Introduction Prolonged pregnancy has commonly been used for pregnancies proceeding to or beyond 294 days of gestation, corresponding to 42 weeks+0 days. Fetal Doppler may help in their management, but previous studies have reported conflicting results. Aim To evaluate the value of middle cerebral artery (MCA) Doppler to umbilical artery (UA) Doppler ratio [cerebroplacental ratio (CPR)] and umbilical vein (UV) Doppler in predicting fetal compromise in uncomplicated prolonged pregnancies. Patients and methods This prospective observational study was held at Obstetrics and Gynecology Department, Al-Zahraa University Hospital, on 50 women with uncomplicated prolonged pregnancies beyond 40 weeks. The accuracy of UA, MCA, UV Doppler indices, and CPR in predicting of adverse outcomes had been calculated, the association between elevated CPR and UV pulsations and adverse perinatal outcome was also studied. Results MCA pulsatility index (PI) and CPR were significantly low among cases with meconium aspiration, respiratory distress, and neonatal intensive care unit (NICU) admissions, while UA-PI was significantly high. Regarding the diagnostic performances; CPR, MCA-PI, and MCA-RI were of high specificity in predicting cesarean delivery. Conclusion CPR had the highest significant diagnostic performance in predicting NICU admission; specificity and sensitivity of 94.6 and 69.2%, respectively, with a cut-off value=1.04. UA-PI had a significant diagnostic performance and characteristics in predicting NICU admission; specificity 91.9%, sensitivity 61.5%, and cut-off value=0.94. UV pulsation was detected in the cases with very poor neonatal outcomes.
{"title":"Value of cerebroplacental and umbilical vein Doppler indices in prediction of perinatal outcome in prolonged pregnancy","authors":"Hanan Mohamed, Nashwa Elshinawy, Alshimaa Abd-El-Latif","doi":"10.4103/sjamf.sjamf_173_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_173_21","url":null,"abstract":"Introduction Prolonged pregnancy has commonly been used for pregnancies proceeding to or beyond 294 days of gestation, corresponding to 42 weeks+0 days. Fetal Doppler may help in their management, but previous studies have reported conflicting results. Aim To evaluate the value of middle cerebral artery (MCA) Doppler to umbilical artery (UA) Doppler ratio [cerebroplacental ratio (CPR)] and umbilical vein (UV) Doppler in predicting fetal compromise in uncomplicated prolonged pregnancies. Patients and methods This prospective observational study was held at Obstetrics and Gynecology Department, Al-Zahraa University Hospital, on 50 women with uncomplicated prolonged pregnancies beyond 40 weeks. The accuracy of UA, MCA, UV Doppler indices, and CPR in predicting of adverse outcomes had been calculated, the association between elevated CPR and UV pulsations and adverse perinatal outcome was also studied. Results MCA pulsatility index (PI) and CPR were significantly low among cases with meconium aspiration, respiratory distress, and neonatal intensive care unit (NICU) admissions, while UA-PI was significantly high. Regarding the diagnostic performances; CPR, MCA-PI, and MCA-RI were of high specificity in predicting cesarean delivery. Conclusion CPR had the highest significant diagnostic performance in predicting NICU admission; specificity and sensitivity of 94.6 and 69.2%, respectively, with a cut-off value=1.04. UA-PI had a significant diagnostic performance and characteristics in predicting NICU admission; specificity 91.9%, sensitivity 61.5%, and cut-off value=0.94. UV pulsation was detected in the cases with very poor neonatal outcomes.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79832038","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_205_21
Shooq Khalil, E. Khaled, R. Gouda, Aydah Abdelhameed
Background Children with chronic kidney disease (CKD) on regular hemodialysis are particularly at high risk for behavioral and psychological disorders. Aim To evaluate the association between behavioral disorders and CKD in several children and adolescents with CKD on regular hemodialysis to compare these findings with healthy controls. Patients and methods This case–control study included 60 children and adolescents (30 patients and 30 controls), their ages range from 5 to 17 years; a study was carried out at Al-Zahraa University Hospital. Cases were taken consecutively from April 2019 to September 2019. We assessed children’s behavior by the Arabic version of the child behavior checklist and Conners’ parent rating scale. Results There was a high frequency (66.7%) of behavioral disorders in children with CKD on regular hemodialysis compared with 30% in the control group, there was a significant increase in the incidence of behavioral disorders with increasing the duration of hemodialysis. Internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder were more frequent in children with CKD on regular hemodialysis compared with healthy controls. Conclusion There was a high frequency of behavioral disorders among children with CKD on regular hemodialysis, including internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder.
