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AACN Advanced Critical Care     Full-text available via subscription   (Followers: 13, SJR: 0.31, h-index: 32)
Academic Medicine     Full-text available via subscription   (Followers: 49, SJR: 1.936, h-index: 91)
Accountancy     Partially Free  
ACSMs Health & Fitness J.     Full-text available via subscription   (Followers: 7, SJR: 0.135, h-index: 7)
Addictive Disorders & Their Treatment     Hybrid Journal   (Followers: 3, SJR: 0.27, h-index: 11)
Advanced Emergency Nursing J.     Full-text available via subscription   (Followers: 26, SJR: 0.279, h-index: 6)
Advances in Anatomic Pathology     Hybrid Journal   (Followers: 7, SJR: 1.435, h-index: 51)
Advances in Neonatal Care     Full-text available via subscription   (Followers: 24, SJR: 0.565, h-index: 23)
Advances in Nursing Science     Full-text available via subscription   (Followers: 20, SJR: 0.528, h-index: 38)
Advances in Skin & Wound Care     Full-text available via subscription   (Followers: 8)
Adverse Drug Reaction Bulletin     Full-text available via subscription   (Followers: 3, SJR: 0.12, h-index: 6)
AIDS     Hybrid Journal   (Followers: 12, SJR: 3.701, h-index: 173)
Alzheimer Disease & Associated Disorders     Hybrid Journal   (Followers: 9)
Alzheimer's Care Today     Full-text available via subscription   (Followers: 2, SJR: 0.176, h-index: 6)
American J. of Clinical Oncology     Hybrid Journal   (Followers: 35, SJR: 0.951, h-index: 56)
American J. of Dermatopathology     Hybrid Journal   (Followers: 10, SJR: 0.689, h-index: 50)
American J. of Forensic Medicine & Pathology     Hybrid Journal   (Followers: 17)
American J. of Nursing     Full-text available via subscription   (Followers: 34, SJR: 0.321, h-index: 33)
American J. of Physical Medicine & Rehabilitation     Hybrid Journal   (Followers: 34)
American J. of Surgical Pathology     Hybrid Journal   (Followers: 21, SJR: 2.828, h-index: 146)
American J. of Therapeutics     Hybrid Journal   (Followers: 5, SJR: 0.491, h-index: 43)
Anesthesia & Analgesia     Full-text available via subscription   (Followers: 161, SJR: 1.737, h-index: 142)
Anesthesiology     Full-text available via subscription   (Followers: 141, SJR: 2.517, h-index: 158)
Annals of Pediatric Surgery     Full-text available via subscription   (Followers: 4, SJR: 0.163, h-index: 2)
Annals of Plastic Surgery     Hybrid Journal   (Followers: 11, SJR: 0.961, h-index: 60)
Annals of Surgery     Hybrid Journal   (Followers: 42, SJR: 4.261, h-index: 216)
Anti-Cancer Drugs     Full-text available via subscription   (Followers: 6, SJR: 0.82, h-index: 73)
Applied Immunohistochemistry & Molecular Morphology     Hybrid Journal   (Followers: 4)
ASA Refresher Courses in Anesthesiology     Full-text available via subscription   (Followers: 16)
ASAIO J.     Hybrid Journal   (Followers: 1, SJR: 0.648, h-index: 44)
Asia-Pacific J. of Ophthalmology     Full-text available via subscription   (Followers: 1)
Behavioural Pharmacology     Full-text available via subscription   (Followers: 1, SJR: 1.125, h-index: 60)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 10)
Blood Coagulation & Fibrinolysis     Hybrid Journal   (Followers: 28)
