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Role of Diffusion-Weighted MR Imaging in Characterization of Retro-Peritoneal Fibrosis and Differentiating it from Malignant Neoplasms 弥散加权磁共振成像在腹膜后纤维化特征及与恶性肿瘤鉴别中的作用
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318247
AHMED G. SADEK, M.D.** NEHAL HAZEM, M.Sc.*; EMAN M.H.
.
{"title":"Role of Diffusion-Weighted MR Imaging in Characterization of Retro-Peritoneal Fibrosis and Differentiating it from Malignant Neoplasms","authors":"AHMED G. SADEK, M.D.** NEHAL HAZEM, M.Sc.*; EMAN M.H.","doi":"10.21608/mjcu.2023.318247","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318247","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143392","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
Is Multi-Detector Computed Tomography Mandatory after Ultrasound in the Assessment of Stable Patients with Blunt Abdominal Trauma? 在评估稳定的腹部钝性创伤患者时,超声后是否必须进行多探测器计算机断层扫描?
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318286
MARYSE AWADALLAH, M.D.* RANIA S.M. IBRAHIM, M.D.*; MOHAMED
.
{"title":"Is Multi-Detector Computed Tomography Mandatory after Ultrasound in the Assessment of Stable Patients with Blunt Abdominal Trauma?","authors":"MARYSE AWADALLAH, M.D.* RANIA S.M. IBRAHIM, M.D.*; MOHAMED","doi":"10.21608/mjcu.2023.318286","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318286","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143411","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
Comparative Study between Constructing Permanent End Colostomy with Prophylactic Mesh VS Constructing Colostomy without Prophylactic Mesh for the Incidence of Parastomal Hernia: A Systematic Review and Meta-Analysis 预防性补片构建永久性末端结肠造口术与无预防性补片构建结肠造口术对造口旁疝发生率的比较研究:系统综述和meta分析
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318293
ASHRAF F.A. KOTB, M.Sc. KAREEM A.S. KAMEL, M.D.; TAREK
Background: Colostomy construction techniques have evolved over the last 2 centuries to improve function and reduce stoma complications. The relationship between the technique of colostomy construction and the riskof postoperative parastomal hernia formation is still unclear. Aim of Study: Evaluation of the PSH rate in constructing colostomy with or without prophylactic surgical mesh. Patients and Methods: This systematic review and meta-analysis study included thirteen studies with a total of 1287 cases; 601 cases in patient treated with mesh group and 686 cases in patient treated without mesh group to evaluate the PSH rate in constructing colostomy with or without prophylactic surgical mesh. Results: There was no significant difference between both groups in the surgery duration, length of hospital stay. None of the studies reported death of any cases in both groups. Both groups performed equally with no statistically significant difference. There was no significant difference between both groups in the size of stoma orifice. Patient who underwent permanent end colostomy with prophylactic Mesh had significant reduction in rates parastomal hernia than those who underwent colostomy without prophylactic mesh. Conclusion: The operative time and length of hospital stay were comparable between the studied groups. Both constructing permanent end colostomy with and without prophylactic mesh showed no risk of mortality. Both procedures showed comparable risk of postoperative morbidity. Prophylactic placement of mesh at stoma formation reduced the incidence of PSH, without an increase in stomal complications.
{"title":"Comparative Study between Constructing Permanent End Colostomy with Prophylactic Mesh VS Constructing Colostomy without Prophylactic Mesh for the Incidence of Parastomal Hernia: A Systematic Review and Meta-Analysis","authors":"ASHRAF F.A. KOTB, M.Sc. KAREEM A.S. KAMEL, M.D.; TAREK","doi":"10.21608/mjcu.2023.318293","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318293","url":null,"abstract":"Background: Colostomy construction techniques have evolved over the last 2 centuries to improve function and reduce stoma complications. The relationship between the technique of colostomy construction and the riskof postoperative parastomal hernia formation is still unclear. Aim of Study: Evaluation of the PSH rate in constructing colostomy with or without prophylactic surgical mesh. Patients and Methods: This systematic review and meta-analysis study included thirteen studies with a total of 1287 cases; 601 cases in patient treated with mesh group and 686 cases in patient treated without mesh group to evaluate the PSH rate in constructing colostomy with or without prophylactic surgical mesh. Results: There was no significant difference between both groups in the surgery duration, length of hospital stay. None of the studies reported death of any cases in both groups. Both groups performed equally with no statistically significant difference. There was no significant difference between both groups in the size of stoma orifice. Patient who underwent permanent end colostomy with prophylactic Mesh had significant reduction in rates parastomal hernia than those who underwent colostomy without prophylactic mesh. Conclusion: The operative time and length of hospital stay were comparable between the studied groups. Both constructing permanent end colostomy with and without prophylactic mesh showed no risk of mortality. Both procedures showed comparable risk of postoperative morbidity. Prophylactic placement of mesh at stoma formation reduced the incidence of PSH, without an increase in stomal complications.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143418","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
Qualitative and Quantitative Association between Breast Background Parenchymal Enhancement and Cancer Incidence 乳腺背景实质增强与癌症发病率的定性和定量关系
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.320244
AHMAD M. MOUNIR, M.D. GHADA H. ABD ELRAOUF, M.D.
