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Register a new userCardiac Tumors Case of Rhabdomyosarcoma
أورام القلب حادثة ورم غرني عضلي مخطط بدئي في القلب
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Authors
محي الدين السعودي( باحث )
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تعد أورام القلب البدئية من الأورام النادرة المصادفة، و هي تقسم إلـى أورام بدئيـة سـليمة تتوضع غالباً في حجرات القلب اليسرى، و أكثرها مصادفة الورم المخـاطي و علاجهـا هـو الجراحة الاستئصالية الجيدة و الكاملة مع استئصال قاعدة الورم. و أروام قلبية بدئية خبيثة، و هي تفضل حجرات القلب اليمنى و أكثرها مصـادفة هـو الـورم الغرني الوعائي و الورم الخبيث المتوسطي، و علاجها الأول هو الجراحة الاستئصـالية إلـى قرب التامة بمساعدة القلب و الرئة الصناعيين، و تتلوها المعالجة الكيميائية و المعالجة الشعاعية التي يمكن أن تطيل حياة المرضى إلى مايقرب من ثلاث سنوات نادراً.
Primary cardiac tumors are considered rarely common tumors. They are classified into two kinds of tumors: (1) Benign cardiac tumors frequently located in the left cardiac chambers, mostly common is the Myxoma , which is treated by complete good excising surgery including excision of the tumor base. (2) Malignant primary tumors, which prefer the right cardiac chambers, mostly common are Angiosarcoma and Mesothelioma, whose primary treatment is nearly complete excision surgery with the help of artificial heart and lung, followed by chemotherapy and radiotherapy, which seldom prolong the life of the patient for about three years.
References used
Allard MF. Taylor GP, Wilson JE, McManus BM. Primary cardiac Tumors. In Atlas of Heart Diseases. Edited. E. Braunwald. St. Louis: Mosby, Vol. III, p.15.1;1995
Attum AA, Johnson GS, Masri Z, Girardet R, Lansing AM. Malignant Clinical Behavior of Cardiac Myxomas and Myxoid Imitators. Ann Thoracic Surg, 44:217; 1987
Brown RD Jr, Khanderia BK, Edwards WD. Cardiac papillary Fibroelastoma, Mayo Clinic Proc 70:863; 1995
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• Although cardiac injuries are rare but cause high mortality.
• Up to 20% of the injured to the hospital alive.
• The key to success is early diagnosis and ambulatory surgery.
• Echocardiography help early diagnosis of damage
• Midline transster
nal incision is the choice in patients with a degree of heamodynamic stability.
• Anterieur left Thoracic incision is the choice in unstable patients and is often done in the Emergency Department and as part of recovery .
This study was carried out in AL-ASSAD and Tishreen University Hospitals during
the years 2013-2015, and included 174 patients who have been treated. Male: Female ratio
was 1:2, and the average age of the sample of patients was 63. Great saphenous
vein
(medial) and internal thoracic artery Were used as grafts. analyzes blood values were
normal in all patients before surgery. after surgery it has never been transfer platelets in the
case of the beating heart .In the open-heart the average transfer platelet in patients was
(0.23), the average amount of bleeding into Drainage in the beating heart surgeries was
(902 ml) and was in the open-heart (1279 ml), the number of patients bled and the chest
was opened again because of bleeding was (14 patients) it is (8%) of total patients ,
prolonged ACT was the most important cause of the bleeding with rate (64.2%), the
percentage of patients who had Tamponade was (42.8%), the using of CPB more than 100
minutes has the greatest impact of bleeding with rate (78.5) .
It is found in this research to adopt a new classifier for diagnosing
Cardiac Arrhythmias depending on detecting the Electrocardiograph (ECG),
where the classifier can identify heart beats and extract its features. Using
these features we can deci
de if the heart beat is healthy or disordered.
Beside detection normal heart beats, the research focused on detection
two diseases:
1. Premature Ventricular Contraction PVC.
2. Premature Atrial Contraction PAC.
The new classifier diagnosed the two diseases with a very high quality
where the accuracy average is 97.56%.
The new classifier is developed depending on algorithms of ANFIS
Adaptive Neural Fuzzy Inference System. System includes two consecutive
neural networks; first one sorts the heart beats to two types: normal and
abnormal were the second diagnose the disease of the disordered heartbeats
only.
This new classifier offered higher levels of efficiency and accuracy in
the comparison with the internationally known classifiers.
Leadership characteristics are pivotal for the personality and performance of head nursesas evident by many research studies which showed the influence ofleadership characteristics on organizational outcomes that related to , performance, job satisfa
ction, as well as the effectiveness of teamwork. The study aimsis to assess the personal leadership characteristics of head nurses in Banias National Hospital and Tartous Cardiac Surgery Center. The study results showed that head nurses rated themselves highly on loyalty, experience and knowledge, whilst nursing staff rated their head nurses highly on professional appearance, and least regarding the following leadership traits: trusting their teams, empathy, and compassion which concurred with self-rating of head nurses. Head nurses also rated themselves highly and significantly higher than staff rating on communication skills followed by managerial skills, motivational skills and finally problem solving and decision making skills.
There is a group of tumors share the same nuclear size <3 red blood cells
and can be differentiated only by immunostaining.
All thoracic small cells tumors diagnosed between 1998-2001 during 4 years,
at AL ASSAD UNIVERSITY HOSPITAL – DAMASCUS UNIV
ERSITY.
There were 103 cases (66 cases of small cell carcinoma, 30 malignant
lymphoma, and 7 cases of PNET ).
We performed the immunostaining in 31 cases of small cell carcinoma ,all
of them were malignant lymphomas and the 7 cases of PNET*.
PNET cannot be diagnosed without immunostaining.
We must demand the immunostaining if there is a doubt ( clinical or
pathological) about the real nature of a small cell tumor.
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