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Serum Bilirubin as a Predictor of Coronary Artery Disease Severity in Patients Undergoing Primary Percutaneous Coronary Intervention

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World Journal of Cardiovascular Diseases 2019年第5期9卷 309-323页

作者： tarek salah khalil Waleed Abdou Ibrahim Mohamed Asem Ali Elmalla Department of Cardiology Faculty of Medicine Menoufia University Hospitals Menoufia Egypt El-Mahalla Cardiology Mahalla Cardiac Centre Mahalla Egypt

Introduction: Coronary artery disease (CAD) is one of the most common causes of death worldwide. In 2010, about 7 out of total 53 million deaths were due to ischemic heart disease. The aim of this study is to evaluate the relationship of serum bilirubin level with the severity and complexity of coronary artery disease (CAD) in the patients undergoing primary percutaneous coronary intervention (PCI). Materials and Methods: 70 patients with STEMI who were undergoing primary PCI were included in the study. All the patients included in the study were subjected to full routine investigations and standard coronary angiographic projections. Total bilirubin level was measured and the patients were divided into two groups. Group 1 was with serum TB (and Group 2 was with serum TB (>1 mg/dl). Severity and complexity of coronary artery lesions will be assessed using Gensini score. Results: After PCI, the two studied groups were compared regarding the number of vessels affected by one and more than one vessel disease. Single vessel disease was frequent in Group 2 (71%) with significant p value (0.003). Cardiac enzymes (troponin I) was more in Group 1 (S. Bil value (0.02). Also (ALT, AST) were more in Group 1 (p value = 0.01). By comparing the 2 groups, there was a significant difference regarding (EF) between both which was less in Group 1 (*** 1), p value significance (0, 0001). Also GENSENI was more in Group 1 (*** 1) with mean (80.35 vs 34.71) and significant pvalue (0.0001). There was a highly significant negative correlation between serum bilirubin & GENSENI score (r = -0.762, p value 0.0001). Regarding the incidence of complications, incidence was more in Group 1 (*** 1), which means a significant difference between both groups with significant p value (0.0001). There was a significant negative correlation between serum bilirubin & incidence of complications (R = -0.38, pvalue 0.001). Also, there was a significant negative correlation between GENSINI score, complication

关键词： Serum Bilirubin Coronary Artery Disease Prognosis Risk Factors

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Diagnostic value of dobutamine stress Doppler tissue imaging in diabetic patients with suspected coronary artery disease

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World Journal of Cardiovascular Diseases 2011年第1期1卷 1-12页

作者： Mohamed Fahmy Elnoamany Hala Mahfouz Badran tarek salah khalil Abdalla Mostafa Kamal Amany Ragab Serag Rehab Ebraheem Yaseen 不详

Background: Coronary artery disease (CAD) is often silent in diabetic patients, and it is typically in ad-vanced stages of development by the time it manifests. Various forms of stress testing have been investigated to detect obstructive CAD in diabetes mellitus. Ob-jectives: To assess the diagnostic value of dobutamine stress pulsed-wave Doppler tissue imaging (DTI) compared with standard wall motion analysis in de-tection of myocardial ischemia in diabetic patients with suspected CAD. Methods: The study comprised 46 diabetic patients with suspected CAD underwent dobutamine stress echocardiography (DSE) with DTI within 4 weeks before coronary angiography(CA). Dobutamine infusion started at 5 μ/kg/min and in-creased up to 40 μ/kg/min with additional atropine during submaximal heart rate responses. In addition to wall-motion score index (WMSI) analysis, pulsed- wave DTI examination of basal and mid segments of posteroseptal, lateral, anterior, inferior and antero- septal walls was performed. Myocardial velocities were measured at rest in the apical 4, 3 and 2-cham- ber views. The measurements were repeated at low dose (10 - 15 μ/kg/min) and at peak stress (40 μ/kg/min). DTI measurements included peak systolic velocity (S), peak early diastolic velocity (E) and peak late diastolic velocity (A) and the results were com-pared to WMSI analysis. Patients were classified into two groups according to CA results;group (I) di-abetics with positive CA (n = 27) and group (II) di-abetics with negative CA (n = 19). Results: There was no significant difference between the two groups in duration of diabetes, global WMSI at rest or the ? changes (stress-rest/rest) of WMSI (P > 0.05). Global S and global E were significantly lower in group I compared to group II at peak stress (11.3 ± 3.7 cm/sec vs. 14.5 ± 2.2 cm/sec, p < 0.01) and (11.3 ± 1.6 cm/sec vs. 13.1 ± 2.1 cm/sec, p < 0.01) respectively. The cutoff points for global S and global E to detect obstructive CAD in diabetics were

