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Puerperal Group A Streptococcus Infection Mimicking Gastrointestinal Ileus, Juhi Singhal, Mollie McDonnold, Carol Wang, Clarissa Villareal 2024 HCA Healthcare

Puerperal Group A Streptococcus Infection Mimicking Gastrointestinal Ileus, Juhi Singhal, Mollie Mcdonnold, Carol Wang, Clarissa Villareal

Central & West Texas Research Day 2024

No abstract provided.


Bridging The Gap: Evaluating The Impact Of Buprenorphine-Based Prenatal Care On Neonatal Abstinence Syndrome And Maternal Health, Whitney-Lanae Crofcheck-Glenn, Jennifer Nethercutt 2024 Marshall University

Bridging The Gap: Evaluating The Impact Of Buprenorphine-Based Prenatal Care On Neonatal Abstinence Syndrome And Maternal Health, Whitney-Lanae Crofcheck-Glenn, Jennifer Nethercutt

Theses, Dissertations and Capstones

Introduction: Neonatal Abstinence Syndrome (NAS), now known as Neonatal Opioid Withdrawal Syndrome (NOWS) by government authorities, is a severe postnatal withdrawal condition caused by opioid exposure during pregnancy. NAS is diagnosed every 25 minutes in the United States. Medication-assisted treatment (MAT) with buprenorphine was used to treat opioid use disorder (OUD) and NAS. The MOTHER trial found that utilizing buprenorphine to treat mother OUD during pregnancy led to significant decreases in LOS and length of therapy.

Purpose of the Study: The purpose of this study is to evaluate the effectiveness of a prenatal care program that integrates buprenorphine-based Medication-Assisted Treatment …


Gray Scale 2d Ultrasound In Relation To Coagulation Profile And Uterine Artery Doppler Indices In Women With Postmenopausal Bleeding, Lamiaa Mohammed Yosri, Reham Saeed Mohammed Aly, Asmaa Abady Awad 2024 Department of Obstetrics & Gynecology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Gray Scale 2d Ultrasound In Relation To Coagulation Profile And Uterine Artery Doppler Indices In Women With Postmenopausal Bleeding, Lamiaa Mohammed Yosri, Reham Saeed Mohammed Aly, Asmaa Abady Awad

Al-Azhar International Medical Journal

Background: Abnormal uterine bleeding in postmenopausal women is a common complaint in general gynecological practice. Progression and prognosis of AUB primarily relies on invasive surgery and pathology so our research aimed to evaluate the use of non-invasive procedures such as uterine artery Doppler indices and coagulation profile in detecting some underlaying causes of AUB. Aim and objectives: To evaluate the coagulation profile (PT, PTT, INR and platelete count) in women with postmenopausal bleeding in relation to 2D ultrasound endometrial thickness and uterine artery Doppler. Patients and methods: This longitudinal observational study was performed at the departments of Obstetrics and Gynecology …


Open Wedge High Tibial Osteotomy For Treatment Of Varus Knee In Adults Combined With Arthroscopic Evaluation, Mohamad Shaaban El eryan, Mahmoud Seddik Hassan, Faisal Hasan Zayed 2024 Orthopedic Surgery Department, Faculty of Medicine, Al-Azhar University

Open Wedge High Tibial Osteotomy For Treatment Of Varus Knee In Adults Combined With Arthroscopic Evaluation, Mohamad Shaaban El Eryan, Mahmoud Seddik Hassan, Faisal Hasan Zayed

Al-Azhar International Medical Journal

Background: Varus knee in adults is fairly common and considered the most predisposing factor for early medial compartment osteoarthritis of the knee joint. Patients and Methods: Fifteen patients underwent a medial open wedge high tibial osteotomy (MOWHTO) combined with arthroscopic evaluation for medial compartment osteoarthritis or intra articular pathology lesions. Measurements included mechanical axis of lower limb, hip knee ankle angle (HKA), posterior tibial slope angle, and medial proximal tibial angle (MPTA). Clinical evaluation was applied with Lysholm knee scoring scale and Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: There were remarkable differences between the mean of pre and …


