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Discharging patients home from the intensive care unit:A new trend

World Journal of Clinical Cases 2024年第23期12卷 5313-5319页

作者： Esraa M Hassan Abbas B Jama Ahmed Sharaf Asim Shaikh Mohamad El Labban salim Surani Syed A Khan Department of Critical Care Medicine Mayo Clinic Health systemMankatoMN 56001United States Department of Internal Medicine Baptist Hospital of Southeast TexasBeaumontTX 77701United States Department of Medicine Aga Khan UniversityKarachi 74200SindhPakistan Department of Internal Medicine Mayo Clinic Health SystemMankatoMN 56001United States Department of Medicine and Pharmacology Texas A&M UniversityCollege StationTX 77843United States Department of Anaesthesiology Mayo Clinic Health SystemRochesterMN 55905United States

Discharging patients directly to home from the intensive care unit(ICU)is becoming a new *** review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU *** analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare *** practice of direct discharge from the ICU presents both opportunities and *** it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support *** this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the *** critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal *** insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare ***,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

关键词： Intensive care unit Critical care Early discharge Cost effective critical care Patient comfort Early recovery

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Seasonal Abundance and Diversity of Birds of Prey and Owls in Al Wathba Wetland Reserve in Abu Dhabi, UAE

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Open Journal of Ecology 2024年第3期14卷 228-244页

作者： Shakeel Ahmed salim Jáved Shahid B. Khan Eissa Al Hammadi Abdullah Al Hammadi Nouf Sameer Alqadi Environment Agency-Abu Dhabi Abu Dhabi United Arab Emirates

Inland wetlands in Abu Dhabi Emirate are wintering and stopover sites for migratory birds of prey. We conducted long-term regular monitoring surveys in Al Wathba Wetland Reserve (AWWR) from January 1995 to December 2022. Both diurnal and occasionally nocturnal surveys were undertaken to record the migratory raptors and owls in the Wetland Reserve. During the study, a total of 1282 regular monitoring visits were undertaken and 27 species of diurnal raptors and owls representing five families and three orders were detected. These represent 57% of the total species of birds of prey recorded in the UAE. Overall, 63% of all the species that we observed were Accipitriformes followed by 26% Falconiformes and 11% Strigiformes. We found that changes in mean daily temperature have a positive effect on raptor species diversity and abundance in the Wetland Reserve. The species encounter rate was higher in low temperature as compared to high temperature and overall regression equation was statistically significant F (4, 1126) = 8.49), p = 0.00). However, the numbers of raptors did not vary significantly across the years (p = 0.51). Western Marsh-harrier (Circus aeruginosus) and Greater Spotted Eagle (Clanga clanga) were recorded to be the most abundant species in the wetland reserve followed by Common Kestrel (Falco tinnunculus). However, the encounter rate of globally threatened Greater Spotted Eagle was detected to have significantly decreased since 2016. Moreover, 63% of the species detected were uncommon and rarely recorded such as 1) Saker Falcon 2) Lanner Falcon 3) Long-eared Owl & Merlin, which were the rare records from the wetland reserve. Furthermore, 27 years of regular monitoring in the wetland have yielded diverse diurnal raptors and owl fauna (H) = 0.83, (E) = 1.43 (Shannon Diversity Index). The results demonstrate that long-term monitoring surveys in arid environments are essential to determine the trends in the raptor populations and to document rare and globally

关键词： Wetland Reserve Raptors Abundance Diversity Abu Dhabi Inland Wetland AWWR Greater Spotted Eagle

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Tigris River Water Quality Quantifying Using the Iraq Water Quality Index (IraqWQI) and Some Statistical Techniques

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Engineering（科研） 2024年第6期16卷 149-166页

作者： Nadhir Al-Ansari Salam Hussein Ewaid Ali Chabuk Salwan Ali Abed Mudhafar A. salim Jan Laue Riyadh M. Salih Department of Civil Environmental and Natural Resources Engineering Lule University of Technology Lule Sweden Technical College of Shatra Southern Technical University Basra Iraq Department of Environmental Engineering College of Engineering University of Babylon Babylon Iraq Department of Environment College of Science University of Al-Qadisiyah Diwaniyah Iraq Iraqi Organization for Conservation of Nature IOCN Baghdad Iraq National Center for Water Resources Management Ministry of Water Resources Baghdad Iraq

