Pub Date : 2023-09-01DOI: 10.21608/ijma.2023.241287.1830
Mahmoud Allam, Atef Elmaraghy, Ahmed Mohamed
Article information Background: The chorda tympani is frequently harmed during middle ear surgery. Surgery-related chorda tympani injury is rarely associated with impaired taste perception in patients. The use of microscopes marked the beginning of modern tympanoplasty techniques, and the endoscopic tympanoplasty approach is now described in terms of minimally invasive surgery. Aim of the Study: The aim of the current study is to compare chorda tympani nerve [CTN] injuries occurring because of tympanoplasty performed using microscopic and endoscopic methods. Patients and Methods: This prospective study was carried out on 50 patients from Al-Azhar University hospitals who suffered from chronic suppurative otitis media [safe type]. Patients were randomized equally using opaque sealed envelopes into two groups. Group A: 25 patients underwent transcanal endoscopic tympanoplasty with elevation of the tympamomeatal flap. Group B: 25 patients underwent microscopic tympanoplasty by postauricular incision. Results: Chorda tympani nerve was with no injury in 24 [96%] cases in group A and 14 [56%] cases in group B, while 1 [4%] case in group A and 8 [32%] cases in group B had stretched chorda tympani nerve and 3 [12%] cases in group B had transected chorda tympani nerve. The Chorda tympani nerve was significantly less injury, less stretched in group A than group B, and more transected in group B than group A [P value=0.012]. Conclusion: In patients undergoing tympanoplasty, Endoscopic ear surgery provides superior visualization, reduces the necessity for extensive manipulation of the chorda tympani, and subsequently lowers the occurrence of CTN injury compared to microscopic ear surgery.
文章信息 背景：在中耳手术中，鼓室经常受到损伤。与手术相关的鼓室损伤很少与患者味觉受损有关。显微镜的使用标志着现代鼓室成形术技术的开端，内窥镜鼓室成形术方法现在被描述为微创手术。研究目的：本研究旨在比较使用显微镜和内窥镜方法进行鼓室成形术所造成的鼓室神经[CTN]损伤。患者和方法：这项前瞻性研究的对象是来自爱资哈尔大学医院的 50 名慢性化脓性中耳炎（安全型）患者。使用不透明密封信封将患者平均随机分为两组。A 组：25 名患者接受经耳道内窥镜鼓室成形术，鼓膜瓣上提。B 组：25 名患者通过耳后切口接受显微鼓室成形术。结果A组24例[96%]和B组14例[56%]鼓室神经未受损伤，A组1例[4%]和B组8例[32%]鼓室神经被拉长，B组3例[12%]鼓室神经被横断。鼓室神经损伤明显较少，A 组鼓室神经被拉伸的情况少于 B 组，而 B 组鼓室神经被横断的情况多于 A 组[P 值=0.012]。结论与显微耳科手术相比，内窥镜耳科手术为鼓室成形术患者提供了更佳的视觉效果，减少了对鼓室底神经进行大量操作的必要性，从而降低了 CTN 损伤的发生率。
{"title":"Chorda Tympani Nerve Injury during Tympanoplasty: Comparison of Endoscopic and Microscopic Methods","authors":"Mahmoud Allam, Atef Elmaraghy, Ahmed Mohamed","doi":"10.21608/ijma.2023.241287.1830","DOIUrl":"https://doi.org/10.21608/ijma.2023.241287.1830","url":null,"abstract":"Article information Background: The chorda tympani is frequently harmed during middle ear surgery. Surgery-related chorda tympani injury is rarely associated with impaired taste perception in patients. The use of microscopes marked the beginning of modern tympanoplasty techniques, and the endoscopic tympanoplasty approach is now described in terms of minimally invasive surgery. Aim of the Study: The aim of the current study is to compare chorda tympani nerve [CTN] injuries occurring because of tympanoplasty performed using microscopic and endoscopic methods. Patients and Methods: This prospective study was carried out on 50 patients from Al-Azhar University hospitals who suffered from chronic suppurative otitis media [safe type]. Patients were randomized equally using opaque sealed envelopes into two groups. Group A: 25 patients underwent transcanal endoscopic tympanoplasty with elevation of the tympamomeatal flap. Group B: 25 patients underwent microscopic tympanoplasty by postauricular incision. Results: Chorda tympani nerve was with no injury in 24 [96%] cases in group A and 14 [56%] cases in group B, while 1 [4%] case in group A and 8 [32%] cases in group B had stretched chorda tympani nerve and 3 [12%] cases in group B had transected chorda tympani nerve. The Chorda tympani nerve was significantly less injury, less stretched in group A than group B, and more transected in group B than group A [P value=0.012]. Conclusion: In patients undergoing tympanoplasty, Endoscopic ear surgery provides superior visualization, reduces the necessity for extensive manipulation of the chorda tympani, and subsequently lowers the occurrence of CTN injury compared to microscopic ear surgery.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344887","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 : 2023-09-01DOI: 10.21608/ijma.2023.230749.1785
Abdulmutalib Rahab, Mohammed Abugufa, Khaled Alayan
