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Al-Azhar University

Journal

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Full-Text Articles in Medicine and Health Sciences

Relation Between Maternal Lipid Profile And Pregnancy Complications And Perinatal Outcomes, Mohammed Helmy, Emad Abd El-Latif, Mofeed Mohamed, Ahmed Abd-Elaziz Nov 2020

Relation Between Maternal Lipid Profile And Pregnancy Complications And Perinatal Outcomes, Mohammed Helmy, Emad Abd El-Latif, Mofeed Mohamed, Ahmed Abd-Elaziz

Al-Azhar International Medical Journal

Background: Pregnant experiences physiological changes in maternal lipid metabolism to support fetal development. In some cases a misadaptation occurs and exceeds the physiological range and dyslipidemia is recognized, some pregnancies pacing without alterations and in pregnancies pacing without compilations. Objective: determine the relation between maternal lipid profile and pregnancy complications and perinatal. Patients and Methods: A Prospective study conducted on 164 pregnant throughout the period May 2018 – October 2019. Methodology: Pregnant were assessed clinically, obstetrically & tested for lipid profile during 2nd & 3rd-trimester, for detecting any maternal or neonatal complications. Results: 28 pregnant developed maternal complications [GHTN (3.66%), …

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Risk Of Hypocalcemia After Total Thyroidectomy And Bilateral Central Neck Dissection In Patients With Well Differentiated Thyroid Carcinoma., Muhammad Gohar, Ahmed Mohamed, Hamed Al-Azzouny Nov 2020

Risk Of Hypocalcemia After Total Thyroidectomy And Bilateral Central Neck Dissection In Patients With Well Differentiated Thyroid Carcinoma., Muhammad Gohar, Ahmed Mohamed, Hamed Al-Azzouny

Al-Azhar International Medical Journal

Background: Hypocalcaemia is a grave complication after thyroid surgery with signs ranging from paresthesia up to laryngospasm. Avoiding this complication is mandatory to avoid lifelong calcium and vitamin D supplements. Aim of the work: to assess the risk of hypocalcaemia after thyroid surgery and the factors contributing to it. Patients and methods: this study was conducted on 50 patients with well differentiated thyroid carcinoma admitted to Sayed Galal hospital and they were divided into 3 groups: A, B and C. Results: Group B patients had transient hypocalcaemia and PTH levels were in normal range, thus suffering from parathyroid dysfunction. Calcium …

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The Effectiveness Of Platelet-Rich Plasma Injection In Management Of Rotator Cuff Tendinopathy, Wael Abd El Tawab, Ismail Hammoda, Emad Zayed Nov 2020

The Effectiveness Of Platelet-Rich Plasma Injection In Management Of Rotator Cuff Tendinopathy, Wael Abd El Tawab, Ismail Hammoda, Emad Zayed

Al-Azhar International Medical Journal

Background: A significant upper extremity condition impacting 1 in 50 people is rotator cuff tendinopathy; with age, the incidence increases, causing a regular musculoskeletal complaint in adults over 65 years of age. Shoulder pain and fatigue are correlated with severe morbidity, impacting everyday life, leisure, and working life. Objective: To assess the efficacy of platelet-rich plasma injection in the treatment of rotator cuff tendinopathy. Patients and methods: From September 2018 till March 2020, twenty patients were treated by injection of single PRP in subacromial space for chronic rotator cuff tendinopathy. Preinjection and postinjection visual analogue scale (VAS) and constant Murley …

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The Myth Of Idiopathic Granulomatous Mastitis, Adel Khalaf, Gamal El-Shemy Nov 2020

The Myth Of Idiopathic Granulomatous Mastitis, Adel Khalaf, Gamal El-Shemy

Al-Azhar International Medical Journal

Objectives: Idiopathic granulomatous mastitis (IGM) is a benign rare inflammatory pseudotumor. Final diagnosis is made by biopsy and histopathology. The goals of this study were to present clinical features of IGM and to evaluate the results of treatments. Materials and methods: Ten female cases who fullfield required clinical and histologic criteria of IGM were enrolled in the study. Demographic data, clinical presentation, medication history, and radiologic results are presented. To confirm the difference in clinical course between IGM patients and other inflammatory breast disease patients, a review of the clinical and pathological data was also performed for patients with symptoms …

