@article { author = {Ghweil, Ali A. and Abdellah, Ahmed H. and Hassan, Mohammed H.}, title = {Issue Information}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {0-0}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120779}, abstract = {}, keywords = {}, url = {https://svuijm.journals.ekb.eg/article_120779.html}, eprint = {https://svuijm.journals.ekb.eg/article_120779_38d0507e2063c842daa13bafb3c490be.pdf} } @article { author = {Mohamed, Hosam M. and Bazeed, Shamardan E. S. and Osman, Heba A. and Fayed, Hanan M.}, title = {Correlation between platelet count and outcome of chronic HCV patients treated with direct-acting antivirals}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {1-9}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120929}, abstract = {Background: Egypt has the highest prevalence of chronic hepatitis C virus (HCV) infection. Thedirect acting anti-virus (DAAs) are available, with a reported 95% sustained virological responseafter treatment for 12 weeks (12w-SVR).Objectives: The current study aimed to assess the correlation between platelet count and theDAAs therapy outcome in chronic HCV (CHC) patients.Patients and methods: three hundred CHC patients, Child–Pugh grade A, both naïve andtreatment experienced patients were enrolled in this study, from outpatient Clinic, Department ofGastroenterology, Hepatology and Tropical medicine, Qena university hospital, Qena, Egypt,treated with DAAs for 12 weeks, either dual or triple therapy, according to criteria recommendedby the national committee for chronic viral hepatitis (NCCVH). Patients categorized into threegroups: (1) Group I (non-thrombocytopenic group): included 100 CHC patients with platelet count≥ 150 (109/L); (2) Group II (mild thrombocytopenic group): included 100 CHC patients withplatelet count 100-149 (109/L); (3) Group III (moderate thrombocytopenia): included 100 CHCpatients with platelet count 50–99 (109/L).Results: The Overall CHC patient's mean age were (48.2 ± 11), 226 (75.33%) were males and 74(24.67%) were females. 97.6% (293/300)of CHC patients attainedSVR; 97 % in (Group I), and 98% in both (Group II), and (Group III), after 12 weeks DAAs therapy with no significant differencebetween groups.Conclusion: both DAAs treatment modalities were efficient in the eradication of HCV; however,thrombocytopenia in CHC patients does not affect the DAAs therapy outcome.}, keywords = {Direct-acting anti-virus,Platelets,SVR,HCV}, url = {https://svuijm.journals.ekb.eg/article_120929.html}, eprint = {https://svuijm.journals.ekb.eg/article_120929_900dec6395abc3e42552f6a767d5c839.pdf} } @article { author = {Mahmoud, Ahmed M. and Hamed, Ahmed F. and Hegazy, Eisa M. and Sadek, Eslam A.}, title = {Prevalence rate, risk factors of acne vulgaris and its impact on the quality of life among teen-agers in Qena city, Upper Egypt}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {10-18}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120930}, abstract = {Objectives: determine the prevalence of acne vulgaris among teen-agers in Qena city, determine therisk factors of acne vulgaris, and determine the effect of acne vulgaris on the quality of life amongteen-agers in Qena city.Patient and methods: The study includes 200 students in Qena secondary schools, the studentswere asked to fill in 2 questionnaires, the first include personal date and the other include is CADI.Results: the prevalence of acne vulgaris in Qena secondary school students was 58, acne vulgariswas more prevalent in males (53.5%) than females (46.5%). In addition, We found 5 risk factorsassociated with AV, the most contributing risk factor for AV of these 5 risk factors was stress (AOR= 18.85, 95% CI 6.313-56.281), regular eating of spicy food (AOR = 13.364, 95% CI 4.525-39.465)and the least contributing risk factor was eating fast food. In our study CADI score was significantlyrelated to the disease grade, being maximum among those with severe grade, followed by moderateand lastly mild disease grade.Conclusion: Acne vulgaris is prevalent among Qena teen-agers, stress and dietary factors areimportant risk factors of acne, CADI score was significantly related to the disease grade.