Medicine and Health Sciences Commons^™

Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha

Al-Azhar International Medical Journal

Background: Ultrasound at 5 weeks gestation reveals the yolk sac's hypoechoic centre and echogenic rim. Between 8 and 11 weeks of pregnancy, it expands and then disappears. Larger yolk sacs cause more miscarriages. Normal yolk sacs reduce first-trimester complications. A normal yolk sac predicts a 94% typical result. By 5 weeks, the embryonic heartbeat is visible. The fetal heart rate rose from 118 to 167 beats per minute between 6 and 10 weeks. An embryonic heart rate (EHR) of 100 BPM is abnormal and related to an 83.3% loss rate early in pregnancy (6-9 weeks). Aim: Does Assessment of gestational …

A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah

Al-Azhar International Medical Journal

Background: The management of antenatal care and the successful planning of an appropriate intervention or therapy depend greatly on the determination of gestational age (GA). When dates are ambiguous or there is a suspicion of intrauterine growth retardation, transverse cerebellar diameter (TCD) provides a significant advantage in predicting GA. Aim of the work: to compare TCD measurement to existing fetal biometric measures such as femur length (FL) and biparietal diameter (BPD) in order to evaluate the diagnostic accuracy of TCD measure in estimating GA throughout the second and third trimesters. Patients and methods: The obstetrics and gynecology department of El-Sheikh …

Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil

Al-Azhar International Medical Journal

Background: Diabetes has become an important risk factor for major morbidity and death, hospitalizations, disease severity, acute renal failure, acute respiratory distress syndrome, ICU admissions and patient death. with coronavirus disease 2019. Aim: To study glycemic changes and outcomes in diabetic and non-diabetic patients hospitalized with COVID-19. Patients and Methods: In this retrospective study, 500 hospitalized adult patients over 18 years of age with COVID-19 were referred to Al-Azhar – Assiut and Chest – Assiut University Hospitals with nasopharyngeal vaccination against SARS-CoV-2. Our study spanned approximately seven months of confirmed COVID-19 from January 2021 to July 2021. Results: Patients with …

Phacoemulsification In Cases Of Zonular Weakness Using In Situ Nuclear Disassembly Without Nuclear Rotation, Mohammed Abdel Moneim Mahdy, Hossam Zeyada, Youssef Hassan Mohammed Ibrahim Mansour

Al-Azhar International Medical Journal

Background: Due to zonular dehiscence or weakness, cataract surgery may result in late intraocular lens subluxation or dislocation, vitreous loss, dropped nuclei fragments, or all of these complications. Aim of the work: The objective of this study is to evaluate the occurrence and intensity of intraoperative problems in pseudoexfoliation (PEX) cases when employing in situ nuclear disassembly without nuclear rotation. Patients and methods: On 100 eyes of 100 cases with zonular weakness, this prospective, interventional, comparative study was carried out. Fifty patients undergoing phacoemulsification with in situ nuclear disassembly and the other 50 patients undergoing conventional chopping technique whom were …

Ultrasound-Guided Transversus Abdominis Plane (Tap) Block For Pain Control In Patients Intraoperative Cesarean Section, Yehia Abdel Salam Wafa, Mofeed Fawzy, Mohamed Othman Mahmoud Nagy

Al-Azhar International Medical Journal

Background: Transversus abdominis plane (TAP) block is a peripheral nerve block that anesthetizes the abdominal wall. The thoracolumbar nerves (T10-L1) are located in the fascial plane (TAP) among the internal oblique & transverses abdominis muscles. Aim of the study: The objective of the research is to analyze the evidence and assess the analgesic efficacy of ropivacaine TAP block for 24 hours following Pfannenstiel incision caesarean surgery. Patients and methods: A prospective randomized controlled clinical trial was conducted on 60 females undergoing cesarean section in the Department of Obstetrics and Gynecology of Al-Azhar University Hospital and El-Fayoum General Hospital. The participants …

