A low carbon Nb-Ti microalloyed steel was subjected to hot torsion testing over the temperature range 850-1100℃ and strain rates 0.01-1 s-1 to study the influence of deformation conditions on the dynamic recrystalliz...A low carbon Nb-Ti microalloyed steel was subjected to hot torsion testing over the temperature range 850-1100℃ and strain rates 0.01-1 s-1 to study the influence of deformation conditions on the dynamic recrystallization characteristics of austenite. The results show that dynamic recrystallization occurs more easily with the decrease of strain rate and the increase of deformation temperature. The complete dynamically recrystallized grain size as a function of Zener-Hollomon parameter was established. It was found that dynamically recrystallized grain sizes decrease with increasing strain rate and decreasing deformation temperature. The effect of microalloying elements on peak strain was investigated and the solute drag corrected peak strain was determined. Also, the dynamic recrystallization map of austenite was obtained by using recrystallization critical parameters.展开更多
background While diffuse atherosclerotic disease affecting the posterior circulation has been described extensively,the prevalence,natural history and angiographic characteristics of isolated symptomatic basilar arter...background While diffuse atherosclerotic disease affecting the posterior circulation has been described extensively,the prevalence,natural history and angiographic characteristics of isolated symptomatic basilar artery stenosis(ISBAS)remain unknown.Methods We reviewed our prospective institutional database to identify patients with≥50% symptomatic basilar artery(BA)stenosis without significant atherosclerotic burden in the vertebral or posterior cerebral arteries.Stroke mechanism,collateral circulation,and degree and length of stenosis were analysed.The primary outcome was time from index event to new transient ischaemic attack(TIA),acute ischaemic stroke(AIS)or death.Other outcome variables included modified Rankin Scale(mRS)score on discharge and last follow-up.results Of 6369 patients with AIS/TIA,91(1.43%)had ISBAS.Seventy-three(80.2%)patients presented with AIS and 18(19.8%)with TIA.Twenty-nine(31.9%)were women and the median age was 66.8±13.6 years.The mean follow-up time was 2.7 years.The most common stroke mechanism was artery-to artery thromboembolism(45.2%),followed by perforator occlusion(28.7%)and flow-dependent/hypoperfusion(15.1%).The percentage of stenosis was lower in patients who had favourable outcome compared with those with mRS 3-6 on discharge(78.3±14.3 vs 86.9±14.5,p=0.007).Kaplan-Meier curves showed higher recurrence/death rates in patients with≥80% stenosis,mid-basilar location and poor collateral circulation.Approximately 13% of patients with ISBAS presented with complete BA occlusion.Conclusion ISBAS is an uncommon(1.43%)cause of TIA and AIS.Men in their 60s are mostly affected,and artery-to artery embolism is the most common stroke mechanism.Mid-basilar location,≥80% stenosis and poor collateral circulation are important factors associated with worse prognosis.展开更多
A combination of extrusion and equal channel angular pressing （ECAP） was used to deform a plain low carbon steel. This process consists of two successive deformations by extrusion and ECAP in a single die （Ex-ECAP...A combination of extrusion and equal channel angular pressing （ECAP） was used to deform a plain low carbon steel. This process consists of two successive deformations by extrusion and ECAP in a single die （Ex-ECAP）. Cylindrical samples were heated to predefined temperatures （650 and 850 ℃） and then pressed through a die channel with crosshead speed of 10 mm/s. Microstructure and resultant mechanical properties of processed material were studied. The results showed that pressing temperature has a significant effect on the resultant microstructure. While at 650 ℃, the cold worked structure with elongated ferrite grains were obtained, and at 850 ℃ the microstructure consisted of elongated ferrite grains and very fine grains at their boundaries as a consequence of continuous dynamic recrystallization （CDRX） of ferrite phase. Also at 850 ℃, a particular microstructure consisted of cold worked ferrite and static recrystallized grains on shear bands was obtained.展开更多
The importance of this study is to identify the newly reordered and recognized basaltic intrusion for the first time in Maasser El Chouf in Lebanon. The recorded basaltic intrusion cut the Jurassic-Lower Cretaceous ro...The importance of this study is to identify the newly reordered and recognized basaltic intrusion for the first time in Maasser El Chouf in Lebanon. The recorded basaltic intrusion cut the Jurassic-Lower Cretaceous rock in this area. Necessary field inspection, geology, mineralogy and chemical tests were carried out on 8 basalt samples to determine their mineralogy, petrography and chemical composition. Representative samples have been tested with polarizing microscope, X-ray diffraction (XRD) and X-ray fluorescence (XRF). Petrographic and mineralogical studies show that the basalt is characterized by presence mainly of calcic-plagioclase feldspar, pyroxene-augite and olivine minerals. Secondary minerals of iron oxides also present (ilmenite and magnetite). The most appeared property is the alteration of olivine mineral to iddingsite that indicated highly weathered process. The composition of the basaltic samples reflects ultrabasic-basic type (Basanite-Tholeiitic basalt). The existence of volcanic activity occurred mostly with Pliocene age (< 2 Ma) as indicated by previous studies for similar basalt in Lebanon. Possibly, these boulders have been carried up from some deeper intrusive magmatic body under very active tension zones. Volcanism of Lebanon basalts belong to the alkaline olivine basalt, suite generally associated with tension, rifting and block faulting movements of the continental crust. Most of the volcanisms in Lebanon and in Harrat Ash Shaam Basalt from Syria and Palestine through Jordan to Saudi Arabia are related and connected to the opening of the Red Sea Rift System, making the area with tremendous volcanic tectonic activities.展开更多
This study employs mathematical modeling to analyze the impact of active immigrants on Foot and Mouth Disease (FMD) transmission dynamics. We calculate the reproduction number (R<sub>0</sub>) using the nex...This study employs mathematical modeling to analyze the impact of active immigrants on Foot and Mouth Disease (FMD) transmission dynamics. We calculate the reproduction number (R<sub>0</sub>) using the next-generation matrix approach. Applying the Routh-Hurwitz Criterion, we establish that the Disease-Free Equilibrium (DFE) point achieves local asymptotic stability when R<sub>0</sub> α<sub>1</sub> and α<sub>2</sub>) are closely associated with reduced susceptibility in animal populations, underscoring the link between immigrants and susceptibility. Furthermore, our findings emphasize the interplay of disease introduction with population response and adaptation, particularly involving incoming infectious immigrants. Swift interventions are vital due to the limited potential for disease establishment and rapid susceptibility decline. This study offers crucial insights into the complexities of FMD transmission with active immigrants, informing effective disease management strategies.展开更多
