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Effect of Oxygen Therapy by Venturi Mask versus Non Invasive Ventillation on the Outcome of Patients Who Devolope Hypoxia after Open Heart Surgery

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Open Journal of Anesthesiology 2018年第9期8卷 241-254页

作者： Yousry el-Saied Rizk Tarek Samy Essawy ahmed Hamdy Abd elrahman Ali mohamed ahmed el-gazzar Abdelkhalek Fouad Mahmoud Cardiothoracic Surgery and Department of Critical Care Medicine Faculty of Medicine Benha University Egypt Department of Chest Benha University Hospital Benha Egypt Anesthesia and Intensive Care Department Benha Egypt Cardiothoracic Surgery Benha University Benha Egypt Internal Medicine Ministry of Health Cairo Egypt

Background: Cardiothoracic surgery is a common cause of acute respiratory failure and is associated with increased morbidity and mortality. We aimed to compare the outcomes of open heart surgery patients treated using oxygen delivery devices with patients who receive NIV as a first-line therapy for hypoxemic respiratory failure. Materials and Methods: 40 patients who developed acute hypoxemic respiratory failure after open heart surgery and admitted to cardiothoracic ICU 20 patients received NIV and 20 patient received oxygen by venture mask. For all patients the following measurements were performed before and after CPAP AND Venture use: CBC, blood urea, serum creatinine body temperature, chest X-ray, Arterial blood gases (arterial pH, sodium bicarbonate, pcO2, SpO2 and PaO2-to-FiO2 ratio). Results: Mean PO2 and SO2 have increased after using of both venture and Cpap, increase in both PCO2 and HCO3 levels after using Venturi mask, CPAP mask was superior to venturi mask in avoiding the need of intubation, decreasing The ICU stay median length and also median length of hospitalization, all were lower in CPAP group than venture group. Also the mortality rate was lower in CPAP group than the venturi group. Conclusion: Using CPAP mask in severe AHRF following open heart surgery can avoid intubation, decreases the levels of tachypnea and arterial hypoxemia, decreases ICU stay, the length of hospitalization and also decreases the mortality rate compared with patients receiving high-concentration oxygen therapy with venture mask.

关键词： Open Heart Surgery Venture Mask CPAP Mask Non Invasive Ventilation O2 Therapy

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Magnetoresistive properties of Ni-doped La_(0.7)Sr_(0.3)MnO_3 manganites

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Rare Metals 2016年第7期35卷 551-558页

作者： ahmed mohamed ahmed Abd el-Moez ahmed mohamed Medhat Abdelrady Abdellateef Hassan ahmed Abd el-Ghanny Physics Department Faculty of ScienceSohag University

Lao.7Sr0.3Mnl_xNixO3 （x = 0, 0.025, 0.050 and 0.075） ceramics were prepared by the conventional solid-state reaction method. The partial substitution of Mn by Ni2＋ leads to a decrease in cell volume as well as a structural transition from the rhombohedral to the orthorhombic structure. Ni2＋ doping increases the electrical resistivity, decreases the semiconductor-metal transition temperature （Tms） and relatively enhances the room temperature magnetoresistance （MR）, especially in x = 0.025 and around Tins. With respect to conduction mechanism, the small polaron hopping （SPH） and the variable range hopping （VRH） models were used to ex- amine conduction in the semiconducting region.

关键词： Manganites X-ray diffraction Structure electrical resistivity Magnetoresistance

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Atezolizumab and bevacizumab combination in advanced hepatocellular carcinoma patients:The imperative for safety assessment studies

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World Journal of Clinical Cases 2025年第9期13卷 56-59页

作者： Mina Tharwat ahmed Tawheed mohamed el-Kassas Department of Tropical Medicine and Gastroenterology Faculty of MedicineAswan UniversityAswan 81528Egypt Department of Endemic Medicine Faculty of MedicineHelwan UniversityCairo 11795Egypt

Hepatocellular carcinoma(HCC)is the most prevalent cancer of the hepatobiliary tract and the third leading cause of cancer-related mortality *** and bevacizumab combination is currently considered among the frontline treatment modalities for advanced unresectable *** studies examining this combination were focused on evaluating its *** numerous case reports documenting some side effects,there is a limited number of large-scale studies assessing these side *** this article,we comment on the case report by Park et al published recently,reporting a fatal intra-tumoral hemorrhage in a patient with HCC who received systemic therapy in the form of the combination of atezolizumab and bevacizumab.

