Islam Sidky | Johns Hopkins University (original) (raw)

Papers by Islam Sidky

Fertility and Sterility, Aug 1, 2011

Objective: To report the management of 2 cases of severe ovarian hyperstimulation syndrome (OHSS)... more Objective: To report the management of 2 cases of severe ovarian hyperstimulation syndrome (OHSS) bilaterally complicated by rupture and late subsequent torsion. Design: Two case reports. Setting: Obstetrics and Gynecology department of a hospital. Patient(s): Case 1: Severe OHSS complicated by massive intraperitoneal hemorrhage and bilateral extensive ovarian rents and rupture at multiple sites. Case 2: Twin IVF pregnancy and late severe OHSS complicated further by subsequent bilateral torsion. Intervention(s): Case 1: Diagnosed by clinical, hematologic, and ultrasound findings. Resuscitation, laparotomy, and meticulous ovarian repair with suture, glue, and hemostat affected bilateral ovarian conservation. Case 2: Diagnosed clinically and confirmed by color Doppler. Left salpingoopherectomy was performed because of a devitalized left ovary; 3 days later laparoscopic right ovarian detorsion and aspiration was possible as early Doppler diagnosis was made. Main Outcome Measure(s): Case 1: ovarian conservation. Case 2: ovarian conservation and continuation of pregnancy. Result(s): Case 1: Recovery and normal serum FSH and E 2 2 months postsurgery. Case 2: Continuation of pregnancy and the remaining ovary was healthy at abdominal delivery. Conclusion(s): Two cases of bilaterally complicated severe OHSS in which the patients' safety and bilateral ovarian integrity were at jeopardy. The cases are presented to define the importance of awareness, early diagnosis, and intervention, as well as the use of various methods and techniques to affect preservation of ovarian integrity and reserve.

International journal of gynecology & clinical practices, Aug 4, 2018

Journal of Lower Genital Tract Disease, Oct 1, 1999

2003 was a solid performance year for the Society. We fully launched the Lower Genital Tract Dise... more 2003 was a solid performance year for the Society. We fully launched the Lower Genital Tract Diseases Online CME program, with seven active lectures posted and additional lectures to follow. In late December, the American Society for Colposcopy and Cervical Pathology (ASCCP) was approached by the Centers for Disease Control (CDC) with a request to open the Online CME site as a free CME service, with a targeted opening date of January 19, 2004, in recognition of Cervical Cancer Awareness month. With financial support from the CDC, the Online CME program was then converted to a free service, with all lectures open to interested health care providers. The Lower Genital Tract Disease program provides a wonderful and easy way for you to obtain the necessary education on the most pressing gynecologic issues facing your practice today. Each lecture features a PowerPoint lecture containing cytologic, colposcopic, and histologic images, as well as scrolling text and audio accompaniments. Each lecture takes approximately 60 minutes to complete, however, participants may proceed through the lectures at their own pace, with the program allowing the user to bookmark a lecture and return at a later time. Upon completion of a short CME exam and evaluation survey, the participant will then receive 1 continuing medical education credit (Category 1) for each lecture. To visit the site and begin your free Online CME lectures on Consensus Guidelines Management issues and human papillomavirus (HPV), please go to www.asccp.org or cme.asccp.org. By now, you should have also received a free 3-hour CME self-assessment booklet titled, "Clinical Uses of Human Papillomavirus (HPV) DNA Testing." This booklet was authored by Drs. Thomas C. Wright and J. Thomas Cox and edited by an advisory board com

Journal of Lower Genital Tract Disease, Jul 1, 2006

United Arab Emirates (UAE) is a young country with a population of 3 million, an abundant oil wea... more United Arab Emirates (UAE) is a young country with a population of 3 million, an abundant oil wealth, and a high standard of living. There is no organized cervical screening program, but the authorities are planning to introduce one soon. To study the availability and quality of colposcopy services. A questionnaire survey of all gynecologists in the major government and private hospitals in the country. Twenty government hospitals offer obstetrics and gynecology services, 11 governments and 4 private hospitals have colposcopy services. Of the 52 specialists performing colposcopy, 8 had adequate training, 3 had formal recognition, and 3 had long-term experience. The number of cases seen per doctor varies from 10 to 100 a year, with a mean and median of 28 and 15, respectively. Three units had the required basic colposcopy equipment for diagnosis and treatment. Only 1 unit performs audit. Colposcopy service is widely available in many hospitals in the United Arab Emirates, but substantial variation exists in clinical standards and needs more organization and standardization.