Evaluation of water quality is important for the management of water resources. The current study is focused on the interpretation of the water quality monitoring data of the Tigris River in Iraq by the application of the principal component analysis (PCA), cluster analysis (CA), and water quality index (WQI). Twelve water quality parameters were taken from 14 stations along the river Ca2+, Mg2+, Na+, K+, Cl−, SO42−, HCO3−, NO3−, TH, TDS, BOD5, and EC to apply the PCA and CA. The results show that the mean of all the parameters was under the standards except Ca2+, EC, Mg2+, TH, and SO42−. The amount of EC is the critical factor that affects the river water quality. The PCA obtained one principal component responsible for 97% of the variation caused by different pollution sources. The CA divided the river into three regions of sampling stations with similar water quality, the best in the north, and the worst in the far south. In this paper, the computer-automated tool (IraqWQI) was presented and evaluated, which has been developed by authors to classify and measure the quality of Iraqi surface water. The proposed index is of hundred degrees and includes six variables for drinking water quality Cl−, TH, TDS, COD, DO, and total coliform (TC) according to the Iraqi specifications. The result of the IraqWQI application showed a decrease in the water quality of the river and its suitability for drinking in the south of the country. The best value of the index was (81.48, Good) in Fishkhabour during winter, and the worst value was (46.23, Bad) in Qurnah during summer. The result of this study proved the success and importance of using statistical techniques and WQI as useful tools for the management, control, and conservation of surface water. .

关键词： Component Formatting Style Styling

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Role of second look endoscopy in endoscopic submucosal dissection and peptic ulcer bleeding:Meta-analysis of randomized controlled trials

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World Journal of Gastrointestinal Endoscopy 2024年第4期16卷 214-226页

作者： Gowthami Sai Kogilathota Jagirdhar Jose Andres Perez Akshat Banga Rakhtan K Qasba Ruman K Qasba Harsha Pattnaik Muhammad Hussain Yatinder Bains salim Surani Department of Medicine Saint Francis Health Science CenterNewarkNJ 07107United States Department of Medicine Saint Francis Health SystemsTulsaOK 74133United States Department of Internal Medicine Sawai Man Singh Medical CollegeJaipur 302004India Department of Medicine Green Life Medical College and HospitalDhaka 1205Bangladesh Department of Medicine Sher-i-kashmir Institute of Medical ScienceJammuSrinagar 190011India Department of Medicine Lady Hardinge Medical CollegeNew Delhi 110001India Department of Gastroenterology Saint Michaels Medical CenterNewarkNJ 07102United States Department of Medicine and Pharmacology Texas AM UniversityCollege StationTX 77843United States

BACKGROUND Second-look endoscopy(SLE)to prevent recurrent bleeding in patients with peptic ulcer disease(PUD)and those undergoing endoscopic submucosal dissection(ESD)is routinely being *** evidence exists regarding efficacy,risk,benefit,and *** To identify the role and effectiveness of SLE in ESD and PUD,associated rebleeding and PUD-related outcomes like mortality,hospital length of stay,need for endoscopic or surgical intervention and blood *** A systematic review of literature databases PubMed,Cochrane,and Embase was conducted from inception to January 5,*** controlled trials that compared patients with SLE to those who did not have SLE or evaluated the role of prophylactic hemostasis during SLE compared to other conservative interventions were *** study was conducted per PRISMA guidelines,and the protocol was registered in PROSPERO(ID CRD42023427555:).RevMan was used to perform meta-analysis,and Mantel-Haenszel Odds ratio(OR)were generated using random effect *** A total of twelve studies with 2687 patients were included in our systematic review and meta-analysis,of which 1074 patients underwent SLE after ESD and 1613 patients underwent SLE after PUD-related *** ESD,the rates of rebleeding were 7%in the SLE group compared to 4.4%in the non-SLE group with OR 1.65,95%confidence intervals(CI)of 0.96 to 2.85;P=0.07,whereas it was 11%in the SLE group compared to 13%in the non-SLE group with OR 0.895%CI:0.50 to 1.29;P=*** mean difference in the blood transfusion rates in the SLE and no SLE group in PUD was OR 0.01,95%CI:-0.22 to 0.25;P=*** SLE vs non-SLE groups with PUD,the OR for Endoscopic intervention was 0.29,95%CI:0.08 to 1.00;P=0.05 while it was OR 2.03,95%CI:0.95 to 4.33;P=0.07,for surgical *** mean difference in the hospital length of stay was-3.57 d between the SLE and no SLE groups in PUD with 95%CI:-7.84 to 0.69;P=0.10,denoting an average of

