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Is Primary Repair of Tracheobronchial Rupture Curative?

Open Journal of Thoracic Surgery 2013年第2期3卷 47-50页

作者： Abdel-Maged Salem Alaa Brik ali refat Karem Elfagharany Abdalla Badr Department of Cardiothoracic Surgery Zagazig University Hospital Zagazig Egypt

Background: Tracheobronchial disruption as a result of blunt thoracic trauma is a rare entity and only clinically serious lesions come to our notice, which can be life-threatening and need prompt recognition and treatment. Objectives: To review the authors’ experience with tracheobronchial injuries to emphasize the need for prompt diagnosis and treatment to avoid lethal complications including severe hypoxic organ failure, sepsis, mediastinitis and bronchopleural fistula. Patients and methods: A retrospective study of total 32 patients with tracheobronchial injury from 2001 to 2011. This study limited to patients with thoracic tracheal or bronchial injury, excluding those with cervical injuries. The study includes collected information about mechanism of injury, presentation, time until diagnosis and treatment, anatomical site of injury, type of treatment, diagnostic methods, duration of follow up and outcome. Results: Twenty-four patients were male (75%) and eight were females (25%). Patient’s ages ranged from 7 - 53 years. Majority of cases was referred because of blunt trauma in 15 cases (46.8%), 6 (18.75) motor vehicle accident, 5 (15.6%) fall from a height and 4 (12.5%) with trauma by heavy object, while 8 cases (25%) were referred due to penetrating injury and 2 cases (6.25%) due to iatrogenic injury. In initially diagnosed group, the predominant clinical signs that give a suspicion of tracheobronchial disruption were increased subcutaneous surgical emphysema, shortness of breath, hemoptysis. After the admission to emergency unit, all of them were examined radiologically by chest X-ray film. Longitudinal tear of right upper lobe bronchus was found in 8 cases (32%), complete cut of right upper lobe bronchus in 4 cases (16%), tear of right intermediate bronchus in 4 cases (16%), 3 cases with clear cut left upper lobe (12%), longitudinal tear of distal lateral tracheal wall extend to right upper lobe in 2 cases (8%), 2 cases (8%) showed complex disruption of dist

关键词： Tracheobronchial Disruption Trauma

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Midterm Results of Leaflet Augmentation in Mitral Valve Repairin Rheumatic Valves Experience in One Center

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World Journal of Cardiovascular Surgery 2013年第2期3卷 90-96页

作者： Abd Allah Badr Alaa Brik Abdel Maged Salem ali refat Khaled Mostafa Usama Badr Mamdouh Sharawy El-Rady Kamal Department of Anesthesia Azhar University Hospital Asuet Egypt Department of Anesthesia Zagazig University Hospital Zagazig Egypt Department of Cardiothoracic Surgery Zagazig University Hospital Zagazig Egypt

Patients with severe mitral regurgitation (MR) should undergo surgery when they present symptoms or if asymptomatic when there is objective evidence of left ventricular dysfunction. In this work, we analyze the midterm results of leaflet augmentation in mitral valve repair of rheumatic valves with gluteraldehyde preserved autologous pericardium. Patients and Methods: In our department 48 patients were exposed to mitral valve repair by leaflet augmentation either anterior or posterior beside other technique and all patients supported by flexible annuloplasty ring and followed for five years clinically and by echocardiography. Results: Age of the patients ranging from 12 to 47 years, mean age 25.9 ± 8.9 and there were 12 males (25%) and 36 females (75%) with male to female ratio of 1:3. All patients presented with shortness of breath (100%);with 14 patients were in NYHA class III (29.17%) and 34 patients were in NYHA class IV (70.83%). During follow-up period 5 patients needed reoperation by valve replacement, causes of reoperation were restrictive valve motion in one patient, left atrial thrombus in 1 patient and sever mitral regurgitation in 3 patients. Freedom from reoperation was 87.5%. At 5 years, (92.9%) were in New York Heart Association functional class I, three patients (7.1%) were in class II. Echocardiography at follow-up showed satisfactory mitral valve function. Conclusion: leaflet augmentation is a simple and reproducible method of valve repair for rheumatic MR with good midterm result.

