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2020

Al-Azhar International Medical Journal

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Full-Text Articles in Medicine and Health Sciences

Effect Of Ultrasound-Guided Injection Of Local Ozone Or Platelet Rich Plasma Versus Corticosteroid In Plantar Fasciitis, Ahmed Elsawy, Hesham Abdelraouf Dec 2020

Effect Of Ultrasound-Guided Injection Of Local Ozone Or Platelet Rich Plasma Versus Corticosteroid In Plantar Fasciitis, Ahmed Elsawy, Hesham Abdelraouf

Al-Azhar International Medical Journal

ABSTRAC. Background : Plantar fasciitis or recently called plantar fasciopathy, generally observed with heel spurs because of the deposition of calcium, although the definite pathology is still unknown. Ultrasound-guided injection of conventional corticosteroids was the primary treatment modality, with other emerging substances (e.g. Ozone or Platelet Rich Plasma PRP). Aim of the study: This study was conducted to evaluate the effect of ultrasound-guided injection of local Ozone or Platelet Rich Plasma (PRP) versus conventional corticosteroid in the management of plantar fasciitis. Patient and methods: this a randomized Prospective comparative study has done Al-Azhar university hospitals (Al-Hussein and Sayed Galal), where …


Evaluation Of Superior Rectal Artery Preservation In Sigmoidectomy For Sigmiod Colon Cancer, Abd El Rahman El Kady, Mohammed Asar Dec 2020

Evaluation Of Superior Rectal Artery Preservation In Sigmoidectomy For Sigmiod Colon Cancer, Abd El Rahman El Kady, Mohammed Asar

Al-Azhar International Medical Journal

Background: In the conventional radical treatment of sigmoid colonic cancer, the ligation of root of inferior mesenteric artery is performed to verify harvesting of D2 and D3 lymph nodes (I.e. intermediate and central lymph node groups) and improve the surgical prognosis. IMA ligation may compromise the blood supply at site of anastomosis and risk injury of autonomic nerve plexus, so preservation of superior rectal artery (SRA) may lead to increase blood flow and decrease postoperative bowel complications. Aim of the study: evaluation of SRA preservation in open sigmoidectomy for sigmoid colon cancer as regard impact on both radicality and vascularization …


Comparative Study Between Interlocking Nail And Locked Plate In Distal Tibial Fractures Fixation, Ahmed Elmezian, Ahmed Mohammed, Ismael Yassin Dec 2020

Comparative Study Between Interlocking Nail And Locked Plate In Distal Tibial Fractures Fixation, Ahmed Elmezian, Ahmed Mohammed, Ismael Yassin

Al-Azhar International Medical Journal

ABSTRACT Background: Distal tibial fractures accounts for approximately 37.8% of all tibial injuries affecting all ages. Treatment of distal tibial fractures in skeletally mature patients is challenging because of its unique anatomical characteristics of subcutaneous location with weak blood supply and proximity to the ankle joint. Objective: To compare the results of fixation of extra-articular distal tibial fractures in adults by ILN vs. distal tibial locked plate with MIPPO. Patients and methods: This study was done at Al-Azhar University Hospital, during the period of January 2020 to December 2020. 20 patients were recruited for this study to compare ILN vs. …


Assessment Of The Effectiveness Of Toxoplasma Surface Antigen Grade I For Diagnosis Of Human Toxoplasma Gondii, Abdelrahman Elmowafy, Adham Sadek, Alaa Samn, Hanan Hamza, Ibrahim Aly Dec 2020

Assessment Of The Effectiveness Of Toxoplasma Surface Antigen Grade I For Diagnosis Of Human Toxoplasma Gondii, Abdelrahman Elmowafy, Adham Sadek, Alaa Samn, Hanan Hamza, Ibrahim Aly

Al-Azhar International Medical Journal

ABSTRACT Background: Toxoplasmosis represents a neglected equatorial poverty disorder triggered by an intracellular mandatory protozoan parasite, known as Toxoplasma gondii. Aim of the work: Purpose of this study was to assess the Effectiveness of Toxoplasma Surface Antigen Grade I for Diagnosis of Human Toxoplasma gondii in Egypt by Sandwich ELISA Technique. Subjects and Methods: This study was conducted on 94 individuals, divided to 3 categories, category I: Toxoplasma gondii, category II: Other parasites, It encompassed 10 infected patients that have E. histolytica and 14 infected with G. lamblia and category III: Healthy control group. Result: The cutoff value was 0.233 …