关键词： Doppler Tissue Imaging Dobutamine Stress Diabetes Mellitus

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Cutaneous leishmaniasis in Al Hassa, Saudi Arabia: Epidemiological trends from 2000 to 2010

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Asian Pacific Journal of Tropical Medicine 2013年第8期6卷 667-672页

作者： tarek Tawfik Amin Hamdan Ibrahim Al-Mohammed Feroze Kaliyadan Balghonaim salah Mohammed King Faisal University Cairo University Vector Control Unit Preventive Medicine Department Local Health Directorate Al Hofuf Ministry of Health

Objective: To study epidemiological trends related to cutaneous leishmaniasis (CL) in Al Hassa, an endemic area in Saudi Arabia. Methods: This retrospective study included the spatial/ temporal analysis of the reported cases of CL using the available surveillance database for the disease at the regional Vector Control Unit, from 2000 to 2010. Results: The incidence of CL was declining at a stable rate especially during the last 3 years of the study (2008-2010). An interesting finding was the percentage of expatriates affected was increasing over the last 10 years compared to that of the Saudis. Conclusions: A definite declining trend in the incidence of CL was observed in Al Hassa. Further studies are warranted to assess whether special public health measures are needed for better control of CL in expatriate populations in Saudi Arabia.

关键词： Cutaneous leishmaniasis Epidemiology Saudi Arabia

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Chemical composition and antibacterial activity of essential oil of Launaea lanifera Pau grown in Algerian arid steppes

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Asian Pacific Journal of Tropical Biomedicine 2015年第11期5卷 960-964页

作者： tarek Benmeddour Hocine Laouer salah Akkal Guido Flamini Department of Nature and Life Sciences University of Biskra Laboratory of Natural Biological Resources Valorization Faculty of SciencesUniversity of Setif VARENBIOMOL Department of ChemistryUniversity of Constantine 1 Department of Pharmacy University of Pisa

Objective: To evaluate the essential oil composition and the antibacterial activity of an Algerian endemic plant, Launaea lanifera Pau(L. lanifera), grown in arid steppe ***: L. lanifera essential oil was isolated from aerial parts by steam distillation and its chemical composition was evaluated by gas chromatographyflame ionization detector and gas chromatography with electron impact mass spectrometry. Furthermore, its in vitro antibacterial activity against four bacterial strains was tested following the agar disk diffusion ***: This species had a very low essential oil yield(0.005%). Twenty-four(92.6%)individual components were identified. The main constituents were hexahydrofarnesyl acetone(31.6%),(E)-b-ionone(8.5%),(E)-b-damascenone(7.0%), 2-methyltetradecane(3.8%), n-heptadecane(3.8%), limonene(2.8%) and b-caryophyllene(2.8%). No noteworthy antimicrobial activity was observed on the tested bacteria, neither Gram negative nor Gram ***: This is the first report on the volatile constituents and antibacterial activity of L. lanifera. The studied essential oil does not possess significant activity against the tested microorganisms.

关键词： Launaea lanifera Pau(syn. Launaea acanthoclada Mai

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Blockchain Mobile Wallet with Secure Offline Transactions

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Computers, Materials & Continua 2023年第5期75卷 2905-2919页

作者： Raed Saeed Rasheed khalil Hamdi Ateyeh Al-Shqeerat Ahmed salah Ghorab Fuad Salama AbuOwaimer Aiman Ahmed AbuSamra Faculty of Engineering Islamic University of GazaP.O.Box 108GazaPalestine Department of Computer Science College of ComputerQassim UniversityP.O.Box 52211BuraydahSaudi Arabia University College of Applied Sciences P.O.Box 1415GazaPalestine Palestine Technical College P.O.Box 6037Deir ElBalahPalestine

