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Assessment of Breast Cancer Prevention Practices among Women Attending Primary health Care in Abha City, Aseer region, Saudi Arabia

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International Journal of Clinical Medicine 2024年第2期15卷 31-54页

作者： Sabah Mohammed Asiri Sultan Yahia Alfifii Tagreed Khairan Al-Rashidi Sager Misfer Alqahtani Faiz Abdulrahman Alshafa Fayez Mari Alamri Amal Mohammed Asiri Fatima Mohammed Ali Almagadi Thuraya Mohammed Asiri Department of Therapeutic Assistance Management General Directorate of Health Affairs Asser Region Abha Saudi Arabia Department of health affairs General Directorate of Health Affairs Asser Region Abha Saudi Arabia Department of Kidney King Khaled Hospital Hail Saudi Arabia Department of Nursing Sarat Abida Hospital Aseer Saudi Arabia Department of Radiation Oncology King Faisal Medical City Abha Saudi Arabia Department of health affairs KSA MOH Department of Kidney Dialysis Centers General Directorate of Health Affairs Aseer Region Abha Saudi Arabia Department of Operation Ahad Rafidah Hospital General Directorate of Health Affairs in Asseer Region Abha Saudi Arabia South Qunfudah general Hospital Jizan Saudi Arabia Armed Forces Southern region Hospital Aseer Saudi Arabia

Cancer is a leading cause of death worldwide, with breast cancer being the most common (2.26 million new cases and 685,000 deaths). In Saudi Arabia, breast cancer ranked the first among females in 2014, accounting for 15.9% of all cancers reported among Saudi nationals and 28.7% of all cancers reported among females of all ages. Early detection of breast cancer could decrease the risks, have a better prognosis, and have better outcomes/more successful treatments. Prevalence of breast cancer reached more than 25% of all diagnosed cancer in the kingdom among women. Aim: This study aims to assess the knowledge and performance of women attending primary care centers about breast self-examination and mammogram screening for prevention and early detection of breast cancer in Abha city primary healthcare centers, Kingdom of Saudi Arabia. Research Method: cross sectional design was conducted by using questionnaire, which was distributed to primary care center nurses. The collected data was statistically analyzed using the Statistical Package for Social Sciences, version 25. Results: The study found that participants had poor awareness and knowledge about breast self-examination, risk factors for breast cancer, and trends and practices in early diagnosis of breast cancer. Conclusion and Recommendations: It recommends increasing awareness campaigns and providing educational programs to improve knowledge and practices.

关键词： Assessment Breast Cancer Prevention Practices Women Attending health Care Centers Abha City

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Spinal dural arteriovenous fistula:a comprehensive review of the history,classification systems,management,and prognosis

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Chinese Neurosurgical Journal 2024年第1期10卷 48-56页

作者： Ali Alkhaibary Ahoud Alharbi Nada Alnefaie Hajar Alammar Alshaymaa M.Arishy Noor Alghanim Yazeed M.Aldhfyan Arwa Albaiahy Yahya H.Khormi Wael Alshaya Saad AlQahatani Ahmed Aloraidi Ahmed Alkhani Sami Khairy College of Medicine King Saud Bin Abdulaziz University for Health SciencesRiyadhSaudi Arabia King Abdullah International Medical Research Center RiyadhSaudi Arabia Division of Neurosurgery Department of SurgeryKing Abdulaziz Medical CityMinistry of National Guard-Health AffairsRiyadhSaudi Arabia Department of Neurosurgery National Neurosciences InstituteKing Fahad Medical CityRiyadhSaudi Arabia College of Medicine Jazan UniversityJazanSaudi Arabia Department of Neurosurgery King Faisal Specialist Hospital and Research CenterRiyadhSaudi Arabia Department of Surgery Faculty of MedicineJazan UniversityJazanSaudi Arabia

