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Barriers to nurse-patient communication in primary healthcare centers in Bahrain:Patient perspective

International Journal of Nursing Sciences 2022年第2期9卷 230-235,I0008页

作者： nada mahmood abdulla Rula Jamal Naqi Ghufran Ahmed Jassim School of Medicine Royal College of Surgeons in IrelandMedical University of BahrainBahrain Associate Professor and Head of Department of Family Medicine Royal College of Surgeons in Ireland e Medical University of BahrainBahrain

Objectives:Effective and efficient communication is a core element in healthcare systems,especially between healthcare providers and *** study aimed to identify communication barriers be-tween nurses and patients in primary healthcare centers in ***:This is a cross-sectional study conducted across primary healthcare centers in *** hundred and two patients were recruited using convenience sampling.A self-administered question-naire comprising 29 items on communication barriers was ***:A total of 402 patients consented to *** majority of participants reported the following statements had large effects on communication:“shortage in the number of nurses compared to the large number of patients”(254/401,63.3%),“lack of desire of nurse to communicate with patients”(246/402,61.2%),and“negative attitude of the nurse toward the patient”(238/401,59.4%).Further,“difference in language between nurses and patients,”“lack of self-confidence by nurses,”and“nurses overwhelmed by work”were ranked as top three statements with a significant influence on commu-nication between nurses and ***:Communication between healthcare providers and patients is pivotal for an optimal healthcare *** on the findings of this study and the literature,we recommend formal training of health care workers in improving communication skills and including this not only in medical cur-riculum but also in the form of continuing medical education(CMEs)1.

关键词： Communication barriers Delivery of health care Health personnel Primary health care Surveys and questionnaires

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Detection of Real-Time Distributed Denial-of-Service (DDoS) Attacks on Internet of Things (IoT) Networks Using Machine Learning Algorithms

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Computers, Materials & Continua 2024年第8期80卷 2139-2159页

作者： Zaed Mahdi nada Abdalhussien Naba mahmood Rana Zaki Information Technology Center University of TechnologyBaghdad00964Iraq Continuous Education Center University of TechnologyBaghdad00964Iraq Computer Science Department University of TechnologyBaghdad00964Iraq

The primary concern of modern technology is cyber attacks targeting the Internet of *** it is one of the most widely used networks today and vulnerable to ***-time threats pose with modern cyber attacks that pose a great danger to the Internet of Things(IoT)networks,as devices can be monitored or service isolated from them and affect users in one way or *** Internet of Things networks is an important matter,as it requires the use of modern technologies and methods,and real and up-to-date data to design and train systems to keep pace with the modernity that attackers use to confront these *** of the most common types of attacks against IoT devices is Distributed Denial-of-Service(DDoS)*** paper makes a unique contribution that differs from existing studies,in that we use recent data that contains real traffic and real attacks on IoT *** a hybrid method for selecting relevant features,And also how to choose highly efficient *** gives the model a high ability to detect distributed denial-of-service *** model proposed is based on a two-stage process:selecting essential features and constructing a detection model using the K-neighbors algorithm with two classifier algorithms logistic regression and Stochastic Gradient Descent classifier(SGD),combining these classifiers through ensemble machine learning(stacking),and optimizing parameters through Grid Search-CV to enhance system *** were conducted to evaluate the effectiveness of the proposed model using the CIC-IoT2023 and CIC-DDoS2019 *** evaluation demonstrated the potential of our model in robust intrusion detection in IoT networks,achieving an accuracy of 99.965%and a detection time of 0.20 s for the CIC-IoT2023 dataset,and 99.968%accuracy with a detection time of 0.23 s for the CIC-DDoS 2019 ***,a comparative analysis with recent related works highlighted the superiority of our methodology in in

关键词： DDoS Service networks

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Screening for variants in the <i>MUTYH</i>gene in Saudis

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Open Journal of Genetics 2011年第3期1卷 70-77页

作者： Jameela Shinwari abdulla Alamri Mohammad Alanazi nada Al Tassan 不详

MUTYH is a base excision repair glycosylase responsible for correcting the G:A mismatches that arise from replication of a damaged DNA, such impairment results from attacks by reactive oxygen species that are produced from different sources including cigarette smoking. The produced reactive oxygen species trigger the oxidation of guanine in to 8-oxo-G and the latter mispairs with adenine. Alterations in the MUTYH gene can affect its glycosylase function and hence the DNA repair capacity that is tightly linked to cancer development. Defects in the MUTYH were found to be associated with predisposition to colorectal cancer;the third most common cancer in the world. Although some studies suggested the existence of an ethnic differentiation among MUTYH mutations, there are no documented reports regarding this gene in Saudi cases or controls so far. 153 healthy Saudi individuals including smokers were screened for the IVS1 + 5 G/C, V22M, Y165C, R231C, H324Q and G382D MUTYH variants using either ARMS or RFLP or direct sequencing. Allelic frequencies were calculated and were found to be as follows: IVS1 + 5 G/C = 1/0, V22M = 0.99/0.01, Y165C = 1/0, R231C = 1/0, H324Q = 0.29/0.71 and G382D = 0.997/0.003. Comparison of the allele frequencies between Saudis and other populations revealed a significant difference between the Saudis and Europeans for the V22M (p-value: 0.0003, OR: 5.899, 95% CI: 1.999 - 17.408);and between the Saudis and Asians for the H324Q (p-value: MUTYH variants in Saudi populations and support the existence of an ethnic difference between MUTYH variants which is beneficial as some MUTYH common polymorphisms in certain populations may correlate with disease predisposition in other rare populations.

