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Al-Azhar International Medical Journal

Journal

2022

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Articles 271 - 300 of 324

Full-Text Articles in Medicine and Health Sciences

Urinary Tract Injuries During Obstetric And Gynecologic Surgeries: Rates And Management Outcome At Two High-Volume Centers In A Developing Country, Ahmed Solyman, Aly Gomaa, Abdullah Zaki, Mahmoud Ali, Hasan Ismail, Mohammed Hindawy, Mohammed El-Feky, Hasan Abdelazim, Hani Abdelaal, Ahmed Abdelraouf Mar 2022

Urinary Tract Injuries During Obstetric And Gynecologic Surgeries: Rates And Management Outcome At Two High-Volume Centers In A Developing Country, Ahmed Solyman, Aly Gomaa, Abdullah Zaki, Mahmoud Ali, Hasan Ismail, Mohammed Hindawy, Mohammed El-Feky, Hasan Abdelazim, Hani Abdelaal, Ahmed Abdelraouf

Al-Azhar International Medical Journal

Background: Iatrogenic genitourinary trauma can result from various obstetric (Obst) and Gynecologic (Gyn) surgeries. Aims: To evaluate the rate and management outcome of urinary tract (UT) injuries caused by Obst/Gyn surgeries at two tertiary care centers in a developing country. Patients and Methods: In this study, we reviewed the files of all patients with UT injuries due to Obst/Gyn surgeries managed in the past 6 years at two tertiary care centers in Egypt. Types of Obst/Gyn surgeries and UT injuries, time at diagnosis, associated factors, and management outcome were evaluated. Results: The study included 103 patients. The UT injuries were …


Comparative Study Of Ultrasound And Mri In Diagnosis And Assessment Of Shoulder Impingement Syndrome, Hatem Abbass, Yousef Fahim, Mohamed Ibrahim Mar 2022

Comparative Study Of Ultrasound And Mri In Diagnosis And Assessment Of Shoulder Impingement Syndrome, Hatem Abbass, Yousef Fahim, Mohamed Ibrahim

Al-Azhar International Medical Journal

Background: When the arm was lifted, the rotator cuff, subacromial bursa, and biceps tendon pressed on the underside of the acromion and coracoacromial ligament, causing shoulder impingement. There are two sorts of impingements: intrinsic and extrinsic. As a result of the degenerative process brought on by excessive strain, intrinsic impingement produces a partial or full rupture of the rotator cuff tendons. Extrinsic impingement occurs when outside causes apply mechanical pressure on the tendons, causing irritation or degeneration. Objective: Using MR imaging as a gold standard, assess and compare the effectiveness of high-resolution ultrasonography and magnetic resonance imaging in identifying subacromial …


Multi-Detector Computed Tomography Versus Upper Gastrointestinal Endoscopy In Diagnosis And Grading Of Esophageal Varices In Egyptian Cirrhotic Patients, Mahmoud Ali, Mohammed Afify, Osama Abdelrazek, Mohamed Elfeshawy, Ahmed Abdelnaby Mar 2022

Multi-Detector Computed Tomography Versus Upper Gastrointestinal Endoscopy In Diagnosis And Grading Of Esophageal Varices In Egyptian Cirrhotic Patients, Mahmoud Ali, Mohammed Afify, Osama Abdelrazek, Mohamed Elfeshawy, Ahmed Abdelnaby

Al-Azhar International Medical Journal

Background: Cirrhosis is often complicated by esophageal varices (EVs). The use of upper GI endoscopy (EGD) as a screening method is limited regarding invasiveness, expensive, needs sedation as well as patient's poor acceptance of the procedure. In contrast, Multidetector Computed Tomography (MDCT) imaging is non-invasive, does not necessitate sedation, and allows accurate assessment of variceal site and size. It is also better tolerated by patients than EGD. Aim of the work: To assess the efficacy of MDCT in evaluating the EVs. Patients and method: A prospective cross-sectional study was carried out. in the hepatogastroenterology and infectious disease department and department …


Comparative Study Between Milligan Morgan Haemorrhoidectomy And Laser Ablation For The Management Of Third And Fourth Degree Of Hemorrhoids, Mohamed Nagdy Mar 2022

