Fayoum University Medical Journal最新文献

{"title":"Prevalence of Helicobacter Pylori among different groups of Nephrotic children","authors":"M. Affifi, M. Sharaf","doi":"10.21608/fumj.2021.182969","DOIUrl":"https://doi.org/10.21608/fumj.2021.182969","url":null,"abstract":"Affifi M and Sharaf M-Ain Shams University Introduction : Gastritis and peptic ulcer are common in children with nephrotic syndrome (NS). This is because of immunospressive medications like steroids with proteinuria and subsequent hypoga mmeglobulinemia Aim of the work: Is to study the prevalence of H.pylori infection among different groups of children suffering from NS Subject and methods: This study was cross sectional-case controlled study conducted at pediatric nephrology clinic – Ain Shams University It was done between July 2019 till November 2020. It included 86 children with different types of N.S and 36 healthy age and sex matched children as control group. All N.S children had stool analysis for parasites and H.pylori antigen with renel functions. N.S children were divided into three groups according to the response to steroids Results :H.pylori infection is common in children with nephrotic than controls with a statistical signification difference (p<0.05) H.pylori infection is statistically signification correlated with GI symptoms as vomity,and infection with parasites besides duration of NS infection Conclusion: Stool antigen test is reliable test for detection of H.pylori infection .H.pylori infection is common in children with NS and related to GI complaints and parasitic infestations","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127468251","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 role of MRI-CSF flowmetry in the diagnosis of idiopathic normal pressure hydrocephalus","authors":"A. Youssef, A. Magdy, Amal Abdul-Rahman","doi":"10.21608/fumj.2021.182967","DOIUrl":"https://doi.org/10.21608/fumj.2021.182967","url":null,"abstract":": Background: Normal pressure hydrocephalus is a gloomy entity with no definite cause known till date. The classical clinical triad includes gait apraxia, urinary incontinence and different grades of cognitive dysfunction as dementia. NPH is considered the first treatable type of dementia as it differs from other dementias in that the symptoms can show clinical recovery & regression with CSF diversion . Many tests have been employed in the diagnosis of idiopathic NPH, including invasive methods serious is non-invasive techniques are required to increase the sensitivity and specificity of routinely used imaging . 6 patients (24%) were diagnosed as atrophic dilatation with hypo dynamic CSF flow across the aqueduct in the PC MRI study. In our study, we found that normal CSF flow throughout the cardiac cycle show free aqueductal pulsatile CSF flow as a cranial flow during CSF diastole (hyper intense signal) and caudal flow during systole (hypo intense signal). In our study, we found that at a cut off value for aqueductal SV of about 42 ul/cycle. Aqueductal stroke volume (> 42) shows sensitivity of about (93.3%) & specificity of about (75%) with total accuracy of about (89.5%) in predicting shunt responsiveness in NPH patients. Conclusion: Phase contrast MRI CSF Flowmetry was found to be of high sensitivity and specificity in diagnosing NPH & differentiating it from atrophic dilatation. It is simple, fast and non-invasive effective method that adds more to the total accuracy of the conventional MRI examination as it provide valuable additional information & reducing rates of complications and predicting shunt responsiveness.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116671549","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 Serum Zinc Levels in Hyperbilirubinemic Neonates Before and After Phototherapy","authors":"N. Samra, A. Moktader, Howaida Abdel Rasoul, Rania Lotayef","doi":"10.21608/FUMJ.2020.173413","DOIUrl":"https://doi.org/10.21608/FUMJ.2020.173413","url":null,"abstract":" Background: Neonatal hyperbilirubinemia is a common clinical problem encountered during neonatal period. Zinc can reduce phototherapy duration by precipitating unconjugated bilirubin in the intestine however, zinc toxicity is an issue that must be considered since theoretically bilirubin reduction by phototherapy may increase serum zinc levels  Purpose: To study the effect of phototherapy on serum zinc level of hyperbilirubenimicfull term newborn.  Patients and Methods: This prospective cohort study was conducted in Fayoum University Hospital in the period from December 2017 to February 2018 after obtaining ethical approvals and informed consents. This study recruited 50 full term neonates admitted to the noenatoal intensive care units (NICU) ofFayoum University Hospital with indirect hyperbilirubinemia and requiring phototherapy according to the American Academy of Pediatrics guidelines 2004.  Results: There was a highly statistically significant increase in the level of zinc after phototherapy than before phototherapy with pvalue<0.001.  Conclusion: Serum zinc was increased significantly after phototherapy which potentially may cause zinc toxicity. ","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122693992","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 Hyperbilirubinemia as a New Diagnostic Marker for Acute Appendicitis and its Role in the Prediction of Appendicular Perforation","authors":"Y. Hatata, Nader Zakki, H. Habashy, Fady El-said.","doi":"10.21608/FUMJ.2020.173417","DOIUrl":"https://doi.org/10.21608/FUMJ.2020.173417","url":null,"abstract":"Recent studies have shown hyperbilirubinaemia to be a useful predictor of appendicular perforation. An elevated Serum Total Bilirubin (STB) that is not explained by liver disease or biliary obstruction can be observed in many patients with acute appendicitis. However there is no confirmatory laboratory marker for the pre-operative diagnosis of acute appendicitis and appendicular perforation. Recently, elevation in serum bilirubin was reported, but the importance of the raised total bilirubin has not been stressed in appendicitis. The aim of this study is to assess the relationship between hyperbilirubinemia and acute appendicitis and to evaluate its credibility as a diagnostic marker for acute appendicitis and also, to see whether elevated bilirubin levels have a predictive potential for the diagnosis of appendicular perforation.