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Autologous Fat Transfer For Gluteal Augmentation: A Meta-Analysis Study, Abd El Nasser Mohammed Khallaf, Al-Sayed Hussein El-Sharkawy, Mohammed Mohammed Ali Ahmed

Al-Azhar International Medical Journal

Background: In 1969, Bartels et al. presented the initial description of gluteal augmentation using a breast Cronin prosthesis to treat buttock asymmetry. In recent decades, gluteal fat grafting has seen one of the fastest-growing rates of any cosmetic surgery technique. Objectives: Analyze the published techniques of autologous fat transfer for Buttock augmentation (BBL), and compare different protocols to identify which technique is better in safety and effectiveness over the last 5 years, with demonstration of clinical cases. Subjects and methods: This research was carried out by the Plastic Surgery & Burn Unit of the Al-Azhar University School of Medicine. The …

Study Of Efficacy, Safety And Complications Of Covid 19 Vaccine On Adults And Elderly With And Without Chronic Diseases, Nasser Alhamshary, Abdullah Hendawy El Shahat, Mohamed Gharib Mohamed, Abdel Kareem Mohammad Abdel Rahim

Al-Azhar International Medical Journal

Background: Anti-CoV-2 vaccines were developed in a much shorter time than previous vaccines. The aim of this work was to assess the efficacy of COVID-19 vaccine on adult and elderly with and without chronic diseases and evaluate safety, side effects and complications of COVID19 vaccine on adult and elderly with and without chronic diseases.

Methods: Prospective observational cohort study was carried out on 100 subjects received COVID-19 vaccine. Subjects were divided into three groups: Group (1): thirty healthy young persons aging 18-45 years old, who received COVID-19 vaccine (5 subjects received Pfizer vaccine, 9 received AstraZeneca, and 16 received Sinopharm. …

The Value Of Middle Cerebral Versus Umbilical Artery Doppler In The Prediction Of Neonatal Outcome Among Primi Gravida With Hypertension, Samir Abdalla Ali, Emad Mohamed Ibrahim Atalla, Ahmed Abdelhamid Ahmed Awad

Al-Azhar International Medical Journal

Background; Doppler ultrasonography is typically used to examine umbilical arteries, however recent research have shown that middle cerebral artery (MCA) Doppler examination is equally effective and strongly recommend it. Aim and objectives; This study sought to determine how well the ratio of the middle cerebral artery to umbilical artery pulsatility could be used to predict a newborn's outcome in Primi Gravida with hypertension. Subjects and methods: Women who have Primi Gravida with Hypertension participated in this cohort research. Between December 2021 and November 2022, Emergency personnel and workers at ALHUSSIEN University Hospital's foetal care unit 100 patients with severe preeclampsia …

Laparoscopic Sleeve Gastrectomy In Treatment Of Morbid Obese Child And Adolescent, Single Center Experience, Mohamed Abdel Aziz, Ahmed Shehata, Ibrahim Gamaan, Ahmed Abdelghaffar Helal, Aly Alnabawy, Mohamed Abd Elmalik Hassan, Mohamed Emara

Al-Azhar International Medical Journal

Background: Obesity affects children and adults across all age groups. The prevalence of obesity is as high as 21.4% in pediatric age groups. This increase in prevalence is associated with significant health implications and necessitates effective interventions. the results of weight loss surgery in children and adolescents are still scarce, despite recent studies suggesting favorable short- and intermediate-term outcomes that are comparable to those in adults. Although evidence continues to emerge, as this solution is still denied to children. Herne this study tried to evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in children and adolescents.

Methods: This …

A Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane (Usg-Tap) Block Vs Open Surgical Technique For Post Cesarean Section Pain Control, Abd El-Moneim Mohamed Zakaria, Magdy Ahmed Abdel Momen, Ahmed Mohamed Saeed, Moustafa Mahomoud Nasr Hemdan

Al-Azhar International Medical Journal

Background: Opioids are linked to significant health problems, such as nausea, vomiting, sedations, pruritus, and respiratory depressions in addition to newborns adverse effects via opioid transmitting across breastfeeding during caesarean section, even after the efficient stages of post-operative analgesia attained with the administration of opioids in combination with NSAIDs and paracetamol continuing to follow general anaesthesia.

