Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,t...Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.展开更多
Background:COVID-19 put the global health system in a disastrous situation.Nursing plays a vital role in healthcare services.The ratio of burnout increased during this period.In the context of Saudi Arabia,nurses’whe...Background:COVID-19 put the global health system in a disastrous situation.Nursing plays a vital role in healthcare services.The ratio of burnout increased during this period.In the context of Saudi Arabia,nurses’whether these are Saudi or non-Saudi the burnout due to emotional exhaustion,depersonalization,and personal accomplishment,the situation of burnout could be there.It is,therefore,important to understand the phenomenon of nurse burnout and the factors that contribute to it.This study aims to understand burnout among nurses and the factors that affect nurses during the COVID-19 pandemic.Methods:The design of this study was quantitative cross-sectional and correlational.This study population included 255 nurses working in the King Abdulaziz hospital,Makkah,in 2021.Self-administered questionnaire(google forms)was distributed through email and WhatsApp.Statistical analysis system version 9.4 for data analysis and reporting.Result:Most of the nurse participants were in the age range 31-40,were females and were Saudi nationals.A Chi-square analysis showed a significant burnout level on the sub-scale of emotional exhaustion and personal accomplishment,while a partial burnout level was observed on the sub-scale of depersonalization.The level of burnout was higher and more significant among Saudi nurses compared to non-Saudi nationals.The impact of demographic variables on burnout showed that nationality,level of education,and duty type were the most influential and significant variables in burnout among Saudi and non-Saudi nurses.Conclusion:The findings indicated that nurses’burnout is higher during COVID-19 and is closely related to their working hours.In addition,when nurses are more nervous and depressed,a higher level of burnout will be witnessed.Since depression and frustration are influenced by working hours,attention should be given to this factor,focusing on interventions to alleviate the causes that lead to nurses’burnout.展开更多
Land use/land cover (LULC) changes have become a central issue in current global change and sustainability research. Saudi Arabia has undergone significant change in land use and land cover since the government embark...Land use/land cover (LULC) changes have become a central issue in current global change and sustainability research. Saudi Arabia has undergone significant change in land use and land cover since the government embarked on a course of intense national development 30 years ago, as a result of huge national oil revenues. This study evaluates LULC change in Makkah and Al-Taif, Saudi Arabia from 1986 to 2013 using Landsat images. Maximum likelihood and object-oriented classification were used to develop LULC maps. The change detection was executed using post-classification comparison and GIS. The results indicated that urban areas have increased over the period by approximately 174% in Makkah and 113% in Al-Taif. Analysis of vegetation cover over the study area showed a variable distribution from year to year due to changing average precipitation in this environment. Object-based classification provided slightly greater accuracy than maximum likelihood classification. Information provided by satellite remote sensing can play an important role in quantifying and understanding the relationship between population growth and LULC changes, which can assist future planning and potential environmental impacts of expanding urban areas.展开更多
The aim of this study is to determine the types of heavy metals frequently present in Makkah wells and the possible environmental causes of their distribution and accumulation. Makkah lies in a mountain range dominate...The aim of this study is to determine the types of heavy metals frequently present in Makkah wells and the possible environmental causes of their distribution and accumulation. Makkah lies in a mountain range dominated by different types of rocks from the Precambrian and Lower Paleozoic eras, as well as subordinate sedimentary rocks and basaltic lava flow from the Tertiary and Quaternary periods. Natural contaminants in Makkah wells water can be attributed to the unique location. Many epidemiological studies have identified associations between the ingestion of wells water contaminated with heavy metals and increased risk of some illnesses. This study presents exclusive information on the levels and distribution of 9 heavy metals—arsenic, barium, cadmium, chromium, cobalt, copper, lead, mercury, and selenium—in the wells water in various rural and urban areas of Makkah city. These naturally occurring elements are considered significant markers of water purity. More than 160 wells were involved in this three-year investigation. Water samples were collected during different seasons in order to assess any changes in the distribution and concentration of these heavy metals throughout the year. The collected water samples were filtered and digested before analysis using inductively coupled plasma mass spectrometry (ICP/MS). We found the following sequence of concentrations of heavy metals in the studied wells: Ba > Se >Cr > As > Co > Cu> Hg > Pb > Cd. Arsenic, barium, chromium, and selenium were the most abundant contaminants in the wells studied. The concentrations of the other heavy metals ranged from non-detectable to 3 μg/L. Although low, these values are also reported in comparisons with the local and international strict values and standards which govern the maximum contaminant levels permitted for long-term daily consumption.展开更多
The flu pandemic is a global outbreak of a new strain of influenza A virus subtype H1N1, termed Pandemic H1N1/09 virus by the World Health Organization (WHO), which was first identified in April 2009. The disease has ...The flu pandemic is a global outbreak of a new strain of influenza A virus subtype H1N1, termed Pandemic H1N1/09 virus by the World Health Organization (WHO), which was first identified in April 2009. The disease has also been termed novel Influenza A(H1N1) and 2009 H1N1 flu by the US Centers for Disease Control and Prevention (CDC), and is commonly known as swine flu. The main strain of the virus has been termed A/California/07/2009 (H1N1) by scientists. This study was conducted to describe the epidemiology of influenza A(H1N1) infections in KSA during 2009. A descriptive study was carried out among attendants at hospitals and primary health care centers in Makkah during 2009, irrespective of age and sex. The data were collected by interviewing suspected persons using a pre-designed questionnaire, clinical examination, and specific laboratory investigation. A total of 1138 subjects were included in the study. Among the study population, 25% of the cases between 15 and 24 years old were found positive for influenza A(H1N1) by PCR technique. Although a significant population was affected by influenza A(H1N1) during 2009 in Makkah, the efforts and steps taken by health authorities at all levels―especially those in Directorate of Health Affairs of Makkah—helped to avert the mortality associated with the H1N1 influenza among the residents and those coming for Umrah and Hajj to Makkah by providing and timely diagnosis.展开更多
The main objective of this study is to investigate temperature trend and distribution over 29 years period (1985 to 2013) in Makkah, Saudi Arabia, the holiest city for all Muslims. Monthly mean, maximum, and minimum t...The main objective of this study is to investigate temperature trend and distribution over 29 years period (1985 to 2013) in Makkah, Saudi Arabia, the holiest city for all Muslims. Monthly mean, maximum, and minimum temperature levels and their trends are investigated using Regression analysis and Theil-Sen nonparametric test. Also, trends in deviations from the reference period (1985-2013) are analyzed. The results showed that the number of hot days and nights increased annually by 1.5966 and 1.832, respectively, while the number of cold nights decreased annually by 0.4054 nights. Both Regression analysis and Theil-Sen test demonstrated positive trends in mean, minimum and maximum temperature levels. Trends are determined for various seasons and months of the year. The annual mean of daily mean, maximum and minimum temperature increased by 0.0398°C, 0.0552°C, 0.0398°C per year, respectively. The minimum value of monthly mean temperature (Tmmean = 23.98°C) was found in January, whereas the maximum value of the mean temperature (Tmmean= 35.95°C) was found in July. Maximum value of monthly mean of daily maximum temperature (Tmmax = 43.88°C) was found in June and minimum (30.54°C) in January. The monthly mean of the daily minimum temperature (Tmmin) varied between a minimum of 18.82°C in January and a maximum of 29.59°C in August. From the above analysis it can be concluded that Makkah is suffering from a considerable warming temperature trend which is confirmed by the Theil-Sen non-parametric test and there is potentially an increasing medical risk from heat waves that will be more intense. This requires specific attention toward: the energy demands for extra cooling, water resources, draughts, and medical preparedness by the decision makers in order to minimize these risks to residents, pilgrims who gather annually to perform hajj rituals and other visitors.展开更多
