Medical Sciences Commons^™

Assessing Mid To Long Term Amputation-Free Survival Rates In Chronic Limb-Threatening Ischemia; A Study Of Hybrid Vascular Techniques, Cristian Traian Paius, Vlad Denis Constantin, Alexandru Carap, Andrei Tarus, Grigore Tinica

Journal of Mind and Medical Sciences

Introduction. Chronic limb-threatening ischemia (CLTI) is a debilitating condition characterized by inadequate blood supply to the lower extremities, often leading to tissue damage, ulcers, and limb loss. Amputation-free survival (AFS) serves as a crucial measure in evaluating interventions and managing CLTI, emphasizing limb preservation, functional restoration, and prevention of recurrent ischemic events. Objectives. This study aimed to assess mid to long term AFS in CLTI patients treated with hybrid vascular techniques. Materials and Methods. Conducted over 24 months at the Emergency Hospital of Saint Pantelimon in Bucharest, Romania, the study enrolled 62 adult CLTI patients, tracking them postoperatively. Kaplan Meyer …

Genetic And Serological Markers In Colorectal Cancer Surgery, Adrian Silaghi, Vlad Denis Constantin, Dragos Serban, Dragos Epistatu, Ioana Paunica, Daniela Gabriela Bălan, Laura Florentina Rebegea

Journal of Mind and Medical Sciences

Colon cancer is relatively asymptomatic in the early stages, the manifestations appearing and intensifying with the evolution of the disease, especially when associated with local and/or systemic complications. In such cases, surgical interventions are often emergency and involve more extensive operations (on metabolically and immune-stressed organisms), so that an early diagnosis (endoscopy, tumor markers, etc.) remains not only desirable but even a priority, especially in predisposed patients (genetic factors, lifestyle, etc.). As a consequence, the involvement of tumor markers in colon neoplasms has become more and more investigated in recent times. This review investigates the roles of serological and genetic …

Colon Cancer Metastasis To Spermatic Cord Presenting As An Inguinal Hernia, Jessica G. Laenger, Eamon Ff Rooney, Patrick F. Dial, Candie T. Le, Sanda A. Tan

HCA Healthcare Journal of Medicine

Introduction

Inguinal hernias are very common. Their pathology and treatment are typically strait forward. Metastatic cancer can sometimes present as an inguinal hernia, but this presentation is often local metastasis.

Case Presentation

Herein we describe the case of a 68-year-old man who presented with a 2-month history of an inguinal hernia. Intraoperatively, the hernia sac was found to contain a mass attached to the spermatic cord, which was later determined to be a metastatic lesion from a locally advanced proximal transverse colon adenocarcinoma.

Conclusion

A spermatic cord mass can be a rare presentation of colon cancer metastasis. Colon cancer should …

Evaluating The Effect Of Skipping Ticagrelor Doses And Need For Bolus Doses Upon Treatment Resumption Through Population Pk/Pd Simulation, Hiroyoshi Matsui, Le Thien Truc Pham, Eyob D. Adane

ONU Student Research Colloquium

Ticagrelor (Brilinta (R)) is the first reversibly binding oral P2Y12 receptor antagonist. It is used, mostly in combination with aspirin, in patients with acute coronary syndromes to reduce thrombosis. The manufacturer of ticagrelor recommends discontinuing it at least 5 days before any surgery when possible. While the effect of dose interruptions on the risk of thrombosis is not directly studied, it is important to understand the impact of skipping doses on ticagrelor's PK/PD profile for clinical-decision making. The objectives of the current study were to simulate the impact of therapy interruption on the PK/PD of ticagrelor and examine the need …

