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The Elastic Ligation of Internal Hemorrhoids: Where Are We Now?

Open Journal of gastroenterology 2019年第1期9卷 28-35页

作者： H. Abid g. Ousseur R. Benjira M. Lahlali A. Lamine N. Lahmidani M. El Yousfi N. Aqodad D. Benajah A. Ibrahimi M. El Abkari Hepato-gastroenterology Department Hassan II University Medical Center Fez Morocco Faculty of Medicine Sidi Mohammed Ben Abdellah University Fez Morocco

Hemorrhoidal disease requires different means of treatment: medical, surgical and instrumental. Among these, the elastic ligature seems to be an effective and widespread technique in the world. The aim of our study is to report our experience in methodology and short and medium term results of ligation in a population that strongly fears surgery. Patients and Methods: It’s about a retrospective and descriptive study of 208 outpatients treated with elastic ligations for symptomatic internal hemorrhoids. These patients were collected over a period of 15 years (October 2003-April 2018) at the gastroenterology department of Hassan II CHU in Fez. Results: The average age of our patients was 50.3 years [20 - 82 years] with a sex-ratio M/F of 2.85. The clinical signs were dominated by rectorrhagia (99%) complicated by anemia in 116 cases requiring blood transfusion in 72 cases, followed by proctalgia (27.4%). Transit disorders were noted in 65 patients (31.2%). Indications for elastic ligation were symptomatic internal hemorrhoids grade 3 (65.4%) and grade 2 (34.6%). The average number of ligation sessions that achieved the therapeutic goal was 2.30 sessions [1 - 4]. The average number of rings per session was 3.1 rings [1 - 6]. Moderate to severe pain was reported by 20 patients (9.6%) mostly within 6 hours of ligation. Minimal rectorrhagia was reported in 33 cases (15.8%). There were no major complications who required a hospitalization. The success rate was 80.7% (n = 168). Surgery was performed in 31 patients (14.9%) and sclerosis in 7 patients (3.3%). Conclusion: The elastic ligation of internal hemorrhoids remains an effective and inexpensive technique when it comes to the treatment of symptomatic internal hemorrhoids of grade 2 to 3. The results obtained in our study were very reassuring and motivating.

关键词： Internal Hemorrhoids Elastic Ligature Evolution

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Exploration and Mapping of Metalliferous Black Shales in the Saghro Temporary Subsidence Zones (Anti-Atlas, Morocco)

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Open Journal of geology（地质学期刊） 2023年第7期

作者： Ali Bouayachi Saida Alikouss Zouhir Baroudi Youssef Zerhouni Lahcen Rakhis mohammed Zouhair Assia Idrissi Mourad Essalhi Barzouk Abdelhafed

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Synthesis, characterization and electrochemical evaluation of anticorrosion property of a tetrapolymer for carbon steel in strong acid media

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中国化学工程学报（英文版） 2019年第4期

作者： Shamsuddeen A.Haladu Saviour A.Umoren Shaikh A.Ali Moses M.Solomon Abdul-Rashid I.mohammed Department Basic Sciences and Humanities， College of Engineering， Imam Abdulrahman Bin Faisal University， Dammam 31451， Saudi Arabia Centre of Research Excellence in Corrosion， Research Institute， King Fahd University of Petroleum and Minerals， Dhahran 31261， Saudi Arabia Department of Chemistry， King Fahd University of Petroleum ε Minerals， Dhahran 31261， Saudi Arabia Centre for Engineering Research， Research Institute， King Fahd University of Petroleum and Minerals， Dhahran 31261， Saudi Arabia

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A Robust Method to Detect Hidden Data from Digital Images

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Journal of Information Security（信息安全） 2012年第2期

作者： Romany F. Mansour1 W. F. Awwad1 A. A. mohammed2

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Aortodigestive Fistula: A Rare Cause of Digestive Bleeding

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Case Reports in Clinical Medicine（临床医学病理报告） 2021年第4期

作者： Nada Lahmidani Mouna Figuigui Hakima Abid Mounia El Yousfi mohammed El Abkari Sidi Adil Ibrahimi Dafr Allah Benajah

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Neglected and Relapsed Clubfoot in Adults, the Functional Outcome of Acute Surgical Correction

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Open Journal of Orthopedics（矫形学期刊） 2023年第2期

作者： Sami Nogdallah Hassan Mohamed Hassan ALaa Mohamed Mohamed Khairy Dafaalla Salih Hozifa mohammed Ali Abd-Elmaged Montaser Fatooh

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Automated Leukemia Screening and Sub-types Classification Using Deep Learning

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Computer Systems Science & Engineering 2023年第9期46卷 3541-3558页

作者： Chaudhary Hassan Abbas gondal Muhammad Irfan Sarmad Shafique Muhammad Salman Bashir Mansoor Ahmed Osama M.Alshehri Hassan H.Almasoudi Samar M.Alqhtani mohammed M.Jalal Malik A.Altayar Khalaf F.Alsharif Department of Computer Science COMSATS University Islamabad44000Pakistan Electrical Engineering Department College of EngineeringNajran UniversityNajran61441Saudi Arabia Control Automotive and Robotics LabNational Center of Robotics and Automation(NCRA HEC)MirpurPakistan Mirpur University of Science and Technology(MUST)MirpurPakistan Department of Computer Science Virtual University of PakistanLahore54000Pakistan Department of Clinical Laboratory Sciences College of Applied Medical SciencesNajran UniversityNajran61441Saudi Arabia Department of Information Systems College of Computer Science and Information SystemsNajran UniversityNajran61441Saudi Arabia Department of Medical Laboratory Technology Faculty of Applied Medical SciencesUniversity of TabukTabukSaudi Arabia Department of Clinical Laboratory Sciences College of Applied Medical SciencesTaif UniversityP.O.Box 11099Taif21944Saudi Arabia

Leukemia is a kind of blood cancer that damages the cells in the blood and bone marrow of the human *** produces cancerous blood cells that disturb the human’s immune system and significantly affect bone marrow’s production ability to effectively create different types of blood cells like red blood cells(RBCs)and white blood cells(WBC),and *** can be diagnosed manually by taking a complete blood count test of the patient’s blood,from which medical professionals can investigate the signs of leukemia ***,two other methods,microscopic inspection of blood smears and bone marrow aspiration,are also utilized while examining the patient for ***,all these methods are labor-intensive,slow,inaccurate,and require a lot of human experience and *** authors have proposed automated detection systems for leukemia diagnosis to overcome these *** have deployed digital image processing and machine learning algorithms to classify the cells into normal and blast ***,these systems are more efficient,reliable,and fast than previous manual diagnosing ***,more work is required to classify leukemia-affected cells due to the complex characteristics of blood images and leukemia cells having much intra-class variability and inter-class *** this paper,we have proposed a robust automated system to diagnose leukemia and its *** have classified ALL into its sub-types based on FAB classification,i.e.,L1,L2,and L3 types with better *** have achieved 96.06%accuracy for subtypes classification,which is better when compared with the state-of-the-art methodologies.

关键词： Healthcare cancer detection deep learning convolutional neural network

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