Pan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Comparison of hemodynamic responses to dexmedetomidine versus esmolol in patients undergoing beating heart surgery1151887010.21608/ejhm.2001.18870ENMohamed Abdel Rahman SalemAnesthesia department faculty of medicine Menofyia universityMostafa ElhamamsyAnesthesia department faculty of medicine Cairo university (Elfayoum Br.)Ashraf DarwishAnesthesia department Researsh Institute of OphthalmologyJournal Article20181112Background: Alpha 2-adrenergic agonists decrease sympathetic tone with ensuing attenuation of neuroendocrine and hemodynamic responses to anesthesia and surgery. Also, administration of beta -adrenergic antagonists contributes to prophylaxis against hypertension, tachycardia and myocardial ischemia and myocardial protection during cardiac surgery. The effects of dexmedetomidine (DEX), a highly specific alpha -adrenergic agonist, on these responses have not yet been fully reported in patients undergoing cardiac surgery. Esmolol (ESM) is a cardioselective, short-acting - blocking agent. Previous studies have established the effectiveness of esmolol in the reduction of hemodynamic responses during anesthetic induction.
Aim: The study of hemodynamic responses of dexmedetomidine and esmolol and their effects on the anesthetic requirements during anesthesia in beating heart surgery.
Conclusion: Dexmedetomidine in patients undergoing beating heart surgery decreased intraoperative sympathetic tone, induced sedation, attenuated hyperdynamic responses to anesthesia and surgery and overall hemodynamic variability than esmolol. The need for anesthetics, muscle rigidity, perioperative myocardial ischemia and shivering were less also in DEX group.https://ejhm.journals.ekb.eg/article_18870_c2162b626ac0b9ee3e06aa1dae75162a.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Study of Helicobacter pylori cag A status and Interleukin - in patients with dyspepsia16261887110.21608/ejhm.2001.18871ENZeinab N. SaidMicrobiology Departments, Faculty of Medicine(for girls). AL Azhar UniversityMagda I.M. El MahdyClinical Pathology Departments, Faculty of Medicine(for girls). AL Azhar UniversityMona M. MorsyInternal Medicine Departments, Faculty of Medicine(for girls). AL Azhar UniversityHanaa HassanPathology Departments, Faculty of Medicine(for girls). AL Azhar UniversityJournal Article20181112 Helicobacter pylori (H.pylori) is a Gram negative microaerophylic bacterium that is closely associated with gastroduodenal diseases. The prevalence of H.pylori infection is high world wild. Cytotoxin –associated protein (cag A)encoded by cag A gene has been reported to be a major virulence factor of H.pylori infection.https://ejhm.journals.ekb.eg/article_18871_6983979133917703bcc3b4a587477e88.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Comparison between two perineal procedures for treatment of rectal prolaps27351887210.21608/ejhm.2001.18872ENAhmed Mohamed AbozidSurgical department, faculty of medicine for girls, Al Azhar universityNabila Mohamed A. ShamsSurgical department, faculty of medicine for girls, Al Azhar universityYahia Hassan ZayedSurgical department, faculty of medicine for girls, Al Azhar universitySayid MostafaSurgical department, faculty of medicine for girls, Al Azhar universityJournal Article20181113The optimal surgical procedures for the management of rectal prolapse is still under debate so comparison between two operations were done in our series. Eighteen patients with complete rectal prolaps were treated surgically through the perineum they were divided into two groups. First group were treated by recto-segmoidectomy and levatroplasty to fortify the pelvic floor, the second group were treated by rectopexy using prolene mesh and levetroplasty to fortify the pelvic floor, the mesh was inserted between the rectum and sacrum and fixed through perineal incision. Aim of work The aim of this work was to compare the short-term outcome of two different perineal operative procedures in patients with full thickness rectal prolaps.https://ejhm.journals.ekb.eg/article_18872_70ed8a2709bf11a802955396c00835b4.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Electron Microscopic Changes In Esophageal Epithelium In Reflux Esophagitis36441887310.21608/ejhm.2001.18873ENSamia I. El-NaggarDepartment of pathology, Faculty of medicine, Assiut University.Suhair A. Abdel HafeezDepartment of pathology, Faculty of medicine, Assiut University.Hany Abdel KariumDepartment of surgery, Faculty of medicine, Assiut University.Journal Article20181113Dilated intercellular spaces are a sign of epithelial damage in acid-perfused rabbit esophagus, a change best identified by transmission electron microscope. The aim of this work was to study the epithelial changes in reflux esophagitis by transmission electron microscopy, and to determine if this change is also a feature of acid damage to human esophagushttps://ejhm.journals.ekb.eg/article_18873_23a45a7b4688f98d6c343beb865fc712.