bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence of Eating Disorders and Alexithymia among a sample of Egyptian Medical Students Not Attending Psychiatric Clinics
Authors: Essawy Heba I , Hashem Nivert Z , El hawary Youmna A , Morsy Mahmoud H , El Awady Sara A 
Published: October 2021

Abstract

Background
Eating disorders are prevalent psychiatric disorders and a major Public health burden worldwide, having huge impact on physical and mental health, The student population seems to be vulnerable to eating disorders, but is this in relation to their ability to express their emotions or alexithymia?

Aim of the work
To evaluate the relationship between alexithymia and eating disorders.

Subjects and methods
this is a cross sectional study done on a stratified random sample of 575 medical students in Ain- Shams University, started from 2018 till July 2019, those with history of chronic physical or mental illness were excluded, all students were subjected to Designed clinical sheet for demographic data, Arabic version of Eating Attitude Test -26 (EAT-26) as screening tool for eating disturbances in non-clinical populations and Arabic version of Toronto scale 20 to measure alexithymia.

Results
our study revealed disordered eating 12.3% among the study sample, alexithymia 24.4% and significant variation in scores of eating disorder according to alexithymia scores.

Conclusion
our study revealed positive correlation between eating disorders and alexithymia consistently with hypothesis of emotional regulation deficits in eating disorders.
Studying the relationship between tobacco use and eating behavior among Egyptian university students
Authors: Elesawy Heba Ibrahim , ElHabiby Mahmoud Mamdouh , Mohsen Nesreen Mohamed , Samy Tawfik Mohamed 
Published: October 2021

Abstract

Background
Cigarette smoking is a leading cause of morbidity and mortality. In addition to the independent risks related to cigarettes, smoking is highly associated with obesity-related behaviors including unhealthy diet. Despite the public health significance, little is known about mechanisms underlying with the paired relationship of smoking and unhealthy dietary behaviors.

Aim of the Work
This study aimed to Detect the relationship among smoking status and total and specific types of food cravings (i.e., high-fats, sweets, fast-food fats, and complex carbohydrates/starches), the influence of demographic, clinical, and psychological factors on this relationship and estimate the frequency of nicotine dependence among a sample of 420 egyptian students from 4 theoritical and 4 practical faculties in Ain Shams University

Patients and Methods
This is an observational Cross sectional study study conducted in 8 different faculties in Ain Shams University. The present study aimed at analyzing the demographic data of 420 egyptian university students, during the academic year 2018-2019.The severity of nicotine dependence among those students was assessed using Fagerstrom Test for Nicotine Dependence (FTND), eating behavior was assessed using Yale Food Addiction Scale (YFAS), Socio-Economic Status (SES) Scale for assessing socio-economic level and Eating Disorder Examination Scale for assessing eating disorders.

Results
Compared to never smokers, current smokers reported more frequent cravings for high-fat foods and fast-food fats, after controlling for BMI and demographic factors. Current smokers also reported consuming more high-fat foods and fast-food fats. Nicotine dependence was positively correlated with the frequency of general food cravings and cravings for high fats, sweets, and carbohydrates/starches.

Conclusion
Cigarette smokers, and especially those with higher nicotine dependence, may have greater difficulties in addressing food craving and changing eating habits
Distal Femoral Extension Osteotomy and Patellar Tendon Advancement in Management of Fixed Knee Flexion Deformity and Crouch Gait in Cerebral Palsy
Authors: Emara Khaled Mohamed , El-Ghazaly Sherif Ahmed , Mahran Mahmoud Ali , Alsehemy Mahmoud Ahmed 
Published: October 2021

Abstract

Background
Cerebral palsy (CP) is generally associated with musculoskeletal deformities that occur during body growth. Fixed knee flexion deformity (FKFD) results from long standing knee flexion that is due to progressive contracture of spastic hamstrings combined with a quadriceps weakness. Fixed knee flexion compromises the passive mechanisms of joint stabilization at mid and terminal stance in children with CP. The aim of this study is to highlight the results of distal femoral extension osteotomy and patellar tendon advancement (DFEO + PTA) for management of FKFD in crouching CP patients with spastic or mixed tone diplegic ambulatory cerebral palsy children.

