The Scientific Journal of Al-Azhar Medical Faculty, Girls最新文献

{"title":"High-resolution ultrasound versus MRI in evaluation of triangular fibrocartilage complex","authors":"Nahla Elreweiny, Emam Abd-Elaziz, M. Khaled","doi":"10.4103/sjamf.sjamf_49_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_49_21","url":null,"abstract":"Introduction Pain on the ulnar side of the wrist is a complex diagnostic dilemma and the triangular fibrocartilage complex provides much needed support to the wrist, and extensor carpi ulnaris (ECU) tendon is part of the complex. The most important investigations to diagnose wrist pathologies include ultrasound, computed tomography, and MRI. Aim The aim of this study is to evaluate the diagnostic performance of both ultrasonography and MRI findings in ECU tendon part of triangular fibrocartilage complex. Patients and methods This control study was carried out on 50 patients with ulnar side wrist pain. The study was conducted in the period from May 2018 to May 2020 at the Radiology Department and approved by the Ethics Committee, and all patients gave their informed consent before inclusion in the study. Results were collected then analyzed using a specialized computer statistical program. Results MRI detected ECU injury in 13 joints, whereas ultrasound detected it in 17 joints. They both agreed in 46 joints. MRI missed four joints with ECU injury detected by ultrasound. Statistical analysis of the results showed a highly significant agreement (P value) between both MRI and ultrasound in the detection of ECU injury. Conclusion Both MRI and musculoskeletal ultrasound have complimentary roles in the evaluation of different causes of ulnar sided wrist pain. Musculoskeletal ultrasound is highly recommended for the examination of tendons and inflammatory changes of the wrist.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87601237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tragal cartilage versus tragal perichondrial graft in tympanoplasty type 1","authors":"M. Hasan, S. Mekhemer, Huda Ibraheim, Bothina Mohamed","doi":"10.4103/sjamf.sjamf_86_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_86_21","url":null,"abstract":"Background Chronic suppurative otitis media is a common health problem. It causes tympanic membrane perforation, otorrhea, and conductive hearing loss. Type 1 tympanoplasty is a common otological procedure done to eliminate the infection and improve hearing and quality of life. Objective To compare graft uptake and hearing outcome using autologous grafts (tragal cartilage, temporalis fascia (control group), and tragal perichondrium) in tympanoplasty type 1. Patients and methods A total of 45 patients with chronic suppurative otitis media were included in this comparative study. They were divided into three groups, with 15 patients in each group: group A received tragal cartilage graft, group B received temporalis fascia graft (control group), and group C received tragal perichondrial graft. Patients were subjected to detailed history taking, proper clinical examination, routine blood investigations, audiometry, and tympanometry preoperatively. They underwent underlay tympanoplasty type 1. Postoperative follow-up was done after 3 months by otoscopy to evaluate graft uptake and hearing outcome by audiometry, and results were compared. Results Graft uptake was 93.3% in the cartilage group, 73.3% in fascia (control) group, and 66.7% in perichondrium group. There was hearing improvement in cartilage group than fascia (control) group, which was better than perichondrium group, with no statistically significant difference among the three groups regarding graft uptake (P=0.188) or hearing gain. Conclusion Graft uptake and hearing improvement were better with tragal cartilage graft in comparison with fascia (control group) and perichondrium grafts, with no statistically significant difference between them.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73172530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of nutritional deficiencies and health-related quality of life during the first year after laparoscopic sleeve gastrectomy and laparoscopic mini-gastric bypass","authors":"Mohammed Ahmed, El Saied Ahmed Mostafa, M. A. Razik","doi":"10.4103/sjamf.sjamf_56_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_56_21","url":null,"abstract":"Background Nutritional deficiencies and health-related quality of life represent a major concern after bariatric procedures and can cause serious complications. Bariatric procedures have different effects on the domains of quality of life. Objective To prospectively compare between the effects of laparoscopic sleeve gastrectomy (LSG) and laparoscopic mini-gastric bypass (LMGB) on nutritional deficiencies and quality of life during the first postoperative year. Patients and methods We included 40 patients. In the first group, 20 patients underwent LSG, whereas 20 patients in the second group underwent LMGB. Postoperative assessment of nutritional parameters and quality of life was performed every 3 months. Quality of life was assessed using bariatric analysis and reporting outcome system (BAROS) and short form-12 questionnaires. Results All nutritional parameters showed significant decrease with more significant deficiencies after LMGB. Quality of life improved significantly after both procedures. Using BAROS questionnaire, LMGB was associated with significant better results. Conclusion LSG and LMGB are associated with significant decrease of nutritional parameters and significant improvement of quality of life. However, LMGB is associated with significantly more nutritional deficiencies and better improvement of quality of life than LSG.