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Variables affecting outcome of laparoscopic cholecystectomy in acute cholecystitis45511887410.21608/ejhm.2001.18874ENAhmed M. AboziedSurgical department Azhar Faculty of Medicine for GirlsNabila M. ShamsSurgical department Azhar Faculty of Medicine for GirlsYehia H. ZayedSurgical department Azhar Faculty of Medicine for GirlsSahar B. AlfekiSurgical department Azhar Faculty of Medicine for GirlsSayed A. MostafaSurgical department Azhar Faculty of Medicine for GirlsJournal Article20181113The use of laparoscopic cholecystectomy (LC) for treatment of acute cholecystectomy (Ac) and timing of this technique are a subject of debate. This study was undertaken to evaluate our experience with early LC as a safe and effective treatment of these cases.https://ejhm.journals.ekb.eg/article_18874_ae4ba37ba7f4f85c323a1ba1ba39bfbf.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Valgus rotational -dome shaped -tibial osteotomy in treatment of tibia vara52581887510.21608/ejhm.2001.18875ENHossam KandilDepartment of Pediatric Orthopedic Surgery
Institute of Neuromotor System and RehabilitationJournal Article20181113 Valgus rotational dome shaped tibial osteotomy is a safe, stable and reliable method to accurately achieve angular and rotational correction of late onset form of Blount disease. There were no complication, and the healing was rapid.https://ejhm.journals.ekb.eg/article_18875_ed8ca2e26099e7a869c9f878fd5abe35.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Histological Changes in The Uterus and Ovary ofThe Albino Rat Following Oral Administration Of A-Chlorohydrin59651887610.21608/ejhm.2001.18876ENFouad A.F. AliPlant protection Dept, faculty of Agriculture, Al-Azhar UnivAli A. Abdel RahmanPlant protection Dept, faculty of Agriculture, Al-Azhar UnivAshraf M. MoustafaHistology Dept., Faculty of Medicine, Al-Azher Univ.Journal Article20181113The ovarian changes were in the form of decreased number of growing follicles and absence of both Graafian follicles and corpora lutea. It is clear that, treatment of female rats with a chlorohydrin caused reversible uterine and ovarian changes. Uterine changes took longer time to recover compared with that of ovarian changes. These results support the possibility that this drug could be a functional female sterilant as it was known as a male sterilant.https://ejhm.journals.ekb.eg/article_18876_b1a0959f5ef048257475ff0ad1ceb4f9.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Quantitative Morphometric And Histochemical Studies Of Hair Follicles In Alopecia Areata66831887710.21608/ejhm.2001.18877ENWadad Z. MoustafaDepartment of Dermatology, Faculty of Medicine – Cairo UniversityBassem S. KotbDepartment of Histology, Faculty of Medicine – Al Azhar University (Assuit)Manal A. BosseilaDepartment of Dermatology, Faculty of Medicine – Cairo UniversityTarek A. EmaraDepartment of Dermatology, Faculty of Medicine – Cairo UniversityJournal Article20181113Alopecia areata (localized hair loss) is a common hair follicle disease with unclear pathogenesis. The aim of this work is to clarify the changes in the hair follicles that may ! "! quantitative histological morphometric measurements and for histochemical analysis of hair follicles. The study revealed that there was a statistically significant decrease in the mean percent of anagen hair follicles and statistically significant increase in the mean percent of ! # from alopecia patients in comparison to that of normal volunteer. The study showed that there were statistically significant decreases in the following; anagenic and telogenic hair follicles areas, telogenic hair follicles perimeter, anagenic outer sheath thickness, hair follicles irregularity (catagen and telogen), and telogenic hair (diameter, area and perimeter). Also there were statistically significant increases in the following; hair follicles irregularities (anagen and telogen), and anagenic hair perimeter. Regards histochemical studies, there was a statistically significant decrease in the DNA staining affinity of hair follicles of anagen and catagen. The study concluded that the morphometric quantitative study of tangential histological sections of scalp biopsies with the aid of image analyzer is a feasible and easily technique for differentiation between of alopecia areata and normal hairs and their subtypes.https://ejhm.journals.ekb.eg/article_18877_e3045a1a0df1355982f789ba40c3d14a.