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Hany M, Zidan A, Ghozlan NA, Ghozlan MN, Abouelnasr AA, Sheta E, Hamed Y, Kholosy H, Soffar M, Midany WME, Torensma B. Comparison of Histological Skin Changes After Massive Weight Loss in Post-bariatric and Non-bariatric Patients. Obes Surg 2024; 34:855-865. [PMID: 38277086 PMCID: PMC10899414 DOI: 10.1007/s11695-024-07066-y] [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: 12/10/2023] [Revised: 01/12/2024] [Accepted: 01/18/2024] [Indexed: 01/27/2024]
Abstract
BACKGROUND Changes in the skin structure, including the collagen and elastin content, have been reported with massive weight loss (MWL) following bariatric metabolic surgery (BMS) and have been correlated to a higher risk of complications after body-contouring surgery (BCS). This study aimed at comparing the histological characteristics of the skin of patients having surgical MWL (SMWL) post-BMS to those with non-surgical massive weight loss (NSMWL). METHODS This prospective study compared the epidermal thickness, and collagen and elastin fibers content in 80 skin biopsies obtained from BCS procedures performed to patients who experienced MWL defined more than 50% of excess weight loss (%EWL) either SMWL (40 biopsies) or NSMWL (40 biopsies). Twenty biopsies in each group were obtained from abdominoplasties and 20 from breast reductions. Epidermal thickness was measured in H&E-stained sections, collagen fibers were assessed using Masson trichrome-stained sections, and elastin fibers were assessed using Modified Verhoeff's stained sections. Image analysis software was used to calculate the fractions of collagen and elastin fibers. RESULTS This study included 77 patients, 38 SMWL patients, and 39 NSMWL patients. The SMWL group had a significantly higher age (p < 0.001), a longer time interval from intervention (p < 0.001), higher initial weight (p < 0.001), higher initial BMI (p < 0.001), lower current weight (p = 0.005), lower current BMI (p < 0.001), and significantly higher %EWL than NSMWL group (p < 0.001). No significant differences were detected between the two groups regarding complications after abdominoplasty (p = 1.000). The elastic fibers content in the dermis was significantly higher in the abdominal region of the NSMWL group than SMWL (p = 0.029). All other parameters showed non-significant differences between NSMWL and SMWL in the skin of abdomen and breast. CONCLUSION The SMWL group had a significant reduction in elastic fiber content in the skin of the abdomen compared to the NSMWL group. The collagen content was equally reduced in both groups with non-significant differences in both breast and abdomen regions in both groups.
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Affiliation(s)
- Mohamed Hany
- Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, Alexandria, 21561, Egypt.
- Madina Women's Hospital, Alexandria University, Alexandria, Egypt.
| | - Ahmed Zidan
- Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, Alexandria, 21561, Egypt
| | - Nasser A Ghozlan
- Plastic and Reconstructive Surgery - Alexandria University, Alexandria, Egypt
| | - Mohamed N Ghozlan
- Department of Plastic Surgery, Alexandria University, Alexandria, Egypt
| | - Anwar Ashraf Abouelnasr
- Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, Alexandria, 21561, Egypt
| | - Eman Sheta
- Pathology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Yasser Hamed
- Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, Alexandria, 21561, Egypt
| | - Hassan Kholosy
- Department of Plastic Surgery, Alexandria University, Alexandria, Egypt
| | - Mohammed Soffar
- Department of Plastic Surgery, Alexandria University, Alexandria, Egypt
| | | | - Bart Torensma
- Leiden University Medical Center (LUMC), Leiden, The Netherlands
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Hamed Y, Seddeek MI, Ahmed AM, Dawa TA, Hashem H, Othman AM, Fayed AGI, Elbazzar N, Metwally RA, El Sayed MESAE, Yousry A, Shokry AE. Factors predicting functional outcome after rtPA for patients with acute ischemic stroke. Egypt J Neurol Psychiatry Neurosurg 2024; 60:17. [DOI: https:/doi.org/10.1186/s41983-024-00790-3] [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] [Received: 06/24/2023] [Accepted: 01/12/2024] [Indexed: 02/23/2024] Open
Abstract
Abstract
Background
Accurate outcome prediction for patients with acute ischemic stroke after intravenous recombinant tissue plasminogen activator (rtPA) treatment is essential for optimizing patients’ management. We aimed to identify factors associated with unfavorable outcomes following intravenous rtPA treatment. This study was carried out on 162 patients who presented with acute ischemic stroke within 4.5 h from onset of neurological symptoms and were eligible for intravenous rtPA. After exclusion of 48 patients, 114 patients were finally eligible for follow-up. After complete medical and neurological history, complete medical and neurological examination and brain image (CT and or MRI brain) were collected from the patients. patients eligible were included in the study. NIHS scale was assessed for all patients at time of admission, after 24 h, and follow-up for 3 months.
