1
|
Touati I, Abdalla M, Ali NH, AlRuwaili R, Alruwaili M, Britel MR, Maurady A. Constituents of Stachys plants as potential dual inhibitors of AChE and NMDAR for the treatment of Alzheimer's disease: a molecular docking and dynamic simulation study. J Biomol Struct Dyn 2024; 42:2586-2602. [PMID: 37325873 DOI: 10.1080/07391102.2023.2217925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 04/17/2023] [Indexed: 06/17/2023]
Abstract
Alzheimer's disease (AD) is a chronic neurodegenerative condition characterized by progressive cognitive impairment. While the formation of β-amyloid plaques and neurofibrillary tangles are the hallmarks features of AD, the downstream consequence of these byproducts is the disruption of the cholinergic and glutamatergic neural systems. Growing evidence for the existence of interplay between AChE and NMDARs has opened up new venues for the discovery of novel ligands endowed with anticholinesterase and NMDAR-blocking activity. Plants belonging to the stachys genus have been extensively explored for having a broad range of therapeutic applications and have been used traditionally for millennia, to treat various CNS-related disorders, which makes them the ideal source of novel therapeutics. The present study was designed to identify natural dual-target inhibitors for AChE and NMDAR deriving from stachys genus for their potential use in AD. Using molecular docking, drug-likeness-profiling, MD simulation and MMGBSA calculations, an in-house database of biomolecules pertaining to the stachys genus was shortlisted based on their binding affinity, overall stability and critical ADMET parameters. Pre- and post-MD analysis revealed that Isoorientin effectively binds to AChE and NMDAR with various vital interactions, exhibits a stable behavior with minor fluctuations relative to two clinical drugs used as positive control, and displays strong and consistent interactions that lasted for the majority of the simulation. Findings from this study have elucidated the rationale behind the traditional use of Stachys plants for the treatment of AD and could provide new impetus for the development of novel dual-target therapeutics for AD treatment.Communicated by Ramaswamy H. Sarma.
Collapse
Affiliation(s)
- Iman Touati
- Laboratory of Innovative Technologies, National School of Applied Sciences of Tangier, Abdelmalek Essaadi University, Tetouan, Morocco
| | - Mohnad Abdalla
- Pediatric Research Institute, Children's Hospital Affiliated to Shandong University, Jinan, Shandong, China
| | - Naif H Ali
- Department of Internal Medicine, Medical College, Najran University, Najran, Saudi Arabia
| | - Raed AlRuwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Mohammed Reda Britel
- Laboratory of Innovative Technologies, National School of Applied Sciences of Tangier, Abdelmalek Essaadi University, Tetouan, Morocco
| | - Amal Maurady
- Laboratory of Innovative Technologies, National School of Applied Sciences of Tangier, Abdelmalek Essaadi University, Tetouan, Morocco
- Faculty of Sciences and Techniques of Tangier, Abdelmalek Essaadi University, Tetouan, Morocco
| |
Collapse
|
2
|
ALRashdi BM, Hussein MM, Mohammed RM, Abdelhamed NW, Asaad ME, Alruwaili M, Alrashidi SM, Habotta OA, Abdel Moneim A, Ramadan SS. Turmeric Extract-loaded Selenium Nanoparticles Counter Doxorubicin-induced Hepatotoxicity in Mice via Repressing Oxidative Stress, Inflammatory Cytokines, and Cell Apoptosis. Anticancer Agents Med Chem 2024; 24:ACAMC-EPUB-137134. [PMID: 38204261 DOI: 10.2174/0118715206274530231213104519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 09/14/2023] [Accepted: 10/11/2023] [Indexed: 01/12/2024]
Abstract
BACKGROUND Doxorubicin (DOX) is an antitumor anthracycline used to treat a variety of malignancies; however, its clinical use is associated with noticeable hepatotoxicity. Therefore, the current study was designed to delineate if biosynthesized SeNPs with turmeric extract (Tur-SeNPs) could alleviate DOX-induced hepatic adverse effects. METHODS Mice were orally post-treated with Tur extract, Tur-SeNPs, or N-acetyl cysteine after the intraperitoneal injection of DOX. RESULTS Our findings have unveiled a remarkable liver attenuating effect in DOX-injected mice post-treated with Tur-SeNPs. High serum levels of ALT, AST, ALP, and total bilirubin induced by DOX were significantly decreased by Tur-SeNPs therapy. Furthermore, Tur-SeNPs counteracted DOX-caused hepatic oxidative stress, indicated by decreased MDA and NO levels along with elevated levels of SOD, CAT, GPx, GR, GSH, and mRNA expression levels of Nrf-2. Noteworthily, decreased hepatic IL-1β, TNF-α, and NF-κB p65 levels in addition to downregulated iNOS gene expression in Tur-SeNPs-treated mice have indicated their potent antiinflammatory impact. Post-treatment with Tur-SeNPs also mitigated the hepatic apoptosis evoked by DOX injection. A liver histological examination confirmed the biochemical and molecular findings. CONCLUSIONS In brief, the outcomes have demonstrated Tur loaded with nanoselenium to successfully mitigate the liver damage induced by DOX via blocking oxidative stress, and inflammatory and apoptotic signaling.
