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Mar 2021 DOI 10.14302/issn.2329-9487.jhc-21-3754
Abdalla AbuzerCorresponding author
Department of Anatomy, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
Themain left coronary artery and its branches have wide variability in its morphology regarding caliber, as seen through angiographic imaging. This study aims to determine the diameters of the left coronary artery and its branches among the Sudanese population & to correlate these diameters and the personal and health data. Angiography of 441 patients of both sexes was used in this study. Personal and health information was obtained from the records. We found that the left coronary artery's diameter was between 2.90- 4.90mm, with an average of 3.96mm. The diameter of the left circumflex artery in the range between 1.70- 4.70mm, with an average of 2.73mm, and that of the anterior descending artery in the range between 1.20- 4.70mm, with an average of 2.78mm. We correlated the diameters of the three arteries and the variables of age, gender, BMI, coronary artery disease, smoking habits, and hypertension. Wefound many correlations to be significant. We concluded that the diameters of the left coronary artery and its branches are affected by age, gender, BMI, coronary artery disease, smoking habits, and hypertension.
Feb 2020 DOI 10.14302/issn.2768-0207.jbr-20-3194
Mohammed AL-Namnam NisreenCorresponding author
Departmet of Oral Biology and Biomedical sciences, Faculty of Dentistry, MAHSA University, 42610 Bandar Saujana Putra, Malaysia
Rhinosinusitis is one of widely spread diseases in the region and the role of the anatomical variations in its pathogenesis remains unresolved. A retrospective study using CBCT scan was employed to locate and measure the diameter of 320 primary maxillary ostium (PMO) (n = 160 subjects) among the Malay and Chinese populations (Mongoloid race) in Malaysia. Image analysis was performed using the i-CAT Vision Software, employing the multiplanar reconstruction window in which axial, coronal and sagittal planes were visualized in 0.3 mm intervals. The mean diameter of the PMO was significantly larger in the Chinese than the Malay. Females had larger size than the male and bilateral asymmetry was noticed, where the right side PMO was larger than the left side (p < 0.05). In addition, PMO opened more in the posterior third position of the hiatus semilunaris (61.9%) than anterior and middle third. The PMO showed a statistically significant posteriorly placed position in the Chinese than the Malays and this was more evident in the right side PMO (p < 0.01). In conclusion, the PMO commonly opens in the posterior third of the hiatus semilunaris and its diameter is significantly greater in the Chinese female with evidence of bilateral asymmetry. Awareness the anatomical variation of the Ostium diameter and location among the Malay and Chinese populations potentially has important clinical effects during surgical procedures.
Jul 2026 DOI 10.14302/issn.3070-2232.jf-26-6359
Jana SnehasisCorresponding author
This study investigated the influence of a non-contact based spiritual blessing energy treatment (SBET) on the growth dynamics and reproductive productivity of okra (Abelmoschus esculentus L.). Utilizing a Randomized Complete Block Design, okra seeds and farming land were divided into treated and untreated cohorts under identical environmental conditions. The treated cohort received spiritual thought-intention-based energetic blessings, while the control group received none (untreated). Both qualitative and quantitative analysis revealed significant enhancements in the treatment group across multiple agronomic indices. Phenological parameters such as plant height, stem collar diameter, number of branches per plant, number of leaves per plant, fruit weight, fruit length, and fruit diameter were significantly increased by 29.57% (p ≤ 0.001), 45.83% (p ≤ 0.001), 40.49% (p = 0.006), 41.61% (p ≤ 0.001), 47.61% (p ≤ 0.001), 40.26% (p ≤ 0.001), and 37.58% (p ≤ 0.001), respectively, in the treatment group compared to the control group. Further, fruits yield (tons per hectare) was rose by 38.25% in the treatment group compared to the control. These findings suggest that subtle, thought-intention-based spiritual blessing energy treatment may interact positively with plant biophysical pathways, modifying cellular or metabolic efficiency and improved vegetative growth and yields of okra.
