Medicine and Health Sciences Commons^™

Characteristic Clinical Features Of Rheumatic Patients With Covid-19 Infection In Mataria Teaching Hospital, Wael Mahmoud Hossameldin, Wessam Eissa Hamed

Journal of Medicine in Scientific Research

Objective The patients who have rheumatic diseases and have coronavirus disease 2019 (COVID-19) infection, their clinical features have not been reported. This study aims to identify the characteristic clinical features of COVID-19 in patients with rheumatic diseases admitted either inside or outside the ICU and present data to handle these conditions in clinical practice. Patients and methods We conducted a retrospective study, including data about the sex, age, laboratory and radiographic findings, clinical symptoms and signs, ICU admission, and drug history, from 180 patients having COVID-19 infection, and includes 61 patients having in combination of rheumatic diseases, in the period …

Variability Of Clinical Manifestations In Rheumatoid Arthritis Patients With Covid-19 Infection, Soha S. Shaaban, Wessam E. Hamed

Journal of Medicine in Scientific Research

Objective The authors conducted the present retrospective study to assess the epidemiological, clinical, laboratory, and radiological characteristics in coronavirus disease-2019 (COVID-19) associated with rheumatoid arthritis (RA). As known, COVID-19 can cause fatal respiratory infection and may be accompanied with multiorgan affection, including the kidney and heart. The morbidity and mortality may be higher in patients with the immune-deficiency condition. Patients and methods The present study is a retrospective cohort study that retrieved the data of 307 patients with and/or without RA evaluated in Rheumatology Department in Mataria Teaching Hospital, who were previously infected with SARS-CoV-2. Patients' medical record IDs were …

Study Of The Hemodynamic Effect Of Inhaled Milrinone Versus Inhaled Nitroglycerin On Mechanically Ventilated Patients With Pulmonary Hypertension After Mitral Valve Replacement Surgeries, Ahmed K. Abdel Ghany Hassan, Ahmed S. F. Saeed, Paula M. El-Komos Samaan, Sherif S. A. Sultan, Wafaa El-Sayed Ismail Mostafa

Journal of Medicine in Scientific Research

Introduction Pulmonary arterial hypertension (PH) is commonly found in patients with mitral valve diseases. Most of the drugs used for PH treatment are nonselective pulmonary vasodilators that may cause a modest decrease in pulmonary arterial pressure, but they may cause a marked decrease in systemic vascular resistance as well, which leads to hypotension and a decrease in perfusion of vital organs. Inhaled drugs such as milrinone and nitroglycerine may be safer as a large dose of the drug can selectively target the pulmonary circulation, which leads to a reduction of their systemic adverse effects. Aim This double-blind, randomized study compared …

Assessment Of The Clinical Outcomes And Patient Satisfaction When Using Bilateral Radial Artery As Surgical Conduits In Coronary Artery Bypass Grafting, Ashraf Abd-Elaziz, Emmanuel Louka Aziz, Wayel S. Bebawy

Journal of Medicine in Scientific Research

Introduction The need for use of the bilateral radial artery has emerged since we faced patients in our institute with severe uncontrolled diabetes, bilateral leg elephantiasis, and left main disease that needs surgical revascularization. Patients and methods We reviewed the outcomes from our institute with retrospective analysis of prospectively collected clinical data from our local clinical database and identified 30 consecutive patients who underwent coronary artery revascularization requiring the use of bilateral radial harvest. Patient satisfaction was assessed using a quality-of-life questionnaire with the descriptors on a Likert Scale (table A). The patients were followed up both clinically and by …

The Relation Between Coronary Angiographic Findings And Lipoprotein (A) In Patients With Chronic Stable Angina With And Without Xanthelasma, Emmanuel Louka Aziz, Mohamed A. Morsy

Journal of Medicine in Scientific Research

Introduction Atherosclerosis develops in many patients in the absence of classical risk factors. The serum level of lipoprotein [Lp (a)] is of utmost importance in such cases. Many patients with elevated serum level of Lp (a) have xanthelasma with elevated total cholesterol and low-density Lp cholesterol levels. Aim To find the relation between the level of Lp (a) and the severity of coronary artery disease (CAD) in patients with chronic stable angina with and without xanthelasma. Patients and methods The study was carried out on 86 patients in the National Heart Institute. The patients were divided into two groups: group …

