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Role of Ultrasonographic Measurement of Fetal Kidney Length in Determination of Gestational Age during Third Trimester of Pregnancy

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Open Journal of Obstetrics and Gynecology 2021年第3期11卷 221-232页

作者： Mahmoud mohamed Ghaleb Afnan ibrahim Abdel Fatah Shokri Mohammed salah El Sayed El Sokkary Maged Mahmoud Ali El Shourbagy Department of Obstetrics and Gynecology Faculty of Medicine Ain Shams University Cairo Egypt

Background: in routine ultrasonography, the ultrasonologist measures the bi-parietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL) in estimating the gestational age (GA) a... 详细信息

Background: In routine ultrasonography, the ultrasonologist measures the bi-parietal diameter (BPD), head circumference (HC), abdominal circumference (AC) and femur length (FL) in estimating the gestational age (GA) and estimated date of delivery. However, as the pregnancy advances these parameters become increasingly unreliable in prediction of GA. Estimation of GA in late second and third trimester accurately still a problem till now. Fetal kidney has been shown a steady growth of 1.7 mm fortnightly (every 2 weeks) along pregnancy and is unaffected by growth abnormalities. Many studies have reported that fetal kidney length (FKL) correlates with the gestational age in late trimester very strong. The study aimed to assess the accuracy of the gestational age estimated by mean fetal kidney length compared to multiple growth parameters like BPD, HC, AC & FL in addition to the actual gestational age derived from the reliable last menstrual period. Methods: Cross sectional hospital based study, was conducted at ultrasound unit;department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University from the period of July 2018 to December 2018. A total number of 115ily:Verdana;"> Pregnant women at their third trimester by reliable LMP attended antenatal care clinic at Ai

关键词： Kidney Length Gestational Age Growth Parameters

Patterns and Changes in the Treatment of Patients with Type ii Diabetes Mellitus in Egypt: The DiSCOVER Program

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international Journal of Clinical Medicine 2020年第12期11卷 731-742页

作者： salah Shelbaya mohamed Khattab Khalifa Abdallah Yehia Ghanem Hesham El Hefnawy Enas Shaltout Eman Roshdy Emad R. issak Endocrinology Department Ain Shams University Cairo Egypt internal Medicine Department Cairo University Giza Egypt internal Medicine Department Alexandria University Alexandria Egypt Endocrinology Department National Institute of Diabetes & Endocrinology Cairo Egypt internal Medicine Department Diabetes Unit Cairo University Giza Egypt internal Medicine Department Ain Shams University Cairo Egypt

The DiSCOVER study is a three-year, non-interventional prospective study conducted in 37 countries, including Egypt, to assess the treatment patterns and outcomes in patients with type 2 diabetes mellitus initiating a second-line antidiabetic therapy (add-on or switch). in this report of the Egyptian cohort of DiSCOVER, baseline data were collected according to routine clinical practice at 38 study sites, using a standardized electronic case report form, in the period from December-2014 to November-2019. We enrolled 583 patients (mean age: 52.9 ± 9.8 years and median duration since diagnosis: median 36.5, iQR 18.1, 70.4 months). The mean HbA1c value at baseline was 8.6 ± 1.4%, indicating poor glycemic control. The most commonly prescribed first-line medications were metformin or sulfonylurea monotherapy. For second line-therapy, the majority of patients switched to dual therapy with metformin plus sulfonylureas or DPP-4 inhibitors. Fewer patients switched to triple therapy, treatment by four or more medications, or insulin treatment (15, 12, and 35 patients, respectively). The most commonly cited reasons for switching to second-line therapy were lack of efficacy, weight gain, hypoglycemic events, and side effects (549, 54, 25, and 21 patients, respectively). The set treatment target of enrolled patients at the initiation of second-line therapy was an HbA1c level of 6.9%. Follow-up data will assess the outcomes of such changes in the Egyptian population.

关键词： Diabetes Mellitus Glucose Control Metformin Patient-Reported Outcomes Egypt HbA1c Medication

中国烧伤湿润暴露疗法——(普通外科学硕士学位论文)

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中国烧伤湿润暴露疗法——(普通外科学硕士学位论文)

Diagnostic value of dobutamine stress Doppler tissue imaging in diabetic patients with suspected coronary artery disease

作者： Hazih Suliman Zayzafoun Mustafa mohamed Hemeda Ahmed salah EL-Din El-badawy 谢尔凡 Ain Shams大学医学院整形与重建外科第三军医大学西南医院烧伤研究所

译者在埃及考察访问期间惊喜地发现,随着MEBT/MEBO在国际上影响的日益扩大,不仅越来越多的外国医生开始接受和使用MEBO,而且更有一些早期接受者已经对它进行了系列的基础和临床研究。开罗Ain Shams大学医学院整形与重建外科硕士研究生**...

