Medical Specialties Commons^™

Role Of Crp In Covid-19 Pneumonia: A Single-Center Experience Of 1000 Cases In A Tertiary Care Setting In India, Manojkumar Bhadake, Shital Patil, Utreshwar Dhumal

Journal of Medicine in Scientific Research

Introduction Robust data are available for C-reactive protein (CRP) in bacterial infection, and it can be used in this coronavirus disease 2019 (COVID-19) pneumonia pandemic for initial assessment before planning of treatment in indoor settings in comparison with other inflammatory markers and computed tomography (CT) severity. Materials and methods A prospective, observational, follow up study was conducted that included 1000 COVID 19 cases confirmed with RT PCR. All cases were assessed with lung involvement documented and categorized based on high resolution computed tomography (HRCT) thorax, oxygen saturation, and inflammatory markers such as CRP at the entry point and follow up. …

Comparative Study Between Different Types Of Neonatal Sepsis Among Newborns Admitted To The Neonatal Intensive Care Unit In Mataria Teaching Hospital, Cairo, Nada M. Elsayed, Sohaila A. Abd El-Halim, Youssof M. Hassan

Journal of Medicine in Scientific Research

Background Sepsis is the most frequent cause of neonatal deaths globally, varying in incidence between different countries. Sepsis is a burden on families and health care resources. Objectives To identify prevalence, type of organism, and outcome of early-onset sepsis (EOS) and late-onset sepsis (LOS). Patients and methods A cross-sectional study was conducted at the neonatal ICU of Mataria Teaching Hospital from November 2018 to October 2019. Demographic, clinical, and laboratory data of proved septic neonates were collected. Classification of cases according to the onset of sepsis: EOS (group I), in which sepsis is presented clinically before the third day of …

The Effect Of Cardiovascular Risk Factors On The Final Outcome In Patients With Covid-19, Emmanuel Louka Aziz, George Ghaly Gerges

Journal of Medicine in Scientific Research

Background Increased cardiovascular risk factors are associated with adverse outcome in patients with coronavirus disease-2019 (COVID-19). In this study, the authors assessed the prevalence of cardiovascular risk factors in patients with COVID-19 and studied the impact of these cardiovascular risk factors on the final outcome in these patients. Aim The authors aimed to study the prevalence of cardiovascular risk factors in patients with COVID-19 as well as the impact of these cardiovascular risk factors on the final outcome in these patients. Patients and methods The study included 200 patients who were admitted in Al-Sahel teaching hospital with COVID- 19-positive PCR. …

Comparative Study Between Minimally Invasive Right Anterior Minithoracotomy Versus Mini-Upper Sternotomy In Isolated Aortic Valve Replacement (Early Outcome), Ashraf Abdelaziz, Hazem G. Bakr, Ibrahim M. Helmi

Journal of Medicine in Scientific Research

Background Minimally invasive surgical methods have lately become popular in heart surgery. Ministernotomy and minithoracotomy are the most commonly used incisions in minimally invasive aortic valve replacement. It is still debated if one incision is better than the other. Patients and methods A prospective comparative analysis was used to examine the outcomes of 30 patients who underwent isolated aortic valve replacement. A minimally invasive right anterior minithoracotomy approach was used in group A (n = 15), whereas a mini-upper sternotomy method was used in group B (n = 15). Results The results in both groups reveal no statistical …

A Rare Case Of Dystrophinopathy: Duchenne Muscular Dystrophy;Becker Muscular Dystrophy Intermediate Complex, Manish S. Ahuja, Neena Katoch, Rachna Gulati, Subhendu Pandit, Tathagata Bose

Journal of Medicine in Scientific Research

An 18-year-old boy with no significant perinatal history presented with insidious onset of slowly progressive flaccid paraparesis with muscle wasting in thighs. On examination, the patient had flaccid motor quadriparesis and partial atrophy of proximal thigh muscles. This was accompanied by pseudohypertrophy of calf muscles and extensor muscles in the dorsum of foot. Investigations revealed very high levels of creatinine phosphokinase in the patient (6495 IU/l in contrast to normal range of 55–170 IU/l) and in his sister (718 IU/l). Echocardiography showed dilated cardiomyopathy with severe left ventricular dysfunction. The multiplex ligation-dependent probe amplification revealed deletion of exons 3 to …

Erratum: Parents’ Knowledge, Attitude And Practices Toward Oral Health Of Their Children With Primary Dentition: A Cross Sectional Study, Marwa Foad, Mennatallah Helal, Soad Abdel Moneim

Journal of Medicine in Scientific Research

The Erratum statement can be found in the PDF file.

