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Improving Adherence to Prescribed Antidiabetics and Cardiovascular Medications in Primary Health Care Centers in Nyala City, South Darfur State-Sudan

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Pharmacology & Pharmacy 2013年第9期4卷 701-709页

作者： Ahmed Dahab Ahmed Asim Ahmed Elnour mirghani abd elrahman yousif Farah Hamad Farah Hasab Alrasoul Akasha Ahmed Osman Abobakr Abasaeed College of Pharmacy and Health Sciences Ajman University of Sciences and Technology Ajman UAE College of Pharmacy Clinical Pharmacy Taif University Taif KSA Consultant Clinical Pharmacist Al Ain Hospital Abu Dhabi Health Services Company (SEHA) Al Ain UAE Department of Pharmacology College of Medicine and Health Sciences UAE University Al Ain UAE Revolving Drug Fund (RDF) Ministry of Health (MOH) Nyala Sudan Department of Pharmaceutics Faculty of Pharmacy Gezira University Medani Sudan Social and Clinical Pharmacy Department Faculty of Pharmacy Charles University Hradec Kralove Czech Republic Registration and Drug Control Department Ministry of Health Abu Dhabi UAE. The Epidemiological Laboratory (Epi-Lab) Khartoum Sudan

Aims: Prospective pharmacist’s interventions aimed to improve patient’s knowledge and behaviors to adhere to medications in patients with type 2 diabetes with or without cardiovascular medical conditions in primary health care (PHCs) centers in Nyala city, South Darfur State, Sudan. Methodology and Materials: 300 patients were enrolled for assessing adherence with the Brief Medication Questionnaire (BMQ) in ten PHCs in Nyala city. We assessed patients’ responses to BMQ pre-and post-interventions plan by: complex interventions, humanitarianism and disease outcomes determined by health-related outcomes (SF-36), glycosylated hemoglobin (HbA1c) and blood pressure. Results: BMQ scores have improved significantly in four screens (pre-and post-interventions): regimen [4.6 ± 0.2 to 1.8 ± 0.1;P = 0.001], belief [1.6 ± 0.3 to 0.3 ± 0.3;P = 0.007], recall [1.7 ± 0.2 to 0.6 ± 0.2;P = 0.043] and access screens [1.8 ± 0.1 to 0.4 ± 0.1;P = 0.005];which have indicated an improved patients’ adherence to medications. Percentage of subjects reaching target of post prandial blood glucose (PPBG) have increased from 28.0% to 49.3%;[P = 0.02] post interventions. PPBG mean values have decreased significantly from [11.1 ± 0.6 mmol/L to 8.1 ± 0.8 mmol/L;

关键词： Adherence Darfur Medications Nyala PHCs Sudan

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Deep Learning for Strawberry Canopy Delineation and Biomass Prediction from High-Resolution Images

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Plant Phenomics 2022年第1期4卷 58-74页

作者： Caiwang Zheng Amr abd-elrahman Vance M.Whitaker Cheryl Dalid Gulf Coast Research and Education Center University of FloridaWimaumaFL 33598USA School of Forest Fisheriesand Geomatics SciencesUniversity of FloridaGainesvilleFL 32603USA Horticultural Sciences Department University of FloridaGainesvilleFL 32603USA

Modeling plant canopy biophysical parameters at the individual plant level remains a major *** study presents a workflow for automatic strawberry canopy delineation and biomass prediction from high-resolution images using deep neural ***-resolution(5 mm)RGB orthoimages,near-infrared(NIR)orthoimages,and Digital Surface Models(DSM),which were generated by Structure from Motion(SfM),were utilized in this *** R-CNN was applied to the orthoimages of two band combinations(RGB and RGB-NIR)to identify and delineate strawberry plant canopies.

