Digital Files Research Articles

Health status of Hemodialysis Patients with End Stage Kidney Disease in Kirkuk City

Background: Hemodialysis is a treatment for end-stage renal disease (ESRD) in which a machine filters waste and excess fluids from the blood for patients whose kidneys can no longer perform this function on their own. The health status of a hemodialysis patient can vary depending on several factors, including the underlying cause of their kidney disease, their overall health and medical history, the effectiveness of their dialysis treatments, and their adherence to their treatment plan. Aim: This study aimed to assess health status of hemodialysis patients with end stage kidney disease in Kirkuk city: 2023-2024. Methods: Cross –sectional study design conducted from 10 February 2023 to 22 May 2024.This study was conducted at Kirkuk City Hospitals . A purposive sample (non-probability) consisting of 100 patients under hemodialysis at Kirkuk city hospitals . . Data were collected using an interview-structured questionnaire. The structured questionnaire consisted of three main domain includes demographic data, medical data and health status domain which includes (independency, daily physical activity, psychosocial, and life adaptation. A three-point Likert scale was employed, with (3) representing always, (2) some times and (1) for never. Mean of score categorized as low significant less than 1.8, moderate significant :1.8 to 2.39 and high significant between 2.4 to 3. The data were prepared, organized and entered into the computer file; Statistical Package for Social Science (SPSS) (23 version .The significance level for statistical analysis was set at p<0.05.. The descriptive data analysis (frequencies, percentages) and inferential statics by use Anova and T, test was used for categorical variables Results: The results shows the male more than female and constitute 60 (60.0%), most of "Age Groups", between (50-59) years and constitute 35.0% in the dialysis patients Conclusions: health status of patients with hemodialysis patients different according to independency, daily physical activities, psycho- social aspects, and adaptation of life., mean score for hemodialysis patients were high and moderate in most items, Health status of hemodialysis patients were poor, Socio-demographic characteristics of hemodialysis patients age, gender, marital status and occupation has significant effect on health status at p<0.05.

Predictive value of invasive mechanical ventilation parameters for mortality in COVID-19 related ARDS: a retrospective cohort study

The 2019 coronavirus (COVID-19) can generate acute respiratory distress syndrome (ARDS), requiring advanced management within the Intensive Care Unit (ICU) using invasive mechanical ventilation (IMV However, managing this phenomenon has seen learning and improvements through direct experience. Therefore, this study aims were to describe the assessment of the different IMV variables in patients with post-COVID-19 hospitalized in the ICU and their relation with mortality. Observational and retrospective study. The sample was divided into two, the surviving group (SG) and the non-surviving group (NSG). Clinical data were extracted from the electronic clinical file and the respiratory therapist record sheet. The following information was obtained: Patient medical history: gender, age, co-morbidities, arterial gases, days on IMV, and IMV parameters. Out of a total of 101 patients, the total mortality was 32%. There was a significant decrease in respiratory rate (RR) (29.12 ± 4.24–26.78 ± 3.59, p = 0.006), Driving pressure (DP) (11.33 ± 2.39–9.67 ± 1.84, p = 0.002), Ventilatory rate (VR) (2.26 ± 0.66–1.89 ± 0.45, p = 0.001) and a significant rise in Static compliance (Cest) (35.49 ± 8.64–41.45 ± 9.62, p = 0.003) and relation between Arterial oxygen pressure/Inspirated oxygen fraction (PaO2/FiO2) (201.5 ± 53.98- 227.8 ± 52.11, p = 0.008) after 72 h of IMV, within the NSG compared to the SG. Apart from these points, multi-morbidity (HR = 3.208, p = 0.010) and DP (HR = 1.228, p = 0.030) and VR variables (HR = 2.267, p = 0.027) had more death probabilities. The results of this study indicate that there was a significant increase in RR, DP, VR, and CO2 and a significant drop in Cest and PaO2/FiO2 among the NSG compared with the SG. Apart from this, the DP and VR variables, multi-morbidity and being male. have more possibility of death.