Measuring acoustic emission(AE)of partial discharge(PD)phenomena can be adopted to estimate the condition of power transformers.However,the environmental noise encountered with AE of PD measurements negatively affects...Measuring acoustic emission(AE)of partial discharge(PD)phenomena can be adopted to estimate the condition of power transformers.However,the environmental noise encountered with AE of PD measurements negatively affects the accuracy of PD localisation and classification.Thus,efficient signal denoising techniques are required for noise suppression and hence,better detection accuracy.This study deals with white noise and it is a continuation of a previously published work that deals with random noise.The published work addresses the random noise suppression using a method named,power spectral subtraction denoising(PSSD).This study applies PSSD to the PD signals contaminated with white noise and uses a novel scheme of noise power spectrum density estimation.Multiple types of AE signals are examined including signals produced by corona,surface,parallel,and void PDs.Synthetic and real data demonstrate the superiority of the proposed method over the wavelet shrinkage denoising method as it can more effectively eliminate white noise and preserve signals of low signal-to-noise ratio.展开更多
Background Cotton is a strategically important fibre crop for global textile industry.It profoundly impacts several countries’industrial and agricultural sectors.Sustainable cotton production is continuously threaten...Background Cotton is a strategically important fibre crop for global textile industry.It profoundly impacts several countries’industrial and agricultural sectors.Sustainable cotton production is continuously threatened by the unpre-dictable changes in climate,specifically high temperatures.Breeding heat-tolerant,high-yielding cotton cultivars with wide adaptability to be grown in the regions with rising temperatures is one of the primary objectives of modern cotton breeding programmes.Therefore,the main objective of the current study is to figure out the effective breed-ing approach to imparting heat tolerance as well as the judicious utilization of commercially significant and stress-tolerant attributes in cotton breeding.Initially,the two most notable heat-susceptible(FH-115 and NIAB Kiran)and tolerant(IUB-13 and GH-Mubarak)cotton cultivars were spotted to develop filial and backcross populations to accom-plish the preceding study objectives.The heat tolerant cultivars were screened on the basis of various morphological(seed cotton yield per plant,ginning turnout percentage),physiological(pollen viability,cell membrane thermostabil-ity)and biochemical(peroxidase activity,proline content,hydrogen peroxide content)parameters.Results The results clearly exhibited that heat stress consequently had a detrimental impact on every studied plant trait,as revealed by the ability of crossing and their backcross populations to tolerate high temperatures.However,when considering overall yield,biochemical,and physiological traits,the IUB-13×FH-115 cross went over particularly well at both normal and high temperature conditions.Moreover,overall seed cotton yield per plant exhibited a posi-tive correlation with both pollen viability and antioxidant levels(POD activity and proline content).Conclusions Selection from segregation population and criteria involving pollen viability and antioxidant levels concluded to be an effective strategy for the screening of heat-tolerant cotton germplasms.Therefore,understanding acquired fr展开更多
Background SRO(Similar to RCD1)genes family is largely recognized for their importance in the growth,develop-ment,and in responding to environmental stresses.However,genome-wide identification and functional character...Background SRO(Similar to RCD1)genes family is largely recognized for their importance in the growth,develop-ment,and in responding to environmental stresses.However,genome-wide identification and functional characteri-zation of SRO genes from cotton species have not been reported so far.Results A total of 36 SRO genes were identified from four cotton species.Phylogenetic analysis divided these genes into three groups with distinct structure.Syntenic and chromosomal distribution analysis indicated uneven distribu-tion of GaSRO,GrSRO,GhSRO,and GbSRO genes on A2,D5 genomes,Gh-At,Gh-Dt,Gb-At,and Gb-Dt subgenomes,respectively.Gene duplication analysis revealed the presence of six duplicated gene pairs among GhSRO genes.In promoter analysis,several elements responsive to the growth,development and hormones were found in GhSRO genes,implying gene induction during cotton growth and development.Several miRNAs responsive to plant growth and abiotic stress were predicted to target 12 GhSRO genes.Organ-specific expression profiling demonstrated the roles of GhSRO genes in one or more tissues.In addition,specific expression pattern of some GhSRO genes dur-ing ovule development depicted their involvement in these developmental processes.Conclusion The data presented in this report laid a foundation for understanding the classification and functions of SRO genes in cotton.展开更多
Objective:This study aimed to evaluate the effects of foot reflexology on fatigue and sleep quality in school-aged children receiving hemodialysis.Methods:A quasi-experimental pretest-posttest design was utilized.Thir...Objective:This study aimed to evaluate the effects of foot reflexology on fatigue and sleep quality in school-aged children receiving hemodialysis.Methods:A quasi-experimental pretest-posttest design was utilized.Thirty children of ages 6-12 undergoing in-center hemodialysis were recruited.The Pittsburgh Sleep Quality Index(PSQI)and Inventory of Fatigue Symptom(IFS)scales were administered at baseline.Participants then received 30 min of foot reflexology massage before hemodialysis sessions 3 days per week for 12 weeks.Posttest administration of the sleep and fatigue scales occurred after the intervention period.Results:Reflexology massage led to significant improvements in sleep quality components,including duration(0%-30%normal sleepers),efficiency(0%-50%>85%),latency(50%-0%>60 min),disturbances,and daytime dysfunction.The mean PSQI score decreased from 18.2 to 9.7(P<0.05).Fatigue severity substantially decreased,with the mean IFS score improving from 105.7 to 64.1(P<0.05).Conclusion:Foot reflexology is an effective nursing intervention for reducing fatigue and improving sleep quality in children on hemodialysis,warranting integration into routine care.展开更多
Height–diameter relationships are essential elements of forest assessment and modeling efforts.In this work,two linear and eighteen nonlinear height–diameter equations were evaluated to find a local model for Orient...Height–diameter relationships are essential elements of forest assessment and modeling efforts.In this work,two linear and eighteen nonlinear height–diameter equations were evaluated to find a local model for Oriental beech（Fagus orientalis Lipsky） in the Hyrcanian Forest in Iran.The predictive performance of these models was first assessed by different evaluation criteria： adjusted R^2（R^2_（adj））,root mean square error（RMSE）,relative RMSE（%RMSE）,bias,and relative bias（%bias） criteria.The best model was selected for use as the base mixed-effects model.Random parameters for test plots were estimated with different tree selection options.Results show that the Chapman–Richards model had better predictive ability in terms of adj R^2（0.81）,RMSE（3.7 m）,%RMSE（12.9）,bias（0.8）,%Bias（2.79） than the other models.Furthermore,the calibration response,based on a selection of four trees from the sample plots,resulted in a reduction percentage for bias and RMSE of about 1.6–2.7%.Our results indicate that the calibrated model produced the most accurate results.展开更多
Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outc...Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.展开更多
Objective:The objective of this study was to assess the prevalence and level of social media addiction among nursing students in the Faculty of Nursing,Cairo University.Materials and Methods:A descriptive cross‑sectio...Objective:The objective of this study was to assess the prevalence and level of social media addiction among nursing students in the Faculty of Nursing,Cairo University.Materials and Methods:A descriptive cross‑sectional research design was conducted on samples of 340 students at the Faculty of Nursing,Cairo University.Data were collected through demographic background information sheet and Social Networking Addiction Scale.Results:All the students were addicted as 6.76%were severely addicted and 60.59%and 32.65%were moderately and mildly addicted,respectively.Significant relations were found between social media addiction and students’age(χ^(2)=11.331,P=0.003),educational level(χ^(2)=20.239,P=0.003),and grade point average(χ^(2)=19.378,P=0.013).Conclusion:Internet addiction was prevalent among all students but at different levels,so early screening of students for Internet addiction using the Internet Addiction Scale is important to provide early treatment and prevent hazards to health.展开更多
Cupping （Hijama in Arabic） is an ancient, holistic method for the treatment of a variety of diseases. Though the exact origin of cupping therapy is a matter of controversy, its use has been documented in early Egypt...Cupping （Hijama in Arabic） is an ancient, holistic method for the treatment of a variety of diseases. Though the exact origin of cupping therapy is a matter of controversy, its use has been documented in early Egyptian and Chinese medical practices. Diverse human civilizations have contributed to the historical development and continuation of cupping therapy. This narrative review describes the history of cupping, historical definitions, cupping instruments and uses of cupping therapy. Electronic searches of relevant databases （PubMed, Google Scholar and OvidSP） were conducted using keywords and Boolean operators. Manual searches and references of published articles and books were also conducted. A number of articles （N = 625） were retained for extensive review, and finally 83 articles were included in this paper. The historical descriptions of cupping therapy were found in ancient human civilizations of the Eastern and Western world. There were inconsistent data concerning the origin of cupping, definitions, instruments, procedures, definite advancements and research in Hijama over centuries. Cupping therapy fell out of favor in 17th and mid-18th centuries but recovered popularity in modem medicine. Currently, cupping therapy is used for health promotion, prophylaxis and treatment of a variety of diseases around the world. Cupping therapy with a good safety profile has a checkered history and is a well-recognized traditional method for managing medical conditions. Currently, the scope of cupping therapy is expanding, and a growing body of research is providing additional evidence-based data for the further advancement of cupping therapy in the treatment of a variety of diseases.展开更多
Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Ma...Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Materials and Methods:A convenience sample of 350 internship nursing students from Cairo University Faculty of Nursing participated in the study.Data were collected using a set of comprehensive tools,including personal data and work experience assessment,the Hartford geriatric nurse competency tool,Kogan’s attitudes toward old people scale,and the modified elderly patient care inventory.Results:Descriptive analysis revealed balanced gender representation,with 60%identifying as female.Seventy percent of participants reported prior experience in gerontological care.Self-assessed competency scores indicated moderate proficiency in communication,physiological changes,and functional status assessment.Areas such as pain management and restraint use demonstrated potential gaps in self-perceived skills.Attitudes toward older individuals were predominantly positive,and the willingness to provide care showed positive tendencies,with a minor degree of hesitation noted.Conclusion:The findings underscore the need for targeted interventions in nursing education to address competency gaps,enhance positive attitudes,and alleviate potential hesitations in caregiving for older individuals.As the elderly population continues to grow,nursing education programs must prepare future practitioners to deliver comprehensive and compassionate care tailored to the unique needs of older adults.展开更多
Cotton(Gossypium spp.) yield is reduced by stress. In this study, high temperature(HT) suppressed the expression of the jasmonic acid(JA) biosynthesis gene allene oxide cyclase 2(GhAOC2), reducing JA content and causi...Cotton(Gossypium spp.) yield is reduced by stress. In this study, high temperature(HT) suppressed the expression of the jasmonic acid(JA) biosynthesis gene allene oxide cyclase 2(GhAOC2), reducing JA content and causing male sterility in the cotton HT-sensitive line H05. Anther sterility was reversed by exogenous application of methyl jasmonate(MeJA) to early buds. To elucidate the role of GhAOC2 in JA biosynthesis and identify its putative contribution to the anther response to HT, we created gene knockout cotton plants using the CRISPR/Cas9 system. Ghaoc2 mutant lines showed male-sterile flowers with reduced JA content in the anthers at the tetrad stage(TS), tapetum degradation stage(TDS), and anther dehiscence stage(ADS). Exogenous application of MeJA to early mutant buds(containing TS or TDS anthers) rescued the sterile pollen and indehiscent anther phenotypes, while ROS signals were reduced in ADS anthers. We propose that HT downregulates the expression of GhAOC2 in anthers, reducing JA biosynthesis and causing excessive ROS accumulation in anthers, leading to male sterility. These findings suggest exogenous JA application as a strategy for increasing male fertility in cotton under HT.展开更多
Objective:This study aimed to assess the public’s perspectives and the health institutions’readiness for telehealth utilization in Egypt.Methods:A cross-sectional study design was employed,and data were collected fr...Objective:This study aimed to assess the public’s perspectives and the health institutions’readiness for telehealth utilization in Egypt.Methods:A cross-sectional study design was employed,and data were collected from a convenient sample of 800 Egyptian citizens and 26 nursing administrators and information technology personnel from 16 governmental hospitals and 10 private hospitals between January and March 2022.The Egyptian community utilization of telehealth questionnaire and the telemedicine hospital readiness assessment were used to collect the data.Results:The results revealed that 35.1%of the general Egyptian population used telehealth services and 43%expressed willingness to use them in future.As perceived by the general Egyptian population,the most prevalent barriers to telehealth utilization were communication barriers(97.6%),lack of confidence in health professionals(77.6%),technological limitations(72.5%),the need for physical examination(25%),and privacy concerns(10%).Regarding hospital readiness,42%of governmental hospitals were not taking any initiative to implement telehealth services,and 15.4%were at the beginner level,meaning that some steps had been taken.However,the hospital was still far from being able to implement telehealth services.In contrast,private hospitals were either at the beginner or advanced level.Conclusion:Although the use of telehealth services in Egypt has increased,there is a need to address the barriers to public utilization and improve hospitals’readiness to implement telehealth services to enhance public usage.展开更多
