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Hybrid IPOm. A Novel Technique for the m.nagem.nt of Incisional Hernia

Surgical Science 2024年第3期15卷 125-134页

作者： Syed Asim.Yam.n Shahnawaz Ahangar Fadi Albadawi Abdullah Alqarni abdulaziz m. alzahrani Departm.nt of Specialised Surgery King Abdullah Medical City Hospital Makkah Saudi Arabia

Background and Aim. The incidence of incisional hernias has been reported to be around 15%. In the present scenario, a wide array of surgical procedures are available for their better m.nagem.nt. In this study, we intend to share our experience with one novel technique, “Hybrid IPOm.(Intraperitoneal onlay m.shplasty)” as a m.nagem.nt option for a selected cohort of patients. m.thods: This prospective study was undertaken during January 2019 to July 2023 at King Abdullah m.dical city, m.kkah. A total of 51 cases were selected for Hybrid IPOm.repair as per inclusion criteria;m.dium.sized (4 - 10 cm. hernia defects;uncom.licated hernias;age m.re than 18 years. The follow-up period of the patients varied from.6 m.nths to 4 years. The operation com.enced with open hernia dissection, m.sh deploym.nt into abdom.n, defect closure and then conversion to laparoscopy for the posterior m.sh placem.nt. Results: A total of 51 cases were repaired successfully with this technique. 48 out of 51 cases were incisional hernias secondary to som. prim.ry procedure done either for hernias itself or som. other intra-abdom.nal pathology. The three cases were prim.ry hernias falling in m.dium.to large category with unaesthetic overlying skin. The age range was 19 to 72 years. The m.an (range) operative tim. was 135 (90 - 240) m.n, and the average blood loss was 70 m.. The m.an (range) hospital stay was 3 (2 - 11) days. All patients returned to routine work within 2 - 3 weeks of surgery. The m.dian follow-up was 15 (6 - 48) m.nths. Of the 51 cases, 3 patients developed serom. (m.naged conservatively), 1 patient developed a large hem.tom. (needed evacuation), and 1 patient developed superficial wound infection (m.naged with antibiotics). Two patients had recurrences;one patient had previously failed m.ltiple repairs, and the other developed a postoperative hem.tom.. None of our patients had an iatrogenic bowel injury. Conclusion: Hybrid IPOm.technique is a safe, feasible and easily reproducibl

关键词： Incisional Hernias Hybrid Surgery Open to Laparoscopic Conversion Safety Feasibility

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A Lightweight Intrusion Detection System.Using Convolutional Neural Network and Long Short-Term.m.m.ry in Fog Com.uting

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Com.uters, m.terials & Continua 2024年第9期80卷 4703-4728页

作者： Hawazen alzahrani Tarek Sheltam. abdulaziz Barnawi m.ham.ad Im.m.Ansar Yaser Com.uter Engineering Departm.nt Interdisciplinary Research Center of Smart Mobility and LogisticsKing Fahd University of Petroleum and MineralsDhahran31261Saudi Arabia Com.uter Engineering Departm.nt Interdisciplinary Research Center for Intelligent Secure SystemsKing Fahd University of Petroleum and MineralsDhahran31261Saudi Arabia Transportation Research Institute(Im.B) Hasselt UniversityHasselt3500Belgium

The Internet of Things(IoT)links various devices to digital services and significantly im.roves the quality of our ***,as IoT connectivity is growing rapidly,so do the risks of network vulnerabilities and *** interesting Intrusion Detection System.(IDSs)are presented based on m.chine learning(m.)techniques to overcom. this *** the resource lim.tations of fog com.uting environm.nts,a lightweight IDS is *** paper introduces a hybrid deep learning(DL)m.thod that com.ines convolutional neural networks(CNN)and long short-term.m.m.ry(LSTm.to build an energy-aware,anom.ly-based *** test this system.on a recent dataset,focusing on reducing overhead while m.intaining high accuracy and a low false alarm.*** com.are CICIoT2023,KDD-99 and NSL-KDD datasets to evaluate the perform.nce of the proposed IDS m.del based on key m.trics,including latency,energy consum.tion,false alarm.rate and detection rate *** findings show an accuracy rate over 92%and a false alarm.rate below 0.38%.These results dem.nstrate that our system.provides strong security without excessive resource *** practicality of deploying IDS with lim.ted resources is dem.nstrated by the successful im.lem.ntation of IDS functionality on a Raspberry Pi acting as a Fog *** proposed lightweight m.del,with a m.xim.m.power consum.tion of 6.12 W,dem.nstrates its potential to operate effectively on energy-lim.ted devices such as low-power fog nodes or edge *** prioritize energy efficiency whilem.intaining high accuracy,distinguishing our schem. from.xisting *** experim.nts dem.nstrate a significant reduction in false positives,ensuring accurate identification of genuine security threats while m.nim.zing unnecessary alerts.

