Avicenna Research Articles

Mini-invasive Vs Open posterior Osteosynthesis for posttraumatic thoracolumbar fracture: Retrospective (comparative study)

Introduction :- Patients had mini invasive posterior osteosynthesis at thoracolumbar fracture posttraumatic, have more quick psychological good outcome and also pain score , comparing the patients had traditional open posterior osteosynthesis up to first 3 days post op , most of patient done both the Mini invasive posterior osteosynthesis(MIPOS) and traditional open posterior osteosynthesis (TOPOS) had good outcome but the time frame and pain duration more immediate recovery for MIPOS patients . Methods: - Our study was retrospectively comparative study. Reviews the medical records of the 22 patient was operated in CHU ibn sina university hospital at Rabat, from time frame 2020 – up to 2024 , for 4 years ,files those was admitted at department for clinical and radiological diagnosed ,and operated for short segment posterior osteosynthesis. Results: - the mean age of the 22 patients in our study of MIPOS vs. TOPOS is 38 years, at range of the age (17-63), The female gander was 10 out of 22 patient 45 %, and 12 of them was male 55%, patient had co-morbid was 8/22 =36.36% at different types of co-morbid, Psychiatric 3 patient, Asthmatic, Tuberculosis, Smoker, Hypertension, obstetric , 14 cases had lumbalgia , 5 dorsalgia , and 3 paraplegic , it postop the main result was the MIPOS patient had less hospital stay and pain relived quick compering the TOPOS which its little longer duration of hospital and pain relief take time longer. Conclusion:-the surgical outcome of the patient had mini invasive posterior osteosynthesis posttraumatic thoracolumbar, its quick and fast respond for VAS, reducing Hospital duration, instead of the open procedure little longer, and VAS its delay resolve post op.

The Association of Abdominoplasty with Breast Reduction (Mommy Makeover): Experience in An African University Hospital

Background: The popularity of breast reduction and abdominoplasty has significantly increased over the years, according to statistics from the American Society of Plastic Surgeons 2022. As a result, the Mommy Makeover, a procedure combining breast surgery and abdominoplasty, is not uncommon. Patients and Methods: A retrospective descriptive study was conducted over a four-year period within the Plastic and Aesthetic Surgery Department of the IBN SINA University Hospital, Rabat, Morocco. Results: Five cases of Mommy Makeover were operated on within the Plastic and Aesthetic Surgery Department of the IBN SINA University Hospital, Rabat, Morocco. One case was addressed two years after bariatric surgery. The procedure combined breast reduction with the superior-internal pedicle technique with Wise’s pattern and abdominoplasty. No major complications were observed. Discussion: Since the introduction of abdominoplasties combined with breast surgery, several concerns have been associated with this combination. Venous thromboembolism is the most commonly discussed consequence in combined plastic surgery procedures. The risk of venous thromboembolism is not elevated when abdominoplasty and breast reduction are combined. The study emphasizes the importance of careful patient selection and attentive venous thromboembolism prevention. It assesses the validity of the Davison-Caprini framework for venous thromboembolism risk stratification and prophylaxis in plastic surgery. Other measures to prevent complications were cited in the literature and followed by our operating team. Conclusion: With the help of a simple risk stratification tool that takes into account diabetes, age, BMI, and ASA status, we can guarantee favorable results for women who may want combined surgery.

Analysis of Determinant Factors of The Bed Occupancy Rate of Ar-Rahman and Al-Ikhlas Inpatients at IBNU SINA YW UMI Hospital, 2023

Hospitals are required to provide the best and highest quality services so that more and more patients will be comfortable and satisfied when going to the hospital for treatment. This study aims to analyze the determinants of the BOR value of Ibnu Sina YW UMI Hospital. The type of research is quantitative research, descriptive analysis using a cross sectional method, and the research sample was 27 people. Data were analyzed using univariate analysis to describe the characteristics of each research variable. The research results found that the BOR (Bed Occupancy Rate) value for Ar-Rahman and Al-Ikhlas inpatient care at Ibnu Sina YW UMI Hospital was efficient according to standards. The hospital service that influences the inpatient BOR value is satisfaction with the nutritional food menu provided. Hospital facilities that influence inpatient BOR values are satisfaction with radiology facilities. The general perception of patients that influences the inpatient BOR value is a feeling of great satisfaction with fast service. It is hoped that this research can help determine the factors determining the Bed Occupancy Rate (BOR) value of Ar-Rahman and Al-Ikhlas Inpatients at Ibnu Sina YW UMI Hospital.