The objectives of this investigation are to study nitrogen uptake,translocation,accumulation and distribution in mango tree organs using labeled nitrogen(^(15)N)and to understand the mechanism of boron action in incre...The objectives of this investigation are to study nitrogen uptake,translocation,accumulation and distribution in mango tree organs using labeled nitrogen(^(15)N)and to understand the mechanism of boron action in increasing fruit yield in the off-year.A field experiment was conducted using fifteen-year-old mango trees(cv.Zebda)grown at Al Malak Valley Farm,El-Sharkeya Governorate-Egypt.Treatments included the application of(^(15)NH4)2SO4,“in the on-year”,at a rate of 50 g nitrogen/tree through the stem injection technique.While boron was sprayed on the same trees“in the off-year”at the following rates:0.0(control),250 and 500 mg·L^(-1).The authors hypothesize that boron and nitrogen act synergistically to increase mango fruit yield in the off-year.Results indicated that the highest ^(15)N uptake and accumulation in the on and off-years was observed in the upper(young leaves).When boron was applied at 250 mg·L^(-1),in the off-year,the upper(young leaves)recorded the highest ^(15)N uptake and accumulation(%^(15)Ndff=13.93)relative to the other two leaf categories and those of the on-year.In the on-year fruit accumulated higher ^(15)N than leaf or bud.In the off-year,bud exhibited the highest ^(15)N accumulation without boron application,while leaves exhibited the highest ^(15)N with boron application.The highest%^(15)Ndff in all tree organs was observed at 250 mg·L^(-1) boron rate.Boron increased nitrogen uptake,translocation and accumulation in mango tree organs.A synergistic relationship was observed between boron and nitrogen which led to an increase in fruit yield in the off-year.展开更多
With the rapid spread of the coronavirus epidemic all over the world,educational and other institutions are heading towards digitization.In the era of digitization,identifying educational e-platform users using ear an...With the rapid spread of the coronavirus epidemic all over the world,educational and other institutions are heading towards digitization.In the era of digitization,identifying educational e-platform users using ear and iris based multi-modal biometric systems constitutes an urgent and interesting research topic to pre-serve enterprise security,particularly with wearing a face mask as a precaution against the new coronavirus epidemic.This study proposes a multimodal system based on ear and iris biometrics at the feature fusion level to identify students in electronic examinations(E-exams)during the COVID-19 pandemic.The proposed system comprises four steps.Thefirst step is image preprocessing,which includes enhancing,segmenting,and extracting the regions of interest.The second step is feature extraction,where the Haralick texture and shape methods are used to extract the features of ear images,whereas Tamura texture and color histogram methods are used to extract the features of iris images.The third step is feature fusion,where the extracted features of the ear and iris images are combined into one sequential fused vector.The fourth step is the matching,which is executed using the City Block Dis-tance(CTB)for student identification.Thefindings of the study indicate that the system’s recognition accuracy is 97%,with a 2%False Acceptance Rate(FAR),a 4%False Rejection Rate(FRR),a 94%Correct Recognition Rate(CRR),and a 96%Genuine Acceptance Rate(GAR).In addition,the proposed recognition sys-tem achieved higher accuracy than other related systems.展开更多
Introduction: Pyogenic spondylodiscitis is a rare and severe complication of laparoscopic Sacro-Hysteropexy with a polypropylene mesh. The proper and early diagnosis following by medical treatment, if not responding, ...Introduction: Pyogenic spondylodiscitis is a rare and severe complication of laparoscopic Sacro-Hysteropexy with a polypropylene mesh. The proper and early diagnosis following by medical treatment, if not responding, so we shift to surgical approach is very important to prevent irreversible complications. Case Presentation: A female patient 32 years old admitted to our Gyne-Oncology unit in El-Galaa Maternity Teaching Hospital, in Jan 2022 with a significant weakness in both lower limbs up to complete paralysis, by history she has done a laparoscopic Hystero-Sacro-Pexy with synthetic polypropylene mesh 2 weeks ago, all investigations were normal except WBCs was 14,000 and CRP was 28, MRI Finding was an Encysted collection likely seroma at sacral promontory 4 × 3 cm, surgical removal of the mesh was done, the mesh related to the sacrum was severely infected and pus formation was noticed, 4 hours after the operation there was a Dramatic response and complete resolution of symptoms within few days. Conclusion: Because of the rarity of this complication in the literature, Spondylodiscitis awareness of symptoms, timely diagnosis, and treatment including surgical removal of synthetic mesh after Sacro-Pexy are fundamental to prevent irreversible complications.展开更多
A numerical study of partial slip boundary condition is investigated. The stagnation-point flow problem involving some physio-chemical parameters has been elucidated. The process involves developing a multivariate mat...A numerical study of partial slip boundary condition is investigated. The stagnation-point flow problem involving some physio-chemical parameters has been elucidated. The process involves developing a multivariate mathematical model for the flow and transforming it into a coupled univariate equation. Key parameters of interest in the study are the buoyancy force, the surface stretching, the unsteadiness, the radiation, the dissipation effects, the slip effects, the species reaction and the magnetic field parameters. It is concluded that the impact of physio-chemical factors significantly alters the kinematics of the flow in order to optimally achieve desired product characteristics.展开更多
文摘A low carbon Nb-Ti microalloyed steel was subjected to hot torsion testing over the temperature range 850-1100℃ and strain rates 0.01-1 s-1 to study the influence of deformation conditions on the dynamic recrystallization characteristics of austenite. The results show that dynamic recrystallization occurs more easily with the decrease of strain rate and the increase of deformation temperature. The complete dynamically recrystallized grain size as a function of Zener-Hollomon parameter was established. It was found that dynamically recrystallized grain sizes decrease with increasing strain rate and decreasing deformation temperature. The effect of microalloying elements on peak strain was investigated and the solute drag corrected peak strain was determined. Also, the dynamic recrystallization map of austenite was obtained by using recrystallization critical parameters.
