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Epidemiology of Eosinophilic Esophagitis in Patients with Cystic Fibrosis: A Population-Based 5-Year Study

  • Alaber, Omar;Sabe, Ramy;Baez-Socorro, Virginia;Sankararaman, Senthilkumar;Roesch, Erica;Sferra, Thomas J.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.4
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    • pp.283-292
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    • 2022
  • Purpose: The prevalence of eosinophilic esophagitis (EoE) has been on the rise since it was first described in the 1990s. Several diseases and exogenous factors have been associated with EoE. Our aim was to investigate the epidemiology of EoE in cystic fibrosis (CF) patients. Methods: We identified individuals with CF from September 2014 to September 2019 within a database (IBM Explorys Solutions, Inc.). The prevalence of EoE in patients with CF was compared to the general population. Results: The database included 36,111,860 patients during the 5-year study period: 12,950 with CF (0.036%) and 28,090 with EoE (0.078%). EoE prevalence was higher in CF patients than the general population (46 in 10,000 vs. 7.8 in 10,000, p<0.001). Patients with CF and EoE were more likely to be male (50% vs. 33.5%, p<0.008), children (33.3% vs. 16.5%, p<0.001), and non-Hispanic (100% vs. 88.7%, p<0.001) than CF patients without EoE. CF with EoE patients were more likely to be children than EoE only (33.3% vs. 10.5%, p<0.001). Allergic conditions were generally more prevalent in CF with EoE than CF only (83.3% vs. 68.3%, p=0.01) and EoE only (83.3% vs. 69.3%, p=0.014). Conclusion: EoE is nearly 6-times more prevalent in CF patients. Those patients had higher incidence of other atopic conditions. EoE must be considered in the differential diagnosis of patients with CF presenting with dysphagia, refractory gastroesophageal reflux, vomiting, and other esophagus-related symptoms.

Evaluation of the antigen relatedness and efficacy of a single vaccination with different infectious bronchitis virus strains against a challenge with Malaysian variant and QX-like IBV strains

  • Ismail, Mohd Iswadi;Tan, Sheau Wei;Hair-Bejo, Mohd;Omar, Abdul Rahman
    • Journal of Veterinary Science
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    • v.21 no.6
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    • pp.76.1-76.13
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    • 2020
  • Background: The predominant infectious bronchitis virus (IBV) strains detected in chickens in Malaysia are the Malaysian variant (MV) and QX-like, which are associated with respiratory distress, nephropathy, and high mortality. On the other hand, the antigenic relatedness and efficacy of IBV vaccines against these 2 field IBV strains are not well characterized. Objectives: This study aimed to determine the antigen relatedness and efficacy of different IB vaccine strains against a challenge with MV and QX-like strains. Methods: The antigen relatedness and the ability of different IB vaccine strains in conferring protection against MV and QX-like were assessed based on the clinical signs, macroscopic lesions, and ciliary activity. Results: The MV strain IBS037A/2014 showed minor antigenic subtype differences with the vaccine virus Mass H120 and 4/91 strains but showed major antigenic subtype differences with the K2 strain. The Malaysian QX-like strain IBS130/2015 showed major antigenic subtype differences with the MV strain IBS037A/2014 and the vaccine strains except for K2. Chickens vaccinated once with Mass (H120) or with non-Mass (4/91 and K2) developed antibody responses with the highest antibody titer detected in the groups vaccinated with H120 and 4/91. The mean ciliary activities of the vaccinated chickens were between 56 to 59% and 48 to 52% in chickens challenged with IBS037A/2014 and IBS130/2015, respectively. The vaccinated and challenged birds showed mild to severe lesions in the lungs and kidneys. Conclusions: Despite the minor antigenic subtype differences, a single inoculation with Mass or non-Mass vaccines could not protect against the MV IBS037A/2014 and QX-like IBS130/2015.

