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| 1 | Trends and outcomes of pancreaticoduodenectomy for periampullary tumors: A 25-year single-center study of 1000 consecutive cases显示文摘AIM To evaluate the evolution, trends in surgical approaches a n d r e c o n s t r u c t i o n t e c h n i q u e s, a n d i m p o r t a n t lessons learned from performing 1000 consecutive pancreaticoduodenectomies(PDs) for periampullary tumors.METHODS This is a retrospective review of the data of all patients who underwent PD for periampullary tumor during the period from January 1993 to April 2017. The data were categorized into three periods, including early period(1993-2002), middle period(2003-2012), and late period(2013-2017).RESULTS The frequency showed PD was increasingly performed after the year 2000. With time, elderly, cirrhotic and obese patients, as well as patients with uncinate process carcinoma and borderline tumor were increasingly selected for PD. The median operative time and postoperative hospital stay decreased significantly over the periods. Hospital mortality declined significantly, from 6.6% to 3.1%. Postoperative complications significantly decreased, from 40% to 27.9%. There was significant decrease in postoperative pancreatic fistula in the second 10 years, from 15% to 12.7%. There was a significant improvement in median survival and overall survival among the periods.CONCLUSION Surgical results of PD significantly improved, with mortality rate nearly reaching 3%. Pancreatic reconstruction following PD is still debatable. The survival rate was also improved but the rate of recurrence is still high, at 36.9%. | ayman el nakeeb waleed askar ehab atef ehab el hanafy ahmad m sultan tarek salah ahmed shehta mohamed el sorogy emad hamdy mohamed el hemly ahmed a el-geidi tharwat kandil mohamed el shobari talaat abd allah amgad fouad mostafa abu zeid ahmed abu el eneen nabil gad el-hak gamal el ebidy omar fathy ahmed sultan mohamed abdel wahab | 2017 | World Journal of Gastroenterology2017，23，38： | 15 |
| 2 | Effectiveness of hepatitis B virus vaccination program in Egypt:Multicenter national project显示文摘AIM:To assess the effectiveness of hepatitis B virus(HBV) vaccination program among fully vaccinated children.METHODS:A national community based crosssectional study was carried out in 6 governorates representing Egypt. A total of 3600 children aged from 9 mo to 16 years who were fully vaccinated with HBV vaccine during infancy were recruited. Face to face interviews were carried out and sera were evaluated for hepatitis B surface antigen(HBsA g),anti-HBV core antibodies(total) and quantitative detection of hepatitis B surface antibody using enzyme linked immunoassays techniques. Samples positive to HBs Ag/anti-HBV core antibodies were subjected to quantitative HBV-DNA detection by real time polymerase chain reaction with 3.8 IU/L detection limit. RESULTS:Sero-protection was detected among 2059 children(57.2%) with geometric mean titers 75.4 ± 3.6 IU/L compared to 3.1 ± 2.1 IU/L among nonseroprotected children. Multivariate logistic analysis revealed that older age and female gender were the significant predicting variables for having non seroprotective level,with adjusted odds ratio 3.3,9.1and 14.2 among children aged 5 to < 10,10 to < 15 and ≥ 15 years respectively compared to those < 5 years and 1.1 among girls compared to boys with P < 0.01. HBs Ag was positive in 0.11% and breakthrough infection was 0.36% and 0.39% depending on positivity of anti-HBc and DNA detection respectively. The prevalence of HBV infection was significantly higher among children aged ≥ 7 years(0.59%) compared to 0.07% among younger children with odds ratio equal to 8.4(95%CI:1.1-64.2) and P < 0.01.The prevalence was higher among girls(0.48%) than boys(0.29%) with P > 0.05. C ON C LU S I ON :T he E gy pt ian c ompuls or y H B V vaccination program provides adequate protection. Occult HBV infection exists among apparently healthy vaccinated children. Adherence to infection control measures is mandatory. | Iman I Salama Samia M Sami Zeinab Nabil Ahmed Said Manal H El-Sayed Lobna A El Etreby Thanaa M Rabah Dalia M Elmosalami Amany T Abdel Hamid Somaia I Salama Aida M Abdel Mohsen Hanaa M Emam Safaa M Elserougy Amal I Hassanain Naglaa F Abd Alhalim Fatma A Shaaban Samia A Hemeda Nihad A Ibrahim Ammal M Metwally | 2015 | World Journal of Hepatology2015，7，22： | 2 |
