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Impact of COVID - 19 Pandemic on The Clinical Course of Inflammatory Bowel Disease in Egyptian Tertiary Centers COVID - 19大流行对埃及三级中心炎症性肠病临床病程的影响
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1371
Alaa Alsawak, O. Abdallah, A. Madian, H. Atalla, Ramadan Eldamarawy, Ahmed Eliwa, A. Khamiss, A. Sharkawy, Sadek Mostafa, A. Alaboudy, M. Maher, Ashraf Elbahrawy
Background/aim: The coronavirus disease 2019 (COVID-19) pandemic has a major impact on the clinical course of chronic diseases including inflammatory bowel disease (IBD). In the current study, we aimed to evaluate the clinical relapse and worsening of IBD activity during the COVID-19 pandemic. Patients and methods: In this study 125 patients were included and were followed up for 1 year. Of them, 98 and 27 patients had inactive and active IBD before the study, respectively. The clinical activity of IBD was assessed by Crohn's disease activity index and simplified colitis clinical activity index. Severe acute respiratory distress syndrome coronavirus 2 infection was detected by real-time PCR. Results: The mean age of included patients was 34.3 ± 11.2 years, of them 54 (43.2%) were males. Forty three (34.4%) and 82(65.6%) patients had Crohn's disease and ulcerative colitis, respectively. Forty-six (47%) patients developed a clinical relapse within 1 year. Of them, 22 (48%) patients were not adherent to treatment during the pandemic (P ≤ 0.05); 33.3% of patients with active IBD before the study had worsened activity during the pandemic. The incidence of severe acute respiratory distress syndrome coronavirus 2 infection among the included patients was 8% (n 1⁄4 10). Conclusion: The majority of relapsed IBD patients were not adherent to treatment due to the fear of COVID-19 infection.
背景/目的:2019冠状病毒病(COVID-19)大流行对包括炎症性肠病(IBD)在内的慢性疾病的临床病程有重大影响。在本研究中,我们旨在评估COVID-19大流行期间IBD活性的临床复发和恶化。患者与方法:本研究纳入125例患者,随访1年。其中,研究前分别有98名和27名患者患有非活动性和活动性IBD。采用克罗恩病活动性指数和简化结肠炎临床活动性指数评价IBD的临床活动性。实时荧光定量PCR检测严重急性呼吸窘迫综合征冠状病毒2型感染。结果:入选患者平均年龄34.3±11.2岁,男性54例(43.2%)。克罗恩病43例(34.4%),溃疡性结肠炎82例(65.6%)。46例(47%)患者在1年内出现临床复发。其中22例(48%)患者在大流行期间未坚持治疗(P≤0.05);研究前,33.3%的活动性IBD患者在大流行期间活动性恶化。重症急性呼吸窘迫综合征冠状病毒2型感染发生率为8% (n 1 / 4 10)。结论:大多数IBD复发患者因害怕感染COVID-19而未坚持治疗。
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引用次数: 0
Wheezy and Cough Asthma Phenotypes in a cohort of Egyptian Children: Clinical features and CCR3 T51C Gene Polymorphism 埃及儿童队列中的喘息和咳嗽哮喘表型:临床特征和CCR3 T51C基因多态性
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1379
M. Zedan, Mai Magdy Kera, E. Khashaba, Mona El wassefy, A. Osman
Background: Asthma is a heterogenous disease with variable characteristic phenotypes. Correlating clinical asthma phenotypes with the underlying genotypes could pave the way for the development of tailored asthma medications. Objective: The purpose of this study was to describe the clinical features of wheezy and cough asthma phenotypes and to assess the frequency of CCR3 T51C gene polymorphism among Egyptian asthmatic children. Methods: A group of 60 Egyptian asthmatic children (40 wheezy phenotypes and 20 cough phenotypes) together with 100 controls were enrolled and analyzed for the genotypes of CCR3 T51C polymorphisms using polymerase chain reaction (PCR)-restriction fragment length polymorphism (RFLP). Serum IgE levels were determined by the ELISA technique. Results: Regarding clinical characteristics, associated allergic rhinitis and atopic dermatitis were found to be significantly higher among the wheezy phenotype compared with the cough phenotype. Also, most of the patients with the wheezy phenotype had moderate to severe asthma, while most of the patients with the cough phenotype had mild asthma. Regarding the frequency of CCR3 T51C genotypes, the TT homozygote genotype was the most frequent genotype among cases and controls. However, no statistically significant differences were found between the two clinical phenotypes. Conclusion: In our studied population, the wheezy asthma phenotype was characterized by a higher frequency of associated allergic march and increased asthma severity. Yet, our results deny the value of CCR3 T51C genetic polymorphism as a genetic marker for differentiating between wheezy and cough asthma phenotypes.