Gibbon Surgical Review, Volume 7, Issue 1, 2024

Gibbon Surgical Review

Table of Contents

6 - Socially Responsible Surgery: Better Practices for Better Outcomes

8 - Interview with Dr. Talar Tatarian - Assistant Professor

10 - Global Surgery : Current State and Involvement as a Trainee

12 - Interview with Dr. Ibnouf Sulieman - Transplant Surgery Fellow

14 - Resident Spotlight - Dr. Sam Nasser - PGY3

16 - A Review of the FIRST and SECOND Trials

18 - Residency Signaling in General Surgery

20 - Navigating Competency: Entrustable Professional Activities (EPAs)

22 - The Effect of Language Barriers on Surgical Outcomes

24 - Research Spotlight: The First Complete Human Eye …

Decoding Implant-Related Sickness: Unraveling The Complexities Of Breast Implant Illness, Madison M. Stewart

Senior Theses

This thesis investigates the phenomenon of breast implant illness (BII), examining its potential correlation with individual factors such as obesity and poor lifestyle habits. BII, characterized by nonspecific symptoms, is often self-diagnosed by patients influenced by social media and internet sources, leading to requests for implant removal. Conducting a comprehensive meta-analysis, the study scrutinizes existing literature to evaluate the association between BII, obesity, and lifestyle choices. Employing inclusion criteria, peer-reviewed publications are analyzed through systematic review methodology to offer insights into the interplay between BII and adiposity, exploring inflammatory mechanisms and patient behaviors like exercise and smoking. The research aims …

Exploring The Effects Of Amniotic Bladder Therapy On Female Sexual Dysfunction In Interstitial Cystitis/Bladder Pain Syndrome Patients, Jonathan D. Lutchka, Jack Vercnocke Md, David Pearlman Md, Aron Liaw Md, Nivedita Dhar Md

Medical Student Research Symposium

Introduction and Objectives: Female sexual dysfunction (FSD) is commonly associated with Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS). FSD manifests as abnormalities in sexual desire, arousal, orgasm, pain, distress, and satisfaction. Our primary objective was to assess the impact of micronized amniotic membrane injections (AM) on FSD and lower urinary tract symptoms using comprehensive measures, including the multi-domain Female Sexual Function Index (FSFI), the Pain Visual Analog Scale (VAS), and the Interstitial Cystitis Symptom Index (ICSI) and Interstitial Cystitis Problem Index (ICPI).

Methods: Study participants included patients diagnosed with IC/BPS and FSD refractory to traditional therapies. Under general anesthesia, these …

Assessing Adequacy: A Meta-Analysis Of Rapid Onsite Evaluation Of Thyroid Nodules, Peter P. Issa, Christina Mccarthy, Mohammad Hussein, Aaron L. Albuck, Essam Emad, Mohamed Shama, Krzysztof Moroz, Eman Toraih, Emad Kandil

School of Medicine Faculty Publications

Introduction: Fine-needle aspiration (FNA) is the standard form of preoperative evaluation of thyroid nodule cytological status. A significant number FNAs are classified as inadequate for interpretation, requiring a repeat FNA which is potentially avoidable, costly, and delays treatment. To address these concerns and maximize first-time FNA adequacy, rapid onsite evaluation (ROSE) of FNA specimens was introduced. Our study aims to determine the impact of ROSE on FNA adequacy. Methods: PubMed, Embase, and Web of Science were searched for primary articles assessing the adequacy of ROSE in thyroid nodules. Results: A total of 17 studies were included for a total of …

Ogilvie's Syndrome: Acute Colonic Pseudoobstruction. A Review For Residents., Tyler Bayliss, Caleb Clark, Errington C. Thompson

Marshall Journal of Medicine

Ogilvie's syndrome (acute colonic pseudoobstruction) was first described in 1948. Acute colonic pseudoobstruction can occur in a variety of clinical settings, including postsurgical, obstetrics, pelvic surgery, critical care and sepsis. Clinicians need to recognize the syndrome early. Colonic distention without evidence of obstruction can be seen on plain films of the abdomen or CT scan. Successful therapies, including bowel rest, neostigmine and colonoscopic decompression, have been used. Avoiding respiratory compromise from abdominal distention and colonic perforation of the primary goals of treatment. Surgical intervention should be reserved for patients who are refractory to medical treatment or develops signs and symptoms …