Background: Due to increased utility of MRI as a screening and a diagnostic tool, data concerning BPE became available more than before. BPE may havean important role as a tool for early detection of breast cancer, and identifying population at risk offuture breast cancer. Aim of Study: To evaluate the association between qualitative and quantitative background parenchymal enhancement (BPE) evaluation at dynamic contrast enhanced MRI and breast cancer incidence. Patients and Methods: The MRI for 40 premenopausal and postmenopausal females was reviewed. Qualitative MRI interpretation included assessment of the level the BPE and amount of FGT. The BPE was categorized as minimal degree, mild degree, moderate degree, or marked degree. Quantitative assessment of BPE included ROI selection in the parenchyma, and then creation of histogram curve giving quantitative values of the BPE in the selected ROI. Results: In our study we found that amount of fibroglan-dular tissue and BPE were influenced by age, with pre-menopausal women having more amount of fibroglandular tissue, showing more pronounced and extensive degrees ofBPE compared to post-menopausal women. Also, higher qualitative levels and quantitative values of BPE were detected in malignant group. This revealed association of the higher quantitative value of BPE with higher cancer incidence. Conclusion: From our study we concluded that higher amount of the fibroglandular tissue and higher qualitative degree and quantitative value of BPE are associated with increased breast cancer odds in the same age category, and from that we can predict higher incidence of breast cancer in population with higher degrees and values of BPE.
{"title":"Qualitative and Quantitative Association between Breast Background Parenchymal Enhancement and Cancer Incidence","authors":"AHMAD M. MOUNIR, M.D. GHADA H. ABD ELRAOUF, M.D.","doi":"10.21608/mjcu.2023.320244","DOIUrl":"https://doi.org/10.21608/mjcu.2023.320244","url":null,"abstract":"Background: Due to increased utility of MRI as a screening and a diagnostic tool, data concerning BPE became available more than before. BPE may havean important role as a tool for early detection of breast cancer, and identifying population at risk offuture breast cancer. Aim of Study: To evaluate the association between qualitative and quantitative background parenchymal enhancement (BPE) evaluation at dynamic contrast enhanced MRI and breast cancer incidence. Patients and Methods: The MRI for 40 premenopausal and postmenopausal females was reviewed. Qualitative MRI interpretation included assessment of the level the BPE and amount of FGT. The BPE was categorized as minimal degree, mild degree, moderate degree, or marked degree. Quantitative assessment of BPE included ROI selection in the parenchyma, and then creation of histogram curve giving quantitative values of the BPE in the selected ROI. Results: In our study we found that amount of fibroglan-dular tissue and BPE were influenced by age, with pre-menopausal women having more amount of fibroglandular tissue, showing more pronounced and extensive degrees ofBPE compared to post-menopausal women. Also, higher qualitative levels and quantitative values of BPE were detected in malignant group. This revealed association of the higher quantitative value of BPE with higher cancer incidence. Conclusion: From our study we concluded that higher amount of the fibroglandular tissue and higher qualitative degree and quantitative value of BPE are associated with increased breast cancer odds in the same age category, and from that we can predict higher incidence of breast cancer in population with higher degrees and values of BPE.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135145994","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
The Prevalence of Different Radiological CT Chest Finding in Patients Hospitalized for COVID 19 Pneumonia: A Retrospective Study COVID - 19肺炎住院患者不同CT胸部影像学表现的回顾性研究
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318280
MONA GAMALLUDIN ALKAPHOURY, M.D.* EMAN F. DOLA, M.D.*; OSAMA LAMIE
