Pub Date : 2023-10-30DOI: 10.21608/ijma.2023.236062.1810
Reem ELsharkawy, Mohamed Mahdy, Mohammed Mohammed, Ali Rashad
ABSTRACT
{"title":"Optimization of The Dose of Pregabalin as Pre-Anaesthetic Medication in Patients Undergoing Total Hip Arthroplasty Under Spinal Anaesthesia: Randomized Controlled Trial","authors":"Reem ELsharkawy, Mohamed Mahdy, Mohammed Mohammed, Ali Rashad","doi":"10.21608/ijma.2023.236062.1810","DOIUrl":"https://doi.org/10.21608/ijma.2023.236062.1810","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136133434","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 : 2023-10-28DOI: 10.21608/ijma.2023.236754.1814
Yahya Mohammed, Said Abd Al-Hameid, Ahmed El-Naggar
{"title":"Procalcitonin Guided Antibiotic Therapy in Septic Critically Ill Patients Admitted to Critical Care Unit","authors":"Yahya Mohammed, Said Abd Al-Hameid, Ahmed El-Naggar","doi":"10.21608/ijma.2023.236754.1814","DOIUrl":"https://doi.org/10.21608/ijma.2023.236754.1814","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136232577","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 : 2023-10-25DOI: 10.21608/ijma.2023.237193.1816
Ahmed Mohammed, Ayman Fahmy Elramah, Hazem Megahed
{"title":"Comparative Study of Mesh Fixation using Cyanoacrylate Glue versus Fixation by Proline Sutures in Adult Inguinal Hernioplasty","authors":"Ahmed Mohammed, Ayman Fahmy Elramah, Hazem Megahed","doi":"10.21608/ijma.2023.237193.1816","DOIUrl":"https://doi.org/10.21608/ijma.2023.237193.1816","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135169320","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 : 2023-10-18DOI: 10.21608/ijma.2023.229865.1780
Saied Alaskary, Ali Khedr
Article information Background: Trigeminal neuralgia is a common cause of sever annoying facial pain that has a great effect on patient’s life, and in drug resistant cases gaserian ganglion radiofrequency is minimally invasive, safe and effective procedure specially in patients not fit for microvascular decompression [MVD]. Aim of the work: To evaluate clinical outcome after Gaserian Ganglion radiofrequency thermocoagulation treatment of trigeminal neuralgia. Patients and Methods: We performed Gaserian Ganglion radiofrequency thermocoagulation on 25 patients with primary trigeminal neuralgia and followed them for 12 months after surgery to compare our findings with those of other authors in the literature. Results: 100% of cases showed immediate post RF pain relief and VAS decreased from 9.8 to 0.24. the recurrence rate after 6 months of follow up was 8% [2 cases] and after 1 year was 20% [5 cases] . 100% developed facial hypoesthesia but improved gradually and only 2 patients, [8%] still complaining of ipsilateral hypoesthesia after 2 months. 12% of patients developed mild facial swelling that subsided over 1 to 2 weeks, and 12% developed grade 4 masticatory weakness that improved over 1 month, while there were no patients recorded with anesthesia dolorosa, corneal affection, CSF leak, meningitis or vascular injury . Conclusion: The results were
{"title":"Evaluation of Clinical Outcome after Gaserian Ganglion Radiofrequency Thermocoagulation For the Treatment of Trigeminal Neuralgia","authors":"Saied Alaskary, Ali Khedr","doi":"10.21608/ijma.2023.229865.1780","DOIUrl":"https://doi.org/10.21608/ijma.2023.229865.1780","url":null,"abstract":"Article information Background: Trigeminal neuralgia is a common cause of sever annoying facial pain that has a great effect on patient’s life, and in drug resistant cases gaserian ganglion radiofrequency is minimally invasive, safe and effective procedure specially in patients not fit for microvascular decompression [MVD]. Aim of the work: To evaluate clinical outcome after Gaserian Ganglion radiofrequency thermocoagulation treatment of trigeminal neuralgia. Patients and Methods: We performed Gaserian Ganglion radiofrequency thermocoagulation on 25 patients with primary trigeminal neuralgia and followed them for 12 months after surgery to compare our findings with those of other authors in the literature. Results: 100% of cases showed immediate post RF pain relief and VAS decreased from 9.8 to 0.24. the recurrence rate after 6 months of follow up was 8% [2 cases] and after 1 year was 20% [5 cases] . 