There has been an increase in the adoption of mobile payment systems worldwide in the past few ***,poor Internet connection in rural regions continues to be an obstacle to the widespread use of such *** top of that,there are significant problems with the currently available offline wallets;for instance,the payee cannot verify the number of coins received without access to the ***,it has been demonstrated that some existing systems are susceptible to false token generation,and some do not even permit the user to divide the offline token into smaller portions to be used as *** paper proposes a blockchainbased wallet system that provides a secure mobile payment service even if a user cannot access a reliable Internet *** approach relies on Bluetooth and digital signatures to establish and build a trust connection between the *** proposed solution overcomes the main limitations of existing systems that use offline transactions,such as the generation of fake offline tokens and the indivisibility of offline *** user buys Offline Tokens(OTs)from a server called an Offline Token Manager(OTM)to use them later to perform offline *** mobile device must store a single,signed offline token transaction to prevent fake *** the other hand,all offline transactions will be kept as a history in a particular local ***,when the receiver becomes online,it will send a convert request to the OTMto change the value of the OTs to the appropriate amount in real *** step requires a connection to the *** evaluate the effectiveness of the system,the Solidity programming language was used to develop a smart contract on the Ethereum blockchain with a backend application programming interface(API)and an android mobile *** proposed method has an advantage over other prominent wallets.

关键词： Mobile wallet blockchain smart contracts digital signature

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Maize response to elevated plant density combined with lowered N-fertilizer rate is genotype-dependent

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The Crop Journal 2015年第2期3卷 96-109页

作者： Ahmed Medhat M.Al-Naggar Reda A.Shabana Mohamed M.M.Atta tarek H.Al-khalil Agronomy Department Faculty of Agriculture Cairo University

Increasing plant density and improving N fertilizer rate along with the use of high density-tolerant genotypes would lead to maximizing maize(Zea mays L.) grain productivity per unit land area. The objective of this investigation was to match the functions of optimum plant density and adequate nitrogen fertilizer application to produce the highest possible yields per unit area with the greatest maize genotype efficiency. Six maize inbred lines differing in tolerance to low N and high density(D) [three tolerant(T); L-17, L-18, L-53,and three sensitive(S); L-29, L-54, L-55] were chosen for diallel crosses. Parents and crosses were evaluated in the 2012 and 2013 seasons under three plant densities: low(47,600),medium(71,400), and high(95,200) plants ha-1and three N fertilization rates: low(no N addition), medium(285 kg N ha-1) and high(570 kg N ha-1). The T × T crosses were superior to the S × S and T × S crosses under the low N–high D environment in most studied traits across seasons. The relationships between the nine environments and grain yield per hectare(GYPH) showed near-linear regression functions for inbreds L54, L29, and L55 and hybrids L18 × L53 and L18 × L55 with the highest GYPH at a density of47,600 plants ha-1and N rate of 570 kg N ha-1and a curvilinear relationship for inbreds L17, L18, and L53 and the rest of the hybrids with the highest GYPH at a density of95,200 plants ha-1combined with an N rate of 570 kg N ha-1. Cross L17 × L54 gave the highest grain yield in this study under both high N–high-D(19.9 t ha-1) and medium N–high-D environments(17.6 t ha-1).

关键词： Quadratic regression Appropriate N rate High-density tolerant maize Unit area productivity

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Sustainable Guideline for Developing the E-Waste Sector in Egypt

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Journal of Environmental Protection 2019年第8期10卷 1043-1071页

作者： Ahmed tarek salah El-Haggar School of Sciences and Engineering The American University in Cairo Cairo Egypt

The amount of electronic waste generated globally is alarming especially that it is on the rise. The impact of the generated amounts is not only Environmental. The electronic waste sector is unregulated in most developing countries;this results in the informal sector being heavily involved in managing and handling it. Due to the lack of regulations, informal handlers are exposed to hazardous materials that affect both their health and health of the communities living in their proximity. Moreover, the informal sector involves illegal child and women labor under harsh conditions. In addition to the social impact, the lack of regulations leads to missing major economic opportunities associated with developing a recycling industry for the safe handling and material recovery from the generated e-waste volumes. Electronic waste may contain up to 60 different materials including precious and rare-earth metals with estimated equivalent economic value of 48 billion Euros. Egypt is one the countries which lack policies and regulations dedicated to e-waste, hence the Egyptian economy is missing the economic potential and job creation opportunities associated with developing the e-waste sector as well as facing major Environmental and health challenges due to the improper handling of the generated amounts. This paper briefly reviews the current situation of e-waste in Egypt. The paper then proposes an adapted guideline for the sustainable management of e-waste in Egypt. The guideline is based on the international regulations and guidelines especially those of countries similar to the Egyptian socioeconomic context. The produced guideline focuses on establishing a collection and recycling framework for e-waste in Egypt with EPR at its center. The guideline also establishes a financing system to help foster the recycling industry in Egypt while fulfilling the three main pillars of sustainability.

