bluuebunny/crossref_metadata_2025_split huggingface dataset:
Palm ridge density as anew identifier for age and sex in forensic medicine
Authors: Mohamed K M , Gaballah E M F , Zaghloul H S , Ismail M M 
Published: May 2020

Abstract

Background
Palm print recognition is a biometric technology which recognizes a person based on his/her palm print pattern. Palm print serves as a reliable human identifier because the print patterns are not duplicated in other people, even in monozygotic twins. More importantly, the details of these ridges are permanent
Method: In the current study, The four prominent areas were analysed on the palm prints that included central prominent part of the thenar eminence (P1), hypothenar region; inner to the proximal axial triradius (P2), medial mount; proximal to the triradius of the second digit (P3) and lateral mount; proximal to the triradius of the fifth digit (P4). areas were taken, by inking method, from 200 healthy Egyptian subjects of different ages and both sexes (113 males and 87 females). Ridge count per 25mm2 was determined together with assessment of ridge pattern type. The subjects were divided into four age groups; from 6-&lt;12, from 12-&lt;18, from 18-&lt;40 and ≥40 years

Results
Females had higher palm ridge density in all palm areas as well as total in both hands than males, there was a statistical significant difference in mean ridge density of individual palm areas as well as total of both hands, between different age groups within males and females separately (p &lt; 0.001**), except in left P1 and P4 in females. There was a statistical significant negative correlation between the age and ridge density of the right hand p2, There was a highly statistical significant difference between the ridge density in the Left hand P3 and right hand p3 and between Left hand p4 and right hand p4 (p &lt; 0.0001** for both) in both males and females but there was no statistical significant difference between Left hand P1 and right hand p1 as well as between the Left hand p2 and right hand p2 in both males and females, There was a highly statistical significant difference between all areas of right hand in both males and females (p &lt; 0.05) There was a highly statistical significant difference between all areas of left hand in male and female except between left p4- p1

Conclusions
In the current research, we were able to prove that palm prints ridge density can be help in gender and age identification.
Assessment of permanent teeth eruption in a sample of Egyptian primary school children
Authors: Magdi M M , Kotb N A , Elbarrany U M , Ramadan H S , Mowafy M A 
Published: May 2020

Abstract

Background
Parents have often showed their interest in the tooth eruption timing. However, the literature suggests that tooth emergence standards should be derived from the population they are to be applied because emergence related factors may vary considerably in dentition. Timing of teeth emergence differs from population to population and can be affected by genetic and environmental factors. Both ethnic origin and gender can be attributed to genetic factors.

Objectives
The purpose of the present study was to find out the statistical correlation between age, sex and stature to eruption of permanent teeth in a sample of primary school children age (6-&lt;13 years).
Methodology: The present study was a cross sectional study that was conducted on 700 healthy school children aged 6 – &lt;13 years selected from different primary schools in two governorates in Egypt; Behera governorate and Giza governorate. Assessment of age, sex and stature was performed through socio – demographic data, anthropometric measures and sequence of permanent teeth eruption.

Results
The first molars, central incisors, upper lateral incisors, lower canines, second premolars and second molars erupted earlier in Behera (Rural) children. The mandibular teeth tended to precede the maxillary teeth. In Giza (urban) children most of the teeth erupted earlier in girls. In Behera (Rural) children most of the teeth erupted earlier in boys.

Conclusion
Most of teeth erupted earlier in Behera (rural) and the majority erupted earlier in girls in Giza (urban) and in boys in Behera (rural).
Role of Laparoscopy in Management of Nonpalpable Undescended Testis in Children
Authors: Ibrahim E F , Abdelameguid S M , Hussein A S , Abdelhai I A A 
Published: May 2020

Abstract

Background
Normal testicular descent relies on a complex interplay of numerous factors. Any deviation from the normal process can result in an undescended testis (UDT). UDT is a common abnormality that carries fertility and malignancy implications.

Aim of the Work
The aim of this study is Evaluation of the role of laparoscopy in diagnosis and management of clinically impalpable testis.

Patients and Methods
Nineteen male patients were included in this study with twenty two non-palpable testes. All these patients were subjected to diagnostic laparoscopy & the subsequent decision was then based on the laparoscopic finding. There was no age limit for the procedure. The procedure was carried in Ain Shams University teaching hospital and El-mataria teaching hospital.

Results
The study included nineteen patients with twenty two non-palpable testes. Age at presentation was averaging 18.5 ± 12.5 months. Our study may present convincing evidence that laparoscopy has significant advantage over imaging procedures. Preoperative imaging proved inaccurate in determining testicular position in 10 of the 22 testes (45.5%) this is in agreement with many studies which reported that ultrasonography helped to identify only 45% of non palpable testis.

