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Non-Alcoholic Pancreatic Lipomatosis Among The Egyptian Type 2 Diabetic Patients, Abdel-Rahman Mahrous, Mohammed Noshy Al-Alfy, Mohammed Abdel-Hassib, Mohammed A. Amin

Al-Azhar International Medical Journal

Background: Obesity has become a serious public health problem globally. Non-alcoholic pancreatic lipomatosis is characterized by pancreatic fat infiltration or pancreatic islet steatosis resulting in abnormal adipokine secretion, insulin resistance, impaired βcell function, and decreased insulin secretion.

Aim: To assess the relationship between non-alcoholic fatty pancreatic disease and type 2 diabetes mellitus among Egyptian patients.

Methods: We enrolled 80 type 2 diabetic patients along with 80 healthy control individuals, all were assessed by abdominal ultrasound and CT scan to determine the degree of pancreatic steatosis based on echogenicity of pancreatic tissue, and four-scale grading system as the visual assessment criteria …

Ultrasound-Guided Caudal Block Versus Pudendal Nerve Block For Post-Operative Analgesia In Anal Surgery, Ismael Abd-Ellatif Shabayek, Alaa-Aldine Mahmoud Said Ahmed, Ahmed Mohamed Abd-Allah Marzook

Al-Azhar International Medical Journal

Background; Anal fissure is a frequent disorder that is regarded as a prevalent surgical condition that frequently arises in the anorectal area. The administration of a caudal block can offer an extended duration of pain relief following anorectal surgery.

Aim and objectives: To compare Ultrasound (US)-Guided caudal Block group and US -Guided Pudendal Nerve Block.

Subjects and methods: this prospective, randomized clinical trial included (116) cases divided into two groups. It was conducted in Al-Azhar University Hospitals for Boys in Cairo.

Results: There were insignificant differences among the studied groups concerning the baseline characteristics (Age, height, sex, weight, BMI, and …

Laparoscopic Versus Open Appendectomy In The Management Of Complicated Appendicitis, Selim Abd El-Rahman El-Nemr, Mohamed Mostafa Tag El-Din, Mahmoud Ebrahim Younes Abd El Gawad

Al-Azhar International Medical Journal

Background: Complicated appendicitis (CA) refers to a condition when the appendix becomes gangrenous and has perforated, leading to different levels of peritonitis.

Aim: To compare laparoscopic and open appendectomy (OA) in managing cases of CA in Egyptian patients.

Methods: This prospective comparative work was performed on 50 individuals ranging in age between 24 and 60 years old, both genders, diagnosed with CA, high Leukocytic count, American Society of Anesthesiologists (ASA) I or II, delay time of diagnosis of appendicitis, pelvic collection diagnosed by ultrasound and Appendicular mass diagnosed by ultrasound or clinical after general anaesthesia and CA is defined as …

Potential Role Of Subclinical Hypothyroidism In Carpal Tunnel Syndrome Patients (Case Control Study), Hussein Awad El Gharieb, Abdel-Ghaffar Ismail Fayed, Mohamed Ahmed Shaheen, Mohamed Ahmed Dighem

Al-Azhar International Medical Journal

Background: It is debatable how subclinical hypothyroidism affects peripheral nerves. The most prevalent type of nerve entrapment neuropathy, known as carpal tunnel syndrome (CTS), is brought on by compression of the median nerve at the wrist as it travels through the carpal tunnel, an osseo fibrous canal.

Aim: To estimate the potential association between subclinical hypothyroidism and CTS patients without a definite risk factor.

Patients and Methods: Over six months, individuals with CTS symptoms who visited the neurophysiology unit at Al-Azhar University Hospitals for an electrodiagnosis were the subjects of this case-control research. The study was carried out in two …

Corneal Endothelial Changes After Phacoemulsification In Diabetic And Non Diabetic Patients, Abdel-Ghany Ibrahim Abdel-Ghany, Mohamed Al Sadawy Hassan Al Sadawy, Mossab Mohamad Abdel-Moteleb Algazar

Al-Azhar International Medical Journal

Background: The corneal endothelium is a layer of hexagonal cells situated on the back of the cornea. It acts as a barrier to maintain the cornea's transparency.

