Publications by authors named "Ahmed Kotb"

The rapid development of accurate and point-of-care diagnostic tools for foodborne diseases has made a massive impact in global health. Salmonella typhimurium (S. typhimurium) exemplifies an enteric pathogen, being a gram-negative bacteria responsible for several gastrointestinal and systemic illnesses.

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Background: Surgical resection for pancreatic ductal adenocarcinoma (PDAC) entails the excision of the primary tumour and regional lymphadenectomy. This traditional strategy is challenged by the high rate of early recurrence, suggesting inadequate disease staging. Novel methods of intra-operative staging are needed to allow surgical resection to be tailored to the disease's biology.

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The advanced devices that function fully without the need for external accessories are regarded as a pinnacle goal in the design and construction of modern ones. Staphylococcus aureus (S. aureus), a prominent human pathogen, is responsible for causing a wide variety of infections and chronic diseases.

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Wearable sweat sensors hold great promise for the monitoring of athletic sweat biomarkers that are reflective of physical status and the inimitable feature of wearable sensors to conduct dynamic sweat analysis in situ. However, the preparative methods of wearable patches for monitoring athlete's biomarkers are often complicated. Here, we demonstrate the first example of "sports lab-on-skin" as a fully integrated epidermal sweat sensor through simple laser engraving and laser cutting methods, which enables on-body and wirelessly measuring sweat Na, sweat K, sweat lactate, and initial sweat rate for physical status assessment.

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  • - The study evaluated the Arabic version of the EQ-5D tool for measuring health-related quality of life in atrial fibrillation patients in Syria, addressing a gap in existing data.
  • - Involving 432 participants, the research demonstrated strong reliability and validity of the EQ-5D through various testing methods, confirming its effectiveness for this patient group.
  • - The successful validation of the EQ-5D in this context encourages its broader use across Arabic-speaking regions, potentially enhancing healthcare decision-making and patient care strategies.
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In this study, the carbon sphere (Cs) has been prepared and modified by titania nanotubes (TNTs) to be utilized as an adsorbent toward crystal violet (CV) dye as a model for cationic dyes from aqueous solution. The prepared TNTs@Cs composites has been characterized by various techniques such as XRD, SEM, and TEM analysis. The adsorption analysis displayed that the adsorption capacity of CV dye onto the modified Cs with TNTs is 92.

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  • Pulmonary vein isolation (PVI) effectively manages paroxysmal atrial fibrillation (PAF), and this study investigates how P wave parameters from ECG can predict PVI success.
  • The research involved 211 patients undergoing first-time PVI, measuring various P wave metrics before the procedure, and found that specific parameters correlated with successful outcomes at 12 months.
  • Key predictors of PVI failure included increased corrected P wave duration (PWDc), decreased P wave amplitude (PWV) and area (PWA), and intra-atrial block (IAB), while P wave dispersion (PWDisp) and terminal force in V1 (PTFV1) didn’t show significant correlation.
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  • * Key predictors for CHF readmission included older age (≥60 years), diabetes mellitus, valvular heart disease, and hypertension, highlighting the need for careful management of these factors.
  • * The findings suggest that integrated care addressing lifestyle and comorbidities is crucial for improving health outcomes in resource-limited settings, especially among AF patients.
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Objective: To determine the frequency of adrenal gland involvement (AGI) in patients with renal cell carcinoma (RCC) and assess the ability of preoperative computed tomography (CT) imaging to predict AGI prior to radical nephrectomy (RN).

Methods: We retrospectively identified 90 patients who underwent RN with concomitant ipsilateral adrenalectomy (CIA) between 2019 and 2021 at our institution. We reviewed the preoperative CT findings and final pathology reports to assess AGI and determine the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of preoperative CT imaging.

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Objectives: Little work has been done investigating the prevalence and impact of comorbidities on cholera outcomes within conflict settings. We describe the clinical outcomes of patients treated for cholera in Latakia, Syria, during the 2022-2023 cholera outbreak.

Methods: We performed a single-centre retrospective observational cohort study of patients admitted to the hospital with suspected cholera between 15th December 2022 and 15th February 2023 at National Hospital, Latakia, Syria.

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Background: There is widespread interest in the design of portable electrochemical sensors for the selective monitoring of biomolecules. Dopamine (DA) is one of the neurotransmitter molecules that play a key role in the monitoring of some neuronal disorders such as Alzheimer's and Parkinson's diseases. Facile synthesis of the highly active surface interface to design a portable electrochemical sensor for the sensitive and selective monitoring of biomolecules (i.

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Background: Pulmonary vein isolation (PVI) ablation is the established gold standard therapy for patients with symptomatic drug refractory atrial fibrillation (AF). Advancements in radiofrequency (RF) ablation, have led to the development of the novel contact force-sensing temperature-controlled very high-power short-duration (vHPSD) RF ablation. This setting delivers 90 W for up to 4 seconds with a constant irrigation flow rate of 8 mL/min.

