Routine versus selective plasma exchange before thymectomy in myasthenia gravis

Background: Prethymectomy plasma exchange may improve the outcome of surgery; however, the technique is associated with an increased risk of complications. Therefore, the objective of this study was to compare selective versus routine plasma exchange before thymectomy in patients with myasthenia gravis. Method: We conducted a prospective multi-center cohort study to compare two protocols for plasma exchange before thymectomy. We compared the routine plasma exchange in all patients undergoing thymectomy for myasthenia gravis (group I; n= 30) versus selective exchange (Group II; n= 30). Endpoints were the duration of postoperative mechanical ventilation, plasma exchange, and operative complications. Results: There was no difference in age between both groups (30± 10.1 vs. 29± 9.2 years in Group I and II, respectively; p= 0.69). There were 17 females in Group I (56.67%) vs. 16 in group II (53.33%) (p= 0.8). Comorbidities are comparable between groups. All patients preoperative pyridostigmine, and 27 patients (90%) in Group I and 26 patients (87%) in Group II received glucocorticoids. There was no difference in pulmonary function tests between groups. Plasma exchange related complications were not different between groups. Immediate extubation was achieved in 29 patients (97%) in Group II, and after 6 hours in one patient (3.33%). In Group I, 28 patients (93%) extubated immediately, and two patients were ventilated for 7-12 hours. The mean ICU stay was 1.5 days in Group I and 1.4 days in group II (p= 0.615). The mean hospital stay was 8.5 days in Group I and 9.2 days in group II (p= 0.118). There was no significant difference in pathology between groups (p= 0.137). Conclusion: Selective plasma exchange is feasible before thymectomy for myasthenia gravis. Selective plasma exchange may decrease exchange related complications without affecting the operative outcomes

Nano-computed tomography: current and future perspectives

The development of novel imaging technologies amplifies the excellence of scientific dental research. Significant technological advances in imaging have been introduced over the years in the field of restorative dentistry and endodontics. X-ray micro-computed tomography (micro-CT) systems were developed in the early 1980s, producing voxels in the range of 5 - 50 μm.1 These micro-CT systems offer a reproducible technique for three-dimensional assessment. Because the imaging process is non-destructive, the same samples can be examined many times and continue to be available after scanning for additional biological and mechanical testing.1,2 In recent years, micro-CT systems have rapidly gained importance as essential components of many academic and industrial research laboratories, and have been used in examining a wide range of specimens including teeth, bone, and materials.1 Newer generations of micro-CT systems also enable in vivo imaging of small live animals.

Geometric nonlinear analysis of plane flexible frame structures.

Dept. of Civil and Environmental Engineering. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis1978 .G439. Source: Masters Abstracts International, Volume: 40-07, page: . Thesis (M.A.Sc.)--University of Windsor (Canada), 1978

Synthesis, reactions and biological evaluation of benzyltriazolophthalazine derivatives

A series of triazolophthalazine derivatives (4-22) were synthesized and characterized. The structures of the newly synthesized compounds were confirmed by spectral data. The newly synthesized compounds were also screened for their antimicrobial activity

Productivity of 18F-FDG-PET/CT Diagnostic Tool in the Management of Pediatric Lymphoblastic Lymphoma

BACKGROUND: Lymphoblastic lymphoma (LL) comprises approximately 20% of childhood non-Hodgkin lymphoma (NHL); however, few studies had investigated the role of 18F-FDG-PET/CT in pediatric LL patients. We aim in this study to assess the role of 18F-FDG-PET/CT in the initial staging of newly diagnosed pediatric patients with LL as well as in the assessment of response after induction chemotherapy. PATIENTS AND METHODS: A prospective study enrolled biopsy proven newly diagnosed pediatric LL patients presenting in the Children Cancer Hospital Egypt (CCHE) during the period from October 2014 to October 2016. 18F-FDG-PET/CT was done initially before therapy and after induction chemotherapy in all patients. The patients were followed until the end of April 2018 (mean 23.5 months). RESULTS: All lymphoma involvement lesions (n = 43) were FDG avid and the intensity of nodal FDG uptake was variable. Two patients (11%) had bone marrow (BM) involvement by < 25% blast cells with corresponding positive BM focal uptake in 18F-FDG-PET/CT (SUVmax = 4 and 4.5). Evaluation post induction phase; CT detected 8 residual lesions in 8 patients (44.4%), while 18F-FDG-PET/CT detected only 3 Deauville-positive residual lesions in 3 patients (16.6%). No intensification of therapy was done in all post-induction positive patients. Repeated 18F-FDG-PET/CT at week 18 for post-induction patients revealed cleared all Deauville-positive residual lesions. On the other hand, repeated CT at week 18 detected regression but still residual in 4/8 (50%) post-induction CT lesions with clearance of the rest (50%). CONCLUSION: In initial staging, 18F-FDG-PET/CT is a useful tool for disease extent evaluation of pediatric LL. Moreover, it could provide a diagnostic hint for BM involvement. 18F-FDG-PET/CT done after induction therapy has a good negative predictive value with higher specificity than CT alone, but is not an indication for treatment intensification due to false positive results. However, larger sample size is required for better conclusion