Mar 2024 DOI 10.14302/issn.2577-2279.ijha-23-4886
Garapati SupriyaCorresponding author
Introduction The foramen ovale is located in the area where intracranial and extracranial structures meet. Procedures involving trigeminal neuralgia and mandibular nerve anaesthesia require an understanding of the foramen ovale's morphometry and anatomy. Our present study was conducted to define mean values and anatomical variations in foramen ovale. Aims 1. To establish the mean length, breadth and the Area of the foramen ovale. 2. And also to study different shapes and special features of the foramen ovale. 3. To compare the values of the present author with the previous studies. Methodology The study was carried out on100 foramen ovale using 50 dry adult human skull bones of unknown sex. Maximum transverse diameter, antero-posterior diameters of the foramen were measured with the help of vernier calipers. and the different shapes of foramen were noted. The data was analysed by using unpaired T test. Results The mean anteroposterior diameter on left side was 6.59±1.37 mm and on right side was 6.99±1.44 mm. The mean transverse diameter on the left is 4.09±0.74 mm and 4.17±0.76 mm on the right side. Incidences of various shapes of the foramen ovale were oval 70%, almond 11%, round 9%, elongated 6%, pear shaped 2 % and irregular 2%. Conclusions The findings from the current study may be useful for understanding the variations of these foramina for interventions in middle cranial fossa.
Apr 2023 DOI 10.14302/issn.2639-3166.jar-23-4500
A.Madam HarounCorresponding author
This investigation was carried out at the Demonstration Farm of the College of Agriculture- University of Bahri during 2018/2019 winter season to evaluate growth (morphological) and growth analysis (physiological) components in some sugar beet (Beta vulgaris L) genotypes under different nitrogen levels to know how well sugar beet plant performs during the growing season, Thus, to provide information to assist producers in identifying and introducing superior genotype and good management of nitrogen application in AlKadro area. The experiment was laid out in split plot design. The genotypes used were namely, Blaladi. Strube Sudan 01/14, Strube Sudan 02/14, Strube Sudan 04/14, Strube Sudan 05/14 and Strube Sudan 06/14, and the nitrogen levels were viz, 0, 80 and 120 kg urea per ha; applied twice (at the sowing and then 4 weeks after sowing). The evaluated components were; leaf number/plant, leaf area index (LAI), root length, root diameter, fresh and dry weight of foliage/plant, fresh and dry weight of root/plant; all determined at 5 terms. While Crop Growth Rates (CGR), Relative Growth Rate (RGR) and Net Assimilation Rate (NAR); determined at different periods of growth (intervals). The analysis of variance (ANOVA) revealed that at 4 weeks after sowing (WAS): leaf number (14.33- 17.03) , root length (19.05 – 21.75 cm), root diameter ( 7.93- 8.40 cm) foliage fresh ( 186.93 – 292.06 g) and dry ( 69.00 – 94.10 g) weight per plant, root fresh (72.66 – 108.88 g) and dry weight ( 12.54 – 22.08 g) per plant differed significantly (P≤ 0.05); at 7 and 10 WAS leaf number (22.39 -35.73 and 26.91 – 38.47, respectively), LAI ( 3.725 -5.645) , fresh and dry root weight per plant ( 586.78 – 913.81an 189.06 – 326.43 g, respectively) differed significantly; at 13 WAS: dry foliage weight ( 69.00 – 94.10 g), LAI ( 2.603 – 4.744), root diameter (10.09 – 11.92 cm) differed significantly; at 16 WAS only dry foliage (44.34 – 73.48 g) weight reflected significance. All other cases reflected insignificant differences among the evaluated genotypes. Moreover, all the studied components reflected insignificant differences among the nitrogen fertilizer levels and likewise genotype x nitrogen interaction (G x N) at the 5 sampled terms. Nevertheless, CGR, RGR and NAR displayed insignificant effect on the studied components in the evaluated periods.