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Article Synopsis
  • Direct current cardioversion (DCCV) is used to control rhythm in patients with persistent atrial fibrillation (AF), and the study aims to assess if P-wave parameters can predict the success of this treatment after 12 months.
  • The study involved 56 males over 18, measuring P-wave characteristics using body surface mapping, and found that 44% had successful outcomes after a year, with some reverting to AF sooner.
  • In patients taking amiodarone, those with higher corrected P-wave duration (PWDc) faced more recurrences; a PWDc cut-off of >161 ms was identified as a significant predictor, though general P-wave parameters did not reliably indicate the timing of AF recurrence.
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Background: Nurse interns' capacity for innovative behavior is a key component of healthcare settings because of increasing demands and complexities. Thus, it is important to find strategies that promote their innovative behavior. The development of psychological capital (PsyCap) improves positive behaviors and attitudes, such as engagement, motivation, and satisfaction, in the work environment.

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Background: The American Optometric Association defines computer vision syndrome (CVS), also known as digital eye strain, as "a group of eye- and vision-related problems that result from prolonged computer, tablet, e-reader and cell phone use". We aimed to create a well-structured, valid, and reliable questionnaire to determine the prevalence of CVS, and to analyze the visual, ocular surface, and extraocular sequelae of CVS using a novel and smart self-assessment questionnaire.

Methods: This multicenter, observational, cross-sectional, descriptive, survey-based, online study included 6853 complete online responses of medical students from 15 universities.

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Introduction: Because not all liver dysfunction patients are suitable for transplantations and there is a shortage of grafts, liver support therapies have gained interest. In this regard, extracorporeal albumin dialysis devices such as single-pass albumin dialysis (SPAD), Prometheus, and molecular adsorbent recycling system (MARS) have been valuable in supplementing standard medical therapy (SMT). However, the efficacy and safety of these devices is often questioned.

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  • - Our study focused on the effectiveness of holmium laser enucleation of the prostate (HoLEP) for treating different types of urinary retention (both acute and chronic) and compared outcomes between patients with and without preoperative urinary retention.
  • - We analyzed data from 368 male patients who underwent HoLEP, categorizing them into groups based on the type of urinary retention they had, and evaluated multiple factors such as bladder function and quality of life over 12 months post-surgery.
  • - Results showed that while both groups improved, those with acute urinary retention had better catheter-free rates at 12 months compared to those with chronic retention, indicating that HoLEP may be particularly beneficial for acute cases.
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Metal-support interaction plays a critical role in determining the eventual catalytic activity of metals loaded on supporting substrates. This interaction can sometimes cause a significant drop in the metallic property of the loaded metal and, hence, a drop in catalytic activity in the reactions, especially in those for which low charge carrier transfer resistance is a necessary parameter. Therefore, there should be a case-by-case experimental or theoretical (or both) in-depth investigation to understand the role of support on each metal.

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  • Atrial fibrillation (AF) is the most common arrhythmia globally, but there is a lack of data on how it is managed in Syria; this study focused on inpatient treatment and cardiovascular mortality in Latakia.
  • Conducted from June 2021 to June 2023 at Tishreen's University Hospital, the study reviewed the records of 596 AF patients, examining demographics, treatment strategies, and clinical outcomes such as mortality and complications during their hospital stay.
  • The findings revealed that these patients were generally younger than those in other countries, with active thyroid disease, chronic obstructive pulmonary disease (COPD), and valvular heart disease (VHD) identified as significant risk factors for increased cardiovascular mortality.
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Aims: European and American clinical guidelines for implantable cardioverter defibrillators are insufficiently accurate for ventricular arrhythmia (VA) risk stratification, leading to significant morbidity and mortality. Artificial intelligence offers a novel risk stratification lens through which VA capability can be determined from the electrocardiogram (ECG) in normal cardiac rhythm. The aim of this study was to develop and test a deep neural network for VA risk stratification using routinely collected ambulatory ECGs.

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Background: The pigtail was used to create an opening at the lower punctal site in grade 0 stenosis with insertion of self-retaining tube and Mitomycin C (MMC).

Methods: The patients with acquired lower punctal stenosis (grade 0) were divided randomly into equal groups, Group A: were treated with pigtail and MMC 0.02% and Group B: were treated with pigtail alone.

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  • The study investigated the link between prior BCG treatments for bladder cancer and COVID-19 infection severity.
  • Researchers analyzed data from 348 patients with high-risk bladder cancer from two Canadian centers to track COVID-19 outcomes.
  • Findings showed that neither intravesical BCG nor infantile BCG vaccination had a significant impact on the incidence of COVID-19 among these patients.
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Fully integrated devices that enable full functioning execution without or with minimum external accessories or equipment are deemed to be one of the most desirable and ultimate objectives for modern device design and construction. O157:H7 ( O157:H7) is often linked to outbreaks caused by contaminated water and food. However, the sensors that are currently used for point-of-care O157:H7 ( O157:H7) detection are often large and cumbersome.

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Introduction: Severe congenital ptosis poses a complex challenge for oculoplastic surgeons, requiring meticulous surgical intervention to restore eyelid function and improve aesthetic outcomes mainly by using frontalis sling approach. A crucial issue in frontalis sling surgeries is the sustainability of effect.

Purpose: This retrospective study reports the outcomes of two surgical techniques for treating severe congenital ptosis in the paediatric age group: Silicon rods ptosis sling and a novel technique involving the use of Silicon rods with green braided polyester (Ethibond) sutures to secure the rods in place "sling for the sling".

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