Medicine and Health Sciences Commons^™

Using Of Fragment Specific Plate 2.5 Millimetre In Cases Of Distal Radius Fracture, Ibrahim Ahmed Hussien, Amro Ahmed Fouaad, Ahmed Samy Al-Noamany

Al-Azhar International Medical Journal

Background: Fractures of the distal radius inside the joint are a common injury. Whether caused by high-energy trauma or, more commonly among the elderly and those with osteoporosis, low-energy trauma, these fractures tend to be unstable and require immediate medical attention. The use of external fixators for intra-articular distal radius fractures has been supplanted by the use of internal fixators. Aim and objectives: to examine the radiological and clinical results of treating distal radius fractures that occurred on the dorsum of the individual's right and left arms (dorsal or dorso-radial) using a fragment-specific plate (2.5 mm). Subjects and methods: Hospitals …

Comparative Study Between Radical Hysterectomy With Or Without Pelvic Lymphadenectomy For Stage Ii Endometrial Carcinoma, Mohamed Esmat Abdelghany, Ahmed El Sayed Mohamed Abdelrahman, El-Sayed Ragab Mostafa Abdelghany

Al-Azhar International Medical Journal

Background: The removal of the uterus by surgical procedures is the standard treatment for endometrial cancer, which is the most common type of malignant gynecological tumor. Surgery for early-stage endometrial cancer often involves a total abdominal hysterectomy and bilateral salpingo-oophorectomy, with or without bilateral pelvic/para-aortic lymphadenectomy. In some cases, the patient may also have bilateral pelvic lymphadenectomy. Aim and objectives: The objective of the study is to evaluate the efficacy of radical hysterectomy with or without pelvic lymphadenectomy in the treatment of stage II endometrial cancer. Both approaches were examined in terms of the adverse effects they produced, as well …

A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem

Al-Azhar International Medical Journal

Objectives: To assess the effectiveness of metformin also OCP in females with PCOS. Subject and Methods: This was a prospective study that included three hundred patients who were chosen at random from patients who attended outpatient obstetrics and gynecology clinics at Al-Azhar University Hospitals. Samples were obtained using a systematic random technique. Results: Variations in age, BMI, and waist-to-hip ratio among the groups were statistically significant. Blood pressure, heart rate, and temperature demonstrated no statistically significant distinctions among the 2 groups. There was significant variance among examined group as regard TG, LDL-cholesterol, fasting plasma glucose and Fasting insulin. There was …

The Usefulness Of The Added Dw-Mri In Differentiation Of Various Bone Tumors And Tumor Like Focal Lesions, Hesham Mahmoud Hamza, Hoda Abdel-Kareem Abdel-Samiae, Mohamed Ahmed Ahmed Ali, Tarek Mohamed Mohamed Mansour, Marwa Mahmoud Esmail

Al-Azhar International Medical Journal

Background: Any imaging method that is now available can be used to diagnose malignancies that originate in the bones. Plain radiography is the imaging modality that is utilized the vast majority of the time in order to arrive at a diagnosis and identify the characteristics of a variety of osseous lesions. The diagnosis of bone cancer can be challenging, but CT scans can provide useful information about the anatomical breadth of the disease. Magnetic resonance imaging (MRI) is the test that is considered to be the gold standard when it comes to diagnosing cancer and anomalies in the skeleton that …

Cold Snare Polypectomy Versus Hot Snare Polypectomy In Endoscopic Treatment Of Non Pedunculated Colorectal Polyps Larger Than Or Equal 1 Cm, Magdy Abd Al-Karim Al-Dahsha, Mohammed S. Hussein, Sadek Mosta, Abd Al Nabi Saeed Al Sham, Mohamed Fahmy Soliman Alsabagh

Al-Azhar International Medical Journal

Background: In most cases, hot polypectomy is used to treat colon polyps that are more than 1 centimeter in diameter. Electrocautery-induced damage accounts for the majority of adverse outcomes, including prolonged bleeding, post-polypectomy syndrome, and perforation. We postulated that cold resection of big polyps would be as effective as hot polypectomy while being significantly safer for the patient. Aim and objectives: for the purpose of comparing the rates of intraoperative bleeding, clinically significant postoperative bleeding, and perforation between Cold Snaring Polypectomy and Hot Snaring Polypectomy in patients with non-pedunculated colorectal polyps of 10 mm or larger. Subjects and methods: Prospective …

