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Primary bradycardia in children at Sohag University hospital: A single center experience 索哈格大学医院儿童原发性心动过缓:单中心经验
Pub Date : 2024-01-01 DOI: 10.21608/smj.2023.225197.1403
B. Atta, Mohamed Abdel Aal, S. Mahmoud
Background: Heart rate monitoring is usually used in pediatric early warning scores; primary bradycardia may cause high morbidity and rarely sudden cardiac death. Objective: Good assessment of primary bradycardia in children to allow proper management of critically ill child to prevent sudden death. Patients and methods: The study was prepared in Pediatric Arrhythmia Clinic, Emergency room department and outpatient clinic from March 2020 to August 2021. Children aged from 1day to 14 years presenting with 1ry bradycardia were enrolled in our study. Pre-death bradycardia was excluded. Full medical history, physical examination, basic investigations, 12 leads ECG and echocardiography were done to all included patients in this study. Holter monitoring was done while indicated. Results: 30 patients were included in the study. Heart rate ranged from 46 to 90 beat/minute with mean 67.44 bpm. 50 % of them had Syncopal attacks and another 50 % was diagnosed during routine examination. ASD detected in 20% of them, 20% had CHB; the remaining 60% were Idiopathic. Sinus bradycardia was present in 18 children, CHB was present in 6 patients while 1 st and 2 nd degree AV block were presenting in 6 children. Conclusion: Primary bradycardia in children needs early, good assessment and well management to decrease the need of acute intervention and preventing sudden death.
背景:心率监测通常用于儿科预警评分;原发性心动过缓可能会导致高发病率,在极少数情况下会导致心脏性猝死。目标: 对儿童原发性心动过缓进行良好的评估,以便对其进行适当的管理:对儿童原发性心动过缓进行良好评估,以便对重症患儿进行适当管理,预防猝死。患者和方法:本研究于 2020 年 3 月至 2021 年 8 月在儿科心律失常门诊、急诊科和门诊进行。年龄在 1 天至 14 岁之间、出现急性心动过缓的儿童被纳入我们的研究。死亡前心动过缓除外。本研究对所有入选患者进行了全面的病史、体格检查、基本检查、12导联心电图和超声心动图检查。如有必要,还进行了 Holter 监测。结果研究共纳入 30 名患者。心率范围为 46 至 90 次/分,平均 67.44 次/分。其中 50% 的患者有晕厥发作,另外 50% 的患者在常规检查中被确诊。其中 20% 的患者被检测出 ASD,20% 的患者患有慢性阻塞性肺病,其余 60% 的患者为特发性。18 名患儿出现窦性心动过缓,6 名患儿出现慢性阻塞性心律失常,6 名患儿出现 1 度和 2 度房室传导阻滞。结论儿童原发性心动过缓需要早期、良好的评估和妥善的治疗,以减少急性干预和预防猝死的需要。
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引用次数: 0
The Central Role of the Physician-Scientist in Translational Medicine. An Overview. 医生-科学家在转化医学中的核心作用。概述。
Pub Date : 2024-01-01 DOI: 10.21608/smj.2023.238315.1416
Hassan Elnady
. Abstract The model of the physician who uses research to try to solve the mystery of the disease has existed throughout the ages, starting from the era of Hippocrates, through the Middle Ages, and up to the present day. The terms "physician-scientist," "clinical-scientist," and "clinician-scientist" have all been used to refer to medical practitioner who works in a position between clinical practice and research. Due to their knowledge of both science and medicine, physician-scientists are able to pose clinically pertinent research questions and integrate scientific inquiry into patient care. They provide a distinct viewpoint to biomedical research. Basic science principles are a prerequisite for physician-scientists. Translational medicine is a two-way concept that includes both bench-to-bedside factors, which work to improve the speed at which new therapeutic strategies developed through basic research are tested in clinical settings, and bedside-to-bench factors, which offer feedback on how new treatments are being used and how they can be made better. The institutional divide between the clinic and the lab is where physician-scientists are expected to stand, with one foot in each. They serve as a bridge between the two different worlds, where differences in language and training can make communication challenging. Physician-scientists act as catalysts for translational research. Physician-scientists collaborations enhance patient care, advance medical education, and improve the biomedical industry's profitability.
