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van Daalen KR, Wyma N, Schauer-Berg J, Blom IM, Mattijsen J, Othman R, Eissa M, Parks RM, Wyns A, Aboushady AT, Hassan M, Ezzine T, Khan S, Zayed MAE, Neggazi S, Alqodmani L, Lowe R. The global health community at international climate change negotiations. BMJ Glob Health 2024; 9:e015292. [PMID: 38637120 PMCID: PMC11029429 DOI: 10.1136/bmjgh-2024-015292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 03/31/2024] [Indexed: 04/20/2024] Open
Affiliation(s)
- Kim Robin van Daalen
- Barcelona Supercomputing Center (BSC), Barcelona, Spain
- British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK
- Heart and Lung Research Institute, University of Cambridge, Cambridge, UK
| | - Nanine Wyma
- African Unit for Transdisciplinary Health Research (AUTHeR), North-West University, Potchefstroom, South Africa
- Physicians Association for Nutrition South Africa, Pinelands, South Africa
| | - Johanna Schauer-Berg
- Institute of General Practice, Family Medicine and Preventive Medicine, Paracelsus Medical University (PMU), Salzburg, Austria
| | - Iris M Blom
- Centre on Climate Change and Planetary Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Juliette Mattijsen
- Julius Center for Health Sciences and Primary Health, University Medical Centre Utrecht, Utrecht, Netherlands
- Department of Public Health, Erasmus Medical Center, Rotterdam, Zuid-Holland, Netherlands
| | - Razan Othman
- The National Ribat University, Khartoum, Khartoum, Sudan
| | - Mohamed Eissa
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Robbie M Parks
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA
| | - Arthur Wyns
- Melbourne Climate Futures, The University of Melbourne, Melbourne, Victoria, Australia
| | - Ahmed Taha Aboushady
- Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Muha Hassan
- Wye Valley NHS Trust, Hereford, Herefordshire, UK
| | - Tarek Ezzine
- Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
| | - Salman Khan
- Grant Government Medical College and Sir J J Group of Hospitals, Mumbai, Maharashtra, India
- International Federation of Medical Students' Associations (IFMSA), Copenhagen, Denmark
| | - Menna-Allah Elsayed Zayed
- Faculty of Pharmacy, Alexandria University, Alexandria, Egypt
- International Pharmaceutical Federation, The Hague, South Holland, Netherlands
| | - Sarah Neggazi
- Faculty of Pharmacy, University of Algiers 1, Alger, Algeria
- International Pharmaceutical Students' Federation, the Hague, Netherlands
| | | | - Rachel Lowe
- Barcelona Supercomputing Center (BSC), Barcelona, Spain
- Centre on Climate Change & Planetary Health and Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
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Blom IM, Eissa M, Mattijsen JC, Sana H, Haines A, Whitmee S. Effectiveness of greenhouse gas mitigation intervention for health-care systems: a systematic review. Bull World Health Organ 2024; 102:159-175B. [PMID: 38420573 PMCID: PMC10898283 DOI: 10.2471/blt.23.290464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 10/09/2023] [Accepted: 11/06/2023] [Indexed: 03/02/2024] Open
Abstract
Objective To identify evidence-based interventions that reduce greenhouse gas emissions in health-care systems in low- and middle-income countries and explore potential synergies from these interventions that aid climate change adaptation while mitigating emissions. Methods We systematically searched 11 electronic databases for articles published between 1990 and March 2023. We assessed risk of bias in each article and graded the quality of evidence across interventions in health-care operations, energy and supply chains. Findings After screening 25 570 unique records, we included 22 studies published between 2000 and 2022 from 11 countries across six World Health Organization regions. Identified articles reported on interventions spanning six different sources of emissions, namely energy, waste, heating and cooling, operations and logistics, building design and anaesthetic gases; all of which demonstrated potential for significant greenhouse gas emission reductions, cost savings and positive health impacts. The overall quality of evidence is low because of wide variation in greenhouse gas emissions measuring and reporting. Conclusion There are opportunities to reduce the greenhouse gas emissions from health-care systems in low- and middle-income countries, but gaps in evidence were identified across sources of emissions, such as the supply chain, as well as a lack of consideration of interactions with adaptation goals. As efforts to mitigate greenhouse gas intensify, rigorous monitoring, evaluation and reporting of these efforts are needed. Such actions will contribute to a strong evidence base that can inform policy-makers across contexts.
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Affiliation(s)
- Iris Martine Blom
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, Keppel Street, Bloomsbury, London, WC1E 7HT, England
| | - Mohamed Eissa
- Alexandria Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | | | | | - Andy Haines
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, Keppel Street, Bloomsbury, London, WC1E 7HT, England
| | - Sarah Whitmee
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, Keppel Street, Bloomsbury, London, WC1E 7HT, England
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Emara KM, Diab RA, Essa MN, Eissa M, Elshobaky MA, Emara AK, Rashid K, Abuelwafa M, Gemeah M. Lower limb coronal malalignment correction by percutaneous osteotomy and schanz screws fixation. J Pediatr Orthop B 2024:01202412-990000000-00191. [PMID: 38451795 DOI: 10.1097/bpb.0000000000001176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Abstract
Pediatric knee deformities are common, and the classic treatment is corrective osteotomy. The aim of this study to assess the safety and efficacy of percutaneous low-energy osteotomy and casting with shanz screws fixation in treatment of Genu varum in children equal or younger than 7 years. This is a prospective nonrandomized case series study was conducted. A total of 38 patients (total of 60 limbs: 36 varus and 24 valgus) were treated by percutaneous low-energy osteotomy and casting with shanz screws fixation and observed over 2-5 years. Clinical and radiological outcomes were evaluated at the end of follow-up period by standing scanogram which enabled tibiofemoral angles and the mechanical axis to be measured and the rate of complications. There was a statistically significant improvement of the radiographic parameters in the form of tibiofemoral angle and MAD. Clinically, all the cases were completely corrected just one patient (two limbs) complicated by over-correction but statically non-significant and. pin tract infection in shanz screws fixation was noticed in one Patient. Percutaneous low-energy osteotomy and casting with shanz screws fixation is a simple, safe, and effective method in dealing with 7 years and younger children with pathological knee deformities. Level of evidence: Therapeutic level IV.
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Affiliation(s)
| | - Ramy Ahmed Diab
- Department of Orthopaedic Surgery, Ain Shams University Hospitals
| | | | - Mohamed Eissa
- Department of Orthopaedic Surgery, Ain Shams University Hospitals
| | - Mahmoud Ahmed Elshobaky
- Department of Orthopaedic Surgery, Ain Shams University Hospitals
- Al Bank Al-Ahly Hospital, Cairo, Egypt
- Arizona State University, Phoneix, Arizona, USA
| | - Ahmed K Emara
- Department of Orthopaedic Surgery, Ain Shams University Hospitals
| | - Kyrillos Rashid
- Department of Orthopaedic Surgery, Ain Shams University Hospitals
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Eissa M, Etaiw SH, El-Waseef EE, El-Hossiany A, Fouda AS. The impact of environmentally friendly supramolecular coordination polymers as carbon steel corrosion inhibitors in HCl solution: synthesis and characterization. Sci Rep 2024; 14:2413. [PMID: 38287037 PMCID: PMC10825159 DOI: 10.1038/s41598-024-51576-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 01/07/2024] [Indexed: 01/31/2024] Open
Abstract
Two 3D-supramolecular coordination polymers (SCP1 & SCP2) have been synthesized and characterized by physicochemical and spectroscopic methods. In a solution of 1.0 M HCl, SCPs were used to prevent corrosion of carbon steel (CS). The inhibition productivity (%η) rises as the synthetic inhibitor dose rises, and the opposite is true as the temperature rises. The study was carried out using chemical (mass loss, ML) and electrochemical ( potentiodynamic polarization, PDP and electrochemical impedance microscopy, EIS) techniques, which showed %η reached to 93.1% and 92.5% for SCP1 & SCP2, respectively at 21 × 10-6 M, 25 °C. For the polarization results, SCPs behave as mixed-type inhibitors. With increasing doses of SCPs, the charge transfer resistance grew and the double layer's capacitance lowered. The creation of a monolayer on the surface of CS was demonstrated by the finding that the adsorption of SCPs on its surface followed the Henry adsorption isotherm. The parameters of thermodynamics were computed and explained. The physical adsorption of SCPs on the surface of CS is shown by the lowering values of free energy (∆Goads < - 20 kJ mol-1) and increasing the activation energy (E*a) values in presence of SCP1 & SCP2 than in their absence. Atomic force microscope (AFM) and scanning electron microscopy (SEM) demonstrated the development of a protective thin film of SCPs precipitated on the surface of CS. There is a strong matching between results obtained from experimental and theoretical studies. Results from each approach that was used were consistent.
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Affiliation(s)
- M Eissa
- College of Science, Chemistry Department, Al Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 11623, Kingdom of Saudi Arabia
| | - S H Etaiw
- Department of Chemistry, Faculty of Science, Tanta University, Tanta, 31527, Egypt
| | - E E El-Waseef
- Department of Chemistry, Faculty of Science, Tanta University, Tanta, 31527, Egypt
| | - A El-Hossiany
- Delta for Fertilizers and Chemical Industries, Talkha, Egypt
- Department of Chemistry, Faculty of Science, Mansoura University, Mansoura, 35516, Egypt
| | - A S Fouda
- Department of Chemistry, Faculty of Science, Mansoura University, Mansoura, 35516, Egypt.
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Howard C, Moineau G, Poitras J, Redvers N, Mahmood J, Eissa M, Al Qodmani L, Potter T, Green S, Guzman CAF. Seeding a planetary health education revolution: institutional sign-on challenge. Lancet 2023; 402:2173-2176. [PMID: 38000382 DOI: 10.1016/s0140-6736(23)02526-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 11/10/2023] [Indexed: 11/26/2023]
Affiliation(s)
- Courtney Howard
- Global Climate and Health Alliance, Canada; Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Stanton Territorial Hospital, Yellowknife, NT X1A 0H1, Canada; Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada.
| | | | - Julien Poitras
- Université Laval, Quebec, QC, Canada; Association of Faculties of Medicine of Canada, Ottawa, ON, Canada
| | - Nicole Redvers
- Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada; Arctic Indigenous Wellness Foundation, Yellowknife, NT, Canada
| | - Jemilah Mahmood
- Sunway Center for Planetary Health, Sunway University, Selangor, Malaysia
| | | | | | - Teddie Potter
- University of Minnesota School of Nursing, Minnesota, MN, USA
| | - Samantha Green
- Unity Health, Toronto, ON, Canada; Department of Family and Community Health, University of Toronto, Toronto, ON, Canada
| | - Carlos A Faerron Guzman
- Interamerican Center for Global Health, Brunca Region, Costa Rica; University of Maryland, Baltimore, MD, USA; Planetary Health Alliance, Baltimore, MD, USA
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El Moghazy H, Mahmoud T, Mamdoh A, Rashed EN, Eissa M. Mini-laparotomy in-situ pyeloplasty for repair of the ureteropelvic junction obstruction: Outcome of 150 cases. Urologia 2023; 90:702-708. [PMID: 37572011 DOI: 10.1177/03915603231175710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/14/2023]
Abstract
OBJECTIVE To evaluate the functional and cosmetic outcomes of using the mini-laparotomy technique In Situ pyeloplasty to repair UPJ obstruction in young infants less than 6 months. MATERIALS AND METHODS Between January 2014 and March 2020, 150 young infants (less than 6 months) diagnosed with unilateral ureteropelvic junction obstruction (UPJO) and treated by mini-laparotomy In Situ pyeloplasty were included in this analysis. Once the UPJ has been identified, it was grasped by an Allis forceps for gentle traction. Two facing transverse incisions were made in the dilated pelvis facing the upper ureter. The transverse ureteric incision was then opened longitudinally. An anastomosis was done between the most dependent part of the lower lip of the pelvis and the apex of ureteric spatulation using 6/0 polyglactin (Vicryl®) sutures in the direction of "out-in-in-out." Follow-up was scheduled for 1 month and then every 3 months for a year with abdominal ultrasonography. DTPA was done for all patients 1 year after repair. RESULTS The mean age was 3 ± 0.5 months, and the mean follow-up was 1.5 ± 0.3 years. Our technique was done in all included patients with a functional success of 96% (all patients restored normal function, and no obstruction was reported). Parents were satisfied with the cosmetic appearance of the wound in 91% of cases. Major complications occurred in 4% of cases. CONCLUSION Successful repair of ureteropelvic junction obstruction in young infants can be achieved by using mini-laparotomy In Situ pyeloplasty technique with satisfactory functional and cosmetic outcomes.
