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Full-Text Articles in Medical Specialties

The Role Of Postoperative Imaging In Cochlear Implants, Essam F. Mohammed Dec 2021

The Role Of Postoperative Imaging In Cochlear Implants, Essam F. Mohammed

Journal of Medicine in Scientific Research

Objective The aim was to evaluate the role and efficacy of high-resolution computed tomography (CT) scan after cochlear implantation in evaluating the integrity and insertion of the electrode, whether complete or incomplete, whether intracochlear or extracochlear, and whether to change the decision for revision or not. Sitting The study was conducted at the Hearing and Speech Institute. Patients and methods All the patients 300 cases undergo CT scan radiology within one week postoeratively and reevaluated for electrode insertion. Complete, incomplete, or over insertion. intracochlear or extracchlear. Results This study was carried out on 312 cases from January 2019 to December …


Patient–Valve Mismatch: A Comparison Of Mechanical Versus Biological Prostheses In Ischemic Mitral Patients Undergoing Chordal-Sparing Mitral Valve Replacement, Ahmed S. Ali, Rania D.E A. Shokka, Rasha H. Mohammed Dec 2021

Patient–Valve Mismatch: A Comparison Of Mechanical Versus Biological Prostheses In Ischemic Mitral Patients Undergoing Chordal-Sparing Mitral Valve Replacement, Ahmed S. Ali, Rania D.E A. Shokka, Rasha H. Mohammed

Journal of Medicine in Scientific Research

Background Chordal-sparing mitral valve replacement (MVR) is now preferred over downsized annuloplasty repair in treating chronic severe ischemic mitral regurgitation. However, total leaflet preservation carries the risk of patient–valve mismatch (PVM). The authors aimed to investigate the incidence of PVM among those groups of patients who were treated with either mechanical or biological MVR. Objective This study aimed to compare the incidence of PVM in ischemic mitral regurgitation patients undergoing total revascularization together with chordal-sparing MVR with either biological or mechanical prosthesis. Patients and methods A controlled prospective study was carried out at the National Heart Institute Cairo, Egypt. 50 …


Association Among Insulin Receptor Substrate1 Genetic Polymorphism, Sulfonylurea Therapeutic Efficacy, And Insulin Resistance In Patients With Type 2 Diabetes Mellitus, Ayat I. Ghanem, Ghada A. Omar, Wafaa S. Hegab Sep 2021

Association Among Insulin Receptor Substrate1 Genetic Polymorphism, Sulfonylurea Therapeutic Efficacy, And Insulin Resistance In Patients With Type 2 Diabetes Mellitus, Ayat I. Ghanem, Ghada A. Omar, Wafaa S. Hegab

Journal of Medicine in Scientific Research

Background Insulin receptor substrate-1 gene (IRS-1) is an endogenous substrate of the insulin receptor present in insulin-sensitive tissues, allowing insulin signaling to take place. The IRS-1, rs1801278 gene with Gly972Arg substitution polymorphism is one of the most commonly studied variants in relation with type 2 diabetes mellitus (T2DM). Objective The objective of this study was to detect the genetic association of the IRS-1, rs1801278 gene polymorphism with secondary sulfonylurea (SU) failure and insulin resistance (IR) in T2DM in Egyptian patients. Patients and methods A total of 81 T2DM Egyptian patients (49 nonresponders and 32 responders to SU) were recruited. Genotyping …


Effect And Long-Term Outcome Of Hemithyroidectomy For Patients With Low-Risk Papillary Thyroid Carcinoma, Ahmed M. Sharaky, Amr Abu Ella, Ihab Matar Sep 2021

Effect And Long-Term Outcome Of Hemithyroidectomy For Patients With Low-Risk Papillary Thyroid Carcinoma, Ahmed M. Sharaky, Amr Abu Ella, Ihab Matar

