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General Organization of Teaching Hospitals and Institutes (GOTHI)

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Full-Text Articles in Medical Specialties

The Role Of Urinary Hepcidin In Early Detection Of Iron Deficiency Anemia, Aisha El Sheimy, Azza Omran, Fify Helmy, Hala I. Mouhamed, Sohaila Ali, Youssof Mohamed Dec 2018

The Role Of Urinary Hepcidin In Early Detection Of Iron Deficiency Anemia, Aisha El Sheimy, Azza Omran, Fify Helmy, Hala I. Mouhamed, Sohaila Ali, Youssof Mohamed

Journal of Medicine in Scientific Research

Iron deficiency anemia (IDA) is one of the most severe and important nutritional deficiencies, especially in children all over the world. Iron deficiency may occur because of inadequate dietary intake, increase in physiological needs of the nutrient, and/or increased losses, which may lead to anemia. IDA has been associated with cognitive, motor, and behavioral impairment in children. The most commonly used tests to determine iron status include serum iron levels, ferritin, and others. However, these test have limited role in diagnosis of IDA. For this reason, there is great interest in investigating effective method for the diagnosis of IDA. The …


Renal Function And Diabetic Foot Ulcer, El-Saied Shaheen, Feisal Goda, Helmy M. Elshazly Dec 2018

Renal Function And Diabetic Foot Ulcer, El-Saied Shaheen, Feisal Goda, Helmy M. Elshazly

Journal of Medicine in Scientific Research

Introduction Diabetic nephropathy has been identified as an essential risk factor for foot ulceration and amputation. Renal failure has been reported to independently predict the risk of nonhealing ischemic and neuroischemic foot lesions and major amputation. Objective In this study, we aimed at assessing the renal function of diabetic foot infected patients. Patients and methods We included 120 patients with type 2 diabetes mellitus, patients participated from the medical and surgical unit, Shebin El Kom Teaching Hospital, Egypt. They were divided into two main group; group 1 included 80 patients with an active diabetic foot ulcer (DFU) and group 2 …


Mitral Annular Calcification Predicts Coronary Artery Disease In End-Stage Renal Disease Patients On Hemodialysis, Amir S. Michael Dec 2018

Mitral Annular Calcification Predicts Coronary Artery Disease In End-Stage Renal Disease Patients On Hemodialysis, Amir S. Michael

Journal of Medicine in Scientific Research

Background Mitral annulus calcifi cation ( MAC) is a chronic, degenerative process of the fi brous support structure of the mitral valve. The reported prevalence of MAC is between 8 and 15%, but it signifi cantly increases with age and in patients with multiple cardiovascular risk factors or chronic kidney disease. Aim The aim of this study was to determine whether MAC predicts coronary artery disease in a group of end-stage renal disease patients. Patients and Methods Twenty-three patients with ESRD on hemodialysis referred for coronary angiography were prospectively studied. Results This study included 23 patients, MAC was seen in …


Anti-Acetylcholine Receptor Antibodies As A Diagnostic Marker For Myasthenia Gravis, Aisha El-Shimy, Hala I. Mohamed, Iman Kamel, Magdy Khalaf, Youssof Abd El Motamad Dec 2018

Anti-Acetylcholine Receptor Antibodies As A Diagnostic Marker For Myasthenia Gravis, Aisha El-Shimy, Hala I. Mohamed, Iman Kamel, Magdy Khalaf, Youssof Abd El Motamad

Journal of Medicine in Scientific Research

Background Myasthenia gravis (MG) is a common primary disorder of neuromuscular transmission, which is characterized by fluctuating weakness of a certain voluntary muscles, particularly those innervated by motor nuclei of the brain stem, that is, ocular and mastication muscles, and caused by antibodies binding to components in the neuromuscular junction. Most MG cases demonstrate elevated serum levels of acetylcholine receptor (ACh-R) antibodies, which cause partial or complete inhibition of receptor function and complement-mediated focal lysis of the postsynaptic membrane. ACh-R antibodies are detected in the serum of more than 80–90% patients with generalized MG, in ~50% with ocular myasthenia, and …


