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Challenges to establishing and maintaining kidney transplantation programs in developing countries:What are the coping strategies?

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World Journal of Methodology 2024年第2期14卷 1-16页

作者： Rabea ahmed Gadelkareem Amr Mostafa Abdelgawad Nasreldin Mohammed Mohammed Ali Zarzour mahmoud Khalil ahmed Reda Hisham Mokhtar Hammouda Department of Urology Assiut Urology and Nephrology HospitalFaculty of MedicineAssiut UniversityAssiut 71515Egypt

Kidney transplantation(KT)is the optimal form of renal replacement therapy for patients with end-stage renal ***,this health service is not available to all patients,especially in developing *** deceased donor KT programs are mostly absent,and the living donor KT centers are ***-center studies presenting experiences from developing countries usually report a variety of *** review addresses these challenges and the opposing strategies by reviewing the single-center experiences of developing *** financial challenges hamper the infrastructural and material availability,coverage of transplant costs,and qualification of medical *** sociocultural challenges influence organ donation,equity of beneficence,and regular follow-up *** interests and motives for transplantation may result from high medicolegal responsibilities in KT practice,intense potential psychosocial burdens,complex qualification protocols,and low productivity or compensation for KT *** medical literacy about KT advantages is prevalent among clinicians,patients,and the *** inefficient organizational and regulatory oversight is translated into inefficient healthcare systems,absent national KT programs and registries,uncoordinated job descriptions and qualification protocols,uncoordinated on-site investigations with regulatory constraints,and the prevalence of commercial KT *** challenges resulted in noticeable differences between KT services in developed and developing *** coping strategies can be summarized in two main mechanisms:The first mechanism is maximizing the available resources by increasing the rates of living kidney donation,promoting the expertise of medical personnel,reducing material consumption,and supporting the establishment and maintenance of KT *** latter warrants the expansion of the public sector and the elimination of non-ethical KT *** second mechanism is recru

关键词： Challenges Coping strategies Developing countries Kidney transplantation Low resources Single-center

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Optimizing Grey Wolf Optimization: A Novel Agents’ Positions Updating Technique for Enhanced Efficiency and Performance

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Open Journal of Optimization 2024年第1期13卷 21-30页

作者： mahmoud Khatab Mohamed El-Gamel ahmed I. Saleh Asmaa H. Rabie Atallah El-Shenawy Department of Mathematics and Engineering Physics Faculty of Engineering Mansoura University Mansoura Egypt Department of Computers and Control Faculty of Engineering Mansoura University Mansoura Egypt Department of Mathematics Faculty of Science New Mansoura University Mansoura Egypt

Grey Wolf Optimization (GWO) is a nature-inspired metaheuristic algorithm that has gained popularity for solving optimization problems. In GWO, the success of the algorithm heavily relies on the efficient updating of the agents’ positions relative to the leader wolves. In this paper, we provide a brief overview of the Grey Wolf Optimization technique and its significance in solving complex optimization problems. Building upon the foundation of GWO, we introduce a novel technique for updating agents’ positions, which aims to enhance the algorithm’s effectiveness and efficiency. To evaluate the performance of our proposed approach, we conduct comprehensive experiments and compare the results with the original Grey Wolf Optimization technique. Our comparative analysis demonstrates that the proposed technique achieves superior optimization outcomes. These findings underscore the potential of our approach in addressing optimization challenges effectively and efficiently, making it a valuable contribution to the field of optimization algorithms.

关键词： Grey Wolf Optimization (GWO) Metaheuristic Algorithm Optimization Problems Agents’ Positions Leader Wolves Optimal Fitness Values Optimization Challenges

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Surgical Management of Mitral Valve Infective Endocarditis with Accidental Finding of Open Pulmonary Tuberculosis

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World Journal of Cardiovascular Surgery 2024年第5期14卷 61-67页

作者： Ahmad Al Khaddour Mohammed Alharthi Alawab M. Mesallam Mohamed Agawi mahmoud Ghalwash ahmed Gotbi Mohamed Abdel Hafez Fouly Marko Samanovic Nelson David Vega Murad El Gharbi Fawaz Altaf King Abdullah Medical Complex Jeddah KSA

Objective: This case report aimed to highlight intersections of TB and Cardiovasular diseases which carry high morbidity and mortality rates. Methods: We are reporting the surgical management of forty seven years female who had back ground history of IDDM (Insulin dependent diabetic Mellitus), ESRD (End stage renal disease) on HD (haemodialysis) also she had left subclavian artery stenosis, and paroxysmal atrial fibrillation. She was diagnosed with mitral valve infective endocarditis and found accidently to have an open pulmonary tuberculosis (TB) on the day before surgery. Results: She was started on first line anti-TB treatment. She was isolated in her private room and airborne precautions measures applied. The patient underwent a tissue Mitral Valve replacement and tricuspid valve repair annuloplasty. Special precautions were applied in Theatre and on cardiopulmonary bypass Machine guided by KAMC-J disinfection protocol. The patient made good recovery postoperatively. She was discharged well on day 7 post operatively. Conclusion: Intersections of TB and cardiovasular diseases carry high morbidity and mortality rates. Early diagnosis and early anti tuberculosis treatment can surely improve the patient prognosis. Our decontamination and disinfective procedures are recommended. Cases like this should be monitored long term for the development of further cardiovascular complication.