Journal of Medicine in Scientific Research

Background Although the incidence of papillary thyroid carcinoma (PTC) has increased during the recent years, most of the PTCs are slow growing and considered as low-risk tumors with an excellent prognosis. This observed increase in small tumors leads to many controversies regarding the optimal surgical approach, and the extent of surgery for low-risk PTC is still the subject of debate. Recently, there is a trend toward utilizing a less-aggressive surgical approach, including the option of hemithyroidectomy for small PTCs up to 4 cm. Patients and methods This study included 60 patients with a proven diagnosis of PTC. According to the …


Vacuum-Assisted Closure Therapy Modality Of Treatment For Ulcers In Lymphedema Patients, Ihab Nabil Amin Hanna Sep 2021

Vacuum-Assisted Closure Therapy Modality Of Treatment For Ulcers In Lymphedema Patients, Ihab Nabil Amin Hanna

Journal of Medicine in Scientific Research

Background Lymphedema in the presence of ulcers and lymphorrhea inducing cellulitis hinders the quality of life and mobility of the patients, and might continue inducing severe infection that might result in life-threatening infection, both bacterial and fungal. Since the negative-pressure wound therapy is a recognized modality of wound healings in such a context as lymphedema, it might induce a remarkable withdrawal and decrease in lymphorrhea and lymph fluid, resulting in a decrease of girth and heaviness of the limb, thus improving the quality of life. Also, it helps in promoting wound healing of the ulcers by improving the blood supply …


Diagnostic Accuracy Of Neutrophil Gelatinase-Associated Lipocalin As A Predictor Of Chronic Kidney Disease, Ahmed H. Elthakaby, Azza Ali I. Elmenyawi Sep 2021

Diagnostic Accuracy Of Neutrophil Gelatinase-Associated Lipocalin As A Predictor Of Chronic Kidney Disease, Ahmed H. Elthakaby, Azza Ali I. Elmenyawi

Journal of Medicine in Scientific Research

Introduction Chronic kidney disease (CKD) is a major threat to public health problem, in terms of prevalence of disease, cost of treatment, and the comorbidities involved. To screen out the severe disease earlier and more accurately, estimated glomerular filtration rate (eGFR) and albuminuria are still regarded as the ideal markers of kidney function. Neutrophil gelatinase-associated lipocalin (NGAL) is a new biomarker for detecting early kidney damage. The aim of the study was to assess diagnostic significance of NGAL in early stages of CKD among patients. Patients and methods We measured urinary neutrophil gelatinase-associated lipocalin (uNGAL) and serum neutrophil gelatinase-associated lipocalin …


Evaluation Of Noninvasive Methods For Diagnosis Of Cholestasis In Infancy, Ashraf M. Ayad, Hala Abdelal, Hasan Khalaf, Mohamed F. Alsoda Sep 2021

Evaluation Of Noninvasive Methods For Diagnosis Of Cholestasis In Infancy, Ashraf M. Ayad, Hala Abdelal, Hasan Khalaf, Mohamed F. Alsoda

Journal of Medicine in Scientific Research

Background Cholestatic liver disease constitutes a large percentage of chronic liver diseases during infancy. Cholestasis is defined as interference with bile formation or flow owing to pathology anywhere between the hepatocyte and the ampulla of Vater. Aim To evaluate the different modalities used for diagnosing cholestasis in infants in Damanhour Medical National Institute (DMNI) to find out the sensitivity and the predictive values of each modality in defining the cause of cholestatic jaundice, whether surgical or medical. Patients and methods This study was a retrospective one which included 153 infants who were referred with cholestasis in first year of life …


Evaluation Of Vitamin D Status In Children With Cerebral Palsy, Mai M. Kamel, Mohamed F. Alsoda, Omnia S. Ali Sep 2021

Evaluation Of Vitamin D Status In Children With Cerebral Palsy, Mai M. Kamel, Mohamed F. Alsoda, Omnia S. Ali

