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Autologous Fat Transfer For Gluteal Augmentation: A Meta-Analysis Study, Abd El Nasser Mohammed Khallaf, Al-Sayed Hussein El-Sharkawy, Mohammed Mohammed Ali Ahmed Oct 2023

Autologous Fat Transfer For Gluteal Augmentation: A Meta-Analysis Study, Abd El Nasser Mohammed Khallaf, Al-Sayed Hussein El-Sharkawy, Mohammed Mohammed Ali Ahmed

Al-Azhar International Medical Journal

Background: In 1969, Bartels et al. presented the initial description of gluteal augmentation using a breast Cronin prosthesis to treat buttock asymmetry. In recent decades, gluteal fat grafting has seen one of the fastest-growing rates of any cosmetic surgery technique. Objectives: Analyze the published techniques of autologous fat transfer for Buttock augmentation (BBL), and compare different protocols to identify which technique is better in safety and effectiveness over the last 5 years, with demonstration of clinical cases. Subjects and methods: This research was carried out by the Plastic Surgery & Burn Unit of the Al-Azhar University School of Medicine. The …


Laparoscopic Sleeve Gastrectomy In Treatment Of Morbid Obese Child And Adolescent, Single Center Experience, Mohamed Abdel Aziz, Ahmed Shehata, Ibrahim Gamaan, Ahmed Abdelghaffar Helal, Aly Alnabawy, Mohamed Abd Elmalik Hassan, Mohamed Emara Sep 2023

Laparoscopic Sleeve Gastrectomy In Treatment Of Morbid Obese Child And Adolescent, Single Center Experience, Mohamed Abdel Aziz, Ahmed Shehata, Ibrahim Gamaan, Ahmed Abdelghaffar Helal, Aly Alnabawy, Mohamed Abd Elmalik Hassan, Mohamed Emara

Al-Azhar International Medical Journal

Background: Obesity affects children and adults across all age groups. The prevalence of obesity is as high as 21.4% in pediatric age groups. This increase in prevalence is associated with significant health implications and necessitates effective interventions. the results of weight loss surgery in children and adolescents are still scarce, despite recent studies suggesting favorable short- and intermediate-term outcomes that are comparable to those in adults. Although evidence continues to emerge, as this solution is still denied to children. Herne this study tried to evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in children and adolescents.

Methods: This …


Masseteric Nerve Transfer For Facial Reanimation: Meta-Analysis Study, Hossam Abdelatef Mahmoud, Moustafa Sayed Ahmed Meky, Sherif Hamdeno Youssif Aug 2023

Masseteric Nerve Transfer For Facial Reanimation: Meta-Analysis Study, Hossam Abdelatef Mahmoud, Moustafa Sayed Ahmed Meky, Sherif Hamdeno Youssif

Al-Azhar International Medical Journal

Background: Loss of facial nerve function, always follows facial nerve damage is called facial palsy. Since communicating emotions or intentions becomes difficult, this complicated condition hinders social connections. Thus, facial nerve repair requires a customized meticloulus techniques.

Objective: Meta-analysis study to evaluate masseteric nerve transmission role in reanimation of the face.

Methodology: This is Meta-analysis study for Literature that was implemented from January 2012 to 28th of Aug 2022, with the aid of these databases: Google Scholar, PubMed, Scopus, and Web of Science (ISI). We searched carfully all the included references of appropriate reviews in addition to the original articles …


A Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane (Usg-Tap) Block Vs Open Surgical Technique For Post Cesarean Section Pain Control, Abd El-Moneim Mohamed Zakaria, Magdy Ahmed Abdel Momen, Ahmed Mohamed Saeed, Moustafa Mahomoud Nasr Hemdan Aug 2023

A Comparative Study Between Ultrasound-Guided Transversus Abdominis Plane (Usg-Tap) Block Vs Open Surgical Technique For Post Cesarean Section Pain Control, Abd El-Moneim Mohamed Zakaria, Magdy Ahmed Abdel Momen, Ahmed Mohamed Saeed, Moustafa Mahomoud Nasr Hemdan

Al-Azhar International Medical Journal

Background: Opioids are linked to significant health problems, such as nausea, vomiting, sedations, pruritus, and respiratory depressions in addition to newborns adverse effects via opioid transmitting across breastfeeding during caesarean section, even after the efficient stages of post-operative analgesia attained with the administration of opioids in combination with NSAIDs and paracetamol continuing to follow general anaesthesia.

