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Nasr S, Fouda E, Amer O, Tamer D, Mohamed M. 369 Cystic fibrosis global work: Progress of collaboration between University of Michigan and four universities in Egypt. J Cyst Fibros 2022. [DOI: 10.1016/s1569-1993(22)01059-1] [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: 11/07/2022]
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Agwa SHA, Elghazaly H, El Meteini MS, Yahia YA, Khaled R, Abd Elsamee AM, Darwish RM, Elsayed SM, Hafez H, Mahmoud BS, EM F, Matboli M. Identifying SARS-CoV-2 Lineage Mutation Hallmarks and Correlating Them With Clinical Outcomes in Egypt: A Pilot Study. Front Mol Biosci 2022; 9:817735. [PMID: 35350713 PMCID: PMC8958014 DOI: 10.3389/fmolb.2022.817735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 02/08/2022] [Indexed: 12/15/2022] Open
Abstract
The SARS-CoV-2 pandemic has led to over 4.9 million deaths as of October 2021. One of the main challenges of creating vaccines, treatment, or diagnostic tools for the virus is its mutations and emerging variants. A couple of variants were declared as more virulent and infectious than others. Some approaches were used as nomenclature for SARS-CoV-2 variants and lineages. One of the most used is the Pangolin nomenclature. In our study, we enrolled 35 confirmed SARS-CoV-2 patients and sequenced the viral RNA in their samples. We also aimed to highlight the hallmark mutations in the most frequent lineage. We identified a seven-mutation signature for the SARS-CoV-2 C36 lineage, detected in 56 countries and an emerging lineage in Egypt. In addition, we identified one mutation which was highly negatively correlated with the lineage. On the other hand, we found no significant correlation between our clinical outcomes and the C36 lineage. In conclusion, the C36 lineage is an emerging SARS-CoV-2 variant that needs more investigation regarding its clinical outcomes compared to other strains. Our study paves the way for easier diagnosis of variants of concern using mutation signatures.
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Affiliation(s)
- Sara H. A. Agwa
- Clinical Pathology and Molecular Genomics Unit of Medical Ain Shams Research Institute (MASRI), Faculty of Medicine, Ain Shams University, Cairo, Egypt
- *Correspondence: Sara H. A. Agwa, ; Marwa Matboli,
| | - Hesham Elghazaly
- Oncology Department, Medical Ain Shams Research Institute (MASRI), Cairo, Egypt
| | - Mahmoud Shawky El Meteini
- Department of General Surgery, The School of Medicine, University of Ain Shams, Abbassia, Cairo, Egypt
| | - Yahia A. Yahia
- Biochemistry Department, Faculty of Pharmacy, Misr University for Science and Technology, Giza, Egypt
| | - Radwa Khaled
- Biotechnology/Biomolecular Chemistry Program, Faculty of Science, Cairo University, Cairo, Egypt
- Biochemistry Department, Faculty of Medicine, Modern University for Technology and Information, Cairo, Egypt
| | - Aya M. Abd Elsamee
- Biochemistry and Molecular Genomics Unit of Medical Ain Shams Research Institute (MASRI), Ain Shams University, Cairo, Egypt
| | - Reham M. Darwish
- Biochemistry and Molecular Genomics Unit of Medical Ain Shams Research Institute (MASRI), Ain Shams University, Cairo, Egypt
| | - Shaimaa M. Elsayed
- Biochemistry and Molecular Genomics Unit of Medical Ain Shams Research Institute (MASRI), Ain Shams University, Cairo, Egypt
| | - Hala Hafez
- Clinical Pathology Department, Infection Control Unit, University of Ain Shams, Cairo, Egypt
| | - Basma S. Mahmoud
- Clinical Pathology Department, Infection Control Unit, University of Ain Shams, Cairo, Egypt
| | - Fouda EM
- Pediatric Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Marwa Matboli
- Medicinal Biochemistry and Molecular Biology Department, Faculty of Medicine, University of Ain Shams, Cairo, Egypt
- *Correspondence: Sara H. A. Agwa, ; Marwa Matboli,
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Abushady NM, Awad HAS, Kamel DR, Fouda EM, Ahmed NT, Dawoud MO. Role of lung ultrasound in the assessment of recruitment maneuvers in ventilated preterm neonates with respiratory distress syndrome and its correlation with tracheal IL-6 levels: A randomized controlled trial. J Neonatal Perinatal Med 2020; 14:369-374. [PMID: 33325403 DOI: 10.3233/npm-200605] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND This study's aim is to evaluate lung ultrasound (LUS) efficacy in detecting opening and closing lung pressures and its correlation with the tracheal interleukin 6 (IL-6) level. METHOD This single-blinded randomized controlled study was done at Ain Shams University Children's Hospital neonatal intensive care units, Egypt. It consists of 44 mechanically ventilated preterm neonates with Respiratory Distress Syndrome (RDS). Initial LUS assessment was done followed by randomization to one of 2 groups; group I: 22 patients underwent LUS guided RM and group II: 22 patients underwent non-ultrasound guided RM. Tracheal IL-6 level was measured before and after RM in both groups. RESULTS The LUS scores showed a sensitivity of 86.7%, specificity of 62.10% and accuracy of 70.45% at the cut-off point >B1 grade. After RM, there was a higher percentage of changes in mean airway pressure (p = 0.03), FiO2 (p = 0.01), PaO2/FiO2 ratio (p = 0.01), and IL-6 (p < 0.01) in group I. The duration of oxygen requirement (6 vs.13.5 days, p = 0.01), invasive ventilation (3 vs.5.5 days, p = 0.03), non-invasive ventilation (2.5 vs. 5 days, p = 0.02) and NICU stay (21.5 vs. 42.5 days, p = 0.03) were less in group I. A positive correlation is found between reaeration score and the duration of O2 requirement (p = 0.002), duration of invasive ventilation (p = 0.001), NICU length of stay (p = 0.002) and negative correlation with PaO2/FiO2 ratio before RM (p = 0.012). The best cut-off point for the reaeration score is >21 with a sensitivity of 75%, specificity of 71.43% and area under the curve of 78.1%. CONCLUSION LUS-guided RM achieved earlier lowest FiO2, shorter O2 dependency, lesser NICU stay and marked decrease in lung inflammation by decreasing atelectotrauma and shortening the duration of invasive ventilation.
