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A Comparative Analysis on Surgical Outcomes and Complications of Endoscopic and Open Vein Harvesting Techniques

Open Journal of Thoracic Surgery 2024年第2期14卷 29-39页

作者： Mohammed Fawzy Eltaweel Ismail N. El-Sokkary Ahmed Alherazi mohamed wael badawi Mohammed G. Abdellatif Bahaa A. Elkhonezy Ibrahim K. Gamil Haytham mohamed Abd El Moaty Sarra Sadmi Mahmoud Khalil Department of Cardiothoracic Surgery Faculty of Medicine Menoufia University Shibin El Kom Egypt Department of Cardiovascular & Thoracic Surgery Faculty of Medicine Al-Azhar University Cairo Egypt Department of Cardiothoracic Surgery Faculty of Medicine Alexandria University Alexandria Egypt Faculty of Medicine University of Algiers Algiers Algeria Department of Cardiac Surgery Sabah Al-Ahmed Cardiac Center Al-Amiri Hospital Kuwait City Kuwait

Objective: The great saphenous vein (GSV) is commonly used as a conduit for grafting during CABG surgery, and open GSV harvesting (OVH), commonly used with long incision to expose the vein. However, endoscopic vein harvesting (EVH) is an alternative approach, utilizing specialized instruments and small incisions to harvest the vein. Methods: A retrospective analysis was conducted on a cohort of patients who underwent Coronary artery bypass graft (CABG) requiring great saphenous vein (GSV) harvesting which was done by EVH or OVH procedures. Demographic variables, including age and gender, were assessed for both groups. Intraoperative variables such as the number of grafts, cardiopulmonary bypass time, X clamp time, and type of procedure were analyzed. Postoperative variables, including infection and bleeding rates, were also evaluated. Results: The study included 30 patients each undergoing Coronary artery bypass graft (CABG) with need of great saphenous vein harvesting which was done by EVH and OVH. Demographic variables were well-matched between the two groups in terms of age, while a significant difference in gender distribution was observed. Obesity and smoking were more prevalent in the OVH group, and EVH was associated with a higher mean number of grafts compared to OVH. Conversion to an open technique occurred in a portion of the EVH cases, and infection rates did not significantly differ between the EVH and OVH groups. However, the incidence of postoperative bleeding was significantly higher in the EVH group. Conclusion: This study provides valuable insights into the demographic, intraoperative, and postoperative variables associated with EVH and OVH techniques. EVH demonstrated advantages in terms of reduced infection rates compared to OVH. However, the higher incidence of postoperative bleeding associated with EVH raises concerns about potential risks.

关键词： Endoscopic Vein Harvesting (EVH) Open Vein Harvesting (OVH) Coronary Artery Bypass Grafting (CABG) Great Saphenous Vein (GSV) Surgical Outcomes

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A Comparative Analysis on Surgical Outcomes and Complications of Endoscopic and Open Vein Harvesting Techniques

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Open Journal of Thoracic Surgery（胸外科期刊） 2024年第2期 29页

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A Novel Deep Learning-Based Model for Classification of Wheat Gene Expression

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Computer Systems Science & Engineering 2024年第2期48卷 273-285页

作者： Amr Ismail WalidHamdy Aya MAl-Zoghby wael AAwad Ahmed Ismail Ebada Yunyoung Nam Byeong-Gwon Kang mohamed Abouhawwash Faculty of Science Port Said UniversityPort SaidEgypt Modern Academy for Computer Science and Management Technology Cairo11742Egypt Faculty of Computers and Artificial Intelligence Damietta UniversityNew DamiettaEgypt Department of ICT Convergence Soonchunhyang UniversityAsan31538South Korea Department of Mathematics Faculty of ScienceMansoura UniversityMansoura35516Egypt Department of Computational Mathematics Scienceand Engineering(CMSE)Michigan State UniversityEast LansingMI48824USA

