Ibrahim ahmed hussine, Emad Mohamed Zayid, Mahmoud Salah Tork
Background and aim : Anatomical glenoid restoration by iliac graft transplant versus latarjet surgery is competing as a management option for recurrent traumatic anterior dislocation of the shoulder associated with glenoid bone loss. All patients, who have recurrent traumatic anterior dislocation of the shoulder with loss of glenoid bone rime, will be assessed effectively for their responses to the Latarjet or the Iliac Graft Transfer. Patients and methods : There were 40 patients presented with Anterior dislocation of the shoulder who had open Latarjet operation or ICBGT operation in this prospective random research. Rowe and ASES ratings, satisfaction level, evaluation of range of motion, and instability were all conducted before surgery and after 6, 12, and 24 months following surgery. All patients were followed up with radiographys and CT scans before and after surgery and over the time of follow-up and recorded. Results : There is no statistically signi fi cant difference between both groups for management of recurrent traumatic anterior dislocation ( P < 0.05). Conclusion : It has been observed during the follow-up over this period, and as a result of the measurements or radiographs, that there is no difference between them except the Latarjet group ' s signi fi cantly decreased exterior rotation capacity.
{"title":"Comparative Study Between Iliac Bone Grafting verses Latarjet Procedure For Surgical Management Of Anterior Shoulder Instability With Glenoid Bone defect","authors":"Ibrahim ahmed hussine, Emad Mohamed Zayid, Mahmoud Salah Tork","doi":"10.58675/2682-339x.1700","DOIUrl":"https://doi.org/10.58675/2682-339x.1700","url":null,"abstract":"Background and aim : Anatomical glenoid restoration by iliac graft transplant versus latarjet surgery is competing as a management option for recurrent traumatic anterior dislocation of the shoulder associated with glenoid bone loss. All patients, who have recurrent traumatic anterior dislocation of the shoulder with loss of glenoid bone rime, will be assessed effectively for their responses to the Latarjet or the Iliac Graft Transfer. Patients and methods : There were 40 patients presented with Anterior dislocation of the shoulder who had open Latarjet operation or ICBGT operation in this prospective random research. Rowe and ASES ratings, satisfaction level, evaluation of range of motion, and instability were all conducted before surgery and after 6, 12, and 24 months following surgery. All patients were followed up with radiographys and CT scans before and after surgery and over the time of follow-up and recorded. Results : There is no statistically signi fi cant difference between both groups for management of recurrent traumatic anterior dislocation ( P < 0.05). Conclusion : It has been observed during the follow-up over this period, and as a result of the measurements or radiographs, that there is no difference between them except the Latarjet group ' s signi fi cantly decreased exterior rotation capacity.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","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":"125026168","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":"A clinico-hematological study of sickle cell disease among adult patients in Makkah, Saudi Arabia.","authors":"A. Arbaeen","doi":"10.58675/2682-339x.1684","DOIUrl":"https://doi.org/10.58675/2682-339x.1684","url":null,"abstract":"","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"10 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":"126500250","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}
K. Hewedi, Mohamed M. Elsheikh, Mohamed H. Rashad, Mahmoud S. Attia
{"title":"Sleep abnormalities in a sample of Egyptian patients with chronic pain","authors":"K. Hewedi, Mohamed M. Elsheikh, Mohamed H. Rashad, Mahmoud S. Attia","doi":"10.58675/2682-339x.1803","DOIUrl":"https://doi.org/10.58675/2682-339x.1803","url":null,"abstract":"","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"28 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":"114159349","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}
Background : Conjunctival naevus is a widespread benign eye tumor. Surgical excision or argon laser photocoagulation are the choice of treatment for super fi cial and deep conjunctival naevi. Purpose : The purpose of this study is to compare between surgical excision and argon laser photoablation of conjunctival naevus concerning safety, ef fi cacy and postremoval complications. Patients and methods : A randomized controlled trial was conducted in Ophthalmology Department, Al-Azhar University Hospitals, Egypt in the period from January 2022 to January 2023. 40 patients with benign pigmented conjunctival naevi were included and formed two groups; group (1) included 20 patients and used argon laser photocoagulation for removal of conjunctival naevi, while group (2) included 20 patients and surgical excision of conjunctival naevi was done. Results : As regard to postremoval complications, recurrence of naevi occurred in group (1) only, dry eye was higher in argon laser ablation than surgical excision (15% vs. 5%), conjunctival in fl ammation was higher in excision than argon laser (20% vs. 10%), and scaring occurred in surgical excision group only. Unsatisfaction was higher in surgical excision than laser ablation. Also, there were statistically signi fi cant difference between both groups as regard to complications. Conclusion : Argon laser ablation is a simple and ef fi cient treatment of benign conjunctival naevi and may be used in chosen patients instead of a traditional surgical technique.