关键词： Endoscopy Endoscopic submucosal dissection Peptic ulcer Gastrointestinal bleeding

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Antioxidants Enzymes Activities and NO Levels in Hemodialysis and Continuous Ambulatory Peritoneal Dialysis—A Comparative Study

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Journal of Biosciences and Medicines 2024年第2期12卷 50-59页

作者： Natalia Cristina Aparecida Ribeiro e Ribeiro Anderson Martins Tavares Jaslana Hainfellner da Silva João Paulo Lima Daher salim Kanaan Luciene de Carvalho Cardoso-Weide Laboratory of Neuroplasticity Neurobiology Department Biology Institute Federal Fluminense University Rio de Janeiro Brazil Postgraduate Program in Medical Sciences School of Medicine Federal Fluminense University Rio de Janeiro Brazil School of Biology UNIVERSO—Salgado de Oliveira University Rio de Janeiro Brazil Department of Pathology Faculty of Medicine Federal Fluminense University Rio de Janeiro Brazil

It consists of a retrospective study with twenty-two individuals diagnosed with DRC: fourteen HD and eight CAPD, followed up in the dialysis center of Antonio Pedro University Hospital (HUAP) of Fluminense Federal University (UFF), between 2015 and 2017. Fifteen healthy control (HC) subjects were included, without diagnosed CKD. Patients with HIV positive, hepatitis A, B, and C, pregnant, cancer, smokers, alcoholics and those exposed to X-rays in the last 3 months, were excluded. Objectives: As oxidative stress and endothelial dysfunction may be linked to the higher prevalence of CVD in CKD patients, we measured the activities of the antioxidants enzymes: SOD and GPx and total NO levels in the plasma and serum of end-stage CKD patients undergoing dialysis therapy, comparing with the HC group. Methods: Quantification of NO levels was performed by fluorometric kit, while activities of SOD and GPx were determined using kinetic methods. Results: We found higher plasma SOD activity in HD (8.58 U/ml) and CAPD (10.14 U/ml), compared to C (3.73 U/ml) group, while GPx activity was decreased in HD (115.38 nmol/h/ml) and CAPD (122.76 nmol/h/ml) groups compared to HC group (275.83 nmol/h/ml). Total serum NO concentration was decreased in HD (14.09 pmol/μl) and CAPD (10.26 pmol/μl), compared to non-CKD patients (49.65 pmol/μl). Conclusion: Decreased total serum NO and GPx activities may lead to endothelial dysfunction and consequently a higher prevalence of CVD in CKD patients.

关键词： Hemodialysis CAPD SOD GPx NO

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Nanoskin®-ACT—The Impact of Natural Membrane & Soft with Chronic and Untreated Wounds

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Journal of Biomaterials and Nanobiotechnology 2024年第3期15卷 39-50页

作者： Saqer Al Mualla Noura salim Salman Salma Saeed Ns. Nasreen Abdelatif Mohamed Kanjou Gabriel Molina de Olyveira Pierre Basmaji Antônio Carlos Guastaldi Qassimi Hospital GEM International Sharjah United Arab Emirates Innovatecs-Biotechnology Research and Development So Carlos Brazil UNESP-IQ-Physical Chemistry Department Araraquara Brazil

