Pub Date : 2024-07-17DOI: 10.21608/ijma.2024.220614.1726
Ahmed Hamed Elkishky, Mostafa Elmaghraby, Elsayed Abd Elrahman Emara El Mor
Article information Background: Parkinsonism is a clinical syndrome characterized by tremors, bradykinesia or akinesia, rigidity, and postural instability in varying proportions. Important stereotactic techniques were brought into movement disorder surgery by Spiegel and Wycis. Aim of the work: Assessment of clinical outcomes and improvements in the quality of life after stereotactic radiofrequency thalamotomy for Idiopathic Parkinson's disease [PD] cases. Patients and Methods: A prospective cohort study included 30 patients with idiopathic PD subjected to unilateral stereotactic radiofrequency thalamotomy. The primary outcome is the Unified PD Rating Score [UPDRS]. Results: There was a statistically significant variation in tremors among the individuals under study [p-value 0.001]. One patient [3.3%] had a grade I condition, seven [23.3%] had a grade III condition, and 22 [73.3%] had a grade IV condition. Following surgery, there were 12 cases [40%] with grade I tremors, 9 [30%] with grade II tremors, and 9 patients [30%] with no tremors at all. At 12 months Following surgery, there were 15 patients [50%] with grade I tremors, 7 [23.3%] with grade II tremors, and 8 [26.7%] with no tremors. Conclusion: Thalamotomy can improve the tremor totally in 27% of patients [9 patients] and partially in 74% [21 patients], but it cannot stop the course of PD. For many PD patients, longer years without tremor may be possible by selectively enrolling cases, documentation of neurological impairments, localizing and creating lesion in surgery with pinpoint accuracy, and prudent after-surgery antiparkinsonian medication administration.
文章信息 背景：帕金森病是一种临床综合征，以不同比例的震颤、运动迟缓或运动障碍、僵直和姿势不稳为特征。Spiegel和Wycis将重要的立体定向技术引入运动障碍手术。工作目标评估立体定向射频丘脑切开术治疗特发性帕金森病[PD]病例后的临床疗效和生活质量改善情况。患者和方法：一项前瞻性队列研究纳入了 30 名接受单侧立体定向射频丘脑切开术的特发性帕金森病患者。主要研究结果为特发性帕金森病统一评分（UPDRS）。结果：研究对象的震颤差异具有统计学意义[P值0.001]。1 名患者[3.3%]为 I 级，7 名患者[23.3%]为 III 级，22 名患者[73.3%]为 IV 级。手术后，12 例患者[40%]出现 I 级震颤，9 例患者[30%]出现 II 级震颤，9 例患者[30%]完全没有震颤。术后 12 个月时，有 15 名患者出现 I 级震颤[50%]，7 名患者出现 II 级震颤[23.3%]，8 名患者没有震颤[26.7%]。结论丘脑切开术可完全改善 27% 患者（9 人）的震颤，部分改善 74% 患者（21 人）的震颤，但不能阻止帕金森病的进程。对于许多帕金森病患者来说，通过有选择性地选择病例、记录神经系统损伤、手术中精确定位和创建病灶以及术后谨慎服用抗帕金森药物，延长无震颤时间是可能的。
{"title":"Unilateral Stereotactic Radiofrequency Thalamotomy for Tremors in Parkinson’s Patients","authors":"Ahmed Hamed Elkishky, Mostafa Elmaghraby, Elsayed Abd Elrahman Emara El Mor","doi":"10.21608/ijma.2024.220614.1726","DOIUrl":"https://doi.org/10.21608/ijma.2024.220614.1726","url":null,"abstract":"Article information Background: Parkinsonism is a clinical syndrome characterized by tremors, bradykinesia or akinesia, rigidity, and postural instability in varying proportions. Important stereotactic techniques were brought into movement disorder surgery by Spiegel and Wycis. Aim of the work: Assessment of clinical outcomes and improvements in the quality of life after stereotactic radiofrequency thalamotomy for Idiopathic Parkinson's disease [PD] cases. Patients and Methods: A prospective cohort study included 30 patients with idiopathic PD subjected to unilateral stereotactic radiofrequency thalamotomy. The primary outcome is the Unified PD Rating Score [UPDRS]. Results: There was a statistically significant variation in tremors among the individuals under study [p-value 0.001]. One patient [3.3%] had a grade I condition, seven [23.3%] had a grade III condition, and 22 [73.3%] had a grade IV condition. Following surgery, there were 12 cases [40%] with grade I tremors, 9 [30%] with grade II tremors, and 9 patients [30%] with no tremors at all. At 12 months Following surgery, there were 15 patients [50%] with grade I tremors, 7 [23.3%] with grade II tremors, and 8 [26.7%] with no tremors. Conclusion: Thalamotomy can improve the tremor totally in 27% of patients [9 patients] and partially in 74% [21 patients], but it cannot stop the course of PD. For many PD patients, longer years without tremor may be possible by selectively enrolling cases, documentation of neurological impairments, localizing and creating lesion in surgery with pinpoint accuracy, and prudent after-surgery antiparkinsonian medication administration.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141828117","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}
Pub Date : 2024-07-17DOI: 10.21608/ijma.2024.261352.1908
Esraa Hosny Abd Elhady, Faisal Mustafa, Osama Abdelazem Hasan
