2024-03-28T18:56:15Z
https://svuijm.journals.ekb.eg/?_action=export&rf=summon&issue=17145
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Issue Information
Ali
Ghweil
Ahmed
Abdellah
Mohammed
Hassan
2020
07
01
0
0
https://svuijm.journals.ekb.eg/article_111881_ab63e779410b637bbebf14c0208cf0c6.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Isolation, identification and Antibiogram study of pathogenic bacteria mediated Children Chronic Tonsillitis at Qena University Hospital, Egypt.
Zeinab
Heussien
Naeima
Yousef
Hannan
Temark
A. A.
Ebnawaled
Background:Inflammation of tonsils is a common disease of the throat that occurs predominantly in thechildren. Sothis prospective study was carried out to determine the pattern of bacterial strains and theirantibiotic sensitivity amongst children with tonsillitis admitted to the E.N.T Department, Faculty ofMedicine,Qena University Hospital for elective tonsillectomy.Patients and Method(s): Thirty-five children (2 to 17 years old) suffering from chronic tonsillitis weresampled. The bacterial isolates were identified phenotypically based on morphological, hemolysispattern and biochemical characters using different media or identified genotypically through 16S rRNAgene sequencing.Results: The bacterial strains were identified as Staphylococcus aureus (40%) followed byStreptococcus pyogenes (35%), Streptococcus australis (15%), and Streptococcus pneumoniae (10%).The susceptibility of the isolates was tested towards 8 different types of antibiotics (Bioanalyse®). Theresults showed that most bacterial isolates were multidrug-resistant bacteria that showed resistant tothree or more tested antibiotics.Conclusion: The present study revealed that the ß-haemolytic Streptococci (BHS) is a significant causalagent of tonsillitis in our environment which causes a potential danger of rheumatic fever andrheumatic heart disease.
Tonsillitis
ß-haemolytic Streptococci
antibiotics
multidrug-resistant bacteria
2020
07
01
1
8
https://svuijm.journals.ekb.eg/article_111883_f43c6cce0a006b9dbea40104e85cd40c.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Detection of Phospholipase A2 Receptor Related Membranous Nephropathy in Membranous Nephropathy Patient
Alaa
Elmaghraby
Wesam M
Ismail
Amira Ahmed
abdelnaby
Ali Taha
Ali
Eman Muhammed
Salaheldeen
Background: Membranous glomerulonephritis (MGN) considered as the most common causes ofnephrotic syndrome (NS) in the world. Eighty percent of cases are classified as primary MGN. PrimaryMGN is an autoimmune disease in which autoantibodies against podocyte antigens forming subepithelialimmune deposits and result in NS. Autoantibodies against M-type phospholipase A2 receptor (PLA2R)were found in 70-80% of patients with primary MGN but not in those with secondary MGN or other renaldiseases. So, we aim to identify PLA2R associated primary MGN.Patient and methods: Out of 5000 native biopsies received from 2014-17, 600 were diagnosed as MGN,out of which 62 were stained for anti-PLA2R by immunoperoxidase. Nine cases of Lupus (SLE) Class V,12 of hepatitis C&B Virus MGN (10 HCV+ve and 2 HBV+ve) were used as controls. Positive wasdetermined as diffuse glomerular capillary wall staining.Results: Anti-PLA2R was positive in 61%(38/62) of cases (33 idiopathic cases and 5 cases of the control group3:HCV, 1 HBV, 1 SLE). None of theclinical parameters showed significance difference but nephrotic range proteinuria in the anti-PLA2R +vegroup was more (66% vs 46%). Histologically, onlymesangial matrix expansion was significantlydifferent in the aPLA2R –ve group (33% vs 10%, p=0.04).Conclusion: anti-PLA2R tissue staining is a reliable and specific method to identify primary MGN andshould be done routinely in all MGN cases even those identified as secondary on clinical basis.