Effect Of Pattern-Diode Laser On Central Macular Thickness And Ganglion-Cell Complex After Application In Management Of Clinically Significant Macular Edema, Mohammed S. Ahmed, Rasha G. El-Din Abu-El-Goud

Journal of Medicine in Scientific Research

Background Blindness is the end result of diabetic macular edema (DME). A 577-nm diode laser is the most frequently used one in ophthalmology. This study aimed to assess the effect of grid-diode laser application on the central macular thickness and ganglion-cell complex in management of clinically significant macular edema. Methods This study was performed on 95 eligible eyes. Complete ophthalmologic examination was performed, including best-corrected visual acuity with the use of ETDRS charts, measuring intraocular pressure, using slit lamp for biomicroscopic examination, fluorescein angiography, and fundus examination. Follow-up examinations, with complete ophthalmologic examination, were scheduled at 1 and 3 months …

Coronavirus Disease 2019 And Diabetes Mellitus, Ashraf M. A. Eid, Ehab K. El Melegy, El-Saied A. Shahin, Khaled S. A. Elkelany, Mariam A. Fouad

Journal of Medicine in Scientific Research

Introduction In late 2019, a new virus severe acute respiratory syndrome coronavirus-2, which causes a new serious disease called coronavirus disease 2019 (COVID-19), spread quickly all over the world. Many complications of diabetes mellitus (DM) such as microvascular and macrovascular complications increase the risk for COVID-19-related severity and mortality. Objective To assess the effect of DM on outcome and severity of COVID-19. Patients and methods This work was a retrospective observation that included confirmed COVID-19-infected patients (PCR positive for COVID-19) who were admitted to Shebin El-Kom Teaching Hospital, Menoufia, Egypt, from March 2021 to March 2022. Laboratory investigations such as …

Esophageal Ulcer After Band Ligation Of Esophageal Varices, Ashraf M. A. Eid, El-Saied A. Shahin, Feisal Goda, Mariam A. Fouad

Journal of Medicine in Scientific Research

Introduction Band ligation plays an important role in the management of esophageal varices (EV), but banding ligation carries a risk of band slippage, postbanding esophageal ulcer formation, and postbanding bleeding. Aim The predisposing factors and frequency of esophageal ulcer after banding ligation of EV were assessed. Patients and methods A total of 130 cirrhotic patients with EV were subjected to therapeutic or prophylactic banding ligation, and then the patients were observed for 14 days for detection of incidence of esophageal ulcer bleeding after postbanding ligation. This was a prospective study done to compare the cirrhotic patients without endoscopic variceal ligation …

Effect Of Nesfatin-1 On The Nutritional Status Of Hemodialysis Patients, Ahmed H. M. Elthakaby, Hany Y. Esso, Huda M. Elsayed, Karima Youssef Ahmed, Nagwa Abd El-Ghaffar Mohamed, Ragaa R. Mohamed

Journal of Medicine in Scientific Research

Background Nesfatin-1 is considered an anorexigenic peptide that plays an important role in appetite regulation, weight loss, and malnutrition. Although the cause of anorexia in CKD patients is not totally understood, both anorexia and malnutrition are common presentations of chronic kidney disease (CKD) patients who are susceptible to worse outcomes. Our aim of the work To study the relation of serum nesfatin-1 and its relation to the nutritional status of end-stage renal disease (ESRD), who are maintained on regular hemodialysis. Patients and methods A total of 60 ESRD patients are maintained on regular hemodialysis, and apparently healthy thirty persons (control …

Detection Of Artificial Colors Added To Cooked Faba Beans (Ful Medames) And Microbial Examination For Samples Obtained From Street Vendors In Egypt, El-Sayed M. Hammad, Fardous Soliman, Hanaa Salah, Manal Mohammed, Mohamed Farag, Om H. Ahemad