Aim and objectives: Comparing post-phacoemulsification corneal endothelium alterations in non-diabetic patients to type 2 DM patients with grade 2 nuclear cataracts using specular microscopy.

Patients and Methods: This comparative prospective cross-sectional study was carried out on forty patients who had cataracts following phacoemulsification. The patients were divided into two equal groups: twenty patients with T2DM and twenty patients who did not have diabetes. The Ophthalmology Department of the Faculty of Medicine at Al-Azhar …

Comorbidity Of Stroke In Sample Of Egyptian Patients With Autoimmune Disease, Fathi Mahmoud Afifi, Ahmed Essmat Ali, Elsayed Maher Arafat

Al-Azhar International Medical Journal

Background: Autoimmune diseases can increase the risk of stroke and are associated with stroke-related disability.

Aim and objectives: To look into the radiographic, laboratory, and clinical characteristics of people who have autoimmune diseases that are exacerbated by stroke.

Patients and methods: Seven06 patients with acute ischemic stroke were included in our observational prospective cohort study; these patients were divided into two groups: 601 patients had no autoimmune illness, and 105 patients had an autoimmune condition.

Results: Among all participants, 27 patients (3.8%) were rheumatoid arthritis (RA), 34 (4.8%) systemic lupus erythematosus(SLE), 23 (3.3%) Behçet disease, 14 (2%) anti-phospholipid syndrome (APS) …

Dorsal Definition In Rhinoplasty Using Onlay Cartilage Graft, Moustafa Sayed Ahmed Meky, Tarek El-Bastawesy Zayid, Mahmoud Moustafa Mahmoud Mandour

Al-Azhar International Medical Journal

Background: Contemporary rhinoplasty demands aesthetic enhancement, concealment of the nasal dorsum, and accentuation of the dorsal aesthetic lines. The procedures utilized included onlay solid cartilage graft, diced cartilage graft, deep temporal fascia, rectus abdominis fascia, and diced cartilage encased in fascia.

Aim and objectives: To assess the dorsal definition in rhinoplasty using an onlay cartilage graft and assessment of its outcome with other common techniques used for this purpose.

Patients and methods: Fifteen patients were included in this prospective investigation within the Al Azhar University Hospitals. An onlay cartilage graft was inserted in these patients to define the dorsal nasal …

Macular Microvascular Optical Coherence Tomography Angiographic Changes In Different Stages Of Primary Open Angle Glaucoma, Sherif Mohamed Mohamed Abualsoud, Ahmed Abdelmohsen Ayoub, Mohamed Abdel-Monem Mahdy

Al-Azhar International Medical Journal

Background: Globally, primary open-angle glaucoma (POAG) is recognized as a cause of permanent blindness. A novel noninvasive technique called optical coherence tomography angiography (OCTA) can quickly and quantitatively analyze the vascular plexus of the retina and optic disc.

Objective: To assess the alterations of macular microvasculature in different stages of POAG and correlate these alterations with retinal nerve fibre layer thickness visual field mean deviation.

Subjects and Methods: A cross-sectional study was performed on 60 eyes, including 45 eyes of POAG cases and 15 eyes of normal controls. POAG individuals were classified into mild, moderate, and severe groups according to …

Accuracy Of Mitral Valve Leaflets Tips Separation Assessed By 3d Transthoracic Echocardiography In Predicting Rheumatic Mitral Valve Stenosis Severity, Ahmed Al-Habbaa, Hani Khalaf, Ahmed Khaled

Al-Azhar International Medical Journal

Background: A significant cause of cardiovascular load in developing nations is mitral stenosis (MS), which is primarily due to rheumatic fever.

