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Open Access. Powered by Scholars. Published by Universities.®

2022

Journal

Al-Azhar International Medical Journal

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Articles 1 - 30 of 324

Full-Text Articles in Medicine and Health Sciences

Histopathological Study About The Effects Of Chronic Concomitant Administration Of Both Pregabalin And Ibuprofen On The Skeletal, Cardiac And Smooth Muscles Of Male Albino Rats, Hytham Hemeida, Fouad El Dabbah, Nagy Alfadaly, Al-Sayed Tealeb Dec 2022

Histopathological Study About The Effects Of Chronic Concomitant Administration Of Both Pregabalin And Ibuprofen On The Skeletal, Cardiac And Smooth Muscles Of Male Albino Rats, Hytham Hemeida, Fouad El Dabbah, Nagy Alfadaly, Al-Sayed Tealeb

Al-Azhar International Medical Journal

Background: there is not enough information available to assess the relationship between Pregabalin use and muscular damage. Also, the effect of pregabalin ibuprofen combination on musculature not well assessed till now. Objectives: The study aimed to evaluate the possible chronic concomitant effect of both pregabalin and ibuprofen on skeletal, cardiac and smooth muscles in male albino rats. Subjects and methods: One hundred adult healthy male albino rats weighting 200 – 250 gm were obtained from the animal house, Faculty of Medicine, Assiut University, Egypt. The animals were classified into five groups: Group one (Negative control):10 male albino rats, received normal …


Intravenous Versus Intramuscular Oxytocin In The Prevention Of Atonic Post-Partum Hemorrhage After Vaginal Delivery, Taha Abd Elghany, Mofeed Mohamed, Muhamed Abdelmoaty Dec 2022

Intravenous Versus Intramuscular Oxytocin In The Prevention Of Atonic Post-Partum Hemorrhage After Vaginal Delivery, Taha Abd Elghany, Mofeed Mohamed, Muhamed Abdelmoaty

Al-Azhar International Medical Journal

Background: Primary postpartum hemorrhage (PPH) is among of the most main sources of mother deaths throughout the world. The changed profile of laboring women, who are now more probable to be aged, overweighted, or have substantial clinical co-morbidities, is leading to an increase in obstetric difficulties, Aim and objectives: in a double-blind controlled experiment, to examine the impact of an intramuscular (IM) single dose of oxytocin (10 IU per 1 mL) and placebo IV administration (1 mL 0.9 % saline gradually administered ) with an IV single dose of oxytocin (10 IU per 1 mL administered gradually over 1 min) …


The Role Of Repetitive Transcranial Magnetic Stimulation In Spastic Hemiplegic Cerebral Palsy In A Sample Of Egyptian Children, Ahmed Muhammad, Hossam Emam, Abdel-Ghaffar Fayed Dec 2022

The Role Of Repetitive Transcranial Magnetic Stimulation In Spastic Hemiplegic Cerebral Palsy In A Sample Of Egyptian Children, Ahmed Muhammad, Hossam Emam, Abdel-Ghaffar Fayed

Al-Azhar International Medical Journal

ABSTRACT Background; One of the most common neurologic disorders is cerebral palsy. To improve quality of life, many tools have been employed. rTMS is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives; To assess the effect of high frequency rTMS on improving spasticity and motor performance in spastic hemiplegic CP in a sample of Egyptian children. Patients and methods; 65 children aged between 4-18 years attending the Neuro-Pediatric Unit of Al-Azhar University hospitals were recruited in the period from beginning of Jan, 2022 to the end of …


Mid-Secretory Uterine Artery Doppler Indices And Endometrial Thickness In Patients With Unexplained Recurrent Pregnancy Loss, Eshraq Mohammed, Ahmed Nasr, Wael Hamed Dec 2022

Mid-Secretory Uterine Artery Doppler Indices And Endometrial Thickness In Patients With Unexplained Recurrent Pregnancy Loss, Eshraq Mohammed, Ahmed Nasr, Wael Hamed

