检索结果-南通市图书馆

Diagnostic accuracy of ePOS score in predicting DNR labeling after ICU admission:A prospective observational study(ePOS-DNR)

在线全文

学校读者我要写书评

暂无评论

Journal of Intensive Medicine 2024年第2期4卷 216-221页

作者： Omar E.ramadan ahmed F.Mady Mohammed A.Al-Odat ahmed N.Balshi ahmed W.Aletreby Taisy J.Stephen Sheena R.Diolaso Jennifer Q.Gano Waleed Th.Aletreby Department of Critical Care King Saud Medical CityRiyadhSaudi Arabia Anesthesia Department Faculty of MedicineAin Shams UniversityCairoEgypt Anesthesia Department Faculty of MedicineTanta UniversityTantaEgypt Faculty of Medicine Alexandria UniversityAlexandriaEgypt Nursing Department King Saud Medical CityRiyadhSaudi Arabia

Background Resuscitation can sometimes be futile and making a do-not-resuscitate(DNR)decision is in the best interest of the *** electronic poor outcome screening(ePOS)score was developed to predict 6-month poor outcomes of critically ill *** explored the diagnostic accuracy of the ePOS score in predicting DNR decisions in the intensive care unit(ICU).Methods This study was conducted at the ICU of a tertiary referral hospital in Saudi Arabia between March and May ***,we calculated ePOS scores for all eligible consecutive admissions after 48 h in the ICU and recorded the DNR *** ability of the score to predict DNR was explored using logistic ***'s ideal cut-off value was calculated using the DeLong method,and different diagnostic accuracy measures were generated with corresponding 95%confidence intervals(CIs).Results We enrolled 857 patients,125 received a DNR order and 732 did *** average ePOS score of DNR and non-DNR patients was 28.2±10.7 and 15.2±9.7,*** score,as a predictor of DNR order,had an area under receiver operator characteristic(AUROC)curve of 81.8%(95%CI:79.0 to 84.3,P17 was associated with a sensitivity of 87.2(95%CI:80.0 to 92.5,P17 may help guide clinical decisions to withhold or commence resuscitative measures.

关键词： Do-not-resuscitate(DNR) Resuscitation Intensive care unit(ICU) Diagnostic accuracy Sensitivity Specificity

Friction and wear of sand-contaminated lubricated sliding

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Friction 2018年第4期6卷 457-463页

作者： Mohamed ahmed ramadan Faculty of Engineering at Helwan Helwan University

This paper reports a test investigation of friction and wear responses from sand contaminated lubricated sliding. The influence of sand contaminants on wear and friction is characterized. Analyses are completed utilizing segments of piston ring sliding against the cylinder liner. Paraffin oil, with and without sand contaminants, is utilized. The effects of the concentration and particle size of sand are examined. Based on the observations in the present work, we found that friction and wear increase with sand concentration in the lube. Solid proposals ought to be considered, in order to enlighten the general population on the importance of changing a car engine's oil filter regularly.

关键词： sand contamination lubrication oil abrasive wear lubricated sliding

Could ketamine be the answer to treating treatment-resistant major depressive disorder?

在线全文

学校读者我要写书评

暂无评论

General Psychiatry 2020年第5期33卷 296-300页

作者： Abdullah Mohammed ramadan Islam ahmed Mansour Psychiatry Mansoura University Faculty of MedicineMansouraEgypt

Major depressive disorder(MDD)is a common,serious,debilitating condition affecting 350 million people worldwide,which remains to be unsatisfactorily treated with 53%of patients still complaining of symptoms after completing their courses with the correct ***,which was approved by the Food and Drug Administration in 2019,is a potential treatment option for those recalcitrant *** mechanism of ketamine is not fully understood,but as type it is classified as an N-methyl-D-aspartate(NMDA)glutamate receptor antagonist,and can be given intravenously,intranasally and *** is used to treat treatment-resistant depression,depression associated with suicidal ideation,mood and anxiety disorders and depressions associated with either type of bipolar *** ketamine is considered relatively safe,several side effects have been reported with the major ones being psychiatric in the form of worsening mood,anxiety and agitation;psychotomimetic in the form of dissociation,perceptual disturbance and abnormal sensations;cardiovascular in the form of increased blood pressure and increased heart rate;and neurological in the form of headache and *** is still not approved worldwide for usage in patients with treatment-resistant MDD,but if it is approved sometime in the future with relatively fewer side effects,it is expected to significantly save millions of dollars spent yearly on patients with treatment-resistant depression and that will lift this major burden off the shoulders of healthcare *** study was designed to measure the effects of ketamine,an NMDA receptor antagonist,on patients with treatment-resistant MDD and to analyse the concept that makes it different and relatively safer than other major antidepressants like selective serotonin reuptake inhibitors,monoamine oxidase inhibitors and TCAs(tricyclic antidepressants).

