Medical Specialties Commons^™

Acute Upper Gastrointestinal Bleeding In Post Covid-19 Patients Receiving Direct Oral Anticoagulants As Thromboprophylaxis, Ahmed Fawzy Selim, Mohamed Galal Flefel, Mohamed Sami Torky, Mohamed Abdel-Samiee, Mohamed Elsayed Sarhan

Al-Azhar International Medical Journal

Background: A hypercoagulable state is one of the main pathologic events in COVID-19 patients.

Aim of the study: To assess the possible bleeding sources and proper endoscopic interventions in patients cleared from COVID-19 but still receiving direct oral anticoagulants (DOACs).

Methods: We conducted this prospective study on 305 patients with first-attack upper gastrointestinal bleeding, recently finished COVID-19 treatment, and still using DOACs as a thromboprophylaxis.

Results: DOAC used were Rivaroxaban 10 mg once daily in 150 (49.18%) patients, Apixaban 2.5 mg BID in131 (42.95%) patients, Apixaban 5 mg BID in 15 (4.92%) patients, Rivaroxaban 20 mg in 9 (2.95%) patients. …

Role Of Urinary Scd25 As A Biomarker In Lupus Nephritis, Mahmoud Mohammed Mohammed Elmoazamy, Ayman Abd.Elaziz Abd.Elrahman, Waleed Saber Abd.Elnasser

Al-Azhar International Medical Journal

Background: A chronic autoimmune disorder that can impact any organ or tissue, systemic lupus erythematosus (SLE) is a global condition. A disease involves the interaction of hormonal fluctuations, environmental triggers, and genetic predisposition.

Aim and objectives: To determine the relationship between urinary sCD25 and lupus nephritis (LN) activity.

Subjects and methods: Prospective research was done on 60 cases ( 57 female and three male ) and 25 adult persons (20 female and five male) as a control group. This study was done in Al-Azhar University Hospital Asyut's nephrology unit and Elhussin Universal Hospital's nephrology unit, with informed written consent from …

Adequacy Of Hemodialysis And Its Relation To Neutrophil-To-Lymphocyte Ratio Among Patients Undergoing Regular Hemodialysis, Abdelwahab Mohammed Lotfy Soliman, Hazem Sayed Ahmed Ayoub, Medhat Ali Salah Abd Elghaffar, Ibrahim Mohamed Eid Abd Elhamied

Al-Azhar International Medical Journal

Background: One of the major concerns for patients with end-stage renal disease (ESRD) who are receiving hemodialysis is the effectiveness of the dialysis treatment. Inflammation levels are elevated in patients with inadequate dialysis. Inflammation can be detected by measuring the neutrophil-to-lymphocyte ratio (NLR).

Objectives: To assess the level of HD sufficiency in (ESRD) patients and how it relates to other factors that impact patient outcomes, such as (NLR), anemia, and blood pressure.

Methods: This cross-sectional study included one hundred ESRD cases from the Hemodialysis Unit at Al-Hussein University Hospital in collaboration with the Allergy and Immunology Center divided into two …

Thyroid Hormone Profile In Advanced Chronic Kidney Disease, Mohamed El-Sayed Mohamed Khalil, Gamal Ali Badr, Ibrahim Ghonim Ramadan, Gamal Zakaria Almorsy

Al-Azhar International Medical Journal

Background: Interactions between thyroid hormones and renal function are complex. Both the metabolism and disposal of thyroid hormones include the kidney. Additionally, it plays a crucial role in the function of thyroid hormones.

Objectives: To assess thyroid hormone disorders in advanced chronic kidney disease.

Patients and methods: This cross-sectional study involved fifty chronic kidney disease patients as group I and 50 end-stage renal disease patients as group II. It was performed in the Internal Medicine Department and Nephrology Unit of El-Hussein Hospital, Al-Azhar University. Glomerular filtration rate (GFR) was calculated using the Modification of Diet in Renal Disease study (MDRD) …

Renal Affection In Philadelphia Negative Myeloproliferative Neoplasms, Youssef Khalil Eissa, Ahmed Fathi Abdelaziz, Youssef Abd Allah Nassar, Mohamed Ahmed Alagouz

Al-Azhar International Medical Journal

Background: Rare clonal neoplastic illnesses of the myeloid hematopoietic stem cells (HSC) that might impact other body systems are known as classical Philadelphia chromosome-negative myeloproliferative neoplasms (MPN).