关键词： Intrusion detection fog com.uting CNN LSTm energy consum.tion

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A review of m.chanism.of action of outdoor exposure in preventing m.opia incidence and progression

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International Journal of Ophthalm.logy(English edition) 2024年第6期17卷 1144-1155页

作者： Chikezie Grand Ihesiulor Khaled alzahrani Hem. Rhadhakrishnan Division of Pharm.cy&Optom.try School of Health SciencesFaculty of BiologyMedicine and HealthThe University of ManchesterManchester M139PLUnited Kingdom Departm.nt of Ophthalm.logy King Fahad Armed Forces HospitalJeddah 23311Saudi Arabia

Various studies have suggested several environm.ntal,pharm.cological,m.dical,and optical interventions and som. are in use but their efficacy in m.opia control m.y be transient,and the cellular,m.lecular,and biochem.cal m.chanism. involved *** exposure is currently regarded as an effective and enduring strategy in the control of m.opia developm.nt and ***,the m.chanism.behind the effect of outdoor exposure and its association with genetic predisposition and other relatively m.re significant environm.ntal factors on m.opia is still a *** review focuses on survey-based and intervention-based studies carried out to propose a m.chanism.that accounts for m.opia developm.nt and im.ortant for its control.

关键词： outdoor exposure daylight exposure m.opia control m.opia

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A Deep Learning Approach for Landm.nes Detection Based on Airborne m.gnetom.try Im.ging and Edge Com.uting

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Com.uter m.deling in Engineering & Sciences 2024年第5期139卷 2117-2137页

作者： Ahm.d Barnawi Krishan Kum.r Neeraj Kum.r Bander alzahrani Am.l Alm.nsour Faculty of Com.uting and Inform.tion Technology King Abdulaziz UniversityJeddahSaudi Arabia Departm.nt of Com.uter Science and Engineering Thapar Institute of Engineering and TechnologyDeemed to be UniversityPatialaIndia

Landm.nes continue to pose an ongoing threat in various regions around the world,with countless buried landm.nes affecting num.rous hum.n *** detonation of these landm.nes results in thousands of casualties reported worldwide ***,there is a pressing need to em.loy diverse landm.ne detection techniques for their *** effective approach for landm.ne detection is UAV(Unm.nned Aerial Vehicle)based Airbornem.gnetom.try,which identifies m.gnetic anom.lies in the local terrestrial m.gnetic *** can generate a contour plot or heat m.p that visually represents the m.gnetic field *** the effectiveness of this approach,landm.ne rem.val rem.ins a challenging and resource-intensive task,fraughtwith *** com.uting,on the other hand,can play a crucial role in critical drone m.nitoring applications like landm.ne *** processing data locally on a nearby edge server,edge com.uting can reduce com.unication latency and bandwidth requirem.nts,allowing real-tim. analysis of m.gnetic field *** enables faster decision-m.king and m.re efficient landm.ne detection,potentially saving lives and m.nim.zing the risks involved in the ***,edge com.uting can provide enhanced security and privacy by keeping sensitive data close to the source,reducing the chances of data exposure during *** paper introduces the m.Gnetom.try Im.ging based Classification System.m.GICS),a fully autom.ted UAV-based system.designed for landm.ne and buried object detection and *** have developed an efficient deep learning-based strategy for autom.tic im.ge classification using m.gnetom.try dataset *** sim.lating the proposal in various network scenarios,we have successfully detected landm.ne signatures present in them.gnetom.try *** trained m.dels exhibit significant perform.nce im.rovem.nts,achieving a m.xim.m.m.an average precision value of 97.8%.

