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General Organization of Teaching Hospitals and Institutes (GOTHI)

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Articles 391 - 420 of 514

Full-Text Articles in Medical Specialties

Assessment Of Urinary Type Iv Collagen, Alpha-1 Microglobulin, And Transferrin In Type 2 Diabetes Mellitus With Nephropathy, Marwa E. Hassan, Mohamed H. Mahfouz, Mohamed S. Shoman Mar 2020

Assessment Of Urinary Type Iv Collagen, Alpha-1 Microglobulin, And Transferrin In Type 2 Diabetes Mellitus With Nephropathy, Marwa E. Hassan, Mohamed H. Mahfouz, Mohamed S. Shoman

Journal of Medicine in Scientific Research

Aim The aim of this study was to assess the levels of urinary type IV collagen, alpha-1 microglobulin, and transferrin as risk factors for early detection of nephropathy progression in diabetic patients. Patients and methods Four groups (25 patients each) participated in this study. Group I: controls, group II: type 2 diabetes mellitus (T2DM) with normoalbuminuria [albumin creatinine ratio (ACR)<30 mg/g], group III: T2DM with microalbuminuria, and group IV: T2DM with macroalbuminuria (ACR≥300 mg/g). Urinary type IV collagen, alpha-1 microglobulin, and transferrin levels were measured using enzyme-linked immunosorbent assay. The levels of glucose, glycosylated hemoglobin, lipids, urea, creatinine, and microalbumin were also measured. Results Significant elevation of glucose and glycosylated hemoglobin, total cholesterol, triglycerides as well as low-density lipoprotein cholesterol, and a significant reduction of high-density lipoprotein cholesterol were reported in diabetic nephropathy as compared with the control group and normoalbuminuric group (P …

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The Role Of Routine Abdominal Ultrasound In Newborns For Detection Of Renal Abnormalities, Hala N. I. Sahwan, Hamouda Eid Ali Youssef El Gazzar, Mohamed F. Alsoda, Mohammed A. S. Zannoun, Mostafa M. M. Shakweer, Salah Ibrahim, Wael Bahbah Mar 2020

The Role Of Routine Abdominal Ultrasound In Newborns For Detection Of Renal Abnormalities, Hala N. I. Sahwan, Hamouda Eid Ali Youssef El Gazzar, Mohamed F. Alsoda, Mohammed A. S. Zannoun, Mostafa M. M. Shakweer, Salah Ibrahim, Wael Bahbah

Journal of Medicine in Scientific Research

Introduction Congenital and acquired renal diseases, which can produce renal insufficiency during the neonatal period, may be classified according to their ultrasonographic (US) characteristics: increased parenchymal echogenicity (renal parenchymal diseases, angiotensin-converting enzyme inhibitor fetopathy, and cortical necrosis), cystic disease (glomerulocystic kidney disease, autosomal recessive polycystic renal disease, multicystic dysplastic kidney, and cystic renal dysplasia), obstructive uropathies (ureteropelvic junction obstruction and posterior urethral valves), infections (candidal infections), and renal agenesis. The high-resolution sector and linear-array transducers allow the characterization of the underlying pathologic conditions in many cases. Findings of the renal parenchymal disease will vary on Doppler US, and during the …

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Some Risk Factors For Neonatal Sensorineural Hearing Loss In A Neonatal Intensive Care Unit, Hamouda Eid Ali Youssef El Gazzar, Khaled H. Taman, Magdy K. Al, Mahmoud H. Dwabah, Mohamed F. Alsoda, Omar E. El Shourbagy Mar 2020

Some Risk Factors For Neonatal Sensorineural Hearing Loss In A Neonatal Intensive Care Unit, Hamouda Eid Ali Youssef El Gazzar, Khaled H. Taman, Magdy K. Al, Mahmoud H. Dwabah, Mohamed F. Alsoda, Omar E. El Shourbagy