Prophylactic Therapy Response in Children with Abdominal Migraine: A Single Centre Experience in Oman

  • Al Lawati, Tawfiq Taki;Saadah, Omar I.;al Riyami, Ruwaina;al Yarubi, Zuwaina
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.2
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    • pp.121-128
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    • 2022
  • Purpose: Abdominal migraine (AM) is a very common functional gastrointestinal disorder in children. This study reports the clinical features and response of AM to prophylactic treatment in children. Methods: This retrospective study was conducted between January 2010 and December 2019 at the Royal Hospital in the Sultanate of Oman. This study included children aged ≤ 13 years with a diagnosis of AM based on the Rome IV criteria for functional diagnoses. Clinical, demographic, and treatment data were collected. Results: Seventy-four children were identified, of which 43 were eligible for inclusion in this study. The median age at the onset of symptoms was 7 years (range, 2-12 years). The most frequent symptoms were headache (81.4%), nausea (79.1%), and vomiting (72.1%). Of the total cohort, 46.5%, 23.3%, and 6.9% received riboflavin, pizotifen, and propranolol monotherapy, respectively. Combination therapy was also used; 16.3% of children received pizotifen and propranolol, 4.7% received riboflavin and pizotifen, and 2.3% received riboflavin and propranolol. Patients treated with propranolol monotherapy showed 100% clinical improvement and those treated with riboflavin or pizotifen monotherapy showed 90% clinical improvement. Response to combination therapy with pizotifen and propranolol was 71.4%, and with riboflavin and pizotifen was 100%. In addition, treatment response was significantly associated with the presence of vomiting (p=0.039). Conclusion: We found a favorable response to various modalities and combination treatments with riboflavin, pizotifen, and propranolol in children with AM. In addition, the presence of vomiting may predict treatment response.

Peak floor acceleration prediction using spectral shape: Comparison between acceleration and velocity

  • Torres, Jose I.;Bojorquez, Eden;Chavez, Robespierre;Bojorquez, Juan;Reyes-Salazar, Alfredo;Baca, Victor;Valenzuela, Federico;Carvajal, Joel;Payaan, Omar;Leal, Martin
    • Earthquakes and Structures
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    • v.21 no.5
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    • pp.551-562
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    • 2021
  • In this study, the generalized intensity measure (IM) named INpg is analyzed. The recently proposed proxy of the spectral shape named Npg is the base of this intensity measure, which is similar to the traditional Np based on the spectral shape in terms of pseudo-acceleration; however, in this case the new generalized intensity measure can be defined through other types of spectral shapes such as those obtained with velocity, displacement, input energy, inelastic parameters and so on. It is shown that this IM is able to increase the efficiency in the prediction of nonlinear behavior of structures subjected to earthquake ground motions. For this work, the efficiency of two particular cases (based on acceleration and velocity) of the generalized INpg to predict the peak floor acceleration demands on steel frames under 30 earthquake ground motions with respect to the traditional spectral acceleration at first mode of vibration Sa(T1) is compared. Additionally, a 3D reinforced concrete building and an irregular steel frame is used as a basis for comparison. It is concluded that the use of velocity and acceleration spectral shape increase the efficiency to predict peak floor accelerations in comparison with the traditional and most used around the world spectral acceleration at first mode of vibration.

Exploring Support Vector Machine Learning for Cloud Computing Workload Prediction

  • ALOUFI, OMAR
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.374-388
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    • 2022
  • Cloud computing has been one of the most critical technology in the last few decades. It has been invented for several purposes as an example meeting the user requirements and is to satisfy the needs of the user in simple ways. Since cloud computing has been invented, it had followed the traditional approaches in elasticity, which is the key characteristic of cloud computing. Elasticity is that feature in cloud computing which is seeking to meet the needs of the user's with no interruption at run time. There are traditional approaches to do elasticity which have been conducted for several years and have been done with different modelling of mathematical. Even though mathematical modellings have done a forward step in meeting the user's needs, there is still a lack in the optimisation of elasticity. To optimise the elasticity in the cloud, it could be better to benefit of Machine Learning algorithms to predict upcoming workloads and assign them to the scheduling algorithm which would achieve an excellent provision of the cloud services and would improve the Quality of Service (QoS) and save power consumption. Therefore, this paper aims to investigate the use of machine learning techniques in order to predict the workload of Physical Hosts (PH) on the cloud and their energy consumption. The environment of the cloud will be the school of computing cloud testbed (SoC) which will host the experiments. The experiments will take on real applications with different behaviours, by changing workloads over time. The results of the experiments demonstrate that our machine learning techniques used in scheduling algorithm is able to predict the workload of physical hosts (CPU utilisation) and that would contribute to reducing power consumption by scheduling the upcoming virtual machines to the lowest CPU utilisation in the environment of physical hosts. Additionally, there are a number of tools, which are used and explored in this paper, such as the WEKA tool to train the real data to explore Machine learning algorithms and the Zabbix tool to monitor the power consumption before and after scheduling the virtual machines to physical hosts. Moreover, the methodology of the paper is the agile approach that helps us in achieving our solution and managing our paper effectively.

