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Serum concentrations of Co Q10 and Interleukin-6 in patients with non-segmental Vitiligo 非节段型白癜风患者血清中 Co Q10 和白细胞介素-6 的浓度
Pub Date : 2023-09-27 DOI: 10.21608/bjas.2023.235453.1246
Mustafa Khammas, Nancy Mikhael, Dalia Abd El-Hassib, Karem Khalil
Background: Vitiligo is a condition where areas of skin lose their pigmentation; oxidative stress and immunological dysregulation have been linked to its development. The purpose of this research was to examine the relationship between Coenzyme Q10 (Co Q10) and Interleukin-6 (IL-6) in the blood of individuals diagnosed with non-segmental vitiligo. The purpose of this article is to provide readers a thorough introduction to vitiligo, including such topics as the disease's epidemiology, categorization, probable causes, underlying pathogenic processes, diagnostic approaches, and several treatment options. Our goal in compiling this summary is to be a useful tool for clinicians and researchers interested in vitiligo by providing an overview of the current state of knowledge. Conclusions: Because of its complex aetiology, vitiligo is difficult to diagnose and treat. Melanocyte dysfunction is fueled by a complex web of elements including genetic susceptibility, autoimmune processes, oxidative stress, and environmental influences. In order to choose the best course of therapy for vitiligo, the severity and duration of the condition must be evaluated. Treatment for this ailment includes a combination of medicinal, phototherapeutic, and psychosocial approaches. Additional research into the roles of
背景:白癜风是一种皮肤色素脱失症,其发病与氧化应激和免疫失调有关。本研究的目的是检测被诊断为非节段性白癜风患者血液中辅酶Q10(Co Q10)和白细胞介素-6(IL-6)之间的关系。本文旨在向读者全面介绍白癜风,包括该病的流行病学、分类、可能的病因、潜在的致病过程、诊断方法和几种治疗方案。我们编写这篇摘要的目的是通过概述当前的知识状况,为对白癜风感兴趣的临床医生和研究人员提供有用的工具。结论:由于病因复杂,白癜风很难诊断和治疗。黑色素细胞功能障碍是由一系列复杂因素造成的,包括遗传易感性、自身免疫过程、氧化应激和环境影响。为了选择治疗白癜风的最佳方案,必须对病情的严重程度和持续时间进行评估。这种疾病的治疗包括药物、光疗和社会心理疗法的结合。对以下因素的作用进行更多的研究
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引用次数: 0
Electrolyte Changes Following Phototherapy in Neonatal unconjugated Hyperbilirubinaemia 新生儿未结合高胆红素血症光疗后的电解质变化
Pub Date : 2023-09-26 DOI: 10.21608/bjas.2023.237263.1252
Osama Elfiky, Omima abd-elhaie, walid Abdellatif, Alshaymaa mohamed
Background: Neonatal hyperbilirubinemia is a prevalent concern in the early stages of life, often necessitating phototherapy. This study aimed to assess the electrolyte changes following phototherapy in neonates admitted to pediatric department In Benha university hospital. Methods: This study was carried out in the NICU of Benha University Hospital and involved the participation of 61 healthy newborns diagnosed with unconjugated hyperbilirubinemia requiring phototherapy. The research included a comprehensive evaluation, comprising detailed maternal, obstetric, and neonatal histories, meticulous clinical examinations, and a diverse range of investigations. These investigations involved complete blood counts, determination of blood group, profiling of bilirubin levels, and the quantification of electrolyte concentrations (sodium, potassium, chloride, calcium, and magnesium). Blood samples were collected both before and after the phototherapy sessions. Results: This study involved a cohort of 61 cases, with 32 being male (52.5%) and 29 female (47.5%). Their ages had a mean ± SD of 5.77 ± 1.94. 41 cases had a Normal Birth weight. The mode of delivery revealed that 44.3% of cases were delivered through Normal Vaginal Delivery (NVD), while 55.7% were delivered through Cesarean Section (CS). Examining gestational age, the majority (62.3%) fell within the 36–39-week range, 26.2% had a gestational age of ≥40 weeks, and the Mean ± SD gestational age was 38.0 ± 1.84 weeks. Of the cases, 68.9% underwent conventional phototherapy, while 31.1% were treated with LED. Significant differences were observed between pre-and post-treatment Total Bilirubin levels (p<0.001). Conclusions: Our study revealed a significant reduction in total bilirubin levels following phototherapy, along with notable changes in calcium, sodium, and magnesium levels. Serum electrolyte levels were not correlated with mode of delivery or birth weight. Additionally, hypocalcemia after phototherapy was more prevalent in preterm neonates (<36 weeks) compared to term neonates (≥36 weeks).