Aim of the work: This study's objective is to evaluate pain levels at (rests and movements), and need for opioids following cesarean section using TAP block techniques (USG TAP, intraoperative direct vision TAP).

Patients and Methods: This study comprised 100 pregnant women who underwent …


Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan Jul 2023

Role Of Free-Tissue Transfer In Diabetic Foot Salvage With Systematic Review, Tarek Mahmoud Youssef El-Banoby, Hazem Hussein Dahshan, Belal Ismail Hassan Zidan

Al-Azhar International Medical Journal

Background; Lower extremity wounds that don't heal are still a difficult problem for reconstructive surgery. Over 50% of all amputations are caused by diabetic foot and peripheral artery illness.

Aim and objectives: The goal of this research was to evaluation of free flap in diabetic foot as regard eradication of infection, coverage durability, and lower extremity function.

Patient and methods: The research was done at the AL-Azhar University Department of Plastic and Reconstructive Surgery. From patients hospitalized to the department of cosmetic and reconstructive surgery at AL-Azhar University, 20 diabetic patients with lower extremities defects had been chosen for a …


Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin Jun 2023

Correlation Of Acetylcholinesterase Activity And Bone Biochemical Markers In Premature And Full-Term Neonates, Khaled Mohammed Elsayed, Abd Elaziz Abd Elrahman Alnokaly, Mohammed Abd El-Malik Hassan, Mabrouk Mahmoud Abo Elenin

Al-Azhar International Medical Journal

Background: Prematurity lowers body weight and bone mineral density in nearly 30% of preterm newborns. Premature newborns are not screened for metabolic bone disease, hence bone biochemical markers should be investigated. Acetylcholinesterase mediates bone remodeling in recent investigations. Bone biochemical indicators and acetylcholinesterase (AChE) levels in preterm newborns may be linked. Objective: The aim of our study is to evaluate the probable correlation of AChE levels with multiple bone biomarkers in full-term and premature neonates. Subjects and Methods: This study was designed as a case control study. We examined 80 newborns (40 preterm with gestational age less than 37 weeks, …


Evaluation Of Light Weight Mesh In Laparoscopic Inguinal Hernia Repair, Mahmoud Mohamed Ibrahim Eisa, Marwan Mansour Mohamed, Mohamed Abdelrahman Mohamed Ebrahim Jun 2023

Evaluation Of Light Weight Mesh In Laparoscopic Inguinal Hernia Repair, Mahmoud Mohamed Ibrahim Eisa, Marwan Mansour Mohamed, Mohamed Abdelrahman Mohamed Ebrahim

Al-Azhar International Medical Journal

Background: When compared to heavier weight meshes, lighter meshes are thought to integrate into the abdominal wall with less inflammation because they have wider pores and stimulate the formation of collagen, Aim: The aim of this study was to compare and offer a concise and current review of the results of laparoscopic inguinal repairs utilising either brand-new lightweight mesh or conventional heavyweight mesh in controlled investigations. Patients and Methods: This research was conducted at Al-Matarya teaching hospital and El-Hussein Hospital of Al-Azhar University as a two-arm single-blinded randomised prospective controlled trial. All trial participants underwent laparoscopic TAPP inguinal hernia repair …


Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry Jun 2023

Uterine Artery Doppler Indices As Determinant Of Success In Intra Cytoplasmic Sperm Injection, Abd-Elqawy Hendawy Shams, Fahd Abd Elall El Omda, Noha Mohamed Sabry

Al-Azhar International Medical Journal

Background: In-Vitro Fertilization (IVF). Patients with infertility are usually advised to have intracytoplasmic sperm injections (ICSI). Doppler ultrasound, which uses high frequency transvaginal probes and coloured pictures, is one of the most frequently used methods in this field. One of the parameters supplied by an ultrasonographic test for determining the success of IVF includes endometrial thickness, endometrial pattern, endometrial volume, and endometrial blood flow. Aim: To detect implantation window using uterine artery indices in ICSI cycles. Subject and Methods: This study will be concluded at the assisted reproductive techniques unit of AlAzhar University on 100 patients. Results: Regarding BMI, there …


