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medical research during the COVID-19 pandemic

World Journal of Clinical Cases 2020年第15期8卷 3156-3163页

作者： khalid alnaamani Siham AlSinani Alan N Barkun Division of Gastroenterology Department of Internal MedicineArmed Forces HospitalMuscat 999046Oman Graduate medical Education Department and Department of Child Health Sultan Qaboos University HospitalMuscat 999046Oman Division of Gastroenterology McGill University and the McGill University Health CentreMontreal H3G1A4Canada

The current pandemic of coronavirus disease 2019(COVID-19)which was first detected in Wuhan,China in December 2019 is caused by the novel coronavirus named severe acute respiratory syndrome coronavirus-2(SARS-CoV-2).The virus has quickly spread to a large number of countries leading to a great number of ***,till today there is no specific treatment or vaccination for *** of the suggested treatment medications are based on in vitro laboratory investigations,experimental animal models,or previous clinical experience in treating similar viruses such as SARS-CoV-1 or other retroviral *** running of any clinical trial during a pandemic is affected at multiple *** for this include patient hesitancy or inability to continue investigative treatments due to self-isolation/quarantine,or limited access to public places(including hospitals).Additional barriers relate to health care professionals being committed to other critical tasks or quarantining themselves due to contact with COVID-19 positive *** best research approaches are those that adapt to such external unplanned *** clinical trials before COVID-19 pandemic have the potential for identifying important therapies in the long-term if they can be completed as ***,these clinical trials may require modifications due a pandemic such as this one to ensure the rights,safety,and wellbeing of participants as well as medical staff involved in the conduction of clinical *** trials initiated during the pandemic must be time-efficient and flexible due to high contagiousness of severe acute respiratory syndrome coronavirus 2,the significant number of reported deaths,and time constraints needed to perform high quality clinical trials,enrolling adequate sample *** between different countries as well as implementation of innovative clinical trial designs are essential to successfully complete such initiatives during the cur

关键词： SARS-CoV-2 COVID-19 Pandemic Research Clinical trials

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Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus 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： Osama m Qasim Abdulaziz A Abdulaziz Nibras K Aljabri khalid S Albaqami Rayan m Suqaty College of medicine Umm Al-Qura UniversityMecca 21955Makkah al MukarramahSaudi Arabia Department of Orthopedic King Faisal Medical Complex TaifTaif 26514TaifSaudi Arabia Department 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 most cases being *** is usually managed immediately after ***,in this report,the patient was neglected for 2 *** SUmmARY A 2-year-old girl with bilateral CKD after birth presented to our hospital after failed serial casting;the patient had seizures and limited access to healthcare because of her family’s low socioeconomic *** birth was noted for a breech presentation accompanied by *** delivery took a long time,requiring immediate medical *** an infant,she had chronic diseases,including a small patent ductus arteriole,multicystic dysplastic kidney disease,and *** was found to have a bilateral knee dislocation of approximately-90°on hyperextension.A multidisciplinary team was involved,and medical care was *** underwent VYQ plus semitendinosus and sartorius *** four postoperative follow-ups,her knees were regaining mobility,and she could walk for 2-3 steps without *** This report highlights the importance of early intervention and recommends extensive studies of the management in similar cases.

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

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Burden of routine orthopedic implant removal 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： Ammar K AlOmran Nader Alosaimi Ahmed A Alshaikhi Omar m Bakhurji khalid J Alzahrani Basil Ziyad Salloot Tamim Omar Alabduladhem Ahmed I Almulhim Arwa Alumran Department of Orthopedic College of MedicineImam Abdulrahman Bin Faisal UniversityDammam 31441Saudi Arabia Health Information management and Technology Department 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 remove asymptomatic *** consensus on this matter is paramount for orthopedic *** study aims to quantify the impact of routine implant removal on patients and healthcare facilities.A retrospective analysis of implant removal 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%among the pediatric *** complication rate was 6%,with all patients experiencing at least one ***,34.1%required sick leave and 4.8%exceeded 14 *** anesthesia was predominant(88%).Routine implant removal introduces unwarranted complications,particularly in adults,potentially prolonging *** procedure strains hospital resources,tying up the operating room that could otherwise accommodate critical *** defined institutional guidelines are imperative to regulate this *** To measure the burden of routine implant removal on the patients and *** This is a retrospective analysis study of 167 routine implant removal cases treated at KFHU,a tertiary hospital in Saudi *** were collected in the orthopedic department at KFHU from February 2016 to August 2022,which includes routine asymptomatic implant removal cases across all age *** indications such as infection,pain,implant failure,malunion,nonunion,restricted range of motion,and prominent hardware were *** who had external fixators removed or joints replaced were also *** Between February 2016 and August 2022,360 implants were retrieved;however,only 167 of those who met the inclusion criteria were included in this

