Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Role of Dynamic Contrast Enhanced and Diffusion Weighted MRI in Characterization of Suspicious Breast Masses
1301
1307
13578
10.12816/0039666
EN
Randa Hussein
Abdullah
Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University
Amal Ibrahim
Othman
Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University
Hussein Abdullah
Hussein
Department of Diagnostic Radiology, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
13
<strong>Background: </strong>Early detection and diagnosis of breast cancer are mandatory for accurate management. Traditionally, mammography and ultrasound are the basic imaging techniques for the detection and localization of breast masses. The low sensitivity and specificity of these imaging tools resulted in a demand for new imaging modalities.
<strong>Aim of study:</strong> to evaluate the role of either diffusion weighted images-MRI or dynamic contrast enhanced MRI in differentiating malignant from benign breast lesions comparing with histopathology results. <strong>Patients and Methods:</strong> from November 2016 to July 2017, a total of 20 patients presented with suspicious breast lesions BIRADS (4&5) were included in the study. All participants underwent breast DWI and DCE-MRI. Results were compared with histopathological results as a standard final diagnostic method. <strong>Results: </strong>the study included 20 female patients with suspicious breast lesions, there was 15 (75%) malignant lesions while benign lesions, while benign lesions were 5 (25%) cases. DCE-MRI was found to have a sensitivity of 86.7% and specificity of 80%. ADC cutoff value was found to have a value of 1.143*10<sup>-3</sup>, which was the best to differentiate between benign and malignant breast masses. DWI MRI was found to have sensitivity of 93.3% and a specificity of 80%.
<strong>Conclusion:</strong> DW-MRI alone gave the same performance as in combination with DCE-MRI. The comparison of DWI and DCE-MRI provides a dramatic superiority in the sensitivity, specificity and accuracy of breast DWI-MRI over other modality.
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https://ejhm.journals.ekb.eg/article_13578_e2a1178103ba73de61c0df1b91b426ae.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Male Breast Cancer: A Retrospective Study
1308
1315
13580
10.12816/0039667
EN
Hatem Mohamed
Abdallah
Clinical oncology department, Ain Shams University
Ramy Refaat Youssef
Ghali
Clinical oncology department, Ain Shams University
Mai Mohamed Ali
Ezz El Din
Clinical oncology department, Ain Shams University
Hesham Mahmoud
Elshimy
Clinical oncology department, Ain Shams University
Journal Article
2018
09
13
<strong>Background:</strong> The male breast cancer (MBC) is a rare disease and represents less than 1% of all malignancies in men and less than 1% of all breast cancers incident.
<strong>Aim of study:</strong> In this descriptive retrospective study we aimed to provide clinico-epidemiological characteristics of MBC. To present the treatment given with respect to DFS , TTP & OS, to identify possible prognostic factors of the disease and the toxicities encountered by the treatment given.
<strong>Patients and Method: </strong>Out of 11313 cancer patients 3046 were breast cancer; 28 of them were MBC. All patients presented to clinical oncology department in Ain Shams University in the period from January 2008 to December 2014 and follow up till December 2016
<strong>Results: </strong>The median age of patients was 59 years. Around 90% had hormone receptor positive (estrogen and/or progesterone receptors).Two third of the patients had advanced T-stage (T3 and T4). Infiltrating ductal carcinoma the most common type of histology was encountered. Modified radical mastectomy was the most common (75%) type of surgery done followed by chemotherapy for 21 patients and loco-regional radiotherapy for 20 patients. Tamoxifen was administered in 19 patients. Relapse occurred in 14 patients (50%). The 5-year disease-free survival (DFS) was 21.4%, the 5-year time to progression (TTP) rate was 21.4% and the 5-year old overall survival (OS) rate was 35.7%.
<strong>Conclusion: </strong>There is always a delay in the male patients since the first complaint until they seek medical advice, which results in an advanced disease at presentation.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13580_ae5f4f15e54906def62f7cf0fff2777e.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Conservative Management versus Ventilation Tube Insertion in Children with Otitis Media with Effusion Accompanying Cleft Palate
1316
1324
13581
10.12816/0039668
EN
Mohamed Abd El Raouf
Masoud
Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University
Ayman Mohamed
ElKahky
Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University
Mohamed Amir
Hassan
Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University
Nadia Hassan
Shahba
Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
13
<strong>Background: O</strong>titis media with effusion (OME) is a collection of non-purulent fluid in the middle ear space; it is almost universal in children with cleft palate. Cleft palate (CP) is among the most common congenital malformations, with an overall incidence of around 1 in 700 individuals. Surgical closure of the cleft palate may lead to improvement in the audiological status of the patients, but whether early surgical correction can improve the middle ear status in CP children remains open for debate.
<strong>Aim:</strong> A meta-analytical study to evaluate and compare the outcome of ventilation tube insertion versus conservative management in management of otitis media with effusion accompanying cleft palate.
<strong>Methods: A</strong> review process was used to assess eligible studies drawn from included published medical articles about conservative management versus ventilation tube insertion in children with otitis media with effusion accompanying cleft palate through searching the Medline data base (www.pubmed.com) and Cochrane library. Then Data were extracted and analyzed from the included studies.
<strong>Results: </strong>30 relevant articles were found, by application of inclusion criteria 8 articles were found meeting the inclusion criteria and could undergo Meta-analysis. Our results have shown that OME in children with repaired cleft palate can be managed satisfactorily without routine use of ventilation tube (VT). The presence of OME does not lead to long term complications in all patients. Hearing impairment due to OME can be satisfactorily treated with hearing aid (HA) in a majority of children. VT need to be inserted only if the child is not compliant with using a HA or develops recurrent suppurative otitis media. Patients should be followed-up closely for OME to prevent complications. <strong>Conclusion:</strong> Routine use of ventilation tube in CP patients should be discouraged; instead Treatment should be based on the need and willingness of the children and their parents. Also with respect to individual bases such when the child is proved to have OME and hearing loss that affect child language and speech development. Insertion of ventilation tubes should be offered as an alternative to hearing aids or conservative management by close otological and audiological follow up.
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<strong> </strong>
https://ejhm.journals.ekb.eg/article_13581_c757d88f8367e3b0d9546dfc79e6baea.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Study of Serum Irisin in Patients with Thyroid Dysfunction
1325
1331
13582
10.12816/0039669
EN
Mohamed H.
El-Gayar
Internal Medicine and Endocrinology department, Faculty of Medicine, Ain Shams University
Khaled M.
Makboul
Internal Medicine and Endocrinology department, Faculty of Medicine, Ain Shams University
Ahmed M.
Bahaa El Din
Internal Medicine and Endocrinology department, Faculty of Medicine, Ain Shams University
Mohamed S.
Mohamed
Internal Medicine and Endocrinology department, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
13
<strong>Background: </strong>irisin, identified as a proteolytic cleavage product of the fibronectin type III domain-containing protein 5 (FNDC5), It is a novel myokine secreted by contracting skeletal muscle, possibly mediating some exercise health benefits via ‘browning’ of white adipose tissue. Irisin causes a significant increase in total body energy expenditure and resistance to obesity-associated insulin resistance in mice, while controversy still exists concerning irisin origin, regulation and function in humans<strong><em>.</em></strong>
<strong>Aim of the work</strong>: our study aimed to detect relation of thyroid status (hypo, hyperthyroid) with serum irisin, ck and peripheral neuropathy. <strong>Patient and methods: </strong>this study was conducted on 60 candidates consisted of 40 patients with thyroid dysfunction selected from Endocrine outpatient Clinic and Inpatient Department of Ain Shams University Hospitals and 20 healthy volunteers from April 2016 to October 2016. Informed consent was obtained from all participants. Patients of both genders, age more than 18 years old, 20 patients with hypothyroidism, 20 patients with hyperthyroidism and 20 healthy volunteers. We excluded significant renal, hepatic and cardiac disease, severe associated acute illness or depression, pregnant females, diabetes, hypercortisolism, hypocortisolism, muscular or neurological disorders, routinely taking drugs as statins, intensively involved in a sport or any strenuous physical activity. All participants were subjected to full medical history taking, general clinical examination and laboratory investigations as thyroid and thyroid-related hormone concentrations as well as a thyroid ultrasound examination and thyroid scan for patients with hyperthyroidism. Serum irisin level, CK and nerve conduction velocity were measured. <strong>Results: </strong>irisin level was higher in hyperthyroid group than euthyroid group with a significant difference. In comparison with normal NCV candidates and reduced NCV candidates with other variables there was only border line significant difference with irisin p-value. Non significant value of irisin and CK level were detected for diagnosis of hypothyroidism. Irisin has highly significant value for diagnosis of hyperthyroidism with (sen 95%, sp 42.5). Increased BMI is the only independent predictor for hypothyroidism by using multivariable binary logistic regression analysis. Decreased BMI and irisin are independent predictors for hyperthyroidism. <strong>Conclusion:</strong> serum irisin level is one of predictors for hyperthyroidism, on the other hand irisin does not have a significant value to predict hypothyroidism. Serum irisin was found to be higher in patients with hyperthyroidism in comparison with euthyroid participant with non statistically significant difference between hypo and hyperthyroidism. Serum CK level does not have a significant value in diagnosis of thyroid dysfunction (hypothyroidism or hyperthyroidism). Serum irisin level was low in thyroid dysfunction cases with delayed NCV compared to thyroid dysfunction cases and normal NCV with border line significant difference.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13582_29325af19e3228caff262e6d9bb63e3d.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Effect of General Anesthesia versus Spinal Anesthesia in Cesarean Section on Regain of Gastrointestinal Motility
1332
1338
13583
10.12816/0039670
EN
Bayoumi
M.
