Publications by authors named "Megahed N"

Acquiring reliable knowledge amidst uncertainty is a topical issue of modern science. Interval mathematics has proved to be of central importance in coping with uncertainty and imprecision. Algorithmic differentiation, being superior to both numeric and symbolic differentiation, is nowadays one of the most celebrated techniques in the field of computational mathematics.

View Article and Find Full Text PDF

Background: To evaluate the analgesic efficacy and spread of variable volumes of local anesthetics (LA) in Erector spinae plane block (ESPB).

Methods: Sixty patients aged between 18 and 50 years with an ASA I-II and scheduled for breast cancer surgery were randomized to receive either ESPB with 20 ml 0.25% bupivacaine (Standard volume ESPB), or with 40 ml 0.

View Article and Find Full Text PDF

This study provides theoretical grounds for planning smart cities using multidisciplinary approaches, offering insightful suggestions to researchers and policy- and decision-makers. Its main purpose is to contribute to the debate on the new connotations of the smart city paradigm in the context of the COVID-19 pandemic. It will emphasize how the Internet of Things and related technologies will collaborate to develop an antivirus-built environment against future pandemics.

View Article and Find Full Text PDF

Introduction: There are different types of malignant tumors that can affect the thyroid gland where differentiated thyroid carcinomas (papillary and follicular) are the most common representing nearly 90% of cases. Non-epithelial malignancies were also reported to affect the thyroid gland particularly lymphomas and sarcomas that were reported in literature to range from 0.01 to 1.

View Article and Find Full Text PDF
Article Synopsis
  • Improvement in sexual function is a key goal for women having surgery for pelvic organ prolapse, requiring patient counseling about potential changes in sexual activity.
  • Research shows that sexual function typically stays the same or gets better after pelvic reconstructive surgery, with a decrease in pain during intercourse (dyspareunia).
  • The occurrence of new dyspareunia after different types of prolapse surgeries ranges from 0% to 9%, though posterior repair has different outcomes.*
View Article and Find Full Text PDF

Safe urban public spaces are vital owing to their impacts on public health, especially during pandemics such as the ongoing COVID-19 pandemic. Urban public spaces and urbanscape elements must be designed with the risk of viral transmission in mind. This work therefore examines how the design of urbanscape elements can be revisited to control COVID-19 transmission dynamics.

View Article and Find Full Text PDF

To effectively reduce the spread of SARS-CoV-2, it is crucial to highlight the effectiveness of building design strategies in mitigating threats to occupants. The ongoing pandemic research and actions focus on how poor Indoor Air Quality (IAQ) amplifies the effects of airborne viruses. This review aims to draw architects' attention toward the high risk of airborne transmission of diseases by providing the latest updates and solutions to understand better the environmental and health issues associated with COVID-19.

View Article and Find Full Text PDF

Although pubertal gynecomastia is a common clinical presentation of adolescent males, prepubertal gynecomastia is uncommon and mostly idiopathic. However, pathological causes of prepubescent gynecomastia are encountered in clinical practice. This manuscript carries an important message to general pediatricians, to care about exclusion of pathological causes for every patient of prepubertal gynecomastia.

View Article and Find Full Text PDF

Before developing medications for an epidemic, one solution is to go back to the physical and built environment to reduce its impact. Epidemics have transformed our built environment because of the fear of infection. Consequently, architecture and urbanism after the Covid-19 epidemic will never be the same.

View Article and Find Full Text PDF

Background: Hashimoto thyroiditis (HT) is an autoimmune lymphocytic thyroiditis and is the most common form of thyroid inflammatory diseases. The association of HT with papillary thyroid carcinoma (PTC) has been described. PTC is the most common form of malignancy associated with HT.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to review the findings from multidetector computed tomography (MDCT) in patients with simultaneous lymphoma and other solid tumors.
  • It involved a retrospective analysis of 18 patients (8 women and 10 men) diagnosed with both lymphoma and various solid malignancies, confirming all cases through pathological evaluation.
  • The results highlighted that MDCT is an effective imaging method for evaluating these conditions, and additional research could enhance understanding and potentially improve treatment strategies for patients with synchronous lymphoma and other malignancies.
View Article and Find Full Text PDF

Anaplastic variant (av) of diffuse large B-cell lymphoma (DLBCL) is morphologically defined in the 2017 World Health Organization classification, but still an enigmatic disease in its clinicopathologic distinctiveness, posing the differential diagnostic problem from gray zone lymphoma (GZL) and classic Hodgkin lymphoma (cHL). Thirty-one cases previously diagnosed as avDLBCL were reassessed. Of these, 27 (87%) and 4 (13%) were node-based and extranodal diseases, respectively.