Thermal Camera For Detection Of Perforator Territories In Fasciocutaneous Flaps For Leg Reconstruction, Magdy Ahmed Abd-AlMoktader Abd-AlKareem, Mohamed Osama Mahmoud Ouf, Fathy Ahmad Mohammad Basha 2024 Department of Plastic and Burn Surgery Faculty of Medicine, Al-Azhar University

Thermal Camera For Detection Of Perforator Territories In Fasciocutaneous Flaps For Leg Reconstruction, Magdy Ahmed Abd-Almoktader Abd-Alkareem, Mohamed Osama Mahmoud Ouf, Fathy Ahmad Mohammad Basha

Al-Azhar International Medical Journal

Background: Soft tissue abnormalities are often repaired utilizing perforator flaps. Accurate understanding of underlying vascular architecture and the precise positioning of perforators is essential for successful surgery. Dissection can be difficult because the path and placement of perforators might vary widely. Aim of the study: to evaluate skin flaps taken from the legs to see how well thermal imaging cameras can diagnose perforators and their respective territories on the skin. Methodology: This interventional prospective case series study was conducted in plastic and reconstructive surgery unit, Azhar university hospitals Between july 2021 and april 2023 on 12 male patients and 8 …


Evaluation Of Carpal Tunnel Syndrome In Patients With Rheumatoid Arthritis By Neuromuscular Ultrasound And Electrophysiologiacal Studies, Khaled Zaky, Alaa M Genedy, Hany M Aly, Mohie-eldin T Mohamed 2024 Professor of Rheumatology & Rehabilitation, Faculty of Medicine, Al-Azhar University

Evaluation Of Carpal Tunnel Syndrome In Patients With Rheumatoid Arthritis By Neuromuscular Ultrasound And Electrophysiologiacal Studies, Khaled Zaky, Alaa M Genedy, Hany M Aly, Mohie-Eldin T Mohamed

Al-Azhar International Medical Journal

Introduction: Rheumatoid neuropathy of the median nerve (MN) is the commonest nerve entrapment neuropathy. Diagnosis of CTS in RA is often dependent upon electrophysiological evaluation. However, direct visualization of the nerves is possible with exact localization of site of disease with neuromuscular ultrasound (U/S). Aim: to evaluate Carpal tunnel syndrome in patients with rheumatoid arthritis (RA) by neuromuscular U/S and Electrophysiological studies. Subjects and Methods: 30 RA patients were included and were compared with 30 normal subjects as control group. Results: The current study revealed significantly higher cross-sectional area (CSA) of the MN at the level of tunnel inlet (mm2), …


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 2024 Professor of Ophthalmology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

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 …


Effect Of Cardiac Rehabilitation On Left Ventricular Remodeling After Acute Anterior Wall St Segment Elevation Myocardial Infarction Treated By Late Pci Using 3d Echocardiography: A Randomized Study, Sameeh Youssif Mahmoud, Mohamed Ahmed Zaki, Ali Mohamed Alamin, Ibrahim Abdel-Fattah Yassin, Ahmad Mohammad Hassaan 2024 Cardiology Department, Faculty of Medicine Al-Azhar University, Cairo, Egypt

Effect Of Cardiac Rehabilitation On Left Ventricular Remodeling After Acute Anterior Wall St Segment Elevation Myocardial Infarction Treated By Late Pci Using 3d Echocardiography: A Randomized Study, Sameeh Youssif Mahmoud, Mohamed Ahmed Zaki, Ali Mohamed Alamin, Ibrahim Abdel-Fattah Yassin, Ahmad Mohammad Hassaan

