diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_postprocess.srt
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index 0000000000000000000000000000000000000000..98637b747b6e2d459bf374a60754b9076a20bf4c
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+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_postprocess.srt
@@ -0,0 +1,1808 @@
+1
+00:00:05,480 --> 00:00:09,060
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:09,060 --> 00:00:14,620
+وبركاتهان شاء الله اليوم راح نعطيكم محاضرة disease
+
+3
+00:00:14,620 --> 00:00:20,120
+of spinal cord هي محاضرة الأسبوع السادس أسبوع
+
+4
+00:00:20,120 --> 00:00:24,120
+الخامس تم تسجيل لكم بالصوت محاضرة على traumatic
+
+5
+00:00:24,120 --> 00:00:28,160
+brain injury اليوم المحاضرة راح أقسمها لجزءين جزء
+
+6
+00:00:28,160 --> 00:00:31,440
+الأول وجزء الثاني نبدأ ان شاء الله على بركة الله
+
+7
+00:00:31,440 --> 00:00:36,840
+disease of the spinal cord في بداية المحاضرةرح
+
+8
+00:00:36,840 --> 00:00:40,600
+نراجع شوية anatomy of the spinal cord عشان نفهمه
+
+9
+00:00:40,600 --> 00:00:44,080
+لإن احنا أخدنا هذا في السنة الثالثة عشان يكون أسهل
+
+10
+00:00:44,080 --> 00:00:49,620
+لكم موضوع شرح الأمراض بالصيب الحبل الشوكي shape
+
+11
+00:00:49,620 --> 00:00:53,120
+compressed cylindrical column number of neurons
+
+12
+00:00:53,120 --> 00:00:58,380
+حوالي تلتاشر مليون وخمسمية ألف ال length خمس و
+
+13
+00:00:58,380 --> 00:01:03,520
+أربعين سانتي متوسط عند ال male و تقريبا تلاتة و
+
+14
+00:01:03,520 --> 00:01:06,670
+أربعين سانتي عند ال femaleDiameter Diameter of
+
+15
+00:01:06,670 --> 00:01:10,870
+spinal cord حوالي one centimeter Location it is
+
+16
+00:01:10,870 --> 00:01:15,470
+located in the spinal canal or vertebral canal من
+
+17
+00:01:15,470 --> 00:01:19,190
+ناحية ال beginning هو عبارة عن continuation of
+
+18
+00:01:19,190 --> 00:01:23,550
+medulla oblongata begins at the level of foramen
+
+19
+00:01:23,550 --> 00:01:30,180
+magnum termination في ال intratrine lifeالـ
+
+20
+00:01:30,180 --> 00:01:34,800
+termination بتاعته بتكون هو معبي كل spinal canal
+
+21
+00:01:34,800 --> 00:01:41,020
+يبقى ان هو fills whole spinal canal لو جينا حصنا
+
+22
+00:01:41,020 --> 00:01:46,580
+مريض at birth وعملنا MRI له بنجد ان ال spinal cord
+
+23
+00:01:46,580 --> 00:01:51,170
+بنتهي على ال lower border of lumbar 3 vertebraفي
+
+24
+00:01:51,170 --> 00:01:54,970
+ال adult عندنا ال spinal cord ينتهي على ال lower
+
+25
+00:01:54,970 --> 00:02:02,070
+border of lumbar when it is important for lumbar
+
+26
+00:02:02,070 --> 00:02:05,950
+puncture لما نعمل lumbar puncture جونا عند الأطفال
+
+27
+00:02:05,950 --> 00:02:10,510
+بنعملها ع level L4 L5 لكن عند ال adult ممكن نعملها
+
+28
+00:02:10,510 --> 00:02:18,160
+ع level L3 L4 و L4 L5الـ function of spinal cord
+
+29
+00:02:18,160 --> 00:02:22,280
+spinal cord function is conduction function the
+
+30
+00:02:22,280 --> 00:02:26,700
+first function for conduction of ascending and
+
+31
+00:02:26,700 --> 00:02:30,940
+descending tracks the second function is reflex
+
+32
+00:02:30,940 --> 00:02:35,280
+center لما انتوا عارفين بين ال anterior horns و ال
+
+33
+00:02:35,280 --> 00:02:40,160
+posterior horns في integrative neurons او في inter
+
+34
+00:02:40,160 --> 00:02:43,660
+neurons وضفتهم reflex center
+
+35
+00:02:47,230 --> 00:02:50,350
+من انجيز of spinal cord كل هذه المراجعة أنا بمشي
+
+36
+00:02:50,350 --> 00:02:53,950
+بسرعة عليها من انجيز of spinal cord في أنا three
+
+37
+00:02:53,950 --> 00:03:00,900
+layers of membrane from inner to outerArachnoid
+
+38
+00:03:00,900 --> 00:03:05,660
+and Durameter البيامتر بتكون عاملة adherent مع ال
+
+39
+00:03:05,660 --> 00:03:09,540
+spinal cord tissue وبتنتهي مع انتهاء ال spinal
+
+40
+00:03:09,540 --> 00:03:13,580
+cord إذا كنا adult بتنتهي البيامتر at the lower
+
+41
+00:03:13,580 --> 00:03:18,520
+border of lumbar 1 vertebra إذا كان newborn بتنتهي
+
+42
+00:03:18,520 --> 00:03:24,840
+على lower border of L3 Durameter والارachnoid
+
+43
+00:03:24,840 --> 00:03:33,770
+بينتهي على انتهاءعلى level of sacral 2 واضح هنا أن
+
+44
+00:03:33,770 --> 00:03:49,030
+هذا هو spinal cord هذا
+
+45
+00:03:49,030 --> 00:03:54,310
+هو spinal cord مباشرة له بيكون فيه adherant اللي
+
+46
+00:03:54,310 --> 00:03:54,570
+هي
+
+47
+00:03:58,470 --> 00:04:08,470
+بيامطر هذه بيامطر مافي space بينهم
+
+48
+00:04:08,470 --> 00:04:17,490
+بيامطر
+
+49
+00:04:17,490 --> 00:04:22,770
+عاملة adherent مع الهي spinal cord tissue و brain
+
+50
+00:04:22,770 --> 00:04:30,030
+tissueلا مقاطع بين الـ P مطار و .. مقاطع الجسد
+
+51
+00:04:30,030 --> 00:04:37,890
+الثاني هو الاركنويد
+
+52
+00:04:37,890 --> 00:04:47,110
+الاركنويد
+
+53
+00:04:47,110 --> 00:04:51,450
+المطار والمطار الخارجي هو
+
+54
+00:04:56,010 --> 00:05:03,950
+ديورامطر ديورامطر وعنا spaces بيكونوا بين
+
+55
+00:05:03,950 --> 00:05:09,890
+الديورامطر و ال bond بيكون في عندي ايه بالديورال
+
+56
+00:05:09,890 --> 00:05:14,730
+space او اكتر ديورال space بين الديورامطر و
+
+57
+00:05:14,730 --> 00:05:20,760
+الاراكنهيد بيكون عنديsub-neural space بين
+
+58
+00:05:20,760 --> 00:05:26,340
+الاركنويد و Pia mater بيكون موجود عند إيه اللي هي
+
+59
+00:05:26,340 --> 00:05:32,060
+sub-arachnoid space أوسع space بتكون بيمور فيها ال
+
+60
+00:05:32,060 --> 00:05:35,520
+route of spinal nerves بيمور فيها blood vessels و
+
+61
+00:05:35,520 --> 00:05:46,040
+بيكون فيها موجود CSF CSF هنوضف
+
+62
+00:05:46,040 --> 00:05:54,430
+عندىDurometer, Arachnoid, Piameter بين الـ Bone و
+
+63
+00:05:54,430 --> 00:05:58,650
+الـ Durometer موجود Epidural Space أو Extra Dural
+
+64
+00:05:58,650 --> 00:06:02,090
+Space بين الـ Durometer و Arachnoid موجود Sub
+
+65
+00:06:02,090 --> 00:06:06,810
+-Dural Space بين الـ Arachnoid و Piameter يكون
+
+66
+00:06:06,810 --> 00:06:09,610
+موجود عندنا اللي هي Sub-Arachnoid Space Sub
+
+67
+00:06:09,610 --> 00:06:13,230
+-Arachnoid Space يبقى عندك Durometer, Arachnoid,
+
+68
+00:06:13,490 --> 00:06:17,620
+Piameterالان ننتقل لـ External Structure of the
+
+69
+00:06:17,620 --> 00:06:20,480
+Spinal Cord من ناحية الـ External Structure of the
+
+70
+00:06:20,480 --> 00:06:26,840
+Spinal Cord فيها ان موجود Anterior Median Fissureو
+
+71
+00:06:26,840 --> 00:06:31,080
+في posterior median fissure و في بيكون هنا اللي هم
+
+72
+00:06:31,080 --> 00:06:36,700
+anterior lateral salicyde و posterior lateral
+
+73
+00:06:36,700 --> 00:06:39,940
+salicyde هنا في المكان هذا اللي بيخرج اللي هو ال
+
+74
+00:06:39,940 --> 00:06:44,500
+posterior root و anterior root of the spinal cord
+
+75
+00:06:44,500 --> 00:06:50,830
+هذا ال external feature of the spinal cordو
+
+76
+00:06:50,830 --> 00:06:55,410
+segments of spinal cord عندنا تمانية cervical
+
+77
+00:06:55,410 --> 00:06:57,970
+segments بختلفوا عن ال vertibra ال vertibra الستة
+
+78
+00:06:57,970 --> 00:07:03,490
+اتناش ثوراسك خمس لمبع و خمسة sacral و one
+
+79
+00:07:03,490 --> 00:07:07,090
+coccygeal segment و انتوا عارفين ايش هو ال segment
+
+80
+00:07:07,090 --> 00:07:15,310
+segment of spinal cord segment
+
+81
+00:07:15,310 --> 00:07:16,230
+فيه بيكون
+
+82
+00:07:19,460 --> 00:07:22,960
+Posterior root horn .. anterior root .. anterior
+
+83
+00:07:22,960 --> 00:07:27,300
+horn cells Posterior horn cells و Gray commissure
+
+84
+00:07:27,300 --> 00:07:34,920
+Central canal من ال Gray مطر بيخرج اللي هم
+
+85
+00:07:34,920 --> 00:07:39,780
+anterior root بتحدوا مع ال posterior root و
+
+86
+00:07:39,780 --> 00:07:44,240
+بيكونون ايه single spinal nerve هان بيكون
+
+87
+00:07:44,240 --> 00:07:50,220
+posterior root ganglion نفس الشيءبيكونولنا spinal
+
+88
+00:07:50,220 --> 00:07:55,180
+nerve هدي بوستيريو الجنجليون يقول هذا اسمه spinal
+
+89
+00:07:55,180 --> 00:08:01,920
+cord segment spinal cord segment كل segment بخرج
+
+90
+00:08:01,920 --> 00:08:06,260
+منه two posterior roots و two anterior roots و
+
+91
+00:08:06,260 --> 00:08:10,780
+بيكونولنا right and left spinal nerve right and
+
+92
+00:08:10,780 --> 00:08:14,940
+left اي spinal nerve و ال spinal nerve بخرج من وين
+
+93
+00:08:15,210 --> 00:08:19,410
+من Intervertebral Foramen Intervertebral Foramen
+
+94
+00:08:19,410 --> 00:08:24,510
+كل هذا انتوا عارفينه الكلام في
+
+95
+00:08:24,510 --> 00:08:29,290
+شي اسمه Epiconus Conus Medullaris and Cauda Equina
+
+96
+00:08:29,960 --> 00:08:32,900
+اتفاقنا إن الـ Conus Medullaris it is the terminal
+
+97
+00:08:32,900 --> 00:08:39,880
+part of spinal cord هو عبارة عن S3, S4, S5 segment
+
+98
+00:08:39,880 --> 00:08:44,540
+of spinal cord Epiconus هو ما قبل Conus Medullaris
+
+99
+00:08:44,540 --> 00:08:51,120
+هو عبارة عن L4, L5, S1, S2 segment ofالـ spinal
+
+100
+00:08:51,120 --> 00:08:55,480
+cord يبقى اللي بيكونس والكونس متويرس يعتبروا part
+
+101
+00:08:55,480 --> 00:09:00,960
+من وين من C and S يبقى هم جزء من وين من C and S
+
+102
+00:09:00,960 --> 00:09:07,020
+يعني جزء من وين من spinal cord okay يبقى هو عبارة
+
+103
+00:09:07,020 --> 00:09:12,510
+عن segments و spinal cord كودة إيقاينةهي جزء من ال
+
+104
+00:09:12,510 --> 00:09:15,790
+peripheral nervous system جزء من وين؟ من ال
+
+105
+00:09:15,790 --> 00:09:19,170
+peripheral nervous system ليه؟ لأن القوة الاخوانة
+
+106
+00:09:19,170 --> 00:09:26,750
+هينتهي عندنا ال spinal cord اعتبرولي
+
+107
+00:09:26,750 --> 00:09:32,490
+هذه هي ال Konus Medullaris وهنا عندي Epikonus هذا
+
+108
+00:09:32,490 --> 00:09:38,650
+Konus Medullaris وهذا Epikonus ال spinal cord
+
+109
+00:09:38,650 --> 00:09:40,010
+بنتهي على level A
+
+110
+00:09:42,790 --> 00:09:50,950
+ألوان البرتبرة طب وال roots اللي لسه ماخرجوش نزلين
+
+111
+00:09:50,950 --> 00:09:55,890
+كل واحد بيخرج من تحت الفرام .. الفرام بتاعه في ال
+
+112
+00:09:55,890 --> 00:09:58,790
+.. تحت البرتبرة من ال intervertebra الفرام هنا
+
+113
+00:09:58,790 --> 00:10:02,170
+okay هذه ال collection of roots below the
+
+114
+00:10:02,170 --> 00:10:06,310
+termination of spinal cord بنسميهم cauda equina
+
+115
+00:10:06,310 --> 00:10:10,570
+يقولون هم عبارة عن ايه؟عبارة عن spinal root يبقى
+
+116
+00:10:10,570 --> 00:10:13,250
+لما دام spinal root يعتبروا إيه peripheral nervous
+
+117
+00:10:13,250 --> 00:10:16,910
+system طب وين موجودين هذول كودة إيكوينة مثل ذيل
+
+118
+00:10:16,910 --> 00:10:21,590
+الحصان it is located below the lower border of the
+
+119
+00:10:21,590 --> 00:10:25,490
+first lumbar vertebra يعني بلغة ثانية located
+
+120
+00:10:25,490 --> 00:10:30,590
+below determination of spinal cord spinal canal is
+
+121
+00:10:30,590 --> 00:10:35,130
+filled by the collection of lumbosacral roots يعني
+
+122
+00:10:35,950 --> 00:10:42,270
+الـ 2 الـ 3 الـ 4 الـ 5 الـ 1 الـ 2 و هكذا which
+
+123
+00:10:42,270 --> 00:10:47,640
+descent بنزلهin the space في الـ spinal canal و
+
+124
+00:10:47,640 --> 00:10:52,060
+بيصلوا لإيه؟ they are corresponding intervertebral
+
+125
+00:10:52,060 --> 00:10:58,220
+foramen و بيغادر كل root من الفورامن اللي هو تحت
+
+126
+00:10:58,220 --> 00:11:01,120
+ال .. تحت ال vertebra بتاعته يبقى ان هذه ال
+
+127
+00:11:01,120 --> 00:11:05,740
+collection of roots بنسميهم إيه؟ Caudaequina يبقى
+
+128
+00:11:05,740 --> 00:11:09,900
+ان لو حدث lesion في الـ Caudaequina بيؤدي إلى إيه؟
+
+129
+00:11:10,050 --> 00:11:14,470
+lower motor neuron lesion لأن هو تابع لإيه ال
+
+130
+00:11:14,470 --> 00:11:18,850
+peripheral nervous system واخدنا مع بعض
+
+131
+00:11:18,850 --> 00:11:22,890
+relationship between the spinal cord segments and
+
+132
+00:11:22,890 --> 00:11:28,810
+vertebra واتفجنا إنه من C1 ل C4 segment يقابلوا C1
+
+133
+00:11:28,810 --> 00:11:36,050
+C4 vertebra C5 C8 segmentsبين ال segment C6, C7,
+
+134
+00:11:36,370 --> 00:11:41,670
+C8 بطرح 1 لو جينا سألنا السؤال ال segment C7 وين
+
+135
+00:11:41,670 --> 00:11:47,490
+على أي مستوى فقرة بنجده بنجد انه ال segment 7
+
+136
+00:11:47,490 --> 00:11:53,590
+بنجده على ال vertibra رقم 6 كيف حسبناها؟ زي ما
+
+137
+00:11:53,590 --> 00:12:03,230
+اتفجنا C6 بطرح منها 1تساوي .. أنا قلت C7 segment
+
+138
+00:12:03,230 --> 00:12:10,830
+.. C7 segment بتطرح منها واحد تساوي C6 vertebra
+
+139
+00:12:10,830 --> 00:12:16,030
+طيب لو قلنا C6 vertebra بتطرح منها واحد بتكون على
+
+140
+00:12:16,030 --> 00:12:21,950
+مستوى C5 vertebraC6 سيجمنت بيكون على مستوى C5
+
+141
+00:12:21,950 --> 00:12:26,350
+الفرتبرة على العكس صحيح لو سألنا على مستوى C6
+
+142
+00:12:26,350 --> 00:12:30,570
+فرتبرة على مستوى C6 فرتبرة ايش بيلاجي؟ بيلاجي C7
+
+143
+00:12:30,570 --> 00:12:35,170
+سيجمنت بقى أضيف بجمع إذا بدينا في الفرتبرة بجمع
+
+144
+00:12:35,170 --> 00:12:38,290
+وإذا بدينا في ال segment باطرح ليه؟ لأن ال spinal
+
+145
+00:12:38,290 --> 00:12:42,050
+echo cord بيكون أقصر من إيه؟ من الفرتبرة ال column
+
+146
+00:12:42,050 --> 00:12:53,510
+من T1 لT6بطرح 2 يعني جينا سألنا سؤال T5
+
+147
+00:12:53,510 --> 00:12:59,090
+segment وين ما بجده موجود بيكون بطرح 1 راح يكون
+
+148
+00:12:59,090 --> 00:13:05,430
+موجود على T بطرح 2 بطرح 2 راح يكون موجود وين؟ راح
+
+149
+00:13:05,430 --> 00:13:14,730
+يكون موجود على T3 vertical جينا سألنا سؤال T4
+
+150
+00:13:16,210 --> 00:13:21,870
+Segment بطرح اتنين بيكون على ايه؟ T2 Vertebra
+
+151
+00:13:21,870 --> 00:13:26,830
+وهكذا وإذا بدأنا من ال vertebra باجمع باضيفها بعمل
+
+152
+00:13:26,830 --> 00:13:33,030
+عملية إضافة طيب من T7 ل L2 segment بطرح تلاتة جينا
+
+153
+00:13:33,030 --> 00:13:37,470
+مريض عنده هيبو أستيذي على أمبولايكاس على level of
+
+154
+00:13:37,470 --> 00:13:39,170
+أمبولايكاس هذه level T10
+
+155
+00:13:43,860 --> 00:13:52,960
+T10 تقريبا رح يكون على T7 واتفجنا انه اللي هو ال 3
+
+156
+00:13:52,960 --> 00:14:00,080
+ال 4 segment بيكونوا موازين ل T12 ال 5 and all
+
+157
+00:14:00,080 --> 00:14:04,040
+sacral segments بيكونوا على مستوى ال 1A
+
+158
+00:14:08,020 --> 00:14:11,360
+واضح segment يقابل البرتبرة بس بعدها بيصير ال
+
+159
+00:14:11,360 --> 00:14:15,440
+route ينزل و يطلع من تحت الforming بتاعه هذا هو
+
+160
+00:14:15,440 --> 00:14:20,500
+اللي اتفقنا عليه اسمه Conus Medullaris بعده بيجينا
+
+161
+00:14:20,500 --> 00:14:24,240
+Epiconus و هذه ال routes اللي نازلة اللي تعتبر
+
+162
+00:14:24,240 --> 00:14:30,000
+peripheral routes اسمها ايه؟ Cauda Equina
+
+163
+00:14:39,490 --> 00:14:46,650
+spinal cord protection ال spinal cord بكون موجود
+
+164
+00:14:46,650 --> 00:14:52,150
+في الspinal canal في الورتبرا ال canal في حواليه
+
+165
+00:14:52,150 --> 00:14:56,570
+ورتبرا و ligaments هذا و ال ligaments بيعملوله ايه
+
+166
+00:14:56,570 --> 00:15:02,170
+عملية fixation و support لل spine في seven
+
+167
+00:15:02,170 --> 00:15:05,890
+cervical vertebra لكن ال segments بيكونوا eight
+
+168
+00:15:05,890 --> 00:15:10,550
+segments twelve thoracic five lumbar and five
+
+169
+00:15:10,550 --> 00:15:15,260
+sacralزي ما شايفين هنا في انتريور longitudinal
+
+170
+00:15:15,260 --> 00:15:19,140
+ligament في posterior longitudinal ligament في
+
+171
+00:15:19,140 --> 00:15:23,600
+inter transverse ligament وفي ligament flava كل
+
+172
+00:15:23,600 --> 00:15:29,500
+هدول ال ligaments و الأربطة بيعمل عملية تثبات لل
+
+173
+00:15:29,500 --> 00:15:38,120
+spine نفسه ال root of spinal cord في ان هنا lift
+
+174
+00:15:39,780 --> 00:15:46,600
+Posterior Spinal Root هذا Right Posterior Spinal
+
+175
+00:15:46,600 --> 00:15:53,720
+Root رايت
+
+176
+00:15:53,720 --> 00:16:01,680
+هنا هنا Right Anterior Spinal Root وهنا Left
+
+177
+00:16:01,680 --> 00:16:09,100
+Anterior Spinal Root بيكونون ايه Spinal Nerve
+
+178
+00:16:11,000 --> 00:16:21,620
+left و right spinal nerve عندى كل segment بيعطينا
+
+179
+00:16:21,620 --> 00:16:26,140
+two posterior roots اللي هم يعتبروا afferent او
+
+180
+00:16:26,140 --> 00:16:30,560
+sensory و two anterior roots اللي بيعتبروا motor
+
+181
+00:16:30,560 --> 00:16:37,110
+مع autonomic ال anterior rootو البوصية الروت بتتحد
+
+182
+00:16:37,110 --> 00:16:41,250
+مع بعض وبيكونولنا spinal nerve left and right
+
+183
+00:16:41,250 --> 00:16:45,510
+spinal nerve عندنا thirty pairs of spinal nerves
+
+184
+00:16:45,510 --> 00:16:51,320
+and all of the spinal nerves are mixed nervesEach
+
+185
+00:16:51,320 --> 00:16:55,240
+spinal nerve emerges from the intervertebral
+
+186
+00:16:55,240 --> 00:16:59,500
+foramen و ال spinal nerve بيغادر spinal canal عن
+
+187
+00:16:59,500 --> 00:17:04,460
+طريق intervertebral foramen هي واضح في الصورة هان
+
+188
+00:17:04,460 --> 00:17:09,860
+اللي هو بوستيريو
+
+189
+00:17:09,860 --> 00:17:18,990
+رود في بوستيريو رود جانجليون يتحد مع مين؟مع الـ
+
+190
+00:17:18,990 --> 00:17:21,690
+anterior root اللي هو motor مع autonomic
+
+191
+00:17:21,690 --> 00:17:29,110
+وبيكونولنا a mixed spinal nerve بيغادر عن طريق a
+
+192
+00:17:29,110 --> 00:17:37,030
+intervertebral foramina هذا هو بالنسبة لل spinal
+
+193
+00:17:37,030 --> 00:17:38,490
+nerves root
+
+194
+00:17:42,480 --> 00:17:48,340
+Okay نتكلم على ال internal structure of spinal
+
+195
+00:17:48,340 --> 00:17:52,940
+cord ال internal structure of spinal cord في عندنا
+
+196
+00:17:52,940 --> 00:17:58,180
+شي اسمه Hygrometer تكون
+
+197
+00:17:58,180 --> 00:17:59,200
+تشبه حرف ال edge
+
+198
+00:18:13,550 --> 00:18:24,970
+فيه grey matter وفيه central spinal canal وفيه أنه
+
+199
+00:18:24,970 --> 00:18:34,610
+white
+
+200
+00:18:34,610 --> 00:18:39,370
+matter
+
+201
+00:18:39,370 --> 00:18:42,250
+okay
+
+202
+00:18:51,670 --> 00:18:57,050
+ال white matter في ال spinal cord بتكون more outer
+
+203
+00:18:57,050 --> 00:19:04,990
+و grey matter بتكون inner في
+
+204
+00:19:04,990 --> 00:19:15,350
+هنا في ال grey matter في شي اسمه posterior horn
+
+205
+00:19:15,350 --> 00:19:15,930
+cells
+
+206
+00:19:19,290 --> 00:19:23,170
+horn cells وفي الجانب يكون في بعض ال segments
+
+207
+00:19:23,170 --> 00:19:36,710
+lateral horn cells من ناحية a ال white motor هنا
+
+208
+00:19:36,710 --> 00:19:41,670
+anterior column
+
+209
+00:19:41,670 --> 00:19:52,320
+posterior column و lateralالـ white motor بتكون
+
+210
+00:19:52,320 --> 00:19:55,960
+الـ outer في الـ grey motor فيه posterior horn
+
+211
+00:19:55,960 --> 00:19:59,560
+cells و anterior horn cells و lateral horn cells
+
+212
+00:20:00,250 --> 00:20:03,390
+الـ anterior horn cells وظفتهم motor و ال
+
+213
+00:20:03,390 --> 00:20:06,490
+posterior horn cells وظفتهم sensory و ال lateral
+
+214
+00:20:06,490 --> 00:20:11,610
+horn cells بيكونوا في ال segments من T1 ل L2 و
+
+215
+00:20:11,610 --> 00:20:15,610
+وظفتهم sympathetic الموضوع ال white motor
+
+216
+00:20:15,610 --> 00:20:18,730
+posterior column اللي له علاقة بال deep sensation
+
+217
+00:20:18,730 --> 00:20:22,410
+and anterior column بيفوتي اللي هوالـ
+
+218
+00:20:22,410 --> 00:20:25,270
+Corticospinal tract is a direct corticospinal
+
+219
+00:20:25,270 --> 00:20:29,910
+tract for chest muscles وAnterior
+
+220
+00:20:29,910 --> 00:20:34,110
+spinothalamic tract for crotouch اللاترال كورهم
+
+221
+00:20:34,110 --> 00:20:38,050
+أكتر واحد بدخل فيه اللي هو lateral corticospinal
+
+222
+00:20:38,050 --> 00:20:42,170
+tract و lateral spinothalamic tract هيك بيكون احنا
+
+223
+00:20:42,170 --> 00:20:46,410
+بسرعة رجعنالكوا ال internal structure of spinal
+
+224
+00:20:46,410 --> 00:20:51,760
+cordأتكلمنا عنها الـ gray motor في اندي أنتيرال
+
+225
+00:20:51,760 --> 00:20:56,120
+هورن سيلز وضفتها motor posterior horn cells وضفتها
+
+226
+00:20:56,120 --> 00:21:00,180
+sensory وفي lateral horn cells بيكونوا في ال
+
+227
+00:21:00,180 --> 00:21:06,440
+segments من T1 لL2 وضفتهم autonomic sympathetic في
+
+228
+00:21:06,440 --> 00:21:10,400
+كمان gray commissar بينهم وفي نص ال gray commissar
+
+229
+00:21:10,400 --> 00:21:14,980
+في central spinal canalال white matter كمان اتفجنا
+
+230
+00:21:14,980 --> 00:21:17,880
+وشرحنا لكوا ياها في الصيد القبله في عندنا anterior
+
+231
+00:21:17,880 --> 00:21:21,920
+column و lateral column و posterior column بيكونوا
+
+232
+00:21:21,920 --> 00:21:28,780
+موجودين around the gray matter outer هذه هي ال
+
+233
+00:21:28,780 --> 00:21:33,480
+anterior column وهنا posterior column وعندي
+
+234
+00:21:33,480 --> 00:21:35,280
+lateral column
+
+235
+00:21:37,720 --> 00:21:41,300
+plus supply of the spinal cord في anterior أو
+
+236
+00:21:41,300 --> 00:21:47,040
+ventral spinal artery supply anterior and lateral
+
+237
+00:21:47,040 --> 00:21:51,700
+column of spinal cord and supply the anterior horn
+
+238
+00:21:51,700 --> 00:21:56,610
+cells ومعها lateral horn cellsتنين posterior
+
+239
+00:21:56,610 --> 00:22:01,030
+spinal arteries right and left supply the
+
+240
+00:22:01,030 --> 00:22:05,070
+posterior colon and posterior horn cells ال
+
+241
+00:22:05,070 --> 00:22:07,810
+anterior spinal artery و ال posterior spinal
+
+242
+00:22:07,810 --> 00:22:13,890
+arteries emerge from the vertebral arteries و مع
+
+243
+00:22:13,890 --> 00:22:17,370
+كل route بيجينا anterior و posterior radicular
+
+244
+00:22:17,370 --> 00:22:21,650
+artery بيغدو ال spinal cord هاي واضح عن دي؟
+
+245
+00:22:27,350 --> 00:22:30,650
+Anterior Spinal artery
+
+246
+00:22:33,660 --> 00:22:36,900
+Posterior rectinain left and right و في radicular
+
+247
+00:22:36,900 --> 00:22:41,940
+artery بنجسم لجسمين ل anterior radicular artery و
+
+248
+00:22:41,940 --> 00:22:44,800
+ل posterior radicular artery okay و من الجهة
+
+249
+00:22:44,800 --> 00:22:50,480
+الثانية نفس الطريقة هيك يكون احنا اتكلمنا على
+
+250
+00:22:50,480 --> 00:22:53,800
+blood supply of spinal cord و رجعنالكم موضوع ال
+
+251
+00:22:53,800 --> 00:23:00,070
+anatomy of the spinal cordالان نتكلم في موضوع
+
+252
+00:23:00,070 --> 00:23:04,770
+المحاضرة اللي هو complete spinal cord lesion
+
+253
+00:23:04,770 --> 00:23:08,170
+complete spinal cord lesion الان راح أشرح in
+
+254
+00:23:08,170 --> 00:23:11,570
+general complete and incomplete spinal cord lesion
+
+255
+00:23:11,570 --> 00:23:15,690
+بعدها بنتطرق للأمراض complete spinal cord lesion
+
+256
+00:23:15,690 --> 00:23:19,970
+متى بطلق على المريض عنده complete lesion of the
+
+257
+00:23:19,970 --> 00:23:27,890
+spinal cord if presentcomplete loss of motor power
+
+258
+00:23:27,890 --> 00:23:32,130
+below the level of lesion إذا كان في فقدان الحركة
+
+259
+00:23:32,130 --> 00:23:35,890
+بالكامل تحت مستوى الإصابة الإصابة كانت الـ
+
+260
+00:23:35,890 --> 00:23:40,430
+traumatic inflammation tumor vascular أنا بتكلم
+
+261
+00:23:40,430 --> 00:23:44,070
+general الآن complete loss of motor power below
+
+262
+00:23:44,070 --> 00:23:47,690
+the level of lesion المريض عنده شلال بالكامل تحت
+
+263
+00:23:47,690 --> 00:23:52,310
+مستوى الإصابة هي واحد ثمانcomplete loss of
+
+264
+00:23:52,310 --> 00:23:56,270
+sensation below the level of lesion المريض عنده
+
+265
+00:23:56,270 --> 00:24:00,970
+فقدان الإحساس superficial sensation و deep
+
+266
+00:24:00,970 --> 00:24:04,510
+sensation الإحساس السطحي و الإحساس العميق فقدوا
+
+267
+00:24:04,510 --> 00:24:08,430
+المريض بالكامل على مستوى الإصابة أو تحت مستوى
+
+268
+00:24:08,430 --> 00:24:15,640
+الإصابة تلاتةetonia and flaccidity with areflexia
+
+269
+00:24:15,640 --> 00:24:19,180
+هذه في بداية الإصابة المريض بدخل في حاجة اسمها
+
+270
+00:24:19,180 --> 00:24:22,420
+spinal shock راح نشرحها ان شاء الله في المحاضرات
+
+271
+00:24:22,420 --> 00:24:29,180
+اللي هي spinal cord injury هنا بيصير sudden onset
+
+272
+00:24:29,180 --> 00:24:34,310
+of lesion بيصير انsudden withdrawal of supraspinal
+
+273
+00:24:34,310 --> 00:24:37,710
+fasciation عملية التحكم من ال brain لل spinal cord
+
+274
+00:24:37,710 --> 00:24:41,790
+بيصيرها فقدان مفاجئ المريض بدخل في shock في صدمة
+
+275
+00:24:41,790 --> 00:24:46,970
+حدث عنها spinal shock spinal shock و بدخل في حاجة
+
+276
+00:24:46,970 --> 00:24:52,210
+اسمها shock stage بيكون عندهم اتونيا ارتخاء في
+
+277
+00:24:52,210 --> 00:24:59,150
+العضلات و الفقدان رد الفعل a reflexia مع
+
+278
+00:24:59,150 --> 00:25:03,440
+flaccidityو sphincter dysfunction في حالة ان
+
+279
+00:25:03,440 --> 00:25:07,220
+المريض كان عنده complete loss of motor complete
+
+280
+00:25:07,220 --> 00:25:11,720
+loss of sensation sphincter dysfunction و بيكونوا
+
+281
+00:25:11,720 --> 00:25:14,860
+اكيد atonia flaccidity in the shock stage هنا
+
+282
+00:25:14,860 --> 00:25:21,100
+بنسمي الحالة complete spinal cord lesion يعني فيه
+
+283
+00:25:21,100 --> 00:25:25,620
+انه اصابة كاملة في الحبل الشوكي او قطرة كامل في
+
+284
+00:25:25,620 --> 00:25:33,560
+الحبل الشوكيطب ناخد levels complete lesion of C1
+
+285
+00:25:33,560 --> 00:25:40,320
+C4 segments أخدنا ال segments من C1 ل C4 و فيها
+
+286
+00:25:40,320 --> 00:25:43,420
+complete lesion المريض بدخل في paralysis of
+
+287
+00:25:43,420 --> 00:25:48,040
+respiratory muscle بفقد ايه؟ مابقدرش يتنفس ليه؟
+
+288
+00:25:48,040 --> 00:25:57,740
+لأنه على level C3 C4بيكون مركز عصب اسمه frank's
+
+289
+00:25:57,740 --> 00:26:01,020
+nerve او diaphragmatic nerve العصب اللي بيغد
+
+290
+00:26:01,020 --> 00:26:05,180
+الحجاب الحاجز في الحالة ده بيصير شلل لعضلات الحجاب
+
+291
+00:26:05,180 --> 00:26:10,320
+الحاجز بدخل المريض في ال respiratory failure محتاج
+
+292
+00:26:10,320 --> 00:26:13,920
+هنا mechanical ventilation بحتاج جهاز نفس صناعي
+
+293
+00:26:13,920 --> 00:26:19,290
+اثنينبيكون عندهم quadriplegia quadriplegia و بتكون
+
+294
+00:26:19,290 --> 00:26:23,550
+aspastic او central متا central او aspastic لما
+
+295
+00:26:23,550 --> 00:26:27,070
+تنتهي ال shock stage و بيكون flaccidity in the
+
+296
+00:26:27,070 --> 00:26:30,930
+shock stage راح اتفاقنا انه في shock stage بيكون
+
+297
+00:26:30,930 --> 00:26:34,170
+المريض عنده flaccid ا tone يا ا reflexia بعد ما
+
+298
+00:26:34,170 --> 00:26:37,730
+ينتهي مدة ال shock stage تتراوح من أسبوعين تلات
+
+299
+00:26:37,730 --> 00:26:41,650
+أسابيع لحد تلات شهور بيبدأ عملية increase muscle
+
+300
+00:26:41,650 --> 00:26:44,810
+tone and increase reflexes below the level of
+
+301
+00:26:44,810 --> 00:26:50,670
+lesionوهذه العملية بنسميها شكستيج Central أو
+
+302
+00:26:50,670 --> 00:26:56,110
+Spastic quadriplegia أو Tetraplegia تلاثة Complete
+
+303
+00:26:56,110 --> 00:27:01,490
+loss of sensation below the level of lesionAtonia
+
+304
+00:27:01,490 --> 00:27:04,570
+flaccidity in shock stage and sphincter
+
+305
+00:27:04,570 --> 00:27:09,170
+dysfunction في الحالة هذه بيقول إصابة عند المريض
+
+306
+00:27:09,170 --> 00:27:13,990
+على level C1 C4 C1 C4 بنعمل spinal cord MRI for
+
+307
+00:27:13,990 --> 00:27:24,110
+confirmation of diagnosis أخدنا مستوى آخر C5 T2
+
+308
+00:27:24,110 --> 00:27:29,880
+أو T1 ممكنهذا ال level بخرج منه brachial plexus
+
+309
+00:27:29,880 --> 00:27:32,920
+بخرج منه brachial plexus أنا بكون عند المريض
+
+310
+00:27:32,920 --> 00:27:39,060
+quadriplegia لكن اللحظة انا ملاحظها قاعدة للجميع
+
+311
+00:27:39,060 --> 00:27:48,760
+في حال صار إصابة على مستوى نتكلم
+
+312
+00:27:48,760 --> 00:27:51,940
+C6 segment
+
+313
+00:27:55,200 --> 00:28:02,440
+رح يكون المريض عنده او C7 ناخد C7 segment رح يكون
+
+314
+00:28:02,440 --> 00:28:06,880
+المريض عنده شلال رباعي شلال رباعي لكن الشلال هذا
+
+315
+00:28:06,880 --> 00:28:11,300
+رح يكون جزء في ال upper limb ليش جزء في ال upper
+
+316
+00:28:11,300 --> 00:28:18,120
+limb لأنه C5 و C6 segment intact C5 و C6 رح يكونوا
+
+317
+00:28:18,120 --> 00:28:20,640
+intact في الحالة هذه المريض ممكن يعملنا في ال
+
+318
+00:28:20,640 --> 00:28:24,870
+upper limb a shoulder elevationshoulder elevation
+
+319
+00:28:24,870 --> 00:28:28,430
+لكن في ال hand complete paralysis يمكن راح يكون
+
+320
+00:28:28,430 --> 00:28:33,610
+عند المريض partial paralysis in the upper limb مع
+
+321
+00:28:33,610 --> 00:28:36,110
+complete paralysis في ال lower limbs ليه صار
+
+322
+00:28:36,110 --> 00:28:38,170
+complete في ال lower limbs؟ لأنه فيه عندي
+
+323
+00:28:38,170 --> 00:28:43,130
+corticospinal tract نازل
+
+324
+00:28:49,300 --> 00:28:53,440
+هذا اسمه lateral corticospinal tract صار damage
+
+325
+00:28:53,440 --> 00:29:02,340
+إيه لهم؟ راح يعملولنا شلل below the level طيب مين
+
+326
+00:29:02,340 --> 00:29:08,260
+اللي بيعمل شلل على نفس مستوى الإصابة؟ هم anterior
+
+327
+00:29:08,260 --> 00:29:18,830
+horn cells يبقى نطلع بمعلومة جديدة إنه ال damageof
+
+328
+00:29:18,830 --> 00:29:23,850
+grey matter اللي هي anterior horn cells بيعملنا
+
+329
+00:29:23,850 --> 00:29:29,630
+paralysis at the level of injury شلل على مستوى
+
+330
+00:29:29,630 --> 00:29:35,690
+الإصابة طيب damage of white matter اللي هو هنا
+
+331
+00:29:35,690 --> 00:29:39,070
+corticospinal tract lateral corticospinal tract
+
+332
+00:29:39,070 --> 00:29:45,070
+بيعمل paralysis below the level تحت المستوى شلل
+
+333
+00:29:45,070 --> 00:29:49,910
+تحت المستوى كمان ملاحظة ثانيةالـ damage of grey
+
+334
+00:29:49,910 --> 00:29:55,070
+motor الـ anterior horn cells راح يعملنا lower
+
+335
+00:29:55,070 --> 00:30:01,630
+motor neuron lesion طب ال damage of white motor
+
+336
+00:30:01,630 --> 00:30:06,570
+اللي هو corticospinal tract راح يعمل لنا upper
+
+337
+00:30:06,570 --> 00:30:12,170
+motor neuron lesion يبقى في ناحية ال motor ممكن
+
+338
+00:30:12,170 --> 00:30:20,600
+هنا نعلق أكتر انه بيعملنا quadriplegiaوبيعمل lower
+
+339
+00:30:20,600 --> 00:30:27,040
+motoneuron at the level of injury ليه؟ due to
+
+340
+00:30:27,040 --> 00:30:32,600
+damage of anterior horse cells اتنين بيعمل upper
+
+341
+00:30:32,600 --> 00:30:38,260
+motoneuron lesion below the level of injury ليه؟
+
+342
+00:30:38,260 --> 00:30:43,380
+due to damage of lateral corticospinal tract okay
+
+343
+00:30:44,150 --> 00:30:47,330
+وبعد ذلك نفس الشيء مراهيدو complete loss of
+
+344
+00:30:47,330 --> 00:30:52,090
+sensation, atonia flaccidity with a reflexia and
+
+345
+00:30:52,090 --> 00:30:57,030
+sphincter dysfunction رجاء حار ركزوا معايا في ال
+
+346
+00:30:57,030 --> 00:31:03,640
+spinal cord damage ofGrameter anterior horn cells
+
+347
+00:31:03,640 --> 00:31:09,080
+على مستوى الإصابة بيعملنا a lower motoneuron
+
+348
+00:31:09,080 --> 00:31:13,820
+lesion ليه؟ لأن الـ anterior horn cells تبع لمين؟
+
+349
+00:31:13,820 --> 00:31:17,300
+لأبرموتونيرون ولا لأورموتونيرون؟ للأورموتونيرون
+
+350
+00:31:17,300 --> 00:31:22,140
+طيب، below the level of lesion راح يكون عند المرضى
+
+351
+00:31:22,140 --> 00:31:27,760
+a upper motoneuron lesion due to damage of lateral
+
+352
+00:31:27,760 --> 00:31:31,060
+corticospinal tractاللي هي في شك السيج احنا
+
+353
+00:31:31,060 --> 00:31:33,280
+مابنقدر نميز بين ال upper motoneuron و lower
+
+354
+00:31:33,280 --> 00:31:37,080
+motoneuron المريض بيكون في حالة .. في حالة shock
+
+355
+00:31:37,080 --> 00:31:41,700
+وبيكون عنده a reflexia و atonia متى بميز بينهم بعد
+
+356
+00:31:41,700 --> 00:31:45,400
+انتهاء عملية الشك السيج و بقدر اميز بينهم و اقول
+
+357
+00:31:45,400 --> 00:31:49,040
+هنا في عندي upper motoneuron و هنا عندي lower
+
+358
+00:31:49,040 --> 00:31:55,940
+motoneuron أخدنا مستوى أخر complete lesion ofT3 و
+
+359
+00:31:55,940 --> 00:31:59,920
+T12 يعني هذا المستوى تحت مخرج الـ brake اللي
+
+360
+00:31:59,920 --> 00:32:04,200
+بليكساس و أعلى من إيه المخرج بتاع لمبو سيكرا اللي
+
+361
+00:32:04,200 --> 00:32:07,940
+بليكساس في الحالة هذه لو صار إصابة عنا على هذا
+
+362
+00:32:07,940 --> 00:32:08,460
+المستوى
+
+363
+00:32:12,690 --> 00:32:15,210
+الـ Upper limbs راح يكونوا intact Upper limbs راح
+
+364
+00:32:15,210 --> 00:32:18,170
+يكونوا intact مافيش فيهم شيء راح يكونوا عندنا
+
+365
+00:32:18,170 --> 00:32:23,110
+Paraplegia Spastic Paraplegia في الشق السيج راح
+
+366
+00:32:23,110 --> 00:32:28,470
+يكونوا flaccid اتونيا زائد loss of deep and
+
+367
+00:32:28,470 --> 00:32:32,510
+superficial sensation with sphincter dysfunctions
+
+368
+00:32:32,510 --> 00:32:37,890
+ناخد مستوى أخر أخدنا مستوى ال 1S2 segment في ال
+
+369
+00:32:37,890 --> 00:32:43,770
+1S2 هذا ال origin بتاع ايه اللي هملامبو ساكرال
+
+370
+00:32:43,770 --> 00:32:48,550
+لمبو ساكرال بليكساس راح يكون عند المريض paraplegia
+
+371
+00:32:48,550 --> 00:32:52,290
+لكن قد تكون partial paraplegia كيف partial
+
+372
+00:32:52,290 --> 00:32:56,550
+paraplegia انتوا عارفين اللامبو ساكرال بليكساس من
+
+373
+00:32:56,550 --> 00:33:01,990
+وين بتجيه من ال 1 لحد ال 2 هذا ال origin تبع
+
+374
+00:33:01,990 --> 00:33:05,030
+اللامبو ساكرال بليكساس اللي بيغدوا من ال lower
+
+375
+00:33:05,030 --> 00:33:10,250
+limb الصوورو مريض صار عنده إصابة على مستوى ال 5
+
+376
+00:33:10,250 --> 00:33:18,060
+segmentالـ 5 S1 segment هنا الإصابة عند المريض في
+
+377
+00:33:18,060 --> 00:33:22,890
+الحالة هذه الـ quadriceps muscleراح تتحرك ولا لأ؟
+
+378
+00:33:22,890 --> 00:33:26,530
+راح تتحرك ال quadriceps راح تتحرك راح يكون المريض
+
+379
+00:33:26,530 --> 00:33:30,590
+عنده ال extension of the knee سليم ليه؟ لأن ال
+
+380
+00:33:30,590 --> 00:33:36,530
+segments بتاعه ال 3 ال 1 ال 2 ال 3 ال 4 لحد ال 3
+
+381
+00:33:36,530 --> 00:33:40,270
+ال 4 هذا ال segment راح يكون سليم مافيش فيه إصابة
+
+382
+00:33:40,270 --> 00:33:44,190
+في الحالة دي راح يكون عند المريض paraplegia راح
+
+383
+00:33:44,190 --> 00:33:47,450
+تكون ايه ال paraplegia؟ partial paraplegia اي واحد
+
+384
+00:33:47,450 --> 00:33:53,300
+اثنينعلى مستوى الإصابة على مستوى الإصابة راح
+
+385
+00:33:53,300 --> 00:33:56,140
+المريض يكون عنده lower motor neuron lesion يعني
+
+386
+00:33:56,140 --> 00:33:59,880
+إيش lower motor neuron lesion؟ Hypotonia مثل
+
+387
+00:33:59,880 --> 00:34:03,320
+Hypotonia مثل Hypotrophy، Hyporeflexia أو
+
+388
+00:34:03,320 --> 00:34:07,380
+Areflexia below the level of injury تحت مستوى
+
+389
+00:34:07,380 --> 00:34:12,450
+الإصابة راح يكون المريض عنده إيه؟hyperreflexia
+
+390
+00:34:12,450 --> 00:34:16,910
+وasbestic manifestation ونفس الشيء complete loss
+
+391
+00:34:16,910 --> 00:34:20,610
+of sensation اتنين of lacidity in shock stage and
+
+392
+00:34:20,610 --> 00:34:25,310
+sphincter dysfunction هيك انا اتكلمت على موضوع ال
+
+393
+00:34:25,310 --> 00:34:31,050
+complete spinal cord lesion اتكلم على lesion of
+
+394
+00:34:31,050 --> 00:34:35,630
+the cauda equina احنا اتفقنا ان الcauda equina هي
+
+395
+00:34:35,630 --> 00:34:41,110
+جزء من وين؟ جزء من peripheral nervous systemيقول
+
+396
+00:34:41,110 --> 00:34:44,750
+إن في الكودة إيقاينة lesion هي الكودة إيقاينة راح
+
+397
+00:34:44,750 --> 00:34:49,790
+يكون weakness of one or both lower limbs يعني ممكن
+
+398
+00:34:49,790 --> 00:34:53,750
+يكون ضعف في الجهة أو في الجهتين في ال lower limbs
+
+399
+00:34:53,750 --> 00:34:57,410
+لكن راح يكون asymmetric presentation يعني إيش
+
+400
+00:34:57,410 --> 00:35:00,230
+asymmetric presentation يعني ال weakness ال muscle
+
+401
+00:35:00,230 --> 00:35:03,830
+power ممكن يكون في ال right side اتنين في ال left
+
+402
+00:35:03,830 --> 00:35:10,490
+fourيعني واحد على ال right 0 على ال left 2 or 3
+
+403
+00:35:10,490 --> 00:35:13,970
+muscle power يعني في asymmetric في ال muscle power
+
+404
+00:35:13,970 --> 00:35:18,610
+و ال symptoms رح يكونوا flaccid ليه flaccid لأن ال
+
+405
+00:35:18,610 --> 00:35:23,210
+peripheral root يعتبر lower motor neuron لأن ال
+
+406
+00:35:23,210 --> 00:35:26,390
+manifestation رح تكون عندهم lower motor neuron
+
+407
+00:35:26,390 --> 00:35:31,850
+painful onset radicular pain رح يكون جابلها في عند
+
+408
+00:35:31,850 --> 00:35:35,580
+المريض radicular painrefer to the lower limbs
+
+409
+00:35:35,580 --> 00:35:41,020
+الألم بنزل مع ال root radicular pain radicular
+
+410
+00:35:41,020 --> 00:35:45,300
+pain later on لو كانت يومر في البداية راح يعملنا
+
+411
+00:35:45,300 --> 00:35:50,120
+ألم pain بعدها راح يعملنا loss of sensation later
+
+412
+00:35:50,120 --> 00:35:53,700
+راح يكون radicular sensory loss أكيد راح يكون
+
+413
+00:35:53,700 --> 00:35:58,680
+عندهم stool and urine incontinence او retention
+
+414
+00:35:58,680 --> 00:36:01,440
+due to sphincter disturbances
+
+415
+00:36:04,080 --> 00:36:12,740
+الأن نتكلم على incomplete spinal cord lesion if
+
+416
+00:36:12,740 --> 00:36:20,780
+any form of sensation motor power is preserved
+
+417
+00:36:20,780 --> 00:36:26,280
+below the level of lesion spinal cord lesion is
+
+418
+00:36:26,280 --> 00:36:32,240
+considered incomplete كيف يعني؟ مريض كان عنده
+
+419
+00:36:32,240 --> 00:36:39,280
+spinal cord injuryوجدنا إنه عنده Paraparesis لكن
+
+420
+00:36:39,280 --> 00:36:45,160
+ال muscle power ما كانت zero كانت 2 أو 3 وعنده
+
+421
+00:36:45,160 --> 00:36:48,400
+partial loss of sensation هل بقدر أقول هذا
+
+422
+00:36:48,400 --> 00:36:51,580
+complete spinal cord lesion؟ لا ما بقدر بسميه
+
+423
+00:36:51,580 --> 00:36:57,620
+partial spinal cord lesion مثال آخر مريض عنده
+
+424
+00:36:57,620 --> 00:37:02,300
+complete loss of motor motor power zeroو complete
+
+425
+00:37:02,300 --> 00:37:07,260
+loss of superficial sensation لكن المريض هذا عنده
+
+426
+00:37:07,260 --> 00:37:11,980
+preserved deep sensation الاكساس العميق سليم عنده
+
+427
+00:37:11,980 --> 00:37:14,520
+هل بقدر اقول هذا complete spinal cord injury لا
+
+428
+00:37:14,520 --> 00:37:19,660
+بقول incomplete spinal cord injury incomplete ايه
+
+429
+00:37:19,660 --> 00:37:23,640
+spinal cord injury العكس صحيح مريض عنده complete
+
+430
+00:37:23,640 --> 00:37:27,600
+loss of deep sensation below the spinal cord
+
+431
+00:37:27,600 --> 00:37:32,050
+injuryعنده complete loss of deep sensation below
+
+432
+00:37:32,050 --> 00:37:36,270
+the level of spinal cord injury لكن المريض عنده ال
+
+433
+00:37:36,270 --> 00:37:39,730
+motor preserved و ال superficial sensation
+
+434
+00:37:39,730 --> 00:37:44,950
+preserved نفس الشيء بسميه incomplete spinal cord
+
+435
+00:37:44,950 --> 00:37:49,430
+lesion طب مين هم ال incomplete spinal cord lesion؟
+
+436
+00:37:50,390 --> 00:37:54,170
+بنسميهم Partial Transition Partial Transition
+
+437
+00:37:54,170 --> 00:38:00,870
+Brown Sequered Syndrome Brown Sequered Syndrome أو
+
+438
+00:38:00,870 --> 00:38:06,190
+هذا بنسميه Hemicord lesion يعني إصابة نص الحبل
+
+439
+00:38:06,190 --> 00:38:12,210
+الشوكي النوع الثاني Anterior Cord Syndrome يعني
+
+440
+00:38:12,210 --> 00:38:18,540
+إصابة الجزء الأمامي من ال spinal cordثلاثة Central
+
+441
+00:38:18,540 --> 00:38:24,700
+Cord Syndrome يعني إصابة الجزء بتاع الجريموتر في
+
+442
+00:38:24,700 --> 00:38:30,000
+منتصف الحبل الشوكي أربعة Posterior Cord Syndrome
+
+443
+00:38:30,000 --> 00:38:34,660
+إصابة الجزء الخلفي من ال spinal cordفي بعض المراجع
+
+444
+00:38:34,660 --> 00:38:38,360
+بيحطوا الـ Cauda Equina Syndrome لكن Cauda Equina
+
+445
+00:38:38,360 --> 00:38:41,940
+Syndrome خطأ ان نضعها في موضوع الـ Spinal Cord
+
+446
+00:38:41,940 --> 00:38:45,500
+Lesion هي تابعة الـ Peripheral Spinal Nerve Lesion
+
+447
+00:38:45,500 --> 00:38:48,800
+أنا شرحتلكوا الـ Incomplete Spinal Cord Lesion في
+
+448
+00:38:48,800 --> 00:38:52,200
+الجزء الثاني ان شاء الله من المحاضرة راح نفصلهم و
+
+449
+00:38:52,200 --> 00:38:56,120
+ناخد جزء الـ Prone Secret لوحده، Anterior Cord
+
+450
+00:38:56,120 --> 00:39:00,000
+لوحده، Central Cord لوحده و Posterior Cord Lesion
+
+451
+00:39:00,000 --> 00:39:03,730
+لوحدهم و أشرحلكوا ال manifestation بتاعتهميعطيكوا
+
+452
+00:39:03,730 --> 00:39:04,090
+العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..6cc9d5761ab691973ae01fe2f1cbb37036ece1c2
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 976, "start": 5.48, "end": 9.76, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.05297851593544086, "compression_ratio": 1.3888888888888888, "no_speech_prob": 0.0, "words": [{"start": 5.48, "end": 5.78, "word": "بسم", "probability": 0.8818359375}, {"start": 5.78, "end": 5.96, "word": " الله", "probability": 0.9541015625}, {"start": 5.96, "end": 6.3, "word": " الرحمن", "probability": 0.9830729166666666}, {"start": 6.3, "end": 6.86, "word": " الرحيم", "probability": 0.9933268229166666}, {"start": 6.86, "end": 8.1, "word": " السلام", "probability": 0.9521484375}, {"start": 8.1, "end": 8.5, "word": " عليكم", "probability": 0.928466796875}, {"start": 8.5, "end": 8.92, "word": " ورحمة", "probability": 0.887451171875}, {"start": 8.92, "end": 9.06, "word": " الله", 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"end": 380.48, "word": " the", "probability": 0.8798828125}, {"start": 380.48, "end": 380.8, "word": " Spinal", "probability": 0.955810546875}, {"start": 380.8, "end": 381.24, "word": " Cord", "probability": 0.939453125}, {"start": 381.24, "end": 381.82, "word": " فيها", "probability": 0.26751708984375}, {"start": 381.82, "end": 381.88, "word": " ان", "probability": 0.328857421875}, {"start": 381.88, "end": 382.62, "word": " موجود", "probability": 0.8839518229166666}, {"start": 382.62, "end": 383.88, "word": " Anterior", "probability": 0.6163736979166666}, {"start": 383.88, "end": 384.32, "word": " Median", "probability": 0.741455078125}, {"start": 384.32, "end": 384.76, "word": " Fissure", "probability": 0.8401692708333334}], "temperature": 1.0}, {"id": 17, "seek": 40944, "start": 386.64, "end": 409.44, "text": "و في posterior median fissure و في بيكون هنا اللي هم anterior lateral salicyde و posterior lateral salicyde هنا في المكان هذا اللي بيخرج اللي هو ال posterior root و anterior root of the spinal cord هذا ال external feature of the spinal cord", "tokens": [2407, 8978, 33529, 26779, 283, 891, 540, 4032, 8978, 4724, 1829, 30544, 34105, 13672, 1829, 8032, 2304, 22272, 25128, 1845, 2632, 1479, 4032, 33529, 25128, 1845, 2632, 1479, 34105, 8978, 9673, 41361, 23758, 13672, 1829, 4724, 1829, 34740, 7435, 13672, 1829, 31439, 2423, 33529, 5593, 4032, 22272, 5593, 295, 264, 28022, 12250, 23758, 2423, 8320, 4111, 295, 264, 28022, 12250], "avg_logprob": -0.2866290924979038, "compression_ratio": 1.8282208588957056, "no_speech_prob": 0.0, "words": [{"start": 386.64, "end": 386.84, "word": "و", "probability": 0.7099609375}, {"start": 386.84, "end": 387.1, "word": " في", "probability": 0.39990234375}, {"start": 387.1, "end": 388.52, "word": " posterior", "probability": 0.5400390625}, {"start": 388.52, "end": 388.86, "word": " median", "probability": 0.88037109375}, {"start": 388.86, "end": 389.32, "word": " fissure", "probability": 0.8136393229166666}, {"start": 389.32, 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salicyde", "probability": 0.9894205729166666}, {"start": 397.38, "end": 397.74, "word": " هنا", "probability": 0.5986328125}, {"start": 397.74, "end": 397.84, "word": " في", "probability": 0.82666015625}, {"start": 397.84, "end": 398.12, "word": " المكان", "probability": 0.986572265625}, {"start": 398.12, "end": 398.32, "word": " هذا", "probability": 0.81298828125}, {"start": 398.32, "end": 398.46, "word": " اللي", "probability": 0.678466796875}, {"start": 398.46, "end": 398.92, "word": " بيخرج", "probability": 0.77288818359375}, {"start": 398.92, "end": 399.06, "word": " اللي", "probability": 0.97216796875}, {"start": 399.06, "end": 399.42, "word": " هو", "probability": 0.9765625}, {"start": 399.42, "end": 399.94, "word": " ال", "probability": 0.662109375}, {"start": 399.94, "end": 400.36, "word": " posterior", "probability": 0.5732421875}, {"start": 400.36, "end": 400.84, "word": " root", "probability": 0.91015625}, {"start": 400.84, "end": 401.38, "word": " و", "probability": 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408.92, "word": " spinal", "probability": 0.94775390625}, {"start": 408.92, "end": 409.44, "word": " cord", "probability": 0.81982421875}], "temperature": 1.0}, {"id": 18, "seek": 43623, "start": 410.53, "end": 436.23, "text": "و segments of spinal cord عندنا تمانية cervical segments بختلفوا عن ال vertibra ال vertibra الستة اتناش ثوراسك خمس لمبع و خمسة sacral و one coccygeal segment و انتوا عارفين ايش هو ال segment segment of spinal cord segment فيه بيكون", "tokens": [2407, 19904, 295, 28022, 12250, 43242, 8315, 46811, 7649, 10632, 49883, 19904, 4724, 46456, 46538, 14407, 18871, 2423, 6509, 897, 424, 2423, 6509, 897, 424, 2423, 14851, 3660, 1975, 2655, 1863, 33599, 38637, 13063, 32277, 4117, 16490, 2304, 3794, 32767, 3555, 3615, 4032, 16490, 2304, 3794, 3660, 4899, 2155, 4032, 472, 21047, 1344, 432, 304, 9469, 4032, 16472, 2655, 14407, 6225, 9640, 5172, 9957, 1975, 1829, 8592, 31439, 2423, 9469, 9469, 295, 28022, 12250, 9469, 8978, 3224, 4724, 1829, 30544], "avg_logprob": 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{"start": 416.53, "end": 416.61, "word": " ال", "probability": 0.939453125}, {"start": 416.61, "end": 416.95, "word": " vertibra", "probability": 0.6316731770833334}, {"start": 416.95, "end": 417.05, "word": " ال", "probability": 0.59423828125}, {"start": 417.05, "end": 417.41, "word": " vertibra", "probability": 0.9220377604166666}, {"start": 417.41, "end": 417.97, "word": " الستة", "probability": 0.5407307942708334}, {"start": 417.97, "end": 418.77, "word": " اتناش", "probability": 0.84619140625}, {"start": 418.77, "end": 419.43, "word": " ثوراسك", "probability": 0.543212890625}, {"start": 419.43, "end": 420.17, "word": " خمس", "probability": 0.9371744791666666}, {"start": 420.17, "end": 420.69, "word": " لمبع", "probability": 0.71630859375}, {"start": 420.69, "end": 421.17, "word": " و", "probability": 0.970703125}, {"start": 421.17, "end": 421.95, "word": " خمسة", "probability": 0.76190185546875}, {"start": 421.95, "end": 422.45, "word": " sacral", "probability": 0.87451171875}, {"start": 422.45, "end": 422.65, "word": " و", "probability": 0.93408203125}, {"start": 422.65, "end": 423.49, "word": " one", "probability": 0.32275390625}, {"start": 423.49, "end": 424.41, "word": " coccygeal", "probability": 0.881591796875}, {"start": 424.41, "end": 424.89, "word": " segment", "probability": 0.96044921875}, {"start": 424.89, "end": 425.33, "word": " و", "probability": 0.89013671875}, {"start": 425.33, "end": 425.53, "word": " انتوا", "probability": 0.7508951822916666}, {"start": 425.53, "end": 425.95, "word": " عارفين", "probability": 0.98876953125}, {"start": 425.95, "end": 426.23, "word": " ايش", "probability": 0.654541015625}, {"start": 426.23, "end": 426.57, "word": " هو", "probability": 0.951171875}, {"start": 426.57, "end": 426.77, "word": " ال", "probability": 0.78125}, {"start": 426.77, "end": 427.09, "word": " segment", "probability": 0.97265625}, {"start": 427.09, "end": 428.07, "word": " segment", "probability": 0.83935546875}, {"start": 428.07, "end": 428.31, "word": " of", "probability": 0.97412109375}, {"start": 428.31, "end": 428.71, "word": " spinal", "probability": 0.9423828125}, {"start": 428.71, "end": 429.15, "word": " cord", "probability": 0.90673828125}, {"start": 429.15, "end": 435.31, "word": " segment", "probability": 0.423828125}, {"start": 435.31, "end": 435.87, "word": " فيه", "probability": 0.903564453125}, {"start": 435.87, "end": 436.23, "word": " بيكون", "probability": 0.9544270833333334}], "temperature": 1.0}, {"id": 19, "seek": 46726, "start": 439.46, "end": 467.26, "text": "Posterior root horn .. anterior root .. anterior horn cells Posterior horn cells و Gray commissure Central canal من ال Gray مطر بيخرج اللي هم anterior root بتحدوا مع ال posterior root و بيكونون ايه single spinal nerve هان بيكون posterior root ganglion نفس الشيء", "tokens": [47, 7096, 1973, 5593, 13482, 4386, 22272, 5593, 4386, 22272, 13482, 5438, 430, 7096, 1973, 13482, 5438, 4032, 22668, 800, 891, 540, 9701, 9911, 9154, 2423, 22668, 3714, 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" ال", "probability": 0.73095703125}, {"start": 451.46, "end": 452.62, "word": " Gray", "probability": 0.15283203125}, {"start": 452.62, "end": 453.56, "word": " مطر", "probability": 0.8533528645833334}, {"start": 453.56, "end": 454.48, "word": " بيخرج", "probability": 0.9638671875}, {"start": 454.48, "end": 454.7, "word": " اللي", "probability": 0.977294921875}, {"start": 454.7, "end": 454.92, "word": " هم", "probability": 0.80810546875}, {"start": 454.92, "end": 455.98, "word": " anterior", "probability": 0.24365234375}, {"start": 455.98, "end": 456.6, "word": " root", "probability": 0.9150390625}, {"start": 456.6, "end": 457.68, "word": " بتحدوا", "probability": 0.5877278645833334}, {"start": 457.68, "end": 457.92, "word": " مع", "probability": 0.97314453125}, {"start": 457.92, "end": 458.08, "word": " ال", "probability": 0.86279296875}, {"start": 458.08, "end": 458.62, "word": " posterior", "probability": 0.45654296875}, {"start": 458.62, "end": 459.14, "word": " root", "probability": 0.93505859375}, {"start": 459.14, "end": 459.78, "word": " و", "probability": 0.81640625}, {"start": 459.78, "end": 460.36, "word": " بيكونون", "probability": 0.8751220703125}, {"start": 460.36, "end": 461.44, "word": " ايه", "probability": 0.777099609375}, {"start": 461.44, "end": 462.16, "word": " single", "probability": 0.423095703125}, {"start": 462.16, "end": 463.28, "word": " spinal", "probability": 0.90966796875}, {"start": 463.28, "end": 463.68, "word": " nerve", "probability": 0.9306640625}, {"start": 463.68, "end": 463.92, "word": " هان", "probability": 0.47802734375}, {"start": 463.92, "end": 464.24, "word": " بيكون", "probability": 0.9763997395833334}, {"start": 464.24, "end": 464.74, "word": " posterior", "probability": 0.60009765625}, {"start": 464.74, "end": 464.96, "word": " root", "probability": 0.91455078125}, {"start": 464.96, "end": 465.5, "word": " ganglion", "probability": 0.7216796875}, {"start": 465.5, "end": 466.72, "word": " نفس", "probability": 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segment", "probability": 0.86669921875}, {"start": 476.08, "end": 476.56, "word": " spinal", "probability": 0.334228515625}, {"start": 476.56, "end": 477.42, "word": " cord", "probability": 0.9111328125}, {"start": 477.42, "end": 478.84, "word": " segment", "probability": 0.955078125}, {"start": 478.84, "end": 480.4, "word": " كل", "probability": 0.884765625}, {"start": 480.4, "end": 481.02, "word": " segment", "probability": 0.958984375}, {"start": 481.02, "end": 481.92, "word": " بخرج", "probability": 0.9607747395833334}, {"start": 481.92, "end": 482.28, "word": " منه", "probability": 0.988037109375}, {"start": 482.28, "end": 482.7, "word": " two", "probability": 0.7734375}, {"start": 482.7, "end": 483.36, "word": " posterior", "probability": 0.751953125}, {"start": 483.36, "end": 483.94, "word": " roots", "probability": 0.7197265625}, {"start": 483.94, "end": 484.58, "word": " و", "probability": 0.94873046875}, {"start": 484.58, "end": 484.82, "word": " two", "probability": 0.6767578125}, {"start": 484.82, "end": 485.38, "word": " anterior", "probability": 0.8544921875}, {"start": 485.38, "end": 485.86, "word": " roots", "probability": 0.91259765625}, {"start": 485.86, "end": 486.26, "word": " و", "probability": 0.60693359375}, {"start": 486.26, "end": 486.94, "word": " بيكونولنا", "probability": 0.934765625}, {"start": 486.94, "end": 487.74, "word": " right", "probability": 0.9453125}, {"start": 487.74, "end": 488.32, "word": " and", "probability": 0.96533203125}, {"start": 488.32, "end": 488.7, "word": " left", "probability": 0.96044921875}, {"start": 488.7, "end": 489.24, "word": " spinal", "probability": 0.91259765625}, {"start": 489.24, "end": 489.7, "word": " nerve", "probability": 0.9072265625}, {"start": 489.7, "end": 490.38, "word": " right", "probability": 0.912109375}, {"start": 490.38, "end": 490.78, "word": " and", "probability": 0.97314453125}, {"start": 490.78, "end": 491.06, "word": " left", "probability": 0.96240234375}, {"start": 491.06, "end": 491.44, "word": " اي", "probability": 0.6407470703125}, {"start": 491.44, "end": 492.08, "word": " spinal", "probability": 0.42236328125}, {"start": 492.08, "end": 492.52, "word": " nerve", "probability": 0.94091796875}, {"start": 492.52, "end": 492.9, "word": " و", "probability": 0.759765625}, {"start": 492.9, "end": 492.98, "word": " ال", "probability": 0.88818359375}, {"start": 492.98, "end": 493.3, "word": " spinal", "probability": 0.974609375}, {"start": 493.3, "end": 493.72, "word": " nerve", "probability": 0.95166015625}, {"start": 493.72, "end": 494.54, "word": " بخرج", "probability": 0.9759114583333334}, {"start": 494.54, "end": 494.66, "word": " من", "probability": 0.98486328125}, {"start": 494.66, "end": 494.94, "word": " وين", "probability": 0.807861328125}], "temperature": 1.0}, {"id": 21, "seek": 50929, "start": 495.21, "end": 509.29, "text": "من Intervertebral Foramen Intervertebral Foramen كل هذا انتوا عارفينه الكلام في شي اسمه Epiconus Conus Medullaris and Cauda Equina", "tokens": [27842, 5751, 331, 975, 32728, 1171, 22403, 5751, 331, 975, 32728, 1171, 22403, 28242, 23758, 16472, 2655, 14407, 6225, 9640, 5172, 9957, 3224, 2423, 28820, 10943, 8978, 44049, 24525, 2304, 3224, 9970, 11911, 301, 2656, 301, 3982, 858, 27489, 293, 383, 3751, 64, 15624, 1426], "avg_logprob": -0.3415421169737111, "compression_ratio": 1.2538461538461538, "no_speech_prob": 0.0, "words": [{"start": 495.21, "end": 495.57, "word": "من", "probability": 0.468994140625}, {"start": 495.57, "end": 497.35, "word": " Intervertebral", "probability": 0.794189453125}, {"start": 497.35, "end": 497.77, "word": " Foramen", "probability": 0.57415771484375}, {"start": 497.77, "end": 498.99, "word": " Intervertebral", "probability": 0.783111572265625}, {"start": 498.99, "end": 499.41, "word": " Foramen", "probability": 0.85888671875}, {"start": 499.41, "end": 499.69, "word": " كل", "probability": 0.83056640625}, {"start": 499.69, "end": 499.99, "word": " هذا", "probability": 0.95068359375}, {"start": 499.99, "end": 500.63, "word": " انتوا", "probability": 0.6204427083333334}, {"start": 500.63, "end": 501.03, "word": " عارفينه", "probability": 0.869091796875}, {"start": 501.03, "end": 501.33, "word": " الكلام", "probability": 0.787109375}, {"start": 501.33, "end": 504.51, "word": " في", "probability": 0.62109375}, {"start": 504.51, "end": 504.65, "word": " شي", "probability": 0.60302734375}, {"start": 504.65, "end": 505.01, "word": " اسمه", "probability": 0.939453125}, {"start": 505.01, "end": 505.93, "word": " Epiconus", "probability": 0.7083333333333334}, {"start": 505.93, "end": 507.33, "word": " Conus", "probability": 0.6099853515625}, {"start": 507.33, "end": 507.95, "word": " Medullaris", "probability": 0.7919921875}, {"start": 507.95, "end": 508.31, "word": " and", "probability": 0.875}, {"start": 508.31, "end": 508.77, "word": " Cauda", "probability": 0.5904947916666666}, {"start": 508.77, "end": 509.29, "word": " Equina", "probability": 0.92919921875}], "temperature": 1.0}, {"id": 22, "seek": 53026, "start": 509.96, "end": 530.26, "text": "اتفاقنا إن الـ Conus Medullaris it is the terminal part of spinal cord هو عبارة عن S3, S4, S5 segment of spinal cord Epiconus هو ما قبل Conus Medullaris هو عبارة عن L4, L5, S1, S2 segment of", "tokens": [9307, 5172, 995, 4587, 8315, 36145, 2423, 39184, 2656, 301, 3982, 858, 27489, 309, 307, 264, 14709, 644, 295, 28022, 12250, 31439, 6225, 3555, 9640, 3660, 18871, 318, 18, 11, 318, 19, 11, 318, 20, 9469, 295, 28022, 12250, 9970, 11911, 301, 31439, 19446, 12174, 36150, 2656, 301, 3982, 858, 27489, 31439, 6225, 3555, 9640, 3660, 18871, 441, 19, 11, 441, 20, 11, 318, 16, 11, 318, 17, 9469, 295], "avg_logprob": -0.19564260269554568, "compression_ratio": 1.4458598726114649, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 509.96, "end": 510.54, "word": "اتفاقنا", "probability": 0.7478515625}, {"start": 510.54, "end": 510.68, "word": " إن", "probability": 0.2509765625}, {"start": 510.68, "end": 510.92, "word": " الـ", "probability": 0.4200439453125}, {"start": 510.92, "end": 511.44, "word": " Conus", "probability": 0.6019287109375}, {"start": 511.44, "end": 511.98, "word": " Medullaris", "probability": 0.8357747395833334}, {"start": 511.98, "end": 512.12, "word": " it", "probability": 0.36962890625}, {"start": 512.12, "end": 512.28, "word": " is", "probability": 0.90625}, {"start": 512.28, "end": 512.44, "word": " the", "probability": 0.83251953125}, {"start": 512.44, "end": 512.9, "word": " terminal", "probability": 0.84228515625}, {"start": 512.9, "end": 513.66, "word": " part", "probability": 0.9580078125}, {"start": 513.66, "end": 514.04, "word": " of", "probability": 0.98046875}, {"start": 514.04, "end": 514.48, "word": " spinal", "probability": 0.76806640625}, {"start": 514.48, "end": 514.92, "word": " cord", "probability": 0.92724609375}, {"start": 514.92, "end": 515.4, "word": " هو", "probability": 0.6669921875}, {"start": 515.4, "end": 516.0, "word": " عبارة", "probability": 0.9971923828125}, {"start": 516.0, "end": 516.4, "word": " عن", "probability": 0.998046875}, {"start": 516.4, "end": 517.46, "word": " S3,", "probability": 0.906982421875}, {"start": 517.86, "end": 518.62, "word": " S4,", "probability": 0.886962890625}, {"start": 518.8, "end": 519.44, "word": " S5", "probability": 0.97265625}, {"start": 519.44, "end": 519.88, "word": " segment", "probability": 0.87890625}, {"start": 519.88, "end": 520.22, "word": " of", "probability": 0.97265625}, {"start": 520.22, "end": 520.58, "word": " spinal", "probability": 0.9453125}, {"start": 520.58, "end": 521.04, "word": " cord", "probability": 0.916015625}, {"start": 521.04, "end": 522.42, "word": " Epiconus", "probability": 0.79443359375}, {"start": 522.42, "end": 522.62, "word": " هو", "probability": 0.96728515625}, {"start": 522.62, "end": 522.8, "word": " ما", "probability": 0.98046875}, {"start": 522.8, "end": 523.34, "word": " قبل", "probability": 0.987060546875}, {"start": 523.34, "end": 523.84, "word": " Conus", "probability": 0.927734375}, {"start": 523.84, "end": 524.54, "word": " Medullaris", "probability": 0.9837239583333334}, {"start": 524.54, "end": 525.08, "word": " هو", "probability": 0.5439453125}, {"start": 525.08, "end": 525.58, "word": " عبارة", "probability": 0.9952392578125}, {"start": 525.58, "end": 525.82, "word": " عن", "probability": 0.98974609375}, {"start": 525.82, "end": 526.72, "word": " L4,", "probability": 0.7279052734375}, {"start": 526.9, "end": 527.68, "word": " L5,", "probability": 0.95556640625}, {"start": 527.8, "end": 528.4, "word": " S1,", "probability": 0.956787109375}, {"start": 528.6, "end": 529.1, "word": " S2", "probability": 0.960693359375}, {"start": 529.1, "end": 529.72, "word": " segment", "probability": 0.92626953125}, {"start": 529.72, "end": 530.26, "word": " of", "probability": 0.9833984375}], "temperature": 1.0}, {"id": 23, "seek": 55076, "start": 530.48, "end": 550.76, "text": "الـ spinal cord يبقى اللي بيكونس والكونس متويرس يعتبروا part من وين من C and S يبقى هم جزء من وين من C and S يعني جزء من وين من spinal cord okay يبقى هو عبارة عن segments و spinal cord كودة إيقاينة", "tokens": [6027, 39184, 28022, 12250, 7251, 3555, 4587, 7578, 13672, 1829, 4724, 1829, 30544, 3794, 16070, 30544, 3794, 44650, 2407, 13546, 3794, 7251, 34268, 26890, 14407, 644, 9154, 4032, 9957, 9154, 383, 293, 318, 7251, 3555, 4587, 7578, 8032, 2304, 10874, 11622, 38207, 9154, 4032, 9957, 9154, 383, 293, 318, 37495, 22653, 10874, 11622, 38207, 9154, 4032, 9957, 9154, 28022, 12250, 1392, 7251, 3555, 4587, 7578, 31439, 6225, 3555, 9640, 3660, 18871, 19904, 4032, 28022, 12250, 9122, 23328, 3660, 11933, 1829, 4587, 995, 9957, 3660], "avg_logprob": -0.3014705868328319, "compression_ratio": 1.7411764705882353, "no_speech_prob": 0.0, "words": [{"start": 530.48, "end": 530.84, "word": "الـ", "probability": 0.3111572265625}, {"start": 530.84, "end": 531.12, "word": " spinal", "probability": 0.493896484375}, {"start": 531.12, "end": 531.44, "word": " cord", "probability": 0.90576171875}, {"start": 531.44, "end": 531.88, "word": " يبقى", "probability": 0.801025390625}, {"start": 531.88, "end": 532.38, "word": " اللي", "probability": 0.747314453125}, {"start": 532.38, "end": 532.96, "word": " بيكونس", "probability": 0.72564697265625}, {"start": 532.96, "end": 533.4, "word": " والكونس", "probability": 0.6258951822916666}, {"start": 533.4, "end": 534.0, "word": " متويرس", "probability": 0.473480224609375}, {"start": 534.0, "end": 534.9, "word": " يعتبروا", "probability": 0.860595703125}, {"start": 534.9, "end": 535.48, "word": " part", "probability": 0.95654296875}, {"start": 535.48, "end": 535.66, "word": " من", "probability": 0.9814453125}, {"start": 535.66, "end": 536.08, "word": " وين", "probability": 0.918701171875}, {"start": 536.08, "end": 536.72, "word": " من", "probability": 0.953125}, {"start": 536.72, "end": 537.16, "word": " C", "probability": 0.278076171875}, {"start": 537.16, "end": 537.36, "word": " and", "probability": 0.336181640625}, {"start": 537.36, "end": 537.66, "word": " S", "probability": 0.98876953125}, {"start": 537.66, "end": 537.9, "word": " يبقى", "probability": 0.939697265625}, {"start": 537.9, "end": 538.06, "word": " هم", "probability": 0.77734375}, {"start": 538.06, "end": 538.26, "word": " جزء", "probability": 0.91162109375}, {"start": 538.26, "end": 538.4, "word": " من", "probability": 0.98486328125}, {"start": 538.4, "end": 538.68, "word": " وين", "probability": 0.990478515625}, {"start": 538.68, "end": 539.38, "word": " من", "probability": 0.89404296875}, {"start": 539.38, "end": 540.1, "word": " C", "probability": 0.9111328125}, {"start": 540.1, "end": 540.64, "word": " and", "probability": 0.947265625}, {"start": 540.64, "end": 540.96, "word": " S", "probability": 0.98388671875}, {"start": 540.96, "end": 541.24, "word": " يعني", "probability": 0.9404296875}, {"start": 541.24, "end": 541.48, "word": " جزء", "probability": 0.97314453125}, {"start": 541.48, "end": 541.6, "word": " من", "probability": 0.9873046875}, {"start": 541.6, "end": 541.9, "word": " وين", "probability": 0.9921875}, {"start": 541.9, "end": 542.74, "word": " من", "probability": 0.9794921875}, {"start": 542.74, "end": 543.52, "word": " spinal", "probability": 0.86669921875}, {"start": 543.52, "end": 544.14, "word": " cord", "probability": 0.93798828125}, {"start": 544.14, "end": 546.1, "word": " okay", "probability": 0.4765625}, {"start": 546.1, "end": 546.54, "word": " يبقى", "probability": 0.9490966796875}, {"start": 546.54, "end": 546.74, "word": " هو", "probability": 0.74658203125}, {"start": 546.74, "end": 547.02, "word": " عبارة", "probability": 0.989013671875}, {"start": 547.02, "end": 547.2, "word": " عن", "probability": 0.673828125}, {"start": 547.2, "end": 547.62, "word": " segments", "probability": 0.51025390625}, {"start": 547.62, "end": 547.82, "word": " و", "probability": 0.93408203125}, {"start": 547.82, "end": 548.08, "word": " spinal", "probability": 0.91455078125}, {"start": 548.08, "end": 549.1, "word": " cord", "probability": 0.87841796875}, {"start": 549.1, "end": 550.24, "word": " كودة", "probability": 0.627685546875}, {"start": 550.24, "end": 550.76, "word": " إيقاينة", "probability": 0.5948079427083334}], "temperature": 1.0}, {"id": 24, "seek": 58001, "start": 551.63, "end": 580.01, "text": "هي جزء من ال peripheral nervous system جزء من وين؟ من ال peripheral nervous system ليه؟ لأن القوة الاخوانة هينتهي عندنا ال spinal cord اعتبرولي هذه هي ال Konus Medullaris وهنا عندي Epikonus هذا Konus Medullaris وهذا Epikonus ال spinal cord بنتهي على level A", "tokens": [3224, 1829, 10874, 11622, 38207, 9154, 2423, 40235, 6296, 1185, 10874, 11622, 38207, 9154, 4032, 9957, 22807, 9154, 2423, 40235, 6296, 1185, 32239, 3224, 22807, 5296, 33456, 25062, 2407, 3660, 2423, 47283, 2407, 7649, 3660, 39896, 29399, 3224, 1829, 43242, 8315, 2423, 28022, 12250, 1975, 34268, 26890, 12610, 1829, 29538, 39896, 2423, 12718, 301, 3982, 858, 27489, 37037, 8315, 18871, 16254, 9970, 1035, 266, 301, 23758, 12718, 301, 3982, 858, 27489, 37037, 15730, 9970, 1035, 266, 301, 2423, 28022, 12250, 4724, 29399, 3224, 1829, 15844, 1496, 316], "avg_logprob": -0.3006036945364692, "compression_ratio": 1.7777777777777777, "no_speech_prob": 0.0, "words": [{"start": 551.63, "end": 551.89, "word": "هي", "probability": 0.84228515625}, {"start": 551.89, "end": 552.13, "word": " جزء", "probability": 0.9939778645833334}, {"start": 552.13, "end": 552.33, "word": " من", "probability": 0.9912109375}, {"start": 552.33, "end": 552.51, "word": " ال", "probability": 0.865234375}, {"start": 552.51, "end": 552.93, "word": " peripheral", "probability": 0.44873046875}, {"start": 552.93, "end": 553.75, "word": " nervous", "probability": 0.921875}, {"start": 553.75, "end": 554.33, "word": " system", "probability": 0.9560546875}, {"start": 554.33, "end": 554.83, "word": " جزء", "probability": 0.86181640625}, {"start": 554.83, "end": 554.97, "word": " من", "probability": 0.96826171875}, {"start": 554.97, "end": 555.41, "word": " وين؟", "probability": 0.5290934244791666}, {"start": 555.41, "end": 555.67, "word": " من", "probability": 0.9345703125}, {"start": 555.67, "end": 555.79, "word": " ال", "probability": 0.97265625}, {"start": 555.79, "end": 556.13, "word": " peripheral", "probability": 0.96728515625}, {"start": 556.13, "end": 556.63, "word": " nervous", "probability": 0.96044921875}, {"start": 556.63, "end": 557.17, "word": " system", "probability": 0.96240234375}, {"start": 557.17, "end": 557.91, "word": " ليه؟", "probability": 0.8125813802083334}, {"start": 557.91, "end": 558.17, "word": " لأن", "probability": 0.832275390625}, {"start": 558.17, "end": 558.51, "word": " القوة", "probability": 0.7550455729166666}, {"start": 558.51, "end": 559.17, "word": " الاخوانة", "probability": 0.4602294921875}, {"start": 559.17, "end": 559.87, "word": " هينتهي", "probability": 0.742919921875}, {"start": 559.87, "end": 560.21, "word": " عندنا", "probability": 0.917236328125}, {"start": 560.21, "end": 560.27, "word": " ال", "probability": 0.6943359375}, {"start": 560.27, "end": 560.55, "word": " spinal", "probability": 0.94677734375}, {"start": 560.55, "end": 561.03, "word": " cord", "probability": 0.9345703125}, {"start": 561.03, "end": 566.75, "word": " اعتبرولي", "probability": 0.8173828125}, {"start": 566.75, "end": 566.97, "word": " هذه", "probability": 0.71337890625}, {"start": 566.97, "end": 567.25, "word": " هي", "probability": 0.68212890625}, {"start": 567.25, "end": 567.67, "word": " ال", "probability": 0.7333984375}, {"start": 567.67, "end": 568.01, "word": " Konus", "probability": 0.398834228515625}, {"start": 568.01, "end": 568.67, "word": " Medullaris", "probability": 0.8015950520833334}, {"start": 568.67, "end": 569.89, "word": " وهنا", "probability": 0.7127685546875}, {"start": 569.89, "end": 570.33, "word": " عندي", "probability": 0.776611328125}, {"start": 570.33, "end": 572.27, 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693.33, "text": "lower motor neuron lesion لأن هو تابع لإيه ال peripheral nervous system واخدنا مع بعض relationship between the spinal cord segments and vertebra واتفجنا إنه من C1 ل C4 segment يقابلوا C1 C4 vertebra C5 C8 segments", "tokens": [34598, 5932, 34090, 1512, 313, 5296, 33456, 31439, 6055, 16758, 3615, 5296, 28814, 1829, 3224, 2423, 40235, 6296, 1185, 4032, 47283, 3215, 8315, 20449, 45030, 11242, 2480, 1296, 264, 28022, 12250, 19904, 293, 16167, 6198, 4032, 9307, 5172, 7435, 8315, 36145, 3224, 9154, 383, 16, 5296, 383, 19, 9469, 7251, 4587, 16758, 1211, 14407, 383, 16, 383, 19, 16167, 6198, 383, 20, 383, 23, 19904], "avg_logprob": -0.23532197218049655, "compression_ratio": 1.3489583333333333, "no_speech_prob": 0.0, "words": [{"start": 670.05, "end": 670.65, "word": "lower", "probability": 0.156982421875}, {"start": 670.65, "end": 671.71, "word": " motor", "probability": 0.59375}, {"start": 671.71, "end": 672.27, "word": " neuron", "probability": 0.73046875}, {"start": 672.27, "end": 672.79, "word": " lesion", "probability": 0.93701171875}, {"start": 672.79, "end": 673.05, "word": " لأن", "probability": 0.798583984375}, {"start": 673.05, "end": 673.17, "word": " هو", "probability": 0.3427734375}, {"start": 673.17, "end": 673.65, "word": " تابع", "probability": 0.85595703125}, {"start": 673.65, "end": 674.35, "word": " لإيه", "probability": 0.75018310546875}, {"start": 674.35, "end": 674.47, "word": " ال", "probability": 0.50146484375}, {"start": 674.47, "end": 675.01, "word": " peripheral", "probability": 0.4384765625}, {"start": 675.01, "end": 675.63, "word": " nervous", "probability": 0.875}, {"start": 675.63, "end": 676.41, "word": " system", "probability": 0.9658203125}, {"start": 676.41, "end": 678.37, "word": " واخدنا", "probability": 0.9261474609375}, {"start": 678.37, "end": 678.49, "word": " مع", "probability": 0.99560546875}, {"start": 678.49, "end": 678.85, "word": " بعض", "probability": 0.99462890625}, {"start": 678.85, "end": 679.91, "word": " relationship", "probability": 0.79443359375}, {"start": 679.91, "end": 680.57, "word": " between", "probability": 0.9345703125}, {"start": 680.57, "end": 681.17, "word": " the", "probability": 0.7802734375}, {"start": 681.17, "end": 681.59, "word": " spinal", "probability": 0.921875}, {"start": 681.59, "end": 681.99, "word": " cord", "probability": 0.58203125}, {"start": 681.99, "end": 682.51, "word": " segments", "probability": 0.69580078125}, {"start": 682.51, "end": 682.89, "word": " and", "probability": 0.8876953125}, {"start": 682.89, "end": 683.43, "word": " vertebra", "probability": 0.796875}, {"start": 683.43, "end": 684.55, "word": " واتفجنا", "probability": 0.875390625}, {"start": 684.55, "end": 685.31, "word": " إنه", "probability": 0.7098388671875}, {"start": 685.31, "end": 685.71, "word": " من", "probability": 0.9755859375}, {"start": 685.71, "end": 686.23, "word": " C1", "probability": 0.8232421875}, {"start": 686.23, "end": 686.39, "word": " ل", "probability": 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زي ما اتفجنا C6 بطرح منها 1", "tokens": [3555, 9957, 2423, 9469, 383, 21, 11, 383, 22, 11, 383, 23, 4724, 9566, 2288, 5016, 502, 45164, 10874, 1829, 8315, 8608, 10721, 1211, 8315, 21136, 33604, 6027, 2423, 9469, 383, 22, 4032, 9957, 15844, 36632, 3714, 14851, 2407, 7578, 6156, 4587, 25720, 44945, 7435, 3215, 3224, 44945, 7435, 3215, 16472, 3224, 2423, 9469, 1614, 44945, 7435, 3215, 3224, 15844, 2423, 6509, 897, 424, 12602, 4587, 2304, 1386, 9122, 33911, 11331, 35457, 8315, 11296, 22807, 30767, 1829, 19446, 1975, 2655, 5172, 7435, 8315, 383, 21, 4724, 9566, 2288, 5016, 9154, 11296, 502], "avg_logprob": -0.1883400595316323, "compression_ratio": 1.543010752688172, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 693.49, "end": 693.95, "word": "بين", "probability": 0.81591796875}, {"start": 693.95, "end": 694.55, "word": " ال", "probability": 0.8623046875}, {"start": 694.55, "end": 694.97, "word": " segment", "probability": 0.414794921875}, {"start": 694.97, "end": 695.59, 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0.88525390625}, {"start": 708.71, "end": 709.51, "word": " ال", "probability": 0.97509765625}, {"start": 709.51, "end": 710.19, "word": " vertibra", "probability": 0.58447265625}, {"start": 710.19, "end": 711.43, "word": " رقم", "probability": 0.9705403645833334}, {"start": 711.43, "end": 711.73, "word": " 6", "probability": 0.98974609375}, {"start": 711.73, "end": 712.03, "word": " كيف", "probability": 0.943603515625}, {"start": 712.03, "end": 713.39, "word": " حسبناها؟", "probability": 0.88232421875}, {"start": 713.39, "end": 713.51, "word": " زي", "probability": 0.904052734375}, {"start": 713.51, "end": 713.59, "word": " ما", "probability": 0.96337890625}, {"start": 713.59, "end": 714.05, "word": " اتفجنا", "probability": 0.9017578125}, {"start": 714.05, "end": 715.67, "word": " C6", "probability": 0.92626953125}, {"start": 715.67, "end": 717.93, "word": " بطرح", "probability": 0.965576171875}, {"start": 717.93, "end": 718.17, "word": " منها", "probability": 0.9912109375}, {"start": 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C7 segment بتطرح منها واحد تساوي C6 vertebra طيب لو قلنا C6 vertebra بتطرح منها واحد بتكون على مستوى C5 vertebra", "tokens": [2655, 3794, 995, 45865, 4386, 41850, 12174, 1211, 2655, 383, 22, 9469, 4386, 383, 22, 9469, 39894, 9566, 2288, 5016, 9154, 11296, 36764, 24401, 6055, 3794, 995, 45865, 383, 21, 16167, 6198, 23032, 1829, 3555, 45164, 12174, 1211, 8315, 383, 21, 16167, 6198, 39894, 9566, 2288, 5016, 9154, 11296, 36764, 24401, 39894, 30544, 15844, 3714, 14851, 2407, 7578, 383, 20, 16167, 6198], "avg_logprob": -0.19952876652990068, "compression_ratio": 1.5333333333333334, "no_speech_prob": 9.5367431640625e-07, "words": [{"start": 720.85, "end": 721.53, "word": "تساوي", "probability": 0.732208251953125}, {"start": 721.53, "end": 721.87, "word": " ..", "probability": 0.22216796875}, {"start": 721.87, "end": 722.09, "word": " أنا", "probability": 0.55419921875}, {"start": 722.09, "end": 722.41, "word": " قلت", "probability": 0.8992513020833334}, {"start": 722.41, "end": 722.79, "word": 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738.31, "end": 764.95, "text": "C6 سيجمنت بيكون على مستوى C5 الفرتبرة على العكس صحيح لو سألنا على مستوى C6 فرتبرة على مستوى C6 فرتبرة ايش بيلاجي؟ بيلاجي C7 سيجمنت بقى أضيف بجمع إذا بدينا في الفرتبرة بجمع وإذا بدينا في ال segment باطرح ليه؟ لأن ال spinal echo cord بيكون أقصر من إيه؟ من الفرتبرة ال column من T1 لT6", "tokens": [34, 21, 8608, 1829, 7435, 27842, 2655, 4724, 1829, 30544, 15844, 3714, 14851, 2407, 7578, 383, 20, 27188, 43500, 3555, 25720, 15844, 18863, 4117, 3794, 20328, 5016, 1829, 5016, 45164, 8608, 10721, 1211, 8315, 15844, 3714, 14851, 2407, 7578, 383, 21, 6156, 43500, 3555, 25720, 15844, 3714, 14851, 2407, 7578, 383, 21, 6156, 43500, 3555, 25720, 1975, 1829, 8592, 4724, 1829, 15040, 7435, 1829, 22807, 4724, 1829, 15040, 7435, 1829, 383, 22, 8608, 1829, 7435, 27842, 2655, 4724, 4587, 7578, 5551, 11242, 33911, 4724, 7435, 2304, 3615, 11933, 15730, 4724, 16254, 8315, 8978, 27188, 43500, 3555, 25720, 4724, 7435, 2304, 3615, 4032, 28814, 15730, 4724, 16254, 8315, 8978, 2423, 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canal", "probability": 0.9697265625}, {"start": 1099.29, "end": 1101.03, "word": " وفيه", "probability": 0.7571614583333334}, {"start": 1101.03, "end": 1104.97, "word": " أنه", "probability": 0.5816650390625}, {"start": 1104.97, "end": 1114.61, "word": " white", "probability": 0.734375}, {"start": 1114.61, "end": 1119.37, "word": " matter", "probability": 0.90966796875}, {"start": 1119.37, "end": 1122.25, "word": " okay", "probability": 0.759765625}], "temperature": 1.0}, {"id": 47, "seek": 115593, "start": 1131.67, "end": 1155.93, "text": "ال white matter في ال spinal cord بتكون more outer و grey matter بتكون inner في هنا في ال grey matter في شي اسمه posterior horn cells", "tokens": [6027, 2418, 1871, 8978, 2423, 28022, 12250, 39894, 30544, 544, 10847, 4032, 16578, 1871, 39894, 30544, 7284, 8978, 34105, 8978, 2423, 16578, 1871, 8978, 44049, 24525, 2304, 3224, 33529, 13482, 5438], "avg_logprob": -0.27832030691206455, "compression_ratio": 1.4273504273504274, "no_speech_prob": 0.0, 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ممكن يعملنا في ال upper limb a shoulder elevation", "tokens": [2288, 5016, 7251, 30544, 9673, 16572, 11242, 43242, 3224, 1975, 2407, 383, 22, 8717, 47283, 3215, 383, 22, 9469, 12602, 5016, 7251, 30544, 9673, 16572, 11242, 43242, 3224, 13412, 1211, 6027, 12602, 3555, 45761, 1829, 13412, 1211, 6027, 12602, 3555, 45761, 1829, 44381, 25124, 1211, 6027, 23758, 12602, 5016, 7251, 30544, 10874, 11622, 38207, 8978, 2423, 6597, 30390, 32239, 8592, 10874, 11622, 38207, 8978, 2423, 6597, 30390, 5296, 33456, 3224, 383, 20, 4032, 383, 21, 9469, 23493, 383, 20, 4032, 383, 21, 12602, 5016, 7251, 30544, 14407, 23493, 8978, 21542, 6027, 3660, 29538, 9673, 16572, 11242, 3714, 43020, 7251, 25957, 1211, 8315, 8978, 2423, 6597, 30390, 257, 7948, 25827], "avg_logprob": -0.13039772266691382, "compression_ratio": 2.0497512437810945, "no_speech_prob": 0.0, "words": [{"start": 1675.2, "end": 1675.48, "word": "رح", "probability": 0.5787353515625}, {"start": 1675.48, "end": 1675.8, "word": " يكون", "probability": 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"probability": 0.66650390625}, {"start": 1689.0, "end": 1689.36, "word": " limb", "probability": 0.89599609375}, {"start": 1689.36, "end": 1690.62, "word": " ليش", "probability": 0.901611328125}, {"start": 1690.62, "end": 1690.88, "word": " جزء", "probability": 0.9925130208333334}, {"start": 1690.88, "end": 1691.0, "word": " في", "probability": 0.96923828125}, {"start": 1691.0, "end": 1691.08, "word": " ال", "probability": 0.94091796875}, {"start": 1691.08, "end": 1691.3, "word": " upper", "probability": 0.83837890625}, {"start": 1691.3, "end": 1691.54, "word": " limb", "probability": 0.9306640625}, {"start": 1691.54, "end": 1692.24, "word": " لأنه", "probability": 0.6951497395833334}, {"start": 1692.24, "end": 1692.72, "word": " C5", "probability": 0.96533203125}, {"start": 1692.72, "end": 1692.88, "word": " و", "probability": 0.8544921875}, {"start": 1692.88, "end": 1693.24, "word": " C6", "probability": 0.7744140625}, {"start": 1693.24, "end": 1693.64, "word": " segment", 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"probability": 0.98779296875}, {"start": 1700.08, "end": 1700.48, "word": " يعملنا", "probability": 0.96337890625}, {"start": 1700.48, "end": 1700.58, "word": " في", "probability": 0.9580078125}, {"start": 1700.58, "end": 1700.64, "word": " ال", "probability": 0.833984375}, {"start": 1700.64, "end": 1700.82, "word": " upper", "probability": 0.80126953125}, {"start": 1700.82, "end": 1701.1, "word": " limb", "probability": 0.92138671875}, {"start": 1701.1, "end": 1701.76, "word": " a", "probability": 0.470703125}, {"start": 1701.76, "end": 1702.44, "word": " shoulder", "probability": 0.94677734375}, {"start": 1702.44, "end": 1703.16, "word": " elevation", "probability": 0.97802734375}], "temperature": 1.0}, {"id": 71, "seek": 172313, "start": 1703.45, "end": 1723.13, "text": "shoulder elevation لكن في ال hand complete paralysis يمكن راح يكون عند المريض partial paralysis in the upper limb مع complete paralysis في ال lower limbs ليه صار complete في ال lower limbs؟ لأنه فيه عندي corticospinal tract نازل", "tokens": [2716, 28792, 25827, 44381, 8978, 2423, 1011, 3566, 49507, 7251, 43020, 12602, 39319, 7251, 30544, 43242, 9673, 16572, 11242, 14641, 49507, 294, 264, 6597, 30390, 20449, 3566, 49507, 8978, 2423, 3126, 29315, 32239, 3224, 20328, 9640, 3566, 8978, 2423, 3126, 29315, 22807, 5296, 33456, 3224, 8978, 3224, 18871, 16254, 11278, 299, 2763, 2071, 24207, 8717, 31377, 1211], "avg_logprob": -0.24609374845850057, "compression_ratio": 1.6033519553072626, "no_speech_prob": 0.0, "words": [{"start": 1703.45, "end": 1703.95, "word": "shoulder", "probability": 0.6451416015625}, {"start": 1703.95, "end": 1704.87, "word": " elevation", "probability": 0.81396484375}, {"start": 1704.87, "end": 1705.35, "word": " لكن", "probability": 0.38525390625}, {"start": 1705.35, "end": 1705.55, "word": " في", "probability": 0.93212890625}, {"start": 1705.55, "end": 1705.65, "word": " ال", "probability": 0.87255859375}, {"start": 1705.65, "end": 1705.95, "word": " hand", 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"probability": 0.88232421875}, {"start": 1716.55, "end": 1716.61, "word": " ال", "probability": 0.88671875}, {"start": 1716.61, "end": 1716.77, "word": " lower", "probability": 0.89306640625}, {"start": 1716.77, "end": 1717.47, "word": " limbs؟", "probability": 0.698974609375}, {"start": 1717.47, "end": 1717.73, "word": " لأنه", "probability": 0.7639973958333334}, {"start": 1717.73, "end": 1717.93, "word": " فيه", "probability": 0.89990234375}, {"start": 1717.93, "end": 1718.17, "word": " عندي", "probability": 0.6317138671875}, {"start": 1718.17, "end": 1720.09, "word": " corticospinal", "probability": 0.88525390625}, {"start": 1720.09, "end": 1720.59, "word": " tract", "probability": 0.78955078125}, {"start": 1720.59, "end": 1723.13, "word": " نازل", "probability": 0.6881510416666666}], "temperature": 1.0}, {"id": 72, "seek": 175732, "start": 1729.3, "end": 1757.32, "text": "هذا اسمه lateral corticospinal tract صار damage إيه لهم؟ راح يعملولنا شلل below the level طيب مين اللي بيعمل 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right 0 على ال left 2 or 3 muscle power يعني في asymmetric في ال muscle power و ال symptoms رح يكونوا flaccid ليه flaccid لأن ال peripheral root يعتبر lower motor neuron لأن ال manifestation رح تكون عندهم lower motor neuron painful onset radicular pain رح يكون جابلها في عند المريض radicular pain", "tokens": [40228, 22653, 36764, 24401, 15844, 2423, 558, 1958, 15844, 2423, 1411, 568, 420, 805, 8679, 1347, 37495, 22653, 8978, 37277, 17475, 8978, 2423, 8679, 1347, 4032, 2423, 8332, 12602, 5016, 7251, 30544, 14407, 932, 8476, 327, 32239, 3224, 932, 8476, 327, 5296, 33456, 2423, 40235, 5593, 7251, 34268, 26890, 3126, 5932, 34090, 5296, 33456, 2423, 29550, 12602, 5016, 6055, 30544, 43242, 16095, 3126, 5932, 34090, 11697, 34948, 2843, 14646, 1822, 12602, 5016, 7251, 30544, 10874, 16758, 1211, 11296, 8978, 43242, 9673, 16572, 11242, 2843, 14646, 1822], "avg_logprob": -0.20186780924084544, "compression_ratio": 1.7264957264957266, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 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راح يعملنا ألم pain بعدها راح يعملنا loss of sensation later راح يكون radicular sensory loss أكيد راح يكون عندهم stool and urine incontinence او retention due to sphincter disturbances", "tokens": [33115, 260, 281, 264, 3126, 29315, 16247, 19528, 44945, 11622, 1211, 20449, 2423, 5593, 2843, 14646, 1822, 2843, 14646, 1822, 1780, 322, 45164, 25961, 2655, 7251, 20498, 2288, 8978, 29739, 28259, 10632, 12602, 39319, 7251, 25957, 1211, 8315, 5551, 19528, 1822, 39182, 11296, 12602, 39319, 7251, 25957, 1211, 8315, 4470, 295, 20069, 1780, 12602, 39319, 7251, 30544, 2843, 14646, 27233, 4470, 5551, 4117, 25708, 12602, 39319, 7251, 30544, 43242, 16095, 35086, 293, 27638, 834, 23039, 655, 1975, 2407, 22871, 3462, 281, 637, 71, 5460, 260, 18071, 2676], "avg_logprob": -0.16264203817329623, "compression_ratio": 1.6391304347826088, "no_speech_prob": 0.0, "words": [{"start": 2134.1, "end": 2134.64, "word": "refer", "probability": 0.539306640625}, {"start": 2134.64, "end": 2134.82, "word": " to", 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"probability": 0.9306640625}, {"start": 2160.46, "end": 2161.44, "word": " disturbances", "probability": 0.877685546875}], "temperature": 1.0}, {"id": 89, "seek": 219317, "start": 2164.08, "end": 2193.18, "text": "الأن نتكلم على incomplete spinal cord lesion if any form of sensation motor power is preserved below the level of lesion spinal cord lesion is considered incomplete كيف يعني؟ مريض كان عنده spinal cord injury", "tokens": [6027, 33456, 8717, 2655, 4117, 19528, 15844, 31709, 28022, 12250, 1512, 313, 498, 604, 1254, 295, 20069, 5932, 1347, 307, 22242, 2507, 264, 1496, 295, 1512, 313, 28022, 12250, 1512, 313, 307, 4888, 31709, 9122, 33911, 37495, 22653, 22807, 3714, 16572, 11242, 25961, 43242, 3224, 28022, 12250, 10454], "avg_logprob": -0.10331632653061225, "compression_ratio": 1.4, "no_speech_prob": 0.0, "words": [{"start": 2164.08, "end": 2164.52, "word": "الأن", "probability": 0.702880859375}, {"start": 2164.52, "end": 2166.3, "word": " نتكلم", "probability": 0.9464111328125}, 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{"start": 2179.36, "end": 2180.1, "word": " is", "probability": 0.966796875}, {"start": 2180.1, "end": 2180.78, "word": " preserved", "probability": 0.900390625}, {"start": 2180.78, "end": 2181.64, "word": " below", "probability": 0.90771484375}, {"start": 2181.64, "end": 2181.94, "word": " the", "probability": 0.91064453125}, {"start": 2181.94, "end": 2182.28, "word": " level", "probability": 0.96044921875}, {"start": 2182.28, "end": 2182.54, "word": " of", "probability": 0.97900390625}, {"start": 2182.54, "end": 2183.0, "word": " lesion", "probability": 0.9765625}, {"start": 2183.0, "end": 2184.58, "word": " spinal", "probability": 0.708984375}, {"start": 2184.58, "end": 2185.18, "word": " cord", "probability": 0.93994140625}, {"start": 2185.18, "end": 2185.78, "word": " lesion", "probability": 0.98388671875}, {"start": 2185.78, "end": 2186.28, "word": " is", "probability": 0.96728515625}, {"start": 2186.28, "end": 2187.08, "word": " considered", "probability": 0.802734375}, 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ما بقدر بسميه partial spinal cord lesion مثال آخر مريض عنده complete loss of motor motor power zero", "tokens": [29245, 3215, 8315, 36145, 3224, 43242, 3224, 3457, 569, 8643, 271, 44381, 2423, 8679, 1347, 19446, 25961, 2655, 4018, 25961, 2655, 568, 34051, 805, 4032, 3615, 41260, 3224, 14641, 4470, 295, 20069, 8032, 1211, 4724, 28543, 2288, 5551, 39648, 23758, 3566, 28022, 12250, 1512, 313, 22807, 20193, 19446, 4724, 28543, 2288, 4724, 38251, 1829, 3224, 14641, 28022, 12250, 1512, 313, 50113, 6027, 19753, 34740, 3714, 16572, 11242, 43242, 3224, 3566, 4470, 295, 5932, 5932, 1347, 4018], "avg_logprob": -0.20180600881576538, "compression_ratio": 1.5255813953488373, "no_speech_prob": 0.0, "words": [{"start": 2194.86, "end": 2195.36, "word": "وجدنا", "probability": 0.8014322916666666}, {"start": 2195.36, "end": 2195.66, "word": " إنه", "probability": 0.6431884765625}, {"start": 2195.66, "end": 2196.2, "word": " عنده", "probability": 0.9853515625}, {"start": 2196.2, "end": 2199.08, "word": " Paraparesis", "probability": 0.5947265625}, {"start": 2199.08, "end": 2199.28, "word": " لكن", "probability": 0.67822265625}, {"start": 2199.28, "end": 2199.48, "word": " ال", "probability": 0.76611328125}, {"start": 2199.48, "end": 2199.66, "word": " muscle", "probability": 0.9033203125}, {"start": 2199.66, "end": 2200.06, "word": " power", "probability": 0.91259765625}, {"start": 2200.06, "end": 2200.36, "word": " ما", "probability": 0.91943359375}, {"start": 2200.36, "end": 2200.66, "word": " كانت", "probability": 0.82861328125}, {"start": 2200.66, "end": 2200.96, "word": " zero", "probability": 0.340576171875}, {"start": 2200.96, "end": 2202.14, "word": " كانت", "probability": 0.88720703125}, {"start": 2202.14, "end": 2202.76, "word": " 2", "probability": 0.47900390625}, {"start": 2202.76, "end": 2203.2, "word": " أو", "probability": 0.87255859375}, {"start": 2203.2, "end": 2203.56, "word": " 3", "probability": 0.9248046875}, {"start": 2203.56, "end": 2205.16, "word": " وعنده", "probability": 0.863037109375}, {"start": 2205.16, "end": 2205.6, "word": " partial", "probability": 0.935546875}, {"start": 2205.6, "end": 2205.92, "word": " loss", "probability": 0.85498046875}, {"start": 2205.92, "end": 2206.1, "word": " of", "probability": 0.97265625}, {"start": 2206.1, "end": 2206.68, "word": " sensation", "probability": 0.9345703125}, {"start": 2206.68, "end": 2207.8, "word": " هل", "probability": 0.9658203125}, {"start": 2207.8, "end": 2208.08, "word": " بقدر", "probability": 0.9773763020833334}, {"start": 2208.08, "end": 2208.26, "word": " أقول", "probability": 0.926025390625}, {"start": 2208.26, "end": 2208.4, "word": " هذا", "probability": 0.6953125}, {"start": 2208.4, "end": 2208.7, "word": " complete", "probability": 0.681640625}, {"start": 2208.7, "end": 2209.04, "word": " spinal", "probability": 0.951171875}, {"start": 2209.04, "end": 2209.32, "word": " cord", "probability": 0.9423828125}, {"start": 2209.32, "end": 2209.86, "word": " lesion؟", "probability": 0.807861328125}, {"start": 2209.86, "end": 2210.02, "word": " لا", "probability": 0.63916015625}, {"start": 2210.02, "end": 2210.14, "word": " ما", "probability": 0.56787109375}, {"start": 2210.14, "end": 2210.46, "word": " بقدر", "probability": 0.9632161458333334}, {"start": 2210.46, "end": 2211.58, "word": " بسميه", "probability": 0.824462890625}, {"start": 2211.58, "end": 2212.18, "word": " partial", "probability": 0.96484375}, {"start": 2212.18, "end": 2213.18, "word": " spinal", "probability": 0.962890625}, {"start": 2213.18, "end": 2213.54, "word": " cord", "probability": 0.9443359375}, {"start": 2213.54, "end": 2213.94, "word": " lesion", "probability": 0.985595703125}, {"start": 2213.94, "end": 2214.4, "word": " مثال", "probability": 0.798583984375}, {"start": 2214.4, "end": 2214.8, "word": " آخر", "probability": 0.870361328125}, {"start": 2214.8, "end": 2216.74, "word": " مريض", "probability": 0.96875}, {"start": 2216.74, "end": 2217.62, "word": " عنده", "probability": 0.9873046875}, {"start": 2217.62, "end": 2218.18, "word": " complete", "probability": 0.927734375}, {"start": 2218.18, "end": 2218.84, "word": " loss", "probability": 0.888671875}, {"start": 2218.84, "end": 2219.22, "word": " of", "probability": 0.98291015625}, {"start": 2219.22, "end": 2219.62, "word": " motor", "probability": 0.97119140625}, {"start": 2219.62, "end": 2219.96, "word": " motor", "probability": 0.61767578125}, {"start": 2219.96, "end": 2220.42, "word": " power", "probability": 0.89892578125}, {"start": 2220.42, "end": 2220.84, "word": " zero", "probability": 0.51318359375}], "temperature": 1.0}, {"id": 91, "seek": 224800, "start": 2221.56, "end": 2248.0, "text": "و complete loss of superficial sensation لكن المريض هذا عنده preserved deep sensation الاكساس العميق سليم عنده هل بقدر اقول هذا complete spinal cord injury لا بقول incomplete spinal cord injury incomplete ايه spinal cord injury العكس صحيح مريض عنده complete loss of deep sensation below the spinal cord injury", "tokens": [2407, 3566, 4470, 295, 34622, 20069, 44381, 9673, 16572, 11242, 23758, 43242, 3224, 22242, 2452, 20069, 42963, 4117, 3794, 32277, 18863, 2304, 1829, 4587, 8608, 20292, 2304, 43242, 3224, 8032, 1211, 4724, 28543, 2288, 1975, 39648, 23758, 3566, 28022, 12250, 10454, 20193, 4724, 39648, 31709, 28022, 12250, 10454, 31709, 1975, 1829, 3224, 28022, 12250, 10454, 18863, 4117, 3794, 20328, 5016, 1829, 5016, 3714, 16572, 11242, 43242, 3224, 3566, 4470, 295, 2452, 20069, 2507, 264, 28022, 12250, 10454], "avg_logprob": -0.1381209869033251, "compression_ratio": 1.9014778325123152, "no_speech_prob": 0.0, "words": [{"start": 2221.56, "end": 2221.82, "word": "و", "probability": 0.89013671875}, {"start": 2221.82, "end": 2222.3, "word": " complete", "probability": 0.367431640625}, {"start": 2222.3, "end": 2223.28, "word": " loss", "probability": 0.89111328125}, {"start": 2223.28, "end": 2223.76, "word": " of", "probability": 0.98193359375}, {"start": 2223.76, "end": 2224.52, "word": " superficial", "probability": 0.75048828125}, {"start": 2224.52, "end": 2225.36, "word": " sensation", "probability": 0.94384765625}, {"start": 2225.36, "end": 2226.36, "word": " لكن", "probability": 0.80859375}, {"start": 2226.36, "end": 2226.72, "word": " المريض", "probability": 0.9534505208333334}, {"start": 2226.72, "end": 2226.86, "word": " هذا", "probability": 0.83984375}, {"start": 2226.86, "end": 2227.26, "word": " عنده", "probability": 0.9833984375}, {"start": 2227.26, "end": 2228.48, "word": " preserved", "probability": 0.830078125}, {"start": 2228.48, "end": 2229.26, "word": " deep", "probability": 0.97607421875}, {"start": 2229.26, "end": 2229.92, "word": " sensation", "probability": 0.95263671875}, {"start": 2229.92, "end": 2230.68, "word": " الاكساس", "probability": 0.6903076171875}, {"start": 2230.68, "end": 2231.18, "word": " العميق", "probability": 0.9864501953125}, {"start": 2231.18, "end": 2231.62, "word": " سليم", "probability": 0.97705078125}, {"start": 2231.62, "end": 2231.98, "word": " عنده", "probability": 0.972412109375}, {"start": 2231.98, "end": 2232.42, "word": " هل", "probability": 0.948486328125}, {"start": 2232.42, "end": 2232.7, "word": " بقدر", "probability": 0.98486328125}, {"start": 2232.7, "end": 2232.86, "word": " اقول", "probability": 0.794677734375}, {"start": 2232.86, "end": 2233.0, "word": " هذا", "probability": 0.765625}, {"start": 2233.0, "end": 2233.3, "word": " complete", "probability": 0.81494140625}, {"start": 2233.3, "end": 2233.62, "word": " spinal", "probability": 0.9658203125}, {"start": 2233.62, "end": 2233.9, "word": " cord", "probability": 0.92236328125}, {"start": 2233.9, "end": 2234.22, "word": " injury", "probability": 0.96435546875}, {"start": 2234.22, "end": 2234.52, "word": " لا", "probability": 0.25341796875}, {"start": 2234.52, "end": 2235.28, "word": " بقول", "probability": 0.92578125}, {"start": 2235.28, "end": 2236.18, "word": " incomplete", "probability": 0.93994140625}, {"start": 2236.18, "end": 2237.1, "word": " spinal", "probability": 0.97119140625}, {"start": 2237.1, "end": 2237.76, "word": " cord", "probability": 0.9228515625}, {"start": 2237.76, "end": 2238.22, "word": " injury", "probability": 0.93798828125}, {"start": 2238.22, "end": 2239.04, "word": " incomplete", "probability": 0.82568359375}, {"start": 2239.04, "end": 2239.66, "word": " ايه", "probability": 0.8058268229166666}, {"start": 2239.66, "end": 2239.96, "word": " spinal", "probability": 0.7392578125}, {"start": 2239.96, "end": 2240.3, "word": " cord", "probability": 0.90380859375}, {"start": 2240.3, "end": 2240.64, "word": " injury", "probability": 0.955078125}, {"start": 2240.64, "end": 2241.26, "word": " العكس", "probability": 0.9827473958333334}, {"start": 2241.26, "end": 2241.7, "word": " صحيح", "probability": 0.888427734375}, {"start": 2241.7, "end": 2242.38, "word": " مريض", "probability": 0.93359375}, {"start": 2242.38, "end": 2242.98, "word": " عنده", "probability": 0.982666015625}, {"start": 2242.98, "end": 2243.64, "word": " complete", "probability": 0.92236328125}, {"start": 2243.64, "end": 2244.06, "word": " loss", "probability": 0.85546875}, {"start": 2244.06, "end": 2244.28, "word": " of", "probability": 0.982421875}, {"start": 2244.28, "end": 2244.5, "word": " deep", "probability": 0.9716796875}, {"start": 2244.5, "end": 2245.0, "word": " sensation", "probability": 0.947265625}, {"start": 2245.0, "end": 2245.26, "word": " below", "probability": 0.81640625}, {"start": 2245.26, "end": 2245.56, "word": " the", "probability": 0.80322265625}, {"start": 2245.56, "end": 2247.28, "word": " spinal", "probability": 0.94775390625}, {"start": 2247.28, "end": 2247.6, "word": " cord", "probability": 0.9423828125}, {"start": 2247.6, "end": 2248.0, "word": " injury", "probability": 0.9619140625}], "temperature": 1.0}, {"id": 92, "seek": 226942, "start": 2248.19, "end": 2269.43, "text": "عنده complete loss of deep sensation below the level of spinal cord injury لكن المريض عنده ال motor preserved و ال superficial sensation preserved نفس الشيء بسميه incomplete spinal cord lesion طب مين هم ال incomplete spinal cord lesion؟", "tokens": [3615, 41260, 3224, 3566, 4470, 295, 2452, 20069, 2507, 264, 1496, 295, 28022, 12250, 10454, 44381, 9673, 16572, 11242, 43242, 3224, 2423, 5932, 22242, 4032, 2423, 34622, 20069, 22242, 8717, 36178, 25124, 1829, 38207, 4724, 38251, 1829, 3224, 31709, 28022, 12250, 1512, 313, 23032, 3555, 3714, 9957, 8032, 2304, 2423, 31709, 28022, 12250, 1512, 313, 22807], "avg_logprob": -0.10855263471603394, "compression_ratio": 1.5965909090909092, "no_speech_prob": 0.0, "words": [{"start": 2248.19, "end": 2248.69, "word": "عنده", "probability": 0.9306640625}, {"start": 2248.69, "end": 2249.33, "word": " complete", "probability": 0.50048828125}, {"start": 2249.33, "end": 2250.15, "word": " loss", "probability": 0.896484375}, {"start": 2250.15, "end": 2250.39, "word": " of", "probability": 0.9833984375}, {"start": 2250.39, "end": 2250.67, "word": " deep", "probability": 0.96533203125}, {"start": 2250.67, "end": 2251.33, "word": " sensation", "probability": 0.9404296875}, {"start": 2251.33, "end": 2252.05, "word": " below", "probability": 0.89697265625}, {"start": 2252.05, "end": 2252.53, "word": " the", "probability": 0.88720703125}, {"start": 2252.53, "end": 2252.75, "word": " level", "probability": 0.95654296875}, {"start": 2252.75, "end": 2252.89, "word": " of", "probability": 0.974609375}, {"start": 2252.89, "end": 2253.23, "word": " spinal", "probability": 0.93994140625}, {"start": 2253.23, "end": 2253.49, "word": " cord", "probability": 0.93603515625}, {"start": 2253.49, "end": 2253.93, "word": " injury", "probability": 0.9580078125}, {"start": 2253.93, "end": 2255.15, "word": " لكن", "probability": 0.8974609375}, {"start": 2255.15, "end": 2255.53, "word": " المريض", "probability": 0.97314453125}, {"start": 2255.53, "end": 2255.99, "word": " عنده", "probability": 0.983642578125}, {"start": 2255.99, "end": 2256.27, "word": " ال", "probability": 0.71728515625}, {"start": 2256.27, "end": 2256.75, "word": " motor", "probability": 0.9140625}, {"start": 2256.75, "end": 2258.15, "word": " preserved", "probability": 0.9189453125}, {"start": 2258.15, "end": 2258.33, "word": " و", "probability": 0.5029296875}, {"start": 2258.33, "end": 2258.45, "word": " ال", "probability": 0.69970703125}, {"start": 2258.45, "end": 2259.01, "word": " superficial", "probability": 0.9111328125}, {"start": 2259.01, "end": 2259.73, "word": " sensation", "probability": 0.9619140625}, {"start": 2259.73, "end": 2260.39, "word": " preserved", "probability": 0.88623046875}, {"start": 2260.39, "end": 2260.99, "word": " نفس", "probability": 0.95458984375}, {"start": 2260.99, "end": 2261.43, "word": " الشيء", "probability": 0.96630859375}, {"start": 2261.43, "end": 2262.75, "word": " بسميه", "probability": 0.9327392578125}, {"start": 2262.75, "end": 2263.51, "word": " incomplete", "probability": 0.6845703125}, {"start": 2263.51, "end": 2264.31, "word": " spinal", "probability": 0.962890625}, {"start": 2264.31, "end": 2264.95, "word": " cord", "probability": 0.9443359375}, {"start": 2264.95, "end": 2265.71, "word": " lesion", "probability": 0.9638671875}, {"start": 2265.71, "end": 2266.27, "word": " طب", "probability": 0.84814453125}, {"start": 2266.27, "end": 2266.47, "word": " مين", "probability": 0.940185546875}, {"start": 2266.47, "end": 2266.67, "word": " هم", "probability": 0.8291015625}, {"start": 2266.67, "end": 2266.81, "word": " ال", "probability": 0.9130859375}, {"start": 2266.81, "end": 2267.29, "word": " incomplete", "probability": 0.9716796875}, {"start": 2267.29, "end": 2267.79, "word": " spinal", "probability": 0.9853515625}, {"start": 2267.79, "end": 2268.35, "word": " cord", "probability": 0.92626953125}, {"start": 2268.35, "end": 2269.43, "word": " lesion؟", "probability": 0.9440104166666666}], "temperature": 1.0}, {"id": 93, "seek": 229603, "start": 2270.39, "end": 2296.03, "text": "بنسميهم Partial Transition Partial Transition Brown Sequered Syndrome Brown Sequered Syndrome أو هذا بنسميه Hemicord lesion يعني إصابة نص الحبل الشوكي النوع الثاني Anterior Cord Syndrome يعني إصابة الجزء الأمامي من ال spinal cord", "tokens": [3555, 1863, 38251, 1829, 16095, 4100, 831, 6531, 849, 4100, 831, 6531, 849, 8030, 46859, 4073, 44545, 8030, 46859, 4073, 44545, 34051, 23758, 44945, 38251, 1829, 3224, 18568, 299, 765, 1512, 313, 37495, 22653, 11933, 9381, 16758, 3660, 8717, 9381, 21542, 36150, 25124, 2407, 4117, 1829, 28239, 45367, 6024, 104, 7649, 1829, 1107, 10872, 40267, 44545, 37495, 22653, 11933, 9381, 16758, 3660, 25724, 11622, 38207, 16247, 2304, 10943, 1829, 9154, 2423, 28022, 12250], "avg_logprob": -0.19457347248051618, "compression_ratio": 1.5968586387434556, "no_speech_prob": 0.0, "words": [{"start": 2270.39, "end": 2270.97, "word": "بنسميهم", "probability": 0.95068359375}, {"start": 2270.97, "end": 2271.59, "word": " Partial", "probability": 0.538055419921875}, {"start": 2271.59, "end": 2272.45, "word": " Transition", "probability": 0.7056884765625}, {"start": 2272.45, "end": 2273.43, "word": " Partial", "probability": 0.8076171875}, {"start": 2273.43, "end": 2274.17, "word": " Transition", "probability": 0.98681640625}, {"start": 2274.17, "end": 2275.75, "word": " Brown", "probability": 0.78662109375}, {"start": 2275.75, "end": 2277.29, "word": " Sequered", "probability": 0.54547119140625}, {"start": 2277.29, "end": 2277.79, "word": " Syndrome", "probability": 0.88720703125}, {"start": 2277.79, "end": 2278.35, "word": " Brown", "probability": 0.8857421875}, {"start": 2278.35, "end": 2278.99, "word": " Sequered", "probability": 0.852783203125}, {"start": 2278.99, "end": 2279.49, "word": " Syndrome", "probability": 0.90478515625}, {"start": 2279.49, "end": 2280.87, "word": " أو", "probability": 0.73095703125}, {"start": 2280.87, "end": 2281.41, "word": " هذا", "probability": 0.87646484375}, {"start": 2281.41, "end": 2282.03, "word": " بنسميه", "probability": 0.86578369140625}, {"start": 2282.03, "end": 2283.55, "word": " Hemicord", "probability": 0.6547444661458334}, {"start": 2283.55, "end": 2283.99, "word": " lesion", "probability": 0.7183837890625}, {"start": 2283.99, "end": 2284.27, "word": " يعني", "probability": 0.90185546875}, {"start": 2284.27, "end": 2284.97, "word": " إصابة", "probability": 0.9593505859375}, {"start": 2284.97, "end": 2285.69, "word": " نص", "probability": 0.96728515625}, {"start": 2285.69, "end": 2286.19, "word": " الحبل", "probability": 0.988525390625}, {"start": 2286.19, "end": 2286.93, "word": " الشوكي", "probability": 0.921875}, {"start": 2286.93, "end": 2287.71, "word": " النوع", "probability": 0.862548828125}, {"start": 2287.71, "end": 2288.15, "word": " الثاني", "probability": 0.943359375}, {"start": 2288.15, "end": 2289.91, "word": " Anterior", "probability": 0.767333984375}, {"start": 2289.91, "end": 2291.17, "word": " Cord", "probability": 0.87939453125}, {"start": 2291.17, "end": 2291.81, "word": " Syndrome", "probability": 0.92626953125}, {"start": 2291.81, "end": 2292.21, "word": " يعني", "probability": 0.963134765625}, {"start": 2292.21, "end": 2292.95, "word": " إصابة", "probability": 0.9927978515625}, {"start": 2292.95, "end": 2293.75, "word": " الجزء", "probability": 0.9728190104166666}, {"start": 2293.75, "end": 2294.71, "word": " الأمامي", "probability": 0.9449462890625}, {"start": 2294.71, "end": 2295.01, "word": " من", "probability": 0.994140625}, {"start": 2295.01, "end": 2295.05, "word": " ال", "probability": 0.47119140625}, {"start": 2295.05, "end": 2295.55, "word": " spinal", "probability": 0.58837890625}, {"start": 2295.55, "end": 2296.03, "word": " cord", "probability": 0.9287109375}], "temperature": 1.0}, {"id": 94, "seek": 231348, "start": 2296.62, "end": 2313.48, "text": "ثلاثة Central Cord Syndrome يعني إصابة الجزء بتاع الجريموتر في منتصف الحبل الشوكي أربعة Posterior Cord Syndrome إصابة الجزء الخلفي من ال spinal cord", "tokens": [12984, 1211, 5718, 104, 3660, 9701, 40267, 44545, 37495, 22653, 11933, 9381, 16758, 3660, 25724, 11622, 38207, 39894, 45761, 25724, 16572, 2304, 35473, 2288, 8978, 9154, 2655, 9381, 5172, 21542, 36150, 25124, 2407, 4117, 1829, 5551, 25513, 27884, 430, 7096, 1973, 40267, 44545, 11933, 9381, 16758, 3660, 25724, 11622, 38207, 33962, 1211, 41185, 9154, 2423, 28022, 12250], "avg_logprob": -0.23908943554450726, "compression_ratio": 1.4387096774193548, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2296.62, "end": 2297.38, "word": "ثلاثة", "probability": 0.764892578125}, {"start": 2297.38, "end": 2298.54, "word": " Central", "probability": 0.3896484375}, {"start": 2298.54, "end": 2299.94, "word": " Cord", "probability": 0.5283203125}, {"start": 2299.94, "end": 2300.52, "word": " Syndrome", "probability": 0.90087890625}, {"start": 2300.52, "end": 2301.1, "word": " يعني", "probability": 0.807373046875}, {"start": 2301.1, "end": 2301.78, "word": " إصابة", "probability": 0.9547119140625}, {"start": 2301.78, "end": 2303.46, "word": " الجزء", "probability": 0.6112467447916666}, {"start": 2303.46, "end": 2303.76, "word": " بتاع", "probability": 0.934814453125}, {"start": 2303.76, "end": 2304.36, "word": " الجريموتر", "probability": 0.657373046875}, {"start": 2304.36, "end": 2304.7, "word": " في", "probability": 0.9462890625}, {"start": 2304.7, "end": 2305.26, "word": " منتصف", "probability": 0.9892578125}, {"start": 2305.26, "end": 2305.64, "word": " الحبل", "probability": 0.991455078125}, {"start": 2305.64, "end": 2306.22, "word": " الشوكي", "probability": 0.9827880859375}, {"start": 2306.22, "end": 2307.5, "word": " أربعة", "probability": 0.7129720052083334}, {"start": 2307.5, "end": 2309.0, "word": " Posterior", "probability": 0.83251953125}, {"start": 2309.0, "end": 2309.5, "word": " Cord", "probability": 0.92626953125}, {"start": 2309.5, "end": 2310.0, "word": " Syndrome", "probability": 0.93115234375}, {"start": 2310.0, "end": 2310.56, "word": " إصابة", "probability": 0.9698486328125}, {"start": 2310.56, "end": 2311.02, "word": " الجزء", "probability": 0.9845377604166666}, {"start": 2311.02, "end": 2311.7, "word": " الخلفي", "probability": 0.806640625}, {"start": 2311.7, "end": 2312.44, "word": " من", "probability": 0.994140625}, {"start": 2312.44, "end": 2312.56, "word": " ال", "probability": 0.705078125}, {"start": 2312.56, "end": 2313.04, "word": " spinal", "probability": 0.201416015625}, {"start": 2313.04, "end": 2313.48, "word": " cord", "probability": 0.9365234375}], "temperature": 1.0}, {"id": 95, "seek": 234302, "start": 2313.7, "end": 2343.02, "text": "في بعض المراجع بيحطوا الـ Cauda Equina Syndrome لكن Cauda Equina Syndrome خطأ ان نضعها في موضوع الـ Spinal Cord Lesion هي تابعة الـ Peripheral Spinal Nerve Lesion أنا شرحتلكوا الـ Incomplete Spinal Cord Lesion في الجزء الثاني ان شاء الله من المحاضرة راح نفصلهم و ناخد جزء الـ Prone Secret لوحده، Anterior Cord لوحده، Central Cord لوحده و Posterior Cord Lesion لوحدهم و أشرحلكوا ال manifestation بتاعتهم", "tokens": [41185, 45030, 11242, 9673, 2288, 26108, 3615, 4724, 1829, 5016, 9566, 14407, 2423, 39184, 383, 3751, 64, 15624, 1426, 44545, 44381, 383, 3751, 64, 15624, 1426, 44545, 16490, 9566, 10721, 16472, 8717, 11242, 3615, 11296, 8978, 3714, 2407, 11242, 45367, 2423, 39184, 1738, 2071, 40267, 6965, 313, 39896, 6055, 16758, 27884, 2423, 39184, 3026, 21240, 304, 1738, 2071, 426, 3768, 6965, 313, 41850, 13412, 2288, 33753, 23275, 14407, 2423, 39184, 682, 1112, 17220, 1738, 2071, 40267, 6965, 313, 8978, 25724, 11622, 38207, 6024, 104, 7649, 1829, 16472, 13412, 16606, 21984, 9154, 9673, 5016, 46958, 25720, 12602, 39319, 8717, 5172, 36520, 16095, 4032, 8717, 47283, 3215, 10874, 11622, 38207, 2423, 39184, 2114, 546, 7400, 45164, 24401, 3224, 12399, 5130, 260, 1973, 40267, 45164, 24401, 3224, 12399, 9701, 40267, 45164, 24401, 3224, 4032, 430, 7096, 1973, 40267, 6965, 313, 45164, 24401, 16095, 4032, 5551, 46309, 5016, 23275, 14407, 2423, 29550, 39894, 995, 34268, 16095], "avg_logprob": -0.16268381729624629, "compression_ratio": 1.8135048231511255, "no_speech_prob": 0.0, "words": [{"start": 2313.7, "end": 2313.88, "word": "في", "probability": 0.939453125}, {"start": 2313.88, "end": 2314.1, "word": " بعض", "probability": 0.988525390625}, {"start": 2314.1, "end": 2314.66, "word": " المراجع", "probability": 0.8829345703125}, {"start": 2314.66, "end": 2315.44, "word": " بيحطوا", "probability": 0.96923828125}, {"start": 2315.44, "end": 2315.72, "word": " الـ", "probability": 0.714599609375}, {"start": 2315.72, "end": 2316.02, "word": " Cauda", "probability": 0.66650390625}, {"start": 2316.02, "end": 2316.5, "word": " Equina", "probability": 0.753662109375}, {"start": 2316.5, "end": 2317.02, "word": " Syndrome", "probability": 0.85888671875}, {"start": 2317.02, "end": 2317.58, "word": " لكن", "probability": 0.68408203125}, {"start": 2317.58, "end": 2318.08, "word": " Cauda", "probability": 0.82958984375}, {"start": 2318.08, "end": 2318.36, "word": " Equina", "probability": 0.970703125}, {"start": 2318.36, "end": 2318.74, "word": " Syndrome", "probability": 0.8359375}, {"start": 2318.74, "end": 2319.42, "word": " خطأ", "probability": 0.9895833333333334}, {"start": 2319.42, "end": 2320.24, "word": " ان", "probability": 0.4189453125}, {"start": 2320.24, "end": 2320.64, "word": " نضعها", "probability": 0.9246826171875}, {"start": 2320.64, "end": 2320.88, "word": " في", "probability": 0.95703125}, {"start": 2320.88, "end": 2321.32, "word": " موضوع", "probability": 0.909912109375}, {"start": 2321.32, "end": 2321.46, "word": " الـ", "probability": 0.59765625}, {"start": 2321.46, "end": 2321.72, "word": " Spinal", "probability": 0.67431640625}, {"start": 2321.72, "end": 2321.94, "word": " Cord", "probability": 0.779296875}, {"start": 2321.94, "end": 2322.26, "word": " Lesion", "probability": 0.767333984375}, {"start": 2322.26, "end": 2322.64, "word": " هي", "probability": 0.7548828125}, {"start": 2322.64, "end": 2323.0, "word": " تابعة", "probability": 0.8546549479166666}, {"start": 2323.0, "end": 2323.22, "word": " الـ", "probability": 0.57861328125}, {"start": 2323.22, "end": 2323.7, "word": " Peripheral", "probability": 0.89501953125}, {"start": 2323.7, "end": 2324.2, "word": " Spinal", "probability": 0.887939453125}, {"start": 2324.2, "end": 2325.08, "word": " Nerve", "probability": 0.847900390625}, {"start": 2325.08, "end": 2325.5, "word": " Lesion", "probability": 0.926513671875}, {"start": 2325.5, "end": 2326.16, "word": " أنا", "probability": 0.5654296875}, {"start": 2326.16, "end": 2326.68, "word": " شرحتلكوا", "probability": 0.821875}, {"start": 2326.68, "end": 2326.78, "word": " الـ", "probability": 0.8427734375}, {"start": 2326.78, "end": 2327.18, "word": " Incomplete", "probability": 0.8824869791666666}, {"start": 2327.18, "end": 2327.58, "word": " Spinal", "probability": 0.939697265625}, {"start": 2327.58, "end": 2327.92, "word": " Cord", "probability": 0.95947265625}, {"start": 2327.92, "end": 2328.28, "word": " Lesion", "probability": 0.97119140625}, {"start": 2328.28, "end": 2328.8, "word": " في", "probability": 0.8974609375}, {"start": 2328.8, "end": 2329.22, "word": " الجزء", "probability": 0.9796549479166666}, {"start": 2329.22, "end": 2329.52, "word": " الثاني", "probability": 0.9190673828125}, {"start": 2329.52, "end": 2329.64, "word": " ان", "probability": 0.76953125}, {"start": 2329.64, "end": 2329.78, "word": " شاء", "probability": 0.985107421875}, {"start": 2329.78, "end": 2329.88, "word": " الله", "probability": 0.9462890625}, {"start": 2329.88, "end": 2330.06, "word": " من", "probability": 0.9716796875}, {"start": 2330.06, "end": 2330.62, "word": " المحاضرة", "probability": 0.9774169921875}, {"start": 2330.62, "end": 2331.12, "word": " راح", "probability": 0.904052734375}, {"start": 2331.12, "end": 2331.8, "word": " نفصلهم", "probability": 0.964599609375}, {"start": 2331.8, "end": 2332.2, "word": " و", "probability": 0.98974609375}, {"start": 2332.2, "end": 2332.82, "word": " ناخد", "probability": 0.87109375}, {"start": 2332.82, "end": 2333.16, "word": " جزء", "probability": 0.9938151041666666}, {"start": 2333.16, "end": 2334.0, "word": " الـ", "probability": 0.755126953125}, {"start": 2334.0, "end": 2334.28, "word": " Prone", "probability": 0.5416259765625}, {"start": 2334.28, "end": 2334.6, "word": " Secret", "probability": 0.1790771484375}, {"start": 2334.6, "end": 2335.42, "word": " لوحده،", "probability": 0.82330322265625}, {"start": 2335.42, "end": 2335.9, "word": " Anterior", "probability": 0.7093912760416666}, {"start": 2335.9, "end": 2336.12, "word": " Cord", "probability": 0.935546875}, {"start": 2336.12, "end": 2336.96, "word": " لوحده،", "probability": 0.9644775390625}, {"start": 2336.96, "end": 2337.26, "word": " Central", "probability": 0.90966796875}, {"start": 2337.26, "end": 2337.66, "word": " Cord", "probability": 0.96240234375}, {"start": 2337.66, "end": 2338.16, "word": " لوحده", "probability": 0.9871419270833334}, {"start": 2338.16, "end": 2338.52, "word": " و", "probability": 0.56982421875}, {"start": 2338.52, "end": 2339.2, "word": " Posterior", "probability": 0.8932291666666666}, {"start": 2339.2, "end": 2339.56, "word": " Cord", "probability": 0.916015625}, {"start": 2339.56, "end": 2340.0, "word": " Lesion", "probability": 0.976318359375}, {"start": 2340.0, "end": 2340.5, "word": " لوحدهم", "probability": 0.994140625}, {"start": 2340.5, "end": 2340.9, "word": " و", "probability": 0.73046875}, {"start": 2340.9, "end": 2341.74, "word": " أشرحلكوا", "probability": 0.9578125}, {"start": 2341.74, "end": 2341.92, "word": " ال", "probability": 0.7734375}, {"start": 2341.92, "end": 2342.26, "word": " manifestation", "probability": 0.95751953125}, {"start": 2342.26, "end": 2343.02, "word": " بتاعتهم", "probability": 0.9931640625}], "temperature": 1.0}, {"id": 96, "seek": 234409, "start": 2343.21, "end": 2344.09, "text": "يعطيكوا العافية", "tokens": [40228, 9566, 1829, 4117, 14407, 18863, 31845, 10632], "avg_logprob": -0.08430989583333333, "compression_ratio": 0.7631578947368421, "no_speech_prob": 0.0, "words": [{"start": 2343.21, "end": 2343.73, "word": "يعطيكوا", "probability": 0.92451171875}, {"start": 2343.73, "end": 2344.09, "word": " العافية", "probability": 0.90576171875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2344.3795, "duration_after_vad": 2220.042499999993}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..98637b747b6e2d459bf374a60754b9076a20bf4c
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/5Of7aRR1AVQ_raw.srt
@@ -0,0 +1,1808 @@
+1
+00:00:05,480 --> 00:00:09,060
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:09,060 --> 00:00:14,620
+وبركاتهان شاء الله اليوم راح نعطيكم محاضرة disease
+
+3
+00:00:14,620 --> 00:00:20,120
+of spinal cord هي محاضرة الأسبوع السادس أسبوع
+
+4
+00:00:20,120 --> 00:00:24,120
+الخامس تم تسجيل لكم بالصوت محاضرة على traumatic
+
+5
+00:00:24,120 --> 00:00:28,160
+brain injury اليوم المحاضرة راح أقسمها لجزءين جزء
+
+6
+00:00:28,160 --> 00:00:31,440
+الأول وجزء الثاني نبدأ ان شاء الله على بركة الله
+
+7
+00:00:31,440 --> 00:00:36,840
+disease of the spinal cord في بداية المحاضرةرح
+
+8
+00:00:36,840 --> 00:00:40,600
+نراجع شوية anatomy of the spinal cord عشان نفهمه
+
+9
+00:00:40,600 --> 00:00:44,080
+لإن احنا أخدنا هذا في السنة الثالثة عشان يكون أسهل
+
+10
+00:00:44,080 --> 00:00:49,620
+لكم موضوع شرح الأمراض بالصيب الحبل الشوكي shape
+
+11
+00:00:49,620 --> 00:00:53,120
+compressed cylindrical column number of neurons
+
+12
+00:00:53,120 --> 00:00:58,380
+حوالي تلتاشر مليون وخمسمية ألف ال length خمس و
+
+13
+00:00:58,380 --> 00:01:03,520
+أربعين سانتي متوسط عند ال male و تقريبا تلاتة و
+
+14
+00:01:03,520 --> 00:01:06,670
+أربعين سانتي عند ال femaleDiameter Diameter of
+
+15
+00:01:06,670 --> 00:01:10,870
+spinal cord حوالي one centimeter Location it is
+
+16
+00:01:10,870 --> 00:01:15,470
+located in the spinal canal or vertebral canal من
+
+17
+00:01:15,470 --> 00:01:19,190
+ناحية ال beginning هو عبارة عن continuation of
+
+18
+00:01:19,190 --> 00:01:23,550
+medulla oblongata begins at the level of foramen
+
+19
+00:01:23,550 --> 00:01:30,180
+magnum termination في ال intratrine lifeالـ
+
+20
+00:01:30,180 --> 00:01:34,800
+termination بتاعته بتكون هو معبي كل spinal canal
+
+21
+00:01:34,800 --> 00:01:41,020
+يبقى ان هو fills whole spinal canal لو جينا حصنا
+
+22
+00:01:41,020 --> 00:01:46,580
+مريض at birth وعملنا MRI له بنجد ان ال spinal cord
+
+23
+00:01:46,580 --> 00:01:51,170
+بنتهي على ال lower border of lumbar 3 vertebraفي
+
+24
+00:01:51,170 --> 00:01:54,970
+ال adult عندنا ال spinal cord ينتهي على ال lower
+
+25
+00:01:54,970 --> 00:02:02,070
+border of lumbar when it is important for lumbar
+
+26
+00:02:02,070 --> 00:02:05,950
+puncture لما نعمل lumbar puncture جونا عند الأطفال
+
+27
+00:02:05,950 --> 00:02:10,510
+بنعملها ع level L4 L5 لكن عند ال adult ممكن نعملها
+
+28
+00:02:10,510 --> 00:02:18,160
+ع level L3 L4 و L4 L5الـ function of spinal cord
+
+29
+00:02:18,160 --> 00:02:22,280
+spinal cord function is conduction function the
+
+30
+00:02:22,280 --> 00:02:26,700
+first function for conduction of ascending and
+
+31
+00:02:26,700 --> 00:02:30,940
+descending tracks the second function is reflex
+
+32
+00:02:30,940 --> 00:02:35,280
+center لما انتوا عارفين بين ال anterior horns و ال
+
+33
+00:02:35,280 --> 00:02:40,160
+posterior horns في integrative neurons او في inter
+
+34
+00:02:40,160 --> 00:02:43,660
+neurons وضفتهم reflex center
+
+35
+00:02:47,230 --> 00:02:50,350
+من انجيز of spinal cord كل هذه المراجعة أنا بمشي
+
+36
+00:02:50,350 --> 00:02:53,950
+بسرعة عليها من انجيز of spinal cord في أنا three
+
+37
+00:02:53,950 --> 00:03:00,900
+layers of membrane from inner to outerArachnoid
+
+38
+00:03:00,900 --> 00:03:05,660
+and Durameter البيامتر بتكون عاملة adherent مع ال
+
+39
+00:03:05,660 --> 00:03:09,540
+spinal cord tissue وبتنتهي مع انتهاء ال spinal
+
+40
+00:03:09,540 --> 00:03:13,580
+cord إذا كنا adult بتنتهي البيامتر at the lower
+
+41
+00:03:13,580 --> 00:03:18,520
+border of lumbar 1 vertebra إذا كان newborn بتنتهي
+
+42
+00:03:18,520 --> 00:03:24,840
+على lower border of L3 Durameter والارachnoid
+
+43
+00:03:24,840 --> 00:03:33,770
+بينتهي على انتهاءعلى level of sacral 2 واضح هنا أن
+
+44
+00:03:33,770 --> 00:03:49,030
+هذا هو spinal cord هذا
+
+45
+00:03:49,030 --> 00:03:54,310
+هو spinal cord مباشرة له بيكون فيه adherant اللي
+
+46
+00:03:54,310 --> 00:03:54,570
+هي
+
+47
+00:03:58,470 --> 00:04:08,470
+بيامطر هذه بيامطر مافي space بينهم
+
+48
+00:04:08,470 --> 00:04:17,490
+بيامطر
+
+49
+00:04:17,490 --> 00:04:22,770
+عاملة adherent مع الهي spinal cord tissue و brain
+
+50
+00:04:22,770 --> 00:04:30,030
+tissueلا مقاطع بين الـ P مطار و .. مقاطع الجسد
+
+51
+00:04:30,030 --> 00:04:37,890
+الثاني هو الاركنويد
+
+52
+00:04:37,890 --> 00:04:47,110
+الاركنويد
+
+53
+00:04:47,110 --> 00:04:51,450
+المطار والمطار الخارجي هو
+
+54
+00:04:56,010 --> 00:05:03,950
+ديورامطر ديورامطر وعنا spaces بيكونوا بين
+
+55
+00:05:03,950 --> 00:05:09,890
+الديورامطر و ال bond بيكون في عندي ايه بالديورال
+
+56
+00:05:09,890 --> 00:05:14,730
+space او اكتر ديورال space بين الديورامطر و
+
+57
+00:05:14,730 --> 00:05:20,760
+الاراكنهيد بيكون عنديsub-neural space بين
+
+58
+00:05:20,760 --> 00:05:26,340
+الاركنويد و Pia mater بيكون موجود عند إيه اللي هي
+
+59
+00:05:26,340 --> 00:05:32,060
+sub-arachnoid space أوسع space بتكون بيمور فيها ال
+
+60
+00:05:32,060 --> 00:05:35,520
+route of spinal nerves بيمور فيها blood vessels و
+
+61
+00:05:35,520 --> 00:05:46,040
+بيكون فيها موجود CSF CSF هنوضف
+
+62
+00:05:46,040 --> 00:05:54,430
+عندىDurometer, Arachnoid, Piameter بين الـ Bone و
+
+63
+00:05:54,430 --> 00:05:58,650
+الـ Durometer موجود Epidural Space أو Extra Dural
+
+64
+00:05:58,650 --> 00:06:02,090
+Space بين الـ Durometer و Arachnoid موجود Sub
+
+65
+00:06:02,090 --> 00:06:06,810
+-Dural Space بين الـ Arachnoid و Piameter يكون
+
+66
+00:06:06,810 --> 00:06:09,610
+موجود عندنا اللي هي Sub-Arachnoid Space Sub
+
+67
+00:06:09,610 --> 00:06:13,230
+-Arachnoid Space يبقى عندك Durometer, Arachnoid,
+
+68
+00:06:13,490 --> 00:06:17,620
+Piameterالان ننتقل لـ External Structure of the
+
+69
+00:06:17,620 --> 00:06:20,480
+Spinal Cord من ناحية الـ External Structure of the
+
+70
+00:06:20,480 --> 00:06:26,840
+Spinal Cord فيها ان موجود Anterior Median Fissureو
+
+71
+00:06:26,840 --> 00:06:31,080
+في posterior median fissure و في بيكون هنا اللي هم
+
+72
+00:06:31,080 --> 00:06:36,700
+anterior lateral salicyde و posterior lateral
+
+73
+00:06:36,700 --> 00:06:39,940
+salicyde هنا في المكان هذا اللي بيخرج اللي هو ال
+
+74
+00:06:39,940 --> 00:06:44,500
+posterior root و anterior root of the spinal cord
+
+75
+00:06:44,500 --> 00:06:50,830
+هذا ال external feature of the spinal cordو
+
+76
+00:06:50,830 --> 00:06:55,410
+segments of spinal cord عندنا تمانية cervical
+
+77
+00:06:55,410 --> 00:06:57,970
+segments بختلفوا عن ال vertibra ال vertibra الستة
+
+78
+00:06:57,970 --> 00:07:03,490
+اتناش ثوراسك خمس لمبع و خمسة sacral و one
+
+79
+00:07:03,490 --> 00:07:07,090
+coccygeal segment و انتوا عارفين ايش هو ال segment
+
+80
+00:07:07,090 --> 00:07:15,310
+segment of spinal cord segment
+
+81
+00:07:15,310 --> 00:07:16,230
+فيه بيكون
+
+82
+00:07:19,460 --> 00:07:22,960
+Posterior root horn .. anterior root .. anterior
+
+83
+00:07:22,960 --> 00:07:27,300
+horn cells Posterior horn cells و Gray commissure
+
+84
+00:07:27,300 --> 00:07:34,920
+Central canal من ال Gray مطر بيخرج اللي هم
+
+85
+00:07:34,920 --> 00:07:39,780
+anterior root بتحدوا مع ال posterior root و
+
+86
+00:07:39,780 --> 00:07:44,240
+بيكونون ايه single spinal nerve هان بيكون
+
+87
+00:07:44,240 --> 00:07:50,220
+posterior root ganglion نفس الشيءبيكونولنا spinal
+
+88
+00:07:50,220 --> 00:07:55,180
+nerve هدي بوستيريو الجنجليون يقول هذا اسمه spinal
+
+89
+00:07:55,180 --> 00:08:01,920
+cord segment spinal cord segment كل segment بخرج
+
+90
+00:08:01,920 --> 00:08:06,260
+منه two posterior roots و two anterior roots و
+
+91
+00:08:06,260 --> 00:08:10,780
+بيكونولنا right and left spinal nerve right and
+
+92
+00:08:10,780 --> 00:08:14,940
+left اي spinal nerve و ال spinal nerve بخرج من وين
+
+93
+00:08:15,210 --> 00:08:19,410
+من Intervertebral Foramen Intervertebral Foramen
+
+94
+00:08:19,410 --> 00:08:24,510
+كل هذا انتوا عارفينه الكلام في
+
+95
+00:08:24,510 --> 00:08:29,290
+شي اسمه Epiconus Conus Medullaris and Cauda Equina
+
+96
+00:08:29,960 --> 00:08:32,900
+اتفاقنا إن الـ Conus Medullaris it is the terminal
+
+97
+00:08:32,900 --> 00:08:39,880
+part of spinal cord هو عبارة عن S3, S4, S5 segment
+
+98
+00:08:39,880 --> 00:08:44,540
+of spinal cord Epiconus هو ما قبل Conus Medullaris
+
+99
+00:08:44,540 --> 00:08:51,120
+هو عبارة عن L4, L5, S1, S2 segment ofالـ spinal
+
+100
+00:08:51,120 --> 00:08:55,480
+cord يبقى اللي بيكونس والكونس متويرس يعتبروا part
+
+101
+00:08:55,480 --> 00:09:00,960
+من وين من C and S يبقى هم جزء من وين من C and S
+
+102
+00:09:00,960 --> 00:09:07,020
+يعني جزء من وين من spinal cord okay يبقى هو عبارة
+
+103
+00:09:07,020 --> 00:09:12,510
+عن segments و spinal cord كودة إيقاينةهي جزء من ال
+
+104
+00:09:12,510 --> 00:09:15,790
+peripheral nervous system جزء من وين؟ من ال
+
+105
+00:09:15,790 --> 00:09:19,170
+peripheral nervous system ليه؟ لأن القوة الاخوانة
+
+106
+00:09:19,170 --> 00:09:26,750
+هينتهي عندنا ال spinal cord اعتبرولي
+
+107
+00:09:26,750 --> 00:09:32,490
+هذه هي ال Konus Medullaris وهنا عندي Epikonus هذا
+
+108
+00:09:32,490 --> 00:09:38,650
+Konus Medullaris وهذا Epikonus ال spinal cord
+
+109
+00:09:38,650 --> 00:09:40,010
+بنتهي على level A
+
+110
+00:09:42,790 --> 00:09:50,950
+ألوان البرتبرة طب وال roots اللي لسه ماخرجوش نزلين
+
+111
+00:09:50,950 --> 00:09:55,890
+كل واحد بيخرج من تحت الفرام .. الفرام بتاعه في ال
+
+112
+00:09:55,890 --> 00:09:58,790
+.. تحت البرتبرة من ال intervertebra الفرام هنا
+
+113
+00:09:58,790 --> 00:10:02,170
+okay هذه ال collection of roots below the
+
+114
+00:10:02,170 --> 00:10:06,310
+termination of spinal cord بنسميهم cauda equina
+
+115
+00:10:06,310 --> 00:10:10,570
+يقولون هم عبارة عن ايه؟عبارة عن spinal root يبقى
+
+116
+00:10:10,570 --> 00:10:13,250
+لما دام spinal root يعتبروا إيه peripheral nervous
+
+117
+00:10:13,250 --> 00:10:16,910
+system طب وين موجودين هذول كودة إيكوينة مثل ذيل
+
+118
+00:10:16,910 --> 00:10:21,590
+الحصان it is located below the lower border of the
+
+119
+00:10:21,590 --> 00:10:25,490
+first lumbar vertebra يعني بلغة ثانية located
+
+120
+00:10:25,490 --> 00:10:30,590
+below determination of spinal cord spinal canal is
+
+121
+00:10:30,590 --> 00:10:35,130
+filled by the collection of lumbosacral roots يعني
+
+122
+00:10:35,950 --> 00:10:42,270
+الـ 2 الـ 3 الـ 4 الـ 5 الـ 1 الـ 2 و هكذا which
+
+123
+00:10:42,270 --> 00:10:47,640
+descent بنزلهin the space في الـ spinal canal و
+
+124
+00:10:47,640 --> 00:10:52,060
+بيصلوا لإيه؟ they are corresponding intervertebral
+
+125
+00:10:52,060 --> 00:10:58,220
+foramen و بيغادر كل root من الفورامن اللي هو تحت
+
+126
+00:10:58,220 --> 00:11:01,120
+ال .. تحت ال vertebra بتاعته يبقى ان هذه ال
+
+127
+00:11:01,120 --> 00:11:05,740
+collection of roots بنسميهم إيه؟ Caudaequina يبقى
+
+128
+00:11:05,740 --> 00:11:09,900
+ان لو حدث lesion في الـ Caudaequina بيؤدي إلى إيه؟
+
+129
+00:11:10,050 --> 00:11:14,470
+lower motor neuron lesion لأن هو تابع لإيه ال
+
+130
+00:11:14,470 --> 00:11:18,850
