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Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-Baroudy

Al-Azhar International Medical Journal

Background: Intraventricular hemorrhage is the most common intracranial hemorrhage in preterm newborns. The high incidence and problems made it important. Many etiologies and risk factors have been found. Newborns can get IVH. Methods: This study included 100 neonates, 59% cases were males & 41% cases were females. GA ranged from 27 to 36 weak, with a mean of 31.9 ±1.67 weak. The weight ranged from 750 g. to 2.93 kg., with a mean of 1.7 ± 0.44 kg. Trans cranial US was done at day one, three and day seven after delivery. Results: The study found that IVH rates were …

A Hanging Case Or A Hit And Run Accident, Mohamed M. Hussein, Ashraf I. Hassan

Al-Azhar International Medical Journal

When the victim's body was observed to be partially or totally hanged, a death by hanging occurred. The existence of both general and local indicators of hanging together with circumstantial evidence is typically used to diagnose the cause. After ruling out the presence of other important suspicious signs, such as those suggesting struggle, and when the victim is toxicologically free, the manner of death is tends to be suicidal. Circumstances also, should exclude homicide and accidental death. We present a man in the third decade of life, found on a road with head trauma but with signs of hanging including …

Updated Role Of Ultrasonography In Comparison With Magnetic Resonance Imaging In Evaluation Of Various Causes Of Chronic Ankle Pain, Alaa Eldein Mohamed Badr, Mohamed Abdelfattah Yousef, Abdelhakeam Atef Abdelhakeam

Al-Azhar International Medical Journal

Background: Ankle pain refers to any kind of discomfort in either or both ankles. A common cause of ankle pain is an ankle sprain. Apart from sprains and other traumas, gout and arthritis can also result in ankle pain. Ankle discomfort can arise from various types of arthritis, such as osteoarthritis, rheumatoid arthritis, chronic gouty arthritis, psoriatic arthritis, and septic arthritis. Aim of the work: To analyze the updated roles of magnetic resonance imaging and ultrasonography in evaluating different causes of persistent ankle discomfort. Patients and methods: The fifty randomly selected patients with no age or sex specification were subjected …

Effect Of Hydrogen Peroxide On Hemostasis During Tonsillectomy Operations, Mohammad Abd- Al Fattah Al-Tawy, Mohammad Amin Al-Morsy, Ahmed Salah El-Sayed Amer

Al-Azhar International Medical Journal

Background: The palatine tonsils play a role in immunological function. Their infections are one of the most common causes of visits to ENT specialists. The surgeon is always mindful of the significant risk of complications in tonsillectomy, despite the fact that it is the most common and simplest procedure. Hydrogen peroxide was not mentioned as a hemostatic agent for tonsillectomy in the literature search. For many years, orthopedic surgeons have relied on hydrogen peroxide as a hemostatic agent. Aim and Objectives: to determine how well H2O2 works in stopping bleeding during tonsillectomy procedures. Patients and methods: In this prospective cross-sectional …

Effect Of Low-Flux Versus High-Flux Dialyzers On Interleukin 6 (Il-6) Level In Patients Undergoing Maintenance Haemodialysis, Hussein Salem Farahat Salem, Mohamed Nabil Raafat, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomi

Al-Azhar International Medical Journal

Background: One of the leading causes of death and suffering in the 21st century is chronic kidney disease (CKD). Due to the rise in risk factors like obesity and diabetes, as well as the rising number of people affected with CKD, our study aimed to study the effect of using low-flux in comparison to high-flux dialyzers on serum IL-6 levels in patients undergoing regular hemodialysis (HD).

Patients and Methods: Our study was a randomized controlled trial. Sixty patients were enrolled: 20 CKD patients, 20 dialysis patients using low- flux, and 20 patients using high-flux polysulfone dialyzers. Dialysis sessions were four …

Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy

Al-Azhar International Medical Journal

Background: The eye disorder known as diabetes-related macular edema (DME) is frequent and dangerous. DME is one of the easiest conditions to treat even though it can cause vision impairment. Photocoagulation, intravitreal medicines, in addition to surgical excision are some of the therapy options that are currently available. Aim of the work: to evaluate how intravitreal Ranibizumab injections affected corneal endothelial changes over the course of 3 months in patients diagnosed with DME. Patients and Methodology: A case-control study at Giza Memorial Institute of Ophthalmic Research from May 2022 till Nov 2022. compared patients with DM who have good glycemic …

Liver Biochemical Abnormalities Among Covid-19 Patients, Sahar Hassan Abd-Allah, Ashraf Mohammad Elkabeer, Ahmed Mohamed Mostafa, Ayman Abd Elaziz Abd Elrhman, Ebtisam Showky Ahmed Hassanin

