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Delayed Grafting as a Valid Technique in Burn Management: Experience from a Burn Unit in Oman

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Modern Plastic Surgery 2024年第1期14卷 9-14页

作者： Taif alsafy Joe Jacob Anish Thadathil Elias Ahmed Salah El Din Salim Mohammed Ghawas Majid Tariq Saud albusaidi Ahmed al Jabri al Anood al Hadhrami Mutazz Obeid al Khaldi Moath Abdelhamid Shummo Karim Mohamed Haridi Aml Eid Saleh Said al-Busaidi Department of Plastic and Reconstructive Surgery Sultan Qaboos Hospital Salalah Oman ENT Department Al Nahdha Hospital Muscat Oman Department of Plastic Reconstructive and Craniofacial Surgery Khoula Hospital Muscat Oman

Background: Early excision and grafting has been the preferred method of managing major burns around the world since 1970. Considering the advances in health care and the development of new antibiotics over the past 50 years, delayed grafting as a technique for the management of burns over 15%-20% of total body surface area (TBSA) could have comparable results to that of early excision. This study aims to highlight the outcomes of practicing delayed grafting in burn patients. Methods: A case series analysis was performed of 51 patients who were admitted to the burns unit in Sultan Qaboos Hospital Salalah with over 20% TBSA between January 2014 and December 2019. The patients received prophylactic antibiotics and silver sulphadiazine dressing until the burn eschar had completely separated, followed by grafting. Results: Two patients were lost during the entire duration of the study. The mortality rate was comparable to that of early excision, while the rate of hypertrophic scarring was lower than the range reported by other studies. Conclusion: In the management of patients with over 20% TBSA, delayed grafting after complete separation of eschar is still a valid technique.

关键词： Burns Burn Units Burn Management Delayed Grafting Major Burns Treatment Efficacy

Spontaneous Paravesical and Broad Ligament Hematoma after Vaginal Delivery Had Uterine Artery Embolization after Evacuating the Hematoma

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Open Journal of Obstetrics and Gynecology 2024年第3期14卷 480-486页

作者： Aayat Jaaffar Naseeb Abrar Majdi al Nasheet Salmaniya Medical Complex Manama Bahrain

Broad ligament hematoma is typically seen during cesarean section due to rupture of branches of uterine and vaginal vessels and it’s rare to be seen post-normal vaginal delivery. Addressing puerperal hematomas postpartum presents considerable challenges for obstetric care providers. While hematomas such as those affecting the vulva, vulvovaginal region, or paravaginal area are frequently encountered, retroperitoneal hematomas are rare and notably pose a greater risk to the life of the patient. The medical literature contains scant case reports on retroperitoneal hematomas, with no consensus on a definitive treatment approach. Pelvic arterial embolization has emerged as both a sensible and increasingly preferred method for treating these hematomas recently, but its application is contingent upon the patient maintaining hemodynamic stability and the availability of a specialized interventional embolization unit. In our case, we are presenting a very rare case of a 31-year-old primigravida female with a history of in vitro fertilization pregnancy. She delivered a normal vaginal delivery at 31 weeks gestation. Unfortunately, she experienced multiple complications intrapartum, including preeclampsia and placental abruption. These complications increased her risk of developing a broad ligament hematoma.

关键词： Broad Ligament Paravesical Hematoma Spontaneous Hematoma Uterine Artery Embolization Retroperitoneal Hematoma Vaginal Delivery

Rare earth based MgPm_(2)X_(4)(X=S,Se) spinel chalcogenides for spintronic and thermoelectric applications

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Journal of Rare Earths 2024年第8期42卷 1577-1585,I0006页

