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Al-Azhar University

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Full-Text Articles in Medical Specialties

Association Of Mean Platelet Volume With Angiographic Thrombus Burden In Patient With St-Segment Elevation Myocardial Infarction Undergoing Primary Percutanous Coronary Intervention, Waleed Mehana, Mamdouh Eltahan, Attia Shoker Apr 2020

Association Of Mean Platelet Volume With Angiographic Thrombus Burden In Patient With St-Segment Elevation Myocardial Infarction Undergoing Primary Percutanous Coronary Intervention, Waleed Mehana, Mamdouh Eltahan, Attia Shoker

Al-Azhar International Medical Journal

Background: ST-elevation myocardial infarction (STEMI) is one of the leading causes of mortality and morbidity worldwide. However, survival after acute STEMI has considerably improved due to increasing symptom recognition, accurate diagnosis and effective timely reperfusion. Objectives: To assess the association of mean platelet volume (MPV) as a biomarker for angiographic thrombus burden in patient with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention (PPCI). Patients and methods: This study was conducted on 125 patients admitted to El-Mokatem health insurance hospital, with the diagnosis of acute ST-segment elevation myocardial infarction (STEMI) treated with PPCI in the period between December 2018 …

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The Use Of Negative Pressure Therapy For The Treatment Of Lower-Extremity Wounds., Attia Attia Apr 2020

The Use Of Negative Pressure Therapy For The Treatment Of Lower-Extremity Wounds., Attia Attia

Al-Azhar International Medical Journal

Abstract Background: lower extremity wounds with exposed bone, tendon or orthopedic hardware present a difficult treatment challenge. Objective: The purpose of this study is to assess the role of the vacuum assisted closure (VAC) therapy in the management of lower extremity wounds. Material and methods: A prospective analytic cohort study was conducted among 15 patient referred for reconstruction of lower extremity wounds. The study was conducted between January 2019 to June 2019. The wounds were inspected, surgical debridement was done if needed, and the VAC dressings were changed every 72 hours. Primary outcome was wound healing and granulation tissue formation. …

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Cadaveric Study Of Soleus Muscle Arterial Blood Supply And Its Application In Peri-Ankle Reconstruction, Mostafa Mohamed Elsayed Abo-Omar Apr 2020

Cadaveric Study Of Soleus Muscle Arterial Blood Supply And Its Application In Peri-Ankle Reconstruction, Mostafa Mohamed Elsayed Abo-Omar

Al-Azhar International Medical Journal

Introduction: Soft tissue defects of the lower limb are a formidable challenge to the plastic surgeon but a soleus muscle flap often provides the solution. Aim of the work: study the anatomy of the various patterns of arterial supply to soleus muscle based on cadaveric dissection for its application as a pedicle flap for lower leg and peri-ankle reconstruction. Methodology: The study included 8 adult lower limbs from the Department of Anatomy at Faculty of medicine Al-Azhar University. The study duration was from May 2018 to May 2019. The branches of popliteal, posterior tibial and peroneal arteries were traced till …

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The Association Between Helicobacter Pylori Infection And Hyperemesis Gravidarum, Osama Elshazly Apr 2020

The Association Between Helicobacter Pylori Infection And Hyperemesis Gravidarum, Osama Elshazly

Al-Azhar International Medical Journal

Background: Hyperemesis gravidarum is the severe form of nausea and vomiting of pregnancy. The reported incidence of Hyperemesis gravidarum is about 0.5-2.0%. For the diagnosis of hyperemesis gravidarum there must be presence of three or more vomiting episodes during the day, weight loss of over 5% and ketonuria. Studies have recently suggested that there is an association between emesis gravidarum and hyperemesis gravidarum with Helicobacter pylori infection. Serologically positive H. pylori infection has been demonstrated in hyperemesis patients. Objective: To detect if there is association between hyperemesis gravidarum and infection with helicobacter pylori. Methods: The study included 200 women that …

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Copeptin And Obestatin Levels In Polycystic Ovary Women And Their Relation To Obesity, Insulin Metabolism And Cardiovascular Diseases, Adel Aly, Mohamed Elfeshawy, Abeer Elfatah, Ahmed Saeed Apr 2020

Copeptin And Obestatin Levels In Polycystic Ovary Women And Their Relation To Obesity, Insulin Metabolism And Cardiovascular Diseases, Adel Aly, Mohamed Elfeshawy, Abeer Elfatah, Ahmed Saeed

