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Post-cholecystectomy iatrogenic bile duct injuries:Emerging role for endoscopic management

World Journal of Gastrointestinal Surgery 2023年第12期15卷 2709-2718页

作者： Mohamed H Emara mohammed hussien ahmed Mohamed I Radwan Emad Hassan Emara Magdy Basheer ahmed Ali Asem ahmed Elfert Department of Hepatology Gastroenterology and Infectious DiseasesKafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Tropical Medicine Zagazig UniversityZagazig 44519Egypt Department of Diagnostic and Interventional Radiology Kafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Surgery Mansoura UniversityMansours 44176Egypt Department of Emergency Hargeisa Group HospitalHargeisa 1235Somalia Department of Tropical Medicine Tanta UniversityTanta 33120Egypt

Post-cholecystectomy iatrogenic bile duct injuries(IBDIs),are not uncommon and although the frequency of IBDIs vary across the literature,the rates following the procedure of laparoscopic cholecystectomy are much higher than open *** injuries caries a great burden on the patients,physicians and the health care systems and sometime are *** are associated with different manifestations that are not limited to abdominal pain,bile leaks from the surgical drains,peritonitis with fever and sometimes *** injuries if not witnessed during the surgery,can be diagnosed by combining clinical manifestations,biochemical tests and imaging *** such techniques abdominal US is usually the first choice while Magnetic Resonance Cholangio-Pancreatography seems the most *** approach was the ideal approach for such cases,however the introduction of Endoscopic Retrograde Cholangio-Pancreatography(ERCP)was a paradigm shift in the management of such injuries due to accepted success rates,lower cost and lower rates of associated morbidity and ***,the literature lacks consensus for the optimal timing of ERCP intervention in the management of *** management of IBDIs can be tailored according to the nature of the underlying *** the subgroup of patients with complete bile duct ligation and lost ductal continuity,transfer to surgery is indicated without *** patients will not benefit from endoscopy and hence should not do unnecessary *** low–flow leaks *** bed leaks,conservative management for 1-2 wk prior to ERCP is advised,in contrary to high-flow leaks *** duct leaks and stricture lesions in whom early ERCP is *** plus stenting is the ideal management line for cases of *** radiologic techniques are promising options especially for cases of failed endoscopic repair and also for cases with altered *** studies will

关键词： Iatrogenic bile duct injuries Cholecystectomy Surgical repair Endoscopic Retrograde Cholangio-Pancreatography Interventional radiology

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Sonographic gallbladder wall thickness measurement and the prediction of esophageal varices among cirrhotics

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World Journal of Hepatology 2023年第2期15卷 216-224页

作者： Mohamed H Emara Mariam Zaghloul Ibrahim F Amer Aya M Mahros mohammed hussien ahmed Mahmoud A Elkerdawy Eslam Elshenawy Abdelrahman M ahmed Rasheda Tarik I Zaher Mona Talaat Haseeb Emad Hassan Emara Hassan Elbatae Department of Hepatology Gastroenterology and Infectious DiseasesKafrelsheikh UniversityKafr-Elshikh 33516Egypt Department of Internal Medicine Gastroenterology UnitSecurity Forces HospitalRiyadh 11481Saudi Arabia Tropical Medicine Zagazig UniversityZagazig 44519Egypt Department of Diagnostic and Interventional Radiology Kafrelsheikh UniversityKafr-Elshikh 33516Egypt

Acute variceal bleeding in patients with liver cirrhosis and portal hypertension(PHT) is the most serious emergency complication among those patients and could have catastrophic outcomes if not timely managed. Early screening by esophago-gastro-duodenoscopy(EGD) for the presence of esophageal varices(EVs) is currently recommended by the practice guidelines for all cirrhotic patients. Meanwhile, EGD is not readily accepted or preferred by many patients. The literature is rich in studies to investigate and validate non-invasive markers of EVs prediction aiming at reducing the unneeded endoscopic procedures. Gallbladder(GB) wall thickness(GBWT) measurement has been found promising in many published research articles. We aim to highlight the validity of sonographic GBWT measurement in the prediction of EVs based on the available evidence. We searched databases including Cochrane library, Pub Med, Web of Science and many others for relevant articles. GBWT is associated with the presence of EVs in cirrhotic patients with PHT of different etiologies. The cut-off of GBWT that can predict the presence of EVs varied in the literature and ranges from 3.1 mm to 4.35 mm with variable sensitivities of 46%-90.9% and lower cutoffs in viral cirrhosis compared to non-viral, however GBWT > 4 mm in many studies is associated with acceptable sensitivity up to 90%. Furthermore, a relation was also noticed with the degree of varices and portal hypertensive *** cirrhotics, GBWT > 3.5 mm predicts the presence of advanced(grade Ⅲ-Ⅳ) EVs with a sensitivity of 45%, the sensitivity increased to 92% when a cut-off ≥ 3.95 mm was used in another cohort. Analysis of these results should carefully be revised in the context of ascites, hypoalbuminemia and other intrinsic GB diseases among cirrhotic patients. The sensitivity for prediction of EVs improved upon combining GBWT measurement with other non-invasive predictors, e.g., platelets/GBWT.

