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    مؤتمر
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    كتاب

    المؤلفون: Elalem, M A, Bin Saeed, Mohammed, Twati, Mohamed Otman, Elssaedi, Mosbah Mohamed, Alrabaie, Abdelkader Salama, El marmuri, Marwan M M, Saffor, Emhimed, Galala, Khdega A.Yosef, Eldenferia, Hamza, Elbergali, Jamal, Tanis, Burnhan Mustafa, Ballera, Melvin A., Shernta, Samira Abu, Tamtum, Ali A, Aloud, Salim, Alkishriwo, Osama A. S., Elghariani, Ali A, Akan, Aydin, Alzreghi, Hanan Salem, Alsogkier, Izziddien, Alaswad, Fadel A. M., Abousetta, Marai M, Alshushan, Mohamed A. S., Alahemar, Mohamed, Masrub, Abdullah, Addeeb, AbdulSalam, Miskeen, Guzlan, Abdelgader, Aya H. S., Aboughalia, Raneem A., Altawil, Abdurahman Alsonosy, Abou-Hussien, Mohamed Youssef Ahmed, Omran, Abdelbaset Karem, Alrajhi, Majdi Masoud, Abusaeeda, Omar, Naas, Salah, Shashoa, Nasar Aldian, El-Sharif, Ibrahim Ahmed, El- Fandi, Mahmoud Mansour, Alfrd, Hesain Milad, Kagilik, A., Mousa, S., Enageem, I., Krzma, Adnan S, Khamaira, Mahmoud Y, Abdulsamad, Maruwan, Alnass, A M, Elzowawi, Alseddig, Saad, Islam, Elsherif, Mustafa, Naser, I S, Alnajeh, Ahmed M, Aburas, Othman E, Arebi, Youssef Amer, Almaktoof, Ali M A, Shaouf, Abdulsslam M Ashoor, Wddan, Abdulbaset A Salem, Abusabee, Khairi M, Alajel, Khalid M, Elhamali, Salem O, Ben Mouhsen, Mohamed Altaher, Musbah, Abdalhamed A. E, Algoul, Salah M, Algish, Abdalbaset M. R, Abdalaslam, Eisa A, Alsadiq, Yousif A, Aziz, Abdelrazag, Basher, Tariq, Tabar, Essa, Omran, Ali, Muftah, Ali K, Abugderah, Mabruk M, Dakhel, Hakem S, Nasar, Ali Omran, Abusaleem, Jibriel, Tabar, Essa M, Elkais, Ali Ramadan, Zambri, Mohamed K, Milad, Asma Mustafa Husin, Awitil, Soud Saad, Kassim, Mohammad B, Wan Daud, Wan Ramli, Alhwaige, Almadi A, Ebshish, Ali S, Abdusalam, Salem M, Bshish, Ahmed M

    المصدر: AIJR Books

    مصطلحات موضوعية: SCOPE-2018

    الوصف: This volume contains contributed articles of Track 1, Track 2 & Track 3, presented in the conference CEST-2018, organized byFaculty of Engineering Garaboulli, and Faculty of Engineering, Al-khoms, Elmergib University (Libya) on 25-27 September 2018. Track 1: Communication and Information Technology Track 2: Electrical and Electronics Engineering Track 3: Oil and Chemical Engineering Other articles of Track 4, 5 & 6 have been published in volume 2 of the proceedings at this link

    وصف الملف: Digital (DA)

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    دورية أكاديمية
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    دورية أكاديمية

    المؤلفون: Zampoli, M., Abousetta, N., Vanker, A.

