby Nov 2022

Role Of Vaginal Progesterone On Uterine Artery Doppler Changes In Pregnant Women At Risk Of Preterm Labor, Ahmed A. Badr, Ibrahim M. El-Maghraby

Journal of Medicine in Scientific Research

Background Progesterone is increasingly being used in women at high risk for preterm labor and for maintenance tocolysis. Ultrasound evaluation of uterine in pregnant women in the second trimester of pregnancy can be a predictor of birth complications. Objective To study the effect of vaginal progesterone on uterine by doppler sonography among women in the second and third trimesters of pregnancy who are at risk of preterm labor. Patients and methods A prospective study was carried out on 60 patients attending Obstetrics and Gynecology Department, Menoufia Teaching Hospital, Menoufia, Egypt, during the period from March 2019 to March 2020. The …


C-Reactive Protein In View Of Prognosis In Sepsis, Ashraf A.H Mahmoud Soliman, Raghad S. Abdellatif, Wael A. E. El Hakeem Nov 2022

C-Reactive Protein In View Of Prognosis In Sepsis, Ashraf A.H Mahmoud Soliman, Raghad S. Abdellatif, Wael A. E. El Hakeem

Journal of Medicine in Scientific Research

Introduction Sepsis is the host reaction to invading microbes. The septic response generally occurs when immune defenses fail to contain an invading microbe and may also be induced by microbial exotoxins. C-reactive protein (CRP) is an acute-phase protein in humans and an important component of the innate immune system. CRP activates complement's classical route, which is one of its key strategies for defending the host. Patients and methods This study was conducted on 20 patients with systemic sepsis and admitted to the critical care unit; moreover, 20 healthy participants were studied as a control group. Results Both groups were matched …


The Role Of Sildenafil In Perioperative Management Of Patients With Pulmonary Hypertension Undergoing Lower Limb Vascular Surgery, Ashraf A.H M. Soliman, Wael Abd Elateif El Hakeem Nov 2022

The Role Of Sildenafil In Perioperative Management Of Patients With Pulmonary Hypertension Undergoing Lower Limb Vascular Surgery, Ashraf A.H M. Soliman, Wael Abd Elateif El Hakeem

Journal of Medicine in Scientific Research

Objective To assess the role of sildenafil in perioperative management of patients with pulmonary hypertension undergoing lower limb vascular surgery. Patients and methods Twenty-four patients with pulmonary hypertension presented for lower limb vascular surgery were divided into equal groups, group 1 and group 2, each group having 12 patients. Result As regards demographic data, mean arterial pressure, and heart rate there were no statistically significant differences between both groups. As regards PaO2 measured in arterial blood gases, pulmonary artery pressure, and ejection fraction, there was statistically significant differences between both groups. Conclusion We found that sildenafil has a unique …


Placenta Accreta Index As A Predictor Of Placental Invasion In Cases Of Placenta Previa, Ahmed A. Badr, Ibrahim M. El-Maghraby Nov 2022

Placenta Accreta Index As A Predictor Of Placental Invasion In Cases Of Placenta Previa, Ahmed A. Badr, Ibrahim M. El-Maghraby

Journal of Medicine in Scientific Research

Objective This study aims to evaluate the role of the placenta accreta index in predicting placental invasion in patients with placenta previa. Patients and methods This study was carried on 60 pregnant women with placenta previa (after 30 weeks gestation). They were recruited from the Obstetrics and Gynecology clinic of Menoufia University hospitals and Shebin El Kom Teaching Hospital in the period from January 2019 to December 2020. Results Preterm labor was found in 15 (78.95%) patients in the accreta group and six (14.36%) patients in the nonaccreta group (P = 0.000). Hysterectomy was performed in 14 (73.68%) patients …


Neonatal And Obstetric Risk Factors Are Associated With The Increased Risk Of Neonatal Intracranial Hemorrhage, Manal S. Ramadan, Mennat A. M. El-Barbary, Nada M. Fadel Elsayed Nov 2022

Neonatal And Obstetric Risk Factors Are Associated With The Increased Risk Of Neonatal Intracranial Hemorrhage, Manal S. Ramadan, Mennat A. M. El-Barbary, Nada M. Fadel Elsayed