Results
After a 90-day follow-up period for 114 patients with acute ischemic stroke after rtPA, 35.8% had good outcome (MRS; 0–2), 18.5% had partial outcome (MRS; 3–4) and 12.5% had poor outcome (MRS; 5–6). Atrial fibrillation (AF), PH of stroke, stroke severity, and severity of symptom (NIHSS) score were significantly (P: 0.004, 0.001, 0.007 and 0.001) correlated with poor outcome after rtPA. Similarly, old age, high blood pressure at time of presentation, hypertension, and dyslipidemia were showed to carry poor outcome.
Conclusions
AF, high NIHSS score, PH of stroke, previous stroke, hypertension, dyslipidemia, and high blood pressure on presentation were significantly correlated with poor functional outcome.
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Saad K, Shabaan I, Hassan AEMM, Ezzat M, Abouzed MA, Hamed Y, Ibrahim MFM, Gad EF. Gluten-Free, Casein-Free Diet for Children with Autism Spectrum Disorder: A Case-Controlled Study. J Pharm Bioallied Sci 2024; 16:S905-S908. [PMID: 38595631 PMCID: PMC11001083 DOI: 10.4103/jpbs.jpbs_1074_23] [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: 10/18/2023] [Revised: 11/05/2023] [Accepted: 11/11/2023] [Indexed: 04/11/2024] Open
Abstract
Background and Objectives Numerous therapeutic and dietary interventions have been examined in the last thirty years for pediatric patients diagnosed with autism spectrum disorder (ASD). Our interventional study aimed to assess the effectiveness of the gluten-free, casein-free (GFCF) diet in a cohort of Egyptian children with ASD. Materials and Methods The present clinical trial was conducted as a prospective 12-month, open-label, case-controlled interventional study. Thirty-six ASD children who were newly diagnosed and had not taken any prior psychiatric or rehabilitation therapy were included in this study. The patients were randomly assigned into two groups: group A, which received the GFCF diet, and group B, which served as the control group and was not restricted to food containing gluten and casein for 12 months. All patients were followed up for 1 year. Results Following the implementation of the GFCF diet in group A, significant improvements in CARS scores were observed compared to group B after 6-month and 1-year follow-up periods. Conclusions The introduction of the GFCF diet could be helpful and promising for autistic children. Conclusive evidence regarding the effectiveness of the GFCF diet remains a subject of controversy. Nonetheless, our study contributes some evidence supporting its potential benefits for children with ASD. It is recommended that future research on the GFCF diet employ a more sophisticated research design, incorporating a consistent baseline measure that can effectively assess the therapeutic effects of these interventions for individuals with ASD.
