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Medicine and Health Sciences

Al-Azhar International Medical Journal

2021

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Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy Dec 2021

Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy

Al-Azhar International Medical Journal

Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average …


Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan Dec 2021

Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan

Al-Azhar International Medical Journal

Background: Atrial fibrillation is a common complication following cardiac surgery, especially coronary artery bypass grafting. Although this condition mostly benign but it can increase mortality and morbidity postoperative and leading to longer ICU stay and increase the costs. Aim of the work: to investigate and analyse the atrial fibrillation incidence and risk factors in patient undergoing CABG in addition to its effect on intensive care unit and postoperative hospital stay. Patients and methods: Our study was retrospective non-randomized. Between January 2018 and January 2020, 50 patients were recruited from a total of 225 patients who underwent coronary artery bypass graft …


Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi Dec 2021

Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi

Al-Azhar International Medical Journal

Background: Radiation therapy is the main player in management of locally advanced head and neck squamous cell carcinoma. Intensity-modulated radiation therapy IMRT does not compensate for anatomical changes or tumor shrinkage during the treatment course. Adaptive radiation therapy may be the suggested solution to consider these changes. Aim of the Work: Evaluate dosimetric and clinical effects of adaptive RT. in advanced head and neck squamous cell carcinoma. Patients and Methods: A total number of 49 patients with a provisional diagnosis of locally advanced squamous cell carcinoma of head and neck treated with definitive concurrent chemo-radiotherapy with the original plan optimized …


Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer Dec 2021

Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer

Al-Azhar International Medical Journal

Background: The most prevalent consequence of cholelithiasis is acute cholecystitis (AC), which is also one of the most common diseases needing emergency surgery in the elderly. Aim and objectives: The goal of this training was to assess the characteristics, management, results, and danger factors for complications of acute cholecystitis in elderly patients. Furthermore, proof of our current management strategy or recommendations for its modification was sought. Patients and methods: Twenty patients over sixty-five years old with acute cholecystitis were submitted to elective laparoscopic cholecystectomy at Al-Azher University hospitals. Sixteen of them were females (80%) and four were males (20%). Result; …


Association Between Cytomegalovirus And Ulcerative Colitis In Diabetic Patients, Ahmed Moussa, Ayman Abdel Aziz Hassan Nov 2021

Association Between Cytomegalovirus And Ulcerative Colitis In Diabetic Patients, Ahmed Moussa, Ayman Abdel Aziz Hassan

Al-Azhar International Medical Journal

Background: Inflammatory bowel disease (IBD) is a term that refers to a category of idiopathic chronic inflammatory bowel diseases. There are a number of theories that link microbial infections to IBD. One of the opportunistic viral infections linked to this disease is cytomegalovirus. Aim of the Work: to evaluate the role of CMV infection in diabetic patients with ulcerative colitis especially after failure of medical treatment. Material and Methods: This study carried out on 185 patients, attending and admitted in the Theodore Bilharz Research Institute at the clinic and the department of gastroenterology from January, 2019 till January, 2021. At …


Retinopathy Of Prematurity, A Study Of Prevalence And Risk Factors, Ibraheem Awad, Ali Afia, Abd El-Sattar El-Sayeh, Mahmoud Ali, El Sayed Abo Zied Nov 2021

Retinopathy Of Prematurity, A Study Of Prevalence And Risk Factors, Ibraheem Awad, Ali Afia, Abd El-Sattar El-Sayeh, Mahmoud Ali, El Sayed Abo Zied

Al-Azhar International Medical Journal

Background: Premature term infants are commonly impacted by retinopathy of prematurity (ROP), a blinding illness. The most significant risks are low birth weight, preterm, and oxygen treatment for prolonged period. Objective: Is to assess the frequency of ROP in premature infants and to determine the hazard factors that lead to retinopathy of prematurity. Patients and Methods: In this research, 100 preterm infants were hospitalized to Al-Azhar University Hospitals' NICU. Clinical examination was done included weight, gestational age, vital signs, , CNS, chest , heart , and abdominal examination .Local eye examination was done by according to specific protocol . All …


Audiovestibular Profile Of Patients Attending Audiology Unit Of Al-Hussin University Hospital, Mostafa Bastaweesy, Mohammed Ali, Ali Azab Nov 2021