Collapse
Affiliation(s)
- Barakat M ALRashdi
- Department of Biology, College of Science, Jouf University, Sakaka, 72388, Saudi Arabia
| | - Mohamed M Hussein
- Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt
| | - Rawan M Mohammed
- Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt
| | - Nada W Abdelhamed
- Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt
| | - Maran E Asaad
- Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt
| | - Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Saad M Alrashidi
- Consultant Radiation Oncology, Comprehensive Cancer Centre, King Fahad Medical City & College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
| | - Ola A Habotta
- Department of Forensic Medicine and Toxicology, Faculty of Veterinary Medicine, Mansoura University, Mansoura, Egypt
| | - Ahmed Abdel Moneim
- Department of Zoology and Entomology, Faculty of Science, Helwan University, Cairo, Egypt
| | - Shimaa S Ramadan
- Chemistry Department, Faculty of Science, Helwan University, Cairo, Egypt
| |
Collapse
|
3
|
Alruwaili M, Al-kuraishy HM, Alexiou A, Papadakis M, ALRashdi BM, Elhussieny O, Saad HM, Batiha GES. Pathogenic Role of Fibrinogen in the Neuropathology of Multiple Sclerosis: A Tale of Sorrows and Fears. Neurochem Res 2023; 48:3255-3269. [PMID: 37442896 PMCID: PMC10514123 DOI: 10.1007/s11064-023-03981-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 06/20/2023] [Accepted: 06/29/2023] [Indexed: 07/15/2023]
Abstract
Multiple sclerosis (MS) is an autoimmune demyelinating neurodegenerative disease of the central nervous system (CNS) due to injury of the myelin sheath by immune cells. The clotting factor fibrinogen is involved in the pathogenesis of MS by triggering microglia and the progress of neuroinflammation. Fibrinogen level is correlated with MS severity; consequently, inhibition of the fibrinogen cascade may reduce MS neuropathology. Thus, this review aimed to clarify the potential role of fibrinogen in the pathogenesis of MS and how targeting of fibrinogen affects MS neuropathology. Accumulation of fibrinogen in the CNS may occur independently or due to disruption of blood-brain barrier (BBB) integrity in MS. Fibrinogen acts as transduction and increases microglia activation which induces the progression of inflammation, oxidative stress, and neuronal injury. Besides, brain fibrinogen impairs the remyelination process by inhibiting the differentiation of oligodendrocyte precursor cells. These findings proposed that fibrinogen is associated with MS neuropathology through interruption of BBB integrity, induction of neuroinflammation, and demyelination with inhibition of the remyelination process by suppressing oligodendrocytes. Therefore, targeting of fibrinogen and/or CD11b/CD18 receptors by metformin and statins might decrease MS neuropathology. In conclusion, inhibiting the expression of CD11b/CD18 receptors by metformin and statins may decrease the pro-inflammatory effect of fibrinogen on microglia which is involved in the progression of MS.
