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Articles 1 - 30 of 132
Full-Text Articles in Medicine and Health Sciences
Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy
Management Of Distal Tibial Fractures By Ilizarov Fixator With Or Without Minimal Internal Fixation, Moaaz Elgammal, Mostafa Elgahel, Ali Elgioshy
Al-Azhar International Medical Journal
Background: Ilizarov fixator has more advantages in some types of distal tibial fractures as open, type C3according to AO classification and give satisfactory results more than plates and screws fixation because it minimizes complications. The aim of the work: To estimate the techniques, results and complications of Ilizarov in management of distal tibial fractures with or without minimal internal fixation . Patient: During the period from August 2020 through June 2021, a prospective study was conducted on fifteen patients with fifteen tibial plafond fractures treated with Ilizarov fixator. The study consisted of 12 men and 3 women, with an average …
Neurophysiologic Study In Children With End Stage Renal Disease On Regular Hemodialysis, Mohamed Hasan, Moftah Rabeea, Hassan Hassan, Ann Abd-Elkader, Eman Elzamarany
Neurophysiologic Study In Children With End Stage Renal Disease On Regular Hemodialysis, Mohamed Hasan, Moftah Rabeea, Hassan Hassan, Ann Abd-Elkader, Eman Elzamarany
Al-Azhar International Medical Journal
Background: Patients undergoing hemodialysis for chronic kidney disease (CKD) commonly have neurological problems. Both the central and peripheral nerve systems may be affected by these problems. Uremic encephalopathy, cognitive impairment, peripheral neuropathies, and uremic myopathy are all common neurological consequences in CKD. Aim of the study: to detect neurophysiologic changes using electroencephalography (EEG), nerve conduction velocity (NCV) and electromyography (EMG) in children with CKD on regular hemodialysis and to correlate these changes with duration of dialysis and duration of disease. Patients and Methods: thirty patients with CKD who are on regular hemodialysis at pediatric nephrology unit at Al-azher university hospital. …
Hook Plating Versus Tension Band Wiring In Treatment Of Displaced Lateral End Clavicle Fracture, Alaa Elmohamady, Ehab Elzahed, Ismail Hammouda
Hook Plating Versus Tension Band Wiring In Treatment Of Displaced Lateral End Clavicle Fracture, Alaa Elmohamady, Ehab Elzahed, Ismail Hammouda
Al-Azhar International Medical Journal
Abstract Background: Lateral end clavicular fractures represent about 15% of clavicular fractures. Nonunion rate is about 22 to 44% due to interacting forces between arm weight and trapezius muscle . Objective: To assess the clinical and radiological outcomes of fixation by HP versus TBW and to determine which technique provides enough stability to permit early range of motion. Patients and Methods: A prospective comparative study on 40 patients( 20 patients fixed by HP and others 20 by TBW) was done and followed up at Al-Azhar University Hospitals between December 2019 to April 2021. Results: The mean age of patients is …
Pectoral Etching In Early Grades Gynecomastia, Elsayed Shaaban, Mostafa Mikki, Hazem Dahshan
Pectoral Etching In Early Grades Gynecomastia, Elsayed Shaaban, Mostafa Mikki, Hazem Dahshan
Al-Azhar International Medical Journal
Background: Nowadays there is a great introduction of 3D,4D and high-definition body contouring. Applicability and evaluation of such techniques in gynecomastia surgery needs more investigation. Objective: The aim of this study was to assess high definition liposculpture to get masculinized appearance of the chest for treatment of early grades gynecomastia. Patients and methods: 30 patients with grade I&II gynecomastia were selected with age group between 18 and 50 years old with mean 24.73 ± 2.62. It was a prospective observational cohort study to assess the applicability of pectoral etching in early grades gynecomastia. The study was conducted at Al-Azhar university …
Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi
Evaluation Of Adaptive Radiation Therapy In Treatment Of Locally Advanced Head And Neck Cancers, Mostafa Mostafa, Wael Elshishtawy, Ahmed Al-Agamawi
Al-Azhar International Medical Journal