Al-Azhar International Medical Journal

Background: Cardiac rehabilitation (CR) has emerged as a comprehensive intervention including several facets and disciplines, with the primary objective of inhibiting the advancement of cardiovascular disease in individuals diagnosed with conditions of the heart and promoting overall health restoration. The objective of this research was to assess the effect of CR on the process of left ventricular (LV) remodeling, specifically using three-dimensional echocardiography (3D-ECHO) after an episode of acute ST-segment elevation myocardial infarction (STEMI). Methods: This randomized controlled trial (RCT) was carried out on sixty patients who suffered recently from acute STEMI and treated with delayed percutaneous intervention (PCI). Patients …


Complement Activation And Cytokine Production And Their Relation To Cardiovascular Changes In Hemodialysis Patients, Mohamed Nabil Raafat, Ahmed Alaa Eldin Ahmed Saad, Ahmed Mohammed Farouk, Mohammad Sobhy Abdulhameed Abdulkhaliq 2024 Professor of Internal Medicine and Clinical Immunology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Complement Activation And Cytokine Production And Their Relation To Cardiovascular Changes In Hemodialysis Patients, Mohamed Nabil Raafat, Ahmed Alaa Eldin Ahmed Saad, Ahmed Mohammed Farouk, Mohammad Sobhy Abdulhameed Abdulkhaliq

Al-Azhar International Medical Journal

Background: End-stage renal disease (ESRD) is a very consequential medical condition that has been identified as a significant concern in the field of public health, impacting a global population exceeding 2.6 million individuals. Despite notable advancements in hemodialysis treatments over the past few decades, individuals with end-stage renal disease (ESRD) continue to have a substantial burden of cardiovascular disease (CVD) and face a heightened risk of mortality. Aim of work: Our study aimed at assessment of complement activation and cytokine production and their relation to cardiovascular changes in hemodialysis patients. Patients and Methodology: This cross sectional study was conducted in …


Laparoscopic Tubal Salpingotomy Versus Salpingectomy In Management Of Tubal Ectopic: Impact On Future Fertility, Ahmed Maher El Awadi, Abd elrhman Mostafa Abd elrhman Anbar, Ahmed Shaaban Mohamed 2024 MBBCh, Obstetrics and Gynecology, Faculty of Medicine, Al- Azhar University, Cairo, Egypt;

Laparoscopic Tubal Salpingotomy Versus Salpingectomy In Management Of Tubal Ectopic: Impact On Future Fertility, Ahmed Maher El Awadi, Abd Elrhman Mostafa Abd Elrhman Anbar, Ahmed Shaaban Mohamed

Al-Azhar International Medical Journal

Background: Ectopic pregnancy (EP) is the main cause of maternal death during the first trimester of pregnancy and accounts for approximately 10% of all pregnancy related deaths.

Aim of the work: The aim of this research is to observe fertility outcomes after laparoscopic tubal salpingotomy vs laparoscopic tubal salpingectomy in management of tubal ectopic. As regards decline in HCG and hystrosalpingogram (HSG) done 3 months post-operative.

Patient and Method: This prospective observational study was carried out in Gynecology and Obstetrics Department, El-Hussein University Hospital on 52 pregnant women diagnosed as tubal ectopic pregnancies in the period from 5/2021 to 10/2022. …


Endoscopic Assisted Management Of Benign Osteolytic Bone Lesions, Ahmed Mohamed Shawky, Mahmoud Seddik Hassan, Amro Ahmed Fouaad Attia, Ahmed Ismail Hammouda 2024 orthopedic Surgery department Police authority hospitals, Cairo, Egypt

Endoscopic Assisted Management Of Benign Osteolytic Bone Lesions, Ahmed Mohamed Shawky, Mahmoud Seddik Hassan, Amro Ahmed Fouaad Attia, Ahmed Ismail Hammouda

Al-Azhar International Medical Journal

Background: Benign lytic bone lesions have various clinical and histopathological forms, the most frequent lytic lesions are unicameral bone cyst, giant cell tumor, aneurysmal bone cyst, fibrous dysplasia, osteoblastoma and enchondroma, and they are rarely to be symptomatic and usually diagnosed accidentally on imaging. Treatment has wide range from conservative treatment with regular follow up to many surgical interventions without significant established consensus to support any of them. Aim of the work: this study evaluates the outcome of endoscopic assisted management of benign osteolytic bone lesions for 2 year of follow up. Patients and methods: In this prospective, 20 patients …