PubMed, Jun 1, 1994

Uterus didelphys and unilateral lower limb amelia were diagnosed in a discordant identical twin. ... more Uterus didelphys and unilateral lower limb amelia were diagnosed in a discordant identical twin. The discordant occurrence of these anomalies in monozygotic twins suggests a possible coincidence.

Journal of Obstetrics and Gynaecology Research, Feb 11, 2011

Routine confidential enquiry into maternal deaths is not yet part of the United Arab Emirates hea... more Routine confidential enquiry into maternal deaths is not yet part of the United Arab Emirates health care system. A confidential enquiry into maternal deaths was undertaken to test the feasibility of this approach and to identify the causes and preventability of maternal deaths. Data on all maternal deaths over a six year period from 1998 to 2003 were abstracted and reviewed by a panel of experts to assign the cause if in doubt, and to determine whether the deaths were preventable. Over the six year period, 26 deaths were identified with 122,075 births and the maternal mortality ratio was 21.2/100,000 live births. The mean maternal age at death was 32.3 years and two-thirds of the deaths occurred during the postpartum period. The leading causes of death were thromboembolic events, hemorrhage and infection. After reviewing the clinical data the expert panel concluded that one third of the deaths were avoidable. This first ever confidential enquiry has shown that it is feasible to adopt this approach in the United Arab Emirates and the causes identified would be of help in prioritizing clinical guidelines development and training programs aimed at professionals, which will ultimately lead to safer motherhood for women.

Journal of Obstetrics & Gynaecology, 2002

Introduction Maternal and neonatal Group B streptococcal infection (GBS) has long been recognised... more Introduction Maternal and neonatal Group B streptococcal infection (GBS) has long been recognised as an important public health problem in much of the world. Wide variation in the colonisation rate was recognised due to geographic location, ethnicity, culture methods and sites cultured. Asymptomatic colonisation is thought to be between 15 and 40% of pregnant women (ACOG Technical Bulletin, 1992). There is quite a difference in the prevalence of neonatal early onset group B streptococcal sepsis (EOGBS), reported in the United States to be 1–4 per 1000 live births, while in the United Kingdom it is 0·3 cases per 1000 live births (Mayon-white, 1985). Although intrapartum antibiotic prophylaxis is widely accepted, there is still considerable debate as to the best strategy for identifying women who are GBS carriers. The CDC (1996) recommendation for GBS infection prophylaxis has advised that local responsible health agencies should establish surveillance systems to monitor the prevalence of neonatal EOGBS disease. Our study focuses on defining the prevalence of GBS colonisation in pregnant women and their offspring (and defining the prevalence of EOGBS disease in neonates) in the Middle East, while trying to identify ways by which neonatal EOGBS disease could be reduced.

BMC Women's Health

BACKGROUND: Common vaginal infections that manifest in women are usually easily diagnosed. Howeve... more BACKGROUND: Common vaginal infections that manifest in women are usually easily diagnosed. However, Chlamydia infection is often asymptomatic, leading to infertility before it is detected. If it occurs in pregnancy, it could lead to significant neonatal morbidity. It may also play a role with other viral infections for e.g. Human Papilloma Virus in the development of cervical cancer. The objective of this study was to determine the prevalence of Chlamydia infection in women undergoing screening for cervical abnormalities as a part of a research project in primary and secondary care institutions in the United Arab Emirates. METHODS: In this cross sectional study married women attending primary and secondary care participating in a large nationwide cervical abnormalities screening survey were offered Chlamydia testing using a commercially available test kit. This kit uses a rapid immunoassay for the direct detection of Chlamydia trachomatis antigen in endocervical swab specimens. As t...

African Health Sciences, 2013

Background: Laparoscopic surgery is important for gynaecological practice and became the method o... more Background: Laparoscopic surgery is important for gynaecological practice and became the method of choice for many gynaecological procedures having advantages over open surgery. Objective: To report our modified teaching methods, and evaluation of the gynaecological laparoscopy courses in United Arab Emirates. Methods: Fifty five participants attended four 3-full day comprehensive hands-on gynaecological laparoscopic skills courses. Non-expensive dry/wet models have been developed for teaching. All participants were evaluated at the end of the course through MCQs and practical laparoscopic exercises. All participants filled out a questionnaire reflecting their opinion on various aspects of the course at its completion. Ethical approval has been received by Research and Ethics Committee of Al Ain Medical District, Al-Ain, UAE. Results: Fourteen participants had no laparoscopic experience, 35 had experience at level I and six had experience at level II. There was a statistically significant difference of the MCQ mark between the three levels of experience (p = 0.05, Kruskal Wallis test) but not for the practical part, p = 0.9, Kruskal Wallis test). The courses were highly valued having an overall average rating of 3.8 out of 4. Conclusions: A multimodality non expensive course for teaching gynaecological laparoscopy was highly successful in United Arab Emirates. Models used may be useful for training gynaecological laparoscopy in developing countries. The long term effects of our courses on clinical practice have yet to be evaluated.

