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Correlation between DKK-1 Level and Bone Density Status in Children on Maintenance Haemodialysis

Open Journal of Nephrology 2024年第1期14卷 48-61页

作者： manal abd el-salam Marwa Mohamed Anwar Rasha Mahmoud Gouda Naglaa Abou el Fattah Nadia Youssef Riad Department of Pediatrics Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Department of Internal Medicine Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Department of Clinical Pathology National Heart Institute Cairo Egypt

Background: Renal osteodystrophy (ROD) is a bone disorder resulting from chronic kidney disease (CKD) and related metabolic diseases. Dickkopf-related protein-1 (DKK-1) is critical in regulating bone biology. This study aimed to evaluate the serum DKK-1 level as a bone marker in children with CKD who undergo regular hemodialysis (HD). Subjects and Methods: This case-control study involved 40 children with CKD on HD and 40 healthy children as controls. The study measured serum DKK-1 levels and performed a dual-energy X-ray absorptiometry scan (DEXA) in line with routine laboratory investigations. Results: There was a significant increase in the serum level of DKK-1 in the patient group compared to the control group. The DKK-1 levels were 2540.65 (2215.4 - 2909.2) pg/ml and 1110.45 (885.45 - 1527.65) pg/ml, respectively, with a p-value of less than 0.001. In the hemodialysis group, 25 patients (62.5%) had low bone mineral density (BMD) with a Z-score of under -2.0. Eighteen of these patients had low BMD in both the neck of the femur and lumbar spines. Additionally, there was a significant increase in serum DKK-1 level in patients with low BMD (2567.35 (2303.8 - 3108.1) pg/ml) compared to patients with normal BMD (2454 (1859 - 2820) pg/ml) (p = 0.041). There was also a significant positive correlation between DKK1 level and phosphorus, alkaline phosphatase, and Parathormone serum levels. In conclusion, the study indicates a clear correlation between DKK-1 and BMD in children undergoing maintenance hemodialysis. DKK1 is a promising biomarker for CKD-MBD.

关键词： DKK-1 Children Haemodialysis Bone Density Status

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Ocular Changes in Egyptian Children on Regular Hemodialysis

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International Journal of Clinical Medicine 2019年第6期10卷 353-362页

作者： Somaya Mohamed abd el-Ghany manal abd el-salam Mona Mohamed Farag Ola Ali el-Ashwah Department of Pediatrics Faculty of Medicine Al-Azhar University Cairo Egypt Department of Ophthalmology Faculty of Medicine Al-Azhar University Cairo Egypt

Background: Chronic Kidney disease (CKD) may cause ocular disorders for many reasons such as uraemia, haemodialysis and hypertension. Aim: To study the ocular changes in a group of Egyptian children with chronic kidney disease on regular hemodialysis. Subjects and Methods: This cross-sectional comparative study was conducted on 30 children on regular hemodialysis and another 30 age and sex-matched healthy children as controls. Their ages ranged from 4 to 17 years. Complete ophthalmological examination including;visual acuity and refraction, anterior segment examination, intraocular pressure (IOP), fundus examination and colored photography were assessed in the same line with routine laboratory investigations for children on regular hemodialysis and their controls. The relation of ocular disorders with related clinical and biochemical variables was measured statistically. Results: The most common eye abnormalities recorded were decreased visual acuity in Lt eye (73.3%) and Rt eye (60%), followed by corneal & conjunctiva calcification were (16.7%) and (13.3%) respectively and fundal changes (13.3%) of the study population. A significant positive relation was found between fundal changes particularly tortuous blood vessel abnormalities with the duration of hemodialysis and serum creatinine level. Conclusion: Ocular abnormalities are common than expected in children on regular hemodialysis. Visual acuity disorder is the major ocular abnormalities recorded in those patients. Regular ophthalmologic assessment is recommended in children to prevent longer-term visual complications.

