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Mohamed, K. M., E. M. F. Gaballah, H. S. Zaghloul, and M. M. Ismail, "Palm ridge density as anew identifier for age and sex in forensic medicine", QJM: An International Journal of Medicine, Volume, vol. 113, 2020.
Hassan, H. M. M., O. K. Ahmed, H. A. El-Shemy, and A. S. Afify, "Palm pollen extracts as plant growth substances for banana tissue culture", World Journal of Agricultural Science, vol. 4, issue 14, pp. 514-520, 2008.
Hassan, H., O. K. Ahmed, H. A. El-Shemy, and A. S. Afify, "Palm pollen extracts as plant growth substances for banana tissue culture", WJAS, vol. 4, issue 4, pp. 514-520, 2008. Abstract
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Morsi, K. M. S., S. M. Galal, M. A. K. El-Rahman, and M. A. Katry, "Palm kernel oil increases the risk of coronary heart disease in rats compared with ghee", IOSR Journal of Pharmacy and Biological Sciences (IOSR-JPBS), vol. 9, no. 1: International Organization of Scientific Research, pp. 34–40, 2014. Abstract
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Alsirafy, S. A., "Palliative treatment of inoperable malignant bowel obstruction.", Kasr El-Aini Journal of Clinical Oncology and Nuclear Medicine, vol. 2, issue 4, Suppl. 1, pp. 303-306, 2006. Abstract

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Alshemmari, S., H. Ezzat, S.;Z. S. Refaat, and S. A. Alsirafy, "The palliative prognostic index for the prediction of survival and in-hospital mortality of patients with advanced cancer in Kuwait.", J Palliat Med, vol. 15, issue 2, pp. 200-204, 2012. Abstract

INTRODUCTION: Prognostic scoring systems are increasingly used in cancer care. One of these systems is the Palliative Prognostic Index (PPI) which is based on clinical findings. Few studies validated the PPI in different settings. Our aim was to test the predictive value of the PPI in an acute cancer care setting. METHODS: Prospective study that included patients with advanced cancer admitted to a tertiary cancer center in Kuwait. Patients were divided according to the PPI score into three groups: A (PPI≤3), B (PPI>3- ≤6), and C (>6). RESULTS: The study included 91 hospitalized patients. At the time of PPI assessment, the plan of treatment was best supportive care only in 70 (77%) patients. The majority (80%) of included patients died in-hospital. The in-hospital mortality rate for patients with a PPI>6 was significantly higher than those with ≤6 (93% versus 56%, p<0.001). Using a cutoff point of PPI>6, in-hospital mortality was predicted with a 73% sensitivity, 78% specificity, 93% positive predictive value, and 41% negative predictive value. The median survival was 61 days (95% confidence interval [CI]: 25.8-96.2) for group A, 20 days (95% CI: 4.5-35.5) for group B, and 6 days (95% CI: 4-8) for group C. The difference in survival was highly significant (p<0.001). CONCLUSION: The results suggest that the PPI may be helpful for oncologists in predicting survival and in-hospital mortality of patients with advanced cancer in the acute care setting.

Alshemmari, S., H. Ezzat, Z. Samir, Samar Refaat, and S. A. Alsirafy, "The palliative prognostic index for the prediction of survival and in-hospital mortality of patients with advanced cancer in Kuwait", Journal of palliative medicine, vol. 15, issue 2: Mary Ann Liebert, Inc. 140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA, pp. 200-204, 2012. Abstract
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Alsirafy, S. A., "The Palliative Medicine Unit of Kasr Al-Ainy: A model of palliative cancer care in Egypt.", 5th International African Palliative Care Conference, Kampala, Uganda., 19 August, 2016. Abstract