Conclusion
This study tried to assess roughly the effectiveness of laparoscopy as a diagnostic tool and treatment of non-palpable undescended testis. This study dealt with a very small number of patients and this issue still needs more researches to study all the benefits and disadvantage and shall need further study on a wide range of patients.
Comparison Between Abdominoplasty Assisted by Liposuction Utilizing Classical (U) Incision Versus (W) Incision: A Randomized Controlled Study
Authors: Abdrabo A A , Elsayed M G , Kabeel A M A 
Published: May 2020

Abstract

Background
Traditional abdominoplasty techniques, which use primarily transverse incisions, seem to be most beneficial for those patients whose abdominal contour is relatively normal with only a minimal to moderate amount of flaccid skin.

Objective
The aim of the study was to compare between the results of two different incisions used in abdominoplasty with liposuction, and to detect the morbidities and complications which may occur after the surgical procedures such as Aesthetic complication which occured in the form of asymmetry, dog ears, residual deformity, unsatisfactory umbilicus and unsatisfactory scarring (widened, thickened, hypertrophic or keloid) and Non-aesthetic complications which occurred in the form of seroma, wound infection, partial skin necrosis, and wound dehiscence. In addition to comparing the aesthetic outcome and patient satisfaction.

Patients and Methods
The contour of the abdomen is the backbone of body contouring surgery. Patients usually seek abdominoplasty for abdominal wall laxity, excess skin, striae, or diastasis of the rectus muscles. The inevitable end scar must be invisible as possible, symmetrical, and located in regions covered with the minimal clothing. The study included 30 patients divided into 2 groups (A) & (B) each group consist of 15 patients. This study was a prospective comparative study between Classic (U) incision abdominoplasty and (W) incision abdominoplasty; Group (A) undergone Classic (U) incision abdominoplasty, and Group (B) undergone (W) incision abdominoplasty. Results: received from both groups were compared to each other and the collected results were evaluated, and subjected to statistical analysis . Patient satisfaction was assessed by direct patient questioning and included subjective and objective feedback on the overall satisfaction following abdominoplasty, areas of dissatisfaction and patients satisfaction post different types of abdominoplasty.

Conclusion
Abdominoplasty with Liposuction provide high levels of patient satisfaction. The combined procedure is similar in discomfort level to abdominoplasty alone and produces the highest level of patient satisfaction and the patient satisfaction represents a golden goal in the practical work.
The Relation Between the Distance of Rectus Plication and the Intra Abdominal Pressure Changes before and Immediately After Abdominoplasty
Authors: Alshafaai M A , Omran H M , Lashin R Z A , Mohammed H K 
Published: May 2020

Abstract

Background
tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating and abdominal profile that is smoother and firmer. Diastasis recti means the belly sticks out because the space between left and right belly muscles has widened. The most notable symptom of anterior abdominal wall weakness or diastasis recti is a noticeable protrusion in the stomach. This protrusion is caused by weakness and separation of the muscles in the mid-abdomen.

Objective
It was to evaluate the relationship between the distance of recto-fascial or recto-fascial diastasis placation and intra-abdominal pressure changes during and immediately after abdominoplasty.

Patient and Methodology
In this study we demonstrated if there was relation between rectus diastasis width and the increase of intra-abdominal pressure, to evaluate this correlation before and immediately after the plication of anterior rectus sheath in abdominoplasty. Seventy five meeting the inclusion criteria were selected.

Results
This study enrolled 75 healthy female patients, the study took place at Al-Jamila Hospital, performed in a period of 10 months, starting from March 2017 till December 2017.
Sleeve gastrectomy with loop bipartition as a novel procedure for management of type 2 diabetes in obese patients
Authors: Ezz R S , Abouzeid M M , Helmy M M , Elhusseini M M 
Published: May 2020

Abstract

Background
Amidst the current worldwide epidemic of type 2 diabetes mellitus (T2DM), the global diabetes health burden is projected to reach 522 million in 2030, with much of this increase occurring in developing countries.

Aim of the work
to evaluate the role of laparoscopic sleeve gastrectomy with loop bipartition (single anastomosis sleeve ileal bypass) as a bariatric and metabolic procedure in control of type 2 diabetes in obese patients.

Patients and methods
This prospective cohort study included 20 obese adult patients with type 2 DM recently diagnosed within last 5 years. Some of them have other associated comorbidities. They were recruited at department of surgery Ain Shams University. The follow up was obtained during the first year post-operative.

Results
In this study, complete remission of diabetes was achieved in 75% of the patients by the 3rd post-operative month and in 95% by the end of the study. This was beside marked weight reduction and improvement of lipid profile without causing micronutrients deficiencies during the study period.