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Affiliation(s)
- Khaled Saad
- Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
| | - Islam Shabaan
- Department of Psychiatry, Faculty of Medicine, Al Azhar University, Assiut, Egypt
| | | | - Mohamed Ezzat
- Department of Pediatrics, Faculty of Medicine, Al Azhar University, Cairo, Egypt
| | - Mohamed A. Abouzed
- Department of Psychiatry, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Yasser Hamed
- Department of Neurology Faculty of Medicine, Assiut University, Assiut, Egypt
| | | | - Eman F. Gad
- Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
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Hamed Y, Shokry AE, Shehata KMA, Osman SM, Saad K, Sawy SS, Abdelrazzak E, Abdelmola OM, Mansour T. CNS Demyelination Syndromes Following COVID-19 Vaccination: A Case Series. J Pharm Bioallied Sci 2024; 16:S1002-S1006. [PMID: 38595635 PMCID: PMC11000968 DOI: 10.4103/jpbs.jpbs_1084_23] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Revised: 11/05/2023] [Accepted: 11/11/2023] [Indexed: 04/11/2024] Open
Abstract
Background and Objectives Although immunization against coronavirus disease 2019 (COVID-19) is ongoing, adverse reactions to these vaccinations have been observed in isolated cases. We aimed to report different neurological complications developed after COVID-19 vaccination. Materials and Methods In our case series study, we report all cases of CNS demyelination following COVID-19 immunization. Clinical evaluation, brain MRI, and CSF analysis for oligoclonal bands and IgG index were performed for all patients. Other investigations were performed for selected patients, including spine MRI, EEG, VEP, and aquaporin-4. Results Eighteen patients (eight males and ten females) with no history of COVID-19 infection had neurological manifestations (vertigo, ataxia, recurrent attacks of loss of consciousness, optic neuritis, and myelitis) starting within 14 days after Pfizer (n = 12) and AstraZeneca (n = 6) vaccination. MRI was obtained during the acute stage of the disease. The most common presenting symptoms were optic neuritis and hemiparesis. Sixteen patients had altered signal intensity and multiple variable-sized, round to ill-defined oval lesions suggestive of MS. Two showed findings compatible with transverse myelitis. Conclusion This study identified CNS demyelination complications after COVID-19 vaccination. The COVID-19 vaccination could result in CNS complications, possibly connected to a post-vaccination inflammatory process. We recommend continuous post-marketing monitoring for adverse reactions in individuals who received the vaccines to establish a connection and guarantee the long-term safety of COVID-19 vaccines.
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Affiliation(s)
- Yasser Hamed
- Department of Neurology, Faculty of Medicine, Al-Azhar University-Assiut Branch, Egypt
| | - Abd-Elaziz Shokry
- Department of Neurology, Faculty of Medicine, Al-Azhar University-Assiut Branch, Egypt
| | - Khaled Mohamed Ali Shehata
- Department of Internal Medicine, Faculty of Medicine, Assiut University Hospital, Assiut University, Assiut, Egypt
| | - Salma Mokhtar Osman
- Department of Internal Medicine, Faculty of Medicine, Assiut University Hospital, Assiut University, Assiut, Egypt
| | - Khaled Saad
- Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
| | - Safwat Salama Sawy
- Department of Gastroenterology, Hepatology and Infectious Diseases, Faculty of Medicine, Al-Azhar University-Assiut Branch, Egypt
| | - Emad Abdelrazzak
- Department of Gastroenterology, Hepatology and Infectious Diseases, Faculty of Medicine, Al-Azhar University-Assiut Branch, Egypt
| | - Omran Mohamed Abdelmola
- Department of Gastroenterology, Hepatology and Infectious Diseases, Faculty of Medicine, Al-Azhar University-Assiut Branch, Egypt
| | - Tarek Mansour
- Department of Radiodiagnosis, Faculty of Medicine, Al-Azhar University- Assiut Branch, Egypt
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Abou Shousha SA, Hussein B, Shahine Y, Fadali G, Zohir M, Hamed Y, Hemedah M, Baheeg SA, Ibrahim A, El Shannawy M, Osman EM. Angiogenic activities of interleukin-8, vascular endothelial growth factor and matrix metalloproteinase-9 in breast cancer. Egypt J Immunol 2022; 29:54-63. [PMID: 35758969] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Angiogenesis is a major contributor to tumor growth and metastasis within breast cancer tumor microenvironment in which different proangiogenic factors have been identified and associated with tumor progression, metastasis and poor prognosis. The aim of the current study was to evaluate the angiogenesis among breast cancer patients through ex vivo assessment of the angiogenic factors interleukin 8 (IL-8) and vascular endothelial growth factor (VEGF)-A expressions in excised tumor tissues as well as matrix metalloproteinase 9 (MMP-9) serum levels as well as the prognostic value of MMP-9. Our study included 28 invasive ductal carcinoma female patients who were scheduled for modified radical mastectomy at Medical Research Institute, Alexandria University, Egypt and 10 control subjects. Both IL-8 and VEGF-A expressions were immunohistochemically detected in tumor tissues and serum MMP-9 was determined by ELISA. Although no significant correlations were found between each of IL-8, VEGF-A, MMP-9 levels, and patients' clinicopathological parameters, a significant positive correlation was found between these angiogenic factors each other suggesting their synergistic roles in proceeding angiogenesis. Higher serum MMP-9 level was detected in breast cancer patients compared to the control group, indicating that it can be used as a prognostic biomarker in breast cancer patients.
