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Does local vaginal estrogen after tension-free transobturator vaginal tape reduce overactive bladder symptoms in postmenopausal women? A prospective randomized, controlled study

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Asian Journal of Urology 2024年第1期11卷 86-92页

作者： Samer Mahmoud Morsy Dalia Farouk Sara Hassan ahmed Yehia Abdelaziz hussein Aly hussein Urology Department Kasr Al Ainy HospitalCairo UniversityCairoEgypt Obstetrics and Gynecology Department Kasr Al Ainy HospitalCairo UniversityCairoEgypt

Objective:We aimed to evaluate the efficacy of topical estrogen after transvaginal tension-free vaginal tape-obturator(TVT-O)in the treatment of de novo overactive bladder symptoms that appear after ***:This is a prospective randomized controlled study performed in the Urology and Gynecology Departments,Kasr Al Ainy Hospital,Cairo University,Cairo,*** hundred and ten postmenopausal females presenting during the period between January 2017 and November 2020 with stress urinary incontinence were included in the *** were divided into two groups,105 patients in Group A(treatment group)and 105 patients in Group B(control group).Patients in Group A underwent transvaginal TVT-O followed by local vaginal estrogen treatment for 6 months,while patients in Group B underwent transvaginal TVT-O *** study included any postmenopausal female with urodynamic stress urinary *** patients had to fulfill a 3-day bladder diary,overactive bladder symptoms score,urine analysis,urodynamic study,and post-voiding residual urine measurement by abdominal ultrasound preoperatively and at 3-month and 6-month ***:At 6-month follow-up,daytime frequency was reduced to 8%in Group A(increased to 21%in Group B)with a statistically significant difference between both groups(p=0.009).At 6-month follow-up,nocturia was 8%in Group A(11%in Group B)with no statistically significant difference between both groups(p=0.469).There was a statistically significant difference between both groups as regards to urinary urgency at 6-month follow-up(p=0.024).There was a statistically significant difference in postoperative wound healing events as regards to cure,hyperemia,gapping,and wound infection 1 week after intervention between both groups(p=0.008).No local or systemic side-effects were reported from local estrogen ***:Local vaginal estrogen treatment given to postmenopausal patients after midurethral sling procedures can reduce the symptoms o

关键词： Stressurinary incontinence Estrogen Midurethral sling Overactive bladder symptom

Traffic Control Based on Integrated Kalman Filtering and Adaptive Quantized Q-Learning Framework for Internet of Vehicles

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Computer Modeling in Engineering & Sciences 2024年第3期138卷 2103-2127页

作者： Othman S.Al-Heety Zahriladha Zakaria ahmed Abu-Khadrah Mahamod Ismail Sarmad Nozad Mahmood Mohammed Mudhafar Shakir hussein Alsariera Faculty of Electronic and Computer Engineering Universiti Teknikal Malaysia Melaka(UTeM)Durian TunggalMalaysia College of Computing&Informatics Saudi Electronic UniversityRiyadhSaudi Arabia Department of Electrical Electronic and System EngineeringUniversiti Kebangsaan MalaysiaUKM BangiSelangorMalaysia Computer Technology Engineering College of Engineering TechnologyAl-Kitab UniversityKirkukIraq Faculty of Engineering and Electronic Engineering Universiti Tun Hussein Onn Malaysia(UTHM)Batu PahatMalaysia 6Research Center DepartmentThe University of MashreqBaghdadIraq

Intelligent traffic control requires accurate estimation of the road states and incorporation of adaptive or dynamically adjusted intelligent algorithms for making the *** this article,these issues are handled by proposing a novel framework for traffic control using vehicular communications and Internet of Things *** framework integrates Kalman filtering and *** smoothing Kalman filtering,our data fusion Kalman filter incorporates a process-aware model which makes it superior in terms of the prediction *** traditional Q-learning,our Q-learning algorithm enables adaptive state quantization by changing the threshold of separating low traffic from high traffic on the road according to the maximum number of vehicles in the junction *** evaluation,the model has been simulated on a single intersection consisting of four roads:east,west,north,and south.A comparison of the developed adaptive quantized Q-learning(AQQL)framework with state-of-the-art and greedy approaches shows the superiority of AQQL with an improvement percentage in terms of the released number of vehicles of AQQL is 5%over the greedy approach and 340%over the state-of-the-art ***,AQQL provides an effective traffic control that can be applied in today’s intelligent traffic system.

