Medical Specialties Commons^™

A Retro- Spective Cohort Study Of Acute Mesenteric Ischemia In Severe Coronavirus-19 Pneumonia At Shebin-Elkom Teaching Hospital, Talal Ibrahim Mostafa Hagag, Salwa Mohamed Ahmed Dahesh, Shimaa Mohamed Kalama

Journal of Medicine in Scientific Research

The purpose of this study was to examine the link between acute mesenteric ischemia and COVID-19 illness in terms of time to admission and intervention. Furthermore, the study focused on the critical time to admission for all patients of mesenteric occlusion. Methods: This study is a retrospective cohort conducted on 60 adults Patients with mesenteric occlusion were hospitalized to Shebein Elkom Teaching Hospital's Intensive Care Unit from March 2020 to September 30, 2022. The study involved two groups of mesenteric occlusion patients: 30 with proven covid19 and 30 without covid19. All medical histories, clinical and laboratory examinations, and the time …

Multiple Magnet Ingestion Causing Entero-Enteric Fistula, And Intestinal Obstruction, A Case Report, Mohammed Rabea Balaswad, Wael Ghorab

Journal of Medicine in Scientific Research

INTRODUCTION Foreign body ingestions in children are incredibly common. Magnet intake might be asymptomatic or cause evident symptoms, allowing for effective diagnosis and care. The condition is rare and difficult to diagnose until complications such as bowel obstruction or peritonitis arise from intestinal wall trapping in a magnetic field. CASE PRESENTATION A five-year-old male boy presented with history of intestinal obstruction, received admission to our hospital after his plain X-ray revealed some foreign entities thought to be magnets. An abdominal X-ray showed a bullet-shaped foreign body in the lower abdomen. Laboratory tests were normal, with the exception of a minor …

Early Outcome Of Mini-Mvs Surger Y Elsherif Et Al., Mahmoud Abdullghany Amin Elsherif, Rasha Hosny, Mohamed Ramadan Mohamed

Journal of Medicine in Scientific Research

Background: The conventional incision adopted to for mitral valve replacement is the full sternotomy, with proved over time and experience to be a simple and safe method. Minimal invasive mitral valve surgery (Mini-MVS) is an alternative approach for elective mitral surgeries that proved over the last years to be a promising option.

Aim of the study: Assessment of the early outcome of minimally invasive mitral valve surgery with or without tricuspid surgery.

Methods: A retrospective study on 100 consecutive patients who underwent minimal invasive mitral valve surgery from January 2021 to June 2023 at National Heart Institute in Egypt.

Results: …

Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon

Theses and Dissertations--Music

Transitioning from one gender to another can be an arduous and emotionally charged experience, accompanied by many physical and mental transformations. The journey of self-discovery and vocal explorations is both unique and deeply personal. Modifications that emerge in an individual's vocal characteristics have a profound influence on their capacity to communicate and express themselves.

Transgender vocal students and professional singers must navigate the delicate balance between their vocal and gender identities while considering the possible risks of Gender Affirming Hormone Therapy. Though these therapies may significantly alter one's appearance and overall well-being, they are also capable of causing notable declines …

Clothing Design Solutions For Children With Developmental Disabilities: A Scoping Review Protocol, Nagaveni N. Nayak, Shristi Shakya, Nachiket Gudi, Sonia Khurana, Sivakumar Gopalakrishnan, Veena Rao, Bhamini Krishna Rao

Rehabilitation Sciences Faculty Publications

Children with Developmental Disabilities (DD) often face significant challenges in performing dressing task, fundamental activities of daily living. Inability to accomplish this task independently significantly impacts participation in social and recreational activities, affecting Quality of Life (QoL). Additionally, burden on caregivers increases which in turn leads to stress and burnout. Addressing dressing-related challenges through innovative clothing designs enhances self-independence, alleviate caregiver burden, and improve QoL. However, studies published in this focused area are quite heterogeneous resulting in lack of comprehensive understanding of different clothing solutions that exist for children with DD. Therefore, this scoping review is undertaken to map clothing …