关键词： E-Waste E-Waste Management Sustainable Guidelines E-Waste in Egypt

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FPGA-Based Network Traffic Security: Design and Implementation Using C5.0 Decision Tree Classifier

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Journal of Electronic Science and Technology 2013年第4期11卷 393-403页

作者： tarek salah Sobh Mohamed Ibrahiem Amer the Information Systems Department Egyptian Armed Forces

In this work, a hardware intrusion detection system （IDS） model and its implementation are introduced to perform online real-time traffic monitoring and analysis. The introduced system gathers some advantages of many IDSs： hardware based from implementation point of view, network based from system type point of view, and anomaly detection from detection approach point of view. In addition, it can detect most of network attacks, such as denial of services （DOS）, leakage, etc. from detection behavior point of view and can detect both internal and external intruders from intruder type point of view. Gathering these features in one IDS system gives lots of strengths and advantages of the work. The system is implemented by using field programmable gate array （FPGA）, giving a more advantages to the system. A C5.0 decision tree classifier is used as inference engine to the system and gives a high detection ratio of 99.93%.

关键词： C5.0 decision tree field programm-able gate array network monitoring network security.

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Optimal Solution of Multi-Choice Mathematical Programming Problem Using a New Technique

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American Journal of Operations Research 2016年第2期6卷 167-172页

作者： tarek A. khalil Yashpal Singh Raghav N. Badra Mathematics Department Higher Institute of Engineering and Technology New Cairo Academy Cairo Egypt Department of Mathematics Faculty of Science Jazan University Jazan KSA Department of Physics and Engineering Mathematics Faculty of Engineering Ain Shams University Cairo Egypt

The study deals with the multi-choice mathematical programming problem, where the right hand side of the constraints is multi-choice in nature. However, the problem of multi-choice linear programming cannot be solved directly by standard linear or nonlinear programming techniques. The aim of this paper is to transform such problems to a standard mathematical linear programming problem. For each constraint, exactly one parameter value is selected out of a multiple number of parameter values. This process of selection can be established in different ways. In this paper, we present a new simple technique enabling us to handle such problem as a mixed integer linear programming problem and consequently solve them by using standard linear programming software. Our main aim depends on inserting a specific number of binary variables and using them to construct a linear combination which gives just one parameter among the multiple choice values for each choice of the values of the binary variables. A numerical example is presented to illustrate our analysis.

关键词： Multi-Choice Mathematical Programming Transformation Technique Optimization

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Problem of living liver donation in the absence of deceased liver transplantation program:Mansoura experience

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World Journal of Gastroenterology 2014年第37期20卷 13607-13614页

作者： Mohamed Abdel Wahab Hosam Hamed tarek salah Waleed Elsarraf Mohamed Elshobary Ahmed Mohamed Sultan Ahmed Shehta Omar Fathy Helmy Ezzat Amr Yassen Mohamed Elmorshedi Mohamed Elsaadany Usama Shiha Gatrointestinal Surgery Liver Transplantation Unit Gastrointestinal Surgical Center Mansoura University Daqahlia 35516 Egypt Anesthesia Intensive Care Department Gastrointestinal Surgical Center Mansoura Faculty of Medicine Mansoura University Daqahlia 35516 Egypt Internal Medicine Department Mansoura Faculty of Medicine Mansoura University Daqahlia 35516 Egypt Radiology Department Gastrointestinal Surgical Center Mansoura University Daqahlia 35516 Egypt

We report our experience with potential donors for living donor liver transplantation(LDLT), which is the first report from an area where there is no legalized deceased donation program. This is a single center retrospective analysis of potential living donors(n = 1004) between May 2004 and December 2012. This report focuses on the analysis of causes, duration, cost, and various implications of donor exclusion(n = 792).Most of the transplant candidates(82.3%) had an experience with more than one excluded donor(median = 3). Some recipients travelled abroad for a deceased donor transplant(n = 12) and some died before finding a suitable donor(n = 14). The evaluation of an excluded donor is a time-consuming process(median = 3 d, range 1 d to 47 d). It is also a costly process with a median cost of approximately 70 USD(range 35 USD to 885 USD). From these results, living donor exclusion has negative implications on the patients and transplant program with ethical dilemmas and an economic impact. Many strategies are adopted by other centers to expand the donor pool; however, they are not all applicable in our locality. We conclude that an active legalized deceased donor transplantation program is necessary to overcome the shortage of available liver grafts in Egypt.

关键词： Living donor Liver transplantation Excluded donors Deceased donor Liver disease

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