Total Thyroidectomy In The Management Of Graves' Disease, Mahamoud Mohamed Abo El Yazed, Adel Mohammad Abdul-Haleim Lasheen, Abdella Nazeer Yasieno, Abd Elnaby Saeid Ismaiel, Mohammed Ibrahim Hassan Rashed May 2023

Total Thyroidectomy In The Management Of Graves' Disease, Mahamoud Mohamed Abo El Yazed, Adel Mohammad Abdul-Haleim Lasheen, Abdella Nazeer Yasieno, Abd Elnaby Saeid Ismaiel, Mohammed Ibrahim Hassan Rashed

Al-Azhar International Medical Journal

Background; Graves’ disease (GD) is an autoimmune disorder of the thyroid gland in which thyrotropin receptor antibodies (TRAb) stimulate thyroid stimulating hormone receptors (TSH-R), thereby increasing thyroid hormone production and release , Aim and objectives: The aim of this work was to evaluate the outcome of total thyroidectomy in the treatment of Graves' disease. Patient and methods; Fifty patients have goitre was prospectively studied. All patients were undergoing capsular dissection total thyroidectomy after preoperative preparation at Al-Hussein University Hospital. Result; As regard Postoperative parameters distribution between the two studied groups, we found that there is a significant difference between the …


Efficacy And Safety Of Endovascular Embolization Of Cerebral Avm, Abdou Hamdy Abdou El-Rahamany, Yousef Abdel Gelel Barakat, Ahmed Mahmoud Elsherif Feb 2023

Efficacy And Safety Of Endovascular Embolization Of Cerebral Avm, Abdou Hamdy Abdou El-Rahamany, Yousef Abdel Gelel Barakat, Ahmed Mahmoud Elsherif

Al-Azhar International Medical Journal

Background; Endovascular embolization of cerebral arteriovenous malformations (AVM) has several benifits including AVM occlusion and flow reduction in preparation for other treatment techniques. Aim and objectives; To assess the efficacy and safety of endovascular embolization of cerebral AVM with different techniques and materials. Patients and methods; In a prospective and retrospective study, 22 patients diagnosed as AVM or arteriovenous fistula (AVF) and underwent endovascular embolization at Neurosurgical intervention Unit at Al Hussein University Hospital were recruited in the period from beginning of Jan, 2020 to the end of May, 2022. We included patients aged above one month, diagnosed to have …


Comparative Study Between Using Of Radio Frequency Ablation And Endovenous Laser Ablation In The Treatment Of Primary Lower Limb Varicose Veins, Ashraf Mohamed Ewida, Mohamed Ibrahim Hammoda, Ahmed Ibrahim El-Saied Ibrahima Feb 2023

Comparative Study Between Using Of Radio Frequency Ablation And Endovenous Laser Ablation In The Treatment Of Primary Lower Limb Varicose Veins, Ashraf Mohamed Ewida, Mohamed Ibrahim Hammoda, Ahmed Ibrahim El-Saied Ibrahima

Al-Azhar International Medical Journal

Background: Varicose veins are a frequent vascular issue. Radiofrequency ablation (RFA) and Endo-venous laser ablation (EVLA) are endo-venous treatments for varicose veins. Endo-venous therapy demonstrated superior outcomes than standard high ligation and stripping regarding pain, quality of life, healing, and recurrence. The RFA and ELA surpass vein stripping in morbidity, outcome, and neovascularization (recurrence), which is attributed for greater recurrence rates. Aim of the study: We aim to compare between using of radio frequency ablation and endo-venous laser ablation in the treatment of primary lower limb varicose veins as regard to complications, treatment failure, and recurrence. Patients and Methods: This …


Ultrasonographic And Hysteroscopic Assessment Of Uterine Cavity Post Myomectomy, Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed Feb 2023

Ultrasonographic And Hysteroscopic Assessment Of Uterine Cavity Post Myomectomy, Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed

Al-Azhar International Medical Journal

Background: Growth of the uterus's smooth muscles and connective tissue is known as uterine fibroids. They are viewed as the most widely recognized harmless growth of the pelvis. Moderate a medical procedure stays the primary methodology for the board of uterine myomas. Myomectomy is viewed as a significant choice for ladies who want future childbearing or essentially need to protect their uterus. Objective: The review's goal was to assess the uterine cavity using hysteroscopic and ultrasonographic devices. Methods: A planned (observation) logical plan was utilized in this review. Our research was had 50 patients that chosen from the short-term gynecological …


Protective Role Of Single Versus Multiple Remote Ischemic Preconditioning In Elective Percutaneous Coronary Interventions., Mohamed Eid Youssuf, Ibrahim Abdel Fattah Yassin, Mansour Mohamed Sallam Feb 2023

Protective Role Of Single Versus Multiple Remote Ischemic Preconditioning In Elective Percutaneous Coronary Interventions., Mohamed Eid Youssuf, Ibrahim Abdel Fattah Yassin, Mansour Mohamed Sallam

Al-Azhar International Medical Journal

Background: One common approach to treat the symptoms of coronary artery disease (CAD) is percutaneous coronary intervention (PCI). Unfortunately, the myocardium is vulnerable to ischemia reperfusion damage whenever a previously blocked coronary artery is reopened.

Aim of the work: Our aim is to compare the efficacy of single and multiple remote ischemic preconditioning (RIPC) in preventing post-percutaneous coronary intervention (PCI) chest discomfort, ST-segment deviation, and myocardial infarction.

Subjects and Methods: In this prospective interventional trial, 125 patients were included who had been diagnosed with CAD and were candidates for PCI. Four groups of patients were studied separately. Fifty individuals made …


Prediction Of Fetal Macrosomia In Patients With Gestational Diabetes Mellitus Through Measuring The Umbilical Cord Thickness And Glycated Hemoglobin (Hba1c) Levels, Fahd Abd Elaal Elomda, Mohamad Abdel Hameed Kheder, Ahmed Mohamed Said, Mohamad Yousef Elsead Feb 2023

Prediction Of Fetal Macrosomia In Patients With Gestational Diabetes Mellitus Through Measuring The Umbilical Cord Thickness And Glycated Hemoglobin (Hba1c) Levels, Fahd Abd Elaal Elomda, Mohamad Abdel Hameed Kheder, Ahmed Mohamed Said, Mohamad Yousef Elsead

Al-Azhar International Medical Journal

Background: One of the most prevalent medical issues, diabetes mellitus, has emerged as a serious concern to pregnant women. It is linked to a number of maternal and fetal issues, including delivery traumas, perinatal death, shoulder dystocia, macrosomia, and operating room interference. Early prediction of fatal complications will improve outcome and reduce perinatal mortality. Aim and objectives; to determine if pregnant diabetes women's use of HbA1c and umbilical cord thickness may accurately predict fetus's macrosomia. Subjects and methods; At Al-Hussein University Hospital, six-month prospective observational research on 100 pregnant women with gestational diabetes who were 28 to 29 weeks along …


Relationship Between Visfatin Level And Cardiovascular Changes In Hemodialysis Patients., Mohamed Abdelhameed Hussein Abdelsalam, Ahmed Alaa-Eldin Ahmed Mohamed Saad, Sami Hassan Nouh, Maged Mohamed Abdelaziz, Nabil Fathy Esmael Hassan Feb 2023

Relationship Between Visfatin Level And Cardiovascular Changes In Hemodialysis Patients., Mohamed Abdelhameed Hussein Abdelsalam, Ahmed Alaa-Eldin Ahmed Mohamed Saad, Sami Hassan Nouh, Maged Mohamed Abdelaziz, Nabil Fathy Esmael Hassan

Al-Azhar International Medical Journal

Background: Cardiovascular alterations include atherosclerosis, calcification, heart failure, diastolic and systolic dysfunction, and stroke are a primary cause of mortality in people with CKD and ESRD. Individuals with CKD have been demonstrated to have increased serum levels of visfatin. A new study suggests that high visfatin levels in individuals with chronic kidney disease accurately predict cardiovascular abnormalities. Chronic renal failure, atherosclerosis, and calcification in the carotid arteries vary in individuals. The researchers set out to look at correlation of visfatin level and cardiovascular abnormalities in CKD patients. In this case-control comparative study, conventional Echocardiogram and carotid duplex assessment were used …