Journal of Medicine in Scientific Research

Objective The current study was conducted to evaluate vitamin D status in children with cerebral palsy (CP) and its relations with associated risk factors. Patients and methods The present research included 50 children with CP of both sexes compared with a control group of 20 healthy children with matched age and sex. Serum 25-hydroxyvitamin D, serum calcium, and phosphorus were measured and compared in cases and controls. The Gross Motor Function Classification System (GMFCS) was recorded, and children with GMFCS level I–III were considered ambulatory, whereas children with level IV–V were considered nonambulatory. Results Median (interquartile range) serum vitamin D …


Comparison Between The Effect Of Single-Dose Radial Extracorporeal Shock Wave And Local Corticosteroid Injection In Treatment Of Patients With Carpal Tunnel Syndrome, Abeer H. Ismaiel, Lamis S. Ahmed, Nahed H. Taha Sep 2021

Comparison Between The Effect Of Single-Dose Radial Extracorporeal Shock Wave And Local Corticosteroid Injection In Treatment Of Patients With Carpal Tunnel Syndrome, Abeer H. Ismaiel, Lamis S. Ahmed, Nahed H. Taha

Journal of Medicine in Scientific Research

Objective To evaluate the efficacy of radial extracorporeal shock wave therapy (rESWT) compared with local corticosteroid injection (LCsI) in reducing pain and improving the function of patients with mild and moderate carpal tunnel syndrome (CTS) over 6 months. Patients and methods We studied 40 patients with mild and moderate CTS, where 20 patients received single-dose rESWT and the second group was treated with LCsI. Both groups had been assessed at baseline and at 1, 3, and 6 months after treatment using Boston self-assessment questionnaire (BQ) and visual analog scale (VAS) and at baseline and after 3 months using neurophysiological studies. …


Interrupted Course Of Antitumor Necrosis Factor Alpha Therapy Versus Combined Nonsteroidal Anti-Inflammatory Drug Therapy And Physiotherapy In Patients With Ankylosing Spondylitis: A Comparative Study, Sherry K. Abdelrahman, Taghreed F. M. Mostafa Sep 2021

Interrupted Course Of Antitumor Necrosis Factor Alpha Therapy Versus Combined Nonsteroidal Anti-Inflammatory Drug Therapy And Physiotherapy In Patients With Ankylosing Spondylitis: A Comparative Study, Sherry K. Abdelrahman, Taghreed F. M. Mostafa

Journal of Medicine in Scientific Research

Aim The aim was to evaluate the efficacy of interrupted course of antitumor necrosis factor alpha (TNF-α) blocking agents (etanercept and adalimumab) as 3-month-on-and-3-month-off regimen versus combined regimen of physiotherapy and NSAIDs in patients with ankylosing spondylitis (AS) within a 2-year period. Patients and methods A total of 60 patients who fulfilled the Modified New York Criteria for AS were enrolled in the current study and divided into two equal groups: one received interrupted course of anti-TNFα agents and one received NSAIDs plus physiotherapy. Both groups were subjected to follow-ups at 6, 12, 18, and 24 months. To assess the …


Waardenburg Syndrome As A Challenging Experience In Pediatric Cochlear Implantation, Ihab K. S. Abdelmalak, Iman Elrouby, Salwa Mahmoud Sep 2021

Waardenburg Syndrome As A Challenging Experience In Pediatric Cochlear Implantation, Ihab K. S. Abdelmalak, Iman Elrouby, Salwa Mahmoud

Journal of Medicine in Scientific Research

Background Waardenburg syndrome (WS) is a major cause of symptomatic sensorineural hearing loss, which accounts for 2–5% of patients with congenital hearing loss. Cochlear implantation (CI) has shown improvement in auditory perception and language skills of syndromic sensorineural hearing-impaired children and is now accepted as a gold standard treatment. Aim The aim of the present study was to evaluate the outcome of CI in cases with WS and to compare the results with nonsyndromic CI cases. Participants and methods A total of 268 children of less than 7 years of age underwent CI in the National Hearing and Speech Institute, …