Comparative Study Between Milligan Morgan Haemorrhoidectomy And Laser Ablation For The Management Of Third And Fourth Degree Of Hemorrhoids, Mohamed Nagdy

Al-Azhar International Medical Journal

Background: In were comparative study, using a hemorrhoid laser process (LHP) was found to be more successful, easy to use, noninvasive, non-toxic, painless, and extremely effective. Aim of the study: to compare the safety, efficacy, and benefits and complication between Laser-operative technique and the open-operative technique (Milligan Morgan) for the treatment of patients suffering from haemorrhoids of third and fourth degree. Patients and Methods: In this research, 30 patients were included with third and fourth degree of hemorrhoids. The included patients were partitioned into two groups. In Group (I): included fifteen patients that managed by using LHP operative technique, and …


Evaluation Of The Outcome And Toxicity In Patient With Colon Cancer Treated With Chemotherapy (Retrospective Study), Islam Salama, Mohsen Zekry, Hesham Alabady Mar 2022

Evaluation Of The Outcome And Toxicity In Patient With Colon Cancer Treated With Chemotherapy (Retrospective Study), Islam Salama, Mohsen Zekry, Hesham Alabady

Al-Azhar International Medical Journal

Background: Colo-rectal cancer (CRC) is the third most frequent cancer in the world, and the fourth greatest cause of cancer-related death. Surgery is followed by adjuvant chemo-therapy with either single agent capecitabine or a mixture therapy, chemotherapy toxicity might damage a cancer patients quality of life and lead to treatment cessation early. Hematological, gastrointestinal, constitutional, dermatological, and neurological toxicity are all common. Aim of the Work: To measure and evaluate chemotherapy toxicity in Colon patients undergoing adjuvant and metastatic treatment. Patients and Methods: This was retrospective stud y involved 158 cases of colon cancer established adjuvant and palliative chemotherapy and …


Sublingual Misoprostol Prior To Intra Uterine Contraceptive Device Insertion In Women With Previous Cesarean Section Who Had Never Delivered Vaginally, Waleed Shawky, Bassem Abdel-Aziz, Mohamed Ismail Mar 2022

Sublingual Misoprostol Prior To Intra Uterine Contraceptive Device Insertion In Women With Previous Cesarean Section Who Had Never Delivered Vaginally, Waleed Shawky, Bassem Abdel-Aziz, Mohamed Ismail

Al-Azhar International Medical Journal

Background: One of the reversible effective contraceptives is intrauterine contraceptive devices (IUCDs). However, the expensive cost in certain contexts and the fear of discomfort during insertion restrict its usage. Lack of training, concern of inflicting pain during the operation, and problems during the procedure that may result in insertion failure are among the barriers to its usage for healthcare professionals. Aim and objectives: The goal of this research was to see how effective sublingual misoprostol before IUCD insertion was in reducing discomfort, complications, and facilitating IUCD insertion in women who had previously undergone CS but had never delivered vaginally. Subjects …


Evaluation Of Intralesional Injection Of Platelet Rich Plasma Compared With Mitomycin-C Plus Dexamesathone In Treatment Of Peyronie’S Disease, Ahmed Farrag, Ahmad Awwad, Abdel Raouf Al Mohsen, Sameh Fahmy, Magdy Hassan Mar 2022

Evaluation Of Intralesional Injection Of Platelet Rich Plasma Compared With Mitomycin-C Plus Dexamesathone In Treatment Of Peyronie’S Disease, Ahmed Farrag, Ahmad Awwad, Abdel Raouf Al Mohsen, Sameh Fahmy, Magdy Hassan

Al-Azhar International Medical Journal

Background: Peyronies disease (PD) is a physically and psychologically debilitating illness marked by a fibrous inelastic tunica albugenia scar that results in a visible penile scar and deformity. Objective: In order to assess the efficacy of intralesional injection of platelet rich plasma to Mitomycin-C with Dexamesathone in the treatment of Peyronie's Disease, researchers conducted a study. Patients and methods: This study was Prospective interventional randomized comparative trial carried out on adult's male Patients with Peyronie's disease who visited the Andrology outpatient clinic, Kasr El Aini Hospital, and Cairo University. Only 50 patients with Peyronie's disease were included in the first …