Using Of Fragment Specific Plate 2.5 Millimetre In Cases Of Distal Radius Fracture, Ibrahim Ahmed Hussien, Amro Ahmed Fouaad, Ahmed Samy Al-Noamany

Al-Azhar International Medical Journal

Background: Fractures of the distal radius inside the joint are a common injury. Whether caused by high-energy trauma or, more commonly among the elderly and those with osteoporosis, low-energy trauma, these fractures tend to be unstable and require immediate medical attention. The use of external fixators for intra-articular distal radius fractures has been supplanted by the use of internal fixators. Aim and objectives: to examine the radiological and clinical results of treating distal radius fractures that occurred on the dorsum of the individual's right and left arms (dorsal or dorso-radial) using a fragment-specific plate (2.5 mm). Subjects and methods: Hospitals …

Comparative Study Between Radical Hysterectomy With Or Without Pelvic Lymphadenectomy For Stage Ii Endometrial Carcinoma, Mohamed Esmat Abdelghany, Ahmed El Sayed Mohamed Abdelrahman, El-Sayed Ragab Mostafa Abdelghany

Al-Azhar International Medical Journal

Background: The removal of the uterus by surgical procedures is the standard treatment for endometrial cancer, which is the most common type of malignant gynecological tumor. Surgery for early-stage endometrial cancer often involves a total abdominal hysterectomy and bilateral salpingo-oophorectomy, with or without bilateral pelvic/para-aortic lymphadenectomy. In some cases, the patient may also have bilateral pelvic lymphadenectomy. Aim and objectives: The objective of the study is to evaluate the efficacy of radical hysterectomy with or without pelvic lymphadenectomy in the treatment of stage II endometrial cancer. Both approaches were examined in terms of the adverse effects they produced, as well …

A Randomized, Controlled Trial Comparing The Metformin, Oral Contraceptive Pills And Their Combination In Patients With Polycystic Ovarian Syndrome, Hamed Mohamed Hamed Abd El Rahman, Mohamed Ali Mohamed, Mohamed Ibrahem Mohamed Ibrahem

Al-Azhar International Medical Journal

Objectives: To assess the effectiveness of metformin also OCP in females with PCOS. Subject and Methods: This was a prospective study that included three hundred patients who were chosen at random from patients who attended outpatient obstetrics and gynecology clinics at Al-Azhar University Hospitals. Samples were obtained using a systematic random technique. Results: Variations in age, BMI, and waist-to-hip ratio among the groups were statistically significant. Blood pressure, heart rate, and temperature demonstrated no statistically significant distinctions among the 2 groups. There was significant variance among examined group as regard TG, LDL-cholesterol, fasting plasma glucose and Fasting insulin. There was …

The Usefulness Of The Added Dw-Mri In Differentiation Of Various Bone Tumors And Tumor Like Focal Lesions, Hesham Mahmoud Hamza, Hoda Abdel-Kareem Abdel-Samiae, Mohamed Ahmed Ahmed Ali, Tarek Mohamed Mohamed Mansour, Marwa Mahmoud Esmail

Al-Azhar International Medical Journal

Background: Any imaging method that is now available can be used to diagnose malignancies that originate in the bones. Plain radiography is the imaging modality that is utilized the vast majority of the time in order to arrive at a diagnosis and identify the characteristics of a variety of osseous lesions. The diagnosis of bone cancer can be challenging, but CT scans can provide useful information about the anatomical breadth of the disease. Magnetic resonance imaging (MRI) is the test that is considered to be the gold standard when it comes to diagnosing cancer and anomalies in the skeleton that …

Cold Snare Polypectomy Versus Hot Snare Polypectomy In Endoscopic Treatment Of Non Pedunculated Colorectal Polyps Larger Than Or Equal 1 Cm, Magdy Abd Al-Karim Al-Dahsha, Mohammed S. Hussein, Sadek Mosta, Abd Al Nabi Saeed Al Sham, Mohamed Fahmy Soliman Alsabagh