Journal of Medicine in Scientific Research

Background Cooked dried beans are commonly consumed in many countries and are known in Egypt as Ful medames. Adding synthetic colors to keep the dishes more attractive may have toxic effects on the human body, as it may be unsafe to consume potentially microbial contaminated foods, especially when obtained from street vendors. Aim The aim of this study was to detect the types of artificial colors added to cooked faba bean (Ful medames) by street vendors in Egypt and highlight their health hazards and microbial hazards. Materials and methods A total of 100 convincing samples were collected from street vendors …

Evaluating Antioxidant And Antimicrobial Activities Of Essential Oils Extracted From Six Plants: Caraway, Mint, Onion, Parsley, Fennel, And Watercress, Amro A.E M. El Sayed, Mohamed F. Mohammady, Osama A. A. Rashwan

Journal of Medicine in Scientific Research

Background Essential oils extracted from mint, parsley, caraway, onion, fennel, and watercress contain compounds that have different effects on the growth of some microbial strains. These volatile oils can also be used to flavor some foods and preserve foods to extend their shelf life. Aim To identify the composition of extracted volatile oils and know their effect on the growth of some microbial strains. Materials and methods Commercial samples of six plants (caraway, mint, onion, parsley, fennel, and watercress) were purchased from the local market. Extractions of essential oils from the sample as well as gas chromatography/mass spectrometry analysis were …

Protective Effects Of Antioxidant Vitamins (C Plus E) Against Oxidative Damage Induced By The Insecticide Imidacloprid In Male Rats, Afaf A. Shalaby, Marwa E. Hassan, Mohamed B. Shalaby

Journal of Medicine in Scientific Research

Introduction Imidacloprid (IMC) is a synthetic neonicotinoid insecticide that is used in agriculture against harmful insects. Aim This study aimed to investigate the adverse effects of the IMC formulation on biochemical, hematological parameters, oxidative stress markers, pro-inflammatory cytokines, alpha-fetoprotein (AFP), and testosterone levels in male rats, and to determine the potential protective activity of vitamin C and E against IMC insecticides in rats. Material and methods The rats were divided into four groups. The first group was used as a control. The second, third, and fourth groups received vitamin C (200 mg/kg) plus vitamin E (200 mg/kg), IMC (45 mg/kg), …

Solid Pseudopapillary Epithelial Neoplasm Of The Pancreas: A Case Report, Indu B. Dubey, Sajal Gupta, Shivani Paruthy, Vimal Bhandari

Journal of Medicine in Scientific Research

Solid pseudopapillary epithelial neoplasm (SPEN) of the pancreas is a rare neoplasm of the pancreas accounting for only 0.17–2.7% of all pancreatic neoplasms, often detected initially on imaging. Despite advances in imaging, pseudocysts and other cystic neoplasms feature in the differential diagnosis. We report a case of solid pseudopapillary epithelial neoplasm in a young female who presented with a progressively increasing abdominal lump in whom the diagnosis was considered based on imaging studies. She underwent exploratory laparotomy, pancreaticoduodenectomy, pancreaticojejunostomy, hepaticojejunostomy, gastrojejunostomy, and made an uneventful recovery in the postoperative period. Histopathological examination and immunohistochemistry confirmed the diagnosis. This case highlights …

Effect Of Subliminal Diode-Laser Application In Management Of Central Serous Chorioretinopathy, Mohammed S. Ahmed, Rasha Gamal-El-Din Abu-El-Goud

Journal of Medicine in Scientific Research

Background Due to the possibility of spontaneous remission, invasive treatment in central serous chorioretinopathy (CSCR) is not to be commenced sooner than 3 months after onset of the disease. The aim of this work is to evaluate the effectiveness of subliminal diode-laser (SLDL) therapy for CSCR conducted 3–6 months after diagnosis. Aim The aim of the work is to study the effectiveness of using transfoveal subliminal diode-laser application in treatment of CSCR. Patients and methods The study included CSCR cases that last up to 1–3 months after acute onset of disease. All patients had transfoveal SLDL application and these patients …

Study Of Drug Utilization Pattern In The Gynecology Outpatient Department Of A Rural Tertiary Care Teaching Hospital Of Maharashtra, Bahekar S. Eknath, Lakde P. Suresh, More P. Daulat