文摘background While diffuse atherosclerotic disease affecting the posterior circulation has been described extensively,the prevalence,natural history and angiographic characteristics of isolated symptomatic basilar artery stenosis(ISBAS)remain unknown.Methods We reviewed our prospective institutional database to identify patients with≥50% symptomatic basilar artery(BA)stenosis without significant atherosclerotic burden in the vertebral or posterior cerebral arteries.Stroke mechanism,collateral circulation,and degree and length of stenosis were analysed.The primary outcome was time from index event to new transient ischaemic attack(TIA),acute ischaemic stroke(AIS)or death.Other outcome variables included modified Rankin Scale(mRS)score on discharge and last follow-up.results Of 6369 patients with AIS/TIA,91(1.43%)had ISBAS.Seventy-three(80.2%)patients presented with AIS and 18(19.8%)with TIA.Twenty-nine(31.9%)were women and the median age was 66.8±13.6 years.The mean follow-up time was 2.7 years.The most common stroke mechanism was artery-to artery thromboembolism(45.2%),followed by perforator occlusion(28.7%)and flow-dependent/hypoperfusion(15.1%).The percentage of stenosis was lower in patients who had favourable outcome compared with those with mRS 3-6 on discharge(78.3±14.3 vs 86.9±14.5,p=0.007).Kaplan-Meier curves showed higher recurrence/death rates in patients with≥80% stenosis,mid-basilar location and poor collateral circulation.Approximately 13% of patients with ISBAS presented with complete BA occlusion.Conclusion ISBAS is an uncommon(1.43%)cause of TIA and AIS.Men in their 60s are mostly affected,and artery-to artery embolism is the most common stroke mechanism.Mid-basilar location,≥80% stenosis and poor collateral circulation are important factors associated with worse prognosis.
文摘A combination of extrusion and equal channel angular pressing （ECAP） was used to deform a plain low carbon steel. This process consists of two successive deformations by extrusion and ECAP in a single die （Ex-ECAP）. Cylindrical samples were heated to predefined temperatures （650 and 850 ℃） and then pressed through a die channel with crosshead speed of 10 mm/s. Microstructure and resultant mechanical properties of processed material were studied. The results showed that pressing temperature has a significant effect on the resultant microstructure. While at 650 ℃, the cold worked structure with elongated ferrite grains were obtained, and at 850 ℃ the microstructure consisted of elongated ferrite grains and very fine grains at their boundaries as a consequence of continuous dynamic recrystallization （CDRX） of ferrite phase. Also at 850 ℃, a particular microstructure consisted of cold worked ferrite and static recrystallized grains on shear bands was obtained.
文摘The importance of this study is to identify the newly reordered and recognized basaltic intrusion for the first time in Maasser El Chouf in Lebanon. The recorded basaltic intrusion cut the Jurassic-Lower Cretaceous rock in this area. Necessary field inspection, geology, mineralogy and chemical tests were carried out on 8 basalt samples to determine their mineralogy, petrography and chemical composition. Representative samples have been tested with polarizing microscope, X-ray diffraction (XRD) and X-ray fluorescence (XRF). Petrographic and mineralogical studies show that the basalt is characterized by presence mainly of calcic-plagioclase feldspar, pyroxene-augite and olivine minerals. Secondary minerals of iron oxides also present (ilmenite and magnetite). The most appeared property is the alteration of olivine mineral to iddingsite that indicated highly weathered process. The composition of the basaltic samples reflects ultrabasic-basic type (Basanite-Tholeiitic basalt). The existence of volcanic activity occurred mostly with Pliocene age (< 2 Ma) as indicated by previous studies for similar basalt in Lebanon. Possibly, these boulders have been carried up from some deeper intrusive magmatic body under very active tension zones. Volcanism of Lebanon basalts belong to the alkaline olivine basalt, suite generally associated with tension, rifting and block faulting movements of the continental crust. Most of the volcanisms in Lebanon and in Harrat Ash Shaam Basalt from Syria and Palestine through Jordan to Saudi Arabia are related and connected to the opening of the Red Sea Rift System, making the area with tremendous volcanic tectonic activities.
文摘This study employs mathematical modeling to analyze the impact of active immigrants on Foot and Mouth Disease (FMD) transmission dynamics. We calculate the reproduction number (R<sub>0</sub>) using the next-generation matrix approach. Applying the Routh-Hurwitz Criterion, we establish that the Disease-Free Equilibrium (DFE) point achieves local asymptotic stability when R<sub>0</sub> α<sub>1</sub> and α<sub>2</sub>) are closely associated with reduced susceptibility in animal populations, underscoring the link between immigrants and susceptibility. Furthermore, our findings emphasize the interplay of disease introduction with population response and adaptation, particularly involving incoming infectious immigrants. Swift interventions are vital due to the limited potential for disease establishment and rapid susceptibility decline. This study offers crucial insights into the complexities of FMD transmission with active immigrants, informing effective disease management strategies.