{"title":"Evaluation of behavioral disorders in children on regular hemodialysis","authors":"Shooq Khalil, E. Khaled, R. Gouda, Aydah Abdelhameed","doi":"10.4103/sjamf.sjamf_205_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_205_21","url":null,"abstract":"Background Children with chronic kidney disease (CKD) on regular hemodialysis are particularly at high risk for behavioral and psychological disorders. Aim To evaluate the association between behavioral disorders and CKD in several children and adolescents with CKD on regular hemodialysis to compare these findings with healthy controls. Patients and methods This case–control study included 60 children and adolescents (30 patients and 30 controls), their ages range from 5 to 17 years; a study was carried out at Al-Zahraa University Hospital. Cases were taken consecutively from April 2019 to September 2019. We assessed children’s behavior by the Arabic version of the child behavior checklist and Conners’ parent rating scale. Results There was a high frequency (66.7%) of behavioral disorders in children with CKD on regular hemodialysis compared with 30% in the control group, there was a significant increase in the incidence of behavioral disorders with increasing the duration of hemodialysis. Internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder were more frequent in children with CKD on regular hemodialysis compared with healthy controls. Conclusion There was a high frequency of behavioral disorders among children with CKD on regular hemodialysis, including internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84626999","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_146_21
Nesma El Rahman, F. Abdel-Hakam, El-Shaimaa El Latiaf, S. Mohammed
Objective The aim of this study was to test the hypothesis that corticosteroid therapy alters fetal pulmonary blood flow in pregnancies at risk for preterm delivery. Patients and methods This was a prospective study that was conducted at Al-Zahraa University Hospital in Obstetrics and Cardiology Departments of Al-Azhar University on 50 pregnant women with a risk of preterm labor at a gestational age of 28–34 weeks during the period from November 2019 till May 2020. Intramuscular dexamethasone was given to participants of the study following the setting protocol as three doses of dexamethasone (8 mg/12 h). Evaluation of study was done before (day 0) and after (1 and 3 weeks) of the first dose of dexamethasone administration by modified biophysical profile and fetal pulmonary trunk. Evaluation of the pregnancy outcome regarding Apgar score, fetal birth, and admission to NICU was done. Results In the present study, results support altered fetal pulmonary blood flow with corticosteroid therapy. Conclusion According to this study, antenatal dexamethasone administration caused changes in the Doppler indices of fetal pulmonary trunk after 1 week and 3 weeks of corticosteroid injection owing to alteration in the fetal pulmonary blood flow in pregnancies at risk for preterm delivery
{"title":"Does corticosteroid therapy affect fetal pulmonary artery blood flow in women at risk for preterm birth?","authors":"Nesma El Rahman, F. Abdel-Hakam, El-Shaimaa El Latiaf, S. Mohammed","doi":"10.4103/sjamf.sjamf_146_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_146_21","url":null,"abstract":"Objective The aim of this study was to test the hypothesis that corticosteroid therapy alters fetal pulmonary blood flow in pregnancies at risk for preterm delivery. Patients and methods This was a prospective study that was conducted at Al-Zahraa University Hospital in Obstetrics and Cardiology Departments of Al-Azhar University on 50 pregnant women with a risk of preterm labor at a gestational age of 28–34 weeks during the period from November 2019 till May 2020. Intramuscular dexamethasone was given to participants of the study following the setting protocol as three doses of dexamethasone (8 mg/12 h). Evaluation of study was done before (day 0) and after (1 and 3 weeks) of the first dose of dexamethasone administration by modified biophysical profile and fetal pulmonary trunk. Evaluation of the pregnancy outcome regarding Apgar score, fetal birth, and admission to NICU was done. Results In the present study, results support altered fetal pulmonary blood flow with corticosteroid therapy. Conclusion According to this study, antenatal dexamethasone administration caused changes in the Doppler indices of fetal pulmonary trunk after 1 week and 3 weeks of corticosteroid injection owing to alteration in the fetal pulmonary blood flow in pregnancies at risk for preterm delivery","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85491019","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_203_21
Fatema Abdul-Muttaleb Al-Husiny, A. Hafez, Asmaa A. Dahy, A. Altramsy