Article information Background: A cesarean section refers to the childbirth method involving the extraction of the baby through an incision made in the abdomen and uterus. This procedure is commonly conducted and ranks among the most frequently performed surgical interventions, with a global prevalence ranging from 37% to 67%. Aim of the work: To evaluate the impact of early maternal nutrition and gastrointestinal function following cesarean delivery. Patients and Methods: In a randomized controlled trial, there were 100 cases in the Study group [Group A] that were allowed early feeding without considering bowel sounds, as opposed to the Control group [Group B], which included 100 cases with delayed feeding regardless of bowel sounds. Results: There were no notable variations between the two groups in terms of BMI, age, gestational age, parity, surgical duration, blood loss, and ability to walk. However, a significant contrast was observed between the groups concerning bowel sounds and bowel movement. Group A demonstrated greater satisfaction levels compared to Group B, with statistically significant variances discerned between the groups. Conclusion: Giving early oral nutrition after a straightforward cesarean delivery is more effective than providing early feeding without listening for bowel sounds, commencing 6 hours after the operation. It leads to faster restoration of gastrointestinal function, ambulation, shorter hospital stay, increased satisfaction, reduced vomiting and nausea, and a lower incidence of significant gastrointestinal complications compared to delayed feeding.
{"title":"Study of Early versus Delayed Oral Fluid and Food after Cesarean Section","authors":"Esraa Hosny Abd Elhady, Faisal Mustafa, Osama Abdelazem Hasan","doi":"10.21608/ijma.2024.261352.1908","DOIUrl":"https://doi.org/10.21608/ijma.2024.261352.1908","url":null,"abstract":"Article information Background: A cesarean section refers to the childbirth method involving the extraction of the baby through an incision made in the abdomen and uterus. This procedure is commonly conducted and ranks among the most frequently performed surgical interventions, with a global prevalence ranging from 37% to 67%. Aim of the work: To evaluate the impact of early maternal nutrition and gastrointestinal function following cesarean delivery. Patients and Methods: In a randomized controlled trial, there were 100 cases in the Study group [Group A] that were allowed early feeding without considering bowel sounds, as opposed to the Control group [Group B], which included 100 cases with delayed feeding regardless of bowel sounds. Results: There were no notable variations between the two groups in terms of BMI, age, gestational age, parity, surgical duration, blood loss, and ability to walk. However, a significant contrast was observed between the groups concerning bowel sounds and bowel movement. Group A demonstrated greater satisfaction levels compared to Group B, with statistically significant variances discerned between the groups. Conclusion: Giving early oral nutrition after a straightforward cesarean delivery is more effective than providing early feeding without listening for bowel sounds, commencing 6 hours after the operation. It leads to faster restoration of gastrointestinal function, ambulation, shorter hospital stay, increased satisfaction, reduced vomiting and nausea, and a lower incidence of significant gastrointestinal complications compared to delayed feeding.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141829816","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}
Pub Date : 2024-07-17DOI: 10.21608/ijma.2024.200953.1644
Mohamed Mohamed Abozied, M. M. Balbola, A. Elwan, Ayman Alhosseiny Abdelmaksoud, Gamal Ahmed Mohamed, B. Moustafa
Article information Background: Obesity has become a global epidemic, and bariatric surgery has emerged as an effective treatment for morbidly obese individuals. Laparoscopic sleeve gastrectomy [LSG] and mini gastric bypass [MGB] are two commonly performed procedures with distinct mechanisms of action and outcomes. Aim of the work: This comparative study aims to evaluate and compare the outcomes of LSG and MGB in morbidly obese patients, focusing on weight loss, depression improvement, early complications and blood glucose. Patients and Methods: A prospective interventional study included 40 consecutive morbid obese patients who underwent bariatric surgery [LSG or MGB]. The effects of both procedures on weight loss outcomes, the severity of depression, blood glucose and laboratory parameters were evaluated over six-months duration. Results: Both procedures demonstrated similar effectiveness in reducing weight and lowering random blood sugar levels during the planned follow-up appointments. In the case of LSG, the percentage of excess weight loss [%EWL] had average figures of 13.64%, 34.2%, and 59.52%, while for LMGB, it was 13.42%, 42.96%, and 58.91% at the 1-month, 3-month, and 6-month follow-up visits, respectively. There was a notable decrease in reported depression scores after six months, with no significant variance observed between the two procedures. Conclusion: Both procedures were associated with a similar reduction in body weight and percentage of excess weight loss, improvement in blood glucose levels, and depression scores.