Al-Azhar International Medical Journal

Back ground : Recurrent pregnancy loss (RPL) occurs in up to 3% reproductive age couples. Potential uterine predictors for implantation measurable by ultrasound include endometrial thickness and volume, endometrial pattern, as well as blood flow in the uterine and sub-endometrial arteries. Aim: to evaluate endometrial thickness and uterine artery blood flow using Transvaginal color Doppler ultrasound during the midluteal phase of the menstrual cycle for women with unexplained recurrent pregnancy loss (RPL). Patients and methods: A prospective controlled clinical trial was conducted on 90 non pregnant women :45 Patient group and 45 Control group. All participants underwent comprehensive examinations and …


Effects Of Sildenafil On The Testes Of The Nondiabetic And Diabetic Adult Albino Rats (Light And Electron Microscopic Study), El-Sayed Jahin, Mustafa Al-Jizawi, Fayez Abd-Elfattah Dec 2022

Effects Of Sildenafil On The Testes Of The Nondiabetic And Diabetic Adult Albino Rats (Light And Electron Microscopic Study), El-Sayed Jahin, Mustafa Al-Jizawi, Fayez Abd-Elfattah

Al-Azhar International Medical Journal

Background: Sildenafil citrate is effective in men with erectile dysfunction. Sildenafil induces degenerative changes in seminiferous tubules and interstitial histological alterations. Diabetes mellitus may cause an end-organ damage in many systems as the genitourinary system. The testis is the primary sex organ and is formed mainly of stroma and parenchyma. It is a mixed gland that performs both endocrine and exocrine activities. Objective: To reveal the effect of sildenafil citrate in high and toxic doses on the histological structure of the healthy and diabetic rat testes. Material and methods: The research was carried out at the animal house at Faculty …


Cervical Cytologic And Colposcopic Changes In Cases Using Intrauterine Devices For Along Time, Eslam Farg, Samir Ali, Abd-Elmonsef Mostafa Dec 2022

Cervical Cytologic And Colposcopic Changes In Cases Using Intrauterine Devices For Along Time, Eslam Farg, Samir Ali, Abd-Elmonsef Mostafa

Al-Azhar International Medical Journal

Background: Intrauterine Contraceptive Device (IUD) is a safe, convenient and inexpensive method of contraception involving neither repetition nor interference with sexual activity. Aim of the work: To to examine cytologic and colposcopic changes in individuals utilising IUCDs in the cervical region.for long periods of time and to create awareness among the IUCD users for regular follow up. Patients and methods: The Obstetrics and Gynecology Department of Al-Hussein University Hospital conducted this cross-sectional study. 200 monogamous individuals with IUCD who have been free of STIs for three to five years made up the study group (Group 1). On the other hand, …


Role Of Diffusion Weighted Imaging And Apparent Diffusion Coefficient Value In Diagnosis Of Asymptomatic / Inactive Multiple Sclerosis Plaques, Aws Al-Isawi, Abdulah El Keshn, Hussien Roshdy Dec 2022

Role Of Diffusion Weighted Imaging And Apparent Diffusion Coefficient Value In Diagnosis Of Asymptomatic / Inactive Multiple Sclerosis Plaques, Aws Al-Isawi, Abdulah El Keshn, Hussien Roshdy

Al-Azhar International Medical Journal

Background: Although in most cases, the diagnosis of MS remains a clinical, magnetic resonance imaging became a fundamental imaging technique for the investigation and monitoring patients with MS, as it allows the visualization of lesions in the brain and spinal cord and help in understanding and follow of the disease and it is widely used to confirm the clinical diagnosis. Aim of the study: To evaluation of asymptomatic or inactive multiple sclerosis plaques by using diffusion weighted imaging and ADC value. Patients and methods: We evaluated prospectively 50 patients with known multiple sclerosis and fulfilled McDonald Criteria 2017. Patients of …


Intravenous Iron Sucrose Versus Intramuscular Iron Sorbitol In Management Of Iron Deficiency Anemia During Pregnancy, Mohamed Hamed, Abd Allah Ahmed, Islam Sultan Dec 2022

Intravenous Iron Sucrose Versus Intramuscular Iron Sorbitol In Management Of Iron Deficiency Anemia During Pregnancy, Mohamed Hamed, Abd Allah Ahmed, Islam Sultan

