Medical Specialties Commons^™

Prevalence Of Telogen Effluvium In Egyptian Women With Post-Covid 19 Viral Infection, Hamed Mohamed Abdo, Ahmed Mohammed Said Kadah, Hamza Mohamad Saqaan

Al-Azhar International Medical Journal

Background: COVID-19 is a worldwide pandemic of concern. Frequent symptoms include fever and respiratory problems. Recent investigations have also identified dermatological manifestations as extrapulmonary symptoms. This includes telogen effluvium, which is associated with post-COVID-19 comorbidities. Aim and objectives: to draw attention to the common occurrence of telogen effluvium in Egyptian women who have viral infections after COVID 19. Subjects and methods: 500 female patients with COVID-19 virus infections from a few weeks to months prior were the subject of this investigation. The following procedures were applied to all patients: full general examination, complete history taking, clinical scalp and hair examination, …

Study The Correlation Between Placental Thickness And Fetal Weight, Samir Abdallah Ali, Abdel Monsef Abdel Ghaffar Mustafa, Ali Mohammed Ali

Al-Azhar International Medical Journal

Background; The placenta is around 3 cm thick at term when the cord is inserted in the third trimester. To measure placental thickness transabdominally, one must position an ultrasound transducer perpendicular to the placenta's plane. Aim and objectives: The purpose of this study was to examine the relationship between placental thickness and foetal weight.

Patients and methods: 300 pregnant women participated in this cross-sectional prospective study, which was carried out at the Al-Hussein University Hospital's outpatient gynaecology clinic.

Results: The mean Placental thickness (mm) was 31.89 ± 7.50, and the mean fetal weight (gms) was 2272.91 ± 1379.07. The APGAR …

Comparative Study Between Immediate Versus Post Puerperium Intrauterine Contraceptive Device Insertion During Caesarean Section, Mohamed Mohamed Gebreel, Samir Khamis Galal, Tamer Mohsen Elnahas, Hany Mohammed Mohammed Abo Hamed

Al-Azhar International Medical Journal

Background: An intrauterine device (IUD) is a reliable reversible method of birth control. We assessed the effectiveness and security of cesarean delivery immediate postplacental IUD implantation. A long-term, reversible method of birth control is the copper intrauterine device, or IUD. Typically, copper IUDs are constructed of T-shaped plastic with certain areas exposed copper. Women had few long-term choices for safe, effective birth control prior to the development of the first IUDs. These largely relied on oral birth control pills and barrier techniques, which were only effective when taken appropriately and regularly.

Aim: The study's objective was to evaluate the effectiveness …

Correlation Between Ct , Mri Of The Chest And Medical Thoracoscopic Findings In Primary Pleural Tumors, Mohamed Tarik Abd Al-Fattah Al-Jammal, Mohamed Ahmed Haroun, Fawzy Mohamed Omar, Mahmoud Mohamed Aboumandour Fouda

Al-Azhar International Medical Journal

Objective: Malignant pleural mesothelioma (MPM) routine diagnostic procedures often include computed tomography (CT) and magnetic resonance imaging (MRI). Histological confirmation by pleural biopsy is required for the MPM diagnosis to be finalized.

Aim of our study: to compare among findings of chest CT, MRI and medical thoracoscopy (MT) for MPM identification.

Patients and methods: Fifty patients (30 Males and 20 females) with definitive MPM diagnosis after (MT) biopsy, underwent chest CT and MRI chest.

Results: There was statistically significant parameters for MRI versus CT for pleural thickening, it was 64% versus 44% (p= 0.044). Post contrast enhancement in MRI was …

Progestin Versus Metformin And Progestin In Treatment Of Endometrial Hyperplasia Without Atypia In Premenopausal Women, Mohamed Mohamed Gebreel, Muhamed Ahmed Abdelmoaty, Mohamed Arafa El-Metwally

Al-Azhar International Medical Journal

Background: Endometrial hyperplasia is a probable precursor to endometrial cancer and a main cause of severe abnormal bleeding. Recently, metformin has been proposed as an adjunctive medicine for improved outcome in treating EH. Metformin has been shown to have anticancer efficacy by reducing cell proliferation and slowing tumor growth, according to recent studies. Aim and objectives: to compare between progestin versus metformin and progestin in treatment of endometrial hyperplasia without atypia in premenopausal females. Subjects & methods This comparative randomized controlled experiment was conducted at Al-Hussein University Hospital, obstetrics and gynecology department on 60 premenopausal women diagnosed by endometrial hyperplasia …

Pretreatment With Letrozole Plus Misoprostol Versus Misoprostol Alone In Induction Of Missed Miscarriage, El-Sayed Mohamed Taha Saadallah, Abdelrahman Ragab Rashed, Ahmed Hafez El-Badri Gad

