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      • SCIESCOPUSKCI등재

        Genetic parameters and principal components analysis of breeding value for birth and weaning weight in Egyptian buffalo

        Salem, Mohamed Mahmoud Ibrahim,Amin, Amin Mohamed Said,Ashour, Ayman Fouad,Ibrahim, Mohamed Mohamed El-said,Abo-Ismail, Mohammed Kotb Asian Australasian Association of Animal Productio 2021 Animal Bioscience Vol.34 No.1

        Objective: The objectives of the current study were to study the main environmental factors affecting birth weight (BW) and weaning weight (WW), estimate variance components, genetic parameters and genetic trend and to evaluate the variability and relationships among breeding value of BW and WW using principal components analysis (PCA). Methods: A total of 16,370 records were collected from 8,271 buffalo calves. Genetic parameters and breeding values were estimated using a bivariate animal model which includes direct, maternal and permanent maternal effects. These estimates were standardized and used in PCA. Results: The direct heritability estimates were 0.06 and 0.41 for BW and WW, respectively whereas direct maternal heritability values were 0.03 and 0.14, respectively. Proportions of variance due to permanent environmental effects of dam were 0.455 and 0.280 for BW and WW respectively. The genetic correlation between BW and WWs was weak approaching zero, but the maternal correlation was 0.26. The first two principal components (PC1 and PC2) were estimated utilizing the standardized breeding values according to Kaiser method. The total variance explained by the first two PCs was 71.17% in which 45.91% and 25.25% were explained by PC1 and PC2, respectively. The direct breeding values of BW were related to PC2 but those of WW and maternal breeding values of BW and WWs were associated with PC1. Conclusion: The results of genetic parameters and PCA indicate that BW and WWs were not genetically correlated and improving growth traits of Egyptian buffaloes could be achieved using WW without any adverse effect by BW.

      • KCI등재

        A survey of methods for brain tumor segmentation-based MRI images

        Mohammed Yahya M A,El Garouani Said,Jellouli Ismail 한국CDE학회 2023 Journal of computational design and engineering Vol.10 No.1

        Brain imaging techniques play an important role in determining the causes of brain cell injury. Therefore, earlier diagnosis of these diseases can be led to give rise to bring huge benefits in improving treatment possibilities and avoiding any potential complications that may occur to the patient. Recently, brain tumor segmentation has become a common task in medical image analysis due to its efficacy in diagnosing the type, size, and location of the tumor in automatic methods. Several researchers have developed new methods in order to obtain the best results in brain tumor segmentation, including using deep learning techniques such as the convolutional neural network (CNN). The goal of this survey is to present a brief overview of magnetic resonance imaging (MRI) modalities and discuss common methods of brain tumor segmentation from MRI images, including brain tumor segmentation using deep learning techniques, as well as the most important contributions in this field, which have shown significant improvements in recent years. Finally, we focused in summary on the building blocks of the CNN algorithms used for image segmentation. In entire survey methodology, it has been observed that hybrid techniques and CNN-based segmentation are more effective for brain tumor segmentation from MRI images.

      • KCI등재

        Dexamethasone alone versus in combination with intra-operative super-hydration for postoperative nausea and vomiting prophylaxis in female patients undergoing laparoscopic cholecystectomy: a randomized clinical trial

        Eman A. Ismail,Sayed Kaoud Abd-Elshafy,Mohamed H. Bakri 대한마취통증의학회 2017 Korean Journal of Anesthesiology Vol.70 No.5

        Background: Dexamethasone has a prophylactic effect on postoperative nausea and vomiting (PONV) and perioperative hydration is believed to play a role in PONV prophylaxis. This study was performed to examine the combined effects of pre-induction dexamethasone plus super-hydration on PONV and pain following laparoscopic cholecystectomy (LC). Methods: A total of 100 female patients undergoing LC were enrolled and randomized equally into two groups. Group DF received 5 mg dexamethasone (pre-induction) plus 30 ml/kg Ringer’s lactate (intraoperative) and group D received 5 mg dexamethasone (pre-induction) alone. Anesthetic and surgical managements were standardized for all patients. The incidence and severity of PONV, and intra and post-operative analgesic and postoperative antiemetic consumption, were assessed during the first 24 h postoperatively. Post-anesthesia care unit (PACU) stay and aggregated 24 h pain scores were calculated. Results: Group DF had significantly lower PONV than group D (P = 0.03). The number of patients with the lowest PONV score was significantly increased in group DF (P = 0.03). Ondansetron consumption was significantly lower in group DF (P < 0.0001). The mean accumulated 24 h pain scores were significantly lower in group DF compared to group D (P < 0.0001). The time to first analgesic request was significantly longer in group DF than group D (P < 0.0001). In addition, total meperidine consumption during the first postoperative 24 h was significantly lower in group DF than group D (P = 0.002). Conclusions: In female patients undergoing LC, pre-induction with 5 mg dexamethasone plus intraoperative 30 ml/kg Ringer’s lactate solution decreased PONV and pain during the first 24 h postoperatively compared to 5 mg dexamethasone alone.