Maternal and Child Health Journal, 2012

With declining maternal mortality, the study of severe acute maternal morbidity (SAMM) provides a... more With declining maternal mortality, the study of severe acute maternal morbidity (SAMM) provides an opportunity to measure the quality of maternal care and to identify ways to improve it. The objective was to study the epidemiology of severe acute maternal morbidity in a high income, rapidly developing, multiethnic country in the Middle East, and to determine the role of ethnicity in maternal morbidity. We included all births occurring in maternal units with more than 500 births a year over a 6 year period in Abu Dhabi emirate, the largest province of the United Arab Emirates. Data on SAMM was collected retrospectively for the first 3 years and prospectively for the later 3 years. A clinical criteria based approach was used to define SAMM. Over the 6 year period there were 122,705 deliveries, and a total of 926 cases of SAMM were identified. The SAMM to births ratio was 7.5/1,000 deliveries. The leading cause of maternal morbidity was hypertensive disorders (59.5 %) followed by hemorrhage (39.6 %). There were clear ethnic differences. Preeclampsia was significantly higher in women from the Indian sub-continent and hemorrhage was more prevalent in UAE women. We have shown that it is possible to use a clinical criteria based approach to study the epidemiology of SAMM. The leading contributors to SAMM were hypertensive disorders and hemorrhage with clear ethnic links supporting earlier reports of a complex interaction between ethnicity, socioeconomic status and maternal health.

BMC Women's Health, 2004

Background: Common vaginal infections that manifest in women are usually easily diagnosed. Howeve... more Background: Common vaginal infections that manifest in women are usually easily diagnosed. However, Chlamydia infection is often asymptomatic, leading to infertility before it is detected. If it occurs in pregnancy, it could lead to significant neonatal morbidity. It may also play a role with other viral infections for e.g. Human Papilloma Virus in the development of cervical cancer. The objective of this study was to determine the prevalence of Chlamydia infection in women undergoing screening for cervical abnormalities as a part of a research project in primary and secondary care institutions in the United Arab Emirates. Methods: In this cross sectional study married women attending primary and secondary care participating in a large nationwide cervical abnormalities screening survey were offered Chlamydia testing using a commercially available test kit. This kit uses a rapid immunoassay for the direct detection of Chlamydia trachomatis antigen in endocervical swab specimens. As this study was performed in a traditional Islamic country, unmarried women were excluded from testing, as the management of any positive cases would create legal and social problems. All married women consenting to take part in the study were included irrespective of age. Results: Of 1039 women approached over a period of eight months 919 (88.5%) agreed to participate. The number of women in the 16 to 19 years was small (0.01%) and 30% were aged over 40 years. The prevalence of Chlamydia infection in this study was 2.6% (95% confidence interval 1.2-3.3%), which was marginally higher in women screened in secondary care (p = 0.05). Conclusion: This is one of the few reports on the prevalence of Chlamydia infection in women from the Middle East. Due to cultural and social constraints this study excluded a large proportion of women aged less than 19 years of age. Hence no direct comparisons on prevalence could be made with studies from the West, which all included younger women at high risk of Chlamydia. However this study emphasizes the importance of cultural factors while interpreting results of studies from different cultures and communities.

International Journal of Gynecology & Clinical Practices

Journal of lower genital tract disease, 2006

The Journal of reproductive medicine, 1994

BMC women's health, Jan 27, 2004

Maryland medical journal (Baltimore, Md.: 1985)

We report a case of a twenty-nine-week breech fetus with skull fracture, intracranial bleeding, a... more We report a case of a twenty-nine-week breech fetus with skull fracture, intracranial bleeding, and liver laceration sustained in a vehicular accident. This case describes insignificant maternal trauma with poor fetal outcome.

Journal of Lower Genital Tract Disease, 1999

Journal of Lower Genital Tract Disease, 2006

Fertility and Sterility, 2011