Background: Corona virus disease 2019 is a highly infectious disease, causing respiratory tract infections and resulting in acute respiratory distress syndrome in few cases. According to recommendation of WHO regarding use of chest imaging in COVID-19, all patients with confirmed COVID-19 & hospitalized with moderate to severe symptoms, chest imaging should be added to clinical and laboratory assessment to direct therapeutic management. CT chest had high sensitivity & low specificity in diagnosis of COVID 19 pneumonia, but it can also help in diagnosis of patient with pre-existing pulmonary disease. Aim of Study: Our study assessed all possible CT chest manifestations including consolidations and ground glassing, which were the main features assessed in other studies. We also analyzed the zonal preference which proved to be diffuse or lower lobar in affection. Added to that the prevalence of peripheral parenchymal band which was detected in more than half of included patients. Patients and Methods: This retrospective study was conducted with 207 patients who were diagnosed & admitted with positive COVID-19 infection. All patients were confirmed positive using PCR test. Results: In all, 207 patients diagnosed with COVID-19 pneumonia, were enrolled in our study. The most prevalent finding was the presence of a ground-glass opacity (GGO), representing 87.1 % of CT findings. This was followed by peripheral parenchymal bands, as seen in 52% of patients, and consolidation patches were seen in 41.3% of patients. The least significant CT features observed in PCR-positive patients were crazy paving and reverse halo sign, seen only in 4.5% and 2.7% of patients, respectively. Overall, 81.6% of all patients showed multi-segmental affection, with 53.1 % showing diffuse zonal affection and 40.8% with lower lobe predominance. Conclusion: The most common CT features seen in cases of COVID-19 pneumonia were GGO, consolidations, and Peripheral parenchyma bands. COVID-19 pneumonia was primarily multi-segmental in affection, showing diffuse or lower zone predominance.
{"title":"The Prevalence of Different Radiological CT Chest Finding in Patients Hospitalized for COVID 19 Pneumonia: A Retrospective Study","authors":"MONA GAMALLUDIN ALKAPHOURY, M.D.* EMAN F. DOLA, M.D.*; OSAMA LAMIE","doi":"10.21608/mjcu.2023.318280","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318280","url":null,"abstract":"Background: Corona virus disease 2019 is a highly infectious disease, causing respiratory tract infections and resulting in acute respiratory distress syndrome in few cases. According to recommendation of WHO regarding use of chest imaging in COVID-19, all patients with confirmed COVID-19 & hospitalized with moderate to severe symptoms, chest imaging should be added to clinical and laboratory assessment to direct therapeutic management. CT chest had high sensitivity & low specificity in diagnosis of COVID 19 pneumonia, but it can also help in diagnosis of patient with pre-existing pulmonary disease. Aim of Study: Our study assessed all possible CT chest manifestations including consolidations and ground glassing, which were the main features assessed in other studies. We also analyzed the zonal preference which proved to be diffuse or lower lobar in affection. Added to that the prevalence of peripheral parenchymal band which was detected in more than half of included patients. Patients and Methods: This retrospective study was conducted with 207 patients who were diagnosed & admitted with positive COVID-19 infection. All patients were confirmed positive using PCR test. Results: In all, 207 patients diagnosed with COVID-19 pneumonia, were enrolled in our study. The most prevalent finding was the presence of a ground-glass opacity (GGO), representing 87.1 % of CT findings. This was followed by peripheral parenchymal bands, as seen in 52% of patients, and consolidation patches were seen in 41.3% of patients. The least significant CT features observed in PCR-positive patients were crazy paving and reverse halo sign, seen only in 4.5% and 2.7% of patients, respectively. Overall, 81.6% of all patients showed multi-segmental affection, with 53.1 % showing diffuse zonal affection and 40.8% with lower lobe predominance. Conclusion: The most common CT features seen in cases of COVID-19 pneumonia were GGO, consolidations, and Peripheral parenchyma bands. COVID-19 pneumonia was primarily multi-segmental in affection, showing diffuse or lower zone predominance.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143388","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
The Effect of Pregabalin on Postoperative Pain in Patients Undergoing Abdominal Surgery under General Anesthesia 普瑞巴林对全身麻醉下腹部手术患者术后疼痛的影响
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318266
AHMED F. KORAITIM, M.D. AHMED M.A.I. GAMAL ELDIN, M.Sc.;