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130871013","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":"Toll like Receptor 3 Gene Polymorphism in Patients with Type 2 Diabetes Mellitus with and without Hepatitis C Virus Infection","authors":"Haga Abdelrahman, A. Abdelmoktader, A. Hammad, R. Bassyouni","doi":"10.21608/FUMJ.2020.174342","DOIUrl":"https://doi.org/10.21608/FUMJ.2020.174342","url":null,"abstract":"Background: Hepatitis C viral infection (HCV) is endemic in Egypt with the highest prevalence rate in the world. Estimates for prevalence are based upon data reported from the 2008 and 2015 Egypt Demographic Health Surveys (EDHS). Aim of the work : To detect the prevalence of HCV infection in Fayoum University Hospital and compared it with previous results . Methods: The study was conducted from March 2017 to May 2018, four thousands, four hundreds and ninety one subjects were selected from out-patients of Tropical medicine at Fayoum University Hospital. Subjects were examined for HCV antibody by Enzyme Linked Immune Sorbent Assay (ELISA), positive patients confirmed by Real-Time PCR. Results: Out of 4491 patients, 200 patients diagnosed as HCV infection which represent about 4.5%. Conclusion : The decrease in prevalence of HCV infection from 14.7 % in 2008 and 10% in 2015, to 4.5% in 2018 was due to massive national diagnosis and treatment program.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133124533","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 Effect of Diameter of Saphenous Vein on Stump Length after Radiofrequency Ablation for Varicose Vein","authors":"A. Essawy, H. Kamal, Taha Abdelsalam, A. Abdelhamed","doi":"10.21608/fumj.2020.114332","DOIUrl":"https://doi.org/10.21608/fumj.2020.114332","url":null,"abstract":"Background: There have been tremendous changes to the treatment of varicose veins over the years. High ligation of the SFJ and stripping of the GSV have been considered as standard treatments for GSV insufficiency for more than one century and it is still adopted as the preferred method in the majority of the surgical centers. However, the increase in minimally invasive treatments such as EVLA, radiofrequency ablation (RFA), ultrasound-guided foam sclerotherapy and cryostripping have given excellent results. Most patients undergoing these minimal invasive treatments were satisfied with their results. Objective: To evaluate the effect of diameter of great saphenous vein on stump length after radiofrequency ablation for varicose veins. Methods: In this study we have followed 30 cases underwent RFA and we can say that the results were quite satisfying. After the RF ablation, no major complications occurred (recurrence, recanalization) at the time of the study, minor complications however, were quite common and included bruising /ecchymosis, postoperative pain that required analgesics, superficial thrombophlebitis that was very responsive to medical treatment. Results: Radiofrequency ablation of varicose veins with recently used ClosureFastTM (Covidien, Mansfield, MA, USA) catheter showed that there is no correlation between preoperative diameter of GSV and postoperative length of its stump. Therefore, RFA is continuing to be an outstanding minimal invasive method for treatment of varicose veins with minimal complications and a very short recovery period disregarding the vein diameter which sounds appealing to the patients. ISSN: 2536-9474 (Print) Original article / FYMJ ISSN: 2536-9482 (Online) Fayoum University Medical Journal Abdelhamed et al., 2020,6(1), 75-83 Page 76 Conclusion: The diameter of the saphenous vein has no correlation with the length of stump after RFA. As long as ClosureFastTM (Covidien, Mansfield, MA, USA) catheter was used for ablation with its tip placed 2cm distal to SFJ, under locally injected Tumescent anaethesia.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114365473","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":"Detection of Demodex species in acne vulgaris patients using different diagnostic methods","authors":"Aya Hashem, A. Sabry, A. Abdel-Aal, F. Mahmoud, Mohamed Masoud, A. Yousif","doi":"10.21608/fumj.2020.114833","DOIUrl":"https://doi.org/10.21608/fumj.2020.114833","url":null,"abstract":"Demodex is a permanent ectoparasite of the pilo-sebaceous units, related mainly to the facial region. Two species are specific for humans, Demodex folliculorum and D. brevis.Some of these species appear to be associated with variable skin disorders, yet controversy persists concerning this issue. Some reports indicate a connection between acne vulgaris and demodicosis. Aim of the work: to evaluate variable methods to expose Demodex mites. Patients and Methods : A total of 60 cases enrolled in the study were divided into 2 categories; 30 patients with acne vulgaris and 30 healthy volunteers. Samples were collected by three different methods: deep skin scraping, hair epilation and Scotch adhesive tape method. Results: According to deep scraping method that successfully diagnosed all positive cases (14 cases), occurrence of Demodex mites in patient with acne was significantly higher than control (40%&6.7% respectively). All detected mites were D. folliculorum in acne cases and D. brevis in control group. Regarding hair epilation method, one case only of Demodex mites was identified in patients with acne. In contrast,no mites were detected by scotch tape method within the two study groups. Conclusions: Our result found that hair epilation and the ordinary adhesive tape methods were inferior, compared to the deep skin scraping method in diagnosing demodicosis that showed considerably higher occurrence in acne group. Further studies are recommended to explore risk factors behind such occasion.