Correlation Between Ultrasound And Magnetic Resonance Imaging In Diagnosis Of Ovarian Tumors, Tarek Mansour, Mohamad Tawfik, Mohamed El-Barody, Sileem Sileem, Ahmed Okasha Dec 2020

Correlation Between Ultrasound And Magnetic Resonance Imaging In Diagnosis Of Ovarian Tumors, Tarek Mansour, Mohamad Tawfik, Mohamed El-Barody, Sileem Sileem, Ahmed Okasha

Al-Azhar International Medical Journal

ABSTRAC. Background and objective: To discuss the value of ultrasound (US) and magnetic resonance imaging (MRI) in the evaluation of female patients with ovarian tumors. Methods: This study was performed on 250 patients at University hospital and the National Cancer Institute who were referred to radiodiagnosis department from the Obstetric and Gynecology department during the period from March 2017 to March 2018. All patients were subjected to pathology assessment, transvaginal ultrasonography (TVUS) and MRI with diffusion-weighted imaging (MRI-DWI). Results: The study group of 250 patients had a mean age of 38.85 ± 17.1 years. Lesions were classified according to histo-pathological …


Incidence Of Placenta Accrete And Its Complications In Cases Of Previous Cesarean With Placenta Previa Anterior, Gamal Abd El Khabeer Dec 2020

Incidence Of Placenta Accrete And Its Complications In Cases Of Previous Cesarean With Placenta Previa Anterior, Gamal Abd El Khabeer

Al-Azhar International Medical Journal

Background: Placenta accreta is regarded to be a massive complication in pregnancy that can be correlated with intrapartum and postpartum hemorrhage, which is severe and potentially life-threatening. Aim of the Work: Determination of the occurrence and complications of placenta accreta in instances of prior cesarean sections with placenta previa and outcome of management of these complications. Patients and Methods: A prospective randomized analysis was performed on 100 cases of placenta previa centralis anterior with previous history of placenta previa centralis anterior and delivered by CS to show the incidence of placenta accreta in this pregnancy whom attended at Al Hussein …


Endoscopic Sinus Surgery Decision And Timing For Endodontic Origin Sinusitis After Failure Of Primary Medical Treatment, Ibrahim Eldsoky, Wael Ismaiel Essa, Ahmed Mahmoud, Nashwa Elsayed Dec 2020

Endoscopic Sinus Surgery Decision And Timing For Endodontic Origin Sinusitis After Failure Of Primary Medical Treatment, Ibrahim Eldsoky, Wael Ismaiel Essa, Ahmed Mahmoud, Nashwa Elsayed

Al-Azhar International Medical Journal

Background: Odontogenic sinus disease require optimal management that involves definitive treatment of the underlying dental pathology. Further endodontic management with root canal, dental extraction, or apicoectomy. So, endoscopic sinus surgery (ESS) is recommended for patients who fail initial medical and/or dental treatment. However, the optimal timing for ESS is still unclear in literatures. Objective: The aim of this study is to find the optimal time for ESS in odontogenic sinusitis (ODS) patients after the failure of the primary medical treatment. Patients and Methods: This study was conducted on 25 patients with ODS: 14 males and 11 females. After the failure …


Transcerebellar Diameter To Abdominal Circumference Ratio In Assessment Of Normal Fetal Growth, Ahmed Hamid Shaaban, Ismael El Garhy, Ehab Hasanin Dec 2020

Transcerebellar Diameter To Abdominal Circumference Ratio In Assessment Of Normal Fetal Growth, Ahmed Hamid Shaaban, Ismael El Garhy, Ehab Hasanin

Al-Azhar International Medical Journal

Background: Intrauterine growth restriction (IUGR) and its early detection were correlated with a high risk of perinatal mortality and morbidity and management are helpful in decreasing the neonatal risks. Transcerebellar diameter to abdominal circumference ratio becomes a gestational age independent parameter, which may be helpful for early detection of IUGR. Objectives: Study the accuracy of transcerebellar diameter/abdominal circumference ratio (TCD/AC ratio) for the evaluation of normal fetal development. Patients and methods: Our Prospective observatory research included 500 women with uncomplicated pregnancy attending the outpatient clinic of Al Azhar university hospitals for routine antenatal care. Routine ultrasound parameters were measured as …


