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Authors = Umar Shamim

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13 pages, 8300 KiB  
Review
Esophageal Food Impaction and Foreign Object Ingestion in Gastrointestinal Tract: A Review of Clinical and Endoscopic Management
by Livia Marieta Negoita, Catalin Stefan Ghenea, Gabriel Constantinescu, Vasile Sandru, Madalina Stan-Ilie, Oana-Mihaela Plotogea, Umar Shamim, Bogdan Florin Dumbrava and Mariana Mihaila
Gastroenterol. Insights 2023, 14(1), 131-143; https://doi.org/10.3390/gastroent14010010 - 17 Mar 2023
Cited by 5 | Viewed by 11445
Abstract
Foreign bodies in the digestive tract represent a frequent pathology for the emergency service. Foreign bodies are represented by impacted food bolus or voluntarily and involuntarily swallowed objects. Involuntary swallowing of objects occurs most frequently in children, especially between six months and three [...] Read more.
Foreign bodies in the digestive tract represent a frequent pathology for the emergency service. Foreign bodies are represented by impacted food bolus or voluntarily and involuntarily swallowed objects. Involuntary swallowing of objects occurs most frequently in children, especially between six months and three years of age. Food impaction is mostly encountered among adults with different pathologies. For the removal of swallowed foreign bodies, digestive endoscopy is the gold standard method, being successful in over 95% of cases without significant complications. For the endoscopic management of foreign bodies, it is crucial to be aware of the indications, devices, techniques and patient preparation in order to achieve successful and safe removal from the digestive tract. Recommendations in this article are based on a review of the literature and extensive personal experience. Full article
(This article belongs to the Special Issue Management and Treatment of Digestive Disorders)
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18 pages, 5207 KiB  
Article
Detection of Distributed Denial of Service (DDoS) Attacks in IOT Based Monitoring System of Banking Sector Using Machine Learning Models
by Umar Islam, Ali Muhammad, Rafiq Mansoor, Md Shamim Hossain, Ijaz Ahmad, Elsayed Tag Eldin, Javed Ali Khan, Ateeq Ur Rehman and Muhammad Shafiq
Sustainability 2022, 14(14), 8374; https://doi.org/10.3390/su14148374 - 8 Jul 2022
Cited by 107 | Viewed by 9182
Abstract
Cyberattacks can trigger power outages, military equipment problems, and breaches of confidential information, i.e., medical records could be stolen if they get into the wrong hands. Due to the great monetary worth of the data it holds, the banking industry is particularly at [...] Read more.
Cyberattacks can trigger power outages, military equipment problems, and breaches of confidential information, i.e., medical records could be stolen if they get into the wrong hands. Due to the great monetary worth of the data it holds, the banking industry is particularly at risk. As the number of digital footprints of banks grows, so does the attack surface that hackers can exploit. This paper aims to detect distributed denial-of-service (DDOS) attacks on financial organizations using the Banking Dataset. In this research, we have used multiple classification models for the prediction of DDOS attacks. We have added some complexity to the architecture of generic models to enable them to perform well. We have further applied a support vector machine (SVM), K-Nearest Neighbors (KNN) and random forest algorithms (RF). The SVM shows an accuracy of 99.5%, while KNN and RF scored an accuracy of 97.5% and 98.74%, respectively, for the detection of (DDoS) attacks. Upon comparison, it has been concluded that the SVM is more robust as compared to KNN, RF and existing machine learning (ML) and deep learning (DL) approaches. Full article
(This article belongs to the Section Sustainable Engineering and Science)
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12 pages, 1421 KiB  
Article
Emerging Trends of Multidrug-Resistant (MDR) and Extensively Drug-Resistant (XDR) Salmonella Typhi in a Tertiary Care Hospital of Lahore, Pakistan
by Muhammad Zakir, Maryam Khan, Muhammad Ihtisham Umar, Ghulam Murtaza, Muhammad Ashraf and Saba Shamim
Microorganisms 2021, 9(12), 2484; https://doi.org/10.3390/microorganisms9122484 - 30 Nov 2021
Cited by 28 | Viewed by 6415
Abstract
Salmonella Typhi is a Gram-negative pathogen that causes typhoid fever in humans. The use of antibiotics to treat typhoid has considerably mitigated its fatality risk, but rising multidrug-resistant (MDR) and extensively drug-resistant (XDR) resistance in Pakistan threatens effective treatment. This study determined the [...] Read more.
Salmonella Typhi is a Gram-negative pathogen that causes typhoid fever in humans. The use of antibiotics to treat typhoid has considerably mitigated its fatality risk, but rising multidrug-resistant (MDR) and extensively drug-resistant (XDR) resistance in Pakistan threatens effective treatment. This study determined the prevalence of MDR and XDR S. Typhi at a local hospital in Lahore. Blood samples (n = 3000) were obtained and processed for bacterial identification. Antibiotic susceptibility test was performed using VITEK® 2 Compound 30 System. Statistical data analysis was performed using a Mann–Whitney U and Kruskal–Wallis H test, respectively. The results revealed 600 positive cultures, of which the majority were found to be XDR S. Typhi (46.1%) and MDR S. Typhi (24.5%) strains. The disease burden of resistant Salmonella strains was greater in males (60.67%) than females (39.33%), with the most affected age group being 0–10 years old (70.4 %). In both the outpatient department (OPD) and general ward, the prevalence of XDR S. Typhi cases was found to be alarmingly high (48.24%), followed by MDR S. Typhi (25.04 %). The results of the statistical analysis demonstrated that the incidence of resistance in MDR and XDR S. Typhi strains was not affected by the age as well as the gender of patients (p > 0.05). The occurrence of resistant strains against four tested antibiotics (azithromycin, ciprofloxacin, imipenem, and meropenem) was found to be similar in different wards and among hospitalized and OPD patients (p > 0.05). Maximum resistance was observed against chloramphenicol and ampicillin in the OPD and pediatric ward. Piperacillin/Tazobactam was observed to be the most effective antibiotic, followed by co-amoxiclav (p < 0.001). This study is effective in validating the existence of MDR and XDR S. Typhi in Lahore, where stringent methods should be applied for controlling its spread. Full article
(This article belongs to the Special Issue New Perspectives for the Control of Antimicrobial Resistance)
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