Efficacy Of Repetitive Transcranial Magnetic Stimulation On Spasticity In Egyptian Multiple Sclerosis Patients, Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan Feb 2023

Efficacy Of Repetitive Transcranial Magnetic Stimulation On Spasticity In Egyptian Multiple Sclerosis Patients, Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan

Al-Azhar International Medical Journal

Background; One of the most common neurologic disorders is multiple sclerosis. To improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity in a sample of Egyptian MS patients. Patients and methods; 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from beginning of Jan, 2022 for 6 months. Patients were …


Uterine Artery Doppler And Sub-Endometrial Blood Flow And Serum Progesterone Level In Patients With Unexplained Recurrent Miscarriage, Moustafa H. Gad Allah, Farid I. Hassan, Mofeed F. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer Feb 2023

Uterine Artery Doppler And Sub-Endometrial Blood Flow And Serum Progesterone Level In Patients With Unexplained Recurrent Miscarriage, Moustafa H. Gad Allah, Farid I. Hassan, Mofeed F. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer

Al-Azhar International Medical Journal

Background: Unexplained Miscarriage that occurs repeatedly is still a difficult issue for couples and professionals. It affects 2–5% of females attempting to conceive and represents a considerable challenge for physicians. Aim of the Work: This study compares women who have unexplained recurrent miscarriages to healthy, fertile women in order to assess uterine artery blood flow, sub-endometrial blood flow, and serum progesterone levels in these women. Patients and Methods: At Al-Galaa Maternity Teaching Hospital, our research was carried out, and patients were divided into two groups. The case group: 50 individuals disclosed a history of recurrent, unexplained miscarriages, and the control …


Nerve Conduction Study And Ultrasonography Of Median Nerve In Predicting Outcome After Surgical Release In Carpal Tunnel Syndrome, Mahmoud Mohamad Hasan, Ali Farrag El Hadad, Maysra Abdelhalim Ali, Tarek Mohammed Mansour, Mohammed Fouad Mehanny Feb 2023

Nerve Conduction Study And Ultrasonography Of Median Nerve In Predicting Outcome After Surgical Release In Carpal Tunnel Syndrome, Mahmoud Mohamad Hasan, Ali Farrag El Hadad, Maysra Abdelhalim Ali, Tarek Mohammed Mansour, Mohammed Fouad Mehanny

Al-Azhar International Medical Journal

Background: Carpal tunnel syndrome (CTS) is peripheral entrapment neuropathy in which compression of the median nerve at the wrist occurs. Objective: To evaluate and study, ultrasound and nerve-conduction of median nerve in predicting outcome after open surgical release in carpel tunnel syndrome. Patients and Methods: This prospective observational study, include 30 patients from out-patient Neurology and orthopedic clinics of Al Azhar Assuit University Hospitals. The duration of the study ranged from 6-12 months. Results: Ultrasound findings were significantly decreased postoperatively. As regard ROC curve of ultrasound findings in predicting outcome after open surgical release in carpel tunnel syndrome, regarding Cross-sectional …


Clinical Relevance Of Chest Pain During Dobutamine Stress Echocardiography, Amr Mohammed Elsayed Elkorashy, Wael Mohamed Attia, Mohamed Ali Mohamed Abdel Mageed Feb 2023

Clinical Relevance Of Chest Pain During Dobutamine Stress Echocardiography, Amr Mohammed Elsayed Elkorashy, Wael Mohamed Attia, Mohamed Ali Mohamed Abdel Mageed

Al-Azhar International Medical Journal

Introduction; Chest pain is a common presentation in emergency units in daily life. Dobutamine stress echocardiography (DSE) was considered an early non-invasive method that help stratifying the risk for development of CVD. However, many patients experience chest pain shortly after DSE. Aim of study; assess the relevance between chest pain during DSE in those who are negative for DSE and presence of atherosclerosis in coronary angiography. Methods; 150 patients admitted to catheter unit in Cardiology Department at Al-Hussein Hospitals between June 2021 and June 2022 with chest pain despite negative DSE. They all underwent coronary angiography. Results; The median age …


