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Journal of Medicine in Scientific Research

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Full-Text Articles in Medical Specialties

Assessment Of Outcome Of Cochlear Implant In Auditory Neuropathy Spectrum Disorder Using Speech In Noise Test, Ahmed Mostafa, Sameh Nazmi Siam, Azza Abdel Aziz Azzam, Hanaa Fadel Jan 2023

Assessment Of Outcome Of Cochlear Implant In Auditory Neuropathy Spectrum Disorder Using Speech In Noise Test, Ahmed Mostafa, Sameh Nazmi Siam, Azza Abdel Aziz Azzam, Hanaa Fadel

Journal of Medicine in Scientific Research

Introduction: Children with auditory neuropathy spectrum disorder (ANSD) generally struggle with auditory and language treatment, and cochlear implants' (CIs') outcomes can be unpredictable. environmental noise. The speech discrimination ability is the main complaint of those patients especially in background Objective: Assessment of the ability of young children diagnosed with ANSD who underwent CI in one ear to discriminate speech by using "speech in noise test" with 0 Signal to noise ratio (S/N) and comparing them with matched children with severe to profound sensori-neural hearing loss (SNHL). Methods: The study was conducted on 27 children who received "unilateral" CI of different …


Outcome Of Different Treatment Methods In Patients With Tinnitus And Temporomandibular Joint Dysfunction, Sanaa Mahran Mohamed Andeil, Anwar Moawad Elbatawy, Zienab Shalaby Farid Shalaby Jan 2023

Outcome Of Different Treatment Methods In Patients With Tinnitus And Temporomandibular Joint Dysfunction, Sanaa Mahran Mohamed Andeil, Anwar Moawad Elbatawy, Zienab Shalaby Farid Shalaby

Journal of Medicine in Scientific Research

Introduction: Otology symptoms can be the presenting complain among patients with temporomandibular joint (TMJ) dysfunction. The ear symptoms related to Temporomandibular joint dysfunction are hearing loss and tinnitus. Tinnitus related to TMJ dysfunction is referred to as a type of somatic tinnitus, and it is caused by a musculoskeletal problem, which should be investigated with different methods of treatment to increase the best efficiency of treatment. Objective: Evaluation of different outcomes of different treatment modalities for patients with tinnitus and TMJ dysfunction by using the advantage of Tinnitus Retraining Therapy versus night guard and medication to determine which of these …


Effect Of Empagliflozin Metformin With Clomiphene Citrate Versus Metformin With Clomiphene Citrate On Cases Of Polycystic Ovary Syndrome, Diaa Shams Eldin El Gohary, Mohammed Mohammed Ismail, Ahmed Mahmoud El Khayat, Sherin Barakat Elbohoty Jan 2023

Effect Of Empagliflozin Metformin With Clomiphene Citrate Versus Metformin With Clomiphene Citrate On Cases Of Polycystic Ovary Syndrome, Diaa Shams Eldin El Gohary, Mohammed Mohammed Ismail, Ahmed Mahmoud El Khayat, Sherin Barakat Elbohoty

Journal of Medicine in Scientific Research

Background: Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age associated with long-term metabolic and cardiovascular consequences. Aim and objectives: In this research, we aimed to assess the impact of Empagliflozin Metformin with Clomiphene Citrate versus Metformin with Clomiphene Citrate on weight reduction and its impact on folliculometry and ovarian volume in cases of Polycyctic Ovary Syndrome. Subjects and Methods: This was a randomized clinical trial; in which 150 Patients were being randomly assigned into two equal groups; Group A: 75 cases received empagliflozin metformin 12.5/500 mg Continously once daily plus clomiphene citrate 50 mg …


Community-Acquired Pneumonia Among Hospitalized Children: Risk Factors, Characteristics, And Outcomes, Marwa Taha, Hanaa Abdel-Wahab Jan 2023

Community-Acquired Pneumonia Among Hospitalized Children: Risk Factors, Characteristics, And Outcomes, Marwa Taha, Hanaa Abdel-Wahab

