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- Obstetrics and Gynecology (19)
- Internal Medicine (14)
- General Surgery (9)
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- Orthopedics (5)
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- Radiology & Radiodiagnosis (5)
- Onco-surgery (4)
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- Acute care surgery (1)
- Amniotic bladder therapy (1)
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- And K-wires (1)
- Angiography (1)
- Anterior Tympanic membrane perforation; Anterior Tunnel; Anterior Release (1)
- Anthropometric indices (1)
- Antibiotic therapy (1)
- Artery Stenting; Artery Stenosis; Postprocedural Microembolic Events (1)
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Articles 61 - 90 of 92
Full-Text Articles in Obstetrics and Gynecology
A Comparative Study Between Anterior Tunnel And Anterior Release Techniques In The Management Of Anterior Tympanic Membrane Perforation, Atef Abdullah El Maraghy, Yehia Mohamed Dawood, Abdulrahman Mohamed Ali Abdallah
A Comparative Study Between Anterior Tunnel And Anterior Release Techniques In The Management Of Anterior Tympanic Membrane Perforation, Atef Abdullah El Maraghy, Yehia Mohamed Dawood, Abdulrahman Mohamed Ali Abdallah
Al-Azhar International Medical Journal
Introduction: When the perforation in the tympanic membrane is anteriorly located with a thin anterior rim, stabilizing the graft using the traditional underlay tympanoplasty approach may be challenging. It was attempted to solve this issue using tympanoplasty with anterior tunneling or anterior releasing. Aim and Objectives: This study aims to compare the efficiency of anterior tunnel and anterior release techniques in the management of anterior tympanic membrane perforation. Patients and Methods: A one-year prospective single blinded study with three-months follow-up was conducted on 60 patients divided into two groups: tympanoplasty with tunneling (Group A) and release (Group B) tympanoplasty for …
Evaluation Of Some Early Inflammatory Markers In Obese Children, Sohier Bahgat Fayed, Seham Nabil Ramdan, Sara Ahmed Tahoun, Sara Reda El-Sayed
Evaluation Of Some Early Inflammatory Markers In Obese Children, Sohier Bahgat Fayed, Seham Nabil Ramdan, Sara Ahmed Tahoun, Sara Reda El-Sayed
Al-Azhar International Medical Journal
Background: Obesity affects both children and adults and is a major burden on world health. Focusing on childhood obesity is crucial to preventing its problems and further development as adults. Around the world, the prevalence of this nutritional condition among children has risen to alarming levels. Aim and objectives: to evaluate IL6 as a predictive inflammatory cytokine and its relation to BMI and lipid profile, in obese and over-weight children identifying those more like to develop further complication, also to assess the correlation between highly sensitive C -Reactive protein as an inflammatory marker and obesity. And to evaluate the usability …
Post-Caesarean Section Niche-Related Impaired Fertility, Fahd Abdelal El Omda, Mohamed Ibrahim Mohamed, Mohamed Elbayoumy Mohamed
Post-Caesarean Section Niche-Related Impaired Fertility, Fahd Abdelal El Omda, Mohamed Ibrahim Mohamed, Mohamed Elbayoumy Mohamed
Al-Azhar International Medical Journal
A cesarean section is a common surgical operation all around the world. Post-caesarean niches, sometimes called isthmoceles, are anechoic myometrial indentation at the caesarean scar site caused by improper healing. Our study aimed to examine the role of the postoperative niche in reducing fertility following a cesarean surgery. 50 cases were randomly recruited from those who visited the obstetrics and gynecology outpatient clinics at Al Azhar University Hospitals for this prospective observational, cross-sectional study. Our results revealed that Mean age in included 50 cases, mean duration of secondary infertility was 2.62 years, 76% of cases had elective CS , 24% …
Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady
Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady
Al-Azhar International Medical Journal