背景:新生儿高胆红素血症是生命早期的一个普遍问题,通常需要进行光疗。本研究旨在评估本哈大学医院儿科收治的新生儿光疗后的电解质变化。研究方法本研究在本哈大学医院新生儿重症监护室进行,61 名健康新生儿被诊断为未结合高胆红素血症,需要接受光疗。研究包括全面评估,包括详细的孕产妇、产科和新生儿病史、细致的临床检查和各种检查。这些检查包括全血细胞计数、血型测定、胆红素水平分析以及电解质(钠、钾、氯、钙和镁)浓度定量。光疗前后均采集了血液样本。研究结果本研究共收集了 61 例病例,其中男性 32 例(52.5%),女性 29 例(47.5%)。他们的平均年龄为(5.77±1.94)岁。41 个病例的出生体重正常。分娩方式显示,44.3%的病例通过正常阴道分娩(NVD),55.7%的病例通过剖宫产(CS)。胎龄方面,大多数产妇(62.3%)的胎龄在36-39周之间,26.2%的产妇胎龄≥40周,平均(±SD)胎龄为38.0±1.84周。病例中,68.9%接受了常规光疗,31.1%接受了LED光疗。治疗前后的总胆红素水平差异显著(P<0.001)。结论我们的研究表明,光疗后总胆红素水平明显降低,同时钙、钠和镁水平也发生了显著变化。血清电解质水平与分娩方式或出生体重无关。此外,与足月新生儿(≥36周)相比,光疗后低钙血症在早产新生儿(<36周)中更为普遍。
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引用次数: 0
Ultrasound Evaluation of Neonatal Hip Joint Problems” 新生儿髋关节问题的超声评估"
Pub Date : 2023-09-26 DOI: 10.21608/bjas.2023.231001.1233
Mohamed Tawfik, Hamada Khater, Ban Nsaif
Background: The assessment in neonates, such as developmental hip dislocation (DDH) and septic hip arthritis, is very important from a clinical standpoint. In this regard, ultrasound imaging has shown to be invaluable due to the fact that it allows for assessment without the use of ionising radiation. The purpose of this research was to evaluate the usefulness of ultrasonography in the diagnosis of DDH and septic hip arthritis in neonates. Methods: Newborns at Benha University Hospital and other private facilities were analysed using a comparative cross-sectional research methodology. The study population was subjected to in-depth interviews, physical exams, and ultrasound assessments. The ultrasound evaluation looked at the shape of the hip, the location of the femoral head, and the strength of the hip joint. The degree of irregularity was determined by a combination of measurements and visual inspections, such as measuring alpha and beta angles. Patients who had favourable ultrasonography results were monitored and referred to specialists as needed. Conclusions Both the positive and negative predictive capacities of ultrasonography were quite high (80% and 100%, respectively). In addition, a high area under the curve (AUC=0.949) and associated 92% diagnostic accuracy rate were found when employing ROC curve analysis to differentiate DDH from normal findings using hip ultrasonography. Furthermore, a positive family history (p=0.007), oligohydramnios (p=0.003), and caesarean section (p=0.008) were all significantly associated with an increased risk of DDH incidence, as determined by the study's analysis into probable DDH causes based on the analysed data. We conclude that ultrasound is a useful and non-invasive method for assessing hip joint issues in neonates, especially DDH. The clinical examination of newborns with suspected hip abnormalities benefits greatly from its accuracy and its capacity to detect related risk factors.
