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"الأمراض الوعائية"
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دوالي الساقين
دوالي الساقين شائعة جدا، فهي الأوردة المتكتلة المائلة للون الأزرق التي نراها على سيقان بعض الرجال والنساء عند ارتدائهم سراويل قصيرة أو ملابس البحر، أو تنانير. ويلجأ كثير من الناس إلى إخفاء دوالي الساقين بارتداء سراويل طويلة أو جوارب سميكة، لأن مظهرها قد يشعرهم بالحرج. تتواجد الأوردة التي تصاب الدوالي مباشرة تحت الجلد، ولا تصاب به الأوردة العميقة الأهم التي تنقل معظم الدم عبر الجسم، غير هذه أن الأخيرة قد تصاب أحيانا بخثار خطير (أي تشكل خثرة دموية). وأما إن تسببت الدوالي بمشاكل، فيمكن إزالتها بعملية جراحية يتبعها علاج بالحقن (معالجة بالتصليب-Sclerotherapy). يشرح هذا الكتاب كيف يمكن لدوالي الساقين أن تتسبب بحدوث مشاكل، كما يشرح إيجابيات وسلبيات كل أسلوب من الأساليب العلاجية. كما يتناول الأساليب المختلفة لمعالجة الدوالي التي توفرت في السنوات الماضية، ما جعل القيام بالخيار المناسب أكثر تعقيدا، لذا سيقدم لكم النصح والإرشادات حولها. يهدف هذا الكتاب إلى مساعدتك على اتخاذ القرار المناسب إذا كنت ترغب في علاج دوالي الساقين وانتقاء العلاج المناسب.
Book
Correlation between Polyphenolic Contents of Fennel Seeds and its Mixtures with Green Tea on Cardiovascular Disease and Cytotocity Activity
Goal of the Review In this review, we examine the significance of nitric oxide (NO) and summaries the research on the relationship between cardiovascular disease (CVD) and cognitive impairment. The (NO) route is a mode of causation. recent discoveries Epidemiological studies have found evidence linking midlife CVD and related risk factors to an increased risk of dementia and cognitive decline later in life. The cause of this association is unknown, but risk may be communicated by an increase in neuro degeneration (such as amyloid deposition), vascular changes (such as small vessel disease), and mechanistically due to increased levels of oxidative stress and inflammation as well as changes in NO bioavailability. Among the groups of the rats fed on fennel and green tea 9:1 (G4; 16.21 ± 0.54 μM) slightly reduced the NO level in serum, compared with that, group fed on fennel and green tea 4:1 (G5; 14.14 ± 0.81 μM). Obtained results showed fennel with green tea as ratio 4:1 have a significant activity as antitumor agents against the tested human hepatocellular liver carcinoma cell lines without effect on normal cells. This study characterizes antioxidant activity and phenolic compounds of traditional medicinal plants associated with antioxidant, the improved ABTS.+ DPPH method was used to systematically assess the total antioxidant capacity.
Journal Article
Management Health Crises
This article evaluates the cost-effectiveness of early intervention strategies, and examines socioeconomic disparities in AMI outcomes. Drawing on recent studies, we highlight the economic benefits of reducing treatment delays and propose a national protocol to standardize AMI care. Our findings underscore the importance of integrating clinical and economic perspectives to optimize AMI management, reduce healthcare costs, and improve patient outcomes. Policy recommendations include investing in pre-hospital care,, and addressing disparities in populations. This study contributes to the growing literature on the economic implications of cardiovascular disease and offers actionable insights for policymakers and healthcare providers.
Journal Article
Type 2 Diabetic Patients and Hba1c as a Potential Biomarker for Dyslipidemia Occurrence
Abnormalities of lipid metabolism are important risk factors for an increased incidence of diabetes-related complications including coronary heart disease, peripheral artery disease and stroke. One of the most important indicator of the risk of this complication is the increase of HbA1c and the abnormalities of lipid profile. The aim of this study was to trace back if there is an association of HbA1c increase and the increase of lipid profile in type 2 diabetic patients. The 50 sample from patients with type 2 diabetes and another 50 sample was taken as a control from non-diabetes (normal), blood was collected and serum HbA1c was measured by COBAS INTEGRA 400 PLUS. Total cholesterol, HDL-C, LDL-C and TG levels measured by using reagents kit of bio-labo in which an open system device based on enzymatic substrate reaction (BIOLABO-KENZAMAX Device) was used. Results shows there is a significant increase of HbA1c, total cholesterol, HDL-C and LDLC in patients with type 2 diabetes in comparison with control. The difference between control and samples was statistically significant and the p-value for HbA1c (p = 0.00), cholesterol (p = 0.002), HDL-C (p = 0.003) and for LDL-C (p = 0.001). The negative associations between type 2 diabetes and Triglycerides were found in which p-value was 0.362. I conclude, the elevation level of HbA1c companied with elevation of total cholesterol, HDL-C and LDL-C in patients with type 2 diabetes. The measurement of HbA1c may take as a potential biomarker for predicting dyslipidemia in patients with type 2 diabetes.