The Role Of Optical Coherence Tomography Angiography In Diagnosis Of Central Serous Chorioretinopathy, Alaa Atia, Ghada Samir, Hussam E. O Elrashidy Sep 2021

The Role Of Optical Coherence Tomography Angiography In Diagnosis Of Central Serous Chorioretinopathy, Alaa Atia, Ghada Samir, Hussam E. O Elrashidy

Journal of Medicine in Scientific Research

Purpose To detect the findings of optical coherence tomography angiography (OCTA) in eyes with central serous chorioretinopathy (CSCR), in comparison with conventional multimodal imaging. Patients and methods In the current case series, 80 eyes of 80 patients were diagnosed to have CSCR, and they underwent spectral domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), and OCTA. OCTA images are performed at two main depth intervals: automatically segmented outer retina and automatically segmented choriocapillaris. Results In 40 of 80 eyes, OCTA images showed detached retina adjacent to the leakage point, compared with 40 of 80 eyes using FA, and 80 of …


Prospective Changes In The Retinal Nerve Fiber Layer And The Ganglion Cell Layer Prepan And Postpan Retinal Photocoagulation With Argon Laser In The Management Of Diabetic Retinopathy Patients, Mohammed S. Ahmed Sep 2021

Prospective Changes In The Retinal Nerve Fiber Layer And The Ganglion Cell Layer Prepan And Postpan Retinal Photocoagulation With Argon Laser In The Management Of Diabetic Retinopathy Patients, Mohammed S. Ahmed

Journal of Medicine in Scientific Research

Introduction Diabetic retinopathy (DR) is the primary retinal vascular complication of diabetes mellitus and is a leading cause of vision impairment and blindness. Argon laser is a common laser that is used for DR treatment. This study was carried out aiming to assess the effect of DR on the retinal nerve fiber layer (RNFL) thickness prepan and postpan retinal photocoagulation (PRP). Patients and methods This study was carried out on 100 eligible eyes in 62 consecutive patients. The authors performed a complete ophthalmologic examination, including best-corrected visual acuity using the early treatment diabetes retinopathy analysis charts, intraocular pressure measurement, slit-lamp …


Comparative Study Between The Visual Outcome Of Phacoemulsification And Small Incision Cataract Surgery, Mohammed S. Ahmed Sep 2021

Comparative Study Between The Visual Outcome Of Phacoemulsification And Small Incision Cataract Surgery, Mohammed S. Ahmed

Journal of Medicine in Scientific Research

Introduction Cataract is still one of the most common causes of visual impairment worldwide. Phacoemulsification is the primary method for cataract surgery in developed countries. However, it is associated with high cost and small incision cataract surgery (SICS), which has become an alternative surgery for phacoemulsification, mostly in developing countries. Patients and methods This study was carried out aiming to compare the effectiveness [postoperative visual acuity (VA)] of phacoemulsification versus SICS. Four hundred and fifty cataract patients, allocated into two groups with no statistically significant differences in their basic characteristics, were included in the current study. Patients in the first …


Is The Full Sternotomy In Cardiac Surgery Still The Preferred Approach?, Ahmed Zayed, Mohamed Makram, Tamer El Banna Sep 2021

Is The Full Sternotomy In Cardiac Surgery Still The Preferred Approach?, Ahmed Zayed, Mohamed Makram, Tamer El Banna

Journal of Medicine in Scientific Research

Background There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and possibilities of such techniques and debated whether it would become the standard procedure. Patients and methods Since February 2013 till June 2019, 696 patients underwent variations of cardiac surgery procedures; of them, 456 patients underwent thoracoscopic minimally invasive mitral and tricuspid valve surgery; 65 patients underwent double valve replacement, and of them, 17 underwent concomitant tricuspid valve repair through upper mini-sternotomy; 88 patients underwent aortic valve replacement through upper mini-sternotomy; five cases underwent Bentall procedure through upper mini-sternotomy; five …