Surgical Treatment Of Middle Third Fracture Clavicle In Adults By Pre-Contoured Locked Plate, Al-Hussein Adham, Mahmoud Hassan, Mohamed Abulsoud Dec 2020

Surgical Treatment Of Middle Third Fracture Clavicle In Adults By Pre-Contoured Locked Plate, Al-Hussein Adham, Mahmoud Hassan, Mohamed Abulsoud

Al-Azhar International Medical Journal

Background: The clavicle is one of the bones that are most commonly fractured in the body. In adults, clavicle fractures represent 5–10 % of all fractures and 35 % of shoulder girdle fractures. Although most clavicular fractures may be treated nonoperatively, there is still a debate about the best therapy option for displaced mid-shaft clavicle fracture. Aim of the Study: To investigate the results of surgical fixation of displaced middle-third fracture clavicle by the anatomical pre-contoured locked plate in young adults. Materials and methods: This research involved 20 adult patients with a recent middle-third clavicle fracture. Results were assessed after …


Prevention Of Postpartum Haemorrhage In Patients With Severe Preeclampsia Using Carbetocin Versus Misoprostol, Hossameldeen Mostafa, Mohamed Mostafa, Hasan Abdrabou, Emad Ibrahim Dec 2020

Prevention Of Postpartum Haemorrhage In Patients With Severe Preeclampsia Using Carbetocin Versus Misoprostol, Hossameldeen Mostafa, Mohamed Mostafa, Hasan Abdrabou, Emad Ibrahim

Al-Azhar International Medical Journal

ABSTRACT Background: A significant reason of maternal deaths is postpartum hemorrhage (PPH) that accounted for one-quarter of all maternal mortality globally. Primary postpartum hemorrhage (PPH) is conventionally described as a loss of blood of ≥ 500 ml within the first 24 hours following childbirth. AIM OF THE WORK using carbetocin versus misoprostol in postpartum hemorrhage prevention in sufferers with intense preeclampsia. Patients and Methods: A randomized prospective study is done to compare use carbetocin vs misoprostol in postpartum hemorrhage prevention with severe preeclampsia. In the present research a total of 100 patients who attended Sohag general Hospital included. First group …


Study Of The Effect Of The Opioid Antagonist "Naltrexone" On Acetic Acid-Induced Enteritis In Rats, Mahmoud Zaffan, Ahmed Labib, Adel Abd Alaziz Dec 2020

Study Of The Effect Of The Opioid Antagonist "Naltrexone" On Acetic Acid-Induced Enteritis In Rats, Mahmoud Zaffan, Ahmed Labib, Adel Abd Alaziz

Al-Azhar International Medical Journal

Background: Crohn's diseaseis a transmural, relapsing inflammatory condition affecting the digestive tract.Opioid signaling was known to affect secretion and motility in the gut and may be implicated(involved in)in the inflammatory cascade of Crohn's disease.Endogenous Opioid peptides modulate inflammatory cytokine production.Opioid antagonists have been shown to play a role in healing and repair of tissues. This work was designed to detect the possible beneficial effects of opioid antagonist naltrexone in acetic acid -induced enteritis in rats. Experimental approach:Mature rats are allocated in to 9 groups (6 rats each). Enteritis was induced by2trans-rectal injection of acetic acid 4%(2 mg/kg). Salfasalazine (500mg/kg/day), naltrexone …


Correlation Between Endometrial Histopathology In Postmenopausal Uterine Bleeding And Transvaginal Colour Doppler, Shawkat El Kady, Emad Eltemamy, Ahmed Abd El Fatah, Ibrahim Mohamed, Sondos Salem Dec 2020

Correlation Between Endometrial Histopathology In Postmenopausal Uterine Bleeding And Transvaginal Colour Doppler, Shawkat El Kady, Emad Eltemamy, Ahmed Abd El Fatah, Ibrahim Mohamed, Sondos Salem