Bone Mineral Density Among Long Term Users Of Hormonal Contraception (Contraception & Bone Mineral Density), Hanaa Abd El Hameed El Ebeisy, Nahed Ezzat Mahmoud, Hanaa Taha Kandeel, Shaimaa Mahmoud Saad El Tawwab

Al-Azhar International Medical Journal

Background: Hormonal contraceptives that involve steroids have a high success rate and are commonly used. The use of these contraceptives has both positive and negative effects on health, including bone health. Some contraceptives may interfere with peak bone acquisition or may induce early bone mineral density (BMD) loss since they are provided for extended durations and at a time of life when many women have not yet reached the peak of bone development. Aim of the study: to assess the effect of long term utilization of hormonal contraceptives (Depot medroxyprogesterone acetate (DMPA), Implanon, Combined Oral Contraceptives (COC)) ( > 3years) among …

Philos Plating Versus Percutaneous K-Wire Fixation In Proximal Humerus Fractures In The Elderly, Aly Mohammed El-Geoshy, Usama Gaber Abdalla, Ehab Khaled Gaafar

Al-Azhar International Medical Journal

Objectives: To compare the results of Percutaneous K-Wires versus PHILOS plate in terms of activity, shoulder function, radiological assessment and complications. Methods: Thirty patients randomly divided into two groups with closed envelop method between July 2021 to July 2022, Group (A), The K-Wires group, 7 males and 8 females, with mean age 68 years, and Group (B), The PHILOS group, 9 males and 6 females, with mean age 66 years. Included patients were elderly with recent, closed, two, three and four parts fracture. Excluded patients were open fractures, old, nonunited, malunited or patients with contraindications of general anesthesia. Results: Both …

Comparison Between Custodiol And Blood Enriched Cardioplegia On Myocardial Protection During Double Valve Replacement Surgeries, El-Husseiny E. Gamil, Hosny M. El Sallab, Mohamed H. Mahmoud, Asmaa G Shahien

Al-Azhar International Medical Journal

Background: Cardioplegia is necessary during heart surgery to lessen the myocardium's metabolic needs and avoid osmotic, electrolytic, and pH imbalances. Methodology: This prospective non-randomized controlled clinical trial was conducted at cardiothoracic surgery department - Faculty of Medicine – Al-Azhar University from October 2019 until December 2022. During this study, 60 patients were assessed for eligibility and divided into two equal groups; group A included patients who were given a single dose of antegrade custodial cardioplegia with moderate hypothermia 30°C, to be repeated after 3hours and group B included patients who were given intermittent antegrade cold blood cardioplegia with moderate hypothermia …

Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar

Al-Azhar International Medical Journal

Background: Coronavirus disease 2019 (COVID-19), which resulted in a global pandemic, is caused by severe acute respiratory syndrome coronavirus 2. We aimed to highlight the cardiovascular involvement in children after 6 months of COVID-19 recovery, Aim and Objectives: To highlight the cardiovascular involvement in children after 6 months of COVID-19 since this has the potential for morbidity and mortality in this age group, Patients and Methods: This observational cross-sectional descriptive study was conducted on 42 pediatrics aged-19 after 6 months at hospitals from January 2022 to February 2023. All patients were subjected to full history taking, clinical examination, laboratory investigations …

Nail Fold Capilloroscopy Versus Serum Interleukin 17 In Rheumatoid Arthritis And Systemic Lupus Erythematosus Patients And Their Correlation With Disease Activity In Upper Egypt, Mohamed I. Abdelkareem, Mohamed M. Rayan, Ashraf I. Sayed