背景:结膜痣是一种广泛存在的良性眼部肿瘤。手术切除或氩激光光凝是治疗超深结膜痣的首选方法。目的:比较手术切除与氩激光消融治疗结膜痣的安全性、有效性及术后并发症。患者与方法:于2022年1月至2023年1月在埃及爱资哈尔大学附属医院眼科进行随机对照试验。选取40例良性色素结膜痣患者，分为两组;组(1)20例，采用氩激光光凝术切除结膜内痣;组(2)20例，采用手术切除结膜内痣。结果:术后并发症方面，只有(1)组出现痣复发，氩激光消融组干眼发生率高于手术切除组(15% vs. 5%)，结膜炎症发生率高于氩激光切除组(20% vs. 10%)，结膜结疤发生率仅为手术切除组。手术切除的不满意率高于激光消融。此外，两组在并发症方面也有统计学上的差异。结论:氩激光消融是治疗良性结膜痣的一种简单有效的方法，可替代传统的手术治疗方法。
{"title":"Removal of Benign Conjunctival Naevus by Argon Laser Photocoagulation compared to Surgical Excision","authors":"A. Tawfik","doi":"10.58675/2682-339x.1722","DOIUrl":"https://doi.org/10.58675/2682-339x.1722","url":null,"abstract":"Background : Conjunctival naevus is a widespread benign eye tumor. Surgical excision or argon laser photocoagulation are the choice of treatment for super fi cial and deep conjunctival naevi. Purpose : The purpose of this study is to compare between surgical excision and argon laser photoablation of conjunctival naevus concerning safety, ef fi cacy and postremoval complications. Patients and methods : A randomized controlled trial was conducted in Ophthalmology Department, Al-Azhar University Hospitals, Egypt in the period from January 2022 to January 2023. 40 patients with benign pigmented conjunctival naevi were included and formed two groups; group (1) included 20 patients and used argon laser photocoagulation for removal of conjunctival naevi, while group (2) included 20 patients and surgical excision of conjunctival naevi was done. Results : As regard to postremoval complications, recurrence of naevi occurred in group (1) only, dry eye was higher in argon laser ablation than surgical excision (15% vs. 5%), conjunctival in fl ammation was higher in excision than argon laser (20% vs. 10%), and scaring occurred in surgical excision group only. Unsatisfaction was higher in surgical excision than laser ablation. Also, there were statistically signi fi cant difference between both groups as regard to complications. Conclusion : Argon laser ablation is a simple and ef fi cient treatment of benign conjunctival naevi and may be used in chosen patients instead of a traditional surgical technique.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"27 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":"127055385","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}
Background : Every year, 200 million people worldwide undergo major noncardiac surgery (NCS), and 10 million people experience a signi fi cant cardiac problem during the fi rst 30 days following NCS. Perioperative cardiovascular complications (PCCs) are extremely signi fi cant as they contribute to at least one-third of perioperative mortality, lengthen hospital stays, and raise medical expenses. Objective : The aim was to investigate the importance of presurgical right ventricular (RV) echocardiographic parameters in the prediction of PCCs in individuals having high-risk NCS. Patients and methods : In this prospective cohort observational trial, 200 patients who were all potential candidates for high-risk, noncardiac operations between October 2020 and June 2021 were included. Patients were allocated