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| 1 | Reversibility of minimal hepatic encephalopathy following liver transplantation in Egyptian cirrhotic patients显示文摘AIM To evaluate the reversibility of minimal hepatic encephalopathy(MHE) following liver transplantation(LT) in Egyptian cirrhotic patients. METHODS This prospective study included twenty patients with biopsy-proven liver cirrhosis listed for LT and twenty ageand sex-matched healthy control subjects. All underwent neuro-psychiatric examination, laboratory investigations, radiological studies and psychometric tests including trail making test A(TMT A), TMT B, digit symbol test and serial dotting test. The psychometric hepatic encephalopathy score(PHES) was calculated for patients to diagnose MHE. Psychometric tests were repeated six months following LT in the cirrhotic patient group. RESULTS Before LT, psychometric tests showed highly significant deficits in cirrhotic patients in comparison to controls(P < 0.001). There was a statistically significant improvement in test values in the patient group after LT; however, their values were still significantly worse than those of the controls(P < 0.001). The PHES detected MHE in 16 patients(80%) before LT with a median value of -7 ± 3.5. The median PHES value was significantly improved following LT, reaching-4.5 ± 5(P < 0.001), and the number of patients with MHE decreased to 11(55%). The pre-transplant model for end-stage liver disease(MELD) score ≥ 15 was significantly related to the presence of post-transplant MHE(P = 0.005). More patients in whom reversal of MHE was observed had a pre-transplant MELD score < 15.CONCLUSION Reversal of MHE in cirrhotic patients could be achieved by LT, especially in those with a MELD score < 15. | Mahmoud A Osman Moataz M Sayed Khaled A Mansour Shereen A Saleh Wesam A Ibrahim Sara M Abdelhakam Mohamed Bahaa Wael A Yousry Hosam S Elbaz Reginia N Mikhail Azza M Hassan Ehab H Elsayed Dalia A Mahmoud | 2016 | World Journal of Hepatology2016，8，30： | 11 |
| 2 | Etiological risk factors for subfertility among Palestinian women in Gaza显示文摘The inability to procreate is frequently considered a personal tragedy and a hardship for couples, impacting on the entire family and even the local community. In Gaza strip, Palestine, there has been no study on etiological risk factors for subfertility. The present study aimed to identify risk factors associated with subfertility among women in Gaza, Palestine. One hundred and sixty-nine women in the study group and 115 women in the control group were included. Cases were selected randomly from those referred to the Al Basma Fertility Center, Gaza, Palestine. Data were collected through close-ended questionnaire, sonography, hormonal analysis and thrombophilia profile that included the methylenetetrahydrofolate reductase (MTHFR 677 C > T), factor V leiden (1691 G > A) and prothrombin (20210 G > A) genes. By using univariate analyses, the effects of different patient-related variables on the presence of subfertility were evaluated. A multiple logistic regression model was constructed, crude and adjusted odds ratios (OR) and 95% confidence intervals (95% CI) were calculated. The findings showed that 73.5 % (169/230) of the women referred to the Al Basma Center sought treatment for subfertility. Different etiological risk factors were associated with subfertility, the most frequent of which in descending order were: thrombophilic disorders, fallopian tube problems, sex hormone abnormalities and polycystic ovary syndrome with an adjusted OR of 21.42, 13.63, 11.69 and 10.29, respectively. In conclusion, several etiological risk factors are responsible for subfertility among women in Gaza. Comprehensive evaluation of infertile women should be considered in the course of treatment; otherwise, the duration of sterility may be extended. | Mahmoud Mohammed Sirdah Abdelnasser Kassem Abushahla Bahaa Yousif Ghalayeni Ahmed Gamel Aburamadan | 2013 | The Journal of Biomedical Research2013，27，2： | 4 |