Al-Azhar International Medical Journal

Background: Nailfold capillaroscopy (NFC) represents the best method to analyze microvascular abnormalities among connective tissue diseases (CTDs) since capillaroscopic changes of the nailfold have been well established in many CTDs Aim: to investigate serum IL-17 and Nailfold microcirculation in RA and SLE patients and to study their correlation with disease activity in upper Egypt. Patients and Methods: A total of 50 patients with RA and 30 patients with SLE. In addition to, 30 healthy subjects as control group. Results: Patients with either SLE or RA had significantly higher IL-17 in comparison to the control group. Patients with SLE had significantly …

Comparative Study Between Orthotopic Neobladder And Ileal Conduit Diversion For Patients With Cancer Bladder After Radical Cystectomy, Saied Hosny Bendary, Ahmed Alsayed Mohmed, Ahmed Fathy Sayed Ahmed Aly

Al-Azhar International Medical Journal

Background: Several techniques are employed for urine diversion following radical cystectomy, such as the ileal conduit, cutaneous urinary reservoir, and orthotopic neobladder. The many forms of urine diversion significantly influence multiple dimensions of quality of life (QoL), encompassing elements such as urinary function, physical well-being, sexual health, psychological adjustment, everyday functioning, and body image-related unhappiness. Aim and objectives: Is to compare between quality of life (QoL), results and complications of orthotopic urinary diversions and ileal conduit diversion after radical cystectomy in patients with muscle-invasive bladder cancer. Subjects and methods: This is a prospective study conducted at Oncosurgery Department, Al-Azhar University …

Knowledge, Attitude And Practice Of Students Towards Organ Transplantation And Donation: A Cross- Sectional Study, Nora L. El-Tantawy, Hnoof A. Al-Doos, Ethar A. Alsehimi, Manar M. Alghamdi, Ghadi A. Alghamdi, Asma Saad Alghamdi, Rabab M. Abouhussien, Saba Beigh, Mohammed A. Alshehri

Al-Azhar International Medical Journal

Background: Organ donation an transplantation have become the ideal treatment for different types of end-stage organ failure. A significant problem, though, is the scarcity of available organs for transplantation. Public knowledge, attitude, and practice towards organ donation and transplantation are crucial determinants that should be addressed for the success of the donation process. Aim: This study aims to assess Al-Baha University students' knowledge, attitudes, and practices regarding organ transplantation and donation. Methods: This cross-sectional study enrolled 1065 students from Al-Baha University. An electronic questionnaire was distributed via their university emails. The questionnaire includes two sections: one for collecting sociodemographic information …

Gall Bladder Wall Thickness As Non-Invasive Screening Parameter Of Esophageal Varices In Compensated Cirrhotic Patients, Mohamed Aly Abdelkhalek Alboraie, Abdel Halem Abdel Ghany Hasabo, Mohammad Abolwafa Ahmad Amin, Tarek Mohamed Abdel Latif Ali

Al-Azhar International Medical Journal

Background: About 40% of people with hepatic cirrhosis also developed oesophageal varices. The most serious portosystemic shunts caused by portal hypertension are O.V. Aim and objectives:The goal of the study was to establish whether or not the gall bladder wall thickness (GBWT) is a reliable, non-invasive predictor of EV in people who have cirrhosis.Subjects and methods: From August 15, 2022, through March 1, 2023, 120 patients with chronic liver disorders and liver cirrhosis were recruited from the inpatient and outpatient clinics at Sayed Galal Hospital. Two groups of patients were created, one with OV and one without. Sixty cirrhotic patients …

Retrograde Popliteal Artery Access In Peripheral Arterial Angioplasty In Management Of Superficial Femoral Artery And Proximal Popliteal Artery Occlusive Lesions, Abd El Fattah Ali Ismail, Mohamed Yahia Zakaria, Mohammed Mustafa Taha Mustafa

