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Estimation of Different Categories of Healthcare Waste Generated at Two Different Hospital Categories in Four Hospitals in Dar es Salaam City

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Journal of Environmental Protection 2020年第10期11卷 872-888页

作者： Honest Anicetus Josephat Saria hussein mohamed Ministry of Health Community Development Gender Elderly and Children Dodoma Tanzania Open University of Tanzania Department of Environmental Studies Dar es Salaam Tanzania Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania

This study aims to estimate the quantity of healthcare waste categorically generated in four different healthcare in Dar es Salaam city namely, Muhimbili National Hospital, Mwananyamala Regional Referral Hospital, Temeke Regional Referral Hospital and Ilala Regional Referral Hospital to evaluate the quantities of medical waste generated based on their level and capacity. Waste was collected in different categories of non-infectious, sharps, infectious, infectious plastics, and pathological waste which were measured daily for fourteen (14) consecutive days in all hospitals by using a weighting scale and observational checklist to document related waste management information and the assessment of the healthcare waste generation in each hospital. The average general healthcare waste generation rate per healthcare ranges from 298.9 kg/day to 1554.4 kg/day. The high fluctuation in general medical waste was established to be attributed to specialization difference between one hospital to the other, and the large number of in-patients and out patients between hospitals. The overall average sharps waste generation rate was established to range from 8.5 ± 2.7 - 13.9 ± 1.8 kg/day. Higher values of sharps waste generated observed at Muhimbili hospital are due to emergency cases referred to from other hospitals located within the city and from the surrounding districts and other regions of the country. The results from this study, raise alarm to hospital administrators, and other health stakeholders working in related fields to give special attention and priority in setting a related share in their budgets for proper management of medical waste in their health facilities.

关键词： Healthcare Dar es Salaam Infectious Waste Environmental Hazards Medical Waste Hospital Solid Waste

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Angiogenic and FLT3 Receptors Expression in Acute Lymphoblastic Leukemia in Pediatric Age Group

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Journal of Cancer Therapy 2019年第6期10卷 442-457页

作者： Mona Hilmy Alrayes Reham Hammad mohamed Abd Alazim hussein EL Baddiny Maha Saleh Madbouly Ibrahim mahmoud Hammad Clinical Pathology Department Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt Clinical Pathology Department National Cancer Institute Cairo University Cairo Egypt Department of Pediatric Oncology National Cancer Institute Cairo University and Children’s Cancer Hospital Egypt Cairo Egypt

Angiogenesis has an important role in pathophysiology of cancer. FMS-like tyrosine kinase 3 (FLT3) is implicated in hematopoietic malignancies. Their role in childhood acute lymphoblastic leukemia (ALL) pathogenesis needs more enlightenment. Expression of vascular endothelial growth factor receptor-1 and -2 (VEGFR-1 and -2), as well as FLT3 were assessed by flow cytometry in bone marrow (BM) blasts of 55 newly diagnosed children with ALL. Patients included B cell ALL (B-ALL) group (n = 41) and T cell ALL (T-ALL) group (n = 14). Comparison between groups revealed a significant increase in blasts percent (%) expressing FLT3 and FLT3 intensity detected in B-ALL group (p = 0.004 and p = 0.02, respectively). In B-ALL patients, a significant positive correlation was seen between blasts % expressing FLT3 and blasts percentage infiltrating BM (r = 0.405;p = 0.009), also positive correlation was seen between % of blasts expressing VEGFR-1 and VEGFR-2 (r = 0.704;p 0.001). In T-ALL group, blast % expressing FLT3 revealed significant positive correlations with blast % expressing VEGFR-1, and those expressing VEGFR-2 (r = 0.627;p = 0.016, and r = 0.654;p = 0.011, respectively). In addition, significant correlation was seen in blasts % expressing all;FLT3, VEGFR-1 and -2, with blasts % expressing stem cell marker CD34 (r = 0.826;p = 0.001, r = 0.596;p = 0.041, and r = 0.798;p = 0.002, respectively). Conclusion: Expression of VEGFR-1, VEGFR-2 and FLT3 were demonstrated and linked on leukemic blasts of ALL which highlights their role in pathogenesis. FLT3 expression plays a role in facilitating blasts proliferation in BM in B-ALL. FLT3, VEGFR-1 and -2 could be used in future profiling of CD34+ leukemic stem cell pool in T-ALL.

