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Prevalence of Diabetes and Diabetic Neuropathy in Qena Governorate: Population-Based Survey

Research Abstract
Background: No previous study was done to estimate the prevalence of diabetic neuropathy (DN) in Arabic countries. The aim of this study was to estimate the prevalence of DN and its characteristics in Qena governorate. Material and Methods: This is a random sampling of 10 study areas, involving 9,303 inhabitants; 51.1% men and 48.9% women were recruited. There were 57.3% urban residents and 42.7% rural residents. Patients were diagnosed using a screening questionnaire for diabetes mellitus (DM) as well as for DN in addition to measuring blood sugar in suspected cases. All positive cases were referred to Qena University Hospital and were subjected to full clinical, electrophysiological and laboratory investigations. Results: Out of 9,303 people screened, 837 were diabetic giving prevalence 8.99% of the population. Eight hundred eleven had type II DM and 26 cases had type I giving prevalence of 8.7 and 0.3%, respectively. One hundred fifty-five out of 837 (18.5%) diabetic patients had evidence of DN with prevalence rate being 1.7% of the total
Research Authors
Eman M. Khedr a Gharib Fawi c Mohammed Abd Allah Abbas d
Research Journal
Neuroepidemiology
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

Prevalence of Mild Cognitive Impairment and Dementia among the Elderly Population of Qena Governorate, Upper Egypt:
A Community-Based Study

Research Abstract
Background: There are only a few reports which provide prevalence rates of mild cognitive impairment (MCI) and dementia specifically in Arabic countries. Objective: This study is aimed at estimating the prevalence of MCI and dementia among subjects aged ≥60 years using door-to-door survey in Qena Governorate/Egypt. Methods: We conducted a door-to-door survey with multistage probability random sampling. Screening of all subjects aged ≥60 years (n = 691) employed a simple questionnaire including changes in memory, behavior, and daily activity, Memory and Executive Screening test (MES) as well as the Mini-Mental State Examination. Suspected cases were referred to the hospital for full clinical examination, DSM-IV diagnostic criteria, Hachinski Ischemic Score, neuroimaging, and laboratory investigations if indicated. Results: Of the 691 participants, 12 cases had MCI, giving a crude prevalence rate (CPR) of 1.74/100 and 35 were identified as positive for dementia with a CPR of 5.07/100. The highest age-specific prevalence rates were recorded among subjects ≥85 years old (100/100). The CPRs were significantly higher in urban than rural areas (7.1 versus 3.27/100, respectively; p = 0.03), in industrial areas than non-industrial areas (13.23 versus 1.99; p = 0.00001), and in illiterate than literate participants (10.12 versus 2.25/100; p = 0.00001). Conclusion: Overall, the prevalence rate of MCI and dementia were lower in Qena/Egypt than in other countries. Advanced age, illiteracy, and living in an industrial area were found to be associated with dementia.
Research Authors
Eman Khedra,∗, Gharib Fawib, Mohammed Abd Allah Abbasc, Talal A. Mohammedc, Noha Abo El-Fetoha, Ghada Al Attard, Mostafa Noamana and Ahmed F. Zakic
Research Journal
Journal of Alzheimer’s Disease
Research Member
Research Pages
pp. 117–126
Research Publisher
NULL
Research Rank
1
Research Vol
Vol. 45
Research Website
NULL
Research Year
2015

A double-blind randomized clinical trial on the efficacy of
cortical direct current stimulation for the treatment of
Alzheimer’s disease.

Research Abstract
NULL
Research Authors
Eman M. Khedr 1*, Nageh F. El Gamal1, Noha Abo El-Fetoh1, Hosam Khalifa1, Elham M. Ahmed1,
Anwer M. Ali 1, Mostafa Noaman1, Ahmed Abd El-Baki 1 and Ahmed A. Karim2,3
Research Journal
CLINICALTRIAL ARTICLE
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

A double-blind randomized clinical trial on the efficacy of
cortical direct current stimulation for the treatment of
Alzheimer’s disease.

Research Abstract
NULL
Research Authors
Eman M. Khedr 1*, Nageh F. El Gamal1, Noha Abo El-Fetoh1, Hosam Khalifa1, Elham M. Ahmed1,
Anwer M. Ali 1, Mostafa Noaman1, Ahmed Abd El-Baki 1 and Ahmed A. Karim2,3
Research Journal
CLINICALTRIAL ARTICLE
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

A double-blind randomized clinical trial on the efficacy of
cortical direct current stimulation for the treatment of
Alzheimer’s disease.