Journal of Medicine in Scientific Research

Background Community-acquired pneumonia (CAP) represents one of the main causes of mortality and morbidity among under-five children worldwide. More than 75% of these fatalities are caused by severe pneumonia. Objectives to identify the potential risk factors associated with severe CAP among under-five children hospitalized with CAP. Patients and Methods This prospective observational study was conducted on children, aged 1 to 59 months, who were admitted with CAP to the Department of Pediatrics, Mataria Teaching Hospital, Egypt. Based on World Health Organization (WHO) guidelines, patients were classified into two groups; CAP and severe CAP. Data including demographic, children's history, clinical assessment, …


A Rare Case Of Fahr’S Disease, Kesar Prajapati, Vishakha Vinod, Sumit Bochiwal Jan 2023

A Rare Case Of Fahr’S Disease, Kesar Prajapati, Vishakha Vinod, Sumit Bochiwal

Journal of Medicine in Scientific Research

Fahr’s syndrome, a rare syndrome, is characterized by symmetrical and bilateral intracranial calcifications. A 23-year-old male patient presented with generalized tonic–clonic convulsion and muscle cramps for 1 month. The patient’s blood counts, blood sugar levels, serum sodium, and serum potassium were normal. Computed tomography scan of the brain revealed bilateral symmetrical hyperdensities, suggestive of calcification in globus pallidus, putamen, thalami, caudate and dentate nuclei of the cerebellum, and subcortical white matter of both cerebral hemispheres. The findings were suggestive of Fahr’s disease. His serum ionized calcium levels were low with high phosphate levels (with increased parathormone levels), suggesting the association …


Saphenous Vein Harvesting With Endoscopy Versus No-Touch Technique: Short-Term Results, Tamer El Bannaa, Mohamed M. Mohamed, Ahmed Zayed, Yasser A. Sadek Jan 2023

Saphenous Vein Harvesting With Endoscopy Versus No-Touch Technique: Short-Term Results, Tamer El Bannaa, Mohamed M. Mohamed, Ahmed Zayed, Yasser A. Sadek

Journal of Medicine in Scientific Research

Objective ‘No-touch’ (NT) saphenous vein harvesting maintains vasa vasorum, resulting in less medial ischemic affection, which leads to improved short-term and long-term patency. However, it may also be associated with a higher rate of wound complications. Endovascular vein harvesting (EVH) has a low rate of wound complications but also a tendency toward a lower patency rate. The aim was to compare wound complications and short-term symptomatic relief, which could be an indication of functioning grafts. Patients and methods During a 2-year period (2018–2019), in a nonrandomized prospective study, we monitored patients after coronary artery bypass graft for recurrence of ischemic …


Voice Quality Assessment In Cases Of Vocal Fold Gaps After Single Growth Factor Injection, Amr Roushdyel Badrawy, Asmaa Abdel Hamid, Israa Eltaweel, Azza Abdel Aziz Azzam Jan 2023

Voice Quality Assessment In Cases Of Vocal Fold Gaps After Single Growth Factor Injection, Amr Roushdyel Badrawy, Asmaa Abdel Hamid, Israa Eltaweel, Azza Abdel Aziz Azzam

Journal of Medicine in Scientific Research

In severe vocal fold (VF) lesions, deposits of disorganized, thick collagen bundles and little hyaluronic acid (HA) are deposited in the superficial layer of lamina propria (SLP). These changes lead to severe dysphonia and aspiration, which could be complicated by fatal pneumonia. Unfortunately, no specific treatment has been recognized due to unpredictable VF regeneration. Current progress in regenerative medicine has allowed the development of tissue engineering techniques using cells, scaffolds, and growth factors (GFs). Extrinsic GFs application could help in the induction of the regenerative process. The work aims to assess the voice quality after a single GF injection of …


Study Of Arterial Blood Gases In Different Stages Of Chronic Liver Diseases, Moheb W. Elfaizy, Therese S. Ghatas Nov 2022

Study Of Arterial Blood Gases In Different Stages Of Chronic Liver Diseases, Moheb W. Elfaizy, Therese S. Ghatas