背景:从临床角度来看,对新生儿进行发育性髋关节脱位(DDH)和化脓性髋关节炎等评估非常重要。在这方面,超声波成像因其可在不使用电离辐射的情况下进行评估而被证明是非常有价值的。本研究的目的是评估超声波成像在诊断新生儿 DDH 和化脓性髋关节炎中的作用。研究方法采用横断面比较研究方法,对本哈大学医院和其他私立医院的新生儿进行分析。对研究对象进行了深入访谈、体格检查和超声波评估。超声波评估主要观察髋关节的形状、股骨头的位置以及髋关节的强度。不规则的程度是通过测量和目测相结合来确定的,如测量α角和β角。对超声波检查结果良好的患者进行监测,并在必要时将其转诊至专科医生。结论 超声波检查的阳性预测能力和阴性预测能力都相当高(分别为 80% 和 100%)。此外,采用 ROC 曲线分析法区分 DDH 和正常髋关节超声波检查结果时,发现曲线下面积(AUC=0.949)较高,相关诊断准确率为 92%。此外,阳性家族史(p=0.007)、少血畸形(p=0.003)和剖腹产(p=0.008)都与 DDH 发生风险的增加显著相关,研究根据分析数据对可能的 DDH 病因进行了分析。我们的结论是,超声波是评估新生儿髋关节问题(尤其是 DDH)的一种有用且无创的方法。对疑似髋关节异常的新生儿进行临床检查时,超声检查的准确性及其检测相关风险因素的能力将使我们受益匪浅。
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引用次数: 0
Influence of Postoperative Enteral Nutrition on Postsurgical Infections 术后肠内营养对术后感染的影响
Pub Date : 2023-09-26 DOI: 10.21608/bjas.2023.234904.1245
Yousry Rezk, Basem Aglan, Eslam Shaboob, Mostafa Mostafa
Although oral and enteral feeding are options, the latter may cause problems such as pain for the patient, malposition of the tube, aspiration pneumonia, sinusitis, epistaxis, and tube occlusion. The purpose of this research was to determine whether early enteral feeding has any effect on the risk of developing significant problems after major surgery. Two hundred intensive care unit (ICU) patients at Benha University Hospitals were randomly assigned to either group A (early feeding) or group B (late feeding) in this prospective cohort observational research. Albumin, prealbumin, transferrin, ALT, AST, ALP, total bilirubin, urea nitrogen, and creatinine were not significantly different between the two groups, however white blood cell counts were significantly different. We observed that 62% of Group A scored a 3, compared to 61% of Group B; 36% of Group A scored a 4, compared to 36% of Group B; 2% of Group A scored a 4, compared to 3% of Group B; and 0% of Group A scored a 4 compared to 3% of Group B. Hypoglycemia during intervention and ICU stay duration >3 days are significantly different between the two groups. When comparing the two groups, there is a notable difference in terms of the occurrence of a new infection, the peak level of C-reactive protein throughout the ICU stay, and the length of time spent on mechanical ventilation. We conclude that early postoperative enteral feeding decreases the risk of infection complications, perhaps resulting in a shorter duration of stay and less need for intensive care.
虽然可以选择口服和肠内喂养,但后者可能会导致患者疼痛、管道位置不正、吸入性肺炎、鼻窦炎、鼻衄和管道堵塞等问题。本研究旨在确定早期肠内喂养是否会影响大手术后出现重大问题的风险。在这项前瞻性队列观察研究中,本哈大学医院的 200 名重症监护室(ICU)患者被随机分配到 A 组(早期喂养)或 B 组(晚期喂养)。白蛋白、前白蛋白、转铁蛋白、谷丙转氨酶、谷草转氨酶、谷草转氨酶、谷丙转氨酶、总胆红素、尿素氮和肌酐在两组间无显著差异,但白细胞计数有显著差异。我们观察到,62% 的 A 组患者评分为 3 分,而 B 组为 61%;36% 的 A 组患者评分为 4 分,而 B 组为 36%;2% 的 A 组患者评分为 4 分,而 B 组为 3%;0% 的 A 组患者评分为 4 分,而 B 组为 3%。干预期间的低血糖和重症监护室住院时间超过 3 天在两组之间存在显著差异。比较两组患者的新感染发生率、整个重症监护室住院期间的 C 反应蛋白峰值水平以及机械通气时间的长短,两组之间存在明显差异。我们的结论是,术后早期肠内喂养可降低感染并发症的风险,从而缩短住院时间,减少对重症监护的需求。
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引用次数: 0
Is sonopartogram of value in monitoring the progress of labor?observational study 超声波造影对监测分娩进展是否有价值?