Ain shams University, Faculty of Medicine, Department of Obstetrics and Gynecology
Journal Article
2018
09
13
<strong>Background: </strong>cesarean section is a common major hospital surgical procedure performed nowadays. One of the most common postoperative complications is postoperative gastrointestinal paralysis (Ileus) that must be minimized due to its possible serious consequences.
<strong>Objectives: </strong>this study aims to compare the time to regain intestinal motility after general anesthesia versus spinal anesthesia for cesarean section.
<strong>Methods: </strong>this prospective controlled study was carried out at Ain Shams University Maternity Hospital during the period from April 2016 to June 2017 after approval of the hospital health ethical committee. It included 150 patients who had C.S and they were subdivided into 2 groups according to a randomization scale (spinal versus general). <strong>Results: </strong>spinal anesthesia results in a quicker return of bowel activity after cesarean section, decreased hospital stay and less use of post-operative opioids than general anesthesia.
<strong>Recommendations:</strong> we recommend the use of spinal anesthesia for cesarean section especially if there's no contraindication for that.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13583_34506ead4825bdcc830ca366f96a6dbf.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Role of Diffusion Weighted MR Imaging in Assessment of Hepatocellular Carcinoma After Radiofrequency Ablation
1339
1341
13584
10.12816/0039671
EN
Ahmed Mostafa
Mohamed
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
Amir Louis
Louka
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
Akeel Faisal
Ghazee
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
ABSTRACT
Journal Article
2018
09
13
Hepatocellular carcinoma (HCC) is the most common primary liver malignancy. Surgical resection and local ablative therapies represent the most frequent first lines therapies adopted when liver transplantation cannot be offered. <strong>Aim</strong><strong> of the work: </strong>was to evaluate the feasibility of DWI and the corresponding ADC values to detect tumor response after radiofrequency ablation for hepatocellular carcinoma.
<strong>Materials and methods: </strong>MR examinations were done for 20 HCC patients post-RFA. Pre and postgadolinium enhanced images as well as DW sequences were performed. ADC values of ablation zones and liver parenchyma were assessed. ADC values of ablation zones and adjacent signal alterations identified in DWI were analyzed. <strong>Results: </strong>Residual or recurrent lesions were detected in 4 patients (20%). The mean ADC value of ablated zones differed significantly from that of normal liver parenchyma. The corresponding ADC values were significantly lower in patients with residual lesion than in patients without residual lesion. <strong>Conclusion: </strong>It could be concluded thatDWI is a feasible follow-up tool for postablation liver contributing in detection of residual lesion.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13584_71556a88743a74cc986b94dfcaf0e672.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Association between Chlamydia Trachomatis Cervicitis and Preterm Labor
1342
1349
13585
10.12816/0039672
EN
Sabry Sayed
Mohamed
Obstetrics and Gynecology Department Faculty of Medicine, Ain Shams University
Noha Hamed
Rabei
Obstetrics and Gynecology Department Faculty of Medicine, Ain Shams University
Malames Mahmoud
Faisal
Obstetrics and Gynecology Department Faculty of Medicine, Ain Shams University
Amira Sayed
Amin
Obstetrics and Gynecology Department (Alkhzendara Hospital)
Journal Article
2018
09
13
<strong>Background: </strong>Preterm labor (PTL) is a major determinant of neonatal morbimortality with adverse consequences for health. The causes are multifactorial, with intrauterine infection probably explaining most of these outcomes. It is believed that infection with Chlamydia trachomatis (CT) is also involved in PTL. <strong>Objective: </strong>To compare the prevalence of chlamydia trachomatis cervicitis in women with preterm labor and control at term. <strong>Methods: </strong>This was a case-control study conducted at Ain Shams University Maternity Hospital. This study included 70 pregnant women with singleton fetus who attended the causality and were selected to participate in the study. They were divided into two groups, cases and control group each 35 patients. Swab was taken from endocervix and chlamydia trachomatis DNA was examined by real time polymerase chain reaction (PCR). Data were analyzed by Chi-square test.
<strong>Results: </strong>The prevalence of chlamydia trachomatis cervicitis in women with preterm labor is higher than in women at term; 8 cases out of 35 (22.9%) as compared to the women in the control group which was 2 cases out of 35 (5.7%) and this difference was statistically significant using (p =0.04<strong>).</strong>
<strong>Conclusion: </strong>This study proved that there is an association between chlamydia trachomatis cervicitis and preterm labor. Screening and treatment of Chlamydia trachomatis infection are recommended to decrease cases of preterm labor.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13585_4363ff443876f84692ce910ad894fd73.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Role of Magnetic Resonance Imaging in Diagnosis of Chronic Hip Joint Pain in Adults
1350
1357
13586
10.12816/0039673
EN
Hanan Mohamed
Issa
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
Ahmed Hassan
Soliman
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
Alyaa Lateef
Hasan
Department of Radiodiagnosis, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
14
<strong>Background: </strong>Chronic hip pain is a common problem in adults. In the absence of a known acute trauma, it can be a diagnostic problem as it can be attributed to many causes. The most common causes are avascular necrosis, inflammatory causes, transient osteoporosis or neoplastic lesions. <strong>Aim of the Work: </strong>The aim of this study is to evaluate the role of magnetic resonance imaging (MRI) in the evaluation and diagnosis of different causes of chronic hip pain in adults.<strong> Patients and Methods:</strong> The study was conducted on thirty patients who had chronic hip pain and they were referred to undergo MR imaging of hip joints in MRI Unit in Al-Hussain Teaching Hospital in Thi-Qar / Iraq and Ain Shams University Hospital in Cairo / Egypt. <strong>Conclusion: </strong>MRI is an essential imaging modality in musculoskeletal system in general and in hip region specifically. <strong>Recommendations: </strong>MRI should be done preferably with a limited number of sequences. If the diagnosis is still query or whenever inflammation or a neoplastic process is suspected, we should do other sequences in different imaging planes and go for contrast injection and post contrast studies (T1WI).
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https://ejhm.journals.ekb.eg/article_13586_37e785ce7098e4b2ba39bd8e260a1bb6.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Study of Automated Red Blood Cells Parameters in Correlation with Routine RBCs Morphology by Smear Review
1358
1363
13587
10.12816/0039674
EN
Tahany Ali
El Kerdany
Department of Clinical and Chemical Pathology, Faculty of Medicine, Ain shams University
Soha
Abo El Ela
Department of Clinical and Chemical Pathology, Faculty of Medicine, Ain shams University
Janette Botros Shoukry
Aziz
Department of Clinical and Chemical Pathology, Faculty of Medicine, Ain shams University
Journal Article
2018
09
14
<strong>Background</strong>: sysmex XT 1800i coulter is a hematology analyzer incorporating new electronic and mechanical design with advanced algorithm technology to perform CBC. The principles of sysmex XT1800 are electrical impedance technology, optical scatter technology, flow cytometry. The sysmex XT-1800i haematology analyser is used in unique fluorescence flow cytometry (FFC) technology. FFC looks at deoxyribonucleic acid (DNA) content, cell size and inner cell complexity rather than cell size alone. This generates remarkably accurate results. Review rates and turnaround time are reduced due to specific fluorochrome labelling. The XT-1800i offers true quantitative immunoglobulin ( IG) counting instead of the flagging delivered by other technologies.
<strong>Patiant and Method</strong>: Evaluation of this instrument was performed on 200 samples of inpatient and outpatient people in Ain Shams University Hospitals. We collected samples from all departments of the hospital randomly of any age and sex except those of age less than 18 years old.
<strong>Results</strong> : this study was centered upon RBCs indices which were mean corpuscular volume (MCV),mean corpuscular hemoglobin(MCH),red cell distribution width (RDW) after comparing sysmex XT 1800 coulter results for RBCs parameters with morphology by smear review under the microscope. We found that the device sensitivity was 74.7% , 75 % ,83 % and specificity was 74.3% , 79.5 % ,78.7% according to RBCs size ,chromasia and anaesocytosis respectively.
<strong>Conclusion</strong>: at the end of our study we reached to specific criteria at which we must do a blood film smear review to evaluate RBCs abnormalities which cannot be evaluated by the device.
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https://ejhm.journals.ekb.eg/article_13587_393109a5c54c74e5d5cf42df8a5b5f07.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Role of PET/CT in Monitoring Response in Treatment of Non-Hodgkin Lymphoma Patients
1364
1367
13589
10.12816/0039675
EN
Annie Mohamed
Nasr Eldin
Radiodiagnosis Department, Faculty of Medicine, Ain Shams University
Hossam Moussa
Sakr
Radiodiagnosis Department, Faculty of Medicine, Ain Shams University
Aml Ibrahim
Ahmed
Radiodiagnosis Department, Faculty of Medicine, Ain Shams University
Wesam Kamel
El Afify
Radiodiagnosis Department, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
14
<strong>Aim of the work</strong>: positron emission tomography (PET) response assessment of residual nodal masses in patients with lymphoma after completion of therapy is performed visually using Douveille as the reference. The primary objective of this study was to define the role of PET in response assessment of Non Hodgkin Lymphoma patients and define various response criteria.
<strong>Patients</strong><strong> and methods</strong>: our prospective study included 40 patients with Non Hodgkin’s lymphoma diffuse large B cell type assessed for response assessment after completion of therapy, two readers independently assessed response by IHP and Deauville criteria. The addition of morphological parameters on CT was assessed in relation to therapy response.
<strong>Results: </strong>Non Hodgkin lymphoma is one of chemosensitive tumors with high ability of nodal and extranodal spread and PET /CT is more sensitive than CT in monitoring response to treatment in non Hodgkin lymphoma diffuse large B cell type patients.
