Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed
Background : Growth of the uterus ' s smooth muscles and connective tissue is known as uterine fi broids. They are viewed as the most widely recognized harmless growth of the pelvis. Moderate a medical procedure stays the primary methodology for the board of uterine myomas. Myomectomy is viewed as a signi fi cant choice for women who want future childbearing or essentially need to protect their uterus. Objective : The goal of this review was to assess the uterine cavity using hysteroscopic and ultrasonographic devices. Patients and methods : A planned (observation) logical plan was used in this review. Our research included 50 patients chosen from the short-term gynecological facility (Al-Hussien and Sayed Galal Hospital at Al-Azhar University). Results : The aim of the review was to assess the uterine hole using hysteroscopic and ultrasonographic devices. This research included 50 patients chosen from the short-term gynecological facility (Al-Hussien and Sayed Galal Hospital at Al-Azhar University), with similar incorporation and rejection standards. Conclusion : From our review, we could reason that hysteroscopy further enhances the results of 3 e 4D ultrasound imaging. It is not as of now accessible in all units, and its utilization has huge rami fi cations regarding cost and preparing. Saline implantation then again might be embraced effectively utilizing different devoted frameworks or changes of promptly accessible less-expensive catheters, for example, intrauterine insemination catheter.
{"title":"Ultrasonographic and Hysteroscopic assessment of Uterine Cavity post Myomectomy","authors":"Abd El Samie Hasan Khalefa, Tamer Fares Ouf, Yousef Hagag Abdou Muhammed","doi":"10.58675/2682-339x.1654","DOIUrl":"https://doi.org/10.58675/2682-339x.1654","url":null,"abstract":"Background : Growth of the uterus ' s smooth muscles and connective tissue is known as uterine fi broids. They are viewed as the most widely recognized harmless growth of the pelvis. Moderate a medical procedure stays the primary methodology for the board of uterine myomas. Myomectomy is viewed as a signi fi cant choice for women who want future childbearing or essentially need to protect their uterus. Objective : The goal of this review was to assess the uterine cavity using hysteroscopic and ultrasonographic devices. Patients and methods : A planned (observation) logical plan was used in this review. Our research included 50 patients chosen from the short-term gynecological facility (Al-Hussien and Sayed Galal Hospital at Al-Azhar University). Results : The aim of the review was to assess the uterine hole using hysteroscopic and ultrasonographic devices. This research included 50 patients chosen from the short-term gynecological facility (Al-Hussien and Sayed Galal Hospital at Al-Azhar University), with similar incorporation and rejection standards. Conclusion : From our review, we could reason that hysteroscopy further enhances the results of 3 e 4D ultrasound imaging. It is not as of now accessible in all units, and its utilization has huge rami fi cations regarding cost and preparing. Saline implantation then again might be embraced effectively utilizing different devoted frameworks or changes of promptly accessible less-expensive catheters, for example, intrauterine insemination catheter.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"38 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":"133642585","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 : Endovascular embolization of cerebral arteriovenous malformations (AVMs) has several bene fi ts including AVM occlusion and fl ow reduction in preparation for other treatment techniques. Aim and objectives : The aim was to assess the ef fi cacy and safety of endovascular embolization of cerebral AVM with different techniques and materials. Patients and methods : In a prospective and retrospective study, 22 patients diagnosed as having AVM or arteriovenous fi stula who underwent endovascular embolization at Neurosurgical Intervention Unit et al. Hussein University Hospital were recruited in the period from the beginning of January 2020 to the end of May 2022. The authors included patients aged above 1 month, diagnosed to have cerebral AVM or arteriovenous fi stula. Patients with recent cerebral hemorrhage were delayed for at least 2 weeks. The authors excluded patients with vein of Galen malformation, neonatal AVM, patients who underwent surgical excision, patients with contraindication to radiation or dye injection, and inaccessible endovascular techniques such as severely tortuous vessels. Results : In the current study, the mean age was 24.5 ± 14.7 years. Most cases were male (68.2%). Most cases (86.4%) manifested headache, 40.9% had hemorrhage, 31.8% had side weakness, and 27.3% had fi ts. Spetzler and Martin grade of the cerebral AVMs was signi fi cantly improved after embolization compared with the initial grading score ( P ¼ 0.002). Eight patients showed complete occlusion of nidus and 14 had partial occlusion according to Spetzler and Martin grade. After 3 months of follow-up, modi fi ed Rankin scale, epilepsy, and headache were improved. No patient had procedure-related complications. Conclusion : Endovascular embolization is safe and effective in patients with cerebral AVM