| 3 | Living donor liver transplantation for high model for endstage liver disease score:What have we learned?显示文摘AIM: To assess the impact of model for end-stage liver disease(MELD) score on patient survival and morbidity post living donor liver transplantation(LDLT). METHODS: A retrospective study was performed on 80 adult patients who had LDLT from 2011-2013. Nine patients were excluded and 71 patients were divided into two groups; Group 1 included 38 patients with a MELD score < 20, and Group 2 included 33 patients with a MELD score > 20. Comparison between both groups was done regarding operative time, intra-operative blood requirement, intensive care unit(ICU) and hospital stay, infection, and patient survival.RESULTS: Eleven patients died(15.5%); 3/38(7.9%)patients in Group 1 and 8/33(24.2%) in Group 2 with significant difference(P = 0.02). Mean operative time, duration of hospital stay, and ICU stay were similar in both groups. Mean volume of blood transfusion and cell saver re-transfusion were 8 ± 4 units and 1668 ± 202 m L, respectively, in Group 1 in comparison to 10 ± 6 units and 1910 ± 679 m L, respectively, in Group 2 with no significant difference(P = 0.09 and 0.167, respectively). The rates of infection and systemic complications(renal, respiratory, cardiovascular and neurological complications) were similar in both groups. CONCLUSION: A MELD score > 20 may predict mortality after LDLT. | Hany Dabbous Mohammad Sakr Sara Abdelhakam Iman Montasser Mohamed Bahaa Hany Said Mahmoud El-Meteini | 2016 | World Journal of Hepatology2016，8，22： | 2 |
| 4 | Spot urinary sodium for assessing dietary sodium restriction in cirrhotic ascites显示文摘AIM: To evaluate the accuracy of spot urinary Na/K and Na/creatinine (Cr) ratios as an alternative to 24-h urinary sodium in monitoring dietary compliance in patients with liver cirrhosis and ascites treated with diuretics. METHODS: The study was carried on 40 patients with liver cirrhosis and ascites treated with diuretic therapy. Patients were divided into two groups according to 24-h urinary sodium. We measured spot urine Na/K ratio, Na/ Cr ratio and 24-h urinary sodium. Student's t test was used to compare the interval variables and χ2 test to compare the nominal variables between the two groups. Receiver operator characteristic curve was used to identify the best cutoff point for Na/K and Na/Cr ratio. RESULTS: The best cutoff point for Na/K ratio was 2.5 (P < 0.001) and area under the curve (AUC) was 0.9, and for Na/Cr ratio, the best cutoff point was 35 (P < 0.001) and AUC was 0.885. Na/K ratio showed higher sensitivity and accuracy compared to Na/Cr ratio (87.5% and 87% for Na/K ratio; 81% and 85% for Na/Cr ratio, respectively). CONCLUSION: Spot urine Na/K ratio has adequate accuracy for assessment of dietary sodium restrictioncompared with 24-h urinary sodium in patients with liver cirrhosis and ascites. | Mohammed Abdelhamid El-Bokl Bahaa Eldeen Senousy Khaled Zakaria El-Karmouty Inas El-Khedr Mohammed Sherif Monier Mohammed Sherif Sadek Shabana Hassan Shalaby | 2009 | World Journal of Gastroenterology2009，15，29： | 2 |
| 5 | Clinical efficacy of direct-acting antiviral therapy for recurrent hepatitis C virus infection after liver transplantation in patients with hepatocellular carcinoma显示文摘BACKGROUND Recurrent hepatitis C virus(HCV)infection of transplanted liver allografts is universal in patients with detectable HCV viremia at the time of transplantation.Direct-acting antiviral(DAA)therapy has been adopted as the standard of care for recurrent HCV infection in the post-transplant setting.However,there are insufficient data regarding its efficacy in liver transplant(LT)recipients with a history of hepatocellular carcinoma(HCC),and the risk of HCC recurrence after DAA therapy is unknown.predictors