Membernous glomerulonephritis
anti-PLA2R
nephrotic syndrome
2020
07
01
9
13
https://svuijm.journals.ekb.eg/article_111884_97cdec8e95cdeb8a5e2ab0db833571ac.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Diagnosis and Grading Of Papilledema Using Optical Coherence Tomography Compared To Clinical Staging By Frise´n Scale.
Manar T.
Mohamed
Ahmed H.
Aldghaimy
Osama A.
Elsoghair
Wael Elshazly
Aita
Background:Papilledema, or optic disc swelling due to raised intracranial pressure, has been graded using the Frise´ n Scale. Objectives: In this study we aim to compare and contrast 2 methods of quantitating papilledema, namely, Optical coherence tomography (OCT) and Modified Frise´n Scale (MFS). Materials and method:This study was performed at ophthalmology department, Qena Faculty of Medicine, South Valley University from June 2019 to January 2020, thirty patients with papilledema were enrolled, assessment of OCT retinal nerve fiber layer thickness, OCT total retinal thickness, then compared by modified Frise´n scale from photographs. Results:Our study included 30 patients, 26 females with mean age 28.2±6.7 and 4 males with mean age 32±2, Among 30 patients with papilledema: 7(21) % had grade 1, 10(30) % had grade 2, 4(12) % had grade 3, 9(27) % had grade 4. When OCT RNFL thickness was compared with MFS grade from photographs (using majority rule), Spearman rank correlation was 0.727 (P<0.0005). When OCT total retinal thickness was compared with MFS grade from photographs, Spearman rank correlation was 0.789(P<0.0005). Conclusions: In grading papilledema, we found strong correlation between the modified Frise´n scale and OCT findings. For lower-grade optic disc edema, OCT compares better with clinical staging of optic nerve head photographs. With higher grades of edema, OCT RNFL thickness processing algorithms often fail or lack sensitivity, while OCT total retinal thickness performing more favorably
papilledema
optical coherence tomography (OCT)
modified Frise´n scale (MFS)
2020
07
01
14
19
https://svuijm.journals.ekb.eg/article_111890_ed47db920d3734de09f99a77fd0cc86e.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Vitamin D deficiency in critically ill children
Eman Abo EL Magd M.
Ibrahim
Ahmed El-Abd
Ahmad
Mohammed H.
Hassan
Nagwan I.
Rashwan
Background:In critical illness, there also is evidence of rapid falls in circulating 25(OH)D concentrations. So, we aim to assess the prevalence of VDD in a pediatric ICU (PICU) patients and to determine whether there is any relationship between VDD and illness severity and mortality. Patients and methods:this is a case control study that included 40 children :20 patient admitted to pediatric intensive care unit in Qena university at time of the study(from January 2018 till December 2018) compared to 20 apparently healthy well-matched children regarding age and sex to be compared as controls.All patients subjected to: Full history,detailed physical examination,diagnostic modalities as: laboratory investigation and severity of illness was assessed with the pediatric risk of mortality III Result: Our study included 40 child with the age of patientsrangedfrom5 monthsto12years withmean +/- SD 3.7 ±3 year. Male patients represented70%.In our study, the prevalence of vitamin D deficiency among critically ill children was 70 %we did not findsignificant correlation between 25(OH) vitamin D and pediatric risk of mortality III (PRISM III) Conclusion:Vitamin D Deficiency (VDD) prevalence was reported in 70% of the critically ill patients, and it was observed to be related to multiple organ dysfunctions and rapid clinicaldeterioration.