Use Of Preputial Autograft For Staged Repair Of Primary Proximal Hypospadias With Ventral Curvature, Eslam Eltanahy, Ashraf Seddek, Yasser Mohammed, Sobhy Teama Mar 2022

Use Of Preputial Autograft For Staged Repair Of Primary Proximal Hypospadias With Ventral Curvature, Eslam Eltanahy, Ashraf Seddek, Yasser Mohammed, Sobhy Teama

Al-Azhar International Medical Journal

Background: proximal hypospadias with sever ventral curvature is a challenging condition. some surgeons prefer to use one-stage repair to provide the advantages of minimizing operative trauma, allowing the use of unscarred skin however others preferred to use two-stages repair, to avoid complications such as urethrocutaneous fistula, urethral strictures or recurrence .This study is aimed to evaluate the outcomes of the two-stages repair using a free preputial graft in patients with primary proximal hypospadias with ventral curvature (VC) 30 degrees or greater. Patients and Methods: This research was a forward-looking case study conducted during the period from December 2020 to December …


Evaluation Of Intralesional Injection Of Botulinum Toxin Type A, Methotrexate, And Verapamil In Treatment Of Keloids: A Preliminary Study, Mohamed Reihan, Mostafa Meky, Mohamed Fareed Mar 2022

Evaluation Of Intralesional Injection Of Botulinum Toxin Type A, Methotrexate, And Verapamil In Treatment Of Keloids: A Preliminary Study, Mohamed Reihan, Mostafa Meky, Mohamed Fareed

Al-Azhar International Medical Journal

Abstract Background: Keloids are due to overgrowth of dermal collagen following trauma to the skin that usually cause major physical, psychological and cosmetic problems. Intralesional injection treatments show promising results and many agents have been used as single treatments or in combination to get the best result. Patients and Methods: This is a prospective comparative non-randomized clinical study including 20 patients with 30 keloid lesions divided into 3 groups A, B and C including 10 lesions each. Group A received intralesional injection of Botulinum toxin Type A (BTX-A) 2 U/cm2, Group B was treated with Methotrexate (MTX) 1 mg/cm2 and …


Thin Anterolateral Thigh Perforator Flap In Upper Limb Reconstruction, Marwa Abd Allha, Mohamed Elmarakby, Mostafa Mikki, Ayman Altramsy Mar 2022

Thin Anterolateral Thigh Perforator Flap In Upper Limb Reconstruction, Marwa Abd Allha, Mohamed Elmarakby, Mostafa Mikki, Ayman Altramsy

Al-Azhar International Medical Journal

Abstract Objective: The aim of this study was to assess the functional and aesthetic outcomes of the thin anterolateral thigh perforator flap in upper extremity soft defects. Background: Upper extremity soft tissue defects require a single-stage surgery that enables prompt, well-vascularized covering in order to get the best functional outcome. Patients and methods: This follow-up study, which included 20 patients (15 male and 5 female), was conducted at Al-Azhar University Hospitals' Plastic and Reconstructive Surgery Department between July 2018 and October 2021. All patients were evaluated for their aesthetic and functional outcomes at 6 months post-operatively. In 16 cases, the …


Study Of Medical Complications In Prediabetics, Mohamed Abdel-Hady, Mohamed Nabil Rafat, Mohamed Attia, Ahmed Assem Mar 2022

Study Of Medical Complications In Prediabetics, Mohamed Abdel-Hady, Mohamed Nabil Rafat, Mohamed Attia, Ahmed Assem

Al-Azhar International Medical Journal

Background: The effectiveness of identifying individuals with pre-diabetes to prevent type 2 diabetes has been intensely debated. Clinical trials demonstrating that lifestyle modification and drug-based interventions could prevent or delay progression to type 2diabetes provide some robust evidence. Aim of the work: The aim of this work was to study and early discover early complications either microvascular or macrovascular in both patients of prediabetes and medical syndrome. Patients and methods: This study was a prospective case control study carried out at Al-hussein university hospital. This study included 30 patients with prediabetes (group A), 50 patients with type 2 DM (group …


