Al-Azhar International Medical Journal最新文献_第7页

Gestational Sac Size, Yolk Sac Size and Embryonic Cardiac Activity as Prognostic Factors of First Trimester Pregnancy Outcome 孕囊大小、卵黄囊大小和胚胎心脏活动作为早期妊娠结局的预后因素

Al-Azhar International Medical Journal Pub Date : 2023-02-01 DOI: 10.58675/2682-339x.1677

Hanaa Abd El-Moniem Younis, Reda Tawfik Mohamed, Aliaa Hussein Abd El-Aziz

{"title":"Gestational Sac Size, Yolk Sac Size and Embryonic Cardiac Activity as Prognostic Factors of First Trimester Pregnancy Outcome","authors":"Hanaa Abd El-Moniem Younis, Reda Tawfik Mohamed, Aliaa Hussein Abd El-Aziz","doi":"10.58675/2682-339x.1677","DOIUrl":"https://doi.org/10.58675/2682-339x.1677","url":null,"abstract":"Background : The accurate difference between normal pregnancy and abnormal pregnancy in early gestation remains a challenge clinically. Different studies have previously described the association between fetal well-being and gestational sac characteristics. Yolk sac ﬁ rst appears at 5 weeks gestation and becomes visible by ultrasound, while the fetal heart rate appears at 6 weeks gestation and these can be used as prognostic parameters for ﬁ rst-trimester outcomes in pregnancy. Study aim : Relation of the ultrasound parameters in early pregnancy (gestational sac size, yolk sac, and embryonic cardiac activity) to early fetal demise. Patients and methods : This was a hospital-based cross-sectional study conducted in the outpatient clinic and Emergency Department e Obstetrics and Gynecology Department e El Monera General Hospital on 100 pregnant women in their ﬁ rst trimester. Patients were subjected to general examination and abdominal and local clinical examination. Result : Gestational sac diameter at different gestational ages was signi ﬁ cantly higher among the ongoing pregnancy group compared with the pregnancy loss group. Conclusion : Based on our ﬁ ndings we concluded that yolk sac diameter, gestational sac diameter, Crown-rump length in different gestational ages, and cardiac activity at sixth and seventh weeks were signi ﬁ cantly higher among the ongoing pregnancy group; yolk sac diameter, gestational sac diameter, and fetal heart rate were signi ﬁ cant predictors for pregnancy loss.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132110703","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}

引用次数: 0

Prospective study of outcomes of Laparoscopic versus open splenectomy in hematological and benign splenic diseases 腹腔镜脾切除术与开放式脾切除术治疗血液病和良性脾疾病的前瞻性研究

Al-Azhar International Medical Journal Pub Date : 2023-01-08 DOI: 10.21608/aimj.2023.147614.2020

Abdullah Abohabib, Sayed Hamdy, Abdel‐Azeim Safwat

引用次数: 0

Prevalence and Impact of External Genitourinary Anomalies among Children undergoing routine Circumcision 接受常规包皮环切术的儿童外生殖器泌尿系统异常的患病率及影响

Al-Azhar International Medical Journal Pub Date : 2023-01-03 DOI: 10.21608/aimj.2023.150881.2048

H. Ibrahim, Mohamed Fahmy, Ashraf Seddek

引用次数: 0

Outcome of lumbar discectomy by using endoscopic interlaminar approach 内窥镜椎间入路腰椎间盘切除术的疗效

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1834

Ibrahim G. Ewaiss, Mostafa Aboelkhir, Abelgelel Ragab Abdelgelel Atta

引用次数: 0

The Role of New MRI Modalities in Diagnosis of Multiple Sclerosis 新的MRI模式在多发性硬化诊断中的作用

