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Obstetrics and Gynecology

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2021

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Full-Text Articles in Medicine and Health Sciences

A Case Of Refractory Gestational Trophoblastic Neoplasia Requiring Hysterectomy After Methotrexate, Ida Micaily, Md, Saveri Bhattacharya, Do, Russell J. Schilder, Md Oct 2021

A Case Of Refractory Gestational Trophoblastic Neoplasia Requiring Hysterectomy After Methotrexate, Ida Micaily, Md, Saveri Bhattacharya, Do, Russell J. Schilder, Md

The Medicine Forum

Gestational trophoblastic neoplasia (GTN) refers to a group of malignant conditions that develop due to abnormal fertilization causing abnormal proliferation of tissue. GTN is primarily treated with surgical evacuation of the underlying proliferative tissue. Approximately half of cases of GTN arise from molar pregnancy1. GTN include invasive moles, choriocarcinomas, placentalsite trophoblastic tumors and epithelioid trophoblastic tumors. The most common risk factors associated with GTN are prior molar pregnancy, advanced maternal age (>40 years of age), and Asian and Native American ancestry2-4. Following evaluation of a molar pregnancy, a post-molar GTN is diagnosed based on the …


Opioid Free Multimodal Analgesia Versus Opioid Based Analgesia In Bariatric Surgery Outcome, Zeinab Ibrahim, Gihan Eldosoky, Kamal Abosonna Oct 2021

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 Oct 2021

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; …


Assessment Of Serum Level Of Cxcl9 And Cxcl10 In Cutaneous Versus Systemic Lupus Erythematosus, Ghada Omar, Sabila Mosa, Radwa Morsy, Radwa Tirana, Nagla Abdelaty Oct 2021

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 Oct 2021

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 Oct 2021

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 Oct 2021

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 Oct 2021

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 …


Study Of Cryptosporidium Infection In Liver Cirrhosis And Animal Model., Mohammed Elhussiny, Mohamed El-Faramawy Oct 2021

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 …


Misoprostol Versus Letrozol With Misoprostol In Management Of First Trimesteric Missed Miscarriage, Abd Elazeem Afifi, Farid Hassan, Mofeed Mohammed Oct 2021

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 …


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 …


There Is Insufficient Evidence To Recommend Bremelanotide For Hypoactive Sexual Desire Disorder, Scott Yaekle Md, Halima Ali Md, Carol Baker Md Aug 2021

There Is Insufficient Evidence To Recommend Bremelanotide For Hypoactive Sexual Desire Disorder, Scott Yaekle Md, Halima Ali Md, Carol Baker Md

Clinical Research in Practice: The Journal of Team Hippocrates

An informed consent discussion for a patient with Hypoactive Sexual Desire Disorder.


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 …


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 …


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 …