Journal of Medicine in Scientific Research

Background Early detection of arterial gas abnormalities and acid–base disturbances in patients with chronic liver disease is essential to improve prognosis on the basis of pulmonary and liver diseases. The aim of the current study was to detect arterial blood gas changes, acid–base disturbances, and prevalence of hepatopulmonary syndrome (HPS) in different classes of severity of chronic hepatic disease for achieving a higher survival rate. Results Patients with hypoxemia represented 38 (33.6%) cases: three (15.7%) of 19 patients in group A, 16 (33.3%) of 48 patients in group B, 12 (34.2%) of 35 patients in group C, and seven (63.6%) …


Short-Term Results Of Off-Pump And On-Pump Aortic Arch Debranching During Type I Hybrid Arch Repair: A Single-Center Experience, Ahmed S. Emara, Hussein A. Zaher, Mahmoud F. El-Safty, Mohamed A. El-Badawy, Mohamed A. El-Hady, Mostafa M. Abdalraouf Nov 2022

Short-Term Results Of Off-Pump And On-Pump Aortic Arch Debranching During Type I Hybrid Arch Repair: A Single-Center Experience, Ahmed S. Emara, Hussein A. Zaher, Mahmoud F. El-Safty, Mohamed A. El-Badawy, Mohamed A. El-Hady, Mostafa M. Abdalraouf

Journal of Medicine in Scientific Research

Background Compared with off-pump surgeries, cardiopulmonary bypass (CPB) is associated with a high systemic inflammatory response and with substantial myocardial injury, especially in high-risk subgroups. Every effort should be exerted to minimize the role of CPB without affecting the safety and outcome. Classically, aortic arch surgeries were done using CPB and deep circulatory arrest together with cerebral brain protection strategies. With the development of endovascular techniques, the role of CPB decreased. Management of aortic arch pathologies carries special needs, specifically rerouting of the great vessels and preparing a landing zone. Objectives To assess the effectiveness and safety of off-pump aortic …


Mitral Valve Repair For Mitral Regurgitation In Pediatrics And Children: Initial Experience, Waleed El-Awady Nov 2022

Mitral Valve Repair For Mitral Regurgitation In Pediatrics And Children: Initial Experience, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction Mitral valve repair in pediatrics has been slow because of the great variety in congenital mitral valve malformations and the still unknown growing effect over the mitral valve. The aim of this study is to evaluate the early and mid-term results in surgical repair of mitral valve regurgitation in pediatrics and children. Patients and methods A total of 16 patients had mitral valve repair for mitral regurgitation (MR) between November 2016 and December 2020 at the National Heart Institute. There were seven (43.75%) males and nine (56.25%) females. The mean age was 7.5 years (5 months and 14 years). …


Fontan Procedure With Extracardiac Conduit In Pediatrics And Children: Short-Term Results, Amal Younan, Hanan Hassan, Waleed El-Awady Nov 2022

Fontan Procedure With Extracardiac Conduit In Pediatrics And Children: Short-Term Results, Amal Younan, Hanan Hassan, Waleed El-Awady

Journal of Medicine in Scientific Research

Introduction The concept of Fontan circulation was first clinically introduced in 1971. Technical modifications have been advocated with the concept of total cavopulmonary connection, introduced in the late 80s. Recently, an extracardiac conduit to divert inferior vena cava flow to the pulmonary arteries has been advocated, and it affords excellent palliation for patients with various forms of the anatomic or functional single ventricle. Patients and methods From September 2019 to August 2021, 12 patients (five males and seven females) with a mean age of 10.7 (6–15) years underwent a Fontan procedure with extracardiac conduit at the National Heart Institute. The …


Combined Macular Detachment And Macular Massage In Large Macular Hole, Hazem A. Elnashar Nov 2022

Combined Macular Detachment And Macular Massage In Large Macular Hole, Hazem A. Elnashar