<strong>Conclusions</strong>: PET/CT is the best tool for evaluation of the response to treatment in patients with Non Hodgkin lymphoma diffuse large B cell type, as well as Douveille criteria represent the accurate indicator of response categories determination.PET/CT has an obvious impact on clinical practice according to the response results and activity of residual lesion.
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https://ejhm.journals.ekb.eg/article_13589_1dbfce37f58878221efcb862affa9132.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Role of Electrocardiogram-Gated Multidetector Computed Tomography in Diagnosis of Congenital Heart Disease
1368
1373
13590
10.12816/0039676
EN
Marwa
Ali
Radiology department, Ain Shams hospitals
Yasser Ali
Mohammed
Radiology department, Ain Shams hospitals
Marwa El-Sayed
Abdel Rahman
Radiology department, Ain Shams hospitals
Journal Article
2018
09
14
<strong>Aim of the work</strong>: this study aimed to assess the role of ECG gated multidetector computed tomography in detection and characterization of congenital heart diseases. <strong>Patients and method</strong>: this study was carried out in the Radiology Department of Ain Shams University Hospitals. A total of 30 patients presented with clinically/echocardiographically known to have congenital heart disease. They were 17(56.7%) females and 13 (43.3%) males. Their age was ranged from 3 days -18 year old. <strong>Results:</strong> Regarding the cardiac abnormalities, we found good agreement between Echo and ECG gated MDCT a<strong>s</strong> regard cardiac abnormalities with kappa value measuring 0.771. Regarding great vessels anomalies, we found overall good agreement between Echo and MDCT where k measuring 0.790. As regard extracardiac findings, lung changes that were seen in MDCT only in form of lung consolidation in three cases (10%) and one case of unilateral lung hypoplasia (3.3 %). <strong>Conclusion</strong>: ECG gated MDCT is considered as an essential non-invasive diagnostic tool for the evaluation of congenital cardiac and extra cardiac great vessels. MDCT is complementary to the cardiac echocardiography especially in complex heart abnormalities.
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https://ejhm.journals.ekb.eg/article_13590_0d7c8a53ca37dc0080cf8f2c62aa1ac4.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Fixation of Unstable Neck Femur Fractures in Adults, Review Article
1374
1380
13591
10.12816/0039677
EN
Ahmed H.
Yousrya
Department of Orthopedics,Ain Shams university, Egypt
Shady S.
El-Beshrya
Department of Orthopedics,Ain Shams university, Egypt
Gergis Nabil
Benyameen
Faculty Of Medicine, Ain Shams university, Egypt
Journal Article
2018
09
14
<strong>Background </strong>ː Femoral neck fracture is a common problem especially in young adults. There are different methods of fixation of unstable neck femur fractures in adults, some of which are accompanied by complications. <strong>Aim of study: </strong>A systematic review on the different methods of fixation of unstable femoral neck fractures in adults with clarifying the incidence of nonunion, avascular necrosis, displacement and other complications in each type of fixation<strong>. Methods</strong> ː A systematic review of literatures was conducted on five studies (306 patients ) published in literature in the last 10 years using different methods of fixation with inclusion criteria including ː English literature, human studies on adults aged 18-60 years with unstable neck femur fractures Pauwel grade 3. Exclusion criteria including ːin vitro studies, pathological and non united fractures in people aged below 18 or above 60 years with stable neck femur fractures Pauwel grade 1,2
<strong>Results</strong>: showed that Achieved union in management by osteosynthesis and primary valgus intertrochntric osteotomy using broad DCP showed better results than by other methods of fixation (cannulated screws , DCS, cephalomedullary nail) and by achieving union percentage of 92,7% as in (MP Singh 2008), the same percentage achieved by fixation by DHS as in (Frank Liporace 2008), followed by 92% rate of union achieved by fixed angle device (DCS or cephalomedullary nail) in (Frank Liporace 2008)
Comparing complications in different fixation methods showed that complications are inevitable yet manageable, but higher complications rate associated with fixation of neck femur fractures using DHS by achieving 26,4% rate of nonunion and 26,4% rate of AVN in (carlos Roberto schwartsmann 2017) while rate of non union was 7,3% in valgus intertrochntric osteotomy by broad DCP and rate of AVN was 11% as in (MP Singh 2008). <strong>Summary and conclusion</strong> Management of unstable neck femur fractures in adults is done by means of direct fixation with cannulated screws, DHS, fixed angle device (DCS or cephalomedullary nail) or osteosynthesis and valgus intertrochntric osteotomy to avoid some adverse effects of the direct fixation methods, so,recent studies showed that valgus intertrochntric osteotomy achieve better results than traditional methods with less complications.
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https://ejhm.journals.ekb.eg/article_13591_a1272a9d7e4604eff8e1926a36b48df9.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Telemedicine: Between Reality and Challenges in Jeddah Hospitals
1381
1389
13592
10.12816/0039678
EN
Abeer Abdulrahman J
Althbiti
Pharmacy Department, Ibn Sina National Collage For Medical Studies, Jeddah, KSA
Farah Mamoun
Al Khatib
Pharmacy Department, Ibn Sina National Collage For Medical Studies, Jeddah, KSA
Nuha Ayman
AL-Ghalayini
Pharmacy Department, Ibn Sina National Collage For Medical Studies, Jeddah, KSA
Journal Article
2018
09
14
<strong>Background: </strong>Telehealth system is defined as the use of electronic information and telecommunication technologies to support and promote long-distance clinical health care, patient and professional health-related education, public health and health administration. The main aim of this study is to assess difficulties and limitations in hospitals that have healthcare system in Jeddah ,Saudi Arabia from applied new techniques such as Telehealth and if they have tendency to use this technique or not . This study also aims to determine the association between increase in quality of healthcare system and new techniques applied such as Telehealth system by literatures reviews. <strong>Methods: </strong>A cross-sectional study was conducted in 114 medical providers who worked at hospitals in Jeddah, Saudi Arabia. The medical providers were interviewed using paper-based questionnaire as well as electric-based questionnaire, data collected and analyzed by using SPSS. <strong>Results: </strong>Interested participants in technology were high by 59%, participants actually interested to implement advanced Telehealth Technologies by percent of 84%, and respectively that factor of lack of awareness were a major factor by 90%, factor of this technique may take a new health care system and it may being a time consuming and take a lot of money and training 71%, this previous percentage and frequency also present factor of resistance in both medical social and community. 63% saw that it is hard to get someone qualified as well as 62% saw that there is a lack of human resources in hospitals and misusing factor took a percent of 50%, some of participants saw that There is no strong need for this technique and he is think it is not important or it is not differ from face to face visit by percent of 40%. <strong>Conclusion: </strong>There are a high acceptance of new technique in hospitals and regardless of demographic information there is a high interest in technology, we determine most factors that may limit implementation of this technique and these factors may give us a general look about challenges of implementing the other techniques too, if we can determine the problems then we can resolve them to achieve high quality healthcare systems in our hospitals.
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https://ejhm.journals.ekb.eg/article_13592_1ce71ec435c9cab1f66f814947f8a8fb.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Anatomical Variations of Nasal Structures in Chronic Rhinosinusitis as Detected by Computed Tomography Scan
1390
1394
13593
10.12816/0039679
EN
Omar Adnan
Hasan
Department of Otorhinolaryngology, Faculty of Medicine-Ain Shams University
Mohamed Amir
Hassan
Department of Otorhinolaryngology, Faculty of Medicine-Ain Shams University
Ehab Kamal
Fawzy
Department of Otorhinolaryngology, Faculty of Medicine-Ain Shams University
Ahmed Mahmoud
Maarouf
Department of Otorhinolaryngology, Faculty of Medicine-Ain Shams University
Journal Article
2018
09
14
<strong>Background:</strong> There is a wide range of anatomical variations affecting the nose, paranasal sinuses (PNS) best diagnosed by Computed Tomography (CT). These variations may cause impairment of mucociliary drainage of the PNS resulting in sinusitis. <strong>Objectives</strong>: In this paper, the aim is to study the relationship of the anatomical variations of the lateral nasal wall, nasal septum and paranasal sinuses with the occurrence of chronic rhinosinusitis. <strong>Methods</strong>: The study included two groups of patients, the first has chronic rhinosinusitis while the second was without chronic rhinosinusitis. Anatomical variations of nose and paranasal sinuses which are nasal septal variations, concha bullosa, agger nasi cells, haller cells, paradoxical middle turbinatesand uncinate process variations were detected in both groups to investigate the relation between the anatomical variations and chronic rhinosinusitis. <strong>Results</strong>: A case control study was done which showed that there a significant statistical relation between nasal septal deviation and chronic rhinosinusitis.
<strong>Conclusion</strong>: There was a significant relation between nasal septal deviation and chronic rhinosinusitis.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13593_0b010ba94f9d6052e329b14300e0377c.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Prevalence of Metabolic Syndrome and Its Related Factors among Adults
1395
1399
13595
10.12816/0039680
EN
Sultan Mohammed
Badri
Ibn Sina National College
Lujain Hamza
Arafsha
Umm Alqura University
Khaled Abdullah
Bin Hassan
Al Imam Mohammad Ibn Saud Islamic University
Mishary Ali
Shawani
Al Imam Mohammad Ibn Saud Islamic University
Ahmed Ali
Alasmari
Al Imam Mohammad Ibn Saud Islamic University
Khalid Ali
Rofidi
Al Imam Mohammad Ibn Saud Islamic University
Lojein Faisal
Alnomari
Ibn Sina National College
Aseel Sameer
Tammar
Ibn Sina National College
Abdullah Waheed
Calacattawi
King Abdulaziz University
Waleed Abdulaziz
Almosfer
Majma'ah University
Abdulrahman Mohammedsaeed
Baqasi
Umm Alqura University
Journal Article
2018
09
14
<strong>Background: </strong>This study was designed to estimate the prevalence of metabolic syndrome and its determinants, as well as baseline information about the related factors among the adult population.
