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Abstract Introduction The three-dimensional (3D) endoscope is considered a new surgical tool used in different approaches in intranasal and anterior skull base surgical procedures. There are many advantages of 3D over two-dimensional (2D) endoscopy that have been demonstrated in clinical applications, surgical training, and different experimental studies. Objective To show the difference between using the 3D and 2D endoscopes during endonasal and anterior skull base surgery and its importance. Methods Our study is divided into two phases (clinical and cadaveric phases). In the clinical study we, have performed 52 endonasal and anterior skull base surgical procedures (26 study cases and 26 control cases). We recorded accuracy, duration, and intraoperative complication for each case. The cadaveric study was performed on three cadavers. Differences in accuracy and dissection time were recorded using 3D and 2D endoscopy for each side chosen by randomization. Results In the clinical study, the cases done by 3D endoscope were significantly faster and more accurate with less intraoperative complications compared with cases done using 2D endoscope. In cadaveric dissection, while using 3D endoscope, there was better depth of perception regarding the anatomical landmarks compared with 2D endoscope. Conclusion Three-dimensional endoscopy is an advanced instrument that allows better training for the coming generation of ear, nose, and throat surgeons. Both clinical and cadaveric studies offer a promising outcome in both endonasal and anterior skull base surgery.
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Objective@#This study investigated the impact of two stimulation protocols using highly purified human menopausal gonadotropin (HP-hMG) on the endocrine profile, follicular fluid soluble Fas levels, and outcomes of intracytoplasmic sperm injection (ICSI) cycles. @*Methods@#This prospective clinical trial included 100 normal-responder women undergoing ovarian stimulation for ICSI; 55 patients received concomitant follicle-stimulating hormone (FSH) plus HP-hMG from the start of stimulation, while 45 patients received FSH followed by HP-hMG during mid/late follicular stimulation. The primary outcome was the number of top-quality embryos. The secondary outcomes were the number and percentage of metaphase II (MII) oocytes and the clinical pregnancy rate. @*Results@#The number of MII oocytes was significantly higher in the concomitant protocol (median, 13.0; interquartile range [IQR], 8.5–18.0 vs. 9.0 [8.0–13.0] in the consecutive protocol; p=0.009); however, the percentage of MII oocytes and the fertilization rate were significantly higher in the consecutive protocol (median, 90.91; IQR, 80.0–100.0 vs. 83.33 [75.0–93.8]; p=0.034 and median, 86.67; IQR, 76.9–100.0 vs. 77.78 [66.7–89.9]; p=0.028, respectively). No significant between-group differences were found in top-quality embryos (p=0.693) or the clinical pregnancy rate (65.9% vs. 61.8% in the consecutive vs. concomitant protocol, respectively). The median follicular fluid soluble Fas antigen level was significantly higher in the concomitant protocol (9,731.0 pg/mL; IQR, 6,004.5–10,807.6 vs. 6,350.2 pg/mL; IQR, 4,382.4–9,418.4; p=0.021). @*Conclusion@#Personalized controlled ovarian stimulation using HP-hMG during the late follicular phase led to a significantly lower response, but did not affect the quality of ICSI.
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Abstract Introduction After pleomorphic adenoma, Warthin tumor gets its popularity as the second most common benign neoplasm of the parotid gland. Fine-needle aspiration cytology (FNAC) is the most cost-effective and minimally-invasive way to determine the histological character of a parotid gland tumor. Objective To determine the accuracy of FNAC in the diagnosis of Warthin Tumour. Methods A retrospective study conducted between 2014 and 2018. Out of 243 FNACs performed for parotid lesions, a histopathological correlation was established in 74 cases to reveal the accuracy of FNAC in the diagnosis of Warthin tumor. Results A total of 243 FNACs of parotid lesions were performed, and a histopathological correlation was established in 74 (30.4%) cases. Later on, we confirmed that 16 (21.6%) out of these 74 patients had cases of Warthin tumor. In total, 15 (20.3%) out of those 74 cases were confirmed as Warthin tumors on the initial cytology, which revealed a true positive concordance between the cytology and the final histological diagnosis; 55/74 (74%) were true negative results; on the other hand, 1/74 (1.4%) was a false negative, and 3/74 (4.1%) were false positive results. The sensitivity of the FNAC in the diagnosis of Warthin tumor was of 93%, while the specificity was of 94.8%, and the accuracy, of 94.6%. Conclusion In the present study, FNAC had a high diagnostic accuracy, reaching 94%.