preoperatively into one group and postoperatively into two groups according to the presence of postoperative cardiac complications. Results : The incidence of PPCs among the study population was about 36 patients of 200 patients with percentage of 18%. The results also revealed that signi fi cant predictors of postoperative PCCs after major NCS arranged by descending manner according to their odds ratio are as follows: Tie index greater than 0.47, tricuspid valve E/A (TV E/A) less than or equal to 1.18, tricuspid annular plane systolic excursion less than or equal to 1.8, MV E/A less than or equal to 1.3, left ventricular ejection fraction (LVEF) (%) less than or equal to 56, LVESDV (ml 3 ) greater than 35.6, HbA1C greater than 7.7, MV E/e ′ greater than 8.32, revised cardiac risk index, RV fractional area change (%) less than or equal to 35.6, mitral regurgitation (MR) up to moderate, serum creatinine (mg/dl) greater than 1.4, left atrial volume index (LAVI) greater than 22, and serum urea (mg/dl) greater than 34. By multivariate analysis, the authors found that the signi fi cant risk factors for PCCs are LVEF (%) less than or equal to 56, TV E/A less than or equal to 1.18, and Tie index greater than 0.47. Conclusion : RV echocardiographic measures taken before surgery are independent risk factors for PCCs in individuals having major NCS.
背景:每年，全世界有2亿人接受重大非心脏手术(NCS)， 1000万人在NCS后的前30天内出现严重的心脏问题。围手术期心血管并发症(PCCs)是非常重要的，因为它们至少占围手术期死亡率的三分之一，延长住院时间并增加医疗费用。目的:探讨术前右心室(RV)超声心动图参数在高危NCS患者PCCs预测中的重要性。患者和方法:在这项前瞻性队列观察性试验中，纳入了200名患者，这些患者都是2020年10月至2021年6月期间高危非心脏手术的潜在候选者。根据患者术后心脏并发症情况，术前分为一组，术后分为两组。结果:200例患者中PPCs发生率约36例，占18%。结果还显示，根据比值比降序排列的重大NCS术后PCCs的显著预测因子如下:领带指数大于0.47,三尖瓣E / A(电视E / A)小于或等于1.18,三尖瓣环平面收缩偏差小于或等于1.8 MV E /小于或等于1.3,左心室射血分数(LVEF)(%)小于或等于56岁LVESDV(毫升3)大于35.6,糖化血红蛋白大于7.7,MV E / E”大于8.32,修订后的心脏风险指数RV部分区域变化(%)小于或等于35.6,中度二尖瓣返流(MR),血清肌酐(mg/dl) > 1.4，左房容积指数(LAVI) > 22，血清尿素(mg/dl) > 34。通过多因素分析，笔者发现PCCs的显著危险因素为LVEF(%)≤56,TV E/A≤1.18,Tie指数> 0.47。结论:术前RV超声心动图检查是严重NCS患者发生PCCs的独立危险因素。
{"title":"Preoperative Right Ventricular Echocardiographic Parameters Predict Perioperative Cardiovascular Complications in Patients Undergoing High risk Non-Cardiac Surgery","authors":"Mohammed Suleiman Mohammed, W. Atia, Alyaa Zahran","doi":"10.58675/2682-339x.1637","DOIUrl":"https://doi.org/10.58675/2682-339x.1637","url":null,"abstract":"Background : Every year, 200 million people worldwide undergo major noncardiac surgery (NCS), and 10 million people experience a signi fi cant cardiac problem during the fi rst 30 days following NCS. Perioperative cardiovascular complications (PCCs) are extremely signi fi cant as they contribute to at least one-third of perioperative mortality, lengthen hospital stays, and raise medical expenses. Objective : The aim was to investigate the importance of presurgical right ventricular (RV) echocardiographic parameters in the prediction of PCCs in individuals having high-risk NCS. Patients and methods : In this prospective cohort observational trial, 200 patients who were all potential candidates for high-risk, noncardiac operations between October 2020 and June 