Journal of Medicine in Scientific Research

Background Over the past two decades, the surgical treatment of full-thickness macular holes (MHs) has advanced significantly, with current hole closure rate increasing more than 95%. Aim To assess the visual and anatomical outcomes of combined macular detachment and macular massage techniques for large MHs. Patients and methods The current work involved 12 eyes of 12 patients with large full-thickness idiopathic or traumatic MH. All participants were subjected to full ophthalmic assessment and measurement of best-correctable Snellen visual acuity, intraocular pressure, fundus photograph, and spectral-domain ocular coherence tomography at preoperative and postoperative periods. All surgeries were done by two surgeons …


Relation Of Multimineral-Vitamin D Supplementation And The Risk Of Preeclampsia, Abear El Shabacy, Mohamed A. El-Naggar, Mohamed S. A. Emarah, Osama S. Eltaher, Saher H. Qushwa Nov 2022

Relation Of Multimineral-Vitamin D Supplementation And The Risk Of Preeclampsia, Abear El Shabacy, Mohamed A. El-Naggar, Mohamed S. A. Emarah, Osama S. Eltaher, Saher H. Qushwa

Journal of Medicine in Scientific Research

Background The objective of this study was to determine the favorable effects of multimineral-vitamin D supplementation on pregnancy outcomes among women at risk for preeclampsia. Patients and methods This randomized double-blind controlled clinical trial was conducted among 46 women at risk for preeclampsia at 27 weeks of gestation, with positive roll-over test. Pregnant women were randomly assigned to receive either the multimineral-vitamin D supplements (n = 23) or the placebo (n = 23) for 9 weeks. Multimineral-vitamin D supplements were containing 800 mg calcium, 200 mg magnesium, 8 mg zinc, and 400 IU vitamin D3. Fasting blood samples …


Role Of Vaginal Progesterone On Uterine Artery Doppler Changes In Pregnant Women At Risk Of Preterm Labor, Ahmed A. Badr, Ibrahim M. El-Maghraby Nov 2022

Role Of Vaginal Progesterone On Uterine Artery Doppler Changes In Pregnant Women At Risk Of Preterm Labor, Ahmed A. Badr, Ibrahim M. El-Maghraby

Journal of Medicine in Scientific Research

Background Progesterone is increasingly being used in women at high risk for preterm labor and for maintenance tocolysis. Ultrasound evaluation of uterine in pregnant women in the second trimester of pregnancy can be a predictor of birth complications. Objective To study the effect of vaginal progesterone on uterine by doppler sonography among women in the second and third trimesters of pregnancy who are at risk of preterm labor. Patients and methods A prospective study was carried out on 60 patients attending Obstetrics and Gynecology Department, Menoufia Teaching Hospital, Menoufia, Egypt, during the period from March 2019 to March 2020. The …


C-Reactive Protein In View Of Prognosis In Sepsis, Ashraf A.H Mahmoud Soliman, Raghad S. Abdellatif, Wael A. E. El Hakeem Nov 2022

C-Reactive Protein In View Of Prognosis In Sepsis, Ashraf A.H Mahmoud Soliman, Raghad S. Abdellatif, Wael A. E. El Hakeem

Journal of Medicine in Scientific Research

Introduction Sepsis is the host reaction to invading microbes. The septic response generally occurs when immune defenses fail to contain an invading microbe and may also be induced by microbial exotoxins. C-reactive protein (CRP) is an acute-phase protein in humans and an important component of the innate immune system. CRP activates complement's classical route, which is one of its key strategies for defending the host. Patients and methods This study was conducted on 20 patients with systemic sepsis and admitted to the critical care unit; moreover, 20 healthy participants were studied as a control group. Results Both groups were matched …


The Role Of Sildenafil In Perioperative Management Of Patients With Pulmonary Hypertension Undergoing Lower Limb Vascular Surgery, Ashraf A.H M. Soliman, Wael Abd Elateif El Hakeem Nov 2022

The Role Of Sildenafil In Perioperative Management Of Patients With Pulmonary Hypertension Undergoing Lower Limb Vascular Surgery, Ashraf A.H M. Soliman, Wael Abd Elateif El Hakeem