| 3 | Effect of lead acetate toxicity on experimental male albino rat显示文摘Objective:To evaluate the effect of different doses of lead acetate(1/20,1/40 and 1/60 of LD_(50))on body weight gain,blood picture,plasma prolein profile and the function of liver,kidney and thyroid gland.Methods:Male albino rats were divided into four groups,the first group represented the health control animals,while the second,third and fourth groups were ingested orally with sub lethal doses of load acetate(1/20,1/40 and 1/60)of the oral LD_(50),respectively.One dose was ingested every two days during the experimental period(14 weeks)including the adaptation time.Blood was collected and used for all analysis.Results:The results showed that,the ingestion of Pb^(2+)induced significant stimulation in glutamic-pyruvic transaminase(ALT)and glutamic-oxalacetic transaminease(AST)activity.Also,total soluble protein and albumin contents of plasma were significantly decreased,while the content of globulin was changed by the Pb^(2+)treatments.The cholinesteiase activity was inhibited,but the activities of alkaline and acid phosphates and lactate dehydrogenase were stimulated,while plasma glucose level was elevated as a result of lead acetate intoxication.In case of blood picture,Pb^(2+)ingestion reduced the contents of hemoglobin and RBCs count of intoxicated rat's blood and the plasma levels of T3,T4 and blood WBCs count were decreased.Conclusions:It can be concluded that lead acetate has harmful effect on experimental male albino rats.Therefore,the present work advises people to prevent exposure to the lead compound to avoid injurious hazard risk. | Nabil M Ibrahim Esam A Eweis Hossam S El-Beltagi Yasmin E Abdel-Mobdy | 2012 | Asian Pacific Journal of Tropical Biomedicine2012，2，1： | 1 |
| 4 | Synthesis and characterisation of new Schiff base metal complexes and their use as catalysts for olefin cyclopropanation显示文摘 | Nabil S Youssef Eman E1-Zahany Ahmed M A El-Seidy | 2009 | Inorganica Chimica Acta2009，362，6： | 1 |
| 5 | Contribution of Parti- cles Size Ranges to Sand Friction 显示文摘 | Esma M K Mourad M Nabil A | 2013 | Engineering Technology & Applied Science Research2013，3，4： | 1 |
| 6 | Mining frequent itemsets from online data streams: Comparative study 显示文摘 | Nabil H M Eldin A S Belal M A E | 2013 | International Journal of Advanced Computer Science and Applications2013，4，7： | 1 |
| 7 | Effects of sodium chloride on growth, tissue elasticity and solute adjustment in two Acacia nilotica subspecies 显示文摘 | Nabil M Coudret A | 1995 | Physiologia plantarum1995，93，2： | 1 |
| 8 | Anatomic consideration of transpedicular screw placement in the cervical spine显示文摘 | Richard M Nabil A Xu RM | 1996 | Spine1996，20，： | 1 |
| 9 | Multiple sites of calciphylaxis in a patient with chronic renal failure显示文摘 | Hanna R M Nabil J R Lopez E A | 2015 | Saudi J Kidney Dis Transpl2015，26，2： | 1 |
| 10 | Utility of certain π-acceptors for the spectrophoto- metric determination of some penicillins 显示文摘 | Askal Hassan F Saleh Gamal A Omar Nabil M | 1991 | Analyst1991，116，4： | 1 |
| 11 | Thermal cracking of rapeseed oil as alternative fuel显示文摘 | Abdelmonem N M Nabil D M | 2004 | Energy Sources2004，26，11： | 1 |
| 12 | Effect of wheat straw ash on mechanical properties of autoclaved mortar显示文摘 | Nabil M Al-Akhras Bilal A | 2002 | Cement and Concrete Research2002，32，： | 1 |
| 13 | Respiration rate of minimally processed lettuce as affected by packaging 显示文摘 | Del Nabile M A Baiano A Benedetto A | 2006 | Journal of Food Engineering2006，74，1： | 1 |
| 14 | A novel maximum power point tra- cking for photovohaic applications under partially shaded insolation conditions显示文摘 | NABIL A MIYATAKE M | 2008 | Electric Power Systems Research2008，78，： | 1 |
| 15 | Ground water coagulation using soluble stainless steel electrodes显示文摘 | Abuzaid Nabil S Bukhari Alaadin A Al-Hamous Zakariya M | 2002 | Advances in Enviornmental Research2002，6，3： | 1 |
| 16 | Cerium promoted and silica-alumina supported molybdenum oxide in the zeolite-containing hybrid catalyst for the selective deep catalytic cracking of petroleum naphthas显示文摘 | Nabil A Y Raymond L V M Francine H | 2005 | Catal Lett2005，100，12： | 1 |
| 17 | A novel maximum power point tracking for photovoltaic applications under partially shaded insolation conditions显示文摘 | Nabil A A Masafumi M | 2008 | Electric Power Systems Research2008，，78： | 1 |
| 18 | Synthesis and characterization of some transition metal complexes with a novel Schiff base ligand and their use as catalysts for olefin cyclopropanation显示文摘 | Nabil S Y oussef Eman E Ahmed M A | 2009 | Journal of Molecular Catalysis A: Chemical2009，308，12： | 1 |
| 19 | Funeational out- come after Swenson's operation for Hirshsprung's Disease 显示文摘 | Nabil A Gad E1-Hak Mohamed M | 2010 | The Saudi Journal of Gastroenterology2010，16，1： | 1 |
| 20 | Accumulation of Heavy Metals on Aspergillus Flavus 显示文摘 | ABDEL- RAZEK A S HAFEZ M B | 1997 | Journal of Chemical Technology and Biotechnology1997，68，： | 1 |
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