检索结果-南通市图书馆

World Journal of Gastroenterology 2019年第17期25卷 2144-2148页

作者： sultan r alharbi Interventional radiology Unit King Saud University Medical CityCollage of MedicineKing Saud University

BACKGrOUND Esophagomediastinal fistula is a very rare complication of tuberculosis in otherwise healthy adults, and mediastinal bronchial artery aneurysm is even rarer. In this case report, we describe a rare case of tuberculosis complication that presented with acute upper gastrointestinal(GI) bleeding. It also highlights the benefits of chest computed tomography(CT) as an excellent adjunct diagnostic tool to endoscopy and bronchoscopy and the role of trans-arterial embolization as a minimal invasive therapy alternative to *** SUMMArY A 19-year-old medically free male patient presented with acute multiple episodes of hematemesis for 1 d. Upper GI endoscopy, bronchoscopy, and chest CT with IV contrast confirmed esophagomediastinal fistula with mediastinal bronchial artery aneurysm. After resuscitating patient with IV fluid and blood product transfusion, trans catheter embolization was performed for mediastinal bronchial artery *** We successfully treated a patient with acute upper GI bleeding due to tuberculous esophagomediastinal fistula and mediastinal bronchial artery aneurysm using transcatheter coil embolization.

关键词： Mediastinal bronchial artery aneurysm Esophagomediastinal fistula Upper gastrointestinal bleeding Mediastinal tuberculosis Case report

Non-target lung embolization during portal vein embolization due to an unrecognized portosystemic venous fistula:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Cases 2023年第15期11卷 3625-3630页

作者： sultan r alharbi Mohammed Bin Nasif Haifa Bandar Alwaily Interventional radiology Unit Department of RadiologyCollege of MedicineKing Saud UniversityKing Khalid University HospitalRiyadh 11362Saudi Arabia Department of radiology College of MedicineKing Saud UniversityRiyadh 11362Saudi Arabia

BACKGrOUND Portal vein embolization(PVE)is an effective and relatively safe procedure performed prior to major hepatic resection to enhance future liver *** embolization during PVE is rare,and if it occurs,it usually affects the future liver *** portosystemic venous fistulas are extremely rare in non-cirrhotic *** report a case of non-targeted lung embolization during PVE due to an unrecognized intrahepatic portosystemic *** SUMMArY A 60-year-old male presented with metastatic colon cancer of the *** patient underwent preoperative right *** the embolization procedure,a small amount of glue and lipiodol emulsion was embolized to the heart and lungs through an unrecognized intrahepatic portosystemic *** patient remained clinically stable and underwent the planned hepatic resection after 4 wk,with an uneventful postoperative *** Conventional portograms and careful evaluation prior to PVE are advisable to avoid such complications.

关键词： Portal vein embolization Non-target embolization Portosystemic venous fistula Case report

Can Left Pleural Effusion Be an Indicator of Gastric Leaks after Laparoscopic Sleeve Gastrectomy?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of radiology 2021年第1期11卷 11-18页

作者： sultan r. alharbi Department of radiology and Medical Imaging College of Medicine King Saud University Riyadh Saudi Arabia

Background: Coincidental pleural effusion has been observed by computed tomography (CT) scans in individual patients with gastric leaks after laparoscopic sleeve gastrectomy;however, the frequency of this phenomenon h... 详细信息

rong>Background:rong> Coincidental pleural effusion has been observed by computed tomography (CT) scans in individual patients with gastric leaks after laparoscopic sleeve gastrectomy;however, the frequency of this phenomenon has not been investigated in cohort studies. rong>Objectives:rong> This study aimed to assess the diagnostic accuracy of left pleural effusion as an indicator of gastric leaks after laparoscopic sleeve gastrectomy. rong>Setting:rong> University hospital and bariatric surgery center of excellence. rong>Methods:rong> This single-center retrospective analysis included consecutive patients who had undergone laparoscopic sleeve gastrectomy followed by CT scans to investigate suspected gastric leaks from September 2011 to September 2018. The sensitivity, specificity, Youden’s index, and predictive values were estimated using a 2 × 2 cross-tabulation. rong>results:rong> The study involved assessing the CT scans of 148 patients;80 patients (44 men and 36 women, mean age: 34 years, mean body mass index {BMI}: 46 kg/m2) had positive findings of gastric leaks after laparoscopic sleeve gastrectomy, such as contrast leak, gas leak, and peri-gastric collection (either singly or in combination). The CT findings were negative for gastric leaks in 68 patients (38 men and 30 women, mean age: 33 years, mean BMI: 45 kg/m2). Pleural effusion manifested as a fluid density in the dependent portion of pleural cavity on CT. The sensitivity of left pleural effusion to predict gastric leaks after laparoscopic sleeve gastrectomy was 73.8%, and the specificity was 91.2%. The positive and negative predictive values were 90.8% and 74.7%, respectively, and the Youden’s index was 64.9%. rong>Conclusion:rong> Left pleural effusion exhibits good diagnostic accuracy for gastric leaks after laparoscopic sleeve gastrectomy. Notably, the specificity (91.2%) was very high.

