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INTEGRATION OF VISION-LANGUAGE MODELS FOR INTELLIGENT DOCUMENT ANALYSIS IN SALESFORCE
Recent momentum in multimodal artificial intelligence (AI) models, including CLIP and Gemini, has allowed companies to extract any structure information in unstructured document-based data such as scanned contracts, forms, and PDFs. Infusion of these capabilities in Salesforce would revolutionize workflows by automating the process of ingesting, classifying and extracting fields in CRM pipelines. The paper discusses architecture design, implementation approach and performance metrics of vision-language models of intelligent document analysis in Salesforce. We describe the process of documents preprocessing, extracting important entities and clauses, and providing a record in a structured format that would reference the Salesforce objects. Compared to zero-shot extraction by CLIP, a fine-tuned Gemini classifier demonstrates an equal navigation between practical flexibility and precision. Experimental results on both datasets of legal agreements and customer forms lead us to report values of the precision, recall, and speed of processing metrics, which show a substantial advantage towards the use of conventional OCR and keyword-based extraction. The need to integrate it, the problem of governance, user experience and best practices and architectural considerations on enterprise deployment are also covered concluding with the best practices and architectural considerations on enterprise deployment
Copyright (c) 2025 https://creativecommons.org/licenses/by/4.0/deed.en
Shear Wave Elastography of the Tibial Nerve in Diabetic Peripheral Neuropathy: Diagnostic Performance and Clinical Applications
Diabetic peripheral neuropathy (DPN) is one of the most frequent and disabling complications of diabetes mellitus and remains a major cause of pain, foot ulceration
Shear Wave Elastography, Tibial Nerve, Diabetic Peripheral Neuropathy
Ahmed Mohamed Hasan Alsowey , Nesreen Mohamed Mohey Mohamed, Saeed Mohamed Yousef Ebrahim, Essam Elsayed Tharwat Mohamed
Thyroid Dysfunction in Type 1 Diabetes Mellitus: An Integrative Review of Epidemiology, Pathogenesis, and Clinical Implications
Background: Thyroid dysfunction represents one of the most frequent autoimmune comorbidities in individuals with type 1 diabetes mellitus (T1DM). The coexistence of these two conditions reflects a shared autoimmune diathesis influenced by genetic susceptibility, environmental triggers, and immunological cross-
Thyroid Dysfunction, Type 1 Diabetes Mellitus
Fawzy Abd Elfatah EL Messallamy, Jehan Saeed , Nada Samy Mohamed Ahmed , Nearmeen M.Rashad , Azza H. Abd Elfatah
Relationships Among the Clinical Results of Women Undergoing IUI and Increased Basal Sperm DNA Fragmentation
Background: The use of sperm DNA fragmentation (SDF) test to assess male infertility is growing. Purpose: To investigate how women going through IUI are influenced clinically through the sperm DNA fragmentation index
DNA fragmentation, Intrauterine insemination, Pregnancy, Semen.
Osama Ahmed Mohamed Ali, Atef Fathi Ali, Omar Mohamed El Soggier, Ahmed Dabash Abdel lateef
Synthesis and Thermoelectric Study of Series of Bismuth Tellurium selenide mixed metal Chalcogenide Thin Films by APT
Thermoelectric study of bismuth tellurium selenide Bi2(Te1-xSex)3 thin films were done. They are deposited by Arrested Precipitation Technique (APT). These thin films were prepared using a complexing
APT, Metal chalcogenides, X-ray diffraction, Figure of merit, Thermoelectric.