关键词： Tuberculosis (TB) Mycobacterium tuberculosis (MTB) Heater-Cooler and Bypass Machine New York Heart Association (NYHA)

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A Comparative Analysis on Surgical Outcomes and Complications of Endoscopic and Open Vein Harvesting Techniques

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Open Journal of Thoracic Surgery 2024年第2期14卷 29-39页

作者： Mohammed Fawzy Eltaweel Ismail N. El-Sokkary ahmed Alherazi Mohamed Wael Badawi Mohammed G. Abdellatif Bahaa A. Elkhonezy Ibrahim K. Gamil Haytham Mohamed Abd El Moaty Sarra Sadmi mahmoud Khalil Department of Cardiothoracic Surgery Faculty of Medicine Menoufia University Shibin El Kom Egypt Department of Cardiovascular & Thoracic Surgery Faculty of Medicine Al-Azhar University Cairo Egypt Department of Cardiothoracic Surgery Faculty of Medicine Alexandria University Alexandria Egypt Faculty of Medicine University of Algiers Algiers Algeria Department of Cardiac Surgery Sabah Al-Ahmed Cardiac Center Al-Amiri Hospital Kuwait City Kuwait

Objective: The great saphenous vein (GSV) is commonly used as a conduit for grafting during CABG surgery, and open GSV harvesting (OVH), commonly used with long incision to expose the vein. However, endoscopic vein harvesting (EVH) is an alternative approach, utilizing specialized instruments and small incisions to harvest the vein. Methods: A retrospective analysis was conducted on a cohort of patients who underwent Coronary artery bypass graft (CABG) requiring great saphenous vein (GSV) harvesting which was done by EVH or OVH procedures. Demographic variables, including age and gender, were assessed for both groups. Intraoperative variables such as the number of grafts, cardiopulmonary bypass time, X clamp time, and type of procedure were analyzed. Postoperative variables, including infection and bleeding rates, were also evaluated. Results: The study included 30 patients each undergoing Coronary artery bypass graft (CABG) with need of great saphenous vein harvesting which was done by EVH and OVH. Demographic variables were well-matched between the two groups in terms of age, while a significant difference in gender distribution was observed. Obesity and smoking were more prevalent in the OVH group, and EVH was associated with a higher mean number of grafts compared to OVH. Conversion to an open technique occurred in a portion of the EVH cases, and infection rates did not significantly differ between the EVH and OVH groups. However, the incidence of postoperative bleeding was significantly higher in the EVH group. Conclusion: This study provides valuable insights into the demographic, intraoperative, and postoperative variables associated with EVH and OVH techniques. EVH demonstrated advantages in terms of reduced infection rates compared to OVH. However, the higher incidence of postoperative bleeding associated with EVH raises concerns about potential risks.

关键词： Endoscopic Vein Harvesting (EVH) Open Vein Harvesting (OVH) Coronary Artery Bypass Grafting (CABG) Great Saphenous Vein (GSV) Surgical Outcomes

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Role of cannabinoids and the endocannabinoid system in modulation of diabetic cardiomyopathy

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World Journal of Diabetes 2022年第5期13卷 387-407页

作者： Mona F El-Azab ahmed E Wakiel Yossef K Nafea mahmoud E youssef Department of Pharmacology and Toxicology Faculty of PharmacySuez Canal UniversityIsmailia 41522Egypt Program of Biochemistry McMaster UniversityHamilton L8S 4L8OntarioCanada Department of Pharmacology and Biochemistry Delta University for Science and TechnologyMansoura 35511New CairoEgypt

Diabetic complications,chiefly seen in long-term situations,are persistently deleterious to a large extent,requiring multi-factorial risk reduction strategies beyond glycemic *** cardiomyopathy is one of the most common deleterious diabetic complications,being the leading cause of mortality among diabetic *** mechanisms of diabetic cardiomyopathy are multi-factorial,involving increased oxidative stress,accumulation of advanced glycation end products(AGEs),activation of various pro-inflammatory and cell death signaling pathways,and changes in the composition of extracellular matrix with enhanced cardiac *** novel lipid signaling system,the endocannabinoid system,has been implicated in the pathogenesis of diabetes and its complications through its two main receptors:Cannabinoid receptor type 1 and cannabinoid receptor type 2,alongside other ***,the role of the endocannabinoid system in diabetic cardiomyopathy has not been fully *** review aims to elucidate the possible mechanisms through which cannabinoids and the endocannabinoid system could interact with the pathogenesis and the development of diabetic *** mechanisms include oxidative/nitrative stress,inflammation,accumulation of AGEs,cardiac remodeling,and autophagy.A better understanding of the role of cannabinoids and the endocannabinoid system in diabetic cardiomyopathy may provide novel strategies to manipulate such a serious diabetic complication.

