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1Evolution of transanal total mesorectal excision for rectal cancer:From top to bottom显示文摘The gold standard for curative treatment of locally advanced rectal cancer involves radical resection with a total mesorectal excision(TME). TME is the most effective treatment strategy to reduce local recurrence and improve survival outcomes regardless of the surgical platform used. However, there are associated morbidities, functional consequences, and quality of life(QoL) issues associated with TME; these risks must be considered during the modern-day multidisciplinary treatment for rectal cancer. This has led to the development of new surgical techniques to improve patient, oncologic, and QoL outcomes. In this work, we review the evolution of TME to the transanal total mesorectal excision(TaTME) through more traditional minimally invasive platforms. The review the development, safety and feasibility, proposed benefits and risks of the procedure, implementation and education models, and future direction for research and implementation of the TaTME in colorectal surgery. While satisfactory short-term results have been reported, the procedure is in its infancy, and long term outcomes and definitive results from controlled trials are pending.As evidence for safety and feasibility accumulates,structured training programs to standardize teaching,training, and safe expansion will aid the safe spread of the TaTME.Sameh Hany Emile F Borja de Lacy Deborah Susan Keller Beatriz Martin-Perez Sadir Alrawi Antonio M Lacy Manish Chand 2018World Journal of Gastrointestinal Surgery2018,10,3:18
2胺鲜酯与螯合剂GLDA联合强化柳枝稷吸收积累镉效果显示文摘为探究己酸二乙氨基乙醇酯(胺鲜酯,DA-6)与谷氨酸二乙酸四钠(GLDA)联用对柳枝稷修复镉(Cd)污染土壤的影响,通过田间试验研究不同DA-6浓度(0和10μmol·L^-1)与不同GLDA施用方式(60 d内将600、1200和2400 kg·hm^-2依次分为1、2和4次施加,分施2和4次的单次间隔时间分别为30 d和15 d)联合对土壤p H及可溶性有机碳(DOC)、柳枝稷生物量及Cd含量、Cd提取量、土壤总Cd及有效态Cd(DTPA-Cd)的影响.结果表明:①DA-6与GLDA联用能提高土壤p H和DOC,且p H和DOC随着GLDA施用量增加而显著增加;②DA-6与GLDA联用能显著提高柳枝稷生物量及Cd含量,其中DA-6和GLDA的施用量与施用次数是影响生物量及Cd含量的最关键因素;③柳枝稷Cd提取量在DA-6浓度为10μmol·L^-1和分4次施加1200 kg·hm^-2GLDA时最高,为22.18 g·hm^-2,较CK(不施加DA-6和GLDA)及10D0(仅叶喷10μmol·L^-1DA-6)分别提高了1.93倍和1.23倍;④土壤总Cd在DA-6浓度为10μmol·L^-1和分2次施加2400 kg·hm^-2GLDA时最低,为0.529mg·kg^-1,较CK与10D0分别降低21.04%和18.23%.因此,DA-6与GLDA联用能进一步强化柳枝稷修复Cd污染农田.王正 孙兆军 Sameh Mohamed 王珍 何俊 韩磊 2020环境科学2020,41,12:12
3浒苔生物炭与木醋液复配改良碱化土壤效果及提高油葵产量显示文摘为探究浒苔生物炭与木醋液复配改良碱化土壤效果及提高作物产量,以龟裂碱土为例,通过田间试验研究不同生物炭施加量(0、1%、2%和4%)与不同木醋液稀释倍数(0、2%)复配对土壤pH、碱化度、全盐、容重、速效磷、有机质、盐分离子、油葵生长和产量的影响,不施加生物炭和木醋液视为对照(CK).结果表明,2%浒苔生物炭+2%木醋液(V2BC2)改良龟裂碱土的综合效果最佳;在最佳处理条件下:①浒苔生物炭与木醋液复配能改善土壤理化性质,具体表现为作物生长期内土壤平均pH、碱化度和全盐含量显著降低,较CK分别降低12.14%、40.63%和42.75%,土壤容重显著减小,较CK减小20.78%;②浒苔生物炭与木醋液复配能显著降低土壤Na^(+)、Cl^(-)和SO_(4)^(2-)含量,较CK分别降低47.17%、45.32%和33.33%,提高土壤K^(+)和Ca^(2+)含量,其他离子含量的差异不显著;③浒苔生物炭与木醋液复配显著提高土壤养分含量及有效性,增强土壤酶活性,与CK相比,速效磷提高2.88倍,有机质提高58.76%,土壤脲酶、碱性磷酸酶和蔗糖酶活性分别提高0.92、1.02和2.29倍;④油葵产量在V2BC2处理时最高,为3546.7 kg·hm^(-2),较CK增产2325.3 kg·hm^(-2).因此,浒苔生物炭与木醋液复配能进一步提高盐碱土改良效果及作物产量.王正 孙兆军 Sameh El-Sawy 王珍 何俊 韩磊 邹本涛 2021环境科学2021,42,12:10