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Affiliation(s)
| | - Tarek Mahmoud
- Department of Urology, Sohag University Hospital, Sohag, Egypt
| | - Ahmed Mamdoh
- Department of Urology, Sohag University Hospital, Sohag, Egypt
| | - El Nisr Rashed
- Department of Urology, Sohag University Hospital, Sohag, Egypt
| | - Mohamed Eissa
- Department of Urology, Cairo University Hospital, Cairo, Egypt
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Blom IM, Asfura JS, Eissa M, Mattijsen JC, Sana H, Haines A, Whitmee S. A systematic review protocol for identifying the effectiveness of greenhouse gas mitigation interventions for health care systems in low- and middle-income countries. Wellcome Open Res 2023; 7:202. [PMID: 38601328 PMCID: PMC11004597 DOI: 10.12688/wellcomeopenres.18005.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2023] [Indexed: 04/12/2024] Open
Abstract
Background: Climate change is predicted to be our century's most significant health threat. In 2021, 46 countries committed to environmentally sustainable low carbon health care systems. Of those, 34 were from low- and middle-income countries (LMICs). Currently, health systems are responsible for 4.4% of global greenhouse gas (GHG) emissions, with health systems in high-income countries (HICs) contributing the largest proportion to the sector's GHG emissions. However, future increases are predicted in LMICs in the absence of robust GHG mitigation. This systematic review aims to identify evidence-based GHG mitigation interventions to guide the transformation of health care systems towards net zero, specifically in LMICs. Additionally, potential synergies between interventions that aid adaption to climate change and mitigate GHG emissions will be investigated. Methods: This protocol will follow the 'Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) checklist of recommended items to address in a systematic review protocol'. A comprehensive search will be conducted on electronic databases identified as relevant. Search terms were identified to capture all relevant peer-reviewed, primary research published between 1990 and 2022. The risk of bias will be assessed, and the quality of evidence graded. The eventual narrative synthesis will feed into a theory of change framework on GHG mitigation of health care systems in LMICs. Discussion: This systematic review will synthesise the existing evidence around GHG mitigation interventions across all scopes of emissions, including scope 1 (health care operations), scope 2 (energy), and scope 3 (supply chains). It can be used to inform recommendations on how health care systems in LMICs can reduce emissions while prioritising which actions to take to gain the most significant reductions in GHG emissions, considering ease of implementation, scope and cost. Finally, this can catalyse further research in this area which is urgently needed.
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Affiliation(s)
- Iris Martine Blom
- Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | | | | | | | - Hamaiyal Sana
- Bolan University of Medical & Health Sciences, Quetta, Pakistan
| | - Andrew Haines
- Centre on Climate Change and Planetary, London School of Hygiene & Tropical Medicine, London, UK
| | - Sarah Whitmee
- Centre on Climate Change and Planetary, London School of Hygiene & Tropical Medicine, London, UK
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Eissa M, Kamal A, Abd-Elhafeez SA. PROPERTIES AND APPLICATIONS OF THE COMPOSITION OPERATOR BETWEEN CERTAIN FUNCTION SPACES. Alfarama Journal of Basic & Applied Sciences 2023; 0:0-0. [DOI: 10.21608/ajbas.2023.197731.1145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Emara KM, Diab RA, Emara AK, Eissa M, Gemeah M, Mahmoud SA. Mid-term results of sub-trochanteric valgus osteotomy for symptomatic late stages Legg-Calvé-Perthes disease. World J Orthop 2023; 14:328-339. [PMID: 37304198 PMCID: PMC10251266 DOI: 10.5312/wjo.v14.i5.328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 04/06/2023] [Accepted: 04/18/2023] [Indexed: 05/18/2023] Open
Abstract
BACKGROUND The treatment of late stages of Legg-Calvé-Perthes disease (LCPD) is controversial. Although the concept of femoral head containment is a well-established technique of treatment, its use remains debatable in the late stages of the disease, as it does not improve symptoms in terms of limb length discrepancy and gait.
AIM To assess the results of subtrochanteric valgus osteotomy in symptomatic patients with late-stage Perthes disease.
METHODS From 2000 to 2007, 36 symptomatic patients with late stage of Perthes disease were surgically treated with subtrochanteric valgus osteotomy and followed-up for 8 to 11 years using the IOWA score and range of motion (ROM) variables. The Mose classification was also assessed at the last follow-up to reflect possible remodeling. The patients were 8 years old or older at the time of surgery, in the post-fragmentation stage, and complaining of pain, limited ROM, Trendelenburg gait, and/or abductor weakness.
RESULTS The preoperative IOWA score (average: 53.3) markedly improved at the 1-year post follow-up period (average: 85.41) and then slightly improved at the last follow-up (average: 89.4) (P value < 0.05). ROM improved, with internal rotation increased on average by 22° (from 10° preoperatively to 32° postoperatively) and abduction increased on average by 15.9° (from 25° preoperatively to 41° postoperatively). The mean Mose deviation of femoral heads was 4.1 mm at the end of the follow-up period. The tests used were the paired t-test and Pearson correlation test, where the level of significance was a P value less than 0.05.
CONCLUSION Subtrochanteric valgus osteotomy can be a good option for symptomatic relief in patients with late-stage of LCPD.
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Affiliation(s)
- Khaled M Emara
- Department of Orthopedic Surgery, Ain Shams University, Cairo 11591, Egypt
| | - Ramy Ahmed Diab
- Department of Orthopedic Surgery, Ain Shams University, Cairo 11591, Egypt
| | - Ahmed K Emara
- Department of Orthopedic Surgery, Cleveland Clinic Foundation, Cleveland, OH 9500, United States
| | - Mohamed Eissa
- Department of Orthopedic Surgery, Ain Shams University, Cairo 11591, Egypt
| | - Mostafa Gemeah
- Health Care Innovation Program, Arizona State University, Tempe, AZ 85287, United States
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ElMenshawy N, El-Chennawi F, Darwish A, Foda A, Atita D, Eissa M. CD44, CD90 and CD96 expression in immune thrombocytopenia purpura (ITP) patients. J Immunoassay Immunochem 2023:1-12. [PMID: 36949573 DOI: 10.1080/15321819.2023.2191259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
Studying the expression of hematopoietic stem cell markers from different sources might be useful in understanding stem cell biology in different niche conditions. The study aimed to assess the difference in cell surface markers (CD44, CD90, CD96) on hematopoietic stem cells in three different niche conditions; umbilical cord blood (UCB), normal bone marrow (NBM) and bone marrow samples from idiopathic (immune) thrombocytopenic purpura (IBM). This study was conducted on 300 cases divided into three study groups; 100 umbilical cord blood units collected from mothers undergoing cesarian section in gynecology and obstetrics department, 100 bone marrow samples from idiopathic (immune) thrombocytopenic purpura patients collected from university children hospital and 100 normal bone marrow samples with no evidence of disease in bone marrow tissue. CD44 was significantly elevated in UCB and NBM groups compared to IBM group (<0.001). There was also a significant elevation of CD90 and CD96 in IBM group compared to NBM group and UCB (<0.001). CD90 and CD96 play a role in the pathogenesis of ITP disorder and could be applied as a targeted therapy to improve the outcome of this disease.
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Affiliation(s)
- Nadia ElMenshawy
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Farha El-Chennawi
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Ahmed Darwish
- Hematology Pediatric Medicine, Mansoura Children Hospital
| | - Asmaa Foda
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Doaa Atita
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Mohamed Eissa
- Pathology Department, College of Medicine, King Khalid University, KSA and Clinical Pathology Department, Faculty of Medicine, Zagazig University, Egypt
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Patel K, Eissa M, Nguyen VV, Abraldes JG, Shaheen AA, Theal J, Johnson E, Hyde A, Tandon P. A64 THE UPTAKE AND IMPACT OF AN ELECTRONIC CIRRHOSIS ADMISSION ORDER SET: AN EARLY EXPERIENCE AT A SINGLE CENTRE. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991358 DOI: 10.1093/jcag/gwac036.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Abstract
Background Cirrhosis is a chronic disease that confers high morbidity and mortality. It is a leading cause for hospital admissions and leads to significant healthcare resource utilization. Several guidelines outline recommendations to provide best practice to hospitalized patients with cirrhosis. Despite studies supporting a reduction in mortality when guideline based care is followed, this is achieved in less than 50% of hospitalized patients with cirrhosis1. Standardized electronic order sets can be a potential tool to improving clinical outcomes and bridging this gap in care. Purpose Since March 2021, an electronic cirrhosis admission order set has been available for at our hospital site. Using administrative data, we aimed to describe our early experience with: a) order set uptake by various services, b) characteristics of the population in which the order set was used versus not used, and explore c) the impact of order set use on in-hospital mortality. Method In this single centre cohort study, patients with cirrhosis were identified based an administrative data algorithm containing codes for cirrhosis and complications. This data was used to retrieve parameters such as patient age, sex, primary admitting service, resource intensity weight (RIW), Charlson comorbidity index (CCI) and in-hospital mortality. The chi-squared test and independent samples t-test were used to compare characteristics of patients in whom the order set was used versus not used. Multivariable logistic regression was used to determine the impact of order set use on in-hospital mortality. P value significance was established at <0.05. Result(s) A total of 825 patients were included in the analysis. The overall mean age (standard deviation) of patients was 58.5 (14.2) years with 57.5% being male. Average length of stay was 11.3 days with a mean CCI of 3.2 (2.3) and RIW of 3.3 (7.2). The primary admitting service was Gastroenterology in 36.1%, Internal Medicine in 35.6% and other services in 28.3% of cases. Of those admitted, the order set was used in 27.2% of cases. The overall in-hospital mortality of patients was 14.2%. Mean age, sex and CCI were not significantly different in patients admitted with the order set versus without. In patients admitted with the order set compared to without, RIW was significantly lower (2.06 (2.62) versus 3.80 (8.2), p<0.001), as was length of stay (9.5 (11.8) days compared to 12.0 (18.6) days, p =0.03) and in-hospital mortality (8.5% versus 16.3%, p =0.003). On multivariable regression analysis (Table 1), after adjustment for age, RIW and CCI, use of the order set was associated with lower in-hospital mortality (odds ratio 0.53 (95% CI 0.3 to 0.9), p=0.02). Image ![]()
Conclusion(s) Uptake of the electronic cirrhosis admission order set was modest at only 27% of eligible admissions. Although it appears to be associated with lower in-hospital mortality, a chart review is in process to assess if this association still holds after accounting for the impact of additional confounders. Please acknowledge all funding agencies by checking the applicable boxes below None Disclosure of Interest None Declared
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Affiliation(s)
- K Patel
- Department of Medicine, Division of Gastroenterology
| | - M Eissa
- Department of Medicine, University of Alberta, Edmonton
| | - V V Nguyen
- Department of Medicine, University of Alberta, Edmonton
| | - J G Abraldes
- Department of Medicine, Division of Gastroenterology
| | - A -A Shaheen
- Department of Medicine, Division of Gastroenterology and Hepatology, University of Calgary, Calgary, Canada
| | - J Theal
- Department of Medicine, Division of Gastroenterology
| | - E Johnson
- Department of Medicine, Division of Gastroenterology
| | - A Hyde
- Department of Medicine, Division of Gastroenterology
| | - P Tandon
- Department of Medicine, Division of Gastroenterology
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Lukachan GA, Chung F, Yadollahi A, Auckley D, Eissa M, Rahman N, McCluskey S, Singh M. Perioperative trends in neck and leg fluid volume in surgical patients: a prospective observational proof-of-concept study. Can J Anaesth 2023; 70:191-201. [PMID: 36450944 DOI: 10.1007/s12630-022-02362-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 08/03/2022] [Accepted: 08/03/2022] [Indexed: 12/02/2022] Open
Abstract
PURPOSE The severity of obstructive sleep apnea (OSA) may increase postoperatively. The changes in segmental fluid volume, especially neck fluid volume, may be related to increasing airway collapsibility and thus worsening of OSA in the postoperative period. Our objective was to evaluate the feasibility of performing bioelectrical impedance analysis (BIA) and to describe the trend and predictors of changes in segmental fluid volumes in patients receiving general anesthesia for noncardiac surgery. METHODS We conducted a prospective observational proof-of-concept cohort study of adult patients undergoing elective inpatient noncardiac surgery. Patients underwent a portable sleep study before surgery, and segmental fluid volumes (neck fluid volume [NFV], NFV phase angle, and leg fluid volume [LFV]) were measured using BIA at set time points: preoperative period (preop), in the postanesthesia care unit (PACU), the night following surgery at 10 pm (N 0), and the following day at 10 am (POD 1). Linear regression models were constructed to evaluate for significant predictors of overall segmental fluid changes. The variables included in the models were sex, preoperative apnea-hypopnea index (AHI), fluid balance, body mass index (BMI), cumulative opioids, and the timepoint of measurement. RESULTS Thirty-five adult patients (20/35 females, 57%) were included. For the feasibility outcome, measure of recruitment was 50/66 (76%) and two measures of protocol adherence were fluid measurements (34/39, 87%) and preoperative sleep study (35/39, 90%). There was a significant increase in NFV from preop to N 0 and in LFV from preop to PACU. Neck fluid volume also increased from PACU to N 0 and PACU to POD 1, while LFV decreased during the same intervals. The overall changes in NFV were associated with the preop AHI, BMI, and opioids after adjusting for body position and pneumoperitoneum. CONCLUSIONS This proof-of-concept study showed the feasibility and variability of segmental fluid volumes in the perioperative period using BIA. We found an increase in NFV and LFV in the immediate postoperative period in both males and females, followed by the continued rise in NFV and a simultaneous decrease in LFV, which suggest the occurrence of rostral fluid shift. Preoperative AHI, BMI, and opioids predicted the NFV changes. STUDY REGISTRATION ClinicalTrials.gov; NCT02666781, registered 25 January 2016; NCT03850041, registered 20 February 2019.