+peripheral nervous system واخدنا مع بعض
+
+131
+00:11:18,850 --> 00:11:22,890
+relationship between the spinal cord segments and
+
+132
+00:11:22,890 --> 00:11:28,810
+vertebra واتفجنا إنه من C1 ل C4 segment يقابلوا C1
+
+133
+00:11:28,810 --> 00:11:36,050
+C4 vertebra C5 C8 segmentsبين ال segment C6, C7,
+
+134
+00:11:36,370 --> 00:11:41,670
+C8 بطرح 1 لو جينا سألنا السؤال ال segment C7 وين
+
+135
+00:11:41,670 --> 00:11:47,490
+على أي مستوى فقرة بنجده بنجد انه ال segment 7
+
+136
+00:11:47,490 --> 00:11:53,590
+بنجده على ال vertibra رقم 6 كيف حسبناها؟ زي ما
+
+137
+00:11:53,590 --> 00:12:03,230
+اتفجنا C6 بطرح منها 1تساوي .. أنا قلت C7 segment
+
+138
+00:12:03,230 --> 00:12:10,830
+.. C7 segment بتطرح منها واحد تساوي C6 vertebra
+
+139
+00:12:10,830 --> 00:12:16,030
+طيب لو قلنا C6 vertebra بتطرح منها واحد بتكون على
+
+140
+00:12:16,030 --> 00:12:21,950
+مستوى C5 vertebraC6 سيجمنت بيكون على مستوى C5
+
+141
+00:12:21,950 --> 00:12:26,350
+الفرتبرة على العكس صحيح لو سألنا على مستوى C6
+
+142
+00:12:26,350 --> 00:12:30,570
+فرتبرة على مستوى C6 فرتبرة ايش بيلاجي؟ بيلاجي C7
+
+143
+00:12:30,570 --> 00:12:35,170
+سيجمنت بقى أضيف بجمع إذا بدينا في الفرتبرة بجمع
+
+144
+00:12:35,170 --> 00:12:38,290
+وإذا بدينا في ال segment باطرح ليه؟ لأن ال spinal
+
+145
+00:12:38,290 --> 00:12:42,050
+echo cord بيكون أقصر من إيه؟ من الفرتبرة ال column
+
+146
+00:12:42,050 --> 00:12:53,510
+من T1 لT6بطرح 2 يعني جينا سألنا سؤال T5
+
+147
+00:12:53,510 --> 00:12:59,090
+segment وين ما بجده موجود بيكون بطرح 1 راح يكون
+
+148
+00:12:59,090 --> 00:13:05,430
+موجود على T بطرح 2 بطرح 2 راح يكون موجود وين؟ راح
+
+149
+00:13:05,430 --> 00:13:14,730
+يكون موجود على T3 vertical جينا سألنا سؤال T4
+
+150
+00:13:16,210 --> 00:13:21,870
+Segment بطرح اتنين بيكون على ايه؟ T2 Vertebra
+
+151
+00:13:21,870 --> 00:13:26,830
+وهكذا وإذا بدأنا من ال vertebra باجمع باضيفها بعمل
+
+152
+00:13:26,830 --> 00:13:33,030
+عملية إضافة طيب من T7 ل L2 segment بطرح تلاتة جينا
+
+153
+00:13:33,030 --> 00:13:37,470
+مريض عنده هيبو أستيذي على أمبولايكاس على level of
+
+154
+00:13:37,470 --> 00:13:39,170
+أمبولايكاس هذه level T10
+
+155
+00:13:43,860 --> 00:13:52,960
+T10 تقريبا رح يكون على T7 واتفجنا انه اللي هو ال 3
+
+156
+00:13:52,960 --> 00:14:00,080
+ال 4 segment بيكونوا موازين ل T12 ال 5 and all
+
+157
+00:14:00,080 --> 00:14:04,040
+sacral segments بيكونوا على مستوى ال 1A
+
+158
+00:14:08,020 --> 00:14:11,360
+واضح segment يقابل البرتبرة بس بعدها بيصير ال
+
+159
+00:14:11,360 --> 00:14:15,440
+route ينزل و يطلع من تحت الforming بتاعه هذا هو
+
+160
+00:14:15,440 --> 00:14:20,500
+اللي اتفقنا عليه اسمه Conus Medullaris بعده بيجينا
+
+161
+00:14:20,500 --> 00:14:24,240
+Epiconus و هذه ال routes اللي نازلة اللي تعتبر
+
+162
+00:14:24,240 --> 00:14:30,000
+peripheral routes اسمها ايه؟ Cauda Equina
+
+163
+00:14:39,490 --> 00:14:46,650
+spinal cord protection ال spinal cord بكون موجود
+
+164
+00:14:46,650 --> 00:14:52,150
+في الspinal canal في الورتبرا ال canal في حواليه
+
+165
+00:14:52,150 --> 00:14:56,570
+ورتبرا و ligaments هذا و ال ligaments بيعملوله ايه
+
+166
+00:14:56,570 --> 00:15:02,170
+عملية fixation و support لل spine في seven
+
+167
+00:15:02,170 --> 00:15:05,890
+cervical vertebra لكن ال segments بيكونوا eight
+
+168
+00:15:05,890 --> 00:15:10,550
+segments twelve thoracic five lumbar and five
+
+169
+00:15:10,550 --> 00:15:15,260
+sacralزي ما شايفين هنا في انتريور longitudinal
+
+170
+00:15:15,260 --> 00:15:19,140
+ligament في posterior longitudinal ligament في
+
+171
+00:15:19,140 --> 00:15:23,600
+inter transverse ligament وفي ligament flava كل
+
+172
+00:15:23,600 --> 00:15:29,500
+هدول ال ligaments و الأربطة بيعمل عملية تثبات لل
+
+173
+00:15:29,500 --> 00:15:38,120
+spine نفسه ال root of spinal cord في ان هنا lift
+
+174
+00:15:39,780 --> 00:15:46,600
+Posterior Spinal Root هذا Right Posterior Spinal
+
+175
+00:15:46,600 --> 00:15:53,720
+Root رايت
+
+176
+00:15:53,720 --> 00:16:01,680
+هنا هنا Right Anterior Spinal Root وهنا Left
+
+177
+00:16:01,680 --> 00:16:09,100
+Anterior Spinal Root بيكونون ايه Spinal Nerve
+
+178
+00:16:11,000 --> 00:16:21,620
+left و right spinal nerve عندى كل segment بيعطينا
+
+179
+00:16:21,620 --> 00:16:26,140
+two posterior roots اللي هم يعتبروا afferent او
+
+180
+00:16:26,140 --> 00:16:30,560
+sensory و two anterior roots اللي بيعتبروا motor
+
+181
+00:16:30,560 --> 00:16:37,110
+مع autonomic ال anterior rootو البوصية الروت بتتحد
+
+182
+00:16:37,110 --> 00:16:41,250
+مع بعض وبيكونولنا spinal nerve left and right
+
+183
+00:16:41,250 --> 00:16:45,510
+spinal nerve عندنا thirty pairs of spinal nerves
+
+184
+00:16:45,510 --> 00:16:51,320
+and all of the spinal nerves are mixed nervesEach
+
+185
+00:16:51,320 --> 00:16:55,240
+spinal nerve emerges from the intervertebral
+
+186
+00:16:55,240 --> 00:16:59,500
+foramen و ال spinal nerve بيغادر spinal canal عن
+
+187
+00:16:59,500 --> 00:17:04,460
+طريق intervertebral foramen هي واضح في الصورة هان
+
+188
+00:17:04,460 --> 00:17:09,860
+اللي هو بوستيريو
+
+189
+00:17:09,860 --> 00:17:18,990
+رود في بوستيريو رود جانجليون يتحد مع مين؟مع الـ
+
+190
+00:17:18,990 --> 00:17:21,690
+anterior root اللي هو motor مع autonomic
+
+191
+00:17:21,690 --> 00:17:29,110
+وبيكونولنا a mixed spinal nerve بيغادر عن طريق a
+
+192
+00:17:29,110 --> 00:17:37,030
+intervertebral foramina هذا هو بالنسبة لل spinal
+
+193
+00:17:37,030 --> 00:17:38,490
+nerves root
+
+194
+00:17:42,480 --> 00:17:48,340
+Okay نتكلم على ال internal structure of spinal
+
+195
+00:17:48,340 --> 00:17:52,940
+cord ال internal structure of spinal cord في عندنا
+
+196
+00:17:52,940 --> 00:17:58,180
+شي اسمه Hygrometer تكون
+
+197
+00:17:58,180 --> 00:17:59,200
+تشبه حرف ال edge
+
+198
+00:18:13,550 --> 00:18:24,970
+فيه grey matter وفيه central spinal canal وفيه أنه
+
+199
+00:18:24,970 --> 00:18:34,610
+white
+
+200
+00:18:34,610 --> 00:18:39,370
+matter
+
+201
+00:18:39,370 --> 00:18:42,250
+okay
+
+202
+00:18:51,670 --> 00:18:57,050
+ال white matter في ال spinal cord بتكون more outer
+
+203
+00:18:57,050 --> 00:19:04,990
+و grey matter بتكون inner في
+
+204
+00:19:04,990 --> 00:19:15,350
+هنا في ال grey matter في شي اسمه posterior horn
+
+205
+00:19:15,350 --> 00:19:15,930
+cells
+
+206
+00:19:19,290 --> 00:19:23,170
+horn cells وفي الجانب يكون في بعض ال segments
+
+207
+00:19:23,170 --> 00:19:36,710
+lateral horn cells من ناحية a ال white motor هنا
+
+208
+00:19:36,710 --> 00:19:41,670
+anterior column
+
+209
+00:19:41,670 --> 00:19:52,320
+posterior column و lateralالـ white motor بتكون
+
+210
+00:19:52,320 --> 00:19:55,960
+الـ outer في الـ grey motor فيه posterior horn
+
+211
+00:19:55,960 --> 00:19:59,560
+cells و anterior horn cells و lateral horn cells
+
+212
+00:20:00,250 --> 00:20:03,390
+الـ anterior horn cells وظفتهم motor و ال
+
+213
+00:20:03,390 --> 00:20:06,490
+posterior horn cells وظفتهم sensory و ال lateral
+
+214
+00:20:06,490 --> 00:20:11,610
+horn cells بيكونوا في ال segments من T1 ل L2 و
+
+215
+00:20:11,610 --> 00:20:15,610
+وظفتهم sympathetic الموضوع ال white motor
+
+216
+00:20:15,610 --> 00:20:18,730
+posterior column اللي له علاقة بال deep sensation
+
+217
+00:20:18,730 --> 00:20:22,410
+and anterior column بيفوتي اللي هوالـ
+
+218
+00:20:22,410 --> 00:20:25,270
+Corticospinal tract is a direct corticospinal
+
+219
+00:20:25,270 --> 00:20:29,910
+tract for chest muscles وAnterior
+
+220
+00:20:29,910 --> 00:20:34,110
+spinothalamic tract for crotouch اللاترال كورهم
+
+221
+00:20:34,110 --> 00:20:38,050
+أكتر واحد بدخل فيه اللي هو lateral corticospinal
+
+222
+00:20:38,050 --> 00:20:42,170
+tract و lateral spinothalamic tract هيك بيكون احنا
+
+223
+00:20:42,170 --> 00:20:46,410
+بسرعة رجعنالكوا ال internal structure of spinal
+
+224
+00:20:46,410 --> 00:20:51,760
+cordأتكلمنا عنها الـ gray motor في اندي أنتيرال
+
+225
+00:20:51,760 --> 00:20:56,120
+هورن سيلز وضفتها motor posterior horn cells وضفتها
+
+226
+00:20:56,120 --> 00:21:00,180
+sensory وفي lateral horn cells بيكونوا في ال
+
+227
+00:21:00,180 --> 00:21:06,440
+segments من T1 لL2 وضفتهم autonomic sympathetic في
+
+228
+00:21:06,440 --> 00:21:10,400
+كمان gray commissar بينهم وفي نص ال gray commissar
+
+229
+00:21:10,400 --> 00:21:14,980
+في central spinal canalال white matter كمان اتفجنا
+
+230
+00:21:14,980 --> 00:21:17,880
+وشرحنا لكوا ياها في الصيد القبله في عندنا anterior
+
+231
+00:21:17,880 --> 00:21:21,920
+column و lateral column و posterior column بيكونوا
+
+232
+00:21:21,920 --> 00:21:28,780
+موجودين around the gray matter outer هذه هي ال
+
+233
+00:21:28,780 --> 00:21:33,480
+anterior column وهنا posterior column وعندي
+
+234
+00:21:33,480 --> 00:21:35,280
+lateral column
+
+235
+00:21:37,720 --> 00:21:41,300
+plus supply of the spinal cord في anterior أو
+
+236
+00:21:41,300 --> 00:21:47,040
+ventral spinal artery supply anterior and lateral
+
+237
+00:21:47,040 --> 00:21:51,700
+column of spinal cord and supply the anterior horn
+
+238
+00:21:51,700 --> 00:21:56,610
+cells ومعها lateral horn cellsتنين posterior
+
+239
+00:21:56,610 --> 00:22:01,030
+spinal arteries right and left supply the
+
+240
+00:22:01,030 --> 00:22:05,070
+posterior colon and posterior horn cells ال
+
+241
+00:22:05,070 --> 00:22:07,810
+anterior spinal artery و ال posterior spinal
+
+242
+00:22:07,810 --> 00:22:13,890
+arteries emerge from the vertebral arteries و مع
+
+243
+00:22:13,890 --> 00:22:17,370
+كل route بيجينا anterior و posterior radicular
+
+244
+00:22:17,370 --> 00:22:21,650
+artery بيغدو ال spinal cord هاي واضح عن دي؟
+
+245
+00:22:27,350 --> 00:22:30,650
+Anterior Spinal artery
+
+246
+00:22:33,660 --> 00:22:36,900
+Posterior rectinain left and right و في radicular
+
+247
+00:22:36,900 --> 00:22:41,940
+artery بنجسم لجسمين ل anterior radicular artery و
+
+248
+00:22:41,940 --> 00:22:44,800
+ل posterior radicular artery okay و من الجهة
+
+249
+00:22:44,800 --> 00:22:50,480
+الثانية نفس الطريقة هيك يكون احنا اتكلمنا على
+
+250
+00:22:50,480 --> 00:22:53,800
+blood supply of spinal cord و رجعنالكم موضوع ال
+
+251
+00:22:53,800 --> 00:23:00,070
+anatomy of the spinal cordالان نتكلم في موضوع
+
+252
+00:23:00,070 --> 00:23:04,770
+المحاضرة اللي هو complete spinal cord lesion
+
+253
+00:23:04,770 --> 00:23:08,170
+complete spinal cord lesion الان راح أشرح in
+
+254
+00:23:08,170 --> 00:23:11,570
+general complete and incomplete spinal cord lesion
+
+255
+00:23:11,570 --> 00:23:15,690
+بعدها بنتطرق للأمراض complete spinal cord lesion
+
+256
+00:23:15,690 --> 00:23:19,970
+متى بطلق على المريض عنده complete lesion of the
+
+257
+00:23:19,970 --> 00:23:27,890
+spinal cord if presentcomplete loss of motor power
+
+258
+00:23:27,890 --> 00:23:32,130
+below the level of lesion إذا كان في فقدان الحركة
+
+259
+00:23:32,130 --> 00:23:35,890
+بالكامل تحت مستوى الإصابة الإصابة كانت الـ
+
+260
+00:23:35,890 --> 00:23:40,430
+traumatic inflammation tumor vascular أنا بتكلم
+
+261
+00:23:40,430 --> 00:23:44,070
+general الآن complete loss of motor power below
+
+262
+00:23:44,070 --> 00:23:47,690
+the level of lesion المريض عنده شلال بالكامل تحت
+
+263
+00:23:47,690 --> 00:23:52,310
+مستوى الإصابة هي واحد ثمانcomplete loss of
+
+264
+00:23:52,310 --> 00:23:56,270
+sensation below the level of lesion المريض عنده
+
+265
+00:23:56,270 --> 00:24:00,970
+فقدان الإحساس superficial sensation و deep
+
+266
+00:24:00,970 --> 00:24:04,510
+sensation الإحساس السطحي و الإحساس العميق فقدوا
+
+267
+00:24:04,510 --> 00:24:08,430
+المريض بالكامل على مستوى الإصابة أو تحت مستوى
+
+268
+00:24:08,430 --> 00:24:15,640
+الإصابة تلاتةetonia and flaccidity with areflexia
+
+269
+00:24:15,640 --> 00:24:19,180
+هذه في بداية الإصابة المريض بدخل في حاجة اسمها
+
+270
+00:24:19,180 --> 00:24:22,420
+spinal shock راح نشرحها ان شاء الله في المحاضرات
+
+271
+00:24:22,420 --> 00:24:29,180
+اللي هي spinal cord injury هنا بيصير sudden onset
+
+272
+00:24:29,180 --> 00:24:34,310
+of lesion بيصير انsudden withdrawal of supraspinal
+
+273
+00:24:34,310 --> 00:24:37,710
+fasciation عملية التحكم من ال brain لل spinal cord
+
+274
+00:24:37,710 --> 00:24:41,790
+بيصيرها فقدان مفاجئ المريض بدخل في shock في صدمة
+
+275
+00:24:41,790 --> 00:24:46,970
+حدث عنها spinal shock spinal shock و بدخل في حاجة
+
+276
+00:24:46,970 --> 00:24:52,210
+اسمها shock stage بيكون عندهم اتونيا ارتخاء في
+
+277
+00:24:52,210 --> 00:24:59,150
+العضلات و الفقدان رد الفعل a reflexia مع
+
+278
+00:24:59,150 --> 00:25:03,440
+flaccidityو sphincter dysfunction في حالة ان
+
+279
+00:25:03,440 --> 00:25:07,220
+المريض كان عنده complete loss of motor complete
+
+280
+00:25:07,220 --> 00:25:11,720
+loss of sensation sphincter dysfunction و بيكونوا
+
+281
+00:25:11,720 --> 00:25:14,860
+اكيد atonia flaccidity in the shock stage هنا
+
+282
+00:25:14,860 --> 00:25:21,100
+بنسمي الحالة complete spinal cord lesion يعني فيه
+
+283
+00:25:21,100 --> 00:25:25,620
+انه اصابة كاملة في الحبل الشوكي او قطرة كامل في
+
+284
+00:25:25,620 --> 00:25:33,560
+الحبل الشوكيطب ناخد levels complete lesion of C1
+
+285
+00:25:33,560 --> 00:25:40,320
+C4 segments أخدنا ال segments من C1 ل C4 و فيها
+
+286
+00:25:40,320 --> 00:25:43,420
+complete lesion المريض بدخل في paralysis of
+
+287
+00:25:43,420 --> 00:25:48,040
+respiratory muscle بفقد ايه؟ مابقدرش يتنفس ليه؟
+
+288
+00:25:48,040 --> 00:25:57,740
+لأنه على level C3 C4بيكون مركز عصب اسمه frank's
+
+289
+00:25:57,740 --> 00:26:01,020
+nerve او diaphragmatic nerve العصب اللي بيغد
+
+290
+00:26:01,020 --> 00:26:05,180
+الحجاب الحاجز في الحالة ده بيصير شلل لعضلات الحجاب
+
+291
+00:26:05,180 --> 00:26:10,320
+الحاجز بدخل المريض في ال respiratory failure محتاج
+
+292
+00:26:10,320 --> 00:26:13,920
+هنا mechanical ventilation بحتاج جهاز نفس صناعي
+
+293
+00:26:13,920 --> 00:26:19,290
+اثنينبيكون عندهم quadriplegia quadriplegia و بتكون
+
+294
+00:26:19,290 --> 00:26:23,550
+aspastic او central متا central او aspastic لما
+
+295
+00:26:23,550 --> 00:26:27,070
+تنتهي ال shock stage و بيكون flaccidity in the
+
+296
+00:26:27,070 --> 00:26:30,930
+shock stage راح اتفاقنا انه في shock stage بيكون
+
+297
+00:26:30,930 --> 00:26:34,170
+المريض عنده flaccid ا tone يا ا reflexia بعد ما
+
+298
+00:26:34,170 --> 00:26:37,730
+ينتهي مدة ال shock stage تتراوح من أسبوعين تلات
+
+299
+00:26:37,730 --> 00:26:41,650
+أسابيع لحد تلات شهور بيبدأ عملية increase muscle
+
+300
+00:26:41,650 --> 00:26:44,810
+tone and increase reflexes below the level of
+
+301
+00:26:44,810 --> 00:26:50,670
+lesionوهذه العملية بنسميها شكستيج Central أو
+
+302
+00:26:50,670 --> 00:26:56,110
+Spastic quadriplegia أو Tetraplegia تلاثة Complete
+
+303
+00:26:56,110 --> 00:27:01,490
+loss of sensation below the level of lesionAtonia
+
+304
+00:27:01,490 --> 00:27:04,570
+flaccidity in shock stage and sphincter
+
+305
+00:27:04,570 --> 00:27:09,170
+dysfunction في الحالة هذه بيقول إصابة عند المريض
+
+306
+00:27:09,170 --> 00:27:13,990
+على level C1 C4 C1 C4 بنعمل spinal cord MRI for
+
+307
+00:27:13,990 --> 00:27:24,110
+confirmation of diagnosis أخدنا مستوى آخر C5 T2
+
+308
+00:27:24,110 --> 00:27:29,880
+أو T1 ممكنهذا ال level بخرج منه brachial plexus
+
+309
+00:27:29,880 --> 00:27:32,920
+بخرج منه brachial plexus أنا بكون عند المريض
+
+310
+00:27:32,920 --> 00:27:39,060
+quadriplegia لكن اللحظة انا ملاحظها قاعدة للجميع
+
+311
+00:27:39,060 --> 00:27:48,760
+في حال صار إصابة على مستوى نتكلم
+
+312
+00:27:48,760 --> 00:27:51,940
+C6 segment
+
+313
+00:27:55,200 --> 00:28:02,440
+رح يكون المريض عنده او C7 ناخد C7 segment رح يكون
+
+314
+00:28:02,440 --> 00:28:06,880
+المريض عنده شلال رباعي شلال رباعي لكن الشلال هذا
+
+315
+00:28:06,880 --> 00:28:11,300
+رح يكون جزء في ال upper limb ليش جزء في ال upper
+
+316
+00:28:11,300 --> 00:28:18,120
+limb لأنه C5 و C6 segment intact C5 و C6 رح يكونوا
+
+317
+00:28:18,120 --> 00:28:20,640
+intact في الحالة هذه المريض ممكن يعملنا في ال
+
+318
+00:28:20,640 --> 00:28:24,870
+upper limb a shoulder elevationshoulder elevation
+
+319
+00:28:24,870 --> 00:28:28,430
+لكن في ال hand complete paralysis يمكن راح يكون
+
+320
+00:28:28,430 --> 00:28:33,610
+عند المريض partial paralysis in the upper limb مع
+
+321
+00:28:33,610 --> 00:28:36,110
+complete paralysis في ال lower limbs ليه صار
+
+322
+00:28:36,110 --> 00:28:38,170
+complete في ال lower limbs؟ لأنه فيه عندي
+
+323
+00:28:38,170 --> 00:28:43,130
+corticospinal tract نازل
+
+324
+00:28:49,300 --> 00:28:53,440
+هذا اسمه lateral corticospinal tract صار damage
+
+325
+00:28:53,440 --> 00:29:02,340
+إيه لهم؟ راح يعملولنا شلل below the level طيب مين
+
+326
+00:29:02,340 --> 00:29:08,260
+اللي بيعمل شلل على نفس مستوى الإصابة؟ هم anterior
+
+327
+00:29:08,260 --> 00:29:18,830
+horn cells يبقى نطلع بمعلومة جديدة إنه ال damageof
+
+328
+00:29:18,830 --> 00:29:23,850
+grey matter اللي هي anterior horn cells بيعملنا
+
+329
+00:29:23,850 --> 00:29:29,630
+paralysis at the level of injury شلل على مستوى
+
+330
+00:29:29,630 --> 00:29:35,690
+الإصابة طيب damage of white matter اللي هو هنا
+
+331
+00:29:35,690 --> 00:29:39,070
+corticospinal tract lateral corticospinal tract
+
+332
+00:29:39,070 --> 00:29:45,070
+بيعمل paralysis below the level تحت المستوى شلل
+
+333
+00:29:45,070 --> 00:29:49,910
+تحت المستوى كمان ملاحظة ثانيةالـ damage of grey
+
+334
+00:29:49,910 --> 00:29:55,070
+motor الـ anterior horn cells راح يعملنا lower
+
+335
+00:29:55,070 --> 00:30:01,630
+motor neuron lesion طب ال damage of white motor
+
+336
+00:30:01,630 --> 00:30:06,570
+اللي هو corticospinal tract راح يعمل لنا upper
+
+337
+00:30:06,570 --> 00:30:12,170
+motor neuron lesion يبقى في ناحية ال motor ممكن
+
+338
+00:30:12,170 --> 00:30:20,600
+هنا نعلق أكتر انه بيعملنا quadriplegiaوبيعمل lower
+
+339
+00:30:20,600 --> 00:30:27,040
+motoneuron at the level of injury ليه؟ due to
+
+340
+00:30:27,040 --> 00:30:32,600
+damage of anterior horse cells اتنين بيعمل upper
+
+341
+00:30:32,600 --> 00:30:38,260
+motoneuron lesion below the level of injury ليه؟
+
+342
+00:30:38,260 --> 00:30:43,380
+due to damage of lateral corticospinal tract okay
+
+343
+00:30:44,150 --> 00:30:47,330
+وبعد ذلك نفس الشيء مراهيدو complete loss of
+
+344
+00:30:47,330 --> 00:30:52,090
+sensation, atonia flaccidity with a reflexia and
+
+345
+00:30:52,090 --> 00:30:57,030
+sphincter dysfunction رجاء حار ركزوا معايا في ال
+
+346
+00:30:57,030 --> 00:31:03,640
+spinal cord damage ofGrameter anterior horn cells
+
+347
+00:31:03,640 --> 00:31:09,080
+على مستوى الإصابة بيعملنا a lower motoneuron
+
+348
+00:31:09,080 --> 00:31:13,820
+lesion ليه؟ لأن الـ anterior horn cells تبع لمين؟
+
+349
+00:31:13,820 --> 00:31:17,300
+لأبرموتونيرون ولا لأورموتونيرون؟ للأورموتونيرون
+
+350
+00:31:17,300 --> 00:31:22,140
+طيب، below the level of lesion راح يكون عند المرضى
+
+351
+00:31:22,140 --> 00:31:27,760
+a upper motoneuron lesion due to damage of lateral
+
+352
+00:31:27,760 --> 00:31:31,060
+corticospinal tractاللي هي في شك السيج احنا
+
+353
+00:31:31,060 --> 00:31:33,280
+مابنقدر نميز بين ال upper motoneuron و lower
+
+354
+00:31:33,280 --> 00:31:37,080
+motoneuron المريض بيكون في حالة .. في حالة shock
+
+355
+00:31:37,080 --> 00:31:41,700
+وبيكون عنده a reflexia و atonia متى بميز بينهم بعد
+
+356
+00:31:41,700 --> 00:31:45,400
+انتهاء عملية الشك السيج و بقدر اميز بينهم و اقول
+
+357
+00:31:45,400 --> 00:31:49,040
+هنا في عندي upper motoneuron و هنا عندي lower
+
+358
+00:31:49,040 --> 00:31:55,940
+motoneuron أخدنا مستوى أخر complete lesion ofT3 و
+
+359
+00:31:55,940 --> 00:31:59,920
+T12 يعني هذا المستوى تحت مخرج الـ brake اللي
+
+360
+00:31:59,920 --> 00:32:04,200
+بليكساس و أعلى من إيه المخرج بتاع لمبو سيكرا اللي
+
+361
+00:32:04,200 --> 00:32:07,940
+بليكساس في الحالة هذه لو صار إصابة عنا على هذا
+
+362
+00:32:07,940 --> 00:32:08,460
+المستوى
+
+363
+00:32:12,690 --> 00:32:15,210
+الـ Upper limbs راح يكونوا intact Upper limbs راح
+
+364
+00:32:15,210 --> 00:32:18,170
+يكونوا intact مافيش فيهم شيء راح يكونوا عندنا
+
+365
+00:32:18,170 --> 00:32:23,110
+Paraplegia Spastic Paraplegia في الشق السيج راح
+
+366
+00:32:23,110 --> 00:32:28,470
+يكونوا flaccid اتونيا زائد loss of deep and
+
+367
+00:32:28,470 --> 00:32:32,510
+superficial sensation with sphincter dysfunctions
+
+368
+00:32:32,510 --> 00:32:37,890
+ناخد مستوى أخر أخدنا مستوى ال 1S2 segment في ال
+
+369
+00:32:37,890 --> 00:32:43,770
+1S2 هذا ال origin بتاع ايه اللي هملامبو ساكرال
+
+370
+00:32:43,770 --> 00:32:48,550
+لمبو ساكرال بليكساس راح يكون عند المريض paraplegia
+
+371
+00:32:48,550 --> 00:32:52,290
+لكن قد تكون partial paraplegia كيف partial
+
+372
+00:32:52,290 --> 00:32:56,550
+paraplegia انتوا عارفين اللامبو ساكرال بليكساس من
+
+373
+00:32:56,550 --> 00:33:01,990
+وين بتجيه من ال 1 لحد ال 2 هذا ال origin تبع
+
+374
+00:33:01,990 --> 00:33:05,030
+اللامبو ساكرال بليكساس اللي بيغدوا من ال lower
+
+375
+00:33:05,030 --> 00:33:10,250
+limb الصوورو مريض صار عنده إصابة على مستوى ال 5
+
+376
+00:33:10,250 --> 00:33:18,060
+segmentالـ 5 S1 segment هنا الإصابة عند المريض في
+
+377
+00:33:18,060 --> 00:33:22,890
+الحالة هذه الـ quadriceps muscleراح تتحرك ولا لأ؟
+
+378
+00:33:22,890 --> 00:33:26,530
+راح تتحرك ال quadriceps راح تتحرك راح يكون المريض
+
+379
+00:33:26,530 --> 00:33:30,590
+عنده ال extension of the knee سليم ليه؟ لأن ال
+
+380
+00:33:30,590 --> 00:33:36,530
+segments بتاعه ال 3 ال 1 ال 2 ال 3 ال 4 لحد ال 3
+
+381
+00:33:36,530 --> 00:33:40,270
+ال 4 هذا ال segment راح يكون سليم مافيش فيه إصابة
+
+382
+00:33:40,270 --> 00:33:44,190
+في الحالة دي راح يكون عند المريض paraplegia راح
+
+383
+00:33:44,190 --> 00:33:47,450
+تكون ايه ال paraplegia؟ partial paraplegia اي واحد
+
+384
+00:33:47,450 --> 00:33:53,300
+اثنينعلى مستوى الإصابة على مستوى الإصابة راح
+
+385
+00:33:53,300 --> 00:33:56,140
+المريض يكون عنده lower motor neuron lesion يعني
+
+386
+00:33:56,140 --> 00:33:59,880
+إيش lower motor neuron lesion؟ Hypotonia مثل
+
+387
+00:33:59,880 --> 00:34:03,320
+Hypotonia مثل Hypotrophy، Hyporeflexia أو
+
+388
+00:34:03,320 --> 00:34:07,380
+Areflexia below the level of injury تحت مستوى
+
+389
+00:34:07,380 --> 00:34:12,450
+الإصابة راح يكون المريض عنده إيه؟hyperreflexia
+
+390
+00:34:12,450 --> 00:34:16,910
+وasbestic manifestation ونفس الشيء complete loss
+
+391
+00:34:16,910 --> 00:34:20,610
+of sensation اتنين of lacidity in shock stage and
+
+392
+00:34:20,610 --> 00:34:25,310
+sphincter dysfunction هيك انا اتكلمت على موضوع ال
+
+393
+00:34:25,310 --> 00:34:31,050
+complete spinal cord lesion اتكلم على lesion of
+
+394
+00:34:31,050 --> 00:34:35,630
+the cauda equina احنا اتفقنا ان الcauda equina هي
+
+395
+00:34:35,630 --> 00:34:41,110
+جزء من وين؟ جزء من peripheral nervous systemيقول
+
+396
+00:34:41,110 --> 00:34:44,750
+إن في الكودة إيقاينة lesion هي الكودة إيقاينة راح
+
+397
+00:34:44,750 --> 00:34:49,790
+يكون weakness of one or both lower limbs يعني ممكن
+
+398
+00:34:49,790 --> 00:34:53,750
+يكون ضعف في الجهة أو في الجهتين في ال lower limbs
+
+399
+00:34:53,750 --> 00:34:57,410
+لكن راح يكون asymmetric presentation يعني إيش
+
+400
+00:34:57,410 --> 00:35:00,230
+asymmetric presentation يعني ال weakness ال muscle
+
+401
+00:35:00,230 --> 00:35:03,830
+power ممكن يكون في ال right side اتنين في ال left
+
+402
+00:35:03,830 --> 00:35:10,490
+fourيعني واحد على ال right 0 على ال left 2 or 3
+
+403
+00:35:10,490 --> 00:35:13,970
+muscle power يعني في asymmetric في ال muscle power
+
+404
+00:35:13,970 --> 00:35:18,610
+و ال symptoms رح يكونوا flaccid ليه flaccid لأن ال
+
+405
+00:35:18,610 --> 00:35:23,210
+peripheral root يعتبر lower motor neuron لأن ال
+
+406
+00:35:23,210 --> 00:35:26,390
+manifestation رح تكون عندهم lower motor neuron
+
+407
+00:35:26,390 --> 00:35:31,850
+painful onset radicular pain رح يكون جابلها في عند
+
+408
+00:35:31,850 --> 00:35:35,580
+المريض radicular painrefer to the lower limbs
+
+409
+00:35:35,580 --> 00:35:41,020
+الألم بنزل مع ال root radicular pain radicular
+
+410
+00:35:41,020 --> 00:35:45,300
+pain later on لو كانت يومر في البداية راح يعملنا
+
+411
+00:35:45,300 --> 00:35:50,120
+ألم pain بعدها راح يعملنا loss of sensation later
+
+412
+00:35:50,120 --> 00:35:53,700
+راح يكون radicular sensory loss أكيد راح يكون
+
+413
+00:35:53,700 --> 00:35:58,680
+عندهم stool and urine incontinence او retention
+
+414
+00:35:58,680 --> 00:36:01,440
+due to sphincter disturbances
+
+415
+00:36:04,080 --> 00:36:12,740
+الأن نتكلم على incomplete spinal cord lesion if
+
+416
+00:36:12,740 --> 00:36:20,780
+any form of sensation motor power is preserved
+
+417
+00:36:20,780 --> 00:36:26,280
+below the level of lesion spinal cord lesion is
+
+418
+00:36:26,280 --> 00:36:32,240
+considered incomplete كيف يعني؟ مريض كان عنده
+
+419
+00:36:32,240 --> 00:36:39,280
+spinal cord injuryوجدنا إنه عنده Paraparesis لكن
+
+420
+00:36:39,280 --> 00:36:45,160
+ال muscle power ما كانت zero كانت 2 أو 3 وعنده
+
+421
+00:36:45,160 --> 00:36:48,400
+partial loss of sensation هل بقدر أقول هذا
+
+422
+00:36:48,400 --> 00:36:51,580
+complete spinal cord lesion؟ لا ما بقدر بسميه
+
+423
+00:36:51,580 --> 00:36:57,620
+partial spinal cord lesion مثال آخر مريض عنده
+
+424
+00:36:57,620 --> 00:37:02,300
+complete loss of motor motor power zeroو complete
+
+425
+00:37:02,300 --> 00:37:07,260
+loss of superficial sensation لكن المريض هذا عنده
+
+426
+00:37:07,260 --> 00:37:11,980
+preserved deep sensation الاكساس العميق سليم عنده
+
+427
+00:37:11,980 --> 00:37:14,520
+هل بقدر اقول هذا complete spinal cord injury لا
+
+428
+00:37:14,520 --> 00:37:19,660
+بقول incomplete spinal cord injury incomplete ايه
+
+429
+00:37:19,660 --> 00:37:23,640
+spinal cord injury العكس صحيح مريض عنده complete
+
+430
+00:37:23,640 --> 00:37:27,600
+loss of deep sensation below the spinal cord
+
+431
+00:37:27,600 --> 00:37:32,050
+injuryعنده complete loss of deep sensation below
+
+432
+00:37:32,050 --> 00:37:36,270
+the level of spinal cord injury لكن المريض عنده ال
+
+433
+00:37:36,270 --> 00:37:39,730
+motor preserved و ال superficial sensation
+
+434
+00:37:39,730 --> 00:37:44,950
+preserved نفس الشيء بسميه incomplete spinal cord
+
+435
+00:37:44,950 --> 00:37:49,430
+lesion طب مين هم ال incomplete spinal cord lesion؟
+
+436
+00:37:50,390 --> 00:37:54,170
+بنسميهم Partial Transition Partial Transition
+
+437
+00:37:54,170 --> 00:38:00,870
+Brown Sequered Syndrome Brown Sequered Syndrome أو
+
+438
+00:38:00,870 --> 00:38:06,190
+هذا بنسميه Hemicord lesion يعني إصابة نص الحبل
+
+439
+00:38:06,190 --> 00:38:12,210
+الشوكي النوع الثاني Anterior Cord Syndrome يعني
+
+440
+00:38:12,210 --> 00:38:18,540
+إصابة الجزء الأمامي من ال spinal cordثلاثة Central
+
+441
+00:38:18,540 --> 00:38:24,700
+Cord Syndrome يعني إصابة الجزء بتاع الجريموتر في
+
+442
+00:38:24,700 --> 00:38:30,000
+منتصف الحبل الشوكي أربعة Posterior Cord Syndrome
+
+443
+00:38:30,000 --> 00:38:34,660
+إصابة الجزء الخلفي من ال spinal cordفي بعض المراجع
+
+444
+00:38:34,660 --> 00:38:38,360
+بيحطوا الـ Cauda Equina Syndrome لكن Cauda Equina
+
+445
+00:38:38,360 --> 00:38:41,940
+Syndrome خطأ ان نضعها في موضوع الـ Spinal Cord
+
+446
+00:38:41,940 --> 00:38:45,500
+Lesion هي تابعة الـ Peripheral Spinal Nerve Lesion
+
+447
+00:38:45,500 --> 00:38:48,800
+أنا شرحتلكوا الـ Incomplete Spinal Cord Lesion في
+
+448
+00:38:48,800 --> 00:38:52,200
+الجزء الثاني ان شاء الله من المحاضرة راح نفصلهم و
+
+449
+00:38:52,200 --> 00:38:56,120
+ناخد جزء الـ Prone Secret لوحده، Anterior Cord
+
+450
+00:38:56,120 --> 00:39:00,000
+لوحده، Central Cord لوحده و Posterior Cord Lesion
+
+451
+00:39:00,000 --> 00:39:03,730
+لوحدهم و أشرحلكوا ال manifestation بتاعتهميعطيكوا
+
+452
+00:39:03,730 --> 00:39:04,090
+العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6f284fca13a07e16bdb744940a90e2c0330dbd1
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU.srt
@@ -0,0 +1,1457 @@
+1
+00:00:05,280 --> 00:00:08,440
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,440 --> 00:00:12,540
+وبركاته. محاضرة الأسبوع الرابع عشر، وهو الأسبوع
+
+3
+00:00:12,540 --> 00:00:18,440
+الأخير. C and S infection. هتكلم على meningitis and
+
+4
+00:00:18,440 --> 00:00:26,420
+encephalitis. إيش تعريف meningitis؟ it is an
+
+5
+00:00:26,420 --> 00:00:32,780
+inflammatory disease of the meninges, the tissues
+
+6
+00:00:32,780 --> 00:00:36,190
+surrounding the brain. و أسلحة عضلات عضلات عضلات
+
+7
+00:00:36,190 --> 00:00:39,610
+عضلات عضلات
+
+8
+00:00:40,410 --> 00:00:44,910
+abnormal numbers of white blood cells in the CSF.
+
+9
+00:00:44,910 --> 00:00:49,890
+عشان أقول المريض عنده meningitis لازم يكون عندنا
+
+10
+00:00:49,890 --> 00:00:54,810
+abnormal numbers of white blood cells in
+
+11
+00:00:54,810 --> 00:00:59,250
+the cerebrospinal fluid. طبيعي يكونوا من 0 ل 5 ويكونوا
+
+12
+00:00:59,250 --> 00:01:02,210
+كلهم lymphocyte. لكن لو كان فيه neutrophils يعتبر
+
+13
+00:01:02,210 --> 00:01:05,630
+abnormal. لو العدد ارتفع أكثر من 5 يكون هذا
+
+14
+00:01:05,630 --> 00:01:11,810
+abnormal. ومتكلم على meningitis. Meningitis is an
+
+15
+00:01:11,810 --> 00:01:15,970
+emergency. يعني الـ meningitis تعتبر emergency، و
+
+16
+00:01:15,970 --> 00:01:21,270
+لازم البدء في العلاج من قسم الطوارئ أو من قسم الـ
+
+17
+00:01:21,270 --> 00:01:26,570
+emergency department. Mortality is often high، و
+
+18
+00:01:26,570 --> 00:01:30,030
+نسبة الوفيات فيها عالية إذا ما أخد المريض العلاج
+
+19
+00:01:30,030 --> 00:01:36,190
+المناسب. بتكلم عن التهاب سُحائي. What's the
+
+20
+00:01:36,190 --> 00:01:39,930
+cause of meningitis؟ في الزمنات قسموا الـ
+
+21
+00:01:39,930 --> 00:01:46,210
+meningitis إلى viral meningitis and bacterial
+
+22
+00:01:46,210 --> 00:01:50,510
+meningitis. Again, viral meningitis and bacterial
+
+23
+00:01:50,510 --> 00:01:55,710
+meningitis. الآن الـ meningitis نوعين: septic
+
+24
+00:01:55,710 --> 00:02:01,320
+meningitis and aseptic meningitis. كيف قسموها هيك؟
+
+25
+00:02:01,320 --> 00:02:06,420
+قالك septic meningitis ناتج عن pyogenic bacteria مثل
+
+26
+00:02:06,420 --> 00:02:10,060
+streptococcus، meningococcus، staphylococcus، و
+
+27
+00:02:10,060 --> 00:02:15,680
+هكذا. هذه بتزود ايه؟ الـ neutrophils؟ بتزود ايه؟ عدد الـ
+
+28
+00:02:15,680 --> 00:02:16,540
+neutrophils.
+
+29
+00:02:21,900 --> 00:02:26,640
+Illness characterized by serious inflammation of
+
+30
+00:02:26,640 --> 00:02:31,760
+the meninges. يعني بيزيد mononuclear pleocytosis.
+
+31
+00:02:31,760 --> 00:02:36,700
+كلمة pleocytosis يعني ارتفاع الـ white blood cells
+
+32
+00:02:36,700 --> 00:02:42,140
+في الـ CSF. Mononuclear يعني ارتفاع الـ lymphocytes في
+
+33
+00:02:42,140 --> 00:02:47,160
+الـ aseptic meningitis. بيكون أن الـ T plus cells
+
+34
+00:02:47,160 --> 00:02:52,280
+dominant. الـ lymphocytes. لكن في حالات الـ septic
+
+35
+00:02:52,280 --> 00:02:56,880
+meningitis بيكون dominant اللي هو الـ neutrophils.
+
+36
+00:02:56,880 --> 00:03:02,920
+غير. ولكن في حالات الـ septic meningitis بيكون عدد الـ
+
+37
+00:03:02,920 --> 00:03:06,840
+white blood cells مئات وآلاف. لكن في الـ aseptic
+
+38
+00:03:06,840 --> 00:03:11,780
+meningitis بيكون عشرات، مئات. طب إيش أسباب aseptic
+
+39
+00:03:11,780 --> 00:03:15,340
+meningitis؟ ممكن تكون ناجحة عن viral infection،
+
+40
+00:03:15,340 --> 00:03:21,140
+viruses. بكتيريا يعني لاحظوا، في بكتيريا بالسبب مش
+
+41
+00:03:21,140 --> 00:03:24,960
+septic، بالسبب aseptic. عشان هيك جسمه meningitis
+
+42
+00:03:24,960 --> 00:03:28,340
+نوعين: septic و aseptic. الـ aseptic meningitis في
+
+43
+00:03:28,340 --> 00:03:30,800
+نوع من البكتيريا اسمها mycoplasma pneumonia،
+
+44
+00:03:30,800 --> 00:03:35,540
+mycobacterium TB، البكتيريا،  الـ T cells اللي هو
+
+45
+00:03:35,540 --> 00:03:41,970
+الـ TB، tuberculosis، fungal infection، parasite،
+
+46
+00:03:42,530 --> 00:03:46,410
+toxoplasmosis، Spirochetial infection مثل الـ
+
+47
+00:03:46,410 --> 00:03:51,030
+syphilis و Leptospirosis. بعض الـ drugs، بعض الأدوية
+
+48
+00:03:51,030 --> 00:03:55,970
+مثل الـ non-inflammatory أو anti-inflammatory، non-
+
+49
+00:03:55,970 --> 00:04:00,050
+steroidal drugs، antibiotics، بعض الـ antibiotics،
+
+50
+00:04:00,050 --> 00:04:03,510
+allopurinol بيستخدم في حالات الـ gout، في حالات اللي
+
+51
+00:04:03,510 --> 00:04:10,110
+هو مرض النقرس، azathioprine، أو الإمغان
+
+52
+00:04:10,840 --> 00:04:14,680
+intravenous immunoglobulin (IVIG). كل هذه الأدوية
+
+53
+00:04:14,680 --> 00:04:20,140
+ممكن تعمل لنا allergy أو حساسية للـ meninges. والسبب
+
+54
+00:04:20,140 --> 00:04:24,400
+الـ aseptic meningitis. في أسباب أخرى لـ aseptic
+
+55
+00:04:24,400 --> 00:04:28,560
+meningitis ناتجة عن systemic disease مثل sarcoidosis،
+
+56
+00:04:29,390 --> 00:04:33,810
+malignancy، post-transplantation، SLE، اللي هي
+
+57
+00:04:33,810 --> 00:04:37,610
+systemic lupus erythematosus، مرض الذئبة الحمراء،
+
+58
+00:04:37,610 --> 00:04:43,050
+vasculitis، Behçet's disease، مرض بهجت. كل هذا ممكن يؤدي
+
+59
+00:04:43,050 --> 00:04:48,910
+إلى aseptic meningitis. Epidemiology of bacterial
+
+60
+00:04:48,910 --> 00:04:56,230
+meningitis. الـ incidence بين ثلاثة لخمسة لكل مائة
+
+61
+00:04:56,230 --> 00:05:00,750
+ألف، حوالي واحد أو اثنين مليون case of bacterial
+
+62
+00:05:00,750 --> 00:05:07,040
+meningitis كل سنة. يعني نسبة عالية. وهي تعتبر among
+
+63
+00:05:07,040 --> 00:05:11,940
+the 10 most common infectious causes of death. نسبة
+
+64
+00:05:11,940 --> 00:05:14,880
+عالية. عندنا نسبة الـ meningitis أو الوفاة من
+
+65
+00:05:14,880 --> 00:05:18,680
+السُحائية أو من الـ meningitis نسبتها قليلة، لكن نسبة
+
+66
+00:05:18,680 --> 00:05:21,940
+عالية في أوروبا وأمريكا. لا يعني أنه أحسن منهم،
+
+67
+00:05:21,940 --> 00:05:25,140
+نسبة عالية عندهم لأن عندهم immunocompromised set.
+
+68
+00:05:25,140 --> 00:05:28,480
+عندهم مرض الـ AIDS. من الـ AIDS بيموتوا وبيحدث عندهم
+
+69
+00:05:28,480 --> 00:05:34,230
+عندهم meningitis. نسبة الـ AIDS أو الـ HIV تكون عالية.
+
+70
+00:05:34,230 --> 00:05:37,450
+What's
+
+71
+00:05:37,450 --> 00:05:42,250
+the cause of meningitis حسب الـ cause في الـ
+
+72
+00:05:42,250 --> 00:05:45,850
+neonates، في الأطفال أقل من ثلاثين يوم، بالواحد
+
+73
+00:05:45,850 --> 00:05:48,730
+عندهم gram-negative bacilli زي
+
+74
+00:05:48,730 --> 00:05:53,590
+E.coli، Klebsiella، Haemophilus influenzae. children
+
+75
+00:05:53,590 --> 00:05:57,890
+عند الأطفال من شهر لخمسة عشر سنة، Haemophilus
+
+76
+00:05:57,890 --> 00:06:02,850
+influenzae، pneumococcus، meningococcus. في الـ adults
+
+77
+00:06:02,850 --> 00:06:06,770
+بيلاحظوا meningococcus و pneumococcus. Pneumococcus
+
+78
+00:06:06,770 --> 00:06:15,150
+اللي هو gram-positive بيحتل المرتبة الأولى. طيب كيف
+
+79
+00:06:15,150 --> 00:06:20,770
+البكتيريا بتصل للـ meninges؟ كيف البكتيريا بتصل للـ
+
+80
+00:06:20,770 --> 00:06:26,470
+meningies؟ direct extension from the ear. ممكن تصل
+
+81
+00:06:26,470 --> 00:06:32,380
+عن طريق الأذن، nasopharynx، البلعوم الأنفي، nasal sinuses، عن
+
+82
+00:06:32,380 --> 00:06:36,700
+طريق الـ sinuses. head injury، المريض عنده إصابة في
+
+83
+00:06:36,700 --> 00:06:41,280
+الرأس مع CSF leakage، مثل skull base fracture. عندهم
+
+84
+00:06:41,280 --> 00:06:45,840
+congenital meningeal defect، المريض عنده
+
+85
+00:06:45,840 --> 00:06:50,540
+meningomyelocele، meningocele، فتق في الحبل الشوكي،
+
+86
+00:06:50,540 --> 00:06:56,190
+blood stream، عن طريق الـ blood. خاصة عند المرضى اللي
+
+87
+00:06:56,190 --> 00:06:59,910
+عندهم immunocompromised patients، اللي عندهم HIV، الـ
+
+88
+00:06:59,910 --> 00:07:04,010
+AIDS، أو بياخدوا علاجات cytotoxic drugs، ترابي
+
+89
+00:07:04,010 --> 00:07:07,630
+بياخدوا علاجات مثبطة للمناعة، اللي عندهم أورام،
+
+90
+00:07:07,630 --> 00:07:11,610
+زرع أعضاء، عاملين transplantation، وبيخدوا
+
+91
+00:07:11,610 --> 00:07:15,770
+علاجات مثبطة للمناعة. في الحالة هذه، كله يعتبر
+
+92
+00:07:15,770 --> 00:07:20,850
+إيش هذا؟ اللي عندهم immunocompromised state. CSF shunt،
+
+93
+00:07:20,850 --> 00:07:31,000
+CSF shunt. المركب شنت واضح في الصورة هنا أنه
+
+94
+00:07:31,000 --> 00:07:38,000
+فيه fistula مع الـ right frontal sinus. في bone effect،
+
+95
+00:07:38,000 --> 00:07:43,500
+وفي fistula مع الـ right frontal sinus. لأن أنا أتكلم
+
+96
+00:07:43,500 --> 00:07:48,160
+على slide. persons at risk، منهم الـ risk persons لـ
+
+97
+00:07:48,160 --> 00:07:52,410
+meningitis. Pregnant women، هم يعتبروا الناس اللي
+
+98
+00:07:52,410 --> 00:07:55,490
+عندهم مناعة ضعيفة. اللي عندهم مناعة ضعيفة، مثل
+
+99
+00:07:55,490 --> 00:08:00,290
+pregnant women، ستات حوامل، infants and children أقل
+
+100
+00:08:00,290 --> 00:08:04,810
+من خمس سنوات، كبار السن، elderly، اللي أكبر من ستين
+
+101
+00:08:04,810 --> 00:08:09,930
+وخمسة وستين. Immunocompromised patients، close contact
+
+102
+00:08:09,930 --> 00:08:14,790
+with patients with chronic liver and renal disease،
+
+103
+00:08:14,790 --> 00:08:23,310
+splenic dysfunction and splenectomy، DM، skull
+
+104
+00:08:23,310 --> 00:08:29,850
+fractures and a leak of CSF، VP shunt، otitis media،
+
+105
+00:08:29,850 --> 00:08:35,070
+people with alcoholism، people with cancer،
+
+106
+00:08:35,070 --> 00:08:39,070
+especially those receiving chemotherapy and
+
+107
+00:08:39,070 --> 00:08:43,890
+radiotherapy، people who have received
+
+108
+00:08:43,890 --> 00:08:48,600
+transplantation. كل هذا المرضى يعتبروا مرضى عندهم
+
+109
+00:08:48,600 --> 00:08:52,860
+مناعة ضعيفة، وأكثر عرضة للإصابة بالتهاب السُحائي.
+
+110
+00:08:52,860 --> 00:08:58,740
+يعني كيف نُشخص اللي هو meningitis؟ أول شيء بناخد
+
+111
+00:08:58,740 --> 00:09:03,480
+history. ناخد الـ personal history، chief complaint،
+
+112
+00:09:03,980 --> 00:09:07,180
+history of present illness، past medical and
+
+113
+00:09:07,180 --> 00:09:12,240
+surgical history، contact، vaccination. كله الـ
+
+114
+00:09:12,240 --> 00:09:17,060
+history بتاعهم. What's the clinical manifestation of
+
+115
+00:09:17,060 --> 00:09:20,100
+meningitis؟ إيش هم الأعراض الرئيسية بتاعة الـ
+
+116
+00:09:20,100 --> 00:09:25,040
+meningitis؟ fever، حرارة، ارتفاع الحرارة، headache،
+
+117
+00:09:25,040 --> 00:09:31,020
+صداع شديد، neck stiffness. هذه أهم symptoms: fever،
+
+118
+00:09:31,020 --> 00:09:36,060
+headache، neck stiffness. لكن في other symptoms زي
+
+119
+00:09:36,060 --> 00:09:37,660
+إيه؟ vomiting.
+
+120
+00:09:42,610 --> 00:09:47,910
+Neck stiffness، كنا هي موجودة. Light aversion، بيكون أن
+
+121
+00:09:47,910 --> 00:09:50,950
+الـ مرضى عندهم photophobia، من الـ irritation of
+
+122
+00:09:50,950 --> 00:09:54,510
+meningeal layers. ما بيقدروش يتطلعوا في الضوء، وممكن
+
+123
+00:09:54,510 --> 00:09:59,050
+يكون عندهم phonophobia، يعني بينزعجوا من الأصوات
+
+124
+00:09:59,050 --> 00:10:02,650
+العالية. Drowsiness، decreased level of consciousness،
+
+125
+00:10:02,650 --> 00:10:05,710
+في بعض الأحيان. Joint pain، ممكن يحدث معاهم
+
+126
+00:10:05,710 --> 00:10:11,310
+polyarthralgia، وهي fitting، أي تشنجات، أو يصير
+
+127
+00:10:11,310 --> 00:10:14,750
+معاهم loss of consciousness. Clinical
+
+128
+00:10:14,750 --> 00:10:18,610
+manifestation and symptoms. أول شيء في الـ meningitis
+
+129
+00:10:18,610 --> 00:10:23,790
+بيكون شيء اسمه prodromal features، مثل أي infection،
+
+130
+00:10:23,790 --> 00:10:27,090
+ممكن يكونوا معاهم respiratory infection، signs of
+
+131
+00:10:27,090 --> 00:10:32,720
+otitis media. Meningeal symptoms بيحدث معهم إيه؟
+
+132
+00:10:32,720 --> 00:10:37,480
+severe headache، positive neck stiffness، positive
+
+133
+00:10:37,480 --> 00:10:42,640
+Kernig's sign، Brudzinski's sign، vomiting، photophobia.
+
+134
+00:10:42,640 --> 00:10:49,960
+الـ مرضى دول systemic signs: high fever، skin rash،
+
+135
+00:10:49,960 --> 00:10:56,100
+خاصة في حالات meningococcal meningitis. في
+
+136
+00:10:56,100 --> 00:10:59,680
+associated neurological signs ممكن يحدث معهم
+
+137
+00:10:59,680 --> 00:11:03,180
+impaired level of consciousness. في بعض الحالات
+
+138
+00:11:03,180 --> 00:11:06,840
+ممكن يحدث معهم sensorineural deafness، decrease of
+
+139
+00:11:06,840 --> 00:11:10,580
+hearing. 10% ممكن يكون عندنا papilloedema،
+
+140
+00:11:10,580 --> 00:11:14,640
+اللي هو swelling of optic disc due to increased
+
+141
+00:11:14,640 --> 00:11:17,860
+intracranial pressure. ممكن بعض المرضى لما يدخلوا
+
+142
+00:11:17,860 --> 00:11:20,580
+في حاجة اسمها meningoencephalitis يكون عندهم
+
+143
+00:11:20,580 --> 00:11:27,340
+focal neurological deficit. بنتكلم الآن لموضوع
+
+144
+00:11:27,340 --> 00:11:32,080
+meningococcemia، اللي بيكون ناتج عن meningococcal
+
+145
+00:11:32,080 --> 00:11:36,740
+infection. gram-negative diplococci. يبقى أن هذه
+
+146
+00:11:36,740 --> 00:11:41,000
+بيحدث diffuse vasculitis and disseminated
+
+147
+00:11:41,000 --> 00:11:44,120
+intravascular coagulation. يبقى أن في الحالة هذه
+
+148
+00:11:44,120 --> 00:11:47,920
+بيحدث diffuse vasculitis and disseminated
+
+149
+00:11:47,920 --> 00:11:54,250
+intravascular coagulation (DIC). هذا الـ DIC ممكن يؤدي
+
+150
+00:11:54,250 --> 00:12:00,830
+إلى fatal، اللي هو الـ death، يتوفى المريض منه. طب ليش
+
+151
+00:12:00,830 --> 00:12:04,430
+مُحدث مع المرضى تعيين لـ meningococcemia و
+
+152
+00:12:04,430 --> 00:12:09,430
+meningococcal meningitis skin rash، petechial rash؟
+
+153
+00:12:09,430 --> 00:12:14,750
+ليه؟ لأنه فيه leukocyte-rich fibrin تجينا في الـ
+
+154
+00:12:14,750 --> 00:12:18,330
+small blood vessels، تعمل occlusion، قد تؤدي إلى نقص
+
+155
+00:12:18,330 --> 00:12:24,800
+الأكسجين، and necrosis، purpura في الـ skin. ممكن تحدث focal
+
+156
+00:12:24,800 --> 00:12:30,120
+hemorrhage. من ايه بتوفى مرضى الـ meningococcemia و
+
+157
+00:12:30,120 --> 00:12:34,000
+meningococcal meningitis؟ What's the cause of death؟
+
+158
+00:12:34,000 --> 00:12:40,460
+أول شيء DIC. إيه يعني DIC؟ disseminated intravascular
+
+159
+00:12:40,460 --> 00:12:46,100
+coagulation. هاي واحد. ثانيًا myocarditis، التهاب في
+
+160
+00:12:46,100 --> 00:12:50,940
+عضلات القلب. أو ممكن تحدث pancarditis. Pancarditis،
+
+161
+00:12:51,710 --> 00:12:56,130
+Waterhouse-Friderichsen syndrome، اللي هي diffuse
+
+162
+00:12:56,130 --> 00:13:00,450
+adrenal gland hemorrhage، ويحدث hypotension مع
+
+163
+00:13:00,450 --> 00:13:06,050
+المرضى، collapse. هذه الأجزاء والأعضاء اللي اتصابت في
+
+164
+00:13:06,050 --> 00:13:09,940
+meningococcemia وفي meningococcal meningitis. ممكن
+
+165
+00:13:09,940 --> 00:13:16,620
+يحدث necrosis مع gangrene، petechial rash، septic
+
+166
+00:13:16,620 --> 00:13:22,560
+arthritis، osteomyelitis، septicemia في الـ blood. يحدث
+
+167
+00:13:22,560 --> 00:13:25,940
+necrosis أو hemorrhage في الـ adrenal gland،
+
+168
+00:13:25,940 --> 00:13:30,760
+pericarditis، endocarditis، myocarditis. وده كان
+
+169
+00:13:30,760 --> 00:13:35,100
+إصابة كلها مع بعض بنقولها pancarditis، التهاب
+
+170
+00:13:35,100 --> 00:13:41,810
+في كل جدار بتاع القلب. pharyngitis، conjunctivitis، و
+
+171
+00:13:41,810 --> 00:13:46,470
+cerebrospinal اللي هو involvement بيحدث هنا
+
+172
+00:13:46,470 --> 00:13:51,430
+cerebrospinal meningitis، اللي هو سُحائي ناتج من
+
+173
+00:13:51,430 --> 00:13:55,380
+meningococcal infection. هنا واحدة في الصورة، اللي
+
+174
+00:13:55,380 --> 00:13:59,400
+petechial rash، بيكون عنده طفح صغير، نقطة صغيرة، أو
+
+175
+00:13:59,400 --> 00:14:03,240
+ممكن تكون large مع necrotic changes. في حالات
+
+176
+00:14:03,240 --> 00:14:08,220
+السُحائية. وهذا عندنا حالات عديدة منهم، أنا بساعدني في
+
+177
+00:14:08,220 --> 00:14:12,400
+التشخيص. أخد skin smear، مسحة من هذا الـ lesions أو الـ
+
+178
+00:14:12,400 --> 00:14:15,660
+necrotic changes أو skin petechial rash. ناخد مسحة
+
+179
+00:14:15,660 --> 00:14:19,430
+ونفحصها، ونفحصها ونبعتها للمختبر، ونفحص فيها
+
+180
+00:14:19,430 --> 00:14:22,810
+جرثومة gram-negative diplococci أو مافي عشان نحدد هذه
+
+181
+00:14:22,810 --> 00:14:27,410
+سببها meningitis أو other disease. هاي واضح هنا، كله
+
+182
+00:14:27,410 --> 00:14:34,990
+skin rash، petechial rash، poor prognostic factors
+
+183
+00:14:34,990 --> 00:14:41,070
+of meningococcal infection. في أشياء لما ألاحظها عند
+
+184
+00:14:41,070 --> 00:14:44,910
+المريض، هدي بت… بتدل إنه
+
+223
+00:17:16,200 --> 00:17:20,100
+منهم ممكن المرضى يدخلوا في نقص في السماع ويصير
+
+224
+00:17:20,100 --> 00:17:23,000
+يتهم الدكتور أنك السبب ابني بطل يسمع طب وأنا
+
+225
+00:17:23,000 --> 00:17:27,220
+داخل الطبيب هو 20% من حالات الـ meningitis خاصة
+
+226
+00:17:27,220 --> 00:17:29,980
+pneumococcus اللي هي gram positive دي بلو كوكاية
+
+227
+00:17:29,980 --> 00:17:35,400
+ممكن يدخلوا في اللي هو نقص of hearing، brain
+
+228
+00:17:35,400 --> 00:17:39,100
+abscess، obstructive hydrocephalus، يحدث التصاق وهي
+
+229
+00:17:39,100 --> 00:17:45,390
+انتفاخ في البطين تحت الدماغ، إيش الفحوصات اللي نعملهم
+
+230
+00:17:45,390 --> 00:17:51,830
+لمرض meningitis؟ أول شيء CBC ضروري نشوف فيه
+
+231
+00:17:51,830 --> 00:17:55,830
+thrombocytopenia، ما فيش thrombocytopenia، نشوف الـ
+
+232
+00:17:55,830 --> 00:17:58,690
+white blood cells، فيه leukopenia، فيه leukocytosis
+
+233
+00:17:58,690 --> 00:18:03,700
+نفحص blood chemistry check على الـ kidney function test
+
+234
+00:18:03,700 --> 00:18:07,520
+liver function test، serum electrolytes، fasting
+
+235
+00:18:07,520 --> 00:18:10,760
+blood sugar، في الحالة دي لازم يكون عارفينهم
+
+236
+00:18:10,760 --> 00:18:15,680
+ coagulation state، نفحص الـ PT، PTT، INR عشان نشوف
+
+237
+00:18:15,680 --> 00:18:19,300
+عملية التجلط الدم لو بدنا نروح نعمل lumber puncture
+
+238
+00:18:19,300 --> 00:18:21,860
+و خاصة المرضى اللي عندهم meningococcal meningitis
+
+239
+00:18:21,860 --> 00:18:24,720
+أو meningococcemia، لأن المرضى اللي بيدخلوا فيه في
+
+240
+00:18:24,720 --> 00:18:28,460
+diffuse intravascular coagulation أو DIC بنسميها
+
+241
+00:18:29,800 --> 00:18:34,960
+Blood culture، ناخد عينة على الدم، Skin smear، في
+
+242
+00:18:34,960 --> 00:18:37,820
+حالة meningococcal infection، ناخد مسحة من
+
+243
+00:18:37,820 --> 00:18:41,600
+الـ petechiae rash، Brain CT، we fund this
+
+244
+00:18:41,600 --> 00:18:43,900
+examination، بنعمل this examination to
+
+245
+00:18:43,900 --> 00:18:47,760
+exclude papilloedema، ليه بنعمل CT أحيانا في بعض
+
+246
+00:18:47,760 --> 00:18:51,640
+الأحيان، to exclude focal brain damage or increased
+
+247
+00:18:51,640 --> 00:18:57,450
+intracranial pressure؟ PCR اللي هو polymerase chain
+
+248
+00:18:57,450 --> 00:19:00,770
+reaction، هذا عشان نفحص الـ virus، إيش نوع الـ viruses
+
+249
+00:19:00,770 --> 00:19:05,490
+chest x-ray لو في عندنا pneumonia نكشفها، skull x-
+
+250
+00:19:05,490 --> 00:19:10,310
+ray في حال إنه في fracture نكشف الـ fracture، sinus
+
+251
+00:19:10,310 --> 00:19:14,730
+x-ray إذا في sinusitis هي مسببة meningitis نعملها
+
+252
+00:19:14,730 --> 00:19:17,980
+Detection and Prognosis of Bacterial Meningitis
+
+253
+00:19:17,980 --> 00:19:21,300
+البكتيريا الميننچايتس، البكتيريا الميننچايتس
+
+254
+00:19:21,300 --> 00:19:26,000
+البكتيريا الميننچايتس، الـ mortality
+
+255
+00:19:26,000 --> 00:19:32,380
+rate بيزيد مع زيادة العمر، في أمريكا كانت في دراسة
+
+256
+00:19:32,380 --> 00:19:37,100
+قديمة، كانت 2003-2007، هذه الدراسة وجدت أن الـ
+
+257
+00:19:37,100 --> 00:19:43,430
+mortality rate كان 8.9% عند اللي عمرهم 18 لـ
+
+258
+00:19:43,430 --> 00:19:51,830
+34 سنة، و 22.7% عند كبار السن أكتر من 65 سنة، what's
+
+259
+00:19:51,830 --> 00:19:56,530
+the management of meningitis؟ كيف ننعالج الـ
+
+260
+00:19:56,530 --> 00:20:02,570
+meningitis؟ أول شيء نعطيهم adequate analgesia، نعطي
+
+261
+00:20:02,570 --> 00:20:06,570
+good analgesia، نعطي Paracetamol، الـ
+
+262
+00:20:06,570 --> 00:20:11,210
+Paracetamol أنا بعمل correction للحرارة، مع
+
+263
+00:20:11,210 --> 00:20:13,750
+correction للـ headache و الـ pain، يعني بالـ
+
+264
+00:20:13,750 --> 00:20:18,610
+Paracetamol أنا بقلل الحرارة وبقلل الألم عند
+
+265
+00:20:18,610 --> 00:20:23,830
+المريض، Fluid management، نعطي سوائل، Dexamethasone
+
+266
+00:20:23,830 --> 00:20:26,630
+في الـ bacterial meningitis عشان نعمل prevention
+
+267
+00:20:26,630 --> 00:20:32,210
+لموضوع sensorineural deafness، إذا
+
+268
+00:20:32,210 --> 00:20:35,930
+meningioencephalitis suspected، يعني viral يكون،
+
+269
+00:20:35,930 --> 00:20:39,670
+ممكن نعطي acyclovir، نعطي acyclovir، في حالات
+
+270
+00:20:39,670 --> 00:20:45,590
+البكتيريا meningitis، بنعطي
+
+271
+00:20:45,590 --> 00:20:49,410
+ceftriaxone و vancomycin، أو إذا أنا في
+
+272
+00:20:49,410 --> 00:20:51,810
+epidemic rash، هذه ناتجة من meningococcemia أو
+
+273
+00:20:51,810 --> 00:20:54,850
+meningococcal infection، بنعطي ceftriaxone مع
+
+274
+00:20:54,850 --> 00:21:00,750
+penicillin، symptomatic therapy and treatment of
+
+275
+00:21:00,750 --> 00:21:04,010
+complications، في حال أنا المريض دخل في استجابة و
+
+276
+00:21:04,010 --> 00:21:07,970
+أنا مش قادر أميز هذه viral أو bacterial أو septic
+
+277
+00:21:07,970 --> 00:21:11,810
+أو aseptic، بنعطي الـ acyclovir مع ceftriaxone مع
+
+278
+00:21:11,810 --> 00:21:14,730
+vancomycin أو ceftriaxone مع penicillin مع
+
+279
+00:21:14,730 --> 00:21:17,970
+acyclovir، ده أنا شاكر، وبعد ما أثبت أنه هذه
+
+280
+00:21:17,970 --> 00:21:21,810
+bacterial أو viral، ممكن أغير، أثبت أنها
+
+281
+00:21:21,810 --> 00:21:24,480
+bacterial، بوقف الـ acyclovir، لأن لقينا أن هو دي ما شي
+
+282
+00:21:24,480 --> 00:21:29,800
+مع viral، بنخلي ماشيين على الـ acyclovir، طب استيرئيد
+
+283
+00:21:29,800 --> 00:21:32,700
+therapy in meningitis، نعطي استيرئيد ولا ما نعطيش في
+
+284
+00:21:32,700 --> 00:21:36,380
+الـ meningitis، Corticosteroids are avoided in
+
+285
+00:21:36,380 --> 00:21:38,620
+aseptic meningitis، في حالة الـ aseptic meningitis
+
+286
+00:21:38,620 --> 00:21:44,540
+لا يفضل نعطي استيرئيد، لأنه ممكن يزيد انتشار الـ
+
+287
+00:21:44,540 --> 00:21:48,120
+viral infection عند المريض، Glucocorticoids أو
+
+288
+00:21:48,120 --> 00:21:52,260
+الـ dexamethasone ممكن تستخدم في حالات الـ bacterial
+
+289
+00:21:52,260 --> 00:21:56,440
+meningitis، وخاصة في حالات pneumococcus meningitis
+
+290
+00:21:56,440 --> 00:22:00,080
+ليه؟ لأنها بتقلل الـ intracranial pressure، هي
+
+291
+00:22:00,080 --> 00:22:03,460
+واحدة، ثانية، أنت تعمل prevention للـ sensorineural
+
+292
+00:22:03,460 --> 00:22:08,040
+deafness، بتقلل إصابة عصب السمع اللي ممكن تحدث عند
+
+293
+00:22:08,040 --> 00:22:10,100
+مرضى الصمم
+
+294
+00:22:12,500 --> 00:22:20,060
+طب سؤال، متى أخرج المريض؟ أو جاب مثل السؤال، مدة عزل
+
+295
+00:22:20,060 --> 00:22:23,180
+المريض، يعني المريض، متى أ عزله إذا كان بكتيريا؟
+
+296
+00:22:23,180 --> 00:22:26,200
+بننزله 24 ساعة من بدء العلاج، عزلناه في
+
+297
+00:22:26,200 --> 00:22:28,500
+غرفة، 24 ساعة على واحد، وبعدين ممكن أهله
+
+298
+00:22:28,500 --> 00:22:31,340
+يدخلوا عنده، وممكن يحطوه في أي غرفة ثانية، يعني أول
+
+299
+00:22:31,340 --> 00:22:34,500
+24 ساعة بننزل المريض، خاصة ده في حالات الـ
+
+300
+00:22:34,500 --> 00:22:37,680
+bacterial meningitis، طيب 24 ساعة من بدء
+
+301
+00:22:37,680 --> 00:22:41,350
+العلاج، الـ duration of treatment، مدة العلاج، مدة
+
+302
+00:22:41,350 --> 00:22:44,390
+العلاج، تتوقف على نوع الـ microorganism، على نوع
+
+303
+00:22:44,390 --> 00:22:48,130
+البكتيريا، الـ septic ولا الـ aseptic، الـ aseptic ممكن
+
+304
+00:22:48,130 --> 00:22:51,930
+يأخذ خمس أيام ويروح المريض، لكن إذا كانت الـ septic
+
+305
+00:22:51,930 --> 00:22:56,490
+meningitis، تتروح مدة العلاج أسبوع، عشرة أيام، أربعة وعشرة
+
+306
+00:22:56,490 --> 00:22:59,930
+أيام، في بعض الأحيان بتأخذ 21 يوم، يعني
+
+307
+00:22:59,930 --> 00:23:05,710
+meningococcus سبعة أيام، Hemophilus influenza سبعة
+
+308
+00:23:05,710 --> 00:23:10,330
+أيام، pneumococcus بتأخذ من عشرة أيام لـ 14 يوم
+
+309
+00:23:10,330 --> 00:23:13,610
+اللي هي streptococcus pneumonia، aerobic gram
+
+310
+00:23:13,610 --> 00:23:17,390
+negative bacilli زي الإشريكية القولونية، اللي هي بتاخد
+
+311
+00:23:17,390 --> 00:23:21,290
+بتأخذ 21 يوم، بتأخذ علاج كم؟ 21
+
+312
+00:23:21,290 --> 00:23:25,610
+يوم، antiviral therapy، بنعطي antiviral therapy في الـ
+
+313
+00:23:25,610 --> 00:23:31,150
+meningitis، بنعطيه في حالات إذا كان عندي الفحص بين
+
+314
+00:23:31,150 --> 00:23:34,950
+في herpes simplex virus type 1 أو في varicella أو
+
+315
+00:23:34,950 --> 00:23:39,250
+في cytomegalovirus، وبنعطيه لـ immunocompromised
+
+316
+00:23:39,250 --> 00:23:44,370
+patients، long-term therapy لحالات مثل الـ AIDS أو الـ
+
+317
+00:23:44,370 --> 00:23:47,110
+HIV، مرضى اللي عندهم AIDS والمرضى اللي عندهم
+
+318
+00:23:47,110 --> 00:23:52,790
+immunocompromised، prevention، الوقاية ضرورية، hand
+
+319
+00:23:52,790 --> 00:23:58,290
+washing and other general good health measures، الـ
+
+320
+00:23:58,290 --> 00:24:02,850
+vaccination لبعض الـ viruses مثل الـ poliomyelitis، الـ
+
+321
+00:24:02,850 --> 00:24:06,810
+measles، و الـ mumps، و الـ rubella، هدول بيحتاجوا
+
+322
+00:24:06,810 --> 00:24:11,580
+vaccination من  أول طفولة، هيك بتكون إحنا شرحنا
+
+323
+00:24:11,580 --> 00:24:16,200
+لكم موضوع التهاب السحايا meningitis، نتكلم في خمس
+
+324
+00:24:16,200 --> 00:24:21,520
+دقائق على encephalitis، viral encephalitis، الـ viral
+
+325
+00:24:21,520 --> 00:24:28,250
+encephalitis، أو الـ encephalitis in general، ممكن
+
+326
+00:24:28,250 --> 00:24:32,010
+يكون primary أو post-infectious، اليوم أنا هتكلم
+
+327
+00:24:32,010 --> 00:24:34,410
+على primary encephalitis اللي هي viral
+
+328
+00:24:34,410 --> 00:24:37,810
+encephalitis، لكن موضوع post-infectious
+
+329
+00:24:37,810 --> 00:24:44,000
+encephalitis، هذا الموضوع، اللي علاقة بـ ADEM، تشخيص
+
+330
+00:24:44,000 --> 00:24:48,520
+ADEM أو acute disseminated encephalomyelitis، وأنا
+
+331
+00:24:48,520 --> 00:24:51,900
+شرحته في محاضرة demyelinating disorders و الـ MS
+
+332
+00:24:51,900 --> 00:24:55,080
+شرحته في محاضرة الـ demyelinating disorders، ADEM
+
+333
+00:24:55,080 --> 00:24:58,160
+acute disseminated encephalomyelitis، يبقى اليوم
+
+334
+00:24:58,160 --> 00:25:02,620
+المحاضرة هتكمل على موضوع primary encephalitis اللي
+
+335
+00:25:02,620 --> 00:25:07,770
+هي viral encephalitis، characterized by primary
+
+336
+00:25:07,770 --> 00:25:12,430
+viral invasion of CNS، يبقى هذا السبب الرئيسي، فيروس
+
+337
+00:25:12,430 --> 00:25:17,430
+لكن الـ post-infectious أو الـ immunomediated
+
+338
+00:25:17,430 --> 00:25:21,570
+encephalitis، هذه ناتجة عن إما المريض كان عنده
+
+339
+00:25:21,570 --> 00:25:27,190
+infection قبل أو ما أخذ vaccination لقاح، أو شيء قد
+
+340
+00:25:27,190 --> 00:25:31,110
+يسبب له secondary encephalitis، أو بنسمي post-
+
+341
+00:25:31,110 --> 00:25:33,550
+vaccination أو post-infectious encephalitis
+
+342
+00:25:33,550 --> 00:25:36,770
+الموضوع هذا شرحته لكم في demyelinating disorders
+
+343
+00:25:36,770 --> 00:25:40,330
+طيب الـ post-infectious هي عبارة عن
+
+344
+00:25:40,330 --> 00:25:43,490
+immunomediated، بنسميها acute disseminated
+
+345
+00:25:43,490 --> 00:25:46,970
+encephalomyelitis، ممكن تكون ناتجة عن فيروس زي post-
+
+346
+00:25:46,970 --> 00:25:50,150
+infectious، بس مش الفيروس هو السبب الرئيسي، ما بعد
+
+347
+00:25:50,150 --> 00:25:53,250
+الـ viral infection، وممكن تكون ناتجة عن vaccination
+
+348
+00:25:53,250 --> 00:25:55,410
+أخذها المصاب
+
+349
+00:25:58,250 --> 00:26:02,790
+الـ viral pathogenesis in primary encephalitis، the
+
+350
+00:26:02,790 --> 00:26:07,530
+most common type of viral encephalitis is herpes
+
+351
+00:26:07,530 --> 00:26:12,090
+simplex virus type 1، في other types، Japanese
+
+352
+00:26:12,090 --> 00:26:16,890
+enterovirus، West Nile، St. Louis، California،
+
+353
+00:26:17,950 --> 00:26:21,470
+Western equine، كلهم يعتبروا أنواع من الـ viral
+
+354
+00:26:21,470 --> 00:26:24,750
+infection، هم اللي بتتشخص عن طريق الـ PCR، بتتم
+
+355
+00:26:24,750 --> 00:26:29,700
+تشخيصهم، uncommon اللي هي varicella zoster، Epstein
+
+356
+00:26:29,700 --> 00:26:34,900
+Barr، HIV، human herpes virus 6، لكن أكثر نوع بسبب
+
+357
+00:26:34,900 --> 00:26:39,640
+فيروس encephalitis اللي هو herpes simplex virus
+
+358
+00:26:39,640 --> 00:26:44,840
+type 1، طب مين هما الـ viral infections اللي ممكن تمنع
+
+359
+00:26:44,840 --> 00:26:48,460
+post-infectious encephalitis، ADEM على سبيل المثال
+
+360
+00:26:48,460 --> 00:26:53,920
+ممكن mumps، measles، varicella zoster، rubella، influenza،
+
+361
+00:26:53,920 --> 00:26:58,000
+chickenpox كمان، بتاع الجدري، كل هذا ممكن يسبب لنا a
+
+362
+00:26:58,000 --> 00:27:02,540
+post-infectious meningitis، اللي هي ADEM، قبل أسبوعين
+
+363
+00:27:02,540 --> 00:27:05,360
+عشرة أيام، شخصت حالة في الأطفال اللي عندنا في ناصر
+
+364
+00:27:05,360 --> 00:27:09,300
+كان المريض عنده chickenpox (جدري) بعد أسبوعين حدث معه
+
+365
+00:27:09,300 --> 00:27:13,540
+تغير في الـ behavior، changes، aggressive، seizures،
+
+366
+00:27:13,540 --> 00:27:15,960
+عشان جاء decreased level of consciousness، بيدخل
+
+367
+00:27:15,960 --> 00:27:20,000
+في غيبوبة، وانعمل MRI وشخصنا أنه هذه حالة acute
+
+368
+00:27:20,000 --> 00:27:24,020
+disseminated encephalomyelitis، وعطيته الـ هو
+
+369
+00:27:24,020 --> 00:27:30,480
+methylprednisolone و IVIG، والحمد لله اتحسن كتير
+
+370
+00:27:30,480 --> 00:27:36,490
+المريض، ووضعه ممتاز وتم خروجه من القسم، Clinical
+
+371
+00:27:36,490 --> 00:27:41,270
+Features of Viral Encephalitis، Prodromal symptoms،
+
+372
+00:27:41,430 --> 00:27:46,430
+fever، generalized malaise، headache، myalgia، كل
+
+373
+00:27:46,430 --> 00:27:50,510
+هذا أعراض مثل أي viral infection، كل لما بيحدث
+
+374
+00:27:50,510 --> 00:27:53,290
+معنا إنفلونزا، إيش بيكون عندنا؟ صداع، ألم في
+
+375
+00:27:53,290 --> 00:27:57,830
+العضلات، ألم في المفاصل، fatigue، ليه؟ لأن الـ viral
+
+376
+00:27:57,830 --> 00:28:02,830
+بيعمل Transient Myopathy، ممكن يكون معهم cough، sore
+
+377
+00:28:02,830 --> 00:28:06,330
+throat، nausea، vomiting، لكن أهم symptom بيكون
+
+378
+00:28:06,330 --> 00:28:09,050
+عندهم headache، المرضى هذول بيكون عندهم إيش؟ صداع
+
+379
+00:28:09,050 --> 00:28:14,770
+شديد، neurologic signs، altered mental status، ممكن
+
+380
+00:28:14,770 --> 00:28:17,430
+يكون عندهم behavior changes، decreased level of
+
+381
+00:28:17,430 --> 00:28:20,670
+consciousness، cognitive decline، personality
+
+382
+00:28:20,670 --> 00:28:24,050
+changes، ممكن يحدث معهم movement disorder، speech
+
+383
+00:28:24,050 --> 00:28:28,760
+difficulty، motor sensory deficit، movement
+
+384
+00:28:28,760 --> 00:28:33,740
+disorder، hyperkinesia، ataxia، convulsions، كل هذه
+
+385
+00:28:33,740 --> 00:28:37,840
+أعراض ناتجة عن encephalitis، إذا في meningitis
+
+386
+00:28:37,840 --> 00:28:40,580
+قلنا ما ذكرناش كتير الأعراض هذه، لأن هذه كانت
+
+387
+00:28:40,580 --> 00:28:43,200
+الالتهاب في الغلاف، في الـ meningial layers، هنا
+
+388
+00:28:43,200 --> 00:28:46,440
+بتكلم عن inflammation في الـ tissue of the brain،
+
+389
+00:28:46,440 --> 00:28:51,830
+في الأنسجة الدماغية، investigations، نفس الموضوع
+
+390
+00:28:51,830 --> 00:28:55,630
+الـ meningitis، CBC، chemistry، coagulation studies، CSF
+
+391
+00:28:55,630 --> 00:29:01,230
+examination، blood culture، PCR، بنعمل للمريض عشان
+
+392
+00:29:01,230 --> 00:29:04,430
+نحدد نوع الفيروس، polymerase chain reaction
+
+393
+00:29:04,430 --> 00:29:10,250
+neuroimaging، CT، MRI، الـ MRI أفضل من الـ CT لتشخيص الـ
+
+394
+00:29:10,250 --> 00:29:13,550
+encephalitis، brain biopsy، في بعض الحالات ممكن
+
+395
+00:29:13,550 --> 00:29:16,770
+يحتاجوا brain biopsy، في حالات الـ encephalitis is
+
+396
+00:29:16,770 --> 00:29:21,610
+still unknown cause، إيش بنلاقي عندهم في الـ CSF
+
+397
+00:29:21,610 --> 00:29:26,930
+findings في حالات الـ viral encephalitis؟ increased
+
+398
+00:29:26,930 --> 00:29:28,930
+white blood cells، بس بتكون بالعشرات مش عالية
+
+399
+00:29:28,930 --> 00:29:34,330
+نسبتهم كتير، وبيكون dominant lymphocytes، ارتفاع الـ
+
+400
+00:29:34,330 --> 00:29:39,260
+protein، زيادة في نسبة الـ protein، الجلوكوز normal
+
+401
+00:29:39,260 --> 00:29:44,940
+بتكون في الـ CSF، لكن في حالات الـ .. الـ mumps و الـ
+
+402
+00:29:44,940 --> 00:29:48,880
+herpes simplex virus ممكن يحدث نقص في اللي هو
+
+40
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ec9993c8ed8a792add2bc3dd6592a39e862955f0
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_postprocess.srt
@@ -0,0 +1,1716 @@
+1
+00:00:05,280 --> 00:00:08,440
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,440 --> 00:00:12,540
+وبركاته محاضرة الأسبوع الرابع عشر وهو الأسبوع
+
+3
+00:00:12,540 --> 00:00:18,440
+الأخير C and S infection هتكلم على meningitis and
+
+4
+00:00:18,440 --> 00:00:26,420
+encephalitis إيش تعريف meningitis it is an
+
+5
+00:00:26,420 --> 00:00:32,780
+inflammatory disease of the meninges the tissues
+
+6
+00:00:32,780 --> 00:00:36,190
+surrounding the brainو أسلحة عضلات عضلات عضلات
+
+7
+00:00:36,190 --> 00:00:39,610
+عضلات عضلات
+
+8
+00:00:40,410 --> 00:00:44,910
+abnormal numbers of white blood cells in the CSF
+
+9
+00:00:44,910 --> 00:00:49,890
+عشان اقول المريض عنده meningitis لازم يكون عندنا
+
+10
+00:00:49,890 --> 00:00:54,810
+abnormal numbers of white blood cells in
+
+11
+00:00:54,810 --> 00:00:59,250
+cerebrospinal fluid طبيعي يكونوا من 0 ل 5 ويكونوا
+
+12
+00:00:59,250 --> 00:01:02,210
+كلهم lymphocyte لكن لو كان فيه nitrophils يعتبر
+
+13
+00:01:02,210 --> 00:01:05,630
+abnormal لو العدد ارتفع اكثر من 5 يكون هذا
+
+14
+00:01:05,630 --> 00:01:11,810
+abnormal ومتكلم على meningitismeningitis is an
+
+15
+00:01:11,810 --> 00:01:15,970
+emergency يعني الـ meningitis تعتبر emergency و
+
+16
+00:01:15,970 --> 00:01:21,270
+لازم البدء في العلاج من القسم الطوارئ أو من قسم ال
+
+17
+00:01:21,270 --> 00:01:26,570
+emergency department mortality is often high و
+
+18
+00:01:26,570 --> 00:01:30,030
+نسبة الوفيات فيها عالية إذا ما أخدش المريض العلاج
+
+19
+00:01:30,030 --> 00:01:36,190
+المناسب بتكلم عن التهاب صحية التهاب صحيةWhat's the
+
+20
+00:01:36,190 --> 00:01:39,930
+cause of meningitis؟ في الزمنات قسموا ال
+
+21
+00:01:39,930 --> 00:01:46,210
+meningitis إلى viral meningitis and bacterial
+
+22
+00:01:46,210 --> 00:01:50,510
+meningitis again viral meningitis and bacterial
+
+23