关键词： Deep neural individual

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Sexual dimorphism of G protein-coupled receptor signaling in the brain

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Neural Regeneration Research 2024年第8期19卷 1635-1636页

作者： Sara Aljoudi Hamdan Hamdan Khaled S.abd-elrahman Department of Physiology and Immunology College of Medicine and Health SciencesKhalifa UniversityAbu DhabiUnited Arab Emirates Healthcare Engineering Innovation Center(HEIC) Khalifa UniversityAbu DhabiUnited Arab Emirates Department of Anesthesiology Pharmacology and Therapeuticsand Djavad Mowafaghian Center for Brain HealthUniversity of British ColumbiaVancouverBCCanada Department of Pharmacology and Therapeutics College of Medicine and Health ScienceKhalifa UniversityAbu DhabiUnited Arab Emirates Department of Pharmacology and Toxicology Faculty of PharmacyAlexandria UniversityAlexandriaEgypt

G protein-coupled receptors(GPCRs)represent the most substantial family of membrane receptors that are targeted by *** and Drug Administration-approved *** of the preclinical research to understand the pharmacology of... 详细信息

关键词： drugs clinical targeted

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Acceleration of coasting enhances pregnancy rate in ICSI cycles at risk for ovarian hyperstimulation syndrome

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Journal of Reproduction and Contraception 2016年第2期27卷 103-111页

作者： Ahmed F.Galal Hadeer Aly Abbassy Ashraf Hany abd elrahman Department of Obstetrics and Gynecology Alexandria University Clinical Pathology Department Alexandria University

Objective To assess the efficacy of adding Gn-releasing hormone antagonist（GnR HA） on the day of hC G triggering in a long luteal protocol without withholding the agonist in women who are at a risk to develop ovarian hyperstimulation syndrome（OHSS）.Methods This was a retrospective cohort study conducted upon 50 women who have elevated serum estradiol（E2） level 〉4 500 ng/L at the day of ovum triggering with hC G on a long agonist luteal protocol of controlled ovarian stimulation（COS）. When an exaggerated ovarian response was observed around day 10 of stimulation, immediately the next morning at 6 a.m. gonadotropin administration was stopped or reduced, and a single dose of ganirelix acetate（antagonist） was given sc continuation of the agonist dose hC G. Another serum E2 measurement was done at 6 p.m.（after 12 h of antagonist） then hC G, sc 250 mg and choriogonadotropin α were administered 14 h later after antagonist and documented the reduction of E2 level. Oocyte retrieval was conducted after 34-36 h of hC G administration. The measured outcomes were the level of E2 on the day of hC G injection, number of oocytes and their quality, pregnancy rate and the occurrence of OHSS and its grade in case it *** The total dose for recombinant FSH was 25.3±6.4 ampoules（75 IU/ampoule） while it was 11.0±3.0 ampoules for the urinary hM G. A higher oocyte maturation rate（82.8%） and a high fertilization rate（87.8%） were observed. The mean endometrial thickness was 10.1±1.0 mm on the day of hC G triggering. The higher fertilization rate with the good endometrial thickness observed resulting in a higher pregnancy rate（78.0%, 39/50） with statistically significant（P〈0.05）. A significant reduction of E2 level was documented by a percentage around 40% before hC Ginjection. There were no reported cases of severe or moderate OHSS, however 13 cases（26%） were reported to have mild OHSS *** Acceleration of coasting in cases of OHSS through treatment with GnR HA

关键词： ovarian hyperstimulation syndrome(OHSS) coasting oocyte maturation pregnancy rate

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Insights into the adsorption performance and mechanism of Cr(Ⅵ)onto porous nanocomposite prepared from gossans and modified coal interface:Steric,energetic,and thermodynamic parameters interpretations

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Chinese Journal of Chemical Engineering 2023年第9期61卷 118-128页

