{"id":"https://openalex.org/W7204434824","doi":"https://doi.org/10.21608/zumj.2026.502366.4654","title":"Association Between Serum Zinc Levels and Hepatic Encephalopathy in Pediatric decompensated Liver diseases: A Case control Study","display_name":"Association Between Serum Zinc Levels and Hepatic Encephalopathy in Pediatric decompensated Liver diseases: A Case control Study","publication_year":2026,"publication_date":"2026-08-19","ids":{"openalex":"https://openalex.org/W7204434824","doi":"https://doi.org/10.21608/zumj.2026.502366.4654"},"language":"en","primary_location":{"id":"doi:10.21608/zumj.2026.502366.4654","doi":"https://doi.org/10.21608/zumj.2026.502366.4654","is_oa":true,"landing_page_url":"https://doi.org/10.21608/zumj.2026.502366.4654","pdf_url":null,"source":{"id":"https://openalex.org/S2764698744","display_name":"Zagazig University Medical Journal","issn_l":"1110-1431","issn":["1110-1431","2357-0717"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-1"],"host_organization":"https://openalex.org/P4365384376","host_organization_name":"Zagazig University","host_organization_lineage":["https://openalex.org/P4365384376"],"host_organization_lineage_names":["Zagazig University"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zagazig University Medical Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21608/zumj.2026.502366.4654","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104109370","display_name":"Ahmed Thabet Mahmoud","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmed Thabet Mahmoud","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109370556","display_name":"Maha A. El-Bassuoni","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maha Abdelrafea El-Bassuoni","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018510080","display_name":"Aya Hamad","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aya Hamad","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5074274221","display_name":"Marwa Sabry Rizk","orcid":"https://orcid.org/0009-0002-5483-0256","observed_orcids":["https://orcid.org/0009-0002-5483-0256"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marwa Sabry Rizk","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"0","issue":"0","first_page":"0","last_page":"0"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.961899995803833,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10915","display_name":"Trace Elements in Health","score":0.03009999915957451,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10790","display_name":"Heavy Metal Exposure and Toxicity","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hepatic-encephalopathy","display_name":"hepatic encephalopathy","score":0.9559999704360962},{"id":"https://openalex.org/keywords/serum-zinc","display_name":"serum zinc","score":0.9620000123977661},{"id":"https://openalex.org/keywords/zinc-deficiency","display_name":"zinc deficiency","score":0.9860000014305115},{"id":"https://openalex.org/keywords/pediatric-liver-failure","display_name":"pediatric liver failure","score":0.9399999976158142},{"id":"https://openalex.org/keywords/acute-liver-failure","display_name":"acute liver failure","score":0.878000020980835},{"id":"https://openalex.org/keywords/chronic-liver-disease","display_name":"chronic liver disease","score":0.9959999918937683},{"id":"https://openalex.org/keywords/ammonia-metabolism","display_name":"ammonia metabolism","score":0.753000020980835},{"id":"https://openalex.org/keywords/child-pugh-score","display_name":"Child-Pugh score","score":0.9660000205039978},{"id":"https://openalex.org/keywords/disease-severity","display_name":"disease severity","score":0.7609999775886536},{"id":"https://openalex.org/keywords/diagnostic-biomarkers","display_name":"diagnostic biomarkers","score":0.4729999899864197}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9634000062942505},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6887000203132629},{"id":"https://openalex.org/C146304588","wikidata":"https://www.wikidata.org/wiki/Q961652","display_name":"Case-control study","level":2,"score":0.6690999865531921},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.6620000004768372},{"id":"https://openalex.org/C2780325230","wikidata":"https://www.wikidata.org/wiki/Q642548","display_name":"Hepatic encephalopathy","level":3,"score":0.609499990940094},{"id":"https://openalex.org/C2778621155","wikidata":"https://www.wikidata.org/wiki/Q576349","display_name":"Encephalopathy","level":2,"score":0.35510000586509705},{"id":"https://openalex.org/C535196362","wikidata":"https://www.wikidata.org/wiki/Q758","display_name":"Zinc","level":2,"score":0.3443000018596649},{"id":"https://openalex.org/C2908939727","wikidata":"https://www.wikidata.org/wiki/Q970208","display_name":"Hepatic