      • KCI등재

        Comparison of intrathecal versus intra-articular dexmedetomidine as an adjuvant to bupivacaine on postoperative pain following knee arthroscopy: a randomized clinical trial

        ( Eman A. Ismail ),( Jehan A. Sayed ),( Mohamed H. Bakri ),( Reda Z. Mahfouz ) 대한통증학회 2017 The Korean Journal of Pain Vol.30 No.2

        Background: Postoperative pain is a common, distressing symptom following arthroscopic knee surgery. The aim of this study was to compare the potential analgesic effect of dexmedetomidine after intrathecal versus intra-articular administration following arthroscopic knee surgery.Methods: Ninety patients undergoing unilateral elective arthroscopic knee surgery were randomly assigned into three groups in a double-blind placebo controlled study. The intrathecal dexmedetomidine group (IT) received an intrathecal block with intrathecal dexmedetomidine, the intra-articular group (IA) received an intrathecal block and intra-articular dexmedetomidine, and the control group received an intrathecal block and intra-articular saline. The primary outcome of our study was postoperative pain as assessed by the visual analogue scale of pain (VAS). Secondary outcomes included the effect of dexmedetomidine on total postoperative analgesic use and time to the first analgesic request, hemodynamics, sedation, postoperative nausea and vomiting, patient satisfaction, and postoperative C-reactive protein (CRP) levels.Results: Dexmedetomidine administration decreased pain scores for 4 h in both the intrathecal and intra-articular groups, compared to only 2 h in the control patient group. Furthermore, there was a significant reduction in pain scores for 6 h in the intra-articular group. The time to the first postoperative analgesia request was longer in the intra-articular group compared to the intrathecal and control groups. The total meperidine requirement was significantly lower in the intra-articular and intrathecal groups than in the control group.Conclusions: Both intrathecal and intra-articular dexmedetomidine enhanced postoperative analgesia after arthroscopic knee surgery. Less total meperidine was required with intra-articular administration to extend postoperative analgesia to 6 h with hemodynamic stability. (Korean J Pain 2017; 30: 134-41)

      • KCI등재

        Pain alleviation in patients undergoing cardiac surgery; presternal local anesthetic and magnesium infiltration versus conventional intravenous analgesia: a randomized double-blind study

        ( Emad Zarief Kamel ),( Sayed Kaoud Abd-elshafy ),( Jehan Ahmed Sayed ),( Mohammed Mahmoud Mostafa ),( Mohamed Ismail Seddik ) 대한통증학회 2018 The Korean Journal of Pain Vol.31 No.2

        Background: Magnesium is one of the effective, safe local anesthetic adjuvants that can exert an analgesic effect in conditions presenting acute and chronic post-sternotomy pain. We studied the efficacy of continuous infusion of presternal magnesium sulfate with bupivacaine for pain relief following cardiac surgery. Methods: Ninety adult patients undergoing valve replacement cardiac surgery randomly allocated into three groups. In all patients; a presternal catheter was placed for continuous infusion of either 0.125% bupivacaine and 5% magnesium sulfate (3 ml/h for 48 hours) in group 1, or 0.125% bupivacaine only in the same rate in group 2, versus conventional intravenous paracetamol and ketorolac in group 3. Rescue analgesia was iv 25 μg fentanyl. Postoperative Visual Analog Scale (VAS) and fentanyl consumption during the early two postoperative days were assessed. All patients were followed up over two months for occurrence of chronic post-sternotomy pain. Results: VAS values showed high significant differences during the first 48 hours with the least pain scale in group 1 and significantly least fentanyl consumption (30.8 ± 7 μg in group 1 vs. 69 ± 18 μg in group 2, and 162 ± 3 in group 3 respectively). The incidence of chronic pain has not differed between the three groups although it was more pronounced in group 3. Conclusions: Continuous presternal bupivacaine and magnesium infusion resulted in better postoperative analgesia than both presternal bupivacaine alone or conventional analgesic groups. (Korean J Pain 2018; 31: 93-101)

      • KCI등재

        The Antimicrobial Behavior of Polyelectrolyte Chitosan-Styrene Maleic Anhydride Nano Composites

