Medical Specialties Commons^™

Dried Amniotic Membrane Grafting As An Adjuvant To Canal Wall-Down Procedure In Pediatric Cholesteatoma, Mohammad M. Gaballah

Journal of Medicine in Scientific Research

Purpose To evaluate the effect of dried amniotic membrane grafting on healing of radical cavity after canal wall-down procedure. Patients and methods A total of 24 cases were included. All had canal wall-down surgery done with the use of dried amniotic membrane at the end of procedure to line the radical cavity. According to the course of healing, cases were divided into four groups regarding wideness and dryness of cavity. Results were statistically analyzed. Results Among the 24 patients in the postoperative follow-up period of 6 months, only three (12.5%) patients needed revision meatoplasty for having narrow and wet cavities. …

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

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

Journal of Medicine in Scientific Research

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

Bacterial Contamination Of Mobile Phones Among Health Care Workers: A Meta-Analysis Study, Azza Omran, Mohamed S. Taha

Journal of Medicine in Scientific Research

Background Mobile phones (MPs) are becoming commonplace in both community and hospital settings. There are studies that show that phones can be considered fomites in potential, ones that give organisms an environment conducive to their development, such as constant heat and moisture. Aim The present study aimed to do a meta-analysis to investigate the bacterial contamination of MPs among health care workers (HCWs). Materials and methods Using MEDLINE database (http://www.pubmed.com), we conducted a systematic literature search to identify relevant studies published within the past 20 years (from 2000 up to 2020). Appropriate articles were accessed in full text …

Bileaflet Augmentation For Repair Of Rheumatic Mitral Valve Disease In Egyptian Patients, Maged M. A. Kisho

Journal of Medicine in Scientific Research

Objectives Mitral valve (MV) repair in rheumatic patients is a challenging procedure and carries high incidence of early and late failure. We aimed in this study to evaluate the mid-term results of MV bileaflet augmentation to increase the depth of coaptation and achieve satisfactory results of repair. Patients and methods Between January 2015 and December 2018 at the National Heart Institute of Egypt, 24 rheumatic patients had leaflet augmentation with glutaraldehydetreated autologous pericardium as part of their mitral repair procedure. Their clinical and echocardiographic data were prospectively analyzed. Results The mean age of the rheumatic patients was 34.2 ± 14.7 …

Hospital Outcome And Predictors Of Mortality Of Primary Isolated On-Pump Coronary Artery Bypass Grafting In Acute Coronary Syndrome, Ahmed M. E. Abdelgawad

Journal of Medicine in Scientific Research

Background The effect of surgical treatment on patients with acute coronary syndrome (ACS) is disputable. The objective of the present study was to analyze the outcome, in-hospital mortality, and its predictors as well as major adverse cardiac and cerebrovascular events in patients referred to coronary artery bypass grafting (CABG) with ACS presentation. Patients and methods Hospital medical records of ACS presentation were retrieved from Madinah Cardiac Center database between November 2011 and August 2017. A total number of 630 patients who underwent primary isolated CABG for ACS presentation were identified. Of these, unstable angina (UA) pectoris was present in 277 …

Comparison Of Drug-Eluting And Bare-Metal Stents In Patients With Saphenous Vein Graft Stenosis, Ahmed Zayed, Ahmed Algebaly, Tamer El Banna

Journal of Medicine in Scientific Research

Background The use of drug-eluting stents (DES) during the percutaneous coronary intervention of patients with degenerated saphenous vein graft (SVG) is uncertain. Although previous studies showed that DES might decrease the rate of re-intervention in patients with SVG stenosis, randomized controlled trials comparing bare-metal stents (BMS) and DES in SVG lesions have been inconclusive. Objective The purpose of this study was to compare the outcomes in patients undergoing SVG stent implantation treated with DES or BMS. Patients and methods This was a retrospective observational study that included 60 patients who underwent percutaneous coronary intervention for SVG lesions, comprising 30 patients …

Effects Of Oral Sildenafil After Palliative Procedures To Increase Pulmonary Blood Flow In Cyanotic Heart Diseases, Ahmed Al-Gebaly, Ahmed Zayed, Amal Younan, Hanan Mohammed, Rania Aboushokka, Rasha Hossny, Yahia Mahmoud

Journal of Medicine in Scientific Research

Background Continuing efforts have been exerted to improve the outcome of palliative procedures for cyanotic congenital heart diseases. Sildenafil is known for the management of erectile dysfunction and pulmonary hypertension, but the cardiac benefits of this drug showed its impacts in the hemodynamic profile of cardiac patients. Aim To evaluate the effect of oral sildenafil on man-made shunts and vascular connection of cyanotic heart diseases. Patients and methods This comparative study was conducted from 2013 to 2017 on patients who had congenital cyanotic heart disease and who underwent acquired palliative procedure to increase the pulmonary blood flow. Procedures included: modified …

Evaluation Of Early Outcomes Of Modified Bentall Procedure As A Treatment Of Ascending Aortic Diseases, Ahmed S. Ali

