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Al-Azhar University

2022

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Articles 1 - 30 of 324

Full-Text Articles in Medicine and Health Sciences

Histopathological Study About The Effects Of Chronic Concomitant Administration Of Both Pregabalin And Ibuprofen On The Skeletal, Cardiac And Smooth Muscles Of Male Albino Rats, Hytham Hemeida, Fouad El Dabbah, Nagy Alfadaly, Al-Sayed Tealeb Dec 2022

Histopathological Study About The Effects Of Chronic Concomitant Administration Of Both Pregabalin And Ibuprofen On The Skeletal, Cardiac And Smooth Muscles Of Male Albino Rats, Hytham Hemeida, Fouad El Dabbah, Nagy Alfadaly, Al-Sayed Tealeb

Al-Azhar International Medical Journal

Background: there is not enough information available to assess the relationship between Pregabalin use and muscular damage. Also, the effect of pregabalin ibuprofen combination on musculature not well assessed till now. Objectives: The study aimed to evaluate the possible chronic concomitant effect of both pregabalin and ibuprofen on skeletal, cardiac and smooth muscles in male albino rats. Subjects and methods: One hundred adult healthy male albino rats weighting 200 – 250 gm were obtained from the animal house, Faculty of Medicine, Assiut University, Egypt. The animals were classified into five groups: Group one (Negative control):10 male albino rats, received normal …


Intravenous Versus Intramuscular Oxytocin In The Prevention Of Atonic Post-Partum Hemorrhage After Vaginal Delivery, Taha Abd Elghany, Mofeed Mohamed, Muhamed Abdelmoaty Dec 2022

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) …


The Role Of Repetitive Transcranial Magnetic Stimulation In Spastic Hemiplegic Cerebral Palsy In A Sample Of Egyptian Children, Ahmed Muhammad, Hossam Emam, Abdel-Ghaffar Fayed Dec 2022

The Role Of Repetitive Transcranial Magnetic Stimulation In Spastic Hemiplegic Cerebral Palsy In A Sample Of Egyptian Children, Ahmed Muhammad, Hossam Emam, Abdel-Ghaffar Fayed

Al-Azhar International Medical Journal

ABSTRACT Background; One of the most common neurologic disorders is cerebral palsy. To improve quality of life, many tools have been employed. rTMS is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity and motor performance in spastic hemiplegic CP in a sample of Egyptian children. Patients and methods; 65 children aged between 4-18 years attending the Neuro-Pediatric Unit of Al-Azhar University hospitals were recruited in the period from beginning of Jan, 2022 to the end of …


Mid-Secretory Uterine Artery Doppler Indices And Endometrial Thickness In Patients With Unexplained Recurrent Pregnancy Loss, Eshraq Mohammed, Ahmed Nasr, Wael Hamed Dec 2022

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 …


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 Dec 2022

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 …


Role Of Diffusion Weighted Imaging And Apparent Diffusion Coefficient Value In Diagnosis Of Asymptomatic / Inactive Multiple Sclerosis Plaques, Aws Al-Isawi, Abdulah El Keshn, Hussien Roshdy Dec 2022

Role Of Diffusion Weighted Imaging And Apparent Diffusion Coefficient Value In Diagnosis Of Asymptomatic / Inactive Multiple Sclerosis Plaques, Aws Al-Isawi, Abdulah El Keshn, Hussien Roshdy

Al-Azhar International Medical Journal

Background: Although in most cases, the diagnosis of MS remains a clinical, magnetic resonance imaging became a fundamental imaging technique for the investigation and monitoring patients with MS, as it allows the visualization of lesions in the brain and spinal cord and help in understanding and follow of the disease and it is widely used to confirm the clinical diagnosis. Aim of the study: To evaluation of asymptomatic or inactive multiple sclerosis plaques by using diffusion weighted imaging and ADC value. Patients and methods: We evaluated prospectively 50 patients with known multiple sclerosis and fulfilled McDonald Criteria 2017. Patients of …


Helicobacter Pylori And The Severity Of Preeclampsia, Marwan Ali, Ahmed Abd Elfattah, Mohamed Abo-Ghabha, Noha Sabry Dec 2022

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, …


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

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 …


The Surgical Outcome Of Chronic Rhinosinusitis With Emphasis On Rhinogenic Headache, Mohamed Eloby, Salaheddin Ali, Mohamed Alawady Dec 2022

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 …


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 Dec 2022

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 …


Evaluation Of The Medial Sural Artery Perforator Flap For Validity Around Knee Reconstruction, Aly Shafei, Magdy Abd-Almoktader Abdel-Kreem, Mohamed Ouf Dec 2022

