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Childhood glaucoma profile in Dakahelia, egypt: a retrospective study

International Journal of Ophthalmology(english edition) 2018年第4期11卷 674-680页

作者： Tharwat H.Mokbel eman M.el Hefney Sherein M.Hagras Ahmed A.ALNagdy amani e.badawi Manal A.Kasem Shereen M.el Shaer Mansoura Ophthalmic Center Faculty of Medicine Mansoura University Community and Public Health Department Faculty of Medicine Mansoura University

AIM： To analyze childhood glaucoma regarding its demographics, presentations, different causes and surgical modalities used among patients in Dakahelia and to apply the Childhood Glaucoma Research Network（CGRN） classification retrospectively to evaluate its ***： A retrospective study in which the medical files of all glaucoma patients 〈16 years old presented to Mansoura Ophthalmic Center, Mansoura University from 2014 to 2017, were retrieved and analyzed. Collected data included： age, gender, laterality, visual acuity（VA）, refraction, intraocular pressure（IOP）, corneal diameter, cup-disc ratio, types and number of surgeries and antiglaucomatous drugs（AGD） at the first and last visit. Prevalence of different subtypes was calculated and means of clinical features were ***： A total of 305 eyes of 207 patients were included classified into 6 groups： primary congenital glaucoma（PCG）, juvenile open angle glaucoma（JOAG）, glaucoma associated with systemic disease, glaucoma associated with ocular anomalies, acquired glaucoma and glaucoma following cataract surgery. PCG was the predominant type（55.1%） followed by acquired glaucoma（29.5%）. Males represented 63.8% of the whole studied patients. Glaucoma associated with ocular anomaly group showed the youngest age at diagnosis（21.9±30.0 mo）. The shortest corneal diameter was recorded in post cataract group（10.4±0.5 mm）. Highest cup-disc ratio was found in the PCG group（P〈0.0005）. Glaucoma associated with systemic disease presented with the highest baseline IOP（34.5±5.0 mm Hg）. All the cases with PCG were treated surgically with 21.8% required more than one surgery. The majority of the patients（74.2%） in the acquired group were treated medically. Combined trabeculotomy-trabeculectomy was the most frequent operation done, accounting for 34.5% of all primary surgeries. Ahmed valve implantation comprised 87% of the secondary surgeries. Acquired glaucoma group had the highest percent of eyes with good fin

关键词： childhood glaucoma classification egypt epidemiology

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Launching a paradigm for first and redo-surgery in primary congenital glaucoma: institutional experience

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International Journal of Ophthalmology(english edition) 2019年第2期12卷 226-234页

作者： Tharwat H.Mokbel eman M.el Hefney Sherein M.Hagras amani e.badawi Manal A.Kasem Ahmed A.Al Nagdy Sherief e.el Khouly Walid M.Gaafar Mansoura Ophthalmic Center Faculty of Medicine Mansoura University

AIM: To evaluate the outcome of the initial and the redo-surgeries for primary congenital glaucoma(PCG) correlated to its degree of severity. MeTHODS: A retrospective study involved patients with PCG presented between 2010 and 2018. Medical records were reviewed to assess the degree of the preoperative severity according to the intraocular pressure(IOP), corneal diameter and corneal edema. Success and failure rates were calculated for both first and redo-surgeries at 6 and 12 mo respectively then correlated to the severity of the cases. ReSULTS: Complete records were retrieved for 272 eyes(153 patients) with PCG: 43 eyes were mild, 136 moderate and 93 severe. Combined trabeculotomy and trabeculectomy(CTT) had the highest success rate in moderate(96.4%) and severe cases(59.3%) while trabeculotomy had the highest success rate in mild cases(96.3%). Medical records of 88 eyes(63 patients) with recurrent PCG were analyzed, most with severe presentation(59 eyes). Ahmed glaucoma valve(AGV) was used in 67(76%) eyes and augmented trabeculectomy in 21(24%) eyes. At 12 mo, there was no statistically significant difference between both surgeries in total success rate(P=0.256). For mild cases, success rate was 100% for both surgeries. Severe cases had higher success rates following AGV(87%) than augmented trabeculectomy(20%). Preoperative severity of the disease was an independent factor affecting the failure rate in secondary trabeculectomy but not in AGV. Patients younger than 24 mo had higher probabilities of failure following both redo-surgeries with hazard ratio =1.325 and 0.37 for augmented trabeculectomy and AGV respectively. CONCLUSION: Preoperative assessment of the severity of eyes with PCG helps in the selecting the optimal primary and secondary surgery. For first surgery, trabeculotomy is more effective in mild cases whereas; CTT and augmented subscleral trabeculectomy(SST) are appropriate for moderate and severe cases. AGV proved to be superior to augmented SST in