The spatial fairness of public services is a major aspect in offering a healthy and cheerful living environment in a city. The Geographic Information System (GIS) technology has been applied to investigate the spatial...The spatial fairness of public services is a major aspect in offering a healthy and cheerful living environment in a city. The Geographic Information System (GIS) technology has been applied to investigate the spatial distribution of some selected public services over the municipal election areas within Makkah city, Saudi Arabia. These services include education, health, security, religious, commercial, and sports services. The attained results show that except for religious services, other public services are not quantitatively proportional with the population variations in Makkah. It has been found that the third election area posses almost one third of five public services and two thirds of the sport services. That might be attributed to the fact that the third election area possesses almost a quarter of the city population. But, although the first election area has a closer percentage of the total population, it does not include a comparable percentage of public services. On a spatial basis, results of GIS spatial analysis (particularly the Euclidian distance, the mean distance band to a neighbor, the standard distance, the directional distribution ellipse, and the average nearest neighbor ratio tools) have concluded that there is inequity in the services distribution over municipal election areas in Makkah city. Consequently, it is recommended that local planners and decision makers should take the obtained results into consideration to achieve fair and better distribution of public services in the city.展开更多
SETTING: Millions of pilgrims visit Makkah (Mecca), Saudi Arabia, from regions of endemic tuberculosis. Little consideration has been given to the potential impact of this disease on the local population. OBJECTIVES: ...SETTING: Millions of pilgrims visit Makkah (Mecca), Saudi Arabia, from regions of endemic tuberculosis. Little consideration has been given to the potential impact of this disease on the local population. OBJECTIVES: To assess knowledge about TB among residents of Makkah and Jeddah (Makkah’s principal travel gateway). METHODS: A cross-sectional survey of 1004 residents. Data were analyzed by gender. RESULTS: Spread of TB by coughing was a transmission route known by 44.2% of males and 59.6% of females (P < 0.001);20.0% of participants knew that TB is caused by bacteria;71.6% of females and 52.3% of males knew TB is infectious (P < 0.001). Regarding approaches to TB prevention, 48.0% of respondents answered patient isolation and 15.2% vaccination. Overall, 50.6% of males and 38.3% of females (P < 0.001) would seek modern medical treatment if hemoptysis occurred. With a persistent cough, 65.4% of respondents would do nothing or wait before consulting a healthcare provider. High numbers of “don’t know” responses were recorded throughout the survey. CONCLUSIONS: Within the population across pilgrimage areas in Saudi Arabia, knowledge is lacking concerning TB transmission, the cause of the disease, means of prevention and the success of treatment, highlighting an urge need for better public education.展开更多
Emergency Department (ED) in Alnoor Hospital is considered the pulsating unit in the hospital by facing a daily challenge through a huge exposure to number of patients round between 500 - 700 per day in average. With ...Emergency Department (ED) in Alnoor Hospital is considered the pulsating unit in the hospital by facing a daily challenge through a huge exposure to number of patients round between 500 - 700 per day in average. With this busy service in ED, our study emerges to measure the quality of provided services to patients in term of measuring the total length of stay time (LOS) in ED and its influencing factors. This is a prospective study aiming to estimate the average time patients spend in ED of Alnoor Hospital during the month of January (2013). In addition, it inspects factors influencing the LOS. The questionnaire which conducted and filled by emergency team over all patients was consisted of the following data: arrival time to ED, initial time of assessment by nurse, initial time of assessment by doctor, time of arrival to specific area, consultation time, arrival time of consulted specialty, time of laboratory investigation, time of radiological investigation, time of final disposition and time of physical disposition. For the 7604 patient visits analyzed, mean ED LOS was 3.02 hour (SD = 5.03 hour). About half of the patients spent less than 59 minutes (44%), 32.6% spent 1 to 3:59 hour, 15.2% spent 4 to 7:59 hour, and 8.2% of the patients spent more than 8 hours. A priceless such study will offer an opportunity to evaluate the recent ED performance and assist to adapt future optimization strategies to improve the quality of services provided to the patient.展开更多
<span style="font-family:Verdana;">The basic aims of medical schools</span> <span style="font-family:Verdana;">are </span><span style="font-family:;" "=&qu...<span style="font-family:Verdana;">The basic aims of medical schools</span> <span style="font-family:Verdana;">are </span><span style="font-family:;" "=""><span style="font-family:Verdana;">to graduate doctors to be competent in eliciting physical signs across all body systems. Deficiency in the clinical examination skills of female surgical residents of the male groin hernia and genitalia has not been explored and not enough investigated in the Arab and Muslim c</span><span style="font-family:Verdana;">ommunities, despite obvious cultural restrictions and religious traditions. The cultural background of the students also has had an impact on their future training and skills. Certain</span></span><span> </span><span style="font-family:Verdana;">systems</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;"> examination for patients </span><span style="font-family:Verdana;">is</span><span style="font-family:Verdana;"> con</span><span style="font-family:Verdana;">sidered very sensitive to perform by students and doctors of both sexes due to their sensitive nature. This might be due to cultural issues which affect the skills on these areas. Aim of this survey was to explore the different reasons and the influence of gender on clinical examination skills of female surgical trainees to male patient intimate. Methods: A cross-sectional design based on a self-administered questionnaire which was distributed to 80 female surgical resident trainees </span><span style="font-family:Verdana;">across five Hospitals in Makkah, Holy city, Saudi Arabia. The study was carried out between the period of September 2020 to July 2021 and involved all the female surgical residents from level 1</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">5 (R1 to R5). Result: Our study showed that overall perception of most of female residents on their performance on clinical examinations is less than expected. This study revealed that the main factor affecting the female resident’s clinical examination of the opposite sex intimate is the gender difference. 56 (81.2%) participants stated that their gender impacted their confidence and skills in examination of intimate of opposite sex, while 13 (18.8%) stated that gender has no effect. Conclusion: In conservative community</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> there are numerous areas where gender influences medical student clinical learning, including clinical exposure, supervisor support and patient willingness and consents, as well as some of the undergraduate methods of learning clinical skills not aligned with the post graduates needs.</span>展开更多