2021 were included. Patients were allocated preoperatively into one group and postoperatively into two groups according to the presence of postoperative cardiac complications. Results : The incidence of PPCs among the study population was about 36 patients of 200 patients with percentage of 18%. The results also revealed that signi fi cant predictors of postoperative PCCs after major NCS arranged by descending manner according to their odds ratio are as follows: Tie index greater than 0.47, tricuspid valve E/A (TV E/A) less than or equal to 1.18, tricuspid annular plane systolic excursion less than or equal to 1.8, MV E/A less than or equal to 1.3, left ventricular ejection fraction (LVEF) (%) less than or equal to 56, LVESDV (ml 3 ) greater than 35.6, HbA1C greater than 7.7, MV E/e ′ greater than 8.32, revised cardiac risk index, RV fractional area change (%) less than or equal to 35.6, mitral regurgitation (MR) up to moderate, serum creatinine (mg/dl) greater than 1.4, left atrial volume index (LAVI) greater than 22, and serum urea (mg/dl) greater than 34. By multivariate analysis, the authors found that the signi fi cant risk factors for PCCs are LVEF (%) less than or equal to 56, TV E/A less than or equal to 1.18, and Tie index greater than 0.47. Conclusion : RV echocardiographic measures taken before surgery are independent risk factors for PCCs in individuals having major NCS.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"28 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":"126145575","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}
Hossam Hasan Mahmoud EL-Kattatny, W. Hamed, Mohamed Mohamed Mohamed Elaraby
Background : Cesarean delivery (C-section) is a surgical procedure used to deliver a baby through open incisions in the abdomen and uterus. Aim : To evaluate and assess the causes, outcomes, and cost of cesarean section (CS) on demand in Al-Azhar Assiut University Hospital and private delivery centers. Patients and methods : This randomized retrospective controlled study was performed on 400 pregnant women who underwent elective CS. Among women included in the study, group 1 underwent elective CS in Al-Azhar Assiut University Hospital ( n ¼ 200) and group 2 underwent elective CS in private delivery centers ( n ¼ 200). Results : There was no statistically signi fi cant difference between the included groups regarding demographic data. There was a highly statistically signi fi cant ( P < 0.001) increased percentage of obstetrician pressure in group 2 (24 cases, 12%) when compared with group 1 (0 case, 0%). There was fear of pain of CS on demand in two groups, with no statistical signi fi cant differences between the two groups ( P > 0.05). There was a statistically signi fi cant ( P > 0.039) increased percentage of postpartum hemorrhage in group 2 (21 cases, 10.5%) when compared with group 1 (10 cases, 5%). Conclusion : CS on demand was a primary choice for delivery worldwide. CS is related to demographic factors of pregnant women (age, parity, and willingness of delivery mode) and is affected by other people who are in close contact.