关键词： Q-learning intelligent transportation system(ITS) traffic control vehicular communication kalman filtering smart city Internet of Things

Robot-assisted uretero-enteric reimplantation for uretero-enteric anastomotic strictures following robot-assisted radical cystectomy: Surgical approach and outcomes over two decades

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Asian Journal of Urology 2024年第3期11卷 384-390页

作者： Abdul Wasay Mahmood Grace Harrington Zhe Jing Qiang Li ahmed A.hussein Khurshid A.Guru Department of Urology Roswell Park Comprehensive Cancer CenterElm and Carlton StreetsBuffaloNew YorkNYUSA

Objective:We described the technique and outcomes of robot-assisted repair of uretero-enteric strictures(UES)following robot-assisted radical cystectomy(RARC)and urinary ***:Retrospective review of our RARC database from November 2005 to August 2023 at Roswell Park Comprehensive Cancer center was *** who developed UES and ultimately underwent robot-assisted uretero-enteric reimplantation(RUER)were *** method was used to compute the cumulative incidence recurrence rate of UES after RUER.A multivariable regression model was used to identify variables associated with UES ***:A total of 123(15%)out of 808 RARC patients developed UES,of whom 52 underwent reimplantation(45 patients underwent RUER[n=55 cases]and seven patients underwent open ureteroenteric reimplantation).The median time from RARC to UES was 4.4(interquartile range 3.0e7.0)months,and the median time between UES and RUER was 5.2(interquartile range 3.2e8.9)*** 3-year recurrence rate after RUER is about 29%.On multivariable analysis,longer hospital stay(hazard ratio 1.37,95%confidence interval 1.16e1.61,p<0.01)was associated with recurrent UES after ***:RUER for UES after RARC is feasible with durable outcomes although a notable subset of patients experienced postoperative complications and UES recurrence.

关键词： Stricture Cystectomy Reimplantation Robot-assisted

A Review and Bibliometric Analysis of the Current Studies for the 6G Networks

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Computer Modeling in Engineering & Sciences 2024年第9期140卷 2165-2206页

作者： Qusay M.Salih Md.Arafatur Rahman Ahmad Firdaus Mohammed Rajih Jassim Hasan Kahtan Jasni Mohamad Zain ahmed hussein Ali Faculty of Computing Universiti Malaysia Pahang Al-Sultan Abdullah(UMPSA)PekanPahang26600Malaysia Department of Medical Equipment Technology Engineering Al Salam University CollegeBaghdadIraq School of Mathematics and Computer Science University of WolverhamptonWolverhampton01902UK Department of Production Engineering and Metallurgy University of TechnologyBaghdadIraq Cardiff School of Technologies Cardiff Metropolitan UniversityCardiffCF52YBUK Institute for Big Data Analytics and Artificial Intelligence(IBDAAI) Kompleks Al-KhawarizmiUniversiti Teknologi MARAShah AlamSelangor40450Malaysia Department Computer Science Al-Salam University CollegeBaghdadIraq

The race to develop the next generation of wireless networks,known as Sixth Generation(6G)wireless,which will be operational in 2030,has already *** realize its full potential over the next decade,6G will undoubtedly necessitate additional improvements that integrate existing solutions with cutting-edge ***,the studies about 6G are mainly limited and scattered,whereas no bibliometric study covers the 6G ***,this study aims to review,examine,and summarize existing studies and research activities in *** study has examined the Scopus database through a bibliometric analysis of more than 1,000 papers published between 2017 and ***,we applied the bibliometric analysis methods by including(1)document type,(2)subject area,(3)author,and(4)country of *** study’s results reflect the research 6G community’s trends,highlight important research challenges,and elucidate potential directions for future research in this interesting area.

关键词： 6G bibliometric wireless networks review

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

Biosafety and biosecurity in the Iraqi Kurdistan Region:Challenges and necessities

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Journal of Biosafety and Biosecurity 2024年第2期6卷 65-66页

作者： Karzan Qurbani Safin hussein Sirwan Khalid ahmed Hanaw Darwesh Seenaa Ali Haider Hamzah Department of Biology College of ScienceUniversity of RaparinRaniaSulaymaniyahKurdistan Region46012Iraq Department of Adult Nursing College of NursingUniversity of RaparinSulaymaniyahKurdistan Region46012Iraq Ministry of Health General Directorate of Health-RaparinRaniaSulaymaniyahKurdistan Region46012Iraq Lox for Quality Control and Certificate Issuance Ltd SulaymaniyahKurdistan Region46012Iraq Department of Medical Laboratory Science College of Health and Medical TechnologiesSulaimani Polytechnic UniversitySulaymaniyahKurdistan RegionIraq Department of Biology College of ScienceUniversity of SulaimaniSulaymaniyahKurdistan Region46001Iraq