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 Dec 2022

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 …


Efficacy Of Immediate Insertion Of An Intrauterine Contraceptive Device During Cesarean Section In Comparison With Late Insertion After The Puerperium, Ahmed Al Safty, Abdel Monem Zakaria, Ahmed Saeed Dec 2022

Efficacy Of Immediate Insertion Of An Intrauterine Contraceptive Device During Cesarean Section In Comparison With Late Insertion After The Puerperium, Ahmed Al Safty, Abdel Monem Zakaria, Ahmed Saeed

Al-Azhar International Medical Journal

Background: Postpartum period is one of the critical times when a woman needs special optimal health services as complication rates are quite high during this period and also the women are vulnerable to unintended pregnancy. Aim of the work: To evaluate and compare between intrauterine device (IUD) (pregna T Cu 380A) insertion at the cesarean section and after puerperium in terms of expulsion rate, pain, and amount of bleeding. Patients and methods: This was prospective study, conducted at the Department of Obstetrics and Gynecology of El Hussein University hospital and El Sayed Galal hospital, on 200 women who were scheduled …


Evaluation Of Water Tolerance After Laparoscopic Sleeve Gastrectomy, Ibrahim Aljazzar, Mohammed Taema, Abd-Elfattah Morsy Dec 2022

Evaluation Of Water Tolerance After Laparoscopic Sleeve Gastrectomy, Ibrahim Aljazzar, Mohammed Taema, Abd-Elfattah Morsy

Al-Azhar International Medical Journal

Background: Obesity is a leading cause of death, luckily it is preventable. Surgical Intervention e.g. laparoscopic sleeve gastrectomy (LSG) is a successful method of obesity management. Patients underwent LSG experience post-operative difficulty of water and fluids intake. Aim of the work: To determine water and juice tolerance following LSG with incidence calculation and comparing this with short-term outcome of LSG regarding excess weight loss and complications. Patients and methods: This Study includes 20 patients with ages ranges from 18 to 45 years and their Pre-operative BMI ranges from 38 to 65. Patients underwent LSG and were followed up for 3 …


Role Of Pigtail Catheter In Patients With Encysted Empyema And In Pleurodesis Of Patients With Malignant Pleural Effusion, Emad Ahmed, Nabil Awad, Ahmed Wahba, Mohammed Abboud Dec 2022

Role Of Pigtail Catheter In Patients With Encysted Empyema And In Pleurodesis Of Patients With Malignant Pleural Effusion, Emad Ahmed, Nabil Awad, Ahmed Wahba, Mohammed Abboud

Al-Azhar International Medical Journal

Background: The use of pigtail catheter has developed as a viable choice for thoracostomy tube being less invasive, less painful and fewer procedure-associated complications. Aim of the work: to assess the role of pigtail catheter in encysted empyema and compare the use of it versus the chest tube in pleurodesis in candidates with malignant pleural effusion. Patients and Methods: There were 60 patients in this study, divided into two groups: Group I included 20 patients with encysted empyema and a pigtail catheter was placed using chest ultrasonography guidance. Group II included 40 patients with malignant pleural effusion who were subdivided …


Spheno-Orbital Enplaque Meningioma; Surgical Strategy And Proptosis Result, Mostafa Aboelkhir, Mohammad, Albialy, Mansor Hendawey Dec 2022

Spheno-Orbital Enplaque Meningioma; Surgical Strategy And Proptosis Result, Mostafa Aboelkhir, Mohammad, Albialy, Mansor Hendawey

Al-Azhar International Medical Journal

Background: Spheno-orbital enplaque meningioma (SOEMs) are complex lesions that primarily originate in the sphenoid wing with extensive hyperostosis and may involve the orbit and cavernous sinus, making a gross total resection difficult and posing a high risk of postsurgical morbidity and recurrence. Method: a series of 13 consecutive patients with SOEM presented by proptosis and hyperostosis who underwent surgical excision by frontotemporal craniotomy, clinical, radiological, surgical technique and follow up was reviewed and analyzed. Result: In this series of 13 consecutive patients, 11 were women and 2 were men. The age range was from 35-63 years with a mean of …


Relation Between Endothelial Protein C Receptor Gene Polymorphism 6936a/G And The Risk Of Vascular Access Thrombosis In Patients With End Stage Renal Disease On Hemodialysis, Mohammed El Emam, Yousri Zoheri, Nora Ibrahim, Mohamed Khedr, Alsayed Rashed Dec 2022

Relation Between Endothelial Protein C Receptor Gene Polymorphism 6936a/G And The Risk Of Vascular Access Thrombosis In Patients With End Stage Renal Disease On Hemodialysis, Mohammed El Emam, Yousri Zoheri, Nora Ibrahim, Mohamed Khedr, Alsayed Rashed