Al-Azhar International Medical Journal

Background: Correlation between Endometrial Histopathology in Postmenopausal Uterine Bleeding and Transvaginal colour Doppler. Aim of the Work: To evaluation of transvaginal ultrasound and transvaginal color doppler of uterine arteries compared to endometrial histopathology in Postmenopausal uterine bleeding. Patients and methods: Prospective comparative observational cohort study. This study involving 90 patients complaining postmenopausal bleeding recruited from those attending in the Gynecology clinic in Obstetrics & Gynecology Department at “ Mansheat El-Bakery Hospital”. Results: The result found patients with endometrial carcinoma significantly in older age (P =0.009), with higher body mass index (BMI) (P <0.001). There was no statistically significant difference as regard parity and, medical disorders (DM and HTN) (P >0.05). 5 mm endometrial thickness (ET) used the …


Sonographic Evaluation Of Hindfoot Pain, Ibrahim Fawzy Ezz Mohammed, Safwat Sayed El-Araby, Ehab Abdul-Azeim Ahmed, Hany Aly Dec 2020

Sonographic Evaluation Of Hindfoot Pain, Ibrahim Fawzy Ezz Mohammed, Safwat Sayed El-Araby, Ehab Abdul-Azeim Ahmed, Hany Aly

Al-Azhar International Medical Journal

ABSTRAC. Background : Hindfoot is frequently injured either duo to trauma, overuse or inflammatory processes. Different diagnoses unfortunately tend to have overlapping clinical signs and symptoms. So, clinicians tend to rely on imaging. Ultrasonography (US) has many benefits for evaluating hindfoot pain. Aim of the study: To review the prevalence of etiologies in patients with hindfoot pain by musculoskeletal ultrasound. Patient and methods: This study included one hundred (100) patients complaining of unilateral or bilateral hindfoot pain ranging in age from 16 to 65 years with no sex specification, excluding patients with chronic rheumatological inflammatory diseases, diabetes mellitus, major ankle …


Neurological Manifestations In Egyptian Covid-19 Patients, Ahmed Essmat Dec 2020

Neurological Manifestations In Egyptian Covid-19 Patients, Ahmed Essmat

Al-Azhar International Medical Journal

Background and aim: The current Covid-19 pandemic massively overwhelmed the health scene in almost all world countries including Egypt. Neurological manifestations are commonly reported among Covid-19 patients. The aim of the present study is to describe the neurological manifestations in a group of Egyptian patients diagnosed with Covid-19. Patients and methods: The present retrospective study was conducted at Al-Azhar University Hospitals. Patients included in the study comprised 50 patients with variable new-onset neurological manifestations in addition to other 50 patients without neurological manifestations recruited from other departments. All participants were subjected to careful history taking, thorough clinical examination and routine …


Comparative Study Between Intramedullary K Wires Versus Mini-Plates And Screws In Fixation Of Metacarpal Shaft Fractures In Adults, Mahmoud Abdel-Hamid, Mohamed Abulsoud, Mohamed Bissar Dec 2020

Comparative Study Between Intramedullary K Wires Versus Mini-Plates And Screws In Fixation Of Metacarpal Shaft Fractures In Adults, Mahmoud Abdel-Hamid, Mohamed Abulsoud, Mohamed Bissar

Al-Azhar International Medical Journal

Abstract Background: Percutaneous intramedullary K. wires fixation and mini-plates fixation are reasonable options for treating unstable metacarpal fractures as they provide anatomical reduction and rigid fixation, which is adequate to permit early mobilization. Objective: To compare between mini-plates and Kirschner wires in management of unstable metacarpal shaft fractures in adults. Patients and Methods: All patients (n=30) included in this prospective comparative study were managed and followed up at Al-Azhar University Hospital from January 2019 to February 2020. Thirty patients with fracture of shaft metacarpal were divided into 2 groups: group A (n=15) were managed by percutaneous intramedullary K-wires and group …


Possible Protective Role Of Aphanizomenon Flos-Aquae (Afa) Food Supplement Against Cerebellum Neuronal Injury Induced By Gamma Radiation (Histological, Histochemical And Immunohistochemical Study), Mohamed Nasr, Wagih Mansour, Ahmed Elbana Dec 2020

Possible Protective Role Of Aphanizomenon Flos-Aquae (Afa) Food Supplement Against Cerebellum Neuronal Injury Induced By Gamma Radiation (Histological, Histochemical And Immunohistochemical Study), Mohamed Nasr, Wagih Mansour, Ahmed Elbana

