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Yield of alarm features in predicting significant endoscopic findings among hospitalized patients with dyspepsia

World Journal of Gastroenterology 2024年第26期30卷 3210-3220页

作者： Lama Ibrahim Maamoun Basheer tawfik Khoury Wisam Sbeit Department of Internal Medicine Galilee Medical CenterNahariya 22001Israel Department of Gastroenterology Galilee Medical CenterNahariya 22001Israel Azrieli Faculty of Medicine Bar-Ilan UniversitySafed 1311502Israel

BACKGROUND Dyspepsia is a very prevalent upper gastrointestinal tract symptoms *** of these symptoms might arise from serious underlying diseases,so the promotion of evidence-based guidelines could potentially better align evaluation and *** To determine the value of alarm features as a predictive factor for significant endoscopic findings(SEFs)among hospitalized patients presenting with *** We conducted a retrospective case-control study including information about 6208 endoscopic procedures performed for hospitalized *** were divided into two groups,with and without SEFs,and compared to elucidate the ability of the different alarm features to predict *** During the study,605 patients fulfilled the inclusion *** the demographics and clinical characteristics of the two groups were compared,tachycardia(P<0.05),normocytic anemia,(P<0.05),leukocytosis(P<0.05),and hypoalbuminemia(P<0.05)documented on admission prior to endoscopy were strong predictors of *** the alarm features,upper gastrointestinal bleeding,persistent vomiting,odynophagia[odds ratio(OR)=3.81,P<0.05;OR=1.75,P=0.03;and OR=7.81,P=0.07,respectively]were associated with *** weight loss was strongly associated with malignancy as an endoscopic finding(OR=2.05;P<0.05).In addition,long-term use of anti-aggregate medications other than aspirin(P<0.05)was correlated to *** Novel predictors of SEFs were elucidated in this *** parameters could be used as an adjunctive in decision making regarding performing upper endoscopy in hospitalized patients with dyspepsia.

关键词： Dyspepsia Endoscopy Weight loss Anti-aggregate medications Persistent vomiting Odynophagia

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Optimizing Connections:Applied Shortest Path Algorithms for MANETs

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Computer Modeling in Engineering & Sciences 2024年第10期141卷 787-807页

作者： Ibrahim Alameri Jitka Komarkova tawfik Al-Hadhrami Abdulsamad Ebrahim Yahya Atef Gharbi Faculty of Medical Sciences Jabir Ibn Hayyan Medical UniversityAlkufaNajaf54001Iraq Faculty of Economics and Administration University of PardubiceStudentskaPardubice53210Czech Republic Computer Science Department School of Science and TechnologyNottingham Trent UniversityNottinghamNG118NSUK Department of Information Technology College of Computing and Information TechnologyNorthern Border UniversityArar91431Saudi Arabia Department of Information System College of Computing and Information TechnologyNorthern Border UniversityArar91431Saudi Arabia

This study is trying to address the critical need for efficient routing in Mobile Ad Hoc Networks(MANETs)from dynamic topologies that pose great challenges because of the mobility of *** objective was to delve into and refine the application of the Dijkstra’s algorithm in this context,a method conventionally esteemed for its efficiency in static ***,this paper has carried out a comparative theoretical analysis with the Bellman-Ford algorithm,considering adaptation to the dynamic network conditions that are typical for *** paper has shown through detailed algorithmic analysis that Dijkstra’s algorithm,when adapted for dynamic updates,yields a very workable solution to the problem of real-time routing in *** results indicate that with these changes,Dijkstra’s algorithm performs much better computationally and 30%better in routing optimization than Bellman-Ford when working with configurations of sparse *** theoretical framework adapted,with the adaptation of the Dijkstra’s algorithm for dynamically changing network topologies,is novel in this work and quite different from any traditional *** adaptation should offer more efficient routing and less computational overhead,most apt in the limited resource environment of ***,from these findings,one may derive a conclusion that the proposed version of Dijkstra’s algorithm is the best and most feasible choice of the routing protocol for MANETs given all pertinent key performance and resource consumption indicators and further that the proposed method offers a marked improvement over traditional *** paper,therefore,operationalizes the theoretical model into practical scenarios and also further research with empirical simulations to understand more about its operational effectiveness.