Upper Mini-Sternotomy Versus Right Mini-Thoracotomy Approach In Mitral Valve Surgery, Mohamed Zayed, Mohamed Makram, Mohamed Ramadan, Mohamed A. Metwally, Tamer El Banna Sep 2021

Upper Mini-Sternotomy Versus Right Mini-Thoracotomy Approach In Mitral Valve Surgery, Mohamed Zayed, Mohamed Makram, Mohamed Ramadan, Mohamed A. Metwally, Tamer El Banna

Journal of Medicine in Scientific Research

Background: Full median sternotomy has been a standard surgical approach for heart surgery for more than 50 years. Several advantages increasing the use of less invasive approaches to the mitral valve surgery including, cosmetic, blood product use, respiratory, and pain advantages over conventional surgery. Parasternal incision, right mini-thoracotomy and partial sternotomy are described approaches for less invasive cardiac surgery. Objective: Comparing the less invasive approaches via upper partial sternotomy vs right mini-thoracotomy in mitral valve surgery. Methods: Sixty patients, underwent mitral valve surgery in NHI, were enrolled in this study and divided into two equal groups, and randomly assigned into …


Comparison Between Femoral Access Versus Radial Access In Primary Percutaneous Coronary Interventions, Ahmed K. A. G. Hassan Sep 2021

Comparison Between Femoral Access Versus Radial Access In Primary Percutaneous Coronary Interventions, Ahmed K. A. G. Hassan

Journal of Medicine in Scientific Research

Introduction The femoral approach for coronary angiography and angioplasty is used by most interventional cardiologists in both elective and primary Percutaneous coronary intervention (PCI) procedures. The use of transradial access has been increasing worldwide as it has fewer access site complications. Aim In this study, the author compared femoral versus radial approaches in patients with acute myocardial infarction undergoing primary angioplasty. Patients and Methods The study population consisted of 100 patients who presented to the author's center with acute ST-segment elevation myocardial infarction. The author divided the study population into two groups: group A that consisted of 50 patients in …


Battling Against The Twin Pandemic Of Covid-19 And Hiv Infection: World Health Organization, Prateek Saurabh Shrivastava, Saurabh Rambiharilal Shrivastava Sep 2021

Battling Against The Twin Pandemic Of Covid-19 And Hiv Infection: World Health Organization, Prateek Saurabh Shrivastava, Saurabh Rambiharilal Shrivastava

Journal of Medicine in Scientific Research

Human immunodeficiency virus (HIV) infection continues to remain one of the most significant public health concerns at the global level. The emergence of coronavirus disease-2019 (COVID-19) pandemic has significantly impacted the access to HIV testing, treatment and care facilities. There has been a gradual decline in the number of newly diagnosed people who are started on ART and some of them have also been forced to discontinue their ongoing treatment. It is the need of the hour to continue the delivery of the essential services and this calls for the need to strengthen primary health care and overall health care …


Risk Factors Associated With Length Of Hospital Stay In Children And Adolescents With Coronavirus Disease 2019 In Egypt, Abdelrhman K. Z. Darwish, Ahmed Arafa, Ahmed Heiba, Basem Eysa, Dalia Omran, Mahmoud Khalil, Mohamed Rabea, Mohamed Al Sodag, Mohamed Hassany, Muhammad A. Ghaffar, Shimaa Afify Sep 2021

Risk Factors Associated With Length Of Hospital Stay In Children And Adolescents With Coronavirus Disease 2019 In Egypt, Abdelrhman K. Z. Darwish, Ahmed Arafa, Ahmed Heiba, Basem Eysa, Dalia Omran, Mahmoud Khalil, Mohamed Rabea, Mohamed Al Sodag, Mohamed Hassany, Muhammad A. Ghaffar, Shimaa Afify