FIB-4, APRI, and NFS Scores Compared to FibroScan for the Assessment of Liver Fibrosis in Patients with NAFLD

Background: NAFLD is a spectrum of liver disease ranging from fatty liver to steatohepatitis, fibrosis and cirrhosis. Due to the epidemic proportion of individuals with NAFLD worldwide, liver biopsy evaluation is impractical, and noninvasive assessment for the diagnosis of NASH and fibrosis is needed. In this study we aimed to compare FIB-4, APRI, and NFS score to FibroScan for the assessment of hepatic fibrosis in patients with NAFLD. Methods: This prospective study included 103 patients with NAFLD and was conducted in the Hepato-Gastroenterology Unit of Functional Digestive Explorations at CHU Ibn SINA in RABAT MOROCCO and covers the period from 01/2016 to 04/2023. A checklist was used to record the demographic features and biological data of the patients. Then, all patients underwent FibroScan using the FibroScan compact 530 device (Echosens, France). Results: Of the 103 patients with NAFLD included in this study, with a mean age of 54.4 ± 11.4 years, 35(34%) were male and 68 (66%) were female. Based on FibroScan results, 58 patients (56.3%) were classified as F1, 13 (12.6%) as F2, 5 (4.9 %) as F3, and 27 (26.2 %) as F4. A significant correlation was found between FibroScan and FIB-4 (r = 0.365), APRI (r = 0.376), and NFS score (r = 0.356) (P < 0.001). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of APRI at the 0.64 cut-off for the differentiation of F3F4 from F2F1 were 59.4, 84.5, 63.3, 82.2 and 76.7%. FIB-4 at the 1.8 cut-off 68.8, 83.1, 64.7, 85.5, 78.6% and NFS at the 0.89 cut-off 71.9, 69, 51.1, 84.5 and 69.9% respectively. Moreover, the area under the receiver operating curve of APRI, FIB-4, and NFS for the differentiation of F3F4 from F1F2 was 0.782, 0.779, and 0.723, respectively. Conclusions: Based on these results, APRI appears to be the most appropriate substitute of FibroScan for the detection of significant fibrosis in NAFLD patients.

Factors influencing immediate surgical outcome of lumbar spine stenosis

Introduction: Patients have co-morbid condition, with LSS have poor outcome immediately postoperative, comparing the patients without co-morbid, for first time of discharge up to 3 months, they have poor surgical outcome those with comorbid and complex Posterior Decompressive procedure. Methods: We retrospectively study for 21 patient was operated in Hospital IBN SINA university hospital at rabat, from 2018 – up to 2022, for 5 years, files those was admitted at department for clinical and radiological diagnosed , and operated for LSS. Results: The mean age of the 21 patients in our study of LSS is 57 years, at range of the age (40-72), The female gander was 14 out of 21 patient 63.6 %, and 7 of them was male 31.8%, patient had co-morbid was 14/21 =66.6% at different types of co-morbid, isolated Hypertension 2 patient, isolated diabetic, Parkinson, and past history of surgical procedures, 14 cases had co-morbid 7 of them they develop neurological Deficit, it means 50%of them they present Deficit, Conclusion: The surgical outcome of the patient had co-morbid, with combined posterior decompressive procedures, most of them they presenting poor outcome comparing those without co-morbid and laminectomy only procedure.