vitamin D deficiency
pediatric critical illness
2020
07
01
20
25
https://svuijm.journals.ekb.eg/article_111893_3e3eb0c5f6061ab249609d0c74aba8fe.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Efficacy and safety of Tenofovir Disoproxil Fumarate in Patients with Chronic Hepatitis B with High Baseline Viral Load
Ahmed Gad Mohamed
Ahmed
Ali Abdel Rahman Sayed
Ghweil
Hasan Sedeek
Mahmoud
Background: Chronic hepatitis B virus infection is an important cause of morbidity and mortality. Tenofovir disoproxil fumarate was licensed for the treatment of hepatitis B virus infection. So, the current study aimed to Evaluate efficacy and outcome of Tenofovir Disoproxil Fumarate in patients with Chronic Hepatitis B with High Baseline Viral Load. Patients and methods:One hundred Chronic HBV patients attend Outpatient Clinic of HBV treatment unit, Qena fever hospital, Qena, Egyptwere enrolled in this study and treated with Tenofovir Disoproxil Fumarate (300mg/day) for 24 weeks. Patients categorized into two groups: Group A: included 50 chronic HBV patients with Low Viral load < 1 million/ml and Group B: included 50 chronic HBV patients with High Viral load ≥ 1 million/ml.virological and biochemical response, as well as safety outcomes were assessed after 24 weeks of treatment. Results:The mean age of patients was 38.4 years and 33.9 years in Group A and Group B respectively. Number of males was 32 (64%) and 36 (72%) in Group A and Group B respectively. HBeAg was positive in 20 % and 36 % in Group A and Group B respectively. The rates of complete virological suppression were 88% in group A and 72% in group B. All patients achevied normalization of ALT. No severe adverse events were reported during the present study. No elevations in creatinine level were detected. Conclusion: Tenofovir Disoproxil Fumarate is an efficacious, safe and well-tolerated treatment in an Egyptian patient.
Tenofovir
HBV
ALT
2020
07
01
26
33
https://svuijm.journals.ekb.eg/article_111898_3346dba2c1fd0594a971d9f325fe5d99.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Role of lung ultrasonography in postoperative fluid management in patients with severe preeclampsia
Ahmed MA
Ismail
Salah A
Mohammed
Mohamed AW
Ezzat
Hamza AA
Mahmoud
Background:severe preeclampsia (PET) is one of the hypertensive diseases of pregnancy associated with significant morbidity and mortality and require special monitoring, lung ultrasonography is a novel monitoring and diagnostic tools in intensive care and widely used nowadays with early detection of pulmonary oedema. Patients and Methods:this was a cross sectional study of 55 patients with severe preeclampsia,35 case with eclampsia and 60 healthy controls. Lung ultrasonography was done to detect B lines in 12 lung zone postoperatively in both cases and controls fluid input and output is encounted. Results:Median (Min- Max) of lung sonar was higher in severe PET than in controls p value = .0001. B lines were observed in 47.2% and 8.3% in eclampsia ,severe PET and controls respectively. There was highly statistically significant difference between cases and controls as regards input and output as ( P=.005), ( P=.003) respectively as input and output was higher in control group than cases group) While there was no statistical significance difference between cases and controls as regards net balance as (P=.09). complications occur in higher percentage in cases than control. Conclusions: Restrictedfluid policy is indicated with the finding of B pattern especially with higher lung ultrasound score. Early management in patients with high B line score (pulmonary congestion) even before development of clinical manifestations should be considered.
severe preeclampsia
Eclampsia
lung ultrasonography
B lines
2020
07
01
34
40
https://svuijm.journals.ekb.eg/article_111900_a71a342414ca5427175498294dabaab7.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Comparative effects of oral hypoglycemic drugs on serum YKL-40 level in type 2 diabetic patients.
Caterine N.
Matta
Mahmoud H.
Abdel- Rahim
Magda M.