Conclusion
SASI bypass can be one of the most efficient metabolic procedures and could be associated with less risks. The procedure should be considered under investigations until enough long term data are available. Thus it is worth to be explored in research aiming for more data.
Transversus abdominis release versus perforator preseving anterior component separation in repair of large midline incisional hernia
Authors: Abdallah A K , Gad K H , Darwish A A , Abdelmaksoud I M 
Published: May 2020

Abstract

Background
Ventral hernia repair can be challenging, particularly in patients with serious comorbidity. Perforator preserving anterior component separation (ACS) by transverse skin incisions for external oblique aponeurosis release preserves both the rectus abdominis myocutaneous perforator vessels that supply the overlying skin and the connection between the subcutaneous fat and anterior rectus sheath, thereby reducing subcutaneous dead space and potentially improving overlying skin flap vascularity. Also posterior component separation via transversus abdominis release (TAR) provides effective fascial advancement while reducing wound morbidity during abdominal wall reconstructions. Both techniques give better results than classic ACS.

Objectives
to evaluate postoperative morbidity and recurrence rate when using transversus abdominis release technique in management of large midline incisional hernia in comparison with open perforator preserving anterior component separation.

Patients and Methods
the present study is a prospective study that was conducted at Ain Shams University Hospitals in Egypt, between October 2016 and October 2018. It included sixty (60) patients with large midline incisional hernia divided into two groups. First group include thirty patients who underwent transversus abdominis release with retromuscular polyprolene mesh placement. Second group include also thirty patients that underwent open perforator preserving anterior component separation and also with retromuscular placement of polyprolene mesh. Patients compared as regards operative time, length of hospital stay, postoperative pain, postoperative ileus, postoperative wound complications, rate of recurrence.

Results
Patients in both groups were similar with respect to age, the patients ages ranged from 20 to 70 years, with mean age in both groups around 46 years and between 20-23% have DM in each group. Perforator preserving technique has less operative time by about 40 minutes when compared with TAR technique. The postoperative pain assessment at 48hrs postoperative show that the mean pain score for TAR was (6.77 ± 1.70) and for perforator preserving group (5.47 ± 1.85). We also found that the mean hospital stay was slightly higher when performing TAR technique (5.2days) while it was (4.3days) after perforator preserving approach. There is nearly equal incidence of postoperative wound complications and also no statistically significant different rate of recurrence between two methods

Conclusion
both TAR and perforator preserving technique are effective and reliable method in experienced hands and if there is no special indication to one of them, the choice between both should depend on surgeon preference and experience.
Effects and Results of Omentopexy During Laparoscopic Sleeve Gastrectomy on Possible Post Operative Bleeding and/or Leakage
Authors: Saber E S , Ibrahim A M , Benjamine F M 
Published: May 2020

Abstract

Background
In laparoscopic sleeve gastrectomy, patients may experience some post-operative complications as hemorrhage or leakage.We aim by this study to evaluate the benefit of omental fixation with full thickness stitches in decreasing post-operative hemorrhage and leakage, and the mutual effect on the patient and the surgeon.

Methods
A retrospective analysis of collected data including 200 laparoscopic sleeve gastrectomy (LSG) from September 2016 to September 2018, procedures were divided into two groups, group A of 100 LSG procedures without omental fixation but clipping the whole suture line with titanium clips if any bleeding point present, and group B 100procedures with omental fixation with full thickness stitches till the level of incisura above, and below with titanium clips to control bleeders if present.

Results
Of group A there were 9 cases of leakage needed intragastric stent and feeding jejunostomy (0.9%), 26 cases of bleeding (2.6%) 15 cases of them needed relaparoscopy and ful lthickness stitches (1.5%) and 11 cases of them managed conservatively with blood transfusion (1.1%), and 3 cases of perigastric localized collection managed by pigtail and antibiotics (0.3%), average operative time was 55 minutes (between 35-75 minutes).Of group B there were 8bleeding cases of drain with less than 300 cc were managed conservatively (0.8%), and 1 case of perigastric localized collection managed conservatively without pigtail (0.1%), No leakage was identified nor hematoma, average operative time 85 minutes (between 50 to 120 minutes).

Conclusion
The step of omental fixation with full thickness stitches has shown to be effective in decreasing staple line bleeding and leakage although it minimally prolongs the operative time of LSG.
Prospective Study Comparing the effect of Laparoscopic Mini Gastric Bypass and Laparoscopic Sleeve Gastrectomy on Blood Glucose Level in Type 2 Diabetes Mellitus Obese Patients
Authors: Shaker H Z , Abdelaziz M Z , Abdelaziz M M , Afify A H , Mohamed A M S 
Published: May 2020

Abstract

Background
Type 2 diabetes mellitus (T2DM) is now a global health priority. The World Health Organization estimates that between 2000 and 2030, the number of diabetic patients will increase by 114%. T2DM and morbid obesity are conditions representing increasing public health threats. They are associated with significant morbidity and mortality, and despite lifestyle modifications and medical support, glycemic control remains difficult to achieve in obese diabetic patients.

