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Impact of Gender Difference on Characteristics and Outcome of Chronic Hepatitis C

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Open Journal of Gastroenterology 2020年第11期10卷 281-294页

作者： Mahmoud Saif-Al-Islam hamdy Saad Mohamed Mustafa Adel Younis Mahmoud Yosef Abdelhamid Magda Mohamed Ali Safaa Khalaf Departments of Tropical Medicine and Gastroenterology Sohag University Hospital Sohag Egypt Departments of Internal Medicine Sohag University Hospital Sohag Egypt Departments of Clinical Pathology Sohag University Hospital Sohag Egypt Departments of Radiology Sohag University Hospital Sohag Egypt Departments of Community Medicine Sohag University Hospital Sohag Egypt

Gender difference in chronic hepatitis C (CHC) infection is not previously well studied. We aimed to analyze the effect of gender difference on the risk factors of CHC, disease progression, and outcome after oral direct acting antiviral (DAA) therapy. The study was conducted at Tropical Medicine and Gastroenterology Department, Sohag University, Egypt, in the period between 2018 and 2020. 775 patients were evaluated for hepatitis C virus (HCV) risk factors. Laboratory investigations, abdominal ultrasound and liver Shear wave elastography (SWE) were done. The patients were given antiviral therapy and followed up to assess the response and side effects of DAA therapy. 434 (56%) of study patients were males and 341 (44%) were females. Catching infection from blood transfusion and intravenous (IV) injection of tarter emetic was significantly higher in males, while catching infection from surgical operation was significantly higher in females. Hepatic fibrosis was significantly more extensive in males. Side effects were reported more in females. Sustained virological response (SVR) 12 was reported in 98.6%. Females had a slightly better SVR12 than males (99.4% versus 97.9%). In conclusion males were different from females in exposure to HCV risk factors. After introduction of blood screening and

关键词： Chronic HCV Risk Factors Gender Difference DAA Therapy

Relation between Carotid Artery Plaques Characteristics as a Predictor of Haemodynamics Changes after Carotid Artery Stenting

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Neuroscience & Medicine 2021年第1期12卷 12-21页

作者： Hany Mahmoud Zaki ei-Dine Mohamed Khaled Elewa Tamer Mahmoud Elsayed Roushdy Omar Mohamed Hashim Mohamed hamdy Ibrahim Neurology Department Faculty of Medicine Ain Shams University Cairo Egypt Railway Hospital Ministry of Health Cairo Egypt

Objectives: To study relationship between carotid artery plaques characteristics and haemodynamic changes after carotid stenting. Patients and Methods: This observational prospective (pilot) study included 20 patients—who underwent CAS. The study was carried out in Ain shams university hospitals—Railway hospital (ERMED) and Suez insurance hospital from December 2018 to February 2020. Inclusion criteria, Symptomatic (defined as amaurosis fugax, TIA, Minor stroke or Major stroke) stenosis > 70%. Asymptomatic stenosis > 80% (accidentally discovered during pre-operative assessment for CABG and during full assessment for irrelevant stroke). Results: Regarding to plaque character for degree of stenosis, calcification and ulceration revealed significantly higher degree of stenosis in hemodynamic events group (P = 0.024). On the other hand, that there was no statistically significant difference between the two groups as regard calcification, ulceration and lesion location. Conclusion: The study revealed that HI is a common occurrence following CAS procedures and significantly higher degree of stenosis in hemodynamic events group. Plaque shape, ulcerations hardly affect haeodynamic instability after carotid stenting.

关键词： Carotid Artery Plaques Carotid Stenting Haemodynamics Carotid Stenosis

Role of Transcranial Direct Current Stimulation in the Management of Post-Stroke Depression

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Neuroscience & Medicine 2020年第1期11卷 1-11页

作者： T. Alloush E. Fayez I. Abd-Allah Al-Azab M. Bouls M. hamdy Neurology and Psychiatry Department Faculty of Medicine Ain Shams University Cairo Egypt Physical Therapy Department for Neuromuscular Disorder and Its Surgery Faculty of Physical Therapy Cairo University Cairo Egypt