    المصدر: South African Medical Journal; Vol 109, No 1 (2019); 23-26 ; 0256-95749 ; 2078-5135

    الوصف: Background. Obstructive sleep apnoea (OSA) is common in children yet often overlooked, as symptom-based screening is unreliable. Polysomnography is regarded as the gold standard for the diagnosis of OSA, but is not widely available in South Africa (SA). Overnight oximetry is a validated screening tool for OSA.Objectives. To describe the impact and utility of overnight oximetry at a tertiary children’s hospital in SA.Methods. A retrospective descriptive study was conducted of patients screened for OSA by overnight oximetry at a paediatric referral hospital from December 2012 to December 2014. Clinical data were retrieved from the oximetry database and medical records. Recordings of ≥6 hours were considered adequate and included in the study. OSA severity was determined using the McGill score. Details on management and outcome were documented.Results. Oximetry studies in 137 of 153 patients were suitable for analysis (88 males (64.2%), median age 31.4 months (interquartile range (IQR) 15.8 - 65.8). Adenotonsillar hypertrophy was common (n=97, 70.8%), and 65 children (47.4%) had two or more underlying OSA risk factors. McGill’s score classified patients as follows: no/mild OSA n=55 (40.1%), moderate OSA n=23 (16.8%), severe OSA n=23 (16.8%) and very severe OSA n=36 (26.3%). Male gender, adenotonsillar hypertrophy and a lower weight-for-age z-score (–1.3 v. –0.7; p=0.038) were associated with severe to very severe OSA. Seventy-eight children (56.9%) were referred for surgery, 33 (24.1%) receiving urgent surgery within a median of 6 days (IQR 4 - 12). In contrast, 59 children (43.1%) with suspected OSA did not require surgical intervention.Conclusions. Overnight oximetry is a simple low-cost tool to assess severity of OSA and prioritise appropriate OSA management in resource-constrained settings such as SA.

    وصف الملف: application/pdf

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    المصدر: Journal of Hearing Science. 11:57-68

    الوصف: BackgroundIn multiple sclerosis (MS), even in the presence of clinical brainstem symptoms, the brainstem does not always show gross lesions on magnetic resonance imaging (MRI). However, MS may impair vestibular-evoked myogenic potential (VEMP) responses.Material and methodsThis study included 70 participants, 40 who were MS patients and 30 healthy adult volunteers as controls. All participants were subjected to history taking, otological examination, basic audiological evaluation, bedside examination of the dizzy patient, cervical VEMP (cVEMP), and ocular VEMP (oVEMP).ResultsOf the 40 MS patients, 37.5% had abnormal cVEMP and 67.5% had abnormal oVEMP. Some 23% of the 21 MS patients without brainstemlesions on MRI had abnormal cVEMP and oVEMP, including 69% of those who had vertigo. MS patients with brainstem lesions on MRI had significantly greater oVEMP latency than patients without similar MRI findings.ConclusionsMS patients showed dysfunction in the vestibulo-ocular and vestibulo-spinal reflexes. This dysfunction is reflected in impaired oVEMP and cVEMP respectively despite the absence of structural brainstem abnormalities. Thus, VEMP, especially oVEMP, can be used as an early indicator of brainstem involvement in MS before radiological signs appear on MRI.

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    المصدر: Journal of Hearing Science. 11:59-68

    الوصف: BackgroundIn migraine, there is no anatomical correlate of vertigo and no structural abnormality is evident in conventional imaging. Cervical vestibular-evoked myogenic potential (cVEMP) is an uncrossed inhibitory vestibulo-spinal reflex (VSR), while ocular VEMP (oVEMP) represents a crossed excitatory vestibulo-ocular reflex (VOR).ObjectiveThis study aims at functional evaluation of the findings of cVEMP and oVEMP in migraine patients.Material and methodsThis was a cross-sectional case-control study that included 20 migraine patients as the case group and 30 healthy adult subjects as a control group. All participants were subjected to history taking, otological examination, basic audiological evaluation, bedside examination of the dizzy patient, cVEMP, oVEMP, and posturography tests.Results35% of migraine patients showed delayed cVEMP latency and 40% showed abnormal oVEMP in the form of statistically significant delayed right oVEMP P1 (p = 0.050) and left oVEMP N1 latency (p = 0.038) compared with controls. cVEMP parameters were not correlated to posturography results. The majority of migraine patients (70%) had normal equilibrium pattern and normal sensory analyses ratios (65%). Only 30% had vestibular dysfunction.ConclusionsVSR and VOR are affected in migraine patients. We recommend the use of cVEMP and oVEMP in migraine patients for functional assessment of brainstem pathways.

