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Effectiveness Of Surgery For Degenerative Lumbar Spinal Stenosis: A Systematic Review, moataz labib, Hesham Farhoud, abd el aleem Sultan 2022 Orthopedic surgery department, Mansoura health insurance hospital, faculty of medicine for girls, Al-Azhar university, Cairo, Egypt.

Effectiveness Of Surgery For Degenerative Lumbar Spinal Stenosis: A Systematic Review, Moataz Labib, Hesham Farhoud, Abd El Aleem Sultan

Al-Azhar International Medical Journal

Background: Lumbar spinal stenosis is common condition. Many similar treatment procedures have been described. In managing spinal stenosis surgery has expanded dramatically in the last two decades. Aim of the study: Assess the safety and efficacy of operative and invasive therapies for people experiencing degenerative LSS. Patient and methods: PubMed, Embase, Web of Science, and the Cochrane library were used to find relevant clinical research. Participants in such studies were 60 years old or older and had degenerative lumbar spinal stenosis. Results: All studies were randomized controlled trials. There were 974 patients. As regard Outcomes measures after surgical treatment, significant …


Prevalence Of Child Sexual Abuse In Sohag Governorate In Egypt During One Year From January To December, 2020., Adel Hamdy, Ibrahim Mohamed, Mohamed Abdelhamid 2022 Faculty of medicine

Prevalence Of Child Sexual Abuse In Sohag Governorate In Egypt During One Year From January To December, 2020., Adel Hamdy, Ibrahim Mohamed, Mohamed Abdelhamid

Al-Azhar International Medical Journal

Background: Child sexual abuse is a major threatening problem to child health which predispose to different distressing short-term and long-term complications including psychic, cognitive, physical and social hazards. Objective: To evaluate all alleged child sexual abuse cases that presented to Forensic Medicine Authority in Sohag Governorate of Egypt during 2020. Patients and Methods: There were (69) alleged cases of child sexual abuse presented to the Forensic Medicine Authority in Sohag Governorate during 2020. A history were taken from children to analysis and identify the situation of the assault then general and local examinations were done for detection of any positive …


Effect Of Manufactured Fat Emulsion Infusion On Protein Loss In Burn Patients (Randomized Controlled Study), Ahmed Elsodany, Ahmed Salim, Yasser Helmy 2022 Plastic surgery, Faculty of medicine - Al-Azhar University (Assuit)

Effect Of Manufactured Fat Emulsion Infusion On Protein Loss In Burn Patients (Randomized Controlled Study), Ahmed Elsodany, Ahmed Salim, Yasser Helmy

Al-Azhar International Medical Journal

Background: Burn injury management requires a lot of time and resources. Most patients need lengthy hospital stays. Aim of the study: To determine the impact of manufactured fat emulsion on protein loss in burn patients. Patients and Methods: This Randomized controlled study included 20 patients of 20% up to 40% of TBSA that were hospitalized to department of plastic and reconstructive surgery, Al-Azhar University hospital, which was prospectively be simple into two groups. Group (A) were subjected manufactured fat emulsion IV infusion. Group (B) controlled. The study duration ranged from 6-12 months. The patient administrates 1-1.5g /per kg of intralipid …


Effects Of Sildenafil On The Testes Of The Nondiabetic And Diabetic Adult Albino Rats (Light And Electron Microscopic Study), El-Sayed Jahin, Mustafa Al-Jizawi, Fayez Abd-Elfattah 2022 Anatomy and Embryology Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Effects Of Sildenafil On The Testes Of The Nondiabetic And Diabetic Adult Albino Rats (Light And Electron Microscopic Study), El-Sayed Jahin, Mustafa Al-Jizawi, Fayez Abd-Elfattah

Al-Azhar International Medical Journal

Background: Sildenafil citrate is effective in men with erectile dysfunction. Sildenafil induces degenerative changes in seminiferous tubules and interstitial histological alterations. Diabetes mellitus may cause an end-organ damage in many systems as the genitourinary system. The testis is the primary sex organ and is formed mainly of stroma and parenchyma. It is a mixed gland that performs both endocrine and exocrine activities. Objective: To reveal the effect of sildenafil citrate in high and toxic doses on the histological structure of the healthy and diabetic rat testes. Material and methods: The research was carried out at the animal house at Faculty …


Study Of Laparoscopic Nissen Versus Anterior Partial Fundoplication In Management Of Gastro Esophageal Reflux Disease In Children, mahmoud ghaly, Mohammed Ellithy, Ibrahim Gamaan 2022 pediatric surgery department,faculty of medicine, Al-Azhar univeresity