Al-Azhar International Medical Journal

Background: The greatest prevalent nutrient shortage in pregnant women across the globe is iron deficiency anemia (IDA). Maternal anemia continues to significantly increase neonatal morbidity and death, and there is worry over the elevated incidence of iron and other micronutrient deficiencies among pregnant women in poor nations. Aim of the work: To examine the effectiveness and safety of intramuscular iron sorbitol citric acid complex and intravenous iron sucrose in the treating of iron deficiency anemia (IDA) in gestation. Patients and methods: At the Department of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, 100 pregnant women were separated into two …


Helicobacter Pylori And The Severity Of Preeclampsia, Marwan Ali, Ahmed Abd Elfattah, Mohamed Abo-Ghabha, Noha Sabry Dec 2022

Helicobacter Pylori And The Severity Of Preeclampsia, Marwan Ali, Ahmed Abd Elfattah, Mohamed Abo-Ghabha, Noha Sabry

Al-Azhar International Medical Journal

Background: The main cause of maternal morbidity and mortality, intrauterine growth retardation, as well as fetal prematurity, is pre-eclampsia. Helicobacter pylori was found to infect several parts of the stomach and duodenum and has consequently been linked to a higher risk of gastric cancer. Pre-eclampsia is more frequent in women infected with H. pylori than in women who are not. Aim of the work: To assess the relation between severity of pre-eclampsia and of Helicobacter pylori infection. Patients and methods: This case-control research involved 100 pregnant women at the Obstetrics and Gynecology Departments of Al-Azhar Hospital and Mansoura International Hospital, …


The Diagnostic Function Of Office Hysteroscopy And Three-Dimensional (3d) Endometrial Volume Measurement In The Evaluation Of Women With Perimenopausal Bleeding, Mohamed Nafad, Abd El-Moneam Zakaria, Ahmed Abdel Fattah Dec 2022

The Diagnostic Function Of Office Hysteroscopy And Three-Dimensional (3d) Endometrial Volume Measurement In The Evaluation Of Women With Perimenopausal Bleeding, Mohamed Nafad, Abd El-Moneam Zakaria, Ahmed Abdel Fattah

Al-Azhar International Medical Journal

Background: In the peri- and postmenopausal years, abnormal uterine bleeding (AUB) is the most prevalent reason for gynecological appointments. Aim of the work: To detect the role of office hysteroscopy and three-dimensional (3D) endometrial volume measurement in the evaluation of women with perimenopausal bleeding. Patients and methods: This study was conducted at Al-Azhar University in Al Hussein university hospital from March 2017 to October 2019 Obstetrics and Gynecology department. The research included 100 studied cases complaining of perimenopausal bleeding at the outpatient clinic. Results: hyperplasia followed by complex endometrial hyperplasia and only 1 case of endometrial carcinoma was discovered. In …


Prevalence Of Child Sexual Abuse In Sohag Governorate In Egypt During One Year From January To December, 2020., Adel Hamdy, Ibrahim Mohamed, Mohamed Abdelhamid Dec 2022

Prevalence Of Child Sexual Abuse In Sohag Governorate In Egypt During One Year From January To December, 2020., Adel Hamdy, Ibrahim Mohamed, Mohamed Abdelhamid

Al-Azhar International Medical Journal

Background: Child sexual abuse is a major threatening problem to child health which predispose to different distressing short-term and long-term complications including psychic, cognitive, physical and social hazards. Objective: To evaluate all alleged child sexual abuse cases that presented to Forensic Medicine Authority in Sohag Governorate of Egypt during 2020. Patients and Methods: There were (69) alleged cases of child sexual abuse presented to the Forensic Medicine Authority in Sohag Governorate during 2020. A history were taken from children to analysis and identify the situation of the assault then general and local examinations were done for detection of any positive …


Study Of Laparoscopic Nissen Versus Anterior Partial Fundoplication In Management Of Gastro Esophageal Reflux Disease In Children, Mahmoud Ghaly, Mohammed Ellithy, Ibrahim Gamaan Dec 2022