Repeated Failure Of Arterio-Venous Haemodialysis Access: (Causes And Possible Solutions), Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy Feb 2023

Repeated Failure Of Arterio-Venous Haemodialysis Access: (Causes And Possible Solutions), Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy

Al-Azhar International Medical Journal

Background: In 1960, Quinton and Scribner developed an external shunt that allowed for repeated access to the circulation, making chronic hemodialysis a viable option for treating end-stage renal disease. Patients may now be kept on dialysis for decades because to the improvement of vascular access methods and equipment. Aim of study: To evaluate the most possible causes behind repeated arteriovenous (AV) access failure in ESRD patients. Patients and methods: This retrospective, non-randomized study was carried out at the vascular surgery department of Al-Azhar University hospitals(Al-Hussein and Sayed Glaal Hospitals). Results: Access thrombosis comes first as a cause of access failure …


The Role Of Dynamic Mri In Hypovascular Hepatic Tumors, Abdulla Nazir, Ahmed Seif, Mohamed Soliman Ibrahim Feb 2023

The Role Of Dynamic Mri In Hypovascular Hepatic Tumors, Abdulla Nazir, Ahmed Seif, Mohamed Soliman Ibrahim

Al-Azhar International Medical Journal

Background: Despite new advances in liver imaging, it is still difficult to identify and classify hepatic focal lesions. Particularly in cancer patients, where accurate tumor staging depends on the definition of the hepatic focal lesion for best treatment planning. Aim and objectives: was to evaluate the significance of Dynamic Magnetic Resonance identification and description of hypo-vascular hepatic tumor. subjects and methods: Our current research comprised 50 patients, 34 men and 16 women, who had hepatic lesions that were detected using variety of imaging modalities as ultrasound, CT scan, dynamic and diffusion MRI. Results: On non -contrast MRI 26 lesions were …


Stroke As A Presenting Symptom Of Covid-19; A Study Of Risk Factors, Characteristics And Outcomes In A Sample Of Egyptian Patients, Mahmoud Elsayed Mohamed Elassasy, Hussein Awad El Gharieb, Fathy Mahmoud Mansour Feb 2023

Stroke As A Presenting Symptom Of Covid-19; A Study Of Risk Factors, Characteristics And Outcomes In A Sample Of Egyptian Patients, Mahmoud Elsayed Mohamed Elassasy, Hussein Awad El Gharieb, Fathy Mahmoud Mansour

Al-Azhar International Medical Journal

Background; It is not known whether COVID-19 associated stroke patients have worse functional and vital outcomes than those without infection. Aim and objectives; To compare between COVID-19 associated stroke and non-COVID-19 stroke patients as regard risk factors, characters and outcome. Patients and methods; In a prospective study, 297 patients diagnosed clinically and radiologically as stroke and admitted to emergency department and stroke unit of Al- Azhar University hospitals were recruited in the period from beginning of December, 2021 to the end of May, 2022. They were classified into ischemic stroke (IS), Cerebral venous thrombosis (CVT), Subarachnoid hemorrhage (SAH), and Intracerebral …


Evaluation Of Dermoscopic Features In Cutaneous Leishmaniasis, Mohamed El Khalawani, Amr Mohamed Mustafa, Ahmed El-Sayed Ghoniem Feb 2023

Evaluation Of Dermoscopic Features In Cutaneous Leishmaniasis, Mohamed El Khalawani, Amr Mohamed Mustafa, Ahmed El-Sayed Ghoniem

Al-Azhar International Medical Journal

Background: Cutaneous leishmaniasis is infectious protozoan disease. Dermoscopy is noninvasive diagnostic tool used to diagnose variety of skin disorders, such as infestations. Aim of work: To determine dermoscopic features of cutaneous leishmaniasis & to relate it with clinical findings. Patient and Methods: This study was conducted on 40 males with age range 21-28 years. This study was between March 2021 to October 2021. Clinical and dermoscopic examination of CL lesions was done to assess specific dermoscopic criteria. Results: We noticed next dermoscopic features: background erythema (one hundred percent), yellow tears (75%), yellowish hue (42.5%), hemorrhagic spots (30%), central crustation (65%), …


