Factors predicting surgical outcome of thymectomy in myasthenia gravis / (رقم التسجيلة. 81397)

تفاصيل مارك
000 -LEADER
fixed length control field 03183cam a2200349 a 4500
003 - CONTROL NUMBER IDENTIFIER
control field EG-GiCUC
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250223032753.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210626s2021 ua dh f m 000 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency EG-GiCUC
Language of cataloging eng
Transcribing agency EG-GiCUC
041 0# - LANGUAGE CODE
Language code of text/sound track or separate title eng
049 ## - LOCAL HOLDINGS (OCLC)
Holding library Deposite
097 ## - Thesis Degree
Thesis Level Ph.D
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number Cai01.11.05.Ph.D.2021.Al.F
100 0# - MAIN ENTRY--PERSONAL NAME
Personal name Ali Elsayed Abdelgayed Hetiba
245 10 - TITLE STATEMENT
Title Factors predicting surgical outcome of thymectomy in myasthenia gravis /
Statement of responsibility, etc. Ali Elsayed Abdelgayed Hetiba ; Supervised Ehab Mohamed Elshihy , Tarek Ahmed Abbas Mohsen , Alaa Mohammed Omar
246 15 - VARYING FORM OF TITLE
Title proper/short title العوامل المؤثره علي نتائج استئصال الغده التيموسيه فى مرضى وهن العضلات
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Cairo :
Name of publisher, distributor, etc. Ali Elsayed Abdelgayed Hetiba ,
Date of publication, distribution, etc. 2021
300 ## - PHYSICAL DESCRIPTION
Extent 79 P. :
Other physical details charts , facimiles ;
Dimensions 25cm
502 ## - DISSERTATION NOTE
Dissertation note Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Cardiothoracic Surgery
520 ## - SUMMARY, ETC.
Summary, etc. Background: Myasthenia gravis (MG) is a disease affecting the neuromuscular junction and manifests as muscular weakness and fatigability. Thymectomy may benefit patients with MG.This operation can be performed through several different approaches. Many studies tried to analyze all factors could affect the outcome after thymectomy to identify which group of patients will benefit from surgery.Patient and methods: one hundred patients underwent thymectomy for myasthenia gravis in the period between June 2019 and November 2020 in Kasr Alainy hospitals were recruited to this study to evaluate predictors of outcome after thymectomy in the management of non thymomatous myasthenia gravis. Preoperative assessment included age, gender, co morbidities, MGFA classification, medication, plasmaphresis, also all patients performed CT chest, EMG and AChR Ab titre. Thymectomy was performed either by transsternal or VATS approach with documentation of the extent of resection; primary outcome was assessment of improvement by MGFA classification and need for medication.Secondary outcome was postoperative complications. Results: Complete stable remission was achieved in 5 patients, clinical and pharmacological improvements were achieved in 71 patients, 21 patients didn{u2019}t improve and only 3 patients worsen after surgery.Improvement rates in early onset of MG, patients didn{u2019}t have preoperative comorbidities and patients to whom extended thymectomy was performed were 79.3%, 77.3 % and 87.3% respectively. Also patients in whom postoperative AChR Ab decreased obviously had significant higher improvement rate. Although severely symptomatic patients had worse outcome, the correlation between preoperative MGFA classification and postoperative outcome was statistically insignificant (p value = 0.07)
530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE
Additional physical form available note Issued also as CD
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Myasthenia gravis
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Outcome
653 #4 - INDEX TERM--UNCONTROLLED
Uncontrolled term Thymecomy
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Alaa Mohammed Omar ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Ehab Mohamed Elshihy ,
Relator term
700 0# - ADDED ENTRY--PERSONAL NAME
Personal name Tarek Ahmed Abbas Mohsen ,
Relator term
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://172.23.153.220/th.pdf">http://172.23.153.220/th.pdf</a>
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Cataloger Nazla
Reviser Revisor
905 ## - LOCAL DATA ELEMENT E, LDE (RLIN)
Cataloger Shimaa
Reviser Cataloger
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme Dewey Decimal Classification
Koha item type Thesis
المقتنيات
Source of classification or shelving scheme Not for loan Home library Current library Date acquired Full call number Barcode Date last seen Koha item type Copy number
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة قاعة الرسائل الجامعية - الدور الاول 11.02.2024 Cai01.11.05.Ph.D.2021.Al.F 01010110083730000 22.09.2023 Thesis  
Dewey Decimal Classification   المكتبة المركزبة الجديدة - جامعة القاهرة مخـــزن الرســائل الجـــامعية - البدروم 11.02.2024 Cai01.11.05.Ph.D.2021.Al.F 01020110083730000 22.09.2023 CD - Rom 83730.CD
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