关键词： Mitral Repair Valve Surgery

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Impedance spectroscopy and DFT/TD-DFT studies of diyttrium trioxide for optoelectronic fields

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Journal of Rare Earths 2023年第4期41卷 605-612页

作者： ali A.Alkathiri A.A.Atta Moamen S.refat Sonam Shakya A.M.Hassanien Saud A.Algarni Emad M.A.Ahmed Sultan E.Alomariy Mohammed Alsawat Norah Algethami Department of Physics College of ScienceTaif UniversityP.O.Box 11099Taif21944Saudi Arabia Department of Chemistry College of ScienceTaif UniversityP.O.Box 11099Taif21944Saudi Arabia Department of Chemistry Aligarh Muslim UniversityAligarh202002India Department of Physics Faculty of Science and Humanity Studies at Al-QuwayiyahShaqra UniversityAl-Quwayiyah11971Saudi Arabia

Yttrium(Ⅲ)oxide or so-called diyttrium trioxide(Y_2O_3)is an excellent candidate ceramic material for optoelectronic ***,electrical conductivity,and dielectric relaxation properties of bulk yttrium(Ⅲ)oxide were studied.X-ray diffraction(XRD)results indicate that the yttrium(Ⅲ)oxide compound has a crystalline cubic *** transform infrared(FTIR)technique was used to ascertain the chemical structure of the yttrium(Ⅲ)oxide *** spectroscopy was used to analyze frequency-dependent electrical properties as a function of temperature in the range of 303-423 K and frequency range of 0.1 Hz-2 *** spectroscopy parameters such as dielectric constant,dielectric loss,loss factor,electric modulus,and complex impedance of the yttrium(Ⅲ)oxide compound were *** Nyquist plot describes the complex impedance of the yttrium(Ⅲ)oxide for different *** universal Jonscher's power law was used for the analysis of the complex electrical conductivity of the yttrium(Ⅲ)oxide *** is found that the real(σ')and imaginary(σ")parts of the complex conductivity increase with increasing *** exponent frequency(s)equals unity,which confirms that the predominant conduction mechanism is a nearly constant loss(NCL)***/TD-DFT studies using B3LYP/LanL2DZ level of theory were used to provide comparable theoretical data and electronic energy gap of HOMO→LUMO.

关键词： Yttrium(Ⅲ)oxidel Impedance spectroscopy DFT/TD-DFT Rare earths

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Distribution of heavy metals in water and sediment of an urban river in a developing country:A probabilistic risk assessment

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International Journal of Sediment Research 2022年第2期37卷 173-187页

作者： Mir Mohammad ali Saima Rahman Md Saiful Islam Md refat Jahan Rakib Shaharior Hossen Md Zillur Rahman Tapos Kormoker Abubakr M. Idris Khamphe Phoungthong Institute of Disaster Management Khulna University of Engineering and Technology Department of Aquaculture Sher-e-Bangla Agricultural University Department of Urban and Regional Planning Khulna University of Engineering and Technology Department of Soil Science Patuakhali Science and Technology University Department of Fisheries and Marine Science Noakhali Science and Technology University Department of Fisheries Science Chonnam National University Quality Control Chemistry Lab Department of Fisheries Department of Emergency Management Patuakhali Science and Technology University Department of Chemistry College of Science King Khalid University Research Center for Advanced Materials Science (RCAMS) King Khalid University Environmental Assessment and Technology for Hazardous Waste Management Research Center Faculty of Environmental Management Prince of Songkla University

River water and sediment embody environmental characteristics that give valuable eco-environmental *** to rapid industrialization,the aquatic environment of any urban river can be seriously polluted by heavy metals(HMs).The global concern is caused by heavy metal pollution because of its potential harm to aquatic ecosystems and human *** the Bhairab River,Bangladesh,surface sediment concentrations of globally alarming toxic metals such as arsenic(As),chromium(Cr),cadmium(Cd),and lead(Pb) were measured to determine the ecological and human health risks of the riverine *** average As,Cr,Cd,and Pb concentrations in water were 3.55,31.74,1.44,and23.82 μg/L,respectively,and in sediment were 4.13,34.17,1.66,and 25.46 mg/kg,*** the winter,metals in sediment were higher than during the *** most sediment samples,the enrichment factor(EF),contamination factor(CF),geoaccumulation index(I),pollution load index(PLI) of As,Cr,Cd,and Pb indicated moderate *** potential ecological risk(PER) in sediment followed the descending order of Cd> As> Pb> *** contamination level of toxic metals implied that the condition is frightening and probably severely affecting the aquatic ecology of this riverine ecosystem.

关键词： Toxic metals Environmental risk Bioaccumulation Ecological risk Bangladesh

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Effect of Growth Stage-Based Irrigation Schedules on Biomass Accumulation and Resource Use Efficiency of Wheat Cultivars

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American Journal of Plant Sciences 2013年第7期4卷 1435-1442页

作者： Muhammad Mubeen Ashfaq Ahmad Tasneem Khaliq Syeda refat Sultana Shahid Hussain Amjed ali Hakoomat ali Wajid Nasim Agro-Climatology Laboratory Department of Agronomy University of Agriculture Faisalabad Pakistan Agro-Climatology Laboratory Department of Agronomy University of Agriculture Faisalabad Pakistan Department of Agronomy Faculty of Agricultural Sciences and Technology Bahauddin Zakariya University Multan Pakistan Department of Environmental Sciences COMSATS Institute of Information Technology Vehari Pakistan. University College of Agriculture University of Sargodha Sargodha Pakistan

