Medical Specialties Commons^™

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 …

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 …

Comparative Clinical Study Of Intrathecal Low Dose Ketamine Combined With Midazolam Versus Fentanyl As Adjuvants To Bupivacaine For Cesarean Section, Mohamed Mohamed Abo Elenain, Shaimaa Mohammed El-Mahdy, Osama Helal Ahmed, Medhat Helaly Allam

Al-Azhar International Medical Journal

Background: General sedation is related with higher death rate in contrast with spinal sedation. Passings in provincial sedation are principally connected with unnecessary high territorial blocks and harmfulness of nearby sedatives. Spinal sedation is the favored means for cesarean area, being easy to perform, affordable and produces quick beginning of sedation and complete muscle unwinding. Aim: To look at the hemodynamic impacts, beginning, level, term of the intrathecal block and occurrence of intricacies on adding combination of low-portion ketamine and low-portion midazolam to bupivacaine, and on adding fentanyl to bupivacaine during intrathecal infusion for cesarean area. Patients and Methods: In …

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 …

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 …

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 …

Updated Role Of Ultrasonography In Comparison With Magnetic Resonance Imaging In Evaluation Of Various Causes Of Chronic Ankle Pain, Alaa Eldein Mohamed Badr, Mohamed Abdelfattah Yousef, Abdelhakeam Atef Abdelhakeam

Al-Azhar International Medical Journal

Background: Ankle pain refers to any kind of discomfort in either or both ankles. A common cause of ankle pain is an ankle sprain. Apart from sprains and other traumas, gout and arthritis can also result in ankle pain. Ankle discomfort can arise from various types of arthritis, such as osteoarthritis, rheumatoid arthritis, chronic gouty arthritis, psoriatic arthritis, and septic arthritis. Aim of the work: To analyze the updated roles of magnetic resonance imaging and ultrasonography in evaluating different causes of persistent ankle discomfort. Patients and methods: The fifty randomly selected patients with no age or sex specification were subjected …

Prediction Of Fetal Macrosomia Using Ultrasonographic Measurements Of Placental Volume And Thickness, Umbilical Cord Thickness, Fetal Interventricular Septum Thickness In Pregnant Women With Gestational Diabetes, Mofeed Fawzy Mohamed, Muhamed Ahmed Abdelmoaty, Mahmoud Abdelhameed Elswerky

Al-Azhar International Medical Journal

Background: Fetal macrosomia is recognized to be at risk due to diabetes throughout pregnancy.

Objective: Evaluation of the impact of ultrasound measurements of placental volume and thickness, umbilical cord thickness, and fetal interventricular septum thickness in fetal macrosomia prediction in pregnant women with gestational diabetes.

Patients and Methods: After receiving their consent, 70 gestational diabetes-positive pregnant women were enrolled in the study. They were then split into two equal groups: the study group, which included 35 patients with gestational diabetes was diagnosed, and the control group, which included 35 pregnant women in good health who were gathered from the obstetric …

Ultrasonography And Nailfold Capillaroscopy Assessment In Patients With Systemic Sclerosis And Their Relation To Severity Of Vasculopathy, Mohamed Ahmed Mohamed, Mohamed Ismail Abdelkareem, Khaled Mohamed Tawfik, Amin Abdelhamed Abdelhady

Al-Azhar International Medical Journal

Background: Systemic sclerosis (SSc) is a disease of unknown etiology characterized by tissue fibrosis and microvascular abnormalities. Microvascular damages of the hand can easily be evaluated using nailfold capillaroscopy (NFC). Aim: To evaluate the relationship between microvascular damages assessed by Nailfold capillaroscopy and macrovascular features evaluated by Doppler Ultrasound to assess the severity of hand involvement and vasculopathy in Systemic Sclerosis. Methods: This study was carried out on 50 adult patients with progressive SSc. Results: According to Nailfold Capillaroscopy findings, 9 (18%) patient diagnosed as early phase of SSc while 24 (48%) patients were at late phase and 17 (34%) …

Impact Of Intestinal Ultrasound For Assessment Of Inflammatory Bowel Disease Activity, Mohammad Ahmad Abdel Hameed Elsaid Shaalan, Magdy Abd-El Kareem El-Dahshan, Zakarya Mohamed Zakarya, Mohamed Salah Elfeshawy, Hossam El Adl El Adl, Marwa Ahmed Byomy, Taiseer Ahmed Shawky