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Risk Factors For Postpartum Depression Among Egyptian Women, Shaimaa Abd Elaziz, Hala Abdel Halim Nov 2020

Risk Factors For Postpartum Depression Among Egyptian Women, Shaimaa Abd Elaziz, Hala Abdel Halim

Al-Azhar International Medical Journal

Abstract Background Postpartum depression (PPD) is a severe health issue and is considered to have a negative effect on the wellbeing of mothers and on the physical and cognitive growth of children. Literatures on postpartum depression were confined in Egypt. The goals of this study are to establish the prevalence of postpartum depression as well as the underlying risk factors. Materials and Methods From February 2019 to July2019 a cross-sectional study was conducted involving 120 women whose youngest child(ren) was less than 1 year old from obstetric outpatient clinic in Al-Zahraa University Hospital, Cairo, Egypt. The PPD symptoms were measured …

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Percutaneous Pinning Of Fractures Of The Surgical Neck Of The Humerus In Children And Adolescents, Khaled Maziad, Yousef Gad, Amro Fouaad Nov 2020

Percutaneous Pinning Of Fractures Of The Surgical Neck Of The Humerus In Children And Adolescents, Khaled Maziad, Yousef Gad, Amro Fouaad

Al-Azhar International Medical Journal

Background: Proximal humerus fractures occur in children of all ages, from newborn babies to teenagers, accounting for about 2% of all childhood fractures, with the highest occurrence among the ages of 11 and 15. Aim of the work: To review and evaluate the outcomes of operative procedure of surgical neck-humerus fractures in children and adolescents using closed reductions and percutaneous pinning. Patients and methods: 20 sufferers enrolled with Proximal Humeral Fracture Displaced in the Orthopedic Surgery Department of the AL Hussein Hospital of the Al-Azhar University Medical Faculty from January 2018 to September 2019 were involved in the current research. …

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Laboratory Evaluation For Mitochondrial Dysfunction In Multiple Sclerosis Patients, Kamel Hewedi, Ahmed Abd El Aziz, Ahmed Essmat, Mohammed Faheem Nov 2020

Laboratory Evaluation For Mitochondrial Dysfunction In Multiple Sclerosis Patients, Kamel Hewedi, Ahmed Abd El Aziz, Ahmed Essmat, Mohammed Faheem

Al-Azhar International Medical Journal

Background and aim: It’s though that mitochondrial dysfunction is participated in multiple sclerosis (MS) pathogenesis. Serum lactate and uric acid levels are biochemical markers related to mitochondrial dysfunction. The present study aimed to assess mitochondrial dysfunction in sufferers with MS through investigating lactate and uric acid serum levels. Subjects and methods: This case manages observe turned into carried out on 32 patients with MS and 20 safe controls matched by age and sex. Patients have been diagnosed with MS in keeping with Revised McDonald Criteria. Both participants underwent a careful history taking, thorough general and neurological exam and evaluation of …

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Study Of The Changes In Choriodal Thickness Before And After Intravitreal Injection Of Ranibizumab In Diabetic Macular Edema, Mohamed Saad Eldeen, Mostafa Mostafa, Magdy Khallaf Oct 2020

Study Of The Changes In Choriodal Thickness Before And After Intravitreal Injection Of Ranibizumab In Diabetic Macular Edema, Mohamed Saad Eldeen, Mostafa Mostafa, Magdy Khallaf

Al-Azhar International Medical Journal

Background: Diabetic Macular Edema is a critical complication of diabetic eye disease, the effect of Anti-VEGF injection in diabetic eyes does not stop at the retina alone as it also influences the choroidal circulation. Aim of the study: To compare subfoveal choroidal thickness (SFCT) before and after intravitreal injection of ranibizumab in DME with the use of Cirrus HD-OCT by enhanced depth spectral-domain imaging (EDI-OCT). Patient and methods: A prospective study that was demonstrated on 50 eyes of 35 cases with DME. Fundus fluorescein angiography was done for all patients. All patients were received three intravitreal injection of (0.5 mg/0.05 …

