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Medicine and Health Sciences Commons

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Medical Specialties

Journal

Al-Azhar University

2021

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Articles 31 - 60 of 132

Full-Text Articles in Medicine and Health Sciences

The Advantage Of Hyaluronidase In Rectus Sheath Block For Pain Control In Laparoscopic Cholecystectomy, Fatma Abdelaziz, Rasha Abd Elghany Sep 2021

The Advantage Of Hyaluronidase In Rectus Sheath Block For Pain Control In Laparoscopic Cholecystectomy, Fatma Abdelaziz, Rasha Abd Elghany

Al-Azhar International Medical Journal

ABSTRACT Background: Rectus sheath block (RSB) had been proven to reduce the pain associated with ventral abdominal surgical incisions and laparoscopic surgery. We hypothesized that the addition of hyaluronidase could increase the effectiveness of the (RSB) technique by improving the local anesthetic (LA) spread. Objective of the study: effectiveness of adding the hyaluronidase as an adjuvant to bupivacaine in ultrasound-guided rectus sheath block (RSB) in those patients planning for laparoscopic cholecystectomy (LC). Patients and methods: Eighty patients, their ages range from 20-60 years old, ASA physical statuses I to III, and planning for elective (LC): were assigned in this study …


Comparative Study Between Carbetocin Vs Combination Of Ergometrine And Oxytocin In The Prevention Of Post-Partum Hemorrhage After Cesarean Section, Mohamed Algharib, Ismail El Garhey, Adel Elboghdady Sep 2021

Comparative Study Between Carbetocin Vs Combination Of Ergometrine And Oxytocin In The Prevention Of Post-Partum Hemorrhage After Cesarean Section, Mohamed Algharib, Ismail El Garhey, Adel Elboghdady

Al-Azhar International Medical Journal

Background; Caesarean section is a known risk factor for Postpartum hemorrhage5, and the rate of caesarean births is on the rise around the world. The cesarean section is a bloody process; most surgeries lose between 750 and 1000 mL of blood and a postpartum hemorrhage (PPH) occurs when more than 1000 mL of blood is lost. Aim and objectives; is there is difference between carbetocin vs combination of ergometrine and oxytocin in the prophylaxis of (PPH) following cesarean section? Patient and methods; The study had been conducted at Obstetrics and Gynacology department, El-Hussein universal hospital included 200pregnant women All cases …


Sonographic Detection Of Placenta Accreta In The Second And Third Trimesters Of Pregnancy, Ahmed Hamada, Mofeed Mohammad, Ahmed El Sadek Sep 2021

Sonographic Detection Of Placenta Accreta In The Second And Third Trimesters Of Pregnancy, Ahmed Hamada, Mofeed Mohammad, Ahmed El Sadek

Al-Azhar International Medical Journal

Background; the term morbid adherent placenta suggests a nontypical placental implantation of the into the uterine barrier and was utilized to express placental accreta, percreta, and increta. Placental accreta (PA) is a placental where the placenta villi stick on straightly to the myometrium. Aim and objectives; this work aim to evaluate the specificity, sensitivity, and diagnosis accurateness of ultrasound (US) in placental accretes diagnosing in the 2nd and 3rd trimesters of gestation. Patient and methods; This was a prospective research that was performed at obstetrics and gynecology departments of both El Hussein and Kafr El-Sheikh Hospitals during the period between …


Median Nerve Injury After Local Injection, Amro Attia Sep 2021

Median Nerve Injury After Local Injection, Amro Attia

Al-Azhar International Medical Journal

Background, Iatrogenic median nerve injuries after local injection of carpal tunnel syndrome occur via direct injury. Complete or partial injury was observed. Surgeon should know the risk factors and how to prevent this case. Aim of the work. To overview the incidence, commonest drugs, our expertise in treating injection-related injuries, the functional recovery and how to prevent this injuries. Patient and methods. A retrospective analysis of management of 8 cases of injection-related iatrogenic median nerve injury from 2015 to 2020, Clinical presentation, neurological, and electrophysiological, were done. Failure of Conservative treatment is indicator for surgery, in the form of exploration, …


