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      • KCI등재

        CFD modelling of flow and mixing characteristics for multiple rows jets injected radially into a non-reacting crossflow

        H. F. Elattar,A. Fouda,Abdullah S. Bin-Mahfouz 대한기계학회 2016 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.30 No.1

        CFD parametric study was done of flow and mixing characteristics of coolant radial jets injected outwardly from a centerline multiplerows diffuser into a heated non-reacting crossflow in a cylindrical chamber in three-dimensional model using ANSYS-FLUENT 14.5. The effects of jet-mixing ratio, nozzles diameter, diffuser diameter, number of nozzles rows number of nozzles per row on the penetrationdepth and mixing quality through chamber cross section were parametrically studied. The simulation results were validated with theavailable experimental data and good agreement was obtained. The results showed that the nozzle diameter, the diffuser diameter and thejet-mixing ratio have remarkable effects on the penetration depth and the mixing quality compared to the effects of number of nozzles perrow and the number of nozzle rows. The penetration depth at downstream, the jet diffuser exit and the mixing quality at centerline ofchamber exit are increased @46% & @49%, respectively, with increasing the jet-mixing ratio from 0.1 to 0.5. Dimensionless correlationsin terms of the studied parameters for predicting the penetration depth, mixing quality and maximum temperature difference were developedand presented.

      • KCI등재

        Single-use endoscopes: A narrative review

        Maged Tharwat Elghannam,Moataz Hassan Hassanien,Yosry Abdelrahman Ameen,Gamal Mohammed Elattar,Ahmed Ali El Ray,Emad Abdel Wahab Turky,Mohammed Darwish El Talkawy 소화기인터벤션의학회 2022 Gastrointestinal Intervention Vol.11 No.1

        The transmission of infections through gastrointestinal endoscopy is a vital issue. The main problem lies in the use of duodenoscopes due to mechanical aspects of the scope design. Even with high-level disinfection, sterilization of the scope can fail. Hence, the Food and Drug Administration has encouraged a shift to single-use endoscopes. Available options include endoscopes with single-use components (mainly single-use endcaps), fully single-use duodenoscopes (SUDs), and even those with a disposable elevator mechanism. Clinical trials revealed that both reusable and single-use scopes have the same efficacy, while single-use scopes have benefits in terms of infection control, economic considerations, and ease of reprocessing. A few drawbacks are left to be dealt with. Reusable duodenoscopes with removable/disposable endcaps are satisfactory except in specific situations where SUDs are better to use.

      • KCI등재

        Single-use endoscopes: A narrative review

        Maged Tharwat Elghannam,Moataz Hassan Hassanien,Yosry Abdelrahman Ameen,Gamal Mohammed Elattar,Ahmed Ali El Ray,Emad Abdel Wahab Turky,Mohammed Darwish El Talkawy 소화기인터벤션의학회 2022 International journal of gastrointestinal interven Vol.11 No.1

        The transmission of infections through gastrointestinal endoscopy is a vital issue. The main problem lies in the use of duodenoscopes due to mechanical aspects of the scope design. Even with high-level disinfection, sterilization of the scope can fail. Hence, the Food and Drug Administration has encouraged a shift to single-use endoscopes. Available options include endoscopes with single-use components (mainly single-use endcaps), fully single-use duodenoscopes (SUDs), and even those with a disposable elevator mechanism. Clinical trials revealed that both reusable and single-use scopes have the same efficacy, while single-use scopes have benefits in terms of infection control, economic considerations, and ease of reprocessing. A few drawbacks are left to be dealt with. Reusable duodenoscopes with removable/disposable endcaps are satisfactory except in specific situations where SUDs are better to use.

      • Theoretical analysis of e-commerce in global economic market in terms of benefits and disadvantageous

        B.N. Nhu,Xiaoqiang He,Jialing Li,Ibrahim Rasool Hani,H. Assilzadeh,H. Elhosiny Ali,Samia Elattar 국제구조공학회 2022 Smart Structures and Systems, An International Jou Vol.30 No.5

        Through the examination of literatures, electronic commerce is a subject which is accepted in enterprises to define e-commerce adoption, trends, and issues that are assisting and obstructing its efficacy. E-commerce offers numerous advantages to consumer satisfaction in any place and helps the company to get a competitive benefit over its competitors. The Internet has expanded the scope of business. Many business information is available by the global network that supports information gathering between organizations, businesses and their clients, while various divisions of a business is increasing at anexponential rate. Meanwhile, there are a few barriers to proper e-commerce usage and adoption, such as reliable internet connections, poor e-commerce supporting infrastructures, logistics systems presenting socio-regulatory and poor transportation barriers and demonstrating the significant improvement of e-commerce reliable and affordable Internet provisions, i.e., Internet cost, intensity, and reasonable level of e-readiness. The operational and strategic significance of information-based virtual value chains for all organizations cannot be emphasized. As a consequence, this study confirms worldwide market elements of e-commerce, such as its issues, benefits, relevance, scope, facilitators and projects prospective obstacles in a developing economy.

      • Survival and Prognostic Factors for Hepatocellular Carcinoma: an Egyptian Multidisciplinary Clinic Experience

        Abdelaziz, Ashraf Omar,Elbaz, Tamer Mahmoud,Shousha, Hend Ibrahim,Ibrahim, Mostafa Mohamed,El-Shazli, Mostafa Abdel Rahman,Abdelmaksoud, Ahmed Hosni,Aziz, Omar Abdel,Zaki, Hisham Atef,Elattar, Inas An Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.9

        Background: Hepatocellular carcinoma (HCC) is a dismal tumor with a high incidence, prevalence and poor prognosis and survival. Management of HCC necessitates multidisciplinary clinics due to the wide heterogeneity in its presentation, different therapeutic options, variable biologic behavior and background presence of chronic liver disease. We studied the different prognostic factors that affected survival of our patients to improve future HCC management and patient survival. Materials and Methods: This study is performed in a specialized multidisciplinary clinic for HCC in Kasr El Eini Hospital, Cairo University, Egypt. We retrospectively analyzed the different patient and tumor characteristics and the primary mode of management applied to our patients. Further analysis was performed using univariate and multivariate statistics. Results: During the period February 2009 till February 2013, 290 HCC patients presented to our multidisciplinary clinic. They were predominantly males and the mean age was $56.5{\pm}7.7years$. All cases developed HCC on top of cirrhosis that was mainly due to HCV (71%). Most of our patients were Child-Pugh A (50%) or B (36.9%) and commonly presented with small single lesions. Transarterial chemoembolization was the most common line of treatment used (32.4%). The overall survival was 79.9% at 6 months, 54.5% at 1 year and 22.4% at 2 years. Serum bilirubin, site of the tumor and type of treatment were the significant independent prognostic factors for survival. Conclusions: Our main prognostic variables are the bilirubin level, the bilobar hepatic affection and the application of specific treatment (either curative or palliative). Multidisciplinary clinics enhance better HCC management.

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