Dec 2022 DOI 10.14302/issn.2639-3166.jar-22-4300
E. E. Elshukry ElsadigCorresponding author
Agriculture Research Corporation, Horticultural Crops Research Center-Shambat
Two off-season experiments were conducted during 2015/16 and 2017/18 at Shambat Research Station Farm, Khartoum, Sudan, to investigate the effects of large (2-3 cm) and small (1-2 cm) sets size of onion variety Baftaim (S) and two chemical fertilizer (Urea 240 kg/ha) and NPK(15:15:15) (120 kg/ha) in addition to organic fertilizer (Elkhaseeb 20 tons/ha) and their combinations (Urea+ Elkhaseeb and NPK+Elkhaseeb) on off-season production. The experimental units were in split plot design, with set size and fertilizers as main and sub plots, respectively, with three replications. The yield was evaluated as bulb weight and yield/ha, whereas, the quality was evaluated as marketable and percentage of double and bolted bulbs, TSS and dry matter. The results reflected no significant differences in bulb weight due to set size, fertilizer type and their interactions, however, the heaviest bulbs were obtained by Elkhaseeb + urea and its interaction with the large set size in both seasons. The small set size gave the highest yield, organic fertilizer (Elkhaseeb) alone or in combination with urea gave the highest yield, whereas, the lowest one was obtained with the combination of organic fertilizer with N P K. The bulb quality was also affected by set size and fertilizer type as the highest marketable yield was obtained by small set size and fertilizer combination (organic + urea) or urea alone. No significant effects on TSS and dry matter percentage due to set size, fertilizer type and their interactions were noticed. The highest marketable yield, TSS and dry matter were obtained by Elkhaseeb (organic fertilizer) with mineral fertilizers (urea or NPK) with the small set size rather than organic or mineral fertilizer alone. It could be concluded and recommended that onion set size of about 1-2cm diameter with an organic - mineral fertilizer combination could improve off-season onion yield and quality. However, further studies are required to find the proper fertilizers dose.
Dec 2022 DOI 10.14302/issn.2639-3166.jar-22-4301
E. E. Elshukry Elsadig.Corresponding author
Agriculture Research Corporation, Horticultural Crops Research Center-Shambat.
Field experiments were conducted during three successive winter seasons 2010/11, 2011/12 and 2012 /13, at Shambat Research Station Farm on clay loam soil pH 7.8, to study the effects of seed bed, cultivars and seed rates and their interactions on onion set yield and quality. Two seed bed (flat and ridge), two cultivars Kamleen and Baftaim (S) and three seed rates 4, 8, 12 g / m² (40, 80, 120 kg / ha) were tested. The experimental design used was 2*2*3 Factorial in spilt-split plot design with four replications. Yield was evaluated as set yield t / ha, whereas, quality was evaluated as percentage of large (2.9-2.0 cm) and medium (1.9-1.0 cm) set size according to diameter and average of single set weight (g). Cultivar Baftaim (S) gave the highest set yield t/ha and average of single set weight in the three seasons. The seed rate of 4 g/m² (40 kg / ha) resulted in highest average of single set weight and the highest number percentage of large set size. Increasing the seed rate increased set number and quality; the seed rate 12 g/m² (120 kg/ha) gave the highest percentage of medium set size.
Aug 2021 DOI 10.14302/issn.2639-3166.jar-21-3880
Haroun Mohamed Adam AbubakerCorresponding author
Department of Crop Science, College of Agriculture, University of Bahri- Sudan.
Sugar beet is one of the sugar crops which widely grown in different regions of the world due to its advantages over Sugarcane. Several studies were conducted in Sudan to assess its adaptation and economic value. However, the aim of this experiment was to study the effect of application of compost and different levels of phosphorus fertilizer and their combination on Sugar beet (Beta vulgaris) growth attributes, yield and yield components. The study was conducted during the winter season 2018 –2019 at the farm of the College of Agriculture, University of Bahri, Alkadaro-Khartoum State, Sudan. The experiment was arranged in Randomized Complete Block Design (RCBD) with three replications and six treatments, namely the Compost (5t./ha.), Phosphorous (P2O5) (88kg./ha.), P2O5 (176 kg./ha.), Compost (5t./ha.)+P2O5 (88kg./ha.), Compost (5t./ha.)+ P2O5 (176Kg./ha.) and the Control (C) respectively. All cultural practices were carried out timely according to the recommendations of the Agricultural Research Centre in Sudan. Then the data pertaining the following agronomic traits were recorded, the leaf number; leaf dry weight (g), leaf area index (LAI) (cm), root diameter (RD) (cm) and root fresh weight (RFW) (g). The results of statistical analysis revealed the application of compost in combination with phosphorus displayed significant increase at 5% level for the leaf number (22.75), leaf area index (5.23), leaf dry weight(36.78), root diameter(69.67) and root fresh weight (422.68), followed by the application of compost alone compared to the control and other treatments. The study concludes that the combination of compost and mineral fertilizer (P2O5) proved to increase all Sugar beet growth and yield parameters.
