International Journal of Medical Arts最新文献_第9页

Impact of Chronic Ethanol and Cannabis Intake on Reproductive Hormones and Associated Histopathological Changes in Adult Albino Rats 慢性乙醇和大麻摄入对成年白化大鼠生殖激素及相关组织病理学变化的影响

International Journal of Medical Arts Pub Date : 2023-07-17 DOI: 10.21608/ijma.2023.214065.1695

E. Gawesh, A. Elshoura, Khaled Elhamaky, Ahmed Mostafa, Mustafa Al-Qulaly, A. El-assal

引用次数: 0

A Comparative Study between Single Scrotal Incision Orchiopexy and Traditional Inguinal Approach in Treatment of Children with Palpable Low-Lying Undescended Testis 单阴囊切开睾丸切除术与传统腹股沟入路治疗可触及低位隐睾的比较研究

International Journal of Medical Arts Pub Date : 2023-07-17 DOI: 10.21608/ijma.2023.194427.1626

K. Zaki, A. Elshamy, M. Moussa

{"title":"A Comparative Study between Single Scrotal Incision Orchiopexy and Traditional Inguinal Approach in Treatment of Children with Palpable Low-Lying Undescended Testis","authors":"K. Zaki, A. Elshamy, M. Moussa","doi":"10.21608/ijma.2023.194427.1626","DOIUrl":"https://doi.org/10.21608/ijma.2023.194427.1626","url":null,"abstract":"Article information Background: The management of undescended testis encompasses both endocrine therapy and surgical intervention. Nevertheless, the efficacy of endocrine therapy is imprecise and linked with unfavorable outcomes. Consequently, surgical intervention remains the favored approach for addressing cases of undescended testis. Aim of the work: We aimed to compare the outcomes of single scrotal incision orchiopexy versus the traditional inguinal approach in the treatment of children suffering from the palpable low-lying undescended testis [PUDT]. Patients and Methods: This is a prospective randomized controlled comparative study that included 40 patients presented with palpable low-lying undescended testis to the pediatric surgery outpatient clinic and admitted to the pediatric surgery unit at the general surgery department of Al-Azhar University Hospitals, Assiut. Patients were randomly divided into 2 equal groups 20 patients each: Group 1: underwent the traditional inguinal approach for orchiopexy. Group 2: underwent single scrotal incision orchiopexy. Results: As regards the operative time, we found that the mean operative time was higher in group 1 than in group 2 [30.5, and 22 minutes respectively], with a statistically significant difference between the two groups [P value = 0.001]. As regards the postoperative complications, we found that five patients [25%] in group 1 developed complications which is higher than that of group 2 in which the total reported complications were in 3 [15%.] patients. In terms of Wound infections and dehiscence, they were the most common postoperative complication in our study which represent 45% of the total reported complications. We reported four cases in the traditional inguinal approach orchiopexy group and 2 cases in the single scrotal incision orchiopexy group. Conclusion: As a less invasive surgical option for PUDT, single scrotal incision orchiopexy is safe, effective, promising, and potentially successful.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47918679","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

Efficacy of Panniculectomy with Cesarean Section 子宫颈切除术与剖宫产术的疗效

International Journal of Medical Arts Pub Date : 2023-07-17 DOI: 10.21608/ijma.2023.202790.1656

Neama Anwar, Abdallah Oun, M. Amin, Ahmed M. Elshorbagy

{"title":"Efficacy of Panniculectomy with Cesarean Section","authors":"Neama Anwar, Abdallah Oun, M. Amin, Ahmed M. Elshorbagy","doi":"10.21608/ijma.2023.202790.1656","DOIUrl":"https://doi.org/10.21608/ijma.2023.202790.1656","url":null,"abstract":"Article information Background: A panniculectomy helps contouring the abdomen by removing the panniculus. Patients with large overhanging abdominal panniculus should benefit from this treatment. Pregnancy changes the size and contour of the abdomen; so, abdominoplasty is often requested during a Cesarean delivery. In late pregnancy, especially in multiparous women, the abdominal wall muscles are subjected to increased strain, and the rectus muscles divaricate in the midline, generating diastasis recti. Panniculectomy is a popular women's aesthetic surgery. It can be long-lasting if maintained with exercise and a balanced diet. Aim of the work: The goals of this study are to assess the advantages, disadvantages, cosmetic outcomes, and complications of combining panniculectomy with Caesarean Section. Patients and Methods: A prospective randomized clinical controlled trial where 50 of Gravid women shared and equally distributed to two groups, each group includes 25 pregnant women who had already made the decision to have an elective Cesarean section at Al-Azhar University's Department of Obstetrics and Gynecology. Results: In terms of time needed to complete a procedure, there was a massive gap between the two groups. The two groups did not differ significantly with respect to wound complications, post-operative body mass index. The Panniculectomy with CS group had a mean of 8.72 ± 1.24. [range: 5-10] in terms of patient satisfaction. Conclusion: There's an argument that doing both operations at once would save time and money. It does not appear to be in the best interests of most patients, however, due to the higher risk of postoperative complications and un-esthetic outcomes. More research is needed to determine how the surgery affects long-term recovery, future obstetric outcomes, and other medical issues.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44466266","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

