Al-Azhar International Medical Journal (Print)最新文献_第2页

Comparative Study Between Total Laparoscopic Hysterectomy And Abdominal Hysterectomy In Management Of Benign Gynecological Conditions 腹腔镜全子宫切除术与腹腔子宫切除术治疗妇科良性疾病的比较研究

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1991

Abdel Monem Mohamed Zakaria, Ahmed Mohamed Mohamed Saeed, Mohamed Othman El-Imam

{"title":"Comparative Study Between Total Laparoscopic Hysterectomy And Abdominal Hysterectomy In Management Of Benign Gynecological Conditions","authors":"Abdel Monem Mohamed Zakaria, Ahmed Mohamed Mohamed Saeed, Mohamed Othman El-Imam","doi":"10.58675/2682-339x.1991","DOIUrl":"https://doi.org/10.58675/2682-339x.1991","url":null,"abstract":"Background: In benign gynecological disorders, a laparoscopic hysterectomy may be preferable than an abdominal hysterectomy due to its possible benefits, such as shorter recovery times and less blood loss. Aim of the work: intended to evaluate the safety , benefits, and consequences of laparoscopic vs open hysterectomy for benign gynecological diseases. Methodology: 50 cases were subjected to a thorough medical history, physical examination, laboratory tests, abdominal ultrasound, and biopsies for suspicious pathology. cases separated into 2 groups of equal size. The 1st for trans-abdominal hysterectomy and the 2nd for complete LH. After surgery, patients were monitored for 6 months. Statistics obtained include surgical time, blood loss, comorbidities, and hospital stay duration. Results: Substantial improvements in low parity and low caesarean deliveries were observed in the laparoscopic group. In the laparoscopic group, adenomyosis was the most prevalent indication for hysterectomy (forty percent), followed by fibroids (twenty-eight percent). In the open group, fibroids were the most common indication (48percent), followed by adenomyosis (32percent). Contrasted to open hysterectomy, laparoscopic hysterectomy resulted in a much shorter duration of surgery (55 minutes vs. 70 minutes) and substantially less blood loss. The length of hospital stay was considerably shorter in the laparoscopic group as opposed to the open group (Mean± SD : 45.120 14.4 vs 59.52 ± 20.92 hours). Conclusion: When treating women with benign gynecological disorders, laparoscopic hysterectomy is preferable to abdominal hysterectomy because it is safe and has a higher success rate.","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":"135448193","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

Psychological variables, beliefs and barriers associated with willingness of healthcare providers to be vaccinated against COVID-19 virus 与卫生保健提供者接种COVID-19病毒疫苗意愿相关的心理变量、信念和障碍

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1907

Mohammed Faris El-metwally Samra, Hesham Mahmoud Mohamed Abuhegazy, Mohamed Mohamed Abd-elkhalik El-Deeb

引用次数: 0

Corneal Stromal Depth of the Demarcation Line After Accelerated Versus Conventional Cross-Linking 加速交联与常规交联后角膜间质分界线深度的比较

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1752

Magdy Ezzat Khallaf, Ehab Abd Elsamea Elshiekh, Mohamed Amr Mohamed Elmadbouh

引用次数: 0

Autologous Trans-obturator Rectus Fascia Sling for Treatment of Stress Urinary Incontinence in Women: Long-Term Outcomes 自体经闭孔直肌筋膜吊带治疗女性压力性尿失禁:长期疗效

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1917

Ibrahim Alaa-Eldin Tagreda, Ahmed Sedik Elasy, Mohamed Fawzy Salman, Hassan Ismael Mohamed

引用次数: 0

The Impact of SARS-CoV-2 Virus on Acute Coronary Syndrome Patients Correlated with Clinical, Echocardiographic and Coronary Angiographic Outcome SARS-CoV-2病毒对急性冠状动脉综合征患者的影响与临床、超声心动图和冠状动脉造影结果相关

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1923

Mohamed Nagdy Wadid, Monir Osman Amein, Wael Mohamed Attia, Khaled Mohammed Ibrahim Halima, Ibrahim Metwaly Bauomy