Spinal dural arteriovenous fistulas account for the majority of spinal vascular *** are typically located in the thoracolumbar region and are diagnosed in the middle-aged and elderly *** spinal dural arteriovenous fistulas have been postulated to be acquired,their exact development remains ***,the arteriovenous shunt is situated close to the spinal nerve root,inside the dura mater,where the blood from the radiculomeningeal artery and radicular vein *** history,there have been multiple classification systems of spinal arteriovenous shunts since *** were mainly based on the evolution of diagnostic studies as well as the treatment of these *** classification systems have undergone significant changes over the *** intracranial dural arteriovenous fistula,spinal dural arteriovenous fistula is progressive in *** neurological manifestations,due to venous congestion,tend to be insidious as well as *** include sensory deficits,such as paresthesia,bilateral and/or unilateral radicular pain affecting the lower limbs,and gait *** dural arteriovenous fistulas can be suspected on magnetic resonance imaging/magnetic resonance angiography and confirmed by digital subtraction angiography(DSA).The management includes surgery,endovascular therapy,and in selected cases,*** treatment goal of spinal dural arteriovenous fistula is to halt the progression of the *** prognosis depends on both the duration of symptoms as well as the clinical condition prior to *** present article comprehensively reviews the pathophysiology,changes in classification systems,natural history,clinical manifestations,radiological features,management,and prognosis.

关键词： Connection Endovascular Myelopathy Vascular

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Nurses’ Knowledge and Attitude Regarding Evidence-Based Practice: An Integrative Review

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Open Journal of Nursing 2022年第2期12卷 103-112页

作者： Ayat Mohamed Ahmed Zammar general directorate of health affairs in riyadh region Riyadh Saudi Arabia

Background: As a result of its influence on nurses’ knowledge and practice, evidence-based practice (EBP) has gained prominence in the nursing profession. Therefore, evidence-based practice (EBP) is increasingly acknowledged as a critical component of improving the quality of healthcare and nursing care services, as well as achieving patient care excellence. Aim: One of the primary objectives of this review is to consolidate the existing research on nurses’ understanding of evidence-based practice, attitudes toward it, and practices related to it. Methods: The following databases from 2012 to 2021 have been searched such as: Cochrane Collaboration, MEDLINE, AVOID, CINAHL, EMBASE, Science Direct, ASSIA, Web of Science, Scopus, PubMed and JSTOR. Only cohort, case-control and randomized controlled trials studies with full text in English were eligible. Results: Only eight articles were found to meet the inclusion criteria out of 2155 total articles after the exclusion criteria were applied. The majority of these eight researches discovered a favourable attitude about EBP as well as a low level of expertise. Conclusion: The majority of nurses have a good attitude toward their job, but most are uninformed of the significance of EBP in their profession. In order to recognize and compare the components that may impact knowledge, attitude, and practices of EBP throughout the world in order to discover similarities that may assist global strategies for the transfer of research results to nursing, additional research on this topic is required to recognize and compare the components that may impact knowledge, attitude, and practices of EBP throughout the world in order to discover similarities that may assist global strategies for the transfer of research results to nursing.

关键词： Knowledge Attitude Evidence-Based Practice

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Emotionally Intelligent among Nurses and Nursing Managers: An Integrative Review

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Open Journal of Nursing 2022年第10期12卷 643-649页

作者： Fatimah Hassan Suwaidi general directorate of health affairs Aseer Region KSA

Background: Emotionally intelligent managers are able to use, understand and manage their feelings in a way that benefits themselves and others. Aim: The main aim of this integrative review is to assess the level of emotional intelligence among nurse managers within current literature and previous studies. Materials and Methods: An integrative review was conducted;a search was performed in the electronic databases (ISI, SCOPUS, Ovid, Proquest, Google Scholar, PubMed, and SID) for articles, which were published in the period 2002-2020 in English. Nine studies met the inclusion criteria. Results: Of 840 articles, and after exclusion criteria;Nine articles only were met the inclusion criteria. Of these eight studies, the majority found an average level of emotional intelligence among nurse managers and nurses. Conclusion: It is evident that the nurses are able to experience the ability to identify and experience a wide range of emotions in everyday practice. Despite the satisfactory level of emotional intelligence among nurses, they have to improve their skills to achieve maximum level of these skills of emotional intelligence.