THE HISTOLOGICAL CHANGES OF THE BENIGN ADRENAL GLAND TUMORS IN HUMAN(PHEOCHROMOCYTOMA)

Pheochromocytoma is a rare, fatal, benign neuroendocrine tumor of the adrenal glands, it occurs in adrenal gland of one to each 3000 person, arised from the adrenal medulla. as, it is arising from chromafin cells which are found mostly in the adrenal medulla. This tumor releases a large quantities of catecholamines hormones (adrenaline, Nor-adrenaline and dopamine). Hormons released by the tumer raise blood pressure, trigger headaches, sweating and panic attacks. Surgery is the primary treatment for pheochromocytoma after anti-adrenergic drugs have been taken to reduce the risk of fatal high blood pressure during surgery. Multiple endocrinal neoplasia, is a rare congenital type of pheochromocytoma, in such cases, patients are subjected to have multiple thyroidal, parathyroidal and adrenal glands diseases as shown in von hipple lindaue and neurofibromatosis type 1 patients. Patients with history of sudden and unknown cause hypertension and arrhythmia or those with history of adrenal mass are supposed to have pheochromocytoma, but some times none of these symptoms appeared so it is difficult to be diagnosed and even called the great disguised. surgically excised adrenal gland was taken from 3 patients at al zahrawy and Ibn sena hospital in mosul city/Iraq , then, a series of histological preparations was done in order to make a histological sections, starting from fixation, dehydration, clearing, embedding, histologic sectioning & staining. These sections revealed a plastic multinuclear, multi-formal cells(pleomorphism), increase of the blood vessels, cellular necrosis, increase in the acidic protein materials within cytoplasm, in addition to the hyperchromamacia,an increase in the cellular division &an increase in fibrotic tissue and thickness of adrenal capsule, with presence of tumoural cells beneath it, and disarrangements of these tumours in another section and might been multiformal in anothers . Following surgical removal, the remaining healthy adrenal gland can perform the functions of both glands, and blood pressure usually returns to normal

IBN SINA'S THOUGHTS RELATED TO ISLAMIC EDUCATION

Education can be seen from two dimensions, namely practice and theory where both are interdependent in forming a systemic concept. Even so, the existing system in national education today adopts more western theory than Islamic theory itself which is often ignored. Therefore the purpose of this study is to describe Ibn Sina's thoughts regarding Islamic education. The method used is descriptive qualitative with a literature study approach, after the data has been collected it is analyzed for its contents and then concluded. The results of the study show that Ibn Sina's thoughts regarding Islamic education include aspects of the human psychology consisting of the souls of plants, animals and humanity as subjects and objects involved in it. In addition, it also emphasizes the importance of educational goals that contain directions, stimuli and values. Then the preparation of a curriculum that considers various aspects, there are also various methods to suit the situation and conditions. Lastly is the concept of students who have potential and the concept of competent educators.

The Influence of Service Quality and Hospital Image on Revisit Intention Through Word of Mouth on Inpatient Services at the Ibnu Sina Regional General Hospital in Gresik District

This study aims to analyze service quality and hospital image affect revisit intention through word of mouth at ibnu sina Gresik hospital. This research uses quantitative methods with 180 respondents consisting of patients and employees who work at ibnu sina Gresik hospital. The results of this study indicate that there is an effect of service quality on revisit intention through word of mouth, and there is also an effect of hospital image on revisit intention through word of mouth at ibnu sina Gresik hospital. This research is expected to be used as material for hospital evaluation in order to improve service quality to patients.

Renal Profile of Patients with Cardiorenal Syndrome: Nephrology and Cardiology Department Experience of the IBN SINA University Hospital of Rabat

Renal Profile of Patients with Cardiorenal Syndrome: Nephrology and Cardiology Department Experience of the IBN SINA University Hospital of Rabat

Incidence et facteurs de risque des kératopathies d’exposition en milieu de réanimation : à propos de 91 patients

Exposure keratopathy is a sight-threatening complication which can occur in patients admitted to intensive care units. This is a prospective study over a period of 5 months in the intensive care unit of the specialty hospital of the IBN SINA medical center, with a capacity of 8 beds. The purpose of our study was to determine the incidence of and risk factors for exposure keratopathy in intensive care settings. Forty-two percent of patients developed exposure keratopathy, 48% exhibited chemosis, and 40% showed lagophthalmos with the cornea visible in 30% of cases. The frequency of keratopathy was significantly higher in patients with chemosis and lagophthalmos (P<0.0001). Lagophthalmos was significantly related to chemosis (P<0.0001). Chemosis in the ventilated patient, also known as "ventilator eye," is a serious complication leading to the risk of keratopathy. The risk factors for keratopathy found in our series were chemosis (OR=25.28, 95% CI=[3.339-191.52] P-value=0.002), lagophthalmos (OR=40.8, 95% CI=[4.347-383.666] P-value=0.001) and length of stay in intensive care (OR=12.28, 95% CI=[1.476-102.230] P-value=0.020). Several methods might be used and adapted to each case for prevention of exposure keratopathy, and we found that raising nursing staff awareness is of paramount importance.