Exploring the link between ambient PM2.5 concentrations and respiratory diseases in the elderly: a study in the Muang district of Khon Kaen, Thailand.

The impact of air pollution is a major public health concern. However, there are few studies on the correlation between PM2.5 and respiratory infections. This study aimed to determine a link between PM2.5 and respiratory diseases among the elderly in Thailand. The data source for this study consisted of 43 electronic files from the Khon Kaen Provincial Health Office covering years 2020 and 2021 and surveyed a total of 43,534 people. The generalized linear mixed model (GLMM) was used to determine the adjusted odds ratio (AOR), and 95 % CI. We found that exposure to PM2.5 concentrations (in 10 μg m-3 increments) was associated with respiratory diseases (AOR: 3.98; 95 % CI [1.53-10.31]). Respondents who are male, aged less than 80 years, single, self-employed, or working as contractors, have a body mass index (BMI) not equal to the standard, have NCDs (hypertension, diabetes mellitus, and cardiovascular disease), are smokers, live in sub-districts where more than 5 % of the land is planted to sugarcane, or live in close proximity to a biomass power plant were at significantly higher risk of developing respiratory diseases (p<0.05). Therefore, environmental factors including ambient PM2.5 concentrations, the proportion of sugarcane plantation areas, and biomass power plants impact the occurrence of respiratory diseases among the elderly. Also, demographic factors and NCDs are serious issues. Systematic approaches to reducing PM2.5 levels in industrial and agricultural sectors are necessary for both the general population and vulnerable groups, including the elderly and NCD patients.

Document Verification and Validation based on Blockchain Technology

Based on statistics provided by the Indian Ministry of Education, it is evident that approximately one million graduates enter the job market or pursue higher education each year. Some individuals will pursue further education at high schools or university institutions, while others will be equipped to seek employment opportunities. The students with performance records, transcripts ofgrades, diplomas, etc., will serve as a crucial point of reference for admission to new institutions or jobs when they have completed their studies. Schools include only the names of students and schools when creating various prizes or diplomas. Events that result in the graduation document being forged are frequently recognized since there is no effective anti-forge system. The blockchain-based digital document system would be suggested as a solution to the issue of document forgery. In this system, issuing digital documents is done in the manner listed below. Create an electronic version of a paper document and add it to the database, along with any relevant data. Meanwhile, it is necessary to determine the hash value of the electronic file. This hash value must then be appendedto the block within the chain system. To attach to the paper document, the system will generate a connected QR code and an inquiry string code. It will enable the demand unitto check the validity of the paper document using website searches or mobile phone scanning. The technology not only increases the legitimacy of various paper-based documents but also significantly lowers the chance of document loss because of the blockchain's changeable qualities. Keywords: Blockchain, Data Mining, Multi-cloud Data Security, Proxy Key Generation.

Dosing and treatment duration of suppressive antimicrobial therapy in orthopedic implant infections: a cohort study.

Introduction: Limited data inform about the optimal dosing and duration of suppressive antimicrobial therapy (SAT) for orthopedic implant infection (OII). We aimed to compare the effectiveness of low-dosage with standard-dosage SAT and evaluate the safety of stopping SAT. Methods: All patients with OII treated with SAT from 2011 to 2022 were retrospectively included. Data were extracted from electronic patient files. Low-dosage SAT was defined as antimicrobial therapy dosed lower than the standard dosage recommended for OII. The association of dosing strategy and other factors with failure-free survival were assessed by Kaplan-Meier and Cox proportional hazard models. Results: One-hundred-and-eight patients were included. The median follow-up time after SAT initiation was 21months (interquartile range (IQR) 10-42 months). SAT was successful in 74 patients (69 %). Low-dosage SAT ( ) was not associated with failure in univariate (hazard ratio (HR) 1.23, 95 % confidence interval (CI) 0.53-2.83) and multivariate analyses (HR 1.24, 95 % CI 0.54-2.90). In 25 patients (23 %), SAT was stopped after a median treatment duration of 26 months. In this group, one patient (4 %) developed a relapse. Conclusions: In this study, low-dosage SAT was as effective as standard dosage SAT. Moreover, stopping SAT after 2 to 3years may be justified in patients with a good clinical course. These findings warrant further research on optimal dosing and duration of SAT and on the durability of in vivo biofilms.

