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Evaluation of hand infections in the emergency department using point-of-care ultrasound

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World Journal of Emergency medicine 2024年第4期15卷 283-288页

作者： David Ahmad Haidar David mintz Brandon m Wubben omar Rizvi Srikar Adhikari Department of Emergency medicine Michigan MedicineAnn Arbor 48109-1382USA University of Arizona College of medicine Tucson 85724USA Department of Emergency medicine University of IowaIowa City 52242-1009USA Department of Surgery University of Arizona College of MedicineTucson 85724USA Department of Emergency medicine University of Arizona College of MedicineTucson 85724USA

BACKGROUND:We aimed to evaluate the utility of point-of-care ultrasound(POCUS)in the assessment of hand infections that present to the emergency department(ED)and its impact on medical decision making and patient ***:We conducted a retrospective review of patients who presented to two urban academic EDs with clinical presentations concerning for skin and soft tissue infections(SSTI)of the hand between December 2015 and December *** trained POCUS fellowship physicians reviewed an ED POCUS database for POCUS examinations of the *** then reviewed patients’electronic health records(EHR)for demographic characteristics,history,physical examination findings,ED course,additional imaging studies,consultations,impact of POCUS on patient care and final ***:We included a total of 50 cases(28 male,22 female)in the final *** most common presenting symptoms and exam findings were pain(100%),swelling(90%),and erythema(74%).The most common sonographic findings were edema(76%),soft tissue swelling(78%),and fluid surrounding the tendon(57%).POCUS was used in medical decision making 68%of the time(n=34),with the use of POCUS leading to changes in management 38%of the time(n=19).POCUS use led to early antibiotic use(11/19),early consultation(10/19),and led to the performance of a required procedure(8/19).The POCUS diagnosis was consistent with the discharge diagnosis of flexor tenosynovitis 8/12 times,abscess 12/16 times,and cellulitis 14/20 ***:POCUS is beneficial for evaluating of hand infections that present to the ED and can be used as an important part of medical decision making to expedite patient care.

关键词： Ultrasound Point-of-care ultrasound Cellulitis Abscess Flexor tenosynovitis

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Ballistic design and testing of a composite armour reinforced by CNTs suitable for armoured vehicles

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Defence Technology（防务技术） 2024年第2期32卷 173-195页

作者： Evangelos Ch.Tsirogiannis Evangelos Daskalakis mohamed H.Hassan Abdalla m.omar Paulo Bartolo EODH SA Research and Development DepartmentLakkoma Chalkidikis63080Greece School of mechanical Aerospace and Civil EngineeringUniversity of ManchesterManchesterM139PLUK Singapore Centre for 3D Printing School of Mechanical and Aerospace EngineeringNanyang Technological University639798Singapore

This paper is investigating the use of composite armour reinforced by nanomaterials, for the protection of light armoured(LAV) and medium armoured military vehicles(mAV), and the interaction between the composite materials and high-performance ballistic projectiles. Four armour materials, consisted of front hybrid fibre reinforced polymer cover layer, ceramic strike-face, fibre reinforced polymer intermediate layer and the metal matrix composite reinforced backplate, were manufactured and assembled by adhesive technology. The proposed laminated protection system is suitable for armoured ground vehicles;however, it could be used as armour on ground, air and naval platforms. The design of the protection system, including material selection and thickness, was elaborated depending on the performance requirements of Level 4 + STANAG 4569 military standard(projectile 14.5 mm × 114 mm API B32) and especially on a design philosophy which is analysed with the specifications. The backplate of this new composite is a hybrid material of metal matrix Composite(mmC) reinforced with carbon nanotubes(CNTs), manufactured with the use of powder metallurgy technique. The composite backplate material was morphologically, mechanically and chemically analysed. Results show that all plates are presenting high mechanical properties and ballistic characteristics, compared to commonly used armour plates. Real military ballistic tests according to AEP-STANAG 4569 were carried out for the total composite armour systems. After the ballistic tests, AA2024-CNT3 showed the best protection results, compared with the other plates(AA2024-CNT1 and AA2024-CNT2), with the projectile being unable to fully penetrate the composite plate.