关键词： Ahmed glaucoma valve augmented trabeculectomy egypt primary congenital glaucoma

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Changes of anterior segment parameters after horizontal rectus muscles recession versus resection

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Annals of eye Science 2020年第1期5卷 15-21页

作者： amani e.badawi Manal Ali Kasem Tharwat Mokbel eman A.Awad Mansoura Ophthalmic Center Faculty of MedicineMansoura UniversityMansouraEgypt

Background:To record the corneal,and anterior chamber depth changes after performing recession versus resection of horizontal recti ***:Consecutive patients who underwent isolated lateral rectus muscle recession or resection February 2014 to January 2015 were prospectively *** error(spherical equivalent);K1,K2,and mean k reading,anterior and posterior corneal elevation;and anterior chamber depth were measured(Pentacam)before,1 month,and 3 months after *** who could not maintain reliable fixation and those with a history of eye surgery were ***-and postoperative measurements were compared by analysis of ***:A total of 36 eyes of 23 patients(average age,16 years)were *** muscle recession was performed in 24 eyes;and resection was performed in 12 *** significant changes in mean keratometry of recession group *** anterior elevation,and central anterior chamber depth were significant when both groups are compared at first month after *** became regressive at the end of the third *** a significant change of central anterior elevation ***:In recession group,the mean K was the only statistically significant variable by the first postoperative *** the both groups,the anterior corneal elevation,and central anterior chamber depth revealed a significant difference by the end of the first postoperative *** 3 months,all parameters showed a statistical insignificant difference between the recession and resection groups except the anterior corneal elevation.

关键词： Strabismus cornea parameters anterior chamber Pentacam

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Root overlap and allocation of above- and belowground growth of european beech in pure and mixed stands of Douglas fir and Norway spruce

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Forest ecosystems 2024年第5期11卷 591-602页

作者： amani S.Lwila Christian Ammer Oliver Gailing Ludger Leinemann Martina Mun Department of Silviculture&Forest ecology of the Temperate Zones University of GöttingenBüsgenweg 137077GöttingenGermany Center for Biodiversity and Sustainable Land-Use University of GöttingenBüsgenweg 137077GöttingenGermany Department of Forest Genetics and Forest Tree Breeding Faculty of Forest Sciences and Forest EcologyUniversity of GöttingenBüsgenweg 237077GöttingenGermany Forestry Research and Competence Centre Gotha Jägerstraße 1D-99867Germany

Site conditions and species identity have a combined effect on fine root growth of trees in pure and mixed ***,mechanisms that may contribute to this effect are rarely studied,even though they are essential to assess the potential of species to cope with climate *** study examined fine root overlap and the linkage between fine root and stem growth of european beech(Fagus sylvatica)growing in pure and mixed stands with Douglas fir(Pseudotsuga menziesii)or Norway spruce(Picea abies)at two different study sites in northwestern *** study sites represented substantially different soil and climate *** each site,three stands,and at each stand,three pairs of trees were *** the pure beech stand,the pairs consisted of two beech trees,while in the mixed stands each pair was composed of a beech tree and a *** each pair,three evenly spaced soil cores were taken monthly throughout the growing *** the pure beech stands,microsatellite markers were used to assign the fine roots to individual *** in stem diameter of beech were quantified and then upscaled to aboveground wood productivity with automatic high-resolution circumference *** found that fine root overlap between neighboring trees varied independently of the distance between the paired trees or the stand types(pure versus mixed stands),indicating that there was no territorial *** wood productivity(wood NPP)and fine root productivity(root NPP)showed similar unimodal seasonal patterns,peaking in ***,this pattern was more distinct for root NPP,and root NPP started earlier and lasted longer than wood *** influence of site conditions on the variation in wood and root NPP of beech was stronger than that of stand *** NPP was,as expected,higher at the richer site than at the poorer *** contrast,root NPP was higher at the poorer than at the richer *** concluded that beech can respond to limited resources