Al-Azhar International Medical Journal

Background: Exposure to radiation alters the equilibrium of the protection mechanism by producing of free radicals, resulting in an imbalance in prooxidant, antioxidant status inside the cells. Oxidative stress has been shown to affect our nervous system. Natural dietary supplements have been shown to have antioxidant properties which can protect our bodies against free radicals. For example, Aphanizomenon flos-aquae (AFA) is a specific dietary supplement that has clinically proven health-promoting effects especially on the nervous system. Objectives: to study the radio-protective impact of AFA as a natural antioxidant on the cerebellar neuronal cells of adult albino rats against the gamma …


Role Of Magnetic Resonance Imaging With Diffusion-Weighted Images In Assessment Of Patients With Pre-Eclampsia In Pre And Postpartum Periods, Tarek Mansour, Sileem Sileem, Mohamed El-Barody, Ahmed Okasha Nov 2020

Role Of Magnetic Resonance Imaging With Diffusion-Weighted Images In Assessment Of Patients With Pre-Eclampsia In Pre And Postpartum Periods, Tarek Mansour, Sileem Sileem, Mohamed El-Barody, Ahmed Okasha

Al-Azhar International Medical Journal

ABSTRACT BACKGROUND: We aimed to evaluate the predictive value of DWI in predicting the neurological manifestation of PE. METHODS: We prospectively evaluated the radiological features of complications of pre-eclamptic patients presented from the Obstetrics department with peri-partum /eclampsia manifestations and confirmed by clinical examination and laboratory findings. Follow up was done within 10-14 days for patients with restriction of diffusion in DWI. Results: The study included 44 patients with pre-eclampsia. The mean age of the included patients was26.9±2.9 years old. The admission systolic blood pressure was 181.8±15.2 mmHg. Twenty-nine patients (65.9%) had neurological manifestations of pre-eclampsia at time of admission. …


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 …


No Scientific Clinical Evidence For Long Term Safety Of Newly Evolved Covid_19 Vaccines: Review And Meta-Analysis., Yasser Helmy Nov 2020

No Scientific Clinical Evidence For Long Term Safety Of Newly Evolved Covid_19 Vaccines: Review And Meta-Analysis., Yasser Helmy

Al-Azhar International Medical Journal

Since the Corona pandemic began a year ago, the world has held its breath. Everyone is looking for hope to end this epidemic that has killed hundreds of thousands and sickened millions around the world. This will only be achieved by acquiring community immunity by either infecting the largest number of the planet’s population or producing an effective and safe vaccine.1 In the past few days, companies of Vaccine developers and governments around the world announced, in media statements, that the vaccine production experiments have been successful and that its effectiveness has exceeded 90%. So governmental institutions, led by the …


Early Detection Of Vasculogenic Ed In Diabetic Patients By Assessment Of Platelet Indices, Ahmed Elmenshawy, Tarek Tawfik, Hassan Abd Elaziz, Nagah A. Mohamed Nov 2020

Early Detection Of Vasculogenic Ed In Diabetic Patients By Assessment Of Platelet Indices, Ahmed Elmenshawy, Tarek Tawfik, Hassan Abd Elaziz, Nagah A. Mohamed

Al-Azhar International Medical Journal

Background: The permanent incompetence to attain or preserve an erection is erectile dysfunction (ED). ED impacts a lot of men all over the world. Vasculogenic, hormonal, neurogenic, anatomical, drug-induced and psychogenic factors are included in ED pathophysiology. A significant pathophysiological factor underlying vasculogenic erectile dysfunction is endothelial dysfunction (EDys). Platelet Indices are significant biomarkers for platelet activation and pathophysiology of atherothrombsis, including average volume of platelets, width of platelet distribution and count of platelets. Measurement of Platelet indexes in diabetic males can detect erectile dysfunction early on. Objectives: The purpose of this research is to measure the PIs with ED …


Role Of Intensity Modulated Radiotherapy (Imrt) In The Treatment Of High-Grade Gliomas, Abdalla Emam, Wael El-Sheshtawy, Hassan Hamdy, Ibrahim Ewis Nov 2020

Role Of Intensity Modulated Radiotherapy (Imrt) In The Treatment Of High-Grade Gliomas, Abdalla Emam, Wael El-Sheshtawy, Hassan Hamdy, Ibrahim Ewis

