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Attitudes And Barriers To Breastfeeding Among Women At High-Risk For Not Breastfeeding: A Prospective Observational Study, Jessica Cole, Ateshi Bhatt, Andrew G. Chapple, Sarah Buzhardt, Elizabeth F. Sutton 2024 Louisiana State University Health and Sciences Center, Baton Rouge, LA

Attitudes And Barriers To Breastfeeding Among Women At High-Risk For Not Breastfeeding: A Prospective Observational Study, Jessica Cole, Ateshi Bhatt, Andrew G. Chapple, Sarah Buzhardt, Elizabeth F. Sutton

School of Medicine Faculty Publications

Background Rates of breastfeeding are lower among minority and underserved populations in the United States. Our study objective was to assess pregnant persons attitudes and barriers to breastfeeding among a cohort at high risk for not breastfeeding. Methods We disseminated the Iowa Infant Feeding Attitude Scale (IIFAS) to 100 pregnant persons at least 18 years of age attending a prenatal visit in a low-resource, academic practice in south-central Louisiana (Woman’s Hospital). The IIFAS, as well as questions collecting information on breastfeeding experience and sociodemographic characteristics, were administered via interview. Medical records were reviewed to investigate associations between attitudes about breastfeeding …


Comparing The Trends Of Postpartum Depression Screening Scores During And Before The Covid-19 Pandemic, Elif S. Duran, Dung Dang, Tony Ogburn 2024 The University of Texas Rio Grande Valley

Comparing The Trends Of Postpartum Depression Screening Scores During And Before The Covid-19 Pandemic, Elif S. Duran, Dung Dang, Tony Ogburn

Research Colloquium

Introduction: Postpartum depression includes major and minor depressive disorder affecting women in the time period after childbirth. The studies reviewed in our literature found that the COVID-19 pandemic has increased the risk of postpartum depression for women. Our study location, the Rio Grande Valley is one of the hardest hit locations by the COVID-19 pandemic in the United States. Our patient population is also one with the higher risk factors for postpartum depression. As such, we are expecting the psychological impact of the pandemic to be even more magnified and thus, actions need to be taken to support the vulnerable …


Editorial: Care During Pregnancy And Early Childhood For Growth And Development In Low- And Middle- Income Countries, Ranadip Chowdhury, Ravi Prakash Upadhyay, Bireshwar Sinha, Nita Bhandari, Sunita Taneja, Jai K. Das 2024 Society for Applied Studies,New Delhi, India

Editorial: Care During Pregnancy And Early Childhood For Growth And Development In Low- And Middle- Income Countries, Ranadip Chowdhury, Ravi Prakash Upadhyay, Bireshwar Sinha, Nita Bhandari, Sunita Taneja, Jai K. Das

Centre of Excellence in Women and Child Health

No abstract provided.


Comparison Of Pre And Post Foley Catheter Bishop’S Score: A Retrospective Record Review At Aga Khan University Hospital Karachi, Pakistan, Ayesha Malik, Sheikh Irfan Ahmed, Farheen Yousuf, Azra Amerjee, Sumaira Naz, Safna Naozer Virji Safna Naozer Virji 2024 Aga Khan University

Comparison Of Pre And Post Foley Catheter Bishop’S Score: A Retrospective Record Review At Aga Khan University Hospital Karachi, Pakistan, Ayesha Malik, Sheikh Irfan Ahmed, Farheen Yousuf, Azra Amerjee, Sumaira Naz, Safna Naozer Virji Safna Naozer Virji

Department of Obstetrics & Gynaecology

Objective: To compare pre and post Foley's catheter Bishop Score during labour induction.
Methods: This study was a retrospective study conducted at the Aga Khan University Hospital Karachi, Pakistan after approval from ethical review board. All women who underwent induction of labour with Foley's Catheter at gestation of 37 weeks or more from September 2014-October 2015 were included. Data was entered and analyzed in Statistical Package for Social Sciences (SPSS) version 19.0. The comparison between pre and post Foley's catheter Bishop Score during labour induction will be calculated by Wilcoxon sign test.
Results: There were 981 cases of inductions of …


