Surgical resection of giant pleural solitary fibrous tumor: a case report

Solitary fibrous tumors of the pleura (SFTP) are uncommon neoplasms. We present the case of a 73-year-old male diagnosed with SFTP, exhibiting two masses measuring 20×18 cm and 9×8 cm in diameter, resulting in a notable cardio mediastinal shift towards the right side. The patient underwent successful surgical resection without experiencing any postoperative complications and was discharged in favorable condition. Although complete resection diminishes the risk of recurrence in both malignant and benign SFTP cases, long-term follow-up is necessary.

SIEM-based detection and mitigation of IoT-botnet DDoS attacks

The Internet of Things (IoT) is becoming an integral part of our daily life including health, environment, homes, military, etc. The enormous growth of IoT in recent years has attracted hackers to take advantage of their computation and communication capabilities to perform different types of attacks. The major concern is that IoT devices have several vulnerabilities that can be easily exploited to form IoT botnets consisting of millions of IoT devices and posing significant threats to Internet security. In this context, DDoS attacks originating from IoT botnets is a major problem in today’s Internet that requires immediate attention. In this paper, we propose a Security Information and Event Management-based IoT botnet DDoS attack detection and mitigation system. This system detects and blocks DDoS attack traffic from compromised IoT devices by monitoring specific packet types including TCP SYN, ICMP and DNS packets originating from these devices. We discuss a prototype implementation of the proposed system and we demonstrate that SIEM based solutions can be configured to accurately identify and block malicious traffic originating from compromised IoT devices

Psychological Assessment in Children with Chronic Kidney Disease on Regular Hemodialysis

Introduction: Interestingly, health care professionals have the tendency to focus on the biological dimension of the disease or other technical issues related to hemodialysis machine and usually underestimate symptoms from mental sphere. Encouraging patients to express their feelings and addressing their psychological needs may be an essential measure to confront with this debilitating disease. Aim of Study: The objective of our study were to assess the presence, possible factors related and consequences of psychological disorders in children with CKD on regular hemodialysis. Methods: This study was cross sectional study which carried out in nephrology unit of the pediatric department during the period from February 2021 to January   2022.It were comprised (141) children with CKD on regular hemodialysis of both sexes after obtaining informed consent from children\u27s parents. All patients were subjected to history (age, sex, residence, birth order, level of education, socioeconomic status), examination and specific investigations. Results: This study showed that, a male predominance. Regarding anxiety grade, mild were 18 (12.8%), moderate were 54 (38.3%) and severe were 69 (48.9%). Regarding depression grade, mild were 50 (35.5%), moderate were 54 (38.3%), and severe were 19 (13.5%) while no depression was found among 18 (12.8%). There were statistically significant positive correlations between anxiety score and duration of dialysis. There were statistically significant positive correlations between anxiety score and depression score. Conclusion: Frequency of anxiety and depression is high in CKD Patients. There were statistically significant positive correlations between anxiety score and depression score

Prevalence, Recognition, And Management Of Mental Disorders In Primary Care

According to latest figures, 50% of individuals will have a minimum of one mental health issue in their lifetime, with at least 25% experiencing a mental condition in the previous year. primary care doctors are overwhelmingly responsible for recognition, evaluation, therapy, and referral, with at least one-third of their consultations containing a direct and obvious mental aspect Primary care physicians are the foundation of the majority of medical care programs that involve recognizing, diagnosing, treating, and referring patients to specialists for every kind of diseases, whether physical, mental, or both. Over the last two decades, there has been a greater emphasis on this position, notably in the treatment of mental problems in primary care

Assessment of Phytochemical Properties of Nigella sativa Seeds Essential Oil and Its Potential Antimicrobial Activity against Staphylococcus aureus in the Context of Safety Profiles and Therapeutic Applications in Neurosurgical Interventions