关键词： Hepatocellular carcinoma Atezolizumab Bevacizumab Hemorrhage Side effects

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Experimental and numerical investigation of the abrasive waterjet machining of aluminum-7075-T6 for aerospace applications

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Advances in Manufacturing 2021年第2期9卷 286-303页

作者： Joseck Nyaboro Mahmoud ahmed Hassan el-Hofy mohamed el-Hofy Department of Industrial and Manufacturing Engineering Egypt-Japan University of Science and Technology(E-JUST)Alexandria 21934Egypt Department of Energy Resources Engineering Egypt-Japan University of Science and Technology(E-JUST)Alexandria 21934Egypt Advanced Manufacturing Research Centre(AMRC)with Boeing The University of SheffieldRotherham S605TZUK

The machining of hard-to-cut materials with a high degree of precision and high surface quality is one of the most critical considerations when fabricating various state-of-the-art engineered *** this investigation,a comprehensive three-dimensional model was developed and numerically simulated to predict kerf profiles and material removal rates while drilling the aluminum-7075-T6 aerospace *** profile and material removal prediction involved three stages:jet dynamic flow modeling,abrasive particle tracking,and erosion rate *** investigations were conducted to validate the developed *** results indicate that the jet dynamic characteristics and flow of abrasive particles alter the kerf profiles,where the top kerf diameter increases with increasing jet pressure and standoff *** kerf depth and hole aspect ratio increase with jet pressure,but decrease with standoff distance and machining *** profiles were characterized by progressive edge rounding and parabolic *** can be minimized by utilizing high jet pressure and small standoff *** material removal rate increases with increasing jet pressure,abrasive particle size,and exposure time,but decreases with increasing standoff distance.

关键词： Non-traditional machining Abrasive waterjet machining Computational fluid dynamics(CFD) Erosion modeling Kerf characteristics

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Remote Monitoring of electric Vehicle Charging Stations in Smart Campus Parking Lot

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Journal of Modern Power Systems and Clean Energy 2020年第1期8卷 124-132页

作者： mohamed A.ahmed mohamed R.el-Sharkawy Young-Chon Kim Department of electronic Engineering Universidad Técnica Federico Santa MaríaValparaíso 2390123Chile Department of Communications and electronics Higher Institute of Engineering&TechnologyKing MarriottAlexandria 23713Egypt Department of Automotive and Tractor Engineering Minia UniversityEl-Minia 61111Egypt Department of Computer Engineering Chonbuk National UniversityJeonju 561-756Korea

Smart parking lots are smart places capable of supporting both parking and charging services for electric vehicles(EVs).In order to manage EV charging,the parking lot local controller(PLLC)requires data exchange with EV charging stations(EVCSs)through communication ***,data losses and communication delays are unavoidable and may significantly degrade the system *** work aims to investigate the underlying communication networks for remote monitoring of EVCSs in a smart campus parking *** communication network consists of two subnetworks:parking area network(PAN)and campus area network(CAN).PAN covers communication among EVs,charging stations and PLLC,while CAN enables dedicated communication between PLLCs and a global controller of the *** one of the major obstacles in EV system is the lack of unified communication architecture to integrate EVCS in the power grid,we develop communication models for the in-vehicle system and EVCSs based on logical node concept of IEC 61850 ***,we implement network models for EVCSs using OPNET *** communication technologies and configurations are considered in modeling and simulations,and end-toend delay is evaluated and discussed.

关键词： Communication network electric vehicle(EV) electric vehicle charging station(EVCS) IEC 61850 OPNET smart parking lot

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Using nanotechnology to prevent fines migration while production

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Petroleum 2021年第2期7卷 168-177页

作者： mohamed Mansour mohamed eleraki ahmed Noah el-Abbas Moustafa Faculty of Science Zagazig UniversityEgypt Egyptian Petroleum Research Institute(EPRI) Egypt The British University Egypt

Formation damage due to fines migration is a major reason for well productivity decline for oil and gas *** fines are small enough to pass through pore throats causing pore plugging and permeability *** factors affect fines migration such as flow rate,salinity,pH value,reservoir temperature and oil polarity,as well as changes in chemical environment induced by Enhanced Oil Recovery(EOR)*** paper focuses on the effect of flow rates on fines detachment from the grain surfaces,which causing permeability *** the fluid inside the reservoir moves towards the wellbore,the fluid velocity increases,when the fluid reaches the critical flow rate these fines can be picked up into the *** fines captured by thinner pore throats causing pore plugging and permeability *** concentrations of nanoparticles were used to fix these fines on their sources and prevent their mobilization at high flow *** unique technique used in this study is changing the potential surfaces between fines and grain surfaces to prevent fines movement above the critical flow ***_(2)and MgO NPs used in this study can be adsorbed on the pore surfaces and reduce the repulsion forces between fines and pore ***_(2) and MgO nanoparticles at different concentrations(0.25,0.50 and 0.75 g/L)were used on treating the Abu-Rawash sandstone reservoir using Formation Damage System Cell *** experimental studies showed that using MgO NPs would prevent fines detachment from the pore surfaces and decrease the reduction of permeability at high flow rates more than SiO_(2) *** optimum concentration of MgO NPs was at 0.5 g/L as the permeability remediation at this concentration reaches to 64.83%.