Colorectal Cancer In Egypt: Clinical, Life-Style, And Socio-Demographic Risk Factors, Ahmed Hassan, Adel Khalaf, Abd Elias Sep 2021

Colorectal Cancer In Egypt: Clinical, Life-Style, And Socio-Demographic Risk Factors, Ahmed Hassan, Adel Khalaf, Abd Elias

Al-Azhar International Medical Journal

Background: Colorectal cancer (CRC) is cancer of the colon and rectum. It arises from the mucosa that lining the colon, rectum or both. Aim of the work: Determination of the clinical, lifestyle, and socio-demographic risk factors of colorectal cancer in Egypt. Patients and Methods: A hospital-based, case-control study design was performed. 160 cases with CRC and 300 healthy subjects were recruited in this study. An endoscopic, radiological and pathological methods and clinical examinations had been done for the collection of data. Results: The most significant risk factors for medical and family were obesity, DM, bowel habit change, inflammatory bowel disease …


Effect Of Lead On The Prenatal And Postnatal Development Of Kidney In Albino Rat And The Possible Protective Effect Of Vitamin C (Light And Electronmicroscopic Study), Ahmed Yousef, Mohamed Al Assaly, Mohamad Zahran Sep 2021

Effect Of Lead On The Prenatal And Postnatal Development Of Kidney In Albino Rat And The Possible Protective Effect Of Vitamin C (Light And Electronmicroscopic Study), Ahmed Yousef, Mohamed Al Assaly, Mohamad Zahran

Al-Azhar International Medical Journal

Background: Lead poisoning between pregnant women is a significant public health problem, as it affects development of fetuses. Objective: To evaluate the histological changes in the kidney of rat pups at gestational day 18 and at postnatal day 21and the impact of co-treatment with vitamin C. Material and Methods: Twelve adult female rats and six adult male rats were used in this study. Twelve pregnant female rats were divided into two equal groups (prenatal and postnatal). Each group was divided into three subgroups. Group (ІA, IIA): served as control group. Group (IB): given 10mg/Kg of lead orally from the first …


Study Of Chronic Atrophic Gastritis In Patients With Autoimmune Thyroid Disease, Mostafa Elmahalawy, Abdemonem Barrak, Bahy Eldean Elbahnasawy Sep 2021

Study Of Chronic Atrophic Gastritis In Patients With Autoimmune Thyroid Disease, Mostafa Elmahalawy, Abdemonem Barrak, Bahy Eldean Elbahnasawy

Al-Azhar International Medical Journal

ABSTRACT Background: Patients with autoimmune thyroid disease (ATD) may have a greater frequency of anti-parietal cell antibodies (APCA) than the general population. Aim of the study: The study's goal is to look at chronic atrophic gastritis in people who have autoimmune thyroid illness. Patients and Methods: In 60 ATD patients, APCA was detected using an indirect immunofluorescence test: 33(55%) had Graves' disease and 27(45%) had Hashimoto's thyroiditis. A systematic questionnaire was used to assess gastrointestinal symptoms, prior history of thrombosis, arthralgia, and other autoimmune disorders in patients and their families. Individuals with both positive and negative APCA were compared. Patients …


Bilateral Fascial Plan Block For Post Abdominoplasty Pain Control; Erector Spinae Plane Block Contrasted With Transversus Abdominis One, Ahmed Elsawy, Saeed Abdelhameed Sep 2021

Bilateral Fascial Plan Block For Post Abdominoplasty Pain Control; Erector Spinae Plane Block Contrasted With Transversus Abdominis One, Ahmed Elsawy, Saeed Abdelhameed