关键词： Sonographic Gallbladder wall thickness Prediction Esophageal varices Portal hypertension Esophago-gastro-duodenoscopy

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Endoscopic resection of superficial bowel neoplasia:The unmet needs in the Egyptian practice

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World Journal of Gastrointestinal Endoscopy 2022年第4期14卷 235-249页

作者： Mohamed H Emara Mariam Zaghloul Haidi Karam-Allah Ramadan Salem Youssef Mohamed mohammed Tag-Adeen ahmed Alzamzamy Mohamed Alboraie Ahmad Madkour ahmed Youssef Altonbary Tarik I Zaher ahmed Abo Elhassan Nermeen Abdeen mohammed hussien ahmed Department of Hepatology Gastroenterology and Infectious DiseasesKafrelsheikh UniversityKafr Elshiekh 33516Egypt Department of Tropical Medicine and Gastroenterology Assiut UniversityAssiut 71515Egypt Department of Internal Medicine Faculty of MedicineGastroenterology and Hepatology UnitZagazig UniversityZagazig 44519Egypt Division of Gastroenterology and Hepatology Department of Internal MedicineSouth Valley UniversityQena Faculty of MedicineQena 83523Egypt Department of Gastroenterology and Hepatology Maadi Armed Forces Medical ComplexMilitary Medical AcademyCairo 11841Egypt Department of Internal Medicine Al-Azhar UniversityCairo11884Egypt Department of Endemic Medicine Helwan UniversityCairo 11795Egypt Department of Gastroenterology and Hepatology Mansoura UniversityMansoura 35516Egypt Department of Tropical Medicine Zagazig UniversityZagazig 44519Egypt Department of Tropical Medicine Suez Canal UniversityIsmailia 41522Egypt Department of Tropical Medicine Alexandria UniversityAlexandria 21526Egypt

BACKGROUND Management of superficial bowel neoplasia(SBN)in early stages is associated with better *** last few decades experienced a paradigm shift in the management of SBN with the introduction of advanced endoscopic resection techniques(ERTs).However,there are no clear data about the aspects of ERTs in Egypt despite the growing gastroenterology *** To investigate the knowledge,attitude,and practice of ERTs toward management of SBN among Egyptian practitioners and the suitability of the endoscopy units’infrastructures toward these *** An online 2-pages questionnaire was *** first page comprised demographic data,and questions for all physicians,about the knowledge(11 questions)of and attitude(5 questions)toward ERTs as a therapeutic option for *** second page investigated the practice of ERTs by endoscopists(6 questions)and the infrastructures of their endoscopy units(14 questions).The survey was disseminated through July 2021 and the data were collected in an excel sheet and later analyzed *** The complete responses were 833/2300(36.2%).The majority of the participants were males(n=560,67.2%),middle-aged(n=366,43.9%),consultants(n=464,55.7%),gastroenterologists(n=678,81.4%),spending≥15 years in practice(n=368,44.2%),and were working in university hospitals(n=569,68.3%).The majority correctly identified the definition of SBN(88.4%)and the terms polypectomy,endoscopic mucosal resection(EMR),and endoscopic submucosal dissection(ESD)(92.1%,90.2%,and 89.1%respectively).However,26.9%,43.2%and 49.5%did not recognize the clear indication of polypectomy,EMR,and ESD *** 68.1%of physicians are convinced about the ERTs for management of SBN;only 8.9%referred all candidate cases for *** 76.5%of endoscopists had formal training in the basic polypectomy techniques while formal training for EMR and ESD was encountered only in 31.9%and 7.2%*** 71.6%and 88.4%of endoscopists did not per