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Background:Lotus arabicus L and Lotusglaber Mill. belong to the family Fabaceae, and they grow in the wild in Egypt and have different therapeutic uses in folk medicine. Objectives: This study aimed to evaluate the phytochemical profile, antimicrobial and antiviral properties of the methanolic extracts of two Lotus spp. growing in Egypt, L. arabicus and L. glaber.Material and methods: Gas chromatography-mass spectrometry was used to identify the compounds of the extracts of two Lotus species. An MTT colorimetric assay and the disc diffusion method were performed to investigate the antiviral and antimicrobial activities of two lotus species, respectively. Results: The n-hexane and methanol extracts of L. arabicuscontained high percentages of alkane hydrocarbons, such as 5-methyloctadecane, while L. glaber contained dodecane. The major compounds in the methanol extract of L. arabicuswere hexadecanoic acid methyl ester and dodecanoic acid,2,3-bis(acetyloxy)propyl ester. The major compounds in the methanol extract of L. glaber were palmitic acid and lucenin 2. The indole alkaloid ditaine was found only in L. arabicus. This alkaloid was identified for the first time in the genus Lotus. The antimicrobial properties of the extracts of the two Lotus species showed that the n-hexane extract of both Lotus species may have potential antifungal activity against Candida parapsilosis and Aspergillus flavus. Moreover, the methanolic extracts of both Lotus species have potential antiviral activity against the coxsackie B virus, but only the L. arabicus extract showed activity against the hepatitis A virus. Conclusion:Lotus arabicus might have potential antifungal or antiviral activity greater than L. glaber
Antecedentes:Lotus arabicus L y Lotus glaber Mill. pertenecen a la familia de las fabáceas y crecen en estado silvestre en Egipto y tienen diferentes usos terapéuticos en la medicina popular. Objetivos: El objetivo de este estudio es evaluar el perfil fitoquímico y las propiedades antimicrobianas de los extractos metanólicos de dos especies de Lotus que crecen en Egipto, L. arabicus y L. glaber. Material y métodos: Se utilizó la cromatografía de gases-espectrometría de masas para identificar los compuestos de los extractos de las dos especies de Lotus. Se realizó un ensayo colorimétrico MTT y el método de difusión en disco para investigar las actividades antiviral y antimicrobiana de las dos especies de Lotus, respectivamente. Resultados: Los extractos de n-hexano y metanol de L. arabicus contenían altos porcentajes de hidrocarburos alcanos, como el 5-metiloctadecano, mientras que L. glaber contenía dodecano. Los principales compuestos del extracto de metanol de L. arabicus eran el éster metílico del ácido hexadecanoico y el éster dodecanoico, 2,3-bis(acetiloxi)propilo. Los principales compuestos del extracto de metanol de L. glaber fueron el ácido palmítico y la lucenina 2. El alcaloide indólico ditaína sólo se encontró en L. arabicus. Este alcaloide fue identificado por primera vez en el género Lotus. Las propiedades antimicrobianas de los extractos de las dos especies de Lotus mostraron que el extracto n-hexano de ambas especies de Lotus puede tener una potencial actividad antifúngica contra Candidaparapsilosis y Aspergillus flavus. Además, los extractos metanólicos de ambas especies de Lotustienen una potencial actividad antiviral contra el virus coxsackie B, pero sólo el extracto de L. arabicus mostró actividad contra el virus de la hepatitis A. Conclusión: L. arabicus puede tener una potencial actividad antifúngica o antiviral mayor que L. glaber
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Humans , Phytochemicals , Therapeutic Uses , Anti-Infective AgentsABSTRACT
Diabetes mellitus (DM) is the most common type of the metabolic endocrine disorders. It is categorized as the thirdcause of death after heart and cancer diseases. Due to the undesirable side effects of the synthetic anti-diabetic drugs,the medicinal plants were selected for DM treatment. The recent studies directed to use nanotechnology in medicine toovercome restrictions of the drugs that were represented by weak bioavailability, insolubility in water, low absorptionby the intestine, and inability to reach to the appropriate site of action. The study aimed to investigate the antioxidant,antidiabetic, and hypolipidemic effect of Bauhinia variegata (B. variegata) extract before and after incorporating goldnanoparticles (Au-NPs) against DM induced by streptozotocin (STZ) in rats. The present study conducted on 36 malealbino Western rats divided into six groups {control, B. variegata extract treated group, B. variegata gold nano-extracttreated group, diabetic group [injected by STZ intrapretinoally (i.p.) at a dose of 60 mg/kg], diabetic rats treatedwith B. variegata extract, and B. variegata gold nano-extract groups}. The DM related biochemical functions (liverand kidney functions, glucose, insulin, and lipid profile) were assayed. Moreover, the enzymatic and non-enzymaticantioxidants were assayed in addition to lipid peroxidation products in liver and pancreas. Furthermore, the nativeprotein, lipoprotein patterns, and isoenzymes were electrophoretically studied. It was found that the administrationof both B. variegata extract and nano-extract to diabetic rats ameliorated the deleterious effects that occurred asa result of STZ injection and restored the biochemical functions in addition to levels of hepatic and pancreaticantioxidants to normalcy. These findings were supported by the histopathological examination. It was concluded thatB. variegata nano-extract exhibited more antidiabetic effect through restoring the normal architecture of pancreaticβ-cells in addition to the antioxidant and hypolipidemic effect than extract alone, which indicated that the efficacy ofB. variegata extract was increased after the incorporation of Au-NPs.