Al-Azhar International Medical Journal

Background: Abdominoplasty is a popular aesthetic procedure. Both patients and doctors are concerned about post-operative pain and discomfort. erector spinae plane block (ESP) with ultrasound guidance (UG) was an excellent analgesic technique in bariatric surgery. Objectives; to evaluate the intensity and duration of analgesia (ESP) technique to that provided by the transversus abdominis plane (TAP) technique were done bilaterally with (UG) post abdominoplasty. Study Design; A single-blinded, clinical, prospective, randomized study. Patients and Methods; 51 patients received bilateral (UG) block: (ESP) group (n = 25), and (TAP) group (n = 26), Using the same dosage and volume of local anesthetics. …


Evaluation Of Physiotherapy Impact On Rotator Cuff Shoulder Tendinopathy In Hypothyroid And Diabetic Patients, Hany Aly, Ashraf Aamer, Abdullah Gaafar, Mohamed Belih Sep 2021

Evaluation Of Physiotherapy Impact On Rotator Cuff Shoulder Tendinopathy In Hypothyroid And Diabetic Patients, Hany Aly, Ashraf Aamer, Abdullah Gaafar, Mohamed Belih

Al-Azhar International Medical Journal

Background: Rotator cuff, acute or chronic tendonitis, is affected by diabetes and hypothyroidism. Physiotherapy plays a pivotal role in the outcome and improvement of rotator cuff tendinopathy. This cross-sectional study was conducted on forty patients with shoulder pain to study the impact of different physiotherapy modalities programs in both hypothyroid and diabetic rotator shoulder cuff tendinitis. Results: The mean of range of motion (ROM) among hypothyroid patients was 22.3±25.69 at first visit and increased to 77.7±65.02, whereas, the mean ROM among diabetic patients was 31.00 ±24.153 at first visit and increased to 101.55 ± 61.90. The ROM was of high …


Sildenafil Versus Aspirin With Intrauterine Growth Restriction, Ahmed Hussein, Fahd Mohamed, Ahmed Taha, Hisham Ali Sep 2021

Sildenafil Versus Aspirin With Intrauterine Growth Restriction, Ahmed Hussein, Fahd Mohamed, Ahmed Taha, Hisham Ali

Al-Azhar International Medical Journal

Background: Fetus growing restriction (FGR) or intra-uterine growth restriction (IUGR) is definite nowadays as the fetal failures of growing possibility and represented as one of the most discussed problems in obstetrics, which was in nonstop searching for improvements in term of definitions, classifications, diagnosing and managements. Aim and objectives; was how to assess the consequence of Sildenafil and Aspirin in Doppler indices and the neonatal outcome in cases with placental non-sufficiency and FGR? Subjects and methods; this work was a randomized clinical study performed at Samalot General Hospital from March 2020 till March 2021. Result; There is significant change among …


Effect Of Hepatitis C Virus On Duration Of Pregnancy And The Incidence Of Congenital Anomalies Of The Fetus, Abd El-Rahman Soliman, Abdelmoniem Zakaria, Bassem Abd El-Aziz Sep 2021

Effect Of Hepatitis C Virus On Duration Of Pregnancy And The Incidence Of Congenital Anomalies Of The Fetus, Abd El-Rahman Soliman, Abdelmoniem Zakaria, Bassem Abd El-Aziz

Al-Azhar International Medical Journal

Background; In spite of reports of raised rates of hypertensive problems, pre-mature births, and cholestasis, the influence of mother HCV infections on gestation complications and obstetrical outcomes hasn’t been extensively defined. Aim and objectives; The current work aimed to examine the influence of Hepatitis C virus (HCV) infections during pregnancy on the duration of gestation as well as its possible effect on the incidence of congenital anomalies of the fetus. Subjects and methods; This work was a prospective observational case-control research had been done at Al-Hussein and Sayed Galal hospitals, Al-Azhar University during the period from December 2020 to June …


Evaluation Of Leech Therapy In Flap Venous Congestion, Aya Zidan, Mohamed Almarakby, Ayman Altramsy, Asmaa Dahy Sep 2021