Background: Radiation therapy is the main player in management of locally advanced head and neck squamous cell carcinoma. Intensity-modulated radiation therapy IMRT does not compensate for anatomical changes or tumor shrinkage during the treatment course. Adaptive radiation therapy may be the suggested solution to consider these changes. Aim of the Work: Evaluate dosimetric and clinical effects of adaptive RT. in advanced head and neck squamous cell carcinoma. Patients and Methods: A total number of 49 patients with a provisional diagnosis of locally advanced squamous cell carcinoma of head and neck treated with definitive concurrent chemo-radiotherapy with the original plan optimized …
Assessment Of Platelet Rich Plasma (Prp) Therapy In Prevention Of Chronic Wound Complications, Mahmoud Shehata, Amr Rezk
Assessment Of Platelet Rich Plasma (Prp) Therapy In Prevention Of Chronic Wound Complications, Mahmoud Shehata, Amr Rezk
Al-Azhar International Medical Journal
Background: Delayed wound healing is a key factor in the development of chronic wound complications so we can utilize the wound healing promotion properties of platelet rich plasma in decreasing the incidence of these complications. Patients and Methods: A total number of 50 patients with open wounds resulting after surgical debridement of various types of soft tissue infection were included in this study, two groups with 25 patients for each were divided randomly. Group A patients were treated with PRP while group B was the control group treated with ordinary dressing. The two groups were monitored every other day for …
Study The Efficacy Of Repetitive Transcranial Magnetic Stimulation On A Sample Of Resistant Schizophrenic Patients With Positive And Negative Symptoms, Omar Aglan, Amgad Gabr, Mohamed Helmy
Study The Efficacy Of Repetitive Transcranial Magnetic Stimulation On A Sample Of Resistant Schizophrenic Patients With Positive And Negative Symptoms, Omar Aglan, Amgad Gabr, Mohamed Helmy
Al-Azhar International Medical Journal
Abstract: Background: Transcranial magnetic stimulation one of the tools that may help schizophrenic patients. Aims: To Examine the validation of rTMS in treatment positive and negative symptoms of refractory schizophrenic patients. Setting: Department of Psychiatry, Faculty of Medicine, Al-Azhar University, Cairo. Patients and methods: The study inclusive 40 resistance schizophrenic patients separated into two groups: Group A: 20 patients received 15 sessions of r-TMS for 3 weeks, With five daily sessions with a two day break, Group B: 20 patients were randomly (one every one patients) chosen for sham stimulation. The Positive and Negative Syndrome Scale was used to examine …
Assessment Of Cardiac Functions In Neonatal Sepsis, Mohamed Hassan, Ahmed Abdel Hakeem, Mahmoud Abdelmotalep, Tarek Eldahshan
Assessment Of Cardiac Functions In Neonatal Sepsis, Mohamed Hassan, Ahmed Abdel Hakeem, Mahmoud Abdelmotalep, Tarek Eldahshan
Al-Azhar International Medical Journal
Background; One of the major organs influenced in neonatal sepsis is the heart. Echocardiogram gives real-time data on the cardiovascular execution instead of reliance on the clinical signs alone. Aim and objectives; to study the role of transthoracic echocardiogram in the assessment of systolic and diastolic cardiac functions in septic neonates . Subjects and methods; This cross sectional study was carried out on 80 neonate subdivided into 4 groups (septic full-term, septic preterm, non-septic full-term and non-septic preterm) admitted to the tertiary care NICU of Bab Elsheria Hospital, Al-Azhar University . Result; Septic patients gather had essentially higher myocardial execution …
Panniculectomy During Cesarean Section, Ahmed Elsharkawy, Farid Hassan, Wael Taha, Mohammed Khalifa
Panniculectomy During Cesarean Section, Ahmed Elsharkawy, Farid Hassan, Wael Taha, Mohammed Khalifa
Al-Azhar International Medical Journal
ABSTRACT Background: Many women in clinical practice desire a panniculectomy following a cesarean section to remove excess skin and stretch marks that have grown during pregnancy. This study aimed to see how panniculectomy and cesarean section worked together. Subjects and methods: This is a prospective randomized controlled trial that took place in the obstetric department of a hospital. Elmahalla, Elkobra -general hospital. Eligible 66 patients had been randomly collected; the groups were divided into two equal groups using a computer-generated randomization table, with group assignments hidden in sealed opaque envelopes: (n=33) Control Group (C): Patients underwent elective CS alone. Combined …
Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer
Acute Cholecystitis In Elderly Patients; Management And Outcome, Mahmoud Mohamed, Mohamed Abdel-Maksoud, Mohamed El-Kaseer
Al-Azhar International Medical Journal
Background: The most prevalent consequence of cholelithiasis is acute cholecystitis (AC), which is also one of the most common diseases needing emergency surgery in the elderly. Aim and objectives: The goal of this training was to assess the characteristics, management, results, and danger factors for complications of acute cholecystitis in elderly patients. Furthermore, proof of our current management strategy or recommendations for its modification was sought. Patients and methods: Twenty patients over sixty-five years old with acute cholecystitis were submitted to elective laparoscopic cholecystectomy at Al-Azher University hospitals. Sixteen of them were females (80%) and four were males (20%). Result; …
Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan
Atrial Fibrillation Post Coronary Artery Bypass Grafting Surgery Incidence And Risk Factors, Ahmed Hamdy Basiony, Medhat Refaie, Ahmed Sultan
Al-Azhar International Medical Journal
Background: Atrial fibrillation is a common complication following cardiac surgery, especially coronary artery bypass grafting. Although this condition mostly benign but it can increase mortality and morbidity postoperative and leading to longer ICU stay and increase the costs. Aim of the work: to investigate and analyse the atrial fibrillation incidence and risk factors in patient undergoing CABG in addition to its effect on intensive care unit and postoperative hospital stay. Patients and methods: Our study was retrospective non-randomized. Between January 2018 and January 2020, 50 patients were recruited from a total of 225 patients who underwent coronary artery bypass graft …
Evaluation Of Surgical Versus Vaser Assisted Liposuction In Management Of Submental Adiposity In Moderate To Severe Skin Laxity And Significant Lipodystrophy, Ahmed Borhamy, Ahmed Taha, Abd Elmonem Hota
Evaluation Of Surgical Versus Vaser Assisted Liposuction In Management Of Submental Adiposity In Moderate To Severe Skin Laxity And Significant Lipodystrophy, Ahmed Borhamy, Ahmed Taha, Abd Elmonem Hota
Al-Azhar International Medical Journal
Background Submental adiposity is one of visible signs of the aging process which affects the aesthetic look of the face and neck , and its management usually is difficult without surgery, nowadays we can achieve a good results in double chin without surgical lifting of neck by new technology (VASER liposuction) in many cases. Aim of the work: To Evaluation of surgical versus VASER assisted liposuction in management of submental adiposity in moderate to severe skin laxity and significant lipodystrophy. Patient and Methods: This study is prospective study was conducted on 30 male and female patients starting from September 2018 …
Fetal Macrosomia; Risk Factors And Validity Of Its Diagnostic Tools, Osama Abdelazem, Ahmed Mohammed
Fetal Macrosomia; Risk Factors And Validity Of Its Diagnostic Tools, Osama Abdelazem, Ahmed Mohammed
Al-Azhar International Medical Journal
Background& Aim: Macrosomia, defined as a birth weight of 4000 g or above, is one of the most frequent prenatal problems so, the aim of this study was to assess the accuracy of clinical evaluation and 2D ultrasound examination in prediction of fetal macrosomia. Patients and methods: This study was carried out in the Obstetric and Gynecology Department of Al Azhar University Hospital. All pregnant who were admitted to our hospital and were delivered by CS indicated by prenatal diagnosis of fetal macrosomia were included in our study. Results: Fetal macrosomia is a common cause of maternal and newborn morbidity, …
Evaluation Of Nailfold Capillaroscopy Pattern In Patients With Primary Osteoarthritis Of The Hands, Yasser Gazar, Sherif Ismail, Ahmed Fahmy
Evaluation Of Nailfold Capillaroscopy Pattern In Patients With Primary Osteoarthritis Of The Hands, Yasser Gazar, Sherif Ismail, Ahmed Fahmy