Deep learning(DL)plays a critical role in processing and converting data into knowledge and *** technologies have been applied in a variety of applications,including image,video,and genome sequence *** deep learning the most widely utilized architecture is Convolutional Neural Networks(CNN)are taught discriminatory traits in a supervised *** comparison to other classic neural networks,CNN makes use of a limited number of artificial neurons,therefore it is ideal for the recognition and processing of wheat gene *** is an essential crop of cereals for people around the *** Genotypes identification has an impact on the possible development of many countries in the agricultural *** quantitative genetics prediction of genetic values is a central *** is an allohexaploid(AABBDD)with three distinct *** sizes of the wheat genome are quite large compared to many other kinds and the availability of a diversity of genetic knowledge and normal structure at breeding lines of wheat,Therefore,genome sequence approaches based on techniques of Artificial Intelligence(AI)are *** paper focuses on using the Wheat genome sequence will assist wheat producers in making better use of their genetic resources and managing genetic variation in their breeding program,as well as propose a novel model based on deep learning for offering a fundamental overview of genomic prediction theory and current *** this paper,the hyperparameters of the network are optimized in the CNN to decrease the requirement for manual search and enhance network performance using a new proposed model built on an optimization algorithm and Convolutional Neural Networks(CNN).

关键词： Gene expression convolutional neural network optimization algorithm genomic prediction wheat

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The Role of Electrocardiogram DETERMINE Score in Prediction of Coronary Artery Disease Severity

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World Journal of Cardiovascular Diseases 2024年第9期14卷 567-580页

作者： Ismail N. El-Sokkary Essam Ahmed Khalil Mohammed wael badawi Ibrahim K. Gamil Shousha Abdalla A. Elsebaey mohamed Kamal Rehan Mahmoud Ibrahim Elshamy Yasser Ahmed Sadek Department of Cardiovascular & Thoracic Surgery Faculty of Medicine Al-Azhar University Cairo Egypt Department of Cardiology Al-Azhar University Cairo Egypt Department of Internal Medicine Beni-Sueif University Beni Suef Egypt Department of Radiology Al-Azhar University Cairo Egypt Department of Cardiology Helwan University Cairo Egypt

Background: A major cause of mortality and disability on a global scale is myocardial infarction (MI). These days, the most reliable way to detect and measure MI is via cardiovascular magnetic resonance imaging (CMR). Aims and Objectives: To evaluate the effectiveness of the Electrocardiogram DETERMINE Score in predicting the severity of coronary artery disease (CAD) in patients who have experienced an Acute Myocardial Infarction (AMI) & to assess improvements in left ventricular function at 6 months following coronary artery bypass grafting (CABG). Subjects and Methods: This Observational cohort study was done at the Cardiology and Radiology department and cardiac surgery department, Al-Azhar university hospitals and Helwan University hospital. The study involved 700 cases who patients diagnosed with Acute Myocardial Infarction and fulfilled specific criteria for selection. Result: There was highly statistically significant relation between Myocardial infarction size and ECG Marker Score as mean infarct size elevated When the number of ECG markers increased. There was a highly statistically significant relation between myocardial infarct segments, myocardial infarction size and improvement of cardiac function 6 months post-CABG. Conclusion: The study found that larger myocardial infarctions corresponded with higher DETERMINE Scores. It concluded that an ECG-based score better estimates infarct size than LVEF alone. Additionally, there was a significant statistical correlation between the size and segmentation of myocardial infarction and better cardiac function six months after CABG.

关键词： Electrocardiogram DETERMINE Score Coronary Artery Disease Outcome Acute Myocardial Infarction Coronary Artery Bypass Grafting

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Exploration of structural,optical,and photoluminescent properties of (1-x)NiCo_(2)O_(4)/xPbS nanocomposites for optoelectronic applications

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Chinese Physics B 2022年第6期31卷 663-670页

作者： Zein K Heiba mohamed Bakr mohamed Noura M Farag Ali badawi Physics Department Faculty of ScienceAin Shams UniversityCairoEgypt Physics Department Faculty of ScienceTaibah UniversityAl-Madina al MunawarahSaudi Arabia Department of Physics College of ScienceTaif UniversityP.O.Box 11099Taif 21944Saudi Arabia Department of Physics University College of TurabahTaif UniversityP.O.Box 11099Taif 21944Saudi Arabia