Blood Pressure Monitoring     Hybrid Journal   (Followers: 1, SJR: 0.912, h-index: 46)
Burns & Trauma     Open Access   (Followers: 6)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.238, h-index: 12)
Cancer J.     Full-text available via subscription   (Followers: 2, SJR: 2.079, h-index: 52)
Cancer Nursing     Hybrid Journal   (Followers: 22, SJR: 1.047, h-index: 54)
Cardiology in Review     Hybrid Journal   (Followers: 4, SJR: 1.2, h-index: 37)
Cardiovascular Endocrinology     Hybrid Journal  
CIN Computers Informatics Nursing     Full-text available via subscription   (Followers: 12)
Clinical Dysmorphology     Hybrid Journal   (SJR: 0.287, h-index: 16)
Clinical J. of Pain     Hybrid Journal   (Followers: 9, SJR: 1.142, h-index: 89)
Clinical J. of Sport Medicine     Hybrid Journal   (Followers: 25, SJR: 0.901, h-index: 67)
Clinical Neuropharmacology     Hybrid Journal   (Followers: 1, SJR: 0.787, h-index: 59)
Clinical Nuclear Medicine     Hybrid Journal   (Followers: 3, SJR: 0.428, h-index: 42)
Clinical Nurse Specialist     Full-text available via subscription   (Followers: 17, SJR: 0.312, h-index: 22)
Clinical Nutrition Insight     Full-text available via subscription   (Followers: 11)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 17)
Clinical Pulmonary Medicine     Full-text available via subscription   (Followers: 2, SJR: 0.133, h-index: 12)
Cognitive and Behavioral Neurology     Hybrid Journal   (Followers: 4, SJR: 0.607, h-index: 47)
Contemporary Diagnostic Radiology     Full-text available via subscription   (Followers: 3)
Contemporary Neurosurgery     Full-text available via subscription   (Followers: 2)
Contemporary Spine Surgery     Full-text available via subscription   (Followers: 3)
CONTINUUM : Lifelong Learning in Neurology     Full-text available via subscription   (Followers: 1, SJR: 0.257, h-index: 7)
Cornea     Hybrid Journal   (Followers: 4, SJR: 1.514, h-index: 86)
Coronary Artery Disease     Hybrid Journal   (Followers: 1, SJR: 0.604, h-index: 49)
Critical Care Medicine     Full-text available via subscription   (Followers: 207, SJR: 3.361, h-index: 196)
Critical Care Nursing Quarterly     Full-text available via subscription   (Followers: 10, SJR: 0.362, h-index: 22)
Critical Pathways in Cardiology     Hybrid Journal   (Followers: 1, SJR: 0.706, h-index: 15)
Current Opinion in Allergy and Clinical Immunology     Hybrid Journal   (Followers: 8, SJR: 1.209, h-index: 57)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 49, SJR: 1.044, h-index: 39)
Current Opinion in Cardiology     Hybrid Journal   (Followers: 4, SJR: 1.266, h-index: 57)
Current Opinion in Clinical Nutrition & Metabolic Care     Hybrid Journal   (Followers: 13)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 45, SJR: 1.298, h-index: 59)
Current Opinion in Endocrinology & Diabetes     Full-text available via subscription   (Followers: 20)
Current Opinion in Endocrinology, Diabetes and Obesity     Hybrid Journal   (Followers: 11, SJR: 1.526, h-index: 37)
Current Opinion in Gastroenterology     Hybrid Journal   (Followers: 9, SJR: 1.894, h-index: 53)
Current Opinion in Hematology     Hybrid Journal   (Followers: 12, SJR: 1.829, h-index: 74)