Article information Background: There are many options to replace missing teeth, but a lot of people choose dental implants. It is important to know if patients know about dental implants in order to plan healthcare and marketing services. Aim of the work: To assess how much Libyan patients know about using implants as a way to replace a missing tooth, we also wanted to know what information they had about replacing missing teeth in general and where they learned it from. Patients and Methods: A questionnaire survey was conducted to collect information from 400 people who went to different dental clinics and hospitals in Libya. We gathered information about the patients' traits, their knowledge on using implants for missing teeth, and where they found out about other ways to replace teeth. Results: Out of 500 patients, 400 patients said "yes" to joining this study. A high percentage [80.2%] were aware of dental implants, with dentists being the primary source of information. The main barriers to considering implants were cost [78.8%] and perceived treatment time [19.8%]. Participants had varying estimations of the functional lifespan of implants, with the majority [37.5%] estimating it to be less than 10 years. A majority [80.2%] indicated their willingness to proceed with restoring missing teeth using dental implants. Almost half of the participants had heard about successful implant experiences from their friends. Participants had diverse views on the importance of functional outcomes and the qualifications of dentists providing implant treatment. Conclusion: A lot of patients feel that dental implants are expensive, so insurance companies and health authorities should find ways to make them more affordable. Dentists are very important as they help with replacing missing teeth by educating patients about dental implants and explaining why they are good options.
{"title":"Libyan Patient's Awareness and Attitude Towards Dental Implants","authors":"Abdulmutalib Rahab, Mohammed Abugufa, Khaled Alayan","doi":"10.21608/ijma.2023.230749.1785","DOIUrl":"https://doi.org/10.21608/ijma.2023.230749.1785","url":null,"abstract":"Article information Background: There are many options to replace missing teeth, but a lot of people choose dental implants. It is important to know if patients know about dental implants in order to plan healthcare and marketing services. Aim of the work: To assess how much Libyan patients know about using implants as a way to replace a missing tooth, we also wanted to know what information they had about replacing missing teeth in general and where they learned it from. Patients and Methods: A questionnaire survey was conducted to collect information from 400 people who went to different dental clinics and hospitals in Libya. We gathered information about the patients' traits, their knowledge on using implants for missing teeth, and where they found out about other ways to replace teeth. Results: Out of 500 patients, 400 patients said \"yes\" to joining this study. A high percentage [80.2%] were aware of dental implants, with dentists being the primary source of information. The main barriers to considering implants were cost [78.8%] and perceived treatment time [19.8%]. Participants had varying estimations of the functional lifespan of implants, with the majority [37.5%] estimating it to be less than 10 years. A majority [80.2%] indicated their willingness to proceed with restoring missing teeth using dental implants. Almost half of the participants had heard about successful implant experiences from their friends. Participants had diverse views on the importance of functional outcomes and the qualifications of dentists providing implant treatment. Conclusion: A lot of patients feel that dental implants are expensive, so insurance companies and health authorities should find ways to make them more affordable. Dentists are very important as they help with replacing missing teeth by educating patients about dental implants and explaining why they are good options.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345853","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}
Article information Background: Digital reporting of adverse events remains the most important tool to improve pharmacovigilance information related to drugs introduced in the market with good efficacy and limited safety knowledge perceived from clinical trials. Aim of the Study: The study aimed to identify the knowledge and awareness of digital reporting of adverse drug events among healthcare professionals working at a tertiary care hospital in India. Materials and Methods: A cross-sectional descriptive questionnaire-based study was conducted with Physicians, Pharmacists, Technicians and Nurses. The questionnaire comprised items regarding awareness of pharmacovigilance and digital reporting of ADRs and perception and attitudes of healthcare professionals in digital reporting of adverse drug events. Descriptive statistics were used to analyse the data. Results: Healthcare professionals received 200 questionnaires in total, and 200 participants responded, yielding a 100% response rate among which 108 were male and 92 were female. 98 doctors, 32 pharmacists, 11 technicians, and 59 nurses comprised the group of healthcare professionals. 72% of healthcare professionals were familiar with the phrase "pharmacovigilance." Nearly 73% of healthcare professionals did not know the method of digital reporting of ADR and their nearby pharmacovigilance centers. In addition, 88% agreed that ADRs need to be reported digitally because it is easy and convenient and 92% agreed that it is their professional responsibility. Conclusion: Our study shows that awareness of pharmaco-vigilance and digital ADR reporting among healthcare professionals is relatively low.