Dear *** Xu,The recent COVID-19 pandemic has markedly increased our awareness of the inherent dangers in managing infectious agents like SARS-CoV-2 and highlighted the crucial need to improve laboratory facilities,equipment,and training for technicians to reduce the risks associated with handling these *** imperative to evolve laboratory designs and adopt stringent safety guidelines in medical labs and scientific institutions has become *** particular,the advent of SARS-CoV-2 as a global threat has catapulted the need for robust biosecurity measures into the forefront of scientific *** potential for unintentional biological outbreaks and the malicious exploitation of biological agents by terrorist organizations have intensified the research focus on biosafety by underlining the urgent need to strengthen biosafety and biosecurity measures in laboratories.1 This letter aims to explore the biosafety and biosecurity challenges encountered within the Iraqi Kurdistan region.

关键词： measures intensified evolve

Effects of the concentration and nature of total dissolved solids in drinking water on feed intake, nutrient digestion, energy balance,methane emission, ruminal fermentation, and blood constituents in different breeds of young goats and hair sheep

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Animal Nutrition 2024年第1期16卷 84-95页

作者： Amlan Kumar Patra Luana Paula dos Santos Ribeiro Hirut Yirga Adekayode O.Sonibare ahmed R.Askar Ali H.hussein Ryszard Puchala Arthur Louis Goetsch American Institute for Goat Research Langston University Animal and Poultry Nutrition Department Desert Research Center Agriculture Food and Natural ResourcesEastern New Mexico University

Understanding how different livestock species and breeds respond to consumption of brackish water could improve usage of this ***,Angora,Boer,and Spanish goat doelings and Dorper,Katahdin,and *** ewe lambs (6 animals per animal type[AT];initial age=296±2.1 days)consuming water with varying concentrations of minerals of a natural brackish water source (BR) and sodium chloride (NaCl;SL) were used to determine effects on water and feed intake,nutrient digestion,heat energy,methane emission,ruminal fluid conditions,and blood constituent *** were 6 simultaneous 6 (water treatments[WT])×6 (AT) Latin squares with 3-wk *** WT were fresh (FR),BR alone (100-BR),a similar total dissolved solids (TDS) concentration as 100-BR via NaCl addition to FR (100-SL),BR with concentrations of all minerals increased by approximately 50%(150-BR),a similar TDS level as 150-BR by NaCl addition to FR (150-SL),and a similar 150 TDS level achieved by addition of a 1:1 mixture of BR minerals and NaCl to 100-BR (150-BR/SL).Concentrations (mg/kg) in BR were 4928 TDS,85.9 bicarbonate,224.9 calcium,1175 chloride,60.5 magnesium,4.59 potassium,1387sodium,1962 sulfate,and 8.3 boron,and TDS in other WT were 209,5684,7508,8309,and 7319 mg/kg for FR,100-SL,150-BR,150-SL,and 150-BR/SL,*** were very few significant effects of WT or AT×WT interactions,although AT had numerous *** intake was affected by AT (P=0.02)and WT (P=0.04),with greater water intake for 150-SL than for FR,100-BR,100-SL,and *** matter intake among AT was lowest (P<0.05) for *** of organic matter and neutral detergent fiber and heat energy differed among AT (P<0.05),but nitrogen digestion and ruminal methane emission were similar among *** aldosterone concentration was higher (P<0.05) for FR than for other *** conclusion,all AT seemed resilient to these WT regardless of mineral source and concentrations,with TDS less than 8300 mg/kg,which did

关键词： Goats Hair sheep Nutrient utilization Ruminal fermentation Salinity Water quality

加速康复外科对初次全膝关节置换术后血液管理的影响：倾向评分匹配分析

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加速康复外科对初次全膝关节置换术后血液管理的影响：倾向评分匹...