Evaluation Of Leech Therapy In Flap Venous Congestion, Aya Zidan, Mohamed Almarakby, Ayman Altramsy, Asmaa Dahy

Al-Azhar International Medical Journal

Background: One of the common problems in flap surgery is venous congestion. The literature contains a plethora of alternative procedures to surgical revision for dealing with this issue. The leech therapy is one of these procedures. In the present study, leech therapy was used for the treatment of twenty cases with venous congested flaps. The technique, results and complications will be presented and discussed. Aim of the study: The aim of this study is to spotlight on the efficacy of leech therapy in salvage of venous congested flaps. Patients and Methods: A prospective clinical study was carried out on 20 …


Prognostication And Risk Factors Of Status Epilepticus In Patients Treated In Neurointensive Care Units, Emad Shaheen Sep 2021

Prognostication And Risk Factors Of Status Epilepticus In Patients Treated In Neurointensive Care Units, Emad Shaheen

Al-Azhar International Medical Journal

Background: Status epilepticus (SE) can lead to sequelae or even death. Identifying characteristics associated with poor outcome is crucial in guiding patient treatment, To our information, there is no data illustrating the prevalence and outcome of cases with critical tumor illness with AMS accompanied to non-convulsive seizures (NCS) or NCSE, Aim and objectives: the aim of the study was to evaluate risk factors and prognosing in cases with Status epilepticus (SE) treated in neurointensive care units, Subjects and methods: This was a retrospective cohort investigation, in which 50 cases had SE-episodes were included, We in retrospect analyzed all SE-episodes managed …


Study Of Stigma Among Depressed And Covid-19 Infected Patients, Ismail Sadek, Marwa Abdou Aug 2021

Study Of Stigma Among Depressed And Covid-19 Infected Patients, Ismail Sadek, Marwa Abdou

Al-Azhar International Medical Journal

Abstract: Background: Stigma is a phenomenon of underlying difficulties. It is one of the major challenges interfering with health care services especially in the need of rapid efficient dealing like what we have in covid 19 pandemic and mental health. In our study we assessed the presence of stigma in covid 19 infected patients and depressed patients and assessed certain factors that might associated with stigmatization. Methods: The study was conducted among 70 patients; 35 patients with depression and 35 patients post COVID-19 using the Explanatory Model Interview Catalogue (EMIC) Stigma scale from outpatient psychiatric and chest clinics after verification …


Follicular Unit Extraction In Management Of Secondary Cicatricial Alopecia, Mahmood Saeed, Abdel Monem Hoota, Abdel Nasser Khallaf Aug 2021

Follicular Unit Extraction In Management Of Secondary Cicatricial Alopecia, Mahmood Saeed, Abdel Monem Hoota, Abdel Nasser Khallaf

Al-Azhar International Medical Journal

Background: Management of Cicatricial alopecia has been a challenge to plastic surgeons nowadays ,the variability of surgical methods makes it difficult to choose the right treatment for each patient, also proper diagnosis of the type of cicatricial alopecia, whether it is primary or secondary, reversible or irreversible, scaring or non-scaring and stable or unstable, needs certain experience and skills. Objective: To assess results of Follicular Unit Extraction in management of secondary cicatricial alopecia. Patients and methods: This prospective cohort study, on 20 patients with secondary cicatricial alopecia. These Patients were operated upon in the Plastic and burn Department, Al-Azhar University …


Impact Of Domestic Violence On Conduct Disorder Among An Adolescents Sample, Ali Alkot, Mohamed Ramadan, Ali Alnabawy Aug 2021

Impact Of Domestic Violence On Conduct Disorder Among An Adolescents Sample, Ali Alkot, Mohamed Ramadan, Ali Alnabawy