<strong>Method: </strong>A cross sectional study of 252 participants has been conducted in February 2017 at King Abdulaziz Hospital and Oncology Center. A structured questionnaire was administered, collecting information on personal medical history as well as socio-demographic and behavioral characteristics. Anthropometrics, blood pressure, and venous blood samples were obtained. Metabolic syndrome was defined according to the International Diabetes Federation (IDF) criteria.
<strong>Results:</strong> The prevalence of metabolic syndrome was 32% according to the IDF. In addition to WC is the best predictor for metabolic syndrome in the Saudi population.
<strong>Conclusion:</strong> This study showed that Metabolic Syndrome is highly prevalent in Jeddah, Saudi Arabia. Also there is a high prevalence of hypertension, obesity and diabetes. Therefore, to reduce the risk of cardiovascular events, screening for and early detection of risk factors for Metabolic Syndrome are suggested.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13595_24deca68a935596b18189f70f151c6ed.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
New Agents in Treatment of Psoriatic Arthritis
1400
1404
13597
10.12816/0039681
EN
Abdellatif
M.M
Rheumatology and Rehabilitation department, Faculty of Medicine, Ain Shams University
El Gogary
A.K
Rheumatology and Rehabilitation department, Faculty of Medicine, Ain Shams University
El Shishtawy
H.F
Rheumatology and Rehabilitation department, Faculty of Medicine, Ain Shams University
Farrag
D.A
Rheumatology and Rehabilitation department, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
14
<strong>Background: </strong>psoriatic arthritis is a long term inflammatory arthritis. Psoriatic arthritis is leading to bone erosion, joint destruction and associated with nail diseases, dactylitis, enthesitis, sponnylitis and uveitis.
<strong>Aim of this study</strong> was to review the new lines of treatment for psoriatic arthritis with or without skin affection. <strong>Treatment</strong>, the underlying process in psoriatic arthritis is inflammation; so, treatments are directed to reduce and control inflammation. Although no clear correlation exists between joint inflammation and the skin in every patient, the skin and joint aspects of the disease often must be treated simultaneously. However, only certain therapies are effective for psoriasis and psoriatic arthritis. Systemic agents, can be used for both skin and joint manifestations, it includes methotrexate and ciclosporin. For the biologic agents, the tumour necrosis factor inhibitors such as adalimumab, etanercept, infliximab, golimumab and certolizumab are effective. Ustekinumab is a recently agent belonging to the group of anti-IL-12p40 antibodies and has been shown to be efficacious. Newer drugs in the treatment which have shown efficacy for both psoriasis and psoriatic arthritis consist of the anti-IL-17 agent, secukinumab, and a phosphodiesterase-4 inhibitor, apremilast. As well as the oral JaK inhibitor, tofacitinib, have very limited but promising data.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13597_b735aad3330b95516d2732e307cf3923.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Relationship of Complexity of Coronary Artery Disease and Complexity of Peripheral Arterial Disease
1405
1410
13599
10.12816/0039682
EN
Sameh Saleh
Sabet
Cardiology Department, Faculty of Medicine, Ain Shams University
Hany Mohammed
Fakhry
Cardiology Department, Faculty of Medicine, Ain Shams University
Khaled Aly
Abdelkader
Cardiology Department, Faculty of Medicine, Ain Shams University
Alaa Ahmed Reyad
Elkiey
Cardiology Department, Faculty of Medicine, Ain Shams University
Journal Article
2018
09
14
<strong>Background:</strong> Atherosclerosis is a disease of the large and medium-sized arteries causing luminal narrowing (focal or diffuse). <strong>Aim of the Work: </strong>Measure the relationship between coronary artery disease complexity using SYNTAX score and peripheral arterial disease complexity using TASC II score. <strong>Patients and Methods:</strong> The study was designed as a prospective single center cross-sectional study conducted at Ain shams university hospitals. The study included 50 patients referred for elective coronary angiography in the time period from August 2016 till July 2017.
<strong>Results and conclusion:</strong> Patients with complex PAD had complex CAD. This finding suggested that PAD and CHD are different clinical manifestations of atherosclerosis and systemic pan vascular involvement is present in patients with complex lesions. (P-value 0.046).
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13599_6f5ca4cbfb3ac08a296ba849c43081ea.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Relationship between Ceramic Restorations
1411
1417
13600
10.12816/0039683
EN
Rami Amin
Gashgary
Batterjy Medical college for science & technology
Tariq Mohammed
Alshehri
Ibn sina national college for medical studies
Ibraheem Abdulrahman
Aljomai
Ibn sina national college for medical studies
Hani Hussain
Alghamdi
Ibn sina national college for medical studies
Mohammed Ali
A Alasmri
Ibn sina national college for medical studies
Roya Aali
Alshamrani
Ibn sina national college for medical studies
Amal Kamal
Jumaymi
Ibn sina national college for medical studies
Alaa Jafar
Alsharif
Ibn sina national college for medical studies
Roaa Saeed
AlHakami
Ibn sina national college for medical studies
Sara Talal
Musallam
Ibn sina national college for medical studies
Waad Ahmed
Almazrouie
Ibn sina national college for medical studies
Reema Abdulkader
Azzeem
Ibn sina national college for medical studies
Maha Salem
Baaboud
Batterjy Medical college for science & technology
Sawsan Badr
Sehaqi
Batterjy Medical college for science & technology
Journal Article
2018
09
14
Sintered ceramics and glass-ceramics are broadly utilized as biomaterials for dental restoration, particularly as dental onlays, inlays, veneers, crowns or bridges. Biomaterials were advanced whichever to veneer metal frameworks or to create metal-free dental restorations. Diverse sorts of glass-ceramics and ceramics are obtainable and important today to satisfy customers' needs (patients, dentists and dental technicians) with respect to the properties of the biomaterials and the processing of the products. All of these different types of biomaterials already cover the entire range of indications of dental restorations. Today, patients are increasingly interested in metal-free restoration. Glass-ceramics are particularly suitable for fabricating inlays, crowns and small bridges, as these materials attain extremely solid, aesthetic outcomes. High-strength ceramics are favoured in conditions where the material is exposed to high masticatory forces.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13600_8fdb736c3562323e38dd6af68fc0bfa5.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Role of Brimonidine Eye Drops as an Adjunctive Therapy for Optic Nerve Protection in Patients with Controlled Open Angle Glaucoma
1418
1424
13601
10.12816/0039684
EN
Jihan A.
Mohamed
Ophthalmology Department, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt
Omaima I.
Abo-Elkhei
Community and Occupational Medicine Department, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
Journal Article
2018
09
14
<strong>Objective:</strong> This study aims to evaluate the neuroprotective role of brimonidine eye drops in patients with controlled open angle glaucoma.
<strong>Methods:</strong> This study is prospective and non-randomized. It was done between January,2014 and April, 2016. It included 33 eyes with controlled open angle glaucoma who were referred to Al Zahraa University Hospital. Brimonidine eye drops (BMD) were administrated. Follow up was done every 6 months for 12 months and three visual field (VFs) examinations were done to all patients using Humphrey Visual Field Analyzer II 745.<strong>Results:</strong> There is a gradual decline of IOP mean values from 15.3 ± 3.6 mmHg baseline to 13.5 ± 3.0 mmHg after 6 months and to 11.7±2.1 mmHg after one year of the use of BMD eye drops. The mean values of MD measurements showed improvement after BMD eye drops useas it becomes lower than baseline values after 6 months (-7.2 ± 5.2 vs -5.1 ± 3.7 respectively), with further improvement after one year of BMD eye drops use as it becomes lower than that after 6 months (-5.1 ± 3.7 vs -3.3 ± 3.6 respectively). Similarly, PSD measurements after 6 months (4.6 ± 3.1 vs 4.0 ± 3.1). Furthermore, measurement after one year of BMD eye drops use show more improvement as it becomes lower than measurements after 6 months (4.0 ± 3.1 vs 3.4 ± 4.4).
<strong>Conclusion:</strong> Neuroprotection can be used to reduce the risk of glaucomatous progression independent of its effects on IOPas the future treatment modality.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13601_5db129cdee84618d7d1fc95c4289567d.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Role of local Anesthesia Instillation in Pain Alleviation Post Laparoscopy
1425
1435
13603
10.12816/0039685
EN
Christien Magdy Fouad
Zaki
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Mohammad Abd El Hameed
Nasr Al Deen
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Ahmed Mohamed
Mamdouh
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Journal Article
2018
09
14
<strong>Background: </strong>Gynecological laparoscopy is now becoming a more popular technique for diagnosis and treatment of infertility cases; however gynecological laparoscopy is usually followed by Post-operative pain which may be attributed to small incision in abdominal wall or as a result of diaphragmatic irritation by inflating gases.
<strong>Aim of the Study: </strong>was to assess the role of local anesthesia instillation in pain relief after laparoscopy.
<strong>Patients and methods:</strong> the present study was a randomized trial study performed on 146 women aged 20-35 years, admitted to Ain Shams University hospitals. Patients were split into 2 equal groups, Group(A): further subdivided into A1 and A2 whom undergone diagnostic and operative laparoscopy respectively- patients administrated 20ml of 0.25% of Bupivacaine instilled intraperitoneal-and Group (B): further subdivided into B1 and B2 -whom undergone diagnostic and operative laparoscopy respectively-Patients administrated 20ml of 0.75% of Ropivacaine instilled intra-peritoneal. Vital signs and Pain scores were measured preoperatively, immediate postoperative, 1 hours, 2 hours, 4 hours, 8 hours, 12 hours postoperatively. Data was collected, tabulated, then analyzed using IBM© SPSS© Statistics version 22 (IBM© Corp., Armonk, NY).