译者在埃及考察访问期间惊喜地发现,随着MEBT/MEBO在国际上影响的日益扩大,不仅越来越多的外国医生开始接受和使用MEBO,而且更有一些早期接受者已经对它进行了系列的基础和临床研究。开罗Ain Shams大学医学院整形与重建外科硕士研究生*** ***将MEBT/MEBO作为其主攻课题,在著名整形外科专家Dr,Mustafa ***教授等的指导下进行临床研究,完成了具有较高学术水平的学位论文并通过答辩。译者在得到原文作者及其导师的授权许可后,将其学位论文部分摘要译成中文,指定在中国境内由《中国烧伤创疡杂志》以中文形式发表,以加深相互了解,促进学术交流。埃及与中国一样,有着自己数千年的悠久历史、灿烂文化和传统医学。埃及的现代医学教育则全部西方化。埃及医生对MEBT/MEBO的重视,充分表明MEBT/MEBO不仅具有与外域古老文化相似的传统中医的理论思想,更是一种传统中医与现代医学科学有机结合的产物。

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World Journal of Cardiovascular Diseases 2011年第1期1卷 1-12页

作者： mohamed Fahmy Elnoamany Hala Mahfouz Badran Tarek salah Khalil Abdalla Mostafa Kamal Amany Ragab Serag Rehab Ebraheem Yaseen 不详

Background: Coronary artery disease (CAD) is often silent in diabetic patients, and it is typically in ad-vanced stages of development by the time it manifests. Various forms of stress testing have been investigated to detect obstructive CAD in diabetes mellitus. Ob-jectives: To assess the diagnostic value of dobutamine stress pulsed-wave Doppler tissue imaging (DTi) compared with standard wall motion analysis in de-tection of myocardial ischemia in diabetic patients with suspected CAD. Methods: The study comprised 46 diabetic patients with suspected CAD underwent dobutamine stress echocardiography (DSE) with DTi within 4 weeks before coronary angiography(CA). Dobutamine infusion started at 5 μ/kg/min and in-creased up to 40 μ/kg/min with additional atropine during submaximal heart rate responses. in addition to wall-motion score index (WMSi) analysis, pulsed- wave DTi examination of basal and mid segments of posteroseptal, lateral, anterior, inferior and antero- septal walls was performed. Myocardial velocities were measured at rest in the apical 4, 3 and 2-cham- ber views. The measurements were repeated at low dose (10 - 15 μ/kg/min) and at peak stress (40 μ/kg/min). DTi measurements included peak systolic velocity (S), peak early diastolic velocity (E) and peak late diastolic velocity (A) and the results were com-pared to WMSi analysis. Patients were classified into two groups according to CA results;group (i) di-abetics with positive CA (n = 27) and group (ii) di-abetics with negative CA (n = 19). Results: There was no significant difference between the two groups in duration of diabetes, global WMSi at rest or the ? changes (stress-rest/rest) of WMSi (P > 0.05). Global S and global E were significantly lower in group i compared to group ii at peak stress (11.3 ± 3.7 cm/sec vs. 14.5 ± 2.2 cm/sec, p ively. The cutoff points for global S and global E to detect obstructive CAD in diabetics were

关键词： Doppler Tissue imaging Dobutamine Stress Diabetes Mellitus

Water use efficiency and yield of winter wheat under different irrigation regimes in a semi-arid region

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Agricultural Sciences 2011年第3期2卷 273-282页

作者： mohamed Hakim Kharrou salah Er-Raki Ahmed Chehbouni Benoit Duchemin Vincent Simonneaux Michel LePage Lahcen Ouzine Lionel Jarlan CESBiO Centre des Etudes Spatiales de la BIOsphère Toulouse France Direction de la Météorologie Nationale Casablanca Maroc FSSM Faculté des Sciences Semlalia Marrakech Morocco LP2M2E Department of Physics Faculty of Sciences and Technology Marrakech Morocco ORMVAH Office Régional de Mise en Valeur Agricole du Haouz Marrakech Morocco