In spite of the established nutritive value of seafood, fishes have a special ability to store some toxic substances such as heavy metals because of its own respiration system. The goal of current study was to explore...In spite of the established nutritive value of seafood, fishes have a special ability to store some toxic substances such as heavy metals because of its own respiration system. The goal of current study was to explore the proximate chemical composition, minerals content and levels of heavy metals in edible portions of some important commercial fish species available at Makkah Central Fish Market, Saudi Arabia. The obtained results showed that Indian oil sardine fish had the highest value of crude oil (dry weight) recorded 38.00%, while, rusty parrot fish sample had the least of 1.17%. In contrast, rusty parrot fish had the highest value of crude protein represented 90.75% (dry weight), meanwhile, Indian oil sardine had the least of 54.19%. Consuming about 250 g of Indian oil sardine will cover 100% of Fe RDA (Recommended Dietary Allowances), eating 500 g of the same fish will cover about 30% of Ca RDA. While, 500 g of gilt head bream which has the highest content of K, Na and Mg will cover about 11.7%, 1.5% and 4.1% of these minerals RDA, respectively. As physical hazards, fourteen samples from the thirty three studied samples exceeded the permissible limit of Pb and Cd representing about 42%. Therefore, it is strongly recommended not to eat head, gills or viscera of all fishes.展开更多
Background: Nurses leaving the profession are of concern to the government. This turnover can take the form of leakage and waste of both human and financial resources for governments that spend money on training nurse...Background: Nurses leaving the profession are of concern to the government. This turnover can take the form of leakage and waste of both human and financial resources for governments that spend money on training nurses. Little is known about the intention to stay or determinants of job satisfaction among nurses in the Makkah region of Saudi Arabia. Aims: The study explores the determinants of intention to stay, job satisfaction, organizational commitment and self-efficacy among nurses. Methods: A cross-sectional study was designed, with a total of 175 nurses in the period between March 2017-July 2017. Results: No statistically significant differences were identified in intention to stay, job satisfaction, organizational commitment and self-efficacy between the psychiatric and the general nurses. A significant correlation was found between nationality, education and income, and intention to stay, job satisfaction, organization commitment and self-efficacy (p Conclusions: The study added various determinants of nurse turnover to the existing body of knowledge, relating to the factors concerning intention to stay, job satisfaction, organizational commitment and self-efficacy amongst general and psychiatric nurses.展开更多
Introduction: Vaccination provides health and economic benefits to the individual and to society. In Saudi Arabia, public support for immunisation programmes is generally high and well received. However, the benefits ...Introduction: Vaccination provides health and economic benefits to the individual and to society. In Saudi Arabia, public support for immunisation programmes is generally high and well received. However, the benefits of vaccines are often not fully known or appreciated. When public discussion on vaccine safety, quality or efficacy occurs, very often misinformation creeps into the debate through the internet and other media sources, significantly weakening immunisation programmes. Vaccine hesitancy is a concept frequently used in the discourse around vaccine acceptance. This study reflects on the factors associated with vaccine hesitancy, through a study focusing on knowledge, attitudes and beliefs among parents of young children. Methods: A cross-sectional study was carried out in seven primary schools in Makkah city, Saud Arabia. Data were collected in 2017 through a computer based-survey administered to 100 parents with children aged between 2 months and 17 years of age. Questionnaire responses were analysed using Minitab. Results: Many parents (with a total of 292 children) agreed on the importance of vaccinations, to protect their children’s health and to prevent the spread of diseases in the community. Most parents (68.7%, P Discussion and Conclusions: Vaccine hesitancy is a common problem in Makkah, Saudi Arabia. Further research will be needed to better understand when, how and why these beliefs are formed.展开更多
Background: Patient care management behavior in diabetes is an essential component of maintaining diabetes under control, and roughly 95% of illness management is typically undertaken by the patients themselves and/or...Background: Patient care management behavior in diabetes is an essential component of maintaining diabetes under control, and roughly 95% of illness management is typically undertaken by the patients themselves and/or their families. This study aimed to identify the association between self-care management practices of patients with diabetes and their demographic factors within the last three months. Methods: The design of this study was cross-sectional. 150 participants from four different hospitals in the Makkah region, Saudi Arabia participated in the study. Descriptive statistics, independent t-tests, and one-way analysis of variance were used to measure differences in self-care management practices concerning patients ’ demographic factors. Results: The results of the study showed that there were no significant differences in the mean score of five areas of self-care management patients ’ practices regarding diet, exercise, foot care, testing blood sugar, and medication concerning their gender ( P > 0.05), employment status ( P > 0.05), their marital status ( P > 0.05), their income ( P > 0.05), and comorbidities ( P > 0.05). There was also no significant difference in the mean score of patients ’ HgbA1c and demographic factors. However, patients with diabetes who have a university education have significantly higher mean scores of testing blood sugar than patients with diabetes who have below secondary school ( P = 0.019). Conclusion: Although the study reported no significant differences in the mean score of self-care practices of patients with diabetes regarding their gender, income, age, education (except testing Blood Sugar), marital status, income, and employment status. This is still needed to counsel and educate every patient regarding reasonable glycaemic control as the study included participants with poor diabetic control (HbA1c > 7). Furthermore, it is recommended to replicate the study with a large sample size to explore the significant differences.展开更多
Background:At this time of severe budgetary constraints and worldwide nursing shortages,the nursing profession is already facing challenges in keeping its professionals motivated to work during the COVID-19 pandemic.T...Background:At this time of severe budgetary constraints and worldwide nursing shortages,the nursing profession is already facing challenges in keeping its professionals motivated to work during the COVID-19 pandemic.This study explores the factors influencing nurses’work motivation during the COVID-19 pandemic in Saudi Arabia.Method s:A descriptive quantitative cross-sectional study was conducted at King Faisal Hospital in Makkah al-Mukarramah,Saudi Arabia.A convenience sample of 184 nurses participated in the study.An electronic self-administrative questionnaire in the English language was used to collect data.It comprises two parts:demographic data and the Multidimensional Work Motivation Scale(MWMS)using a 7-point Likert scale.Analysis of variance(ANOVA)and t-tests were utilized to identify the differences in MWMS scores among participants’characteristics.Results:The study found that the overall mean score for the MWMS scale accounted for M=81.32,SD=18.66,with the highest mean score reported for interjected regulation(M=20.19,SD=5.59).Moreover,the results revealed that 62%of the participants attained an average level on the overall MWMS.In addition,the ANOVA and t-test showed a significant overall effect of the duration of nurses’work experience,the unit of care,the number of working hours per week and salary on nurses’work motivation during COVID-19 at P<0.05.Conclusion:The study’s findings suggest that hospital administrators and nursing managers should pay careful attention to nurses’work motivation and related factors to increase nurses’quality performance,retention and satisfaction.展开更多