关键词： Endoscopic submucosal dissection Endoscopic mucosal resection Polypectomy Superficial bowel neoplasia Egypt

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A New Generative Mathematical Model for Coverless Steganography System Based on Image Generation

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Computers, Materials & Continua 2023年第3期74卷 5087-5103页

作者： Al-hussien Seddik mohammed Salah Gamal Behery ahmed El-harby ahmed Ismail Ebada Sokea Teng Yunyoung Nam Mohamed Abouhawwash Department of Computer Science Faculty of ScienceMinia UniversityMiniaEgypt Department of Computer Science Faculty of Computers and Artificial IntelligenceDamietta UniversityNew DamiettaEgypt Department of ICT Convergence Soonchunhyang UniversityAsan31538Korea Department of Mathematics Faculty of ScienceMansoura UniversityMansoura35516Egypt Department of Computational Mathematics Scienceand Engineering(CMSE)Michigan State UniversityEast Lansing48824MIUSA

The ability of any steganography system to correctly retrieve the secret message is the primary criterion for measuring its ***,researchers have tried to generate a new natural image driven from only the secret message bits rather than using a cover to embed the secret message within it;this is called the stego *** paper proposes a new secured coverless steganography system using a generative mathematical model based on semi Quick Response(QR)code and maze game image *** system consists of two *** first component contains two processes,encryption process,and hiding *** encryption process encrypts secret message bits in the form of a semi-QR code image whereas the hiding process conceals the pregenerated semi-QR code in the generated maze game *** the other hand,the second component contains two processes,extraction and decryption,which are responsible for extracting the semi-QR code from the maze game image and then retrieving the original secret message from the extracted semi-QR code image,*** results were obtained using the bit error rate(BER)*** results confirmed that the system achieved high hiding capacity,good performance,and a high level of robustness against attackers compared with other coverless steganography methods.

关键词： Coverless steganography data hiding information security QR code maze game

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Vital Parameters Assessments of Starvation Tolerance of in vitro Populus alba Culture

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Phyton-International Journal of Experimental Botany 2022年第4期91卷 889-902页

作者： Mohamed Fathy ahmed Eman Zakaria ahmed Salman Aloufi mohammed Alqurashi Amal Alyamani Eman Fayad Eman Tawfik hussien Horticulture Department Faculty of AgricultureAin Shams UniversityCairo11566Egypt Botany and Microbiology Department Faculty of ScienceHelwan UniversityCairo11795Egypt Department of Biotechnology Faculty of SciencesTaif UniversityTaif21944Saudi Arabia

Populus alba is a large woody deciduous *** plant has been introduced to shooting,then multiplication of rooting on Murashige and Skoog(MS)*** work was designed to estimate the effect of two factors(low levels of 1-Naphthaleneacetic acid NAA and sucrose)on *** response resulting in 6 treatments compared to the control,with twelve measured *** was a significant difference in some measurements in morphology,like plantlets fresh-weight,shoot-,root-length,and leaf *** the physiological measurements,there were significant differences in all the measured *** low concentrations of sucrose and media composition/power(MS grams/L)led to starvation in plants;however,these conditions led to enhancement in some morphological and physiological parameters to overcome the starvation effect,compared to the *** RAPD-PCR molecular marker(four decamers)was used to evaluate the new individuals’genetic variation(instability),resulting in a total polymorphism percentage of 50.83%.It was formerly known that the plantlets were identical to each other and to the mother *** this study,however,the use of distinct media power,hormonal and sucrose levels resulted in molecular variation reflected in ***’s morphological and physiological responses.

关键词： Genetic stability Populus alba RAPD-PCR somaclonal variations starvation

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Faulty Phase Identification for Transmission Line with Metal Oxide Varistor-protected Series Compensator

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Journal of Modern Power Systems and Clean Energy 2021年第1期9卷 85-93页

作者： mohammed hussien Hassan Musa Ling Fu Zhengyou He Yumin Lei the Electrical Engineering Department Southwest Jiaotong UniversityChengduChina the Electrical Engineering Department College of EngineeringAlmughtarbeen UniversityKhartoumSudan

The nonlinear operation of metal oxide varistor(MOV)-protected series compensator in transmission lines introduces complications into fault detection approaches. The accuracy of a conventional fault detection schemes is adversely affected by continuous change of the system impedance and load current at the point of a series compensation unit. Thus, this study suggests a method for detecting the faulted phase in MOV-protected series-compensated transmission lines. Primarily, the fault feature is identified using the covariance coefficients of the current samples during the fault period and the current samples during the pre-fault period. Furthermore, a convenience fault detection index is established by applying the cumulative sum technique. Extensive validation through different fault circumstances is accomplished, including different fault positions,resistances, and inception times. The experimental results show that the proposed method performs well with high resistance or impedance faults, faults in noisy conditions, and close-in and far-end faults. The proposed method is simple and efficient for faulty phase detection in MOV-protected series-compensated transmission lines.