.摘要 从希波克拉底时代开始,到中世纪,直到今天,医生利用研究来解开疾病之谜的模式一直存在。医生-科学家"、"临床-科学家 "和 "临床医生-科学家 "等术语都被用来指那些在临床实践和研究之间工作的医生。由于同时具备科学和医学知识,医生科学家能够提出与临床相关的研究问题,并将科学探索与病人护理相结合。他们为生物医学研究提供了独特的视角。基础科学原理是医生科学家的先决条件。转化医学是一个双向的概念,既包括 "从工作台到工作台"(bench-to-bedside)的因素,即努力提高通过基础研究开发的新治疗策略在临床环境中进行测试的速度,也包括 "从工作台到工作台"(bench-to-bench)的因素,即就新疗法的使用情况以及如何使其更好提供反馈。临床与实验室之间的制度鸿沟是人们期望医生科学家站稳脚跟的地方。他们是两个不同世界之间的桥梁,而语言和培训方面的差异可能会使沟通面临挑战。医生科学家是转化研究的催化剂。医生与科学家的合作可以加强对病人的护理,促进医学教育,提高生物医药行业的盈利能力。
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引用次数: 0
Current Trend of Toxoplasmosis in Cancer Patients, Sohag University Hospitals, Sohag, Egypt 埃及索哈格大学医院癌症患者弓形虫病的当前趋势
Pub Date : 2024-01-01 DOI: 10.21608/smj.2023.238926.1417
E. Fadel, Hanaa EL hady, Amal Ahmed, M. Tolba
Background and Aim: Human toxoplasmosis is caused by the ubiquitous intracellular apicomplexan pathogen, Toxoplasma gondii (T. gondii) . It has been acclaimed as the most successful parasite ever, infecting up to one-third of the global population. The objective of this study was to evaluate the seroprevalence of T. gondii in individuals with different types of malignancies in comparison to a control group of healthy individuals. Patients and Methods: A case-control study was conducted from March 2022 to June 2023. Sera of 50 patients with different cancer types and 50 healthy individuals were analyzed for Toxoplasma gondii IgG and IgM using indirect ELISA. Results : A total of 100 individuals were evaluated, and it was found that 67 of them (67%) tested positive for Toxoplasma IgG antibodies. Seroprevalence was significantly higher (p=0.016) in cancer patients (64%) than in controls. Moreover, 15% were positive for Toxoplasma IgM. Notably, the prevalence was found to be greater among cancer patients compared to the control group, with (18% vs 12%), respectively. Patients with hematological malignancies exhibited a slightly greater rate of IgG seropositivity compared to those with solid organ tumors (85% and 77% respectively). A similar trend of Toxoplasma IgM, with a prevalence of 25% in hematological malignancies and 9.1% in solid organ tumors. Conclusion : T. gondii infection was shown to be substantially more common in cancer patients. Seropositive patients are at a high risk for reactivation, whereas seronegative patients are at risk for infection. Our research shows that toxoplasmosis screening must be promoted in these settings.
背景和目的:人类弓形虫病是由无处不在的细胞内 apicomplexan 病原体弓形虫(T. gondii)引起的。它被誉为有史以来最成功的寄生虫,感染了全球三分之一的人口。本研究的目的是评估不同类型恶性肿瘤患者的弓形虫血清阳性率,并与健康对照组进行比较。患者和方法:2022 年 3 月至 2023 年 6 月期间进行了一项病例对照研究。采用间接酶联免疫吸附法对 50 名不同类型癌症患者和 50 名健康人的血清进行弓形虫 IgG 和 IgM 分析。结果:共对 100 人进行了评估,发现其中 67 人(67%)的弓形虫 IgG 抗体检测呈阳性。癌症患者的血清阳性率(64%)明显高于对照组(P=0.016)。此外,15% 的患者弓形虫 IgM 呈阳性。值得注意的是,与对照组相比,癌症患者的发病率更高,分别为(18% 对 12%)。血液恶性肿瘤患者的 IgG 血清阳性率略高于实体器官肿瘤患者(分别为 85% 和 77%)。弓形虫 IgM 也有类似的趋势,血液恶性肿瘤患者的发病率为 25%,实体器官肿瘤患者的发病率为 9.1%。结论:弓形虫感染在癌症患者中更为常见。血清反应阳性的患者再激活的风险很高,而血清反应阴性的患者则有感染的风险。我们的研究表明,必须在这些情况下推广弓形虫筛查。
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引用次数: 0
Assessment of Serum Neutrophil Gelatinase-associated Lipocalin in early detection of cardiovascular risk in patients with Vitiligo 评估血清中性粒细胞明胶酶相关脂质体在早期检测白癜风患者心血管风险中的作用
Pub Date : 2023-12-19 DOI: 10.21608/smj.2023.247638.1428
Marwa Mohamed, Doaa Gamal, Hanan Metwally Assaf