Aim of the work: This study's objective is to evaluate pain levels at (rests and movements), and need for opioids following cesarean section using TAP block techniques (USG TAP, intraoperative direct vision TAP).

Patients and Methods: This study comprised 100 pregnant women who underwent …

Masseteric Nerve Transfer For Facial Reanimation: Meta-Analysis Study, Hossam Abdelatef Mahmoud, Moustafa Sayed Ahmed Meky, Sherif Hamdeno Youssif

Al-Azhar International Medical Journal

Background: Loss of facial nerve function, always follows facial nerve damage is called facial palsy. Since communicating emotions or intentions becomes difficult, this complicated condition hinders social connections. Thus, facial nerve repair requires a customized meticloulus techniques.

Objective: Meta-analysis study to evaluate masseteric nerve transmission role in reanimation of the face.

Methodology: This is Meta-analysis study for Literature that was implemented from January 2012 to 28th of Aug 2022, with the aid of these databases: Google Scholar, PubMed, Scopus, and Web of Science (ISI). We searched carfully all the included references of appropriate reviews in addition to the original articles …

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

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 …

Doppler Study Of Uterine And Ovarian Arteries In Predication Of Post Insertion Heavy Menstrual Bleeding In Iucd Patients, Tag El-Din Ahmed Muhammad El-Sayed, Mofeed Fawzy Mohamed El-Sharkawy, Mohamed Ahmed Abdel Moaty

Al-Azhar International Medical Journal

Background: Worldwide, intrauterine contraceptive devices (IUCDs) are widely utilized. Uterine hemorrhage and/or period pain are copper IUD side effects. Resistance index (RI) and pulsatility index (PI) did not change significantly following copper-medicated IUD insertion (PI). Power Doppler investigation showed that the copper-IUD affected sub endometrial micro vascularization in side-effect patients (dysmenorrhea or menorrhagia). Doppler assessment of blood flow indicators before insertion can identify women prone to menorrhagia or menstrual pain. Aim: To evaluate resistance index of the uterine and ovarian arteries as well as power Doppler energy of subendometrial microvascularization, before and three months after insertion of IUCD, using vaginal …

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 …

Tracing Of Local Atopy Among Apparently Non Atopic Asthmatics With Nasal Polyps, Abdallah Mohamed Ali Elezawey, Farag Khalil Farag, Mohamed Ahmed Elsharkawey, Dalia Mahmoud Eldewi, Abdel Wahab Mohamed Lotfy

Al-Azhar International Medical Journal

Background: Asthma is still a main etiology of complaining all over the world. Much indirect evidence recommends that immunoglobulin E (IgE) and Eosinophil could have an essential role in asthma irrespective of conventional atopic condition.

objective: To trace the expression of local Eosinophil (%) and local IgE in the absence of systemic IgE in asthmatic cases with nasal polyps.

Subjects and methods: 90 subjects were included and were divided into 3 groups: Group A: consists of 30 patients had non-atopic bronchial asthma and nasal polyps. Group B: consists of 30 patients with nasal polyps only. Group C: consists of 30 …

Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry

Al-Azhar International Medical Journal

Background: In-Vitro Fertilization (IVF). Patients with infertility are usually advised to have intracytoplasmic sperm injections (ICSI). Doppler ultrasound, which uses high frequency transvaginal probes and coloured pictures, is one of the most frequently used methods in this field. One of the parameters supplied by an ultrasonographic test for determining the success of IVF includes endometrial thickness, endometrial pattern, endometrial volume, and endometrial blood flow. Aim: To detect implantation window using uterine artery indices in ICSI cycles. Subject and Methods: This study will be concluded at the assisted reproductive techniques unit of AlAzhar University on 100 patients. Results: Regarding BMI, there …