Current Opinion in HIV and AIDS     Hybrid Journal   (Followers: 9, SJR: 2.221, h-index: 30)
Current Opinion in Infectious Diseases     Hybrid Journal   (Followers: 10, SJR: 2.173, h-index: 69)
Current Opinion in Lipidology     Hybrid Journal   (Followers: 3, SJR: 2.585, h-index: 95)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 12)
Current Opinion in Neurology     Hybrid Journal   (Followers: 11, SJR: 2.423, h-index: 84)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 12)
Current Opinion in Oncology     Hybrid Journal   (Followers: 10, SJR: 1.784, h-index: 70)
Current Opinion in Ophthalmology     Hybrid Journal   (Followers: 11, SJR: 1.557, h-index: 58)
Current Opinion in Organ Transplantation     Hybrid Journal   (Followers: 6, SJR: 1.007, h-index: 26)
Current Opinion in Otolaryngology & Head & Neck Surgery     Hybrid Journal   (Followers: 10, SJR: 0.862, h-index: 41)
Current Opinion in Pediatrics     Hybrid Journal   (Followers: 33, SJR: 1.109, h-index: 56)
Current Opinion in Psychiatry     Hybrid Journal   (Followers: 34, SJR: 1.451, h-index: 53)
Current Opinion in Pulmonary Medicine     Hybrid Journal   (Followers: 8, SJR: 1.281, h-index: 52)
Current Opinion in Rheumatology     Hybrid Journal   (Followers: 3, SJR: 1.919, h-index: 79)
Current Opinion in Supportive and Palliative Care     Hybrid Journal   (Followers: 13, SJR: 0.714, h-index: 20)
Current Opinion in Urology     Hybrid Journal   (Followers: 7, SJR: 0.957, h-index: 42)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 7, SJR: 0.201, h-index: 15)
Current Sports Medicine Reports     Full-text available via subscription   (Followers: 16, SJR: 0.543, h-index: 25)
Dermatitis     Full-text available via subscription   (SJR: 0.384, h-index: 38)
Diagnostic Molecular Pathology     Full-text available via subscription   (Followers: 6, SJR: 1.055, h-index: 42)
Dimensions of Critical Care Nursing     Full-text available via subscription   (Followers: 6, SJR: 0.286, h-index: 18)
Diseases of the Colon & Rectum     Full-text available via subscription   (Followers: 18, SJR: 1.948, h-index: 120)
Ear & Hearing     Hybrid Journal   (Followers: 7)
Egyptian J. of Histology     Partially Free   (Followers: 1, SJR: 0.107, h-index: 1)
Egyptian J. of Oral and Maxillofacial Surgery     Partially Free  
Egyptian J. of Pathology     Partially Free   (Followers: 1)
Egyptian Liver J.     Partially Free   (Followers: 2, SJR: 0.101, h-index: 1)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Epidemiology     Hybrid Journal   (Followers: 44, SJR: 2.697, h-index: 118)
European J. of Anaesthesiology     Hybrid Journal   (Followers: 17, SJR: 1.138, h-index: 50)

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Journal Cover   Annals of Pediatric Surgery
  [SJR: 0.163]   [H-I: 2]   [4 followers]  Follow
   Full-text available via subscription Subscription journal
   ISSN (Print) 1687-4137 - ISSN (Online) 2090-5394
   Published by Wolters Kluwer - Lippincott Williams and Wilkins Homepage  [287 journals]
  • Urethral mobilization and advancement for distal hypospadias
    • Authors: Hassan; Hussam S.; Almetaher, Hisham A.; Negm, Mohammed; Elhalaby, Essam A.