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117269897","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 Knowledge and Practices of Health Care Providers about Neonatal Jaundice in Primary Health Care Units in Fayoum Governorate","authors":"Al Kassem Al Gameel, N. El-Sherbiny, Wael Sabry Mohamed, Rehab G. Hussein","doi":"10.21608/fumj.2020.114333","DOIUrl":"https://doi.org/10.21608/fumj.2020.114333","url":null,"abstract":"Background: Neonatal jaundice is still a leading cause of preventable brain damage, physical and mental handicap, and early death among infants in many communities. Greater awareness is needed among all health workers. Aim: Assessment of knowledge and practices of primary health care workers about description, causes, effective treatment and complication of neonatal jaundice. Subject and methods: the study was conducted during the period from November, 2017 till October, 2018 on 315 nurses and 152 doctors all were worked in primary health care centers and units at the six districts of Fayoum Governorate it was based on a self-administered, structured, piloted two questionnaires, Arabic one for nurses and an English one for physicians. Both the questionnaires assessed the knowledge and practice of the nurses and physicians regarding neonatal jaundice. Results: the knowledge score of study physicians regarding neonatal jaundice was poor (20.4 ± 3.1 of total score 42), While the total practices of them were generally good (14.8 ± 2.1 of total score 24). The total knowledge score of nurses regarding neonatal jaundice was poor (13.8 ± 4.5 of total score 32), while the total practice of theme were generally good (7.6 ± 1.8 of total score 12). Conclusion: knowledge of primary health care workers about neonatal jaundice was inadequate and may cause potential delays in referral for effective treatment. There is need for regular training and re-training of primary health care workers to ensure effective management and reduce the complications of neonatal jaundice.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126135975","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":"Comparison between CT UROGRAPHY and MR UROGRAPHY in cases of Hematuria","authors":"MO Abdalatif, AS Tallat, Somaya Mareez","doi":"10.21608/fumj.2020.114331","DOIUrl":"https://doi.org/10.21608/fumj.2020.114331","url":null,"abstract":"Hematuria is the presence of blood in the urine and may be macroscopic or microscopic. This study was conducted to assess the role of CT and MRI in evaluating causes of hematuria. This study was a cross-sectional observational hospital-based study including 50 cases of hemturia. It was carried out from March 2016 to June 2018 at Fayoum University Hospital and Fayoum General Hospital. Out of the 50 cases, 47 (94.0%) with variety of UT abnormalities were identified. Renal masses were the most abnormalities detected 19/47 (40.0%), followed by bladder masses15/47 (31.9%), urolithiasis 10/47 (21.3%) and renal injury 3/47(6.4%). No abnormalities were found in 3/50 (6%) of the patients with hematuria. This study revealed the following findings; Both CTU and MRU can detect stones, but CTU can also differentiate types of stones by measuring their denisities. Both CTU and MRU can diagnose urinary tract neoplasms, MRU is more useful in tissue discrimination, as MRU offers superior soft tissue resolution and CTU is more helpful in local staging.","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122404381","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":"Is HOMA-IR a potential screening test for non-alcoholic fatty liver disease in adults with type 2 diabetes?","authors":"Remon Farag allah, M. Mashahit, A. Hamad, O. Zaki","doi":"10.21608/fumj.2019.66030","DOIUrl":"https://doi.org/10.21608/fumj.2019.66030","url":null,"abstract":"Non-alcoholic fatty liver disease (NAFLD) is increasingly recognized as a major cause of liver related morbidity and mortality, because of its potential to progress to cirrhosis and liver failure. Patients with type 2 diabetes mellitus (T2DM) appear to have an increased risk of developing NAFLD. This study is a retrospective cohort study included 100 patients with type 2 DM from the outpatient clinic of internal medicine department at Fayoum University Hospital from (December, 2017 to June, 2018). They were divided into two equal groups according to the presence of NAFLD by ultrasound. All patients were subjected to history taking, clinical examination and investigations which included: ALT, AST, total cholesterol, TG, FBG and fasting insulin level. HOMA-IR was calculated by the following formula: HOMA-IR = [plasma glucose (mg/dL) × plasma insulin (μU/mL)] / 405. An association between HOMA-IR and NAFLD was found (OR: 1.25; 95% CI: 1.04 to 1.51; p = 0.020). A value of HOMA-IR of 4.2 was estimated to be an optimal threshold for discriminating NAFLD from nonNAFLD cases. ISSN: 2536-9474 (Print) Original article / FYMJ ISSN: 2536-9482 (Online) Fayoum University Medical Journal Farag allah et al., 2019,4(1), 21-29","PeriodicalId":436341,"journal":{"name":"Fayoum University Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129027867","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}