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  • 1
    In: Microbiology Research, MDPI AG, Vol. 14, No. 1 ( 2023-02-20), p. 289-296
    Abstract: This study assessed the association between multimorbidity and mortality from COVID-19 in the Middle East and North Africa region, where such data are scarce. We conducted a cross-sectional study using data of all cases with COVID-19 reported to the Ministry of Public Health of Qatar from March to September 2020. Data on pre-existing comorbidities were collected using a questionnaire and multimorbidity was defined as having at least two comorbidities. Proportions of deaths were compared by comorbidity and multimorbidity status and multivariable logistic regression analyses were carried out. A total of 92,426 participants with a mean age of 37.0 years (SD 11.0) were included. Mortality due to COVID-19 was associated with gastrointestinal diseases (aOR 3.1, 95% CI 1.16–8.30), respiratory diseases (aOR 2.9, 95% CI 1.57–5.26), neurological diseases (aOR 2.6, 95% CI 1.19–5.54), diabetes (aOR 1.8, 95% CI 1.24–2.61), and CVD (aOR 1.5, 95% CI 1.03–2.22). COVID-19 mortality was strongly associated with increasing multimorbidity; one comorbidity (aOR 2.0, 95% CI 1.28–3.12), two comorbidities (aOR 2.8, 95% CI 1.79–4.38), three comorbidities (aOR 6.0, 95% 3.34–10.86) and four or more comorbidities (aOR 4.15, 95% 1.3–12.88). This study demonstrates a strong association between COVID-19 mortality and multimorbidity in Qatar.
    Type of Medium: Online Resource
    ISSN: 2036-7481
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2571057-6
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  • 2
    In: Cancers, MDPI AG, Vol. 13, No. 7 ( 2021-03-30), p. 1590-
    Abstract: Deep learning requires a large amount of data to perform well. However, the field of medical image analysis suffers from a lack of sufficient data for training deep learning models. Moreover, medical images require manual labeling, usually provided by human annotators coming from various backgrounds. More importantly, the annotation process is time-consuming, expensive, and prone to errors. Transfer learning was introduced to reduce the need for the annotation process by transferring the deep learning models with knowledge from a previous task and then by fine-tuning them on a relatively small dataset of the current task. Most of the methods of medical image classification employ transfer learning from pretrained models, e.g., ImageNet, which has been proven to be ineffective. This is due to the mismatch in learned features between the natural image, e.g., ImageNet, and medical images. Additionally, it results in the utilization of deeply elaborated models. In this paper, we propose a novel transfer learning approach to overcome the previous drawbacks by means of training the deep learning model on large unlabeled medical image datasets and by next transferring the knowledge to train the deep learning model on the small amount of labeled medical images. Additionally, we propose a new deep convolutional neural network (DCNN) model that combines recent advancements in the field. We conducted several experiments on two challenging medical imaging scenarios dealing with skin and breast cancer classification tasks. According to the reported results, it has been empirically proven that the proposed approach can significantly improve the performance of both classification scenarios. In terms of skin cancer, the proposed model achieved an F1-score value of 89.09% when trained from scratch and 98.53% with the proposed approach. Secondly, it achieved an accuracy value of 85.29% and 97.51%, respectively, when trained from scratch and using the proposed approach in the case of the breast cancer scenario. Finally, we concluded that our method can possibly be applied to many medical imaging problems in which a substantial amount of unlabeled image data is available and the labeled image data is limited. Moreover, it can be utilized to improve the performance of medical imaging tasks in the same domain. To do so, we used the pretrained skin cancer model to train on feet skin to classify them into two classes—either normal or abnormal (diabetic foot ulcer (DFU)). It achieved an F1-score value of 86.0% when trained from scratch, 96.25% using transfer learning, and 99.25% using double-transfer learning.