Background: Acute postoperative pain and side effects can be serious problems, due to either insufficient or excessive treatment. If analgesic treatment is begun after a painful stimulus, treating postoperative pain can be challenging because of the possibility of peripheral hypersensitivity and central nervous system hyperexcitability. Pre-emptive analgesia focuses on reducing postoperative opioid consumption and pain levels, decreasing the incidence of adverse events and improving patient satisfaction. Several pre-emptive analgesic regimens have been tried in the perioperative period, including opioids, nonsteroidal anti-inflammatory drugs, and so on. Aim of Study: To evaluate the effects of oral pregabalin, before abdominal surgery, on postoperative pain intensity and analgesic requirements (primary outcome), and the incidence of post-operative nausea and vomiting (secondary outcome). Patients and Methods: This randomized controlled trial was conducted on 60 adult healthy patients aged 21-50 years of both sex, ASA physical status I and II undergoing elective abdominal surgery (open or laparoscopic). Patients were equally randomized to: Group A: Received pregabalin 300mg/12hrs 24 hrs before surgery. Group B: Did not receive pregabalin. Results: Time of first analgesic requirement was significantly delayed in group A compared to group B ( p -value <0.001). Total pethidine consumption was significantly lower in group A compared to group B ( p -value <0.001). Incidence of PONV was 5 (16.67%) patients in group A and 13 (43.33%) in group B. Incidence of dizziness was 20 (66.67%) patients in group A and 4 (13.33%) in group B. Incidence of PONV was significantly lower in group A compared to group B ( p -value=0.024). Incidence of dizziness was significantly higher in group A compared to group B ( p -value <0.001). Respiratory depression and hypotension were insignificantly different between both groups. Conclusion: Preoperative administration of 300mg/12hrs 24hrs of pregabalin resulted in a significant reduction pain score, intraoperative fentanyl consumption, total pethidine consumption and incidence of PONV following elective abdominal surgery but with higher incidence of dizziness.
{"title":"The Effect of Pregabalin on Postoperative Pain in Patients Undergoing Abdominal Surgery under General Anesthesia","authors":"AHMED F. KORAITIM, M.D. AHMED M.A.I. GAMAL ELDIN, M.Sc.;","doi":"10.21608/mjcu.2023.318266","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318266","url":null,"abstract":"Background: Acute postoperative pain and side effects can be serious problems, due to either insufficient or excessive treatment. If analgesic treatment is begun after a painful stimulus, treating postoperative pain can be challenging because of the possibility of peripheral hypersensitivity and central nervous system hyperexcitability. Pre-emptive analgesia focuses on reducing postoperative opioid consumption and pain levels, decreasing the incidence of adverse events and improving patient satisfaction. Several pre-emptive analgesic regimens have been tried in the perioperative period, including opioids, nonsteroidal anti-inflammatory drugs, and so on. Aim of Study: To evaluate the effects of oral pregabalin, before abdominal surgery, on postoperative pain intensity and analgesic requirements (primary outcome), and the incidence of post-operative nausea and vomiting (secondary outcome). Patients and Methods: This randomized controlled trial was conducted on 60 adult healthy patients aged 21-50 years of both sex, ASA physical status I and II undergoing elective abdominal surgery (open or laparoscopic). Patients were equally randomized to: Group A: Received pregabalin 300mg/12hrs 24 hrs before surgery. Group B: Did not receive pregabalin. Results: Time of first analgesic requirement was significantly delayed in group A compared to group B ( p -value <0.001). Total pethidine consumption was significantly lower in group A compared to group B ( p -value <0.001). Incidence of PONV was 5 (16.67%) patients in group A and 13 (43.33%) in group B. Incidence of dizziness was 20 (66.67%) patients in group A and 4 (13.33%) in group B. Incidence of PONV was significantly lower in group A compared to group B ( p -value=0.024). Incidence of dizziness was significantly higher in group A compared to group B ( p -value <0.001). Respiratory depression and hypotension were insignificantly different between both groups. Conclusion: Preoperative administration of 300mg/12hrs 24hrs of pregabalin resulted in a significant reduction pain score, intraoperative fentanyl consumption, total pethidine consumption and incidence of PONV following elective abdominal surgery but with higher incidence of dizziness.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143404","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
Evaluating EUS and CT for the Detection of Pancreatic Cysts: Which is More Accurate? 评估EUS和CT对胰腺囊肿的检测:哪个更准确?
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318264
KHALED M. RAGAB, M.D.; AHMED HOSNI, EMAN MEDHAT, M.D.; AHMED REFAAT,
.