Al-Azhar International Medical Journal

Background: The most significant complication of chronic kidney disease (CKD) is end-stage renal disease (ESRD). Hemodialysis (HD) necessitates a well-functioning vascular access with enough blood flow for clearance and blood dialysis. Thrombosis of the veins can be caused by both acquired and inherited factors. Aim of the study: We aim to assess EPCR levels in patients with ESRD on hemodialysis & study relationship between the presence of EPCR gene polymorphisms (6936A/G) and incidence of vascular access thrombosis. Patients and methods: This research was carried out on 50 studied cases admitted to the Theodor Bilharz Research Institute (TBRI), Imbaba, Giza, Hemodialysis …


Role Of Rouviere's Sulcus In Identification And Dissection Of Calot's Triangle During Laparoscopic Cholecystectomy, Baha El-Dein El-Saman, Adel Abdulhalim Lasheen, Waleed Abdelaty Dec 2022

Role Of Rouviere's Sulcus In Identification And Dissection Of Calot's Triangle During Laparoscopic Cholecystectomy, Baha El-Dein El-Saman, Adel Abdulhalim Lasheen, Waleed Abdelaty

Al-Azhar International Medical Journal

Background - One of most common surgical technique applied overall the world is laparoscopic cholecystectomy due to the high features instead of another surgical techniques. Furthermore; it is represents as the main technique for gallstones treatment; however the incidence of bile-duct injury still higher than that of open cholecystectomy. Various surgical procedures and principles have been proposed to reduces bile duct injury. Aim - to determine the frequency and the type of Rouviere’s sulcus and its importance as landmark during laparoscopic cholecystectomy. Patients and Methods - This prospective study included hundred-patients who had symptomatic gallstone disease and underwent laparoscopic cholecystectomy …


Effectiveness Of Surgery For Degenerative Lumbar Spinal Stenosis: A Systematic Review, Moataz Labib, Hesham Farhoud, Abd El Aleem Sultan Dec 2022

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 …


Incidence Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Sections With Placenta Previa Anterior, Abdel Ghany Diab, Samir Ali, Mohamed Farahat Dec 2022

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 …


Evaluation Of Role Of Ultrasound In Assessment Of Successful Weaning From Mechanical Ventilation In Critically Ill Patients, Hosam Erfan, Mohammed Sharaf, Mostafa Abo El Enin, Mostafa Shakweer, Othman Mossa, Essam Abdelwahab, Sara Gadwal Dec 2022

Evaluation Of Role Of Ultrasound In Assessment Of Successful Weaning From Mechanical Ventilation In Critically Ill Patients, Hosam Erfan, Mohammed Sharaf, Mostafa Abo El Enin, Mostafa Shakweer, Othman Mossa, Essam Abdelwahab, Sara Gadwal

Al-Azhar International Medical Journal

Background: Mechanical ventilation waning failure is a common problem, and bedside ultrasonography could be helpful in prediction of the weaning process and its results. Aim of The Work: To ssess by means of ultrasound how diaphragmatic parameters are important in predicting weaning outcome by assessing diaphragmatic thickness, diaphragmatic mobility and variation. Patients and Methods: This study included 62 mechanically ventilated patients who were subjected to transthoracic ultrasonography of the diaphragm throughout a spontaneous breathing experiment and had been divided into two groups: successful extubation and unsuccessful extubation. Results: With a p-value of <0.001, a high DE after extubation was linked to extubation success. Extubation failure was linked to lower DTF before and after extubation, with a p-value of 15 had 100% sensitivity, 85.06% specificity, 70.5 PPV and 100% NPV with p-value 20.4 had 93.55% sensitivity, 93.55% specificity, 93.5% PPV, and 93.5% NPV with p-value Conclusion: Diaphragm ultrasound evaluation of DTF and DE is a simple new weaning index which can be used as a bedside technique in clinical practice and has promising predictors of weaning success or failure before and after extubation.