关键词： Hemodialysis Children Ocular Changes

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Mathematical Morphology View of Topological Rough Sets and Its Applications

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Computers, Materials & Continua 2023年第3期74卷 6893-6908页

作者： Ibrahim Noaman abd el Fattah el Atik Tamer Medhat manal E.Ali Department of Mathematics Faculty of Science and Arts in Al-MandaqAl-Baha UniversityKingdom of Saudi Arabia Department of Mathematics Faculty of ScienceTanta UniversityTantaEgypt Department of electrical Engineering Faculty of EngineeringKafrelsheikh UniversityKafrelsheikh33516Egypt Department of Physics and Engineering Mathematics Faculty of EngineeringKafrelsheikh UniversityKafrelsheikh33516Egypt

This article focuses on the relationship between mathematical morphology operations and rough sets,mainly based on the context of image retrieval and the basic image correspondence *** morphological procedures and set approximations in rough set theory have some clear *** initiatives have been made to connect rough sets with mathematical *** significant publications have been written in this *** attempt to show a direct connection between mathematical morphology and rough sets through relations,a pair of dual operations,and neighborhood *** sets are used to suggest a strategy to approximatemathematicalmorphology within the general paradigm of soft computing.A single framework is defined using a different technique that incorporates the key ideas of both rough sets and mathematical *** paper examines rough set theory from the viewpoint of mathematical morphology to derive rough forms of themorphological structures of dilation,erosion,opening,and *** newly defined structures are applied to develop algorithm for the differential analysis of chest X-ray images from a COVID-19 patient with acute pneumonia and a health *** algorithm and rough morphological operations show promise for the delineation of lung occlusion in COVID-19 patients from chest *** foundations of mathematical morphology are covered in this *** that,rough set theory ideas are taken into account,and their connections are ***,a suggested image retrieval application of the concepts from these two fields is provided.

关键词： Mathematical morphology rough set theory topological spaces COVID-19

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A Quantum Algorithm for Evaluating the Hamming Distance

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Computers, Materials & Continua 2022年第4期71卷 1065-1078页

作者： Mohammed Zidan manal G.eldin Mahmoud Y.Shams Mohamed Tolan Ayman abd-elhamed Mahmoud abdel-Aty Department of Artificial Intelligence Hurghada Faculty of Computers and Artificial IntelligenceSouth Valley UniversityEgypt Faculty of Engineering King Salman International UniversitySouth SinaiEgypt Department of Mathematics and Computer Science Faculty of ScienceBeni-Suef UniversityBeni-SuefEgypt Department of Machine Learning and Information Retrieval Faculty of Artificial IntelligenceKafrelsheikh UniversityEgypt Mechanical Department Faculty of Technology and EducationSuez UniversitySuezEgypt Faculty of Technological Industries King Salman International UniversitySouth SinaiEgypt Faculty of Engineering at Mataria Helwan UniversityCairoEgypt Department of Mathematics Faculty of SciencesSohag University82524 SohagEgypt

We present a novel quantum algorithm to evaluate the hamming distance between two unknown oracles via measuring the degree of entanglement between two ancillary *** particular,we use the power of the entanglement degree based quantum computing model that preserves at most the locality of interactions within the quantum model *** model uses one of two techniques to retrieve the solution of a quantum computing problem at *** the first technique,the solution of the problem is obtained based on whether there is an entanglement between the two ancillary qubits or *** the second,the solution of the quantum computing problem is obtained as a function in the concurrence value,and the number of states that can be generated from the Boolean *** proposed algorithm receives two oracles,each oracle represents an unknown Boolean function,then it measures the hamming distance between these two *** hamming distance is evaluated based on the second *** is shown that the proposed algorithm provides exponential speedup compared with the classical counterpart for Boolean functions that have large numbers of Boolean *** proposed algorithm is explained via a case ***,employing recently developed experimental techniques,the proposed algorithm has been verified using IBM’s quantum computer simulator.