{"title":"The Impact of SARS-CoV-2 Virus on Acute Coronary Syndrome Patients Correlated with Clinical, Echocardiographic and Coronary Angiographic Outcome","authors":"Mohamed Nagdy Wadid, Monir Osman Amein, Wael Mohamed Attia, Khaled Mohammed Ibrahim Halima, Ibrahim Metwaly Bauomy","doi":"10.58675/2682-339x.1923","DOIUrl":"https://doi.org/10.58675/2682-339x.1923","url":null,"abstract":"Background; COVID-19 pandemic has led to many negative problems for all aspects of society. While respiratory symptoms are typically most severe manifestations of COVID-19 infection, SARS-CoV-2 infection may be responsible for diversity of potentially severe cardiovascular manifestations, mainly in studied cases with pre-existing cardiovascular conditions, Aim and objectives; to evaluate impact of SARS-CoV-2 virus on acute coronary syndrome patients and correlate it with clinical presentation, Echocardiography and coronary angiography outcome, Subjects & techniques: This was case control research, has been happened in Department of cardiology Al-Azhar University on 300 patients divided on three groups presented with acute coronary syndrome, STEMI and NSTEMI. First control group were presented only with STEMI. The second case under study group was presented by STEMI & SARS-CoV-2 active infection. The last group were presented by “NSTEMI or unstable angina” and SARS-CoV-2 active infection, Results; statistical analysis of 300 patients divided on three groups presented with acute coronary syndrome (STEMI, NSTEMI or unstable angina).That showed high variation among studied groups as regard EF (Ejection fraction), cardiogenic shock, respiratory failure and increased in-hospital mortality, Conclusion; In studied cases infected with SARS-CoV-2, acute myocardial injury is related to in-hospital mortality and is indicator of poor prognosis. careful indication of more invasive diagnostic tests and subsequent implementation of appropriate treatments without delay as time is muscle,","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"17 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":"136209067","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

Comparison between Percutaneous and Open Repair in AcuteTendon Achilles Rupture in Active Young Patients 经皮与开放式修复术治疗年轻活跃患者急性跟腱断裂的比较

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1728

Abd-ELHakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed

{"title":"Comparison between Percutaneous and Open Repair in AcuteTendon Achilles Rupture in Active Young Patients","authors":"Abd-ELHakeem Abdullah Farrag, Mohammed Nasr Akl, Aktham Amin Ahmed","doi":"10.58675/2682-339x.1728","DOIUrl":"https://doi.org/10.58675/2682-339x.1728","url":null,"abstract":"Background; The Achilles tendon is the strongest and most often torn tendon in the human body and it is known that this rupture rate is rising in the third or fourth decade of life and it affects males more frequently. The majority of ruptures happen when doing sports. Aim and objectives; to compare between percutaneous and open repair of acute Achilles tendon rupture in active young patients who want to go back to resume activity following the repair. Patients and methods:30 participants were included in this prospective comparative research and randomly assigned to groups A and B. (each consists of 15 patients). While group A got percutaneous repair, group B had open repair. Hospitals affiliated with Al-Azhar University were the study's site (Al-Hussien University Hospital) as well as Zagazig General Hospital. The duration of the study was eighteen months. Result; No statistically substantial variation was detected between the two techniques as regard functional results (full weight-bearing, return to activity, muscle strength, and AOFAS score) at last follow-up. However, patients in the percutaneous group were able to achieve significantly larger degrees of ankle plantar flexion compared to the open group. Conclusion; at the long-term checkup, there is no variation between percutaneous and open Achilles tendon repairs. Although both groups had functionally equivalent results, open surgery of the Achilles tendon was linked with more wound problems.","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"160 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":"136216857","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

Role of ultrasonography in diagnosis of contralateral patent processus vaginalis in clinically diagnosed unilateral inguinal hernia in pediatrics 超声在儿科单侧腹股沟疝对侧阴道突未闭诊断中的作用

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1860

Mohammed Ayman Elsayed Elmekdam, Mohammad Mohammad Mohammad Ellithy, Mohammad Fathy Labib Mohammad, Mohamed Elsayed Hussien Ibrahim, Mohammad Abol wafa Ahmad Amin

