Obstetrics and Gynecology Commons^™

Zinc And Copper Status Among Egyptian Type 2 Diabetics And Their Relationship To Glycemic Control And Micro Vascular Complications, Waleed Abu Zaid, Ibrahim Ramadan, Taiseer Shawky, Mohamed Shaheen

Al-Azhar International Medical Journal

Background: Diabetes mellitus has been linked to altered mineral and trace element metabolism, which may play a unique role in the development and progression of this illness. Aim and objectives: The study's objective was to evaluate Zinc and Copper status among Egyptian Type 2 Diabetics and their relationship to glycemic control and micro vascular complications. Patients and methods: Cross-sectional research was conducted on A total of a hundred adult Egyptian patients of both sexes (33 males and 67 females) with T2DM, All procedures of this study were following Al-Azhar University committee regulations and standards. Results: a significant correlation at the …

Role Of Overnight Pulse Oximetry In Diagnosis Of Obstructive Sleep Apnea Syndrome, Ahmed Gamal Eldin, Abd El-Hay Abd El-Hay, Ibrahim Yousef

Al-Azhar International Medical Journal

Background: Obstructive sleep apnea hypopnea syndrome (OSAHS) is a serious public health concern in terms of incidence. Despite being the golden measure for determining the quality of sleep and detecting sleep disrupted breathing, polysomnography (PSG) is costly, consuming time, labor-intensive, less widely accessible, needs continuous observation and skill for the interpretation. Objective: To evaluate the sensitivity and specificity of overnight pulse oximetry (OPO) as a technique for detecting OSAHS. Patients and Methods: This cross-sectional research was done at Bab El-Shaaria University Hospitals in Cairo. In total, fifty persons were included in this research: forty patients were suffering from the manifestations …

A Comparative Study In Management Of Vertical Medial Malleolus Fractures By Cannulated Screw Versus Plating, Ahmed Atef Ali, Kamal Elrhman, Ahmed Hammouda

Al-Azhar International Medical Journal

Background - Fractures of the medial malleolus (MM) are involved in approximately 50% of all ankle fractures and can occur alone or as part of a bimalleolar or trimalleolar injury of the ankle. Medial-malleolar-fracture pattern consists of 57% transverse fractures, 26% oblique fractures, and 6% vertical fractures. Aim - To evaluate and compare consequence of vertical medial malleolar fracture managed with cannulated-screw fixation versus plating. Patients and Methods In this prospective cohort study including 20 patients were collected from the outpatient clinic of orthopedic Surgery departments Al-Azhar University Hospital & Assuit Police Hospital from April 2021 to May 2022 classified …

Assessment Of Silent Myocardial Ischemia After Primary Pci In Anterior Stemi Patients, Zakaria Abdel Nasser, Mansour Mostafa, Abdulmosen Abdouh

Al-Azhar International Medical Journal

Background: SMI is the reduction of oxygen-rich condition in blood flow to the heart which happens in the absence of discomfort chest or other symptoms. Around 20 – 30% of all SMI are silent, only 5% of SMI in early treadmill-testing which signs adverse diagnosis. Aim: To estimate and identify the prevalence risk factors of silent myocardial ischemia in anterior STEMI patients treated with primary PCI. Patients and Methods: This prospective cross sectional observational study involved 50 patients from the attendants of the department of cardiology at Al Shiekh Zayed specialized Hospital diagnosed with anterior STEMI were classified into two …

Percutaneous Fixation Of Trochanteric Fracture Femur By External Fixator In High Risk Patients, Mahmoud Beder, Ali El-Geoushy, Sameh Abdel-All

Al-Azhar International Medical Journal

Background: Intertrochanteric fracture is one of the most frequent fractures of the hip particularly in the elderly with osteoporotic bones. Internal fixation is the gold standard therapy. However, it may be hard in the high-risk population. Aim of the study: to evaluate clinical, radiological and complications outcome of trochanteric fracture in high risk patients treated by percutaneous external fixation.. Patients and Methods: 20 high-risk patients hospitalized in Al Azhar University (Al-Hussien hospital) in addition to kafr El-Sheikh general hospital (August 2020 to February 2022), were treated with an external fixation done under local anaesthesia. There were 8 males and 12 …