作者： Mogalli Abdullah Saleh hussein ahmed 吉林大学

学位级别：硕士

背景:全膝关节置换术(TKA)是缓解慢性膝关节炎患者关节疼痛和增强关节功能的重要手段。TKA的并发症常常与大量失血相关,并直接导致术后血红蛋白水平下降,从而高达69%的患者需要异体输血来应对术后贫血。这已被证明是增加不良结果风险的... 详细信息

背景:全膝关节置换术(TKA)是缓解慢性膝关节炎患者关节疼痛和增强关节功能的重要手段。TKA的并发症常常与大量失血相关,并直接导致术后血红蛋白水平下降,从而高达69%的患者需要异体输血来应对术后贫血。这已被证明是增加不良结果风险的独立因素,包括延长住院时间和增加术后感染的易感性。由丹麦学者Henrik Kehlet于1997年首次提出的加速康复外科(ERAS)已成为现代外科实践中的一个关键方法。ERAS最初在腹部手术中实施,逐渐扩展到包括骨科和泌尿科在内的各个医学专业。然而,尽管ERAS方案的采用日益增加,系统评估关节置换术后的血液指标仍然有限。这种多方面的策略在减轻手术压力、加速术后恢复、减少住院时间和提高整体功能结果方面发挥着重要作用,同时保持低并发症率。之前的研究已证明ERAS在减少失血和优化全髋关节置换术结果方面的有效性。问题是这些发现是否也适用于TKA。THA和TKA之间的关键区别,包括患者人口统计学、手术时间和软组织损伤程度,强调了优化每项手术中患者护理的需要。TKA患者通常比THA患者平均年龄更大,皮肤对皮肤时间更长,并且由于股骨和胫骨截骨术,软组织损伤增加。ERAS方案有效控制围手术期失血量。ERAS组术后CRP和ESR水平较低,表明炎症和凝血活动减少,这可能归因于ERAS计划提供的全面护理,其中包括人性化和以患者为中心的干预措施,以减轻焦虑。ERAS手术已显示出相当大的好处,例如通过利用术前优化、术中程序和术后管理等循证策略,最大限度地减少围手术期失血、降低并发症和改善营养状况。WOMAC、OKS和SF-12的理想结果表明ERAS方案有利于改善术后短期内的短期恢复和生活质量结果。目的:评估在加速康复外科(ERAS)下进行单侧全膝关节置换术(TKA)的患者的血液指标管理效果。材料与方法:回顾性研究了2019年1月至2023年10月在我们医院接受单侧TKA的患者。通过使用0.2校准器进行倾向评分匹配后,这些病例被分为两组:非ERAS组(n=51)接受标准护理,ERAS组(n=51)接受全面ERAS管理。术后比较了主要血液参数/血液指标,同时在第3个月随访时也评估了临床结果。结果:ERAS组术后Hb明显高于非ERAS组(P<0.05)。非ERAS组术前ESR明显高,而ERAS组CRP明显低于非ERAS组(P<0.05)。ERAS组的LOS和Alb明显少于非ERAS组(P<0.05)。WOMAC和OKS得分在第1个月和第3个月均在ERAS组。结论:ERAS方案在术后第一天到第三个月的术后期间提供了良好且现实的临床和功能结果,对接受单侧初次TKA的患者满意度很高。此外,ERAS方案已被证明可以有效减少围手术期失血、最大限度地减少术后并发症并维持这些患者的最佳营养水平。

关键词：全膝关节置换术快速康复血液管理住院时间并发症随访

An Improved Enterprise Resource Planning System Using Machine Learning Techniques

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Journal of Software Engineering and Applications 2024年第5期17卷 203-213页

作者： ahmed Youssri Zakaria Elsayed Abdelbadea Atef Raslan Tarek Ali mervat Gheith Al-Sayed Khater Essam A. Amin Department of Software Engineering Faculty of Graduate Studies for Statistical Research (FGSSR) Cairo University Giza Egypt

Traditional Enterprise Resource Planning (ERP) systems with relational databases take weeks to deliver predictable insights instantly. The most accurate information is provided to companies to make the best decisions through advanced analytics that examine the past and the future and capture information about the present. Integrating machine learning (ML) into financial ERP systems offers several benefits, including increased accuracy, efficiency, and cost savings. Also, ERP systems are crucial in overseeing different aspects of Human Capital Management (HCM) in organizations. The performance of the staff draws the interest of the management. In particular, to guarantee that the proper employees are assigned to the convenient task at the suitable moment, train and qualify them, and build evaluation systems to follow up their performance and an attempt to maintain the potential talents of workers. Also, predicting employee salaries correctly is necessary for the efficient distribution of resources, retaining talent, and ensuring the success of the organization as a whole. Conventional ERP system salary forecasting methods typically use static reports that only show the system’s current state, without analyzing employee data or providing recommendations. We designed and enforced a prototype to define to apply ML algorithms on Oracle EBS data to enhance employee evaluation using real-time data directly from the ERP system. Based on measurements of accuracy, the Random Forest algorithm enhanced the performance of this system. This model offers an accuracy of 90% on the balanced dataset.

关键词： ERP HCM Machine Learning Employee Performance Pythonista Pythoneer