A Comparative Study On The Effects Of Dextrose Prolotherapy And Local Steroid Injection In Patients With Lateral Epicondylitis: A Randomized Controlled Trial, Abhishek Biswas, Ameed Equebal, Osama Neyaz, Rajkumar Yadav, Suvrat Gupta

Journal of Medicine in Scientific Research

Background Lateral epicondylitis (LE) is the most common condition of elbow pain. Multiple intralesional steroid injections help in the treatment. Prolotherapy is a traditional injection method recently categorized as regenerative treatment. However, there is scarcity of literature that compares its effectiveness with steroids. Objective The aim was to compare the effectiveness of dextrose prolotherapy (DP) against local steroid injection in patients with LE in relieving pain and improving dysfunction. Participants and methods This parallel, randomized controlled trial was conducted at Outpatient Department, National Institute for Locomotor Disabilities (Divyangjan), (erstwhile National Institute for the Orthopaedically Handicapped) Kolkata, from January 2016 to …

Could Vitamin D3 Be Effective In Prevention Of Risk Of Preeclampsia Among Pregnant Women?, Adel G. Allam, Ibrahim M. El-Maghraby

Journal of Medicine in Scientific Research

Background Preeclampsia, a pregnancy disease marked by high blood pressure and proteinuria, affects 2–8% of all pregnancies. Preeclampsia can be life-threatening for both the mother and the fetus and is still a significant cause of maternal and neonatal morbidity and mortality. The goal of this study was to assess if there was a link between maternal serum vitamin D3 levels and the severity of preeclampsia. Patients and methods A case–control study was conducted on 70 pregnant women at Shebin El Kom Teaching Hospital. All pregnant women were divided into two groups: group A included 30 apparently healthy pregnant women (control …

Correlation Between Neutrophil-To-Lymphocyte Ratio After Percutaneous Coronary Intervention And The Size Of Infarction In Patients With Acute Myocardial Infarction, Mohamed R. Badran

Journal of Medicine in Scientific Research

Background Inflammatory processes have a role in the pathogenesis of acute myocardial infarction (AMI), left ventricular remodeling, and repair. Infarct size (IS) is a strong predictor of prognosis following AMI. Several tools are used to predict IS, but most of them are expensive and inaccessible all the time. So, neutrophil-to-lymphocyte ratio (NLR) as a marker of inflammation is an easy and cheap tool to predict IS. Aim To assess if post-percutaneous coronary intervention (PCI) NLR can predict IS in patients with AMI. Patients and methods The study included 11 125 patients with AMI treated with primary PCI. We used cardiovascular …

Comparative Study Between Right-Sided Minithoracotomy Versus Upper Partial Ministernotomy In Isolated Mitral Valve Replacement (Early Outcome), Ashraf Abdelaziz, Emmanuel L. Aziz, Hazem G. Bakr

Journal of Medicine in Scientific Research

Background In recent years, minimally invasive surgical techniques have become increasingly popular in heart surgery. The most common incisions used in minimally invasive mitral valve replacement are ministernotomy and minithoracotomy. It is still up for dispute whether one incision is superior to the other. Patients and methods The results of 60 patients who had solitary mitral valve replacement were studied using a prospective comparative analysis. In group A (n = 30), a minimally invasive right anterior minithoracotomy technique was performed, whereas in group B (n = 30), a partial upper ministernotomy procedure was used. Results The results in …

Effect Of Different Modalities Of Noninvasive Respiratorys Upport In Preterm Infants With Respiratory Distress Syndrome: A Prospective Multicenter Study, Abeer E. S. Hamed, Alaa A. Rashad, Heba Allah M. Sherief, Magued A. Iskandar, Mahmoud H. Dawabah, Manar A. Eldesouky, Mohamed A. Ibrahim, Sohaila A. Abd El-Halim