Aim and objectives: To assess the accuracy of mitral valve leaflets tips separation by 3DTTE in predicting the severity of rheumatic mitral valve stenosis and comparing MLS index by 3DTTE and MLS index by 2DTTE using planimetered MVA by 3DTEE as a reference method.

Patients and methods: This analytic cross-sectional study was conducted at the Cardiology Department of Al-Azhar University (Bab El-Sheriya University Hospital) from September 2022 to October 2023. It included sixty consecutive patients candidates for TEE evaluation; …

Role Of Urinary Scd25 As A Biomarker In Lupus Nephritis, Mahmoud Mohammed Mohammed Elmoazamy, Ayman Abd.Elaziz Abd.Elrahman, Waleed Saber Abd.Elnasser

Al-Azhar International Medical Journal

Background: A chronic autoimmune disorder that can impact any organ or tissue, systemic lupus erythematosus (SLE) is a global condition. A disease involves the interaction of hormonal fluctuations, environmental triggers, and genetic predisposition.

Aim and objectives: To determine the relationship between urinary sCD25 and lupus nephritis (LN) activity.

Subjects and methods: Prospective research was done on 60 cases ( 57 female and three male ) and 25 adult persons (20 female and five male) as a control group. This study was done in Al-Azhar University Hospital Asyut's nephrology unit and Elhussin Universal Hospital's nephrology unit, with informed written consent from …

Safety And Efficacy Of Intralesional Polidocanol Sclerotherapy In The Treatment Of Plantar Warts : A Pilot Study, Bayoumy Ibrahim Abd-Elhameed Eassa, Ahmad Kamel Seddeik Abdel-Hameed, Ahmed Ismail Ali Ismail

Al-Azhar International Medical Journal

Background: Benign lesions called warts can develop on the skin and mucosa. These are among the most prevalent skin conditions, and their severity can vary from a small quantity of annoyance that goes away on its own to a bothersome chronic ailment.

Aim and objectives: To cure plantar warts, this study assesses the safety and effectiveness of intralesional polidocanol sclerotherapy.

Patients and methods: This is a prospective, open-label pilot research involving 80 plantar wart patients. They were chosen from Al-Azhar University Hospitals' Outpatient Dermatology Clinics. In addition to a clinical and dermatological examination, every patient had a thorough history-taking procedure …

The Value Of Adding Nitroglycerine To Low-Dose Dobutamine Stress Echocardiography In Detection Of Viable Myocardium In Post Myocardial Infarction Patients, Attia Ibrahim Gaber Dawood, Ahmed Mansy, Wael Attia

Al-Azhar International Medical Journal

Background: Dobutamine stress echocardiography is used to differentiate between stunning and hibernating myocardium in individuals with left ventricular failure and to detect coronary artery stenosis noninvasively.

Objective: Find out how adding nitroglycerin to low-dose dobutamine stress echocardiography affects the viability of the heart in patients whose hearts do not show viability to dobutamine alone.

Patients and methods: Eighty adult patients who had previously experienced a myocardial infarction and were seen in the cardiology department at Al-Azhar University Hospitals between September 2022 and October 2023 participated in a prospective interventional trial.

Results: Compared to the LDDE + NTG Success group (1.68 …

Renal Affection In Philadelphia Negative Myeloproliferative Neoplasms, Youssef Khalil Eissa, Ahmed Fathi Abdelaziz, Youssef Abd Allah Nassar, Mohamed Ahmed Alagouz

Al-Azhar International Medical Journal

Background: Rare clonal neoplastic illnesses of the myeloid hematopoietic stem cells (HSC) that might impact other body systems are known as classical Philadelphia chromosome-negative myeloproliferative neoplasms (MPN).

Aim and objectives: To assess the frequency of renal affection in myeloproliferative neoplasms that are Philadelphia negative.