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 …

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, …

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 …

Total Thyroidectomy In The Management Of Graves' Disease, Mahamoud Mohamed Abo El Yazed, Adel Mohammad Abdul-Haleim Lasheen, Abdella Nazeer Yasieno, Abd Elnaby Saeid Ismaiel, Mohammed Ibrahim Hassan Rashed

Al-Azhar International Medical Journal

Background; Graves’ disease (GD) is an autoimmune disorder of the thyroid gland in which thyrotropin receptor antibodies (TRAb) stimulate thyroid stimulating hormone receptors (TSH-R), thereby increasing thyroid hormone production and release , Aim and objectives: The aim of this work was to evaluate the outcome of total thyroidectomy in the treatment of Graves' disease. Patient and methods; Fifty patients have goitre was prospectively studied. All patients were undergoing capsular dissection total thyroidectomy after preoperative preparation at Al-Hussein University Hospital. Result; As regard Postoperative parameters distribution between the two studied groups, we found that there is a significant difference between the …

Comparative Study Between Using Of Radio Frequency Ablation And Endovenous Laser Ablation In The Treatment Of Primary Lower Limb Varicose Veins, Ashraf Mohamed Ewida, Mohamed Ibrahim Hammoda, Ahmed Ibrahim El-Saied Ibrahima

Al-Azhar International Medical Journal

Background: Varicose veins are a frequent vascular issue. Radiofrequency ablation (RFA) and Endo-venous laser ablation (EVLA) are endo-venous treatments for varicose veins. Endo-venous therapy demonstrated superior outcomes than standard high ligation and stripping regarding pain, quality of life, healing, and recurrence. The RFA and ELA surpass vein stripping in morbidity, outcome, and neovascularization (recurrence), which is attributed for greater recurrence rates. Aim of the study: We aim to compare between using of radio frequency ablation and endo-venous laser ablation in the treatment of primary lower limb varicose veins as regard to complications, treatment failure, and recurrence. Patients and Methods: This …

Protective Role Of Single Versus Multiple Remote Ischemic Preconditioning In Elective Percutaneous Coronary Interventions., Mohamed Eid Youssuf, Ibrahim Abdel Fattah Yassin, Mansour Mohamed Sallam

Al-Azhar International Medical Journal

Background: One common approach to treat the symptoms of coronary artery disease (CAD) is percutaneous coronary intervention (PCI). Unfortunately, the myocardium is vulnerable to ischemia reperfusion damage whenever a previously blocked coronary artery is reopened.

Aim of the work: Our aim is to compare the efficacy of single and multiple remote ischemic preconditioning (RIPC) in preventing post-percutaneous coronary intervention (PCI) chest discomfort, ST-segment deviation, and myocardial infarction.

Subjects and Methods: In this prospective interventional trial, 125 patients were included who had been diagnosed with CAD and were candidates for PCI. Four groups of patients were studied separately. Fifty individuals made …

Evaluation Of Dermoscopic Features In Cutaneous Leishmaniasis, Mohamed El Khalawani, Amr Mohamed Mustafa, Ahmed El-Sayed Ghoniem

Al-Azhar International Medical Journal

Background: Cutaneous leishmaniasis is infectious protozoan disease. Dermoscopy is noninvasive diagnostic tool used to diagnose variety of skin disorders, such as infestations. Aim of work: To determine dermoscopic features of cutaneous leishmaniasis & to relate it with clinical findings. Patient and Methods: This study was conducted on 40 males with age range 21-28 years. This study was between March 2021 to October 2021. Clinical and dermoscopic examination of CL lesions was done to assess specific dermoscopic criteria. Results: We noticed next dermoscopic features: background erythema (one hundred percent), yellow tears (75%), yellowish hue (42.5%), hemorrhagic spots (30%), central crustation (65%), …

Repeated Failure Of Arterio-Venous Haemodialysis Access: (Causes And Possible Solutions), Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy

Al-Azhar International Medical Journal

Background: In 1960, Quinton and Scribner developed an external shunt that allowed for repeated access to the circulation, making chronic hemodialysis a viable option for treating end-stage renal disease. Patients may now be kept on dialysis for decades because to the improvement of vascular access methods and equipment. Aim of study: To evaluate the most possible causes behind repeated arteriovenous (AV) access failure in ESRD patients. Patients and methods: This retrospective, non-randomized study was carried out at the vascular surgery department of Al-Azhar University hospitals(Al-Hussein and Sayed Glaal Hospitals). Results: Access thrombosis comes first as a cause of access failure …

Prediction Of Fetal Macrosomia In Patients With Gestational Diabetes Mellitus Through Measuring The Umbilical Cord Thickness And Glycated Hemoglobin (Hba1c) Levels, Fahd Abd Elaal Elomda, Mohamad Abdel Hameed Kheder, Ahmed Mohamed Said, Mohamad Yousef Elsead

Al-Azhar International Medical Journal

Background: One of the most prevalent medical issues, diabetes mellitus, has emerged as a serious concern to pregnant women. It is linked to a number of maternal and fetal issues, including delivery traumas, perinatal death, shoulder dystocia, macrosomia, and operating room interference. Early prediction of fatal complications will improve outcome and reduce perinatal mortality. Aim and objectives; to determine if pregnant diabetes women's use of HbA1c and umbilical cord thickness may accurately predict fetus's macrosomia. Subjects and methods; At Al-Hussein University Hospital, six-month prospective observational research on 100 pregnant women with gestational diabetes who were 28 to 29 weeks along …

The Role Of Dynamic Mri In Hypovascular Hepatic Tumors, Abdulla Nazir, Ahmed Seif, Mohamed Soliman Ibrahim

Al-Azhar International Medical Journal

Background: Despite new advances in liver imaging, it is still difficult to identify and classify hepatic focal lesions. Particularly in cancer patients, where accurate tumor staging depends on the definition of the hepatic focal lesion for best treatment planning. Aim and objectives: was to evaluate the significance of Dynamic Magnetic Resonance identification and description of hypo-vascular hepatic tumor. subjects and methods: Our current research comprised 50 patients, 34 men and 16 women, who had hepatic lesions that were detected using variety of imaging modalities as ultrasound, CT scan, dynamic and diffusion MRI. Results: On non -contrast MRI 26 lesions were …

Ultrasonographic And Hysteroscopic Assessment Of Uterine Cavity Post Myomectomy, Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed

Al-Azhar International Medical Journal

Background: Growth of the uterus's smooth muscles and connective tissue is known as uterine fibroids. They are viewed as the most widely recognized harmless growth of the pelvis. Moderate a medical procedure stays the primary methodology for the board of uterine myomas. Myomectomy is viewed as a significant choice for ladies who want future childbearing or essentially need to protect their uterus. Objective: The review's goal was to assess the uterine cavity using hysteroscopic and ultrasonographic devices. Methods: A planned (observation) logical plan was utilized in this review. Our research was had 50 patients that chosen from the short-term gynecological …

Evaluation Of Fistula Laser Closure (Filac) In Management Of High Trans- Sphincteric Fistula- In- Ano, Mohammed Ebrahim El-Anany, Tarek Zaghlol Mohammed, Ahmed Mohammad Abo Elela Mohammed

Al-Azhar International Medical Journal

Background: As a revolutionary sphincter-preserving approach, Wilhelm proposed "Fistula Laser Closure" (FiLaC) in 2016. It uses a radial emitting laser probe and had an initial rate of success of 81.8 percent in 11 patients with a median follow-up of 7.4 months. Aim of the study: To analyze the Fistula Laser Closure (FiLaC) technique's efficacy in treating high trans-sphincteric fistulas in ano, look at the procedure's effects on anal continence, and predictors of success. Patients and methods: This prospective cohort research was conducted between April 2021 and November 2021 on 20 patients with high transsphincteric fistula in ano at the Department …

Stroke As A Presenting Symptom Of Covid-19; A Study Of Risk Factors, Characteristics And Outcomes In A Sample Of Egyptian Patients, Mahmoud Elsayed Mohamed Elassasy, Hussein Awad El Gharieb, Fathy Mahmoud Mansour