Study Of Laparoscopic Nissen Versus Anterior Partial Fundoplication In Management Of Gastro Esophageal Reflux Disease In Children, Mahmoud Ghaly, Mohammed Ellithy, Ibrahim Gamaan

Al-Azhar International Medical Journal

Background: GERD is the most common upper gastroesophageal disorder in the Western population. A number of strategies have been recommended to prevent this problem. Aim of the Work: to compare the Nissen fundoplication with partial anterior fundoplication. Patients and Methods: The present comparative study included thirty patients who had symptomatic GERD admitted in pediatric surgery department ,Al-Azhar University hospitals and all patients submitted to preoperative clinical evaluation and investigations. Patients were randomly allocated to undergo either laparoscopic Nissen fundoplication (group I) or laparoscopic partial anterior fundoplication (group II). All patients in our study signed a consent form. Results: there was …


The Surgical Outcome Of Chronic Rhinosinusitis With Emphasis On Rhinogenic Headache, Mohamed Eloby, Salaheddin Ali, Mohamed Alawady Dec 2022

The Surgical Outcome Of Chronic Rhinosinusitis With Emphasis On Rhinogenic Headache, Mohamed Eloby, Salaheddin Ali, Mohamed Alawady

Al-Azhar International Medical Journal

Background: Chronic rhinosinusitis (CRS) is a persistent inflammatory disease. The pathogenesis of CRS involves many factors including genetics, status of the sinonasal microbiome, infections, and environmental influences. Aim of the study :To monitor the outcome of sinus surgery and to evaluate headache severity, duration, and frequency. Patients and methods: A prospective study was conducted at Al-Azhar University Hospital. We targeted 60 patients belonging to both sexes aged between 18 and 65 years. Divided into 3 groups: Group (1): Chronic Rhinosinusitis with or without concha bullosa, Group (2): Chronic Rhinosinusitis with or without hypertrophy turbinate, and Group (3): Chronic Rhinosinusitis with …


Comparative Study Between Clinical Outcomes Of All Inside Technique And Standard Antero-Medial Technique In Anterior Cruciate Ligament Reconstruction, Abd Elkakim Farrag, Mohamed Alhalawany, Mahmoud Hamada Dec 2022

Comparative Study Between Clinical Outcomes Of All Inside Technique And Standard Antero-Medial Technique In Anterior Cruciate Ligament Reconstruction, Abd Elkakim Farrag, Mohamed Alhalawany, Mahmoud Hamada

Al-Azhar International Medical Journal

Background: Although theoretically superior to traditional technique, anatomical single bundle ACLR via all-inside technique does not appear to demonstrate statistically significant advantages over conventional technique, as with the Lysholm scoring system. Aim of the work: This study compared the post-operative clinical outcomes of arthroscopic ACL restoration using the "all-inside approach" versus the "traditional procedure". Patients and Methods: Between March 2020 and December 2021, fifty patients were admitted to the department of Orthopedic surgery and Traumatology in Sayed Galal University Hospital with torn ACL exhibiting high grade pivot shift (II or III) under anesthesia. Results: The mean age of the patients …


Evaluation Of The Medial Sural Artery Perforator Flap For Validity Around Knee Reconstruction, Aly Shafei, Magdy Abd-Almoktader Abdel-Kreem, Mohamed Ouf Dec 2022

Evaluation Of The Medial Sural Artery Perforator Flap For Validity Around Knee Reconstruction, Aly Shafei, Magdy Abd-Almoktader Abdel-Kreem, Mohamed Ouf

Al-Azhar International Medical Journal

Background: Soft tissue defects overlying the knee are often the result of trauma, post-burn contracted scars, and malignancy requiring a wide excision. These defects signify a great challenge to surgeons when faced with reconstructive surgery. Aim of the Work: Evaluation of the versatility of pedicle medial sural artery perforator flap as a regional flap in reconstruction of knee and around knee soft tissue defects. Patients and Methods: Twenty patients were recruited in this study who suffered soft tissue defects of knee and peri-knee with exposed vital structures. Fourteen patients were male and six were female and their ages ranged from …