Patients and methods: A prospective study that includes 60 patients (their age above 18 years old) with Aphiladelphia negative myeloproliferative neoplasms to asses renal affection by history taking, clinical evaluation, laboratory evaluation, and pelvis. The US. From January 2023 to December 2023. All patients will be selected from the Internal Medicine Department (at both Al Hussein …

Evaluation Of Early Results Of Neurotization In High Ulnar Nerve Injury, Mohamed Abdelaziz Abdelhalim, Rashed Imam Rashed, Amro Ahmed Fouaad Attia

Al-Azhar International Medical Journal

Background: Significant grip, pinch weakness, and ulnar digit clawing are the consequences of ulnar nerve injury. Sensory and motor deficiencies also affect the hand. There are two categories of ulnar nerve injuries: low and high.

Aim and objectives: To evaluate motor and functional outcomes and clawing correction after AIN transfer to DMUN.

Patients and methods: From March 2020 to August 2023, researchers at the orthopedic departments of Al-Azhar University Hospitals and Assiut University Hospitals analyzed the results of two types of transfers for patients with high ulnar nerve injuries: end-to-end transfers (AIN) and structured end-to-side transfers (SETS). The participants included …

Maternal Body Mass Index And Amniotic Fluid Index In Late Gestation, Mervat Mohammed Ibrahim, Doaa Fathy Mohammed, Asmaa Hamdy Ismaiel Ahmed

Al-Azhar International Medical Journal

Background: Complications during pregnancy and delivery, including gestational diabetes, perineal injuries, hypertensive disorders, and macrosomia, are linked to a maternal high body mass index (BMI). Clinical estimation of amniotic fluid by ultrasonography is used to screen for pregnancies at risk for a poor perinatal outcome and ensure the health of the developing baby.

Aim and objectives: To study the relation between BMI and amniotic fluid Index (AFI) in pregnant women from 36-40 weeks.

subjects and methods: This was cross-sectional observational research, was done on 80 pregnant women from 36-40 weeks at obstetrics and Gynecology department of Alzahraa University Hospital from …

Prevalence Of Microscopic Colitis Among Egyptian Patients Presented With Chronic None Bloody Diarrhea, Abdou Mabrouk El-Shafei, Gamal Mohammad Mohammad Soliman, Ashraf Taha Abd-Elmoutaleb, Mohamed Ahmed Abdulaziz Almogahed

Al-Azhar International Medical Journal

Background: Chronic watery diarrhea(CWD) is a hallmark of the inflammatory colon condition known as microscopic colitis (MC). It usually affects middle-aged and older people, with a higher proportion of females. When people with microscopic colitis have colonoscopies, their colons seem normal.

Aim of the work: To assess the prevalence of microscopic colitis among chronic watery non-bleeding diarrhea among Egyptian patients over 24 months using cross-sectional data and fecal calprotectin test.

Patient and method: The Departments of Endemic Medicine and Pathology at Al-Hussein University Hospital, Faculty of Medicine, Al-Azhar University collaborated to perform and assess the incidence of microscopic intestinal colitis …

Simple Trans Sternal Closure Of The Sternum Versus Figure Of Eight Closure Of The Sternum In Open Heart Surgery, Ahmed Reda, Gamal Galal Shimy, Alaa Elsayed Gadelkarem Mohamed

Al-Azhar International Medical Journal

Background: Julian's colleagues were early proponents of median sternotomy for cardiac surgery in 1957. Subsequently, it has become the conventional methodology for numerous open-heart procedures.

Aim and objectives: To study the significance of simple trans sternal closure versus the figure of eight closures.

Patients and methods: This was a prospective randomized research study carried out on sixty individuals presented to Aswan Heart Centre scheduled open heart surgery. The participants were randomly categorized into two groups: Group I, Which Included 30 individuals who underwent figure-of-8 closure of the sternum, and Group II, which Included 30 individuals who underwent simple interrupted closure …

The Role Of Artificial Intelligence In Shoulder Arthroplasty; A Systematic Review And Meta-Analysis, Faisal Hasan Zayed, Samir Ahmed Nematallah, Alaa Eldin Mahmoud Mohamed Elsaed

Al-Azhar International Medical Journal

Background: Artificial intelligence (AI) and machine learning (ML) have significant potential for improving clinical decision-making by analyzing complex healthcare data. However, their use in predicting outcomes after shoulder arthroplasty still needs to be explored.