Al-Azhar International Medical Journal

Background: Researchers studying parent-adolescent relationships are increasingly investigating the significance of parenting influencing adolescent development and how experiences in the family and other contexts interact with genetic factors to influence behavioral and developmental outcomes. Methods: The study was conducted on two samples. The first (the control sample) consisted of 50 adolescents from the admitted cases in the orthopedic department at Al-Hussein University Hospital and Sayed Galal University Hospital Cairo, Egypt. Their ages ranged from 12 to 18 years. They were subject to the conditions of inclusion in the sample. And the second (cases) consists of 50 adolescents who suffer from …


Effects Of Pregabalin On Postnatal Development Of The Kidney In Albino Rat’S Offsprings, Hala Mohamed Aug 2021

Effects Of Pregabalin On Postnatal Development Of The Kidney In Albino Rat’S Offsprings, Hala Mohamed

Al-Azhar International Medical Journal

ABSTRACTBackground: Pregabalin is used for the treatment of neuropathic pain, fibromyalgia, and migraine. Objectives: This study was designed to assess the effect of pregabalin on the developing kidney of albino rat’s offspring. Material and methods: Twenty pregnant rats were divided into two equal groups: group I (control) group and group II (treated) group which received pregabalin (150 mg/kg/day) from the first day of gestation up to 21 days after delivery. Offsprings were selected to be sacrificed on the 2nd postnatal day and at the 21st postnatal day, kidney specimens were prepared for light and electron microscopic examination. Results: Maternal pregabalin …


Additive Value Of Three Dimensions Echocardiography Parameters To Grace Score For Predicting Left Ventricular Remodeling Following Revascularization In Acute Anterior St- Elevation Myocardial Infarction – A Comparison Of Primary Angioplasty And Streptokinase-Based Pharmaco-Invasive Strategy, Ahmad Abdel Aziz, Ali Amin, Mustafa Elsawasani Aug 2021

Additive Value Of Three Dimensions Echocardiography Parameters To Grace Score For Predicting Left Ventricular Remodeling Following Revascularization In Acute Anterior St- Elevation Myocardial Infarction – A Comparison Of Primary Angioplasty And Streptokinase-Based Pharmaco-Invasive Strategy, Ahmad Abdel Aziz, Ali Amin, Mustafa Elsawasani

Al-Azhar International Medical Journal

Background: Primary percutaneous coronary intervention (PPCI) is the treatment of choice for acute ST-elevation myocardial infarction (STEMI), pharmacoinvasive is an alternative strategy when PPCI is not available within the time Objective: Comparing reperfusion strategies in patients presented by acute anterior STEMI treated by Primary PCI versus streptokinase based pharmaco-invasive strategy regarding the effect on LV remodeling (primary end point), safety and efficacy (secondary end point). Patients and Methods: 100 patients with acute anterior myocardial infarction (STEMI). At Bab Al Sheria hospital (Al-Azhar University), during the period from April 2019 to January 2021, subdivided into 50 patients treated with pharmacoinvasive strategy …


Value Of Magnetic Resonance Imaging In Multiple Sclerosis Patients, Emad Shaheen Aug 2021

Value Of Magnetic Resonance Imaging In Multiple Sclerosis Patients, Emad Shaheen

Al-Azhar International Medical Journal

Background: Magnetic Resonance Imaging (MRI) has many advantages in the investigation of Multiple Sclerosis (MS). It delivers precise measurements of disorder activity, simplifies accurate diagnosing, and help in the evaluation of novel treatments. The present work aim is to recognize the roles of MRI in in the characterizations of MS-connected brain and spinal cord involvement. Methods: 30-cases relapsing-remitting MS (RRMS) cases were involved. The number, volume, and distribution of brain MRI lesions have been assessed via T2-weighted (T2W) image. Cross-sectional full normalized brain volume (NBV), normalized deep gray matter volume (NDGMV), normalized white matter volume (NWMV), normalized cortical gray matter …


Impact Of Adenoidectomy Alone Or With Ventilation Tube For Treatment Of Secretory Otitis Media In Children, Tawfik Elkholy, Fatma Abd El-Gaber, Dalia Al-Agamy, Marwa Elhady Aug 2021