关键词： Passive armour protection Protective armour Ballistic performance Hybrid composites Vehicle protection

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Cervical Cancer Prediction Empowered with Federated machine Learning

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Computers, materials & Continua 2024年第4期79卷 963-981页

作者： muhammad Umar Nasir omar Kassem Khalil Karamath Ateeq Bassam SaleemAllah Almogadwy m.A.Khan Khan muhammad Adnan Department of Computer Sciences Bahria University Lahore CampusLahore54000Pakistan Faculty of Information Technology Liwa CollegeAbu Dhabi20009UAE Department of Computing Skyline University CollegeSharjah999041UAE Department of Computer Science Taibah UniversityMedina42315Saudi Arabia Riphah School of Computing and Innovation Faculty of ComputingRiphah International UniversityLahore54000Pakistan Department of Software Faculty of Artificial Intelligence and SoftwareGachon UniversitySeongnam13120Korea

Cervical cancer is an intrusive cancer that imitates various women around the world. Cervical cancer ranks in thefourth position because of the leading death cause in its premature stages. The cervix which is the lower end of thevagina that connects the uterus and vagina forms a cancerous tumor very slowly. This pre-mature cancerous tumorin the cervix is deadly if it cannot be detected in the early stages. So, in this delineated study, the proposed approachuses federated machine learning with numerous machine learning solvers for the prediction of cervical cancer totrain the weights with varying neurons empowered fuzzed techniques to align the neurons, Internet of medicalThings (IomT) to fetch data and blockchain technology for data privacy and models protection from hazardousattacks. The proposed approach achieves the highest cervical cancer prediction accuracy of 99.26% and a 0.74%misprediction rate. So, the proposed approach shows the best prediction results of cervical cancer in its early stageswith the help of patient clinical records, and all medical professionals will get beneficial diagnosing approachesfrom this study and detect cervical cancer in its early stages which reduce the overall death ratio of women due tocervical cancer.

关键词： Cervical cancer federated machine learning neurons blockchain technology

DNBP-CCA:A Novel Approach to Enhancing Heterogeneous Data Traffic and Reliable Data Transmission for Body Area Network

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Computers, materials & Continua 2024年第5期79卷 2851-2878页

作者： Abdulwadood Alawadhi mohd.Hasbullah omar Abdullah Almogahed Noradila Nordin Salman A.Alqahtani Atif m.Alamri InterNetWorks Research Laboratory School of ComputingUniversiti Utara MalaysiaSintok06010Malaysia Faculty of Computer Science and Information Technology Universiti Tun Hussein Onn MalaysiaParit RajaJohor86400Malaysia School of Games&Creative Technology University for the Creative ArtsFarnhamGU97DSUK Computer Engineering Department College of Computer and Information SciencesKing Saud UniversityRiyadh11543Saudi Arabia Software Engineering Department College of Computer and Information SciencesKing Saud UniversityRiyadh11543Saudi Arabia

The increased adoption of Internet of medical Things (IomT) technologies has resulted in the widespread use ofBody Area Networks (BANs) in medical and non-medical domains. However, the performance of IEEE 802.15.4-based BANs is impacted by challenges related to heterogeneous data traffic requirements among nodes, includingcontention during finite backoff periods, association delays, and traffic channel access through clear channelassessment (CCA) algorithms. These challenges lead to increased packet collisions, queuing delays, retransmissions,and the neglect of critical traffic, thereby hindering performance indicators such as throughput, packet deliveryratio, packet drop rate, and packet delay. Therefore, we propose Dynamic Next Backoff Period and Clear ChannelAssessment (DNBP-CCA) schemes to address these issues. The DNBP-CCA schemes leverage a combination ofthe Dynamic Next Backoff Period (DNBP) scheme and the Dynamic Next Clear Channel Assessment (DNCCA)scheme. The DNBP scheme employs a fuzzy Takagi, Sugeno, and Kang (TSK) model’s inference system toquantitatively analyze backoff exponent, channel clearance, collision ratio, and data rate as input parameters. Onthe other hand, the DNCCA scheme dynamically adapts the CCA process based on requested data transmission tothe coordinator, considering input parameters such as buffer status ratio and acknowledgement ratio. As a result,simulations demonstrate that our proposed schemes are better than some existing representative approaches andenhance data transmission, reduce node collisions, improve average throughput, and packet delivery ratio, anddecrease average packet drop rate and packet delay.