Journal of Medicine in Scientific Research

Background The sensorineural hearing loss incidence (SNHL) ranges from 1 to 3 per 1000 live births in term healthy neonates, and 2–4 per 100 in high-risk infants, a 10-fold increase. Objective The aim was to estimate the incidence of SNHL among newborns in NICU at Ahmed Maher Teaching Hospital, Cairo, Egypt, and to describe the distribution of risk factors associated with SNHL and the effects of their interaction. Patients and methods The study was carried out on 710 neonates in a hospital in Cairo, Egypt. A total of 710 (401 males and 309 females) neonates were included in the study …

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Role Of Clarithromycin In Ventilator-Associated Pneumonia Care Bundle In The Prevention Of Ventilator-Associated Pneumonia, Ashraf A. H. Mahmoud, Wael A. E. El Hakeem Mar 2020

Role Of Clarithromycin In Ventilator-Associated Pneumonia Care Bundle In The Prevention Of Ventilator-Associated Pneumonia, Ashraf A. H. Mahmoud, Wael A. E. El Hakeem

Journal of Medicine in Scientific Research

Objective The purpose of this study was to assess the efficacy of the addition of clarithromycin to the ventilator care bundle to help in the prevention of ventilator-associated pneumonia (VAP). Patients and methods Eighty patients of more than 18 years, on a mechanical ventilator for less than 48 h, expected length of stay in the ICU for more than 48 h, with no clinical and radiographic evidence of pneumonia were enrolled in a double-blind comparative study. The patients were randomized to one of the two groups: group A (n = 40) where the patients received clarithromycin (through the Ryle …

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Effect Of Obturator Nerve Block During Transurethral Resection Of Lateral Bladder Wall Tumors: A Comparison Of Monopolar And Bipolar Tur-Bt Regarding The Presence Of Detrusor Muscle In Tumor Specimens And Recurrence Of Disease, Ehab Noh, Gamal E. Abourjila Mar 2020

Effect Of Obturator Nerve Block During Transurethral Resection Of Lateral Bladder Wall Tumors: A Comparison Of Monopolar And Bipolar Tur-Bt Regarding The Presence Of Detrusor Muscle In Tumor Specimens And Recurrence Of Disease, Ehab Noh, Gamal E. Abourjila

Journal of Medicine in Scientific Research

Aim Any unintentional stimulation during electroresection results in adductor contraction and resultant sudden leg movement, which may in turn lead to perforation of bladder or incomplete resection. To avoid this reaction, obturator nerve block (ONB) and bipolar resection is effective to decrease the jerk. Patients and methods A prospective randomized, single-blind study was conducted during 2014–2018. A total of 74 patients were classified into four groups. Group I included 18 patients who received monopolar transurethral resection of bladder tumor (TUR-BT) and group II included 21 patients who received bipolar TUR-BT. Group III included 16 patients who received ONB and monopolar …

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Martius Graft Transposition: A Successful Procedure For The Ultimate Repair Of The Anovaginal/Rectovaginal Fistula, Hossam H. Soliman, Mohamed A. Boghdady Mar 2020

Martius Graft Transposition: A Successful Procedure For The Ultimate Repair Of The Anovaginal/Rectovaginal Fistula, Hossam H. Soliman, Mohamed A. Boghdady

Journal of Medicine in Scientific Research

Background Recto/ano-vaginal fistula (RAVF) is one of the worst medical conditions that could lead a lady to suffer in her life. It represents a horrendous experience that might put the lady suffering that ailment not only on the brink of abandoning her social life, but even disrupting her marital life and breaking the integrity of her family. There are various operative methods implemented all over the past decades aiming to cure such medical condition. Of those, interposing a vascularized tissue flap is suggested as an operative solution to guarantee long term successful healing. Of which the most commonly tried is …

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Characteristics And Outcomes Of Mitral Valve Repair Surgery: A Single-Center Experience, Ashraf Zahra, Mohamed A. El-Hafez Fouly Mar 2020

Characteristics And Outcomes Of Mitral Valve Repair Surgery: A Single-Center Experience, Ashraf Zahra, Mohamed A. El-Hafez Fouly