关键词： MUTYH Allele Frequencies Single Nucleotide Polymorphism Mutations Colorectal Cancer

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Incidence of Malignancy in Asymmetrical Tonsillar Enlargement

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International Journal of Otolaryngology and Head & Neck Surgery 2017年第1期6卷 6-10页

作者： Jalal Al Marzooq Jawad abdulla mahmood Al Sindi Department of Otorhinolaryngology (ORL) Salmaniya Medical Complex Manama Bahrain

Objective: To determine the incidence of carcinoma in patients with asymmetrical tonsillar enlargement. Study Design: A clinical retrospective case series based on medical records of our medical complex. Results: During a two-year period, 990 patients underwent tonsillectomy at Salmaniya Medical Complex (SMC). 59 (5.9%) of those patients had asymmetrical enlargement of their tonsils, three of whom had suspicious clinical findings at presentation. The latter were found to have tonsillar malignancy on histopathological testing. Malignancy was excluded in all other specimen. Conclusions: Since the incidence of malignancy in asymmetrical tonsils is negligible in the absence of other associated risk factors, watchful waiting may be appropriate prior to any surgical intervention. Diagnostic tonsillectomy is indicated in patients with asymmetrical tonsillar enlargement with associated suspicious clinical findings, including cervical lymphadenopathy and rapid tonsillar enlargement.

关键词： Tonsil Asymmetry Enlargement Malignancy Tonsillectomy

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Uranium Concentrations in Surface Soil Samples for Selected Regionsin AI-Anbar Governorate （Iraq） Using CR-39 Track Detector

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Journal of Physical Science and Application 2016年第1期6卷 67-70页

作者： nada Fadhil Tawfiq Hazim Louis Mansour mahmood Salim Karim Department of Physics Al-Nahrain University Baghdad lraq Department of Physics Al-Mustansiriyah University Baghdad Iraq

In the present work, uranium concentrations were measured in twenty surface soil samples forselected regions in AI-Anbargovernorate using fission track etch technique, CR-39 track detector was used for registration of induced fission tracks. The results show that, the uranium concentrations ranged from 4.61 ppm, 56.93 Bq/kg （AL-Falluja AL-Jolan District） to 1.81 ppm 22.35 Bq/kg （Anah）with an average 3.42±0.79 ppm, 41.76±9.04 Bq/kg. The present results have shown that the uranium concentrations in the studied surface soil samples were less than the allowed limit 11.7 ppm recommended by UNSCEAR, 1993.

关键词： Uranium concentration CR-39 track detector fission tracks surface soil.

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Safety of Malaysian marine endophytic fungal extract S2 from a brown seaweed Turbinaria conoides

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Journal of Coastal Life Medicine 2014年第7期 527-534页

作者： Siti Alwani Ariffin Kalavathy Ramasamy Paul Davis Vasudevan Mani mahmood Ameen abdulla Faculty of Pharmacy University Teknologi MARA(UiTM)42300 Bandar Puncak AlamSelangor Darul Ehsan Malaysia Marine Pharmaceutical Research Group(MaReG) Brain and Neuroscience Communities of ResearchUniversity Teknologi MARA(UiTM)40450 Shah AlamSelangor Darul Ehsan Malaysia Collaborative Drug Discovery Research Group Brain and Neuroscience Communities of ResearchUniversity Teknologi MARA(UiTM)40450 Shah AlamSelangor Darul Ehsan Malaysia Department of Medicine University of OtagoPO Box 7343NewtownWellington South 6242New Zealand Department of Medicine University of MalayaMalaysia

Objective:To evaluate the in vivo acute toxicity and antioxidant activity of the marine endophytic fungus extract S2 isolated from Turbinaria ***:Two doses(100 mg/kg and 400 mg/kg)of the S2 extract were administered to rats orally for acute toxicity and antioxidant *** body weight,relative weight of six organs,haematological,biochemical and antioxidant properties were investigated on Day ***:A single oral dose treatment did not cause any mortality or observable adverse effects in *** significant variations in the body and organ weights between the control and the treated groups were *** analysis and clinical blood chemistry also did not reveal any toxic effects of the *** total white blood cell count and haemoglobin levels were *** levels of total serum cholesterol in males treated with 100 and 400 mg/kg were significantly(P<0.05)decreased(1.28 and 1.34 mmol/L respectively)compared to control(1.55 mmol/L)***,neither gross abnormalities nor histopathological changes were *** study showed strong evidence of the non-toxic effects of S2 *** the extract exhibited significant(P<0.05)antioxidant activity through increased levels of superoxide dismutase and glutathione peroxidase enzy mes in serum,liver and ***:The research findings from the present study showed the potential of marine natural products particularly in Malaysia as a source of bioactive *** endophytic fungi as a potential source of anticancer drugs with great potential as they are potent yet safe,thus deserving further extensive investigation.