{"title":"Efficacy and safety of endovascular embolization of cerebral AVM","authors":"A. El-rahamany, Y. Barakat, Ahmed M. Elsherif","doi":"10.58675/2682-339x.1660","DOIUrl":"https://doi.org/10.58675/2682-339x.1660","url":null,"abstract":"Background : Endovascular embolization of cerebral arteriovenous malformations (AVMs) has several bene fi ts including AVM occlusion and fl ow reduction in preparation for other treatment techniques. Aim and objectives : The aim was to assess the ef fi cacy and safety of endovascular embolization of cerebral AVM with different techniques and materials. Patients and methods : In a prospective and retrospective study, 22 patients diagnosed as having AVM or arteriovenous fi stula who underwent endovascular embolization at Neurosurgical Intervention Unit et al. Hussein University Hospital were recruited in the period from the beginning of January 2020 to the end of May 2022. The authors included patients aged above 1 month, diagnosed to have cerebral AVM or arteriovenous fi stula. Patients with recent cerebral hemorrhage were delayed for at least 2 weeks. The authors excluded patients with vein of Galen malformation, neonatal AVM, patients who underwent surgical excision, patients with contraindication to radiation or dye injection, and inaccessible endovascular techniques such as severely tortuous vessels. Results : In the current study, the mean age was 24.5 ± 14.7 years. Most cases were male (68.2%). Most cases (86.4%) manifested headache, 40.9% had hemorrhage, 31.8% had side weakness, and 27.3% had fi ts. Spetzler and Martin grade of the cerebral AVMs was signi fi cantly improved after embolization compared with the initial grading score ( P ¼ 0.002). Eight patients showed complete occlusion of nidus and 14 had partial occlusion according to Spetzler and Martin grade. After 3 months of follow-up, modi fi ed Rankin scale, epilepsy, and headache were improved. No patient had procedure-related complications. Conclusion : Endovascular embolization is safe and effective in patients with cerebral AVM","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"104 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":"129052824","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 Talaat Mohamed Ibrahim, Ahmed Abdel Fattah Abu Rashid, Mohammed Osama Wahbi, D. Emara
Background : Thyroid nodule, goiter, thyroiditis, and thyroid cancer are all common conditions that may have a negative effect on normal thyroid function. Objective : To determine how fi ne-needle aspiration cytology correlation and various imaging modalities contribute to the diagnosis of thyroid gland diseases. Patients and methods : A total of 100 participants who came for thyroid problems in the outpatient departments of Al-Hussein University Hospital were included in the research. All patients were screened with ultrasound (US), and based on the results of that examination, some were sent for further radiological testing. Results : Of the 100 patients included in the study, US was able to classify thyroid diseases as focal (69 cases), diffuse (30 cases), and others (11 cases). A total of 48 thyroid nodules underwent fi ne-needle aspiration cytology and distributed based on the Bethesda score as three (6.2%) in category I, 30 (62.5%) in category II, fi ve (10.4%) in category III, one (2%) in category IV, three (6.2%) in category V, and six (12.5%) in category VI. The sensitivity, speci fi city, positive and negative predictive values, accuracy, and likelihood ratios of US, and pathology were determined. Approximately 22 (22%) patients underwent a computed tomography scan mainly to evaluate retrosternal extension and for preoperative staging, and 22 (22%) patients underwent a radionuclide scan. Conclusion : Patients with normal thyroid function (euthyroid) should fi rst have an US. In the same way, US is the fi rst line of diagnosis for a goiter ' s size and extent. Computed tomography without contrast is appropriate if there is any worry about effect on the trachea or if it is necessary to determine how deep the goiter sits.
