08571nam a2200421Ia 4500 OSt 20260705130651.0 2310s2022 ua a frm 000 engnd d EG-EULC eng EG-EULC EG-EULC rda eng eng ara Deposit 610 610 21 M.Sc Cai01.10.10.M.Sc.2022.Ze.D Zeinab Hassan Alsaiid Saleh Alkady, preparation. Detection of bacteria and fungi associated with canine otitis / by Zeinab Hassan Alsaiid Saleh Alkady ; Supervised Prof.Dr. Mona Ibrahim Hassan Elenbaawy, Prof.DrMohammed Said Mostafa Amer. اﻟﻜﺸﻒ ﻋﻦ اﻟﺒﻜﺘﺮﯾﺎ و اﻟﻔﻄﺮﯾﺎت اﻟﻤﺮﺗﺒﻄﺔ ﺑﺎﻟﺘﮭﺎب اﻷذن ﻓﻲ اﻟﻜﻼب 2022. 138 p. : illustrations ; 25cm+ CD rda content text rdamedia Unmediated rdacarrier volume Thesis (M.Sc.)-Cairo University- Faculty of Veterinary Medicine- Department of Microbiology Bibliography: p. 89-113. Purpose: To test the safety and the efficacy of full endoscopic discectomy as compared to the gold standard mini-open fenestration discectomy. Methods: This study is a prospective study for patients with Lumbo-Sacral disc herniation treated with discectomy either mini-open or endoscopic. 36 patients were included in this study, group 1 was operated by mini-open fenestration discectomy and group 2 was operated using full endoscopic discectomy. Both techniques will be compared as regards the operative data, the functional outcome of the patients and the complications. where Pain is assesed using Visual Analogue score (VAS) and Functional outcome of the patients is assessed using Oswestry disability index (ODI) and modified MacNab criteria Results: In this study 36 patients were operated (20 for fenestration discectomy and 16 for full endoscopic discectomy). The mean age was 34.9 in group1 and 31.6 in group 2, group 2 has more female percentage within the group (50%) than group 1 (15%) ,L5/S1 level was dominant in group 1 (55 %). And L4/5 was dominant in group 2 (56.2%).The mean operative time was 58 mins in group 1 and 62.5 mins in group 2.Both groups had the same hospital stay. Patients in both groups showed significant improvement in their functional outcomes and comparable rate of complications. Conclusion:This study showed that full endoscopic discectomy is an effective method for operative management of Lumbo-Sacral disc herniation. It is as safe and effective as the gold standard mini-open fenestration discectomy with comparable functional improvement of the patients.Full endoscopic discectomy was superior to the mini-open fenestration discectomy in terms of faster recovery, earlier return towork, smaller incision and minimal bloss loss ﺗم ﺗﺟﻣﯾﻊ ﻋدد أرﺑﻌﺔ وأرﺑﻌﻮن ﻛﻠﺒﺎ ﯾﻌﺎﻧﻮن ﻣﻦ اﻟﺘﮭﺎب اﻷذن ﯾﻨﺘﻤﻮن إﻟﻰ 8 ﺳﻼﻻت Siberian ، Cocker Spaniel ، German Shephered،Golden Retreiver) Husky ، Retreiver Labrador، Rottweiler ،Pekinese و Griffon .( ھﺬه اﻟﻜﻼب ﻣﻦ ﻣﺨﺘﻠﻒ اﻟﻔﺌﺎت اﻟﻌﻤﺮﯾﺔ وھﻲ اﻗﻞ ﻣﻦ 1 ﺳﻨﺔ، 5-1 ﺳﻨﻮات و اﻛﺒﺮ ﻣﻦ 5 ﺳﻨﻮات وﻣﻦ ﻛﻼ اﻟﺠﻨﺴﯿﻦ. ﻛﺎﻧﺖ اﻟﻜﻼب ﺗﻌﺎﻧﻲ ﻣﻦ اﻟﺘﮭﺎب اﻷذن ﺑﺄﻋﺮاض ﺗﺘﻤﺜﻞ ﻓﻲ: اھﺘﺰاز اﻟﺮأس، وراﺋﺤﺔ ﻛﺮﯾﮭﺔ ﻣﻦ اﻷذن اﻟﻤﺘﻀﺮرة. وﻗﺪ ﺧﻀﻌﺖ اﻟﻤﺴﺤﺎت اﻟﺘﻲ ﺗﻢ ﺟﻤﻌﮭﺎ ﻟﻠﻔﺤﺺ اﻟﺒﻜﺘﺮﯾﻮﻟﻮﺟﻲ واﻟﻔﻄﺮي، ﺗﻢ اﺳﺘﺰراع ﻣﺴﺤﺎت اﻻذن اﻟﺘﻲ ﺗﻢ ﺗﺠﻤﻌﮭﺎ ﻋﻠﻰ ﻣﺴﺘﻨﺒﺘﺎت ﺑﻜﺘﯿﺮﯾﺔ ﻣﺨﺘﻠﻔﺔ و SDA ﻣﺰود ب ﻛﻠﻮراﻣﻔﯿﻨﯿﻜﻮل . ﺗﻢ ﺗﺤﺪﯾﺪ اﻟﻌﺰﻻت اﻟﺒﻜﺘﯿﺮﯾﺔ ﺑﺎﺳﺘﺨﺪام ﺷﻜﻞ اﻟﻤﺰروﻋﺎت ، وﺻﺒﻐﺔ Gram، وﻛﺬﻟﻚ اﻻﺧﺘﺒﺎرات اﻟﻜﯿﻤﯿﺎﺋﯿﺔ اﻟﺤﯿﻮﯾﺔ. ﺗﻢ اﺳﺘﺰراع ﻛﻞ ﻣﺴﺤﺔ ﻓﻲ وﻗﺖ واﺣﺪ ﻋﻠﻰ SDA ﻣﻊ زﯾﺖ اﻟﺰﯾﺘﻮن اﻟﻤﻌﻘﻢ اﻟﻤﺰود ب ﻋﻨﺪ 37 درﺟﺔ ﻣﺌﻮﯾﺔ ﻟﻤﺪة 7-5 أﯾﺎم وذﻟﻚ ﻟﻨﻤﻮ ﺛﻢ ﺗﺤﻀﯿﻨﮭﺎ ﻛﻠﻮراﻣﻔﻨﯿﻜﻮل pachydermatis M. اﻟﺬي ﺗﻢ ﺗﺎﻛﯿﺪ ﺗﺸﺨﯿﺼﮫ ب اﺧﺘﺒﺎر ال .PCR ﺗﻢ ﺗﺄﻛﯿﺪ C. albicans ﻣﻦ ﺧﻼل اﺧﺘﺒﺎر tube Germ وﻛﺬﻟﻚ ﺗﺸﻜﯿﻞ Chlamydospore و pseudohyphaeﻋﻠﻰ agar Rice، ﻛﻤﺎ ﺗﻢ اﺳﺘﺨﺪام chrOM-agarوPCR وﺗﻢ ﻋﺰل ﻛﻼ ﻣﻦ P. aeruginosaو ،E. coli ، K. pneumoniae ،S. epidermidis ،S. aureus ﺑﻨﺴﺐ ﻣﺌﻮﯾﺔ ﻣﻦ 44.11٪ 22.05٪، 