Audiovestibular Profile Of Patients Attending Audiology Unit Of Al-Hussin University Hospital, Mostafa Bastaweesy, Mohammed Ali, Ali Azab

Al-Azhar International Medical Journal

Background: Hearing loss can be categorized as a conductive, sensorineural, or mixed hearing loss based on the anatomic location of the problem. A hearing loss may also be considered unilateral or bilateral. Dizziness and vertigo are common clinical complaints. A disturbed vestibular system causes vertigo. Aim and objectives: Study the profile of patients based on various variables and compare retrospective and prospective profiles of patients attending the Audiovestibular unit at Al-Hussin University Hospital. Patients and Methods: This study was conducted on 1868 subjects who attended the Unit of Audiovestibular Medicine at Al-Hussin University Hospital from 1/7/2016 to31/12/2016, then from1/1/2017 to …


Assessment Of Serum Level Of Cxcl9 And Cxcl10 In Cutaneous Versus Systemic Lupus Erythematosus, Ghada Omar, Sabila Mosa, Radwa Morsy, Radwa Tirana, Nagla Abdelaty Oct 2021

Assessment Of Serum Level Of Cxcl9 And Cxcl10 In Cutaneous Versus Systemic Lupus Erythematosus, Ghada Omar, Sabila Mosa, Radwa Morsy, Radwa Tirana, Nagla Abdelaty

Al-Azhar International Medical Journal

Abstract Introduction: Lupus erythematosus has been a chronic inflammatory illness where chemokines play a great role in its pathogenesis. CXCL9 and CXCL10 are chemokines that were researched in a variety of inflammatory skin disorders for their crucial role in immune responses. Aim of the Work: To compare CXCL9 and CXCL10 serum levels in patients suffering from cutaneous versus systemic lupus erythematosus. Patients and Methods: The forty-five Egyptian patients in this case-control research were collected from the University Hospital's outpatient clinic between October 2018 and June 2019. Two groups of patients were established: DLE Group (Fifteen patients), and SLE group (Thirty …


Study Of Cryptosporidium Infection In Liver Cirrhosis And Animal Model., Mohammed Elhussiny, Mohamed El-Faramawy Oct 2021

Study Of Cryptosporidium Infection In Liver Cirrhosis And Animal Model., Mohammed Elhussiny, Mohamed El-Faramawy

Al-Azhar International Medical Journal

Background: Cryptosporidium is a parasite that infects man especially immunocompromised patients. Liver cirrhosis reduced cellular immunity. Methods were used for diagnosis of cryptosporidium including coproscopy and copro-nested (copro-n) PCR assay. Objective: Detection of the molecular and genotypic prevalence of Cryptosporidium species in fecal samples of Egyptian patients with cirrhotic liver and exploring the possibility of association between Cryptosporidium and grades of liver cirrhosis, besides assessment their histopathological changes. Materials and Methods: This cross-sectional study was carried out on 60 patients with chronic liver disease (HCV and HBV positive) classified according to Child-Pugh score and 60 subjects free of any known …


Prognostication And Risk Factors Of Status Epilepticus In Patients Treated In Neurointensive Care Units, Emad Shaheen Sep 2021

Prognostication And Risk Factors Of Status Epilepticus In Patients Treated In Neurointensive Care Units, Emad Shaheen

Al-Azhar International Medical Journal

Background: Status epilepticus (SE) can lead to sequelae or even death. Identifying characteristics associated with poor outcome is crucial in guiding patient treatment, To our information, there is no data illustrating the prevalence and outcome of cases with critical tumor illness with AMS accompanied to non-convulsive seizures (NCS) or NCSE, Aim and objectives: the aim of the study was to evaluate risk factors and prognosing in cases with Status epilepticus (SE) treated in neurointensive care units, Subjects and methods: This was a retrospective cohort investigation, in which 50 cases had SE-episodes were included, We in retrospect analyzed all SE-episodes managed …


Bilateral Fascial Plan Block For Post Abdominoplasty Pain Control; Erector Spinae Plane Block Contrasted With Transversus Abdominis One, Ahmed Elsawy, Saeed Abdelhameed Sep 2021