+00:01:50,510 --> 00:01:55,710
+meningitis الآن ال meningitis نوعين septic
+
+24
+00:01:55,710 --> 00:02:01,320
+meningitis and aseptic meningitisكيف قسموها هيك؟
+
+25
+00:02:01,320 --> 00:02:06,420
+قالك septic meningitis ناتج عن بيوجينك بكتيريا مثل
+
+26
+00:02:06,420 --> 00:02:10,060
+streptococcus, meningococcus, staphylococcus و
+
+27
+00:02:10,060 --> 00:02:15,680
+هكذا هذه بتزود ايه ال nitrophils؟ بتزود ايه عدد ال
+
+28
+00:02:15,680 --> 00:02:16,540
+nitrophils
+
+29
+00:02:21,900 --> 00:02:26,640
+Illness characterized by serious inflammation of
+
+30
+00:02:26,640 --> 00:02:31,760
+the meninges يعني بيزود mono nuclear pleocytosis
+
+31
+00:02:31,760 --> 00:02:36,700
+كلمة pleocytosis يعني ارتفاع ال white blood cells
+
+32
+00:02:36,700 --> 00:02:42,140
+في ال CSFمولو نوكليا يعني ارتفاع الـ lymphocyte في
+
+33
+00:02:42,140 --> 00:02:47,160
+الـ aseptic meningitis بيكون ان ال Y plus cells
+
+34
+00:02:47,160 --> 00:02:52,280
+dominant ال lymphocyte لكن في حالات ال septic
+
+35
+00:02:52,280 --> 00:02:56,880
+meningitis بيكون dominant اللي هو ال nitrophils
+
+36
+00:02:56,880 --> 00:03:02,920
+غير ولكن في حالات ال septic meningitisبيكون عدد ال
+
+37
+00:03:02,920 --> 00:03:06,840
+white blood cells مئات و ألاف لكن في ال aseptic
+
+38
+00:03:06,840 --> 00:03:11,780
+meningitis بيكون عشرات، مئات طب إيش أسباب aseptic
+
+39
+00:03:11,780 --> 00:03:15,340
+meningitis؟ ممكن تكون ناجحة عن viral infection،
+
+40
+00:03:15,340 --> 00:03:21,140
+virusesبكتيريا يعني لاحظوا في بكتيريا بالسبب مش
+
+41
+00:03:21,140 --> 00:03:24,960
+septic بالسبب aseptic عشان هيك جسمه meningitis
+
+42
+00:03:24,960 --> 00:03:28,340
+لنوعين septic و aseptic ال aseptic meningitis في
+
+43
+00:03:28,340 --> 00:03:30,800
+نوع من البكتيريا اسمها mycoplasma pneumonia
+
+44
+00:03:30,800 --> 00:03:35,540
+mycobacterium TB البكتيريا تلاتة ال cell اللي هو
+
+45
+00:03:35,540 --> 00:03:41,970
+ال TB tuberculosis fungal infectionParasite,
+
+46
+00:03:42,530 --> 00:03:46,410
+toxoplasmosis, Spirochetial infection مثل الـ
+
+47
+00:03:46,410 --> 00:03:51,030
+Syphilis و Leptospirosis بعض ال drugs بعض الألاجات
+
+48
+00:03:51,030 --> 00:03:55,970
+مثل ال non inflammatory أو Anti inflammatory, non
+
+49
+00:03:55,970 --> 00:04:00,050
+steroidal drugs Antibiotics بعض ال antibiotics
+
+50
+00:04:00,050 --> 00:04:03,510
+Alloperanol بيستخدم في حالات ال gout في حالات اللي
+
+51
+00:04:03,510 --> 00:04:10,110
+هو مرض النقرص Azithroazethioprine أو الإمغان
+
+52
+00:04:10,840 --> 00:04:14,680
+Intravenous Immunoglobulin IVIG كل هذه الأدوية
+
+53
+00:04:14,680 --> 00:04:20,140
+ممكن تعملنا Allergy أو حساسية للـMeninges والسبب
+
+54
+00:04:20,140 --> 00:04:24,400
+Aseptic Meningitis في أسباب أخرى لـAseptic
+
+55
+00:04:24,400 --> 00:04:28,560
+Meningitis نادية عن Systemic Disease مثل Sarcosis
+
+56
+00:04:29,390 --> 00:04:33,810
+Malignancy Post-transplantation SLE اللي هي
+
+57
+00:04:33,810 --> 00:04:37,610
+systemic lobus erythematosis مرض الدقبة الحمراء
+
+58
+00:04:37,610 --> 00:04:43,050
+Vasculitis بهجة disease مرض بهجة كل هذا ممكن يؤدي
+
+59
+00:04:43,050 --> 00:04:48,910
+الى aseptic meningitis Epidemiology of bacterial
+
+60
+00:04:48,910 --> 00:04:56,230
+meningitis ال incidence بين ثلاثة لخمسة كل مائة
+
+61
+00:04:56,230 --> 00:05:00,750
+الفحوالي واحد اتنين مليون case of bacterial
+
+62
+00:05:00,750 --> 00:05:07,040
+meningitis كل سنة يعني نسبة عاليةوهي اعتبر among
+
+63
+00:05:07,040 --> 00:05:11,940
+the 10 most common infectious cause of death نسبة
+
+64
+00:05:11,940 --> 00:05:14,880
+عالية، عندنا نسبة ال meningitis أو الوفاة من
+
+65
+00:05:14,880 --> 00:05:18,680
+الصحية أو من ال meningitis نسبته جليلة لكن نسبة
+
+66
+00:05:18,680 --> 00:05:21,940
+عالية في أوروبا و أمريكا، لا يعني أنه أحسن منهم،
+
+67
+00:05:21,940 --> 00:05:25,140
+نسبة عالية عندهم لأن عندهم immunocompromised set
+
+68
+00:05:25,140 --> 00:05:28,480
+عندهم مرض ال AIDS، من ال AIDS بيموتوا و بيحدثوا
+
+69
+00:05:28,480 --> 00:05:34,230
+عندهم meningitis، نسبة ال AIDS أو ال HIVتكون عالية
+
+70
+00:05:34,230 --> 00:05:37,450
+what's
+
+71
+00:05:37,450 --> 00:05:42,250
+the cause of meningitis حسب ال cause في ال
+
+72
+00:05:42,250 --> 00:05:45,850
+neonates في الأطفال أقل من ثلاثين يوم بالواحد
+
+73
+00:05:45,850 --> 00:05:48,730
+عندهم gram negative bacilli زي
+
+74
+00:05:48,730 --> 00:05:53,590
+الشريخكولايكليبسييلة homophilus influenza children
+
+75
+00:05:53,590 --> 00:05:57,890
+عند الأطفال من شهر لخمس عشر سنة homophilus
+
+76
+00:05:57,890 --> 00:06:02,850
+influenza pneumococcus meningococcusفي ال adult
+
+77
+00:06:02,850 --> 00:06:06,770
+بيلاحظ meningococcus و pneumococcus pneumococcus
+
+78
+00:06:06,770 --> 00:06:15,150
+اللي هو gram positive بيحتل المرتبة الأولى طيب كيف
+
+79
+00:06:15,150 --> 00:06:20,770
+البكتيريا بتصل ل ال meninges كيف البكتيريا بتصل ل
+
+80
+00:06:20,770 --> 00:06:26,470
+ال meninges direct extension from the ear ممكن تصل
+
+81
+00:06:26,470 --> 00:06:32,380
+عن طريق الأدنNasopharynx باره nasal sinuses عن
+
+82
+00:06:32,380 --> 00:06:36,700
+طريق ال sinuses head injury المريض عنده إصابة في
+
+83
+00:06:36,700 --> 00:06:41,280
+الرأس مع CSF leakage مثل skull base fracture عندهم
+
+84
+00:06:41,280 --> 00:06:45,840
+congenital meningial defect المريض عنده
+
+85
+00:06:45,840 --> 00:06:50,540
+meningomyelocel meningocel فاتخ في الحبل الشوكي
+
+86
+00:06:50,540 --> 00:06:56,190
+blood stream عن طريق ال bloodخاصة عند المرضى اللي
+
+87
+00:06:56,190 --> 00:06:59,910
+عندهم immunocompromised patient اللي عندهم HIV ال
+
+88
+00:06:59,910 --> 00:07:04,010
+AIDS أو بياخدوا علاجات cytotoxic drug ترابي
+
+89
+00:07:04,010 --> 00:07:07,630
+بياخدوا علاجات مثبت على المناعة اللي عندهم أورام
+
+90
+00:07:07,630 --> 00:07:11,610
+زرعين أعضاء عاملين transplantation و بياخدوا
+
+91
+00:07:11,610 --> 00:07:15,770
+علاجات مثبت على المناعة في الحالة هذه كله يعتبر
+
+92
+00:07:15,770 --> 00:07:20,850
+إيش هذا اللي عندهم immunocompromised state CSF شنط
+
+93
+00:07:20,850 --> 00:07:31,000
+CSF شنط المركبين شنطواضح في الصورة هان انه
+
+94
+00:07:31,000 --> 00:07:38,000
+في فستولة مع ال right frontal sinus في bond effect
+
+95
+00:07:38,000 --> 00:07:43,500
+وفي فستولة مع ال right frontal sinus لان انا انتج
+
+96
+00:07:43,500 --> 00:07:48,160
+ال slide person at risk منهم ال risk person ل
+
+97
+00:07:48,160 --> 00:07:52,410
+meningitispregnant women هم يعتبروا الناس اللي
+
+98
+00:07:52,410 --> 00:07:55,490
+عندهم مناعة ضعيفة اللي عندهم مناعة ضعيفة مثل
+
+99
+00:07:55,490 --> 00:08:00,290
+pregnant women ستات حوامل infants and children أقل
+
+100
+00:08:00,290 --> 00:08:04,810
+من خمس سنوات كبار السن elderly اللي أكتر من ستين
+
+101
+00:08:04,810 --> 00:08:09,930
+خمسة وستين a monocompromised patient close contact
+
+102
+00:08:09,930 --> 00:08:14,790
+with patient chronic liver and renal disease
+
+103
+00:08:14,790 --> 00:08:23,310
+splenic dysfunction and splenectomyDM Skull
+
+104
+00:08:23,310 --> 00:08:29,850
+fractures and a leak of CSF VB Shunt Otitis Media
+
+105
+00:08:29,850 --> 00:08:35,070
+People with alcoholism People with cancer
+
+106
+00:08:35,070 --> 00:08:39,070
+especially those receiving chemotherapy and
+
+107
+00:08:39,070 --> 00:08:43,890
+radiotherapy People with a who have received
+
+108
+00:08:43,890 --> 00:08:48,600
+transplantationكل هذا المرضى يعتبروا مرضى عندهم
+
+109
+00:08:48,600 --> 00:08:52,860
+المناع عظيفة و أكتر أرضى للإصابة بالتهاب الصحي
+
+110
+00:08:52,860 --> 00:08:58,740
+يعني كيف نشخص اللي هو مين نجهز؟ أول شي بناخد
+
+111
+00:08:58,740 --> 00:09:03,480
+history ناخد ال personal history, chief complaint,
+
+112
+00:09:03,980 --> 00:09:07,180
+history of present illness, past medical and
+
+113
+00:09:07,180 --> 00:09:12,240
+surgical history, contact, vaccination كله ال
+
+114
+00:09:12,240 --> 00:09:17,060
+history بتاعهمWhat's the clinical manifestation of
+
+115
+00:09:17,060 --> 00:09:20,100
+meningitis؟ إيش هم الأعراض الرئيسية بتاعة ال
+
+116
+00:09:20,100 --> 00:09:25,040
+meningitis؟ fever حرارة ارتفاع الحرارة headache
+
+117
+00:09:25,040 --> 00:09:31,020
+صداع شديد neck stiffness هذه أهم symptom fever
+
+118
+00:09:31,020 --> 00:09:36,060
+headache neck stiffness لكن في other symptoms زي
+
+119
+00:09:36,060 --> 00:09:37,660
+إيه؟ vomiting
+
+120
+00:09:42,610 --> 00:09:47,910
+Neck stiff كنا هي موجودة Light aversion بيكون ان
+
+121
+00:09:47,910 --> 00:09:50,950
+ال مرضى من ال photophobia من ال irritation of
+
+122
+00:09:50,950 --> 00:09:54,510
+meningial layers مابقدرش يتطلعوا في الضوء و ممكن
+
+123
+00:09:54,510 --> 00:09:59,050
+يكون لهم Phonophobia يعني بنزعجه من الأصوات
+
+124
+00:09:59,050 --> 00:10:02,650
+العاليةDrowsiness Decreased level of consciousness
+
+125
+00:10:02,650 --> 00:10:05,710
+في بعض الأحيان Joint pain ممكن يحدث معاهم
+
+126
+00:10:05,710 --> 00:10:11,310
+polyarthralgia وهي fitting اي تمام اتشنجوا او يصير
+
+127
+00:10:11,310 --> 00:10:14,750
+معاهم a loss of consciousness Clinical
+
+128
+00:10:14,750 --> 00:10:18,610
+manifestation and symptom اول شيء في ال meningitis
+
+129
+00:10:18,610 --> 00:10:23,790
+بيكون شيء اسمه prodromal features مثل اي infection
+
+130
+00:10:23,790 --> 00:10:27,090
+ممكن يكونوا معاهم respiratory infection signs of
+
+131
+00:10:27,090 --> 00:10:32,720
+otitis mediaمينيجيال symptoms بيحدث معهم ايه؟
+
+132
+00:10:32,720 --> 00:10:37,480
+severe headache positive neck stiffness positive
+
+133
+00:10:37,480 --> 00:10:42,640
+kerning signs لذيك signs vomiting photophobia
+
+134
+00:10:42,640 --> 00:10:49,960
+المرضى دول systemic signs high fever skin rash
+
+135
+00:10:49,960 --> 00:10:56,100
+خاصة في حالات meningococcal meningitisفي
+
+136
+00:10:56,100 --> 00:10:59,680
+associated neurologic signs ممكن يحدث معهم
+
+137
+00:10:59,680 --> 00:11:03,180
+impaired level of consciousness في بعض الحالات
+
+138
+00:11:03,180 --> 00:11:06,840
+ممكن يحدث معهم sensorineural deafness decrease of
+
+139
+00:11:06,840 --> 00:11:10,580
+hearing عشرة في المية ممكن يكون عندنا papilloedema
+
+140
+00:11:10,580 --> 00:11:14,640
+اللي هو swelling of optic disc due to increase
+
+141
+00:11:14,640 --> 00:11:17,860
+intracranial pressure ممكن بعض المرضى لما يدخلوا
+
+142
+00:11:17,860 --> 00:11:20,580
+في حاجة اسمها meningioencephalitis يكون عندهم
+
+143
+00:11:20,580 --> 00:11:27,340
+focal neurologic deficitبنتاج لان لموضوع
+
+144
+00:11:27,340 --> 00:11:32,080
+meningococcemia اللى بيكون ناجح عن meningococcal
+
+145
+00:11:32,080 --> 00:11:36,740
+infection اجرام نيجاتيف ديبلو كوكاية يبقى ان هذه
+
+146
+00:11:36,740 --> 00:11:41,000
+بيحدث diffuse vasculitis and disseminated
+
+147
+00:11:41,000 --> 00:11:44,120
+intravascular coagulation يبقى ان في الحالة هذه
+
+148
+00:11:44,120 --> 00:11:47,920
+بيحدث diffuse vasculitis and disseminated
+
+149
+00:11:47,920 --> 00:11:54,250
+intravascular coagulation DICهذا ال DIC ممكن يؤدي
+
+150
+00:11:54,250 --> 00:12:00,830
+الى fatal اللي هو ال death يتوفر المريض منه طب ليش
+
+151
+00:12:00,830 --> 00:12:04,430
+محدث مع المرضى تعيين لـ meningococcemia و
+
+152
+00:12:04,430 --> 00:12:09,430
+meningococcal meningitis skin rash بتيكيا راش؟
+
+153
+00:12:09,430 --> 00:12:14,750
+ليه؟ لأنه فيه leukocyteRich fibrin تجينا في ال
+
+154
+00:12:14,750 --> 00:12:18,330
+small blood vessels تعمل أكلوجين قد تؤدي إلى فوق
+
+155
+00:12:18,330 --> 00:12:24,800
+الهموج and نكروس بوربورافي ال skin ممكن تحدث focal
+
+156
+00:12:24,800 --> 00:12:30,120
+hemorrhage من أيه بتوفق مرضى ال meningococcemia و
+
+157
+00:12:30,120 --> 00:12:34,000
+meningococcal meningitis what's the cause of death
+
+158
+00:12:34,000 --> 00:12:40,460
+اول شئ DIC ايه يعني DIC disseminated intravascular
+
+159
+00:12:40,460 --> 00:12:46,100
+calculation هاي واحد ثمين myocarditis التهاب في
+
+160
+00:12:46,100 --> 00:12:50,940
+عضلات القلب او ممكن تحدث pancarditis pancarditis
+
+161
+00:12:51,710 --> 00:12:56,130
+Waterhouse Friedrichsen Syndrome اللي هي diffuse
+
+162
+00:12:56,130 --> 00:13:00,450
+adrenal gland hemorrhage ويحدث hypotension مع
+
+163
+00:13:00,450 --> 00:13:06,050
+المرضى collapse هذه الأجزاء والأعضاء اللي اتصاب في
+
+164
+00:13:06,050 --> 00:13:09,940
+meningococcemia و في meningococcal meningitisممكن
+
+165
+00:13:09,940 --> 00:13:16,620
+يحدث نيكروسيز مع جانجرين بتيكيا الراش سيبتيك
+
+166
+00:13:16,620 --> 00:13:22,560
+أرثرايتس أوسيوميولايتس سيبتيسيميا في ال blood يحدث
+
+167
+00:13:22,560 --> 00:13:25,940
+نيكروسيز او هيموج في ال adrenaline gland
+
+168
+00:13:25,940 --> 00:13:30,760
+pericarditis اندوكاردايتس مايوكاردايتس وده كان
+
+169
+00:13:30,760 --> 00:13:35,100
+اصيبه كله مع بعض بنقول ما يده panicarditis التهاب
+
+170
+00:13:35,100 --> 00:13:41,810
+في كل جدار بتاع القلب pharyngitisconjunctivitis و
+
+171
+00:13:41,810 --> 00:13:46,470
+cerebrospinal اللي هو involvement بيحدث هنا
+
+172
+00:13:46,470 --> 00:13:51,430
+cerebrospinal meningitis اللي هو صحية ناجعة من
+
+173
+00:13:51,430 --> 00:13:55,380
+meningococcal infectionهنا واحدة في الصورة اللي
+
+174
+00:13:55,380 --> 00:13:59,400
+بتيكيا ال rash بيكون عنده مرش صغير نقطة صغيرة أو
+
+175
+00:13:59,400 --> 00:14:03,240
+ممكن تكون large مع necrotic changes في حالات
+
+176
+00:14:03,240 --> 00:14:08,220
+الصحية وهذا عندنا حالات عدوا منهم أنا بساعدني في
+
+177
+00:14:08,220 --> 00:14:12,400
+تشخيص أخد skin smear مسحة من هذا ال lesions أو ال
+
+178
+00:14:12,400 --> 00:14:15,660
+necrotic changes أو skin بتيكيا ال rash ناخد مسحة
+
+179
+00:14:15,660 --> 00:14:19,430
+ونفحصهانفحصها و نبعتها على المقتبرة و نفحص فيها
+
+180
+00:14:19,430 --> 00:14:22,810
+إجرام negative دبل و كوكاية أو مافيه عشان نحدد هذه
+
+181
+00:14:22,810 --> 00:14:27,410
+سببها meningitis او other disease هاي واضح هنا كله
+
+182
+00:14:27,410 --> 00:14:34,990
+skin rash apothecial rash poor prognostic factors
+
+183
+00:14:34,990 --> 00:14:41,070
+of meningococcal infection في أشياءلما ألاحظه عند
+
+184
+00:14:41,070 --> 00:14:44,910
+المريض هدى بت .. بتديله انه وضع المريض سيء poor
+
+185
+00:14:44,910 --> 00:14:48,810
+prognosis المريض عنده hypothermia حرارته انخفضت
+
+186
+00:14:48,810 --> 00:14:53,830
+كتير او العكس extreme hyperpyrexia او حرارته عالية
+
+187
+00:14:53,830 --> 00:14:58,710
+كتير recurrent seizure نوبات تشنج متكررة extreme
+
+188
+00:14:58,710 --> 00:15:04,930
+age سنه كبيرshort period between onset and
+
+189
+00:15:04,930 --> 00:15:08,330
+admission يعني المريض لساته الصبح ان كان في
+
+190
+00:15:08,330 --> 00:15:11,980
+المحاضرة في الجامعةالعصر كان داخل في قسم الأناية
+
+191
+00:15:11,980 --> 00:15:15,640
+المركزة يعني ال .. ال .. بيدل إنه malignant course
+
+192
+00:15:15,640 --> 00:15:20,400
+very malignant course the absence of meningitis in
+
+193
+00:15:20,400 --> 00:15:23,340
+patient with meningococcemia لما بيجي المريض عنده
+
+194
+00:15:23,340 --> 00:15:26,240
+meningococcemia without meningitis أخطر ما يجي
+
+195
+00:15:26,240 --> 00:15:29,140
+meningococcemia with meningitis ليه؟ نفس الشيء هذا
+
+196
+00:15:29,140 --> 00:15:32,240
+بيدل إنه لساته المريض ماحدثش معاه meningio
+
+197
+00:15:32,240 --> 00:15:35,740
+meningitis لسه المريض عنده meningococcemia ماحدث
+
+198
+00:15:35,740 --> 00:15:38,400
+معاه meningitis المريض كان داخل في المستشفى أو في
+
+199
+00:15:38,400 --> 00:15:41,580
+قسم الأناية المركزةهذا بيدل على more aggressive
+
+200
+00:15:41,580 --> 00:15:45,560
+cause of disease short period بيكون عندهم between
+
+201
+00:15:45,560 --> 00:15:50,580
+onset and admission widespread skin lesion او
+
+202
+00:15:50,580 --> 00:15:54,680
+بيسميها porpora fulminans بيكون عندهم ابتكاراش
+
+203
+00:15:54,680 --> 00:16:00,260
+كبيرة و ميخدم مساحات كبيرة من الجلد DIC الهي
+
+204
+00:16:00,260 --> 00:16:05,150
+disseminated intravascular coagulationshock،
+
+205
+00:16:05,150 --> 00:16:07,990
+ليكوبينيا، انخفاض قوات الدم للبيضاء،
+
+206
+00:16:07,990 --> 00:16:11,710
+thrombocytopenia، انخفاض الصفائح الدموية،
+
+207
+00:16:11,710 --> 00:16:16,950
+acidosis، حموظة في الدم، كل هذا يعني بيكون poor
+
+208
+00:16:16,950 --> 00:16:21,340
+prognosis و poor prognostic features لهمطيب الآن
+
+209
+00:16:21,340 --> 00:16:24,640
+بننتقل لخلصنا موضوع ال meningococcal نتكلم على
+
+210
+00:16:24,640 --> 00:16:27,980
+what's the neurologic complication of bacterial
+
+211
+00:16:27,980 --> 00:16:32,140
+meningitis؟ إيش المضاعفات اللي ممكن تحدث عند
+
+212
+00:16:32,140 --> 00:16:36,140
+الأطفال أو عند الكبار السن في حالات التهاب السحية؟
+
+213
+00:16:36,140 --> 00:16:40,540
+واحد impaired mental status and intellectual
+
+214
+00:16:40,540 --> 00:16:44,160
+impairment يعني بيكون عندهم نقص وانخفاض في القدوات
+
+215
+00:16:44,160 --> 00:16:49,050
+العقلية2- Increase intracranial pressure ممكن يحدث
+
+216
+00:16:49,050 --> 00:16:52,770
+معهم ارتفاع في ضغط الجمجمة و هي إبرهين قديمة،
+
+217
+00:16:52,770 --> 00:16:58,010
+seizures، تشنجات، focal neurologic deficit مثل
+
+218
+00:16:58,010 --> 00:17:01,590
+إيه؟ cranial nerve palsy، hemiparesis ممكن يحدث
+
+219
+00:17:01,590 --> 00:17:05,210
+معهم cerebrovascular abnormalities مثل TB
+
+220
+00:17:05,210 --> 00:17:07,850
+meningitis اللي الصحية اللي بيكون نتجة عن مرض
+
+221
+00:17:07,850 --> 00:17:11,430
+السلط اللي هو TB tuberculosis cerebrovascular ممكن
+
+222
+00:17:11,430 --> 00:17:16,200
+يحدث معهم strokeSensorineural hearing loss 20%
+
+223
+00:17:16,200 --> 00:17:20,100
+منهم ممكن المرضى يدخلوا في نقص في السماع ويصير
+
+224
+00:17:20,100 --> 00:17:23,000
+اتهم الدكتور انت السبب ابني بطل يسمع طب واش انا
+
+225
+00:17:23,000 --> 00:17:27,220
+داخل الطبيب هو 20% من حالات ال meningitis خاصة
+
+226
+00:17:27,220 --> 00:17:29,980
+pneumococcus اللي هي gram positive دي بلو كوكاية
+
+227
+00:17:29,980 --> 00:17:35,400
+ممكن يدخلوا في اللي هو نقص of hearing brain
+
+228
+00:17:35,400 --> 00:17:39,100
+abscess abstractive hydrocephalus يحدث التصاق وهي
+
+229
+00:17:39,100 --> 00:17:45,390
+انتفاخ في البطين تحت الدماغإيش ملزم فحوصات نعملهم
+
+230
+00:17:45,390 --> 00:17:51,830
+لمرض meningitis؟ أول شيء CBC ضروري نشوف فيه
+
+231
+00:17:51,830 --> 00:17:55,830
+thrombocytopenia مافيش thrombocytopenia نشوف ال
+
+232
+00:17:55,830 --> 00:17:58,690
+white blood cells فيه leukopenia فيه leukocytosis
+
+233
+00:17:58,690 --> 00:18:03,700
+نفحص بلد chemistrycheck على ال kid function test
+
+234
+00:18:03,700 --> 00:18:07,520
+liver function test serum electrolytes fasting
+
+235
+00:18:07,520 --> 00:18:10,760
+blood sugar في الحالة دي لازم يكون عارفينهم
+
+236
+00:18:10,760 --> 00:18:15,680
+كاغولية ال state نفحص ال Bt Btt INR عشان نشوف
+
+237
+00:18:15,680 --> 00:18:19,300
+عملية تجلط البم لو بدنا نروح نعمل lumber puncture
+
+238
+00:18:19,300 --> 00:18:21,860
+و خاصة المرضى اللي عندهم meningococcal meningitis
+
+239
+00:18:21,860 --> 00:18:24,720
+أو meningococcemia لأن المرضى اللي بدخله فيه في
+
+240
+00:18:24,720 --> 00:18:28,460
+diffuse intravascular cagulation او DIC بنسميها
+
+241
+00:18:29,800 --> 00:18:34,960
+Blood culture، ناخد مظلة على الدم Skin smear، في
+
+242
+00:18:34,960 --> 00:18:37,820
+حالة meningococcal infection، ناخد مسحة من
+
+243
+00:18:37,820 --> 00:18:41,600
+الـPetechia الراشي Brain CT، we fund this
+
+244
+00:18:41,600 --> 00:18:43,900
+examination، بنعمل fund this examination to
+
+245
+00:18:43,900 --> 00:18:47,760
+exclude papilloedema، ليه بنعمل CT أحيانا في بعض
+
+246
+00:18:47,760 --> 00:18:51,640
+الأحيان، to exclude focal brain damage or increase
+
+247
+00:18:51,640 --> 00:18:57,450
+intracranial pressure؟PCR اللى هو polymerase chain
+
+248
+00:18:57,450 --> 00:19:00,770
+reaction هدى عشان نفحص ال virus إيش نوع ال viruses
+
+249
+00:19:00,770 --> 00:19:05,490
+chest x-ray لو في عندنا pneumonia نكشفها skull x
+
+250
+00:19:05,490 --> 00:19:10,310
+-ray في حال إنه في fracture نكشف ال fracture sinus
+
+251
+00:19:10,310 --> 00:19:14,730
+x-ray إذا في sinusitis هي مسببة meningitis نعملها
+
+252
+00:19:14,730 --> 00:19:17,980
+detectionPrognosis of Bacterial Meningitis
+
+253
+00:19:17,980 --> 00:19:21,300
+برقموسيز بكتيرا المينينجايتس برقموسيز بكتيرا
+
+254
+00:19:21,300 --> 00:19:26,000
+المينينجايتس ال بكتيرا المينينجايتس ال mortality
+
+255
+00:19:26,000 --> 00:19:32,380
+rate بيزيد مع زيادة العمر في أمريكا كانت في دراسة
+
+256
+00:19:32,380 --> 00:19:37,100
+قديمة كانت 2003 2007 هذه الدراسة وجدت ان ال
+
+257
+00:19:37,100 --> 00:19:43,430
+mortality rate 16.4%كان 8.9% عند اللي عمرهم 18 ل
+
+258
+00:19:43,430 --> 00:19:51,830
+34 سنة و 22.7% عند كبار السن أكتر من 65 سنة what's
+
+259
+00:19:51,830 --> 00:19:56,530
+the management of meningitis؟ كيف ننعالج ال
+
+260
+00:19:56,530 --> 00:20:02,570
+meningitis؟ أول شيء نعطيهم adequate analgesia نعطي
+
+261
+00:20:02,570 --> 00:20:06,570
+good analgesiaGood analogy، نعطي Paracetamol، ال
+
+262
+00:20:06,570 --> 00:20:11,210
+Paracetamol أنا بعمل correction لل fever مع
+
+263
+00:20:11,210 --> 00:20:13,750
+correction لل headache و ال pain يعني بال
+
+264
+00:20:13,750 --> 00:20:18,610
+Paracetamol أنا بقلل الحرارة و بقلل الألم عند
+
+265
+00:20:18,610 --> 00:20:23,830
+المريض Fluid management، نعطي سوائل Dexamethasone
+
+266
+00:20:23,830 --> 00:20:26,630
+في ال bacterium meningitis عشان نعمل prevention
+
+267
+00:20:26,630 --> 00:20:32,210
+لموضوع sensorineural deafnessإذا
+
+268
+00:20:32,210 --> 00:20:35,930
+meningioencephalitis suspected يعني viral يكون،
+
+269
+00:20:35,930 --> 00:20:39,670
+ممكن نعطي acyclovir، نعطي acyclovir، في حالات
+
+270
+00:20:39,670 --> 00:20:45,590
+البكتيرا meningitis، بنعطي
+
+271
+00:20:45,590 --> 00:20:49,410
+ceftriaxone و vancomycin أو إذا أنا في
+
+272
+00:20:49,410 --> 00:20:51,810
+اندليبتيكراش هذه ناجحة من meningococcemia أو
+
+273
+00:20:51,810 --> 00:20:54,850
+meningococcal infection، بنعطي ceftriaxone مع
+
+274
+00:20:54,850 --> 00:21:00,750
+penicillinsymptomatic therapy و treatment of
+
+275
+00:21:00,750 --> 00:21:04,010
+complications في حال انا المويض دخل ال استجبال و
+
+276
+00:21:04,010 --> 00:21:07,970
+انا مش قادر اميز هذي viral او bacteria او septic
+
+277
+00:21:07,970 --> 00:21:11,810
+او aseptic بنعطي الacyclovir مع ceftriaxone مع
+
+278
+00:21:11,810 --> 00:21:14,730
+vancomycin او ceftriaxone مع penicillin مع
+
+279
+00:21:14,730 --> 00:21:17,970
+acyclovir ده انا شاكر و بعد ما اثبت انه هذي
+
+280
+00:21:17,970 --> 00:21:21,810
+bacterial او viral ممكن اغير ايه تبتنا انه
+
+281
+00:21:21,810 --> 00:21:24,480
+bacterial بواقف الacyclovirلأ لقينا ان هو دي ماشي
+
+282
+00:21:24,480 --> 00:21:29,800
+مع viral بخلينا ماشي على الacyclovir طب استيرoid
+
+283
+00:21:29,800 --> 00:21:32,700
+تربيه in meningitis نعطي استيرoid ولا ما نعطيش في
+
+284
+00:21:32,700 --> 00:21:36,380
+ال meningitis corticosteroid are avoided in
+
+285
+00:21:36,380 --> 00:21:38,620
+aseptic meningitis في حالة ال aseptic meningitis
+
+286
+00:21:38,620 --> 00:21:44,540
+لأ يفضل نعطي استيرoidلأنه ممكن تزود انتشار ال
+
+287
+00:21:44,540 --> 00:21:48,120
+viral infection عند المريض glucocorticoid أو
+
+288
+00:21:48,120 --> 00:21:52,260
+الديكسا ميثازوين ممكن تستخدم في حالات ال bacterial
+
+289
+00:21:52,260 --> 00:21:56,440
+meningitis و خاصة في حالات pneumococcus meningitis
+
+290
+00:21:56,440 --> 00:22:00,080
+ليه؟ لأنها بتقلل ال intra cranial pressure هي
+
+291
+00:22:00,080 --> 00:22:03,460
+واحد، ثانية انت تعمل prevention ل ال sensorineural
+
+292
+00:22:03,460 --> 00:22:08,040
+deafness بتقلل إصابة عصب السمع اللي ممكن تحدث عند
+
+293
+00:22:08,040 --> 00:22:10,100
+مرضى الصحية
+
+294
+00:22:12,500 --> 00:22:20,060
+طب سؤال متى اخرج المريض؟ او جاب مثل السؤال مدة عزل
+
+295
+00:22:20,060 --> 00:22:23,180
+المريض يعني المريض جداش اعزله اذا كان بكتيرا
+
+296
+00:22:23,180 --> 00:22:26,200
+بنوزله اربع و عشرين ساعة من بدء العلاج عزلناه في
+
+297
+00:22:26,200 --> 00:22:28,500
+غرفه اربع و عشرين ساعة على واحد و بعدين ممكن اهله
+
+298
+00:22:28,500 --> 00:22:31,340
+يفوتوا عنده و ممكن يحطوا في اي غرفة ثانية يعني اول
+
+299
+00:22:31,340 --> 00:22:34,500
+اربع و عشرين ساعة بنوزل المريض خاصة ده في حالات ال
+
+300
+00:22:34,500 --> 00:22:37,680
+bacteria meningitis طيب اربع و عشرين ساعة من بدء
+
+301
+00:22:37,680 --> 00:22:41,350
+العلاجالـ duration of treatment مدة الإلاج مدة
+
+302
+00:22:41,350 --> 00:22:44,390
+الإلاج تتمد على نوع ال micro organism على نوع
+
+303
+00:22:44,390 --> 00:22:48,130
+البكتيريا ال septic ولا ال septic ال septic ممكن
+
+304
+00:22:48,130 --> 00:22:51,930
+ياخده خمس أيام ويروح المريض لكن إذا كانت ال septic
+
+305
+00:22:51,930 --> 00:22:56,490
+meningitis تتروح مدة الإلاج سبوع عشر أيام اربعة و
+
+306
+00:22:56,490 --> 00:22:59,930
+عشر يوم في بعض الأحيان بتاخد واحد و عشرين يوم يعني
+
+307
+00:22:59,930 --> 00:23:05,710
+meningococcus سبع أيامHemophilus influenza سبع
+
+308
+00:23:05,710 --> 00:23:10,330
+أيام، نمو كوكس بتاخد من عشر أيام لاربعتاشر يوم
+
+309
+00:23:10,330 --> 00:23:13,610
+اللي هي streptococcin pneumonia, aerobic gram
+
+310
+00:23:13,610 --> 00:23:17,390
+negative bacilli زي الشرح كولايك، لبسييلة هذه
+
+311
+00:23:17,390 --> 00:23:21,290
+بتاخد واحد وعشرين يوم، بتاخد علاج وكم؟ واحد وعشرين
+
+312
+00:23:21,290 --> 00:23:25,610
+يومantiviral therapy بنعطي antiviral therapy في ال
+
+313
+00:23:25,610 --> 00:23:31,150
+meningitis بنعطيه في حالات إذا كان عندي الفحص بيان
+
+314
+00:23:31,150 --> 00:23:34,950
+في herpes similics virus type 1 أو في varicella أو
+
+315
+00:23:34,950 --> 00:23:39,250
+في cetomegalovirus وبنعطيه ل ال immunocompromised
+
+316
+00:23:39,250 --> 00:23:44,370
+patient long term therapy لحالات مثل ال AIDS أو ال
+
+317
+00:23:44,370 --> 00:23:47,110
+HIV مرضى اللي عندهم AIDS و المرضى اللي عندهم
+
+318
+00:23:47,110 --> 00:23:52,790
+immunocompromised prevention الوقاية ضروريةhand
+
+319
+00:23:52,790 --> 00:23:58,290
+washing and other general good health measures ال
+
+320
+00:23:58,290 --> 00:24:02,850
+vaccination لبعض ال viruses مثل ال polymyelitis ال
+
+321
+00:24:02,850 --> 00:24:06,810
+measles و ال mump و ال rabella هدول بيحتاجوا
+
+322
+00:24:06,810 --> 00:24:11,580
+vaccination من أطول الأطفالهيك بتكون احنا شرحنا
+
+323
+00:24:11,580 --> 00:24:16,200
+لكم موضوع التهاب الصحي ل meningitis نتكلم في خمس
+
+324
+00:24:16,200 --> 00:24:21,520
+دقائق على encephalitis viral encephalitis ال viral
+
+325
+00:24:21,520 --> 00:24:28,250
+encephalitisأو ال encephalitis in general ممكن
+
+326
+00:24:28,250 --> 00:24:32,010
+يكون primary أو post infectious اليوم انا هتكلم
+
+327
+00:24:32,010 --> 00:24:34,410
+على primary encephalitis اللي هي viral
+
+328
+00:24:34,410 --> 00:24:37,810
+encephalitis لكن موضوع post infectious
+
+329
+00:24:37,810 --> 00:24:44,000
+encephalitis هذا الموضوعاللي علاقة ب Adam تشخيص
+
+330
+00:24:44,000 --> 00:24:48,520
+Adam او acute disseminated encephalomyelitis وانا
+
+331
+00:24:48,520 --> 00:24:51,900
+شرحته في محاضرة demyelinating disorder و ال MS
+
+332
+00:24:51,900 --> 00:24:55,080
+شرحته في محاضرة ال demyelinating disorder Adam
+
+333
+00:24:55,080 --> 00:24:58,160
+acute disseminated encephalomyelitis يبقى اليوم
+
+334
+00:24:58,160 --> 00:25:02,620
+محاضرة هتكمل على موضوع primary encephalitis اللي
+
+335
+00:25:02,620 --> 00:25:07,770
+هي viral encephalitis characterized byprimary
+
+336
+00:25:07,770 --> 00:25:12,430
+viral invasion of CNS يبقى هذا السبب الرئيسي فيروس
+
+337
+00:25:12,430 --> 00:25:17,430
+لكن ال boss infectious أو ال immunomediated
+
+338
+00:25:17,430 --> 00:25:21,570
+encephalitis هذه ناتجة عن إما المريض كان عنده
+
+339
+00:25:21,570 --> 00:25:27,190
+infection قبل أو ماخد vaccinationلقاح او شيء قد
+
+340
+00:25:27,190 --> 00:25:31,110
+يسبب له secondary encephalitis او بنسمي post
+
+341
+00:25:31,110 --> 00:25:33,550
+vaccination او post infectious encephalitis
+
+342
+00:25:33,550 --> 00:25:36,770
+الموضوع هذا شرحته لكوا في demyelinating disorder
+
+343
+00:25:36,770 --> 00:25:40,330
+طيب ال post infectious هي عبارة جون عن
+
+344
+00:25:40,330 --> 00:25:43,490
+immunomediated بنسميها acute disseminated
+
+345
+00:25:43,490 --> 00:25:46,970
+encephalomyelitis ممكن تكون ناتجة عن فيروس زي post
+
+346
+00:25:46,970 --> 00:25:50,150
+infectious بس مش الفيروس هو السبب الرئيسي ما بعد
+
+347
+00:25:50,150 --> 00:25:53,250
+ال viral infection وممكن تكون ناتجة عن vaccination
+
+348
+00:25:53,250 --> 00:25:55,410
+أخدها المصاب
+
+349
+00:25:58,250 --> 00:26:02,790
+الـ viral pathogenesis in primary encephalitis the
+
+350
+00:26:02,790 --> 00:26:07,530
+most common type of viral encephalitis is herpes
+
+351
+00:26:07,530 --> 00:26:12,090
+simplex virus type 1 في other type Japanese
+
+352
+00:26:12,090 --> 00:26:16,890
+enterovirus, West Nile, St. Louis, California,
+
+353
+00:26:17,950 --> 00:26:21,470
+Western equine كلهم يعتبروا أنواع من ال viral
+
+354
+00:26:21,470 --> 00:26:24,750
+infection هم اللي بتشخصه عن طريق ال PCR بتتم
+
+355
+00:26:24,750 --> 00:26:29,700
+تشخيصهم uncommonاللي هي varicella zoster, Epstein
+
+356
+00:26:29,700 --> 00:26:34,900
+bar, HIV, human herpes virus 6 لكن أكثر نوع بسبب
+
+357
+00:26:34,900 --> 00:26:39,640
+فيروس encephalitis اللي هو herpes simple virus
+
+358
+00:26:39,640 --> 00:26:44,840
+type 1طب مين هما ال viral infection اللي ممكن تمنع
+
+359
+00:26:44,840 --> 00:26:48,460
+post infectious encephalitis ادم على سبيل المثال
+
+360
+00:26:48,460 --> 00:26:53,920
+ممط ميزل وفارسيلا ازوستر روبيلا انفلوانزا
+
+361
+00:26:53,920 --> 00:26:58,000
+chickenpox كمان بتاع الجدري كل هذا ممكن يسبب لنا a
+
+362
+00:26:58,000 --> 00:27:02,540
+post infectious meningitis اللي هي ادم قبل أسبوع
+
+363
+00:27:02,540 --> 00:27:05,360
+عشر ايام شخصت حالة في الأطفال اللي عندنا في ناصر
+
+364
+00:27:05,360 --> 00:27:09,300
+كان المريض عنده chickenpox جدري بعد أسبوعينحدث معه
+
+365
+00:27:09,300 --> 00:27:13,540
+تغير في ال behavior changes aggressive seizures
+
+366
+00:27:13,540 --> 00:27:15,960
+عشانه جاء decreased level of consciousness بيدخل
+
+367
+00:27:15,960 --> 00:27:20,000
+في غيبوبة وانعمل MRI وشخصنا انه هذه حالة acute
+
+368
+00:27:20,000 --> 00:27:24,020
+disseminated encephaloma وعطيته ال هو
+
+369
+00:27:24,020 --> 00:27:30,480
+methylbredazone و IVIG و الحمد لله اتحسن كتير
+
+370
+00:27:30,480 --> 00:27:36,490
+المريض ووضعه ممتاز و تم خروجه من القسمClinical
+
+371
+00:27:36,490 --> 00:27:41,270
+Features of Viral Encephalitis Prodromal symptoms,
+
+372
+00:27:41,430 --> 00:27:46,430
+fever, generalized malaise, headache, myalgia كل
+
+373
+00:27:46,430 --> 00:27:50,510
+هذا أعراض مثل أي viral infection كله لما بنحدث
+
+374
+00:27:50,510 --> 00:27:53,290
+معنا انفلوانز أيش بيكون عندنا صداع، ألم في
+
+375
+00:27:53,290 --> 00:27:57,830
+العضلات، ألم في المفاصل، fatigue ليه؟ لأن ال viral
+
+376
+00:27:57,830 --> 00:28:02,830
+بيعمل Transient Myopathyممكن يكون معهم cough, sore
+
+377
+00:28:02,830 --> 00:28:06,330
+throat, nausea, vomiting لكن أهم symptom بيكون
+
+378
+00:28:06,330 --> 00:28:09,050
+عندهم headache المرضى هذول بيكون عندهم إيش صداع
+
+379
+00:28:09,050 --> 00:28:14,770
+شديد neurologic signs altered mental status ممكن
+
+380
+00:28:14,770 --> 00:28:17,430
+يكون عندهم behavior changes, decreased level of
+
+381
+00:28:17,430 --> 00:28:20,670
+consciousness, cognitive decline personality
+
+382
+00:28:20,670 --> 00:28:24,050
+changes ممكن يحدث معهم movement disorder, speech
+
+383
+00:28:24,050 --> 00:28:28,760
+difficulty, motor sensory deficitmovement
+
+384
+00:28:28,760 --> 00:28:33,740
+disorder، hyperkinesia، ataxia، convulsion، كل هذه
+
+385
+00:28:33,740 --> 00:28:37,840
+أعراض ناتجة عن encephalitis، إذا في meningitis
+
+386
+00:28:37,840 --> 00:28:40,580
+قلنا ماذكرناش كتير الأعراض هذه لأن هذه كانت
+
+387
+00:28:40,580 --> 00:28:43,200
+التهيأب في الغلاف، في الـ meningial layers، هنا
+
+388
+00:28:43,200 --> 00:28:46,440
+بتكلم عن inflammation في ال tissue of the brain،
+
+389
+00:28:46,440 --> 00:28:51,830
+في الانسجينة الدماغال investigations نفس الموضوع
+
+390
+00:28:51,830 --> 00:28:55,630
+ال meningitis CBC chemistry calculation study CSF
+
+391
+00:28:55,630 --> 00:29:01,230
+examination blood culture PCR بنعمل للمرض عشان
+
+392
+00:29:01,230 --> 00:29:04,430
+نحدد نوع الفيروس polymerase chain reaction
+
+393
+00:29:04,430 --> 00:29:10,250
+neuroimaging CT MRI ال MRI أفضل من ال CT لتشخيص ال
+
+394
+00:29:10,250 --> 00:29:13,550
+encephalitis brain biopsy في بعض الحلات ممكن
+
+395
+00:29:13,550 --> 00:29:16,770
+يحتاجوا brain biopsy في حالات ال encephalitis is
+
+396
+00:29:16,770 --> 00:29:21,610
+still unknown causeإيش بنجد عندهم في ال CSF
+
+397
+00:29:21,610 --> 00:29:26,930
+findings في حالات ال viral encephalitis؟ increase
+
+398
+00:29:26,930 --> 00:29:28,930
+white blood cells بس بتكون بالعشرات مش عالية
+
+399
+00:29:28,930 --> 00:29:34,330
+نسبتهم كتير وبيكون dominant lymphocyte ارتفاع ال
+
+400
+00:29:34,330 --> 00:29:39,260
+protein زيادة في نسبة ال proteinالجلوكوز normal
+
+401
+00:29:39,260 --> 00:29:44,940
+بتكون في ال CSF لكن في حالات ال .. ال mump و ال
+
+402
+00:29:44,940 --> 00:29:48,880
+herpes simplex virus ممكن يحدث نقص في اللي هو
+
+403
+00:29:48,880 --> 00:29:54,000
+الجلوكوز level red blood cells are usually absent
+
+404
+00:29:54,000 --> 00:29:57,640
+لكن ممكن نلاحظها في حالات herpes simplex virus
+
+405
+00:29:57,640 --> 00:30:04,500
+type 1هذه صور مقطعية لمرضى عندهم encephalitis هذه
+
+406
+00:30:04,500 --> 00:30:07,600
+حالة كانت عندنا في الجسم عندها متلازمة down
+
+407
+00:30:07,600 --> 00:30:11,940
+وشخصناها كمان viral encephalitis في high density
+
+408
+00:30:11,940 --> 00:30:15,500
+lesion bilateral هذه كان حرارتها المريضة اربعين
+
+409
+00:30:15,500 --> 00:30:20,000
+واضح انه في inflammation في ال brain bilateral
+
+410
+00:30:24,350 --> 00:30:27,750
+عالي MRI خاصة في حالات ال herpes simplex type 1
+
+411
+00:30:27,750 --> 00:30:31,290
+بيكون hyper intense signal مياخد اكتر شئ ال
+
+412
+00:30:31,290 --> 00:30:34,690
+temporal loop ال herpes simplex بيحب temporal loop
+
+413
+00:30:34,690 --> 00:30:40,610
+ايش العلاج بتاع viral encephalitis؟There are no
+
+414
+00:30:40,610 --> 00:30:46,830
+specific therapy for most CNS viral infections لكن
+
+415
+00:30:46,830 --> 00:30:49,590
+بنعطى Embryo therapy للهيربيس سيمبريكس فيروس type
+
+416
+00:30:49,590 --> 00:30:56,410
+1 acyclovir الacyclovir عشرة ميلي جرام لكل كيلو
+
+417
+00:30:56,410 --> 00:31:02,190
+جرام وزن بنعطى كل ثمان ساعات او جرعات اليوم بنعطى
+
+418
+00:31:02,190 --> 00:31:06,430
+تلاتين ميلي جرام لكل كيلو جرام بتنقسم لثلاث جرعات
+
+419
+00:31:07,010 --> 00:31:10,150
+لكن نتذكر الacyclovir ممكن يعمل مشاكل في ال kidney
+
+420
+00:31:10,150 --> 00:31:18,110
+في الحالة هذه نتذكر ان الacyclovir ممكن يعمل مشاكل
+
+421
+00:31:18,110 --> 00:31:20,330
+في موضوع ال kidney يعمل ال crystallization في ال
+
+422
+00:31:20,330 --> 00:31:23,970
+kidney و يأثر على وظائف ال kidney في الحالة هذه
+
+423
+00:31:23,970 --> 00:31:27,910
+لازم نعطيهم good hydration نعطيهم good fluid
+
+424
+00:31:27,910 --> 00:31:32,690
+السوائل كويسة كمية للوقاية من ال acute kidney
+
+425
+00:31:32,690 --> 00:31:38,960
+damageال duration of therapy من عشر أيام لاربعتاشر
+
+426
+00:31:38,960 --> 00:31:43,100
+يوم يعني بياخدوا حوالي أسبوعين في العلاج حالات ال
+
+427
+00:31:43,100 --> 00:31:48,360
+viral encephalitis هيك بيكون خلصت المحاضرة و بيكون
+
+428
+00:31:48,360 --> 00:31:53,880
+خلصنا مساخ ال neurology يعطيكم ألف عافية و دومتم
+
+429
+00:31:53,880 --> 00:31:58,920
+بخير سامحونا إذا قسرت معكم و لنا لقاء ان شاء الله
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..a6b74e9cbd01a4eb50aeecfd2e7094fc43016d3f
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Hx6FqgcPMlU_raw.json
@@ -0,0 +1 @@
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732.41, "end": 741.61, "text": "Rich fibrin تجينا في ال small blood vessels تعمل أكلوجين قد تؤدي إلى فوق الهموج and نكروس بوربورا", "tokens": [44654, 283, 6414, 259, 6055, 7435, 1829, 8315, 8978, 2423, 1359, 3390, 20117, 6055, 25957, 1211, 5551, 4117, 1211, 29245, 9957, 12174, 3215, 6055, 33604, 16254, 30731, 6156, 2407, 4587, 2423, 16095, 29245, 293, 8717, 4117, 32887, 3794, 4724, 13063, 3555, 13063, 995], "avg_logprob": -0.4051846557042815, "compression_ratio": 1.1666666666666667, "no_speech_prob": 2.8014183044433594e-06, "words": [{"start": 732.41, "end": 732.81, "word": "Rich", "probability": 0.182373046875}, {"start": 732.81, "end": 733.87, "word": " fibrin", "probability": 0.73828125}, {"start": 733.87, "end": 734.51, "word": " تجينا", "probability": 0.639129638671875}, {"start": 734.51, "end": 734.63, "word": " في", "probability": 0.880859375}, {"start": 734.63, "end": 734.75, "word": " ال", "probability": 0.82861328125}, {"start": 734.75, "end": 735.09, "word": " small", 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"probability": 0.98046875}, {"start": 1881.43, "end": 1881.79, "word": " يأثر", "probability": 0.7418619791666666}, {"start": 1881.79, "end": 1882.05, "word": " على", "probability": 0.900390625}, {"start": 1882.05, "end": 1882.49, "word": " وظائف", "probability": 0.83746337890625}, {"start": 1882.49, "end": 1882.63, "word": " ال", "probability": 0.80810546875}, {"start": 1882.63, "end": 1882.83, "word": " kidney", "probability": 0.98583984375}, {"start": 1882.83, "end": 1883.39, "word": " في", "probability": 0.82666015625}, {"start": 1883.39, "end": 1883.67, "word": " الحالة", "probability": 0.99462890625}, {"start": 1883.67, "end": 1883.97, "word": " هذه", "probability": 0.92919921875}, {"start": 1883.97, "end": 1884.91, "word": " لازم", "probability": 0.978515625}, {"start": 1884.91, "end": 1885.49, "word": " نعطيهم", "probability": 0.99326171875}, {"start": 1885.49, "end": 1885.97, "word": " good", "probability": 0.87451171875}, {"start": 1885.97, "end": 1886.71, "word": " hydration", "probability": 0.83349609375}, {"start": 1886.71, "end": 1887.21, "word": " نعطيهم", "probability": 0.81044921875}, {"start": 1887.21, "end": 1887.39, "word": " good", "probability": 0.830078125}, {"start": 1887.39, "end": 1887.91, "word": " fluid", "probability": 0.86083984375}, {"start": 1887.91, "end": 1888.57, "word": " السوائل", "probability": 0.858154296875}, {"start": 1888.57, "end": 1889.17, "word": " كويسة", "probability": 0.9609375}, {"start": 1889.17, "end": 1889.77, "word": " كمية", "probability": 0.9835611979166666}, {"start": 1889.77, "end": 1890.75, "word": " للوقاية", "probability": 0.88330078125}, {"start": 1890.75, "end": 1890.97, "word": " من", "probability": 0.9873046875}, {"start": 1890.97, "end": 1891.91, "word": " ال", "probability": 0.88671875}, {"start": 1891.91, "end": 1892.23, "word": " acute", "probability": 0.91455078125}, {"start": 1892.23, "end": 1892.69, "word": " kidney", "probability": 0.9873046875}, {"start": 1892.69, "end": 1893.23, "word": " damage", "probability": 0.8916015625}], "temperature": 1.0}, {"id": 81, "seek": 191892, "start": 1894.06, "end": 1918.92, "text": "ال duration of therapy من عشر أيام لاربعتاشر يوم يعني بياخدوا حوالي أسبوعين في العلاج حالات ال viral encephalitis هيك بيكون خلصت المحاضرة و بيكون خلصنا مساخ ال neurology يعطيكم ألف عافية و دومتم بخير سامحونا إذا قسرت معكم و لنا لقاء ان شاء الله", "tokens": [6027, 16365, 295, 9492, 9154, 6225, 46309, 36632, 10943, 5296, 9640, 3555, 34268, 33599, 2288, 7251, 20498, 37495, 22653, 4724, 1829, 47283, 3215, 14407, 11331, 2407, 6027, 1829, 5551, 35457, 45367, 9957, 8978, 18863, 1211, 26108, 11331, 6027, 9307, 2423, 16132, 465, 384, 950, 304, 16074, 39896, 4117, 4724, 1829, 30544, 16490, 1211, 9381, 2655, 9673, 5016, 46958, 25720, 4032, 4724, 1829, 30544, 16490, 1211, 9381, 8315, 47524, 47283, 2423, 28351, 88, 37495, 9566, 1829, 24793, 5551, 46538, 6225, 31845, 10632, 4032, 11778, 20498, 39237, 4724, 9778, 13546, 8608, 10943, 5016, 2407, 8315, 11933, 15730, 12174, 3794, 43500, 20449, 24793, 4032, 5296, 8315, 5296, 4587, 16606, 16472, 13412, 16606, 21984], "avg_logprob": -0.12605574485417959, "compression_ratio": 1.597609561752988, "no_speech_prob": 1.2516975402832031e-06, "words": [{"start": 1894.06, "end": 1894.3, "word": "ال", "probability": 0.740234375}, {"start": 1894.3, "end": 1894.7, "word": " duration", "probability": 0.7197265625}, {"start": 1894.7, "end": 1895.4, "word": " of", "probability": 0.98095703125}, {"start": 1895.4, "end": 1896.38, "word": " therapy", "probability": 0.765625}, {"start": 1896.38, "end": 1897.02, "word": " من", "probability": 0.978515625}, {"start": 1897.02, "end": 1897.48, "word": " عشر", "probability": 0.8828125}, {"start": 1897.48, "end": 1897.98, "word": " أيام", "probability": 0.965576171875}, {"start": 1897.98, "end": 1898.96, "word": " لاربعتاشر", "probability": 0.8814290364583334}, {"start": 1898.96, "end": 1899.22, "word": " يوم", "probability": 0.97802734375}, {"start": 1899.22, "end": 1899.48, "word": " يعني", "probability": 0.89208984375}, {"start": 1899.48, "end": 1899.9, "word": " بياخدوا", "probability": 0.8744140625}, {"start": 1899.9, "end": 1900.28, "word": " حوالي", "probability": 0.95458984375}, {"start": 1900.28, "end": 1900.86, "word": " أسبوعين", "probability": 0.865966796875}, {"start": 1900.86, "end": 1901.46, "word": " في", "probability": 0.962890625}, {"start": 1901.46, "end": 1902.16, "word": " العلاج", "probability": 0.9690755208333334}, {"start": 1902.16, "end": 1902.96, "word": " حالات", "probability": 0.7259114583333334}, {"start": 1902.96, "end": 1903.1, "word": " ال", "probability": 0.97216796875}, {"start": 1903.1, "end": 1903.48, "word": " viral", "probability": 0.84033203125}, {"start": 1903.48, "end": 1904.4, "word": " encephalitis", "probability": 0.962109375}, {"start": 1904.4, "end": 1905.4, "word": " هيك", "probability": 0.882568359375}, {"start": 1905.4, "end": 1905.92, "word": " بيكون", "probability": 0.87158203125}, {"start": 1905.92, "end": 1906.84, "word": " خلصت", "probability": 0.9910888671875}, {"start": 1906.84, "end": 1907.54, "word": " المحاضرة", "probability": 0.987548828125}, {"start": 1907.54, "end": 1908.1, "word": " و", "probability": 0.91455078125}, {"start": 1908.1, "end": 1908.36, "word": " بيكون", "probability": 0.92138671875}, {"start": 1908.36, "end": 1908.92, "word": " خلصنا", "probability": 0.9945068359375}, {"start": 1908.92, "end": 1909.54, "word": " مساخ", "probability": 0.6689453125}, {"start": 1909.54, "end": 1909.9, "word": " ال", "probability": 0.95703125}, {"start": 1909.9, "end": 1910.88, "word": " neurology", "probability": 0.83740234375}, {"start": 1910.88, "end": 1911.84, "word": " يعطيكم", "probability": 0.9422607421875}, {"start": 1911.84, "end": 1912.08, "word": " ألف", "probability": 0.824951171875}, {"start": 1912.08, "end": 1912.64, "word": " عافية", "probability": 0.974609375}, {"start": 1912.64, "end": 1913.14, "word": " و", "probability": 0.98388671875}, {"start": 1913.14, "end": 1913.88, "word": " دومتم", "probability": 0.92724609375}, {"start": 1913.88, "end": 1914.4, "word": " بخير", "probability": 0.9977213541666666}, {"start": 1914.4, "end": 1915.14, "word": " سامحونا", "probability": 0.840869140625}, {"start": 1915.14, "end": 1915.42, "word": " إذا", "probability": 0.94091796875}, {"start": 1915.42, "end": 1915.98, "word": " قسرت", "probability": 0.8291015625}, {"start": 1915.98, "end": 1916.66, "word": " معكم", "probability": 0.884521484375}, {"start": 1916.66, "end": 1917.88, "word": " و", "probability": 0.68310546875}, {"start": 1917.88, "end": 1918.1, "word": " لنا", "probability": 0.5267333984375}, {"start": 1918.1, "end": 1918.5, "word": " لقاء", "probability": 0.9591471354166666}, {"start": 1918.5, "end": 1918.64, "word": " ان", "probability": 0.64599609375}, {"start": 1918.64, "end": 1918.82, "word": " شاء", "probability": 0.94970703125}, {"start": 1918.82, "end": 1918.92, "word": " الله", "probability": 0.9228515625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1919.036375, "duration_after_vad": 1847.079374999995}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3305e363e63766be89a4b781a9d454e2fff5a449
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI.srt
@@ -0,0 +1,1478 @@
+1
+00:00:05,080 --> 00:00:11,340
+بسم الله الرحمن الرحيم الجزء الثاني من محاضرة
+
+2
+00:00:11,340 --> 00:00:19,720
+أسبوع الحادي عشر راح تكون brain tumor نعرض
+
+3
+00:00:19,720 --> 00:00:25,360
+case sixty two years old woman لم يكن هناك قصة طبية
+
+4
+00:00:25,360 --> 00:00:30,980
+قبل ذلك لم يكن هناك قصة طبية قبل ذات شهر قبل ذات شهر
+
+5
+00:00:30,980 --> 00:00:32,820
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+6
+00:00:32,820 --> 00:00:35,220
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+7
+00:00:35,220 --> 00:00:36,160
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+8
+00:00:36,160 --> 00:00:38,340
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+9
+00:00:38,340 --> 00:00:38,900
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+10
+00:00:38,900 --> 00:00:43,020
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+11
+00:00:43,020 --> 00:00:53,840
+قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+12
+00:00:54,350 --> 00:00:58,630
+Blood Pressure 120 على 60 Heart Rate 80
+
+13
+00:00:58,630 --> 00:01:10,250
+Temperature 36.5 Oxygen Saturation 96% ECG Normal
+
+14
+00:01:10,250 --> 00:01:16,710
+Sinus Rhythm Chest X-Ray Normal Blood Test Normal
+
+15
+00:01:16,710 --> 00:01:23,190
+الحالة هذه فيها شيء غريب في الحالة قد تكون الـCVA لكن
+
+16
+00:01:23,190 --> 00:01:26,230
+اللي مش في صالح الـCVA أو cerebrovascular disease
+
+17
+00:01:26,230 --> 00:01:31,470
+أنّه no previous medical history أي واحد الشيء
+
+18
+00:01:31,470 --> 00:01:39,790
+الثاني المهم أن الـ symptoms بدأوا gradually two
+
+19
+00:01:39,790 --> 00:01:44,430
+weeks before progressive ما جاءش sudden answer
+
+20
+00:01:44,430 --> 00:01:48,230
+progressive difficulty for saying the name of
+
+21
+00:01:48,230 --> 00:01:51,950
+object يعني المريض حدث معاه حاجة بنسميها amnestic
+
+22
+00:01:51,950 --> 00:01:57,570
+aphasia بنسى أسماء الأشياء والأشخاص بعدها تطورت
+
+23
+00:01:57,570 --> 00:02:06,370
+الحالة لـ weakness في الـ right hand في الـ
+
+24
+00:02:06,370 --> 00:02:09,690
+examination طورت لـ motor aphasia حدث معنا motor
+
+25
+00:02:09,690 --> 00:02:15,070
+aphasia اللي هو weakness على الـ right side ومشكلة
+
+26
+00:02:15,070 --> 00:02:19,550
+ثانية أنّه وجدنا أنّه increase deep tendon reflexes
+
+27
+00:02:19,550 --> 00:02:22,570
+إحنا عارفين في الـ acute CVA بيكون shock stage
+
+28
+00:02:22,570 --> 00:02:26,450
+acute و loss reflex الـ reflex هيبو reflex أو lost
+
+29
+00:02:26,450 --> 00:02:30,790
+في البداية لكن هنا في increase deep reflexes يعني
+
+30
+00:02:30,790 --> 00:02:33,810
+في مشكلة جديدة عند المريض مش شديدة مش sudden onset
+
+31
+00:02:35,690 --> 00:02:41,190
+لو عمل الـ brain CT بالـ brain CT ملاحظين إحنا شكل
+
+32
+00:02:41,190 --> 00:02:49,030
+الـ mass عامل compression على الـ lateral ventricle
+
+33
+00:02:49,030 --> 00:02:51,550
+على الـ left side يعني الـ lateral ventricle الـ left
+
+34
+00:02:51,550 --> 00:02:57,750
+side مضغوط وفي الـ cortex في finger-like edema
+
+35
+00:02:57,750 --> 00:03:03,330
+finger-like edema يعني finger-like مثل إيه الأصابع
+
+36
+00:03:03,330 --> 00:03:07,670
+بيكون الـ edema هذه vasogenic edema suspicion يكون
+
+37
+00:03:07,670 --> 00:03:13,030
+tumor في الحالة هذه أما بعيد الصورة بعطي contrast
+
+38
+00:03:13,030 --> 00:03:17,250
+صابغة عشان أشوف أن هذا tumor ولا لأ أو الأفضل
+
+39
+00:03:17,250 --> 00:03:25,500
+نعمل brain MRI هي عطينا الـ contrast مع الصابغة واضح
+
+40
+00:03:25,500 --> 00:03:30,240
+أنّ فيه enhancement الـ tumor شفت صبغة في
+
+41
+00:03:30,240 --> 00:03:33,540
+enhancement للـ contrast لأن في الحالة هذه بتكلم
+
+42
+00:03:33,540 --> 00:03:41,280
+على brain tumor brain tumor introduction of our
+
+43
+00:03:41,280 --> 00:03:46,880
+lecture primary brain tumors من وين بيجونا الـ
+
+44
+00:03:46,880 --> 00:03:50,580
+primary brain tumors بيجوا من نفس الـ tissue of the
+
+45
+00:03:50,580 --> 00:03:55,400
+brain أو من الـ meninges يقول أن هما arising from
+
+46
+00:03:55,400 --> 00:04:00,400
+different cells of brain tissue أو of central
+
+47
+00:04:00,400 --> 00:04:07,080
+nervous system يعتبر ثالث
+
+48
+00:04:07,080 --> 00:04:07,740
+الحالات
+
+49
+00:04:10,370 --> 00:04:15,010
+من الـ brain tumors primary brain tumors يعتبرون
+
+50
+00:04:15,010 --> 00:04:19,590
+ماليجنانت يعني ثالث حالات لـ brain tumor لـ primary
+
+51
+00:04:19,590 --> 00:04:25,830
+brain tumor يعتبروا ماليجنانت خبيث 20% من الـ brain
+
+52
+00:04:25,830 --> 00:04:32,470
+tumors بظهروا في childhood في childhood ماليجنانت
+
+53
+00:04:32,470 --> 00:04:39,600
+brain tumor more frequent in childhood than in
+
+54
+00:04:39,600 --> 00:04:48,460
+adult يعني الـ brain tumors في الـ childhood يعتبروا
+
+55
+00:04:48,460 --> 00:04:53,120
+more malignant more malignant epidemiology of
+
+56
+00:04:53,120 --> 00:04:59,320
+brain tumor incidence ثمانية لخمسة وعشرين كل مئة
+
+57
+00:04:59,320 --> 00:05:02,620
+ألف والرقم فيه ازدياد رقم الـ cancer و
+
+58
+00:05:02,620 --> 00:05:07,680
+الماليجنانت فيه ازدياد يكون Metastatic tumors خمسة
+
+59
+00:05:07,680 --> 00:05:11,960
+وعشرون في المئة من الـ brain tumors are metastatic
+
+60
+00:05:11,960 --> 00:05:16,420
+or secondary tumors يعني بيكونوا منتشرين من مكان آخر
+
+61
+00:05:16,420 --> 00:05:22,920
+خاصة من الرئة من الـ lung race الـ white عندهم أكثر
+
+62
+00:05:22,920 --> 00:05:30,540
+risk للماليجنانت من الـ black gender أكثر في الـ
+
+63
+00:05:30,540 --> 00:05:34,420
+male بيكون الـ brain tumors الـ age الـ brain tumors
+
+64
+00:05:34,420 --> 00:05:41,460
+بيحدث في أي age في أي سنة في أي عمر ممكن نشخص
+
+65
+00:05:41,460 --> 00:05:46,060
+brain tumors brain tumors لكن أكثر شيء الـ primary
+
+66
+00:05:46,060 --> 00:05:49,620
+tumors ممكن يكونوا في الـ peak بتاعهم في سن خمسة
+
+67
+00:05:49,620 --> 00:05:54,220
+وأربعين خمسين سنة glioblastoma
+
+68
+00:05:55,340 --> 00:06:00,760
+rarely occurs before the age of fifteen يعني
+
+69
+00:06:00,760 --> 00:06:06,280
+glioblastoma نادر ما تيجي قبل سن خمسة عشر لكن
+
+70
+00:06:06,280 --> 00:06:12,400
+medulloblastoma is uncommon after the age of
+
+71
+00:06:12,400 --> 00:06:16,440
+eighty يعني الـ medulloblastoma بتيجي أكثر عند
+
+72
+00:06:16,440 --> 00:06:20,470
+الأطفال ونادر ما تيجي بعد سن الثمانين العكس صحيح
+
+73
+00:06:20,470 --> 00:06:23,890
+الـ glioblastoma بتيجي عند الكبار ونادر ما
+
+74
+00:06:23,890 --> 00:06:29,750
+تيجي قبل سن الخمسة عشر etiology
+
+75
+00:06:29,750 --> 00:06:33,310
+of brain tumor إيش أسباب الـ brain tumor؟ genetic
+
+76
+00:06:33,310 --> 00:06:41,230
+cause ionizing radiation الإشعاع viral infection
+
+77
+00:06:41,230 --> 00:06:48,100
+مثل primary brain lymphoma environmental risk
+
+78
+00:06:48,100 --> 00:06:51,340
+factors الناس اللي بيشتغلوا في مصانع مبيدات حشرية
+
+79
+00:06:51,340 --> 00:06:56,580
+مواد كيميائية كل هذا يعتبر risk factors possible
+
+80
+00:06:56,580 --> 00:07:01,760
+factors الـ allergy physical trauma certain
+
+81
+00:07:01,760 --> 00:07:07,060
+infections هذا يعتبر possible factors الآن لو
+
+82
+00:07:07,060 --> 00:07:13,380
+بنصنف brain tumors بنصنفهم
+
+83
+00:07:13,380 --> 00:07:19,480
+لـ primary or secondary tumor يعني أول تقسيمة الـ
+
+84
+00:07:19,480 --> 00:07:23,220
+primary brain tumor يعني هو الورم هذا جاء من
+
+85
+00:07:23,220 --> 00:07:26,500
+الأنسجة تبع الدماغ أو الـ meninges اللي حوالين
+
+86
+00:07:26,500 --> 00:07:30,500
+الدماغ يبقى أن هو أول مصدره الدماغ نفسه أو الـ
+
+87
+00:07:30,500 --> 00:07:35,000
+meninges secondary tumors يبقى هو جاء متستاتيك الـ
+
+88
+00:07:35,000 --> 00:07:38,400
+tumor من أماكن ثانية من الـ lung من الـ prostate من
+
+89
+00:07:38,400 --> 00:07:43,310
+الـ thyroid gland من الـ liver وهكذا حسب الـ location
+
+90
+00:07:43,310 --> 00:07:50,310
+بنقسم الـ tumor حسب الـ location حسب الـ tissue بعد
+
+91
+00:07:50,310 --> 00:07:55,590
+ما يأخذ biopsy والـ grading كمان اللي هي
+
+92
+00:07:55,590 --> 00:08:00,350
+microscopic appearance بتعتمد على اللي هو biopsy
+
+93
+00:08:00,350 --> 00:08:08,610
+and microscopic study world
+
+94
+00:08:08,610 --> 00:08:14,630
+health organization عملت الـ classification لـ brain
+
+95
+00:08:14,630 --> 00:08:21,970
+tumor سنة ألفيْن وسبعة فهذه
+
+96
+00:08:21,970 --> 00:08:26,710
+الـ WHO عملت الـ classification صنّفتهم tumors of
+
+97
+00:08:26,710 --> 00:08:33,050
+neuroepithelial tissue tumors of cranial nerves
+
+98
+00:08:33,050 --> 00:08:38,430
+tumors of meninges هو بيشرح لنا مصدر الـ tumor
+
+99
+00:08:40,290 --> 00:08:47,810
+Lymphoma أو hematobiotics النيوبلازم من الـ blood والـ
+
+100
+00:08:47,810 --> 00:08:53,650
+lymphoma germ cell tumors tumors of the
+
+101
+00:08:53,650 --> 00:08:56,850
+cellular region مثل الـ pituitary gland adenoma
+
+102
+00:08:56,850 --> 00:09:02,550
+macro adenoma ومتاستاتيك tumors هذه الـ tumors
+
+103
+00:09:02,550 --> 00:09:08,770
+وصلت للدماغ من أماكن أخرى هي classification of
+
+104
+00:09:08,770 --> 00:09:12,650
+primary brain tumors according to histopathology
+
+105
+00:09:12,650 --> 00:09:21,490
+حسب دراسة الأنسجة والعينة في Astrocytic tumor
+
+106
+00:09:21,490 --> 00:09:25,650
+Astrocytoma Glioblastoma راح نتكلم عنهم
+
+107
+00:09:25,650 --> 00:09:28,690
+Oligodendroglial
+
+108
+00:09:28,690 --> 00:09:33,970
+tumors Oligodendroglioma يبقى الـ tumor الأول جاينا
+
+109
+00:09:33,970 --> 00:09:38,890
+من الـ Astrocyte الـ tumor الثاني جاء من الـ
+
+110
+00:09:38,890 --> 00:09:41,410
+oligodendrocyte هذا أنواع من الـ neuroglia للـ cells
+
+111
+00:09:41,410 --> 00:09:48,430
+ثلاثة أنواع دائمة للـ cells أنواع دائمة choroid plexus
+
+112
+00:09:48,430 --> 00:09:52,810
+tumor هذه من الـ choroid plexus مثل choroid
+
+113
+00:09:52,810 --> 00:09:59,130
+plexus papilloma choroid plexus carcinoma neural
+
+114
+00:09:59,130 --> 00:10:07,770
+and mixed neuronal glial tumors مثل ganglioglioma
+
+115
+00:10:07,770 --> 00:10:13,690
+ganglioglioma embryonal tumor medulloblastoma أكثر
+
+116
+00:10:13,690 --> 00:10:17,650
+شيء بتيجي medulloblastoma عند الأطفال أقل من سن
+
+117
+00:10:17,650 --> 00:10:25,050
+عشرين meningial tumor meningioma germ cell tumor
+
+118
+00:10:25,050 --> 00:10:30,020
+germinoma أو teratoma tumor of the cranial nerves
+
+119
+00:10:30,020 --> 00:10:36,620
+neuroma neurofibroma schwannoma كلّه من الـ cranial
+
+120
+00:10:36,620 --> 00:10:43,200
+nerves mesenchymal هي tumors lipoma angiolipoma
+
+121
+00:10:43,200 --> 00:10:49,520
+liposarcoma fibrosarcoma rhabdomyoma rhabdomyo
+
+122
+00:10:49,520 --> 00:10:55,220
+sarcoma chondroma chondrosarcoma osteoma osteosarcoma
+
+123
+00:10:55,220 --> 00:10:59,640
+hemangioma hemangiosarcoma يعني الساركومة بتكون
+
+124
+00:10:59,640 --> 00:11:03,380
+malignant tumor يعني لو قلنا hemangioma benign
+
+125
+00:11:03,380 --> 00:11:10,310
+tumor hemangiosarcoma تعتبر malignant tumor lipoma
+
+126
+00:11:10,310 --> 00:11:14,790
+تعتبر benign tumor liposarcoma تعتبر malignant
+
+127
+00:11:14,790 --> 00:11:23,710
+tumor الآن هأتكلم على glioma الـ glioma
+
+128
+00:11:23,710 --> 00:11:30,150
+بتكون حوالي 80% من الـ primary أو بتشكل حوالي 80%
+
+129
+00:11:30,150 --> 00:11:36,130
+من الـ primary CNS malignancy يعني glioma بتمثل
+
+130
+00:11:36,130 --> 00:11:48,060
+حوالي 80% من primary brain tumors من أين أتى مصطلح
+
+131
+00:11:48,060 --> 00:11:52,760
+الـ glioma؟ أتى من glial cells يبقى أن هو tumor of
+
+132
+00:11:52,760 --> 00:11:59,380
+glial cells من تصنيف حسب الـ biopsy الـ biopsy بالتصنيف
+
+133
+00:11:59,380 --> 00:12:06,720
+طب الـ biopsy راح يصنف الـ glioma إلى أربعة أنواع أو
+
+134
+00:12:06,720 --> 00:12:14,300
+ثلاثة أنواع Low grade glioma Intermediate
+
+135
+00:12:14,300 --> 00:12:21,560
+grade High grade glioma يقول أننا أنواع low grade
+
+136
+00:12:21,560 --> 00:12:26,320
+glioma Intermediate grade و High grade more
+
+137
+00:12:26,320 --> 00:12:29,980
+malignant يقول أن الـ Low grade intermediate High
+
+138
+00:12:29,980 --> 00:12:34,800
+grade High grade more malignant glioma هاي هم
+
+139
+00:12:34,800 --> 00:12:42,820
+الثلاثة Low grade grade one intermediate grade
+
+140
+00:12:42,820 --> 00:12:51,180
+grade two High grade grade three طب كيف صنّفوهم لـ
+
+141
+00:12:51,180 --> 00:12:55,760
+grade one grade two grade three حسب الـ
+
+142
+00:12:55,760 --> 00:12:59,280
+differentiation حسب الـ differentiation هو الـ
+
+143
+00:12:59,280 --> 00:13:03,520
+microscopic study حسب الـ differentiation يعني
+
+144
+00:13:03,520 --> 00:13:10,000
+grade one هي Low grade بيسموها well differentiated
+
+145
+00:13:10,000 --> 00:13:15,000
+well differentiated it is more benign لكن هو مش
+
+146
+00:13:15,000 --> 00:13:17,820
+benign هذا الـ tumor كله malignant كله malignant
+
+147
+00:13:17,820 --> 00:13:20,920
+لكن بتكلم على الـ course بتاع الـ disease more
+
+148
+00:13:20,920 --> 00:13:27,420
+benign course grade 2 intermediate grade اللي هو
+
+149
+00:13:27,420 --> 00:13:33,340
+moderate differentiated grade 3 High grade poorly
+
+150
+00:13:33,340 --> 00:13:39,890
+differentiated على grade one إيش نوع الـ glioma هم؟
+
+151
+00:13:39,890 --> 00:13:44,090
+pilocytic astrocytoma يبقى لو قلنا pilocytic
+
+152
+00:13:44,090 --> 00:13:49,470
+astrocytoma هي تعتبر grade one أو Low grade النوع
+
+153
+00:13:49,470 --> 00:13:53,170
+الثاني diffuse astrocytoma يعني diffuse
+
+154
+00:13:53,170 --> 00:13:57,530
+astrocytoma تعتبر grade two أو intermediate grade
+
+155
+00:13:59,260 --> 00:14:04,860
+anaplastic astrocytoma هذا grade three تعتبر
+
+156
+00:14:04,860 --> 00:14:10,820
+poorly differentiated poorly differentiated أتحدث
+
+157
+00:14:10,820 --> 00:14:16,360
+الآن على meningioma meningioma it is a benign tumor
+
+158
+00:14:16,360 --> 00:14:23,520
+ورحميد هذا ورم حميد خمسة عشر في المئة من الـ brain
+
+159
+00:14:23,520 --> 00:14:25,720
+tumors are meningiomas
+
+160
+00:14:28,320 --> 00:14:32,560
+it is slow growing tumor slow growing tumor
+
+161
+00:14:32,560 --> 00:14:36,460
+usually benign يعني المريض ممكن تقعد معه الـ
+
+162
+00:14:36,460 --> 00:14:40,920
+meningioma عشرات السنين عشر عشرين سنة وهي صغيرة و
+
+163
+00:14:40,920 --> 00:14:48,300
+بتكبر برواحها common location أكثر مكان بتكون فيه
+
+164
+00:14:48,300 --> 00:14:53,400
+الـ meningioma parasagittal area parasagittal area
+
+165
+00:14:53,400 --> 00:15:00,480
+وين الفلكسر برايه hemispheric convexity, sphenoid,
+
+166
+00:15:01,660 --> 00:15:05,480
+refractory groove من المنيجيوما, sellarica,
+
+167
+00:15:05,860 --> 00:15:09,060
+cerebellopontine angle من المنيجيوما سادتي قبل
+
+168
+00:15:09,060 --> 00:15:12,680
+أسبوعين صبية سبعة وعشرين سنة كانت في عيادة فيه كان يحدث
+
+169
+00:15:12,680 --> 00:15:16,100
+معها زي facial hemispasm على الـ left side تلاقي
+
+170
+00:15:16,100 --> 00:15:19,480
+وجهها عامل حركة هادية على الـ left side يعني
+
+171
+00:15:19,480 --> 00:15:22,590
+involuntary deviation of the face على الـ left طلبت
+
+172
+00:15:22,590 --> 00:15:26,630
+brain MRI وجدت عندها cerebellopontine angle
+
+173
+00:15:26,630 --> 00:15:30,930
+meningioma عندها ورم حميد meningioma ولها أدت أشهر
+
+174
+00:15:30,930 --> 00:15:34,330
+للتعالج لموضوع الـ facial hemispasm لكن السبب
+
+175
+00:15:34,330 --> 00:15:37,450
+الرئيسي كان في الـ facial hemispasm وجود meningio
+
+176
+00:15:37,450 --> 00:15:43,090
+ma في الـ cerebellopontine angle هذه حالة
+
+177
+00:15:43,090 --> 00:15:47,630
+أنا شخصتها كمان large parasagittal meningioma
+
+178
+00:15:47,630 --> 00:15:52,850
+واصلها مصدرها جاي من الـ falx cerebri groove واضح  مقبّر هذه
+
+179
+00:15:52,850 --> 00:15:56,930
+without contrast هذه with contrast ملاحظين أنّه
+
+180
+00:15:56,930 --> 00:16:01,550
+تاخد good enhancement لكن حدودها واضحة حلوة مش
+
+181
+00:16:01,550 --> 00:16:06,470
+مثل الـ malignant tumor بتكون multifocal tumor هذه
+
+182
+00:16:06,470 --> 00:16:11,270
+تعتبر well defined tumor الـ contour تبعها حدودها
+
+183
+00:16:11,270 --> 00:16:14,630
+حلوة يقولون هذه عبارة عن meningioma
+
+184
+00:16:17,520 --> 00:16:23,440
+أتكلم الآن على metastatic brain tumor هذا الـ
+
+185
+00:16:23,440 --> 00:16:26,780
+metastatic brain tumor بيكون secondary tumor
+
+186
+00:16:26,780 --> 00:16:31,060
+secondary tumor جاي من وين؟ من other organs يعني
+
+187
+00:16:31,060 --> 00:16:37,800
+زي إيه؟ الـ lung زي إيه؟ prostate, kidney, thyroid
+
+188
+00:16:37,800 --> 00:16:44,670
+وهكذا خمسة عشر لثلاثين في المئة من الـ cancers
+
+189
+00:16:44,670 --> 00:16:50,030
+develop cerebral
+
+223
+00:19:48,940 --> 00:19:53,840
+وصل لنا مريض وشخصناه بـ brain متأسس ضروري كلهم عملهم
+
+224
+00:19:53,840 --> 00:19:58,980
+neck, chest, abdomen, pelvis, CT، والـ toxic load اللي
+
+225
+00:19:58,980 --> 00:20:04,400
+هو الـ primary source، وأوضح الـ primary source بتاع
+
+226
+00:20:04,400 --> 00:20:09,640
+الـ cancer، clinical representation of brain tumor
+
+227
+00:20:09,640 --> 00:20:15,820
+الـ clinical representation بتتمد على location of
+
+228
+00:20:15,820 --> 00:20:22,590
+the tumor، وين مكان الـ tumor، وواحد، اثنين type of tumor
+
+229
+00:20:22,590 --> 00:20:28,570
+إيش نوع الـ tumor؟ هل هو malignant tumor؟ هل هو
+
+230
+00:20:28,570 --> 00:20:36,450
+benign tumor؟ ثلاثة size of tumor، حجمه small،
+
+231
+00:20:36,450 --> 00:20:39,470
+moderate، large، عامل compression without
+
+232
+00:20:39,470 --> 00:20:44,850
+compression، عامل complications، and stage of tumor
+
+233
+00:20:44,850 --> 00:20:50,260
+stage of tumor، جماعة ممكن الـ tumor يكون عند المريض
+
+234
+00:20:50,260 --> 00:20:56,280
+شهر أو شهرين، ومش حاسس فيه، عنده أعراض بسيطة لكن في
+
+235
+00:20:56,280 --> 00:21:01,430
+بعض الأحيان ممكن يحدث نزيف في الـ tumor، Tumoral
+
+236
+00:21:01,430 --> 00:21:06,790
+Hemorrhage هو اللي يؤدي إلى clinical manifestation
+
+237
+00:21:06,790 --> 00:21:10,370
+عند المريض، ويحضر إلى المستشفى بأعراض acute
+
+238
+00:21:10,370 --> 00:21:14,710
+hemorrhagic CVA، وعند تشخيصه بعد ما يعمله CT أو
+
+239
+00:21:14,710 --> 00:21:19,230
+MRI، يلاحظ عنده brain tumor with bleeding، يعني
+
+240
+00:21:19,230 --> 00:21:23,340
+tumoral hemorrhage. The most common presentation of
+
+241
+00:21:23,340 --> 00:21:28,180
+brain tumor is progressive neurologic deficit.