Journal of Medicine in Scientific Research

Context Drug utilization studies help medical practitioners and health policy makers to decide an individualized specific drug pattern for a particular disease or disease group. Aims This study was planned to study drug utilization patterns among patients visiting the Gynecology Outpatient Department (OPD) of a rural tertiary care teaching hospital. Settings and design This was a prospective, descriptive, cross-sectional, observational study conducted over 2 months in the gynecology Outpatient Department of a rural tertiary care teaching hospital in Maharashtra state. Patients and methods A total of 200 prescriptions of patients were studied. Various prescribing indicators by WHO were used for …

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

Michigan COVID-19 Hospital Data

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.

Clinical Profile And Outcomes Of Children With Covid-19: A Single-Center Prospective Study, Alok Raina, Pooja Bharti, Preeti Sharma, Sonam Chalotra

Journal of Medicine in Scientific Research

Objective The aim was to study the epidemiology, clinical profile, and outcomes of children with coronavirus disease-2019 (COVID-19) admitted in our hospital. Methods This prospective study was conducted at the tertiary care dedicated hospital of COVID-19 in North India between April 1, 2021 and June 30, 2021. A total of 36 children less than or equal to 18 years of age who tested positive for SARS-CoV-2 by RT-PCR from nasopharyngeal swab were enrolled. The details pertaining to age, sex, clinical symptoms, severity of the disease, radiography abnormalities, and laboratory investigations were recorded. The outcomes were mortality, discharged patients, and complications. …

A Study To Assess Dietary Pattern Among School-Going Adolescents Of Central India, Daneshwar Singh, Mahesh Gupta, Preeti Gupta, Shruti Gupta, Soumitra Sethia

Journal of Medicine in Scientific Research

Background In India, adolescents constitute 21.4% that is one-fifth of the total population and world adolescents' (10–19 years) population is more than 1.2 billion. The trend of consumption of fast food increases worldwide, and in India, fast food production and consumption is very high. The popularity of these food is because of easy preparation and more convenient to finish the meal in less time. Great taste, attractive packaging, and advertisement play a very important role in promotion of such food adolescents. Adolescents also develop the various problems related to health because of less nutritious diet, such as Chinese food, junk …

Efficacy Of Bilateral Erector Spinae Block For Postoperative Pain Control In Patients Of Lumbar Spine Fusion Surgery, Amr A. Soliman, Sameh Mahmoud Saleh

Journal of Medicine in Scientific Research

Background Controlling postoperative pain after posterior lumbar spine surgeries is necessary to achieve patient satisfaction and good outcome after successful surgical intervention. Preoperative erector spinae block (ESB) technique is considered a recently evolved tool to achieve these goals. Purpose The aim of this study was to evaluate the efficacy of the bilateral ESB technique in pain management after lumbar spinal fusion surgery for degenerative spine diseases. Patients and methods Patients who underwent lumbar spinal fusion surgery for degenerative pathologies in 2019and 2020 were enrolled in the study. The patients were assessed according to pain score experienced postoperatively at different times …

A Comparative Study Between Mini Versus Full Sternotomy Aortic Valve Replacement, Ahmed S. Ali, Khaled N. Leon, Reham M.S Eldin Ahmed

Journal of Medicine in Scientific Research

Background Aortic valve replacement for treatment of aortic valve diseases is quite common. Minimally invasive procedures have gained a lot of popularity in recent years with the claimed better early postoperative outcomes in comparison with conventional techniques. Objective The aim was to compare early postoperative outcomes after ministernotomy versus conventional median sternotomy aortic valve replacement. Patients and methods The authors prospectively studied 60 patients who underwent aortic valve replacement surgery at the National Heart Institute between the period of May 2020 and July 2021. A total of 30 patients had aortic valve replacement via upper ministernotomy approach, whereas the other …

Blackcurrants Reduce The Risk Of Postmenopausal Osteoporosis: A Pilot Double-Blind, Randomized, Placebo-Controlled Clinical Trial., Briana M Nosal, Junichi R Sakaki, Zachary Macdonald, Kyle Mahoney, Kijoon Kim, Matthew Madore, Staci Thornton, Thi Dong Binh Tran, George M. Weinstock, Elaine Choung-Hee Lee, Ock K Chun