of DAA treatment failure and HCC recurrence in LT recipients.METHODS A total of 106 LT recipients given DAAs for recurrent HCV infection from 2015 to 2019 were identified(68 with and 38 without HCC).Descriptive statistics and logistic regression models were used to estimate the multivariate odds ratios and respective 95%confidence intervals for predictors of treatment failure and HCC recurrence.RESULTS Six patients(6%)experienced DAA therapy failure post-LT and 100(94%)had a sustained virologic response at follow-up week 12.A high alanine transaminase level>35 U/L at treatment week 4 was a significant predictor of treatment failure.Relapse to pre-LT DAA therapy is a predictor of post-LT HCC recurrence,P=0.04.DAA relapse post-LT was also associated with post-transplantation HCC recurrence,P=0.05.CONCLUSION DAAs are effective and safe in the treatment of recurrent HCV infection in LT recipients with history of HCC.Relapse to pre-and post-LT DAA therapy is associated with post-transplantation HCC recurrence. | Mohamed Saleh Ismail Manal Hassan Saira Aijaz Khaderi Wael Ahmed Yousry Maha Mohsen Kamal El-Din Mohamed Mohamed Bahaa El-Din Osama Aboelfotoh El Sayed Ahmed Omar Kaseb John Alan Goss FasihaKanwal Prasun Kumar Jalal | 2020 | World Journal of Hepatology2020，12，9： | 1 |
| 6 | Impact of biliary complications on quality of life in live-donor liver transplant recipients显示文摘BACKGROUND Despite significant advancements in liver transplantation(LT)surgical procedures and perioperative care,post-LT biliary complications(BCs)remain a significant source of morbidity,mortality,and graft failure.In addition,data are conflicting regarding the health-related quality of life(HRQoL)of LT recipients.Thus,the success of LT should be considered in terms of both the survival and recovery of HRQoL.AIM To assess the impact of BCs on the HRQoL of live-donor LT recipients(LDLT-Rs).METHODS We retrospectively analysed data for 25 LDLT-Rs who developed BCs post-LT between January 2011 and December 2016 at our institution.The Short Form 12 version 2(SF 12v2)health survey was used to assess their HRQoL.We also included 25 LDLT-Rs without any post-LT complications as a control group.RESULTS The scores for HRQoL of LDLT-Rs who developed BCs were significantly higher than the norm-based scores in the domains of physical functioning(P=0.003),role-physical(P<0.001),bodily pain(P=0.003),general health(P=0.004),social functioning(P=0.005),role-emotional(P<0.001),and mental health(P<0.001).No significant difference between the two groups regarding vitality was detected(P=1.000).The LDLT-Rs with BCs had significantly lower scores than LDLT-Rs without BCs in all HRQoL domains(P<0.001)and the mental(P<0.001)and physical(P=0.0002)component summary scores.CONCLUSION The development of BCs in LDLT-Rs causes a lower range of improvement in HRQoL. | Reginia Nabil Guirguis Ehab Hasan Nashaat Azza Emam Yassin Wesam Ahmed Ibrahim Shereen A Saleh Mohamed Bahaa Mahmoud El-Meteini Mohamed Fathy Hany Mansour Dabbous Iman Fawzy Montasser Manar Salah Ghada Abdelrahman Mohamed | 2021 | World Journal of Hepatology2021，13，10： | 1 |
| 7 | Inhaled Foreign Bodies: Presentation, Management and Value of History and Plain Chest Radiography in Delayed Presentation显示文摘 | Sameh Ibrahim Sersar Walid Hassan Rizk Maha Bilal Mohammed M. El Diasty Tarik Abudlla Eltantawy Bahaa Badry Abdelhakam Adel Mohamed F. Elgamal Alaa Ali Abou Bieh | 2006 | Otolaryngology - Head and Neck Surgery2006，，1： | 1 |