背景:哮喘是一种异质性疾病,具有不同的特征表型。将临床哮喘表型与潜在的基因型相关联可以为开发量身定制的哮喘药物铺平道路。目的:本研究的目的是描述埃及哮喘儿童喘息和咳嗽哮喘表型的临床特征,并评估CCR3 T51C基因多态性的频率。方法:采用聚合酶链反应(PCR)-限制性片段长度多态性(RFLP)对60例埃及哮喘患儿(40例喘息表型和20例咳嗽表型)和100例对照进行CCR3 T51C多态性基因型分析。ELISA法测定血清IgE水平。结果:在临床特征方面,喘息型患者相关变应性鼻炎和特应性皮炎的发生率明显高于咳嗽型患者。喘息型患者多为中度至重度哮喘,咳嗽型患者多为轻度哮喘。关于CCR3 T51C基因型的频率,TT纯合子基因型是病例和对照组中最常见的基因型。然而,两种临床表型之间没有统计学上的显著差异。结论:在我们的研究人群中,喘息性哮喘表型的特征是相关过敏性行军的频率更高,哮喘严重程度增加。然而,我们的研究结果否定了CCR3 T51C基因多态性作为区分喘息和咳嗽哮喘表型的遗传标记的价值。
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引用次数: 0
The prognostic value of androgen receptor and cyclin D1 in infiltrating duct carcinoma of the breast 雄激素受体和细胞周期蛋白D1在乳腺浸润导管癌中的预后价值
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1387
D. El-Ghaffar, Amal AF Halim, E. Abdallah, Doaa A Sharaf, S. Yussif
Objective : Breast cancer (BC) tissue is heterogeneous with a number of cellular pathways involved in cell growth and proliferation. Activation of androgen receptors (AR) signaling pathways plays a role in BC. On the other hand, cyclin is a regulatory subunit of cyclin-dependent kinases that affect cell cycle G1/S transition. This study aimed at investigating the relationship between the expression of AR and cyclin D1 and the clinicopathological details of BC patients registered in the archive of our department within a speci fi ed period and determining the prognostic impact of such expression. Methods : The study included 182 IDC patients aged from 20 to 65 whom were registered in the archive of the Clinical Oncology & Nuclear Medicine Department from January 2013 to December 2015. All clinicopathological data were obtained from patient records. Immunohistochemistry study for AR and cyclin D1 was done for the pathologic specimens. Results : The expression ratio of AR in 182 specimens was 43.4% (79/182). AR positivity was signi fi cantly associated with estrogen receptor (ER) and progesterone receptor (PR) positivity and negative HER2 status, lower tumor grade, smaller tumor size, and negative lymph node involvement ( P values < 0.05). Cyclin D1 positivity was reported in 116/182 (64%). There was positive correlation between cyclin D1 and ER, PR positivity, triple negativity, small tumor size, and negative lymph node involvement ( P value < 0.05). The
目的:乳腺癌(BC)组织是异质的,有许多细胞通路参与细胞的生长和增殖。雄激素受体(AR)信号通路的激活在BC中起作用。另一方面,细胞周期蛋白是影响细胞周期G1/S转变的细胞周期蛋白依赖激酶的调控亚基。本研究旨在探讨AR和cyclin D1的表达与我科特定时期登记的BC患者临床病理细节的关系,并确定其表达对预后的影响。方法:纳入2013年1月至2015年12月在临床肿瘤与核医学科档案登记的182例IDC患者,年龄20 ~ 65岁。所有临床病理资料均来自患者病历。病理标本行AR和细胞周期蛋白D1免疫组化研究。结果:AR在182例标本中的表达率为43.4%(79/182)。AR阳性与雌激素受体(ER)、孕激素受体(PR)阳性、HER2阴性、肿瘤分级低、肿瘤大小小、淋巴结阴性累及相关(P值< 0.05)。116/182(64%)报告Cyclin D1阳性。cyclin D1与ER、PR阳性、三阴性、小肿瘤大小、淋巴结阴性累及均呈正相关(P值< 0.05)。的
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引用次数: 0
Long-term stability of electrical stapedial reflex and electrodes impedance in children with MED-EL cochlear implants MED-EL型人工耳蜗儿童镫骨电反射和电极阻抗的长期稳定性
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1381
Maram Mohamed Rashad Ghoniem, A. Elsharabasy, Y. Shabana, E. Ismail