Research Abstract
NULL
Research Authors
Eman M. Khedr 1*, Nageh F. El Gamal1, Noha Abo El-Fetoh1, Hosam Khalifa1, Elham M. Ahmed1,
Anwer M. Ali 1, Mostafa Noaman1, Ahmed Abd El-Baki 1 and Ahmed A. Karim2,3
Research Journal
CLINICALTRIAL ARTICLE
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

A double-blind randomized clinical trial on the efficacy of
cortical direct current stimulation for the treatment of
Alzheimer’s disease.

Research Abstract
NULL
Research Authors
Eman M. Khedr 1*, Nageh F. El Gamal1, Noha Abo El-Fetoh1, Hosam Khalifa1, Elham M. Ahmed1,
Anwer M. Ali 1, Mostafa Noaman1, Ahmed Abd El-Baki 1 and Ahmed A. Karim2,3
Research Journal
CLINICALTRIAL ARTICLE
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

A double-blind randomized clinical trial on the efficacy of
cortical direct current stimulation for the treatment of
Alzheimer’s disease.

Research Abstract
NULL
Research Authors
Eman M. Khedr 1*, Nageh F. El Gamal1, Noha Abo El-Fetoh1, Hosam Khalifa1, Elham M. Ahmed1,
Anwer M. Ali 1, Mostafa Noaman1, Ahmed Abd El-Baki 1 and Ahmed A. Karim2,3
Research Journal
CLINICALTRIAL ARTICLE
Research Member
Research Pages
NULL
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2015

Transcranial magnetic stimulation identifies
cortical excitability changes in
monosymptomatic nocturnal enuresis

Research Abstract
NULL
Research Authors
E.M. Khedra,N.A. El-Fetoha, K.A. El Bieha, A.A. Bakya,
R. Gamalb, D. El Hammady
Research Journal
Neurophysiologie Clinique/Clinical Neurophysiology
Research Member
Research Pages
pp. 151—158
Research Publisher
NULL
Research Rank
1
Research Vol
Vol. 45
Research Website
NULL
Research Year
2015

Transcranial magnetic stimulation identifies
cortical excitability changes in
monosymptomatic nocturnal enuresis

Research Abstract
NULL
Research Authors
E.M. Khedra,N.A. El-Fetoha, K.A. El Bieha, A.A. Bakya,
R. Gamalb, D. El Hammady
Research Journal
Neurophysiologie Clinique/Clinical Neurophysiology
Research Pages
pp. 151—158
Research Publisher
NULL
Research Rank
1
Research Vol
Vol. 45
Research Website
NULL
Research Year
2015

Anodal transcranial direct current stimulation
over the dorsolateral prefrontal cortex
improves anorexia nervosa: A pilot study

Research Abstract
Background: Existing treatments for adults with anorexia nervosa (AN) have limited proven efficacy. New treatments that have been suggested involve targeted, brain-directed interventions such as transcranial direct current stimulation (tDCS).We describe findings from seven individuals with treatment-resistant AN who received 10 sessions of anodal tDCS, over the left dorsolateral prefrontal cortex (DLPFC). Material and method: In this open-label, single-arm study, seven patients received anodal tDCS (2mA) for 25 minutes over the left dorsolateral prefrontal cortex daily for ten days. Assessments pre-tDCS, post-tDCS and one month later included the Eating Attitude Test (EAT), Eating Disorder Inventory (EDI) and Beck Depression Inventory (BDI). Results: Three patients improved in all three rating scales immediately after the treatment sessions and one month later. Two patients showed improvement at the end of treatment but returned to the baseline after one month. One subject improved only on the BDI scale but not eating scales. The scores in the three rating scales were unaffected by treatment in the remaining patient. There was a significant effect of time (pre, post and 1 month later) on the three rating scores; BDI (P = 0.016), EDI (P = 0.018) and EAT (P = 0.016) and a significant correlation between the percent improvement of BDI and EAT (p = 0.01), and between BDI and EDI (P = 0.006). Conclusions: These findings suggest that tDCS has potential as an adjuvant treatment for AN and deserves further study.
Research Authors
Eman M. Khedr∗, Noha Abo Elfetoh, Anwer M. Ali and Mostafa Noamany
Research Journal
Restorative Neurology and Neuroscience
Research Member
Research Pages
pp. 789–797
Research Publisher
NULL
Research Rank
1
Research Vol
Vol. 32
Research Website
NULL
Research Year
2014
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