Journal of Medicine in Scientific Research

Background The authors performed this retrospective study to report the experience of mitral valve repair (MVR) repair procedures, including the commonly used operative techniques and recorded outcomes. Patients and methods A total of 100 patients (76 males) who underwent MVR were enrolled in this study. Diagnosis was mainly based on detailed history taking along with an echocardiographic assessment. Data on preoperative, intraoperative, and postoperative variables were collected retrospectively from the database and patients' records. Missing data for particular outcomes were removed from the analysis. Results The four observed pathologies of the mitral valve [ischemic (67%), myxomatous (18%), postinfective (11%), and …

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Double Valve Repair For Combined Aortic And Mitral Valve Regurgitation: Short-Term Results, Waleed El-Awady Mar 2020

Double Valve Repair For Combined Aortic And Mitral Valve Regurgitation: Short-Term Results, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction Repair of mitral and aortic valve in double valve regurgitation is an attractive alternative to replacement, because of low incidence of valve-related complications. Standardization, reproducibility, and stable results are the three key points that will make any valve repair an established form. This study was undertaken to determine the short-term results of double valve repair for double regurgitation. Patients and methods Twenty-six patients had a double valve repair for aortic and mitral valve regurgitation. The mean age was 37.75 (14–53) years. There were 11 (42.3%) men and 15 (57.7%) women. The mean aortic cross-clamp time was 112 (86–135) min …

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Myocardial Longitudinal Strain Reserve As A Marker Of Severity Of Coronary Artery Disease During Dobutamine Stress Echocardiography, Ahmed A. Aziz, Magdy M. Abdelsamie, Rania D. Aboushokka Mar 2020

Myocardial Longitudinal Strain Reserve As A Marker Of Severity Of Coronary Artery Disease During Dobutamine Stress Echocardiography, Ahmed A. Aziz, Magdy M. Abdelsamie, Rania D. Aboushokka

Journal of Medicine in Scientific Research

Background Timely and prompt detection of coronary artery disease (CAD) is of paramount importance for patient management in daily clinical practice. Several noninvasive stress tests are available for evaluating CAD, of which dobutamine stress echocardiogram (DSE) is widely available for localization and extent of CAD. However, wall-motion analysis during DSE is subjective, so two-dimensional speckle tracking-derived longitudinal strain has been recently presented to allow quantitative assessment of global and regional wall motions. Aim To assess longitudinal strain reserve (LSR) during DSE test in predicting severity of CAD in chronic stable patients. Patients and methods The study included 48 patients with …

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Rheumatic Mitral Valve Surgery In Low Ejection Fraction Patients, Ahmed M. Omran, Ahmed Kamel, Emad El Sarawy, Mohamed Roshdy Mar 2020

Rheumatic Mitral Valve Surgery In Low Ejection Fraction Patients, Ahmed M. Omran, Ahmed Kamel, Emad El Sarawy, Mohamed Roshdy

Journal of Medicine in Scientific Research

Objective Although, in Mitral valve disease, ischemic heart disease and degenerative etiology have the upper hand in developing countries, rheumatic fever still predominates in developing countries including Egypt. Due to delay presentation some patients had very low EF which made the surgery theoretically risky. Our study aims to emphasize the benefit of surgery in this group of patients. Patients and methods 100 consecutive patients with Inclusion criteria: Rheumatic Mitral valve disease +/- Tricuspid valve disease, aging 18 to 75 with Ejection Fraction< 35% Exclusion criteria: Non rheumatic etiology, associated Ischemic Heart Disease, other valvular lesions, redo cases and age less than 18. Results Mean age 49, 57 males, with mean Ejection Fraction 25%, Aortic Cross Clamp time 26 minutes, all …

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Short-Term Outcome Of Onabotulinumtoxin A Injection For The Treatment Of Refractory Idiopathic Detrusor Overactivity, Amr M. Elsofy, Ayman M. Gabr, Gamal E. A. Abourjila, Khalid F. Elewa Mar 2020