Background Eyebrow is the main contouring line of the face. That is why any eyebrow defect, especially if resulting from burn, disturbs the whole esthetic portrait and causes psychological trauma and lack of confidence. Eyebrow-hair transplantation is considered as the management of choice for patients suffering from postburn eyebrow alopecia. Objectives The aim of this study was to ascertain the efficacy and benefits of hair transplantation for postburn cicatricial alopecia of the eyebrow, using a standardized data and documented by photography. Patients and methods The study included 20 patients suffering from postburn cicatricial alopecia of the eyebrow. Preoperatively, eyebrows were assessed for the part affected with postburn cicatricial alopecia, the side, the size of the defect, the direction of hair, and symmetry. Marking the affected eyebrow was done. Single-hair follicle grafts were extracted from the scalp and then implanted into the eyebrow defect, under the effect of local anesthesia and sedation if needed, and complete aseptic conditions. Patients were followed up for 1 year. The results were tested statistically and documented by photos. Results On statistical analysis, there was a statistically significant improvement in 75% of cases with satisfactory outcomes. The majority of patients showed very good results with minimal accepted complications. Comparison between preoperative presentation and postoperative outcome manifested an apparent esthetic amelioration. Conclusion Hair transplantation is effective in improving postburn alopecia of the eyebrow and camouflaging the underlying scar tissue.
{"title":"Evaluation of eyebrow-hair transplantation for postburn cicatricial alopecia","authors":"Fatema Abdul-Muttaleb Al-Husiny, A. Hafez, Asmaa A. Dahy, A. Altramsy","doi":"10.4103/sjamf.sjamf_203_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_203_21","url":null,"abstract":"Background Eyebrow is the main contouring line of the face. That is why any eyebrow defect, especially if resulting from burn, disturbs the whole esthetic portrait and causes psychological trauma and lack of confidence. Eyebrow-hair transplantation is considered as the management of choice for patients suffering from postburn eyebrow alopecia. Objectives The aim of this study was to ascertain the efficacy and benefits of hair transplantation for postburn cicatricial alopecia of the eyebrow, using a standardized data and documented by photography. Patients and methods The study included 20 patients suffering from postburn cicatricial alopecia of the eyebrow. Preoperatively, eyebrows were assessed for the part affected with postburn cicatricial alopecia, the side, the size of the defect, the direction of hair, and symmetry. Marking the affected eyebrow was done. Single-hair follicle grafts were extracted from the scalp and then implanted into the eyebrow defect, under the effect of local anesthesia and sedation if needed, and complete aseptic conditions. Patients were followed up for 1 year. The results were tested statistically and documented by photos. Results On statistical analysis, there was a statistically significant improvement in 75% of cases with satisfactory outcomes. The majority of patients showed very good results with minimal accepted complications. Comparison between preoperative presentation and postoperative outcome manifested an apparent esthetic amelioration. Conclusion Hair transplantation is effective in improving postburn alopecia of the eyebrow and camouflaging the underlying scar tissue.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78437498","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_184_21
Omnia Elbehissi, Samia F. El-Hakim, Doaa Affat
Background Human placenta represents a ‘transient organ’ that plays a key role during gestation, as the major determinant of pregnancy maintenance, fetal growth, and labor onset. Objective To assess the relationship between placental location and the development of hypertensive disorders of pregnancy. Patients and methods A prospective observational cohort study was carried out at Al-Zahraa Hospital and Shibin Elqnatar Public Hospital that included 154 pregnant females at 18–24 weeks of pregnancy. Abdominal ultrasound was performed with classification of pregnant females into two groups based on the placental location. Cases were followed up throughout pregnancy until delivery for the development of hypertensive disorders of pregnancy. Results The main findings of this study were that placenta was centrally located in 64.9% of the included cases and was laterally located in 35.1% of them. No statistically significant differences were found between cases with central placenta and those with lateral placenta as regards age, parity, BMI, gestational age, systolic, diastolic, or mean arterial blood pressure at booking. The incidence of preterm labor and premature rupture of membranes was higher and the incidence of intrauterine growth restriction was lower in case of lateral placenta compared with central placenta. Conclusion We did not find any significant difference between the placental location and the development of hypertensive disorders of pregnancy and other adverse outcomes.