Youssri
Abdulhakim E. Mustafa
Wazeery
Background:The prevalence of Type 2 diabetes mellitus and its associated micro and macro-vascular complications are globally rapidly increasing. Studies show that most diabetic complications are associated with an inflammatory response. YKL- 40, a novel biomarker for acute and chronic inflammation, has been proved to have a role in these complications. Many classes of antidiabetic drugs may have modulatory effects on inflammation beyond their glucose‐lowering activity. So, inThis study we evaluate comparative effects of metformin and glimepiride on ykl-40 serum level in type2 diabetic patients. Patients and method(s):In a parallel-group, randomized trial setting, 46 newly diagnosed, medication-naïve type 2 diabetes patients were assigned to metformin (in divided doses, 500 -850 mg tablets three times daily) (n = 23) or glimepiride (1-4 mg once daily) (n = 23). Serum concentrations of YKL-40, along with HbA1c were measured at baseline visit and after 4 months. Result(s): Both drugs were equally effective to achieve glycemic control. However, metformin caused more significant reduction in YKL-40 concentrations after 4 months when compared to glimepiride (P < 0.05). Conclusion: /From the present study it is hypothesized that metformin is more effective than glimepiride in reduction of YKL-40 level (inflammatory diabetic complications).
Diabetes mellitus
YKL-40
Metformin
Glimepiride
Inflammation
2020
07
01
41
47
https://svuijm.journals.ekb.eg/article_111904_6764b85f980261bd02a3672c4c23a951.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Imaging of hematuria patients by CT and MRI: An updated review of the literature
Abd-Elrahman M.
Kamel
Mohammad T.
Mahmoud
Khaled F.
Zaky
Mohammad A.
Alsayed
Ahmed M.
Alsharkawey
Background:Hematuria has a wide prevalence rate in the population so it is a common reason for imaging of the urinary tract. Hematuria has many causes from urinary tract infections to malignancy. Imaging has a major role in the investigation of hematuria for determining the underlying cause and influencing management. Computed tomography (CT) and magnetic resonance imaging (MRI) is increasingly valuable tools for assessing the urinary tract in adults and children. However, their imaging capabilities, while overlapping in some respects, should be considered as complementary, as each technique offers specific advantages and disadvantages both in actual inherent qualities of the technique and in specific patients and with a specific diagnostic question. Use of CT and MRI should therefore be tailored according to the patient conditions and the clinical question. The present review aim toclarify role of CT and MRI for assessment and diagnosis of causes of hematuria and to study the CT and MRI features of various etiologies causing hematuria.
hematuria
CT. MR
2020
07
01
48
54
https://svuijm.journals.ekb.eg/article_111907_d5367097040bf888448c9bd70640c4a5.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Role of Eltrompobag in treatment of thrombocytopenia associated with chronic Hepatitis C Virus
Ola M.
Abdelaty
Mohamed A.
Alsenbesy
Abdelkader A.
Hashem
Shimaa Abdallah
Ahmed
Background: Thrombocytopenia is a common hematological abnormality observed in patients infected with hepatitis C virus (HCV). Thrombocytopenia is a well-known relative contraindication for the initiation of antiviral therapy in HCV-infected patients and may also result in the postponement of many invasive procedures that chronic liver disease (CLD) patients may need to undergo. This study aiming to determine the platelet response to eltrombopag and side effects of eltrombopag therapy in patients with HCV-associated thrombocytopenia. Patients and methods: This prospective study was carried out on 30 patients with chronic HCVassociated thrombocytopenia (<50,000×109/L) thatprecludes the initiation of HCV therapy. Eltrombopag was initiated at a dose of 25 mg once daily; the dose was adjusted with 25 mg increments every 2 weeks to achieve the target platelet count. The primary end point was to achieve stable target platelet count(>100,000×109/L) required to initiate antiviral therapy and any surgical intervention. Results: Treatment response was achieved in 29 (96.7%) patients. This prospective study showed That when the dependent variable was the increased platelet count at second week of treatment while the independent variables are: age, albumin level, gender, platelet count before treatment, AST, and WBC count. The only significant positive predictive factor was the platelet count before treatment. Conclusion:Eltrombopag causes significant elevation of platelet count in patients with HCV related thrombocytopenia, so that Eltrombopag could be used prior to and during treatment with antiviral therapy when thrombocytopenia become confronting problem as well as before surgical interventions.