Aug 2021 DOI 10.14302/issn.2639-3166.jar-21-3883
Haroun Mohamed Adam AbubakerCorresponding author
Department of Crop Science, College of Agriculture, University of Bahri- Sudan.
Despite the existing several Sugar manufacturing companies in Sudan, there is an acute shortage in sugar supply, therefore the government imports Sugar to bridge the gap. One of the strategies to be followed is the introduction of Sugar beet (Beta vulgaris) crop, mainly for sugar production. This crop has several advantages over Sugarcane such as short duration, less water requirement, in addition to other uses like animal feed. Therefore it became necessary to have good understanding of agricultural operations, cultural practices and adaptation. However, the main objective of this study was to assess the effect of Nitrogen fertilizer and plant spacing on vegetative growth of Sugar beet. This study was conducted at the farm of the College of Agriculture, University of Bahri, Alkadro, Khartoum State-Sudan; during the season 2016/2017. The experiment was arranged in Split plot in Randomized Complete Block Design with six treatments and four replications. Two plant spacing (15 and 20 cm.) were used as main plot, referred as (S1, S2) along with three levels of Nitrogen fertilizer (40, 80 and 120 kg/ha.), as subplot; referred as (N1, N2 and N3) and the control (0). Data regarding leaf number, leaf area index (LAI), leaf dry weight (g) (LDW), root diameter (mm.) and root fresh weight were recorded and statistically analyzed. The results showed S2 (20 cm) increased all the studied plant characters, namely the leaf number (29.139), leaf area index by (7.54), leaf dry weight (g) to (89.870), root diameter (mm) (94,992), root fresh weight (g) (695.80) compared to S1(1015 cm). On the other hand; the application of N3 (120 kg/ha.) increased the lead number (30.956), leaf Area Index (8.841), Leaf dry weight (102.47), root diameter (97.955) and root fresh weight (851.77) compared to S2 and S1 as presented in (table 4, table 5 and table 6).
Mar 2021 DOI 10.14302/issn.2577-2279.ijha-21-3746
Ahmed Abdelrahman NuggedAlla MotazCorresponding author
University of Kassala Faculty of Medicine and Health Sciences, Head Department of Anatomy University of Kassala
Background The neonatal morbidity and mortality is very high in the Sudan, the umbilical cord association and contribution to this is planned to be answered. Therefore the present study was designed to provide some information on the morphological variations of human umbilical cord via gross anatomical assessment and their correlation with foetal factors such as foetal weight and length. Methods A prospective hospital - based study conducted in Wad Madani Maternity Teaching Hospital Department of Obstetrics and Gynecology between July 2014 and March 2018 Results The mean diameter of the 371 umbilical cords was 2.1±0.24cm. Length was 53.8±3.8 cm length ranging from 48 – 62 cm and 10 (2.7%) of 371 umbilical cords were uncoiled. of which, 1 (0.3%) cords were with absent Wharton’s Jelly. The mean neonatal indices were 2.95 kg, 33.19 cm and 44.42 cm for weight, head circumference and length respectively. There was just significant strong positive correlation between umbilical cord length and length of neonates. Also Umbilical cord diameter had a positive correlation with length of neonates and negative correlation with weight of neonates and APGAR Score. Conclusion The present study suggests that ‘normal’ cord length should be between 40 cm and 70 cm in length. Umbilical cord diameter had a positive correlation with fetal length and negative correlation with fetal weight and APGAR score. The diameter range of 1-2 cm suggests that a normal cord must not exceed 2 cm in diameter. However the umbilical cord index had negative correlation with length of neonates.
Jul 2020 DOI 10.14302/issn.2377-2549.jndc-20-3484
Shakeel Iqubal S.M.Corresponding author
Department of General Science, Ibn Sina National College of Medical Sciences, Al Mahajar Street: 31906, Jeddah 21418, Kingdom of Saudi Arabia.