This comprehensive study explored the phytochemical properties of Nigella sativa L (N. sativa L) seeds essential oil using gas chromatography-mass spectrometry (GC-MS) analysis, with a specific focus on its potential compound Thymoquinone (TQ) exhibiting antimicrobial activity against Staphylococcus aureus (S. aureus) in the context of neurosurgical interventions.The study employs a meticulous methodology, encompassing the preparation of N. sativa essential oil, qualitative phytochemical screening, quantitative GC-MS analysis, and the antimicrobial analysis, employing Disc Diffusion, Minimum Inhibitory Concentration (MIC), and Minimum Bactericidal Concentration (MBC) evaluations to demonstrate the substantial inhibitory and bactericidal effects against Staphylococcus aureus (S.aureus}. comprehensive assessment of antimicrobial activity.The qualitative analysis reveals the presence of alkaloids, flavonoids, phenols, tannins, cardiac glycosides, steroids, saponins, and terpenoids, underscoring the multifaceted pharmacological potential of the essential oil. The quantitative GC-MS analysis provides a detailed breakdown of the chemical composition under different extraction conditions, showcasing the complexity of N. sativa essential oil. The study thoroughly compares the antimicrobial efficacy of N. sativa essential oil with various antibiotics, employing Disc Diffusion, MIC, and MBC analyses. N. sativa demonstrates substantial inhibitory effects, with a 29 mm zone comparable to Gentamycin. The MIC and MBC values align with established antibiotics, indicating similar bacteriostatic and bactericidal properties. Despite slightly lower potency than Vancomycin and Methicillin, N. sativa exhibits considerable antimicrobial effectiveness. This study contributes valuable insights into the phytochemical composition of N. sativa seeds essential oil and its potential as an antimicrobial agent in the context of neurosurgical interventions paves the way for future research

Coronary Artery Bypass grafting (CABG) versus Percutaneous Coronary Intervention (PCI) in the treatment of multivessel coronary disease

BackgroundRevascularization for patients who suffer multivessel coronary artery disease is a common procedure around the world. Taking United about 700,000 patients have multivessel coronary revascularization per year ¼ of these patients are diagnosed with diabetes. AimsTo summarize the current evidence that compare CABG to PCI in multivessel coronary disease‎ in form of ‎cardiac death, stroke, MI and unplanned devascularization.‎Methods This is a systematic review was carried out, including PubMed, Google Scholar, and EBSCO that examining randomized trials of treatment of multivessel coronary disease to summarize the major RCT concerning this topic.Results The review included five randomized studies that compare coronary artery bypass grafting and percutaneous coronary intervention. The findings showed that CABG show better result with less mortality rate.ConclusionThis review concluded that there revascularization in treating coronary artery disease could be conducted either by CABG or PCI, CABG show better result as it cause less death, MI and revascularization rates, but the usage of new additions such as second generation DES, can also improve the safety and efficacy of PCI when added to it

Timeliness in financial reporting in emerging markets: investigating the effect of joint audits

Purpose – This study examines joint audits’ impact on financial statement timeliness in emerging markets in Kuwait. Design/methodology/approach – We use a sample of nonfinancial firms listed on the Kuwait Stock Exchange from 2000 to 2020. Findings – We find that joint audits are significantly negatively associated with financial statements’ timeliness. This suggests that firms employing two auditors (joint audits) issue their financial statements in relatively shorter periods. Our results are robust and consistent with our initial findings, even after assessing the impacts of the Big 4, profitability and firm size on them. Practical implications – The findings show that mandating joint audits decreases audit report lag (ARL). We recommend that regulators and policymakers consider the potential implications of removing mandated joint audits, such as longer ARL. Originality/value – This study contributes to the limited literature on joint audits and timeliness by exploring their relationship in the context of listed nonfinancial firms in an emerging market. The findings contribute to the ongoing debate about the costs and benefits of joint audits by showing the improvement of financial reporting timelines. Our findings assist regulators and policymakers in determining whether to implement or abolish joint audits