Al-Azhar International Medical Journal

Background; It is not known whether COVID-19 associated stroke patients have worse functional and vital outcomes than those without infection. Aim and objectives; To compare between COVID-19 associated stroke and non-COVID-19 stroke patients as regard risk factors, characters and outcome. Patients and methods; In a prospective study, 297 patients diagnosed clinically and radiologically as stroke and admitted to emergency department and stroke unit of Al- Azhar University hospitals were recruited in the period from beginning of December, 2021 to the end of May, 2022. They were classified into ischemic stroke (IS), Cerebral venous thrombosis (CVT), Subarachnoid hemorrhage (SAH), and Intracerebral …

Uterine Artery Doppler And Sub-Endometrial Blood Flow And Serum Progesterone Level In Patients With Unexplained Recurrent Miscarriage, Moustafa H. Gad Allah, Farid I. Hassan, Mofeed F. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer

Al-Azhar International Medical Journal

Background: Unexplained Miscarriage that occurs repeatedly is still a difficult issue for couples and professionals. It affects 2–5% of females attempting to conceive and represents a considerable challenge for physicians. Aim of the Work: This study compares women who have unexplained recurrent miscarriages to healthy, fertile women in order to assess uterine artery blood flow, sub-endometrial blood flow, and serum progesterone levels in these women. Patients and Methods: At Al-Galaa Maternity Teaching Hospital, our research was carried out, and patients were divided into two groups. The case group: 50 individuals disclosed a history of recurrent, unexplained miscarriages, and the control …

Assessment Of Diaphragmatic Mobility By Transthoracic Ultrasound In Patients With Interstitial Lung Diseases, Ahmed Ali Abunaglah, Houssam Eldin Hassanin Abd Elnaby, Ahmed Gamal Yousef

Al-Azhar International Medical Journal

Background: As interstitial lung diseases may promote respiratory muscles dysfunction due to increased lung elastic recoil, chronic hypoxemia, systemic inflammation, physical inactivity, malnutrition and corticosteroids therapy. Therefore, measuring diaphragmatic function is quite helpful when assessing patients with interstitial lung disorders. Aim of the work: was to compare the diaphragmatic mobility which assessed by ultrasonography between healthy individuals and patients with interstitial lung diseases. Patients and Methods: this case-control trial, whereas Thirty patients with clinically stable interstitial lung diseases and twenty healthy persons as a control. Whereas age, sex and body mass index matched apparently in control group. Pulmonary functions tests: …

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 …

The Relation Of Aortic Root 2d Speckle Strain To Aortic Stiffness As Predictors Of Atherosclerosis In Vascular Beds, Ali Mohammed Alamin, Ahmed Abdelraouf Mahdy, Mohammed Hamza Hamed, Ahmed Magdy Ahmed Abd-Elgawad

Al-Azhar International Medical Journal

Background:Two-dimensional speckle tracking (2D-ST) echocardiography is a promising new techniquefor imaging. Aim of the work:to evaluate feasibility of real-time 2D‐ST echocardiography of the aortic root in relation to aortic stiffness for the early prediction of atherosclerosis in vascular beds. Patients and Methods:This cross-section study was carried out on 50 patients complained of chest pain.All patients were subjected to blood pressure (BP) and aortic stiffness index measurement, invasive coronary angiography, resting transthoracic echocardiography, aortic speckle tracking echocardiography (STE),Carotid intima - media thickness (IMT) and ABI. Patients weresubdivided into two groups, atherosclerotic group including 32 patients have lesion in one or more …

Efficacy Of Repetitive Transcranial Magnetic Stimulation On Spasticity In Egyptian Multiple Sclerosis Patients, Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan

Al-Azhar International Medical Journal

Background; One of the most common neurologic disorders is multiple sclerosis. To improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity in a sample of Egyptian MS patients. Patients and methods; 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from beginning of Jan, 2022 for 6 months. Patients were …