Background: Women with previous two or
more caesarean deliveries are usually
managed by elective cesarean section to avoid
the possible risks of labor.
Objective: To compare the relative risks of
maternal and fetal outcomes in emergency
versus elective previous two or more
caesarean deliveries
Design: Randomized prospective clinical
study
Setting: Al-Elweya Maternity Teaching
Hospital, from 1st of March to 31st of
September 2008.
Methods: The study groups, those who had
previous two or more caesarean deliveries,
were included from the hospital admissions.
The 1st group (102 women) presented in labor
and was managed by caesarean delivery as
soon as it was possible. The second group (7

The Combined Economic Emission Dispatch (CEED) problem is crucial for optimizing power system operation by minimizing costs and emissions while ensuring grid stability and meeting demand. This paper addresses the complex, nonlinear, and nonconvex nature of CEED, arising from factors like valve-point effects and transmission losses, which necessitates efficient metaheuristic algorithms. We introduce an Improved Zebra Optimization Algorithm (IMZOA), an enhanced bio-inspired technique integrating advanced adaptive foraging and dynamic defense mechanisms, along with a cubic function for CEED modeling, to improve search efficiency and convergence. IMZOA demonstrates significant numerical improvements, achieving up to a 0.80 % cost reduction for

Background Solar irradiance is a nonlinear and intermittent function, which makes accurate forecasting of solar power generation a challenge. The high variability of meteorological conditions is not well represented by conventional atmospheric models, thus hampering forecasting skill and model robustness. In this work, an advanced hybridization of multi-population cuckoo search (HMPCS) algorithm with machine learning (ML) methods is developed to enhance the prediction performance of photovoltaic (PV) power forecasting with more reliability. Methods In this study, a hybrid modeling framework is proposed, called HMPCS–ML framework which captures the global search capacity of HMPCS and predictive power of sophisti

This study looks into the many methods that are used in the risk assessment procedure that is used in the construction industry nowadays. As a result of the slow adoption of novel assessment methods, professionals frequently resort to strategies that have previously been validated as being successful. When it comes to risk assessment, having a precise analytical tool that uses the cost of risk as a measurement and draws on the knowledge of professionals could potentially assist bridge the gap between theory and practice. This step will examine relevant literature, sort articles according to their published year, and identify domains and qualities. Consequently, the most significant findings have been presented in a manne

As the demands of sixth-generation (6G) networks escalate towards achieving high speeds and improved energy efficiency, there is an increasing need for intelligent and real-time adaptive solutions within the physical processing layer. This study proposes an innovative engineering framework based on an encapsulated architecture utilising FBGA (micro-distributed spherical array) technology, integrated with an internal artificial intelligence module, to achieve adaptive beamforming with high efficiency in dense wireless environments. The primary objective of this research is to develop an intelligent communication architecture that determines the optimal transmission angles and regulates power consumption in real-time by integrating ar

EGFR-mutant non–small cell lung cancer (NSCLC) initially responds well to EGFR tyrosine kinase inhibitors (EGFR-TKIs), yet resistance is nearly inevitable and responses to immune checkpoint inhibitors (ICIs) remain limited. In a retrospective cohort of 57 patients with advanced EGFR-mutant NSCLC treated with nivolumab or pembrolizumab, the objective response rate was 12.3%, although responses were concentrated in a small subgroup with concurrent high PD-L1 expression and dense intratumoral CD8⁺ immune-cell infiltration. Emerging evidence links these outcomes to chemokine-network dysregulation that alters immune trafficking and spatial organization. Oncogenic EGFR signaling shifts chemokine networks away from effector T-cell recruitment

This work presents a canned-food defect-detection method using the EfficientDet model with four backbones (MobileNet, EfficientNet, Swin-T, and ConvNeXt). The dataset included 8046 images with a resolution of 512 × 512 pixels. The performance criteria in this study accuracy “mAP”, computational cost “FLOPs”, and Frames Per Second “FPS”. The lightweight backbone with EfficientDet achieves a mean Average Precision (mAP) of 90% with MobileNet, while EfficientNet achieves mAP accuracy of 92% and 94%. The heavy backbone for EfficientDet (Swin-T, and ConvNeXt) achieves mAP accuracy of 96% and 98%. The main contribution of this study is to optimize the speed of conveyor belts in industrial production lines to considers the

Total Quality Assurance Concept have appeared in Higher Education Institutions as a result of the continuous criticism for the lower quality of the outputs of these institutions and their inappropriacy to the needs of the job market. The faculty, i.e. teaching staff member, is one of the most important output for his/her responsibility to achieve the stated goals in higher education. This represents a problem that may influence the construction of society which has to limit his tasks, responsibilities, and competencies that should be found in a faculty, and evaluating his teaching profession in light of the prerequisites of the century to become an input to achieve quality assurance in Higher Education. Therefore, the present study aims