The(1-x)NiCo_(2)O_(4)/x PbS(0≤x≤0.2)nanocomposite samples are synthesized using the hydrothermal and thermolysis *** different phases developed in the obtained nanocomposite samples are accurately determined using the x-ray diffraction technique equipped with a *** percentage of the formed phases(NiCo_(2)O_(4)(NCO),PbS,PbSO_(4)),structural and microstructure parameters are determined using Rietveld quantitative phase *** transmission electron microscope(TEM)images and Rietveld analysis reveal almost isotropic particle size in the nano range with a very narrow size *** obtained phase percentage of PbS and PbSO4are smaller than nominated values(x)suggesting dissolving of some Pb and S ions into NCO which is then confirmed by the analysis of Fourier-transform infrared(FTIR)spectra of nanocomposite *** absorption spectra are modified upon doping NCO with *** optical band gaps of the nanocomposites increase as the amount of PbS *** effect of alloying on extinction coefficient,refractive index,dielectric constant,optical conductivity,the intensity,and emitted color from the photoluminescence of the nanocomposite samples are also *** refractive index value of NCO and NCO-PbS nanocomposite samples exhibit normal *** photoluminescent measurements reveal that the NCO-PbS nanocomposites can emit a violet *** improvement in the values of the nonlinear optical(NLO)parameters of pristine NCO at high frequencies or the nanocomposite samples at low frequencies,are made them used in NLO photonic devices.

关键词： Co_(2)O_(4)and PbS nanocomposite FTIR optical photoluminescence

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Endoscopic ultrasound in gastroenterology:From diagnosis to therapeutic implications

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World Journal of Gastroenterology 2014年第24期20卷 7801-7807页

作者： mohamed A Mekky wael A Abbas Department of Tropical Medicine and Gastroenterology Assiut University HospitalAssiut 71111Egypt Department of Internal Medicine Gastroenterology DivisionAssiut University HospitalAssiut 71111Egypt

Since its advent in 1980,the scope of endoscopic ultrasound(EUS)has grown to include a wide range of indications,and it is now being incorporated as an integral part of everyday practice in the field of *** use is extending from an adjuvant imaging aid to utilization as a therapeutic tool for various gastrointestinal *** was first used to visualize remote organs,such as the pancreas and abdominal lymph *** fine needle aspiration was introduced,the indications for EUS expanded to include tissue sampling for diagnostic *** the same time,the needle can be used to convey a potential therapy to the internal organs,allowing access to remote *** this review,we aim to highlight the expanding spectrum of EUS indications and uses in the field of gastroenterology.

关键词： Endoscopic ultrasound Endoscopic ultrasound-guided fine needle aspiration Ablation Injection Drainage Immunohistochemistry Gastroenterology

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Convenient One Pot Synthesis and Antibacterial Evaluation of Some New Mannich Bases Carrying 1,2,4-Triazolyl Moiety

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Chinese Journal of Chemistry 2011年第8期29卷 1661-1668页

作者： Arafa, wael A. A mohamed, Asmaa S Department of Chemistry Faculty of Science Fayoum University Fayoum Egypt Department of Medical Chemistry Theodor Bilharz Research Institute Egypt

A series of Mannich bases were synthesized by a three-component Mannich reaction. The newly synthesized compounds were well characterized by elemental analyses, IR, NMR and mass spectroscopic studies. The potential antibacterial effects of the synthesized compounds were investigated using standard bacterial strains： Gram-positive and Gram-negative bacteria. Interestingly, all the synthesized compounds were observed to be promising leads, possessing moderate to significant inhibitory activity as compared to standard.

关键词： bi- 1,2,4-triazoles Schiff bases Mannich bases regioselectivity antibacterial activity

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Second-line panitumumab as a triweekly dose for patients with wild-type KRAS exon 2 metastatic colorectal cancer:a single-institution experience

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Cancer Biology & Medicine 2016年第1期13卷 136-141页

作者： mohamed A.Daoud Engy M.Aboelnaga wael M.mohamed Department of Radiation Oncology Mansoura Faculty of Medicine King Abdullah Medical City