Al-Azhar International Medical Journal

Background: Most peripheral artery disorders of the lower extremities are caused by femoropopliteal atherosclerotic disease. Femoropopliteal bypass surgery is the first-line revascularization method suggested for TASC-D SFA occlusions. Nonetheless, substantial success rates with endovascular therapy (EVT) in TASC D lesions are made possible by recent advancements in endovascular technology. Aim of the study: To assess the safety and efficacy of the retrograde popliteal artery approach as a first line of treatment for recanalization of proximal popliteal artery lesions and superficial femoral artery occlusive lesions in patients with critical lower limb ischemia. Patients and methods: This study is prospective and was …

Comparative Study Between Laparoscopic Varicocelectomy And Foam Injection Sclerotherapy By Using Interventional Catheterization In The Treatment Of Primary Varicocele, Mohamed Abd El-Hamid Abd El-Rahman, Mohamed Hamza Hamed, Mohamed Akram Abdo Mohamed

Al-Azhar International Medical Journal

Background: The incidence of varicocele in the general population ranges from 15 to 20%, and 30 to 40% in infertile men. Varicocele is dilated tortuous veins of the pampiniform plexus the venous sinuses that drain the testicles. These sinuses primarily drain into the internal spermatic vein (gonadal vein). Aim and objectives: to compare between laparoscopic varicocelelctomy versus foam injection sclerotherapy of a polidocanol in a concentration of 3% solution, by using interventional catheterization in the treatment of primary varicocele. Subjects and methods: This prospective randomized study was be conducted on 50 patients with primary varicocele. It was be conducted in …

Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon

Theses and Dissertations--Music

Transitioning from one gender to another can be an arduous and emotionally charged experience, accompanied by many physical and mental transformations. The journey of self-discovery and vocal explorations is both unique and deeply personal. Modifications that emerge in an individual's vocal characteristics have a profound influence on their capacity to communicate and express themselves.

Transgender vocal students and professional singers must navigate the delicate balance between their vocal and gender identities while considering the possible risks of Gender Affirming Hormone Therapy. Though these therapies may significantly alter one's appearance and overall well-being, they are also capable of causing notable declines …

Alopecia As An Early Clinical Marker For Azathioprine Induced Myelosuppression: A Case Report, Nilanjana Dutta , Final Year Mbbs, Dr. M Suresh Babu , Professor, Dr. Subramanian Ramaswamy , Professor, Dr. Mahabaleshwar Mamadapur , Assistant Professor

Digital Journal of Clinical Medicine

Azathioprine is a pro-drug and is metabolized by the TPMT enzyme in the body. In South Asians, Azathioprine is known to cause alopecia and bone marrow suppression in patients with TPMT enzyme deficiency. In India, the prevalence of TPMT mutation varies from 1.2- 10%. A new mutation was detected in 2014, NUDT15 whose incidence varies from 8.5-16%. Patients with mutation in both TPMT and NUDT15 develop myelosuppression faster. In our case, alopecia manifested as the first clinical feature of Azathioprine myelosuppression. Physicians need to recognize early clinical clues (alopecia) to avoid the impending development of myelosuppression and to look for …

Advancing School Nursing Practice: A Novel Approach To Screening For Gastrointestinal Disorders In Children, Ashley Bunting, Isabella Cavlan

Nursing | Student Research Posters

California schools currently only screen for vision and hearing, leaving many other health concerns unaddressed. Among these, gastrointestinal (GI) health is particularly significant, as digestive disorders can lead to severe consequences, like malnutrition and stunted growth. By incorporating routine GI screenings, school nurses can promote the early detection of disease, allowing for timely intervention and improved health outcomes in children.

Based on existing literature, we have developed a novel pediatric GI screening tool for school nurses to use in routine screenings, presented below.