关键词： ketamine dosage sensation

Dissolved gas analysis and dissipation factor measurement of mineral oil-based nanofluids under thermal and electrical faults

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

High Voltage 2023年第3期8卷 455-465页

作者： ahmed Maher Diaa-Eldin A.Mansour Khaled Helal ramadan A.A.Abd El Aal Department of Electrical Engineering Faculty of EngineeringPort-Said UniversityPort-SaidEgypt Department of Electrical Power Engineering Faculty of EngineeringEgypt-Japan University of Science and Technology(E-JUST)New Borg El-Arab CityAlexandriaEgypt Department of Electrical Power and Machines Engineering Faculty of EngineeringTanta UniversityTantaEgypt

Mineral oil is the most frequent insulating liquid used in oil-immersed transformers for electrical insulation and heat ***,oil-based nanofluids are becoming more popular in scientific research as they have proved to have better dielectric and thermal *** applying these nanofluids into actual transformers,they would be exposed to thermal and electrical ***,The aim of the authors is to investigate the generation pattern of dissolved gases in nanofluids under thermal and electrical faults and to assess the applicability of traditional Dissolved Gas Analysis(DGA)techniques if oil-based nanofluids are used in ***-based nanofluid samples were prepared using a magnetic stirrer and an ultrasonic homogeniser and then subjected to simulated thermal and electrical faults in the laboratory using properly sealed test *** types of metal oxides,Silicon dioxide,Titanium dioxide,and Aluminium oxide nanoparticles,have been used to prepare nanofluids with 0.02 g/L and 0.04 g/L *** gases released and dissolved into oil due to the simulated faults were analysed and compared to traditional mineral oil as a *** dielectric dissipation factor was obtained and analysed for all *** to the findings,the presence and concentration of nanoparticles were shown to influence the amount of gases *** a result,this research is crucial in guaranteeing that traditional DGA techniques can be employed in transformers that use oil-based nanofluids.

关键词： electrical thermal dioxide

Are climate change and mental health correlated?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

General Psychiatry 2021年第6期34卷 49-57页

作者： Abdullah Mohammed Hassan ramadan ahmed G Ataallah Department of Psychiatry Mansoura University Faculty of MedicineMansouraEgypt

Climate change is one of the biggest challenges of our time and is likely to affect human beings in substantial ***,researchers started paying more attention to the changes in climate and their subsequent impact on the social,environmental and economic determinants of health,and the role they play in causing or exacerbating mental health *** effects of climate change-related events on mental well-being could be classified into direct and indirect *** direct effects of climate change mostly occur after acute weather events and include post-traumatic stress disorder,anxiety,substance abuse disorder,depression and even suicidal *** indirect effects include economic losses,displacement and forced migration,competition over scarce resources and collective *** risk factors for developing those mental health issues include young age,female gender,low socioeconomic status,loss or injury of a loved one,being a member of immigrant groups or indigenous people,pre-existing mental illness and inadequate social ***,in some individuals,especially those undisturbed by any directly observable effects of climate change,abstract awareness and acknowledgement of the ongoing climate crisis can induce negative emotions that can be intense enough to cause mental health *** strategies should be provided to the affected communities to protect their mental health from collapse in the face of climate *** of the mental health impacts of climate change should be raised,especially in the high-risk *** and global attention to the climate crisis and its detrimental effects on mental health are *** paper was written with the aim of trying to understand the currently,scientifically proven impact of climate change-related disasters on mental health and understanding the different methods of solving the problem at the corporate level,by trying to decrease greenhouse gas emissions to zero,and at the i

关键词： mostly collective likely

Solar thermochemical reactions Ⅱ:Synthesis of 2-aminothiophenes via Gewald reaction induced by solar thermal energy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Chemical Letters 2008年第7期19卷 788-790页