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Management Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Section With Placenta Previa Anterior At Al-Hussein University Hospital, Yassin Abd El-Halim, Farid Kassab, Abdel Sedek Oct 2020

Management Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Section With Placenta Previa Anterior At Al-Hussein University Hospital, Yassin Abd El-Halim, Farid Kassab, Abdel Sedek

Al-Azhar International Medical Journal

Background: Every year, 140 000 women are estimated to die of postpartum hemorrhage. Placenta accreta has since become a statistically relevant etiology for maternal morbidity and mortality. There has been a 10-fold increase in the occurrence of placenta accreta since 1970, due to the rising rate of cesarean delivery. Objective: This work aims to determine the occurrence and complications of placenta accreta in instances of prior cesarean sections with placenta previa anterior and outcome of management of these complications at Al Hussein University Hospital. Patients and Methods: The study is a prospective cohort study including all cases admitted to Al …

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Sexually Transmitted Infections: Risk-Factors Among Married Female Patients’ In Assiut, Egypt, Essam El-Moselhy, Lotfi Issa, Mohamed Mohamed, Manal Abdelati, Ramadan Eldhshan, Abdallah Mekky, Hesham Amin, Mohamed Bashir, Bahaa Badr, Ahmed Al Saadawy Oct 2020

Sexually Transmitted Infections: Risk-Factors Among Married Female Patients’ In Assiut, Egypt, Essam El-Moselhy, Lotfi Issa, Mohamed Mohamed, Manal Abdelati, Ramadan Eldhshan, Abdallah Mekky, Hesham Amin, Mohamed Bashir, Bahaa Badr, Ahmed Al Saadawy

Al-Azhar International Medical Journal

Background: Sexually transmitted infections (STIs) are major concern and public health problem worldwide. Risk-factors of STIs are numerous, their determination is basic for STIs prevention and control. Aims: To determine the commonest STIs and to define the socioeconomic, gynecological, reproductive, lifestyle, and behavioral risk-factors of the studied STIs female patients. Patients and Methods: The study was conducted on one-hundred STIs married female patients attending the Obstetrics& Gynecology Clinics, Al-Azhar University Hospital, Assiut and one-hundred female as controls. A case-control study design was used. Vaginal, cervical, and urethral swabs and smears were taken from the cases and controls. Scrapes from suspicious …

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Protective Effect Of N-Acetyl Cysteine In Acrylamide-Induced Hepatotoxicity In Albino Rats, Amr Younes, Mohamed Autifi, Hamdino Attia Oct 2020

Protective Effect Of N-Acetyl Cysteine In Acrylamide-Induced Hepatotoxicity In Albino Rats, Amr Younes, Mohamed Autifi, Hamdino Attia

Al-Azhar International Medical Journal

ABSTRACT Background: purification of drinking and waste water needs acrylamide which is also used in sprays, paper and pulp industry and soil stabilizers, so it has a significant risk for our health. Objective (Aim): studying the possible protective role of N- acetyl cysteine against hepatotoxic effect of acrylamide. Material and methods: randomly divided forty male albino rats into four equal groups (10 rats each) were used: group I (control group), group II (sham control), group III (acrylamide-treated group): receiving 50 mg/kg body weight acrylamide by an oral gavage daily for 21 successive days. Group IV (acrylamide and N-acetyl cysteine treated …

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Importance Of Eustachian Tube Function Assessment In Tympanoplasty In Children, Mohamed Abdallah, Ali Abdel Rahman, Ahmad Mahmoud, Mohamed Aleawdi Oct 2020

Importance Of Eustachian Tube Function Assessment In Tympanoplasty In Children, Mohamed Abdallah, Ali Abdel Rahman, Ahmad Mahmoud, Mohamed Aleawdi