Patients and Methods
A prospective study was conducted involving twenty CP patients with fixed knee flexion deformity (14 males and 6 females). The 20 cases with fixed knee flexion deformity were GMFCS level II (4 cases), and III (16 cases). All patients were clinically and radiologically assessed according to knee flexion angle, extension lag, koshino index and the Gross motor function measure pre- and post-operative. All patients underwent DFEO ± PTA. Eighteen limbs had DFEO on the RT side, and twenty on the LT side.

Results
The mean age of the patients was 11.18±3.23 (6-16) years. The period of follow up ranged from 12 to 24 months (The mean follow up was 16.20 ± 2.46). At last follow up, the median knee flexion angle improved from 25 to 0. The median extension lag improved from 17.5 to 0. The mean koshino index improved from 1.59 ± 0.32 to 1.05 ± 0.10. the GMFM improved from 52.86 ± 7.36 to 68.15 ± 5. 82.

Conclusion
The combined procedure (DFEO + PTA) is effective in increasing knee extension in the stance phase, reducing knee pain and improving knee extension strength.
Outcomes of Combined Unicompartmental Knee Replacement and Anterior Cruciate Ligament Reconstruction: A Systematic Review
Authors: El-Husseini Timour Fekry , Ahmed Mustafa Ali , Sadek Yahia Ahmed 
Published: October 2021

Abstract

Background
The incidence of osteoarthritis of the medial compartment after ACL injury has been quoted to range from 33% to 70%. Medial osteoarthritis in ACL deficient knee is a challenge. Patients are mainly young and active. First reports highlighted a higher incidence of complications, in terms of tibial loosening and higher revision rate, when UKA were performed in ACL-deficient knees. They defined ACL deficiency is a contraindication to UKA.

Objectives
A systematic review and meta-analysis of literature to assess functional outcomes of combined unicompartmental knee arthroplasty with ACL reconstruction and revision rate.

Data Sources
The following electronic databases were searched up to 2019: PubMed, Google Scholar search engine, JBJS {Journal of bone and joint Surgery}, Cochrane database of systematic reviews, EMBASE and Science Direct.

Results
A total of 10 studies met the inclusion criteria encompassing 218 patients who were treated with simultaneous ACL reconstruction and unicompartmental knee arthroplasty. The mean age was 49.5 years (range from 36 to 71) with a mean follow-up of 49.3 months (range from 9 to 258). There was an improvement in mean Oxford Score from 29 to 42.5. The mean knee society score improved from 88.3 to 159. Complications reported included tibial inlay dislocation (n = 3), conversion to a total knee arthroplasty (n = 2), infection requiring two-stage revision (n = 2), stiffness requiring manipulation under anaesthesia (n = 1). Average revision rate was 1.8%.

Conclusion
Literature has strong evidence to support that combined UKA and ACL reconstruction show good functional outcomes and less revision rate. It is a valid treatment option for MOA more in young age group in whom MOA secondary to ACL tear and intact other knee compartments. there is no clinical trial or study suggest that UKA and ACL reconstruction is superior to UKA with tibial slope change or using fixed bearing prosthesis for MOA in ACL deficient knee with instability.
Evaluation of flexor tendon repair (zone II) with Wide Awake Anesthesia
Authors: Fayed Ahmed Adel Zaghloul , Aziz Naglaa Mohamed Abdel , Gawad Ebrahim Mohamed Amin Abdel , Kamel Ibrahim Hussien , Elshahat Ahmed 
Published: October 2021

Abstract

Background
Recent advances in hand surgery has been the movement away from tourniquet surgery, which often requires sedation or GA and the patient will be awake and cooperative. Wide awake approach depends on the safety of adrenaline which is now well established. This review will evaluate the role of the wide awake approach in reducing rupture and tenolysis rate after flexor tendon repair zone 2.

Objective
To evaluate the functional outcome of flexor tendon repair zone II (most challengeable) under wide awake anesthesia.

Patients and Methods
After approval of local ethical committee of faculty of medicine Ain Shams University, this Prospective study has been conducted targeting patients with acute zone II flexor tendon injuries admitted at El Sahel Teaching Hospital within the period from September 2019 till January 2020, and their follow up for minimum three months at outpatient clinic. A Written informed consent explaining the whole procedure under study in this research has been obtained from all patients and absolute confidentiality as regard the patients’ names and addresses was given special care and attention. Final outcome evaluated by Original Strickland evaluation system.