{"title":"Evaluating EUS and CT for the Detection of Pancreatic Cysts: Which is More Accurate?","authors":"KHALED M. RAGAB, M.D.; AHMED HOSNI, EMAN MEDHAT, M.D.; AHMED REFAAT,","doi":"10.21608/mjcu.2023.318264","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318264","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143439","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
Effectiveness of Preservation of the Mitral Valvular Apparatus During Mitral Valve Replacement Surgery for Rheumatic Severe Mitral Regurgitation 风湿性严重二尖瓣反流二尖瓣置换术中保存二尖瓣装置的有效性
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318277
HISHAM M. ELBATANONY, M.D. AHMED SABER, M.D., F.R.C.S. (Glasg);
Background: Conventional mitral valve replacement (MVR) even with preservation of the posterior mitral leaflet is associated with higher incidence of postoperative low cardiac output syndrome due to myocardial failure. Preservation of the mitral valvular apparatus ensuring sparing chordae tendinae and thus maintaining annular-papillary muscle continuity is the best adorable technique to guarantee better postoperative results. There is proved existing evidence that it reduces postoperative mortality and morbidity in addition to better preservation of the left ventricular (LV) function. But plenty of surgeons hesitate to practice this technique for fears of complexity and prolonged time of the surgical maneuver, inability to implant adequate large mitral prosthesis and possible consequences of the residual native anterior mitral valve leaflet causing prosthesis dysfunction, systolic anterior motion (SAM) and left ventricular outflow tract obstruction (LVOTO). Aim of Study: This study primarily aims at assessment of the effectiveness of preservation of the mitral valvular apparatus technique during the surgery of MVR for rheumatic severe mitral regurgitation (MR) on restoration of LV function by tracing the changes in the postoperative LV performance over one year follow-up. Secondary outcomes include estimation of mortality, major cardiac problems,
{"title":"Effectiveness of Preservation of the Mitral Valvular Apparatus During Mitral Valve Replacement Surgery for Rheumatic Severe Mitral Regurgitation","authors":"HISHAM M. ELBATANONY, M.D. AHMED SABER, M.D., F.R.C.S. (Glasg);","doi":"10.21608/mjcu.2023.318277","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318277","url":null,"abstract":"Background: Conventional mitral valve replacement (MVR) even with preservation of the posterior mitral leaflet is associated with higher incidence of postoperative low cardiac output syndrome due to myocardial failure. Preservation of the mitral valvular apparatus ensuring sparing chordae tendinae and thus maintaining annular-papillary muscle continuity is the best adorable technique to guarantee better postoperative results. There is proved existing evidence that it reduces postoperative mortality and morbidity in addition to better preservation of the left ventricular (LV) function. But plenty of surgeons hesitate to practice this technique for fears of complexity and prolonged time of the surgical maneuver, inability to implant adequate large mitral prosthesis and possible consequences of the residual native anterior mitral valve leaflet causing prosthesis dysfunction, systolic anterior motion (SAM) and left ventricular outflow tract obstruction (LVOTO). Aim of Study: This study primarily aims at assessment of the effectiveness of preservation of the mitral valvular apparatus technique during the surgery of MVR for rheumatic severe mitral regurgitation (MR) on restoration of LV function by tracing the changes in the postoperative LV performance over one year follow-up. Secondary outcomes include estimation of mortality, major cardiac problems,","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143441","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
Diagnostic Accuracy of Magnetic Resonance Imaging Tissue Mapping in Acute Myocardial Infarction 磁共振成像组织定位诊断急性心肌梗死的准确性
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318283
SOHA ROMEIH AHMED A.M. SALAMA, WESAM ELMOZY, M.D.*** MOHAMMED HOSNY, M.D.***; REHAB
.
{"title":"Diagnostic Accuracy of Magnetic Resonance Imaging Tissue Mapping in Acute Myocardial Infarction","authors":"SOHA ROMEIH AHMED A.M. SALAMA, WESAM ELMOZY, M.D.*** MOHAMMED HOSNY, M.D.***; REHAB","doi":"10.21608/mjcu.2023.318283","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318283","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143448","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
Prevalence of Sarcopenia Among Ambulatory Elderly Egyptian Patients with Type 2 Diabetes Mellitus 埃及老年2型糖尿病患者肌肉减少症的患病率
Pub Date : 2023-06-01 DOI: 10.21608/mjcu.2023.318288
CHRISTINA S. RAGHEB MOHAMED Th. HEGAZY
.
{"title":"Prevalence of Sarcopenia Among Ambulatory Elderly Egyptian Patients with Type 2 Diabetes Mellitus","authors":"CHRISTINA S. RAGHEB MOHAMED Th. HEGAZY","doi":"10.21608/mjcu.2023.318288","DOIUrl":"https://doi.org/10.21608/mjcu.2023.318288","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135143450","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
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The Medical Journal of Cairo University
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