Medicine and Health Sciences Commons^™

Behavior Of Restenosis After Distal Unprotected Bifurcation Left Main Coronary Artery Stenting, Ezz-Eldein El-Sawy, Khaled Al Merry, Ahmed Hassanin, Ehab Al-Hefny

Al-Azhar International Medical Journal

Background: There is controversy concerning the optimal stenting strategy in distal unprotected left main coronary artery (ULMCA) stenosis. Aim of the Work: To compare provisional stenting (PS), double kissing (DK) crush, and T and protrusion (TAP) stenting techniques in distal ULMCA stenosis. Patient and Methods: This cohort study enrolled 150 patients scheduled for percutaneous coronary intervention (PCI) and stenting with PS, TAP, and DK crush techniques. Quantitative coronary angiography (QCA) assessment was done for distal left main (LM), left circumflex (LCX), and left anterior descending (LAD) arteries pre-PCI, post-PCI, and during follow-up. Results: Post-PCI QCA revealed a significantly higher median …

Assessment Of Retinal Nerve Fiber Layer Thickness Using Optical Coherence Tomograghy (Oct) In Patients With Diabetic Retinopathy In Relation To Hba1c, Ahmed Abdel Rehim, Mohamed Altbbal, Mahmoud Mohamed Barghout

Al-Azhar International Medical Journal

Background: Retinal nerve fiber layer (RNFL) thickness loss may contribute to diabetic optic nerve dysfunction if it is not detected early enough. Objectives: The main aim of this study was to evaluate the relation of retinal nerve fiber layer thickness to HbA1c in patients with diabetic retinopathy. Subjects and methods: There were 60 eyes with a Diabetic Retinopathy clinical diagnosis in this cross-sectional trial. Two groups of patients were formed: 30 eyes with diabetic retinopathy in Group A (HbA1c 7%) were included in this study. In the second group B, there were 30 eyes of diabetic retinopathy with uncontrolled glycosylated …

Comparative Study Of Different Types Of Mesh Fixation During Laparoscopic Repair Of Inguinal Hernia, Ahmed Mohey El-Deen Al-Bendary, Ibrahim Mohammed, Mohamed Mahmoud Hekal

Al-Azhar International Medical Journal

Introduction: Prevalence of inguinal hernia worldwide is 15%–45% at different ages that requires surgical repair. Currently, inguinal hernia repair with a mesh is the common method through surgical procedure. The current type of mesh including different materials, and surgical options for mesh fixation include, sutures, tacks or staples, self-fixing meshes and fibrin, or other glues. Aim: to assess and compare the efficacy of mesh fixation using fibrin glue, tacks and sutures during laparoscopic repair of inguinal hernia. Patients and Methods: Randomized study included 15 adult male patients presented with inguinal hernias at Al-Azhar university hospitals using laparoscopic trans-abdominal pre-peritoneal repair. …

A Study On Effectiveness Of Preoperative Versus Postoperative Misoprostol Administration In Cesarean Section To Evaluate Primary Postpartum Hemorrhage, Ahmed Karraam, Emad Atalla, Abdelsamea Khalifa

Al-Azhar International Medical Journal

Background: Caesarean section (CS) is a frequently performed as a surgical operation, accounting for approximately one-third of all such procedures. Cesarean section rates continue to grow year after year around the world. A Caesarean section can cause a number of maternal and foetal lethal complications, the most serious of which is postpartum haemorrhage (PPH). Aim and objectives: The study's goal was to examine the safety and efficacy of preoperative vs postoperative misoprostol for reducing postpartum bleeding after cesarean surgery. Subjects and methods: This prospective single-blinded study included 100 women administrated for cesarean section. They had been randomly assigned to either …

Corneal Astigmatism And Intraocular Lens Power Calculation Before And After Pterygium Surgery, Manar Ghazaly, Zeinab Hasan, Mona Hasaan