Results
Using the wide awake technique provides an optimal opportunity to test repair strength through Intra-operative Total Active Movement (ITAM) making the surgeon much more comfortable to initiate early active motion. Besides, rising trend toward using early active rehabilitation protocol in case of strong repair using four or more strands repairs is recently supported in literature. This study adopted early active rehabilitation protocol with slight differences among them

Conclusion
This preliminary study assessing the outcomes of primary tendon repair in flexor tendon injuries in zone II using the wide-awake technique demonstrates encouraging results, being satisfactory for both surgeons and patients that makes this new approach a competitive to the other approaches of flexor tendon repair implemented under conventional methods of anesthesia.
Evaluation of Fingertip Injuries and Modalities of Flap Coverage in the Emergency Settings: A Retrospective Study
Authors: Mohamed Salah Nasser , AbdeIAal AbdelRahman , Estawrow Mina Agaiby , Attia Andrew Adel Wassef 
Published: October 2021

Abstract

Background
Fingertip comprises the nail complex and glabrous pulp, which is richly vascularized and innervated, built around the distal phalanx. The fingertip is commonly affected because it is the most distal part of the hand so it's easily to be injured during athletic participation, occupational activities or in accidents. Various fingertip reconstruction methods are reported as healing by secondary intention, shortening and primary closure, skin grafts and flaps. Flaps are considered when there's a big soft tissue loss or an exposed bone. Complications of fingertip reconstructions are common such as flexion deformity and neuroma.

Objective
In this study, we assessed and compared the outcomes of different modalities of soft tissue covemge using different flap techniques in cases of fingertip injuries as regalding the incidence of neuroma, necrosis, donor site morbidity, joint stiffness and sensory impairment, together with the patient satisfaction.

Patients and Methods
We analyzed a retrospective cohort study of 90 patients with 96 fingertip injuries who underwent coverage by various flap techniques at Ain Shams University Hospitals in the period between July 2017 and July 2019.

Results
The V-Y Advancement flap and the Cross-finger flap were the commonest flaps done in 26 cases (27.1%) and 25 cases (26.0%) respectively. There's a highly statistically significance in the incidence of necrosis in abdominal flap (100%) followed by Moberg flap (46.2%). In addition, there is a statistically significance in the incidence of neuroma in Moberg flap (53.8%). Most of patients who underwent coverage by flap technique were very satisfied by the results (60.4%).

Conclusion
Many techniques have been described for reconstruction of fingertip trauma including revision amputation, skin grafting, local flaps, distant flaps and free flaps. The treatment choice depends on many factors such as patient preference, culture, resources available and surgeon skills. The goals of reconstruction in fingertip amputations are to cover the defect with a satisfactory cosmetic appearance, establish maximum function and preservation of sensation.
Role of Platelets Rich Plasma (PRP) on the Outcome of Zone II Flexor Tendon Repair and Proximal Interphalangeal Joint (PIPJ) Range of Motion
Authors: Gamal Ayman , Magdy Amr , Mahmoud Neven , El Sherif Ahmad F , Gad Ahmed M 
Published: October 2021

Abstract

Background
Flexor tendon injuries are a commonly occurring injury presenting to hand surgeons. Using PRP to augment tendon healing has been advocated only recently. Few studies discussed the effect of injection of PRP in tendon healing after tendon repair in large joints as regard functional outcome and range of motion (e.g. Achilles tendon and rotator cuff)

Objective
To study the effect of combination of PRP injection with physiotherapy on gliding and range of motion improvement after zone II flexor tendon repair.

Patients and Methods
prospective interventional controlled clinical study preformed on 40 patients with zone II flexor tendon injury. Patients were divided into two groups, group I (interventional group) PRP was injected around the tendon at the site of repair after one and six weeks of repair and patients received physiotherapy according to our unit protocol. In group II (control group) patients received physiotherapy only. Both groups were evaluated at six and twelve weeks regarding the range of motion according to Buck-Gramko II criteria.