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Affiliation(s)
- N M Abushady
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - H A S Awad
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - D R Kamel
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - E M Fouda
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - N T Ahmed
- Department of Radiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - M O Dawoud
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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Fouda EM, Kamel TB, Nabih ES, Abdelazem AA. Helicobacter pylori seropositivity protects against childhood asthma and inversely correlates to its clinical and functional severity. Allergol Immunopathol (Madr) 2018. [PMID: 28645881 DOI: 10.1016/j.aller.2017.03.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [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: 12/30/2022]
Abstract
BACKGROUND In recent years, the prevalence of asthma has risen in developed countries, and its extent related to a change in our indigenous microbiota. Helicobacter pylori disappearance across the population represents a fundamental change in our human microbiota and has preceded the rise in asthma prevalence. OBJECTIVE To assess the relationship between childhood asthma and Helicobacter pylori infection. METHODS Quantitative determination of Helicobacter pylori IgG among 90 asthmatic children and 90 - age and gender - matched non-atopic, non-asthmatic healthy children was performed using ELISA in serum of all participants. RESULTS Helicobacter pylori IgG seropositivity was found in 25.6% of asthmatics compared to 44.4% of controls. Asthmatics showed lower median Helicobacter pylori IgG titre compared to healthy controls. We also detected a significant inverse relationship between Helicobacter pylori IgG titre and asthma severity. CONCLUSION Helicobacter pylori seropositivity protects against childhood asthma and inversely correlates to its clinical and functional severity.
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Affiliation(s)
- E M Fouda
- Department of Pediatrics, Ain Shams University, Egypt.
| | - T B Kamel
- Department of Pediatrics, Ain Shams University, Egypt
| | - E S Nabih
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University, Egypt
| | - A A Abdelazem
- Department of Pediatrics, Ain Shams University, Egypt
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Fouda E, Emile S, Elfeki H, Youssef M, Ghanem A, Fikry AA, Elshobaky A, Omar W, Khafagy W, Morshed M. Indications for and outcome of primary repair compared with faecal diversion in the management of traumatic colon injury. Colorectal Dis 2016; 18:O283-91. [PMID: 27317308 DOI: 10.1111/codi.13421] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [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: 01/27/2016] [Accepted: 04/24/2016] [Indexed: 02/08/2023]
Abstract
AIM Injuries of the colon are a serious sequel of abdominal trauma owing to the associated morbidity and mortality. This study aims to assess postoperative outcome and complications of faecal diversion and primary repair of colon injuries when applied according to established guidelines for the management of colon injuries. METHOD This retrospective study was conducted on 110 patients with colon injuries. Guided by estimation of risk factors, patients were managed either by primary repair alone, repair with proximal diversion or diversion alone. RESULTS There were 102 (92.7%) male patients and 8 (7.3%) female patients of median age 38 years. Thirty-seven were managed by primary repair and 73 by faecal diversion. Colon injuries were caused by penetrating abdominal trauma in 65 and blunt trauma in 45 patients. Forty-three patients were in shock on admission, and were all managed by faecal diversion. Forty patients developed 84 complications after surgery. Primary repair had a significantly lower complication rate than faecal diversion (P = 0.037). Wound infection was the commonest complication. The overall mortality rate was 3.6%. CONCLUSION Primary repair, when employed properly, resulted in a significantly lower complication rate than faecal diversion. Significant predictive factors associated with a higher complication rate were faecal diversion, severe faecal contamination, multiple colon injuries, an interval of more than 12 h after colon injury and shock.
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Affiliation(s)
- E Fouda
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - S Emile
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - H Elfeki
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - M Youssef
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - A Ghanem
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - A A Fikry
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - A Elshobaky
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - W Omar
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - W Khafagy
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
| | - M Morshed
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Zaky E, Fouda E, Nabih E, Youssef O, Mohamed N. Assessment of the Impact of Secondhand Smoking On Children’s Mental Health; an Egyptian Study. Eur Psychiatry 2015. [DOI: 10.1016/s0924-9338(15)31927-1] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Fouda E, Abd El Fatah S, Barakat M, Anees L. The Immune Modulatory Effect of Allergen Specific Immunotherapy in Treated Asthmatics. BESPS 2008; 28:33-46. [DOI: 10.21608/besps.2008.36814] [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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