Journal of Medicine in Scientific Research

Back ground Ascending aortic diseases are life-threatening conditions that have an increasing incidence. The modified Bentall procedure has become the technique of choice used to treat such diseases. Objectives This study evaluates early outcomes of patients who underwent modified Bentall procedure as a treatment of ascending aortic diseases. Patients and methods A total of 75 patients who underwent modified Bentall operation for ascending aortic diseases at the National Heart Institute during a 3-years period (July 2015 to August 2018) were studied prospectively. The included patients were divided according to the type of aortic disease into two groups: group A included …

Predictors Of Mortality In Valvular Infective Endocarditis: A Single-Center Study, Ahmed S. Ali

Journal of Medicine in Scientific Research

Background Valvular infective endocarditis (IE) may occur in association with either native or prosthetic valves, with great risk of mortality and morbidity. Surgical management is an essential part of the therapeutic process in these patients. Objectives This study aims at evaluation of early outcomes of surgically treated patients with native or prosthetic IE together with determining predictors of mortality. Patients and methods Outcomes of 60 patients who underwent surgery for native or prosthetic valve endocarditis at National Heart Institute during a 3-year period (April 2016 to March 2019) were studied prospectively. Preoperative, intraoperative, and postoperative data were tested as possible …

Rhinorrhea In Covid-19: Observation, Sora Yasri, Viroj Wiwanitkit

Journal of Medicine in Scientific Research

COVID‑19 is a new disease that started in China and spread to several countries[1]. After its first spread to Thailand, it has spread to more than 50 countries around the world [2]. In otolaryngology, otolarygeal presentation of this new infection is an interesting topic. As a respiratory infection, rhinorrhea is a possible clinical presentation in coronavirus infection. In previous new emerging coronavirus infection such as coronavirus 229E infection, rhinorrhea is observable [3]. Here, the authors share their observation on this specific issue.

From the data on 35 patients in our setting, Thailand, there is no patient with rhinorrhea. From summarizing …

Efficacy And Safety Of Intravenous 3% Hypertonic Saline Compared To Mannitol 20% For Lowering Intraocular Pressure In Patients With Glaucoma: A Prospective Randomized Double-Blind Study, Alaa A. Ibrham, Ashraf A. H. Mhmoud, Mohmed H. Mohamed, Wael A. E. Elhakeem

Journal of Medicine in Scientific Research

Objective The purpose of this study was to assess the efficacy and safety of intravenous 3% hypertonic saline (HTS) compared with mannitol 20% for lowering intraocular pressure (IOP) in patients with glaucoma. Patients and methods A total of 30 patients between age 35 and 60 years with American Society of Anesthesiologist status I–III with glaucoma (IOP=30 mmHg) were enrolled in a double-blind comparative study. Patients were randomized to one of two groups: group GH (n=15), where patients received HTS, and group GM (n=15), where patients received mannitol 20%. Results Regarding demographic data, no statistically significant difference was observed between the …

Fecal Lactoferrin As A Parameter In Determining Invasive Causes Of Acute Diarrhea, Abeer E. S. Hamed, Gehan F. Oreby, Mohamed F. Alsoda, Sahar H. Quashwa

Journal of Medicine in Scientific Research

Introduction Diarrhea may be acute, which subsides by 7–14 days and is related to infections (bacterial or viral) or reaction to medications, or chronic, which lasts more than 2 weeks and is mainly caused by inflammatory bowel disease, functional bowel disorder, food allergies, or parasitic infestations. The infective etiologies may be noninvasive or invasive pathogens that have the capacity to invade intestinal mucosa and stimulate local inflammatory response [by activated neutrophils that secrete lactoferrin (LF)] and sometimes cause ulceration, hemorrhage, and systemic inflammatory response. Stool culture is the standard method for the diagnosis of invasive diarrhea; however, it is laborious …

Patent Ductus Arteriosus Treatment In Preterm Neonates, Which Is The Drug Of Choice Paracetamol Vs Ibuprofen?, Reham S. Abd Al Hamid

Journal of Medicine in Scientific Research

Background Patent ductus arteriosus (PDA) is one of the most prevalent problems in preterm infants. Although ibuprofen represents one of the choices for the closure of PDA, this treatment can cause severe gastrointestinal and adverse renal effects and worsen platelet function. Effective therapy for PDA had been suggested as paracetamol. Aim Our study is aiming to compare the efficacy and safety of paracetamol and ibuprofen. Patients and methods A prospective observational, single-center study was performed from December 2016 until August 2017, at ElGalaa Teaching Hospital in Cairo. In this study we included neonates with a gestational age of 28–36 weeks, …

Interleukin 33 In Premenopausal Women With Rheumatoid Arthritis: Is It Related To Generalized Bone Loss?, Eman R. Amer, Hala A. E. Tabl, Sahar H. Quashwa, Taghreed F. M. Mostafa

Journal of Medicine in Scientific Research

Aim The aim was to study the role of interleukin (IL)-33 in rheumatoid arthritis (RA)-induced generalized bone loss in premenopausal women and its relation to general disease activity and various laboratory markers. Patients and methods A total of 60 premenopausal women with RA were enrolled in this work as a study group and 30 age-matched healthy women as a control group. The participants were subjected to full clinical, radiological, and laboratory assessments. The following were assessed in patients and controls by enzyme-linked immunosorbent assay technique: serum level of IL-33, 25-hydroxyvitamin D3 [25(OH) D3], and bone turnover markers, osteocalcin and C-terminal …

Covid-19 And Blood Type: People With Which Group Are More Vulnerable?, Falah H. O. Al-Khikani

Journal of Medicine in Scientific Research

No abstract provided.