Al-Azhar International Medical Journal
Background: Hand osteoarthritis (OA) can be a distressing disorder that impairs a patients' quality of life. There is a relation between OA and vascular damage, especially atherosclerosis, and OA are both common chronic conditions associated with aging and obesity. Aim of the study: The objective of this research was to examine nailfold microcirculation in individuals with hand OA Patients and Methods: a cross-sectional, observational study, about 56 patients with hand OA were enrolled. All subjects underwent a standard radiology X-Ray examination of the hands and a Nailfold vascular examination was performed. Results: of the 56 patients studied were females, and …
Assessment Of Serum Vitamin D Level In Women With Polycystic Ovary Syndrome, Osama Khalifa, Esmael Elgarhy, Fahd Alomda, Mohamed Yehia
Assessment Of Serum Vitamin D Level In Women With Polycystic Ovary Syndrome, Osama Khalifa, Esmael Elgarhy, Fahd Alomda, Mohamed Yehia
Al-Azhar International Medical Journal
Back ground: PCOS is the commonest endocrinopathy among women of reproductive age. Its worldwide prevalence has been estimated between5-10%. Rotterdam criteria is known to be the most important in such patients.Vitamin D, a fat-soluble vitamin, can be produced in two ways: by intestinal absorption and endogenous synthesis from a precursor of 17-hydroxyl cholesterol on the skin with sufficient exposure to ultraviolet sunlight. Most references consider a serum 25(OH) vitamin D of < 20 ng/ml as vitamin D deficiency. Aim of the work: The aim of this work is assessment of the level of vitamin D in female have polycystic ovary syndrome & healthy female. Patient and methods: This is a case control study held in Misr Al-Gadeda Military Hospital in gynecology outpatient clinic from May 2020 - May 2021.Patients selected from attendees of the outpatient gynecological clinic and inpatient gynecological ward at Misr Al-Gadeda Military Hospital. Group A: 45 women diagnosed with PCO based on Rotterdam Criteria 2003. Group B: 45 fertile women without PCOS . Results: The results indicated that 25(OH) vitamin D was significantly lower in PCOS group than in control group. There were no significant correlations between 25(OH) vitamin D and age and BMI. Conclusion: PCOS is known to be one of the commonest endocrine problems between female of the reproductive age.25 (OH) Vitamin-D was significantly lower in PCOS group than in the control group.No significant difference was found in Vitamin D level related to age group and body mass index.
Relation Of Implantation Site To Placental Site In Presence Or Absence Of Cesarean Section Scar With Doppler Assessment Of Retro Chorionic Blood Flow, Mohamed Elhosary, Fahd Elomda
Relation Of Implantation Site To Placental Site In Presence Or Absence Of Cesarean Section Scar With Doppler Assessment Of Retro Chorionic Blood Flow, Mohamed Elhosary, Fahd Elomda
Al-Azhar International Medical Journal
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Retinopathy Of Prematurity, A Study Of Prevalence And Risk Factors, Ibraheem Awad, Ali Afia, Abd El-Sattar El-Sayeh, Mahmoud Ali, El Sayed Abo Zied
Retinopathy Of Prematurity, A Study Of Prevalence And Risk Factors, Ibraheem Awad, Ali Afia, Abd El-Sattar El-Sayeh, Mahmoud Ali, El Sayed Abo Zied
Al-Azhar International Medical Journal
Background: Premature term infants are commonly impacted by retinopathy of prematurity (ROP), a blinding illness. The most significant risks are low birth weight, preterm, and oxygen treatment for prolonged period. Objective: Is to assess the frequency of ROP in premature infants and to determine the hazard factors that lead to retinopathy of prematurity. Patients and Methods: In this research, 100 preterm infants were hospitalized to Al-Azhar University Hospitals' NICU. Clinical examination was done included weight, gestational age, vital signs, , CNS, chest , heart , and abdominal examination .Local eye examination was done by according to specific protocol . All …
The Role Of Intrapartum Ultrasonography In Assessment Of Labor Progression Among Term Women, Maher Rashad, Abd-Elmonsef Seddik, Awad Awad
The Role Of Intrapartum Ultrasonography In Assessment Of Labor Progression Among Term Women, Maher Rashad, Abd-Elmonsef Seddik, Awad Awad
