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Long-term results of Ahmed glaucoma valve implantation in Egyptian population

International Journal of Ophthalmology(English edition) 2018年第3期11卷 416-421页

作者： Eman Elhefney Tharwat Mokbel Waleed Abou Samra Hanem Kishk tarek mohsen Amr El-Kannishy Department of Ophthalmology Faculty of Medicine Mansoura University

AIM： To evaluate the long-term results and complications of Ahmed glaucoma valve （AGV） implantation in a cohort of Egyptian patients. METHODS： A retrospective study of 124 eyes of 99 patients with refractory glaucoma who underwent AGV implantation and had a minimum follow-up of 5y was performed. All patients underwent complete ophthalmic examination and intraocular pressure （lOP） measurement before surgery and at ld, weekly for the 1st month, 3, 6mo, and ly after surgery and yearly afterward for 5y. lOP was measured by Goldmann applanation tonometry and/or Tono-Pen. Complications and the number of anti-glaucoma medications needed were recorded. Success was defined as lOP less than 21 mm Hg with or without anti-glaucoma medication and without additional glaucoma surgery. RESULTS： Mean age was 23.1±19.9y. All eyes had at least one prior glaucoma surgery, lOP was reduced from a mean of 37.2±6.8 to 19.2±5.2 mm Hg after 5y follow-up with a reduced number of medications from 2.64±0.59 to 1.81±0.4. Complete and qualified success rates were 31.5% and 46.0% respectively at the end of follow-up. The most common complications were encapsulated cyst formation in 51 eyes （41.1%）, complicated cataract in 9 eyes （7.25%）, recessed tube in 8 eyes （6.45%）, tube exposure in 6 eyes （4.8%） and corneal touch in 6 eyes （4.8%）. Other complications included extruded AGV, endophthalmitis and persistent hypotony. Each of them was recorded in only 2 eyes （1.6%）. ~ CONCLUSION： Although refractory glaucoma is a difficult problem to manage, AGV is effective and relatively safe procedure in treating refractory glaucoma in Egyptian patients with long-term follow-up. Encapsulated cyst formation was the most common complication, which limits successful lOP control after AGV implantation. However, effective complications management can improve the rate of success.

关键词： intraocular pressure Ahmed glaucoma valve refractory glaucoma long-term follow-up of glaucoma Ahmedvalve complications

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Predictors of renal angioembolization outcome:A retrospective analysis with 148 patients at a tertiary urology institute

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Asian Journal of Urology 2022年第2期9卷 103-108页

作者： Hashim Mohamed Farg Mohamed Mohamed Elawdy Karim Ali Soliman Mohamed Ali Badawy Ali Elsorougy Abdalla Abdelhamid tarek mohsen tarek El-Diasty Department of Radiology Urology and Nephrology CentreMansoura UniversityMansouraEgypt Department of Urology Urology and Nephrology CentreMansoura UniversityMansouraEgypt

Objective:The aim of this study was to evaluate the predictor of unsuccessful outcome of renal angioembolization(RAE).Knowing those predictors may help in avoiding unnecessary RAE procedures and their associated side effects,while helping to prepare for an alternate procedure and improving patient's overall ***:A retrospective analysis between January 2006 and December 2018 was performed,and the indications for RAE were classified into post-traumatic,iatrogenic,renal tumors,and *** who underwent RAE prior to nephrectomy were *** tomography angiography was performed in patients with normal renal function and those who had no contrast allergy,otherwise magnetic resonance angiography was *** the purpose of statistical analysis,we stratified patients into two main categories based on the final outcome—successful or ***:Of 180 patients,32 with negative angiography were eliminated,leaving 148 patients;136(91%)had successful outcomes after one or more trials and 12 had unsuccessful *** mean age was 45±15 years,and 105(71%)were *** gender,side of the lesion,presence of hematuria,indication for RAE,nor the type of lesion affected the *** the other hand,renal anatomy with presence of accessory artery was the only predictor to failed RAE(p=0.001).Failed RAE trial was a predictor for nephrectomy as a secondary procedure(p=0.03).Conclusion:No pre-procedural predictors could anticipate the RAE outcome,and different indications can be scheduled to RAE,which is equally *** presence of accessory renal artery on diagnostic angiography is the only factor that may predict the failure of the procedure.

