Mohamed Abu-Elfadle Mostafa, Abd-Elmonem Mohammed Zakaria, A. Saeed
Background : Complications for the mother and fetus are usually linked to maternal anemia. It may also cause a shift in fetal blood fl ow by decreasing the oxygen supply to the developing baby. Aim : The aim of this study is to assess the impact of maternal anemia on the umbilical artery and middle cerebral artery Doppler indices in the third trimester of pregnancy. Patients and methods : This was a prospective case-control study on 200 pregnant women separated into two groups at El-Hussein University Hospital: 100 pregnant women with varying degrees of anemia (Mild, Moderate, and Severe) were involved in group I (the study group), whereas 100 pregnant women without anemia (group II) served as the control group from January to June of 2021. Result : There was a high statistically signi fi cant decrease in middle cerebral artery (MCA) resistance index (RI), pulsatility index (PI), S/D ratio and an increase in uterine artery (UA) RI, PI, S/D ratio with the increase in severity of anemia in the studied groups. There was a high statistically signi fi cant difference in the C/U ratio between the studied groups ( P value < 0.001), it was lower than normal in moderate and severe anemic groups (1.08 ± 0.14 and 0.99 ± 0.12, respectively). Conclusion : Maternal anemia had a considerable impact on the fetal UA and MCA Doppler indices, and this impact grew as the anemia ' s severity rose.
{"title":"Maternal Anemia and Fetal Doppler Indices in the Third Trimester of Pregnancy","authors":"Mohamed Abu-Elfadle Mostafa, Abd-Elmonem Mohammed Zakaria, A. Saeed","doi":"10.58675/2682-339x.1826","DOIUrl":"https://doi.org/10.58675/2682-339x.1826","url":null,"abstract":"Background : Complications for the mother and fetus are usually linked to maternal anemia. It may also cause a shift in fetal blood fl ow by decreasing the oxygen supply to the developing baby. Aim : The aim of this study is to assess the impact of maternal anemia on the umbilical artery and middle cerebral artery Doppler indices in the third trimester of pregnancy. Patients and methods : This was a prospective case-control study on 200 pregnant women separated into two groups at El-Hussein University Hospital: 100 pregnant women with varying degrees of anemia (Mild, Moderate, and Severe) were involved in group I (the study group), whereas 100 pregnant women without anemia (group II) served as the control group from January to June of 2021. Result : There was a high statistically signi fi cant decrease in middle cerebral artery (MCA) resistance index (RI), pulsatility index (PI), S/D ratio and an increase in uterine artery (UA) RI, PI, S/D ratio with the increase in severity of anemia in the studied groups. There was a high statistically signi fi cant difference in the C/U ratio between the studied groups ( P value < 0.001), it was lower than normal in moderate and severe anemic groups (1.08 ± 0.14 and 0.99 ± 0.12, respectively). Conclusion : Maternal anemia had a considerable impact on the fetal UA and MCA Doppler indices, and this impact grew as the anemia ' s severity rose.","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":"131685190","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}
Fathy Ghamry Abd El Razek, Adel Abdel-Fattah Al-Rkeeb, Mohamed Said El-Shourbagy, Z. Zakarya, Ahmed Mawad Abdel-Azeim
Background: Liver fibrosis (LF) develops as a result of nearly all chronic liver injuries. In order to foretell the development of the illness and monitor the effectiveness of therapy interventions, it is important to assess LF. The Egy-Score is a brand-new noninvasive score that could be utilized to predict severe LF. Objective: This research's objective is to look at whether Egy-Score can be used as a noninvasive panel of biomarkers for fibrosis for predicting the response to new hepatitis C antiviral treatments in Egyptian patients, determine if EgyScore will be affected broadly by treatment or not. Patients and methods: This study involved 100 HCV-infected patients, including chronic hepatitis and cirrhotic patients, who received new hepatitis C antiviral therapy. The patients were recruited from Kafr Elsheikh liver institute and liver clinic of Alexandria fever hospital, Egypt, and selected according to the Egyptian protocol for the treatment of hepatitis C virus. Results: Our study reported that cut-off for baseline EGY score to predict responder patients from nonresponder in all studied patients was ≤2.92, sensitivity was 77.53, Specificity 90.91, PPV was 98.6, NPV was 33.3. Cut off for baseline EGY score to predict responder patients from nonresponder in cirrhosis group was <4, sensitivity was 92.68, specificity 66.67, PPV was 92.7, NPV was 66.7. Conclusion: EgyScore showed good sensitivity, specificity, positive and negative predictive values of HCV response to sofosbuvir-based therapy, and overall accuracy for detecting different stages of hepatic fibrosis and cirrhosis in patients with chronic hepatitis C.
