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Evaluation of GALAD Score in Diagnosis and Follow-up of Hepatocellular Carcinoma after Local Ablative Therapy

Journal of Clinical and Translational Hepatology 2023年第2期11卷 334-340页

作者： rasha eletreby Marwa Elsharkawy Alaa Awad Taha Mohamed Hassany Amr Abdelazeem Mohamed El-Kassas Ahmed Soliman Endemic Medicine Department Faculty of MedicineCairo UniversityCairoEgypt Clinical and Chemical Pathology Department Faculty of MedicineCairo UniversityCairoEgypt Hepatogastroenterology Department Theodore Bilharz Research InstituteGizaEgypt Hepatogastroenterology Department National Hepatology and Tropical Medicine Research InstituteCairoEgypt Endemic Medicine Department Faculty of MedicineHelwan UniversityCairoEgypt

Background and Aims:Strategies for detection of early hepatocellular carcinoma(HCC)are still *** GALAD score is a serum biomarker-based model designed to predict the probability of having *** aimed to assess the ability of GALAD score to diagnose early HCC and its validity to follow patients after local ablation ***:This multicenter prospective study included 108 patients in two groups,58 HCC patients(67 focal lesions)with local ablative therapy(study group),and a control group of 50 patients with liver *** GALAD scores of the study and control groups,and of the HCC patients before and after ablative therapy were ***:Most patients were men(74.1%in study group and 76%in controls)with hepatitis C virus infection(98.30%in the study group,and 94%in controls).GALAD scores were significantly higher in HCC patients than in those with benign cirrhosis(2.65 vs.−0.37,p=0.001).Ablative therapy was successful in 94.4%of focal lesions<2 cm,and in 86.10%of 2–5 cm *** GALAD score was also significantly lower at 1 month after ablation in patients with well-ablated tumors(2.19 vs.0.98,p=0.001).The best cutoff values of GALAD score for diagnosis of early HCC,and for prediction of well ablation of HCC were 0.74 and≤3.31(areas under the curve of 0.92 and 0.75,sensitivities of 84.48%and 76.19%,specificities of 89.13%and 83.33%,positive predictive values of 90.74%and 94.1%,and negative predictive values of 82%and 35.7%respectively).Conclusion:The GALAD score was effective for the diagnosis of early HCC and for followup after ablative therapy.

关键词： GALAD score HCC Ablative therapy Liver cirrhosis Egypt

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Impacts of multiple demand-side management strategies on microgrids planning: a literature survey

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CLEAN ENERGY 2024年第1期8卷 36-54页

作者： Elazab, rasha Abdelnaby, Ahmed T. Ali, A. A. Helwan Univ Fac Engn Elect Power & Machines Dept Cairo Egypt

Demand-side management (DSM) schemes play a crucial role in managing renewable energy generation and load fluctuations by utilizing demand-response programmes (DRPs). This paper aims to provide a detailed overview of DRPs that help microgrid operators to keep costs and reliability within acceptable ranges. Additionally, this review paper provides a detailed economic load model for DRPs based on initial load, demand-response (DR) incentive, DR penalty and elasticity coefficients. This article also aims to guide researchers in identifying research gaps in DSM applications in microgrids by comparing various DSM schemes from different countries and regions in terms of DSM strategies, objective functions and optimization techniques. Furthermore, this study analyses the impact of DRPs on microgrid configuration from the perspective of utilities and customers, considering technical and economic performance metrics. As a result, it can be concluded that none of the studied cases provides models or guidelines for choosing appropriate DSM schemes that consider different consumer interests or load-type features. Furthermore, a few researchers have addressed the features of a modern price-based DR strategy, renewable generation-based dynamic pricing DR, which offers higher customer satisfaction than traditional DRPs. [GRAPHICS] .