Background: Nutritional support continues to be a vital component in the care of the surgical patients. While its routine use in the healthy elective surgical patient is rarely necessary, it is indicated in severely catabolic patients or in the individual who cannot eat for a long period. Other factors influencing the need for nutritional support includes the age of the patient, the existence of malnutrition as well as its severity and presence of cancer cachexia. Aim & objectives: to evaluate feeding jejunostomy as a route of enteral nutrition in comparison with total parenteral nutrition (TPN) in high-risk surgical persons. Subjects …
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
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 …
Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek
Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek
Al-Azhar International Medical Journal
Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited …
A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem
A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem
Al-Azhar International Medical Journal
Objectives: To assess the effectiveness of metformin also OCP in females with PCOS. Subject and Methods: This was a prospective study that included three hundred patients who were chosen at random from patients who attended outpatient obstetrics and gynecology clinics at Al-Azhar University Hospitals. Samples were obtained using a systematic random technique. Results: Variations in age, BMI, and waist-to-hip ratio among the groups were statistically significant. Blood pressure, heart rate, and temperature demonstrated no statistically significant distinctions among the 2 groups. There was significant variance among examined group as regard TG, LDL-cholesterol, fasting plasma glucose and Fasting insulin. There was …
Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki
Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki
Al-Azhar International Medical Journal
Background: Controlled ovarian hyper stimulation is a critical step in the process of in vitro fertilization and embryo transfer because it ensures the absorption of a large number of oocytes that are of sufficient quality to be fertilized.This condition's source, mechanism, and/or pathophysiology are still unknown, unpredictable, and unpreventable, despite the years of clinical experience that have been accumulated. Aim and objectives: To assess the efficiency of utilizing a dual trigger as opposed to a higher dosage of hCG as a trigger in an antagonist protocol for the purpose of improving the number of up taken eggs per number of …
Study Of Non-Motor Manifestations In A Sample Of Egyptian Multiple Sclerosis Patients, El-Noamany Nader Abo-Nar, Mahmoud Mohamed Abd Elsyed, Mohammad Hamed Rashad
Study Of Non-Motor Manifestations In A Sample Of Egyptian Multiple Sclerosis Patients, El-Noamany Nader Abo-Nar, Mahmoud Mohamed Abd Elsyed, Mohammad Hamed Rashad
Al-Azhar International Medical Journal
Background: Nonmotor symptoms are commonly reported with multiple sclerosis (MS) patients including fatigue, depression, anxiety, pain, cognitive impairment, sleep disorders, pseudobulbar affect, sexual dysfunction, paroxysmal symptoms, and bladder and bowel control problems. However, such manifestations are not sufficiently reported in Egypt. Aim: This study aimed to estimate the proportion of nonmotor symptoms associated with MS amongst Egyptian patients, and investigate their relationship with MS course and the related-disability. Method: A cross-sectional study was conducted on 120 MS patients with different clinical courses in Al-Azhar University hospitals from January 2020 till January 2021. All patients diagnosed with MS using MRI and …
Short-Term Outcomes Of Laparoscopic-Assisted Anterior Perineal Plane For Ultra-Low Anterior Resection (Appear) For Low Rectal Cancer: A Single Center Experience, Abd El-Fattah Al Sheikh, Alaa Soliman
Short-Term Outcomes Of Laparoscopic-Assisted Anterior Perineal Plane For Ultra-Low Anterior Resection (Appear) For Low Rectal Cancer: A Single Center Experience, Abd El-Fattah Al Sheikh, Alaa Soliman
Al-Azhar International Medical Journal
Background: The Anterior Perineal PlanE for Ultra-Low Anterior Resection (APPEAR) methodology was designed specifically for cases of extremely low rectal cancer. Its purpose is to aid with the removal of the most distant part of the rectum. This technique enables the maintenance of the sphincter and minimizes the necessity over abdominal resection (APR) & permanent stomas. Aim of the work : Our study evaluated the surgical, short-term oncological and functional outcomes of laparoscopic-assisted Anterior Perineal PlanE for the ultra-low Anterior Resection (APPEAR) procedure. Methods: A prospective study was conducted on a cohort of twenty patients diagnosed with low rectal cancer, …
Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou
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 …
Comparative Study Between Cardiac Mri And Echocardiography In Post-Operative Evaluation Of Fallot Tetralogy, Tarek Mohamed Abdel Hamid El-Zayyat, Hytham Mohamed Mahmoud Nafady, Ahmed Abd Elazeem Mohamed Youseif
Comparative Study Between Cardiac Mri And Echocardiography In Post-Operative Evaluation Of Fallot Tetralogy, Tarek Mohamed Abdel Hamid El-Zayyat, Hytham Mohamed Mahmoud Nafady, Ahmed Abd Elazeem Mohamed Youseif
Al-Azhar International Medical Journal
Background: Tetralogy of Fallot (TOF) represents the prevailing form of cyanotic congenital cardiac disease. Cardiac magnetic resonance imaging (CMR) plays a crucial role in monitoring adult patients with congenital heart disease. Transthoracic echocardiography (TTE) is capable of providing the majority of the requisite data for sequential monitoring in patients with tetralogy of Fallot (TOF). Aim of the work: To investigate the respective contributions of cardiac magnetic resonance imaging and echocardiography in the evaluation of post-operative Fallot tetralogy, using a comparative analysis. Methodology: This study will be carried out on 30 cases of patients referred to the Heart Institute diagnosed by …
Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha
Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha
Al-Azhar International Medical Journal
Background: Ultrasound at 5 weeks gestation reveals the yolk sac's hypoechoic centre and echogenic rim. Between 8 and 11 weeks of pregnancy, it expands and then disappears. Larger yolk sacs cause more miscarriages. Normal yolk sacs reduce first-trimester complications. A normal yolk sac predicts a 94% typical result. By 5 weeks, the embryonic heartbeat is visible. The fetal heart rate rose from 118 to 167 beats per minute between 6 and 10 weeks. An embryonic heart rate (EHR) of 100 BPM is abnormal and related to an 83.3% loss rate early in pregnancy (6-9 weeks). Aim: Does Assessment of gestational …
A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah
A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah
Al-Azhar International Medical Journal
Background: The management of antenatal care and the successful planning of an appropriate intervention or therapy depend greatly on the determination of gestational age (GA). When dates are ambiguous or there is a suspicion of intrauterine growth retardation, transverse cerebellar diameter (TCD) provides a significant advantage in predicting GA. Aim of the work: to compare TCD measurement to existing fetal biometric measures such as femur length (FL) and biparietal diameter (BPD) in order to evaluate the diagnostic accuracy of TCD measure in estimating GA throughout the second and third trimesters. Patients and methods: The obstetrics and gynecology department of El-Sheikh …
Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil
Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil
Al-Azhar International Medical Journal
Background: Diabetes has become an important risk factor for major morbidity and death, hospitalizations, disease severity, acute renal failure, acute respiratory distress syndrome, ICU admissions and patient death. with coronavirus disease 2019. Aim: To study glycemic changes and outcomes in diabetic and non-diabetic patients hospitalized with COVID-19. Patients and Methods: In this retrospective study, 500 hospitalized adult patients over 18 years of age with COVID-19 were referred to Al-Azhar – Assiut and Chest – Assiut University Hospitals with nasopharyngeal vaccination against SARS-CoV-2. Our study spanned approximately seven months of confirmed COVID-19 from January 2021 to July 2021. Results: Patients with …
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
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 …
Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy
Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy
Al-Azhar International Medical Journal