4Monitoring the impact of climate change and human activities on grassland vegetation dynamics in the northeastern Qinghai-Tibet Plateau of China during 2000–2015显示文摘Climate change and human activities can influence vegetation net primary productivity(NPP), a key component of natural ecosystems. The Qinghai-Tibet Plateau of China, in spite of its significant natural and cultural values, is one of the most susceptible regions to climate change and human disturbances in the world. To assess the impact of climate change and human activities on vegetation dynamics in the grassland ecosystems of the northeastern Qinghai-Tibet Plateau, we applied a time-series trend analysis to normalized difference vegetation index(NDVI) datasets from 2000 to 2015 and compared these spatiotemporal variations with trends in climatic variables over the same time period. The constrained ordination approach(redundancy analysis) was used to determine which climatic variables or human-related factors mostly influenced the variation of NDVI. Furthermore, in order to determine whether current conservation measures and programs are effective in ecological protection and reconstruction, we divided the northeastern Qinghai-Tibet Plateau into two parts: the Three-River Headwater conservation area(TRH zone) in the south and the non-conservation area(NTRH zone) in the north. The results indicated an overall(73.32%) increasing trend of vegetation NPP in grasslands throughout the study area. During the period 2000–2015, NDVI in the TRH and NTRH zones increased at the rates of 0.0015/a and 0.0020/a, respectively. Specifically, precipitation accounted for 9.2% of the total variation in NDVI, while temperature accounted for 13.4%. In addition, variation in vegetation NPP of grasslands responded not only to long-and short-term changes in climate, as conceptualized in non-equilibrium theory, but also to the impact of human activities and their associated perturbations. The redundancy analysis successfully separated the relative contributions of climate change and human activities, of which village population and agricultural gross domestic product were the two most important contributors to the NDVI changes, explaining 17.8% and 17.1% of the total variation of NDVI(with the total contribution >30.0%), respectively. The total contribution percentages of climate change and human activities to the NDVI variation were 27.5% and 34.9%, respectively, in the northeastern Qinghai-Tibet Plateau. Finally, our study shows that the grassland restoration in the study area was enhanced by protection measures and programs in the TRH zone, which explained 7.6% of the total variation in NDVI.XIONG Qinli XIAO Yang Marwa Waseem A HALMY Mohammed A DAKHIL LIANG Pinghan LIU Chenggang ZHANG Lin Bikram PANDEY PAN Kaiwen Sameh B EL KAFRAWAY CHEN Jun 2019Journal of Arid Land2019,11,5:10
5Conversion of Methanol Using Modified H-MOR Zeolite Catalysts显示文摘甲醇的变换在各种各样的 mordenite 沸石催化剂上被执行评估他们的催化表演。由有 NH4Cl 或 NH4F 的 halogenation 并且由有 HCl 或 HF 的 hydrohalogenation 的 H 粗腐殖质催化剂的一个准备以后的处理被执行并且它在 100300Sameh M. K. ABOUL-FOTOUH Noha A. K. ABOUL-GHEIT Marwa M. I. HASSAN 2011催化学报2011,32,3:9
6种植方式和灌溉定额对碱化盐土及紫穗槐生长的影响显示文摘针对甘肃白银碱化盐土表层土壤盐分高、植物生长困难的生产问题,在统一施用脱硫石膏18t/hm^2的基础上,通过2 a田间试验,在起垄沟植和未起垄种植2种种植方式下设置3个灌溉定额:8 250、9 750和11 250 m^3/hm^2,研究不同种植方式及灌溉定额对土壤pH值、碱化度、含盐量及紫穗槐生长的影响。试验结果表明:1)各处理均显著降低了土壤pH值、碱化度和含盐量;起垄沟植方式下垄沟内可汇集灌溉水和降水,提高土壤含水率;在0~40 cm土层起垄处理的土壤盐分比未起垄处理低15.7%,起垄沟植处理可以形成'高水低盐'的水盐环境,从而使紫穗槐的成活率、株高、冠幅均高于未起垄处理;2)2种种植方式下,随灌水量增加脱盐效果越显著,紫穗槐的成活率、株高、冠幅指标随灌水量增加而增加;灌溉定额为9 750和11 250 m^3/hm^2时,紫穗槐生长指标无显著差异。考虑到研究区地处干旱区,水资源有限,灌水量过多不仅浪费水资源还会增加发生次生盐渍化的风险,因此,施用脱硫石膏并起垄沟植适宜于甘肃白银碱化盐土紫穗槐种植,且适宜灌溉定额为9 750 m^3/hm^2。王旭 樊丽琴 李磊 孙兆军 Sameh El-Sway 2020农业工程学报2020,36,5:7