Al-Azhar International Medical Journal

Background: The Eustachian tube is a tube that links the nasopharynx to the middle ear. It is a part of the middle ear. In adult humans the Eustachian tube is approximately 35 mm (1.4 in) long. The Eustachian tube extends from the anterior wall of the middle ear to the lateral wall of the nasopharynx. It aerates the middle ear system and clears mucus from the middle ear into the nasopharynx. Objective: The aim of this study is to know importance of eustachian tube function assessment in tympanoplasty in children. Patients and methods: This study included thirty patients selected from …

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Efficacy Of Adding Dexmedetomidine In Fascia Iliaca Compartment Block To Provide Analgesia For Positioning Femur Fracture Patients Before Spinal Anesthesia, Mohamed Amin, Abdalla Abdalla, Sabri Soltan Oct 2020

Efficacy Of Adding Dexmedetomidine In Fascia Iliaca Compartment Block To Provide Analgesia For Positioning Femur Fracture Patients Before Spinal Anesthesia, Mohamed Amin, Abdalla Abdalla, Sabri Soltan

Al-Azhar International Medical Journal

Background: fascia iliaca compartment block (FICB) has been used to provide analgesia and facilitate positioning for spinal anesthesia in fracture femur patients with the problem of delayed onset of action. Aim of the study was to assess effectiveness of dexmedetomidine as adjuvant to FICB with bupivacaine to facilitate positioning for spinal anesthesia in fracture femur patients with decrease time to sensory block as primary outcome. Methods: in this prospective double blinded randomized controlled study, 60 patients, ASA I-III, aged 50-70 years, underwent femur fracture surgeries under spinal anesthesia were included. Patients were randomly assigned into two equal groups according to …

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Transpedicular Screw Fixation For Microinstability In Recurrent Lumbar Disc, Mohammed Alhady, Mohamed Mansour, Mostafa Oraby Oct 2020

Transpedicular Screw Fixation For Microinstability In Recurrent Lumbar Disc, Mohammed Alhady, Mohamed Mansour, Mostafa Oraby

Al-Azhar International Medical Journal

Background: Microinstability represents the first phase of the degenerative cascade and has specific pathoanatomical and clinical characteristics (low back pain) in the interested vertebral segment, without the presence of spondylolisthesis it is more prominent in recurrent lumbar disc. Objective: The objective of this study is to evaluate the surgical outcome of trans-pedicular screw fixation for microinstability in recurrent lumbar disc herniation with ipsilateral or bilateral transpedicular screw fixation, with highlights on lumbosacral instability classification. Patients and Methods: Two hundred patients with recurrent lumbar disc herniation were managed surgically by discectomy, curettage and unilateral transpedicular screw fixation at the offending side …

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Correlation Between 14-3-3Η Protein And Muskelosketal Ultrasound In Early Rheumatoid Arthritis Patients., Jamal Dammona, Sameh Elzayat, Hany Aly, Abdullah Gaafar Oct 2020

Correlation Between 14-3-3Η Protein And Muskelosketal Ultrasound In Early Rheumatoid Arthritis Patients., Jamal Dammona, Sameh Elzayat, Hany Aly, Abdullah Gaafar

Al-Azhar International Medical Journal

Background; Despite recent advances in treatment, Rheumatoid arthritis remains a significant cause of morbidity and premature mortality. 14-3-3η protein was found at higher levels of serum and synovial fluid of patients with arthritis . Aim of the work; To assess serum levels of 14-3-3η protein in early rheumatoid arthritis and correlate it with ultrasound findings. Patients and methods; 30 patients with early RA were subjected for measurement of CBC, ESR, CRP, RF, Anti-CCP and 14-3-3η protein. Ultrasonography of both hands was done for all patients. Results; Disease duration was from 3-10 months. Their mean age was 38.2 ± 10.11years, with …

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Laparoscopic Management Of Perineal Descent Syndrome In Pediatric Age Group, Ali Ali, Magid Ismail, Magdy Mostafa, Mohamed Dosoky Oct 2020