Aim and objectives: To assess the frequency of renal affection in myeloproliferative neoplasms that are Philadelphia negative.

Patients and methods: A prospective study that includes 60 patients (their age above 18 years old) with Aphiladelphia negative myeloproliferative neoplasms to asses renal affection by history taking, clinical evaluation, laboratory evaluation, and pelvis. The US. From January 2023 to December 2023. All patients will be selected from the Internal Medicine Department (at both Al Hussein …

Study Of The Association Between Thyroid Hormonal Abnormalities And Polycystic Ovary Syndrome Among Egyptian Females, Abdellah Hussein Elsadek, Ahmed Ali Hassan Ali, Bassem Ragab Abdel-Aziz, Mohamed Ahmed Anwar Shaheen, Ismail Atia Khalil Elfauomy

Al-Azhar International Medical Journal

Background: Polycystic Ovary Syndrome (PCOS) is marked by hyperandrogenism, anovulation with menstrual irregularities, and morphologic polycystic ovarian alterations. The implicated hormonal abnormalities may extend to other endocrine glands.

Aim of the Work: To investigate whether thyroid hormone abnormalities and PCOS are related in Egyptian women.

Patients and Methods: There were 500 women in the cohort diagnosed with PCOS based on the 2003 Rotterdam Criteria. Clinical, menstrual, and reproductive factors and ovarian morphology were analyzed in relation to the underlying thyroid gland's clinical and hormonal status.

Results: The prevalence of amenorrhea, oligomenorrhea, and hirsutism/acne was found to be 16.2%, 54.8%, and …

Evaluation Of Serum Level Of Galectin-3 In Prediabetic And Type-2 Diabetic Patients With And Without Vascular Complications, Mahmoud Eid Mahmoud Eid Saad, Ismail Mohamed El Mancy, Ibrahim Metwaly Bayomy, Ramy Mohamed Abd-Elhady

Al-Azhar International Medical Journal

Background: Diabetes mellitus is the most prevalent metabolic condition. Increased galectin-3 plasma concentrations have been linked to micro- and macro-vascular problems of Type-2 diabetes mellitus (T2DM).

Aim and objectives: To study the correlation between serum concentrations of galectin 3 in prediabetic and type 2 diabetic individuals with macro and microvascular complications.

Patients and Methods: This case-control research was performed on 160 cases and 40 healthy controls. Cases are separated into five groups: Group (A): 40 prediabetic patients, Group (B): 40 individuals with T2DM without complications, Group (C): 40 individuals with T2DM with microvascular complications, Group (D): 40 individuals with T2DM …

Neutrophil Percentage To Serum Albumin Ratio As A Prognostic Indicator For Acute Kidney Injury In Critically Ill Patients, Atef Abu Elfotoh Ibrahim Mousa, Mohammed Elsaid Mohamed Ahmed Habila, Mohamed Ahmed Anwar Shaheen, Mohamed Saad Ahmed Elmalla

Al-Azhar International Medical Journal

Background: Deterioration of renal function over hours, days, or weeks is referred to as Acute Kidney injury (AKI). Albumin & Neutrophils have been demonstrated to give more details regarding the outlook for acute kidney injury as markers of inflammatory and immunological responses.

Aim and objectives: To determine the Role of Neutrophil Percentage to Serum Albumin ratio (NPAR) as a prognostic indicator for developing Acute Kidney injury in critically ill cases.

Patient & methods: A total of sixty individuals were included in this prospective study, with thirty participants in Group A having blood albumin levels below 3.5 g/dl and 30 people …

Helicobacter Pylori Infection And Insulin Resistance In Diabetic And Nondiabetic Subjects, Hussin Mohammed Saleh Kuwairi, Mahmoud Haddad Hemida, Sadek Mostafa Sadek Abdelaleem, Al Sayed Mohamad Tealeb, Marwa Ahmed Byomy

Al-Azhar International Medical Journal

Background: Recent data found an increased risk of insulin resistance (IR) and Helicobacter pylori (HP) infection in HP-positive individuals regardless of whether they have diabetes.