关键词： Fine root growth Stem growth Trade-off Cost-benefit ratio Belowground territoriality Conspecific neighbors Heterospecific neighbors

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epidemiological,clinical and laboratory findings of infectious keratitis at Mansoura Ophthalmic Center,egypt

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International Journal of Ophthalmology(english edition) 2017年第1期10卷 61-67页

作者： amani e.badawi Dalia Moemen Nora L el-Tantaw Departrnent of Ophthalmology Faculty of MedicineMansouraUniversityMansoura 35516Egypt Department of Medical Microbiology and Immunology Faculty of MedicineMansoura UniversityMansoura 35516Egypt Department of Parasitology Faculty of MedicineMansouraUniversityMansoura 35516Egypt

AIM： To analyze the epidemiological, clinical and laboratory findings of infectious ***： A retrospective study on cases of infective keratitis, attended our institution from Mar. 2013 to Feb. 2015, was done at Mansoura Ophthalmic Center, egypt. Corneal scrapings were performed and processed for direct microscopy and culture in appropriate media using standard laboratory ***： Out of 245 patients enrolled for study, 247 corneal scrapings were obtained. Ocular trauma was the most common predisposing factor （51.4%）, followed by diabetes mellitus （15.1%）. Cultures were positive in 110 scraping samples （44.5%）： 45.5% samples had pure fungal infection, 40% had pure bacterial infections and 10% had mixed fungal and bacterial growths. Acanthamoeba was detected in 5 （4.5%） samples. The most common fungal pathogen was Aspergillus spp. （41%）. The most common bacterial isolates were Staphylococcus aureus （38.2%） and Pseudomonas aeruginosa （21.8%）.CONCLUSION： Incidence of fungal keratitis is high in our region. Therapeutic approach can initially be based on clinical features and sensitivity/resistance patterns. Microbiological research should direct the antimicrobial treatment. Antibiotic resistance to fluoroquinolones and aminoglycosides is an important consideration.

关键词： infectious keratitis bacterial fungal parasitic predisposing factors antibiotic resistance

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Changes in corneal biomechanics and intraocular pressure following Femto-LASIK using Goldman applanation tonometry and ocular response analyzer

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International Journal of Ophthalmology(english edition) 2020年第5期13卷 782-787页

作者： Ahmed Yassin Hemida Omar M Said Asser A.e.Abdel-Meguid Mohammed Iqbal amani e.badawi Department of Ophthalmology Fayoum Ophthalmic HospitalFayoum 63514Egypt Department of Ophthalmology Faculty of MedicineFayoum UniversityFayoum 63514Egypt Department of Ophthalmology Faculty of MedicineCairo UniversityCairo 11562Egypt Department of Ophthalmology Faculty of MedicineSohag UniversitySohag 8242Egypt Department of Ophthalmology Faculty of MedicineMansoura UniversityMansoura 35516Egypt

AIM:To compare intraocular pressure(IOP)measurements before and after laser in situ keratomileusis(LASIK)with a femtosecond laser for flap creation using ocular response analyzer(ORA)and Goldmann applanation tonometry,and to identify factors that may influence the preoperative and postoperative ***:A prospective study conducted on myopic patients who underwent LASIK using a femtosecond laser for flap *** patients were evaluated preoperatively,6 wk and 3 mo postoperatively for manifest refraction(MR),keratometric(K)readings and central corneal thickness(CCT)using a scheimpflug-based *** resistance factor(CRF),corneal hysteresis(CH),Goldmann correlated IOP(IOPg)and corneal compensated IOP(IOPcc)were measured using ORA besides IOP assessment by Goldman applanation tonometry(GAT).ReSULTS:There was a statistically significant decrease in measures of IOPg by 3.35±0.83 mm Hg,followed by GAT which decreased by 2.2±0.44 mm Hg,and the least affected by operation was IOPcc which decreased only by 0.87±0.1 mm Hg after 6 *** 3 mo follow up there was a statistically significant decrease in IOPcc which decreased only by 0.76±0.4 mm Hg,followed by IOP GAT by 1.6±0.5 mm Hg,and the most affected by operation was IOPg which decreased by 2.3±0.3 mm ***,there was a statistically significant decrease in CH and CRF after 6 wk and 3 *** 3 mo,the preoperative MR and preoperative GAT were prominent significant predictors of the postoperative GAT *** prediction equation was ***:IOP measurements and corneal biomechanical factors reduce significantly after LASIK with a femtosecond laser for flap *** IOPcc values are less influenced by changes in corneal properties than IOPg and GAT,indicating that IOPcc may provide the most reliable measurement of IOP after this procedure.