Journal of Medicine in Scientific Research

Background In newborns, intracranial hemorrhage (ICH) is an acquired lesion with a high risk of morbidity, mortality, and long-term neurodevelopmental outcomes. Despite major improvements in newborn care and greater preterm infant survival in recent decades, ICH remains a serious concern. This study aimed to determine the prevalence of ICH in newborns and the various obstetric and neonatal risk factors linked to ICH development. This case–control study was conducted throughout the period from June 2017 to December 2017. Patients and methods This case–control research involved 240 infants admitted to Cairo University's Obstetrics and Gynecology Hospital's Neonatal Intensive Care Unit (NICU). We …


A Retrospective Study Of Children With Multisystemi Nflammatory Syndrome And Intravenous Immunoglobulin Treatment, Balleda Lokeswari, Kolla Sravani, Thimmapuram Chandrasekhara Reddy Nov 2022

A Retrospective Study Of Children With Multisystemi Nflammatory Syndrome And Intravenous Immunoglobulin Treatment, Balleda Lokeswari, Kolla Sravani, Thimmapuram Chandrasekhara Reddy

Journal of Medicine in Scientific Research

Objectives To compare the outcomes of multisystem inflammatory syndrome in children (MIS-C) associated with severe acute respiratory syndrome coronavirus 2 infection treated with intravenous immunoglobulin (IVIG) and without IVIG. Patients and methods A retrospective observational study was conducted over a period of 2 months. We enrolled all children (1–18 years, both sexes) who presented with coronavirus disease 2019-associated MIS-C (as per WHO definition). The patient classification and treatment were done as per the PGIMER Chandigarh protocol (IVIG along with corticosteroids and aspirin was given in all cases with moderate, severe disease, and Kawasaki disease phenotype). Mild cases did not receive …


Role Of Mri In Evaluation And Characterization Of Neoplastic And Nonneoplastic Cardiac Masses, Ibraheim M. Helmy, Yara M. A. Ziada Nov 2022

Role Of Mri In Evaluation And Characterization Of Neoplastic And Nonneoplastic Cardiac Masses, Ibraheim M. Helmy, Yara M. A. Ziada

Journal of Medicine in Scientific Research

Background The overall frequency of cardiac tumors is quite low, with an estimated cumulative prevalence of 0.002–0.3% at autopsy, however, they represent an important group of cardiovascular abnormalities as the early and accurate diagnosis maybe curative and sometimes avoids unnecessary surgery. Aim and objectives The aim of this study was to evaluate the efficacy of MRI, in diagnosis, evaluation, and characterization of cardiac neoplasms, as identification and differentiation between the cardiac masses are of extreme importance to develop exquisite better therapeutic planning and positive prognostic results. Patients and methods This study is a prospective one that was conducted on 27 …


Immunohistochemical Expression Of Estrogen Receptors, Progesterone Receptors, And Human Epidermal Growth-Factor Receptor 2/Neu In Epithelial Ovarian Tumors, Hanan S. Abdel Hamid, Sherien A. Mohamed, Suzan M. Talaat, Zaineb Y. Mohieldin Nov 2022

Immunohistochemical Expression Of Estrogen Receptors, Progesterone Receptors, And Human Epidermal Growth-Factor Receptor 2/Neu In Epithelial Ovarian Tumors, Hanan S. Abdel Hamid, Sherien A. Mohamed, Suzan M. Talaat, Zaineb Y. Mohieldin

Journal of Medicine in Scientific Research

Background and objectives Epithelial ovarian cancer (OC) is a clinically, morphologically, and molecularly heterogeneous disease. Estrogen receptor (ER) β is highly represented in normal ovarian epithelial cells and benign tumors, but ERα is the main form expressed in OC. ERα-positive OC had a favorable outcome. Progesterone receptor (PR) expression in ovarian tumors is a good prognostic marker associated with longer progression-free survival. Human epidermal growth-factor receptor (HER) 2 expression is associated with a worse prognosis. The aim of the study was to evaluate immunohistochemical (IHC) expression of ER, PR, and HER2/neu in ovarian epithelial tumors and to correlate their expression …