Overview of COVID-19 and Pulmonary Tuberculosis Co-infection: Diagnostic and Therapeutic Challenges
The co-infection of COVID-19 and pulmonary tuberculosis (TB) presents a significant public health concern, especially in regions with high TB prevalence. Both diseases primarily affect the respiratory system and share similar clinical manifestations, such as cough, fever, and shortness of breath, which complicates timely diagnosis and management
COVID-19, Tuberculosis, Co-infection, Therapeutic Challenges
Adel Hassan Ahmed Ghoneim, Reda Mohamed Abdullah El ghamry, Mohamed Mehrez Naguib, Mohamed Abd Elhady Mohamed
Predictors of Nonresponse to Direct Acting Antiviral Therapy in Chronic Hepatitis C Patients
Background: Identifying predictors of the hepatitis C virus (HCV) treatment failure prior to the initiation of therapy is important in recognizing high risk patients and alerting clinicians as to whether they should further intervene to address potential barriers. Objective: to diagnose and predict possible factors and criteria
Direct-Acting Antiviral Therapy; Chronic Hepatitis C; Treatment Failure
Mahmoud Abdou Ashour , Hany Mohamed Elsadek , Alaa Ahmed Farag , Ahmed Mohamed Baraka Mohamed Reda Saeed
Mapping Salinity Fronts: Spatial–Temporal Trends of Saline Water Intrusion in Southwest Bangladesh
Saline water intrusion into coastal aquifers, rivers, wetlands, and agricultural soils is a critical environmental and socio-economic issue in the Ganges–Brahmaputra–Meghna (GBM) delta, with southwest Bangladesh among the most affected regions. This study synthesizes in-situ monitoring, satellite remote sensing, and statistical trend-detection methods to define and map salinity fronts—the dynamic boundary between fresh and saline waters—across space and time. In the existing work, using datasets from 86 surface-water stations (2001–2017) and remote-sensing proxies (Landsat, Sentinel-2, SMOS, and SMAP), salinity dynamics were analyzed through Seasonal-Trend Decomposition (STL), Sen’s slope, and Mann–Kendall trend tests. The results show that the salinity front migrates 20–40 km inland during the dry season, with statistically significant positive trends (+100 to +450 µS/cm yr⁻¹) in the exposed southwest coastal zones, particularly north of the Sundarbans. Correlation analyses identify reduced river discharge, sea-level rise, and cyclone-driven surges as primary drivers. The study concludes by recommending integrated monitoring frameworks, hybrid remote-sensing models, and adaptive water-resource management to mitigate long-term salinity intrusion.
Saline intrusion, salinity front, Bangladesh coast, SMOS, Sentinel-2, STL decomposition, Sen’s slope, trend analysis.
IMPACT OF IRON SUPPLEMENTATION ON ZINC ABSORPTION AND ZINC STATUS DURING PREGNANCY: A RANDOMIZED CONTROLLED TRIAL
The objective of the study was to determine the impact of iron supplementation on the absorption and the zinc status of pregnant women. It was a one-blinded, placebo-controlled randomized trial study that used 17 people and divided them into two groups; one was the iron supplementation group and the other group was the placebo. The respondents were given 100mg of iron in the form of ferrous gluconate in the period of their pregnancy, until they gave birth. The levels of zinc were determined at 16, 24 and 34 weeks of pregnancy by using stable isotope measurements. The findings indicated that iron supplementation did not have a significant effect on zinc absorption or plasma zinc levels and there were small decreases in plasma zinc levels in pregnancy. There were no significant differences in the outcomes of both groups and the zinc absorption efficiency increased as the pregnancy progressed. The exchangeable zinc pool (EZP) was not affected by the iron supplementation implying that the increased zinc requirements in pregnancy were filled by the increased capacity of the body to absorb zinc. On the whole, the investigation came to the conclusion that iron supplementation, in the absence of zinc, does not suppress zinc metabolism in pregnancy.
Iron supplementation, zinc absorption, pregnancy, exchangeable zinc pool, maternal nutrition
Endometriosis's Effect on Embryo Quality and perinatal outcomes in In-vitro Fertilization as well as Intracytoplasmic Sperm Injection: A Comprehensive Review and Meta-Analysis
Background: Endometriosis's impact on the results of assisted reproductive technology has been the subject of numerous investigations. Nevertheless, these findings are still hotly contested. Purpose: To assess how endometriosis affects (in vitro fertilization) IVF and (intracytoplasmic sperm injection) ICSI cycle embryo quality
Embryo, Endometriosis, IVF/ICSI, Perinatal outcomes
Yahia Ali Ahmed, Shymaa S Ali, Ahmed Dabash Abdellateef
Experiences of Women about Cervical Cancer Screening after Educational Intervention in Ikwo Local Government Area, Ebonyi State, Nigeria.
Background Globally, cervical cancer screening (CCS) allows for the early diagnosis of precancerous cervical lesions and early stage malignancies. CCS is not widely practiced in underdeveloped and developing countries due to numerous reasons and barriers. Women’s experiences about CCS have not been exclusively studied, most especially in Nigeria.