Objective: To explore the potential role of HP in increasing IR in diabetic and nondiabetic subjects.

Patients and Methods: Of the eighty participants in the trial, 40 had type 2 diabetes (T2DM), and the other 40 were nondiabetics. An upper endoscope diagnosed HP infection, a biopsy was obtained, histopathology was examined, and a stool antigen test was done. Insulin resistance was diagnosed using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) method. All patients were …

Iodine Level And Thyroid Hormonal Profile In Patients On Regular Hemodialysis, Ammar Sharaf Mahmoud Ahmed, Talaat Sayed Ahmed Abdel-Aziz, Abdel Salam Fathy Abdel Salam, Gamal Ali Badr

Al-Azhar International Medical Journal

Background: Low serum T3 and T4 levels can be caused by hormone loss during dialysis, decreased T3-binding capacity, serum thyroid autoantibodies, altered hormonal catabolism, increased thyroid iodine storage, and impaired peripheral conversion.

Aim and objectives: To investigate thyroid function tests and their correlation with serum iodine levels in patients on regular hemodialysis.

Subjects and methods: This prospective cross-sectional trial involved 100 cases of hemodialysis selected from attendees at Al-Azhar University Hospitals and Fayoum General Hospital. Participants were divided into two groups.

Results: There was no substantial variance amongst the two investigated groups concerning gender, age, and BMI. There was a …

Endocuff-Assisted Colonoscopy Versus Standard Colonoscopy For Detection Of Colonic Lesions, Mohammed Sabry Abd El-Sayed Abdou, Ali Ibrahim Ali Soliman, Osama Mostafa Abdelrazek, Ahmed Mohammed Abdelmalek

Al-Azhar International Medical Journal

Background: Colonoscopy is the primary screening modality used to diagnose various colonic lesions that are often overlooked due to the endoscopist's proficiency and the condition of the bowel preparation. However, other aspects related to the form and architecture of the lesions contribute to this. People often overlook small lesions, like diminutive polyps, with potential malignancy rates.

Aim : The objective is to evaluate the effectiveness of endocuff-assisted colonoscopy in enhancing the identification of diverse colonic lesions and boosting cecal intubation rates.

Methods: We carried out a randomized clinical trial, enrolling 100 patients with diverse abdominal symptoms who visited …

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 …

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. …

Gall Bladder Wall Thickness As Non-Invasive Screening Parameter Of Esophageal Varices In Compensated Cirrhotic Patients, Mohamed Aly Abdelkhalek Alboraie, Abdel Halem Abdel Ghany Hasabo, Mohammad Abolwafa Ahmad Amin, Tarek Mohamed Abdel Latif Ali

Al-Azhar International Medical Journal

Background: About 40% of people with hepatic cirrhosis also developed oesophageal varices. The most serious portosystemic shunts caused by portal hypertension are O.V. Aim and objectives:The goal of the study was to establish whether or not the gall bladder wall thickness (GBWT) is a reliable, non-invasive predictor of EV in people who have cirrhosis.Subjects and methods: From August 15, 2022, through March 1, 2023, 120 patients with chronic liver disorders and liver cirrhosis were recruited from the inpatient and outpatient clinics at Sayed Galal Hospital. Two groups of patients were created, one with OV and one without. Sixty cirrhotic patients …

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 …

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 …

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 …

Glycemic State In Hospitalized Covid-19 Patients, Haitham A Azeem, Abdelhamid A Abdelhafez, Ebtisam S. Hassanin, Zeinab N. Abd El-Galil

Al-Azhar International Medical Journal

Background: Diabetes has become an important risk factor for major morbidity and death, hospitalizations, disease severity, acute renal failure, acute respiratory distress syndrome, ICU admissions and patient death. with coronavirus disease 2019. Aim: To study glycemic changes and outcomes in diabetic and non-diabetic patients hospitalized with COVID-19. Patients and Methods: In this retrospective study, 500 hospitalized adult patients over 18 years of age with COVID-19 were referred to Al-Azhar – Assiut and Chest – Assiut University Hospitals with nasopharyngeal vaccination against SARS-CoV-2. Our study spanned approximately seven months of confirmed COVID-19 from January 2021 to July 2021. Results: Patients with …