Burden of Early Life Obesity and Its Relationship with Protein Intake in Infancy: The Middle East Expert Consensus

  • Jochum, Frank;Abdellatif, Mohamed;Adel, Ashraf;Alhammadi, Ahmed;Alnemri, Abdulrahman;Alohali, Eman;AlSarraf, Khaled;Al Said, Khoula;Elzalabany, Mahmoud;Isa, Hasan M.A.;Kalyanasundaram, Sridhar;Reheim, Naguib Abdel;Saadah, Omar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.2
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    • pp.93-108
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    • 2022
  • Adequate nutrition in early life is proposed to shape a child's future health by launching the growth trajectory in the proper direction, which helps to avoid negative metabolic programming effects. Protein intake during infancy and early childhood is of great importance, as it plays a key role in infant metabolic programming and the future risk of obesity. Breastfeeding provides the best nutrition in early life, with many benefits tailored for the baby, including the appropriate quantity and quality of proteins. Considering the high prevalence of childhood, and subsequent adult, obesity in the region, a virtual Middle East expert consensus meeting was held to discuss an effective approach for managing childhood obesity. Leading pediatric experts from Bahrain, Egypt, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates participated in the meeting. The experts discussed, debated, and agreed on certain directions, including the importance of educating parents, endorsing breastfeeding, and ensuring optimum quantity and quality intake of proteins in early life. This expert consensus may serve as the starting point for healthcare professionals in the region who are interested in shaping a healthy future for the generations to come.

Biological and Molecular Characterization of Tomato brown rugose fruit virus (ToBRFV) on Tomato Plants in the State of Palestine

  • Jamous, Rana Majed;Zaitoun, Salam Yousef Abu;Mallah, Omar Bassam;Ali-Shtayeh, Mohammed Saleem
    • Research in Plant Disease
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    • v.28 no.2
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    • pp.98-107
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    • 2022
  • The incidence of Tomato brown rugose fruit virus (ToBRFV) and biological and molecular characterization of the Palestinian isolates of ToBRFV are described in this study. Symptomatic leaf samples obtained from Solanum lycopersicum L. (tomatoes) and Nicotiana tabacum L. (cultivated tobacco) plants were tested for tobamoviruses infection by reverse transcription polymerase chain reaction. Tomato leaf samples collected from Tulkarm and Qalqilia are infected with ToBRFV-PAL with an infection rate of 76% and 72.5%, respectively. Leaf samples collected from Jenin and Nablus were found to be mixed infected with ToBRFV-PAL and Tobacco mosaic virus (TMV) (100%). Sequence analysis of the ToBRFV-PAL genome showed that the net average nucleotide divergence between ToBRFV/F48-PAL strain and the Israeli and Turkish strains was 0.0026398±0.0006638 (±standard error of mean), while it was 0.0033066±0.0007433 between ToBRFV/F42-PAL and these two isolates. In the phylogenetic tree constructed with the complete genomic sequence, all the ToBRFV isolates were clustered together and formed a sister branch with the TMV. The sequenced Palestinian isolates of ToBRFV-PAL shared the highest nucleotide identity with the Israeli ToBRFV isolate suggesting that the virus was introduced to Palestine from Israel. The findings of this study enhance our understanding of the biological and molecular characteristics of ToBRFV which would help in the management of the disease.

Six-year clinical performance of lithium disilicate glass-ceramic CAD-CAM versus metal-ceramic crowns

  • Ahmed Aziz;Omar El-Mowafy
    • The Journal of Advanced Prosthodontics
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    • v.15 no.1
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    • pp.44-54
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    • 2023
  • PURPOSE. To assess the clinical performance of monolithic CAD-CAM lithium disilicate glass-ceramic (LDGC) crowns and metal-ceramic (MC) crowns provided by predoctoral students. This study also assessed the effects of patient and provider-related factors on their clinical performance as well as patient preference for these types of crowns. MATERIALS AND METHODS. Twenty-five patients who received 50 crowns (25 LDGC CAD-CAM and 25 MC) provided by predoctoral students were retrospectively examined. LDGC CAD-CAM crowns were milled in-house using the CEREC Bluecam system and cemented with either RelyX Unicem or Calibra Esthetic resin cements. MC crowns were cemented with RelyX Unicem cement. Clinical assessment of the crowns and the supporting periodontal structures were performed following the modified California Dental Association (CDA) criteria. Patients' preference was recorded using a visual analog scale (VAS). The results were statistically analyzed using log-rank test, Pearson Chi-squared test and Kaplan-Meier survival analysis. RESULTS. Twelve complications were observed in the MC crown group (9-esthetic, 2-technical and 1-biological). In comparison, 2 complications in the LDGC CAD-CAM crown group were observed (1-technical and 1-esthetic). The 6-year cumulative survival rates for MC crowns and LDGC CAD-CAM were 90.8% and 96%, respectively, whereas the success rates were 83.4% and 96%, respectively. Overall, patients preferred the esthetic outcomes of LDGC CAD-CAM crowns over MC crowns. CONCLUSION. The high survival and success rates, low number of complications, and the high level of patients' acceptance of monolithic LDGC CAD-CAM crowns lend them well as predictable and viable alternatives to the "gold standard" MC crowns.