<strong>Results: </strong>administration of 20mL of Ropivacaine 0.75% at the end of technique gave pain relief for four hours in group B1 and pain relief for three hours in group B2, associated with an increase in heart rate and blood pressure for two hours in group B1 and B2 for three hours.
<strong>Conclusion: </strong>instillation of local anesthetic after laparoscopy promotes pain relief post operatively and further minimizes the postoperative hospital stay.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13603_60df40a7c7a0eda3735437111a076d62.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Causes and Management of Wound Infection
1436
1441
13604
10.12816/0039686
EN
Ahmad Mohammad
Kashha
Battarjee Medical College
Ayat Hassan
Zailai
Cairo University
Waad Suliman
Alsaadi
Umm Alqura University
Rahaf Yaseen
Almutawa
Umm Alqura University
Moath Hassan
Albarakati
Umm Alqura University
Amir Hamoud
Almhmadi
Umm Alqura University
Wafa Saleh
Alkhuzaie
Ibn Sina National College
Abdullah Hussain
AlZahrani
King Abdulaziz University
Shahad Khalid Ali
Balbaid
Battarjee Medical College
Journal Article
2018
09
14
<strong>Aim of the work</strong>: the care of patients with a wound infection may seem conflicting, various diverse antibiotic preparations may be utilized after some time with an end goal to control the causative organism and a kwide range of treatment procedures might be utilized by various healthcare experts. With the approach of Independent (Supplementary) Nurse Prescribing Courses and the future potential for medical caretakers with reasonable capabilities to recommend antibiotics for patients with wound infections, there is a requirement for attendants and different specialists to review and update their insight into this vital subject.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13604_296d046d7d997be1c3b99135fc3e4760.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Role of The First Trimester Maternal Serum High Sensitivity C–Reactive Protein and Second Trimester Placental Volume Measurement by 3d Doppler Ultrasound in Early Detection of Pre-Eclampsia
1442
1451
13605
10.12816/0039687
EN
Osama Saleh
Elkady
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Osama Ismail
Kamel
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Wesam Abd Elmohsen Mohammed
Badawy
Department of Obstetrics and Gynecology, Faculty of Medicine,
Ain Shams University
Journal Article
2018
09
14
<strong>Background:</strong> Pre-eclampsia (PE) is a disorder of pregnancy characterized by the onset of high blood pressure and a significant amount of protein in the urine. It affects 2–8% of pregnancies worldwide. Complications include impaired liver function, kidney dysfunction, visual disturbances and red blood cell Breakdown. PE continues to be a major cause of maternal and fetal mortality. Thus, efforts at discovering reliable prediction models to identify those at risk at an early stage are critical. And since Placental maldevelopment plays a pivotal role in the pathogenesis of PE, therefore, evaluation of the placental volume and vascular flow indices using different techniques can contribute in the prediction of adverse pregnancy outcomes.
<strong>Aim of the Work:</strong> to assess the ability of high sensitivity c reactive protein (Hs CRP) and 3D power Doppler of placental volume and vascular flow indices to predict Preeclampsia.
<strong>Patients and methods: </strong>This is a prospective cohort study by multi operators conducted on 200 women with singleton pregnancy who underwent screening for eligibility and eventually included with respect to the inclusion criteria. The study has been done during the period from October 2015 till December 2016. 1st trimesteric serum level of HsCRP detection tests, 1st trimesteric abdominal ultrasonographic examination and 2nd trimesteric color-Doppler techniques were done and placental volume was measured and Follow up at delivery to confirm Pre-eclampsia has followed. Study Outcomes included the development of hypertention, limb edema or other of pre-eclampsia complication. Data were statistically analyzed using IBM© SPSS© Statistics version 23.
<strong>Results</strong>: HsCRP was significantly (P≤ 0.05 and 0.01) high in Pre-eclampsia group compared to the normal pregnancy group. Moreover, Placental volume (PV), Vascularization index (VI), Flow index (FI) and Vascularization flow index (VFI) were significantly (P≤ 0.05 and 0.01) lower in Pre-eclampsia group than the normal pregnancy group.<strong>Conclusion: </strong>there was a statistically significant correlation between first-trimester HsCRP and the 2nd trimester placental volume and its vascular indices in the prediction of complications of uteroplacental insufficiency. Further studies with large number of patients have to be carried out to reach conclusive evidence of the significance Doppler in prediction of pre-eclampsi, .and HsCRP.
<strong> </strong>
<strong><br clear="all" /> </strong>
https://ejhm.journals.ekb.eg/article_13605_8dd75b513f2735c4e947fb022de56ed7.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Effect of Normal Saline Infusion versus Dextrose 5% Infusion on The Duration of Labor in Nulliparous Women: Randomized Controlled Trial
1452
1461
13606
10.12816/0039688
EN
Khaled H.
Swidan
Obstetrics and Gynecology Department, Faculty of Medicine
Ain Shams University, Cairo, Egypt.
Amgad A.
Abou-gamrah
Obstetrics and Gynecology Department, Faculty of Medicine
Ain Shams University, Cairo, Egypt.
A.
AbdelShafy
Obstetrics and Gynecology Department, Faculty of Medicine
Ain Shams University, Cairo, Egypt.
Marwa O.
Abughanima
Obstetrics and Gynecology Department, Faculty of Medicine
Ain Shams University, Cairo, Egypt.
Journal Article
2018
09
14
<strong>Background: </strong>During labor, it is common for women to have no or little nutrient intake, inspite of the fact that the demand of energy increases as a result of skeletal and smooth muscle contraction.
<strong>Aim of the Work:</strong> This study aims to evaluate the effect of intravenous dextrose-saline infusion compared with intravenous normal saline infusion in acceleration of active phase of labor in nulliparous women. <strong>Patients and Methods: </strong>Thisprospective randomized controlled trial was conducted on nulligravida patients recruited from those attending labor ward of Ain Shams University, Maternity hospital who are, singleton gestation, 36 weeks or more. <strong>Results:</strong> Total duration of first and second stages of laborwas significantly shorter among Dextrose 5% group than among Normal saline group. <strong>Conclusion: </strong>Dextrose 5% solution administration is associated with shortened duration of labor because it provides the required energy for pregnant mothers during the labor procedure through the detraction of harmful metabolites produced together with ATP production and results in acceleration of the labor process. <strong>Recommendations: </strong>Dextrose 5% administration during labor is associated with shortened duration of labor. Further studies with larger sample sizes, more outcomes and different dextrose concentration is required to determine the exact effect of dextrose.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13606_a7371c7b760dc9860d9b5f2b5aad5bae.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Awareness of Tuberculosis Among General Populations in Riyadh Region and Its Surroundings
1462
1468
13608
10.12816/0039689
EN
Faisal K
Alkulaib
AL Maarefa Colleges for science and technology
Ibrahim M
AlFuraih
King Saud University
Zainab M
Alabbad
King Faisal University
Mohammed N
Almusaad
Al Imam Mohammad Ibn Saud Islamic University
Ahmed A
ALmeshari
King Faisal University
Ahmed S
ALwesaibie
King Faisal University
Zaid A
Alhamdan
King Faisal University
Kawthar H
Alsaleh
King Faisal University
Ali M
AlJazzar
King Faisal University
Faisal N
Alshuwair
King Saud University
Hanadi H
AL-Thobiati
Umm Al-Qura University
Mohammed A
Shaikh
Umm Al-Qura University
Nouf
Alqahtani
Princess Nourah Bint Abdulrahman University
Nawaf M
Alamri
Taif University
Mohammed S
Alharthi
Najran University
Ali H
Alhawaj
Ibn Sina National College for Medical Studies.
Journal Article
2018
09
14
<strong>Background:</strong> In the past, and until the end of the twentieth century, TB was one of the major causes of death. Nowadays, the world is still challenging with TB control, even though the percentage of TB has been decreased. In Saudi Arabia, annual TB incidence rate is 12/100,000 population. Even though incidence rate of TB has been decreased in Saudi Arabia, still TB not fully control. Getting the world free from TB will not happen if general populations don’t aware about TB.
<strong>Aim</strong>: To evaluate knowledge, attitude and practice towards TB among general populations in Riyadh region of Saudi Arabia. <strong>Method:</strong> This is a cross-sectional study done by selection of general populations in Riyadh region by random sample. The study was done by a self-administrated questionnaire that contains demographic data part and other parts that evaluate the awareness of TB. Comparison of results between many variables by Chi-Square Test and P-value < 0.05 was considered as a significant level.
<strong>Result:</strong> Around 519 participants in this study (Response rate 94.36%) by mean age 33. Only 3.3% have a history of TB and 21.1% have relative with a history of TB. Only 19.4% of participants have good knowledge, only 18.0% have favorable attitude and most of the participants have a good practice (67.6%). People with high degree educational level have better knowledge than others. Non-Saudi people are better than Saudis in practice and people who have relative with a history of TB are better in attitude than others. In practice, Female are better than male, married people also better than single, people with a history of TB or relative with a history of TB are better than others.
<strong>Conclusion:</strong> Papulations in Riyadh and its surroundings have a very low level of knowledge toward TB. Most people have unfavorable attitude level. Even though there is a high level of good practice but still it needs to be increased. Education has an important role to increase the level of knowledge about TB.<br />
https://ejhm.journals.ekb.eg/article_13608_cabca2bd6c713b0e8bed88326f091f80.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Estimation of Serum Ferritin Level in Preterm Labour
1469
1474
13609
10.12816/0039690
EN
Hazem F.