关键词： Computed Tomography Gastric Leak Laparoscopic Sleeve Gastrectomy Pleural Effusion

Percutaneous CT-Guided Drainage of Gastric Leaks Post-Sleeve Gastrectomy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of radiology 2020年第1期10卷 1-8页

作者： sultan r. alharbi Department of radiology and Medical Imaging College of Medicine King Saud University Riyadh Saudi Arabia

Objectives: The aim of this study was to assess the safety and efficacy of percutaneous CT-guided drainage of gastric leaks post sleeve gastrectomy. Methods: For this single-center retrospective study, we reviewed the clinical data of 78 patients (44 men and 34 women with an average age of 34.6 ±10.5 years and a body mass index (BMI) of 45 kg/m2 ±3.2) that underwent percutaneous CT-guided drainage of gastric leaks due to sleeve gastrectomy from September 2011 to September 2018. The outcome measurements were technical and clinical success, complications, and the need for revisional surgery. results: The technical success rate of drain insertion was 97.5% (76/78 patients). All of the patients (76/76 patients) exhibited early clinical and laboratory improvement, and no emergency surgery was required. However, six patients underwent revisional surgery after 3 - 5 months for non-healing gastric leaks/fistulas. One patient had a major complication of active bleeding due to arterial injury;this was managed by transcatheter coil embolization. All patients underwent endoluminal stent placement and received antimicrobial therapy and nutritional support. Conclusion: Percutaneous CT-guided drainage of gastric leaks after sleeve gastrectomy is a safe, effective, and minimally invasive alternative to surgery. This technique is in line with other conservative measures (endoluminal stent placement, antimicrobial therapy, and nutritional support), which heal most gastric leaks due to sleeve gastrectomy and prevent the need for revisional surgery.

关键词： Percutaneous Drainage CT-Guided Drainage Sleeve Gastrectomy Gastric Leak

Calibration of CO and CO₂ Monitors Used in Periodic Inspection of Vehicles at Fixed Stations for Environmental Control

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Green and Sustainable Chemistry 2024年第2期14卷 29-41页

作者： Adel Bassuoni Shehata Abdulrahman rashed Al Askar Najjy Hamad Al Yami Abdullah Suleiman Al Owaysi sultan K. alharbi Chemistry Department National Measurement and Calibration Center (NMCC) Saudi Standards Metrology and Quality Organization (SASO) Riyadh Kingdom of Saudi Arabia

Global efforts for environmental cleanliness through the control of gaseous emissions from vehicles are gaining momentum and attracting increasing attention. Calibration plays a crucial role in these efforts by ensuring the quantitative assessment of emissions for informed decisions on environmental treatments. This paper describes a method for the calibration of CO/CO2 monitors used for periodic inspections of vehicles in cites. The calibration was performed in the selected ranges: 900 - 12,000 µmol/mol for CO and 2000 - 20,000 µmol/mol for CO2. The traceability of the measurement results to the SI units was ensured by using certified reference materials from CO/N2 and CO2/N2 primary gas mixtures. The method performance was evaluated by assessing its linearity, accuracy, precision, bias, and uncertainty of the calibration results. The calibration data exhibited a strong linear trend with r² values close to 1, indicating an excellent fit between the measured values and the calibration lines. Precision, expressed as relative standard deviation (%rSD), ranged from 0.48 to 4.56% for CO and from 0.97 to 3.53% for CO2, staying well below the 5% threshold for reporting results at a 95% confidence level. Accuracy measured as percent recovery, was consistently high (≥ 99.1%) for CO and ranged from 84.90% to 101.54% across the calibration range for CO2. In addition, the method exhibited minimal bias for both CO and CO2 calibrations and thus provided a reliable and accurate approach for calibrating CO/CO2 monitors used in vehicle inspections. Thus, it ensures the effectiveness of exhaust emission control for better environment.