Background: The purpose of this study was to investigate changes in electrical evoked stapedial reflex thresholds (ESRTs) and electrodes impedance over time in children with MED-EL cochlear implants. Methods: In this study, 60 kids were included, while 15 kids were excluded because their cases did not fit the requirements. Patients who received MED-EL cochlear implants were monitored postoperatively over 5 years to determine whether or not their electrical evoked stapedial reflex thresholds (ESRT) and electrode impedance remained stable. Results: At the initial fitting, electrodes 4, 5, 6, 8, and 9 showed significantly different impedances, while electrodes 1, 2, 3, 7, 10, 11, and 12 showed no significantly different impedances. Excluding electrode 12, all electrodes showed a statistically significant difference in ESRT at three and 6 months. All electrodes, except electrodes 7 and 8, showed no difference between ESRT and the behaviorally based MAP most comfortable level (MCL). After three months, there was a highly significant difference between ESRT and the behavioral MAP for the audiometric frequencies 500, 1000, 2000, and 4000 Hz. Conclusion: Particularly at 3 and 6 months, there was a considerable decrease in electrode impedance, which stabilized throughout the course of the remaining follow-up period. Nearly all the electrodes showed a significant variation in ESRT between 3 and 6 months, but over the subsequent 5 years, ESRT essentially stabilized. Additionally, there was no difference between behavioral-based MAP and ESRT MCL; nevertheless, after 3 months, there was a highly significant difference between ESRT and the behavioral MAP at the 500, 1000, 2000, and 4000 Hz audiometric frequencies.
背景:本研究的目的是研究MED-EL耳蜗植入儿童的电诱发镫骨反射阈值(ESRTs)和电极阻抗随时间的变化。方法:本研究纳入60例儿童,因病例不符合要求而被排除15例。接受MED-EL人工耳蜗植入的患者术后监测5年,以确定其电诱发镫骨反射阈值(ESRT)和电极阻抗是否保持稳定。结果:初始拟合时,电极4、5、6、8、9的阻抗有显著差异,电极1、2、3、7、10、11、12的阻抗无显著差异。除第12电极外,所有电极在3个月和6个月时的ESRT均有统计学差异。除电极7和8外,所有电极在ESRT和基于行为的MAP最舒适水平(MCL)之间没有差异。3个月后,ESRT和行为MAP在听力频率500、1000、2000和4000 Hz上有显著差异。结论:特别是在3个月和6个月时,电极阻抗显著下降,并在剩余的随访期间保持稳定。在3 - 6个月期间,几乎所有电极的ESRT都有显著变化,但在随后的5年里,ESRT基本稳定。此外,基于行为的MAP和ESRT的MCL之间没有差异;然而,3个月后,在500、1000、2000和4000 Hz听力学频率下,ESRT和行为MAP之间存在高度显著差异。
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引用次数: 0
Unusual Late Presentation of Kartagener Syndrome: A Case Report 罕见的晚期出现的Kartagener综合征1例报告
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1389
A. H. Al-Mazroea
Kartagener ' s syndrome (KS) is a rare inherited autosomal recessive condition. It comprises the triad chronic sinusitis, bronchiectasis, and situs inversus. The symptoms are more prevalent in children in the early years of life. We describe a case of a 15-year-old child showing severe respiratory distress with a history of intermittent wet cough and rhinitis for the past 6 months. The patient was diagnosed with dextrocardia at birth and had no signi fi cant medical history since then. Based on his clinical presentation and imaging fi ndings, he was diagnosed with KS which was con fi rmed by whole-exome sequencing. The patient was managed with conventional medical therapy and noninvasive ventilation. He was discharged on a long-term intermittent prophylactic antibiotic regimen. KS should be suspected in any child with dextrocardia who has recurrent respiratory tract infections. Early detection of KS is critical for avoiding complications and improving patients ' quality of life.