Evaluation of Progranulin Serum Levels in Egyptian Adults De Novo Acute Myeloid Leukemia Patients 埃及成人De Novo急性髓细胞白血病患者血清Progranulin水平的评估

International Journal of Medical Arts Pub Date : 2023-07-17 DOI: 10.21608/ijma.2023.198266.1635

Muhammad Askar, Nagwa Mowafy, Mahmoud Hashsih

{"title":"Evaluation of Progranulin Serum Levels in Egyptian Adults De Novo Acute Myeloid Leukemia Patients","authors":"Muhammad Askar, Nagwa Mowafy, Mahmoud Hashsih","doi":"10.21608/ijma.2023.198266.1635","DOIUrl":"https://doi.org/10.21608/ijma.2023.198266.1635","url":null,"abstract":"Article information Background: Various cancer cells share critical physiologic changes that promote malignant development. Progranulin [PGRN], a growth factor, has major biological impact on several cancer types. Aim of the work: To measure levels of progranulin in the serum of adult patients with acute myeloid leukemia [AML] before and after treatment. Next, to correlate their serum levels to prognosis. Patients and Methods: Our prospective observational study was conducted on 40 adult patients with AML recruited from Clinical Hematology and Oncology hospital in Maadi Military Complex before and after chemotherapy treatment during six months. 15 adult healthy people with comparable age and sex were subjected as a control group. The patients received conventional chemotherapy protocols according to NCCN guidelines for AML treatment. Either routine laboratory investigations or disease-specific labs were performed. Progranulin level in serum was assessed using ELISA. Results: Serum Progranulin levels are significantly higher for AML patients than control group. There is statistically insignificant difference of serum Progranulin levels after chemotherapy treatment compared to its level at diagnosis among AML patients. Conclusion: Our investigation has led us to the conclusion that adult AML patients have elevated PGRN levels, which may be related to the tumor burden in these individuals.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49487802","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

Effect of Remote Ischemic Preconditioning on Patient Survival and End Organ Injury During Elective Open Abdominal Aortic Surgery Repair: A Randomized Controlled Trial 远程缺血预处理对选择性腹主动脉切开手术修复患者生存和终末器官损伤的影响:一项随机对照试验

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.218242.1712

Mohamed Abdallah, Abdelrahman Elnaggar

{"title":"Effect of Remote Ischemic Preconditioning on Patient Survival and End Organ Injury During Elective Open Abdominal Aortic Surgery Repair: A Randomized Controlled Trial","authors":"Mohamed Abdallah, Abdelrahman Elnaggar","doi":"10.21608/ijma.2023.218242.1712","DOIUrl":"https://doi.org/10.21608/ijma.2023.218242.1712","url":null,"abstract":"Article information Background: Ischemic preconditioning is natural cyto-protective mechanism that can potentially protect end organs from ischemia. In examined instances having major vascular surgery, remote ischemia preconditioning provides straight-forward technique with the ability to set up widespread and systemic protection from significant organ harm. Thus, we have been required to assess clinical usage of remote preconditioning in preparing myocardial and renal protection after elective open Abdominal Aortic Aneurysm [AAA] repair in randomized trial. Aim of the work: The aim of this research had been to examine potential of remote ischemic preconditioning on myocardial and renal protection and patient survival after elective open AAA repair. Patients and Methods: This randomized double blinded clinical trial comparing AAA repair with remote ischemic preconditioning versus conventional AAA repair [control] was done in cardiothoracic and vascular surgery center Mansoura University from October 2022 to May 2023 after approval from institutional review board of Mansoura faculty of Medicine with obtaining a written informed consent from all studied cases. Results: There had been statistically significant variation among studied groups as regard 30-day mortality. Conclusion: Remote ischemic preconditioning improves mortality rate after elective open abdominal aortic surgery repair.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135763113","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

Role of Fibrin Glue versus Fistulotomy in Treatment of High Fistula-In-Ano 纤维蛋白胶与瘘管切开术在高瘘治疗中的作用