Impact Of Adenoidectomy Alone Or With Ventilation Tube For Treatment Of Secretory Otitis Media In Children, Tawfik Elkholy, Fatma Abd El-Gaber, Dalia Al-Agamy, Marwa Elhady

Al-Azhar International Medical Journal

Background: Adenoid surface in patients suffering from secretory otitis media is usually associated with bacterial biofilm. Adenoidectomy is thought to be effective in treatment of cases associated with secretory otitis media. Objective: Evaluating the role of adenoidectomy alone or in combination with ventilation tube insertion in improving the outcome of OM with effusion associated with adenoid hypertrophy. Patients and methods: This study included 40 children with recurrent or persistent secretory OM despite proper medical treatment for 3-6 months. They were divided into 2 equal groups. Group A treated by adenoidectomy with ventilation tube insertion and the group B was treated …


Comparative Study Between The Outcomes Of Posterior Lumbar Interbody Fusion Combined With Transpedicular Screws Versus Transpedicular Screws Alone In Recurrent Lumbar Disc Prolapse, Mohammed Alhady, Mohamed Abo-Shahba, Abdallah Salama Aug 2021

Comparative Study Between The Outcomes Of Posterior Lumbar Interbody Fusion Combined With Transpedicular Screws Versus Transpedicular Screws Alone In Recurrent Lumbar Disc Prolapse, Mohammed Alhady, Mohamed Abo-Shahba, Abdallah Salama

Al-Azhar International Medical Journal

Background: Recurrent lubmer disc herniation is a challenge facing neurosurgeons. Disectomy is the rule. However, fusion was emerged as an alternative. No consensus for standard fusion technique is reached yet. Aim of the work: to investigate the outcome of posterior interbody fusion combined with transpedicular screws versus the transpedicular screws alone, for recurrent disc herniation. Patients and Methods: Thirty patietns with recurrent disc prolapse were included and divided into two equal groups. Group A: interbody fusion with transpedicular screw, and Group B: transpedicular screws alone). All were evaluated by history taking, clinical examination and laboratory and radiological investigations. Pain assessed …


External Fixator Supplemented With Screw Fixation Versus Staged Open Reduction And Internal Fixation Tibial Pilon Fracture, Moataz Elmasry, Mohammed Besar, Ahmed Akar Aug 2021

External Fixator Supplemented With Screw Fixation Versus Staged Open Reduction And Internal Fixation Tibial Pilon Fracture, Moataz Elmasry, Mohammed Besar, Ahmed Akar

Al-Azhar International Medical Journal

Background: The present study aims to compare the results of primary tibial pilon injury . Objective: Our work aims to compare the clinical and radiological outcomes of two different surgical techniques for treatment of tibial pilon fractures. Patients & Methods: Those who matched completely with inclusion criteria were included until fully gaining required sample size. Prospective comparative controlled study using the foot and ankle outcome questionnaire of AAOS. The study was carried on patients with distal tibial fractures that are types 43 (B&C1, C2, C3) OTA classification of distal tibial fractures. patients divided for two groups according to surgical technique: …


Study Of Eeg Changes Among Sample Of Egyptian Children With Attention Deficit Hyperactivity Disorder, Karim Okasha, Mahmoud Hamouda, Ismail Sadek, Mohammed Hamouda Aug 2021

Study Of Eeg Changes Among Sample Of Egyptian Children With Attention Deficit Hyperactivity Disorder, Karim Okasha, Mahmoud Hamouda, Ismail Sadek, Mohammed Hamouda