Short-Term Outcome Of Onabotulinumtoxin A Injection For The Treatment Of Refractory Idiopathic Detrusor Overactivity, Amr M. Elsofy, Ayman M. Gabr, Gamal E. A. Abourjila, Khalid F. Elewa

Journal of Medicine in Scientific Research

Introduction There are many theories behind the etiology of refractory idiopathic detrusor overactivity (IDO), but it is generally accepted that it is caused by a combination of myogenic and neurogenic alterations. It is also believed that mucosal sensory systems make a significant contribution to the disorder as well. Intravesical botulinum toxin A (BoNT/A) prevents acetylcholine release at the neuromuscular junction, resulting in temporary chemodenervation and muscle relaxation. The aim of this work was to assessment of outcome of BoNT/A injection for the treatment of refractory IDO. Patients and methods The author included 37 patients who received intravesical BoNT/A for the …

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Implementation Of Ventilator Bundle For Prevention Of Ventilator-Associated Pneumonia In Pediatric Intensive Care Unit, Abd-Elaleem Elgendy, Ahmed Y. Alsawah, Mahmoud M. Al-Shahat, Mohamed F. Alsoda, Mohammad A. M. Abboud, Sherif M. K. Reda Dec 2019

Implementation Of Ventilator Bundle For Prevention Of Ventilator-Associated Pneumonia In Pediatric Intensive Care Unit, Abd-Elaleem Elgendy, Ahmed Y. Alsawah, Mahmoud M. Al-Shahat, Mohamed F. Alsoda, Mohammad A. M. Abboud, Sherif M. K. Reda

Journal of Medicine in Scientific Research

Background Ventilator-associated pneumonia (VAP) is associated with increased morbidity and mortality in pediatric intensive care unit (PICU) patients. Objective The aim was to examine the effect of adherence to VAP prevention bundle on the incidence of VAP in PICU. Patients and methods A prospective comparative study was conducted in Al-Hussein University Hospital on all patients admitted and ventilated in PICU in a year from September 2017 until September 2018. They were divided into two groups: the first group included patients admitted to PICU after implementation of the study, comprising 43 patients as cases, and the second group included patients admitted …

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The Use Of Gonadotropin-Releasing Hormone Antagonist In Women Undergoing Intrauterine Insemination, Bassem Sobhy, M Yousef Elsemary Dec 2019

The Use Of Gonadotropin-Releasing Hormone Antagonist In Women Undergoing Intrauterine Insemination, Bassem Sobhy, M Yousef Elsemary

Journal of Medicine in Scientific Research

Background Intrauterine insemination (IUI) is considered to be a very popular treatment procedure that is used for many infertile women worldwide. Aim The aim was to evaluate whether the addition of gonadotropin-releasing hormone antagonist would improve the clinical pregnancy rate in women undergoing IUI. Materials and methods A prospective study was performed at El-Galaa Maternity Teaching Hospital where 124 women with primary or secondary infertility were subjected to controlled ovarian stimulation with human menopausal gonadotropin (74–150 IU/day) only (control group, n=62) or to human menopausal gonadotropin (75–150 IU/day) plus Cetrorelix (0.25 mg/day, starting when the leading follicle was ≥16 mm; …

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Determinants Of Infarction Patterns In Posterior Cerebral Circulation, Ahmed H. T Badr Ahmed, Mohamed M. Fouad, Ramez R. Moustafa, Taha K. Alloush Dec 2019

Determinants Of Infarction Patterns In Posterior Cerebral Circulation, Ahmed H. T Badr Ahmed, Mohamed M. Fouad, Ramez R. Moustafa, Taha K. Alloush

Journal of Medicine in Scientific Research

Background Ischemic stroke is defined as focal or global neurological dysfunction lasting longer than 24 h or leading to death that is caused by vascular insult, either stricture or occlusion of a specific vascular territory. Aim of the study This study aimed to determine the relationship between different risk factors and different infarction patterns in posterior circulation such single small lacunar lesion, single large lesion, and multiple scattered lesions. Patients and methods This study included 60 patients recruited from the stroke unit of Ain Shams University and El Sahel Teaching Hospitals during the period from April to October 2018 with …