Kartagener综合征(KS)是一种罕见的遗传常染色体隐性遗传病。它包括慢性鼻窦炎、支气管扩张和鼻窦炎三联征。这些症状在生命早期的儿童中更为普遍。我们描述了一个15岁的孩子表现出严重的呼吸窘迫与间歇性湿咳嗽和鼻炎的历史在过去的6个月。患者出生时被诊断为右心,此后无明显的不良病史。根据他的临床表现和影像学表现,他被诊断为KS,并通过全外显子组测序证实。患者接受常规药物治疗和无创通气。他出院后接受了长期的间歇性预防性抗生素治疗。有反复呼吸道感染的右心患儿应怀疑为KS。早期发现KS对于避免并发症和改善患者的生活质量至关重要。
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引用次数: 0
Outcome of COVID-19 in patients with rheumatic diseases treated with immunosuppressive drugs 免疫抑制药物治疗风湿性疾病患者COVID-19的疗效
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1391
A. Sobh, Noha Elnagdy, Mohamed Elegezy, Mohamed Mofreh, Mohamed Tohlob, Ahmad M. Eita, Ragheed Rizk, Ola Eliwa, M. H. Elnagdy, A. E. Abdulgalil
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引用次数: 0
Association of vitamin D receptor Cdx-2 polymorphism with COVID-19: A case-control study 维生素D受体Cdx-2多态性与COVID-19的关系:一项病例对照研究
Pub Date : 2023-01-01 DOI: 10.58775/2735-3990.1382
M. M. ALseoudy, Maha O. Hammad, Mohmed Elgamal, D. Abdelghany, A. Borg, Ahmed El-Mesery, Dina Elzeiny
Background : Host genetic variability has been suggested as an important explanation for inter-individual differences in COVID-19 susceptibility and severity. Most vitamin D actions in the regulation of immunity are mediated by vitamin D receptors (VDRs). Polymorphisms in the VDR gene have been associated with several health outcomes; however, their effects on COVID-19 still need more clari fi cation. This study aims to investigate the association of the VDR SNP (rs11568820, Cdx-2) with susceptibility and interindividual variability of the severity of COVID-19. Methods : A total of 100 con fi rmed COVID-19 patients and 100 age and sex-matched controls were enrolled in this study between July and September 2021. COVID-19 patients were further subdivided into severe ( n ¼ 50) and nonsevere ( n ¼ 50) cases. All participants were subjected to genotyping of Cdx-2 SNP using the allelic discrimination of the Real-time PCR technique and assay of serum 25(OH)D levels by ELISA. Results : The results showed that the homozygous “ GG ” genotype was signi fi cantly higher in patients vs. controls, whereas the heterozygous “ AG ” genotype was signi fi cantly lower in COVID-19 patients. Thus, the heterozygous “ AG ” genotype is considered the protective genotype. This protection was more signi fi cant among males vs. females ( P ¼ 0.02). However, there were no statistically signi fi cant differences in the genotype distributions of VDR Cdx-2 SNP between severe and nonsevere patients. Moreover, COVID-19 patients with the “ AG ” genotype presented higher 25(OH)D levels than the “ GG ” genotype ( P ¼ 0.02). Conclusions : VDR SNP (rs11568820, Cdx-2) might be a potential risk factor for COVID-19, particularly among male patients.