Al-Azhar International Medical Journal

Objective: is to investigate the correlations between the serum levels of copeptin and obestatin, carotid artery intima-media thickness (CIMT), and brachial artery flow mediated dilatation (FMD) in obese and non-obese women with PCOS. Design: Prospective randomized study. Setting: Obstetrics and Gynecology Department, El-Hussein and Sayed Galal University Hospitals, Al-Azhar University. Patient(s): We analyzed 54 patients with PCOS and 20 normal women as controls. PCOS patients were divided into two groups based on body mass index (BMI): obese group (BMI > 30 kg/m2, n = 28) and non-obese group (BMI < 30 kg/m2, n = 26). Serum Copeptin and Obestatin levels, Insulin Homeostasis Model Assessment for Insulin Resistance (HOMA-IR), CIMT and brachial artery FMD were determined and compared among both groups. Result(s): Serum Obestatin levels were significantly lower in obese PCOS group than non-obese and control. While Serum Copeptin levels were significantly higher in obese PCOS group than non-obese and control. Brachial artery FMD was lower in the PCOS groups than control. Obestatin was positively correlated with cardiovascular risk factor (FMD), whereas Copeptin was negatively correlated with FMD Conclusion(s): Obestatin and Copeptin may provide useful information regarding future cardiovascular risk in PCOS patients as Obestatin was negatively correlated and Copeptin was positively correlated with cardiovascular risk factor (FMD). Keywords: Cardiovascular diseases, Copeptin, Insulin resistance, Obesity, Obestatin, Polycystic ovary

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Value Of Hypermethylation (Rassf1a) Promoter Gene Among Patients With Hepatocellular Carcinoma, Mahmoud Mohamed Apr 2020

Value Of Hypermethylation (Rassf1a) Promoter Gene Among Patients With Hepatocellular Carcinoma, Mahmoud Mohamed

Al-Azhar International Medical Journal

Background: Hepatocellular carcinoma (HCC) is one of the most aggressive malignancies worldwide and one of the main causes of cancer-related mortality globally. Its incidence is increasing at alarming rates. The presence of cirrhosis is the major risk factor and this is largely due to chronic HCV and HBV infection. Serum alpha-fetoprotein (AFP) has insufficient sensitivity and specificity for detection of hepatocellular carcinoma (HCC). Aberrant hypermethylation of tumor suppressor genes e.g(RASSF1A ) is one of the most frequent and early mechanisms involved in HCC development, so that it could help to select high-risk populations and thus to modulate the indications of …

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Vaginal Fluid Ph Versus Cervical Length As A Predictor Of Preterm Labor In Second Trimester Of Pregnancy ., Ibrahim Elsayed Apr 2020

Vaginal Fluid Ph Versus Cervical Length As A Predictor Of Preterm Labor In Second Trimester Of Pregnancy ., Ibrahim Elsayed

Al-Azhar International Medical Journal

Background: Preterm birth is a major cause of death and a significant cause of long-term loss of human potential amongst survivors all around the world. Complications of preterm birth are the single largest direct cause of neonatal deaths. Aim of work: is to evaluate and compare the diagnostic value of vaginal pH and cervical length measurement in the second trimester of pregnancy as a preterm labor predictor. Patients and methods: This prospective analytical study was done on a cohort of 100 selected pregnant women who were fulfilled the inclusion criteria in their antenatal visits at Al-Husien university hospital. Patients coming …

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Prevention Of Post-Spinal Anesthesia Shivering: Low Dose Ketamine Vs Tramadol, Sameh Seyam Apr 2020

Prevention Of Post-Spinal Anesthesia Shivering: Low Dose Ketamine Vs Tramadol, Sameh Seyam

Al-Azhar International Medical Journal

Background: Shivering is described as an involuntary, spontaneous, and repetitive muscular movement. Hypothermia is one of the frequent causes that lower the shivering threshold. Patients and Methods: A prospective, randomized, double-blind, placebo-controlled study that approved by Mustasharak Hospital, KSA.150 patients scheduled for surgery under SA from March 2017 to December 2018 were included. After SA, patients were randomized to: (K) group = ketamine (0.2 mg/kg intravenously), (T) group = tramadol (0.5 mg/kg) and (S) group = saline (5 mL saline). The tympanic and core temperatures were documented every 5 minutes until the end of the surgery. Shivering scores were reported …