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Omental Flap Harvested Through Transdiaphragmatic Approach At The Same Sternotomy Incision For Poststernotomy Mediastinitis: A New Approach, Waleed El-Awady Dec 2019

Omental Flap Harvested Through Transdiaphragmatic Approach At The Same Sternotomy Incision For Poststernotomy Mediastinitis: A New Approach, Waleed El-Awady

Journal of Medicine in Scientific Research

Background The surgical treatment of poststernotomy mediastinitis is still a challenge and associated with high mortality. Conservative treatment and various surgical procedures are sometimes inadequate and need more aggressive treatment. Omental flap improves control of infection and prognosis, but harvesting is an additional procedure with its associated morbidity and trauma. Patients and methods A total of 14 patients had omental flap, which was harvested through a diaphragmatic opening at the lower part of the same sternotomy incision, without additional laparotomy incision or extension of sternotomy incision into the upper abdomen or even laparoscopically. The mean age of the patients was …

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Cardiovascular Risk In Patients With Rheumatoid Arthritis: The Role Of Cholesterylester Transfer Protein, Ali M. Mursi, Emad M. Elshebiny, Lobna Y. Ebrahim, Sahar H. Quashwa, Sherry K. Abdelrahman, Taghreed F. Mohammed Mostafa Dec 2019

Cardiovascular Risk In Patients With Rheumatoid Arthritis: The Role Of Cholesterylester Transfer Protein, Ali M. Mursi, Emad M. Elshebiny, Lobna Y. Ebrahim, Sahar H. Quashwa, Sherry K. Abdelrahman, Taghreed F. Mohammed Mostafa

Journal of Medicine in Scientific Research

Aim To detect serum level of cholesterylester transfer protein (CETP) (the enzyme involved in reverse cholesterol transport) in patients with rheumatoid arthritis (RA) and to evaluate its relation to various clinical parameters of the disease, lipid profile, and carotid intima-media thickness (CIMT) as a marker of atherosclerosis and cardiovascular disease risk. Patients and methods This study involved a total of 80 participants, comprising 50 patients with RA and 30 age-matched and sex-matched healthy controls. Detailed medical history and thorough clinical examination (general and musculoskeletal) as well as laboratory investigations including lipid profile were performed for all patients with RA. Serum …

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Role Of Arginine And/Or Taurine In Protection Against Gentamicin-Induced Nephrotoxicity In Male And Female Rats, Amal H. Emara, Wafaa M. Ismaeil Dec 2019

Role Of Arginine And/Or Taurine In Protection Against Gentamicin-Induced Nephrotoxicity In Male And Female Rats, Amal H. Emara, Wafaa M. Ismaeil

Journal of Medicine in Scientific Research

Background As a highly effective antibiotic, gentamicin is used in the treatment of serious and life-threatening gram-negative infections. L-arginine (2-amino-5-guanidino-pentanoic acid) has a protective role on renal failure that induced by gentamicin administration and it may decrease the tubular reabsorption of another cationic substance, gentamicin due to its cationic structure. The aim of this study is to determine the influence of gender on nephroprotective effects of L-arginine (Arg) and/or taurine (Tau) on gentamicin (G) induced nephrotoxicity. Methods Adult Sprague-Dawley albino rats of both sexes (150-200 g, 48 male and 48 female), were bred from the animal unit of National Nutrition …

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Glutamic Acid Decarboxylase Auto-Antibodies Prevalence Among Patients With Type 2 Diabetes Mellitus And Their Clinical Characteristics In A Sample Of The Egyptian Population, Atef A. Bassyounia, Ayat I. Ghanem, Ghada A. Omar Dec 2019

Glutamic Acid Decarboxylase Auto-Antibodies Prevalence Among Patients With Type 2 Diabetes Mellitus And Their Clinical Characteristics In A Sample Of The Egyptian Population, Atef A. Bassyounia, Ayat I. Ghanem, Ghada A. Omar