Al-Azhar International Medical Journal

Background: Attention Deficit Hyperactivity Disorder(ADHD) is a mental Neuro-developmental type, Up to 5% of primary school-age children have ADHD, characterized by Inattention, Hyperactivity ,and Impulsivity, Relation between Encephalography (EEG) and (ADHD) is ambiguous, Guidelines recommend that (EEG) indicated only in the clinical suggestions of seizure disorder or a presence of focal signs. Aim: To Study the Relation Between (ADHD) children and Their (EEG) changes, Further study of the Efficacy of Atomoxetine\Antipsychotic and Antiepileptic on ADHD children. Subjects and Methods: 60 Egyptian children (age 6-18) with No previous history of seizures. They had been attending to Neuropsychiatry clinic for treatment and …


Vaginal Progesterone Versus Cervical Cerclage To Prevent Preterm Birth, Mohammed Fahmy, Abdallah Ahmed, Alrefaai Marai Aug 2021

Vaginal Progesterone Versus Cervical Cerclage To Prevent Preterm Birth, Mohammed Fahmy, Abdallah Ahmed, Alrefaai Marai

Al-Azhar International Medical Journal

Background: Despite the fact that the rate of preterm birth has escalated, some interventions have been established to have a potential responsibility in downgrading the probability of recurrent preterm birth (PTB) occurrence as bed rest and vaginal progesterone that have been attempted to alleviate this troublesome condition. Objective: To compare the efficacy of vaginal progesterone and cerclage in preventing preterm birth. Patients and methods: This study was a prospective cohort randomized clinical study that was conducted on 120 pregnant women at high risk of preterm birth; 60 cases were prescribed vaginal progesterone and the remaining 60 cases underwent cervical cerclage. …


Combined First Trimester Maternal Platelets Indices And Uterine Artery Doppler In Prediction Of Pre-Eclampsia In Primigravidae, Muhammad Aboulfotouh, Muhamed Abdelmoaty, Mohamed Gebreel Aug 2021

Combined First Trimester Maternal Platelets Indices And Uterine Artery Doppler In Prediction Of Pre-Eclampsia In Primigravidae, Muhammad Aboulfotouh, Muhamed Abdelmoaty, Mohamed Gebreel

Al-Azhar International Medical Journal

Background: Pre-eclampsia is a heterogeneous disease influencing various systems of the body and commonly accompanied by morbidity and death. Early pre-eclampsia prognostication would decrease this accompanied morbidity and death as it will give the chance for common motherly and fetal surveillance and utilization of prophylactic operations. Objective: To assess whether the use of maternal platelet indices combined with uterine artery Doppler during 1st trimester could enhance the prediction of later pre-eclampsia in primigravidae women. Methods: This prospective study includes 30 pregnant women selected from Obstetrics and Gynecology department, Al-Azhar university hospitals. All the selected pregnant women were primigravidae in 1st …


Efficacy Of Cranial Doppler Ultrasound In Diagnosis Of Early-Onset Neonatal Sepsis, Ahmed Elheity, Ahmed Abdelhakeem, Sameh Ahmed, Mohammad Ahmad Jul 2021

Efficacy Of Cranial Doppler Ultrasound In Diagnosis Of Early-Onset Neonatal Sepsis, Ahmed Elheity, Ahmed Abdelhakeem, Sameh Ahmed, Mohammad Ahmad

Al-Azhar International Medical Journal

Background: Neonatal sepsis is considered a major neonatal issue and associated with a high rate of mortality in newborns. Because there is a lack of studies concerning early hemodynamic changes of cerebral circulation in neonatal sepsis, so our research aims to assess the cerebral blood flow (CBF) changes in newborns with early-onset neonatal sepsis (EONS) and to clarify the role of cranial Doppler Ultrasound in EONS diagnosis. Objective: To evaluate cerebral hemodynamic changes using transcranial Doppler in newborns with EONS. Methods: This cross-sectional study with 50 neonates involved in the study. The neonates were classified into 2 groups: Case Group …


The Value Of Platelet Volume Parameters And Procalcitonin In The Diagnosis Of Neonatal Sepsis, Mustafa Bayoume, Ahmed Abdelhakeem, Tarek El-Dahshan, Sameh Ahmed Jul 2021