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Background: The current study aims to identify the prevalence of asymptomatic bacteriuria among low-risk pregnant women attending the antenatal care clinic of tertiary University Hospital and to detect the most common causative organisms.Methods: A prospective cross-sectional study conducted at a tertiary University Hospital in the period between 1st November 2017 and 31st June 2018. All eligible women attending the outpatient clinic for antenatal care were approached to participate in the study. The recruited women were assessed through detailed history and clinical examination. Urine samples were taken for culture and sensitivity within two hours, in order to avoid bacterial multiplication. Urine culture and antibiotic sensitivity test were done.Results: The study included 250 women. The mean age of included women was 25.89±5.49 (18-42 years). The urine analysis results showed that 32% of cases had pus cells >5 per high power field and 10.4% of cases have protein (+). Casts were present in 0.8% of cases. RBCs >5 per high power field were present in 4.8% of cases. ASB is defined as urine culture with more than 100,000 colony forming unit; this was present in 30 cases. This indicates that the prevalence of ASB among studied cases was 12%. Enterococcus was the most prevalent organism as it was present in 36.7% among positive cases. Antibiotic sensitivity test was performed to the growing organisms indicated that teicoplanin, imipenem, cefoxitin, cefotaxime + clavulanic acid, Entrapenem, and trimethoprim + sulfamethoxazole are the most effective antibiotics against the most common organisms causing asymptomatic bacteriuria.Conclusions: The prevalence of asymptomatic bacteriuria among low-risk pregnant women is about 12%. Urine culture for asymptomatic bacteriuria should be the standard of care for evaluation of pregnant patient during antenatal care as regard presence or absence of UTI.
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Introduction: Food addiction [FA] is a new terminology that uses the similarities between the craving for food and drug addiction. The Yale Food Addiction Scale [YFAS] is a recently developed tool that assesses the various symptomatology of FA and diagnoses FA when there are 3 symptoms with clinically significant functional impairment
As Egypt is one of the highest African countries in obesity prevalence, this study aimed at assessment of the presence of FA in a representative sample of Egyptian adolescents and to compare this new diagnosis to binge eating which has some common features with FA particularly loss of control eating, in order to define the true magnitude of the problem and explore the relationship between both so that preventive measures could be planned to combat the rapidly rising obesity prevalence
Subjects and methods: A cross section study using a stratified random sampling technique was conducted on 401 adolescents aged 11-18 years chosen from public, distinguished governmental and private schools
All participants had their weight and height measured with calculation of the body mass index and were interviewed to fill in the Binge Eating Scale [BES] and the Yale Food Addiction Scale [YFAS]
Results: The study included 221 females [55.1%] and 180 males [49.9%]. Their mean age was 13.98 +/-1.93 years. Clinical BE was present in 77 adolescents [19.2%]. FA was diagnosed in 81 subjects [20.2%]. Each of BE and FA showed significant differences in the different weight categories. Significant relationships were found between the various symptoms of FA and the scoring of the BE scale
Conclusion: This study proved a reconciliation between BE and FA in a non-clinical sample of Egyptian adolescents
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Humans , Female , Male , Child , Adolescent , Obesity/diet therapy , Craving , Cross-Sectional Studies , Binge-Eating Disorder , AdolescentABSTRACT
AIM: To assess the effect of a single dose of Sildenafil citrate on the visual function in men with early-stage age-related macular degeneration(AMD).METHODS: Forty men (mean age 71, range from 55-86 years)with early-stage AMD were prospectively randomized to receive either placebo or Sildenafil citrate (Viagra; Pfizer Inc, New York, NY) 100mg as a single oral dose. Subjects underwent visual acuity, Amsler grid and color discrimination in each eye before and at specific intervals within 9 hours after dosing.RESULTS: Compared with placebo, no pattern of errors were evident in any visual function test following Sildenafil administration. No statistically or clinically relevant changes from baseline were observed in visual acuity or color discrimination. No clinically relevant changes were observed in the Amsler grid. Sildenafil treatment was associated with transient mild or moderate headache and flushing. CONCLUSION: A single 100mg dose of Sildenafil was well tolerated and produced no significant acute visual effects in a sample of men with early-stage AMD.
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Manifestations of neuropsychiatric lupus erythematosus [NPLE] is a common complaint of systemic lupus erythematosus [SLE]. This could be due to damage to CNS tissues and mediated by immune complex or autoantibodies that mediate inflammation and release of nitric oxide metabolites. The study of proinflammatory cytokines [TNF-alpha and IL-10] and nitric oxide [NO] metabolites in relation to NPLE manifestations of SLE could be helpful to understand this pathology. Twenty three women patients compared to 15 healthy controls with tension headache were subjected to this study. The results revealed that NO metabolites significantly increased in NPLE than controls and this increase was apparent in severe subgroup than mild subgroup. Moreover, there was a positive correlation between NO metabolites and both IL- 10 and TNF alpha levels in CSF. CSF levels of TNF alpha and IL-10 were significantly higher in patients with NPLE than controls. The levels of proinflammatory cytokines were correlated with NPLE severity and more significantly higher in severe than mild subgroup NPLE. On the other hand, there were no significant differences in all parameter levels between serum and CSF. The results supported the hypothesis that inflammatory mediators and NO metabolites are important in the pathogenesis of NPLE and that these substances are candidate targets for future treatment