关键词： demand-side management optimal sizing demand-response strategies renewable generation-based dynamic pricing TIME-OF-USE ENERGY MANAGEMENT RENEWABLE ENERGY RESPONSE PROGRAM RELIABILITY PARTICIPATION TECHNOLOGY CHALLENGES OPERATION SYSTEMS

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SwinVid:Enhancing Video Object Detection Using Swin Transformer

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Computer Systems Science & Engineering 2024年第2期48卷 305-320页

作者： Abdelrahman Maharek Amr Abozeid rasha Orban Kamal ElDahshan Computer Science Department Faculty of Artificial Intelligence and InformaticsBenhaEgypt Mathematics Department Faculty of SciencesAl-Azhar UniversityCairoEgypt Department of Computer Science College of Science and Arts in QurayyatJouf UniversitySakakaSaudi Arabia

What causes object detection in video to be less accurate than it is in still images?Because some video frames have degraded in appearance from fast movement,out-of-focus camera shots,and changes in *** reasons have made video object detection(VID)a growing area of research in recent *** object detection can be used for various healthcare applications,such as detecting and tracking tumors in medical imaging,monitoring the movement of patients in hospitals and long-term care facilities,and analyzing videos of surgeries to improve technique and ***,it can be used in telemedicine to help diagnose and monitor patients *** VID techniques are based on recurrent neural networks or optical flow for feature aggregation to produce reliable features which can be used for *** of those methods aggregate features on the full-sequence level or from nearby *** create feature maps,existing VID techniques frequently use Convolutional Neural Networks(CNNs)as the backbone *** the other hand,Vision Transformers have outperformed CNNs in various vision tasks,including object detection in still images and image *** propose in this research to use Swin-Transformer,a state-of-the-art Vision Transformer,as an alternative to CNN-based backbone networks for object detection in *** proposed architecture enhances the accuracy of existing VID *** ImageNet VID and EPIC KITCHENS datasets are used to evaluate the suggested *** have demonstrated that our proposed method is efficient by achieving 84.3%mean average precision(mAP)on ImageNet VID using less memory in comparison to other leading VID *** source code is available on the website https://***/amaharek/SwinVid.

关键词： Video object detection vision transformers convolutional neural networks deep learning

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Arrhythmia Detection by Using Chaos Theory with Machine Learning Algorithms

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Computers, Materials & Continua 2024年第6期79卷 3855-3875页

作者： Maie Aboghazalah Passent El-kafrawy Abdelmoty M.Ahmed rasha Elnemr Belgacem Bouallegue Ayman El-sayed Math and Computer Science Department Faculty of ScienceMenoufia UniversityShebin El-komEgypt College of Engineering Computer Science DepartmentEffat UniversityJeddahKingdom of Saudi Arabia Department of Computer Engineering College of Computer ScienceKing Khalid UniversityAbha61421Saudi Arabia Computer Science and Engineering Department Faculty of Electronic EngineeringMenoufia UniversityShebin El-komEgypt Climate Change Information Center and Expert Systems Agriculture Research CenterGizaEgypt

Heart monitoring improves life ***(ECGs or EKGs)detect heart *** learning algorithms can create a few ECG diagnosis processing *** first method uses raw ECG and time-series *** second method classifies the ECG by patient *** third technique translates ECG impulses into Q waves,R waves and S waves(QRS)features using richer *** ECG signals vary naturally between humans and activities,we will combine the three feature selection methods to improve classification accuracy and *** using all three approaches have not been examined till *** researchers found that Machine Learning(ML)techniques can improve ECG *** study will compare popular machine learning techniques to evaluate ECG *** algorithms—Support Vector Machine(SVM),Decision Tree,Naive Bayes,and Neural Network—compare categorization *** plus prior knowledge has the highest accuracy(99%)of the four ML *** characteristics failed to identify signals without chaos *** 99.8%classification accuracy,the Decision Tree technique outperformed all previous experiments.