{"title":"Placental location and the development of hypertensive disorders of pregnancy","authors":"Omnia Elbehissi, Samia F. El-Hakim, Doaa Affat","doi":"10.4103/sjamf.sjamf_184_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_184_21","url":null,"abstract":"Background Human placenta represents a ‘transient organ’ that plays a key role during gestation, as the major determinant of pregnancy maintenance, fetal growth, and labor onset. Objective To assess the relationship between placental location and the development of hypertensive disorders of pregnancy. Patients and methods A prospective observational cohort study was carried out at Al-Zahraa Hospital and Shibin Elqnatar Public Hospital that included 154 pregnant females at 18–24 weeks of pregnancy. Abdominal ultrasound was performed with classification of pregnant females into two groups based on the placental location. Cases were followed up throughout pregnancy until delivery for the development of hypertensive disorders of pregnancy. Results The main findings of this study were that placenta was centrally located in 64.9% of the included cases and was laterally located in 35.1% of them. No statistically significant differences were found between cases with central placenta and those with lateral placenta as regards age, parity, BMI, gestational age, systolic, diastolic, or mean arterial blood pressure at booking. The incidence of preterm labor and premature rupture of membranes was higher and the incidence of intrauterine growth restriction was lower in case of lateral placenta compared with central placenta. Conclusion We did not find any significant difference between the placental location and the development of hypertensive disorders of pregnancy and other adverse outcomes.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87675636","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_199_21
Sally Abd El-Naby, H. Mohamed, F. Elsayed
Background Conventional MRI has an established role in gynecologic imaging. However, increasing clinical demand for improved lesion characterization and disease mapping to optimize patient management has resulted in the incorporation of newer sequences, such as diffusion-weighted imaging (DWI), into routine protocols for pelvic MRI. DWI provides functional information on the microenvironment of water in tissues, hence augmenting the morphologic information derived from conventional MRIs. Aim Aim is to define the role of DWI and apparent diffusion coefficient (ADC) in characterizing complex ovarian masses, with particular concern to differentiating benign versus malignant masses. Patients and methods Eighty patients who had complex ovarian masses between February 2019 and December 2020 underwent pelvic MRI and DWI at b values of 0, 500, and 1000 s/mm2 at 1.5-T unit (Philips Ingenia). Analysis of the pathological specimen with lesion morphology, signal characteristics, and correlation with the appearance at DWI followed by ADC value (both solid and cystic parts) measurement was obtained. Results Included masses proved pathologically benign 41 (51.2%) and 39 (48.8%) malignant. ADC solid component of malignant lesions shows no statistically significant difference from that of the benign lesions, while ADC values of cystic component in malignant masses were significantly higher than those in benign masses (P≤0.001). The receiver operator characteristic analysis indicated that a cut-off ADC (cystic part) value of 2.3×10−3 mm/s may be the optimal one for differentiating between benign and malignant masses. Conclusion The combination of DWI with ADC-value measurements and conventional MRI is useful for differentiating benign and malignant masses.