: Background: Patients with vitiligo may be more susceptible to cardiovascular disease, atherosclerosis, metabolic syndrome, and other disorders since it is seen as a systemic disorder rather than a skin condition. Patients and methods: 44 non-segmental vitiligo patients and 41 healthy controls participated in this study. Vitiligo Area Scoring Index (VASI) Score was used in patient evaluation to determine the severity of vitiligo. With vitiligo patients, the Reynolds Risk Score (RRS) was used to assess cardiovascular risk. Serum levels of glycosylated hemoglobin (HbA1c), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), high sensitivity C-reactive protein (hs-CRP), and neutrophil gelatinase-associated lipocalin (NGAL) were measured for each participant using biochemical analyses. Results: In this study we found that Cases of vitiligo had higher median RRs score (1 (0.2-13.6) than control (0.9 (0.2-3) but this was statistically insignificant. Also, there was significant (p=0.008) association between disease status and RRs categories i.e., all control group had low risk of cardiac disease while 80% of vitiligo patients group had low risk, about 13% had medium risk and 7% had high risk. Vitiligo cases had insignificantly (p = 0.136) lower median serum NGAL level (246 (104 - 775 ng/ml) compared with control (276 (122 - 783 ng/ml) but this was within normal range of this marker (10ng/ml→3000ng/ml). Non-significant minimal positive correlation between serum NGAL level and RRs score was found (r=0.086, p=0.287). Conclusion: Vitiligo patients are more susceptible for cardiovascular diseases and assessment of serum NGAL level had no role in early detection of these disorders.
:背景:白癜风患者可能更容易患心血管疾病、动脉粥样硬化、代谢综合征和其他疾病,因为它被视为一种全身性疾病而非皮肤病。患者和方法:44 名非节段性白癜风患者和 41 名健康对照者参加了这项研究。在对患者进行评估时,使用了白癜风面积评分指数(VASI)来确定白癜风的严重程度。对于白癜风患者,则使用雷诺兹风险评分(RRS)来评估心血管风险。使用生化分析方法测量了每位参与者的血清糖化血红蛋白(HbA1c)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、高敏C反应蛋白(hs-CRP)和中性粒细胞明胶酶相关脂联素(NGAL)水平。结果在这项研究中,我们发现白癜风病例的 RRs 评分中位数(1(0.2-13.6))高于对照组(0.9(0.2-3)),但这在统计学上并不显著。此外,疾病状态与 RRs 类别之间也有明显关联(P=0.008),即所有对照组患心脏病的风险较低,而 80% 的白癜风患者患心脏病的风险较低,约 13% 患心脏病的风险中等,7% 患心脏病的风险较高。与对照组(276(122 - 783 ng/ml))相比,白癜风病例的血清 NGAL 水平中位数(246(104 - 775 ng/ml))明显偏低(p = 0.136),但这属于该标记物的正常范围(10ng/ml→3000ng/ml)。研究发现,血清 NGAL 水平与 RRs 评分之间存在不显著的微弱正相关性(r=0.086,p=0.287)。结论白癜风患者更容易患心血管疾病,而血清NGAL水平的评估对早期发现这些疾病没有作用。
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引用次数: 0
Importance of peripapillary retinal nerve fiber layer, Ganglion cell complex and visual field severity indices in primary open angle glaucoma 原发性开角型青光眼视网膜周围神经纤维层、神经节细胞复合体和视野严重程度指数的重要性
Pub Date : 2023-12-17 DOI: 10.21608/smj.2023.246235.1426
sara mahmoud ali, Adham Salah El-din Mohamed Saro
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引用次数: 0
MicroRNA-122: A Key Factor in Chronic HCV infection MicroRNA-122:慢性HCV感染的关键因素
Pub Date : 2023-09-01 DOI: 10.21608/smj.2023.196963.1374
Esraa Abo El-Hassan, Asmaa Thabet, M. Fattouh, U. Arafa
: The 1989-discovered hepatitis virus type C (HCV) is a single-stranded RNA (of 9.6 kb) genome coding for about 3010 amino acid types. HCV infection is a significant health burden. Most often (55–85%), acute HCV infection progresses to chronic disease. Little RNAs called micro-RNAs (miRNAs) are part of nearly every developmental or disease process, and in immunological and inflammatory responses as they control messenger RNA (mRNA) translation and mRNA stability. The aberrant regulation of miRNA is significantly linked to the occurrence and progression of numerous diseases. MicroRNA-122 or ―MiR-122‖, is a miRNA exclusive to liver. According to several studies, genome stability, translation, and even replication of HCV have all been linked to it.