HCV
eltrombopag therapy
thrombocytopenia
2020
07
01
55
60
https://svuijm.journals.ekb.eg/article_111911_eba856279be96632fde82b8acb51178d.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Evaluating protocol of management of unconjugated hyperbilirubinemia in neonatal intensive care unit at Qena University Hospital
Eman Ahmed
Abd-Elmawgood
Ahmed El-Abd
Ahmed
Abdelqader Mohamed
Kamel
Nagwan Ibrahim
Rashwan
Background: Neonatal hyperbilirubinemia is a common problem in neonates with an incidence of about 60% in term babies and 80% in preterm babies. It is the commonest cause of admission to the hospitals in the newborn period. We should assess all babies for jaundice at every opportunity. Methods include visual assessment, transcutaneous bilirubinometer (TcB) or total serum bilirubin (TSB). Objective: This is a descriptive study aimed to evaluating the protocol of management of unconjugated hyperbilirubinemia in neonatal intensive care unit at Qena University Hospital. Patients and method(s): This descriptive study included neonates admitted to neonatology unit at Qena university hospital from (April to October 2019), Total number of admitted neonates in our NICU through this period were 1274, from which 517 neonates had jaundice as a primary cause of admission or developed during the course of NICU stay. Result(s): In this period the total number of NICU admission was 1274 cases, out of 517 jaundiced neonates, 100 (19.3%) were diagnosed to have unconjugated jaundice on admission without any associated other diseases and 417 (80.7%) of them were admitted due to other causes and developed jaundice during the course of the disease. The other 417 neonates were admitted to our NICU due to RD in 409 (79.1%) cases, 4 (0.8%) cases due to sepsis, two (0.4%) cases due to CHD and two (0.4%) cases due to surgical causes. The unconjugated neonatal jaundice represented (7.8%) (100 cases out of 1274 neonates admitted during the period of the study). Physiological jaundice represented 89.4% while pathological jaundice represented 10.6% of causes of neonatal jaundice. Regarding treatment of studied neonates 12% of cases need only follow up with no need for Phototherapy, 62.8% of cases needed single or double Phototherapy, 12.4% needed extensive Phototherapy (triple phototherapy), 12.8% of cases needed capsule Phototherapy and no cases needed neither exchange transfusion nor drug therapy. Only 0.4% of jaundiced neonates developed prolonged hyperbilirubinemia, while no complications were detected in 99.6% of cases. We started treatment based on measuring bilirubin by TSB in 62.3% of jaundiced neonates and 37.7% by TCB. The mean values of TSB in jaundiced neonates (11.46 ± 4.92) were significantly higher than the TCB (10.31 ± 4.61), P =0.0005. There was significant positive correlation between mean TSB and mean TCB (R= 0.946, P < 0.001). There was no significant difference regarding mean TSB between different gestational age groups p= 0.242). Conclusions: Hyperbilirubinemia is one of the most common causes of hospital admission in our nursery. Among the causes of hyperbilirubinemia, physiologic jaundice was the most common. Intensive phototherapy is effective in lowering TSB in unconjugated jaundice at / or near levels of exchange transfusion, and this may be helpful in decreasing needs for and risks of exchange transfusions. TcB measurements may underestimate the TSB values, so it should be considered only as a screen and samples should be sent to the laboratory for confirmation especially at high risk groups and high levels of TCB.