Study Of Laparoscopic Nissen Versus Anterior Partial Fundoplication In Management Of Gastro Esophageal Reflux Disease In Children, Mahmoud Ghaly, Mohammed Ellithy, Ibrahim Gamaan

Al-Azhar International Medical Journal

Background: GERD is the most common upper gastroesophageal disorder in the Western population. A number of strategies have been recommended to prevent this problem. Aim of the Work: to compare the Nissen fundoplication with partial anterior fundoplication. Patients and Methods: The present comparative study included thirty patients who had symptomatic GERD admitted in pediatric surgery department ,Al-Azhar University hospitals and all patients submitted to preoperative clinical evaluation and investigations. Patients were randomly allocated to undergo either laparoscopic Nissen fundoplication (group I) or laparoscopic partial anterior fundoplication (group II). All patients in our study signed a consent form. Results: there was …


Evaluation Of The Medial Sural Artery Perforator Flap For Validity Around Knee Reconstruction, Aly Shafei, Magdy Abd-Almoktader Abdel-Kreem, Mohamed Ouf 2022 plastic surgery department, faculty of medicine, AL-Azhar university, Cairo, Egypt

Evaluation Of The Medial Sural Artery Perforator Flap For Validity Around Knee Reconstruction, Aly Shafei, Magdy Abd-Almoktader Abdel-Kreem, Mohamed Ouf

Al-Azhar International Medical Journal

Background: Soft tissue defects overlying the knee are often the result of trauma, post-burn contracted scars, and malignancy requiring a wide excision. These defects signify a great challenge to surgeons when faced with reconstructive surgery. Aim of the Work: Evaluation of the versatility of pedicle medial sural artery perforator flap as a regional flap in reconstruction of knee and around knee soft tissue defects. Patients and Methods: Twenty patients were recruited in this study who suffered soft tissue defects of knee and peri-knee with exposed vital structures. Fourteen patients were male and six were female and their ages ranged from …


Functional Outcome Of Double And Four Strand Techniques In Hand Flexor Tendon Repair, mohamed said abo elsayed, Wael Ayad, Mohamed Ouf 2022 plastic and burn surgery , faculty of medicine , Al-Azhar university , Cairo, Egypt

Functional Outcome Of Double And Four Strand Techniques In Hand Flexor Tendon Repair, Mohamed Said Abo Elsayed, Wael Ayad, Mohamed Ouf

Al-Azhar International Medical Journal

Background: 14% to 30% of all treated patients examined in emergency rooms have hand injuries. Tendon injuries rank 2nd (29%) of all patients treated for hand injuries. Objective: To demonstrate the functional outcomes of double-strand and four-strand procedures for the repair of hand flexor tendons and the benefits of early rehabilitation. Patients and methods: We carried out this prospective study on 40 patients who had completely cut flexor tendons of the hand at the plastic and burn surgery department of Al-Hussein & Bab Elsheria University Hospital, Al-Azhar University (Cairo). Results data suggest that, when it comes to hand flexor tendon …


The Surgical Outcome Of Chronic Rhinosinusitis With Emphasis On Rhinogenic Headache, mohamed eloby, Salaheddin Ali, Mohamed Alawady 2022 دمنهور سنهور

The Surgical Outcome Of Chronic Rhinosinusitis With Emphasis On Rhinogenic Headache, Mohamed Eloby, Salaheddin Ali, Mohamed Alawady

Al-Azhar International Medical Journal

Background: Chronic rhinosinusitis (CRS) is a persistent inflammatory disease. The pathogenesis of CRS involves many factors including genetics, status of the sinonasal microbiome, infections, and environmental influences. Aim of the study :To monitor the outcome of sinus surgery and to evaluate headache severity, duration, and frequency. Patients and methods: A prospective study was conducted at Al-Azhar University Hospital. We targeted 60 patients belonging to both sexes aged between 18 and 65 years. Divided into 3 groups: Group (1): Chronic Rhinosinusitis with or without concha bullosa, Group (2): Chronic Rhinosinusitis with or without hypertrophy turbinate, and Group (3): Chronic Rhinosinusitis with …


Total Arterial Revascularization Versus Conventional Coronary Artery Bypass Grafting; A Comparative Study, Mosaad Elgharabawi, Elhusseiny Gamil, Mohamed Mahmoud, Bahaa El Khonizy 2022 Cardiothoracic, Faculty of Medicine, Al Azhar University, Cairo, Egypt