Bacterial cellulose (BC) is a versatile biomaterial with unique properties that make it promising for various biomedical applications, including wound healing. The extracellular matrix (ECM) plays a crucial role in wound healing, providing a structural scaffold and signaling cues for cell migration and proliferation. This study investigates the potential of BC as a scaffold for ECM production and its effect on in vivo wound healing. In this work, the bacterial cellulose fermentation process is modified by the addition of Green Propolis and Usnic acid to the culture medium and natural materials before the bacteria are inoculated. In vivo behaviour using natural membranes for regenerative medicine is presented and it is in edit. Overall, our findings demonstrate the potential of BC as a scaffold for ECM production and its beneficial effects on in vivo wound healing. BC-based dressings may offer a novel approach to promoting wound healing and tissue regeneration in clinical settings. Further studies are warranted to optimize BC-based therapies and explore their full potential in regenerative medicine.

关键词： Bacterial Cellulose Biomaterials Nanomedicine Wound Healing Green Propolis and Usnic Acid

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New Time-varying Fuzzy Sets Based on a PSO Midpoint of the Universe of Discourse

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International Journal of Automation and computing 2016年第4期13卷 392-400页

作者： salim Ziani Automatic and Robotics Laboratory Department of Electronics University of Constantine 1 Constantine 25000 Algeria

The paper presents a robust parallel distributed compensation （PDC） fuzzy controller for a nonlinear and certain system in continuous time described by the Tal^gi-Sugeno （T-S） fuzzy model. This controller is based on a new type of time-varying fuzzy sets （TVFS）. These fuzzy sets are characterized by displacement of the kernels to the right or left of the universe of discourse, and they are directed by a well-defined criterion. In this work, we only focused on the movement of midpoint of the universe. The movements of this midpoint are optimized by particle swarm optimization （PSO） approach.

关键词： Fuzzy sets fuzzy system membership function parallel distributed compensation (PDC) fuzzy controller particle swarmoptimization (PSO) approach linear matrix inequality (LMI).

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Seroprevalence of SARS-COV-2 Exposure among “High-Risk” Populations (Healthcare Workers, People Who Attend Markets, and School Children) in Zanzibar

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Advances in Infectious Diseases 2024年第1期14卷 34-55页

作者： Ame Masemo Solomon Mwakasungula Khamis Kheir Erick Mgina Nahya Khamis Irabi Kassim Bihila Bakar Khamis salim Sarah Mswata Kibwana Omar Theckla Kazimoto Linzy Elton Honorati Masanja Mayassa Ally Zanzibar Health Research Institute Binguni Zanzibar Ifakara Health Institute Bagamoyo Tanzania National Institute for Medical Research Muhimbili Centre Dar es Salaam Tanzania Binguni Public Health Laboratory Binguni Zanzibar Department of Microbiology Mnazi Mmoja Hospital Stone Town Zanzibar Centre for Clinical Microbiology Royal Free Hospital Campus University College London London UK

In Zanzibar, from the start of the pandemic in March 2020 to the time of sampling in December 2020, SARS-CoV-2 seroprevalence data was limited. We conducted a seroprevalence study to evaluate the magnitude of SARS-CoV-2 exposure among healthcare workers, school children, and people who attended general markets in Zanzibar. The objectives of the study were to analyse the total antibodies from selected higher-risk population groups in order to determine magnitude in SARS CoV-2 exposure. Blood samples were collected from eligible and consented participants (adults and children), and their serum was analyzed for total antibodies against SARS-CoV-2 using ELISA. A questionnaire was used to collect participants’ demographic and clinical data. The overall SARS-CoV-2 seroprevalence across all age groups was 33%, and a higher seroprevalence was observed in the 40 - 49 years’ age group relative to other ages as well as in those who attended markets. A runny nose (18.8% of participants) was the most frequently reported SARS-CoV-2 infection-related symptom. Multivariable analysis showed significantly higher odds of infection in people living in urban districts. The findings provide insight into SARS-CoV-2 infection among school children, health workers, and people who attended markets in Zanzibar in the early stages of the pandemic. Exposure in these groups might have been influenced by infection and prevention strategies taken by the government, as well as shopping behavior, school overcrowding, and population density in urban settings. The study had methodological limitations, including cross-sectional design. Further, well-designed, longitudinal studies are recommended to understand exposure and transmission at a population level.