D-Dimer, Von Willibrand Factor, And Adamts13 In Renal Transplant Recipients, Ahmed Hassan, Azza A. I. Elmenyawi Dec 2018

D-Dimer, Von Willibrand Factor, And Adamts13 In Renal Transplant Recipients, Ahmed Hassan, Azza A. I. Elmenyawi

Journal of Medicine in Scientific Research

Introduction Chronic kidney disease and renal transplants are associated with activation of coagulation. Microvascular thrombosis and fibrinolytic disorders have been recognized as main causes of allograft rejection in renal transplant recipients. Aims The aim was to evaluate D-dimer, Von Willibrand factor (VWF), and ADAMTS13 activity plasma levels in renal transplant recipients and investigate the association of these parameters and creatinine plasma levels, estimated glomerular filtration rate (eGFR), and time after transplantation. Participants and methods A total of 40 renal transplant recipients clinically stable at National Institute of Urology and Nephrology, 5–192 months after transplantation were enrolled in the study. Dimer, …


Effect Of Digital Wireless Technology On The Language Development Of Children With Cochlear Implants, Abir Omara, Azza Azzam, Azza Samy, Eman Ghorab, Iman El-Rouby, Soha Hamada Dec 2018

Effect Of Digital Wireless Technology On The Language Development Of Children With Cochlear Implants, Abir Omara, Azza Azzam, Azza Samy, Eman Ghorab, Iman El-Rouby, Soha Hamada

Journal of Medicine in Scientific Research

Introduction Hearing is the principal sensory modality by which language and speech are acquired. For that reason, a child with hearing loss whose family chooses an auditory approach for learning language must have as much exposure to high-quality auditory stimulation as possible. Both hearing aids and cochlear implants (CI) are best in quiet and close places, but not so good at a distance, in noise or when sounds bounce around. Children with CI have significant difficulty in hearing conversational speech in the presence of background noise. They may have difficulty understanding soft speech signals due to distance and reverberation. Assistive …


Post-Traumatic Multiplanar Knee Deformity Correction Using Taylor Spatial Frame Fixator, Sameh S. Alsafty Dec 2018

Post-Traumatic Multiplanar Knee Deformity Correction Using Taylor Spatial Frame Fixator, Sameh S. Alsafty

Journal of Medicine in Scientific Research

Background Multiplanar knee deformity needs correction in different axes; this can be achieved by the Ilizarov system, which utilizes the hinges and translation mechanism; this needs an effort or orientation and gradual correction. The Taylor spatial frame (TSF) fixator solves this problems; it consist of two rings or partial rings connecting by six telescopic struts at special universal joints. Patients and methods The study included six patients with complex post-traumatic knee deformity. They had genu varus, recurvatum, and shortening; two female individuals and four male individuals, with an age range from 16 to 20 years comprised our study sample. The …


Results Of Compression Plating Versus Locked Intramedullary Nailing Fixation In The Treatment Of Humeral Shaft Fractures In Adults, Ahmad Shawakat Rizk, Hassan Hussein Ahmad Abdallah, Mohammed Gamal El Din Al Ashahab, Said Ibrahim Said Abdelmotalb Dec 2018

Results Of Compression Plating Versus Locked Intramedullary Nailing Fixation In The Treatment Of Humeral Shaft Fractures In Adults, Ahmad Shawakat Rizk, Hassan Hussein Ahmad Abdallah, Mohammed Gamal El Din Al Ashahab, Said Ibrahim Said Abdelmotalb

Journal of Medicine in Scientific Research

Background Most humerus shaft fractures can be treated successfully using the conservative methods. When choosing surgical fixation, there is a debate between the use of plate and screws and intramedullary nails. Aims The aim of this study was to compare the results of the dynamic compression plate and the antegrade interlocked humeral nail in the fixation of humerus shaft fractures. Patients and methods A total of 40 patients were selected by a randomized method to be treated by either method; there were 20 patients in each group and patients were followed up for at least 6 months until union. Result …