背景:常规MRI在妇科影像学中的地位已确立。然而，临床对改善病变特征和疾病定位以优化患者管理的需求日益增加，导致将新的序列，如弥散加权成像(DWI)纳入骨盆MRI的常规方案。DWI提供了组织中水微环境的功能信息，从而增强了传统mri获得的形态学信息。目的:探讨DWI和表观弥散系数(ADC)在卵巢复杂肿块诊断中的作用，尤其关注肿块的良恶性鉴别。患者和方法2019年2月至2020年12月期间，80例患有复杂卵巢肿块的患者接受了盆腔MRI和DWI检查，b值分别为0、500和1000 s/mm2，单位为1.5 t (Philips Ingenia)。分析病理标本的病变形态、信号特征及其与DWI外观的相关性，并测量ADC值(实性和囊性部分)。结果肿瘤病理证实为良性41例(51.2%)，恶性39例(48.8%)。恶性肿块实性成分ADC值与良性肿块无统计学差异，而囊性成分ADC值明显高于良性肿块(P≤0.001)。受体算子特征分析表明，截断ADC(囊性部分)值2.3×10−3 mm/s可能是鉴别良恶性肿块的最佳值。结论DWI、adc值与常规MRI相结合对肿块的良恶性鉴别有一定的价值。
{"title":"Value of adding diffusion-weighted imaging to conventional MRI for differentiation complex solid from cystic ovarian masses","authors":"Sally Abd El-Naby, H. Mohamed, F. Elsayed","doi":"10.4103/sjamf.sjamf_199_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_199_21","url":null,"abstract":"Background Conventional MRI has an established role in gynecologic imaging. However, increasing clinical demand for improved lesion characterization and disease mapping to optimize patient management has resulted in the incorporation of newer sequences, such as diffusion-weighted imaging (DWI), into routine protocols for pelvic MRI. DWI provides functional information on the microenvironment of water in tissues, hence augmenting the morphologic information derived from conventional MRIs. Aim Aim is to define the role of DWI and apparent diffusion coefficient (ADC) in characterizing complex ovarian masses, with particular concern to differentiating benign versus malignant masses. Patients and methods Eighty patients who had complex ovarian masses between February 2019 and December 2020 underwent pelvic MRI and DWI at b values of 0, 500, and 1000 s/mm2 at 1.5-T unit (Philips Ingenia). Analysis of the pathological specimen with lesion morphology, signal characteristics, and correlation with the appearance at DWI followed by ADC value (both solid and cystic parts) measurement was obtained. Results Included masses proved pathologically benign 41 (51.2%) and 39 (48.8%) malignant. ADC solid component of malignant lesions shows no statistically significant difference from that of the benign lesions, while ADC values of cystic component in malignant masses were significantly higher than those in benign masses (P≤0.001). The receiver operator characteristic analysis indicated that a cut-off ADC (cystic part) value of 2.3×10−3 mm/s may be the optimal one for differentiating between benign and malignant masses. Conclusion The combination of DWI with ADC-value measurements and conventional MRI is useful for differentiating benign and malignant masses.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82676709","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_174_21
A. Mohamed, Emad Abd Ellattif, A. Elsadek
Intro duction Induction of labor is a frequent obstetric technique. Mechanical approaches (e.g. Foley’s catheter) as well as medications (e.g. prostaglandins) are employed for labor induction in cases with an unfavorable cervix. Aim The aim of this study was to detect the efficacy, the advantages, and disadvantages of using transcervical Foley’s catheter balloon and prostaglandins E2 tablet(s) as a preinduction cervical ripening agent for induction of labor. Patients and methods This was a randomized controlled trial, carried out at El Galaa Teaching Hospital, Cairo, Egypt, from September 2020 till March 2021. It included 100 women, divided into two groups: group A (included 50 cases that received transcervical Foley’s catheter balloon) and group B [included 50 cases that received vaginal dinoprostone E2 (Dinoglandin)]. Results There were no statistically significant differences between the two groups regarding Bishop score preinduction, amniotic fluid index, and time to active labor. However, the duration of active labor was significantly longer in group A compared with group B. Indications for cesarean section were significantly lower in group A compared with group B. Apgar score at 1 min was significantly lower in group A compared with group B. However, there were no significant differences between the two groups regarding Apgar score at 5 min and admission to neonatal intensive care unit. Conclusion The double-balloon catheter is as effective as local prostaglandin E2 agents in cervical ripening and labor induction. It could be a suitable alternative to conventional pharmacological approaches for cervical ripening and labor induction.