      Abstract: image Background/purpose: Despite the existence of numerous techniques for the repair of distal penile hypospadias, none of them is completely satisfactory. Advancing the urethra without mobilization for repair of glanular hypospadias has the advantage of avoiding a common problem occurring with other techniques: urethrocutaneous fistula. This study aims at evaluation of our experience with this technique for repair of distal hypospadias. Materials and methods: A prospective study was conducted on patients with glanular, coronal and subcoronal hypospadias during the period from December 2012 to December 2014. Recurrent cases were excluded. Feasibility of the technique and postoperative complications were recorded. Results: A total of 30 boys between 9 months and 7 years of age were included in the study. They underwent repair of glanular (five), coronal (10), and subcoronal (15) hypospadias. The urethra was mobilized to the proximal shaft in almost all cases. Three cases developed postoperative hematoma, which were managed conservatively and resolved spontaneously. Two cases developed wound infection and were managed with antibiotics and daily dressing until infection resolved. None of the patients had major complications such as dehiscence, urethral stricture, or fistula. Three patients developed meatal stenosis; two of them responded to repeated dilatation twice weekly for 2 weeks; and one needed meatoplasty. In one patient, the most distal of the glans approximation sutures disrupted, leading to a minor detachment in the glans. There was no recurrent chordee. Two patients underwent meatal retraction, wherein the urethra migrated proximally but still within the glans; only one of these patients required a second procedure. Conclusion: The urethral mobilization technique seems to be a good method for the repair of distal hypospadias with or without chordee with satisfactory cosmetic and functional results. The procedure has the advantage of avoiding the need for a second layer of tissue covering during repair. Moreover, there is no chance for the development of urethrocutaneous fistula, a major postoperative complication of other surgical techniques creating a neourethra. Postoperative management is simple and a brief hospital stay is sufficient.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000472853.75905.28
  • Transperitoneal laparoscopic pyeloplasty in children and adolescents:
           long-term results
    • Authors: Elemam; Abdelbaset A.E.; Shalaby, Rafik; Ismail, Magid; Shahen, Mohamad; Ibrahim, Refaat; Gamaan, Ibrahim
      Abstract: image Background: Open pyeloplasty has been the gold standard for the treatment of ureteropelvic junction obstruction (UPJO) in children and young adolescents. However, the use of laparoscopy for the treatment of pyeloplasty is increasing as it has the potential to provide a better and more desirable cosmetic outcome in addition to less postoperative pain and decreased recovery time. The aim of this study was to evaluate the long-term outcome of transperitoneal laparoscopic pyeloplasty (TLP) for the treatment of UPJO in children and young adolescents. Patients and methods: Twenty-nine patients with UPJO with 32 renal units were subjected to TLP at Al-Azhar University Hospitals, Egypt, during the period from May 2008 to December 2012. The outcome measurements of this study included operative time, internal stent placement, hospital stay, intraoperative complications, and success rates. Success is defined as both symptomatic relief and radiographic resolution of hydronephrosis at the last follow-up. Patients were followed up with intravenous urography and diethylene triamine penta-acetic acid scan at 3, 6, and 12 months regularly for both functional and morphological outcomes. Results: The study included 29 patients (12 male and 17 female) with 32 obstructed renal units. The mean age was 4.23±2.1 years (range 3–16 years). All procedures were completed laparoscopically without conversion. The mean operative time was 143.41±23 min (range 110–220 min). The mean postoperative hospital stay was 4.1 days (range 3–8 days). All patients achieved full recovery without any complications. The mean follow-up period of the patients was 36.34±5.18 months (range 22–60 months). Success rate was 96.9%. Only one case developed recurrent UPJO and was treated with retrograde endopyelotomy and stenting. Conclusion: TLP has the advantages of less postoperative pain, short hospital stay, and rapid recovery, with excellent functional and cosmetic outcomes. However, it requires advanced skill level for intracorporeal suturing and knot tying.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000470548.75213.6c
  • Surgical aspects of ambiguous genitalia associated with congenital adrenal
    • Authors: Lamoshi; Abdulraouf Y.; El-Gharmooll, Bashir
      Abstract: image Aim: The aim of the study was to review the current approach to manage ambiguous genitalia caused by CAH. Methods: This was a retrospective study of 30 patients with CAH and ambiguous genitalia treated over 10 years. Age at presentation, degree of verilization, preoperative diagnostic studies, operative technique, blood loss, outcome, and follow-up period were the studied variables. Results: The older 19 patients underwent single-stage feminizing genitoplasty and the younger 11 patients underwent a multiple-stage procedure. All patients had undergone clitoroplasty, clitoral recession, or resection. Postoperative complications documented in 23% of the patients included atrophy of the clitoris, flaps complication, and vaginal stenosis. The anatomic and cosmetic outcomes were considered good or satisfactory in 70% and 20% of cases, respectively, and poor in 10% of cases. Conclusion: One-stage or multiple-stage feminizing genitoplasty gives a high percentage of satisfactory cosmetic outcomes. TUM can be implemented to achieve excellent results for complex genitourinary anomalies.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471678.25559.d5
  • Surgical insertion of central venous catheters in low-birth-weight
    • Authors: Khirallah; Mohammad G.; El batarny, Akram M.; Elsharaby, Ahmed M.