{"title":"Evaluation Of Outcomes Of Caesarean Section On Demand","authors":"Hossam Hasan Mahmoud EL-Kattatny, W. Hamed, Mohamed Mohamed Mohamed Elaraby","doi":"10.58675/2682-339x.1613","DOIUrl":"https://doi.org/10.58675/2682-339x.1613","url":null,"abstract":"Background : Cesarean delivery (C-section) is a surgical procedure used to deliver a baby through open incisions in the abdomen and uterus. Aim : To evaluate and assess the causes, outcomes, and cost of cesarean section (CS) on demand in Al-Azhar Assiut University Hospital and private delivery centers. Patients and methods : This randomized retrospective controlled study was performed on 400 pregnant women who underwent elective CS. Among women included in the study, group 1 underwent elective CS in Al-Azhar Assiut University Hospital ( n ¼ 200) and group 2 underwent elective CS in private delivery centers ( n ¼ 200). Results : There was no statistically signi fi cant difference between the included groups regarding demographic data. There was a highly statistically signi fi cant ( P < 0.001) increased percentage of obstetrician pressure in group 2 (24 cases, 12%) when compared with group 1 (0 case, 0%). There was fear of pain of CS on demand in two groups, with no statistical signi fi cant differences between the two groups ( P > 0.05). There was a statistically signi fi cant ( P > 0.039) increased percentage of postpartum hemorrhage in group 2 (21 cases, 10.5%) when compared with group 1 (10 cases, 5%). Conclusion : CS on demand was a primary choice for delivery worldwide. CS is related to demographic factors of pregnant women (age, parity, and willingness of delivery mode) and is affected by other people who are in close contact.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"16 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":"122748141","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}
I. T. El-Garhy, D. O. El-Haieg, Mohammed Taha Abdelfattah Ahmed, Mahmoud Ismail abdelrahman kotb
Background : The dramatic increase in cesarean section (CS) delivery will essentially increase incidence of cesarean scar defect rate, which has a deleterious effect on mother ' s health as cesarean scar ectopic pregnancy, placenta previa and morbidly adherent placenta, scar dehiscence, postmenstrual spotting, intermenstrual bleeding, dysmenorrheal, dys-pareunia, and secondary infertility. Aim and objectives : This study ' s objectives were to determine the incidence of postcesarean scar niche as determined by transvaginal sonography (TVS) and saline infusion sonohysterography (SHG) and to reveal its effect on patient ' s lifestyle. Patients and methods : This research was cross-sectional in nature. All patients were thoroughly apprised of the description of the research, and their verbal informed permission was obtained. The research received approval of the ethics committee. Patients who visited the Department of Obstetrics and Gynecology ' s outpatient clinics at Al-Azhar University Hospitals and Zagazig University Hospitals were the participants of the research. The study was performed from December 2019 to December 2021. Results : The incidence of CS niche detected by TVS was 37.7% (75/199 patients), whereas SHG detected 77.9% (155/199 patients). CS niche parameters such as length, depth, and width were signi fi cantly high as measured by SHG compared with TVS and signi fi cantly low in residual myometrial tissue as measured by SHG compared with TVS. Postmenstrual spotting, dysmenorrhea, heavy menstrual bleeding, and chronic pelvic pain were signi fi cantly high in patients with CS niche. Conclusion : SHG is more accurate in diagnosis and characterization of cesarean scar defect. Postmenstrual spotting, dysmenorrhea, heavy menstrual bleeding, and chronic pelvic pain were signi fi cantly high in patients with CS niche.