{"title":"Awareness of Digital Reporting of Adverse Drug Events among Health Care Professionals","authors":"Shweta Sharma, Dinesh Kumar Yadav, Ashutosh Kumar Singh, Meghna Pandey, Komal Kuldeep Singh","doi":"10.21608/ijma.2023.234030.1801","DOIUrl":"https://doi.org/10.21608/ijma.2023.234030.1801","url":null,"abstract":"Article information Background: Digital reporting of adverse events remains the most important tool to improve pharmacovigilance information related to drugs introduced in the market with good efficacy and limited safety knowledge perceived from clinical trials. Aim of the Study: The study aimed to identify the knowledge and awareness of digital reporting of adverse drug events among healthcare professionals working at a tertiary care hospital in India. Materials and Methods: A cross-sectional descriptive questionnaire-based study was conducted with Physicians, Pharmacists, Technicians and Nurses. The questionnaire comprised items regarding awareness of pharmacovigilance and digital reporting of ADRs and perception and attitudes of healthcare professionals in digital reporting of adverse drug events. Descriptive statistics were used to analyse the data. Results: Healthcare professionals received 200 questionnaires in total, and 200 participants responded, yielding a 100% response rate among which 108 were male and 92 were female. 98 doctors, 32 pharmacists, 11 technicians, and 59 nurses comprised the group of healthcare professionals. 72% of healthcare professionals were familiar with the phrase \"pharmacovigilance.\" Nearly 73% of healthcare professionals did not know the method of digital reporting of ADR and their nearby pharmacovigilance centers. In addition, 88% agreed that ADRs need to be reported digitally because it is easy and convenient and 92% agreed that it is their professional responsibility. Conclusion: Our study shows that awareness of pharmaco-vigilance and digital ADR reporting among healthcare professionals is relatively low.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346495","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 : 2023-09-01DOI: 10.21608/ijma.2023.232827.1795
Ahmed Shaker, Ahmed Younes, Salah El-Hadidi
Article information Background: There are multiple techniques used for tonsillectomy including monopolar cautery. Monopolar electrocautery creates an electrical arch that occurs between the tissue and the appliance, which cause thermal damage with subsequent post-operative discomfort. It is hypothesized that normal saline injection may reduce thermal damage during monopolar cautery. Aim of the work: To evaluate the role of intraoperative use of hypertonic saline in tonsillar fossa for reduction of patients’ pain and discomfort. Patients and Methods: This study included 50 pediatric patients indicated for tonsillectomy. Patients were divided into 2 groups; group [A]: 25 patients have electrical mono polar tonsillectomy with hypertonic saline injection into peritonsillar fossa, and group [B]: 25 patients have electrical mono polar tonsillectomy without hypertonic saline injection. The main outcomes were intraoperative blood loss, surgery duration and postoperative pain. Results: In our study, patients in group [A] had significant reduction of blood loss [P=<0.001]. Regarding pain scores, patients in group [A] showed significant decrease of VAS started 2 hours after surgery, and continued for the first 24 hours [p-value < 0.001]. Conclusion: Hypertonic saline injection significantly associated with less blood loss, decreased post-operative pain and need for analgesia. Further large-scale studies are recommended.