Background: Transversus abdominis plane (TAP) block is a peripheral nerve block that anesthetizes the abdominal wall. The thoracolumbar nerves (T10-L1) are located in the fascial plane (TAP) among the internal oblique & transverses abdominis muscles. Aim of the study: The objective of the research is to analyze the evidence and assess the analgesic efficacy of ropivacaine TAP block for 24 hours following Pfannenstiel incision caesarean surgery. Patients and methods: A prospective randomized controlled clinical trial was conducted on 60 females undergoing cesarean section in the Department of Obstetrics and Gynecology of Al-Azhar University Hospital and El-Fayoum General Hospital. The participants …
Bone Mineral Density Among Long Term Users Of Hormonal Contraception (Contraception & Bone Mineral Density), Hanaa Abd El Hameed El Ebeisy, Nahed Ezzat Mahmoud, Hanaa Taha Kandeel, Shaimaa Mahmoud Saad El Tawwab
Bone Mineral Density Among Long Term Users Of Hormonal Contraception (Contraception & Bone Mineral Density), Hanaa Abd El Hameed El Ebeisy, Nahed Ezzat Mahmoud, Hanaa Taha Kandeel, Shaimaa Mahmoud Saad El Tawwab
Al-Azhar International Medical Journal
Background: Hormonal contraceptives that involve steroids have a high success rate and are commonly used. The use of these contraceptives has both positive and negative effects on health, including bone health. Some contraceptives may interfere with peak bone acquisition or may induce early bone mineral density (BMD) loss since they are provided for extended durations and at a time of life when many women have not yet reached the peak of bone development. Aim of the study: to assess the effect of long term utilization of hormonal contraceptives (Depot medroxyprogesterone acetate (DMPA), Implanon, Combined Oral Contraceptives (COC)) ( > 3years) among …
Philos Plating Versus Percutaneous K-Wire Fixation In Proximal Humerus Fractures In The Elderly, Aly Mohammed El-Geoshy, Usama Gaber Abdalla, Ehab Khaled Gaafar
Philos Plating Versus Percutaneous K-Wire Fixation In Proximal Humerus Fractures In The Elderly, Aly Mohammed El-Geoshy, Usama Gaber Abdalla, Ehab Khaled Gaafar
Al-Azhar International Medical Journal
Objectives: To compare the results of Percutaneous K-Wires versus PHILOS plate in terms of activity, shoulder function, radiological assessment and complications. Methods: Thirty patients randomly divided into two groups with closed envelop method between July 2021 to July 2022, Group (A), The K-Wires group, 7 males and 8 females, with mean age 68 years, and Group (B), The PHILOS group, 9 males and 6 females, with mean age 66 years. Included patients were elderly with recent, closed, two, three and four parts fracture. Excluded patients were open fractures, old, nonunited, malunited or patients with contraindications of general anesthesia. Results: Both …
Comparison Between Custodiol And Blood Enriched Cardioplegia On Myocardial Protection During Double Valve Replacement Surgeries, El-Husseiny E. Gamil, Hosny M. El Sallab, Mohamed H. Mahmoud, Asmaa G Shahien
Comparison Between Custodiol And Blood Enriched Cardioplegia On Myocardial Protection During Double Valve Replacement Surgeries, El-Husseiny E. Gamil, Hosny M. El Sallab, Mohamed H. Mahmoud, Asmaa G Shahien
Al-Azhar International Medical Journal
Background: Cardioplegia is necessary during heart surgery to lessen the myocardium's metabolic needs and avoid osmotic, electrolytic, and pH imbalances. Methodology: This prospective non-randomized controlled clinical trial was conducted at cardiothoracic surgery department - Faculty of Medicine – Al-Azhar University from October 2019 until December 2022. During this study, 60 patients were assessed for eligibility and divided into two equal groups; group A included patients who were given a single dose of antegrade custodial cardioplegia with moderate hypothermia 30°C, to be repeated after 3hours and group B included patients who were given intermittent antegrade cold blood cardioplegia with moderate hypothermia …
Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar
Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar
Al-Azhar International Medical Journal
Background: Coronavirus disease 2019 (COVID-19), which resulted in a global pandemic, is caused by severe acute respiratory syndrome coronavirus 2. We aimed to highlight the cardiovascular involvement in children after 6 months of COVID-19 recovery, Aim and Objectives: To highlight the cardiovascular involvement in children after 6 months of COVID-19 since this has the potential for morbidity and mortality in this age group, Patients and Methods: This observational cross-sectional descriptive study was conducted on 42 pediatrics aged-19 after 6 months at hospitals from January 2022 to February 2023. All patients were subjected to full history taking, clinical examination, laboratory investigations …