基金This work was made possible by NPRP grant 5-044-2-016 from Qatar National Research Fund(a member of Qatar Foundation).
文摘Measuring acoustic emission(AE)of partial discharge(PD)phenomena can be adopted to estimate the condition of power transformers.However,the environmental noise encountered with AE of PD measurements negatively affects the accuracy of PD localisation and classification.Thus,efficient signal denoising techniques are required for noise suppression and hence,better detection accuracy.This study deals with white noise and it is a continuation of a previously published work that deals with random noise.The published work addresses the random noise suppression using a method named,power spectral subtraction denoising(PSSD).This study applies PSSD to the PD signals contaminated with white noise and uses a novel scheme of noise power spectrum density estimation.Multiple types of AE signals are examined including signals produced by corona,surface,parallel,and void PDs.Synthetic and real data demonstrate the superiority of the proposed method over the wavelet shrinkage denoising method as it can more effectively eliminate white noise and preserve signals of low signal-to-noise ratio.
基金Centre for Advance Studies in Agricultural Food Security and Punjab Agricultural Research Board for providing funds under CAS-PARB project(No.964).
文摘Background Cotton is a strategically important fibre crop for global textile industry.It profoundly impacts several countries’industrial and agricultural sectors.Sustainable cotton production is continuously threatened by the unpre-dictable changes in climate,specifically high temperatures.Breeding heat-tolerant,high-yielding cotton cultivars with wide adaptability to be grown in the regions with rising temperatures is one of the primary objectives of modern cotton breeding programmes.Therefore,the main objective of the current study is to figure out the effective breed-ing approach to imparting heat tolerance as well as the judicious utilization of commercially significant and stress-tolerant attributes in cotton breeding.Initially,the two most notable heat-susceptible(FH-115 and NIAB Kiran)and tolerant(IUB-13 and GH-Mubarak)cotton cultivars were spotted to develop filial and backcross populations to accom-plish the preceding study objectives.The heat tolerant cultivars were screened on the basis of various morphological(seed cotton yield per plant,ginning turnout percentage),physiological(pollen viability,cell membrane thermostabil-ity)and biochemical(peroxidase activity,proline content,hydrogen peroxide content)parameters.Results The results clearly exhibited that heat stress consequently had a detrimental impact on every studied plant trait,as revealed by the ability of crossing and their backcross populations to tolerate high temperatures.However,when considering overall yield,biochemical,and physiological traits,the IUB-13×FH-115 cross went over particularly well at both normal and high temperature conditions.Moreover,overall seed cotton yield per plant exhibited a posi-tive correlation with both pollen viability and antioxidant levels(POD activity and proline content).Conclusions Selection from segregation population and criteria involving pollen viability and antioxidant levels concluded to be an effective strategy for the screening of heat-tolerant cotton germplasms.Therefore,understanding acquired fr
文摘Background SRO(Similar to RCD1)genes family is largely recognized for their importance in the growth,develop-ment,and in responding to environmental stresses.However,genome-wide identification and functional characteri-zation of SRO genes from cotton species have not been reported so far.Results A total of 36 SRO genes were identified from four cotton species.Phylogenetic analysis divided these genes into three groups with distinct structure.Syntenic and chromosomal distribution analysis indicated uneven distribu-tion of GaSRO,GrSRO,GhSRO,and GbSRO genes on A2,D5 genomes,Gh-At,Gh-Dt,Gb-At,and Gb-Dt subgenomes,respectively.Gene duplication analysis revealed the presence of six duplicated gene pairs among GhSRO genes.In promoter analysis,several elements responsive to the growth,development and hormones were found in GhSRO genes,implying gene induction during cotton growth and development.Several miRNAs responsive to plant growth and abiotic stress were predicted to target 12 GhSRO genes.Organ-specific expression profiling demonstrated the roles of GhSRO genes in one or more tissues.In addition,specific expression pattern of some GhSRO genes dur-ing ovule development depicted their involvement in these developmental processes.Conclusion The data presented in this report laid a foundation for understanding the classification and functions of SRO genes in cotton.
文摘Objective:This study aimed to evaluate the effects of foot reflexology on fatigue and sleep quality in school-aged children receiving hemodialysis.Methods:A quasi-experimental pretest-posttest design was utilized.Thirty children of ages 6-12 undergoing in-center hemodialysis were recruited.The Pittsburgh Sleep Quality Index(PSQI)and Inventory of Fatigue Symptom(IFS)scales were administered at baseline.Participants then received 30 min of foot reflexology massage before hemodialysis sessions 3 days per week for 12 weeks.Posttest administration of the sleep and fatigue scales occurred after the intervention period.Results:Reflexology massage led to significant improvements in sleep quality components,including duration(0%-30%normal sleepers),efficiency(0%-50%>85%),latency(50%-0%>60 min),disturbances,and daytime dysfunction.The mean PSQI score decreased from 18.2 to 9.7(P<0.05).Fatigue severity substantially decreased,with the mean IFS score improving from 105.7 to 64.1(P<0.05).Conclusion:Foot reflexology is an effective nursing intervention for reducing fatigue and improving sleep quality in children on hemodialysis,warranting integration into routine care.
基金This research received no specific grant from any funding agency in the public,commercial,or not-for-profit sectors
文摘Height–diameter relationships are essential elements of forest assessment and modeling efforts.In this work,two linear and eighteen nonlinear height–diameter equations were evaluated to find a local model for Oriental beech（Fagus orientalis Lipsky） in the Hyrcanian Forest in Iran.The predictive performance of these models was first assessed by different evaluation criteria： adjusted R^2（R^2_（adj））,root mean square error（RMSE）,relative RMSE（%RMSE）,bias,and relative bias（%bias） criteria.The best model was selected for use as the base mixed-effects model.Random parameters for test plots were estimated with different tree selection options.Results show that the Chapman–Richards model had better predictive ability in terms of adj R^2（0.81）,RMSE（3.7 m）,%RMSE（12.9）,bias（0.8）,%Bias（2.79） than the other models.Furthermore,the calibration response,based on a selection of four trees from the sample plots,resulted in a reduction percentage for bias and RMSE of about 1.6–2.7%.Our results indicate that the calibrated model produced the most accurate results.