| 8 | Biliary complications in recipients of living donor liver transplantation:A single-centre study显示文摘BACKGROUND Biliary complications(BCs)after liver transplantation(LT)remain a considerable cause of morbidity,mortality,increased cost,and graft loss.AIM To investigate the impact of BCs on chronic graft rejection,graft failure and mortality.METHODS From 2011 to 2016,215 adult recipients underwent right-lobe living-donor liver transplantation(RT-LDLT)at our centre.We excluded 46 recipients who met the exclusion criteria,and 169 recipients were included in the final analysis.Donors’and recipients’demographic data,clinical data,operative details and postoperative course information were collected.We also reviewed the management and outcomes of BCs.Recipients were followed for at least 12 mo post-LT until December 2017 or graft or patient loss.RESULTS The overall incidence rate of BCs including biliary leakage,biliary infection and biliary stricture was 57.4%.Twenty-seven(16%)patients experienced chronic graft rejection.Graft failure developed in 20(11.8%)patients.A total of 28(16.6%)deaths occurred during follow-up.BCs were a risk factor for the occurrence of chronic graft rejection and failure;however,mortality was determined by recurrent hepatitis C virus infection.CONCLUSION Biliary complications after RT-LDLT represent an independent risk factor for chronic graft rejection and graft failure;nonetheless,effective management of these complications can improve patient and graft survival. | Reginia Nabil Guirguis Ehab Hasan Nashaat Azza Emam Yassin Wesam Ahmed Ibrahim Shereen A Saleh Mohamed Bahaa Mahmoud El-Meteini Mohamed Fathy Hany Mansour Dabbous Iman Fawzy Montasser Manar Salah Ghada Abdelrahman Mohamed | 2021 | World Journal of Hepatology2021，13，12： | 1 |
| 9 | Evaluation of children and adults with post-COVID-19 persistent smell,taste and trigeminal chemosensory disorders:A hospital based study显示文摘BACKGROUND Smell disorders are the most frequent persistent coronavirus disease 2019(COVID-19)complications.AIM To describe the patterns and characteristics of persistent smell and taste disorders in Egyptian patients.METHODS Assessment was done to 185 patients(adults=150,age:31.41±8.63 years;children=35;age:15.66±1.63 years).Otolaryngology and neuropsychiatric evaluations were done.Measurements included:A clinical questionnaire(for smell and taste);sniffin'odor,taste and flavor identification tests and the Questionnaire of Olfactory Disorders-Negative Statements(sQOD-NS).RESULTS Duration of disorders was 11.53±3.97 ms(6-24 ms).Parosmia(n=119;64.32%)was developed months after anosmia(3.05±1.87 ms).Objective testing showed anosmia in all,ageusia and flavor loss in 20%(n=37)and loss of nasal and oral trigeminal sensations in 18%(n=33)and 20%(n=37),respectively.Patients had low scoring of sQOD-NS(11.41±3.66).There were no specific differences in other demographics and clinical variables which could distinguish post-COVID-19 smell and taste disorders in children from adults.CONCLUSION The course of small and taste disorders are supportive of the nasal and oral neuronal compromises.Post-COVID-19 taste and trigeminal disorders were less frequent compared to smell disorders.Post-COVID-19 flavor disorders were solely dependent on taste and not smell disorders.There were no demographics,clinical variables at onset or specific profile of these disorders in children compared to adults. | Sherifa Ahmed Hamed Eman Bahaa Kamal-Eldeen Mohamed Azzam Abdel-Razek Ahmed | 2023 | World Journal of Clinical Pediatrics2023，12，3： | 0 |
| 10 | Evaluation of Antioxidants, Total Phenolics and Antimicrobial Activities of Ethyl Acetate Extracts From Fungi Grown on Rice Straw显示文摘Rice straw(RS)collected from Egyptian agricultural environment(Al-Masied village-Alsharqia Governorate-Egypt)was used as substrate for three fungal isolates namely:4b,1Asp,Pleurotus ostreatus NRRL 3501 and mixed culture of(4b,1Asp).Isolates number 4b and 1Asp were identified using the molecular technique(18S rRNA).Isolate 4b and 1Asp,were identified as Trichoderma saturnisporum MN1-EGY and Aspergillus niger MN2-EGY,respectively.Trichoderma saturnisporum MN1-EGY extract exhibited the highest antimicrobial activity compared to the other fungal extracts.Total phenolic,antimicrobial and antioxidant activities were also determined from