{"title":"Comparative Study Between the Outcomes of Laparoscopic Sleeve Gastrectomy and Mini Gastric Bypass for Morbidly Obese Patients","authors":"Mohamed Mohamed Abozied, M. M. Balbola, A. Elwan, Ayman Alhosseiny Abdelmaksoud, Gamal Ahmed Mohamed, B. Moustafa","doi":"10.21608/ijma.2024.200953.1644","DOIUrl":"https://doi.org/10.21608/ijma.2024.200953.1644","url":null,"abstract":"Article information Background: Obesity has become a global epidemic, and bariatric surgery has emerged as an effective treatment for morbidly obese individuals. Laparoscopic sleeve gastrectomy [LSG] and mini gastric bypass [MGB] are two commonly performed procedures with distinct mechanisms of action and outcomes. Aim of the work: This comparative study aims to evaluate and compare the outcomes of LSG and MGB in morbidly obese patients, focusing on weight loss, depression improvement, early complications and blood glucose. Patients and Methods: A prospective interventional study included 40 consecutive morbid obese patients who underwent bariatric surgery [LSG or MGB]. The effects of both procedures on weight loss outcomes, the severity of depression, blood glucose and laboratory parameters were evaluated over six-months duration. Results: Both procedures demonstrated similar effectiveness in reducing weight and lowering random blood sugar levels during the planned follow-up appointments. In the case of LSG, the percentage of excess weight loss [%EWL] had average figures of 13.64%, 34.2%, and 59.52%, while for LMGB, it was 13.42%, 42.96%, and 58.91% at the 1-month, 3-month, and 6-month follow-up visits, respectively. There was a notable decrease in reported depression scores after six months, with no significant variance observed between the two procedures. Conclusion: Both procedures were associated with a similar reduction in body weight and percentage of excess weight loss, improvement in blood glucose levels, and depression scores.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830579","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}
Pub Date : 2024-07-17DOI: 10.21608/ijma.2024.288279.1966
Enas Mahmoud Reda Abd AL-aal, H. Obaya, Heba Ahmed Mousa Ghaleb
Article information Background: Underweight persons have problems in increasing muscle size, body weight and also fitness levels. Resistance training [RT] has remarkable effect in increasing muscle size [hypertrophy]. Aim of the work: To determine the effect of resistance training on muscle strength, physical performance and psychological state in underweight females. Patients and Methods: Sixty underweight females were recruited in this study. They were selected from the clinical nutrition department, Kafr Al Zayat general hospital. They aged from 20 to 30 years old with a BMI between 16 to 18.4 kg/m². They randomly distributed into two equal groups; Group A [Study group] [Resistance training group]: 30 female subjects received strengthening training exercises in the form of upper body exercises [push-up, dips, bridges and planks] and lower body exercises [squats and lungs], in addition to high caloric diet, and group B [Diet group] received only high caloric diet. BMI, muscle mass, muscle strength measurements, physical performance and Rosenberg self-esteem scale were assessed pre and post the study. Results: There was a significant increase in all variables that represent BMI [2.92%], skeletal muscle mass [10,46 %], muscle strength measures for upper limb [shoulder abduction, elbow flexion, elbow extension [15.21% , 55.16% , 26.50 % respectively] and for lower limb [planter flexion, ankle dorsiflexion, knee extension [13.51%, 15.53%, 43.34% respectively], six minute walk test [6.90%], one minute sit-up test [43.99%] and Rosenberg self-esteem scale [37.05%] in resistance training group [A] than diet group [B] but there was no significant difference between all these variables in between groups pre-treatment [p>0.05]. Conclusion: Resisted training has significant optimistic effects on muscle bulk, muscle strength and improving physical performance and psychological state for underweight females. Therefore, it is recommended as a basic program for underweight females .