Al-Azhar International Medical Journal

Background: In most cases, hot polypectomy is used to treat colon polyps that are more than 1 centimeter in diameter. Electrocautery-induced damage accounts for the majority of adverse outcomes, including prolonged bleeding, post-polypectomy syndrome, and perforation. We postulated that cold resection of big polyps would be as effective as hot polypectomy while being significantly safer for the patient. Aim and objectives: for the purpose of comparing the rates of intraoperative bleeding, clinically significant postoperative bleeding, and perforation between Cold Snaring Polypectomy and Hot Snaring Polypectomy in patients with non-pedunculated colorectal polyps of 10 mm or larger. Subjects and methods: Prospective …

Role Of 4d Ultrasonography In Assessment Of Amniotic Fluid Disorders Of Fetal Renal Origin, Saad R. Al-Gebaly, Sileem A. Sileem, Lotfy A. Murad

Al-Azhar International Medical Journal

Background: Fetal anomalies are detected in approximately 2% of all fetuses and, among these, genitourinary tract abnormalities account for 30% to 50% of all structural anomalies present at birth. Aim : to assess the role of 3D ultrasound in detection of fetal causes of oligohydramnios. Patients and Methods: The study was conducted on 60 pregnant females aged between (19 years and 39 years) mean ± SD 26.6 ± 4.9 presented with olighydraminos, at Al-Azhar University Hospital Assuit branch at Obstetric and gynecological and Radoidaignostic departments in the period from 1st December 2021 to 31th October 2022 . Results: Causes of …

Intraventricalar Hemorrhge In Preterm Infants Identfication Of Risk Factors And Related Outcome, Tarek Mohamed M. Mansour, Mohamed Farouk Ahmad, Mostafa Abd El Azeem Hassan, Mahmoud Mohamed Abdelmotalep Mohamed Elfayoumy, Mohamed Talaat Mohamed Ibrahim, Mohamed M. El-Baroudy

Al-Azhar International Medical Journal

Background: Intraventricular hemorrhage is the most common intracranial hemorrhage in preterm newborns. The high incidence and problems made it important. Many etiologies and risk factors have been found. Newborns can get IVH. Methods: This study included 100 neonates, 59% cases were males & 41% cases were females. GA ranged from 27 to 36 weak, with a mean of 31.9 ±1.67 weak. The weight ranged from 750 g. to 2.93 kg., with a mean of 1.7 ± 0.44 kg. Trans cranial US was done at day one, three and day seven after delivery. Results: The study found that IVH rates were …

Comparative Evaluation Of Diosmectite Versus Nitazoxanide And Their Combination In The Treatment Of Cryptosporidiosis In Immunosuppressed Mice, Enas A. El Saftawy, Walla’A A. Osman, Rania M. Sarhan, Rabab S. Zalat, Shimaa A. Atta

Al-Azhar International Medical Journal

Abstract

Background

Cryptosporidiosis is a parasitic infection that affects immunocompromised patients and can result in systemic involvement of different organs and death.

Aim

To compare nitazoxanide (an antiprotozoal agent) and diosmectite (an antidiarrheal agent) and their combination in the treatment of cryptosporidiosis infection.

Materials and methods

Mice were divided into five groups: negative control, the infected untreated (positive control), diosmectite-treated, nitazoxanide-treated, and the group treated with nitazoxanide and diosmectite simultaneously. The evaluation was through measuring body weight, oocyst shedding, intestinal, and hepatic histopathological examination, as well as estimation of some inflammatory and oxidative markers.