Evaluation Of Knowledge, Attitude, And Practice Of Adverse Drug Reactions Reporting Among Doctors And Nursing Staff Of A Rural Tertiary Care Teaching Hospital Of Maharashtra, Sanyukta M. Patil, Satish E. Bahekar Dec 2018

Evaluation Of Knowledge, Attitude, And Practice Of Adverse Drug Reactions Reporting Among Doctors And Nursing Staff Of A Rural Tertiary Care Teaching Hospital Of Maharashtra, Sanyukta M. Patil, Satish E. Bahekar

Journal of Medicine in Scientific Research

Context The adverse drug reactions (ADRs) are of great concern for any health care set ups as they directly or indirectly cost in terms of disability, prolongation of hospital stay, or even death. Hence, regular and timely reporting of ADR is of great importance, especially in treating doctors and nursing staff. Aims The main aim of this study was to assess the knowledge, attitude, and practice (KAP) of ADR reporting among doctors and nurses of tertiary care teaching hospital. Settings and design This was a prospective, cross-sectional questionnaire-based study that included 50 doctors and 50 nurses from the clinical departments …


Evaluation Of Botulinum Toxin Therapy For Chronic Anal Fissure, Amr Abu El-Ella, Ayman Al-Khaleegy, Khaled Hassan Aug 2018

Evaluation Of Botulinum Toxin Therapy For Chronic Anal Fissure, Amr Abu El-Ella, Ayman Al-Khaleegy, Khaled Hassan

Journal of Medicine in Scientific Research

Background Chronic anal fissure causes severe anal pain that dramatically impairs patient's quality of life. Despite a poorly understood etiology, anal fissures are characterized by continuous spasms of the internal anal sphincter. The work aims to evaluate the efficacy of botulinum toxin (BTX) local injection in relieving symptoms and healing chronic anal fissure and its complications. We also aim to popularize this simple outpatient technique. Patients and methods Thirty patients diagnosed with chronic anal fissure were included in this study. Each patient received 40 units of BTX. All patients were evaluated for pain, bleeding, and healing of the fissure from …


Emergency Surgery For Prosthetic Mitral Valve Dysfunction: Risk Factors And Technical Consideration, Ahmed Saad, H Hafez, M H. Mazen, Mohamed Refaat Kamar, Tharwat Fakhry Aug 2018

Emergency Surgery For Prosthetic Mitral Valve Dysfunction: Risk Factors And Technical Consideration, Ahmed Saad, H Hafez, M H. Mazen, Mohamed Refaat Kamar, Tharwat Fakhry

Journal of Medicine in Scientific Research

Objective Prosthetic mitral valve dysfunction remains a devastating complication in heart surgery. This study aims to assess the risk factors and the technical approaches to reach the best way to deal with and improve the outcome in these patients. Patients and methods Between January 2002 and March 2005, 60 patients underwent emergency reoperation for prosthetic mitral valve dysfunction, where 36 (60%) patients were in New York Heart Association class III, and 24 (40%) patients were in New York Heart Association class IV. There were 33 (55%) male and 27 (45%) female patients. The mean age at operation was 32.4 ± …


Endovascular Repair Of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report And Review Of The Literature, Mohamad M. Gouda, Mohamad Taha Aug 2018

Endovascular Repair Of Traumatic Subclavian Artery Pseudoaneurysm: A Case Report And Review Of The Literature, Mohamad M. Gouda, Mohamad Taha