{"title":"Effect of Resistance Training on Physical Performance in Underweight Females","authors":"Enas Mahmoud Reda Abd AL-aal, H. Obaya, Heba Ahmed Mousa Ghaleb","doi":"10.21608/ijma.2024.288279.1966","DOIUrl":"https://doi.org/10.21608/ijma.2024.288279.1966","url":null,"abstract":"Article information Background: Underweight persons have problems in increasing muscle size, body weight and also fitness levels. Resistance training [RT] has remarkable effect in increasing muscle size [hypertrophy]. Aim of the work: To determine the effect of resistance training on muscle strength, physical performance and psychological state in underweight females. Patients and Methods: Sixty underweight females were recruited in this study. They were selected from the clinical nutrition department, Kafr Al Zayat general hospital. They aged from 20 to 30 years old with a BMI between 16 to 18.4 kg/m². They randomly distributed into two equal groups; Group A [Study group] [Resistance training group]: 30 female subjects received strengthening training exercises in the form of upper body exercises [push-up, dips, bridges and planks] and lower body exercises [squats and lungs], in addition to high caloric diet, and group B [Diet group] received only high caloric diet. BMI, muscle mass, muscle strength measurements, physical performance and Rosenberg self-esteem scale were assessed pre and post the study. Results: There was a significant increase in all variables that represent BMI [2.92%], skeletal muscle mass [10,46 %], muscle strength measures for upper limb [shoulder abduction, elbow flexion, elbow extension [15.21% , 55.16% , 26.50 % respectively] and for lower limb [planter flexion, ankle dorsiflexion, knee extension [13.51%, 15.53%, 43.34% respectively], six minute walk test [6.90%], one minute sit-up test [43.99%] and Rosenberg self-esteem scale [37.05%] in resistance training group [A] than diet group [B] but there was no significant difference between all these variables in between groups pre-treatment [p>0.05]. Conclusion: Resisted training has significant optimistic effects on muscle bulk, muscle strength and improving physical performance and psychological state for underweight females. Therefore, it is recommended as a basic program for underweight females .","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830604","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}
Pub Date : 2024-07-17DOI: 10.21608/ijma.2024.289839.1970
Fatma M. Abd Allah, R. Atallah, Salah El-din S. Semary, Osama Magdy Elshahat
ABSTRACT
摘要
{"title":"Efficacy of Topical Latanoprost Versus Topical Minoxidil In the Treatment of Alopecia Areata: Clinical and Dermoscopic Study","authors":"Fatma M. Abd Allah, R. Atallah, Salah El-din S. Semary, Osama Magdy Elshahat","doi":"10.21608/ijma.2024.289839.1970","DOIUrl":"https://doi.org/10.21608/ijma.2024.289839.1970","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831494","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}
Pub Date : 2024-07-09DOI: 10.21608/ijma.2024.286415.1963
Yasser A. El Kerdasy, Tarek M Nasrallah, Saad Alzokm
{"title":"Association between sarcopenia, oxidative stress and inflammatory biomarkers in the elderly diabetic populations","authors":"Yasser A. El Kerdasy, Tarek M Nasrallah, Saad Alzokm","doi":"10.21608/ijma.2024.286415.1963","DOIUrl":"https://doi.org/10.21608/ijma.2024.286415.1963","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141663849","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}
Pub Date : 2024-07-08DOI: 10.21608/ijma.2023.248790.1871
Mohamed Sobhy Sedky, Sherif Ali Abd El Aziz, Shaaban Salah Abd Elmoneum, Wafaa A. Abdelghany, Mohamed Saleh
