Aswan University Medical Journal最新文献

{"title":"Role of Sleep Questionnaires in Screening of Sleep Apnea among Chronic Kidney Disease patients","authors":"S. Sayed, Amany Omar, Shazly Ahmed, Samah Kotb","doi":"10.21608/aumj.2022.237807","DOIUrl":"https://doi.org/10.21608/aumj.2022.237807","url":null,"abstract":"Background : Sleep apnea is prevalent and under estimated in renal disease patients. Chronic kidney disease (CKD) and sleep apnea share common comorbidities, so it is not surprising that both diseases commonly coexist. Objectives : This cross sectional study aimed to screen the prevalence of sleep apnea among CKD patients using sleep questionnaires. Patients and Methods: The study was carried out on one hundred patients with known CKD who attended Aswan University hospital during the period between May 2017 and March 2020. Patients were screened for sleep apnea using STOP-BANG and Berlin questionnaires and further confirmed the diagnosis of sleep apnea by in-laboratory polysomnography; the gold standard diagnostic test. Results : STOPBANG score revealed that 52% of CKD patients had high risk of sleep apnea, 39% had intermediate risk and 9% had low risk with a mean value of 4.66 ± 1.67. Berlin score was suggestive of high risk of sleep apnea in 70% of patients with a mean value of 2± 0.8. Polysomnographic results reported that 77% of CKD participants had sleep apnea. Moreover, we detected significant positive correlations between sleep apnea severity and both Berlin score (r-value= 0.535 and P-value= 0.001) and STOPBANG score (r value= 0.283 and P-value= 0.004). Conclusion : Sleep apnea is highly prevalent among CKD patients. Berlin and STOPBANG questionnaires can help in predicting and screening sleep apnea among chronic kidney disease patients","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121868883","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":"The Prevalence and Severity of Sleep Disordered Breathing among Patients with Liver Cirrhosis","authors":"Suzan Salama, H. Makhlouf, Mohammed Zein El-deen, Shazly Baghdady, Amr Abul-hasan","doi":"10.21608/aumj.2022.237811","DOIUrl":"https://doi.org/10.21608/aumj.2022.237811","url":null,"abstract":"Background: The relationship between sleep disorders and liver cirrhosis is bidirectional. Objective: Assessment of the prevalence and severity of sleep disordered breathing among patients with liver cirrhosis. Methodology: A prospective cross-sectional study was carried out on 32 cases with liver cirrhosis during the period from November 2016 to February 2019. For every patient the demographic and clinical data were collected, liver function tests and full night attended polysomnography was done. Results: 53.13% of the included patients had sleep apnea, while 6.25% had Cheyne stoke breathing. The mean hypopnea and apnea hypopnea index were substantially higher in patients with liver cirrhosis due to HCV than the other causes of liver cirrhosis (P value 0.007, and 0.022 respectively). Moreover, there was a substantial moderate negative correlation between aminotransferase enzymes and SaO2 nadir including AST (P = 0.029, r value= -0.500) and ALT (P = 0.023, r value= -0.519). Conclusion: The prevalence and severity of sleep disordered breathing is high among patients with liver cirrhosis Cheyne Stoke breathing; COPD: Chronic obstructive pulmonary diseases; DI: Desaturation index; EDS: Excessive daytime sleepiness; EEG: Electroencephalogram; EOG: Electrooculogram; OSA: Obstructive sleep apnea; SDB: Sleep disordered breathing; PSG: Polysomnography; TST<90: time spent below 90%.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121334341","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":"Sociodemographic and Laboratory finding in children Attending Aswan University Hospital with Scorpion Envenomation","authors":"A. Ismail, H. A. Moneim, K. Elsayed, Ashraf Ahmed, Meabed","doi":"10.21608/aumj.2022.237803","DOIUrl":"https://doi.org/10.21608/aumj.2022.237803","url":null,"abstract":"Background: Creatures that can produce a poison in a gland and then delivering that toxin by stinging or biting are called venomous animals. Arthropods (scorpions, spiders, bees, and wasps) are examples. Aim of the work: The aim of this study is to identify demographic and laboratory characters of children following scorpion envenomation