作者： Mohamed Mobarak Saleh Qaysi Mohamed Saad Ahmed Yasser F.Salama Ahmed Mohamed Abbass Mohamed abd elrahman Hamdy Aabdel-Gawwad Moaaz K.Seliem Physics Department Faculty of ScienceBeni-Suef UniversityEgypt Geology and Geophysics Department College of ScienceKing Saud University11451 RiyadhSaudi Arabia Geology Department Faculty of ScienceBeni-Suef UniversityEgypt Department of Building Materials and Construction ChemistryInstitute of Civil EngineeringTechnische Universitat BerlinBerlinGermany Structural Engineering Department Faculty of EngineeringMansoura UniversityMansouraEgypt Raw Building Materials and Processing Technology Research Institute Housing and Building National Research Center(HBRC)CairoEgypt Faculty of Earth Science Beni–Suef UniversityEgypt

Herein,iron oxide/hydroxides deposits(gossans)were utilized,for the first time,in the fabrication of magnetite nanoparticles(MNPs)to load modified coal(MC).The as-synthesized MNPs@MC composite was characterized via different techniques and utilized for the Cr(Ⅵ)*** studies supported by theoretical treatment were applied to offer a new overview of the Cr(Ⅵ)adsorption geometry and mechanism at 25-45℃.Experimental results suggested that the Cr(Ⅵ)uptake was mainly governed by adsorption-reduction coupled *** Langmuir model fitted well the Cr(Ⅵ)adsorption data with maximum adsorption capacities extended from 115.24 to 129.63 mg·g^(-1).Theoretical calculations indicated that Cr(Ⅵ)ions were adsorbed on the MNPs@MC following the theory of the advanced monolayer statistical *** number of ions removed per site ranged from 1.88 to1.23 suggesting the involvement of vertical geometry and multi-ionic mechanism at all *** increment of the active sites density and the adsorption capacity at saturation with improving temperature reflected an endothermic ***,the Cr(Ⅵ)adsorption was controlled by physical forces as the adsorption energies were less than 40 kJ·mol^(-1).The calculated free enthalpy,*** internal energy explained the spontaneous nature and the viability of Cr(Ⅵ)adsorption on the MNPs@MC *** results offer a new approach in utilizing the iron-rich deposits as gossans in the preparation of magnetic and low-cost adsorbents for wastewater remediation.

关键词： Coal Magnetic nanoparticles Cr(Ⅵ)adsorption Statistical models Thermodynamic parameters

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The effect of diet supplemented with vegetable oils and/or monensin on the vaccenic acid production in continuous culture fermenters

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Animal Nutrition 2015年第4期1卷 320-323页

作者： Mostafa Sayed A.Khattab abd-elrahman abd-El-Gawad Salah Hasan Abo Abo El-Nor Mohamed El-Sherbiny Department of Dairy Sciences National Research Centre Department of Animal Production Faculty of Agriculture Cairo University

Studies have shown that supplementing ruminant diets with vegetable oils modulated the rumen biohydrogenation and increased polyunsaturated fatty acid in their products. These positive values are often accompanied by a marginal loss of supplemented unsaturated fatty acids and rise in the concentrations of saturated fatty acids. This study were carried out mainly to investigate the effect of supplementing diets with sunflower oil, olive oil with or without monensin on the production and accumulation of vaccenic acid(VA) in continuous culture fermenters as a long term in vitro rumen simulation *** dual-flow continuous culture fermenters were used in an 8 replication experiment lasted 10 days each(first 7 days for adaptation and last 3 days for samples collection). Supplementing diets with plant oils and monensin in the present experiment increased VA and conjugated linoleic acids(P > 0.05) in ruminal cultures. The results suggest that supplementing diets with both olive oil and sunflower oil and monensin increased VA accumulation compared to plant oils supplemented alone without affecting the rumen dry matter and organic matter digestibility.

