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Evaluating the influence of a structured nursing protocol on targeted outcomes in rheumatoid arthritis patients

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Journal of Integrative Nursing 2024年第1期6卷 22-28页

作者： Mohammed elsayed ZAKY Shimaa Magdi FARGHALY Osama mohamed elsayed RAMADAN Rehab M.ABDELKADER Mostafa SHABAN Department of Medical Surgical Nursing Faculty of Nursing Cairo UniversityCairoEgypt Department of Medical Surgical Nursing College of NursingJouf UniversitySakakaAljawfSaudi Arabia Faculty of Nursing Cairo University CairoEgypt Department of Geriatric Nursing Faculty of Nursing Cairo UniversityCairoEgypt

Objective:Rheumatoid arthritis(RA)requires comprehensive *** nursing protocols may enhance outcomes,but evidence is *** study evaluated the effect of a structured nursing protocol on RA *** and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management *** included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported *** count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)***-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),***:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.

关键词： Nursing care patient education quality of life rheumatoid arthritis self‑management

Asymptomatic bile duct stones:The devil is in the details

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World Journal of Gastrointestinal Endoscopy 2024年第5期16卷 227-231页

作者： Mohammed Omar Khalifa elsayed mohamed Gamal Talkhan Department of Gastroenterology South Tees Hospitals NHS Foundation TrustMiddlesbrough TS43BWUnited Kingdom

Common bile duct(CBD)stones are a common biliary tract *** asymp-tomatic CBD stones,stone removal by endoscopic retrograde cholangiopancreato-graphy(ERCP)is recommended in available *** asymptomatic CBD stones is a benign disease with no noticeable symptoms,the risk vs benefit strategy should be thoroughly considered before performing ERCP in these *** care review,technical aspects of the procedure,and patient preferences should also be considered.

关键词： Asymptomatic Common bile duct stones Endoscopic retrograde cholangiopancreatography Outcome Guidelines

A new technique of monsplasty as an adjunctive procedure in cases of abdominoplasty:A prospective clinical trial

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Chinese Journal of Plastic and Reconstructive Surgery 2024年第3期6卷 124-129页

作者： Laila Ahmed Aboul Nasr Sherief Zamer Ahmed Fathy elsayed mohamed Hatem Elsahar Department of Plastic Surgery Faculty of Medicine Kasr Al-AinyCairo UniversityCairo11562Egypt

Background:No standard monsplasty technique has existed until *** various monsplasty methods have been described,they exhibit high complication rates with sparse postoperative *** that used pubic suspension techniques did not describe exact anatomical landmarks for the mons *** study aimed to improve the aesthetic and functional appearance of the pubic region with long-term results for all grades of pubic ptosis or bulging with abdominoplasty and provide exact anatomical points to anchor the mons to the rectus ***:This non-randomized prospective clinical trial included 30 patients with various degrees of abdominal wall laxity between December 2017 and September *** surgical procedure was performed for female patients with pendulous abdomen,pubic ptosis or bulging,body mass index≤35 kg/m^(2),and age 18–60 *** patients were followed for up to one year;patient satisfaction was assessed before and after surgery regarding aesthetic results and impact on outfits,hygiene,and sexual ***:The marginal homogeneity test revealed a statistically significant patient satisfaction rate regarding outfits,sexual function,hygiene,and *** postoperative complications,seroma(one case)was managed by aspiration,and one case of wound dehiscence was managed conservatively with ***:This study recommends a quick and reproducible monsplasty technique with a low complication rate,a technique that helps determine specific anatomical landmarks for anchoring the mons to the rectus *** this technique with abdominal contouring is advisable for optimal aesthetic results and maintained lymphatic drainage in the pubic region.

关键词： Abdominoplasty Mons ptosis Pubic suspension Skin redundancy

An Enhanced Deep Learning Method for Skin Cancer Detection and Classification

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Computers, Materials & Continua 2022年第10期73卷 1109-1123页

作者： mohamed W.Abo El-Soud Tarek gaber mohamed Tahoun Abdullah Alourani Department of Computer Science and Information College of Science in ZulfiMajmaah UniversityAl-Majmaah11952Saudi Arabia Faculty of Computers and Informatics Suez Canal UniversityIsmailia41522Egypt School of Science Engineeringand EnvironmentUniversity of SalfordUK

The prevalence of melanoma skin cancer has increased in recent *** greatest risk from melanoma is its ability to broadly spread throughout the body by means of lymphatic vessels and ***,the early diagnosis of melanoma is a key factor in improving the prognosis of the *** learning makes it possible to design and develop intelligent systems that can be used in detecting and classifying skin lesions from visible-light *** systems can provide early and accurate diagnoses of melanoma and other types of skin *** paper proposes a new method which can be used for both skin lesion segmentation and classification *** solution makes use of Convolutional neural networks(CNN)with the architecture two-dimensional(Conv2D)using three phases:feature extraction,classification and *** proposed method is mainly designed for skin cancer detection and *** the public dataset International Skin Imaging Collaboration(ISIC),the impact of the proposed segmentation method on the performance of the classification accuracy was *** obtained results showed that the proposed skin cancer detection and classification method had a good performance with an accuracy of 94%,sensitivity of 92%and specificity of 96%.Also comparing with the related work using the same dataset,i.e.,ISIC,showed a better performance of the proposed method.