{"title":"Role of different imaging modalities and FNAC correlation in diagnosing thyroid gland pathologies","authors":"Mohamed Talaat Mohamed Ibrahim, Ahmed Abdel Fattah Abu Rashid, Mohammed Osama Wahbi, D. Emara","doi":"10.58675/2682-339x.1656","DOIUrl":"https://doi.org/10.58675/2682-339x.1656","url":null,"abstract":"Background : Thyroid nodule, goiter, thyroiditis, and thyroid cancer are all common conditions that may have a negative effect on normal thyroid function. Objective : To determine how fi ne-needle aspiration cytology correlation and various imaging modalities contribute to the diagnosis of thyroid gland diseases. Patients and methods : A total of 100 participants who came for thyroid problems in the outpatient departments of Al-Hussein University Hospital were included in the research. All patients were screened with ultrasound (US), and based on the results of that examination, some were sent for further radiological testing. Results : Of the 100 patients included in the study, US was able to classify thyroid diseases as focal (69 cases), diffuse (30 cases), and others (11 cases). A total of 48 thyroid nodules underwent fi ne-needle aspiration cytology and distributed based on the Bethesda score as three (6.2%) in category I, 30 (62.5%) in category II, fi ve (10.4%) in category III, one (2%) in category IV, three (6.2%) in category V, and six (12.5%) in category VI. The sensitivity, speci fi city, positive and negative predictive values, accuracy, and likelihood ratios of US, and pathology were determined. Approximately 22 (22%) patients underwent a computed tomography scan mainly to evaluate retrosternal extension and for preoperative staging, and 22 (22%) patients underwent a radionuclide scan. Conclusion : Patients with normal thyroid function (euthyroid) should fi rst have an US. In the same way, US is the fi rst line of diagnosis for a goiter ' s size and extent. Computed tomography without contrast is appropriate if there is any worry about effect on the trachea or if it is necessary to determine how deep the goiter sits.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"1 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":"129785633","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}
F. Elomda, Mohamad Abdel Hameed kheder, A. Said, Mohamad Yousef Elsead
Background : Diabetes mellitus, one of the most prevalent medical issues, has emerged as a serious concern to pregnant women. It is linked to a number of maternal and fetal issues, including delivery traumas, perinatal death, shoulder dystocia, macrosomia, and operating room interference. Early prediction of fatal complications will improve outcome and reduce perinatal mortality. Aim and objectives : To determine whether glycated hemoglobin and umbilical cord thickness in pregnant women with diabetes can accurately predict fetus ' s macrosomia. Patients and methods : A 6-month prospective observational research study was performed on 100 women with gestational diabetes who were 28 e 29-week pregnant at Al-Hussein University Hospital. Patients had a thorough medical history review, an ultrasound assessment, and an ultrasonography examination. Result : Glycated hemoglobin and Umbilical Cord Thickness (UCT) at 27 e 28 weeks and 36 e 37 weeks of gestation were signi fi cantly different across the three groups that were examined. Conclusion : Severe obstetric problems, including shoulder dystocia and postpartum hemorrhage, are caused by mac-rosomia. There are times when it is dif fi cult to foresee shoulder dystocia. The group most at risk for these issues may be found, however, using macrosomia prediction. There have been documented studies using sonographic measurement for predicting fetal macrosomia. Fetal macrosomia is well predicted by the thickness of the umbilical cord and the fetal fat layer.