Evaluation Study Between Traditional and Recent Laser Treatments in Eye Disease

Three distinct ocular treatment methods are well-known: conventional, clinical, and laser. Patients were recruited from three centres: Sharp vision at PAR hospital, IBN SINA in CMC hospital, and Consulting in Rezgary hospital, and were followed for 180 days. A total of 3035 eye sufferers were observed, and it was determined that 22% (673) of patients chose laser therapy with the Argon (146 patients) and Yag kinds (345 patients). Seventy-eight per cent of respondents favoured conventional clinical care. Several (2364) were referred for clinical treatment, while others received traditional medicine from the centre and village populations. This diversity in therapeutic approaches is related to three factors: 1. The population's level of education; 2. Economic sustainability; and 3. Satisfaction in the medicinal kind.

LOGICAL SYSTEMS OF ARISTOTLE AND IBN SINA

LOGICAL SYSTEMS OF ARISTOTLE AND IBN SINA

Phenotypic and Molecular Investigation of Streptococcus pneumoniae Hemolysin

The current study aimed to detect S.pneumoniae, which is one of the gram-positive bacteria that gives partial α-hemolysis on blood agar media, as well as has the ability to complete blood hemolysis (beta)-hemolysis under anaerobic conditions. Fifty sputum specimens were collected from patients in Ibn sena and Al Salam hospitals in Mosul/ Iraq from august 2021 to March 2022. Five isolates were diagnosed as S.pneumoniae which exhibited an ability to produce hemolysin when phenotypicallyinvestigated. Polymerase chain reaction (PCR) technique was used to detect hlys gene Electrophoresis results showed four bands (80% of isolates) with a molecular size of 296 bp the PCR product were then sequenced.

Intranasal Drops Of Ketamine versus Midazolam for Preoperative Pediatric Sedation In General Surgical Procedures

Premedication in the pediatric age group presents a challenging situation. The young children are not fully able to understand the necessity for their surgery. Fear of operating theater, injections and separation from parents prior to anesthesia produce traumatic experiences in tend mind of young children. In the past, psychological preparation was only used before surgery. Later on, many drugs like morphine, paraldehyde, meperedine, diazepam and barbiturates have been used. The aim of this study is to compare the effects and the side effects of intranasal ketamine versus midazolam administrated for pediatric premedication. In this study we evaluate and compare intranasal ketamine versus midazolam as premedication in pediatric anesthesia according to the onset of sedation, degree of sedation , easy cannulation, acceptance of mask before intubation, hemodynamic changes regarding heart rate, mean blood pressure, respiratory rate and intraoperative oral secretion grading. This study was a double blinded randomized controlled study which was carried out at ibn sina Hospitals from February 2018 to January 2020. This study included 54 Child aged from 5 to 8 years admitted to the ibn sina Hospitals for general surgical procedures e.g herniotomy, tonsillectomy and hypospadias etc. All the patients completed the study. Regarding the onset of sedation: the result of this study found that onset of sedation was earlier in the intranasal midazolam as The onset of sedation for ketamine group and midazolam group was respectively 14.96 ± 3.1 and 8.16 ±2.1. Most patients became sedated 6-10 minutes when compared to intranasal ketamine as most patients sedated after 16-20 minutes. We recommend the use of intranasal ketamine and midazolam as preoperative pediatric sedatives to decrease anxiety of children before start of general anesthesia to overcome drawbacks of pediatric anxiety and fear postoperatively and Intranasal midazolam was better than ketamine according to onset of sedation which started earlier and intraoperative secretions were scanty with midazolam in comparison with ketamine.