Early Results Of Left Anterior Descending Coronary Artery (Lad) Reconstruction In Patients With Poor Target Lad In Coronary Artery Bypass Grafting Procedure, Mohamed shaffik Abd Allah, Mohammed Hussieny Mahmoud, Rami Ibrahim Abdelrehim Ibrahim 2024 Department cardiothoracic surgery, Faculty of medicine, Al-Azhar University (Cairo)

Early Results Of Left Anterior Descending Coronary Artery (Lad) Reconstruction In Patients With Poor Target Lad In Coronary Artery Bypass Grafting Procedure, Mohamed Shaffik Abd Allah, Mohammed Hussieny Mahmoud, Rami Ibrahim Abdelrehim Ibrahim

Al-Azhar International Medical Journal

Background: The development of numerous atheromatous plaques often compromises the long-term patency of a LIMA to LAD in patients with diffuse LAD disease, making it difficult to attain full myocardial revascularization using traditional bypass procedures. Reconstructing such LAD, has been proposed as a surgical solution. aims: to assess and compare the early surgical results of left anterior descending coronary artery reconstructional patch-plasty using the left internal mammary artery onlay patch technique and the saphenous vein graft patch alongside LIMA anastomosed to the patch technique among individuals with diffusely diseased LAD coronary artery. Patients and methods: this prospective study involves sixty …


Tip Definition In Cleft Rhinoplasty Assessment And Outcomes Meta-Analysis, Ahmed Taha Sayed, Hazem Hussien Dahshan, Nader Mohamed Moshrif El-feky 2024 Department of Plastic Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Tip Definition In Cleft Rhinoplasty Assessment And Outcomes Meta-Analysis, Ahmed Taha Sayed, Hazem Hussien Dahshan, Nader Mohamed Moshrif El-Feky

Al-Azhar International Medical Journal

Background: Congenital anatomic abnormalities, surgical scarring, and growth-related alterations all contribute to the ever-changing appearance of the cleft nasal malformation. In addition to nasal obstruction, symptoms of this condition include a shorter columella, depressed nasal tip, dislocated alar cartilage on both sides, everted alar bases, and a shortened ala. Aim and objective: assessment and outcomes of Tip definition in post cleft rhinoplasty. (Meta-analysis). Patients and Methods: This study was a meta-analysis study done in Department of plastic Surgery and Burn, Faculty of Medicine-Al Azhar University on 639 cases. Articles published within the previous five years that met the inclusion requirements. …


Evaluation Of Some Early Inflammatory Markers In Obese Children, Sohier Bahgat Fayed, Seham Nabil Ramdan, Sara Ahmed Tahoun, Sara Reda El-Sayed 2024 Department of Pediatrics, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

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 2024 Department of Obstetrics and Gynecology, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt

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% …


Outcome Of Management Of Invasive Lobular Carcinoma In Comparison To Invasive Duct Carcinoma, Walid Rafat Abdelaty 2024 Assistant Professor of General Surgery, Faculty of Medicine, Al- Azhar University, Cairo, Egypt

Outcome Of Management Of Invasive Lobular Carcinoma In Comparison To Invasive Duct Carcinoma, Walid Rafat Abdelaty

Al-Azhar International Medical Journal

Background: Among females, breast cancer has the highest incidence and is the leading cause of cancer-related death globally. Aim of the study: In contrast to invasive lobular carcinoma, the objective of this research is to examine how invasive duct carcinoma is managed. Patient and methods: This examined 200 women who were registered in the Al-Azhar University Hospitals database between January 2020 and December 2022 and were diagnosed with non-metastatic invasive breast cancer. The current investigation included cases with IDC or ILC histology based on the WHO classification's criteria. Results: The patient met the criteria for M0 illness by undergoing primary …