{"title":"Comparison between Foley’s catheter balloon and locally prostaglandin E2 for cervical ripening and labor induction at full term","authors":"A. Mohamed, Emad Abd Ellattif, A. Elsadek","doi":"10.4103/sjamf.sjamf_174_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_174_21","url":null,"abstract":"Intro duction Induction of labor is a frequent obstetric technique. Mechanical approaches (e.g. Foley’s catheter) as well as medications (e.g. prostaglandins) are employed for labor induction in cases with an unfavorable cervix. Aim The aim of this study was to detect the efficacy, the advantages, and disadvantages of using transcervical Foley’s catheter balloon and prostaglandins E2 tablet(s) as a preinduction cervical ripening agent for induction of labor. Patients and methods This was a randomized controlled trial, carried out at El Galaa Teaching Hospital, Cairo, Egypt, from September 2020 till March 2021. It included 100 women, divided into two groups: group A (included 50 cases that received transcervical Foley’s catheter balloon) and group B [included 50 cases that received vaginal dinoprostone E2 (Dinoglandin)]. Results There were no statistically significant differences between the two groups regarding Bishop score preinduction, amniotic fluid index, and time to active labor. However, the duration of active labor was significantly longer in group A compared with group B. Indications for cesarean section were significantly lower in group A compared with group B. Apgar score at 1 min was significantly lower in group A compared with group B. However, there were no significant differences between the two groups regarding Apgar score at 5 min and admission to neonatal intensive care unit. Conclusion The double-balloon catheter is as effective as local prostaglandin E2 agents in cervical ripening and labor induction. It could be a suitable alternative to conventional pharmacological approaches for cervical ripening and labor induction.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79783214","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_168_21
Eman Alhalawany, Magda Yakut, Nahed Abd-Allatif
Background Pelvic pain is common in females present to the OB/GYN Department. Ultrasonography (US) is the first imaging modality for assessment of pelvic pain of gynecological causes, sometimes followed by computed tomography (CT) or MRI to reach diagnosis. Objective The objective was to evaluate the role of imaging modalities in assessment of gynecologic causes of pelvic pain. Patients and methods The current study included 50 cases presented to the Radiology Department in Al Azhar University Hospital complaining of pelvic pain. All patients were subjected to history taking and clinical examination. Laboratory investigations, such as B-HCG or CA125, were included for selected cases. All patients underwent US (transabdominal or transvaginal) as a primary imaging modality, then CT, or MRI when indicated. Results Patients were divided into two groups: 33 (66%) patients with acute pelvic pain and 17 (34%) patients with chronic pelvic pain. Patients with acute pelvic pain were distributed according to diagnosis into seven (21.5%) simple ovarian cysts, five (15.5%) ectopic pregnancies, four (12%)hemorrhagic cysts, three (9%) dermoids, three (9%) pelvic inflammatory disease, two (6%) endometriomas, two (6%) adenomyosis, two (6%) missed abortions, one (3%) hematocolpos, one (3%)ovarian apoplexy, one (3%) perforated intrauterine device, one (3%) ovarian mass, and one (3%) partial vesicular mole. Patients with chronic pelvic pain were distributed according to diagnosis into six (35%) leiomyomas, four (23%) ovarian masses, two (2%) dermoids, two (2%) endometriomas, one (6%) adenomyosis, one (6%) cervical cancer, and one (6%) pelvic lipomatosis. Conclusion US is the reliable imaging modality for assessment of pelvic pain of gynecological causes. CT was performed if US is inconclusive, nondiagnostic, and if abnormality was beyond the field of view. MRI was superior to CT.