{"title":"Prediction of Fetal Macrosomia in Patients with Gestational Diabetes Mellitus through measuring the umbilical cord thickness and glycated hemoglobin (HbA1c) levels","authors":"F. Elomda, Mohamad Abdel Hameed kheder, A. Said, Mohamad Yousef Elsead","doi":"10.58675/2682-339x.1649","DOIUrl":"https://doi.org/10.58675/2682-339x.1649","url":null,"abstract":"Background : Diabetes mellitus, one of the most prevalent medical issues, has emerged as a serious concern to pregnant women. It is linked to a number of maternal and fetal issues, including delivery traumas, perinatal death, shoulder dystocia, macrosomia, and operating room interference. Early prediction of fatal complications will improve outcome and reduce perinatal mortality. Aim and objectives : To determine whether glycated hemoglobin and umbilical cord thickness in pregnant women with diabetes can accurately predict fetus ' s macrosomia. Patients and methods : A 6-month prospective observational research study was performed on 100 women with gestational diabetes who were 28 e 29-week pregnant at Al-Hussein University Hospital. Patients had a thorough medical history review, an ultrasound assessment, and an ultrasonography examination. Result : Glycated hemoglobin and Umbilical Cord Thickness (UCT) at 27 e 28 weeks and 36 e 37 weeks of gestation were signi fi cantly different across the three groups that were examined. Conclusion : Severe obstetric problems, including shoulder dystocia and postpartum hemorrhage, are caused by mac-rosomia. There are times when it is dif fi cult to foresee shoulder dystocia. The group most at risk for these issues may be found, however, using macrosomia prediction. There have been documented studies using sonographic measurement for predicting fetal macrosomia. Fetal macrosomia is well predicted by the thickness of the umbilical cord and the fetal fat layer.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"944 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":"133649498","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}
Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan
Background : One of the most common neurologic disorders is multiple sclerosis. The aim was to improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives : The aim was to assess the effect of high-frequency (HF) rTMS on improving spasticity in a sample of Egyptian patients with MS. Patients and methods : : A total of 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from the beginning of January 2022 for 6 months. Patients were then randomly allocated into two groups. Study group: 20 patients received 12 sessions of HF rTMS over the period of 3 weeks, followed by physical therapy for 30 min. rTMS protocol: contralateral primary motor cortex (M1) was the site of stimulation. A total of 1500 pulses (50 pulses per train with total 30 trains) per session with an intensity of 90% of the resting motor threshold at a frequency of 10 Hz were received. Each train had a duration of 30 s with intertrain delay of 25 s. Control group: 20 patients received only physical therapy of 30 min over the period of 3 weeks. Results : Both groups received their medical treatment and physiotherapy. Compared with the control group, the study group had a statistically signi fi cant improvement. Conclusion : HF rTMS could be bene fi cial in reducing spasticity and enhancing motor recovery in Egyptian patients with MS.
{"title":"Efficacy of Repetitive Transcranial Magnetic Stimulation on spasticity in Egyptian Multiple Sclerosis Patients","authors":"Abdelrahman M. Khattab, Mahmoud M. Abd Elsayed Saleh, Ahmed E. Sarhan","doi":"10.58675/2682-339x.1659","DOIUrl":"https://doi.org/10.58675/2682-339x.1659","url":null,"abstract":"Background : One of the most common neurologic disorders is multiple sclerosis. The aim was to improve quality of life, many tools have been employed. Repetitive transcranial magnetic stimulation (rTMS) is a new established technique to treat spasticity and improve the outcome of rehabilitation program in various neurologic conditions. Aim and objectives : The aim was to assess the effect of high-frequency (HF) rTMS on improving spasticity in a sample of Egyptian patients with MS. Patients and methods : : A total of 40 patients were recruited from the MS unit at Al-Azhar University hospitals with established diagnosis of MS and spasticity. Recruitment started from the beginning of January 2022 for 6 months. Patients were then randomly allocated into two groups. Study group: 20 patients received 12 sessions of HF rTMS over the period of 3 weeks, followed by