关键词： Angioembolization Renal angioembolization Embolization Renal trauma Outcome

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Renal arterial embolization:Indications,angiographic findings,and outcomes in a series of 170 patients

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Current Urology 2023年第3期17卷 213-218页

作者： Hashim Mohamed Farg Mohamed Elawdy Karim Ali Soliman Mohamed Ali Badawy Ali Elsorougy tarek mohsen tarek El-Diasty Abdalla Abdelhamid Urology Department Urology and Nephrology CenterMansoura UniversityMansoura35516Egypt

Background:The lack of overall experience and reporting on angiographic findings in previously published studies of renal arterial embolization(RAE)compelled us to report our overall experience on a series of *** and methods:A retrospective study was performed analyzing data of patients enrolled for RAE between 2010 and ***,physical examination,and laboratory data were reviewed for all *** ultrasound was the initial imaging study,and all patients underwent subsequent computed tomography or magnetic resonance *** outcome of RAE was determined based on radiographic and clinical ***:Data from 202 patients were analyzed,with a mean age of 45±15 years,and 71.3%of patients were *** injury was the most common indication for RAE(54%),followed by renal tumors,trauma,and spontaneous,in 27.7%,10.4%,and 8.4%of patients,*** angiography revealing pseudoaneurysm alone or with other pathology in the lower pole of the kidney was the most common finding(40.6%),whereas no lesions were identified on angiography in 32 patients(15.8%),after which RAE was subsequently *** arterial embolization was successful in 158 of 170 patients(92.9%)after 1 or more trials(maximum of 4).Microcoil alone or with other embolic materials was the most commonly used material for embolization(85%).Conclusions:latrogenic injury was the most common indication for *** alone or with other lesions was the most common lesion on renal angiography;however,angiography showed a negative result in 16%of patients,even those with *** lesions are present on angiography,the overall success of repeated trials of RAE reached 92.9%.

关键词： Angiographic findings Embolization Renal angioembolization Renal arterial embolization

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Review of analytical methods for stress and deformation analysis of buried water pipes considering pipe-soil interaction

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Underground Space 2023年第6期13卷 205-227页

作者： Yingxu Huo Sherif mohsen Mohamed Hassan Gomaa tarek Zayed Mohamed Meguid Department of Civil and Environmental Engineering The Hong Kong Polytechnic UniversityHung HomHong Kong 999077China Department of Building and Real Estate The Hong Kong Polytechnic UniversityHung HomHong Kong 999077China Structural Engineering Department Faculty of EngineeringMansoura UniversityMansoura 35516Egypt Department of Civil Engineering McGill UniversityMontrealQuebec H3A 0G4Canada

Buried water pipelines are vulnerable to fail or break due to excessive loading or ground *** evaluation of pipe performance and serviceability relies on the proper understanding of pipe-soil interactions(PSI).Analytical methods are important approaches to studying ***,a systematic and thorough literature review to analyze the existing research trends,technological achievements and future research opportunities is not *** work investigates analytical methods that analyze the stress and deformation of pipes in terms of cross-sectional,transverse and longitudinal PSI ***,scientometric analysis is performed to acquire relevant research works from online databases and analyze the existing data of influential authors,productive research sources and frequent key word occurrence in the fields of ***,a qualitative discussion is performed in the three categories of PSI:(1)cross-sectional,including ovalization and circumferential behaviours;(2)transverse,including seismic fault crossing,weak soil zones,ground settlement and pipe uplift;and(3)***,six research opportunities are discussed,including the role of friction in cross-sectional deformation,combined effects of bending and compression,choice of soil reaction models and calibration of key parameters,effect of pipe flaws,soil spatial variability and behaviours of curved *** study helps beginners familiarize themselves with PSI analytical methods and provides experienced researchers with ideas for future research directions.

关键词： Pipeline Analytical methods Pipe-soil interactions Seismic fault Settlement Uplift Buckling Tunnelling

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Histopathological changes in the oesophageal mucosa in Egyptian children with corrosive strictures: A single-centre vast experience

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World Journal of Gastroenterology 2019年第7期25卷 870-879页

作者： Ayman EskANDer Carolyne Ghobrial Nabil A mohsen Bahaa Mounir Dalia Abd EL-Kareem Sara tarek Mortada HF El-Shabrawi Department of Paediatrics Kasr Alainy School of Medicine Cairo University Department of Pathology Kasr Alainy School of Medicine Cairo University