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Affiliation(s)
- Gincy A Lukachan
- Department of Anesthesia, Believers Church Medical College Hospital, Thiruvalla, Kerala, India
| | - Frances Chung
- Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada
| | - Azadeh Yadollahi
- KITE - Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada
- Institute of Biomedical Engineering, University of Toronto, Toronto, ON, Canada
| | - Dennis Auckley
- Division of Pulmonary, Critical Care and Sleep Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA
| | - Mohamed Eissa
- Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada
- Department of Anesthesiology and Pain Management, Women's College Hospital, University of Toronto, Toronto, ON, Canada
| | - Nayeemur Rahman
- Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada
| | - Stuart McCluskey
- Department of Anesthesia, Toronto General Hospital, University Health Network, University of Toronto, Toronto, ON, Canada
| | - Mandeep Singh
- Department of Anesthesiology and Pain Management, Toronto Western Hospital, University Health Network, University of Toronto, 399 Bathurst Street, McL 2-405, Toronto, ON, M5T 2S8, Canada.
- Department of Anesthesiology and Pain Management, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
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13
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Haskings EM, Eissa M, Allard RV, MirGhassemi A, McFaul CM, Miller EC. Point-of-care ultrasound use in emergencies: what every anaesthetist should know. Anaesthesia 2023; 78:105-118. [PMID: 36449358 DOI: 10.1111/anae.15910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2022] [Indexed: 12/05/2022]
Abstract
Point-of-care ultrasound has been embraced by anaesthetists as an invaluable tool for rapid diagnosis of haemodynamic instability, to ensure procedural safety and monitor response to treatments. Increasingly available, affordable and portable, with emerging evidence of improved patient outcomes, point-of-care ultrasound has become a valuable tool in the emergency setting. This state-of-the-art review describes the feasibility of point-of-care ultrasound practice, training and maintenance of competence. It also describes the many uses of point-of-care ultrasound for the anaesthetist and describes the most salient point-of-care ultrasound views for anaesthetic emergencies including: undifferentiated shock; hypoxemia; and trauma. Procedural safety is also discussed in addition to relevant important governance aspects. Cardiac function should be assessed using the parasternal long axis, parasternal short basal/mid-papillary/apical, apical four chamber and subcostal four chamber views, and should include a visual estimation of global left ventricular ejection fraction. Other cardiovascular conditions that can be identified using point-of-care ultrasound include: pericardial effusion; cardiac tamponade; and pulmonary embolism. Pulmonary emergency conditions that can be diagnosed using point-of-care ultrasound include pneumothorax; pleural effusion; and interstitial syndrome. The extended focused assessment with sonography for trauma examination may of value in patients who are hypotensive in order to identify intra-abdominal haemorrhage, pneumothoraces and haemothoraces.
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Affiliation(s)
- E M Haskings
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada
| | - M Eissa
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada
| | - R V Allard
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.,The Ottawa Hospital, Ottawa, ON, Canada
| | - A MirGhassemi
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.,The Ottawa Hospital, Ottawa, ON, Canada
| | - C M McFaul
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.,The Ottawa Hospital, Ottawa, ON, Canada
| | - E C Miller
- Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada.,The Ottawa Hospital, Ottawa, ON, Canada
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14
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Eissa M, Mir-Ghassemi A, Nagpal S, Talab HF. Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography. JA Clin Rep 2022; 8:50. [PMID: 35840820 PMCID: PMC9287524 DOI: 10.1186/s40981-022-00539-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 06/25/2022] [Accepted: 06/28/2022] [Indexed: 11/30/2022] Open
Abstract
Background Thoracic endovascular aortic repair (TEVAR) has become a widely accepted treatment strategy for patients with thoracic aortic pathologies. We present a case of TEVAR where transesophageal echocardiography (TEE) played a crucial role for adequate placement of an endovascular stent graft. Case presentation A 71-year-old male received TEVAR for type B aortic dissection. TEE detected both true/false lumens with an intimal tear. A guidewire was inserted into the descending aorta via the left femoral artery; however, angiography failed to identify the precise location of the tip of the guidewire. TEE detected the guide wire passing through the intimal tear into the false lumen, promoted the surgeon to manipulate and advance it to the true lumen, followed by placement of a stent graft. The patient was hemodynamically stable through the whole procedure. Conclusion TEE was crucially important for detecting the precise location of the guidewire and preventing complications during TEVAR. Supplementary Information The online version contains supplementary material available at 10.1186/s40981-022-00539-y.
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15
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El Miedany Y, Salah S, Lotfy H, El Gaafary M, Abdulhady H, Salah H, Nasef SI, El-Latif EA, Farag Y, Eissa M, Maher SE, Radwan A, El-Shanawany AT, Medhat BM, El Mikkawy D, Mosa DM, El Deriny G, Mortada M, Osman NS, Fouad NA, Elkaraly NE, Mohamed SS, Tabra SA, Hassan WA, Amer Y, Abu-Zaid MH. Correction: Updated clinical practice treat-to-target guidelines for JIA management: the Egyptian College of Pediatric Rheumatology initiative. Egypt Rheumatol Rehabil 2022. [DOI: 10.1186/s43166-022-00134-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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16
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Eid RA, Soltan MA, Eldeen MA, Shati AA, Dawood SA, Eissa M, Zaki MSA, Algahtani M, Theyab A, Abdel-Daim MM, Kim B. Assessment of RACGAP1 as a Prognostic and Immunological Biomarker in Multiple Human Tumors: A Multiomics Analysis. Int J Mol Sci 2022; 23:ijms232214102. [PMID: 36430577 PMCID: PMC9695706 DOI: 10.3390/ijms232214102] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/08/2022] [Accepted: 11/08/2022] [Indexed: 11/17/2022] Open
Abstract
Several recent studies have pointed out that arc GTPase activating protein 1 (RACGAP1) is a putative oncogene in many human tumors. However, to date, no pan-cancer analysis has been performed to study the different aspects of this gene expression and behavior in tumor tissues. Here, we applied several bioinformatics tools to perform a comprehensive analysis for RACGAP1. First, we assessed the expression of RACGAP1 in several types of human tumors and tried to correlate that with the stage of the tumors analyzed. We then performed a survival analysis to study the correlation between RACGAP1 upregulation in tumors and the clinical outcome. Additionally, we investigated the mutation forms, the correlation with several immune cell infiltration, the phosphorylation status of the interested protein in normal and tumor tissues, and the potential molecular mechanisms of RACGAP1 in cancerous tissue. The results demonstrated that RACGAP1, a highly expressed gene across several types of tumors, correlated with a poor prognosis in several types of human cancers. Moreover, it was found that RACGAP1 affects the tumor immune microenvironment by influencing the infiltration level of several immune cells. Collectively, the current study provides a comprehensive overview of the oncogenic roles of RACGAP1, where our results nominate it as a potential prognostic biomarker and a target for antitumor therapy development.
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Affiliation(s)
- Refaat A. Eid
- Pathology Department, College of Medicine, King Khalid University, Abha P.O. Box 62529, Saudi Arabia
| | - Mohamed A. Soltan
- Department of Microbiology and Immunology, Faculty of Pharmacy, Sinai University, Ismailia 41611, Egypt
| | - Muhammad Alaa Eldeen
- Cell Biology, Histology & Genetics Division, Biology Department, Faculty of Science, Zagazig University, Zagazig 44519, Egypt
- Correspondence: (M.A.E.); (B.K.)
| | - Ayed A. Shati
- Department of Child Health, College of Medicine, King Khalid University, Abha P.O. Box 62529, Saudi Arabia
| | - Samy A. Dawood
- Department of Child Health, College of Medicine, King Khalid University, Abha P.O. Box 62529, Saudi Arabia
| | - Mohamed Eissa
- Pathology Department, College of Medicine, King Khalid University, Abha P.O. Box 62529, Saudi Arabia
- Clinical Pathology Department, Faculty of Medicine, Zagazig University, Zagazig 44519, Egypt
| | - Mohamed Samir A. Zaki
- Anatomy Department, College of Medicine, King Khalid University, Abha P.O. Box 62529, Saudi Arabia
- Department of Histology and Cell Biology, College of Medicine, Zagazig University, Zagazig 31527, Egypt
| | - Mohammad Algahtani
- Department of Laboratory & Blood Bank, Security Forces Hospital, Mecca P.O. Box 14799, Saudi Arabia
| | - Abdulrahman Theyab
- Department of Laboratory & Blood Bank, Security Forces Hospital, Mecca P.O. Box 14799, Saudi Arabia
- College of Medicine, Al-Faisal University, Riyadh P.O. Box 50927, Saudi Arabia
| | - Mohamed M. Abdel-Daim
- Department of Pharmaceutical Sciences, Pharmacy Program, Batterjee Medical College, Jeddah P.O. Box 6231, Saudi Arabia
- Pharmacology Department, Faculty of Veterinary Medicine, Suez Canal University, Ismailia 41522, Egypt
| | - Bonglee Kim
- Department of Pathology, College of Korean Medicine, Kyung Hee University, Seoul 02447, Republic of Korea
- Correspondence: (M.A.E.); (B.K.)
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17
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Fouda AEAS, Al-Bonayan AM, Molouk AF, Eissa M. Aizoon extract as an eco-friendly corrosion inhibitor for stainless steel 430 in HCl solution. RSC Adv 2022; 12:30906-30920. [PMID: 36349031 PMCID: PMC9614614 DOI: 10.1039/d2ra05795f] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 10/10/2022] [Indexed: 11/29/2022] Open
Abstract
Aizoon extract is used as an eco-friendly anti-corrosive material for stainless steel 430 (SS430) in a 2 M hydrochloric acid solution. Many strategies were utilized to estimate the mitigation efficacy such as mass reduction (MR), electrochemical impedance spectroscopy (EIS), and potentiodynamic polarization (PDP). The inhibition percentage (%I) increases by increasing the concentration of Aizoon and reaches 95.8% at 300 ppm and 298 K, while it lowers by raising the temperature, reaching 85.6% at 318 K. Tafel curves demonstrated that Aizoon extract is a mixed type inhibitor with an excellent ability to inhibit the cathodic reaction. Adsorption of the Aizoon extract on an SS430 surface is regulated by the Langmuir adsorption model. The value is is -20.9 kJ mol-1 at 298 K indicating that the adsorption is of mixed type affecting both cathodic and anodic reactions. Thermodynamic factors for adsorption and activation processes were estimated and discussed. The adsorption of Aizoon extract on the SS430 surface was tested utilizing Fourier transform infrared spectroscopy (FTIR) and scanning electron microscope (SEM) techniques. The Nyquist curves confirmed that Aizoon extract prohibits the disintegration of SS430 in an acid medium without changing the dissolution reaction mechanism. The theoretical calculations showed that Aizoon extract is considered as an excellent corrosion inhibitor. The experimental data were supported by theoretical evaluations.