Journal of Medicine in Scientific Research

Background The first few hours after birth are very critical for newborns to adapt to the extrauterine environment. However, respiratory distress syndrome (RDS) is very common in newborns, particularly in those with shorter gestation ages, sepsis, and fewer platelet counts. The evaluation of respiratory management with current noninvasive ventilation (NIV) support strategies in preterm infants present within the neonatal intensive care unit, as well as drawbacks of NIV modes including nasal continuous positive airway pressure, nasal intermittent positive pressure ventilation, and high-flow nasal cannula, is also critical for those patients. This study aimed to compare different modes of NIV to …

The Role Of Myocardial Mechanical And Qtc Dispersion In Detecting Significant Coronary Artery Disease, Mohamed R. Badran

Journal of Medicine in Scientific Research

Background Prolonged myocardial contraction and QT interval duration may be found in ischemic viable myocardium, yet it is unclear if noninvasive examination of regional nonhomogeneous myocardial mechanics and QT duration may detect patients with significant coronary artery disease (CAD). Aim To assess the ability of cardiac mechanical and QTc dispersions to identify significant CAD in patients having chest pain with no prior myocardial infarction. Patients and methods We examined 125 patients who had chest pain and evaluated by coronary angiography. They are divided into two groups. CAD group included 75 patients with significant CAD, and control group included 50 patients …

Early Versus Late Intervention In Patients With High-Risk Non-St;-Elevation Myocardial Infarction, Emmanuel Louka Aziz, Mohamed Abbas Morsy

Journal of Medicine in Scientific Research

Introduction With improvements in percutaneous coronary intervention and the advent of novel adjunctive pharmacotherapy agents (such as GP 2b/3a inhibitors, new antiplatelet agents, and intensive statin regimens), the safety and efficacy of early Percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS) has improved significantly (1). Therefore, the current guidelines recommend a routine invasive strategy (angiography and revascularization if applicable) (2) in high-risk patients with non-'ST'-elevation ACS (NSTE-ACS). Aim The aim was to compare the results of early versus late intervention in patients with high-risk NSTE myocardial infarction (MI). Patients and methods This study was carried out on 60 patients …

A Comparative Study Of Clinical Profile Of Hospitalized Covid-19 Patients In Relation To Their Vaccination Status, Nisha Kaithwas, Garima Agrawal Varshney, Mohit Garg, Piyush Mishra Statistician, Soumitra Sethia

Journal of Medicine in Scientific Research

Background: The clinical picture, outcome of Covid-19 infection and vaccine effectiveness vary in different individuals. These may depend on multiple variables like age, sex, comorbidities, and immune status against the virus and in general. Objective: To describe demography, clinical profile, vaccination status and its impact on clinical outcome of hospitalized Covid-19 patients. Methods: This retrospective study was conducted on hospitalized Covid-19 patients of N.S.C.G.M.C. Khandwa, a tertiary care centre from central India. We studied 188 Covid-19 positive admitted patients’ demographic profile, clinical profile, co-morbidity, vaccination status, clinical outcome and association of these variables to their vaccination status during second Covid-19 …

Clinical Findings And Hematological Parameters In Cases Of Acute Lymphoblastic Leukemia With Thrombocytosis At Initial Diagnosis, Anurag Singh, Sanjay Mishra, Tanya Tripathi, Akanksha Singh, Rashmi Kushwaha, S.P. Verma, U.S. Singh

Journal of Medicine in Scientific Research

Background Acute lymphoblastic leukemia (ALL) is a bone marrow and blood neoplasm involving precursor cells, or lymphoblasts, dedicated to B/T-cell lineages. ALL usually presents with bicytopenia/pancytopenia and thrombocytopenia is the most important key parameter. Thrombocytosis has not been a well-described feature of ALL; hence, this study was planned to investigate the incidence of thrombocytosis at initial diagnosis and its correlation with clinicohematological parameters, immunophenotyping, and cytogenetic study. Aim The aim was to investigate the incidence of thrombocytosis in newly diagnosed cases of ALL and its correlation with clinicohematological parameters, immunophenotyping, and cytogenetics. Materials and methods Medical records of all patients …