Aim: This study aims to evaluate the impact of AI in predicting the success rates of total and reverse total shoulder arthroplasty.

Methods: We conducted a comprehensive literature search in PubMed, Web of Science, and SCOPUS, focusing on randomized controlled trials and observational studies. Our analysis included various outcomes such as Area Under the Precision-Recall Curve (AUPRC) scores and Mean Absolute Errors (MAE) in predicting various …

Exchange Nailing Vs Plate Over Nail And Graft In The Management Of Non-United Proximal Tibial Fractures After Interlocking Nail Fixation In Proximal Tibial Fractures, Ahmed Elsaed Ragab Zaher, Ismael Ahmed Yassin, Osama Gaber Abdallah

Al-Azhar International Medical Journal

Background: Non-united proximal tibial fractures following intramedullary nail (IMN) fixation pose a challenging clinical scenario. The choice between exchange nailing (ERN) and plate fixation as a salvage procedure for these fractures requires careful consideration.

Aim and Objective: To evaluate the surgical outcomes between ERN versus AAP for non-united proximal tibial fractures after fixation by IMN.

Patients and methods: This research included 20 patients with non-united proximal tibial fractures, managed with intramedullary nails, at Al-Azhar University Hospitals. Patients were split into Group A (ERN) and Group B (AAP).

Results: The demographic information revealed no discernible variations in the age, gender distribution, …

Comparison Of Endoscopic Tympanoplasty With Microscopic Tympanoplasty In Anterior Tympanic Membrane Perforation, Mohammad Mousa Abdelghafor Mousa, Ahmed Mahmoud Khalifa, Yahia Muhammad Dawood

Al-Azhar International Medical Journal

Background: Chronic otitis media is the most prevalent cause of tympanic membrane perforation. In these cases, tympanoplasty attempts to restore hearing mechanisms and close the perforation.

Aim and objectives: To compare the functional and surgical results of microscopic and endoscopic tympanic membrane repair in patients with anterior tympanic membrane perforation.

Subjects and Methods: Forty patients with anterior tympanic membrane perforations that required tympanoplasty (type-I) were included in this comparative prospective single-masked study. These patients were selected from patients reporting to the Otorhinolaryngology outpatient clinics at Al-Azhar University hospitals (Al-Hussein and Sayed Galal). Patients were divided randomly into two equal groups: …

Assessment Of Juxta Papillary Retinal Fiber Layer In Normal Blood Pressure, Controlled And Uncontrolled Hypertensive Patients, Moataz Abdelbadea Ahmed, Hassan Mohamed Hegazy, Ezzat Nabil Abbas

Al-Azhar International Medical Journal

Background: Renal vascular damage resulting from hypertension (HTN) is referred to as hypertensive retinopathy (HR). Generally, symptoms manifest later in the illness. Changes in the vascular wall, arteriovenous nicking, arteriolar constriction, flame-shaped hemorrhages, yellow hard exudates, cotton-wool spots, and optic disk edema are seen in the funduscopic examination.

Aim: To investigate alterations in the juxta papillary retinal nerve fiber layer (RNFL) in cases with uncontrolled systemic HTN compared to controlled systemic HTN and normotensive eyes utilizing Spectral Domain Optical Coherence Tomography (SD-OCT).

Patients and Methods: A twelve-month cross-sectional trial was conducted on cases with localized defects in RNFL and normal …

Comparative Study Between Arthroscopic And Radiological Findings In Staging Of Kienbock's Disease, Ahmed Mohamed Zak, Abd El Hakim Abd Allah Massoud, Mohamed Amer Mohamed

Al-Azhar International Medical Journal

Background: Avascular necrosis of the lunate, known as Kienbock's Disease, manifests as progressive wrist discomfort and atypical carpal motion. Kienbock disease possesses the capacity to result in significant wrist degeneration and impaired wrist function ultimately. Management of Kienböck's disease depends on the radiological stage of the disease.