the ethyl acetate extract of rice straw inoculated by these fungi.The antioxidant scavenging concentration(SC50)values of the tested samples were 88.84,91.45,94.65 and 100.0μg/ml,respectively for Pleurotus sp.,Aspergiluus niger,Aspergiluus niger+Trichoderma sp.,and Trichoderma sp.,after 15 days incubation,compared to ascorbic acid as positive control with SC50 value equal to 8.0μg/ml.Total phenolic contents(TPCs)were maximum in Pleurotus sp.extract and found to be the most polyphenolic enriched sample(380.64 mg GAE/g dry extract)compared to extracts of Aspergiluusniger,Aspergiluus niger+Trichoderma sp.,and Trichoderma sp.(261.89,198.52,and 119.80 mg GAE/g dry extract),respectively.The GC-MS analysis has been also performed for the promising extracts. | Bahaa T.Shawky Mohammed Nagah Mosad A.Ghareeb Gamal M.El-Sherbiny Saad A.M.Moghannem Mohamed S.Abdel-Aziz | 2019 | Journal of Renewable Materials2019，7，7： | 0 |
| 11 | Bacterial infections post-living-donor liver transplantation in Egyptian hepatitis C virus-cirrhotic patients: A singlecenter study显示文摘AIM To determine risk factors, causative organisms and antimicrobial resistance of bacterial infections following living-donor liver transplantation(LDLT) in cirrhotic patients.METHODS This prospective study included 45 patients with hepatitis C virus-related end-stage liver disease who underwent LDLT at Ain Shams Center for Organ Transplant, Cairo, Egypt from January 2014 to November 2015. Patients were followed-up for the first 3 mo after LDLT for detection of bacterial infections. All patients were examined for the possible risk factors suggestive of acquiring infection pre-, intra-and post-operatively. Positive cultures based on clinical suspicion and patterns of antimicrobial resistance were identified. RESULTS Thirty-three patients(73.3%) suffered from bacterial infections; 21 of them had a single infection episode, and 12 had repeated infection episodes. Bile was the most common site for both single and repeated episodes of infection(28.6% and 27.8%, respectively). The most common isolated organisms were gramnegative bacteria. Acinetobacter baumannii was the most common organism isolated from both single and repeated infection episodes(19% and 33.3%, respectively), followed by Escherichia coli for repeated infections(11.1%), and Pseudomonas aeruginosa for single infections(19%). Levofloxacin showed high sensitivity against repeated infection episodes(P = 0.03). Klebsiella, Acinetobacter and Pseudomonas were multi-drug resistant(MDR). Pre-transplant hepatocellular carcinoma(HCC) and duration of drain insertion(in days) were independent risk factors for the occurrence of repeated infection episodes(P = 0.024).CONCLUSION MDR gram-negative bacterial infections are common post-LDLT. Pre-transplant HCC and duration of drain insertion were independent risk factors for the occurrence of repeated infection episodes. | Mohamed F Montasser Nadia A Abdelkader Sara M Abdelhakam Hany Dabbous Iman F Montasser Yasmine M Massoud Waleed Abdelmoaty Shereen A Saleh Mohamed Bahaa Hany Said Mahmoud El-Meteini | 2017 | World Journal of Hepatology2017，9，20： | 0 |
| 12 | Emirati Limestones: Impact of Low Temperature Microstructure on the Industrial Applications显示文摘The main aim of this work is to study the possibility of using different Emirati limestones for the production of quicklime. Representative limestone samples have been collected to represent the Triassic, Jurassic, Cretaceous, Eocene and Oligocene ages. The limestone samples have been characterized for their microstructure, mineral and chemical composition, physico-mechanical characteristics, thermal behavior using polarizing and scanning microscopes together with X-ray micro-tomography, XRD-IR, XRF, Archimedes and Mercury intrusion methods and DTA-TGA, respectively. Post characterization, the samples were fired in electrical muffle furnace for calcination under the firing conditions (800℃ to 1100℃) for (0.25 – 2 h). Then the lime grains have been characterized for their hydration rate, free lime content, pore-distribution and microfabric. | Sulaiman Alaabed Abdel Monem M.Soltan Osman Abdel-Ghani Bahaa Eddin Mahmoud Mohamed ElTokhi Abbas Khalil Abdullah Musalim | 2013 | 矿物学报2013，33，S1： | 0 |