Al-Azhar International Medical Journal

Background: Pterygium can interfere with vision by causing corneal astigmatism or by directly encroaching on the visual axis. Pterygium excision surgery, which employs multiple approaches, can lessen corneal astigmatism. Objectives: This study aims to evaluate astigmatism of the cornea and to calculate intraocular lens (IOL) power before and after pterygium surgery in patient with coexistent cataract and primary pterygium. Patients and methods: This study was a clinical trial which carried out on 20 patients of both gender. All patients had cataract and primary pterygium and undergo pterygium excision operation. All patients undergo preoperative and postoperative IOL power calculation by IOL …

Pulsed Dye Laser Versus Nd Yag Laser In Treatment Of Cutaneous Leishmaniasis, Comparative Study, Abd-Elmonem Khalifa, Mahamed El-Khalawany, Ibrahim Aboel-Ela, Mohamed Hegazy

Al-Azhar International Medical Journal

Background: Cutaneous leishmaniasis is a multilesional protozoan-induced infection that causes papules, nodules, plaques, and ulcers on exposed parts of the body with a well-defined erythematous boundary as well as a central crust. Several treatment modalities have been tried, such as systemic or intralesional medications, as well as destructive methods, but none is free of negative impacts. The Pulsed dye laser and the Nd: YAG laser have been studied in a variety of skin disorders and are considered promising treatments for cutaneous leishmaniasis. Aim of the study: To assess and compare the effects of pulsed dye and the Nd YAG laser …

A Comparative Evaluation Of Intra-Articular Injections Of Hyaluronic Acid, Adipose Mesenchymal Stromal Cells, Platelet-Rich Plasma And Corticosteroids In Patients With Knee Osteoarthritis., Younis Akl, Mohammed Elnahas, Shehab Mohamed Kamel

Al-Azhar International Medical Journal

*Background: Estimation of the clinical effects of platelet-rich plasma (PRP), steroids, hyaluronic acid (HA), or adipose mesenchymal stromal cells (MSC) injections in the treatment of knee osteoarthritis (OA). *Methods: From 2003 to 2021, researchers used Google Scholar, PubMed, Web of Science, Cochrane library, and other databases for randomized control trials (RCTs) with knee osteoarthritis that compared steroids, HA, adipose MSC, PRP, or in a head-to-head combination. *Results: There were a total of 24 trials in this study. Steroids are listed as the most useful intervention for pain or function management, whereas multiple PRP and adipose MSC were considered as the …

Comparative Study Between Blunt Expansion Versus Sharp Expansion Of The Uterine Incision In Primiparous Woman Undergoing Low-Segment Transverse Cesarean Section, Hossam Nasr, Abd El Rahman Anbar, Mazen El Zahry

Al-Azhar International Medical Journal

Background: Several surgical methods have been established to reduce intraoperative blood loss in caesarean section deliveries. One of these still-debated methods is the use of sharp or stubborn methods to extend the uterine incision. Depending on individual experiences, various surgeons have recommended each technique. Aim of the study: To see if the maternal blood loss as a primary outcome is affected by the technique of uterine incision expansion (sharp versus blunt) for caesarean deliveries, with secondary outcomes including unintended extension of uterine incision, injury of uterine vessels, and postoperative pain. Patients and methods: 500 women from Obstetrics and Gynecology Department …

The Relationship Between Balloon Tourism And Well-Being, Serkan Bertan

University of South Florida (USF) M3 Publishing

The relationship between balloon tourism and well-being was analyzed in this study. In line with this purpose, a questionnaire was implemented on people living at Pamukkale destination. The reason for selecting Pamukkale was its importance as one of the most prominent localities with many hot air balloon activities. Structural equation model was used in this study which was conducted to determine the relation between well-being and the effects of and support for balloon tourism. The sample was determined with random sampling method. Data were analyzed through PLS-SEM method. Economic, cultural and environmental impacts were found to be positively affecting the …

Long-Segment Fixation With Posterolateral Fusion Versus Short-Segment Fixation With Interbody Fusion For Management Of High-Grade Lumbar Spondylolisthesis, Mostafa Aboelkhir, Mostafa Elmaghraby, Ahmed Rewehy