Prediction Of Recurrent Lateral Ankle Sprain And Ankle Pain Using Applied Care Strategies And Patient-Reported Outcomes, Ryan S. Mccann, Elisabeth Ohrnberger, Kyle B. Kosik, Phillip A. Gribble

Rehabilitation Sciences Faculty Publications

Context

Patients with lateral ankle sprains (LASs) often have deficient patient-reported outcomes (PROs) at return to activity (RTA), potentially increasing risk for recurrent LAS and ankle pain. Additionally, applied care strategies are known to correct impairments, but their ability to mitigate risk for long-term consequences remains unknown.

Objective

To determine if applied care strategies and PRO scores at RTA and 6 months after RTA predict recurrent LAS and ankle pain 12 months after an acute LAS. DESIGN: Prospective cohort study.

Setting

Online survey.

Patients or Other Participants

We enrolled 63 individuals within 1 week of sustaining an acute LAS.

Main …

Models Of Video Feedback For Youth Athletes Performing An American Football Tackle, Eric Schussler, Richard J. Jagacinski, Ajit Chaudhari, John A. Buford, James A. Onate

Rehabilitation Sciences Faculty Publications

Context: Video feedback is an expeditious method for improving athlete safety when performing activities with an inherent risk of injury. Providing appropriate and validated feedback during tackling training in American football may be a mechanism for athletes to learn safe tackling performance.

Objective: To determine the effect of video feedback in the instruction of tackling form.

Design: Controlled laboratory study.

Setting: Laboratory.

Patients or Other Participants: A total of 32 youth football athletes (28 boys, 4 girls; age ¼ 11.8 6 0.8 years) participated in 1 day of training. Of those, 14 participants completed 2 additional days of training and …

Influences Of Athletic Trainers' Return-To-Activity Assessments For Patients With An Ankle Sprain, Ryan S. Mccann, Cailee E. Welch Bacon, Ashley M. B. Suttmiller, Phillip A. Gribble, Julie M. Cavallario

Rehabilitation Sciences Faculty Publications

Context: Athletic trainers (ATs) inconsistently apply rehabilitation-oriented assessments (ROASTs) when deciding return-to-activity readiness for patients with an ankle sprain. Facilitators and barriers that are most influential to ATs' assessment selection remain unknown.

Objective: To examine facilitators of and barriers to ATs' selection of outcome assessments when determining return-to-activity readiness for patients with an ankle sprain.

Design: Cross-sectional study.

Setting: Online survey.

Patients or other participants: We sent an online survey to 10 000 clinically practicing ATs. The survey was accessed by 676 individuals, of whom 574 submitted responses (85% completion rate), and 541 respondents met the inclusion criteria.

Main outcome …

Multifactorial Exercise Intervention Decreases Falls Risk In High-Risk And Low-Risk Older Adults, Amanda Estep, Steven Morrison, Shane V. Caswell, Jatin P. Ambegaonkar, João R. Vaz, Nelson Cortes

Rehabilitation Sciences Faculty Publications

Background: Each year, 1 in 4 people over the age of 65 years of age will experience a fall. It is important to identify and address modifiable risk factors that are associated with falls in adults at high and low risk for falls.

Hypothesis: Falls risk improves in both high-risk and low-risk participants with the implementation of Stay Active and Independent for Life (SAIL).

Study Design: Cohort study.

Level of Evidence: Level 3.