Role Of 4d Ultrasonography In Assessment Of Amniotic Fluid Disorders Of Fetal Renal Origin, Saad R. Al-Gebaly, Sileem A. Sileem, Lotfy A. Murad

Al-Azhar International Medical Journal

Background: Fetal anomalies are detected in approximately 2% of all fetuses and, among these, genitourinary tract abnormalities account for 30% to 50% of all structural anomalies present at birth. Aim : to assess the role of 3D ultrasound in detection of fetal causes of oligohydramnios. Patients and Methods: The study was conducted on 60 pregnant females aged between (19 years and 39 years) mean ± SD 26.6 ± 4.9 presented with olighydraminos, at Al-Azhar University Hospital Assuit branch at Obstetric and gynecological and Radoidaignostic departments in the period from 1st December 2021 to 31th October 2022 . Results: Causes of …

Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-Baroudy

Al-Azhar International Medical Journal

Background: Intraventricular hemorrhage is the most common intracranial hemorrhage in preterm newborns. The high incidence and problems made it important. Many etiologies and risk factors have been found. Newborns can get IVH. Methods: This study included 100 neonates, 59% cases were males & 41% cases were females. GA ranged from 27 to 36 weak, with a mean of 31.9 ±1.67 weak. The weight ranged from 750 g. to 2.93 kg., with a mean of 1.7 ± 0.44 kg. Trans cranial US was done at day one, three and day seven after delivery. Results: The study found that IVH rates were …

Comparative Evaluation Of Diosmectite Versus Nitazoxanide And Their Combination In The Treatment Of Cryptosporidiosis In Immunosuppressed Mice, Enas A. El Saftawy, Walla’A A. Osman, Rania M. Sarhan, Rabab S. Zalat, Shimaa A. Atta

Al-Azhar International Medical Journal

Abstract

Background

Cryptosporidiosis is a parasitic infection that affects immunocompromised patients and can result in systemic involvement of different organs and death.

Aim

To compare nitazoxanide (an antiprotozoal agent) and diosmectite (an antidiarrheal agent) and their combination in the treatment of cryptosporidiosis infection.

Materials and methods

Mice were divided into five groups: negative control, the infected untreated (positive control), diosmectite-treated, nitazoxanide-treated, and the group treated with nitazoxanide and diosmectite simultaneously. The evaluation was through measuring body weight, oocyst shedding, intestinal, and hepatic histopathological examination, as well as estimation of some inflammatory and oxidative markers.

Results

Body weight was improved significantly …

A Hanging Case Or A Hit And Run Accident, Mohamed M. Hussein, Ashraf I. Hassan

Al-Azhar International Medical Journal

When the victim's body was observed to be partially or totally hanged, a death by hanging occurred. The existence of both general and local indicators of hanging together with circumstantial evidence is typically used to diagnose the cause. After ruling out the presence of other important suspicious signs, such as those suggesting struggle, and when the victim is toxicologically free, the manner of death is tends to be suicidal. Circumstances also, should exclude homicide and accidental death. We present a man in the third decade of life, found on a road with head trauma but with signs of hanging including …

A Comparative Study Between Anterior Tunnel And Anterior Release Techniques In The Management Of Anterior Tympanic Membrane Perforation, Atef Abdullah El Maraghy, Yehia Mohamed Dawood, Abdulrahman Mohamed Ali Abdallah

Al-Azhar International Medical Journal

Introduction: When the perforation in the tympanic membrane is anteriorly located with a thin anterior rim, stabilizing the graft using the traditional underlay tympanoplasty approach may be challenging. It was attempted to solve this issue using tympanoplasty with anterior tunneling or anterior releasing. Aim and Objectives: This study aims to compare the efficiency of anterior tunnel and anterior release techniques in the management of anterior tympanic membrane perforation. Patients and Methods: A one-year prospective single blinded study with three-months follow-up was conducted on 60 patients divided into two groups: tympanoplasty with tunneling (Group A) and release (Group B) tympanoplasty for …

Characteristics Of Patients Newly Diagnosed With Diabetes Mellitus After Coronavirus Disease-19 (Covid-19), Alboraie Mohamed Aly, Megahed Mohamed Rabie, Abohasan Ahmed Mohamed, Abdelraouf Mahmoud Ezzat, Badr Gamal Aly