Zinc And Abdominal Aortic Calcification In Patients Under Regular Hemodialysis, Omar Sayed, Safwat Ahmed, Hani Ismail, Mohamed Elfeshawy, Mohamed Ibrahim Dec 2022

Zinc And Abdominal Aortic Calcification In Patients Under Regular Hemodialysis, Omar Sayed, Safwat Ahmed, Hani Ismail, Mohamed Elfeshawy, Mohamed Ibrahim

Al-Azhar International Medical Journal

Background: Vascular calcification is known to be significantly influenced by zinc deficiency. Low serum zinc inhibited the osteochondrogenic phenotypic flip of phosphate-induced vasculature smooth muscle cells (VSMCs), which led to the formation of vascular calcification. Abnormal mineral metabolism, like hyperphosphatemia, which leads to the phenotypic conversion of VSMCs into osteoblasts that secrete collagen, is a contributing factor for the development of arterial calcification in CKD. Aim and objectives: The goal of this research was to evaluate the link between zinc and abdominal aortic calcification in individuals receiving regular hemodialysis. Subjects and methods: This Cross-Sectional research included 40 Hemodialysis Patients The …


Spheno-Orbital Enplaque Meningioma; Surgical Strategy And Proptosis Result, Mostafa Aboelkhir, Mohammad, Albialy, Mansor Hendawey Dec 2022

Spheno-Orbital Enplaque Meningioma; Surgical Strategy And Proptosis Result, Mostafa Aboelkhir, Mohammad, Albialy, Mansor Hendawey

Al-Azhar International Medical Journal

Background: Spheno-orbital enplaque meningioma (SOEMs) are complex lesions that primarily originate in the sphenoid wing with extensive hyperostosis and may involve the orbit and cavernous sinus, making a gross total resection difficult and posing a high risk of postsurgical morbidity and recurrence. Method: a series of 13 consecutive patients with SOEM presented by proptosis and hyperostosis who underwent surgical excision by frontotemporal craniotomy, clinical, radiological, surgical technique and follow up was reviewed and analyzed. Result: In this series of 13 consecutive patients, 11 were women and 2 were men. The age range was from 35-63 years with a mean of …


Effect Of Manufactured Fat Emulsion Infusion On Protein Loss In Burn Patients (Randomized Controlled Study), Ahmed Elsodany, Ahmed Salim, Yasser Helmy Dec 2022

Effect Of Manufactured Fat Emulsion Infusion On Protein Loss In Burn Patients (Randomized Controlled Study), Ahmed Elsodany, Ahmed Salim, Yasser Helmy

Al-Azhar International Medical Journal

Background: Burn injury management requires a lot of time and resources. Most patients need lengthy hospital stays. Aim of the study: To determine the impact of manufactured fat emulsion on protein loss in burn patients. Patients and Methods: This Randomized controlled study included 20 patients of 20% up to 40% of TBSA that were hospitalized to department of plastic and reconstructive surgery, Al-Azhar University hospital, which was prospectively be simple into two groups. Group (A) were subjected manufactured fat emulsion IV infusion. Group (B) controlled. The study duration ranged from 6-12 months. The patient administrates 1-1.5g /per kg of intralipid …


Factors Influencing Outcome Of Treatment Of Posterior Communicating Arteries Aneurysm, Mohammed Abdullah, Ahmed El-Sherif Dec 2022

Factors Influencing Outcome Of Treatment Of Posterior Communicating Arteries Aneurysm, Mohammed Abdullah, Ahmed El-Sherif

Al-Azhar International Medical Journal

Background: The study of posterior communicating artery (PComA) aneurysms, and the different modalities as well as the factors influencing the treatment represent a great challenge Aim of the Work: We aimed to explore out whether factors are associated to a better or worse prognosis in aneurysms of the posterior communicating artery. We also sought to see how different treatment techniques for posterior communicating arteries aneurysm performed, as well as the problems and side effects of each. Patients and Methods: This study was conducted on 39 (20 males and 19 female) patients who were diagnosed with posterior communicating artery aneurysm at …


Relation Between Endothelial Protein C Receptor Gene Polymorphism 6936a/G And The Risk Of Vascular Access Thrombosis In Patients With End Stage Renal Disease On Hemodialysis, Mohammed El Emam, Yousri Zoheri, Nora Ibrahim, Mohamed Khedr, Alsayed Rashed Dec 2022