Methods: Seventy-eight older adults (age, 70.9 ± 5.1 years) were included in this study and categorized into high risk and low risk for falling based on the …

Enhancement Of Antitumor Effects Of Berberine Chloride With A Copper(Ii) Complex Against Human Triple Negative Breast Cancer: In Vitro Studies, Duaa R. Alajroush, Brittney F. Anderson, Janae A. Bruce, Christian I. Lartey, Dazonte A. Mathurin, Sean T. Washington, Tanaya S. Washington, Sidy Diawara, Sakariyau A. Waheed, Kaylin L. Thomas, Stephen J. Beebe, Alvin A. Holder

Chemistry & Biochemistry Faculty Publications

In this study, the copper(II) complex [Cu(chromoneTSC)Cl₂]•0.5H₂O•0.0625C₂H₅OH (where chromoneTSC = (E)-N-Ethyl-2-((4-oxo-4H-chromen-3-yl)methylene)-hydrazinecarbothioamide) was synthesized and characterized; then used to carry out in vitro studies in combination with berberine chloride (BBC). The ligand and complex were characterized by elemental analysis, FTIR and NMR (¹H and ¹³C) spectroscopy, and conductivity measurements. The cytotoxic effect was analyzed by using the CCK-8 viability assay in cancer MDA-MB-231 VIM RFP and non-cancer MCF-10A cell lines. The IC₅₀ values for the complex and BBC were 21.2 ± 1.6 and 48.3 ± 2.4 μM, respectively at 24 h incubation, while the IC₅₀ value of the combination treatment …

The Impact Of Iron Supplementation On The Preterm Neonatal Gut Microbiome: A Pilot Study, Matthew Van Ormer, Maranda Thompson, Melissa Thoene, Jean-Jack Riethoven, Sathish Kumar Natarajan, Corrine K. Hanson, Ann Anderson-Berry

Journal Articles: Pediatrics

OBJECTIVE: The gastrointestinal microbiome in preterm infants exhibits significant influence on optimal outcomes-with dysbiosis shown to substantially increase the risk of the life-threatening necrotizing enterocolitis. Iron is a vital nutrient especially during the perinatal window of rapid hemoglobin production, tissue growth, and foundational neurodevelopment. However, excess colonic iron exhibits potent oxidation capacity and alters the gut microbiome-potentially facilitating the proliferation of pathological bacterial strains. Breastfed preterm infants routinely receive iron supplementation starting 14 days after delivery and are highly vulnerable to morbidities associated with gastrointestinal dysbiosis. Therefore, we set out to determine if routine iron supplementation alters the preterm gut …

Bioactive Metabolites Of Omega-6 And Omega-3 Fatty Acids Are Associated With Inflammatory Cytokine Concentrations In Maternal And Infant Plasma At The Time Of Delivery, Rebecca Slotkowski, Matthew Van Ormer, Anum Akbar, Taija Hahka, Maranda Thompson, Rebekah Rapoza, Arzu Ulu, Melissa Thoene, Elizabeth Lyden, Maheswari Mukherjee, Ana G. Yuil-Valdes, Sathish Kumar Natarajan, Tara Nordgren, Corrine K. Hanson, Ann Anderson-Berry

Journal Articles: Pediatrics

Background & aims

Inflammation is necessary for a healthy pregnancy. However, unregulated or excessive inflammation during pregnancy is associated with severe maternal and infant morbidities, such as pre-eclampsia, abnormal infant neurodevelopment, or preterm birth. Inflammation is regulated in part by the bioactive metabolites of omega-6 (n-6) and omega-3 (n-3) fatty acids (FAs). N-6 FAs have been shown to promote pro-inflammatory cytokine environments in adults, while n-3 FAs have been shown to contribute to the resolution of inflammation; however, how these metabolites affect maternal and infant inflammation is still uncertain. The objective of this study was to predict the influence of …

Effect Of Acupressure On Labor Pain For Women During First Stage Of Normal Labor, Maha Mohamed Mady, Inass Kassem Aly, Eman Hassan Abu-Elmagd, Safaa Gaber Aly