关键词： Implant removal Healed fracture Orthopedic implant Complications Healthcare system

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Performance Evaluation ofmulti-Agent Reinforcement Learning Algorithms

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Intelligent Automation & Soft Computing 2024年第2期39卷 337-352页

作者： Abdulghani m.Abdulghani mokhles m.Abdulghani Wilbur L.Walters khalid H.Abed Department of Electrical&Computer Engineering and Computer Science Jackson State UniversityJacksonMS 39217USA

multi-Agent Reinforcement Learning(mARL)has proven to be successful in cooperative *** is used to investigate how autonomous agents with the same interests can connect and act in one *** cooperation scenarios are explored in recreational cooperative augmented reality environments,as well as realworld scenarios in *** this paper,we explore the realm of mARL and its potential applications in cooperative *** focus is on developing a multi-agent system that can collaborate to attack or defend against enemies and achieve victory withminimal *** accomplish this,we utilize the StarCraftmulti-Agent Challenge(SmAC)environment and train four mARL algorithms:Q-learning with mixtures of Experts(QmIX),Value-DecompositionNetwork(VDN),multi-agent Proximal PolicyOptimizer(mAPPO),andmulti-Agent Actor Attention Critic(mAA2C).These algorithms allow multiple agents to cooperate in a specific scenario to achieve the targeted *** results show that the QmIX algorithm outperforms the other three algorithms in the attacking scenario,while the VDN algorithm achieves the best results in the defending ***,the VDNalgorithmreaches the highest value of battle wonmean and the lowest value of dead *** research demonstrates the potential formARL algorithms to be used in real-world applications,such as controllingmultiple robots to provide helpful services or coordinating teams of agents to accomplish tasks that would be impossible for a human to *** SmAC environment provides a unique opportunity to test and evaluate mARL algorithms in a challenging and dynamic environment,and our results show that these algorithms can be used to achieve victory with minimal damage.

关键词： Reinforcement learning RL multi-agent mARL SmAC VDN QmIX mAPPO

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The Impact of Simulation 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： Ahmed A. Hakami Aisha Hussin Rabie Sultan Ghormallah m. Alzahrani Faisal mohammed Alnakhilan khalid Awaidhalharbi College of Nursing Umm Al-Qura University Makkah Saudi Arabia Al-Noor Specialist Hospital Makkah Saudi Arabia (mOH) ministry of Health King Fahad Hospital Al Baha Saudi Arabia (mOH) ministry of Health Eradah Complex Riyadh Saudi Arabia King Salman medical City Al Madinah Saudi Arabia

This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were mEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .

关键词： Simulation Education Self-Efficacy Pre-Registration Nursing Students Clinical Skills Undergraduate Nursing Education Teaching Techniques Decision-making

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Ultra-high-performance liquid chromatography-quadrupole time-of-flight-mass spectrometry-characterized extract of Aerides odorata Lour alleviates paracetamol-induced hepatotoxicity in animal model evidenced by biochemical,molecular,and computational studies

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Animal models and Experimental medicine 2024年第4期7卷 497-522页

作者： A.m.Abu Ahmed md.Atiar Rahman Farjana Sharmen A.S.m.Ali Reza md.Shahidul Islam md.mamunur Rashid md.khalid Juhani Rafi Tanvir Ahmed Siddiqui md.muzahid Ahmed Ezaj Srabonti Saha md.Nazim Uddin Walla Alelwani Department of Genetic Engineering and Biotechnology University of ChittagongChittagongBangladesh Department of Biochemistry and molecular Biology University of ChittagongChittagongBangladesh Department of Pharmacy International Islami University ChittagongChittagongBangladesh Institute of Food Science and Technology Bangladesh Council of Scientific and Industrial ResearchDhakaBangladesh Department of Biochemistry College of ScienceUniversity of JeddahJeddahSaudi Arabia