The aim(s) of the project/research: To develop a model of palliative care (PC) service for advanced cancer patients in Egypt
Problem statement - What is the problem / gap addressed by the project/research: The majority of cancer patients in Egypt present in an advanced stage and many of them die yearly. The PC needs of these patients are largely unmet.
Methodology: In 2008 the palliative medicine unit of Kasr Al-Ainy (PMU-KA) was established at Kasr Al-Ainy Center of Clinical Oncology as the first university hospital-based PC service in Egypt. Currently the service integrates 3 PC models: outpatient (6 clinics/week), inpatient (PC beds and consultation service) and home care (physician visits and collaboration with home care service). There are 3 full time physicians in addition to ancillary services from the nursing, physiotherapy and social work disciplines of the cancer center.
Results: In 2015, more than 750 new cases were referred to the PMU-KA. The number of outpatient consultations exceeded 4,300 with an average of 26 consultations/clinic, while the number of inpatient consultations was 382. The opioid consumption increased by more than 8-fold after the establishment of the PMU-KA.
Conclusions: The PMU-KA represents a model of PC that can be implemented in other cancer centers with limited resources in Egypt.
Lessons learned: The current resources available in Egyptian cancer care facilities can be utilized to establish suitable PC in underserved areas throughout Egypt.
Recommendations for research: Future research is needed to explore the effectiveness of PMU-KA-like models in meeting the PC needs of advanced cancer patients.
Recommendations for practice: The utilization of already available resources in cancer centers for the development of PC is feasible in resource limited settings.

Safwat, E., T. ElNahas, H. Metwally, R. Abdel Motagally, and N. Kassem, "Palliative fractionated radiotherapy for bone metastasis: Clinical& Biological assessment of single vs multiple fractions", Journal of the Egyptian Nat.Cancer Inst. , vol. 19, issue 1, pp. 21-27, 2007.
M.El-Serafi, M. M. Saber, A. El-Khodary, H.Khalid, R.Gaafar, H.El-Zawahry, and M.R.Hamza, "Palliative Fluorouracil and Cisplatinum in advanced gastric and esophageal carcinoma (abstract)", Third National Cancer Conference, International Conference Hall, Cairo, Egypt. (abstract), International Conference Hall, Cairo, Egypt., Feb.1-3, 1994..
Alsirafy, S. A., S. M. Mousa, and S. M. Brown, "Palliative Care: An Unexplored Aspect of Schistosomiasis Neglect?", American Journal of Hospice and Palliative Medicine, vol. 29, no. 1, pp. 7-8, 2012. AbstractWebsite
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Yousef, A., A. Zeeneldin, A. Hilal, and A. Fouad, Palliative Care Service at the National Cancer Institute, Cairo University, , Cairo, Cairo, 2009.
Alsirafy, S. A., and S. M. A. Mousa, "Palliative care journal publications by country as a metric for palliative care development level.", BMJ supportive & palliative care, 2022. Abstract

OBJECTIVE: There is a growing interest in developing a scientific research metric to assess the level of palliative care (PC) development in countries. This study assesses a metric based on publishing in specialised PC journals as an indicator for the level of PC development.

METHODS: A 3-year average articles per million population per year (3y-AAMY) metric was calculated using documents published in 19 specialised PC journals indexed in Scopus database. Countries were categorised into six levels starting with level '0' with no publications then levels Q1 to Q5 according to the 3y-AAMY quintiles (Q5=best performance). The relationship between the 3y-AAMY and the level of PC development in countries and opioid consumption figures was tested.

RESULTS: During 2016-2018, 6610 eligible documents were published in the selected 19 journals. The median (IQR) 3y-AAMY of 191 countries was 0.0123 (0-0.237). The 3y-AAMY differed significantly among the levels of PC development, being 0 (IQR:0-0) for category 1 (no known activity) countries and 1.129 (IQR:0.286-4.625) for category 4B (advanced integration) countries (Kruskal-Wallis test p<0.000001 and Jonckheere-Terpstra trend test p<0.00001). The correlation between the 3y-AAMY and average opioid consumption was a highly significant positive one (Spearman's ρ=0.681, p<0.0001). Furthermore, opioid consumption differed significantly between the 3y-AAMY categories being highest for Q5 countries (Kruskal-Wallis test p<0.000001 and Jonckheere-Terpstra trend test p<0.00001).

CONCLUSION: A metric based on publishing in specialised PC journals correlates significantly with the levels of PC development and opioid consumption in countries and may be used alongside other indicators for the assessment of PC development.