Evaluating The Effect Of Maternal Non-Communicable Disease On Adverse Pregnancy Outcomes And Birthweight In Pakistan, A Facility Based Retrospective Cohort Study, Esther Wainwright, Sheikh Irfan Ahmed, Rahat Qureshi, Sana Yousuf, Raheela Khan, Matthew Elmes 2024 University of Nottingham, UK

Evaluating The Effect Of Maternal Non-Communicable Disease On Adverse Pregnancy Outcomes And Birthweight In Pakistan, A Facility Based Retrospective Cohort Study, Esther Wainwright, Sheikh Irfan Ahmed, Rahat Qureshi, Sana Yousuf, Raheela Khan, Matthew Elmes

Department of Obstetrics & Gynaecology

Non-communicable diseases (NCDs) claim 74% of global lives, disproportionately affecting lower and middle-income countries like Pakistan. NCDs may increase the risk of preterm birth (PTB), caesarean section (CS), and low birthweight. This study aims to determine whether the high prevalence of NCDs in Pakistan play a role in the high rates of preterm births, and CS. This retrospective cohort study from Aga Khan University Hospital, Pakistan, investigated effects of pre-existing NCDs on pregnancy outcomes of 817 pregnant women. Medical records were used to generate odds ratios for the risk of PTB, labour outcome and birthweight in women with type 1 …


Identifying Opportunities For Prevention Of Adverse Outcomes Following Female Genital Fistula Repair: Protocol For A Mixed-Methods Study In Uganda, Alison El Ayadi, Susan Obore, Fred Kirya, Suellen Miller, Abner Korn, Hadija Nalubwama, John Neuhaus, Monica Getahun, Patrick Eyul, Robert Twine, Erin Andrew, Justus Barageine 2024 Thomas Jefferson University

Identifying Opportunities For Prevention Of Adverse Outcomes Following Female Genital Fistula Repair: Protocol For A Mixed-Methods Study In Uganda, Alison El Ayadi, Susan Obore, Fred Kirya, Suellen Miller, Abner Korn, Hadija Nalubwama, John Neuhaus, Monica Getahun, Patrick Eyul, Robert Twine, Erin Andrew, Justus Barageine

Department of Obstetrics and Gynecology Faculty Papers

BACKGROUND: Female genital fistula is a traumatic debilitating injury, frequently caused by prolonged obstructed labor, affecting between 500,000-2 million women in lower-resource settings. Vesicovaginal fistula causes urinary incontinence, and other morbidity may occur during fistula development. Women with fistula are stigmatized, limit social and economic engagement, and experience psychiatric morbidity. Improved surgical access has reduced fistula consequences yet post-repair risks impacting quality of life and well-being include fistula repair breakdown or recurrence and ongoing or changing urine leakage or incontinence. Limited evidence on risk factors contributing to adverse outcomes hinders interventions to mitigate adverse events. This study aims to quantify …


Infant Growth And Body Composition From Birth To 24 Months: Are Infants Developing The Same?, Shane A. Norris, Lukhanyo H. Nyati, Alexia Murphy Alford, Nishani Lucas, Ina S. Santos, Caroline S. Costa, Rebecca Kuriyan, V Pujitha Wickranasinghe, Shabina Ariff, Andrew P. Hills 2024 University of the Witwatersrand, South Africa

Infant Growth And Body Composition From Birth To 24 Months: Are Infants Developing The Same?, Shane A. Norris, Lukhanyo H. Nyati, Alexia Murphy Alford, Nishani Lucas, Ina S. Santos, Caroline S. Costa, Rebecca Kuriyan, V Pujitha Wickranasinghe, Shabina Ariff, Andrew P. Hills