Al-Azhar International Medical Journal

Background & Purpose: Lumbar spondylolisthesis frequently causes a sagittal imbalance of the spine because it frequently co-occurs with other abnormalities, including forward slip and kyphosis. Spinopelvic sagittal balance is critical in spondylolisthesis assessment and treatment. The traditional fixation placement method, referred to as "short segment fixation," involves placing pedicle screws into the lower and slipping vertebral bodies. The upper vertebrae received additional pedicle screws, resulting in a long segment fixation. This study was conducted to assess the results of long-segment with posterolateral fusion fixation (Long-segment PLF) versus short-segment fixation with interbody fusion (Short-segment PLIF) for the treatment of high-grade lumbar …

Comparative Study Between Diagnostic Value Of 3d Ultrasound Versus Hysteroscopic Finding In Patients With Perimenopausal Bleeding, Ahmed Komy, Ahmed Saeed, Abdel Moneim Zakaria

Al-Azhar International Medical Journal

Background:Hysteroscopy is the most accurate method for diagnosing intrauterine pathologies related to abnormal bleeding and infertility. The accuracy of three-dimensional (3D) ultrasonography and hysteroscopy were compared in identifying uterine cavity abnormalities. Aim of the study :To compare the sensitivity of three-dimensional ultrasonography to a gold standard in detecting uterine abnormalities (hysteroscopy). Patients and methods;This wasprospective comparative study, was carried out on 100patients at Obstetrics and Gynecology department, at Al-Hussein University Hospital From December 2020 to Jun 2021. Result: As regard fibroid diagnosis, there were 35 patients (35%) true positive, 57 patients (57%) true negative, 5 patients (5%) false positive and …

Comparative Study Between The Effect Of Oral Sildenafil Citrate Versus Oral Nitroglycerin On Intrauterine Growth Restriction In Normotensive Pregnant Women., Mohamed El-Haddad, Abdallah Ahmed, Samir Galal

Al-Azhar International Medical Journal

Background: Severe early-onset intrauterine growth restriction increases the risk of perinatal morbidity and mortality, particularly as a result of iatrogenic premature delivery. It complicates approximately 0.2% of pregnancies. Aim of the work: The aim of the study is to compare the effect of oral sildenafil citrate 20 mg and oral nitroglycerin 2.5 mg in cases of intrauterine growth restriction. Patients and Methods: This prospective observational study was performed on a total of 100 pregnant normotensive females diagnosed with IUGR in Al-Hussein University Hospitals and Dar Ismail Hospital for Obstetrics and gynecology, Alexandria, Egypt, from May 2020 to May 2021. Results: …

Frame-Based Stereotactic Surgery In Thalamic Lesions, Rageh Elsiagy, Mohamed Mansour, Mostafa Elmaghraby

Al-Azhar International Medical Journal

Background: Stereotactic surgery is recommended over dramatic excision for the management of thalamic malignancies because the thalamus is a vital structure surrounded by essential white matter pathways. Objective: Assessment of the benefits and safety of the frame-based stereotactic surgery in thalamic lesions. Patients and Methods: Retrospective study conducted on 15 patients suffering from different thalamic lesions, recruited from Neurosurgery Department, Al-Azhar University and Ministry of Health Hospitals over the period from 2016 to 2021. Results: Patients mean age were 39.53 ± 15.58 years old. 40% of them were males and 60% were females. Majority (81.8%) of patients presenting with headache …

Morphometric Measurements Of Posterior Cranial Fossa And Craniovertebral Junction In Chiari I Malformation With And Without Syringohydromyelia, Pawitra Imemkamon, Supada Prakkamakul, Ketsuda Jakchairoongruang

Chulalongkorn Medical Journal

Background: Syringohydromyelia occurs about 30.0 - 85.0% in patients with Chiari I malformation (CMI). The syrinx formation is supposed to be a result of disturbed cerebrospinal fluid flow dynamics, which is associated with the degree of mechanical blockage that may be related to posterior cranial fossa (PCF) and craniovertebral junction anatomy. Objective: Our study aimed to determine the morphometric difference in PCF and craniocervical junction between the CMI patients with and without syringohydromyelia. Methods: Thirty CMI patients (16 with syringohydromyelia; 14 without syringohydromyelia) and 16 healthy subjects were also recruited. PCF and craniocervical junction measurements of 5 distances and 5 …