Al-Azhar International Medical Journal

Background: Abortion, also known as miscarriage, is a common pregnancy problem that can happen naturally or be induced in order to terminate a pregnancy before the fetus has a chance to survive outside the uterus. Ten to twenty percent of all clinically confirmed pregnancies end in a missed miscarriage. Aim & objectives: to compare between repercussions of Letrozole plus Misoprostol also Misoprostol alone by means of inducing missed miscarriage. Subjects & methods: This comparative trial was performed on 74 cases who were recruited from the patients presenting in the outpatient obstetric clinic or the Emergency department in Al-Hussein & Sayed …

The Correlation Between Intra-Abdominal Adhesions And Body Mass Index In Women Undergoing Elective Repeated Cesarean Section, Mostafa Mahmoud Mohamed, Adel Aly Elboghdady, Mohamed Ibrahim Mohamed

Al-Azhar International Medical Journal

Background: Intra-abdominal adhesion formation is serious post-surgery problem that occurs frequently after caesarean section. Obesity is associated with many hemostasis disturbances, particularly impaired fibrinolysis, which may increase the incidence of intra-abdominal adhesions. Aim of Work: Goal of the work was to correlate between intra-abdominal adhesions and body mass index in women scheduled for a repeated cesarean section. Patients & Methods: This was observational cross-sectional research that was carried out at Obstetrics & Gynecology department, faculty of medicine, Al-Azhar university hospitals during the period between October 2021 and April 2022, and total of 232 pregnant women undergoing repeated cesarean section, were …

Assessment Of Fetal Head–Perineum Distance Via Ultrasound As A Predictor Of Successful Vaginal Delivery Preceding Labor Induction, Mohammed Mohammed Gebreil, Ahmed Mohammed El-Sadek, Ahmed Talaat Abd El-Ghaney Abo Elhasan

Al-Azhar International Medical Journal

Background: The goal of intrapartum ultrasonography, a kind of ultrasound examination conducted during labor, is to examine the spatial connections between the fetal head and the delivery canal, such as the fetal head's position, attitude, and station, by measuring a set of parameters.

Aim and objectives: to determine whether transperineal ultrasonography measurements of the fetal head's position relative to the perineum are predictive of a smooth vaginal birth.

Subjects and methods; This study will be a prospective cohort study that will be conducted on 120 term pregnant females between 37 and 42 weeks at Department of Obstetrics and Gynecology, Faculty …

Delayed Percutaneous Coronary Intervention Versus Conventional Medical Treatment For Management Of Late Comers With Anterior St Segment Elevation Myocardial Infarction, Ayman Kamal Abo Elmagd, Monir Osman Amin, Abdelrahman Ibrahim Aly, Mohamed Osama Taha, Ahmed Mahmoud Abd-Allah Elshafey

Al-Azhar International Medical Journal

Background: ST-segment elevation myocardial infarction (STEMI) is now treated using reperfusion treatments that attempt to minimize infarct size and maximize patient prognosis. Aim of the Study: To evaluate the in-hospital and three-month outcomes of a late invasive treatment strategy vs a traditional medical therapy strategy in patients with anterior STEMI who present within 48 to 72 hours of symptom start. Materials and Methods: The current study was conducted at the cardiology department of the national heart institute and comprised 60 patients who presented to the emergency department with late anterior ST segment elevation myocardial infarction between 48 and 72 hours …

Protein S In Coagulation And Inflammation, Martha Mega Silvia Sim

Theses and Dissertations--Molecular and Cellular Biochemistry

Protein S (PS) is a key regulator, which links inflammation and coagulation and performs multiple proposed functions in both processes. PS exists in the blood as a free soluble form (~40%), bound to complement component 4b-binding protein/ C4BP (~60%), and packaged in platelet α-granules (~2.5%). Subendothelial tissue factor (TF), upon exposure to blood, initiates coagulation, a proteolytic cascade which results in the activation of thrombin, the enzyme responsible for formation of a fibrin clot. PS is a critical anticoagulant that inhibits multiple steps of this process. Only the free fraction of PS has full anticoagulant properties, as C4BP blocks this …

The Mutational Landscape In Chronic Myelomonocytic Leukemia And Its Impact On Allogeneic Hematopoietic Cell Transplantation Outcomes: A Center For Blood And Marrow Transplantation Research (Cibmtr) Analysis, Matthew Mei, Raju Pillai, Soyoung Kim, Noel Estrada-Merly, Michelle Afkhami, Lixin Yang, Zhuo Meng, Muhammad Bilal Abid, Mahmoud Aljurf, Ulrike Bacher, Amer Beitinjaneh, Christopher Bredeson, Jean-Yves Cahn, Jan Cerny, Edward Copelan, Corey Cutler, Zachariah Defilipp, Miguel Angel Diaz Perez, Nosha Farhadfar, César O Freytes, Shahinaz M Gadalla, Siddhartha Ganguly, Robert Peter Gale, Usama Gergis, Michael R Grunwald, Betty K Hamilton, Shahrukh Hashmi, Gerhard C Hildebrandt, Hillard M Lazarus, Mark Litzow, Reinhold Munker, Hemant S Murthy, Sunita Nathan, Taiga Nishihori, Sagar S Patel, David Rizzieri, Sachiko Seo, Mithun Vinod Shah, Melhem Solh, Leo F Verdonck, Ravi Vij, Ronald M Sobecks, Betul Oran, Bart L Scott, Wael Saber, Ryotaro Nakamura