100% developed facial hypoesthesia but improved gradually and only 2 patients, [8%] still complaining of ipsilateral hypoesthesia after 2 months. 12% of patients developed mild facial swelling that subsided over 1 to 2 weeks, and 12% developed grade 4 masticatory weakness that improved over 1 month, while there were no patients recorded with anesthesia dolorosa, corneal affection, CSF leak, meningitis or vascular injury . Conclusion: The results were","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135943158","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 : 2023-10-14DOI: 10.21608/ijma.2023.237996.1818
Abdelrhman Elsayed, Mohammed Afify, Yasser Zeitoun, Ahmed Ghazy, Osama Abdelrazek
{"title":"Efficacy of Adding Lactoferrin with Triple Therapy for Helicobacter Pylori Eradication in Egyptian Patients","authors":"Abdelrhman Elsayed, Mohammed Afify, Yasser Zeitoun, Ahmed Ghazy, Osama Abdelrazek","doi":"10.21608/ijma.2023.237996.1818","DOIUrl":"https://doi.org/10.21608/ijma.2023.237996.1818","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805638","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 : 2023-10-14DOI: 10.21608/ijma.2023.235277.1806
Mohamed Mohamed, Shaker Ezz-Elddin, Emad Elrewiny, Mohammad Hassan
{"title":"Study of Electroencephalographic Patterns in Segmental and Non-segmental Vitiligo Patients: An Open Randomized Study","authors":"Mohamed Mohamed, Shaker Ezz-Elddin, Emad Elrewiny, Mohammad Hassan","doi":"10.21608/ijma.2023.235277.1806","DOIUrl":"https://doi.org/10.21608/ijma.2023.235277.1806","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805943","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 : 2023-10-01DOI: 10.21608/ijma.2023.224567.1744
Ahmed Youssef, Doaa Diab, Hesham Abdel Mohymen, Mohamed Abd Allah
ABSTRACT
摘要
{"title":"Dexmedetomidine versus Midazolam as Local Anesthetic Adjuvants to Bupivacaine in Ultrasound-Guided Supraclavicular Brachial Plexus Block for Upper-Limb Vascular Surgeries: A Comparative Study","authors":"Ahmed Youssef, Doaa Diab, Hesham Abdel Mohymen, Mohamed Abd Allah","doi":"10.21608/ijma.2023.224567.1744","DOIUrl":"https://doi.org/10.21608/ijma.2023.224567.1744","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325848","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 : 2023-10-01DOI: 10.21608/ijma.2023.242724.1839
Mohamed Ahmed, Waleed Mossa, Amr Rezk, Nasser kamal Elhamshary
Article information Background: Helicobacter pylori [H. Pylori] infection is a major risk factor for the development of gastric cancer. Gastric cancer witnessed a significant increase in recent decades. Thus, eradication of H. Pylori could reduce the incidence of gastric cancer. However, the standard treatment is not yet determined. Aim of the Work: To evaluate the efficacy of Vonoprazan [VPZ]-based regimen compared-with proton pump inhibitors [PPI]-based regimen for H. pylori eradication therapy. Patients and Methods: This study included 150 patients with gastro-intestinal symptoms and H. Pylori positive test. They were divided into equal three groups according to treatment regimen. The first group [I] received PPI-based regiment [triple therapy; Clarithromycin 500 mg, amoxicillin 1gm, and PPI 40 mg] twice daily for two weeks. The second group [II] received vonoprazan-based regiment [triple therapy; Clarithromycin 500 mg, amoxicillin 1 gm, and vonoprazan 20 mg] twice daily for two weeks. The third group also for vonoprazan-based regimen [dual therapy; [amoxicillin 1gm –vonoprazan 20 mg] twice daily for two weeks. Results: The analysis indicates that the eradication rate of H. Pylori was 88% in group I, 92% in group II and 84% in group III. There was no significant difference between the three studied groups regarding eradication rate. In addition, groups were comparable regarding patient demographics except younger age of the first group than the second and third groups. Otherwise, no significant associations [differences] between groups were reported. Conclusion: Vonoprazan triple therapy is superior to PPI-triple therapy. The dual vonoprazan-therapy is highly recommended in case of clarithromycin resistant patients. Otherwise, the triple vonoprazan therapy is recommended.