by assessment of clinical picture, WBC, BUN level, SGOT, SGPT and PT in children attending Aswan University Hospital with scorpion sting. Patients and Methods: This study is an observational cross-sectional study, conducted in the period from September 2019 to February 2020 on children aged from one month up to 18 years attending Aswan university hospital by history of scorpion sting. Results: There were statistical significance higher mean value of WBC, BUN level, SGOT, SGPT and PT level in grade 3 compared to grade one and two. Conclusion: Scorpion stings is a life threatening medical emergency. are among endemic scorpion species in Egypt. According to Abroug's classification, more than half of our cases classified as grades 2, while 1/3 were grade 3.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123092620","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":"Transcervical Foley’s Catheter Balloon with Misoprostol versus Misoprostol Alone for Cervical Ripening and Induction of Midtrimesteric Abortion in Women with Unfavorable Cervix","authors":"A. Ait-allah, A. Abdullah, H. Sallam","doi":"10.21608/aumj.2022.237798","DOIUrl":"https://doi.org/10.21608/aumj.2022.237798","url":null,"abstract":"Background: A gradual increase in second-trimester abortion because of wide scale introduction of prenatal screening programs detecting women whose pregnancies are complicated by serious fetal abnormalities such as neural tube defects i.e.anencephaly. Patients and Methods: a randomized controlled trial, was conducted at Aswan university hospital, Women divided into two groups. The first group (group A) received misoprostol only; the second group (group B) received misoprostol with Foley's catheter balloon. Results: Success rate of inducing abortion in group (A) was 20 patients (80%) while in group (B) success rate of inducing abortion was 23 patients (92%). There were statistically significant differences between two groups P<0.001. Induction to expulsion time was ranged between 14-36 hours with mean±S.D. 22.22±7.059 in group A while in group B induction to expulsion time was ranged between 8-24 hours mean±S.D. 14.80±4.514. There was highly statistically significant difference between two groups. The use of trans-cervical Foley’s catheter balloon with misoprostol vaginaly is a noval, save, effective and lower cost method for cervical ripening and induction of midtrimesteric abortion in women with unfavorable cervix. Conclusion: The use of transcervical Foley’s catheter balloon improves the efficacy of vaginal misoprostol for termination of midtrimester pregnancy in women with unfavorable cervix with shorter induction to abortion interval with no significant increase in side effects or maternal risks.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116938810","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":"Fixation of Fractures of the Humerus in Adults Using Intramedullary Elastic Nails","authors":"Mohamed Salman Mahmoud, Mohamed Abdelmoneim Husein, Ahmed Alsmman Abdelrahem, Almasry, H. Refae, Ahmed A. H. Abdellatif","doi":"10.21608/aumj.2022.237804","DOIUrl":"https://doi.org/10.21608/aumj.2022.237804","url":null,"abstract":"Background: Humerus is the most mobile long bone of the upper extremity. Humeral shaft fractures comprise about 3-5% of all fractures involving body. Objective: the aim of the work was to evaluate the results of use of elastic intramedullary nails in treatment of humeral shaft fractures. Patients and Methods: the study included 30 patients presented to Aswan University Hospitals suffering from humeral shaft fracture. There were 22 males and 8 females. There were 29 closed fractures and 1 open type I clean fracture. A full workup including history taking, clinical examination and radiograph as well as laboratory investigations were performed for all patients on admission. Results : the results obtained after a mean follow up time of 32 weeks. According to Stewart Handly's score, it was excellent in 18 patients (60%), good in 9 patients (30%), fair in 2 patient (6.66%), and poor in 1 patient (3.33%). The difference between excellent and good groups was statistically significant, that the younger the patient the more rapid the fracture heals. Conclusion: elastic intramedullary nailing is a simple, easy semi-rigid and quick technique for treatment of humeral shaft fractures in different age groups.