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Affiliation(s)
- Seham A Abou Shousha
- Department of Immunology and Allergy, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Basma Hussein
- Department of Immunology and Allergy, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Yasmine Shahine
- Department of Microbiology and Immunology, Faculty of Pharmacy, Pharos University, Alexandria, Egypt
| | - Geylan Fadali
- Department of Pathology, Medical Research Institute, Alexandria University, Egypt
| | - Malak Zohir
- Department of Pathology, Medical Research Institute, Alexandria University, Egypt
| | - Yasser Hamed
- Department of Experimental and Clinical Surgery, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Mahmoud Hemedah
- Department of Experimental and Clinical Surgery, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Suzan A Baheeg
- National Institute of Oceanography and Fisheries, Central Laboratories Unit, Alexandria Egypt
| | - Ahmed Ibrahim
- Department of Immunology and Allergy, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Mohammed El Shannawy
- Department of Immunology and Allergy, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Eman M Osman
- Department of Immunology and Allergy, Medical Research Institute, Alexandria University, Alexandria, Egypt
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Abou Shousha S, Hussein B, Shahine Y, Fadali G, Zohir M, Hamed Y, Baheeg S, Ibrahim A, El Shannawy M, Osman E. Angiogenic activities of interleukin-8, vascular endothelial growth factor and matrix metalloproteinase-9 in breast cancer. Egypt J Immunol 2022. [DOI: 10.55133/eji.290307] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Angiogenesis is a major contributor to tumor growth and metastasis within breast cancer tumor microenvironment in which different proangiogenic factors have been identified and associated with tumor progression, metastasis and poor prognosis. The aim of the current study was to evaluate the angiogenesis among breast cancer patients through ex vivo assessment of the angiogenic factors interleukin 8 (IL-8) and vascular endothelial growth factor (VEGF)-A expressions in excised tumor tissues as well as matrix metalloproteinase 9 (MMP-9) serum levels as well as the prognostic value of MMP-9. Our study included 28 invasive ductal carcinoma female patients who were scheduled for modified radical mastectomy at Medical Research Institute, Alexandria University, Egypt and 10 control subjects. Both IL-8 and VEGF-A expressions were immunohistochemically detected in tumor tissues and serum MMP-9 was determined by ELISA. Although no significant correlations were found between each of IL-8, VEGF-A, MMP-9 levels, and patients’ clinicopathological parameters, a significant positive correlation was found between these angiogenic factors each other suggesting their synergistic roles in proceeding angiogenesis. Higher serum MMP-9 level was detected in breast cancer patients compared to the control group, indicating that it can be used as a prognostic biomarker in breast cancer patients.
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Abstract
Introduction Urinary retention is a widely recognised postoperative complication. Although anecdotally lower limb arthroplasty is linked with high rates of urinary retention, there are no current accepted standards for determining which patients are at higher risk and should therefore be offered intra operative catheterisation. Materials and Methods One hundred patients, 55 females and 45 males, who underwent uncomplicated total hip or total knee replacements at Furness General Hospital were recruited between January and April 2017. Results Post-operative urinary retention was seen frequently, with 38 patients (38%) requiring post-operative catheterisation. Twenty-one males (46%) developed postoperative retention compared to 17 (30%) of females, representing a statistically significant increase in risk seen in male patients. (p 0.009). Post-operative urinary retention requiring catheterisation was associated with increasing age, with those over 75 years having a significantly higher risk than those less than 75 years irrespective of gender (p 0.04). There was no significant difference in urinary retention rates between patients who had general (n=21) or spinal anaesthetic (n=79) with 33% of GA patients and 39% of spinal anaesthetic patients requiring catheterisation (p 0.17). Conclusion There are increased rates of urinary retention seen in lower limb arthroplasty patients than those described in the general surgical population, with male patients and all those over 75 years of age having a significantly higher risk. Clinically, it may therefore be sensible to consider offering routine intra operative catheterisation to this cohort of patients.