Al-Azhar International Medical Journal
Background; Unprompted vaginal labor with no obstetric interventions is the appropriate outcome for the majority of gestations. But some cases fail to develop in the 2nd-stage of labour and therefore need surgical delivery. Aim and objectives: The current work aimed to evaluate the role of ultrasound (US) in labour to determine embryonic head station, dilatation, location and viewpoint. Subjects and methods: This prospective observational investigation has been performed at the obstetrics and gynecology department, at Bab el-sharia, Al-azhar University Hospital on 85 women with singleton term (37 to 40-wks) gestations. The study was conducted in the Obstetrics and Gynecology department …
Repopulation Of Multipotent Stem Cells Derived From Adult Male Rabbits On A Polycaprolactone Scaffold: An In Vitro Study, Hassan Adly, Abd El-Wahab Okby, Abdel-Aziz Mahmoud, Ahmed El-Shamy, Rania Galhoom, Mohamed Hashem, Mahmoud Ahmed
Repopulation Of Multipotent Stem Cells Derived From Adult Male Rabbits On A Polycaprolactone Scaffold: An In Vitro Study, Hassan Adly, Abd El-Wahab Okby, Abdel-Aziz Mahmoud, Ahmed El-Shamy, Rania Galhoom, Mohamed Hashem, Mahmoud Ahmed
Al-Azhar International Medical Journal
ABSTRACT Background: MSCs (mesenchymal stem cells) are multipotent, spindle-shaped cells that give them the ability to differentiate into a broad lineage of tissues. Polycaprolactone (PCL) is a synthetic material that has been used several times for the fabrication of scaffolds to be utilized in the field of tissue engineering. Aim of the work: The main goal of this research is to develop a protocol for isolating, cultivating, and characterizing rabbit bone marrow mesenchymal stem cells (BMSCs), as well as to investigate their capacity to repopulate PCL scaffolds. Results: In Dulbecco's Modified Eagle's Medium (DMEM) supplied with 10% fetal bovine serum …
Audiovestibular Profile Of Patients Attending Audiology Unit Of Al-Hussin University Hospital, Mostafa Bastaweesy, Mohammed Ali, Ali Azab
Audiovestibular Profile Of Patients Attending Audiology Unit Of Al-Hussin University Hospital, Mostafa Bastaweesy, Mohammed Ali, Ali Azab
Al-Azhar International Medical Journal
Background: Hearing loss can be categorized as a conductive, sensorineural, or mixed hearing loss based on the anatomic location of the problem. A hearing loss may also be considered unilateral or bilateral. Dizziness and vertigo are common clinical complaints. A disturbed vestibular system causes vertigo. Aim and objectives: Study the profile of patients based on various variables and compare retrospective and prospective profiles of patients attending the Audiovestibular unit at Al-Hussin University Hospital. Patients and Methods: This study was conducted on 1868 subjects who attended the Unit of Audiovestibular Medicine at Al-Hussin University Hospital from 1/7/2016 to31/12/2016, then from1/1/2017 to …
Association Between Cytomegalovirus And Ulcerative Colitis In Diabetic Patients, Ahmed Moussa, Ayman Abdel Aziz Hassan
Association Between Cytomegalovirus And Ulcerative Colitis In Diabetic Patients, Ahmed Moussa, Ayman Abdel Aziz Hassan
Al-Azhar International Medical Journal
Background: Inflammatory bowel disease (IBD) is a term that refers to a category of idiopathic chronic inflammatory bowel diseases. There are a number of theories that link microbial infections to IBD. One of the opportunistic viral infections linked to this disease is cytomegalovirus. Aim of the Work: to evaluate the role of CMV infection in diabetic patients with ulcerative colitis especially after failure of medical treatment. Material and Methods: This study carried out on 185 patients, attending and admitted in the Theodore Bilharz Research Institute at the clinic and the department of gastroenterology from January, 2019 till January, 2021. At …
Opioid Free Multimodal Analgesia Versus Opioid Based Analgesia In Bariatric Surgery Outcome, Zeinab Ibrahim, Gihan Eldosoky, Kamal Abosonna
Opioid Free Multimodal Analgesia Versus Opioid Based Analgesia In Bariatric Surgery Outcome, Zeinab Ibrahim, Gihan Eldosoky, Kamal Abosonna
Al-Azhar International Medical Journal