Department of Paediatrics and Child Health

Background: Given the importance of infancy for establishing growth trajectories, with later-life health consequences, we investigated longitudinal body composition among infants from six economically and ethnically diverse countries.
Methods: We recruited mother-infant dyads using the WHO Multicenter Growth Reference Study criteria. We measured fat-free mass (FFM) in 1393 (49% female) infants from birth to 6 months of age (Australia, India, and South Africa; n = 468), 3-24 months of age (Brazil, Pakistan, South Africa, and Sri Lanka; n = 925), and derived fat mass (FM), fat mass index (FMI), and fat-free mass index (FFMI). Height-for-age (HAZ), weight-for-age (WAZ), and weight-for-length …


How To Create This Gynecological Task Trainer, Jami Monico, Karen S. Carlson 2024 University of Nebraska Medical Center

How To Create This Gynecological Task Trainer, Jami Monico, Karen S. Carlson

Posters and Presentations: Obsetrics & Gynecology

This document contains instructions for how to create a gynecological task trainer with a 3D-printed uterus and silicone cervix.


Comparative Study Between Radical Hysterectomy With Or Without Pelvic Lymphadenectomy For Stage Ii Endometrial Carcinoma, Mohamed Esmat Abdelghany, Ahmed El Sayed Mohamed Abdelrahman, El-Sayed Ragab Mostafa Abdelghany 2024 Department of Onco-Surgery, Faculty of Medicine - Al-Azhar University – Cairo

Comparative Study Between Radical Hysterectomy With Or Without Pelvic Lymphadenectomy For Stage Ii Endometrial Carcinoma, Mohamed Esmat Abdelghany, Ahmed El Sayed Mohamed Abdelrahman, El-Sayed Ragab Mostafa Abdelghany

Al-Azhar International Medical Journal

Background: The removal of the uterus by surgical procedures is the standard treatment for endometrial cancer, which is the most common type of malignant gynecological tumor. Surgery for early-stage endometrial cancer often involves a total abdominal hysterectomy and bilateral salpingo-oophorectomy, with or without bilateral pelvic/para-aortic lymphadenectomy. In some cases, the patient may also have bilateral pelvic lymphadenectomy. Aim and objectives: The objective of the study is to evaluate the efficacy of radical hysterectomy with or without pelvic lymphadenectomy in the treatment of stage II endometrial cancer. Both approaches were examined in terms of the adverse effects they produced, as well …


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 2024 MBBCh of Obstetrics and Gynecology, Faculty of Medicine, Al- Azhar University, Cairo, Egypt

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 …


The Usefulness Of The Added Dw-Mri In Differentiation Of Various Bone Tumors And Tumor Like Focal Lesions, Hesham Mahmoud Hamza, Hoda Abdel-Kareem Abdel-Samiae, Mohamed Ahmed Ahmed Ali, Tarek Mohamed Mohamed Mansour, Marwa Mahmoud Esmail 2024 Professor of oncology surgery, South Egypt cancer institute -Assuit

The Usefulness Of The Added Dw-Mri In Differentiation Of Various Bone Tumors And Tumor Like Focal Lesions, Hesham Mahmoud Hamza, Hoda Abdel-Kareem Abdel-Samiae, Mohamed Ahmed Ahmed Ali, Tarek Mohamed Mohamed Mansour, Marwa Mahmoud Esmail

Al-Azhar International Medical Journal

Background: Any imaging method that is now available can be used to diagnose malignancies that originate in the bones. Plain radiography is the imaging modality that is utilized the vast majority of the time in order to arrive at a diagnosis and identify the characteristics of a variety of osseous lesions. The diagnosis of bone cancer can be challenging, but CT scans can provide useful information about the anatomical breadth of the disease. Magnetic resonance imaging (MRI) is the test that is considered to be the gold standard when it comes to diagnosing cancer and anomalies in the skeleton that …


Cold Snare Polypectomy Versus Hot Snare Polypectomy In Endoscopic Treatment Of Non Pedunculated Colorectal Polyps Larger Than Or Equal 1 Cm, Magdy Abd Al-Karim Al-Dahsha, Mohammed S. Hussein, Sadek Mosta, Abd Al Nabi Saeed Al Sham, Mohamed Fahmy Soliman Alsabagh 2024 Professor of Internal Medicine, Faculty of Medicine, Al- Azhar University, Cairo, Egypt