Cervical cancer screening, Women’s experiences, Educational intervention, Phenomenology, Nigeria / Ebonyi State.
Happiness Onuoha, Maduakolam Onuoha, Ovuoba-Emeka Sussan Nnenne, Etu Esther, Nwali Nneka Immaculata
VOCAL VIBRATION TRAITS OF RADIO PERFORMERS: A HIGH-SPEED VIDEOENDOSCOPIC STUDY OF FUNDAMENTAL FREQUENCY, SPEED QUOTIENT, AND OPEN QUOTIENT DIFFERENCES
It has been observed in both acoustiRc and perceptual examinations that radio performers’ voices differ somewhat from normal controls. What causes these differences among voices is poorly understood at the mechanism level. The study used high-speed videoendoscopy to see if radio performers have different vocal vibration traits than those who do not work in radio. Using high- speed videoendoscopy, we collected recordings of a mid-phonatory/i/ from 16 male radio performers (from 25 to 52 years old) and matched they and 16 controls (also from 25 to 52 years old). With High-Speed Video Program, the fundamental frequency (f0), open quotient and speed quotient of each video were measured semi-automatically. Analysis of sound pressure level (SPL) was also carried out in 19 Asian subjects. The relationships between SPL and both speed and open quotients were analyzed with Pearson correlations. The male radio hosts had much higher speed quotients than the people their controls were matched with (t= 3.308, p= 0.005). There were no important differences noted for f0 or open quotient. No strong connection was identified between open quotient, speed quotient or SPL. It seems that men who do radio work have a higher speed quotient since their vocal folds vibrate for a greater proportion of time with a wide-open glottis compared with controls. This outcome may account for the better timbre, raised sound level and pronounced channel tilt described in earlier studies. The durations of when the vocal folds were closed completely were similar in both groups. To learn more about the main reason behind faster quotient results and for see- through approach to clinical and voice training in performers, it is necessary to validate these results further
Vocal fold vibration, Speed quotient, High-speed videoendoscopy, Radio performers, Voice quality
PREVALENCE AND PATTERN OF EAR, NOSE, AND THROAT MANIFESTATIONS AMONG HIV-POSITIVE PATIENTS: A CROSS-SECTIONAL STUDY
HIV/AIDS is still a big problem in the 21st century. While new HIV cases have gone down in several areas, some regions continue to deal with a big burden of HIV. Many research reports indicate that between 70% and 90% of people living with HIV also suffer from ear, nose and throat (ENT) symptoms. A descriptive cross-sectional study was performed at a tertiary care hospital to determine the occurrence of ENT symptoms in HIV-positive patients at these clinics, taking into account their age, gender and CD4 cell count. The study population consisted of people who were eligible by convenience sampling, for a total of 200 patients. Data were collected using a set questionnaire and statistics were done with SPSS software version 20. Among 200 people with HIV, 68 (34%) had problems related to ENT infections. Children ages 0 to 9 showed the highest number of inflammatory bowel disease cases. Among all patients, ENT symptoms were more common for females (23.5%) than for males (10.5%). People with CD4 cells fewer than 200 cells lower per microliter showed more ENT symptoms (56.3%). About one-third of participants experienced problems with their ears, nose or throat. HIV healthcare providers must be aware of these symptoms in positive patients to assist with quick diagnosis and the right treatment.