Background: Combined Opioid-free analgesia (OFA) and thoracic epidural (TE) by ultrasound is the technique that may have an enhanced recovery after surgery (ERAS), decrease perioperative opioid consumption and more improved positive outcomes than balanced general anesthesia with use of opioid after bariatric surgery. The Opioid free analgesia includes local anesthetics (Na channel blocker), alpha-2 receptor agonists (dexmetedomidine), NMDA antagonists (ketamine, lidocaine, magnesium sulfate), anti-inflammatory drugs (NSAID) and dexamethasone. Aim: evaluation the effect of opioid free analgesia with thoracic epidural as a multimodal analgesia versus balanced general analgesia on outcome of bariatric surgery on total opioid requirements, pain scores, and complications. …
Impact Of Maternal Body Mass Index On Progress And Outcome Of Labor In Nulliparous Females, Omar El-Sayed, Ismail El-Garhy, Ahmed Saeed
Impact Of Maternal Body Mass Index On Progress And Outcome Of Labor In Nulliparous Females, Omar El-Sayed, Ismail El-Garhy, Ahmed Saeed
Al-Azhar International Medical Journal
Background; the body mass index (BMI) is frequently used to classify the severity of obesity and to inform weight-gain guidelines throughout pregnancy. Aim and objectives; to evaluate the impact of BMI of nulliparous females on progress of labour, incidence of peri-partum complications (1ry outcome) and neonatal outcome of these women (secondary outcome). Subjects and methods; This is a prospective cohort study, was carried out on 330nulliparous patients attending the labor ward of Al-Hussein and Sayed Galal hospitals, Al-Azhar University, Egypt, during active phase of labor, divided into 4 groups, from January 2021 until the end of the specified cases. Result; …
Study Of Cryptosporidium Infection In Liver Cirrhosis And Animal Model., Mohammed Elhussiny, Mohamed El-Faramawy
Study Of Cryptosporidium Infection In Liver Cirrhosis And Animal Model., Mohammed Elhussiny, Mohamed El-Faramawy
Al-Azhar International Medical Journal
Background: Cryptosporidium is a parasite that infects man especially immunocompromised patients. Liver cirrhosis reduced cellular immunity. Methods were used for diagnosis of cryptosporidium including coproscopy and copro-nested (copro-n) PCR assay. Objective: Detection of the molecular and genotypic prevalence of Cryptosporidium species in fecal samples of Egyptian patients with cirrhotic liver and exploring the possibility of association between Cryptosporidium and grades of liver cirrhosis, besides assessment their histopathological changes. Materials and Methods: This cross-sectional study was carried out on 60 patients with chronic liver disease (HCV and HBV positive) classified according to Child-Pugh score and 60 subjects free of any known …
Assessment Of Serum Level Of Cxcl9 And Cxcl10 In Cutaneous Versus Systemic Lupus Erythematosus, Ghada Omar, Sabila Mosa, Radwa Morsy, Radwa Tirana, Nagla Abdelaty
Assessment Of Serum Level Of Cxcl9 And Cxcl10 In Cutaneous Versus Systemic Lupus Erythematosus, Ghada Omar, Sabila Mosa, Radwa Morsy, Radwa Tirana, Nagla Abdelaty
Al-Azhar International Medical Journal
Abstract Introduction: Lupus erythematosus has been a chronic inflammatory illness where chemokines play a great role in its pathogenesis. CXCL9 and CXCL10 are chemokines that were researched in a variety of inflammatory skin disorders for their crucial role in immune responses. Aim of the Work: To compare CXCL9 and CXCL10 serum levels in patients suffering from cutaneous versus systemic lupus erythematosus. Patients and Methods: The forty-five Egyptian patients in this case-control research were collected from the University Hospital's outpatient clinic between October 2018 and June 2019. Two groups of patients were established: DLE Group (Fifteen patients), and SLE group (Thirty …
The Usefulness Of The Ultrasound Diagnosis Of Suspicious Ovarian Masses Based On The O-Rads Classification System, Hoda Ahmed
Al-Azhar International Medical Journal
Objectives: Ovarian malignancy represent the leading cause of mortality from gynecologic cancers and its diagnosis is a special challenge. Ultrasonography is the primary imaging modality and the Ovarian-Adnexal Reporting and Data System (O-RADS) US was made to provide consistent interpretations that can help in management recommendation. The present study aimed to evaluate the usefulness of using the O-RADS classification system US in the diagnosis of suspicious ovarian masse lesions. Methods: Fifty patients " 15 pre and 35 post-menopausal" with suspicious adnexal mass lesions, their ages ranged from 19-67 years (M=41.8±3.64 years). Trans-abdominal & trans-vaginal US with Color/Power Doppler examination was …