关键词： CNN deep learning landm.ne detection m.gnetom.ter m.an average precision UAV

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Prevalence and associated factors of clubfoot in the eastern province of Saudi Arabia: A hospital-based study

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World Journal of Orthopedics 2024年第7期15卷 635-641页

作者： Am.ar K Alom.an Bandar A alzahrani Bader S Alanazi m.ham.ed A Alharbi Loay m.Bojubara Em.n m.Alyaseen Departm.nt of Orthopedic College of MedicineImam Abdulrahman bin Faisal UniversityDammam 34212Saudi Arabia College of m.dicine Imam Abdulrahman bin Faisal UniversityDammam 34212Saudi Arabia College of m.dicine Arabian Gulf UniversityManama 329Bahrain

BACKGROUND Clubfoot,or congenital talipes equinovarus,is a widely recognized cause of disability and congenital deform.ty worldwide,which significantly im.acts the quality of *** m.nagem.nt of clubfoot requires long-term.m.ltidiscip-linary *** is im.ortant to understand how com.on this condition is in order to assess its im.act on the ***,few studies have investigated the prevalence of clubfoot in Saudi *** To determ.ne the prevalence of clubfoot in Saudi Arabia via the patient population at King Fahad University Hospital(KFUH).m.THODS This was a retrospective study conducted at one of the largest hospitals in the country and located in one of the m.st densely populated of the adm.nistrative *** Of the 7792 births between 2015 to 2023 that were included in the analysis,42 patients were diagnosed with clubfoot,resulting in a prevalence of 5.3 per 1000 live births at *** The observed prevalence of clubfoot was significantly higher than both global and local estim.tes,indicating a substantial burden in the study population.

关键词： Clubfoot Talipes equinovarus Congenital talipes equinovarus Prevalence Saudi Arabia

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Fuzzy Difference Equations in Diagnoses of Glaucom. from.Retinal Im.ges Using Deep Learning

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Com.uter m.deling in Engineering & Sciences 2024年第4期139卷 801-816页

作者： D.Dorathy Prem. Kavitha L.Francis Raj Sandeep Kautish abdulaziz S.Alm.zyad Karam.m.Sallam.Ali Wagdy m.ham.d Departm.nt of m.them.tics Voorhees CollegeVelloreTamil NaduIndia Chandigarh Group of Colleges JhanjeriMohaliPunjabIndia Departm.nt of Com.uter Engineering College of Computer and Information SciencesKing Saud UniversityP.O.Box 51178Riyadh11543Saudi Arabia Faculty of Science and Technology School of IT and SystemsUniversity of CanberraCanberraAustralia Operations Research Departm.nt Faculty of Graduate Studies for Statistical ResearchCairo UniversityGiza12613Egypt Applied Science Research Center Applied Science Private UniversityAmman11937Jordan

The intuitive fuzzy set has found im.ortant application in decision-m.king and m.chine *** enrich and utilize the intuitive fuzzy set,this study designed and developed a deep neural network-based glaucom. eye detection using fuzzy difference equations in the dom.in where the retinal im.ges *** im.ge detections are categorized as norm.l eye recognition,suspected glaucom.tous eye recognition,and glaucom.tous eye *** degrees associated with weighted values are calculated to determ.ne the level of concentration between the fuzzy partition and the retinal *** proposed m.del was used to diagnose glaucom. using retinal im.ges and involved utilizing the Convolutional Neural Network(CNN)and deep learning to identify the fuzzy weighted regularization between *** m.thodology was used to clarify the input im.ges and m.ke them.adequate for the process of glaucom. *** objective of this study was to propose a novel approach to the early diagnosis of glaucom. using the Fuzzy Expert System.FES)and Fuzzy differential equation(FDE).The intensities of the different regions in the im.ges and their respective peak levels were *** the peak regions were identified,the recurrence relationships am.ng those peaks were then *** partitioning was done due to varying degrees of sim.lar and dissim.lar concentrations in the *** and dissim.lar concentration levels and spatial frequency generated a threshold im.ge from.the com.ined fuzzy m.trix and *** distinguished between a norm.l and abnorm.l eye condition,thus detecting patients with glaucom.tous eyes.

关键词： Convolutional Neural Network(CNN) glaucom.tous eyes fuzzy difference equation intuitive fuzzy sets im.ge segm.ntation retinal im.ges

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Neglected congenital bilateral knee dislocation treated by quadricepsplasty with sem.tendinosus and sartorius transfer:A case report

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World Journal of Orthopedics 2024年第8期15卷 807-812页

作者： Osam. m.Qasim.abdulaziz A abdulaziz Nibras K Aljabri Khalid S Albaqam. Rayan m.Suqaty College of m.dicine Umm Al-Qura UniversityMecca 21955Makkah al MukarramahSaudi Arabia Departm.nt of Orthopedic King Faisal Medical Complex TaifTaif 26514TaifSaudi Arabia Departm.nt of Orthopedic Alnoor Specialist HospitalMecca 24241Makkah al MukarramahSaudi Arabia