Journal of Medicine in Scientific Research

Background: Acupressure is thought to promote blood flow and the release of neurotransmitters, thereby maintaining the body's regular functions and offering a sense of well-being. Nevertheless, there is limited scientific evidence to substantiate the beneficial impacts of Acupressure in the realm of obstetric healthcare. Purpose of the study: To assess the impact of applying Acupressure at the LI4 acupoint on the pain experienced by women in the initial stage of labor. Research design: An experimental study with a pretest and posttest control group design. A total of 100 women were randomly assigned to two groups. Each group received LI4 Acupressure …

Comparison Of Risk Factors Of Mortality During The Two Coronavirus Disease 2019 Waves In Delhi, India, Neena Katoch, Ajay K. Gupta, Rachna Gulati, Ketan Garg, Vikas Kumar

Journal of Medicine in Scientific Research

Objective To determine the risk factors of mortality (in terms of age, sex, and comorbidities) among hospitalized patients in an Indian tertiary care hospital during the first and second waves. Patients and methods A retrospective observational study was conducted, where the patients’ mortality data were collected over two coronavirus disease 2019 (COVID-19) periods, and their characteristics were compared. The first phase was from May 2020 to January 2021 and the second wave was from March 2021 to August 2021. Results A mortality rate of 23.84% (874 deaths among 3666 patients) and 1.36% (232 deaths among 17 000 patients) was noted …

Repair Versus Replacement For Ischemic Mitral Regurgitation In Patients Who Underwent Coronary Artery Bypass Grafting Plus Mitral Valve Surgery, Ramdan Ibrahim Mohammed Ouf, Bassem Ashraf Ahmed Roushdy

Journal of Medicine in Scientific Research

Background: Ischemic mitral regurgitation (IMR) is a serious consequence of coronary artery disease. The optimal management of IMR is controversial. Although practice guidelines advise surgical intervention for patients presenting with a severe form of this condition, they also recognize the limited evidence supporting repair or replacement.

Aim of the study: to analyse and compare the early outcomes of mitral valve repair (MVr) versus mitral valve replacement (MVR) with concomitant CABG in patients with IMR.

Methods: A retrospective comparative study on 100 patients who underwent concomitant CABG for their coronary artery disease (CAD) and a mitral valve surgery for IMR, either …

Improvement Of Hair Transplantation In Postcicatracial Alopecia, Maurice Fekry, Ebrahim Awad

Journal of Medicine in Scientific Research

Background Because scarred tissue has less blood flow than normal tissue, fewer hair grafts are taken, and the patient may require many sessions to achieve the acquired density, resulting in a lengthy treatment duration of up to 5 years. The use of platelet-rich plasma (PRP) improves these findings. Patients and methods A prospective randomized-controlled study was conducted on 15 patients with cicatricial alopecia and candidates for follicular unit extraction hair transplantation, with ages between 25 and 60 years. Results Functional and esthetic outcomes were achieved by adding PRP regimen to follicular unit extraction hair transplantation for cases presented to us …

Added Value Of Diffusion Weighted Image And Apparent Diffusion Coefficient Mapping In Differentiation Between Bone Marrow Neoplastic Infiltration And Non-Neoplastic Complication In Hematologic Malignancies, Mary Rabea Mahrous, Marwa Romeih, Eman Nasr Said

Journal of Medicine in Scientific Research

BACKGROUND: Hematological malignancies, including lymphomas, leukemia, and multiple myeloma, commonly infiltrate the bone marrow (BM). Commonly observed post-treatment complications that affect BM include osteonecrosis, osteomyelitis, ischemic infarction, pathological fractures, and avascular necrosis. These complications frequently occur secondary to chemotherapy, radiotherapy, and high doses of corticosteroids. Magnetic resonance imaging (MRI) is considered the gold-standard imaging modality for the assessment of BM due to its high contrast resolution without radiation exposure. In hematological malignancies, distinguishing benign from malignant bone marrow changes remains notoriously chellenging. Diffusion-weighted images (DWI) are highly sensitive sequences for assessing the mobility of free water molecules reflecting micro-vascular changes. …