{"title":"Value of Egy-Score in prediction of HCV response to sofosbuvir based therapy","authors":"Fathy Ghamry Abd El Razek, Adel Abdel-Fattah Al-Rkeeb, Mohamed Said El-Shourbagy, Z. Zakarya, Ahmed Mawad Abdel-Azeim","doi":"10.58675/2682-339x.1729","DOIUrl":"https://doi.org/10.58675/2682-339x.1729","url":null,"abstract":"Background: Liver fibrosis (LF) develops as a result of nearly all chronic liver injuries. In order to foretell the development of the illness and monitor the effectiveness of therapy interventions, it is important to assess LF. The Egy-Score is a brand-new noninvasive score that could be utilized to predict severe LF. Objective: This research's objective is to look at whether Egy-Score can be used as a noninvasive panel of biomarkers for fibrosis for predicting the response to new hepatitis C antiviral treatments in Egyptian patients, determine if EgyScore will be affected broadly by treatment or not. Patients and methods: This study involved 100 HCV-infected patients, including chronic hepatitis and cirrhotic patients, who received new hepatitis C antiviral therapy. The patients were recruited from Kafr Elsheikh liver institute and liver clinic of Alexandria fever hospital, Egypt, and selected according to the Egyptian protocol for the treatment of hepatitis C virus. Results: Our study reported that cut-off for baseline EGY score to predict responder patients from nonresponder in all studied patients was ≤2.92, sensitivity was 77.53, Specificity 90.91, PPV was 98.6, NPV was 33.3. Cut off for baseline EGY score to predict responder patients from nonresponder in cirrhosis group was <4, sensitivity was 92.68, specificity 66.67, PPV was 92.7, NPV was 66.7. Conclusion: EgyScore showed good sensitivity, specificity, positive and negative predictive values of HCV response to sofosbuvir-based therapy, and overall accuracy for detecting different stages of hepatic fibrosis and cirrhosis in patients with chronic hepatitis C.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"44 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":"127933581","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}
Elsayed Mostafa Elewah, A. Elghany, Mahmoud Ahmed Elabiad
Background : Ranibizumab is an antivascular endothelial growth factor agent made for intraocular use as a smaller antibody fragment that can penetrate the retina. Intravitreal ranibizumab therapy has been accepted as a predominant treatment for choroidal neovascularization (CNV) in recent years. Objective : The aim was to assess the potential adverse effects of ranibizumab on the choroid, variations in choroidal thickness were measured before and after ranibizumab treatment for CNV. Patients and methods : This prospective research study was carried out at the Ophthalmology Department of Al-Azhar University Hospitals on 20 patients from June 2021 till December 2021 to monitor changes of choroidal thickness before and after ranibizumab treatment for CNV to assess possible adverse effects of ranibizumab on the choroid. Results : There were highly statistically signi fi cant variations between before injection and after injection regarding choroidal thickness. The mean ± SD choroidal thickness before injection was 356.85 ± 127.10 SD, with range from 154.0 to 632.0, and the mean ± SD choroidal thickness after injection was 235.40 ± 75.60 SD, with range from 127.0 to 400.0. There was a highly statistically signi fi cant variation between before injection and after injection regarding central macular thickness (CMT). The mean ± SD CMT before injection was 302.80 ± 84.51, with range from 168 to 490, and the mean ± SD CMT after injection was 250.25 ± 53.44, with range from 150 to 331. Conclusion : Patients with CNV had a subfoveal choroidal thickness that was noticeably thicker in the affected eyes than in nonaffected contralateral eyes. SubFoveal Choroidal Thickness (SFCT) declined substantially after intravitreal ranibizumab administration, and this was associated with marginal reduction in retinal foveal thickness