Comparative Study Between Bipolar Electro-Cautery And Knot-Tying Technique In Total Thyroidectomy, Ahmed Hegab
Comparative Study Between Bipolar Electro-Cautery And Knot-Tying Technique In Total Thyroidectomy, Ahmed Hegab
Al-Azhar International Medical Journal
Abstract Introduction: Thyroidectomy could be considered as the commonest neck surgery in surgical practice. Proper thyroidectomy requires careful and meticulous devascularization of the gland with preservation of surrounding important structures. Haemostasis during thyroidectomy achieved by suture ligation, electro-cautery or vessel sealing devices. The traditional knot-tying method requires carful dissection which is time consuming and may lead to injury of laryngeal nerves or impairment of blood supply to parathyroid glands. Bipolar electro-cautery has precise delivery of electric current between its tips with no or limited thermal dispersion to surrounding structures. Advanced vessel sealing devices not always available and requires special disposable …
The Association Between Helicobacter Pylori Infection And Hyperemesis Gravidarum, Eman Mohamed, Samira Elmallah, Doaa Mohammed
The Association Between Helicobacter Pylori Infection And Hyperemesis Gravidarum, Eman Mohamed, Samira Elmallah, Doaa Mohammed
Al-Azhar International Medical Journal
Background; Hyperemesis gravidarum (HG) is the severe kind of nausea and vomiting of gestation. The HG incidence is about 0.5-2.0%. For the diagnosis of HG, there must be the existence of 3 or more vomiting episodes throughout the day, weight losing of more than 5%, and ketonuria. Studies have recently suggested that there is a correlation between emesis of gravidarum and HG with Helicobacter pylori (H. pylori) infection. Serologically positive H. pylori infections were demonstrated in hyperemesis patients. Aim and objectives; the current work aimed to detect the correlation between H. pylori infections and HG throughout gestation. Subjects and methods; …
Serum Vitamin D Level And Bone Mineral Density Among Adolescent Idiopathic Scoliotic Patients, Hesham Hammoud, Hany Aly, Mohamed Yehia, Mohamed Belih
Serum Vitamin D Level And Bone Mineral Density Among Adolescent Idiopathic Scoliotic Patients, Hesham Hammoud, Hany Aly, Mohamed Yehia, Mohamed Belih
Al-Azhar International Medical Journal
Background: Low bone mineral density (BMD) and low vitamin D were found to be in adolescent idiopathic scoliosis (AIS) patients. The incidence of AIS with osteoporosis is believed to reduce the intensity of the bone by about 20-38 percent Aim: To assess vitamin D level and BMD in patients with adolescent scoliosis. Methods: This work was done in Al-Azhar University hospitals and involved 112 patients diagnosed with AIS and a Cobb angle > 10o aged from 10 - 18 years old. Vitamin D level, Cobb angle and BMD measured in all subjects. Results: Our result included 112 patients, seventy-four (66.1%) of …
Misoprostol Versus Letrozol With Misoprostol In Management Of First Trimesteric Missed Miscarriage, Abd Elazeem Afifi, Farid Hassan, Mofeed Mohammed
Misoprostol Versus Letrozol With Misoprostol In Management Of First Trimesteric Missed Miscarriage, Abd Elazeem Afifi, Farid Hassan, Mofeed Mohammed
Al-Azhar International Medical Journal
Background and objective: The objective of this work is to match the security and effectiveness of two treatment modalities (Misoprostol versus Letrozol with Misoprostol) in medical treatment of 1st trimesteric missed miscarriages. Methods: This is an interventional randomized case-control investigation that was performed at the outpatient antenatal care clinic of Luxor General Hospital during the period from February to December 2017. The study included a number of 200 cases who have been randomly classified to 2 equal groups: Group-I "Misoprostol" which included 100 cases received 800-mg of misoprostol vaginally at once of diagnosis and group-II "Letrozol + Misoprostol" which included …