+
+242
+00:21:28,180 --> 00:21:31,220
+usually، و قبل الـ deficit بيكون عندهم
+
+243
+00:21:31,220 --> 00:21:34,860
+general symptoms، زي الـ general symptoms: headache،
+
+244
+00:21:34,860 --> 00:21:38,260
+vomiting، vertigo، papilloedema، fundus
+
+245
+00:21:38,260 --> 00:21:42,620
+examination، وبعدها بيظهر neurological deficit، الـ
+
+246
+00:21:42,620 --> 00:21:46,780
+neurological deficit راح يتمد على الـ location of
+
+247
+00:21:46,780 --> 00:21:50,520
+الـ tumor، يعني الورم في الـ cerebellum راح يبدأ أعراض
+
+248
+00:21:50,520 --> 00:21:54,760
+عنده cerebellar signs، ataxia، discordination، الـ
+
+249
+00:21:54,760 --> 00:21:58,420
+tumor عنده في brainstem راح يبدأ يظهر عنده اللي هو
+
+250
+00:21:58,420 --> 00:22:05,200
+إيه؟ cranial nerve pulses، dysphagia، ocular
+
+251
+00:22:05,200 --> 00:22:11,810
+symptoms، facial symptoms، loss of hearing. tumor في
+
+252
+00:22:11,810 --> 00:22:17,430
+الـ cortex، إذا أجى في الـ motor area ممكن يحدث motor
+
+253
+00:22:17,430 --> 00:22:21,570
+convulsion، epilepsy، ممكن إذا أجى في الـ sensory
+
+254
+00:22:21,570 --> 00:22:27,030
+area يحدث sensory attack أو sensory convulsion أو
+
+255
+00:22:27,030 --> 00:22:34,690
+focal convulsion. Presentation of brain tumor signs
+
+256
+00:22:34,690 --> 00:22:38,860
+and symptoms. أول شيء بيكون non-focal أو general
+
+257
+00:22:38,860 --> 00:22:42,720
+symptoms، مثل ما اتكلمت بيكون عندهم some symptoms
+
+258
+00:22:42,720 --> 00:22:48,780
+due to increase intracranial pressure، مثل headache
+
+259
+00:22:48,780 --> 00:22:52,600
+و vomiting، dizziness، blurring of vision،
+
+260
+00:22:53,160 --> 00:22:57,600
+papilloedema، behavior changes، بعدها بيبدأ يظهر
+
+261
+00:22:57,600 --> 00:23:03,840
+focal neurological deficit related to the area of
+
+262
+00:23:03,840 --> 00:23:05,040
+damaged brain.
+
+263
+00:23:08,560 --> 00:23:14,440
+Clinical presentation of signs and symptoms: non-
+
+264
+00:23:14,440 --> 00:23:18,960
+focal أو generalized symptoms due to increased
+
+265
+00:23:18,960 --> 00:23:27,060
+intracranial pressure، مثل headache، seizures، nausea،
+
+266
+00:23:27,060 --> 00:23:31,160
+vomiting، depressed level of consciousness،
+
+267
+00:23:31,160 --> 00:23:37,630
+cognitive impairment. كل هذا يعتبر general، focal
+
+268
+00:23:37,630 --> 00:23:41,450
+neurologic deficit، weakness، hemiparesis،
+
+269
+00:23:41,950 --> 00:23:45,530
+monoparesis، sensory loss، loss of sensation،
+
+270
+00:23:46,050 --> 00:23:51,370
+numbness، speech difficulty، dysarthria، aphasia،
+
+271
+00:23:52,250 --> 00:23:56,430
+motor aphasia، dysphonia، hoarseness of voice،
+
+272
+00:23:57,190 --> 00:24:01,340
+hearing loss، visual dysfunction. هيبقى إن هذا يعتبر
+
+273
+00:24:01,340 --> 00:24:06,240
+focal neurological symptoms، وهنا يعتبره general،
+
+274
+00:24:06,240 --> 00:24:11,800
+non-focal symptoms.  أتكلم
+
+275
+00:24:11,800 --> 00:24:15,140
+على focal neurological symptoms أو focal
+
+276
+00:24:15,140 --> 00:24:19,260
+neurological deficit. إذا كان الـ tumor في frontal
+
+277
+00:24:19,260 --> 00:24:24,520
+lobe، راح يظهر على المريض weakness، monoparesis،
+
+278
+00:24:24,520 --> 00:24:30,600
+hemiparesis. ممكن تظهر عليهم علامات behavior changes،
+
+279
+00:24:30,600 --> 00:24:35,500
+personality changes، depression، expressive aphasia،
+
+280
+00:24:35,500 --> 00:24:39,720
+أو motor aphasia. يوم من الأيام جاني مريض، المريض هذا
+
+281
+00:24:39,720 --> 00:24:42,900
+كان عنده أعراض depression، بتعالج تلقائيًا بالنفس،
+
+282
+00:24:42,900 --> 00:24:50,110
+وجدته عنده personality changes، شخصيته اتغيرت،أهله
+
+283
+00:24:50,110 --> 00:24:54,450
+بيقولوا لك: آخر فترة مكتئب، ما بديش أتعامل مع الناس، منعزل،
+
+284
+00:24:54,450 --> 00:25:00,510
+بطل يحافظ على نظافته، نظافة جسمه، يلبس أي شيء، مش
+
+285
+00:25:00,510 --> 00:25:05,550
+الشخص اللي بنعرفه احنا، طلبت brain CT له، ووجدت عنده
+
+286
+00:25:05,550 --> 00:25:09,250
+left frontal tumor، cancer في الـ left frontal، هو هي
+
+287
+00:25:09,250 --> 00:25:13,170
+اللي سببت، إلى سببته personality changes وتغيرات
+
+288
+00:25:13,170 --> 00:25:18,820
+في سلوكه وفي شخصيته. برايته له بـ tumor تعمل
+
+289
+00:25:18,820 --> 00:25:21,820
+Contralateral Sensory Loss، ممكن تمامًا Hemi-
+
+290
+00:25:21,820 --> 00:25:24,740
+hypoesthesia، و Hemi-anesthesia، ويكون معهم
+
+291
+00:25:24,740 --> 00:25:29,520
+Astereognosis، Astereognosis، باللمس، المريض يقول لك
+
+292
+00:25:29,520 --> 00:25:33,240
+أنا مجرد غمض عيني نايم، ما بقدرش ألمس شيء، ما بحسش، يعني أنا
+
+293
+00:25:33,240 --> 00:25:39,220
+لمست الآن الجهة دي، قلم، قلت تمام هذا قلم، بحط في
+
+294
+00:25:39,220 --> 00:25:43,540
+إيدي فلوس، بقدر بدون ما أنظر في الإطمة أميز هذا شكل
+
+295
+00:25:43,540 --> 00:25:47,870
+اثنين، شكل خمسة، شكل، باللمس. لكن المريض ممكن يفقد هذه
+
+296
+00:25:47,870 --> 00:25:50,790
+الحاسة، ويظهر عليه حاجة اسمها stereognosis.
+
+297
+00:25:50,790 --> 00:25:57,790
+temporal lobe، auditory، مشاكل في السمع، smell
+
+298
+00:25:57,790 --> 00:26:03,330
+hallucination. شرحت لكم مرة جارتنا كان عندها مشخص
+
+299
+00:26:03,330 --> 00:26:07,230
+بـ CVA، ونايمة في المستشفى، حضرت للعيادة عنده أثناء
+
+300
+00:26:07,230 --> 00:26:10,950
+وجودها في العيادة بتقول: شام لحمة، شام لحمة، يعني
+
+301
+00:26:10,950 --> 00:26:14,640
+smell hallucination، وين اللحمة في العيادة؟ اسم الـ
+
+302
+00:26:14,640 --> 00:26:17,980
+hallucination. عملت MRI فعلًا كان عندها left
+
+303
+00:26:17,980 --> 00:26:21,380
+temporal lobe، glioblastoma. ما لقينا الـ tumor في
+
+304
+00:26:21,380 --> 00:26:25,360
+الـ left temporal lobe، occipital lobe lesion. ممكن
+
+305
+00:26:25,360 --> 00:26:29,380
+يجينا بـ Hemianopia، Contralateral Hemianopia، فقدان
+
+306
+00:26:29,380 --> 00:26:32,440
+مجال الإبصار، لكن ممكن يجي بـ visual hallucination،
+
+307
+00:26:32,440 --> 00:26:36,580
+أنه يشوف أشخاص ومش موجودين، مش ضروري دائمًا يكون
+
+308
+00:26:36,580 --> 00:26:40,710
+tumor، ممكن يكون الـ hallucination سببها نفسي، واحد
+
+309
+00:26:40,710 --> 00:26:43,990
+عنده فصام شخصية، Schizophrenia، ممكن يشوف أشياء،
+
+310
+00:26:43,990 --> 00:26:47,310
+يشتم أشياء،
+
+311
+00:26:47,310 --> 00:26:53,590
+أو يشوف أشخاص، يسمع صوت بدون إيه؟ بدون أن يكون
+
+312
+00:26:53,590 --> 00:26:58,770
+موجود، لأن هذه هلوسة أو هلاوس بنسميها، auditory
+
+313
+00:26:58,770 --> 00:27:01,410
+hallucination، visual hallucination، smell
+
+314
+00:27:01,410 --> 00:27:06,800
+hallucination. Cerebellum، ممكن الأعراض تجي ataxia،
+
+315
+00:27:06,800 --> 00:27:10,480
+slurred speech، لأنهم discordination مع speech
+
+316
+00:27:10,480 --> 00:27:14,380
+difficulty، و dysarthria. Brain stem، إذا جاء tumor في
+
+317
+00:27:14,380 --> 00:27:17,920
+الـ brain stem ممكن يجينا بأعراض اللي هو brain stem
+
+318
+00:27:17,920 --> 00:27:22,540
+symptoms، زي bulbar symptom، زي facial، hearing
+
+319
+00:27:22,540 --> 00:27:27,300
+loss، ocular symptoms، and associated with other
+
+320
+00:27:27,300 --> 00:27:30,900
+symptoms، لأنه بتأثر الـ tract، ascending tract،
+
+321
+00:27:30,900 --> 00:27:33,940
+descending tract، ممكن تلاقيهم weakness، loss of
+
+322
+00:27:33,940 --> 00:27:37,860
+sensation في الـ opposite side of the body.
+
+323
+00:27:37,860 --> 00:27:43,700
+Diagnostic procedures، إيش نعملهم فحوصات لهؤلاء المرضى؟
+
+324
+00:27:43,700 --> 00:27:50,480
+chest x-ray، ضروري، CT neck, chest, abdomen, pelvis،
+
+325
+00:27:50,480 --> 00:27:57,670
+CT، stool analysis، عشان نفحص إذا فيه occult blood،
+
+326
+00:27:57,670 --> 00:28:04,050
+اللي هو ناتج عن نزيف في الأمعاء أو في المعدة.
+
+327
+00:28:04,050 --> 00:28:10,350
+ماموغرافي للستات، نفحص الـ breast لنبين إن ده موجود،
+
+328
+00:28:10,350 --> 00:28:15,520
+breast cancer. brain CT with and without contrast،
+
+329
+00:28:15,520 --> 00:28:19,580
+الأفضل إن يعمل الـ brain MRI، MRI is more sensitive
+
+330
+00:28:19,580 --> 00:28:24,340
+for detection of malignancies، وخاصة brain tumors.
+
+331
+00:28:25,690 --> 00:28:30,690
+PET scan، اللي هو positron emission tomography، for
+
+332
+00:28:30,690 --> 00:28:35,610
+small... for small... بنعمل هذا الـ positron
+
+333
+00:28:35,610 --> 00:28:40,590
+emission tomography for small malignant cells
+
+334
+00:28:40,590 --> 00:28:46,250
+detection. بيوبسي، بتاخد جزيئات خزعة من الـ brain، تشهر، و
+
+335
+00:28:46,250 --> 00:28:49,150
+بنعمل لهم بيوبسي، بندرس الـ ansia تبع الدماغ
+
+336
+00:28:49,150 --> 00:28:49,730
+microscopically.
+
+337
+00:28:52,280 --> 00:28:56,840
+هي إنها واضحة، منينجيومة في الفالكس سيريبراي،
+
+338
+00:28:56,840 --> 00:29:01,620
+المنينجيومة هذه calcified، منينجيومة في الفالكس
+
+339
+00:29:01,620 --> 00:29:07,150
+سيريبراي في الـ left side، هذي meningioma، هذي CT with
+
+340
+00:29:07,150 --> 00:29:10,850
+contrast، واضحة، إن هذه بدون contrast بس الأبيض هذي
+
+341
+00:29:10,850 --> 00:29:15,370
+calcification، هذي CT with contrast، واضحة حدود الـ
+
+342
+00:29:15,370 --> 00:29:19,470
+meningioma، حلوة هنا، هذه الـ meningioma، كل هذه تعتبر
+
+343
+00:29:19,470 --> 00:29:28,450
+meningioma، وهنا هذه meningioma، وهذا benign tumor، والـ
+
+344
+00:29:28,450 --> 00:29:31,590
+outcome after surgical intervention.
+
+345
+00:29:39,480 --> 00:29:46,340
+هي عندي في الـ convexity، في meningioma على الـ MRI،
+
+346
+00:29:46,340 --> 00:29:54,100
+T1 with contrast، هذي microscopic meningioma في الـ
+
+347
+00:29:54,100 --> 00:29:57,140
+convexity of the brain، هذا brain tissue، وهذه هي الـ
+
+348
+00:29:57,140 --> 00:30:02,120
+meningioma، نفس
+
+349
+00:30:02,120 --> 00:30:07,140
+الشيء على الـ MRI، هذي T1 without contrast، هنا
+
+350
+00:30:07,140 --> 00:30:12,720
+مينينجيومة في الـ right parietal occipital area، وعلى
+
+351
+00:30:12,720 --> 00:30:18,680
+الـ T1، هذه axial، هنا coronal T1، coronal، هنا في
+
+352
+00:30:18,680 --> 00:30:27,080
+مينينجيومة with good enhancement، هذه
+
+353
+00:30:27,080 --> 00:30:37,370
+low grade، جليوما على T2، وهنا T1 with contrast، هذه
+
+354
+00:30:37,370 --> 00:30:43,470
+جليوبلاستوما grade 4، جليوما، جليوبلاستوما، تمام،
+
+355
+00:30:43,470 --> 00:30:51,510
+هنا more differentiated and plastic osteocytoma،
+
+356
+00:30:51,510 --> 00:30:56,910
+grade 3، نفس
+
+357
+00:30:56,910 --> 00:31:02,870
+الشيء، هنا جليوبلاستوما grade 4، هو Astrocytoma على
+
+358
+00:31:02,870 --> 00:31:08,430
+الـ T1 وعلى الـ T2، وحواليها فيه Edema، هذه Edema،
+
+359
+00:31:08,430 --> 00:31:12,850
+ببعضه، peritumoral Edema، تكون عاملة مثل الـ fingers، finger-
+
+360
+00:31:12,850 --> 00:31:19,030
+like appearance. جليو
+
+361
+00:31:19,030 --> 00:31:23,470
+بلاستوما في الـ left temporal، front، و temporal area،
+
+362
+00:31:23,470 --> 00:31:27,850
+هذي T1 weighted image، هذي T2،
+
+363
+00:31:31,010 --> 00:31:34,970
+هذه الحالة، أنا شخصيتها، كان عندها... كان عمرها
+
+364
+00:31:34,970 --> 00:31:40,950
+خمسين سنة، سكان رفح، كانت تشكو فترة من فقدان
+
+365
+00:31:40,950 --> 00:31:44,110
+السمع، وطنين في الأذن اللي في الجهة اليمنى، لما
+
+366
+00:31:44,110 --> 00:31:47,390
+فحصتها كان كمان weakness في الـ facial muscle، ونعم
+
+367
+00:31:47,390 --> 00:31:51,200
+نسمع hypoesthesia في الـ face على الـ right. شخصتها
+
+368
+00:31:51,200 --> 00:31:54,880
+cerebellopontine angle lesion، وبعتها على MRI فعلًا
+
+369
+00:31:54,880 --> 00:31:59,240
+طلعت cerebellopontine angle، الـ tumor كانت acoustic
+
+370
+00:31:59,240 --> 00:32:03,460
+schwannoma، ورم حميد في العصب الثامن في الـ right
+
+371
+00:32:03,460 --> 00:32:07,260
+cerebellopontine angle، وتم إجراء العملية، والحمد
+
+372
+00:32:07,260 --> 00:32:14,480
+لله. واضحة ممتاز. الآن هذه بتفرج لاند أدينومة، ممكن
+
+373
+00:32:14,480 --> 00:32:16,280
+تكون macro adenoma، هذه
+
+374
+00:32:19,190 --> 00:32:23,790
+لاحظوا هنا أكثر من tumor، أكثر من مكان في tumor، هذا
+
+375
+00:32:23,790 --> 00:32:27,550
+secondary tumor، metastatic tumor، الورم جاء منتشر
+
+376
+00:32:27,550 --> 00:32:31,350
+من مكان آخر، ويعامل metastasis في الـ brain، صايب
+
+377
+00:32:31,350 --> 00:32:34,050
+أكثر من مكان، دائمًا بتلاحظوا الـ primary tumor في
+
+378
+00:32:34,050 --> 00:32:37,490
+مكان واحد، لكن لو لاقيناه منتشر في عدة أماكن يبقى
+
+379
+00:32:37,490 --> 00:32:42,830
+هذا يعتبر metastatic tumor، ومياخد contrast، good
+
+380
+00:32:42,830 --> 00:32:43,350
+enhancement.
+
+381
+00:32:46,410 --> 00:32:53,690
+Management of Brain Tumors، تدخل جراحي، surgery،
+
+382
+00:32:53,690 --> 00:32:58,490
+stereotactic radiosurgery، عن طريق أشعة Gamma
+
+383
+00:32:58,490 --> 00:33:02,910
+Knife، تدخل جراحي بالأشعة Gamma Knife، radiotherapy،
+
+384
+00:33:02,910 --> 00:33:06,010
+إشعاع، الحلول الكيميائية، والعلاج الكيميائي،
+
+385
+00:33:06,010 --> 00:33:09,690
+conservative therapy، هو symptomatic therapy،
+
+386
+00:33:09,690 --> 00:33:12,910
+according to the symptoms، يعني بأخذ analgesia،
+
+387
+00:33:12,910 --> 00:33:17,150
+analgesics، steroids، و Mannitol، عشان نقلل الـ brain
+
+388
+00:33:17,150 --> 00:33:22,170
+oedema. Anti-epileptic drugs for prevention of
+
+389
+00:33:22,170 --> 00:33:27,950
+convulsion and seizures. Anti-emetics to decrease
+
+390
+00:33:27,950 --> 00:33:32,370
+vomiting. للتوضيح، هي أحيانًا بيعملهم combined
+
+391
+00:33:32,370 --> 00:33:36,650
+therapy، وبعدها بتتم تحويلهم على medical
+
+392
+00:33:36,650 --> 00:33:41,330
+rehabilitation and physiotherapy. What's the role
+
+393
+00:33:41,330 --> 00:33:46,790
+of radiotherapy in brain tumor؟ إيش دور العلاج
+
+394
+00:33:46,790 --> 00:33:50,990
+الشعاعي في علاج الأورام؟ باستخدام العلاج الشعاعي
+
+395
+00:33:50,990 --> 00:33:56,030
+في حالات لما يكون التدخل الجراحي incomplete، الجراح
+
+396
+00:33:56,030 --> 00:34:00,150
+ما قدر يرفع الورم بالكامل، رفع جزء منه، deep brain
+
+397
+00:34:00,150 --> 00:34:03,890
+tumor، الـ brain tumor موجود في الـ midbrain، في الـ
+
+398
+00:34:03,890 --> 00:34:07,980
+bonds، ومش قادر يصل له الجراح. Radio-sensitive tumors،
+
+399
+00:34:07,980 --> 00:34:13,300
+في بعض الأورام بيستجيبوا كويس للإشعاع، مثل جليوبلاستوما،
+
+400
+00:34:13,300 --> 00:34:18,160
+بتاعتها،  prolactinoma، و palliative therapy،
+
+401
+00:34:18,160 --> 00:34:23,300
+بيستخدم as palliation أو palliative therapy، الـ
+
+402
+00:34:23,300 --> 00:34:28,860
+metastatic tumor، عشان يقللوا الـ growth of tumors، و
+
+403
+00:34:
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6d5e94f22a7bf1a6fa5bc1913ebefbbbb4571a8
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_postprocess.srt
@@ -0,0 +1,1692 @@
+1
+00:00:05,080 --> 00:00:11,340
+بسم الله الرحمن الرحيم الجزء الثاني من محاضرة
+
+2
+00:00:11,340 --> 00:00:19,720
+أسبوع الحادي عشر راح تكون brain tumor نعرض
+
+3
+00:00:19,720 --> 00:00:25,360
+case sixty two years old womanلم يكن هناك قصة طبية
+
+4
+00:00:25,360 --> 00:00:30,980
+قبل ذلك لم يكن هناك طبية قبل ذات شهر قبل ذات شهر
+
+5
+00:00:30,980 --> 00:00:32,820
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+6
+00:00:32,820 --> 00:00:35,220
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+7
+00:00:35,220 --> 00:00:36,160
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+8
+00:00:36,160 --> 00:00:38,340
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+9
+00:00:38,340 --> 00:00:38,900
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+10
+00:00:38,900 --> 00:00:43,020
+قبل ذات شهر قبل ذات شهر قبل ذات شهر قبل ذات شهر
+
+11
+00:00:43,020 --> 00:00:53,840
+قبل ذات شهر قبل ذات شهر قبل ذات ش
+
+12
+00:00:54,350 --> 00:00:58,630
+Blood Pressure 120 على 60 Heart Rate 80
+
+13
+00:00:58,630 --> 00:01:10,250
+Temperature 36.5 Oxygen Saturation 96% ECG Normal
+
+14
+00:01:10,250 --> 00:01:16,710
+Sinus Red Chest X-Ray Normal Blood Test Normal
+
+15
+00:01:16,710 --> 00:01:23,190
+الحالة هذهفي شيء غريب في الحالة قد تكون ال cva لكن
+
+16
+00:01:23,190 --> 00:01:26,230
+اللي مش في صالح ال cva او cerebrovascular disease
+
+17
+00:01:26,230 --> 00:01:31,470
+انه no previous medical history اي واحد الشيء
+
+18
+00:01:31,470 --> 00:01:39,790
+الثاني الاهم ان ال symptoms بدأوا graduallytwo
+
+19
+00:01:39,790 --> 00:01:44,430
+weeks before progressive ماجالش sudden answer
+
+20
+00:01:44,430 --> 00:01:48,230
+progressive difficulty for saying the name of
+
+21
+00:01:48,230 --> 00:01:51,950
+object يعني المريض حدث معاه حاجة بنسميها amnestic
+
+22
+00:01:51,950 --> 00:01:57,570
+aphasia بنسى أسماء الأشياء و الأشخاص بعدها اتطورت
+
+23
+00:01:57,570 --> 00:02:06,370
+الحالة ل weakness في ال right handفي ال
+
+24
+00:02:06,370 --> 00:02:09,690
+examination طورت ل motor aphasia حدثنا معاه motor
+
+25
+00:02:09,690 --> 00:02:15,070
+aphasia اللي هو weakness على ال right side ومشكلة
+
+26
+00:02:15,070 --> 00:02:19,550
+ثانية انه وجدنا انه increase deep tendon reflexes
+
+27
+00:02:19,550 --> 00:02:22,570
+احنا عارفين في ال acute cva بيكون shock stage
+
+28
+00:02:22,570 --> 00:02:26,450
+acute و loss reflex ال reflex هيبو reflexي او lost
+
+29
+00:02:26,450 --> 00:02:30,790
+في البداية لكن هنا في increase deep reflexes يعني
+
+30
+00:02:30,790 --> 00:02:33,810
+في مشكلة جديدة عند المريض مش شديدة مش sudden onset
+
+31
+00:02:35,690 --> 00:02:41,190
+لو عمل ال brain CT بال brain CT ملاحظين احنا شكل
+
+32
+00:02:41,190 --> 00:02:49,030
+ال mass عامل compression على ال lateral ventricle
+
+33
+00:02:49,030 --> 00:02:51,550
+على ال left side يعني ال lateral ventricle ال left
+
+34
+00:02:51,550 --> 00:02:57,750
+side مضغوط و في ال cortexفي finger-like edema
+
+35
+00:02:57,750 --> 00:03:03,330
+finger-like edema يعني finger-like مثل ايه الأصابع
+
+36
+00:03:03,330 --> 00:03:07,670
+بيكون ال edema هذه vasogenic edema suspicion يكون
+
+37
+00:03:07,670 --> 00:03:13,030
+tumor في الحالة هذه اما بعيد الصورة بعطي contrast
+
+38
+00:03:13,030 --> 00:03:17,250
+صابغة عشان اشوف انه هذا tumor ولا لأ او الأفضل
+
+39
+00:03:17,250 --> 00:03:25,500
+نعمل brain MRI هي عطينا ال contrast مع الصابغةواضح
+
+40
+00:03:25,500 --> 00:03:30,240
+إنه في enhancement ال tumor شفت صبغة في
+
+41
+00:03:30,240 --> 00:03:33,540
+enhancement لل contrast لأن في الحالة هذه بتكلم
+
+42
+00:03:33,540 --> 00:03:41,280
+على brain tumor brain tumor introduction of our
+
+43
+00:03:41,280 --> 00:03:46,880
+lecture primary brain tumors من وين بيجونا ال
+
+44
+00:03:46,880 --> 00:03:50,580
+primary brain tumors بيجوا من نفس ال tissue of the
+
+45
+00:03:50,580 --> 00:03:55,400
+brain أو من ال meningesيقول ان هما arising from
+
+46
+00:03:55,400 --> 00:04:00,400
+different cells of brain tissue او of central
+
+47
+00:04:00,400 --> 00:04:07,080
+nervous system يعتبر ثالث
+
+48
+00:04:07,080 --> 00:04:07,740
+الحالات
+
+49
+00:04:10,370 --> 00:04:15,010
+من ال brain tumors primary brain tumors يعتبرون
+
+50
+00:04:15,010 --> 00:04:19,590
+ماليجنانت يعني ثالث حالات ل brain tumor ل primary
+
+51
+00:04:19,590 --> 00:04:25,830
+brain tumor يعتبروا ماليجنانت خبيث 20% من ال brain
+
+52
+00:04:25,830 --> 00:04:32,470
+tumors بظهروا في childhood في childhood ماليجنانت
+
+53
+00:04:32,470 --> 00:04:39,600
+brain tumormore frequent in childhood than in
+
+54
+00:04:39,600 --> 00:04:48,460
+adult يعني ال brain tumors في ال childhood يعتبروا
+
+55
+00:04:48,460 --> 00:04:53,120
+more malignant more malignant epidemiology of
+
+56
+00:04:53,120 --> 00:04:59,320
+brain tumor incidence تمانية لخمسة و عشرين كل مية
+
+57
+00:04:59,320 --> 00:05:02,620
+الف و الرقم فيه ازدياد الرقم ال cancer و
+
+58
+00:05:02,620 --> 00:05:07,680
+الماليجنانسي فيه ازدياد يكونMetastatic tumors خمسة
+
+59
+00:05:07,680 --> 00:05:11,960
+و عشرين في المية من ال brain tumors are metastatic
+
+60
+00:05:11,960 --> 00:05:16,420
+or secondary tumors يعني بيكونوا منتشر من مكان آخر
+
+61
+00:05:16,420 --> 00:05:22,920
+خاصة من الرئة من ال lung race ال white عندهم أكثر
+
+62
+00:05:22,920 --> 00:05:30,540
+risk لالماليجنانسي من ال blackgender أكتر في ال
+
+63
+00:05:30,540 --> 00:05:34,420
+male بيكون ال brain tumors ال age ال brain tumors
+
+64
+00:05:34,420 --> 00:05:41,460
+بيحدث في any age في أي سنة في أي عمر ممكن نشخص
+
+65
+00:05:41,460 --> 00:05:46,060
+brain tumors brain tumors لكن أكتر شيء ال primary
+
+66
+00:05:46,060 --> 00:05:49,620
+tumors ممكن يكونوا في ال back بتاعهم في سن خمس
+
+67
+00:05:49,620 --> 00:05:54,220
+واربعين خمسين سنة glioblastoma
+
+68
+00:05:55,340 --> 00:06:00,760
+rarely occurs before the age of fifteens يعني
+
+69
+00:06:00,760 --> 00:06:06,280
+glioblastoma نادر ما تيجي قبل سن خمستاشر لكن
+
+70
+00:06:06,280 --> 00:06:12,400
+medulloblastoma is uncommon after the age of
+
+71
+00:06:12,400 --> 00:06:16,440
+eighty يعني ال medulloblastoma بتيجي أكتر عند
+
+72
+00:06:16,440 --> 00:06:20,470
+الأطفال و نادر ما تيجي بعد سن العشرينالعكس صحيح
+
+73
+00:06:20,470 --> 00:06:23,890
+الـ glioblastoma بتيجي عين دي الكبار و نادر ما
+
+74
+00:06:23,890 --> 00:06:29,750
+تيجي بقى قبل سن الخمستاشر etiology
+
+75
+00:06:29,750 --> 00:06:33,310
+of brain tumor إيش أسباب ال brain tumor؟ genetic
+
+76
+00:06:33,310 --> 00:06:41,230
+cause ionizing radiation الإشعاع viral infection
+
+77
+00:06:41,230 --> 00:06:48,100
+مثل primary brain lymphomaenvironmental risk
+
+78
+00:06:48,100 --> 00:06:51,340
+factors الناس اللي بيشتغلوا في مصانع مبيدات حشرية
+
+79
+00:06:51,340 --> 00:06:56,580
+مواد كيمويات كل هذا يعتبر risk factors possible
+
+80
+00:06:56,580 --> 00:07:01,760
+factors ال allergy physical trauma certain
+
+81
+00:07:01,760 --> 00:07:07,060
+infections هذا يعتبر possible factors الآن لو
+
+82
+00:07:07,060 --> 00:07:13,380
+بنجسم brain tumors بنجسمهم
+
+83
+00:07:13,380 --> 00:07:19,480
+لprimary or secondary tumor يعني أول تقسيمة ال
+
+84
+00:07:19,480 --> 00:07:23,220
+primary brain tumor يعني هو الورم هذا أجا من
+
+85
+00:07:23,220 --> 00:07:26,500
+الأنسجة تبع الدماغ أو ال meninges اللي حوالين
+
+86
+00:07:26,500 --> 00:07:30,500
+الدماغ يبقى ان هو أول مصدره الدماغ نفسه او ال
+
+87
+00:07:30,500 --> 00:07:35,000
+meninges secondary tumors يبقى هو جا متستاتيك ال
+
+88
+00:07:35,000 --> 00:07:38,400
+tumor من أماكن ثانية من ال lung من ال prostate من
+
+89
+00:07:38,400 --> 00:07:43,310
+ال thyroid gland من ال liver و هكذاحسب ال location
+
+90
+00:07:43,310 --> 00:07:50,310
+بنقسم ال tumor حسب ال location حسب ال tissue بعد
+
+91
+00:07:50,310 --> 00:07:55,590
+ما ياخد biopsy و ال grading كمان اللي هي
+
+92
+00:07:55,590 --> 00:08:00,350
+microscopic appearance بتعتمد على اللي هو biopsy
+
+93
+00:08:00,350 --> 00:08:08,610
+and microscopic study world
+
+94
+00:08:08,610 --> 00:08:14,630
+health organizationعملت ال classification ل brain
+
+95
+00:08:14,630 --> 00:08:21,970
+tumor سنة الفين و سبعة فهذه
+
+96
+00:08:21,970 --> 00:08:26,710
+ال WHO عملت ال classification جسمتهم tumors of
+
+97
+00:08:26,710 --> 00:08:33,050
+neuroepithelial tissue tumors of cranial nerves
+
+98
+00:08:33,050 --> 00:08:38,430
+tumors of meninges هو بيشرحلنا مصدر ال tumor
+
+99
+00:08:40,290 --> 00:08:47,810
+Lymphoma أو hematobiotics النيوبلازم من ال blood و
+
+100
+00:08:47,810 --> 00:08:53,650
+ال lymphoma germ cell tumors tumors of the
+
+101
+00:08:53,650 --> 00:08:56,850
+cellular region مثل ال pituitary gland ادينوما
+
+102
+00:08:56,850 --> 00:09:02,550
+ماكرو ادينوما و metastatic tumors هذه ال tumors
+
+103
+00:09:02,550 --> 00:09:08,770
+وصلوا للدماغ من اماكن اخرىهي classification of
+
+104
+00:09:08,770 --> 00:09:12,650
+primary brain tumors according to histopathology
+
+105
+00:09:12,650 --> 00:09:21,490
+حسب دراسة الأنسجة والعينة في Astrocytic tumor
+
+106
+00:09:21,490 --> 00:09:25,650
+Astrocytoma Glioblastoma راح نتكلم عنهم
+
+107
+00:09:25,650 --> 00:09:28,690
+Oligodendroglial
+
+108
+00:09:28,690 --> 00:09:33,970
+tumors Oligodendroglioma يبقى ال tumor الأول جاينا
+
+109
+00:09:33,970 --> 00:09:38,890
+من ال Astrocyteالتيومر الثاني جاء من الـ
+
+110
+00:09:38,890 --> 00:09:41,410
+oligodendrocyte هذا انواع من ال نيروجليا للسلز
+
+111
+00:09:41,410 --> 00:09:48,430
+ثلاثة ابن دايمة للسلز ابن دايمومة كورويد بليكساس
+
+112
+00:09:48,430 --> 00:09:52,810
+تيومر هدول من الكورويد البليكساس مثل كورويد
+
+113
+00:09:52,810 --> 00:09:59,130
+بليكساس بابيلومة كورويد بليكساس كارسينومةneural
+
+114
+00:09:59,130 --> 00:10:07,770
+and mixed neuronal glial tumors مثل ganglioglioma
+
+115
+00:10:07,770 --> 00:10:13,690
+ganglioglioma embryonal tumor ميدال البلستومة أكتر
+
+116
+00:10:13,690 --> 00:10:17,650
+شي بتجي ميدال البلستومة عند الأطفال أقل من سن
+
+117
+00:10:17,650 --> 00:10:25,050
+عشرين meningial tumor meningioma germ cell tumor
+
+118
+00:10:25,050 --> 00:10:30,020
+germinoma أو تيراتومةTumor of the cranial nerves
+
+119
+00:10:30,020 --> 00:10:36,620
+نيوراما نيروفيبراما شفاناما كله من ال cranial
+
+120
+00:10:36,620 --> 00:10:43,200
+nerves ميزن كيميال هي tumors لايبوماانجيو ليبومة
+
+121
+00:10:43,200 --> 00:10:49,520
+ليبو ساركومة فيبرو ساركومة رابدو مايومة رابدو مايو
+
+122
+00:10:49,520 --> 00:10:55,220
+ساركومة كاندرومة كاندرو ساركومة أسيومة أسو ساركومة
+
+123
+00:10:55,220 --> 00:10:59,640
+هيمانجيومة هيمانجيو ساركومة يعني الساركومة بتكون
+
+124
+00:10:59,640 --> 00:11:03,380
+malignant tumor يعني لو قولنا هيمانجيومة benign
+
+125
+00:11:03,380 --> 00:11:10,310
+tumor هيمانجيو ساركومة تعتبر malignant tumorليبومة
+
+126
+00:11:10,310 --> 00:11:14,790
+تعتبر benign tumor ليبوساركومة تعتبر malignant
+
+127
+00:11:14,790 --> 00:11:23,710
+tumor الآن هتكلم على إيجليومة الإيجليومة
+
+128
+00:11:23,710 --> 00:11:30,150
+بتكون حوالي 80% من ال primary أو بتشكل حوالي 80%
+
+129
+00:11:30,150 --> 00:11:36,130
+من ال primary CNS malignancy يعني إيجليومة بتمثل
+
+130
+00:11:36,130 --> 00:11:48,060
+حوالي80% من primary brain tumors من أين أتى مصطلح
+
+131
+00:11:48,060 --> 00:11:52,760
+الـ glioma؟ أتى من glial cells يبقى ان هو tumor of
+
+132
+00:11:52,760 --> 00:11:59,380
+glial cells من شخصه حسب البيوبسي البيوبسي بالشخص
+
+133
+00:11:59,380 --> 00:12:06,720
+طب البيوبسي راح تجسم لglioma إلى أربع أنواع أو
+
+134
+00:12:06,720 --> 00:12:14,300
+ثلاث أنواعLow grade glioma Intermediate
+
+135
+00:12:14,300 --> 00:12:21,560
+grade High grade glioma يقول أننا أنواع low grade
+
+136
+00:12:21,560 --> 00:12:26,320
+glioma Intermediate grade و high grade more
+
+137
+00:12:26,320 --> 00:12:29,980
+malignant يقول أن ال low grade intermediate high
+
+138
+00:12:29,980 --> 00:12:34,800
+grade high grade more malignant glioma هاي هم
+
+139
+00:12:34,800 --> 00:12:42,820
+الثلاثةlow grade grade one intermediate grade
+
+140
+00:12:42,820 --> 00:12:51,180
+grade two high grade grade three طب كيف جسموهم ل
+
+141
+00:12:51,180 --> 00:12:55,760
+grade one grade two grade three حسب ال
+
+142
+00:12:55,760 --> 00:12:59,280
+differentiation حسب ال differentiation هو ال
+
+143
+00:12:59,280 --> 00:13:03,520
+microscopic study حسب ال differentiation يعني
+
+144
+00:13:03,520 --> 00:13:10,000
+grade oneهي low grade بيسموها well differentiated
+
+145
+00:13:10,000 --> 00:13:15,000
+well differentiated it is more benign لكن هو مش
+
+146
+00:13:15,000 --> 00:13:17,820
+benign هذا ال tumor كله malignant كله malignant
+
+147
+00:13:17,820 --> 00:13:20,920
+لكن بتكلم على ال course بتاع ال disease more
+
+148
+00:13:20,920 --> 00:13:27,420
+benign course grade 2 intermediate grade اللي هو
+
+149
+00:13:27,420 --> 00:13:33,340
+moderate differentiated grade 3 high grade poorly
+
+150
+00:13:33,340 --> 00:13:39,890
+differentiatedعلى grade one ايش نوع اللي جليه هم؟
+
+151
+00:13:39,890 --> 00:13:44,090
+biocytic astrocytoma يبقى لو قولنا biocytic
+
+152
+00:13:44,090 --> 00:13:49,470
+astrocytoma هي تعتبر grade one او low grade النوع
+
+153
+00:13:49,470 --> 00:13:53,170
+الثاني diffuse astrocytoma يعني diffuse
+
+154
+00:13:53,170 --> 00:13:57,530
+astrocytoma تعتبر grade two او intermediate grade
+
+155
+00:13:59,260 --> 00:14:04,860
+انبلاستيك أستروسيتومة هذا grade a grade 3 تعتبر
+
+156
+00:14:04,860 --> 00:14:10,820
+poorly differentiated poorly differentiated اتكلم
+
+157
+00:14:10,820 --> 00:14:16,360
+الآن على مينيجيومه مينيجيومه it is a benign tumor
+
+158
+00:14:16,360 --> 00:14:23,520
+ورمحميد هذا ورمحميد خمستاشر في المية من ال brain
+
+159
+00:14:23,520 --> 00:14:25,720
+tumors are meningiomas
+
+160
+00:14:28,320 --> 00:14:32,560
+it is slow growing tumor slow growing tumor
+
+161
+00:14:32,560 --> 00:14:36,460
+usually benign يعني المريض ممكن تقعد معاه ال
+
+162
+00:14:36,460 --> 00:14:40,920
+meningioma عشرات سنوات عشر عشرين سنة و هي صغيرة و
+
+163
+00:14:40,920 --> 00:14:48,300
+بتكبر بروحتها common location أكثر مكان بتكون فيه
+
+164
+00:14:48,300 --> 00:14:53,400
+ال meningioma برا sagittal area برا sagittal area
+
+165
+00:14:53,400 --> 00:15:00,480
+وين الفلكسر برايهHemospheric convexity, sphenoid,
+
+166
+00:15:01,660 --> 00:15:05,480
+refractory groove من الانجيوما, cellatoresica,
+
+167
+00:15:05,860 --> 00:15:09,060
+Cerebellar pontine angle من الانجيوما سادتي قبل
+
+168
+00:15:09,060 --> 00:15:12,680
+أسبوعين صابية 27 سنة كانت في عياطة فيه كان يحدث
+
+169
+00:15:12,680 --> 00:15:16,100
+معها زي facial hemispasm على ال left side تلاقي
+
+170
+00:15:16,100 --> 00:15:19,480
+وجهها عامل حركة هادية على ال left side يعني
+
+171
+00:15:19,480 --> 00:15:22,590
+involuntary deviation of the face على ال leftطلبت
+
+172
+00:15:22,590 --> 00:15:26,630
+brain MRI وجدت عندها cerebellopentane angle
+
+173
+00:15:26,630 --> 00:15:30,930
+meningioma عندها ورم حميد meningioma ولها أدت أشهر
+
+174
+00:15:30,930 --> 00:15:34,330
+التعالج لموضوع ال facial hemispasm لكن السبب
+
+175
+00:15:34,330 --> 00:15:37,450
+الرئيسي كان في ال facial hemispasm وجود meningio
+
+176
+00:15:37,450 --> 00:15:43,090
+meningioma في الcerebellopentane angle هذه حالة
+
+177
+00:15:43,090 --> 00:15:47,630
+أنا شخصتها كمان large parasagital meningioma
+
+178
+00:15:47,630 --> 00:15:52,850
+واصلها مصدرها جاي من الفكتري grooveواضح مقبرها هذي
+
+179
+00:15:52,850 --> 00:15:56,930
+without contrast هذي with contrast ملاحظين انها
+
+180
+00:15:56,930 --> 00:16:01,550
+تاخد good enhancement لكن حدودها واضحين حلوين مش
+
+181
+00:16:01,550 --> 00:16:06,470
+مثل ال malignant tumor بتكون multifocal tumor هذي
+
+182
+00:16:06,470 --> 00:16:11,270
+تعتبر well defined tumor ال contour تبعها وحدودها
+
+183
+00:16:11,270 --> 00:16:14,630
+حلوين يقولون هذي عبارة عن مينيجيومة
+
+184
+00:16:17,520 --> 00:16:23,440
+أتكلم الآن على metastatic brain tumor هذا الـ
+
+185
+00:16:23,440 --> 00:16:26,780
+metastatic brain tumor بيكون secondary tumor
+
+186
+00:16:26,780 --> 00:16:31,060
+secondary tumor جاي من وين؟ من other organs يعني
+
+187
+00:16:31,060 --> 00:16:37,800
+زي ايه؟ ال lung زي ايه؟ prostate , kidney, thyroid
+
+188
+00:16:37,800 --> 00:16:44,670
+و هكذا خمستاشر لتلاتين في الميةمن ال cancers
+
+189
+00:16:44,670 --> 00:16:50,030
+develop cerebral metastasis يعني مانساش ال breast
+
+190
+00:16:50,030 --> 00:16:56,430
+عند الستات breast cancer كله 30% من 15% 30% من ال
+
+191
+00:16:56,430 --> 00:17:02,390
+cancers يعطينا metastatic tumor في ال brain 80% من
+
+192
+00:17:02,390 --> 00:17:06,730
+ال metastatic او ال metastasis بيروحوا لل cerebral
+
+193
+00:17:06,730 --> 00:17:13,700
+hemisphere يعني 80% لل cerebral hemisphere16%
+
+194
+00:17:13,700 --> 00:17:20,360
+يروحوا لـ cerebellum و ال medium survival تمان
+
+195
+00:17:20,360 --> 00:17:25,140
+شهور يعني مجرد ما يتشخص المريض عنده brain
+
+196
+00:17:25,140 --> 00:17:30,940
+metastasis الأعمار بيد الله ممكن يعيش لحد تمان
+
+197
+00:17:30,940 --> 00:17:38,000
+شهور .. لحد تمان شهورroot of metastatic spread كيف
+
+198
+00:17:38,000 --> 00:17:43,480
+بيصل ال metes هي عندنا cancer في ال lung على ال
+
+199
+00:17:43,480 --> 00:17:47,560
+left side كيف وصل ل ال brain ممكن يصل ل ال brain
+
+200
+00:17:47,560 --> 00:17:52,890
+hematogenous عن طريق ال bloodو في بعض الأحيان ممكن
+
+201
+00:17:52,890 --> 00:17:55,950
+يكون local extension لما نكون ال tumor أو ال
+
+202
+00:17:55,950 --> 00:18:00,650
+cancer قريب ل other organs ممكن يعمله metastatic
+
+203
+00:18:00,650 --> 00:18:06,150
+according to ايه او يعني بطريقة ال local extension
+
+204
+00:18:06,150 --> 00:18:09,350
+brain
+
+205
+00:18:09,350 --> 00:18:10,230
+metastasis
+
+206
+00:18:12,420 --> 00:18:17,960
+ال lung أكتر عضو في جسم الإنسان أو أكتر جهاز هو
+
+207
+00:18:17,960 --> 00:18:23,220
+اللي بيوصل ال metastatic cells أو cancer cells لل
+
+208
+00:18:23,220 --> 00:18:30,040
+brain small cell carcinoma breast breast carcinoma
+
+209
+00:18:30,040 --> 00:18:35,840
+kidney hyper nephroma hyper nephroma skin
+
+210
+00:18:35,840 --> 00:18:45,090
+malignant melanomaGIT كولون كارسينوما ثيرويد gland
+
+211
+00:18:45,090 --> 00:18:51,610
+الجين كل ال tumors بتاع ال ovarian كارسينوما
+
+212
+00:18:51,610 --> 00:18:57,030
+بروستيت يعني كل هذا بيعطينا secondary tumor
+
+213
+00:18:58,250 --> 00:19:01,190
+الجينوكولية كانت أكتر شيء الـ ovarian ovarian
+
+214
+00:19:01,190 --> 00:19:06,170
+cancer كرسنومة او ovarian cancer أكتر واحد من ال
+
+215
+00:19:06,170 --> 00:19:11,590
+.. جاينة بيعطينا متاستاذيس للبرين لكن لو سألتكوا
+
+216
+00:19:11,590 --> 00:19:15,470
+سؤال مين أكتر جهاز أو عضو بيوصل متاستاذيس للبرين
+
+217
+00:19:15,470 --> 00:19:22,310
+هو ال lung الرئة الرئة لحظة source of cerebral
+
+218
+00:19:22,310 --> 00:19:26,990
+metastasis in adult lung أربع و أربعين في المية
+
+219
+00:19:29,170 --> 00:19:34,650
+breast عشرة في المية، kidney سبعة في المية، GIT
+
+220
+00:19:34,650 --> 00:19:38,570
+ستة في المية، melanoma تلاتة في المية،
+
+221
+00:19:38,570 --> 00:19:43,350
+undetermined عشرة في المية بيحتل المرتبة الأولى
+
+222
+00:19:43,350 --> 00:19:46,270
+بدون منافس من ال lung
+
+223
+00:19:48,940 --> 00:19:53,840
+وصل لنا مريض وشخصناه brain متأسس ضروري كلهم عملهم
+
+224
+00:19:53,840 --> 00:19:58,980
+neck, chest, abdomen, pelvis, CT، toxic load اللي
+
+225
+00:19:58,980 --> 00:20:04,400
+هو ال primary source و اوضح ال primary source بتاع
+
+226
+00:20:04,400 --> 00:20:09,640
+ال cancer clinical representation of brain tumor
+
+227
+00:20:09,640 --> 00:20:15,820
+ال clinical representation بتتمد على location of
+
+228
+00:20:15,820 --> 00:20:22,590
+tumor وين مكان ال tumor واحداثنين type of tumor
+
+229
+00:20:22,590 --> 00:20:28,570
+ايش نوع ال tumor هل هو malignant tumor هل هو
+
+230
+00:20:28,570 --> 00:20:36,450
+benign tumor ثلاثة size of tumor حجمه small
+
+231
+00:20:36,450 --> 00:20:39,470
+moderate large عامل compression without
+
+232
+00:20:39,470 --> 00:20:44,850
+compression عامل complications and stage of tumor
+
+233
+00:20:44,850 --> 00:20:50,260
+stage of tumor جماعة ممكن ال tumorيكون عند المريض
+
+234
+00:20:50,260 --> 00:20:56,280
+شهر أو شهرين و مش حاسس فيه عنده أعراض بسيطة لكن في
+
+235
+00:20:56,280 --> 00:21:01,430
+بعض الأحيان ممكن يحدث نزيف في ال tumorTumoral
+
+236
+00:21:01,430 --> 00:21:06,790
+Hemorrhage هو اللي يؤدي الى clinical manifestation
+
+237
+00:21:06,790 --> 00:21:10,370
+عند المريض و يحضر الى المستشفى بأعراض acute
+
+238
+00:21:10,370 --> 00:21:14,710
+hemorrhagic CVA و عند تشخيصه بعد ما يعمله CT او
+
+239
+00:21:14,710 --> 00:21:19,230
+MRI اللاحظ عنده brain tumor with bleeding يعني
+
+240
+00:21:19,230 --> 00:21:23,340
+tumoral hemorrhageThe most common presentation of
+
+241
+00:21:23,340 --> 00:21:28,180
+brain tumor is progressive neurologic deficit
+
+242
+00:21:28,180 --> 00:21:31,220
+usually موتوا و قبل الـ deficit بيكون عندهم
+
+243
+00:21:31,220 --> 00:21:34,860
+general symptoms زي الـ general symptoms headache،
+
+244
+00:21:34,860 --> 00:21:38,260
+vomiting، vertigo، papilloedema، fundus
+
+245
+00:21:38,260 --> 00:21:42,620
+examination و بعدها بيظهر neurological deficit الـ
+
+246
+00:21:42,620 --> 00:21:46,780
+neurological deficit راح يتمد على ال location of
+
+247
+00:21:46,780 --> 00:21:50,520
+ال tumorيعني الورم في الcerebellum راح يبدأ أعراض
+
+248
+00:21:50,520 --> 00:21:54,760
+عنده cerebellar signs، ataxia، discordination، ال
+
+249
+00:21:54,760 --> 00:21:58,420
+tumor عنده في brainstem راح يبدأ يظهر عنده اللي هو
+
+250
+00:21:58,420 --> 00:22:05,200
+إيه؟ cranial nerve pulses، dysphagia، ocular
+
+251
+00:22:05,200 --> 00:22:11,810
+symptoms، facial symptoms، loss of hearingtumor في
+
+252
+00:22:11,810 --> 00:22:17,430
+ال cortex إذا أجى في ال motor area ممكن يحدث motor
+
+253
+00:22:17,430 --> 00:22:21,570
+convulsion، epilepsis ممكن إذا أجى في ال sensory
+
+254
+00:22:21,570 --> 00:22:27,030
+area يحدث sensory attack أو sensory convulsion أو
+
+255
+00:22:27,030 --> 00:22:34,690
+focal convulsion presentation of brain tumor signs
+
+256
+00:22:34,690 --> 00:22:38,860
+and symptomsأول شي بيكون non focal أو general
+
+257
+00:22:38,860 --> 00:22:42,720
+symptoms مثل ما اتكلمت بيكون عندهم some symptoms
+
+258
+00:22:42,720 --> 00:22:48,780
+due to increase intracranial pressure مثل headache
+
+259
+00:22:48,780 --> 00:22:52,600
+و vomiting, dizziness, blurring of vision,
+
+260
+00:22:53,160 --> 00:22:57,600
+papilloidema, behavior changes بعدها بيبدأ يظهر
+
+261
+00:22:57,600 --> 00:23:03,840
+focal neurological deficit related to the area of
+
+262
+00:23:03,840 --> 00:23:05,040
+damaged brain
+
+263
+00:23:08,560 --> 00:23:14,440
+clinical presentation of signs and symptoms non
+
+264
+00:23:14,440 --> 00:23:18,960
+-focal أو generalized symptoms due to increased
+
+265
+00:23:18,960 --> 00:23:27,060
+intracranial pressure مثل headache seizures nausea
+
+266
+00:23:27,060 --> 00:23:31,160
+vomiting depressed level of consciousness
+
+267
+00:23:31,160 --> 00:23:37,630
+cognitive impairment كل هذايعتبر general focal
+
+268
+00:23:37,630 --> 00:23:41,450
+neurologic deficit, weakness, hemiparesis,
+
+269
+00:23:41,950 --> 00:23:45,530
+monoparesis, sensory loss, loss of sensation,
+
+270
+00:23:46,050 --> 00:23:51,370
+numbness, speech difficulty, dysarthria, aphasia,
+
+271
+00:23:52,250 --> 00:23:56,430
+motor aphasia, dysphonia, hoarseness of voice,
+
+272
+00:23:57,190 --> 00:24:01,340
+hearing lossvisual dysfunction هيبقى ان هذا يعتبر
+
+273
+00:24:01,340 --> 00:24:06,240
+focal neurological symptoms وهنا يعتبره general
+
+274
+00:24:06,240 --> 00:24:11,800
+non focal symptoms اتكلم
+
+275
+00:24:11,800 --> 00:24:15,140
+على focal neurological symptoms او focal
+
+276
+00:24:15,140 --> 00:24:19,260
+neurological deficit اذا كان ال tumor في frontal
+
+277
+00:24:19,260 --> 00:24:24,520
+lobe راح يظهر على المريض weakness monoparesis
+
+278
+00:24:24,520 --> 00:24:30,600
+hemiparesisممكن تظهر عليهم علامات behavior changes
+
+279
+00:24:30,600 --> 00:24:35,500
+personality changes depression expressive aphasia
+
+280
+00:24:35,500 --> 00:24:39,720
+او motor aphasia يوم الأيام جاني مريض المريض هذا
+
+281
+00:24:39,720 --> 00:24:42,900
+كان عنده اعراض depression بتعالج الاتلقاء بالنفس
+
+282
+00:24:42,900 --> 00:24:50,110
+وجدته عنده personality changes شخصيته اتغيرتأهله
+
+283
+00:24:50,110 --> 00:24:54,450
+بيقولك أخر فترة مكتئب بديش تعامل مع الناس منعزل
+
+284
+00:24:54,450 --> 00:25:00,510
+بطل يحافظ على نظافته نظافة جسمه يلبس أي شيء مش
+
+285
+00:25:00,510 --> 00:25:05,550
+الشخص اللي بنعرفه احنا طلبت brain CT له وجدت عنده
+
+286
+00:25:05,550 --> 00:25:09,250
+left frontal tumor cancer في ال left frontal هو هي
+
+287
+00:25:09,250 --> 00:25:13,170
+اللي سببت إلى سببته personality changes و تغيرات
+
+288
+00:25:13,170 --> 00:25:18,820
+في سلوكه و في شخصيته برايته له ب tumorتعمل
+
+289
+00:25:18,820 --> 00:25:21,820
+Contralateral Sensory Loss ممكن تماما Hemio
+
+290
+00:25:21,820 --> 00:25:24,740
+-hypoesthesia و Hemo-anesthesia و يكون معهم
+
+291
+00:25:24,740 --> 00:25:29,520
+Astereognosis Astereognosis باللمس المريض يقولك
+
+292
+00:25:29,520 --> 00:25:33,240
+أنا مجرد غمض نايم بقدرش ألمس شيء بحسش يعني أنا
+
+293
+00:25:33,240 --> 00:25:39,220
+لمست الآن الجهة ده جلم قلت تمام هذا جلم بحط في
+
+294
+00:25:39,220 --> 00:25:43,540
+إيدي فلوس بقدر بدون ما أنظر في الاتمة أميز هذا شكل
+
+295
+00:25:43,540 --> 00:25:47,870
+اتنين شكل خمسة شكل باللمسلكن المريض ممكن يفقد هذه
+
+296
+00:25:47,870 --> 00:25:50,790
+الحاسة و يظهر عليه حاجة اسمها stereognosis
+
+297
+00:25:50,790 --> 00:25:57,790
+temporal loop auditory مشاكل في السماع smell
+
+298
+00:25:57,790 --> 00:26:03,330
+hallucination شرحتلكوا مرة جارتنا كان عندها مشخص
+
+299
+00:26:03,330 --> 00:26:07,230
+ال CVA و نايم في المستشفى حضرت للعيادة عنده أثناء
+
+300
+00:26:07,230 --> 00:26:10,950
+وجودها في العيادة بتقول شام لحمة شام لحمة يعني
+
+301
+00:26:10,950 --> 00:26:14,640
+smell hallucination وين اللحمة في العيادة؟اسم ال
+
+302
+00:26:14,640 --> 00:26:17,980
+hallucination عملت MRI فعلًا كان عندها left
+
+303
+00:26:17,980 --> 00:26:21,380
+temporal loop aglioblastoma ماليقننت ال tumor في
+
+304
+00:26:21,380 --> 00:26:25,360
+ال left temporal loop occipital loop lesion ممكن
+
+305
+00:26:25,360 --> 00:26:29,380
+يجينا ب Hemianopia Contralateral Hemianopia فقدان
+
+306
+00:26:29,380 --> 00:26:32,440
+مجال الإبصار لكن ممكن يجي ب visual hallucination
+
+307
+00:26:32,440 --> 00:26:36,580
+انه يشوف أشخاص و مش موجودين مش ضروري دايما يكون
+
+308
+00:26:36,580 --> 00:26:40,710
+tumor ممكن يكون ال hallucination سببها نفسيواحد
+
+309
+00:26:40,710 --> 00:26:43,990
+عنده فصام شخصية، Schizophrenia، ممكن يشوف أشياء،
+
+310
+00:26:43,990 --> 00:26:47,310
+يشيم أشياء
+
+311
+00:26:47,310 --> 00:26:53,590
+أو يشوف أشخاص يسمع صوت بدون إيه؟ بدون أن يكون
+
+312
+00:26:53,590 --> 00:26:58,770
+موجود، لأن هذه هلوسة أو هلاوس بنسميها، auditory
+
+313
+00:26:58,770 --> 00:27:01,410
+hallucination، visual hallucination، small
+
+314
+00:27:01,410 --> 00:27:06,800
+hallucinationCerebellum ممكن الأعراض تجي ataxia،
+
+315
+00:27:06,800 --> 00:27:10,480
+slurred speech لأنهم discordination مع speech
+
+316
+00:27:10,480 --> 00:27:14,380
+difficulty و dysarthria Brain stem إذا جت يومر في
+
+317
+00:27:14,380 --> 00:27:17,920
+ال brain stem ممكن يجينا بعراض اللي هو brain stem
+
+318
+00:27:17,920 --> 00:27:22,540
+symptoms زي bulbar symptom زي facial, hearing
+
+319
+00:27:22,540 --> 00:27:27,300
+loss, ocular symptomsand associated with other
+
+320
+00:27:27,300 --> 00:27:30,900
+symptoms لأنه بتأثر ال tract ascending tract
+
+321
+00:27:30,900 --> 00:27:33,940
+descending tract ممكن تسمحهم weakness loss of
+
+322
+00:27:33,940 --> 00:27:37,860
+sensation في ال opposite side of the body
+
+323
+00:27:37,860 --> 00:27:43,700
+Diagnostic procedures إيش نعملهم فحوصات دول المرضى
+
+324
+00:27:43,700 --> 00:27:50,480
+chest x-ray ضروري CT neck, chest, abdomen, pelvis
+
+325
+00:27:50,480 --> 00:27:57,670
+CTStool analysis عشان نفحص ده فيه occult blood
+
+326
+00:27:57,670 --> 00:28:04,050
+اللي هو ناتج عن نزيف في الأمعاء أو في المعدة
+
+327
+00:28:04,050 --> 00:28:10,350
+ماموغرافي لستات نفحص ال breast لنبين أن ده موجود
+
+328
+00:28:10,350 --> 00:28:15,520
+breast cancerbrain CT with and without contrast
+
+329
+00:28:15,520 --> 00:28:19,580
+الأفضل إن عمل ال brain MRI، MRI is more sensitive
+
+330
+00:28:19,580 --> 00:28:24,340
+for detection of malignancies و خاصة brain tumors
+
+331
+00:28:25,690 --> 00:28:30,690
+pet scan اللي هو positron emission tomography for
+
+332
+00:28:30,690 --> 00:28:35,610
+small .. for small .. بنعمل هذا ال positron
+
+333
+00:28:35,610 --> 00:28:40,590
+emission tomography for small malignant cells
+
+334
+00:28:40,590 --> 00:28:46,250
+detection بيوبسي بتاخد جزر خزع من ال brain تشهر و
+
+335
+00:28:46,250 --> 00:28:49,150
+بنعمل لهم بيوبسي بندرس ال ansia تبع الدماغ
+
+336
+00:28:49,150 --> 00:28:49,730
+microscopic
+
+337
+00:28:52,280 --> 00:28:56,840
+هي أنها واضحة منينجيومة في الفالكس سيريبراي
+
+338
+00:28:56,840 --> 00:29:01,620
+منينجيومة هذه calcified منينجيومة في الفالكس
+
+339
+00:29:01,620 --> 00:29:07,150
+سيريبرايفي ال left side هذي meningioma هذي CT with
+
+340
+00:29:07,150 --> 00:29:10,850
+contrast واضح انها بدون contrast بس الأبيض هذي
+
+341
+00:29:10,850 --> 00:29:15,370
+calcification هذي CT with contrast واضحة حدود ال
+
+342
+00:29:15,370 --> 00:29:19,470
+meningioma حلوة هنا هذه ال meningioma كل هذه تعتبر
+
+343
+00:29:19,470 --> 00:29:28,450
+meningioma وهنا هذه meningioma وهذا benign tumor و
+
+344
+00:29:28,450 --> 00:29:31,590
+ال outcome after surgical intervention
+
+345
+00:29:39,480 --> 00:29:46,340
+هي عندي في ال convexity في meningioma على ال MRI
+
+346
+00:29:46,340 --> 00:29:54,100
+T1 with contrast هذي microscopic meningioma في ال
+
+347
+00:29:54,100 --> 00:29:57,140
+convexity of the brain هذا brain tissue وهذه هي ال
+
+348
+00:29:57,140 --> 00:30:02,120
+meningioma نفس
+
+349
+00:30:02,120 --> 00:30:07,140
+الشيء على ال MRI هذي T1without contrast هنا
+
+350
+00:30:07,140 --> 00:30:12,720
+مينيجيومة في ال right parietal occipital area وعلى
+
+351
+00:30:12,720 --> 00:30:18,680
+ال T1 هذه axial هنا coronal T1 coronal هنا في
+
+352
+00:30:18,680 --> 00:30:27,080
+مينيجيومة with good enhancement هذه
+
+353
+00:30:27,080 --> 00:30:37,370
+low grade هجليومة على T2 وهنا T1 with contrastهذه
+
+354
+00:30:37,370 --> 00:30:43,470
+جليو بلاستومة grade 4 جليومة جليو بلاستومة تمام
+
+355
+00:30:43,470 --> 00:30:51,510
+هنا more differentiated and plastic osteocytoma
+
+356
+00:30:51,510 --> 00:30:56,910
+grade 3 نفس
+
+357
+00:30:56,910 --> 00:31:02,870
+الشي هنا جليو بلاستومة grade 4هو Astrocytoma على
+
+358
+00:31:02,870 --> 00:31:08,430
+ال T1 و على ال T2 و حواليها فيه Edema هذه Edema
+
+359
+00:31:08,430 --> 00:31:12,850
+ببعضه Genic Edema تكون عاملة مثل ال fingers finger
+
+360
+00:31:12,850 --> 00:31:19,030
+-like appearance ايجلايو
+
+361
+00:31:19,030 --> 00:31:23,470
+بلستومة في ال lift temporal front و temporal area
+
+362
+00:31:23,470 --> 00:31:27,850
+هذي T1 weighted image هذي T2
+
+363
+00:31:31,010 --> 00:31:34,970
+هذه الحالة أنا شخصيتها، كان عندها .. كان عمرها
+
+364
+00:31:34,970 --> 00:31:40,950
+خمسين سنة، سكان رفح، كانت تشكو فترة من فقدان
+
+365
+00:31:40,950 --> 00:31:44,110
+السماء وطنين في الأدن اللي في الجهة اليمنى، لما
+
+366
+00:31:44,110 --> 00:31:47,390
+فحصت كان كمان weakness في ال facial muscle و نعم
+
+367
+00:31:47,390 --> 00:31:51,200
+نسمع hypoesthesia في ال face على ال rightشخصها
+
+368
+00:31:51,200 --> 00:31:54,880
+cerebellopentane angel lesion و بعتها علي MRI فعلا
+
+369
+00:31:54,880 --> 00:31:59,240
+طلعت cerebellopentane angel ال tumor كانت acoustic
+
+370
+00:31:59,240 --> 00:32:03,460
+schwannoma ورمحميد في العصب الثامن في ال right
+
+371
+00:32:03,460 --> 00:32:07,260
+cerebellopentane angel و تم إجراء العملية و الحمد
+
+372
+00:32:07,260 --> 00:32:14,480
+لله واضحة ممتاز الآن هذه بتفريج لاند ادنومة ممكن
+
+373
+00:32:14,480 --> 00:32:16,280
+تكون macro adenoma هذه
+
+374
+00:32:19,190 --> 00:32:23,790
+لاحظوا هنا أكتر من tumor أكتر من مكان في tumor هذا
+
+375
+00:32:23,790 --> 00:32:27,550
+secondary tumor metastatic tumor الورم جاي منتشر
+
+376
+00:32:27,550 --> 00:32:31,350
+من مكان آخر ويعامل metastasis في ال brain صايب
+
+377
+00:32:31,350 --> 00:32:34,050
+أكتر من مكان دائما بتلاحظوا ال primary tumor في
+
+378
+00:32:34,050 --> 00:32:37,490
+مكان واحد لكن لو لاجناه منتشر في عدة أماكن يبقى
+
+379
+00:32:37,490 --> 00:32:42,830
+هذا بيعتبر metastatic tumor ومياخد contrast good
+
+380
+00:32:42,830 --> 00:32:43,350
+enhancement
+
+381
+00:32:46,410 --> 00:32:53,690
+Management of Brain Tumors تدخل جراحي سيرجري
+
+382
+00:32:53,690 --> 00:32:58,490
+استيريو تاكتك راديو سيرجري عن طريق أشعة Gamma
+
+383
+00:32:58,490 --> 00:33:02,910
+Knife تدخل جراحي بالأشعة Gamma Knife راديو ثرابي
+
+384
+00:33:02,910 --> 00:33:06,010
+إشعةالحلول الكيميائية و الهلاجة الكيميائية
+
+385
+00:33:06,010 --> 00:33:09,690
+كونزيرفاتيف ثيرابي الهو symptomatic therapy
+
+386
+00:33:09,690 --> 00:33:12,910
+according to the symptoms يعني باخده analgesia
+
+387
+00:33:12,910 --> 00:33:17,150
+analgesics سترويد و Manitoul عشان نخل ال brain
+
+388
+00:33:17,150 --> 00:33:22,170
+اديما Anti-epileptic drugs for prevention of
+
+389
+00:33:22,170 --> 00:33:27,950
+convulsion and seizures Anti-emetics to decrease
+
+390
+00:33:27,950 --> 00:33:32,370
+vomiting للتقيقو هي أحيانًا بيعملهم combined
+
+391
+00:33:32,370 --> 00:33:36,650
+therapy وبعدها بتتم تحويلهم على medical
+
+392
+00:33:36,650 --> 00:33:41,330
+rehabilitation and physiotherapy what's the role
+
+393
+00:33:41,330 --> 00:33:46,790
+of radiotherapy in brain tumor؟ إيش دور لغلاج
+
+394
+00:33:46,790 --> 00:33:50,990
+الشعاعي في غلاج الأورام؟باستخدام الليالي الشعاعي
+
+395
+00:33:50,990 --> 00:33:56,030
+في حالات لما يكون التدخل الجراحي incomplete الجراح
+
+396
+00:33:56,030 --> 00:34:00,150
+ماقدر يرفع الورم بالكامل، رفع جزء منه، deep brain
+
+397
+00:34:00,150 --> 00:34:03,890
+tumor، ال brain tumor موجود في ال midbrain، في ال
+
+398
+00:34:03,890 --> 00:34:07,980
+bonds ومش قادر يصلق الجراحRadio sensitive tumors
+
+399
+00:34:07,980 --> 00:34:13,300
+في بعض الأورام بيستجيبوا كويس للإشعاع مثل ميضالة
+
+400
+00:34:13,300 --> 00:34:18,160
+بلاستومة بتاعت رجلاند أدينومة و palliative therapy
+
+401
+00:34:18,160 --> 00:34:23,300
+بيستخدم as palliation أو palliative therapyالـ
+
+402
+00:34:23,300 --> 00:34:28,860
+metastatic tumor عشان يقللوا ال growth of tumors و
+
+403
+00:34:28,860 --> 00:34:32,980
+يزودوا ال survival المريض يعيش اكتر شهرين سنة و
+
+404
+00:34:32,980 --> 00:34:38,620
+هكذا يعني احنا جولنا تمان شهور المتوسط الاعمار بعد
+
+405
+00:34:38,620 --> 00:34:43,460
+تشخيص ال metastatic tumor واعمار بيد الله لو جينا
+
+406
+00:34:43,460 --> 00:34:56,020
+جسمنا ليه glioma جولنافي عندنا four degree في
+
+407
+00:34:56,020 --> 00:34:59,100
+البداية كنت اقول ثلاثة لكن هان جسمناهم لإيه four
+
+408
+00:34:59,100 --> 00:35:06,360
+degree grade one biocytic astrocytoma grade two
+
+409
+00:35:06,360 --> 00:35:12,060
+diffuse astrocytoma grade three unplastic
+
+410
+00:35:12,060 --> 00:35:16,980
+astrocytoma grade four glioblastoma عشان هيك لما
+
+411
+00:35:16,980 --> 00:35:18,880
+اتكلمنا عن grade three في البداية كنت اقول grade
+
+412
+00:35:18,880 --> 00:35:23,850
+four هان مجسمات grade fourهنا اتجسمهم حسب الـ
+
+413
+00:35:23,850 --> 00:35:27,570
+differentiation لثلاثة هنا grade four grade one
+
+414
+00:35:27,570 --> 00:35:32,610
+biolucidic يعني أسترسيطومة grade two diffuse
+
+415
+00:35:32,610 --> 00:35:37,590
+أسترسيطومة grade three unplastic أسترسيطومة و
+
+416
+00:35:37,590 --> 00:35:41,250
+grade four gliorosoma لحظة median survivor جدش
+
+417
+00:35:41,250 --> 00:35:46,270
+بيعيشه إذا شخصه biolucidic أسترسيطومة تمانية لعشرة
+
+418
+00:35:46,270 --> 00:35:50,940
+سنوات ممكن يعيشهDiffuse Astrocytoma ممكن يعيش سبع
+
+419
+00:35:50,940 --> 00:35:56,280
+لثمان سنوات Unplastic Astrocytoma سنتين لثلاث
+
+420
+00:35:56,280 --> 00:36:01,800
+سنوات وGlioblastoma أقل من سنة أقل من سنة متوسط
+
+421
+00:36:01,800 --> 00:36:05,940
+الأعمار في ال Glioblastoma هيك بيكون شرحتلكم
+
+422
+00:36:05,940 --> 00:36:10,100
+بطريقة مبسطة اللي هو brain tumors بطريقة مختصرة
+
+423
+00:36:10,100 --> 00:36:12,520
+يعطيكم الف عافية و دمتم بخير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..38154a8deb51a0c06ffee2b43a3bb38fbb35cf19
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Lyu-zVsdagI_raw.json
@@ -0,0 +1 @@