7Do inhaled corticosteroids increase the risk of Pneumocystis pneumonia in people with lung cancer?显示文摘Pneumocystis pneumonia(PCP) is a life-threatening infection in immunocompromised patients. It is relatively uncommon in patients with lung cancer. We report a case of PCP in a 59-year-old man with a past medical history of chronic obstructive pulmonary disease treated with formoterol and a moderate daily dose of inhaled budesonide. He had also advanced stage non-small lung cancer treated with concurrent chemo-radiation with a cisplatin-etoposide containing regimen. The diagnosis of PCP was suspected based on the context of rapidly increasing dyspnea, lymphopenia and the imaging findings. Polymerase chain reaction testing on an induced sputum specimen was positive for Pneumocystis jirovecii. The patient was treated with oral trimethoprim-sulfamethoxazole and systemic corticotherapy and had showed clinical and radiological improvement. Six months after the PCP diagnosis, he developed a malignant pleural effusion and expired on hospice care. Through this case, we remind the importance of screening for PCP in lung cancer patients under chemotherapeutic regimens and with increasing dyspnea. In addition, we alert to the fact that long-term inhaled corticosteroids may be a risk factor for PCP in patients with lung cancer. Despite intensive treatment, the mortality of PCP remains high, hence the importance of chemoprophylaxis should be considered.Sameh Msaad Ilhem Yangui Najla Bahloul Narjes Abid Makram Koubaa Yosr Hentati Mounir Ben Jemaa Samy Kammoun 2015World Journal of Clinical Cases2015,3,9:5
8Experimental and numerical modelling of sedimentation in a rectangular shallow basin显示文摘Numerical simulation of flows in shallow reservoirs has to be checked for its consistency in predicting real flow conditions and sedimentation patterns. Typical flow patterns may exhibit flow separation at the inlet, accompanied by several recirculation and stagnation areas all over the reservoir surface. The aim of the present research project is to study the influence of the geometry of a reservoir on sediment transport and deposition numerically and experimentally, focusing on a prototype reservoir depth between 5 and 15 m as well as suspended sediment transport. A series of numerical simulations is presented and compared with scaled laboratory experiments, with the objective of testing the sensitivity to different flow and sediment parameters and different turbulence closure schemes. Different scenarios are analyzed and a detailed comparison of preliminary laboratory tests and some selected simulations are presented. The laboratory experiments show that suspended sediment transport and deposition are determined by the initial flow pattern and by the upstream and downstream boundary conditions. In the experiments, deposition in the rectangular basin systematically developed along the left bank, although inflow and outflow were positioned symmetrically along the centre of the basin. Three major horizontal eddies developed influencing the sediment deposition pattern. Although asymmetric flow patterns are privileged, a symmetric pattern can appear from time to time. This particular behaviour could also be reproduced by a two-dimensional depth-averaged flow and sediment transport model (CCHE2D). The paper presents numerical simulations using different turbulence closure schemes (k-ε and eddy viscosity models). In spite of the symmetric setup, these generally produced an asymmetric flow pattern that can easily switch sides depending on the assumptions made for the initial and boundary conditions. When using the laboratory experiment as a reference, the most reliable numerical results have been obtained with a parabolic depth-averaged eddy viscosity model. This model appeared to be the only one that was able to reproduce the strongly asymmetric flow behaviour observed during the experiments.Sameh A. KANTOUSH Erik BOLLAERT Anton J. SCHLEISS 2008International Journal of Sediment Research2008,23,3:5