Bilateral Fascial Plan Block For Post Abdominoplasty Pain Control; Erector Spinae Plane Block Contrasted With Transversus Abdominis One, Ahmed Elsawy, Saeed Abdelhameed

Al-Azhar International Medical Journal

Background: Abdominoplasty is a popular aesthetic procedure. Both patients and doctors are concerned about post-operative pain and discomfort. erector spinae plane block (ESP) with ultrasound guidance (UG) was an excellent analgesic technique in bariatric surgery. Objectives; to evaluate the intensity and duration of analgesia (ESP) technique to that provided by the transversus abdominis plane (TAP) technique were done bilaterally with (UG) post abdominoplasty. Study Design; A single-blinded, clinical, prospective, randomized study. Patients and Methods; 51 patients received bilateral (UG) block: (ESP) group (n = 25), and (TAP) group (n = 26), Using the same dosage and volume of local anesthetics. …


Evaluation Of Leech Therapy In Flap Venous Congestion, Aya Zidan, Mohamed Almarakby, Ayman Altramsy, Asmaa Dahy Sep 2021

Evaluation Of Leech Therapy In Flap Venous Congestion, Aya Zidan, Mohamed Almarakby, Ayman Altramsy, Asmaa Dahy

Al-Azhar International Medical Journal

Background: One of the common problems in flap surgery is venous congestion. The literature contains a plethora of alternative procedures to surgical revision for dealing with this issue. The leech therapy is one of these procedures. In the present study, leech therapy was used for the treatment of twenty cases with venous congested flaps. The technique, results and complications will be presented and discussed. Aim of the study: The aim of this study is to spotlight on the efficacy of leech therapy in salvage of venous congested flaps. Patients and Methods: A prospective clinical study was carried out on 20 …


Study Of Chronic Atrophic Gastritis In Patients With Autoimmune Thyroid Disease, Mostafa Elmahalawy, Abdemonem Barrak, Bahy Eldean Elbahnasawy Sep 2021

Study Of Chronic Atrophic Gastritis In Patients With Autoimmune Thyroid Disease, Mostafa Elmahalawy, Abdemonem Barrak, Bahy Eldean Elbahnasawy

Al-Azhar International Medical Journal

ABSTRACT Background: Patients with autoimmune thyroid disease (ATD) may have a greater frequency of anti-parietal cell antibodies (APCA) than the general population. Aim of the study: The study's goal is to look at chronic atrophic gastritis in people who have autoimmune thyroid illness. Patients and Methods: In 60 ATD patients, APCA was detected using an indirect immunofluorescence test: 33(55%) had Graves' disease and 27(45%) had Hashimoto's thyroiditis. A systematic questionnaire was used to assess gastrointestinal symptoms, prior history of thrombosis, arthralgia, and other autoimmune disorders in patients and their families. Individuals with both positive and negative APCA were compared. Patients …


Evaluation Of Physiotherapy Impact On Rotator Cuff Shoulder Tendinopathy In Hypothyroid And Diabetic Patients, Hany Aly, Ashraf Aamer, Abdullah Gaafar, Mohamed Belih Sep 2021

Evaluation Of Physiotherapy Impact On Rotator Cuff Shoulder Tendinopathy In Hypothyroid And Diabetic Patients, Hany Aly, Ashraf Aamer, Abdullah Gaafar, Mohamed Belih

Al-Azhar International Medical Journal

Background: Rotator cuff, acute or chronic tendonitis, is affected by diabetes and hypothyroidism. Physiotherapy plays a pivotal role in the outcome and improvement of rotator cuff tendinopathy. This cross-sectional study was conducted on forty patients with shoulder pain to study the impact of different physiotherapy modalities programs in both hypothyroid and diabetic rotator shoulder cuff tendinitis. Results: The mean of range of motion (ROM) among hypothyroid patients was 22.3±25.69 at first visit and increased to 77.7±65.02, whereas, the mean ROM among diabetic patients was 31.00 ±24.153 at first visit and increased to 101.55 ± 61.90. The ROM was of high …


Study Of Stigma Among Depressed And Covid-19 Infected Patients, Ismail Sadek, Marwa Abdou Aug 2021