关键词： Dijkstra’s algorithm optimization complexity analysis shortest path first comparative algorithm analysis nondeterministic polynomial(NP)-complete

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Quality assessment of intraoperative frozen sections: An analysis of 261 consecutive cases in a resource limited area: Morocco

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Health 2012年第7期4卷 433-435页

作者： Laila Chbani Sekal Mohamed tawfik harmouch Hinde El Fatemi Afaf Amarti Department of Pathology Hassan II Teaching Hospital Fez Morocco

Purpose: To evaluate the accuracy and limits of a frozen section analysis in our department in order to develop a quality control. Materials and methods: all frozen sections reported at our department between 1st January 2010 and 31st December 2010, have been retrospectively evaluated. The frozen section results were compared to permanent paraffin section results. Results: Frozen sections and final diagnosis agreed in 95% and disagreed in 5% (13 cases), 6.6% of the cases were deferred (17 cases). The most common pathological processes encountered were presence/typing of neoplasm (85.4%) and assessment of surgical margins (7.3%). Conclusion: The accuracy of frozen sections diagnosis at our department can be interpreted as comparable with the most international quality control series and is valuable to assist surgeons in their decision.

关键词： Frozen Sections Quality Control Discrepancies Accuracy

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Enhancing Network Design through Statistical Evaluation of MANET Routing Protocols

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Computers, Materials & Continua 2024年第7期80卷 319-339页

作者： Ibrahim Alameri tawfik Al-Hadhrami Anjum Nazir Abdulsamad Ebrahim Yahya Atef Gharbi Faculty of Medical Sciences Jabir ibn Hayyan Medical UniversityAlkufa QuNajaf54001Iraq Computer Science Department School of Science and TechnologyNottingham Trent UniversityNottinghamNG118NSUK Department of Computing Faculty of Engineering Sciences&Technology(FEST)Hamdard UniversityKarachi74600Pakistan Department of Information Technology College of Computing and Information TechnologyNorthern Border UniversityArar91431Saudi Arabia Department of Information System College of Computing and Information TechnologyNorthern Border UniversityArar91431Saudi Arabia

This paper contributes a sophisticated statistical method for the assessment of performance in routing protocols salient Mobile Ad Hoc Network(MANET)routing protocols:Destination Sequenced Distance Vector(DSDV),Ad hoc On-Demand Distance Vector(AODV),Dynamic Source Routing(DSR),and Zone Routing Protocol(ZRP).In this paper,the evaluation will be carried out using complete sets of statistical tests such as Kruskal-Wallis,Mann-Whitney,and *** articulates a systematic evaluation of how the performance of the previous protocols varies with the number of nodes and the mobility *** study is premised upon the Quality of Service(QoS)metrics of throughput,packet delivery ratio,and end-to-end delay to gain an adequate understanding of the operational efficiency of each protocol under different network *** findings explained significant differences in the performance of different routing protocols;as a result,decisions for the selection and optimization of routing protocols can be taken effectively according to different network *** paper is a step forward in the general understanding of the routing dynamics of MANETs and contributes significantly to the strategic deployment of robust and efficient network infrastructures.

关键词： Routing protocols statistical approach friedman MANET

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Papillary Carcinoma Derived from Ovarian Mature Cystic Teratoma: A New Case Report and Literature Review

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Case Reports in Clinical Medicine 2014年第4期3卷 197-202页

作者： Ihsane Souaf Hinde El Fatemi Amal Bennani Chbani Leila Hammas Nawale harmouch tawfik Afaf Amarti Department of Pathology Hassan II Teaching Hospital Fez Morocco

Introduction: Papillary carcinoma arising from thyroid tissue in mature cysticteratoma (MCT) of the ovary is extremely rare, and it is not easy to diagnose preoperatively. No clinical, no radiological, no biological signs are specific to malignant transformation. Case presentation: A 51-year-old woman had a left ovarian tumor measuring approximately 18 cm diameter with malignant transformation of a mature cysticteratoma, who was diagnosed postoperatively with follicular variant of papillary thyroid carcinoma. A laparoscopic hysterectomy and left salpingo-oophorectomy were performed. During surgery, there were no signs of invasion or metastasis. Conclusion: Consideration should be given to thyroidectomy followed by total-body scanning and serum studies for foci of thyroid carcinoma and adjuvant therapy with thyroidectomy and radio ablation if residual disease is identified.