9Stem cells in gastrointestinal cancers: The road less travelled显示文摘Cancer stem cells(CSC) are thought to be malignant cells that have the capacity to initiate and maintain tumor growth and survival. Studies have described CSC in various gastrointestinal neoplasms such as colon, pancreas and liver and gastroesophageal tumors. The mechanism by which CSC develop remains unclear. Several studies have explored the role of dysregulation of the Wnt/β-catenin, transformation growth factor-beta and hedhog pathways in generation of CSC. In this review, we discuss the various molecular abnormalities that may be related to formation of CSC in gastrointestinal malignancies, strategies to identify CSC and therapeutic strategies that are based on these concepts. Identification and targeting CSC is an intriguing area and may provide a new therapeutic option for patients with cancer including gastrointestinal malignancies. Although great progress has been made, many issues need to be addressed. Precise targeting of CSC will require precise isolation and characterization of those cells. This field is also evolving but further research is needed to identify markers that are specific for CSC.Although the application of this field has not entered the clinic yet, there continues to be significant optimism about its potential utility in overcoming cancer resistance and curing patients with cancer.Sameh Mikhail Amer Zeidan 2014World Journal of Stem Cells2014,6,5:5
10与隐形眼镜相关的感染性角膜炎-埃及5年流行病学研究(英文)显示文摘目的:研究埃及Tanta大学医院与隐形眼镜相关的感染性角膜炎患者的不同流行病学特点,评估这类疾病各方面的特点,以提高患者对这类疾病的认识,找出可行的解决方案。方法:选取我院2009-01/2013-12期间在眼科门诊就诊的所有角膜炎患者仔细检查,并对所有与隐形眼镜相关的感染性角膜炎患者进一步检查和调查。结果:本研究期间,总共108 496位有不同主诉的患者中,1463例(1.3%)患有不同形式的角膜炎,其中151例(0.1%)为隐形眼镜相关感染性角膜炎。结果发现患有隐形眼镜相关感染性角膜炎常见的年龄群<30岁,大多数是学生(64%),家庭人数多且较为拥挤,农村居民高于城市居民,患者采用户外水源及污水处理不卫生。从病史分析发现:隐形眼镜相关感染性角膜炎通常为彻夜使用,储存或者配戴不卫生,或者隐形眼镜来源不安全,例如化妆品商店和理发店。结膜囊微生物培养结果提示阳性率92%,阴性率8%。大多数培养阳性的病例是由细菌和真菌混合感染引起,共53例(38.1%),单纯细菌感染43例(30.9%),真菌31例(22.3%),阿米巴12例(8.6%)。结论:与隐形眼镜相关的感染性角膜炎常见于学生群体,与农村生活、户外供水、不卫生的污水处理等危险因素有关。彻夜配戴、储存或配戴不卫生及隐形眼镜来源不安全都可增加隐形眼镜相关感染性角膜炎的发病率。Mohammad Mostafa Khater Mohammad Sameh El-Shorbagy 2015国际眼科杂志2015,15,10:5
11Liver stiffness as a predictor of hepatocellular carcinoma behavior in patients with hepatitis C related liver cirrhosis显示文摘Background: Risk strati cation and prognostication of hepatocellular carcinoma (HCC) help to improve patient outcome. Herein we investigated the role of liver stiffness measurement (LSM) in the prediction of HCC behavior. Methods: Totally 121 na ve patients with HCC were included. HCC radiological evaluation and staging were done. LSM was measured using virtual touch quanti cation. Patients were divided into early to intermediate HCC (BCLC-0, A and B) and late HCC (BCLCC and D). HCC was treated according to the BCLC stage. HCC recurrence-free interval was estimated. Results: The mean LSM inside the tumor was signi cantly lower than the peri-tumoral area and the cirrhotic non-cancerous liver parts (P<0.001). In late HCCs stage, the mean LSM inside the tumor and in the peri-tumoral tissue was lower