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Assessment Of Fatal Firearm Injuries In Cairo And Giza Governorate: Analytical Study (2014), Magdy Ismail, Sherif Mahmoud, Omar Sayed Mar 2020

Assessment Of Fatal Firearm Injuries In Cairo And Giza Governorate: Analytical Study (2014), Magdy Ismail, Sherif Mahmoud, Omar Sayed

Al-Azhar International Medical Journal

Introduction: Every year hundreds of thousands of people die from injuries caused by firearms. Therefore, the present work aimed to determine and analyze the pattern of firearm injuries among deaths on which medicolegal autopsies were conducted at Cairo Department of Forensic Medicine (Zeinhom mortuary), Ministry of Justice, Egypt, during 2014. Material and Methods: Data were obtained from available medicolegal reports and were statistically analyzed. Results: There were 468 firearm deaths representing 26.3% of the total deaths received during the study period. Conclusion: Most of cases were males in the age group (20-30) years. In most of the cases (93.4%) there …

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Role Of Ultrasonographic Evaluation Of Cervical Features And Myometrial Thickness In Prediction Of Preterm Birth, Amr Mabrouk, Farid Kassab, Ismail Mira Mar 2020

Role Of Ultrasonographic Evaluation Of Cervical Features And Myometrial Thickness In Prediction Of Preterm Birth, Amr Mabrouk, Farid Kassab, Ismail Mira

Al-Azhar International Medical Journal

Background: Spontaneous preterm birth is the leading cause of neonatal mortality as more than one million die because of pre-term birth. Premature neonates who survive have significantly higher risk of developing serious complications such as cardiovascular, respiratory dysfunction, motor and intellectual deficiencies. Objective: The aim of our study is to evaluate the role of ultrasonographic measurement of myometrial thickness, cervical length, presence of funneling and cervical position in prediction of preterm labor. Study Design: Our prospective observational study included a sample of 100 pregnant women divided into 2 groups, group A (50 pregnant women who had previous preterm labor) and …

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Pulmonary Complications Of Antiviral Drugs (Sofosbuvir And Daclatasvir) Used In Treatment Of Patients With Chronic Hepatitis C Virus, Eid Mohammed, Ibrahim Mohsen, Talaat Arafa, Diaa Elteiby Mar 2020

Pulmonary Complications Of Antiviral Drugs (Sofosbuvir And Daclatasvir) Used In Treatment Of Patients With Chronic Hepatitis C Virus, Eid Mohammed, Ibrahim Mohsen, Talaat Arafa, Diaa Elteiby

Al-Azhar International Medical Journal

Background: Egypt has one of the highest hepatitis C virus (HCV) prevalence rates in the world, which led the government to strive to control it. The national guidelines for chronic HCV treatment had been modified to be interferon-free regimens by giving, the pan-genotypic direct acting antiviral agents (DAAs), sofosbuvir plus daclatasvir with or without ribavirin regimen. Aim of the study: Evaluation of the development of any considerable pulmonary complications among Egyptian patients receiving the combination of sofosbuvir plus daclatasvir for the treatment of chronic HCV infection. Patients and Methods: The study included fifty patients with chronic HCV who were planned …

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Role Of Lung Point Navigation Bronchoscopy In The Diagnosis Of Pulmonary Nodule, Mohamed El-Sayed, Yasser El-Sayed, Fareed Basiony, Ali Abdelkhalek Mar 2020

Role Of Lung Point Navigation Bronchoscopy In The Diagnosis Of Pulmonary Nodule, Mohamed El-Sayed, Yasser El-Sayed, Fareed Basiony, Ali Abdelkhalek

Al-Azhar International Medical Journal

Background: Pulmonary nodules are one of the most common thoracic imaging abnormalities. A revised estimate of over 1 million nodules are detected each year as an incidental finding, either on chest radiographs or thoracic computed tomography (CT) scans However, an accurate diagnosis from these small, peripheral lung lesions can still be challenging with the use of conventional procedures.The lung point navigation bronchoscopy seems safe and effective. Navigation support with fluoroscopic guidance more successful in sampling small Solitary Pulmonary Nodules, increasing the likelihood of a diagnosis and decreasing the need for surgical biopsy . Aim of the work: To detect the …

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Role Of Diffusion Weighted Mri In Evaluation Of Orbital Lesions, Ayman Soliman, Mohammed Aggag, Abdallah Abdelgawwad, Wafik Aly, Ayda Yossef Mar 2020