Department of Medical Oncology Faculty Papers

Somatic mutations are recognized as an important prognostic factor in chronic myelomonocytic leukemia (CMML). However, limited data are available regarding their impact on outcomes after allogeneic hematopoietic cell transplantation (HCT). In this registry analysis conducted in collaboration with the Center for International Blood and Marrow Transplantation Registry database/sample repository, we identified 313 adult patients with CMML (median age: 64 years, range, 28- 77) who underwent allogeneic HCT during 2001-2017 and had an available biospecimen in the form of a peripheral blood sample obtained prior to the start of conditioning. In multivariate analysis, a CMML-specific prognostic scoring system (CPSS) score of …

Intracervical Foley Balloon Use In Pre-Labor Rupture Of Membranes: Rates Of Maternal And Neonatal Infections, Ashley Foreman, Stephanie Tootle, Merritt Mcgowan

South Atlantic Division Research Day 2023

No abstract provided.

An Accidental Pox Party: A Preventable Case Of Fatal Disseminated Varicella In An Elderly Immunocompromised Female, Chad Froes, Eric Fromke, Dominic Collins, Thomas Bumbalo

South Atlantic Division Research Day 2023

No abstract provided.

A Rare Case Of Right Atrial Appendage Mass In Patient With Recurrent Methicillin-Resistant Staphylococcus Aureus Bacteremia, Vivek Nadipalli, Ahmed Mahmood, Thomas Alexander

Gulf Coast Division Research Day 2023

No abstract provided.

Rare Case Of Chylopericardium Status Post Coronary Artery Bypass Graft, Hytham Rashid, Harris R. Khawaja, Ashley Charales, Essam Girgawy, Ramesh Kesavan, Michael Daniel

Gulf Coast Division Research Day 2023

No abstract provided.

Spur Cell Hemolytic Anemia: An Uncommon Etiology Of Anemia In Liver Cirrhosis, Hanan Gruhonjic, Austin Van Vliet, Maxwell Tague, Masi Javeed

West Florida Division Research Day 2023

No abstract provided.

Standardized Training To Improve The Quality Of Screening Diabetic And Hypertension-Related Opthalmoscopic Exams, Ashley Faye, Pradeep D'Souza, Elizabeth Suniega

Gulf Coast Division Research Day 2023

No abstract provided.

Anxiety And Uterine Artery Doppler Flow In A Population Of Pregnant Women Of High Risk Down Syndrome Fetus: A Prospective Cohort Study, Mahboobeh Shirazi, Mehnoosh Torkzaban, Margan Ghaemi, Maryam Moshfeghi, Mahmood Shirazi, Maryam Emadzadeh, Lida Ahmadi, Zahra Khazaeipoor, Sara Mirzaeian

Department of Radiology Faculty Papers

Background: Fetal exposure to maternal anxiety is associated with low birth weight and maternal stress may be led to constriction of uterine arteries. This study compared the relation of anxiety and uterine artery doppler flow indices in pregnant women with the high and low-risk of Down syndrome.

Materials and methods: This prospective cohort study was conducted among pregnant women in the second trimester that were classified as having a high or low risk according to their prenatal aneuploidy screening outcome. The high risk group underwent amniocentesis. Anxiety was initially assessed using the Spielberger State-Anxiety Inventory (STAI) and uterine artery blood …

Contrast-Enhanced Ultrasound Li-Rads: A Pictorial Review, Osama Mahmoud, Ajay Makkena, Corinne E. Wessner, Ji-Bin Liu, John Eisenbrey, Andrej Lyshchik

Department of Radiology Faculty Papers

The American College of Radiology has implemented the Liver Imaging Reporting and Data System (LI-RADS) to help detect, interpret, and guide the management of suspected lesions on surveillance imaging for hepatocellular carcinoma (HCC) in patients with cirrhosis. The classification of indeterminate nodules with a grading algorithm can be used for multiple imaging modalities (US, CT, and MRI) and incorporates multiple imaging features to appropriately classify observations with different likelihood of being HCC. Contrast-enhanced ultrasound (CEUS) LI-RADS has been fully implemented since 2017. The aim of this pictorial article is to provide a comprehensive review of CEUS LI-RADS utilization, discuss its …

How Help Provided The Pathway To Become Age-Friendly, Chesley Ferris, Anna Pleet, Emily Carter

Maine Medical Center

In assessing how the 4Ms framework applies to the Hospital Elder Life Program, we were able to target specific ways to deliver more Age-Friendly care to those enrolled in the program.