The Role of Small and Medium Enterprises in Achieving Economic Goals of the Vision of Saudi Arabia 2030

Mohammed Ali Mohamed Ahmed ALI(Mohammed Ali Mohamed Ahmed ALI ),Ahmed Saied Rahama ABDALLAH(Ahmed Saied Rahama ABDALLAH ),SalimAhmed Mohamed AlSHEHRI(SalimAhmed Mohamed AlSHEHRI ) 한국유통과학회 2023 The Journal of Asian Finance, Economics and Busine Vol.10 No.2

This research aims to identify the role that small and medium enterprises (SMEs) can play in achieving the economic goals of the vision of Saudi Arabia 2030. The study relied on descriptive analysis, designing a standard model, and analyzing it using the Eviews9 program. The study also adopted the questionnaire as a tool for data collection. The study area covered Alkharj and Hawtat Bani Tamim governorates. The sample size of the study was 142 participants. The study’s results confirmed the existence of a significant impact of changes in independent variables (X1, X2, X3, X4), which are (GDP, non-oil exports, number of employees, and public revenues), respectively. The dependent variable (Y) represents the number of small and medium-sized businesses in the Kingdom of Saudi Arabia. Additionally, it was found that 61.3% of small and medium-sized enterprises in the governorates of Al-Kharj and Hawtat Bani Tamim operate in the commercial sector. Most study participants concur that SMEs significantly lowered the unemployment rate and helped boost the GDP rate in the Kingdom of Saudi Arabia. The obstacles and difficulties facing the establishment of these enterprises were financial problems, marketing problems, and corporate monopoly. Furthermore, most of the small and medium l enterprises faced financing problems.

A modified trans-anconeus approach to facilitate fixation of a posterior radial head fracture: a cadaveric feasibility study

Ahmed Mohamed Desouky(Ahmed Mohamed Desouky ),Ahmed Naeem Atiyya(Ahmed Naeem Atiyya ),Mohamed Elbishbishi(Mohamed Elbishbishi ),Marwa Mohamed El Sawy(Marwa Mohamed El Sawy ) 대한해부학회 2023 Anatomy & Cell Biology Vol.56 No.1

Fixation of radial head fracture with minimally invasive posterior approach remains a significant challenge. The aim of this study was to determine the feasibility of trans-anconeus posterior elbow approach and to observe lateral ulnar collateral ligament (LUCL) in extended elbows. This cadaveric study was performed in twenty upper limbs of fresh fixed adult male cadavers. An oblique incision was made in the middle segment of anconeus until the lateral ligament complex and the joint capsule had been revealed. A deep dissection was explored to observe the anatomical relationship of the LUCL to the anconeus. Measurements of the LUCL were recorded while the elbow was fully extended. The mean distance between the edge of the radial head and the proximal insertion of the LUCL was 13.3 mm (11.5–16.2 mm); the mean distance between the edge of the radial head and the distal insertion of the LUCL was 20.9 mm (19.2–23.4 mm); the distance between the edge of the radial head and the distal edge of the annular ligament was 11.2 mm (8.22–11.7 mm). By estimate correlation of the previous measurements, the direct and accessible way to expose the posterolateral articular capsule of the elbow joint was through a window in medial 2/3 of the middle segment of anconeus muscle. These trans-anconeus approach is useful. It provides good visualization, facilitates applying the implants, and lessens the risk of radial nerve injury. Awareness of the anatomy is mandatory to avoid injury of LUCL.