Early postoperative pain and 30-day complications following major abdominal surgery: a retrospective cohort study

BackgroundIncreasing evidence supports a positive relationship between the intensity of early postoperative pain, and the risk of 30-day postoperative complications. Higher pain levels may hamper recovery and contribute to immunosuppression...

The maximal Tori of finite exceptional groups of Lie type

Let G(q) be a twisted or untwisted finite exceptional group of Lie type over GF ( q ) , either adjoint or simply connected, and let W be the Weyl group of G(q). This paper compiles an extensive data set on the maximal tori of G(q). A systematic labeling is given, via the corresponding conjugacy classes of W, together with a complete list of the structures of the maximal tori in terms of their torsion coefficient decomposition. Additionally the associated admissible graphs and the structure or shape of centralizers of elements in W are given as well as compatible computer files. Also various apparent inconsistencies in the current literature on simply connected groups are discussed and resolved.

Development of Al-Qur'an Memorization Techniques Based on Computer File Models: Learning Innovation in Islamic Education

This study aims to develop an innovative Qur'an memorization technique by utilizing a computer file model in the context of Islamic education. The method used is Research and Development (RnD), which includes needs analysis, design, development, and evaluation of learning products. The results of the study indicate that this technique is effective in improving students' understanding and memorization abilities, thanks to the integration of creative elements such as imagination, visualization, association, and the use of color and music. Students involved in this technology-based learning reported increased motivation and interest in memorizing the Qur'an. This finding implies that the use of technology in the teaching and learning process can enrich traditional methods, making them more relevant to the development of the times and the needs of the younger generation. This method is expected to be adopted more widely in Qur'an education to encourage the effectiveness and efficiency of memorization

Comparing the trueness of 3D printing and conventional casting for the fabrication of removable partial denture metal frameworks for patients with different palatal vault depths: An in vitro study

Statement of problemThe success of a removable partial denture depends on its fit, and, with conventional casting, the framework is more distorted in patients with a deep palatal vault. Questions remain about whether the three-dimensional (3D) printing technique for fabricating a framework can improve the accuracy of fit for these patients. PurposeThe purpose of this in vitro study was to compare the trueness of metal frameworks fabricated by selective laser melting, 3D printing pattern casting, and conventional casting for different palatal vault depths. Material and methodsA total of 30 partially edentulous maxillary casts were custom-made in 15 medium and 15 deep palatal vaults. All stone casts were scanned as reference models in digital files. For the medium palatal vault casts, Co-Cr frameworks of the conventional casting (CON) group (n=5) were fabricated with the lost wax technique. For the 3D printing pattern casting (PPC) group (n=5), wax patterns of the framework were printed, followed by metal casting. The frameworks created for the selective laser melting (SLM) group (n=5) were printed directly by using the SLM machine. The same procedures were followed for the deep palatal vault group. All the metal frameworks were scanned and superimposed with the reference casts by using the Geomagic Control X software program. Discrepancies were measured as mean ±standard deviation (trueness), and the data were statistically analyzed with a 2-way ANOVA test to evaluate the interaction of 2 independent factors (fabrication techniques and palatal vault depths) on a trueness outcome (α=.05). ResultsThe lowest mean ±standard deviation value was 0.092 ±0.023 mm, found from the SLM framework with deep palatal vault group, while the highest value was 0.194 ±0.017 mm, found from the CON framework with deep palatal vault group. Different fabrication techniques interacted with different palatal vault depths in terms of trueness (P<.05); however, no significant differences were observed in the medium palatal vault groups (P>.05). Additionally, color mapping demonstrated the gaps of metal frameworks among the 6 groups. ConclusionsWith the conventional casting technique, the accuracy of the metal framework was affected by the depth of the palate. For medium palatal vaults, all fabricated frameworks had clinically acceptable fit. For deep palatal vaults, the SLM frameworks showed the lowest discrepancy. As a result, the SLM technique is advised for fabricating a better-fitting metal framework for patients with a deep palatal vault.