{"title":"Post Cesarean Section Scar Niche, Prevalence and Impact on Patient's Life Style","authors":"I. T. El-Garhy, D. O. El-Haieg, Mohammed Taha Abdelfattah Ahmed, Mahmoud Ismail abdelrahman kotb","doi":"10.58675/2682-339x.1620","DOIUrl":"https://doi.org/10.58675/2682-339x.1620","url":null,"abstract":"Background : The dramatic increase in cesarean section (CS) delivery will essentially increase incidence of cesarean scar defect rate, which has a deleterious effect on mother ' s health as cesarean scar ectopic pregnancy, placenta previa and morbidly adherent placenta, scar dehiscence, postmenstrual spotting, intermenstrual bleeding, dysmenorrheal, dys-pareunia, and secondary infertility. Aim and objectives : This study ' s objectives were to determine the incidence of postcesarean scar niche as determined by transvaginal sonography (TVS) and saline infusion sonohysterography (SHG) and to reveal its effect on patient ' s lifestyle. Patients and methods : This research was cross-sectional in nature. All patients were thoroughly apprised of the description of the research, and their verbal informed permission was obtained. The research received approval of the ethics committee. Patients who visited the Department of Obstetrics and Gynecology ' s outpatient clinics at Al-Azhar University Hospitals and Zagazig University Hospitals were the participants of the research. The study was performed from December 2019 to December 2021. Results : The incidence of CS niche detected by TVS was 37.7% (75/199 patients), whereas SHG detected 77.9% (155/199 patients). CS niche parameters such as length, depth, and width were signi fi cantly high as measured by SHG compared with TVS and signi fi cantly low in residual myometrial tissue as measured by SHG compared with TVS. Postmenstrual spotting, dysmenorrhea, heavy menstrual bleeding, and chronic pelvic pain were signi fi cantly high in patients with CS niche. Conclusion : SHG is more accurate in diagnosis and characterization of cesarean scar defect. Postmenstrual spotting, dysmenorrhea, heavy menstrual bleeding, and chronic pelvic pain were signi fi cantly high in patients with CS niche.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","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":"131412801","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}
H. Maghraby, Eman Aboelnasr Awad, Rehab A Mohammed, Manal Fouad Abdelmaniem, Hala . Maghraby Sherif, Rabab Sabry
Background : The diagnosis and treatment of critically ill patients depend on an accurate evaluation of intravascular volume status. An intrusive tool used for this is central venous pressure (CVP). Aim : In the present investigation, intravascular volume status of severely ill patients was evaluated using noninvasive inferior vena cava (IVC) diameter and collapsibility index (CI) measurements in ICU patients and its link with CVP. Patients and methods : A total of 100 adult patients hospitalized to the medical ICU were included in this study. CVP was measured by an intrathoracic venous catheter in the right atrium. The IVC-CI was calculated by measurement of IVC diameter in expiration and inspiration by bedside ultrasound. Results : The IVC dmin and IVC dmax decreased in hypovolemic patients compared with euvolemic and hypervolemic patients. However, IVC-CI showed a signi fi cant increase in hypovolemic patients. CVP showed a signi fi cant positive correlation with IVC diameter with expiration and inspiration but had a negative correlation with the IVC-CI. Conclusion : IVC diameters and collapsibility index have a signi fi cant correlation with CVP. Its measurements by ultrasound are simple, noninvasive, safe methods for evaluation of volume status versus CVP in critical patients.
{"title":"Inferior Vena Cava Diameter and Collapsibility Index measurements by Ultrasound and its Correlation with Central Venous Pressure in Critically Ill Patients","authors":"H. Maghraby, Eman Aboelnasr Awad, Rehab A Mohammed, Manal Fouad Abdelmaniem, Hala . Maghraby Sherif, Rabab Sabry","doi":"10.58675/2682-339x.1682","DOIUrl":"https://doi.org/10.58675/2682-339x.1682","url":null,"abstract":"Background : The diagnosis and treatment of critically ill patients depend on an accurate evaluation of intravascular volume status. An intrusive tool used for this is central venous pressure (CVP). Aim : In the present investigation, intravascular volume status of severely ill patients was evaluated using noninvasive inferior vena cava (IVC) diameter and collapsibility index (CI) measurements in ICU patients and its link with CVP. Patients and methods : A total of 100 adult patients hospitalized to the medical ICU were included in this study. CVP was measured by an intrathoracic venous catheter in the right atrium. The IVC-CI was calculated by measurement of IVC diameter in expiration and inspiration by bedside ultrasound. Results : The IVC dmin and IVC dmax decreased in hypovolemic patients compared with euvolemic and hypervolemic patients. However, IVC-CI showed a signi fi cant increase in hypovolemic patients. CVP showed a signi fi cant positive correlation with IVC diameter with expiration and inspiration but had a negative correlation with the IVC-CI. Conclusion : IVC diameters and collapsibility index have a signi fi cant correlation with CVP. Its measurements by ultrasound are simple, noninvasive, safe methods for evaluation of volume status versus CVP in critical patients.