Mohamed Mustafa Ahmed Younus: The Impact of the Environment on Child Language Acquisition

( Mohamed Mustafa Ahmed Younus ) 한국외국어대학교 중동연구소 2014 중동연구 Vol.33 No.1

Interested in the subject to study the impact of the environment surrounding the child in language acquisition, where it displays a summary of some of the environmental factors that speed up the acquisition of child language or slow down in it, to confirm that a child - any child - is able to acquire any language of humanity, only that the child live in a society linguist speaks this language, also confirmed that the mother had a significant impact very into it, especially in the early stages of a child, this may be impact positively or negatively on the role of the mother may be a mother too in dealing with her child, which adversely affect the acquisition of her language may be spoiled his impact and one in both of which, it is slow to gain a child`s language, but the ideal mother is doing its part with the child, where mating between the happiness of the child and the educated. The research aims to find the difference between language acquisition and learning. Language acquisition: a spontaneous process is carried out by the child inadvertently or choose, and be in the context of an informal language acquisition and their practice. The learning: it is a process in which the child deliberately optional collection of language in formal dress learns the rules of the language was intended for and awareness of, and directly. The research aims to find out the factors that help the child to language acquisition and development, and the role of environmental factors in the acquisition of language; the child and that he was prepared to acquire any language and has adequate tools to complete this process, as it has the inherent ability to acquire language, and has centers cerebral that qualify for it , and members of pronunciation which actually translate this ability, but it can never, to acquire the language that has the tools in advance, and is qualified to acquire, unless you lived in the linguistic environment enabled him to this acquisition. The research found some of the results of the most important: to prove that there is a difference between language acquisition and learning, and that there are factors that help the child to acquire language and its growth, the most important of the surrounding environment where the children have a significant impact on it.

Pectoral nerve blocks for transvenous subpectoral pacemaker insertion in children: a randomized controlled study

Elhaddad Ahmed Mohamed,Hefnawy Salwa Mohamed,El-Aziz Mohamed Abd,Ebraheem Mahmoud Mostafa,Mohamed Ahmed Kareem 대한마취통증의학회 2023 Korean Journal of Anesthesiology Vol.76 No.5

Background: Postoperative pain management after pacemaker insertion routinely requires opioid agents, nonsteroidal anti-inflammatory drugs, or paracetamol. However, interest in opioid-sparing multimodal pain management to minimize postoperative narcotic use has increased recently. This study aimed to assess the pectoral nerve (PECS) block versus standard treatment on postoperative pain control and opioid consumption in pediatric patients after transvenous subpectoral pacemaker insertion.Method: In this randomized controlled study, 40 pediatric patients underwent transvenous subpectoral pacemaker insertion with either congenital or postoperative complete heart block. Patients were randomly assigned to two groups: Group C (control) received conventional analgesic care without any block and Group P (pectoral) received a PECS block. Demographics, procedural variables, postoperative pain, and postoperative opioid consumption were compared between the two groups.Results: In children undergoing transvenous subpectoral pacemaker insertion, the PECS block was associated with a longer procedure time; however, the cumulative dose of fentanyl and atracurium was reduced and the hemodynamic profile was superior in Group P compared with Group C intraoperatively. Postoperatively, the PECS block was associated with lower postprocedural pain scores, which was reflected by the longer interval before the first call for rescue analgesia and lower postoperative morphine consumption, without an increase in the rate of complications.Conclusion: Ultrasound-guided PECS blocks are associated with a good intraoperative hemodynamic profile, reduced postoperative pain scores, and lower total opioid consumption in children undergoing transvenous subpectoral pacemaker placement.

Interferon-γ and Interleukin-10 Gene Polymorphisms are not Predictors of Chronic Hepatitis C (Genotype-4) Disease Progression

Bahgat, Nermine Ahmed,Kamal, Manal Mohamed,Abdelaziz, Ashraf Omar,Mohye, Mohamed Ahmed,Shousha, Hend Ibrahim,ahmed, Mae Mohamed,Elbaz, Tamer Mahmoud,Nabil, Mohamed Mahmoud Asian Pacific Journal of Cancer Prevention 2015 Asian Pacific journal of cancer prevention Vol.16 No.12