Soft-Tissue Augmentation Around Dental Implants by a New Laser-Aided Pouch Roll Technique: Volumetric and Clinical Evaluation After 1 Year.

The ultimate goal in implantology is to restore the whole tooth-gingival complex in a fashion that cannot be distinguished from the rest of the natural dentition. This study assesses the volumetric and clinical changes in vestibular gingival soft tissues, crucial for satisfactory engraftment and esthetic results, upon treatment with laser-aided pouch roll augmentation in second-stage surgery for dental implant uncovering. Twelve patients with mild ridge deficiencies in 16 edentulous sites, including distal elements, were enrolled and reevaluated for up to 1 year. Digital impressions, taken with an intraoral laser scanner and software, were analyzed before (day 0) and after (month 12) treatment. The digital STL files were superimposed to assess volumetric and linear dimensional variations in selected peri-implant regions of interest by 3D analysis software. Clinical periodontal parameters (probing depth [PD], bleeding on probing [BoP], plaque index [PI]) and subjective patient-reported outcomes were also evaluated. In all patients, the applied technique induced a substantial increase in the volume of the vestibular peri-implant gingiva at 12-month follow-up (range, 24%-69%, mean 40.4%) with respect to day 0. The gingival mucosa appeared normal at both inspection and evaluation of the periodontal parameters (PD 2.7 ± 1 mm; BoP 0.11 ± 0.2 seconds; PI 0.19 ± 0). Patients' satisfaction with perceived pain/discomfort and esthetic outcome was high. These findings indicate that laser-aided pouch roll flap is a safe, patient-liked procedure whose long-term effectiveness has been objectively demonstrated by volumetric and clinical assessment.

Large file encryption in a reduced-round permutation-based AES file management system

In the rapid evolving digital landscape, the imperative to ensure data security has never been more crucial. This paper addresses the pressing challenges in data security by introducing a file encryption management system, leveraging a modified advanced encryption standard (AES) algorithm with reduced round iterations and bit permutation. This system aims to comprehensively secure various file types, providing a dependable solution for file exchange. Our findings reveal substantial improvements in both encryption and decryption processes using the reduced-round permutation-based AES (RRPBA). The adapted algorithm demonstrates a significant 38.8% acceleration in encryption time and a remarkable 44.86% improvement in decryption time, positioning it as a pivotal component for efficient file operations within the management system. Moreover, the throughput assessments showcase a remarkable 33.73% improvement in encryption and 23.72% in decryption, outperforming the original AES, emphasizing the algorithm's superior computational effectiveness, signaling positive implications for future high-performance applications. In conclusion, the study not only addresses critical security challenges but also presents a viable solution with tangible speed advantages for file encryption and decryption processes within digital file management systems.

New e-book technologies

It is possible to turn all these books on library shelves into small electronic files, which can be marketed online in the form of CDs, computers have provided enormous possibilities for compressing, uploading, and handling files electronically. However, the required transition from the traditional paper book form to its digital counterpart still needs to develop specialized electronic devices, that allow readers to easily deal with the e-book, Without the need to connect to the network every time to browse books, in addition, such a transition requires a change in the marketing strategies of the books themselves and the overall administrative culture prevailing in the field of publishing. The e-book is making its way into the publishing field and the global book market, and this transformation is not intended to replace the paper book, but rather to provide an additional form of access for books to the readers

Experimental Study of the Tensile Behavior of Structures Obtained by FDM 3D Printing Process.

Fused Deposition Modelling (FDM) is one of the layer-based technologies that fall under the umbrella term "Additive Manufacturing", where the desired part is created through the successive layer-by-layer addition process with high accuracy using computer-aided design data. Additive manufacturing technology, or as it is commonly known, 3D (three-dimensional) printing, is a rapidly growing sector of manufacturing that is incorporated in automotive, aerospace, biomedical, and many other fields. This work explores the impact of the Additive Manufacturing process on the mechanical proprieties of the fabricated part. To conduct this study, the 3D printed tensile specimens are designed according to the ASTM D638 standards and printed from a digital template file using the FDM 3D printer Raise3D N2. The material chosen for this 3D printing parameter optimization is Polylactic acid (PLA). The FDM process parameters that were studied in this work are the infill pattern, the infill density, and the infill cell orientation. These factors' effects on the tensile behavior of printed parts were analyzed by the design of experiments method, using the statistical software MINITAB2020.

