Enhancing security and efficiency in Mobile Ad Hoc Networks using a hybrid deep learning model for flooding attack detection.

Mobile Ad Hoc Networks (MANETs) are increasingly replacing conventional communication systems due to their decentralized and dynamic nature. However, their wireless architecture makes them highly vulnerable to flooding attacks, which can disrupt communication, deplete energy resources, and degrade network performance. This study presents a novel hybrid deep learning approach integrating Convolutional Neural Networks (CNN) with Long Short-Term Memory (LSTM) and Gated Recurrent Unit (GRU) architectures to effectively detect and mitigate flooding attacks in MANETs.

Adherence and forgiveness of two modern ART regimens: lamivudine/dolutegravir and emtricitabine/tenofovir alafenamide/rilpivirine.

Introduction: Few data are available about the forgiveness of two-drug (2DR) or low-barrier three-drug antiretroviral regimens. The aim of this study is to evaluate the real-life forgiveness of lamivudine/dolutegravir (3TC/DTG) and emtricitabine/tenofovir alafenamide/rilpivirine (FTC/TAF/RPV).

Methods: A two center retrospective observational study enrolled all people with HIV (PWH) treated with 3TC/DTG or FTC/TAF/RPV.

Predictors of Mortality for Upper Extremity Penetrating Vascular Injuries (UEPVI).

Objectives: Our objective was to determine risk factors and operative outcomes for patients with upper extremity penetrating vascular injuries(UEPVI).

Methods: A retrospective review was performed of all adult UEPVI patients presenting to a level I trauma center between 1986 and 2019. Statistical analyses were performed to determine the independent predictors of mortality and hospital length of stay(LOS) among patients who underwent operative repair.

Multidisciplinary consensus-based statement on the current role of middle meningeal artery embolization (MMAE) in chronic SubDural hematoma (cSDH).

Introduction: Middle Meningeal Artery Embolization (MMAE) in patients with chronic SubDural Hematoma (cSDH) is a novel treatment approach, albeit the specific role of MMAE in the treatment of cSDH is not yet defined.

Research Question: The aim of this work is to provide a consensus-based statement from a multidisciplinary panel on the current role of MMAE in patients with cSDH.

Materials And Methods: A literature search was performed using the keywords MMAE and cSDH.

Severe corneal manifestations of graft-versus-host disease: Experience of a tertiary referral center.

Purpose: Graft-versus-host disease (GVHD) is a common complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). GVHD may affect several organs, including ocular manifestations, ranging from dry eye syndrome to sight-threatening corneal ulceration or perforation. Limited information is available about characteristics and treatments of ocular GVHD and its relation to general prognosis.

Diagnostic Utility of Cord Thyroid-Stimulating Hormone (TSH) in Congenital Hypothyroidism and Its Association With Perinatal Factors: A Study From a Tertiary Referral Centre in Hyderabad, India.

Introduction Congenital hypothyroidism (CH) is one of the most common, easily treatable, causes of long-term neurodevelopmental complications in children. The prevalence of CH in India is much higher compared to other countries. Although developed countries have well-established neonatal screening programs, a uniform nationwide screening program at birth is still not established in India.

Comparison of da Vinci Robotic Cholecystectomy and Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis of Postoperative Outcomes and Cost-Effectiveness.

Robotic cholecystectomy (RC) using the da Vinci surgical system has been introduced as a potential alternative to the gold standard laparoscopic cholecystectomy (LC) for gallbladder removal. This systematic review aims to evaluate and compare the postoperative outcomes (operative time, bile leak, and postoperative complications) and cost-effectiveness between da Vinci RC and LC. A comprehensive search of electronic databases, including EMBASE, MEDLINE, Cochrane Library, and PubMed, used Medical Subject Headings terms and Boolean operators to identify relevant studies.

A Bibliometric Analysis of the Top 100 Cited Qualitative Research Papers in Dentistry From Scopus (1998-2024).

This bibliometric analysis aimed to identify trends among the top 100 most cited qualitative research articles in dentistry. Articles were retrieved from the Scopus database and screened based on predefined inclusion and exclusion criteria. The final set of 100 articles was then analyzed in R Studio (RStudio Team, Boston, MA) to assess performance metrics, including publication and citation trends, citation-publication relationships, and science mapping.

Enhancing Alzheimer's disease classification through split federated learning and GANs for imbalanced datasets.

In the rapidly evolving healthcare sector, using advanced technologies to improve medical classification systems has become crucial for enhancing patient care, diagnosis, and treatment planning. There are two main challenges faced in this domain (i) imbalanced distribution of medical data, leading to biased model performance and (ii) the need to preserve patient privacy and comply with data protection regulations. The primary goal of this project is to develop a medical classification model for Alzheimer's disease detection that can effectively learn from decentralized and imbalanced datasets without compromising on data privacy.

Enhanced lion swarm optimization and elliptic curve cryptography scheme for secure cluster head selection and malware detection in IoT-WSN.

Wireless Sensor Networks present a significant issue for data routing because of the potential use of obtaining data from far locations with greater energy efficiency. Networks have become essential to modern concepts of the Internet of Things. The primary foundation for supporting diverse service-centric applications has continued to be the sensor node activity of both sensing phenomena in their local environs and relaying their results to centralized Base Stations.

Modulation of morphine antinociceptive and rewarding effect by mirtazapine in an animal model of osteoarthritic pain.

People with chronic pain mitigate their suffering by the action of opioids. Adverse reactions aside, opioids are not exempt from potential complications like addiction and abuse, which have posed a global public health problem lately. Finding new therapeutic strategies to improve analgesia and to reduce opioid side effects has become a priority.

