Al-Azhar International Medical Journal (Print)最新文献

Evaluation of Fistula Laser Closure (FiLaC) in Management of High Trans- sphincteric Fistula- in- ano 激光瘘管闭合术在高位经括约肌瘘治疗中的应用价值

Al-Azhar International Medical Journal (Print) Pub Date : 2023-02-01 DOI: 10.58675/2682-339x.1655

Mohammed Ebrahim El-Anany, Tarek Zaghlol Mohammed, Ahmed Mohammad Abo Elela Mohammed

引用次数: 0

Repeated Failure of Arterio-Venous Haemodialysis Access: (Causes and possible solutions) 动静脉血液透析通路反复失败:(原因及可能的解决方法)

Al-Azhar International Medical Journal (Print) Pub Date : 2023-02-01 DOI: 10.58675/2682-339x.1670

Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy

{"title":"Repeated Failure of Arterio-Venous Haemodialysis Access: (Causes and possible solutions)","authors":"Alaa Aldin Moustafa Sharaby, Ahmed Abd-Alal Alsayed Sultan, Ahmed Said Daha, Islam Mohammed Abd El Moaty Elfahlawy","doi":"10.58675/2682-339x.1670","DOIUrl":"https://doi.org/10.58675/2682-339x.1670","url":null,"abstract":"Background: In 1960, Quinton and Scribner developed an external shunt that allowed for repeated access to the circulation, making chronic hemodialysis a viable option for treating end-stage renal disease. Patients may now be kept on dialysis for decades because to the improvement of vascular access methods and equipment. Aim of study: To evaluate the most possible causes behind repeated arteriovenous (AV) access failure in ESRD patients. Patients and methods: This retrospective, non-randomized study was carried out at the vascular surgery department of Al-Azhar University hospitals(Al-Hussein and Sayed Glaal Hospitals). Results: Access thrombosis comes first as a cause of access failure where it is responsible for 41% of all failed accesses. Among the cases of access thrombosis 25.5% were associated with access stenosis, 10.5% with hypotension, and 2.5% with external compression. The commonest cause of access stenosis was hypotension (14%) followed by hypotension together with central venous stenosis (4.5%) and then central venous stenosis alone (2.5%). Failure of maturation comes next to access thrombosis and it is responsible for 35% of all access failures. Among the cases of failure of maturation 16% were due to small vein diameter (less than 2.5 mm), 9% associated with hypotension, and 7% with hypotension together with central venous stenosis. Conclusion: Management of repeated AV access failure needs changing the attitude of vascular surgeons to be more conservative and based on access salvage protocols (access preservation); directed to correction of early access failure and the predisposing factors behind it.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"16 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":"135146095","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

Prognostic Significance of Neutrophil to Lymphocyte Ratio in Patients with Non-Muscle Invasive Bladder Cancer who Underwent Intravesical BCG Treatment 中性粒细胞与淋巴细胞比值在膀胱内卡介苗治疗的非肌性浸润性膀胱癌患者中的预后意义

Al-Azhar International Medical Journal (Print) Pub Date : 2023-02-01 DOI: 10.58675/2682-339x.1651

Sabri Mahmoud Khaled, Yasser Ali Ahmed, Mohamed Farrag Mahrous

引用次数: 0

Protective role of single versus multiple remote ischemic preconditioning in elective percutaneous coronary interventions. 选择性经皮冠状动脉介入治疗中单次与多次远程缺血预处理的保护作用。

Al-Azhar International Medical Journal (Print) Pub Date : 2023-02-01 DOI: 10.58675/2682-339x.1661

Mohamed Eid Youssuf, Ibrahim Abdel Fattah Yassin, Mansour Mohamed Sallam

引用次数: 0

Assessment of Right Ventricular Function by 2D Transthoracic Echocardiography in COVID-19 Hospitalized Patient in Correlation with CT Pulmonary Angiographic Findings 经胸二维超声心动图评价新冠肺炎住院患者右心室功能与CT肺血管造影表现的相关性

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1698

Yasser Abd Aljalil Omar, Ahmed Ali Faheem Abdo, Ahmed Hameed Edress

引用次数: 0

Use of Pulse Oximeter Perfusion Index During Ultrasound Guided Supraclavicular Brachial Plexus Block with or Without epinephrine in Upper Extremity Surgery. A Randomized Comparative Study 超声引导上肢手术锁骨上臂丛阻滞时脉搏血氧仪灌注指数的应用。一项随机比较研究

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1978

Gamal Lotfy Gad, Ayman Said Abd El Aziz, Mohamed Abd El Aziz Nasr El Dien Metwalli

引用次数: 0

Phacoemulsification with Goniotomy using Kahook Dual Blade Versus Phacoemulsification with Subscleral Trabeculectomy in Management of Primary Open Angle Glaucoma Kahook双刀超声乳化术联合巩膜下小梁切除术治疗原发性开角型青光眼