{"title":"subfoveal choroidal thickness before and after intravitreal Ranibizumab injection in patients with choroidal neovascularization","authors":"Elsayed Mostafa Elewah, A. Elghany, Mahmoud Ahmed Elabiad","doi":"10.58675/2682-339x.1624","DOIUrl":"https://doi.org/10.58675/2682-339x.1624","url":null,"abstract":"Background : Ranibizumab is an antivascular endothelial growth factor agent made for intraocular use as a smaller antibody fragment that can penetrate the retina. Intravitreal ranibizumab therapy has been accepted as a predominant treatment for choroidal neovascularization (CNV) in recent years. Objective : The aim was to assess the potential adverse effects of ranibizumab on the choroid, variations in choroidal thickness were measured before and after ranibizumab treatment for CNV. Patients and methods : This prospective research study was carried out at the Ophthalmology Department of Al-Azhar University Hospitals on 20 patients from June 2021 till December 2021 to monitor changes of choroidal thickness before and after ranibizumab treatment for CNV to assess possible adverse effects of ranibizumab on the choroid. Results : There were highly statistically signi fi cant variations between before injection and after injection regarding choroidal thickness. The mean ± SD choroidal thickness before injection was 356.85 ± 127.10 SD, with range from 154.0 to 632.0, and the mean ± SD choroidal thickness after injection was 235.40 ± 75.60 SD, with range from 127.0 to 400.0. There was a highly statistically signi fi cant variation between before injection and after injection regarding central macular thickness (CMT). The mean ± SD CMT before injection was 302.80 ± 84.51, with range from 168 to 490, and the mean ± SD CMT after injection was 250.25 ± 53.44, with range from 150 to 331. Conclusion : Patients with CNV had a subfoveal choroidal thickness that was noticeably thicker in the affected eyes than in nonaffected contralateral eyes. SubFoveal Choroidal Thickness (SFCT) declined substantially after intravitreal ranibizumab administration, and this was associated with marginal reduction in retinal foveal thickness","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"158 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":"132759776","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}
Introduction : There has been rising attention in the evaluation of procalcitonin, and C-reactive protein serum levels for predicting treatment ef fi cacy of patients who hospitalized for community acquired pneumonia. Methods : Taken of blood samples for measurement of (CRP) and (PCT), on the day of admittance (PCT-D1; and CRP-D1), within (48 e 72) hours after the admittance (PCT-D3; and CRP-D3), also in 144 e 192 h next to admission. CURB 65 in adding to the (Pneumonia Severity Index) were evaluated on the day of admittance. Results : 112 hospitalized patients with CAP were involved in the work. Failure of treatment was recognized in 30 individuals (26.7%). Patients experienced early treatment failure displayed highly signi fi cant results of; PCT D1, D3, and CRP D3, PCT D3/D1 ratio, and CRP D3/D1 ratio than in those whose treatment was successful. CRP D1 values were similar in both groups. Patients experienced late treatment failure displayed highly signi fi cant elevated values of PCT3, PCT D3/D1, PCT D7, PCT D7/D1, CRP D3, CRP D3/D1, CRP D7, and CRP D7/D1 than in patients who had treatment success. The PCT D1 values augmented with elevating severity of pneumonia. Nevertheless, the results of (CRP-D1) were not. Conclusions : (PCT) should be de fi ned sequentially not on admittance alone to expect the therapy outcome in hospitalized community acquired pneumonia patients.