Faculty Research 2022

Beneficial effects of blackcurrant supplementation on bone metabolism in mice has recently been demonstrated, but no studies are available in humans. The current study aimed to examine the dose-dependent effects of blackcurrant in preventing bone loss and the underlying mechanisms of action in adult women. Forty peri- and early postmenopausal women were randomly assigned into one of three treatment groups for 6 months: (1) a placebo (control group, n = 13); (2) 392 mg/day of blackcurrant powder (low blackcurrant, BC, group, n = 16); and (3) 784 mg/day of blackcurrant powder (high BC group, n = 11). The significance of …

Neurological And Musculoskeletal Manifestations Of Coronavirus Disease 2019: A Retrospective Study, Abeer H. Ismaiel, Wael M. El-Din Eldarandaly

Journal of Medicine in Scientific Research

Objective To study neurological and musculoskeletal (MSK) manifestations in coronavirus disease 2019 (COVID-19) patients with comorbidities compared with those without and study their association with COVID-19 disease severity. Materials and methods This is an observational, retrospective study. The data were collected from the first of January 2021 till the March 30, 2021, from electronic medical records in the ward and ICU of Mataria Teaching Hospital, and included 277 hospitalized COVID patients with examination and investigations confirming diagnosis of COVID-19 patients according to WHO interim guidance. The patients were presented with neurological and MSK manifestations. Neurological manifestations had presented in three …

Speech-Language Pathologists’ Treatment Goals For Preschool Language Disorders: An Icf Analysis, Elaine Yl Kwok, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a comprehensive framework to conceptualise clinical services. This study explored how speech-language pathologists (SLPs) conceptualised therapy goals for preschoolers with language difficulties and disorders within the ICF framework.Method: An online survey was distributed to SLPs practising in a publicly funded Preschool Speech and Language program in Ontario, Canada. SLPs rated their familiarity with the ICF framework, and then reported all therapy goals for one child with language difficulty/disorder on their caseload. For each reported goal, SLPs indicated the ICF component(s) they felt the …

Pandemic Fatigue Impedes Mitigation Of Covid-19 In Hong Kong, Zhanwei Du, Lin Wang, Songwei Shan, Dickson Lam, Tim K. Tsang, Jingyi Xiao, Huizhi Gao, Bingyi Yang, Sheikh Taslim Ali, Sen Pei, Isaac Chun-Hai Fung, Eric H. Y. Lau, Qiuyan Liao, Peng Wu, Lauren Ancel Meyers, Gabriel M. Leung, Benjamin Cowling

Biostatistics, Epidemiology & Environmental Health Sciences: Faculty Publications

Hong Kong has implemented stringent public health and social measures (PHSMs) to curb each of the four COVID-19 epidemic waves since January 2020. The third wave between July and September 2020 was brought under control within 2 m, while the fourth wave starting from the end of October 2020 has taken longer to bring under control and lasted at least 5 mo. Here, we report the pandemic fatigue as one of the potential reasons for the reduced impact of PHSMs on transmission in the fourth wave. We contacted either 500 or 1,000 local residents through weekly random-digit dialing of landlines …

Oral Health Of Completely Edentulous Patients During The Covid-19 Pandemic And Its Impact On Their Nutritional Status: A Pilot Study, Hayat Jaber, Elissa Haddad, Carole Abi Ghosn Yared, Jihad Fakhouri, Nada El Osta

International Arab Journal of Dentistry

The COVID-19 pandemic, declared by the WHO on May 2020, has forced governments around the world to adapt several restrictive measures causing difficulties of access to oral healthcare. In Lebanon, a lack of data on these difficulties and their consequences for completely edentulous people prompted the realization of a pilot study evaluating the impact of this pandemic on access to oral healthcare and on the oral health status, oral health-related quality of life (OHRQoL), and nutritional status of these individuals. The study was conducted at the Removable Prosthodontics Department of the Faculty of Dentistry at Saint-Joseph University of Beirut through …