}, keywords = {Acne vulgaris,teen-ageers,Qenacity,prevalence,CADI}, url = {https://svuijm.journals.ekb.eg/article_120930.html}, eprint = {https://svuijm.journals.ekb.eg/article_120930_55c04c1f9f8d2c7254d270523000e6c6.pdf} } @article { author = {Abdelaziz, Asmaa R. and Mustafa, Mohamed Wael M. and Aref, Zaky F. and Taie, Usama k.}, title = {Intratympanic steroid injection in cases of idiopathic sudden sensorineural hearing loss}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {19-24}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120932}, abstract = {Idiopathic Sudden Sensorineural Hearing Loss(ISSNHL) is a an irritating problem thatcontinues to pose a diagnostic and therapeutic enigma for the otologist. It is mostcommonly defined as sensorineural hearing loss of 30dB or greater over at least threecontiguous audiometric frequencies occurring within a 72-hr period. It is not one of themore common causes of HL, disproportionate interest in ISSNHL exists most likelybecause it is one of the few reversible (sensorineural) hearing losses encountered byclinicians. Intratympanic steroid injection is increasingly used in the management ofISSNHL as it offers the potential for directed therapy of a high concentration to the innerear with avoidance of systemic side effects. It also can improve hearing function inpatients with ISSNHL after the failure of systemic steroid treatment.}, keywords = {idiopathic sudden sensorineural hearing loss,Intratympanic steroid injection}, url = {https://svuijm.journals.ekb.eg/article_120932.html}, eprint = {https://svuijm.journals.ekb.eg/article_120932_736a3287165675892b9889d681f6eb73.pdf} } @article { author = {Ahmed, Hazem H. and Ali, AbdEl-Naser A . and Mohamad, Mohamad A.}, title = {Predictive values of bubble test during office hysteroscopy in assessment of tubal patency}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {25-30}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120933}, abstract = {Background: Tubal dysfunction is responsible for approximately 30% of infertility cases. Tests todetermine if tubes are open and undamaged are an important part of the infertility workup.Objectives: The aim of this study was to find out the predictive values of bubble test during officehysteroscopy in assessment of tubal patency. .Patients and methods: This study included 100 cases underwent for both hysteroscopy and laparoscopy atthe same setting in department of obstetrics and gynecology , Qena University hospital, South ValleyUniversity, Egypt.Result: In our study 100 women were included , 74 presented by primary infertility and 26 presented bysecondary infertility..In our study using bubble test for tubal patency as primary outcome , the resultsshowed that bilateral tubal patency represented 71 %, unilateral tubal block represented 11% and bilateraltubal block 18%.And the results of laparoscopy with MB injection for tubal patency assessment assecondary outcome , showed that bilateral tubal patency represented 75%, unilateral tubal patency 13 % andbilateral tubal block 12%.so , we figured out that Evaluation of Diagnostic Performance of bubble test inhysteroscopy right in sensitivity of 87.9% specificity of 54.5% positive predictive value of 92.1%, negativepredictive value of 42.9% with diagnostic accuracy of 83.1%Conclusion: Bubble test had a good predictive value in diagnosis of tubal patency through officehysteroscopy.}, keywords = {office hysteroscopy,Infertility,Laparoscopy,tubal patency}, url = {https://svuijm.journals.ekb.eg/article_120933.html}, eprint = {https://svuijm.journals.ekb.eg/article_120933_918d975a0751adf8728e43738234a2e9.pdf} } @article { author = {Ahmed, Hasnaa A. and Soliman, Mohamed A. and Asida, Salah M.