Reliability And Validity Of New Isokinetic Strength Assessment For Rotator Cuff Muscles In A Muscle Architecture-Based Position, Çağlar Soylu, Mustafa Ertuğrul Yaşa, Pervin Demi̇r, Ahmet Mustafa Ada, Tüzün Firat, Necmiye Ün Yildirim

Turkish Journal of Medical Sciences

Isokinetic strength assessment of the rotator cuff muscle is frequently applied in a variety of shoulder postures, butnone of these consider muscular architecture, which is one of the most important aspects of improving strength development. This studyaimed to examine the test and retest reliability and validity of the muscle architecture-based position (MABP), which is 25° abductionand 20° external rotation, in healthy subjects to be able to select a better isokinetic assessment position for shoulder rotator cuff muscles.Materials and methods: A total of 54 healthy males with a mean age of 21.0 ± 1.2 years and mean body mass index of …

The Effect Of Video-Assisted Training On Upper Extremity Problems And Functions After Rotator Cuff Repair: A Randomized Controlled Trial, Canan Kanat, Gülay Altun Uğraş, Recep Ünal, Servet Can Dönmez, Bahar Taşdelen, Fehmi Volkan Öztuna

Turkish Journal of Medical Sciences

The shoulder is the most mobile joint in the body, and is frequently exposed to injuries. The applied surgical treatments, protection of the shoulder after surgery, care in the use of the shoulder in activities of daily living (ADLs) and gradual exercise programs are all vital to the recovery process. The present study investigates the effect of video-assisted training (VAT) on upper extremity complications and functions after rotator cuff repair (RCR).Materials and method: Included in this prospective, parallel two-armed, randomized controlled study were an experimental group (n: 24) that received VAT detailing early postoperative care for RCR and instructions on …

The Relationship Between Trunk Control, Spinal Posture, And Spinal Mobility In Patients With Multiple Sclerosis: A Cross-Sectional Study, Taşkın Özkan, Nezehat Özgül Ünlüer, Mustafa Ertuğrul Yaşa, Buse Korkmaz, Gönül Vural

Turkish Journal of Medical Sciences

Trunk control, which plays a key role in balance and mobility, decreases in patients with multiple sclerosis (PwMS) and many parameters such as sensory, motor, and musculoskeletal systems affect trunk control. The aim of this study was to compare trunk control, spinal mobility, and spinal posture in PwMS with healthy controls and investigate the relationship between trunk control with spinal posture and spinal mobility in PwMS.Materials and methods: The study was completed with 38 PwMS and 38 healthy controls with matched age and sex. Trunk control was evaluated with the Trunk Impairment Scale (TIS). Spinal posture and mobility were evaluated …

Urologists’ Opinion On Treating Asymptomatic Stones: Would We Treat Ourselves As We Treat Our Patients? Survey From European Association Of Urology, Young Academicurologists, Endourology And Urolithiasis Working Party, Tarık Emre Şener, Thomas Tailly, Yılören Tanidir, Etienne Xavier Keller, Amelia Pietropaolo, Juan Gomez Rivas, Zeeshan Hameed, Vincent De Coninck, Tzevat Tefi̇k, Kemal Sarica, Ali Serdar Gözen, Andreas Skolarikos, Olivier Traxer, Christian Seitz, Bhaskar Somani

Turkish Journal of Medical Sciences

Management of asymptomatic kidney stones is an ongoing debate with follow-up and treatment guidelines based on low-level evidence. Our aim was to evaluate current management of asymptomatic urinary stones.Materials and methods: A 70-question survey was designed in collaboration with European Association of Urology, Young Academic Urologists, Section of Uro-Technology and Section of Urolithiasis groups and distributed. Responders filled out hypothetical scenarios from 2 perspectives, either as treating physicians, or as patients themselves.Results: A total of 212 (40.01%) responses were obtained. Median responder age was 39 years. 75% of responders were interested in “urolithiasis”. 82.5% had never experienced a renal colic, …

Diurnal Rhythm Of Urinary Aquaporin-2 In Children With Primary Monosymptomatic Nocturnal Enuresis, Nehal Abdelhamid, Mohamed A. Abd Almawla, Aliaa A. Wahby, Mervat Ismail, Hani Abdelsalam Elmikaty, Hanan M. Hamed, Ingy Ashmawy, Bataul Mohamed Abdelraoaf, Enas Mokhtar Abdelhamid, Hassan M. Salam