| 13 | Intensive care unit readmission in adult Egyptian patients undergoing living donor liver transplant:A single-centre retrospective cohort study显示文摘BACKGROUND Patients who undergo living donor liver transplantation(LDLT)may suffer complications that require intensive care unit(ICU)readmission.AIM To identify the incidence,causes,and outcomes of ICU readmission after LDLT.METHODS A retrospective cohort study was conducted on patients who underwent LDLT.The collected data included patient demographics,preoperative characteristics,intraoperative details;postoperative stay,complications,causes of ICU readmission,and outcomes.Patients were divided into two groups according to ICU readmission after hospital discharge.Risk factors for ICU readmission were identified in univariate and multivariate analyses.RESULTS The present study included 299 patients.Thirty-one(10.4%)patients were readmitted to the ICU after discharge.Patients who were readmitted to the ICU were older in age(53.0±5.1 vs 49.4±8.8,P=0.001)and had a significantly higher percentage of women(29%vs 13.4%,P=0.032),diabetics(41.9%vs 24.6%,P=0.039),hypertensives(22.6%vs 6.3%,P=0.006),and renal(6.5%vs 0%,P=0.010)patients as well as a significantly longer initial ICU stay(6 vs 4 d,respectively,P<0.001).Logistic regression analysis revealed that significant independent risk factors for ICU readmission included recipient age(OR=1.048,95%CI=1.005-1.094,P=0.030)and length of initial hospital stay(OR=0.836,95%CI=0.789-0.885,P<0.001).CONCLUSION The identification of high-risk patients(older age and shorter initial hospital stay)before ICU discharge may help provide optimal care and tailor follow-up to reduce the rate of ICU readmission. | Manar Salah Iman Fawzy Montasser Hanaa A El Gendy Alaa A Korraa Gamal M Elewa Hany Dabbous Hossam R Mahfouz Mostafa Abdelrahman Mohammed Hisham Goda Mohamed Mohamed Bahaa El-Din Mahmoud El-Meteini Heba A Labib | 2022 | World Journal of Hepatology2022，14，6： | 0 |
| 14 | Geochemistry and mineral chemistry of Pan-African amphibolites of South Sinai,Egypt显示文摘In the Wadi Feiran area, amphibolites occur as inclusions, bands, linear bodies of variable thickness and irregular lenses in para-geneisses. Chemical evidence indicates that these amphibolites display an igneous origin and were derived from magma essentially of tholelitic rather than alkaline composition; transitional in character between continental and island-arc. The chemistry of amphiboles, related to pressure and temperature conditions of metamorphism, showed that they were formed under low pressure and high temperature conditions. | Mohamed El-Tokhi Bahaa Eldin Amin Sulaiman Alabeed Abdulla Musallam | 2010 | Chinese Journal Of Geochemistry2010，29，3： | 0 |
| 15 | 新一代羟乙基淀粉与人血白蛋白在活体肝移植中安全性的比较显示文摘背景血容量替代治疗是肝移植围手术期管理的重要部分。目前尚缺乏羟乙基淀粉(HES)应用于肝移植患者的相关安全性数据。我们评估了新一代羟乙基淀粉130/0.4应用于肝移植围手术期管理的安全性,并着重分析了其对肾功能的影响。方法行活体肝移植的40例患者被预先随机分成两组。ALB组患者(n=20)给予5%人血自蛋白,HES组(n=20)给予第三代羟乙基淀粉(6%HES130/0.4)。胶体总量被限制在50ml·kg^-1·d^-1,容量输注使肺小动脉楔压或中心静脉压维持在5—7mmHg。如需要额外的液体,则用平衡盐溶液替代。麻醉和手术操作过程均被标准化。分别测定麻醉诱导后、手术结束时、手术后前4天的动脉血肌酐和血清半胱氨酸蛋白酶抑制剂C(cystatin C)血浆水平。结果所有40例登记患者完成了研究。两组患者的人口统计学及手术中变量均具有可比性。手术后胶体液输入量分别是HES组6229±1140ml和ALB组4636±1153ml(P=0.003)。与ALB组(1100±900m1)相比,HES组(3047±2000ml)有更大的净累积液体平衡量(P=0.029)。两组血肌酐水平、肌酐清除率、cystafin C血浆水平差异无显著性。每组各有一例患者合并急性肾功能衰竭需行肾脏替代治疗。结论HES130/0.4做为人血白蛋白的替代品对肝移植术后肾功能的影响与后者相似。 | Ahmed Mukhtar Fawzia Aboulfetouh Gihan Obayah Maged Salah Mohamed Emam Yehia Khater Ramzia Akram Aly Hoballah Mohamed Bahaa 沈文振(译) 岳云(校) | 2011 | 麻醉与镇痛2011，7，1： | 0 |
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