Effect Of Clomiphene Citrate On The Kidney Of Female Albino Rat And The Possible Protective Effect Of Ascorbic Acid (Light And Electron Microscopic Study), Alaa Eldeen Al Sagheer, Hassan Kaabo Mar 2022

Effect Of Clomiphene Citrate On The Kidney Of Female Albino Rat And The Possible Protective Effect Of Ascorbic Acid (Light And Electron Microscopic Study), Alaa Eldeen Al Sagheer, Hassan Kaabo

Al-Azhar International Medical Journal

ABSTRACT Background Clomiphene Citrate (CC), a selective estrogen-receptor modulator is used to manage polycystic ovary syndrome, but it has harmful implications Aim and objectives: To identify the histological results of CC on the kidneys of female albino rats and the protective effects of ascorbic acid Material and methods: Forty-eight adult female albino rats were selected for this 21-days experiment. They were randomly divided into equal four groups. Group (I): control group, Group (II): given Ascorbic acid (25mg per Kg. BW) daily for 21 days, Group (III): given orally Clomiphene Citrate (1.2 mg per Kg. BW) daily for 21days, Group (IV): …


Efficacy Of Nano Fat Versus Non-Enzymatic Stromal Vascular Fraction In The Treatment Of Androgenetic Alopecia., Ibrahim Elnokrashy, Shady Attia, Mahamed El-Khalawany Mar 2022

Efficacy Of Nano Fat Versus Non-Enzymatic Stromal Vascular Fraction In The Treatment Of Androgenetic Alopecia., Ibrahim Elnokrashy, Shady Attia, Mahamed El-Khalawany

Al-Azhar International Medical Journal

Abstract Background: Androgenic alopecia is a common condition that is defined by the progressive conversion of terminal hairs to villus hairs in a unique distribution in both males and females. Therefore, autologous fat injection is tried as a new promising treatment for AGA. Material and Methods: A prospective randomized controlled study was done among 30 patients have androgenic alopecia from February 2021 to October 2021. .Patients were separated into two groups of equal size; Group A which is treated by autologous Nanofat injection and Group B which is treated by stromal vascular fraction injection. Results: The present study showed great …


Comparative Study Between Rhomboid Flap And De-Epithelization Technique In Management Of Pilonidal Sinus, Muhamed Elsayed, Mohamed Elkordy, Sobhy Teama Feb 2022

Comparative Study Between Rhomboid Flap And De-Epithelization Technique In Management Of Pilonidal Sinus, Muhamed Elsayed, Mohamed Elkordy, Sobhy Teama

Al-Azhar International Medical Journal

Background: De-epithelialization is a surgical procedure that has been used effectively in mammaplasty by plastic and reconstructive surgeons since the 1970s. This method has been utilised in a variety of specialty fields for a variety of uncommon indications. Aim of the Work: To compare between de epithelization technique and rhomboid flap in management of pilonidal sinus. Patients and Methods: This comparative study was conducted at Department of General Surgery in Al azhar university hospitals. This study carried out on 30 consecutive patients with sacrococcygeal pilonidal sinus. Results: The included 30 patients (15 patients in each group) the mean age of …


Short –Term Outcome Of Off Pump Versus On Pump Coronary Artery Bypass Grafting, Ahmed Abdo, Elhusseiny Gamil, Khaled Farrag, Mohamed Housieny Feb 2022

Short –Term Outcome Of Off Pump Versus On Pump Coronary Artery Bypass Grafting, Ahmed Abdo, Elhusseiny Gamil, Khaled Farrag, Mohamed Housieny

Al-Azhar International Medical Journal

Background: while cardiopulmonary bypass (CPB) has mainly been used to conduct the procedure of coronary artery bypass grafting (CABG) (On-pump CABG), CABG without cardiopulmonary bypass (off-pump CABG) may help limiting a number of known heart-lung machine's complications. Objective: to compare short term outcomes of both procedures (off-pump versus on-pump coronary artery bypass graft) in terms of efficiency and safety. Patients and Methods: this prospective randomized study was dedicated to assess the implementation of cardiopulmonary bypass in the cardiothoracic departments of both El Hussein and MKH Hospitals from August 2017 to July 2019. Results: regarding intraoperative data, operation time and the …