文章信息 背景：幽门螺杆菌感染是胃癌发病的主要风险因素。近几十年来，胃癌的发病率大幅上升。因此，根除幽门螺杆菌可以降低胃癌的发病率。然而，标准治疗方法尚未确定。工作目的评估以伏诺普拉赞[VPZ]为基础的方案与以质子泵抑制剂[PPI]为基础的方案在根除幽门螺杆菌治疗中的疗效比较。患者和方法：本研究纳入了 150 名有胃肠道症状且幽门螺杆菌检测呈阳性的患者。根据治疗方案将他们平均分为三组。第一组[I]接受以 PPI 为基础的治疗方案[三联疗法：克拉霉素 500 毫克、阿莫西林 1 毫克和 PPI 40 毫克]，每天两次，持续两周。第二组[II]接受以vonoprazan为基础的疗法[三联疗法；克拉霉素500毫克、阿莫西林1克和vonoprazan 20毫克]，每天两次，连续两周。第三组也接受以vonoprazan为基础的疗法[双重疗法；[阿莫西林1克-vonoprazan 20毫克]，每日两次，为期两周。结果：分析表明，幽门螺杆菌根除率在第一组为 88%，第二组为 92%，第三组为 84%。三个研究组的根除率没有明显差异。此外，除了第一组患者的年龄小于第二组和第三组患者外，其他各组患者的人口统计学特征相当。此外，各组之间也无明显关联[差异]。结论Vonoprazan三联疗法优于PPI三联疗法。对于克拉霉素耐药的患者，强烈推荐使用沃诺普拉赞双联疗法。否则，建议采用冯诺普拉赞三联疗法。
{"title":"Vonoprazan versus Conventional Proton Pump Inhibitors Based Regimens in Helicobacter Pylori Eradication Therapy","authors":"Mohamed Ahmed, Waleed Mossa, Amr Rezk, Nasser kamal Elhamshary","doi":"10.21608/ijma.2023.242724.1839","DOIUrl":"https://doi.org/10.21608/ijma.2023.242724.1839","url":null,"abstract":"Article information Background: Helicobacter pylori [H. Pylori] infection is a major risk factor for the development of gastric cancer. Gastric cancer witnessed a significant increase in recent decades. Thus, eradication of H. Pylori could reduce the incidence of gastric cancer. However, the standard treatment is not yet determined. Aim of the Work: To evaluate the efficacy of Vonoprazan [VPZ]-based regimen compared-with proton pump inhibitors [PPI]-based regimen for H. pylori eradication therapy. Patients and Methods: This study included 150 patients with gastro-intestinal symptoms and H. Pylori positive test. They were divided into equal three groups according to treatment regimen. The first group [I] received PPI-based regiment [triple therapy; Clarithromycin 500 mg, amoxicillin 1gm, and PPI 40 mg] twice daily for two weeks. The second group [II] received vonoprazan-based regiment [triple therapy; Clarithromycin 500 mg, amoxicillin 1 gm, and vonoprazan 20 mg] twice daily for two weeks. The third group also for vonoprazan-based regimen [dual therapy; [amoxicillin 1gm –vonoprazan 20 mg] twice daily for two weeks. Results: The analysis indicates that the eradication rate of H. Pylori was 88% in group I, 92% in group II and 84% in group III. There was no significant difference between the three studied groups regarding eradication rate. In addition, groups were comparable regarding patient demographics except younger age of the first group than the second and third groups. Otherwise, no significant associations [differences] between groups were reported. Conclusion: Vonoprazan triple therapy is superior to PPI-triple therapy. The dual vonoprazan-therapy is highly recommended in case of clarithromycin resistant patients. Otherwise, the triple vonoprazan therapy is recommended.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328152","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 : 2023-10-01DOI: 10.21608/ijma.2023.238566.1821
Mohamed Ahmed, Mohamed Kamel, AbdElaleem Elgendy
ABSTRACT
摘要
{"title":"Value of Platelet Indices in Evaluation of Varicocele Patients and Its Associated Abnormal Semen Parameters: A Cross Sectional Study","authors":"Mohamed Ahmed, Mohamed Kamel, AbdElaleem Elgendy","doi":"10.21608/ijma.2023.238566.1821","DOIUrl":"https://doi.org/10.21608/ijma.2023.238566.1821","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139326995","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 : 2023-10-01DOI: 10.21608/ijma.2023.219025.1713
Shimaa Younis, Mahmoud Mahmoud, Ahmed Elshorbagy
ABSTRACT
摘要
{"title":"Use of Povidone Iodine Vaginal Swabbing in Treatment of Recurrent Vulvovaginal Candidiasis","authors":"Shimaa Younis, Mahmoud Mahmoud, Ahmed Elshorbagy","doi":"10.21608/ijma.2023.219025.1713","DOIUrl":"https://doi.org/10.21608/ijma.2023.219025.1713","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139330602","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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