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Affiliation(s)
- Y Hamed
- Department of Trauma and Orthopaedics, Furness General Hospital, Barrow-in-Furness, United Kingdom
| | - A Ramesh
- Department of Trauma and Orthopaedics, Furness General Hospital, Barrow-in-Furness, United Kingdom
| | - R Taylor
- Department of Medicine, Royal Bolton Hospital, Bolton, United Kingdom
| | - R Michaud
- Department of Trauma and Orthopaedics, Furness General Hospital, Barrow-in-Furness, United Kingdom
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Selim T, Bouksila F, Hamed Y, Berndtsson R, Bahri A, Persson M. Field experiment and numerical simulation of point source irrigation with multiple tracers. PLoS One 2018; 13:e0190500. [PMID: 29293600 PMCID: PMC5749829 DOI: 10.1371/journal.pone.0190500] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Accepted: 12/16/2017] [Indexed: 11/24/2022] Open
Abstract
Dyes like Brilliant Blue have similar adsorptive behaviour as some organic contaminants, e.g., pesticides. Bromide ions, on the other hand, move much like NO3-N (fertilizer) in soil. Consequently, by using these two tracers, it is possible to in a general way mimic how organic contaminants and fertilizers may move through soils. Three plots with sandy soil in semiarid Tunisia were irrigated during three successive hours using a single irrigation dripper and high-saline solution (10.50 dS m-1) containing dye and bromide. Fifteen hours after cease of infiltration, horizontal 5 cm trenches were dug in the soil and dye pattern, bromide concentration, and soil water content were recorded. Preferential flow occurred to some degree, however, it did not dominate the solute transport process. Therefore, drip irrigation can be recommended to improve plant culture for a better water and soil nutrient adsorption. Numerical simulation using HYDRUS-2D/3D was performed to replicate the field experiments. Observed soil water contents before and after infiltration were used to run an inverse parameter estimation procedure to identify soil hydraulic parameters. It was found that for both field experiments and numerical simulations the mobility of bromide is different from the mobility of dye. The dye was retarded approximately twice by volume as compared to bromide. The simulation results support the use of HYDRUS-2D/3D as a rapid and labor saving tool for investigating tracers' mobility in sandy soil under point source irrigation.
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Affiliation(s)
- Tarek Selim
- Civil Engineering Department, Faculty of Engineering, Port Said University, Port Said, Egypt
| | - Fethi Bouksila
- National Institute for Research in Rural Engineering, Water, and Forests (INRGREF), Tunis, Tunisia
| | - Yasser Hamed
- Civil Engineering Department, Faculty of Engineering, Port Said University, Port Said, Egypt
| | - Ronny Berndtsson
- Department of Water Resources Engineering, Lund University, Lund, Sweden
- Center for Middle Eastern Studies, Lund University, Lund, Sweden
| | - Akissa Bahri
- National Agronomic Institute of Tunisia, Tunis, Tunisia
| | - Magnus Persson
- Department of Water Resources Engineering, Lund University, Lund, Sweden
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El Tallawy HN, Farghly WM, Badry R, Rageh TA, Shehata GA, Hakeem M NA, Abd El Hamed M, Sayd MAM, Hamed Y, Kandil MR. Prevalence of dementia in Al-Quseir city, Red Sea Governorate, Egypt. Clin Interv Aging 2013; 9:9-14. [PMID: 24353410 PMCID: PMC3862590 DOI: 10.2147/cia.s48325] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [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: 12/12/2022] Open
Abstract
Dementia is one of the most important public health problems as a result of the rapid increase in the number of elderly persons worldwide. Improvement of prevention strategies and caring for people with dementia should be undertaken. We performed a door-to-door study to screen all subjects aged 50 years and older (n=4,329 of 33,285 inhabitants) in Al-Quseir city. The screening was performed by 3 neuropsychiatrists, using a modified form of the Mini-Mental State Examination. Suspected cases were subjected to case ascertainment according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, diagnostic criteria for dementia; full clinical assessment; psychometric assessment using Cognitive Abilities Screening Instruments, Hachinski Ischaemic Score, Instrumental Activities of Daily Living Scale and the Geriatric Depression Scale; neuroimaging (computed tomography and/or magnetic resonance imaging); and laboratory investigations for selected patients when indicated. The prevalence of dementia was 2.01% for participants aged 50 years or older and 3.83% for those aged 60 years or older. It increased steeply with increasing age to a maximum of 13.5% for those aged 80 years or older. Alzheimer's dementia (48.3%) was the most common subtype, followed by vascular dementia (36.8%), dementia resulting from general medical conditions (11.5%), and last, dementia resulting from multiple etiologies (3.4%).