Pub Date : 2023-09-25 DOI: 10.21608/bjas.2023.237306.1253
Khaled Salama, Mohammed Elnory, Ali A. Bendary, Ahmed Mohammed
Background: The First-time mothers and their unborn babies rely heavily on skilled management of labour progression. Vaginal exams (VE) are the gold standard for gauging cervical dilation and foetal head position. The purpose of this research was to examine how useful transperineal ultrasonography (TPUS) is for tracking labour. Methods: Thirty-six first-time mothers were included in this prospective observational research. All of the women were at least 18 years old and carrying a single baby during 37 to 41 weeks' gestation. After doing a transvaginal ultrasound (TPUS), the doctor took notes on the mother's cervical dilatation, the foetal head descent, and the head position of the baby. The results of the VE were compared to these measures. The average age of the participants was determined to be 33 years and 7.4 months. The average body mass index was 27.31.3 kg/m2. The average gestational age was 39 weeks and 1 day. There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). Women were more likely to comply with and be satisfied with TPUS (66.7% vs. 38.9% with VE, p 0.001) than males were with VE. In conclusion, TPUS shows potential as a safe and user-friendly method for tracking the development of labour in first-time mothers. Our results show that TPUS measures correlate well with traditional vaginal checks at many time points during childbirth.
背景:初产妇及其胎儿在很大程度上依赖于熟练的分娩进展管理。阴道检查(VE)是测量宫颈扩张和胎头位置的黄金标准。本研究旨在探讨经会阴超声波检查(TPUS)在跟踪产程方面的作用。研究方法这项前瞻性观察研究共纳入了 36 名初产妇。所有产妇都至少年满 18 岁,在妊娠 37 至 41 周期间怀有单胎。在进行经阴道超声波检查(TPUS)后,医生记录了产妇的宫颈扩张情况、胎头下降情况和胎儿的头部位置。VE 的结果与这些测量结果进行了比较。参与者的平均年龄为 33 岁零 7.4 个月。平均体重指数为 27.31.3 kg/m2。平均胎龄为 39 周零 1 天。用 VE 测量的胎头位置与用 US 测量的胎头-会阴距离之间存在有利的联系(P0.001)。用 VE 测量的胎头位置与用 US 测量的胎头-会阴距离之间存在有利的联系(p0.001)。与男性相比,女性更愿意接受 TPUS(66.7%,而 VE 为 38.9%,P 0.001),并对 TPUS 感到满意。总之,TPUS 作为一种安全且用户友好的方法,在跟踪初产妇的产程发展方面显示出了潜力。我们的研究结果表明,在分娩过程中的许多时间点,TPUS 测量与传统的阴道检查有很好的相关性。
{"title":"Is sonopartogram of value in monitoring the progress of labor?observational study","authors":"Khaled Salama, Mohammed Elnory, Ali A. Bendary, Ahmed Mohammed","doi":"10.21608/bjas.2023.237306.1253","DOIUrl":"https://doi.org/10.21608/bjas.2023.237306.1253","url":null,"abstract":"Background: The First-time mothers and their unborn babies rely heavily on skilled management of labour progression. Vaginal exams (VE) are the gold standard for gauging cervical dilation and foetal head position. The purpose of this research was to examine how useful transperineal ultrasonography (TPUS) is for tracking labour. Methods: Thirty-six first-time mothers were included in this prospective observational research. All of the women were at least 18 years old and carrying a single baby during 37 to 41 weeks' gestation. After doing a transvaginal ultrasound (TPUS), the doctor took notes on the mother's cervical dilatation, the foetal head descent, and the head position of the baby. The results of the VE were compared to these measures. The average age of the participants was determined to be 33 years and 7.4 months. The average body mass index was 27.31.3 kg/m2. The average gestational age was 39 weeks and 1 day. There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). There was a favourable connection between the foetal head station as measured by VE and the Head-perineum distance as measured by US (p0.001). Women were more likely to comply with and be satisfied with TPUS (66.7% vs. 38.9% with VE, p 0.001) than males were with VE. In conclusion, TPUS shows potential as a safe and user-friendly method for tracking the development of labour in first-time mothers. Our results show that TPUS measures correlate well with traditional vaginal checks at many time points during childbirth.","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"170 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139336500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum Endocan Level, Mean Platelet Volume and Neutrophil to Lymphocyte Ratio in Patients with Erectile Dysfunction: a narrative review 勃起功能障碍患者的血清内切酶水平、平均血小板体积和中性粒细胞与淋巴细胞比率:叙述性综述
Pub Date : 2023-09-25 DOI: 10.21608/bjas.2023.235536.1247
Mohammed Shaath, Samy Mohamed, Neveen Sorour, Asmaa Adel El-Fallah, Karem Ibrahim