文摘Objective:Rheumatoid arthritis(RA)requires comprehensive management.Structured nursing protocols may enhance outcomes,but evidence is limited.This study evaluated the effect of a structured nursing protocol on RA outcomes.Materials and Methods:In this one-group pre-post study,30 Egyptian RA patients completed assessments before and after a 12-week nursing protocol comprising education,psychosocial support,and self-management promotion.Assessments included clinical evaluation of joint counts,erythrocyte sedimentation rate(ESR),and C-reactive protein(CRP)and patient-reported Arthritis Self-Efficacy Scale(ASES),Health Assessment Questionnaire(HAQ),Visual Analog Scale(VAS)for pain,and Hospital Anxiety and Depression Scale(HADS).Results:The study demonstrated significant improvements in both clinical-and patient-reported outcomes.Joint count decreased from 18.4±4.2 to 14.2±3.8(P<0.001),ESR from 30.1±6.8 mm/h to 25.5±6.8 mm/h(P<0.01),and CRP levels from 15.2±3.6 mg/L to 11.8±2.9 mg/L(P<0.01)postintervention.Patient-reported outcomes showed a marked increase in ASES score from 140±25 to 170±30(P<0.001)and reductions in HAQ from 1.6±0.4 to 1.3±0.3(P<0.01),VAS pain score from 7.8±1.7 to 6.2±1.2(P<0.001),and HADS anxiety and depression scores from 11±3 to 8±2(P<0.05)and 10±2 to 7±1(P<0.05),respectively.Conclusion:A structured nursing protocol significantly improved clinical disease activity,physical functioning,pain,self-efficacy,and emotional well-being in RA patients.A multifaceted nursing intervention appears beneficial for optimizing RA outcomes.
文摘Objective:The objective of this study was to assess the prevalence and level of social media addiction among nursing students in the Faculty of Nursing,Cairo University.Materials and Methods:A descriptive cross‑sectional research design was conducted on samples of 340 students at the Faculty of Nursing,Cairo University.Data were collected through demographic background information sheet and Social Networking Addiction Scale.Results:All the students were addicted as 6.76%were severely addicted and 60.59%and 32.65%were moderately and mildly addicted,respectively.Significant relations were found between social media addiction and students’age(χ^(2)=11.331,P=0.003),educational level(χ^(2)=20.239,P=0.003),and grade point average(χ^(2)=19.378,P=0.013).Conclusion:Internet addiction was prevalent among all students but at different levels,so early screening of students for Internet addiction using the Internet Addiction Scale is important to provide early treatment and prevent hazards to health.
文摘Cupping （Hijama in Arabic） is an ancient, holistic method for the treatment of a variety of diseases. Though the exact origin of cupping therapy is a matter of controversy, its use has been documented in early Egyptian and Chinese medical practices. Diverse human civilizations have contributed to the historical development and continuation of cupping therapy. This narrative review describes the history of cupping, historical definitions, cupping instruments and uses of cupping therapy. Electronic searches of relevant databases （PubMed, Google Scholar and OvidSP） were conducted using keywords and Boolean operators. Manual searches and references of published articles and books were also conducted. A number of articles （N = 625） were retained for extensive review, and finally 83 articles were included in this paper. The historical descriptions of cupping therapy were found in ancient human civilizations of the Eastern and Western world. There were inconsistent data concerning the origin of cupping, definitions, instruments, procedures, definite advancements and research in Hijama over centuries. Cupping therapy fell out of favor in 17th and mid-18th centuries but recovered popularity in modem medicine. Currently, cupping therapy is used for health promotion, prophylaxis and treatment of a variety of diseases around the world. Cupping therapy with a good safety profile has a checkered history and is a well-recognized traditional method for managing medical conditions. Currently, the scope of cupping therapy is expanding, and a growing body of research is providing additional evidence-based data for the further advancement of cupping therapy in the treatment of a variety of diseases.
文摘Objective:This research study explores the perceptions of gerontological nursing competencies,attitudes toward older individuals,and the willingness to provide care for the elderly among internship nursing students.Materials and Methods:A convenience sample of 350 internship nursing students from Cairo University Faculty of Nursing participated in the study.Data were collected using a set of comprehensive tools,including personal data and work experience assessment,the Hartford geriatric nurse competency tool,Kogan’s attitudes toward old people scale,and the modified elderly patient care inventory.Results:Descriptive analysis revealed balanced gender representation,with 60%identifying as female.Seventy percent of participants reported prior experience in gerontological care.Self-assessed competency scores indicated moderate proficiency in communication,physiological changes,and functional status assessment.Areas such as pain management and restraint use demonstrated potential gaps in self-perceived skills.Attitudes toward older individuals were predominantly positive,and the willingness to provide care showed positive tendencies,with a minor degree of hesitation noted.Conclusion:The findings underscore the need for targeted interventions in nursing education to address competency gaps,enhance positive attitudes,and alleviate potential hesitations in caregiving for older individuals.As the elderly population continues to grow,nursing education programs must prepare future practitioners to deliver comprehensive and compassionate care tailored to the unique needs of older adults.
基金funding support from the National Natural Science Foundation of China (32072024)the Fundamental Research Funds for the Central Universities (2021ZKPY019)the National Key Research and Development Program of China (2018YFD0100403, 2016YFD0101402)。
文摘Cotton(Gossypium spp.) yield is reduced by stress. In this study, high temperature(HT) suppressed the expression of the jasmonic acid(JA) biosynthesis gene allene oxide cyclase 2(GhAOC2), reducing JA content and causing male sterility in the cotton HT-sensitive line H05. Anther sterility was reversed by exogenous application of methyl jasmonate(MeJA) to early buds. To elucidate the role of GhAOC2 in JA biosynthesis and identify its putative contribution to the anther response to HT, we created gene knockout cotton plants using the CRISPR/Cas9 system. Ghaoc2 mutant lines showed male-sterile flowers with reduced JA content in the anthers at the tetrad stage(TS), tapetum degradation stage(TDS), and anther dehiscence stage(ADS). Exogenous application of MeJA to early mutant buds(containing TS or TDS anthers) rescued the sterile pollen and indehiscent anther phenotypes, while ROS signals were reduced in ADS anthers. We propose that HT downregulates the expression of GhAOC2 in anthers, reducing JA biosynthesis and causing excessive ROS accumulation in anthers, leading to male sterility. These findings suggest exogenous JA application as a strategy for increasing male fertility in cotton under HT.