Al-Azhar International Medical Journal

Background: At this moment, there is a greater than ever level of concern over the 2019 (COVID-19) coronavirus illness pandemic and its related morbidities. Aim and objectives: Case series with systematic review of the frequency of newly diagnosed diabetes mellitus (DM) among COVID-19 patients, its varied symptoms, and glycemic control in diabetic patients. Patients and methodology: 100 patients altogether were split into two groups for this cross-sectional study. Every examination done at the time of diagnosis and two months afterwards. They were evacuated from Al-Hussein University Hospital between January and July 2022. Results: Our findings showed that the HbA1C levels …

Comparative Study Between Cardiac Mri And Echocardiography In Post-Operative Evaluation Of Fallot Tetralogy, Tarek Mohamed Abdel Hamid El-Zayyat, Hytham Mohamed Mahmoud Nafady, Ahmed Abd Elazeem Mohamed Youseif

Al-Azhar International Medical Journal

Background: Tetralogy of Fallot (TOF) represents the prevailing form of cyanotic congenital cardiac disease. Cardiac magnetic resonance imaging (CMR) plays a crucial role in monitoring adult patients with congenital heart disease. Transthoracic echocardiography (TTE) is capable of providing the majority of the requisite data for sequential monitoring in patients with tetralogy of Fallot (TOF). Aim of the work: To investigate the respective contributions of cardiac magnetic resonance imaging and echocardiography in the evaluation of post-operative Fallot tetralogy, using a comparative analysis. Methodology: This study will be carried out on 30 cases of patients referred to the Heart Institute diagnosed by …

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 …

Effect Of Low-Flux Versus High-Flux Dialyzers On Interleukin 6 (Il-6) Level In Patients Undergoing Maintenance Haemodialysis, Hussein Salem Farahat Salem, Mohamed Nabil Raafat, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomi

Al-Azhar International Medical Journal

Background: One of the leading causes of death and suffering in the 21st century is chronic kidney disease (CKD). Due to the rise in risk factors like obesity and diabetes, as well as the rising number of people affected with CKD, our study aimed to study the effect of using low-flux in comparison to high-flux dialyzers on serum IL-6 levels in patients undergoing regular hemodialysis (HD).

Patients and Methods: Our study was a randomized controlled trial. Sixty patients were enrolled: 20 CKD patients, 20 dialysis patients using low- flux, and 20 patients using high-flux polysulfone dialyzers. Dialysis sessions were four …

Incidence Of Postprocedural Microembolic Events Following Carotid Artery Stenting Without Protection Devices, Hussein Awad El-Gharieb, Mahmoud Ibrahim El-Shamy, Mahmoud Galal Ahmed, Ahmed Elsaid Elsayed Mohammed, Ahmed Gamal Mohammed

Al-Azhar International Medical Journal

Background: There is debate about the efficacy and complications of The utilisation of carotid artery stenting in the management of carotid artery stenosis, in the absence of embolic protective devices. Objective: To estimate the incidence of microembolic events in CAS procedures without protection device. Patients and Methods: Fifty-three patients with carotid artery stenosis who attended The Neurology Clinic of Kobri El-Koba Military and Al-Hussien University Hospitals, Egypt from July 2022 to March 2023. Undergoing carotid artery stenting without protection devices. Outcome was assessed clinically with the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) and radiologically …

Role Of Retro-Chorionic Blood Flow Doppler In Early Prediction Of First Trimsetric Miscarriage, Ismail Mohamed Abd Elazim Mira, Mostafa Mohamed El-Laban, Ehab Taha Anwar Bakhaty

Al-Azhar International Medical Journal

Miscarriage is the most typical early pregnancy complication and a significant clinical problem even today. The etiology of this illness is poorly understood, and as a result, therapy regimens are based on scant evidence. The study objective was to assess the role of retro-chorionic blood flow doppler in early prediction of first trimester miscarriage. This prospective cohort study was carried out at a major medical center at the department of obstetrics & gynecology at Al Sayed Galal University Hospital from June 2022 till March 2023 and performed on total 100 patients who presented with singleton pregnancy and gestational age from …