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    دورية أكاديمية

    المؤلفون: Zampoli, M, Abousetta, N, Vanker, A

    المصدر: South African Medical Journal; Vol 109, No 1 (2019); 23-26 ; 2078-5135 ; 0256-9574

    مصطلحات موضوعية: Oximetry, Obstructive sleep apnoea, Children

    الوصف: Background. Obstructive sleep apnoea (OSA) is common in children yet often overlooked, as symptom-based screening is unreliable. Polysomnography is regarded as the gold standard for the diagnosis of OSA, but is not widely available in South Africa (SA). Overnight oximetry is a validated screening tool for OSA.Objectives. To describe the impact and utility of overnight oximetry at a tertiary children’s hospital in SA.Methods. A retrospective descriptive study was conducted of patients screened for OSA by overnight oximetry at a paediatric referral hospital from December 2012 to December 2014. Clinical data were retrieved from the oximetry database and medical records. Recordings of ≥6 hours were considered adequate and included in the study. OSA severity was determined using the McGill score. Details on management and outcome were documented.Results. Oximetry studies in 137 of 153 patients were suitable for analysis (88 males (64.2%), median age 31.4 months (interquartile range (IQR) 15.8 - 65.8). Adenotonsillar hypertrophy was common (n=97, 70.8%), and 65 children (47.4%) had two or more underlying OSA risk factors. McGill’s score classified patients as follows: no/mild OSA n=55 (40.1%), moderate OSA n=23 (16.8%), severe OSA n=23 (16.8%) and very severe OSA n=36 (26.3%). Male gender, adenotonsillar hypertrophy and a lower weight-for-age z-score (–1.3 v. –0.7; p=0.038) were associated with severe to very severe OSA. Seventy-eight children (56.9%) were referred for surgery, 33 (24.1%) receiving urgent surgery within a median of 6 days (IQR 4 - 12). In contrast, 59 children (43.1%) with suspected OSA did not require surgical intervention.Conclusions. Overnight oximetry is a simple low-cost tool to assess severity of OSA and prioritise appropriate OSA management in resource-constrained settings such as SA.

    وصف الملف: application/pdf

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    المصدر: Suez Canal University Medical Journal. 24:74-81

    الوصف: Background: Fibromyalgia (FM) is a non-inflammatory musculoskeletal chronic syndrome, whose etiology is unknown, characterized by diffuse pain, many patients with FM were reported to have dizziness which is attributed to hypotension and the autonomic nervous system (ANS) dysfunction. Aim: To improve management of patients with fibromyalgia having dizziness. Objective: to assess peripheral vestibular functions in patients with fibromyalgia. Subjects and Methods: After obtaining approval from the Ethics Committee of the Suez Canal University Hospital (registration number:3646) and written informed patient consent, a Cross-sectional study was conducted at Suez Canal University hospital from June 2018 to December 2019 in the Audio-Vestibular Clinic of the E.N.T department, including 30 female subjects whose age ranged from 22 to 50 years and were divided into Study group that comprised patients diagnosed with fibromyalgia and Control group rather healthy individuals. The vestibular assessment was done using pure tone audiometry, Bedside tests, and video-nystagmography (VNG). Results: There was no statistically significant difference between both groups regarding results of bedside examinations and VNG results as a caloric test (p-value = 0.6) however, there was a trend towards positive results and an increase in vestibular weakness in the fibromyalgia group compared to the control group. Conclusion: Fibromyalgia is unlikely to be a cause of peripheral vestibular dysfunction, so vestibular testing is not routinely recommended for such patients.