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Affiliation(s)
| | | | - Reda Badry
- Department of Neurology, Assiut University, Assiut Egypt
| | - Tarek A Rageh
- Department of Neurology, Assiut University, Assiut Egypt
| | | | - N Abdel Hakeem M
- Department of Neurology Faculty of Medicine, Assiut University, Assiut Egypt
| | | | - Mohamed A M Sayd
- Department of Neurology, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Yasser Hamed
- Department of Neurology Faculty of Medicine, Assiut University, Assiut Egypt
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Hamed Y, Ashwood N, Fogg Q, Galanopoulos I. Asymptomatic non-union of capitate 14 years postfracture. Case Reports 2013; 2013:bcr-2013-009031. [DOI: 10.1136/bcr-2013-009031] [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: 11/04/2022] Open
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El-Tallawy H, Farghaly W, Metwally N, Rageh T, Shehata GA, Badry R, Moselhy EE, Hassan M, Sayed MM, Abdelwarith AA, Hamed Y, Shaaban I, Mohamed T, Hamed MAE, Kandil M. Prevalence of neurological disorders in Al Quseir, Egypt: methodological aspects. Neuropsychiatr Dis Treat 2013; 9:1295-300. [PMID: 24043938 PMCID: PMC3772874 DOI: 10.2147/ndt.s42392] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Methodology and strategy play a very important role in epidemiological studies. Determination of the study area, geographical features, facilities, difficulties, and key personnel from the same area are important factors for successful methodology. Over 31 months (July 1, 2009 to January 31, 2012), a screening and an examination survey were carried out to ascertain the prevalence of epilepsy, stroke, dementia, cerebellar ataxia, migraine, cerebral palsy, Parkinsonism, chorea, athetosis, dystonia, trigeminal neuralgia, Bell's palsy, multiple sclerosis, spinal cord disorders, and attention deficit hyperactivity disorders in Al Quseir, Red Sea Governorate, Egypt. A total of 33,285 people were screened by three neurologists in a door-to-door manner, including every door, using a standardized Arabic questionnaire to detect any subject with a neurological disorder. The methodological aspects of this project were carried out through eight phases: (1) data collection; (2) preparation; (3) screening; (4) case ascertainment; (5) investigations; (6) classifications; (7) data entry; and (8) statistics and tabulations. The results of this study reveal that the total prevalence of neurological disorders in Al Quseir was 4.6% and higher among females (5.2%) than males (3.9%). The highest prevalence was recorded in the elderly population (60+ years [8.0%]) and among the age group 18-39 years (5.4%).
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Affiliation(s)
- Hamdy El-Tallawy
- Department of Neurology, Faculty of Medicine, Assiut University, Assiut, Egypt
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El Tallawy HN, Farghly WM, Badry R, Rageh TA, Hakeem Metwally NA, Shehata GA, Sayd MA, Hamed Y, Kandil MR. Prevalence of Spinal Cord Disorders in Al-Quseir City, Red Sea Governorate, Egypt. Neuroepidemiology 2013; 41:42-7. [DOI: 10.1159/000348320] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2012] [Accepted: 01/09/2013] [Indexed: 11/19/2022] Open
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Moftah N, Moftah N, Abd-Elaziz G, Ahmed N, Hamed Y, Ghannam B, Ibrahim M. Mesotherapy using dutasteride-containing preparation in treatment of female pattern hair loss: photographic, morphometric and ultrustructural evaluation. J Eur Acad Dermatol Venereol 2012; 27:686-93. [DOI: 10.1111/j.1468-3083.2012.04535.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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