Study Of Stigma Among Depressed And Covid-19 Infected Patients, Ismail Sadek, Marwa Abdou

Al-Azhar International Medical Journal

Abstract: Background: Stigma is a phenomenon of underlying difficulties. It is one of the major challenges interfering with health care services especially in the need of rapid efficient dealing like what we have in covid 19 pandemic and mental health. In our study we assessed the presence of stigma in covid 19 infected patients and depressed patients and assessed certain factors that might associated with stigmatization. Methods: The study was conducted among 70 patients; 35 patients with depression and 35 patients post COVID-19 using the Explanatory Model Interview Catalogue (EMIC) Stigma scale from outpatient psychiatric and chest clinics after verification …


Value Of Magnetic Resonance Imaging In Multiple Sclerosis Patients, Emad Shaheen Aug 2021

Value Of Magnetic Resonance Imaging In Multiple Sclerosis Patients, Emad Shaheen

Al-Azhar International Medical Journal

Background: Magnetic Resonance Imaging (MRI) has many advantages in the investigation of Multiple Sclerosis (MS). It delivers precise measurements of disorder activity, simplifies accurate diagnosing, and help in the evaluation of novel treatments. The present work aim is to recognize the roles of MRI in in the characterizations of MS-connected brain and spinal cord involvement. Methods: 30-cases relapsing-remitting MS (RRMS) cases were involved. The number, volume, and distribution of brain MRI lesions have been assessed via T2-weighted (T2W) image. Cross-sectional full normalized brain volume (NBV), normalized deep gray matter volume (NDGMV), normalized white matter volume (NWMV), normalized cortical gray matter …


Study Of Eeg Changes Among Sample Of Egyptian Children With Attention Deficit Hyperactivity Disorder, Karim Okasha, Mahmoud Hamouda, Ismail Sadek, Mohammed Hamouda Aug 2021

Study Of Eeg Changes Among Sample Of Egyptian Children With Attention Deficit Hyperactivity Disorder, Karim Okasha, Mahmoud Hamouda, Ismail Sadek, Mohammed Hamouda

Al-Azhar International Medical Journal

Background: Attention Deficit Hyperactivity Disorder(ADHD) is a mental Neuro-developmental type, Up to 5% of primary school-age children have ADHD, characterized by Inattention, Hyperactivity ,and Impulsivity, Relation between Encephalography (EEG) and (ADHD) is ambiguous, Guidelines recommend that (EEG) indicated only in the clinical suggestions of seizure disorder or a presence of focal signs. Aim: To Study the Relation Between (ADHD) children and Their (EEG) changes, Further study of the Efficacy of Atomoxetine\Antipsychotic and Antiepileptic on ADHD children. Subjects and Methods: 60 Egyptian children (age 6-18) with No previous history of seizures. They had been attending to Neuropsychiatry clinic for treatment and …


Follicular Unit Extraction In Management Of Secondary Cicatricial Alopecia, Mahmood Saeed, Abdel Monem Hoota, Abdel Nasser Khallaf Aug 2021

Follicular Unit Extraction In Management Of Secondary Cicatricial Alopecia, Mahmood Saeed, Abdel Monem Hoota, Abdel Nasser Khallaf

Al-Azhar International Medical Journal

Background: Management of Cicatricial alopecia has been a challenge to plastic surgeons nowadays ,the variability of surgical methods makes it difficult to choose the right treatment for each patient, also proper diagnosis of the type of cicatricial alopecia, whether it is primary or secondary, reversible or irreversible, scaring or non-scaring and stable or unstable, needs certain experience and skills. Objective: To assess results of Follicular Unit Extraction in management of secondary cicatricial alopecia. Patients and methods: This prospective cohort study, on 20 patients with secondary cicatricial alopecia. These Patients were operated upon in the Plastic and burn Department, Al-Azhar University …


Impact Of Domestic Violence On Conduct Disorder Among An Adolescents Sample, Ali Alkot, Mohamed Ramadan, Ali Alnabawy Aug 2021

Impact Of Domestic Violence On Conduct Disorder Among An Adolescents Sample, Ali Alkot, Mohamed Ramadan, Ali Alnabawy