El-Shahawy
Obstetrics and Gynecologydepartment, Faculty of Medicine,Ain Shams University, Egypt
Sherif F.
Hendawy
Obstetrics and Gynecologydepartment, Faculty of Medicine,Ain Shams University, Egypt
Alaa S.
Hassanin
Obstetrics and Gynecologydepartment, Faculty of Medicine,Ain Shams University, Egypt
Mona M.
Abd El-Azeem
Department of Obstetrics and Gynecology Alex. Governorate Obstetric Hospital,
(Dar Ismail Hospital), Egypt.
Journal Article
2018
09
14
<strong>Background: </strong>Preterm birth is the leading cause of newborn deaths and also the leading cause of death in children under 5 years of age. There is wide spread suspicion that subclinical infection is a common accompaniment and cause of preterm labour. Ferritin is an acute phase reactant and it increases during inflammation.
<strong>Aim: </strong>The objective of this study is to measure serum ferritin level in cases of established preterm labour (PTL) as a possible marker of infection.
<strong>Study Setting: This</strong> study conducted at Ain Shams University Maternity Hospital from March 2015 to November 2015.
<strong>Study design</strong>: A case-control study.
<strong>Patients</strong><strong> and Methods: </strong>The study involved 2 groups.
<strong>Study population: </strong>60 cases divided into two groups:
<strong>Group (I): </strong>included 30 patients with established (PTL) between 30 to 34 weeks gestational age (GA).
<strong>Group (II): (Control group) </strong>30 patients with uncomplicated pregnancies between 30 to 34 weeks GA. Serum ferritin was analyzed in the 2 groups.
<strong>Results:</strong> The results pointed out that there was statistically significant difference between two groups as regarding serum ferritin level as p value was <0.0001 . The median serum ferritin level in preterm labour group and control group was 150 (100 – 150) ng/ml and 20 (15 – 25) ng/ml respectively. The best cut off value of serum ferritin as predictor of preterm labour was >55 ng/ml with a sensitivity of 96.7% and specificity of 96.7 %.
<strong>Conclusion: </strong>Serum ferittin can be used as a marker of preterm labour.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13609_35497690ef3915b6c1690480ad19921f.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Effect of Partial Ѕplenic Artery Embοlizatiοn in The Cοntrοl of Hyperѕpleniѕm
1475
1480
13610
10.12816/0039691
EN
Mοhamed Harοun Haѕѕan
Ibrahim
Radiology Department, Faculty of Medicine, Ain shams University
Ѕhrief Hamed Mοѕtafa
Abοgamra
Radiology Department, Faculty of Medicine, Ain shams University
Ahmed Ѕamy Abdelrahman
Abdelazeem
Radiology Department, Faculty of Medicine, Ain shams University
Journal Article
2018
09
14
<strong>Aim of the work</strong>: A descriptive study to investigate the effect of partial splenic artery embolization in the control οf hyperѕpleniѕm.
<strong>Patients and methods: </strong>Fifteen patient with hyperѕpleniѕm due to chronic liver disease were included.
This was a prospective study that included patients with thrombocytopenia (platelet count <70.000) which referred from the Tropical Department at Ain Shams University Hospitals to the Interventional Radiology Unit for partial splenic embolization.
Partial splenic arterial embolization was performed to reduce the hyperfunction of the spleen in patient with hypersplenism. <strong>Results: </strong>The mean age of the selected patients was about 48years old.
The most common cause of hypersp1enism is chronic 1iver disease due to HCV infection in 12 patients (80%), bi1harzial disease in 2 patients (13%) and mixed HCV and bi1harzial infection in 1 patient (7%).
The moѕt frequent riѕk factorѕ were paѕt history of b1ood transfusion in 7 patientѕ (47%), paѕt history of ѕurgery in 5 patientѕ (33%), and paѕthiѕtory of parentral antibilharzia1 treatment in 3 patientѕ (20%).
Bleeding tendency waѕ found in 15 patientѕ (100%), while abdominal pain waѕ found in 12 patientѕ (80%). Aѕ regardѕ other ѕymptomѕ, lower limb swelling and abdominal enlargement were noticed in 30% and 20% of patient reѕpectively, anemic manifeѕtationѕ and recurrent infectionѕ were noticed in 53% and 47% of patient reѕpectively.
Poѕtembolization syndrome waѕ the moѕt common complication and occurred in all patientѕ (100%). Newly developed aѕciteѕ occurred in 2 patientѕ (13%). Ѕplenic abѕceѕѕ waѕ developed in 2 patientѕ (13%). No other complications had been reported.
<strong>Conclusion: </strong>Partial splenic arterial embolization is an effective method for the treatment of thrombocytopenia resulting from hypersplenism in patients with liver cirrhosis; however, the procedure is associated with complications, and hence must be performed only if clearly indicated and by an expert person.
<strong> </strong>
https://ejhm.journals.ekb.eg/article_13610_0285570308d79bd435efd05141aed7e8.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Fetal Head Circumference as a Predictor of Successful Spontaneous Vaginal Delivery
1481
1485
13611
10.12816/0039692
EN
Sadek
M.M
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Amer
M.I
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Abd El Aleem
M.M.
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Journal Article
2018
09
14
<strong>Background: </strong>Intrapartum head circumference is an integral part of sonographic models and important for the purpose of fetal weight estimation as well as in cases which abnormal fetal head growth is suspected, it is considered the interface between maternal pelvis and fetus. <strong>Aim:</strong> This study aims to assess the accuracy of fetal head circumference compared to expected fetal weight as a predictor of spontaneous vaginal delivery
<strong>Methods: </strong>A prospective observational study was conducted on 996 women in active stage of labor admitted to Labor ward of Ain Shams University Maternity Hospital and Labor ward in Manshiet El Bakry general hospital. <strong>Results</strong> large head circumference (odds ratio, 2.8; 95% CI, 1.37–5.73; p-value; .005 was independent predictors for cesarean delivery, and no significant difference on mode of delivery between different expected fetal weight,
<strong>Conclusion: </strong>A large head circumference is more strongly associated with unplanned caesarian section than high expected fetal weight.
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https://ejhm.journals.ekb.eg/article_13611_abde6ea843c2daa0a46c62de8570eec6.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Assessment of Knowledge and Attitude and Practice of Safety, Effectiveness and Consequences of Bariatric Surgery Among Community In Saudi Arabia
1486
1490
13624
10.12816/0039693
EN
Amani Jamil
Alqurashi
Taif University
Abdullah Saleh
Alshafi
King Khalid University,
Saud Mohammed Saud
Aleisa
Taif University
Zainab Yaseen
Albahrani
King Faisal University
Abdullah Saad
Alalyani
Taif University
Abdulrahman Mubarak M
Almutairi
Majmaah University
Alzaidi Ahmed
Abdulghani
Taif University
Faisal Abdullah
Almoumen
mam Abdulrahman Bin Faisal University
Osama Sulaiman
Alkhudhairi
Imam Muhammad Ibn Saud Islamic University, Saudi Arabia
Journal Article
2018
09
14
<strong>Background: </strong>Obesity was reported to be highly prevalent in KSA. Bariatric surgery is considered as the most effective, beneficial, and permanent method for treatment of obesity and decreasing the long-term mortality
<strong>Objectives:</strong> Evaluating the knowledge and beliefs about the safety and effectiveness of bariatric surgery among adult Saudi population.
<strong>Methods:</strong> A questionnaire based on cross-sectional study was distributed among 790 adult Saudi population form January 2017- June 2017. The questionnaire was based on 4 aspects including subject’s demographics, anthropometric measures, knowledge about obesity and its causes and beliefs about Bariatric surgery.
<strong>Results: </strong>Overweight and obesity were found to be high among the studied population. The most common causes for obesity were bad life style habits and genetic factors. There was a good knowledge about obesity but low favorable beliefs about bariatric surgery as 55.7% of subjects have non-favorable beliefs about the Bariatric surgery and 44.3% have favorable beliefs about the surgery. The favorable beliefs about bariatric surgery were significantly associated with female gender and subjects having high BMI scores.
<strong>Conclusion: </strong>The knowledge of subjects about obesity and its preventive measures were high but the favorable perceptions about Bariatric surgeries were low. These results indicated that efficient educational programs about obesity and Bariatric surgeries are needed for control of obesity and its complications as well as increasing the availability of weight loss surgeries.
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https://ejhm.journals.ekb.eg/article_13624_1a8bf48c0b5996c3e6888bab424f36b2.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Assessment and Evaluation of the Level of Satisfaction After Lasik Among Myopic Patients in Aljouf City
1491
1496
13625
10.12816/0039694
EN
Ahmed Naif
Alolaywi
College of Medicine, Aljouf University
Mohammed Ahmedhani
Kilani
Maastricht University, Netherlands
Abdullah Zamil
Almani
College of Medicine, Aljouf University
Hatim Hassan
Najmi
Medical College, Jazan University
Abdulaziz Dhaifallah
Alanazi
College of Medicine, Aljouf University
Fahad Saleh
Alruwaili
College of Medicine
Abdulaziz Faisal
Alrubayyi
College of Medicine, Aljouf University
Khaled Abd Alsalam
Zaky
Ophthalmology Department, Aljouf University
Journal Article
2018
09
14
<strong>Background:</strong> Laser in situ keratomileusis (LASIK) has being used as the most effective and common refractive surgical procedure of choice for correction and elimination of myopic errors. The use of refractive surgeries has aided subjects to get rid of contact lenses either soft or rigid as well as eye glasses.