Methanol HIV/AIDS, Ear, Nose, and Throat (ENT) Manifestations, CD4 Count, Prevalence, Cross-Sectional Study
EFFICACY OF TWO MODES OF METACOGNITIVE TEACHING STRATEGIES ON JUNIOR SECONDARY SCHOOL STUDENTS’ INTEREST IN CULTURAL AND CREATIVE ARTS IN BENUE STATE, NIGERIA
The study investigated the effect of two metacognitive teaching strategies on Junior Secondary School Students’ interest in Cultural and Creative Arts (CCA) in Benue State, North-Central Nigeria. Guided by three research questions and corresponding null hypotheses, the study adopted a quasi-experimental design. The population comprised all Junior Secondary School II students offering CCA in Benue State, from which a sample was drawn using a multi-stage sampling procedure. Two intact classes were assigned to experimental group I (Think-Aloud Problem-Solving Strategy), and experimental group II (Elaboration Strategy). An instrument titled “Cultural and Creative Arts Interest Inventory (CCAII) designed by the researchers was used for data collection. The instrument was validated by three experts in Department of Art Education (Cultural and Creative Arts), Department of Science Education (Measurement and Evaluation) and Department of Educational Foundations (Educational Psychology), and its reliability established using Cronbach’s Alpha, yielding a coefficient of 0.76. Data were analyzed using mean and standard deviation to answer the research questions, while Analysis of Covariance (ANCOVA) was employed to test the hypotheses at a 0.05 level of significance. Findings of the study revealed that think-aloud problem solving strategy significantly enhancing students’ interest more than both the Elaboration Strategy. However, gender did not significantly influence students’ interest in CCA, and the interaction effect of teaching strategies and gender on students’ interest was not significant. It was recommended, among others, that Cultural and Creative Arts teachers should adopt metacognitive teaching strategies such as the think-aloud problem solving strategy to enhance students’ sustained interest and participation in the subject. Teacher education programs and curriculum planners should also emphasize the integration of metacognitive pedagogy in art instruction to promote creativity, inclusiveness, and reflective learning among students.
Metacognitive Strategies, Think-aloud problem-solving, Elaboration strategy, Cultural and Creative Arts, Students’ interest, Gender
FUNCTIONAL ORGANIZATION OF SOMATOSENSORY AND AUDITORY PROCESSING IN THE CEREBRAL CORTEX: INSIGHTS FROM FMRI AND TYMPANIC MEMBRANE STIMULATION
This paper explores the functional structure of somatosensory areas of auditory processing within the cerebral cortex. We studied how the activity of temporal and parietal cortical areas was activated by the stimulation of the tympanic membrane by fMRI. The findings depict that there is an important activity in Brodmann areas (BA) 84, 44, and 86, which demonstrates that the temporal superior gyrus and postcentral gyrus are involved in auditory and somatosensory integration. Such results indicate a bilateral influence at the auditory cortex despite unilateral stimulation with implications in the processing of sensory information in ear. The mechanical phases of swallowing and relationship with muscles of the tympanic membrane and Eustachian tube are also examined in the work with special stress on the contribution to acoustic reflexes made by the tensor tympani. Such understandings will be useful in clinical applications, such as the possibility of identifying subclinical auditory perception deficits and avert hearing l
Somatosensory cortex, Tympanic membrane, Auditory processing, Functional MR, Swallowing mechanism
A Systematic Review on Randomized Controlled Trials Impact of Intestinal Anthelmintic Drug Administration on Hemoglobin Levels
Anemia is a major concern in the common health with extensive implications on human health, economic performance, and social progress. Although iron deficiency is generally recognized as the most common cause of anemia, the contribution of intestinal helminths to anemia has been getting an increasing interest. The objective of the present systematic review and meta-regression analysis is to assess the effect of regular intestinal anthelmintic drugs on the hemoglobin levels and the prevalence of anemia. The effect of deworming on baseline anemia, and the predictors of efficacy were studied by conducting a comprehensive search of randomized controlled trials. The meta-regression analysis showed that the effect of deworming on hemoglobin was significant but small particularly in high-prevalence anaemic populations. The adult populations showed the most significant improvement whereas the effect was not that significant in case children were included. Also, there was no significant difference in the effectiveness of iron supplementation used together with deworming to improve hemoglobin levels at the other factor held constant. The decrease in prevalence of anemia was highest at lower cut-offs of hemoglobin (e.g. 180 g/l) especially in high-baseline anemia populations. These results indicate that deworming may be a useful intervention particularly in those regions where anemia is severely high.
Anemia, Deworming, Intestinal Anthelmintic Drugs, Hemoglobin
A Program based on Self-regulation for Developing Secondary School Students’ EFL Semantic Awareness
Introduction: Semantic awareness poses challenges for many learners. In Egypt, many students who learn English as a foreign language have deficiencies in comprehending the semantic awareness process. In order for students to achieve a good level of competence, those students need to apply strategies which have a scientifically affects developing levels of semantic awareness in English. The focus of the research is to develop the semantic awareness of secondary school students by a program based on self-regulation. Method: Sixty first- year secondary students were enrolled in the second semester of the academic year (2024-2025) participated. They were split up into two groups; experimental (n=30) and control (n= 30) respectively. Since the participants were purposefully chosen, it was considered that they made up a homogenous group. SPSS program was used for data analysis. Results: Findings from this study indicated the program based on self-regulation developed the secondary students’ school EFL semantic awareness in the experimental group. Discussion and conclusions: On the basis of the findings, the study advocates the program based on self-regulation for developing the secondary students’ school EFL semantic awareness in the experimental group.
