SVU International Journal of Medical Sciences最新文献

{"title":"Comparative Study between Intrapolyp Corticosteroid Injection and Oral Corticosteroid in Treatment of Allergic Nasal Polyposis","authors":"N. Abdelrahman, A. Abdelraheem, Rehab Abd El Hakim Amin, Mahmoud Khalefa","doi":"10.21608/svuijm.2023.195800.1540","DOIUrl":"https://doi.org/10.21608/svuijm.2023.195800.1540","url":null,"abstract":": Background: Sino-nasal polyps can be treated medically (with systemic and local steroids) or surgically; but a lot of patients refuse surgical intervention or are contraindicated to use systemic steroids. Intra-polyp steroid injections have recently been utilized to deliver high concentrations of steroid directly into the nasal polyp while simultaneously shielding the patient from the systemic steroid side effects. Objectives: To assess the role and efficacy of intra-polyp injection of steroids in the management of allergic nasal polypi, as well as to compare these findings to those of oral steroid. Patients and methods : Our study involved sixty patients that attended the outpatient clinic of the ENT department at Qena University Hospital who diagnosed with allergic nasal polypi. Their ages ranged from 17 to 63 years. They were randomly divided into 2 groups (oral steroid and intra-polyp steroid injection) according to type of treatment, each consisting of 30 patients. Results : After treatment, both groups showed a statistically significant decrease in the Symptom Score, Polyp Score, and Lund-Mackay score (P <0.001), with a significant difference between them (P < 0.001). Conclusion: Intra-polyp injection of steroid appears to be a safe and effective treatment method for Sino- nasal polyposis, with results comparable to systemic corticosteroids.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"235 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86318449","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 different methods of performing cell block preparation and their role in accurate cytological diagnosis and reporting of fine needle aspiration cytology of the thyroid nodules","authors":"Mahmoud Gamal Ameen Taher, M. Wahman, S. Fadel, Basma Tito Abdelhameed","doi":"10.21608/svuijm.2023.207123.1574","DOIUrl":"https://doi.org/10.21608/svuijm.2023.207123.1574","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"352 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80046890","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 Impact of Restrictive Versus Conservative Intraoperative Fluid Strategies upon the Renal Outcome in Colorectal Surgeries. A Randomized Controlled Trial","authors":"Khaled A. Abdelrahman, J. Sayed, M. I. Seddik, A. M. Thabet, Mohamed Abdallah AbdelNaser","doi":"10.21608/svuijm.2023.178375.1462","DOIUrl":"https://doi.org/10.21608/svuijm.2023.178375.1462","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"13 12 Pt 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83588520","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":"Early Outcomes of video-assisted thoracoscopic management of secondary spontaneous pneumothorax","authors":"H. Ahmed, A. Ashry, Mohammed A. El-Hag-Aly","doi":"10.21608/svuijm.2023.211732.1586","DOIUrl":"https://doi.org/10.21608/svuijm.2023.211732.1586","url":null,"abstract":"Background: Secondary spontaneous pneumothorax (SSP) is a presence of air in the pleural cavity due to underlying lung disease. Thoracotomy was the typical surgical technique for managing pneumothorax. However, video-assisted thoracoscopic surgery (VATS) became a standard for spontaneous pneumothorax treatment. Objectives: Assessment of VATS effectiveness and safety in the management of secondary spontaneous pneumothorax. Patients and methods : 96 patients with secondary pneumothorax underwent video-assisted thoracoscopic surgery for persistent air leak for more than 7 days or having a recurrent pneumothorax on the same side. A retrospective analysis of the patient's clinical characteristic data, perioperative outcome, and recurrence was performed. Results: 96 patients, the mean age was 61.1±11.7 years. 33 (32.3%) patients had a single attack and 63 (67.7%) patients had recurrent attacks of SPP. All patients had 3 ports of VATS surgery which included bullectomy and talc pleurodesis. Post-operative complications occurred in 37.5% of the patients. 31.3% experienced persistent air leak for more than 7 days after the surgery and 3.1 % had empyema due to prolonged air leak. Post-operative long hospital stay was significantly correlated with BMI (p=0.003), ASA grade (p=0.017), current smoking (p=0.016), and post-operative complication (p=0.001) in univariate analysis. In multivariate analysis, postoperative complication (p=0.001) and body mass index (BMI) was the only significant risk factors for a long hospital stay. Conclusion: Patients who had thoracoscopic surgery for the management of secondary spontaneous pneumothorax had a shorter length of hospitalization and a lower incidence of recurrence. High BMI and post-operative complications are risk factors for prolonged hospital stay.