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Affiliation(s)
- Abd El-Aziz S. Fouda
- Chemistry Department, Faculty of Science, Mansoura UniversityMansoura-35516Egypt
| | - Ameena M. Al-Bonayan
- Chemistry Department, Faculty of Science, Umm Al-Qura UniversityMakkahKingdom of Saudi Arabia
| | - Ahmed F. Molouk
- Chemistry Department, Faculty of Science, Mansoura UniversityMansoura-35516Egypt
| | - M. Eissa
- Higher Institute of Engineering & Technology, KMAAlexEgypt,Huraymila College, Chemistry Department, Al Imam Mohammad Ibn Saud Islamic University (IMSIU)Kingdom of Saudi Arabia
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18
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El Miedany Y, Lotfy H, Salah S, Yehia M, Mosa DM, Kaber A, Mortada M, Tabra SA, El Gaafary M, Abdulhady H, Hassan WA, Osman NS, Eissa M, Medhat BM, Mohamed SS, Farag Y, Amer Y, Maher SE, Radwan A, El-Shanawany AT, El Mikkawy D, El Deriny G, Fouad NA, Nasef SI, Elkaraly NE, Abu-Zaid MH. 42 Egyptian evidence-based consensus recommendations for diagnosis and targeted management of juvenile dermatomyositis. An initiative by the Egyptian College of Pediatric Rheumatology. Rheumatology (Oxford) 2022. [PMCID: PMC9538758 DOI: 10.1093/rheumatology/keac496.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background Objective Methods Results Conclusion The implication to policy, practice, research and advocacy
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Affiliation(s)
- Y El Miedany
- Canterbury Christ Church University, England,Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - H Lotfy
- Pediatric Rheumatology, Cairo, University, Egypt
| | - S Salah
- Pediatric Rheumatology, Cairo, University, Egypt
| | - M Yehia
- Rheumatology and Rehabilitation, Benha University, Egypt
| | - D. M Mosa
- Rheumatology and Rehabilitation, Mansura University, Egypt
| | - A Kaber
- Rheumatology and Rehabilitation, South Valley University, Egypt
| | - M Mortada
- Rheumatology and Rehabilitation, Zagazig University, Egypt
| | - S. A Tabra
- Rheumatology and Rehabilitation, Tanta University, Egypt
| | - M El Gaafary
- Community medicine and Public Health, Ain Shams University, Egypt
| | - H Abdulhady
- Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - W. A Hassan
- Rheumatology and Rehabilitation, Benha University, Egypt
| | - N. S Osman
- Pediatric Rheumatology, Assuit University, Egypt
| | - M Eissa
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | - B. M Medhat
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | - S. S Mohamed
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | - Y Farag
- Pediatric Rheumatology, Cairo, University, Egypt
| | - Y Amer
- Rheumatology and Rehabilitation, Zagazig University, Egypt
| | | | - A Radwan
- Rheumatology and Rehabilitation, Sohag University, Egypt
| | | | - D El Mikkawy
- Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - G El Deriny
- Pediatric Rheumatology, Alexandria University, Egypt
| | - N. A Fouad
- Rheumatology and Rehabilitation, Fayoum University, Egypt
| | - S. I Nasef
- Rheumatology and Rehabilitation, Suez Canal University, Egypt
| | - N. E Elkaraly
- Rheumatology and Rehabilitation, Suez Canal University, Egypt
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El Miedany Y, Lotfy H, Salah S, Abu-Zaid MH, Mohamed SS, Esam Maher S, El Gaafary M, Abdulhady H, Hassan WA, Mortada M, Amer Y, Osman NS, Medhat BM, Farag Y, Eissa M, Radwan A, Nasef SI, Elkaraly NE, El-Shanawany AT, El Mikkawy D, Mosa DM, El Deriny G, Fouad NA, Tabra SA. 001 Egyptian consensus-based recommendations for the diagnosis and targeted management of Kawasaki disease. An initiative by the Egyptian College of Pediatric Rheumatology. Rheumatology (Oxford) 2022. [PMCID: PMC9539162 DOI: 10.1093/rheumatology/keac495.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background Objectives Methods Results Conclusion The implication to policy, practice, research and advocacy
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Affiliation(s)
- Y El Miedany
- Canterbury Christ Church University, England,Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - H Lotfy
- Pediatric Rheumatology, Cairo, University, Egypt
| | - S Salah
- Pediatric Rheumatology, Cairo, University, Egypt
| | - M. H Abu-Zaid
- Rheumatology and Rehabilitation, Tanta University, Egypt
| | - S. S Mohamed
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | | | - M El Gaafary
- Community medicine and Public Health, Ain Shams University, Egypt
| | - H Abdulhady
- Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - W. A Hassan
- Rheumatology and Rehabilitation, Benha University, Egypt
| | - M Mortada
- Rheumatology and Rehabilitation, Zagazig University, Egypt
| | - Y Amer
- Rheumatology and Rehabilitation, Zagazig University, Egypt
| | - N. S Osman
- Pediatric Rheumatology, Assuit University, Egypt
| | - B. M Medhat
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | - Y Farag
- Pediatric Rheumatology, Cairo, University, Egypt
| | - M Eissa
- Rheumatology and Rehabilitation, Cairo University, Egypt
| | - A Radwan
- Rheumatology and Rehabilitation, Sohag University, Egypt
| | - S. I Nasef
- Rheumatology and Rehabilitation, Suez Canal University, Egypt
| | - N. E Elkaraly
- Rheumatology and Rehabilitation, Suez Canal University, Egypt
| | | | - D El Mikkawy
- Rheumatology and Rehabilitation, Ain Shams University, Egypt
| | - D. M Mosa
- Rheumatology and Rehabilitation, Mansoura University, Egypt
| | - G El Deriny
- Pediatric Rheumatology, Alexandria University, Egypt
| | - N. A Fouad
- Rheumatology and Rehabilitation, Fayoum University, Egypt
| | - S. A Tabra
- Pediatric Rheumatology, Minia University, Egypt
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Howard C, Beagley J, Eissa M, Horn O, Kuhl J, Miller J, Narayan S, Smith R, Thickson W. Why we need a fossil fuel non-proliferation treaty. Lancet Planet Health 2022; 6:e777-e778. [PMID: 36115373 PMCID: PMC9534771 DOI: 10.1016/s2542-5196(22)00222-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Accepted: 09/07/2022] [Indexed: 06/15/2023]
Affiliation(s)
- Courtney Howard
- Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1, Canada; Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada; Global Climate and Health Alliance, San Francisco, CA, USA.
| | - Jess Beagley
- Global Climate and Health Alliance, San Francisco, CA, USA
| | - Mohamed Eissa
- International Federation of Medical Students Associations, Alexandria, Egypt
| | - Ojistoh Horn
- Department of Family Medicine, McGill University, Montréal, QC, Canada
| | - Jennifer Kuhl
- Global Climate and Health Alliance, San Francisco, CA, USA
| | - Jeni Miller
- Global Climate and Health Alliance, San Francisco, CA, USA
| | | | | | - Willow Thickson
- Department of Family Medicine, University of British Columbia, Vancouver BC, Canada
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Eissa M, Okasha HH, Abbasy M, Khamis AK, Abdellatef A, Rady MA. Role of endoscopic ultrasound in evaluation of patients with missed common bile duct stones. World J Gastrointest Endosc 2022; 14:564-574. [PMID: 36186945 PMCID: PMC9516471 DOI: 10.4253/wjge.v14.i9.564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 07/26/2022] [Accepted: 09/06/2022] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Choledocholithiasis develops in up to 20% of patients with gall bladder stones. The challenge in diagnosis usually occurs with small stones that may be missed by magnetic resonance cholangiopancreatography (MRCP). Endoscopic ultrasound (EUS) is accurate in detecting common bile duct (CBD) stones missed by MRCP, especially the small ones or those impacted at the distal CBD or the papillary region.
AIM To evaluate the accuracy of EUS in detecting CBD stones missed by MRCP.
METHODS Patients with an intermediate likelihood of choledocholithiasis according to ESGE guidelines and those with acute pancreatitis of undetermined cause were included. The presence of choledocholithiasis was evaluated by MRCP and EUS, and then results were confirmed by endoscopic retrograde cholangiopancreatography (ERCP). The sensitivity and specificity of EUS and MRCP were compared regarding the presence of stones, the size, and the number of detected stones.
RESULTS Ninety out of 100 involved patients had choledocholithiasis, while ten patients were excluded as they had pancreatic or gall bladder masses during EUS examination. In choledocholithiasis patients, the mean age was 52.37 ± 14.64 years, and 52.2% were males. Most patients had biliary obstruction (74.4%), while only 23 (25.6%) patients had unexplained pancreatitis. The overall prevalence of choledocholithiasis was 83.3% by EUS, 41.1% by MRCP, and 74.4% by ERCP. Also, the number and size of CBD stones could be detected accurately in 78.2% and 75.6% by EUS and 41.1% and 70.3% by MRCP, respectively. The sensitivity of EUS was higher than that of MRCP (98.51% vs 55.22%), and their predictive value was statistically different (P < 0.001). Combination of both tools raised the sensitivity to 97.22% and specificity to 100%.
CONCLUSION EUS could be a useful tool in assessing patients with suspected choledocholithiasis especially if combined with MRCP. However, its usefulness depends on its availability and the experience of the local centers.
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Affiliation(s)
- Mohamed Eissa
- Department of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Menoufia 32951, Egypt
| | - Hussein Hassan Okasha
- Department of Internal Medicine, Hepatogastroenterology Division, Kasr AL-Ainy School of Medicine, Cairo University, Cairo 11451, Egypt
| | - Mohamed Abbasy
- Department of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Menoufia 32951, Egypt
| | - Ahmed Kamal Khamis
- Department of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Menoufia 32951, Egypt
| | - Abeer Abdellatef
- Department of Internal Medicine, Hepatogastroenterology Division, Kasr AL-Ainy School of Medicine, Cairo University, Cairo 11451, Egypt
| | - Mohamed Akl Rady
- Department of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Menoufia 32951, Egypt
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Blom IM, Asfura JS, Eissa M, Mattijsen JC, Sana H, Haines A, Whitmee S. A systematic review protocol for identifying the effectiveness of greenhouse gas mitigation interventions for health care systems in low- and middle-income countries. Wellcome Open Res 2022. [DOI: 10.12688/wellcomeopenres.18005.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Climate change is predicted to be our century's most significant health threat. In 2021, 46 countries committed to environmentally sustainable low carbon health care systems. Of those, 34 were from low- and middle-income countries (LMICs). Currently, health systems are responsible for 4.4% of global greenhouse gas (GHG) emissions, with health systems in high-income countries (HICs) contributing the largest proportion to the sector's GHG emissions. However, future increases are predicted in LMICs in the absence of robust GHG mitigation. This systematic review aims to identify evidence-based GHG mitigation interventions to guide the transformation of health care systems towards net zero, specifically in LMICs. Additionally, potential synergies between interventions that aid adaption to climate change and mitigate GHG emissions will be investigated. Methods: This protocol will follow the 'Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P) checklist of recommended items to address in a systematic review protocol'. A comprehensive search will be conducted on electronic databases identified as relevant. Search terms were identified to capture all relevant peer-reviewed, primary research published between 1990 and 2022. The risk of bias will be assessed, and the quality of evidence graded. The eventual narrative synthesis will feed into a theory of change framework on GHG mitigation of health care systems in LMICs. Discussion: This systematic review will synthesise the existing evidence around GHG mitigation interventions across all scopes of emissions, including scope 1 (health care operations), scope 2 (energy), and scope 3 (supply chains). It can be used to inform recommendations on how health care systems in LMICs can reduce emissions while prioritising which actions to take to gain the most significant reductions in GHG emissions, considering ease of implementation, scope and cost. Finally, this can catalyse further research in this area which is urgently needed.
