The Medical Journal of Cairo University最新文献

{"title":"Adjacent Segment Degeneration Following Laminectomy Versus Degeneration without Laminectomy in Levels Adjacent to those Operated Upon by Lumbar Posterolateral Fixation: A Comparative Study","authors":"A. A. E. M. MOHAMED AHMED EISSA, M.D.; MOHAMED","doi":"10.21608/mjcu.2023.326243","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326243","url":null,"abstract":"Background: Adjacent segment degeneration (ASD) is one of the most communal drawbacks of lumbar fixation. Adjacent segment disease means degeneration developing at mobile segments above or below fixed spinal level. The lowest cranial mobile segment is the mostcommunal level for the development of adjacent instability. Laminectomydisturbs the integrity of the posterior spinal complex. Aim of Study: The main aim of this study was to detect the incidence of adjacent segment degeneration following laminectomy and the incidence of degeneration without laminectomy in levels adjacent to those operated upon by lumbar posterolateral fixation via a comparative study and results of 1 year clinical follow-up. Patients and Methods: A retrospective review was conducted on 40 patients who underwent lumbar posterolateral fixation in one institute from June 2021 to January 2022. 20 patients operated upon by laminectomy and fixation of the same levels without any adjacent segment laminectomy. The other 20 patients operated upon by laminectomy and fixation of the same levels with additional laminectomy of a cranially adjacent level. Results: 40 patients underwent lumbar posterolateral fixation. Of those, 20 patients operated upon by laminectomy and fixation of the same levels without any adjacent segment laminectomy, 2 patients only developed ASD. In the other 20 patients operated upon by laminectomy and fixation of the same levels with additional laminectomy of a cranially adjacent level, 12 patients developed ASD either radiologically or clinically. Conclusions: ASD should be well-thought-outto be a long-term drawback of lumbar or lumbosacral fusion. Many studies proved that the fusion enforcesremarkable degree of stress at the adjacent segment. ASD occurs often with additional decompression above the level of posterolateral fixation within lumbar spine surgery. A surgery that maintains as much of the posterior element as possible should be considered to","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347099","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}

{"title":"Predictors of Mortality for Patients with Severe COVID-19 Admitted to the Intensive Care Unit","authors":"A. R. A. M. M. MOHAMED HABEB, M.D.,; MOHAMED ABDELRAHMAN,","doi":"10.21608/mjcu.2023.325784","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325784","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344010","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}

{"title":"Effect of Modifecations of Plastibell Circumcision Technique on Bleeding and Extraskin Complications in Infants","authors":"W. IBRAHIM, M.D.","doi":"10.21608/mjcu.2023.326236","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326236","url":null,"abstract":"Background: Male circumcision is a common outpatient procedure in Arabic and Islamic countries for religious reason. In Saudi Arabia, Plastibell circumcision technique is a verified -proven method in infant up to 4 months. Aim of Study: The objective of this study is to identify the effect of some modifications on the technique of plastibell circumcision on bleeding and extra skin complications in infants. Patients and Methods: 600 male participants were included in this study. They visited the surgery clinic at Al Jazeera medical complex, Riyadh, Saudi Arabia over a period of 12 months from June 1, 2022 to May 30, 2023. Patients with the age of the infant should be less than 4 months, patients who met inclusion criteria were randomly divided into the experimental (E) and the control group (C). The procedures were performed by the surgical registrar and medical nurse with a topical local spray anesthesia to the penis. During this year we modulate our method and performance to avoid the complications we faced, and we get the best results at the end. Results: The study showed that there were significant differences after intervention between both groups in occurrence of bleeding and extra skin. Conclusion: Circumcision using a plastic bell can be done with a very minimal percentage of complication if we follow certain roles and modifications in the procedure to avoid bleeding and extra skin as well as proximal slippage of the bell.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"56 12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139344474","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}