1989年发现的丙型肝炎病毒(HCV)是一种单链RNA (9.6 kb)基因组,编码约3010种氨基酸类型。丙型肝炎病毒感染是一个重大的健康负担。大多数情况下(55-85%),急性丙型肝炎病毒感染进展为慢性疾病。被称为微RNA (miRNAs)的小RNA几乎是所有发育或疾病过程的一部分,并在免疫和炎症反应中控制信使RNA (mRNA)的翻译和mRNA的稳定性。miRNA的异常调控与许多疾病的发生和发展有着重要的联系。MicroRNA-122或-MiR-122‖是肝脏独有的miRNA。根据几项研究,基因组稳定性,翻译,甚至HCV的复制都与它有关。
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引用次数: 0
Toxoplasma and Cancer: Friends or Faux? Uncorking the Paradox 弓形虫和癌症:朋友还是假的?解开悖论
Pub Date : 2023-09-01 DOI: 10.21608/smj.2023.213644.1394
E. Fadel, Hanaa Ahmed El Hady, Aml Ahmed, M. Tolba
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引用次数: 0
One stage versus two stage repair of hypospadias with marked chordae: a non randomized comparative study. 伴有明显脊索的尿道下裂一期与二期修复:一项非随机对照研究。
Pub Date : 2023-09-01 DOI: 10.21608/smj.2023.218719.1396
Hazem Elmoghazy, M. Wasel, A. Hammady, M. Mostafa
Purpose : The one-stage repair offers the benefit of utilizing skin that prior surgical operations have not damaged, has an intact blood supply and requires fewer hospitalization days, but it also depends on the surgeon's "expertise" and the family's preferences. Two-stage surgery is frequently preferred in severe primary proximal hypospadias or revision hypospadias. This study aimed to compare the surgical and functional outcomes of one-stage vs. two-stage hypospadias chordal repair. Methods : We conducted a comparative, non-randomized, prospective study on 60 patients with hypospadias with any degree of marked chordae. Patients were allocated to receive either one-stage or two-stage repair using onlay grafts and flaps. All patients were followed for one year postoperatively. The repair was completed six months later using the standard Thiersch–Duplay technique in those with a two-stage repair. Results : Thirty patients were managed in a two-stage procedure (28 with onlay preputial flap and two with buccal mucosal graft), while the remaining 30 patients were managed with a single-stage hypospadias repair with preputial skin flap (tabularized or onlay). The blood loss and operative time were significantly higher in the two-stage procedure group (p <0.05). The success rate of surgery in the one-stage group was 80%, while the two-stage group had a success rate of 83%, indicating a statistically insignificant difference between the two groups. The postoperative complication rate was 20% and 17% in the one-stage and two-stage groups, respectively. Conclusion : The one-stage correction is an effective surgical procedure for treating this condition, with short operative time and less blood loss without the need for a second stage.
目的:一期修复的优点是利用先前手术没有损伤的皮肤,有完整的血液供应,住院天数更少,但这也取决于外科医生的“专业知识”和家庭的喜好。对于严重的原发性近端尿道下裂或翻修性尿道下裂,两期手术通常是首选。本研究旨在比较一期和两期尿道下裂索修复术的手术和功能结果。方法:我们对60例伴有不同程度明显脊索的尿道下裂患者进行了一项比较、非随机、前瞻性研究。患者被分配接受一期或两期修复,使用覆盖移植物和皮瓣。术后随访1年。六个月后,使用标准的Thiersch-Duplay技术完成了两阶段修复。结果:30例患者采用两期手术(28例包皮皮瓣和2例颊粘膜移植),其余30例患者采用单期包皮皮瓣(扁平或覆盖)修复尿道下裂。两阶段手术组出血量及手术时间明显高于两阶段手术组(p <0.05)。一期组手术成功率为80%,两期组手术成功率为83%,两组差异无统计学意义。一期组术后并发症发生率为20%,二期组术后并发症发生率为17%。结论:一期矫正术是治疗此病的有效手术方法,手术时间短,出血量少,无需二次矫正。
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引用次数: 0
Prevalence and Severity of Temporomandibular Joint Disorders Among Sohag University Medical Students: A Questionnaire Study 索海大学医学生颞下颌关节疾病患病率及严重程度的问卷调查
Pub Date : 2023-09-01 DOI: 10.21608/smj.2023.213198.1393
A. Aggag, S. Saied, K. Allam, R. Hossameldin
: Background: Temporomandibular disorder (TMD) is a description of temporomandibular joint (TMJ) dysfunction and pain with variable degrees of severity, aim of our study is to evaluate the prevalence of TMD among Sohag University medical students. Methods: An online Google form questionnaire of two parts was used for the collection and evaluation of demographic data in the first part and Fonseca’s Anamnestic ten questions in the second part, the link to the questionnaire was sent to students through social media including WhatsApp, Facebook, Telegram groups. A sample of 1130 medical students, including all academic grades with ages ranging from 17 to 32 years responded to the link. Fonseca’s Anamnestic Index (FAI) and its questionnaire were used for the evaluation of the prevalence and degree of severity of TMD. Results: The interpretation of the resulting data showed that a total of 746 students (66%) had TMD of which 422 (56.6%) were females and 324 (43.4%) were males. The FAI was used to classify participants according to severity, the results were categorized as follows; 384 (34%) with no TMD, 508 (45%) with mild degree, 198(17.5%) moderate degree, 40 (3.5%) severe degree of TMD. Females were generally more affected than males. There was a statistically significant difference between categories of TMD across gender. Conclusion: TMD has a high prevalence among asymptomatic medical students, with the mild TMD category representing the highest prevalence among volunteers. Prevalence among females was significantly higher than for males. Our results were consistent with similar studies in the literature.