{"title":"Role of imaging modalities in assessment of gynecological causes of pelvic pain","authors":"Eman Alhalawany, Magda Yakut, Nahed Abd-Allatif","doi":"10.4103/sjamf.sjamf_168_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_168_21","url":null,"abstract":"Background Pelvic pain is common in females present to the OB/GYN Department. Ultrasonography (US) is the first imaging modality for assessment of pelvic pain of gynecological causes, sometimes followed by computed tomography (CT) or MRI to reach diagnosis. Objective The objective was to evaluate the role of imaging modalities in assessment of gynecologic causes of pelvic pain. Patients and methods The current study included 50 cases presented to the Radiology Department in Al Azhar University Hospital complaining of pelvic pain. All patients were subjected to history taking and clinical examination. Laboratory investigations, such as B-HCG or CA125, were included for selected cases. All patients underwent US (transabdominal or transvaginal) as a primary imaging modality, then CT, or MRI when indicated. Results Patients were divided into two groups: 33 (66%) patients with acute pelvic pain and 17 (34%) patients with chronic pelvic pain. Patients with acute pelvic pain were distributed according to diagnosis into seven (21.5%) simple ovarian cysts, five (15.5%) ectopic pregnancies, four (12%)hemorrhagic cysts, three (9%) dermoids, three (9%) pelvic inflammatory disease, two (6%) endometriomas, two (6%) adenomyosis, two (6%) missed abortions, one (3%) hematocolpos, one (3%)ovarian apoplexy, one (3%) perforated intrauterine device, one (3%) ovarian mass, and one (3%) partial vesicular mole. Patients with chronic pelvic pain were distributed according to diagnosis into six (35%) leiomyomas, four (23%) ovarian masses, two (2%) dermoids, two (2%) endometriomas, one (6%) adenomyosis, one (6%) cervical cancer, and one (6%) pelvic lipomatosis. Conclusion US is the reliable imaging modality for assessment of pelvic pain of gynecological causes. CT was performed if US is inconclusive, nondiagnostic, and if abnormality was beyond the field of view. MRI was superior to CT.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80041647","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_192_21
Shaimaa Farouk, Wafaa Mahmoud, Hala S A Hafiz
Background Striae distensae (SD) treatment is still challenging as multiple treatment options are available but there is not fully curative or preventive treatment. Aim To evaluate the efficacy and safety of carboxytherapy in treatment of stretch marks. Patients and methods Thirty female patients aged 18–50 years with stretch marks were enrolled in this study. Each patient was treated by carboxytherapy. Six sessions were done with 4 weeks apart. The evaluation of the clinical response to treatment was done every 4 weeks and 1 month after the last session by photos, Global Aesthetic Improvement Scale, and Patient Satisfaction Scale. Results At the end of the study, according to the Global Aesthetic Improvement Scale, the majority of patients (18) showed improvement (60%), while 10 (33.3%) patients showed much improvement, two (6.7%) patients showed no changes, and no patients showed worsening or very much improvement. According to Likert satisfaction scale, 20 (66.7%) patients were satisfied, four (13.3%) patients were neither satisfied nor unsatisfied, three (10%) patients were very satisfied, the same percent (10%) were unsatisfied, and no patient was very unsatisfied. There was a statistically significant relation between satisfaction scale and type of SD, all very satisfied patients had striae rubra, while all unsatisfied patients had striae alba (P=0.031). Conclusion Carboxytherapy can be an effective and safe therapeutic option for SD with no significant side effects.