关键词： Formation damage Fines migration Nanoparticles Zeta potential Permeability reduction Fluid flow rate

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Barrett’s esophagus in a patient with bulimia nervosa:A case report

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World Journal of Clinical Cases 2022年第17期10卷 5841-5845页

作者： ahmed Gouda mohamed el-Kassas Department of Gastroenterology NMC Ruwais HospitalAbu Dhabi 14638United Arab Emirates Department of Endemic Medicine Faculty of MedicineHelwan UniversityCairo 11795Egypt

BACKGROUND Barrett’s esophagus is a known complication of long-standing gastroesophageal reflux disease,and it is a potential risk factor of developing esophageal *** SUMMARY Here,we present a case of a 47-year-old male patient referred to the gastroenterology clinic for upper endoscopy because he has a long-standing history of heartburn and vomiting after *** examination,he had characteristic findings of self-induced vomiting as abrasions and callosities on the dorsum of the right hand and dental erosions.A detailed history revealed that he had 17 years of binge eating with self-induced *** upper endoscopy showed gastroesophageal reflux grade D with salmon-red mucosal projections,and the biopsy revealed intestinal mucosal *** This case emphasized the importance of considering upper endoscopy screening for Barrett’s esophagus in patients with eating disorders,especially those with self-induced vomiting,as in bulimia nervosa.

关键词： Barrett’s esophagus Bulimia nervosa Gastroesophageal reflux disease Case report

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Impacts of climate change on water quantity, water salinity, food security, and socioeconomy in Egypt

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Water Science and Engineering 2021年第1期14卷 17-27页

作者： Mohie el Din mohamed Omar ahmed Moustafa ahmed Moussa Reinhard Hinkelmann National Water Research Center Fum Ismailiya CanalShoubra El-Kheima 13411Egypt International Center for Agricultural Research in the Dry Areas Cairo 2416Egypt Nile Research Institute(NRI) National Water Research CenterEl-Qanater 13621Egypt Department of Water Engineering Technische Universit€at Berlin(TU Berlin)Campus El GounaEl Gouna 84513Egypt

Climate change might have direct impacts on water quantity in Egypt and lead to indirect effects on Mediterranean saltwater intrusion to groundwater,which exposes agriculture to *** study investigated impacts of climate change on agriculture,with particular regard to food security and socioeconomy,and quantified the effectiveness of cropping pattern adaptation measures by integrating three mathematical *** BlueM model was used for hydrological simulations of Nasser Lake under flooding scenarios to predict the water supply from the High Aswan *** water and salinity balance(WB-SAL)model was adopted to estimate the water salinity in the Nile *** simulated results from the BlueM and WB-SAL models were integrated with the agricultural simulation model for Egypt(ASME)to project cropping patterns,food security,and socioeconomy throughout the *** results showed that future climate change will directly affect the total crop area;crop areas for 13 crop types;the self-sufficiency of wheat,rice,cereal,and maize supplies;and socioeconomic *** proposed cropping pattern adaptation measures focus on fixing the crop areas of rice and orchards and providing half of the population with lentils,maize,onion,vegetables,milk,and *** adaptation measures have the potential to promote food security without causing deterioration of the socioeconomic ***,water availability has much more significant effects on food security and socioeconomy than cropping pattern adaptation measures ***,the country should rationalize water use efficiency and increase water supply.©2021 Hohai *** and hosting by elsevier *** is an open access article under the CC BY-NC-ND license(http://***/licenses/by-nc-nd/4.0/).