The aim of this experiment is to study the efficacy of phytochemical constituents of Castor essential oil towards the mucor-mycotic mold Cunninghamella bertholletiae.The standard chemical analytical methods were used for the rapid study of the phytochemical constituents responsible for the antimicrobial efficacy of the procured castor essential oil. The standard antimicrobial assay technique employed to study the comparative values of the efficacy of the procured castor essential oil with that of the standard antifungal chemical agents against the clinical isolates obtained from the immune suppressed patients samples of Cunninghamella bertholletia mold mucor-mycotic infections. The best susceptibility values recorded in the standard antifungal agents against the clinical isolates of Cunninghamella bertholletiae was with Amphotericin B showing the average zone of inhibition diameter of 20.66 mm with the average MIC value of, 1.66 (µ/ml) but the antimicrobial assay results for the Castor essential oil showed better values with an average disc diffusion of 22.44mm zone of inhibition diameter with average MIC value of 1.72 µ/ml .This study has shown that the phytochemical compounds present in the Castor essential oil proves to be more an effective alternative antifungal substance towards the clinical isolates of Cunninghamella bertholletiae.
Feb 2020 DOI 10.14302/issn.2577-2279.ijha-20-3178
Ahmed Abdelrahman NuggedAlla MotazCorresponding author
University of Kassala-Sudan, Faculty of Medicine and Health Sciences, Head Department of Anatomy
Background In recent years great attention has been focused on the structural and histological structures of the placenta and the umbilical cord due to their vital roles in fetal development and neonatal survival. While extensive studies have been documented in this area in the developed world, there is very little published information about the morphological variations that occur in human placenta in Sudan. Therefore, this study was designed to evaluate the structural variations in placental indices and its relation to neonatal outcome. Methods A prospective hospital - based study conducted in Wad Madani Maternity Teaching Hospital Department of Obstetrics and Gynecology between July 2014 and March 2018. Results Mean placental indices for weight, diameter and thickness were 515.51 g, 18.80 cm and 2.43 cm respectively. The mean neonatal indices were 2.95 kg, 33.19 cm and 44.42 cm for weight, head circumference and length respectively. Neonatal weight correlated significantly with placental weight, neonatal length and neonatal head circumference (P < 0.000). On the contrary, neonatal weight had no significant correlation with placental thickness and diameter Conclusion In this study, there was a strong relationship between the placenta and the fetus suggesting that the well-being of the fetus is highly dependent on the placenta since it serves as a link between the mother and the fetus.
Oct 2019 DOI 10.14302/issn.2639-3166.jar-19-2961
backer H. Mohammed AbuCorresponding author
Department of Crop Science, College of Agriculture, University of Bahri.
The main objective of this study was to quantify the influence of sowing date on growth and yield components of hybrid sunflower (Hysun33) cultivar in semi-arid zone. This experiment was conducted during the seasons 2014/2015-2015/2016 at the farm of the College of Agricultural Studies, Sudan University of Science and Technology, Shambat, Khartoum- Sudan. The experiment was arranged in randomized complete block design (RCBD) with four replications and three treatments. Different parameters were considered including plant height, leaf area index (LAI), filled sees number/head, head diameter, dry weight and yield components. The collected data were statistically analyzed. The results revealed that crop sown in May and July showed significant increase in plant height, LAI, head diameter, dry weight, field seed number/head, weight of 100 seeds; yield; and yield components; compared to crop sown in March. However, crop sown in the second season showed an increase in growth and yield components compared to the crop of the first season.
