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Spot urinary sodium for assessing dietary sodium restriction in cirrhotic ascites

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World Journal of Gastroenterology 2009年第29期15卷 3631-3635页

作者： mohammed Abdelhamid El-Bokl Bahaa Eldeen Senousy Khaled Zakaria El-Karmouty Inas El-Khedr mohammed Sherif Monier mohammed Sherif Sadek Shabana Hassan shalaby Department of Gastroenterology and Hepatology Ain Shams University school of Medicine Abbassia 11566 Cairo Egypt

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 x^2 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 restriction compared with 24-h urinary sodium in patients with liver cirrhosis and ascites.

关键词： Ascites Liver cirrhosis Portal hypertension Urinary sodium

Correlation of Invasively Estimated Left Ventricular End Diastolic Pressure with Acceleration of E’ Wave by Tissue Doppler Imaging of Mitral Annulus

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World Journal of Cardiovascular Diseases 2019年第9期9卷 681-691页

作者： Mahmoud Kamel Morad Beshay Said shalaby Ahmed Emara mohammed Abdel Rahman Cardiology Department Faculty of Medicine Menoufia University Menoufia Egypt

Background: There is no single noninvasive index that provides a direct measure of LV filling pressure. However, invasive measuring of LV end diastolic pressure (LVEDP) provides reliable assessment of LV diastolic dysfunction, but its invasive nature limits its use in daily practice. Accurate noninvasive assessment of LV diastolic dysfunction is highly desirable, and the relationship between the degree of LVEDP and acceleration of E’ wave obtained by tissue Doppler imaging (TDI) of mitral annulus is not clearly assessed;here in our study we aimed to assess the relation between the degree of LVEDP and the acceleration rate of E’ wave of mitral annular Doppler tissue. Patients and Methods: The study included 60 patients divided equally into 3 groups according to the degree of LVEDP, group I (Normal): ’ ratio and E’ wave acceleration rate. Coronary angiography and left sided heart catheterization and measuring LVEDP were performed for correlating E’ wave acceleration rate with invasively estimated LVEDP.?Results: There was significant progressive decrease in E’ acceleration rate (E’ Acc rate) with progressive increase in LVEDP from I to III (P 0.001), while there was significant progressive increase in E/E’ ratio with progressive increase in LVEDP from I to III (P 0.003). Peak E’ acceleration rate had a significant negative correlation with LVEDP in all three groups, with p value of 0.003, 0.044 and 0.021 respectively in group I, II & III. Regarding E/E’ ratio there was a significant positive correlation in predicting normal and elevated LVEDP with p value (0.001 and 0.006) respectively while there was a non-significant correlation between E/E’ and LVEDP within grey zone group. Conclusion: E’ acceleration rate could be used as a reliable index to assess LVEDP.

关键词： LV End Diastolic Pressure E Annular Wave Acceleration

Clinical and Experimental Study of the Toxic Neuropsychiatric Effects of Formaldehyde Exposure: Has Garlic a Protective Role?

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Occupational Diseases and Environmental Medicine 2018年第1期6卷 1-22页

作者： Wafaa Ibrahim Soliman Nashwa Mohamad Mohamad shalaby Hisham mohammed Al-sayed Mona Hamed Ibrahim Department of Forensic Medicine and Clinical Toxicology Faculty of Medicine Zagazig University Zagazig Egypt Department of Neuropsychiatric Faculty of Medicine Benha University Benha Egypt Department of Community Environmental and Occupational Medicine Faculty of Medicine Zagazig University Zagazig Egypt

Background: The central nervous system is one of the most important systems affected by formaldehyde (FA). Aim of Work: This study was designed to assess its toxic neuropsychiatric effects both clinically and experimentally and the protective effects of garlic. Methods: Clinically: 20 workers in the gross anatomy laboratory and 20 libertarians underwent a standardized clinical assessment including medical, neurological and psychiatric examination. Experimental: 40 male rats were divided randomly into four groups. Group I is control group. Group II received 10 mg/kg of FA intraperitoneally once daily for 14 days. Group III was treated with fresh garlic juice (1 ml/100g body weight) once daily by oral gavage for 14 days. Groups VI received fresh garlic juice plus formaldehyde daily for 14 days. At the end of the experiment, the rats’ brains were obtained for histological examination and biochemical analysis. Results: Clinical and psychiatric profile of FA exposed persons’ revealed cognitive impaired, anxious and depressed persons. There were hostile persons with more hostility toward outside. Experimentally, hippocampal and frontal superoxide dismutase and reduced glutathione showed highly significant decrease while malondialdehyde and nitric oxide level showed highly significant increase in formaldehyde treated group when compared with control group. Also histopathological changes in the hippocampal and frontal cortices by light microscope revealed many distorted cells with deeply stained shrunked nuclei and cytoplasm was surrounded by vacuolated pale areas in FA exposed group. Minimization of biochemical and histopathological changes were observed in combined formaldehyde and garlic treated group. Conclusion: The profiles of personality arouse dangerous affairs about the toxic impact of FA on persons, family, and society. Formaldehyde-induced neuronal damage, oxidative stress and lipid peroxidation in brain were minimized by addition of garlic.

关键词： Formaldehyde Neurotoxicity Neuropsychiatry Garlic Oxidative Stress Cognitive Impairment

Moderate Secondary Tricuspid Regurgitation: Does It Worth More Time to Conserve?