BACKGROUND The caustic ingestion continues to be a major problem worldwide especially in developing countries. The long-term complications include stricture and increased life time risk of oesophageal carcinoma. Patients suffered from corrosive induced oesophageal strictures have more than a 1000-fold risk of developing carcinoma of the *** To determine the possibility of oesophageal mucosal dysplasia after prolonged dilatation in post corrosive *** This observational study was conducted at the Paediatric Endoscopy Unit in Cairo University Children's Hospital. It included children of both sexes older than 2 years of age who had an established diagnosis of post-corrosive oesophageal stricture and repeated endoscopic dilatation sessions for more than 6 mo. All patients were biopsied at the stricture site after 6 mo of endoscopic dilatation. A histopathological examination of an oesophageal mucosal biopsy was performed for the detection of chronic oesophagitis, inflammatory cellular infiltration and *** The mean age of the enrolled children was 5.9 ± 2.6 years; 90% of the patients had ingested an alkaline corrosive substance(potash). The total number of endoscopic dilatation sessions were ranging from 16 to 100 with mean number of sessionswas 37.2 ± 14.9. Histopathological examination of the specimens showed that 85%of patients had evidence of chronic oesophagitis(group A) in the form of basal cell hyperplasia, hyperkeratosis and subepithelial fibrosis. Thirteen percent of the patients had evidence of reactive atypia(group B) in the form of severe neutrophilic intraepithelial inflammatory cellular infiltration, and 2 patients(2%)had mild squamous dysplasia(group C); we rebiopsied these two patients 6 mo after the initial pathological assessment, guided by chromoendoscopy by Lugol's *** The histopathology of oesophageal mucosal biopsies in post-corrosive patients demonstrates evidence of chronic oesophagitis, intraepi

关键词： Children Endoscopic dilatation Dysplasia Oesophageal strictures Postcorrosive

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Investigating Diesel Engine Performance and Emissions Using CFD

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Energy and Power Engineering 2013年第2期5卷 171-180页

作者： tarek M. Belal El Sayed M. Marzouk mohsen M. Osman Department of Mechanical Engineer Alexandria University Alexandria Egypt Department of Mechanical Engineering Umm Al-Qura University Makka KSA

Fluid flow in an internal combustion engine presents one of the most challenging fluid dynamics problems to model. This is because the flow is associated with large density variations. So, a detailed understanding of the flow and combustion processes is required to improve performance and reduce emissions without compromising fuel economy. The simulation carried out in the present work to model DI diesel engine with bowl in piston for better understanding of the in cylinder gas motion with details of the combustion process that are essential in evaluating the effects of ingesting synthetic atmosphere on engine performance. This is needed for the course of developing a non-air recycle diesel with exhaust management system [1]. A simulation was carried out using computational fluid dynamics (CFD) code FLU- ENT. The turbulence and combustion processes are modeled with sufficient generality to include spray formation, delay period, chemical kinetics and on set of ignition. Results from the simulation compared well with that of experimental results. The model proved invaluable in obtaining details of the in cylinder flow patterns, combustion process and combustion species during the engine cycle. The results show that the model over predicting the maximum pressure peak by 6%, (p-θ), (p-v) diagrams for different engine loads are predicted. Also the study shows other engine parameters captured by the simulation such as engine emissions, fuel mass fraction, indicated gross work, ignition delay period and heat release rate.

关键词： Numerical Simulation Unsteady Flow Combustion Diesel Engine

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Efficient Approach for Monitoring and Controlling Water Parameters Utilizing Integrated Treatment Based on WSNs

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Wireless Sensor Network 2019年第4期11卷 47-66页

作者： tarek Srour Ayman Haggag mohsen A. M. El-Bendary Mostafa Eltokhy Atef E. Abouelazm Department of Electronics Technology Faculty of Industrial Education Helwan University Cairo Egypt Faculty of Electronics Engineering Menofia University Cairo Egypt

Research works of Wireless Sensor Networks (WSNs) applications and its constraints solutions occupy wide area around the world and attract many researchers. In this paper, an important one of environmental WSN applications is presented that is the water monitoring applications. An efficient approach for monitoring and controlling water parameters in real-time is implemented utilizing merging between WSN and designed simple workstation. For implementation simplicity, two water parameters (pH and temperature) are monitored and controlled in the proposed approach. Most of past work of water monitoring presented different proposed monitoring scenarios for different water parameters only. This research work utilizes the concept of interactive WSN nodes. The interactive nodes interact with the monitored water parameters to control its value. In the base station, the collected data is analyzed and the real-time value of the monitored parameters appears on the designed Graphic User Interface (GUI). The GUI is designed using the Matlab program. Through the GUI, the operator can switch the control between automatic and manual. ZigBee module is used for implementing the wireless communications between the nodes and the workstation. Due to the cost and simplicity, two sensors only are used in the proposed approach. Different real-time experiments are performed to test and measure the effectiveness and performance of the presented approach. These experiments reveal that the presented approach is effective for water treatment and efficient more than the past proposed water monitoring scenarios.