Aim and objectives: To assess the wrist arthroscopically in cases with Kienbock disease and compare the imaging and wrist arthroscopy findings in grading Kienbock's disease and in making the management decision.

Patients and methods: This prospective study was conducted on ten cases of Kienbock's disease at Al-Azhar University Hospitals. Aiming to correlate radiographic …

Role Of Imaging In Evaluation Of Deep Venous Thrombosis And Pulmonary Embolism In Covid-19 Patients, Ahmed Mohamed Eldeeb, Ali Abd Elhady El-Sayed, Mohamad Fawzy Mahmoud Allam

Al-Azhar International Medical Journal

Background: As of June 30, 2020, COVID-19, the coronavirus illness, continues to pose a hazard to public health worldwide, accounting for over 500,000 deaths and over 10 million cases.

Objective: To characterize the imaging results of COVID-19-positive patients who had acute venous thromboembolic events in the pulmonary or lower limb venous circulation and ascertain the frequency of thromboembolic consequences in COVID-19-positive patients.

Patients and Methods: This prospective study involved 30 patients with proven COVID-19 infection who first developed thromboembolic symptoms at Dar-Elshefaa Specialty Hospital. Six months were dedicated to the research.

Results: In the present investigation, the mean BMI of …

Comparing Outcomes Of Lateral Internal Sphincterotomy And Laser Sphincterolysis In The Management Of Chronic Anal Fissure, Ahmed Ragab Sabek, Ibrahim Hamdy Bayan, Mohamed Ibrahim Monier

Al-Azhar International Medical Journal

Background: Anal fissure is a frequent peri-anal condition causing bleeding, itching, and pain due to poor endodermal perfusion due to high resting anal pressure.

Objectives: To compare laser sphincterolysis vs. open lateral sphincterotomy in the management of chronic anal fissures.

Patients and methods: This research was done on 100 cases and was separated into two groups: Open LIS Group (N=55) and Laser Group (N=45).

Results: Our findings showed a statistically significant difference in Wexner Score between the studied groups in Continent, Gas, and Liquid, while there was no statistically significant variance among the studied groups as regarded as Solid. Moreover, …

Clinical Value Of Auditory Steady State Response Versus Tone Burst Abr For Evaluation Of Severe To Profound Hearing Loss In Children, Gehan Abd-Al-Rahman El-Zarea, Ahmed Ismail Abbas, Ahmed Mohamed Eldeeb

Al-Azhar International Medical Journal

Background: Hearing makes it possible to identify and distinguish objects in the world based on the sounds they make, making sound-based communication feasible.

Aim and objectives: To identify the accurate threshold of hearing in young children with severe to profound hearing loss. It also aimed to support the choice of cochlear implant candidate or hearing aid fitting, as well as early treatment during the crucial phase for speech and language perception, to enhance the development and performance of each individual.

Patients and methods: Sixty participants participated in this case-control study, which took place at Al-Azhar University Hospitals' audio-vestibular unit and …

Assessment Of Intra Renal Arterial Resistivity Index (Ri) In Primary Hypertensive Patients And Its Correlation With Those Of Normotensive Population, Moftah Ali Almgrhi, Abdel-Moniem Sayed Raghib, Hytham Mohammed Nafady, Tarek Fakhr-Elddin Ahmed

Al-Azhar International Medical Journal

Background: The rising prevalence of primary hypertension (HTN) necessitates the development of novel indicators for the early identification of hypertensive nephropathy. Doppler sonography offers non-invasive techniques to study renal hemodynamics.

Objectives: This research aimed to assess the resistivity index (RI) in the renal arteries of individuals with primary HTN and determine its connection with RI values in the normotensive population.