关键词： Quantum computing quantum algorithm quantum circuit

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Development of Functional Synbiotic Flavored Fermented Skim Milk Drinks Supplemented with Doum (Hyphaene thebaica L.) and Carob (Ceratonia siliqua) Fruits Powder for Nutritional, Antimicrobial and High Antioxidant Activities

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Food and Nutrition Sciences 2022年第11期13卷 878-905页

作者： manal Khider Khaled abd el-Hameed Seliem Warda Mustafa abdeltawab Ebid Dairy Department Faculty of Agriculture Fayoum University Fayoum Egypt Department of Food Science Faculty of Agriculture Fayoum University Fayoum Egypt

The present study was carried out to make new healthy synbiotic flavored fermented skim milk drinks (SFFSD) supplemented with either Doum (Hyphaene thebaica L.) or Carob (Ceratonia siliqua) fruits powder for nutritional, antioxidant and antimicrobial activities. The HPLC analysis showed higher phenolic and flavonoid content in Doum extract than that of Carob. The antimicrobial activity of the methanolic extracts of both Doum and Carob against foodborne pathogens showed that the most sensitive indicators were Bacillus cereus, C. albicans and S. aureus, followed by T. mentagrophyte and E. coli wherein, the diameter of clear zones was, 29, 27, 24, 23 and 13 mm, respectively. While no effect was noticed against Aspergillus flavus. On the other hand, the methanolic extract of Carob fruit exhibited only a weak antibacterial effect against B. cereus (20 mm). Six treatments of SFFSD were made using both Doum or Carob fruit powder as prebiotic and Lactobacillus paracasei as probiotic bacteria. The added levels from Doum were 2%, 4% and 6%, while that added from Carob were 5%, 10% and 15%. Adding Doum and Carob powder increased the containing of minerals;Ca, K, Mg and iron compared with control. Both viscosity and viability of L. paracasei for the SFFSD were increased with increasing the added levels from either Doum or Carob, compared with the control. Samples of SFFSD containing Carob powder, show superior sensory for all parameters and total score points during storage period, especially at a level of 10%. It seems evident that samples supplemented with Doum powder were also acceptable.

关键词： Antimicrobial Carob Fruits Doum Fruits Phenolic Compounds Prebiotic and Probiotic

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Timed Intercourse versus Intrauterine Insemination with Mild Ovarian Stimulation for Unexplained Infertility

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Open Journal of Obstetrics and Gynecology 2022年第12期12卷 1279-1288页

作者： Hany Mahmoud abd el Hamid manal abdel-Wanees Alsayed Hesham Mohammed Hamed Shaimaa Belal Department of Obstetrics and Gynecology El-Sahel Teaching Hospital Cairo Egypt Department of Obstetrics and Gynecology Faculty of Medicine Helwan University Helwan Egypt

Background: Infertility is unexplained in about 22% - 28% of infertile couples. Spontaneous pregnancy may occur in them. If did not happen, Expectant management will be via clomiphene citrate (CC) administration, intrauterine insemination (IUI), and IVF & ICSI. Aim: to assess the effectiveness of intrauterine insemination with mild controlled ovarian stimulation compared with expectant management in couples with unexplained infertility more than one year. Methods: 160 couples with unexplained infertility were selected, The couples were randomly divided into two groups: Group (A) “80 couples”: Intrauterine insemination (IUI) with mild controlled ovarian stimulation (combination of CC + hMG) using prepared semen and was performed 36 hours after hCG injection, Group (B) “80 couples”: Couples had no ovulation induction. They encouraged for timed intercourse in the most fertile days of female cycle guided by folliculometry for 6 months. Data were collected quantitatively, coded and analyzed using SPSS. The power of study is 80% and 95% confidence interval. Result: The pregnancy rate was calculated in both groups: In group (A) (IUI/COS): OPR (Ongoing pregnancy rates) was 27.5% and PR (pregnancy rates)/cycle was 8.6%. In group (B) (Expectant management): OPR was 25% and PR/cycle was 5.3%. Conclusion: Mild controlled ovarian stimulation CC + hMG with IUI offers no statistical significance in terms of pregnancy outcomes over expectant management in this study however significance in the response to stimulation.