关键词： Cumulative approach covariance coefficient high-impedance fault response time

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Improving of photocatalytic activity of barium ferrate via bismuth and copper co-doping for degradation of paracetamol under visible light irradiation

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Journal of Environmental Sciences 2022年第2期34卷 331-342页

作者： hussien ahmed Abbas Rabab ahmed Nasr Rose-Noelle Vannier Tarek Samir Jamil Inorganic Chemistry Department National Research CentreCairo 12622Egypt Water Pollution Control Department National Research CenterCairo 12622Egypt Univ.Lille CNRSCentrale LilleENSCLUniv.ArtoisUMR 8181Unite de Catalyse et Chimie du Solide(UCCS)Lille 59000France

Nanosized Ba_(1-x)Bi_(x)Fe_(1-x)Cu_(x)O_(3)(12–50 nm)with x values of 0,0.01,0.05,and 0.1 system was prepared using the Pechini ***,morphological,surface and optical characterizations were performed for the prepared *** phase was the predominant phase for the undoped BaFeO_(3)and Bi and Cu co-doped BaFeO_(3)*** phases of monoclinic Ba_(2)Fe_(2)O_(5),orthorhombic BaFe_(2)O_(4)and orthorhombic BaCO_(3)were identified for all the prepared ***_(0.95)Bi_(0.05)Fe_(0.95)Cu_(0.05)O_(3)sample has the lowest band gap(2.43 e V).98.1%paracetamol removal was achieved with 0.75 g/L of Ba_(0.95)Bi_(0.05)Fe_(0.95)Cu_(0.05)O_(3)at pH9 after 120 *** paracetamol degradation follows the pseudo first-order ***·is the main oxidative species responsible for the paracetamol *** chromatography–mass spectrometry(GC–MS)analysis was performed at the end of the photocatalytic degradation experiment under optimum operating condition using Ba_(0.95)Bi_(0.05)Fe_(0.95)Cu_(0.05)O_(3)to explain the reaction mechanism and identify the intermediate by-products which is confirmed by ultraviolet/visible(UV/Vis)spectroscopy study at different reaction times.

关键词： Ba_(1-x)Bi_(x)Fe_(1-x)Cu_(x)O_(3) Photocatalytic degradation Nanomaterials Paracetamol

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Fabrication and characterization of gold nano particles for DNA biosensor applications

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Chinese Chemical Letters 2016年第5期27卷 801-806页

作者： ahmed Mishaal mohammed Chemistry Department College of Science Anbar University Institutes of Nano Electronic Engineering University Malaysia Perlis

This research involves the preparation ofa biosensor using silicon oxide for biomedical applications, and its effective use for the detection of target DNA hybridization. An electrochemical DNA biosensor was successfully fabricated by using （3-aminopropyl） tri-ethoxysilane （APTES） as a linker molecule combined with gold nanoparticles （GNPs） on a thermally oxidized 5i02 thin film. The size of the GNPs was calculated by utilizing UV-vis data with an average calculated particle size within the range of 30 - 5 nm, and characterization by transmission electron microscopy （TEM） and atomic force microscopy （AFM）. The GNP-modified SiO2 thin films were electrically characterized through the measurement of capacitance, permittivity and conductivity using a low-cost dielectric analyzer. The capacitance, permittivity and conductivity profiles of the fabricated sensor clearly differentiated DNA immobilization and hybridization.