Journal of Medicine in Scientific Research

Background With the growing incidence of children with coronavirus disease 2019 (COVID-19), the hospitalization rate in this age category has been increasing. This study aimed to assess the length of hospital stay (LOS) among children with COVID-19 and examine potential risk factors. Patients and methods We retrospectively collected data on 50 consecutive children and adolescents with mild to moderate COVID-19 who were discharged after treatment from one hospital in Egypt during July 2020. Betas (Bs) and their 95% confidence intervals (CIs) for the association of patients' sociodemographic and clinical characteristics with their LOS were computed using unadjusted and …


Normal Versus Half-Normal Saline In The Treatment Of Children With Diabetic Ketoacidosis, Amal G. Mohamed, Nada M. F. Elsayed, Raya A. M. Saleh, Sally R. Eid May 2021

Normal Versus Half-Normal Saline In The Treatment Of Children With Diabetic Ketoacidosis, Amal G. Mohamed, Nada M. F. Elsayed, Raya A. M. Saleh, Sally R. Eid

Journal of Medicine in Scientific Research

Objective This study aims to determine the effect of 0.9% saline (NS) versus 0.45% saline (half NS) on blood pressure and serum electrolytes in children with diabetic ketoacidosis. Patients and methods This is a cross-sectional prospective comparative study carried out on 105 patients (1–18 years) from those admitted to the pediatric ICU of Al-Zahraa University Hospital from March 2017 to August 2019. Cases were divided into three groups (35 in each group). Group I patients received a shock, deficit, and maintenance therapy with NS. Group II patients received a shock therapy NS along with deficit and maintenance therapy with half …


Postoperative Astigmatism After Small-Incision Cataract Surgery With Sclera Tunnel Suturing And Without Scleral Tunnel Suturing: A Comparative Study, Mohammed S. Ahmed May 2021

Postoperative Astigmatism After Small-Incision Cataract Surgery With Sclera Tunnel Suturing And Without Scleral Tunnel Suturing: A Comparative Study, Mohammed S. Ahmed

Journal of Medicine in Scientific Research

Background and aim Cataract represents a significant socioeconomic burden and a public health concern, as it is the leading cause of blindness worldwide. Small-incision cataract surgery (SICS) is one of the cataract surgical techniques commonly used in developing countries. There have been many improvements and changes in SICS's technique since its development, including changes in the site and size of the incision. Patients and methods This study was conducted aiming to study postoperative astigmatism after SICS with or without scleral tunnel suturing. This study was performed on 100 eligible eyes in 59 consecutive patients. Identical surgical methods were used in …


A Case Of Positive Covid-19-Infected Patient With Retinal Detachment And A Large Macular Hole: A Case Report, Mohammed S. Ahmed May 2021

A Case Of Positive Covid-19-Infected Patient With Retinal Detachment And A Large Macular Hole: A Case Report, Mohammed S. Ahmed

Journal of Medicine in Scientific Research

Retinal detachment (RD) associated with macular hole accounts for 0.5% of RD. Here, we describe a rare case of RD and a large macular hole in a patient tested positive for COVID-19 in Sohag Teaching Hospital, Sohag, Egypt.


Using Methylene Blue Spray Intraoperatively To Perform Safe Thyroidectomy, Abdelrahman K. Abdelrahman, Esayed Elmokadem, Ihab Matar May 2021

Using Methylene Blue Spray Intraoperatively To Perform Safe Thyroidectomy, Abdelrahman K. Abdelrahman, Esayed Elmokadem, Ihab Matar

Journal of Medicine in Scientific Research

Background Recurrent laryngeal nerve (RLN) injury and hypoparathyroidism are serious complications following thyroidectomy. Minimizing these complications is important to avoid a destructive life-long handicap. Aim Our goal was to decrease the incidence of intraoperative mishaps by spraying methylene blue dye on thyroid tissue and the tissues nearby. Patients and methods This is a prospective study that included 90 patients who underwent primary thyroid surgery for various thyroid diseases, with total thyroidectomy done in all. The patients were divided into two groups: methylene blue group included 45 patients who underwent surgery using methylene blue technique, and conventional group included 45 patients …