关键词： Ovarian Teratoma Papillary Carcinoma Malignant Transformation Thyroid Ovarian Neoplasm

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Adaptive Cloud Intrusion Detection System Based on Pruned Exact Linear Time Technique

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Computers, Materials & Continua 2024年第6期79卷 3725-3756页

作者： Widad Elbakri Maheyzah Md.Siraj Bander Ali Saleh Al-rimy Sultan Noman Qasem tawfik Al-Hadhrami Faculty of Computing Universiti Teknologi MalaysiaJohor BahruJohor81310Malaysia Computer Science Department College of Computer and Information SciencesImam Mohammad Ibn Saud Islamic University(IMSIU)Riyadh11432Saudi Arabia School of Science and Technology Nottingham Trent UniversityNottinghamNG118NSUK

Cloud computing environments,characterized by dynamic scaling,distributed architectures,and complex work-loads,are increasingly targeted by malicious *** threats encompass unauthorized access,data breaches,denial-of-service attacks,and evolving malware *** security solutions often struggle with the dynamic nature of cloud environments,highlighting the need for robust Adaptive Cloud Intrusion Detection Systems(CIDS).Existing adaptive CIDS solutions,while offering improved detection capabilities,often face limitations such as reliance on approximations for change point detection,hindering their precision in identifying *** can lead to missed attacks or an abundance of false alarms,impacting overall security *** address these challenges,we propose ACIDS(Adaptive Cloud Intrusion Detection System)-*** novel Adaptive CIDS framework leverages the Pruned Exact Linear Time(PELT)algorithm and a Support Vector Machine(SVM)for enhanced accuracy and ***-PELT comprises four key components:(1)Feature Selection:Utilizing a hybrid harmony search algorithm and the symmetrical uncertainty filter(HSO-SU)to identify the most relevant features that effectively differentiate between normal and anomalous network traffic in the cloud environment.(2)Surveillance:Employing the PELT algorithm to detect change points within the network traffic data,enabling the identification of anomalies and potential security threats with improved precision compared to existing approaches.(3)Training Set:Labeled network traffic data forms the training set used to train the SVM classifier to distinguish between normal and anomalous behaviour patterns.(4)Testing Set:The testing set evaluates ACIDS-PELT’s performance by measuring its accuracy,precision,and recall in detecting security threats within the cloud *** evaluate the performance of ACIDS-PELT using the NSL-KDD benchmark *** results demonstrate that ACIDS-PELT outperf

关键词： Adaptive cloud IDS harmony search distributed denial of service(DDoS) PELT machine learning SVM ISOTCID NSL-KDD

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Signet Ring Cell Carcinoma of Ampulla of Vater: Report of a Rare Malignancy and Literature Review

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Case Reports in Clinical Medicine 2014年第3期3卷 145-148页

作者： Ihsane Souaf Kawtar Znati Sanae Chahbouni Imane Hafid Hassania Ameurtesse Nawale Hammas Leila Chbani Hinde El Fatemi tawfik harmouch Afaf Amarti Department of Pathology Hassan II University Hospital of Fez Hassan Morocco

Introduction: Signet ring cell carcinoma is a rare tumor that generally originates in the gastrointestinal tract. Signet-ring cell carcinoma of the ampulla of Vater is extremely uncommon and a very rare clinical entity, which is infrequently reported in medical literature and only 31 cases have been mentioned. Most tumors affecting Vater’s Ampulla are adenocarcinomas and other histological variants are less frequent. It mainly occurs in elderly patients. Case Presentation: We report a case of signet ring cell carcinoma of Vater’s Ampulla. The tumour had infiltrated the duodenal, but local lymph nodes were clear (T3N0M0). Duodenopancreatectomy with pylorus preservation is the treatment of choice. Conclusions: Etiology and survival are not well-defined in the literature due to the extreme rarity of this disease.

关键词： Ampulla of Vater Carcinoma Signet Ring Cell Pancreas

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Occult Adrenal Insufficiency in Patients with Chronic Renal Disease

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International Journal of Clinical Medicine 2024年第8期15卷 375-381页

作者： Kamel El-Reshaid Abdulmohsen Al-Bader Hossameldin tawfik Sallam Department of Medicine Faculty of Medicine Kuwait University Kuwait City Kuwait Department of Otolaryngology Farwania Hospital Ministry of Health Kuwait City Kuwait Department of Medicine Al-Amiri Renal Center Ministry of Health Kuwait City Kuwait

