Benha Medical Journal最新文献_第10页

Corneal Thickness Mapping in Rheumatoid Arthritis Patients Using Anterior-Segment Optical Coherence Tomography 利用前段光学相干断层扫描绘制类风湿性关节炎患者的角膜厚度图

Benha Medical Journal Pub Date : 2023-12-19 DOI: 10.21608/bmfj.2023.244262.1934

Omnia Farid, Mohamed Higazy, Hamdy El Gazzar, Mohamed Awwad, Taher K Eleiwa

{"title":"Corneal Thickness Mapping in Rheumatoid Arthritis Patients Using Anterior-Segment Optical Coherence Tomography","authors":"Omnia Farid, Mohamed Higazy, Hamdy El Gazzar, Mohamed Awwad, Taher K Eleiwa","doi":"10.21608/bmfj.2023.244262.1934","DOIUrl":"https://doi.org/10.21608/bmfj.2023.244262.1934","url":null,"abstract":": Background: Ocular manifestations of rheumatoid arthritis (RA) include dry eye (DE), episcleritis, scleritis, and peripheral ulcerative keratitis (PUK). The most common form of ocular involvement is DE. Purpose: To generate corneal thickness (CT) and corneal epithelial thickness (CET) maps using anterior segment optical coherence tomography (AS¬¬-OCT) in RA patients and compare those parameters with normal subjects. Materials and Methods: A case-control study was done on 35 eyes of 18 RA patients and 25 eyes of 14 healthy individuals recruited from Benha University Hospitals. All the included cases were subjected to full history taking and ophthalmological examination. All participants were successfully imaged using AS-OCT with subsequent automated CT and CET mapping. The disease activity score (DAS-28) was calculated for RA patients. Results: RA patients had significantly thinner CT in all regions (p<0.05, p≤0.001) and their epithelium was found to be thinner in the superior and the superonasal sectors in RA with DE (RA-DE) subgroup (p=0.002 and p=0.004, respectively) than the controls. There was statistically significant positive correlation between “mean (CT, CET)” and TBUT (r=0.352, p=0.006 and r=0.493, p<0.001, respectively). There was statistically significant negative correlation between mean CET and (OSDI, disease duration, DAS, ESR) (r=-0.603, p<0.001, r=-0.468, p<0.005, r=-0.57, p=0.001 and r=-0.547, p<0.001, respectively), while the mean CT had no significant correlation with these parameters. Conclusion: RA patients had thinner CT than controls, which correlated with TBUT and thinner CET in RA-DE subgroup which correlated with all parameters (TBUT, OSDI, disease duration, DAS, ESR)","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"94 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139172258","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}

引用次数: 0

An analysis of predicting factors for surgical outcomes in traumatic cervical spine subluxation operated with cages and plates 外伤性颈椎脱位使用固定架和钢板手术效果预测因素分析

Benha Medical Journal Pub Date : 2023-12-16 DOI: 10.21608/bmfj.2023.212842.1827

ahmed M.Deabes, Shawky A. Elmeleigy, Mohamed S.Osman

{"title":"An analysis of predicting factors for surgical outcomes in traumatic cervical spine subluxation operated with cages and plates","authors":"ahmed M.Deabes, Shawky A. Elmeleigy, Mohamed S.Osman","doi":"10.21608/bmfj.2023.212842.1827","DOIUrl":"https://doi.org/10.21608/bmfj.2023.212842.1827","url":null,"abstract":"Background: Accidents, falls, assaults, and sports all contribute to the prevalence of cervical subluxation. Purpose: Predictive indicators and the extent to which patients recover from surgery for severe cervical subluxation are explored. Study design: A look back at the show's history. Patient and methods: Between March 2019 and August 2021, data on 41 patients with cervical subluxation were gathered, including demographics, presentation, imaging results, surgery details, and the ASIA scale. Results: Age, sex, related injuries, degree, and level of subluxation were not significant in a study of 41 individuals with traumatic subluxations. The ASIA scale demonstrated to be an important predictor of surgical success, and improvements in patient measurement on the other two criteria also accounted for the remaining significant p-value. The second aspect is the signal strength of cord edoema, which allows for valuable assessment and prediction of the result; for example, in 15 patients, G2 had a high significant p-value 0.001, indicating an improvement of at least one grade in the ASIA scale. Seventeen patients (with a p-value 0.001) underwent surgery within three days, suggesting that this is a substantial and favourable prognostic factor.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"175 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177131","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}