Journal of Medicine in Scientific Research

Objective To assess the role of sildenafil in perioperative management of patients with pulmonary hypertension undergoing lower limb vascular surgery. Patients and methods Twenty-four patients with pulmonary hypertension presented for lower limb vascular surgery were divided into equal groups, group 1 and group 2, each group having 12 patients. Result As regards demographic data, mean arterial pressure, and heart rate there were no statistically significant differences between both groups. As regards PaO2 measured in arterial blood gases, pulmonary artery pressure, and ejection fraction, there was statistically significant differences between both groups. Conclusion We found that sildenafil has a unique …


Placenta Accreta Index As A Predictor Of Placental Invasion In Cases Of Placenta Previa, Ahmed A. Badr, Ibrahim M. El-Maghraby Nov 2022

Placenta Accreta Index As A Predictor Of Placental Invasion In Cases Of Placenta Previa, Ahmed A. Badr, Ibrahim M. El-Maghraby

Journal of Medicine in Scientific Research

Objective This study aims to evaluate the role of the placenta accreta index in predicting placental invasion in patients with placenta previa. Patients and methods This study was carried on 60 pregnant women with placenta previa (after 30 weeks gestation). They were recruited from the Obstetrics and Gynecology clinic of Menoufia University hospitals and Shebin El Kom Teaching Hospital in the period from January 2019 to December 2020. Results Preterm labor was found in 15 (78.95%) patients in the accreta group and six (14.36%) patients in the nonaccreta group (P = 0.000). Hysterectomy was performed in 14 (73.68%) patients …


Neonatal And Obstetric Risk Factors Are Associated With The Increased Risk Of Neonatal Intracranial Hemorrhage, Manal S. Ramadan, Mennat A. M. El-Barbary, Nada M. Fadel Elsayed Nov 2022

Neonatal And Obstetric Risk Factors Are Associated With The Increased Risk Of Neonatal Intracranial Hemorrhage, Manal S. Ramadan, Mennat A. M. El-Barbary, Nada M. Fadel Elsayed

Journal of Medicine in Scientific Research

Background In newborns, intracranial hemorrhage (ICH) is an acquired lesion with a high risk of morbidity, mortality, and long-term neurodevelopmental outcomes. Despite major improvements in newborn care and greater preterm infant survival in recent decades, ICH remains a serious concern. This study aimed to determine the prevalence of ICH in newborns and the various obstetric and neonatal risk factors linked to ICH development. This case–control study was conducted throughout the period from June 2017 to December 2017. Patients and methods This case–control research involved 240 infants admitted to Cairo University's Obstetrics and Gynecology Hospital's Neonatal Intensive Care Unit (NICU). We …


A Retrospective Study Of Children With Multisystemi Nflammatory Syndrome And Intravenous Immunoglobulin Treatment, Balleda Lokeswari, Kolla Sravani, Thimmapuram Chandrasekhara Reddy Nov 2022

A Retrospective Study Of Children With Multisystemi Nflammatory Syndrome And Intravenous Immunoglobulin Treatment, Balleda Lokeswari, Kolla Sravani, Thimmapuram Chandrasekhara Reddy

Journal of Medicine in Scientific Research

Objectives To compare the outcomes of multisystem inflammatory syndrome in children (MIS-C) associated with severe acute respiratory syndrome coronavirus 2 infection treated with intravenous immunoglobulin (IVIG) and without IVIG. Patients and methods A retrospective observational study was conducted over a period of 2 months. We enrolled all children (1–18 years, both sexes) who presented with coronavirus disease 2019-associated MIS-C (as per WHO definition). The patient classification and treatment were done as per the PGIMER Chandigarh protocol (IVIG along with corticosteroids and aspirin was given in all cases with moderate, severe disease, and Kawasaki disease phenotype). Mild cases did not receive …


Role Of Mri In Evaluation And Characterization Of Neoplastic And Nonneoplastic Cardiac Masses, Ibraheim M. Helmy, Yara M. A. Ziada Nov 2022

Role Of Mri In Evaluation And Characterization Of Neoplastic And Nonneoplastic Cardiac Masses, Ibraheim M. Helmy, Yara M. A. Ziada