in irrigation schemes under rotational water supply in semiarid region, the water allocation and irrigation scheduling are often based on a fixed-area proportionate water depth with every irrigation cycle irrespective of crops and their growth stages, for an equitable water supply. An experiment was conducted during the 2004- 2005 season in Haouz irrigated area in Morocco, which objective was i) to evaluate the effects of the surface irrigation scheduling method (existing rule) adopted by the irrigation agency on winter wheat production compared to a full irrigation method and ii) to evaluate drip irrigation versus surface irrigation impacts on water saving and yield of winter wheat. The methodology was based on the FAO-56 dual approach for the surface irrigation scheduling. Ground measurements of the Normalized Difference Vegetation index (NDVi) were used to derive the basal crop coefficient and the vegetation fraction cover. The simple FAO-56 approach was used for drip irrigation scheduling. For surface irrigation, the existing rule approach resulted in yield and WUE reductions of 22% and 15%, respectively, compared with the optimized irrigation scheduling proposed by the FAO-56 for full irrigation treatment. This revealed the negative effects of the irrigation schedules adopted in irrigation schemes under rotational water supply on crops productivity. it was also demon-strated that drip irrigation applied to wheat was more efficient with 20% of water saving in comparison with surface irrigation (full irrigation treatment). Drip irrigation gives also higher wheat yield compared to surface irrigation (+28% and +52% for full irrigation and existing rule treatments respectively). The same improvement was observed for water use efficiency (+24 and +59% respectively).

关键词： Water Use Efficency Yield Surface and Drip irrigation FAO-56 irrigation Scheduling Wheat

Clinical and Radiological Localization of Language Dysfunctions in Acute ischemic Stroke

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Open Journal of Medical imaging 2014年第2期4卷 80-85页

作者： Amira Ahmed Zaki Dwidar Taha Kamel Alloush Mahmoud Youssef Abou El-Ella Nahed salah El-Din Ahmed Karima Moustafa Maher Maha Ali mohamed Nada mohamed Hamdy ibrahim Faculty of Medicine Ain Shams University Cairo Egypt

Objective: To study the effect of cerebral ischemic vascular insult on the localization of language areas as regard to automatic speech, initiation, and mutism. Materials and Methods: Seventy ischemic stroke patients were selected within the first 48 h of the onset of stroke with left hemispheric stroke with aphasia. inclusion criteria: any age above seven years, both sexes, first ever clinical stroke, admitted within the first 2 days of stroke insult. Patients underwent careful history taking, neurological examination, routine laboratory investigations, echo cardiography, and carotid duplex and language assessments. Results: Automatic speech disorders were mainly seen along left insular, left supramarginal and left frontal inferior orbital lesions. initiation difficulty is seen mainly along as left insular, left temporal superior and left periventricular lesions. Mutism is seen along left external capsule, left internal capsule, left pallidum, left frontal inferior orbital and left inferior trigone lesions. Conclusions: Deep periventricular white matter and insular area in the dominant hemisphere play an important role in many language tasks. Thus aphasia is not a mere cortical function.

关键词： Clinicoradiological Localization Aphasia Stroke White Matter Perventricular

The inhibitory effects on adult male reproductive functions of crude garlic （Allium sativum） feeding

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Asian Journal of Andrology 2008年第4期10卷 593-601页

作者： irnen Hammami Afef Nahdi Claire Mauduit mohamed Benahmed mohamed Amri Awatef Ben Amar Semy Zekri Ahmed El May Michele Veronique El May Research unity n° 01/UR/08-07 Faculty of Medicine Tunis 1007 Tunisia inserm U407 Oullins F-69921 France University of Lyon Oullins F-69921 France Civil Hospitals of Lyon Hospital Center of Lyon-Sud Laboratory of Anatomy and Cytology-Pathology Pierre-Benite cedex F-69495 France Nutrition Physiology Laboratory Faculty of Sciences Tunis 1006 Tunisia Laboratory of Electronic Microscopy Faculty of Medicine Tunis 1007 Tunisia Laboratory of lmmuno-histo-cytology Salah Azaiez Institute Tunis 1006 Tunisia

Aim： To investigate the effects of crude garlic on adult male rat reproductive functions. Methods： Thirty male rats were divided into five groups： group 1 （untreated） and groups 2, 3, 4 and 5 were fed for 30 days with 5%, 10%, 15% and 30% crude garlic, respectively. Testes and accessory organs were weighed and some markers were assessed. Light and electron microscopy observations were also performed. Results： A significant decrease was observed in the body weight of groups 4 （14%; P 〈 0.01） and 5 （20%; P 〈 0.01）; of the prostate weight in group 5 （29.1%; P 〈 0.05） and of seminal vesicle weight in groups 3 （14.4%; P 〈 0.01）, 4 （18.3%; P 〈 0.01） and 5 （27.3%; P 〈 0.01）. in contrast, testis and epididymis weights were unchanged. in epididymis tissue, the alpha glucosidase activity and the spermatozoa density were unchanged. The treatment resulted in a significant decrease in testosterone serum levels in groups 3 （77.3%; P 〈 0.01）, 4 （77.3%; P 〈 0.01） and 5 （90.9%; P 〈 0.01）, associated with a significant increase in LH serum levels （P 〈 0.01）. Testicular histology showed a dose-dependent increase in the percentage of empty seminiferous tubules. Moreover, testicular function was affected; a significant decrease in phosphatase acid activity （P 〈 0.01） and testosterone （P 〈 0.05） contents were observed. Conclusion： Crude garlic consumption during 1 month reduced testosterone secretion and altered spermatogenesis at 10%, 15% and 30% doses.