physical therapy for 30 min. rTMS protocol: contralateral primary motor cortex (M1) was the site of stimulation. A total of 1500 pulses (50 pulses per train with total 30 trains) per session with an intensity of 90% of the resting motor threshold at a frequency of 10 Hz were received. Each train had a duration of 30 s with intertrain delay of 25 s. Control group: 20 patients received only physical therapy of 30 min over the period of 3 weeks. Results : Both groups received their medical treatment and physiotherapy. Compared with the control group, the study group had a statistically signi fi cant improvement. Conclusion : HF rTMS could be bene fi cial in reducing spasticity and enhancing motor recovery in Egyptian patients with MS.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"112 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":"124774605","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}
Mahsoub Mourad Amin, Mohamed Hamza Hamed, Mahmoud Abdelhady Abdelaziz, Islam Mohamed Salem
Background : The objective of arteriovenous access creation is to furnish an available vascular structure with enough bloodstream that can be cannulated for satisfactory dialysis. Ultrasonographic assessment is considered a standard strategy for each medical procedure of arteriovenous fi stula (AVF) creation. It determines utilized AVF work monitoring in the postoperative period. Objective : To review and discuss the advances in the effect of hydrostatic venous dilatation during intraoperative AVF creation in end-stage renal disease patients and its effect on the maturation of the fi stula guided by preoperative and postoperative Duplex assessment. Patients and methods : This prospective study was performed on 40 patients presented in the Department of Vascular Surgery at Al-Azhar University hospitals (Al-Hussin and Bab-Alsheryah hospitals). Patients were monitored regularly in the dialysis unit; data collected included patient demographics, comorbidities, any previous vascular access, type of anatomical site of current AVF, details of the operative procedure, exact expected time, and functional maturation. Patient will do surgical AVF creation with estimated glomerular fi ltration rate less than 15.0 ml/min referred from nephrology department. Results : At 6 weeks postoperatively, the mean vein diameter was 6.4 mm at the site of anastomosis, 6.23 and 6.1 mm at 3 and 10 cm proximal to the site of anastomosis, respectively. The average vein diameter increased by 0.57 mm (15.5%) after hydrostatic dilatation and 3.23 (112.2%) after 6 weeks from intervention. Conclusion : The creation of effective AVF hemodialysis all together develop adequate hemodialysis and is in fl uenced by various factors, the most signi fi cant factor being distensibility of the vein through percent of the expansion in vein width not preoperative supreme vein measurement
{"title":"Effect of hydrostatic venous dilatation during creation of arterio-venous fistula on maturation of hemodialysis access","authors":"Mahsoub Mourad Amin, Mohamed Hamza Hamed, Mahmoud Abdelhady Abdelaziz, Islam Mohamed Salem","doi":"10.58675/2682-339x.1666","DOIUrl":"https://doi.org/10.58675/2682-339x.1666","url":null,"abstract":"Background : The objective of arteriovenous access creation is to furnish an available vascular structure with enough bloodstream that can be cannulated for satisfactory dialysis. Ultrasonographic assessment is considered a standard strategy for each medical procedure of arteriovenous fi stula (AVF) creation. It determines utilized AVF work monitoring in the postoperative period. Objective : To review and discuss the advances in the effect of hydrostatic venous dilatation during intraoperative AVF creation in end-stage renal disease patients and its effect on the maturation of the fi stula guided by preoperative and postoperative Duplex assessment. Patients and methods : This prospective study was performed on 40 patients presented in the Department of Vascular Surgery at Al-Azhar University hospitals (Al-Hussin and Bab-Alsheryah hospitals). Patients were monitored regularly in the dialysis unit; data collected included patient demographics, comorbidities, any previous vascular access, type of anatomical site of current AVF, details of the operative procedure, exact expected time, and functional maturation. Patient will do surgical AVF creation with estimated glomerular fi ltration rate less than 15.0 ml/min referred from nephrology department. Results : At 6 weeks postoperatively, the mean vein diameter was 6.4 mm at the site of anastomosis, 6.23 and 6.1 mm at 3 and 10 cm proximal