Journal of Medicine in Scientific Research

Traumatic subclavian artery injury resulting in pseudoaneurysm formation is relatively uncommon. With the increasing percutaneous arterial interventions utilization worldwide, the number of pseudoaneurysm formation has increased owing to iatrogenic arterial injury. After trauma, injury of subclavian artery early appears, and many complications such as life-threatening bleeding, the creation of pseudoaneurysm, and brachial plexus compression may be caused by the arterial rupture. The presence of large hematoma and pulsatile palpable mass in the supraclavicular region should raise the suspicion of severe vascular injury. Surgical thoracotomy and direct arterial repair traditionally treated subclavian artery pseudoaneurysms. However, significant morbidity is usually associated with …


Validity Of Dual-Energy X-Ray Absorptiometry Scan In Evaluation Of Trunk Fat In Non-Obese Patients With Polycystic Ovary Syndrome, Amir S. M. Melika, Ikram I. Alyan, Osama S. El-Dein Aug 2018

Validity Of Dual-Energy X-Ray Absorptiometry Scan In Evaluation Of Trunk Fat In Non-Obese Patients With Polycystic Ovary Syndrome, Amir S. M. Melika, Ikram I. Alyan, Osama S. El-Dein

Journal of Medicine in Scientific Research

To detect trunk obesity, which was claimed to be a major cause of insulin resistance, in nonobese patients with polycystic ovary syndrome (PCOS) by using dual-energy X-ray absorptiometry (DEXA) scan. A total of 60 normal weight, with BMI less than 25 kg/m2, patients with PCOS were included in the study. DEXA scan was used to assess the body composition of all patients. Metabolic and hormone measurements and cardiovascular risk were determined. All data were collected and compared with 60 healthy controls. Normal-weight patients with PCOS had a higher ratio of total and trunk fat than non-PCOS controls. Moreover, …


Role Of Ankle Peak Systolic Velocity In Predicting Healing Of Diabetic Foot Lesions In Patients With Critical Lower Limb Ischemia, Assem M. Herzallah Aug 2018

Role Of Ankle Peak Systolic Velocity In Predicting Healing Of Diabetic Foot Lesions In Patients With Critical Lower Limb Ischemia, Assem M. Herzallah

Journal of Medicine in Scientific Research

Aim We designed the study for determining if ankle peak systolic velocity (APSV) has value in prediction of healing in diabetic foot lesions in patients with critical lower limb ischemia. APSV is the mean of the peak systolic velocities estimated at the ankle level over the distal tibial arteries. Patient and Methods Patients were included if they had diabetes foot lesions. Such lesions were ulcers, gangrene, or tissue necrosis. In addition, they had nonpalpable pedal pulses. Endpoints were healed or healing foot lesions, revascularization, major amputation, or death. Fifty diabetic limbs were included. Results Twenty-five (50%) limbs with diabetic foot …


Estimation Of Insulin-Like Growth Factor-1 As A Biomarker In Nonalcoholic Fatty Liver Disease In Patients With Metabolic Syndrome, Amal E. El-Maghraby, Eman A. Aissa, Hoda El H. Ahmed Aug 2018

Estimation Of Insulin-Like Growth Factor-1 As A Biomarker In Nonalcoholic Fatty Liver Disease In Patients With Metabolic Syndrome, Amal E. El-Maghraby, Eman A. Aissa, Hoda El H. Ahmed

Journal of Medicine in Scientific Research

Background Nonalcoholic fatty liver disease (NAFLD) is becoming the most common chronic liver pathology especially in developed countries, ranging from simple liver steatosis to nonalcoholic steatohepatitis. Patients with NAFLD having metabolic syndrome have abnormal liver enzymes that positively correlate with the number of metabolic syndrome components. Abdominal ultrasonography is frequently used in epidemiological studies to detect NAFLD. Insulin-like growth factor (IGF-1) is the critical hormone in the pathophysiology of metabolic syndrome and is associated with cardiovascular disease, diabetes mellitus, and abnormal lipid metabolism. Participants and methods A total of 70 patients, 50 patients having NAFLD by ultrasonography and 20 individuals …


The Relation Between Sarcopenia, Associated Factors, And Disease Activity In Patients With Rheumatoid Arthritis, Ikram I. Alyan Aug 2018