关键词： Emotionally Intelligent Nurses Nursing Managers

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Prediction meta-models for the responses of a circular tunnel during earthquakes

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Underground Space 2019年第1期4卷 31-47页

作者： Nazim Abdul Nariman Raja Rizwan Hussain Mohammed A Msekh Peyman Karampour Engineering Department Sulaimaniya Health General DirectorateMinistry of HealthKurdistan RegionIraq Civil Engineering Department College of EngineeringKing Saud University11421 RiyadhSaudi Arabia Civil Engineering Department College of EngineeringUniversity of BabylonBabylonIraq Department of Mechanical Engineering Faculty of EngineeringArak UniversityArakIran

Three uncertain parameters(peak ground acceleration,soil density,and soil modulus of elasticity)have been studied with regard to their effects on the stability and damage of a circular tunnel during an earthquake.A time history of an actual earthquake in the literature with modification has been adopted in the numerical simulation and analysis of the tunnel ***-models have been constructed based on an experimental method with quadratic and interaction terms using matlab codes in order to predict the compressive damage,tensile damage,and the overall displacement of the *** results of the meta-models predicted a highly reasonable response of the tunnel with regard to the maximum principal stresses in the tunnel lining and predicted a remarkable response of the tunnel with respect to the overall displacement of the ***,the peak ground acceleration was observed to exert the highest effect on the overall displacement of the tunnel,compared to the soil density and soil modulus of ***,the metamodels revealed the inverse relationship between the soil modulus of elasticity and the compressive and tensile damages of the tunnel *** meta-models exhibited high efficiency of representation of the behavior of the structural system during earthquakes.

关键词： Peak ground acceleration Ovalization Meta-model Least squares method Compressive damage Tensile damage

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Distinctive clinical and laboratory features of COVID-19 and H1N1 influenza infections among hospitalized pediatric patients

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World Journal of Pediatrics 2021年第3期17卷 272-279页

作者： Ali Alsuheel Asseri Ayed A.Shati Saleh M.Al-Qahtani Ibrahim A.Alzaydani Ahmed A.Al-Jarie Mohammed J.Alaliani Abdelwahid Saeed Ali Department of Child health College of MedicineKing Khalid UniversityAbhaSaudi Arabia Department of Pediatrics Abha Maternity and Children HospitalAbhaSaudi Arabia general directorate of health affairs Infection Prevention and Control AdministrationAseer RegionMinistry of HealthAbhaSaudi Arabia Department of Microbiology and Clinical Parasitology College of MedicineKing Khalid UniversityAbhaSaudi Arabia

Background It had been documented in many studies that pediatric coronavirus disease 2019(COVID-19)is characterized by low infectivity rates,low mortalities,and benign disease *** the other hand,influenza type A viruses are recognized to cause severe and fatal infections in children populations *** study is aimed to compare the clinical and laboratory characteristics of COVID-19 and H1N1 influenza *** A retrospective study comprising 107 children hospitalized at Abha Maternity and Children Hospital,Southern region of Saudi Arabia,with laboratory-confirmed COVID-19 and H1N1 influenza infections was carried out.A complete follow-up for all patients from the hospital admission until discharge or death was *** clinical data and laboratory parameters for these patients were collected from the medical records of the *** Out of the total enrolled patients,73(68.2%)were diagnosed with COVID-19,and 34(31.8%)were diagnosed with H1N1 *** median age is 12 months for COVID-19 patients and 36 months for influenza patients.A relatively higher number of patients with influenza had a fever and respiratory symptoms than COVID-19 *** contrast,gastrointestinal symptoms were observed in a higher number of COVID-19 patients than in influenza patients.A statistically significant increase in white cell counts is noted in COVID-19 but not in influenza patients(P<0.05).There are no obvious variations in the mean period of duration of hospitalization between COVID-19 and influenza ***,the total intensive care unit length of stay was longer for influenza compared to COVID-19 *** A considerable number of children infected with COVID-19 and H1N1 influenza were noted and reported in this *** were no significant variations in the severity of the symptomatology and laboratory findings between the two groups of *** differences between these patients in some hospitalization facto