Background: ED is disease with several potential causes, including high blood pressure and diabetes. Serum endocan, MPV, and NLR are only a few of the biomarkers suggested to measure the severity of this inflammatory response. The goals of this study are to examine the relationship between erectile dysfunction and serum endocan level, mean platelet volume, and neutrophil-to-lymphocyte ratio. Serum endocan Level, Mean Platelet Volume, and Neutrophil to Lymphocyte Ratio in patients with erectile dysfunction were retrieved from the Medline databases (Pub Med and Medscape) until the year 2022. Research Studies were chosen after being objectively evaluated by two reviewers. If they met any of the following criteria, we considered them for inclusion: First, it must be written in English. 2. Appearing in journals with a strict peer review process. Third, explain why serum endocan, MCV, and the neutrophil-to-lymphocyte ratio are important in ED patients. Extraction of Data: Research Studies were not included if they did not meet the inclusion criteria. Ethical permission, eligibility criteria, controls, information, and well-defined evaluation measures were all factors in determining the study's quality. Our concerned research results were captured by independently abstracting data utilising a data collecting form from each qualifying study. We conclude that Endocan, MPV, and NLR are indicators implicated in the pathogenesis of ED in individuals with diabetes and hypertension. Endocan and MPV are markers of erectile dysfunction severity in people with diabetes and hypertension
背景:ED 是一种有多种潜在病因的疾病,包括高血压和糖尿病。血清内皮素、血小板平均体积和 NLR 只是衡量这种炎症反应严重程度的几种生物标志物。本研究旨在探讨勃起功能障碍与血清内皮素水平、平均血小板体积和中性粒细胞与淋巴细胞比率之间的关系。研究人员从 Medline 数据库(Pub Med 和 Medscape)中检索了勃起功能障碍患者的血清内皮素水平、平均血小板体积和中性粒细胞与淋巴细胞比率,检索时间截止到 2022 年。研究报告由两名审稿人进行客观评估后选出。如果符合以下任何一项标准,我们就会考虑将其纳入:首先,必须用英语撰写。2.出现在有严格同行评审程序的期刊上。三、解释为什么血清内皮细胞、MCV 和中性粒细胞与淋巴细胞比值对 ED 患者很重要。提取数据:不符合纳入标准的研究未被纳入。伦理许可、资格标准、对照、信息和明确的评估措施都是决定研究质量的因素。我们利用每项合格研究的数据收集表独立抽取数据,从而获得相关研究结果。我们得出结论:Endocan、MPV 和 NLR 是与糖尿病和高血压患者 ED 发病机制有关的指标。Endocan和MPV是糖尿病和高血压患者勃起功能障碍严重程度的标志物
{"title":"Serum Endocan Level, Mean Platelet Volume and Neutrophil to Lymphocyte Ratio in Patients with Erectile Dysfunction: a narrative review","authors":"Mohammed Shaath, Samy Mohamed, Neveen Sorour, Asmaa Adel El-Fallah, Karem Ibrahim","doi":"10.21608/bjas.2023.235536.1247","DOIUrl":"https://doi.org/10.21608/bjas.2023.235536.1247","url":null,"abstract":"Background: ED is disease with several potential causes, including high blood pressure and diabetes. Serum endocan, MPV, and NLR are only a few of the biomarkers suggested to measure the severity of this inflammatory response. The goals of this study are to examine the relationship between erectile dysfunction and serum endocan level, mean platelet volume, and neutrophil-to-lymphocyte ratio. Serum endocan Level, Mean Platelet Volume, and Neutrophil to Lymphocyte Ratio in patients with erectile dysfunction were retrieved from the Medline databases (Pub Med and Medscape) until the year 2022. Research Studies were chosen after being objectively evaluated by two reviewers. If they met any of the following criteria, we considered them for inclusion: First, it must be written in English. 2. Appearing in journals with a strict peer review process. Third, explain why serum endocan, MCV, and the neutrophil-to-lymphocyte ratio are important in ED patients. Extraction of Data: Research Studies were not included if they did not meet the inclusion criteria. Ethical permission, eligibility criteria, controls, information, and well-defined evaluation measures were all factors in determining the study's quality. Our concerned research results were captured by independently abstracting data utilising a data collecting form from each qualifying study. We conclude that Endocan, MPV, and NLR are indicators implicated in the pathogenesis of ED in individuals with diabetes and hypertension. Endocan and MPV are markers of erectile dysfunction severity in people with diabetes and hypertension","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"242 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139336202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Role of Chromo Hysteroscopy in Evaluation of Endometrial Pathology in Female with Abnormal Uterine Bleeding. Chromo 宫腔镜在评估异常子宫出血女性子宫内膜病变中的作用。