Forced Expiratory Volume In The 6 S And Forced Expiratory Volume In The 1 S/Forced Expiratory Volume In The 6 S For Early Detection Of Airflow Obstruction, Therese S. Ghatas, Moheb W. Elfaizy

Journal of Medicine in Scientific Research

Introduction

Use of affordable and simple tools for screening chronic obstructive pulmonary disease (COPD) is limited. In recent years, measurement of forced expiratory volume in the 6 s (FEV6) has been researched as a substitute to replace forced vital capacity measurements. This work was performed to analyze the effectiveness of a simplified handheld forced expiratory flowmeter device and to search an optimal cutoff value of FEV1/FEV6 to detect airflow narrowing and limitation.

Patients and methods

This was a cross-section study for screening and finding of active case among undiagnosed patients with COPD using a simple handheld spirometry device, and the …

Comparison Of Loss Of Resistance Syringe Technique Versus Balloon Technique For Identification Of Epidural Space: A Prospective, Randomized Controlled Study, Isha Singha, Gayatri Vadaratti, R.D. Patel

Journal of Medicine in Scientific Research

Context Epidural anaesthesia has an important role in modern anaesthetic practice due to its safety and efficacy, and its success depends on the technique used for identification of epidural space. Aims: In this study we compared the of loss of resistance (LOR) technique versus the balloon technique for identification of the epidural space in terms of number of attempts and time taken. Also the efficacy of the two techniques in the hands of experienced and inexperienced anaesthesiologists was compared and complications noted. Settings and design Tertiary care hospital. A prospective randomized controlled study. Methods and material 164 ASA I and …

Comparative Assessment Of The Efficacy Of Onabotulinumtoxina As Monotherapy And Combined Therapy With Propiverine In Female Refractory Overactive-Bladder Syndrome, Abourjila A. Gamal Eldin, Ayman M. Gabr, Amr M. Elsofy

Journal of Medicine in Scientific Research

Objectives The aim of the study was to compare the efficacy of onabotulinumtoxinA and anticholinergic popeverine in adult females. This is a placebo-controlled study. Introduction The active ingredient, propiverine hydrochloride, blocks muscarinic receptors with a slightly higher affinity for the M3 as compared with the M2 subtype. In addition, it inhibits calcium influx and modulates intracellular calcium in the bladder smooth-muscle cells, which then leads to musculotropic spasmolysis. Patients and methods Between 2015 and 2019, 94 patients received intravesical onabotulinumtoxinA for the treatment of refractory idiopathic detrusor overactivity after its introduction into the Department of Urology of our National Institute …

Vestibular Assessment In Patients With Temporomandibular Joint Dysfunction Attending Otolaryngology And Oral Medicine Outpatient Clinics, Sanaa Mahran Mohamed Andeil, Zienab Shalaby Farid Shalaby, Anwar Moawad Elbatawy

Journal of Medicine in Scientific Research

Introduction: Temporomandibular joint dysfunction (TMD) is caused by inflammation of the ligaments and muscles surrounding the joints. TMD is associated with several comorbidities, one of these comorbidities are otological problems. The otological symptoms related to TMD are tinnitus, otalgia, ear fullness, and Vertigo. Vertigo is observed in many diseases and etiologic factors should be investigated to increase the efficiency of treatment Objective Here we assess VNG and cVEMP findings in patients with TMD via objective vestibular testing tools including VNG and cVEMP recordings. Here, we compare findings of cervical vestibular evoked myogenic potentials (cVEMP) and of the caloric test, to …

Incidence And Severity Of Pulmonary Hypertension Among Patients With Chronic Kidney Disease, Mamdouh Maher

Journal of Medicine in Scientific Research

Chronic kidney disease (CKD) is a major health problem and is closely linked with cardiovascular disease. Pulmonary hypertension (PH) is considered a common comorbidity in CKD patients. In all, 100 patients were included in our study. Transthoracic echo Doppler study was performed to measure pulmonary artery systolic pressure based on tricuspid jet. The prevalence of PH in CKD patients in our study was 60%; prevalence and severity had significant association.