Environmental Wisdom for Planet Earth: The Islamic Heritage, Rev Ed. (by Bakar Osman)

Reviewed by: Environmental Wisdom for Planet Earth: The Islamic Heritage, Rev Ed. by Bakar Osman Rosnani Hashim, Independent Scholar Environmental Wisdom for Planet Earth: The Islamic Heritage, rev. ed. bakar osman University Malaya & Islamic Book Trust, 2022, 114 pages It is no secret that the ecological health of our planet Earth has declined rapidly in the last century, as human lives are beginning to be affected more deeply by global warming and climate change. If nothing is done to arrest the deterioration, then humans and all other creatures are going to be doomed. This book is an attempt to highlight this issue by examining its causes and proposing a solution from the wisdom found in the Islamic tradition, but not excluding those of other religious traditions. It is a revised and expanded version of the first edition, which was published in 2007. To accomplish its objective, the author looks in chapter 1 at the modern route to ecological wisdom, and then he contrasts it with ecological wisdom in the Islamic experience, past and present. For the present, he focuses on the Malaysian experience in Islamic finance, which is such a great success that even non-Muslims patronize Islamic banks. However, it has not been easy to do the same for an environmental policy that was formulated a bit later. He asserts that "long-term solutions to environmental problems necessarily involve changes to some aspects of our current attitudes toward development, our extravagant lifestyle and our understanding and appreciation of the natural order. It is not easy to change people's attitudes, habits, and thought patterns" (p. 12). He suggests that the best hope for a positive change in our environmental thinking would be through education, in particular the subjects of Islamic studies and science. He posits how environmental and ecological consciousness is central to Islam and expounds that the modern West discovered their ecological consciousness the bitter way. By this, he meant that they just realized this after witnessing the damages wrought to our planet Earth as evident from air and water pollution, and numerous environmental hazards through their science and technology (S&T), of their own doing, which in most cases are irreversible. He asserts that modern S&T is the product of modern Western attitudes toward the natural environment that tended to be secular and materialistic. The philosophy is one of a reductionistic vision of the natural order and S&T as value-free. Basically, spirituality has been removed from modern S&T. [End Page 118] This contrasts very much with Islamic civilization, which cares for ecology and the environment based on the sources of its worldview—the Qur'an and the Prophet's Tradition, and also their early scholars such as ibn sina and ikhwan al-safa. As a result, they were able to advance human lives through S&T without destroying our Earth, unlike the way of modern science. Consequently, the author explains that the centrality of environmental consciousness in Islamic teachings is based on the principle of al-tawhid, that is, the Unity of God from which springs the ecological principle of the "Unicity of Nature." This unicity conveys the ideas of interrelatedness, interconnectedness, interdependence, and unity. The more the scientists know about Nature, the more they discover the glaring truth of its unicity, which further proves the truth of Divine Unity. The author describes it well: "al-tawhid inspires science, and science, in turn affirms al-tawhid." He argues that due to the intrinsic link between the idea of Divine Unity and the ecological principle of the Unicity of Nature, ecological consciousness in Islam is necessarily religious and is part of Muslim religious consciousness. Islam teaches Muslims, first, to view nature as a sacred book that complements the revealed Qur'an and contains spiritual messages for man's constant reflection so that he will know its Author and Creator. second, Islam teaches human beings to use nature in accordance with the Laws God has laid down in His last book, the Qur'an. He has the right to use Nature but in accordance with the moral and ethical principles ordained by God. In chapter 1, the author highlights wisdom from the Islamic intellectual heritage...