Makkah has developed unique architectural vocabularies for centuries.The Roushan,Qalalib,Kharja,and Shwabir responded to topography,climate conditions,and socio-cultural aspects.However,demolishing heritagebuildings t...Makkah has developed unique architectural vocabularies for centuries.The Roushan,Qalalib,Kharja,and Shwabir responded to topography,climate conditions,and socio-cultural aspects.However,demolishing heritagebuildings to expand theHolyMosque has led to thedisappearance of many traditional architectural vocabularies.Then,the imposition ofmodern architectural elements bymodernity increased a feeling of discontinuitywith the past.In addition,globalization has branded Makkah as a city of skyscrapers and high-rise buildings.Megaprojects have emerged since Saudi Arabia announced its Vision 2030,necessitating creative architectural solutions.Although the literature on the architecture of Makkah introduced varied approaches to developing traditional architectural vocabularies,the results were far from anticipated.Most studies assumed that traditional elements should shape the future of architecture in Makkah.The field of architecture suggests analyzing physical forms in reality,while the philosophical attempt proposes exploring them in virtuality.Reality and virtuality must be dynamic in space as methods for innovation;this space should be detached from architecture to challenge physical norms and separated from philosophy to promote practicality.This paper maps the literature to evaluate the approaches that examine the architecture of Makkah.It suggests a third space,outside architecture,and philosophy,utilizing AI to generate Makkah’s architectural elements.The aim is to employ technology,i.e.,AI,not to document but to generate architectural vocabulary based on rising potentials and differentiations,which are the bases of innovation,hence establishing continuity with the past to shape the future.展开更多
Objective:To assess the effect of memantine combined with liraglutide on aluminum chloride(AlCl_(3))and D-galactose(D-GAL)-induced neurotoxicity in rats.Methods:Male Wistar rats were divided into 5 groups of 5 animals...Objective:To assess the effect of memantine combined with liraglutide on aluminum chloride(AlCl_(3))and D-galactose(D-GAL)-induced neurotoxicity in rats.Methods:Male Wistar rats were divided into 5 groups of 5 animals each:the positive control,the negative control,the memantine-treated group,the liraglutide-treated group,and the combination group treated with memantine and liraglutide.AlCl_(3)and D-GAL were used to induce neurotoxicity.Behavioral tests,brain beta-amyloid protein,and oxidative stress biomarkers were evaluated.Results:The Morris water maze test indicated an enhanced memory in the combination group.Moreover,the combination treatment of liraglutide and memantine resulted in a remarkable reduction in the beta-amyloid protein level in the brain tissue.Neuronal inflammation and oxidative stress biomarkers were significantly reduced,and the levels of antioxidant parameters were enhanced.Conclusions:The combination of liraglutide and memantine exerts neuroprotective effects and enhances memory and cognitive functions in rats with Alzheimer’s disease.展开更多
Rapid development in Information Technology(IT)has allowed several novel application regions like large outdoor vehicular networks for Vehicle-to-Vehicle(V2V)transmission.Vehicular networks give a safe and more effect...Rapid development in Information Technology(IT)has allowed several novel application regions like large outdoor vehicular networks for Vehicle-to-Vehicle(V2V)transmission.Vehicular networks give a safe and more effective driving experience by presenting time-sensitive and location-aware data.The communication occurs directly between V2V and Base Station(BS)units such as the Road Side Unit(RSU),named as a Vehicle to Infrastructure(V2I).However,the frequent topology alterations in VANETs generate several problems with data transmission as the vehicle velocity differs with time.Therefore,the scheme of an effectual routing protocol for reliable and stable communications is significant.Current research demonstrates that clustering is an intelligent method for effectual routing in a mobile environment.Therefore,this article presents a Falcon Optimization Algorithm-based Energy Efficient Communication Protocol for Cluster-based Routing(FOA-EECPCR)technique in VANETS.The FOA-EECPCR technique intends to group the vehicles and determine the shortest route in the VANET.To accomplish this,the FOA-EECPCR technique initially clusters the vehicles using FOA with fitness functions comprising energy,distance,and trust level.For the routing process,the Sparrow Search Algorithm(SSA)is derived with a fitness function that encompasses two variables,namely,energy and distance.A series of experiments have been conducted to exhibit the enhanced performance of the FOA-EECPCR method.The experimental outcomes demonstrate the enhanced performance of the FOA-EECPCR approach over other current methods.展开更多
The rapid growth of the Internet of Things(IoT)operations has necessitated the incorporation of quantum computing technologies tomeet its expanding needs.This integration ismotivated by the need to solve the specific ...The rapid growth of the Internet of Things(IoT)operations has necessitated the incorporation of quantum computing technologies tomeet its expanding needs.This integration ismotivated by the need to solve the specific issues provided by the expansion of IoT and the potential benefits that quantum computing can offer in this scenario.The combination of IoT and quantum computing creates new privacy and security problems.This study examines the critical need to prevent potential security concerns from quantum computing in IoT applications.We investigate the incorporation of quantum computing approaches within IoT security frameworks,with a focus on developing effective security mechanisms.Our research,which uses quantum algorithms and cryptographic protocols,provides a unique solution to protecting sensitive information and assuring the integrity of IoT systems.We rigorously analyze critical quantum computing security properties,building a hierarchical framework for systematic examination.We offer concrete solutions flexible to diverse aswell as ambiguous opinions through using a unified computational model with analytical hierarchy process(AHP)multi-criteria decision-making(MCDM)as the technique for ordering preferences by similarity to ideal solutions(TOPSIS)in a fuzzy environment.This study adds practical benefit by supporting practitioners in recognizing,choosing,and prioritizing essential security factors from the standpoint of quantum computing.Our approach is a critical step towards improving quantum-level security in IoT systems,strengthening their resilience against future threats,and preserving the IoT ecosystem’s long-term prosperity.展开更多
Internet of Things(IoTs)provides better solutions in various fields,namely healthcare,smart transportation,home,etc.Recognizing Denial of Service(DoS)outbreaks in IoT platforms is significant in certifying the accessi...Internet of Things(IoTs)provides better solutions in various fields,namely healthcare,smart transportation,home,etc.Recognizing Denial of Service(DoS)outbreaks in IoT platforms is significant in certifying the accessibility and integrity of IoT systems.Deep learning(DL)models outperform in detecting complex,non-linear relationships,allowing them to effectually severe slight deviations fromnormal IoT activities that may designate a DoS outbreak.The uninterrupted observation and real-time detection actions of DL participate in accurate and rapid detection,permitting proactive reduction events to be executed,hence securing the IoT network’s safety and functionality.Subsequently,this study presents pigeon-inspired optimization with a DL-based attack detection and classification(PIODL-ADC)approach in an IoT environment.The PIODL-ADC approach implements a hyperparameter-tuned DL method for Distributed Denial-of-Service(DDoS)attack detection in an IoT platform.Initially,the PIODL-ADC model utilizes Z-score normalization to scale input data into a uniformformat.For handling the convolutional and adaptive behaviors of IoT,the PIODL-ADCmodel employs the pigeon-inspired optimization(PIO)method for feature selection to detect the related features,considerably enhancing the recognition’s accuracy.Also,the Elman Recurrent Neural Network(ERNN)model is utilized to recognize and classify DDoS attacks.Moreover,reptile search algorithm(RSA)based hyperparameter tuning is employed to improve the precision and robustness of the ERNN method.A series of investigational validations is made to ensure the accomplishment of the PIODL-ADC method.The experimental outcome exhibited that the PIODL-ADC method shows greater accomplishment when related to existing models,with a maximum accuracy of 99.81%.展开更多
文摘Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.