The hemodialyzed group showed a higher prevalence of PH with a more severe PH.

Our study had provided evidence that PH is a common comorbidity in CKD patients and is …

The Predictive Ability Of Interleukin-6 For Infection After Major Surgery, Naser T. Elshamy, Salama M. Elshennawy, Mahmoud A. Donia

Journal of Medicine in Scientific Research

Objective The aim was to evaluate the role of interleukin (IL)-6 in prediction of infection after major surgeries. Background An early sensitive and specific marker for postoperative infection would be of interest. The cytokines such as IL-6 and IL-10 have been shown to relate to the severity of postoperative sepsis and patient outcome. Patients and methods The study was conducted prospectively at Shebin Elkom Teaching hospital in the period from January 2015 to October 2016 on 50 consecutive patients undergoing elective major surgical procedures. Septic complications were recorded for 4 days postoperatively. For evaluation, patients were allocated into two groups …

Auditory Temporal Processing Abilities In Patients With Diabetes Mellitus Type 1 And Type 2, Abir Omara, Sanaa Mahran, Heba Ramadan

Journal of Medicine in Scientific Research

Introduction: Diabetes mellitus is most common chronic disease characteristic by carbohydrate metabolic disorder in which absolute or relative deficiency in insulin and various pathological changes in the body system. The central nervous system disorders is among system affected by toxic effect and hyperglycemia. Auditory temporal processing is one of the important abilities of the central nervous system which may be affected by diabetes. However, the extent and nature of the central manifestations are still unknown. Objective: The aim of this study was to compare auditory temporal processing in these patients (Diabetics type 1 and Type 2) with normal subjects through …

Prediction Of Response To Disease-Modifying Therapy In Multiple Sclerosis, Abdelrahman M. Abdalla, Azza Abd El-Nasser, Mohamed Fouad, Mahmoud S. Swelam

Journal of Medicine in Scientific Research

Background Multiple sclerosis is an idiopathic inflammatory disease of the central nervous system and the second most common cause of disability in young adults. Choosing an effective treatment is crucial to preventing disability. Aim To identify predictors of disease-modifying therapy (DMT) after 1 year of treatment. Patients and methods In this retrospective study, 150 patients with confirmed diagnosis of relapsing-remittent multiple sclerosis were recruited from the MS Unit at the Neurology Departments from both Ain-Shams University and Cairo University Student Hospital. All of the study population received either interferons or fingolimod. Modified Rio score was used to classify patients to …

An Analytical Study Of The Risk Factors Affecting The Platelet Aggregation In Patients With Sepsis, Vishnu Priya, Jitender M. Khunger, Anupma Arora

Journal of Medicine in Scientific Research

Objectives (a) To determine the correlation of platelet count and aggregation with sepsis severity and (b) to find the risk factors affecting the platelet aggregation in sepsis. Patients and methods The present observational cross-sectional study was conducted on 30 patients of sepsis over a period of 18 months. All patients underwent complete blood counts, and platelet aggregation to ADP. Pearson correlation coefficient was used to assess the association of Sequential Organ Failure Assessment (SOFA) score and aggregation to ADP and platelet. Linear regression was done to determine the risk factors affecting platelet aggregation in sepsis. A P value of less …

Comparative Study Between Radiofrequency Ablation And Endovenous Laser Ablation In The Management Of Primary Great Saphenous Varicose Veins, E.M Reem, H.T Ahmed, A.A Mohammed, H.A Mohamed

Journal of Medicine in Scientific Research

Background: Varicose veins are a common presentation of chronic venous disease. Multiple risk factors have been specified by epidemiological studies such as female sex, pregnancy, obesity, and prior deep venous thrombosis. Objective This is a prospective, comparative study to compare radiofrequency (RF) ablation versus endovenous laser ablation (EVLA) in the management of primary varicose veins of great saphenous vein (GSV). Patients and methods This study was conducted to 130 patients who had primary great saphenous varicose veins who attended to the vascular department of Ain Shams University Hospitals and El-Sahel Teaching Hospital. The study is a prospective comparative clinical trial. …

A Comparison Of Robotically Assisted Needle Guidance Via The Piga Ct System And Conventional Ct For Percutaneous Lung Biopsies, Virender Malik, K Uday Bhanu, Dhanalakshmi B

Journal of Medicine in Scientific Research

Objective

The aim was to compare the speed, radiation exposure, needle adjustments, diagnostic efficacy, and complication rate using manual guidance and robotically assisted needle guidance via the PIGA computed tomography (CT) system for percutaneous lung biopsy.

