Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301OUTCOME OF LATE PRETERM NEWBORNS185502910.21608/fumj.2019.55029ENManalELhawaryProfessor of pediatrics, Faculty of medicine, FayoumUniversity,Fayoum, Egypt.ELkassemElgameelAssistant professor of of medicine, Fayoum University, Fayoum, Egypt.SayedAminAssistant professor of pediatrics Faculty of medicine, Fayoum University,Fayoum, Egypt.MarwaMaddbolyMedical student,M.B.B.Ch,benisuef University, EgyptJournal Article20190105Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Pediatric Phenylketonuria in Fayoum Governorate (Retrospective study)9165503510.21608/fumj.2019.55035ENEssaamEldeenGad ElrabResident of pediatrics – fayoum Health insurance hospital.AshrafKamelProfessor of pediatrics-Faculity of medicine-Fayoum University.MohamedMasoudAssProfessor of Pediatrics-Faculity of medicine-Fayoum University.FatmaAbdeltwabLecturer of public health and community medicine Faculty of Medicine-Fayoum university.Journal Article20190111<strong>Aim of work: </strong>The aim of this study is to explore epidemiological and clinical situation of phenylketonuria among children in Fayoum governorate and to assess the current state of PKU screening and management.
<strong>Patients and Methods: </strong>This study was conducted with 2 approaches; a retrospective approach related to the recorded data of phenylketonuria cases on Fayoum governorate and a cross sectional approach to complete history taking and examination of the cases.<br /><strong>Results:</strong> From 9/2015 to 9/2017, 229547 newborns in Fayoum were screened for PKU with screening coverage rate of 98.8%. Out of 61 mothers of the 71 PKU cases, 49/61 (80.3%) reported consanguineous marriage,19/22 (86.5 %) of them showed appearance of PKU (fair complection of skin, hair and iris), As regards neurological examination, 13/65 (20.0 %) had delayed speech.<br /><strong>Conclusion and recommendations: </strong>Incidence of PKU among screened neonate in Fayoum governorate was high which<br />implicates the importance of NBS program for early detection of PKU cases before appearance of manifestations.<br />Consanguinous marriage was found in most cases of PKU. Health education specially for those living in rural area as regard the role of consanguineous marriage and family history as a risk factor of PKU is an important issue.
Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301IDENTIFICATION OF THE FACIAL NERVE TRUNK DURING SUPERFICIAL PAROTIDECTOMY BY TRIDENT LANDMARK17265504210.21608/fumj.2019.55042ENYasserHatataFaculty of Medicine, Fayoum University.MohamedIbrahimFaculty of Medicine, Fayoum University.RedaFawzyFaculty of Medicine, Kafr El-Sheikh University.HazemElgoharyFaculty of Medicine, Alexandria University.Journal Article20190202<strong>Background: </strong>The facial nerve is one of the most important structures encountered during surgical removal of<br />parotid gland tumours especially since these closely approximate the nerve. The importance of the facial nerve and<br />controversies about how to identify it are exemplified by the multiple anatomical landmarks described to identify the facial nerve during parotidectomy. The trident landmark is one of these anatomical landmarks (The facial nerve forms the center point between the base of the styloid process and the origin of the posterior belly of the digastric muscle).
<strong>Aim of the study: </strong>To evaluate the accuracy of the trident landmark as a proposed anatomical landmark for easy,<br />accurate and safe identification of the facial nerve trunk during superficial parotidectomy.
<strong>Patients and methods: </strong>This clinical prospective study was conducted between January 2018 and September 2018 at Al Fayoum University Hospital (FUH), Fayoum University, Egypt and Kafr El-Sheikh university hospital (KUH), Kafr El-Sheikh University, Egypt. It included 25 patients; 14 (56%) males and 11(44%) females with a mean age of 42.68 ±17.53 years. All patients had benign tumors of the superficial lobe of the parotid gland and were subjected to superficial parotidectomy. Outcome was evaluated regarding clinical success of facial nerve identification by trident landmark and early post operative complications.
<strong>Results: </strong>All 25 patients were subjected to superficial parotidectomy. Facial nerve trunk was successfully identified in all the patients with no intra-operative complications. Operative time ranged from 70 to 135 minutes with a mean time 106.80 ±16.13 minutes. Facial nerve deficit of the marginal mandibular nerve (MMN) was noted in 1 patient (4 %), Surgical site infection (SSI) was noticed in 1 patient (4%), Skin flap necrosis in the retroauricular area was also viewed in 1 patient (4%) and no hematoma was noticed in all the patients.
<strong>Conclusion: </strong>Ttident landmark described here facilitates the identification of facial nerve trunk during superficial parotidectomy with relative ease, safety and accuracy. This can be a very useful method to minimize<br />the facial nerve injury during parotid surgery.
Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301HYBRID TECHNIQUE FOR SALVAGE OF ACUTELY FAILED DIALYSIS ACCESS; FEASIBILITY, SHORT AND MID TERM RESULTS27315504710.21608/fumj.2019.55047ENAymanEssawyFaculty of Medicine, Fayoum UniversityAmrEl BahaeyFaculty of Medicine, Cairo UniversityIbrahimMadianFaculty of Medicine, Fayoum UniversityAhmedAbdelrahmanFaculty of Medicine, Fayoum UniversityJournal Article20181207Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Visfatin, Omentin -1 and lipid profile in patients with psoriasis their relation and Disease to severity32365505010.21608/fumj.2019.55050ENTalalAbd-ElRaheemprofessor of Dermatology, STDs and andrology department, Faculty of Medicine Fayoum University.SAAliLecturer of Dermatology, STDS and Andrology, Faculty of Medicine, Fayoum University.SRMohamedLecturer of Biochemistry, Faculty of Medicine, Fayoum University.HAMohamedDepartment of Dermatology, Faculty of Medicine Fayoum University.Journal Article20190105Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Study of non-invasive mechanical ventilation in ICU patients : clinical and prognostic relevance37465505310.21608/fumj.2019.55053ENOsamaMomtazAssistant professor of Critical Care Medicine, Faculty of Medicine, Fayoum University.AEl-KhateebLecturer of critical Care Medicine, Faculty of Medicine, Fayoum University.EAminDepartment critical Care Medicine, Faculty of Medicine, Fayoum University.Journal Article20181210Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Topical Calcipotriol versus oral vitamin D in the treatment of alopecia areata47585505710.21608/fumj.2019.55057ENTalalAbd-ElRaheemprofessor of Dermatology, STDs and andrology department, Faculty of Medicine Fayoum University.BasmaMohammedDermatology, STDs and Andrology department, Faculty of Medicine Fayoum UniversityHassanEl-SayedBiochemistry department, Faculty of Medicine- Fayoum UniversitySaraAhmedDermatology, STDs and Andrology department, Faculty of Medicine Fayoum UniversityJournal Article20190102Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301What are the arterial oxygen saturation discrepancies in some pediatric diseases and the risk factors for oxygen desaturation?59705506310.21608/fumj.2019.55063ENHebaSafarDepartment of Pediatrics, Faculty of Medicine, Fayoum University.Journal Article20181201Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Correlation between Neonatal Sepsis and Red Blood Cell Distribution Width (RDW)71786024210.21608/fumj.2019.60242ENMohammed SherifSalimPediatric Department, Clinical Pathology Department, Faculty of Medicine, Fayoum University, EgyptAhmed MahmoudAbdelmoktaderPediatric Department, Clinical Pathology Department, Faculty of Medicine, Fayoum University, EgyptRehab GalalAbd El-HamidPediatric Department, Clinical Pathology Department, Faculty of Medicine, Fayoum University, EgyptMohammed MansourAbbasPediatric Department, Clinical Pathology Department, Faculty of Medicine, Fayoum University, EgyptJournal Article20190206Fayoum University, Faculty of MedicineFayoum University Medical Journal2536-94742120190301Neurodevelopmental Outcome in Children with Down Syndrome79886024410.21608/fumj.2019.60244ENMiraBeshayM.B.B.ChHadeerAbdel GhaffarProfessor of pediatric,Faculty of Medicine , Fayoum UniversityHebaEl-AwadyLecturer of pediatrics,Faculty of Medicine , Fayoum UniversityJournal Article20190203Background: Down syndrome is the most common identifiable genetic cause of intellectual disability and birth defects.<br />Although intellectual disability and hypotonia are present in virtually all individuals with DS, the expression of other<br />DS-associated congenital and acquired medical complications is variable. Aim of the work: The aim of the study is to<br />determine the neurodevelopmental, behavioral, mentality outcome and associated neurological complications in<br />children with Down Syndrome. Methods: Forty children with Down syndrome were enrolled from June 2016 to<br />March 2017 in the genetic clinic in Fayoum University Hospital. For all, EEG study was done; evaluation using Portage program, and serum TSH, free T3and free T4 was measured. For selected cases fundus examination, ABR, and MRI was done. Results: There was significant developmental delay in motor abilities, selfhelp, social, cognitive, communication, and language skills in our cases. There was a significant relation between motor development, self-help skills,<br />communication skills, language development and head circumference; however, no significant relation was found between cognitive skills and head circumference. There was a significant relation between delay in cognitive skills and EEG abnormalities. There was no significant relation between cytogenetic type of Down Syndrome, presence or absence of cardiac abnormalities, and portage score. Conclusion: All items of developmental outcome were affected in Down Syndrome. The Portage scores (in motor development, self-help skills, communication skills, language development) were affected by microcephaly and EEG abnormalities were found in cases with cognitive disabilities.