Al-Azhar International Medical Journal

Background: The sever acute respiratory syndrome corona virus-2 (SARS_CoV-2) is a novel Corona virus that causes Corona virus disease 2019 (COVID- 19). Except for respiratory symptoms, COVID-19 patient often develop different degrees of liver injury. Notably, COVID-19 patients with pre-existing liver diseases, especially liver cirrhosis, have higher incidence of liver biochemical abnormality, liver injury, and even hepatic decompensation event. Aim: To determine the liver biochemistry changes in COVID-19 patients. Patients and methods: In this retrospective study was conducted in quarantine department, Assuit Chest Hospital was conducted on 761 COVID-19 patients. Patients were divided into 2 groups: hepatic and non-hepatic groups. …

Comparative Study Between Intrathecal Hyperbaric Prilocaine Versus Hyperbaric Bupivacaine In Anorectal Surgery, Saeed Mohammed Ali Fayed, Ahmed Mahmoud Mohammed El-Garhy, Mohammed Zakaria Gad El-Karem Abd El-Aziz

Al-Azhar International Medical Journal

Background: The prevalence of ambulatory anorectal surgeries has been increasing, these procedures are deemed appropriate for day case surgery with the use of spinal anaesthesia. This study aims to compare the anaesthetic characteristics of intrathecal hyperbaric bupivacaine 0.5% and intrathecal hyperbaric prilocaine 2% in the context of elective anorectal surgery. Patients and Methodology: The research methodology used in this study is a prospective, double-blinded randomized approach. A total of eighty-eight patients were divided into two similar-sized groups, and randomly allocated to the trial. Group A, got intrathecal administration of 15 mg hyperbaric bupivacaine 0.5%, whereas group B, received intrathecal administration …

Comparison Between Transcerebellar Diameter And Biparietal Diameter And Femur Length For Gestational Age Measurement Accuracy In Third Trimester, Abd Almenem Zakaria, Ahmed Mohamed Saeed, Mohammed Hassan Mohammed

Al-Azhar International Medical Journal

Less of the physiologic diversity of late gestation was evident in transcerebellar diameter (TCD) compared to several other biometric measures. Menstrual history, clinical examination, and ultrasound are all used to estimate the gestational age of a fetus. In the absence of known risk factors, diagnostic ultrasonography is routinely used to monitor fetal development & confirm the presence of clinical complications. Our study aimed at comparison of the current last menstrual period, femur length, as well as biparietal diameter with transcerebellar diameter measurement for estimating gestational age in the third trimester. Our study was an observational trial was carried out on …

Evaluation Of The Prognostic Value Of Rectus Abdominis Muscle Thickness And Rectus Femoris Muscle Thickness Guided By Ultrasound In Intensive Care Patients. Observational Study, Essam Ibrahim Saber Ibrahim, Ali Abdallah Alkumity, Ahmed Mohamed El-Deeb, Ali Abd Elhamed Gharabawy

Al-Azhar International Medical Journal

Background: Early prediction of prognosis of patients is important in critical care. ICUAW, It has been documented that there is an association between the aforementioned condition and the need for prolonged mechanical breathing as well as a lengthy stay in the intensive care unit (ICU). A potential technique to measure muscle thickness is ultrasound, which is noninvasive, frequently used in intensive care units. Objective: Evaluation of the prognostic value of rectus abdominis and rectus femoris muscles thickness guided by US in ICU patients and which of them undergoes more rapid changes and gives earlier prognosis. Patients and Methods: Seventy (70) …

Effect Of Cardiac Rehabilitation On Left Ventricular Remodeling After Acute Anterior Wall St Segment Elevation Myocardial Infarction Treated By Late Pci Using 3d Echocardiography: A Randomized Study, Sameeh Youssif Mahmoud, Mohamed Ahmed Zaki, Ali Mohamed Alamin, Ibrahim Abdel-Fattah Yassin, Ahmad Mohammad Hassaan

Al-Azhar International Medical Journal

Background: Cardiac rehabilitation (CR) has emerged as a comprehensive intervention including several facets and disciplines, with the primary objective of inhibiting the advancement of cardiovascular disease in individuals diagnosed with conditions of the heart and promoting overall health restoration. The objective of this research was to assess the effect of CR on the process of left ventricular (LV) remodeling, specifically using three-dimensional echocardiography (3D-ECHO) after an episode of acute ST-segment elevation myocardial infarction (STEMI). Methods: This randomized controlled trial (RCT) was carried out on sixty patients who suffered recently from acute STEMI and treated with delayed percutaneous intervention (PCI). Patients …