关键词： crude garlic spermatogenesis testosterone luteinizing hormone testis sexual accessory organs Sertoli cell Leydig cell germ cells

Dubai Primary Health Care Centers Conformation to WHO Age-Friendly Primary Healthcare Recommendations

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Advances in Aging Research 2017年第6期6卷 83-92页

作者： Tamer mohamed Farid Abdellatif Amal Mohamad Saleh Abdulrahim Al Jaziri Manal Mohammad Omran Taryam Nahed AbdulKhaleq Monsef Amel ibrahim Buharoun salah Ahmed mohamed Elbadawi Moulham Saleh Ashtar Elderly Care Unit Health Affairs Department Primary Health Care Services Sector Dubai Health Authority Dubai United Arab Emirates Primary Health Care Services Sector Dubai Health Authority Dubai United Arab Emirates Health Affairs Department Primary Health Care Services Sector Dubai Health Authority Dubai United Arab Emirates Health Centres Department Primary Health Care Services Sector Dubai Health Authority Dubai United Arab Emirates

The WHO project for conforming PHC to requirements of all age groups has resulted in publishing a toolkit for age-friendly PHC in 2008. The toolkit included checklists for physical environment and signage properties. This study matched the current physical environment properties of DHA’s PHC Health Centers against WHO’s recommendations. This is a cross sectional descriptive study that included visits to all 12 Primary Health Care Centers in Dubai city during August-September 2016 with the objective to assess the degree of fulfillment of current properties of Health Centers building to the recommendations of WHO as listed in “Age-friendly Primary Health Care Centres Toolkit” [1]. The study found that 81.86% of physical environment properties are matching the recommendation of WHO, while signage matching was 44.6%. The study concluded that most PHC properties have a physical design that met WHO’s recommendations. The two major deviations were accessibility by public transportations and presence of grab bars. Factors that had a significant impact on design were compliance with multiple international and local standards, the availability of private cars, and the availability of wheel chairs. Signage in DHA’s health centers followed a central plan that differed from WHO’s recommendations.

关键词： World Health Organization (WHO) Primary Health Care (PHC) Elderly Care Unit Dubai Health Authority (DHA)

Effect of Atrial Fibrillation on Acute ischemic Stroke Severity

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Open Journal of Medical imaging 2014年第2期4卷 95-101页

作者： Taha Kamel Alloush Mahmoud Haroun ibrahim Nahed salah El Dein Ahmed ibrahim Ghada Samir El-Shahed Lobna mohamed Nabil El-Sayed mohamed Hamdy ibrahim Hosam Ahmed Azmy Faculty of Medicine Ain Shams University Cairo Egypt Ministry of Health Cairo Egypt

Objectives: To assess the impact of atrial fibrillation on stroke severity and short-term (1 month) mortality. Materials and Methods: Totally 200 patients admitted to Ain Shams University Specialized Hospital were recruited and diagnosed clinically to have acute ischemic stroke within 3 days. Patients with hemorrhagic infarctions were excluded. History taking about previous heart disease was taken, full general and neurological examinations were done. Full metabolic profile, full cardiac investigations, carotid duplex, MRi brain stroke protocol with initial clinical evaluation and after 1 month re-evaluation using (NiHSS ) scale. Results: All patients underwent transthoracic echocardiography which revealed absence of “A” wave corresponding to atrial fibrillation in 33 patients (16.5%). Those Patients with atrial fibrillation had a median NiHSS score of 11.00 with iQR of 6.00 - 18.50 at admission and 6.00 with iQR of 2.00 - 14.50 after one month. Patients with atrial fibrillation showed significantly higher NiHSS at admission than patients in sinus rhythm, P ic resonance imaging findings showed that MRA showed significant intracranial vessel stenosis in 117 (79.1%) patients. 51 (34.4%) patients had lacunar infarction, 65 (43.9%) patients had partial anterior circulation infarction, 25 (16.2%) patients had posterior circulation infarction and 7 (4.7%) patients had total anterior circulation infarction. 111 (75%) patients showed leucoaraiosis. Conclusion: Atrial fibrillation was found not to have significantly statistical effect on stroke severity and short term mortality.

关键词： Atrial Fibrillation (AF)