The Relation Between Sarcopenia, Associated Factors, And Disease Activity In Patients With Rheumatoid Arthritis, Ikram I. Alyan

Journal of Medicine in Scientific Research

Aim The aim of this study was to detect the incidence of sarcopenia in patients with rheumatoid arthritis (RA) and study associated factors. Patients and methods Dual-energy X-ray absorptiometry was used to assess the body composition of 80 patients with RA and 80 healthy controls. Sarcopenia was defined as a relative skeletal muscle index of less than 5.5 kg/m2 in male and less than 7.26 kg/m2 in female patients. BMI, waist circumference, and disease activity score 28 erythrocyte sedimentation rate were used to assess disease activity. Functional disability was measured using Health Assessment Questionnaire, and 4-m gait speed …


Assessment Of Evaluated Pulmonary Vascular Resistance By Isoproterenol Infusion In Patients With Atrial Septal Defects, Amir S. Michael Aug 2018

Assessment Of Evaluated Pulmonary Vascular Resistance By Isoproterenol Infusion In Patients With Atrial Septal Defects, Amir S. Michael

Journal of Medicine in Scientific Research

Aim and Background Congenital heart diseases constitute a major category of disorders associated with pulmonary hypertension in atrial septal defect there is tendency to repair essentially all large defect except some of those with severe obstructive pulmonary vascular diseases. in this study the isoproterenol is used for assessment of patients with atrial septal defect, with elevated pulmonary / systemic vascular resistance ratio. Methods and Results 100 cases with atrial septal defect, with pulmonary hypertension received isoproterenol infusion. Haemodynamic findings found among all patients with atrial septal defect before and after isoproterenol infusion. There is a significant in pulmonary blood flow …


Assessment Of Value Of Adding Low Dose Of Intermediate-Acting Nondepolarizing Muscle Relaxant To Local Anesthesia And Hyaluronidase Mixture Percaruncular And Peribulbar Anesthesia For High Myopes In Ophthalmic Surgery, Alaa A. Ibrahim, Ashraf A. M. Soliman Aug 2018

Assessment Of Value Of Adding Low Dose Of Intermediate-Acting Nondepolarizing Muscle Relaxant To Local Anesthesia And Hyaluronidase Mixture Percaruncular And Peribulbar Anesthesia For High Myopes In Ophthalmic Surgery, Alaa A. Ibrahim, Ashraf A. M. Soliman

Journal of Medicine in Scientific Research

Objective The purpose of this study was to assess thevalue of adding low-dose intermediate-acting nondepolarizing muscle relaxant to local anesthesia and hyaluronidase mixture percaruncular and peribulbar anesthesia for high myopes in ophthalmic surgery. Patients and methods A total of 82 patients with American Society of Anesthesiologists I–III planned for elective ophthalmic surgery with high myopes enrolled in a double-blind comparative study. The atients were randomized into one of the two groups: group A (n = 42) patients received lidocaine, bupivacaine (local anesthesia), hyaluronidase, and atracurium (intermediate-acting nondepolarizing muscle relaxant) percaruncular and peribulbar. Group B patients received local anesthesia, hyaluronidase …


Assessment Of Value Of Epidural Magnesium Sulfate In Postoperative Analgesia After Lower Limb Vascular Surgery, Ashraf A. M. Soliman Aug 2018

Assessment Of Value Of Epidural Magnesium Sulfate In Postoperative Analgesia After Lower Limb Vascular Surgery, Ashraf A. M. Soliman

Journal of Medicine in Scientific Research

Objective The aim of the study was to assess the value of epidural magnesium sulfate in postoperative analgesia after lower limb vascular surgery. Patients and methods A total of 80 patients planned for elective lower limb vascular surgery were enrolled in a double-blind comparative study. Their ages were between 30 and 60 years and were of ASA physical status I–III. Patients were randomly distributed into two group: group A (n = 40) included patients who received 100-mg magnesium sulfate in 6 ml normal saline 0.9% plus 4 mg morphine epidurally, and group B (n = 40) had patients …