Copyright (c) 2025 Rehab M. A. Elsheneti, Bahaa El-Din El -Sayed El- Naggar, Ahmed Abd El Salam Edress (Author) https://creativecommons.org/licenses/by/4.0/deed.en
Impact of Aerobic Exercise versus Interval Resistive Exercise on Blood Coagulation and Fibrinolysis in Type 2 Diabetic women.
purpose of study: This study aims to compare the effects of aerobic versus interval resistive exercises upon blood coagulation and fibrinolysis factors in women with type 2 diabetes. Objectives and Methods: Sixty women
Blood coagulation, Diabetic type 2 women, Aerobic exercise, Interval resistive exercise.
Evaluation of Mathematics Teachers’ Factors on the Implementation of Mathematics Curriculum in Senior Secondary Schools: Implications to Life Sciences Curriculum
This study evaluated Mathematics teachers’ factors on the implementation of Mathematics curriculum in senior secondary school in Obollo Education Zone of Enugu State, Nigeria. The study has great implications to life sciences curriculum.Three research questions were posed and three null hypotheses were formulated to guide the conduct of the study. The study employed descriptive research design. The population of this study consists of 124 mathematics teachers drawn from 54 state owned Senior Secondary Schools in Obollo Zone of Enugu State, Nigeria. The sample for the study consisted of 64 mathematics teachers constituting 50% of the total population size. The sample was selected from 19 secondary schools in the three local government area of Obollo Education Zone of Enugu State through the process of simple random sampling technique. An inventory schedule was the instrument used for data collection. 64 questionnaires were administered and returned. The reliability of the questionnaire was tested using Cronbach’s Alpha coefficient. The estimates were found to be reliable based on the result of pilot study conducted by the researchers, which shows a reliability figure of 0.978, 0.971 and 0.986 for clusters 1-3 respectively. The data collected from the study were analyzed using means and standard deviations to answer the research questions and Chi-square was used to test the hypotheses at 0.05 level of significance. The findings revealed that mathematics teachers’ education qualifications, teaching experiences and teaching methods significantly influenced the implementation of mathematics curriculum in senior secondary school. It was recommended among others that to foster improved academic performance of secondary school students, government should employ professional, qualified and experienced teachers.
The Effect of Dexmedetomidine, Magnesium Sulfate or Midazolam as Adjuvant to Bupivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block
Abstract: Background: Different adjuvant have been used to improve the quality of regional anesthesia. The aim of the study: It is evaluation and comparing the effects of dexmedetomidine, magnesium sulfate and midazolam when added as adjuvant to bupivacaine on the quality of US-guided supraclavicular brachial plexus block. Patients and methods: This prospective, randomized controlled trial was conducted on 100 patients undergoing upper limb surgery under US-guided supraclavicular brachial plexus block. These patients were randomized into 4 equal groups. 15 ml of 0.5% bupivacaine plus each of 5ml normal saline, 1µg/kg dexmedetomidine, 3 mg/kg of 10% magnesium sulfate and 50µg/kg of midazolam were used in the control (B/S) group, dexmedetomidine (B/D) group, magnesium sulfate (B/MgS) group and midazolam (B/M) group, respectively. Onset and duration of sensory and motor blocks, time to first analgesic request, total postoperative analgesic consumption, hemodynamic changes, and the associated side effects were recorded. Results: The block onset times, intraoperative analgesic potency, duration of postoperative analgesia and rates of the associated side effects in B/D, B/MgS, and B/M groups were significantly better than in B/S (Control) group (P <0.001) and in B/D group they were significantly better than in B/MgS and B/M groups (P =0.042) and in B/MgS group they were significantly better than that in B/M group. Conclusion: Addition of Dexmedetomidine, Magnesium sulfate and midazolam as adjuvant to bupivacaine are efficient in improving the characteristics of supraclavicular brachial plexus block but Dexmedetomidine is the most efficient one that followed by Magnesium sulfate and then by midazolam.