{"title":"The Use of Hypertonic Saline Injection in Peritonsillar Fossa during Monopolar Tonsillectomy","authors":"Ahmed Shaker, Ahmed Younes, Salah El-Hadidi","doi":"10.21608/ijma.2023.232827.1795","DOIUrl":"https://doi.org/10.21608/ijma.2023.232827.1795","url":null,"abstract":"Article information Background: There are multiple techniques used for tonsillectomy including monopolar cautery. Monopolar electrocautery creates an electrical arch that occurs between the tissue and the appliance, which cause thermal damage with subsequent post-operative discomfort. It is hypothesized that normal saline injection may reduce thermal damage during monopolar cautery. Aim of the work: To evaluate the role of intraoperative use of hypertonic saline in tonsillar fossa for reduction of patients’ pain and discomfort. Patients and Methods: This study included 50 pediatric patients indicated for tonsillectomy. Patients were divided into 2 groups; group [A]: 25 patients have electrical mono polar tonsillectomy with hypertonic saline injection into peritonsillar fossa, and group [B]: 25 patients have electrical mono polar tonsillectomy without hypertonic saline injection. The main outcomes were intraoperative blood loss, surgery duration and postoperative pain. Results: In our study, patients in group [A] had significant reduction of blood loss [P=<0.001]. Regarding pain scores, patients in group [A] showed significant decrease of VAS started 2 hours after surgery, and continued for the first 24 hours [p-value < 0.001]. Conclusion: Hypertonic saline injection significantly associated with less blood loss, decreased post-operative pain and need for analgesia. Further large-scale studies are recommended.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139343885","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 : 2023-09-01DOI: 10.21608/ijma.2023.241143.1829
Ahmed Nagy, S. Attia, Mohammad Mahmoud, Ahmed Mansour Kandil, Mohammad Mohammad
ABSTRACT
摘要
{"title":"Comparative Study between Intraoperative Ultrasound and Frozen Section in the Assessment of Margins in Conservative Breast Surgery","authors":"Ahmed Nagy, S. Attia, Mohammad Mahmoud, Ahmed Mansour Kandil, Mohammad Mohammad","doi":"10.21608/ijma.2023.241143.1829","DOIUrl":"https://doi.org/10.21608/ijma.2023.241143.1829","url":null,"abstract":"ABSTRACT","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346212","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 : 2023-09-01DOI: 10.21608/ijma.2023.240385.1827
Esraa Elnagar, Abdallah Al Amin, Basheer Eltantawy, Tarek Emran, R. Ahmed, Amgad El Nokrashy
{"title":"Antistreptolysin O Levels in Patients with Non-Infectious Uveitis","authors":"Esraa Elnagar, Abdallah Al Amin, Basheer Eltantawy, Tarek Emran, R. Ahmed, Amgad El Nokrashy","doi":"10.21608/ijma.2023.240385.1827","DOIUrl":"https://doi.org/10.21608/ijma.2023.240385.1827","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344640","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 : 2023-09-01DOI: 10.21608/ijma.2023.241003.1828
Abdallah Hassan, Shaker Ezzeddin, Emad Elrewiny
Article information Background: Vitiligo is a common skin condition that causes patches of lightening that affect 0.2 to 0.5 percent of the world's population. It is marked by chalky white macules because melanocytes are being selectively lost. Several ideas have been put forward about what causes the disease, such as an autoimmune, genetic, neural, biochemical, melanocyte cell self-destruction, or oxidative stress theory, which means that too much hydrogen peroxide [H2O2] builds up in the top layer of skin. Aim of the Study: We want to find out how well a special gel called "pseudo catalase" with reducing ingredients fights the over-oxygenation of skin melanocytes and epidermal cells that is made worse by excimer light exposure in a person with stable non-segmental vitiligo compared to a gel that doesn't do anything different on the same person. Patients and Methods: The study included 31 stable non-segmental vitiligo patients who attended the dermatological outpatients' clinic at Al-Hussein University Hospital in Cairo, Egypt, during the period between September 2021 and August 2022. The study was divided into 2 groups of lesions in the same patient: group A [test gel + excimer light, Narrow Band UVB exposure] and group B [placebo gel + excimer light, Narrow Band UVB exposure]. Results: The following results were recorded for our patients: The mean age was 25.7 ± 9.3 years. There were 18 males [58.1%] and 13 females [41.9%]. 22 patients [71%] were of skin type III and 9 cases [29%] were of skin type IV. The VASI score values detected showed a great difference before and after treatment, as group A was [0.42 ± 0.3] when compared with the VASI score in group B [1.12 ± 0.5]. Conclusion: Excimer-light-enhanced topical antioxidant pseudo-catalase gel is a highly efficient therapy in the treatment of stable non-segmental vitiligo.
