检索结果-南通市图书馆

The Effect of Longitudinal Stretching of Muscles and Nerve versus Deep Transverse Friction Massage in the Management of Patients with Carpal Tunnel Syndrome

引用

Open Journal of Therapy and Rehabilitation 2014年第4期2卷 199-206页

作者： Ashraf Ramadan Hafez aqeel mohammed alenazi Shaji John Kachanathu Abdulmohsen Meshari Alroumi Elham Saed Mohamed Cairo University Hospital Cairo University Cairo Egypt Physical Therapy and Rehabilitation Department College of Applied Medical Sciences Salman Bin Abdulaziz University Alkharj Saudi Arabia Collage of Applied Medical Sciences King Saud University Riyadh Saudi Arabia Physical Therapy Department College of Applied Medical Sciences Shaqra University Shaqra Saudi Arabia

Background and Purpose: Carpal tunnel syndrome (CTS) is a common source of hand numbness and pain. The goal of this study was to compare longitudinal stretching of muscles and nerve to deep transverse friction massage for decreasing pain and improving hand function in patients with chronic CTS. Subjects and Methods: Thirty patients, 25 to 40 years old, were included in this study and randomized into two groups: the first group (36.8 ± 0.262) followed a physical therapy program group receiving stretching of wrist and hand flexors in combination with ultrasound, strengthening exercises of wrist and hand flexors, and wrist splint, three sessions per week for 12 weeks;and the second group (35.9 ± 0.225) followed the physical therapy program of deep transverse friction massage on the carpal tunnel site at the wrist joint, with using ultrasonic therapy, strengthening exercises of wrist and hand flexors and wrist splint, three sessions per week for 12 weeks. Outcome measures were range of motion (ROM), pain using visual analog scale (VAS), and hand grip strength measured with a sphygmomanometer. Results: There was a significant difference in both groups in all outcome measures compared to baseline. Over stretching group showed significant difference at the end of study in terms of range of motion of wrist flexion, extension and strength of handgrip when compared to deep friction massage group P < 0.05. However, there is no significant difference between groups in pain. Discussion and Conclusion: This study showed that the effect of stretching exercises is more beneficial than deep transverse friction massage in the treatment of patients with CTS in decreasing the compression of the median nerve in the tunnel.

关键词： Carpal Tunnel Syndrome Median Nerve Stretching Exercises Ultrasonic Therapy Deep Transversefriction Massage Hand Weakness and Numbness

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effective Controller Placement in Software-Defined Internet-of-Things Leveraging Deep Q-Learning (DQL)

引用

Computers, Materials & Continua 2024年第12期81卷 4015-4032页

作者： Jehad Ali mohammed J.F.alenazi Department of AI Convergence Network Ajou UniversitySuwon16499Republic of Korea Department of Computer Engineering College of Computer and Information SciencesKing Saud UniversityRiyadh11362Saudi Arabia

The controller is a main component in the Software-Defined Networking(SDN)framework,which plays a significant role in enabling programmability and orchestration for 5G and next-generation *** SDN,frequent communication occurs between network switches and the controller,which manages and directs traffic *** the controller is not strategically placed within the network,this communication can experience increased delays,negatively affecting network ***,an improperly placed controller can lead to higher end-to-end(E2E)delay,as switches must traverse more hops or encounter greater propagation delays when communicating with the *** paper introduces a novel approach using Deep Q-Learning(DQL)to dynamically place controllers in Software-Defined Internet of Things(SD-IoT)environments,with the goal of minimizing E2E delay between switches and controllers.E2E delay,a crucial metric for network performance,is influenced by two key factors:hop count,which measures the number of network nodes data must traverse,and propagation delay,which accounts for the physical distance between *** approach models the controller placement problem as a Markov Decision Process(MDP).In this model,the network configuration at any given time is represented as a“state,”while“actions”correspond to potential decisions regarding the placement of controllers or the reassignment of switches to *** a Deep Q-Network(DQN)to approximate the Q-function,the system learns the optimal controller placement by maximizing the cumulative reward,which is defined as the negative of the E2E ***,the lower the delay,the higher the reward the system receives,enabling it to continuously improve its controller placement *** experimental results show that our DQL-based method significantly reduces E2E delay when compared to traditional benchmark placement *** dynamically learning from the network’s real-time conditions,the prop

关键词： Software-defined networking deep Q-learning controller placement quality of service

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Threshold-Based Software-Defined Networking(SDN)Solution for Healthcare Systems against Intrusion Attacks

引用

Computer Modeling in Engineering & Sciences 2024年第2期138卷 1469-1483页

作者： Laila M.Halman mohammed J.F.alenazi Department of Computer Engineering College of Computer ScienceKing Saud UniversityRiyadh11451Saudi Arabia