Objective: Evaluate the level of satisfaction and the impact on the quality of life in myopic patients after a LASIK operation.
<strong>Methods: </strong>This is a cross-sectional and community based survey study in which 111 participants were enrolled. All patients underwent a data collection and Satisfaction assessment including a 29 Likert model statements.
<strong>Results: </strong>High levels of satisfaction (81.9%) and quality of life (76.5%) were found among myopic patients. Most of patients did LASIK to get rid of their glasses and to have good visual results regarding to reading, driving, swimming at day light or at night. The majority of subjects revealed that the surgery achieved their goal, and 83.8% would praise LASIK for friends. Females showed a significant higher motive for performing LASIK to improve their general look. The medical professions showed lower levels of satisfaction toward quality of vision than educational professions.
<strong>Conclusion: </strong>A high level of satisfaction, quality of life and vision satisfaction was found in the present study after LASIK among myopic patients in Aljouf city.
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https://ejhm.journals.ekb.eg/article_13625_c0b265b301fe2bd5c7eaa02409969e1b.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Magnesium in Intensive Care Unit: A Review
1497
1504
13626
10.12816/0039695
EN
Galal A.
Elkady
Anesthesia and Intensive Care and Pain Management Department, Faculty of Medicine, Ain Shams University
Raoof R.
GabAllah
Anesthesia and Intensive Care and Pain Management Department, Faculty of Medicine, Ain Shams University
Amr Z.
Mansour
Critical care Department, Faculty of Medicine, Cairo University
Journal Article
2018
09
15
<strong>Aim of the work: </strong>there is an increased interest in the role of magnesium ions in clinical medicine, nutrition and physiology. Magnesium affects many cellular functions, including transport of potassium and calcium ions and modulates signal transduction, energy metabolism and cell proliferation. Magnesium deficiency is not uncommon among the general population: its intake has decreased over the years. Magnesium derangement results in various symptoms and signs; magnesium supplementation or intravenous infusion may be beneficial in various diseased states; so this review aimed to highlight the physiology of magnesium in humans, the derangement of magnesium in the form of hyper and hypomagnesemia , their clinical picture and the clinical and therapeutic uses of magnesium in the critical ill patients .
<strong>Methods:</strong> references were obtained from Medline, Google Scholar and Ovid from 1960 to 2017. All categories of articles (clinical trials, reviews, or metaanalyses) on this topic were selected.
<strong>Conclusion: </strong>magnesium is a critical physiological ion; it has many known indications in anesthesiology and intensive care because of its interactions with drugs used in intensive care. Intensive care specialists need to have a clear understanding of the role of this important cation. Magnesium is gaining recognition as a clinically important electrolyte in intensive care and emergency medicine .Recent clinical trials and case reports increase interest of magnesium as an effective therapeutic agent for potentially life-threatening problems such as torsade de pointes, digitalis toxicity, bronchospasm and alcohol withdrawal, subarachnoid hemorrhage, acute myocardial infarction, preecalmsia , eclamsia ,hypertension , diabetes , metabolic syndrome and cardiac arrhthymias .
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https://ejhm.journals.ekb.eg/article_13626_a03d5f65efa9f4b6460056e47d3f1ac2.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Assessment of Serum Desnutrin Levels in Patients with Acne Vulgaris
1505
1512
13627
10.12816/0039696
EN
Hanan M
Saleha
Department of Dermatology, Ain Shams University, Cairo, Egypt
Manal A
Shararab
Department of Andrology Ain Shams University, Cairo, Egypt
Mohamed A
Habib
Department of Venereology, Ain Shams University, Cairo, Egypt
Journal Article
2018
09
15
<strong>Background: </strong>Acne vulgaris is a common chronic skin disease involving blockage and/or inflammation of pilosebaceous units (hair follicles and their accompanying sebaceous gland). Desnutrin is the major triglyceride lipase in the adipose tissue of mice and excessive secretion from adipocytes results in decreased triacylglycerol storage and increased lipolysis, fatty acid oxidation and thermogenesis.
<strong>Objective: </strong>The aim of this study is to evaluate serum level of Desnutrin in acne vulgaris patients and correlate it with disease severity.
<strong>Patients and Methods: </strong>This study was performed on 40 patients with active acne lesions and 40 healthy subjects with no previous history of acne and no active acne lesions as controls. The control group was composed of age, gender, and Body mass index (BMI) matched individuals. All the patients were recruited from the outpatient clinic of Dermatology & Venereology Department, Ain Shams University hospitals, from March 2016 till August 2016.Serum desnutrin assessment was done by ELISA kit using Sandwich-ELISA as a method. The Micro elisa stripplate has been pre-coated with a Horse Radish Peroxidase antibody specific to desnutrin. The optical density was measured spectrophotometrically.
<strong>Results: </strong>There was a significantly lower level of serum desnutrin among cases compared to that of control group, while the fasting blood glucose level was significantly higher among cases compared to that of control group. The collective data from both study groups showed a significant negative correlation between the mean serum fasting blood glucose level and desnutrin level. There was no significant correlation between the severity of acne and serum desnutrin level.
<strong>Conclusion: </strong>The level of serum desnutrin can affect the occurrence and the progression but not the severity of acne among susceptible individuals. The level of fasting blood glucose is also of value regarding the occurrence of acne and has a negative effect on the level of desnutrin.
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https://ejhm.journals.ekb.eg/article_13627_3ef9a3e11bf8161ed38f89fde5d8e194.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Acute and Chronic Sinusitis Causes and Management
1513
1519
13629
10.12816/0039697
EN
Abdulrahman Faleh N
Almutairi
Medical University of Warsaw
Rahaf Wajih
Shafi
King Abulaziz University Hospital
Shahad Ahmed
Albalawi
Tabuk University
Mohammed Adel
Basyuni
Umm Alqura University.
Abdulaziz A.
Alzahrnai
Umm Alqura University
Ayman Saeed
Alghamdi
Umm Alqura University
Abdulaziz Abdulilah
Alhaifi
Umm Alqura University
Adel Ahmed
Alshehri
Umm Alqura University
Muath Ahmad
Al-Gadouri
Umm Alqura University.
Journal Article
2018
09
15
Sinusitis is categorized by inflammation of the lining of the paranasal sinuses. As the nasal mucosa is instantaneously involved and as sinusitis infrequently occurs without concurrent rhinitis, rhinosinusitis is currently the preferred term for this condition. Acute sinusitis is a clinical diagnosis; thus, an understanding of its presentation is of paramount importance in differentiating this entity from allergic or vasomotor rhinitis and common upper respiratory infections. No precise clinical sign or symptom is sensitive or specific for acute sinusitis, so the overall clinical impression should be used to guide management. Chronic sinusitis is an inflammatory procedure that includes the paranasal sinuses and persists for 12 weeks or longer. The literature has reinforced that chronic sinusitis is nearly always accompanied by concurrent nasal airway inflammation and is frequently preceded by rhinitis symptoms; hence, the term chronic rhinosinusitis (CRS) has evolved to more accurately define this condition. Treatment of sinusitis, whether medical or surgical, is intended at decreasing inflammation and obstruction in the sinonasal passages. Antibiotics, even though frequently used in sinusitis, ought to not be managed unless there is suspicion of an acute bacterial infection.
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https://ejhm.journals.ekb.eg/article_13629_cd909103c14e67a3f2ede14e35a907f4.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Lidocaine and Dexamethasone for Paracervical Block Anesthesia in Women with Missed Abortion (Randomized Controlled Trial)
1520
1526
13631
10.12816/0039698
EN
Abdelmegeed I.
Abdelmegeed
Obstetrics and Gynecology Department, Faculty of Medicine , Ain Shams University
Amr A.
M.Riad
Obstetrics and Gynecology Department, Faculty of Medicine , Ain Shams University
Amin M.
Al Ansary
Obstetrics and Gynecology Department, Faculty of Medicine , Ain Shams University
Mohamed A. A.
Darwish
Obstetrics and Gynecology Department, Faculty of Medicine , Ain Shams University
Journal Article
2018
09
15
<strong>Aim of the work: </strong>nerve block is a technique whereby local anesthetic solutions are infiltrated around a nerve (or perineurally) to provide anesthesia and analgesia. Nerve block for intraoperative and postoperative pain management is associated with improved analgesia, fewer opioid-related adverse events, earlier ambulation and shorter hospital stay when compared to intravenous opioid analgesia alone.This study aimed to assess the efficacy of adding dexamethasone to lidocaine for cervical block anesthesia for prolonging the duration and anesthetic effect in women with missed abortion undergoing vacuum evacuation.
<strong>Patients and methods</strong>: this study is a randomized controlled trial and it was conducted in accordance with the ethical committee protocols and informed consent procedures of Ain Shams University Maternity Hospital during the period between Augusts to December 2016.Sample size was calculated using PASS<sup>®</sup> version 11 programs, setting the type-1 error (α) at 0.05 and the power (1-β) at 0.8.
<strong> Conclusion</strong>: para cervical block can be used as a safe and effective anesthetic technique in patients who need surgical uterine evacuation of missed abortion. Adding dexamethasone can increase effectiveness and duration of para cervical block. Intraoperative pain level was accepted in 80% of patients, these patients had no or mild to moderate accepted pain. We did not detect any postoperative complications in our patients including (excessive vaginal bleeding, hematoma or general manifestations of lidocaine toxicity) and It is recommended to apply PCB for cases of first trimester missed abortion who require uterine suction evacuation. Lidocaine is preferably mixed with dexamethasone to have better results as regards pain score. It is the anesthetic method of choice especially when general anesthesia is a high risk procedure.