Turkish Journal of Medical Sciences

Nocturnal enuresis can be frustrating for children and their families as the child ages. Our aim is to evaluate urine aquaporin 2 (AQP-2) as a noninvasive biomarker of water balance in children with primary monosymptomatic nocturnal enuresis (PMNE).Material and methods: The study included 90 children; sixty-eight children suffering from PMNE aged (9.57 ± 2.16) years and 22 healthy children with good toilet control, matched sex and age. All enuretic children were subjected to complete history taking, clinical evaluation, and bed wetting diary. Serum arginine vasopressin (AVP) and urine AQP-2 were tested in the morning (at 9–11 am) and evening (at …

Evaluation Of The Aquaporin Molecules Characterization In The Sperm Cells Of Men From Different Aged, Fikret Gevrek, Osman Serden Gencel, Selim Görgün, Mikail Kara, Muzaffer Katar

Turkish Journal of Medical Sciences

Male infertility rises for many reasons, along with age; therefore, we aimed to research the characterization of aquaporin-3, 7, and 8 in human sperm belonging to different age groups. Material and methods: This study was conducted on sperm samples of men aged over 18 years. A total of 60 men were included in the study and divided into three age groups: group 1, age 18–25 years (n = 20); group 2, age 26–35 years (n = 20); and group 3, age ≥35 years (n = 20). Sperm ejaculates obtained from each participant were used for spermiogram tests, Kruger strict morphology …

Comparison Of The Clinical Efficacy Of Ultrasound-Guided Gon Blockade Using Low And High Concentrations Of Bupivacaine In Chronic Migraine, Ümit Murat Parpucu, Onur Küçük, Fatih Sağ, Suna Akın Takmaz, Barış Kiran, İsmail Eren Durmuş, Yılmaz Karaduman, Semih Aydemi̇r

Turkish Journal of Medical Sciences

In this study, it was aimed to retrospectively compare the effect of greater occipital nerve (GON) block performed with ultrasonography using low (0.3%) and high (0.5%) concentrations of bupivacaine on pain scores and patient satisfaction in chronic migraine (CM).Materials and methods: The mean number of days with pain, the mean duration of pain in the attacks, and the highest numerical rating scale (NRS) scores recorded in the 1 month preblock and 1 and 3 months postblock of 80 patients (40 for Group 1, 0.3% bupivacaine; 40 for Group 2, 0.5% bupivacaine) who underwent ultrasonography-guided GON block were recorded from the …

Sodium-Fluorescein-Guided Awake Surgery For Cerebral Metastases Located In Eloquent Brain Areas: Technical Notes And Preliminary Experiences, Alper Türkkan, Pınar Ocak, Marzieh Karimi Khezri, Ahmet Bekar

Turkish Journal of Medical Sciences

Awake craniotomy (AC) maximizes the resection of lesions in eloquent brain areas while preserving functionality.Tumor delineation with intraoperative use of sodium fluorescein (NaFl) facilitates total resection. When used with AC, it may allowfor safe resection without increasing the risk of postoperative neurologic deficits. This study investigated the efficacy and safety of thecombined use of NaFl and AC for maximum safe resection in patients with brain metastases.Material and methods: Patients who underwent AC due to brain metastasis in the Department of Neurosurgery of Uludağ University’sFaculty of Medicine between January 1, 2018 and August 1, 2022, were retrospectively analyzed. The study comprised …

The Effect Of Parity, Breastfeeding History, And Duration On Clinical And Pathological Characteristics Of Breast Cancer Patients, Naziye Ak, Zeynep Tuz, Esra Aydin, Ferhat Ferhatoğlu, Murat Sari, Nail Paksoy, İzzet Doğan, Anıl Yildiz, Rian Di̇şçi̇, Pınar Mualla Sai̇p