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Transport Processes In A Heavy Eutrophic Marine Bay, Alexandria (Egypt), Applying Environmental Impact Assessment (EIA) Model84961887810.21608/ejhm.2001.18878ENS.K. MikhailNational Institute of Oceanography and FisheriesW.L. GergisNational Institute of Oceanography and FisheriesE.E. SiamArab Academy for Sscience and Technology and Maritime TransportJournal Article20181113Autogenous and allogenous control of the phytoplankton standing crop and biomass was proved in Mex Bay, west of Alexandria (Egypt). Among the clear signs of eutrophication are the heavy visible blooms, which became regular events, at intermittent periods during the warm seasons. The causative organisms progressed differently, the dinoflagellate, Gymnodinium catenatum, is well known toxic species. The Environmental Impact Assessment model (EIA) was applied to Mex Bay. It is a three-dimensional water quality and flow model, based on the three interacted dimensional: longitude, latitude and depth, calculations of time and space variations. The model deals with processes that affecting the water quality. It was initiated with measured field data and load input. The model was used to simulate phytoplankton biomass transport and ambient nutrient concentrations (nitrate, phosphate & ammonia). The model results and the field measurements are compared in order to fit the model. Generally, the calculated flow and concentrations corresponded well with observations. Deviations are attributed to several reasons. A notable influence of the main outfall on the concentrations, particularly in the near shore area, as well as, on the seawater quality was detected. The spatial distribution of the phytoplankton standing crop coincided clearly with the accompanied chlorophyll a concentrations calculated by the model. The results stressed the need to reduce load input into Mex Bay, in order to counteract eutrophication in Alexandria waters. Nitrogen reduction is more important for the whole area, while phosphorous reduction is more effective in the bay.https://ejhm.journals.ekb.eg/article_18878_9db0d87d065d0ec3949eb2acaa045cfa.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Evaluation Of Heavy Metals Concenteratioin In Fish From Alexandria Coast, Egypt971061887910.21608/ejhm.2001.18879ENE.E. SiamArab academy for science and technology and maritime transportJournal Article20181113Cadmium Cu, Fe, Mn, Pb concentrations were determined in the muscles and organs (gills, liver, stomach and brain), of five fish species collected from Alexandria coast The results indicated high level of accumulation of these metals in the different organs of all studied fish, with respect to their correspondings in the muscle tissues. The accumulation factors for these metals were higher in the herbivorous fish. The essential metals (Fe, Cu, and Mn) were the more pronounced ones reflecting increase the trophic level of the fish.https://ejhm.journals.ekb.eg/article_18879_d8ee716b53ccc3cdad9c3fd4d7a87753.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Radiation-Free Double-Pigtail Stent Insertion Under Local Anaesthesia For Managing Acute Calcular Ureteral Obstruction During The Last Trimester Of Pregnancy.1071131888010.21608/ejhm.2001.18880ENM. H. El-ShazlyUrology Department; El-Sahel Teaching HospitalNagwa A. GhaffarOb/Gyn Department, Al Azhar University (Girls), Cairo, EgyptJournal Article20181113Objective: To evaluate the feasibility, efficacy, and clinical outcome of the radiation-free endo-insertion of double-pigtail ureteral stents under local anaesthesia for managing acute calcular ureteral obstruction during the last trimester of pregnancy. Patients and methods: Radiation-free endo-insertion of double-pigtail ureteral stent under local anaesthesia was used as an emergency management for managing acute ureteral obstruction, not responding to conservative measures, in twenty nine pregnant women during the last trimester.https://ejhm.journals.ekb.eg/article_18880_243a09f27f6e4dfca344a53cb62a8e9c.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Bacterial Number, Heterotrophy and Extra Cellular Enzyme Activity in the Sea Water of Alexandria Harbour, Egypt1141191888110.21608/ejhm.2001.18881ENEman I. SiamArab Academy for Science and Technology and Maritime TransportJournal Article20181113To study the structure and function of bacterial population in Alexandria harbour https://ejhm.journals.ekb.eg/article_18881_8abb15e22b045f748ed3ca4a76da4d09.pdfPan Arab League of Continuous Medical EducationThe Egyptian Journal of Hospital Medicine1687-20024120010701Prevalence of Renal Tuberculosis in Patients With Chronic Renal Failure Prior to Dialysis, Associated with Constitutional Symptoms1201321888210.21608/ejhm.2001.18882ENMona HosnyGeneral Medicine Department
Ain-Shams UniversityJournal Article20181113Compared to normal group, there were significant statistical differences in all parameters that were measured, between normal group and the other two groups together and separately.https://ejhm.journals.ekb.eg/article_18882_161abace2c4c54a5e3ed36cb54871436.pdf