Al-Azhar International Medical Journal

Background: Inflammatory bowel disease (IBD) is considered a chronic inflammatory disease which has two main forms: Ulcerative colitis and Crohn’s disease. IBDU (unspecified) is used when a sure diagnosis of CD or UC cannot be made. Over time, most patients with IBDU (unspecified) will be assigned a definitive diagnosis of UC or CD. 1 This study aimed to study the role of intestinal ultrasound in comparison to CT enterography and colonoscopy in detecting bowel wall thickness as assessment tool for activity in IBD. Patients and methods: We conducted a comparative study in Al-Azhar university hospitals of previously diagnosed 70 IBD …

Accuracy Of Multi-Detector Computed Tomography Compared To Laparoscopy In Ovarian Cancer Staging, Awad Mahmoud Awad, Ahmed El-Sayed Mohammed Abd Elrahman, Mohamed Hasan Mohamed El-Kasser, Mohammad Abol Wafa Ahmad

Al-Azhar International Medical Journal

Background: When it comes to staging and monitoring ovarian cancer (OC), multidetector computed tomography (MDCT) of the abdomen is now the gold standard imaging scan. Most cases of OC that have metastasis to different locations in the body have done so via peritoneal metastases (PMs). In order to investigate whether or not the intraperitoneal cavity and retroperitoneal lymph nodes can be appropriately evaluated during laparoscopic staging of patients with OC, a prospective study was conducted. Aim and objectives: The main aim of this research is to contrast the accuracy of MDCT compared to diagnostic laparoscopy in staging of OC. Subjects …

Proximal Femoral Plate Versus Proximal Femoral Nailing Fixation For Treatment Of Unstable Intertrochanteric Femoral Fractures, Ibrahim Ahmed Mostafa, Sameh Anwer Elsayed Abdel-Aal, Mahmoud Elsayed Omar Yassin

Al-Azhar International Medical Journal

Background: The rising prevalence of osteoporosis among the elderly has been associated with an increase in trochanteric fractures. Intramedullary devices like proximal femoral nail and proximal anatomic femur plates are used for the management of Intertrochanteric femur fractures. However, there is still a lot of research to be done to determine which implant is best for treating these fractures with the fewest possible side effects. Aim and objectives: with the purpose of evaluating the efficacy of different therapies for fractures of the trochanteric region of the femur by proximal femoral nail versus proximal Trochantric femur plate. Subjects and methods: This …

Comparative Study Between Laparoscopic Tubal Disconnection And Hysteroscopic Tubal Occlusion In Management Of Hydrosalpinx Prior To Intracytoplasmic Sperm Injection, Mohamed Mohamed Gebreel, Adel Aly Elboghdady, Mohamed Kamal Ahmed Emara

Al-Azhar International Medical Journal

Background: More than 35% of all cases of female infertility can be attributed to tubal factor infertility caused by various forms of tuboperitoneal injury. Hydrosalpinx is one of the most serious complications of tubal pathology. The Greek word for a clogged Fallopian tube is hydrosalpinx. Aim and objectives: to evaluate the relative merits of two methods for treating hydrosalpinx—hysteroscopic tubal electrocoagulation and laparoscopic proximal tubal occlusion—in the lead-up to intracytoplasmic sperm injection. The main objective is to evaluate their effect on the success of an ICSI cycle. Subjects and methods: The Obstetrics and Gynecology Departments at El Huseen and Sayed …

Thyroid Dysfunction In Cirrhotic Patients And Its Correlation With Severity Of Liver Disease, Shaaban Salah Al Azhary, Ahmed Mohamed Ghazy, Ahmed Mohamed El Deeb, Ahmed Lotfy Elsayed

Al-Azhar International Medical Journal

Background: Liver disease modifies thyroid hormone metabolism, as well as a number of systemic disorders can have an effect on both the thyroid as well as the liver. Aim & objectives: To assess the thyroid derangements in cirrhotic individuals & its relationship to the severity of the liver disease. Patients and methods: This case control study included 150 cases of liver cirrhosis and 50 apparently healthy controls recruited from ward and outpatient clinic at Al-Hussin and Bab al sharia Hospitals, Department of hepatology, gastroenterology and infectious diseases between January 2023 till June 2023. Results: We found that Cirrhotic patients have …

Effect Of Hydrogen Peroxide On Hemostasis During Tonsillectomy Operations, Mohammad Abd- Al Fattah Al-Tawy, Mohammad Amin Al-Morsy, Ahmed Salah El-Sayed Amer