关键词： Internet of medical Things body area networks backoff period tsk fuzzy model clear channel assessment media access control

Design and synthesis of synthetic promoters for consistency of gene expression across growth phases and scale in ***

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Synthetic and Systems Biotechnology 2024年第2期9卷 330-339页

作者： Kristin V.Presnell omar melhem Sarah m.Coleman Nicholas J.morse Hal S.Alper mcKetta Department of Chemical Engineering The University of Texas at Austin200E Dean Keeton St.Stop C0400AustinTX78712USA Institute for Cellular and molecular Biology The University of Texas at Austin2500 Speedway AvenueAustinTX78712USA

metabolic engineering and synthetic biology endeavors benefit from promoters that perform consistently(or robustly)with respect to cellular growth phase(exponential and stationary)and fermentation scale(microtiter plates,tubes,flasks,and bioreactors).However,nearly all endogenous promoters(especially in Saccharomyces cerevisiae)do not perform in this *** this work,a hybrid promoter engineering strategy is leveraged to create novel synthetic promoters with robustness across these *** a multi-dimensional RNA-seq dataset,promoters with specific phase dependencies were *** enriched with functional transcription factors were identified using mEmE *** motif-containing fragments could impart activity dependence in the opposing ***,we obtain two new promoters with high and consistent expression across both phases by increasing the exponential phase activity of the starting stationary-phase scaffold by 38 and 23-fold ***,we show that these promoters function consistently across various laboratory growth scales over time in a microtiter plate and in ***,this work presents and validates a new strategy for engineering promoters in *** with high levels of expression that are robust to cellular growth phase and the scale of the culture.

关键词： endogenous synthetic stationary

microalgae cultivation in photobioreactors: sustainable solutions for a greener future

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Green Chemical Engineering 2024年第4期5卷 418-439页

作者： Shaikh Abdur Razzak Khairul Bahar K.m.Oajedul Islam Abdul Khaleel Haniffa mohammed omar Faruque S.m.Zakir Hossain mohammad m.Hossain Chemical Engineering Department King Fahd University of Petroleum and Minerals Center for Refining and Advanced Chemicals King Fahd University of Petroleum & Minerals Department of Chemical Engineering University of Bahrain

microalgae cultivation in photobioreactors（PBRs） has emerged as a promising and sustainable approach to address various environmental and energy challenges, offering a multitude of benefits across diverse *** developments in microalgae cultivation in photobioreactors have contributed substantially to the development and optimization of sustainable bioprocesses. This review presents a comprehensive analysis of recent innovations and breakthroughs in the field of microalgae cultivation, with a specific focus on their application in photobioreactors, aimed at paving the way for a greener future. This study in-depth examines the advantages of microalgae cultivation in photobioreactors, concentrating on its effectiveness in wastewater treatment, CO2bioremediation, and the production of biofuels and high-value products. The review evaluates the effects of light,solar irradiation, temperature, nitrogen and phosphorus concentrations in culture media, CO2concentrations, and pH on microalgae growth performance, including specific growth and biomass productivity. The study also examines open systems like unstirred ponds, raceway ponds, and circular ponds and closed systems like horizontal tubular, vertical bubble-column, airlift, flat panel, and plastic-bag photobioreactors, comparing their pros and cons. To optimize microalgae cultivation, key factors in photobioreactor design, including photosynthetic efficiencies, light/dark（L/D） cycles, CO2concentrations, mass transfer, hydrodynamics behavior, and p H, are extensively investigated. In addition, the review outlines recent developments in large-scale photobioreactors and highlights the challenges and opportunities associated with photobioreactor scale-up and design parameter optimization, including genetic engineering and economic feasibility. This article is a vital resource for researchers, engineers, and industry professionals seeking sustainable bioprocesses and the application of microalgae-based technol

关键词： microalgae biomass CO 2 biofixation Wastewater treatment Biofuel Photobioreactors

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 TechnologyP.O.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)P.O.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 MonastirAvenue de I'Environnement 5000MonastirTunisia Department of Chemistry Faculty of ScienceJazan University JazanSaudi Arabia Basic&Applied Scientific Research Center Department of PhysicsCollege of ScienceImam Abdulrahman Bin Faisal UniversityP.O.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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Engineering nanomedicines for immunogenic eradication of cancer cells:Recent trends and synergistic approaches

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Acta Pharmaceutica Sinica B 2024年第6期14卷 2475-2504页