Total Arterial Revascularization Versus Conventional Coronary Artery Bypass Grafting; A Comparative Study, Mosaad Elgharabawi, Elhusseiny Gamil, Mohamed Mahmoud, Bahaa El Khonizy

Al-Azhar International Medical Journal

Background: The superiority of total arterial revascularization over the conventional method is a matter of continuous debate. Therefore, we aimed to compare early surgical and hospital outcomes of the total artery and conventional revascularization strategies in patients undergoing coronary artery bypass grafting (CABG). Methods: The study included 60 patients who underwent primary elective CABG from 2018 to 2020. Patients were grouped according to the revascularization strategy into two groups. Group 1 included patients who had conventional revascularization using left internal mammary artery (LIMA) and vein grafts (n= 30), and group 2 included patients who had total arterial coronary revascularization (TACR) …


Comparative Study Between Clinical Outcomes Of All Inside Technique And Standard Antero-Medial Technique In Anterior Cruciate Ligament Reconstruction, Abd Elkakim Farrag, Mohamed Alhalawany, Mahmoud Hamada 2022 Orthopedic department, Al-Azhar university

Comparative Study Between Clinical Outcomes Of All Inside Technique And Standard Antero-Medial Technique In Anterior Cruciate Ligament Reconstruction, Abd Elkakim Farrag, Mohamed Alhalawany, Mahmoud Hamada

Al-Azhar International Medical Journal

Background: Although theoretically superior to traditional technique, anatomical single bundle ACLR via all-inside technique does not appear to demonstrate statistically significant advantages over conventional technique, as with the Lysholm scoring system. Aim of the work: This study compared the post-operative clinical outcomes of arthroscopic ACL restoration using the "all-inside approach" versus the "traditional procedure". Patients and Methods: Between March 2020 and December 2021, fifty patients were admitted to the department of Orthopedic surgery and Traumatology in Sayed Galal University Hospital with torn ACL exhibiting high grade pivot shift (II or III) under anesthesia. Results: The mean age of the patients …


Prevalence And Severity Of Mineral Bone Disorders In Chronic Kidney Disease Patients, Mohamed Eid Mohamed, Ahmed Alaa-Eldin Saad, Alsayed Rashed, Hatem Abdallah, mohamed abo-ghabha 2022 مستشفي الحسين الجامعي

Prevalence And Severity Of Mineral Bone Disorders In Chronic Kidney Disease Patients, Mohamed Eid Mohamed, Ahmed Alaa-Eldin Saad, Alsayed Rashed, Hatem Abdallah, Mohamed Abo-Ghabha

Al-Azhar International Medical Journal

Background Bone abnormalities are frequently developed in hemodialysis patients and people with chronic kidney disease (CKD). It results from aberrant bone turnover and a decline in bone mineral density (BMD). Aim and objectives: With the help of dual energy X-ray absorptiometry in this study, poor bone mineral density in CKD patients at Al-Hussein University Hospital will be analysed for prevalence and severity. Subjects and methods: This Cross-Sectional research included 120 Patients (2 groups) 60 CKD Patients and 60 Hemodialysis Patients. The study has been conducted in Nephrology Unit Al-Hussien University Hospital. Results: In ESRD group there was Significant statistically (p-value …


Prevalence And Impact Of External Genitourinary Anomalies Among Children Undergoing Routine Circumcision, Hend Ibrahim, Mohamed Fahmy, Ashraf Seddek 2022 Department of pediatric Surgery, Faculty of Medicine for boys, Al-Azhar University

Prevalence And Impact Of External Genitourinary Anomalies Among Children Undergoing Routine Circumcision, Hend Ibrahim, Mohamed Fahmy, Ashraf Seddek

Al-Azhar International Medical Journal

Background: The knowledge of the incidence of congenital anomalies is important for planning health services in our country. It helps in planning the budget as well as measures for the management and the prevention of the disorders. It also helps to establish a program raising awareness of urogenital anomalies and their management. Objective: The aim of this study is to evaluate the normal anthropometric value of the normal penis and to detect the prevalence and impact of external genitourinary anomalies among 3000 Egyptian children attending for nonmedical circumcision. Patients and Methods: The prospective multi centric study was done on 3000 …


Early Versus Delayed Umbilical Cord Clamping During Cesarean Section Of Pregnant Women With Preeclampsia: Maternal And Neonatal Outcome, Ahmed korkor, Mofeed Mohamed, Mohamed Abdelmoaty 2022 Obstetrics and Gynecology department, Faculty of Medicine, Al-Azhar University, Egypt