      Abstract: image Aim: Neonatal central vascular access (CVA) represents a daily practice in neonatal intensive care unit. Low birth weight (LBW) neonates pose a challenge to anesthetists who try the landmark technique to cannulate central veins. We reported our experience of open surgical cutdown (OSC) to insert catheters through right internal jugular vein (IJV) and assessed feasibility, operative time, durability of line, and postoperative complications of this technique. Methods: A total of 660 LBW neonates needed CVA and underwent OSC of right IJV because of medical and surgical indications. We reported operative time, whether anesthesia or sedation, whether in the theater or at the bedside, difficulties, complications and duration of line, and causes of failure. Transverse neck incision was made 1 cm above the medial third of the clavicle, right IJV was identified, venotomy was performed, and catheter was inserted. Results: A total of 660 LBW neonates had CVA in right IJV, ligation of vein occurred in the first 30 cases but later venotomy was repaired. Mean operative time was 11.3 min. No injury of the right carotid artery or vagus was reported. None had postoperative pneumothorax. Overall, 542 cases had lines until they were discharged. A total of 43 cases needed redo. Thirty-five cases had line-associated infection and 40 lines were thrombosed. Conclusion: OSC of right IJV was feasible and had lower complication rates.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471679.66726.c8
  • Laparoscopic orchidopexy in persistent Müllerian duct syndrome
    • Authors: Jehangir; Susan; Ninan, Pradeep J.; Jacob, Tarun J.; Ahmed, Kabeer; Thomas, Reju J.
      Abstract: image Purpose: When faced with the diagnosis of PMDS, the question still remains as to what is the best approach to Müllerian structures. The aim of this study was to describe a novel operative approach considering the vascular anatomy and malignant potential of these structures. Methods: Two boys with PMDS underwent orchidopexy by means of en-masse descent of Müllerian-gonad complex onto the scrotum. The gonads were biopsied and fixed in the scrota and the Müllerian structures occupied the region of the median raphe. Results: The operating time was the same as that taken for orchidopexy. The children were discharged on the day after surgery and were well at 6-month follow-up. Conclusion: The preservation of Müllerian structures and placement in the scrotum allow for easy palpation and recognition of changes in size and consistency heralding malignancy. The risk of operative injury to the vas and vessels is minimized.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471677.99149.7b
  • Laparoscopic removal of autoamputated adnexa in infants and neonates
    • Authors: Bertozzi; Mirko; Appignani, Antonino
      Abstract: image Objective: The aim of this study was to describe a new case of autoamputated adnexa in a neonate treated with laparoscopy and to present a review of the literature as regards laparoscopic management of the autoamputated adnexa in neonates and infants. Summary background data: Laparoscopic surgery has become an accepted modality internationally in neonates and infants. We analyzed technical details of laparoscopic procedures adopted in the literature for this rare condition. Materials and methods: A literature review was performed to identify additional cases of autoamputated adnexa treated laparoscopically. Cases were limited to the English language and to those affecting girls under 1 year of age. Results: In addition to our presented case, 12 cases of autoamputated adnexa in patients less than 1 year of age treated laparoscopically were identified in the literature. Surgical intervention was planned for increasing size of cysts, for no signs of reduction, or for complex cysts, except in one case for suspicion of enteric duplication. The number of ports for the removal varies from one to three based on different authors. The operative port size ranged from 3 to 5 mm. Camera size was 5 mm for all authors when reported but only five authors reported the size of the umbilical port. Conclusion: Although laparoscopic removal of autoamputated adnexa can be successfully accomplished in newborns and infants, 50% of autoamputated adnexa are still treated with laparotomy. Our review revealed the necessity of at least two ports for the identification and removal of the adnexa using the laparoscopic-assisted technique, whereas three trocars in the presence of tenacious adhesions.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471675.69005.a1
  • Current management of Hirschsprung’s disease in Egypt: a survey of
           members of the Egyptian Pediatric Surgical Association
    • Authors: Almetaher; Hisham A.; Hassan, Hussam S.; Elhalaby, Essam A.