关键词： intraocular pressure laser in situ keratomileusis femtosecond laser ocular response analyzer corneal biomechanics myopia

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efficacy of topical dorzolamide 2% in diabetic cystoid macular edema

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International Journal of Ophthalmology(english edition) 2021年第9期14卷 1413-1418页

作者： amani e.badawi Tharwat H.Mokbel eman M elhefney Sherein M.Hagras Ameera G Abdelhameed Department of Ophthalmology Mansoura Ophthalmic CenterFaculty of MedicineMansoura UniversityMansoura 35516Egypt

AIM:To study the effect of topical dorzolamide 2%on macular thickness reduction in diabetic cystoid macular edema(CMe).MeTHODS:This was a prospective,non-randomized,open study including eyes with diabetic macular edema(DMe).All eyes received topical dorzolamide 2%three times daily for one *** in best-corrected visual acuity(BCVA),and central macular thickness(CMT)by optical coherence tomography were evaluated at 1 wk,1,and 3 mo ***:Ninety-three eyes(84 patients)were ***±SD(log MAR)BCVA improved significantly from 1.08±0.26 pretreatment to 0.66±0.24 at 1 mo and 0.87±0.26 at 3 mo post-treatment(Pe mean±SD CMT was significantly reduced from 535.27±97.4μm at baseline to 357.43±125.8μm at 1 mo and 376.23±114.5μm at 3 mo post-treatment(Pemic side effects were ***:Topical dorzolamide 2%results in significant improvement of mean BCVA and reduction of mean CMT at 3 mo *** can be used as an effective,affordable,and safe therapy for treatment of nonrefractory diabetic CMe.

关键词： cystoid macular edema diabetic maculopathy dorzolamide retina

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A novel combined baffle-cavity micro-combustor configuration for Micro-Thermo-Photo-Voltaic applications

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Chinese Journal of Chemical engineering 2020年第2期28卷 403-413页

作者： e.amani A.Daneshgar A.Hemmatzade Mechanical engineering Dept. Amirkabir University of TechnologyTehranIran

The major issues of Micro-Thermo-Photo-Voltaic(MTPV) micro-combustors are flame instabilities, which narrow the operational range, and non-uniform wall temperature, which lowers the overall efficiency. The purpose of the present research is to propose a novel micro-combustor with combined baffle and cavity configuration to address these issues. For this aim, a numerical modeling approach is validated and used. The performance of the improved combustor is compared with another recent baffle-bluff configuration. It is shown that the novel design improves the average wall temperature by 36.4 K and mitigates its standard deviation by 13.4 K. Moreover, using the optimal baffle thickness, these enhancements can be augmented by 4% raise of average wall temperature, 62%increase of temperature uniformity, and 20% reduction in overall emission. The baffle length of 0.6 times the combustor length and thickness of 0.0625 times the baffle spacing result in the optimal operation due to the flame lift-off in the upstream direction. According to the sensitivity analysis, the most effective geometrical parameters are the baffle length and thickness. It is expected that using this novel micro-combustor with optimized design parameters improves the overall efficiency of MTPV systems.