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1631

Ahmed Hamed Okaz, Abdellah Yassin, A. Zidan, M. Rashad

{"title":"The Role of New MRI Modalities in Diagnosis of Multiple Sclerosis","authors":"Ahmed Hamed Okaz, Abdellah Yassin, A. Zidan, M. Rashad","doi":"10.58675/2682-339x.1631","DOIUrl":"https://doi.org/10.58675/2682-339x.1631","url":null,"abstract":"Background : Although clinical data are still used to suspect multiple sclerosis (MS), MRI is now included in the disease ' s clinical prognosis. Aim : To evaluate the clinical importance of recent MRI techniques in MS. Patients and methods : This study was conducted on 20 patients of both sexes having MS. All patients were evaluated by full history taking,clinical assessment, and MRI examination includingrecent MRI modalities; double inversion recovery (DIR); spectroscopy; ﬂ uid-attenuatedinversionrecovery(FLAIR)inaxial,sagittal,andcoronalplanes;anddiffusiontensorimaging. Results : We found that DIR and T2-weighted turbo spin echo (T2W-TSE) differed signi ﬁ cantly from FLAIR and T2W-TSE regarding white matter (WM)-gray matter (GM). DIR and FLAIR differed signi ﬁ cantly from DIR and T2W-TSE regarding WM-cerebrospinal ﬂ uid (CSF). DIR and FLAIR differed signi ﬁ cantly from DIR and T2W-TSE regarding GM-CSF. Moreover, FLAIR differed signi ﬁ cantly T2W-TSE regarding lesion-WM. DIR and FLAIR, DIR and T2W-TSE, and FLAIR and T2W-TSE differed signi ﬁ cantly regarding lesion-CSF. Conclusion : We can conclude that DIR can add a powerful diagnostic value or act as another option for standardized T2W and FLAIR. Therefore, we intensely recommended adding DIR imaging to imaging protocol of MS.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128983346","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}

引用次数: 0

Assessment of Fetal Head–Perineum Distance via Ultrasound as a Predictor of Successful Vaginal Delivery Preceding Labor Induction 超声评估胎儿头-会阴距离作为引产前阴道分娩成功的预测因子

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1725

Mohammed Mohammed Gebreil, A. El-Sadek, Ahmed Talaat Abd El-Ghaney Abo Elhasan

引用次数: 0

Effect of Tranexamic Acid and H2O2 on Blood Loss during Functional Endoscopic Sinus Surgery 氨甲环酸和H2O2对功能性内镜鼻窦手术出血量的影响

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1726

Al-Hadidy Salah S, Al-Morsy Mohammad A, Naeem Saad Mohey El-Din Mahmoud Al-Jamal

{"title":"Effect of Tranexamic Acid and H2O2 on Blood Loss during Functional Endoscopic Sinus Surgery","authors":"Al-Hadidy Salah S, Al-Morsy Mohammad A, Naeem Saad Mohey El-Din Mahmoud Al-Jamal","doi":"10.58675/2682-339x.1726","DOIUrl":"https://doi.org/10.58675/2682-339x.1726","url":null,"abstract":"Background : It might be dangerous and further obstruct the surgical ﬁ eld to have intraoperative bleeding during endoscopic sinus surgery (ESS). Tranexamic acid may be able to reduce bleeding during surgery. Aim : Assess the effect of topical TXA and hydrogen peroxide (H 2 O 2 ) solution on bleeding and improvement of surgical ﬁ eld during functional endoscopic sinus surgeries (FESS) in patients with chronic sinusitis with or without sino nasal polyposis. Patients and methods : 30 patients were included, for all the 30 patients, Pads soaked with TXA 5% was introduced in one side of the nasal cavity for 10 min then irrigation by 3% H 2 O 2 solution which was freshly prepared by a 50% dilution with a physiological saline solution. The other side of the nasal cavity was not receive pads of TXA nor H 2 O 2 and was only on controlled blood pressure during the operation. Result : There was statistically signi ﬁ cant difference between both sides with time reduced in applied side after the application of tranexamic acid and H 2 O 2 wash regarding surgical ﬁ eld by Boezaart grading,but it is non-signi ﬁ cant in control side. There were statistically signi ﬁ cant differences according to blood loss between both sides of the nose after application of tranexamic acid and H 2 O 2 wash either after 15, 30, and 45 min. Conclusion : The application of topical TXA with the irrigation with 3% H 2 O 2 may be a useful method for providing a suitable surgical ﬁ eld.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121548174","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}