Bone mineral density in patients with Cushing’s syndrome

Objective: Cushing’s syndrome is caused by the excessive secretion of cortisol or the intake of exogenous cortisol. Morbidity caused by osteoporosis is a major complication that cannot be ignored. We conducted a study to evaluate bone density and fracture risk factors in patients with Cushing’s syndrome. Patients and Methods: This retrospective case-control study involved 176 patients diagnosed with Cushing’s syndrome [153 female and 34 male patients] and 84 controls [72 female and 12 male patients]. Patients admitted to the clinics within the last eight years were included in the analysis. We collected demographic, clinic laboratory data, and bone densitometry measurements from electronic patient files. The classification of patients into normal, osteopenia, or osteoporosis groups is determined by their Body Mineral Density measurements based on the World Health Organization criteria. Results: Among the patients, 135 were diagnosed with Cushing’s disease and 41 with adrenal adenomas. Patients with Cushing’ syndrome showed a higher incidence of osteopenia (11.4%) and osteoporosis (2.8%) when compared to the control group. No osteoporosis cases were found in the control group, while nine cases of osteopenia were detected. Osteopenia was significantly more common in adrenal adenoma patients than in those with pituitary Cushing’s disease. Osteopenia was present in 39.1% of adrenal Cushing’s patients, with only 8.7% (n = 2) having osteoporosis. Osteopenia was observed in 11 patients (23.4%) with pituitary Cushing’s disease, while only 4 patients (8.5%) had osteoporosis. Conclusions: Osteopenia is more prevalent in patients with adrenal Cushing’s syndrome.

Secure Stego Method to Protect SMS Transmission

A novel method of message steganography will be proposed. The method will use a digital speech file as a covering media. The 32 binary bits of each speech sample will be used for data hiding, using these bits will increase the hiding capacity, and changing them will not much affect the sample value, thus the quality of the stego file will be always high. The proposed method will use a private key to protect the hidden message, the protection will be applied by shuffling the rows of the speech binary matrix using the contents of the generated indices key, The induces key will be generated by running a chaotic logistic map model using the values of the chaotic parameters included in the private key. The proposed method will be tested and implemented using various messages, the quality, sensitivity and speed of the proposed method will be analyzed to prove the enhancements provided by the proposed method.

Jurisprudential Origins of Digital Drugs - Music - and their Legal Adaptation: A Comparative Study With Jordanian Law

This study aims to clarify the jurisprudential origins of digital drugs, specifically music, and compare their legal status in Jordanian Law. Digital drugs, referring to different sound files exploited to trick the brain using sound waves in a way that induces addiction, are an old phenomenon that has recently gained recognition and spread. To achieve the study purpose, the research relied heavily on an inductive method, then a deductive one, to understand how musical drugs affect the brain and highlight similarities between traditional drugs and it. Accordingly, a suitable Islamic judgment was deduced. The study resulted in several key conclusions: digital drugs or sound files used to trick the brain invoking relaxation, pleasure, and loss of consciousness, much like intoxicating substances and drugs. It was determined that the ruling of these musical drugs is forbidden in Sharia, as they act as regular traditional drugs.