关键词： Microscale Computational Fluid Dynamics(CFD) Reaction Micro-combustion Micro-Thermo-Photo-Voltaic(MTPV) emission

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Calcium-Magnesium Ca/Mg Ratios and Their Agronomic Implications for the Optimization of Phosphate Fertilization in Rainfed Rice Farming on Acidic Ferralsol in the Forest Zone of Ivory Coast

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Open Journal of Soil Science 2024年第1期14卷 81-96页

作者： Fernand G. Yao Brahima Kone Franck M. L. Bahan Kouadio amani Jean L. essehi Mamadou B. Ouattara Konan e. B. Dibi Brou Kouame François Lompo Albert Yao-Kouame Central Laboratory Soils Water and Plants (LCSEP) National Center for Agronomic Research (CNRA) Bouaké Ivory Coast Soil Water and Geomaterials Sciences Laboratory (LS2EG) Cocody-Abidjan Earth Sciences and Mining Resources Training and Research Unit (UFR STRM) Félix Houphou&#235t-Boigny University Abidjan Ivory Coast Department of Rice Program Man Research Station National Center for Agronomic Research (CNRA) Man Ivory Coast Department of Geography Unit of Training and Research (UFR) Communication Environment and Society University Alassane Ouattara Bouaké Ivory Coast Food Crops Research Station (SRCV) National Agricultural Research Center (CNRA) Bouaké Ivory Coast Institute of the environment and Agricultural Research (INeRA) Ouagadougou Burkina Faso

This study is a contribution to improving rice productivity on acidic plateau soils of the tropical rainforest zone. It is based on taking into account the cationic balances of the soil in order to optimize the phosphorus (P) nutrition of rice on these acidic soils, where this nutrient constitutes a limiting factor for agricultural production. Three (3) pot trials were conducted in Adiopodoumé in the forested south of Côte d’Ivoire. The interactive effects of calcium carbonate (0, 25, 50 and 75 kg Ca ha−1) and magnesium sulfate (0, 25, 50 and 75 kg Mg ha−1) were evaluated on the response of NeRICA 5 rice at doses 0, 25, 50 and 75 kg P ha−1 of natural phosphate from Togo, applied only once at the start of the experiment. Additional fertilizers of nitrogen (N) (100 kg N ha−1) and potassium (K) (50 kg KCl ha−1) were added to each of the tests in a split-plot device. The test results revealed a paddy production potential of approximately 3 to 5 t⋅ha−1 for NeRICA 5 on an acidic soil, under the effect of the interaction of P, Ca and Mg. The quadratic response of rice yield to the doses of these fertilizers would be more dependent on their balance, itself influenced by Ca nutrition. For the sustainability and maintenance of rice production in agro-ecology studied, it was recommended doses of 38 kg Ca ha−1, 34 kg Mg ha−1 in a Ca/Mg ratio (1/1) with intakes of 41 kg P ha−1, overall in a ratio 1/1/1 (P/Ca/Mg) more favorable to the availability of free iron considered a guiding element of mineral nutrition. Thus, these promising results should be confirmed in a real environment for better management of the fertilization of rice cultivated on acidic plateau soils in Côte d’Ivoire.

关键词： Soil Acidity Ca/Mg Ratios Phosphate Fertilization Rice Growing Ivory Coast

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Does the scleral encircling band provide a protective effect against the progression of diabetic retinopathy?

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International Journal of Ophthalmology(english edition) 2019年第9期12卷 1408-1414页

作者： Hossam Youssef Abouelkheir amani e.badawi Amr M.Abdelkader Amr el-Kanishy Sameh Saleh Waleed Ali Abou Samra Manal Ali Kasem Tharwat Mokbel Mansoura Ophthalmic Center Faculty of Medicine Mansoura University

AIM: To evaluate the effect of scleral encircling bands on the development and progression of diabetic retinopathy(DR) in diabetic ***: The medical records of diabetic patients who underwent unilateral retinal detachment(RD) surgery using scleral buckle and encircling band were reviewed retrospectively. Both eyes of patients were included in the study: one eye in each patient had a scleral buckle with encircling band(the operated eye) and the other one is the non-operated eye. The demographic characters, duration of diabetes and period between surgery and the last recall visit were retrieved from each patient. All the cases underwent fundus photo and fluorescein angiography(when indicated) to confirm the DR ***: Totally 25 patients fulfilled the inclusion and the exclusion criteria were become eligible for the study. A total of 50 eyes of 25 patients were enrolled in this analysis. The mean period of time passed from surgery with encircling band and the last reassessment visit was 12.5±2 y. even though DR could develop in the operated eyes, it was at a less degree of severity compared to the non-operated eyes of same patients(P=0.027).CONCLUSION: Scleral encircling bands have protective effects against the development and progression of DR.

关键词： diabetic retinopathy scleral encircling bands retinal detachment

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