}, title = {Comparison of isofluraneand sevofluranein anesthesia for day case surgeries using classical laryngeal mask airway}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {31-35}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120934}, abstract = {Background: Advances in anesthetic induction agents and airway management have contributed tothe success of day case surgeries. An ideal day-case anesthetic agent should have rapid smoothinduction; provide optimum surgical conditions with rapid recovery and minimal side effects.Objectives: Comparing isoflurane and sevoflurane as maintenance anaesthetic agents in day casesurgeries.Patients and methods:This study was done on 100 patients scheduled for operations under generalanesthesia divided in two groups of maintenance anaesthesia (isoflurane and sevoflurane) 50patients in each.Results: MAP was with more decrease in group B (75.8±7.2) than group A (90.2±8.8). LMAhyper- reactivity score was with more decrease in mild (20%) and moderate (6%) in group A thangroup B, mild (46%) and moderate (8%). LMA removal (min) was statistically significant betweentwo groups A (8.8±1.2) B (5.1±.8). Emergence was statistically significant with (0% of cases) and(24% of cases) for groups A and B respectively. PONV score, was statistically significant withnegative (88%, 98%) and mild (12 %, 2%) for groups A and B respectively. discharge time, wasstatistically significant with (21.1±8.3 hours, 9.4±2.5 hours) for groups A and B respectively.Conclusions:Sevoflurane and isoflurane are suitable for day care anaesthesia.}, keywords = {Isoflurane,Svoflurane,Laryngeal mask airway,Day case surgery}, url = {https://svuijm.journals.ekb.eg/article_120934.html}, eprint = {https://svuijm.journals.ekb.eg/article_120934_940995930aacfb518d992bf04e639b42.pdf} } @article { author = {Mohamed, Ghada A. and Salman, Osama H. and Abdelzaher, Ahmed Y.}, title = {Evaluation of three different regional anesthetic techniques in postoperative pain control after inguinal hernia repair operations in adults patients}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {36-42}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120935}, abstract = {Background: Various analgesic modalities have been used for postoperative analgesia in patientsundergoing inguinal hernia surgery.In this randomized clinical trial, we have compared the analgesicefficacy of transverses abdominis plane (TAP) block with that of ilioinguinal/ iliohypogastric (II-IH) nerveblock and quadrates lamborum(QL) block in patients undergoing unilateral open inguinal hernia repair.Objectives: comparison of the efficacy of either of the three types of regional anesthetic blocks , theultrasound –guided TAP block , ultrasound-guided Quadratus Lamborum block and ultrasound- guidedilioinguinal and iliohypogastric nerve block in quality and duration of postoperative pain control.Patients and methods:This is a cross-sectional, hospital based study carried out on 90 cases undergoinginguinal hernia repair under general anesthesia using either of the three types of block in each group; theultrasound–guided TAP block , ultrasound- guided ilioinguinal and iliohypogastric nerve block andultrasound-guided Quadratus Lamborum block nerve All cases enrolled fromgeneralsurgerydepartment andseen at the pre operative holding area before going to the operative theatre of Qena university hospitalbetween August 2018 to August 2019 .Result(s):VAS were lower in the IINB group and QLB group compared to the TAP block group both atrest and during cough. The difference in VS score was statistically significant various times postoperative.Time to first analgesic request was delayed in IIIH nerve block Group(7.3±1.3 ) hours than TAP blockgroup (5.9±1.3)hours (P value .008)and time to first analgesic request was delayed in QL block Group < br />(10.3±3.9) hours than TAP block group (5.9±1.3)hours (P value 0.001) .15 patients (50%) in TAP blockgroup,10 patient (33.3%) in IINB group and 4 patients (13.3%)required morphine 24 hours postoperative .Conclusion:This study demonstrated that compared to TAP block II-IH nerve block and QL block providesbetter pain control after open repair of inguinal hernia when all blocks were administered under USguidance.}, keywords = {US-guided nerve block,TAP,II-IH,QL,inguinal hernia surgery}, url = {https://svuijm.journals.ekb.eg/article_120935.html}, eprint = {https://svuijm.journals.ekb.eg/article_120935_4bc8fc795de4b68dea6fe531a4dfc67e.pdf} } @article { author = {Aboelwafa, Marwa O. and Seleem, Tahia H. and Ibraheem, Hassan M. and Hassan, Mohammed H.