{"title":"PREVALENCE AND EVALUATION OF CARDIAC COMPLICATIONS AMONG PATIENTS WITH SUBSTANCE ABUSE IN AL HUSSEIN UNIVERSITY HOSPITAL","authors":"","doi":"10.21608/amj.2022.255184","DOIUrl":"https://doi.org/10.21608/amj.2022.255184","url":null,"abstract":"Background: Substance abuse refers to excessive use of a drug in a way that is detrimental to self, society, or both. Substance abuse and its health outcomes has become a major public health issue in Egypt in recent years. Objective: To determine the prevalence of electrocardiographic and echocardiographic abnormalities among substance abusers who have low cardiovascular risk profile and evaluate the relation between these abnormalities and substance abuse. Patients and Methods: This case–control study was conducted at Al-Hussein University Hospital from January 2018 to May 2020. It included 500 males and females cases aged between 18 and 45 years. They were divided into 2 major groups: Group I contained 250 substance abusers with duration of abuse ≥ one year and Group II contained 250 non abusers as controls. All members of both groups had low cardiovascular risk profile. The only major risk factor for heart disease presented in this study was smoking cigarette and its effect was ameliorated by matching with the control group. All cases were subjected to a full history taking, comprehensive clinical examination and laboratory investigations to exclude cases with major risk factors for heart diseases. Cardiac condition was evaluated in all cases using standard 12-lead electrocardiogram and the results were interpreted. Further evaluation using echocardiography examination were done for all patients with abnormal ECG findings in addition to 42 cases selected randomly from control group for statistical purposes, and divided into 2 sub-groups. Sub-group I included 54","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44891706","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":"Environmental pollution and the immune system","authors":"M. Abdelnasser","doi":"10.21608/amj.2022.265021","DOIUrl":"https://doi.org/10.21608/amj.2022.265021","url":null,"abstract":": Environmental pollution, particularly air pollution, is now a worldwide problem. Pollution represents a challenge not only to human health, but also to animals and plants. In turn, human health will also be affected. The immune system is also sensitive to any environmental changes. The immune system itself consists of multiple types of immune cells that act together to generate (or fail to generate) immune responses. Understanding the effects of ambient pollutants on the immune system is vital to understanding how pollution causes disease, and how that pathology could be abrogated. It is also aimed to know how to lessen or prevent their effects on human health.","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41898623","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":"FOLLICULAR FLUID CONCENTRATION OF VASCULAR ENDOTHELIAL GROWTH FACTOR, INHIBIN A AND INHIBIN B IN IVF CYCLES: ARE THEY MARKERS FOR OVARIAN RESPONSE AND PREGNANCY OUTCOME?","authors":"","doi":"10.21608/amj.2022.258330","DOIUrl":"https://doi.org/10.21608/amj.2022.258330","url":null,"abstract":"","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49060316","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 THE EFFECT OF ARGON LASER IN TREATMENT OF RESISTANT INFECTIVE CORNEAL ULCER","authors":"","doi":"10.21608/amj.2022.258344","DOIUrl":"https://doi.org/10.21608/amj.2022.258344","url":null,"abstract":"","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47040949","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 THE CAUSE OF CARDIOVASCULAR SYNCOPE IN FEMALES VERSUS MALESIN A SAMPLE OF YOUNG EGYPTIAN POPULATION","authors":"","doi":"10.21608/amj.2022.258348","DOIUrl":"https://doi.org/10.21608/amj.2022.258348","url":null,"abstract":"","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46092089","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":"CORRELATION OF INFERIOR VENA CAVA COLLAPSIBILITY INDEX WITH LUNG ULTRASOUND AND STROKE VOLUME VARIABILITY IN HYPOTENSIVE CRITICAL CARE PATIENTS","authors":"Mohamad Mohamad Abd, El-Hamed El-Ghonimy, Emad Abd, El-Hamed Shaaban, Sayed Ahmad, Abd Alaly","doi":"10.21608/amj.2022.255177","DOIUrl":"https://doi.org/10.21608/amj.2022.255177","url":null,"abstract":"Background: Differentiating fluid responders from non-responders is the primary goal when assessing critical care hypotensive patients for fluid responsiveness. Objectives: To assess the fluid responsiveness in critical care hypotensive patients using inferior vena cave (IVC) collapsibility index and correlating its effectiveness with lung ultrasound (US) and stroke volume variation (SVV) induced by passive leg raising (PLR) in prediction of fluid responsiveness. Patients and Methods: After approval of scientific and ethical committees, One hundred critical care hypotrnsive patients who were admitted to the ICU of El-Hussein University Hospital from November 2018 to March 2021 were included in the study. The following were done: echocardiography on admission, routine hemodynamic monitoring, lung US for assessment for extra volume lung water (EVLW), assessment of IVC variability, assessment of SVV induced by passive leg raising. Patients were classified into fluid responders and non-responders based on SVV. Responders were patients with SVV ≥ 12%. Results: Caval index for assessment of fluid responsiveness is strongly correlated with lung US for assessment of EVLW and SVV with highest sensitivity and specificity in mechanically ventilated patients on muscle relaxant, and lower sensitivity and specificity in spontaneously breathing patients. Conclusion: Caval index can be used to predict fluid responsiveness, but with different values depending on mechanical ventilation status and use of muscle relaxation","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46148647","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":"Possible Protective Effects of Avocado Pear (Persea Americana) Ethanolic Extract on the Ovarian Follicles of Adult Female Albino Rat Exposed to Electromagnetic Fields (EMF) Emitted from Cellular Phones","authors":"","doi":"10.21608/amj.2022.259452","DOIUrl":"https://doi.org/10.21608/amj.2022.259452","url":null,"abstract":"","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49297128","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":"PRESCENCE OF GASTRIC PEPSINOGEN IN THE MIDDLE EAR FLUID OF PATIENTS WITH OTITIS MEDIA WITH EFFUSION","authors":"","doi":"10.21608/amj.2022.258343","DOIUrl":"https://doi.org/10.21608/amj.2022.258343","url":null,"abstract":"","PeriodicalId":84126,"journal":{"name":"Al Azhar medical journal = Majallat al-Tibb al-Azhar","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48768421","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}