Osman, H., S. Alshammary, M. Rassouli, I. Al-Diri, I. Fadhil, A. Hassan, O. Shamieh, S. Alsirafy, and G. Alarieh, "Palliative care in the Eastern Mediterranean Region: An overview.", Cancer control Eastern Mediterranean Region special report. , Suffolk, Global Health Dynamics Limited, 2022.
Alsirafy, S. A., "Palliative Care in North Africa and the Middle East: Experiences from Egypt", The Blog of the European Association of Palliative Care (onlus), 2016.
HAMEED, K. H. A. L. E. D. A. B. D. E. L., "palliative care in middle east,EGYPT chapter", palliative care in middle east, NY, Nova Science Publishers, Inc., Submitted. palliative_care_in_egypt.pdf
Alsirafy, S. A., A. M. Abou-Alia, and H. M. Ghanem, "Palliative Care Consultation Versus Palliative Care Unit: Which Is Associated With Shorter Terminal Hospitalization Length of Stay Among Patients With Cancer?", American Journal of Hospice and Palliative Medicine, vol. 32, no. 3, pp. 275-279, 2015. AbstractWebsite

Hospital length of stay (LoS) may be used to assess end-of-life care aggressiveness and health care delivery efficiency. We describe the terminal hospitalization LoS of patients with cancer managed by a hospital-based palliative care (PC) program comprising a palliative care consultation (PCC) service and an inpatient palliative care unit (PCU). A total of 328 in-hospital cancer deaths were divided into 2 groups. The PCU group included patients admitted by the PC team directly to the PCU. The PCC group included patients admitted by other specialties and referred to the PCC team. The LoS of the PCU group was significantly shorter than that of the PCC group (9.9 [±9.4] vs 17.8 [±19.7] days, respectively; P < .001). Direct terminal hospitalization to PCU is not associated with longer LoS among cancer deaths managed by a hospital-based PC service.

Alsirafy, S. A., S. M. Mousa, and S. M. Brown, "Palliative Care An Unexplored Aspect of Schistosomiasis Neglect?", American Journal of Hospice and Palliative Medicine, vol. 29, no. 1: SAGE Publications, pp. 7–8, 2012. Abstract
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Rasha Abu-Khudir, Hayfa Habes Almutairi, S. A. E. - R. K. S. E. - S. S., "The Palliative and Antioxidant Effects of Hesperidin against Lead-Acetate-Induced Testicular Injury in Male Wistar Rats", Biomedicines 2023, 11, 2390, 2023.
Mohareb, R. M., and J. Schatz, "Palladium-catalyzed cross coupling reactions of 6-bromo-6H-1,3,4-oxadiazine derivatives and their Anti-tumor evaluation", Bioorganic and Medicinal Chemistry, vol. 19, pp. 2707-2713, 2011.
Shoukry, M. M., and A. A. El-Sherif, "The palladium(II)-picolylamine promoted hydrolysis of amino acid esters; kinetic evidence for inter- and intramolecular mechanisms", Progress in reaction kinetics and mechanisms., 2011. Abstract

The hydrolysis of amino acid ester is promoted by the palladium(II) complex [Pd(Pic)]2+ (Pic = 2-picolylamine). The reaction has been studied by pH-stat technique. The overall PdII chelate promoted hydrolysis of the amino acid esters as glycine and alanine ethyl esters may be accounted by inter- and intramolecular mechanisms. The kinetic data for histidine and methionine methyl esters are fitted assuming that hydrolysis proceeds by intermolecular mechanism only. The rate enhanecement compared with the free ester is discussed in terms of the structure of the complex. Activation parameters associated with the hydrolysis have been determined and discussed.

Shoukry, M. M., and A. A. El-Sherif, "The palladium(II)-picolylamine promoted hydrolysis of amino acid esters; kinetic evidence for inter- and intramolecular mechanisms", Progress in Reaction Kinetics and Mechanism, vol. 36, pp. 215–226, 2011.
Abdel-Ghani, N. T., and A. M. Mansour, "Palladium(II) and platinum(II) complexes containing benzimidazole ligands: Molecular structures, vibrational frequencies and cytotoxicity", Journal of Molecular Structure, vol. 991, pp. 108-126, 2011.
Majeed, S. R., M. A. Amin, F. A. Attaby, and A. A. Soliman, "Palladium Complexes Based on 2-Hydrazinopyridine Ligand: Synthesis, Spectroscopic Studies, DFT Calculations, and Cytotoxicity", Biointerface Research in Applied Chemistry, vol. 11, issue 6, pp. 14316-14335, 2021. birac_cited_paper.pdf
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