A Comparative Study Between Cephalexin And Fosfomycin In The Treatment Of Urinary Tract Infection During Pregnancy, Mostafa Ramadan Soliman Mohamed, Ashraf Hamdy Mohamed, Mohamed Ibrahim Mohamed Ibrahim

Al-Azhar International Medical Journal

Urinary tract infection is the most common bacterial infection in pregnancy which has a serious complications for mother and fetus, so management of it by serial antibiotics is important. Aim of this Work was to compare between Cephalexin and Fosfomycin in the treatment of urinary tract infection during pregnancy. This randomized controlled study was conducted on 200 women attended at the Obstetrics and Gynecology department in Shebin El-Kom teaching hospital from October 2021 through April 2022. Patients were randomized to: (F) group: includes 100 cases treated with fosfomycin, and (C) group: includes 100 cases treated with cephalexin. Redarding our results …

Evaluation Of The Prognostic Value Of Rectus Abdominis Muscle Thickness And Rectus Femoris Muscle Thickness Guided By Ultrasound In Intensive Care Patients. Observational Study, Essam Ibrahim Saber Ibrahim, Ali Abdallah Alkumity, Ahmed Mohamed El-Deeb, Ali Abd Elhamed Gharabawy

Al-Azhar International Medical Journal

Background: Early prediction of prognosis of patients is important in critical care. ICUAW, It has been documented that there is an association between the aforementioned condition and the need for prolonged mechanical breathing as well as a lengthy stay in the intensive care unit (ICU). A potential technique to measure muscle thickness is ultrasound, which is noninvasive, frequently used in intensive care units. Objective: Evaluation of the prognostic value of rectus abdominis and rectus femoris muscles thickness guided by US in ICU patients and which of them undergoes more rapid changes and gives earlier prognosis. Patients and Methods: Seventy (70) …

Assessment Of Choroidal Neovascular Membrane By Optical Coherence Tomography Angiography, Mohamed Ahmed Ahmed Elmalah, Mohamed Abd Elmoamen Mohamed Saad Eldeen, Shady Kassem Hussien Kassem

Al-Azhar International Medical Journal

Background: As an alternative to invasive Fundus fluorescein angiography) FFA), Optical coherence tomography angiography (OCT-A) can be used to scan chorio-retinal vasculature. Aim: Research OCT-A for sings of choroidal neovascularization (CNV) and its unique structure. In order to detect any current CNV activity, OCT-A can be used. Determine the sensitivity of OCT-A for detecting CNV activity and compare it with FFA and spectral-domain optical coherence tomography (SD- OCT). Patients and Methods: Thirty eyes with various sources of CNV diagnosis were enrolled in this prospective study to compare OCT-A, SD- OCT and FFA. Study was conducted at Al-Azhar University Hospitals and …

The Value Of Intraoperative Indocyanine Green Angiography To Assess Anastomotic Perfusion And Leakage In Patients Undergoing Laparoscopic Colorectal Resection: A Randomized Controlled Clinical Trial, Mohamed Mahmoud Eltaweel, Abdulhamed Hifny Mohamadain

Al-Azhar International Medical Journal

Background and Aim: Anastomotic leaking (AL) is a significant obstacle in colorectal surgery, with potential life-threatening consequences. Insufficient perfusion during surgery is one factor that can contribute to AL. Intraoperative angiography with indocyanine green (ICG) is a noninvasive imaging procedure that can monitor perfusion. This randomized controlled trial will investigate whether ICG angiography can decrease the frequency of AL and improve patient outcomes following laparoscopic colorectal resection. Methods: The clinical trial involved adult cases with a tumor located between 2 and 15 cm from the anal verge, who had colorectal anastomosis performed during colectomy or laparoscopic anterior rectal resection. The …

Comparison Between Modified Wittmoser Method And Conventional Thoracoscopic Sympathectomy In Treating Patients With Primary Hyperhidrosis, Mohamed Ibrahim Monier

Al-Azhar International Medical Journal

Background: Although thoracoscopic sympathectomy is a documented safe and effective procedure in the management of hyperhidrosis patients, some patients may develop compensatory sweating or recurrence after the procedure. That is why surgeons always seek modification of the conventional thoracoscopic procedure to obtain better outcomes. Herein, we evaluated the advantages of the modified Wittmoser technique (division of the rami communicants and interganglionic fibers) compared to the conventional one in patients with primary hyperhidrosis. Methodology: Fifty patients met our criteria and were divided into two groups: Group A had the conventional technique, and Group B had the modified Wittmoser technique. Follow-up was …