Early Versus Delayed Umbilical Cord Clamping During Cesarean Section Of Pregnant Women With Preeclampsia: Maternal And Neonatal Outcome, Ahmed Korkor, Mofeed Mohamed, Mohamed Abdelmoaty

Al-Azhar International Medical Journal

Background: umbilical cord serves like a conduit for fetus's gas exchange, nourishment, & endocrinal homeostasis. Clamping of umbilical cord marks watershed moment in development of foetus into independent entity. Aim of the work: To compare effects of early versus delayed cord clamping on intraoperative blood loss during caesarean delivery in cases with severe preeclampsia. As well as to compare neonatal benefit of delayed cord clamping versus early cord clamping. Patients and methods: This randomized prospective control study was conducted, including 60 near term pregnant women with severe preeclampsia candidate for termination by cesarean delivery and the surgery was performed by …


Mid-Secretory Uterine Artery Doppler Indices And Endometrial Thickness In Patients With Unexplained Recurrent Pregnancy Loss, eshraq mohammed, Ahmed Nasr, Wael Hamed 2022 Department of gynecology, Faculty of Medicine, Al-Azhar University, Assuit, Egypt

Mid-Secretory Uterine Artery Doppler Indices And Endometrial Thickness In Patients With Unexplained Recurrent Pregnancy Loss, Eshraq Mohammed, Ahmed Nasr, Wael Hamed

Al-Azhar International Medical Journal

Back ground : Recurrent pregnancy loss (RPL) occurs in up to 3% reproductive age couples. Potential uterine predictors for implantation measurable by ultrasound include endometrial thickness and volume, endometrial pattern, as well as blood flow in the uterine and sub-endometrial arteries. Aim: to evaluate endometrial thickness and uterine artery blood flow using Transvaginal color Doppler ultrasound during the midluteal phase of the menstrual cycle for women with unexplained recurrent pregnancy loss (RPL). Patients and methods: A prospective controlled clinical trial was conducted on 90 non pregnant women :45 Patient group and 45 Control group. All participants underwent comprehensive examinations and …


The Correlation Of The Placental Thickness, Umbilical Artery Doppler And Fetal Growth, Hanaa Salman, Faisal Mustafa, Sileem Sileem 2022 Department of Obstetrics and Gynecology, Faculty of medicine , Al Azhar University (Assuit), Egypt

The Correlation Of The Placental Thickness, Umbilical Artery Doppler And Fetal Growth, Hanaa Salman, Faisal Mustafa, Sileem Sileem

Al-Azhar International Medical Journal

Background: A healthy foetus requires the normal growth of the placenta during the pregnancy. On the other hand,, any disturbance related to its maturation may have a major effect on the fetal growth and the pregnancy outcome.. Aim and objectives: to detect the relation between the umbilical artery Doppler, placental thickness, and foetal growing. Subjects and methods: This cross-sectional study conducted at the outpatient clinic of the obstetrics and gynecology department, Al-Azhar University hospitals (assuit) and AL_Eman General Hospital Results: At the first visit, there was a strong positive connection between placental thickness and AC, BPD, and HC (r=1.00, p < 0.001). At the second visit, There were a notable positivity correlation between placental thickening and estimated foetal weight and umbilical flow by the Doppler (r=1.00, p < 0.001). Conclusion: Estimating the fetal weight is essential in our daily obstetric practice, especially at the third trimester. It helps the obstetricians in making decisions about delivery time and mode of delivery, to protect against the complications of low birth weight and macrosomic babies during labor and puerperium. From the findings of this study we can conclude that, there is measurably critical positive relationship between placental thickness and EFW, BPD, FL, AC and umbilical flow by the Doppler. Estimation of the placental thickness by Ultrasound is a good predictor for foetal growth and birth weight.


Cervical Cytologic And Colposcopic Changes In Cases Using Intrauterine Devices For Along Time, Eslam Farg, Samir Ali, Abd-Elmonsef Mostafa 2022 Department of Obstetrics and Gynecology, Faculty of Medicine -Al-Azhar University, Egypt

Cervical Cytologic And Colposcopic Changes In Cases Using Intrauterine Devices For Along Time, Eslam Farg, Samir Ali, Abd-Elmonsef Mostafa

Al-Azhar International Medical Journal

Background: Intrauterine Contraceptive Device (IUD) is a safe, convenient and inexpensive method of contraception involving neither repetition nor interference with sexual activity. Aim of the work: To to examine cytologic and colposcopic changes in individuals utilising IUCDs in the cervical region.for long periods of time and to create awareness among the IUCD users for regular follow up. Patients and methods: The Obstetrics and Gynecology Department of Al-Hussein University Hospital conducted this cross-sectional study. 200 monogamous individuals with IUCD who have been free of STIs for three to five years made up the study group (Group 1). On the other hand, …