关键词： Climate change Water quantity Salinity Cropping pattern adaptation measures Food security Socioeconomy

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Microstructure and mechanical properties of hot extruded 6016 aluminum alloy/graphite composites

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Journal of Materials Science & Technology 2018年第9期34卷 1580-1591页

作者： mohamed M.el-Sayed Seleman mohamed M.Z.ahmed Sabbah Ataya Department of Metallurgical and Materials Engineering Faculty of Petroleum and Mining Engineering Suez University 43518 Suez Egypt Suez and Sinai Metallurgical and Materials Research Center of Scientific Excellence (SSMMR-CSE) 43518 Suez Egypt The British University in Egypt Mechanical Engineering Deportment El-Sherouk City 11837 Cairo Egypt Department of Mechanical Engineering College of Engineering AI Imam Mohammad Ibn Saud Islamic University Riyadh 11432 saudi Arabia

The incorporation of graphite particles into AA6016 aluminum alloy matrix to fabricate metal/ceramic composites is still a great challenge and various parameters should be considered. In this study, dense AA6016 aluminum alloy/（0-20 wt%） graphite composites have successfully been fabricated by powder metallurgy process. At first, the mixed aluminum and graphite powders were cold compacted at 200 MPa and then sintered at 500 ℃ for 1 h followed by hot extrusion at 450 ℃. The influence of ceramic phases（free graphite and in-situ formed carbides） on microstructure, physical and mechanical properties of the produced composites were finally investigated. The results show that the fabricated composites have a relative density of over 98%. SEM observations indicate that the graphite has a good dispersion in the alloy matrix even at high graphite content. Hardness of all the produced composites was higher than that of aluminum alloy matrix. No cracks were observed at strain less than 23% for all hot extruded *** strength, reduction in height, ultimate tensile stress, fracture stress, yield stress, and fracture strain of all Al/graphite composites were determined by high precision second order equations. Both compressive and ultimate tensile strengths have been correlated to microstructure constituents with focusing on the in-situ formed ceramic phases, silicon carbide（SiC） and aluminum carbide（Al4 C3）. The ductile fracture mode of the produced composites became less dominant with increasing free graphite content and in-situ formed carbides. Wear resistance of Al/graphite composites was increased with increasing graphite content. Aluminum/20 wt% graphite composite exhibited superior wear resistance over that of AA6016 aluminum alloy.

关键词： AA6016/graphite composites Hot extrusion In-situ carbides Mechanical properties Wear resistance Fracture behavior

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Predictors of long-term survival after pancreaticoduodenectomy for peri-ampullary adenocarcinoma: A retrospective study of 5-year survivors

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Hepatobiliary & Pancreatic Diseases International 2018年第5期17卷 443-449页

作者： Ayman el Nakeeb mohamed el Sorogy Helmy Ezzat Rami Said mohamed el Dosoky mohamed Abd el Gawad ahmed M elsabagh Ehab el Hanafy Gastroenterology Surgical Center Mansoura University

Background: Pancreaticoduodenectomy(PD) is the standard curative treatment for periampullary tumors. The aim of this study is to report the incidence and predictors of long-term survival( ≥ 5 years) after PD. Methods: This study included patients who underwent PD for pathologically proven periampullary adenocarcinomas. Patients were divided into 2 groups: group(I) patients who survived less than 5 years and group(II) patients who survived ≥ 5 years. Results: There were 47(20.6%) long-term survivors( ≥ 5 years) among 228 patients underwent PD for periampullary adenocarcinoma. Patients with ampullary adenocarcinoma represented 31(66.0%) of the long-term survivors. Primary analysis showed that favourable factors for long-term survival include age < 60 years old, serum CEA < 5 ng/mL, serum CA 19-9 < 37 U/mL, non-cirrhotic liver, tumor size < 2 cm, site of primary tumor, postoperative pancreatic fistula, R0 resection, postoperative chemotherapy, and no recurrence. Multivariate analysis demonstrated that CA 19-9 < 37 U/mL [OR(95% CI) = 1.712(1.24 8–2.34 8), P = 0.001], smaller tumor size [OR(95% CI) = 1.335(1.032–1.726), P = 0.028] and R0 resection [OR(95% CI) = 3.098(2.095–4.582), P < 0.001] were independent factors for survival ≥ 5 years. The prognosis was best for ampullary adenocarcinoma, for which the median survival was 54 months and 5-year survival rate was 39.0%, and the poorest was pancreatic head adenocarcinoma, for which the median survival was 27 months and 5-year survival rate was 7%. Conclusions: The majority of long-term survivors after PD for periampullary adenocarcinoma are patients with ampullary tumor. CA 19-9 < 37 U/mL, smaller tumor size, and R0 resection were found to be independent factors for long-term survival ≥ 5 years.

关键词： Pancreatic carcinoma Pancreatic head carcinoma Pancreaticodudenectomy Long-term survival

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