作者： Tariq M.al-Daraghmeh Omar Zayed Ghulam M.Mustafa Taharh Zelai Bisma Younas Hind albalawi S.Bouzgarrou Othman Hakami Q.Mahmood Khaild I.Hussein Basic Sciences Department King Abdullah II School of EngineeringPrincess Sumaya University For TechnologyPO.Box 1438Al-jubaiha11941AmmanJordan Department of Physics Division of Science&TechnologyUniversity of EducationLahorePakistan Department of Physics Faculty of ScienceJazan University JazanSaudi Arabia Department of Physics The University of LahoreLahorePakistan Department of Physics College of SciencesPrincess Nourah bint Abdulrahman University(PNU)PO.Box 84428Riyadh11671Saudi Arabia Department of Physics College of ScienceQassim UniversityPo.64BuraidahSaudi Arabia Laboratoire de Microelectronique et Instrumentation(UR 03/13-04)Faculte des Sciences de Monastir Avenue de I'Environnement 5000MonastirTunisia Department of Chemistry Faculty of ScienceJazan University JazanSaudi Arabia Basic&Applied Scientifc Research Center Department of PhysicsCollege of ScienceImam Abdulrahman Bin Faisal UniversityPO.Box 1982Dammam 31441Saudi Arabia Department of Radiological Sciences College of Applied Medical SciencesKing Khalid UniversityAbha61421Saudi Arabia

In current report,the structural,magnetic,and thermoelectric properties of RE doped MgPm_(2)X_(4)(X=S,Se) spinels were *** energy difference in ferromagnetic and antiferromagnetic states reveals the stability of MgPm_(2)(S/Se)_(4) in the ferromagnetic *** co mputation of enthalpy of formation also ascertains thermodynamic stability of crystal ***-dependent band structure and density of states analysis reveal ferromagnetic semiconducting character showing different electronic behavior in both spin *** room temperature ferromagnetism,spin polarization and Curie temperature are estimated from exchange energies *** addition,exchange constants(N_(0)α and N_(0)β),exchange energy Δ_(x)(pd),crystal ifeld energy,and double exchange mechanism were studied to explore the magnetic ***,the electrical conductivity,thermal conductivity,Seebeck co-efficient,and power factor show effect on electrons spin and their potential for thermoelectric devices.

关键词： Rare earth elements Spintronic applications Thermoelectric effects Exchange energies

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Erosion Rates in Dam Catchments in Jordan—Effects of Topography, Geology, and Urbanizations

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Open Journal of Soil Science 2024年第5期14卷 319-331页

作者： Elias Salameh Hakam al-alami Ibraheem Hamdan Department of Geology University of Jordan Amman Amman Jordan Faculty of Earth and Environmental Sciences Department of Applied Earth and Environmental Sciences Al al-Bayt University Mafraq Jordan Environment Water and Energy Research Center Al al-Bayt University Mafraq Jordan

Erosion as a natural process produces soils, which are very important natural resources for the fest land plant- and animal kingdoms. Loss of the soil cover reduces agricultural production, biodiversity, and the role of soil as a filter for infiltrating water to replenish the groundwater. It also threatens the food supplies. The knowledge of erosion rates of rocks and terrains is important for developing proactive measures to protect soils from erosion and loss. In this study, erosion rates of catchment areas were calculated based on dams’ catchment extensions and the sediment loads transported by flood flows into dams’ lakes. The study results show that the chemically, via floodwater, transported quantities of materials are negligible compared to the solid materials transported by the water. It calculates erosion rates ranging from 0.013 to 0.212 mm/yr (13 - 212 m/106 yr) for the different catchment areas. Erosion rates in Jordan are, generally, higher than those calculated for the different parts of the world ranging from 2.5 to 60 m/106 yr. This fact can be explained by the very steep topography, calcareous rock cover of the catchment areas and the barren rock exposures.

关键词： Erosion Rates Jordan Dams Sediment Load

Occupational health risks among healthcare workers during the COVID-19 pandemic in Saudi Arabia: preparing for the future pandemics

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Nursing Communications 2024年第2期8卷 1-5页

作者： Reham Suliman al Kharyef Aisha ali al Harbi Mohammed Abdelhamied Genedy Mohamed K.M.Khalil Suliman Mohamed al Eidi Ministry of Health Riyadh 13352Saudi Arabia Consultant Public Health and Research Development.Cairo 11728 Egypt