关键词： SARS-CoV-2 Seroprevalence Zanzibar ELISA COVID-19

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Spectral transformation-based technique for reducing effect of limited pre-correlation bandwidth in the GNSS receiver filter in presence of noise and multipath

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Journal of Systems Engineering and Electronics 2020年第2期31卷 252-265页

作者： TITOUNI Salem ROUABAH Khaled ATIA salim FLISSI Mustapha MEZAACHE Salaheddine BOUHLEL Mohamed salim Electronics and Advanced Telecommunications Laboratory of Electronics Department University of Mohamed El Bachir El IbrahimiBordj Bou Arreridj 34031Algeria Sciences of Electronics Technologies of Information and Telecommunications Research UnitHigher Institute of Biotechnology of SfaxSfax 3038Tunisia

This paper proposes an efficient scheme to reduce the pre-correlation bandwidth effect in the global navigation satellite system(GNSS)receiver filtering *** is mainly based on the application of a spectral transformation to the satellite-emitted signal that effectively reduces its *** the receiver's end,this operation causes the spreading of noise over a much wider band than that used by the radio frequency ***,the resulting auto-correlation function in the acquisition process acquires properties that enhance considerably the performance of the receiver in the presence of the multipath and noise disturbing *** simulation results demonstrate that the proposed method is a plausible solution for both multipath and noise problems in the GNSS applications for any limited value of the pre-correlation bandwidth in the receiver filter.

关键词： precorrelation bandwidth spectral transformation multipath noise

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Incidence and predictors of hypocalcemia in end-stage renal disease patients on denosumab therapy: A systematic review and metaanalysis

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World Journal of Meta-Analysis 2024年第3期12卷 68-78页

作者： Abdul Hannan Siddiqui Misbah Shaikh Afia Salman Muhammad Ahmed Ali Fahim Fizzah Batool Tahreem Mari Sarah Musani Muneeb Fareed Rooma Rehan Amna Hassni Urooj Nizami Ayesha Amir Abdul Moeed salim R Surani Department of Internal Medicine Dow University of Health SciencesKarachi 74200SindhPakistan Department of Medicine&Pharmacology Texas A&M UniversityCollege StationTX 77843United States

BACKGROUND Denosumab inhibits the receptor activator of nuclear factor *** markedly increases bone mineral density and has been proven to reduce the risk of ***,numerous adverse effects,notably hypocalcemia,are prevalent in patients with end-stage renal disease(ESRD).AIM To analyze the incidence and predictors of hypocalcemia caused by denosumab compared to control in patients with *** We conducted this study in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses ***,Scopus,Cochrane Central,and EMBASE were systematically searched from inception through March *** original studies investigating the effects of denosumab on patients with ESRD compared to control were *** primary outcomes of our study were the incidence of mild,severe,and very severe *** outcomes included serum levels of intact parathyroid hormone,calcium,and *** results were pooled and analyzed using a random-effects *** Seven articles comprising 3240 patients were included in our *** treated with denosumab had a significantly increased incidence of mild hypocalcemia[risk ratio(RR):2.79;95%confidence interval(CI):0.99-7.91;P=0.05;I^(2)=37%]and of very severe hypocalcemia(RR:9.58;95%CI:1.58-57.98;P=0.01;I^(2)=49%).However,an increase in the occurrence of severe hypocalcemia was non-significant(RR:4.23;95%CI:0.47-38.34;P=0.20;I^(2)=96%).Alternatively,denosumab showed a significant decrease in serum intact parathyroid hormone[mean difference(MD):-433.20,95%CI:-775.12 to-91.28,I2=98%,P=0.01],while there was a non-significant decrease in phosphate(MD:-0.47,95%CI:-1.35 to 0.41,I^(2)=88%,P=0.30)and calcium levels(MD:-0.33,95%CI:-0.95 to 0.29,I^(2)=94%,P=0.29).CONCLUSION Our study demonstrated that denosumab is significantly associated with mild and very severe hypocalcemia in patients with ESRD making it necessary to detect and prevent this side effect of treatmen

关键词： Denosumab End-stage renal disease Hypocalcemia Parathyroid hormone Dialysis

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