关键词： Monitors Periodic Inspection CO/CO2 Calibration Linearity Precision Accuracy

A Component Selection Framework of Cohesion and Coupling Metrics

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Computer Systems Science & Engineering 2023年第1期44卷 351-365页

作者： M.Iyyappan Arvind Kumar sultan Ahmad Sudan Jha Bader Alouffi Abdullah alharbi Department of Computer Science and Engineering SRM UniversityDelhi-NCRSonepat131029India Department of Computer Science College of Computer Engineering and SciencesPrince Sattam Bin Abdulaziz UniversityAlkharj11942Saudi Arabia School of Sciences Christ(Deemed to be University)Delhi-NCRGhaziabad201003India Department of Computer Science College of Computers and Information TechnologyTaif UniversityP.O.Box 11099Taif21944Saudi Arabia Department of Information Technology College of Computers and Information TechnologyTaif UniversityP.O.Box 11099Taif21944Saudi Arabia

Component-based software engineering is concerned with the develop-ment of software that can satisfy the customer prerequisites through reuse or inde-pendent *** and cohesion measurements are primarily used to analyse the better software design quality,increase the reliability and reduced system software *** complexity measurement of cohesion and coupling component to analyze the relationship between the component *** this paper,proposed the component selection framework of Hexa-oval optimization algorithm for selecting the suitable components from the *** measures the interface density modules of coupling and cohesion in a modular software *** cohesion measurement has been taken into two parameters for analyz-ing the result of complexity,with the help of low cohesion and high *** coupling measures between the component of inside parameters and outside *** process of coupling and cohesion,the measured values were used for the average calculation of components *** paper measures the complexity of direct and indirect interaction among the component as well as the proposed algorithm selecting the optimal component for the *** better result is observed for high cohesion and low coupling in compo-nent-based software engineering.

关键词： Component-based software system coupling metric cohesion metric complexity component interface module density

A robust Automated Framework for Classification of CT Covid-19 Images Using MSI-resNet

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Computer Systems Science & Engineering 2023年第6期45卷 3215-3229页

作者： Aghila rajagopal sultan Ahmad Sudan Jha ramachandran Alagarsamy Abdullah alharbi Bader Alouffi Department of Computer Science and Business Systems Sethu Institute of TechnologyKariapattiVirudhunagar626115TamilnaduIndia Department of Computer Science College of Computer Engineering and SciencesPrince Sattam Bin Abdulaziz UniversityAlkharj11942Saudi Arabia Department of Computer Science and Engineering School of EngineeringKathmandu UniversityBanepaKathmanduNepal Department of CSE University College of EngineeringPanrutiTamilnaduIndia Department of Information Technology College of Computers and Information TechnologyTaif UniversityTaif21944Saudi Arabia Department of Computer Science College of Computers and Information TechnologyTaif UniversityTaif21944Saudi Arabia

Nowadays,the COVID-19 virus disease is spreading *** are some testing tools and kits available for diagnosing the virus,but it is in a lim-ited *** diagnose the presence of disease from radiological images,auto-mated COVID-19 diagnosis techniques are *** enhancement of AI(Artificial Intelligence)has been focused in previous research,which uses X-ray images for detecting *** most common symptoms of COVID-19 are fever,dry cough and sore *** symptoms may lead to an increase in the rigorous type of pneumonia with a severe *** medical imaging is not suggested recently in Canada for critical COVID-19 diagnosis,computer-aided systems are implemented for the early identification of COVID-19,which aids in noticing the disease progression and thus decreases the death ***,a deep learning-based automated method for the extraction of features and classi-fication is enhanced for the detection of COVID-19 from the images of computer tomography(CT).The suggested method functions on the basis of three main pro-cesses:data preprocessing,the extraction of features and *** approach integrates the union of deep features with the help of Inception 14 and VGG-16 *** last,a classifier of Multi-scale Improved resNet(MSI-resNet)is developed to detect and classify the CT images into unique labels of *** the support of available open-source COVID-CT datasets that consists of 760 CT pictures,the investigational validation of the suggested method is *** experimental results reveal that the proposed approach offers greater performance with high specificity,accuracy and sensitivity.

关键词： Covid-19 CT images multi-scale improved resNet AI inception 14 and VGG-16 models

Occupational Stress, Coping Strategies, and Quality of Life among Nurses in General and Psychiatric Setting in Jeddah City—KSA

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Psychiatry 2019年第2期9卷 124-137页

作者： sultan alharbi Abd Alhadi Hasan King Abd Alaziz Hospital Makkah KSA Fakeeh College for Medical Sciences Jeddah KSA

Purpose: This study is aimed at comparing the level of occupational stress, ways of coping and the quality of life among nurses. Methods: Descriptive explanatory design was used with 278 nurses working in King Abdul Aziz Hospital in Jeddah, Mental Health Hospital in Jeddah, and Dr. Suleiman Fakeeh Hospital in Jeddah. Findings: Psychiatric nurses experience greater occupational stress than general nurses (p = 0.001). There was no statistically significant difference between the psychiatric and general nurses in relation to coping strategies (p = 0.38). Conclusion: Healthcare institutions should adapt stress evaluation and coping models specific to their unit. Practical Implication: Implementation of programs in each healthcare unit to educate nurses how to deal with work stressors and their negative effects.