Study Objectives: Stroke is a major neurological disease significantly threatening the human health and life with a high morbidity, disability, and mortality. Post-stroke depression (PSD) is one of the common complications of stroke. PSD has been a major factor hindering the recovery of neurological functions and daily activities in stroke patients and is closely related to the social avoidance and increased mortality of stroke patients. Although antidepressant drug treatment has improved during the last decades, symptoms in about 20% of the patients are not in remission two years after initiation of pharmacological intervention. Nowadays, non-invasive brain stimulation;techniques;transcranial direct current stimulation (tCDS) has gained an important interest in the treatment of many neuropsychiatric disorders which might be of some help in treatment of PSD. The goal of the current study is to evaluate the beneficial short term role of tDCS on post-stroke depression. Study Design: This was a randomized double blind placebo-controlled clinical trial included forty hemiparetic patients with post-stroke depression from outpatient clinic of Faculty of Physical Therapy, Cairo University, in the period between June 2018 to June 2019. All patients diagnosed as having a PSD according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Depression was evaluated by Hamilton Depression Rating Scale (HAM-D) pre and post treatment and quality of life was evaluated by the Stroke Specific Quality Of Life scale (SS-QOL). Patients were assigned randomly into two groups: the study group A and the control group B. Both groups received antidepressant medication in addition to physical therapy program. Group A received tCDS for 30 minutes, three times per week for one month, while the group B received sham transcranial direct current stimulation. Results: Active tDCS was significantly superior to sham with significant improvement in depression and Stroke Specific Qualit

关键词： Post-Stroke Depression Transcranial Direct Current Stimulation Diagnostic and Statistical Manual of Mental Disorders

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把中华古诗之美带到班吉

孔子学院（中阿文对照版） 2022年第2期 70-73页

作者：马峥嵘 Rehab hamdy(翻译) 中非共和国班吉大学孔子学院不详

年6月1日,中非共和国班吉大学孔子去学院迎来了第一批学生,我负责上语音课。除了常规的拼读练习,我决定教学生们古诗。一来古诗朗朗上口,充满韵律感;二来希望学生们体会到古诗的文字之美和意境之美。

关键词：意境之美中非共和国韵律感古诗拼读语音课文字之美

Behavior and Flexural Prediction of Special Cementitious Bonding Material for Fiber Reinforced Strengthening Systems

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Journal of Civil Engineering and Architecture 2017年第3期11卷 232-239页

作者： Judy M. I. Soliman Tarek K. Hassan Amr A. Abdelrahman Osama hamdy Sami H. Rizkalla Civil Engineering at the Concrete Unit Faculty of Engineering Ain Shams University Cairo 1156 Egypt Civil Engineering &Construction Director of the Constructed Facilities Laboratory (CFL) North Carolina State University Raleigh Campus Box 7533 2414 Campus Shore Drive Raleigh NC USA

Strengthening of RC structures with externally bonded FRP （fiber reinforced polymers） has become an important challenge in civil engineering. Epoxy is the main bonding agent used so far, but in the case of a fire, it is subjected to complete loss of his bonding capabilities. Mineral based composites strengthening systems consist of FRPs and a cementitious bonding agent which form a repair or strengthening system that is more compatible with the concrete substrata, and roved its efficiency. The current research introduces the use of a special cementitious material ＂Grancrete＂ as a bonding agent. Test results of 32 T-section RC beams strengthened with various FRG （fiber reinforced Grancrete） strengthening systems are presented. The results demonstrated that most of the specimens were likely to fail by debonding of the FRP from the concrete either at the ends or at intermediate flexural cracks. This paper presents an in-depth study aimed at the development of a better understanding of debonding failures in RC beams strengthened with externally bonded FRP systems. Different analytical models, published in the literature for plate end debonding, are reviewed and compared to test results. The results also demonstrated that when using U-wraps, the specimens were likely to fail by FRP sheet rupture.

关键词： C Beam concrete debonding intermediate crack debonding FRP Grancrete strengthening.

Acute Massive Gastric Dialation—A Case Report

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International Journal of Clinical Medicine 2015年第6期6卷 407-410页

作者： Kiran Kumar Rifah Anwar Assadi Mohammed Khalid Mohammed hamdy Ibrahim Himanshi Singh Sonia Lamichhane Shaikh Altaf Basha Department of Internal Medicine GMC Hospital and Research Centre Ajman UAE

Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. It can occur in various medical and surgical conditions such as post operative state, trauma, anorexia, spinal abnormalities, diabetes mellitus and electrolyte imbalance. Without proper and timely diagnosis and treatment, gastric perforation and hemorrhage can occur. In this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mellitus and urosepsis. We will also present a review of literature and management options for such condition. Our report highlights the need for high index of suspicion and early intervention to avoid life threatening complications.