16.17٪، 14.07٪، 2.9٪، ﻋﻠﻰ اﻟﺘﻮاﻟﻲ و ﻛﺎﻧﺖ ﻧﺴﺐ ﻋﺰل وalbicans C. وpachydermatis M. و .niger A . وﻛﺎن ھﻨﺎﻟﻚ ﻣﻌﺰوﻟﺔ واﺣﺪ albicans C. إﯾﺠﺎﺑﯿﺔ ﻣﻊ PCR ﻣﻊ ﻣﻨﺘﺞ ﻋﻨﺪ اﻟﺒﺎﻧﺪ .109bp ﻓﻲ ﺣﯿﻦ, 4 pachydermatis M. ﻋﺰﻻت ﻛﺎﻧﺖ إﯾﺠﺎﺑﯿﺔ ﻣﻊ PCR ﻣﻊ ﻣﻨﺘﺞ ﻋﻨﺪ اﻟﺒﺎﻧﺪ 140 bpﻗﺪ ﺗﻢ ﻋﻤﻞ اﺧﺘﺒﺎر اﻟﺤﺴﺎﺳﯿﺔ ﺑﺎﺳﺘﺨﺪام طﺮﯾﻘﺔdiffusion. Disc ﻋﻠﻲ ﻣﻮﻻر ھﯿﻨﺘﻮن اﺟﺎر وﻛﺎن ﺟﻤﯿﻊ ﻣﻌﺰوﻻت ل stapylococciﻣﻘﺎوﻣﺔ ﻣﻨﺨﻔﻀﺔ ل اﻻﻣﻮﻛﺴﯿﻠﯿﻦ ﻛﻠﻮﻓﯿﻮﻟﻮﻧﺎت ، اﻻزﯾﺜﺮوﻣﯿﺴﯿﻦ ، اﻟﻜﻼرﯾﺜﯿﻮﻣﯿﺴﯿﻦ ،ﻟﯿﻔﻮﻓﻠﻮﻛﺴﺎﺳﯿﻦ ، ﺗﺮاﯾﻤﯿﺜﻮﺑﺮﯾﻢ \ ﺳﻠﻔﺎﻣﯿﻜﺴﺎزول واﻟﻜﻠﯿﻨﺪاﻣﯿﺴﻦ ، ﻛﺎﻧﺖ ﻣﻘﺎوﻣﺔ ﻣﻌﺘﺪﻟﺔ ل اﻟﻜﻠﻮراﻣﻔﻨﯿﻜﻮل ، ﺳﻔﺘﺎزﯾﺪﯾﻢ واﯾﺮﯾﺜﺮوﻣﯿﺴﯿﻦ وﻛﺎﻧﺖ ﻣﻘﺎوﻣﺔ ﻟﻠﻐﺎﯾﺔ ﻟﻠﺠﻨﺘﺎﻣﯿﺴﯿﻦ . ﻓﻘﻂ 20٪ ﻣﻦ ﻋﺰﻻت epidermidis S. ﻛﺎﻧﺖ ﻣﻘﺎوﻣ ِﺔ ﻟﻞ اﻣﯿﻜﺎﺳﯿﻦ وﻛﻠﻮراﻣﻔﯿﻨﯿﻜﻮل واﯾﺮﯾﺜﺮوﻣﯿﺴﯿﻦ و7٪ ﻣﻦ اﻟﻌﺰﻻت ﻛﺎﻧﺖ ﻣﻘﺎوﻣﺔ ﻟﻞ ﺗﺮاﯾﻤﯿﺜﻮﺑﺮﯾﻢ \ ﺳﻠﻔﺎﻣﯿﻜﺴﺎزول. ﻣﻦ ﻧﺎﺣﯿﺔ أﺧﺮى، ﻛﺎن ﺟﻤﯿﻊ اﻟﻌﺰﻻت Gram-negative ﻓﻲ ھﺬه اﻟﺪراﺳﺔ ذات ﻣﻘﺎوﻣﺔ ﻣﻨﺨﻔﻀﺔ ﻟﻠﺴﯿﻔﺘﺮﯾﻜﺰﯾﻮن وﺟﯿﻨﺘﺎﻣﯿﺴﯿﻦ. وﻓﻲ اﻟﻮﻗﺖ ﻧﻔﺴﮫ، ﻛﺎﻧﺖ ﻣﻘﺎوﻣﺔ ﻟﻠﻐﺎﯾﺔ ﻟﻼﯾﺮﯾﺜﺮوﻣﯿﺴﯿﻦ. وﻛﺎﻧﺖ ﻋﺰﻻت aeruginosa P. ﻣﻘﺎوﻣﺔ ﻟﻞ ﻛﻠﻮراﻣﻔﯿﻨﯿﻜﻮل و ﺗﺮاﯾﻤﯿﺜﻮﺑﺮﯾﻢ \ ﺳﻠﻔﺎﻣﯿﻜﺴﺎزول و50)٪( وﻣﻘﺎوﻣﺔ ﻟﻞ اﻣﯿﻜﺎﺳﯿﻦ واﻟﺴﯿﻔﻮﻛﺴﯿﺘﯿﻦ. ﻛﺎﻧﺖ ﺟﻤﯿﻊ ﻣﻌﺰوﻻت اﻟﺨﻤﯿﺮة ﺣﺴﺎﺳﺔ ل اﻟﻜﯿﺘﻮﻛﻮﻧﺎزول ،اﻟﻔﻮرﯾﻜﻮﻧﺎزول ، اﻻﻣﻔﺘﺮﺳﯿﻦ albicans C.ﻗﺎﺑﻠﯿﺔ واﻟﻨﺴﺘﺎﺗﯿﻦ . وﻓﻲ اﻟﻮﻗﺖ ﻧﻔﺴﮫ، أظﮭﺮ ﻣﻌﺰوﻻت ﺑﻲ ،اﻟﻜﻠﻮﺗﺮﯾﻨﺎزول وﺳﯿﻄﺔ ﻟﻼﺗﺮاﻛﻮﻧﺎزول و ﺟﻤﯿﻊ ﻣﻌﺰوﻻت pachydermatis M. ﻛﺎﻧﺖ ﺣﺴﺎﺳﺔ ﻟﺠﻤﯿﻊ اﻟﻤﺠﻤﻮﻋﺎت اﻟﻤﻀﺎدة ﻟﻠﻔﻄﺮﯾﺎت ﻣﺎ ﻋﺪا اﺛﻨﯿﻦ ﻣﻦ اﻟﻤﻌﺰوﻻت ﻛﺎﻧﺖ ﻣﻘﺎوﻣﺔ ﻟﻠﻔﻠﻮﻛﻮﻧﺎزول Issues also as CD. Text in English and abstract in Arabic & English. Veterinary Medicine otitis externa Mona Ibrahim Hassan Elenbaawy thesis advisor. Mohammed Said Mostafa Amer thesis advisor. 01-01-2022 Mona Ibrahim Hassan Elenbaawy Mohammed Said Mostafa Amer Cairo University Faculty of Medicine Department of Orthopaedic Surgery Shimaa TH ddc 163899 ddc 295548 CUCL cl210 2024-02-11 85979 Cai01.10.10.M.Sc.2022.Ze.D 01010110085979000 2023-10-30 00:00:00 2023-10-30 TH