MALDI - TOF MS for the identification of obligate anaerobes and metronidazole susceptibility of anaerobic Gram negative bacilli.

MALDI-TOF MS, though has facilitated rapid and accurate anaerobe identification, the problem of rising metronidazole resistance amongst the members of Bacteroides fragilis group is cause for concern. In this one-year study period,152 anaerobic Gram negative bacilli and 60 Gram positive anaerobes were isolated from 167 samples obtained from clinically suspected anaerobic infections. Bacteroides fragilis accounted for 56 % of the total anaerobic GNB and Peptoniphilus asacchrarolyticus was the most commonly isolated Gram positive cocci.

Atypical Manifestation of Enterobius vermicularis Infestation in Adults: A Report of a Rare Case.

, commonly known as pinworm, is a parasitic nematode primarily affecting children, with adult infestations being rare. The infection is typically transmitted via the fecal-oral route and is characterized by intense perianal itching, particularly at night. We present a case of a 39-year-old male with an unusual case of infestation.

Review of Pharmacological and Medicinal Uses of Punica granatum.

Pomegranates () are a fruit renowned for their rich history, diverse uses, and substantial health benefits. Current research on the botanical features, nutritional profile, and medicinal properties of pomegranates is summarized in this study. Botanically, the pomegranate is classified as a deciduous shrub with a unique fruit structure comprising numerous seeds, or arils, embedded in a leathery skin.

Ecological interactions and unique resource partitioning between dolphins in the ultraoligotrophic eastern Mediterranean Sea.

This study delves into the eco-dynamics of three dolphin species in the ultra-oligotrophic waters off the southern Israeli Mediterranean coast - two neritic: the common bottlenose dolphin (Tursiops truncatus) and the common dolphin (Delphinus delphis) and one pelagic: the striped dolphin (Stenella coeruleoalba). It utilizes compound-specific stable isotope analysis of individual amino acids to investigate carbon and nitrogen source variability and trophic positioning among the three species. Muscle samples from stranded individuals were analyzed for carbon (δC) and nitrogen (δN) isotopic ratios of amino acids, with ΔδN (Glutamate-Phenylalanine) acting as an indicator of relative trophic position.

Segmentation and classification of brain tumor using Taylor fire hawk optimization enabled deep learning approach.

The brain is a crucial organ that controls the body's neural system. The tumor develops and spreads across the brain as a result of irregular cell generation. The provision of substantial treatment to patients requires the early diagnosis of malignancies.

Improvements in upper extremity isometric muscle strength, dexterity, and self-care independence during the sub-acute phase of stroke recovery: an observational study on the effects of intensive comprehensive rehabilitation.

Background: Stroke often impairs upper extremity motor function, with recovery in the sub-acute phase being crucial for regaining independence. This study examines changes in isometric muscle strength, dexterity, and self-care independence during this period, and evaluates the effects of a comprehensive intensive rehabilitation (COMIRESTROKE).

Methods: Individuals in sub-acute stroke recovery and age- and sex-matched controls were assessed for pre- and post-rehabilitation differences in primary outcomes (grip/pinch strength, Nine Hole Peg Test [NHPT], Action Research Arm Test [ARAT]).

Performance of Current Diagnostic Tools in Detecting Latent Tuberculosis Among Healthcare Workers: A Systematic Review.

Testing for latent tuberculosis infection is essential for diagnosing infections in asymptomatic individuals. Preventing the transition of latent to active tuberculosis is imperative, especially in high-risk populations such as healthcare workers. Interferon-gamma release assays (IGRAs) and the Mantoux/tuberculin skin test (TST) are two examples of diagnostic instruments utilized for detection.

Efficient brain tumor grade classification using ensemble deep learning models.

Detecting brain tumors early on is critical for effective treatment and life-saving efforts. The analysis of the brain with MRI scans is fundamental to the diagnosis because it contains detailed structural views of the brain, which is vital in identifying any of its abnormalities. The other option of performing an invasive biopsy is very painful and uncomfortable, which is not the case with MRI as it is free from surgically invasive margins and pieces of equipment.

Prophylactic and Therapeutic Effects of Progesterone on the Preterm Brain Injury Rat Model.

Background:  Neurodevelopmental disorders are chronic conditions affecting behavior, cognition, and social function, often arising from early brain development disruptions. Preterm infants are particularly vulnerable to brain injuries, such as periventricular leukomalacia, which can lead to long-term disabilities.

Aim:  This study aimed to investigate the neuroprotective effect of progesterone in reducing the severity of a preterm brain injury in rat model.

Physicochemical and biological evaluation of 'click' synthesized vinyl epoxide-chitosan film for active food packaging.

Chitosan (Cs) being a natural biopolymer serves as an excellent template to construct active packaging materials for achieving sustainable development. In this study, Cs was chemically modified via epoxide ring opening click reaction using vinyl epoxide to obtain a novel chitosan vinyl epoxide (Cs-VE) derivative with hydroxyl and olefinic functional groups. The Cs-VE transparent film was fabricated through the eco-friendly solution casting technique.

An Opportunity for Developing Cancer Prevention Leadership in Mexico.

Cancer in Mexico is a major public burden for which rates are expected to increase over time. In settings like Mexico, much potential for reduction through cancer prevention efforts remains unrealized, due in part, to a lack of formal cancer prevention and control training and career opportunities. We trained a cadre of instructors to deliver a pilot cancer prevention education program for oncology professionals and leaders.