关键词： Acute Gastric Dilatation Infection Urinary Tract Infection Gastric Distension

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精神免疫学的进展与未来

国外医学（精神病学分册） 1993年第4期20卷 199-205页

作者：李孝松 Ronald C.hamdy 美国东田纳两大学医学院精神病学系

本文综述精神免疫学的各种研究进展,并简单推论其未来发展前景。

关键词：精神免疫学精神压力免疫

Medical Students Satisfaction from Peer Advising in an Integrated Problem Based Learning Curriculum： A Cross Sectional Study

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Journal of Health Science 2016年第5期4卷 242-246页

作者： Amer Al Homssi Tayseer Shamaa Mousa Abu Ghoush Nawar Alhourani Hadeel Awad Mohamad Al-Akchar Hossam hamdy College of Medicine University of Sharjah Sharjah 27272 United Arab Emirates

To evaluate the satisfaction of medical students from Students Peer Advising activities, its strengths, limitations and how it can improve. Students Peer Advising （SPA） was initiated by students in order to support collaborative and experiential learning. In this approach, senior students provided and shared their educational experiences with junior students individually or in large groups. Advice was mainly on how to succeed in this demanding student centered educational program. Two groups were investigated, the committee members （Advisors） and the students （Advisees） who attended the SPA events, by using a self-administered questionnaire. One hundred and thirteen advisees responded. 74 （65%） advisees provided a score of 4 or 5 out of 5, with 5 being the most satisfactory and useful, when inquired about the overall satisfaction and usefulness of peer advising. SPA committee consisted of fifteen members, of whom thirteen responded. Fifteen sessions were conducted by members from different academic years, and they all agreed that it was a beneficial experience. The most rewarding aspect of their experience revolved around the gratification and sense of satisfaction consequent to improving the students＇ academic performance. The study found that peer advising was appreciated by students and peer advisors.

关键词： Students Peer Advising Peer Advising Committee College of Medicine University of Sharjah.

Infarction Patterns in Posterior Cerebral Circulation: Etiology and Prognosis

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Neuroscience & Medicine 2019年第3期10卷 175-193页

作者： T. Alloush R. R. Moustafa M. M. Fouad H. Ahmed M. hamdy Department of Neurology and Psychiatry Faculty of Medicine Ain Shams University Cairo Egypt

Study Objectives: About a quarter of strokes and transient ischemic attacks occur in the vertebrobasilar distribution. Vertebrobasilar stroke is particularly prone to devastating consequences especially brain stem infarctions due to damage of the regional brain tissues that contain vital centers, and is associated with high rates of death and disability. Study Design: This was across sectional observational prospective hospital-based study conducted on 60 patients with first-ever acute posterior circulation ischemic stroke. The aim of the current study was to determine the relationship between different risk factors and different infarction patterns in posterior circulation;single small lacunar lesion, single large lesion, or multiple scattered lesions. Diagnosis of ischemic stroke and stroke subtypes were defined using the Trial of ORG 10,172 in Acute Stroke Treatment (TOAST) criteria as well as clinical and brain imaging features. Stroke severity using National Institutes of Health Stroke Scale (NIHSS) score was done on admission, after 24 hours from admission, and at 7 days from onset of symptoms. The patients functional status was assessed by modified Rankin scale (mRS) done on admission and on discharge from hospital and at 7-day follow up from onset of symptoms. Patients were classified according to infarction patterns into a single small lacunar lesion (group I), a single large lesion (group II), and multiple scattered lesions (group III) 20 patients in each group. Results: There was no significant difference between the three groups as regard the presence of vascular risk factors and the only significant difference as regard vascular risk factors was atrial fibrillation (AF). There was significant difference between the three groups as regard the occurrence of previous transient ischemic attacks (TIA). There was significant difference between the three groups as regard NIHSS score on admission, after 24 hours, and at 7 days from admission. There were signifi

关键词： Posterior Circulation Stroke Risk Factors for Stroke National Institutes of Health Stroke Scale (NIHSS) Modified Rankin Scale (mRS) Echocardiography Brain Magnetic Resonance Imaging and Angiography Carotid Duplex