    Type of Medium: Online Resource
    ISSN: 2072-6694
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2527080-1
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  • 3
    In: Cancers, MDPI AG, Vol. 13, No. 8 ( 2021-04-15), p. 1916-
    Abstract: The tumor suppressor p73 is a member of the p53 family and is expressed as different isoforms with opposing properties. The TAp73 isoforms act as tumor suppressors and have pro-apoptotic effects, whereas the ΔNp73 isoforms lack the N-terminus transactivation domain and behave as oncogenes. The TAp73 protein has a high degree of similarity with both p53 function and structure, and it induces the regulation of various genes involved in the cell cycle and apoptosis. Unlike those of the p53 gene, the mutations in the p73 gene are very rare in tumors. Cancer cells have developed several mechanisms to inhibit the activity and/or expression of p73, from the hypermethylation of its promoter to the modulation of the ratio between its pro- and anti-apoptotic isoforms. The p73 protein is also decorated by a panel of post-translational modifications, including phosphorylation, acetylation, ubiquitin proteasomal pathway modifications, and small ubiquitin-related modifier (SUMO)ylation, that regulate its transcriptional activity, subcellular localization, and stability. These modifications orchestrate the multiple anti-proliferative and pro-apoptotic functions of TAp73, thereby offering multiple promising candidates for targeted anti-cancer therapies. In this review, we summarize the current knowledge of the different pathways implicated in the regulation of TAp73 at the post-translational level. This review also highlights the growing importance of targeting the post-translational modifications of TAp73 as a promising antitumor strategy, regardless of p53 status.
    Type of Medium: Online Resource
    ISSN: 2072-6694
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2527080-1
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  • 4
    In: Diagnostics, MDPI AG, Vol. 10, No. 11 ( 2020-10-26), p. 871-
    Abstract: Acetylsalicylic acid (ASA), also known as aspirin, appears to be ineffective in inhibiting platelet aggregation in 20–30% of patients. Light transmission aggregometry (LTA) is a gold standard platelet function assay. In this pilot study, we used LTA to personalize ASA therapy ex vivo in atherosclerotic patients. Patients were recruited who were on 81 mg ASA, presenting to ambulatory clinics at St. Michael’s Hospital (n = 64), with evidence of atherosclerotic disease defined as clinical symptoms and diagnostic findings indicative of symptomatic peripheral arterial disease (PAD), with an ankle brachial index (ABI) of 〈 0.9 (n = 52) or had diagnostic features of asymptomatic carotid arterial stenosis (CAS), with 〉 50% stenosis of internal carotid artery on duplex ultrasound (n = 12). ASA compliance was assessed via multisegmented injection-capillary electrophoresis-mass spectrometry based on measuring the predominant urinary ASA metabolite, salicyluric acid. LTA with arachidonic acid was used to test for ASA sensitivity. Escalating ASA dosages of 162 mg and 325 mg were investigated ex vivo for ASA dose personalization. Of the 64 atherosclerotic patients recruited, 8 patients (13%) were non-compliant with ASA. Of ASA compliant patients (n = 56), 9 patients (14%) were non-sensitive to their 81 mg ASA dosage. Personalizing ASA therapy in 81 mg ASA non-sensitive patients with escalating dosages of ASA demonstrated that 6 patients became sensitive to a dosage equivalent to 162 mg ASA and 3 patients became sensitive to a dosage equivalent to 325 mg ASA. We were able to personalize ASA dosage ex vivo in all ASA non-sensitive patients with escalating dosages of ASA within 1 h of testing.
    Type of Medium: Online Resource
    ISSN: 2075-4418
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2662336-5
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  • 5
    In: Electronics, MDPI AG, Vol. 9, No. 3 ( 2020-03-06), p. 445-
    Abstract: Breast cancer is a significant factor in female mortality. An early cancer diagnosis leads to a reduction in the breast cancer death rate. With the help of a computer-aided diagnosis system, the efficiency increased, and the cost was reduced for the cancer diagnosis. Traditional breast cancer classification techniques are based on handcrafted features techniques, and their performance relies upon the chosen features. They also are very sensitive to different sizes and complex shapes. However, histopathological breast cancer images are very complex in shape. Currently, deep learning models have become an alternative solution for diagnosis, and have overcome the drawbacks of classical classification techniques. Although deep learning has performed well in various tasks of computer vision and pattern recognition, it still has some challenges. One of the main challenges is the lack of training data. To address this challenge and optimize the performance, we have utilized a transfer learning technique which is where the deep learning models train on a task, and then fine-tune the models for another task. We have employed transfer learning in two ways: Training our proposed model first on the same domain dataset, then on the target dataset, and training our model on a different domain dataset, then on the target dataset. We have empirically proven that the same domain transfer learning optimized the performance. Our hybrid model of parallel convolutional layers and residual links is utilized to classify hematoxylin–eosin-stained breast biopsy images into four classes: invasive carcinoma, in-situ carcinoma, benign tumor and normal tissue. To reduce the effect of overfitting, we have augmented the images with different image processing techniques. The proposed model achieved state-of-the-art performance, and it outperformed the latest methods by achieving a patch-wise classification accuracy of 90.5%, and an image-wise classification accuracy of 97.4% on the validation set. Moreover, we have achieved an image-wise classification accuracy of 96.1% on the test set of the microscopy ICIAR-2018 dataset.