Background:many kinds of orchids have significant health benefits although ade-quate research on their biological functions is yet to be carried *** study inves-tigated the paracetamol-induced liver damage-protecting effect of epiphytic Aerides odorata methanol extract(AODE).methods:The protective effects of AODE were studied by analyzing its effect on liver function parameters,messenger RNA(mRNA)expression,and tissue histopatho-logical *** results were confirmed by ligand-receptor interaction of molecular docking and multitarget interaction of network pharmacological ***:AODE significantly(pminimized the dose-dependent increase in acid phosphatase,aspartate aminotransferase,alanine aminotransferase,alkaline phos-phatase,γ-glutamyl transferase,lactate dehydrogenase,and total bilirubin compared to the reference drug *** level decreased,and the antioxidant genes catalase(CAT),superoxide dismutase(SOD),β-actin,paraoxonase-1(PON1),and phosphofructokinase-1(PFK-1)were upregulated in AODE-treated paracetamol-intoxicated rats.A total of 376 compounds comprising phenols and flavonoids were identified using ultra-high-performance liquid chromatography-quadrupole time-of-flight-mass spectrometry(UPLC-qTOF-mS).The online toxicity assessment using SwissADmE and admetSAR exhibited drug-like,nontoxic,and potential pharmaco-logical ***,in silico analysis showed that isoacteoside,one of the identified compounds,exhibited the best docking score(−11.42)with the liver pro-tein human pituitary adenylate cyclase-1(Protein Data Bank ID:3N94).Furthermore,network pharmacology analysis identified the top 10 hub genes,namely AKT1(protein kinase B),CTNNB1(catenin beta-1),SRC(proto-oncogene c-Src),TNF(tumor necrosis factor),EGFR(epidermal growth factor receptor),HSP90AA1(heat shock protein 90α),mAPK3(mitogen-activated protein kinase 3),STAT3(signal transducer and activator of transcription 3),CASP3(caspase protein),

关键词： Aerides odorata animal model mRNA expression PCm-induced hepatotoxicity UPLC-qTOF-mS

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中巴经济走廊洪扎段潜在滑坡SBAS-InSAR早期识别及发育特征分析

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遥感学报 2024年第4期28卷 885-899页

作者：苏晓军张毅孟兴民 Rehman mohib Ur khalid Zainab 赵富萌岳东霞郭富赟周自强兰州大学资源环境学院兰州730000 兰州大学地质科学与矿产资源学院兰州730000 甘肃省环境地质与灾害防治技术创新中心兰州730000 兰州大学西部环境教育部重点实验室兰州730000 甘肃省地质环境监测院兰州730050 甘肃省科学院地质自然灾害防治研究所兰州730000

中巴经济走廊巴基斯坦境内洪扎河谷(Hunza Valley)段地形高差巨大、地质环境复杂,滑坡灾害多发,对河谷内村镇威胁极大,也严重制约中巴经济走廊安全建设与运行。为了加深对Hunza河谷滑坡灾害的认识,亟待进行滑坡识别编目和发育特征研究... 详细信息

中巴经济走廊巴基斯坦境内洪扎河谷(Hunza Valley)段地形高差巨大、地质环境复杂,滑坡灾害多发,对河谷内村镇威胁极大,也严重制约中巴经济走廊安全建设与运行。为了加深对Hunza河谷滑坡灾害的认识,亟待进行滑坡识别编目和发育特征研究。本研究基于升、降轨获取的87景哨兵一号(Sentinel-1)数据,利用SBAS-InSAR技术获取了洪扎河谷地表形变,计算了地表斜坡向形变速率。并综合利用光学遥感影像解译和野外实地调查验证,成功识别了洪扎河谷53处潜在滑坡,并讨论了滑坡识别效果,对Ghulmet和Humarri两个典型大型滑坡监测形变、影像解译和验证特征进行了分析。在此基础上,选取11个地形地质环境因素作为影响滑坡发育的因子,分析了滑坡分布发育特征。结果表明,升轨和降轨数据监测到研究区内斜坡向最大形变速率分别为−311 mm/a和−490 mm/a,洪扎河谷区不稳定形变阈值为−20 mm/a。大型滑坡受河流侵蚀作用,形变剧烈,次级滑坡发育。识别的潜在滑坡主要集中在河流两岸、公路上下边坡;潜在滑坡主要分布在风化堆积层以及千枚岩、板岩等变质岩区;高差200—1000 m、坡度30°—40°和坡向南、南西向为滑坡发育的优势地形条件;斜坡地表裸露、植被稀疏地段(NDVI<0.2)物源充足,滑坡较为发育。研究结果可用于巴基斯坦洪扎河谷防灾减灾工作,保障中巴经济走廊畅通运营,为具有毁路与堵江风险的滑坡重点监测和评价研究提供科学参考和数据支持。

关键词：中巴经济走廊洪扎河谷滑坡 SBAS-InSAR 地表形变早期识别发育特征

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Dosage and utilization of dexamethasone in the management of COVID-19: A critical review

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World Journal of Virology 2024年第3期13卷 107-114页