Treatment Modalities Of Complex Regional Pain Syndrome After Hand Surgery A Systematic Review And Meta-Analysis Study, Ali Mahmoud, Fawzy Hamza, Tarek Zayid

Al-Azhar International Medical Journal

ABSTRACTBackground: complex regional pain syndrome is a complex medical condition. Physical/occupational treatments, psychiatric counseling, neuropathic pain medicines, anti-inflammatories, and surgical intervention are utilized to treat complex regional pain syndrome (CRPS).Methods: systematic review and meta-analysis study of complex regional pain syndrome treatment modalities after hand surgeries in most recent literature. This research was conducted and reported following PRISMA (for systematic review and meta-analysis recommended reporting items). From 2016 to 2021.Results: 10 studies showed Responders with a high event in bisphosphonate than in Ketamine study with highly significant heterogeneity among included studies p-value 0.0005. 12 studies were included 6 studies showed adverse …

Histopathological Evaluation Of Diffusion Weighted Magnetic Resonance Imaging In Differentiation Between Benign And Malignant Thyroid Nodules, Ammar Bassyouni, Amr Zayed, Mohamed Abdelbaqy

Al-Azhar International Medical Journal

Background: Nodules are the most frequent lesion in thyroid gland. They are discovered clinically on self-examination by the patient, during a clinical examination or accidentally during a radiologic procedure; with applying different imaging modalities in recent years, thyroid nodules are being more frequently accidentally discovered. Aim of the work: Establishing the precision of Diffusion-Weighted Imaging (DWI) and Apparent Diffusion Coefficient (ADC) values in diagnosing benign and malignant nodules, considering histopathology as the highest diagnostic modality. Materials and Methods: Diffusion was measured both intuitively and quantitatively using trace images and the apparent diffusion coefficient (ADC) parameter. On the trace image, malignant …

Comparative Study Between Transversus Abdominus Plain Block, Local Subcutaneous Injection In Wound And Intravenous Nalbuphine In Decreasing Post-Operative Pain In Cesarean Section, Mahmoud Mohammed, Mohammed Mohammed, Elsayed Eldesouky, Amr Hamroush

Al-Azhar International Medical Journal

Background; Cesarean delivery is the birth of a baby via surgical incisions in the abdominal wall (laparotomy) and the uterine wall (hysterotomy), Aim of the study: The goal of this research is to compare between the analgesic effects of different ways to relieve post cesarean section pain in terms of pain relief, duration of pain relief and need of adding other analgesics and number of these analgesics. Patients and methods: Patients who were scheduled for elective CS were informed about the experiment at their preoperative anesthesia assessment. Patients having a history of drug addiction or a significant drug allergy were …

Subchondroplasty For Treating Bone Marrow Lesions In Osteoarthritic Knee – Initial Experience, Hazem Elhusainy, Adnan Elsebaie, Faisal Zayed

Al-Azhar International Medical Journal

Abstract Purpose: Prospective outcome research to see how effective is subchondroplasty surgery at relieving pain and improving knee function in patients having osteoarthritis-related bone marrow lesions of the knee. Methods: The study included 30 patients between the ages of 40 and 75 who had been suffering from atraumatic knee pain for at least three months, had failed conservative treatment for at least three months, had BML on MRI imaging in a loading area, and had localized pain in the BML area. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and visual analog scale (VAS) pain scores have been …

The Additive Effect Of Topical Dorzolamide-Timolol With Intravitreal Ranibizumab Injection In Diabetic Macular Edema, Sara Gadwal, Wafaa Madbouly, Mona Mansour

Al-Azhar International Medical Journal

Background: Diabetic macular edema (DME) is a main reason for vision affection when occurred at any stage of diabetic retinopathy. Anti-vascular endothelial growth factor agents is the gold standard treatment for DME. Adjuvant agents may decrease edema and improve vision. Aim of the work: To assess influence of topical dorzolamide–timolol with intravitreal ranibizumab injection (IVR) on anatomical and functional outcomes in DME. Patients & Methods: This prospective cohort study included thirty patients (30 eyes) having type 2 DM, aged 45-60 years, all eyes have DME. They were divided into 2 groups according to treatment protocol: Group 1: 15 patients (15 …