Role Of Vaginal Misoprostol Prior To Levonorgestrel-Releasing Iud Insertion, Sameh Salama, Emad Eltemamy, Mazen Abdel-Rasheed, Ehab Salama Feb 2022

Role Of Vaginal Misoprostol Prior To Levonorgestrel-Releasing Iud Insertion, Sameh Salama, Emad Eltemamy, Mazen Abdel-Rasheed, Ehab Salama

Al-Azhar International Medical Journal

Objectives: We aimed to assess the effect of receiving vaginal misoprostol before Levonorgestrel-releasing intrauterine device (Mirena IUD) insertion regarding the easiness of insertion and pain score. Methods: We studied 113 women who used the Mirena IUD for contraception, divided into three groups, and received vaginal tablets 4 hours before Mirena IUD insertion. Group 1(n37) received vaginal placebo tablets, group 2 (n38) received 200mcg vaginal misoprostol, group 3 (n 38) received 400mcg vaginal misoprostol. Results: Compared to group 1 (placebo group), Mirena IUD insertion in group 2 and group 3 (misoprostol groups) was significantly easier (P=0.027 and 0.007, respectively) and expressed …


Comparative Study Between Bupivacaine Versus Bupivacaine With Pethidine In Bilateral Transversus Abdominis Plane Block For Postoperative Pain Relief In Patients Undergoing Cesarean Deliveries, Ahmed Abd El Monem, Mostafa Mostafa Shalaby, Ahmed Elnaggar Feb 2022

Comparative Study Between Bupivacaine Versus Bupivacaine With Pethidine In Bilateral Transversus Abdominis Plane Block For Postoperative Pain Relief In Patients Undergoing Cesarean Deliveries, Ahmed Abd El Monem, Mostafa Mostafa Shalaby, Ahmed Elnaggar

Al-Azhar International Medical Journal

Background: Among the most prevalent surgical procedures in the world is the cesarean section (CS). Postoperative analgesia is too important to prevent unwanted side effects like venous thromboembolism, respiratory complications, and a longer stay in the hospital. Pethidine was used as adjuvants to local anesthesia to improve the quality of TAP block for caesarian section. Objective: To evaluate and compare the effects of pethidine in combination with bupivacaine on the quality of the TAP block for caesarian sections. Patients and methods: A total of 60 patients with American Society of Anesthesiologists (ASA) physical status I or II who were scheduled …


Histopathological And Biochemical Study Of Toxic Effects Of The Chronic Administration Of Bisphenol A On The Pituitary And Thyroid Glands Of Adult Albino Rats, Abdo Hamed, Fouad El Dabbah, Ashraf Hassan, Ahmed Elshoura, Nasser Omar Feb 2022

Histopathological And Biochemical Study Of Toxic Effects Of The Chronic Administration Of Bisphenol A On The Pituitary And Thyroid Glands Of Adult Albino Rats, Abdo Hamed, Fouad El Dabbah, Ashraf Hassan, Ahmed Elshoura, Nasser Omar

Al-Azhar International Medical Journal

Background: Bisphenol A (BPA) is one of the highest production volume chemicals that is frequently used in consumer products based on polycarbonate plastic and epoxy resins including children's toys, plastic bottles, plastic food containers, and medical equipment. Objective: To demonstrate the possible chronic toxic effect (biochemical & histopathological) of bisphenol A on pituitary and thyroid glands of adult albino rats. Material and Methods: One hundred adult healthy albino rats weighing 180 – 220 g were acquired from the animal house, Assiut University, Egypt. The animals were classified into five groups; group (1): ten adult albino rats, received normal feeding for …


Comparative Study Between Ultrasound Guided Quadratus Lumborum Plane Block Versus Ultrasound Guided Erector Spinae Plane Block For Postoperative Pain Relief In Patients Undergoing Elective Caesarean Section, Mohamed Elkotory, Gamal Amer, Mohamed El Badawy Feb 2022

Comparative Study Between Ultrasound Guided Quadratus Lumborum Plane Block Versus Ultrasound Guided Erector Spinae Plane Block For Postoperative Pain Relief In Patients Undergoing Elective Caesarean Section, Mohamed Elkotory, Gamal Amer, Mohamed El Badawy