引用次数: 0

Comparative study between Nano-surface Polyzene F and drug eluting stents in acute coronary syndrome patients with one-month dual antiplatelet therapy: Immediate and one-year clinical outcome. 纳米表面聚烯F与药物洗脱支架在急性冠状动脉综合征患者1个月双重抗血小板治疗中的比较研究:即时和1年临床结果

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1717

Hazem Arnous, Mamdouh Eltahhan, T. Ahmad, A. Fahmy, M. Sallam

{"title":"Comparative study between Nano-surface Polyzene F and drug eluting stents in acute coronary syndrome patients with one-month dual antiplatelet therapy: Immediate and one-year clinical outcome.","authors":"Hazem Arnous, Mamdouh Eltahhan, T. Ahmad, A. Fahmy, M. Sallam","doi":"10.58675/2682-339x.1717","DOIUrl":"https://doi.org/10.58675/2682-339x.1717","url":null,"abstract":"Background and objectives : The current clinical practice advocates dual antiplatelet therapy (DAPT) for a year after stent thrombosis (ST) segment elevation myocardial infarction (STEMI), primarily owing to persistent thrombotic risk. The novel COBRA PzF coronary stent was developed to reduce ST risk. The primary goal of the current research was to compare the ef ﬁ cacy and safety of the novel nanocoated PzF stenting with one-month DAPT against 12-month DAPT after the current drug-eluting stent (DES) in STEMI patients and single-vessel coronary artery disease (CAD). Patients and methods : A prospective observational study enrolled 100 cases presented with STEMI and single vessel CAD. Eligible patients were allocated into 2 groups; group I consisted of 50 patients managed with the COBRA PzF stent who received one-month DAPT. Group II consisted of 50 patients treated with DES who received one-year DAPT. The occurrence of ST was our primary endpoint. The secondary endpoints were target vessel revascularization and major adverse cerebro-cardiovascular occurrences throughout the year. Results : There were no observed cases of de ﬁ nite ST in group I against three in group II, however, it did not reach statistical signi ﬁ cance ( P ¼ 0.094) The incidence of target vessel revascularization (6% against 10%), death (2% versus 4%), stroke (0 versus 2%) and major bleeding (0% versus 4%) observed in group I and II, respectively, however, it did not reach statistical signi ﬁ cance. Conclusion : The COBRA Polyzene-F stent with one-month DAPT met the performance goals for ST in patients presenting with STEMI with single vessel CAD and compared favorably with the commercially available DES with one-year DAPT.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131372311","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}

引用次数: 0

EFFECT OF LEVOSEMINDAN ON OUTCOME OF CORONARY ARTERY BYPASS GRAFTING SURGERY IN PATIENT WITH IMPAIRED LEFT VENTRICULAR SYSTOLIC FUNCTION 左旋谢门丹对左心室收缩功能受损患者冠状动脉搭桥术疗效的影响