关键词： Gold nanoparticlesElectrochemical DNA hybridization Dielectric analyzer

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Energy Efficiency of a Solar Green Building Using Bio-Sourced Materials for Indoor Temperature and Humidity Optimization

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Energy Engineering 2025年第1期122卷 41-62页

作者： SoumiaMounir Youssef Maaloufa Abdelhamid Khabbazi ElinaMohd Husini Nurul SyalaAbdul Latip YakubuAminuDodo Rime ELHarrouni MinaAmazal Asma Souidi Malika Atigui ahmed Aharoune National School of Architecture Agadir New Complex Ibn ZohrAgadirBP 20732Morocco EMDD CERNE2DUniversity of Mohammed V in RabatEst SaleSaleBP 227Morocco Thermodynamics and Energetics Laboratory Faculty of ScienceIbn Zohr UniversityAgadirBP 8106Morocco Faculty of Built Environment University Sains Islam MalaysiaNilaiBP 71800Malaysia Architectural Engineering Department Najran UniversityNajranBP 1988Saudi Arabia The Centre of Scientific and Engineering Research Najran UniversityNajranBP 1988Saudi Arabia Euro-Mediterranean School of Architecture Design and UrbanismEuro-Mediterranean University of FezFezBP 51Morocco

A clean environment with low carbon emissions is the goal of research on the development of green and sustainable buildings that use bio-sourced materials in conjunction with solar energy to create more sustainable *** is particularly true in Africa,where there aren’t many studies on the *** current study suggests a 90 m^(2) model of a sustainable building in a dry climate that is movable to address the issue of housing in remote areas,ensures comfort in harsh weather conditions,uses solar renewable resources—which are plentiful in Africa—uses biosourced materials,and examines how these materials relate to temperature and humidity control while emitting minimal carbon *** order to solve the topic under consideration,the work is split into two sections:numerical and experimental *** TRNSYS and Revit,the suggested prototype building is examined numerically to examine the impact of orientation,envelope composition made of bio-sourced materials,and carbon *** a hygrothermal investigation,experiments are conducted to evaluate this prototype’s ***,an examination of the photovoltaic system’s production,consumption,and several scenarios used tomaximize battery life is included in the *** the biosourcedmaterial achieves a thermal transmittance of 0.15(W.m^(-2).K^(-1)),the results demonstrate an intriguing finding in terms of *** value satisfies the requirements of passive building,energy autonomy of the dwelling,and injection in-network with an annual value of 15,757 ***,compared to the literature,the heating needs ratio is 6.38(kWh/m^(2).an)and the cooling needs ratio is 49(kWh/m^(2).an),both of which are good *** to international norms,the inside temperature doesn’t go above 26℃,and the humidity level is within a comfortable range.

关键词： Bio-sourced materials energy sustainability green architecture built environment

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Coverless Image Steganography System Based on Maze Game Generation

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Intelligent Automation & Soft Computing 2023年第11期38卷 125-138页

作者： Al hussien Seddik Saad mohammed S.Reda GamalM.Behery ahmed A.El-harby mohammed Baz Mohamed Abouhawwash ahmed Ismail Ebada Department of computer science Faculty of ScienceMinia UniversityShalabyMiniaEgypt Department of computer science Faculty of Computers and Artificial IntelligenceDamietta UniversityNew DamiettaDamiettaEgypt Department of Computer Engineering College of Computer and Information TechnologyTaif UniversityP.O.Box 11099Taif21994Saudi Arabia Department of Mathematics Faculty of ScienceMansoura UniversityMansoura35516Egypt Department of Computational Mathematics Scienceand Engineering(CMSE)College of EngineeringMichigan State UniversityEast LansingMI48824USA Department of Information Systems Faculty of Computers and Artificial IntelligenceDamietta UniversityNew DamiettaDamiettaEgypt

The trend of digital information transformation has become a topic of *** data are threatening;thus,protecting such data from attackers is considered an essential ***,a new methodology for data concealing has been suggested by researchers called coverless *** steganography can be accomplished either by building an image database to match its image subblocks with the secret message to obtain the stego image or by generating an *** paper proposes a coverless image steganography system based on pure image generation using secret message bits with a capacity higher than the other traditional *** system uses the secret message to generate the stego image in the form of one of the Intelligence Quotient(IQ)games,the ***,a full grid is generated with several specific rows and columns determined from the number of bits of the secret ***,these bits are fed to the full grid to form the maze game stego ***,the generated maze game stego image is sent to the *** experimental results,using the Bit Error Rate(BER),were conducted,and confirmed the strength of this system represented by a high capacity,perfect performance,robustness,and stronger hiding system compared with existing coverless steganography systems.

关键词： Coverless data hiding digital image steganography intelligence quotient games maze game

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