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 …

Complement Activation And Cytokine Production And Their Relation To Cardiovascular Changes In Hemodialysis Patients, Mohamed Nabil Raafat, Ahmed Alaa Eldin Ahmed Saad, Ahmed Mohammed Farouk, Mohammad Sobhy Abdulhameed Abdulkhaliq

Al-Azhar International Medical Journal

Background: End-stage renal disease (ESRD) is a very consequential medical condition that has been identified as a significant concern in the field of public health, impacting a global population exceeding 2.6 million individuals. Despite notable advancements in hemodialysis treatments over the past few decades, individuals with end-stage renal disease (ESRD) continue to have a substantial burden of cardiovascular disease (CVD) and face a heightened risk of mortality. Aim of work: Our study aimed at assessment of complement activation and cytokine production and their relation to cardiovascular changes in hemodialysis patients. Patients and Methodology: This cross sectional study was conducted in …

The Specificity Of Endoscopic Criteria In Diagnosis Of Biliary Reflux Gastritis, Adel Mohamed Asaad Elkady, Magdy Abdelkreem Aldahshan, Shadia Hussein Mabrouk, Abdelaleem Khair Eldeen Helal, Ahmed Maher Eliwa

Al-Azhar International Medical Journal

Bile reflux gastritis can be triggered by an excess of bile in the duodenum, the absence of a pylorus as a barrier to retrograde flow, and/or decreased stomach and duodenum retrograde peristalsis. This can occur as a result of gastric or biliary surgery or as biliary reflux disease. The purpose of this research was to assess the specificity of endoscopic criteria in diagnosis of biliary gastritis by comparing the endoscopic findings with histopathological examination. Patients and methods: In this prospective research, cases with upper gastrointestinal symptoms were subjected for esophago-gastro-duodenoscopy. One hundred and thirteen patients with intragastric bile were involved …

Anemia Profile In Conventional Versus Incremental Hemodialysis Patients, Emad Allam Mohamed, Ahmed Farg Abdelkader, Amr Ahmed Rezk, Mohammad Ahmed Yousef

Al-Azhar International Medical Journal

Background: Hemodialysis (HD) is performed to purify the blood by using diffusion to facilitate solute exchange & water removal over a semipermeable membrane. Using a patient's Renal Kidney Function as a guide, Incremental HD tailors HD to each person's specific needs. Aim and Objectives: to compare the effects of incremental hemodialysis and standard hemodialysis on anemia profile in individuals with end-stage kidney disease, Patients and Methods: Individuals with end-stage renal illness (aged & sexed similarly) participated in this prospective cohort observational research. The research took place over the course of 6 months at Syd Jalal university hospital's Nephrology Unit, and …

Evaluation Of Carpal Tunnel Syndrome In Patients With Rheumatoid Arthritis By Neuromuscular Ultrasound And Electrophysiologiacal Studies, Khaled Zaky, Alaa M Genedy, Hany M Aly, Mohie-Eldin T Mohamed

Al-Azhar International Medical Journal

Introduction: Rheumatoid neuropathy of the median nerve (MN) is the commonest nerve entrapment neuropathy. Diagnosis of CTS in RA is often dependent upon electrophysiological evaluation. However, direct visualization of the nerves is possible with exact localization of site of disease with neuromuscular ultrasound (U/S). Aim: to evaluate Carpal tunnel syndrome in patients with rheumatoid arthritis (RA) by neuromuscular U/S and Electrophysiological studies. Subjects and Methods: 30 RA patients were included and were compared with 30 normal subjects as control group. Results: The current study revealed significantly higher cross-sectional area (CSA) of the MN at the level of tunnel inlet (mm2), …

Nail Fold Capilloroscopy Versus Serum Interleukin 17 In Rheumatoid Arthritis And Systemic Lupus Erythematosus Patients And Their Correlation With Disease Activity In Upper Egypt, Mohamed I. Abdelkareem, Mohamed M. Rayan, Ashraf I. Sayed