Collapse
Affiliation(s)
- Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Hayder M. Al-kuraishy
- Department of Pharmacology, Toxicology and Medicine, Medical Faculty, College of Medicine, Al-Mustansiriyah University, P.O. Box 14132, Baghdad, Iraq
| | - Athanasios Alexiou
- Department of Science and Engineering, Novel Global Community Educational Foundation, Hebersham, NSW 2770 Australia
- AFNP Med, 1030 Vienna, Austria
| | - Marios Papadakis
- Department of Surgery II, University Hospital Witten-Herdecke, University of Witten-Herdecke, Heusnerstrasse 40, 42283 Wuppertal, Germany
| | - Barakat M. ALRashdi
- Biology Department, College of Science, Jouf University, Sakaka, 41412 Saudi Arabia
| | - Omnya Elhussieny
- Department of Histology and Cytology, Faculty of Veterinary Medicine, Matrouh University, Marsa Matruh, 51744 Egypt
| | - Hebatallah M. Saad
- Department of Pathology, Faculty of Veterinary Medicine, Matrouh University, Marsa Matruh, 51744 Egypt
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, 22511 Egypt
| |
Collapse
|
4
|
Basri R, Alruwaili M, AlRuwaili R, Mohammad Albarrak A, Ali NH. Impact of Nutritional Interventions on Alzheimer's Disease: A Systematic Review and Meta-Analysis. Cureus 2023; 15:e49467. [PMID: 38152793 PMCID: PMC10751620 DOI: 10.7759/cureus.49467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 11/21/2023] [Indexed: 12/29/2023] Open
Abstract
The most prevalent type of dementia, especially in older persons, is Alzheimer's disease (AD), which has clinical signs of progressive cognitive decline and functional impairment. However, new research indicates that AD patients' dietary patterns and nutritional intake could hold the key to staving off some of the complications. Therefore, the primary aim of this investigation was to analyze various dietary patterns and the subsequent impact of the resulting nutritional intake on AD patients. Various online databases (PubMed, Scopus, Web of Science, and Google Scholar) were searched using appropriate keywords, reference searches, and citation searches. The databases were accessed using the search phrases "Alzheimer's disease," "dietary habits," "minerals," "nutritional profile," and "vitamins." Fifteen of the 21 investigations that we selected for our systematic review and subsequent meta-analysis revealed that micronutrient supplementation and some dietary patterns were helpful in alleviating a few of the symptoms of AD, especially with regard to the progression of dementia in the assessed patients. It was shown that dietary interventions and nutritional adjustments can considerably delay the onset of AD and the varying degrees of dementia that often accompany it. However, there were some areas of ambiguity in our findings because a few of the chosen studies did not document any noticeable improvements in the patient's conditions.
Collapse
Affiliation(s)
- Rehana Basri
- Department of Internal Medicine/Neurology, College of Medicine, Jouf University, Sakaka, SAU
| | - Mubarak Alruwaili
- Department of Internal Medicine/Neurology, College of Medicine, Jouf University, Sakaka, SAU
| | - Raed AlRuwaili
- Department of Internal Medicine/Neurology, College of Medicine, Jouf University, Sakaka, SAU
| | - Anas Mohammad Albarrak
- Department of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU
| | - Naif H Ali
- Department of Internal Medicine, Medical College, Najran University, Najran, SAU
| |
Collapse
|
5
|
AlRuwaili R, Al-Kuraishy HM, Alruwaili M, Khalifa AK, Alexiou A, Papadakis M, Saad HM, Batiha GES. The potential therapeutic effect of phosphodiesterase 5 inhibitors in the acute ischemic stroke (AIS). Mol Cell Biochem 2023:10.1007/s11010-023-04793-1. [PMID: 37395897 DOI: 10.1007/s11010-023-04793-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 06/16/2023] [Indexed: 07/04/2023]
Abstract
Acute ischemic stroke (AIS) is a focal neurological disorder that accounts for 85% of all stroke types, due to occlusion of cerebral arteries by thrombosis and emboli. AIS is also developed due to cerebral hemodynamic abnormality. AIS is associated with the development of neuroinflammation which increases the severity of AIS. Phosphodiesterase enzyme (PDEs) inhibitors have neuro-restorative and neuroprotective effects against the development of AIS through modulation of the cerebral cyclic adenosine monophosphate (cAMP)/cyclic guanosine monophosphate (cGMP)/nitric oxide (NO) pathway. PDE5 inhibitors through mitigation of neuroinflammation may decrease the risk of long-term AIS-induced complications. PDE5 inhibitors may affect the hemodynamic properties and coagulation pathway which are associated with thrombotic complications in AIS. PDE5 inhibitors reduce activation of the pro-coagulant pathway and improve the microcirculatory level in patients with hemodynamic disturbances in AIS. PDE5 inhibitors mainly tadalafil and sildenafil improve clinical outcomes in AIS patients through the regulation of cerebral perfusion and cerebral blood flow (CBF). PDE5 inhibitors reduced thrombomodulin, P-selectin, and tissue plasminogen activator. Herein, PDE5 inhibitors may reduce activation of the pro-coagulant pathway and improve the microcirculatory level in patients with hemodynamic disturbances in AIS. In conclusion, PDE5 inhibitors may have potential roles in the management of AIS through modulation of CBF, cAMP/cGMP/NO pathway, neuroinflammation, and inflammatory signaling pathways. Preclinical and clinical studies are recommended in this regard.