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76278265","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 effect of the modified Glasgow prognostic score in metastatic gastric cancer","authors":"A. Ozveren, Mustafa Şahbazlar","doi":"10.21608/svuijm.2023.201018.1554","DOIUrl":"https://doi.org/10.21608/svuijm.2023.201018.1554","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76351332","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":"A Comparison between single-dose pregabalin and magnesium sulfate in induced hypotension during functional endoscopic sinus surgery: A prospective randomized double-blinded study","authors":"Sarah M. Omar Mousa, Eman Gamal Hassan, Khalid Ahmed Abdo","doi":"10.21608/svuijm.2022.180059.1470","DOIUrl":"https://doi.org/10.21608/svuijm.2022.180059.1470","url":null,"abstract":"Background: Functional Endoscopic sinus surgery (FESS) is a surgical intervention during which controlled hypotension can improve visibility. Magnesium sulfate is used for controlled hypotension. Pregabalin is also effective in hypotensive anesthesia. Objectives: This study aimed to detect the effect of single preoperative oral pregabalin versus intravenous magnesium sulfate to facilitate induced hypotension during functional endoscopic sinus surgery. Patients and methods: In a randomized, double-blind, prospective study, 60 patients of either sex were divided into 2 equal groups. Group P received an oral pregabalin capsule of 150 mg 30 minutes before general anesthesia. Group M received a single-dose 2 grams of magnesium sulfate 30 minutes before induction of anesthesia. The primary outcome was the total intraoperative consumption of nitroglycerin required to maintain the mean arterial blood pressure (MAP) at the range of 55 – 65 mmHg. The secondary outcomes were the quality of the surgical field assessed by the Fromm and Boezaart grading scale, surgeon satisfaction assessed by the five-point Likert scale, and the visual analog pain scores (VAS). Results : The pregabalin group P showed statistically significant lower nitroglycerine doses (1.3±1.2 mg) compared to group M (3.3±1.5 mg) with a P value of <0.001. The surgical field quality and the surgeon satisfaction scales showed statistically significant better scores in group P (1.7±0.6 and 5±0.6 respectively) than in group M (3.2±0.9 and 2.1±0.6 respectively) with P values of (0.023 and 0.001 respectively). The VAS showed statistically significant lower scores in group P (1.3±0.9) compared with group M (3.4±0.6) with a p value= 0.001. Conclusion: A single preoperative pregabalin dose was more effective than magnesium sulfate in reducing the total intraoperative consumption of nitroglycerin. It also provides a dryer surgical field that achieves better surgeon satisfaction and provides postoperative analgesia.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87794972","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":"Usefulness of Urine Uric Acid/Creatinine Ratio in Neonate as an Early Detector of Perinatal Hypoxia: A Hospital-Based Observational Study","authors":"Saikat Mondal, Kanailai Barik, Sudipto Paul, S. Laha, Sayan Bera","doi":"10.21608/svuijm.2023.193729.1524","DOIUrl":"https://doi.org/10.21608/svuijm.2023.193729.1524","url":null,"abstract":"Background : When a neonate is born under a hypoxic state, there is increased production of uric acid due to hypoxic tissue damage, which is excreted via the kidney, and the ratio of uric acid and creatinine (UA/Cr) in urine is used as an early predictor of perinatal hypoxia. Objectives : We conducted this study to compare urine UA/Cr ratio between normal and asphyxiated newborns and between different stages of HIE to evaluate its usefulness as a diagnostic and prognostic marker of perinatal asphyxia . Patients and method: This observational cross-sectional study is conducted for one year with 75 asphyxiated neonates in different stages of HIE and 75 healthy neonates as control. Uric acid and creatinine values are measured with an auto-analyzer from a single urine sample taken between 6 to 24 hours of birth. Results: We found urine UA(38 ±2.81 mg/dl vs 19.24±0.75 mg/dl ) and urine UA/Cr value (2.81±0.32 vs 1.40±0.13 ) significantly high in cases compared to control. Also, the urine UA and UA/Cr values are increasing with advanced stages of HIE (p <0.001). The optimal cut point value to predict HIE was at urine UA/Cr ratio of >2.45 with an AUC of 0.96, accuracy of 90%, sensitivity of 98.07% , specificity of 85.70% , PPV 78.46%, and NPV 98.82%. Conclusion: Urine UA/Cr appears to be a simple, inexpensive and reliable indicator of perinatal hypoxia for risk stratification based on functional impairment in the HIE babies.