}, title = {Assessment of seminal plasma free amino acids among fertile men}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {43-46}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120939}, abstract = {Background:Amino acids can elevate sperm count, motility, and morphology. Increasing the availabilityof these amino acids can help to improve male fertility certain foods can help to improve spermparameters. This is due to the high concentration of specific amino acids. There are many amino acidsinvolved in the production, development and maintenance of sperm.Aims:assessment of seminal plasma free amino acids among fertile men.Patients and methods: this study done on 50 fertile menassessment of free amino acids in their seminalplasma, Semen analyses were done and amino acids measured in seminal plasma using H.P.L C.Results:The median and range of their semen analysis parameters were :volume 2(3-3),liquefactiontime 10(10-15), sperm concentration 60(50-75)million / ml ,total sperm motility80(80-80) %, abnormalsperm35(30-40),viability 67.5(60-80)%the range of seminal plasma leucine was(1.68-1.87),isoleucine(1.22-1.31),valine(0.33-0.53)tyrosine, (1.11-1.22),phenylalanine (0.79-0.89) ,histidine (1.28-1.51),Tryptophan (0.26-0.36).Conclusions:Assessment of seminal plasma amino acids is very helpful in evaluation of male fertility.}, keywords = {Amino acids,fertility,Seminal plasma,Semen Analysis}, url = {https://svuijm.journals.ekb.eg/article_120939.html}, eprint = {https://svuijm.journals.ekb.eg/article_120939_131a9f0fdd57a9d075068a0aa2863d59.pdf} } @article { author = {Essa, Mohammed and Abdellah, Osama and El-Kady, Asmaa M. and Elsaman, Ayat}, title = {A study of Intestinal helminthic parasitic infection in Qena governorate inhabitants}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {47-54}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120942}, abstract = {Background: Parasitic diseases continue to be a major cause of morbidity and mortality. More thanthree billion people are infected worldwide, mainly in the developing countries. Children are easy preyto parasites. Poverty, illiteracy, poor hygiene, lack of access to potable water, poor public healthinfrastructure, hot and humid tropical climate are the usual factors associated with intestinal parasiticinfections. Parasitic infections, particularly intestinal helminthes, cause hundreds of thousands ofavoidable deaths each yearObjective: To Assessment of the prevalence of parasitic helminthes infection among Qena governorateresidents.Patients and method(s): Across sectional study was carried out on 316 patients, 5-50 years attendedthe outpatient clinics of Qena Faculty of Medicine, South Valley University, between August 2017 andAugust 2018. Stool samples were collected and examined by Direct wet mount and Concentrationtechniques including sedimentation using saline and formol ethyl acetate.Result(s):In the studied cases, intestinal helminthic parasitic infections were found in 40 (12.5%) casesout of 316 patients. Positive cases were 30 male patients (75%), while 10 female patients (25%), 27(67.5%) patient out of 197 aged from 5-19 years, 0 (0%) patients out of 70 from 20-34 years and 13(32.5%) out of 49patientfrom 35-50 years, 10 of patients from urban houses (25%) and 30 of patientsfrom rural houses (75 %),19 (47.5%) were present with abdominal pain , 9 (22.5%) with diarrhea and12 (30%) with perianal itchingConclusion: Qena governorate suffer from intestinal helminthic parasitic infection mainly in ruralareas in children and young adults from 5-19 years old.