Facial Nerve Palsy: A Usual Clinical Presentation In The Post-Covid Patients With Mucormycosis, Anwar Moawad Elbatawy, Ahmed Mohamed Mostafa, Tareq Abdul Ghani, Amr Elshafey, Ahmed Abou El Fotouh, Elham Mohamed Mostafa, Mohammad Mostafa Gaballah

Journal of Medicine in Scientific Research

Background: Mucormycosis emerges as a severe fungal infection in the post-covid uncontrolled diabetic patients with a history of steroid therapy. Facial palsy coexists in these patients due to mucormycosis. We aim to study the prevalence of facial palsy in these critical patients. Methods: we design a retrospective cross-sectional study for 26 patients admitted to El-Gomhorea teaching hospital to assess the prevalence of facial palsy among this group. Results: 46.2% of diabetic post-covid patients present with facial nerve paralysis. We observed the clinical significance of facial palsy among different age groups. Conclusion: facial nerve palsy has become a usual clinical presentation …

From Needle To Knife: A Correlation Between Cytology And Histopathology In A Tertiary Hospital In Mangadu, Lionel Rohit Mathew, Shalini Karthikeyan, Varshaa Chithrra, Martha Rinnah Bijou, Mahendranath Pernati, Prema Devi Elangovan, Sridevi Vijayasankar, Saraswathi Manikam, Shreya Kousika

Journal of Medicine in Scientific Research

Introduction:

Fine Needle Aspiration Cytology is a useful diagnostic test that can be performed on swellings at various sites in the body. It is quick and simple to perform and helps to guide further treatment. However, due to its limitations, it has to be correlated with other investigations, especially histopathological examination for confirmation.

Aim:

This study aims to present the concordance of the cytopathology with the histopathological results, thus getting a picture of the sensitivity of the FNAC test in various sites.

Materials and Methods:

This study was conducted in the Department of Pathology, Sri Muthukumaran Medical College Hospital & …

Ureteric Stenting After Ureteroscopy... Is It A Must?, Abdelhamid Khattab, Alaa Ali Mousa, Fayez El Askari

Journal of Medicine in Scientific Research

Background: Ureteroscopy is a common treatment for renal and ureteral stones. This procedure may have caused some ureteral stress. Ureteral trauma can result in edema, ureteral obstruction, and flank pain. You may need to be admitted to the hospital or have a secondary ureteral stent inserted. It's not quite apparent if urologists should routinely implant temporary ureteral stents as a preventative measure to avert these issues.

Objective: ureteric stent uses after URS (as an overnight ureteric catheter attached to urethral catheter) vs non-stenting ureters; to evaluate the morbidity of ureteral stenting following simple ureteroscopy for lower ureteric stones.

Patients and …

Role Of Doppler Ultrasound And Triphasic Ct In Differentiation Between Benign And Malignant Portal Vein Thrombosis., Amira M. Gerges, Mohamed A. Abo El Maaty, Mohamed M. Fawzi, Ayman H. Hassan, Ahmed Said Badr, Sherihan S. Madkour

Journal of Medicine in Scientific Research

Background: Portal vein thrombosis is typically a consequence of cirrhosis that already exists, abdominal malignancy, hypercoagulable conditions, or abdominal inflammation. Imaging techniques are used to identify portal vein thrombosis. Once a thrombus has been identified using ultrasound, Doppler ultrasonography can be used to exclude malignancy activity. The following step is computed tomography or magnetic resonance angiograms if more information is needed. If these tests are insufficient, digital subtraction angiography should be carried out.

Methods: The study included 40 patients diagnosed by B mode ultrasound to have PVT and referred to the radiology department of the National Hepatology and Tropical Medicine …

The Effect Of Different Types Of Phacoemulsification Surgery On The Postoperative Visual Acuity, Tarek Ibrahim Badr

Journal of Medicine in Scientific Research

Background

The most popular cataract surgery method in the world is phacoemulsification surgery. There are two kinds of phacoemulsification: longitudinal and torsional. Our research compares the impact of longitudinal and torsional phacoemulsification on postoperative visual acuity.