关键词： Intrauterine Insemination Ovarian Stimulation Unexplained Infertility

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Doppler Study of Uterine Artery and Ultrasonography of Endometrial Thickness in Perimenopausal and Postmenopausal Bleeding

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Open Journal of Obstetrics and Gynecology 2022年第4期12卷 309-322页

作者： Shaimaa Belal manal abdel-Wanees Al-Sayed Hany Mahmoud abd el Hamid Hesham Mohammed Hamed Department of Obstetrics and Gynecology Faculty of Medicine Helwan University Helwan Cairo Egypt Department of Obstetrics and Gynecology Al-Sahel Teaching Hospital Cairo Egypt

Background: Transvaginal color Doppler sonography of the uterine artery has been reported useful for evaluation of abnormal uterine bleeding in peri-/post-menopausal women. It may differentiate physiological from malignant endometrial changes. Objective: Evaluating the endometrial thickness and uterine artery Doppler as an initial diagnostic tool to identify patients with abnormal endometrial pathology. Methods: This is a prospective case control study consisted of total 50 women with peri-(n = 35) and post-(n = 15) menopausal bleeding, with 20 women consisting control group (no bleeding) (peri-(n = 10) and post-menopausal (n = 10)). Double layer endometrial thickness and uterine-artery-Doppler waveforms were measured, with the latter being S/D ratio, RI and PI. These were related to histological findings (endometrial biopsy). Result: Patients with abnormal uterine bleeding (both peri- and postmenopausal) had a significantly higher mean endometrial thickness than the control women. Study group showed a significantly lower value of all Doppler indices (S/D ratio, RI and PI). In study group, patients with malignant endometrial pathology showed significantly thicker endometrium and significantly lower Doppler indices than those with benign pathology. Conclusion: The combination of endometrial thickness and uterine artery color Doppler pattern might predict uterine endometrial malignancy, although whether it can discriminate (screen) patients requiring endometrial biopsy is not evident. Further study is needed.

关键词： Doppler Study Uterine Artery Ultrasonography Endometrial Thickness

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Risk Factors Associated with Cholelithiasis during Pregnancy and Postpartum

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Open Journal of Obstetrics and Gynecology 2022年第11期12卷 1166-1175页

作者： Shaimaa Belal Hesham Mohammed Hamed abdelrahman Kamal manal abdel-Wanees Al-Sayed Hany Mahmoud abd el Hamid Department of Obstetrics and Gynecology Faculty of Medicine Helwan University Helwan Egypt Department of Obstetrics and Gynecology El-Sahel Teaching Hospital Cairo Egypt Department of General Surgery Sahel Teaching Hospital Cairo Egypt

Gallbladder disease is the most common non-obstetrical cause of maternal hospitalization in the first year postpartum. Many risk factors have been associated with gallbladder disease in pregnancy including body mass index, prenatal weight gain, prenatal physical activity, dietary fat, age, parity, a history of gallbladder disease and the number of previous pregnancies were significant factors related to new gallstones and biliary sludge formation in the pregnant group. The aim of this study is to evaluate the risk factors for gallstones formation in pregnancy and one year after labour. The study included 328 female patients (pregnant or postpartum) divided into two groups;patient group (164 patient) that are pregnant or postpartum patient have gallstones and control group (164 patient) that are pregnant or postpartum patient does not have gallstones. All patients were subjected to full history taking;especially about risk factors predisposing for gallstones, physical examination and pre-operative routine laboratory investigations and imaging as abdominal ultrasound study (U/S). Obesity, young age, history of gallbladder disease and use of estrogen and progesterone are the main risk factors that increase incidence of gallstones during pregnancy or one year postpartum. Use of vit C, iron, drinking coffee and practicing regular physical activity are considered protective factors.

