International journal of health sciences
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Design and implementation of transfer learned deep CNN with feature fusion for automated mammogram classification
Get PDFRadiologists frequently struggle to define mammography mass lesions, resulting in unneeded breast biopsies to eliminate suspicions, which adds exorbitant costs to an already overburdened patient and medical system..Existing models have limited capability for feature extraction and representation, as well as cancer classification. Therefore, we built deep Convolution neural networks based Computer-aided Diagnosis system to assist radiologists in classifying mammography mass lesions. Here, Two-view LASSO regression feature fusion and fine-tuned transfer learning network model VGG16 were applied for identification of mammogram cancer. First, two independent CNN branches are utilized to extract mammography characteristics from two different perspectives. Feature Extraction is performed by fine-tuning pre-trained deep network models VGG16 which extracts deep convolutional features. Second, the features of the VGG16 models are serially fused using LASSO regression. Lastly, the fused features are entered into the Fully Connected Layer for mammogram classification. The high accuracy of 95.24, senstitivity of 96.11% and AUC score of 97.95% of the proposed approach revealed that it should be used to enhance clinical decision-making
The process of emergency nurses' encounter with potential legal issues: A grounded theory study
Get PDFAims: Considering the continuous rise in legal complaints against nurses, especially emergency nurses, they consider their work environment to be a threatening place, negatively affecting their professional care performance. This study aimed to explain the process of confrontation of emergency department nurses with potential legal issues. Methods: In this qualitative study data were collected from six observations and in-depth semi-structured interviews with 15 nurses and one emergency physician in the emergency departments. The participants were initially selected by purposeful sampling, followed by theoretical sampling. Data were finally analyzed based on Corbin and Strauss grounded theory approach (2008). Results: The core variable in this study was “perceived fear of litigation risk” and consisted of four categories: “avoidance of involvement in legal issues”, “cautious performance”, “double-checking”, and “acquitting oneself”. Emergency nurses face these issues after assessing the likelihood of legal problems, based on the severity of their perceived fears. This assessment is an ongoing and dynamic process, and increasing the likelihood of a legal issue occurring and thus increasing fear can lead to a change in the approach used or the simultaneous (cumulative) use of several approaches.  
Detection of some virulence factors and antibiotic resistance of Staphylococcus aureus isolated from food source
Get PDFBecause the S. aureus is not only associated with severe community and hospital acquired diseases, but it is also a leading cause of food-poisoning outbreaks, the focus of this research is to identify biotypes, virulence genes, and antimicrobial resistance patterns for S. aureus isolated from food . The current study was carried out from September to December 2021 , in which 20 S. aureus isolated from 150 food samples . A total of food samples were collected from a range of sources, including (milk, meat, cheese and celery). Only 20 (13.4%) of the 150 food samples screened positive for S. aureus, with 8 isolates from meat samples, 3 isolates from milk, 4 isolates from celery, and 5 isolates from Iraqi white cheese. Other staphylococcus species (gallinarum, xylosus, sciuri, and lentus) as well as other genera were obtained. All isolates were diagnosed using traditional biochemical assays and the Vitek method. Antimicrobial susceptibility was tested using the Kirby- Bauer method. All 20 food-borne S. aureus isolates were completely sensitive to the majority of antibiotics, which was demonstrated (100%). In food S. aureus isolates, only Cefotaxime (100%) was totally resistant, followed by Ceftazidime (60%) and Cefepime (40%)
A study to observe the functional outcome of surgical management of distal femur fractures using locking compression plate by minimally invasive plate osteosynthesis technique
Get PDFBackground: Fractures of the lower end of the femur are very tough to cure and linked to various consequences. Because of the high frequency of infection, non-union, and malunion, poor fixation, and a scarcity of appropriate equipment, implants, and antibiotics in the early 1960s, operational care of these fractures was avoided to a significant extent. Objective: The present study was undertaken to analyze the outcomes of fractures situated at the lower end of the femur, which is managed with CRIF. Materials and methods: A total of 20 patients were part of the study after obtaining the voluntary, written, informed consent. After collecting the basic demographic data, the clinical data were collected from all the participants. All participants underwent, a general clinical examination followed by a systemic examination. X-ray knee joint with distal femur AP and lateral views, CBC, FBG, LFT, RFT, and ECG were performed on all the participants. Results: Table 1 presents the gender distribution of the participants. The majority of the participants were males. Table 2 presents the age-wise distribution of the participants. The majority of the participants belonged to the age group of 21-30 years of age. Table 3 presents the type of injury of the patients
Strategic awareness of kindergarten principals
Get PDFThe current research aims to identify the strategic awareness of kindergarten principals, and the basic research sample consisted of (384) principals and assistants, who were selected in a simple random way from the directorates of Baghdad Education (Rusafa first, Rusafa second, third Rusafa, first Karkh, second Karkh, Karkh Third) for the academic year (2021/2022). To achieve the objectives of the research, the researcher adopted the strategic awareness scale "Colly and her colleagues, 2021", then analyzed the paragraphs of the scale logically and statistically to calculate their discriminatory ability and their validity coefficients. By re-testing and Cronbach's alpha coefficient, and the reliability coefficient reached (0.93, 0.90) respectively, so that the scale is in its final form of (24) items, and in front of each paragraph there are five alternatives: (I always agree, I agree sometimes, I don’t agree, I sometimes don’t agree, I don’t always agree). Based on the sample responses, the following conclusions were reached: - The kindergarten principals have a high strategic awareness, as the results came with an arithmetic mean higher than the hypothetical average of the scale