Objective: Panitumumab administered as monotherapy in colorectal cancer(CRC) has shown response and disease stabilization rates of approximately 30%. The current study aimed to evaluate the progression-free survival(PFS) and overall survival(OS) of patients with metastatic colorectal cancer(mCRC) treated with panitumumab every 3 weeks as a second line ***: This study is a retrospective analysis of 18 patients, aged more than 18 years, with wild-type KRAS exon 2 mCRC treated with panitumumab as a second-line single agent after progression on first-line ***: The median number of courses received was 10(range, 4-29), and the median duration of treatment was 30 weeks(range,12-96 weeks). After a median follow-up period of 13 months, the median PFS was 6 months(range, 4.3-7.7 months) and the median OS was 11 months(range, 7.4-14.5 months). The median PFS was 4 months for patients with < grade 2 skin toxicity and 6months(range, 4.5-7.5 months) for patients with ≥ grade 2 skin rash(P=0.05). The median OS was 9 months(range, 6.4-11.5months) and 14 months(range, 11.6-16.3 months) for the two groups of patients(P=0.002).Conclusions: Panitumumab given every 3 weeks is effective and well tolerated in patients with advanced CRC that progressed after standard chemotherapy.

关键词： Metastatic colorectal carcinoma panitumumab second-line KRAS

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Standard precaution measurements during ophthalmology practice in the pandemic stage of COVID-19

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International Journal of Ophthalmology(English edition) 2020年第7期13卷 1017-1022页

作者： Ahmed mohamed Reda wael M.Ahmed Department of ophthalmology Faculty of MedicineAin Sham UniversityCairo 11566Egypt Dar Eloyoun Eye Laser Centers Muscat 118Oman

AIM:To take specific precautions and keep a safe practice during providing ophthalmology health services without compromising the patient’s safety as well as the team workers and the community in the pandemic stage of corona virus disease 2019(COVID-19).METHODS:Applying patient circulation scheme implemented in our ophthalmology centers with the guidance of ministry of health infection control guidelines star ted from the moment that we receive a call or Whats App message or Facebook inquiry from patients until 21 d after patients first visit if *** directions were ***,community awareness of the disease and the ophthalmology related advices in how eye can transfers the infection and how to protect our eyes not to be infected through videos interviews of our consultants and distribution in social media like Instagram,Facebook,Whats App pages radio and TV interviews as well as leaflet health awareness for distribution for ***,scheduling of patients’appointments to prevent overcrowdings and cross ***,protective measurements tools in the center to detect and prevent any exposure of the patients to patients and to protect medical staff,COVID-19 scoring system was set up to identify patients with fever,respiratory symptoms,acute conjunctivitis or recent travel to outbreak areas and to encourage these individuals to postpone their appointments for at least 21 *** use of personal protective equipment was *** all the elective surgeries keeping only the emergency types advised by fourth:how to deal with our patients if they need an urgent ophthalmological intervention and how to deal with suspected cases of corona if any cases ***:Our measures helped our colleagues to try to keep providing ophthalmology health services without increasing the incidence of infection for COVID-19 until this pandemic is ***:In our practice,ophthalmologists should work with new aura of social media to facilitate the

关键词： corona virus COVID-19 Instagram Facebook WhatsApp personal protective equipment

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An E-Business Event Stream Mechanism for Improving User Tracing Processes

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Computers, Materials & Continua 2021年第10期69卷 767-784页

作者： Ayman mohamed Mostafa Saleh N.Almuayqil wael Said College of Computers and Information Sciences Jouf UniversitySakaka72314Saudi Arabia Faculty of Computers and Informatics Zagazig UniversityZagazig44519Egypt College of Computer Science and Engineering Taibah UniversityMedina42353Saudi Arabia

With the rapid development in business transactions,especially in recent years,it has become necessary to develop different mechanisms to trace business user records in web server log in an efficient *** business transactions have increased,especially when the user or customer cannot obtain the required *** example,with the spread of the epidemic Coronavirus(COVID-19)throughout the world,there is a dire need to rely more on online business *** order to improve the efficiency and performance of E-business structure,a web server log must be well utilized to have the ability to trace and record infinite user *** paper proposes an event stream mechanism based on formula patterns to enhance business processes and record all user activities in a structured log *** user activity is recorded with a set of tracing parameters that can predict the behavior of the user in business *** experimental results are conducted by applying clustering-based classification algorithms on two different datasets;namely,Online Shoppers Purchasing Intention and Instacart Market Basket *** clustering process is used to group related objects into the same cluster,then the classification process measures the predicted classes of clustered *** experimental results record provable accuracy in predicting user preferences on both datasets.

关键词： Business transactions event stream log file tracing parameters clustering-based classification

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