Perioperative Complications and In-Hospital Mortality in Radical Nephroureterectomy Patients with Heart Valve Replacement.

Background: Perioperative complication rates and in-hospital mortality after radical nephroureterectomy (RNU) in patients with a history of heart valve replacement are unknown.

Methods: Within the National Inpatient Sample (2000-2019), we identified non-metastatic upper urinary tract carcinoma patients treated with RNU according to the presence or absence of a history of heart valve replacement. Propensity score matching (1:10 ratio) and multivariable logistic regression as well as Poisson regression models were used.

Toxicity evaluation and degradation of cypermethrin-contaminated soil using biochar and Bacillus cereus amendments.

Cypermethrin (Cyp), a persistent synthetic pyrethroid insecticide widely used for insect control. The persistence of Cyp creates toxicity to both humans and the environment This study investigates biochar and Bacillus cereus distinct and collective effects on Cyp -contaminated soil during a 90-day incubation. This study also investigates the effects of different concentrations of Cyp (50, 100, ,500 to 1000 mg kg) on soil physicochemical and biological activities during a 90-day incubation period.

Effective optimal control of a wind turbine system with hybrid energy storage and hybrid MPPT approach.

This research paper discusses a wind turbine system and its integration in remote locations using a hybrid power optimization approach and a hybrid storage system. Wind turbine systems' optimization controllers operate MPPT strategies efficiently, optimizing the system's overall performance. The proposed approach is HTb(P&O/FLC), which combines the P&O and FLC methods.

Power control of an autonomous wind energy conversion system based on a permanent magnet synchronous generator with integrated pumping storage.

Wind energy plays a crucial role as a renewable source for electricity generation, especially in remote or isolated regions without access to the main power grid. The intermittent characteristics of wind energy make it essential to incorporate energy storage solutions to guarantee a consistent power supply. This study introduces the design, modeling, and control mechanisms of a self-sufficient wind energy conversion system (WECS) that utilizes a Permanent magnet synchronous generator (PMSG) in conjunction with a Water pumping storage station (WPS).

Assessment of community pharmacists' experiences and perceptions on gabapentin abuse in Jordan: a cross-sectional study.

Background: Gabapentin is increasingly recognised for its potential for abuse, raising concerns within healthcare communities. Community pharmacists are on the front lines in identifying and addressing instances of gabapentin abuse, making their insights invaluable. This study aims to assess community pharmacists' experiences and perceptions regarding gabapentin abuse in Jordan.

Impact of Juice and Empagliflozin on Glycemic Control in Rats.

Diabetes mellitus (DM) is a major global health concern characterized by high blood glucose levels. This study investigates the effects of (cactus) juice and empagliflozin, both alone and in combination, on glycated hemoglobin (HbA1c) levels in healthy and streptozotocin-induced diabetic rats. Eighty Wistar albino male rats were divided into eight groups, with four groups being diabetic.

The effect of the combined application of repetitive transcranial magnetic stimulation and local injection of botulinum neurotoxin versus their individual use in children with spastic diplegic cerebral palsy.

Background: Botulinum neurotoxin (BoNT) is frequently utilized for localized spasticity in patients with spastic diplegic cerebral palsy (CP), while repetitive transcranial magnetic stimulation (rTMS) offers a potential therapeutic option.

Objective: To assess and compare BoNT and rTMS effects among children with spastic diplegic CP on spasticity and motor function. Additionally, investigate the potential advantages of combining these therapeutic modalities.

Iron oxide nanozymes as versatile analytical tools: an overview of their application as detection technique.

Iron oxide nanozymes (IONzymes) have become fundamental components in various analyte detection methodologies such as colorimetric, electrochemistry, fluorescence and luminescence. Their tunability, stability and the possibility of modification, alongside their ability to mimic the catalytic properties of natural enzymes like peroxidase, render them invaluable in analytical chemistry. This review explores the diverse applications of IONzymes across analytical chemistry, with a particular highlighting on their roles in different detection techniques and their potential in biomedical and diagnostic applications.

Organizational debt-Roadblock to agility in software engineering: Exploring an emerging concept and future research for software excellence.

In software engineering, organizational debt (OD) is a crucial but little-researched phenomena. OD refers to the accumulation of outdated structures, policies, and processes that hinder an organization's advancement and adaptability. This multivocal literature review (MLR) synthesizes insights from software practitioners to elucidate OD causes, consequences, identification, and mitigation approaches that is considered a first step in illuminating the OD for software practitioners.

The optimum sizing of zero-emission water-cooled VCR cycle based on exergo-economic-environmental assessment criteria by triple-objective MPSO.

Renewable energies are interesting as an alternative and sustainable resource for air conditioning applications. But initial investment cost of equipment, whose employed for converting the renewable energy into usable shape and also for air conditioning duty, are significant. Therefore, determining the optimum sizing has high priority.

Novel bionanocomposite of grafted chitosan-phthalic anhydride/CoO nanoparticles for efficient removal of brilliant green dye: Adsorption optimization using Box-Behnken design.