Article information Background: Coronavirus disease 2019 [COVID-19] was first reported in Wuhan, China. It then rapidly spread and became a global epidemic due to infection by severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]. COVID-19 is highly transmissible with a high risk of mortality. Patients with diabetes mellitus [DM] are more susceptible to infectious agents like SARS-CoV-2. Aim of the work: The aim of the study was to evaluate the relationship between DM and COVID-19 infection regarding severity, mortality, admission rate, complications, and prognosis. Patients and Methods: A cross-sectional study was performed between April 2021 and September 2021. It included 75 patients divided into three groups: Group A [COVID-19 patients with diabetes, n=25], Group B [COVID-19 patients who developed diabetes, n=25] and Group C [COVID-19 patients without diabetes, n=25]. Demographic, clinical, laboratory, radiologic, management, complication, and clinical outcome data were collected and compared between the groups. Results: Patients with diabetes had a higher rate of complications like respiratory failure and acute cardiac injury. Respiratory failure was not significantly different between groups [20%, 28% and 12% in groups A, B and C respectively, P=0.368]. However, acute cardiac injury was significantly higher in groups A than B and in A and B than C [[44%, 20% and 8% respectively, P=0.01]. The mortality rate was also significantly higher among groups A and B than C [56%, 40% vs 8%, P=0.001]. Conclusion: Diabetes is an independent risk factor for COVID-19 prognosis. Diabetic patients should be closely monitored during treatment, especially those requiring insulin therapy.
文章信息 背景：2019年冠状病毒病[COVID-19]首次在中国武汉被报道。随后，由于感染了严重急性呼吸系统综合征冠状病毒 2 [SARS-CoV-2]，该病迅速蔓延并成为全球性流行病。COVID-19 传播性强，死亡风险高。糖尿病[DM]患者更容易感染 SARS-CoV-2 等传染性病原体。工作目标本研究旨在评估 DM 与 COVID-19 感染在严重程度、死亡率、入院率、并发症和预后方面的关系。患者和方法2021 年 4 月至 2021 年 9 月期间进行了一项横断面研究。共纳入 75 名患者，分为三组：A组[COVID-19糖尿病患者，25人]、B组[COVID-19糖尿病患者，25人]和C组[COVID-19非糖尿病患者，25人]。收集人口统计学、临床、实验室、放射学、管理、并发症和临床结果数据，并在各组之间进行比较。结果：糖尿病患者出现呼吸衰竭和急性心脏损伤等并发症的比例较高。呼吸衰竭在各组间无明显差异[A、B、C 组分别为 20%、28% 和 12%，P=0.368]。然而，急性心脏损伤在 A 组明显高于 B 组，在 A 组和 B 组明显高于 C 组[分别为 44%、20% 和 8%，P=0.01]。A 组和 B 组的死亡率也明显高于 C 组[分别为 56%、40% 和 8%，P=0.001]。结论：糖尿病是影响 COVID-19 预后的独立危险因素。在治疗期间应密切监测糖尿病患者，尤其是需要胰岛素治疗的患者。
{"title":"The Relationship between Diabetes Mellitus and The Prognosis of COVID-19","authors":"Mohamed Sobhy Sedky, Sherif Ali Abd El Aziz, Shaaban Salah Abd Elmoneum, Wafaa A. Abdelghany, Mohamed Saleh","doi":"10.21608/ijma.2023.248790.1871","DOIUrl":"https://doi.org/10.21608/ijma.2023.248790.1871","url":null,"abstract":"Article information Background: Coronavirus disease 2019 [COVID-19] was first reported in Wuhan, China. It then rapidly spread and became a global epidemic due to infection by severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]. COVID-19 is highly transmissible with a high risk of mortality. Patients with diabetes mellitus [DM] are more susceptible to infectious agents like SARS-CoV-2. Aim of the work: The aim of the study was to evaluate the relationship between DM and COVID-19 infection regarding severity, mortality, admission rate, complications, and prognosis. Patients and Methods: A cross-sectional study was performed between April 2021 and September 2021. It included 75 patients divided into three groups: Group A [COVID-19 patients with diabetes, n=25], Group B [COVID-19 patients who developed diabetes, n=25] and Group C [COVID-19 patients without diabetes, n=25]. Demographic, clinical, laboratory, radiologic, management, complication, and clinical outcome data were collected and compared between the groups. Results: Patients with diabetes had a higher rate of complications like respiratory failure and acute cardiac injury. Respiratory failure was not significantly different between groups [20%, 28% and 12% in groups A, B and C respectively, P=0.368]. However, acute cardiac injury was significantly higher in groups A than B and in A and B than C [[44%, 20% and 8% respectively, P=0.01]. The mortality rate was also significantly higher among groups A and B than C [56%, 40% vs 8%, P=0.001]. Conclusion: Diabetes is an independent risk factor for COVID-19 prognosis. Diabetic patients should be closely monitored during treatment, especially those requiring insulin therapy.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141666874","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}
Pub Date : 2024-07-08DOI: 10.21608/ijma.2024.285088.1960
Mona Gad, Ahmed M. Kandel, Ahmed F. Abd-Ellatief, Zenat Eldadamony Mohamed Eldadamony