Journal of Medicine in Scientific Research

Background The overall frequency of cardiac tumors is quite low, with an estimated cumulative prevalence of 0.002–0.3% at autopsy, however, they represent an important group of cardiovascular abnormalities as the early and accurate diagnosis maybe curative and sometimes avoids unnecessary surgery. Aim and objectives The aim of this study was to evaluate the efficacy of MRI, in diagnosis, evaluation, and characterization of cardiac neoplasms, as identification and differentiation between the cardiac masses are of extreme importance to develop exquisite better therapeutic planning and positive prognostic results. Patients and methods This study is a prospective one that was conducted on 27 …


Immunohistochemical Expression Of Estrogen Receptors, Progesterone Receptors, And Human Epidermal Growth-Factor Receptor 2/Neu In Epithelial Ovarian Tumors, Hanan S. Abdel Hamid, Sherien A. Mohamed, Suzan M. Talaat, Zaineb Y. Mohieldin Nov 2022

Immunohistochemical Expression Of Estrogen Receptors, Progesterone Receptors, And Human Epidermal Growth-Factor Receptor 2/Neu In Epithelial Ovarian Tumors, Hanan S. Abdel Hamid, Sherien A. Mohamed, Suzan M. Talaat, Zaineb Y. Mohieldin

Journal of Medicine in Scientific Research

Background and objectives Epithelial ovarian cancer (OC) is a clinically, morphologically, and molecularly heterogeneous disease. Estrogen receptor (ER) β is highly represented in normal ovarian epithelial cells and benign tumors, but ERα is the main form expressed in OC. ERα-positive OC had a favorable outcome. Progesterone receptor (PR) expression in ovarian tumors is a good prognostic marker associated with longer progression-free survival. Human epidermal growth-factor receptor (HER) 2 expression is associated with a worse prognosis. The aim of the study was to evaluate immunohistochemical (IHC) expression of ER, PR, and HER2/neu in ovarian epithelial tumors and to correlate their expression …


Characteristic Clinical Features Of Rheumatic Patients With Covid-19 Infection In Mataria Teaching Hospital, Wael Mahmoud Hossameldin, Wessam Eissa Hamed Nov 2022

Characteristic Clinical Features Of Rheumatic Patients With Covid-19 Infection In Mataria Teaching Hospital, Wael Mahmoud Hossameldin, Wessam Eissa Hamed

Journal of Medicine in Scientific Research

Objective The patients who have rheumatic diseases and have coronavirus disease 2019 (COVID-19) infection, their clinical features have not been reported. This study aims to identify the characteristic clinical features of COVID-19 in patients with rheumatic diseases admitted either inside or outside the ICU and present data to handle these conditions in clinical practice. Patients and methods We conducted a retrospective study, including data about the sex, age, laboratory and radiographic findings, clinical symptoms and signs, ICU admission, and drug history, from 180 patients having COVID-19 infection, and includes 61 patients having in combination of rheumatic diseases, in the period …


Variability Of Clinical Manifestations In Rheumatoid Arthritis Patients With Covid-19 Infection, Soha S. Shaaban, Wessam E. Hamed Nov 2022

Variability Of Clinical Manifestations In Rheumatoid Arthritis Patients With Covid-19 Infection, Soha S. Shaaban, Wessam E. Hamed

Journal of Medicine in Scientific Research

Objective The authors conducted the present retrospective study to assess the epidemiological, clinical, laboratory, and radiological characteristics in coronavirus disease-2019 (COVID-19) associated with rheumatoid arthritis (RA). As known, COVID-19 can cause fatal respiratory infection and may be accompanied with multiorgan affection, including the kidney and heart. The morbidity and mortality may be higher in patients with the immune-deficiency condition. Patients and methods The present study is a retrospective cohort study that retrieved the data of 307 patients with and/or without RA evaluated in Rheumatology Department in Mataria Teaching Hospital, who were previously infected with SARS-CoV-2. Patients' medical record IDs were …