关键词： Childhood Leukemia Angiogenesis Vascular Endothelial Growth Factor Receptors FLT3 Acute Lymphoblastic Leukemia

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Real time endoscopic ultrasound elastography and strain ratio in the diagnosis of solid pancreatic lesions

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World Journal of Gastroenterology 2017年第32期23卷 5962-5968页

作者： hussein Okasha Shaimaa Elkholy Ramy El-Sayed mohamed-Naguib Wifi mohamed El-Nady Walid El-Nabawi Waleed A El-Dayem mohamed I Radwan Ali Farag Yahya El-sherif Emad Al-Gemeie Ahmed Salman mohamed El-Sherbiny Ahmed El-Mazny Reem E Mahdy Internal Medicine Department Cairo University Department of Tropical Medicine Zagazig University Internal Medicine Department Beni Suef University Tropical Medicine Department El Manial Specialized Hospital Pathology Department National Cancer InstituteCairo University Internal Medicine Department Assiut University

AIM To evaluate the accuracy of the elastography score combined to the strain ratio in the diagnosis of solid pancreatic lesions(SPL). METHODS A total of 172 patients with SPL identified by endoscopic ultrasound were enrolled in the study to evaluate the efficacy of elastography and strain ratio in differentiating malignant from benign lesions. The semi quantitative score of elastography was represented by the strain ratio method. Two areas were selected, area(A) representing the region of interest and area(B) representing the normal area. Area(B) was then divided by area(A). Sensitivity, specificity, positive predictive value(PPV), negative predictive value(NPV), and accuracy were calculated by comparing diagnoses made by elastography, strain ratio and final *** SPL were shown to be benign in 49 patients and malignant in 123 patients. Elastography alone had a sensitivity of 99%, a specificity of 63%, and an accuracy of 88%, a PPV of 87% and an NPV of 96%. The best cut-off level of strain ratio to obtain the maximal area under the curve was 7.8 with a sensitivity of 92%, specificity of 77%, PPV of 91%, NPV of 80% and an accuracy of 88%. Another estimated cut off strain ratio level of 3.8 had a higher sensitivity of 99% and NPV of 96%, but with less specificity, PPV and accuracy 53%, 84% and 86%, respectively. Adding both elastography to strain ratio resulted in a sensitivity of 98%, specificity of 77%, PPV of 91%, NPV of 95% and accuracy of 92% for the diagnosis of SPL. CONCLUSION Combining elastography to strain ratio increases the accuracy of the differentiation of benign from malignant SPL.

关键词： Endoscopic Ultrasound Elastography Strain Ratio Real Time Pancreatic lesions

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Effcient UAV-Based MEC Using GPU-Based PSO and Voronoi Diagrams

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Computer Modeling in Engineering & Sciences 2022年第11期 413-434页

作者： mohamed H.Mousa mohamed K.hussein Department of Information Technology College of Computing&Information Technology at AlKamilUniversity of JeddahJeddahSaudi Arabia Department of Computer Science Faculty of Computers and InformaticsSuez Canal UniversityIsmailiaEgypt

Mobile-Edge Computing(MEC)displaces cloud services as closely as possible to the end *** enables the edge servers to execute the offloaded tasks that are requested by the users,which in turn decreases the energy consumption and the turnaround time ***,as a result of a hostile environment or in catastrophic zones with no network,it could be difficult to deploy such edge *** Aerial Vehicles(UAVs)can be employed in such *** edge servers mounted on these UAVs assist with task *** the majority of IoT applications,the execution times of tasks are often ***,UAVs tend to have a limited energy *** study presents an approach to offload IoT user applications based on the usage of Voronoi diagrams to determine task delays and cluster IoT devices dynamically as a first ***,the UAV flies over each cluster to perform the offloading *** addition,we propose a Graphics Processing Unit(GPU)-based parallelization of particle swarm optimization to balance the cluster sizes and identify the shortest path along these clusters while minimizing the UAV flying time and energy *** evaluation results are given to demonstrate the effectiveness of the presented offloading strategy.

关键词： Task offloading mobile-edge computing unmanned aerial vehicles Internet of Things voronoi diagrams GPU particle swarm optimization

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Determinants of Schistosoma mansoni transmission in hotspots at the late stage of elimination in Egypt

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Infectious Diseases of Poverty 2022年第5期11卷 95-96页

作者： Ramy mohamed Ghazy Walid Ismail Ellakany Mai M.Badr Nehad E.M.Taktak Heba Elhadad Sarah MAbdo Ayat Hagag Abdel Rahman hussein mohamed Mostafa Tahoun 不详 Department of Tropical Medicine Faculty of MedicineAlexandria UniversityAlexandriaEgypt