Article information Background: Surgical repair for supraumbilical hernias is a common surgical procedure that is often associated with significant post-operative pain. Some regional blocks have been described to alleviate pain after such procedures, including the "rectus sheath block"[RSB] and "external oblique intercostal plane block" [EOIPB]. Aim of the work: To compare the analgesic effects of RSB and EOIPB in patients undergoing procedures through upper midline laparotomies. Patients and Methods: This prospective randomized trial included 75 patients who were assigned into three groups: RSB group where the local anesthetic mixture [5 ml lidocaine 2%, 10 ml bupivacaine 0.25%, and 5 ml normal saline] was injected into the plane deep to the posterolateral muscle aspect, EOIPB group the same anesthetic mixture was delivered deep to the EOM and superficial to the ribs and intercostal musculature, and control group with no block Results: Preoperative parameters and operative time comparable in three groups of study. VAS during rest in both blocks were significantly lower compared to control group at all time points. The two block groups had comparable pain scores at the initial two readings. VAS during cough [or movement] showed similar findings. The patients requiring rescue opioid analgesia was lower in two block groups. The duration to the first rescue analgesia was in favor of the two block groups. The 24-hour morphine consumption had the lowest value in the EOIPB group, followed by the RSB group, the control group had the highest consumption. Conclusion: EOIPB is associated with better postoperative analgesia compared to the RSB. It is recommended that the former block be performed in such cases to enhance postoperative outcomes.
{"title":"External Oblique Intercostal Plane Block Versus Rectus Sheath Plane Block in Supra-umbilical Surgical Incisions; Randomized Controlled Double-Blinded Clinical Trial","authors":"Mona Gad, Ahmed M. Kandel, Ahmed F. Abd-Ellatief, Zenat Eldadamony Mohamed Eldadamony","doi":"10.21608/ijma.2024.285088.1960","DOIUrl":"https://doi.org/10.21608/ijma.2024.285088.1960","url":null,"abstract":"Article information Background: Surgical repair for supraumbilical hernias is a common surgical procedure that is often associated with significant post-operative pain. Some regional blocks have been described to alleviate pain after such procedures, including the \"rectus sheath block\"[RSB] and \"external oblique intercostal plane block\" [EOIPB]. Aim of the work: To compare the analgesic effects of RSB and EOIPB in patients undergoing procedures through upper midline laparotomies. Patients and Methods: This prospective randomized trial included 75 patients who were assigned into three groups: RSB group where the local anesthetic mixture [5 ml lidocaine 2%, 10 ml bupivacaine 0.25%, and 5 ml normal saline] was injected into the plane deep to the posterolateral muscle aspect, EOIPB group the same anesthetic mixture was delivered deep to the EOM and superficial to the ribs and intercostal musculature, and control group with no block Results: Preoperative parameters and operative time comparable in three groups of study. VAS during rest in both blocks were significantly lower compared to control group at all time points. The two block groups had comparable pain scores at the initial two readings. VAS during cough [or movement] showed similar findings. The patients requiring rescue opioid analgesia was lower in two block groups. The duration to the first rescue analgesia was in favor of the two block groups. The 24-hour morphine consumption had the lowest value in the EOIPB group, followed by the RSB group, the control group had the highest consumption. Conclusion: EOIPB is associated with better postoperative analgesia compared to the RSB. It is recommended that the former block be performed in such cases to enhance postoperative outcomes.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141667881","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}
Pub Date : 2024-07-08DOI: 10.21608/ijma.2024.187748.1599
Ahmed Mahmoud Morad, Hussein Metwally Abdelmaksoud, Mohammed Abo Al-maaty, Hoda M. Abedelrahman