Turkish Journal of Medical Sciences

The study is aimed to determine the relationship between the delivery and breastfeeding history of the patients andthe clinicopathological properties of breast cancer.Materials and methods: A questionnaire was utilized for the study, which included the age of diagnosis, the number of children at thetime of diagnosis, the age of the children, and the breastfeeding period of each child.Results: The study included 828 patients. The median age at diagnosis was 47 years for parous women and 42 years for nonparouswomen (p < 0.001). The tumor size of the patients diagnosed within the breastfeeding period was significantly larger compared to theother patients. Estrogen and progesterone receptor positivity were lower in patients diagnosed during breastfeeding. Additionally, themean number of positive lymph nodes, dissected lymph nodes, and positive lymph node/dissected lymph node ratio in parous andbreastfed patients with a nonmetastatic disease were statistically significantly higher in multivariable analysis than those patients whowere nulliparous and have not breastfed.Conclusion: Breast cancer is seen at a later age in patients who are parous than those who have never given birth. Patients who areparous and have breastfed tend to present with a higher stage of the disease.

The Right Ventricle Outflow Tract Systolic Function Could Predict The Severity Of The Cirrhosis, İbrahim Dönmez, Güray Can, Emrah Acar

Turkish Journal of Medical Sciences

The distinctive liver framework is converted into structurally abnormal nodules as a consequence of tissue fibrosis in cirrhosis. Cardiac dysfunction in cirrhosis was described, and the term “cirrhotic cardiomyopathy (CCM)” was coined to describe this syndrome. Recent research has shown that the contractile characteristics of the right ventricular outflow tract (RVOT) have a significant impact on right ventricular functions. The right ventricular outflow tract-systolic excursion is an important systolic function marker of RVOT (RVOT-SE). There has yet to be published research on RVOT function in cirrhotic patients. We looked at the relationship between cirrhosis severity and the RVOT-SE.Materials and methods: …

Risk Factors Of Congenital Nomalies Of The Kidney And Urinary Tract (Cakut): Exposureto Mobile Phones During Pregnancy, Kübra Çeleğen, Esra Özgül, Zeynep Yeşi̇ldağ, Erdem Yusuf Çamirci, Mehmet Çeleğen, Ayşegül Bükülmez

Turkish Journal of Medical Sciences

Congenital anomalies of the kidney and urinary tract(CAKUT) are the leading causes of childhood chronic kidney disease (CKD). The etiology of most of the cases is thought to be multifactorial. In this study, risk factors for CAKUT and the effect of mobile phone-related electromagnetic field (EMF) exposure during pregnancy were investigated.Materials and methods: Fifty-seven cases and 57 healthy controls under 2 years of age were included and their mothers were subjected to a questionnaire. Groups were compared for parents’ demographics, pregestational (chronic disease, body mass index, use of the folic acid supplements) and antenatal variables (gestational disease, weight gain during …

The Adjuvant Therapeutic Effect Of Probiotics On The Anthropometric Measurements And Metabolic Parameters In Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Clinical Trial, Abdulhamed Hifny Mohamadain, Mohamed Mahmoud Eltaweel

Al-Azhar International Medical Journal

Background and Aim: Metabolic diseases, such as chronic low-grade inflammation, insulin resistance and adipocyte hypertrophy have been linked to obesity. The influence of perioperative probiotic administration on bariatric surgery yielded conflicting results. We directed this randomized controlled study to outline the effects of probiotic administration on the effects of laparoscopic sleeve gastrectomy. Patients and Methods: This randomized, double-blinded, placebo-controlled study included 83 cases, undergoing laparoscopic sleeve gastrectomy, to take either probiotics or placebo. The primary result was the anthropometric measurement at 3 months after the surgery. The secondary outcomes included lipid profile, glycemic control and serum vitamins D and B12. …