The Value Of Platelet Volume Parameters And Procalcitonin In The Diagnosis Of Neonatal Sepsis, Mustafa Bayoume, Ahmed Abdelhakeem, Tarek El-Dahshan, Sameh Ahmed

Al-Azhar International Medical Journal

Background: in developing countries, sepsis represents the 3rd cause of neonatal mortality. Procalcitonin and MPV have been studied widely as markers for neonatal sepsis. Objective: evaluation of the value of platelet volume parameters compared to procalcitonin as early biomarkers of neonatal sepsis. Patients and Methodology: a prospective case-control study on 80 newborn infants admitted to the university neonatal intensive care unit, Sayed Galal University Hospital, between September and December 2020. Studied neonates have been divided equally into; sepsis, and control groups. Cases were suspected based on clinical presentation, risk factors, and hematological scoring system (≥3); and further subdivided into group …


Electron Microscopic And Histopathological Study Of The Overacting Inferior Oblique Muscle Of The Human Eye, Mohamed Kandeel, Gamal Desouki, Alaa El Deen El Sagheer, Amr Elkamshoshy Jul 2021

Electron Microscopic And Histopathological Study Of The Overacting Inferior Oblique Muscle Of The Human Eye, Mohamed Kandeel, Gamal Desouki, Alaa El Deen El Sagheer, Amr Elkamshoshy

Al-Azhar International Medical Journal

ABSTRACTBackground: Inferior oblique muscle overaction is a common disorder that has a correlation with the anatomical changes of the muscle itself. The changes differ according to the grade of the overaction.Objective: To correlate between the histopathological alternations of the inferior oblique muscle and the different degrees of clinical overaction.Patients and methods: Ten biopsies from inferior oblique muscles were taken during the surgery of strabismus after determining the clinical degree of the overaction. One muscle biopsy was taken during enucleation surgery and considered as a control. All biopsies were examined by light and transmission electron microscopes.Results: By light microscopy, grade II …


Role Of Nanofat Injection In Treating Post-Traumatic Scars, Mahmoud Rageh, Mohamed El-Khalawany, Shady Ibrahim Jul 2021

Role Of Nanofat Injection In Treating Post-Traumatic Scars, Mahmoud Rageh, Mohamed El-Khalawany, Shady Ibrahim

Al-Azhar International Medical Journal

Background: Scars are the common and unpleasing result that occur following injuries of different causes. They have a great impact on the affected subjects both physically and psychologically. Aim: The aim of this study was to evaluate the role of autologous nanofat injection in refining the esthetic appearance of post-traumatic scars, along with pathological correlation of the results. Patients and methods: Nineteen patients with post-traumatic scars were treated with a single session of nanofat injection. The results were assessed after 6 months from the session using Vancouver scar scale (VSS) in addition to pathological evaluation via image analyzing system. Results: …


Role Of Interventional Radiology In Management Of Chronic Shoulder Pain, Mohamed Elkardosy, Ahmed Mahmoud, Ahmed Zidan, Gamal Elsawy Jul 2021

Role Of Interventional Radiology In Management Of Chronic Shoulder Pain, Mohamed Elkardosy, Ahmed Mahmoud, Ahmed Zidan, Gamal Elsawy

Al-Azhar International Medical Journal

Abstract Background: The shoulder pain is a frequent musculoskeletal condition in the overall population, with incidence of 6.7 –66.7 percent. Aim of the work: The aim of this research was to estimate the interventional radiology role in management of chronic shoulder pain. The Patients and Methods: This prospective study included (60) patients with chronic shoulder pain. Regional injection had been done guided by ultrasound, fluoroscopy &/or CT for e.g: hydrodilatation of the gleno-humeral capsule, hydro-dissection of the subacromial bursa, neurolysis of suprascapular & subaxillary nerves. Results: The full technique has a significant higher improvement in VAS, ROM and SPADI than …