Results

Body weight was improved significantly …

Role Of Transcerebellar Diameter And Abdominal Circumference In Assessment Of Gestational Age In Both Normal And Intrauterine Growth Restricted Fetuses, Mohamed Mohamed Gebril, Mofeed Fawzy Mohamed, Mohamed Hamdy Elshabrawy Mohamed

Al-Azhar International Medical Journal

Background: The process of providing obstetric and neonatal care, in addition to the monitoring of the outcomes of pregnancy by the public health system, requires an accurate estimate of the gestational age of the fetus. An incorrect estimation of the mother's gestational age has been associated with several different unfavorable birth outcomes, for example low birth weight, spontaneous preterm delivery, and death during the perinatal period. Aim and objectives: Identifying a Reliable Method for 2nd and 3rd Trimester Gestational Age Assessment and IUGR Diagnosis. Subjects and methods: This 2-dimensional ultrasound study included 100 pregnant patients at Al Azhar University Hospitals' …

Transoral Endoscopic Thyroidectomy Through Vestibular Approach; Report Of Initial Experience, Mohamad Adel, Abd El-Fattah Al Sheikh

Al-Azhar International Medical Journal

Background: Endoscopic thyroidectomy is a minimally invasive approach with a rising popularity due to favorable esthetic outcome. Transoral vestibular approach endoscopic thyroidectomy (TOVET) was progressively adopted for many thyroid pathologies. We, herein report our initial experience utilizing TOVET for benign thyroid lesions. Methods: This prospective study was conducted from December 2020 and February 2023, 15 patients with benign thyroid nodules were selected. All patients considered scarless thyroidectomy as their preferred surgical approach and were operated on for TOVET. Clinicopathological data and surgical outcomes were reported. Results: Fifteen patients comprising 1 male and 14 female underwent TOVET. Of these patients, 12 …

Evaluation Of Feeding Jejunostomy Vs Total Parenteral Nutrition In High Risk Surgical Patients, Mohammed Fathy Sharaf, Mahmmoud Abd Alhady Abd Al-Aziz, Ahmed Shawky Saber Abdel-Hady

Al-Azhar International Medical Journal

Background: Nutritional support continues to be a vital component in the care of the surgical patients. While its routine use in the healthy elective surgical patient is rarely necessary, it is indicated in severely catabolic patients or in the individual who cannot eat for a long period. Other factors influencing the need for nutritional support includes the age of the patient, the existence of malnutrition as well as its severity and presence of cancer cachexia. Aim & objectives: to evaluate feeding jejunostomy as a route of enteral nutrition in comparison with total parenteral nutrition (TPN) in high-risk surgical persons. Subjects …

Comparative Study Between Three-Dimensional Transvaginal Ultrasonography And Hysteroscopy In The Diagnosis Of Uterine Cavity Abnormalities In Infertile Women, Ahmed Soliman Hassan Zaki, Ismail Mohmed Abd-El Aziem Mira, Abd El-Monsef Abd El-Hamid Sedek

Al-Azhar International Medical Journal

Background: The uterus of 34%-62% of infertile women has abnormalities. Clinical hysterosalpingography (HSG), saline infusion sonohysterography (saline sonohysterography [SIS]), transvaginal sonography (TVS) or two-dimensional (2D) TVS, diagnostic hysteroscopy, three-dimensional TVS (3D TVS), and even magnetic resonance imaging (MRI) have all been used to evaluate the uterine cavity. However, diagnostic hysteroscopy has been the standard for examining uterine diseases in cases of infertility for several decades. Aim and objectives: compare the diagnostic accuracy of three-dimensional transvaginal ultrasonography and hysteroscopy in detecting intrauterine cavitary lesions or abnormalities in infertile women. Subjects and methods: This cross-sectional observational study compared 150 women who visited …

Evaluation Of Dual Trigger Versus Higher Dose Hcg Trigger In Antagonist Protocol For Patients With Low Number Of Oocytes Retrieved Per Number Of Follicles, Gamal Ibrahim Abou El Serour, Mohamed Khaled Mostafa, Mohamed Shehata Abdel All, Bahy Abd El Hamid Hussein Zaki