Immunoregulatory cytokines have an influence on hepatitis C virus (HCV) infection outcome. This study aimed to determine whether single nucleotide polymorphisms (SNP) in IFN- ${\gamma}$ and IL-10 genes are associated with susceptibility and/or are markers of prognosis regarding chronic hepatitis C outcomes. IFN ${\gamma}$ (+874T/A) and IL-10 (-1082G/A) genotypes were determined in 75 HCV genotype 4 patients with different disease severities (chronic hepatitis, n=25, liver cirrhosis and hepatocellular carcinoma (HCC) on top of liver cirrhosis, n=50) and 25 healthy participants using allele-specific polymerase chain reaction. No statistical differences in allele or genotype distributions of IFN ${\gamma}$ and IL-10 genes were detected between patients and controls or between patientgroups. No significant difference in the frequency of IL-10 SNP at position -1082 or IFN-${\gamma}$ at position +874T/A was found between chronic HCV genotype 4 and with progression of disease severity in liver cirrhosis or HCC. In conclusion; interferon-${\gamma}$ and interleukin-10 gene polymorphisms are not predictors of disease progression in patients with chronic hepatitis C (Genotype-4).

Sedative, analgesic, behavioral and clinical effects of intravenous nalbuphine-xylazine combination in camels (Camelus dromedarius)

Ahmed H. Khalil,Atef S. Abd Al-Galil,Ahmed A. Sabek,Mohamed M. Zeineldin,Seham Y. Abo-Kora 대한수의학회 2019 Journal of Veterinary Science Vol.20 No.5

This study examined the sedative, analgesic, behavioral, and clinical effects of a combination of xylazine (XY) and nalbuphine-xylazine (NA-XY) in camels. A total of five adult camels were used in a prospective randomized cross-over design with a wash out period of two weeks. Camels were allocated randomly to two treatment groups: the XY group (xylazine, 1.1mL/100 kg IV) and the NA-XY group (xylazine, 1.1mL/100 kg IV and nalbuphine, 1 mg/kg IV). The sedative, analgesic, behavioral, and clinical effects of XY and NA-XY combination were evaluated prior to administration (baseline) and at 5, 15, 30, 45, 60, 75, 90, and 120 minutes post-administration. The results showed that the NA-XY combination accelerates the onset of sedation and analgesia and prolongs the durations of both sedation (p < 0.001) and analgesia (p < 0.01). The behavioral parameters showed higher scores with a NA-XY combination than xylazine alone. Although a XY injection resulted in a significant decline in the heart and respiratory rate, the NA-XY combination group revealed a non-significant change in both clinical parameters compared to the baseline. In conclusion, the use of a NA-XY combination in camels improved the sedative and analgesic onset and duration with an improved outcome in the behavioral scores, as well as in both the heart and respiratory rates compared to XY alone.

Remote Monitoring with Hierarchical Network Architectures for Large-Scale Wind Power Farms

Mohamed A. Ahmed,Minho Song,Jae-Kyung Pan,Young-Chon Kim 대한전기학회 2015 Journal of Electrical Engineering & Technology Vol.10 No.3

As wind power farm (WPF) installations continue to grow, monitoring and controlling large-scale WPFs presents new challenges. In this paper, a hierarchical network architecture is proposed in order to provide remote monitoring and control of large-scale WPFs. The network architecture consists of three levels, including the WPF comprised of wind turbines and meteorological towers, local control center (LCC) responsible for remote monitoring and control of wind turbines, and a central control center (CCC) that offers data collection and aggregation of many WPFs. Different scenarios are considered in order to evaluate the performance of the WPF communications network with its hierarchical architecture. The communications network within the WPF is regarded as the local area network (LAN) while the communication among the LCCs and the CCC happens through a wide area network (WAN). We develop a communications network model based on an OPNET modeler, and the network performance is evaluated with respect to the link bandwidth and the end-to-end delay measured for various applications. As a result, this work contributes to the design of communications networks for large-scale WPFs.