Therapeutic Management Of A Case Of Chronic Myofacial Pain, Anissa Abdelkoui, Jihane Elaoud, Ahmed Abdedine, Nadia Merzouk

International Arab Journal of Dentistry

Myofacial pain is a common form of temporomandibular disorders. It is manifested by a sensory, motor and autonomous symptoms caused by trigger points. These pains can significantly affect patients’ quality of life, when they persist. Several etiological factors have been implicated in the genesis of the myofacial pain: muscle overload, emotional tension, harmful postural habits, fatigue, and hypovitaminosis... The diagnosis of myofacial pain is based on a pertinent history and clinical examination. Several therapeutic options alone or in combination have proven their effectiveness. This article aims, through a clinical case, to focus on myofacial pain, possible therapeutics, by focusing on …

Molecular Insights And Clinical Outcomes Of Drugs Of Abuse Adulteration: New Trends And New Psychoactive Substances, Annagiulia Di Trana, Diletta Berardinelli, Eva Montanari, Paolo Berretta, Giuseppe Basile, Marilyn A. Huestis, Francesco Paolo Busardò

Institute of Emerging Health Professions Faculty Papers

Adulteration is a well-known practice of drug manufacturers at different stages of drug production. The intentional addition of active ingredients to adulterate the primary drug may enhance or mask pharmacological effects or may produce more potent drugs to increase the number of available doses and the dealer's profit. Adulterants found in different drugs change over time in response to different factors. A systematic literature search in PubMed and Scopus databases and official international organizations' websites according to PRISMA guidelines was performed. A total of 724 studies were initially screened, with 145 articles from PubMed and 462 from Scopus excluded according …

The Glycemic, Cholesterol, And Weight Effects Of L-Carnitine In Diabetes: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials, Jennifer Ko, Eva Y. Wong, Huyentran N. Tran, Rebecca J.C. Tran, Diana X. Cao

Pharmacy Faculty Articles and Research

Introduction

L-carnitine possibly impacts insulin sensitivity and glucose metabolism. However, its therapeutic role in diabetes is poorly understood.

Methods

A systematic review and meta-analysis were conducted using PubMed, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) from inception through June 30, 2021. Included studies evaluated the use of L-carnitine in diabetes on fasting blood glucose (FBG), hemoglobin A1c (HbA1c), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), weight, or body mass index (BMI). Weighted mean difference (WMD) and 95% confidence intervals (CI) were calculated using the DerSimonian and Laird random-effects model.

Results

Seventeen studies …

Factors Influencing The Decision To Initiate Orthodontic Treatment And The Choice Of Appliance Type In A Lebanese Sample During The Covid-19 Pandemic And The Economic Crisis. A Cross-Sectional Study., Liliane Alameh, Elie Khoury, Elie Amm

International Arab Journal of Dentistry

Background: The spread of Coronavirus Disease 2019 (COVID-19) has led to a major public health issue. This study aimed to assess the factors that influence the Lebanese people in undergoing an orthodontic treatment after the outbreak of COVID-19, as well as the factors that influence their choice of orthodontic appliance type. Methods: 489 Lebanese participants (199 men and 290 women) were invited to fill a questionnaire developed on Google Forms. Eligible participants were simply Lebanese people including those who immigrated during the crisis. Dentists, dental students and foreigners were excluded from the study. The link for the questionnaire was sent …

Prosthetic Management Of Interruptive Mandibular Defects, Saloua Hamzaoui, Mohamed Azhari, Hasnaa Rokhssi, Majid Sakout, Oussama Bentahar

International Arab Journal of Dentistry

Mandibular substance loss is one of the most frequent acquired defects of the maxillofacial mass. Several etiologies have been described, the most frequent of which are tumours and traumas. The most commonly used prosthetic classification takes into consideration the bone continuity of the mandible, thus there are marginal defect mandibular substance preserving bone continuity and segmental defect with basal bone discontinuity. These bone defects lead to numerous functional complications (loss the dental occlusion, decreased chewing efficiency, lack of stalling during swallowing, phonatory disorder related to the change in the buccal resonance cavity) and aesthetic complications (facial asymmetry due to lateral …