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Fouda A, Wahba A, Eissa M. Aluminum corrosion prevention in 1.0 M HCl solution by cystosiera myrica extract: An experimental and biological study. J INDIAN CHEM SOC 2022. [DOI: 10.1016/j.jics.2022.100619] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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El Miedany Y, Abu-Zaid MH, Elgaafary M, Ali N, Mohasseb D, Zohiery A, Hassan W, Mortada MA, Eissa M, Tabra SAA, Fouad N, Gaballah N, El Noby F, Saber S, Moussa S. POS1288 TREAT TO TARGET MANAGEMENT OF FIBROMYALGIA: EVIDENCE-BASED CONSENSUS ON CLINICAL PRACTICE GUIDELINES. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundBecause of the subjective character of symptoms, absence of a diagnostic test, modest response to treatments, and at times, patient reports of important functional disability, fibromyalgia remains a challenge for the treating health care professionals in the standard clinical practice.ObjectivesTo develop an up to date consensus, evidence-based clinical practice guidelines for treat to target management of fibromyalgia.Methods15 key clinical questions were identified by a scientific committee according to the Patient/ Population, Intervention, Comparison, and Outcomes (PICO) approach. A literature review team performed a systematic review to summarize evidence advocating the benefits and harms of available pharmacologic and nonpharmacologic therapies for fibromyalgia. Subsequently, recommendations were formulated. The level of evidence was determined for each section using the Oxford Centre for Evidence-based Medicine (CEBM) system. A 3-round Delphi process was conducted with 16 experts. All rounds were conducted online. A consensus was achieved on the direction and the strength of the recommendations.ResultsAn online questionnaire were sent to expert panel who participated in the three rounds (response rate 100%). At the end of round 3, a total of fifteen recommendation items, categorized into 10 sections to address the main fibromyalgia categories, were obtained. Agreement with the recommendations (rank 7-9) ranged from 85-100%. Consensus was reached (i.e.≥80%of respondents strongly agreed or agreed) on the wording of all the 15 clinical standards identified by the scientific committee. Algorithm for the management of fibromyalgia have been suggested.ConclusionThese recommendations provide an updated consensus on both the non-pharmacological as well as the pharmacological treatment of fibromyalgia. The provide strategies to reach optimal treat to target outcomes in common clinical scenarios, based on a combination of evidence and expert opinion. Best treatment decisions should be tailored to each individual patient situation.Disclosure of InterestsNone declared
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El Miedany Y, Abu-Zaid MH, Elgaafary M, Ali N, Mansour M, Fathi N, Hassan W, Mortada MA, Moussa S, Eissa M, Tabra SAA, Fouad N, Ali R, M Medhat B, Jamaleldeen J, Adel Abdelsalam Hussein Y, Ghaleb RM, Nourhan Elameen E, Dessouki E, Saber S. AB0908 Treating to target of psoriasis: An evidence-based consensus on clinical practice recommendations. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundThe Tight Control of psoriatic arthritis (TICOPA) trial revealed a treat to target (T2T) strategy has led to improved clinical outcomes in psoriatic arthritis (PsA). The heterogeneity of the disease, the feasibility of therapy and the associated comorbidities made the implementation of such strategy in routine care a real challenge. There is a high need for establish real world recommendations for the T2T approach in PsA tailored to the disease activity status, the Psoriasis manifestations as well as the individual patient’s requirements.Objectivesto provide up-to-date, evidence-based and consensus-based recommendations for Treat-to-Target management of psoriatic arthritis (PsA) and its associated clinical manifestations.Methods14 key clinical questions were identified by scientific committee according to the Patient/ Population, Intervention, Comparison, Outcomes and Timing (PICOT) approach. Literature Review team performed a systematic review to summarize evidence advocating the benefits and harms of available pharmacologic and nonpharmacologic therapies for PsA. Subsequently, recommendations were formulated. The level of evidence was determined for each section using the Oxford Centre for Evidence-based Medicine (CEBM) system. A 3-round Delphi process was conducted with 19 experts. All rounds were conducted online. A consensus was achieved on the direction and the strength of the recommendations.ResultsAn online questionnaire were sent to expert panel who participated in the three rounds (response rate 100%). At the end of round 3, a total of fifty-one recommendation items, categorized into 6 sections to address the main 6 PsA categories, were obtained. Agreement with the recommendations (rank 7-9) ranged from 89.5-100%. Consensus was reached (i.e.≥75%of respondents strongly agreed or agreed) on the wording of all the 51 clinical standards identified by the scientific committee. Algorithms for the management of PsA have been suggested.ConclusionThese recommendations provide an updated consensus on the pharmacological treatment of PsA and strategies to reach optimal treat to target outcomes in in common clinical scenarios, based on a combination of evidence and expert opinion. Best treatment decisions should be tailored to each individual patient situation.Disclosure of InterestsNone declared
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El Miedany Y, Abu-Zaid MH, Elgaafary M, Ali N, Mansour M, Hassan W, Mortada MA, Eissa M, Tabra SAA, Fouad N, Ali R, M Medhat B, Adel Abdelsalam Hussein Y, Ghaleb RM, Nourhan Elameen E, Saber S, Moussa S. POS1168 TREAT TO TARGET OF GOUT: AN EVIDENCE-BASED CONSENSUS ON CLINICAL PRACTICE GUIDELINES. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.3477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BackgroundNew therapies, management approaches and evidence regarding the management of gout have become available over the past years. This triggered the need for updated recommendations for the management of gout.Objectivesto develop an up-to-date consensus evidence-based clinical practice guideline for the management of gout including recommendations for management of acute gout flares, optimum usage of urate lowering therapy for chronic gout as well as patient education and lifestyle guidance.MethodsAn extensive systematic literature review was performed, and evidence-based recommendations were extrapolated, based on 16-key questions identified according to population, intervention, comparator, and outcomes (PICO) approach. For each item, the level of evidence was determined using the Oxford Centre for Evidence-based Medicine (CEBM) system. These were evaluated by a panel of 17-experts via online surveys over a 2-round Delphi process.ResultsAt the end of round 2, a total of 30-recommendation items, categorized into 10 domains to were obtained. Agreement with the recommendations (rank 7-9) ranged from 90-100%. Consensus was reached (i.e.≥75%of respondents strongly agreed or agreed) on the wording, the grade of recommendation and level of evidence of all the 30 clinical standards identified by the scientific committee. The guideline emphasized that all gouty patients should be screened for comorbidities. Based on this, an algorithm for treat to target management approach tailored to the individual patient’s needs and associated comorbidities has been outlined.ConclusionThis work provides updated evidence-based recommendations for the prevention and treatment of acute as well as chronic gouty arthritis. It provides an approach for physicians and patients making decisions on the management of gout. It will also facilitate improvement and uniformity of care.Disclosure of InterestsNone declared
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El Miedany Y, Salah S, Lotfy H, El Gaafary M, Abdulhady H, Salah H, Nasef SI, El-Latif EA, Farag Y, Eissa M, Esam Maher S, Radwan A, El-Shanawany AT, Medhat BM, El Mikkawy D, Mosa DM, El Deriny G, Mortada M, Osman NS, Fouad NA, Elkaraly NE, Mohamed SS, Tabra SA, Hassan WA, Amer Y, Abu-Zaid MH. Updated clinical practice treat-to-target guidelines for JIA management: the Egyptian College of Pediatric Rheumatology initiative. Egypt Rheumatol Rehabil 2022. [DOI: 10.1186/s43166-022-00125-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Abstract
Background
These updated guidelines aimed to provide appropriate and convenient guidelines for the treatment of various types of juvenile idiopathic arthritis (JIA).
Using the Delphi technique, this study was conducted to reach expert consensus on a treat-to-target management strategy for JIA. According to the PICO (patient/population, intervention, comparison, and outcomes) approach, the preliminary scientific committee identified a total of 17 key clinical questions. To assemble evidence on the advantages and dangers associated with JIA treatments, an evidence-based, systematic literature review was conducted. Researchers and clinicians with experience in JIA management were identified by the core leadership team. To establish a consensus on the management suggestions for JIA patients, a Delphi approach (2 rounds) was used.
Results
An online survey was applied to the expert panel (n = 27), and 26 of them completed both rounds. At the conclusion of round 2, a total of eighteen (18) recommendation items were gathered, which were divided into four sections to address the four key JIA categories. The percentage of those who agreed with the recommendations (ranks 7–9) ranged from 83.2 to 100% (average 86.8%). The phrasing of all 18 clinical standards identified by the scientific committee was agreed upon (i.e. 75% of respondents strongly agreed or agreed). Algorithms have been proposed for the management of JIA polyarthritis, oligoarthritis, and systemic JIA.
Conclusion
A wide and representative panel of experts initiated a consensus about the management of JIA. The created guidelines give a complete approach to the management of JIA for all healthcare professionals involved in its management, as well as a means of monitoring and evaluating these guidelines on a regular basis.
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Gasparri G, Eissa M, Imbago-Jácome D, Nandini B. Climate emergency: how should COP27 do better for adolescents and young people? BMJ 2022; 376:o816. [PMID: 35346951 DOI: 10.1136/bmj.o816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | - Mohamed Eissa
- International Federation of Medical Students' Associations
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Elnenaei MO, Thoni A, Eissa M. Reflex and Reflective Laboratory Interventions for Adding Value to Test Results; An Integral Part of Laboratory Stewardship. Clin Biochem 2022; 105-106:16-22. [DOI: 10.1016/j.clinbiochem.2022.03.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 03/06/2022] [Accepted: 03/16/2022] [Indexed: 12/11/2022]
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Alexander M, Eissa M, McDermott-Levy R, Osborne R, Pleuss E, Prabhakaran P, Sorensen C. COP26: Looking forward from Glasgow by placing health at the center of climate action. J Clim Chang Health 2022; 5:None. [PMID: 35265938 PMCID: PMC8895507 DOI: 10.1016/j.joclim.2022.100117] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 01/17/2022] [Indexed: 06/14/2023]
Affiliation(s)
- Marcalee Alexander
- Sustain Our Abilities, United States
- Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham School of Medicine, United States
- Department of Physical Medicine and Rehabilitation, Harvard School of Medicine, United States
| | - Mohamed Eissa
- Liaison Officer for Public Health Issues, International Federation of Medical Students’ Associations, Denmark
| | - Ruth McDermott-Levy
- M. Louise Fitzpatrick College of Nursing, Villanova University, United States
| | - Rhiannon Osborne
- School of Clinical Medicine, University of Cambridge, United Kingdom
- Students for Global Health, United Kingdom
| | | | - Poornima Prabhakaran
- Head-Environmental Health and Additional Professor; Deputy Director, Centre for Environmental Health, Public Health Foundation of India, India
- Senior Research Scientist, Centre for Chronic Disease Control, India
| | - Cecilia Sorensen
- Global Consortium on Climate and Health Education, Columbia University, United States
- Department of Environmental Health Sciences, Mailman School of Public Health, United States
- Department of Emergency Medicine, Columbia University Irving Medical Center, United States
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El-Aziz S. Fouda A, Al-bonayan AM, Eissa M, Eid DM. Electrochemical and quantum chemical studies on the corrosion inhibition of 1037 carbon steel by different types of surfactants. RSC Adv 2022; 12:3253-3273. [PMID: 35425349 PMCID: PMC8981281 DOI: 10.1039/d1ra07983b] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Accepted: 01/06/2022] [Indexed: 12/02/2022] Open
Abstract
In this work, three different types of surfactants, namely, dodecyl trimethyl ammonium chloride (DTAC, C12H25N (CH3)3Cl)−, octyl phenol poly(ethylene glycol ether)x (TX-100, C34H62O11 for x = 10) and dioctyl sodium sulfosuccinate (AOT-100, C20H37O7NaS) with corrosion restraint were utilized as corrosion inhibitors for 1037 CS in 0.5 M HCl. The protection efficacy (% IE) was indicated by weight loss and electrochemical measurements. Polarization curves showed that the investigated compounds are mixed-type inhibitors. The protection efficacy (% IE) increases with the increase in the surfactant concentration and reached 64.42–86.46% at 8 × 10−4 M and 30 °C. Adsorption of these utilized surfactants (DTAC, TX-100, and AOT) onto the CS surface concurred with the Langmuir adsorption isotherm. Impedance data revealed that by increasing the surfactant concentration, the charge transfer resistance (Rct) increases and vice versa for the capacitance of double layer (Cdl). Surface morphological investigations such as scanning electron microscopy (SEM) combined with EDX and atomic force microscopy (AFM) were used to further investigate the inhibitors' protective abilities. Monte Carlo simulations showed the great interaction between the tested surfactants and the metal surface of the CS. The theoretical results (density functional theory, DFT) were in good agreement with experimental measurements. The restraint efficiencies of anionic, neutral, and cationic surfactants regarded a certain dating to HSAB precept and Fukui indices. In this work, three different types of surfactants DTAC, C12H25N (CH3)3Cl−, TX-100, C34H62O11 for x = 10) and AOT-100, C20H37O7NaS) with corrosion restraint were utilized as corrosion inhibitors for 1037 CS in 0.5 M HCl.![]()
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Affiliation(s)
- Abd El-Aziz S. Fouda
- Chemistry Department, Faculty of Science, Mansoura University, Mansoura-35516, Egypt
| | - Ameena M. Al-bonayan
- Chemistry Department, Faculty of Science, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Mohamed Eissa
- Higher Institute of Engineering & Technology, Kma, Alex, Egypt
- College of Science &Humanities-Harimlae, Shaqra University, Kingdom of Saudi Arabia
| | - Dalia M. Eid
- Chemistry and Earth Science Department, Qatar University, Doha-2713, Qatar
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Abu-Zaid MH, Tabra SA, Salah S, Lotfy H, Abdulhady H, Salah H, El Gaafary M, Farag Y, Eissa M, Maher SE, Radwan A, El-Shanawany AT, Medhat BM, El Mikkawy D, Mosa DM, El Deriny G, Mortada M, Osman NS, Fouad NA, Elkaraly NE, Mohamed SS, Hassan WA, Amer Y, Nasef SI, El Miedany Y. P063 Consensus-based recommendations for treat to target management of immunoglobulin A vasculitis. Rheumatology (Oxford) 2021. [DOI: 10.1093/rheumatology/keab722.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
IgAvasculitis (IgAV) is the commonest cause of vasculitis in childhood.