}, keywords = {intestinal helminthes,Qena Governorate,prevalence}, url = {https://svuijm.journals.ekb.eg/article_120942.html}, eprint = {https://svuijm.journals.ekb.eg/article_120942_bff4447b3f47e3dd18c382086a01d39c.pdf} } @article { author = {Sharawy, Ashraf S. and Aldghaimy, Ahmed H. and El Soghair, Osama AbdElmoneam and Badry, Aya Mahmoud}, title = {Assessment of retinal nerve fiber layer thickness in myopic patients using optical coherence tomography}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {55-59}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120952}, abstract = {Background: Optical Coherence Tomography is the key tool for assessment of the retinal nerve fiberlayer (RNFL) thickness which is occasionally altered in myopic patients.Aim of study: To assess the effect of different degrees of myopia on the thickness of retinal nervefiber layer by the use of spectral domain optical coherence tomography .Patients and Method(s): Our study included examination of 40 myopic patients and 40 emmetropicpersons.Retinal nerve fiber layer thickness was measured by the use of Optical CoherenceTomography.Results: Evaluation of RNFL thickness at the different sectors revealed that the thickness at thesuperior sector is of 102.13 ± 24.91μm for the myopics and of 124.5 ± 15.58 μm for the emmetropes.At the inferior sector the thickness was of 114.08 ± 25.15μm for the myopesanf of 134.63 ± 19.08μm for the emmetropes ,at the nasal sector the thickness was of 71.9 ± 20.62 μm for the myopes andof 81.48 ± 9.45 μm for the emmetropes, at the temporal sector the thickness was of 75.25 ± 23.4 μmfor the myopes and of 74.78 ± 13.42 μm for the emmetropes .Conclusion: Different grades of myopia affects the RNFL thickness by different degrees with thethinnest one goes to the high myopia. So, High myopia should be considered in the interpretation ofOCT data because of thinning of RNFL thickness, and normative database corrected for refractive errorand axial length should be incorporated.}, keywords = {Myopia,Retinal nerve fiber layer thickness,Optical Coherence Tomography}, url = {https://svuijm.journals.ekb.eg/article_120952.html}, eprint = {https://svuijm.journals.ekb.eg/article_120952_d7f6c37bf9a03e613c7fdb66e8f6be28.pdf} } @article { author = {Mosallom, Shimaa A. and Eisa, Karam M. and Negm, Mohamed and Abdel-Bary, Mohamed}, title = {Semicontinous Versus Interrupted Suture Technique For Mitral Valve Replacement In Patient With Rheumatic Mitral Valve Disease}, journal = {SVU-International Journal of Medical Sciences}, volume = {2}, number = {1}, pages = {60-66}, year = {2019}, publisher = {South Valley University, Faculty of Medicine}, issn = {2735-427X}, eissn = {2636-3402}, doi = {10.21608/svuijm.2019.120953}, abstract = {Background: In mitral valve prolapse is associated with severe mitral regurgitation, mitral valve repairor surgical replacement may be necessary. In Mitral valve replacement, some surgeon use continuoussuture, others use interrupted suture technique.Aim of the work: to compare efficacy of semi-continuous technique & interrupted suture of prosthesticvalve replacement in mitral valve replacement.Patients and Methods: it was a prospective randomized comparative study done at the CardiothoracicSurgery Department, Qena University Hospitals, South Valley University, Egypt between April 2016 toApril 2018. It included 31 patients with rheumatic mitral valve disease whatever the cause. They weredivided into group1: patients underwent semi-continuous technique for MVR (18 cases) and group2:patients underwent interrupted technique (13 cases).All of patients were subjected to preoperative data:complete history, general examination including general condition of the patient and vital signs,investigations including routine laboratory investigations, especially complete blood count, chest X ray(CXR), 12 lead Electrocardiography (ECG), echocardiography and coronary angiography if patientmore than 40 years old, operative data including total bypass time, aortic CCT, number of sutures, andpostoperative outcome including ICU stage and inotrope use, postoperative complications, pulmonaryhypertension and echo findings as immediate postoperative and echo after 1 and 3 monthspostoperative.Results: We found that the mean total bypass time was significantly higher among interrupted group < br />compared to semicontinuous one.Conclusion: Semicontinuous sutures showed significantly better results than interrupted ones,especially regarding the total bypass time}, keywords = {Mitral valve replacement,semicontinuous,interrupted,Suture,Rheumatic}, url = {https://svuijm.journals.ekb.eg/article_120953.html}, eprint = {https://svuijm.journals.ekb.eg/article_120953_80f2abdafa5a2bc5c333f9e2b141a4c7.pdf} }