关键词： Psychiatric Mental Nurses Stress Nurses Occupational Stress Coping Strategies Quality of Life Saudi Arabia

Evaluation of antibacterial activity of zinc oxide nanoparticles synthesized using phycobilins of Anabaena variabilis NTSS17

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Journal of Coastal Life Medicine 2015年第12期 944-949页

作者： Thangaraj ramasamy Santhoshkumar Subramaniyam Dhanasekaran Dharumadurai Kala Karuppannan alharbi Naiyf sultan Arunachalam Chinnathambi Ali alharbi Sulaiman Thajuddin Nooruddin School of Life Science Department of MicrobiologyBharathidasan UniversityTiruchirappalli 620024TamilnaduIndia Department of Botany Government Arts College(Autonomous)ThanthonimalaiKarur 639005TamilnaduIndia Department of Botany and Microbiology College of ScienceKing Saud UniversityRiyadh 11451Kingdom of Saudi Arabia

Objective:To evaluate the antibacterial activity of zinc oxide nanoparticles synthesized using phycobilins of Anabaena variabilis ***:The cyanobacterial isolate was collected from paddy field and morphologically identified as Anabaena variabilis NTSS17,that produces a pigment *** biosynthesized zinc nanoparticles were characterized by different spectroscopic and analytical techniques such as UV-visible spectrophotometer,Fourier transform infrared spectroscopy and X-ray diffraction which confirmed the formation of zinc ***:Antibacterial activity of zinc oxide nanoparticles was examined against Escherichia coli,rhodococcus rhodochrous and Pseudomonas *** maximum zone of inhibition occurred at 5 mg/1000 mL concentration of zinc oxide ***:Due to potent antimicrobial and intrinsic properties of zinc oxide,it can be actively used for biomedical applications.

关键词： Anabaena variabilis NTSS17 Phycobilins Zinc oxide nanoparticles Antibacterial activity

Web Based Survey of Adult Population of West and Central Saudi Arabia about Cause and Management of Keratoconus

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Ophthalmology 2020年第4期10卷 341-350页

作者： sultan Alzuhairy raghad Hamza Moaz alharbi Mohammed Alqadi Atheer Alharthi Khames Torki Alzahrani Ali Hassan Alshehri Department of Ophthalmology Qassim University Buraidah Saudi Arabia Medical College Taif University Taif Saudi Arabia Faculty of Health Sciences King Abdul Aziz University Jeddah Saudi Arabia Medical College Najran University Najran Saudi Arabia Ministry of Health Jeddah Saudi Arabia

Background: Keratoconus (KC) causes visual disability in young adults. To improve its early detection and compliance, improving the awareness of patients and their relatives is crucial. We present the level of awarene... 详细信息

rong>Background:rong> Keratoconus (KC) causes visual disability in young adults. To improve its early detection and compliance, improving the awareness of patients and their relatives is crucial. We present the level of awareness about KC among the adult population of western Saudi Arabia and its determinants. rong>Methods:rong> This web-based survey was carried out from June to August 2020 in urban and semi-urban areas in western Saudi Arabia. Demographic and eye ailment profiles were collected. To generate responses on the presentation, causes, management and prevention of KC, a five-point Likert scale was used. The logit values were calculated and graded into good and poor awareness. Awareness was associated with other determinants. rong>results:rong> We surveyed 420 Saudi adults. The median logit score of awareness about KC among participants was 2.86 (inter quartile range (IQr) 0.86;2.95). The median score of knowledge about the causes and presentation of KC was 2.86 (IQr 1.1;2.86) and for management, it was 0.00 (IQr 0.00;0.18). The level of awareness was good in 286 participants (68.1%) and poor in 134 (31.9%). residents of major cities (P r awareness about KC. Knowledge about KC mainly came from friends and reading about it. The mass media and social media were rarely used to seek knowledge. rong>Conclusions:rong> Awareness about the presentation, causes and management of KC was good in two-thirds of adults but with some variation. Strategies to involve the community and stress health education need to be urgently implemented. Campaigns should target the male and semi-urban population in western Saudi Arabia.

关键词： Keratoconus Public Saudi Arabia Awareness