Fertility, mortality, milk output, and body thermoregulation of growing Hy-Plus rabbits fed on diets supplemented with multi-enzymes preparation

Feed cost represents about 60–70 % of rabbit keeping costs; therefore, maximizing utilization of nutrients is essential for the profitability and sustainability of rabbit production. Consequently, it has become very necessary to look for locally available, cheap, and nutritionally safe feed additives that would help to cut down production costs and improve production efficiency. Since the European Union banned most of the antibiotic growth promoters in animal nutrition due to cross and multiple resistances, much research has been conducted to explore the use of multi-enzymes as effective substitutes.The aim of this study was to evaluate the fertility status, milk output, mortality, and body thermoregulation of rabbit does as affected by different levels of multi-enzyme extracts (EZ) in their diets. A total of 120 Hy-Plus rabbit does were divided into four comparable experimental groups (n = 30 does per group). Animals of each group were divided in six pens (five animals per pen), and each pen was used as an experimental unit. The first group was kept untreated and fed a commercial diet alone without enzyme extracts (EZ0), while the other groups were fed the same diet but supplemented with 1 (EZ1), 3 (EZ3), and 5 (EZ5) kg/ton of enzyme extracts, respectively. Feeding EZ additive increased (P < 0.05) conception and kindling rates, litter size and weight at birth, and litter size and bunny weight at weaning, with decreasing (P < 0.05) abortion rate. Moreover, total milk yield increased (P < 0.05) with increasing level of enzyme supplementation. Pre-weaning mortality decreased (P < 0.05) with EZ inclusion. Signs of vitality (rectal temperature, skin temperature, earlobe temperature, respiration rate, and pulse rate) were improved with EZ inclusion. For all results, 5 kg EZ/ton of feed was more effective than 1 and 3 kg EZ/ton feed. It can be concluded that supplementation of EZ in rabbit diet decreased mortality rate and enhanced fertility status and milk output

The utilization of sodium lignosulphonate extracted from Egyptian rice straw in leather tanning process

Massive quantities of rice straw are burned annually in Egypt and caused environmental hazards. The present study investigated the utilization of rice straw to produce sodium lignosulphonate (SLS) as a water-soluble derivative of lignin in leather tanning and evaluate its usage as a tanning or re-tanning material as well as its effect on leather quality. The results of testing SLS as a leather tanning agent were unsatisfactory due to its slight effect on shrinkage temperature of leathers, unlike its use as a re-tanning material. Four concentrations of SLS (0%, 5%, 10%, and 20%) were used in re-tanning forty of sheep wet-blues. The results showed that using SLS as a re-tanning agent with concentration till 10% from pelts weight enhances some organoleptic properties, such as fullness and general appearance together with slight improvement in physical properties of leathers. Moreover, the addition of SLS with concentration 20% led to an excessive swelling in the collagen fibers as shown from depicted scanning electron micrographs and decreased trends of physical properties

Modified Single-Patch Technique Versus Two-Patch Technique in Infants with Complete Atrioventricular Septal Defect

Background: There are many techniques in repairing complete atrioventricular septal defect including: double patch technique, classic single patch technique and modified single patch technique. It's still debated which of these techniques is superior to the other one, our objective was to contrast the outcomes following surgery between the modified single patch and double patch techniques for repair of complete atrioventricular septal defect. Methods: This study includes 100 infants who underwent complete atrioventricular septal defect repair. Individuals were split into patients repaired with modified single patch as group A (n= 50), and patients repaired with double patch as group B (n= 50). Results: Group B showed significantly higher Cardiopulmonary bypass time (110 ±12 vs. 88 ±8 min, P &lt; 0.001) Aortic cross clamp time (81 ±7 vs. 61 ±5 min, P &lt; 0.001), ICU stay (10 ±1 vs. 9 ±1 day, P &lt; 0.001), hospital stay (17 ±2 vs. 15 ±1 day, P &lt; 0.001), and drainage amount (310 ±98 vs. 194 ±80, P &lt; 0.001). No changes observed among groups of the study in other operative or postoperative statistics. Conclusion: Modified single-patch repair and two-patch repair did not yield significantly different results in the total correction of atrioventricular septal defects