Collapse
Affiliation(s)
- Raed AlRuwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Hayder M Al-Kuraishy
- Department of Clinical Pharmacology and Medicine, College of Medicine, ALmustansiriyia University, Baghdad, Iraq
| | - Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Amira Karam Khalifa
- Department of Medical Pharmacology, Kasr El-Ainy School of Medicine, Cairo University, El Manial, Cairo, 11562, Egypt
- Lecturer of Medical Pharmacology, Nahda Faculty of Medicine, Beni Suef, Egypt
| | - Athanasios Alexiou
- Department of Science and Engineering, Novel Global Community Educational Foundation, Hebersham, NSW, 2770, Australia
- AFNP Med, 1030, Vienna, Austria
| | - Marios Papadakis
- Department of Surgery II, University Hospital Witten-Herdecke, University of Witten-Herdecke, Heusnerstrasse 40, 42283, Wuppertal, Germany.
| | - Hebatallah M Saad
- Department of Pathology, Faculty of Veterinary Medicine, Matrouh University, Marsa Matrouh, 51744, Egypt
| | - Gaber El-Saber Batiha
- Department of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour, 22511, AlBeheira, Egypt
| |
Collapse
|
6
|
Alruwaili M, Basri R, AlRuwaili R, Albarrak AM, Ali NH. Neurological Implications of Vitamin B12 Deficiency in Diet: A Systematic Review and Meta-Analysis. Healthcare (Basel) 2023; 11:healthcare11070958. [PMID: 37046885 PMCID: PMC10094050 DOI: 10.3390/healthcare11070958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Revised: 03/11/2023] [Accepted: 03/21/2023] [Indexed: 03/30/2023] Open
Abstract
Background: Vitamin B12 is one of the most important B-Vitamins that the human body needs on a daily basis, the lack of which can precipitate several neurological issues. Objectives: This systematic aimed to investigate the neurological implications of Vitamin B12 deficiency and the effects when B12 levels were corrected in susceptible individuals. Methods: The databases PubMed-MEDLINE, Web of Science, Cochrane, and Scopus were all searched using pertinent keywords, reference searches, and citation searches. The terms used to access the database were “Cognition”, “Dietary patterns”, “Neurology”, “Nutritional profile”, and “Vitamin B12”. Results: Vitamin B12 was shown to noticeably improve cognition and other neurological parameters in the short term in older adults and the short-to-medium term in children; however, there was no perceived increase/improvement when the Vitamin was administered in the longer term, either alone or in conjunction with other similar nutritional interventions. Conclusion: Vitamin B12’s role in the improvement of neurological functions over a long-term period remains somewhat inconclusive to date, as the majority of our selected control trials did not display much correlation between the two factors. However, Vitamin B12 did improve cognition levels in both children and older adults over a short course of administration.
Collapse
Affiliation(s)
- Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72345, Saudi Arabia
- Correspondence: (M.A.); (R.B.)
| | - Rehana Basri
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72345, Saudi Arabia
- Correspondence: (M.A.); (R.B.)