Journal Article
المرشد في جراحة الأوعية الدموية
إن نضوج وتطور جراحة الأوعية كتخصص دقيق أتاح النمو السريع في المعلومات المرضية لجراحة الشرايين وقد وفر هذا الانفجار المعلوماتي التفهم الأفضل لآلية تصلب الشرايين والتطورات الأخرى لأمراض الأوعية، ولعب جراحي الأوعية دورا مؤخرا في استنباط قواعد التفسيرات العلمية لهذه الخطوات المرضية كما يحلو لأطباء هذا التخصص أن ينشروا هذا التعبير، ويعتبر هذا الكتاب مرشد في جراحة الاوعية الدموية، والذي اشتمل على ستة عشر فصلا : تناول الفصل الأول العلوم الأساسية في الأمراض الوعائية، وبين الفصل الثاني الفحص السريري والقصة المرضية. وتضمن الفصل الثالث الوسائل غير الباضعة، وعرض الفصل الرابع التصوير الوعائي وبقية الطرق المباشرة القنطارية. وتناول الفصل الخامس الفحص الطبي لمرضى الأوعية الدموية، وبين الفصل السادس العلاج الجراحي لإقفار الأطراف السفلية، واستعرض الفصل السابع الاعتبارات والأمور المساعدة خلال الجراحة. وتضمن الفصل الثامن العناية بعد الجراحة لعمليات تكون الأوعية الدموية. وتحدث الفصل التاسع عن أمراض الأورطي والشرايين الأحشائية، وبين الفصل العاشر الأمراض الوعائية المخية. وتناول الفصل الحادي عشر الحالات الوعائية الطارية. وتضمن الفصل الثاني عشر الأمراض الوعائية للأطراف العلوية، وعرض الفصل الثالث عشر الأمراض الوعائية الغير تصلب عصيدية، وبين الفصل الرابع عشر أمراض الأجهزة الوريدية والليمفاوية، وأوضح الفصل الخامس عشر بتر الأطراف السفلية. وتناول الفصل السادس عشر والأخير وسائل الديال الدموي، وأخيرا الملحق، والمصطلحات.
BOOK
Time Trend Mortality of Egyptian Major Non-Communicable Diseases in Relation to Age, Garlic and Onion Consumption
Background: The relationship between Garlic and Onion consumption and mortality with effect on health policy has been studied to assess the protective effect of Garlic and Onion consumption on major Non- Communicable Diseases (NCDs) such as cardio- vascular, respiratory, gastrointestinal diseases and cancer. Objective: To study the effect of Garlic and Onion consumption on NCDs in relation to age group [0-18 years] and gender. Methodology: It is a cross- sectional descriptive secondary data study obtained from Central Agency for Public Mobilization& Statistics, and Egyptian Ministry of Agriculture along the years from 2009 to 2015. Statistical Analysis was done by Epilnf 7, CDC 2016. Results: Results indicated that the amounts of garlic and onion consumption per year showed significant relation effects on the prevention of the major non- communicable diseases. The leading cause of mortality among Egyptians are: 66.37%, 14.16%, 10.96%, and 8.52% of the major NCDs (CVDs, digestive diseases, respiratory diseases, and cancer), respectively. Multiple regression analysis for the studied predictors garlic intake and onion intake (kgm/year and gm/days) show multiple R= 0.467 for CVDs (P= 0.014). The most important predictor is in this model, beta= - 0.467 (P= 0.014) for garlic and onion intake in Kgm/year. Conclusion: The consumption of Garlic and Onion has role for prevention of these major non- communicable diseases. Recommendation: It is recommended to encourage increased consumption of Garlic and Onion for prevention of these major non- communicable diseases.
Journal Article
Prevalence of Atherosclerotic Cardiovascular Risk Factors among Diabetic and Non-Diabetic Adult Population of Al-Khannag Village - Northern State - Sudan in 2016
Atherosclerosis is a chronic inflammation of arteries with progressive occlusion leading to coronary artery disease, stroke and peripheral vascular disease. Many risk factors are implicated. Atherosclerotic cardiovascular disease is the leading cause of death causing 17.9 million deaths every year. The objective of this cross-sectional community based study was to determine the prevalence of some cardiovascular risk factors among diabetic and non-diabetic adult population of Al-Khannag Village, Northern State, Sudan. 430 participants were recruited in November 2016 with 53.3% males, 58.6% from Arakeiyeen tribe and 34.2% diabetic. The study revealed high prevalence of cardiovascular risk factors especially among diabetics. Most of diabetics (82%) were uncontrolled. Health education and further studies are recommended.
Journal Article
Tuberous sclerosis complex (Bourneville–Pringle Disease) in a 25-yearold female with bilateral renal angiomyolipoma and secondary hypertension
Tuberous sclerosis or tuberous sclerosis complex (TSC) is an autosomal dominant
inherited neurocutaneous disorder that variably affects the brain, skin, kidneys, heart, and other
organs. It is characterized by skin and renal lesions in addition to central and peripheral nervous
system tumors, with neurological and psychiatric findings. We report such a rare case of tuberous
sclerosis in a 25-year-old female who presented with abdominal pain and hypertension. Physical
examination showed dermatological signs that included hypopigmented maculae, shagreen
plaque, angiofibromas on the centrofacial areas, periungual fibromas on toes, and molluscum
pendulum around the neck. Abdominal ultrasonography revealed bilateral renal angiomyolipoma.
Brain magnetic resonance imaging showed subependymal nodules and cortical tubers. She also
presented retinal and oral lesions. Our patient has a definitive diagnosis of TSC. Hypertension
was related to the renal involvement of TSC, and the patient benefitted from oral angiotensinconverting
enzyme inhibitors with a favorable outcome.
Journal Article