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Comparative Study Between Radical Hysterectomy With Or Without Pelvic Lymphadenectomy For Stage Ii Endometrial Carcinoma, Mohamed Esmat Abdelghany, Ahmed El Sayed Mohamed Abdelrahman, El-Sayed Ragab Mostafa Abdelghany Jan 2024

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

Al-Azhar International Medical Journal

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


A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem Jan 2024

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

Al-Azhar International Medical Journal

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


The Usefulness Of The Added Dw-Mri In Differentiation Of Various Bone Tumors And Tumor Like Focal Lesions, Hesham Mahmoud Hamza, Hoda Abdel-Kareem Abdel-Samiae, Mohamed Ahmed Ahmed Ali, Tarek Mohamed Mohamed Mansour, Marwa Mahmoud Esmail Jan 2024

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

Al-Azhar International Medical Journal

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


Cold Snare Polypectomy Versus Hot Snare Polypectomy In Endoscopic Treatment Of Non Pedunculated Colorectal Polyps Larger Than Or Equal 1 Cm, Magdy Abd Al-Karim Al-Dahsha, Mohammed S. Hussein, Sadek Mosta, Abd Al Nabi Saeed Al Sham, Mohamed Fahmy Soliman Alsabagh Jan 2024

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

Al-Azhar International Medical Journal

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


Role Of 4d Ultrasonography In Assessment Of Amniotic Fluid Disorders Of Fetal Renal Origin, Saad R. Al-Gebaly, Sileem A. Sileem, Lotfy A. Murad Jan 2024

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

Al-Azhar International Medical Journal

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


Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-Baroudy Jan 2024

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

Al-Azhar International Medical Journal

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


Comparative Evaluation Of Diosmectite Versus Nitazoxanide And Their Combination In The Treatment Of Cryptosporidiosis In Immunosuppressed Mice, Enas A. El Saftawy, Walla’A A. Osman, Rania M. Sarhan, Rabab S. Zalat, Shimaa A. Atta Jan 2024

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

Al-Azhar International Medical Journal

Abstract

Background

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

Aim

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

Materials and methods

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

Results

Body weight was improved significantly …


Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed Jan 2024

Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed

Al-Azhar International Medical Journal

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' …


Transoral Endoscopic Thyroidectomy Through Vestibular Approach; Report Of Initial Experience, Mohamad Adel, Abd El-Fattah Al Sheikh Jan 2024

Transoral Endoscopic Thyroidectomy Through Vestibular Approach; Report Of Initial Experience, Mohamad Adel, Abd El-Fattah Al Sheikh

Al-Azhar International Medical Journal

Background: Endoscopic thyroidectomy is a minimally invasive approach with a rising popularity due to favorable esthetic outcome. Transoral vestibular approach endoscopic thyroidectomy (TOVET) was progressively adopted for many thyroid pathologies. We, herein report our initial experience utilizing TOVET for benign thyroid lesions. Methods: This prospective study was conducted from December 2020 and February 2023, 15 patients with benign thyroid nodules were selected. All patients considered scarless thyroidectomy as their preferred surgical approach and were operated on for TOVET. Clinicopathological data and surgical outcomes were reported. Results: Fifteen patients comprising 1 male and 14 female underwent TOVET. Of these patients, 12 …


Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady Jan 2024

Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady

Al-Azhar International Medical Journal

Background: Nutritional support continues to be a vital component in the care of the surgical patients. While its routine use in the healthy elective surgical patient is rarely necessary, it is indicated in severely catabolic patients or in the individual who cannot eat for a long period. Other factors influencing the need for nutritional support includes the age of the patient, the existence of malnutrition as well as its severity and presence of cancer cachexia. Aim & objectives: to evaluate feeding jejunostomy as a route of enteral nutrition in comparison with total parenteral nutrition (TPN) in high-risk surgical persons. Subjects …


Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek Jan 2024

Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek

Al-Azhar International Medical Journal

Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited …


Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki Jan 2024

Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki

Al-Azhar International Medical Journal

Background: Controlled ovarian hyper stimulation is a critical step in the process of in vitro fertilization and embryo transfer because it ensures the absorption of a large number of oocytes that are of sufficient quality to be fertilized.This condition's source, mechanism, and/or pathophysiology are still unknown, unpredictable, and unpreventable, despite the years of clinical experience that have been accumulated. Aim and objectives: To assess the efficiency of utilizing a dual trigger as opposed to a higher dosage of hCG as a trigger in an antagonist protocol for the purpose of improving the number of up taken eggs per number of …


Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou Jan 2024

Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou

Al-Azhar International Medical Journal

Background: Percutaneous endoscopic stenosis lumbar decompression (PESLD) is regarded as a noteworthy therapeutic option for lumber spinal stenosis (LSS), particularly on the contralateral side, in a satisfactory manner. Objective: To evaluate the efficacy and efficiency of PESLD of LSS through a uniportal-contralateral approach. Subjective: This was a prospective observational study. The patients were admitted to the Neurosurgery Department, Damanhour Educational Hospital, El-Behira Governorate, and Al Hussain Hospital Al Azhar University in Cairo. All patients underwent PESLD through a uniportal-contralateral approach.. Results: The pre-operative visual analogue scale (VAS) was 7.3 ± 0.9 and decreased significantly post-operative to 2.4±1.0. Intraoperative data showed …


A Hanging Case Or A Hit And Run Accident, Mohamed M. Hussein, Ashraf I. Hassan Jan 2024

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

Al-Azhar International Medical Journal

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


A Comparative Study Between Anterior Tunnel And Anterior Release Techniques In The Management Of Anterior Tympanic Membrane Perforation, Atef Abdullah El Maraghy, Yehia Mohamed Dawood, Abdulrahman Mohamed Ali Abdallah Jan 2024

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

Al-Azhar International Medical Journal

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


Characteristics Of Patients Newly Diagnosed With Diabetes Mellitus After Coronavirus Disease-19 (Covid-19), Alboraie Mohamed Aly, Megahed Mohamed Rabie, Abohasan Ahmed Mohamed, Abdelraouf Mahmoud Ezzat, Badr Gamal Aly Jan 2024

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

Al-Azhar International Medical Journal

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


Comparative Study Between Cardiac Mri And Echocardiography In Post-Operative Evaluation Of Fallot Tetralogy, Tarek Mohamed Abdel Hamid El-Zayyat, Hytham Mohamed Mahmoud Nafady, Ahmed Abd Elazeem Mohamed Youseif Jan 2024

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

Al-Azhar International Medical Journal

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


Effect Of Low-Flux Versus High-Flux Dialyzers On Interleukin 6 (Il-6) Level In Patients Undergoing Maintenance Haemodialysis, Hussein Salem Farahat Salem, Mohamed Nabil Raafat, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomi Jan 2024

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

Al-Azhar International Medical Journal

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

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


Comparative Study Between Orthotopic Neobladder And Ileal Conduit Diversion For Patients With Cancer Bladder After Radical Cystectomy, Saied Hosny Bendary, Ahmed Alsayed Mohmed, Ahmed Fathy Sayed Ahmed Aly Jan 2024

Comparative Study Between Orthotopic Neobladder And Ileal Conduit Diversion For Patients With Cancer Bladder After Radical Cystectomy, Saied Hosny Bendary, Ahmed Alsayed Mohmed, Ahmed Fathy Sayed Ahmed Aly