It is characterized by small vessel vasculitis of the skin, gastrointestinal tract, kidneys, joints, and, rarely, the lungs and the central nervous system. There is paucity of international guidelines for management of IgA V. the Objective is to develop guidelines specific for Egyptian children with IgA vasculitis.
Method
This study was carried out to achieve an Egyptian expert consensus on a treat-to-target management strategy for IgA vasculitis using Delphi technique. The preliminary scientific committee identified a total of 16 key clinical questions according to the Patient/Population, Intervention, Comparison, and Outcomes (PICO) approach. Delphi process was implemented (2-rounds) to reach a consensus.
Results
An online questionnaire were sent to expert panel (n = 26) who participated in the two rounds. At the end of round 2, a total of 20 recommendation items, categorized into 2 sections were obtained. Agreement with the recommendations (rank 7–9) ranged from 91.7–100%. Consensus was reached (i.e. ≥75% of respondents strongly agreed or agreed) on the wording of all the 20 clinical standards identified by the scientific committee. Algorithms for the management have been suggested.
Conclusion
This was an expert, consensus recommendations for the diagnosis and treatment of IgA V and IgA V nephritis, based on best available evidence and expert opinion.
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Affiliation(s)
| | | | - S Salah
- Egyptian Academy of Bone Health
| | - H Lotfy
- Egyptian Academy of Bone Health
| | | | - H Salah
- Egyptian Academy of Bone Health
| | | | - Y Farag
- Egyptian Academy of Bone Health
| | - M Eissa
- Egyptian Academy of Bone Health
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Y Amer
- Egyptian Academy of Bone Health
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El Miedany Y, Hassan M, Salah S, Lotfy H, Abdulhady H, Salah H, El Gaafary M, Abd El-Latif E, Farag Y, Eissa M, Esam Maher S, Radwan A, El-Shanawany AT, Medhat BM, El Mikkawy D, Mosa DM, El Deriny G, Mortada M, Osman NS, Fouad NA, Elkaraly NE, SMohamed S, Tabra S, Hassan WA, Amer Y, Nasef SI. P016 Updated Clinical Practice Guidelines for JIA management adopting Treat to Target approach: the Egyptian College of Paediatric Rheumatology initiative. Rheumatology (Oxford) 2021. [DOI: 10.1093/rheumatology/keab722.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
There is an unmet need from paediatric rheumatologists and rheumatologists, managing children with JIA, for a well formulated guidelines aiming at achieving better outcomes of their patients. To establish adequate and easily adopted guidelines in management of different variants of JIA in a relatively low resources country.
Method
This study was carried out to achieve an Egyptian expert consensus on a treat-to-target management strategy for Juvenile Idiopathic Arthritis using Delphi technique. The preliminary scientific committee identified a total of 17 key clinical questions according to the Patient/Population, Intervention, Comparison, and Outcomes (PICO) approach. An evidence-based, systematic, literature review was conducted to compile evidence for the benefits and harms associated with JIA treatments. The core leadership team identified researchers and clinicians with expertise in JIA management in Egypt upon which Experts were gathered from different governorates and health centres across Egypt. Delphi process was implemented (2-rounds) to reacha consensus on the management recommendations of Egyptian JIA patients. Results: An online questionnaire were sent to expert panel (n = 27), of whom 26 participated in the two rounds. At the end of round 2, a total of eighteen (18) recommendation items, categorized into 4 sections to address the main 4 JIA categories, were obtained. Agreement with the recommendations (rank 7–9) ranged from 83.2–100% (average 86.8%). Consensus was reached (i.e. ≥75% of respondents strongly agreed or agreed) on the wording of all the 18 clinical standards identified by the scientific committee. Algorithms for the management of JIA polyarthritis, oligoarthritis and systemic JIA have been suggested.
Conclusion
A wide and representative panel of experts established a consensus regarding the management of JIA in Egypt. The developed guidelines provide a comprehensive approach to the management of JIA for ll Egyptian healthcare professionals who are involved in its management for follow up and frequent evaluation of these guidelines.
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Salah S, Lotfy H, Hassan M, Abdulhady H, Salah H, El Gaafary M, Abd El-Latif E, Farag Y, Eissa M, Esam Maher S, Radwan A, El-Shanawany AT, Medhat BM, El Mikkawy D, Mosa DM, El Deriny G, Mortada M, Osman NS, Fouad NA, Elkaraly NE, Mohamed SS, Tabra S, Hassan WA, Amer Y, Nasef SI, El Miedany Y. P050 Consensus based practice guidelines for the management and treatment of Juvenile familial Mediterranean fever: the Egyptian College of Paediatric Rheumatology initiative. Rheumatology (Oxford) 2021. [DOI: 10.1093/rheumatology/keab722.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Familial Mediterranean fever (FMF) is the most common monogenic auto-inflammatory disease, with the highest prevalence amongst Mediterranean countries including Egypt (where there is high carrier rate of MEFV gene), characterized by recurrent attacks of fever and polyserositis. Mutations in the MEFV gene encoding pyrin has been associated with the disease, which causes exaggeration of the inflammatory response through uncontrolled interleukin production. Issuing updated treatment recommendations are vital for the treating healthcare professionals to get well acquainted with its diagnosis & treatment. To produce consensus-based recommendations to guide the early diagnosis, management and follow-up of patients with FMF.
Methods
The Patient/Population, Intervention, Comparison, and Outcomes (PICO) questions were developed and refined by the core team.
A qualitative synthesis of scientific evidence based on systematic review and clinical experience was conducted to compile evidence for the diagnosis and management of FMF.
A consensus process was conducted among the expert panel to generate the final recommendations and grade their strength.
3 rounds of Delphi process were carried out.
Results
Following 3 Delphi rounds, recommendations were developed for: early diagnosis, who to treat, treatment targets, genetic testing and its interpretation in association with clinical presentation, treatment of FMF and dealing with acute attacks, monitoring of management, identify treatment response, systemic affection, persistent attacks or inflammation, resistant cases, protracted symptoms, as well as remission status.
Algorithm for patients’ diagnosis and management is provided.
The final document comprises 12 recommendations, each presented with its degree of agreement (0–10), Level of agreement, grade of recommendation and rationale. The degree of agreement was >7/10 in all instances.
Conclusion
This guideline provides comprehensive approach to the accurate diagnosis and effective management/monitoring of FMF. It also represents a model for the incorporation of medical genetics practice into the more traditional domains of general medicine.
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ElMenshawy N, Farag NA, Atia DM, Abousamra N, Shahin D, Fawzi E, Ghazi H, El-Kott AF, Eissa M. Prognostic Relevance of Concordant Expression CD69 and CD56 in Response to Bortezomib Combination Therapy in Multiple Myeloma Patients. Cancer Invest 2021; 39:777-782. [PMID: 34344244 DOI: 10.1080/07357907.2021.1964521] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE Multiple myeloma is an incurable hematological malignancy. Currently, the use of proteasome inhibitors could be superior to chemotherapy-based regimen in the treatment of this disease. However, resistance to bortezomib combination therapy still occurs in some patients. So, this research work aims to assess CD69 and CD56 expression in these cases and their relation to the response to therapy. MATERIALS AND METHODS Immunophenotyping by 4-color multi-parameter flow cytometry was carried out on 98 multiple myeloma cases. Clonal plasma cells were gated by co-expression of CD38 with CD138 with low SSC, negative or dim CD45. RESULTS Double negative CD69 and CD56 (47.9%) multiple myeloma cases were associated with high serum β2 microglobulin, creatinine, calcium and low serum albumin. There was also a significant correlation between the absence of these markers with osteolytic lesions and unfavorable cytogenetic t (4;14) (p < 0.001). Moreover, there was a highly significant correlation between CD69- and CD56- with non-response to bortezomib combination therapy in multiple myeloma patients (p < 0.0001). Regression analysis for the prediction of non- response to treatment in these cases using different prognostic indicators revealed that high serum β2 microglobulin, unfavorable cytogenetic, advanced stage, and low expression of CD69 and CD56 were poor predictors of non-response. CONCLUSION CD69 in association with CD56 could be an independent prognostic factor in multiple myeloma cases. It could be used in the routine laboratory assessment for refining stratification and timely therapeutic decision for highly cost therapy in developing countries.
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Affiliation(s)
- Nadia ElMenshawy
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Nora A Farag
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Doaa M Atia
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Nashwa Abousamra
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Doaa Shahin
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Eman Fawzi
- Clinical Pathology Department, Hematology Unit, Mansoura Medical School, Mansoura University, Mansoura, Egypt
| | - Hayam Ghazi
- Department of Medical Oncology, Mansoura Oncology Center, Mansoura University, Mansoura, Egypt
| | - Attalla F El-Kott
- Department of Biology, College of Science, King Khalid University, Saudi Arabia.,Department of Zoology, Faculty of Science, Damanhour University, Damanhour, Egypt
| | - Mohamed Eissa
- Pathology Department, College of Medicine, King Khalid University, Abha, KSA.,Clinical Pathology Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
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Shoukry A, Abbas A, Abdelwahab M, Ghoneima W, Shouman A, El Ghoneimy M, Morsi H, Badawy H, Eissa M, Aboulela W. Glans–urethral meatus–shaft score and penile parameters as preoperative assessment tools for hypospadias surgery outcome. Afr J Urol 2021. [DOI: 10.1186/s12301-021-00194-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Our prospective study aims to assess if penile parameters and GMS score can predict the postoperative outcome of patients with hypospadias repaired with the TIP technique.
Methods
This prospective study included patients (6 months–11 years old) with coronal, distal or mid penile hypospadias who underwent Tubularized incised plate (TIP) urethroplasty technique from 2015 to 2017. All patients were assessed preoperatively using GMS score. GMS score included a scale for each component, with the more unfavorable characteristics assigned higher scores. Penile length, urethral plate length, and penoscrotal length were measured using a ruler. Glans width was measured by using a caliper ruler. Demographics and complications were assessed within 3 months of the procedure.
Results
There was a statistically significant difference between complicated and non-complicated patients regarding GMS score, glans width, penoscrotal length, penile length, and urethral plate length/penile length ratio. According to the ROC curve, the cutoff values for GMS score, glans width and penoscrotal length were 6, 14 mm and 5 cm, respectively. The area under the ROC curve for penile length and for urethral plate/penile length ratio was poor and so we could not get a specific cutoff value for either parameters. According to Stepwise logistic regression, the GMS score was the only significant independent parameter while controlling all the other factors. Any increase in the GMS score by one unit would increase the risk of complications 3 times.
Conclusion
GMS score and penile parameters are good predictors and complete each other in preoperative assessment for hypospadias patients. Patients with a high GMS score (above 6) have a higher risk of complication and patients with a Glans width of 14 mm or more and a penoscrotal length of 5 cm or more are associated with less risk of complication.