Role Of Diffusion Weighted Mri In Evaluation Of Orbital Lesions, Ayman Soliman, Mohammed Aggag, Abdallah Abdelgawwad, Wafik Aly, Ayda Yossef

Al-Azhar International Medical Journal

Background: Orbital lesions represent a spectrum of benign and malignant lesions in adults and children that can be challenging to diagnose and treat. Magnetic resonance imaging is a powerful tool for imaging the orbit, due to the excellent tissue contrast it provides. Aim: To evaluate the ability of Diffusion-Weighted MRI in the characterization of the orbital lesions. Patients and methods: We evaluated 50 patients with 25 malignant and 25 benign orbital lesion. MR examinations were performed with a 1.5-T system. Diffusion-weighted single-shot EPI images were obtained in all patients. The apparent diffusion coefficient (ADC) was calculated and correlated with the …

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Diagnostic Value Of Serum Procalcitonin Level In Hcv Cirrhotic Patients With Spontaneous Bacterial Peritonitis, Mahmoud Ahmed Ismail, Nader Mostafa, Islam Mawla Ammar, Mohammed Ibrahim Mar 2020

Diagnostic Value Of Serum Procalcitonin Level In Hcv Cirrhotic Patients With Spontaneous Bacterial Peritonitis, Mahmoud Ahmed Ismail, Nader Mostafa, Islam Mawla Ammar, Mohammed Ibrahim

Al-Azhar International Medical Journal

Background: Early diagnosis and prompt treatment of spontaneous bacterial peritonitis (SBP) due to end-stage liver disease is vital to shorten hospital stays and reduce mortality. Many studies have explored the potential usefulness of serum procalcitonin (PCT) in predicting SBP. Objective: to evaluate the overall diagnostic accuracy of PCT levels for identifying SBP due to end-stage liver disease. Patients and Methods: A prospective case control study was conducted on 60 post-HCV cirrhotic patients and 20 normal individuals (54 M and 26 F), at internal medicine department, Zagazig General Hospital. Full history, routine, physical examination and special investigations were taking. Results: The …

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Spirometric Parameters In Patient With Allergic Rhinitis, Mohamed El-Sayed, Ahmed Seleim, Ismail Al Wakail, Mohamed Amer Mar 2020

Spirometric Parameters In Patient With Allergic Rhinitis, Mohamed El-Sayed, Ahmed Seleim, Ismail Al Wakail, Mohamed Amer

Al-Azhar International Medical Journal

Abstract Background : the link between allergic rhinitis(AR) and asthma has been confirmed. AR is a risk factor for the onset of asthma . Spirometry is a noninvasive method to evaluate lower respiratory system function in AR patients. The aim of the study: to evaluate spirometric lung function and response to post- bronchodilatation test in patient with AR. Methods: This prospective cross sectional study carried out on 100 patients with persistent AR. Spirometry ,post- bronchdilatation test, serum total IgE and eosinophils in blood and sputum were performed for all patients. Results: Our results reconfirming the concept of "a single air …

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The Prevalence Of Sonographically Thick Placenta And Its Effect On The Fetal And Maternal Outcome, Ahmed Altagy, Ahmed Abdelmotaal, Ibrahim Ibrahim Hassan Alhateem Mar 2020

The Prevalence Of Sonographically Thick Placenta And Its Effect On The Fetal And Maternal Outcome, Ahmed Altagy, Ahmed Abdelmotaal, Ibrahim Ibrahim Hassan Alhateem

Al-Azhar International Medical Journal

Abstract Background: The placenta, is responsible for the nutritive, respiratory and excretory functions of the fetus. It is often overlooked in the routine evaluation of the normal gestation, receiving attention only when an abnormality is detected. Aim of work: to determine the prevalence of sonographically thick placenta and the relation of thick placenta to fetal & maternal outcome. Patients and methods: prospective study included 25 pregnant women with thick placenta, attending to El-Hussein Obstetric outpatient clinics, as group A. 25 pregnant women with normal placental thickness were included as group B. US examination was recorded at 2nd and 3rd trimesters. …

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Association Between Portal Vein Colored Doppler Ultrasound Findings And Severity Of Liver Disease In Cirrhotic Patients With Portal Hypertension, Islam Heikal Mar 2020

Association Between Portal Vein Colored Doppler Ultrasound Findings And Severity Of Liver Disease In Cirrhotic Patients With Portal Hypertension, Islam Heikal