Background: Addison’s disease is a rare disorder of the adrenal cortex that leads to inadequate production of cortisol initially followed by aldosterone and androgens. Its manifestations are usually slow and non-specific with potential for life-threatening adrenal crisis following hypermetabolic demands (infection, trauma, surgery). Patients: Over the past 10 years, 19 CRD-patients were diagnosed with occult PAI in our center. Results: Unprovoked hypotension was the most common manifestations of occult PAI and was the unmasking event in 11 (58%). It was without significant cardiac and/or severe systemic sepsis and was refractory to isotonic saline infusions. Equal number of the remaining patients (n = 2) presented with persistent and inexplicable electrolytes abnormalities viz. 1) hyponatremia despite restricted oral fluid intake, lack of dehydration and massive fluid overload, as well as 2) hyperkalemia despite potassium-restricted diet, hyperkalemic drugs and adequate therapy with Furosemide and low-potassium dialysis-baths. On the other hand, similar proportions presented with unprovoked 3) progressive weight loss, decrease appetite and cachexia as well as 4) frequent hypoglycemic attacks. All patients were treated and were medically stable after 29 (2 - 60) months of follow up. Autoantibodies to 21-hydroxylase enzyme were positive in 16 (90%). At diagnosis, and subsequent follow up, only 7 patients (37%) had multi-endocrine dysfunction of whom 2 with type 1 and 5 with type 2. Conclusion: High index of suspicion should be exerted in diagnosis of PAI in patients with CRD, since its clinical picture is similar to CRD manifestations and complications. In those patients, confirmatory tests and specific management can save their lives. .

关键词： Addison’s Disease Autoimmune Adrenalitis Chronic Renal Disease Multiple Endocrine Dysfunctions Primary Adrenal Insufficiency

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赛德西港用于船舶减排的陆上可再生能源供电评估

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哈尔滨工程大学学报（英文版） 2024年第2期23卷 506-524页

作者： Merna Makram Ameen M.Bassam Adel A.tawfik Waleed Yehia Naval Architecture and Marine Eng.Dept. Faculty of EngineeringPort Said UniversityPort Fuad 42526Egypt

Air pollution from shipping is becoming a critical issue,particularly in dense hub port *** proposed solution to minimize ship-based emissions at ports is the implementation of an Onshore Power Supply(OPS)*** allows ships to shut off their auxiliary engines and instead connect to the port *** there have been numerous studies conducted on ports in Europe and the United States,little research has been done on Egyptian ***,this paper aims to investigate the feasibility of implementing OPS at Port Said West Port in Egypt,aligning with Egypt Vision 2030’s goals for addressing climate *** research primarily focuses on analyzing data collected from calling ships to generate socio-economic and cost-effectiveness analyses of *** further enhance the environmental benefits of OPS,the paper proposes the use of solar energy as the OPS electricity *** findings of the study revealed that by relying on the national grid,emissions can be reduced by 28%.Moreover,it is predicted that this reduction could reach 100%if electricity generation is solely based on solar ***,the economic analysis demonstrates promising profitability,with a payback period of approximately two years.

关键词： Onshore power supply Port sustainability Shipping emissions inventory Solar energy Photovoltaic systems

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Synthesis of amyl ester grafted on carbon-nanopolymer composite as an inhibitor for cleaner shale drilling

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Petroleum 2022年第4期8卷 529-537页

作者： tawfik A.Saleh Mukaila A.Ibrahim Department of Chemistry King Fahd University of Petroleum&MineralsDhahran31261Saudi Arabia Department of Chemistry and Biochemistry University of Lethbridge4401University DriveLethbridgeAlbertaT1K 3M4Canada

Wellbore instability in oil and gas industry well drillings is a significant challenge that is linked to shale swelling when shale interacts with free water molecules in the water-based drilling *** design of environmentally benign,biodegradable,and effective shale hydration inhibitors is a prominent objective of contemporary exploration in well-drilling fluids as a replacement for the common KCl which is detrimental to aquatic *** work reports the synthesis and potential of novel green acrylic polymer-amyl ester activated carbon(-C)nanocomposite to hinder shale hydration in formations during *** less hydrophobic acrylic acid-acrylamide-activated carbon-amyl ester(AA-AAm-C-Amyl)and more hydrophobic acrylic acid-acrylamide-octadecene-activated carbon-amyl ester(AA-AAm-OD-CAmyl)composites were synthesized,characterized,and tested with standard methods as a cleaner fluid additive for shale swelling inhibition,and their results compared with that of *** polymer matrixes displayed remarkable thermal *** also indicate that AA-AAm-C-Amyl and AA-AAm-OD-CAmyl composites could stabilize wellbore effectively with 95.2%and 93.7%anti-swelling ratio,and shale recovery capacity of 97%and 95.2%*** surface evaluation of the composite fluidtreated bentonite revealed that the mechanism of inhibition could be based on the collaborative action of nanopore plugging of carbon core and strong adsorption of the polymer component of the materials on clay surfaces via encapsulation and hydrogen bonding to form an impressive filter cake which could actively prevent water invasion into ***,AA-AAm-C-Amyl and AA-AAm-OD-C-Amyl composites could be a sustainable substitute for the conventional KCl as a shale inhibitor for welldrilling.

关键词： Clean shale drilling Sustainable materials Advanced technology Amyl ester activated carbon Polymer composite

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