文摘Background:COVID-19 put the global health system in a disastrous situation.Nursing plays a vital role in healthcare services.The ratio of burnout increased during this period.In the context of Saudi Arabia,nurses’whether these are Saudi or non-Saudi the burnout due to emotional exhaustion,depersonalization,and personal accomplishment,the situation of burnout could be there.It is,therefore,important to understand the phenomenon of nurse burnout and the factors that contribute to it.This study aims to understand burnout among nurses and the factors that affect nurses during the COVID-19 pandemic.Methods:The design of this study was quantitative cross-sectional and correlational.This study population included 255 nurses working in the King Abdulaziz hospital,Makkah,in 2021.Self-administered questionnaire(google forms)was distributed through email and WhatsApp.Statistical analysis system version 9.4 for data analysis and reporting.Result:Most of the nurse participants were in the age range 31-40,were females and were Saudi nationals.A Chi-square analysis showed a significant burnout level on the sub-scale of emotional exhaustion and personal accomplishment,while a partial burnout level was observed on the sub-scale of depersonalization.The level of burnout was higher and more significant among Saudi nurses compared to non-Saudi nationals.The impact of demographic variables on burnout showed that nationality,level of education,and duty type were the most influential and significant variables in burnout among Saudi and non-Saudi nurses.Conclusion:The findings indicated that nurses’burnout is higher during COVID-19 and is closely related to their working hours.In addition,when nurses are more nervous and depressed,a higher level of burnout will be witnessed.Since depression and frustration are influenced by working hours,attention should be given to this factor,focusing on interventions to alleviate the causes that lead to nurses’burnout.
文摘Land use/land cover (LULC) changes have become a central issue in current global change and sustainability research. Saudi Arabia has undergone significant change in land use and land cover since the government embarked on a course of intense national development 30 years ago, as a result of huge national oil revenues. This study evaluates LULC change in Makkah and Al-Taif, Saudi Arabia from 1986 to 2013 using Landsat images. Maximum likelihood and object-oriented classification were used to develop LULC maps. The change detection was executed using post-classification comparison and GIS. The results indicated that urban areas have increased over the period by approximately 174% in Makkah and 113% in Al-Taif. Analysis of vegetation cover over the study area showed a variable distribution from year to year due to changing average precipitation in this environment. Object-based classification provided slightly greater accuracy than maximum likelihood classification. Information provided by satellite remote sensing can play an important role in quantifying and understanding the relationship between population growth and LULC changes, which can assist future planning and potential environmental impacts of expanding urban areas.
文摘The aim of this study is to determine the types of heavy metals frequently present in Makkah wells and the possible environmental causes of their distribution and accumulation. Makkah lies in a mountain range dominated by different types of rocks from the Precambrian and Lower Paleozoic eras, as well as subordinate sedimentary rocks and basaltic lava flow from the Tertiary and Quaternary periods. Natural contaminants in Makkah wells water can be attributed to the unique location. Many epidemiological studies have identified associations between the ingestion of wells water contaminated with heavy metals and increased risk of some illnesses. This study presents exclusive information on the levels and distribution of 9 heavy metals—arsenic, barium, cadmium, chromium, cobalt, copper, lead, mercury, and selenium—in the wells water in various rural and urban areas of Makkah city. These naturally occurring elements are considered significant markers of water purity. More than 160 wells were involved in this three-year investigation. Water samples were collected during different seasons in order to assess any changes in the distribution and concentration of these heavy metals throughout the year. The collected water samples were filtered and digested before analysis using inductively coupled plasma mass spectrometry (ICP/MS). We found the following sequence of concentrations of heavy metals in the studied wells: Ba > Se >Cr > As > Co > Cu> Hg > Pb > Cd. Arsenic, barium, chromium, and selenium were the most abundant contaminants in the wells studied. The concentrations of the other heavy metals ranged from non-detectable to 3 μg/L. Although low, these values are also reported in comparisons with the local and international strict values and standards which govern the maximum contaminant levels permitted for long-term daily consumption.
文摘The flu pandemic is a global outbreak of a new strain of influenza A virus subtype H1N1, termed Pandemic H1N1/09 virus by the World Health Organization (WHO), which was first identified in April 2009. The disease has also been termed novel Influenza A(H1N1) and 2009 H1N1 flu by the US Centers for Disease Control and Prevention (CDC), and is commonly known as swine flu. The main strain of the virus has been termed A/California/07/2009 (H1N1) by scientists. This study was conducted to describe the epidemiology of influenza A(H1N1) infections in KSA during 2009. A descriptive study was carried out among attendants at hospitals and primary health care centers in Makkah during 2009, irrespective of age and sex. The data were collected by interviewing suspected persons using a pre-designed questionnaire, clinical examination, and specific laboratory investigation. A total of 1138 subjects were included in the study. Among the study population, 25% of the cases between 15 and 24 years old were found positive for influenza A(H1N1) by PCR technique. Although a significant population was affected by influenza A(H1N1) during 2009 in Makkah, the efforts and steps taken by health authorities at all levels―especially those in Directorate of Health Affairs of Makkah—helped to avert the mortality associated with the H1N1 influenza among the residents and those coming for Umrah and Hajj to Makkah by providing and timely diagnosis.