Mar 2019 DOI 10.14302/issn.2643-0282.imsj-19-2672
Fadel Madkour FedekarCorresponding author
Marine Science Department, Faculty of Science, Port Said University, Port Said, Egypt
Recently, annual swarm of invasive Erythrean schyphozoan RhopilemanomadicaGalil, 1990 appeared along Egyptian Mediterranean coasts causing beach closures and fishing problems. The present study conducted survey and field monitoring on R. nomadica during blooming season in the Egyptian Mediterranean coast throughout three consecutive years (2015-2017). Three main features of R. nomadica bloom were addressed; viz starting date, duration and maximum density of aggregation. In 2015, the bloom started on 28 July, and over the following two years the bloom starting date shifted earlier being 19 July in 2016 and 15 June in 2017. The duration of the bloom varied yearly giving the longest duration in 2017 when the bloom continued in high density for a month. The highest density of R. nomadica was about 896 medusae/1000 m3 in 2017. The medusae diameter ranged between 21 to 112 cm. The average bell diameter for each year displayed gradual increasing values over the years. The consistent annual R. nomadica blooming was attributed to the high level of eutrophication and ecosystem degradation occurred along the Mediterranean coast since last decades. The shifting in the annual bloom starting date and duration may reflect the adaptation of R. nomadica to the climate change effect on the Mediterranean Sea temperature.
Dec 2018 DOI 10.14302/issn.2574-4526.jddd-18-2521
Yagubovich Abdullaiev RizvanCorresponding author
Kharkov Medical Academy of Postgraduate Education, Kharkov, Ukraine
Introduction: Ultrasound study of locally advanced gastric cancer that has spread to adjoining tissue and lymph nodes. This tumor can be associated with T2 to T4 stages of cancer. A “Locally advanced gastric cancer” is a tumor, which may be categorized as ‘resectable’ cancer when compared with M1 advanced cancer. Objective: The aim of this study was to evaluate the Capabilities of transabdominal ultrasonography in assessment of structures and functional disorders of the locally advanced gastric cancer of diverse localization Materials and Methods: A total of61 patients with locally advanced gastric cancer were analyzed of which 36 (59,0%) were males (mean age 62.7 years) and 25 (41,0%) were females (mean age 59.3 years). All patients were managed surgically and underwent preoperative X-ray, virtual gastroscopy techniques, multidetector computed tomography and transabdominal ultrasonography (USG). Histopathology results found, in 58 (95,1%) cases adenocarcinoma, in 3 (4,9%) – ring-cell carcinoma (cricoidal) gastric cancer was established. Stage T2 was diagnosed in 16 (26.2%) cases, T3 - in 41 (67.2%) cases, T4 - in 4 (6.6%) cases. The stomach tumor in 29 (47.5%) cases was localized mainly in the antrum, 27 (44.3%) – in the body, 5 (8.2%) in the cardia and fundus (Table 1). In 24 (39,3%) cases, pyloric stenos was diagnosed - of which in 6 (9,8%) it was compensated, in 18 (29,5%) - sub compensated. All patients underwent preoperative X-ray, virtual gastroscopy techniques, multidetector computed tomography and transabdominal ultrasonography (USG). Normal ultrasound features were observed in 35 patients without gastric pathology. Ultrasonography was carried out with the convex and micro convex transducers in the frequency range of 2-5 MHz and 4-7 MHz respectively in B and color Doppler modes. Results: The polypoid type of gastric cancer was detected in 3 (4,9±2,8%) cases, the ulcerative type – in 18 (29,5±5,8%), the infiltrative ulcerative type – in 27 (44,3±6,4%) and the diffuse infiltrative type – in 13 (21,3%±5,2%) cases respectively. In 24 (39,3%) cases, pyloric stenos was diagnosed - of which in 6 (9,8%) it was compensated, in 18 (29,5%) – sub compensated. The layers of the gastric wall were not differentiated in all patients with sub compensated pyloric stenos. The gastric wall thickness of the affected area was 10,2±2,9mm in the case compensated pyloric stenosis, the length was 27,1±6,2mm, the diameter of the pylorus was 8,3±0,8mm. Among patients with sub compensated pyloric stenos, the thickness of the gastric wall was 19,8±4,1mm, the length was 43,6±4,5mm, the pyloric diameter was 4,3±1,1mm. Among the 61 patients studied, pathological vascularization was detected in 42 (68.8%) cases. It was observed that, all 4 (6.5%) patients with gastric cancer were stage T4 and 38 (62.3%) were stage T3. Vascularization was weak in 13 cases, in 24 cases - moderate, and in 5 cases - enhanced. Metastases to the regional lymph nodes were diagnosed in 52 cases. Ultrasonographically, they were detected only in 37 (71.2%) cases. Conclusions: In the diagnosis of locally advanced gastric cancer, ultrasonography demonstrates good capabilities for determining the extent and depth of the affected area. Color doppler mode allows the study of vascularisation of a locally thickened area, as well as nearby enlarged lymph nodes, which is very important to ascertain the degree of malignancy of the hyperplastic process. ltrasonography can independently determine the degree of pyloric stenosis in patients with distal gastric cancer.