Cold Snare Polypectomy Versus Hot Snare Polypectomy In Endoscopic Treatment Of Non Pedunculated Colorectal Polyps Larger Than Or Equal 1 Cm, Magdy Abd Al-Karim Al-Dahsha, Mohammed S. Hussein, Sadek Mosta, Abd Al Nabi Saeed Al Sham, Mohamed Fahmy Soliman Alsabagh

Al-Azhar International Medical Journal

Background: In most cases, hot polypectomy is used to treat colon polyps that are more than 1 centimeter in diameter. Electrocautery-induced damage accounts for the majority of adverse outcomes, including prolonged bleeding, post-polypectomy syndrome, and perforation. We postulated that cold resection of big polyps would be as effective as hot polypectomy while being significantly safer for the patient. Aim and objectives: for the purpose of comparing the rates of intraoperative bleeding, clinically significant postoperative bleeding, and perforation between Cold Snaring Polypectomy and Hot Snaring Polypectomy in patients with non-pedunculated colorectal polyps of 10 mm or larger. Subjects and methods: Prospective …


Role Of 4d Ultrasonography In Assessment Of Amniotic Fluid Disorders Of Fetal Renal Origin, Saad R. Al-Gebaly, Sileem A. Sileem, Lotfy A. Murad 2024 Radiodiagnosis Department, Faculty of Medicine, Al-Azhar University Hospital. (Assiut)

Role Of 4d Ultrasonography In Assessment Of Amniotic Fluid Disorders Of Fetal Renal Origin, Saad R. Al-Gebaly, Sileem A. Sileem, Lotfy A. Murad

Al-Azhar International Medical Journal

Background: Fetal anomalies are detected in approximately 2% of all fetuses and, among these, genitourinary tract abnormalities account for 30% to 50% of all structural anomalies present at birth. Aim : to assess the role of 3D ultrasound in detection of fetal causes of oligohydramnios. Patients and Methods: The study was conducted on 60 pregnant females aged between (19 years and 39 years) mean ± SD 26.6 ± 4.9 presented with olighydraminos, at Al-Azhar University Hospital Assuit branch at Obstetric and gynecological and Radoidaignostic departments in the period from 1st December 2021 to 31th October 2022 . Results: Causes of …


Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-baroudy 2024 Radio-diagnosis department, Faculty of Medicine, Al-Azhar University, Assuit, Egypt

Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-Baroudy

Al-Azhar International Medical Journal

Background: Intraventricular hemorrhage is the most common intracranial hemorrhage in preterm newborns. The high incidence and problems made it important. Many etiologies and risk factors have been found. Newborns can get IVH. Methods: This study included 100 neonates, 59% cases were males & 41% cases were females. GA ranged from 27 to 36 weak, with a mean of 31.9 ±1.67 weak. The weight ranged from 750 g. to 2.93 kg., with a mean of 1.7 ± 0.44 kg. Trans cranial US was done at day one, three and day seven after delivery. Results: The study found that IVH rates were …


Comparative Evaluation Of Diosmectite Versus Nitazoxanide And Their Combination In The Treatment Of Cryptosporidiosis In Immunosuppressed Mice, Enas A. El Saftawy, Walla’a A. Osman, Rania M. Sarhan, Rabab S. Zalat, Shimaa A. Atta 2024 Department of Medical Parasitology, Faculty of Medicine, Cairo University, Cairo, Egypt

Comparative Evaluation Of Diosmectite Versus Nitazoxanide And Their Combination In The Treatment Of Cryptosporidiosis In Immunosuppressed Mice, Enas A. El Saftawy, Walla’A A. Osman, Rania M. Sarhan, Rabab S. Zalat, Shimaa A. Atta

Al-Azhar International Medical Journal

Abstract

Background

Cryptosporidiosis is a parasitic infection that affects immunocompromised patients and can result in systemic involvement of different organs and death.

Aim

To compare nitazoxanide (an antiprotozoal agent) and diosmectite (an antidiarrheal agent) and their combination in the treatment of cryptosporidiosis infection.