Nail Fold Capilloroscopy Versus Serum Interleukin 17 In Rheumatoid Arthritis And Systemic Lupus Erythematosus Patients And Their Correlation With Disease Activity In Upper Egypt, Mohamed I. Abdelkareem, Mohamed M. Rayan, Ashraf I. Sayed
Nail Fold Capilloroscopy Versus Serum Interleukin 17 In Rheumatoid Arthritis And Systemic Lupus Erythematosus Patients And Their Correlation With Disease Activity In Upper Egypt, Mohamed I. Abdelkareem, Mohamed M. Rayan, Ashraf I. Sayed
Al-Azhar International Medical Journal
Background: Nailfold capillaroscopy (NFC) represents the best method to analyze microvascular abnormalities among connective tissue diseases (CTDs) since capillaroscopic changes of the nailfold have been well established in many CTDs Aim: to investigate serum IL-17 and Nailfold microcirculation in RA and SLE patients and to study their correlation with disease activity in upper Egypt. Patients and Methods: A total of 50 patients with RA and 30 patients with SLE. In addition to, 30 healthy subjects as control group. Results: Patients with either SLE or RA had significantly higher IL-17 in comparison to the control group. Patients with SLE had significantly …
Comparative Study Between Orthotopic Neobladder And Ileal Conduit Diversion For Patients With Cancer Bladder After Radical Cystectomy, Saied Hosny Bendary, Ahmed Alsayed Mohmed, Ahmed Fathy Sayed Ahmed Aly
Comparative Study Between Orthotopic Neobladder And Ileal Conduit Diversion For Patients With Cancer Bladder After Radical Cystectomy, Saied Hosny Bendary, Ahmed Alsayed Mohmed, Ahmed Fathy Sayed Ahmed Aly
Al-Azhar International Medical Journal
Background: Several techniques are employed for urine diversion following radical cystectomy, such as the ileal conduit, cutaneous urinary reservoir, and orthotopic neobladder. The many forms of urine diversion significantly influence multiple dimensions of quality of life (QoL), encompassing elements such as urinary function, physical well-being, sexual health, psychological adjustment, everyday functioning, and body image-related unhappiness. Aim and objectives: Is to compare between quality of life (QoL), results and complications of orthotopic urinary diversions and ileal conduit diversion after radical cystectomy in patients with muscle-invasive bladder cancer. Subjects and methods: This is a prospective study conducted at Oncosurgery Department, Al-Azhar University …
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
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
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 …
Comparative Study Between Laparoscopic Varicocelectomy And Foam Injection Sclerotherapy By Using Interventional Catheterization In The Treatment Of Primary Varicocele, Mohamed Abd El-Hamid Abd El-Rahman, Mohamed Hamza Hamed, Mohamed Akram Abdo Mohamed
Comparative Study Between Laparoscopic Varicocelectomy And Foam Injection Sclerotherapy By Using Interventional Catheterization In The Treatment Of Primary Varicocele, Mohamed Abd El-Hamid Abd El-Rahman, Mohamed Hamza Hamed, Mohamed Akram Abdo Mohamed
Al-Azhar International Medical Journal
Background: The incidence of varicocele in the general population ranges from 15 to 20%, and 30 to 40% in infertile men. Varicocele is dilated tortuous veins of the pampiniform plexus the venous sinuses that drain the testicles. These sinuses primarily drain into the internal spermatic vein (gonadal vein). Aim and objectives: to compare between laparoscopic varicocelelctomy versus foam injection sclerotherapy of a polidocanol in a concentration of 3% solution, by using interventional catheterization in the treatment of primary varicocele. Subjects and methods: This prospective randomized study was be conducted on 50 patients with primary varicocele. It was be conducted in …
The Adjuvant Therapeutic Effect Of Probiotics On The Anthropometric Measurements And Metabolic Parameters In Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Clinical Trial, Abdulhamed Hifny Mohamadain, Mohamed Mahmoud Eltaweel