to the site of anastomosis, respectively. The average vein diameter increased by 0.57 mm (15.5%) after hydrostatic dilatation and 3.23 (112.2%) after 6 weeks from intervention. Conclusion : The creation of effective AVF hemodialysis all together develop adequate hemodialysis and is in fl uenced by various factors, the most signi fi cant factor being distensibility of the vein through percent of the expansion in vein width not preoperative supreme vein measurement","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"2011 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":"127368015","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":"Evaluation of Dermoscopic Features in Cutaneous Leishmaniasis","authors":"Mohamed El Khalawani, Amr Mustafa, A. Ghoniem","doi":"10.58675/2682-339x.1663","DOIUrl":"https://doi.org/10.58675/2682-339x.1663","url":null,"abstract":"","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"24 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":"123442845","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}
Moustafa H. Gad Allah, F. Hassan, M. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer
Background : Unexplained miscarriage that occurs repeatedly is still a dif fi cult issue for couples and professionals. It affects 2 e 5% of females attempting to conceive and represents a considerable challenge for physicians. Aim : This study compares women who have unexplained recurrent miscarriages (RMs) with healthy, fertile women to assess uterine artery blood fl ow, subendometrial blood fl ow, and serum progesterone levels in these women. Patients and methods : The research was carried out at Al-Galaa Maternity Teaching Hospital; the patients were divided into two groups. The case group: 50 individuals disclosed a history of recurrent, unexplained miscarriages, and the control group: 50 individuals who had at least one term birth and no history of miscarriage. Results : The pulsatility index of the uterine artery especially the mean value, and fl ow index (FI), vascular index, and vascular FI of the endometrial and subendometrial area, in addition to the serum progesterone level are crucial factors in case of unexplained RM. They affect unexplained RM incidence signi fi cantly. The pulsatility index of the uterine artery has an in fl uence on unexplained RM with 74% accuracy. The FI has 95% accuracy, and the vascular FI has 86% accuracy in case of unexplained RM. The serum progesterone level has a 70% accuracy effect on unexplained RM. Conclusion : The study documented that the uterine artery Doppler, endometrial and subendometrial blood fl ow level, and serum progesterone level affect the incidence of unexplained RM with accuracy ranging between 70 and 95%.
{"title":"Uterine artery Doppler and Sub-Endometrial blood flow and Serum Progesterone level in patients with Unexplained Recurrent Miscarriage","authors":"Moustafa H. Gad Allah, F. Hassan, M. Mohamed, Mohamed I. Al-Mohandes, Nagham A. El-Amer","doi":"10.58675/2682-339x.1665","DOIUrl":"https://doi.org/10.58675/2682-339x.1665","url":null,"abstract":"Background : Unexplained miscarriage that occurs repeatedly is still a dif fi cult issue for couples and professionals. It affects 2 e 5% of females attempting to conceive and represents a considerable challenge for physicians. Aim : This study compares women who have unexplained recurrent miscarriages (RMs) with healthy, fertile women to assess uterine artery blood fl ow, subendometrial blood fl ow, and serum progesterone levels in these women. Patients and methods : The research was carried out at Al-Galaa Maternity Teaching Hospital; the patients were divided into two groups. The case group: 50 individuals disclosed a history of recurrent, unexplained miscarriages, and the control group: 50 individuals who had at least one term birth and no history of miscarriage. Results : The pulsatility index of the uterine artery especially the mean value, and fl ow index (FI), vascular index, and vascular FI of the endometrial and subendometrial area, in addition to the serum progesterone level are crucial factors in case of unexplained RM. They affect unexplained RM incidence signi fi cantly. The pulsatility index of the uterine artery has an in fl uence on unexplained RM with 74% accuracy. The FI has 95% accuracy, and the vascular FI has 86% accuracy in case of unexplained RM. The serum progesterone level has a 70% accuracy effect on unexplained RM. Conclusion : The study documented that the uterine artery Doppler, endometrial and subendometrial blood fl ow level, and serum progesterone level affect the incidence of unexplained RM with accuracy ranging between 70 and 95%.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"40 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":"128362491","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}