Al-Azhar International Medical Journal

Background: Researchers studying parent-adolescent relationships are increasingly investigating the significance of parenting influencing adolescent development and how experiences in the family and other contexts interact with genetic factors to influence behavioral and developmental outcomes. Methods: The study was conducted on two samples. The first (the control sample) consisted of 50 adolescents from the admitted cases in the orthopedic department at Al-Hussein University Hospital and Sayed Galal University Hospital Cairo, Egypt. Their ages ranged from 12 to 18 years. They were subject to the conditions of inclusion in the sample. And the second (cases) consists of 50 adolescents who suffer from …


Vitrectomy With Internal Limiting Membrane Peeling With Intravitreal Ranibizumab Injection For Patients With Central Retinal Vein Occlusion With Combined Epiretinal Membrane, Mahmoud Ali Jul 2021

Vitrectomy With Internal Limiting Membrane Peeling With Intravitreal Ranibizumab Injection For Patients With Central Retinal Vein Occlusion With Combined Epiretinal Membrane, Mahmoud Ali

Al-Azhar International Medical Journal

Abstract: Background: Central retinal vein occlusion (CRVO) is one of the most common causes of visual loss in general population especially in middle age and elderly people. Aim: To assess the role of vitrectomy with internal limiting membrane (ILM) peeling with intravitreal ranibizumab injection for patients with CRVO with combined epiretinal membrane (ERM). Methods: The study was conducted on eleven patients with CRVO with coexisting ERM. Best corrected visual acuity (BCVA) converted into logMAR, fundus Fluorescein angiography and optical coherence tomography (OCT) assessing central macular thickness (CMT) were done. All patients had undergone vitrectomy with ILM peeling with intravitreal injection …


Study Of High Mobility Group Box 1 Protein Level In Patients With Diffuse Large B Cell Lymphoma, Mohamed Ali, Mahmoud Bazeed, Mohamed Elshourbagy, Mahmoud Allam, Mohamed Bakeer Jul 2021

Study Of High Mobility Group Box 1 Protein Level In Patients With Diffuse Large B Cell Lymphoma, Mohamed Ali, Mahmoud Bazeed, Mohamed Elshourbagy, Mahmoud Allam, Mohamed Bakeer

Al-Azhar International Medical Journal

Background: Diffuse large B-cell lymphoma (DLBCL) has been the most frequent form of non-Hodgkin lymphoma (NHL), accounting for roughly 24% of new instances per year. High mobility group box 1 protein is a nuclear DNA-binding protein that was discovered more than 30 years ago. It binds to DNA and functions as a cofactor for gene transcription . Overexpression of HMGB1 was being discovered in many cancers, including breast cancer , gastric cancer , and non-Hodgkin lymphoma. Aim of the work: to evaluate the effect of diffuse large B cell lymphoma on high mobility group box 1 protein level and how …


Early Outcome Of Surgical Repair Of Complete Atrioventricular Canal Defects (Comparative Study Between Children Before And After 6 Months Of Age), Elhusseiny Gamil, Mohamed Sharaa, Bahaa El Khonizy, Ayman Khalifa Jul 2021

Early Outcome Of Surgical Repair Of Complete Atrioventricular Canal Defects (Comparative Study Between Children Before And After 6 Months Of Age), Elhusseiny Gamil, Mohamed Sharaa, Bahaa El Khonizy, Ayman Khalifa

Al-Azhar International Medical Journal

Background: Complete atrioventricular septal defect (CAVSD) is composed of a primum atrial septal defect, nonrestrictive inlet ventricular septal defect and common atrioventricular (AV) valve. The aim of this study was to compare the result of surgical repair of complete atrioventricular (CAVC) before and after six months of age. Methods: Between January 2018 and December 2019 at Al-Azhar University and Atfal Misr hospital, 80 patients underwent CAVC repair. These patients were divided into 2 groups according to the age and each group is of 40 patients. These patients were managed by modified patch and double patch techniques. Results: In-group A, the …


Labetalol Versus Alpha Methyldopa For Control Of Pregnancy Induced Hypertension, Shokry El-Sadek, Ahmed El-Sadek, Abdalla Ahmed Jun 2021