| | - Raed AlRuwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72345, Saudi Arabia
| | - Anas Mohammad Albarrak
- Department of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj 11942, Saudi Arabia
| | - Naif H. Ali
- Department of Internal Medicine, Medical College, Najran University, Najran 55461, Saudi Arabia
| |
Collapse
|
7
|
Alayafi HA, Alruwaili M, Aljumah TK, Alshehri A, Alrasheed D, Alanazi MF, AlRuwaili R, Ali NH, Albarrak AM, AlRashdi BM, Taha AE. Mycoplasma pneumoniae and Schistosoma mansoni co-infection in a young patient with extensive longitudinal acute transverse myelitis. J Infect Dev Ctries 2022; 16:1933-1938. [PMID: 36753653 DOI: 10.3855/jidc.17023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 11/02/2022] [Indexed: 01/12/2023] Open
Abstract
INTRODUCTION Acute transverse myelitis is an uncommon inflammatory, intramedullary, disorder of the spinal cord. Spastic paraplegia, impaired sphincter functions, and sensory loss, with sensory level, are the clinical manifestations of this devastating disorder. The utilization of magnetic resonant imaging (MRI) contributes to the surge in the diagnosis of more ATM cases. Although the causes of ATM are numerous, both Mycoplasma pneumoniae and Schistosoma mansoni are uncommon causes and their co-existence in the same patient has not been reported before in Saudi Arabia. CASE We report a 25-year-old ATM male patient presented with a history of sudden onset severe low back pain. Within four hours from the onset of the back pain, he became completely paraplegic with impaired functions of the bowel and urinary bladder sphincter. Furthermore, he lost all modalities of sensory functions in the lower limbs. His examination revealed spastic complete paraplegia with sensory level at T6. Clinical neurological examination revealed normal upper limbs and brain functions. The MRI of the cervico-dorsal spine showed extensive longitudinal hyperintense lesion extending from the upper cervical segments to the lower dorsal segments (extensive longitudinal transverse myelitis). A post-infectious immune-mediated predisposition was highly suspected due to the very high titers of anti-Mycoplasma pneumoniae IgM and IgG that were detected. The immunosuppressant therapy did not improve his paraplegia. A spinal cord biopsy revealed the presence of several Schistosoma mansoni ova surrounded by chronic inflammatory reactions and reactive gliosis. CONCLUSIONS Both Mycoplasma pneumoniae and Schistosoma mansoni should be investigated in cases with extensive longitudinal ATM.
Collapse
Affiliation(s)
- Hassan Ali Alayafi
- King Saud bin Abdulaziz University for health sciences, Riyadh, Saudi Arabia
| | - Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | | | - Ali Alshehri
- King Faisal Specialist Hospital and Research Centre, Neuroscience Center, Riyadh, Saudi Arabia
| | - Deema Alrasheed
- Stroke and Neurology Consultant, Head of the Neurology Unit, Sulaiman Al Habib Medical Group, Arrayan Hospital, Riyadh, Saudi Arabia
| | - Muhannad Faleh Alanazi
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Raed AlRuwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| | - Naif H Ali
- Internal Medicine Department, Medical College, Najran University, Najran, Saudi Arabia
| | - Anas Mohammad Albarrak
- Internal Medicine Department, Medical College, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia
| | - Barakat M AlRashdi
- Department of Biology, College of Science, Jouf University, Sakaka, Saudi Arabia
| | - Ahmed E Taha
- Medical Microbiology and Immunology Unit, Department of Pathology, College of Medicine, Jouf University, Sakaka, Saudi Arabia
| |
Collapse
|
8
|
Basri R, Alruwaili M, Alruwaili R, Alrashed K, Alshammari A, Alshammari S, Alruwaili G, Alruwail H, Alrashed F. Knowledge, attitude and practice of schoolteachers towards students with epilepsy in Al-Jouf, Saudi Arabia. Work 2022; 73:255-262. [DOI: 10.3233/wor-205196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Epilepsy is a common disorder in which brain activity becomes abnormal that causes recurrent seizures or periods of jerky movement of the whole body. Immediately after a seizure, people are often transiently confused, weak and unable to communicate. OBJECTIVE: This study assesses the knowledge, attitude, and practice (KAP) of school teachers towards an epileptic child. METHODS: This cross-sectional study was conducted among primary and secondary school teachers from different schools in Sakaka, Domat Al-Jandal, Al-Qurayyat, Tabarjal Northern region of Aljouf, Saudi Arabia. They were assessed on their KAP toward students with epilepsy using a self-administrated questionnaire. RESULTS: 306 respondents participated and completed the questionnaire. The practice was poor among the teachers. Practice scores were significantly different among the male and female teachers. Teachers would do the following to the seizing child: 159 (52%) would pull the child’s tongue out (p-value 0.012), 66 (21.6%) would put a spoon in the mouth (p-value 0.055), 43 (14.1%) would remove any tight clothes (p-value 0.009) and 244 (79.7 %) would take the child to the hospital (p-value 0.029). There were significant differences among senior teachers and those with longer years of teaching experience: 83.6% of teachers with > 20 years of teaching experience think that the student with epilepsy has no need of a special classroom (P = 0.053), 89.6% of those with > 20 years of teaching experience said that they did not move the child during seizure in comparison with less years of teaching experience (p = 0.048), in which 97% of those with experience > 20 years said that they would ensure normal breathing (p = 0.015). CONCLUSION: The majority of Aljouf schoolteachers were adequately knowledgeable about students with epilepsy, but they need more information about the correct way of practice towards the student with epilepsy.