关键词： ECG extraction ECG leads time series prior knowledge and arrhythmia chaos theory QRS complex analysis machine learning ECG classification

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Novel design of a compact tunable dual band wireless power transfer(TDB-WPT)system for multiple WPT applications

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Frontiers of Information Technology & Electronic Engineering 2024年第4期25卷 616-628页

作者： Hany A.ATALLAH rasha Hussein AHMED Adel B.ABDEL-RAHMAN Department of Communications and Electronics Faculty of EngineeringSouth Valley UniversityQena 83523Egypt Egypt-Japan University of Science and Technology Alexandria 21934Egypt

In this study we present the design and realization of a tunable dual band wireless power transfer(TDB-WPT)coupled resonator *** frequency response of the tunable band can be controlled using a surface-mounted *** transmitter(Tx)and the receiver(Rx)circuits are *** top layer contains a feed line with an impedance of 50Ω.Two identical half rings defected ground structures(HR-DGSs)are loaded on the bottom using a varactor *** propose a solution for restricted WPT systems working at a single band application according to the operating *** effects of geometry,orientation,relative distance,and misalignments on the coupling coefficients were *** validate the simulation results,the proposed TDB-WPT system was fabricated and *** system occupied a space of 40 mm×40 *** can deliver power to the receiver with an average coupling efficiency of 98%at the tuned band from 817 to 1018 MHz and an efficiency of 95%at a fixed band of 1.6 GHz at a significant transmission distance of 22 *** results of the measurements accorded well with those of an equivalent model and the simulation.

关键词： Defected ground structure(DGS) Surface-mounted Tunable dual band wireless power transfer(TDB-WPT) Varactor

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Connecting the indispensable roles of IoT and artificial intelligence in smart cities: A survey

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Journal of Information and Intelligence 2024年第3期2卷 261-285页

作者： Hoang Nguyen Dina Nawara rasha Kashef Departnent of Electrical Computerand Biomedical EngineeringToronto Metropolitan UniveristyToronto M5B 2K3Canada

The pace of society development is faster than ever before,and the smart city paradigm has also emerged,which aims to enable citizens to live in more sustainable cities that guarantee well-being and a comfortable living *** has been done by a network of new technologies hosted in real time to track the activities and provide smart solutions for the incoming requests or problems of the *** of the most often used methodologies for creating a smart city is the Internet of Things(loT).Therefore,the IoT-enabled smart city research topic,which consists of many different domains such as transportation,healthcare,and agriculture,has recently attracted increasing attention in the research ***,advances in artificial intelligence(Al)significantly contribute to the growth of *** this paper,we first present the smart city concept,the background of smart city development and the components of the IoT-based smart *** is followed up by a literature review of the research literature on the most recent IoT-enabled smart cities developments and breakthroughs empowered by AI techniques to highlight the current stage,major trends and unsolved challenges of adopting Al-driven IoT technologies for the establishment of desirable smart ***,we summarize the paper with a discussion of future research to provide recommendations for research direction in the smart city domain.

关键词： Smart city Internet of Things Artificial intelligence Machine learning Deep learning

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多用途新颖紧凑可调谐双频无线电能传输系统设计（英文）

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Frontiers of Information Technology & Electronic Engineering 2024年第4期 616-629页

作者： Hany A.ATALLAH rasha Hussein AHMED Adel B.ABDEL-RAHMAN 南谷大学工程学院通信与电子学系埃及-日本科技大学

本文设计并实现了一个可调谐双频无线电能传输耦合谐振器系统。可调谐波段的频率响应可以使用表面贴装变容二极管进行控制。发射器和接收器电路是对称的。顶层包含一个阻抗为50Ω的馈线。通过使用变容二极管，两个相同的半环缺陷接地结... 详细信息

本文设计并实现了一个可调谐双频无线电能传输耦合谐振器系统。可调谐波段的频率响应可以使用表面贴装变容二极管进行控制。发射器和接收器电路是对称的。顶层包含一个阻抗为50Ω的馈线。通过使用变容二极管，两个相同的半环缺陷接地结构被加载在底部。针对工作在单频段（基于工作频率）的受限无线电能传输系统，提出一种解决方案。研究了几何形状、方向、相对距离和偏移对耦合系数的影响。为验证仿真结果，制作并测试了所提可调谐双频无线电能传输系统。系统面积为40 mm×40 mm。在有效传输距离为22 mm时，在817～1018 MHz调谐频段，以98%的平均耦合效率向接收器输送电能，在1.6GHz固定频段，效率为95%。测量结果与等效模型的模拟结果吻合较好。