文摘Objective:This study aimed to assess the public’s perspectives and the health institutions’readiness for telehealth utilization in Egypt.Methods:A cross-sectional study design was employed,and data were collected from a convenient sample of 800 Egyptian citizens and 26 nursing administrators and information technology personnel from 16 governmental hospitals and 10 private hospitals between January and March 2022.The Egyptian community utilization of telehealth questionnaire and the telemedicine hospital readiness assessment were used to collect the data.Results:The results revealed that 35.1%of the general Egyptian population used telehealth services and 43%expressed willingness to use them in future.As perceived by the general Egyptian population,the most prevalent barriers to telehealth utilization were communication barriers(97.6%),lack of confidence in health professionals(77.6%),technological limitations(72.5%),the need for physical examination(25%),and privacy concerns(10%).Regarding hospital readiness,42%of governmental hospitals were not taking any initiative to implement telehealth services,and 15.4%were at the beginner level,meaning that some steps had been taken.However,the hospital was still far from being able to implement telehealth services.In contrast,private hospitals were either at the beginner or advanced level.Conclusion:Although the use of telehealth services in Egypt has increased,there is a need to address the barriers to public utilization and improve hospitals’readiness to implement telehealth services to enhance public usage.
文摘The objectives of this investigation are to study nitrogen uptake,translocation,accumulation and distribution in mango tree organs using labeled nitrogen(^(15)N)and to understand the mechanism of boron action in increasing fruit yield in the off-year.A field experiment was conducted using fifteen-year-old mango trees(cv.Zebda)grown at Al Malak Valley Farm,El-Sharkeya Governorate-Egypt.Treatments included the application of(^(15)NH4)2SO4,“in the on-year”,at a rate of 50 g nitrogen/tree through the stem injection technique.While boron was sprayed on the same trees“in the off-year”at the following rates:0.0(control),250 and 500 mg·L^(-1).The authors hypothesize that boron and nitrogen act synergistically to increase mango fruit yield in the off-year.Results indicated that the highest ^(15)N uptake and accumulation in the on and off-years was observed in the upper(young leaves).When boron was applied at 250 mg·L^(-1),in the off-year,the upper(young leaves)recorded the highest ^(15)N uptake and accumulation(%^(15)Ndff=13.93)relative to the other two leaf categories and those of the on-year.In the on-year fruit accumulated higher ^(15)N than leaf or bud.In the off-year,bud exhibited the highest ^(15)N accumulation without boron application,while leaves exhibited the highest ^(15)N with boron application.The highest%^(15)Ndff in all tree organs was observed at 250 mg·L^(-1) boron rate.Boron increased nitrogen uptake,translocation and accumulation in mango tree organs.A synergistic relationship was observed between boron and nitrogen which led to an increase in fruit yield in the off-year.
文摘With the rapid spread of the coronavirus epidemic all over the world,educational and other institutions are heading towards digitization.In the era of digitization,identifying educational e-platform users using ear and iris based multi-modal biometric systems constitutes an urgent and interesting research topic to pre-serve enterprise security,particularly with wearing a face mask as a precaution against the new coronavirus epidemic.This study proposes a multimodal system based on ear and iris biometrics at the feature fusion level to identify students in electronic examinations(E-exams)during the COVID-19 pandemic.The proposed system comprises four steps.Thefirst step is image preprocessing,which includes enhancing,segmenting,and extracting the regions of interest.The second step is feature extraction,where the Haralick texture and shape methods are used to extract the features of ear images,whereas Tamura texture and color histogram methods are used to extract the features of iris images.The third step is feature fusion,where the extracted features of the ear and iris images are combined into one sequential fused vector.The fourth step is the matching,which is executed using the City Block Dis-tance(CTB)for student identification.Thefindings of the study indicate that the system’s recognition accuracy is 97%,with a 2%False Acceptance Rate(FAR),a 4%False Rejection Rate(FRR),a 94%Correct Recognition Rate(CRR),and a 96%Genuine Acceptance Rate(GAR).In addition,the proposed recognition sys-tem achieved higher accuracy than other related systems.
文摘Introduction: Pyogenic spondylodiscitis is a rare and severe complication of laparoscopic Sacro-Hysteropexy with a polypropylene mesh. The proper and early diagnosis following by medical treatment, if not responding, so we shift to surgical approach is very important to prevent irreversible complications. Case Presentation: A female patient 32 years old admitted to our Gyne-Oncology unit in El-Galaa Maternity Teaching Hospital, in Jan 2022 with a significant weakness in both lower limbs up to complete paralysis, by history she has done a laparoscopic Hystero-Sacro-Pexy with synthetic polypropylene mesh 2 weeks ago, all investigations were normal except WBCs was 14,000 and CRP was 28, MRI Finding was an Encysted collection likely seroma at sacral promontory 4 × 3 cm, surgical removal of the mesh was done, the mesh related to the sacrum was severely infected and pus formation was noticed, 4 hours after the operation there was a Dramatic response and complete resolution of symptoms within few days. Conclusion: Because of the rarity of this complication in the literature, Spondylodiscitis awareness of symptoms, timely diagnosis, and treatment including surgical removal of synthetic mesh after Sacro-Pexy are fundamental to prevent irreversible complications.
文摘A numerical study of partial slip boundary condition is investigated. The stagnation-point flow problem involving some physio-chemical parameters has been elucidated. The process involves developing a multivariate mathematical model for the flow and transforming it into a coupled univariate equation. Key parameters of interest in the study are the buoyancy force, the surface stretching, the unsteadiness, the radiation, the dissipation effects, the slip effects, the species reaction and the magnetic field parameters. It is concluded that the impact of physio-chemical factors significantly alters the kinematics of the flow in order to optimally achieve desired product characteristics.