Microneedling With Triamcinolone Acetonide Versus Intralesional Triamcinolone Acetonide In Treatment Of Alopecia Areata, Bothina Abd El Naby Ibrahim Ageeba, Amr Mohamed Zaki, Emad Mahmoud El Rewiny Feb 2023

Microneedling With Triamcinolone Acetonide Versus Intralesional Triamcinolone Acetonide In Treatment Of Alopecia Areata, Bothina Abd El Naby Ibrahim Ageeba, Amr Mohamed Zaki, Emad Mahmoud El Rewiny

Al-Azhar International Medical Journal

Background: Alopecia areata (AA) is a widespread, non-scarring skin illness, triggered by T-cell-mediated autoimmune responses targeting hair follicles at anagen-stage. AA is a relatively frequent disease with a worldwide incidence of 1%-2%. However, AA is among the most prevalent autoimmune disorders. In general, there is no sex preference. It often affects children and young people more frequently. The scalp is the place that is most frequently impacted, but any area that bears hair might also be affected. Severe forms can be present as alopecia totalis or alopecia universalis. This study aimed to compare the effectiveness of intralesional triamcinolone acetonide versus …


Prognostic Significance Of Neutrophil To Lymphocyte Ratio In Patients With Non-Muscle Invasive Bladder Cancer Who Underwent Intravesical Bcg Treatment, Sabri Mahmoud Khaled, Yasser Ali Ahmed, Mohamed Farrag Mahrous Feb 2023

Prognostic Significance Of Neutrophil To Lymphocyte Ratio In Patients With Non-Muscle Invasive Bladder Cancer Who Underwent Intravesical Bcg Treatment, Sabri Mahmoud Khaled, Yasser Ali Ahmed, Mohamed Farrag Mahrous

Al-Azhar International Medical Journal

Background; The ninth most prevalent cancer worldwide and the thirteenth major reason of cancer-related fatalities is urinary bladder cancer (BC), Aim and objectives; to evaluate the impact of pretreatment NLR as a clinical outcome predictor in patients with intravesical BCG-treated NMIBC, Subjects and methods; In the El-Hussein hospital and Kobry-Alkobba military hospital, 126 patients with NMIBC participated in this retrospective cohort research, Result; No substantial variation were found between cancer free patients and patients with recurrence at 1st follow up cystoscopy regarding tumor size (p>0.05). Tumor multiplicity showed substantial variation between the two groups as it was substantially greater …


Comparison Between Contrast Enhanced Digital Mammography And Dynamic Contrast Enhanced Mri In Evaluation Of Breast Cancer, Mahmoud M. Ismail, Hatem M. Sherif, Abd El-Aziz K. Aun, Ahmed M. Zidan Feb 2023

Comparison Between Contrast Enhanced Digital Mammography And Dynamic Contrast Enhanced Mri In Evaluation Of Breast Cancer, Mahmoud M. Ismail, Hatem M. Sherif, Abd El-Aziz K. Aun, Ahmed M. Zidan

Al-Azhar International Medical Journal

Background: The main purpose of our study is to compare between contrast-enhanced digital mammography (CEDM) and contrast enhanced magnetic resonance imaging (CEMRI) with histopathological results and to compare the sensitivity, specificity, positive and negative predictive values for both imaging modalities. Objective: to evaluate the diagnostic accuracy in comparison between contrast enhanced digital mammography and contrast enhanced magnetic resonance imaging in assessment of breast cancer. Patients & methods: Forty four patients who were suspected of having breast abnormalities by clinical examination, twenty two patients underwent CEDM and the other twenty two patients underwent CEMRI using histopathologic results, the sensitivity and specificity …


Gestational Sac Size, Yolk Sac Size And Embryonic Cardiac Activity As Prognostic Factors Of First Trimester Pregnancy Outcome, Hanaa Abd El-Moniem Younis, Reda Tawfik Mohamed, Aliaa Hussein Abd El-Aziz Feb 2023

Gestational Sac Size, Yolk Sac Size And Embryonic Cardiac Activity As Prognostic Factors Of First Trimester Pregnancy Outcome, Hanaa Abd El-Moniem Younis, Reda Tawfik Mohamed, Aliaa Hussein Abd El-Aziz