Evaluation Of Neuroretinal Changes In Type Ii Diabetes Mellitus Without Diabetic Retinopathy Using Optical Coherence Tomography, Abd El-Magid Mohamed Tag El-Din, Anas M. Ibrahim, Ahmed Mohamed Hassan

Al-Azhar International Medical Journal

Background: Microaneurysm proliferation is the hallmark of the early stages of DR. it is the mild form of NPDR. with increased severity , the progression to PDR occurred which is characterized by the formation of new blood vessels on the retina and posterior surface of the vitreous, and it develops from moderate or severe NPDR by a process of increased vascular permeability & occlusion. Aim of the study: to assess neurodegeneration in individuals with type II diabetes mellitus (DM2) who do not have diabetic retinopathy. Patients and methods: full ophthalmic examination and Spectralis OCT was performed on 50 eyes of …

Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou

Al-Azhar International Medical Journal

Background: Percutaneous endoscopic stenosis lumbar decompression (PESLD) is regarded as a noteworthy therapeutic option for lumber spinal stenosis (LSS), particularly on the contralateral side, in a satisfactory manner. Objective: To evaluate the efficacy and efficiency of PESLD of LSS through a uniportal-contralateral approach. Subjective: This was a prospective observational study. The patients were admitted to the Neurosurgery Department, Damanhour Educational Hospital, El-Behira Governorate, and Al Hussain Hospital Al Azhar University in Cairo. All patients underwent PESLD through a uniportal-contralateral approach.. Results: The pre-operative visual analogue scale (VAS) was 7.3 ± 0.9 and decreased significantly post-operative to 2.4±1.0. Intraoperative data showed …

Phacoemulsification In Cases Of Zonular Weakness Using In Situ Nuclear Disassembly Without Nuclear Rotation, Mohammed Abdel Moneim Mahdy, Hossam Zeyada, Youssef Hassan Mohammed Ibrahim Mansour

Al-Azhar International Medical Journal

Background: Due to zonular dehiscence or weakness, cataract surgery may result in late intraocular lens subluxation or dislocation, vitreous loss, dropped nuclei fragments, or all of these complications. Aim of the work: The objective of this study is to evaluate the occurrence and intensity of intraoperative problems in pseudoexfoliation (PEX) cases when employing in situ nuclear disassembly without nuclear rotation. Patients and methods: On 100 eyes of 100 cases with zonular weakness, this prospective, interventional, comparative study was carried out. Fifty patients undergoing phacoemulsification with in situ nuclear disassembly and the other 50 patients undergoing conventional chopping technique whom were …

Gall Bladder Wall Thickness As Non-Invasive Screening Parameter Of Esophageal Varices In Compensated Cirrhotic Patients, Mohamed Aly Abdelkhalek Alboraie, Abdel Halem Abdel Ghany Hasabo, Mohammad Abolwafa Ahmad Amin, Tarek Mohamed Abdel Latif Ali

Al-Azhar International Medical Journal

Background: About 40% of people with hepatic cirrhosis also developed oesophageal varices. The most serious portosystemic shunts caused by portal hypertension are O.V. Aim and objectives:The goal of the study was to establish whether or not the gall bladder wall thickness (GBWT) is a reliable, non-invasive predictor of EV in people who have cirrhosis.Subjects and methods: From August 15, 2022, through March 1, 2023, 120 patients with chronic liver disorders and liver cirrhosis were recruited from the inpatient and outpatient clinics at Sayed Galal Hospital. Two groups of patients were created, one with OV and one without. Sixty cirrhotic patients …

Retrograde Popliteal Artery Access In Peripheral Arterial Angioplasty In Management Of Superficial Femoral Artery And Proximal Popliteal Artery Occlusive Lesions, Abd El Fattah Ali Ismail, Mohamed Yahia Zakaria, Mohammed Mustafa Taha Mustafa

Al-Azhar International Medical Journal

Background: Most peripheral artery disorders of the lower extremities are caused by femoropopliteal atherosclerotic disease. Femoropopliteal bypass surgery is the first-line revascularization method suggested for TASC-D SFA occlusions. Nonetheless, substantial success rates with endovascular therapy (EVT) in TASC D lesions are made possible by recent advancements in endovascular technology. Aim of the study: To assess the safety and efficacy of the retrograde popliteal artery approach as a first line of treatment for recanalization of proximal popliteal artery lesions and superficial femoral artery occlusive lesions in patients with critical lower limb ischemia. Patients and methods: This study is prospective and was …