Journal of Medicine in Scientific Research

Background Patients with latent autoimmune diabetes in adults may develop early loss of β-cell mass. They are often misdiagnosed as having type 2 diabetes mellitus (T2DM). This is because latent autoimmune diabetes in adults condition does share characteristics of both type 1 and T2DM. Aim To estimate the prevalence of unrecognized cases with glutamic acid decarboxylase auto-antibodies (GADA) among patients with T2DM in a sample of the Egyptian population, describing their clinical and laboratory features, and investigating the relationship with chronic complications of diabetes. Settings and design A total of 1515 Egyptian patients previously diagnosed as having T2DM were divided …

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Recent Conservative Management Trends In Dealing With Uterine Adnexal Torsion Will Preserve Fertility In Childbearing Women: A Review Of Literature And Case Series, Hossam H. Soliman Dec 2019

Recent Conservative Management Trends In Dealing With Uterine Adnexal Torsion Will Preserve Fertility In Childbearing Women: A Review Of Literature And Case Series, Hossam H. Soliman

Journal of Medicine in Scientific Research

Introduction Uterine adnexal torsion is a rare gynecologic emergency, representing 2.5–7% of all the acute gynecologic surgical conditions. It could lead to adnexal ischemia and necrosis, putting a woman at the risk of a radical surgery, which leads her to lose a uterine adnexa, plummeting her future fertility, and possibility inducing a negative effect of her future marital and family life. Adnexal detorsion associated with cystectomy is a simple maneuver that could spare the woman of losing her ovary; this technique could successfully work even with an apparently necrosed ovary. Aim A review of literature, in addition to a retrospective …

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Additive Value Of Intraoperative Hemodynamic Monitoring To Epicardial Echocardiography During Surgical Repair Of Children With Congenital Heart Disease, Ahmed A. Algebaly, Hanan Mohammed Hassan, Rania D. Eldin Abou Shokka Dec 2019

Additive Value Of Intraoperative Hemodynamic Monitoring To Epicardial Echocardiography During Surgical Repair Of Children With Congenital Heart Disease, Ahmed A. Algebaly, Hanan Mohammed Hassan, Rania D. Eldin Abou Shokka

Journal of Medicine in Scientific Research

Aim The aim was to evaluate the additive value of intraoperative hemodynamic monitoring to epicardial echocardiography on the surgical outcome in children undergoing surgical correction of congenial heart disease. Patients and methods This study was conducted on 238 children with congenital heart disease who were enrolled for surgical correction. They were arranged in two groups: group A included 159 children in whom e-echo was used to detect intraoperative residual lesions while group B included 79 patients in whom e-echo and intraoperative hemodynamic monitoring using oxygen saturation step-up and intracardiac pressures after disconnection of cardiopulmonary bypass to detect residual shunt flow …

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Surgical Outcomes Of Obstructive Mechanical Valve Thrombosis, Risk Factors, And Comorbidity Analysis, Ahmed Shafeek Ali Dec 2019

Surgical Outcomes Of Obstructive Mechanical Valve Thrombosis, Risk Factors, And Comorbidity Analysis, Ahmed Shafeek Ali

Journal of Medicine in Scientific Research

Background Obstructive mechanical valves thrombosis is a life-threatening complication associated with high morbidity and mortality. Although thrombolytic therapy has gained a lot of popularity in recent years, yet the treatment of choice is still controversial. Objective The aim of this study was to evaluate the outcomes of patients who underwent redo valve surgery for obstructive mechanical valve thrombosis. Patients and methods Outcomes of 380 patients who underwent emergency redo surgery for obstructive mechanical valve thrombosis at our institute during a 5-year period (January 2012 to December 2017) were reviewed retrospectively. Clinical symptoms and transthoracic echocardiography were the mainstay in diagnosis. …

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A Comparison Between Monopolar Radiofrequency Ablation And Electrocautery (Diathermy) Ablations In Left Modified Maze (Short-Term Results), Waleed El-Awady Dec 2019

