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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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 Jan 2024

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 …


Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan Jul 2023

Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan

Al-Azhar International Medical Journal

Background; Lower extremity wounds that don't heal are still a difficult problem for reconstructive surgery. Over 50% of all amputations are caused by diabetic foot and peripheral artery illness.

Aim and objectives: The goal of this research was to evaluation of free flap in diabetic foot as regard eradication of infection, coverage durability, and lower extremity function.

Patient and methods: The research was done at the AL-Azhar University Department of Plastic and Reconstructive Surgery. From patients hospitalized to the department of cosmetic and reconstructive surgery at AL-Azhar University, 20 diabetic patients with lower extremities defects had been chosen for a …


Relationship Between Pterygium Size And Accuracy Of Intraocular Lens Power Calculation, Sara Salah Mohamed Abd El-Hameed, Nashwa Mohamed Lamie, Asmaa Mohammed Gamal El-Deen Jul 2023

Relationship Between Pterygium Size And Accuracy Of Intraocular Lens Power Calculation, Sara Salah Mohamed Abd El-Hameed, Nashwa Mohamed Lamie, Asmaa Mohammed Gamal El-Deen

Al-Azhar International Medical Journal

Background: Conjunctival tissue encroaches triangularly into the cornea to form pterygium. In a progressive pterygium, it may be red, thick, and fleshy, while in an atrophic pterygium, it may be pale, thin, and membranous. The precision of the estimated intraocular lens (IOL) power can be affected by significant corneal astigmatism brought on by a big pterygium.

Objective: To detect the relationship between pterygium size and its impact on IOL power calculation. That is for accurate calculation of IOL power before cataract surgery.

Patients and Methods: A prospective, non-randomized controlled clinical trail was performed at the ophthalmology department of Al-Zahraa University …


Coronary Artery Stent Stenosis Assessment In Coronary Ct Angiography, Mohammad Farouk Aggag, Mahmoud El-Shamy, Ahmed Osama Abbas El-Kattan Jul 2023

Coronary Artery Stent Stenosis Assessment In Coronary Ct Angiography, Mohammad Farouk Aggag, Mahmoud El-Shamy, Ahmed Osama Abbas El-Kattan

Al-Azhar International Medical Journal

Background: Coronary artery stenting is the most important minimally invasive treatment for symptomatic coronary artery disease. But because in-stent restenosis occurs at a somewhat high rate, invasive angiography is now commonly utilised to assess stent patency.Objective: The objective of the study is to examine how multidetector CT scans can assist physicians in making decisions regarding the placement of coronary artery stents in patients who have chronic chest pain or who have myocardial ischemia. Method: A total of 40 individuals had multislice CT angiography of the coronary arteries between February 2022 and August 2022 as part of this study. Such patients …


Bilateral Inguinal Hernia Repair Comparative Study Between The Laparoscopic Total Extraperitoneal (Tapp) And Stoppa Approaches, Mohammed K. Ibrahim, Eslam T. Ghalwash, Ahmed R. Abd El-Azeem Jun 2023

Bilateral Inguinal Hernia Repair Comparative Study Between The Laparoscopic Total Extraperitoneal (Tapp) And Stoppa Approaches, Mohammed K. Ibrahim, Eslam T. Ghalwash, Ahmed R. Abd El-Azeem

Al-Azhar International Medical Journal

Background - A special entity among inguinal hernias is represented by bilateral hernia. The optimal surgical approach must be selected individually for the patient, taking into account patient age, hernia size, primary or recurrent status, type of anesthesia, occupation, and patient activities.

Aim - To evaluate and compare bilateral-inguinal-hernia in management STOPPA & laparoscopic (TAPP) approaches.

Patients and Methods - Thirty (30) patients presented in the outpatient clinics complaining of bilateral inguinal hernia were randomly divide; Group I 15 patients for TAPP repair and Group II 15 patients for Stoppa repair. which was done at Al-Azhar University hospitals and Shebin …


Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin Jun 2023

Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin

Al-Azhar International Medical Journal

Background: Prematurity lowers body weight and bone mineral density in nearly 30% of preterm newborns. Premature newborns are not screened for metabolic bone disease, hence bone biochemical markers should be investigated. Acetylcholinesterase mediates bone remodeling in recent investigations. Bone biochemical indicators and acetylcholinesterase (AChE) levels in preterm newborns may be linked. Objective: The aim of our study is to evaluate the probable correlation of AChE levels with multiple bone biomarkers in full-term and premature neonates. Subjects and Methods: This study was designed as a case control study. We examined 80 newborns (40 preterm with gestational age less than 37 weeks, …


Evaluation Of Light Weight Mesh In Laparoscopic Inguinal Hernia Repair, Mahmoud Mohamed Ibrahim Eisa, Marwan Mansour Mohamed, Mohamed Abdelrahman Mohamed Ebrahim Jun 2023