Labetalol Versus Alpha Methyldopa For Control Of Pregnancy Induced Hypertension, Shokry El-Sadek, Ahmed El-Sadek, Abdalla Ahmed

Al-Azhar International Medical Journal

ABSTRACT Background: Hypertension is a common medical problematic faced throughout pregnancy and is accompanied with raised risks of opposing consequences, Objective: This work aimed to match the effectiveness of labetolol and alpha methyldopa in blood pressure (BP) control in women with Pregnancy Induced Hypertension (PIH). Methods: This observational study was performed at Department of Obstetrics and Gynecology of AL- HUSSIEN University Hospital and Suez General Hospital after obtaining an approval from institutional board review of Al Azhar University Faculty of Medicine. Results: A significant change among the studied group in regard to mean drop in SBP and DBP, and Period …


Juvenile Ossifying Fibroma: Multiportal Endoscopic Trans-Nasal And Orbital Surgical Approaches, Histopathological And Radiological Findings, Tawfik Elkholy, Rehab Kamel, Bothina Bendary, Amany Abosaf, Rania Abdelmaqsoud, Heba Galal Jun 2021

Juvenile Ossifying Fibroma: Multiportal Endoscopic Trans-Nasal And Orbital Surgical Approaches, Histopathological And Radiological Findings, Tawfik Elkholy, Rehab Kamel, Bothina Bendary, Amany Abosaf, Rania Abdelmaqsoud, Heba Galal

Al-Azhar International Medical Journal

Abstract: Ossifying fibroma of the nasal cavity and paranasal sinus is a benign tumor histologically, however clinically may show invasive characteristics. It has malignancy rate of 0.4–0.5%. Here, we presented a 2 rare cases of Ossifying fibroma in two female children with Juvenile ossifying fibroma of the paranasal sinuses with orbital involvement and reviewed the literature of this rare tumour. Both cases subjected to complete ENT and ophthalmological examination and investigated by CT study of the paranasal sinuses, orbit and brain using specific protocol. Both underwent excision of the lesions as much as accessible and applicable to avoid complications and …


Value Of Helicobacter Pylori Eradication On Platelet Count In Chronic Hepatitis C Virus-Infected Patients With Thrombocytopenia, Mohamed Mahmoud, Mahmoud Bazeed, Essam Hassan, Mahmoud Allam, Youssf Nassar, Ahmed Abd El Aziz Jun 2021

Value Of Helicobacter Pylori Eradication On Platelet Count In Chronic Hepatitis C Virus-Infected Patients With Thrombocytopenia, Mohamed Mahmoud, Mahmoud Bazeed, Essam Hassan, Mahmoud Allam, Youssf Nassar, Ahmed Abd El Aziz

Al-Azhar International Medical Journal

Background: Invasive therapies are often needed for sufferers with chronic liver diseases (CLDs). Thrombocytopenia is common hematological abnormality in CLD sufferers. In immune thrombocytopenic purpura (ITP), Helicobacter pylori (HP) infection is linked to a low platelet count, whereas HP eradication is associated to an increase in platelet count. In Egypt, the most common trigger of CLD is infection with the hepatitis C virus. In Egypt HP is common infection happens at a young age. Aim of the work: The impact of Helicobacter pylori eradication on platelet count in HCV-related CLD patients with thrombocytopenia. Patients and methods: A prospective study of …


Accurate And Rapid Diagnosis Of Exudative Pleural Effusion., Therese Ghatas, Moheb Elfaizy Jun 2021

Accurate And Rapid Diagnosis Of Exudative Pleural Effusion., Therese Ghatas, Moheb Elfaizy

Al-Azhar International Medical Journal

Background: Accurate diagnosis of exudate pleural effusion is definitely important. Few studies have been published on this topic. The current work present evidence for the importance of the pleural fluid markers like high sensitivity-C reactive protein [hsCRP]; tumor necrosis factor alpha [TNFα]; and cholesterol levels measurement in differentiating types of exudative from transudative pleural effusion. Aim: The current study was to determine and evaluate the diagnostic importance of measured levels of pleural fluid cholesterol, high sensitivity-CRP and tumor necrosis factorα in diagnosing and differentiating transudate from exudate pleural effusion. Methods: This study was carried out on 100 patients suffering from …