背景:宿主遗传变异被认为是COVID-19易感性和严重程度的个体间差异的重要解释。大多数维生素D在免疫调节中的作用是由维生素D受体(vdr)介导的。VDR基因的多态性与几种健康结果有关;然而,它们对COVID-19的影响仍需要进一步阐明。本研究旨在探讨VDR SNP (rs11568820, Cdx-2)与COVID-19易感性和严重程度的个体间差异的关系。方法:在2021年7月至9月期间,共招募了100名确诊的COVID-19患者和100名年龄和性别匹配的对照组。COVID-19患者进一步细分为重症(n¼50)和非重症(n¼50)病例。所有受试者均采用Real-time PCR等位基因鉴别技术进行Cdx-2 SNP基因分型,ELISA检测血清25(OH)D水平。结果:结果显示,纯合子“GG”基因型在患者中显著高于对照组,而杂合子“AG”基因型在COVID-19患者中显著低于对照组。因此,杂合子“AG”基因型被认为是保护性基因型。这种保护作用在男性和女性之间更为显著(P < 0.05)。但VDR Cdx-2 SNP基因型分布在重症与非重症患者间无统计学差异。AG基因型患者25(OH)D水平高于GG基因型患者(P < 0.05)。结论:VDR SNP (rs11568820, Cdx-2)可能是COVID-19的潜在危险因素,尤其是在男性患者中。
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引用次数: 0
Screening for obstructive sleep apnea in a sample of Egyptian idiopathic intracranial hypertension female patients using the Berlin questionnaire 使用柏林问卷对埃及特发性颅内高压女性患者进行阻塞性睡眠呼吸暂停筛查
Pub Date : 2022-12-14 DOI: 10.21608/mjmu.2022.151954.1131
N. Elsaid, Ahmed A H Mosa, A. Saied
Background : Obstructive sleep apnea (OSA) is one of the risk factors for idiopathic intracranial hypertension (IIH). The Berlin questionnaire (BQ) is a validated reliable method for the identi fi cation of an increased likelihood of OSA. We aimed to screen a sample of female IIH patients for OSA using the BQ. Patients and methods : This study included 40 females; 20 newly diagnosed IIH patients and 20 healthy controls. The BQ was obtained from all of the study participants, and it was divided into high or low risk for OSA. Results : The patient and control cohorts were age-matched. The BMI was signi fi cantly higher in the IIH group (median 36, range 24 e 42) than in the control group (median 28, range 20 e 41) ( P ¼ 0.005). Of the IIH patient group, 45% had a high-risk BQ score, while only 15% of the healthy control group had a high-risk score ( P ¼ 0.038). Conclusion : Stratifying the risk of OSA in IIH may be feasible using the BQ. A high likelihood for OSA in BQ is more common in patients of IIH. Polysomnography may be warranted in IIH patients with high-risk BQ scores to reduce the morbidities associated with OSA, especially in obese patients.
背景:阻塞性睡眠呼吸暂停(OSA)是特发性颅内高压(IIH)的危险因素之一。柏林问卷(BQ)是一种经过验证的可靠方法,用于识别OSA增加的可能性。我们的目的是使用BQ筛选女性IIH患者的OSA样本。患者和方法:本研究包括40名女性;20名新诊断的IIH患者和20名健康对照者。从所有研究参与者那里获得BQ,并将其分为OSA的高风险和低风险。结果:患者与对照组年龄匹配。IIH组的BMI(中位数36,范围24 ~ 42)明显高于对照组(中位数28,范围20 ~ 41)(P < 0.05)。IIH患者组有45%的BQ评分为高危,而健康对照组只有15%的BQ评分为高危(P < 0.038)。结论:应用BQ对IIH患者OSA风险进行分层是可行的。BQ中OSA的高可能性在IIH患者中更为常见。对于BQ评分较高的IIH患者,尤其是肥胖患者,可能需要多导睡眠描记术来降低与OSA相关的发病率。
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引用次数: 0
Efficacy of Epidural and Intramuscular Bupivacaine Injection for Patients Undergoing Lumbar Spine Discectomy on Post-operative Pain Assessment by Visual Analogue Score (VAS) 硬膜外肌注布比卡因对腰椎间盘切除术患者术后疼痛视觉模拟评分(VAS)的影响
Pub Date : 2022-12-13 DOI: 10.21608/mjmu.2022.178838.1151
A. Mowafy
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引用次数: 0
Clinical and biochemical parameters in obese women with polycystic ovary syndrome 肥胖女性多囊卵巢综合征的临床及生化指标
Pub Date : 2022-12-13 DOI: 10.21608/mjmu.2022.176871.1150
Asmaa Ibrahim
{"title":"Clinical and biochemical parameters in obese women with polycystic ovary syndrome","authors":"Asmaa Ibrahim","doi":"10.21608/mjmu.2022.176871.1150","DOIUrl":"https://doi.org/10.21608/mjmu.2022.176871.1150","url":null,"abstract":"","PeriodicalId":18173,"journal":{"name":"Mansoura Veterinary Medical Journal","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72750428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Mansoura Veterinary Medical Journal
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