    Type of Medium: Online Resource
    ISSN: 2079-9292
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2662127-7
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  • 6
    In: Applied Sciences, MDPI AG, Vol. 10, No. 13 ( 2020-06-29), p. 4523-
    Abstract: One of the main challenges of employing deep learning models in the field of medicine is a lack of training data due to difficulty in collecting and labeling data, which needs to be performed by experts. To overcome this drawback, transfer learning (TL) has been utilized to solve several medical imaging tasks using pre-trained state-of-the-art models from the ImageNet dataset. However, there are primary divergences in data features, sizes, and task characteristics between the natural image classification and the targeted medical imaging tasks. Therefore, TL can slightly improve performance if the source domain is completely different from the target domain. In this paper, we explore the benefit of TL from the same and different domains of the target tasks. To do so, we designed a deep convolutional neural network (DCNN) model that integrates three ideas including traditional and parallel convolutional layers and residual connections along with global average pooling. We trained the proposed model against several scenarios. We utilized the same and different domain TL with the diabetic foot ulcer (DFU) classification task and with the animal classification task. We have empirically shown that the source of TL from the same domain can significantly improve the performance considering a reduced number of images in the same domain of the target dataset. The proposed model with the DFU dataset achieved F1-score value of 86.6% when trained from scratch, 89.4% with TL from a different domain of the targeted dataset, and 97.6% with TL from the same domain of the targeted dataset.
    Type of Medium: Online Resource
    ISSN: 2076-3417
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2704225-X
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  • 7
    In: Electronics, MDPI AG, Vol. 9, No. 3 ( 2020-03-04), p. 427-
    Abstract: Sickle cell anemia, which is also called sickle cell disease (SCD), is a hematological disorder that causes occlusion in blood vessels, leading to hurtful episodes and even death. The key function of red blood cells (erythrocytes) is to supply all the parts of the human body with oxygen. Red blood cells (RBCs) form a crescent or sickle shape when sickle cell anemia affects them. This abnormal shape makes it difficult for sickle cells to move through the bloodstream, hence decreasing the oxygen flow. The precise classification of RBCs is the first step toward accurate diagnosis, which aids in evaluating the danger level of sickle cell anemia. The manual classification methods of erythrocytes require immense time, and it is possible that errors may be made throughout the classification stage. Traditional computer-aided techniques, which have been employed for erythrocyte classification, are based on handcrafted features techniques, and their performance relies on the selected features. They also are very sensitive to different sizes, colors, and complex shapes. However, microscopy images of erythrocytes are very complex in shape with different sizes. To this end, this research proposes lightweight deep learning models that classify the erythrocytes into three classes: circular (normal), elongated (sickle cells), and other blood content. These models are different in the number of layers and learnable filters. The available datasets of red blood cells with sickle cell disease are very small for training deep learning models. Therefore, addressing the lack of training data is the main aim of this paper. To tackle this issue and optimize the performance, the transfer learning technique is utilized. Transfer learning does not significantly affect performance on medical image tasks when the source domain is completely different from the target domain. In some cases, it can degrade the performance. Hence, we have applied the same domain transfer learning, unlike other methods that used the ImageNet dataset for transfer learning. To minimize the overfitting effect, we have utilized several data augmentation techniques. Our model obtained state-of-the-art performance and outperformed the latest methods by achieving an accuracy of 99.54% with our model and 99.98% with our model plus a multiclass SVM classifier on the erythrocytesIDB dataset and 98.87% on the collected dataset.