Materials and methods

Mice were divided into five groups: negative control, the infected untreated (positive control), diosmectite-treated, nitazoxanide-treated, and the group treated with nitazoxanide and diosmectite simultaneously. The evaluation was through measuring body weight, oocyst shedding, intestinal, and hepatic histopathological examination, as well as estimation of some inflammatory and oxidative markers.

Results

Body weight was improved significantly …


Comparative Clinical Study Of Intrathecal Low Dose Ketamine Combined With Midazolam Versus Fentanyl As Adjuvants To Bupivacaine For Cesarean Section, Mohamed Mohamed Abo Elenain, Shaimaa Mohammed El-Mahdy, Osama Helal Ahmed, Medhat Helaly Allam 2024 Anesthesia, Intensive Care & Pain Management Department-Faculty of Medicine-Al-Azhar University-Assuit

Comparative Clinical Study Of Intrathecal Low Dose Ketamine Combined With Midazolam Versus Fentanyl As Adjuvants To Bupivacaine For Cesarean Section, Mohamed Mohamed Abo Elenain, Shaimaa Mohammed El-Mahdy, Osama Helal Ahmed, Medhat Helaly Allam

Al-Azhar International Medical Journal

Background: General sedation is related with higher death rate in contrast with spinal sedation. Passings in provincial sedation are principally connected with unnecessary high territorial blocks and harmfulness of nearby sedatives. Spinal sedation is the favored means for cesarean area, being easy to perform, affordable and produces quick beginning of sedation and complete muscle unwinding. Aim: To look at the hemodynamic impacts, beginning, level, term of the intrathecal block and occurrence of intricacies on adding combination of low-portion ketamine and low-portion midazolam to bupivacaine, and on adding fentanyl to bupivacaine during intrathecal infusion for cesarean area. Patients and Methods: In …


Uterine Rupture In The First Trimester: A Case Report And Review Of The Literature., Steve Mutiso, Felix Oindi, Debbie Mundia 2024 Aga Khan University

Uterine Rupture In The First Trimester: A Case Report And Review Of The Literature., Steve Mutiso, Felix Oindi, Debbie Mundia

Obstetrics and Gynaecology, East Africa

Background: Uterine rupture is a rare complication that can occur in the frst trimester of pregnancy. It can lead to serious maternal morbidity or mortality, which is mostly due to catastrophic bleeding. First trimester uterine rupture is rare; hence, diagnosis can be challenging as it may be confused with other causes of early pregnancy bleeding such as an ectopic pregnancy. We present a case of frst trimester scar dehiscence and conduct a literature review of this rare condition.

Case presentation: A 39-year-old African patient with four previous hysterotomy scars presented with severe lower abdominal pain at 11 weeks of gestation. …


Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed 2024 Department of Obstetrics & Gynecology, Faculty of Medicine for Boys, , Al-Azhar University Cairo , Egypt

Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed

Al-Azhar International Medical Journal

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' …


Transoral Endoscopic Thyroidectomy Through Vestibular Approach; Report Of Initial Experience, Mohamad Adel, Abd El-Fattah Al Sheikh 2024 Surgical Oncology Department, Al-Azhar University, Cairo, Egypt

Transoral Endoscopic Thyroidectomy Through Vestibular Approach; Report Of Initial Experience, Mohamad Adel, Abd El-Fattah Al Sheikh

Al-Azhar International Medical Journal

Background: Endoscopic thyroidectomy is a minimally invasive approach with a rising popularity due to favorable esthetic outcome. Transoral vestibular approach endoscopic thyroidectomy (TOVET) was progressively adopted for many thyroid pathologies. We, herein report our initial experience utilizing TOVET for benign thyroid lesions. Methods: This prospective study was conducted from December 2020 and February 2023, 15 patients with benign thyroid nodules were selected. All patients considered scarless thyroidectomy as their preferred surgical approach and were operated on for TOVET. Clinicopathological data and surgical outcomes were reported. Results: Fifteen patients comprising 1 male and 14 female underwent TOVET. Of these patients, 12 …


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 2024 Prof. Dr. of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo. Egypt

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 …


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