引用次数: 0

Epidemiology of Acute Kidney Injury and Associated Factors among Patients with Malignancy: Analysis of Hospital Inpatients Database in Benha university Hospital Internal Medicine Departement, Hematology and Oncology Unit 恶性肿瘤患者急性肾损伤的流行病学及相关因素：本哈大学医院内科血液与肿瘤科住院病人数据库分析

Benha Medical Journal Pub Date : 2023-12-16 DOI: 10.21608/bmfj.2023.225822.1865

Mohamed A. Mohamed, Abdelmoneim Ahmed, H. Eleleimy, Ahmed E Mansour, Shireen Mohsen Salem

{"title":"Epidemiology of Acute Kidney Injury and Associated Factors among Patients with Malignancy: Analysis of Hospital Inpatients Database in Benha university Hospital Internal Medicine Departement, Hematology and Oncology Unit","authors":"Mohamed A. Mohamed, Abdelmoneim Ahmed, H. Eleleimy, Ahmed E Mansour, Shireen Mohsen Salem","doi":"10.21608/bmfj.2023.225822.1865","DOIUrl":"https://doi.org/10.21608/bmfj.2023.225822.1865","url":null,"abstract":": Background: One of the most serious complications among cancer patients is Acute Kidney Injury (AKI). This study aimed to detect the AKI incidence in cancer patients, to discover which clinical factors could increase the risks of AKI, and to assess the effect of AKI on in-hospital mortality, length of stay. Methods: This prospective cohort study was conducted on 276 malignant patients (AKI: 40 cases and no AKI: 236 cases). Serum creatinine, blood urea, complete blood count, uric acid, Electrolyte'' potassium, sodium, calcium'', urine analysis with comment on RBCs cast, liver function test'' ALT, AST, Albumin and bilirubin'' were measured every three weeks, and urine albumin creatinine ratio was done before chemotherapy and after finishing treatment. Results: pre-existing comorbidities including hypertension (HTN), diabetes (DM), and coronary heart disease are significant predictors for increased risk of AKI in cancer patients. Patients with hyponatremia, hypokalemia and hyperuricemia shared a significantly higher risk of AKI (a OR = 2.95, 2.49, and 3.01). Cox regression analysis revealed that HTN and DM also increased the mortality risk when adjusting demographic and clinical features. The mean survival rate was significantly lower in group with AKI compared to group without AKI (16.331 versus 19.589). AKI stage II and III had longer median length of hospital stay compared to stage I.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"476 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139177194","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}

引用次数: 0

Presepsin as an early diagnostic marker in Premature infants with neonatal sepsis and septic shock 作为新生儿败血症和脓毒性休克早产儿早期诊断标志物的前胃蛋白酶