Femoral Tunneled Hemodialysis Catheter As A Permanent Access For Hemodialysis Patients, Ahmed A. Morsi, Assem M. Herzallah, Mohamed T. Y. Madkour, Tarek S. Elshanshoury Aug 2018

Femoral Tunneled Hemodialysis Catheter As A Permanent Access For Hemodialysis Patients, Ahmed A. Morsi, Assem M. Herzallah, Mohamed T. Y. Madkour, Tarek S. Elshanshoury

Journal of Medicine in Scientific Research

Background Vascular access (VA) remains the cornerstone in HD patients. The survival of the patients becomes risky if approaches like arteriovenous fistulae, grafts, and thoracic tunneled central catheters are used with no benefits. The options become limited to transplantation, dialysis through the peritoneum, and catheter insertion translumbarally or femorally, which in some cases is the only available approach. Methods We are discussing our experience from Mataria Teaching Hospital with 17 patients; in those patients, all the vascular procedures were used with no benefits. We could not perform other options like transplantation or peritoneal dialysis. Hence, we chose femoral tunneled catheters …


A Surprising Incidence Of Mammary Duct Ectasia In Egyptian Female Individuals: A 20-Year Experience, Adel K. Barsoum Aug 2018

A Surprising Incidence Of Mammary Duct Ectasia In Egyptian Female Individuals: A 20-Year Experience, Adel K. Barsoum

Journal of Medicine in Scientific Research

The vast majority of breast pathology is benign. Much attention is given to malignant lesions because breast cancer is the most common malignancy in women. Duct ectasia is one of the benign breast diseases; Haagenson was the first to use the term. It is a widening of the ducts of the breast, a condition that occurs most frequently in women in their fourth and fifth decade of life. American Cancer Society states that mammary duct ectasia does not increase the risk for developing breast cancer, as duct ectasia is considered a nonproliferative disease (cells that have changed but are not …


Laparoscopic Omental Patch Repair For Perforated Peptic Ulcer: An Early Experience From Al-Sahel Teaching Hospital, Amr M. Abulfadle, Ashraf M. Habeeb, Ayman A. Al-Khaleegy, Khaled M. Hassan Aug 2018

Laparoscopic Omental Patch Repair For Perforated Peptic Ulcer: An Early Experience From Al-Sahel Teaching Hospital, Amr M. Abulfadle, Ashraf M. Habeeb, Ayman A. Al-Khaleegy, Khaled M. Hassan

Journal of Medicine in Scientific Research

Background Peptic ulceration is a common condition. The most common etiologic factors are drugs use like NSAIDs and infection by Helicobacter pylori. The perforated duodenal ulceration is not an uncommon surgical emergency, ur aim was to show our experience with Laparoscopic omental patch repair for perforated peptic ulcer. Patient and Method In this study, we included 16 patients who underwent laparoscopic repair of perforated duodenal ulcer at our department. The patients were urgently admitted to the emergency department. Result In our study, we have neither morbidity nor mortality. The recorded time for the operation was 72–90 min, and the …


Biomechanical Assessment Of The Preperitoneal Hernial Repair By A Bipedicled External Oblique Aponeurotic Flap: Mobility Of The Floor Of The Inguinal Canal, Adel K. Barsoum, Mohamed M. Moneer, Soheir S. Makarem Apr 2018

Biomechanical Assessment Of The Preperitoneal Hernial Repair By A Bipedicled External Oblique Aponeurotic Flap: Mobility Of The Floor Of The Inguinal Canal, Adel K. Barsoum, Mohamed M. Moneer, Soheir S. Makarem