Early Outcome Of Tricuspid Repair For Functional Tricuspid Regurgitation Associated With Left-Sided Valve Lesions: Modified Flexible Band Versus Ring Annuloplasty, Ahmed S. Ali

Journal of Medicine in Scientific Research

Background Repairing functional tricuspid regurge during left heart valve surgery in not uncommon. However, the technique of choice to achieve long-term results is still controversial. Although the DeVega technique was widely used, most surgeons have shifted to annuloplasty bands or rings to avoid early high failure rates and increased incidence of recurrent significant regurge. Objective To compare short-term results (1 year) of flexible band as a piece of tube graft (polytetraflouroethylene) annuloplasty versus ring annuloplasty for functional tricuspid regurge associated with left-side valve lesions. Patients and methods We prospectively studied 100 patients who underwent tricuspid repair during left-sided valve surgery …

Safety Of Transradial Compaired To Transfemoral Approach In Interventional Cardiology, Hossam B. Kashlon, Mamdouh Maher

Journal of Medicine in Scientific Research

Background The femoral approach has been preferably used to access in interventional cardiology, being perceived as easy and facilitating quick access with relatively low risk. In the hands of experienced operators and high-volume centers, the radial approach offers improved patient comfort, decreased access-site complications, and decreased costs without compromising procedural success on long-term outcomes. Patients presenting with ST-elevation myocardial infarction, in particular, benefit from a transradial approach to coronary intervention. Owing to the results of the latest studies, the radial approach has become increasingly popular. Radial access is known to have a steep learning curve. The effect of this results …

Erratum: Implementation Of Ventilator Bundle For Prevention Of Ventilator‑Associated Pneumonia In Pediatric Intensive Care Unit, Alsoda Mf, Al‑Shahat Mm, Reda Sm, Alsawah Ay, Abboud Ma, Elgendy A, Hamouda Eid Ali Youssef El Gazzar

Journal of Medicine in Scientific Research

In the article titled "Implementation of ventilator bundle for prevention of ventilator‑associated pneumonia in pediatric intensive care unit", published on 10 February 2020, pages 265-72, Issue 2, Volume 4 of J Med Sci Res,[1] in the publish list of Author one more new author and affiliations is added as mentioned below:
"Mohamed F. Alsodaa, Mahmoud M. Al‑Shahatb, Sherif M.K. Redac, Ahmed Y. Alsawahc, Mohammad A.M. Abboudd, Abd‑Elaleem Elgendye, Hamouda Eid Ali Youssef El Gazzar
a Department of Pediatric and Neonatology, Ahmed Maher Teaching Hospital, Departments of e Clinical Pathology, c Pediatrics, d Diagnostic Radiology, Faculty of Medicine, Al‑Azhar University, Cairo, …

Protective Effect Of Some Plants Against The Toxicity Of Kidneys Caused By Gentamicin, Amal A. Salama, Asmaa S. Abd El-Wahed, Asmaa E. Mostafa

Journal of Medicine in Scientific Research

Objective The kidneys are a major organ for the removal of waste materials from the body. Plants play an essential role in human health. This work aimed to study the protective effect of some plants vs gentamicin toxicity of the kidneys. Materials and methods Thirty adult male albino rats (Sprague Dawley Strain) of weight 100±10 g were investigated. Rats were divided into two mean groups. Group 1 (six rats) was fed on a balanced diet and was present as a negative control for 4 weeks. Group 2 (24 rats) was injected with gentamicin 100 mg/kg BW/day for 8 days to …

Comparative Study Of Ginger (Zingiber Officinale Roscoe) As Raw And Herbal Tea: Microbiological, Mycotoxin, And Phytochemical Quality, Emad A. H. Guirguis

Journal of Medicine in Scientific Research

Background Ginger, commonly available as fresh rhizomes and dry powder, is prone to be contaminated either in spice or herbal tea form. Materials and methods Microbiological profile, total aflatoxin content, and phytochemical component were assessed using standard methods. Moreover, disc diffusion method was applied to investigate the antimicrobial ginger extract activity against foodborne pathogens. Results The most abundant identified compound was zingiberene in fresh (38.59%) and in dry powder (43.93%). The antimicrobial activity of ginger extract was more effective against gram-positive bacteria when compared with the results obtained by gram-negative bacteria. The microbiological quality revealed high contamination of dry samples …