Evaluation Of Light Weight Mesh In Laparoscopic Inguinal Hernia Repair, Mahmoud Mohamed Ibrahim Eisa, Marwan Mansour Mohamed, Mohamed Abdelrahman Mohamed Ebrahim

Al-Azhar International Medical Journal

Background: When compared to heavier weight meshes, lighter meshes are thought to integrate into the abdominal wall with less inflammation because they have wider pores and stimulate the formation of collagen, Aim: The aim of this study was to compare and offer a concise and current review of the results of laparoscopic inguinal repairs utilising either brand-new lightweight mesh or conventional heavyweight mesh in controlled investigations. Patients and Methods: This research was conducted at Al-Matarya teaching hospital and El-Hussein Hospital of Al-Azhar University as a two-arm single-blinded randomised prospective controlled trial. All trial participants underwent laparoscopic TAPP inguinal hernia repair …


“Middle Ear Function Of Recovered Severe Acute Respiratory Syndrome Coronavirus-2 (Sars-Cov2) Patients”., Mariam Magdy Medhat, Hedayat El Sayed El Fouly, Abdulrahman Nabil Fathi Abdulghffar Feb 2023

“Middle Ear Function Of Recovered Severe Acute Respiratory Syndrome Coronavirus-2 (Sars-Cov2) Patients”., Mariam Magdy Medhat, Hedayat El Sayed El Fouly, Abdulrahman Nabil Fathi Abdulghffar

Al-Azhar International Medical Journal

Background: Several otolaryngology symptoms are reported with Coronavirus 2019 (COVID-19). Ascending infection from the nasopharynx can affect the conductive part of the hearing pathway. which lead to middle ear effusion. Otitis media may be the first presentation of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. Objective: To evaluate middle ear function in recovered SARS-COV-2 patients. Also, to compare between the complaint of the patient and the test results. Patient and methods : a case-control study in which the cases and controls groups were age and gender matched, with ages ranging from 18 to 50 years. The middle ear function of …


Clinical Relevance Of Chest Pain During Dobutamine Stress Echocardiography, Amr Mohammed Elsayed Elkorashy, Wael Mohamed Attia, Mohamed Ali Mohamed Abdel Mageed Feb 2023

Clinical Relevance Of Chest Pain During Dobutamine Stress Echocardiography, Amr Mohammed Elsayed Elkorashy, Wael Mohamed Attia, Mohamed Ali Mohamed Abdel Mageed

Al-Azhar International Medical Journal

Introduction; Chest pain is a common presentation in emergency units in daily life. Dobutamine stress echocardiography (DSE) was considered an early non-invasive method that help stratifying the risk for development of CVD. However, many patients experience chest pain shortly after DSE. Aim of study; assess the relevance between chest pain during DSE in those who are negative for DSE and presence of atherosclerosis in coronary angiography. Methods; 150 patients admitted to catheter unit in Cardiology Department at Al-Hussein Hospitals between June 2021 and June 2022 with chest pain despite negative DSE. They all underwent coronary angiography. Results; The median age …


Can Aspirin Be Used As A Prophylactic Treatment In Migraine: A Double Blind Study In Upper Egypt, Mahmoud M. Hasan, Abd Elaziz S. Abd Elaziz, Mohammed A. Mohammed Jan 2023

Can Aspirin Be Used As A Prophylactic Treatment In Migraine: A Double Blind Study In Upper Egypt, Mahmoud M. Hasan, Abd Elaziz S. Abd Elaziz, Mohammed A. Mohammed

Al-Azhar International Medical Journal

Background: Migraine is the 2nd most prevalent neurological disease in the world. Women are approximately 3 times more likely than men to have migraine.

Aim To evaluate possible role of aspirin as a prophylactic treatment in patient with migraine

Patients and Methods: In this prospective study sixty seven patients presented by migraine with and without aura. All patients were subjected to both HURT and MIDAS questionnaire before the treatment and .after the first, second and third month of treatment.

Results: Sixty seven participants (31 male and 36 female).Their age ranged from 25-60 years old, divided into 3 groups received placebo, …


Impact Of Effective Orifice Area Index Of Mitral Valve Prosthesis On Postoperative Pulmonary Artery Pressure And Functional Tricuspid Valve Regurgitation, Loay Aly Fathy Aljunaidy, Zakaria Mostafa Elmashtoly, Sameh Hassan Morsy Elameen, Abdallah Sami Mahmoud Jan 2023

Impact Of Effective Orifice Area Index Of Mitral Valve Prosthesis On Postoperative Pulmonary Artery Pressure And Functional Tricuspid Valve Regurgitation, Loay Aly Fathy Aljunaidy, Zakaria Mostafa Elmashtoly, Sameh Hassan Morsy Elameen, Abdallah Sami Mahmoud

Al-Azhar International Medical Journal

Background: One of the common complications following mitral valve replacement is patient-prothesis mismatch. This problem can lead to unfavorable consequences that mimic residual mitral stenosis.