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74915030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study between endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography in diagnosis of biliary obstruction","authors":"S. Salama, Mona R. Elaziz, Sabry Alfathah, N. Elgendy","doi":"10.4103/sjamf.sjamf_27_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_27_21","url":null,"abstract":"Introduction Endoscopic ultrasound (EUS) is a diagnostic procedure that continues to have greater clinical applications. EUS performed before endoscopic retrograde cholangiopancreatography (ERCP) in patients with obstructive jaundice can reduce morbidity and mortality. Aim This study aimed to compare the diagnostic accuracy of both EUS and ERCP as combined or individual procedures in 30 patients diagnosed with biliary obstruction. Patients and methods From January 2017 to December 2019 in Al Azhar University Hospitals in Cairo, we recruited 30 patients with obstructive jaundice. All the patients underwent clinical examination, laboratory investigations, and abdominal US followed by EUS and ERCP procedures at the same session, and EUS findings were compared with that of ERCP. Results The diagnostic accuracy of EUS was as follows: choledocholithiasis in 92%, and malignant lesions in 95%. EUS showed pathology in 47.3% of patients who had an unknown pathology in biliary system at initial investigations. The overall diagnostic performance of EUS shows that the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 90.9, 89, 91.7, 95, and 93.5%, respectively. Regarding common bile duct stone (s), by ERCP, it was present in 13 (43.3%) cases, whereas by EUS, it was present in 12 (40%) cases. Regarding malignant lesions (ampullary tumor, cholangiocarcinoma, and pancreatic tumor), by ERCP, they were present in four (13.3%), seven (23.3%), three (10%) cases, respectively, whereas by EUS, they were present in five (16.6), six (20%), and five (16.6) cases, respectively. The complication rate was 3.3%. Conclusions EUS established high diagnostic accuracy in diagnosing the causes of obstructive jaundice, with no statistically significant difference between ERCP and EUS findings. This accurately guided ERCP need and avoided needless ERCP. EUS and ERCP in a single session for treatment of obstructive jaundice is scientifically valuable.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73691852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between the size, site, and type of vocal fold polyp and voice quality, before and after laryngeal microsurgery","authors":"S. Kadah, Yossra Sallam, Bothina Mohamed, Hend Zakzouk","doi":"10.4103/sjamf.sjamf_64_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_64_21","url":null,"abstract":"Introduction Vocal fold polyps have detrimental effects on voice quality. These effects vary according to their site, size, and histopathological type. Patients and methods This observational prospective study was performed on 30 patients with unilateral vocal fold polyp. Their voice quality was analyzed perceptually and acoustically preoperatively and 3 and 6 weeks postoperatively. Results of voice analysis were studied against polyp size (small ≤3 mm and large >3 mm), site (anterior and middle), and histopathological type (fibrous, edematous, and vascular). Results Results showed that Jt-per, Sh-per, and HNR were significantly affected in large anterior vascular polyps both preoperatively (P=0.023, 0.008, and 0.034, respectively) and postoperatively, together with large anterior edematous polyps (P=0.002, 0.004, and 0.025, respectively). In addition, grade of dysphonia showed significant improvement in second follow-up in edematous and vascular anterior large polyps than fibrous ones (P=0.027). Discussion/conclusion Small polyps have the least effect on voice quality regardless of its site and histopathological type preoperatively. Large anterior edematous polyps have the worst effect on voice quality with subsequently most significant improvement postoperatively.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91417121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of multidetector computed tomography in evaluation of intestinal diseases in adults","authors":"Hend Elsayed Sharaf, Heba Glal, M. Zarad, Nahed A. Abdellatif","doi":"10.4103/sjamf.sjamf_59_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_59_21","url":null,"abstract":"Introduction Many diseases affect the intestine and need dedicated evaluation and proper characterization by continuous advances in multidetector computed tomography (MDCT) techniques. Objective To emphasize the role of MDCT in evaluation of different intestinal disorders in adults. Patients and methods An MDCT was performed on patients referred to the Radiology Department for diagnosis of suspected intestinal diseases at Zahra Hospital and private radiology centers from September 2018 to September 2020. Patients’ selection was based on the need for evaluation of suspected intestinal diseases in adults that were not precisely diagnosed. We used a 128-GE MDCT and 160-Toshiba MDCT. Results A total of 92 patients were included. The mean age of the patients was 47.71±15.66 years, and 67.4% were males. Abdominal pain represented the highest distribution (58.7%) of clinical presentation, whereas abdominal trauma and heart burn represented the lowest distribution (1.1%). Cases with malignancy have the highest distribution of pathological abnormalities (28%), whereas cases with intestinal ischemia have the lowest distribution (1.1%). The most common site for intestinal lesion was large intestine (71.7%), whereas lesions of both small and large intestine represented lowest distribution (8.7%). In addition, 95.7% of the cases had intestinal wall thickening. White pattern represented the highest distribution of enhancement (43.5%), whereas homogenous pattern represented lowest distribution (3.3%) (P<0.05). Besides, segmental pattern represented the highest distribution of large-bowel extension (33.75%), and diffuse pattern represented lowest distribution (23.9%). Conclusion Our results showed MDCT is an accurate and sensitive tool that aids in the diagnosis of a wide range of intestinal diseases.