Al-Azhar International Medical Journal

Background: Controlled ovarian hyper stimulation is a critical step in the process of in vitro fertilization and embryo transfer because it ensures the absorption of a large number of oocytes that are of sufficient quality to be fertilized.This condition's source, mechanism, and/or pathophysiology are still unknown, unpredictable, and unpreventable, despite the years of clinical experience that have been accumulated. Aim and objectives: To assess the efficiency of utilizing a dual trigger as opposed to a higher dosage of hCG as a trigger in an antagonist protocol for the purpose of improving the number of up taken eggs per number of …

Endoscopic Lumbar Stenosis Decompression Through Uniportal Bilateral Approach, Yosouf Barakat, Magdy Asaad El-Hawary, Usama Mohamed El Shokhaiby, Ahmed Kamal Abdel-Aaty Abdou

Al-Azhar International Medical Journal

Background: Percutaneous endoscopic stenosis lumbar decompression (PESLD) is regarded as a noteworthy therapeutic option for lumber spinal stenosis (LSS), particularly on the contralateral side, in a satisfactory manner. Objective: To evaluate the efficacy and efficiency of PESLD of LSS through a uniportal-contralateral approach. Subjective: This was a prospective observational study. The patients were admitted to the Neurosurgery Department, Damanhour Educational Hospital, El-Behira Governorate, and Al Hussain Hospital Al Azhar University in Cairo. All patients underwent PESLD through a uniportal-contralateral approach.. Results: The pre-operative visual analogue scale (VAS) was 7.3 ± 0.9 and decreased significantly post-operative to 2.4±1.0. Intraoperative data showed …

A Hanging Case Or A Hit And Run Accident, Mohamed M. Hussein, Ashraf I. Hassan

Al-Azhar International Medical Journal

When the victim's body was observed to be partially or totally hanged, a death by hanging occurred. The existence of both general and local indicators of hanging together with circumstantial evidence is typically used to diagnose the cause. After ruling out the presence of other important suspicious signs, such as those suggesting struggle, and when the victim is toxicologically free, the manner of death is tends to be suicidal. Circumstances also, should exclude homicide and accidental death. We present a man in the third decade of life, found on a road with head trauma but with signs of hanging including …

A Comparative Study Between Anterior Tunnel And Anterior Release Techniques In The Management Of Anterior Tympanic Membrane Perforation, Atef Abdullah El Maraghy, Yehia Mohamed Dawood, Abdulrahman Mohamed Ali Abdallah

Al-Azhar International Medical Journal

Introduction: When the perforation in the tympanic membrane is anteriorly located with a thin anterior rim, stabilizing the graft using the traditional underlay tympanoplasty approach may be challenging. It was attempted to solve this issue using tympanoplasty with anterior tunneling or anterior releasing. Aim and Objectives: This study aims to compare the efficiency of anterior tunnel and anterior release techniques in the management of anterior tympanic membrane perforation. Patients and Methods: A one-year prospective single blinded study with three-months follow-up was conducted on 60 patients divided into two groups: tympanoplasty with tunneling (Group A) and release (Group B) tympanoplasty for …

Characteristics Of Patients Newly Diagnosed With Diabetes Mellitus After Coronavirus Disease-19 (Covid-19), Alboraie Mohamed Aly, Megahed Mohamed Rabie, Abohasan Ahmed Mohamed, Abdelraouf Mahmoud Ezzat, Badr Gamal Aly

Al-Azhar International Medical Journal

Background: At this moment, there is a greater than ever level of concern over the 2019 (COVID-19) coronavirus illness pandemic and its related morbidities. Aim and objectives: Case series with systematic review of the frequency of newly diagnosed diabetes mellitus (DM) among COVID-19 patients, its varied symptoms, and glycemic control in diabetic patients. Patients and methodology: 100 patients altogether were split into two groups for this cross-sectional study. Every examination done at the time of diagnosis and two months afterwards. They were evacuated from Al-Hussein University Hospital between January and July 2022. Results: Our findings showed that the HbA1C levels …