Pub Date : 2023-09-24 DOI: 10.21608/bjas.2023.232405.1236
Mohamed Mohamed, Mohamed El-Noury, Ibrahim Sayed, Abdel-Halim Abdel-Halim
: Background: Abnormal hysteroscopy, laboratory testing, imaging, and other diagnostic procedures may all be necessary to determine the cause of abnormal uterine bleeding (AUB), which is defined as bleeding from the uterus that varies in frequency, regularity, length, or quantity as typically reported by the woman. The purpose of this study is to evaluate the value of chromo hysteroscopy in diagnosing and treating abnormal uterine bleeding in women. The Components and Procedures: Over the course of a year, 115 women with AUB problems were surveyed at the outpatient clinic of the Department of gynaecology and obstetrics at Benha University's department of medicine. Chromo hysteroscopy, performed with 5 ml of 1% methylene blue, was performed after conventional hysteroscopy. Distinct staining patterns seen. Staining that was concentrated in one area was termed positive, while staining that was more evenly distributed was regarded normal. These results were compared to those that had already been observed (on conventional hysteroscopy). Differentially stained regions were sampled for biopsies. The correlation between histopathology and hysteroscopic and chromo-hysteroscopic results was investigated. It was determined that chromo hysteroscopy had a high rate of success in diagnosing endometrial illness. The percentages for sensitivity (92.54%), specificity (83.33%), PPV (88.57%), and NPV (-92.54%) are as follows: (88.89 percent ). In addition to the 16 instances of atrophic endometritis, 28 cases of simple endometrial hyperplasia, 4 cases of atypical endometrial hyperplasia, and a new single case of endometrial cancer, the chromo hysteroscopy method resulted to the detection of 50 additional novel endometrial histopathologies. The diagnosis accuracy of traditional hysteroscopy for AUB is boosted by chromo hysteroscopy, as a result.
:背景:异常子宫出血(AUB)是指妇女通常报告的子宫出血在频率、规律性、长度或数量上有所不同,为确定异常子宫出血(AUB)的原因,可能需要进行异常宫腔镜检查、实验室检测、成像和其他诊断程序。本研究的目的是评估宫腔镜检查在诊断和治疗妇女异常子宫出血方面的价值。组成部分和程序:在一年的时间里,本哈大学医学系妇产科门诊部对 115 名有 AUB 问题的妇女进行了调查。在常规宫腔镜检查后,使用 5 毫升 1%亚甲蓝进行了色素宫腔镜检查。可以看到不同的染色模式。染色集中在一个区域的被称为阳性,而染色分布较为均匀的则被视为正常。将这些结果与(传统宫腔镜检查)已观察到的结果进行比较。对不同染色区域进行取样活检。研究了组织病理学与宫腔镜和彩超结果之间的相关性。结果表明,宫腔镜检查诊断子宫内膜疾病的成功率很高。敏感性(92.54%)、特异性(83.33%)、PPV(88.57%)和 NPV(-92.54%)的百分比如下:(88.89% )。除了 16 例萎缩性子宫内膜炎、28 例单纯性子宫内膜增生、4 例不典型子宫内膜增生和 1 例新的子宫内膜癌外,色谱宫腔镜检查法还发现了 50 例新的子宫内膜组织病理学。因此,色谱宫腔镜检查提高了传统宫腔镜检查对 AUB 的诊断准确性。
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引用次数: 0
Role of Intraoperative Endoscopy during Laparoscopic Antireflux Procedure in Children 术中内窥镜在儿童腹腔镜抗反流手术中的作用
Pub Date : 2023-08-31 DOI: 10.21608/bjas.2023.225787.1214
Hazem Elsayed, Mohamed Elbarbary, Ehab Oraby, Ibrahim Fakhreldeen, S. Elgazzar
Purpose: To assess role of intraoperative endoscopy in antireflux procedure regard to detection of gastroesophageal junction and assessment of tightness of wrap. Background: Due to immaturity of the lower esophageal sphincter, which results in the retrograde passage of stomach contents into the oesophagus, gastroesophageal reflux disease is the most prevalent gastroenterologic problem requiring referral to a paediatric gastroenterologist during infancy. Patients and methods: This prospective study included 30 patient of pediatric Age less than 18 years old with GERD resistant to conservative treatment. This study was performed at Benha university hospital and Cairo University Specialized Pediatric Hospital at period from October, 2020 till October, 2022. The procedure was authorised by the medical school's ethics committee. Written informed permission was acquired from the parents of all patients; all patients after informed consent were subjected to laparoscopic Nissen fundoplication. During treatment procedure, endoscopy had been used to locate gastroesophageal junction (GEJ) and to assess tightness of performed valve. Results: there is significant decrease in early post-operative complication rate as early dysphagia 23.3%, early vomiting 10%, no cases of post-operative bleeding or post-operative pneumothorax or esophageal perforation, operative time was seen to be substantially longer in our procedure, the incidence of late postoperative dysphagia and gas bloat syndrome was statistically lower in current study.