Study Of The Hemodynamic Effect Of Inhaled Milrinone Versus Inhaled Nitroglycerin On Mechanically Ventilated Patients With Pulmonary Hypertension After Mitral Valve Replacement Surgeries, Ahmed K. Abdel Ghany Hassan, Ahmed S. F. Saeed, Paula M. El-Komos Samaan, Sherif S. A. Sultan, Wafaa El-Sayed Ismail Mostafa Nov 2022

Study Of The Hemodynamic Effect Of Inhaled Milrinone Versus Inhaled Nitroglycerin On Mechanically Ventilated Patients With Pulmonary Hypertension After Mitral Valve Replacement Surgeries, Ahmed K. Abdel Ghany Hassan, Ahmed S. F. Saeed, Paula M. El-Komos Samaan, Sherif S. A. Sultan, Wafaa El-Sayed Ismail Mostafa

Journal of Medicine in Scientific Research

Introduction Pulmonary arterial hypertension (PH) is commonly found in patients with mitral valve diseases. Most of the drugs used for PH treatment are nonselective pulmonary vasodilators that may cause a modest decrease in pulmonary arterial pressure, but they may cause a marked decrease in systemic vascular resistance as well, which leads to hypotension and a decrease in perfusion of vital organs. Inhaled drugs such as milrinone and nitroglycerine may be safer as a large dose of the drug can selectively target the pulmonary circulation, which leads to a reduction of their systemic adverse effects. Aim This double-blind, randomized study compared …


Assessment Of The Clinical Outcomes And Patient Satisfaction When Using Bilateral Radial Artery As Surgical Conduits In Coronary Artery Bypass Grafting, Ashraf Abd-Elaziz, Emmanuel Louka Aziz, Wayel S. Bebawy Nov 2022

Assessment Of The Clinical Outcomes And Patient Satisfaction When Using Bilateral Radial Artery As Surgical Conduits In Coronary Artery Bypass Grafting, Ashraf Abd-Elaziz, Emmanuel Louka Aziz, Wayel S. Bebawy

Journal of Medicine in Scientific Research

Introduction The need for use of the bilateral radial artery has emerged since we faced patients in our institute with severe uncontrolled diabetes, bilateral leg elephantiasis, and left main disease that needs surgical revascularization. Patients and methods We reviewed the outcomes from our institute with retrospective analysis of prospectively collected clinical data from our local clinical database and identified 30 consecutive patients who underwent coronary artery revascularization requiring the use of bilateral radial harvest. Patient satisfaction was assessed using a quality-of-life questionnaire with the descriptors on a Likert Scale (table A). The patients were followed up both clinically and by …


The Relation Between Coronary Angiographic Findings And Lipoprotein (A) In Patients With Chronic Stable Angina With And Without Xanthelasma, Emmanuel Louka Aziz, Mohamed A. Morsy Nov 2022

The Relation Between Coronary Angiographic Findings And Lipoprotein (A) In Patients With Chronic Stable Angina With And Without Xanthelasma, Emmanuel Louka Aziz, Mohamed A. Morsy

Journal of Medicine in Scientific Research

Introduction Atherosclerosis develops in many patients in the absence of classical risk factors. The serum level of lipoprotein [Lp (a)] is of utmost importance in such cases. Many patients with elevated serum level of Lp (a) have xanthelasma with elevated total cholesterol and low-density Lp cholesterol levels. Aim To find the relation between the level of Lp (a) and the severity of coronary artery disease (CAD) in patients with chronic stable angina with and without xanthelasma. Patients and methods The study was carried out on 86 patients in the National Heart Institute. The patients were divided into two groups: group …


Effect Of Pattern-Diode Laser On Central Macular Thickness And Ganglion-Cell Complex After Application In Management Of Clinically Significant Macular Edema, Mohammed S. Ahmed, Rasha G. El-Din Abu-El-Goud Nov 2022

Effect Of Pattern-Diode Laser On Central Macular Thickness And Ganglion-Cell Complex After Application In Management Of Clinically Significant Macular Edema, Mohammed S. Ahmed, Rasha G. El-Din Abu-El-Goud