The Relationship Between Left Atrial Dysfunction And Ischemic Stroke Etiology 2d Speckle Tracking Echocardiography Study ., Ibrahim Abdelqader, Abdelhamed Ismail, Ahmed Abo Alhassan, Mostafa Metwally

Al-Azhar International Medical Journal

Background: Adult stroke, particularly cardioembolic stroke, is a prominent consequence of mortality and illness, but the cause is frequently unknown. Aim and objectives; to study role of left atrial dysfunction as an etiological factor in ischemic stroke using 2D speckle tracking echocardiography. Subjects and methods: The Al-Hussein Hospital Al-Azhar University hosted this prospective cohort study. The TOAST classification was used in this study, which included 40 patients with ischemic stroke. Result: The ECHO- LAD in the study population ranged from 2.1 to 5.3 with mean ± SD = 3.11 ± 0.86. The ECHO- AO in the study population ranged from …

Wrapping The Tendon After Repair With Silicon Sheet To Minify Adhesion : Evaluation Of Anew Idea., Mahmoud Elgebaly, Samy Eleowa, Mohamed Fareed, Hany Aly

Al-Azhar International Medical Journal

Background: Adhesion one of the most complications of tendon repair. Aim and objectives; to evaluate the safety and effectiveness of using a silicon sheet wrapping the tendon after primary repair to prevent adhesion. Patients and methods: This were a prospective case series study that included 20 patients with primary and delayed primary tendon repair. Repaired flexor or extensor tendon was wrapped by silicon sheet. The study was conducted at Al-Azhar University Hospitals (Al-Hussien and Sayed Galal). Results: Post-operative assessment and follow up was done to the studied patients. Our results showed that one patient (5%) had mild soft tissue changes …

Endoscopic Approach For Management Of Colloid Cyst, Mahmoud Abdelaal, Adel Almelesy, Alazzazi Alazzazi

Al-Azhar International Medical Journal

Background: Third ventricular colloid cysts are uncommon tumors that make up 15 to 20% of intraventricular tumors and 0.2 to 2% of intracranial tumors. Colloid cysts are benign tumors, but they may grow until they block the foramen of Monro, which might result in a fatal accident. Aim of the Work: Assessment of the efficacy of endoscopic excision(total or subtotal) of the colloid cyst in relation to the size of cyst Patients and Methods: The research was prospectively carried out at the neurosurgery department of Al-Azhar university hospitals, from January 2019 to December 2021. Included fifteen patients with colloid cyst …

Uterine Artery Doppler Changes After Vaginal Administration Of Isosorbide Mononitrate In Patients With Unexplained Recurrent Pregnancy Loss, Mostafa Ahmed, Ahmed Mohamed Nasr, Osama Hassan

Al-Azhar International Medical Journal

Background - Recurrent pregnancy loss (RPL) refers to the occurrence of two or more consecutive losses of clinically recognized pregnancies prior to the 20th week of gestation (ectopic, molar, and biochemical pregnancies are not included). It may be primary or secondary. 0.4 to 1 percent of women have three consecutive pregnancy losses. Aim - to evaluate the Doppler parameters (Resistance Index and Pulsatility index) in the uterine arteries of non-pregnant women with recurrent miscarriage. Patients and Methods - This study conducted on 40 non pregnant women complaining of unexplained recurrent pregnancy loss, from those patients attending gynecology clinic of Al …

Role Of Tracheal Resection & Anastomosis In Treatment Of Tracheal Stenosis After Prolonged Intubation, Moataz Ibrahim, Mohamed El Sways, Ahmed El Sheikh

Al-Azhar International Medical Journal

Background: tracheal stenosis is a challenging condition for the otolaryngologist –head and neck surgeon. The incidence of post-intubation tracheal stenosis has been reported ranging from 10 to 19%. Aim of the study: To discuss and evaluate the tracheal resection and anastomosis operation in the treatment of Post- intubation Tracheal Stenosis. Patients and Methods: This statistical analysis was performed on 14 patients where Tracheal resection and anastomosis are used to treat Tracheal Stenosis after Prolonged Intubation in Department of Otorhinolaryngology, Al-Azhar University Hospitals. Results: This study included 14 male patients ranging in age from 15 to 49 years old, with an …