Al-Azhar International Medical Journal

Background: For elective cesarean birth, the anesthetic technique of preference is neuraxial anesthesia (primarily spinal anaesthesia). Adequate postsurgical analgesia is a key component of ERAS protocols; it's much more important for women who are having a cesarean birth, and it's quickly acquiring popularity. Aim of the Work: The purpose of this study is to assess the effectiveness of quadrates lumborum plane block versus Erector Spinae Plane Block as a post-operative analgesic following cesarean section. Patients and Methods: A prospective randomized controlled single-blinded clinical research study on 50 patients aged 22 to 35 years old was conducted at Al-Azhar University hospitals …


Potential Effect Of Chia Seeds Crude Extract Nanoparticles On Mcf-7 Breast Cancer Cell Line, Nehad Shaer, Nouf Al-Abbas Feb 2022

Potential Effect Of Chia Seeds Crude Extract Nanoparticles On Mcf-7 Breast Cancer Cell Line, Nehad Shaer, Nouf Al-Abbas

Al-Azhar International Medical Journal

Background: Cancer of breast is one of the most popular causes of cancer- related mortality in women. It is a famous condition between women in Saudi arabia, with 21.8% incidence It is rated the second women cancer and its rate is expected to increaseto increase over the next few years. Aim of the Work: focusing on increase the bioavailability of Chia seeds (Chs) and increase its efficiency against breast cancer using nano delivery system. Materials and Methods: Preparation of Chia seeds PLGA-PEG nanoparticles and characterize with Transmission Electron Microscope (TEM), Entrapment efficiency measurement and Particle size distribution with zeta potential …


Comparative Study Between Type Ii And Type Iii Ultrasound-Guided Quadratus Lumborum Block For Anlgesia After Cesarean, Ahmed Megawer, Abdallah El Sheikh, Ahmed Elnaggar Feb 2022

Comparative Study Between Type Ii And Type Iii Ultrasound-Guided Quadratus Lumborum Block For Anlgesia After Cesarean, Ahmed Megawer, Abdallah El Sheikh, Ahmed Elnaggar

Al-Azhar International Medical Journal

Background: Neuraxial anaesthesia (mainly spinal anaesthesia) is the anaesthetic technique of choice for elective cesarean delivery. Sufficient postoperative analgesia is an integral component of Enhanced Recovery After Surgery (ERAS) protocols; it supposes greater importance in women undergoing cesarean delivery and is rapidly gaining popularity. Aim of the Work: This study investigates postoperative analgesic efficacy after cesarean section of two different approaches of quadratus lumborum block; posterior (QLB 2) and anterior (QLB 3) approaches compared to the conventional intravenous. Patients and Methods: A prospective double-blinded randomised controlled clinical study in Al-Azhar university hospitals in Cairo on 102 patients aged 21 to …


Comparative Study Between The Diagnostic Accuracy Of 3d Ultrasound And Hysteroscopy In Patients With Premenopausal Uterine Bleeding, Mohammed Ahmed, Ashraf Mohamed, Emad El Tammamy Feb 2022

Comparative Study Between The Diagnostic Accuracy Of 3d Ultrasound And Hysteroscopy In Patients With Premenopausal Uterine Bleeding, Mohammed Ahmed, Ashraf Mohamed, Emad El Tammamy

Al-Azhar International Medical Journal

Background: Abnormal uterine bleeding is a common reason for gynecological visits and a significant cause for anemia in perimenopausal women which should be investigated properly. Objective: To compare the diagnostic accuracy of 3D U/S and hysteroscopy in detecting uterine lesions in cases of perimenopausal bleeding. Patients and methods: The study included 100 patients from the outpatient Gynecological Clinic, Al Hussein, Al Sayed Galal Hospitals Al-Azhar University during the period starting from October 2019 till May 2021. All patients were suffering from pre-menopausal bleeding and were between 41 and 50 years old. Results: Hysteroscopy detected adenomyosis in 0cases (0%), fibroid in …


Ultrasound Comparative Study Between Trans-Cerebellar Diameter With Bi-Parietal Diameter And Femur Length For Gestational Age Measurement In Second Trimester Of Pregnancy, Ali Aboshehata, Esmail Elgarhy, Ahmed Amer Feb 2022