than the corresponding values in the early to intermediate HCCs stage (P<0.001). LSM inside the tumor and in the peri-tumoral tissue negatively correlated with serum AFP, tumor vascular invasion, and stage (P<0.05). The recurrence-free interval was directly correlated to LSM inside the tumor and inversely to LSM in cirrhotic non tumorous liver part. Kaplan-Meier analysis showed that the recurrence-free interval was signi cantly longer in patients with LSM inside the tumor of ≥1.25m/s compared to those with LSM inside the tumor of<1.25m/s. Conclusions: LSM can serve as a potential non-invasive predictor for HCC clinical behavior and the recurrence-free interval following loco-regional treatments.Sameh A Lashen Mohamed M Elshafei Fahmy H Hablass Eman A Alsayed Asmaa A Hassan 2020Hepatobiliary & Pancreatic Diseases International2020,19,1:4
12Gene alterations in the PI3K/PTEN/AKT pathway as a mechanism of drug-resistance(Review)显示文摘Sameh Hafsi Franca Pezzino Saverio Candido Giovanni Ligresti Demetrios Spandidos Zohra Soua James McCubrey Salvatore Travali Massimo Libra 2012International Journal of Oncology2012,,3:4
13Effect of ultrasonic irradiation and /or halogenation on the catalytic performance of γ-Al_2O_3 for methanol dehydration to dimethyl ether显示文摘Dimethyl ether(DME) is amongst one of the most promising alternative,renewable and clean fuels being considered as a future energy carrier.In this study,the comparative catalytic performance of the halogenated γ-Al 2 O 3 prepared from two halogen precursors(ammonium chloride and ammonium fluoride) is presented.The impact of ultrasonic irradiation was evaluated in order to optimize both the halogen precursor for the production of DME from methanol in a fixed bed reactor.The catalysts were characterized by SEM,XRD,BET and NH 3-TPD.Under reaction conditions where the temperature ranged from 200 to 400 ℃ with a WHSV = 15.9 h-1was found that the halogenated catalysts showed higher activity at all reaction temperatures.However,the halogenated alumina catalysts prepared under the effect of ultrasonic irradiation showed higher performance of γ-Al 2 O 3 for DME formation.The chlorinated γ-Al 2 O 3 catalysts showed a higher activity and selectivity for DME production than fluorinated versions.Sameh M.K.Aboul-Fotouh 2013燃料化学学报2013,41,9:4
14孤立性肺结节的循证医学影像处理显示文摘孤立性肺结节(solitary pulmonary nodule,SPN)定义为被肺实质包绕的直径≤3 cm的圆形/类圆形不透明影。大多数吸烟者的薄层CT扫描均可以发现SPN,其中大部分直径〈7 mm。在过去,如偶然发现此类结节临床采用2年以上随访,包括3,6,12,18,24个月的CT随访。该方案使随访者接受的辐射量增加。结节形态特性,如形状、边缘特征、空洞、位置等难以准确鉴别良恶性结节。当首次检查中的SPN不能定性时,应评估包括患者年龄和吸烟史等危险因素。Fleischner学会2005年指南指明所有4 mm或更小的结节中至少99%为良性;当结节直径为5-9 mm时,最佳策略是随访。随访检查的时间点依据结节大小(4-6,6-8 cm)和患者病史而不一,特别是是否存在恶性肿瘤低危/高危因素。直径〉8 mm的非钙化结节高度提示恶性肿瘤,此时应考虑额外检查如造影剂增强CT,正电子发射断层扫描(positron emission tomography,PET),经皮肺穿刺活检,胸腔镜切除术或电视辅助胸腔镜切除术。Yi-Xiang J.Wang Jing-Shan Gong Kenji Suzuki Sameh K.Morcos 邓敏 王毅翔 2015临床与病理杂志2015,35,2:4
15孤立性肺结节的循证医学影像处理显示文摘孤立性肺结节(SPN)定义为被肺实质包绕的直径≤3 cm的圆形/类圆形不透明影。大多数吸烟者的薄层CT扫描均可以发现SPN,其中大部分直径小于7 mm。在过去,如偶然发现此类结节临床采用2年以上随访,包括3个月、6个月、12个月、18个月、24个月的CT随访。该方案使随访者接受的辐射量增加。结节形态特性,如形状、边缘特征、空洞、位置等难以准确鉴别良恶性结节。当首次检查中的SPN不能定性时,应评估包括患者年龄和吸烟史等危险因素。Fleischner学会2005年指南指明所有4 mm或更小的结节中至少99%为良性;当结节直径为5~9 mm时,最佳策略是随访。随访检查的时间点依据结节大小(4~6 mm或6~8 mm)和患者病史而不一,特别是是否存在恶性肿瘤低危/高危因素。直径〉8 mm的非钙化结节高度提示恶性肿瘤,此时应考虑额外检查如造影剂增强CT,正电子发射断层扫描(PET),经皮肺穿刺活检,胸腔镜切除术或电视辅助胸腔镜切除术。王毅翔 Jing-Shan Gong Kenji Suzuki Sameh K.Morcos 2015中国胸心血管外科临床杂志2015,22,4:4