关键词： Environmental Monitoring Water Quality Interactive WSN WSNs Applications Interactive Sensing Real-Time

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Theoretical, Experimental and Numerical Investigations of the Effect of Inlet Blade Angle on the Performance of Regenerative Blowers

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Open Journal of Fluid Dynamics 2015年第3期5卷 224-237页

作者： tarek Abdel-Malak Mekhail Omar Mohamed Dahab Mohamed Fathy Sadik Mahmoud Mohamed El-Gendi Hesham Sayed Abdel-mohsen Faculty of Energy Engineering Mechanical Power Department Aswan University Aswan Egypt Faculty of Engineering Mechanical Power Department Aswan University Aswan Egypt Faculty of Engineering Mechanical Power and Energy Department Minia University Minia Egypt

Regenerative machines allow high heads at small flow rates and present performance curves with very stable features. This research includes a study of the effect of four inlet flow angles (90°, 115°, 125° and 135°) of the blade at outlet flow angle of 90° on the performance of regenerative blower at rotation speed of 3000 rpm and at different flow rates. Investigation and comparison of the experimental results with both one-dimensional theoretical model and numerical CFD technique using CFX-ANSYS 16.1 are done. The numerical CFD analysis show that the flow enters the impeller from the blade side (about 65% of the blade side area) and leaves from the blade tip and blade side (the remaining 35% from the blade side area). According to this observation, a mathematical model that is based on momentum exchange theory to handle one inlet angle and two exit angles for the regenerative blower impeller blades is proposed. Consequently, the experimental work is carried out by two steps. The first step is done by studying the effect of inlet blade angle of 90° and analyzing the results by using the CFD analysis. The CFD results show shock losses and vortices behind each blade at the inlet flow regions. To reduce these losses, an increase of the inlet blade angle in a range between 25° to 45° is proposed. The second step is the splitting of this angle range to three inlet blade angles of 115°, 125° and 135° in order to study and analyze the CFD results for these angels. The CFD analysis shows the disappearance of the shock losses and vortices that are formed behind the blade of angle 90°. The experimental results show that the pressure head and the efficiency depend strongly on the blade inlet and outlet flow angles as well as on the blade geometry. The results also show that the best blower performance can be obtained at an inlet flow angle of 125°, and this is confirmed by CFD simulation analysis. Finally, it is shown that the proposed one-dimensional model yield results that

关键词： Regenerative Blower Circulatory Flow CFD Shock Losses Vortices Impeller Angles

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Differentiated Thyroid Cancer with Thyroglobulin Elevation and Negative Iodine Scintigraphy (TENIS Syndrome)

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International Journal of Otolaryngology and Head & Neck Surgery 2014年第4期3卷 149-153页

作者： Raja Sfar tarek Kamoun Manel Nouira Hamza Regaieg Nouha Ammar Hela Charfi Achraf Bahloul Maha Ben Fredj Kaouther Chatti mohsen Guezguez Habib Essabbah Department of Nuclear Medicine Sahloul Hospital Sousse Tunisia Department of Nuclear Medicine Sahloul Hospital Sousse Tunisia Sousse University Sousse Tunisia University of Monastir Monastir Tunisia Department of Nuclear Medicine Sahloul Hospital Sousse Tunisia

Background and Objectives: Following the initial management, some patients with differentiated thyroid cancer (DTC) develop a state of high thyroglobulin (Tg) and Negative Iodine Scintigraphy. The predisposing factors and outcome of this condition are unclear. In this study, our objectives were to analyze the characteristics of patients with high Tg level and negative Iodine scintigraphy and to determine the predictive factors for development of high Tg and negative scintigraphy. Patients and Methods: Retrospective study of 34 patients undergoing treatment for DTC, followed in the Nuclear Medicine department of the University Hospital—Sahloul Sousse between 1990 and 2006 and having a high Tg and negative Iodine scintigraphy. Fourteen patients had Tg between 2 and 10 ng/ml, 16 had Tg between 11 and 100 ng/ml and 4 patients had Tg more than 100 ng/ml. Results: There were 25 women and 9 men. The mean age was 51.65 years. In 94.1% of cases, the tumor was papillary carcinoma. Follicular tumors accounted for only 5.9%. The mean nodule size was3.26 cm. Capsular invasion was seen in 47.1% cases. The locoregional invasion was found in 35.3%. The lymph node extension was found in 84.8% of patients having lymph node surgery. Lymph node involvement was observed in 92.8% of patients with papillary cancer but it was found in 7.2% of patients with follicular cancers. Lymph node invasion was unilateral in 28.6% (N1a) and bilateral, contralateral or mediastinal in 71.4% (N1b). Initial level of Tg was as follows: 7 patients had Tg between 2 and 10 ng/ml, 14 patients had Tg between 11 and 100 ng/ml and 12 had Tg more than 100 ng/ml. The mean number of radioactive Iodine cure was 11.08 for patients with Tg more than 100 ng/ml with a significant difference (P = 0.001). Conclusion: Among epidemiological, pathological and clinical characteristics, lymph node invasion is the most frequent parameter found in patients with a DTC with high Tg level and negative Iodine scintigraphy.

关键词： Differentiated Thyroid Cancer Thyroglobulin Iodine Scintigraphy TENIS Syndrome

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