背景:颞下颌关节紊乱(Temporomandibular disorder, TMD)是指不同程度严重程度的颞下颌关节(Temporomandibular joint, TMJ)功能障碍和疼痛,本研究的目的是评估Sohag大学医学生中颞下颌关节紊乱的患病率。方法:采用谷歌形式的在线问卷,分为两部分,第一部分为人口统计数据的收集和评估,第二部分为Fonseca’s Anamnestic十题,问卷链接通过WhatsApp、Facebook、Telegram等社交媒体群发送给学生。1130名医学院学生的样本,包括年龄在17岁到32岁之间的所有年级的学生,对这一链接做出了回应。采用Fonseca’s antic Index (FAI)及其问卷对TMD的患病率和严重程度进行评价。结果:对结果数据的解读显示,共有746名学生(66%)患有TMD,其中女性422名(56.6%),男性324名(43.4%)。采用FAI对受试者按严重程度进行分类,结果分类如下:无TMD 384例(34%),轻度TMD 508例(45%),中度TMD 198例(17.5%),重度TMD 40例(3.5%)。女性通常比男性更容易受到影响。不同性别的TMD类别之间存在统计学差异。结论:TMD在无症状医学生中患病率较高,其中轻度TMD在志愿者中患病率最高。女性的患病率明显高于男性。我们的结果与文献中类似的研究一致。
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引用次数: 0
TRAIL Single Nucleotide Polymorphism in Type 2 Egyptian Diabetic Patients 2型埃及糖尿病患者的TRAIL单核苷酸多态性
Pub Date : 2023-08-23 DOI: 10.21608/smj.2023.226952.1402
S. Mohammed, Tamer H. M. Soliman, Ahmed Mahmoud, Osama Sedeek
Objective: The research attempted to assess the susceptibility of TRAIL polymorphism (rs1131580) in T2DM and its relationship with metabolic parameters in T2DM. Patients and Methods: This study was performed on 80 subjects, 60 T2DM patients and age & sex matched 20 healthy volunteers as controls, The patients had complete clinical examination and detailed history collection, and detection of TRAIL single nucleotide polymorphism rs1131580 by PCR-RFLP standing for polymerase chain reaction-restriction fragment length polymorphism.. Results: TRAIL SNP rs1131580 mutation was greatly more common in the group of diabetics. Conclusion: A homozygous variant allele (CC) genotype of the TRAIL SNP rs1131580 carries a 1.5-fold risk of DM. Also, having the C allele elevated the risk of T2DM by 1.7 times.
目的:探讨TRAIL多态性(rs1131580)在T2DM中的易感性及其与T2DM代谢参数的关系。患者和方法:本研究选取80例受试者,60例T2DM患者和年龄性别匹配的20例健康志愿者作为对照,对患者进行了完整的临床检查和详细的病史收集,采用PCR-RFLP (polymerase chain反应限制性片段长度多态性)检测TRAIL单核苷酸多态性rs1131580。结果:TRAIL SNP rs1131580突变在糖尿病患者中更为常见。结论:TRAIL SNP rs1131580的纯合子变异等位基因(CC)携带1.5倍的糖尿病风险,同时携带C等位基因使2型糖尿病风险增加1.7倍。
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引用次数: 0
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Sohag Medical Journal
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