Al-Azhar International Medical Journal

Background: High-grade gliomas (HGG) represent the commonest primary adult brain tumors. Radiotherapy plays an important role in the management of this disease. Objectives: To assess the patterns of failure, treatment-related toxicities, progression-free survival (PFS), and overall survival (OS), following limited-margins. Patients and Methods: In this prospective phase II study, patients with HGG have been treated with IMRT using the ESTRO-ACROP contouring guidelines that not include the peritumoral edema in the gross target volume (GTV) with adding 2cm margin around the GTV to create the clinical target volume (CTV), in one phase, after maximum safe resection of the tumor or stereotactic …


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%), …


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 …


Incremental Versus Conventional Hemodialysis For Preservation Of Residual Kidney Function In Patients On Regular Hemodialysis, Hosam Ebrahim, Emad Mohamed, Mohamed El Sayed Ahmed, Osama Bakheet Nov 2020

Incremental Versus Conventional Hemodialysis For Preservation Of Residual Kidney Function In Patients On Regular Hemodialysis, Hosam Ebrahim, Emad Mohamed, Mohamed El Sayed Ahmed, Osama Bakheet

Al-Azhar International Medical Journal

Incremental hemodialysis has many potential benefits to patients clinicians and health systems.The aim of this work was to evaluate incremental hemodialysis twice/week compared with conventional dialysis thrice/week for preservation of the residual kidney function among patients initiating regular hemodialysis.Study design Prospective, comparative study.Setting Nephrology department Military Hospitals AL-maadi kobry AL-koba and air force military hospital.Subjects We assigned 40 patients with chronic kidney disease stage V D who early started hemodialysis into2 groups Group1:20 patients underwent incremental hemodialysis twice/week and Group2:20 patients underwent conventional hemodialysis thrice/week.Methods: All patients followed for laboratory findings of complete blood picture creatinine urea calcium albumin phosphorus …


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 …


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 …


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. …


Ovarian Reserve Assessment After Laparoscopic Ovarian Drilling In Women With Polycystic Ovary Syndrome, Ahmed Abulkassem, Emad Abd Ellatif, Abdullah Ahmed Nov 2020

Ovarian Reserve Assessment After Laparoscopic Ovarian Drilling In Women With Polycystic Ovary Syndrome, Ahmed Abulkassem, Emad Abd Ellatif, Abdullah Ahmed

Al-Azhar International Medical Journal

Background: Polycystic ovary syndrome (PCOS) is a common endo-crinopathy, affecting 4-8% of women in their reproductive age. Menstrual disturbances commonly observed in PCOS include oligomenorrhea, amenorrhea and erratic menstrual bleeding. Objective: To evaluate the effect of laparoscopic ovarian drilling on ovarian reserve in patients with polycystic ovarian syndrome before and after LOD measured by serum anti-mullerian hormone levels, FSH, ovarian volume and AFC. Patients and methods: This study was conducted at Al-Hussein Maternity University Hospital and Ministry of Health Hospitals including 38 patients of polycystic ovarian syndrome candidate for laparoscopic ovarian drilling (clomiphene citrate resistant patients). Polycystic ovarian syndrome was …


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 …


Management Of Distal Femoral Fractures: A Comparative Study Between Open Reduction And Internal Fixation By Distal Femur Locked Plate And Retrograde Nailing, Mohamed Atef, Adnan A .Alim Al Sebaie, Ahmed Ismail Hamoda Nov 2020

Management Of Distal Femoral Fractures: A Comparative Study Between Open Reduction And Internal Fixation By Distal Femur Locked Plate And Retrograde Nailing, Mohamed Atef, Adnan A .Alim Al Sebaie, Ahmed Ismail Hamoda

Al-Azhar International Medical Journal

Background: Fractures of the distal femur are usually rare and severe , The usual context is a high energy trauma in a young patient and a domestic accident in an elderly person. There are different modalities of management of distal femur fractures among which are the retrograde intramedullary nail and locked compression plate. Both operative stabilizing systems follow the principle of biological osteosynthesis . Aim of work: To evaluate and compare the outcome of each method of fixation of distal femur fractures as regard; operative time; early mobilization; knee range of motion; time of healing and complications. Materials and Methods: …