Evaluation Of The Use Of Probiotics In Patients With Irritable Bowel Syndrome
ConclusionOur data suggest that probiotics are useful for the improvement of quality of life of the IBS patients. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Efficacy and safety of sofosbuvir plus daclatasvir with or without ribavirin in treatment of Egyptian patients infected with chronic HCV (Single Centre Study)
ConclusionThe current study suggested that treatment of SOF plus DCV with/without RBV for chronicHCV patients in Egypt was generally safe, well tolerated, and of high efficacy, reflecting the antiviral potency and high resistance barrier of the combination regimen. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Evaluation of Imaging-Guided Peritoneal Biopsy in Diagnosis of Ascites of Undetermined Origin
ConclusionPercutaneous imaging-guided biopsy (US/CT guided) of the peritoneum, omenta, and mesentery has been established as a safe, well-tolerated procedure with high diagnostic accuracy. It can minimize further unnecessary invasive procedures e.g laparoscopy. It can help in directing the management, shortening the patient ’s hospital stay and reducing the costs and complications. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Accuracy of Endoscopic Ultrasound Guided Fine Needle Aspiration In Sampling Of Pancreatic & amp; Gastrointestinal Lesions Using Capillary Versus Suction Technique
ConclusionBoth techniques provided comparable diagnostic performance. However, capillary technique showed less sample contamination by blood cells resulting in a slightly better-quality sample. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
The impact of direct-acting antivirals on liver fibrosis in Egyptian hepatitis C virus patients: a single center experience
ConclusionFibrosis regression –assessed by non-invasive markers of fibrosis is achievable upon removal of the causative agent. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Characteristics of Hepatitis B virus induced Hepatocellular Carcinoma in Egyptian patients
ConclusionHepatocellular carcinoma is mainly caused by Hepatitis C and Hepatitis B viruses, but latter showed predominance, comparatively worldwide and correlated HBV directly as a cause of HCC rather than HCV whose relation with HCC is still unclear (Shepard et al., 2006; Di Bisceglie, 2009). Because of the geographical differences and risk factors, the epidemiological burden of HCV and HBV has been observed different in different areas of the world. In developing countries due to high burden of HCV infection as compared to HBV such as in Taiwan (HCV 17.0%, HBV 13.8%) (Kao et al., 2011), Guam (HCV 19.6%, HBV 18%) (Haddock...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Effect of Sustained Virological Response with Direct Acting Antiviral Agents on Insulin Resistance in Patients with Chronic HCV Infection
ConclusionImprovements in IR and glycemic control were not statistically significant after achieving sustained virologic response (SVR) with DAAs in patients with chronic HCV infection. Changes in the lipid profile such as an increase in the levels of total cholesterol and LDL can be expected after treatment with DAAs. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Laryngeal air column width ratio in predicting postextubation stridor
ConclusionACW showed excellent utility in prediction of patients with PES. Air column width ratio of ≤ 0.81 was a good predictor of PES. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Comparative study of Short term results between On-pump versus Off-pump CABG in Patients with Preoperative mild to moderate renal impairment
ConclusionThe off pump CABG is superior and gives more renal protection in patients with preoperative mild to moderate renal impairment. It is also reducing the early mortality and morbidity in these patients. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Comparison between Glucose Containing Solution D2.5% and Ringer Lactate as a Maintenance Fluid Management in Infants Undergoing Inguinal Hernia Repair
ConclusionThe usage of glucose containing solution 2.5% remained controversial, in this study we compared glucose 2.5 % in normal saline 0,9 % to ringer lactate and the results didn ’t put a final decision to the usage of glucose containing solutions as The results of the study revealed that 12% of patients receiving glucose containing solution 2.5 % had simple hyperglycemia with no hypoglycemic patients recorded while the other group with ringer lactate 2% of patients had si mple hyperglycemia and 4% of patients had hypoglycemia. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Tranversus Abdominus Plane Block with or without Magnesium Sulphate on Postoperative Pain Control after Open Appendectomy Operation
ConclusionMgSO4 as an adjuvant to bupivacaine in Ultra-sounded guided TAP block reduces post-operative pain scores, prolong the duration of analgesia and decreases demand for rescue analgesics. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Effect of perineural dexamethasone as an adjuvant to levobupivacaine in saphenous nerve block for knee arthroplasty
ConclusionAdding dexamethasone as an adjuvant to ACB showed that it prolonged its duration with decrease in the post-operative pain scores and total morphine consumption. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
Comparative Study Between Dexmedetomidine and Fentanyl as Sedatives in Awake Fiberoptic Intubation in Cervical Spine Surgeries
ConclusionThe results of our study showed that dexmedetomidine provides optimum sedation without compromising airway or hemodynamic stability and with favorable intubation time and less intubation attempts during AFOI in comparison to fentanyl. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
A Comparative Study between Ultrasound Guided Bilateral Transversus Abdominis Plane block Versus Opioids (Nalbuphine) Analgesia after Abdominoplasty
ConclusionAn ultrasound-guided TAP block technique allows for direct visualization of all anatomical structures, the needle, and the spread of local anesthetic, thereby increasing the safety margin, optimizing block qualities, decreasing systemic analgesia requirements and sparing its side effects. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
A Comparative study between Dexmedetomidine versus Propofol for sedation in upper GI endoscopy procedure considering effect on intraoperative vital data, patient amnesia and onset of recovery after the procedure
ConclusionDexmedetomidine and propofol are equally effective and safe to provide enough sedation for upper gastrointestinal endoscopy in a day-case manner. Advantages of dexmedetomidine were providing analgesic effect, rapid recovery from sedation and stability of respiratory rate and oxygen saturation. However, there were some disadvantages such as the bradycardia and patient dissatisfaction although the bradycardia can be utilized in cardiac patients as a safety factor against myocardial ischemia. Other point noticed that using dexmedetomidine for sedation was more costly than propofol and requires the usage of a syringe...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research