{"title":"Efficacy of carboxytherapy in treatment of stretch marks","authors":"Shaimaa Farouk, Wafaa Mahmoud, Hala S A Hafiz","doi":"10.4103/sjamf.sjamf_192_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_192_21","url":null,"abstract":"Background Striae distensae (SD) treatment is still challenging as multiple treatment options are available but there is not fully curative or preventive treatment. Aim To evaluate the efficacy and safety of carboxytherapy in treatment of stretch marks. Patients and methods Thirty female patients aged 18–50 years with stretch marks were enrolled in this study. Each patient was treated by carboxytherapy. Six sessions were done with 4 weeks apart. The evaluation of the clinical response to treatment was done every 4 weeks and 1 month after the last session by photos, Global Aesthetic Improvement Scale, and Patient Satisfaction Scale. Results At the end of the study, according to the Global Aesthetic Improvement Scale, the majority of patients (18) showed improvement (60%), while 10 (33.3%) patients showed much improvement, two (6.7%) patients showed no changes, and no patients showed worsening or very much improvement. According to Likert satisfaction scale, 20 (66.7%) patients were satisfied, four (13.3%) patients were neither satisfied nor unsatisfied, three (10%) patients were very satisfied, the same percent (10%) were unsatisfied, and no patient was very unsatisfied. There was a statistically significant relation between satisfaction scale and type of SD, all very satisfied patients had striae rubra, while all unsatisfied patients had striae alba (P=0.031). Conclusion Carboxytherapy can be an effective and safe therapeutic option for SD with no significant side effects.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90975759","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}
Pub Date : 2021-10-01DOI: 10.4103/sjamf.sjamf_191_21
Amira Abdelnasser, R. Ahmed, Tawfik Abdelaty, F. Elhussieny
Background Chronic rhinosinusitis and otitis media with effusion (OME) are common diseases in otorhinolaryngology field. However, a small number of studies have examined the relationship between them. Purpose The aim of this study was to find out the incidence of OME in patients of chronic rhinosinusitis with nasal polypi (CRSwNP) and to highlight the relationship between them. Patients and methods This prospective cross-sectional analytical study has been conducted on 50 selective cases complaining from the CRSwNP. They were examined well, both general and local. Tympanometry to assess function of Eustachian tube was done and also pure-tone audiometry. All patients were 18–55 years old and were admitted in ENT Department at Al-Zahraa University Hospital during the period from March 2019 to April 2020. Research has been approved by the Research Ethical Committee of Otolaryngology Department, Faculty of Medicine for Girls, Al Azhar University. Results According to the results, more than a third of patients had OME, so we believe that chronic rhinosinusitis with polyps increases the chance of OME. Conclusion CRSwNP increases the risk of OME.
{"title":"Otitis media with effusion in chronic sinusitis with polypi","authors":"Amira Abdelnasser, R. Ahmed, Tawfik Abdelaty, F. Elhussieny","doi":"10.4103/sjamf.sjamf_191_21","DOIUrl":"https://doi.org/10.4103/sjamf.sjamf_191_21","url":null,"abstract":"Background Chronic rhinosinusitis and otitis media with effusion (OME) are common diseases in otorhinolaryngology field. However, a small number of studies have examined the relationship between them. Purpose The aim of this study was to find out the incidence of OME in patients of chronic rhinosinusitis with nasal polypi (CRSwNP) and to highlight the relationship between them. Patients and methods This prospective cross-sectional analytical study has been conducted on 50 selective cases complaining from the CRSwNP. They were examined well, both general and local. Tympanometry to assess function of Eustachian tube was done and also pure-tone audiometry. All patients were 18–55 years old and were admitted in ENT Department at Al-Zahraa University Hospital during the period from March 2019 to April 2020. Research has been approved by the Research Ethical Committee of Otolaryngology Department, Faculty of Medicine for Girls, Al Azhar University. Results According to the results, more than a third of patients had OME, so we believe that chronic rhinosinusitis with polyps increases the chance of OME. Conclusion CRSwNP increases the risk of OME.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90185338","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}
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