Relation Between Endothelial Protein C Receptor Gene Polymorphism 6936a/G And The Risk Of Vascular Access Thrombosis In Patients With End Stage Renal Disease On Hemodialysis, Mohammed El Emam, Yousri Zoheri, Nora Ibrahim, Mohamed Khedr, Alsayed Rashed

Al-Azhar International Medical Journal

Background: The most significant complication of chronic kidney disease (CKD) is end-stage renal disease (ESRD). Hemodialysis (HD) necessitates a well-functioning vascular access with enough blood flow for clearance and blood dialysis. Thrombosis of the veins can be caused by both acquired and inherited factors. Aim of the study: We aim to assess EPCR levels in patients with ESRD on hemodialysis & study relationship between the presence of EPCR gene polymorphisms (6936A/G) and incidence of vascular access thrombosis. Patients and methods: This research was carried out on 50 studied cases admitted to the Theodor Bilharz Research Institute (TBRI), Imbaba, Giza, Hemodialysis …


Total Arterial Revascularization Versus Conventional Coronary Artery Bypass Grafting; A Comparative Study, Mosaad Elgharabawi, Elhusseiny Gamil, Mohamed Mahmoud, Bahaa El Khonizy Dec 2022

Total Arterial Revascularization Versus Conventional Coronary Artery Bypass Grafting; A Comparative Study, Mosaad Elgharabawi, Elhusseiny Gamil, Mohamed Mahmoud, Bahaa El Khonizy

Al-Azhar International Medical Journal

Background: The superiority of total arterial revascularization over the conventional method is a matter of continuous debate. Therefore, we aimed to compare early surgical and hospital outcomes of the total artery and conventional revascularization strategies in patients undergoing coronary artery bypass grafting (CABG). Methods: The study included 60 patients who underwent primary elective CABG from 2018 to 2020. Patients were grouped according to the revascularization strategy into two groups. Group 1 included patients who had conventional revascularization using left internal mammary artery (LIMA) and vein grafts (n= 30), and group 2 included patients who had total arterial coronary revascularization (TACR) …


Incidence Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Sections With Placenta Previa Anterior, Abdel Ghany Diab, Samir Ali, Mohamed Farahat Dec 2022

Incidence Of Placenta Accreta And Its Complications In Cases Of Previous Cesarean Sections With Placenta Previa Anterior, Abdel Ghany Diab, Samir Ali, Mohamed Farahat

Al-Azhar International Medical Journal

Background: The prevalence of placenta previa has been recently estimated to be approximately 0.5% of all pregnancies, and this increase correlates to the elevated cesarean section rate. Placenta previa is a major cause of maternal morbidity and mortality because of the associated massive antepartum and intrapartum hemorrhage. Placenta previa is associated with preterm delivery, with the neonatal mortality increasing threefold. Aim of the study: The aim of this study was to determine the relationship between placenta accreta and its complications in cases of previous cesarean section with placenta previa anterior. Patients and Methods : This study conducted in Department of …


Effect Of Repetitive Transcranial Magnetic Stimulation On Essential Tremors, Ahmed Mohammed, Mohamed Al-Bahay Reda, Ahmad Ibrahim Dec 2022

Effect Of Repetitive Transcranial Magnetic Stimulation On Essential Tremors, Ahmed Mohammed, Mohamed Al-Bahay Reda, Ahmad Ibrahim

Al-Azhar International Medical Journal

Background: The effects of cerebellar low-frequency repetitive transcranial magnetic stimulation (rTMS) in individuals suffering from essential tremor (ET) are controversial. Aim of The Work: To evaluate repetitive transcranial magnetic stimulation (rTMS) can help people with essential tremors. Patients and Methods: This case study involved 30 subjects divided into an active group of 15 ET patients and a sham group of another 15 ET patients who were treated in tertiary care at Al-Hussein and Sayed Galal Hospitals, Al-Azhar University. The Fahn, Tolosa, Marin (FTM) Tremor Rating Scale has been used to evaluate and scale tremors at baseline, as well as a …


