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High platelet distribution width can independently predict testicular survival in testicular torsion among patients with steady-state sickle cell anemia

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World Journal of Pediatric Surgery 2022年第1期5卷 12-17页

作者： Essa A Adawi Mazen Ahmed Ghanem Ahmed Mazen Ghanem manal a safan Mohamed G Elsayed Mohammed A Aqeel Urology Jazan UniversityJazanSaudi Arabia Urology Menoufia University Faculty of MedicineAI Rehab CityNew CairoEgypt GP Cairo University Kasr Alainy Faculty of MedicineAI Rehab CityNew CairoEgypt Department of Medical Biochemistry and Molecular Biology Menoufia University Faculty of MedicineAI Rehab CityNew CairoEgypt Pediatric Surgery Jazan UniversityJazanSaudi Arabia Department of Anesthesia and Critical Care Jazan UniversityJazanSaudi Arabia

Objective This study aimed to evaluate the predictive value of platelet volume indices(PVI),such as mean platelet volume(MPV),platelet distribution width(PDW),and plateletcrit(PCT),as prognostic indicators of testicular viability in torsion patients with steady-state sickle cell anemia(SCA)who underwent surgical *** Forty-eight patients with SCA with testicular torsion and 46 male control subjects were enrolled in the *** patients underwent scrotal color Doppler ultrasonography before surgery,and PVI(MPV,PDW,and PCT)values were measured in all *** duration and testicular volume were also *** The testicular salvage rate in patients with SCA was 73%after *** showed that MPV,PDW,and PCT values were significantly higher in torsed SCA as compared with controls(p<0.05).Orchiectomy in patients with SCA showed significantly higher MPV,PDW,and PCT values than the orchiopexy group(p<0.05).The MPV values of orchiectomy patients showed a higher significant cut-off of≥11.5 fL,which is higher than in torsed patients without SCA,as an indicator of testis *** also demonstrated a higher significant cut-off of≥12.7 fL for detorsion outcomes in patients with *** duration of less than 7 hours was also significantly correlated with orchiopexy(p≤0.001).Univariate analysis showed that higher MPV,increased PDW,and symptom duration were indicative of the outcome of testicular detorsion in *** analysis showed that increased PDW and symptom duration are prognostic parameters for testicular viability in *** Increased PDW and symptom duration can be used as parameters for predicting testicular detorsion outcomes in patients with steady-state SCA.

关键词： patients anemia torsion

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The role of varicocele sclerotherapy in men with severe ol igo-astheno-teratozoos perm ia

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Asian Journal of Andrology 2011年第6期13卷 867-871页

作者： Mazen A Ghanem manal a safan Ashraf A Ghanem Gert R Dohle Department of Urology Menoufiya University 3481 Shebin EI-Kom Egypt Department of Urology Erasmus MC 3000 CA Rotterdam The Netherlands Department of Clinica Biochemistry Menoufiya University 3481 Shebin EI-Kom Egypt Department of Gynaecology and Obstetrics Mansoura University 35515 Mansoura Egypt

The aim of this study was to verify the role of antegrade scrotal sclerotherapy for the treatment of varicoceles in infertile men with severe oligo-astheno-teratozoospermia （OAT）. The 59 patients with severe OAT in this study underwent antegrade scrotal sclerotherapy for the treatment of varicoceles. The outcome was assessed in terms of improvement in semen parameters and spontaneous conception rate. Semen parameters and reproductive hormones were evaluated before antegrade sclerotherapy （AS） and 6 months after AS. After an average follow-up time of 34.8_＋3.2 months, significant improvement was noted in the mean sperm concentration, motility and morphology in 36 patients （61%）. Spontaneous pregnancy occurred in nine couples （15%）. Six months after treatment, inhibin B levels were significantly higher （P〉0.04）, whereas follicle-stimulating hormone （FSH） levels were significantly lower （P〈0.001） than before treatment. Antegrade internal spermatic vein sclerotherapy can significantly improve seminal parameters and hormonal parameters in men with severe OAT and may even result in spontaneous pregnancy in couples who would otherwise be candidates for intracytoplasmic sperm injection （ICSI）.

关键词： infertility Inhibin B oligo-astheno-teratozoospermia sclerotherapy semen parameters varicocele

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Significance of serum leptin and adiponectin levels in Egyptian patients with chronic hepatitis C virus associated hepatic steatosis and fibrosis

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World Journal of Hepatology 2013年第2期5卷 74-81页

作者： Tarek E Korah Sawsan El-Sayed Maathir K ElShafie Ghada E Hammoda manal a safan Department of Internal Medicine Faculty of MedicineMenoufiya University32511 MenoufiyaEgypt Department of Tropical Medicine Faculty of MedicineMenoufiya University32511 MenoufiyaEgypt Department of Medical Biochemistry Faculty of MedicineMenoufiya University32511 MenoufiyaEgypt

AIM:To study serum levels of leptin and adiponectin in patients with chronic hepatitis C virus infection genotype-4(HCV-4) related steatosis and ***:We prospectively studied 45 untreated men with chronic HCV-4,with proven steatosis(group Ⅰ,30 patients),and fibrosis(group Ⅱ,15 patients),on liver *** addition,15 healthy men(group Ⅲ),matched for age,and body mass index were ***,we excluded another five patients with steatohepatitis,and six patients with *** measured total serum leptin and adiponectin levels,as potential predictors for liver steatosis and ***,a correlation between these adipokines and various clinical and laboratory data were *** subjects were selected from Tropical and Internal medicine departments,Menoufiya University Hospital,Menoufiya,Egypt,during the period from February 2010 to August ***:In group Ⅰ,severity of hepatic steatosis was mild,moderate,and severe,in 19 patients(63.5%),8 patients(26.5%),and 3 patients(10%),*** contrast,in group Ⅱ,hepatic fibrosis was found to be in stage 1,2,and 3,in 6 patients(40%),in 6 patients(40%),and in 3 patients(20%),*** comparing group Ⅰ with group Ⅱ,there was a significant decrease in serum adiponectin levels(131.4 ± 7.91 pg/mL vs 436 ± 9.75 pg/mL,P 0.05).However,in the same group,when compared with group Ⅲ,there was a significant increase in serum leptin levels(34.69 ± 7.69 ng/mL vs 10.69 ± 0.84 ng/mL,P < 0.001),while there was a significant decrease in serum adiponectin levels(131.4 ± 7.91 pg/mL vs 342.4 ± 44.48 pg/mL,P < 0.001).In contrast,in group Ⅱ,when compared with group Ⅲ,there was a significant increase in serum leptin and adiponectin levels(35.17 ± 1.06 ng/mL vs 10.69 ± 0.84 ng/mL,P < 0.001,and 436 ± 9.75 pg /mL vs 342.4 ± 44.48 pg/mL,P < 0.05,respectively),while the

关键词： Leptin Adiponectin Hepatitis C virus Hepatic steatosis Hepatic fibrosis

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