Neonatal Jaundice
Hyperbilirubinemia
Transcutaneous bilirubin
Qena
2020
07
01
61
68
https://svuijm.journals.ekb.eg/article_111985_37ddc29dc4b6190c2db4600b78143c10.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Laparoscopic appendectomy for perforated appendicitis; a comparison with open appendectomy
Ziad Abdel Raouf
Ismail
Mohammed Abdel Shafy
Mohamed
Asmaa Gaber
Rizk
Mohamed Yousef
Ahmed
Hamdy Mohamed
Hussein
Background: Perforated appendicitis is one of the common surgical emergencies which need immediate surgical intervention.For many years, the classic open appendectomy still seems to be the routine treatment of perforated appendicitis. The improvement of technology and an increase in laparoscopic experience have been central to the development of laparoscopic surgery.The aim of this study is to compare outcome of laparoscopic versus open surgery for surgical management of perforated appendicitis in our locality. Patients and Methods: This is a prospective study that included 40 patients with perforated appendicitis admitted at general surgery department in Qena university hospital “between April 2018 to April 2019”, 20 patients underwent open appendectomy and 20 had laparoscopic surgery. All patients subjected to: full clinical evaluation, diagnostic modalities as: laboratory investigation, plain X-ray erect and abdominal sonography. Results:All cases were completed successfully.A20 patient underwent open conventional surgery their mean age 29.80±7.32 years. While those underwent laparoscopic surgery were 20 patients and their mean of age 28.80±7.37 years. There were statistically significant differences between studied groups regarding operative time,time to return to a normal diet, length of hospital stayand postoperative complications. Conclusion: Laparoscopicsurgery for perforated appendicitisis safe and carries many advantages of minimallyinvasivetechniques. So, it should beused selectively, reservingthe traditionalopen approach.
perforated appendicitis
Treatment
open
Laparoscopic
peritonitis
2020
07
01
69
78
https://svuijm.journals.ekb.eg/article_111986_a0d872158603c9daf384e9bcf6e849bd.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Role of CT For Evaluation of Hematuria
Abd-Elrahman M.
Kamel
Mohammad T.
Mahmoud
Khaled F.
Zaky
Mohammad A.
Alsayed
Ahmed M.
Alsharkawey
Introduction: Hematuria has a prevalence rate of 2% to 31% in the population and is therefore a common reason for imaging of the urinary tract. Hematuria has many causes ranging from urinary tract infections to carcinoma. Imaging plays a major role in the investigation of hematuria frequently determining the underlying cause and influencing management. Computed tomography (CT) is increasingly valuable tool for assessing the urinary tract in adults and children. However, its imaging capabilities, while overlapping in some respects, should be considered as complementary, as each technique offers specific advantages and disadvantages both in actual inherent qualities of the technique and in specific patients and with a specific diagnostic question. The use of CT should therefore be tailored to the patient and the clinical question. Aim of the work: Evaluation of CT as imaging techniques for assessment and diagnosis of causes of hematuria and to study the CT features of various etiologies causing it. Patients and Methods: A prospective observational study included 42 cases have hematuria (gross & microscopic) were examined using MDCT. They are presented to the outpatient clinic of the urology and radiology department at Sohag university hospital between September 2015 and September 2018. A written consent was taken from the patients included in the study. An approval was taken from the scientific ethical committee before starting in the protocol of this study. Results: All causes of hematuria of urologic origin were almost covered using multidetector CT that was very conclusive compared to the previous traditional examinations that the patient had. These images have met good acceptance by the referring urologist that was comparable to endoscopic and surgical results, proving that MDCT can give accurate evaluation for hematuria instead of performing multiple traditional studies that may expose the patient to frequent contrast material & to frequent radiation exposure. We recommend CT as an initial investigation of hematuria and appropriate protocol should be tailored for each patient. Conclusion: CT can diagnose wide spectrum of diseases associated with hematuria with good accuracy and considered the initial and comprehensive imaging modality for evaluation of hematuria.
hematuria
CT
2020
07
01
79
86
https://svuijm.journals.ekb.eg/article_111987_93d33dcac3603ce3ee5090f834f30fd4.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Impact of obesity on asthma severity and control in school aged children
Khaled Abdalla
Abdelbaseer
Safaa Ahmed
Mostafa
Eman Ahmed
Abd - Elmawgood
Background:Childhood asthma and obesity are significant public health problems. The prevalence of asthma and obesity in children have increased significantly during the past decades. The basis for the relationship between pediatric asthma and obesity is not well established.
Objective: our study aimed to find the relation between obesity and bronchial asthma and whether obesity may contribute to more severe asthma symptoms in asthmatic children at Qena University Hospital.