关键词： Δ9-tetrahydrocannabinol Autophagy Cannabinoid receptors Diabetic cardiomyopathy Endocannabinoid system Inflammation

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Sports Prediction Model through Cloud Computing and Big Data Based on Artificial Intelligence Method

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Journal of Intelligent Learning Systems and Applications 2024年第2期16卷 53-79页

作者： Aws I. Abu Eid Achraf Ben Miled Ahlem Fatnassi Majid A. Nawaz Ashraf F. A. mahmoud Faroug A. Abdalla Chams Jabnoun Aida Dhibi Firas M. Allan Mohammed ahmed Elhossiny Salem Belhaj Imen Ben Mohamed Faculty of Computing Studies Arab Open University Amman Jordan Computer Science Department Science College Northern Border University Arar Kingdom of Saudi Arabia Artificial Intelligence and Data Engineering Laboratory LR21ES23 Faculty of Sciences of Bizerte University of Carthage Tunis Tunisia Applied College Northern Border University Arar Kingdom of Saudi Arabia Faculty of Specific Education Mansoura University Mansoura Egypt

This article delves into the intricate relationship between big data, cloud computing, and artificial intelligence, shedding light on their fundamental attributes and interdependence. It explores the seamless amalgamation of AI methodologies within cloud computing and big data analytics, encompassing the development of a cloud computing framework built on the robust foundation of the Hadoop platform, enriched by AI learning algorithms. Additionally, it examines the creation of a predictive model empowered by tailored artificial intelligence techniques. Rigorous simulations are conducted to extract valuable insights, facilitating method evaluation and performance assessment, all within the dynamic Hadoop environment, thereby reaffirming the precision of the proposed approach. The results and analysis section reveals compelling findings derived from comprehensive simulations within the Hadoop environment. These outcomes demonstrate the efficacy of the Sport AI Model (SAIM) framework in enhancing the accuracy of sports-related outcome predictions. Through meticulous mathematical analyses and performance assessments, integrating AI with big data emerges as a powerful tool for optimizing decision-making in sports. The discussion section extends the implications of these results, highlighting the potential for SAIM to revolutionize sports forecasting, strategic planning, and performance optimization for players and coaches. The combination of big data, cloud computing, and AI offers a promising avenue for future advancements in sports analytics. This research underscores the synergy between these technologies and paves the way for innovative approaches to sports-related decision-making and performance enhancement.

关键词： Artificial Intelligence Machine Learning Spark Apache Big Data SAIM

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Association between direct-acting antiviral agents in hepatitis C virus treatment and hepatocellular carcinoma occurrence and recurrence:The endless debate

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World Journal of Clinical Cases 2022年第6期10卷 1764-1774页

作者： ahmed Kamal ahmed Elsheaita mahmoud Abdelnabi Internal Medicine Department Faculty of Medicine Alexandria UniversityAlexandria 21131Egypt Clinical and Experimental Internal Medicine Department Medical Research Institute Alexandria UniversityAlexandria 21561Egypt Internal Medicine Department Texas Tech University Health Science CenterLubbockTX 79430United States

Since direct-acting antiviral agents(DAAs)have been introduced into hepatitis C virus treatment,the sustained viral response(SVR)rate has significantly increased to more than 95%.Scientific evidence supports the idea that SVR after interferon therapy has beneficial effects related to cirrhosis progression,resulting in a reduction in the incidence of hepatocellular carcinoma(HCC).However,a significant debate exists related to DAA impact on HCC *** reviewed the current literature highlighting the controversial data related to DAA association with de novo HCC occurrence or recurrence and possible pathophysiology of HCC related to *** a review of the published literature,we believe that the current evidence does not confirm or repudiate a higher rate of de novo HCC occurrence or recurrence related to DAA *** trials are needed to determine if there is an association between HCC occurrence or recurrence and DAA or if it is related to preexisting liver cirrhosis.