Background In certain settings,the prevalence and severity of schistosoma infection do not lessen despite repeated rounds of preventative chemotherapy;these areas are known as *** study aimed to investigate the role of human practices,besides environmental and malacological factors,in the maintenance of the Schistosoma mansoni infection transmission chain in hotspot areas in *** This cross-sectional study was conducted between July and November 2019 in Kafr El-Sheikh Governorate,Egypt.A pre-designed structured interviewing questionnaire was used to collect humanitarian *** samples were collected from children aged 6–15 years on three successive days and examined using the Kato-Katz ***,water and snail samples were taken from watercourses surrounding *** were identified based on their shell morphology and structure and tested for cercaria *** samples were analyzed for their physicochemical and biological *** A total of 2259 fecal samples(1113 in summer and 1146 in fall)were collected from 861 *** 46.9%of the participants were males,and 31.8%were aged 6–10 *** prevalence of *** infection was higher during the summer than during the fall(19.1%vs 7.2%,respectively,P<0.01).The intensity of infection(light,moderate,and heavy)during summer versus fall was(93.55 vs 89.38%,6.45 vs 8.85%,and 0.00%vs 1.77%),respectively(P<0.05).A higher prevalence of human infection was observed among males than females[OR=1.63,95%confidence interval(CI):1.10–2.40,P=0.015],children aged 11–15 years than among their counterparts aged 6–10 years(OR=2.96,95%CI:1.72–5.06,P<0.001),and mothers with a low level of education(OR=3.33,95%CI:1.70–6.52,P<0.001).The main identified risk factors were contacting the main body of water-canal for washing clothes(OR=1.81,95%CI:1.12–2.49,P=0.015),land irrigation(OR=2.56,95%CI:1.32–4.96,P=0.004),water collection(OR=2.94,95%CI:1.82–4.73,P<0.001),bathing(

关键词： Schistosoma mansoni Praziquantel Biomphalaria alexandrina Community engagement Transmission cycle Neglected tropical diseases

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Proton-Proton Collisions in View of Thermo-Statistical Approach

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Journal of High Energy Physics, Gravitation and Cosmology 2023年第2期9卷 475-488页

作者： mohamed Tarek hussein Zeinab Abdel-Halim mohamed Tawfik Ghoneim Faculty of Science Cairo University Cairo Egypt

The data of charged particles produced in proton-proton collisions extracted from Durham particle data group at energy ranges √s = 6.3 - 17 GeV and at 0.9 - 7 TeV are investigated in the framework of Tsallis thermo-statistics and the Vlasov time dynamics. The analysis can describe the experimental data well all-over the considered energies and rapidity intervals. The variation of the collision parameters (chemical potential, entropy index and the time of evolution) is studied and discussed as a function of the final state temperature. According to the obtained result, a scenario, and a script of the time evolution for the particle production is simulated by the pp collision.

关键词： High Energy Particle Collisions Statistical Thermodynamic Analysis Phase Transition

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Interaction of ²⁸Si with Emulsion Nuclei at 4.5 AGeV/c in View of Thermo-Statistical Approach

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Journal of Applied Mathematics and Physics 2023年第3期11卷 629-638页

作者： mohamed Tawfik Ghoneim Zeinab Abdel-Halim mohamed Tarek hussein Faculty of Science Cairo University Cairo Egypt

In this work, we study some changes of nuclear matter in the interactions of 28Si with emulsion nuclei at 4.5 AGeV/c. From the experimental quantities investigated using Tsallis’ statistics, we deduced the temperature, entropy density and non-equilibrium factor of the nuclear medium. These obtained parameters were used to reveal variations in the nuclear matter at the stated interaction energy. The results that came up from this study were compared with their corresponding results obtained from other heavy ion collision experiments at wide energy range.

关键词： Silicon Nuclear Emulsion Rapidity Heavy Ions Collision

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Signs of Phase Transition in High Energy Proton-Proton Collisions

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Journal of Applied Mathematics and Physics 2022年第6期10卷 1887-1897页

作者： mohamed Tarek hussein mohamed Tawfik Ghoneim Zeinab Abdel-Halim Faculty of Science Cairo University Cairo Egypt

The present work aims to study the possible states of matter and the location of phase boundaries between hadronic gas and the quark-gluon plasma QGP. The boundary at the hadron freeze-out is also considered. Proton-proton collisions at a wide range of center of mass energies are used to examine the phase transition (entropy-temperature) diagram. Local thermodynamic equilibrium is assumed at different intervals of rapidity space. The entropy of the system is expressed in terms of the multiplicity of hadron production in each interval. However, the local temperature is estimated using the average transverse momentum. The values of the critical temperatures are found at the boundaries of the phases with a quite clear description of the states.