Objective
To compare the effect of laproscopic mini gastric bypass and laproscopic sleeve gastrectomy in controlling type 2 DM obese patients.

Patients and Methods
Our study was conducted on 40 adult morbid obese patients with T2DM. Twenty patient underwent laparoscopic mini-gastric bypass and the other 20 patient underwent sleeve gastrectomy. All of these patients were followed up preoperative and postoperative at 1, 3, 6, 9 and 12 months by measuring BMI, EWL%, Fasting blood glucose level, 2 hours post prandial blood glucose level, HbA1C also postoperative gastrografin study to exclude complications.

Results
Our study demonstrated the superiority of MGB over SG in controlling T2DM along 1 year of follow up with lower 1 year HBA1C, FBG, 2HPP blood glucose level in bypass group in comparison with SG group. The results of our study regarding mini gastric bypass MGB patient group showed total remission rate (85%), the other 15% of patients achieved improvement of glycemic control, regarding antidiabetic treatment only 3 out of 20 needed postoperative treatment. The results of our study regarding sleeve gastrectomy patient group showed total remission rate (50%) the other 50% of patients achieved improvement of T2DM control, regarding antidiabetic treatment 9 out of 20 needed postoperative treatment.

Conclusion
late postoperative complications and long-term maintenance of glycemic control need to be determined by further studies on a larger scale of patients and bigger duration of follow up.
Comparative Study between Complications of Abdominoplasty after Weight Loss by Bariatric Surgeries versus Weight Loss by Non Surgical Methods
Authors: Aamer M A , Eskandaros M S , Metwali M A N 
Published: May 2020

Abstract

Background
The abdomen plays a leading role in the aesthetic image of the human body, and is of prime importance in defining the overall contour of the individual. The abdomen is cited as the location with the most severe deformities after weight loss and the deformities are highly variable.

Objectives
The aim of this study is to compare between complications of abdominoplasty after weight loss by bariatric surgeries versus weight loss by non surgical methods according to operative time, intraoperative complications: bleeding, postoperative complications: seroma, hematoma, infection, wound-healing problems, and skin flap necrosis and final aesthetic outcome.

Patients and Methods
This study includes forty patients with abdominal wall redundancy after bariatric surgeries and non surgical methods. All the patients will be examined as regards age, sex, weight, height, BMI, general examination, co-morbidities & associated ventral hernia. This study was conducted in 6 months between April 2017 and October 2017 on patients who were admitted to El Demerdash hospital or authorized medical institutions under supervision of thesis supervisors.

Results
In this study the mean age of the post bariatric group was 44 years and the non surgical group was 42.4 years. The mean BMI of the post bariatric group was 29.9, a little higher than the non surgical group which was 28. The Pre - loss BMI of the post bariatric group was higher than the non surgical group. The ideal lost weight, actual lost weight and percent of lost weight of the post bariatric group was higher than the non surgical group. The resection weight and the operative time of the post bariatric group were higher than the non surgical group. The amount of drain day1, total amount of drain l& drain removal day of the post bariatric group was higher than the non surgical group.

Conclusion
To conclude, abdominoplasty after weight loss by bariatric surgeries has higher risk of complications more than abdominoplasty after non surgical methods.
Comparative Study between Extended Latissimus Dorsi Flap and Skin Sparing Mastectomy with Subpectoral Silicone Implant
Authors: Elfeky A K , Elshinawi M E , Othman A G , Hafez R F , Elnaggar A M M L 
Published: May 2020

Abstract

Background
Breast cancer is the commonest malignancy in women. It is the most common cause of cancer death among women worldwide. The female breast is a potent symbol of maternity and femininity. For many years after a mastectomy, many women experience psychological distress and feel that her everyday life has been disputed.

Objectives
Extended LD flap and skin sparring mastectomy with subpectoral silicone implants are widely used in breast reconstruction. The current study is conducted to report our initial clinical experience with both techniques and better assessment of the cosmetic outcome and complications.

Patients and Methods
This study was held at Ain Shams University Hospitals between period (1/3/2018 – 31/1/2019) and the number of Participants were 30 Patients, Divided equally in to 2 Groups:

group A
had an extended latissimus dorsi flap,

group B
had skin sparring mastectomy with sub- pectoral silicone implant. This research is approved by ethics committee (IRB).

Results
We were able to conduct an excellent cosmetic outcome with 53.2% of the cases (16 patients) falling in excellent and good score groups. Another 46.7% (14 cases) which fall in fair and poor score groups. None of our cases have had an ugly score.

Conclusion
The combination of plastic surgery techniques with breast oncology surgery gives the surgeon a new tool for treatment of breast cancer. This approach has enabled us to increase the number and extend the indications of breast conserving surgery with wider margins offering safer oncologic control with more satisfactory cosmetic outcome.