关键词： Convolution neural networks activation function separable convolution 2D batch normalization max pooling classification

Morphology and Phylogeny of Taeniacanthus yamagutii Shiino,1957(Hexanauplia:Taeniacanthidae),a Copepod Infecting the Gills of Rosy Goatfish Parupeneus rubescens(Mullidae)in the Arabian Gulf

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Journal of Ocean University of China 2020年第6期19卷 1409-1420页

作者： ABDEL-gaber Rewaida AL-QURAISHY Saleh DKHIL mohamed A ALGHAMDI Masheil ALGHAMDI Jawahir KADRY mohamed Zoology Department College of ScienceKing Saud UniversityRiyadh 11451Saudi Arabia Zoology Department Faculty of ScienceCairo UniversityCairo 12613Egypt Department of Zoology and Entomology Faculty of ScienceHelwan UniversityCairo 11794Egypt

The present study was to investigate the copepodid species infecting rosy goatfish Parupeneus rubescens,one of the most economically important fishes in the Arabian Gulf.A copepodid species identified from the examined fish specimens belongs to the Taeniacanthidae family and is labeled as Taeniacanthus yamagutii Shiino,1957,mainly depending on its morphological,morphometric,and ultrastructural characteristics,in particular the presence of maxilliped claw with a conspicuous digitiform process at the base,the terminal process of the second maxilla stout,and a setiform element at the tip of each exopod spine of legs *** order to ensure the accurate identification and exact taxonomic characterization of this species,the 28S rRNA gene sequence was *** result revealed that the present copepodid species belong to the Taenicanthidae family and has a close relationship with Taeniacanthus yamagutii(gb|KR048852.1)in the same *** present study demonstrated that the rosy goatfish is a host for Taeniacanthus species,which will be helpful to prevent this parasitic infection.

关键词： parasitic copepods Taeniacanthidae Taeniacanthus spp. Arabian Gulf

Trabeculectomy with Ologen implant versus mitomycin C in congenital glaucoma secondary to Sturge Weber Syndrome

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International Journal of Ophthalmology(English edition) 2018年第2期11卷 251-255页

作者： Thanaa Helmy mohamed Abdelrahman gaber Salman Riham Fawzy Elshinawy Department of Ophthalmology Ain Shams University

AIM： To compare the efficacy and safety of collagen matrix implant [Ologen（OLO） implant] versus mitomycin C（MMC） with subscleral trabeculectomy（SST） for the surgical treatment of congenital glaucoma（CG） in SturgeWeber Syndrome（SWS）.METHODS： A prospective comparative randomized study of 20 eyes of 16 patients with CG associated with SWS was divided into two groups. The first group（MMC Group） included 10 eyes that were subjected to SST with MMC. The second group（OLO Group） included 10 eyes that were subjected to trabeculectomy with a collagen matrix implant（OLO implant）. Postoperative evaluation included intraocular pressure（IOP） level, bleb evaluation, complications, and the need for further medication or surgical intervention. RESULTS： The mean preoperative IOP was 29±3.16 mm Hg in MMC and 29.8±3.08 mm Hg in OLO eyes. Mean 12-month percentage reduction in IOP was significant in both groups（57.9% and 56.3%）. At the end of the 12 postoperative follow-up month, in the MMC Group, 80% of eyes achieved the complete success, 20% of eyes had qualified success with no failed surgery in comparison to OLO Group which 70% of eyes achieved the complete success, 20% of eyes had qualified success with 10% failed surgery. In terms of complications, the MMC Group had a higher rate of complications than the OLO Group in the form of thin polycystic bleb in 6 eyes（60%）, blebitis in only one eye（10%） treated with topical antibiotics, shallow anterior chamber in two eyes（20%）.CONCLUSION： This study proves that the use of a collagen matrix implant yields equally effective results as MMC when combined with trabeculectomy for the treatment of CG in SWS. Furthermore, OLO implantation is safe and has low incidences of complications.

关键词： mitomycin C Ologen implants congenital glaucoma trabeculectomy Sturge-Weber Syndrome

Effective properties of a porous inhomogeneously polarized by direction piezoceramic material with full metalized pore boundaries:finite element analysis

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Journal of Advanced Dielectrics 2020年第5期10卷 1-10页

作者： Andrey Nasedkin mohamed elsayed Nassar Institnute of Mathematics Mechanics and Computer Science Southem Federal University Miltchakova Street 8aRostov on Don 344090Russia Department of Physics and Engineering Mathematics Faculty of Electronic Engineering Menoufia University 32952 MenoufEgypt