        Eman A. Ali,Mohamed Eweis,Said Elkholy,Mohamed N. Ismail,Maher Elsabee 한국고분자학회 2018 Macromolecular Research Vol.26 No.5

        A new antimicrobial polyelectrolyte polymer was prepared based on chitosan and alternating styrene maleic anhydride (SMA) copolymer. The SMA was subjected to alkaline hydrolysis, followed by blending with chitosan and chitosan in the nano form which has been prepared by self-assembly technique with particle size 46±0.08 nm. The composition was investigated and characterized by spectral and, thermogravimetric analysis, dynamic light scattering, and transmission electron microscopy. The nano polyelectrolyte complexes and composite were screened for their antimicrobial behavior and showed excellent antifungal as well as antibacterial efficacy against four bacterial and fungal strains. The hydrolyzed styrene maleic anhydride-nano-chitosan exhibited higher antimicrobial activity than the hydrolyzed styrene maleic anhydride-chitosan.

      • Incidence and mortality rates of colorectal cancer in Malaysia

        Muhammad Radzi Abu Hassan,Ibtisam Ismail,Mohd Azri Mohd Suan,Faizah Ahmad,Wan Khamizar Wan Khazim,Zabedah Othman,Rosaida Mat Said,Wei Leong Tan,Siti Rahmah @ Noor Syahireen Mohammed,Shahrul Aiman Soel 한국역학회 2016 Epidemiology and Health Vol.38 No.-

        OBJECTIVES: This is the first study that estimates the incidence and mortality rate for colorectal cancer (CRC) patients in Malaysia by sex and ethnicity. METHODS: The 4,501 patients were selected from National Cancer Patient Registry-Colorectal Cancer data. Patient survival status was cross-checked with the National Registration Department. The age-standardised rate (ASR) was calculated as the proportion of CRC cases (incidence) and deaths (mortality) from 2008 to 2013, weighted by the age structure of the population, as determined by the Department of Statistics Malaysia and the World Health Organization world standard population distribution. RESULTS: The overall incidence rate for CRC was 21.32 cases per 100,000. Those of Chinese ethnicity had the highest CRC incidence (27.35), followed by the Malay (18.95), and Indian (17.55) ethnicities. The ASR incidence rate of CRC was 1.33 times higher among males than females (24.16 and 18.14 per 100,000, respectively). The 2011 (44.7%) CRC deaths were recorded. The overall ASR of mortality was 9.79 cases, with 11.85 among the Chinese, followed by 9.56 among the Malays and 7.08 among the Indians. The ASR of mortality was 1.42 times higher among males (11.46) than females (8.05). CONCLUSIONS: CRC incidence and mortality is higher in males than females. Individuals of Chinese ethnicity have the highest incidence of CRC, followed by the Malay and Indian ethnicities. The same trends were observed for the age-standardised mortality rate.

      • KCI등재

        Role of Bedside Ultrasonography in Assessment of Diaphragm Function as a Predictor of Success of Weaning in Mechanically Ventilated Patients

        ( Mostafa Ibrahim Elshazly ),( Khaled Mahmoud Kamel ),( Reem Ibrahim Elkorashy ),( Mohamed Said Ismail ),( Jumana Hesham Ismail ),( Hebatallah Hany Assal ) 대한결핵 및 호흡기학회 2020 Tuberculosis and Respiratory Diseases Vol.83 No.4

        Background: Weaning failure is common in mechanically ventilated patients, and if ultrasound can predict weaning outcome remains controversial. The purpose of this study was to evaluate the diaphragmatic function (thickness and excursion) measured by ultrasound as a predictor of the extubation outcome. Methods: We included 62 mechanically ventilated patients from the chest intensive care unit in this study. Sixty-two patients who successfully passed the spontaneous breathing trial (SBT) were enrolled. The transthoracic ultrasound of the diaphragm was performed during an SBT to the assess diaphragmatic function (excursion and thickness), and they were classified into the successful extubation group and the failed extubation group. Results: There was a statistically significant increase in the successful extubation group in the diaphragmatic excursion and thickness fraction (p<0.001), a statistically significant negative correlation between the diaphragmatic function and the duration of the mechanical ventilation, and a statistically significant negative correlation between the diaphragmatic excursion and the Acute Physiology and Chronic Health Evaluation II. The diaphragmatic excursion cutoff value predictive of weaning was 1.25 cm, with a specificity of 82.1% and a sensitivity of 97.1% respectively, and the diaphragmatic thickness cut-off value predictive of weaning was 21.5%, with a specificity of 60.7% and a sensitivity of 91.2%, respectively. Conclusion: The diaphragmatic ultrasonography was found to be a promising tool for predicting the extubation outcome for mechanically ventilated patients.

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