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"text": "انبلاستيك أستروسيتومة هذا grade a grade 3 تعتبر poorly differentiated poorly differentiated اتكلم الآن على مينيجيومه مينيجيومه it is a benign tumor ورمحميد هذا ورمحميد خمستاشر في المية من ال brain tumors are meningiomas", "tokens": [7649, 3555, 15040, 14851, 1829, 4117, 5551, 14851, 32887, 3794, 36081, 20498, 3660, 23758, 7204, 257, 7204, 805, 6055, 34268, 26890, 22271, 27372, 770, 22271, 27372, 770, 1975, 2655, 4117, 19528, 6024, 48506, 15844, 3714, 9957, 1829, 7435, 1829, 20498, 3224, 3714, 9957, 1829, 7435, 1829, 20498, 3224, 309, 307, 257, 3271, 788, 22512, 4032, 2288, 2304, 35571, 25708, 23758, 4032, 2288, 2304, 35571, 25708, 16490, 2304, 14851, 33599, 2288, 8978, 9673, 10632, 9154, 2423, 3567, 38466, 366, 46890, 72, 7092], "avg_logprob": -0.34070121515087964, "compression_ratio": 1.583756345177665, "no_speech_prob": 0.0, "words": [{"start": 839.26, "end": 840.24, "word": "انبلاستيك", "probability": 0.70123291015625}, {"start": 840.24, "end": 841.18, "word": " 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area وين الفلكسر برايه", "tokens": [270, 307, 2964, 4194, 22512, 2964, 4194, 22512, 2673, 3271, 788, 37495, 22653, 9673, 16572, 11242, 3714, 43020, 6055, 4587, 22488, 20449, 40294, 2423, 46890, 72, 6440, 6225, 46309, 9307, 8608, 1863, 2407, 9307, 6225, 46309, 6225, 46309, 9957, 8608, 1863, 3660, 4032, 39896, 20328, 17082, 48923, 4032, 39894, 4117, 26890, 4724, 32887, 5016, 2655, 11296, 2689, 4914, 5551, 4117, 49115, 3714, 41361, 39894, 30544, 8978, 3224, 2423, 46890, 72, 6440, 4724, 23557, 15274, 593, 304, 1859, 4724, 23557, 15274, 593, 304, 1859, 4032, 9957, 27188, 1211, 4117, 3794, 2288, 4724, 23557, 1829, 3224], "avg_logprob": -0.2343750006274173, "compression_ratio": 1.663594470046083, "no_speech_prob": 0.0, "words": [{"start": 868.32, "end": 868.48, "word": "it", "probability": 0.290771484375}, {"start": 868.48, "end": 868.7, "word": " is", "probability": 0.76806640625}, {"start": 868.7, "end": 869.28, "word": " slow", "probability": 0.826171875}, {"start": 869.28, "end": 870.18, 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0.7392578125}, {"start": 914.0, "end": 914.78, "word": " hemispasm", "probability": 0.8424479166666666}, {"start": 914.78, "end": 914.96, "word": " على", "probability": 0.76318359375}, {"start": 914.96, "end": 915.02, "word": " ال", "probability": 0.7138671875}, {"start": 915.02, "end": 915.14, "word": " left", "probability": 0.7744140625}, {"start": 915.14, "end": 915.5, "word": " side", "probability": 0.841796875}, {"start": 915.5, "end": 916.1, "word": " تلاقي", "probability": 0.7620442708333334}, {"start": 916.1, "end": 916.88, "word": " وجهها", "probability": 0.953125}, {"start": 916.88, "end": 917.32, "word": " عامل", "probability": 0.78662109375}, {"start": 917.32, "end": 917.68, "word": " حركة", "probability": 0.974609375}, {"start": 917.68, "end": 917.9, "word": " هادية", "probability": 0.7737630208333334}, {"start": 917.9, "end": 918.08, "word": " على", "probability": 0.90625}, {"start": 918.08, "end": 918.36, "word": " ال", "probability": 0.75830078125}, {"start": 918.36, 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"probability": 0.73486328125}, {"start": 2074.4, "end": 2074.68, "word": " تمان", "probability": 0.52783203125}, {"start": 2074.68, "end": 2075.06, "word": " شهور", "probability": 0.9957682291666666}, {"start": 2075.06, "end": 2076.54, "word": " المتوسط", "probability": 0.900146484375}, {"start": 2076.54, "end": 2077.66, "word": " الاعمار", "probability": 0.8411458333333334}, {"start": 2077.66, "end": 2078.62, "word": " بعد", "probability": 0.939453125}, {"start": 2078.62, "end": 2079.0, "word": " تشخيص", "probability": 0.979296875}, {"start": 2079.0, "end": 2079.06, "word": " ال", "probability": 0.9296875}, {"start": 2079.06, "end": 2079.52, "word": " metastatic", "probability": 0.86572265625}, {"start": 2079.52, "end": 2079.9, "word": " tumor", "probability": 0.962890625}, {"start": 2079.9, "end": 2080.8, "word": " واعمار", "probability": 0.810791015625}, {"start": 2080.8, "end": 2081.04, "word": " بيد", "probability": 0.916748046875}, {"start": 2081.04, "end": 2081.3, "word": " الله", "probability": 0.7783203125}, {"start": 2081.3, "end": 2083.18, "word": " لو", "probability": 0.82470703125}, {"start": 2083.18, "end": 2083.46, "word": " جينا", "probability": 0.9342447916666666}, {"start": 2083.46, "end": 2085.44, "word": " جسمنا", "probability": 0.9576822916666666}, {"start": 2085.44, "end": 2087.7, "word": " ليه", "probability": 0.64892578125}, {"start": 2087.7, "end": 2088.54, "word": " glioma", "probability": 0.5308837890625}, {"start": 2088.54, "end": 2089.74, "word": " جولنا", "probability": 0.7986653645833334}], "temperature": 1.0}, {"id": 84, "seek": 212086, "start": 2091.54, "end": 2120.86, "text": "في عندنا four degree في البداية كنت اقول ثلاثة لكن هان جسمناهم لإيه four degree grade one biocytic astrocytoma grade two diffuse astrocytoma grade three unplastic astrocytoma grade four glioblastoma عشان هيك لما اتكلمنا عن grade three في البداية كنت اقول grade four هان مجسمات grade four", "tokens": [41185, 43242, 8315, 1451, 4314, 8978, 29739, 28259, 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{"start": 2100.56, "end": 2101.14, "word": " one", "probability": 0.71728515625}, {"start": 2101.14, "end": 2103.42, "word": " biocytic", "probability": 0.392578125}, {"start": 2103.42, "end": 2104.74, "word": " astrocytoma", "probability": 0.788671875}, {"start": 2104.74, "end": 2105.82, "word": " grade", "probability": 0.869140625}, {"start": 2105.82, "end": 2106.36, "word": " two", "probability": 0.91162109375}, {"start": 2106.36, "end": 2107.86, "word": " diffuse", "probability": 0.7802734375}, {"start": 2107.86, "end": 2109.22, "word": " astrocytoma", "probability": 0.94599609375}, {"start": 2109.22, "end": 2109.9, "word": " grade", "probability": 0.9453125}, {"start": 2109.9, "end": 2110.42, "word": " three", "probability": 0.93505859375}, {"start": 2110.42, "end": 2112.06, "word": " unplastic", "probability": 0.5483805338541666}, {"start": 2112.06, "end": 2113.0, "word": " astrocytoma", "probability": 0.94599609375}, {"start": 2113.0, "end": 2113.68, "word": " grade", "probability": 0.93115234375}, {"start": 2113.68, "end": 2114.24, "word": " four", "probability": 0.923828125}, {"start": 2114.24, "end": 2115.46, "word": " glioblastoma", "probability": 0.7237548828125}, {"start": 2115.46, "end": 2116.68, "word": " عشان", "probability": 0.8894856770833334}, {"start": 2116.68, "end": 2116.84, "word": " هيك", "probability": 0.86279296875}, {"start": 2116.84, "end": 2116.98, "word": " لما", "probability": 0.6397705078125}, {"start": 2116.98, "end": 2117.54, "word": " اتكلمنا", "probability": 0.93740234375}, {"start": 2117.54, "end": 2117.64, "word": " عن", "probability": 0.63330078125}, {"start": 2117.64, "end": 2117.84, "word": " grade", "probability": 0.8359375}, {"start": 2117.84, "end": 2118.08, "word": " three", "probability": 0.7177734375}, {"start": 2118.08, "end": 2118.22, "word": " في", "probability": 0.845703125}, {"start": 2118.22, "end": 2118.38, "word": " البداية", "probability": 0.9811197916666666}, {"start": 2118.38, "end": 2118.54, "word": " كنت", "probability": 0.900634765625}, {"start": 2118.54, "end": 2118.64, "word": " اقول", "probability": 0.911376953125}, {"start": 2118.64, "end": 2118.88, "word": " grade", "probability": 0.90771484375}, {"start": 2118.88, "end": 2119.24, "word": " four", "probability": 0.9013671875}, {"start": 2119.24, "end": 2119.54, "word": " هان", "probability": 0.740478515625}, {"start": 2119.54, "end": 2120.24, "word": " مجسمات", "probability": 0.9354248046875}, {"start": 2120.24, "end": 2120.5, "word": " grade", "probability": 0.92333984375}, {"start": 2120.5, "end": 2120.86, "word": " four", "probability": 0.9150390625}], "temperature": 1.0}, {"id": 85, "seek": 214727, "start": 2121.89, "end": 2147.27, "text": "هنا اتجسمهم حسب الـ differentiation لثلاثة هنا grade four grade one biolucidic يعني أسترسيطومة grade two diffuse أسترسيطومة grade three unplastic أسترسيطومة و grade four gliorosoma لحظة median survivor جدش بيعيشه إذا شخصه biolucidic أسترسيطومة تمانية لعشرة سنوات ممكن يعيشه", "tokens": [3224, 8315, 1975, 2655, 7435, 38251, 16095, 11331, 35457, 2423, 39184, 38902, 5296, 12984, 1211, 5718, 104, 3660, 8032, 1863, 995, 7204, 1451, 7204, 472, 3228, 401, 1311, 327, 299, 37495, 22653, 5551, 14851, 2288, 3794, 1829, 9566, 20498, 3660, 7204, 732, 42165, 5551, 14851, 2288, 3794, 1829, 9566, 20498, 3660, 7204, 1045, 517, 564, 2750, 5551, 14851, 2288, 3794, 1829, 9566, 20498, 3660, 4032, 7204, 1451, 1563, 1973, 329, 6440, 5296, 5016, 19913, 3660, 26779, 25953, 10874, 3215, 8592, 4724, 40228, 1829, 8592, 3224, 11933, 15730, 13412, 9778, 9381, 3224, 3228, 401, 1311, 327, 299, 5551, 14851, 2288, 3794, 1829, 9566, 20498, 3660, 46811, 7649, 10632, 5296, 3615, 8592, 25720, 8608, 1863, 2407, 9307, 3714, 43020, 37495, 1829, 8592, 3224], "avg_logprob": -0.3294057460104833, "compression_ratio": 1.6724137931034482, "no_speech_prob": 0.0, "words": [{"start": 2121.89, "end": 2122.21, "word": "هنا", "probability": 0.78466796875}, {"start": 2122.21, "end": 2122.77, "word": " اتجسمهم", "probability": 0.79921875}, {"start": 2122.77, "end": 2123.11, "word": " حسب", "probability": 0.929931640625}, {"start": 2123.11, "end": 2123.85, "word": " الـ", "probability": 0.4781494140625}, {"start": 2123.85, "end": 2124.51, "word": " differentiation", "probability": 0.869140625}, {"start": 2124.51, "end": 2125.41, "word": " لثلاثة", "probability": 0.887939453125}, {"start": 2125.41, "end": 2125.99, "word": " هنا", "probability": 0.4195149739583333}, {"start": 2125.99, "end": 2126.21, "word": " grade", "probability": 0.8720703125}, {"start": 2126.21, "end": 2126.53, "word": " four", "probability": 0.284912109375}, {"start": 2126.53, "end": 2127.15, "word": " grade", "probability": 0.81982421875}, {"start": 2127.15, "end": 2127.57, "word": " one", "probability": 0.9482421875}, {"start": 2127.57, "end": 2128.57, "word": " biolucidic", "probability": 0.46361083984375}, {"start": 2128.57, "end": 2128.83, "word": " يعني", "probability": 0.54437255859375}, {"start": 2128.83, "end": 2130.21, "word": " أسترسيطومة", "probability": 0.62908935546875}, {"start": 2130.21, "end": 2130.95, "word": " grade", "probability": 0.88720703125}, {"start": 2130.95, "end": 2131.59, "word": " two", "probability": 0.923828125}, {"start": 2131.59, "end": 2132.61, "word": " diffuse", "probability": 0.79931640625}, {"start": 2132.61, "end": 2133.79, "word": " أسترسيطومة", "probability": 0.9307861328125}, {"start": 2133.79, "end": 2134.49, "word": " grade", "probability": 0.92578125}, {"start": 2134.49, "end": 2135.07, "word": " three", "probability": 0.94775390625}, {"start": 2135.07, "end": 2136.17, "word": " unplastic", "probability": 0.6051432291666666}, {"start": 2136.17, "end": 2137.23, "word": " أسترسيطومة", "probability": 0.95428466796875}, {"start": 2137.23, "end": 2137.59, "word": " و", "probability": 0.353271484375}, {"start": 2137.59, "end": 2137.87, "word": " grade", "probability": 0.8828125}, {"start": 2137.87, "end": 2138.27, "word": " four", "probability": 0.94482421875}, {"start": 2138.27, "end": 2138.95, "word": " gliorosoma", "probability": 0.41015625}, {"start": 2138.95, "end": 2139.53, "word": " لحظة", "probability": 0.656646728515625}, {"start": 2139.53, "end": 2140.29, "word": " median", "probability": 0.52978515625}, {"start": 2140.29, "end": 2140.91, "word": " survivor", "probability": 0.82666015625}, {"start": 2140.91, "end": 2141.25, "word": " جدش", "probability": 0.5302734375}, {"start": 2141.25, "end": 2141.85, "word": " بيعيشه", "probability": 0.82236328125}, {"start": 2141.85, "end": 2142.31, "word": " إذا", "probability": 0.786376953125}, {"start": 2142.31, "end": 2142.93, "word": " شخصه", "probability": 0.935546875}, {"start": 2142.93, "end": 2143.57, "word": " biolucidic", "probability": 0.91748046875}, {"start": 2143.57, "end": 2144.79, "word": " أسترسيطومة", "probability": 0.94842529296875}, {"start": 2144.79, "end": 2145.95, "word": " تمانية", "probability": 0.9007161458333334}, {"start": 2145.95, "end": 2146.27, "word": " لعشرة", "probability": 0.678466796875}, {"start": 2146.27, "end": 2146.63, "word": " سنوات", "probability": 0.90283203125}, {"start": 2146.63, "end": 2146.87, "word": " ممكن", "probability": 0.98681640625}, {"start": 2146.87, "end": 2147.27, "word": " يعيشه", "probability": 0.9700927734375}], "temperature": 1.0}, {"id": 86, "seek": 217252, "start": 2148.08, "end": 2172.52, "text": "Diffuse Astrocytoma ممكن يعيش سبع لثمان سنوات Unplastic Astrocytoma سنتين لثلاث سنوات وGlioblastoma أقل من سنة أقل من سنة متوسط الأعمار في ال Glioblastoma هيك بيكون شرحتلكم بطريقة مبسطة اللي هو brain tumors بطريقة مختصرة يعطيكم الف عافية و دمتم بخير", "tokens": [35, 3661, 438, 12884, 340, 1344, 83, 6440, 3714, 43020, 37495, 1829, 8592, 8608, 3555, 3615, 5296, 12984, 2304, 7649, 8608, 1863, 2407, 9307, 1156, 564, 2750, 12884, 340, 1344, 83, 6440, 8608, 29399, 9957, 5296, 12984, 1211, 5718, 104, 8608, 1863, 2407, 9307, 4032, 38, 2081, 996, 15459, 6440, 5551, 4587, 1211, 9154, 8608, 1863, 3660, 5551, 4587, 1211, 9154, 8608, 1863, 3660, 44650, 41779, 9566, 16247, 25957, 9640, 8978, 2423, 460, 2081, 996, 15459, 6440, 39896, 4117, 4724, 1829, 30544, 13412, 2288, 33753, 23275, 2304, 4724, 9566, 16572, 28671, 3714, 3555, 3794, 9566, 3660, 13672, 1829, 31439, 3567, 38466, 4724, 9566, 16572, 28671, 3714, 46456, 9381, 25720, 37495, 9566, 1829, 24793, 27188, 6225, 31845, 10632, 4032, 11778, 2304, 39237, 4724, 9778, 13546], "avg_logprob": -0.19462500286102294, "compression_ratio": 1.6523605150214593, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 2148.08, "end": 2148.76, "word": "Diffuse", "probability": 0.639892578125}, {"start": 2148.76, "end": 2149.7, "word": " Astrocytoma", "probability": 0.7435546875}, {"start": 2149.7, "end": 2150.3, "word": " ممكن", "probability": 0.804443359375}, {"start": 2150.3, "end": 2150.5, "word": " يعيش", "probability": 0.96875}, {"start": 2150.5, "end": 2150.94, "word": " سبع", "probability": 0.5847574869791666}, {"start": 2150.94, "end": 2151.46, "word": " لثمان", "probability": 0.9283447265625}, {"start": 2151.46, "end": 2152.22, "word": " سنوات", "probability": 0.9024658203125}, {"start": 2152.22, "end": 2153.94, "word": " Unplastic", "probability": 0.8020833333333334}, {"start": 2153.94, "end": 2154.8, "word": " Astrocytoma", "probability": 0.9087890625}, {"start": 2154.8, "end": 2155.88, "word": " سنتين", "probability": 0.98486328125}, {"start": 2155.88, "end": 2156.28, "word": " لثلاث", "probability": 0.9755859375}, {"start": 2156.28, "end": 2156.78, "word": " سنوات", "probability": 0.926513671875}, {"start": 2156.78, "end": 2158.44, "word": " وGlioblastoma", "probability": 0.8358561197916666}, {"start": 2158.44, "end": 2159.38, "word": " أقل", "probability": 0.8841145833333334}, {"start": 2159.38, "end": 2159.64, "word": " من", "probability": 0.99267578125}, {"start": 2159.64, "end": 2159.96, "word": " سنة", "probability": 0.9298502604166666}, {"start": 2159.96, "end": 2160.34, "word": " أقل", "probability": 0.8390299479166666}, {"start": 2160.34, "end": 2160.5, "word": " من", "probability": 0.99365234375}, {"start": 2160.5, "end": 2161.1, "word": " سنة", "probability": 0.9728190104166666}, {"start": 2161.1, "end": 2161.8, "word": " متوسط", "probability": 0.869140625}, {"start": 2161.8, "end": 2162.22, "word": " الأعمار", "probability": 0.804443359375}, {"start": 2162.22, "end": 2162.38, "word": " في", "probability": 0.6875}, {"start": 2162.38, "end": 2162.54, "word": " ال", "probability": 0.28857421875}, {"start": 2162.54, "end": 2163.28, "word": " Glioblastoma", "probability": 0.79342041015625}, {"start": 2163.28, "end": 2164.04, "word": " هيك", "probability": 0.70849609375}, {"start": 2164.04, "end": 2164.48, "word": " بيكون", "probability": 0.7511393229166666}, {"start": 2164.48, "end": 2165.94, "word": " شرحتلكم", "probability": 0.916796875}, {"start": 2165.94, "end": 2166.68, "word": " بطريقة", "probability": 0.9786376953125}, {"start": 2166.68, "end": 2167.26, "word": " مبسطة", "probability": 0.9701171875}, {"start": 2167.26, "end": 2167.38, "word": " اللي", "probability": 0.6497802734375}, {"start": 2167.38, "end": 2167.66, "word": " هو", "probability": 0.95849609375}, {"start": 2167.66, "end": 2168.36, "word": " brain", "probability": 0.324462890625}, {"start": 2168.36, "end": 2168.82, "word": " tumors", "probability": 0.97509765625}, {"start": 2168.82, "end": 2169.54, "word": " بطريقة", "probability": 0.9324951171875}, {"start": 2169.54, "end": 2170.1, "word": " مختصرة", "probability": 0.91796875}, {"start": 2170.1, "end": 2171.0, "word": " يعطيكم", "probability": 0.9228515625}, {"start": 2171.0, "end": 2171.22, "word": " الف", "probability": 0.513671875}, {"start": 2171.22, "end": 2171.64, "word": " عافية", "probability": 0.95849609375}, {"start": 2171.64, "end": 2171.78, "word": " و", "probability": 0.97314453125}, {"start": 2171.78, "end": 2172.1, "word": " دمتم", "probability": 0.7538248697916666}, {"start": 2172.1, "end": 2172.52, "word": " بخير", "probability": 0.9954427083333334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2173.06275, "duration_after_vad": 2081.5437499999935}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c245fecc44212ebb2cec5833bba5cb02d9accbb6
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/PrpVz7x1C70_raw.srt
@@ -0,0 +1,1696 @@
+1
+00:00:07,570 --> 00:00:11,650
+الجزء الثاني من محاضرة الأسبوع السابع راح تكون على
+
+2
+00:00:11,650 --> 00:00:16,350
+ال disk herniation الانزلاق الغضروفي و راح اتكلم
+
+3
+00:00:16,350 --> 00:00:20,150
+على autonomic dysreflexia as complication of
+
+4
+00:00:20,150 --> 00:00:25,050
+spinal cord injury قبل ما أبدأ في autonomic
+
+5
+00:00:25,050 --> 00:00:30,210
+dysreflexia بدنا نراجع مع بعض شيء اسمه autonomic
+
+6
+00:00:30,210 --> 00:00:37,330
+nervous systemautonomic nervous system لها جزءين
+
+7
+00:00:37,330 --> 00:00:47,630
+جزء اسمه sympathetic nervous system وجزء اسمه
+
+8
+00:00:47,630 --> 00:00:50,870
+parasympathetic
+
+9
+00:00:50,870 --> 00:00:56,490
+nervous system sympathetic nervous system موجودة
+
+10
+00:00:56,490 --> 00:01:01,230
+في ال spinal cordو ال input تبعها بيجي من ال
+
+11
+00:01:01,230 --> 00:01:08,210
+hypothalamus و بيصل لحد T1 من T1 ل L2 عشان هيك
+
+12
+00:01:08,210 --> 00:01:15,330
+بنسميها thoracolumbar
+
+13
+00:01:15,330 --> 00:01:19,790
+nervous system parasympathetic nervous system
+
+14
+00:01:19,790 --> 00:01:23,710
+تنقسم لجزئين cranial
+
+15
+00:01:31,550 --> 00:01:37,830
+العصاب 10973 يعني العصب الثالث والسبع والتاسع
+
+16
+00:01:37,830 --> 00:01:42,470
+والعاشر هو العاشر اللي بيغضينا ال internal organs
+
+17
+00:01:42,470 --> 00:01:45,870
+ال heart و هكذا الجزء الثاني
+
+18
+00:01:49,500 --> 00:01:59,120
+بارد اي جزء سكر بارد S2 S3 S4 segment of spinal
+
+19
+00:01:59,120 --> 00:02:05,460
+cord تمام انتوا عارفين sympathetic nervous system
+
+20
+00:02:05,460 --> 00:02:10,420
+على ال blood vessels بتعمل vazoconstriction البارا
+
+21
+00:02:10,420 --> 00:02:14,240
+sympathetic بعمل vazodilation بوسع على ال heart
+
+22
+00:02:14,240 --> 00:02:17,080
+sympathetic nervous system بتعمل
+
+23
+00:02:19,540 --> 00:02:26,460
+Tachycardia increase heart rate براديكارديا
+
+24
+00:02:26,460 --> 00:02:29,780
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+25
+00:02:29,780 --> 00:02:32,000
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+26
+00:02:32,000 --> 00:02:33,320
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+27
+00:02:33,320 --> 00:02:33,460
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+28
+00:02:33,460 --> 00:02:33,460
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+29
+00:02:33,460 --> 00:02:37,460
+تعمل براديكارديا تعمل براديكارديا تعمل براديكارديا
+
+30
+00:02:37,460 --> 00:02:42,480
+تعمل براديكارد
+
+31
+00:02:42,890 --> 00:02:45,990
+الـ Parasympathetic Nervous System بتزيد الـ
+
+32
+00:02:45,990 --> 00:02:51,790
+peristaltic of الريكتم و الانتستانل و بتعمل
+
+33
+00:02:51,790 --> 00:02:55,150
+relaxation للسفنكتر عشان معملية ال defications و
+
+34
+00:02:55,150 --> 00:02:58,990
+على ال urine bladder بتزيد ال contraction of the
+
+35
+00:02:58,990 --> 00:03:04,590
+throat و بتعمل relaxation لإيه؟ لسفنكتر عكس ال
+
+36
+00:03:04,590 --> 00:03:09,440
+sympathetic nervous systemالان بتكلم على Autonomic
+
+37
+00:03:09,440 --> 00:03:13,360
+Disreflexia سيمباتاتيك و بارا سيمباتاتيك بيعملوا
+
+38
+00:03:13,360 --> 00:03:21,320
+مع بعض في ريتم محدد و بيناسقوا مع بعض كل شئ ع سبيل
+
+39
+00:03:21,320 --> 00:03:25,320
+المثال في حال قل ال heart rate بيزيد ال effect
+
+40
+00:03:25,320 --> 00:03:29,460
+بتاع السيمباتاتيك عشان يعوض ال heart rate زاد ممكن
+
+41
+00:03:29,460 --> 00:03:32,140
+يشتغل البارا السيمباتاتيك ينزل ال heart rate عشان
+
+42
+00:03:32,140 --> 00:03:37,950
+يحافظوا على نطب القلب Autonomic Disreflexiaما هي
+
+43
+00:03:37,950 --> 00:03:43,230
+الـ Autonomic Dysreflexia؟ موضوع صعب لكن في أربع
+
+44
+00:03:43,230 --> 00:03:47,830
+حلقات سأخسرها لكم 100 و تفهموا صح و تريحوا الدكتور
+
+45
+00:03:47,830 --> 00:03:50,210
+محمد كريزم لما نكون معاكم في موضوع الـ
+
+46
+00:03:50,210 --> 00:03:52,990
+rehabilitation of spinal cord و يشرحلكم الـ
+
+47
+00:03:52,990 --> 00:03:56,790
+Autonomic Dysreflexia Definition of Autonomic
+
+48
+00:03:56,790 --> 00:04:02,850
+Dysreflexia is complication of spinal cord injury
+
+49
+00:04:02,850 --> 00:04:13,830
+above T6 levelماحدش راح ينسى هالموضوع high T6 طيب
+
+50
+00:04:13,830 --> 00:04:20,110
+ليه قولنا above T6 لأنه في الحالة هذه ال fibers
+
+51
+00:04:20,110 --> 00:04:25,970
+اللي راحها لل heart للقلب راح تتأثر تمام و تماما
+
+52
+00:04:25,970 --> 00:04:29,250
+أعراض مثل ال neurogenic shock تمام manifestation
+
+53
+00:04:29,250 --> 00:04:40,750
+of the loss ofCoordinating Autonomic Response to
+
+54
+00:04:40,750 --> 00:04:46,530
+Demands on Heart Rate and Vascular Tone هو كويسة،
+
+55
+00:04:46,530 --> 00:04:52,110
+راح نشرحها ليش بالسيارة، Autonomic Disreflexia
+
+56
+00:04:54,990 --> 00:04:59,070
+about twenty seventy of patients with spinal cord
+
+57
+00:04:59,070 --> 00:05:02,750
+injury above T6 وكمان مرة برجع اقول ليش above T6
+
+58
+00:05:02,750 --> 00:05:05,710
+لأنه بتأثر ال sympathetic fibers اللي رايحة لل
+
+59
+00:05:05,710 --> 00:05:12,470
+heart Autonomic dysreflexia is unusual within the
+
+60
+00:05:12,470 --> 00:05:15,870
+first months في أول أشهر بتكون قليلة لكن أكتر شي
+
+61
+00:05:15,870 --> 00:05:21,470
+بتكون في أول سنة في فترة ال rehabilitation bladder
+
+62
+00:05:21,470 --> 00:05:26,500
+distension لما يصيركمية البول في الـ urine bladder
+
+63
+00:05:26,500 --> 00:05:34,440
+كثيرة والfacial impaction وتجمع برازي في ال rectum
+
+64
+00:05:34,440 --> 00:05:39,360
+are the most common precipitant for autonomic
+
+65
+00:05:39,360 --> 00:05:45,220
+dysreflexia يعني موضوع حشر البول والامساك بيزود
+
+66
+00:05:45,220 --> 00:05:49,720
+عملية ال autonomic dysreflexia في حالات spinal
+
+67
+00:05:49,720 --> 00:05:50,560
+cord injury
+
+68
+00:05:55,500 --> 00:05:59,560
+بتكون في ال rehabilitation مريض كويس فجأة بتجيكوا
+
+69
+00:05:59,560 --> 00:06:03,880
+الممرضة الحكيمة الحاج يا دكتور او انت تشتغل علاج
+
+70
+00:06:03,880 --> 00:06:09,020
+طبيعي اللي حطته المريض flushing وجوه أحمر ال heart
+
+71
+00:06:09,020 --> 00:06:19,420
+rate تغير عند المريض دخل في hypertension عالي و ال
+
+72
+00:06:19,420 --> 00:06:23,750
+heart rate bradycardia قلل ال heart rateو
+
+73
+00:06:23,750 --> 00:06:27,930
+Vasodilatation ممكن يكون عنده Hypothermia و المريض
+
+74
+00:06:27,930 --> 00:06:32,530
+ممكن يحصل معاه Convulsion و ده decrease level of
+
+75
+00:06:32,530 --> 00:06:35,550
+consciousness يدخل فيه غيبوبة دكتور الحق المريض
+
+76
+00:06:35,550 --> 00:06:38,850
+كان الصبح كويس، الآن اتغير مريضنا، إيش اللي حدث
+
+77
+00:06:38,850 --> 00:06:43,930
+معاه؟ قد يكون حدث معاه Autonomic Disreflection طب
+
+78
+00:06:43,930 --> 00:06:47,310
+إيش ال mechanism of Autonomic Disreflection؟ ليش
+
+79
+00:06:47,310 --> 00:06:53,590
+حدث معاه Autonomic Disreflection؟ نجعنش السببينأول
+
+80
+00:06:53,590 --> 00:06:59,730
+شيء Exaggerated sympathetic response on the
+
+81
+00:06:59,730 --> 00:07:04,850
+hypothalamus تابعوا معايا مريض حدث معاه injury
+
+82
+00:07:04,850 --> 00:07:11,010
+high level injury في الحالة هذه ايش بده في ال
+
+83
+00:07:11,010 --> 00:07:16,030
+heart rate يحدث معاه؟ راح يقل نبض القلب ليه؟ لأنه
+
+84
+00:07:16,030 --> 00:07:22,030
+صار هنا hypo sympathetic innervation لل heartقال
+
+85
+00:07:22,030 --> 00:07:26,450
+توصيل الجهاز السمتاوي الإشارة من الـ hypothalamus
+
+86
+00:07:26,450 --> 00:07:34,170
+للقلب راح يروح تصل إشارة للـ hypothalamus يثبت في
+
+87
+00:07:34,170 --> 00:07:39,010
+نقص الـ heart rate في body card يعني إيش الـ
+
+88
+00:07:39,010 --> 00:07:44,350
+hypothalamus راح يعمل؟ راح يزودالدعم بتاعه راح
+
+89
+00:07:44,350 --> 00:07:47,930
+يزود ال sympathetic innervation على الفاضي
+
+90
+00:07:47,930 --> 00:07:51,630
+sympathetic بيعطي هان نايب و ثانى مصر بس مش راح
+
+91
+00:07:51,630 --> 00:07:57,370
+تصل القلب لأنها مقطوعة في الطريق مين راح يتأثر هان
+
+92
+00:07:57,370 --> 00:08:03,610
+الأجزاء الأعلى مستوى الإصابة راح يحدث معها high
+
+93
+00:08:03,610 --> 00:08:11,000
+bar sympathetic innervation في الحالة هذهرح يرتفع
+
+94
+00:08:11,000 --> 00:08:14,220
+الضغط أعلى مستوى الإصابة due to vasoconstriction
+
+95
+00:08:14,220 --> 00:08:18,320
+لأن حدث عندنا أعلى مستوى الإصابة hyper sympathetic
+
+96
+00:08:18,320 --> 00:08:21,800
+innervation لكن القلب ما استفدتش منها لأنه مقطوع
+
+97
+00:08:21,800 --> 00:08:26,000
+في إصابة في الحبل الشوكي و المرضى بيكون عندهم
+
+98
+00:08:26,000 --> 00:08:32,900
+hyper tension above the level of injury due to
+
+99
+00:08:32,900 --> 00:08:37,340
+exaggerated sympathetic response يبقى هاي أول
+
+100
+00:08:37,340 --> 00:08:43,800
+ميكانيزمتاني ميكانيزم، compensatory
+
+101
+00:08:43,800 --> 00:08:52,360
+parasympathetic response كيف؟ قولنا مريض عنده
+
+102
+00:08:52,360 --> 00:08:59,860
+urine retention، عنده fecal impaction، مهم جدامين
+
+103
+00:08:59,860 --> 00:09:03,020
+اللي بيعمل عملية ال urination و ال defecation
+
+104
+00:09:03,020 --> 00:09:06,760
+البارا sympathetic nervous system الراحب سلامته
+
+105
+00:09:06,760 --> 00:09:10,520
+يدوس بنزين البارا sympathetic nervous system و
+
+106
+00:09:10,520 --> 00:09:13,580
+يعلي البارا sympathetic effect ليش بدي يعلي البارا
+
+107
+00:09:13,580 --> 00:09:17,900
+sympathetic effect؟ عشان المريض يعمل defecation و
+
+108
+00:09:17,900 --> 00:09:23,120
+urination لكن هو حدثة مصيبة كبرى المريض عنده body
+
+109
+00:09:23,120 --> 00:09:29,020
+cardio already ناجي عن ايه؟ spinal cord injuryو لو
+
+110
+00:09:29,020 --> 00:09:35,220
+sympathetic ايه؟ signal to the heart راح كمان
+
+111
+00:09:35,220 --> 00:09:39,540
+الجسم الإنسان زود البارا sympathetic عشان المريض
+
+112
+00:09:39,540 --> 00:09:46,180
+يعمل عمل التبول يبول و يتبرز في الحالة هذه البارا
+
+113
+00:09:46,180 --> 00:09:52,540
+sympathetic effect مين هو؟ sacral part وvegas
+
+114
+00:09:52,540 --> 00:09:57,780
+nerveماذا سيفعل الفيقس نيرف على الهارت؟ سيعمل
+
+115
+00:09:57,780 --> 00:10:01,360
+البراديكارديا و المريض بالفعل عنده براديكارديا،
+
+116
+00:10:01,360 --> 00:10:04,960
+سيزود براديكارديا، يبقى compensatory
+
+117
+00:10:04,960 --> 00:10:08,660
+parasympathetic response ستعمل عند المريض
+
+118
+00:10:08,660 --> 00:10:16,520
+براديكارديا و vasodilatationpradycardia و
+
+119
+00:10:16,520 --> 00:10:22,240
+vasodilatation في الحالة هذه لو قيمنا المريض ال
+
+120
+00:10:22,240 --> 00:10:25,940
+vasodilatation أكثر راح تكون تحت مستوى الإصابة في
+
+121
+00:10:25,940 --> 00:10:30,370
+الحالة هذه المريض راح يكون عنده pradycardiaو high
+
+122
+00:10:30,370 --> 00:10:32,790
+blood pressure above the level of injury due to
+
+123
+00:10:32,790 --> 00:10:35,950
+sympathetic hyper innervation طب لبراديكارديا ليش
+
+124
+00:10:35,950 --> 00:10:40,590
+حدثت عند المريض لسببين السبب الأول no sympathetic
+
+125
+00:10:40,590 --> 00:10:42,950
+innervation او decrease sympathetic innervation to
+
+126
+00:10:42,950 --> 00:10:47,350
+the heart والسبب الثاني انه حدث كمان compensatory
+
+127
+00:10:47,350 --> 00:10:51,030
+parasympathetic عشان عملية ال defecation و ال
+
+128
+00:10:51,030 --> 00:10:56,150
+urination clinical manifestation of autonomic
+
+129
+00:10:56,150 --> 00:10:59,550
+dysreflexia headache .. severe headache
+
+130
+00:11:07,350 --> 00:11:12,990
+الجهاز السمتوي بيزود غداد العرق، بيكون عنده زيادة
+
+131
+00:11:12,990 --> 00:11:17,490
+في إفراز العرق، high blood pressureand
+
+132
+00:11:17,490 --> 00:11:20,390
+hypertensive crisis above the level of injury
+
+133
+00:11:20,390 --> 00:11:25,570
+بيكون عندهم الضغط عالي جدا and bradycardia ال
+
+134
+00:11:25,570 --> 00:11:29,350
+bradycardia ممكن تؤدي إلى cardiac arrest و المريض
+
+135
+00:11:29,350 --> 00:11:33,830
+يتوفى من ايه؟ من cardiac block heart block يحدث
+
+136
+00:11:33,830 --> 00:11:40,190
+معاه may be occurs flashing وجه يكون أحمر blurring
+
+137
+00:11:40,190 --> 00:11:45,360
+of vision anxiety nauseaمن ايش بنخاف؟ ايش ال
+
+138
+00:11:45,360 --> 00:11:48,640
+complications تبع الـ Autonomic dysreflexia؟
+
+139
+00:11:48,640 --> 00:11:52,140
+hypertensive crisis عشان هيك لازم ننزل ضغط المريض
+
+140
+00:11:52,140 --> 00:11:57,980
+بسرعة bradycardia and cardiac arrest انخفاض نطب
+
+141
+00:11:57,980 --> 00:12:02,000
+القلب intracranial hemorrhage ممكن يحدث معاهم نزيف
+
+142
+00:12:02,000 --> 00:12:05,440
+في الدماغ subarachnoid hemorrhage و هكذا و
+
+143
+00:12:05,440 --> 00:12:10,320
+seizures او convulsion يتشنج المريض ال management
+
+144
+00:12:10,320 --> 00:12:16,130
+مهم جداmonitoring blood pressure قياس و monitoring
+
+145
+00:12:16,130 --> 00:12:20,010
+blood pressure immediately setting the patient
+
+146
+00:12:20,010 --> 00:12:24,410
+upright to orthostatic to deliver blood pressure
+
+147
+00:12:24,410 --> 00:12:31,090
+عشان نخفض blood pressure بنحاول نجعل المريض blood
+
+148
+00:12:31,090 --> 00:12:36,550
+catheterization blood catheterization and
+
+149
+00:12:36,550 --> 00:12:40,650
+evacuation of rectum بسرعة عشان نقلل البرأس
+
+150
+00:12:40,650 --> 00:12:45,250
+sympathetic effectاللي راح يزود البراديكارديا
+
+151
+00:12:45,250 --> 00:12:50,290
+ضروري تحط لهم fully catheter و نفرق المثانا و نعمل
+
+152
+00:12:50,290 --> 00:12:57,330
+تفريغ لإيه؟ لerectum عن طريق flat enema urgent and
+
+153
+00:12:57,330 --> 00:13:01,250
+rapid management of high blood pressure و نعمل
+
+154
+00:13:01,250 --> 00:13:08,040
+عملية إيش؟ معالجة و نخفض الضغط الدم العاليهك بيكون
+
+155
+00:13:08,040 --> 00:13:11,180
+شرحتكوا إياها اللي هي autonomic dysreflexia في كام
+
+156
+00:13:11,180 --> 00:13:15,420
+slide وإن شاء الله تكونوا افهمتوها و أي سؤال أنا
+
+157
+00:13:15,420 --> 00:13:20,700
+جاهز بنتقل لمحاضرة الجزء الثاني اللي هو disc
+
+158
+00:13:20,700 --> 00:13:24,920
+herniation spinal disc herniation الإنزلاق
+
+159
+00:13:24,920 --> 00:13:30,220
+الغضروفي قبل ما اتكلم على الإنزلاق الغضروفي اتراجع
+
+160
+00:13:30,220 --> 00:13:33,200
+لاناتوميا intervertebral disc anatomy
+
+161
+00:13:35,980 --> 00:13:41,160
+الـ disk هوين موجود؟ موجود between the vertebra
+
+162
+00:13:41,160 --> 00:13:48,160
+كلكم عارفين ال disk بيكون between two vertebral
+
+163
+00:13:48,160 --> 00:13:53,900
+body بيكون بين ايه؟ ال body of vertebra عبارة عن
+
+164
+00:13:53,900 --> 00:14:03,160
+ايش؟ ال disk عبارة عنCentral nucleus of jelly-like
+
+165
+00:14:03,160 --> 00:14:06,960
+substance نفس الـ jelly-like مش عن جلي تقطريل على
+
+166
+00:14:06,960 --> 00:14:12,440
+الآخر يعني و اللي بيكون فيه nucleus bulbosis بيكون
+
+167
+00:14:12,440 --> 00:14:15,420
+نكلياس ايه؟ bulbosis بسميها هذه الـ central
+
+168
+00:14:15,420 --> 00:14:22,550
+nucleus و ال nucleus bulbosis حواليها بيكونfibrous
+
+169
+00:14:22,550 --> 00:14:26,330
+coil حوالين النوكلياس بالبوستس بيكون ايه نوكلياس
+
+170
+00:14:26,330 --> 00:14:33,390
+او fibrous coil وهيالين cartilage plate above and
+
+171
+00:14:33,390 --> 00:14:37,170
+below ومن فوق ومن تحت بيكون عندنا هيالين cartilage
+
+172
+00:14:37,170 --> 00:14:42,070
+بيكون من مثل plate عامل من فوق و لتحت هاي وضع عندى
+
+173
+00:14:42,070 --> 00:14:48,950
+نوكلياس بالبوستس بيكون في ال central partحواليها
+
+174
+00:14:48,950 --> 00:14:56,270
+annulus fibros زي coil حواليها و من أعلى و من أسفل
+
+175
+00:14:56,270 --> 00:15:02,930
+بيكون عندنا cartilage plate عشان يحافظ على ال disk
+
+176
+00:15:02,930 --> 00:15:08,010
+و من الأمام بيكون عندي anterior longitudinal
+
+177
+00:15:08,010 --> 00:15:12,830
+ligament و من الخلف posterior longitudinal
+
+178
+00:15:12,830 --> 00:15:19,290
+ligament عشان يحافظوا على ال disk من الإنزلاقالدسك
+
+179
+00:15:19,290 --> 00:15:24,510
+هيرنياشن الهيرنيات الدسك هيه ممكن يعملنا
+
+180
+00:15:24,510 --> 00:15:28,370
+compression وين هذا الدسك طبيعي المفروض يكون
+
+181
+00:15:28,370 --> 00:15:37,010
+بالطريقة هذه هي كطبيعي ايش حدث معه الدسك هنا حدث
+
+182
+00:15:37,010 --> 00:15:37,770
+هيرنياشن
+
+183
+00:15:42,970 --> 00:15:47,210
+حدث معاه herniation على ال disk هذا ممكن يتغط على
+
+184
+00:15:47,210 --> 00:15:50,930
+ال spinal road على ال spinal road إذا كان lumber
+
+185
+00:15:50,930 --> 00:15:55,730
+disk وإذا كان cervical diskممكن يضغط على ال route
+
+186
+00:15:55,730 --> 00:15:59,070
+و ممكن يضغط على ال spinal cord لان انتوا عارفين ال
+
+187
+00:15:59,070 --> 00:16:02,010
+spinal cord وين بنتهي على ال lower border of ألوان
+
+188
+00:16:02,010 --> 00:16:05,230
+تحت ما بيكونش في spinal cord في ال lumber بيكون
+
+189
+00:16:05,230 --> 00:16:08,450
+cauda equina عبارة عن spinal route لكن ده كان
+
+190
+00:16:08,450 --> 00:16:11,530
+cervical level ممكن يعمل compression على ال route
+
+191
+00:16:11,530 --> 00:16:14,410
+و في بعض الأحيان ده كان large disc ممكن يعمل
+
+192
+00:16:14,410 --> 00:16:20,330
+compression وين؟ على ال spinal cordيبقى هنا الـ
+
+193
+00:16:20,330 --> 00:16:25,550
+herniated disc compress spinal root sensory أو
+
+194
+00:16:25,550 --> 00:16:32,690
+motor و spinal cord itself a function of
+
+195
+00:16:32,690 --> 00:16:36,270
+intervertebral disc هاي ال intervertebral disc هنا
+
+196
+00:16:36,270 --> 00:16:42,970
+بيكون عندها ال annulus نوكيا أو النوكيا بالباصة
+
+197
+00:16:42,970 --> 00:16:49,700
+بتكون هنا و حواليها بيكون ال coil fibrous coilو في
+
+198
+00:16:49,700 --> 00:16:55,220
+داخل spinal canal بيكون عندي spinal cord و عندي
+
+199
+00:16:55,220 --> 00:17:00,440
+هنا intervertebral foramen بخرج منه ال root ايش
+
+200
+00:17:00,440 --> 00:17:05,400
+وظيفة ال intervertebral disc اول شيء allow normal
+
+201
+00:17:05,400 --> 00:17:08,340
+mobility of the spine between the adjacent
+
+202
+00:17:08,340 --> 00:17:14,810
+vertebra انا الآن بعمل flexionextension بعمل right
+
+203
+00:17:14,810 --> 00:17:20,930
+left rotation او rotational movement كل هذه الحركة
+
+204
+00:17:20,930 --> 00:17:24,710
+انا حركتيها ال spine ال vertebra طب لو كان ال
+
+205
+00:17:24,710 --> 00:17:27,170
+spine ال vertebra ملتصقات مع بعض بدون disk ماقدرش
+
+206
+00:17:27,170 --> 00:17:32,450
+اعمل الحركات هذه يبقى هذي ال disk بيعملنا ايه اللي
+
+207
+00:17:32,450 --> 00:17:36,050
+بيساعد في ال normal mobility of the spine اثنين
+
+208
+00:17:36,050 --> 00:17:43,090
+shock absorberيعني لو أنا أجعت سقوط من مترين أو
+
+209
+00:17:43,090 --> 00:17:47,550
+تلاتة على سبيل المثال ال disk بيعمل عملية امتصاص
+
+210
+00:17:47,550 --> 00:17:51,710
+للصدمة بيمتص الصدمة و بيمنع ال injury و ال
+
+211
+00:17:51,710 --> 00:17:57,610
+fractures بتاع ال vertebra مين هم ال risk factors
+
+212
+00:17:57,610 --> 00:18:06,290
+for herniated disk standing erect واحد عمل طول
+
+213
+00:18:06,290 --> 00:18:12,370
+الوقت standing positionaging changes في الـ disc و
+
+214
+00:18:12,370 --> 00:18:19,790
+الـ ligament العمر poor body mechanism overweight
+
+215
+00:18:19,790 --> 00:18:25,270
+وزن كبير obesity overweight و ال trauma زي ما
+
+216
+00:18:25,270 --> 00:18:28,630
+اتفقنا في حالات ال trauma ممكن يحدث عندهم acute
+
+217
+00:18:28,630 --> 00:18:34,110
+disc herniation فانا عندي disc
+
+218
+00:18:36,790 --> 00:18:42,690
+ممكن ال disk يصير له herniation lateral ال lateral
+
+219
+00:18:42,690 --> 00:18:46,730
+ممكن يكون right او left ممكن ال disk herniation
+
+220
+00:18:46,730 --> 00:18:54,370
+يكون posterior central يعني وين في النص هنا هيك
+
+221
+00:18:54,370 --> 00:18:57,930
+ممكن يصير herniation posterior هنا anterior
+
+222
+00:18:57,930 --> 00:19:02,730
+herniation هيك posterior lateral وهنا posterior
+
+223
+00:19:02,730 --> 00:19:05,350
+lateral اما right اما left herniation
+
+224
+00:19:13,150 --> 00:19:18,410
+Site of herniated discs لو سؤالنا سؤال وين أكثر
+
+225
+00:19:18,410 --> 00:19:22,590
+مكان بيحدث فيه انزلاق غضروفي؟ راح يكون الـ
+
+226
+00:19:22,590 --> 00:19:30,070
+Lumbosacral أكثر مكان بيحدث فيه انزلاق غضروفي؟ ال
+
+227
+00:19:30,070 --> 00:19:34,650
+Lumbosacral 80% من الانزلاقات الغضروفية بتتم في ال
+
+228
+00:19:34,650 --> 00:19:41,160
+Lumbosacralأكثر واحد ال 4L5 بحتل المرتبة الأولى في
+
+229
+00:19:41,160 --> 00:19:49,300
+الإنزلاق الغضروفي هو ال 4L5 space بعده ال 5S1
+
+230
+00:19:51,610 --> 00:19:55,650
+19% من الانزلاقات الغضروفية بتحدث في ال cervical
+
+231
+00:19:55,650 --> 00:20:00,330
+level و المرتبة الأولى في ال cervical level بحتل
+
+232
+00:20:00,330 --> 00:20:05,670
+C5-C6 vertebra انزلاق غضروفي بين الفقرة الخامسة
+
+233
+00:20:05,670 --> 00:20:09,090
+والسادسةالعنقية المرتبة الثانية في ال cervical
+
+234
+00:20:09,090 --> 00:20:14,630
+بحتال C6 C7 disc herniation انزلاق غضروفي بين
+
+235
+00:20:14,630 --> 00:20:18,950
+الفقرة السادسة والسبعة العنقية واحد في المية من
+
+236
+00:20:18,950 --> 00:20:22,450
+الانزلاقات الغضروفية ممكن تكون في ال thoracic ليه؟
+
+237
+00:20:22,450 --> 00:20:26,230
+لأن ال thoracic في good fixation في عندنا ribs ال
+
+238
+00:20:26,230 --> 00:20:31,170
+ribs حاميات ال spine حاميات ال thoracic levelمعين
+
+239
+00:20:31,170 --> 00:20:33,390
+الـ thoracic level الـ tumors انت بتقوليش في
+
+240
+00:20:33,390 --> 00:20:36,210
+thoracic؟ thoracic جنة المرة اللي فاتت ال tumors
+
+241
+00:20:36,210 --> 00:20:39,330
+او رام تيجي اكتر شئ في thoracic level خليهم
+
+242
+00:20:39,330 --> 00:20:44,270
+الغضاريف مايكونش فيه غضاريف clinical
+
+243
+00:20:44,270 --> 00:20:50,610
+manifestations of herniated disc ال manifestation
+
+244
+00:20:50,610 --> 00:20:55,250
+تتمد على what nerve root او spinal root is
+
+245
+00:20:55,250 --> 00:20:59,530
+compressed حسب ال root حسب الدرماتومSensory root
+
+246
+00:20:59,530 --> 00:21:03,270
+of the spinal nerve is usually affected وبيعطينا
+
+247
+00:21:03,270 --> 00:21:08,230
+أعراض pain ألم Parathisia loss of sensation المريض
+
+248
+00:21:08,230 --> 00:21:11,390
+إذا كان disk bulge في ال cervical بيقولك عندي ألم
+
+249
+00:21:11,390 --> 00:21:14,250
+في رجبتي و بتنزل على ال shoulder و على ال arm نفسه
+
+250
+00:21:14,250 --> 00:21:17,140
+و على ال small finger أو على ال big toeإذا كان
+
+251
+00:21:17,140 --> 00:21:21,980
+سياتكا ضغط على سياتك نيرف لمبوسكرا L4 L5 على سبيل
+
+252
+00:21:21,980 --> 00:21:26,020
+المثال أو L5 S1 بيكون low back pain radiating to
+
+253
+00:21:26,020 --> 00:21:30,440
+posterior lateral surface of the lower limb إذا
+
+254
+00:21:30,440 --> 00:21:34,080
+كان L5 S1 ممكن الألم يضرب عنها في ال small finger
+
+255
+00:21:34,080 --> 00:21:39,320
+little finger إذا كان L4 L5 يمكن المريض يشكي أنه
+
+256
+00:21:39,320 --> 00:21:43,060
+عنده numbness و pain في ال big toe
+
+257
+00:21:46,160 --> 00:21:52,180
+motor root ممكن يكون عندنا weakness و paralysis مع
+
+258
+00:21:52,180 --> 00:21:56,800
+muscle hypertrophy radiculopathy pathology of
+
+259
+00:21:56,800 --> 00:21:59,660
+nerve root لما يحدث عندنا radiculopathy بيكون
+
+260
+00:21:59,660 --> 00:22:03,020
+عندنا compression على ال root و ال root بدأ يفقد
+
+261
+00:22:03,020 --> 00:22:09,280
+وظيفته common manifestation of lumbar herniated
+
+262
+00:22:09,280 --> 00:22:14,970
+discmost common site قلنا ال four ال five اللي
+
+263
+00:22:14,970 --> 00:22:20,410
+بعده ال five أسوان most common is the posterior
+
+264
+00:22:20,410 --> 00:22:23,870
+sensor nerve or root compression لما بتكلم على ال
+
+265
+00:22:23,870 --> 00:22:27,170
+spinal على ال discrimination على ال lumber انا
+
+266
+00:22:27,170 --> 00:22:30,430
+مابتكلمش على damage of spinal cord لإن spinal cord
+
+267
+00:22:30,430 --> 00:22:36,480
+انتهى انه على المستوى L1 lower border of L1Classic
+
+268
+00:22:36,480 --> 00:22:40,900
+symptoms بيكون عند المرضى low back pain سياتيكا
+
+269
+00:22:40,900 --> 00:22:45,300
+pain radiating to posterior lateral surface of the
+
+270
+00:22:45,300 --> 00:22:50,030
+lower limb with numbness paresthesiaOther symptoms
+
+271
+00:22:50,030 --> 00:22:54,130
+of lumbar herniated discs, paresthesia, numbness,
+
+272
+00:22:54,610 --> 00:22:57,430
+muscle spasms, sphincter dysfunction للمريض لما
+
+273
+00:22:57,430 --> 00:23:01,210
+يكون الدسك كبير و يضغط على الكودا ايكوينا و يعملنا
+
+274
+00:23:01,210 --> 00:23:05,550
+سيفير اسبوينا لكنل السينوسيز و كودا ايكوينا سندروم
+
+275
+00:23:05,550 --> 00:23:09,650
+بيحدث معهم sphincter dysfunction, sexual
+
+276
+00:23:09,650 --> 00:23:14,110
+dysfunction, paresis ممكن يحدث معهماللي هو Cauda
+
+277
+00:23:14,110 --> 00:23:19,070
+Equina Syndrome Parasites Drop Foot Absence Lower
+
+278
+00:23:19,070 --> 00:23:24,650
+Limb Deep Reflexes لان اتكلم على common
+
+279
+00:23:24,650 --> 00:23:29,430
+manifestation of cervical herniated discs موضوع
+
+280
+00:23:29,430 --> 00:23:34,010
+الـ cervical اكتر مكان بيحدث فيه disc bulge C5 C6
+
+281
+00:23:34,010 --> 00:23:39,310
+يكون عندهم neck pain pain radiating to shoulders
+
+282
+00:23:39,310 --> 00:23:43,870
+arm and thumbnumbness and paresthesia بيكون معهم
+
+283
+00:23:43,870 --> 00:23:48,890
+muscle spasm motor changes باريسز هلأ في ال spinal
+
+284
+00:23:48,890 --> 00:23:54,150
+cord في ال cervical part ممكن يحدث معهم spinal
+
+285
+00:23:54,150 --> 00:24:01,090
+cord compression ويؤدي إلى myelopathy cervical
+
+286
+00:24:03,150 --> 00:24:07,150
+myelopathy يعني حدث compression على ال spinal cord
+
+287
+00:24:07,150 --> 00:24:11,430
+مع اقتلال في ال spinal cord وهذا ال cervical
+
+288
+00:24:11,430 --> 00:24:17,390
+myelopathy بيعملنا motor changes weaknessممكن يحدث
+
+289
+00:24:17,390 --> 00:24:20,350
+absence upper limb deep reflex على مستوى الإصابة
+
+290
+00:24:20,350 --> 00:24:23,510
+لأنه على مستوى الإصابة بيكون ضغط على ال root و
+
+291
+00:24:23,510 --> 00:24:27,130
+بيحدث عندنا lower motoneuron لكن في حالات لما نكون
+
+292
+00:24:27,130 --> 00:24:31,890
+large disc ال compression راح يكون على ال spinal
+
+293
+00:24:31,890 --> 00:24:36,490
+cord و يحدث عندنا اللي هو cervical myelopathy خاصة
+
+294
+00:24:36,490 --> 00:24:40,890
+في حالات لما نكون largeposterior disc bulge
+
+295
+00:24:40,890 --> 00:24:45,230
+posterior central disc bulge ممكن ويكون عندنا
+
+296
+00:24:45,230 --> 00:24:49,410
+upper motor neuron lesion in both lower limbs with
+
+297
+00:24:49,410 --> 00:24:54,710
+sensory level differential
+
+298
+00:24:54,710 --> 00:24:59,750
+diagnosis مهم جدا محط differential diagnosis
+
+299
+00:24:59,750 --> 00:25:07,270
+tuberculosis of spine في مرض اسمه POTS
+
+300
+00:25:10,060 --> 00:25:16,680
+Disease هذا بيكون TB Spondylitis ناتج عن
+
+301
+00:25:16,680 --> 00:25:19,860
+ميكوبكتيرم
+
+302
+00:25:19,860 --> 00:25:24,800
+TBprimary secondary tumors of the spine اتكلمنا
+
+303
+00:25:24,800 --> 00:25:27,940
+عنهم في المحاضرة رقم ستة ل tumors of spine لما
+
+304
+00:25:27,940 --> 00:25:32,400
+يكونوا primary او metastatic tumors واتفجنا انه في
+
+305
+00:25:32,400 --> 00:25:37,340
+حالات ال spine tumors بيكون ال pain not relieved
+
+306
+00:25:37,340 --> 00:25:41,940
+by a good rest لو المريض ارتاح القلم بيستمر عنده
+
+307
+00:25:41,940 --> 00:25:46,900
+في الراحة و في العملosteoporosis and pathological
+
+308
+00:25:46,900 --> 00:25:50,500
+fractures قد يكون المريض عنده خاصة في كبار السن
+
+309
+00:25:50,500 --> 00:25:57,420
+osteoporosis هشاشة أضام مع fractures ايش ال
+
+310
+00:25:57,420 --> 00:26:01,640
+diagnostic procedures بنستخدمها لموضوع ال
+
+311
+00:26:01,640 --> 00:26:06,240
+herniated disc في البداية ممكن عمل x-ray عادية
+
+312
+00:26:06,240 --> 00:26:10,260
+plain x-ray تبين إن إذا في narrowing في ال space
+
+313
+00:26:10,260 --> 00:26:15,570
+في Spondylolisthesis في deformitiesCT scan اليوم
+
+314
+00:26:15,570 --> 00:26:21,710
+مابنستخدموش كتير مستخدم ال MRI MRI is the best is
+
+315
+00:26:21,710 --> 00:26:27,430
+the best ال MRI ممكن نستخدم ال Electromyography و
+
+316
+00:26:27,430 --> 00:26:33,230
+nerve conduction study هذه عشان نحدد إذا في عندنا
+
+317
+00:26:33,230 --> 00:26:36,010
+radiculopathy
+
+318
+00:26:37,060 --> 00:26:42,460
+النيوروبتي عشان نفحص ال skeletal muscle و ال
+
+319
+00:26:42,460 --> 00:26:48,040
+conductivity في ال peripheral nerves هنا
+
+320
+00:26:48,040 --> 00:26:53,040
+عندنا spinal cord MRI
+
+321
+00:26:53,040 --> 00:26:56,840
+cervical spinal cord MRI هذا مريض انا شخصتهلاحظوا
+
+322
+00:26:56,840 --> 00:27:02,900
+عنده one two three four five بين الفقرة الخامسة
+
+323
+00:27:02,900 --> 00:27:06,760
+والسادسة في disk herniation و ال disk herniation
+
+324
+00:27:06,760 --> 00:27:11,900
+هي هذا ال disk هذا ال disk herniation و يضغط على
+
+325
+00:27:11,900 --> 00:27:16,320
+ال spinal cord هنا واضح هذه ال disk herniation
+
+326
+00:27:16,320 --> 00:27:21,040
+تبعه ضغط وين على ال spinal cord و عملنا هذه spinal
+
+327
+00:27:21,040 --> 00:27:25,620
+canal هذه ال spinal canal هذا الأبيض CSF
+
+328
+00:27:28,410 --> 00:27:32,370
+الأفاميك شوية spinal cord هذا ال spinal cord نفسه
+
+329
+00:27:32,370 --> 00:27:38,550
+ال disk bulge عمل compression على spinal cord و
+
+330
+00:27:38,550 --> 00:27:42,630
+حدث عند المريض cervical myelopathy هذا مريض أجاني
+
+331
+00:27:42,630 --> 00:27:45,590
+بيمشي و كان عنده weakness في ال both lower limbs
+
+332
+00:27:45,590 --> 00:27:47,870
+ماكانش كتير من الألم كان عنده ألم في ال neck بس
+
+333
+00:27:47,870 --> 00:27:51,210
+ماكان كتير كان عنده weakness في ال both lower
+
+334
+00:27:51,210 --> 00:27:54,130
+limbs مع spasticity و hyperreflexia في ال lower
+
+335
+00:27:54,130 --> 00:27:58,260
+limbsكنت حاطة differential diagnosis اما cervical
+
+336
+00:27:58,260 --> 00:28:02,000
+disc bulge او tumor وعملت MRI له cervical spine
+
+337
+00:28:02,000 --> 00:28:07,160
+MRI وجدنا انه عنده فيه two discs فيه large disc
+
+338
+00:28:07,160 --> 00:28:09,400
+بين ال C5 وC6
+
+339
+00:28:16,170 --> 00:28:22,350
+وفي عنده disks small أو moderate بين C6 وC7 وعملين
+
+340
+00:28:22,350 --> 00:28:25,270
+compression عوين على spinal cord أكتر واحد عامل
+
+341
+00:28:25,270 --> 00:28:31,410
+compression على spinal cord C5 وC6 هذه MRI T2 سجتل
+
+342
+00:28:31,410 --> 00:28:36,370
+سجتل ليش قلنا T2 لأن ال CSF أبيض hyper intense لو
+
+343
+00:28:36,370 --> 00:28:42,600
+كانت T1 كان ال CSF لونه hypo intense as wellهيندل
+
+344
+00:28:42,600 --> 00:28:49,080
+اللمبر سيدة اللمبو ساكره ال MRI بين L5 و S1 في
+
+345
+00:28:49,080 --> 00:28:54,390
+disk bulgeبينقل خمسة و S واحد ديسك بلج هذه
+
+346
+00:28:54,390 --> 00:28:57,830
+Sagittal view اللي على Sagittal view واضح هنقل ال
+
+347
+00:28:57,830 --> 00:29:02,890
+five S one وهنا نفس الشيء ال five S one large ديسك
+
+348
+00:29:02,890 --> 00:29:06,850
+بلج وعملنا narrowing في ال spinal canal هذي spinal
+
+349
+00:29:06,850 --> 00:29:10,090
+canal وبيكون في ال spinal canal إيش فيها؟ فيها
+
+350
+00:29:10,090 --> 00:29:13,770
+كودة إيكوينة فيها إيه؟ كودة إيكوينة اللي هم ال
+
+351
+00:29:13,770 --> 00:29:17,490
+roots بتاعين ال spineيبقى ان فيه compression على
+
+352
+00:29:17,490 --> 00:29:20,670
+الـ cauda equina و في narrowing secondary spinal
+
+353
+00:29:20,670 --> 00:29:25,150
+canal stenosis due to disc herniation طب يا دكتور
+
+354
+00:29:25,150 --> 00:29:30,110
+ال disc هذا هل هو central, posterior ولا lateral,
+
+355
+00:29:30,270 --> 00:29:33,170
+right او left على السجد اللي مابقدرش احدد هذا
+
+356
+00:29:33,170 --> 00:29:38,930
+right او left باخد المقطع نفسههذا المقطع و ببحث عن
+
+357
+00:29:38,930 --> 00:29:43,350
+ال axial باخد مقطع axial قطعي لهذا المستوى عشان
+
+358
+00:29:43,350 --> 00:29:49,130
+احدد right او left اخدنا المستوى القطعي ال axial
+
+359
+00:29:49,130 --> 00:29:55,690
+cut هاي ال disk herniation
+
+360
+00:29:55,690 --> 00:30:01,290
+هاي ال disk herniation اذا كان ال disk herniation
+
+361
+00:30:01,290 --> 00:30:08,850
+كان عندى هذا right هذا leftright left كان عندي
+
+362
+00:30:08,850 --> 00:30:12,090
+left
+
+363
+00:30:12,090 --> 00:30:18,630
+posterior lateral وهو نفس الشيء left posterior
+
+364
+00:30:18,630 --> 00:30:23,890
+lateral disc bulge طيب، هذه ليش أبيض؟ هذه T2 image
+
+365
+00:30:23,890 --> 00:30:28,250
+وهذه ليش عساوية؟ هذه T1 image يعني بالطريقة هذه
+
+366
+00:30:28,250 --> 00:30:32,550
+انا حددت الغدروف وين هو جاي على ال right أو على ال
+
+367
+00:30:32,550 --> 00:30:32,750
+left
+
+368
+00:30:44,820 --> 00:30:49,540
+كمان هذه حالات من عندنا هذه ال four ال five large
+
+369
+00:30:49,540 --> 00:30:52,760
+disk bulge هذه الحالة من عندنا هذه من literature
+
+370
+00:30:52,760 --> 00:30:56,960
+مش من عندنا هذه الحالة احنا شخصناها large disk على
+
+371
+00:30:56,960 --> 00:31:00,600
+ال four ال five لاحظوا ال four ال five اكتر واحد
+
+372
+00:31:00,600 --> 00:31:08,400
+بعده S one ال five S one okay هنا عندي ال four ال
+
+373
+00:31:08,400 --> 00:31:12,160
+five disk bulge large كمان و يعامل compression و
+
+374
+00:31:12,160 --> 00:31:14,100
+narrowing في ال spinal canal
+
+375
+00:31:21,660 --> 00:31:26,420
+conservative treatment of disc bulge avoid
+
+376
+00:31:26,420 --> 00:31:31,380
+deflection of the spine بنحط لهم press, corset,
+
+377
+00:31:31,520 --> 00:31:36,770
+cervical collar و بنعملهم supportmedications ضروري
+
+378
+00:31:36,770 --> 00:31:40,550
+نعطي analgesics مسكنات الألام anti-inflammatory
+
+379
+00:31:40,550 --> 00:31:47,210
+non-steroidal مثل ديكلفين endomethasin
+
+380
+00:31:47,210 --> 00:31:51,590
+pyrox أدوية كتير non-steroidal مش مهمة لكم trophin
+
+381
+00:31:51,590 --> 00:31:57,210
+muscle relaxant وفي بعض الأحيان بياخدوا short
+
+382
+00:31:57,210 --> 00:32:02,110
+steroid ثرابي debamidrol عشان يقلل الإديمة ويقلل
+
+383
+00:32:02,110 --> 00:32:03,770
+ال compression على ال disk bulge
+
+384
+00:32:06,380 --> 00:32:09,220
+Medical Rehabilitation و Physiotherapy بنعملهم
+
+385
+00:32:09,220 --> 00:32:14,040
+Physiotherapy Indication for surgical treatment
+
+386
+00:32:14,040 --> 00:32:17,600
+بنعملهم تدخلات جراحية متى بنعمل تدخل جراحي لل disc
+
+387
+00:32:17,600 --> 00:32:22,460
+للغدروف Failure of conservative treatment فشلنا في
+
+388
+00:32:22,460 --> 00:32:25,240
+التدخل العلاجي التحافظي يعني العلاجي التحافظي
+
+389
+00:32:25,240 --> 00:32:29,520
+بالأدوية فشل ماقدرنا نتحكم بالألم أو وضع المريض
+
+390
+00:32:29,520 --> 00:32:34,070
+بزيد سوء بيروح للعمليةCauda Equina Syndrome المريض
+
+391
+00:32:34,070 --> 00:32:37,790
+كان عنده ضغط على الحبل على الأعصاب الترافية في الـ
+
+392
+00:32:37,790 --> 00:32:42,030
+Cauda Equina وعنده Cauda Equina Syndrome يعني ظهر
+
+393
+00:32:42,030 --> 00:32:46,690
+weakness في ال lower limbs أو dysfunction حدث عنده
+
+394
+00:32:46,690 --> 00:32:50,870
+مشاكل في التبول أو في ال erectionProgressive
+
+395
+00:32:50,870 --> 00:32:53,430
+neurologic deficit while on conservative
+
+396
+00:32:53,430 --> 00:32:57,630
+treatment، المريض بأخد علاج تحفظ دوائه وحالته
+
+397
+00:32:57,630 --> 00:33:00,750
+بالزي السوء أو وجد عنده أعراض spinal cord
+
+398
+00:33:00,750 --> 00:33:07,110
+compression، cervical، myelopathyin tolerable pain
+
+399
+00:33:07,110 --> 00:33:11,910
+المريض عنده ألم شديد جدا مع أنه بياخد أدوية من ضمن
+
+400
+00:33:11,910 --> 00:33:15,870
+الأدوية ناركوتكس أدوية مسكنة بياخد ترمدول بياخد
+
+401
+00:33:15,870 --> 00:33:20,070
+أدوية قوية جدا مسكنة للألم و المريض حالته بزي سوء
+
+402
+00:33:20,070 --> 00:33:23,730
+و مش قادر يتحكم في الألم ال surgical management
+
+403
+00:33:23,730 --> 00:33:29,050
+ايش بيعملهم؟ ممكن يعمل لamineectomyremoval of a
+
+404
+00:33:29,050 --> 00:33:32,310
+portion of the lamina عشان نقفف الألم و نقلل ال
+
+405
+00:33:32,310 --> 00:33:35,050
+compression على ال spinal cord ممكن نعمل spinal
+
+406
+00:33:35,050 --> 00:33:39,890
+fusion remove most of the disc للدسك و نعمل
+
+407
+00:33:39,890 --> 00:33:43,890
+replacereplacement تلاقيله فورامين اتومان ممكن
+
+408
+00:33:43,890 --> 00:33:48,510
+يعمل عملية توسيع لل intervertebral فورامين او
+
+409
+00:33:48,510 --> 00:33:54,270
+micro disc كتب بال .. بال micro scope ينعمل
+
+410
+00:33:54,270 --> 00:34:01,260
+partial removal لل diskهذه ارتيفيشيال ديسك في الـ
+
+411
+00:34:01,260 --> 00:34:03,740
+cervical level ممكن تحطهم شايفين لاحظوا هذه
+
+412
+00:34:03,740 --> 00:34:08,960
+ارتيفيشيال ديسك ديسك صناعي هيه ديسك صناعي بيكون
+
+413
+00:34:08,960 --> 00:34:13,380
+ميتاليك بيثبت الميتاليك في الورتبرة من فوق ومن تحت
+
+414
+00:34:13,380 --> 00:34:15,080
+و بينه في زي plastic
+
+415
+00:34:17,750 --> 00:34:24,230
+و هيك بيكون احنا خلصنا موضوع spinal cord disease،
+
+416
+00:34:24,230 --> 00:34:28,190
+هيك اتطرقنا الى بعض الأمراض اللي بتصيب الحبل
+
+417
+00:34:28,190 --> 00:34:32,750
+الشوكي، شرحنا لكوا ال tumorsof spine اتكلمنا على
+
+418
+00:34:32,750 --> 00:34:35,910
+ال traumatic spinal cord injury عن ال
+
+419
+00:34:35,910 --> 00:34:38,290
+discrimination و ال complication of spinal cord
+
+420
+00:34:38,290 --> 00:34:42,650
+injury مثل autonomic dysreflexia يعطيكوا الف عافية
+
+421
+00:34:42,650 --> 00:34:46,610
+المحاضرة بتاعة الأسبوع القادم ان شاء الله راح
+
+422
+00:34:46,610 --> 00:34:51,550
+اتكلم على demyelinating disease of CNS اتكلم على
+
+423
+00:34:51,550 --> 00:34:55,870
+multiple sclerosis transverse myelitis ADAM and
+
+424
+00:34:55,870 --> 00:35:01,150
+other demyelinating condition of CNSتم تم بألف خير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4fe9ec5c37c7e717515371c0e0434077bfe0f3fb
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/Xgthhc5h-JY_raw.srt
@@ -0,0 +1,2292 @@
+1
+00:00:04,940 --> 00:00:08,700
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,700 --> 00:00:14,890
+وبركاتهمحاضرة الأسبوع الثاني هتكون على disease of
+
+3
+00:00:14,890 --> 00:00:19,710
+the cranial nerves راح أشرحلكم الجزء الأول disease
+
+4
+00:00:19,710 --> 00:00:25,730
+of the olfactory nerve, optic nerve, ocular nerve
+
+5
+00:00:25,730 --> 00:00:29,330
+and trigeminal nerve وفي الجزء الثاني من المحاضرة
+
+6
+00:00:29,330 --> 00:00:33,550
+راح يكون disease of the other cranial nerves
+
+7
+00:00:33,550 --> 00:00:36,650
+cranial
+
+8
+00:00:36,650 --> 00:00:41,190
+nerves مراجعةاحنا عارفين كنا من سنة ثالثة انه
+
+9
+00:00:41,190 --> 00:00:44,810
+factory nerve و optic nerve و vestibular و
+
+10
+00:00:44,810 --> 00:00:49,030
+cochlear nerve are purely sensory nerves مية و
+
+11
+00:00:49,030 --> 00:00:52,630
+تمانية و عشرين و كل motor nerve, trochlear nerve,
+
+12
+00:00:52,790 --> 00:00:56,130
+abducent nerve, accessory و hypoglossal nerve are
+
+13
+00:00:56,130 --> 00:01:00,480
+purely motor nervesو Trigeminal nerve, facial,
+
+14
+00:01:00,700 --> 00:01:04,700
+glossopharyngeal and vagus nerve عشر تلاف و تسعمية
+
+15
+00:01:04,700 --> 00:01:10,280
+و خمس و سبعين are mixed nerves وهذه أخدناها في سنة
+
+16
+00:01:10,280 --> 00:01:14,970
+تالتة جدولfactory nerve optic oculomotor trochlear
+
+17
+00:01:14,970 --> 00:01:18,990
+trigeminal abdocent facial vestibular cochlear
+
+18
+00:01:18,990 --> 00:01:22,230
+glossopharyngeal vagus accessory and hypoglossal
+
+19
+00:01:22,230 --> 00:01:27,030
+هذا من ناحية الأسماء بتاعتهم وأرقام هم أخدوهم حسب
+
+20
+00:01:27,030 --> 00:01:33,750
+ال origin of the brain ال function الفاكتوري نيرف
+
+21
+00:01:33,750 --> 00:01:38,630
+اسمه ال function optic nerve visionموتور موتور
+
+22
+00:01:38,630 --> 00:01:41,630
+موتور موتور موتور موتور موتور موتور موتور موتور
+
+23
+00:01:41,630 --> 00:01:44,750
+موتور موتور موتور موتور موتور موتور موتور موتور
+
+24
+00:01:44,750 --> 00:01:48,430
+موتور موتور موتور موتور موتور موتور موتور موتور
+
+25
+00:01:48,430 --> 00:01:59,330
+موتور موتور موتور موتور موتور موتور موتور موتور
+
+26
+00:01:59,330 --> 00:02:06,420
+موتور موتور موتور موتور موتور موتور موتورمن ناحية
+
+27
+00:02:06,420 --> 00:02:10,360
+الـ sight of the nucleus in the brain يمكننا أن
+
+28
+00:02:10,360 --> 00:02:17,260
+نقول تقسيمها 2 2 4 4 أول اتنين يكونوا في الـ
+
+29
+00:02:17,260 --> 00:02:18,720
+cerebral hemisphere
+
+30
+00:02:24,790 --> 00:02:30,010
+الأول الفاكتوري بيكون في الـ temporal loop والثاني
+
+31
+00:02:30,010 --> 00:02:36,210
+optic بيكون موجود في ال occipital loop
+
+32
+00:02:39,970 --> 00:02:47,350
+والرابع بيكونوا في ال midbrain في exception الخامس
+
+33
+00:02:47,350 --> 00:02:58,650
+سادس سبع تمان بيكونوا في ال bones و اللي هو التاسع
+
+34
+00:02:58,650 --> 00:03:06,270
+عشر احداشر12 موجودين في الميدالة او بلان كاتر هيك
+
+35
+00:03:06,270 --> 00:03:10,430
+ال site of the nucleus في exception لإلهم لاحظوا
+
+36
+00:03:10,430 --> 00:03:15,250
+الفكتوري نيرف temporal loop اوبتيك نيرف occipital
+
+37
+00:03:15,250 --> 00:03:19,610
+loop اوكلاموتر medibrain تروكليار medibrain
+
+38
+00:03:19,610 --> 00:03:24,780
+تريجيمينال pons أبدوستن ponsfacial pons
+
+39
+00:03:24,780 --> 00:03:28,180
+vestibulocochlear pons في exception لكل عصب
+
+40
+00:03:28,180 --> 00:03:33,680
+glossopharyngeal medulla oblongata vegas medulla
+
+41
+00:03:33,680 --> 00:03:36,640
+oblongata accessory medulla oblongata في exception
+
+42
+00:03:36,640 --> 00:03:40,340
+وhypoglossal medulla oblongata هي أنا سهلتكوا
+
+43
+00:03:40,340 --> 00:03:47,200
+إياها في معادلة 2244 opening in the scalaقريبا
+
+44
+00:03:47,200 --> 00:03:50,460
+form plate بخرج منها أو بدخل ال optic الفكتوري
+
+45
+00:03:50,460 --> 00:03:54,360
+nerve optic canal بيمر فيه ال optic nerve في
+
+46
+00:03:54,360 --> 00:03:58,380
+superior orbital fissure بيمر اللي هو oculomotor
+
+47
+00:03:58,380 --> 00:04:01,680
+nerve, trochlear nerve, abdossum nerve and first
+
+48
+00:04:01,680 --> 00:04:05,840
+branch of trigeminal اللي هو الفكتوري nerve نرجع ل
+
+49
+00:04:05,840 --> 00:04:10,100
+trigeminal nerve, maxillary nerve بخرج من روتندا و
+
+50
+00:04:10,100 --> 00:04:12,840
+ال mandibular nerve oval
+
+51
+00:04:16,670 --> 00:04:22,750
+ال facial nerve بفوت في internal auditory meatus و
+
+52
+00:04:22,750 --> 00:04:26,210
+بخرج من ال style و مستوى الفرامين vestibular
+
+53
+00:04:26,210 --> 00:04:29,410
+cochlear nerve internal acoustic meatus
+
+54
+00:04:29,410 --> 00:04:32,910
+glossopharyngeal nerve و vegas nerve و accessory
+
+55
+00:04:32,910 --> 00:04:37,270
+nerve على jugular فرامين hypoglossal nerve
+
+56
+00:04:37,270 --> 00:04:41,730
+hypoglossal ايش؟ hypoglossal canal
+
+57
+00:04:44,440 --> 00:04:51,960
+هي عندي الفاكتوري نيرف اوبتيك اوكلاموتر تروكليار
+
+58
+00:04:51,960 --> 00:04:56,920
+تريجيمينال عبدوسنت فاشيال اتنين توروت
+
+59
+00:04:56,920 --> 00:05:01,580
+وفسيبولوكوكليار غلصفارنجيال وفيه اكسسوري فيه
+
+60
+00:05:01,580 --> 00:05:06,780
+اسبانيال اكسسوري وفيه كرانيال اكسسوري وهيبوغلصال
+
+61
+00:05:06,780 --> 00:05:12,580
+نيرف الآن ببدأ بالفاكتوري نيرف الفاكتوري نيرفمن
+
+62
+00:05:12,580 --> 00:05:17,260
+اللغة اللاتينية to smell for smell function ال
+
+63
+00:05:17,260 --> 00:05:20,620
+function تبعت special sensory nerve for smell
+
+64
+00:05:20,620 --> 00:05:24,840
+الفكتوري tract located in the anterior cranial
+
+65
+00:05:24,840 --> 00:05:28,900
+fossa and attached to the inferior cervix of
+
+66
+00:05:28,900 --> 00:05:31,100
+frontal lobe
+
+67
+00:05:33,620 --> 00:05:35,880
+الان احنا اخدناها في سنة تالتة ماعرجعلها انا كتير
+
+68
+00:05:35,880 --> 00:05:39,920
+مش راح اعرج عليها هي عندي اللي هو ال fibers ال
+
+69
+00:05:39,920 --> 00:05:43,100
+filaments بتاعة ال nerve اللي هو الفاكتوري nerve
+
+70
+00:05:43,100 --> 00:05:47,500
+بعدها بيكونون الفاكتوري bulb بعدين الفاكتوري tract
+
+71
+00:05:48,300 --> 00:05:51,420
+واضح عندي هنا ال fibers هما الفاكتورينير ال
+
+72