The healthcare sector holds valuable and sensitive *** amount of this data and the need to handle,exchange,and protect it,has been increasing at a fast *** to their nature,software-defined networks(SDNs)are widely used in healthcare systems,as they ensure effective resource utilization,safety,great network management,and *** this sector,due to the value of thedata,SDNs faceamajor challengeposed byawide range of attacks,such as distributed denial of service(DDoS)and probe *** attacks reduce network performance,causing the degradation of different key performance indicators(KPIs)or,in the worst cases,a network failure which can threaten human *** can be significant,especially with the current expansion of portable healthcare that supports mobile and wireless devices for what is called mobile health,or *** this study,we examine the effectiveness of using SDNs for defense against DDoS,as well as their effects on different network KPIs under various *** propose a threshold-based DDoS classifier(TBDC)technique to classify DDoS attacks in healthcare SDNs,aiming to block traffic considered a hazard in the form of a DDoS *** then evaluate the accuracy and performance of the proposed TBDC *** technique shows outstanding performance,increasing the mean throughput by 190.3%,reducing the mean delay by 95%,and reducing packet loss by 99.7%relative to normal,with DDoS attack traffic.

关键词： Network resilience network management attack prediction software defined networking(SDN) distributed denial of service(DDoS) healthcare

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Role of Apoptosis in Microbial Infection

引用

Open Journal of Apoptosis 2014年第2期3卷 32-38页

作者： Faris Q. Alenzi Ahmed Q. Alotaibi Gdhi M. Almotiri Anwar M. Alanazi Faisal M. Alanazi mohammed S. alenazi Khalaf A. Alanazi mohammed J. Alenzi Shamweel Y. Ahmad Deparment of Medical Laboratory Sciences College of Applied Medical Sciences Salman Bin Abdulaziz University Al-Kharj Saudi Arabia Medical College Al-Jouf University Sakaka Saudi Arabia Ministry of Health Riyadh Saudi Arabia

Apoptosis plays a central role in the pathogenesis of a number of human diseases. Because apoptosis represents a fundamental process in the response to such infections, it may represent a therapeutic target for their treatment. There is thus likely to be future clinical relevance in harnessing our growing knowledge both of apoptotic mechanisms, and their regulation, in the search to achieve modalities for therapeutic benefit. This brief review aims to summarize what we currently know about the role of apoptosis in response to a range of microbial infections (including bacterial and viral).

关键词： Apoptosis Microbial Pathogens Infection Therapy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The Safety and Efficacy of Combination Therapy of Dapagliflozin and Metformin in Patient with Type 2 Diabetes Mellitus: A Review Study

引用

Journal of Diabetes Mellitus 2022年第4期12卷 271-283页

作者： Saif K. Alkhanferi Khadeejah H. Alhuraiz Hussein S. Alyami Sultan L. alenazi mohammed F. Aldhaban Naif Alrowedann Yazeed Y. Albedaiwi Nawal Alnazawi Abrar Bokhamseen Fatimah A. Talaqof King Abdulaziz Medical City National Guard Health Affairs Riyadh Saudi Arabia King Abdullah International Medical Research Center Riyadh Saudi Arabia Imam Abdurrahman Bin Faisal Hospital National Guard Health Affairs Dammam Saudi Arabia Qassim Primary Health Care Center National Guard Health Affairs Qassim Saudi Arabia

Background: Sodium glucose co-transporter 2 (SGLT2) inhibitors are a new class that approved by FDA for patient with type 2 DM. Dapagliflozin alone or in combination therapy with metformin provided effective glycemic control and HbA1c reduction, with minimal hypoglycemia and hypotension adverse effects. Objective: To evaluate the safety and efficacy of the combination therapy of dapagliflozin and metformin in type 2 diabetes mellitus patients. Methods: Research was conducted through MEDLINE and Embase databases in search of randomized controlled studies including dapagliflozin, sodium glucose co-transporter 2, metformin, and efficacy. Results: Forty seven articles were spotted, 3 randomized controlled studies were involved in this review. Dapagliflozin and metformin combination was found beneficial in HbA1c reduction equal to 20.7% - 31.5% from the baseline compared to patients on metformin alone. 40.6% of patients on combination therapy achieved the ADA recommended reduction in HbA1c to less than 7%. Moreover fasting plasma glucose level was reduced by 23.4 mg/dl from the baseline in the combination therapy compared to 5.9 mg/dl in metformin group. Body weight reduction was statistically significant (P Conclusion: The combination therapy of dapagliflozin and metformin found to be safe and effective in type 2 diabetes mellitus management with minimal adverse effects.

关键词： Dapagliflozin Sodium Glucose Co-Transporter 2 SGLT2 Metformin Efficacy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：