Background:This study aimed to assess the occupational risks encountered by Healthcare Workers(HCWs)in Saudi Arabia during the COVID-19 ***:A cross-sectional survey was carried out from May to October *** a multi-stage stratified random sampling technique,an online questionnaire was sent to the recruited HCWs,across Saudi ***:Of the 768 HCWs recruited,702 participated in the survey.A significant majority(over 80%)reported working beyond 8 hours ***-19 infection,confirmed via PCR,was identified in 25%of the ***,infection was significantly correlated with direct or close contact(p=0.0007).Psychological distress was reported by 81%,with anxiety being the most prevalent(33%),followed by stress(19%),depression(17%),and insomnia(12%).Around 20%experienced headaches post-PPE use,while 14%reported adverse skin reactions,predominantly allergy and dermatitis.A concerning one-third of respondents reported exposure to ***:High infection rate,physical and psychological risks among HCWs especially those in direct contact with patients,reflect the need for enhancing the entirety of outbreak preparedness and response,specifically *** surveillance system,is crucial to adequately monitor and support HCWs during pandemic scenarios.

关键词： COVID-19 pandemic healthcare worker risk Saudi Arabia

Interaction between Biochar and algae on Problem Soil

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Journal of Materials Science and Chemical Engineering 2024年第1期12卷 56-68页

作者： Tazeen Fatima Khan Abdullah al Mamun Nipu Department of Soil Water and Environment University of Dhaka Dhaka Bangladesh Department of Virology International Centre for Diarrhoeal Disease Research Bangladesh (ICDDR B) Dhaka Bangladesh

An in-vitro experiment was conducted to assess the interaction between biochar and algae on a problem soil. Experiments were performed with and without algae to observe the effectiveness of algae for overcoming the challenges posed by problem soils. At the end of incubation periods, the adsorption and desorption of phosphorus (P) on a problem soil vis-á-vis algal inoculation were determined. Our results showed that different types of biochars adsorbed different amounts of P suggesting that the source of biochar played a crucial role in determining its behavior towards P. Tannery waste biochar significantly adsorbed 147% and 35% more P compared to that of the chicken litter and orange peel biochars respectively. Significant reductions in adsorption were observed when the biochar was used in combination with the algae which could be due to the beneficial effects of algae leading to the amelioration of the problem soil. Adsorption was reduced to 34%, 24% and 20% for the orange peel biochar + algae, chicken litter biochar + algae and tannery waste biochar + algae, respectively compared to the corresponding biochars present as a single solid. Phosphorus (P) desorption was also reduced significantly in presence of algal inoculation. Overall our findings suggest that the application of algae along with biochar in the problem soil could reduce the adsorption of P which would influence the availability of P.

关键词： Biochar algae Problem Soil Interaction Phosphorus

Effects of neoadjuvant chemotherapy vs chemoradiotherapy in the treatment of esophageal adenocarcinoma:A systematic review and meta-analysis

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World Journal of Gastroenterology 2024年第11期30卷 1621-1635页

作者： Armand Csontos alíz Fazekas Lajos Szakó Nelli Farkas Csenge Papp Szilárd Ferenczi Szabolcs Bellyei Péter Hegyi András Papp Department of Surgery University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Institute of Bioanalysis University of PécsMedical SchoolPécs H-7624BaranyaHungary Institute for Translational Medicine University of PécsMedical SchoolPécs H-7624BaranyaHungary Department of Emergency Medicine Clinical CenterUniversity of PécsMedical SchoolPécs 7624BaranyaHungary Department of Oncotherapy University of PécsMedical SchoolClinical CenterPécs H-7624BaranyaHungary Centre for Translational Medicine Semmelweis UniversityBudapest 1085Hungary Institute of Pancreatic Diseases Semmelweis UniversityBudapest H-1083Hungary