16Recurrent anal fistulas: When, why, and how to manage?显示文摘Anal fistula is a commonly encountered anal condition in the surgical practice.Despite being a benign condition,anal fistula remains to represent a surgical challenge,particularly the complex type of fistulas.One of the common complications of anal fistula surgery is the persistence or recurrence of the pathology,both defined as failure of surgery.Recurrent anal fistulas after previous surgery represent an even more challenging problem since they are usually associated with a higher risk of re-recurrence and continence disturbance.The present review aimed to shed light on various aspects of recurrent anal fistulas,including the different definitions of failure after surgery,risk factors of recurrence,problems associated with management of recurrent fistulas,and assessment and treatment of recurrent anal fistulas.Sameh Hany Emile 2020World Journal of Clinical Cases2020,8,9:4
17Functional and anatomical evaluation of the effect of nepafenac in prevention of macular edema after phacoemulsification in diabetic patients显示文摘AIM: To evaluate the effect of prophylactic administration of nepafenac in prevention of macular edema occurring in diabetic patients after phacoemulsification and to investigate the correlation between optical coherence tomography(OCT) foveal thickness and multifocal electroretinogram(MF-ERG) parameters.METHODS: The study included two groups. Group 1 included 50 diabetic patients with senile cataract(50 eyes, 30 females, 20 males, aged 55±7 y) received nepafenac 0.1% eye drop. Group 2 included another 50 diabetic patients with senile cataract(50 eyes, 22 female, 28 males, aged 53.8±8 y) did not receive nepafenac. All patients were followed up for 3 mo postoperatively. OCT and MF-ERG were done preoperative and at 1 wk, 1, 2 and 3 mo.RESULTS: The mean foveal thickness was statistically significantly lower in Group 1. Five eyes in Group 2 developed clinical cystoid macular oedema(CMO)(10%), and no patients in Group 1 developed central macular thickening more than 50 μm. There were insignificant differences in MF-ERG amplitudes and latencies between the two groups except in the five eyes that developed CMO, there statistically significant reduction of MF-ERG amplitude with increase in foveal thickness. CONCLUSION: Perioperative nepafenac reduces the incidence of CMO following uncomplicated phacoemulsification significantly. Nepafenac has no side effects.Tharwat Mokbel Sameh Saleh Mona Abdelkader Sherief E.El-khouly Waleed Abou Samra Mohamed Mamdouh 2019International Journal of Ophthalmology(English edition)2019,12,3:3
18Predictive value of focused assessment with sonography for trauma (FAST) for laparotomy in unstable polytrauma Egyptians patients显示文摘当多重损伤病人到达紧急情况部门(编辑) 时, PurposeThe 紧急情况医生面对重要临床的无常。为对 polytrauma 病人的评价和治疗的优先级在主要调查被建立。有为损伤的 sonography 的集中的评价(快) 在损伤复活期间是很必要的临床的技巧。在在紧急情况照顾背景在主要调查工作的损伤队之中的照顾超声的点的使用缺乏在这研究试图评估精确性的编辑不可得到的苏伊士运河大学医院平超声机器在血液动力学地不稳定的 polytraumatized 病人并且到快作为一个指示决定它的角色 laparotomy.MethodsThis 学习是包括的代表性的研究有钝机制的 150 个 polytrauma 病人在苏伊士运河大学医院里承认了。由航线支票的第一主要的调查,与颈领子固定的颈的脊骨, breathing/circulation 的维护和如果在场,穿条件的生活的管理因此被进行到 ATLS (先进损伤生活支持) 指南。病人作为一个工具用 FAST 在主要调查被估计决定 150 个病人全部的 intra 腹的 collection.ResultsA 的存在,并且快扫描在所有情况中被执行。敏感和特性是 92.6% 并且 100% 分别地。否定预兆的价值是 92% ,当时积极预兆的价值快是 100% 。精确性快 96%.ConclusionFAST 是一个重要方法与高精确性在血液动力学地不稳定的 polytrauma 病人在起始的评价检测 intra 腹的液体。Adel Hamed Elbaih Sameh T. Abu-Elela 2017Chinese Journal of Traumatology2017,20,6:3