{"title":"Evaluation of the Novel PAP Score and Other Fibrosis Scores as Non-Invasive Alternative for Upper GI Endoscopy in Detection of Large Esophageal Varices in HCV-Induced Liver Cirrhosis","authors":"D. E. M. R. Z. SHAIMAA M. ALI, M.D.*; FADY NASSIF,","doi":"10.21608/mjcu.2023.326219","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326219","url":null,"abstract":"Background: Hepatic cirrhosis patientsregularly undergo screening endoscopy forvarices. The availability of non-invasive tools for the screening of esophageal varices, their size and susceptibility for bleedingcan reduce the burden of unnecessary endoscopies, the cost and drawbacks. Aim of Study: This work aimed to evaluate the diagnostic performance of a novel PAP score in detection of large-sized esophageal varices as well as other liver fibrosis scores namely Child-Pugh score, AAR, APRI, Fib-4 and Lok index. Patients and Methods: This study included 90 HCV-induced cirrhotic patients aged >_ 21 years with no history of HCC, NSBB therapy or upper gastrointestinal bleeding. Patients were classified into 2 groups according to endoscopic size of varices: Group 1: 60 patients with large-sized esophageal varices i.e grade III-IV and group 2: 30 patients with small-medium sized esophageal varices i.e grade I-II. They were subjected to medical history interview, clinical examination, laboratory investigations and recent pelvi-abdominal ultrasound. Calculation of PAP, AAR, APRI, Fib-4, Child-Pugh and Lok scores and evaluation of their diagnostic performance in detection of large sized varices was done. Results: PAP score had poor diagnostic performance in this study with an AUC of 0.559, p -value 0.406. On the other hand, AAR, APRI, FIB-4, Lok and Child-Pugh scores were capableof discriminating patients with large-sized varices ( p <0.05). FIB-4 score had the best diagnostic accuracy at cut-off value of 4.7 with AUC of 0.951 and APRI score had a high diagnostic accuracy at a cut-off value of 1.45 with AUC of 0.947. Conclusion: Non-invasive screening methods may have a value in detecting patients with large varices who need prophylactic treatment with beta-blockers. Findings of this study suggest the possible usage of FIB-4 and APRI as non-invasive tools to stratify cirrhotic patient into risk classes and possibly on the long run decrease the number of endoscopies required.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345214","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}

{"title":"Assessment of the Protective Effect of Resveratrol and Short Term Caloric Restriction on Diabetic Nephropathy in Rats Via SIRT1/AMPK Pathway","authors":"H. S. P. NAHED SALAH, Ph.D.*; OMINA M. KAMAL,","doi":"10.21608/mjcu.2023.326246","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326246","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345093","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}

{"title":"Serum Pentraxin-3 Level in Patients with Rheumatoid Arthritis and its Association with Disease Activity","authors":"R. M. S. HAGAR K. ABD EL-ALEEM","doi":"10.21608/mjcu.2023.326245","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326245","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"440 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139345929","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}

{"title":"Effect of Vitamin A Supplementation on the Severity of Symptoms of Autism Spectrum Disorder: A Single Center Study","authors":"A. W. A. M. REHAM M. ELHOSSINY, M.D.*; FATMA","doi":"10.21608/mjcu.2023.325780","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325780","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"219 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346361","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}

{"title":"Role of Lateral Pelvic Lymphadenectomy in Rectal Cancer: A Meta-Analysis","authors":"M. G. A. M. SHERIF A. ALMAGHRABY, M.D.; IBRAHIM","doi":"10.21608/mjcu.2023.325781","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325781","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"89 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139347065","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}

{"title":"Can Blood Flow Restriction Exercise Cause Blood Pressure Alterations in Healthy Young Adults","authors":"A. M. S. P. HANY E. OBAYA, Ph.D.*; EMAN H.","doi":"10.21608/mjcu.2023.326229","DOIUrl":"https://doi.org/10.21608/mjcu.2023.326229","url":null,"abstract":".","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346306","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}

{"title":"Correlation between Glenohumeral Subluxation and Hand Dexterity after Stroke","authors":"A. A. M. A. R. MOHAMED N. EL-BAHRAWY, Ph.D.*;","doi":"10.21608/mjcu.2023.325782","DOIUrl":"https://doi.org/10.21608/mjcu.2023.325782","url":null,"abstract":"Background: Glenohumeral subluxation (GHS) is a common post-stroke complication that can be considered an important contributor for other disabilities. Aim of Study: This study aimed to investigate the relationship between glenohumeral subluxation and hand dexterity after stroke. Patients and Methods: Thirty stroke patients of both genders, between 45 and 65 years old with mean of (54.86 – 7.19) participated in this study. The glenohumeral subluxation was evaluated using X-ray radiograph, finger breath test and the hand dexterity was evaluated by Purdue pegboard test. The upper limb function evaluated by fugle-Meyer. Results: No previously existing differences in demographic variables or outcome measures were found. There was a significant difference between X-ray analysis scores and PPBT scores. In addition, a significant negative correlation was found between van classification scores and PPBT scores, whereas there was no significant correlation between FMA and X-ray analysis scores. Conclusion: There is a relationship between glenohumeral subluxation and hand dexterity in poststroke patients.","PeriodicalId":22964,"journal":{"name":"The Medical Journal of Cairo University","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139346999","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}