Results
Based on the Buck-Gramcko II criteria, the overall results ranged between fair and good in both groups after six weeks of repair, the score ranged between 7-16 (mean= 11.5) in group I and 6-14 (mean= 10) in group II, There was no statistical difference between the two groups (P = 0.46).After 12 weeks of repair, the overall results ranged between good and excellent in both groups, the score ranged between 11-17 (mean= 14) in group I and 9-16 (mean=12.5) in group II. There was no statistical difference between the two groups (p = 0.207).

Conclusion
PRP injection had no statistical significant effect of on the gliding after flexor tendon repair at zone II.
Meta Analysis Study of Complications Following Repair of Mid Penile Hypospadius using Different Surgical Techniques
Authors: Hassan Ahmed Aly , Mahmoud Assist. Prof. Dr. Nada Abdel Sattar , Sabry Amira Hussein , Nashed Dina Samir Shalaby 
Published: October 2021

Abstract

Background
Hypospadias is one of the most common congenital defects affecting the external male genitalia. The incidence is 1 in 250 male newborns, although its incidence seems to be increasing. Hypospadias is defined as an insufficient development of the urethral fold and the ventral foreskin, with or without penile curvature. The urethral opening is located more proximally anywhere between the tip of the penis and the perineum.

Aim of the Work
The aim of this study is to determine the best surgical technique with the least complications for repair of mid-penile hypospadias.

Materials and Methods
This systematic review and meta-analysis was performed in accordance to the recommendations of the Meta-analysis of Observational Studies in Epidemiology (MOOSE) statement. MOOSE is a reporting checklist for Authors, Editors, and Reviewers of Meta-analysis of interventional and observational studies. According to International committee of medical journal association (ICJME), reviewers must report their findings according to each of the items listed in those checklists.

Results
Fistula is less common after Preputial island flap technique. Fistula is more common with Modified koyanagi technique. Meatal stenosis is less common after Mathieu and Preputial island flap techniques. Meatal stenosis is more common after TIP technique. Wound Dehiscence is not common after lateral based flap and modified koyanagi and Onlay island flap techniques. Neourethral Stricture is not common after lateral based flap and Mathieu and Onlay island flap techniques.

Conclusion
The Mathieu and Preputial island flap techniques for mid-penile hypospadias reconstruction are associated with a significantly lower risk for postoperative urethral stricture and may be the preferred method for hypospadias. However, the clinical implications of the results can be discussed because the risk of stricture in all procedures was low. The implications for research are obvious because there had been no studies that provided firm guidelines on the best method for the operative intervention for hypospadias. Further trials are still needed to confirm our findings.
A Prospective Clinical Study of the Effect of Recombinant Human Growth Hormone in Wound Healing of Severely Burned Children
Authors: Mohamed Salah Nasser , Boghdady Nahed Samir , Estawrow Mina Agaiby , Mohamed Mariam Loutfy Ahmed 
Published: October 2021

Abstract

Background
A burn is a thermal injury caused by biological, chemical, electrical and physical agents with local and systemic repercussions. There are several ways of classifying burns: Classification by mechanism or cause, depth and extent of burn .

Objectives
The objective of this study was to determine the safety and efficacy of using recombinant human growth hormone (rhGH) in the treatment of pediatric burn victims and their probable effect on accelerating burn wound healing.

Patients and Methods
This study was an Interventional randomized controlled Double Blind Study in which Patients subdivided randomly into 2 groups: Group A received somatotropine hormone after their 3 days of resuscitation besides their conventional treatment during their stay in the Burn ICU. Group B received the conventional treatment only in the Burn ICU.

Results
The comparison between the GH group and the control group showed that that there was statistically significant difference found between the two studied groups regarding TBSA of burn at 3rd week. The mean TBSA in GH group was ( 9.06 ± 7.47 ) while in the control group (13.94 ± 11.96) with P value (0.041). There was highly statistically significant difference found between the two studied groups regarding Insulin like growth factor .the mean Insulin like growth factor in GH group was (16.48 ± 11.40) while in the control group(2.77 ± 0.64) with P value(0.000).