文摘The main objective of this study is to investigate temperature trend and distribution over 29 years period (1985 to 2013) in Makkah, Saudi Arabia, the holiest city for all Muslims. Monthly mean, maximum, and minimum temperature levels and their trends are investigated using Regression analysis and Theil-Sen nonparametric test. Also, trends in deviations from the reference period (1985-2013) are analyzed. The results showed that the number of hot days and nights increased annually by 1.5966 and 1.832, respectively, while the number of cold nights decreased annually by 0.4054 nights. Both Regression analysis and Theil-Sen test demonstrated positive trends in mean, minimum and maximum temperature levels. Trends are determined for various seasons and months of the year. The annual mean of daily mean, maximum and minimum temperature increased by 0.0398°C, 0.0552°C, 0.0398°C per year, respectively. The minimum value of monthly mean temperature (Tmmean = 23.98°C) was found in January, whereas the maximum value of the mean temperature (Tmmean= 35.95°C) was found in July. Maximum value of monthly mean of daily maximum temperature (Tmmax = 43.88°C) was found in June and minimum (30.54°C) in January. The monthly mean of the daily minimum temperature (Tmmin) varied between a minimum of 18.82°C in January and a maximum of 29.59°C in August. From the above analysis it can be concluded that Makkah is suffering from a considerable warming temperature trend which is confirmed by the Theil-Sen non-parametric test and there is potentially an increasing medical risk from heat waves that will be more intense. This requires specific attention toward: the energy demands for extra cooling, water resources, draughts, and medical preparedness by the decision makers in order to minimize these risks to residents, pilgrims who gather annually to perform hajj rituals and other visitors.
文摘The spatial fairness of public services is a major aspect in offering a healthy and cheerful living environment in a city. The Geographic Information System (GIS) technology has been applied to investigate the spatial distribution of some selected public services over the municipal election areas within Makkah city, Saudi Arabia. These services include education, health, security, religious, commercial, and sports services. The attained results show that except for religious services, other public services are not quantitatively proportional with the population variations in Makkah. It has been found that the third election area posses almost one third of five public services and two thirds of the sport services. That might be attributed to the fact that the third election area possesses almost a quarter of the city population. But, although the first election area has a closer percentage of the total population, it does not include a comparable percentage of public services. On a spatial basis, results of GIS spatial analysis (particularly the Euclidian distance, the mean distance band to a neighbor, the standard distance, the directional distribution ellipse, and the average nearest neighbor ratio tools) have concluded that there is inequity in the services distribution over municipal election areas in Makkah city. Consequently, it is recommended that local planners and decision makers should take the obtained results into consideration to achieve fair and better distribution of public services in the city.
文摘SETTING: Millions of pilgrims visit Makkah (Mecca), Saudi Arabia, from regions of endemic tuberculosis. Little consideration has been given to the potential impact of this disease on the local population. OBJECTIVES: To assess knowledge about TB among residents of Makkah and Jeddah (Makkah’s principal travel gateway). METHODS: A cross-sectional survey of 1004 residents. Data were analyzed by gender. RESULTS: Spread of TB by coughing was a transmission route known by 44.2% of males and 59.6% of females (P < 0.001);20.0% of participants knew that TB is caused by bacteria;71.6% of females and 52.3% of males knew TB is infectious (P < 0.001). Regarding approaches to TB prevention, 48.0% of respondents answered patient isolation and 15.2% vaccination. Overall, 50.6% of males and 38.3% of females (P < 0.001) would seek modern medical treatment if hemoptysis occurred. With a persistent cough, 65.4% of respondents would do nothing or wait before consulting a healthcare provider. High numbers of “don’t know” responses were recorded throughout the survey. CONCLUSIONS: Within the population across pilgrimage areas in Saudi Arabia, knowledge is lacking concerning TB transmission, the cause of the disease, means of prevention and the success of treatment, highlighting an urge need for better public education.
文摘Emergency Department (ED) in Alnoor Hospital is considered the pulsating unit in the hospital by facing a daily challenge through a huge exposure to number of patients round between 500 - 700 per day in average. With this busy service in ED, our study emerges to measure the quality of provided services to patients in term of measuring the total length of stay time (LOS) in ED and its influencing factors. This is a prospective study aiming to estimate the average time patients spend in ED of Alnoor Hospital during the month of January (2013). In addition, it inspects factors influencing the LOS. The questionnaire which conducted and filled by emergency team over all patients was consisted of the following data: arrival time to ED, initial time of assessment by nurse, initial time of assessment by doctor, time of arrival to specific area, consultation time, arrival time of consulted specialty, time of laboratory investigation, time of radiological investigation, time of final disposition and time of physical disposition. For the 7604 patient visits analyzed, mean ED LOS was 3.02 hour (SD = 5.03 hour). About half of the patients spent less than 59 minutes (44%), 32.6% spent 1 to 3:59 hour, 15.2% spent 4 to 7:59 hour, and 8.2% of the patients spent more than 8 hours. A priceless such study will offer an opportunity to evaluate the recent ED performance and assist to adapt future optimization strategies to improve the quality of services provided to the patient.