A Comparison Between Monopolar Radiofrequency Ablation And Electrocautery (Diathermy) Ablations In Left Modified Maze (Short-Term Results), Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction Atrial fibrillation is the most common cardiac arrhythmia and is associated with significant morbidity and mortality. The classic cut-and-sew maze procedure is successful in 85–95% of patients. However, it is technically challenging and requires prolonged cardiopulmonary bypass. The left modified maze procedure is successful in 65–85% of patients. The aim of this study was to compare the success of two different ablation sources in the left modified MAZE. Patients and methods Between June 2010 and December 2016, 40 patients underwent left modified MAZE (Cox III) procedure: 20 patients were done with monopolar radiofrequency ablation (group A) and the other …

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Retrograde Transcatheter Closure Of Perimembranous Aneurysmal Ventricular Septal Defects Using Amplatzer Vascular Plug Ii, Ahmed A. Al Gebaly, Rania Diaa Abou Shokka, Wael M. Hossam Dec 2019

Retrograde Transcatheter Closure Of Perimembranous Aneurysmal Ventricular Septal Defects Using Amplatzer Vascular Plug Ii, Ahmed A. Al Gebaly, Rania Diaa Abou Shokka, Wael M. Hossam

Journal of Medicine in Scientific Research

Introduction Retrograde transcatheter closure of perimembranous aneurysmal ventricular septal defects (pmVSD) can be a better option for transcatheter closure of ventricular septal defect with device placement into ventricular septal aneurysm with fewer complications. Also, a retrograde approach might decrease procedure time and radiation exposure time. Aim The purpose of this study was to report off-label experience using Amplatzer Vascular Plug II (AVPII) for the trans catheter closure of perimembranous aneurysmal VSD. Comparison of haemodynamic effects of ketamine and sevofluorane as in induction of anesthesia. Materials and methods Our series consists of a fifteen child with pmVSD. The mean age was …

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One-Year Angiographic Results Of Left Anterior Descending Bypass Using Internal Mammary Artery: A Series Of 48 Consecutive Patients, Ahmed S. Mahlab Dec 2019

One-Year Angiographic Results Of Left Anterior Descending Bypass Using Internal Mammary Artery: A Series Of 48 Consecutive Patients, Ahmed S. Mahlab

Journal of Medicine in Scientific Research

The left internal mammary artery (LIMA) has been used as a conduit for coronary artery revascularization since 1968. Here we are reporting A total of 48 consecutive patients were operated upon using double mammary arteries. All of them received a mammary graft to the left anterior descending artery (LAD). All 48 of them were controlled angiographically at 1 year postoperative to ensure satisfactory well-functioning grafts.

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Ruptured Inferior Mesenteric Artery Aneurysm: A Case Report, Assem Mohamed Herzallah Dec 2019

Ruptured Inferior Mesenteric Artery Aneurysm: A Case Report, Assem Mohamed Herzallah

Journal of Medicine in Scientific Research

Among visceral artery aneurysms, inferior mesenteric artery aneurysm is the rarest. Although most cases are of degenerative etiology, a small fraction of these cases are caused by autoimmune diseases. We report a case of spontaneous retroperitoneal hemorrhage from a ruptured inferior mesenteric artery aneurysm in a 30-year-old patient with systemic lupus erythematosus, treated by ligation.

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Cardiac Dysfunction In Patients With Community-Acquired Pneumonia, Ehab Elmelegy, El-Saied Shaheen, Wael Hossam El Din Nov 2019

Cardiac Dysfunction In Patients With Community-Acquired Pneumonia, Ehab Elmelegy, El-Saied Shaheen, Wael Hossam El Din

Journal of Medicine in Scientific Research

Background Community-acquired pneumonia (CAP) is still an important cause of morbidity and mortality worldwide especially in the elderly. Evidence shows a high correlation between acute respiratory infections and increased risk of cardiovascular events (CVEs). The occurrence of CVE in hospitalized patients with CAP may significantly affect the clinical status, and a severe CVE could be the primary cause of clinical failure. Aim To study the incidence of cardiac complications in patients with CAP. Patients and methods This clinical study was carried out on 120 patients (63 males and 57 females) hospitalized with a primary diagnosis of CAP. Patients with the …