Early Versus Delayed Umbilical Cord Clamping During Cesarean Section Of Pregnant Women With Preeclampsia: Maternal And Neonatal Outcome, Ahmed Korkor, Mofeed Mohamed, Mohamed Abdelmoaty Dec 2022

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 …


Prediction Of Fetal Hypoxia By Ductus Venosus Doppler Pattern In High-Risk Pregnancies, Waleed Orwa, Abdelrahman Anbar, Ahmed Mohamed Dec 2022

Prediction Of Fetal Hypoxia By Ductus Venosus Doppler Pattern In High-Risk Pregnancies, Waleed Orwa, Abdelrahman Anbar, Ahmed Mohamed

Al-Azhar International Medical Journal

Background: Ductus venosus doppler has effective role in treatment of disorders that put the fetus at risk of cardiovascular diseases. In antenatal assessment, Doppler ultrasonography is increasingly being used to evaluate the blood flow volume rate in vessels during the cardiac cycle in the fetoplacental, uteroplacental circulation. Aim of the work: To discover if ductus venosus Doppler velocimetry may give earlier prediction of fetal hypoxemia than umbilical and middle cerebral artery blood doppler velocity in high-risk pregnancy or not. Patients and methods: According to the inclusion criteria, 60 pregnant women after the age of fetal viability (28 weeks of pregnancy) …


Study Of Sacroiliac Fixation In Patients With Sacroiliitis Associated With L5 Lythesis, Ahmed Gabal, Hany Zahy, Ibrahim Ewis Dec 2022

Study Of Sacroiliac Fixation In Patients With Sacroiliitis Associated With L5 Lythesis, Ahmed Gabal, Hany Zahy, Ibrahim Ewis

Al-Azhar International Medical Journal

Background: Chronic low back discomfort is frequently brought on by the sacroiliac joint. The SIJ may be involved in 15–30% of patients who attend for examination of low back pain. Aim of the work: This study evaluates sacroiliac fixation in patients with sacroiliitis associated with L5 lythesis. Patients and methods: In this prospective and retrospective study, 10 individuals with spinal disorders were examined. Ten patients with mechanical sacroiliac joint discomfort underwent sacroiliac joint fixation. Results: Overall, this series' results showed that 7 patients (or 70%) had fully resolved their problems, 2 patients (or 20%), partially improved, and 1 patient (or …


Efficacy And Safety Of Yag Laser Vitreolysis For Symptomatic Vitreous Floaters, Mohamed Mannaa, Adel Osman, Ehab Elsheikh Dec 2022

Efficacy And Safety Of Yag Laser Vitreolysis For Symptomatic Vitreous Floaters, Mohamed Mannaa, Adel Osman, Ehab Elsheikh

Al-Azhar International Medical Journal

Background: The symptoms of patients with vitreous floaters are frequently underestimated, leading to no intervention. The majority of patients who have floaters receive conservative therapy that includes patient education and reassurance. On the other hand, more severe instances can necessitate pars plana vitrectomy or YAG laser vitreolysis. The potential for conducting vitreolysis using an Nd: YAG laser has arisen as an alternate therapy to avoid the complications of vitrectomy. Aim of the study: the study aimed to evaluate the safety and effectiveness profile of YAG laser vitreolysis as a modality of therapy for symptomatic vitreous floaters. Patients and methods: A …


The Correlation Of The Placental Thickness, Umbilical Artery Doppler And Fetal Growth, Hanaa Salman, Faisal Mustafa, Sileem Sileem Dec 2022

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.


A Cross-Sectional Analysis Of The Relationship Between Tinnitus Functional Index And Anxiety And Depression Disorders In Tinnitus Patients With Normal Hearing, Heba Ghannoum, Reham El Shafei, Eman Basiouny Dec 2022

A Cross-Sectional Analysis Of The Relationship Between Tinnitus Functional Index And Anxiety And Depression Disorders In Tinnitus Patients With Normal Hearing, Heba Ghannoum, Reham El Shafei, Eman Basiouny

Al-Azhar International Medical Journal

Background: There is a substantial prevalence of psychopathology of anxiety or depression, and several mental problems in many tinnitus groups. Aim of The Work: To use the Tinnitus Functional Index (TFI) as a valid scale for assessing the overall severity of tinnitus and detailed analysis of multiple severity domains, and correlating it to The Hospital Anxiety and Depression Scale (HADS) scores , This to establish a potential correlation between tinnitus and anxiety and depressive disorders to improve tinnitus clinical implications and rehabilitation. Subjects and Methods: A cross-sectional study design was designed to explore the prevalence of psychological disorders among patients …


Effect Of Manufactured Fat Emulsion Infusion On Protein Loss In Burn Patients (Randomized Controlled Study), Ahmed Elsodany, Ahmed Salim, Yasser Helmy Dec 2022

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 …


Study Of Laparoscopic Nissen Versus Anterior Partial Fundoplication In Management Of Gastro Esophageal Reflux Disease In Children, Mahmoud Ghaly, Mohammed Ellithy, Ibrahim Gamaan Dec 2022

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 …


Total Arterial Revascularization Versus Conventional Coronary Artery Bypass Grafting; A Comparative Study, Mosaad Elgharabawi, Elhusseiny Gamil, Mohamed Mahmoud, Bahaa El Khonizy Dec 2022

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) …