Journal of Medicine in Scientific Research

Introduction Development of indirect inguinal hernias through the inguinal canal is usually prevented by the shutter and the sphincteric mechanisms, which are known to be destroyed by almost all anterior herniorrhaphies. Objective A new preperitoneal repair, which uses a bipedicled external oblique oponeurotic flap, has been recently introduced and was suggested to change the mechanics of this area. In this hernia repaires, the biomechanics of the inguinal region were assessed in healthy individuals and in patients with hernia after new repair and after other conventional anterior hernial repairs. Methods The study included 20 patients with inguinal hernias and 5 non-hernia …


The Efficacy Of Argon Plasma Coagulation In The Treatment Of Gastric Antral Vascular Ectasia In Mataria Teaching Hospital, Aisha El-Shimy, El Saied E. Shabaan, Tarek A. Fouad Apr 2018

The Efficacy Of Argon Plasma Coagulation In The Treatment Of Gastric Antral Vascular Ectasia In Mataria Teaching Hospital, Aisha El-Shimy, El Saied E. Shabaan, Tarek A. Fouad

Journal of Medicine in Scientific Research

Background Gastric antral vascular ectasia (GAVE) is characterized by mucosal and submucosal vascular ectasia. It may present with iron-deficiency anemia or gastrointestinal bleeding. Argon plasma coagulation (APC) may be used for treating GAVE. This study aims to evaluate the efficacy and safety of APC in the treatment of GAVE. Patients and methods A total of 30 patients with GAVE and in need of treatment for bleeding or anemia were treated with APC every 2 to 4 weeks until eradication of GAVE or cessation of the patient's initial symptoms. They were then followed up on a monthly basis for recurrence of …


Ovulation Induction In Women With Polycystic Ovarian Syndrome: Clomiphene Citrate Or Letrozole?, Mohamed Y. Elsemary, Osama S. El Taher, Waleed F. G. Mostafa Apr 2018

Ovulation Induction In Women With Polycystic Ovarian Syndrome: Clomiphene Citrate Or Letrozole?, Mohamed Y. Elsemary, Osama S. El Taher, Waleed F. G. Mostafa

Journal of Medicine in Scientific Research

Objective The objective of this study was to determine first-line infertility therapy in polycystic ovarian syndrome (PCOS) and to compare between clomiphene citrate (CC) and aromatase inhibitors (letrozole) as the standard treatment. Patients and methods This is a prospective randomized study. The study was conducted at El-Galaa Assisted Reproduction Unit, El-Galaa Maternity Teaching Hospital, Cairo, Egypt. Eighty-eight women with PCOS were randomized into two groups. Rotterdam criteria were used to define PCOS: oligomenorrhea less than or equal to 8 menses/year plus either PCOS on ultrasound or clinical/biochemical hyperandrogenism, with the exclusion of other causes. Forty-four patients were randomized to the …


Serum Antimullerian Hormone Before And After Laparoscopic Excision Of Ovarian Endometrioma, Hossam El-Din Mahmoud, Osama S. El Taher, Rania H. Aly, Waleed F. G. Mostafa, Yousef M. Elsemary Apr 2018

Serum Antimullerian Hormone Before And After Laparoscopic Excision Of Ovarian Endometrioma, Hossam El-Din Mahmoud, Osama S. El Taher, Rania H. Aly, Waleed F. G. Mostafa, Yousef M. Elsemary

Journal of Medicine in Scientific Research

Background Surgery of ovarian endometrioma may have a detrimental effect on ovarian reserve. This study aims to evaluate the effect of laparoscopic cystectomy on serum antimullerian hormone (AMH) in patients with endometrioma. Materials and methods A prospective study was performed at El-Galaa Maternity Teaching Hospital where 60 women with endometriomas underwent laparoscopic cystectomy. Serum AMH, follicle-stimulating hormone (FSH), luteinizing hormone, estradiol, and antral follicle count (AFC) were measured preoperatively and at 3 months postoperatively. Outcome measures The ovarian reserve was measured based on the change of AMH level before and after surgery. Moreover, the secondary end point was to detect …