目的:评估术中内窥镜在抗反流手术中检测胃食管交界处和评估包扎松紧度的作用。背景:由于下食道括约肌发育不成熟,导致胃内容物逆行进入食道,胃食道反流病是婴儿期最常见的胃肠病,需要转诊至儿科胃肠病医生。患者和方法:这项前瞻性研究包括 30 名年龄小于 18 岁、胃食管反流病保守治疗无效的儿科患者。这项研究于 2020 年 10 月至 2022 年 10 月期间在本哈大学医院和开罗大学儿科专科医院进行。该程序已获得医学院伦理委员会的授权。所有患者均已获得家长的书面知情同意;所有患者在知情同意后均接受了腹腔镜尼森胃底折叠术。在治疗过程中,内窥镜被用来定位胃食管交界处(GEJ)和评估瓣膜的松紧度。结果:术后早期并发症发生率明显降低,早期吞咽困难发生率为 23.3%,早期呕吐发生率为 10%,无术后出血、术后气胸或食管穿孔病例,我们的手术时间明显更长,术后晚期吞咽困难和气胀综合征的发生率在本次研究中明显降低。
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引用次数: 0
Experimental and Numerical Design Optimization for the Geometrical Parameters Affecting Jet-pump Performance. 影响喷射泵性能的几何参数的实验和数值设计优化。
Pub Date : 2023-08-30 DOI: 10.21608/bjas.2023.230033.1232
Ahmed Diab, Ahmed Huzayyin, Hesham El-Batsh
: The jet-pump is a device used for the entraining of a suction flow using a high-energy motive jet. The objective of jet-pump is achieved by three main parts: jet-nozzle, mixing chamber and diffuser. The jet-pump performance is governed by geometrical parameters that shape these parts. In this study, the most crucial geometrical parameters that influence performance are investigated by an experimental and numerical parametric study, these parameters are mixing chamber relative length ( ), motive nozzle relative spacing (S) and area ratio between the mixing chamber and the jet orifice ( ). Besides the parametric study, the experimental work also provides the necessary data used to validate the numerical approach, which is concluded using 2-D simulation with transition Shear-Stress Transport (SST) as a turbulence model after showing very good agreement with the experimental data. Eventually, numerical simulation is used to perform design optimization to specify the design that attains the optimum performance by Implementation the design of experiments (DOE). According to the parametric study, it is found that area ratio has the most significant impact on the jet-pump performance and operating conditions, and the highest maximum efficiency of 35.8 % is obtained at pressure ratio of 0.28 and mass ratio of 1.25 for = 4 using of 7.3 and S of 0.785. While the optimum performance is found to be within optimum mass ratio range of (2.25 - 2.96) and maximum efficiency range of (32
:喷射泵是一种利用高能动力射流夹带吸入流的装置。喷射泵由三个主要部分组成:喷嘴、混合室和扩散器。喷射泵的性能取决于这些部件的几何参数。本研究通过实验和数值参数研究对影响性能的最关键几何参数进行了研究,这些参数包括混合室相对长度( )、动机喷嘴相对间距(S)以及混合室与喷射孔之间的面积比( )。除参数研究外,实验工作还为验证数值方法提供了必要的数据,在与实验数据非常吻合后,使用过渡剪应力传输(SST)作为湍流模型进行了二维模拟。最后,利用数值模拟进行设计优化,通过实施实验设计(DOE)来指定达到最佳性能的设计。根据参数研究发现,面积比对喷射泵的性能和工作条件影响最大,在压力比为 0.28、质量比为 1.25(=4)、流速为 7.3、S 为 0.785 的条件下,最高效率可达 35.8%。在最佳质量比范围(2.25 - 2.96)和最大效率范围(32%)内,喷射泵的性能最佳。
{"title":"Experimental and Numerical Design Optimization for the Geometrical Parameters Affecting Jet-pump Performance.","authors":"Ahmed Diab, Ahmed Huzayyin, Hesham El-Batsh","doi":"10.21608/bjas.2023.230033.1232","DOIUrl":"https://doi.org/10.21608/bjas.2023.230033.1232","url":null,"abstract":": The jet-pump is a device used for the entraining of a suction flow using a high-energy motive jet. The objective of jet-pump is achieved by three main parts: jet-nozzle, mixing chamber and diffuser. The jet-pump performance is governed by geometrical parameters that shape these parts. In this study, the most crucial geometrical parameters that influence performance are investigated by an experimental and numerical parametric study, these parameters are mixing chamber relative length ( ), motive nozzle relative spacing (S) and area ratio between the mixing chamber and the jet orifice ( ). Besides the parametric study, the experimental work also provides the necessary data used to validate the numerical approach, which is concluded using 2-D simulation