Ultrasound Comparative Study Between Trans-Cerebellar Diameter With Bi-Parietal Diameter And Femur Length For Gestational Age Measurement In Second Trimester Of Pregnancy, Ali Aboshehata, Esmail Elgarhy, Ahmed Amer

Al-Azhar International Medical Journal

Background: It is important to detect gestational age in order to better pregnancy and fetal outcome management. Several biometric measures were indicated to be reliable in measuring gestational age. Aim of the Work: to assess the accuracy of trans-cerebellar diameter (TCD) measurement in estimation of the gestational age during the second trimester of pregnancy compared to current fetal biometric measurements of femur length (FL) and bi-parietal diameter (BPD) according to last menstrual period (LMP). Patients and Methods: This observational study included 200 cases in their second trimester of pregnancy. They were recruited and assessed for eligibility from at the outpatient …


Using Tapse Versus Speckle Tracking In Assessment Of Right Ventricular Function In Healthy Heavy Chronic Cigarette Smokers, Mohamed Abdo, Ali El Amin Abdelmeguid, Ahmed Faheem Abdo Feb 2022

Using Tapse Versus Speckle Tracking In Assessment Of Right Ventricular Function In Healthy Heavy Chronic Cigarette Smokers, Mohamed Abdo, Ali El Amin Abdelmeguid, Ahmed Faheem Abdo

Al-Azhar International Medical Journal

Background Smoking increases risks of cardiovascular mortality and morbidity by multiple potential mechanisms. The right ventricle hasn’t been well studied in the healthy heavy smokers’ population in which chest causes of right ventricle dysfunction hasn’t progressed yet. Aim to evaluate right ventricular functions in healthy heavy chronic cigarette smokers using conventional echocardiography (measuring TAPSE) and speckle tracking echocardiography as a non-invasive method of assessment. Patients and methods All participants were subjected to clinical examination, spirometry and oxygen saturation analysis, ECG, a full echocardiographic study focusing on the right ventricle, right atrium parameters and speckle tracking. Results The enrolled population were …


Assessment Of Right Ventricular Function Using 2d Speckle Tracking Echocardiography In End Stage Renal Disease Patients On Regular Dialysis.., Yahia Yahia, Yasser Mohamed, Hani Khalaf Feb 2022

Assessment Of Right Ventricular Function Using 2d Speckle Tracking Echocardiography In End Stage Renal Disease Patients On Regular Dialysis.., Yahia Yahia, Yasser Mohamed, Hani Khalaf

Al-Azhar International Medical Journal

Background: Chronic kidney disease (CKD) seems to be a serious issue which is becoming increasingly prevalent worldwide. The prevalence of hypertension, DM, and cardiovascular illnesses all contribute to an increase in the burden of CKD. Aim of the Work: Utilizing 2D speckle tracking echocardiography as a noninvasive and quantitative method to evaluate the function of the RV in chronic hemodialysis patients. Patients and Methods: This research compared 50 chronic hemodialysis patients (group I) referred to the Department of Cardiology at Sayed Galal University Hospital to 10 healthy individuals (group II) of matched age and gender. They were assessed for baseline …


Role Of Laparoscope In Staging And Palliation Of Upper Gastro-Intestinal Malignancies., Ahmed Gamal, Mohammed Arafat Abdel-Maksoud, Osama Fathy Al-Mezaien Feb 2022

Role Of Laparoscope In Staging And Palliation Of Upper Gastro-Intestinal Malignancies., Ahmed Gamal, Mohammed Arafat Abdel-Maksoud, Osama Fathy Al-Mezaien

Al-Azhar International Medical Journal

Background: In upper GIT malignancies, staging laparoscopy (SL) plays an important role. It is particularly accurate in detecting peritoneal seeding and hepatic metastases that imaging techniques cannot detect. A short SL conducted right before the proposed surgical procedure to confirm operability has been found to be both safe and efficient, and it doesn't have to be done separately. Objective: The purpose of this research is to discuss the function of the laparoscope in proper staging of upper gastro-intestinal malignancies. Patients and Methods: This prospective, randomized research has been performed at the Department of General Surgery, Al-Azhar University Hospitals, Cairo, Egypt. …


