Publications by authors named "Omar Selim"

Rhabdomyolysis following revascularization of the ischemic upper extremity can lead to life- & limb-threatening sequelae. In the context of replantations and vascularized composite allografting, a reconstructive procedure usually reserved for upper limb amputees, prolonged tissue ischemia is detrimental to extremity functional recovery. Currently, validated survival small animal models of extremity reperfusion injury that permit longitudinal assessment of limb function are lacking.

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Purpose: The development of the Diabetic Wound Assessment Learning Tool (DiWALT) has previously been described. However, an examination of its application to a larger, more heterogeneous group of participants is lacking. In order to allow for a more robust assessment of the psychometric properties of the DiWALT, we applied it to a broader group of participants.

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Muscle stem cells (MuSCs) are essential for skeletal muscle regeneration, influenced by a complex interplay of mechanical, biochemical, and molecular cues. Properties of the extracellular matrix (ECM) such as stiffness and alignment guide stem cell fate through mechanosensitive pathways, where forces like shear stress translate into biochemical signals, affecting cell behavior. Aging introduces senescence which disrupts the MuSC niche, leading to reduced regenerative capacity via epigenetic alterations and metabolic shifts.

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Article Synopsis
  • The T2* technique for measuring myocardial iron content has limitations in detecting early myocardial iron overload, prompting researchers to explore T1 mapping as a more effective alternative.
  • A study involving 32 β-thalassemia major patients showed that T1 mapping could differentiate between patients and healthy controls, identifying cases of high myocardial iron content that T2* missed.
  • Incorporating T1 mapping into the evaluation process enhances the detection of myocardial iron overload, potentially improving treatment strategies and reducing heart-related complications in patients.
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Purpose: Adhesion formation is the major complication after tendon repairs that halts functional restoration and causes disability in patients. This study aimed to compare the antiadhesion efficacy of two tendon protector sheets using a previously established turkey flexor tendon model.

Methods: Twenty-four adult Bourbon Red turkeys were randomized into three groups: (1) control, (2) type I collagen-glycosaminoglycan (Collagen-GAG), and (3) hyaluronic acid.

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  • Acute Compartment Syndrome (ACS) is a serious condition caused by high pressure within muscle compartments, traditionally diagnosed using a needle method, which can be difficult and slow, prompting exploration of Shear Wave Ultrasound Elastography (SWE) as a faster, less invasive alternative.
  • A study with 32 turkeys tested the correlation between SWE readings and intra-muscle-compartment pressure by gradually increasing pressure in the muscly while measuring SWE values, muscle function, and gait over time.
  • Results showed a strong correlation (R2 = 0.91) between SWE values and actual pressure, with significant changes in muscle function and histological damage observed in groups subjected to higher pressure for extended periods.
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  • Flexor tendon injuries are common and typically require surgery to repair, and the study aimed to assess how the number of suture strands and square knots affect the strength and effectiveness of these repairs.
  • Researchers performed tests on turkey tendons with different configurations, comparing a variety of knot types and repair techniques to evaluate mechanical strength and failure modes.
  • Results showed that more strands and knots generally enhance the strength and stiffness of tendon repairs, but the type of knot and number of strands also influenced their effectiveness, with increasing square knots benefiting certain repair types while having limited impact in six-strand repairs.
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Objective: The study objective was to evaluate the success of expanded polytetrafluoroethylene mesh in chest-wall reconstruction.

Methods: We retrospectively reviewed patients who underwent expanded polytetrafluoroethylene (Gore-Tex) chest-wall reconstruction. The main outcome was a mesh-related event, defined as a mesh-related reoperation (eg, mesh infection requiring debridement with/without explant, tumor recurrence with explant) or structural dehiscence/mesh loosening with/without a hernia.

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Objective: Thymoquinone (TQ), the active constituent of , has been shown to have anticancer effects in head and neck squamous cell carcinoma (HNSCC). This review aims to outline the properties of TQ, the known drivers in HNSCC formation, and summarize the anticancer effects of TQ in SCC.

Data Sources: Three databases (PubMed, Embase, and Google Scholar) were queried for the key words "thymoquinone squamous cell carcinoma.

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This review aims to summarize the putative role of histone deacetylases (HDACs) in rhabdomyosarcoma (RMS) and the effects of HDAC inhibitors (HDACi) on RMS by elucidating and highlighting known oncogenic pathways, mechanisms of resistance, and the synergistic potential of histone deacetylase inhibitors. We searched two databases (PubMed and Google Scholar) for the keywords "Rhabdomyosarcoma, histone deacetylase, histone deacetylase inhibitors." We excluded three publications that did not permit access to the full text to review and those that focus exclusively on pleiomorphic RMS in adults.

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Objective: We developed and evaluated an online learning module for teaching wound care basics to junior medical learners, which was assessed for its ability to increase theoretical knowledge of wound care, and medical learners' perceptions on the use of an online module to teach wound care practices.

Design: Between February 2022 to November 2022, participants were enrolled into our unblinded, matched-pair single-arm study. Participants completed a pre- and postquiz prior to and after completing the online module, respectively.

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Article Synopsis
  • A new dataset focusing on surgical knot-tying has been introduced, involving 72 surgical trainees and faculty members, who were assessed using multiple data forms such as video and kinematic data.
  • The study developed three deep learning models, including a multi-modal model that combines images and kinematic data, achieving performance similar to expert human raters on skill assessments.
  • This research highlights the potential of automated systems in surgical skill assessment, ultimately aiming to ease the burden on training faculty and enhance surgical education.
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Background: Arthroscopic simulation has rapidly evolved recently with the introduction of higher-fidelity simulation models, such as virtual reality simulators, which provide trainees an environment to practice skills without causing undue harm to patients. Simulation training also offers a uniform approach to learn surgical skills with immediate feedback. The aim of this article is to review the recent research investigating the use of arthroscopy simulators in training and the teaching of surgical skills.

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Reconstruction of peripheral nerve injuries (PNIs) with substance loss remains challenging because of limited treatment solutions and unsatisfactory patient outcomes. Currently, nerve autografting is the first-line management choice for bridging critical-sized nerve defects. The procedure, however, is often complicated by donor site morbidity and paucity of nerve tissue, raising a quest for better alternatives.

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Objective: Diabetic foot wounds account for up to one-third of diabetes-related health care expenditure and are the greatest cause of extremity amputation in Canada. Physicians encounter patients with such wounds in all specialties, particularly as generalists in medical wards and emergency departments. However, there is a dearth of literature on the optimal way to teach and to assess the management of these patients.

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