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1672

K. Abdallah, Zakaria Moustafa Elmashtoly, Bahaa A. Elkhonezy

{"title":"EFFECT OF LEVOSEMINDAN ON OUTCOME OF CORONARY ARTERY BYPASS GRAFTING SURGERY IN PATIENT WITH IMPAIRED LEFT VENTRICULAR SYSTOLIC FUNCTION","authors":"K. Abdallah, Zakaria Moustafa Elmashtoly, Bahaa A. Elkhonezy","doi":"10.58675/2682-339x.1672","DOIUrl":"https://doi.org/10.58675/2682-339x.1672","url":null,"abstract":"Background : Coronary artery bypass grafting (CABG) is often complicated by hemodynamic instability, especially in cases with decreased left ventricular ejection fraction (LVEF). Levosimendan as an inotropic agent can be used in those patients. Objective : The aim was to assess morbidity and mortality rates up to 6 months following CABG surgery in patients with LVEF equals 35%, who were given levosimendan. Patients and methods : A total of 40 patients with preoperative LVEF less than or equal to 35% who underwent elective CABG were retrospectively analyzed between March 2020 and April 2022 at Al-Azhar University Hospitals. Levosi-mendan was u continuously given as a bolus-free infusion at a rate of 0.05 e 0.2 m g/kg/min before surgery. Hemodynamic and outcome parameters were registered and statistically analyzed. Results : A signi ﬁ cant improvement was recorded in ejection fraction percentage from 32.8 to 35.9% and then 39.4% after 1 week and 6 months, respectively; it was associated with signi ﬁ cant increase in cardiac output from 5.22 to 6.3 l/ min and 6.1 l/min after 1 week and 6 months, respectively. Mean arterial pressure was also increased from 63.44 to 80.4 mm Hg and 84.6 mm Hg after 1 week and 6 months, respectively. Overall, 80% of patients showed no complications, whereas 5% of them had low cardiac output syndrome, 5% needed intra-aortic balloon pump (IABP), 5% rapid atrial ﬁ brillation, and 5% needed reoperation due to bleeding. On the contrary, postoperative (later) complications included the following: severe sternal wound infection in two cases (5%) and chronic atrial ﬁ brillation in one case (2.5%). The overall mortality rate was 10%. Conclusion : Levosimendan has a bene ﬁ cial effect in improving hemodynamic state. In addition, it aids the reduction of hospital and ICU stays, along with the ability to reduce the incidence of low cardiac output syndrome and mortality rate.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134206607","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}

引用次数: 0

The Role of Insulin Resistance in the Prediction of Esophageal Varices in Cirrhotic non-Diabetic patients 胰岛素抵抗在肝硬化非糖尿病患者食管静脉曲张预测中的作用

Al-Azhar International Medical Journal Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1833

Abdelhaleim Abdelghany Hasabo, Mahmoud Osama Ahmed Abd El Fatah, Mohamed Basiouny Yahia, Gamal Zakaria Ali Morsy

{"title":"The Role of Insulin Resistance in the Prediction of Esophageal Varices in Cirrhotic non-Diabetic patients","authors":"Abdelhaleim Abdelghany Hasabo, Mahmoud Osama Ahmed Abd El Fatah, Mohamed Basiouny Yahia, Gamal Zakaria Ali Morsy","doi":"10.58675/2682-339x.1833","DOIUrl":"https://doi.org/10.58675/2682-339x.1833","url":null,"abstract":"Background : Esophageal Varices (EV) caused by liver cirrhosis is a very common complication where endoscopy is the best screening procedure. Insulin resistance (IR) is a reliable predictor of portal hypertension. Aim of the work : This study aims to compare and evaluate the role of markers of IR and other non-invasive markers in the detection of EVs in patients with liver cirrhosis. Patients and methods : Fifty patients were screened in this cross-sectional study in the gastroenterology unit of the internal medicine department by abdominal ultrasound. ELISA technique was used to estimate fating serum insulin levels. Furthermore, (HOMA-IR) referring to the Homeostasis model assessment of IR was carried out. Results : Cirrhotic patients whether they possessed any grade of EV or not correlated with higher IR with their platelet count/spleen diameter ratio (PC/SD) and spleen diameter showing a statistically signi ﬁ cant difference among the groups. Conclusion : Elevations in IR (as they were assessed by HOMA-IR) were found to be good predictors of the development of EVs noninvasively. The diameter of the Portal vein (PV), the diameter of the spleen, and PC/SD were also found to be good predictors of EVs.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133446157","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}

引用次数: 0