The Efficacy And Safety Of Ombitasvir/Paritaprevir/Ritonavir Plus Ribavirin In Hepatitis C Virus-Infected Patients With End-Stage Renal Disease On Regular Hemodialysis, Dalia Omran, Enass El Sayed, Muhammad M. A. Ghaffar May 2021

The Efficacy And Safety Of Ombitasvir/Paritaprevir/Ritonavir Plus Ribavirin In Hepatitis C Virus-Infected Patients With End-Stage Renal Disease On Regular Hemodialysis, Dalia Omran, Enass El Sayed, Muhammad M. A. Ghaffar

Journal of Medicine in Scientific Research

Background and aim Infection with hepatitis C virus (HCV) is an important cause of mortality and morbidity in patients with end-stage renal disease. Direct-acting antiviral drugs allow for the treatment of this group of patients. The current research aims to assess the efficacy and safety of ombitasvir/paritaprevir/ritonavir (OBV/PTV/RTV) combination therapy plus ribavirin in the treatment of HCV-infected Egyptian patients with chronic kidney disease stage V on regular hemodialysis. Patients and methods A total of 70 patients with chronic kidney disease stage V on regular hemodialysis with HCV infection were enrolled in this prospective cohort study, where 37 patients (group A) …


Evaluation Of Tissue Doppler Echocardiography In The Assessment Of Ventricular Function In Asthmatic Children, Amal G. Mohamed, Nada M. F. Elsayed, Safaa A. Mohammed, Sally R. Eid May 2021

Evaluation Of Tissue Doppler Echocardiography In The Assessment Of Ventricular Function In Asthmatic Children, Amal G. Mohamed, Nada M. F. Elsayed, Safaa A. Mohammed, Sally R. Eid

Journal of Medicine in Scientific Research

Background Bronchial asthma is one of the commonest diseases in children. It not only affects the lung but also other organs, including the heart. Our study aims to assess the effect of bronchial asthma with varying degrees of severity on the ventricular function of the heart using tissue Doppler imaging. Patients and methods This is a case–control study that was performed at the Pediatric Department of Al-Azhar University Hospital and included 50 patients with bronchial asthma, who were compared with 50 age-matched and sex-matched healthy children as a control group. All children were subjected to full history taking, complete physical …


Selective Laser Trabeculoplasty In Silicone Oil-Induced Glaucoma, Hussam O. Elrashidy May 2021

Selective Laser Trabeculoplasty In Silicone Oil-Induced Glaucoma, Hussam O. Elrashidy

Journal of Medicine in Scientific Research

Introduction One of the complications of using silicone oil is glaucoma. Selective laser trabeculoplasty (SLT) became an increasingly focused laser procedure for glaucoma because of its efficacy and minimal destructive effects on the surrounding tissues. The aim of our study is to analyze the efficacy of SLT on silicone oil-induced secondary glaucoma in terms of intraocular pressure (IOP). Patients and methods This is prospective study on 30 eyes of 30 patients with silicone oil-induced secondary glaucoma. The patients should have had no history of glaucoma or ocular hypertension before silicone oil injection. The patients were treated with laser at 360° …


Omentoplasty For Pelvic Defect Closure Following Abdominoperineal Resection In Lower Rectum Cancer, Amr A. Ella, Esayed Elmokadem, Ihab Matar May 2021

Omentoplasty For Pelvic Defect Closure Following Abdominoperineal Resection In Lower Rectum Cancer, Amr A. Ella, Esayed Elmokadem, Ihab Matar

