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008			250122s2024 |||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			_aCai01.21.07.M.Sc.2024.Ma.H.
100	0		_aMarina Sami Helmi Fahim, _epreparation.
245	1	0	_aHigh Concentration versus Low Concentration of Aluminium Chloride Hexahydrate Iontophoresis on Primary Palmar Hyperhidrosis / _cBy Marina Sami Helmi Fahim; Under Supervision of Prof. Dr. Eman Mohamed Othman, Prof. Dr. Noha Abdel Rahim Nagui, Dr. Marwa Mahdy Abd El-Hameed
246	1	5	_aالتركيز العالي مقابل التركيز المنخفض من كلوريد الألومنيوم السداسي عن طريق انتقال الأيونات بالكهرباء في تعرق راحة اليد الأولي /
264		0	_c2024.
300			_a72 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (M.Sc.) -Cairo University, 2024.
504			_aBibliography: pages 61-72.
520			_aPrimary palmar hyperhidrosis (PH) tends to arise in childhood or adolescence and usually persists throughout life. Despite its unknown origin, it is attributed to localized sympathetic hyperactivity on otherwise normal eccrine sweat glands, mainly triggered by emotional or thermal stimuli. Objective: To evaluate the therapeutic efficacy, tolerability and side effects of the low concentration (1%) versus high concentration of aluminium chloride hexahydrate (20%) iontophoresis for primary palmar hyperhidrosis. Patients and Methods: Thirty patients of both genders who established diagnosis of primary palmar hyperhidrosis with age ranged 10-30 years were selected randomly from dermatology outpatient clinic of Ain Shams General Hospital, Cairo, Egypt. The included patients were randomly distributed into two equal groups in number; Group (A) consisted of 15 patients (6 males and 9 females) with palmar hyperhidrosis were treated with iontophoresis of low concentration 1% aluminum chloride for 3 days per week for 4 weeks. Group (B) consisted of 15 patients (7 males and 8 females) were treated with iontophoresis of high concentration 20% of aluminium chloride hexahydrate at the same time. Outcomes: The primary outcome was reduction of sweating rate in palmar hyperhidrosis using low concentration 1% of aluminum chloride hexahydrate with longer endurance and no skin irritation compared to high concentration 20%, which was measured by using gravimetric test, iodine- starch test and hyperhidrosis disease severity scale (HDSS). Results: Both groups of the study showed a significant decrease in hyperhidrosis from the 3rd day until the 4th week post-treatment (p < 0.05) throughout the follow-up period. The result revealed percentage of improvement in group (A) was 1.1% while group (B) was 1.3% for gravimetric measure. Also, percentage of improvement in group (A) was 1.4% while group (B) was 1.6% for HDSS measure but with more side effects like dermatitis and low endurance, some patients might stop the treatment sessions. Conclusion: Iontophoretic application of low concentration 1% of aluminum chloride hexahydrate is shown to considerably reduce the palmar sweating rate with long endurance and no skin irritation compared to high concentration method (20%)
520			_aتم اختيار ثلاثين مريضا من كلا الجنسين ممن تم تشخيص اصابتهم بفرط تعرق راحة اليد الأولى تتراوح اعمارهم بين10و30 عاما بشكل عشوائي من العيادة الخارجية للامراض الجلدية بمستشفى عين شمس العام، القاهرة، مصر، تم توزيع الموضوعات المشمولة بشكل عشوائى الى مجموعتين متساويتين فى العدد،المجموعة(أ) تتكون من 15 مريضا (6ذكورو9إناث) يعانون من فرط تعرق راحة اليد وتم علاجهم بانتقال الأيونات بالكهرباء بتركيز منخفض 1% كلوريد الألومنيوم لمدة 3 ايام فى الاسبوع لمدة 4 اسابيع المجموعة (ب) تتكون من 15 مريضا (7ذكور و8 إناث) تم علاجهم بإنتقال الايونات بالكهرباء بتركيز عال 20% من كلوريد الالومنيوم سداسى هيدرات فى نفس الوقت. الخلاصة إن التطبيق الايونى للتركيز المنخفض 1% من سداسى هيدرات كلوريد الالومنيوم يقلل بشكل كبير من معدل تعرق راحة اليد مع التحمل الطويل وعدم تهيج الجلد مقارنة بطريقة التركيز العالى (20%).
530			_aIssued also as CD
546			_aText in English and abstract in Arabic & English.
650		7	_aPhysical Therapy _2qrmak
653		0	_aHigh concentration 20% aluminum chloride hexahydrate _aIontophoresis _aLow concentration 1% aluminum chloride hexahydrate
700	0		_aEman Mohamed Othman _ethesis advisor.
700	0		_aNoha Abdel Rahim Nagui _ethesis advisor.
700	0		_aMarwa Mahdy Abd El-Hameed _ethesis advisor.
900			_b01-01-2024 _cEman Mohamed Othman _cNoha Abdel Rahim Nagui _cMarwa Mahdy Abd El-Hameed _UCairo University _FFaculty of Physical Therapy _DDepartment of Physical Therapy for Surgery
905			_aNourhan _eHuda
942			_2ddc _cTH _e21 _n0
999			_c170381