Climate and weather conditions greatly affect the performance of new wheat cultivars for yield and resource use efficiency. In order to know the effect of irrigation schedules based on growth stage (the most vital criterion in the region) on growth, yield and radiation use efficiency of wheat cultivars in Faisalabad conditions, a study was planned at Agronomic Research Area, University of Agriculture, Faisalabad during 2009-2010. Split plot design with irrigation levels in main plots and cultivars in sub-plots was implied. Irrigation levels were: IT = irrigation at tillering stage, ITS = irrigation at tillering and stem elongation stage, ISB = irrigation at stem elongation and booting stage and ITSBG = irrigation at tillering, stem elongation, booting and grain filling stage. Cultivars selected were: Faisalabad-2008, Lasani-2008, Miraj-2008, Shafaq-2006 and Chakwal-97. Irrigation treatment ITSBG gave higher grain yield (4.23 t·ha-1) followed by ISB (3.60 t·ha-1), however ITSBG was statistically similar to ISB in radiation use efficiency (RUE) for grain yield (RUEGY). Similarly the two treatments were statistically at par in maximum leaf area index, total dry matter (TDM) accumulation, cumulative photosynthetically active radiation (PAR), and RUETDM. Hence where less numbers of irrigations are available, irrigation at stem elongation and booting stage is suitable for achieving economic yield. Lasani-2008 produced maximum grain yield (4.37 t·ha-1) compared to other cultivars but it was statistically at par with Shafaq-2006 in plant height, TDM production and RUETDM. Depending on the availability, the two cultivars may be chosen under irrigated conditions of Faisalabad.

关键词： Triticum aestivum L. Irrigation Photosynthetically Active Radiation (PAR) Radiation Use Efficiency (RUE) Total Dry Matter (TDM)

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Clinical Significance of Serum Galectin-1 and Its Tissue Immunohistochemical Expression in Serous Ovarian Carcinoma Patients

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Open Journal of Obstetrics and Gynecology 2019年第7期9卷 937-953页

作者： Mai Mohamed Abdelwahab Huda Fathy Ebian Taiseer refat Ibrahim Mohammad Samir Badr Mohamed El-Bakry Lashin Mahmoud Abdou Yassin Adel Mohamed Ismail Ahmed ali Obaya Department of Pathology Faculty of Medicine Zagazig University Zagazig Egypt Department of Clinical Pathology Faculty of Medicine Zagazig University Zagazig Egypt Department of Obstetrics and Gynecology Faculty of Medicine Zagazig University Zagazig Egypt Department of General Surgery Faculty of Medicine Zagazig University Zagazig Egypt Department of Surgical Oncology Ismailia Teaching Oncology Hospital Ismailia Egypt Department of Clinical Oncology Faculty of Medicine Zagazig University Zagazig Egypt

Objectives: Serous ovarian carcinoma (SOC) is the commonest ovarian carcinoma type with poor prognosis due to early metastasis and first presentation with advanced stage. In this work, we investigated serum level of Galactin-1 (Gal-1) and its tissue immunohistochemical expression in SOC patients at different stages trying to find out its significance as a diagnostic and prognostic marker. Patients and methods: The study included 95 females I-Control group: Twenty five healthy females;II-Patients group: Seventy females diagnosed as SOC at different stages;Stage I: 8 cases, Stage II: 12 cases, Stage III: 32 cases and Stage VI:18 cases. Serum Galectin-1 and CA-125 were measured by ELIZA and tissue Galectin-1 was assessed by immunohistochemistry. All patients were followed for up to 3 years after surgery. Results: Serum Gal-1 and CA-125 levels were significantly higehr in SOC patients compared to controls (p 0.001). We found a direct positive statistically significant correlation between serum Gal-1 and CA125 levels (p 0.001). Serum Gal-1 at cut off value > 135 ng/ml was superior to CA-125 a cut off value > 49 u/ml with sensitivity, specificity of 100%, vs 88.57, 96% for CA-125. Serum Gal-1 was significantly associated with tumor stage (p 0.001). Immunohistochemistry showed that patients with strong Gal-1 expression had higher serum level (p = 0.002). Stromal and tumor Gal-1 expression were significantly correlated with tumor grade (p 0.001) and stage (p = 0.001). Serum Gal-1, CA-125 and IHC Gal-1 expression were associated with poor survival (p 0.001, p = 0.009 and p = 0.002) respectively. Conclusion: Serum Gal-1 and its tissue IHC expression are useful diagnostic and prognostic markers for SOC patients.

关键词： Serous Ovarian Carcinoma Serum Immunohistochemistry Galectin-1 Overall Survival

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