关键词：缺陷接地结构表面贴装可调谐双频无线电能传输变容二极管

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Correlation between Wnt Signalling Inhibitors (Dickkopf-1 & Sclerostin) and the Intimal Medial Thickness in Children on Maintenance Hemodialysis

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Open Journal of Nephrology 2024年第3期14卷 397-412页

作者： Manal Abd El-Salam Mohamed Hamdi Ali Nadia Youssef Riad rasha Abd El Samad Fawaz Shima Mohamed Department of Pediatrics Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt Tbilisi State Medical University Tbilisi Georgia Department of Clinical Pathology National Heart Institute Cairo Egypt Department of Radiology Faculty of Medicine (for Girls) Al-Azhar University Cairo Egypt

Background: Wnt signalling inhibitors (Dickkopf-1 and Sclerostin) signalling play a role in vascular development and may contribute to calcification. Aim: To investigate the association between Dickkopf-1 and sclerostin serum concentrations in children undergoing maintenance hemodialysis with intimal medial thickness and peak systolic velocity of the main arteries. Patients and Methods: A study was conducted on 40 children undergoing maintenance hemodialysis and controls of the same age and sex. The study measured the initial medial thickness (IMT) and peak systolic velocity (PSV) of the main vessels (carotid, ulnar, and femoral). Dickkopf-1 and sclerostin serum levels in both groups were assessed, and a routine investigation was performed. Results: The findings indicate that the levels of serum Dickkopf-1 and Sclerostin were significantly higher in the hemodialysis group 2540.65 (2215.4 - 2909.2 pg/ml) and 1.17 (0.85 - 2.03 ng/ml)respectively (P = 0.001), compared to their control group it was 1110.45 (885.45 - 1527.65 pg/ml) and 0.28 (0.25 - 0.32 ng/ml)) respectively P = 0.001. Additionally, there was a significant increase in intima-media thickness (IMT) with a decrease in peak systolic velocity (PSV) in the main blood vessels, including the carotid, ulnar, and femoral arteries. A significant correlation was also observed between Dickkopf-1 and sclerostin levels and IMT of the carotid, ulnar, and femoral arteries. Conclusion: Wnt signalling inhibitors (Dickkopf-1 and Sclerostin) exert effects beyond the bone and significantly contribute to early vascular calcification in pediatric patients undergoing maintenance hemodialysis.

关键词： Wnt Signalling Vascular Calcification Hemodialysis Children

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Correlation between DKK-1 Level and Bone Density Status in Children on Maintenance Haemodialysis

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Open Journal of Nephrology 2024年第1期14卷 48-61页

作者： Manal Abd El-Salam Marwa Mohamed Anwar rasha Mahmoud Gouda Naglaa Abou El Fattah Nadia Youssef Riad Department of Pediatrics Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Department of Internal Medicine Faculty of Medicine (For Girls) Al-Azhar University Cairo Egypt Department of Clinical Pathology National Heart Institute Cairo Egypt

Background: Renal osteodystrophy (ROD) is a bone disorder resulting from chronic kidney disease (CKD) and related metabolic diseases. Dickkopf-related protein-1 (DKK-1) is critical in regulating bone biology. This study aimed to evaluate the serum DKK-1 level as a bone marker in children with CKD who undergo regular hemodialysis (HD). Subjects and Methods: This case-control study involved 40 children with CKD on HD and 40 healthy children as controls. The study measured serum DKK-1 levels and performed a dual-energy X-ray absorptiometry scan (DEXA) in line with routine laboratory investigations. Results: There was a significant increase in the serum level of DKK-1 in the patient group compared to the control group. The DKK-1 levels were 2540.65 (2215.4 - 2909.2) pg/ml and 1110.45 (885.45 - 1527.65) pg/ml, respectively, with a p-value of less than 0.001. In the hemodialysis group, 25 patients (62.5%) had low bone mineral density (BMD) with a Z-score of under -2.0. Eighteen of these patients had low BMD in both the neck of the femur and lumbar spines. Additionally, there was a significant increase in serum DKK-1 level in patients with low BMD (2567.35 (2303.8 - 3108.1) pg/ml) compared to patients with normal BMD (2454 (1859 - 2820) pg/ml) (p = 0.041). There was also a significant positive correlation between DKK1 level and phosphorus, alkaline phosphatase, and Parathormone serum levels. In conclusion, the study indicates a clear correlation between DKK-1 and BMD in children undergoing maintenance hemodialysis. DKK1 is a promising biomarker for CKD-MBD.