Intravenous Iron Sucrose Versus Intramuscular Iron Sorbitol In Management Of Iron Deficiency Anemia During Pregnancy, Mohamed Hamed, Abd Allah Ahmed, Islam Sultan 2022 Obestetrics and Gynecology department, Faculty of Medicine, Al-Azhar University, Egypt

Intravenous Iron Sucrose Versus Intramuscular Iron Sorbitol In Management Of Iron Deficiency Anemia During Pregnancy, Mohamed Hamed, Abd Allah Ahmed, Islam Sultan

Al-Azhar International Medical Journal

Background: The greatest prevalent nutrient shortage in pregnant women across the globe is iron deficiency anemia (IDA). Maternal anemia continues to significantly increase neonatal morbidity and death, and there is worry over the elevated incidence of iron and other micronutrient deficiencies among pregnant women in poor nations. Aim of the work: To examine the effectiveness and safety of intramuscular iron sorbitol citric acid complex and intravenous iron sucrose in the treating of iron deficiency anemia (IDA) in gestation. Patients and methods: At the Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, 100 pregnant women were separated into two …


Incidence Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Sections With Placenta Previa Anterior, Abdel Ghany Diab, Samir Ali, Mohamed Farahat 2022 obstetrics &amp;amp; gynecology Dept., Faculty of Medicine Al Azhar University

Incidence Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Sections With Placenta Previa Anterior, Abdel Ghany Diab, Samir Ali, Mohamed Farahat

Al-Azhar International Medical Journal

Background: The prevalence of placenta previa has been recently estimated to be approximately 0.5% of all pregnancies, and this increase correlates to the elevated cesarean section rate. Placenta previa is a major cause of maternal morbidity and mortality because of the associated massive antepartum and intrapartum hemorrhage. Placenta previa is associated with preterm delivery, with the neonatal mortality increasing threefold. Aim of the study: The aim of this study was to determine the relationship between placenta accreta and its complications in cases of previous cesarean section with placenta previa anterior. Patients and Methods : This study conducted in Department of …


Helicobacter Pylori And The Severity Of Preeclampsia, Marwan Ali, ahmed Abd Elfattah, mohamed abo-ghabha, noha sabry 2022 obstetric and gynecology department in alazhar university

Helicobacter Pylori And The Severity Of Preeclampsia, Marwan Ali, Ahmed Abd Elfattah, Mohamed Abo-Ghabha, Noha Sabry

Al-Azhar International Medical Journal

Background: The main cause of maternal morbidity and mortality, intrauterine growth retardation, as well as fetal prematurity, is pre-eclampsia. Helicobacter pylori was found to infect several parts of the stomach and duodenum and has consequently been linked to a higher risk of gastric cancer. Pre-eclampsia is more frequent in women infected with H. pylori than in women who are not. Aim of the work: To assess the relation between severity of pre-eclampsia and of Helicobacter pylori infection. Patients and methods: This case-control research involved 100 pregnant women at the Obstetrics and Gynecology Departments of Al-Azhar Hospital and Mansoura International Hospital, …


Intravenous Versus Intramuscular Oxytocin In The Prevention Of Atonic Post-Partum Hemorrhage After Vaginal Delivery, Taha Abd Elghany, Mofeed Mohamed, Muhamed Abdelmoaty 2022 Department of Obstetrics and Gynecology , Faculty of Medicine for boys, Al-Azhar University, Cairo. Egypt

Intravenous Versus Intramuscular Oxytocin In The Prevention Of Atonic Post-Partum Hemorrhage After Vaginal Delivery, Taha Abd Elghany, Mofeed Mohamed, Muhamed Abdelmoaty

Al-Azhar International Medical Journal

Background: Primary postpartum hemorrhage (PPH) is among of the most main sources of mother deaths throughout the world. The changed profile of laboring women, who are now more probable to be aged, overweighted, or have substantial clinical co-morbidities, is leading to an increase in obstetric difficulties, Aim and objectives: in a double-blind controlled experiment, to examine the impact of an intramuscular (IM) single dose of oxytocin (10 IU per 1 mL) and placebo IV administration (1 mL 0.9 % saline gradually administered ) with an IV single dose of oxytocin (10 IU per 1 mL administered gradually over 1 min) …


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