Al-Azhar International Medical Journal

Background: Several techniques are employed for urine diversion following radical cystectomy, such as the ileal conduit, cutaneous urinary reservoir, and orthotopic neobladder. The many forms of urine diversion significantly influence multiple dimensions of quality of life (QoL), encompassing elements such as urinary function, physical well-being, sexual health, psychological adjustment, everyday functioning, and body image-related unhappiness. Aim and objectives: Is to compare between quality of life (QoL), results and complications of orthotopic urinary diversions and ileal conduit diversion after radical cystectomy in patients with muscle-invasive bladder cancer. Subjects and methods: This is a prospective study conducted at Oncosurgery Department, Al-Azhar University …


Updated Role Of Ultrasonography In Comparison With Magnetic Resonance Imaging In Evaluation Of Various Causes Of Chronic Ankle Pain, Alaa Eldein Mohamed Badr, Mohamed Abdelfattah Yousef, Abdelhakeam Atef Abdelhakeam Jan 2024

Updated Role Of Ultrasonography In Comparison With Magnetic Resonance Imaging In Evaluation Of Various Causes Of Chronic Ankle Pain, Alaa Eldein Mohamed Badr, Mohamed Abdelfattah Yousef, Abdelhakeam Atef Abdelhakeam

Al-Azhar International Medical Journal

Background: Ankle pain refers to any kind of discomfort in either or both ankles. A common cause of ankle pain is an ankle sprain. Apart from sprains and other traumas, gout and arthritis can also result in ankle pain. Ankle discomfort can arise from various types of arthritis, such as osteoarthritis, rheumatoid arthritis, chronic gouty arthritis, psoriatic arthritis, and septic arthritis. Aim of the work: To analyze the updated roles of magnetic resonance imaging and ultrasonography in evaluating different causes of persistent ankle discomfort. Patients and methods: The fifty randomly selected patients with no age or sex specification were subjected …


Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha Jan 2024

Evaluation Of Yolk Sac Diameter, Gestational Sac Diameter, Embryonic Heart Rate As Prognostic Factor Of 1st Trimester Outcome, Fahd Abdelal Al Omda, Mohamed Ibrahim Mohamed, Abdelrahman Ali Abdallh Okasha

Al-Azhar International Medical Journal

Background: Ultrasound at 5 weeks gestation reveals the yolk sac's hypoechoic centre and echogenic rim. Between 8 and 11 weeks of pregnancy, it expands and then disappears. Larger yolk sacs cause more miscarriages. Normal yolk sacs reduce first-trimester complications. A normal yolk sac predicts a 94% typical result. By 5 weeks, the embryonic heartbeat is visible. The fetal heart rate rose from 118 to 167 beats per minute between 6 and 10 weeks. An embryonic heart rate (EHR) of 100 BPM is abnormal and related to an 83.3% loss rate early in pregnancy (6-9 weeks). Aim: Does Assessment of gestational …


Classical Antagonist Protocol In Comparison With Agonist Stop Protocol In Pcos Women Undergoing Icsi Trial: A Randomized Controlled Trial, Mohamed Sameeh Kamal Mohamed, Hassan Ahmed Abdrbo, Mohamed Mohamed Farahat Jan 2024

Classical Antagonist Protocol In Comparison With Agonist Stop Protocol In Pcos Women Undergoing Icsi Trial: A Randomized Controlled Trial, Mohamed Sameeh Kamal Mohamed, Hassan Ahmed Abdrbo, Mohamed Mohamed Farahat

Al-Azhar International Medical Journal

Background and aim: Polycystic ovary syndrome (PCOS) is distinguished by hyperandrogenism, oligomenorrhea, and a cystic ovarian morphology. Ovarian hyperstimulation syndrome (OHSS) is more likely to occur in women with PCOS who undergo IVF. The utilization of hCG to begin the ovum's ultimate maturation is a significant mechanism in OHSS . The ESHRE guidelines recommend that in women with PCOS undergoing ICSI/IVF treatment the gonadotrophine releasing hormone antagonist protocol is optimal or superior to gonadotrophin releasing agonist long protocol. In this study we aimed to Compare pregnancy rate between classical (standard) antagonist protocol to agonist stop/antagonist protocol in women with PCOS …