Collapse
Affiliation(s)
- Rehana Basri
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Al Jouf, KSA
| | - Mubarak Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Al Jouf, KSA
| | - Raed Alruwaili
- Department of Internal Medicine, College of Medicine, Jouf University, Sakaka, Al Jouf, KSA
| | | | | | | | | | - Hajar Alruwail
- College of Medicine, Jouf University, Sakaka, AlJouf, KSA
| | | |
Collapse
|
9
|
Farid J, Amin R, Sheikh MA, Irfan M, AlRuwaili R, Alruwaili M, Ali NH, Albarrak AM, Rahman S. Prevalence and prediction of pressure ulcers in admitted stroke patients in a tertiary care hospital. J Tissue Viability 2022; 31:768-775. [DOI: 10.1016/j.jtv.2022.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 07/10/2022] [Accepted: 07/21/2022] [Indexed: 11/28/2022]
|
10
|
Alanazi MF, Ali MU, Hussain SJ, Zafar A, Mohatram M, Irfan M, AlRuwaili R, Alruwaili M, Ali NH, Albarrak AM. Brain Tumor/Mass Classification Framework Using Magnetic-Resonance-Imaging-Based Isolated and Developed Transfer Deep-Learning Model. Sensors (Basel) 2022; 22:s22010372. [PMID: 35009911 PMCID: PMC8749789 DOI: 10.3390/s22010372] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 12/20/2021] [Accepted: 12/31/2021] [Indexed: 05/13/2023]
Abstract
With the advancement in technology, machine learning can be applied to diagnose the mass/tumor in the brain using magnetic resonance imaging (MRI). This work proposes a novel developed transfer deep-learning model for the early diagnosis of brain tumors into their subclasses, such as pituitary, meningioma, and glioma. First, various layers of isolated convolutional-neural-network (CNN) models are built from scratch to check their performances for brain MRI images. Then, the 22-layer, binary-classification (tumor or no tumor) isolated-CNN model is re-utilized to re-adjust the neurons' weights for classifying brain MRI images into tumor subclasses using the transfer-learning concept. As a result, the developed transfer-learned model has a high accuracy of 95.75% for the MRI images of the same MRI machine. Furthermore, the developed transfer-learned model has also been tested using the brain MRI images of another machine to validate its adaptability, general capability, and reliability for real-time application in the future. The results showed that the proposed model has a high accuracy of 96.89% for an unseen brain MRI dataset. Thus, the proposed deep-learning framework can help doctors and radiologists diagnose brain tumors early.
Collapse
Affiliation(s)
- Muhannad Faleh Alanazi
- Radiology, Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia; (M.F.A.); (R.A.); (M.A.)
| | - Muhammad Umair Ali
- Department of Unmanned Vehicle Engineering, Sejong University, Seoul 05006, Korea;
| | - Shaik Javeed Hussain
- Department of Electrical and Electronics, Global College of Engineering and Technology, Muscat 112, Oman;
- Correspondence: (S.J.H.); (A.Z.)
| | - Amad Zafar
- Department of Electrical Engineering, The Ibadat International University, Islamabad 54590, Pakistan
- Correspondence: (S.J.H.); (A.Z.)
| | - Mohammed Mohatram
- Department of Electrical and Electronics, Global College of Engineering and Technology, Muscat 112, Oman;
| | - Muhammad Irfan
- Electrical Engineering Department, College of Engineering, Najran University, Najran 61441, Saudi Arabia;
| | - Raed AlRuwaili
- Radiology, Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia; (M.F.A.); (R.A.); (M.A.)
| | - Mubarak Alruwaili
- Radiology, Department of Internal Medicine, College of Medicine, Jouf University, Sakaka 72388, Saudi Arabia; (M.F.A.); (R.A.); (M.A.)
| | - Naif H. Ali
- Department of Internal Medicine, Medical College, Najran University, Najran 61441, Saudi Arabia;
| | - Anas Mohammad Albarrak
- Department of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj 16278, Saudi Arabia;
| |
Collapse
|