Laparoscopic Management Of Perineal Descent Syndrome In Pediatric Age Group, Ali Ali, Magid Ismail, Magdy Mostafa, Mohamed Dosoky

Al-Azhar International Medical Journal

ABSTRACT Background: Perineal descent syndrome is a disease that affects the pelvic floor because of denervation of its muscles, resulting in obstructed defecation. Hints on the anatomy that may be associated with the work got, and the physiology of the anorectum was explained, discussing factors leading to continence and mechanism of defecation was presented. Objective: to diagnose the perineal descent syndrome in both cases of chronic constipation and anal incontinence and the use of laparoscopy in the management of PDS in children where the pathophysiologic changes for each case is identified and dealt with laparoscopically. Patients and Methods: This study …

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Evaluation Of Corneal Endothelium Function By Combined Measurement Of Corneal Volume And Specular Microscopy Before And After Phacoemulsification, Mohammed Mohammed El Werdany, Abdallah Elhusseiny, Omar Salama Oct 2020

Evaluation Of Corneal Endothelium Function By Combined Measurement Of Corneal Volume And Specular Microscopy Before And After Phacoemulsification, Mohammed Mohammed El Werdany, Abdallah Elhusseiny, Omar Salama

Al-Azhar International Medical Journal

ABSTRACT Background: Clarity of the cornea is fundamental for pure vision following cataract surgery including phacoemulsification . The pumping action of corneal endothelial cells acts to maintain this clarity through maintaining the corneal stroma dehydrated, so integrity of this cell layer function is very important for corneal clarity. Aim of the Work: to evaluate endothelial cell layer function before and after phacoemulsification by assessment of changes in density of endothelial cell and corneal volume of central corneal ring of 10 mm diameter. Subjects and Methods: A prospective interventional study was performed during the period from September2019 to December 2019 at …

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Postoperative Analgesia For Fracture Femur Using Ultrasound-Guided Fascia Iliaca Block, Hesham Atwa Oct 2020

Postoperative Analgesia For Fracture Femur Using Ultrasound-Guided Fascia Iliaca Block, Hesham Atwa

Al-Azhar International Medical Journal

Background: Fascia iliaca block using ultrasonography is one of the techniques to produce postoperative analgesia for surgery of fractured femur. Although this technique is not commonly used with spinal anesthesia in the elective fractured femur, Fascia iliaca block using ultrasonography will be a promising technique for postoperative analgesia in fracture femur. Aim of the study: The current study compares between patients using fascia iliaca block using ultrasonography (FICB) as post-operative analgesia after spinal anesthesia and patients using spinal anesthesia only for elective surgery of fracture femur as (C) control group Methods: Sixty patients scheduled for fracture femur were join up …

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Role Of Oral Versus Vaginal Misoprostol Before Hysteroscopy In Infertile Patients, Ahmed Abd El-Wahab Al-Ashkar, Mofeed Mohamed, Al-Refaai Marai Oct 2020

Role Of Oral Versus Vaginal Misoprostol Before Hysteroscopy In Infertile Patients, Ahmed Abd El-Wahab Al-Ashkar, Mofeed Mohamed, Al-Refaai Marai

Al-Azhar International Medical Journal

Background: Hysteroscopy used to detect possible intrauterine causes ofinfertility. Misoprostol is a prostaglandin El analogue used in cervical ripeningbeforehysteroscopy to soften the cervix and decreasesthe force required for dilation. Objectives: Comparing the effectiveness of oral versus vaginal misoprostol administered 24 hours before hysteroscopy to facilitate the procedures in infertile patients. Patients and Methods:Our randomized control prospective study included 120 infertile women requiring hysteroscopy divided into three equal groups (Group A) received oral misoprostol with a dosage of 600 µg (200 µg / 8 hours), (Group B) receivedvaginal misoprostol with a dosage of 400 µg (200 µg /12 hours) and (group …