Topical 15% Lactic Acid Solution Versus Topical Betamethasone Valerate Lotion In Treatment Of Multiple Patchy Alopecia Aerate., Ramy Taher Mohamed Aboelghait, Amr Mohamed Zaki, Emad Mahmoud El Rewiny Jan 2024

Topical 15% Lactic Acid Solution Versus Topical Betamethasone Valerate Lotion In Treatment Of Multiple Patchy Alopecia Aerate., Ramy Taher Mohamed Aboelghait, Amr Mohamed Zaki, Emad Mahmoud El Rewiny

Al-Azhar International Medical Journal

Background: Alopecia areata (AA) is a kind of alopecia that affects the retinal pigment epithelium, nails, and hair follicles sporadically. It is a kind of hair loss that doesn't leave scars and often manifests as rounded patches. Alopecia areata may be treated with a variety of methods, including topical, systemic, and injectable ones. Aim of the work: The major aim of this research is to evaluate the efficacy of topical lactic acid 15% solution versus topical betamethasone Valerate Lotion in management of multiple patchy alopecia aerata. Patients and methods: 50 patients in all were included, after consenting each of them …


A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah Jan 2024

A Comparative Study Of The Transverse Cerebellar Diameter Of The Fetus With The Biparietal Diameter And Femur Length In Estimation Of Diagnostic Accuracy Of Gestational Age In The Second And Third Trimesters Of Pregnancy, Mohamed Mohamed Gebreel, Mofeed Fawzy Mohamed, Sherif Ahmed Hassan Abdel Fattah

Al-Azhar International Medical Journal

Background: The management of antenatal care and the successful planning of an appropriate intervention or therapy depend greatly on the determination of gestational age (GA). When dates are ambiguous or there is a suspicion of intrauterine growth retardation, transverse cerebellar diameter (TCD) provides a significant advantage in predicting GA. Aim of the work: to compare TCD measurement to existing fetal biometric measures such as femur length (FL) and biparietal diameter (BPD) in order to evaluate the diagnostic accuracy of TCD measure in estimating GA throughout the second and third trimesters. Patients and methods: The obstetrics and gynecology department of El-Sheikh …


Comparative Study Between Fibrin Glue And Intra Corporeal Mesh Fixation In Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair, Mahmoud Tarek Mohammed Ahmed Moamn, Ashraf Abdel-Hammid Abdel-Monem, Abdel-Hafez Abdel- Aziz Selim Jan 2024

Comparative Study Between Fibrin Glue And Intra Corporeal Mesh Fixation In Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair, Mahmoud Tarek Mohammed Ahmed Moamn, Ashraf Abdel-Hammid Abdel-Monem, Abdel-Hafez Abdel- Aziz Selim

Al-Azhar International Medical Journal

Introduction: Inguinal hernia, which often necessitate surgery, have a prevalence of 15–45 percent around the world, depending on age. The most common surgical treatment for inguinal hernia is mesh implantation. Current surgical options for mesh fixation involve, but are not limited to, sutures, tacks or staples, self-fixing meshes, fibrin, and other glues. Aim: To evaluate the performance of fibrin glues and sutures for fixing mesh during laparoscopic inguinal hernia repair. Patients and Methods: Forty adult male patients with inguinal hernias were randomly assigned to have either laparoscopic transabdominal pre-peritoneal repair or open repair at Al-Azhar university facilities. Individuals were separated …


Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy Jan 2024

Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy

Al-Azhar International Medical Journal

Background: The eye disorder known as diabetes-related macular edema (DME) is frequent and dangerous. DME is one of the easiest conditions to treat even though it can cause vision impairment. Photocoagulation, intravitreal medicines, in addition to surgical excision are some of the therapy options that are currently available. Aim of the work: to evaluate how intravitreal Ranibizumab injections affected corneal endothelial changes over the course of 3 months in patients diagnosed with DME. Patients and Methodology: A case-control study at Giza Memorial Institute of Ophthalmic Research from May 2022 till Nov 2022. compared patients with DM who have good glycemic …