Social Media Addiction And Self-Esteem Of High School Students In Hat Yai Municipality, Secondary Educational Service Area Office 16, Thailand, Montira Muanjan, Sookjaroen Tangwongchai

Chulalongkorn Medical Journal

Background: Social media use has been increasing dramatically. Some evidences suggest that excessive use of social media may impact the level of self-esteem. Objective: To explore the level of social media addiction, self-esteem and associated factors among high school students in Hat Yai municipality. Methods: A cross-sectional descriptive design was employed with participation of 415 high school students in Hat Yai municipality. The instruments included a set of questionnaires to assess the demographic data and patterns of social media use, media addiction test (SMAT), Thai version of the Pittsburgh Sleep Quality Index (T-PSQI), Center for Epidemiological Studies-Depression Scale (CES-D) and …

Occupational Stress And Related Factors Among Registered Nurses At Relief And Community Health Bureau, The Thai Red Cross Society, Itsaraporn Palasak, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Previous studies have found that occupational stress affects work performance among registered nurses and causes a high turnover rate. The study of occupational stress levels and related factors can help prevent occupational stress impacting on physical and mental health. Also, it may help increase work efficiency and enhance the commitment to the organization. Objective: To study the level of occupational stress and related factors among registered nurses at Relief and Community Health Bureau, The Thai Red Cross Society (RCHB-TRC). Methods: This was a cross-sectional study conducted at the RCHB-TRC, Thailand. Data were collected from 133 registered nurses using self-administered …

Development Of A Questionnaire To Evaluate The Attitudes Towards Home Health Visits In Applied Thai Traditional Medical Students: A Pilot Study, Sarunthorn Puttipaibool, Athippat Tantiwongsekunakorn, Kaittiyos Kuldejchaichan, Sukree Kade, Sirikan Poopong, Photnicha Jaturapat, Sasima Tongsai, Suprapath Sonjaipanich, Pravit Akarasereenont

Chulalongkorn Medical Journal

Background: Home health visits (HHV) are the new duty and development of students of applied Thai traditional medicine (ATM). We performed to develop a measuring instrument to ensure that students have positive attitudes to HHV. Objective: To develop a reliable and valid questionnaire for evaluating attitudes regarding home health visits among ATM students. Methods: There are 28 items in creating the questionnaire which is supposed to be used to assess attitudes toward HHV in four areas, including those related to the practice in HHV, the role of ATM practitioners, relationship with patients and patient’s relatives, and collaboration with the multidisciplinary …

Factors Influencing Decision Making To Use Large Private Hospitals Of Thai Patients In Bangkok After Covid-19 Outbreak, Decha Lalitanantpong, Kingporn Thongbai, Anothai Ngamvichaikit

Chulalongkorn Medical Journal

Background: The worldwide pandemic of coronavirus infections disease 2019 (COVID-19 impacts the Thai medical’s hub tourism industry. The private hospital sector needs to provide appropriate services for Thai consumers. Objectives: The objectives of this research were to study: 1) The level of decision making of use large private hospitals of Thai patients living in Bangkok after COVID-19 outbreak; 2) The marketing mix related to the level of decision making to use large private hospitals; 3) The marketing mix that influences decision making to use large private hospitals. Methods: This study was a survey research. The population was 8,757,843 Thai patients …

The Role Of Co-Peptin Versus Vascular Cellular Adhesion Molecules (Vcam-1) In Cirrhotic Patients With Hepatorenal Syndrome - Acute Kidney Injury, Mohamed Omar Abo Zeid, Mohamed Kobeisy Hussein, Haitham Abd El-Rahman, Mohammed Abo El-Fottoh

Al-Azhar International Medical Journal

Background: Advanced cirrhosis is a state marked by synthetic and vascular decompensation, rise in splanchnic blood volume, hyper-dynamic condition with, systemic vasodilatation, AKI is one of the side-effects of cirrhosis, happening in about 45% of hospital stayed cases, and was accompanying with higher death. This study aimed to evaluate co-peptin versus VCAM-1 as a biomarker for early detection of HRS-AKI in decompensated cirrhotic patients. Aim: to compare between co-peptin versus VCAM-1 as a biomarker for early detection of HRS-AKI in decompensated cirrhotic patients. Patients and Methods: This study was conducted between January 2020 and June 2021, on 80 patients attending …