    Type of Medium: Online Resource
    ISSN: 2079-9292
    Language: English
    Publisher: MDPI AG
    Publication Date: 2020
    detail.hit.zdb_id: 2662127-7
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  • 8
    In: Applied Sciences, MDPI AG, Vol. 13, No. 13 ( 2023-06-30), p. 7781-
    Abstract: Water management in sandy soils (Typic Torripsamments) is crucial in sustaining agricultural production. The main goal of this research was to assess the impact of date palm biochar on the physical properties of sandy soil with different particle sizes of biochar (macro and nano). For nano-biochar preparation, stick chips were established into a tubular furnace with nitrogen air and heated to 400–450 °C, which was accompanied by a holding period of 4 h. The ball-milled biochar was inclined via ball grinding in a model number PQN2.110 planetary mill and within jars (500 mL), and the biochar-to-sphere mass ratio was 1:100. The sphere-milling apparatus was processed at a speed of 300 rpm for 13 h. Laboratory experiments were carried out at one rate—biochar 5%—and three depths (0.0–5, 5–10, and 10–15 cm). Applying macro-biochar reduced cumulative evaporation compared to the control by 4%, 24%, and 14% for the macro-biochar particles at soil depths. In contrast, biochar reduced cumulative evaporation compared to the control by 8%, 12%, and 4% for the nano-biochar particles at the soil depths tested. Adding biochar significantly raised the amount of retained water, with the highest level recorded at the 5–10 cm depth, while the variations were significantly lower between the macro and nano-biochar when in the direction of the soil surface (0–5 cm), indicating the significance of mixing biochar with the top 10 cm of the soil to increase its ability to reduce evaporation and increase the amount of water retained in the soils. It could be concluded that applying at the top of the coarse soil can positively impact soil hydro-physical properties and increase soil water availability to plants.
    Type of Medium: Online Resource
    ISSN: 2076-3417
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2704225-X
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  • 9
    In: Applied Sciences, MDPI AG, Vol. 12, No. 5 ( 2022-03-02), p. 2605-
    Abstract: In the last decade, there has been a surge of interest in addressing complex Computer Vision (CV) problems in the field of face recognition (FR). In particular, one of the most difficult ones is based on the accurate determination of the ethnicity of mankind. In this regard, a new classification method using Machine Learning (ML) tools is proposed in this paper. Specifically, a new Deep Learning (DL) approach based on a Deep Convolutional Neural Network (DCNN) model is developed, which outperforms a reliable determination of the ethnicity of people based on their facial features. However, it is necessary to make use of specialized high-performance computing (HPC) hardware to build a workable DCNN-based FR system due to the low computation power given by the current central processing units (CPUs). Recently, the latter approach has increased the efficiency of the network in terms of power usage and execution time. Then, the usage of field-programmable gate arrays (FPGAs) was considered in this work. The performance of the new DCNN-based FR method using FPGA was compared against that using graphics processing units (GPUs). The experimental results considered an image dataset composed of 3141 photographs of citizens from three distinct countries. To our knowledge, this is the first image collection gathered specifically to address the ethnicity identification problem. Additionally, the ethnicity dataset was made publicly available as a novel contribution to this work. Finally, the experimental results proved the high performance provided by the proposed DCNN model using FPGAs, achieving an accuracy level of 96.9 percent and an F1 score of 94.6 percent while using a reasonable amount of energy and hardware resources.
    Type of Medium: Online Resource
    ISSN: 2076-3417
    Language: English
    Publisher: MDPI AG
    Publication Date: 2022
    detail.hit.zdb_id: 2704225-X
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  • 10
    In: Journal of Personalized Medicine, MDPI AG, Vol. 11, No. 8 ( 2021-08-20), p. 813-
    Abstract: Aspirin (ASA) therapy is proven to be effective in preventing adverse cardiovascular events; however, up to 30% of patients are non-sensitive to their prescribed ASA dosage. In this pilot study, we demonstrated, for the first time, how ASA non-sensitivity can be diagnosed using Plateletworks®, a point-of-care platelet function test. Patients prescribed 81 mg of ASA were recruited in a series of two successive phases—a discovery phase and a validation phase. In the discovery phase, a total of 60 patients were recruited to establish a cut-off point (COP) for ASA non-sensitivity using Plateletworks®. Each sample was simultaneously cross-referenced with a light transmission aggregometer (LTA). Our findings demonstrated that 〉 52% maximal platelet aggregation using Plateletworks® had a sensitivity, specificity, and likelihood ratio of 80%, 70%, and 2.67, respectively, in predicting ASA non-sensitivity. This COP was validated in a secondary cohort of 40 patients prescribed 81 mg of ASA using Plateletworks® and LTA. Our data demonstrated that our established COP had a 91% sensitivity and 69% specificity in identifying ASA non-sensitivity using Plateletworks®. In summary, Plateletworks® is a point-of-care platelet function test that can appropriately diagnose ASA non-sensitive patients with a sensitivity exceeding 80%.
    Type of Medium: Online Resource
    ISSN: 2075-4426
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2662248-8
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