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"82 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":"122290576","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}
Mohamed Ahmed Saeed, Marwan Mansour Mohamed, Mostafa Mohamed Abd El-Monem Roshdy
{"title":"Comparative study between Harmonic scalpel, bipolar forceps Diathermy and Classic suture ligation in total thyroidectomy","authors":"Mohamed Ahmed Saeed, Marwan Mansour Mohamed, Mostafa Mohamed Abd El-Monem Roshdy","doi":"10.58675/2682-339x.1690","DOIUrl":"https://doi.org/10.58675/2682-339x.1690","url":null,"abstract":"","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"69 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":"121092738","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}
Background : PDA connects aorta and pulmonary artery during intrafetal life and allows intrauterine blood fl ow from right side to left side. It is common to stay patent after birth especially in preterm. Study purpose : To correlate the effect of PDA hemodynamic signi fi cance on diastolic myocardial functions using tissue doppler. Methods : This study was conducted on 50 babies delivered in or admitted to Bab-Sheria Hospital University hospital categorized into three groups: Control, Patent ductus arteriosus cases with hemodynamic signi fi cance (HD-Sig. PDA) and PDA cases with no hemodynamic signi fi cance (NHSPDA). Results : There was higher (statistically signi fi cant) LA/AO ratio and lower (E/A) ratio in HD-Sig. PDA in comparison to NHSPDA and control group. There was statistically signi fi cant lower septal E ’ velocity and lower lateral wall E ’ velocity in both HD-Sig PDA and NHSPDA cases compared to the control group. There was lower mean values of both septal E ’ and lateral wall E ‘ in HD-Sig. PDA compared to NHSPDA. Conclusion : Neonates with HD-Sig. PDA have lower diastolic left ventricular velocities indicating relative degrees of left ventricular diastolic dysfunction compared to NHSPDA cases and control group. Tissue Doppler echocardiography is highly sensitive and non invasive procedure to evaluate diastolic myocardial functions in PDA cases.
{"title":"Assessment of Diastolic Myocardial Function in Neonates with Patent Ductus Arteriosus by Tissue Doppler Imaging","authors":"R. A. Khattab, M. Bayoumi, M. Seif","doi":"10.58675/2682-339x.1737","DOIUrl":"https://doi.org/10.58675/2682-339x.1737","url":null,"abstract":"Background : PDA connects aorta and pulmonary artery during intrafetal life and allows intrauterine blood fl ow from right side to left side. It is common to stay patent after birth especially in preterm. Study purpose : To correlate the effect of PDA hemodynamic signi fi cance on diastolic myocardial functions using tissue doppler. Methods : This study was conducted on 50 babies delivered in or admitted to Bab-Sheria Hospital University hospital categorized into three groups: Control, Patent ductus arteriosus cases with hemodynamic signi fi cance (HD-Sig. PDA) and PDA cases with no hemodynamic signi fi cance (NHSPDA). Results : There was higher (statistically signi fi cant) LA/AO ratio and lower (E/A) ratio in HD-Sig. PDA in comparison to NHSPDA and control group. There was statistically signi fi cant lower septal E ’ velocity and lower lateral wall E ’ velocity in both HD-Sig PDA and NHSPDA cases compared to the control group. There was lower mean values of both septal E ’ and lateral wall E ‘ in HD-Sig. PDA compared to NHSPDA. Conclusion : Neonates with HD-Sig. PDA have lower diastolic left ventricular velocities indicating relative degrees of left ventricular diastolic dysfunction compared to NHSPDA cases and control group. Tissue Doppler echocardiography is highly sensitive and non invasive procedure to evaluate diastolic myocardial functions in PDA cases.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"179 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":"133576461","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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