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91443368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study between open preperitoneal mesh and Lichtenstein’s mesh in inguinal hernia repair","authors":"Mohamed Hefida, M. Razek, H. Youssef","doi":"10.4103/sjamf.sjamf_57_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_57_21","url":null,"abstract":"Background There is still a great debate regarding the optimal approach for inguinal hernial repair. Objective This study aims to compare between the preperitoneal and Lichtenstein approaches in the management of inguinal hernias. Patients and methods We included 50 cases that were randomly divided into two groups: the first group included 25 cases that underwent the preperitoneal repair, whereas the other group included the remaining cases that underwent Lichtenstein repair. Results Intraoperative bleeding was encountered more in the preperitoneal group. Regarding complications, seroma and scrotal edema were encountered more in the Lichtenstein group (P<0.05). Moreover, chronic inguinal pain was more prevalent in the same group. Conclusion Preperitoneal mesh repair offers more advantages over Lichtenstein repair, especially regarding seroma, scrotal edema, and chronic inguinal pain.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75639766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of letrozole plus misoprostol in terminating nonviable first-trimester pregnancies","authors":"G. Hanaa Nada, Rania Abdel Wahed, Iman Al Noor","doi":"10.4103/sjamf.sjamf_29_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_29_21","url":null,"abstract":"Background The abortion rate is roughly 15–20%, and it is the most common complication of early pregnancy in humans. Over the past decade, medical termination of pregnancy in the first-trimester gained popularity with the highly effective regimen combining mifepristone and misoprostol. Objective The aim of this study is to evaluate the effect of letrozole plus misoprostol to terminate nonviable pregnancies in first-trimester compared with the use of misoprostol alone. Patients and methods This was a single-blind randomized controlled study conducted at Itay El-Baroud General Hospital, where 90 pregnant women diagnosed as missed abortions were approached and divided into two groups. Group A included 45 women who received letrozole 10 mg daily for 3 days before receiving 600 μg misoprostol orally. Group B included 45 women who received four tablets of placebo for 3 days before receiving 600 μg of oral misoprostol. Results There were significant differences between the two groups, with better outcomes found for the letrozole group in terms of complete abortion rate, decreased rate of surgical intervention, and decreased major adverse effects compared with misoprostol alone. Conclusion The use of 10 mg daily for 3 days of oral letrozole combined with 600 μg of oral misoprostol in missed abortion can significantly the increase rate of complete abortion, decrease surgical intervention, decrease blood loss, decrease the time to induce abortion, and decrease the major adverse effects when compared with misoprostol alone.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76387374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of multislice computed tomography in assessment of epicardial adipose tissue in coronary artery diseases","authors":"B. Badran, Emam Abdel-Aziz, I. Helmy, E. Mohamed","doi":"10.4103/sjamf.sjamf_67_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_67_21","url":null,"abstract":"Background This study aims to evaluate the relationship between epicardial fat volume and the severity of coronary artery disease (CAD) using multislice computed tomography (CT) coronary angiography. Patients and methods This was prospective study conducted in Misr Radiology Center, International Medical Center, and National Heart Institute and included 70 patients with clinical suspicious of CAD. They were aged from 35 to 73 years, with a mean age of 53.6±9.6 years. Results The study was performed on 70 patients with clinical suspicion of CAD. They were referred to undergo CT coronary angiography in the period from January 2018 to December 2019. They aged from 35 to 73 years, with a mean age of 53.6±9.6 years. Conclusion In our study, we found that epicardial fat volume is associated with presence and degree of CAD, although most multidetector CT fat depot measurements showed good association and correlation with grade of CAD.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87351851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental enteropathy and malnutrition in pre-school stunted children","authors":"P. Mahmoud, Hoda Salah Elden, G. Ahmed, Azza Lofty","doi":"10.4103/sjamf.sjamf_70_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_70_21","url":null,"abstract":"Background Stunting is a common health problem that affects approximately one-third of children in developing countries. Environmental enteropathy is defined as an inflammatory condition of the gut, which is commonly presented in low-income countries that leads to intestinal malabsorption. Aim To study some risk factors of Environmental enteropathy in stunted children owing to malnutrition in the pre-school age (2–5 years). Patients and methods Our study was a cross-sectional study that was conducted on one group of 80 children aged from 2 to 5 years, who were diagnosed to have stunting owing to malnutrition. Their height-for-age was below −2 SD according to the WHO growth curves, matched regarding sex and age. They were from the National Nutrition Institute and attended the stunting clinic every Monday and Thursday from July 2017 to October 2019. Results There was a statistically significant difference between stool analysis and neopterin level (P=0.0035). A higher level of neopterin was among those with Entamoeba histolytica infection. Moreover, there was a statistically significant difference between the frequency of sweets and snack intake and neopterin level (P=0.001). Higher levels were among daily sweet intake. There was a positive correlation between neopterin level and age of starting weaning (P=0.006), whereas a negative correlation with duration of absolute breastfeeding (P=0.049). Conclusion Neopterin level was high among children with intestinal infection of E. histolytica followed by oxyrious and giardia. Dietary habits of daily intake of unhealthy sweety snacks showed a high level of neopterin. Exclusive 6 months of breastfeeding had a negative correlation with neopterin level.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84052002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}