Anatomical Characteristics And Variant Of Prostatic Artery By Digital Subtraction Angiography Relevant To Prostatic Artery Embolization, Ahmed Makram, Amr Zayed, Hussain Roshdy Feb 2022

Anatomical Characteristics And Variant Of Prostatic Artery By Digital Subtraction Angiography Relevant To Prostatic Artery Embolization, Ahmed Makram, Amr Zayed, Hussain Roshdy

Al-Azhar International Medical Journal

Background: Embolization of the prostatic artery in patients with benign prostatic hyperplasia (BPH) in is a new treatment, understanding the architecture of the artery supplying the prostatic is crucial to success. Objective: Using digital subtraction angiography (DSA) to define the anatomical features and variations of the PA. Patients and methods: This research were performed on thirty patients presented to the Interventional Radiology Unit, Sayed Galal university hospital using, DSA, Dyna-CT and 3D reconstruction. Results: The thirty patients age ranged from 53 to 75 years with mean ± SD equaled 63.17 ± 5.78, the prostatic volume of patients ranged from 40 …


Correlation Of Ultrasound Guided Measurement Of Inferior Vena Cava Diameter To Central Venous Pressure To Assess The Volume Status In Septic Shock Of Mechanically Ventilated Patients, Muhammad Mahrous, Anwar Al Hassanin, Mostafa Sabra Feb 2022

Correlation Of Ultrasound Guided Measurement Of Inferior Vena Cava Diameter To Central Venous Pressure To Assess The Volume Status In Septic Shock Of Mechanically Ventilated Patients, Muhammad Mahrous, Anwar Al Hassanin, Mostafa Sabra

Al-Azhar International Medical Journal

Background: In the intensive care unit, making decisions about fluid treatment is one of the most difficult tasks that physicians encounter on an everyday basis. Nearly all physicians concur that hypovolemia and volume overload both raise morbidity and mortality. Increasing preload, or stressed venous volume is the therapeutic goal of fluid administration, which leads to a higher stroke volume and cardiac output. Objective: The purpose of this research was to see if there was a relationship between measurements of central venous pressure (CVP) and ultrasound measurements of the inferior vena cava collapsibility index(IVC CI), in the assessment of intravascular volume …


Effect Of Endoscopic Septoturbinal Surgery In Management Of Contact Headache, Ahmed Abdelaal, Hatem Elhabashy, Mohamed Amin Feb 2022

Effect Of Endoscopic Septoturbinal Surgery In Management Of Contact Headache, Ahmed Abdelaal, Hatem Elhabashy, Mohamed Amin

Al-Azhar International Medical Journal

Background: ABSTRACT Background: There are numerous causes for headache due to underlying local and systemic disorders. A rhinogenic headache that is studied here is a pain of the face and head caused by an intranasal contact mucosal point without any inflammation or tumour. Objective: assessment the value of endoscopic septoturbinal surgery in management of contact mucosal points Patients and methods : This a prospective cohort study done on 30 patients between May 2020 to June 2021 ,who had rhinogenic headache and did not had any nasal or paranasal sinus pathology nor other local or systemic causes were included in our …


Comparative Study Between Open Surgical Technique Versus Laparoscopic Appendectomy In Complicated Appendicitis, Adel Mohamed, Ashraf Abd El-Moneim, Mohammed Emam Feb 2022

Comparative Study Between Open Surgical Technique Versus Laparoscopic Appendectomy In Complicated Appendicitis, Adel Mohamed, Ashraf Abd El-Moneim, Mohammed Emam

Al-Azhar International Medical Journal

Background; The benefits of diagnostic and therapy in a single procedure with minimal morbidity are combined in the laparoscopic appendectomy (LA). Furthermore, the entire abdomen may be visualized to exclude any additional pathology that may be present. Patients are likely to experience less postsurgical pain, get discharged from the hospital, and come back to normal activities and employment sooner than those who have undergone open appendectomy (OA). Objective: To compare between Laparoscopic and open appendectomy in complicated appendicitis. Subjects and methods: This study was a prospective study involving 40 patients who were suspected of having complicated acute appendicitis in the …