Al-Azhar International Medical Journal

Background: The accurate difference between normal pregnancy and abnormal pregnancy in early gestation remains a challenge clinically. Different studies have previously described the association between fetal well-being and gestational sac characteristics. Yolk sac first appears at 5 weeks gestation and becomes visible by ultrasound, while fetal heart rate appears at 6 weeks gestation and they can be used as prognostic parameters for first trimester outcome in pregnancy. Study aim: relation of the ultrasound parameters in early pregnancy (gestational sac size, yolk sac and embryonic cardiac activity) to early fetal demise. Methodology: This was hospital based cross sectional study, conducted in …


Effect Of Hydrostatic Venous Dilatation During Creation Of Arterio-Venous Fistula On Maturation Of Hemodialysis Access, Mahsoub Mourad Amin, Mohamed Hamza Hamed, Mahmoud Abdelhady Abdelaziz, Islam Mohamed Ali Attia Salem Feb 2023

Effect Of Hydrostatic Venous Dilatation During Creation Of Arterio-Venous Fistula On Maturation Of Hemodialysis Access, Mahsoub Mourad Amin, Mohamed Hamza Hamed, Mahmoud Abdelhady Abdelaziz, Islam Mohamed Ali Attia Salem

Al-Azhar International Medical Journal

Background: Objective of AV access creation is furnish an available vascular structure with enough blood stream that can be cannulated for satisfactory dialysis. Ultrasonographic assessment is considered a standard strategy for each medical procedure of AVF creation. It determines utilized AVF work monitoring, in post-operative period. Objective: To review and discuss the advances of the effect of hydrostatic venous dilatation during intra operative arteriovenous fistula creation in end stage renal disease patients and its effect on maturation of the fistula guided by preoperative and post operative Duplex assessment. Patients and methods: This prospective study performed on 40 patients presented in …


Optical Biometry Versus Ultrasonic Biometry In Intraocular Lens Power Calculations In High Axial Myopia, Mohamed Abdelhamid Abo El Enin, Ahmed Rabie Mohamed, Ahmed El Saeid El Gharib Fayad Feb 2023

Optical Biometry Versus Ultrasonic Biometry In Intraocular Lens Power Calculations In High Axial Myopia, Mohamed Abdelhamid Abo El Enin, Ahmed Rabie Mohamed, Ahmed El Saeid El Gharib Fayad

Al-Azhar International Medical Journal

Background: IOL implantation is now seen as a type of refractive surgery rather than merely being used to improve visual rehabilitation. In this context, accurate pre-operative biometric measurement is a crucial requirement. Aim of the work: comparing the refractive predictability of optical biometry versus applanation ultrasonic biometry in high axial myopic eyes undergoing cataract surgery. Patients and Methods: A total of 50 eyes from 50 patients with axial lengths greater than 26.5 mm and just cataract were analyzed in this study. In this study, patients were randomly assigned to one of two groups. Twenty-five patients were split evenly between the …


The Relation Of Aortic Root 2d Speckle Strain To Aortic Stiffness As Predictors Of Atherosclerosis In Vascular Beds, Ali Mohammed Alamin, Ahmed Abdelraouf Mahdy, Mohammed Hamza Hamed, Ahmed Magdy Ahmed Abd-Elgawad Feb 2023

The Relation Of Aortic Root 2d Speckle Strain To Aortic Stiffness As Predictors Of Atherosclerosis In Vascular Beds, Ali Mohammed Alamin, Ahmed Abdelraouf Mahdy, Mohammed Hamza Hamed, Ahmed Magdy Ahmed Abd-Elgawad

Al-Azhar International Medical Journal

Background:Two-dimensional speckle tracking (2D-ST) echocardiography is a promising new techniquefor imaging. Aim of the work:to evaluate feasibility of real-time 2D‐ST echocardiography of the aortic root in relation to aortic stiffness for the early prediction of atherosclerosis in vascular beds. Patients and Methods:This cross-section study was carried out on 50 patients complained of chest pain.All patients were subjected to blood pressure (BP) and aortic stiffness index measurement, invasive coronary angiography, resting transthoracic echocardiography, aortic speckle tracking echocardiography (STE),Carotid intima - media thickness (IMT) and ABI. Patients weresubdivided into two groups, atherosclerotic group including 32 patients have lesion in one or more …