Mar 2018 DOI 10.14302/issn.2642-9241.jrd-18-1958
Ba T TaCorresponding author
Military Hospital 103
Background Bronchoscopic lung volume reduction (BLVR) has been applied in COPD patients with heterogeneous emphysema. In this first clinical trial in Vietnam, we evaluated the safety and initial results of BLVR by one-way valve in COPD patients with severe emphysema. Methods We performed a prospective, nonrandomized, single center longitudinal study in 30 stable COPD patients with heterogeneous severe emphysema on CT-scanner, the average age of 65.17 years old, FEV1≤35 %pred., TLC ≥ 100 %pred., RV ≥ 150 %pred. and 6MWT < 450 meters. The Zephyr one-way bronchial valves (PulmonX, Redwood City, CA, USA) with the size of 5.5 mm and 4mm were placed in lobar or segmental bronchi via flexible bronchoscopy. 28 patients were placed only one valve, 1 patient with two and 1 patient with three valves. 23 valves with the size 5.5 mm diameters and 10 valves with the size 4.0mm used. All patients received optimal medical treatment at the time of procedure and during the study period. Outcomes will be assessed at 3 months after treatment include the changes of clinic, and lung function, the occurrence of complications. Results After 3 months, mean CAT scores decreased significantly compared with before procedure (17.73 ± 3.53 vs 20.10 ± 3.58) (p<0.05), with the median change of 2.73 points and the improvement more than 2 points in 76.67% of patients. 6 MWT increased at 3 months with mean 32.13 meters, 93.33% of the patients increased 6MWT, 46.67% of the patients increased 6MWT more than 26 meters. MRC decreased with the median change of 0.5 score. VC decreased by a mean 0.2 (L) (0.42 - 0.02), FEV1 increased by a mean 0.05 (L) (0.04 - 0.05) but not statistically significant (p>0.05); FVC increased by a mean 0.14 (L) (0.01 - 0.28), RV decreased by a mean 0.62 (L) (1.05 - 0.2), TLC decreased by a mean 0.52 (L) (0.77- 2.4) with statistically significant (P<0.05). The early complications were 13.33%, the later complications were 23.34% of the patients. Conclusions The unilateral bronchoscopic lung volume reduction with one-way valve (mainly one valve) in treatment of heterogeneous severe emphysema in stable COPD patients in Viet Nam have shown that this procedure is safe with encouraging initial results.
Oct 2017 DOI 10.14302/issn.2576-6694.jbbs-17-1742
A.Sakr SaberCorresponding author
Department of Zoology, Faculty of Science, Menoufia University, Shebin El-kom, Egypt.
Introduction: Cyclophosphamide (CPA) is an anticancer drug .Fennel (Foeniculum vulgare Mill) essential oil is a traditional medicine used against many diseases. Aim. The present work studied the effect of fennel oil against testicular damage and oxidative stress induced by the anticancer drug, cyclophosphamide (CPA) in albino rats. Methods. Animals were divided into 4 groups: group1, control, group2, orally given fennel oil, group3 treated with CPA and group4 treated with CPA and fennel oil. The testes were removed for histological and immune histochemical preparation. Blood was collected and sera were prepared for hormonal and biochemical analysis. Results. The results revealed that CPA caused histological alterations in the testis including decrease in diameter and germinal epithelial height of the seminiferous tubules, degeneration of germ cells, cytoplasmic vacuolation and congestion of blood vessels. Cell proliferation marker was decreased and apoptotic marker caspase-3 was decreased. Biochemical results revealed decrease in the hormones LH and testosterone. Moreover, the serum activity of the antioxidant enzymes, SOD, CAT was decreased and the lipid peroxidation marker, DMA was increased. Treating rats with CPA and fennel oil caused an improvement in the histological structure of the testis. There was an increase in LH ,testosterone,SOD and CAT, while MDA level decreased. Conclusion. It is concluded that administration of fennel oil exhibited protective effects against CPA-induced reproductive toxicity in male rats. The protective effect of fennel oil might be due to induction of antioxidant defense systems by one or more of its constituents.