Al-Azhar International Medical Journal

Background: Chronic liver disease is a heterogeneous and dynamic condition. So, noninvasive estimations of the condition and changes in portal hypertension and hepatic fibrosis are important in management of this disease. Aim of the Work: to correlate between color Doppler ultrasound findings of portal vein and severity of liver disease in cirrhotic patients with portal hypertension in the prediction of the future clinical outcomes and prognosis. Patients and Methods: This study was conducted on 50 patients attending to Al-Hussein University hospital and Damanhur Fever hospital during the time of the study who were divided into groups: Control and Child (A, …

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The Predictive Ability Of Response To First Dose Of Tamsulosin In Symptomatic Patient With Benign Prostatic Obstruction, Rabea Mohamed, Ahmed Soliman, Mohammed Mabrouk Mar 2020

The Predictive Ability Of Response To First Dose Of Tamsulosin In Symptomatic Patient With Benign Prostatic Obstruction, Rabea Mohamed, Ahmed Soliman, Mohammed Mabrouk

Al-Azhar International Medical Journal

ABSTRACT OBJECTIVES: To study the effects of the first single dose of tamsulosin 0.4 mg on lower urinary symptoms tract (LUTS) in patients with benign prostatic hyperplasia (BPH) as an indication of the response at 3 months after treatment. PATIENTS AND METHODS: This was a prospective study that included patients> 45 years old with LUTS / BPH. In all patients, tamsulosin was administered orally 0.4 mg once a day for 3 months. The degree of international prostate symptoms (IPSS), quality of life (QoL), residual urine volume (PVR) and maximum urine flow rate (Q max) were measured before treatment, 6 hours, …

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Effect Of Cortical Mastoidectomy On Audiological Outcomes In Mucosal Chronic Otitis Media, Mohamed Baz Mar 2020

Effect Of Cortical Mastoidectomy On Audiological Outcomes In Mucosal Chronic Otitis Media, Mohamed Baz

Al-Azhar International Medical Journal

Background: Otitis media is an inflammation of a part or whole of the mucoperiosteal lining of the middle ear cleft. The role of mastoidectomy in the treatment of mucosal chronic otitis media has remained controversial especially when there is no evidence of active infection. Aim of work: To evaluate the impact of cortical mastoidectomy in the management of mucosal chronic otitis media in terms of graft uptake and hearing improvement. Patients and methods: A prospective, randomized controlled trial of 30 patients with uncomplicated mucosal chronic otitis media were allocated at random to either group of 15 patients each. Patients in …

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Otomycosis In Immunocompetent And Immunocompromised Patients, Wafaey Mohammed, Ibrhim Eldsoky, Ahmed Abdo Mar 2020

Otomycosis In Immunocompetent And Immunocompromised Patients, Wafaey Mohammed, Ibrhim Eldsoky, Ahmed Abdo

Al-Azhar International Medical Journal

Background: Otomycosis has typically been described as fungal infection of the external auditory canal with infrequent complications involving the middle ear. Fungi causes 10% of all cases of otitis external Objective: To detect the most common causative fungi in immunocompetent and immunocompromised patients and the role of local treatment versus systemic treatment. Patients and method: This study is a prospective study. Among many patients presented in Al-Azher university hospitals, 125 patients were selected in this study. The patients were divided into two groups. Group A immunocompetent patients and group B immunocompromised patients. Results: The results of clinical feature show that …

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Gnrh Agonis Short Protocol Versus Gnrh Antagonist Flexible Protocols In Poor Responder Undergoing In Vitro Fertilization Treatment., Aly Elboghdady Adel Mar 2020

Gnrh Agonis Short Protocol Versus Gnrh Antagonist Flexible Protocols In Poor Responder Undergoing In Vitro Fertilization Treatment., Aly Elboghdady Adel

Al-Azhar International Medical Journal

Objective: To compare the short agonist and flexible antagonist protocols in the management of poor responders to standerd long down regulation protocol. Design: Randomized prospective comparative study. Setting: private IVF center(Engab). Patient(s): One hundred poor-responder (IVF)(ICSI), who responded poorly to the standerd long down- regulation protocol in their first treatment cycle. Intervention(s): Peak serum E2 was assayed on the day of hCG administration. Main Outcome Measure(s): primary outcome: number of HMG ampoules used, peak E2 at the triggering day, number of oocytes retrieved, number of metaphase II oocytes, fertilization rate, embryo quality and number of embryos transferred.cycle cancellation. secondary outcome: …