19Efficacy and safety of botulinum toxin in treatment of anismus: A systematic review显示文摘AIM: To evaluate the efficacy and safety of botulinum toxin type A(BTX-A) in the management of patients with anismus. METHODS: An organized search of published literature was conducted using electronic databases including: Pub Med/MEDLINE, and Cochrane Central Register of Control ed Trials, also an internet-based search using 'Google Scholar' service was conducted. Both comparative and observational studies were included. We excluded irrelevant articles, editorials, case reports, reviews, and meta-analyses. The studies that followed the patients less than 6 mo were excluded. Variables collected were demographic data of the patients, technique of BTX-A injection and number of sessions, short-term and longterm clinical improvement, post-injection changes in electromyography(EMG), defecography, manometry, and balloon expulsion test, and complications recorded after BTX-A injection.RESULTS: Seven studies comprising 189 patients were included in the review. The median age of the patients was 41.2 years and female-to-male ratio was 1.3:1. The median dose of BTX-A injected per procedure was 100 IU(range, 20-100 IU). Lateral injection was done in five trails and combined lateral and posterior injections in two trials. Three studies used endorectal ultrasonographyguided technique, one study used EMG-guided technique,whereas the remaining three studies used manual palpation with the index finger. The median percentage of patients who reported initial improvement of symptoms was 77.4%(range 37.5%-86.7%), this percentage declined to a median of 46%(range 25%-100%) at 4 mo after injection of BTX-A. Rates of improvement evaluated by balloon expulsion test, EMG, and defecography ranged between(37.5%-80%),(54%-86.7%), and(25%-86.6%), respectively. Fourteen(7.4%) patients developed complications after injection of BTX-A. Complication rates across the studies ranged from 0% to 22.6%. CONCLUSION: Initial satisfactory improvement of symptoms after BTX-A injection remarkably deteriorated after 3 mo of the procedure. However, repeated injection may provide better sustained results with no additional morbidities. Further analysis of more patients is necessary to conclude the safety of BTX-A for the treatment of anismus.Sameh Hany Emile Hossam Ayman Elfeki Hosam Ghazy Elbanna Mohamed Youssef Waleed Thabet Tito M Abd El-Hamed Basem Said Ahmed Lotfy 2016World Journal of Gastrointestinal Pharmacology and Therapeutics2016,7,3:3
20Effect of the Si/Al ratio of HZSM-5 zeolite on the production of dimethyl ether before and after ultrasonication显示文摘A series of as-synthesized HZSM-5 zeolites with different Si/Al ratios(25,90,120,240 and 400)were post-treated by ultrasonication for an optimum time of 60 min.The morphology,acidity and textural properties of HZSM-5 were characterized with XRD,SEM,N_2 adsorption and NH3-TPD techniques.The catalytic performance was evaluated by dehydration of methanol to dimethyl ether(DME),which is a promising gaseous automotive fuel in future.It was found that the Si/Al ratio of HZSM-5 had considerable impacts on its catalytic performance for dehydration of methanol to DME.Its activity increased with decreasing Si/Al ratio from 400 to 25.Ultrasonication of HZSM-5 could significantly improve its catalytic performance.Sameh M.K.Aboul-Fotouh Laila I.Ali Mona A.Naghmash Noha A.K.Aboul-Gheit 2017燃料化学学报2017,45,5:3
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