The Role of Diaphragmatic Rapid Shallow Breathing Index and Maximum Inspiratory Pressure in Predicting Outcome of Weaning From Mechanical Ventilation
ConclusionD-RSBI is a new and promising tool that is superior to the traditional RSBI in predicting weaning outcome also MIP provides appreciated data with greater accuracy to assess inspiratory muscle strength and predicting weaning success in mechanically ventilated patients.Recommendations We could recommend the measurement of MIP and DRSBI as weaning predictors should be an integral part of evaluation of patients plan for weaning from MV. All intensivists should be acquitted with the use of U/S in the evaluation of diaphragmatic function. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
A comparative Study between Tube Feeding versus Parenteral Nutrition in GIT Cancer Patients in ICU
ConclusionEnteral nutrition showed better results in comparison to parenteral nutrition regarding time to pass flatus, ICU stay, albumin after 7 days and albumin after 14 days. Both types of nutrition are equal statistically regarding complications and infection, mortality rate, post-operative weight after 7 days (kg) and weight after 14 days (kg). (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Lactate Clearance Versus Base Deficit Correction in Monotoring of Septic Shock
ConclusionLactate clearance is a better predictor of mortality and morbidity than base deficit correction. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
A comparative study between Levobupivacaine alone and in combination with Dexmedetomidine in caudal analgesia of hernia repair in pediatrics
ConclusionDexmedetomidine as adjuvant to Levobupivacaine provided significantly prolonged postoperative analgesia, reduced the postoperative analgesic requirements and better parents ’ satisfaction as compared with caudal analgesia using Levobupivacaine alone in children undergoing hernia repair. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Effect of Prenatal Administration of Retinoic Acid on Developing Spinal Cord of Albino Rats
Conclusionminimum and maximum doses of vitamin A in pregnant rats attributed to morphological changes in spinal cord of their young neonates and in long term follow up which was more obvious in maximum dose than low intake. Therefore, it might be assumed that neither minimum nor maximum dose could be used as a safe drug for their serious side effects on spinal cord morphology and consequently its functions. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
The Role of Bcl-2 in Pediatric Functional Bowel Obstruction Cases with Ganglionated Specimens
ConclusionBcl-2 immunohistochemistry can be used as a valuable tool in the diagnosis of Hirschsprung ’s disease allied disorders through its expression in the immature ganglion cells which are difficult to be identified by conventional H& E staining. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Fecal screening of Dientamoeba fragilis: relative efficacy of permanent smear and culture
In conclusion, culture had a high performance compared to microscopy in the diagnosis ofD. fragilis infection. Culture can be applied for routine diagnosis for the detection ofD. fragilis in clinical samples. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of a novel Nano diagnostic assay for Assessing the Prevalence of Schistosoma haematobium Infection in Areas at Risk in Upper Egypt
ConclusionCombination of both clinical and epidemiological data in addition to sensitive diagnostic tools is essential for diagnosis. The present study as with other studies revealed that, IMB-ELISA based on gold nanoparticles provides more rapid and sensitive detection for SEA in urine samples of patient with active schistosomiasis. Simplicity and fast detection (10 min) are its main advantages. Moreover, its high sensitivity and specificity ensure its application with greater precision and rapid detection. Also, in addition, the prevalence of urinary schistosomiasis in these regions is considered relatively high requi...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Percutaneous Nephrolithotomy (PCNL) versus Retrograde Intrarenal Surgery (RIRS) in Medium Sized Renal Pelvic Stones
ConclusionRIRS may represent an alternative therapy to PCNL, RIRS compared to PCNL offers the best outcome regarding radiation exposure and hospital stay. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of Galdakao-modified Valdivia Position in Combined Simultaneous Access to Upper and Lower Urinary Tract Pathologies
ConclusionWe believe that GMSV provided a great versatility in the treatment for urolithiasis along the whole urinary tract, ante-retrograde access, treatment of uretero-ileal strictures in patients with urinary diversions or neobladders, missed double j stent, bilharizoma of the ureter and bladder mass involving the ureteric orifice. Also, the advantage provided by this approach to the surgeon, patient and anesthetist may lead to widespread adaptability of this technique in the management of complex urolithiasis. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of Holmium Laser versus Cold Knife in Optical Internal Urethrotomy for the Management of Urethral Stricture
AbstractBackground : urethral stricture is one of the most difficult urological problems to cure adequately and is know to mankind since ages as it has been documented in ancient literature of Egyptians and Greeks.Aim of the work: the aim of our study is to evaluate and compare the outcomes of Ho:YAG laser urethrotomy with the conventional cold knife technique as regards treatment outcome, efficacy and complicationsPatients and methods: A total of 20 male patients presented to the urology department at El Maadi military hospital and Ain shams university hospitals diagnosed as urethral stricture requiring optical internal u...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Outcome of Extended Varicocelectomy in Case of High Grade Varicocele
ConclusionExtended varicocele ligation with delivery of the testis achieve good surgical outcome with minimal varicocele recurrence and hydrocele formation, and offer beneficial effect on semen parameters. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Tamsulosin, versus Tamsulosin in combination with Solifenacin versus Tamsulosin in combination with Trospium chloride for treatment of Double-J stent-related symptoms
ConclusionThe study show that the combination of the tamsulosin 0.4 mg/day and the trospium chloride 20 mg twice /day are significantly superior to the tamsulosin 0.4 mg once alone / day and the combination of the tamsulosin 0.4 mg /day and the solifenacine 5 mg /day for the treatment of the LUTS in d.j stent cases except in the frecuncy the combination o f tamsulosin 0.4 mg/day and the solifenacine 5 mg/day are signicantly superior. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Role of Aminophylline Intravesical Instillation on Enhancing Ureteral Dilatation prior to Ureteroscopy
ConclusionAminophylline is effective in ureteral dilatation when intravesically injected with less frequent post-operative pain and hematuria. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Tubeless Percutaneous Nephrolithotomy with Hemostatic Plug Using Surgiflo ® versus Standard Percutaneous Nephrolithotomy using a Nephrostomy Tube: A Prospective Randomized Controlled Study
ConclusionTubeless PCNL with hemostatic sealant use is associated with less pain, no leakage from nephrostomy tract, less narcotic agent use, and a shorter hospital stay. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