Ahmed Ali Abunaglah, H. E. H. Elnaby, Ahmed Gamal Yousef
Background : Interstitial lung diseases (ILDs) may promote respiratory muscle dysfunction due to increased lung elastic recoil, chronic hypoxemia, systemic in fl ammation, physical inactivity, malnutrition, and corticosteroid therapy. Therefore, measuring diaphragmatic function is quite helpful when assessing patients with ILDs. Aim : The aim of the study was to compare diaphragmatic mobility which was assessed by ultrasonography between healthy individuals and patients with ILDs. Patients and methods : This is a case e control trial, where 30 patients with clinically stable ILDs and 20 healthy persons served as a control. Age, sex, and BMI matched apparently in the control group. Pulmonary function tests such as the 6-min walk test, ultrasonographic measurement of both diaphragmatic excursion, and thicknesses at residual functional capacity and total lung capacity (TLC), with a calculation of the diaphragmatic thickening fraction were done for all participants. Results : Diaphragmatic kinetics are greatly impaired in ILD patients at TLC, but almost not affected at functional residual capacity. Diaphragmatic excursion and thickness at TLC and the diaphragmatic thickening fraction showed considerable positive correlations with forced vital capacity and 6-min walk distance, whereas they exhibited considerable negative correlations with modi fi ed Medical Research Council dyspnea scale. Conclusion : Diaphragmatic kinetics measured at TLC and thickening fraction have good correlations with the degree of dyspnea, forced vital capacity, and exercise tolerance.
{"title":"Assessment of Diaphragmatic Mobility by Transthoracic Ultrasound in Patients with Interstitial Lung Diseases","authors":"Ahmed Ali Abunaglah, H. E. H. Elnaby, Ahmed Gamal Yousef","doi":"10.58675/2682-339x.1668","DOIUrl":"https://doi.org/10.58675/2682-339x.1668","url":null,"abstract":"Background : Interstitial lung diseases (ILDs) may promote respiratory muscle dysfunction due to increased lung elastic recoil, chronic hypoxemia, systemic in fl ammation, physical inactivity, malnutrition, and corticosteroid therapy. Therefore, measuring diaphragmatic function is quite helpful when assessing patients with ILDs. Aim : The aim of the study was to compare diaphragmatic mobility which was assessed by ultrasonography between healthy individuals and patients with ILDs. Patients and methods : This is a case e control trial, where 30 patients with clinically stable ILDs and 20 healthy persons served as a control. Age, sex, and BMI matched apparently in the control group. Pulmonary function tests such as the 6-min walk test, ultrasonographic measurement of both diaphragmatic excursion, and thicknesses at residual functional capacity and total lung capacity (TLC), with a calculation of the diaphragmatic thickening fraction were done for all participants. Results : Diaphragmatic kinetics are greatly impaired in ILD patients at TLC, but almost not affected at functional residual capacity. Diaphragmatic excursion and thickness at TLC and the diaphragmatic thickening fraction showed considerable positive correlations with forced vital capacity and 6-min walk distance, whereas they exhibited considerable negative correlations with modi fi ed Medical Research Council dyspnea scale. Conclusion : Diaphragmatic kinetics measured at TLC and thickening fraction have good correlations with the degree of dyspnea, forced vital capacity, and exercise tolerance.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"45 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":"127372388","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}
Mahmoud Mohamad Hasan, A. el Hadad, Maysra Abdelhalim Ali, T. Mansour, Mohammed Fouad Mehanny
{"title":"Nerve conduction study and ultrasonography of median nerve in predicting outcome after surgical release in carpal tunnel syndrome","authors":"Mahmoud Mohamad Hasan, A. el Hadad, Maysra Abdelhalim Ali, T. Mansour, Mohammed Fouad Mehanny","doi":"10.58675/2682-339x.1674","DOIUrl":"https://doi.org/10.58675/2682-339x.1674","url":null,"abstract":"","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"30 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":"126360282","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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