文摘<span style="font-family:Verdana;">The basic aims of medical schools</span> <span style="font-family:Verdana;">are </span><span style="font-family:;" "=""><span style="font-family:Verdana;">to graduate doctors to be competent in eliciting physical signs across all body systems. Deficiency in the clinical examination skills of female surgical residents of the male groin hernia and genitalia has not been explored and not enough investigated in the Arab and Muslim c</span><span style="font-family:Verdana;">ommunities, despite obvious cultural restrictions and religious traditions. The cultural background of the students also has had an impact on their future training and skills. Certain</span></span><span> </span><span style="font-family:Verdana;">systems</span><span style="font-family:Verdana;">’</span><span style="font-family:Verdana;"> examination for patients </span><span style="font-family:Verdana;">is</span><span style="font-family:Verdana;"> con</span><span style="font-family:Verdana;">sidered very sensitive to perform by students and doctors of both sexes due to their sensitive nature. This might be due to cultural issues which affect the skills on these areas. Aim of this survey was to explore the different reasons and the influence of gender on clinical examination skills of female surgical trainees to male patient intimate. Methods: A cross-sectional design based on a self-administered questionnaire which was distributed to 80 female surgical resident trainees </span><span style="font-family:Verdana;">across five Hospitals in Makkah, Holy city, Saudi Arabia. The study was carried out between the period of September 2020 to July 2021 and involved all the female surgical residents from level 1</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">-</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">5 (R1 to R5). Result: Our study showed that overall perception of most of female residents on their performance on clinical examinations is less than expected. This study revealed that the main factor affecting the female resident’s clinical examination of the opposite sex intimate is the gender difference. 56 (81.2%) participants stated that their gender impacted their confidence and skills in examination of intimate of opposite sex, while 13 (18.8%) stated that gender has no effect. Conclusion: In conservative community</span><span style="font-family:Verdana;">,</span><span style="font-family:Verdana;"> there are numerous areas where gender influences medical student clinical learning, including clinical exposure, supervisor support and patient willingness and consents, as well as some of the undergraduate methods of learning clinical skills not aligned with the post graduates needs.</span>
文摘In spite of the established nutritive value of seafood, fishes have a special ability to store some toxic substances such as heavy metals because of its own respiration system. The goal of current study was to explore the proximate chemical composition, minerals content and levels of heavy metals in edible portions of some important commercial fish species available at Makkah Central Fish Market, Saudi Arabia. The obtained results showed that Indian oil sardine fish had the highest value of crude oil (dry weight) recorded 38.00%, while, rusty parrot fish sample had the least of 1.17%. In contrast, rusty parrot fish had the highest value of crude protein represented 90.75% (dry weight), meanwhile, Indian oil sardine had the least of 54.19%. Consuming about 250 g of Indian oil sardine will cover 100% of Fe RDA (Recommended Dietary Allowances), eating 500 g of the same fish will cover about 30% of Ca RDA. While, 500 g of gilt head bream which has the highest content of K, Na and Mg will cover about 11.7%, 1.5% and 4.1% of these minerals RDA, respectively. As physical hazards, fourteen samples from the thirty three studied samples exceeded the permissible limit of Pb and Cd representing about 42%. Therefore, it is strongly recommended not to eat head, gills or viscera of all fishes.
文摘Background: Nurses leaving the profession are of concern to the government. This turnover can take the form of leakage and waste of both human and financial resources for governments that spend money on training nurses. Little is known about the intention to stay or determinants of job satisfaction among nurses in the Makkah region of Saudi Arabia. Aims: The study explores the determinants of intention to stay, job satisfaction, organizational commitment and self-efficacy among nurses. Methods: A cross-sectional study was designed, with a total of 175 nurses in the period between March 2017-July 2017. Results: No statistically significant differences were identified in intention to stay, job satisfaction, organizational commitment and self-efficacy between the psychiatric and the general nurses. A significant correlation was found between nationality, education and income, and intention to stay, job satisfaction, organization commitment and self-efficacy (p Conclusions: The study added various determinants of nurse turnover to the existing body of knowledge, relating to the factors concerning intention to stay, job satisfaction, organizational commitment and self-efficacy amongst general and psychiatric nurses.
文摘Introduction: Vaccination provides health and economic benefits to the individual and to society. In Saudi Arabia, public support for immunisation programmes is generally high and well received. However, the benefits of vaccines are often not fully known or appreciated. When public discussion on vaccine safety, quality or efficacy occurs, very often misinformation creeps into the debate through the internet and other media sources, significantly weakening immunisation programmes. Vaccine hesitancy is a concept frequently used in the discourse around vaccine acceptance. This study reflects on the factors associated with vaccine hesitancy, through a study focusing on knowledge, attitudes and beliefs among parents of young children. Methods: A cross-sectional study was carried out in seven primary schools in Makkah city, Saud Arabia. Data were collected in 2017 through a computer based-survey administered to 100 parents with children aged between 2 months and 17 years of age. Questionnaire responses were analysed using Minitab. Results: Many parents (with a total of 292 children) agreed on the importance of vaccinations, to protect their children’s health and to prevent the spread of diseases in the community. Most parents (68.7%, P Discussion and Conclusions: Vaccine hesitancy is a common problem in Makkah, Saudi Arabia. Further research will be needed to better understand when, how and why these beliefs are formed.
文摘Background: Patient care management behavior in diabetes is an essential component of maintaining diabetes under control, and roughly 95% of illness management is typically undertaken by the patients themselves and/or their families. This study aimed to identify the association between self-care management practices of patients with diabetes and their demographic factors within the last three months. Methods: The design of this study was cross-sectional. 150 participants from four different hospitals in the Makkah region, Saudi Arabia participated in the study. Descriptive statistics, independent t-tests, and one-way analysis of variance were used to measure differences in self-care management practices concerning patients ’ demographic factors. Results: The results of the study showed that there were no significant differences in the mean score of five areas of self-care management patients ’ practices regarding diet, exercise, foot care, testing blood sugar, and medication concerning their gender ( P > 0.05), employment status ( P > 0.05), their marital status ( P > 0.05), their income ( P > 0.05), and comorbidities ( P > 0.05). There was also no significant difference in the mean score of patients ’ HgbA1c and demographic factors. However, patients with diabetes who have a university education have significantly higher mean scores of testing blood sugar than patients with diabetes who have below secondary school ( P = 0.019). Conclusion: Although the study reported no significant differences in the mean score of self-care practices of patients with diabetes regarding their gender, income, age, education (except testing Blood Sugar), marital status, income, and employment status. This is still needed to counsel and educate every patient regarding reasonable glycaemic control as the study included participants with poor diabetic control (HbA1c > 7). Furthermore, it is recommended to replicate the study with a large sample size to explore the significant differences.
文摘Background:At this time of severe budgetary constraints and worldwide nursing shortages,the nursing profession is already facing challenges in keeping its professionals motivated to work during the COVID-19 pandemic.This study explores the factors influencing nurses’work motivation during the COVID-19 pandemic in Saudi Arabia.Method s:A descriptive quantitative cross-sectional study was conducted at King Faisal Hospital in Makkah al-Mukarramah,Saudi Arabia.A convenience sample of 184 nurses participated in the study.An electronic self-administrative questionnaire in the English language was used to collect data.It comprises two parts:demographic data and the Multidimensional Work Motivation Scale(MWMS)using a 7-point Likert scale.Analysis of variance(ANOVA)and t-tests were utilized to identify the differences in MWMS scores among participants’characteristics.Results:The study found that the overall mean score for the MWMS scale accounted for M=81.32,SD=18.66,with the highest mean score reported for interjected regulation(M=20.19,SD=5.59).Moreover,the results revealed that 62%of the participants attained an average level on the overall MWMS.In addition,the ANOVA and t-test showed a significant overall effect of the duration of nurses’work experience,the unit of care,the number of working hours per week and salary on nurses’work motivation during COVID-19 at P<0.05.Conclusion:The study’s findings suggest that hospital administrators and nursing managers should pay careful attention to nurses’work motivation and related factors to increase nurses’quality performance,retention and satisfaction.
基金The authors would like to thank the Deanship of Scientific Research at Umm Al-Qura University for supporting this work by Grant Code:(22UQU4210099DSR01).