A novel bionanocomposite of grafted chitosan-phthalic anhydride/CoO nanoparticles (CHT-PHT/CoO) was synthesized and used for the elimination of brilliant green (BG) dye from aquatic systems. The CHT-PHT/CoO material underwent several instrumental characterizations including, XRD, BET, FTIR, FESEM-EDX, and pH examinations. The impact of the key uptake factors, namely A: CHT-PHT/CoO dose, B: starting solution pH, and C: contact duration, on the effectiveness of BG removal, was mathematically optimized using the response surface methodology (RSM).

Central Nervous System Toxicity in Prostate Cancer Patients Treated with Androgen Receptor Signaling Inhibitors: A Systematic Review, Meta-analysis, and Network Meta-analysis.

Background: Androgen-receptor signaling inhibitors (ARSIs) significantly improve survival in systemic therapy for advanced/metastatic prostate cancer (PCa) patients; however possible central nervous system (CNS) toxicity is an unaddressed concern. We aimed to assess and compare the incidence of CNS-related adverse events (AEs) secondary to the treatment of PCa patients with different ARSIs.

Materials: In August 2023, a comprehensive seach was conducted in three databases for randomized controlled trials (RCTs) of PCa patients receiving ARSIs plus ADT.

The psychological empowerment and quality of work life among Jordanian primary care nurses and midwives.

Introduction: The healthcare industry, particularly in the context of primary care, presents various challenges to nurses and midwives, influencing their psychological empowerment (PE) and quality of work life (QWL).

Objective: This study's objective is to assess the levels of PE and QWL among Jordanian primary care nurses and midwives and explore the relationship between PE and QWL.

Methods: Utilizing a descriptive correlational design, the study included 273 Jordanian primary care nurses and midwives through convenience sampling.

Rotor angle stability of a microgrid generator through polynomial approximation based on RFID data collection and deep learning.

The article proposes a novel approach to assess rotor angle stability in microgrids by enhancing the Modified Galerkin Method (MGM), which is based on the Polynomial Approximation, using real-time RFID data acquisition. Due to their reliance on assumptions, traditional rotor angle stability methodologies frequently fail in online transient stability testing. MGM successfully captures the dynamic behavior of microgrids by approximating state variables using a sequence of polynomials and coefficients.

Unmet Need in Non-muscle-invasive Bladder Cancer Failing Bacillus Calmette-Guérin Therapy: A Systematic Review and Cost-effectiveness Analyses from the International Bladder Cancer Group.

Background And Objective: Non-muscle-invasive bladder cancer (NMIBC) poses a significant clinical challenge, particularly when failing bacillus Calmette-Guérin (BCG) therapy, necessitating alternative treatments. Despite radical cystectomy being the recommended treatment, many patients are unfit or unwilling to undergo this invasive procedure, highlighting the need for effective bladder-sparing therapies. This review aims to summarize and report the evidence on the efficacy and to estimate the costs of bladder-preserving strategies used in NMIBC recurrence after failure of intravesical BCG therapy.

Green synthesized -ZnO nanoparticles: anticancer efficacy against 3D breast cancer model.

ZnO NPs were prepared via green synthesis utilizing . Physical characterization and biological activity were performed against 2D, and 3D spheroids MCF-7 cell lines. The NPs exhibited 188.

Enhancing load frequency control and automatic voltage regulation in Interconnected power systems using the Walrus optimization algorithm.

This paper introduces the Walrus Optimization Algorithm (WaOA) to address load frequency control and automatic voltage regulation in a two-area interconnected power systems. The load frequency control and automatic voltage regulation are critical for maintaining power quality by ensuring stable frequency and voltage levels. The parameters of fractional order Proportional-Integral-Derivative (FO-PID) controller are optimized using WaOA, inspired by the social and foraging behaviors of walruses, which inhabit the arctic and sub-arctic regions.

Primary tumor ablation in metastatic renal cell carcinoma.

Background: The role of primary tumor ablation (pTA) in metastatic renal cell carcinoma (mRCC) is unknown. We compared pTA-treated mRCC patients to patients who underwent no local treatment (NLT), as well as patients who underwent cytoreductive nephrectomy (CN).

Methods: Within the Surveillance, Epidemiology, and End Results database (SEER, 2004-2020), we identified mRCC patients who underwent either pTA, NLT or CN.

Vision Screening and Detection of Ocular Abnormalities in School Children by Teachers in Jordan.

Purpose: To evaluate the accuracy of vision screening and detection of ocular abnormalities conducted by teachers in school children in Jordan compared with vision testing by optometrists and ocular disease identification by ophthalmologists.

Methods: A non-random, purposive sampling strategy where 6-year-old and 15-year-old school children from three schools in Amman, Jordan were included. Twenty-two teachers were trained to conduct visual acuity screening using the 0.

Antioxidant and Antiapoptotic Effects of Selenium And Nano Selenium-Loaded Exosomes on Hepatic Dysfunction of Type 1 Diabetic Rats.

Mesenchymal stem cells-derived exosomes (MSCs-EXs) applications have brought a key breakthrough in treating type 1 diabetes mellitus (T1DM) and its diabetic complications. However, various recent strategies aimed to construct prominent engineered EXs with greater precision and higher efficiency for diabetes syndrome were conducted. In this research, we seek to enhance the medicinal potentialities of MSCs-EXs on type 1 diabetic rats' hepatic complications, via loading with either selenium (Se) or nano selenium (NSe) particles.