Methods: This research used a case-control cross-sectional analytical observational design and included a sample of 60 individuals, ranging in age from 35 to 70, of both genders, who had primary HTN and normotensive individuals. The patients were separated into two …

Methotrexate Intravitreal Injection During Rhegmatogenous Retinal Detachment Repair Surgery To Prevent Proliferative Vitreoretinopathy, Hassan Mohammed Hegazy, Mostafa Osman Hussein, Mahmoud Deif

Al-Azhar International Medical Journal

Background and Purpose: The only therapy for Proliferative vitreoretinopathy (PVR) is surgical, and the functional prognosis is poor. Methotrexate (MTX) can effectively neutralise components of PVR pathologic cascade. The purpose of this study was to determine the effectiveness of intravitreal methotrexate during surgical repair of rhegmatogenous retinal detachment.

Subjects and Methods: Prospective, randomized, comparative, and interventional study. Setting: Research Institute of Ophthalmology and Al Azhar hospitals.The study included 30 eyes assigned into two groups. In Group A, 15 patients received intravitreal methotrexate injections. Group B, 15 patients had PPV without intravitreal methotrexate injection.Patients were subjected to a complete preoperative ophthalmic …

Comparative Study Of Fentanyl, And Dexmetomidine As An Adjuvant To Propofol For Colonoscopy, Ayman Ahmed Moawad, Ahmed Mahmoud Mohamed Mohamed El-Garhy, Mohamed Mohamed Salah Eldin Shamloul

Al-Azhar International Medical Journal

Background: Colonoscopy induces considerable discomfort and anxiety. Administration of a single anesthetic agent may result in insufficient sedation and pain relief, leading to excessive drug consumption and an escalation in unwanted side effects.

Aim: The study's objective effectiveness of the propofol-fentanyl and propofol-dexmedetomidine combinations in patients having colonoscopy .

Method: colonoscopy patients prospective, randomized, double-blinded, controlled trial conducted on 66 patients undergoing elective colonoscopy. Patients were assigned randomly into two equal groups. Group 1 received Fentanyl 1 µ/kg, combined with propofol 2 mg/kg bolus dose and 9 - 12 mg/kg/hr maintenance in the first 15 minutes, then propofol 6 - …

Outcome Of Core Decompression Combined With Platelet Rich Plasma For Early Avascular Necrosis Of The Femoral Head, Ismail Ahmed Hamouda, Sameh Anwar Sayed Abdelaal, Mahmoud Ali Salem Abu Alrabegi

Al-Azhar International Medical Journal

Background: Avascular necrosis of the femoral head(ANFH) is brought on when there is a disruption in the blood flow to the affected area. This leads to the death of cells in the trabecular bone and the marrow. This condition manifests as advanced osteoarthritis and subsequent surface collapse.

Aim and objectives: To examine the clinical and radiological results of treating early avascular necrosis with core decompression combined platelet-rich plasma.

Subjects and methods: This randomized clinical research was carried out on 30 individuals presenting with ANFH attending Orthopedic Clinics of Al-Hussein Hospital, Al-Azhar University, Cairo-Egypt. 4 Patients were bilateral and 26 patients …

Evaluation Of Serum Level Of Galectin-3 In Prediabetic And Type-2 Diabetic Patients With And Without Vascular Complications, Mahmoud Eid Mahmoud Eid Saad, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomy, Ramy Mohamed Abd-Elhady

Al-Azhar International Medical Journal

Background: Diabetes mellitus is the most prevalent metabolic condition. Increased galectin-3 plasma concentrations have been linked to micro- and macro-vascular problems of Type-2 diabetes mellitus (T2DM).

Aim and objectives: To study the correlation between serum concentrations of galectin 3 in prediabetic and type 2 diabetic individuals with macro and microvascular complications.

Patients and Methods: This case-control research was performed on 160 cases and 40 healthy controls. Cases are separated into five groups: Group (A): 40 prediabetic patients, Group (B): 40 individuals with T2DM without complications, Group (C): 40 individuals with T2DM with microvascular complications, Group (D): 40 individuals with T2DM …