关键词： Vegetable oils Monensin Vaccenic acid Continuous fermenter Rumen

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The Impact of Single Low Dose IV Magnesium Sulphate Adjuvant to Ultrasound Guided Transverses abdominis Plain Block for Control of Postcesarean Pain

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Open Journal of Obstetrics and Gynecology 2017年第3期7卷 269-280页

作者： Tamer Nabil abd elrahman Mohamed abdelaziz Youssry Anesthesia and Intensive Care and Pain Department Faculty of Medicine Ain Shams University Cairo Egypt Obstetrics and Gynecology Department Faculty of Medicine Alexandria University Alexandria Egypt

Objective: The aim of this study is to determine the role of preoperative low dose intravenous MgSO4 when given adjuvant to ultrasound guided transversus abdominis plane (TAP) block in augmenting postcesarean analgesic effects and reducing opioid requirements during the first 24 hours. Subjects and Methods: In this prospective, randomized double blind study, a total of sixty full term pregnant women were recruited for the study underwent caesarean section. Thirty patients were assigned to MgSO4 group (A) and another thirty to placebo group (B). Participants in group (A) received 50 mg/kg MgSO4 in 100 ml isotonic saline intravenous (IV) over 20 minutes prior to induction of general anesthesia by 30 minutes while participants in group (B) received 100 ml isotonic saline (placebo) by the same route and over the same duration as control. Results: Visual Analogue Scale (VAS) was analysed within 24 hours postoperatively. The mean pain score at 6 and 12 hours postoperatively was significantly lower in MgSO4 group compared to control group (40.4 ± 5.12 vs 53.6 ± 4.92;26.1 ± 3.01 vs 35.5 ± 3.98 respectively, p = 0.012, 0.005). Comparing both groups regarding the mean time interval of first rescue analgesia (morphine sulphate) requested by the patients, it was longer in MgSO4 group compared to control group. The total dose of rescue analgesia consumed during 24 hours was analysed and it was significantly higher in control group compared to MgSO4 group (10.1 ± 0.95 vs 6.2 ± 0.87, p = 0.001). Conclusion: We concluded that preoperative low doses (50 mg/Kg) of MgSO4 with general anesthesia combined with ultrasound guided TAP block offer longer postoperative pain free periods thus reducing total opioid consumption. In addition to the safety of the drug to the mother and fetus so we recommend IV MgSO4 as an adjuvant therapy with TAP block.

关键词： Transversus abdominis Plane Block Magnesium Sulphate Postcesarean Analgesia Rescue Analgesia

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A Comparative Study of Intrathecal Injection of Bupivacaine Alone or with Fentanyl, Clonidine, and Neostigmine in Lower abdominal Surgeries

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Open Journal of Anesthesiology 2019年第4期9卷 83-98页

作者： Elsayed Mohamed abdelzaam Ahmed Hamdy abd elrahman Department of Anesiology Faculty of Medicine Benha University Benha Egypt

Background: Anesthesiologists are responsible for the development of pain services in the current era. Hence ideal adjuvants that can be used with bupivacaine for stable intraoperative conditions and prolonging the postoperative analgesia with fewer side effects are being investigated. Opioids, despite useful as adjuvants, are associated with undesirable side effects. Aim of the work: The study was done to compare analgesic efficacy and hemodynamic of intrathecal injection of bupivacaine alone or with fentanyl, clonidine, and neostigmine in lower abdominal surgeries, over the first 24 postoperative hours, in a randomized, double-blind, and clinical trial. Methods: 100 Patients were randomized into four equal groups, 25 patients in each group;Group B patients received 2.5 ml of 0.5% hyperbaric bupivacaine and 0.5 ml of normal saline. Group BF patients received 2.5 ml of 0.5% hyperbaric bupivacaine with (25 mics) of fentanyl. Group BC patients received 2.5 ml of 0.5% hyperbaric bupivacaine with 0.5 ml (75 mics) of clonidine. Group BN patients received 2.5 ml of 0.5% hyperbaric bupivacaine with 0.1 ml of neostigmine (50 mics) and 0.4 ml of normal saline. Intrathecal anesthesia was done with a recording of parameters intraoperative and the post-operative period. Each patient was assessed for hemodynamic parameters and effective analgesia in operation, and presence of complications (nausea, vomiting, sedation and pruritus) visual analogue pain score (VAS) postoperatively by a blinded investigator in the post-anesthesia care unit (PACU) and at 1, 2, 3, 4, 8 12, 18 and 24 h postoperatively. Results: The postoperative analgesia is more effective with group BC (the gold standard) than group B, group BF, and group BN. As regard complications during the study in all groups, complications as nausea, and vomiting were mainly with group BN;hypotension was primarily in group BC. Conclusion: Bupivacaine clonidine, bupivacaine neostigmine, and bupivacaine fentanyl intrathecal anesth