Bupivacaine; Dexmedetomidine; Magnesium sulfate; Midazolam; Supraclavicular brachial plexus block; Ultrasound-guided regional anesthesi
LECTURERS’ AWARENESS AND ATTITUDE TOWARDS ARTIFICIAL INTELLIGENCE FOR TEACHING BIOLOGY IN UNIVERSITIES IN SOUTHEASTERN NIGERIA
The study investigated lecturers’ awareness and attitude towards application of artificial intelligence for teaching biology in universities in Southeastern Nigeria. The study adopted descriptive survey research design. Four research questions guided the study. The population comprised 267 lecturers in Biology unit of Department of Science Education from 12 Universities in Southeastern Nigeria. Two instruments developed by the researchers titled “Lecturers’ Artificial Intelligence Awareness Scale” (LAIAS) and “Lecturers’ Attitude towards application of Artificial Intelligence for Teaching Biology Questionnaire” (LAAITBQ) were used for data collection. The instruments were validated by two experts in Department of Science Education, and one expert in Department of Education Foundations, Faculty of Education, University of Nigeria, Nsukka. The reliability coefficient of the instruments was 0.80 and 0.85 respectively using Kuder Richardson 20 and Cronbach Alpha. Mean and standard deviation were used to answer research questions. The findings of the study revealed that there were negative awareness and attitude of lecturers towards application of AI for teaching Biology. It was recommended among others that the government should organize workshops to sensitize lecturers to adopt positive awareness and attitude towards artificial intelligence in teaching Biology.
Copyright (c) 2023 Ngozi Justina Igwe, Assumpta C Aham, Innocent Ebere Okereke (Author) https://creativecommons.org/licenses/by/4.0/deed.en
Examining psychological problems and changes in the nervous system caused by cancer in patients with brain cancer and the effectiveness of using neuroleptics in their control
The aim of the study is to study and compare neurological, psychological and cognitive changes caused by brain cancer in patients compared to healthy individuals and the effect of neuroleptic drugs in controlling them. This study is of a causal-comparative type. The statistical population of this study The statistical population of the study includes
Perceived stress, worry, feeling of loneliness, brain cancer.
Pouya Ahmadian koudakan, Houshang Hamidi Monfared
AI-Driven Supply Chain Management in the United States: Machine Learning for Predictive Analytics and Business Decision-Making
The growing complexity of the global supply chains, the dynamic market environment, and expedited digitalization require the use of sophisticated data-driven models of operational forecasting and decision-making. This paper presents a proposed AI supply chain management predictive analytics framework based on the approaches of machine learning and deep learning to improve the predictability and business acumen of the company. Based on the LADE (Last-Mile Delivery) data set, which focuses on based on the United States of America operational data, a range of models, such as linear regression, random forest, XGBoost, and a hybrid Convolutional Long Short-Term Memory (ConvLSTM) network, has been created and measured. The suggested ConvLSTM network combines convolutional layers of localized timebased feature extraction and LSTM layers of long-term sequential dependencies. Compared outputs prove that the ConvLSTM is better than all the baselines with the RMSE of 466.33, MAE of 234.86, and R2 of 0.988, which reflect a good ability to predict and generalize. It has been experimentally confirmed that the hybrid architecture is effective in modeling nonlinear dynamic relationships in the supply chain data to generate robust and accurate revenue forecasts This study is added to the ever-expanding body of AI-powered supply chain intelligence by showing how deep sequential learning structures can be used to deliver actionable recommendations in both strategic and operational management. The next step in future studies includes incorporating more external data streams, the attention-based or transformer design, and the development of real-time decision-support systems that will enhance dynamism and performance in complicated logistics settings.