Methods

A randomized interventional trial was conducted from September 2020 to March 2021 on 30 patients requiring lung biopsies for suspected malignancy. Random allocation of the 30 patients was done in group A (robot-assisted CT scan) and group B (conventional manual CT scan). The outcomes were compared with respect to the total procedural duration, time taken in the navigation of needle insertion, needle manipulations, …

Histomorphological Spectrum Of Ovarian Neoplasms In A Tertiary Care Centre, Lionel Rohit Mathew, Shalini Karthikeyan, Jaishree Tamilmani, Prema Devi Elangovan, Sridevi Vijayasankar

Journal of Medicine in Scientific Research

Introduction: Ovary is the second most common site of gynaecological malignancies in India and therefore ovarian tumours need to be studied under the microscope for accurate diagnosis and management.

Aim: This study aims to study the spectrum of ovarian tumours and calculate their incidence and age-distribution. Materials and Methods: This study was conducted in the Department of Pathology, Sri Muthukumaran Medical College, Hospital & Research Institute, Chennai, during the year 2022. Results: Among a total of 68 ovarian neoplasms studied, benign tumours (61.7%) were more common and most of the patients were in the fourth decade of life. The commonest …

Outcome Of Suture Annuloplasty (De Vega) Versus Ring Annuloplasty For Functional Tricuspid Valve Regurgitation Concomintant With Mitral Valve Surgery, Tarek Elshazly Omran, Ashraf Zahra

Journal of Medicine in Scientific Research

Background: The optimal surgical technique for functional tricuspid regurgitation (TR) repair is still a topic for ongoing research. The DeVega technique is still used frequently in developing countries. Thus, this study aimed to compare the outcomes of tricuspid valve repair using DeVega vs. ring annuloplasty for managing severe functional TR during mitral valve surgery. Methods: This retrospective chart review included 66 patients. The study included patients with simultaneous tricuspid valve repair during mitral valve intervention. The patients were recruited from 2018 to 2022. The study had two groups: the first group included 50 patients who underwent the DeVega technique (Group …

Comparative Study Between Torsional Phacoemulsification And Longitudinal Phacoemulsification In Their Effect On Corneal Endothelium Using Specular Microscopy., Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background The cornea is formed of 5 layers, Endothelium is that most posterior layer which is responsible for keeping cornea dehydrated. Loss of corneal endothelium is a sideeffect of many cataract surgeries that may influence postoperative visual outcome of the patients. Our study aims to compare torsional phacoemulsification and longitudinal phacoemulsification in their effect on corneal endothelium using specular microscopy. Patients and Methods We will compare the corneal endothelium parameters (central density of cells & cell loss, alterations in shape & size) afterward torsional phacoemulsification and longitudinal phacoemulsification in this prospective randomized study. 50 eyes with nuclear cataracts in grades …

Natural Cycle Versus Stimulated Or Artificial Cycle In Frozen–Thawed Embryo Transfer: A Randomized Prospective Trial, Salwa H.B. El-Wakil, Naglaa M. Moharam, Ahmed G.A. El-Seuror

Journal of Medicine in Scientific Research

Objective The goal of this study was to see if there was a difference in pregnancy outcomes between natural cycle frozen–thawed embryo transfer (NC-FET) cycles, artificial cycle–FET cycles, and stimulated cycle (SC)–FET cycles in women with regular menstrual cycles. Patients and methods This prospective randomized clinical study was conducted in Assisted Reproductive Unit (ART), The International Islamic Center for Population Studies and Research, El Hussein Hospital, Al-Azhar University, in the period of September 2019 till August 2020. Results There was a significant increase in immotile sperms in the natural group (P=0.014). Group I had much lower total count and total …