关键词： DKK-1 Children Haemodialysis Bone Density Status

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Early clinical outcomes of two regimens of prophylactic antibiotics in cardiac surgical patients with delayed sternal closure

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World Journal of Critical Care Medicine 2024年第3期13卷 32-41页

作者： Mahmoud Ismail Allam Eissa rasha Kaddoura Danial Hassan Cornelia S Carr Samy Hanoura Yasser Shouman Abdulwahid Almulla Amr Salah Omar Department of Cardiothoracic Surgery Hamad Medical CooperationDoha 3050Qatar Department of Anesthesia and Intensive Care Al-Azhar UniversityCairo 11651Egypt Department of Pharmacy Heart HospitalHamad Medical CorporationDoha 3050Qatar Department of Healthcare Profession Harvard TH Chan School of Public HealthMinistry of Public HealthBostonMA 3050United States Department of Surgery Qatar UniversityDoha 3050Qatar Department of Cardiac Anesthesia Hamad Medical CorporationDoha 3050Qatar Department of Anesthesia Weill Cornell Medical College in QatarDoha 3050Qatar Department of Critical Care Medicine Beni Suef UniversityBeni Suef 62521Egypt Department of Medicine Weill Cornell Medical College in QatarDoha 3050Qatar

BACKGROUND Delayed sternal closure(DSC)can be a lifesaving approach for certain patients who have undergone cardiac *** value of the type of prophylactic antibiotics in DSC is still *** To investigate clinical outcomes of different prophylactic antibiotic regimens in patients who had DSC after cardiac *** This was a retrospective observational single-center ***-three consecutive patients who underwent cardiac surgery and had an indication for DSC were *** were subjected to two regimens of antibiotics:Narrow-spectrum and broad-spectrum *** The main outcome measures were length of hospital and intensive care unit(ICU)stay,duration of mechanical ventilation,and *** the 53 patients,12(22.6%)received narrow-spectrum antibiotics,and 41(77.4%)received broad-spectrum *** mean age was 59.0±12.1 years,without significant differences between the *** mean duration of antibiotic use was significantly longer in the broad-spectrum than the narrowspectrum group(11.9±8.7 vs 3.4±2.0 d,P<0.001).The median duration of open chest was 3.0(2.0-5.0)d for all patients,with no difference between groups(P=0.146).The median duration of mechanical ventilation was significantly longer in the broad-spectrum group[60.0(Δinterquartile range(IQR)170.0)h vs 50.0(ΔIQR 113.0)h,P=0.047].Similarly,the median length of stay for both ICU and hospital were significantly longer in the broadspectrum group[7.5(ΔIQR 10.0)d vs 5.0(ΔIQR 5.0)d,P=0.008]and[27.0(ΔIQR 30.0)d vs 19.0(ΔIQR 21.0)d,P=0.031].Five(9.8%)patients were readmitted to the ICU and 18(34.6%)patients died without a difference between *** Prophylactic broad-spectrum antibiotics did not improve clinical outcomes in patients with DSC post-cardiac surgery but was associated with longer ventilation duration,length of ICU and hospital stays vs narrow-spectrum antibiotics.

关键词： Cardiac surgery Delayed sternal closure Intensive care Open chest Prophylactic antibiotics

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