关键词： Cholelithiasis Pregnancy Postpartum

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Evaluation of Reticulocyte Hemoglobin Content and Serum Neutrophil Gelatinase-Associated Lipocalin as Predictive Biomarkers of Anemia in Children on Hemodialysis

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Open Journal of Nephrology 2021年第4期11卷 523-537页

作者： Heba Ahmed Donia manal abdel el-salam Gehad Nabil Mohammed Doaa Aly abd elfattah Pediatrics Department Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt Clinical Pathology Department Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt

Background: Diagnosis of iron deficiency anemia with currently available tests is rendered difficult in hemodialysis patients. The aim: To investigate the role of reticulocyte Hemoglobin Content (CHr) in the diagnosis of iron deficiency anemia in hemodialysis children in comparison to the used traditional markers and assess the impressiveness and the utility of Neutrophil Gelatinase Associated Lipocalin (NGAL) as a novel biomarker of iron status in those patients. Methods: This study investigated CHr in addition to NGAL serum level in the same line with traditional markers for anemia, including: CBC, serum iron, ferritin, total iron-binding capacity (TIBC), and transferrin saturation (TSAT%). Results: It is more significant that CHr content in hemodialysis children is lower than their controls as they are (27.06 ± 2.90) pg and (32.86 ± 3.59) pg, respectively, p = 0.01. There is no significant difference regarding NGAL between the study groups. Significant negative correlation between CHr with ferritin, urea, creatinine, and positively correlated with iron and RBCS. CHr showed a sensitivity of 90% and specificity of 86.67% to detect iron-deficiency anemia with a cut-off value of 27 pg. Conclusion: CHr is superior to ferritin and TSAT % for the early diagnosis of iron deficiency anemia in hemodialysis children;our results do not support NGAL as a marker of anemia in hemodialysis patients.

关键词： Children Hemodialysis Reticulocyte Hemoglobin Content Neutrophil Gelatinase-Associated Lipocalin

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Evaluation of Angiopoietin-2 Serum Level as a Marker of Cardiovascular Risk in Children with Chronic Kidney Disease

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Open Journal of Nephrology 2015年第4期5卷 105-116页

作者： manal abdel-salam Asmaa abd el Wakeel Soheir Ibrahim Tagreed abdel-Rahman Hend Ezzat Randa Sabour Department of Pediatrics Faculty of Medicine Al-Azhar University Cairo Egypt Department of Cardiology Faculty of Medicine Al-Azhar University Cairo Egypt Department of Clinical Pathology Faculty of Medicine Al-Azhar University Cairo Egypt Department of Radiology Faculty of Medicine Al-Azhar University Cairo Egypt

Background: Cardiovascular complications are a major clinical problem in uremic patients accounting for 44% of all deaths in this population. Angiopoietin cytokines are involved with controlling micro vascular permeability, vasodilatation and vasoconstriction by signaling smooth muscle cells surrounding vessels. Aim: To assess Angiopoietin-2 serum level as an early marker of cardiovascular risks in children with chronic kidney disease on regular hemodialysis and correlate with intimal medial thickness and echo data in those children. Patients and methods: The study included 40 children with CKD on regular hemodialysis (HD), and they were selected from the hemodialysis unit of Al-Zahraa Hospital, Al-Azhar University, during the period from December 2014 to April 2015. Another group of 40 apparently healthy children, matches age and sex with patients group as a controls. Angiopoietin-2 serum level, Doppler ultrasound (U/S) to assess: intima-media thickness (IMT) and the peak systolic velocity (PSV) of the main arteries including the (aorta, carotid and femoral) arteries, conventional echo and tissue Doppler imaging (TDI) of mitral and tricuspid annular velocities are obtained for both groups. Results: Children on regular HD have significantly higher (Angiopoietin-2) serum level compared to their controls, and it is (161.35 ± 38.30 ng/ml) and (9.25 ± 12.64 ng/ml) respectively (p, 0.000) and increases in the aorta, carotid and femoral (IMT) with significant increase in their mean systolic velocities in patients group compared to the controls. Significant increase in tricuspid valve late diastolic velocity (TVA vel m/s) and (E/e’ ratio) obtained by (TDI), its abnormalities threshold is detected in patients group than controls, with significant increase right ventricular systolic pulmonary pressure in patients compared to the controls. Conclusions: Higher prevalence of right ventricular dysfunction is detected by conventional and TDI echo in children on hemodialysis. Angi

关键词： Chronic Kidney Disease Angiopoietin-2 Intima-Medial Thickness

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