作者： ramadan ahmed Mekheimer Mohamed Abdallah Ameen Kamal Usef Sadek Chemistry Department Faculty of ScienceEl-Minia UniversityEl-Minia 61519Egypt

Green conditions have been developed for the synthesis of substituted 2-aminothiophenes employing multicomponent reactions of a ketone with active methylene nitrile and elemental sulphur induced by free solar thermal ... 详细信息

关键词： 2-Aminothiophenes Gewald reaction Solar thermal energy

Some aspects affecting the response of RC compartment structures subjected to internal blast loads

在线全文

学校读者我要写书评

暂无评论

Earthquake Engineering and Engineering Vibration 2022年第1期21卷 135-148页

作者： Osman M.O.ramadan M.Galal El Sherbiny ahmed M.Khalil Faculty of Engineering Cairo UniversityCairo 12411Egypt Higher Technological Institute(HTI)at 10th of ramadan City Sharqia 13658Egypt Structural Engineering and Construction Management Department Faculty of Engineering&TechnologyFutureUniversity in Egypt-FUECairo 16383Egypt

Protective compartments are typically used to protect some specific structures from internal explosions,such as industrial buildings that contain devices that may explode in certain *** research investigates how the response of reinforced concrete(RC)compartment structures subjected to internal blast loads are affected by the following aspects:introduction of material nonlinearity in the analysis,reinforcement ratio,and aspect ratio of the *** achieve this goal,a calibrated and sophisticated FE numerical model is introduced,and a parametric study for the intended aspects is carried out.A discussion of the results and conclusions are offered,which show the role of each aspect in the dynamic performance of the compartment *** main conclusions are as follows:introduction of material nonlinearity in this type of analysis and for these structures is very important and significant in obtaining accurate outputs that are similar to actual behavior;the reinforcement ratio has a significant effect on the response and its effect varies depending on the thickness of the compartment;in general,increasing the reinforcement ratio enhances the behavior and reduces the stresses in the compartment;and the aspect ratio of the compartment does not show a clear pattern on the response of such structures under internal blast loads.

关键词： blast loads protective structures nonlinear analysis explicit dynamic analysis

Permutation-substitution image encryption scheme based on a modified chaotic map in transform domain

在线全文

学校读者我要写书评

暂无评论

Journal of Central South University 2017年第9期24卷 2049-2057页

作者： ramadan Noha ahmed HossamEldin H El-khamy Said E Abd El-Samie Fathi E Faculty of Electronic Engineering Menofia University Faculty of Engineering Alexandria University

A new chaotic image encryption scheme based on permutation and substitution in the Fourier domain is *** Fourier Transform(FRFT)is used before the encryption scheme to get a large degree of *** permutation is achieved by Baker map and the substitution by a key-related-to-plain-image algorithm based on the modified Logistic *** of the Logistic map is developed to increase the space of the encryption key,and hence increase the *** key of the encryption algorithm dependents on the plain image,and thus,the cipher image is sensitive to both the initial key and the plain image to resist known-plaintext and chosen plaintext *** key space is large and hence the algorithm can effectively resist brute-force *** proposed scheme is examined using different performance evaluation metrics and the results prove that the proposed scheme is highly secure,and it can effectively resist different attacks.

关键词： Backer map chaotic encryption fractional Fourier transform (FRFT) modified Logistic map

Patterns of liver profile disturbance in patients with COVID-19

在线全文

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2022年第7期10卷 2063-2071页

作者： Hend Ibrahim Shousha ahmed ramadan Rania Lithy Mohamed El-Kassas Department of Endemic Medicine Faculty of MedicineCairo UniversityCairo 12556Egypt Department of Endemic Medicine Faculty of MedicineHelwan UniversityCairo 11795Egypt

Fever and cough are the most common clinical symptoms of coronavirus disease 2019(COVID-19),but complications(such as pneumonia,respiratory distress syndrome,and multiorgan failure)can occur in people with additional ***-19 may be a new cause of liver disease,as liver profile disturbance is one of the most common findings among *** molecular mechanism underlying this phenomenon,however,is still *** this paper,we review the most current research on the patterns of change in liver profile among patients with COVID-19,the possible explanation for these findings,and the relation to pre-existing liver disease in these patients.

关键词： Liver functions COVID-19 Liver profile Alanine transaminase aspartate transaminase Bilirubin