Comparative Study Between Cardiac Mri And Echocardiography In Post-Operative Evaluation Of Fallot Tetralogy, Tarek Mohamed Abdel Hamid El-Zayyat, Hytham Mohamed Mahmoud Nafady, Ahmed Abd Elazeem Mohamed Youseif

Al-Azhar International Medical Journal

Background: Tetralogy of Fallot (TOF) represents the prevailing form of cyanotic congenital cardiac disease. Cardiac magnetic resonance imaging (CMR) plays a crucial role in monitoring adult patients with congenital heart disease. Transthoracic echocardiography (TTE) is capable of providing the majority of the requisite data for sequential monitoring in patients with tetralogy of Fallot (TOF). Aim of the work: To investigate the respective contributions of cardiac magnetic resonance imaging and echocardiography in the evaluation of post-operative Fallot tetralogy, using a comparative analysis. Methodology: This study will be carried out on 30 cases of patients referred to the Heart Institute diagnosed by …

Covid-19 Affects Cardiovascular System 6 Months After Symptoms In Pediatric, Al Hussein Mustafa Zahran Ahmed, Alsayed Ali Abdou Almarghany, Ahmed Ali Faheem Abdo, Moustafa Mohamed Mohamed Eldeib, Ali Elsayed Ali Elagamy, Abdou Mohamed Abdou Mahmoud, Mostafa Abd Elazeem Hassan Ahamed, Ahmed Ali Ali Assem, Hossam M. Farid El-Zamek, Abdelmaaboud M. M. Omar

Al-Azhar International Medical Journal

Background: Coronavirus disease 2019 (COVID-19), which resulted in a global pandemic, is caused by severe acute respiratory syndrome coronavirus 2. We aimed to highlight the cardiovascular involvement in children after 6 months of COVID-19 recovery, Aim and Objectives: To highlight the cardiovascular involvement in children after 6 months of COVID-19 since this has the potential for morbidity and mortality in this age group, Patients and Methods: This observational cross-sectional descriptive study was conducted on 42 pediatrics aged-19 after 6 months at hospitals from January 2022 to February 2023. All patients were subjected to full history taking, clinical examination, laboratory investigations …

Effect Of Low-Flux Versus High-Flux Dialyzers On Interleukin 6 (Il-6) Level In Patients Undergoing Maintenance Haemodialysis, Hussein Salem Farahat Salem, Mohamed Nabil Raafat, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomi

Al-Azhar International Medical Journal

Background: One of the leading causes of death and suffering in the 21st century is chronic kidney disease (CKD). Due to the rise in risk factors like obesity and diabetes, as well as the rising number of people affected with CKD, our study aimed to study the effect of using low-flux in comparison to high-flux dialyzers on serum IL-6 levels in patients undergoing regular hemodialysis (HD).

Patients and Methods: Our study was a randomized controlled trial. Sixty patients were enrolled: 20 CKD patients, 20 dialysis patients using low- flux, and 20 patients using high-flux polysulfone dialyzers. Dialysis sessions were four …

Incidence Of Postprocedural Microembolic Events Following Carotid Artery Stenting Without Protection Devices, Hussein Awad El-Gharieb, Mahmoud Ibrahim El-Shamy, Mahmoud Galal Ahmed, Ahmed Elsaid Elsayed Mohammed, Ahmed Gamal Mohammed

Al-Azhar International Medical Journal

Background: There is debate about the efficacy and complications of The utilisation of carotid artery stenting in the management of carotid artery stenosis, in the absence of embolic protective devices. Objective: To estimate the incidence of microembolic events in CAS procedures without protection device. Patients and Methods: Fifty-three patients with carotid artery stenosis who attended The Neurology Clinic of Kobri El-Koba Military and Al-Hussien University Hospitals, Egypt from July 2022 to March 2023. Undergoing carotid artery stenting without protection devices. Outcome was assessed clinically with the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS) and radiologically …