BACKGROUND Neoadjuvant therapy is an essential modality for reducing the clinical stage of esophageal cancer;however,the superiority of neoadjuvant chemotherapy(nCT)or neoadjuvant chemoradiotherapy(nCRT)is ***,a discussion of these two modalities is *** To investigate the benefits and complications of neoadjuvant *** To address this concern,predefined criteria were established using the PICO *** independent authors performed comprehensive searches using predetermined *** analyses were performed to identify significant differences between *** publication bias was visualized using funnel *** quality of the data was evaluated using the Risk of Bias Tool 2(RoB2)and the GRADE *** Ten articles,including 1928 patients,were included for the *** difference was detected in pathological complete response(pCR)[Pality(P=0.015;OR:0.4;95%CI:0.22-0.71)favoring the nCRT,and renal failure(P=0.039;OR:1.04;95%CI:0.66-1.64)favoring the *** significant differences were observed in terms of survival,local or distal recurrence,or other clinical or surgical *** result of RoB2 was moderate,and that of the GRADE approach was low or very low in almost all *** although nCRT may have a higher pCR rate,it does not translate to greater long-term ***,nCRT is associated with higher 30-d mortality,although the specific cause for postoperative complications could not be *** the case of nCT,toxic side effects are suspected,which can reduce the quality of *** the quality of available studies,further randomized trials are required.

关键词： Neoadjuvant Chemotherapy Chemoradiotherapy Esophageal cancer Adenocarcinoma

Multinuclear MR and MRI study of lithium-ion cells using a variable field magnet and a fixed frequency RF probe

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Magnetic Resonance Letters 2024年第1期4卷 10-20页

作者： Andrés Ramírez Aguilera Florin Marica Kevin J.Sanders Md al Raihan C.Adam Dyker Gillian R.Goward Bruce *** UNB MRI Centre Department of PhysicsUniversity of New BrunswickFrederictonNew BrunswickE3B 5A3Canada Department of Chemistry McMaster UniversityHamiltonOntarioL8S 4L8Canada Department of Chemistry University of New BrunswickFrederictonNew BrunswickE3B 5A3Canada

An exploratory multinuclear magnetic resonance(MR)and magnetic resonance imaging(MRI)study was performed on lithium-ion battery cells with ^(7)Li,^(19)F,and ^(1)H measurements.A variable field superconducting magnet with a fixed frequency parallel-plate radiofrequency(RF)probe was employed in the *** magnetic field was changed to set the resonance frequency of each nucleus to the fixed RF probe frequency of 33.7 *** cartridge-like lithium-ion cells,with graphite anodes and LiNi_(0.5)Mn_(0.3)Co_(0.2)O_(2)(NMC)cathodes,were *** cell was pristine,and one was charged to a cell voltage of 4.2 *** results presented demonstrate the great potential of the variable field magnet approach in multinuclear measurement of lithium-ion *** methods open the door for developing faster and simpler methods for detecting,quantifying,and interpreting MR and MRI data from lithium-ion and other batteries.

关键词： Multinuclear MR/MRI Variable field magnet Lithium-ion battery Parallel-plate rf probe

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Exploring the impact of tacrolimus on kidney transplant recipients: insights into immunological outcomes

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Journal of Chinese Pharmaceutical Sciences 2024年第8期 737-750页

作者： Zainab A Abbood Ahmed Hamza al-Shammari Eman M.Jasim Amjad I.Oraibi Department of Pharmacy Kut University College al-Manara College For Medical Science/Department of Pharmacy

To minimize graft rejection, it is crucial to reduce immunosuppression. In the present study, we investigated immunological markers in the blood of transplant patients who did not receive tacrolimus. We also assessed alloreactive CD4+CD25+Fox P3+ Tregs both before transplantation and after tacrolimus reduction. The comparative analysis included 50 individuals experiencing early rejection after tacrolimus discontinuation and 100 non-rejectors. Before reducing tacrolimus, rejectors exhibited elevated levels of memory CD8+ T cells compared to Tregs, while non-rejectors displayed a lower ratio of memory CD4+ T cells to Tregs. Following tacrolimus removal, rejectors showed an increase in na?ve T cells and a decrease in effector T cells. After transplantation, CD4+ Treg levels declined, but their anti-donor regulatory function remained consistent in both rejectors and non-rejectors. Immunological correlation revealed an association between acute rejection after tacrolimus discontinuation and the pre-reduction ratio of memory T cells to regulatory T cells. These indicators identified individuals whose immunosuppression could be safely reduced.

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