+00:05:51,420 --> 00:05:54,560
+filaments بيفوتوا في الفاكتوري groove بيكونون
+
+73
+00:05:54,560 --> 00:05:58,020
+الفاكتوري bulb بعد الفاكتوري bulb بيجينا الفاكتوري
+
+74
+00:05:58,020 --> 00:06:02,140
+tract بيروح لل both cerebral hemisphere right and
+
+75
+00:06:02,140 --> 00:06:07,420
+left الآن بتكلم على lesion of smell function لو
+
+76
+00:06:07,420 --> 00:06:12,900
+حدث مشكلة في ال pathway of smellأول شيء ممكن يكون
+
+77
+00:06:12,900 --> 00:06:16,340
+unilateral hyposmia or أنوسميا يعني hyposmia
+
+78
+00:06:16,340 --> 00:06:20,860
+decrease smell sensation أنوسميا complete loss of
+
+79
+00:06:20,860 --> 00:06:25,400
+smell sensation bilateral hyposmia or أنوسميا
+
+80
+00:06:25,400 --> 00:06:31,730
+فقدان حس الشم على ال right و ال leftbarosmia أو
+
+81
+00:06:31,730 --> 00:06:36,690
+smell hallucination، حلوة في حاسة الشم، cacosmia
+
+82
+00:06:36,690 --> 00:06:40,010
+أو bad smell في حالات لما نكون فيه chronic
+
+83
+00:06:40,010 --> 00:06:46,950
+sinusitis مع bus discharge و ال factory agnosia،
+
+84
+00:06:46,950 --> 00:06:52,680
+اللي هي عدم تمييز الروائح، عدم تمييز الروائحWhat's
+
+85
+00:06:52,680 --> 00:06:56,320
+the cause of unilateral anosmia؟ أول شيء مين أخطر؟
+
+86
+00:06:56,320 --> 00:06:59,460
+unilateral anosmia ولا bilateral anosmia؟ مين
+
+87
+00:06:59,460 --> 00:07:03,920
+الأخطر؟ الأخطر unilateral anosmia فقدان حاسة الشم
+
+88
+00:07:03,920 --> 00:07:08,540
+من جهة واحدة أخطر بكثير من فقدان حاسة الشم من
+
+89
+00:07:08,540 --> 00:07:13,560
+الجهتين لماذا؟ لأن كلنا حصل معنى bilateral anosmia
+
+90
+00:07:13,560 --> 00:07:17,200
+في حالة اللي هو common cold لما يكون فيه influenza
+
+91
+00:07:17,200 --> 00:07:24,890
+و بيحدث إديمة في ال nasal cavityويرينايتس بيكون
+
+92
+00:07:24,890 --> 00:07:31,370
+عندنا فقدان لحاسة الشم الأسباب اللي اللي أتراها
+
+93
+00:07:31,370 --> 00:07:36,150
+أنا اسمها traumatic cause مثل skull base fracture
+
+94
+00:07:36,150 --> 00:07:39,110
+inflammatory
+
+95
+00:07:40,640 --> 00:07:45,440
+اللي هو Basal Meningitis Unilateral or Bilateral
+
+96
+00:07:45,440 --> 00:07:50,960
+Basal Meningitis نيو بلاستيك اللي هو tumors مثل
+
+97
+00:07:50,960 --> 00:07:57,160
+ايه الفاكتوري اجروف من الجيومة هنا واضح في ورممن
+
+98
+00:07:57,160 --> 00:08:01,820
+جيومة حميد اسمه الفاكتوري جروف اذا مايجي في المكان
+
+99
+00:08:01,820 --> 00:08:06,140
+هذا راح يضغط على الفاكتوري nerve او الفاكتوري bulb
+
+100
+00:08:06,140 --> 00:08:10,780
+او الفاكتوري tract ويعملنا ابسيلاترال يونيلاترال
+
+101
+00:08:10,780 --> 00:08:15,520
+اللي هو loss of اسم ال function لذلك فقدان حاسة
+
+102
+00:08:15,520 --> 00:08:19,820
+الشم من جهة واحدة اكتر من فقدان حاسة الشم من كلا
+
+103
+00:08:19,820 --> 00:08:25,800
+الجهتينWhat's the cause of bilateral anosmia؟ إيش
+
+104
+00:08:25,800 --> 00:08:30,660
+أسباب الانتقال
+
+105
+00:08:30,660 --> 00:08:36,920
+الانتقال الانتقال مثل common cold trophic rhinitis
+
+106
+00:08:36,920 --> 00:08:41,060
+هريده فاميله الوراثية عندهم انخفاض أو نقص في حاسس
+
+107
+00:08:41,060 --> 00:08:46,960
+الشمس hysterical أو psychogenic نفسي excessive
+
+108
+00:08:46,960 --> 00:08:50,400
+smoking الناس المدخنين كتير اللي aggressive
+
+109
+00:08:50,400 --> 00:08:57,320
+smokersuse of cocaine اللي بتاعته مخدرات و بيشمه
+
+110
+00:08:57,320 --> 00:09:01,420
+كل هذا بيأثر على ال receptors بتاعة ال smell و مع
+
+111
+00:09:01,420 --> 00:09:06,800
+الوقت بيصير عندهم فقدان لحاسس الشمع ايش أسباب ال
+
+112
+00:09:06,800 --> 00:09:10,420
+باروسميا او ال smell hallucination? temporal loop
+
+113
+00:09:10,420 --> 00:09:14,880
+epilepsy temporal loop space occupying lesion يعني
+
+114
+00:09:14,880 --> 00:09:18,060
+ايش space occupying lesion؟ tumor abscess يوم
+
+115
+00:09:18,060 --> 00:09:23,070
+الأيام مريضة 47 سنة 48 سنة بتدخل عياتهكانت مشخصة
+
+116
+00:09:23,070 --> 00:09:26,050
+as a stroke لما فتت ليها ده و هي في ليها ده بتقولي
+
+117
+00:09:26,050 --> 00:09:30,830
+شم ريح تح لحمة و أهلها بيشكوا انها تشم أشياء مش
+
+118
+00:09:30,830 --> 00:09:34,530
+موجودة هي بيقعد صارت تشم أشياء مش موجودة هي بيقعد
+
+119
+00:09:34,530 --> 00:09:40,130
+في شيء عمل irritation ل ال smell center لمركز ايش؟
+
+120
+00:09:40,130 --> 00:09:45,010
+لمركز الشم عملت لها brain MRI وجدت أنه عندها tumor
+
+121
+00:09:45,010 --> 00:09:48,190
+ورموراهم في ال temporal loop في مركز حاسس الشم
+
+122
+00:09:48,190 --> 00:09:52,490
+وبيهيج هذا المركز وبيخليه يشتم أشياء مش موجودة في
+
+123
+00:09:52,490 --> 00:09:55,690
+بعض الأحيان ممكن يكون هو psychogenic ناتج عنفصام
+
+124
+00:09:55,690 --> 00:09:59,450
+شخصية schizophrenia لكن قبل ما اتكلم ان هو عامل
+
+125
+00:09:59,450 --> 00:10:02,790
+نفسي لازم نعمل استثناء و exclusion للعامل العضوي
+
+126
+00:10:02,790 --> 00:10:09,450
+Intracranial aneurysm and arteriovenous
+
+127
+00:10:09,450 --> 00:10:14,760
+malformationطبعا يبقى انتراكرينيا الانوريزم او AVM
+
+128
+00:10:14,760 --> 00:10:19,480
+ايش ال AVM اللي هي arteriovenous
+
+129
+00:10:19,480 --> 00:10:24,320
+malformation يعني بيحدث malformation انماليز
+
+130
+00:10:24,320 --> 00:10:28,880
+بيصيرت شبكة زي مثل سلكة الجلي الارتريز مع الفين
+
+131
+00:10:28,880 --> 00:10:35,660
+بيشكوا مع بعض بيعملون ايه malformation Psychogenic
+
+132
+00:10:35,660 --> 00:10:44,050
+الآن بنتقل لموضوع optic nerveoptic nerve من اللغة
+
+133
+00:10:44,050 --> 00:10:49,870
+اللاتينية for c او to see ايش ال function بتاعة ال
+
+134
+00:10:49,870 --> 00:10:54,890
+optic nerve it is a special sensory nerve الوظيفته
+
+135
+00:10:54,890 --> 00:11:04,250
+sense of vision sense of vision optic
+
+136
+00:11:04,250 --> 00:11:10,880
+nerve lesion لو حدث total optic nerve lesionبيؤدي
+
+137
+00:11:10,880 --> 00:11:15,620
+إلى Epilateral partial or total blindness يعني في
+
+138
+00:11:15,620 --> 00:11:20,000
+حال إنه حدث التهاب جزي أو كلي في عصب العين نفس
+
+139
+00:11:20,000 --> 00:11:24,700
+الشيء على نفس الجهة المريض بفقد حاسة النظر إما جزي
+
+140
+00:11:24,700 --> 00:11:30,570
+وإما كليexamination نفحص لهم visual acuity حدة
+
+141
+00:11:30,570 --> 00:11:35,490
+البصر نفحص fundus examination قاع العين في ال
+
+142
+00:11:35,490 --> 00:11:39,150
+fundus scopy في فحص قاع العين ممكن نجد عندهم
+
+143
+00:11:39,150 --> 00:11:43,390
+papilla edema يعني في swelling في ال papilla بتاعة
+
+144
+00:11:43,390 --> 00:11:48,900
+ال optic diskممكن يكون عندهم disk failure اللي هو
+
+145
+00:11:48,900 --> 00:11:53,260
+أطرفي في ال optic disk في ال optic nerve و خاصة في
+
+146
+00:11:53,260 --> 00:11:57,920
+حالات multiple sclerosis ممكن يكون عندهم أطرفي في
+
+147
+00:11:57,920 --> 00:12:02,340
+ال optic nerve what's
+
+148
+00:12:02,340 --> 00:12:05,320
+the cause of optic nerve lesion؟ أيش الأسباب؟ أيش
+
+149
+00:12:05,320 --> 00:12:10,410
+المشاكل اللي بتصيب عصب العين؟أول شئ Demyelinated
+
+150
+00:12:10,410 --> 00:12:15,690
+disease مثل multiple sclerosis تصلب اللواحي optic
+
+151
+00:12:15,690 --> 00:12:21,170
+neuritis التهاب عصب العين اثنين ischemic and
+
+152
+00:12:21,170 --> 00:12:27,240
+metabolicأثروسكليروسيز جيانت سيلت أرتيرايتس هذا
+
+153
+00:12:27,240 --> 00:12:31,720
+جيانت سيلت أرتيرايتس ناتج عن inflammation of
+
+154
+00:12:31,720 --> 00:12:36,480
+superficial temporal artery بيحدث granulomatous
+
+155
+00:12:36,480 --> 00:12:39,640
+inflammation in the superficial temporal artery في
+
+156
+00:12:39,640 --> 00:12:44,080
+المكان هذا وبتشخص بواسطة انه بيكون عند المرضى دول
+
+157
+00:12:44,080 --> 00:12:48,180
+صداعوالصداع بيستجيبش لل analgesics لمساكنات بنعمل
+
+158
+00:12:48,180 --> 00:12:52,520
+ESR بنلاقي ارتفاع في نسبة الترسيب فوق المية و لو
+
+159
+00:12:52,520 --> 00:12:56,720
+عملنا biopsy لل wall of the artery أخدنا خزعة عينة
+
+160
+00:12:56,720 --> 00:13:01,200
+من ال artery نفسه بنلاقي في granular metastatic
+
+161
+00:13:01,200 --> 00:13:05,370
+inflammation of the superficial temporal arteryو
+
+162
+00:13:05,370 --> 00:13:08,930
+المرضى هدول بيستجيبوا بسرعة على ال استيرايد لو
+
+163
+00:13:08,930 --> 00:13:12,010
+عطلناهم prednisone او استيرايد بيكون عندهم good
+
+164
+00:13:12,010 --> 00:13:20,750
+improvement dramatic improvement ال diabetic نتجة
+
+165
+00:13:20,750 --> 00:13:26,300
+عن مرض السكرParainfectious ممكن يكون في الكفيرنة
+
+166
+00:13:26,300 --> 00:13:30,080
+sinus thrombosis sinusitis toxic and drugs
+
+167
+00:13:30,080 --> 00:13:34,420
+streptomycin chloramphenicol مثانول يا جماعة اللي
+
+168
+00:13:34,420 --> 00:13:38,240
+باخدوا مثانول بيشربوا كلونيا و اللي بيشربوا كحول
+
+169
+00:13:38,240 --> 00:13:42,500
+كحول السامل في الصيدلية ممكن يحدث معهم فقدان البصر
+
+170
+00:13:42,500 --> 00:13:46,540
+حلتين شفت حلات او ثلاث حلات مرة عليا يكونوا شربوا
+
+171
+00:13:46,540 --> 00:13:50,380
+كلونيا و اول ما تسألوا يقولوا لا ماشربتشأو ست كانت
+
+172
+00:13:50,380 --> 00:13:53,900
+suicide attempt محاولة انتحار و شربه كانت كيلونيا
+
+173
+00:13:53,900 --> 00:13:58,580
+و فيها ميثانول بيعمل عندهم irreversible optic
+
+174
+00:13:58,580 --> 00:14:03,720
+nerve atrophy toxic neuropathy بيفقدوا النظر في ال
+
+175
+00:14:03,720 --> 00:14:04,780
+both sides
+
+176
+00:14:08,560 --> 00:14:12,420
+Radiation اللي بيكون عندهم مالك نانسي أو رام و
+
+177
+00:14:12,420 --> 00:14:15,520
+بياخدوا إشعاع ممكن يتأثر النظر عندهم Deficiency
+
+178
+00:14:15,520 --> 00:14:21,680
+states مثل vitamin B-deficiency Heredofamilial
+
+179
+00:14:21,680 --> 00:14:25,660
+وراثي مثل dominant juvenile optic atrophy
+
+180
+00:14:25,660 --> 00:14:30,460
+Compressive ناتجة عن compression tumorsMeningioma,
+
+181
+00:14:31,100 --> 00:14:35,020
+Metastatic tumors, Pituitary gland adenoma, glioma
+
+182
+00:14:35,020 --> 00:14:38,960
+of optic nerve, lymphoma و هكذا كل هذه الأمراض
+
+183
+00:14:38,960 --> 00:14:42,380
+ممكن تأثر لنا على عصب العين يبقى لما بيدينا مريض
+
+184
+00:14:42,380 --> 00:14:45,880
+عنده نقص النظر و التهاب في عصب العين نبحث عن أسباب
+
+185
+00:14:45,880 --> 00:14:49,740
+ايش السبب اللي قد الى التهاب عصب العين او فقدان
+
+186
+00:14:49,740 --> 00:14:55,890
+النظر عند المريض اخد مرض اسمه optic neuritisoptic
+
+187
+00:14:55,890 --> 00:14:59,510
+neuritis it is a inflammatory demyelinating
+
+188
+00:14:59,510 --> 00:15:04,210
+condition that cause acute usually monoocular
+
+189
+00:15:04,210 --> 00:15:07,290
+visual loss يبقى أن هذا مرض ناتج عن ال
+
+190
+00:15:07,290 --> 00:15:11,190
+inflammation التهاب و demyelination بسبب فقدان
+
+191
+00:15:11,190 --> 00:15:15,850
+النظر على جهة واحدة monoocular أكتر شيء بيشوفه في
+
+192
+00:15:15,850 --> 00:15:20,310
+حالة ال multiple sclerosisoptic neuritis is the
+
+193
+00:15:20,310 --> 00:15:25,570
+presenting features of MS in about 15 to 30% of
+
+194
+00:15:25,570 --> 00:15:30,390
+patients وحتحدثنا واتكلمنا انه في مرض التصلب
+
+195
+00:15:30,390 --> 00:15:36,150
+المتعدد 30% من حلقة مرض التصلب المتعدد بيبدأ عندهم
+
+196
+00:15:36,150 --> 00:15:39,030
+بoptic neuritis يبقى ان كل مرض بيجيناه optic
+
+197
+00:15:39,030 --> 00:15:43,750
+neuritis لازم نحط في حسبان قد يكون مصاب باتصلب
+
+198
+00:15:43,750 --> 00:15:50,050
+اللي هوeye pain بيحدث معاهم قلم في العين و visual
+
+199
+00:15:50,050 --> 00:15:56,690
+loss و فقدان النظر خلال ساعات كيف بنشخص optic
+
+200
+00:15:56,690 --> 00:15:59,730
+neuritis كيف بنشخص حالات optic neuritis ضروري
+
+201
+00:15:59,730 --> 00:16:03,670
+بنعمل فحص اسمه visual field examination نفحص مجال
+
+202
+00:16:03,670 --> 00:16:07,570
+الإبصار في مجال الإبصار ممكن نلاقي عندهم central
+
+203
+00:16:07,570 --> 00:16:11,110
+scatomes يعني هذه مجال الإبصار نلاقي عندهم نقص
+
+204
+00:16:11,110 --> 00:16:15,550
+سودة في النص central scatomesلو فحصنا الـ visual
+
+205
+00:16:15,550 --> 00:16:18,790
+evoked potential هذا الـ electrophysiological
+
+206
+00:16:18,790 --> 00:16:22,890
+examination نلاحظ أنه فيه decrease في ال
+
+207
+00:16:22,890 --> 00:16:26,230
+conduction velocity بتاعة ال optic nerve نقص في
+
+208
+00:16:26,230 --> 00:16:31,110
+التوصيل بتاع العصب للنظر بنعمل lumber puncture ليش
+
+209
+00:16:31,110 --> 00:16:34,210
+نعمل lumber puncture؟ عشان نفحص ال protein ال
+
+210
+00:16:34,210 --> 00:16:36,730
+total protein و ال white blood cells و ال
+
+211
+00:16:39,590 --> 00:16:44,990
+وليه؟ لأنه إذا كانوا positive أنا بميه لتشخيص إنه
+
+212
+00:16:44,990 --> 00:16:48,870
+هذه حالة إيش تصلب لوحي multiple sclerosis وبدت ب
+
+213
+00:16:48,870 --> 00:16:53,610
+optic neuritis وبنعمل brain و orbit وcervical
+
+214
+00:16:53,610 --> 00:16:58,770
+spine MRI to exclude demyelinating condition of
+
+215
+00:16:58,770 --> 00:17:04,650
+central nervous system as multiple sclerosis or
+
+216
+00:17:04,650 --> 00:17:05,810
+neuromyelitis
+
+217
+00:17:07,910 --> 00:17:11,890
+Treatment of Optic Neuritis كيف نعالج Optic
+
+218
+00:17:11,890 --> 00:17:17,290
+Neuritis هنا بنعطيهم Intravenous Methylbrednisone
+
+219
+00:17:17,290 --> 00:17:21,230
+بنعطيه ألف ميلي جرام Methylbrednisone لمدة ثلاث
+
+220
+00:17:21,230 --> 00:17:26,530
+خمس أيام بعدها بنحولهم ل oral steroid تدرجيا هذا
+
+221
+00:17:26,530 --> 00:17:29,810
+مش مهم الموضوع يلقوا العلاج الدوائي وإذا اتشخصت
+
+222
+00:17:29,810 --> 00:17:34,190
+الحالة Multiple Sclerosis بنعطيها Beta Interferon
+
+223
+00:17:34,190 --> 00:17:39,570
+Beta A InterferonWhat's the prognosis of optic
+
+224
+00:17:39,570 --> 00:17:45,370
+neuritis؟ في ال optic neuritis ال recovery good
+
+225
+00:17:45,370 --> 00:17:48,870
+recovery ممكن يكون تسعين في المية من الحالات
+
+226
+00:17:48,870 --> 00:17:54,610
+بيحدثلهم ال recovery خلال السنة الأولى خاصة إذا
+
+227
+00:17:54,610 --> 00:17:59,480
+بدينا العلاج في الوقت المناسبالـ Recurrence 35%
+
+228
+00:17:59,480 --> 00:18:03,120
+خلال عشر سنوات ممكن يحدث Recurrence للـ Optic
+
+229
+00:18:03,120 --> 00:18:06,980
+Neuritis وحذاري في حالات Recurrence of Optic
+
+230
+00:18:06,980 --> 00:18:10,740
+Neuritis قد تكون هذه حالة Multiple Sclerosis وحدث
+
+231
+00:18:10,740 --> 00:18:15,240
+لها Relapse للـ Optic Neuritis حدث Exacerbation أو
+
+232
+00:18:15,240 --> 00:18:19,580
+Recurrence نسميه ال Recurrence ممكن يكون 14% في
+
+233
+00:18:19,580 --> 00:18:24,630
+نفس ال optic nerve12% في الـ other optic nerve و 9
+
+234
+00:18:24,630 --> 00:18:32,730
+% في ال both optic nerves الآن أنا شرحتلكوا optic
+
+235
+00:18:32,730 --> 00:18:36,630
+nerve و أخدنا عليه optic neuritis بنتاج ال ocular
+
+236
+00:18:36,630 --> 00:18:42,810
+nerves مين هم ال ocular nerves العصب الثالث
+
+237
+00:18:43,670 --> 00:18:48,850
+أكولاموتر نيرف العصب الرابع Trochlear nerve و
+
+238
+00:18:48,850 --> 00:18:52,470
+العصب السادس اللي هو Abdominal nerve Abdominal
+
+239
+00:18:52,470 --> 00:18:57,370
+nerve الأكولاموتر نيرف من اللغة اللاتينية eye and
+
+240
+00:18:57,370 --> 00:19:01,370
+moving كلهم بيحركوا العين كلهم لهم علاقة بحركة
+
+241
+00:19:01,370 --> 00:19:05,970
+العين لكن الزعيم بتاعهم اسمه أكولاموتر نيرف العصب
+
+242
+00:19:05,970 --> 00:19:09,130
+الثالث لأنه بيغدي أكثر عدد من العضلات هو اللي
+
+243
+00:19:09,130 --> 00:19:12,740
+بيغديهم العصب الثالثاللي علاقة الـ oculomotor
+
+244
+00:19:12,740 --> 00:19:16,080
+nerve في الـ motor function movement of the
+
+245
+00:19:16,080 --> 00:19:19,900
+eyeball بيحرك العين و اللي علاقة بال بارا
+
+246
+00:19:19,900 --> 00:19:24,760
+sympathetic function عن طريق اللي هو ال adenovirus
+
+247
+00:19:24,760 --> 00:19:28,440
+في النكلياس بتغدى celery muscle بتغدى sphincter
+
+248
+00:19:28,440 --> 00:19:31,780
+pupil muscle اللي علاقة بال construction of pupil
+
+249
+00:19:31,780 --> 00:19:35,960
+بيصغر حجم بقبل عين و بيعملنا meiosis
+
+250
+00:19:41,920 --> 00:19:45,780
+Trochlear nerve العصب الرابع it is motor nerve
+
+251
+00:19:45,780 --> 00:19:49,900
+which supply only one muscle اللي هي superior
+
+252
+00:19:49,900 --> 00:19:53,500
+oblique muscle هذه superior oblique muscle بتعمل
+
+253
+00:19:53,500 --> 00:19:57,040
+depression للأي مع abduction بتنزل عينها تحت و
+
+254
+00:19:57,040 --> 00:20:00,440
+بتخرجها للخارج depression مع abduction بتراجع
+
+255
+00:20:00,440 --> 00:20:05,040
+محاضرة السنة ثالثة شرحتهم كلهمو abducent nerve من
+
+256
+00:20:05,040 --> 00:20:08,800
+اللغة اللاتينية for abduction abduction يبقى ان هو
+
+257
+00:20:08,800 --> 00:20:12,700
+بيعمل abduction لل I بيغديلنا ال lateral rectus
+
+258
+00:20:12,700 --> 00:20:18,800
+muscle وضفتها abduction لل I يبقى ان لدينا
+
+259
+00:20:18,800 --> 00:20:23,840
+oculomotor nerve trochlear nerve و abducent nerve
+
+260
+00:20:23,840 --> 00:20:28,980
+ال abducent nerve بيغدى عضلة واحدة اسمها lateral
+
+261
+00:20:28,980 --> 00:20:32,850
+rectus muscle lateral rectus muscleطيب الـ
+
+262
+00:20:32,850 --> 00:20:36,830
+oculomotor nerve إيش بيغضينا؟ بيغضي elevator
+
+263
+00:20:36,830 --> 00:20:42,310
+بالببرية superioris بترفع جفن العين للأعلى medial
+
+264
+00:20:42,310 --> 00:20:47,030
+rectus muscle بتعمل adoption للأي ميديالي بيغضي
+
+265
+00:20:47,030 --> 00:20:51,890
+superior rectus muscle بتعمل elevation مع adoption
+
+266
+00:20:51,890 --> 00:20:57,150
+للأيبيغضي inferior rectus muscle بتعمل depression
+
+267
+00:20:57,150 --> 00:21:01,950
+مع abduction للأيه وبيغضي inferior oblique muscle
+
+268
+00:21:01,950 --> 00:21:07,230
+اللي بتعمل elevation مع abduction للأيه اللاترالية
+
+269
+00:21:07,230 --> 00:21:13,110
+وبيغضي smooth muscles تنين sphincter pupillary
+
+270
+00:21:13,110 --> 00:21:17,650
+muscle وcellary muscle هدول smooth muscles عن طريق
+
+271
+00:21:17,650 --> 00:21:22,970
+البرا sympathetic fibers هيا ان ديEcolomotor nerve
+
+272
+00:21:22,970 --> 00:21:29,830
+emerged from the ventral surface of the midbrain
+
+273
+00:21:29,830 --> 00:21:33,630
+Trochlear nerve emerged from the posterior surface
+
+274
+00:21:33,630 --> 00:21:37,690
+of the midbrain و Abdominal nerve emerged from the
+
+275
+00:21:37,690 --> 00:21:41,650
+ventral surface of the pons between the pons and
+
+276
+00:21:41,650 --> 00:21:50,950
+medulla oblongata واضح هنا اللي هو Abdominal
+
+277
+00:21:50,950 --> 00:21:57,570
+nerveبيغدى عضلة صغيرة اسمها ال .. بيغدى عضلة اسمها
+
+278
+00:21:57,570 --> 00:22:01,830
+lateral rectus muscle وظيفتها تعمل abduction لل
+
+279
+00:22:01,830 --> 00:22:07,030
+eye laterally وهنا اللى هو trochlear nerve بيغدى
+
+280
+00:22:07,030 --> 00:22:11,430
+عضلة اسمها superior oblique muscle superior
+
+281
+00:22:11,430 --> 00:22:21,330
+oblique muscle لو
+
+282
+00:22:21,330 --> 00:22:27,520
+حدثLegion في ال اوكلامو تورنيرو حدث Legion التهاب
+
+283
+00:22:27,520 --> 00:22:31,280
+في العصب الثالث ايش الأعراض اللي تحدث عند المريض
+
+284
+00:22:31,280 --> 00:22:37,280
+واحد توسيز ايش يعني توسيز سقوط في الجفن يعني جفن
+
+285
+00:22:37,280 --> 00:22:43,370
+وهي علامين في هبوط في الجفنليه تؤسس due to
+
+286
+00:22:43,370 --> 00:22:48,470
+paralysis of levator bulbibria superioris muscle؟
+
+287
+00:22:48,470 --> 00:22:53,150
+لأن انشلة العضلة اللي بترفع الجفن اسمها levator
+
+288
+00:22:53,150 --> 00:23:00,830
+bulbibria superioris muscle اثنين ديبلوبيا بيصير
+
+289
+00:23:00,830 --> 00:23:04,630
+شوف الواحد اثنين ويعني تشوف واحد بتكره طول اليوم
+
+290
+00:23:04,630 --> 00:23:07,950
+اثنين طب انت تشوف واحد ومش متسلك معاه كمان تشوف
+
+291
+00:23:07,950 --> 00:23:13,930
+اثنين مصيبةيبقى double of vision طيب double of
+
+292
+00:23:13,930 --> 00:23:17,950
+vision فقط في حالة واحدة لو رفعنا ال upper eyelid
+
+293
+00:23:17,950 --> 00:23:21,870
+ليه؟ لأنه لو هو ال مريض عنده توسيز و مسكر جفنه
+
+294
+00:23:21,870 --> 00:23:24,150
+ماراح أشوف بعين تان، راح أشوف بعين واحد، أشوف
+
+295
+00:23:24,150 --> 00:23:28,250
+واحد، بس مجرد ما نرفع الجفن لفوقراح تشوفه بعين تان
+
+296
+00:23:28,250 --> 00:23:31,590
+كل عين راح تشوف شخص راح يكون عنده double o vision
+
+297
+00:23:31,590 --> 00:23:35,650
+طب ليش حدث double o vision؟ لأن المريض عنده squint
+
+298
+00:23:35,650 --> 00:23:40,310
+عنده حوال حوال إيه نوعه؟ divergence paralytic
+
+299
+00:23:40,310 --> 00:23:44,670
+squint ال media rectus muscleما بتقدر تعمل الدكش
+
+300
+00:23:44,670 --> 00:23:48,890
+لل I طب مين سليم ضله سليم ال lateral rectus muscle
+
+301
+00:23:48,890 --> 00:23:52,350
+اللي بتتغدى من أي عصب من العصب السادس راح تشد
+
+302
+00:23:52,350 --> 00:23:56,870
+الأين لوين للخارج تعملنا diversion a paralytic
+
+303
+00:23:56,870 --> 00:24:01,490
+squint مدرياسيز طب ليش مدرياسيز؟ ايش مدرياسيز
+
+304
+00:24:01,490 --> 00:24:06,870
+يعني؟ توسع بقبه، توسع بقبه الأين، احنا عارفينالـ
+
+305
+00:24:06,870 --> 00:24:10,950
+Parasympathetic بيعمل construction للبيوبل، بيسجل
+
+306
+00:24:10,950 --> 00:24:14,910
+حجمها، والـ sympathetic بتغدى dilator بيوبله مصل،
+
+307
+00:24:14,910 --> 00:24:19,290
+بتوسع البوابة، لو صار ده مجلس الـ Parasympathetic،
+
+308
+00:24:19,290 --> 00:24:22,350
+مين بيظل شغال عنها؟ بيظل الـ sympathetic، الـ
+
+309
+00:24:22,350 --> 00:24:25,890
+sympathetic بيغدى أي عضلة، dilator بيوبله مصل، رح
+
+310
+00:24:25,890 --> 00:24:31,210
+يوسع العضلةو يعمل عملية relaxation ليلها و تيوسع
+
+311
+00:24:31,210 --> 00:24:35,050
+البوبة بتاع العين و نسمي ايه Mediasis او
+
+312
+00:24:35,050 --> 00:24:40,950
+dilatation of pupils و loss of light reflex لو
+
+313
+00:24:40,950 --> 00:24:45,070
+أجينا ضوين الضوء في عين الإنسانع نفس الجهة بيصير
+
+314
+00:24:45,070 --> 00:24:49,070
+construction على ال pupil هذا اسمه direct light
+
+315
+00:24:49,070 --> 00:24:52,110
+reflex و لو ضوينها الضوء في عين الإنسان على اليمين
+
+316
+00:24:52,110 --> 00:24:55,510
+كمان بيحدث construction على ال opposite side هذا
+
+317
+00:24:55,510 --> 00:24:59,110
+اسمه indirect light reflex indirect light reflex
+
+318
+00:24:59,110 --> 00:25:02,650
+هانا
+
+319
+00:25:02,650 --> 00:25:09,330
+في الصورة نشوف مع بعض المريض عنده شلل في left
+
+320
+00:25:12,190 --> 00:25:20,590
+أوكيلو موتور نيرف بارس اوكيلو
+
+321
+00:25:20,590 --> 00:25:21,730
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+322
+00:25:21,730 --> 00:25:23,110
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+323
+00:25:23,110 --> 00:25:23,350
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+324
+00:25:23,350 --> 00:25:24,170
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+325
+00:25:24,170 --> 00:25:26,390
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+326
+00:25:26,390 --> 00:25:28,690
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+327
+00:25:28,690 --> 00:25:35,050
+موتور نيرف بارس اوكيلو موتور نيرف بارس اوكيلو
+
+328
+00:25:35,050 --> 00:25:41,080
+موتور نيرف بارسالـ lateral rectus muscle راح تشد
+
+329
+00:25:41,080 --> 00:25:45,080
+العين لبرا راح العين تلاقيا ايه خارجة للخارج شوية
+
+330
+00:25:45,080 --> 00:25:48,920
+مزيوحة للخارج هذه diversion paralytic squint هذا
+
+331
+00:25:48,920 --> 00:25:53,780
+العين راح تشوف شخص one person وهذا راح تشوف كمان
+
+332
+00:25:53,780 --> 00:25:59,860
+شخص تاني one person بيحدث معاهم ايش double ovigin
+
+333
+00:25:59,860 --> 00:26:03,760
+diabetes يبقى
+
+334
+00:26:03,760 --> 00:26:05,400
+ايه بيحدث معاهم double
+
+335
+00:26:07,640 --> 00:26:13,840
+of vision هذا كله اسمه اوكلاموتر نيرب بارسي
+
+336
+00:26:13,840 --> 00:26:28,360
+اوكلاموتر نيرب بارسي طب
+
+337
+00:26:28,360 --> 00:26:34,700
+لو المشكلة لو المشكلة في العصبة السادس اللي هو
+
+338
+00:26:34,700 --> 00:26:38,970
+abducent nerveكان وجدنا العين داخلها لجوها كان
+
+339
+00:26:38,970 --> 00:26:42,370
+وجدنا العين إيش؟ داخلها لجوها convergence squint
+
+340
+00:26:42,370 --> 00:26:46,890
+ليه convergence squint؟ لأن العضلة اللي بتشد العين
+
+341
+00:26:46,890 --> 00:26:51,370
+للخارج فيها شلل ومين سليم اللي بتشد العين للداخل،
+
+342
+00:26:51,370 --> 00:26:55,110
+في الحالة هذه، راح نشد العين وين؟ هنا، هذا اسمه
+
+343
+00:26:55,110 --> 00:26:57,890
+conversion paralytic squint
+
+344
+00:27:06,980 --> 00:27:11,400
+Lesion of the trochlear nerve لو حدثت lesion في ال
+
+345
+00:27:11,400 --> 00:27:15,920
+trochlear nerve بيكون Dyplopia on looking down and
+
+346
+00:27:15,920 --> 00:27:19,920
+out لأنه بيغدى عضلة واحدة اسمها superior oblique
+
+347
+00:27:19,920 --> 00:27:23,120
+muscle و وظيفتها تعمل abduction and depression
+
+348
+00:27:23,120 --> 00:27:29,470
+للأيهlimitation of movement during examination for
+
+349
+00:27:29,470 --> 00:27:34,510
+eye movement down and out ولو طلبنا من المريض يحرك
+
+350
+00:27:34,510 --> 00:27:37,410
+عينه لتحته أو الخارج بيكون فيه limitation في ال
+
+351
+00:27:37,410 --> 00:27:41,870
+movement طيب lesion of the abdocent nerve
+
+352
+00:27:45,070 --> 00:27:48,670
+double of vision ,diablobia on looking outward
+
+353
+00:27:48,670 --> 00:27:52,410
+direction المريض لا يقدر يحرك عينه للخارج بيكون
+
+354
+00:27:52,410 --> 00:27:56,530
+عينه داخلة لداخل بيكون conversion paralytic squint
+
+355
+00:27:56,530 --> 00:28:00,010
+ليه؟ لأنه بيغضي lateral rectus muscle وال lateral
+
+356
+00:28:00,010 --> 00:28:03,910
+rectus muscle مشلولة يبقى مارح يقدر يحرك للخارج
+
+357
+00:28:03,910 --> 00:28:08,110
+limitation during examination of eye movement in
+
+358
+00:28:08,110 --> 00:28:13,150
+outward direction مايقدر يحرك لين لوين لبرا للخارج
+
+359
+00:28:14,200 --> 00:28:18,200
+يعني بيكون عندهم إيش؟ Convergent Paralytic Squint
+
+360
+00:28:18,200 --> 00:28:29,820
+كيف Convergent Paralytic Squint؟ هي عندي العين
+
+361
+00:28:29,820 --> 00:28:35,150
+اليمين سليمة في النص نجد العين الشمالداخل وين؟
+
+362
+00:28:35,150 --> 00:28:39,970
+media ليه؟ لأنه في مشكلة في ال abstraction في
+
+363
+00:28:39,970 --> 00:28:42,870
+مشكلة في ال abstraction راح تشوف هذا شخص و هذا شخص
+
+364
+00:28:42,870 --> 00:28:46,910
+راح يكون عنده double of vision double of vision
+
+365
+00:28:46,910 --> 00:28:52,550
+واضح؟ يعني راح يكون عنده ايه؟ Diplopia okay
+
+366
+00:28:58,900 --> 00:29:02,980
+What's the cause of ocular muscle weakness؟ إيش
+
+367
+00:29:02,980 --> 00:29:08,080
+أسباب أو الأمراض اللي بتصيب عضلات العين أو بتصيب
+
+368
+00:29:08,080 --> 00:29:09,840
+أعصاب العين؟
+
+369
+00:29:11,570 --> 00:29:16,610
+of the third, fourth, sixth nerve نوكلياي or
+
+370
+00:29:16,610 --> 00:29:20,730
+nerves يعني ممكن يكون جلطة دماغية في جدر الدماغ
+
+371
+00:29:20,730 --> 00:29:23,730
+واتأثروا النوكلياي في ال brain stem هاي واحد من
+
+372
+00:29:23,730 --> 00:29:28,410
+الأسباب multiple sclerosis اتنين hemorrhagic cva
+
+373
+00:29:28,410 --> 00:29:34,550
+نظيف دماغي brain tumors كل هذا بيقدر غيره ال
+
+374
+00:29:34,550 --> 00:29:37,390
+nerves نفسه التهابات في العصب diabetic neuropathy
+
+375
+00:29:37,390 --> 00:29:44,340
+مريض عنده سكر وحدث اتلال في عصب العينcavernous
+
+376
+00:29:44,340 --> 00:29:47,480
+sinus disorder لما يكون في عيننا cavernous sinus
+
+377
+00:29:47,480 --> 00:29:50,500
+thrombosis او inflammation في ال cavernous sinus
+
+378
+00:29:50,500 --> 00:29:53,840
+او tumor في ال cavernous sinus لأنه بيمره ال
+
+379
+00:29:53,840 --> 00:29:57,420
+ocular nerves في ال cavernous sinus orbital lesion
+
+380
+00:29:57,420 --> 00:30:02,500
+inflammation or tumors في ال orbit injury كثير لما
+
+381
+00:30:02,500 --> 00:30:06,700
+يكون في أفراح و مناسبات اطلاق نار كده او ألعاب
+
+382
+00:30:06,700 --> 00:30:09,660
+نارية بيحدث إصابات في العين إصابات في العين
+
+383
+00:30:09,660 --> 00:30:14,740
+orbital injurythis order of ocular muscles
+
+384
+00:30:14,740 --> 00:30:17,640
+mayopathy ممكن تكون مشكلة في ال neuromuscular
+
+385
+00:30:17,640 --> 00:30:22,760
+junction myasthenia gravis وهن العضلات او اسمها
+
+386
+00:30:22,760 --> 00:30:29,140
+myasthenia gravis ocular type بوتوليزم نوع من
+
+387
+00:30:29,140 --> 00:30:33,560
+البكتيريا بسبب تفرز سموم بوتولينيوم توكسين وهدي
+
+388
+00:30:33,560 --> 00:30:36,820
+بتعمل ايه problem في ال neuromuscular junction او
+
+389
+00:30:36,820 --> 00:30:43,590
+بتعمل شلل في العضلاتالأن ننتقل للعصب الخامس الـ
+
+390
+00:30:43,590 --> 00:30:49,570
+trigeminal nerve، it is a mixed nerve، motor and
+
+391
+00:30:49,570 --> 00:30:53,050
+sensory، but the main function is sensory، ال main
+
+392
+00:30:53,050 --> 00:30:56,650
+function بتاعته إيه؟ Sensory، trigeminal nerve is
+
+393
+00:30:56,650 --> 00:31:01,190
+more important as sensory nerve than motorاللي
+
+394
+00:31:01,190 --> 00:31:04,310
+علاقة بالـ sensation بالـ deep sensation بالـ
+
+395
+00:31:04,310 --> 00:31:06,850
+superficial sensation اللي هي pain temperature
+
+396
+00:31:06,850 --> 00:31:11,030
+sensation touch sensation الـ deep sensation الـ
+
+397
+00:31:11,030 --> 00:31:14,730
+proprioception أو joint sensation muscle sensation
+
+398
+00:31:14,730 --> 00:31:19,330
+و هكذا بتكون من two route اللي هو كم route؟ two
+
+399
+00:31:19,330 --> 00:31:26,230
+route two route large route motor و small route
+
+400
+00:31:26,230 --> 00:31:28,530
+sensory هي عندي واضح
+
+401
+00:31:33,460 --> 00:31:38,180
+هذا ال motor small route motor
+
+402
+00:31:38,180 --> 00:31:46,000
+وهذا ال large route كله
+
+403
+00:31:46,000 --> 00:31:54,900
+اعتبار sensory هذا sensory وهذا motor من اين بخرج؟
+
+404
+00:31:54,900 --> 00:32:00,620
+بخرج من ال ventrolateral service of pons
+
+405
+00:32:02,350 --> 00:32:08,350
+بعد هيكة بيمروا في حاجة اسمها cerebellobontine
+
+406
+00:32:08,350 --> 00:32:14,090
+angle بيمروا العصب الخامس والعصب السابع والعصب
+
+407
+00:32:14,090 --> 00:32:18,930
+الثامن في حاجة اسمها cerebellobontine angle
+
+408
+00:32:21,480 --> 00:32:27,240
+في المكان هذا أتى ورم عند مريض حدث ورم في سيربيلو
+
+409
+00:32:27,240 --> 00:32:32,800
+بونتاين أنجل بتأثر العصب الخامس والسابع والتامن
+
+410
+00:32:32,800 --> 00:32:36,260
+شخصنا حالات زي هي عندهم سيربيلو بونتاين أنجل
+
+411
+00:32:36,260 --> 00:32:42,840
+tumors اللي هو three branches أوثالمك برانش بيغدى
+
+412
+00:32:42,840 --> 00:32:46,740
+المكان هذا ماجزيلري برانش مسئول عن المكان هذا و
+
+413
+00:32:46,740 --> 00:32:53,150
+مندبولري برانشهذه مقزيلة افثالميك برانش تيريوتري
+
+414
+00:32:53,150 --> 00:32:56,950
+هذه مقزيلة افثالميك برانش تيريوتري وهنا مانديبولار
+
+415
+00:32:56,950 --> 00:33:04,570
+برانش الترايجي من النيرف الو جانجليون اسمه ترايجي
+
+416
+00:33:04,570 --> 00:33:08,890
+من الجانجليون تعطينا three branches افثالميك نيرف
+
+417
+00:33:08,890 --> 00:33:16,270
+ومقزيلري نيرف ومانديبولار نيرف افثالميك نيرف pure
+
+418
+00:33:16,270 --> 00:33:21,170
+sensoryو maxillary nerve pure sensory mandibular
+
+419
+00:33:21,170 --> 00:33:24,490
+nerve mixed nerve هذا العصب لحاله في طب الأسنان في
+
+420
+00:33:24,490 --> 00:33:28,530
+جامعة فلسطين بشرحه في ساعتين و نص عصب الخامس
+
+421
+00:33:28,530 --> 00:33:32,890
+ساعتين و نص و احنا بنشرح في عصب واحد احنا ما راح
+
+422
+00:33:32,890 --> 00:33:36,950
+نتكلم بالتفصيل عنه لأن اليوم راح نتكلم عن المرض
+
+423
+00:33:36,950 --> 00:33:44,150
+اللي بصيب العصب هذا Legion of trigeminal nerveممكن
+
+424
+00:33:44,150 --> 00:33:48,290
+يكون sensory affection مثل تراجيمنال نيرالجيا ألم
+
+425
+00:33:48,290 --> 00:33:52,210
+العصب الخامس أو مع loss of sensation إذا كان
+
+426
+00:33:52,210 --> 00:33:55,390
+سكندري تراجيمنال نيرالجيا ال motor affection
+
+427
+00:33:55,390 --> 00:34:00,230
+weakness of the mastication muscle and the jaw is
+
+428
+00:34:00,230 --> 00:34:04,630
+deviated to side of lesion تراجيمنال نيرالجيا
+
+429
+00:34:04,630 --> 00:34:08,230
+تراجيمنال نيرالجيا بنسميه بالعربي ألم العصب الخامس
+
+430
+00:34:08,230 --> 00:34:14,520
+سموه tick dolorioليه؟ من شدة الألم، لما تيجي نوبة
+
+431
+00:34:14,520 --> 00:34:17,080
+الألم زي كهربا، كهربا ايش بيسوي المريض؟ بيعمل هيك،
+
+432
+00:34:17,080 --> 00:34:22,580
+جريماز ليه؟ للألم، من شدة الألم، سموه thick
+
+433
+00:34:22,580 --> 00:34:26,940
+delirium، فهو عبارة عن paroxysmal، نوبات،
+
+434
+00:34:26,940 --> 00:34:31,660
+stereotype، نفس نمط الألم attacks of severe sharp
+
+435
+00:34:31,660 --> 00:34:38,590
+pain، ألم حاد جدازي stepping pain ضربت سكين أو
+
+436
+00:34:38,590 --> 00:34:45,150
+electric shock like pain ضربت او نخزت كهربا وين
+
+437
+00:34:45,150 --> 00:34:48,330
+موجودة في distribution of one or more branches of
+
+438
+00:34:48,330 --> 00:34:52,210
+trigeminal nerve يكون هو عبارة عن باراكسيزمال
+
+439
+00:34:52,210 --> 00:35:00,730
+stereotype attack of severe sharp pain stepping
+
+440
+00:35:00,730 --> 00:35:06,780
+pain or electric like painwhen في distribution of
+
+441
+00:35:06,780 --> 00:35:10,260
+one or more branch of trigeminal nerve يعني الألم
+
+442
+00:35:10,260 --> 00:35:13,600
+ممكن يجي في الأفثال ميكنيرف في ماجزيلري مانديبلر
+
+443
+00:35:13,600 --> 00:35:17,160
+أو يجي فيهم كلهم لكن مايجي واحد مريض عنده ألم في
+
+444
+00:35:17,160 --> 00:35:19,600
+رقبة ويقول عنده تراجيملال نيرب أو تراجيملال نورالش
+
+445
+00:35:19,600 --> 00:35:23,120
+إيش دخل تراجيملال نيرب في ألم الرقبة أو ألم الكتف
+
+446
+00:35:23,120 --> 00:35:30,120
+و هكذاالـ Trigeminal Neuralgia الان و ال incidents
+
+447
+00:35:30,120 --> 00:35:34,480
+حوالي من 4 على 8 كل 100 ألف حوالي 15 ألف في أمريكا
+
+448
+00:35:34,480 --> 00:35:39,030
+كل سنة Trigeminal Neuralgia new casesتمانين لتسعين
+
+449
+00:35:39,030 --> 00:35:43,430
+في المية من حالات الترايجيوم للنيورالجيا تيجي بعد
+
+450
+00:35:43,430 --> 00:35:46,430
+سن الأربعين يعني قبل سن الأربعين عندك طلاب rarely
+
+451
+00:35:46,430 --> 00:35:49,030
+ييجي ترايجيوم للنيورالجيا وده جاء ندور على ال
+
+452
+00:35:49,030 --> 00:35:52,390
+secondary cause مش ال primary ال pick بتاعه في
+
+453
+00:35:52,390 --> 00:35:57,090
+السن ستين سبعين سنة بيصيب ايش ال male ل ال female
+
+454
+00:35:57,090 --> 00:36:00,450
+ال female هنا اكتر من ال male
+
+455
+00:36:03,740 --> 00:36:06,840
+فهي عندي .. لاحظوا في سن ستين ال peak بتاعه،
+
+456
+00:36:06,840 --> 00:36:11,540
+الستين والسبعين أكتر شيء بيجي هذا المرض، رير ييجي
+
+457
+00:36:11,540 --> 00:36:16,540
+في سن عشرة، عشرين، كده، تلاتين، بيبدأ يبدأ يزيد
+
+458
+00:36:16,540 --> 00:36:19,880
+بعد الأربعين، أربعين، خمسين، ستين، سبعين، ونفس
+
+459
+00:36:19,880 --> 00:36:25,330
+الشيء بعد الثمانين بيبدأ ينزل نسبة هذا المرضاللي
+
+460
+00:36:25,330 --> 00:36:28,730
+هو نوعين الترجمة للنيورالجية ال primary ترجمة
+
+461
+00:36:28,730 --> 00:36:31,430
+للنيورالجية و ال secondary ترجمة للنيورالجية ال
+
+462
+00:36:31,430 --> 00:36:34,530
+primary classic او idiopathic ال secondary اللي هو
+
+463
+00:36:34,530 --> 00:36:38,010
+symptomatic ايش اسباب ال secondary ترجمة
+
+464
+00:36:38,010 --> 00:36:40,750
+للنيورالجية ال brain stem lesion يعني التيومر
+
+465
+00:36:40,750 --> 00:36:45,010
+multiple sclerosis CVA سيرينجوبلبية هذه cavitation
+
+466
+00:36:45,010 --> 00:36:48,870
+في ال brain stemأو رام موجودة في سيريبيلو بونتاين
+
+467
+00:36:48,870 --> 00:36:52,370
+أنجل زي acoustic neuroma أو schwannoma،
+
+468
+00:36:52,370 --> 00:36:55,910
+meningioma، metastatic tumor، cavernous sinus
+
+469
+00:36:55,910 --> 00:36:59,490
+tumor، cavernous sinus thrombosis، بيتراجي من ال
+
+470
+00:36:59,490 --> 00:37:02,890
+ganglion lesion لما بيصيب هيربزوسر حزام ناري في ال
+
+471
+00:37:02,890 --> 00:37:07,020
+ganglionبيدّي إلى postherpetic neuralgia،
+
+472
+00:37:07,020 --> 00:37:12,480
+peripheral branch lesion مثل maxillary sinusitis،
+
+473
+00:37:12,480 --> 00:37:15,160
+frontal sinusitis، كل هذا ممكن يعمل irritation
+
+474
+00:37:15,160 --> 00:37:18,020
+ويسببنا secondary trigeminal neuralgia
+
+475
+00:37:18,020 --> 00:37:23,830
+distribution of pain by divisionsأكتر شيء بيصيب
+
+476
+00:37:23,830 --> 00:37:25,950
+الـ maxillary أنا بتكلم على primary تراجين من
+
+477
+00:37:25,950 --> 00:37:29,530
+النيورالجيا بيصيب ال maxillary nerve بعده
+
+478
+00:37:29,530 --> 00:37:33,450
+mandibular أقل شيء لأفثالمك لكن لاحظوا أفثالمك
+
+479
+00:37:33,450 --> 00:37:37,970
+branch يصاب أكتر شيء بحالات postherpetic neuralgia
+
+480
+00:37:37,970 --> 00:37:40,790
+يبقى أن الأفثالمك يصاب أكتر بال herpes دسترا
+
+481
+00:37:40,790 --> 00:37:44,490
+secondary تراجين من النيورالجيا لكن العصب اللي هو
+
+482
+00:37:44,490 --> 00:37:47,890
+ال maxillary و mandibular أكتر يصابوا ب primary
+
+483
+00:37:47,890 --> 00:37:52,120
+تراجين من النيورالجيالاحظوا هنا المجزلر و
+
+484
+00:37:52,120 --> 00:37:56,620
+مانديبولر أعلى نسبة، اي مجزلر لوحده، مانديبولر و
+
+485
+00:37:56,620 --> 00:38:03,710
+مجزلر و أفتالمك، ثلاثة مع بعض، المجزلر لوحدهالأسف
+
+486
+00:38:03,710 --> 00:38:07,070
+مانديبولار لوحده هان مانديبولار لوحده ال orthalmic
+
+487
+00:38:07,070 --> 00:38:10,890
+مع ال maxillary ال orthalmic شوفوا هذا ال
+
+488
+00:38:10,890 --> 00:38:14,910
+distribution بنجد أنه أكتر شيء يصابه ال maxillary
+
+489
+00:38:14,910 --> 00:38:19,990
+و مانديبولار nerve أقل اللي هو ال orthalmic
+
+490
+00:38:24,570 --> 00:38:27,450
+هذه distribution of trigger zone بنحاول احنا ما
+
+491
+00:38:27,450 --> 00:38:30,230
+نلمسهمش و احنا بنشتغل علاج طبيعي ده المريض عند ال
+
+492
+00:38:30,230 --> 00:38:33,670
+trigeminal neuralgia لأن هذه الأماكن مؤلمة جدا راح
+
+493
+00:38:33,670 --> 00:38:36,770
+تكون للمريض و تعمل irritation و تزود ألم العصب
+
+494
+00:38:36,770 --> 00:38:40,590
+الخامس ال trigger factors for trigeminal neuralgia
+
+495
+00:38:40,590 --> 00:38:43,450
+ايش الحاجات اللي ممكن تزود ال trigeminal neuralgia
+
+496
+00:38:43,450 --> 00:38:48,150
+ال talking الحديث ال shaving الحلاقة ال smile ال
+
+497
+00:38:48,150 --> 00:38:52,530
+applying make up الميكياج و ال make up المضغط
+
+498
+00:38:52,530 --> 00:38:56,870
+shavingdrinking cold or hot fluid لو كان الشرب
+
+499
+00:38:56,870 --> 00:39:01,070
+الماء .. ماء أو الشاي سخن أو الشرب السوائل الباردة
+
+500
+00:39:01,070 --> 00:39:06,830
+ال cold wind الريح البارد ال teeth brushing تنظيف
+
+501
+00:39:06,830 --> 00:39:10,150
+الأسنان بالفرشاية كل هذا بيعملنا إيش irritation
+
+502
+00:39:10,150 --> 00:39:14,610
+للعصب الخامس في حاجات حذاري منها لما نشوفها عند
+
+503
+00:39:14,610 --> 00:39:18,890
+المريض ال red flags حاجات حمرة ده في abnormal في
+
+504
+00:39:18,890 --> 00:39:22,410
+neurological examinationabnormal oral او dental
+
+505
+00:39:22,410 --> 00:39:26,550
+ear examination سن المريض اقل من 40 سنة المريض
+
+506
+00:39:26,550 --> 00:39:29,730
+عنده dizziness vertigo المريض عنده loss of hearing
+
+507
+00:39:29,730 --> 00:39:33,170
+المريض عنده facial numbness المريض عنده ocular
+
+508
+00:39:33,170 --> 00:39:36,210
+symptoms مشاكل في ال vision double of vision و
+
+509
+00:39:36,210 --> 00:39:40,550
+هكذا كل هذا ال pain أكتر من lasting more than two
+
+510
+00:39:40,550 --> 00:39:44,550
+minutes إذا الألم طول حدته أكتر من نوبة دقيقتين
+
+511
+00:39:44,550 --> 00:39:49,010
+إذا الألم كان خارج نطاق ال trigeminal nerveهنا
+
+512
+00:39:49,010 --> 00:39:52,570
+حذاري في الحالات هذه لازم ابحث ع secondary cause
+
+513
+00:39:52,570 --> 00:39:56,090
+ممكن المرضي يكون عنده مشاكل أخرى غير التراجيمنال
+
+514
+00:39:56,090 --> 00:39:59,830
+نيرب و يكون هي المسبب بالنا secondary and
+
+515
+00:39:59,830 --> 00:40:05,470
+trigeminal neuralgia good news in primary and
+
+516
+00:40:05,470 --> 00:40:08,850
+trigeminal neuralgia the pain lasting seconds
+
+517
+00:40:08,850 --> 00:40:14,110
+الحمد لله من حمد ربنا الألم ثوانيless than two
+
+518
+00:40:14,110 --> 00:40:17,950
+minutes أقل من دقيقتين always unilateral وفي جهة
+
+519
+00:40:17,950 --> 00:40:21,630
+واحدة the pain disappears during night بال time
+
+520
+00:40:21,630 --> 00:40:24,850
+والألم بيختفي أثناء النوم في بعض الأحيان بيحدث
+
+521
+00:40:24,850 --> 00:40:29,550
+spontaneous remission فترات طويلة بدون ألم و no
+
+522
+00:40:29,550 --> 00:40:33,450
+signs of trigeminal nerve dysfunction لأن لو كان
+
+523
+00:40:33,450 --> 00:40:37,150
+فينا trigeminal nerve dysfunction ببطل أتكلم على
+
+524
+00:40:37,150 --> 00:40:40,610
+primary trigeminal neuralgia بأتكلم على secondary
+
+525
+00:40:40,610 --> 00:40:44,280
+trigeminal neuralgiaايش ال investigations اللي
+
+526
+00:40:44,280 --> 00:40:49,380
+بنعملهم لتراجيم النيراليجي MRI magnetoresonance
+
+527
+00:40:49,380 --> 00:40:53,640
+imaging magnetoresonance angiography اله MRA
+
+528
+00:40:53,640 --> 00:41:00,020
+computer tomography اله CT هي فينا blood vessels
+
+529
+00:41:00,020 --> 00:41:03,820
+هنا ال blood vessels هذا بتضغط على ال root تبع
+
+530
+00:41:03,820 --> 00:41:07,120
+التراجيم النيراليجي نفس الشي هنا في blood vessels
+
+531
+00:41:07,120 --> 00:41:11,240
+صغير وضغط هو يعمل ضغط على اللي هو تراجيم
+
+532
+00:41:11,240 --> 00:41:16,620
+النيراليجيهذه حالة أنا شخصتها مريضة كان عندها ع ال
+
+533
+00:41:16,620 --> 00:41:20,140
+right side cerebellar pontine angulate tumor كان
+
+534
+00:41:20,140 --> 00:41:24,820
+acoustic neuroma او schwannoma هذه هي على الرنين و
+
+535
+00:41:24,820 --> 00:41:29,040
+رموه نعمل لها عملية كانت لها ست سبع شهور عندها
+
+536
+00:41:29,040 --> 00:41:32,880
+مشاكل في نقص في السماء على اليمين مع طنين في الأدن
+
+537
+00:41:32,880 --> 00:41:39,170
+و ألم في الوجههذا من ال literature من المراجع في
+
+538
+00:41:39,170 --> 00:41:43,450
+ورم في ال right في أسف في ال left في ورم هنا وين
+
+539
+00:41:43,450 --> 00:41:46,230
+في ال left cerebellar pontine angle في ال left
+
+540
+00:41:46,230 --> 00:41:51,250
+cerebellar pontine angle العلاج تبع المرض هذا إما
+
+541
+00:41:51,250 --> 00:41:55,310
+العلاج بيكون دوائي و إما percutaneous procedures و
+
+542
+00:41:55,310 --> 00:41:58,990
+إما surgical تدخل جروحي و إما radiation therapy هو
+
+543
+00:41:58,990 --> 00:42:04,860
+تدخل بالإشعاعالـ Medical Treatment هنا Anti
+
+544
+00:42:04,860 --> 00:42:07,620
+-epileptic drugs كربوميزيبيين، Gabapentin
+
+545
+00:42:07,620 --> 00:42:11,060
+بريقابالين، أدوية اللي بنعطيها لمرض الكهرب والصرع
+
+546
+00:42:11,060 --> 00:42:14,560
+عشان هيك لما تلاقي دكتور يكاتب لمرض Anti-epileptic
+
+547
+00:42:14,560 --> 00:42:17,380
+drugs لألم العصب الخامس ما تقولوش إيش و عندك كهرب
+
+548
+00:42:17,380 --> 00:42:20,440
+عندك صرع زي مثل المحصيات اللي احترميلهم مش بيعملوا
+
+549
+00:42:20,440 --> 00:42:24,960
+معنا الأدوية اللي بنعطيها لألم العصب الخامس هي
+
+550
+00:42:24,960 --> 00:42:28,120
+الأدوية بتاعة مرض الصرع أو مرض زيادة الكهربا
+
+551
+00:42:28,920 --> 00:42:32,180
+Antidepressant امي تريبتليين بنعطيه أدوية للإكتئاب
+
+552
+00:42:32,180 --> 00:42:34,860
+لأنه الأدوية للإكتئاب بتقلل ألم العصب الخامس
+
+553
+00:42:34,860 --> 00:42:37,580
+الأدوية العادية الديكلوفين مابتقلل ولا ال
+
+554
+00:42:37,580 --> 00:42:41,620
+paracetamol بيجي الصيدلاني بيقول هو أنت عندك سرعه
+
+555
+00:42:41,620 --> 00:42:44,480
+و عندك اكتئاب ليش تاخد أدوية هذه بخوف المريض طب
+
+556
+00:42:44,480 --> 00:42:49,070
+ماهيش دخلكم هذا مش شغلكمmuscle relaxant زي ال
+
+557
+00:42:49,070 --> 00:42:52,970
+baklofen الكربوميزيبيين هو is the best studied
+
+558
+00:42:52,970 --> 00:42:56,150
+drug for trigeminal neuralgia and the only one
+
+559
+00:42:56,150 --> 00:42:59,790
+with US Food and Drug Administration approval
+
+560
+00:42:59,790 --> 00:43:03,010
+drugs يبقى ان هو الكربوميزيبيين اللي هو اسمه
+
+561
+00:43:03,010 --> 00:43:06,350
+Tigritol أكتر شي approval في حالات اللي هو
+
+562
+00:43:06,350 --> 00:43:11,570
+trigeminal neuralgia في بعض الحالات بتدخل جراحي أو
+
+563
+00:43:11,570 --> 00:43:15,010
+تدخل جراحي مع شعاع إذا كانت الحالة medical
+
+564
+00:43:15,010 --> 00:43:19,010
+refractory مش مستجيبة للعلاجاتإذا فيه structural
+
+565
+00:43:19,010 --> 00:43:21,770
+lesion في ال secondary اتراجي من النيرالجي يعني
+
+566
+00:43:21,770 --> 00:43:25,590
+المريض عنده ورم الورم بده تدخل جراحية ممكن تدخل
+
+567
+00:43:25,590 --> 00:43:28,670
+جراحي يكون microvascular decompression عملية
+
+568
+00:43:28,670 --> 00:43:32,930
+جراحية بالمنظر إزاحة للشريانة ضغط على العصب gamma
+
+569
+00:43:32,930 --> 00:43:38,080
+knife surgery تدخل جراحي بأشعة gamma knifeأو
+
+570
+00:43:38,080 --> 00:43:41,340
+peripheral neuroectomy أو block يعني عامل block أو
+
+571
+00:43:41,340 --> 00:43:46,360
+قطة لل nerve نفسه هي كانت بيكون وصلنا لنهاية الجزء
+
+572
+00:43:46,360 --> 00:43:50,180
+الأول من محاضرة السبوع الثاني يعطيكم الف عافية و
+
+573
+00:43:50,180 --> 00:43:50,760
+دمتم بخير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ.srt
new file mode 100644
index 0000000000000000000000000000000000000000..026f14b4ed79c66d66d7071c379c3e60ff8e3bd2
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ.srt
@@ -0,0 +1,1397 @@
+1
+00:00:05,130 --> 00:00:08,750
+السلام عليكم ورحمة الله وبركاته. محاضرة الأسبوع
+
+2
+00:00:08,750 --> 00:00:13,590
+العاشر راح تكون على muscle disease في المحاضرة هذه.
+
+3
+00:00:13,590 --> 00:00:18,650
+راح أتطرق إلى مرض اسمه myasthenia gravis، ومرض آخر
+
+4
+00:00:18,650 --> 00:00:24,010
+اسمه myotonia and myopathy، و الـ muscular dystrophy.
+
+5
+00:00:24,010 --> 00:00:29,310
+نبدأ بالمحاضرة، جزء الأول من المحاضرة اللي هي
+
+6
+00:00:29,310 --> 00:00:34,250
+myasthenia gravis. راح أبدأ المحاضرة بـ case
+
+7
+00:00:34,250 --> 00:00:40,510
+presentation. بحالة تم تشخيصها عند طفلة كان عمرها
+
+8
+00:00:40,510 --> 00:00:45,020
+خمس سنوات، فلسطينية الجنسية، previously healthy.
+
+9
+00:00:45,020 --> 00:00:48,500
+presented with gradually progressive bilateral
+
+10
+00:00:48,500 --> 00:00:54,960
+eyelid dropping and squint since February 2007. كان
+
+11
+00:00:54,960 --> 00:01:00,640
+عندها من سنة ألفين وسبعة، سقوط في جفن العين. she
+
+12
+00:01:00,640 --> 00:01:03,220
+was seen by ophthalmologists and pediatrics
+
+13
+00:01:03,220 --> 00:01:06,460
+specialists in Gaza. عاينوها أطباء العيون و أطباء
+
+14
+00:01:06,460 --> 00:01:09,880
+الأطفال. after investigations، بعد الفحوصات،
+
+15
+00:01:12,740 --> 00:01:17,400
+Thyroid Function Test، Thermological Examination،
+
+16
+00:01:17,400 --> 00:01:23,300
+EEG، and Brain CT. She was diagnosed as bilateral
+
+17
+00:01:23,300 --> 00:01:28,620
+oculomotor neuropathy. يعني إعتلال و شلل في العصب
+
+18
+00:01:28,620 --> 00:01:34,820
+الثالث الدماغي. تم تحويلها إلى مستشفى تلهاشومير
+
+19
+00:01:34,820 --> 00:01:39,920
+داخل الأراضي المحتلة. She was transferred to
+
+20
+00:01:39,920 --> 00:01:45,400
+Telhashomir Hospital. قبل انتشار من 30 أبريل 2007
+
+21
+00:01:45,400 --> 00:01:55,600
+إلى 7 أبريل 2007، للتحقيقات
+
+22
+00:01:55,600 --> 00:02:01,280
+و المعالجة. كانت مشاهدة من خلال عمليات عمليات عمليات
+
+23
+00:02:01,280 --> 00:02:05,000
+(repeated word: عمليات)
+
+24
+00:02:05,000 --> 00:02:06,600
+(repeated word: عمليات)
+
+25
+00:02:06,600 --> 00:02:11,190
+(repeated word: عمليات) ممكن تشاهدوها ophthalmologist، neuro-ophthalmologist،
+
+26
+00:02:11,190 --> 00:02:15,190
+و pediatrician specialist.  الـ initial diagnosis، التشخيص
+
+27
+00:02:15,190 --> 00:02:19,730
+المبدئي،  هو bilateral oculomotor neuropathy. مش هانال
+
+28
+00:02:19,730 --> 00:02:23,850
+نفس الشيء، و إعتلال في أعصاب العصب الثالث من الجهة
+
+29
+00:02:23,850 --> 00:02:25,190
+اليمنى و اليسرى.
+
+30
+00:02:28,060 --> 00:02:34,420
+هي البنت في سقوط في الجفن، خاصة أكثر على الجهة
+
+31
+00:02:34,420 --> 00:02:38,040
+الشمال، و squint، العين طالعة على برا شوية، divergence.
+
+32
+00:02:38,040 --> 00:02:44,250
+squint. أيه، في تلهاشومير عملوا لها CBC و Chemistry،
+
+33
+00:02:44,250 --> 00:02:47,810
+Thyroid Function، C Reactive Protein، فحوصات كثيرة،
+
+34
+00:02:47,810 --> 00:02:52,430
+ANA (Antinuclear Antibodies) عشان الـ SLE و الـ DNA، الـ
+
+35
+00:02:52,430 --> 00:02:55,930
+hepatitis markers، كل... كل الفحوصات هذه كانت عندها
+
+36
+00:02:55,930 --> 00:02:59,990
+أيه طبيعية. كل الفحوصات كانت عندها normal. عملوا لها
+
+37
+00:02:59,990 --> 00:03:07,950
+CT Brain، CT Normal. لسة دي عملوا لها Brain MRI، Normal.
+
+38
+00:03:07,950 --> 00:03:14,610
+لسة دي ما فيش أي شيء فيه. Cervical Spine MRI، طبيعي.
+
+39
+00:03:14,610 --> 00:03:15,270
+ما في أي شيء.
+
+40
+00:03:20,490 --> 00:03:23,950
+after all of investigations, no medication were
+
+41
+00:03:23,950 --> 00:03:27,450
+prescribed, and it is charged with final diagnosis
+
+42
+00:03:27,450 --> 00:03:31,610
+as bilateral idiopathic oculomotor nerve palsy.
+
+43
+00:03:31,610 --> 00:03:35,710
+و التشخيص اللي رجعت فيه من غزة، رجع نفس التشخيص، أنه
+
+44
+00:03:35,710 --> 00:03:39,750
+عندها إعتلال و شلل في العصب الدماغي الثالث،
+
+45
+00:03:39,750 --> 00:03:44,910
+الـ oculomotor، bilateral. recommendation، طلبوا لها في
+
+46
+00:03:44,910 --> 00:03:48,110
+professor، شافها هناك، و طلب منها تغطي عينها ثلاث
+
+47
+00:03:48,110 --> 00:03:53,370
+إلى أربع ساعات في اليوم، تغطي عينها. follow up by
+
+48
+00:03:53,370 --> 00:03:56,890
+ophthalmologist after two months، و ترجع لهم بعد
+
+49
+00:03:56,890 --> 00:04:02,950
+شهرين للمتابعة مع طبيب العيون. والدها
+
+50
+00:04:02,950 --> 00:04:07,870
+حالتها زادت سوء، سنة ألفين وسبعة، ألفين وثمانية، حالتها
+
+51
+00:04:07,870 --> 00:04:12,750
+زادت سوء. والدها طلب تحويلة، أخد تحويلة لمستشفى St.
+
+52
+00:04:12,750 --> 00:04:17,640
+John في القدس، مستشفى العيون. و نفس الشيء في مستشفى
+
+53
+00:04:17,640 --> 00:04:20,960
+العيون، كان تشخيصهم bilateral idiopathic
+
+54
+00:04:20,960 --> 00:04:27,160
+oculomotor nerve palsy، نفس التشخيص، diagnosis.
+
+55
+00:04:27,160 --> 00:04:31,660
+in this case، هذا المكان على البحر الأسود، في شبه جزيرة
+
+56
+00:04:31,660 --> 00:04:36,300
+القرم. عشت أنا فترة أسبوعين في الغرفة هذه، على البحر،
+
+57
+00:04:36,300 --> 00:04:41,060
+المكان هذا، المكان الحلو. هل هذا oculomotor nerve palsy
+
+58
+00:04:41,060 --> 00:04:46,060
+حقيقي، true، أو pseudo oculomotor nerve palsy، كاذب، يعني
+
+59
+00:04:46,060 --> 00:04:49,500
+يعني أعراض oculomotor، لكن هي ما لها علاقة بالـ nerve
+
+60
+00:04:49,500 --> 00:04:55,400
+نفسه. نشوف في Naser Hospital. I had the pleasure to see
+
+61
+00:04:55,400 --> 00:05:00,300
+the patient on May 2008. the
+
+62
+00:05:00,300 --> 00:05:03,160
+patient presented with gradually progressive both
+
+63
+00:05:03,160 --> 00:05:07,120
+eyelid dropping and limitation of eye movement،
+
+64
+00:05:08,060 --> 00:05:12,160
+medially, more on the left side. يعني عند المريضة
+
+65
+00:05:12,160 --> 00:05:17,040
+كان سقوط في جفن العين، وضعف في حركة العين، أكثر شيء
+
+66
+00:05:17,040 --> 00:05:22,200
+إلى داخل العين، خاصة في الجهة اليسرى. this condition
+
+67
+00:05:22,200 --> 00:05:26,180
+was started on February 2007. يعني أنا شفتها بعد
+
+68
+00:05:26,180 --> 00:05:31,380
+تقريباً مرور سنة و ثلاث شهور من بداية المرض. سألت
+
+69
+00:05:31,380 --> 00:05:36,410
+ولدها أسئلة. و أنا جالس أبحث،  أيش أن
+
+70
+00:05:36,410 --> 00:05:39,690
+تشخيصها السابق كان هذا. her father noted mild
+
+71
+00:05:39,690 --> 00:05:42,410
+improvement in the morning without any treatment.
+
+72
+00:05:42,410 --> 00:05:45,630
+لما سألت والدها كيف لما أنت تنام، تصحى الصبح؟ قال لي
+
+73
+00:05:45,630 --> 00:05:49,810
+الصبح بتكون أحسن، أفضل. كيف شلل العصب بتحسن الصبح، و
+
+74
+00:05:49,810 --> 00:05:54,510
+بيزيد سوء المساء. بيبقى يدخل في المخ الواحد يصدقوا.
+
+75
+00:05:54,510 --> 00:05:59,710
+أيه، البنت واضحة، زاد سوء، واضحة سيء.
+
+76
+00:06:02,740 --> 00:06:06,160
+في الـ past medical and family history. past medical
+
+77
+00:06:06,160 --> 00:06:09,560
+and family history. past medical and surgical
+
+78
+00:06:09,560 --> 00:06:12,060
+history: recurrent tonsillitis and upper
+
+79
+00:06:12,060 --> 00:06:14,740
+respiratory tract infection. هذه الحالة كانت
+
+80
+00:06:14,740 --> 00:06:17,240
+recurrent tonsillitis و upper respiratory tract
+
+81
+00:06:17,240 --> 00:06:21,460
+infection، زي أي طفل عادي. في الـ family history، no
+
+82
+00:06:21,460 --> 00:06:25,340
+neurological disease run in the family، similar to
+
+83
+00:06:25,340 --> 00:06:28,160
+the patient's presentation. عند العائلة ما فيه أنه
+
+84
+00:06:28,160 --> 00:06:32,970
+أمراض وراثية بشبه الأعراض اللي عند الطفل. في الـ
+
+85
+00:06:32,970 --> 00:06:37,610
+physical examination، كله normal. كان مع هذا أنه
+
+86
+00:06:37,610 --> 00:06:41,890
+الطفل كان عنده bilateral ptosis. pupils regular،
+
+87
+00:06:41,890 --> 00:06:46,710
+round، reactive. فاحنا عارفين لو oculomotor nerve كان
+
+88
+00:06:46,710 --> 00:06:51,810
+متضرر،  iris كان يتأثر. pupils، and limitation of eye
+
+89
+00:06:51,810 --> 00:06:55,570
+elevation and adduction، left more than right.
+
+90
+00:07:03,400 --> 00:07:06,300
+الـ cranial nerve examination. في الـ neurological
+
+91
+00:07:06,300 --> 00:07:08,660
+examination، كل الـ neurological examination كان
+
+92
+00:07:08,660 --> 00:07:13,220
+كويس. عندها مع ذلك bilateral ptosis، left more than
+
+93
+00:07:13,220 --> 00:07:17,580
+right، with increasing after repetitive opening and
+
+94
+00:07:17,580 --> 00:07:21,260
+closing the eye. لو طلبنا منها تفتح عينها و تغمض
+
+95
+00:07:21,260 --> 00:07:24,820
+عينها،  بحركة متكررة، ظهر عليها weakness and fatigability.
+
+96
+00:07:25,630 --> 00:07:30,010
+الـ pupils، round، regular، reactive. limitation of
+
+97
+00:07:30,010 --> 00:07:34,250
+elevation and adduction of both، of both eyes،
+
+98
+00:07:34,250 --> 00:07:38,130
+left more than right. other cranial nerves were
+
+99
+00:07:38,130 --> 00:07:41,570
+intact. و باقي الـ cranial nerves كانوا سالمين. الـ
+
+100
+00:07:41,570 --> 00:07:45,070
+sensory، و الـ motor، و الـ coordination normal، عندها.
+
+101
+00:07:45,070 --> 00:07:51,150
+أنا هذا بدأت، عندنا الفحوصات اللي عملناها في غزة، طلبت
+
+102
+00:07:51,150 --> 00:07:59,150
+chest x-ray، و CT. no signs of thymoma or thymic
+
+103
+00:07:59,150 --> 00:08:03,130
+hyperplasia. أنا فكرت بتشخيص ثاني، و بدأت أبحث عنه.
+
+104
+00:08:03,130 --> 00:08:06,290
+طلبت
+
+105
+00:08:06,290 --> 00:08:10,650
+EMG. وجدت على الـ Electromyography، في progressive
+
+106
+00:08:10,650 --> 00:08:14,690
+decrement test. يعني مع الـ stimulation، بيحدث
+
+107
+00:08:14,690 --> 00:08:18,350
+inhibition لـ amplitude of the muscle. بتتعب العضلة،
+
+108
+00:08:18,350 --> 00:08:24,800
+بيصير فيها إرهاق، fatigability، وهن في العضلة. طلبت
+
+109
+00:08:24,800 --> 00:08:28,600
+منهم يحطوا ice pack، يحطوا قطعة ثلج على عينها،
+
+110
+00:08:28,600 --> 00:08:31,920
+ويصوروها بعد ما يحطوا الثلج على عينها، على جفن
+
+111
+00:08:31,920 --> 00:08:36,740
+العين، كان عندها تحسن، positive test، اتحسن، ارتفع
+
+112
+00:08:36,740 --> 00:08:41,580
+جفنها، مع الثلج، وجبتها للمستشفى، دخلناها عند
+
+113
+00:08:41,580 --> 00:08:45,180
+الأطفال، و أعطيناها test anticholinesterase،
+
+114
+00:08:45,180 --> 00:08:51,900
+neostigmine. وكان dramatic improvement في الحالة هذه.
+
+115
+00:08:51,900 --> 00:08:58,720
+هي الطفلة، بعد الثلج تغيرت، فتحوا جفونها. لو شلل في
+
+116
+00:08:58,720 --> 00:09:03,660
+العصب، بتفتح عينها ما بتفتحش. هي البنت بعد ما
+
+117
+00:09:03,660 --> 00:09:09,260
+أعطيناها neostigmine، خلال عشرين دقيقة كيف صارت
+
+118
+00:09:09,260 --> 00:09:12,880
+عينها؟ فتحوا عينها، و الـ squint اللي كان، اللي
+
+119
+00:09:12,880 --> 00:09:17,220
+عندها اختفى. يبقى التشخيص كان خاطئ سابقاً. التشخيص
+
+120
+00:09:17,220 --> 00:09:21,840
+كان عندها juvenile ocular myasthenia. أنا شخصتها بمرض
+
+121
+00:09:21,840 --> 00:09:26,620
+myasthenia، ocular type. واحد في عضلات العين، المشكلة
+
+122
+00:09:26,620 --> 00:09:29,320
+مش في العصب، المشكلة في الـ neuromuscular junction.
+
+123
+00:09:29,320 --> 00:09:34,440
+ونبدأ محاضرتنا الآن اللي هي myasthenia gravis. إيش
+
+124
+00:09:34,440 --> 00:09:36,900
+أعطيناها علاج، قبل ما نبدأ المحاضرة، أعطيناها anti-
+
+125
+00:09:36,900 --> 00:09:40,220
+cholinesterase drugs، pyridostigmine أو mestinon،
+
+126
+00:09:40,220 --> 00:09:46,100
+و طلبتها بعد مرور سنتين، تلاتة، نلاحظ كيف البنت كانت
+
+127
+00:09:46,100 --> 00:09:52,440
+صورتها واضحة، أنه كبرت، هيها، و no ptosis، جفونها
+
+128
+00:09:52,440 --> 00:09:57,120
+فاتحين، و no squint، و ما في أي حول. يبقى التحسن واضح
+
+129
+00:09:57,120 --> 00:10:01,770
+للطفلة هذه. myasthenia gravis. نبدأ محاضرة myasthenia
+
+130
+00:10:01,770 --> 00:10:07,150
+gravis. إيش myasthenia gravis؟ is an autoimmune
+
+131
+00:10:07,150 --> 00:10:11,490
+disorder characterized by weakness and
+
+132
+00:10:11,490 --> 00:10:15,470
+fatigability of skeletal muscle. يبقى المرض هذا ما
+
+133
+00:10:15,470 --> 00:10:18,750
+بيصيبش smooth muscle، بيصيب skeletal muscle. لذلك الـ
+
+134
+00:10:18,750 --> 00:10:22,290
+pupils كانوا عندها regular و reactive في low light.