with transition Shear-Stress Transport (SST) as a turbulence model after showing very good agreement with the experimental data. Eventually, numerical simulation is used to perform design optimization to specify the design that attains the optimum performance by Implementation the design of experiments (DOE). According to the parametric study, it is found that area ratio has the most significant impact on the jet-pump performance and operating conditions, and the highest maximum efficiency of 35.8 % is obtained at pressure ratio of 0.28 and mass ratio of 1.25 for = 4 using of 7.3 and S of 0.785. While the optimum performance is found to be within optimum mass ratio range of (2.25 - 2.96) and maximum efficiency range of (32","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review article in telogen effluvium 有关毛发脱落症的评论文章
Pub Date : 2023-08-30 DOI: 10.21608/bjas.2023.227728.1223
Ihab Abdallah, Samah Ibrahim, Abeer Abd El-Maksood, Miada Saleh
: This article provides a concise overview of research on the incidence of telogen effluvium among COVID-19 survivors working at Benha University Hospitals. Temporary hair loss due to a variety of circumstances, including physical and mental stress, is known medically as telogen effluvium. Due of the unusual nature of the COVID-19 pandemic, it is vital to comprehend the possible repercussions on the well-being of health care workers, including any severe effects on their physical health. The purpose of this research is to examine the incidence of telogen effluvium among the rehabilitated medical staff of Benha University Hospitals. The researchers evaluated the state of these people's hair in detail, taking into account issues including hair thinning, shedding, and complete hair loss. The purpose of this research is to provide light on the possible influence of COVID-19 on the hair health of healthcare professionals by examining the prevalence of telogen effluvium.
:本文简要概述了在本哈大学医院工作的 COVID-19 幸存者中毛发脱落症发病率的研究情况。由于身体和精神压力等各种原因导致的暂时性脱发在医学上被称为毛囊性脱发。由于 COVID-19 大流行的不寻常性,了解其对医护人员福祉可能造成的影响,包括对他们身体健康的任何严重影响至关重要。本研究的目的是调查本哈大学医院康复医务人员中毛发脱落症的发病率。研究人员详细评估了这些人的头发状况,考虑到了头发稀疏、脱落和完全脱发等问题。这项研究的目的是通过检测毛囊性脱发的发生率,揭示 COVID-19 对医护人员头发健康可能产生的影响。
{"title":"Review article in telogen effluvium","authors":"Ihab Abdallah, Samah Ibrahim, Abeer Abd El-Maksood, Miada Saleh","doi":"10.21608/bjas.2023.227728.1223","DOIUrl":"https://doi.org/10.21608/bjas.2023.227728.1223","url":null,"abstract":": This article provides a concise overview of research on the incidence of telogen effluvium among COVID-19 survivors working at Benha University Hospitals. Temporary hair loss due to a variety of circumstances, including physical and mental stress, is known medically as telogen effluvium. Due of the unusual nature of the COVID-19 pandemic, it is vital to comprehend the possible repercussions on the well-being of health care workers, including any severe effects on their physical health. The purpose of this research is to examine the incidence of telogen effluvium among the rehabilitated medical staff of Benha University Hospitals. The researchers evaluated the state of these people's hair in detail, taking into account issues including hair thinning, shedding, and complete hair loss. The purpose of this research is to provide light on the possible influence of COVID-19 on the hair health of healthcare professionals by examining the prevalence of telogen effluvium.","PeriodicalId":8745,"journal":{"name":"Benha Journal of Applied Sciences","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Benha Journal of Applied Sciences
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