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Omrani OE, Essar MY, Alqodmani L, Uakkas S, Eissa M, Mahmood J, Guinto RR. The contribution of Islam to planetary health. Lancet Planet Health 2021; 5:e333-e334. [PMID: 34119005 DOI: 10.1016/s2542-5196(21)00134-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 04/26/2021] [Indexed: 06/12/2023]
Affiliation(s)
- Omnia El Omrani
- Faculty of Medicine, Ain Shams University, Cairo 11591, Egypt.
| | | | | | - Saad Uakkas
- Faculty of Medicine, University of Mohamed V of Rabat, Rabat, Morocco
| | - Mohamed Eissa
- Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | | | - Renzo R Guinto
- Planetary and Global Health Program, St Luke's Medical Center College of Medicine-William H Quasha Memorial, Quezon City, Philippines; PH Lab, Manila, Philippines
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Eissa M, Bansal S, Bosma R, Sheffe S, Law YS, Mcloone M, Di Renna T, Singh M. 693 Sleep Health in the Young Adult Clinic: A retrospective observational cohort study. Sleep 2021. [DOI: 10.1093/sleep/zsab072.691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The Toronto Academic Pain Medicine Institute (TAPMI) Young Adult Clinic (YAC) was developed to offer transition services for clients aged 17–25 with persistent pain. It was noticed that YAC patients had significant problems with their sleep and the program was expanded in January 2019 by including a sleep medicine specialist for systematic evaluation of sleep health. Long-term sleep disruption has been associated with increase sensitivity to pain, prolonged pain duration, and predicts chronic pain. The degree of pain relief can directly impact the quality and disruption of sleep.
Methods
After approval from institutional review board, we reviewed YAC medical charts from March 2018 to April 2019 and extracted information pertaining to demographics, chronic pain and sleep. We present here the preliminary data of our multidisciplinary clinic
Results
55 medical charts were reviewed which included 40 females, 13 males, 2 nonbinary individuals, with a mean age of 20.3±2.4 years. 53% of the patients had chronic widespread pain. Symptoms of or disorder of sleep were reported in 72.7% of the patients. The various nighttime disorders of sleep were trouble falling asleep, insomnia, problems with sleep initiation, difficulty in maintaining sleep, poor sleep continuity, frequent night awakenings due to pain, restless leg syndrome (RLS), obstructive sleep apnea, parasomnic behavior, circadian rhythm disorder such as delayed sleep phase disorder. As assessed by Epworth Sleepiness scale, 7% of the patients had mild, 7% had moderate and 2% had severe daytime sleepiness. 42% of the youths demonstrated a low self-efficacy score as per Pain Self Efficacy Questionnaire (PSEQ). Patient Health Questionnaire (PHQ-9) was used to measure the severity of depression which showed that 5.5%, 27%, 18%, 14.5%, 22% of the YAC patients suffered from minimal, mild, moderate, moderately-severe and severe depression respectively. The information collected on Pain Catastrophizing scale (PCS) suggested that 24%, 29% and 31% were at low, moderate, and high risk respectively in having catastrophizing thoughts and feelings related to pain. There was no statistical difference in the means PSEQ, PHQ-9 and PCS scores of young adults.
Conclusion
Sleep disturbances may be an important modifiable risk factor for alleviating distress in young adults with chronic pain.
Support (if any):
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Affiliation(s)
| | | | | | | | | | | | | | - Mandeep Singh
- Department of Anesthesiology and Pain Medicine, University of Toronto
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Arrasa MB, Eissa M, Omrani OE. Mental health essentials for future healthcare professionals. A public health capacity building initiative. Eur Psychiatry 2021. [PMCID: PMC9475687 DOI: 10.1192/j.eurpsy.2021.1256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Mental disorders in Europe represent the leading cause of disability and the third leading cause of overall disease burden, following cardiovascular disease and cancers. As future healthcare professionals, with an imminent role in tackling this global health issue, we acknowledge that Mental Health is not adequately included in the medical curriculum. To address this gap, this workshop was created to equip medical students with the knowledge and skills that will empower them to lead a pioneering role in advocating for mental health for their patients, peers, and communities. Objectives By the end of the workshop, all participants should have: - Increased their knowledge in the field of Mental Health disorders - Increased their skills in the field of Mental Health (preventive practices, intervention strategies towards others, etc.) - Explored the relations between stigma, vulnerability, and Mental Health - Strengthened the international perspective and global understanding concerning mental health issues Methods This workshop utilized principles of non-formal education and was planned according to the 4MAT system to meet all four learning styles through theory blocks, space for reflection, practical application of knowledge, and future opportunities for application of content. This was achieved through various methodologies including presentations, self-discovery activities and exercises, roundtable debates, simulations, and role-playing. Results obtained![]() Conclusions This workshop highlighted the importance of building the capacity of medical students to tackle the burden of Mental Health globally and within the region, and how similar student-led initiatives can further empower them to be change agents and impactful advocates for better Mental Health in their own communities.
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Alkhaldy H, AlShahrani B, M. Alkhaldi A, A. Alqahtani A, Muhayya I, Alqahtani M, Eissa M. Patterns of blood products utilization at a tertiary care center in the Southern Region of Saudi Arabia. J Appl Hematol 2021. [DOI: 10.4103/joah.joah_112_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Fouda AEAS, Eissa M. Adenium obesum Extract as a Safe Corrosion Inhibitor for C-Steel in NaCl Solutions: Investigation of Biological Effects. J Bio Tribo Corros 2020; 6:104. [DOI: 10.1007/s40735-020-00394-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 06/20/2020] [Accepted: 07/13/2020] [Indexed: 09/02/2023]
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Abbas M, Dhane M, Beniey M, Meloche-Dumas L, Eissa M, Guérard-Poirier N, El-Raheb M, Lebel-Guay F, Dubrowski A, Patocskai E. Repercussions of the COVID-19 pandemic on the well-being and training of medical clerks: a pan-Canadian survey. BMC Med Educ 2020; 20:385. [PMID: 33109168 PMCID: PMC7590563 DOI: 10.1186/s12909-020-02293-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 10/09/2020] [Indexed: 05/06/2023]
Abstract
BACKGROUND The COVID-19 pandemic has been an unprecedented and potentially stressful event that inserted itself into the 2019-2020 Canadian medical curriculum. However, its impact on stress and subsequent professional pathways is not well understood. This study aims to assess the impact of the COVID-19 pandemic on the mental well-being, training, and career choices of Canadian medical clerks within the first three months of the pandemic. It also aims to assess their use of university support systems and their appreciation of potential solutions to common academic stressors. METHODS An electronic survey composed of four sections: demographics, stressors experienced during the pandemic, World Health Organization (WHO) well-being index, and stress management and resources was distributed to Canadian clerks. RESULTS Clerks from 10 of the 17 Canadian medical faculties participated in this study (n = 627). Forty-five percent of clerks reported higher levels of stress than usual; 22% reconsidered their residency choice; and 19% reconsidered medicine as a career. The factors that were most stressful among clerks were: the means of return to rotations; decreased opportunities to be productive in view of residency match; and taking the national licensing exam after the beginning of residency. The mean WHO well-being index was 14.8/25 ± 4.5, indicating a poor level of well-being among a considerable proportion of students. Clerks who reconsidered their residency choice or medicine as a career had lower mean WHO well-being indices. Most clerks agreed with the following suggested solutions: training sessions on the clinical management of COVID-19 cases; being allowed to submit fewer reference letters when applying to residency; and having protected time to study for their licensing exam during residency. Overall, clerks were less concerned with being infected during their rotations than with the impact of the pandemic on their future career and residency match. CONCLUSION The COVID-19 pandemic had a considerable impact on the medical curriculum and well-being of clerks. A number of student-identified solutions were proposed to reduce stress. The implementation of these solutions throughout the Canadian medical training system should be considered.
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Affiliation(s)
- Myriam Abbas
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Malek Dhane
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Michèle Beniey
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Léamarie Meloche-Dumas
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Mohamed Eissa
- Faculty of Medicine, Dalhousie University, 6299 South Street, Halifax, Nova Scotia B3H 4R2 Canada
| | - Natasha Guérard-Poirier
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Myriam El-Raheb
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Florence Lebel-Guay
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Faculté de médecine, Université de Montréal, 2900 Blvd Edouard Montpetit, Montréal, Quebec H3T 1J4 Canada
| | - Adam Dubrowski
- Ontario Tech University, 200 Simcoe Nord street, Oshawa, Ontario L1G 0C5 Canada
| | - Erica Patocskai
- Simulation and Medical Education Research Group, Université de Montréal, Montréal, QC Canada
- Department of Surgical Oncology, Centre Hospitalier de l’Université de Montréal (CHUM), 1051 rue Sanguinet, Montréal, Quebec H2X 0C1 Canada
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Abdel-Razik A, Mousa N, Zakaria S, Abdelsalam M, Eissa M, Abd El-Ghany MI, Hasan AS, Elhelaly R, Elzehery R, El-Wakeel N, Eldars W. Advanced Glycation End Products as a Predictor of Diabetes Mellitus in Chronic Hepatitis C-Related Cirrhosis. Front Med (Lausanne) 2020; 7:588519. [PMID: 33195350 PMCID: PMC7649387 DOI: 10.3389/fmed.2020.588519] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Accepted: 09/25/2020] [Indexed: 12/16/2022] Open
Abstract
Background and Aims: Advanced glycation end products (AGEs) were found to be involved in the pathogenesis of various disorders. Chronic hepatitis C virus infection is the major cause of liver cirrhosis development and glucose metabolism alteration. We aimed to explore the association of AGEs with the development of diabetes mellitus (DM) in patients with cirrhosis in this study. Methods: Only 144 of the 165 non-diabetic patients with cirrhosis were consecutively included in this prospective cohort pilot study, in addition to 72 healthy control subjects. Clinical data and biochemical parameters including basal insulin secretion and insulin sensitivity indices together with AGEs were evaluated in all participants at baseline and every 1 year thereafter for 2 years. Multivariable Cox regression analysis was used to determine the parameters that could predict the development of DM within this period. Results: DM developed in 14 (10%) patients only. Univariate Cox regression analysis showed that AGEs (P = 0.004), Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) (P = 0.018), HOMA-β (P = 0.015), and age (P = 0.012) were associated with DM. After adjusting multiple confounders, the multivariable Cox regression model showed that AGEs, HOMA-IR, and age were the strongest variables associated with DM (all P < 0.05). Using the receiver operating characteristic curve, AGEs at a cutoff value of more than 82.4 ng/ml had 99.23% specificity, 100% sensitivity, and 0.992 area under the curve (AUC) (all P < 0.001) for DM prediction. Conclusion: Our study suggests that AGEs are related to increased incidence of DM, especially in patients with cirrhosis, which is very promising in lowering the risk of DM in these patients.
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Affiliation(s)
- Ahmed Abdel-Razik
- Tropical Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Nasser Mousa
- Tropical Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Sahar Zakaria
- Tropical Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Mostafa Abdelsalam
- Nephrology and Dialysis Unit, Internal Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Mohamed Eissa
- Internal Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Mohammed I Abd El-Ghany
- Endocrinology and Diabetes Unit, Internal Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Ahmad S Hasan
- Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Rania Elhelaly
- Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Rasha Elzehery
- Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Niveen El-Wakeel
- Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - Waleed Eldars
- Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Marmey P, Lebaz N, Eissa M, Delair T, Elaissari A. Polystyrene latex particles bearing primary amine groups via soap‐free emulsion polymerization. POLYM INT 2020. [DOI: 10.1002/pi.6060] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Pascal Marmey
- Unité mixte CNRS‐BioMérieux Ecole Normale Supérieure de Lyon Lyon France
| | - Noureddine Lebaz
- Univ Lyon, University Claude Bernard Lyon 1, CNRS, LAGEPP UMR 5007 Villeurbanne France
| | - Mohamed Eissa
- Univ Lyon, University Claude Bernard Lyon 1, CNRS, LAGEPP UMR 5007 Villeurbanne France
- Polymers and Pigments Department National Research Centre Giza Egypt
| | - Thierry Delair
- Univ Lyon, University Claude Bernard Lyon 1, CNRS, IMP, UMR 5223 Villeurbanne France
| | - Abdelhamid Elaissari
- Univ Lyon, University Claude Bernard Lyon 1, CNRS, LAGEPP UMR 5007 Villeurbanne France
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Hamodat H, Syed S, Ali M, Sardiwalla Y, Imran F, Jarrar A, Rafiq F, Zimmo K, Eissa M, Haroon B. Primary Care Physicians' Knowledge, Perceptions, and Comfort Level in Managing Patients Fasting in Ramadan. J Prim Care Community Health 2020; 11:2150132720933796. [PMID: 32590924 PMCID: PMC7328480 DOI: 10.1177/2150132720933796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background: Once a year, Muslims fast from dawn to sunset during the month of Ramadan. While fasting has many positive health implications, it may pose risks to individuals with underlying health issues. Despite the exemption from fasting for those who are ill, many Muslims with chronic conditions choose to fast. It is unclear how many Muslim patients receive counseling on fasting. As such, the purpose of this pilot project was to assess the knowledge, perception, and comfort level of primary care physicians (PCPs) at Dalhousie University’s Department of Family Medicine in managing patients choosing to fast during Ramadan. Methods: A 16-item anonymous, self-administered, structured online survey was distributed to PCPs with an academic affiliation with the Department of Family Medicine at Dalhousie University. Participants rated their level of comfort, objective knowledge, and perceptions of managing patients fasting in Ramadan. Results: Many PCPs perceived the importance of understanding Ramadan fasting and its relevance to their patients’ health, however, they did not have adequate knowledge about the matter. The majority of PCPs felt they received inadequate training in this area and did not feel comfortable counseling and managing the health of these patients. Conclusions: The findings of this study have outlined a knowledge gap that exists within our PCP community and will help inform and prioritize educational needs and direct efforts to ensure safe patient management during Ramadan.