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Outcomes Of Percutaneous Nephrolithotomy Versus Open Stone Surgery For Pateints With Staghorn Calculi Safety And Efficacy, Mohamed El-Nasr, Khaled Mohyelden, Hamada A. Youssof, Hesham A. El-Helaly, Hesham M. El Sayed Oct 2020

Outcomes Of Percutaneous Nephrolithotomy Versus Open Stone Surgery For Pateints With Staghorn Calculi Safety And Efficacy, Mohamed El-Nasr, Khaled Mohyelden, Hamada A. Youssof, Hesham A. El-Helaly, Hesham M. El Sayed

Al-Azhar International Medical Journal

ABSTRACT BACKGROUND: The wide use of minimally invasive techniques in the management of multiple renal stones and staghorn stones has replaced the open technique in last 30 year. But the Open techniques for the management of complex multiple and staghorn renal stones are still a viable option that should be considered in treating patients complex staghorn stones with large burden. In this study, we compare outcomes of Percutaneous Nephrolithotomy (PNL) Versus Open Stone Surgery (OSS) for patients with Staghorn calculi at the urology department Fayoum university hospital, in terms of efficacy, safety, operative procedure, intraoperative and postoperative complications. METHODS: This …

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Custodiol (Histidine-Tryptophan-Ketoglutarate) Versus Modified St. Thomas Cold Crystalloid Cardioplegia: Short-Term Results, Khaled Okba, Mohamed Abdallah, Mahmoud Mazen, Mohamed Sharaa, Ismail El-Sokkary Oct 2020

Custodiol (Histidine-Tryptophan-Ketoglutarate) Versus Modified St. Thomas Cold Crystalloid Cardioplegia: Short-Term Results, Khaled Okba, Mohamed Abdallah, Mahmoud Mazen, Mohamed Sharaa, Ismail El-Sokkary

Al-Azhar International Medical Journal

Abstract Background: Myocardial protection refers to strategies used to avoid post-ischemic myocardial dysfunction. One dose approach for myocardial safety is attractive in long operations. Purpose: to assess differences among the custodial cardioplegia and the cold crystalloid cardioplegia according to myocardial protection in cases listed for Double Valve Replacement Surgery. Patient and methods: This prospective cohort trial included 50 cases had double valve replacement surgery between August 2017 and July 2019. Twenty-nine patients were males (58%), and the mean age was 57.66±8.81 years. The mean ejection fraction was 41.43±9.25 %. Results: The mean CPB time in custodial group was 99.4±8.46 while …

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Effect Of Off-Pump Coronary Artery Bypass Grafting On The Intraoperative Hemodynamics, Ahmed Tantawy, Zariaka Al-Mashtoly, Mohamed Mosa Oct 2020

Effect Of Off-Pump Coronary Artery Bypass Grafting On The Intraoperative Hemodynamics, Ahmed Tantawy, Zariaka Al-Mashtoly, Mohamed Mosa

Al-Azhar International Medical Journal

Abstract: Background: The hemodynamic instability during off-pump coronary bypass grafting (CABG) may impair the complete coronary revascularization. We evaluated the effect of off-pump CABG on intraoperative hemodynamic parameters. Methods: We included 40 patients who underwent off-pump CABG from 2017 to 2019. The mean age was 55.75± 6.73 years, and 28 patients were males (70%). The mean ejection fraction was 60.08 ± 3.81%. Study endpoints were the intraoperative hemodynamic parameters and postoperative complications. Results: Heart rate was significantly higher during the grafting of the posterior descending artery (PDA) (79.3± 2.8 beats/min) and right coronary artery (79.5 ± 1.8 beats/min) compared to …

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Grade-Related Liver Injury Management And Its Outcome, Amr Samak, Hisham Abdeldayem, Maher Osman, Mohamed Taha Oct 2020

Grade-Related Liver Injury Management And Its Outcome, Amr Samak, Hisham Abdeldayem, Maher Osman, Mohamed Taha