BRADYKININ MEDIATED ANGIOEDEMA DURING PREGNANCY CASE REPORT

Angioedemaisdefined as a non-inflammatory, localized, transientedema of the subcutaneous and/or submucosal tissues, thatappearswithin a few hours and disappearscompletelyafter the attack. Bradykinin-mediatedangioedemais rare, accounts for 1% of angioedemas and canbe life-threateningwhenit affects the upperairways. It must bedifferentiatedfromallergic histamine-mediatedangioedema, which carries a risk of anaphylaxis, and the more common non-allergic histamine-mediatedangiœdema, whichisonlyexceptionally life-threatening. Lack of knowledge of thispathologycan lead to the administration of treatmentsusuallyused to treatupperairway oedema but ineffective in the case of bradykininmediatedangioedema (corticosteroids, antihistaminic, adrenaline). Thus, anyangiœdemaoccurringabove the shoulders and not or incompletelyresponding to anaphylaxistreatment should lead to the suspicion and the treatment of bradykinin-mediatedangiœdema and to the administration of a specifictreatment. Evenminorsurgery, any invasive diagnostic procedure, pregnancy, and physical or emotional stress can trigger an angioedemaattack.We report the case of a patient from the ObstetricGynecologyDepartmentatCHU IBN SINA in RABAT.

TWINPREGNANCY BI CHORIAL COMPLICATEDWITHEXOMPHALOS OF ONE TWIN : CASE REPORT

Omphalocele (exomphalos) is one of the mostcommoncongenital malformations of the abdominal wall. The size of the defect and the severity of the associatedabnormalitiesdetermineoverallmorbidity and mortality. Prenatal screening and diagnosis of associatedabnormalities are important for proper management. The purpose of this article is to discuss the approach of prenataldiagnosis and the therapeuticmodalities of omphalocèle through a case reportedwithinourobstetricgynaecologydepartment CHU IBN SINA RABAT.

THOUGHTS OF ABU RAYKHAN BERUNI AND IBN SINA ON THE NATURE OF LIGHT

THOUGHTS OF ABU RAYKHAN BERUNI AND IBN SINA ON THE NATURE OF LIGHT

Ossifying Fibroma of the Maxilla in Two Cases and Review of the Literature

Ossifying fibroma is a benign tumor that rarely affects the face bones and exclusively the maxilla. We report two cases of ossifying fibroma of the maxilla treated in our department of maxillofacial surgery and stomatology at IBN SINA university hospital in Rabat. The 1st case is a 38-year-old female, with no particular history, who presented a progressive swelling of the left face since 05 months. Extraoral examination demonstrated a grade I left exophthalmos, without diplopia or limitation of eye movements. Intraoral examination revealed a vestibular expression of the tumor. The 2nd case is also a 45-year-old female, who presented a progressive swelling of the left maxilla which gradually increased in size over a period of 04 months. Intra-orally, the buccal vestibule was completely obliterated with the mass. The two patients presented radiological images of similar density, made of a heterogeneous tissue of the maxillary containing calcifications but with different extension. Surgical excision was performed in both patients and the diagnosis was confirmed by histological study of the resected specimen. The evolution of the ossifying fibroma is insidious; this pathology has a clinical polymorphism and a good prognosis. The etiopathogenesis of this tumor is still unknown, it’s more likely to develop in the mandible and very rare in the maxilla. It differs from other types of fibroma by their clinical, radiological and histological aspects. However, only the pathological examination confirms the diagnosis.

Modeling Returns Volatility of Selected Pharmaceutical Companies Listed in DSE of Bangladesh with GARCH Methods

The main aim of this study is the empirical exploration for the proper volatility models of some selected pharmaceutical companies listed in the DSE, Bangladesh e.g. Square, Beximco, Beacon, IBN SINA, and Orion Pharmaceuticals Ltd. The data covers the 667 days daily log returns calculated based on closing prices of these five selected companies from 28th January 2019 to 30th December 2021. The beginning portion of the analysis contains the stylized facts of the sampled companies. Afterward, by employing both symmetric along with asymmetric GARCH models different best-fitted models for different pharmaceuticals companies were found. Based on our model selection criteria AIC, SBIC, Log-Likelihood, as well as residual diagnostics GARCH(1,1) is considered to be more appropriate models for both Square Pharmaceuticals Ltd., and Beacon Pharmaceuticals Ltd. The EGARCH (1,1) is deemed to be best for both IBN SINA and Orion Pharmaceuticals Ltd. Whereas, anyone of the GARCH(1,1), and TGARCH(1,) can be applied for the volatility estimation of Beximco Pharmaceuticals Ltd.