Benha Medical Journal Pub Date : 2023-12-10 DOI: 10.21608/bmfj.2023.245353.1940

Ashraf Shahin, Omima Abdel haie, Sahar Fayed, Rime Abdelsalam

{"title":"Presepsin as an early diagnostic marker in Premature infants with neonatal sepsis and septic shock","authors":"Ashraf Shahin, Omima Abdel haie, Sahar Fayed, Rime Abdelsalam","doi":"10.21608/bmfj.2023.245353.1940","DOIUrl":"https://doi.org/10.21608/bmfj.2023.245353.1940","url":null,"abstract":"Background: Neonatal sepsis is a systemic condition involving hemodynamic changes and clinical manifestations caused by bacterial, viral, or fungal infection that occurs within the first 28 days of life. This study aimed to assess the accuracy of Presepsin for diagnosis and early detection of sepsis and septic shock among preterm neonates. Methods: This Cross-sectional study included 75 preterm neonates with symptoms suspicious of sepsis. They were classified into 3 groups: Group 1; Infection (suspected infection not meeting the criteria for sepsis). Group 2; Sepsis (neonatal systemic inflammatory response syndrome, SIRS, plus suspected or proven infection). Group 3; Septic shock (sepsis plus cardiovascular organ dysfunction). Detailed history, clinical examination, laboratory investigations: Complete blood picture (CBC), C-Reactive Protein (CRP), blood culture and determination of Human Presepsin level in the Blood (PSEP). Results : Presepsin level was significantly lower at D3 and D5 compared to D1 (P<0.001). whereas, in group 3 (Septic shock), Presepsin level was significantly lower at D5 compared to D1 (P=0.007). only PLT count, CRP, Presepsin at D1, Presepsin at D3 and Presepsin at D5-were significant predictors of neonatal sepsis and only APGAR at 5 min, PLT count, CRP, Presepsin at D1, Presepsin at D3 and Presepsin at D5-were significant predictors of septic shock in neonates. Conclusion: Presepsin is an accurate diagnostic biomarker for early diagnosis of sepsis compared to other acute phase reactant and inflammatory markers. Presepsin is a strong predictive marker for sepsis and septic shock from day1 to day 5 with high sensitivity and specificity.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"24 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139184504","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}

引用次数: 0

Prevalence of Microscopic Colitis in Patients with Normal or Nonspecific Colonoscopic Findings 结肠镜检查结果正常或无特异性的患者中微小结肠炎的患病率

Benha Medical Journal Pub Date : 2023-12-01 DOI: 10.21608/bmfj.2023.244171.1933

Ashraf Nassar, Mohamed El Shewi, Mona Mohammed, M. Gouda, Tamer Eleraky

{"title":"Prevalence of Microscopic Colitis in Patients with Normal or Nonspecific Colonoscopic Findings","authors":"Ashraf Nassar, Mohamed El Shewi, Mona Mohammed, M. Gouda, Tamer Eleraky","doi":"10.21608/bmfj.2023.244171.1933","DOIUrl":"https://doi.org/10.21608/bmfj.2023.244171.1933","url":null,"abstract":": Background : Microscopic colitis (MC) is a chronic inflammatory bowel disease in the setting of normal appearing colonic mucosa and distinct histopathologic features . Microscopic colitis has two main subtypes, collagenous colitis (CC) and lymphocytic colitis (LC). Diagnosis of MC is mainly based on pathological examination of colonic biopsy. Aim : Estimation of MC among patients with normal or nonspecific colonoscopic findings. Methods : This cross-sectional study was conducted on (172) patients with normal or nonspecific colonoscopic findings. Full history taking, clinical examination, laboratory investigations, pelvi-abdominal ultrasound and complete colonoscopy examination were done. Endoscopic biopsies from the right and left side of the colon were taken for all patients for histopathological examination. Results : Of all the studied patients, 9 cases (5.2%) had MC with 6 patients (3.5%) having LC and 3 patients (1.8%) having CC. One hundred twenty-one cases were diagnosed as chronic nonspecific colitis (70.3%), 19 cases were diagnosed as chronic active colitis (11.1%) while 23 cases (13.3%) were normal. The median age of patients with MC was about 45 years and most of them were females. Univariate logistic regression analysis of predictors for developing MC showed that chronic diarrhea, chronic diarrhea duration and nonsteroidal anti-inflammatory drugs (NSAIDs) use are significant independent predictors for MC. Conclusion : MC could be considered in any patient with chronic lower gastrointestinal symptoms and apparently normal mucosa during colonoscopy examination. Multiple colonic biopsies should be taken from any patient with unexplained chronic lower gastrointestinal symptoms even with normal macroscopic picture to reach a definite diagnosis of MC.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"31 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192257","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}

引用次数: 0

Study on the Impact of metabolic associated fatty liver disease (MAFLD) on patients with Corona Virus Disease – 2019 (COVID-19) 代谢相关性脂肪肝（MAFLD）对科罗娜病毒病患者的影响研究 - 2019 (COVID-19)

Benha Medical Journal Pub Date : 2023-11-23 DOI: 10.21608/bmfj.2023.242125.1924

Mohamed Oraby, Mahmoud Mazoun, Ahmed Qassem Mohamed, Mai Fawzy, Taher Abdel-Aziz, Ismail Dahshan