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Affiliation(s)
- Hayam Hamodat
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Saif Syed
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Malik Ali
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | | | - Fatima Imran
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Ameer Jarrar
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Farina Rafiq
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Khader Zimmo
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Mohamed Eissa
- Dalhousie Medical School, Halifax, Nova Scotia, Canada
| | - Babar Haroon
- Dalhousie Medical School, Halifax, Nova Scotia, Canada.,Dalhousie University, Halifax, Nova Scotia, Canada
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Suman S, Eissa M, Rogers H, Lenert A, Stromberg A, Roberts W. AB1231 2019 LUPUS CLASSIFICATION CRITERIA SCORE PREDICTS FUTURE LUPUS HOSPITAL ADMISSION. Ann Rheum Dis 2020. [DOI: 10.1136/annrheumdis-2020-eular.1752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background:There are several validated tools to quantitate lupus disease activity, end-organ damage and overall fragility. An algorithm to predict the hospitalization risk in lupus patients was proposed by Li et al1. That algorithm was able to effectively screen patients at increased risk of hospitalization using EHR information only. Recently, the new 2019 Lupus classification criteria score has been noted to accurately predict 10 year mortality2.Objectives:To test the above 2 algorithms with potential to predict lupus related hospital admissions.First, we attempted to validate the existing algorithm from the index study of Li et al to predict lupus hospitalization.Second, we tested the 2019 lupus clinical classification score for its ability to predict hospitalizations.Methods:A retrospective chart review was performed using EHR data collected from 2013 to 2018 at University of Kentucky (UK) Medical Center. Inclusion criteria were 18 years or older at first outpatient rheumatology appointment at UK, at least 3 outpatient rheumatology visits at UK, and ICD 9/10 code for Lupus. A total of 217 patients met inclusion criteria. Variables similar to the index study were extracted from patients’ first outpatient rheumatology visit at UK. Additionally, 2019 Lupus Classification Criteria score was calculated. Patients who were subsequently hospitalized, manual chart review was done to determine if the hospitalization was attributable to lupus or not.Results:Table 1 shows differences between the variables predicting hospitalization in patients in this study (UK) and the Ohio State University (OSU) cohort from whom the admission predicting algorithm was derived1. All the risk factors that were found to predict lupus hospitalization in the index study, failed to achieve a statistical significance in our validation study.Table 1.Differences in the variables predicting hospitalization between Index and Validation CohortVariables predicting Lupus HospitalizationIndex Study (Ohio State),% of patients(n=226)Validation Study(University of Kentucky)% of patients; (n=217)African American33%18%Creatinine > 1.217%7%Hemoglobin < 11g/dl79%18%Platelets < 180 / uL75%22%High Risk immunosuppression35%9. 2%Missed appointment27%25%There was more success predicting lupus hospitalization using the 2019 lupus classification criteria score (CCS) (Figure 1). A CCS >=19 predicted higher risk of lupus related hospitalization vs CCS < 19 over the ensuing 2 years (p-0.05).Figure 1.Kaplan- Meier Survival Analysis comparing the risk of hospitalization between the groups with 2019 Lupus classification criteria score (CCS) of less than 19 (red) and more/equal to 19 (blue). A time-dependent effect, with the admission free survival curves crossing at two years (Figure 1), indicated a 1 out of 3 chance of lupus related admission during the first 6 months for a high CCS score > =19.Conclusion:We failed to validate the EHR algorithm identifying patients at high risk for lupus hospitalization in our less severely affected cohort with fewer admission events to analyze. Nonetheless, “criteria counting” using the weightings of the 2019 lupus classification criteria was granular enough to make these case finding criteria themselves prognostic for future hospitalization risk. It is likely that existing EHRs, using protocols based upon classification criteria scores, are now capable of predicting survival, costs, and admissions automatically.References:[1]D Li et al. Determining risk factors that increase hospitalizations in patients with systemic lupus erythematosus, Lupus (2018) 27, 1321–1328[2]Carneiro et al. A comparison of three classification criteria sets for Systemic Lupus Erythematosus – a study looking at links to outcome and mortality; Arthritis Care Res (Hoboken). 2019 Sep 10. doi: 10.1002/acr.24061Disclosure of Interests:Saurav Suman: None declared, Mervat Eissa: None declared, Heidi Rogers: None declared, Aleksander Lenert: None declared, Arnold Stromberg: None declared, william roberts Shareholder of: Own Stocks of Pfizer and Novartis
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Nessark F, Eissa M, Baraket A, Zine N, Nessark B, Zouaoui A, Bausells J, Errachid A. Capacitance Polypyrrole‐based Impedimetric Immunosensor for Interleukin‐10 Cytokine Detection. ELECTROANAL 2020. [DOI: 10.1002/elan.201900633] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Faiza Nessark
- Institut des Sciences Analytiques (ISA)Université Claude Bernard Lyon 1 5 rue de la Doua 69100 Villeurbanne cedex France
- Laboratoire d'Electrochimie et Matériaux (LEM)Université Ferhat Abbas Sétif 1 Sétif 19000 Algérie
- Département de Chimie, Faculté des SciencesUniversité Mohamed Boudiaf M'Sila 28000 Algérie
| | - Mohamed Eissa
- Institut des Sciences Analytiques (ISA)Université Claude Bernard Lyon 1 5 rue de la Doua 69100 Villeurbanne cedex France
- Polymers and Pigments DepartmentNational Research Centre 33 El Bohouth St. (Former El Tahrir St.), Dokki Giza 12622 Egypt
| | - Abdoullatif Baraket
- Institut des Sciences Analytiques (ISA)Université Claude Bernard Lyon 1 5 rue de la Doua 69100 Villeurbanne cedex France
| | - Nadia Zine
- Institut des Sciences Analytiques (ISA)Université Claude Bernard Lyon 1 5 rue de la Doua 69100 Villeurbanne cedex France
| | - Belkacem Nessark
- Laboratoire d'Electrochimie et Matériaux (LEM)Université Ferhat Abbas Sétif 1 Sétif 19000 Algérie
| | - Ahmed Zouaoui
- Laboratoire de Croissance et Caractérisation de Nouveaux Semi-conducteurs (LCCNS)Université Ferhat Abbas Sétif 1 Sétif 19000 Algerie
| | - Joan Bausells
- Instituto de Microelectrónica de BarcelonaIMB-CNM (CSIC), Campus UAB 08193 Bellaterra Spain
| | - Abdelhamid Errachid
- Institut des Sciences Analytiques (ISA)Université Claude Bernard Lyon 1 5 rue de la Doua 69100 Villeurbanne cedex France
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Al Saeedy D, Gillani SW, Al-Salloum J, Moosvi A, Eissa M, Gulam SM. Comparative Efficacy of Beta-Lactams and Macrolides in the Treatment of Pediatric Pneumonia: A Systematic Review. Curr Pediatr Rev 2020; 16:307-313. [PMID: 32895041 DOI: 10.2174/1573396316666200907115800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 07/07/2020] [Accepted: 07/07/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Pneumonia is an acute infection of the lung parenchyma that is differentiated among three main diagnoses: community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), and healthcare-associated pneumonia (HCAP). Though CAP is initially presented as a mild infection, it contributes to childhood mortality rates globally. A vast number of pathogens are the cause of CAP, but the two main causative organisms include Streptococcus pneumoniae and Haemophilus influenzae, with the former causing up to 50% of all childhood cases. In the current treatment guidelines from the Infectious Diseases Society of America (IDSA), amoxicillin is the recommended treatment choice for mild-to-moderate CAP while ampicillin is recommended for cases of severe CAP. Previous studies compared treatment between macrolides and beta-lactams to provide more information on the effectiveness in the pediatric population. OBJECTIVE The objective of this article is to systematically review the literature on the comparative efficacy of beta-lactams and macrolides in the treatment of community-acquired pneumonia among children and to evaluate the outcomes that are used to determine drug efficacy in order to provide medication recommendations. METHODS A systematic literature search was conducted in PubMed, TRIP, Cochrane and SCOPUS. Cohort studies and randomized controlled trials between the years 2000 and 2020 that compared the efficacy of amoxicillin and macrolides in treating pediatric pneumonia were included in the systematic review. Eligible patients included patients who were 17 years and younger, diagnosed with community-acquired pneumonia, and were given beta-lactams or macrolides, either as monotherapy or combination. Two reviewers were involved in the appraisal process to assess the quality of the methods used in the selected studies. RESULTS A total of six articles were eligible according to the inclusion criteria and quality assessment. Four articles compared beta-lactam monotherapy with beta-lactam and macrolide combination therapy, while Kogan R et al. compared macrolide therapy monotherapy with beta-lactam and macrolide combination therapy and Leyenaar JK et al. compared ceftriaxone monotherapy to ceftriaxone plus macrolide combination therapy. The studies defined treatment failure as either a change in antibiotic therapy or hospital admission within 14 days of CAP diagnosis. Three studies used the length of hospital stay as their primary outcome for comparison of treatment efficacy. Four studies showed that the use of macrolides provided better treatment outcomes by reducing hospital stay and treatment failure rates. Beta-lactam and macrolide combination therapy did not show a significant effect on treatment failure compared to beta-lactam monotherapy regimens and it did not affect mortality compared to placebo or diet alone. Within the macrolide class, azithromycin was more clinically significant compared to erythromycin. CONCLUSION The use of macrolides as monotherapy or add-on therapy to beta-lactams is more effective in the treatment of community-acquired pneumonia in the pediatric population.
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Affiliation(s)
- Dalia Al Saeedy
- Department of Pharmacy Practice, College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Syed Wasif Gillani
- College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | | | - Arzu Moosvi
- School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, United States
| | - Mohamed Eissa
- Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada
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Ibrahim H, Shouman AM, Ela W, Ghoneima W, Shoukry AI, ElSheemy M, Morsi H, Badawy H, Eissa M, Kotb S. Percutaneous posterior tibial nerve stimulation for the treatment of the overactive bladder in children: Is it effective? Afr J Urol 2019. [DOI: 10.1186/s12301-019-0009-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
To assess the efficacy and durability of percutaneous posterior tibial nerve stimulation for the treatment of the overactive bladder in children.
Results
Twenty patients with a mean age of 7 ± 3.3 years were included in the study. Subjective success was found in 12 patients (60%) who considered their situation to be better and requested to continue therapy to maintain the response which was considered as a therapeutic success, while eight patients (40%) patients chose not to continue therapy because they did not have symptomatic improvement.
Conclusion
Posterior tibial nerve stimulation is an effective, minimally invasive method for treatment and is easily applied to induce improvement in overactive bladder symptoms and objective urodynamic changes with negligible side effects.
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Saeed A, Eissa M, El-Hossary F, EL-Kameesy S, Abd Elmula AZ, Al-Shelkamy S. Mechanical and gamma ray attenuation properties of N316L steel treated by rf plasma as a nuclear material. Arab Journal of Nuclear Sciences and Applications 2019. [DOI: 10.21608/ajnsa.2019.2936.1059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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