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"9 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116822734","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":"Accuracy of combined Carotid/ Transcranial color coded duplex Compared with Magnetic Resonance Angiography in the Diagnosis of Extracranial and Intracranial Artery Stenosis","authors":"Abeer A. Tony, M. H. Hamdan, A. Mohamed","doi":"10.21608/aumj.2022.237812","DOIUrl":"https://doi.org/10.21608/aumj.2022.237812","url":null,"abstract":"Background : Stroke is the second leading cause of mortality. Nearly 90% of strokes are ischemic, and large artery atherosclerosis is one of the main causes of ischemic stroke. Objective: The goal of this study was to compare the accuracy of combined Carotid duplex/ Transcranial color coded Duplex versus magnetic resonance angiography (MRA) in detecting extracranial and intracranial stenosis among acute ischemic stroke patients . Methods : Consecutive patients with acute ischemic stroke (AIS) recruited from the ward and outpatient clinics of neuropsychiatric department, during the period from August 2017 to July 2018, underwent both MRA and combined carotid duplex/TCCD examination, To calculate the agreement between the results of MRA and TCD, kappa coefficient test was calculated in comparison with MRA Results: A total of 250 patients with AIS were included in this study. Their ages ranged from 38 to 87 years old with a mean ± S.D; 59.9 ±11.2 years. The overall agreement between MRA and carotid duplex was in 95.4% of cases and discordant results were 4.6% of cases, weighted kappa agreement 0.906, p-value< 0.001, which is a high agreement. The overall agreement between MRA and transcranial color coded duplex (TCCD) was in 80.0% of cases and discordant results were 20.0% of cases, weighted kappa agreement 0.614, p-value < 0.001, which is a moderate agreement. Conclusion: Moderate agreement was found between TCCD and MRA and higher level of agreement was found between carotid duplex and MRA in the evaluation of AIS patients. evaluation cerebrovascular diseases than MRA. (26) Our findings contradict the results of Gujjar and co-workers that stated a poor correlation between TCD and MRA in Omani patients with acute ischemic stroke . (27) They performed TCD studies within 5 days after MRA . The mean time interval between MRA and TCD was 24-48 hours in our study. Discrepancy between the studies could be attributed to the long time delay between TCD and MRA that can provide sufficient time for the termination of thrombus extent.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"316 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115222328","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":"BETA TRACE PROTEIN AS A PREDICTIVE BIOMARKER OF CHRONIC KIDNEY DISEASE","authors":"Elebidi, E. TaghreedH.","doi":"10.21608/aumj.2022.237801","DOIUrl":"https://doi.org/10.21608/aumj.2022.237801","url":null,"abstract":"Background: Chronic kidney disease (CKD) is a rapidly increasing world-wide public health problem. Objective: To estimate the level of Serum Beta-Trace Protein in patients with CKD and compare with normal subjects. Patients and methods: we include 90 subjects of them 70 patients suffering from CKD more than two years and 20 controls who admitted the department. Results: Age median of the patients was 30-53 years and 50 % of them were males. Patients with diabetes mellitus and hypertension were presented in 29 (41.4%) and 46 (65.7%) patients, respectively. Patients group had significantly higher creatinine (7.93 ± 2.67 vs. 1.11 ± 0.15 mg/dl; P< 0.001) and urea (113.87 ± 42.50 vs. 11.55 ± 2.34 mg/dl; P< 0.001), also, patients’ group had significantly higher Beta trace proteins (69.18 ± 38.07 vs. 8.50 ± 4.80 mg/l; P< 0.001). Beta trace proteins was insignificantly lower among patients with DM comparison to those without DM. Also, patients with HTN had insignificantly lower Beta trace proteins in comparison those without HTN (71.63 ± 42.90 vs. 68.53 ± 35.55 mg/l; P= 0.67). Beta trace proteins had insignificant negative correlation with the age of patients (r= -0.19, P= 0.10), and positive correlation with urea (r= 0.11, P= 0.35) and creatinine (r= 0.20, P= 0.09). Conclusion: BTP might serve as an alternative endogenous