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85955684","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":"Greater Occipital Nerve Block or Suboccipital Intramuscular Injections are effective for management of Postdural Puncture Headache: A placebo-controlled study","authors":"Islam A. Shaboob, S. Salman","doi":"10.21608/svuijm.2023.190092.1512","DOIUrl":"https://doi.org/10.21608/svuijm.2023.190092.1512","url":null,"abstract":"Background: Postdural puncture headache (PDPH) is not uncommon complication of neuroaxial anesthesia and it affects the mother and the newborn. PDPH may be resistant to conservative management and requires intervention. Objectives: To evaluate the outcomes of bilateral greater occipital nerve block (GONB) and bilateral suboccipital intramuscular injection in a placebo-controlled study for management of PDPH. Patients and methods: 50 patients received bilateral saline injection, 32 patients received suboccipital intramuscular injection and 33 patients received GONB using a mixture of 40 mg lidocaine and 8 mg dexamethasone injection . Pain severity was assessed using the Numeric Rating Scale at baseline and weekly for 4-wks and monthly for 6-m after block, Pain-induced disability was assessed using the Oswestry Pain Disability Questionnaire (OPDQ) score and analgesic requirements were graded at baseline, 1, 3-and 6-m after block. The success rate was defined at the end of 6-m follow-up as the frequency of patients who stopped consumption of analgesia and/or had minimal-to-mild disability with OPDQ score of <20. Results: The success rates were 46.2% depending on number of women had stopped analgesia and 52.3% depending on the OPDQ score and was significantly higher among patients received GONB. Patients' distribution according to satisfaction grade was significantly higher in study groups than control groups with non-significant differences between the study groups. Conclusion: The applied procedures are effective for reducing pain severity, consumption of analgesics and improving disability. GONB provided significantly higher success rate,","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89975519","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 Retinal Nerve Fiber Layer Thickness Using Optical Coherence Tomography Before and After Ranibizumab Intravitreal Injection in Patients with Diabetic Macular Edema","authors":"Amr Khaled Mohammed Emam Hassan, Ahmed A Mohalhal, Osama Abdelmoneim Elsoghair Ali, A. Aldghaimy","doi":"10.21608/svuijm.2023.181236.1475","DOIUrl":"https://doi.org/10.21608/svuijm.2023.181236.1475","url":null,"abstract":"","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81792777","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 incidence of Iron Deficiency Anemia in Allergic Rhinitis patients in Qena University Hospital","authors":"U. Taya, A. Abdelraheem, Reham Farouk Sayed, A. Selim, Mahmoud Khalefa","doi":"10.21608/svuijm.2023.195475.1535","DOIUrl":"https://doi.org/10.21608/svuijm.2023.195475.1535","url":null,"abstract":"Background: Allergic rhinitis is a common disease of immune origin. It affects the quality of life of patients negatively. Objectives: To evaluate the changes in iron profile in allergic rhinitis patients. Patients and methods : This study was conducted on thirty patients with allergic rhinitis. All of the participants were subjected to clinical evaluation and the following investigations: Complete blood picture, Serum ferritin, Serum iron and total iron binding capacity (TIBC) and IgE. Visual analogue scale (VAS) score was used to measure the severity of allergic rhinitis. Results : Among the studied patients, there were 18 males (60%) and 12 females (40%), the mean age of studied patients was 11.3 ± 4.2 (SD) years with mean onset age of 4.6 ± 3.01(SD) years and mean duration of disease of 6.7 ± 2.9 years. There were 8 patients (26.7%) with positive family history in the studied patients. The incidence of iron deficiency and iron deficiency anemia was significantly higher in children with severe allergic rhinitis compared with mild cases. Also we found statistically significant difference (p-value = 0.037) between mild, moderate & severe cases of allergic rhinitis as regard Hb, MCH, HCT, ferritin, serum iron and TIBC. A statistically significant difference (p-value = 0.015) was noted between mild, moderate & severe cases as regard IgE. Serum IgE is correlated with the severity of allergic rhinitis in children. Conclusion : Prevalence of iron deficiency anemia in pediatric patients with allergic rhinitis is higher than in patients without atopic disease. Iron deficiency anemia increases markedly with severity of allergic rhinitis. Serum IgE is correlated with the severity of allergic rhinitis in children.","PeriodicalId":34789,"journal":{"name":"SVU International Journal of Medical Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78594397","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}