Short-Term Outcomes Of Laparoscopic-Assisted Anterior Perineal Plane For Ultra-Low Anterior Resection (Appear) For Low Rectal Cancer: A Single Center Experience, Abd El-Fattah Al Sheikh, Alaa Soliman

Al-Azhar International Medical Journal

Background: The Anterior Perineal PlanE for Ultra-Low Anterior Resection (APPEAR) methodology was designed specifically for cases of extremely low rectal cancer. Its purpose is to aid with the removal of the most distant part of the rectum. This technique enables the maintenance of the sphincter and minimizes the necessity over abdominal resection (APR) & permanent stomas. Aim of the work : Our study evaluated the surgical, short-term oncological and functional outcomes of laparoscopic-assisted Anterior Perineal PlanE for the ultra-low Anterior Resection (APPEAR) procedure. Methods: A prospective study was conducted on a cohort of twenty patients diagnosed with low rectal cancer, …

Comparative Clinical Study Of Intrathecal Low Dose Ketamine Combined With Midazolam Versus Fentanyl As Adjuvants To Bupivacaine For Cesarean Section, Mohamed Mohamed Abo Elenain, Shaimaa Mohammed El-Mahdy, Osama Helal Ahmed, Medhat Helaly Allam

Al-Azhar International Medical Journal

Background: General sedation is related with higher death rate in contrast with spinal sedation. Passings in provincial sedation are principally connected with unnecessary high territorial blocks and harmfulness of nearby sedatives. Spinal sedation is the favored means for cesarean area, being easy to perform, affordable and produces quick beginning of sedation and complete muscle unwinding. Aim: To look at the hemodynamic impacts, beginning, level, term of the intrathecal block and occurrence of intricacies on adding combination of low-portion ketamine and low-portion midazolam to bupivacaine, and on adding fentanyl to bupivacaine during intrathecal infusion for cesarean area. Patients and Methods: In …

Gray Scale 2d Ultrasound In Relation To Coagulation Profile And Uterine Artery Doppler Indices In Women With Postmenopausal Bleeding, Lamiaa Mohammed Yosri, Reham Saeed Mohammed Aly, Asmaa Abady Awad

Al-Azhar International Medical Journal

Background: Abnormal uterine bleeding in postmenopausal women is a common complaint in general gynecological practice. Progression and prognosis of AUB primarily relies on invasive surgery and pathology so our research aimed to evaluate the use of non-invasive procedures such as uterine artery Doppler indices and coagulation profile in detecting some underlaying causes of AUB. Aim and objectives: To evaluate the coagulation profile (PT, PTT, INR and platelete count) in women with postmenopausal bleeding in relation to 2D ultrasound endometrial thickness and uterine artery Doppler. Patients and methods: This longitudinal observational study was performed at the departments of Obstetrics and Gynecology …

Open Wedge High Tibial Osteotomy For Treatment Of Varus Knee In Adults Combined With Arthroscopic Evaluation, Mohamad Shaaban El Eryan, Mahmoud Seddik Hassan, Faisal Hasan Zayed

Al-Azhar International Medical Journal

Background: Varus knee in adults is fairly common and considered the most predisposing factor for early medial compartment osteoarthritis of the knee joint. Patients and Methods: Fifteen patients underwent a medial open wedge high tibial osteotomy (MOWHTO) combined with arthroscopic evaluation for medial compartment osteoarthritis or intra articular pathology lesions. Measurements included mechanical axis of lower limb, hip knee ankle angle (HKA), posterior tibial slope angle, and medial proximal tibial angle (MPTA). Clinical evaluation was applied with Lysholm knee scoring scale and Knee Injury and Osteoarthritis Outcome Score (KOOS). Results: There were remarkable differences between the mean of pre and …

Thermal Camera For Detection Of Perforator Territories In Fasciocutaneous Flaps For Leg Reconstruction, Magdy Ahmed Abd-Almoktader Abd-Alkareem, Mohamed Osama Mahmoud Ouf, Fathy Ahmad Mohammad Basha