marker for GFR, BTP may be a useful and reliable serum marker for identifying the magnitude of renal dysfunction in patients with CKD","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123236616","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":"Prediction of Pregnancy Outcome by using Three-Dimensional Ultrasound in the First Trimester","authors":"Weam Mohamed Khairy, A. Ait-allah","doi":"10.21608/aumj.2022.237813","DOIUrl":"https://doi.org/10.21608/aumj.2022.237813","url":null,"abstract":"Background: Ultrasound is a useful tool for important measurements in pregnancy progress and outcome monitoring. Objective: Aims of this study was to prediction of pregnancy outcome in the first trimester by using Three-dimensional ultrasound. This study was carried out at the Obstetrics & Gynecology Department in Aswan University Hospitals. Methods: The study included 60 pregnant women during first trimester of their pregnancy (from 6 to 11 weeks of gestation). Results :2D US CRL showed a significance difference between the cases developed miscarriage and non- miscarriage cases (continued pregnancy till 24 weeks) with P value <0.001. The GSV via the 30° VOCAL method using 3D-TV US showed also difference between both groups. The single predictor of miscarriages cases according to results was MGSD, FHR and CRL via 2D transvaginal ultrasound. Conclusion : Measurement of gestational sac diameter, CRL and fetal heart rate in combination provides better prediction of the prognosis of the first trimester than when either parameter used alone obstetrics and gynecology field as in measurement of the endometrial volume for diagnosis of endometrial polyps in Premenopausal women with abnormal uterine bleeding (8) . The aim of this study was to Prediction of pregnancy outcome in the first trimester by using Three-dimensional ultrasound.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133248670","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":"Infrapubic Approach Versus Penoscrotal Approach For Malleable Penile Prosthesis Implantation As A Management Of Erectile Dysfunction: A Comparative Randomized Study","authors":"A. Alam, M. M. Hussein, M. Z. Eldahshoury, M. M. Saleh","doi":"10.21608/aumj.2021.228328","DOIUrl":"https://doi.org/10.21608/aumj.2021.228328","url":null,"abstract":"","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"473 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126791088","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 measurement of Fetal Thigh Circumference by Ultrasound in Estimation of Birth Weight","authors":"Abdou Saeed AitـAllah, M. Anan, D. M. Dawyee, N. Shady","doi":"10.21608/aumj.2021.228332","DOIUrl":"https://doi.org/10.21608/aumj.2021.228332","url":null,"abstract":"Background: Accurate estimation of fetal weight is the corner stone of fetal growth assessment to avoid risk of fetal hypoxia, cesarean section, fetal injury, and maternal complications. Objective: Evaluation of the accuracy of predicting birth weight by incorporating fetal thigh circumference in the formula of estimating birth weight using 2D-Ultrasound. Patient and methods: This study was a prospective cohort study had been conducted on 228 pregnant women admitted for planned delivery at term (between 37-41 weeks) were subjected to ultrasound examination (fetal anatomy and fetal biometry) at obstetrics and gynecology department Aswan university. Pregnant women were followed up till delivery then mid-thigh circumference measured by tape and newborn babies were weighted in the pediatric department. Results: Correlation between Actual Birth Weight and Each of EFW (using Both Formulae) in included women revealed that there was a significant positive correlation between actual birth weight and each of EFW using Hadlock’s formula and EFW using Vintzileos’ formula., there was more significant positive correlation between actual fetal birth weight and EFW using Vintzileos’ formula. Conclusion: The fetal thigh circumference measurement adding more accuracy, sensitivity, and specificity in estimation of intra-uterine fetal weight when incorporated with other fetal parameters.","PeriodicalId":320375,"journal":{"name":"Aswan University Medical Journal","volume":"3 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114105521","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}