View Article and Find Full Text PDF

Unlabelled: Saxagliptin (Saxa), a dipeptidyl dipeptidase-4 (DPP-4) inhibitor, is widely used for the treatment of type 2 diabetes mellitus. It has been documented to have immunomodulatory and anti-inflammatory actions. Our objective was to delineate the protective effect and the underlying mechanism of Saxa-in comparison with Dexamethasone (Dexa) - in airway inflammation induced by ovalbumin (OVA) in mice.

View Article and Find Full Text PDF

Protocatechuic acid (PCA), the natural phenolic antioxidant, reportedly exhibited hypoglycemic and insulin-like effects. Recent studies have reported its cardioprotective effect in glucocorticoid (GC)-induced hypertensive rats. Nevertheless, its beneficial role has not been investigated in the setting of GCs excess-induced insulin resistance.

View Article and Find Full Text PDF

Liver cholestasis is a complex disease of broad etiologies. Hedgehog (Hh) signaling has been shown to play a pivotal role in modulating liver repair post cholestatic liver injury. We here investigated the role of vitamin D in experimental liver cholestasis induced by bile-duct ligation (BDL) in rats.

View Article and Find Full Text PDF

Hepatocellular carcinoma (HCC) is characterized by bad prognosis and is the second most common reason for cancer-linked mortality. Treatment with sorafenib (SRF) alone increases patient survival by only a few months. A causal link has been determined between angiotensin II (Ang-II) and HCC.

View Article and Find Full Text PDF

Spontaneous regression (SR) of lymphoma is a rare phenomenon. While the precise mechanism of SR remains unknown, apoptosis may be associated with its process. Here, we present a case of a 52-year-old woman was admitted to our hospital with cough and orthopnea for 2 weeks.

View Article and Find Full Text PDF

Liver fibrosis is a global health issue that causes morbidity and mortality with no currently available treatment. It has been shown that low dose paclitaxel (PTX) can stabilize microtubules and inhibit the profibrotic transforming growth factor-beta 1 (TGF-β1) signaling pathway. In this study the effect of treatment with low dose PTX was examined using a model of cholestatic liver fibrosis.

View Article and Find Full Text PDF

The anaplastic variant of diffuse large B-cell lymphoma (A-DLBCL) is morphologically defined but remains an enigmatic disease in its clinicopathologic distinctiveness. Here, we report two cases involving Japanese women aged 59 years, both with A-DLBCL with the hallmark cell appearance and both indistinguishable from common and giant cell-rich patterns, respectively, of anaplastic lymphoma kinase (ALK)-positive anaplastic large cell lymphoma. Case 1 was immunohistochemically positive for CD20, CD79a and OCT-2 but not for the other pan-B-cell markers, CD30 and ALK.

View Article and Find Full Text PDF

Fibromatosis is a benign tumor that rarely affects the breast and is an unusual site for its occurrence. Whilst the definite etiology of breast fibromatosis is unclear, it may present itself following surgical trauma or silicone implant. Wide local excision with adequate safety margins is considered the standard of care.

View Article and Find Full Text PDF

Liver fibrosis is a pathological process complicating schistosomiasis. It is an active process of continuous extracellular matrix accumulation. In Egypt, schistosomiasis re-infection is a continuing problem especially in rural areas.

View Article and Find Full Text PDF

Background: Ovarian cancer is the 4th commonest cancer among Egyptian women. It can spread through 3 different lymphatic pathways to para-aortic/paracaval lymph nodes, to pelvic lymph nodes and only occasionally through the round ligament of the uterus to the inguinal nodes. These rare cases are staged IVb on FIGO system.

View Article and Find Full Text PDF

Acute hepatic dysfunction associating sepsis is mediated mainly by toll-like receptor-4 (TLR-4)/nuclear factor kappa-B (NF-κB) inflammatory pathway. This study explores potential hepatoprotective effect of the NF-κB inhibitor celastrol in cecal ligation and puncture (CLP) model in rats. Protective effect of celastrol (1mg/kg, i.

View Article and Find Full Text PDF

Sepsis is a systemic inflammatory response associating severe infection leading to multi-organ failure, such as hepatic dysfunction. This study investigates the possible hepatoprotective effect of the lipoxin A agonist (BML-111) in cecal ligation and puncture (CLP) model in rats. Pretreatment with BML-111 (1 mg/kg, i.

View Article and Find Full Text PDF