Al-Azhar International Medical Journal

Background: The palatine tonsils play a role in immunological function. Their infections are one of the most common causes of visits to ENT specialists. The surgeon is always mindful of the significant risk of complications in tonsillectomy, despite the fact that it is the most common and simplest procedure. Hydrogen peroxide was not mentioned as a hemostatic agent for tonsillectomy in the literature search. For many years, orthopedic surgeons have relied on hydrogen peroxide as a hemostatic agent. Aim and Objectives: to determine how well H2O2 works in stopping bleeding during tonsillectomy procedures. Patients and methods: In this prospective cross-sectional …

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 …

Classical Antagonist Protocol In Comparison With Agonist Stop Protocol In Pcos Women Undergoing Icsi Trial: A Randomized Controlled Trial, Mohamed Sameeh Kamal Mohamed, Hassan Ahmed Abdrbo, Mohamed Mohamed Farahat

Al-Azhar International Medical Journal

Background and aim: Polycystic ovary syndrome (PCOS) is distinguished by hyperandrogenism, oligomenorrhea, and a cystic ovarian morphology. Ovarian hyperstimulation syndrome (OHSS) is more likely to occur in women with PCOS who undergo IVF. The utilization of hCG to begin the ovum's ultimate maturation is a significant mechanism in OHSS . The ESHRE guidelines recommend that in women with PCOS undergoing ICSI/IVF treatment the gonadotrophine releasing hormone antagonist protocol is optimal or superior to gonadotrophin releasing agonist long protocol. In this study we aimed to Compare pregnancy rate between classical (standard) antagonist protocol to agonist stop/antagonist protocol in women with PCOS …

Topical 15% Lactic Acid Solution Versus Topical Betamethasone Valerate Lotion In Treatment Of Multiple Patchy Alopecia Aerate., Ramy Taher Mohamed Aboelghait, Amr Mohamed Zaki, Emad Mahmoud El Rewiny

Al-Azhar International Medical Journal

Background: Alopecia areata (AA) is a kind of alopecia that affects the retinal pigment epithelium, nails, and hair follicles sporadically. It is a kind of hair loss that doesn't leave scars and often manifests as rounded patches. Alopecia areata may be treated with a variety of methods, including topical, systemic, and injectable ones. Aim of the work: The major aim of this research is to evaluate the efficacy of topical lactic acid 15% solution versus topical betamethasone Valerate Lotion in management of multiple patchy alopecia aerata. Patients and methods: 50 patients in all were included, after consenting each of them …

Comparative Study Between Fibrin Glue And Intra Corporeal Mesh Fixation In Trans Abdominal Preperitoneal Laparoscopic Inguinal Hernial Repair, Mahmoud Tarek Mohammed Ahmed Moamn, Ashraf Abdel-Hammid Abdel-Monem, Abdel-Hafez Abdel- Aziz Selim

Al-Azhar International Medical Journal

Introduction: Inguinal hernia, which often necessitate surgery, have a prevalence of 15–45 percent around the world, depending on age. The most common surgical treatment for inguinal hernia is mesh implantation. Current surgical options for mesh fixation involve, but are not limited to, sutures, tacks or staples, self-fixing meshes, fibrin, and other glues. Aim: To evaluate the performance of fibrin glues and sutures for fixing mesh during laparoscopic inguinal hernia repair. Patients and Methods: Forty adult male patients with inguinal hernias were randomly assigned to have either laparoscopic transabdominal pre-peritoneal repair or open repair at Al-Azhar university facilities. Individuals were separated …

Specular Microscopic Evaluation Of Corneal Endothelium After Intravitreal Injection Of Ranibizumab For Treatment Of Diabetic Macular Edema, Ahmed Mahmoud Ahmed Elarabi, Mohamed Zakaria Eid, Hatem Mahmoud Samy Abdelkawy

Al-Azhar International Medical Journal

Background: The eye disorder known as diabetes-related macular edema (DME) is frequent and dangerous. DME is one of the easiest conditions to treat even though it can cause vision impairment. Photocoagulation, intravitreal medicines, in addition to surgical excision are some of the therapy options that are currently available. Aim of the work: to evaluate how intravitreal Ranibizumab injections affected corneal endothelial changes over the course of 3 months in patients diagnosed with DME. Patients and Methodology: A case-control study at Giza Memorial Institute of Ophthalmic Research from May 2022 till Nov 2022. compared patients with DM who have good glycemic …

Correlation Between Subclinical Hypothyroidism And Repeated Miscarriage In Pregnant Women, Haitham A. Azeem, Ali A. Madian, Mohamed R. Izzaldin, Mona R. Mohamed