关键词： Children Coronavirus disease 2019 H1N1 influenza.Laboratory indices Symptoms

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Optimized Weighted Ensemble Using Dipper Throated Optimization Algorithm in Metamaterial Antenna

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Computers, Materials & Continua 2022年第12期73卷 5771-5788页

作者： Doaa Sami Khafaga El-Sayed M.El-kenawy Faten Khalid Karim Sameer Alshetewi Abdelhameed Ibrahim Abdelaziz AAbdelhamid Department of Computer Sciences College of Computer and Information SciencesPrincess Nourah bint Abdulrahman UniversityP.O.Box 84428Riyadh11671Saudi Arabia Department of Communications and Electronics Delta Higher Institute of Engineering and TechnologyMansoura35111Egypt Faculty of Artificial Intelligence Delta University for Science and TechnologyMansoura35712Egypt general Information Technology Department Ministry of DefenseThe Executive AffairsExcellence Services DirectorateRiyadh11564Saudi Arabia Computer Engineering and Control Systems Department Faculty of EngineeringMansoura UniversityMansoura35516Egypt Department of Computer Science Faculty of Computer and Information SciencesAin Shams UniversityCairo11566Egypt Department of Computer Science College of Computing and Information TechnologyShaqra University11961Saudi Arabia

Metamaterial Antennas are a type of antenna that uses metamaterial to enhance *** bandwidth restriction associated with small antennas can be solved using metamaterial *** learning is gaining popularity as a way to improve solutions in a range of *** learning approaches are currently a big part of current research,and they’re likely to be huge in the *** model utilized determines the accuracy of the prediction in large *** goal of this paper is to develop an optimized ensemble model for forecasting the metamaterial antenna’s bandwidth and *** basic models employed in the developed ensemble are Support Vector Regression(SVR),K-NearestRegression(KNR),Multi-Layer Perceptron(MLP),Decision Trees(DT),and Random Forest(RF).The percentages of contribution of these models in the ensemble model are weighted and optimized using the dipper throated optimization(DTO)*** choose the best features from the dataset,the binary(bDTO)algorithm is *** proposed ensemble model is compared to the base models and results are recorded and analyzed *** addition,two other ensembles are incorporated in the conducted experiments for *** ensembles are average ensemble and K-nearest neighbors(KNN)-based *** comparison is performed in terms of eleven evaluation *** evaluation results confirmed the superiority of the proposed model when compared with the basic models and the other ensemble models.

关键词： Metamaterial antenna dipper throated optimization feature selection parameters prediction

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Impact of work environment on job satisfaction and stress among hemodialysis staff in Klang Valley

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Frontiers of Nursing 2023年第4期10卷 481-492页

作者： Zaima Mat Yusuf Bit Lian Yee National Guard health affairs King Abdul Aziz Medical CityNursing Education ServicesRiyadh 11426Kingdom of Saudi Arabia Faculty of Technology and Applied Sciences Open University MalaysiaPetaling JayaSelangor 47301Malaysia

Objective:To investigate the factors contributing to satisfaction with the work environment,job satisfaction(JS),and stress among hemodialysis(HD)staff in the central region of ***:A quantitative cross-sectional study was conducted on 215 HD staff working at private and non-government(NGO)dialysis centers using self-administered *** chi-square test was used to determine factors associated with HD staff's JS,stress,and working ***:The scientific proof was apparent that the working environment had an effect on JS and stress among employees at HD ***:This research offers useful insights into the essence and complexities of HD staff's work and will help nurses,dialysis managers,other dialysis personnel,and organizations to better understand the benefits and stresses faced by these workers.