Al-Azhar International Medical Journal

Background: Nailfold capillaroscopy (NFC) represents the best method to analyze microvascular abnormalities among connective tissue diseases (CTDs) since capillaroscopic changes of the nailfold have been well established in many CTDs Aim: to investigate serum IL-17 and Nailfold microcirculation in RA and SLE patients and to study their correlation with disease activity in upper Egypt. Patients and Methods: A total of 50 patients with RA and 30 patients with SLE. In addition to, 30 healthy subjects as control group. Results: Patients with either SLE or RA had significantly higher IL-17 in comparison to the control group. Patients with SLE had significantly …

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 …

Study Of Efficacy, Safety And Complications Of Covid 19 Vaccine On Adults And Elderly With And Without Chronic Diseases, Nasser Alhamshary, Abdullah Hendawy El Shahat, Mohamed Gharib Mohamed, Abdel Kareem Mohammad Abdel Rahim

Al-Azhar International Medical Journal

Background: Anti-CoV-2 vaccines were developed in a much shorter time than previous vaccines. The aim of this work was to assess the efficacy of COVID-19 vaccine on adult and elderly with and without chronic diseases and evaluate safety, side effects and complications of COVID19 vaccine on adult and elderly with and without chronic diseases.

Methods: Prospective observational cohort study was carried out on 100 subjects received COVID-19 vaccine. Subjects were divided into three groups: Group (1): thirty healthy young persons aging 18-45 years old, who received COVID-19 vaccine (5 subjects received Pfizer vaccine, 9 received AstraZeneca, and 16 received Sinopharm. …

Coronary Artery Stent Stenosis Assessment In Coronary Ct Angiography, Mohammad Farouk Aggag, Mahmoud El-Shamy, Ahmed Osama Abbas El-Kattan

Al-Azhar International Medical Journal

Background: Coronary artery stenting is the most important minimally invasive treatment for symptomatic coronary artery disease. But because in-stent restenosis occurs at a somewhat high rate, invasive angiography is now commonly utilised to assess stent patency.Objective: The objective of the study is to examine how multidetector CT scans can assist physicians in making decisions regarding the placement of coronary artery stents in patients who have chronic chest pain or who have myocardial ischemia. Method: A total of 40 individuals had multislice CT angiography of the coronary arteries between February 2022 and August 2022 as part of this study. Such patients …

The Prevalence Of Sicca Symptoms And Secondary Sjogren In Patients With Rheumatoid Arthritis And It’S Association To Disease Activity, Mostafa A. Doma, Amin A. Abdel-Hady, Abdelhafeez M. Moshri, Ghada M. Mousa

Al-Azhar International Medical Journal

Background: Sjogren disorder (SS) is a persistent foundational immune system sickness of obscure etiology that can happen alone prevalently Sjogren or in relationship with a fundamental connective tissue illness, most regularly rheumatoid joint pain (RA) or lupus erythematosus. Aim: To determine commonness of dryness side effects and optional Sjogren's disorder in patients with rheumatoid joint pain and their relationship with illness movement. Patients and Methods: This cross-sectional review was directed on 100 patients with rheumatoid joint pain chose from the people who went to the short term branch of the Division of Restoration and Rheumatology of Al-Azhar College Clinic in …

Clinical Patterns Of Covid19 In Different Types Of Ckd Patients, Mohamed Elshahat Mahmoud Mousa, Ahmed Alaa Eldin Ahmed, Alsayed Mohamed Rashed, Mohammad Abo-Ghabsha

Al-Azhar International Medical Journal

Background - Nephrologists have been at the forefront of clinical care of patients with COVID-19 as kidney-related complications, including chronic kidney disease (CKD), glomerular disease, and severe electrolyte derangements, are frequently encountered.

Aim - to estimate the effect of Covid-19 viral infection on chronic kidney disease patients and to determine clinical characteristics of disease.

Patients and Methods - A retrospective case study for 50 patients with Chronic Kidney Disease from stage 1 to stage 5 presented with covid 19 infection which confirmed by PCR to El Sheikh Zyed Al Nahyan hospital from 1st of August 2021 to 1st of January …