关键词： Endophytes Turbinaria conoides Acute toxicity Cytotoxicity Antioxidant

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Measurement of Radon Gas Concentrations in Tap Water Samples for Thi-Qar Governorate Using Nuclear Track Detector (CR-39)

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Detection 2016年第1期4卷 1-8页

作者： Liath Ahmed Najam Hazim Louis Mansour nada Fadhil Tawfiq mahmood Salim Karim Department of Physics College of Science University of Mosul Mosul Iraq Department of Physics College of Education Al-Mustansiriyah University Baghdad Iraq Department of Physics College of Science Al-Nahrain University Baghdad Iraq

In the present work, we have measured the radon gas concentrations in tap water samples are taken directly from drinking tap water in sites houses being carried in Thi-Qar governorate by using nuclear track detector (CR-39). The results of measurements have shown that the highest average radon concentration in water samples is found in AL-Refai region which is equal to (0.223 ± 0.03 Bq/L), while the lowest average radon gas concentration is found in AL-Fajr region which is equal to (0.108 ± 0.01 Bq/L), with an average value of (0.175 ± 0.03 Bq/L). The highest value of annual effective dose (AED) in tap water samples is found in AL-Refai region, which is equal to (0.814 μSv/y), while the lowest value of (AED) is found in AL-Fajr region which is equal to (0.394 μSv/y), with an average value of (0.640 ± 0.1 μSv/y). The present results have shown that radon gas concentrations in tap water samples are less than the recommended international value (11.1 Bq/L). There for tap water in all the studied sites in Thi-Qar governorate is safe as for as radon concentration being concerned.

关键词： Radon Solid State Nuclear Track Detectors CR-39 Radon in Water

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Causative bacteria of ventilator-associated pneumonia in intensive care unit in Bahrain:Prevalence and antibiotics susceptibility pattern

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World Journal of Critical Care Medicine 2023年第3期12卷 165-175页

作者： Mohamed Eliwa Hassan Safaa Abdulaziz Al-Khawaja Nermin Kamal Saeed Sana Abdulaziz Al-Khawaja mahmood Al-Awainati Sara Salah Yusuf Radhi Mohamed Hameed Alsaffar Mohammed Al-Beltagi Intensive Care Unit Department of Internal medicineSalmaniya Medical ComplexMinistry of HealthManamaKingdom of BahrainManama 12ManamaBahrain Infectious Disease Unit Department of Internal MedicineSalmaniya Medical ComplexMinistry of HealthKingdom of BahrainManama 12ManamaBahrain Medical Microbiology Section Department of PathologySalmaniya Medical ComplexMinistry of HealthKingdom of BahrainManama 12ManamaBahrain Medical Microbiology Section Department of PathologyIrish Royal College of SurgeonBahrainBusiateen 15503MuharraqBahrain Department of Family Medicine Ministry of HealthManamaKingdom of BahrainManama 12ManamaBahrain Department of Pediatrics Faculty of MedicineTanta UniversityTanta 31511AlghrabiaEgypt Department of Pediatrics University Medical CenterKing Abdulla Medical CityArabian Gulf UniversityDr.Sulaiman Al Habib Medical GroupManama 26671ManamaBahrain

BACKGROUND Ventilator-associated pneumonia(VAP)is defined as pneumonia that occurs two calendar days following endotracheal intubation or after *** is the most common infection encountered among intubated *** incidence showed wide variability between *** To define the VAP incidence in the intensive care unit(ICU)in the central gove-rnment hospital in Bahrain and review the risk factors and the predominant bacterial pathogens with their antimicrobial susceptibility *** The research was a prospective cross-sectional observational study over six months from November 2019 to June *** included adult and adolescent patients(>14 years old)admitted to the ICU and required intubation and mechanical *** was diagnosed when it occurred after 48 h after endotracheal intubation using the clinical pulmonary infection score,which considers the clinical,laboratory,microbiological,and radiographic *** The total number of adult patients admitted to the ICU who required intubation and mechanical ventilation during the study period was ***-six patients developed VAP during their ICU stay(29.7%).The calculated VAP rate was 22.14 events per 1000 ventilator days during the study period,with a mean age of 52 years±*** VAP cases had late-onset VAP with a mean number of ICU days before the development of VAP of 9.96±***-negative contributed to most VAP cases in our unit,with multidrug-resistant Acinetobacter being the most identified *** The reported VAP rate in our ICU was relatively high compared to the international benchmark,which should trigger a vital action plan for reinforcing the implementation of the VAP prevention bundle.

关键词： Ventilator-associated pneumonia Intensive care unit Antibiotics susceptibility pattern Kingdom of Bahrain Adults Bacterial resistance Acinetobacter

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