Article information Background: Despite being a frequent complaint among children and adolescents, there is still a considerable lack of comprehension regarding the distinctive characteristics of migraine in these age groups. One of these aspects is the influence of sex on the prevalence and characteristics of migraine. Aim of the work: To evaluate the clinical characteristics of migraine headaches in children and adolescents in relation to sex of studied cases. Patients and Methods: This Prospective Observational Study included 96 females and 82 males aged 6-18 years with migraine. Detailed history and physical examination were conducted. ICHD-3 criteria were used for diagnosis and migraine features were compared between sexes. Results: Girls had a higher mean age than boys [12.5 ± 3.7 years vs. 11.4 ± 3.5 years, P = 0.044]. Males were more common in the <12 years age group, while females predominated in the 12-16 years group. Migraine onset was earlier in males [8.9 ± 2.7 vs. 9.4 ± 2.6 years; P = 0.21]. Girls experienced higher intensity migraines [P = 0.01]. Vomiting was significantly more prevalent in boys compared to girls [39% vs. 24%; P = 0.03]. Family history, migraine types and triggers did not differ. Conclusion: This study demonstrated notable sex-based differences in the clinical profiles of pediatric migraine. Females tended to experience higher migraine severity and burden, while males presented with certain gastrointestinal symptoms more commonly. Earlier identification of distinct characteristics according to biological sex may assist clinicians in optimizing evaluation and management strategies tailored for individual patients. Further research should explore potential pathophysiological underpinnings driving these observed clinical disparities between boys and girls with migraine.
{"title":"Sex-Based Differences in Pediatric Migraine: A Clinico-Epidemiological Study","authors":"Ahmed Mahmoud Morad, Hussein Metwally Abdelmaksoud, Mohammed Abo Al-maaty, Hoda M. Abedelrahman","doi":"10.21608/ijma.2024.187748.1599","DOIUrl":"https://doi.org/10.21608/ijma.2024.187748.1599","url":null,"abstract":"Article information Background: Despite being a frequent complaint among children and adolescents, there is still a considerable lack of comprehension regarding the distinctive characteristics of migraine in these age groups. One of these aspects is the influence of sex on the prevalence and characteristics of migraine. Aim of the work: To evaluate the clinical characteristics of migraine headaches in children and adolescents in relation to sex of studied cases. Patients and Methods: This Prospective Observational Study included 96 females and 82 males aged 6-18 years with migraine. Detailed history and physical examination were conducted. ICHD-3 criteria were used for diagnosis and migraine features were compared between sexes. Results: Girls had a higher mean age than boys [12.5 ± 3.7 years vs. 11.4 ± 3.5 years, P = 0.044]. Males were more common in the <12 years age group, while females predominated in the 12-16 years group. Migraine onset was earlier in males [8.9 ± 2.7 vs. 9.4 ± 2.6 years; P = 0.21]. Girls experienced higher intensity migraines [P = 0.01]. Vomiting was significantly more prevalent in boys compared to girls [39% vs. 24%; P = 0.03]. Family history, migraine types and triggers did not differ. Conclusion: This study demonstrated notable sex-based differences in the clinical profiles of pediatric migraine. Females tended to experience higher migraine severity and burden, while males presented with certain gastrointestinal symptoms more commonly. Earlier identification of distinct characteristics according to biological sex may assist clinicians in optimizing evaluation and management strategies tailored for individual patients. Further research should explore potential pathophysiological underpinnings driving these observed clinical disparities between boys and girls with migraine.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668213","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}
Pub Date : 2024-06-10DOI: 10.21608/ijma.2024.288948.1967
Amr Abd El-Wahed Mohammed Nada, Abd El Shakour Al-Mohammady, A. M. Kadah
{"title":"Prevalence of Ejaculatory Disorders among Post COVID-19 Egyptian Males","authors":"Amr Abd El-Wahed Mohammed Nada, Abd El Shakour Al-Mohammady, A. M. Kadah","doi":"10.21608/ijma.2024.288948.1967","DOIUrl":"https://doi.org/10.21608/ijma.2024.288948.1967","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141362621","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}
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