关键词： hemodialysis staff job satisfaction nurses stress work environment

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Optimization of Electrocardiogram Classification Using Dipper Throated Algorithm and Differential Evolution

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Computers, Materials & Continua 2023年第2期74卷 2379-2395页

作者： Doaa Sami Khafaga El-Sayed M.El-kenawy Faten Khalid Karim Sameer Alshetewi Abdelhameed Ibrahim Abdelaziz A.Abdelhamid D.L.Elsheweikh Department of Computer Sciences College of Computer and Information SciencesPrincess Nourah Bint Abdulrahman UniversityP.O.Box 84428Riyadh11671Saudi Arabia Department of Communications and Electronics Delta Higher Institute of Engineering and TechnologyMansoura35111Egypt Faculty of Artificial Intelligence Delta University for Science and TechnologyMansoura35712Egypt general Information Technology Department Ministry of DefenseThe Executive AffairsExcellence Services DirectorateRiyadh11564Saudi Arabia Computer Engineering and Control Systems Department Faculty of EngineeringMansoura UniversityMansoura35516Egypt Department of Computer Science Faculty of Computer and Information SciencesAin Shams UniversityCairo11566Egypt Department of Computer Science College of Computing and Information TechnologyShaqra University11961Saudi Arabia Department of Computer Science Faculty of Specific EducationMansoura UniversityEgypt

Electrocardiogram(ECG)signal is a measure of the heart’s electrical ***,ECG detection and classification have benefited from the use of computer-aided systems by *** goal of this paper is to improve the accuracy of ECG classification by combining the Dipper Throated Optimization(DTO)and Differential Evolution Algorithm(DEA)into a unified algorithm to optimize the hyperparameters of neural network(NN)for boosting the ECG classification *** addition,we proposed a new feature selection method for selecting the significant feature that can improve the overall *** prove the superiority of the proposed approach,several experimentswere conducted to compare the results achieved by the proposed approach and other competing ***,statistical analysis is performed to study the significance and stability of the proposed approach using Wilcoxon and ANOVA *** results confirmed the superiority and effectiveness of the proposed *** classification accuracy achieved by the proposed approach is(99.98%).

关键词： Electrocardiogram differential evolution algorithm dipper throated optimization neural networks

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Physical Activity Performance among Obese Adolescents Who Are Enrolled in the Obesity Treatment Program: A Comparative Study

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Open Journal of Therapy and Rehabilitation 2016年第3期4卷 163-173页

作者： Malak Al Qahtani Einas Al Eisa Public health Directorate of Health Affairs in Riyadh Riyadh Saudi Arabia Rehabilitation Sciences Department College of Applied Medical Sciences King Saud University Riyadh Saudi Arabia

Existing literature indicates that a weight-management program that includes diet modification, Physical Activity (PA) instructions and behavioral modification in weight reduction increases obese adolescents’ participation in PA. However, the effect of such a program on obese Saudi adolescents is unknown. Objective: To examine the effects of a weight-management program in terms of decreasing Body Mass Index (BMI) and improving participation in PA in obese Saudi adolescents, and to establish whether differences exist between genders in response to a weight-management program. PA was measured by Arab Teens Life Style (ATLS) questionnaire for both groups. Results: A wide range of differences in PA and sedentary time are evident between new and weight- managed patients and two genders. PA performance was significantly higher among the weight- managed patients compared with new patients. Also, for boys there were no differences between both groups in PA performance. While, girls’ PA was significantly higher among the girls in weight- managed group compared with girls in new patients group. Weight-managed patients spend significantly less time on the computer and/or the Internet per day compared with new patients. After treatment, the mean BMI among the weight-managed patients slightly decreased. Conclusion: The study findings suggest that the weight-management program could be effective in treating Saudi obese adolescents due to its effect in BMI reduction and greater improvement in PA performance. The surprising result from this study, PA differences between the groups were because of the total PA of girls only, meaning that obesity treatment program can lower the percentage of obesity among women and increase their levels of physical activity.

关键词： Obesity Adolescents Physical Activity BMI Weight-Management Program Sedentary Behaviors

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