{"title":"Study on the Impact of metabolic associated fatty liver disease (MAFLD) on patients with Corona Virus Disease – 2019 (COVID-19)","authors":"Mohamed Oraby, Mahmoud Mazoun, Ahmed Qassem Mohamed, Mai Fawzy, Taher Abdel-Aziz, Ismail Dahshan","doi":"10.21608/bmfj.2023.242125.1924","DOIUrl":"https://doi.org/10.21608/bmfj.2023.242125.1924","url":null,"abstract":"Purpose: This study’s purpose was to assess the impact of metabolic associated fatty liver disease (MAFLD) on the outcome of patients affected by Corona Virus Disease – 2019 (COVID-19). Patients and Methods: This prospective observational study `was conducted on patients affected by COVID-19 who were treated at our Hospital from January 2022 to February 2023. The study involved 200 adult patients with confirmed COVID-19, excluding those with other chronic hepatic disorders, and included comprehensive clinical, laboratory, and ultrasonographic assessments. The existence of MAFLD was assessed as newly established, and the COVID-19 severity was evaluated per the Egyptian protocol, and the diagnosis of MAFLD followed international consensus criteria. Results: Patients with MAFLD and COVID-19 (Group I) had a significantly higher number of patients with severe disease (n = 60, 60%) than patients with COVID-19 alone (Group II) (n = 21, 21%, p < 0.001). The mortality rate was 11% (n = 22), with a significantly higher rate encountered in Group I (n = 16, 16% vs. n = 6, 6%, p = 0.024). Conclusion: Patients with MAFLD exhibited distinct clinical and laboratory features and were more likely to develop severe COVID-19, with a higher mortality rate.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"43 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246526","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}

引用次数: 0

Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital 病态肥胖妇女的子宫切除术：本哈大学医院阴道与腹腔路径的回顾性比较分析

Benha Medical Journal Pub Date : 2023-11-23 DOI: 10.21608/bmfj.2023.230952.1880

Ashraf Elmantwea, A. Negm, Y. Edris

{"title":"Hysterectomy in morbidly obese women: a retrospective comparative analysis of routes vaginal versus abdominal in Benha University hospital","authors":"Ashraf Elmantwea, A. Negm, Y. Edris","doi":"10.21608/bmfj.2023.230952.1880","DOIUrl":"https://doi.org/10.21608/bmfj.2023.230952.1880","url":null,"abstract":"Objective: To compare perioperative surgical, medical, and financial outcomes in morbidly obese women who underwent non-descent vaginal hysterectomy (NDVH) compared to total abdominal hysterectomy (TAH) for non-prolapse indications. Patients and methods: A retrospective analysis included 117 women who underwent hysterectomies performed between January 2015 and March 2023 in Benha University Hospital. The NDVH group included 55 women. The TAH group included 62 women. Results: Both NDVH and TAH groups participants had statistically indifferent pre-operative mean hemoglobin levels, age, parity, associated comorbidities, previous pelvic and abdominal surgery involving cesarean sections, and comparable indications for hysterectomy(p>0.05), but statistically higher BMI, HBA1c preoperative serum level, and shorter preoperative hospital admission (days), all these items favoring the superiority NDVH group over the TAH group( p =0.0001). There were no statistical differences between groups as regrades operative room time, operative blood loss, intra-operative complications, removed uterine weight in grams, and the need for blood transfusion (p>0.05). While there were high statistical differences (p<0.0001) favoring outcomes of NDVH over TAH including the need for general anesthesia, wound complications percentage (1% vs 72%), shorter postoperative hospital stays, less consumption of analgesic and shorter duration needs for postoperative venous thromboembolic prophylaxis, earlier ambulation, earlier to pass flatus. Approximate charges of both procedures were encouraging the NDVH over TAH (p<0.0001). Conclusion: In morbidly obese women with non-prolapsed uteri, the NDVH should be the primary route for hysterectomy, as the NDVH results is better than the TAH results in all perioperative outcomes items.","PeriodicalId":503219,"journal":{"name":"Benha Medical Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246228","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}

引用次数: 0