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https://ejhm.journals.ekb.eg/article_13631_71d45d4f804e52288dcebe56943951ee.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
1,5 Anhydroglucitol Evaluation as Glycemic Control Parameter of Diabetes Mellitus in Pregnancy
1527
1532
13633
10.12816/0039699
EN
Helmy M.
Elsayed
Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University
Mohammed EM.
Ibrahim
Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University
Mohammed SL
El Safty
Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University
Samar MM
Salim
Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University
Journal Article
2018
09
15
<strong>Background:</strong> 1,5-Anhydroglucitol (1,5-AG) provides a reliable opportunity to assess the frequency and extent of intermittent hyperglycemic episodes. <strong>Aim of the Work: </strong>this study aimed to evaluate an alternative parameter to monitor blood glucose in pregnancies complicated with diabetes mellitus by studying the relationship between 1,5 Anhydroglucitol and self-monitoring of blood glucose level in pregnant women complicated with diabetes mellitus. <strong>Patients and Methods:</strong> this cross-sectional study with retrospective data was conducted on seventy pregnant women known to have pre-gestational or gestational diabetes mellitus attending Ain Shams University Maternity Hospital fulfilling the inclusion criteria of pre-gestational or gestational diabetes mellitus according to the criteria of the American Diabetes Association. <strong>Results:</strong> this study revealed a highly significant negative correlation between MMG (mean maximum glycemia) and 1,5 AG (r: -0.817, p-value: <0.001), also pre prandial blood glucose level (r: -0.500, p-value: <0.001) and a negative correlation and highly significant was found between post prandial blood glucose level and 1,5 AG (r: -0.640, p-value: <0.001). <strong>Conclusion:</strong> 1,5-AG is better than HbA1c as a tool for monitoring the glucose profile in pregnancies complicated by diabetes mellitus especially for the hyperglycemic episodes. <strong>Recommendations: </strong>as majority of interpretations for utility of 1,5-AG in pregnancy are based on scanty few clinical data so there is a scope of potential possibilities for its use in pregnancy and continuous research may allow its new applications and usefulness in pregnancy in the future.
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https://ejhm.journals.ekb.eg/article_13633_0589a57544eb8cf4cefea7fb168fa0fb.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
The Impact of Comorbidities on the Outcome of Tuberculous Patient in Respiratory Intensive Care Unit
1533
1540
13634
10.12816/0039700
EN
Mona Mansour
Ahmad
Chest Department, Ain Shams University Hospital
Hossam EL Dien M
Abdel-Hamid
Chest Department, Ain Shams University Hospital
Marwa Hassan
AL Makawy
Abbassia Chest Hospital, Cairo, Egypt
Journal Article
2018
09
15
<strong>Aim of the work: </strong>there are limited data regarding active pulmonary tuberculosis (APTB) patients requiring ICU admission.This study aimed to determine the mortality rate and risk factors associated with TB patients with comorbidities requiring respiratory intensive care unit (RICU) admission<strong>. Patients and methods:</strong> a combined retrospective-prospective study was conducted from November 2014 to October 2016 and from November 2016 to April 2017 on adult patients with APTB admit to the RICU of Abbassia Chest Hospital for a period of more than 24 h. Demographic, clinical and therapeutics characteristics as well as outcome (RICU morality) were obtained from the medical records. <strong>Results:</strong> in this study a total of 43 patients were considered (median age 45 years for non survived patients and 36 years for survived patients). The RICU morality rate was 81.4%. Respiratory failure was the most common cause of admission to RICU 37,2% (16 patient). Mechanical ventilation (MV) was needed in 69.8% of patients (30 patients). Death rate in the diabetic patients was14.29%, in patients with renal disease it was 20% , in case of HIVit was 17.14% and in case of malignancy it was 8.57%.There was highly significant mortality rate accompanying LCF and the ratio was 31.43%,in case of respiratory failure type II it was 94.28% and in mechanical ventilation it was 80%. Non survived patients had high significant APACHE SCORE 21.4±6.2 and the main cause of death was mainly ventilatory 80%(28 patients).
<strong>Conclusion:</strong> the present study showed a very high mortality rate among TB patients with comorbidities requiring respiratory intensive care unit (RICU) admission and identified associated co morbidities, risk factors and a predictor of RICU mortality.<br /> <strong><br /></strong>
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https://ejhm.journals.ekb.eg/article_13634_00e2cdc43f81cc7eb028023b21d76b1d.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Impact of Chronic HCV Infection on Coronary Calcification in Prevalent Haemodialysis Patients
1541
1548
13635
10.12816/0039701
EN
Magdy M.S.
Elsharkway
Internal Medicine and Nephrology Department, Faculty of Medicine,
Ain Shams University
Walid A.
Bichari
Internal Medicine and Nephrology Department, Faculty of Medicine,
Ain Shams University
Mohamed M.
Mohamed
Internal Medicine and Nephrology Department, Faculty of Medicine,
Ain Shams University
Mohamed I.A.
Ahmed
Internal Medicine and Nephrology Department, Faculty of Medicine,
Ain Shams University
Journal Article
2018
09
15
<strong>Background:</strong> Hepatitis C virus (HCV) chronically infects an estimated 170 million people worldwide<strong>.</strong> Approximately 30% of patients who develop acute hepatitis C recover spontaneously, signaled by improved symptoms, normalized liver-related chemistries, loss of HCV RNA from serum, and the development of HCV antibody. Cirrhosis rates become significant after 20 years of HCV infection. Haemodialysis is a process that uses a man-made membrane (dialyzer) to clear wastes such as urea from the blood, restore the proper balance of electrolytes in the blood and eliminate extra fluid from the body. Vascular calcification is common in patients with advanced haemodialysis and is associated with poorer outcomes.
<strong>Objectives: </strong>The aim was to evaluate the possible impact of chronic HCV infection on coronary calcification in prevalent haemodialysis patients in Naval Forces hospital, Alexandria, Egypt and its relation to demographic data, haemodialysis data and other laboratory findings.
<strong>Patietns and methods: </strong>This cross-sectional study was carried out on 60 patients with at least one year duration on regular haemodialysis; 30 HCV negative prevalent haemodialysis patients and 30 HCV positive prevalent haemodialysis patients.
<strong>Results: </strong>Our study revealed that HCV negative patients included 25 (83.3%) males and 5 (16.7%) females, their mean age was 51.67 ± 6.91 years. The mean haemodialysis duration was 7.5 ± 1.89 years. There were statistically a high significant difference between HCV negative prevalent haemodialysis patients and HCV positive prevalent haemodialysis patients regarding AST, significant differences regarding ALT and albumin and non-significant differences regarding bilirubin, prothrombin time, international normalized ratio, cholesterol and total glycerides. But, there were no significant differences between HCV negative prevalent haemodialysis patients and HCV positive prevalent haemodialysis patients regarding CKD-MBD parameters (including PO<sub>4</sub> and iPTH), except for calcium which exhibited statistically a significant difference. Also, there were no significant differences between HCV negative prevalent haemodialysis patients and HCV positive prevalent haemodialysis patients regarding creatinine, sodium and potassium, significant differences regarding URR, C-reactive protein and a high significant difference regarding Ca score. In HCV negative prevalent haemodialysis patients, there were statistically significant correlations regarding dialysis duration and international normalized ratio and high significant correlations between Ca score and creatinine, AST and prothrombin time. In HCV positive prevalent haemodialysis patients, there were statistically significant correlations between Ca score and dialysis duration and creatinine. Other correlations were insignificant. There were non-significant relations between Ca score and gender and dialysis vascular access.
<strong>Conclusion:</strong> A very high incidence of vascular calcification was found in chronic haemodialysis patients in our study as compared to other studies. Vascular calcification is correlated with many risk factors and control of the modifiable risk factors can help to decrease prevalence of vascular calcification.
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https://ejhm.journals.ekb.eg/article_13635_1f53f107fafa953f92c8963e759100fa.pdf
Pan Arab League of Continuous Medical Education
The Egyptian Journal of Hospital Medicine
1687-2002
68
3
2017
07
01
Management of Placenta Previa During Pregnancy
1549
1553
13638
10.12816/0039702
EN
Abdulrahman Abdulelah
Almnabri
Umm Alqura University
Emtenan Abed
Al Ansari
Ibn Sina National College
Murooj Mohammed
Abdulmane
Ibn Sina National College
Deyala Wadie
Saadawi
Ibn Sina National College
Taghreed Abdualaziz
Almarshad
Ibn Sina National College
Ahmad Abdullatif
Banoun
Ibn Sina National College
Nora Samir
Mufti
Batterjee Medical College
Bashayer Sadagah
Bati
Ibn Sina National College
Miznah Saud
Almarwanie
Ibn Sina National College
Leena Abdulrahman
Alahdal
Ibn Sina National College
Afaf Mohammed Mas
Ebrahim
Ibn Sina National College
Safaa Mahmood
Al-Hasani
Batterjee Medical College
Mohannad Ali
Alghamdi
KING ABDULAZIZ UNIVERSITY
Journal Article
2018
09
15
Placenta previa is an obstetric complication (OS) that traditionally shows painless vaginal bleeding in the third trimester secondary to a strange placentation close or covering the interior cervical OS. Due to the inherent risk of hemorrhage, placenta previa may cause serious morbidity and mortality to both the fetus and the mother. Recently there have been two defined types of placenta previa: complete, and marginal. We here review the complications, incidence, risk factors, and management options of placenta previa.
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https://ejhm.journals.ekb.eg/article_13638_25c4d0b9ed892b17af538114fa7a3fc6.pdf