Evaluation Of Role Of Ultrasound In Assessment Of Successful Weaning From Mechanical Ventilation In Critically Ill Patients, Hosam Erfan, Mohammed Sharaf, Mostafa Abo El Enin, Mostafa Shakweer, Othman Mossa, Essam Abdelwahab, Sara Gadwal Dec 2022

Evaluation Of Role Of Ultrasound In Assessment Of Successful Weaning From Mechanical Ventilation In Critically Ill Patients, Hosam Erfan, Mohammed Sharaf, Mostafa Abo El Enin, Mostafa Shakweer, Othman Mossa, Essam Abdelwahab, Sara Gadwal

Al-Azhar International Medical Journal

Background: Mechanical ventilation waning failure is a common problem, and bedside ultrasonography could be helpful in prediction of the weaning process and its results. Aim of The Work: To ssess by means of ultrasound how diaphragmatic parameters are important in predicting weaning outcome by assessing diaphragmatic thickness, diaphragmatic mobility and variation. Patients and Methods: This study included 62 mechanically ventilated patients who were subjected to transthoracic ultrasonography of the diaphragm throughout a spontaneous breathing experiment and had been divided into two groups: successful extubation and unsuccessful extubation. Results: With a p-value of <0.001, a high DE after extubation was linked to extubation success. Extubation failure was linked to lower DTF before and after extubation, with a p-value of 15 had 100% sensitivity, 85.06% specificity, 70.5 PPV and 100% NPV with p-value 20.4 had 93.55% sensitivity, 93.55% specificity, 93.5% PPV, and 93.5% NPV with p-value Conclusion: Diaphragm ultrasound evaluation of DTF and DE is a simple new weaning index which can be used as a bedside technique in clinical practice and has promising predictors of weaning success or failure before and after extubation.


Role Of Rouviere's Sulcus In Identification And Dissection Of Calot's Triangle During Laparoscopic Cholecystectomy, Baha El-Dein El-Saman, Adel Abdulhalim Lasheen, Waleed Abdelaty Dec 2022

Role Of Rouviere's Sulcus In Identification And Dissection Of Calot's Triangle During Laparoscopic Cholecystectomy, Baha El-Dein El-Saman, Adel Abdulhalim Lasheen, Waleed Abdelaty

Al-Azhar International Medical Journal

Background - One of most common surgical technique applied overall the world is laparoscopic cholecystectomy due to the high features instead of another surgical techniques. Furthermore; it is represents as the main technique for gallstones treatment; however the incidence of bile-duct injury still higher than that of open cholecystectomy. Various surgical procedures and principles have been proposed to reduces bile duct injury. Aim - to determine the frequency and the type of Rouviere’s sulcus and its importance as landmark during laparoscopic cholecystectomy. Patients and Methods - This prospective study included hundred-patients who had symptomatic gallstone disease and underwent laparoscopic cholecystectomy …


Effectiveness Of Surgery For Degenerative Lumbar Spinal Stenosis: A Systematic Review, Moataz Labib, Hesham Farhoud, Abd El Aleem Sultan Dec 2022

Effectiveness Of Surgery For Degenerative Lumbar Spinal Stenosis: A Systematic Review, Moataz Labib, Hesham Farhoud, Abd El Aleem Sultan

Al-Azhar International Medical Journal

Background: Lumbar spinal stenosis is common condition. Many similar treatment procedures have been described. In managing spinal stenosis surgery has expanded dramatically in the last two decades. Aim of the study: Assess the safety and efficacy of operative and invasive therapies for people experiencing degenerative LSS. Patient and methods: PubMed, Embase, Web of Science, and the Cochrane library were used to find relevant clinical research. Participants in such studies were 60 years old or older and had degenerative lumbar spinal stenosis. Results: All studies were randomized controlled trials. There were 974 patients. As regard Outcomes measures after surgical treatment, significant …


Prospective Study Of Outcomes Of Laparoscopic Versus Open Splenectomy In Hematological And Benign Splenic Diseases, Abdullah Abohabib, Sayed Hamdy, Abdelrahman Safwat Dec 2022

