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003			OSt
005			20250223033404.0
008			250105s2023 |||a|||f m||| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a615.82
092			_a615.82 _221
097			_aM.Sc
099			_aCai01.21.02.M.Sc.2023.Ah.E
100	0		_aAhmed Gamal Fouad Amin, _epreparation.
245	1	0	_aEffect of Intra-Thoracic Oscillations on Blood Gases after Coronary Artery Bypass Graft Surgery/ _cAhmed Gamal Fouad Amin ; Supervisors : Prof. Dr. Azza Abd Alaziz Abd Alhady, Prof. Dr. Hossam Fathy Ali, Dr. Alaa Mohamed El-Moatasem.
246	1	5	_a تأثير التذبذبات الصدرية الداخلية على غازات الدم بعد جراحة توصيل الشرايين التاجية/
264		0	_c2023.
300			_a103 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (M.Sc.) -Cairo University, 2023.
504			_aBibliography: pages 81-95.
520			_aCoronary artery bypass graft (CABG) is a surgery in which new routes are created around narrow and blocked coronary arteries that allow proper flow of blood providing oxygen and nutrients to the heart muscles. After CABG respiratory therapy is used rationally to inhibit the post-operative complications. The removal of respiratory secretions is an important concern during the rehabilitation phase after cardiac surgery. The ability to perform deep inspiration and cough effectively, to prevent accumulation of secretions and improved gas exchange, is adversely affected by pain and postoperative apprehension associated with changes in lung mechanics resulting from surgery which eventually can lead to atelectasis, pneumonia, and increased mortality. Oscillating PEP (OPEP) therapy (Quake device) provides the combination of positive expiratory pressure with high frequency oscillations. It involves breathing with a slightly active expiration against an expiratory resistance through a device. It’s used for clearance of excess secretions from the lungs & reducing gas trapping and improving ventilation of the lungs The purpose of this research was to evaluate the efficacy of intrathoracic oscillations via quake device on ABG in post CABG patients. Sixty men patients underwent CABG in the 55-65 age range were included in this study. They were recruited from 6 October Hospital. All participants gave informed permission. C Summary  78 Patients were randomly assigned into 2 equal groups (30 patients for each group) with pre and post treatment protocol application. Both treatments were performed once daily from 1st day till 7th day after operation. Group A (Study group): Thirty men patients were treated by Oscillatory PEP (Quake device) along with traditional and prescribed medical treatment. Group B (Control group): Thirty men patients were treated by traditional treatment along with their prescribed medical treatment. Arterial blood gases, sit to stand test and SF-36 questionnaire were performed before and after treatment protocol application to assess the patient’s oxygenation status, functional capacity and health-related quality of life. The results of this study demonstrated a statistically significant difference between pre and post treatment values in all measured variables within quake device group. Results also revealed a significant difference in the favor of post treatment on measured variables compared to pre-treatment condition within control group. Comparing the two groups using the same measures revealed a statistically significant difference between them, with the group that received treatment by Quake device show a greater improvement than control group.
520			_aشمل هذا البحث ستون مريضا بعد اجراء جراحة توصيل الشرايين التاجية تراوحت اعمارهم ما بين خمس وخمسون وخمس وستون عاما تم اختيارهم من مستشفي 6 اكتوبر تم تقسيمهم الي مجموعتين المجموعة ( أ ) تضمنت المرضي الذين تم علاجهم بالوسائل العلاجية التقليدية بالإضافة الي استخدام جهاز (َQuake) والمجموعة (ب) والتي تضمنت المرضي الذين تم علاجهم بالوسائل التقليدية فقط. كلا المجموعتين تلقوا العلاج بشكل يومي ابتداء من اليوم الاول وحتي اليوم السابع بعد اجراء العملية وقد تم تقييم الحالات عن طريق اجراء تحليل غازات الدم واختبار الجلوس ثم الوقوف و تم ملئ استبيان SF 36. التأهيل المبكر باستخدام جهاز (Quake) بعد جراحة توصيل الشرايين التاجية يمكن ان يؤدي الي تحسن في غازات الدم والكفاءة الوظيفية مما ينعكس علي جودة الحياة للإنسان
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		7	_aPhysical Therapy _2qrmak
653		0	_aIntra-thoracic oscillations _aQuake device _aABG _aCABG
700	0		_aAzza Abd Alaziz Abd Alhady _ethesis advisor.
700	0		_aHossam Fathy Ali _ethesis advisor.
700	0		_aAlaa Mohamed El-Moatasem _ethesis advisor.
900			_b01-01-2023 _cAzza Abd Alaziz Abd Alhady _cHossam Fathy Ali _cAlaa Mohamed El-Moatasem _UCairo University _FFaculty of Physical Therapy _DDepartment of Cardiovascular / Respiratory Disorder and Geriatrics
905			_aAya _eHuda
942			_2ddc _cTH _e21 _n0
999			_c170029