What matters to you? A mixed-method evaluation of goal setting and attainment within reablement from a client perspective

Background Goal setting is an essential component of reablement programmes. At the same time it is also an important aspect in the evaluation of reablement from the perspective of clients. Objectives As part of the TRANS-SENIOR project, this research aims to get an in-depth insight of goal setting and goal attainment within reablement services from the perspective of the older person. Material and methods A convergent mixed methods design was used, combining data from electronic care files, and completed Canadian Occupational Performance Measure (COPM) forms with individual interviews. Results In total, 17 clients participated. Participants’ meaningful goals mainly focused on self-care, rather than leisure or productivity. This mattered most to them, since being independent in performing self-care tasks increased clients’ confidence and perseverance. Regarding goal attainment, a statistically significant and clinically relevant increase in self-perceived performance and satisfaction scores were observed. Conclusion Although most goals focused on self-care, it became apparent that these tasks matter to participants, especially because these often precede fundamental life goals. Significance Reablement can positively contribute to goal setting and attainment of clients and may contribute to increased independence. However, effectiveness, and subsequently long-term effects, are not yet accomplished and should be evaluated in future research.

Virologic Response and Reinfection Following HCV Treatment among Hospitalized People Who Inject Drugs: Follow-Up Data from the OPPORTUNI-C Trial.

Treatment of hepatitis C among people who inject drugs (PWID) may be complicated by loss to follow-up and reinfection. We aimed to evaluate sustained virologic response (SVR) and reinfection, and to validate complete pharmacy dispensation as a proxy for cure among PWID enrolled in a trial of opportunistic HCV treatment. Data were obtained by reviewing the electronic patient files and supplemented by outreach HCV RNA testing. Reinfection was defined based on clinical, behavioral, and virological data. Intention to treat SVR ≥ 4 within 2 years after enrolment was accomplished by 59 of 98 (60% [95% CI 50-70]) during intervention conditions (opportunistic treatment) and by 57 of 102 (56% [95% CI 46-66]) during control conditions (outpatient treatment). The time to end of treatment response (ETR) or SVR ≥ 4 was shorter among intervention participants (HR 1.55 [1.08-2.22]; p = 0.016). Of participants with complete dispensation, 132 of 145 (91%) achieved ETR or SVR > 4 (OR 12.7 [95% CI 4.3-37.8]; p < 0.001). Four cases of reinfection were identified (incidence 3.8/100 PY [95% CI 1.0-9.7]). Although SVR was similar, the time to virologic cure was shorter among intervention participants. Complete dispensation is a valid correlate for cure among individuals at risk of loss to follow-up. Reinfection following successful treatment remains a concern.

Study on the Utilization of Electronic Files in the Context of Intelligent Courts

With the online litigation, intelligent justice in all parts of China's courts to fully promote the wisdom of the court is in an important stage of rapid development, the traditional paper file archiving has not been able to effectively adapt to the information age judicial reform to explore the practical needs of the courts around the world to explore the application of electronic files. The popularization and application of electronic file, not only the authenticity of the case file, the effectiveness of the new requirements, but also for the right to read the file and other rights of the exercise of the right to bring new challenges. Combined with an analysis of the current state of practice and problems in the use of electronic files, it promotes the formation of countermeasures and recommendations for solving problems related to the generation, management, transfer and access of electronic files.

Innovations in Machine Translation: The Role of Machine Learning in Enhancing Linguistic Accuracy and Efficiency

These instructions give you guidelines for preparing papers for DRP Journals. Use this document as a template if you are using Microsoft Word 6.0 or later. Otherwise, use this document as an instruction set. The electronic file of your paper will be formatted further at DRP. Paper titles should be written in uppercase and lowercase letters, not all uppercase. Avoid writing long formulas with subscripts in the title; short formulas that identify the elements are fine (e.g., "Nd–Fe–B"). Do not write “(Invited)” in the title. Full names of authors are preferred in the author field, but are not required. Put a space between authors’ initials. The abstract must be a concise yet comprehensive reflection of what is in your article. In particular, the abstract must be self-contained, without abbreviations, footnotes, or references. It should be a microcosm of the full article. The abstract must be between 150 - 400 words. Be sure that you adhere to these limits; otherwise, you will need to edit your abstract accordingly. The abstract must be written as one paragraph, and should not contain displayed mathematical equations or tabular material. The abstract should include three or four different keywords or phrases, as this will help readers to find it. It is important to avoid over-repetition of such phrases as this can result in a page being rejected by search engines. Ensure that your abstract reads well and is grammatically correct.