Management Of Systemic Lupus Erythematosus In Pregnancy, Oana Denisa Balalau, Mihai George Loghin, Delia Maria Bogheanu, Nicolae Bacalbasa, Anca Daniela Stanescu, Daniela Gabriela Bălan, Ioana Păunică, Octavian Gabriel Olaru

Journal of Mind and Medical Sciences

Systemic lupus erythematosus is one of the most common autoimmune disorders affecting young women. Pregnant women with lupus are generally at higher risk for certain pregnancy complications than women without comorbidities. Even so, a pregnancy with lupus can be carried to term in optimal conditions if it is properly managed by a doctor. Monitoring is generally recommended six months after the onset of lupus symptoms, and ideally there should be no active lupus symptoms prior to conception. General screening tests should include the anti-phospholipid, anti-Ro and anti-La antibodies. Women who are positive for these antibodies have an increased risk of …

Totally Endoscopic Versus Conventional Septoplasty Assisted By Endoscope, Mohamed Ghonaim, Mohamed Ahmed, Mohamed El Awady

Al-Azhar International Medical Journal

Background: Traditional septoplasty is being phased out in favor of endoscopic septoplasty. It ensures minimal tissue dissection and fewer surgical problems. Aim of the study : to evaluate the effectiveness of the endoscopic septoplasty for correction of different types of septal deformity( deviation_ spur ) compared to endoscopic assisted conventional septoplasty. Patients and Methods: This prospective study was conducted on 60 patients of both sexes , who attached to the out-patient E.N.T clinic at Bab El Sharaya (Sayed Galal) Hospital from April of 2021 to March of 2022 distributed as 2 same groups: Group A included thirty patients submit to …

External Cephalic Version For A Malpresenting First Twin Before Labor: A Prospective Case Series, Laura Felder, Rebekah Jo Mccurdy, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

Background: In twin pregnancies where the presenting twin is not cephalic, cesarean delivery is the standard of care. External cephalic version (ECV) has been used for malpresenting singleton pregnancies with low risk of complications. ECV in twin pregnancies is poorly studied.

Objective: To assess feasibility and report any complications of ECV of a malpresenting twin before labor.

Study design: This is a prospective cohort of twin pregnancies with malpresenting first twin. Inclusion criteria included English or Spanish speaking women. Exclusions included cases where there was a contraindication to vaginal delivery. ECV was performed according to the institutional singleton protocol. Fetal …

Radiance1: Reducing Delays In Endometrial Cancer Care Symptomsthrough Gynecologic Oncology Referral, Nicole Catalano, Jessica Anderson, Kyla Maupin, Hannah Sibley, Rebecca Maitski, Navaya Nair, Tara Castellano, Andrew Chapple, Amelia Jernigan

Medical Research Day

Objective: In this cohort of women seeking care at a university practice in the Gulf South, we aimed to identify specific delays from patient experience of abnormal uterine bleeding (AUB) to referral to gynecologic oncology (GON) with a diagnosis of endometrial cancer (EC). Methods: A multicenter, IRB-approved retrospective chart review was performed. Women diagnosed with Stage I-IV endometrial cancer from 2013 to 2022 were included. Demographic, pathologic and treatment data were collected. Symptom duration and key appointment, procedure, or result dates were recorded. Time frames between key events were calculated. Timed events were censored if there was insufficient data to …

Genitourinary And Sexual Health Care For Women With Cancer: Overlooked Quality Of Life Indicators, Hannah C. Dellacroce, Nancy L. Ren, Andrew G. Chapple, Sydni Barras, Shawna Morron, Tara Castellano, Navya Nair, Amelia Jernigan

Medical Research Day

BACKGROUND: Genitourinary health and sexual well-being are critical aspects of quality of life and overall health, especially for patients with malignancy who face the negative physical and emotional consequences of cancer and cancer treatment. However, evidence suggests that physicians rarely address these concerns in clinical practice. As cancer survivorship continues to improve with advancements in detection and treatment, the need for supportive gynecologic and sexual health care for women with cancer is greater than ever. The purpose of this study was to characterize the prevalence of oncologist-reported counseling for genitourinary syndromes (GUS) or sexual health concerns (SHC) in women with …