Patients and Methods

We will compare the postoperative best-corrected visual acuity (BCVA) after torsional phacoemulsification against longitudinal phacoemulsification in our prospective randomized trial. Fifty eyes having cataract of nuclear shape ranging in grade from grade 1 to grade 3 going to be involved in our study.

Results

Regarding postoperative visual acuity, the P-value between torsional phaco and longitudinal phaco was 0.557 (> 0.05), indicating …

The Effect Of The Primary Wound Closure Technique In The Surgical Treatment Of Closed Intra-Articular Calcaneal Fractures, Mohamed M. Abd El-Monem Gafar, Ashraf Hassen M. Mohammed, Ahmed A. Elseadawy, Mohamed Salah Labib

Journal of Medicine in Scientific Research

Aim: To assess the impact of the primary wound closure method in the surgical management of closed intra-articular calcaneal fractures, with the aim of improving postoperative wound healing, reducing complications, minimizing expenses, enhancing overall functional outcomes, and restoring foot function and patients' quality of life. Design: Our study, a prospective and retrospective cohort clinical study, was conducted in our hospitals. Patients and Methods: Twenty-eight patients with thirty-one intra-articular calcaneal fractures were enrolled, following stringent inclusion and exclusion criteria for patient selection. These patients underwent open reduction using an extensile lateral approach and internal fixation with plates and screws at our …

Clinical Study Of Combined Arthroscopic Drilling And Platelet Rich Plasma Injection In Knee Osteochondral Lesions In Middle-Aged Patients, Mohamed Salah Labib Mohamed, Mohamed Abd Elmoneam Gafar

Journal of Medicine in Scientific Research

Background: Osteochondral lesions commonly occur in the knee joints and causes detrimental effects on the quality of life. Arthroscopic drilling is the treatment option for mild to moderate lesions. However, it is debatable whether regenerated cartilage from arthroscopic drilling surgery is durable. It is speculated that induction of chondrocyte differentiation from subchondral mesenchymal stem cells is facilitated by platelet-rich plasma (PRP), which is a rich source of diverse growth factors.

Aim of work: To evaluate the procedures of combined arthroscopic drilling and PRP injection intra-articularly for mild to moderate knee osteochondral lesions management.

Patients and Methods: This randomized prospective study …

Short Term Effects Of Bariatric Surgeries On Renal And Hepatic Functions On Obese Morbid Patients, Naglaa F. Al-Mihy, Esayed Elmokadem, Atteyat Aboelmaged Semeya

Journal of Medicine in Scientific Research

Background: Bariatric surgery has emerged as a well-established treatment for achieving long-lasting and successful weight reduction. Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are currently the most frequently done operations. The aim of this research was to investigate the hepatic and renal alterations following bariatric procedures, with a particular focus on SG.

Methods: This observational prospective cohort research was performed on 100 morbidly obese individuals with BMI ≥40 kg/m² who underwent SG. All patients were evaluated before surgery clinically and all laboratory investigations were done before operation as baseline, 3 months, 6 months after surgery, and after one …

Telemedicine And Physical Visits: A Dynamic Duo In Obesity Management Among Adolescents, Egypt, Enas Sayed Abbas, Safaa Al Hussein Tawfik, Gehan Fouad Ahmad, Lamiaa Ibrahim Haroon, Taghreed K. M. Elhady, Amira Said Nassar