dysfunction","level":2,"score":0.28790000081062317},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.28110000491142273},{"id":"https://openalex.org/C165617652","wikidata":"https://www.wikidata.org/wiki/Q17071134","display_name":"Nested case-control study","level":3,"score":0.21080000698566437}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.21608/zumj.2026.502366.4654","doi":"https://doi.org/10.21608/zumj.2026.502366.4654","is_oa":true,"landing_page_url":"https://doi.org/10.21608/zumj.2026.502366.4654","pdf_url":null,"source":{"id":"https://openalex.org/S2764698744","display_name":"Zagazig University Medical Journal","issn_l":"1110-1431","issn":["1110-1431","2357-0717"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-1"],"host_organization":"https://openalex.org/P4365384376","host_organization_name":"Zagazig University","host_organization_lineage":["https://openalex.org/P4365384376"],"host_organization_lineage_names":["Zagazig University"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zagazig University Medical Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:3804581dbc3c4b1d91da32723353f3f5","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/3804581dbc3c4b1d91da32723353f3f5","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Zagazig University Medical Journal (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.21608/zumj.2026.502366.4654","doi":"https://doi.org/10.21608/zumj.2026.502366.4654","is_oa":true,"landing_page_url":"https://doi.org/10.21608/zumj.2026.502366.4654","pdf_url":null,"source":{"id":"https://openalex.org/S2764698744","display_name":"Zagazig University Medical Journal","issn_l":"1110-1431","issn":["1110-1431","2357-0717"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","jpps-1"],"host_organization":"https://openalex.org/P4365384376","host_organization_name":"Zagazig University","host_organization_lineage":["https://openalex.org/P4365384376"],"host_organization_lineage_names":["Zagazig University"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zagazig University Medical Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7171491957","https://openalex.org/W4403094880","https://openalex.org/W4402389928","https://openalex.org/W4400587853","https://openalex.org/W4382751100","https://openalex.org/W2883127767","https://openalex.org/W4407485083","https://openalex.org/W22431165","https://openalex.org/W4383268615","https://openalex.org/W2071388732"],"abstract_inverted_index":{"Background:":[0],"Hepatic":[1],"encephalopathy":[2],"(HE)":[3],"is":[4],"a":[5,66,217,226],"serious":[6],"complication":[7],"of":[8,31,87,175,209,219],"pediatric":[9,41],"liver":[10,42,57,62,72,134,185,190,221],"failure.":[11,191],"Zinc":[12,178],"plays":[13],"an":[14,206],"important":[15],"role":[16],"in":[17,25,40,114,117,200],"ammonia":[18],"metabolism,":[19],"but":[20,168],"its":[21],"association":[22],"with":[23,47,55,109,119,128,183,197],"HE":[24,90,146,210],"children":[26,54],"remains":[27],"unclear.":[28],"the":[29,110],"aim":[30],"this":[32],"study":[33,51],"was":[34,91,180,204],"to":[35,145],"evaluate":[36],"serum":[37,75,77,166,170,202],"zinc":[38,88,98,124,138,194,203],"levels":[39,99,112,125,139,195],"failure":[43,63],"and":[44,65,79,105,132,159,165,211],"their":[45],"relationship":[46],"HE.":[48,120,176],"Methods:":[49],"This":[50],"included":[52],"100":[53],"chronic":[56,184,220],"disease":[58,130,149,186,198,222],"(CLD)":[59],"or":[60],"acute":[61,189],"(ALF)":[64],"matched":[67],"control":[68],"group.":[69],"Clinical":[70],"assessment,":[71],"function":[73,135],"tests,":[74],"ammonia,":[76,167],"zinc,":[78,171],"disease-severity":[80],"scores":[81],"were":[82,126],"evaluated.":[83],"The":[84],"predictive":[85,155],"value":[86,156],"for":[89,157,229],"assessed":[92],"using":[93],"ROC":[94,151],"analysis.":[95],"Results:":[96],"Serum":[97],"differed":[100],"significantly":[101,143],"among":[102],"controls,":[103],"CLD,":[104,115,122,201],"ALF":[106],"patients":[107],"(p<0.001),":[108],"lowest":[111],"observed":[113],"particularly":[116],"those":[118],"In":[121],"lower":[123,193],"associated":[127,182],"greater":[129],"severity":[131,199,223],"worse":[133],"parameters.":[136],"However,":[137],"did":[140],"not":[141,169,205],"differ":[142],"according":[144],"status":[147],"within":[148],"groups.":[150],"analysis":[152,161],"showed":[153],"limited":[154],"HE,":[158],"multivariable":[160],"identified":[162],"Child\u2013Pugh":[163],"score":[164],"as":[172,216,225],"independent":[173,207],"predictors":[174],"Conclusion:":[177],"deficiency":[179],"mainly":[181],"rather":[187],"than":[188,224],"Although":[192],"correlated":[196],"predictor":[208],"may":[212],"be":[213],"more":[214],"useful":[215],"marker":[218,228],"diagnostic":[227],"hepatic":[230],"encephalopathy.":[231]},"counts_by_year":[],"updated_date":"2026-10-12T09:40:04.860316","created_date":"2026-08-28T00:00:00"}