Upper limb physical therapy interventions to improve functions in cerebral palsy children: A review article
Get PDFIntroduction: upper limb function is considered challenging barrier for children with cerebral palsy hindering their activity levels and participation in play activities at home, school or other contexts. The aim of this critical review is to gain a deeper understanding of how the different physical therapy interventions could be beneficial in terms of functional outcomes either when used separately or combined with each other’s and provide summary of dosing reported for each. Method: A literature search was conducted using electronic databases for health research; Embase, Cochrane, Pedro, Science Direct and Clinical Key. 16 papers where selected meeting the aim of the review and the criteria of work (randomized control trials. systematic reviews, meta-analysis) and critically reviewed. Findings: recommended dosing in literature was: for CIMT dosing 60 hours over 10 days and 6 hours per day for 15 days, for HABIT 6 hours per day for 15 days and 6 hours per day for 3 weeks, for Strength Training is 6-10 per set, and the intensity (load) is increased to 85% 1RM. While, goal directed training dosing to be effective should exceed 30-40 hours per week and Virtual reality to be more than 1080 minutes over 4 weeks
Anticancer activities of sewewanua leaf extracts (Clerodendrum fragrans (Vent.) Wild) againts A549 lung cancer cell
Get PDFCancer is one of the leading causes of non-communicable diseases in the world. In 2015, about 8.8 million cancer deaths worldwide and lung cancer was the most common type of cancer and the highest cause of death. Therapy for lung cancer can be either conventional therapy or molecular targeted therapy still has many limitations. It is therefore important to explore new sources of anticancer activity, including those from plants. One plant that is thought to have anticancer activity is Sesewanua (Clerodendrum fragrans [Vent.] Willd. Syn. Clerodendrum chinense [Osbeck] Mabb. Family Lamiaceae). This research is a laboratory experiment. The sample used is the C. fragrans leaves obtained in Malalayang I Timur Village, Malalayang District, Manado City, North Sulawesi Province, while the subjects in this study were A549 lung cancer cells from Cell-Culture Laboratory, Faculty of Pharmacy, Universitas Padjadjaran Bandung. Anticancer activity test was using the MTT Tetrazolium Assay Method. Data in the form of a percentage (%) inhibition of cell proliferation, then determined the value the concentration of 50% proliferation inhibition (IC50) using a computer program online
Psycheducation of Żikir decreases percieved stress and IL-6 level of primigravida women
Get PDFUnstable emotions often occur during the pregnancy and place the pregnant women in a stress transition and tends to a vulnerable condition, which can increase proinflammatory cytokines so as to trigger preterm labor. The pregnancy period is a condition to get closer to God and make life more meaningful by using religious beliefs as a strong coping mechanism. This study aims to prove routine midwifery care plus psychoeducation Żikir further reduces perceived stress and the level of IL-6 Primigravida women compared to routine midwifery care.This study was an experimental study.A number of 37 participants as intervention group and a number of 38 participants as control group. The perceived stress obtained using Perceived Stress Scale and IL-6 levels measured using ELIZA kits in the third trimester of pregnancy. Statistical test using independent t test to compare delta score. The result showed mean difference between groups on the end of interventions, perceived stress 4.520 CI 95% (-7.687 – [-1.353]) and p value is 0.006. The difference of the IL-6 between groups 8.371 CI 95% (-11.361 – [-5.38]) and p value is less than 0.001. Conclusions: Routine midwifery care plus psychoeducation żikir has more decrease perceived stress and IL-6 levels in primigravida women
A case report: The beautiful mind
Get PDFCaring for a family member diagnosed with schizophrenia will not only impart a lifetime emotional distress but also social and financial challenge. Failure to anticipate and cope with the burden of care responsibilities will add an unnecessary risk to permanent injury resulting in a substandard management of the patient and even death. We describe a case of successful removal of nine (9) constricting rings from the finger of both hands in a poorly taken care of an abusive relapse schizophrenia patient using an oscillating saw and ring cutter under prosedural sedation combined with wrist block in emergency department (ED). Early recognition and a definitive treatment are of paramount importance in order to avoid irreversible ischemia and gangrene. The possible risk of negligence should be kept in mind bearing a link with depression among members caring for schizophrenia
Effect of fatigue on activities of daily life and lifestyle among patients with cancer at Euphrates cancer hospital
Get PDFBackground: Cancer-Related Fatigue (CRF) is the most common and treatable symptom. CRF severely affects numerous aspects of cancer patients' quality of life (QoL). Further, the healthy lifestyle adopted by patients is considered a significant factor in cancer etiologic and prevention. Key known lifestyle factors include physical activity, sleep pattern, social and family relationships, spirituality, safety, relaxation, nutrition, and others. The World Health Organization (WHO) stresses the importance of alleviating distressing symptoms to improve QoL in patients suffering from a life-shortening disease. Another type of activities, known as Activities of Daily Living (ADL), are those that individuals perform to live independently within the society. Methods: A Descriptive correlational Design is used to study the relationships between the variables and how such relationships are analyzed to assess the research objectives. The study is conducted throughout the period of January 8th November 2021 to 1st July 2022. A Non-Probability (Purposive Sample) of (250) cancer patients, those who visited Al-Euphrates Cancer Hospital/ Al-Najaf/Chemotherapy and hormonal, Radiation, Surgery for treatment or follow up or both, are included in the study sample.