Al-Azhar International Medical Journal

Background: Liver trauma was traditionally treated by laparotomy until a paradigm shift has occurred in the dealing with stable patients. Objective: The aim is to manage the patients with liver trauma according to grade of trauma and assess the outcome. Methods: From January 2013 to January 2014, the study was conducted prospectively at the emergency departments of Shebin Elkom Teaching hospital and National Liver Institute on liver trauma patients. After initial evaluation and resuscitation, stable patients were treated by conservative measures while unstable patients were treated operatively. Postoperative and Follow-up data were then recorded. Results: Stable group had lower grade …

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Norepinephrine Versus Ephedrine In Prevention Of Hypotension After Spinal Anesthesia, Bassem Abd Elraziq, Sohair Ali, Usama Abotaleb, Mohammad Alqassas Oct 2020

Norepinephrine Versus Ephedrine In Prevention Of Hypotension After Spinal Anesthesia, Bassem Abd Elraziq, Sohair Ali, Usama Abotaleb, Mohammad Alqassas

Al-Azhar International Medical Journal

Background: There is increasing attitude to use norepinephrine for prevention of spinal hypotension. Though, data is not adequate for routine use in clinical practice. Aim of the study was to compare the effectiveness and safety of norepinephrine infusion versus ephedrine infusion for prevention of spinal hypotension. The primary outcome was maintaining systolic blood pressure changes within 20% of baseline. Methods: In our prospec‌tive double blinded randomized study, we studied 130 patients, underwent elective surgeries under spinal anesthesia. Patients were randomly divided into two equal groups: Ephedrine group; received ephedrine (5mg/ml), and Norepinephrine group; received norepinephrine (5µg/ml). After spinal anesthesia, the …

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Ideal Time Of Vaginal Misoprostol Administration In Nulliparous Women Undergoing Office Hysteroscopy: A Randomized Double Blind Placebo Controlled Study, Ahmed Abd Elsalam, Esmail Elgarhy, Ahmed Amer, Ashraf Mohammed Sep 2020

Ideal Time Of Vaginal Misoprostol Administration In Nulliparous Women Undergoing Office Hysteroscopy: A Randomized Double Blind Placebo Controlled Study, Ahmed Abd Elsalam, Esmail Elgarhy, Ahmed Amer, Ashraf Mohammed

Al-Azhar International Medical Journal

Background: hysteroscopy is the process of viewing and operating in the endometrial cavity from a transcervical approach. It is the gold standard procedure for uterine cavity exploration. Objective: to detect ideal time of vaginal misoprostol administration for cervical priming in nulliparous women prior to office hysteroscopy by comparing between giving 400 microgram 3 hours, 6 hours and 12 hours before office hysteroscopy. Patients and Methods: randomized double-blind placebo-controlled study. This study was done on 198 patients to whom office hysteroscopy was done as a part of investigation of (infertility,recurrent miscarriage or abnormal uterine bleeding). Result: in group A which received …

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Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( Comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine), Ahmed Ahmed Sep 2020

Ultrasound Guided Subcostal Transversus Abdominis Plane Block For Postoperative Analgesia After Laparoscopic Cholecystectomy ( Comparative Study Between Bubivacaine Versus Bubivacaine-Ketamine), Ahmed Ahmed

Al-Azhar International Medical Journal

Background: Laparoscopic cholecystectomy is the surgical removal of gall bladder and is the common treatment of symptomatic gall stone and other GB conditions. Laparoscopic cholecystectomy can be performed under general anaesthesia which is frequently associated with persistent postoperative pain. Aim of work: comparing between adding ketamine to bupivacaine and bupivacaine alone for postoperative pain in patients receiving ultrasound guided subcostal transversus abdominis plane block (TAPB) after laparoscopic cholecystectomy regarding the time of the first request for additional analgesia, pain Scores, total analgesic consumption and analgesic efficacy. Patients and methods: This study was carried out in al-azhar university hospital on 28 …

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Corneal Topographic Changes After Eyelid Ptosis Surgery, Youssef Youssef, Mohammed Abo-Eleinin, Omar Salama Sep 2020

Corneal Topographic Changes After Eyelid Ptosis Surgery, Youssef Youssef, Mohammed Abo-Eleinin, Omar Salama