This paper concerns the homogenization problems for porous piezocomposites with infinitely thin metalized pore *** determine the effective properties,we used the effective moduli method and the finite element approaches,realized in the ANSYS *** a simple model of the representative volume,we applied a unit cell of porous piezoceramic material in the form of a cube with one spherical *** modeled metallization by introducing an additional layer of material with very large permittivity coefficients along the pore *** we simulated the nonuniform polarization field around the *** taking this effect into account,we previously solved the electrostatic problem for a porous dielectric material with the same geometric *** this problem,we obtained the polarization field in the porous piezomaterial;after that,we modified the material properties of the finite elements from dielectric to piezoelectric with element coordinate systems whose corresponding axes rotated along the polarization *** a result,we obtained the porous unit cell of an inhomogeneously polarized piezoceramic *** the solutions of these homogenization problems,we observed that the examined porous piezoceramics composite with metalized pore boundaries has more extensive effective transverse and shear piezomoduli,and effective dielectric constants compared to the conventional porous *** analysis also showed that the effect of the polarization field inhomogeneity is insignificant on the ordinary porous piezoceramics;however,it is more significant on the porous piezoceramics with metalized pore surfaces.

关键词： Piezoelectricity porous piezoceranics metalized micropore nonuniform polarization transverse piezoelectic modulus homogerization problem effective modulus finite element method

Synthesis, Structural Characterization, and Antimicrobial Activities of Mn（II）, Co（II）, Ni（II）, Cu（ll） and Zn（II） Complexes of Triazole-based Azodyes

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Chinese Journal of Chemistry 2011年第6期29卷 1124-1132页

作者： Khedr, Abdalla M. gaber, mohamed Abd EI-Zaher, Eman H. Chemistry Department Faculty of Science Tanta University Tanta Egypt Botany Department Faculty of Science Tanta University Tanta Egypt

The synthesis and characterization of new transition metal complexes of Mn（ll）, Co（II）, Ni（II）, Cu（II） and Zn（II） with 3-（2-hydroxynaph-l-ylazo）-1,2,4-triazole （HL1） and 3-（2-hydroxy-3-carboxynaph-l-ylazo）-1,2,4-triazole （HL2） have been carried out. Their structures were confirmed by elemental analyses, thermal analyses, spectral and magnetic data. The IR and 1H NMR spectra indicated that HL1 and HL2 coordinated to the metal ions as bidentate monobasic ligands via the hydroxyl O and azo N atoms. The UV-Vis, ESR spectra and magnetic moment data revealed the formation of octahedral complexes [MnL1（AcO）（H2O）3] （1）, [CoL1（AcO）（HzO）3]·H2O （2）, [MnL2- （AcO）（H20）3] （6） and [CoL2（AcO）（H2O）3] （7）, [NiL1（AcO）（H2O）] （3）,[ZnLI（AcO）（HzO）]·H2O （5）, [NiL2- （AcO）（H2O）] （8）, [ZnL2（AcO）（H2O）]·H2O （10） have tetrahedral geometry, whereas [CuLI（AcO）（H2O）2] （4） and [CuL2（AcO）（H2O）2]·5H2O （9） have square pyramidal geometry.. The mass spectra of the complexes under EI-con- ditions showed the highest peaks corresponding to their molecular weights, based on the atomic weights of 55Mn, 59Co, 58Ni, 63Cu and 64Zn isotopes; besides, other peaks containing other isotopes distribution of the metal. Kinetic and thermodynamic parameters of the thermal decomposition stages were computed from the thermal data using Coats-Redfern method. HL2 and complexes 6--10 were found to have moderate antimicrobial activities against Staphylococcus＇ aureus （gram positive）, Escherichia coli （gram negative） and Salmonella sp bacteria, and antifungal activity against Fusarium oxysporum, Aspergillus niger and Candida albicans. Also, in most cases, metallation increased the activity compared with the free ligand.

关键词： analytical and inorganic chemistry triazole azodyes metal(II) chelates antimicrobial activities

A Multi-Factor Authentication-Based Framework for Identity Management in Cloud Applications

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Computers, Materials & Continua 2022年第5期71卷 3193-3209页

作者： Wael Said elsayed Mostafa M.M.Hassan Ayman mohamed Mostafa Faculty of Computers and Informatics Zagazig UniversityZagazig44519Egypt College of Computer and Information Sciences Jouf UniversitySakaka72314Saudi Arabia

User’s data is considered as a vital asset of several *** data to the cloud computing is not an easy decision for any organization due to the privacy and security *** providers must ensure that both data and applications that will be stored on the cloud should be protected in a secure *** data stored on the public cloud will be vulnerable to outside and inside *** paper provides interactive multi-layer authentication frameworks for securing user identities on the *** access control policies are applied for verifying users on the cloud.A security mechanism is applied to the cloud application that includes user registration,granting user privileges,and generating user authentication *** intrusion detection system is embedded to the security mechanism to detect malicious *** multi factor authentication,intrusion detection,and access control techniques can be used for ensuring the identity of the ***,encryption techniques are used for protecting the data from being *** results are carried out to verify the accuracy and efficiency of the proposed frameworks and *** results recorded high detection rate with low false positive alarms.

关键词： Cloud computing service providers multi-layer authentication frameworks and access control