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1890

Mahmoud Hazem Abd El Maksoud El Deeb, Mahmoud Hamed Allam, Abd ELKader Sayed Abd ELKader

引用次数: 0

ROUND-BLOCK TECHNIQUE IN MANAGEMENT OF CONSERVATIVE BREAST SURGERY. 圆块技术在保守性乳房手术中的应用。

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1992

Abbas Ahmed El-Sayed El-Sayed, Mohama Mohamad Abd-El Rhman Al-Kordy, Mohamad Ibrahem Shlamesh

{"title":"ROUND-BLOCK TECHNIQUE IN MANAGEMENT OF CONSERVATIVE BREAST SURGERY.","authors":"Abbas Ahmed El-Sayed El-Sayed, Mohama Mohamad Abd-El Rhman Al-Kordy, Mohamad Ibrahem Shlamesh","doi":"10.58675/2682-339x.1992","DOIUrl":"https://doi.org/10.58675/2682-339x.1992","url":null,"abstract":"Background: A periareolar doughnut incision is used in the circular block procedure, which is a novel method of breast resection. However, it requires more technical skill & takes longer to complete. Method: The purpose of this trial was focus upon the use of round-block technique in conservative oncoplastic breast cancer surgery as a form of treatment option regarding oncological safety, efficacy, final cosmetic results on the quality of life & the contentment of the individual receiving treatment, advantages and disadvantages. This was an observational cross sectional study that was conducted on (40) patients with early breast cancer treated by conservative breast surgery (Round –Block Technique). The duration of the study was two years. Result: Among our studied patients lack of symmetry occurred in 22.5% of patients followed by unacceptable scar and pain in the treated breast in 17.5% then seroma and areola depigmentation were developed in 15% for each followed by feeling of numbness or tingling in 12.5% then restricted arm movement and local infection in 10% then hematoma and delayed wound healing in 7.5%, hypertrophic scar in 5% of cases. Conclusion: The round block approach is viable as well as oncologically safe for the initial stages of carcinoma of the breast. It also produces desirable cosmetic effects without adding any additional layers of complexity to the treatment process.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"12 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":"135448736","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

Dextranomer/Hyalouronic Acid Copolymer Injection for Treatment of Children with Primary Vesicoureteral Reflux: Long-Term Follow-up 葡聚糖/透明质酸共聚物注射治疗儿童原发性膀胱输尿管反流:长期随访

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1845

Osama M Ahmed, Hany A El-Damanhory, Esayed M Salih

引用次数: 0

The Value of Interleukin-6 among Several Inflammatory Markers as a Predictor of Respiratory Failure in COVID-19 Patients 白细胞介素-6在几种炎症标志物中作为COVID-19患者呼吸衰竭预测因子的价值

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1913

Abdou Mabrouk El-Shafei, Galal Abdelhameed Aboufarrag, Houssam Eldin Hassanin Abd Elnaby, Mostafa Mahmoud Mohamed

{"title":"The Value of Interleukin-6 among Several Inflammatory Markers as a Predictor of Respiratory Failure in COVID-19 Patients","authors":"Abdou Mabrouk El-Shafei, Galal Abdelhameed Aboufarrag, Houssam Eldin Hassanin Abd Elnaby, Mostafa Mahmoud Mohamed","doi":"10.58675/2682-339x.1913","DOIUrl":"https://doi.org/10.58675/2682-339x.1913","url":null,"abstract":"Background: The severe acute respiratory syndrome coronavirus, often known as SARS-CoV-2, can lead to severe pneumonia and hypoxia. Some studies have shown that interleukin-6 (IL-6) can indicate respiratory failure in COVID-19 patients. Aim of the work: To determine if the laboratory marker IL-6 has the ability to predict respiratory worsening in COVID-19 patients three days after hospital admission. Patients and Methods: The last 100 consecutive COVID-19-infected individuals as determined by a positive reverse transcription real-time polymerase chain reaction (rt RT-PCR) test of their respiratory tract swabs were included in this retrospective study. Patients were separated into two groups based on the highest FiO2 they needed in the first three days after admission; group with low FiO2 and group with high FiO2. Results: In comparison to the low FiO2 group, the high FiO2 group had considerably greater serum IL-6 levels. In comparison to the low FiO2 group, the non-survivors percentage was much higher in the high FiO2 group. Additionally, in both low and high FiO2 groups, serum IL-6 was considerably lower in survivors compared to non-survivors. According to ROC curve, IL-6 displayed an AUC of 0.82 with a strong significance at cutoff value of 41.2 pg/mL. Sensitivity, specificity, PPV and NPV were 88.2%, 79.8%, 52.2% and 96.4% respectively. Conclusion: In COVID-19 patients who have been admitted to the hospital, serum IL-6 is a potent indicator of early respiratory failure. Elevated IL-6 levels are linked to mortality and the requirement for mechanical ventilation (MV).","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"2 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":"136208711","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: 2