Journal of Medicine in Scientific Research

Childhood obesity, a serious global issue, leads to various health problems like diabetes, high blood pressure, high cholesterol, and psychological issues. In Egypt, inconsistent data shows a significant prevalence of obesity among adolescents, influenced by factors like gender, age, and lifestyle. The study aims to explore the effectiveness of telemedicine, in conjunction with physical visits, for managing obesity among adolescents in Egypt. Telemedicine, a cost-effective and engaging alternative to in-person visits, can help patients lose weight and provide a safe, remote alternative, expanding treatment access to hard-to-reach populations. The study is a controlled clinical trial on overweight or obese adolescents …

The Value Of Right Ventricular Systolic Function Assessment By 2d Speckle Tracking Echocardiography In Severe Ms, Alaa Ramadan Youssuf, Mohammad Morsy, Ibrahim Afifi, Mohamed Mansour, Eman H Seddik

Journal of Medicine in Scientific Research

Background: Many patients with long-standing mitral stenosis (MS) experience pulmonary hypertension (PH), which can eventually result in right heart failure. Several studies investigated the RV function changes in MS patients in the perioperative periods but focused on balloon mitral valvotomy (BMV). So our study aimed to assess the RV changes in severe MS patients planned for surgical mitral valve replacement (MVR).

Methods: A case-control study was carried out on severe MS patients planned for surgical MVR being unfit for BMV were subjected to conventional MS indices, RV Fractional area change (FAC), lateral tricuspid annular plane systolic excursion (TAPSE), RV global …

Mediastinal Packing For Massive Bleeding Following Acute Ascending Aortic Dissection Surgery: Outcomes And Risk Factors Analysis, Ahmed Shafeek Ali, Mostafa Abd Al Salam Mohamed Ghazi, Mahmoud Maher Abdou Ibrahim, Haitham Alshahat Ramadan

Journal of Medicine in Scientific Research

Background: Surgery for Acute Ascending Aortic Dissection (AAAD) is often complicated by severe perioperative coagulopathy and critical bleeding. Mediastinal packing is a widely recognised technique used to manage and control this complication. This retrospective study aims to analyze early outcomes and potential risk factors for patients subjected to mediastinal packing after AAAD surgery.

Methods: 352 consecutive patients who had undergone acute ascending aortic dissection (AAAD) surgery were studied at the National Heart Institution between February 2014 and Mars 2023. These patients were divided into two groups: the mediastinal packing with delayed closure group (n = 53; 15.05%) and …

Repair Vs. Replacement For Chronic Ischemic Mitral Valve Regurgitation: A Retrospective Cohort Study., Ahmed A Faragalla, Ahmed M Elshiemy, Sherif A Elhindawy, Ahmed A. Abedelhamid

Journal of Medicine in Scientific Research

Background: Chronic ischemic mitral regurgitation (CIMR) presents a surgical dilemma: repair or replace the mitral valve during coronary artery bypass grafting (CABG).

Aim of the work: This study investigates early outcomes following mitral valve repair versus replacement during CABG for CIMR patients.

Methods: The study employed a retrospective design, enrolling 100 patients who underwent CABG surgery with either mitral valve repair or replacement at the National Heart Institute. Patients were stratified into Group I (repair) and Group II (replacement). Further stratification within each group categorized patients by mitral regurgitation (MR) severity (moderately severe or severe).

Results: This analysis of mitral …

Adverse Pregnancy Outcomes Among Elderly Primigravida Women At Al-Galaa Maternity Teaching Hospital, Sherif M. Safwat, Marwa R. Shahin

Journal of Medicine in Scientific Research

Backgrounds: Pregnancy at advanced maternal age (AMA) is seen as a risk factor for poor maternal and perinatal outcomes. However, pregnancies with advanced maternal age have become more common in recent decades. This is attributable to increased employment options for women, a shift in gender norms, and improved reproductive medicine.

Objectives: Reviewing and assessment of the adverse pregnancy outcomes in elderly primigravida women compared to those with younger age.

Methodology: A case-control research study was conducted on patients who had attended for delivery at Al-Galaa Maternity Teaching Hospital during the period of one year from January 2022 to January 2023. …