Post Stroke Hyperglycemia as a marker of Stroke Severity and Prognosis: A cohort study
ConclusionFrom our study we can conclude that diabetes mellitus as a risk factor in cases of stroke leads to increase complications and worsens the outcome in cases of stroke whether hemorrhagic or ischemic.RecommendationsFrom our study we recommended strict control of diabetes mellitus when present in cases of stroke to avoid bad outcome and to prevent complications in these cases. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Evaluation of the effect of diastolic function on prognosis of patient with septic shock
ConclusionWe recommend assessment of patients admitted to the ICU with septic shock via echocardiography to determine the grade of diastolic dysfunction and using diastolic dysfunction as a predictive risk factor in various score assessment of ICU patients. Our study was limited by decreased sample size and we recommend further studies with increased sample size.. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Hypophosphatemia and weaning of Mechanically Ventilated patients with Chronic Obstructive Pulmonary Disease during acute exacerbations
ConclusionIn the light of the previous results Hypophosphatemia (1.5 - 2.5  mg/dL) was associated with poor prognosis in terms of longer durations of mechanical ventilations and higher ICU mortality rates in mechanically ventilated patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD), Hypophosphatemia should be included in initial assessmen t of such patients to stratify them. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Pleural Ultrasonography versus Chest Radiography for the Diagnosis of Pneumothorax
ConclusionsIn conclusion, US represent a good approach for the evaluation of PTX, with advantages of timeliness, high accuracy and high reliability. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Effect of Usage of the Proton Pump Inhibitor Omeprazole on the Structure of the Kidney of Male Albino Rats
ConclusionThe present study declared that long term use of omeprazole resulted in structural damage of rat renal tissue with associated deterioration of renal function in a time dependent manner.Extreme caution should be taken with clinical prescription of omeprazole and close monitoring of renal function is highly recommended. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Incidence and Association of Patient Safety Indicator 9 (Perioperative hemorrhage or hematoma) and clinical outcomes in Cardio-thoracic surgery hospital, Ain Shams University, Egypt
Conclusionhigh incidence rate of PSI9 and the incidence is higher in male gender and 60 years old and more patients. Those patients developed PSI9 were at high risk for readmission and death.Recommendationsthe hospital administration should consider strategies and policies to decrease the rate of PSI9 and subsequent unfavorable clinical outcomes. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Effect of Weight Loss Program on Anthropometric and Laboratory Measurements among Adult Obese Females: An Intervention Study
Conclusion and Recommendation: Prevention of obesity should be a high priority in public health, with particular emphasis on encouraging healthy lifestyles in all age groups, starting from early childhood. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Participation and Satisfaction with the National Campaign on Viral Hepatitis C and Non-Communicable Diseases among Administrative Workers of Ain Shams University, Cairo, Egypt
ConclusionsMost of the study group participated in the initiative 100 Million Seha and were satisfied with the service provided. Mass media played the most important role in awareness with the campaign. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Work Related Stress and its Effect on Mental Health among employees of Ain Shams University Hospitals
ConclusionThis study revealed a high level of workrelated stress among hospital employee who are not involved in patient ’s care with around fifth of them suffered severe levels of mental ill-health. Occupational stress resulted mainly from inadequate control over work duties and unpleasant or unsafe work conditions. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Awareness about the New Social Health Insurance System, among Physicians in Primary Health Care Centers in Cairo governorate, and Factors Affecting it
ConclusionThe study concluded that the level of awareness about the SHI among the studied sample of the PHCCs physicians at Cairo governorate was averaged. Recommendation: Efforts should be enhanced for reaching out to the physicians in PHCCs, including those working in governorates where implementation of SHI system hasn ’t commenced yet, especially to emphasize their understanding of the objectives and elements of the new system. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Assessment of Food Services Pre-requisite Program in a Tertiary Hospital in Egypt
ConclusionsThe present study showed that the necessary founding element of any food safety program, comprising the policies, operating procedures and similar organizing documents which was deficient in the studied hospital. Similarly, implementation of the basic required sanitation aspects in food handling was almost half applied. Reconsideration of basic underlying system for food services is mandated in our hospital. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Work Related Stress, Anxiety and Depression among School Teachers in general education
ConclusionDrawn from this study is that the degree of work related stress, anxiety and depression among teachers in governmental schools in kobri el koba district is considerably high. This indicates that we are in need to do Further studies on teachers for better assessment of the epidemiology of work related stress, anxiety and depression and the risk factors also Intervention studies are highly recommended as the prevelance of stress, anxiety and depression in the present study is almost 100% which is considered extremely high and in need to urgent intervention,Authorities should be informed about the results and should...
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Reporting Medication Errors and Drug Therapy Problems Through the Egyptian National Electronic Reporting System in 56 Governmental Hospitals during 2019
ConclusionMedication errors in drug dosing are prevalent in the hospitals included in this study. Also, drugs that are prescribed without need, while errors in antibiotics were very common in many hospitals either prescribed for no need or selected inappropriately. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Health Risks of Low Dose Of Ionizing Radiation Among Health Care Providers at ain Shams University Hospitals
ConclusionExposure to IR -even in small dose- may lead to significant health complains (adverse health effects), increase oxidative stress status and may affect general health status among exposed group compared to the non-exposed one.RecommendationsPersonal monitoring for ionizing radiation, periodic medical examination, and increasing level of protection for exposed workers are of utmost importance. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research

Comparative study between the effect of mesenchymal stem cells and/or platelet-rich plasma on bone parameters in ovariectomized mature rats
ConclusionBM-MSCs together with PRP can partially reverse OVX-induced bone loss and halt osteoporosis progression.AbbreviationsBM-MSCs: bone marrow derived mesenchymal stem cells, PRP: platelet-rich plasma, OVX: ovariectomized, ALK: alkaline phosphatase, CTX-1: cross linked c telopeptide of type 1 collagen, MDA: malondialdehyde, TNF- α: tumour necrosis factor-alpha. (Source: QJM)
Source: QJM - October 1, 2021 Category: Internal Medicine Source Type: research