Publications by authors named "Mostafa Beshr"

Here we present a novel adaptation of the previously described fibula pro-tibial fixation in a case requiring salvage fixation of a bimalleolar ankle fracture in an osteoporotic patient. Unstable osteoporotic ankle fractures are a challenging injury to manage and typically occur in a frail and comorbid subgroup of patients. Various techniques have been described in the evolution of managing these injuries, e.

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Article Synopsis
  • The ASVAL technique is a minimally invasive method for treating symptomatic varicose veins, focusing on the ascending theory of varicose vein causes and involving local anesthesia.
  • A systematic review of 11 studies found the technique resulted in low recurrence rates of varicose veins (0.5% to 13.5%) and significant resolution of great saphenous vein incompetence.
  • The review suggests that while ASVAL shows effectiveness, there is a need for more rigorous prospective trials to enhance the evidence and assess impacts on patients' quality of life.
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Objective: The objective of this review was to determine the methodologic quality of current lymphedema clinical practice guidelines (CPGs) to assist health care professionals in selecting accessible, high-quality guidance and to identify areas for improvement in future CPGs.

Methods: MEDLINE, Embase, online CPG databases, and reference lists of included guidelines were searched up to January 31, 2020. Full-text CPGs reporting on evidence-based recommendations in lymphedema diagnosis or management in English were included.

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Background: Left ventricular assist devices (LVADs) offer live-saving therapy to transplant-ineligible heart failure patients. A major limitation of the technology includes pump thrombosis, bleeding, and recurrent infection that prove difficult to predict from in vivo animal testing. Shear stress introduced by the LVAD affects more than just hemolysis because platelets, leukocytes, and plasma proteins all contribute to the propensity for complications.

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