Conclusion
The use of recombinant Growth hormone with a dose of 0.2 mg/Kg SQ 2 days per week with 3 days time interval in pediatric burn patients after their primary resuscitation from the burn injury, shows a marvelous improvement concerning the total body surface area of burn(TBSA) as the patient received the growth hormone showed a decrease total body surface area of burn(TBSA) than the control group. This may be accounted for the faster wound healing and readiness for grafting .
Surgical Modalities of Repair of Intra Articular Fractures of Proximal Interphalangeal Joint: A Meta-analysis
Authors: Hussien Heba Diaaey , Sadek Eman Yahya , Reyad Associate Prof. Dr. Khaled Ahmed , Fayez Moaz Fathy Khalifa 
Published: October 2021

Abstract

Background
The proximal interphalangeal (PIP) joints of the fingers are extremely important for gripping things with hands, more specifically, what is called the ‘power grip’.

Aim of the Work
To compare the different modalities of repair of intra-articular fractures of PIP joint.

Materials and Method
A systematic review and meta-analysis were performed in accordance to the recommendations of the “Preferred Reporting Items for Systematic Reviews and MetaAnalyses” (PRISMA). PRISMA is reporting checklists for the authors, the editors, and the reviewers of Meta-analyses of the interventional and the observational studies. According to the International committee of medical journal association (ICJME), the reviewers must report their findings according to each of the items listed in those checklists.

Results
The results of this study includes the search results and data extraction results which includes summary characteristics and baseline characteristics of the included Studies, outcome measures and Complications of the included studies.

Conclusion
There is no consensus regarding the most effective technique for management of unstable PIPJ fractures. The extension block pinning, closed reduction and percutaneous pinning of the fracture fragments, dynamic distraction and external fixation, open reduction and internal fixation, and hemihamate reconstruction arthroplasty are safe and reliable and reduce the risk of iatrogenic damage when used to treat unstable dorsal fracture-dislocations of the PIP joint.
Usage of Dermal Substitutes for Hand Coverage and Reconstruction
Authors: Elbadawy Ahmed Mohamed Salah Eldin , ELmenoufy Tarek Salem , Tawfik Rghada El Sayed Talal , Sayed Sayed Tarek 
Published: October 2021

Abstract

Background
Hand coverage and reconstruction gives a challenge for plastic surgery. In this study we introduce a method for hand coverage and reconstruction by dermal substitutes which easy and simple to use.

Objectives
The aim of this study is to know the versatility of dermal substitutes in reconstruction & coverage of complex hand defects.

Patients and Methods
This was a cohort study conducted on 20 patients with hand tissue loss; to evaluate the versatility of dermal substitutes in reconstruction & coverage of complex hand defects. Patients attending El Helmeia armed forces hospital (plastic and reconstructive department) & Ain shams university hospital with follow up duration up to 6 months. All patients had clean wound & complex hand defects with exposed tendon and/or bone, Defects post trauma and after tumour excision and Post burn hypertrophic scars, keloid or contractures.

Results
We found that; the mean age of all patients was (23.5 ± 8.82) years. Regarding gender of the patients, the majority (80%) of patients were males; while (20%) were females. Regarding side of raw area; (55%) of patients had Rt-sided raw area, and (45%) had Lt-sided raw area. Regarding site of raw area; (20%) of patients had Finger-tip raw area, (20%) had Palm raw area, (10%) had Volar surface of little and ring raw area, (10%) had Volar surface of little finger raw area, (25%) had Dorsum raw area, (10%) had Dorsum of lateral 4 fingers raw area, while (5%) had Dorsum of middle finger raw area. Regarding Etiology of raw area; (70%) of raw areas caused by Trauma, (15%) caused after burn keloid removal, (10%) caused after burn contracture, and (5%) caused by donor site. Regarding Intervention data; (50%) of patients used Integra dermal substitute; and (50%) used Pelnac dermal substitute. Regarding follow up data; the average Time of removal was (3.65 ± 0.49) weeks, and the average Time for follow up was (3.25 ± 1.12) months. Comparative study between 20 hand tissue loss patients revealed; highly significant increase in Post-operative STSG satisfaction rate (70%); with highly significant statistical difference (p &lt; 0.01), highly significant increase in Post-operative STSG good movement (80%); with highly significant statistical difference (p &lt; 0.01).

Conclusion
The use of dermal substitutes cons gives an alternative reconstructive option for managing extended skin avulsion injuries of the upper extremity; it reduces postoperative immobilization, minimizes donor site morbidity and provides good functional and esthetic results in a single surgical procedure.