作者： Imran Sethi Asim Shaikh musa Sethi Hira khalid Chohan Sheraz Younus Syed A Khan Salim Surani Department of Critical Care medicine Marion General HospitalMarionIN 46952United States Department of medicine Aga Khan UniversityKarachi 74200SindhPakistan Department of medicine Eman SchoolFishersIN 46038United States Department of Internal medicine Dow University of Health ScienceKarachi 74200SindhPakistan Department of Hospital medicine Franciscan HealthIndianapolisIN 46237United States Department of Critical Care medicine Mayo Clinic Health SystemMankatoMN 56001United States Department of medicine and Pharmacology Texas A and M UniversityCollege StationTX 77843United States

BACKGROUND The severe respiratory manifestations observed in severe coronavirus disease 2019(COVID-19)cases are often associated with an excessive inflammatory ***,a synthetic glucocorticoid,exerts its anti-inflammatory effects by inhibiting the transcription of pro-inflammatory genes and suppressing the activity of various immune *** mechanism has implications for mitigating the cytokine storm observed in severe COVID-19 *** on in the pandemic,the Recovery Collaborative working group showed a mortality benefit of using dexamethasone in decreasing mortality in patients with COVID-19 requiring respiratory ***,the optimal dosage of corticosteroids remains *** studies that compare different doses of dexamethasone in COVID-19 exist,but the results are *** To review the latest evidence regarding dosage,safety,and efficacy of dexamethasone in severe *** We followed preferred reporting items for systematic reviews and meta-analysis guidelines.A detailed literature search was conducted across Pubmed,Google Scholar,and medline to include publications up to march *** keywords included“COVID-19”“SARS-CoV-2”“dexamethasone”“corticosteroid”“steroid”and“glucocorticoid”-along with their *** employed the Cochrane Risk of Bias Tool and the Newcastle-Ottawa scale to evaluate the integrity and potential of bias in the included studies.A meta-analysis was conducted using a random-effects model,assessing pooled odds ratios and mean differences,with heterogeneity gauged by the I2 statistic and theχ^(2) *** No statistical differences were found in 28-day all-cause mortality[pooled odds ratio(OR)=1.109,95%CI:0.918-1.340],60-day all-cause mortality(OR=0.873,95%CI:0.744-1.024;I2=47.29%),mean length of hospital stay(mean difference=-0.08 days,95%CI:-0.001 to 0.161)and adverse events(OR=0.877,95%CI:0.707-1.087).CONCLUSION Differing doses of corticosteroids have no clinical implication

关键词： COVID-19 Steroids Corticosteroids Steroid dosage Critical care Corona virus

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Quantum Stackelberg Duopoly in a Noninertial Frame

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Chinese Physics Letters 2011年第7期28卷 5-8页

作者： Salman Khan m.khalid Khan Department of Physics Quaid-i-Azam UniversityIslamabad 45320Pakistan

We study the influence of the Unruh effect on quantum Stackelberg *** is shown that the acceleration of a noninertial frame strongly affects the payoffs of the *** validation of the subgame perfect Nash equilibrium is limited to a particular range of acceleration of the noninertial *** benefit of the initial state entanglement in the quantum form of the duopoly in the inertial frame is adversely affected by the *** duopoly can become a follower advantage only in a small region of the acceleration.

关键词： acceleration Stackelberg Quantum

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Effect of Filler Composition on the Brazing of Alumina to Copper Using Ultrasonic Wave

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Journal of materials Science & Technology 2003年第z1期19卷 176-178页

作者： khalid m. HAFEZ masaaki NAKA Joining & Welding Research Institute Osaka University Ibaraki Osaka 567-0047 Japan Joining & Welding Research Institute Osaka University Ibaraki Osaka 567-0047 Japan

An ultrasonic wave was applied during brazing of alumina to Cu. First alumina was metallized by applying ultrasonicwave in braze bath. Then the metallized alumina was brazed with Cu using the same filler alloy. The filler used wereZn-Al alloys and Zn-Sn Alloys. The weight percent of Al in filler was ranging between 0, 5%, 10%, *** weight percent of tin in filler was ranging between 0, 30%, 60% and 91%, respectively. The joining mechanismwas investigated by measuring the joining strength, hardness and analyzing the microstructure at interface of thejoint. The shear strength and microstructure of the joint strongly depend on the filler composition. The effect ofultrasound was derived primarily from acoustic cavitations, impact and friction of the filler against alumina *** improved the wetting between alumina and the filler, and reflected to improve the joint strength. Anotherultrasonic advantage as to reduce of the joining temperature, that reduced the thermal stress in the braze joint.

关键词： Alumina, Copper, Ultrasonic waves, Fracture stress, microstructure, Brazing

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