Unilateral Common Iliac Artery Ostial Lesion Stenting Versus Kissing Stenting, Mohamed Said, Abd El Fatah Ismail, Mohamed Hamza May 2021

Unilateral Common Iliac Artery Ostial Lesion Stenting Versus Kissing Stenting, Mohamed Said, Abd El Fatah Ismail, Mohamed Hamza

Al-Azhar International Medical Journal

Background: Iliac arteries are common sites of occlusive atherosclerotic disease that is responsible for symptomatic arterial insufficiency of lower extremities and as atherosclerosis is a systemic disease, iliac diseases frequently have coexistent disease below the inguinal ligament. Objective: This study aimed to assess using unilateral Common iliac artery stent versus kissing stent as regard clinical and technical success in unilateral ostial common iliac artery lesions. Patients and Methods: From December 2018 to December 2020 in Al-Azhar University Hospital and Military Hospitals in Cairo, we assigned 20 patients with unilateral common iliac artery ostial lesion to undergo either unilateral stent or …


Pars Plana Vitrectomy With Silicone Oil Versus Sulphur Hexafluride Gas Tamponade For Idiopathic Macular Hole, Mohamed Ibrahim, Ahmed Barrada, Mahmoud Ali May 2021

Pars Plana Vitrectomy With Silicone Oil Versus Sulphur Hexafluride Gas Tamponade For Idiopathic Macular Hole, Mohamed Ibrahim, Ahmed Barrada, Mahmoud Ali

Al-Azhar International Medical Journal

Background: A macular hole is a common macular disorder that impairs central vision significantly. Aim of the study: To compare between silicone oil (SOi) versus sulphur hexafluoride (SF6) as tamponading agent after pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling in healing of idiopathic macular hole and improvement of visual acuity. Patient and methods: Patients with idiopathic full thickness macular hole (FTMH) were categorized into 2 groups , group 1(15 eyes) were managed with PPV and ILM peeling and (SF6) as atamponade, group 2 (15 eyes) were managed with PPV and ILM peeling and (SOi) as a tamponade. …


Efficacy Of Pan Retinal Photocoagulation Sub- Threshold Micropulse Diode Laser In Diabetic Retinopathy, Mohammad Abbas, Khaled Selim, Ahmed Hodib Apr 2021

Efficacy Of Pan Retinal Photocoagulation Sub- Threshold Micropulse Diode Laser In Diabetic Retinopathy, Mohammad Abbas, Khaled Selim, Ahmed Hodib

Al-Azhar International Medical Journal

Background: Diabetic retinopathy occurs as a complication of systemic diabetes . The potential use of laser for the treatment of severe non proliferative diabetic retinopathy (SNPDR) and early PDR provides another dimension in the management due to its long-term effects and relatively low costs. Objective: Evaluate the efficacy of sub threshold micro pulse diode laser in pan retinal photocoagulation for severe non proliferative and early proliferative diabetic retinopathy. Patients and methods: This prospective study included 40 eyes of 22 subjects with diabetic retinopathy in the period between November 2019 to December 2020. History taking and ophthalmological examination and Fundus Fluorescein …


Role Of Fetal Main Pulmonary Artery Doppler Indices In Prediction Of Fetal Lung Maturity, Ibrahim Abd Elkhalik, Hany Hassan, Mostafa Ellaban Apr 2021

Role Of Fetal Main Pulmonary Artery Doppler Indices In Prediction Of Fetal Lung Maturity, Ibrahim Abd Elkhalik, Hany Hassan, Mostafa Ellaban

Al-Azhar International Medical Journal

Background: Accurate evaluation of fetal lung maturity is of utmost importance for determining the optimal time for pregnancy termination. Amniocentesis is an invasive procedure and is associated with a small but real risk to the pregnancy. So noninvasive sonographic techniques to evaluate lung maturity is most needed. Objective: To study the role of fetal main pulmonary artery Doppler (MPA) indices in prediction of Fetal Lung Maturity (FLM) and determine a cut point of Doppler indices with high sensitivity and specificity. Patients and Methods: Our prospective cohort study included 200 pregnant women 38 weeks fulfilling the inclusion and exclusion criteria, A …