      Abstract: image Background/purpose: Significant progress has been made in the management of Hirschsprung’s disease (HD). The choice of the management plan, surgical approach, and operative details is still variable among pediatric surgeons. This survey aims to determine the current preferences of Egyptian pediatric surgeons in the management of HD. Materials and methods: A survey was circulated individually to the members of the Egyptian Pediatric Surgical Association (EPSA) during the General Assembly Meeting. An electronic form of the survey was sent by e-mail to all Egyptian consultant pediatric surgeons registered to EPSA through the ‘EPSA online’ e-mail group. A second round of e-mails was sent 2 weeks later. Results: Responses were received from 112 surgeons; seven responses were excluded (incomplete and duplicate responses), yielding 105 survey charts for analysis. The 105 responses represent 80.7% of the 130 fully trained pediatric surgeons currently working in Egypt. A total of 76.2% of responders use both contrast enema and rectal biopsy for the preoperative diagnosis of HD. Contrast enema alone is used by 13 (12.4%). A further 11.4% combine this with anorectal manometry. Intraoperative frozen section tissue diagnosis is used routinely by only 4.8% of the responders. Surgery is preferred to be performed during the neonatal period by 21.9% of the responders, from 1 to 3 months (28.6%), or after the third month of life (49.5%). A definitive one-stage colonic pull-through is always used by 59%, whereas 7.6% are still using staged operations. The rest of the responders had no specific predilection. The preferred surgical technique for rectosigmoid HD is transanal endorectal pull-through (68.5%), Soave transabdominal endorectal pull-through (19.0%), laparoscopic-assisted pull-through (9.5%), and Duhamel with GIA staplers (2.9%). The Soave operation is preferred for HD extending to the right side and total colonic HD (45.7%) and redo surgery (37.1%). Conclusion: The EPSA survey indicated that most surgeons are moving toward a one-stage pull-through using transanal endorectal pull-through for patients with rectosigmoid HD. There are large variations in preference for the age at pull-through. There is a need for a routine practice of intraoperative frozen section tissue diagnosis, and popularizing laparoscopic surgery for patients with long segment disease.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000472751.68453.56
  • Massive pyuria as an unusual presentation of giant infected urachal
           remnant in a child
    • Authors: Bertozzi; Mirko; Verrotti, Alberto; Di Cara, Giuseppe; Riccioni, Sara; Rinaldi, Victoria E.; Magrini, Elisa; Appignani, Antonino
      Abstract: image Urachal remnants (URs) are manifestations of an incomplete regression of the urachus; therefore, there may be different types of remnants such as cyst, sinus tract, diverticulum or patent urachus. The clinical presentation of a urachal anomaly includes umbilical discharge, lower abdominal pain and urinary tract infection, although a UR may also be asymptomatic. We present the case of a 2.5-year-old girl who presented with abdominal pain, stranguria and massive pyuria in which a giant infected UR was found. The diagnosis was made using abdominal MRI. The child was subjected to laparoscopic-assisted drainage and had an uneventful postoperative course.
      PubDate: Thu, 01 Oct 2015 00:00:00 GMT-
      DOI: 10.1097/01.XPS.0000471681.37576.66
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