文章信息 背景：白癜风是一种常见的皮肤病，会导致皮肤变白，全球有 0.2% 至 0.5% 的人患有此病。由于黑色素细胞选择性脱失，白斑呈白垩色。关于这种疾病的病因，人们提出了几种观点，如自身免疫、遗传、神经、生化、黑色素细胞自毁或氧化应激理论，即皮肤表层堆积过多的过氧化氢[H2O2]。研究目的：我们想了解一种含有还原成分的名为 "伪过氧化氢酶 "的特殊凝胶与一种对同一患者没有任何不同作用的凝胶相比，对稳定期非节段性白癜风患者因准分子光照射而加重的皮肤黑色素细胞和表皮细胞过度氧化有多大作用。患者和方法：研究对象包括2021年9月至2022年8月期间在埃及开罗侯赛因大学医院皮肤科门诊就诊的31名稳定期非节段性白癜风患者。研究将同一患者的皮损分为两组：A组[测试凝胶+准分子光，窄带UVB照射]和B组[安慰剂凝胶+准分子光，窄带UVB照射]。结果：患者的记录结果如下：平均年龄为 25.7 ± 9.3 岁。男性 18 名[58.1%]，女性 13 名[41.9%]。22 例患者[71%]为 III 型皮肤，9 例患者[29%]为 IV 型皮肤。检测到的 VASI 评分值在治疗前后有很大差异，A 组为 [0.42 ± 0.3]，而 B 组的 VASI 评分为 [1.12 ± 0.5]。结论准分子光增强型局部抗氧化剂伪催化酶凝胶是治疗稳定期非节段性白癜风的一种高效疗法。
{"title":"A Double-Blind Placebo Controlled Therapeutic Trial on Patients with Stable Non-Segmental Vitiligo Using a Specially Formulated Reducing Antioxidant Gel Enhanced by Excimer Light Exposure","authors":"Abdallah Hassan, Shaker Ezzeddin, Emad Elrewiny","doi":"10.21608/ijma.2023.241003.1828","DOIUrl":"https://doi.org/10.21608/ijma.2023.241003.1828","url":null,"abstract":"Article information Background: Vitiligo is a common skin condition that causes patches of lightening that affect 0.2 to 0.5 percent of the world's population. It is marked by chalky white macules because melanocytes are being selectively lost. Several ideas have been put forward about what causes the disease, such as an autoimmune, genetic, neural, biochemical, melanocyte cell self-destruction, or oxidative stress theory, which means that too much hydrogen peroxide [H2O2] builds up in the top layer of skin. Aim of the Study: We want to find out how well a special gel called \"pseudo catalase\" with reducing ingredients fights the over-oxygenation of skin melanocytes and epidermal cells that is made worse by excimer light exposure in a person with stable non-segmental vitiligo compared to a gel that doesn't do anything different on the same person. Patients and Methods: The study included 31 stable non-segmental vitiligo patients who attended the dermatological outpatients' clinic at Al-Hussein University Hospital in Cairo, Egypt, during the period between September 2021 and August 2022. The study was divided into 2 groups of lesions in the same patient: group A [test gel + excimer light, Narrow Band UVB exposure] and group B [placebo gel + excimer light, Narrow Band UVB exposure]. Results: The following results were recorded for our patients: The mean age was 25.7 ± 9.3 years. There were 18 males [58.1%] and 13 females [41.9%]. 22 patients [71%] were of skin type III and 9 cases [29%] were of skin type IV. The VASI score values detected showed a great difference before and after treatment, as group A was [0.42 ± 0.3] when compared with the VASI score in group B [1.12 ± 0.5]. Conclusion: Excimer-light-enhanced topical antioxidant pseudo-catalase gel is a highly efficient therapy in the treatment of stable non-segmental vitiligo.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344678","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 : 2023-09-01DOI: 10.21608/ijma.2023.234271.1802
Ibrahim Abd-Elfattah, Mohamed Abdelkhalek, A. El-Shahat, Ahmed Abozeid
Article information Background: Endocan is a potential marker of many immune-inflammatory conditions. It may be linked to liver cirrhosis. Increased endocan levels is linked to liver diseases [e.g., chronic hepatitis] which could be developed to liver decompensation and may be elevated in ascetic fluid. Aim of the work: The current work aimed to evaluate the role of ascetic endocan in the diagnosis of Spontaneous Bacterial Peritonitis [SBP] among patients with decompensated cirrhosis. Patients and Methods: In this cross-sectional study, 100 patients with cirrhotic ascites were selected from patients who were admitted to Nasser institute and Al-Azhar University Hospitals during the period from April 2022 to April 2023. All patients were assessed on a