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Myocardial Preconditioning By Intracoronary Adenosine Before Elective Percutaneous Coronary Intervention (Short Term Outcome), Yasser Bahnacy Mar 2020

Myocardial Preconditioning By Intracoronary Adenosine Before Elective Percutaneous Coronary Intervention (Short Term Outcome), Yasser Bahnacy

Al-Azhar International Medical Journal

Background and Purpose: Pre- and post-conditioning by transient episodes of ischemia render the myocardium more resistant to subsequent ischemia, a phenomenon known as ischemic pre-conditioning. This effect is thought to be partly mediated by endogenous adenosine. The aim of the study was to investigate the efficacy and safety of intracoronary adenosine on myocardial perfusion in patients schedule for elective percutaneous coronary intervention. Methods: A prospective observational comparative study of 120 patients with coronary artery disease scheduled for elective percutaneous coronary intervention. Patients were randomly to receive intracoronary adenosine (n = 60 ) or placebo (n= 60), both groups were compared …

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Assessment Of Diastolic Dysfunction In Patients With Atrial Fibrillation Mar 2020

Assessment Of Diastolic Dysfunction In Patients With Atrial Fibrillation

Al-Azhar International Medical Journal

Objective and aim of the work: Atrial fibrillation (AF) is the most frequently encountered arrhythmia in clinical practice. Detection of concurrent diastolic dysfunction (DD) may be beneficial in patients with persistent AF. So the aim of the study was to evaluate the best echocardiographic parameter to assess diastolic function in patients with AF. Methods: The study population consisted of 80 AF patients who were candidate for diagnostic coronary angiography or PCI. During the invasive procedure, the left ventricular end diastolic pressure (LVEDP) was measured then all patients underwent routine clinical and appropriate mitral flow and tissue Doppler velocities as well …

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The Effect Of Laparscopic Sleeve Gasterectomy On Vitamin D, Calcium And Fat Metabolism, Ahmed Nabil Mar 2020

The Effect Of Laparscopic Sleeve Gasterectomy On Vitamin D, Calcium And Fat Metabolism, Ahmed Nabil

Al-Azhar International Medical Journal

Abstract Background: Obesity, defined as a body mass index >30 kg/m2, is a growing worldwide epidemic currently effecting 1 in 10 adults, with rates as high as 40% in the United States. Aim of the work: To study the effect of sleeve gastrectomy on vitamin(D), Calcium, Cholesterol and Triglyceride homeostasis with early detection of abnormalities and their proper management. Patients and Methods: This prospective case series study was carried out on 40 morbidly obese patients at the surgical departments in Kasr Al-ainy and Sayed Galal Hospitals. These patients underwent sleeve gastrectomy operation by the standard technique and preoperative (immediately before …

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Opioid Free Anesthesia In Patients Undergoing Three-Ports Laparoscopic Cholecystectomy, Manal Abdelmoniem, Horia Farran, Swsan Soliman, Mohamed Alfy Feb 2020

Opioid Free Anesthesia In Patients Undergoing Three-Ports Laparoscopic Cholecystectomy, Manal Abdelmoniem, Horia Farran, Swsan Soliman, Mohamed Alfy

Al-Azhar International Medical Journal

Abstract Background: After considerable experience with laparoscopic cholecystectomy (LC) using four ports, Authors began the three‐port LC. Opioid free anesthesia OFA means a technique in which no intraoperative opioid is administered through any route. Objectives: Study aims to assess both of the safety while using 3 ports during the laparoscopic cholecystectomy procedures and the efficiency of the Opioid Free Anesthesia throughout the perioperative period. Patients and Methods: Patients were scheduled for elective laparoscopic cholecystectomy and classified randomly into two groups, each one contained 25 patients. Group one has submitted for Opioid Based Anesthesia protocol and group two has submitted to …

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Placenta Previa And Risk Of Congenital Malformations Among Singleton Births, Asem Anwar, Abdelsattar Farhan, Tamer Zalat Feb 2020

Placenta Previa And Risk Of Congenital Malformations Among Singleton Births, Asem Anwar, Abdelsattar Farhan, Tamer Zalat