关键词： Proton-Proton Collision Quark-Gluon Plasma (QGP) Phase Transition Quantum Chromo Dynamics (QCD)

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Preservability of rabbit semen after chilled storage in tris based extender enriched with different concentrations of Propolis ethanolic extract (PEE)

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Asian pacific Journal of Reproduction 2017年第2期6卷 68-76页

作者： Islam El-Sayed El-Seadawy Walid Said El-Nattat Magda mohamed El-Tohamy Samy Ali hussein Aziza Yakot Abdelfattah El-Senosy Ahmed Said hussein Animal Reproduction and A I Dept.Veterinary Research DivisionNational Research CentreGizaEgypt Biochemistry and Clinical Biochemistry Dept. Faculty of Veterinary MedicineBenha UniversityEgypt Food Industry Dept Food Industry and Nutrition Research DivisionNational Research CenterGizaEgypt

Objective:To maintain semen quality of male rabbits during chilled storage by enrichment the tris based diluent with different concentrations of propolis ethanolic ***: Total phenolic and total flavonoid contents, as well as antioxidant activity was determined in propolis ethanolic extract (PEE). The extract was analysed by HPLC for separation and identification of target metabolites. Semen was collected from 10 rabbit bucks, pooled, then divided into five aliquots (each of 500 μL) and diluted each in 5 mL Tris-citric acid-glucose-egg yolk extender (TCGY). The 1st aliquot served as control while PEE was added at concentration of 0.8, 1.2, 1.6 and 2.0 mg/5 mL tris extender in the aliquot 2, 3, 4 and 5 respectively. Diluted semen samples were subjected to cooling at 4℃ for 72 h. Sperm motility, sperm viability, sperm abnormality, sperm membrane integrity and acrosome integrity were evaluated in chilled semen allover the chilling ***:The resluts revealed presence of a considerable amount of total phenolic compounds (98.67 mg GAE/g extract) and total flavonoids (70.16 mg CE/g extract) which were parallel to an antioxidant activity assessed as ABTS, DPPH and FRAP (198.65, 180.18 and 306.17 mM TE/g extract respectively). The dominant phenolic acid was chlorogenic acids (3.959 mg/g extract). Other compounds were found in less amounts rosmarinic acid (3.959 mg/g extract), myrcetin (1.946 mg/g extract), kaempferol (1.089 mg/g extract) and apeginin-7-glucoside (1.113 mg/g extract). Obtained results clearly demonstrated that the addition of (1.2-1.6) mg PEE in the chilled extended rabbit semen proved to be beneficial for maintaining semen characteristics compared to control and the addition of 0.8 and 2 mg ***: The enrichment of rabbit semen tris-basic extender with (1.2-1.6) mg PEE/5 mL tris-extender (as the best and safe concentrations) maintain the sperm characteristics in good condition all over 72 h of chilling.

关键词： Male rabbits Semen extender Propolis extract Antioxidants HPLC

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Theatrical Storytelling From Page to Stage： An Applied Study in Writing and Performing Techniques

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Journalism and Mass Communication 2015年第11期5卷 555-564页

作者： Gamal El-Sayed hussein mohamed Yakout Alexandria University Alexandria Egypt

Storytelling is an important performing art. Attracting theater practitioners and audiences are the main targets. Successful narrator communication is one of the biggest challenges even when theatres facilitate communication with scenery, lighting and costumes etc., as the performance depends primarily on the text and narrator for successful expression. This study views the most important techniques to create a well-made story at both text and performance levels. The researcher begins differentiating storytelling, imitation and characterization, as this understanding assists the objective of this study, which is to determine specific techniques to achieve successful communication with an audience. This research highlights elements which distort story structure; including immersion in narrative without incident description, identified as the most dangerous element due to description being essential to create suspense.1 Text condensation is also crucial. A good writer uses his pen more for deletion than addition. Repeated reading and deletion to condense the story to its optimal is vital. Also included are techniques for good text rhythm in addition to production of captivating beginnings. Further techniques to raise audience attention in text and event building, as well as to determine conflict and types, narrator language use and the structure of the diagnostic viewer, finally, mastering story ending techniques are provided. At performance level, this research provides techniques in creativity prologue, good story rhythm, body language and eye contact together with prop （object） use; all of which enable the narrator to capture and retain audience attention throughout. This research concludes with recommendations on how to achieve a good storytelling performance.

关键词： storytelling narrator and audience communication successful storytelling performance theatre techniques

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