clinical basis, and laboratory investigations were performed. The ascetic levels of endocan were measured and compared between groups. Results: Both groups were comparable regarding patient demographics. All patients in non-SBP had negative culture, while 12 patients in SBP group had positive results [10 of E-Coli, one Klebsiella and one Streptococcus viridans]. The major cause of cirrhosis in both groups was the HCV [76% of SBP compared to 80% of the non-SBP group]. The endocan levels showed a significant increase in the SBP than the non-SBP groups [5.20±1.80 vs 2.96±1.80 ng/ml]. Endocan significantly and positively correlated with each of TLC, AST, ALT, creatinine, albumin, bilirubin, INR, CRP, HBsAg and HCV antibodies. The hazardous ratio [HR] for endocan was 1.644 [95% CI: 1.011 – 2.707]. The endocan is also predictive of SBP development with an HR 1.673 [95% CI:1.031 – 2.806]. Conclusion: Ascetic Endocan is increased in ascitic fluid and represents an independent risk factor for SBP, with a significant diagnostic value in patients with decompensated cirrhosis.
{"title":"Diagnostic Value of Ascitic Endocan in Spontaneous Bacterial Peritonitis","authors":"Ibrahim Abd-Elfattah, Mohamed Abdelkhalek, A. El-Shahat, Ahmed Abozeid","doi":"10.21608/ijma.2023.234271.1802","DOIUrl":"https://doi.org/10.21608/ijma.2023.234271.1802","url":null,"abstract":"Article information Background: Endocan is a potential marker of many immune-inflammatory conditions. It may be linked to liver cirrhosis. Increased endocan levels is linked to liver diseases [e.g., chronic hepatitis] which could be developed to liver decompensation and may be elevated in ascetic fluid. Aim of the work: The current work aimed to evaluate the role of ascetic endocan in the diagnosis of Spontaneous Bacterial Peritonitis [SBP] among patients with decompensated cirrhosis. Patients and Methods: In this cross-sectional study, 100 patients with cirrhotic ascites were selected from patients who were admitted to Nasser institute and Al-Azhar University Hospitals during the period from April 2022 to April 2023. All patients were assessed on a clinical basis, and laboratory investigations were performed. The ascetic levels of endocan were measured and compared between groups. Results: Both groups were comparable regarding patient demographics. All patients in non-SBP had negative culture, while 12 patients in SBP group had positive results [10 of E-Coli, one Klebsiella and one Streptococcus viridans]. The major cause of cirrhosis in both groups was the HCV [76% of SBP compared to 80% of the non-SBP group]. The endocan levels showed a significant increase in the SBP than the non-SBP groups [5.20±1.80 vs 2.96±1.80 ng/ml]. Endocan significantly and positively correlated with each of TLC, AST, ALT, creatinine, albumin, bilirubin, INR, CRP, HBsAg and HCV antibodies. The hazardous ratio [HR] for endocan was 1.644 [95% CI: 1.011 – 2.707]. The endocan is also predictive of SBP development with an HR 1.673 [95% CI:1.031 – 2.806]. Conclusion: Ascetic Endocan is increased in ascitic fluid and represents an independent risk factor for SBP, with a significant diagnostic value in patients with decompensated cirrhosis.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344972","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 : 2023-08-23DOI: 10.21608/ijma.2023.174211.1552
Esraa M. Ahmed, M. Midan, W. Elbassioune