Correlation Between Left Ventricular Structural And Functional Changes And Coronary Artery Disease In Hypertensive Patients (Speckle Tracking Echocardiographic Study), Asmaa M. Nour, Mohamed S. Abd Elsalam, Mohamed B. Khedrawy, Ahmed El Tayeb 2024 Department of Cardiovascular Medicine, Faculty of Medicine, Al-Azhar University, Assiut

Correlation Between Left Ventricular Structural And Functional Changes And Coronary Artery Disease In Hypertensive Patients (Speckle Tracking Echocardiographic Study), Asmaa M. Nour, Mohamed S. Abd Elsalam, Mohamed B. Khedrawy, Ahmed El Tayeb

Al-Azhar International Medical Journal

Background: Hypertension is an important risk factor for cardiovascular morbidity and mortality. Spot echocardiography is a sensitive, noninvasive method to detect early regional and global myocardial dysfunction that cannot be detected with traditional 2D echocardiography visualization.

Aim: To evaluate the association between structural and functional changes in the left ventricle and the burden of coronary artery disease in hypertensive patients using speckle-traced echocardiography.

Patients and Methods: 60 patients underwent elective coronary angiography, all hypertensive and consented to spot-trace echocardiography. They were recruited from the catheterization unit of the Department of Cardiology at Al-Azhar University Hospital.

Results: There is a statistically …


The Effect Of Diabetes Mellitus On Fetal Hemodynamic Indices In Late Pregnancy And Fetal Birth Weight, Ahmed Altaf Abbas, Ahmed Mohamed Al-Sheikh, Mahamed Hosny Mousa El-Behery 2024 Department of Obstetrics and Gynecology, Faculty of Medicine For Boys, Al-Azhar University, Cairo, Egypt

The Effect Of Diabetes Mellitus On Fetal Hemodynamic Indices In Late Pregnancy And Fetal Birth Weight, Ahmed Altaf Abbas, Ahmed Mohamed Al-Sheikh, Mahamed Hosny Mousa El-Behery

Al-Azhar International Medical Journal

Background: One of the most prevalent adverse pregnancy outcomes is gestational diabetes mellitus (GDM). Different degrees of impaired glucose metabolism characterize GDM, which is typically diagnosed during pregnancy. Consistent economic growth, rising living standards, and the introduction of more stringent diagnostic criteria have all contributed to a rise in GDM morbidity in emerging nations in recent years. Aim and objectives: The purpose of this study was to determine whether or not gestational diabetes has an impact on fetal hemodynamics, fetal growth indices, and birth weight. Subjects and methods: This cross-sectional prospective comparative study included 210 pregnant ladies between 36 – …


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 2024 Hepatology and gastroenterology,Sharq Elmadina hospital,Ministry of health,Egypt

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 …


Four Cesarean Scar Pregnancies Managed At Accreta Center Of Excellence At Medical City Dallas Hospital: A Case Series, Ana Adams, Nicole Tenzel, Monica Rodriguez, Robert Cohen 2024 HCA Healthcare

Four Cesarean Scar Pregnancies Managed At Accreta Center Of Excellence At Medical City Dallas Hospital: A Case Series, Ana Adams, Nicole Tenzel, Monica Rodriguez, Robert Cohen

North Texas Research Forum 2024

Cesarean Scar Pregnancy results from pathologic implantation of a gestational sac into a hysterotomy scar. This rare disease continues to increase in incidence due to the rise of Cesarean delivery in the United States. Current management recommendations by the Society of Maternal Fetal Medicine (SMFM) include termination of pregnancy, or in rare instances, hysterectomy. This case series examines four patients diagnosed with Cesarean Scar Pregnancies that either declined termination or were unable to receive abortion services in the first trimester, and who were managed at the Accreta Center of Excellence at Medical City Dallas Hospital. This novel management strategy included …


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