{"title":"C-Reactive Protein and Procalcitonin in Predicting Treatment Failure in Community Acquired Pneumonia","authors":"T. Ghatas, M. Elfaizy","doi":"10.58675/2682-339x.1718","DOIUrl":"https://doi.org/10.58675/2682-339x.1718","url":null,"abstract":"Introduction : There has been rising attention in the evaluation of procalcitonin, and C-reactive protein serum levels for predicting treatment ef fi cacy of patients who hospitalized for community acquired pneumonia. Methods : Taken of blood samples for measurement of (CRP) and (PCT), on the day of admittance (PCT-D1; and CRP-D1), within (48 e 72) hours after the admittance (PCT-D3; and CRP-D3), also in 144 e 192 h next to admission. CURB 65 in adding to the (Pneumonia Severity Index) were evaluated on the day of admittance. Results : 112 hospitalized patients with CAP were involved in the work. Failure of treatment was recognized in 30 individuals (26.7%). Patients experienced early treatment failure displayed highly signi fi cant results of; PCT D1, D3, and CRP D3, PCT D3/D1 ratio, and CRP D3/D1 ratio than in those whose treatment was successful. CRP D1 values were similar in both groups. Patients experienced late treatment failure displayed highly signi fi cant elevated values of PCT3, PCT D3/D1, PCT D7, PCT D7/D1, CRP D3, CRP D3/D1, CRP D7, and CRP D7/D1 than in patients who had treatment success. The PCT D1 values augmented with elevating severity of pneumonia. Nevertheless, the results of (CRP-D1) were not. Conclusions : (PCT) should be de fi ned sequentially not on admittance alone to expect the therapy outcome in hospitalized community acquired pneumonia patients.","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":"114804658","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}
Islam Magdy Ali Ibrahim, Mamoun Abo Shosha, Mohamed Meligy Rabea Hamed
Background : One of most common chronic neurologic disorders is epilepsy, incapability of signi fi cantly reduce percentage of studied cases resistant to all available antiepileptic treatments without producing unacceptable side effects is particularly frustrating. Aim : Aim of the research was to investigate seizure result following corpus callosotomy in relation to extent of resection in pediatric studied cases with Symptomatic generalized epilepsy with normal preoperative brain imaging on MRI Brain. Patients and methods : Research entails prospective analysis of data from 20 pediatric patients who were treated for intractable symptomatic generalized epilepsy by corpus callosotomy. Results : In the patient series, 13 patient suffered from generalized tonic clonic fi tts (56.3%) and 7 patient is multi focal fi tts (43.8%) one of them is Lennox gustate syndrome, no statistically signi fi cant variation ( P value ¼ 0.101) among grade II and grade III studied cases as regard presentation. Conclusion : Corpus callosotomy affords a good outcome for drop attacks, at least 70% of patients will experience free from these attacks, a so it will abolish the harmful effects like bodily injury, limited activity and caregivers ’ dependency. In pediatricstudiedcases,thereisnovariationinresultamongtotalandanterior2/3colostomyexceptsomecasesmaycomplicate intotalcolostomywithdisconnectionsyndrome,butanywaythesecasesshowbetterimprovementthanadultcases.
{"title":"Clinical outcome of corpus callosotmy for management of drug resistant epilepsy","authors":"Islam Magdy Ali Ibrahim, Mamoun Abo Shosha, Mohamed Meligy Rabea Hamed","doi":"10.58675/2682-339x.1813","DOIUrl":"https://doi.org/10.58675/2682-339x.1813","url":null,"abstract":"Background : One of most common chronic neurologic disorders is epilepsy, incapability of signi fi cantly reduce percentage of studied cases resistant to all available antiepileptic treatments without producing unacceptable side effects is particularly frustrating. Aim : Aim of the research was to investigate seizure result following corpus callosotomy in relation to extent of resection in pediatric studied cases with Symptomatic generalized epilepsy with normal preoperative brain imaging on MRI Brain. Patients and methods : Research entails prospective analysis of data from 20 pediatric patients who were treated for intractable symptomatic generalized epilepsy by corpus callosotomy. Results : In the patient series, 13 patient suffered from generalized tonic clonic fi tts (56.3%) and 7 patient is multi focal fi tts (43.8%) one of them is Lennox gustate syndrome, no statistically signi fi cant variation ( P value ¼ 0.101) among grade II and grade III studied cases as regard presentation. Conclusion : Corpus callosotomy affords a good outcome for drop attacks, at least 70% of patients will experience free from these attacks, a so it will abolish the harmful effects like bodily injury, limited activity and caregivers ’ dependency. In pediatricstudiedcases,thereisnovariationinresultamongtotalandanterior2/3colostomyexceptsomecasesmaycomplicate intotalcolostomywithdisconnectionsyndrome,butanywaythesecasesshowbetterimprovementthanadultcases.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"106 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":"116159565","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}
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}
Fatma Fakhry, Abdel Khalek Ragab, W. Madbouly, Hanan S Saied, Mohamed Hegazy