Article information Background: Hysterectomy is a gynecological surgical procedure that has been linked to raised women morbidity and mortality. The two most common problems related to hysterectomy are bleeding and pain. Hemostatic measures are constantly evolving, and LigaSure could be one of the significant milestones in this field. Aim of the work: To compare impacts of electrical bipolar vessel sealing clamp and conventional suturing method in woman undergoing vaginal hysterectomy. Patients and Methods: This was a prospective comparative randomized controlled trial, included 40 women diagnosed with benign lesions in uterus and scheduled for vaginal hysterectomy. Patients were separated into two groups; group [A]: Electrical bipolar clamp sealing method [20 patients], and group [B]: Traditional suturing ligation method [20 patient]. Groups were compared regarding operative duration, intra operative blood loss, post-operative pain and short-term complications from operation until postoperative day fourteen. Results: The LigaSure group had significant short operative duration [53.95 ± 6.94 min. vs. 62.90 ± 7.28 min.; P= < 0.001] and less blood loss [P= 0.002] compared to conventional method. Postoperative analgesia requirement at evening after surgery, day-1 and day-2 was significantly lower among vessel sealing than among conventional. Postoperative analgesia requirement at week-6 was not required in both groups. Conclusion: The use of LigaSure device can decrease operative time. When compared to traditional suture ligatures, it allows for faster, safer and more useful hemostasis
{"title":"Comparative Study of Bipolar Vessel Sealing Clamp versus Traditional Method for Vaginal Hysterectomy","authors":"Esraa M. Ahmed, M. Midan, W. Elbassioune","doi":"10.21608/ijma.2023.174211.1552","DOIUrl":"https://doi.org/10.21608/ijma.2023.174211.1552","url":null,"abstract":"Article information Background: Hysterectomy is a gynecological surgical procedure that has been linked to raised women morbidity and mortality. The two most common problems related to hysterectomy are bleeding and pain. Hemostatic measures are constantly evolving, and LigaSure could be one of the significant milestones in this field. Aim of the work: To compare impacts of electrical bipolar vessel sealing clamp and conventional suturing method in woman undergoing vaginal hysterectomy. Patients and Methods: This was a prospective comparative randomized controlled trial, included 40 women diagnosed with benign lesions in uterus and scheduled for vaginal hysterectomy. Patients were separated into two groups; group [A]: Electrical bipolar clamp sealing method [20 patients], and group [B]: Traditional suturing ligation method [20 patient]. Groups were compared regarding operative duration, intra operative blood loss, post-operative pain and short-term complications from operation until postoperative day fourteen. Results: The LigaSure group had significant short operative duration [53.95 ± 6.94 min. vs. 62.90 ± 7.28 min.; P= < 0.001] and less blood loss [P= 0.002] compared to conventional method. Postoperative analgesia requirement at evening after surgery, day-1 and day-2 was significantly lower among vessel sealing than among conventional. Postoperative analgesia requirement at week-6 was not required in both groups. Conclusion: The use of LigaSure device can decrease operative time. When compared to traditional suture ligatures, it allows for faster, safer and more useful hemostasis","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46447083","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 : 2023-08-13DOI: 10.21608/ijma.2023.227041.1758
Omar Ahmed Elsayed, Amr Mohamed Alkhrsawy, A. Abd-Eltawab, A. Oun
{"title":"Predictive Role of Beta hCG for The Outcome of the Tubal and Cesarean Scar Ectopic Pregnancy: A retrospective study","authors":"Omar Ahmed Elsayed, Amr Mohamed Alkhrsawy, A. Abd-Eltawab, A. Oun","doi":"10.21608/ijma.2023.227041.1758","DOIUrl":"https://doi.org/10.21608/ijma.2023.227041.1758","url":null,"abstract":"","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42671080","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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