Al-Azhar International Medical Journal

Background: Abortion is a minor complication of pregnancy, defined as the spontaneous loss of the fetus, which occurs in 15-20% of pregnant women. Recurrent miscarriages, which occur in approximately 1% of women of childbearing age and are defined as miscarriages of two or more pregnancies in consecutive pregnancies. Aim: To determine the association between subclinical hypothyroidism in pregnant women and recurrent miscarriage. Patients and Methods: This observational study was conducted in December 2021 and May 2022 on nine pregnant women at Assiut University's Al-Azhar Hospital. Patient groups who complained of recurrent miscarriage (at least two unexplained recurrent miscarriages) and control …

Assessment Of The Prevalence Of Pulmonary Hypertension And Volume Status In Regular Hemodialysis Patients, Ahmed Alaa Eldin Ahmed Saad, Abd Elhamid Ismaeil Abd Elhamid, Mohamed Hassan Attia, Ali Ashraf Abd Elaty Ali

Al-Azhar International Medical Journal

Background: Cardiovascular disease is well acknowledged as a significant cause of death among individuals diagnosed with chronic renal disease. It constitutes approximately 50 percent of mortality cases among those undergoing dialysis treatment. In recent studies, it has been discovered that the presence of pulmonary hypertension serves as a robust and autonomous prognostic indicator for mortality among those undergoing hemodialysis. Aim of work: to assess the prevalence of pulmonary hypertension and its relation to volume status in hemodialysis patients. Patients and Methods: a prospective comparative study that was conducted on (50) patients on regular hemodialysis in the Nephrology Unit of Kobry …

Assessment Of Changes In The Anterior Segment By Anterior Segment Optical Coherence Tomography And Intraocular Pressure After Phacoemulsification In Glaucomatous And Non-Glaucomatous Patients, Mahmoud Abd El-Haleem Soliman Rabee, Hassan Metwally Bayoumy, Osama Ramadan Mahmoud

Al-Azhar International Medical Journal

Background: Phacoemulsification is widely recognized as the prevailing ocular surgical procedure conducted on a global scale. Multiple studies have provided evidence of a decrease in intraocular pressure (IOP) following phacoemulsification. The assessment of anatomical features in the anterior chamber has emerged as a key area of interest in determining the extent of IOP reduction following cataract surgery. Anterior Segment Optical Coherence Tomography(AS-OCT) has recently emerged as an objective and noninvasive method to assess the anterior chamber anatomy. Aim of the work: The aim of the work is to study the effect of phacoemulsification on the anterior chamber and IOP in …

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 …

Liver Biochemical Abnormalities Among Covid-19 Patients, Sahar Hassan Abd-Allah, Ashraf Mohammad Elkabeer, Ahmed Mohamed Mostafa, Ayman Abd Elaziz Abd Elrhman, Ebtisam Showky Ahmed Hassanin

Al-Azhar International Medical Journal

Background: The sever acute respiratory syndrome corona virus-2 (SARS_CoV-2) is a novel Corona virus that causes Corona virus disease 2019 (COVID- 19). Except for respiratory symptoms, COVID-19 patient often develop different degrees of liver injury. Notably, COVID-19 patients with pre-existing liver diseases, especially liver cirrhosis, have higher incidence of liver biochemical abnormality, liver injury, and even hepatic decompensation event. Aim: To determine the liver biochemistry changes in COVID-19 patients. Patients and methods: In this retrospective study was conducted in quarantine department, Assuit Chest Hospital was conducted on 761 COVID-19 patients. Patients were divided into 2 groups: hepatic and non-hepatic groups. …

Comparative Study Between Intrathecal Hyperbaric Prilocaine Versus Hyperbaric Bupivacaine In Anorectal Surgery, Saeed Mohammed Ali Fayed, Ahmed Mahmoud Mohammed El-Garhy, Mohammed Zakaria Gad El-Karem Abd El-Aziz

Al-Azhar International Medical Journal

Background: The prevalence of ambulatory anorectal surgeries has been increasing, these procedures are deemed appropriate for day case surgery with the use of spinal anaesthesia. This study aims to compare the anaesthetic characteristics of intrathecal hyperbaric bupivacaine 0.5% and intrathecal hyperbaric prilocaine 2% in the context of elective anorectal surgery. Patients and Methodology: The research methodology used in this study is a prospective, double-blinded randomized approach. A total of eighty-eight patients were divided into two similar-sized groups, and randomly allocated to the trial. Group A, got intrathecal administration of 15 mg hyperbaric bupivacaine 0.5%, whereas group B, received intrathecal administration …