The Effect of using Gamma Titanium RF Electrodes on the Ablation Volume during the Radiofrequency Ablation Process

Mohammed S. Ahmed,Mohamed Tarek El-Wakad,Mohammed A. Hassan International Journal of Computer ScienceNetwork S 2023 International journal of computer science and netw Vol.23 No.2

Radiofrequency ablation (RFA) is an alternative treatment for liver cancer to the surgical intervention preferred by surgeons. However, the main challenge remains the use of RF for the ablation of large tumours (i.e., tumours with a diameter of >3 cm). For large tumours, RFA takes a large duration in the ablation process compared with surgery, which increases patient pain. Therefore, RFA for large tumours is not preferred by surgeons. The currently materials used in RF electrodes, such as the nickeltitanium alloy (nitinol), are characterized by low thermal and electrical conductivities. On the other hand, the use of materials that have high thermal and electrical conductivities, such as titanium aluminide alloy (gamma titanium), produces more thermal energy for tumours. In this paper, we developed a cool-tip RF electrode model that uses nickel-titanium alloy and replaced it with titanium aluminide alloy by using the finite element model (FEM). The aim of this paper is to study the effect of the thermal and electrical conductivities of gamma titanium on the ablation volume. Results showed that the proposed design of the electrode increased the ablation rate by 1 cm³ /minute and 6.3 cm³/10 minutes, with a decrease in the required time ablation. Finally, the proposed model reduces the ablation time and damages healthy tissue while increasing the ablation volume from 22.5% cm³ to 62.5% cm³ in ten minutes compared to recent studies.

Study on the Effect of the Self-Attenuation Coefficient on γ-ray Detector Efficiency Calculated at Low and High Energy Regions

Ahmed. M. El-Khatib,ABOUZEID. A. THABET,MOHAMED. A. ELZAHER,MOHAMED. S. BADAWI,BOHAYSA. A. SALEM 한국원자력학회 2014 Nuclear Engineering and Technology Vol.46 No.2

The present work used the efficiency transfer method used to calculate the full energy peak efficiency (FEPE) curves ofthe (2"*2" & 3"*3") NaI (Tl) detectors based on the effective solid angle subtended between the source and the detector. Thestudy covered the effect of the self attenuation coefficient of the source matrix (with a radius greater than the detector's radius)on the detector efficiency. 152 An Eu aqueous radioactive source covering the energy range from 121.78 keV up to 1408.01keV was used. In this study an empirical formula was deduced to calculate the difference between the measured and thecalculated efficiencies [without self attenuation] at low and high energy regions. A proper balance between the measured andcalculated efficiencies [with self attenuation] was achieved with discrepancies less than 3%, while reaching 39% forcalculating values [without self attenuation] due to working with large sources, or for low photon energies.

Ultrasound-guided transversalis fascia plane block versus transmuscular quadratus lumborum block for post-operative analgesia in inguinal hernia repair

( Ahmed Zaghloul Fouad ),( Iman Riad M. Abdel-aal ),( Mohamed Rabie Mohamed Ali Gadelrab ),( Hany Mohammed El-hadi Shoukat Mohammed ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.2

Background: Inguinal hernia repair is one of the most commonly performed surgical procedures. Regional blocks might provide excellent analgesia and reduce complications in the postoperative period. We aimed to compare the postoperative analgesic effect of the ultrasound-guided transversalis fascia (TF) plane block versus the transmuscular quadratus lumborum (QL) block in patients undergoing unilateral inguinal hernia repair. Methods: Fifty patients enrolled in this comparative study and were randomly assigned into two equal groups. One group received an ultrasound-guided QL block. In comparison, the other group received an ultrasound-guided TF plane block. The primary outcome was the patient-assessed resting, and movement-induced pain on the numeric pain rating scale (NRS) measured at 30 minutes postoperatively. Secondary outcomes included the percentage of patients receiving rescue analgesia in the first postoperative day, ease of performance of the technique, and incidence of adverse effects. Results: There were no statistically significant differences in NRS at rest and with movement between the groups over the first 24 hours postoperatively. The proportion of patients that received postoperative rescue analgesics during the first 30 minutes postoperatively was 4% (n = 1) in the QL group compared to 12% (n = 3) in the TF group. However, the mean performance time of the TF block was shorter than that of the QL block, and the performance of the TF block appeared easier technically. Conclusions: The ultrasound-guided TF plane block could be as effective as the QL block in lowering pain scores and decreasing opioid consumption following nonrecurrent inguinal herniorrhaphy.