The Adjuvant Therapeutic Effect Of Probiotics On The Anthropometric Measurements And Metabolic Parameters In Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Clinical Trial, Abdulhamed Hifny Mohamadain, Mohamed Mahmoud Eltaweel
Al-Azhar International Medical Journal
Background and Aim: Metabolic diseases, such as chronic low-grade inflammation, insulin resistance and adipocyte hypertrophy have been linked to obesity. The influence of perioperative probiotic administration on bariatric surgery yielded conflicting results. We directed this randomized controlled study to outline the effects of probiotic administration on the effects of laparoscopic sleeve gastrectomy. Patients and Methods: This randomized, double-blinded, placebo-controlled study included 83 cases, undergoing laparoscopic sleeve gastrectomy, to take either probiotics or placebo. The primary result was the anthropometric measurement at 3 months after the surgery. The secondary outcomes included lipid profile, glycemic control and serum vitamins D and B12. …
The Specificity Of Endoscopic Criteria In Diagnosis Of Biliary Reflux Gastritis, Adel Mohamed Asaad Elkady, Magdy Abdelkreem Aldahshan, Shadia Hussein Mabrouk, Abdelaleem Khair Eldeen Helal, Ahmed Maher Eliwa
The Specificity Of Endoscopic Criteria In Diagnosis Of Biliary Reflux Gastritis, Adel Mohamed Asaad Elkady, Magdy Abdelkreem Aldahshan, Shadia Hussein Mabrouk, Abdelaleem Khair Eldeen Helal, Ahmed Maher Eliwa
Al-Azhar International Medical Journal
Bile reflux gastritis can be triggered by an excess of bile in the duodenum, the absence of a pylorus as a barrier to retrograde flow, and/or decreased stomach and duodenum retrograde peristalsis. This can occur as a result of gastric or biliary surgery or as biliary reflux disease. The purpose of this research was to assess the specificity of endoscopic criteria in diagnosis of biliary gastritis by comparing the endoscopic findings with histopathological examination. Patients and methods: In this prospective research, cases with upper gastrointestinal symptoms were subjected for esophago-gastro-duodenoscopy. One hundred and thirteen patients with intragastric bile were involved …
Impact Of Opioid-Free Analgesia On Pain Severity And Patient Satisfaction After Discharge From Surgery: Multispecialty, Prospective Cohort Study In 25 Countries, Tabish Chawla, Aliya Aziz, Anoosha Marium, Ayesha Akbar Waheed, Faiqa Binte Aamir, Faiza Qureshi, Hammad Ather, Iqra Fatima Munawar Ali, Izza Tahir, Maha Ghulam Akbar, Ronika Devi Ukrani, Sajjan Raja, Sehar Salim Virani, Shahryar Noordin, Saif Ur Rehman, Shalni Golani, Syed Roohan Aamir, Syed Musa Mufarrih, Usama Waqar, Maliha Taufiq
Impact Of Opioid-Free Analgesia On Pain Severity And Patient Satisfaction After Discharge From Surgery: Multispecialty, Prospective Cohort Study In 25 Countries, Tabish Chawla, Aliya Aziz, Anoosha Marium, Ayesha Akbar Waheed, Faiqa Binte Aamir, Faiza Qureshi, Hammad Ather, Iqra Fatima Munawar Ali, Izza Tahir, Maha Ghulam Akbar, Ronika Devi Ukrani, Sajjan Raja, Sehar Salim Virani, Shahryar Noordin, Saif Ur Rehman, Shalni Golani, Syed Roohan Aamir, Syed Musa Mufarrih, Usama Waqar, Maliha Taufiq
Section of General Surgery
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.
Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview …
Efficacy Of Adding Sildenafil To Dapoxetine In Treatment Of Dapoxetine Non-Responding Mono-Symptomatic Premature Ejaculation, Ahmed Galal Shaaban Ramadan, Ayman Kotb Mohammed Koritenah, Mohamed Ibrahim Almetwally Algammal, Yasser Ali Ahmed Badran
Efficacy Of Adding Sildenafil To Dapoxetine In Treatment Of Dapoxetine Non-Responding Mono-Symptomatic Premature Ejaculation, Ahmed Galal Shaaban Ramadan, Ayman Kotb Mohammed Koritenah, Mohamed Ibrahim Almetwally Algammal, Yasser Ali Ahmed Badran
Al-Azhar International Medical Journal
Background: Primary premature ejaculation has been treated with selective serotonin reuptake inhibitors (SSRIs), however these medications have a low success rate, Aim: is to evaluate the efficacy and safety of adding sildenafil to dapoxetine for patients with premature, symptomatic ejaculation who did not respond to dapoxetine alone, Methods: This RCT was conducted at the urology outpatient centers of Al-Azhar University, Al-Hussein Hospital, and Sayed Galal Hospital. This research included 200 male patients with PE who were placed into two groups. For 8 weeks, 110 patients in Group A got sildenafil 50mg as an additional treatment to dapoxetine 30 mg. Group …