Journal of Medicine in Scientific Research

Background Blindness is the end result of diabetic macular edema (DME). A 577-nm diode laser is the most frequently used one in ophthalmology. This study aimed to assess the effect of grid-diode laser application on the central macular thickness and ganglion-cell complex in management of clinically significant macular edema. Methods This study was performed on 95 eligible eyes. Complete ophthalmologic examination was performed, including best-corrected visual acuity with the use of ETDRS charts, measuring intraocular pressure, using slit lamp for biomicroscopic examination, fluorescein angiography, and fundus examination. Follow-up examinations, with complete ophthalmologic examination, were scheduled at 1 and 3 months …


Coronavirus Disease 2019 And Diabetes Mellitus, Ashraf M. A. Eid, Ehab K. El Melegy, El-Saied A. Shahin, Khaled S. A. Elkelany, Mariam A. Fouad Nov 2022

Coronavirus Disease 2019 And Diabetes Mellitus, Ashraf M. A. Eid, Ehab K. El Melegy, El-Saied A. Shahin, Khaled S. A. Elkelany, Mariam A. Fouad

Journal of Medicine in Scientific Research

Introduction In late 2019, a new virus severe acute respiratory syndrome coronavirus-2, which causes a new serious disease called coronavirus disease 2019 (COVID-19), spread quickly all over the world. Many complications of diabetes mellitus (DM) such as microvascular and macrovascular complications increase the risk for COVID-19-related severity and mortality. Objective To assess the effect of DM on outcome and severity of COVID-19. Patients and methods This work was a retrospective observation that included confirmed COVID-19-infected patients (PCR positive for COVID-19) who were admitted to Shebin El-Kom Teaching Hospital, Menoufia, Egypt, from March 2021 to March 2022. Laboratory investigations such as …


Esophageal Ulcer After Band Ligation Of Esophageal Varices, Ashraf M. A. Eid, El-Saied A. Shahin, Feisal Goda, Mariam A. Fouad Nov 2022

Esophageal Ulcer After Band Ligation Of Esophageal Varices, Ashraf M. A. Eid, El-Saied A. Shahin, Feisal Goda, Mariam A. Fouad

Journal of Medicine in Scientific Research

Introduction Band ligation plays an important role in the management of esophageal varices (EV), but banding ligation carries a risk of band slippage, postbanding esophageal ulcer formation, and postbanding bleeding. Aim The predisposing factors and frequency of esophageal ulcer after banding ligation of EV were assessed. Patients and methods A total of 130 cirrhotic patients with EV were subjected to therapeutic or prophylactic banding ligation, and then the patients were observed for 14 days for detection of incidence of esophageal ulcer bleeding after postbanding ligation. This was a prospective study done to compare the cirrhotic patients without endoscopic variceal ligation …


Effect Of Nesfatin-1 On The Nutritional Status Of Hemodialysis Patients, Ahmed H. M. Elthakaby, Hany Y. Esso, Huda M. Elsayed, Karima Youssef Ahmed, Nagwa Abd El-Ghaffar Mohamed, Ragaa R. Mohamed Nov 2022

Effect Of Nesfatin-1 On The Nutritional Status Of Hemodialysis Patients, Ahmed H. M. Elthakaby, Hany Y. Esso, Huda M. Elsayed, Karima Youssef Ahmed, Nagwa Abd El-Ghaffar Mohamed, Ragaa R. Mohamed

Journal of Medicine in Scientific Research

Background Nesfatin-1 is considered an anorexigenic peptide that plays an important role in appetite regulation, weight loss, and malnutrition. Although the cause of anorexia in CKD patients is not totally understood, both anorexia and malnutrition are common presentations of chronic kidney disease (CKD) patients who are susceptible to worse outcomes. Our aim of the work To study the relation of serum nesfatin-1 and its relation to the nutritional status of end-stage renal disease (ESRD), who are maintained on regular hemodialysis. Patients and methods A total of 60 ESRD patients are maintained on regular hemodialysis, and apparently healthy thirty persons (control …