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Using Ondansetron As An Oral Premedication Drug For Prevention Of Postanesthesia Shivering, Ashraf A. M. Soliman Nov 2019

Using Ondansetron As An Oral Premedication Drug For Prevention Of Postanesthesia Shivering, Ashraf A. M. Soliman

Journal of Medicine in Scientific Research

Introduction Postanesthesia shivering (PAS) is one of the most common complications after surgeries. There are two methods to reduce the shivering, including pharmacological and nonpharmacological methods. Aim This study compared the efficacy and safety of 4-mg oral ondansetron premedication on preventing PAS, perioperative core body temperature changes, and hemodynamic stability. Patients and methods This prospective, observational study consisted of 100 adult patients scheduled for general surgery or interventional structural heart disease. The patients were randomized into two groups of 50 patients each. Group I received 4 mg of oral ondansetron, and group II received an oral placebo 60–90 min before …

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Rare Presentation Of Typhoid Fever In An Immunocompetent Patient, Kumar Priyanka, Rajnish Kumar Nov 2019

Rare Presentation Of Typhoid Fever In An Immunocompetent Patient, Kumar Priyanka, Rajnish Kumar

Journal of Medicine in Scientific Research

Typhoid fever, caused by Salmonella enterica serovar Typhi, is the most common cause of enteric fever, and presents classically with fever and other gastrointestinal symptoms. We report an interesting case of a 27-year-old Indian man who lives in a semiurban area of Haryana (northern India) and presented with a 3-day-long history of intermittent fever, chills, and rigor. He was misdiagnosed previously as having mumps fever in view of the clinical presentation, but later, with proper workup, it was found to be an atypical presentation of typhoid fever. He responded well to intravenous antibiotics and recovered completely from typhoid infection.

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Relationship Between Dietary Intake And Obesity Among A Group Of Primary School‑Aged Children In Cairo Governorate, Mahmood D. Al‑Mendalawi Nov 2019

Relationship Between Dietary Intake And Obesity Among A Group Of Primary School‑Aged Children In Cairo Governorate, Mahmood D. Al‑Mendalawi

Journal of Medicine in Scientific Research

Sir,
I read with interest the study by El‑Gazzar et al. [1] published in January–March 2019 issue of the Journal of Medicine in Scientific Research. Based on using WHO growth standard to measure various anthropometric indices as well as dietary assessment (24 h recall) and food consumption pattern, the authors studied the relationship between dietary pattern and obesity among a cohort of Egyptian primary school children. They found a positive correlation between obesity and the increased intake of high‑energy dense food (fat and sugar) in the studied cohort. Owing to the presence of the following methodological limitation, I presume that …

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Endoscopic Band Ligation Versus Argon Plasma Coagulation In Management Of Bleeding From Gastric Antral Vascular Ectasia In Patients With Portal Hypertension, Hala M. Abd El Maguid, Muhammad M. Abdel Ghaffar Nov 2019

Endoscopic Band Ligation Versus Argon Plasma Coagulation In Management Of Bleeding From Gastric Antral Vascular Ectasia In Patients With Portal Hypertension, Hala M. Abd El Maguid, Muhammad M. Abdel Ghaffar

Journal of Medicine in Scientific Research

Background Gastric antral vascular ectasia (GAVE) may cause recurrent hemorrhage, and thus, chronic anemia, in patients with portal hypertension. Treatment with argon plasma coagulation (APC) is an effective and safe method in adults but requires multiple sessions of endoscopic therapy. Endoscopic band ligation (EBL) was found to be a good alternative for APC as a treatment for GAVE, especially in refractory cases. The aim of this prospective study was to evaluate the safety and efficacy of EBL, as compared with APC, in treating nonvariceal upper GI bleeding GAVE in patients with portal hypertension. Patients and methods A total of 40 …

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