Journal of Medicine in Scientific Research

Background The perineal wound is considered an important source of postoperative morbidity and mortality following abdominoperineal resection (APR). Complications include wound dehiscence, infection, abscess, perineal herniation, radiation enteritis, persistent sinus, more nursing effort, prolonged hospital stay, and increase readmission with cost increase. Aim The aim of this study is to compare the result of conventional closure of pelvic defect following APR versus closure with omentoplasty. Patients and methods This study included 30 patients who underwent APR. The patients were divided into two groups: omentoplasty group included 15 patients who underwent pelvic defect closure using pedicle omental flap, and conventional group …


Functional Improvements Of Diabetic Macular Edema After Treatment With Ranibizumab, Hussam O. Elrashidy May 2021

Functional Improvements Of Diabetic Macular Edema After Treatment With Ranibizumab, Hussam O. Elrashidy

Journal of Medicine in Scientific Research

Background Diabetic retinopathy and clinically significant macular edema are largely responsible for the irreversible, debilitating visual impairment. There is evidence suggesting that some of the diabetes-related visual abnormalities are due to neurodegeneration. Use of objective tests for early detection of retinal dysfunction of sight-threatening diabetic retinopathy would be of great value. Aim The aim was to study the functional improvements of macular functions after treatments with intravitreal injection of ranibizumab as detected with central visual field and multifocal electroretinogram (mfERG). Settings and design A prospective cohort interventional study that included 30 eyes of 30 patients. Materials and methods Prospective cohort …


Minimal Invasive Cardiac Surgery Coronary Artery Bypass Grafting And Hybrid Revascularization: Early Experience And Potential Indications, Ahmed Zaye, Mohamed M. Mohamed, Tamer El Banna, Yasser A. Sadek May 2021

Minimal Invasive Cardiac Surgery Coronary Artery Bypass Grafting And Hybrid Revascularization: Early Experience And Potential Indications, Ahmed Zaye, Mohamed M. Mohamed, Tamer El Banna, Yasser A. Sadek

Journal of Medicine in Scientific Research

Background There is increasing interest and patient demand for minimally invasive cardiac surgery. Aim We aimed to assess the safety and potential indications of minimally invasive coronary artery bypass grafting (CABG) and possibilities of such techniques and debating it will become the standard procedure. Patients and methods From February 2015 till February 2020, 83 cases underwent CABG via right submammary incision, and of them, 18 cases underwent hybrid technique. Results The procedure was successfully performed in all. Conversion rate to full sternotomy was 0%. Hospital mortality was seen in two (2.4%) patients. Re-exploration for bleeding was done in 0 (0%) …


The Significance Of Interferon-Inducible Protein-16 And Anti-Interferon-Inducible Protein-16 Antibodies In Rheumatoid Arthritis: Relation To Pulmonary Disease And Serological Markers, Eman R. Amer, Hala Abd-Elhameed Tabl, Sherry K. Abdelrahman, Suzan M. Farouk, Taghreed F. M. Mostafa May 2021

The Significance Of Interferon-Inducible Protein-16 And Anti-Interferon-Inducible Protein-16 Antibodies In Rheumatoid Arthritis: Relation To Pulmonary Disease And Serological Markers, Eman R. Amer, Hala Abd-Elhameed Tabl, Sherry K. Abdelrahman, Suzan M. Farouk, Taghreed F. M. Mostafa

Journal of Medicine in Scientific Research

Aim The aim of the study was to detect the presence of interferon-inducible protein-16 (IFI16) as well as anti-IFI16 antibodies in the serum and synovial fluid of patients with rheumatoid arthritis (RA) and to evaluate the relation to pulmonary interstitial lung disease (ILD) patterns, disease activity, joints erosions, and serological markers. Patients and methods This study involved two groups: 82 adult patients with established RA participated as a study group, whereas 30 patients with knee osteoarthritis also joined as a control group. IFI16 and anti-IFI16 immunoglobulin G were assessed by enzyme-linked immunosorbent assay in serum of all patients and controls, …