Surgical Management Of Cervical Myelopathy Anterior Versus Posterior Approaches, Abou Soud Mahmoud, Abdulkafy Sharafuddin, Usama El-Shokhaiby

Al-Azhar International Medical Journal

Background: The most prevalent cause of spinal cord impairment is cervical spondylotic myelopathy (CSM). In the older, it is also the primary cause of spinal-cord-related impairment. Spinal cord compression can result from ventral pathologies or from dorsal compression causing progressive disability and impairing the quality of life. Aim of study: This study aims to compare anterior cervical discectomy and fusion using inter body fusion cages with posterior lamin ectomy in the management of one or multiple level cervical spon dylotic myelopathy Patients and methods: 20 patients had cervical spondylotic myelo pathy were identified in our research. There were 16 men …

Cervical Length And Posterior Cervical Angle Measured By Transvaginal Us As Alternative To Bishop Score In Prediction Of Successful Labor Induction, Muhammad El Gharieb, Emad Abdelatif, Ahmed El Sadek

Al-Azhar International Medical Journal

Background: In around 20% of pregnancies across the globe, pregnancy must be induced for different reasons. However, in 20% of all induced deliveries, inducement fails, necessitating a caesarean surgery. Aim of the Study: This may help with effective labor induction by identifying the correct qualities of the applicant. Patients and Methods: We used vaginal misoprostol to induce labor in 100 women after determining their BMI, modified bishop score, transvaginal cervical length, and Posterior cervical angle. These ladies were ≥37 weeks pregnant with a singleton who had a cephalic presentation. Results: We had a 70% success rate with induction, which was …

Thyroid Nodules: Comparison Between Ultrasound Elastography And Fnac, Abdallah Mohamed, Ahmed Eldeeb, Abdallah Elkheshen

Al-Azhar International Medical Journal

ABSTRACT Background: Thyroid nodules are found in around 3%–7% of the population by palpation, 20%–76% by ultrasonography, and about 50% by autopsy. Due to advancements in medical imaging, the number of thyroid nodules discovered has increased. Thyroid nodules, regardless of size, are found to have a 5% risk of cancer, according to researches. Patients and Methods:This prospective study was performed on 50 thyroid nodules in 50 adult patients of both sexes, referred to sayed galal university hospital from internal medicine, endocrinology, surgery and oncology clinics between march 2021 to march 2022. Results: USE is a reliable noninvasive diagnostic method for …

A Comparative Study Between Laparoscopic Nissen And Toupet Fundoplication In Management Of Hiatus Hernia, Mahmoud Abdel Fattah, Ahmed Sultan, Mohamed El- Anany

Al-Azhar International Medical Journal

Introduction: Gastroesophageal reflux disease (GERD) is a frequent clinical disorder characterized by the reflux of gastric constituents into the esophagus or oropharynx via lower esophageal sphincter (LES), leading to complications and/or injury to esophageal tissue fatal enough to disrupt a patient's life and necessitating long-term management with medicines and lifestyle changes. Aim of Work: The goal of this research was to evaluate and contrasting the surgical results of a 270° wrap (Toupet, T) versus a 360° wrap (Nissen, N) in patients with gastroesophageal reflux disease (GERD) in accordance with symptom alleviation, therapeutic response, and postoperative complications like dysphagia, gas bloat …

The Role Of Transpedicular Approach In Thoracolumbar Junction Burst Fracture With Significant Canal Compromise, Mohamed Ali El-Gaidi, Ahmed H. Omar, Ahmed S. Kamel Abdelwahed

Advanced Spine Journal

Background Data: The thoracolumbar junction TLJ (T11–L2) is one of the most commonly injured spinal zones, representing more than 50% of all thoracic and lumbar spine fractures. Of all fractures in the TLJ, 40% are burst fractures. The ventral cord decompression at the TLJ after significant canal compromise is technically demanding. The midline laminectomy corridor does not allow adequate access to the vertebral body without significant neurological morbidity. Purpose: This study aims to evaluate the safety and efficacy of transpedicular (TP) decompression in the management of complete TLJ burst fracture with significant canal compromise. Study Design: A retrospective clinical case …