Correlation Between Subclinical Hypothyroidism And Repeated Miscarriage In Pregnant Women, Haitham A. Azeem, Ali A. Madian, Mohamed R. Izzaldin, Mona R. Mohamed Jan 2024

Correlation Between Subclinical Hypothyroidism And Repeated Miscarriage In Pregnant Women, Haitham A. Azeem, Ali A. Madian, Mohamed R. Izzaldin, Mona R. Mohamed

Al-Azhar International Medical Journal

Background: Abortion is a minor complication of pregnancy, defined as the spontaneous loss of the fetus, which occurs in 15-20% of pregnant women. Recurrent miscarriages, which occur in approximately 1% of women of childbearing age and are defined as miscarriages of two or more pregnancies in consecutive pregnancies. Aim: To determine the association between subclinical hypothyroidism in pregnant women and recurrent miscarriage. Patients and Methods: This observational study was conducted in December 2021 and May 2022 on nine pregnant women at Assiut University's Al-Azhar Hospital. Patient groups who complained of recurrent miscarriage (at least two unexplained recurrent miscarriages) and control …


Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil Jan 2024

Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil

Al-Azhar International Medical Journal

Background: Diabetes has become an important risk factor for major morbidity and death, hospitalizations, disease severity, acute renal failure, acute respiratory distress syndrome, ICU admissions and patient death. with coronavirus disease 2019. Aim: To study glycemic changes and outcomes in diabetic and non-diabetic patients hospitalized with COVID-19. Patients and Methods: In this retrospective study, 500 hospitalized adult patients over 18 years of age with COVID-19 were referred to Al-Azhar – Assiut and Chest – Assiut University Hospitals with nasopharyngeal vaccination against SARS-CoV-2. Our study spanned approximately seven months of confirmed COVID-19 from January 2021 to July 2021. Results: Patients with …


Assessment Of The Prevalence Of Pulmonary Hypertension And Volume Status In Regular Hemodialysis Patients, Ahmed Alaa Eldin Ahmed Saad, Abd Elhamid Ismaeil Abd Elhamid, Mohamed Hassan Attia, Ali Ashraf Abd Elaty Ali Jan 2024

Assessment Of The Prevalence Of Pulmonary Hypertension And Volume Status In Regular Hemodialysis Patients, Ahmed Alaa Eldin Ahmed Saad, Abd Elhamid Ismaeil Abd Elhamid, Mohamed Hassan Attia, Ali Ashraf Abd Elaty Ali

Al-Azhar International Medical Journal

Background: Cardiovascular disease is well acknowledged as a significant cause of death among individuals diagnosed with chronic renal disease. It constitutes approximately 50 percent of mortality cases among those undergoing dialysis treatment. In recent studies, it has been discovered that the presence of pulmonary hypertension serves as a robust and autonomous prognostic indicator for mortality among those undergoing hemodialysis. Aim of work: to assess the prevalence of pulmonary hypertension and its relation to volume status in hemodialysis patients. Patients and Methods: a prospective comparative study that was conducted on (50) patients on regular hemodialysis in the Nephrology Unit of Kobry …


Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud Jan 2024

Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud

Al-Azhar International Medical Journal

Background: Phacoemulsification is widely recognized as the prevailing ocular surgical procedure conducted on a global scale. Multiple studies have provided evidence of a decrease in intraocular pressure (IOP) following phacoemulsification. The assessment of anatomical features in the anterior chamber has emerged as a key area of interest in determining the extent of IOP reduction following cataract surgery. Anterior Segment Optical Coherence Tomography(AS-OCT) has recently emerged as an objective and noninvasive method to assess the anterior chamber anatomy. Aim of the work: The aim of the work is to study the effect of phacoemulsification on the anterior chamber and IOP in …