{"title":"Role of ultrasonography in diagnosis of contralateral patent processus vaginalis in clinically diagnosed unilateral inguinal hernia in pediatrics","authors":"Mohammed Ayman Elsayed Elmekdam, Mohammad Mohammad Mohammad Ellithy, Mohammad Fathy Labib Mohammad, Mohamed Elsayed Hussien Ibrahim, Mohammad Abol wafa Ahmad Amin","doi":"10.58675/2682-339x.1860","DOIUrl":"https://doi.org/10.58675/2682-339x.1860","url":null,"abstract":"Background: In children with unilateral inguinal hernia, there is a debate about exploration of the contralateral side. Herniogrhaphy, diagnostic pneumoperitoneum, and intra-operative laparoscopy are the procedures that have been proposed to reduce the number of negative contralateral side explorations in children presenting with a unilateral congenital inguinal hernia. However, most of them are invasive methods. In our study we suggest using the ultrasonography in detection of the inguinal hernia with confirmation by laparoscope. Aim of the work: we aimed to assess the Sensitivity and specificity of US in the diagnosis of occult hernia after confirmation by laparoscopy. Patient and methods: Our study is considered an interventional prospective study that was done on 100 children with unilateral inguinal hernia. all patients underwent ultrasonography on both groins. Ultrasound was considered positive if the length of patent processus vaginalis was more than 20 mm or the internal ring diameter was more than 4mm. After the ultrasound, all patients were prepared for laparoscopic exploration to confirm the hernia diagnosis, and to treat the clinical hernia. Results: By comparing the US and laparoscopic results of symptomatic sides, we found that all cases that were diagnosed by the US to be positive were confirmed by laparoscopy. In asymptomatic sides, from 9 cases who were diagnosed by the US as positive hernia; the laparoscope confirmed them. However, from 91 cases that were diagnosed by the US to be negative, the laparoscope diagnosed one of them to be positive. The sensitivity and specificity of the US were found to be 100% in the symptomatic side. However, in the asymptomatic side; sensitivity, and specificity were 90%, 100% respectively. Conclusion: US is a good tool for the diagnosis and early detection of pediatric hernias","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"33 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":"135498456","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

A Comparative Study between Effect of Clomiphene Citrate and Letrozole on Endometrial Vascular Indices in Patients with Polycystic Ovarian Syndrome 枸橼酸克罗米芬与来曲唑对多囊卵巢综合征患者子宫内膜血管指标影响的比较研究

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1956

Abdel-Monem Mohammed Zakaria, Yasser Mohammed Said Diab, Mohammed Abdo Mekhamer Abdel-Monem

{"title":"A Comparative Study between Effect of Clomiphene Citrate and Letrozole on Endometrial Vascular Indices in Patients with Polycystic Ovarian Syndrome","authors":"Abdel-Monem Mohammed Zakaria, Yasser Mohammed Said Diab, Mohammed Abdo Mekhamer Abdel-Monem","doi":"10.58675/2682-339x.1956","DOIUrl":"https://doi.org/10.58675/2682-339x.1956","url":null,"abstract":"Background; Polycystic ovarian syndrome is one of common causes of infertility in reproductive-age females. Clomiphene citrate & letrozole are commonly used to induce ovulation, although they are antiestrogenic. Aim and objectives; to assess the role of clomiphene citrate & letrozole in helping ovulation and conception to occur and their impact on the receptivity of the endometrium of polycystic ovarian syndrome patients, Subjects and methods; In this study there were two groups of anovulatory PCOS patients each group included 50 patients who attended Al-Hussein University Hospital outpatient infertility and Gynecology clinic during the period from March 2022 till September 2022. All studied cases were subjected to: Detailed history taking, Thorough general & pelvic examination and Transvaginal Ultrasonography, Result; There was high variation between the two studied groups regarding endometrial vascular indices on day 21 of menstruation post-treatment. Conclusion; Endometrial receptivity in letrozole group is superior to clomiphene citrate group in PCOS females throughout the implantation window, that can be linked to better conception rates and ongoing pregnancy rates. Certain issues, even though, were not addressed in this research and must be addressed in future research, such as cumulative outcomes of 6 cycles, raising dose in non-responders & occurrence of miscarriage,","PeriodicalId":474339,"journal":{"name":"Al-Azhar International Medical Journal (Print)","volume":"1 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":"135448202","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

Impact and outcome of primary prophylaxis of variceal bleeding among Egyptian hepatocellular carcinoma patients with portal vein thrombosis treated with Sorafenib 索拉非尼治疗门静脉血栓形成的埃及肝癌患者静脉曲张出血初级预防的影响和结果

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1971

Anwar Abdelaleem Mohamed, Amal Mohamed Mohamed Mahmoud, Mohamed Ashraf Eljaky, Rasha Abdelhafiz Aly, Mohamed Akl Rady

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Fecal Calprotectin as a Disease Activity and Prognostic Marker in Ulcerative Colitis 粪便钙保护蛋白作为溃疡性结肠炎的疾病活动性和预后指标

Al-Azhar International Medical Journal (Print) Pub Date : 2023-01-01 DOI: 10.58675/2682-339x.1910

Mohamed Abdelrashed AbdelKhalik, Mohamed Ghareeb Mohamed, Amr Ahmed Rezk, Ahmed Elsherbiny Ibrahim Gomaa

引用次数: 0