Supply Chain Management (SCM); Predictive Analytics; Convolutional Long ShortTerm Memory (ConvLSTM); LADE (Last-Mile Delivery); Data-Driven Decision-Making
Mohammad Morshed Uddin Al Mostam Sek Billah
Interplay Between Coronary Artery Calcium Score and Vitamin D3 Status: A Contemporary Review in Coronary Artery Disease
Background: Coronary artery disease (CAD) remains the leading cause of morbidity and mortality worldwide despite substantial progress in preventive cardiology and imaging diagnostics. The coronary artery calcium (CAC) score, derived from non-contrast computed tomography, is a well-validated surrogate of atherosclerotic plaque burden and a strong predictor of future cardiovascular events. Parallel to this, vitamin D3 (cholecalciferol) has emerged as a multifaceted hormone with immunomodulatory, anti-inflammatory, and endothelial effects that extend beyond calcium–phosphate homeostasis.Increasing evidence links vitamin D3 deficiency to vascular dysfunction, arterial stiffness, and accelerated atherosclerosis, yet the direct association between vitamin D3 status and coronary calcification remains incompletely understood
Pericapsular Nerve Group Block, Analgesia, Elderly, Hip Fracture
Ragab A Mahfouz , Mohey Eldeen AbouElfetouh Eldeeb , Eslam Abd El Rahim Mohamed Abdullah , Alaa E Salama
Effect of Self-Leadership on Self-Reflection and Insight among Nurses at Kafr Shukr Specialized Hospital
Background: Self-leadership is a critical concept in nursing ,refering to an individual's ability to influence and guide themselves toward achieving personal and professional goals. In the healthcare setting, self-leadership empowers nurses to take initiative, maintain motivation, and adapt to complex clinical environments. Additionally, self-leadership fosters self-reflection and insight, enabling nurses to critically evaluate their own behaviors, thoughts, and decisions.
Self-Leadership , Self-Reflection and Insight and Nurses
Safa Gaber Abd el-wahab, Farida Mahmoud Hassona, Aisha El-Sayed El-Araby
Radiological findings of biliary obstructive causes
Background: Radiological imaging plays a crucial role in diagnosing biliary obstruction, providing detailed visualization of the biliary tree and adjacent structures. This abstract reviews the characteristic radiological findings across various imaging modalities used to identify the cause and location of biliary obstruction.
Radiological findings, biliary obstructive causes
Nesreen M. Mohey, Ahmed Mohamed Elmaghraby, Marive Emad Ayad Sobhy Ibrahim, Yasmin Ibrahim Libda
Long Non-coding RNA MALAT1 as a Novel Diagnostic Biomarker of Coronary Artery Disease in Type 2 Diabetes Mellitus: A Comprehensive Review
Background: Coronary artery disease (CAD) remains a major cause of morbidity and mortality among patients with type 2 diabetes mellitus (T2DM). The coexistence of T2DM accelerates atherosclerosis and vascular inflammation through hyperglycemia-induced oxidative stress, endothelial dysfunction, and lipid abnormalities. Howeve
Long Non-coding RNA MALAT1 , Coronary Artery Disease, Type 2 Diabetes Mellitus
Nearmeen M.Rashad , Amal Saeed El-Shal, Ahmad Atef Zaki Arafa,Esraa Samy Ahmed
Epidemiology, Resistance Patterns, and Clinical Diagnosis and Management Challenges in Dermatophytosis
Dermatophytosis has re-emerged as a significant public health concern, with shifts in epidemiology, rising antifungal resistance, and increasingly complex clinical presentations. Beyond traditional tinea corporis and cruris, clinicians now encounter steroidmodified disease, extensive involvement
Epidemiology, Resistance Patterns, Clinical Diagnosis. Management, Challenges,Dermatophytosis
Factors Affecting Wound Healing Post Major Surgeries in Intensive Care Units
Background: Wound healing following major surgery represents a critical challenge in intensive care units. Despite advances in surgical techniques and infection control, critically ill patients remain at high risk of delayed wound healing due to systemic, patient-related, nurse related, and environmental factors. Understanding these
Factors affecting Wound healing, intensive care unit, major surgery, wound healing
Ahmed Reda Hassam Mahmoud , Nadia Mohamed Taha , Elham Hamed Mohamed Mohamed Hebeshy Abdelgayed
Serum Kisspeptin and Sex Hormones in Women with Hypoactive Sexual Desire: Pathophysiological Insights and Clinical Implications
Background: Hypoactive Sexual Desire Disorder (HSDD) is the most prevalent form of female sexual dysfunction, characterized by a persistent reduction or absence of sexual desire that leads to personal distress and relational difficulties. The underlying pathophysiology of HSDD is multifactorial, involving neurobiological, hormonal
Kisspeptin, Sex Hormones , Hypoactive Sexual Desire
Abdalla Hasan Kandil, Dalia Atef Roshdy Hemead, El sayed Mohammed Galal Khater