Background : Strabismus surgery aims to improve the ocular alignment of the visual axis and the cosmetic appearance of the studied cases with strabismus. The most common functional bene fi ts are the restoration of binocular vision, with the elimination of diplopia and compensatory head posture. In cases of large-angle exotropia, many surgical methods have been performed. Bilateral lateral rectus recession and medial rectus resection with lateral rectus recession are the most frequently used. Aim : To evaluate the outcome of supermaximal monocular recession e resection versus large bilateral lateral rectus recession in large-angle exotropia. Patients and methods : This was a prospective, interventional, nonrandomized study. This study was conducted
{"title":"Supermaximal Monocular Recession-Resection Versus Large Bilateral Lateral Rectus Recession in large Angle Exotropia","authors":"Fatma Fakhry, Abdel Khalek Ragab, W. Madbouly, Hanan S Saied, Mohamed Hegazy","doi":"10.58675/2682-339x.1840","DOIUrl":"https://doi.org/10.58675/2682-339x.1840","url":null,"abstract":"Background : Strabismus surgery aims to improve the ocular alignment of the visual axis and the cosmetic appearance of the studied cases with strabismus. The most common functional bene fi ts are the restoration of binocular vision, with the elimination of diplopia and compensatory head posture. In cases of large-angle exotropia, many surgical methods have been performed. Bilateral lateral rectus recession and medial rectus resection with lateral rectus recession are the most frequently used. Aim : To evaluate the outcome of supermaximal monocular recession e resection versus large bilateral lateral rectus recession in large-angle exotropia. Patients and methods : This was a prospective, interventional, nonrandomized study. This study was conducted","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"47 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":"121562763","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}
{"title":"The correlation between Intra-abdominal Adhesions and body mass index in Women Undergoing elective repeated Cesarean Section","authors":"Mostafa M. Mohamed, A. Elboghdady, M. Mohamed","doi":"10.58675/2682-339x.1715","DOIUrl":"https://doi.org/10.58675/2682-339x.1715","url":null,"abstract":"","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":"129482210","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 : Acute vision loss can be transient (lasting < 24 h) or persistent (lasting > 24 h). When evaluating a patient with acute vision loss, it is important to determine whether the vision loss affected one eye or both eyes. The World Health Organization (WHO) estimates that 90% of the 285 million visually impaired people in the world live in low-income countries. Aim : To Study the possible neurological causes in the patients presented by acute visual loss. Patients and methods : This prospective observational study included 60 patients with acute visual loss of different ages, and sex recruited from the Neurology department and out patients referred from ophthalmology departments of Al-Azher University Hospital (Assiut) from beginning of March 2021 to the end of August 2021. Results : Our study revealed that the most common cause of acute visual loss in the studied patients was optic neuritis which observed in 22 (36.67%), followed by Non-arteritic -AION in 18 (30.00%) of patients, the least etiology was Functional (8.33%). Conclusion : Among different diseases, vascular conditions may present monocularly or binocularly in the form of ischemic optic neuropathies or cerebral infarction. Diagnosis of functional vision loss must be considered after excluding all other organic causes of acute vision loss.
{"title":"Study of Patients with Acute Visual Loss","authors":"N. A. Metwally, A. F. El-Hadad, Ghada A. Salem","doi":"10.58675/2682-339x.1865","DOIUrl":"https://doi.org/10.58675/2682-339x.1865","url":null,"abstract":"Background : Acute vision loss can be transient (lasting < 24 h) or persistent (lasting > 24 h). When evaluating a patient with acute vision loss, it is important to determine whether the vision loss affected one eye or both eyes. The World Health Organization (WHO) estimates that 90% of the 285 million visually impaired people in the world live in low-income countries. Aim : To Study the possible neurological causes in the patients presented by acute visual loss. Patients and methods : This prospective observational study included 60 patients with acute visual loss of different ages, and sex recruited from the Neurology department and out patients referred from ophthalmology departments of Al-Azher University Hospital (Assiut) from beginning of March 2021 to the end of August 2021. Results : Our study revealed that the most common cause of acute visual loss in the studied patients was optic neuritis which observed in 22 (36.67%), followed by Non-arteritic -AION in 18 (30.00%) of patients, the least etiology was Functional (8.33%). Conclusion : Among different diseases, vascular conditions may present monocularly or binocularly in the form of ischemic optic neuropathies or cerebral infarction. Diagnosis of functional vision loss must be considered after excluding all other organic causes of acute vision loss.","PeriodicalId":256725,"journal":{"name":"Al-Azhar International Medical Journal","volume":"148 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":"132671211","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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