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.170330.1530

Ali Mohamed, A. Sayouh, S. A. Soliman

{"title":"Role of Fibrin Glue versus Fistulotomy in Treatment of High Fistula-In-Ano","authors":"Ali Mohamed, A. Sayouh, S. A. Soliman","doi":"10.21608/ijma.2023.170330.1530","DOIUrl":"https://doi.org/10.21608/ijma.2023.170330.1530","url":null,"abstract":"Article information Background: Perianal fistula is a frequent surgical condition that affect patient’s daily activity, causing chronic pain and discomfort. High-type fistula-in-ano is especially hard to manage due to its position. Standard surgical methods are associated with many adverse events such as incontinence and repeated infections. Fibrin glue is a kind of biological glue which facilitates tract obliteration, with preservation of anal sphincter. Aim of the work: This study aims at comparing the efficacy of fibrin glue versus fistulotomy in the treatment of high perianal fistulas. Patients and Methods: In the present study, 30 patients diagnosed with a high-type perianal fistula were divided into two groups; group [1] undergone standard fistulotomy, and group [2] undergone fibrin glue. Operative outcomes, post-operative improvements and complications were compared. Results: Patients in group [2] had significant short operative time [31.1 ± 12.5 min. in group 1 vs. 19.7 ± 1.62 min. in group 2; P, 0.004]. Group 2 had a significantly shorter hospital stay length than group 1 [1.93 ± 0.79 days for group 1 and 1.31 ± 0.35 days for group 2; P, < 0.001]. No significant difference was shown between studied groups regarding pain improvement, wound infection, wound discharge and incontinence at one week following surgery. However, group 1 patients had a significant [P, <0.001] less healing time than group 2. At six months following surgery, patients in group 1 reported higher rate of infection [four patients vs. none in group 2; P, 0.03] and higher recurrence rate [six in group 1 vs. one patient in group 2; P, 0.03]. Conclusion: The use of fibrin glue injection is a viable, valuable, and effective alternative for treating fistula-in-ano. It is associated with lower complications and less recurrence, although it had longer time for complete healing.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45206325","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

Comparative Study between Topical Metformin 30% Cream and Topical Adapalene 0.1 % Cream in The Treatment of Acanthosis Nigricans [Clinicodermoscopic Study] 30%二甲双胍乳膏与0.1%阿达帕林乳膏治疗黑棘皮病的比较研究[临床皮肤镜研究]

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.211331.1685

Sabrean Elkhodary, R. Atallah, H. Aboelwafa

{"title":"Comparative Study between Topical Metformin 30% Cream and Topical Adapalene 0.1 % Cream in The Treatment of Acanthosis Nigricans [Clinicodermoscopic Study]","authors":"Sabrean Elkhodary, R. Atallah, H. Aboelwafa","doi":"10.21608/ijma.2023.211331.1685","DOIUrl":"https://doi.org/10.21608/ijma.2023.211331.1685","url":null,"abstract":"Article information Background: Acanthosis nigricans [AN] is a common cutaneous disorder with multiple etiologies. For cosmetic purposes, dermatologists usually recommend topical keratolytics, laser treatments, or chemical peels. The treatment of AN with a topical retinoid called adapalene has a high rate of success. Metformin, an insulin sensitizer, was proposed as a therapy option for AN by focusing on the insulin resistance connected to AN. Aim of the work: This study was done to compare the efficacy and safety of topical 30% metformin cream with topical 0.1 adapalene cream. Patients and Methods: There were 40 instances of AN in the most recent study. Two sets of cases, each with 20 patients, were randomly assigned: Group A [the metformin group] and Group B [the adapalene group]. The patients had a thorough dermatological examination along with a general clinical evaluation. The initial assessment included the calculation of HOMA-IR, assessment of disease severity, digital photographs, and dermoscopic assessment. After completion of treatment, clinical response and the degree of improvement were determined in the cases within the two groups. Follow-up was done for 2 months after treatment. Results: All clinical and dermoscopic results evaluated following treatment show statistically significant variance across the tested groups in terms of the degree of improvement. In the adapalene group, the extent of improvement was greater. The mean ANASI score for the metformin group decreased from 32.4 to 27.8 pre-and post-operatively, while for the adapalene group, it decreased from 26.8 to 18.4. The Adapalene group had a larger percent change, although there is no statistically significant distinction between them. Conclusion: Adapalene 0.1% cream was more successful than Metformin 30% cream in treating acanthosis nigricans with minimal and tolerable side effects. There was no difference between the two therapy regimens in terms of the chance of recurrence.","PeriodicalId":53130,"journal":{"name":"International Journal of Medical Arts","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47035136","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

Effect of Adding Magnesium Sulphate as An Adjuvant to Bupivacaine in Ultrasound-Guided Transversus Abdominis Plane [TAP] Block for Postoperative Analgesia after Moderate-Sized Umbilical Hernia Repair 在超声引导下经腹平面[TAP]阻滞中添加硫酸镁辅助布比卡因对中等大小脐疝修补术后镇痛的影响

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.167742.1525

M. Kassem, Mohamed Sharaf, Abdalla B. Abdalla, A. Abo El Ata

引用次数: 0

Endoscopic Tympanoplasty Using Tragal Cartilage Perichondrium: Elevated versus Non-Elevated Tympanomeatal Flap 内窥镜鼓室成形术使用耳屏软骨软骨膜:升高与非升高鼓膜瓣

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.207198.1682

A. A. Abo Taleb, Salah eddin Mohamed, A. Youssef

引用次数: 0

Computed Tomographic Predictors of Conduction Disturbances Following Transcatheter Aortic Valve Implantation 经导管主动脉瓣植入术后传导障碍的计算机断层扫描预测

International Journal of Medical Arts Pub Date : 2023-07-01 DOI: 10.21608/ijma.2023.217334.1702

M. Abdelshafy, Mansour Mustafa, I. Shawky, Abdelhamid Abdelhamid, S. Abdul-Wahab

引用次数: 0