Aim of the present study: Evaluating the incidence of patient-prosthesis mismatch, its associated predictors, and how it can influence the pulmonary hypertension and late tricuspid valve regurge.

Methods: From September 2020 to December 2022, 100 consecutive patients (75 females), underwent MVR. The mean age was 46.78±9.59 years and mean EF was 61.84±7.68 %. The patients were divided according to the EOAI into: non-mismatch group (54%), moderate mismatch group (32%) and severe mismatch group (14%).

Results: …


Comparison Between Percutaneous And Open Repair In Acutetendon Achilles Rupture In Active Young Patients, Abd-Elhakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed Jan 2023

Comparison Between Percutaneous And Open Repair In Acutetendon Achilles Rupture In Active Young Patients, Abd-Elhakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed

Al-Azhar International Medical Journal

Background; The Achilles tendon is the strongest and most often torn tendon in the human body and it is known that this rupture rate is rising in the third or fourth decade of life and it affects males more frequently. The majority of ruptures happen when doing sports. Aim and objectives; to compare between percutaneous and open repair of acute Achilles tendon rupture in active young patients who want to go back to resume activity following the repair. Patients and methods:30 participants were included in this prospective comparative research and randomly assigned to groups A and B. (each consists of …


Correlation Of Tei Index Assessed By Different Echocardiographic Methods In Patient With Acute Myocardial Infarction Receiving Different Reperfusion Treatment In Comparison With Ef And Diastolic Function, Mahmoud Elsayed Nofal, Abdelhamid Esmail Abdelhamid, Mohamed Hesham Hassan Ezzat Jan 2023

Correlation Of Tei Index Assessed By Different Echocardiographic Methods In Patient With Acute Myocardial Infarction Receiving Different Reperfusion Treatment In Comparison With Ef And Diastolic Function, Mahmoud Elsayed Nofal, Abdelhamid Esmail Abdelhamid, Mohamed Hesham Hassan Ezzat

Al-Azhar International Medical Journal

Background: Acute myocardial infarction (AMI) is a common cardiac condition with high morbidity and mortality worldwide. A common complication of AMI is heart failure (HF). HF is the most significant predictor of mortality among AMI patients. So, a significant echocardiographic measurement for post-AMI patient is to assess the left ventricular systolic function via left ventricular ejection fraction (LVEF). As such, Tei index, which simultaneously measures relaxation and contraction velocities, may be of a prognostic importance in those presenting with AMI that may go unmissed with the isolated evaluation of LVEF. Objectives: this work was done to correlate MPI evaluated by …


Evaluation Of Laser Ablation In Treatment Of Pilonidal Sinus Short Title: Laser In Pilonidal Sinus, Muhammad Fathy Sharaf, Ibrahim Aboulfotoh Muhammad, Bilal Muhammad Mansour Jan 2023

Evaluation Of Laser Ablation In Treatment Of Pilonidal Sinus Short Title: Laser In Pilonidal Sinus, Muhammad Fathy Sharaf, Ibrahim Aboulfotoh Muhammad, Bilal Muhammad Mansour

Al-Azhar International Medical Journal

Background: Pilonidal sinus (PNS) is defined as a tract or cavity in subcutaneous tissue of natal cleft of the sacrococcygeal area. PNS usually complicated by repeated infection and chronic inflammation. It is a widespread condition with a reported incidence of 26 per 100,000. Despite being a benign illness, it limits patients' everyday activities due to discomfort, discharge, and occasionally unpleasant odder.

Aim of the study: The purpose of this research is to assess the efficacy of laser ablation as a less invasive method for treating PNS.

Patients and methods: This case series study was performed on 30 patients collectively who …


Clinical Patterns Of Covid19 In Different Types Of Ckd Patients, Mohamed Elshahat Mahmoud Mousa, Ahmed Alaa Eldin Ahmed, Alsayed Mohamed Rashed, Mohammad Abo-Ghabsha Jan 2023

Clinical Patterns Of Covid19 In Different Types Of Ckd Patients, Mohamed Elshahat Mahmoud Mousa, Ahmed Alaa Eldin Ahmed, Alsayed Mohamed Rashed, Mohammad Abo-Ghabsha

Al-Azhar International Medical Journal

Background - Nephrologists have been at the forefront of clinical care of patients with COVID-19 as kidney-related complications, including chronic kidney disease (CKD), glomerular disease, and severe electrolyte derangements, are frequently encountered.

Aim - to estimate the effect of Covid-19 viral infection on chronic kidney disease patients and to determine clinical characteristics of disease.

Patients and Methods - A retrospective case study for 50 patients with Chronic Kidney Disease from stage 1 to stage 5 presented with covid 19 infection which confirmed by PCR to El Sheikh Zyed Al Nahyan hospital from 1st of August 2021 to 1st of January …