关键词： Hepatitis C virus Sustained virologic response Direct-acting antiviral drugs Hepatocellular carcinoma Liver cirrhosis

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An energetic nano-fiber composite based on polystyrene and 1,3,5-trinitro-1,3,5-triazinane fabricated via electrospinning technique

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Defence Technology(防务技术) 2023年第9期27卷 1-8页

作者： mahmoud Abdelhafiz ahmed K.Hussein Waleed F.Khalil ahmed Elbeih Military TechnicalCollege(MTC) KobryElkobbahCairoEgypt Safety FuelCycleDepartment NRSRCEgyptianAtomicEnergyAuthority(EAEA)CairoEgypt

Electrospinning is a simple technique used to fabricate polymeric nano-fibrous *** nano-fibers have found a wide range of valuable applications in the biomedical ***,it has not been utilized with solid high explosives ***,the electrospinning technique has been used to fabricate polystyrene(PS)/1,3,5-trinitro-1,3,5-triazinane(RDX)composite *** governed electrospinning parameters,voltage,distance from the collector,flow rate,mandrel rotating speed,time,and solution concentration,that greatly affect the morphology of the obtained nanofibers were *** fabricated PS/RDX nano-fibers were characterized using scanning electron microscopy(SEM),X-ray diffractometer(XRD),and Fourier Transform Infrared(FTIR)*** impact and friction sensitivities of PS/RDX were also *** thermal behavior of the prepared composite and the pure materials were studied by the thermal gravimetric analysis technique(TGA).SEM results proved the fabrication of PS/RDX fibers in the nano-size via *** spectroscopy confirmed the existence of the characteristic functional groups of both PS and RDX in the composite *** sharp peaks showed the conversion of amorphous PS into crystalline shape via electrospinning and also confirmed the formation of PS/RDX *** PS fibers absorbed the heat and increased the onset decomposition of the pure RDX from 181.5 to 200.7℃in the case of PS/RDX ***,PS/RDX nano-fibers showed the relatively low impact and friction sensitivities of 100 J and 360 N *** results could introduce PS/RDX nanofibrous composite in the field of explosives detection with high levels of safety.

关键词： Electrospinning Nano-fibers 1,3,5-Trinitro-1,3,5-triazinane(RDX) Polystyrene(PS) Sensitivity

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Modelling and control of a grid-connected AC microgrid with the integration of an electric vehicle

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Clean Energy 2023年第4期7卷 707-720页

作者： youssef Akarne ahmed Essadki Tamou Nasser Hammadi Laghridat Higher National School of Arts and Crafts(ENSAM) Mohammed V UniversityRabatMorocco National High School for Computer Science and Systems Analysis(ENSIAS) Mohammed V UniversityRabatMorocco

The purpose of this paper is to propose an efficient model and a robust control that ensures good power quality for the AC microgrid(MG)connected to the utility grid with the integration of an electric vehicle(EV).The MG consists of two renewable energy sources:a photovoltaic system(PVS)and a wind turbine system(WTS)based on a permanent magnet synchronous generator(PMSG),with the integration of an *** sources are used to supply active and reactive power to the AC bus and the utility *** power point tracking(MPPT)based on the perturb-and-observe(PO)method is used to increase the efficiency of the photovoltaic modules and improve overall *** MG system includes a 2-MW WTS,a 100-kW PVS and 12 kW provided by the *** validate the performance of the proposed system,a series of simulations were conducted using the MATLAB/Simulink?*** results demonstrate that the proposed system ensures high performance in terms of power quality,system stability,power tracking and safe integration of the EV.

关键词： microgrid wind turbine system photovoltaic system electric vehicle grid-to-vehicle vehicle-to-grid control systems

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An Intelligent Tree Extractive Text Summarization Deep Learning

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Computers, Materials & Continua 2022年第11期73卷 4231-4244页

作者： Abeer Abdulaziz AlArfaj Hanan ahmed Hosni mahmoud Department of Computer Sciences College of Computer and Information SciencesPrincess Nourah Bint Abdulrahman UniversityP.O.Box 84428Riyadh11671Saudi Arabia

In recent research,deep learning algorithms have presented effective representation learning models for natural *** deep learningbased models create better data representation than classical *** are capable of automated extraction of distributed representation of *** this research,we introduce a new tree Extractive text summarization that is characterized by fitting the text structure representation in knowledge base training module,and also addresses memory issues that were not addresses *** proposed model employs a tree structured mechanism to generate the phrase and text *** proposed architecture mimics the tree configuration of the text-texts and provide better feature *** also incorporates an attention mechanism that offers an additional information source to conduct better summary *** novel model addresses text summarization as a classification process,where the model calculates the probabilities of phrase and text-summary *** model classification is divided into multiple features recognition such as information entropy,significance,redundancy and *** model was assessed on two datasets,on the Multi-Doc Composition Query(MCQ)and Dual Attention Composition dataset(DAC)*** experimental results prove that our proposed model has better summarization precision *** models by a considerable margin.

关键词： Neural network architecture text structure abstractive summarization

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