关键词： Intrathecal Bupivacaine Fentanyl Neostigmine Clonidine

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Homes or Just Houses: The Housing Needs of Female-Headed Households in Egypt

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Journal of Building Construction and Planning Research 2018年第3期6卷 138-150页

作者： Reem Hamad Ahmed S. abd elrahman Ayat Ismail Department of Urban Planning and Design Faculty of Engineering Ain Shams University Cairo Egypt

With the drastic rise in divorce rates in Egypt in the last few decades, targeting female-headed households as new housing segment is becoming increasingly crucial. Female-headed households are categorized as part of the housing vulnerable groups supported by the government. The housing needs, preferences and the market navigation patterns of this group are the study matter of this paper. While this group shares similarities in the housing needs with the two-parent families there are defined differences in the housing presences and market navigation patterns of the two groups. The paper also sheds the light on how the social characteristics of the female-headed households determine the housing problems they face with the current market offerings. Then, it outlines a typology of the housing preferred by the female heads, with the aim of generating recommendations that would help create more inclusive and satisfactory housing market offerings tailored for them. The proximity of the workplace to the housing unit in addition to the presence of an active community center within the neighborhoods was on top of their housing demands.

关键词： Female-Headed Households Housing Social Housing in Egypt Socially Integrated Neighborhoods Female-Headed Households Inclusive Neighborhoods

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Chest Ultrasound versus Chest X-Ray in Children with Lower Respiratory Tract Infections

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Open Journal of Pediatrics 2021年第4期11卷 597-607页

作者： Elham Saad Ellithey Elkhazragy Saneya abdel Halim Fahmy Mona Sayed Mohammad Attaya Ashraf Mohammad abd elrahman Pediatrics Department Shoprahor Central Hospital Ministry of Health El-Senbellawein Egypt Pediatrics Department Faculty of Medicine for Girls Al-Azhar University Cairo Egypt Diagnostic Radiology Department Faculty of Medicine Mansoura University Mansoura Egypt

Background: Lower respiratory tract infections (LRTIs) are among the leading causes of morbidity and mortality among children during early childhood. Lung ultrasound is a relatively simple bedside method helping early diagnosis of these conditions. Purpose: To compare the findings of chest X-ray (CXR) and of lung ultrasound (LUS) among children with lower respiratory tract infections. Subjects and Methods: A comparative cross-sectional study that included 100 children aged 6 months to 6 years with lower respiratory tract infections and 100 healthy age- and sex-matched children (controls). Included children were recruited from Mansoura University children hospital during the period from September 2020 to June 2021. Detailed findings of chest X-ray and lung ultrasound were compared. Results: Among 100 patients with LRTIs, the diagnosis of pneumonia, bronchiolitis and bronchitis were reported in 41%, 36% and 23% of cases respectively. Lung ultrasound was more sensitive than chest X-ray for diagnosing pneumonia (97.6% for LUS vs. 92.7% for CXR) and bronchiolitis (91.7% for LUS vs. 77.8% for CXR). Conclusion: Lung ultrasound is a sensitive tool for the assessment of lower respiratory tract infections. Further steps for application and validation are recommended.

关键词： Lung Ultrasound Radiology X-Ray Pneumonia Respiratory Infection

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