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Open Journal of Thoracic Surgery 2021年第3期11卷 59-68页

作者： Montaser Elsawy Abd Elaziz Ahmed Labib Dokhan Awny Gamal shalaby Hesham Hassan Ahmed mohammed Ahmed El-Hag-Aly mohammed Fawzy Eltaweel Cardithoracic Surgery Department Faculty of Medicine Menoufia University Menoufia Egypt Faculty of Medicine Jazan University Jazan KSA Cardiology Department Faculty of Medicine Menoufia University Menoufia Egypt

Background: Concomitant repair of moderate secondary tricuspid regurgitation (STR) during mitral valve surgery is still subject of controverse. This research aims to study the early and mid-term postoperative influence of tricuspid repair on the clinical outcomes and right ventricular functions. Methods: This is a retrospective cohort study of 92 patients with moderate STR who underwent tricuspid valve repair

Effect of a 12-Week Dietary Intervention with Folic Acid or Folate-Enhanced Foods on Folate Status in Healthy Egyptian Women

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Food and Nutrition Sciences 2016年第14期7卷 1339-1351页

作者： mohammed E. Hefni Mohamed T. shalaby Rasha A. Mohamed Ahmad M. Elwa Cornelia M. Witthöft Food Industries Department Faculty of Agriculture Mansoura University Mansoura Egypt Department of Chemistry and Biomedical Sciences Linnaeus University Kalmar Sweden Faculty of Nursing Mansoura University Mansoura University Mansoura Egypt Clinical Pathology Department Faculty of Medicine Mansoura University Mansoura Egypt

The Egyptian government introduced wheat-flour fortification with iron and folic acid to reduce the incidence of neural tube defects, but suspended it for technical reasons. We previously developed novel legume foods with enhanced folate content. In this study, we investigated the efficacy of 12-week intervention with folate-enhanced foods versus folic acid supplement in improving folate status in Egyptian women. A randomized, parallel intervention trial with two active groups (n = 19, n = 18) and one blinded control group (n = 20) was executed over 12 weeks. Volunteers received either germinated legume foods and orange juice (≈250 μg/d folate) or folic acid supplement (500 μg/d) or apple juice (0 μg/d folate). Folate status was assessed by erythrocyte and plasma folate and total homocysteine (tHcy) at day 0, and after 8 and 12 weeks of intervention. After 12 weeks, mean plasma folate increased by 14 (P < 0.0001) and 12 (P < 0.0001) nmoL in the folic acid and food group, respectively. Erythrocyte folate concentration increased in the folic acid group from 614 to 912 (P < 0.0001) and in the food group from 631 to 914 nmoL (P < 0.0001). After 12 weeks, 90% of subjects in the folic acid group and 70% in the food group had erythrocyte folate concentrations exceeding 906 nmol/L. tHcy concentration was decreased by 20% (P = 0.007) and 18% (P = 0.006) in the folic acid and food group, respectively, but remained unchanged in the control group during intervention. Folate-enhanced foods effectively improve folate status in women of reproductive age. These foods could be used as a complement to folic acid fortification.

关键词： Folic Acid Folate-Enhanced Legume Foods Human Intervention Folate Status

Coverless Image Steganography System Based on Maze Game Generation

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Intelligent Automation & Soft Computing 2023年第11期38卷 125-138页

作者： Al Hussien Seddik Saad mohammed S.Reda GamalM.Behery Ahmed A.El-harby mohammed Baz Mohamed Abouhawwash Ahmed Ismail Ebada Department of computer science Faculty of ScienceMinia UniversityShalabyMiniaEgypt Department of computer science Faculty of Computers and Artificial IntelligenceDamietta UniversityNew DamiettaDamiettaEgypt Department of Computer Engineering College of Computer and Information TechnologyTaif UniversityP.O.Box 11099Taif21994Saudi Arabia Department of Mathematics Faculty of ScienceMansoura UniversityMansoura35516Egypt Department of Computational Mathematics Scienceand Engineering(CMSE)College of EngineeringMichigan State UniversityEast LansingMI48824USA Department of Information Systems Faculty of Computers and Artificial IntelligenceDamietta UniversityNew DamiettaDamiettaEgypt

The trend of digital information transformation has become a topic of *** data are threatening;thus,protecting such data from attackers is considered an essential ***,a new methodology for data concealing has been suggested by researchers called coverless *** steganography can be accomplished either by building an image database to match its image subblocks with the secret message to obtain the stego image or by generating an *** paper proposes a coverless image steganography system based on pure image generation using secret message bits with a capacity higher than the other traditional *** system uses the secret message to generate the stego image in the form of one of the Intelligence Quotient(IQ)games,the ***,a full grid is generated with several specific rows and columns determined from the number of bits of the secret ***,these bits are fed to the full grid to form the maze game stego ***,the generated maze game stego image is sent to the *** experimental results,using the Bit Error Rate(BER),were conducted,and confirmed the strength of this system represented by a high capacity,perfect performance,robustness,and stronger hiding system compared with existing coverless steganography systems.

关键词： Coverless data hiding digital image steganography intelligence quotient games maze game

Moderate Secondary Tricuspid Regurgitation: Does It Worth More Time to Conserve?

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