Patients and method(s): This was a cross-sectionalstudy of asthmatic school aged children who were admitted at pediatric department or attendedemergency department or the outpatient clinic of Qena University Hospital through the period from MAY 2018 to April 2019.They classified according to BMI to two groups, asthmatic obese and asthmatic non-obese. The included asthmatic children are subjected to full through history, clinical examination and pulmonary function tests.
Result(s):This was a cross-sectional study which was carried out in Pediatric department of Qena university hospitaland included 60 asthmatic children with intermittent to severe persistent asthma with age range 6-12 years through the period from MAY 2018 to April 2019 and classified to two groups, 30cases asthmatic obese and 30 cases asthmatic non-obese, based on calculated BMI in both groups. The patients were diagnosed according to the global strategy for asthma management and prevention classification. The mean age in asthmatic obese patients was (8.94±1.99)versus (9.13±1.97) in asthmatic non-obese group with no significant difference between them (p-value =0.707). The percentage of moderate persistent asthma was statistically significantly higher in asthmatic obese than asthmatic non-obese group (53.3% versus 26.7%, p-value= 0.035), respectively. 13.3% of asthmatic obese had severe persistent asthma versus 0% in asthmatic non-obese group (p-value=0.038).46.7%of the asthmatic obese children received high dose of steroids versus 10%of asthmatic non-obese with statistically significant difference (p value =0.001). The mean numbers of emergency visits in asthmatic obese were significantly higher than that in asthmatic non-obese (5.9±2.66versus 3.93±1.6), (p-value= 0.001), respectively. FEV1, FVC, FEV1/FVC, were not significantly different in asthmatic obese patients compared with asthmatic non-obese (p-value =0.742, 0.849, 0.751, respectively).
Conclusion:obesity was associated with significantly more severe asthma symptoms together with poor asthma control. Pulmonary function tests were not affected by increased BMI.
bronchial asthma
Obesity
children
School aged
BMI
2020
07
01
87
96
https://svuijm.journals.ekb.eg/article_111988_3d6ba3d90dcfaeb3641bc6297f475b47.pdf
SVU-International Journal of Medical Sciences
2735-427X
2735-427X
2020
3
2
Short-Term Outcome of Tricuspid Valve Annuloplasty Using the Modified De Vega Technique
Ahmed
Adnan
Mahmoud
Khairy
Mohammed Mahmoud
Mostafa
Nezar
Abo Halawa
Mohamed Abdelbary
Ahmed
Karam Mosallam
Eisa
Objectives: The aim of this study is to evaluate short-term results and efficacy of tricuspid valve annuloplasty by the modified De Vega technique. Study design: A prospective cohort study. Setting:Cardiothoracic Surgery Department in collaboration with general surgery department, Qena University Hospital, South Valley University, Qena, Egypt. Duration: FromOctober 2018 to January 2020. Subjects and Methods:25 patients underwent tricuspid valve annuloplasty for functional TR caused by Rt sided dilatation secondary to the left-sided valvular lesion. Informed consent was obtained from all patients in this study. Pts with mild TR, (organic) tricuspid regurgitation or TV endocarditis, and isolated TV lesions were excluded from the study. Result(s):Follow-up echocardiography after 6 months did not show any severe tricuspid regurgitation, but otherwise, most of the patients with mild tricuspid regurge 17 pts (68%) and 8 patients (32%) with moderate regurge, as regard ejection fraction and LV dimensions there were no difference, while there was a significant reduction in LA diameter, pulmonary artery pressure, and RV diameter with p value <0.05. Conclusion(s): Tricuspid valve annuloplasty with a modified De Vega technique in functional TR was associated with a lesser residual degree of TR and could be considered a reliable procedure in TV repair in short term follow-up. Recommendations: Larger sample size and longer follow-up duration should be done
Tricuspid Regurge
Tricuspid Valve Annuloplasty
Modified De Vega Technique
2020
07
01
97
101
https://svuijm.journals.ekb.eg/article_111989_646d552c19ae02763a2a79a30c37ec3b.pdf