Al-Azhar International Medical Journal

Background: Placenta previa constitutes a major complication in pregnancy, with implantation differences in relation to whether it covers or lies close to the internal os of the cervix. Objective: The aim of our study was to examine the association between placenta previa and congenital malformations among singleton births. Materials and methods: In our study, which was conducted on 90223 patients admitted from three tertiary university-affiliated and teaching Hospitals [Bab El-Shaareia University Hospital_Al Mataria Teaching Hospital_ El Galaa Teaching Hospital] in the period from 2012 to 2015 their age ranged from 16 – 47 years. Results: In comparison between both groups …

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Evaluation Of The Accuracy Of Low Dose Ct In The Detection Of Urolithiasis In Comparison To Standard Dose Ct, Amany Soliman, Lobna Sakr Feb 2020

Evaluation Of The Accuracy Of Low Dose Ct In The Detection Of Urolithiasis In Comparison To Standard Dose Ct, Amany Soliman, Lobna Sakr

Al-Azhar International Medical Journal

Objective: This study aims to evaluate the sensitivity, specificity, and accuracy of low dose CT in the detection of urolithiasis in comparison with standard-dose CT as a reference test. Materials and Methods: This prospective randomized study was conducted on 30 patients with suspected renal colic undergone standard and low dose CT from September 2018 to September 2019 at AL-Zahraa University Hospital. The patients were scanned by the Toshiba CT system, 160 slices using automated tube current modulation; the computed tomography was performed without oral or intravenous contrast. Results: This study enrolled 30 patients who had renal colic symptoms and signs …

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Genotypic Prevalence Of Cryptosporidium In Egyptian Patients With Liver Cirrhosis, Mohamed Abo-Mandil, Samir Alshahat, Ayman El-Badry, Anwar El-Sheety, Mohamed El-Faramawy, Nabil Ismael Feb 2020

Genotypic Prevalence Of Cryptosporidium In Egyptian Patients With Liver Cirrhosis, Mohamed Abo-Mandil, Samir Alshahat, Ayman El-Badry, Anwar El-Sheety, Mohamed El-Faramawy, Nabil Ismael

Al-Azhar International Medical Journal

Background: Liver cirrhotic patients usually suffer from compromised immunity which makes them more susceptible to pathogens including Cryptosporidium. Objective: To detect the genotypic prevalence of Cryptosporidium species among cirrhotic liver Egyptians. Also, to explore the association between the parasite and grades of liver cirrhosis and related patient's data. Material and Methods: From September 2015 to January 2017, a cross-sectional study was carried out on a study group of 60 cirrhotic patients (HCV and HBV positive) attending the outpatient clinics of Hepatology, Gastroenterology, and Infectious diseases Department, Al-Azhar University Hospitals, Cairo, as well as a control matched group of 60 subjects. …

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Enhanced Recovery Program After Colorectal Surgery, Hatem Elsayed Feb 2020

Enhanced Recovery Program After Colorectal Surgery, Hatem Elsayed

Al-Azhar International Medical Journal

Abstract Background: Patient undergoing major gastro-intestinal tract surgery are at risk of nutritional depletion due to surgical stress, inadequate nutritional intake and subsequent increase in metabolic rate. The aim of this work is to evaluate the outcome of early oral feeding, balanced analgesia and enforced mobilization, which are integral parts of fast track rehabilitation program of colorectal surgery, versus delayed oral feeding and regular forms of mobilization and pain control in patients undergoing colorectal surgery. Patients and methods: These study was a prospective randomized clinical trial included 40 patient’s undergoing colorectal surgery. Results: Group II showed a high statistically significant …

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Efficacy Of Iron Oxide Nanoparticles In Diagnosis Of Schistosomiasis, Ibrahim Aly Feb 2020

Efficacy Of Iron Oxide Nanoparticles In Diagnosis Of Schistosomiasis, Ibrahim Aly

Al-Azhar International Medical Journal

ABSTRACT Background: One of the worldwide major public health problems is urinary schistosomiasis that is caused by Schistosoma heamatobium. There are several immunodiagnostic methods used for that diagnosis of such disease, but some are more sensitive and specific than others. The tegumental Schistosoma-specific protein detection in serum samples is found out to be more valuable in diagnosis. Aim of the Work: To evaluate the efficacy of iron oxide nanoparticle for diagnosis of human schistosomiasis infections and to compare between ELISA-based iron oxide nanoparticle and traditional sandwich ELISA. Material and Methods: The tegumental antigen was purified from whole worms by DEAE-Sephadex …

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