Prospective Study Of Outcomes Of Laparoscopic Versus Open Splenectomy In Hematological And Benign Splenic Diseases, Abdullah Abohabib, Sayed Hamdy, Abdelrahman Safwat

Al-Azhar International Medical Journal

: In the last 20 years, laparoscopic surgery has advanced at a remarkable pace. The standard for the management of hematologic diseases of the spleen is laparoscopic splenectomy (LS). Aim and objectives: The goal of the research was to evaluate laparoscopic and open splenectomy patients in terms of operating time, intraoperative complications, hospitalization length, and duration to return to normal activities. Subjects and methods: Twenty patients with hematological and benign splenic disorders were included in prospective research at Al-Azhar University Hospitals (Al-Hussein and Sayed Galal). They were divided into groups at random by picking every two patients and assigning one …


A Cross-Sectional Analysis Of The Relationship Between Tinnitus Functional Index And Anxiety And Depression Disorders In Tinnitus Patients With Normal Hearing, Heba Ghannoum, Reham El Shafei, Eman Basiouny Dec 2022

A Cross-Sectional Analysis Of The Relationship Between Tinnitus Functional Index And Anxiety And Depression Disorders In Tinnitus Patients With Normal Hearing, Heba Ghannoum, Reham El Shafei, Eman Basiouny

Al-Azhar International Medical Journal

Background: There is a substantial prevalence of psychopathology of anxiety or depression, and several mental problems in many tinnitus groups. Aim of The Work: To use the Tinnitus Functional Index (TFI) as a valid scale for assessing the overall severity of tinnitus and detailed analysis of multiple severity domains, and correlating it to The Hospital Anxiety and Depression Scale (HADS) scores , This to establish a potential correlation between tinnitus and anxiety and depressive disorders to improve tinnitus clinical implications and rehabilitation. Subjects and Methods: A cross-sectional study design was designed to explore the prevalence of psychological disorders among patients …


Functional Outcome Of Double And Four Strand Techniques In Hand Flexor Tendon Repair, Mohamed Said Abo Elsayed, Wael Ayad, Mohamed Ouf Dec 2022

Functional Outcome Of Double And Four Strand Techniques In Hand Flexor Tendon Repair, Mohamed Said Abo Elsayed, Wael Ayad, Mohamed Ouf

Al-Azhar International Medical Journal

Background: 14% to 30% of all treated patients examined in emergency rooms have hand injuries. Tendon injuries rank 2nd (29%) of all patients treated for hand injuries. Objective: To demonstrate the functional outcomes of double-strand and four-strand procedures for the repair of hand flexor tendons and the benefits of early rehabilitation. Patients and methods: We carried out this prospective study on 40 patients who had completely cut flexor tendons of the hand at the plastic and burn surgery department of Al-Hussein & Bab Elsheria University Hospital, Al-Azhar University (Cairo). Results data suggest that, when it comes to hand flexor tendon …


Prevalence And Severity Of Mineral Bone Disorders In Chronic Kidney Disease Patients, Mohamed Eid Mohamed, Ahmed Alaa-Eldin Saad, Alsayed Rashed, Hatem Abdallah, Mohamed Abo-Ghabha Dec 2022

Prevalence And Severity Of Mineral Bone Disorders In Chronic Kidney Disease Patients, Mohamed Eid Mohamed, Ahmed Alaa-Eldin Saad, Alsayed Rashed, Hatem Abdallah, Mohamed Abo-Ghabha

Al-Azhar International Medical Journal

Background Bone abnormalities are frequently developed in hemodialysis patients and people with chronic kidney disease (CKD). It results from aberrant bone turnover and a decline in bone mineral density (BMD). Aim and objectives: With the help of dual energy X-ray absorptiometry in this study, poor bone mineral density in CKD patients at Al-Hussein University Hospital will be analysed for prevalence and severity. Subjects and methods: This Cross-Sectional research included 120 Patients (2 groups) 60 CKD Patients and 60 Hemodialysis Patients. The study has been conducted in Nephrology Unit Al-Hussien University Hospital. Results: In ESRD group there was Significant statistically (p-value …