A Model of Artificial Intelligence in Cyber Security of SCADA to Enhance Public Safety in UAE

  • Omar Abdulrahmanal Alattas Alhashmi;Mohd Faizal Abdullah;Raihana Syahirah Abdullah
    • International Journal of Computer Science & Network Security
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    • v.23 no.2
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    • pp.173-182
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    • 2023
  • The UAE government has set its sights on creating a smart, electronic-based government system that utilizes AI. The country's collaboration with India aims to bring substantial returns through AI innovation, with a target of over $20 billion in the coming years. To achieve this goal, the UAE launched its AI strategy in 2017, focused on improving performance in key sectors and becoming a leader in AI investment. To ensure public safety as the role of AI in government grows, the country is working on developing integrated cyber security solutions for SCADA systems. A questionnaire-based study was conducted, using the AI IQ Threat Scale to measure the variables in the research model. The sample consisted of 200 individuals from the UAE government, private sector, and academia, and data was collected through online surveys and analyzed using descriptive statistics and structural equation modeling. The results indicate that the AI IQ Threat Scale was effective in measuring the four main attacks and defense applications of AI. Additionally, the study reveals that AI governance and cyber defense have a positive impact on the resilience of AI systems. This study makes a valuable contribution to the UAE government's efforts to remain at the forefront of AI and technology exploitation. The results emphasize the need for appropriate evaluation models to ensure a resilient economy and improved public safety in the face of automation. The findings can inform future AI governance and cyber defense strategies for the UAE and other countries.

Finite element modeling of RC columns made of inferior concrete mix strengthened with CFRP sheets

  • Khaled A. Alawi, Al-Sodani;Muhammad Kalimur ,Rahman;Mohammed A., Al-Osta;Omar S. Baghabra, Al-Amoudi
    • Earthquakes and Structures
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    • v.23 no.5
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    • pp.403-417
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    • 2022
  • Reinforced concrete (RC) structures with low-strength RC columns are rampant in several countries, especially those constructed during the early 1960s and 1970s. The weakness of these structures due to overloading or some natural disasters such as earthquakes and building age effects are some of the main reasons to collapse, particularly with the scarcity of data on the impact of aspect ratio and corner radius on the confinement effectiveness. Hence, it is crucial to investigate if these columns (with different aspect ratios) can be made safe by strengthening them with carbon fiber-reinforced polymers (CFRP) sheets. Therefore, experimental and numerical studies of CFRP-strengthened low-strength reinforced concrete short rectangular, square, and circular columns were studied. In this investigation, a total of 6 columns divided into three sets were evaluated. The first set had two circular cross-sectional columns, the second set had two square cross-section columns, and the third set has two rectangular cross-section columns. Furthermore, FEM validation has been conducted for some of the experimental results obtained from the literature. The experimental results revealed that the confinement equations for RC columns as per both CSA and ACI codes could give incorrect results for low-strength concrete. The control specimen (unstrengthened ones) displayed that both ACI and CSA equations overestimate the ultimate strength of low-strength RC columns by order of extent. For strengthened columns with CFRP, the code equations of CSA and ACI code overestimate the maximum strength by around 6 to 13% and 23 to 29%, respectively, depending on the cross-section of the column (i.e., square, rectangular, or circular). Results of finite element models (FEMs) showed that increasing the layer number of new commonly CFRP type (B) from one to 3 for circular columns can increase the column's ultimate loads by around eight times compared to unjacketed columns. However, in the case of strengthened square and rectangular columns with CFRP, the increase of the ultimate loads of columns can reach up to six times and two times, respectively.