Identification Of Different Bacterial Species Isolated From Infected Renal Stones And Evaluation Of Its Uricolytic Activity, Aisha El-Shimy, Azza Omran, Emad El-Tair, Hala I. Mohamed, Iman Kamel Apr 2018

Identification Of Different Bacterial Species Isolated From Infected Renal Stones And Evaluation Of Its Uricolytic Activity, Aisha El-Shimy, Azza Omran, Emad El-Tair, Hala I. Mohamed, Iman Kamel

Journal of Medicine in Scientific Research

Background Nephrolithiasis remains a public health problem around the world, affecting up to 20% of the population. There are many risk factors that increase one's susceptibility to kidney stone formation. These include specific food, urinary tract infection, kidney disorders, and metabolic disorder. Also, some people with a family history of kidney stones may be more susceptible to develop stones. Objective The aim was to isolate, purify, and identify bacteria from urinary stones. Also, determine the most bacterial isolate secreting uricase enzyme. Patients and methods A total of 100 cases were included in the study (66 men, 34 women) at the …


Value Of Toll-Like Receptor 3 (Tlr3) In Chronic Kidney Disease Patients With Hepatitis C Virus Infection, Aisha El-Shimy, El-Saied Shabaan, Hala Ibrahim, Iman Kamel, Tarek Fouad Apr 2018

Value Of Toll-Like Receptor 3 (Tlr3) In Chronic Kidney Disease Patients With Hepatitis C Virus Infection, Aisha El-Shimy, El-Saied Shabaan, Hala Ibrahim, Iman Kamel, Tarek Fouad

Journal of Medicine in Scientific Research

Background Hepatitis C virus (HCV) infection is a severe public health problem with a worldwide predominance of 3%. An estimated 5–20% of infected patients develop cirrhosis annually, and 1–4% of them develop hepatocellular carcinoma. In Egypt, the prevalence of HCV antibody and HCV RNA are 10.0 and 7.0%, respectively, in the 15–59 years age group. In children of 1–14 years old, the prevalence of HCV antibody and HCV RNA are 0.4 and 0.2%, respectively. HCV infection is a cause of chronic kidney disease (CKD) and results in a significant problem in hemodialysis (HD) patients. Toll-like receptors (TLRs) might have an …


Effect Of Kinesio Taping Therapy On Waist Circumferences In Postpartum Women, Maha M. Mady Apr 2018

Effect Of Kinesio Taping Therapy On Waist Circumferences In Postpartum Women, Maha M. Mady

Journal of Medicine in Scientific Research

Objective The study was designed to examine the effect of Kinesio taping (KT) on abdominal circumferences in postpartum women with or without diastasis of rectus abdominus muscles (DRAM). Participants and methods A total of 26 women at 8 weeks postpartum, their age ranged from 25 to 35 years, their BMI was between 26.6 and 38.2 kg/m2, suffering from increasing abdominal circumferences with or without DRAM, were referred from the outpatient clinic of the Gynecological Department of Shibeen El-Kom Teaching Hospital, All women received KT therapy on the abdomen. The treatment was applied for 4 consecutive weeks. Evaluation was …


Evaluation Of Nutrition Intake Of Football Players, Heba S. Abdelhaliem, Hoda M. El Gezrey Apr 2018

Evaluation Of Nutrition Intake Of Football Players, Heba S. Abdelhaliem, Hoda M. El Gezrey

Journal of Medicine in Scientific Research

Introduction Despite football being the most popular sport in Egypt, most players do not know their needed nutritional requirements. The metabolic rate and energy consumption increased dramatically in football players. Thus, nutrition plays a significant role in improving the performance and the quality of life for these players. Objective This study aimed to assess the nutritional status of 50 football players aged between 15 and 19 years in Gomhorya Club – Menoufia. Participants and methods Dietary intake was evaluated for 7 days by using dietary assessment tools (24-h recall). This data was used to determine energy, macronutrients, micronutrients, and fiber. …