Al-Azhar International Medical Journal

Background: modifications in eyelid position change pressure exerted on the corneal anterior surface and produce topographic changes that may affect the quality of vision and corneal refractive power and related measurements. Aim of the Work: To evaluate corneal topographic changes after ptosis surgery Patients and Methods: 30 eyes of 30 patients of ptosis underwent surgical correction. Complete ophthalmic examination and computerized topography were performed before surgery, then 1-month & 3-months after surgery. The pre-operative and post-operative data were subtracted and statistically analyzed. Data included K1, K2, average keratometry (avgK), corneal astigmatism (value & type), apical keratometry front (AKf) and symmetry …

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Prevalence Of Bacteriuria, Candiduria And Antibiotics Susceptibility Patterns Among Diabetic Verses Nondiabetic Patients, Gamal El--Sherbiny, Abdallah Elsaeed, Ahamed Radwan, Mostafa Mohamed Sep 2020

Prevalence Of Bacteriuria, Candiduria And Antibiotics Susceptibility Patterns Among Diabetic Verses Nondiabetic Patients, Gamal El--Sherbiny, Abdallah Elsaeed, Ahamed Radwan, Mostafa Mohamed

Al-Azhar International Medical Journal

Aimed of the work; Assessment of the microbial species from diabetic and nondiabetic illness and their antibiotics susceptibility patterns. Patients and Methods. Two hundred urine specimens were collected from illness in a duration period extending from July 2018 to July 20119 at Badr University Hospital-Helwan, Cairo, Egypt. Samples were collecting cultivated on MacConkey, blood agar, and Sabouraud dextrose media. The microbial isolates were identified by microbiological methods. The antibiotic sensitivity was evaluated by the VITEK 2 compact automatic system and disk diffusion method. Results: Only 120 samples exhibit growth with a prevalence rate of 60%, from total samples collected. The …

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Caudal Block Versus Penile Block For Postoperative ‎Analgesia In Children Undergoing Hypospadias Repair, Mohamed Al-Metwally, Ezzat Al-Saudi, Ahmed Abo El Ata, Medhat Allam Sep 2020

Caudal Block Versus Penile Block For Postoperative ‎Analgesia In Children Undergoing Hypospadias Repair, Mohamed Al-Metwally, Ezzat Al-Saudi, Ahmed Abo El Ata, Medhat Allam

Al-Azhar International Medical Journal

ABSTRACT Background: Caudal block is recommended for analgesia during and after hypospadias repair operation of the penis in children. Aim of the Study: Compare the effectiveness of caudal block vs. dorsal penile block in children undergoing hypospadias repair surgery with respect to postoperative analgesia and appeal for rescue analgesics during the first 24hours. ‎ Patients and Methods: ‎ The study was conducted on 40 male children, ASA I-II, 4-8 years of age undergoing hypospadias repair surgery under general anesthesia. Children were randomly classified into two groups: (Group P) (penile group=20 patients) received a penile block of 2mL bupivacaine 0.25 per …

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Role Of Hybrid Procedures In Treatment Of Critical Lower Limb Ischemia, Elsayed Elbosraty, Mohamed Abdelhamid, Hany Abd El-Fattah Sep 2020

Role Of Hybrid Procedures In Treatment Of Critical Lower Limb Ischemia, Elsayed Elbosraty, Mohamed Abdelhamid, Hany Abd El-Fattah

Al-Azhar International Medical Journal

Background: The lower limb peripheral arterial disease (PAD) is the third-largest atherosclerotic disease site along with heart disease and cerebrovascular disease, a condition that was often overlooked in the past, but which has been a growing cause of Cardiovascular Disability and Mortality, in recent years. Aim of the work: Assessment of the results of hybrid procedures using Endovascular and open techniques for surgery simultaneously, in patients with critical lower limb ischemia caused by arterial multi-level occlusive disease, as regards to patency as well as the complications. Patient and method: This randomized study was conducted on 40 patients attending at Al-Azhar …

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