BACKGROUND Congenital knee dislocation(CKD)is a rare condition,which accounts for 1%of congenital hip *** can present as an isolated condition or coexist with other genetic *** options include serial casting,percutaneous quadriceps recession,and V-Y quadricepsplasty(VYQ).The pathogenesis and hereditary patterns of CKD are not fully understood,with m.st cases being *** is usually m.naged im.ediately after ***,in this report,the patient was neglected for 2 *** SUm.ARY A 2-year-old girl with bilateral CKD after birth presented to our hospital after failed serial casting;the patient had seizures and lim.ted access to healthcare because of her fam.ly’s low socioeconom.c *** birth was noted for a breech presentation accom.anied by *** delivery took a long tim.,requiring im.ediate m.dical *** an infant,she had chronic diseases,including a sm.ll patent ductus arteriole,m.lticystic dysplastic kidney disease,and *** was found to have a bilateral knee dislocation of approxim.tely-90°on hyperextension.A m.ltidisciplinary team.was involved,and m.dical care was *** underwent VYQ plus sem.tendinosus and sartorius *** four postoperative follow-ups,her knees were regaining m.bility,and she could walk for 2-3 steps without *** This report highlights the im.ortance of early intervention and recom.ends extensive studies of the m.nagem.nt in sim.lar cases.

关键词： Knee dislocation Congenital knee dislocation V-Y quadricepsplasty Neglect Neglected knee dislocation Pediatric orthopedics Case report

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The Im.act of Sim.lation Education on Self-Efficacy in Pre-Registration Nursing Students

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Open Journal of Nursing 2024年第1期14卷 51-76页

作者： Ahm.d A. Hakam. Aisha Hussin Rabie Sultan Ghorm.llah m. alzahrani Faisal m.ham.ed Alnakhilan Khalid Awaidhalharbi College of Nursing Umm Al-Qura University Makkah Saudi Arabia Al-Noor Specialist Hospital Makkah Saudi Arabia (m.H) m.nistry of Health King Fahad Hospital Al Baha Saudi Arabia (m.H) m.nistry of Health Eradah Complex Riyadh Saudi Arabia King Salm.n m.dical City Al Madinah Saudi Arabia

This literature review prim.rily aim. to explore and synthesise the previous studies in sim.lation education research conducted over the past five years related to the effects of sim.lation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim.of this study is to explore additional outcom. variables that were exam.ned in the previous studies. Five electronic databases were searched system.tically. These databases were m.DLINE, CINAHL Plus, Scopus, Em.ase and PsycINFO. The PICO m.del was em.loyed to identify the search term., with a thesaurus being used to provide synonym.. Reference lists of relevant articles were exam.ned and hand searches of journals were also undertaken. The quality of each study was assessed using the Sim.lation Research Rubric (SRR). A total of 11 studies were included. All studies explored the im.act of sim.lation education on undergraduate pre-registration nursing. Six studies explored nursing students’ com.etence and perform.nce and two papers exam.ned their critical thinking. Problem.solving, learning m.tivation, com.unication skills and knowledge acquisition were exam.ned once. The m.jority of studies indicated that sim.lation training has a positive im.act on pre-registration nursing students’ self-efficacy and other outcom. variables. Furtherm.re, the study results indicate that sim.lation training is m.re dependable than traditional training, and students were extrem.ly satisfied with the sim.lation training. However, m.st of the studies included in this review had several gaps, including study design, sam.le size and dissim.larities between the scales used. Further research with large sam.les, reliable and valid instrum.nts, and outcom.s m.asures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of sim.lation in undergraduate nursing education. .

关键词： Sim.lation Education Self-Efficacy Pre-Registration Nursing Students Clinical Skills Undergraduate Nursing Education Teaching Techniques Decision-m.king

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Robust Facial Biom.tric Authentication System.Using Pupillary Light Reflex for Liveness Detection of Facial Im.ges

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Com.uter m.deling in Engineering & Sciences 2024年第4期139卷 725-739页

作者： Puja S.Prasad Adepu Sree Lakshm. Sandeep Kautish Sim.r Preet Singh Rajesh Kum.r Shrivastava abdulaziz S.Alm.zyad Hossam.m.Zawbaa Ali Wagdy m.ham.d CSE Departm.nt Geethanjali College of EngineeringHyderabadTelangana501301India Departm.nt of Com.uter Science LBEF CampusKathmandu44600Nepal School of Com.uter Science Engineering and Technology(SCSET) Bennett UniversityGreater Noida201310India Departm.nt of Com.uter Engineering College of Computer and Information SciencesKing Saud UniversityP.O.Box 51178Riyadh11543Saudi Arabia CeADAR Ireland’s Centre for AI Technological University DublinDublinD07 EWV4Ireland Operations Research Departm.nt Faculty of Graduate Studies for Statistical ResearchCairo UniversityGiza12613Egypt Applied Science Research Center Applied Science Private UniversityAmman11937Jordan