文摘Makkah has developed unique architectural vocabularies for centuries.The Roushan,Qalalib,Kharja,and Shwabir responded to topography,climate conditions,and socio-cultural aspects.However,demolishing heritagebuildings to expand theHolyMosque has led to thedisappearance of many traditional architectural vocabularies.Then,the imposition ofmodern architectural elements bymodernity increased a feeling of discontinuitywith the past.In addition,globalization has branded Makkah as a city of skyscrapers and high-rise buildings.Megaprojects have emerged since Saudi Arabia announced its Vision 2030,necessitating creative architectural solutions.Although the literature on the architecture of Makkah introduced varied approaches to developing traditional architectural vocabularies,the results were far from anticipated.Most studies assumed that traditional elements should shape the future of architecture in Makkah.The field of architecture suggests analyzing physical forms in reality,while the philosophical attempt proposes exploring them in virtuality.Reality and virtuality must be dynamic in space as methods for innovation;this space should be detached from architecture to challenge physical norms and separated from philosophy to promote practicality.This paper maps the literature to evaluate the approaches that examine the architecture of Makkah.It suggests a third space,outside architecture,and philosophy,utilizing AI to generate Makkah’s architectural elements.The aim is to employ technology,i.e.,AI,not to document but to generate architectural vocabulary based on rising potentials and differentiations,which are the bases of innovation,hence establishing continuity with the past to shape the future.
基金funded by the Deanship of Scientific Research(DSR)at King Abdulaziz University,Jeddah,under grant No.G:455-248-1442。
文摘Objective:To assess the effect of memantine combined with liraglutide on aluminum chloride(AlCl_(3))and D-galactose(D-GAL)-induced neurotoxicity in rats.Methods:Male Wistar rats were divided into 5 groups of 5 animals each:the positive control,the negative control,the memantine-treated group,the liraglutide-treated group,and the combination group treated with memantine and liraglutide.AlCl_(3)and D-GAL were used to induce neurotoxicity.Behavioral tests,brain beta-amyloid protein,and oxidative stress biomarkers were evaluated.Results:The Morris water maze test indicated an enhanced memory in the combination group.Moreover,the combination treatment of liraglutide and memantine resulted in a remarkable reduction in the beta-amyloid protein level in the brain tissue.Neuronal inflammation and oxidative stress biomarkers were significantly reduced,and the levels of antioxidant parameters were enhanced.Conclusions:The combination of liraglutide and memantine exerts neuroprotective effects and enhances memory and cognitive functions in rats with Alzheimer’s disease.
文摘Rapid development in Information Technology(IT)has allowed several novel application regions like large outdoor vehicular networks for Vehicle-to-Vehicle(V2V)transmission.Vehicular networks give a safe and more effective driving experience by presenting time-sensitive and location-aware data.The communication occurs directly between V2V and Base Station(BS)units such as the Road Side Unit(RSU),named as a Vehicle to Infrastructure(V2I).However,the frequent topology alterations in VANETs generate several problems with data transmission as the vehicle velocity differs with time.Therefore,the scheme of an effectual routing protocol for reliable and stable communications is significant.Current research demonstrates that clustering is an intelligent method for effectual routing in a mobile environment.Therefore,this article presents a Falcon Optimization Algorithm-based Energy Efficient Communication Protocol for Cluster-based Routing(FOA-EECPCR)technique in VANETS.The FOA-EECPCR technique intends to group the vehicles and determine the shortest route in the VANET.To accomplish this,the FOA-EECPCR technique initially clusters the vehicles using FOA with fitness functions comprising energy,distance,and trust level.For the routing process,the Sparrow Search Algorithm(SSA)is derived with a fitness function that encompasses two variables,namely,energy and distance.A series of experiments have been conducted to exhibit the enhanced performance of the FOA-EECPCR method.The experimental outcomes demonstrate the enhanced performance of the FOA-EECPCR approach over other current methods.
文摘The rapid growth of the Internet of Things(IoT)operations has necessitated the incorporation of quantum computing technologies tomeet its expanding needs.This integration ismotivated by the need to solve the specific issues provided by the expansion of IoT and the potential benefits that quantum computing can offer in this scenario.The combination of IoT and quantum computing creates new privacy and security problems.This study examines the critical need to prevent potential security concerns from quantum computing in IoT applications.We investigate the incorporation of quantum computing approaches within IoT security frameworks,with a focus on developing effective security mechanisms.Our research,which uses quantum algorithms and cryptographic protocols,provides a unique solution to protecting sensitive information and assuring the integrity of IoT systems.We rigorously analyze critical quantum computing security properties,building a hierarchical framework for systematic examination.We offer concrete solutions flexible to diverse aswell as ambiguous opinions through using a unified computational model with analytical hierarchy process(AHP)multi-criteria decision-making(MCDM)as the technique for ordering preferences by similarity to ideal solutions(TOPSIS)in a fuzzy environment.This study adds practical benefit by supporting practitioners in recognizing,choosing,and prioritizing essential security factors from the standpoint of quantum computing.Our approach is a critical step towards improving quantum-level security in IoT systems,strengthening their resilience against future threats,and preserving the IoT ecosystem’s long-term prosperity.
文摘Internet of Things(IoTs)provides better solutions in various fields,namely healthcare,smart transportation,home,etc.Recognizing Denial of Service(DoS)outbreaks in IoT platforms is significant in certifying the accessibility and integrity of IoT systems.Deep learning(DL)models outperform in detecting complex,non-linear relationships,allowing them to effectually severe slight deviations fromnormal IoT activities that may designate a DoS outbreak.The uninterrupted observation and real-time detection actions of DL participate in accurate and rapid detection,permitting proactive reduction events to be executed,hence securing the IoT network’s safety and functionality.Subsequently,this study presents pigeon-inspired optimization with a DL-based attack detection and classification(PIODL-ADC)approach in an IoT environment.The PIODL-ADC approach implements a hyperparameter-tuned DL method for Distributed Denial-of-Service(DDoS)attack detection in an IoT platform.Initially,the PIODL-ADC model utilizes Z-score normalization to scale input data into a uniformformat.For handling the convolutional and adaptive behaviors of IoT,the PIODL-ADCmodel employs the pigeon-inspired optimization(PIO)method for feature selection to detect the related features,considerably enhancing the recognition’s accuracy.Also,the Elman Recurrent Neural Network(ERNN)model is utilized to recognize and classify DDoS attacks.Moreover,reptile search algorithm(RSA)based hyperparameter tuning is employed to improve the precision and robustness of the ERNN method.A series of investigational validations is made to ensure the accomplishment of the PIODL-ADC method.The experimental outcome exhibited that the PIODL-ADC method shows greater accomplishment when related to existing models,with a maximum accuracy of 99.81%.