May 2016 DOI 10.14302/issn.2574-4488.jna-15-720
El Bardai GhitaCorresponding author
Nephrology department, Hassan II University Hospital, Fez, Morocco.
Introduction: Sonographic B-lines, also known as lung comets, have been shown to correlate with the presence of extravascular lung water. The aim of this study is to assess if chest ultrasound could detect lung water imbibition and its variations induced by dialysis, an experimental model of controlled rapid fluid loss. Methods: A cross-sectional study was conducted in a hemodialysis center in the city of Fez. Lung ultrasounds, impedance measurement, and ultrasound of the inferior vena cava were achieved 30-60 minutes before and after the hemodialysis session. Results: The values, measured by the different techniques used, decrease significantly after hemodialysis (p <0.001). The values studied before and after the hemodialysis, had shown a significant correlation between the results of the impedance measurement, lung ultrasound, and the maximum and minimum of the VCI index diameter and its collapsibility. The decrease in B-lines was correlated with weight decrease during dialysis (p0.005); none of the parameters concerning the IVC were correlated with fluid removal. Conclusion: ultrasound performed at the bedside is now emerging as a reliable, easy-to-apply, and safe method for measuring both lung water and intravascular overload and their decrease after dialysis even on asymptomatic patients. These observations strongly support the use of lung ultrasound in estimating volume overload and monitoring the response to therapy in hemodialysis patients.
Mar 2016 DOI 10.14302/issn.2329-9487.jhc-13-332
P. Desai ArpanCorresponding author
Interventional Cardiologist, Vadodara, Gujarat, India.
Objective: The objective of this study was to evaluate the efficacy of patent haemostasis in avoiding radial artery occlusion after transradial catheterization. Background: Radial artery occlusion is an infrequent but discouraging complication of transradial access. It is related to factors such as sheath to artery ratio and is less common in patients receiving heparin. Despite being clinically silent in most cases, it limits future transradial access. Patients and Methods: 130 patients undergoing transradial catheterization were prospectively enrolled in the study. 65 patients were randomized to group I, and underwent conventional pressure application for haemostasis. 65 were randomized to group II and underwent pressure application confirming radial artery patency using Barbeau’s test. Radial artery patency was studied at 24 hr and 30 days using Barbeau’s test. Results: There was Statistically significant difference found in rate of radial artery occlusion of both the groups at 24 hours (24.61% vs. 4.61% ,X2(1)=4.44, P<0.05) and at 30 days(20% vs. 3%,X2(1) =4.03, P < 0.05). Patients with Higher age and smaller radial artery diameter were at significantly higher risk of radial artery occlusion. No other procedural variables were found to be associated with radial artery occlusion. Conclusion: Patent haemostasis is highly effective in reducing radial artery occlusion after radial access and guided compression should be performed to maintain radial artery patency at the time of haemostasis, to prevent future radial artery occlusion.
May 2015 DOI 10.14302/issn.2470-5020.jnrt-14-520
Li Hai-fengCorresponding author
Department of Neurology, Qilu Hospital of Shandong University, Jinan, China
This article has been retracted on November 20, 2015. VIEW THE RETRACTION NOTICE (https://doi.org/10.14302/issn.2470-5020.jnrt-25-5846) In-stent thrombosis (IST) is a complication of angioplasty and stenting, especially in the vessels with smaller diameter. We present a case of subacute IST after stenting treatment of an isolated higher stenosis of the right middle cerebral artery (MCA). Analysis of clinical features and emergent brain image helped to indicate the pathophysiological mechanism underlining the symptoms of this patient. Emergent Transcranial Doppler (TCD) helped to evaluate the compensatory collateral circulation and provided good supporting evidence in deducing the mechanism of IST. Slightly larger size of the implanted stent that caused dissection or vascular endothelium injury was presumed in this patient. Persistent evidence of inflammatory factors might also contribute to IST in this patient.