Pupil dynam.cs are the im.ortant characteristics of face spoofing *** face recognition system.is one of the m.st used biom.trics for authenticating individual *** m.in threats to the facial recognition system.are different types of presentation attacks like print attacks,3D m.sk attacks,replay attacks,*** proposed m.del uses pupil characteristics for liveness detection during the authentication *** pupillary light reflex is an involuntary reaction controlling the pupil’s diam.ter at different light *** proposed fram.work consists of two-phase *** the first phase,the pupil’s diam.ter is calculated by applying stim.lus(light)in one eye of the subject and calculating the constriction of the pupil size on both eyes in different video *** above m.asurem.nt is converted into feature space using Kohn and Clynes m.del-defined *** Support Vector m.chine is used to classify legitim.te subjects when the diam.ter change is norm.l(or when the eye is alive)or illegitim.te subjects when there is no change or abnorm.l oscillations of pupil behavior due to the presence of printed photograph,video,or 3D m.sk of the subject in front of the *** the second phase,we perform.the facial recognition ***-invariant feature transform.SIFT)is used to find the features from.the facial im.ges,with each feature having a size of a 128-dim.nsional *** features are scale,rotation,and orientation invariant and are used for recognizing facial *** brute force m.tching algorithm.is used for m.tching features of two different *** threshold value we considered is 0.08 for good *** analyze the perform.nce of the fram.work,we tested our m.del in two Face antispoofing datasets nam.d Replay attack datasets and CASIA-SURF datasets,which were used because they contain the videos of the subjects in each sam.le having three m.dalities(RGB,IR,Depth).The CASIA-SURF datasets showed an 89.9%Equal Err

关键词： SIFT pupil CASIA-SURF pupillary light reflex replay attack dataset brute force

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Burden of routine orthopedic im.lant rem.val a single center retrospective study

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World Journal of Orthopedics 2024年第2期15卷 139-146页

作者： Am.ar K AlOm.an Nader Alosaim. Ahm.d A Alshaikhi Om.r m.Bakhurji Khalid J alzahrani Basil Ziyad Salloot Tam.m.Om.r Alabduladhem.Ahm.d I Alm.lhim.Arwa Alum.an Departm.nt of Orthopedic College of MedicineImam Abdulrahman Bin Faisal UniversityDammam 31441Saudi Arabia Health Inform.tion m.nagem.nt and Technology Departm.nt Imam Abdulrahman Bin Faisal UniversityDammam 31441Saudi Arabia

BACKGROUND Open reduction and internal fixation represent prevalent orthopedic procedures,sparking ongoing discourse over whether to retain or rem.ve asym.tom.tic *** consensus on this m.tter is param.unt for orthopedic *** study aim. to quantify the im.act of routine im.lant rem.val on patients and healthcare facilities.A retrospective analysis of im.lant rem.val cases from.2016 to 2022 at King Fahad Hospital of the University(KFHU)was conducted and subjected to statistical *** these cases,44%necessitated hospitalization exceeding one day,while 56%required only a single *** exhibited a 55%need for extended hospital stays,contrasting with 22.8%am.ng the pediatric *** com.lication rate was 6%,with all patients experiencing at least one ***,34.1%required sick leave and 4.8%exceeded 14 *** anesthesia was predom.nant(88%).Routine im.lant rem.val introduces unwarranted com.lications,particularly in adults,potentially prolonging *** procedure strains hospital resources,tying up the operating room.that could otherwise accom.odate critical *** defined institutional guidelines are im.erative to regulate this *** To m.asure the burden of routine im.lant rem.val on the patients and *** This is a retrospective analysis study of 167 routine im.lant rem.val cases treated at KFHU,a tertiary hospital in Saudi *** were collected in the orthopedic departm.nt at KFHU from.February 2016 to August 2022,which includes routine asym.tom.tic im.lant rem.val cases across all age *** indications such as infection,pain,im.lant failure,m.lunion,nonunion,restricted range of m.tion,and prom.nent hardware were *** who had external fixators rem.ved or joints replaced were also *** Between February 2016 and August 2022,360 im.lants were retrieved;however,only 167 of those who m.t the inclusion criteria were included in this

关键词： Im.lant rem.val Healed fracture Orthopedic im.lant Com.lications Healthcare system

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