作者： Ahmed O.Elzoghby omar Samir Hagar E.Emam Ahmed Soliman Riham m.Abdelgalil Yomna m.Elmorshedy Kadria A.Elkhodairy mahmoud L.Nasr Division of Engineering in medicine and Division of Renal medicine Department of MedicineBrigham and Women's HospitalHarvard Medical SchoolBoston 02115MAUSA Cancer Nanotechnology Research Laboratory(CNRL) Faculty of PharmacyAlexandria UniversityAlexandria 21521Egypt

Resistance to cancer immunotherapy is mainly attributed to poor tumor immunogenicity as well as the immunosuppressive tumor microenvironment(TmE)leading to failure of immune *** therapeutic strategies including chemotherapy,radiotherapy,photodynamic,photothermal,magnetic,chemodynamic,sonodynamic and oncolytic therapy,have been developed to induce immunogenic cell death(ICD)of cancer cells and thereby elicit immunogenicity and boost the antitumor immune ***,many challenges hamper the clinical application of ICD inducers resulting in modest immunogenic ***,we outline the current state of using nanomedicines for boosting ICD of cancer ***,synergistic approaches used in combination with ICD inducing nanomedicines for remodeling the TmE via targeting immune checkpoints,phagocytosis,macrophage polarization,tumor hypoxia,autophagy and stromal modulation to enhance immunogenicity of dying cancer cells were *** further highlight the emerging trends of using nanomaterials for triggering amplified ICD-mediated antitumor immune *** reticulum localized ICD,focused ultrasound hyperthermia,cell membrane camouflaged nanomedicines,amplified reactive oxygen species(ROS)generation,metallo-immunotherapy,ion modulators and engineered bacteria are among the most innovative *** challenges,merits and demerits of ICD inducer nanomedicines were also discussed with shedding light on the future role of this technology in improving the outcomes of cancer immunotherapy.

关键词： Immunogenic cell death Immunogenic eradication Nanomedicines Drug delivery Cancer immunotherapy Antitumor immunity T cells Tumor associated antigens Synergistic immune response

Burden of routine orthopedic implant removal a single center retrospective study

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World Journal of Orthopedics 2024年第2期15卷 139-146页

作者： Ammar K AlOmran Nader Alosaimi Ahmed A Alshaikhi omar m.bakhurj. Khalid J Alzahrani Basil Ziyad Salloot Tamim omar Alabduladhem Ahmed I Almulhim Arwa Alumran Department of Orthopedic College of MedicineImam Abdulrahman Bin Faisal UniversityDammam 31441Saudi Arabia Health Information management and Technology Department Imam Abdulrahman Bin Faisal UniversityDammam 31441Saudi Arabia

BACKGROUND Open reduction and internal fixation represent prevalent orthopedic procedures,sparking ongoing discourse over whether to retain or remove asymptomatic *** consensus on this matter is paramount for orthopedic *** study aims to quantify the impact of routine implant removal on patients and healthcare facilities.A retrospective analysis of implant removal cases from 2016 to 2022 at King Fahad Hospital of the University(KFHU)was conducted and subjected to statistical *** these cases,44%necessitated hospitalization exceeding one day,while 56%required only a single *** exhibited a 55%need for extended hospital stays,contrasting with 22.8%among the pediatric *** complication rate was 6%,with all patients experiencing at least one ***,34.1%required sick leave and 4.8%exceeded 14 *** anesthesia was predominant(88%).Routine implant removal introduces unwarranted complications,particularly in adults,potentially prolonging *** procedure strains hospital resources,tying up the operating room that could otherwise accommodate critical *** defined institutional guidelines are imperative to regulate this *** To measure the burden of routine implant removal on the patients and *** This is a retrospective analysis study of 167 routine implant removal cases treated at KFHU,a tertiary hospital in Saudi *** were collected in the orthopedic department at KFHU from February 2016 to August 2022,which includes routine asymptomatic implant removal cases across all age *** indications such as infection,pain,implant failure,malunion,nonunion,restricted range of motion,and prominent hardware were *** who had external fixators removed or joints replaced were also *** Between February 2016 and August 2022,360 implants were retrieved;however,only 167 of those who met the inclusion criteria were included in this

关键词： Implant removal Healed fracture Orthopedic implant Complications Healthcare system