Protect Yourself From Occupational Risks, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

This month’s editorial underscores the importance of safeguarding against occupational risks in dentistry. Dr. Smiley shares personal experiences, highlighting potential hazards to oral health care workers' eyes and hearing, including intense lights, noisy equipment, and exposure to infectious pathogens. He emphasizes the need for protective eyewear, light shields, and equipment calibration to reduce eye-related risks and the use of custom musician earplugs to reduce the risk of job-related hearing damage. The overall message stresses that taking steps to protect oneself from occupational risks can preserve the quality of life and a professional career.

10-Minute Ebd: Should Chipped Or Worn Dental Sealants Be Observed, Touched Up, Or Restored?, Elliot Abt Dds, Ms, Msc

The Journal of the Michigan Dental Association

This column discusses the management of chipped or worn dental sealants in a 22-year-old patient seeking a second opinion. The author explores the need for occlusal restorations, sealant repair, or no treatment for such cases. A literature search, guided by a PICO question, reveals strong evidence supporting sealant effectiveness in preventing caries. The Cochrane review found an 88% reduction in caries odds with sealants. Clinical guidelines and systematic reviews from organizations like the American Dental Association (ADA) further endorse sealant use. The column emphasizes the importance of universal sealant application and highlights challenges in their adoption, such as concerns over …

Eye Safety In Dentistry, Marie T. Fluent Dds, Cdipc

The Journal of the Michigan Dental Association

In this article, Dr. Fluent underscores the importance of eye safety from vision loss that ended her clinical dental career. The article emphasizes the prevalence of ocular injuries in occupational settings, with about 2,000 U.S. workers suffering job-related eye injuries daily. Dental professionals face multiple eye hazards, including flying debris, chemicals, and infectious materials. Protective eyewear is crucial, with the CDC and OSHA recommending its use.

A significant concern is the "bottom gap" in protective eyewear, which exposes dental personnel to risks. The article introduces a new ANSI standard, ANSI/ISEA Z87.62-2021, to standardize eye and face protection against bloodborne pathogens …

J Mich Dent Assoc October 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on eye safety to reduce occupational risk of eye injury in clinical dentistry.
• A feature story on a dentist’s journey with Bell’s Palsy.
• A department reports on legal issues caring for patients suspected of being under the influence of marijuana.
• Department article on workforce and employees quietly quitting.
• Articles on MDA Public Relations Grant Recipients …

Diffusion Weighted Magnetic Resonance Imaging In Differentiation Between Different Vertebral Lesions Using Apparent Diffusion Coefficient (Adc) Mapping As A Quantitative Assessment Tool, Ibrahim Said, Abdallah El Kheshen, Mohamed Belih

Al-Azhar International Medical Journal

Background: Diffusion-weighted imaging (DWI) investigates the microstructure of biological tissue. The variation obtained with this approach, and the estimation of ADC values for the apparent diffusion coefficient, are helpful MRI techniques that may be utilized for non-invasive tissue assessment . Aim of Work: The goal of this research is to see how valuable both qualitative and quantitative DWI assessments are in distinguishing among spinal tumors, as well as to find a cut-off ADC value among benign and malignant tumors. Patients and Methods: Studied at the Radio-Diagnosis Department of Sayed Galal hospital, National Cancer Institute. Using 1.5T MRI unit. Sagittal T1WI, …

Comparative Study Between Conservative Treatment And K-Wires Fixation Of Both Bones Forearm In Children From 5-12 Years, Haitham Ibrahim, Ismail Hammoda, Amro Attia

Al-Azhar International Medical Journal

Background: Forearm fractures are the most prevalent kind of fracture in children, accounting for 13 to 40% of all fractures. After distal radial fractures and supracondylar humeral fractures. Aim of the Work: The purpose of the study was to assess the outcomes of conservative and percutaneous pinning for the management of diaphyseal fractures of the radius and ulna in youngsters. Patients and Methods: Thirty patients aged 5 to 12 years old with closed displacement fractures of the shaft of both forearm bones were separated into two groups in this research at Al Azhar University Hospital and El Talaba Hospital. A …