Al-Azhar International Medical Journal

Background: Soft tissue abnormalities are often repaired utilizing perforator flaps. Accurate understanding of underlying vascular architecture and the precise positioning of perforators is essential for successful surgery. Dissection can be difficult because the path and placement of perforators might vary widely. Aim of the study: to evaluate skin flaps taken from the legs to see how well thermal imaging cameras can diagnose perforators and their respective territories on the skin. Methodology: This interventional prospective case series study was conducted in plastic and reconstructive surgery unit, Azhar university hospitals Between july 2021 and april 2023 on 12 male patients and 8 …

Evaluation Of Carpal Tunnel Syndrome In Patients With Rheumatoid Arthritis By Neuromuscular Ultrasound And Electrophysiologiacal Studies, Khaled Zaky, Alaa M Genedy, Hany M Aly, Mohie-Eldin T Mohamed

Al-Azhar International Medical Journal

Introduction: Rheumatoid neuropathy of the median nerve (MN) is the commonest nerve entrapment neuropathy. Diagnosis of CTS in RA is often dependent upon electrophysiological evaluation. However, direct visualization of the nerves is possible with exact localization of site of disease with neuromuscular ultrasound (U/S). Aim: to evaluate Carpal tunnel syndrome in patients with rheumatoid arthritis (RA) by neuromuscular U/S and Electrophysiological studies. Subjects and Methods: 30 RA patients were included and were compared with 30 normal subjects as control group. Results: The current study revealed significantly higher cross-sectional area (CSA) of the MN at the level of tunnel inlet (mm2), …

Evaluation Of Neuroretinal Changes In Type Ii Diabetes Mellitus Without Diabetic Retinopathy Using Optical Coherence Tomography, Abd El-Magid Mohamed Tag El-Din, Anas M. Ibrahim, Ahmed Mohamed Hassan

Al-Azhar International Medical Journal

Background: Microaneurysm proliferation is the hallmark of the early stages of DR. it is the mild form of NPDR. with increased severity , the progression to PDR occurred which is characterized by the formation of new blood vessels on the retina and posterior surface of the vitreous, and it develops from moderate or severe NPDR by a process of increased vascular permeability & occlusion. Aim of the study: to assess neurodegeneration in individuals with type II diabetes mellitus (DM2) who do not have diabetic retinopathy. Patients and methods: full ophthalmic examination and Spectralis OCT was performed on 50 eyes of …

Effect Of Cardiac Rehabilitation On Left Ventricular Remodeling After Acute Anterior Wall St Segment Elevation Myocardial Infarction Treated By Late Pci Using 3d Echocardiography: A Randomized Study, Sameeh Youssif Mahmoud, Mohamed Ahmed Zaki, Ali Mohamed Alamin, Ibrahim Abdel-Fattah Yassin, Ahmad Mohammad Hassaan

Al-Azhar International Medical Journal

Background: Cardiac rehabilitation (CR) has emerged as a comprehensive intervention including several facets and disciplines, with the primary objective of inhibiting the advancement of cardiovascular disease in individuals diagnosed with conditions of the heart and promoting overall health restoration. The objective of this research was to assess the effect of CR on the process of left ventricular (LV) remodeling, specifically using three-dimensional echocardiography (3D-ECHO) after an episode of acute ST-segment elevation myocardial infarction (STEMI). Methods: This randomized controlled trial (RCT) was carried out on sixty patients who suffered recently from acute STEMI and treated with delayed percutaneous intervention (PCI). Patients …

Complement Activation And Cytokine Production And Their Relation To Cardiovascular Changes In Hemodialysis Patients, Mohamed Nabil Raafat, Ahmed Alaa Eldin Ahmed Saad, Ahmed Mohammed Farouk, Mohammad Sobhy Abdulhameed Abdulkhaliq

Al-Azhar International Medical Journal

Background: End-stage renal disease (ESRD) is a very consequential medical condition that has been identified as a significant concern in the field of public health, impacting a global population exceeding 2.6 million individuals. Despite notable advancements in hemodialysis treatments over the past few decades, individuals with end-stage renal disease (ESRD) continue to have a substantial burden of cardiovascular disease (CVD) and face a heightened risk of mortality. Aim of work: Our study aimed at assessment of complement activation and cytokine production and their relation to cardiovascular changes in hemodialysis patients. Patients and Methodology: This cross sectional study was conducted in …