+
+135
+00:10:25,120 --> 00:10:28,520
+يبقى بيصيب skeletal muscle due to dysfunction of
+
+136
+00:10:28,520 --> 00:10:32,260
+neuromuscular junction. كمان مرة، عبارة عن
+
+137
+00:10:32,260 --> 00:10:36,320
+autoimmune disorder characterized by weakness and
+
+138
+00:10:36,320 --> 00:10:40,920
+fatigability of skeletal muscles due to
+
+139
+00:10:40,920 --> 00:10:47,540
+dysfunction of neuromuscular junction. etiology and
+
+140
+00:10:47,540 --> 00:10:50,960
+pathology of myasthenia gravis هو عبارة عن
+
+141
+00:10:50,960 --> 00:10:55,650
+autoimmune disease، with production of antibodies
+
+142
+00:10:55,650 --> 00:10:58,930
+against the acetylcholine. و احنا عارفين أن الـ
+
+143
+00:10:58,930 --> 00:11:01,110
+acetylcholine موجود في الـ neuromuscular junction،
+
+144
+00:11:01,110 --> 00:11:06,210
+و وظيفته ينقل الإشارة من العصب إلى العضلة، في الـ
+
+145
+00:11:06,210 --> 00:11:11,370
+neuromuscular، من العصب إلى muscle fibers. في الحالة
+
+146
+00:11:11,370 --> 00:11:15,190
+هذه، بيؤدي إلى destruction of acetylcholine
+
+147
+00:11:15,190 --> 00:11:19,450
+receptors، أو acetylcholine نفسه. Thymic dysfunction
+
+148
+00:11:20,820 --> 00:11:25,000
+lead to production of these acetylcholine receptor
+
+149
+00:11:25,000 --> 00:11:29,560
+antibodies. طيب ما دام في مشكلة في الـ acetylcholine
+
+150
+00:11:29,560 --> 00:11:34,460
+و الـ acetylcholine receptor antibodies، في الحالة هذه، رح
+
+151
+00:11:34,460 --> 00:11:39,500
+يكون في ضعف توصيل الإشارة من الـ nerve fibers لـ الـ
+
+152
+00:11:39,500 --> 00:11:42,640
+muscle fibers. رح يحدث fatigability of the muscle،
+
+153
+00:11:42,640 --> 00:11:47,740
+وهن في العضلة. الـ annual incidence، عشرة إلى عشرين حالة،
+
+154
+00:11:47,740 --> 00:11:55,010
+كل مليون people. Myasthenia Gravis، بيبدا في أي عمر؟
+
+155
+00:11:55,010 --> 00:12:00,410
+ممكن يجي المرض هذا في أي سنة، لكن أكثر شيء بيكون في
+
+156
+00:12:00,410 --> 00:12:03,110
+الـ second و الـ fourth decade، في العشرين، ثلاثين،
+
+157
+00:12:03,110 --> 00:12:08,690
+أربعين. less frequent before age 10 and after 65.
+
+158
+00:12:08,690 --> 00:12:12,330
+أقل يجي عند الأطفال أقل من عشر سنوات و الكبار
+
+159
+00:12:12,330 --> 00:12:16,690
+لاحظوا، عشان هيك الأطباء ما فكروا في المرض كتير، ليه؟
+
+160
+00:12:16,690 --> 00:12:21,290
+لأن الطفل كان عمره خمس سنوات، و نادر يجي عند الأطفال.
+
+161
+00:12:21,290 --> 00:12:26,070
+الـ female أكثر من الـ male، من ثلاثة إلى اثنين.
+
+162
+00:12:26,070 --> 00:12:32,030
+بعد سن اللي هو ستين تقريباً، في الـ adult بيكون
+
+163
+00:12:32,030 --> 00:12:36,990
+equally، الـ male و الـ female. الـ etiology of
+
+164
+00:12:36,990 --> 00:12:41,130
+myasthenia gravis، زي ما اتكلمنا، autoimmune disease.
+
+165
+00:12:43,660 --> 00:12:47,640
+thymic abnormality. عشان هيك أنا طلبت لها صورة CT
+
+166
+00:12:47,640 --> 00:12:51,140
+للصدر. إيش دخل الصدر في العين؟ طلبتها عشان أشوف
+
+167
+00:12:51,140 --> 00:12:54,420
+الغدة الزعترية، thymus gland. يبقى أن الـ thymic
+
+168
+00:12:54,420 --> 00:12:57,680
+abnormality، thymic hyperplasia أو ورم في الغدة
+
+169
+00:12:57,680 --> 00:13:01,460
+الزعترية، thymoma. هذا بيفرز antibodies، الـ
+
+170
+00:13:01,460 --> 00:13:04,540
+antibodies بيهاجموا الـ neuromuscular junction، لـ
+
+171
+00:13:04,540 --> 00:13:07,760
+الـ acetylcholine و الـ acetylcholine receptors. و هذا
+
+172
+00:13:07,760 --> 00:13:12,230
+بيسبب الـ muscle fatigability. There is an
+
+173
+00:13:12,230 --> 00:13:15,190
+association between myasthenia gravis and SLE،
+
+174
+00:13:15,190 --> 00:13:18,350
+thyroid disease، rheumatoid disease. كان في علاقة
+
+175
+00:13:18,350 --> 00:13:21,870
+أحياناً بتوجد بين الـ myasthenia gravis و systemic
+
+176
+00:13:21,870 --> 00:13:25,790
+lupus erythematosus، الـ thyroid gland disease، و
+
+177
+00:13:25,790 --> 00:13:29,150
+rheumatoid arthritis. لأن هذه أكثرها أمراض علاقة
+
+178
+00:13:29,150 --> 00:13:33,530
+بالـ autoimmune، autoimmune disease، هنا.
+
+179
+00:13:35,500 --> 00:13:40,240
+طبيعي، في الـ presynaptic، الأستيل كولين من الـ
+
+180
+00:13:40,240 --> 00:13:44,220
+physical، في الـ nerve endings، بيفرز، و بيتحد مع
+
+1
+
+223
+00:16:39,270 --> 00:16:44,550
+هذا ممكن يتأخر في تشخيص الحالة ocular myasthenia
+
+224
+00:16:44,550 --> 00:16:48,810
+gravis. أكثر من خمسين في المئة، أكثر من خمسين في
+
+225
+00:16:48,810 --> 00:16:53,940
+المئة من حالات الـ myasthenia gravis initially
+
+226
+00:16:53,940 --> 00:16:58,260
+present with isolated ptosis, double vision,
+
+227
+00:16:58,400 --> 00:17:05,340
+diplopia and squint. يعني أكثر من 50% من حالات
+
+228
+00:17:05,340 --> 00:17:09,620
+myasthenia gravis تبدأ بأعراض oculoar، أعراض oculoar
+
+229
+00:17:09,620 --> 00:17:14,300
+symptoms، ptosis (سقوط في الجفن)، double vision، و
+
+230
+00:17:14,300 --> 00:17:18,820
+الـ squint. لِيه بيحدث معهم ptosis كأول عرض؟
+
+231
+00:17:18,820 --> 00:17:25,700
+لأن الجفن هذا يحمل، الجفن طول اليوم ضد
+
+232
+00:17:25,700 --> 00:17:29,880
+الجاذبية، محمول، حامل الجفن بمرض وهن العضلات، أو
+
+233
+00:17:29,880 --> 00:17:33,080
+العضلة بتتأثر وبيصير فيها إيه؟ تعب. إحنا كنا لما
+
+234
+00:17:33,080 --> 00:17:36,120
+نكون تعبانين، إيش بيصير في عيوننا؟ بنسكرهم، بتلاقي
+
+235
+00:17:36,120 --> 00:17:39,860
+إيه الواحد قاعد في المحاضرة وعينيه متدليتين، ودبلة
+
+236
+00:17:39,860 --> 00:17:43,760
+ارتخاء، يجفون. في المرض هذا، أول شيء يرتخي الجفون،
+
+237
+00:17:43,760 --> 00:17:50,110
+ويحدث معهم توصيب 15% من مرضى الـ Myasthenia Gravis
+
+238
+00:17:50,110 --> 00:17:54,190
+بيظلوا عندهم isolated ocular symptoms. بيحدث عندهم
+
+239
+00:17:54,190 --> 00:17:58,810
+isolated ocular symptoms مدى الحياة. لكن نلاحظ أنّه
+
+240
+00:17:58,810 --> 00:18:03,090
+في الـ ocular myasthenia gravis بيكون sparing of
+
+241
+00:18:03,090 --> 00:18:07,610
+intraocular muscle function. يعني في حالات
+
+242
+00:18:07,610 --> 00:18:13,150
+myasthenia gravis بيكون عندهم الـ smooth muscles
+
+243
+00:18:13,150 --> 00:18:18,490
+سليمة، واللي لاحظناه في حالتنا كان pupils regular،
+
+244
+00:18:18,490 --> 00:18:22,350
+round، reactive to light. يعني الـ smooth muscles ما
+
+245
+00:18:22,350 --> 00:18:26,730
+بتتأثر، ولا الـ cardiac muscle. فقط المرض هذا بيصيب
+
+246
+00:18:26,730 --> 00:18:32,770
+مين؟ بيصيب skeletal muscles. generalized myasthenia
+
+247
+00:18:32,770 --> 00:18:38,610
+gravis. قلنا أن خمسين في المئة من مرضى الـ myasthenia
+
+248
+00:18:38,610 --> 00:18:42,890
+gravis بيبدأ بأعراض oculoar. في بعض الأحيان، الـ
+
+249
+00:18:42,890 --> 00:18:46,110
+ocular symptoms بتبدأ مع generalized symptoms. في
+
+250
+00:18:46,110 --> 00:18:50,390
+أحيان بتكون بداية ocular symptoms، وبعد فترة من
+
+251
+00:18:50,390 --> 00:18:55,930
+الزمن بتتحول من ocular إلى generalized type. خمسة عشر
+
+252
+00:18:55,930 --> 00:19:01,900
+في المئة من الحالات بيكون معهم bulbar symptoms. يوم
+
+253
+00:19:01,900 --> 00:19:04,440
+الأيام، جاني مريض مُشخص بـ cerebrovascular disease،
+
+254
+00:19:04,440 --> 00:19:08,220
+المشكلة كانت عنده dysarthria أو dysphonia، bulbar
+
+255
+00:19:08,220 --> 00:19:12,920
+syndrome مع dysphagia. كان تشخيصه myasthenia gravis،
+
+256
+00:19:12,920 --> 00:19:16,680
+شخصه myasthenia gravis. لما عملنا له chest CT، لَقِيت
+
+257
+00:19:16,680 --> 00:19:21,300
+عنده thymoma (ورم في الغدة الزعترية)، وتم إجراء
+
+258
+00:19:21,300 --> 00:19:27,750
+عملية thymoctomy، وتماثل للشفاء. less than 5% of
+
+259
+00:19:27,750 --> 00:19:30,310
+patients presented with proximal limb weakness،
+
+260
+00:19:30,310 --> 00:19:35,750
+less common presentation، isolated neck weakness،
+
+261
+00:19:35,750 --> 00:19:39,810
+isolated respiratory muscle weakness. هو الـ proximal limb
+
+262
+00:19:39,810 --> 00:19:45,130
+weakness فيه characteristics. لما أنا أشوف مع
+
+263
+00:19:45,130 --> 00:19:50,330
+المريض لازم أَتَذَكَّر مرض اسمه myasthenia gravis. أول
+
+264
+00:19:50,330 --> 00:19:56,600
+شيء، fluctuation of muscle weakness and fatigability.
+
+265
+00:19:56,600 --> 00:19:59,740
+يعني إيش fluctuation of muscle weakness and
+
+266
+00:19:59,740 --> 00:20:03,320
+fatigability؟ مريض عنده شلل في عصب الوجه السابع،
+
+267
+00:20:03,320 --> 00:20:07,630
+صباحًا، مساءً فيه شلل. المريض عنده stroke صباحًا، ما
+
+268
+00:20:07,630 --> 00:20:11,170
+بيصحى. unofficial. لكن في مرض وهن العضلات، myasthenia
+
+269
+00:20:11,170 --> 00:20:15,930
+gravis، الأعراض بتختلف. الصبح المريض بيكون مرتاح. في
+
+270
+00:20:15,930 --> 00:20:19,750
+الليل بيصحى، مافي weakness، مافي fatigability، ولو
+
+271
+00:20:19,750 --> 00:20:23,050
+فيه بتكون أعراض بسيطة. مجرد ما يمشي، يبدأ المجهود،
+
+272
+00:20:23,050 --> 00:20:27,500
+الأعراض راح تزيد. تمام. عنده مشكلة في الـ mastication
+
+273
+00:20:27,500 --> 00:20:32,600
+muscles. أول ما يبدأ مضغ طبيعي في الأكل، بعد شوية
+
+274
+00:20:32,600 --> 00:20:37,200
+بتلاقي زاد إيه؟ عملية الـ fatigability، وزاد ضعف أو
+
+275
+00:20:37,200 --> 00:20:44,560
+وهن العضلات. الـ afternoon والـ evening، الحالة بتزيد
+
+276
+00:20:44,560 --> 00:20:49,160
+سوءًا بعد الظهر وفي المساء، لأنّه بزيد مجهود الإنسان وتعب. لكن لو نام العصر، صحى، بتلاقي مرتاح، الأعراض بدأت
+
+277
+00:20:53,020 --> 00:20:56,060
+تخف. ولاحظوا الحالة اللي عندنا، لما سألت والدها
+
+278
+00:20:56,060 --> 00:20:59,040
+كيف الوضع؟ قال لي في الصباح الوضع كويس،
+
+279
+00:20:59,040 --> 00:21:02,980
+بتكون كويس. يبقى فيه fluctuation of symptoms during a day.
+
+280
+00:21:02,980 --> 00:21:07,780
+هاي واحدة. اثنين، distribution of muscle weakness and
+
+281
+00:21:07,780 --> 00:21:11,840
+fatigability. Ocular muscles are affected first in
+
+282
+00:21:11,840 --> 00:21:13,580
+about 50% of patients.
+
+283
+00:21:16,250 --> 00:21:19,670
+and in eighty-five percent of patients with
+
+284
+00:21:19,670 --> 00:21:24,170
+generalized myasthenia gravis. يعني موضوع عضلات
+
+285
+00:21:24,170 --> 00:21:27,870
+العين مهم. ولاحظنا أنّه الطفل عندها بدأ المرض بعضلات
+
+286
+00:21:27,870 --> 00:21:31,670
+عينها. يبقى نقاش، إذا بدأ وهن العضلات في عضلات
+
+287
+00:21:31,670 --> 00:21:36,350
+العين، نفكر في مرض اسمه myasthenia gravis. clinical
+
+288
+00:21:36,350 --> 00:21:41,150
+response هو cholinergic drugs أو anticholinesterase.
+
+289
+00:21:41,150 --> 00:21:46,010
+بنعطي علاج بيعمل block للـ anticholinesterase. إيش
+
+290
+00:21:46,010 --> 00:21:49,590
+وظيفة الكولينستراز هذا؟ الكولينستراز enzyme أو
+
+291
+00:21:49,590 --> 00:21:53,730
+الـ enzyme الكولينستراز بيعمل عملية تكسير أو
+
+292
+00:21:53,730 --> 00:21:56,470
+destruction  للـ acetylcholine. يعني أنا بروح أعمل
+
+293
+00:21:56,470 --> 00:21:59,390
+block  له. بعمل block. إذا عملت block لـ
+
+294
+00:21:59,390 --> 00:22:02,810
+cholinesterase، أنا بروح أزود الـ acetylcholine وبحسن
+
+295
+00:22:02,810 --> 00:22:05,930
+حالة المريض. يمكن الحالات هذه بيكون عندك clinical
+
+296
+00:22:05,930 --> 00:22:08,850
+response to cholinergic drugs أو to
+
+297
+00:22:08,850 --> 00:22:13,390
+anticholinesterase. وحالتنا، شفنا بعد 20 دقيقة
+
+298
+00:22:13,390 --> 00:22:15,890
+أعطيناها anticholinesterase، كانت dramatic
+
+299
+00:22:15,890 --> 00:22:21,330
+improvement. myasthenia gravis diagnostic approach.
+
+300
+00:22:21,330 --> 00:22:23,510
+إيش الفحوصات اللي بدنا نعملها لمرض myasthenia
+
+301
+00:22:23,510 --> 00:22:31,320
+gravis؟ CBC ضروري، full chemistry، thyroid function،
+
+302
+00:22:31,320 --> 00:22:34,800
+C-reactive protein، rheumatoid arthritis، الـ
+
+303
+00:22:34,800 --> 00:22:37,740
+antinuclear antibodies عشان الـ systemic disease،
+
+304
+00:22:37,740 --> 00:22:40,880
+SLA، hepatitis markers. بلاش يقول المريض عنده
+
+305
+00:22:40,880 --> 00:22:43,620
+hepatitis.
+
+306
+00:22:47,270 --> 00:22:51,310
+Ice bag test. يا جماعة، الـ ice bag ما حد يروح عند
+
+307
+00:22:51,310 --> 00:22:55,090
+... المريض عنده generalized myasthenia، يروح يقول له
+
+308
+00:22:55,090 --> 00:22:58,610
+اشترِ لك لوح ثلج كبير وكسّره على جسمك وحطه. بس الـ
+
+309
+00:22:58,610 --> 00:23:04,210
+ice bag test (فحص بالثلج) بيستخدم فقط للـ ocular type،
+
+310
+00:23:04,210 --> 00:23:07,150
+للـ ocular type of myasthenia. بنحط قطعة صغيرة من
+
+311
+00:23:07,150 --> 00:23:10,650
+الثلج على الجفن وهو مغمض خمس دقائق، وبعدين بنشوف
+
+312
+00:23:10,650 --> 00:23:16,940
+كده بتحسن ولا لأ الجفن. ice bag test. 80% من المرضى
+
+313
+00:23:16,940 --> 00:23:20,200
+اللي عندهم ocular myasthenia gravis بيستجيبوا للـ ice
+
+314
+00:23:20,200 --> 00:23:24,280
+pack. ومرضتنا استجابت للـ ice pack. ننزل أو
+
+315
+00:23:24,280 --> 00:23:27,420
+edrophonium test أو neostigmine test، اللي هو يعتبر
+
+316
+00:23:27,420 --> 00:23:31,120
+anticholinesterase test. ولاحظنا المرضى اللي عرضناها،
+
+317
+00:23:31,120 --> 00:23:36,600
+أعطيناها neostigmine واستجابت. فيه test اسمه
+
+318
+00:23:36,600 --> 00:23:41,580
+serological test. هذا فحص serology. بنعمل Anti-
+
+319
+00:23:41,580 --> 00:23:44,660
+acetylcholine Receptor Antibodies، وفي Anti-Muscle
+
+320
+00:23:44,660 --> 00:23:47,800
+Specific Kinase Antibodies، وفي Anti-Striated
+
+321
+00:23:47,800 --> 00:23:50,860
+Muscle Antibodies. هذا الثالث. هذول أول وثاني
+
+322
+00:23:50,860 --> 00:23:53,580
+بيستخدموا لتشخيص مرض myasthenia gravis، لكن
+
+323
+00:23:53,580 --> 00:23:58,520
+الثالث بيستخدم لتشخيص thymoma (ورم الغدة الزعترية).
+
+324
+00:24:01,360 --> 00:24:05,100
+بعدها بنعمل الـ Electrophysiology confirmation.
+
+325
+00:24:05,100 --> 00:24:09,300
+بنعمل فحص
+
+326
+00:24:09,300 --> 00:24:15,420
+اسمه Electromyography (تخطيط عضلات العين أو للجسم كله). كمان بنلاقي repetitive nerve stimulation،
+
+327
+00:24:15,420 --> 00:24:19,660
+بنعمل لهم إيش؟ بنجد عندهم progressive decrement test،
+
+328
+00:24:19,660 --> 00:24:24,200
+بنعمل لهم إيش؟ بنجد عندهم decrement test.
+
+329
+00:24:24,630 --> 00:24:30,810
+Decrement Test. يعني بدنا نعمل تسجيل العضلة high
+
+330
+00:24:30,810 --> 00:24:35,930
+amplitude. بدنا نعمل stimulation أو نرهقها. إيش
+
+331
+00:24:35,930 --> 00:24:43,320
+وجدنا؟ قل الـ amplitude. يبقى حدث وهن في العضلة، أو
+
+332
+00:24:43,320 --> 00:24:49,420
+decrement test positive، أو حدث decrease لإيه؟ للـ
+
+333
+00:24:49,420 --> 00:24:54,520
+amplitude of muscle action potential after nerve
+
+334
+00:24:54,520 --> 00:24:58,100
+stimulation or after exercise.
+
+335
+00:25:01,470 --> 00:25:05,870
+في single fibers electromyography is the most
+
+336
+00:25:05,870 --> 00:25:08,750
+sensitive diagnostic test. من ناحية الـ
+
+337
+00:25:08,750 --> 00:25:13,190
+Electromyography، ننتقل
+
+338
+00:25:13,190 --> 00:25:17,510
+بعدين لـ radiological studies. بنعمل brain MRI. صوروا
+
+339
+00:25:17,510 --> 00:25:21,070
+حالة، تكون عندنا symptoms وتكون مشكلة في الـ sinus،
+
+340
+00:25:21,070 --> 00:25:24,530
+أو في الـ brainstem، أو brainstem tumor. يبقى بنعمل
+
+341
+00:25:24,530 --> 00:25:30,670
+brain MRI. اثنين، بنعمل chest x-ray. chest x-ray،
+
+342
+00:25:32,130 --> 00:25:37,170
+thymoma بتنكشف فقط في 15% من الحالات. يقابل كل 100
+
+343
+00:25:37,170 --> 00:25:41,550
+حالة، thymoma على الـ chest x-ray العادي فقط 15 بنكشف
+
+344
+00:25:41,550 --> 00:25:46,990
+منهم. لذلك إحنا ما بنعتمد على الـ x-ray، بنعتمد على chest CT أو
+
+345
+00:25:46,990 --> 00:25:51,150
+MRI. من ناحية الـ MRI أو الـ CT، the same. يبقى في
+
+346
+00:25:51,150 --> 00:25:54,730
+الحالة هذه إحنا بنعمل chest CT. ليش أُخَسِّر المريض
+
+347
+00:25:54,730 --> 00:25:59,650
+إذا الغرض ممكن أعمله وأُقْضِي غرض الفحص بالـ chest CT،
+
+348
+00:25:59,650 --> 00:26:05,110
+يبقى أن الـ chest CT راح يُسدّ على الـ MRI. الـ chest CT
+
+349
+00:26:05,110 --> 00:26:13,530
+بيبين لنا أنّه في 75% abnormality في الـ thymic gland.
+
+350
+00:26:13,530 --> 00:26:19,260
+يعني لو أخذنا 100 مريض عندهم myasthenia gravis، خمسة وسبعون في المئة عندهم مشاكل في الغدة الزعترية، راح
+
+351
+00:26:19,260 --> 00:26:21,880
+يكون. هذول الـ 75%، منهم 85% بيكون benign hyperplasia،
+
+352
+00:26:21,880 --> 00:26:29,220
+تضخم في الغدة الزعترية حميد، ومنهم 15% بيكون ورم
+
+353
+00:26:29,220 --> 00:26:34,440
+thymoma (ثيموما). يبقى ضروري جدًا كل مريض عنده
+
+354
+00:26:34,440 --> 00:26:38,760
+myasthenia gravis يَعمَل chest CT، صورة CT لمين؟
+
+355
+00:26:38,760 --> 00:26:43,860
+للصدر. من ضمن الفحوصات عشان نكشف إيه؟ نكشف اللي هو التضخم
+
+356
+00:26:49,580 --> 00:26:56,500
+أو ورم الغدة الزعترية. هذه يا جماعة، chest x-ray،
+
+357
+00:26:56,500 --> 00:27:04,660
+female patient، واضح في الصورة، في الـ lateral view، فيه
+
+358
+00:27:04,660 --> 00:27:09,480
+عندها thymoma. هي في الـ anterior mediastinum وهذه female
+
+359
+00:27:09,480 --> 00:27:15,160
+patient. الـ breast عندها واضحين. هي عندها thymoma وهنا
+
+360
+00:27:15,160 --> 00:27:21,820
+في الـ lateral view، في thymoma في الـ chest CT.
+
+361
+00:27:26,670 --> 00:27:36,630
+thymoma. الـ CT بيبين الـ thymoma أفضل. كيف بنعالج المرضى
+
+362
+00:27:36,630 --> 00:27:41,490
+اللي عندهم myasthenia gravis؟ المرضى اللي عندهم
+
+363
+00:27:41,490 --> 00:27:47,070
+myasthenia gravis، أول شيء بنعطيهم symptomatic
+
+364
+00:27:47,070 --> 00:27:50,550
+treatment (symptomatic treatment). بنعطي
+
+365
+00:27:50,550 --> 00:27:56,760
+anticholinesterase agents مثل pyridostigmine اللي هو
+
+366
+00:27:56,760 --> 00:27:59,620
+mestinon، أو ممكن يُعطى neostigmine. في بعض الحالات،
+
+367
+00:27:59,620 --> 00:28:03,260
+chronic immunomodulating drugs. ممكن ياخذوا
+
+368
+00:28:03,260 --> 00:28:07,840
+prednisone low dose أو azathioprine. في حالة الـ
+
+369
+00:28:07,840 --> 00:28:13,650
+myasthenic crisis، أو في حالة أنّه بدأت عملية جراحية
+
+370
+00:28:13,650 --> 00:28:17,450
+مثل الـ thymectomy. لازم المريض يتحضر قبل عملية الـ
+
+371
+00:28:17,450 --> 00:28:21,790
+thymectomy، بينعطوا IVIG (Intravenous Immunoglobulin)،
+
+372
+00:28:21,790 --> 00:28:24,950
+أو Plasmapheresis. أو إذا المريض دخل في myasthenic
+
+373
+00:28:24,950 --> 00:28:30,950
+crisis، وsevere muscle fatigability و
+
+374
+00:28:30,950 --> 00:28:34,470
+severe respiratory failure، بدخله عناية مركزة و
+
+375
+00:28:34,470 --> 00:28:38,390
+بنعطيهم IVIG مع prednisone، وفي بعض الأحيان
+
+376
+00:28:38,390 --> 00:28:44,110
+بنعمل لهم plasma exchange (تغيير أو فصل البلازما). في
+
+377
+00:28:44,110 --> 00:28:48,450
+بعض الحالات بنعمل لهم surgical treatment (thymectomy)،
+
+378
+00:28:48,450 --> 00:28:53,670
+إزالة الغدة الزعترية. إذا كان المريض بيستجيب
+
+379
+00:28:53,670 --> 00:28:59,560
+للعلاج، والغدة الزعترية ما فيها thymoma (يعني no
+
+380
+00:28:59,560 --> 00:29:04,260
+thymoma)، ممكن يتعالج conservatively بدون عملية.
+
+381
+00:29:04,260 --> 00:29:08,840
+لكن إذا تم تشخيص thymoma، إذا تم تشخيص المريض
+
+382
+00:29:08,840 --> 00:29:12,260
+عنده thymoma، لازم عملية جراحية اللي هي
+
+383
+00:29:12,260 --> 00:29:15,460
+thymectomy (إزالة الغدة الزعترية مع الورم). في
+
+384
+00:29:15,460 --> 00:29:19,820
+حالات الـ ocular myasthenia gravis، إزالة الغدة
+
+385
+00:29:19,820 --> 00:29:23,540
+الزعترية لا تُحبَّذ لأن الأعراض بتكون بسيطة. إذا المريض
+
+386
+00:29:23,540 --> 00:29:28,340
+لم يستجيب للعلاج الدوائي، في الحالة هذه لازم يتم
+
+387
+00:29:28,340 --> 00:29:32,680
+إزالة الغدة الزعترية. ويتم إجراء له thymectomy.
+
+388
+00:29:32,680 --> 00:29:38,000
+هيك بيكون أنا خلصت لكم موضوع myasthenia gravis.
+
+389
+00:29:38,000 --> 00:29:42,100
+الجزء الثاني من المحاضرة، راح نتكلم عن مرض اسمه
+
+390
+00:29:42,100 --> 00:29:46,920
+myotonia و muscular dystrophy and myopathy. يعطيكم
+
+391
+00:29:46,920 --> 00:29:47,260
+العافية.
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..493806060b21d806c0ff07f3527486a29a03f475
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/ZnQ62s1OwSQ_raw.json
@@ -0,0 +1 @@
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"word": " female", "probability": 0.66845703125}, {"start": 743.55, "end": 744.35, "word": " أكتر", "probability": 0.78570556640625}, {"start": 744.35, "end": 744.53, "word": " من", "probability": 0.99267578125}, {"start": 744.53, "end": 744.69, "word": " ال", "probability": 0.7861328125}, {"start": 744.69, "end": 744.93, "word": " male", "probability": 0.94580078125}, {"start": 744.93, "end": 745.19, "word": " من", "probability": 0.900390625}, {"start": 745.19, "end": 745.57, "word": " ثلاثة", "probability": 0.8744140625}, {"start": 745.57, "end": 746.07, "word": " لاثنين", "probability": 0.7935791015625}, {"start": 746.07, "end": 747.21, "word": " بعد", "probability": 0.716796875}, {"start": 747.21, "end": 747.55, "word": " سن", "probability": 0.969970703125}, {"start": 747.55, "end": 748.41, "word": " اللي", "probability": 0.6993408203125}, {"start": 748.41, "end": 748.69, "word": " هو", "probability": 0.9716796875}, {"start": 748.69, "end": 750.03, "word": " ستين", "probability": 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{"start": 756.31, "end": 756.59, "word": " theology", "probability": 0.13330078125}, {"start": 756.59, "end": 756.99, "word": " of", "probability": 0.97412109375}, {"start": 756.99, "end": 757.53, "word": " myasthenia", "probability": 0.821533203125}, {"start": 757.53, "end": 757.77, "word": " grave", "probability": 0.24755859375}, {"start": 757.77, "end": 757.95, "word": " زي", "probability": 0.623779296875}, {"start": 757.95, "end": 757.99, "word": " ما", "probability": 0.96875}, {"start": 757.99, "end": 758.53, "word": " اتكلمنا", "probability": 0.90927734375}, {"start": 758.53, "end": 760.49, "word": " autoimmune", "probability": 0.708251953125}, {"start": 760.49, "end": 761.13, "word": " disease", "probability": 0.9326171875}], "temperature": 1.0}, {"id": 31, "seek": 78960, "start": 763.66, "end": 789.6, "text": "ثايمك abnormality عشان هي انا طلبت لها صورة CT للصدر ايش دخل الصدر في العين طلبت عشان انا اشوف الغودة الزعترية thymosigland يبقى ان الثايمك abnormality ثايمكhyperplasia او ورم في الغودة الزعترية thymoma هذا بيفرز antibodies ال antibodies بيقوموا ال neuromuscular junction ل الacetylcholine و الacetylcholine receptors وهذا بيقدر ال muscle fatigability", "tokens": [12984, 995, 32640, 4117, 47104, 1860, 6225, 8592, 7649, 39896, 1975, 8315, 23032, 46152, 2655, 5296, 11296, 20328, 13063, 3660, 19529, 24976, 9381, 3215, 2288, 1975, 1829, 8592, 11778, 9778, 1211, 31767, 3215, 2288, 8978, 18863, 9957, 23032, 46152, 2655, 6225, 8592, 7649, 1975, 8315, 1975, 8592, 38688, 6024, 118, 23328, 3660, 6024, 110, 34268, 2288, 10632, 15196, 3415, 328, 1661, 7251, 3555, 4587, 7578, 16472, 2423, 12984, 995, 32640, 4117, 47104, 1860, 38637, 995, 32640, 4117, 3495, 610, 564, 25251, 1975, 2407, 4032, 2288, 2304, 8978, 6024, 118, 23328, 3660, 6024, 110, 34268, 2288, 10632, 15196, 3280, 1696, 23758, 4724, 33911, 2288, 11622, 28356, 2423, 28356, 4724, 1829, 4587, 20498, 14407, 2423, 12087, 298, 301, 17792, 33718, 5296, 2423, 326, 2210, 75, 339, 18773, 4032, 2423, 326, 2210, 75, 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thymosigland", "probability": 0.4202880859375}, {"start": 773.2, "end": 773.84, "word": " يبقى", "probability": 0.8209228515625}, {"start": 773.84, "end": 773.92, "word": " ان", "probability": 0.62744140625}, {"start": 773.92, "end": 774.42, "word": " الثايمك", "probability": 0.77470703125}, {"start": 774.42, "end": 775.1, "word": " abnormality", "probability": 0.871826171875}, {"start": 775.1, "end": 776.68, "word": " ثايمكhyperplasia", "probability": 0.773468017578125}, {"start": 776.68, "end": 777.02, "word": " او", "probability": 0.857421875}, {"start": 777.02, "end": 777.28, "word": " ورم", "probability": 0.7626953125}, {"start": 777.28, "end": 777.4, "word": " في", "probability": 0.89208984375}, {"start": 777.4, "end": 777.68, "word": " الغودة", "probability": 0.9700927734375}, {"start": 777.68, "end": 778.14, "word": " الزعترية", "probability": 0.96748046875}, {"start": 778.14, "end": 778.84, "word": " thymoma", "probability": 0.5118815104166666}, {"start": 778.84, "end": 779.46, "word": " هذا", "probability": 0.931640625}, {"start": 779.46, "end": 780.2, "word": " بيفرز", "probability": 0.924072265625}, {"start": 780.2, "end": 781.06, "word": " antibodies", "probability": 0.859375}, {"start": 781.06, "end": 781.46, "word": " ال", "probability": 0.61474609375}, {"start": 781.46, "end": 781.88, "word": " antibodies", "probability": 0.81005859375}, {"start": 781.88, "end": 782.6, "word": " بيقوموا", "probability": 0.853271484375}, {"start": 782.6, "end": 782.82, "word": " ال", "probability": 0.84521484375}, {"start": 782.82, "end": 783.52, "word": " neuromuscular", "probability": 0.7978515625}, {"start": 783.52, "end": 784.04, "word": " junction", "probability": 0.8369140625}, {"start": 784.04, "end": 784.54, "word": " ل", "probability": 0.62109375}, {"start": 784.54, "end": 785.62, "word": " الacetylcholine", "probability": 0.7899576822916666}, {"start": 785.62, "end": 785.74, "word": " و", "probability": 0.69189453125}, {"start": 785.74, "end": 786.56, "word": " الacetylcholine", "probability": 0.8960774739583334}, {"start": 786.56, "end": 787.2, "word": " receptors", "probability": 0.33740234375}, {"start": 787.2, "end": 787.76, "word": " وهذا", "probability": 0.84814453125}, {"start": 787.76, "end": 788.12, "word": " بيقدر", "probability": 0.6568603515625}, {"start": 788.12, "end": 788.26, "word": " ال", "probability": 0.468994140625}, {"start": 788.26, "end": 788.88, "word": " muscle", "probability": 0.9052734375}, {"start": 788.88, "end": 789.6, "word": " fatigability", "probability": 0.8111979166666666}], "temperature": 1.0}, {"id": 32, "seek": 81353, "start": 791.39, "end": 813.53, "text": "There is an association between myasthenia gravis and SLE Thyroid disease, rheumatoid disease كان في علاقة احيانا تنجد بين ال myasthenia gravis و systemic lobosarithomatosis ال thyroid gland disease و rheumatoid arthritis لأن هذه أكترها أمراض علاقة بال autoimmune autoimmune disease هنا", "tokens": [51, 511, 68, 307, 364, 14598, 1296, 452, 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{"start": 793.41, "end": 794.05, "word": " myasthenia", "probability": 0.8466796875}, {"start": 794.05, "end": 794.43, "word": " gravis", "probability": 0.71630859375}, {"start": 794.43, "end": 794.71, "word": " and", "probability": 0.92919921875}, {"start": 794.71, "end": 795.19, "word": " SLE", "probability": 0.6702880859375}, {"start": 795.19, "end": 795.75, "word": " Thyroid", "probability": 0.59893798828125}, {"start": 795.75, "end": 796.27, "word": " disease,", "probability": 0.7802734375}, {"start": 796.35, "end": 796.83, "word": " rheumatoid", "probability": 0.864501953125}, {"start": 796.83, "end": 797.27, "word": " disease", "probability": 0.9208984375}, {"start": 797.27, "end": 797.79, "word": " كان", "probability": 0.2476806640625}, {"start": 797.79, "end": 797.95, "word": " في", "probability": 0.8916015625}, {"start": 797.95, "end": 798.35, "word": " علاقة", "probability": 0.8958333333333334}, {"start": 798.35, "end": 798.81, "word": " احيانا", "probability": 0.84453125}, {"start": 798.81, "end": 799.41, "word": " تنجد", "probability": 0.78851318359375}, {"start": 799.41, "end": 799.97, "word": " بين", "probability": 0.8984375}, {"start": 799.97, "end": 800.39, "word": " ال", "probability": 0.430419921875}, {"start": 800.39, "end": 800.85, "word": " myasthenia", "probability": 0.8599853515625}, {"start": 800.85, "end": 801.31, "word": " gravis", "probability": 0.9306640625}, {"start": 801.31, "end": 801.53, "word": " و", "probability": 0.904296875}, {"start": 801.53, "end": 801.87, "word": " systemic", "probability": 0.6962890625}, {"start": 801.87, "end": 803.19, "word": " lobosarithomatosis", "probability": 0.6566162109375}, {"start": 803.19, "end": 803.81, "word": " ال", "probability": 0.3623046875}, {"start": 803.81, "end": 804.21, "word": " thyroid", "probability": 0.457275390625}, {"start": 804.21, "end": 804.95, "word": " gland", "probability": 0.9306640625}, {"start": 804.95, "end": 805.53, "word": " disease", "probability": 0.92431640625}, {"start": 805.53, "end": 805.79, "word": " و", "probability": 0.94580078125}, {"start": 805.79, "end": 806.25, "word": " rheumatoid", "probability": 0.964599609375}, {"start": 806.25, "end": 806.75, "word": " arthritis", "probability": 0.96240234375}, {"start": 806.75, "end": 807.15, "word": " لأن", "probability": 0.72900390625}, {"start": 807.15, "end": 807.31, "word": " هذه", "probability": 0.728515625}, {"start": 807.31, "end": 807.83, "word": " أكترها", "probability": 0.806396484375}, {"start": 807.83, "end": 808.59, "word": " أمراض", "probability": 0.9453125}, {"start": 808.59, "end": 809.15, "word": " علاقة", "probability": 0.7086995442708334}, {"start": 809.15, "end": 809.37, "word": " بال", "probability": 0.96240234375}, {"start": 809.37, "end": 810.19, "word": " autoimmune", "probability": 0.804931640625}, {"start": 810.19, "end": 810.99, "word": " autoimmune", "probability": 0.5863037109375}, {"start": 810.99, "end": 811.37, "word": " disease", "probability": 0.92529296875}, {"start": 811.37, "end": 813.53, "word": " هنا", "probability": 0.92919921875}], "temperature": 1.0}, {"id": 33, "seek": 83032, "start": 815.5, "end": 830.32, "text": "طبيعي في الـ presynaptic الأسيطايل الكليين من ال physical في ال nerve endings بيفرز و بتحد مع الأسيطايل الكليين ال receptors و بنقل الإشارة من ال nerve fibers ل muscle fibers", "tokens": [9566, 21292, 3615, 1829, 8978, 2423, 39184, 1183, 2534, 2796, 299, 16247, 3794, 1829, 9566, 995, 26895, 33251, 20292, 9957, 9154, 2423, 4001, 8978, 2423, 16355, 42474, 4724, 33911, 2288, 11622, 4032, 39894, 24401, 20449, 16247, 3794, 1829, 9566, 995, 26895, 33251, 20292, 9957, 2423, 34102, 4032, 44945, 4587, 1211, 33688, 8592, 9640, 3660, 9154, 2423, 16355, 25252, 5296, 8679, 25252], "avg_logprob": -0.32510080741297814, "compression_ratio": 1.5740740740740742, "no_speech_prob": 0.0, "words": [{"start": 815.5000000000001, "end": 816.4200000000001, "word": "طبيعي", "probability": 0.8013916015625}, {"start": 816.4200000000001, "end": 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1295, 4938, 25724, 11622, 38207, 6024, 104, 7649, 1829, 9154, 9673, 5016, 46958, 25720, 12602, 39319, 8717, 2655, 4117, 19528, 18871, 3714, 43042, 24525, 2304, 3224, 452, 310, 16999, 4032, 31641, 14584, 372, 40826, 293, 452, 404, 9527, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.1619591282155269, "compression_ratio": 1.754208754208754, "no_speech_prob": 0.006015777587890625, "words": [{"start": 1758.6799999999998, "end": 1759.58, "word": "إزالة", "probability": 0.89892578125}, {"start": 1759.58, "end": 1759.82, "word": " الغدّة", "probability": 0.676171875}, {"start": 1759.82, "end": 1760.26, "word": " الزعترية", "probability": 0.85615234375}, {"start": 1760.26, "end": 1760.42, "word": " لا", "probability": 0.7275390625}, {"start": 1760.42, "end": 1760.86, "word": " يحبد", "probability": 0.7488606770833334}, {"start": 1760.86, "end": 1761.1, "word": " لأن", "probability": 0.8466796875}, {"start": 1761.1, "end": 1761.5, "word": " الأعراض", "probability": 0.9041748046875}, {"start": 1761.5, "end": 1761.7, "word": " تكون", "probability": 0.7978515625}, {"start": 1761.7, "end": 1762.22, "word": " بسيطة", "probability": 0.9921875}, {"start": 1762.22, "end": 1763.1, "word": " إذا", "probability": 0.928466796875}, {"start": 1763.1, "end": 1763.54, "word": " المريض", "probability": 0.9788411458333334}, {"start": 1763.54, "end": 1764.26, "word": " لم", "probability": 0.9599609375}, {"start": 1764.26, "end": 1764.76, "word": " يستجيب", "probability": 0.9947265625}, {"start": 1764.76, "end": 1765.14, "word": " للعلاج", "probability": 0.9039713541666666}, {"start": 1765.14, "end": 1765.7, "word": " الدوائي", "probability": 0.9625244140625}, {"start": 1765.7, "end": 1766.32, "word": " في", "probability": 0.54541015625}, {"start": 1766.32, "end": 1766.66, "word": " الحالة", "probability": 0.9501953125}, {"start": 1766.66, "end": 1766.96, "word": " هذه", "probability": 0.958984375}, {"start": 1766.96, "end": 1767.98, "word": " لازم", "probability": 0.9775390625}, {"start": 1767.98, "end": 1768.34, "word": " يتم", "probability": 0.861328125}, {"start": 1768.34, "end": 1768.82, "word": " إزالة", "probability": 0.98681640625}, {"start": 1768.82, "end": 1769.32, "word": " الغدّة", "probability": 0.9787109375}, {"start": 1769.32, "end": 1770.26, "word": " الزعترية", "probability": 0.9689453125}, {"start": 1770.26, "end": 1770.66, "word": " ويتم", "probability": 0.7916666666666666}, {"start": 1770.66, "end": 1771.02, "word": " إجراء", "probability": 0.8909912109375}, {"start": 1771.02, "end": 1771.28, "word": " له", "probability": 0.43701171875}, {"start": 1771.28, "end": 1772.18, "word": " ثائم", "probability": 0.4702962239583333}, {"start": 1772.18, "end": 1772.68, "word": " إكترومين", "probability": 0.7017008463541666}, {"start": 1772.68, "end": 1774.18, "word": " هيك", "probability": 0.553955078125}, {"start": 1774.18, "end": 1774.56, "word": " بيكون", "probability": 0.85888671875}, {"start": 1774.56, "end": 1774.82, "word": " أنا", "probability": 0.6171875}, {"start": 1774.82, "end": 1775.76, "word": " خلصتلكم", "probability": 0.8328857421875}, {"start": 1775.76, "end": 1776.22, "word": " موضوع", "probability": 0.9693603515625}, {"start": 1776.22, "end": 1777.56, "word": " myasthenia", "probability": 0.8509521484375}, {"start": 1777.56, "end": 1778.0, "word": " gravis", "probability": 0.6287841796875}, {"start": 1778.0, "end": 1778.84, "word": " الجزء", "probability": 0.9611002604166666}, {"start": 1778.84, "end": 1779.18, "word": " الثاني", "probability": 0.9437255859375}, {"start": 1779.18, "end": 1779.38, "word": " من", "probability": 0.9765625}, {"start": 1779.38, "end": 1779.94, "word": " المحاضرة", "probability": 0.9893798828125}, {"start": 1779.94, "end": 1780.28, "word": " راح", "probability": 0.9384765625}, {"start": 1780.28, "end": 1780.68, "word": " نتكلم", "probability": 0.98779296875}, {"start": 1780.68, "end": 1781.04, "word": " عن", "probability": 0.9931640625}, {"start": 1781.04, "end": 1781.74, "word": " مرض", "probability": 0.990478515625}, {"start": 1781.74, "end": 1782.1, "word": " اسمه", "probability": 0.9625651041666666}, {"start": 1782.1, "end": 1782.8, "word": " myotonia", "probability": 0.8279622395833334}, {"start": 1782.8, "end": 1783.52, "word": " و", "probability": 0.90576171875}, {"start": 1783.52, "end": 1784.28, "word": " muscular", "probability": 0.91845703125}, {"start": 1784.28, "end": 1785.3, "word": " dystrophy", "probability": 0.8782552083333334}, {"start": 1785.3, "end": 1785.58, "word": " and", "probability": 0.84814453125}, {"start": 1785.58, "end": 1786.14, "word": " myopathy", "probability": 0.9313151041666666}, {"start": 1786.14, "end": 1786.92, "word": " يعطيكم", "probability": 0.9266357421875}, {"start": 1786.92, "end": 1787.26, "word": " العافية", "probability": 0.97607421875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1787.681125, "duration_after_vad": 1724.7556249999955}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e63b338f3d8013e8e5e221fbd5e08e8e4271578a
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA.srt
@@ -0,0 +1,1656 @@
+1
+00:00:04,910 --> 00:00:07,470
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,470 --> 00:00:13,590
+وبركاته المحاضرة الأولى للاسبوع الحادي عشر راح
+
+3
+00:00:13,590 --> 00:00:18,690
+يكون على motor neuron disease والمحاضرة الثانية راح
+
+4
+00:00:18,690 --> 00:00:24,610
+أتكلم على brain tumors.  motor neuron disease قبل ما
+
+5
+00:00:24,610 --> 00:00:27,250
+أبدأ المحاضرة راح أعرض case
+
+6
+00:00:30,200 --> 00:00:37,000
+47 سنة كانت في حالة، معروفة لديها حرارة كبيرة وكانت
+
+7
+00:00:37,000 --> 00:00:46,300
+تبكي، من مدة عامين صعوبة في اللغة، يعني كان
+
+8
+00:00:46,300 --> 00:00:53,280
+عندها dysarthria، dysphonia with nasal tone
+
+9
+00:00:53,280 --> 00:01:02,710
+of speech. كانت رؤية من neurologist، الدراسة الأولى CVA،
+
+10
+00:01:02,710 --> 00:01:07,490
+brain CT كانت مجرد عملية مرتين. عملية عملية عملية
+
+11
+00:01:07,490 --> 00:01:07,730
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+12
+00:01:07,730 --> 00:01:09,950
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+13
+00:01:09,950 --> 00:01:12,770
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+14
+00:01:12,770 --> 00:01:15,390
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+15
+00:01:15,390 --> 00:01:15,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+16
+00:01:15,710 --> 00:01:18,830
+عملية عملية عملية عملية عملية عملية
+
+17
+00:01:18,830 --> 00:01:28,590
+عملية
+
+18
+00:01:29,130 --> 00:01:33,010
+أي الـ brain CT تقريبا normal، لكن لو بدنا نركز شوية
+
+19
+00:01:33,010 --> 00:01:37,970
+على الـ CT ممكن نلاقي small hyperdense signal في
+
+20
+00:01:37,970 --> 00:01:41,730
+الـ right frontal lobe، وقد يكون ما لهوش علاقة بكل
+
+21
+00:01:41,730 --> 00:01:46,450
+الأعراض اللي عند المريضة. أول تشخيص كان للـ
+
+22
+00:01:46,450 --> 00:01:50,310
+neurologist cerebrovascular accident. بعدين تم
+
+23
+00:01:50,310 --> 00:01:54,370
+تحويلها لـ التهاب حنجرة laryngitis. بعدين تم تشخيص
+
+24
+00:01:54,370 --> 00:01:59,170
+myasthenia gravis. وآخر شيء وصلوا له هو hemangioma
+
+25
+00:01:59,170 --> 00:02:03,770
+or AV malformation of right frontal lobe by brain
+
+26
+00:02:03,770 --> 00:02:09,410
+MRI. هذه اللي احنا اتكلمنا عنها في الـ CT. أخصائي
+
+27
+00:02:09,410 --> 00:02:17,410
+الـ التهاب الحنجرة عملوا لها laryngoscopy وكان normal
+
+28
+00:02:17,410 --> 00:02:22,390
+vocal cord. يعني ENT free، مافي عندها مشاكل في
+
+29
+00:02:22,390 --> 00:02:27,450
+الـ التهاب الحنجرة. ما بعرف كيف دخل الـ psychiatric على
+
+30
+00:02:27,450 --> 00:02:32,970
+الخط. أخصائي النفسية وعمل EEG، وأكيد وجدوا الـ EEG
+
+31
+00:02:32,970 --> 00:02:36,510
+bilateral paroxysmal brain discharge.  بدلوها بـ
+
+32
+00:02:36,510 --> 00:02:42,090
+antiepileptic drugs و Xanax، Motival. أدوية مهدئة
+
+33
+00:02:42,090 --> 00:02:50,610
+للاعصاب. هي brain المريضة، الـ brain المريضة واضح هنا في
+
+34
+00:02:50,610 --> 00:02:54,250
+small lesion. هذا في المكان هذا
+
+35
+00:02:54,250 --> 00:02:58,410
+لكن هذا طبيعي، ممكن يكون هذا عبارة عن angioma
+
+36
+00:02:58,410 --> 00:03:02,850
+congenital angioma or cavernoma. التشوه بسيط في
+
+37
+00:03:02,850 --> 00:03:07,730
+شريان، ما لهوش علاقة بالحدث اللي عند المريضة. تم
+
+38
+00:03:07,730 --> 00:03:11,790
+تحويل المريضة على مستشفى المقاصد على الـ head
+
+39
+00:03:11,790 --> 00:03:17,090
+CT and MRI done. final diagnosis: a sinus tumor or
+
+40
+00:03:17,090 --> 00:03:21,130
+infection. واللي في الـ right frontal lobe كانت
+
+41
+00:03:21,130 --> 00:03:24,310
+small right frontal angioma.
+
+42
+00:03:26,510 --> 00:03:28,830
+recommendation: neurosurgical management not
+
+43
+00:03:28,830 --> 00:03:32,190
+indicated. وفعلا هي هذه أنجيومة صغيرة مالهاش علاقة
+
+44
+00:03:32,190 --> 00:03:35,450
+بالجراحة، مابتدهاش تدخل جراحي، بسيطة جدا ومالهاش
+
+45
+00:03:35,450 --> 00:03:38,870
+علاقة بالأعراض اللي عند المريضة. need ENT
+
+46
+00:03:38,870 --> 00:03:41,350
+evaluation and management. تم تحويلها على مستشفى
+
+47
+00:03:41,350 --> 00:03:46,730
+المقاصد في القدس. في نفس الوقت عملوا لها رينوجوسكوبي
+
+48
+00:03:46,730 --> 00:03:50,630
+no any pathological findings. الـ diagnosis
+
+49
+00:03:50,630 --> 00:03:54,990
+sphenoiditis. treated by antibacterial and anti
+
+50
+00:03:54,990 --> 00:03:59,750
+-inflammatory drugs. تم طلب لها follow-up with
+
+51
+00:03:59,750 --> 00:04:07,010
+neck, brain and sinus CT في
+
+52
+00:04:07,010 --> 00:04:12,620
+غزة. شافوها الـ neurologist، ENT، neurosurgeon. بعد هي
+
+53
+00:04:12,620 --> 00:04:15,100
+راحت لـ neurological consultation. رجالتي شفتها
+
+54
+00:04:15,100 --> 00:04:22,420
+اللي في الـ examination لما عينتها كان عندها اللي
+
+55
+00:04:22,420 --> 00:04:27,920
+هو progressive speech difficulty, dysarthria,
+
+56
+00:04:28,240 --> 00:04:32,120
+dysphonia, nasal tone of speech, family history,
+
+57
+00:04:32,460 --> 00:04:35,860
+no familial history of neural or muscular disease.
+
+58
+00:04:35,860 --> 00:04:39,480
+في الـ examination كان عندها normal cognitive
+
+59
+00:04:39,480 --> 00:04:45,080
+function. cranial nerves من واحد لتمانية كانوا طبيعيين.
+
+60
+00:04:45,080 --> 00:04:49,660
+nasal tone of speech, artery, bilateral wasting
+
+61
+00:04:49,660 --> 00:04:53,600
+and fasciculation of tongue. كان عندها wasting و
+
+62
+00:04:53,600 --> 00:04:56,280
+fasciculation في الـ tongue. تم تشخيصها قبل ما تجمع
+
+63
+00:04:56,280 --> 00:05:00,760
+الكرسي، مجرد ما طلبت منها انها تخرج لسانها، ولاحظت عندها
+
+64
+00:05:00,760 --> 00:05:04,500
+fasciculation و muscular atrophy in the tongue
+
+65
+00:05:04,500 --> 00:05:09,220
+muscle. كان تشخيصها جاهز، decreased bilateral gag
+
+66
+00:05:09,220 --> 00:05:14,210
+reflex. لكن أيامها، أول ما شوفتها كان absolutely no
+
+67
+00:05:14,210 --> 00:05:18,810
+motor weakness, no coordination, no sensory disturbances,
+
+68
+00:05:19,230 --> 00:05:23,450
+autonomic sphincters normal. بعدها أكيد تطور المرض
+
+69
+00:05:23,450 --> 00:05:27,530
+وحدث معها weakness في الـ upper limbs و الـ lower
+
+70
+00:05:27,530 --> 00:05:36,330
+limbs. الـ MRI تم إعادة الـ MRI لها. واضح هنا أن
+
+71
+00:05:37,650 --> 00:05:42,290
+something بسيط. هذه ماشية مع اللي هي انعمل MR
+
+72
+00:05:42,290 --> 00:05:45,630
+Angiography. وهذه الـ blood vessels تعتبر blood
+
+73
+00:05:45,630 --> 00:05:50,830
+vessels هي angioma of ايش؟ Artery. وهذه تعتبر
+
+74
+00:05:50,830 --> 00:05:54,690
+congenital، منذ الولادة، مش جديدة، ومالهاش علاقة
+
+75
+00:05:54,690 --> 00:05:56,450
+بالأعراض اللي عند المريضة.
+
+76
+00:06:06,520 --> 00:06:09,740
+هي MR Angiography، اللي blood vessels كويسين في
+
+77
+00:06:09,740 --> 00:06:14,840
+المكان هذا، بس فقط في small angioma. MRV، Magnetic
+
+78
+00:06:14,840 --> 00:06:19,240
+Resonance Venography. كان mild hypoplasia في left
+
+79
+00:06:19,240 --> 00:06:22,640
+transverse sinus. و they are not related لـ الـ
+
+80
+00:06:22,640 --> 00:06:26,850
+patient presentation. طلبت لها EMG and nerve
+
+81
+00:06:26,850 --> 00:06:30,750
+conduction study، عشان أكد المشكلة في الـ nerve أو
+
+82
+00:06:30,750 --> 00:06:34,930
+في الـ muscle، أو في الـ nuclei بتاع الـ hypoglossal
+
+83
+00:06:34,930 --> 00:06:38,370
+nerve، والـ glossopharyngeal، و الـ vagus، و الـ cranial
+
+84
+00:06:38,370 --> 00:06:42,710
+accessory. اللي لما طلبت الـ EMG في الـ upper و الـ lower
+
+85
+00:06:42,710 --> 00:06:46,850
+limbs كانوا normal، كانوا normal. الـ EMG و الـ nerve
+
+86
+00:06:46,850 --> 00:06:50,390
+conduction study لـ عضلة الـ tongue كان في signs
+
+87
+00:06:50,390 --> 00:06:55,010
+of fibrillation, fasciculation with decreased
+
+88
+00:06:55,010 --> 00:06:59,110
+amplitude of compound muscle action potential. لكن
+
+89
+00:06:59,110 --> 00:07:06,670
+كان عندها normal conduction velocity. يعني normal
+
+90
+00:07:06,670 --> 00:07:11,810
+conduction velocity بيدل على ايه؟ normal conduction
+
+91
+00:07:11,810 --> 00:07:17,850
+velocity بيدل أنه الـ nerve سليم، الـ nerve غير مصاب.
+
+92
+00:07:19,810 --> 00:07:23,770
+وكان تشخيصي إنها هي هذه حالة motor neuron
+
+93
+00:07:23,770 --> 00:07:29,010
+disease، أو بيسموه Lou Gehrig disease، isolated
+
+94
+00:07:29,010 --> 00:07:32,950
+progressive bulbar palsy. يعني المرض اسمه motor
+
+95
+00:07:32,950 --> 00:07:36,810
+neuron disease، والنوع اللي بدأ فيه المرض bulbar
+
+96
+00:07:36,810 --> 00:07:43,290
+palsy. bulbar palsy. نبدأ بمحاضرة motor neuron
+
+97
+00:07:43,290 --> 00:07:48,470
+disease. إيش هو motor neuron disease؟ هو عبارة عن
+
+98
+00:07:49,630 --> 00:07:54,870
+progressive disease characterized by progressive
+
+99
+00:07:54,870 --> 00:07:58,910
+degeneration of motor neurons in the brain and
+
+100
+00:07:58,910 --> 00:08:05,130
+spinal cord. يبقى المرض بيصيب فقط الـ motor neurons
+
+101
+00:08:05,130 --> 00:08:11,170
+in the brain and spinal cord. لذلك سمي المرض motor
+
+102
+00:08:11,170 --> 00:08:16,850
+neuron disease. بيصيب الـ upper motor neurons وبيصيب
+
+103
+00:08:16,850 --> 00:08:21,530
+الـ lower motor neurons. What is motor neuron
+
+104
+00:08:21,530 --> 00:08:27,650
+disease؟ الـ motor neuron disease هو بنسميه
+
+105
+00:08:27,650 --> 00:08:33,150
+amyotrophic lateral sclerosis. هذا الـ amyotrophic
+
+106
+00:08:33,150 --> 00:08:37,210
+lateral sclerosis اللي الأمريكان بيطلقوا عليه الـ MND
+
+107
+00:08:37,210 --> 00:08:41,330
+يعني MND أو amyotrophic lateral sclerosis نفس
+
+108
+00:08:41,330 --> 00:08:45,790
+المرض. لكن البريطانيين قالوا لأ، الـ MND هو المرض
+
+109
+00:08:45,790 --> 00:08:50,750
+الرئيسي، amyotrophic lateral sclerosis هو نوع من
+
+110
+00:08:50,750 --> 00:08:53,770
+أنواع الـ motor neuron disease. وهذا الصح وهذا هو
+
+111
+00:08:53,770 --> 00:08:57,770
+الصحيح. يعني الـ motor neuron disease هو عنوان المرض
+
+112
+00:08:57,770 --> 00:09:03,470
+ككل وله sub types من ضمنهم amyotrophic lateral
+
+113
+00:09:03,470 --> 00:09:10,410
+sclerosis، أو بيسموه الأمريكان Lou Gehrig disease. من
+
+114
+00:09:10,410 --> 00:09:14,310
+وين أجت كلمة amyotrophic lateral sclerosis؟ أنا لما
+
+115
+00:09:14,310 --> 00:09:19,120
+أتكلم على الـ A، على الـ M، على الـ S، بتكلم على الـ MND كمان. أيه؟ لأن
+
+116
+00:09:19,120 --> 00:09:24,500
+هو نوع من أنواع الـ MND. أيه؟ absence of muscle
+
+117
+00:09:24,500 --> 00:09:29,860
+trophic: nourishment. lateral: side of spine.
+
+118
+00:09:29,860 --> 00:09:35,120
+sclerosis: hardening. hardening. لأن هو amyotrophic
+
+119
+00:09:35,120 --> 00:09:40,900
+lateral sclerosis. Lou Gehrig
+
+120
+00:09:40,900 --> 00:09:48,070
+مرض Lou Gehrig هو عبارة عن famous baseball player
+
+121
+00:09:48,070 --> 00:09:59,310
+أمريكي الجنسية، أصيب بمرض ALS من سنة 1938. سنة 1938
+
+122
+00:09:59,310 --> 00:10:05,430
+كان عنده poor season. حدث معه leg weakness. الـ
+
+123
+00:10:05,430 --> 00:10:11,070
+weakness في الـ leg أكثر من الـ arm، وبدأ عملية سقوط
+
+124
+00:10:11,070 --> 00:10:25,110
+كثير أثناء اللعب بتاعه. لعب 2130 games. سنة 1939 فقط
+
+125
+00:10:25,110 --> 00:10:33,210
+eight games. يعني انخفض النشاط اللي بتابعه اتقل
+
+126
+00:10:33,210 --> 00:10:37,150
+في 1939.
+
+127
+00:10:39,210 --> 00:10:43,690
+تم تشخيصه... لحظة... متى تم تشخيصه؟ في 1939.
+
+128
+00:10:43,690 --> 00:10:46,370
+في العالم كله هذا
+
+129
+00:10:46,370 --> 00:10:50,190
+المرض ممكن يستغرق تشخيصه ست شهور لأنه في البداية
+
+130
+00:10:50,190 --> 00:10:53,870
+احنا لا الـ MRI ولا الـ CT بيشخصوه، لازم اكون عارف
+
+131
+00:10:53,870 --> 00:11:00,640
+clinical presentation of disease جيد. كان عمره في
+
+132
+00:11:00,640 --> 00:11:10,160
+الـ 1936 سنة. يعني المرض خطير، مرض خطير. سنة 1940 حدث
+
+133
+00:11:10,160 --> 00:11:15,800
+معه dysphonia، مشاكل في الصوت والكلام. أكيد حدث
+
+134
+00:11:15,800 --> 00:11:22,760
+معه dysphagia، صعوبة في البلع، وتوفي في 2 يونيو 1941.
+
+135
+00:11:22,760 --> 00:11:30,650
+عمره كان 38 سنة، يعني خلال عامين. بدأ المرض سنة 1938
+
+136
+00:11:30,650 --> 00:11:37,570
+و 1941،  حوالي ثلاث سنوات، ثلاث سنوات. توفي بالمرض، عشان
+
+137
+00:11:37,570 --> 00:11:42,170
+هيك الأمريكان سموه Lou Gehrig disease، احتراما
+
+138
+00:11:42,170 --> 00:11:48,250
+للاعب الـ baseball بتاعهم اللي أصيب بهذا المرض. طيب
+
+139
+00:11:48,250 --> 00:11:52,410
+كيف تم تشخيص الحالات؟ الـ history of amyotrophic
+
+140
+00:11:52,410 --> 00:11:57,090
+lateral sclerosis. أول حالة تم تشخيصها في فرنسا في
+
+141
+00:11:57,090 --> 00:12:04,870
+باريس by Jean-Martin Charcot، مبدع في طب الأعصاب، كان
+
+142
+00:12:04,870 --> 00:12:12,730
+في فرنسا سنة 1869. تم تشخيص أول حالة بمرض الـ ALS أو
+
+143
+00:12:12,730 --> 00:12:19,180
+motor neuron disease. وسنة 1881 تم ترجمة أول محاضرة
+
+144
+00:12:19,180 --> 00:12:25,400
+من اللغة الفرنسية إلى اللغة الإنجليزية بمرض ALS أو
+
+145
+00:12:25,400 --> 00:12:30,240
+مرض MND، اللي هو motor neuron disease. في الـ normal
+
+146
+00:12:31,780 --> 00:12:36,120
+لما يكون الـ neuron سليم، راح يوصل إشارة لـ الـ muscle
+
+147
+00:12:36,120 --> 00:12:39,780
+والـ muscle تكون في وضع ممتاز. لكن في حال حدث
+
+148
+00:12:39,780 --> 00:12:44,660
+degeneration لـ الـ motor neurons، راح الإشارة تكون
+
+149
+00:12:44,660 --> 00:12:49,280
+أضعف لما تصل للعضلة، وراح يحدث wasting in the
+
+150
+00:12:49,280 --> 00:12:52,280
+muscle. muscle wasting أو muscle hypotrophy.
+
+151
+00:12:52,280 --> 00:13:01,360
+epidemiology. الـ incidence of ALS: حالتين لكل مائة ألف
+
+152
+00:13:01,360 --> 00:13:08,580
+في السنة. حالتين لكل مائة ألف سنويا. الـ male to
+
+153
+00:13:08,580 --> 00:13:13,260
+female ratio: ثلاثة إلى اثنين. الـ male للـ female، يصيب
+
+154
+00:13:13,260 --> 00:13:17,340
+الـ male أكثر من الـ female. الـ main age: خمسة وخمسون
+
+155
+00:13:17,340 --> 00:13:21,000
+سنة. لكن أكثر شيء بيبدأ المرض في سن الأربعين، في
+
+156
+00:13:21,000 --> 00:13:26,200
+الثلاثينات، في الأربعينات، في الخمسينات. خمسون في المئة من
+
+157
+00:13:26,200 --> 00:13:31,720
+مرضى الـ ALS بتوفوا خلال ثلاث لخمس سنوات. يعني مرض
+
+158
+00:13:31,720 --> 00:13:36,080
+خطير، مثل الـ cancer، مثل السرطان، malignant disease.
+
+159
+00:13:36,080 --> 00:13:40,620
+عشرة إلى عشرون في المئة منهم ممكن يعيشوا أكثر من عشر
+
+160
+00:13:40,620 --> 00:13:47,800
+سنوات من بعد تشخيصهم. etiology of ALS. إيش أسباب الـ
+
+161
+00:13:47,800 --> 00:13:51,800
+ALS؟ ممكن
+
+162
+00:13:51,800 --> 00:13:59,060
+يكون الـ ALS sporadic cases، وممكن يكونوا genetic أو
+
+163
+00:13:59,060 --> 00:14:04,620
+familial cases. تسعون في المئة من الـ ALS بيكونوا
+
+164
+00:14:04,620 --> 00:14:08,920
+sporadic، مش معروف سببهم. تسعون في المئة. عشرة في
+
+165
+00:14:08,920 --> 00:14:13,100
+المئة من الحالات بيكونوا familial، وراثيًا. والعشرة
+
+166
+00:14:13,100 --> 00:14:17,680
+في المئة هذول، وجدوا أنه عشرون في المئة يعني عشرون
+
+167
+00:14:17,680 --> 00:14:23,090
+في المئة من العشرة، عندهم mutation في إنزيم اسمه
+
+168
+00:14:23,090 --> 00:14:27,070
+superoxide dismutase 1 gene. يعني عندهم mutation في
+
+169
+00:14:27,070 --> 00:14:33,570
+جين اللي هو superoxide dismutase. طيب إيش وظيفته
+
+170
+00:14:33,570 --> 00:14:37,670
+هذا superoxide dismutase؟ في الطبيعة، الـ superoxide
+
+171
+00:14:37,670 --> 00:14:42,520
+dismutase بيتحد وبيعمل binding مع الـ active
+
+172
+00:14:42,520 --> 00:14:48,200
+radicals وبيخرجهم من الجسم عن طريق البول، بيعمل binding مع
+
+173
+00:14:48,200 --> 00:14:55,220
+الـ urine. لكن لما يكون في mutation في حالات الـ
+
+174
+00:14:55,220 --> 00:14:59,290
+familial amyotrophic lateral sclerosis، راح يحدث
+
+175
+00:14:59,290 --> 00:15:03,170
+mutations، طفرة في هذا الـ gene اللي مسؤول عن الـ
+
+176
+00:15:03,170 --> 00:15:07,670
+enzyme، بيكون في هذه الحالة الـ protein unable to
+
+177
+00:15:07,670 --> 00:15:12,730
+bind to the active radicals. ما بيقدرش يتحد مع الـ
+
+178
+00:15:12,730 --> 00:15:17,610
+active radicals. مثل ايش؟ الـ zinc. وفي الحالة هذه، الـ
+
+179
+00:15:17,610 --> 00:15:20,510
+zinc راح يتحد مع other proteins ويحدث له
+
+180
+00:15:20,510 --> 00:15:23,970
+accumulation في الجسم ويأثر على الـ motor neurons.
+
+181
+00:15:23,970 --> 00:15:29,610
+لكن لحد الآن ما في أي professor في العالم قادر يجاوب على
+
+182
+00:15:29
+
+223
+00:18:30,670 --> 00:18:33,430
+الـ cranial nerves Lower Motoneuron طب الـ
+
+224
+00:18:33,430 --> 00:18:36,030
+neuromuscular junction Lower Motoneuron الـ muscle
+
+225
+00:18:36,030 --> 00:18:41,670
+fibers Lower Motoneuron إيش
+
+226
+00:18:41,670 --> 00:18:47,990
+بحدث في مرض الـ motor neurone disease؟ في هنا motor
+
+227
+00:18:47,990 --> 00:18:53,250
+area الـ motor area تعطينا corticospinal tract أو
+
+228
+00:18:53,250 --> 00:18:58,170
+fibers و corticonuclear أو corticobulbar tract الـ
+
+229
+00:18:58,170 --> 00:19:01,510
+corticospinal tract بيعطينا fibers للـ anterior
+
+230
+00:19:01,510 --> 00:19:04,870
+horn cells و الـ anterior horn cells بتسلم الـ nerve
+
+231
+00:19:04,870 --> 00:19:08,410
+و الـ muscle قبل corticobulbar أو corticonuclear
+
+232
+00:19:08,410 --> 00:19:12,030
+tract نفس الشيء بيعطينا fibers للموتور نوكلياي in
+
+233
+00:19:12,030 --> 00:19:15,410
+the brainstem طب و الـموتور نوكلياي أو الـموتور بلبر
+
+234
+00:19:15,410 --> 00:19:19,030
+نوكلياي بتعطينا fibers لـ الـ cranial nerves motor
+
+235
+00:19:19,030 --> 00:19:22,610
+و الـموتور cranial nerves بيعطونا fibers لـ الـ muscle
+
+236
+00:19:22,610 --> 00:19:26,250
+بيغذي الـ muscles المرض هذا اللي هو motor neuron
+
+237
+00:19:26,250 --> 00:19:32,850
+disease ممكن يصيب corticospinal tract لوحده في
+
+238
+00:19:32,850 --> 00:19:40,040
+البداية وممكن يصيب corticobulbar tract  هذين
+
+239
+00:19:40,040 --> 00:19:46,400
+وممكن يصيب anterior horn cells ثلاثة وممكن يصيب
+
+240
+00:19:46,400 --> 00:19:51,600
+motor bulbar nuclei in the brainstem أربعة وممكن
+
+241
+00:19:51,600 --> 00:19:56,800
+يكون خليط ما بينهم يصيب أكثر من جهة في نفس اللحظة
+
+242
+00:19:56,800 --> 00:20:02,180
+أو يبدأ بجهة ويتطور لجهة أخرى يبقى كمان مرة نفهمش
+
+243
+00:20:02,180 --> 00:20:05,780
+المرض يصيب الـ corticospinal tract هذا واحد
+
+244
+00:20:06,880 --> 00:20:10,900
+يصيب corticobulbar tract هما نوعان يصيب الـ
+
+245
+00:20:10,900 --> 00:20:15,380
+anterior horn cells ثلاثة يصيب الـ motor nuclei in
+
+246
+00:20:15,380 --> 00:20:18,880
+the brainstem أربعة وممكن يكون خليط ما بينهم هما
+
+247
+00:20:18,880 --> 00:20:23,320
+خمسة  هناك خمسة أنواع لـ motor neuron disease في حال
+
+248
+00:20:23,320 --> 00:20:30,700
+صاب الـ corticospinal tract  ستكون الأعراض upper
+
+249
+00:20:30,700 --> 00:20:36,250
+motoneuron في حال صاب الكورتيكو بالبري تراكت ستكون
+
+250
+00:20:36,250 --> 00:20:40,810
+الأعراض upper motoneuron طب لو صاب الـ
+
+251
+00:20:40,810 --> 00:20:44,630
+anterior horn cells ستكون lower motoneuron
+
+252
+00:20:44,630 --> 00:20:48,830
+symptoms طب لو صاب الموتور نوكلياي في الدماغ ستكون
+
+253
+00:20:48,830 --> 00:20:52,570
+lower motor neuron symptoms طب لو حدث خليط ما
+
+254
+00:20:52,570 --> 00:20:56,470
+بينهم يصعب أكثر من جزء ستكون upper and lower
+
+255
+00:20:56,470 --> 00:21:01,970
+motor neuron  mixed paralysis شلل mixed بيكون
+
+256
+00:21:01,970 --> 00:21:05,570
+فيه بيكون signs of upper motor neuron و signs of
+
+257
+00:21:05,570 --> 00:21:10,380
+lower motor neuron هنا شرحت لكم أين المشكلة في
+
+258
+00:21:10,380 --> 00:21:15,520
+المرض لأن سنتقل لأنواعه أو الـ type of motor
+
+259
+00:21:15,520 --> 00:21:19,340
+neuron disease هذه أنواع الـ motor neuron disease
+
+260
+00:21:19,340 --> 00:21:26,620
+أول نوع primary lateral sclerosis الـ primary
+
+261
+00:21:26,620 --> 00:21:30,880
+lateral sclerosis يكون صعب من صعب الـ upper motor
+
+262
+00:21:30,880 --> 00:21:34,560
+neuron اللي هو lateral corticospinal tract lateral
+
+263
+00:21:34,560 --> 00:21:38,900
+corticospinal tract أو corticospinal tract يعني الـ
+
+264
+00:21:38,900 --> 00:21:43,560
+symptoms ستكون upper motoneuron طب لو صاب الـ
+
+265
+00:21:43,560 --> 00:21:48,440
+anterior horn cells سيعطينا progressive muscular
+
+266
+00:21:48,440 --> 00:21:53,480
+atrophy و الـ symptoms ستكون lower motoneuron
+
+267
+00:21:53,480 --> 00:21:59,140
+طب لو كان خليط ما بينهم كلهم amyotrophic lateral
+
+268
+00:21:59,140 --> 00:22:04,820
+sclerosis amyotrophic lateral sclerosis يعني lower
+
+269
+00:22:04,820 --> 00:22:11,200
+motoneuron مع upper motoneuron مع بعض لو صاب الـ
+
+270
+00:22:11,200 --> 00:22:16,560
+motor nuclei in the brain stem ستعطينا
+
+271
+00:22:16,560 --> 00:22:22,580
+progressive bulbar palsy طب
+
+272
+00:22:22,580 --> 00:22:27,660
+لو صاب corticonuclear tract أو corticobulbar tract
+
+273
+00:22:27,660 --> 00:22:32,960
+bilateral سيعطينا progressive pseudobulbar palsy
+
+274
+00:22:33,800 --> 00:22:35,960
+و هناك أنواع تأخذونها في الأطفال أو أخذتوها
+
+275
+00:22:35,960 --> 00:22:41,800
+inherited MND نسميها  اللي هو spinal
+
+276
+00:22:41,800 --> 00:22:48,440
+muscular dystrophy أول
+
+277
+00:22:48,440 --> 00:22:52,640
+نوع نتركه نبدأ في النوع الثاني primary lateral
+
+278
+00:22:52,640 --> 00:22:57,080
+sclerosis أين المشكلة في corticospinal tract الـ
+
+279
+00:22:57,080 --> 00:23:00,640
+symptoms upper motoneuron يكون isolated upper
+
+280
+00:23:00,640 --> 00:23:04,810
+motoneuron النوع الثاني progressive muscular
+
+281
+00:23:04,810 --> 00:23:09,610
+atrophy، أين المشكلة؟ في الـ anterior horn cells،
+
+282
+00:23:09,610 --> 00:23:13,570
+الـ symptoms؟ lower motor neurone lesion النوع الذي
+
+283
+00:23:13,570 --> 00:23:18,120
+بعده؟ progressive bulbar palsy، أين المشكلة؟ في الـ
+
+284
+00:23:18,120 --> 00:23:23,400
+motor nuclei in the brain stem symptoms lower
+
+285
+00:23:23,400 --> 00:23:27,160
+motor neuron lesion  الآخر progressive
+
+286
+00:23:27,160 --> 00:23:32,680
+pseudobulbar palsy أين المشكلة damage of both
+
+287
+00:23:32,680 --> 00:23:37,100
+corticonuclear tracts الـ symptoms upper motor
+
+288
+00:23:37,100 --> 00:23:41,400
+neuron lesion طب لو حدث خليط ما بينهم أصاب أكثر
+
+289
+00:23:41,400 --> 00:23:46,050
+من الـ fibers أو الـ nuclei يعني كان هنا primary
+
+290
+00:23:46,050 --> 00:23:50,270
+lateral وتطور لـ progressive muscular أو من البداية
+
+291
+00:23:50,270 --> 00:23:52,990
+بدأ الاثنين معاً أو بدأ بالبلبار معاً
+
+292
+00:23:52,990 --> 00:23:58,870
+نسميها amyotrophic lateral sclerosis  ترون؟
+
+293
+00:23:58,870 --> 00:24:02,250
+amyotrophic lateral sclerosis يعني amyotrophic
+
+294
+00:24:02,250 --> 00:24:07,390
+lateral sclerosis تعتبر upper motoneuron and lower
+
+295
+00:24:07,390 --> 00:24:13,400
+motoneuron  combination ما بينهم primary lateral
+
+296
+00:24:13,400 --> 00:24:17,500
+sclerosis is
+
+297
+00:24:17,500 --> 00:24:27,100
+progressive isolated upper motor neuron lesion due
+
+298
+00:24:27,100 --> 00:24:31,460
+to damage of corticospinal tract
+
+299
+00:24:36,160 --> 00:24:40,020
+Upper Motoneuron ونظل نسميه مدى الحياة Primary
+
+300
+00:24:40,020 --> 00:24:44,700
+Lateral Sclerosis لكن أكثر الحالات بعد فترة من
+
+301
+00:24:44,700 --> 00:24:49,520
+الزمن يظهر عليهم علامات Lower Motoneuron لكن
+
+302
+00:24:49,520 --> 00:24:53,100
+المرض بدأ بـ Upper Motoneuron Lesion يجب أن
+
+303
+00:24:53,100 --> 00:25:02,670
+نسميه Upper Motoneuron Onset of ALS يعني إيش upper
+
+304
+00:25:02,670 --> 00:25:06,870
+motoneuron onset ALS؟ المريض لديه mixed paralysis
+
+305
+00:25:06,870 --> 00:25:10,090
+لديه upper و lower motoneuron لكن الأعراض الظاهرة
+
+306
+00:25:10,090 --> 00:25:13,950
+أكثر عند المريض و الأعراض التي بدأ بها المرض هي
+
+307
+00:25:13,950 --> 00:25:19,050
+upper motoneuron لذلك نسميها upper motoneuron
+
+308
+00:25:19,050 --> 00:25:25,370
+onset ALS النوع الثاني progressive muscular
+
+309
+00:25:25,370 --> 00:25:31,000
+atrophy أين المشكلة هنا؟ في الـ anterior horn cells
+
+310
+00:25:31,000 --> 00:25:34,320
+ما دام في الـ anterior horn cells ستكون الأعراض
+
+311
+00:25:34,320 --> 00:25:38,980
+lower motoneuron lesion ممكن تبقى isolated long
+
+312
+00:25:38,980 --> 00:25:43,640
+life lower motoneuron وممكن بعدها تظهر أعراض أخرى
+
+313
+00:25:43,640 --> 00:25:51,440
+مثل hyperreflexia ونسميها lower motoneuron onset
+
+314
+00:25:51,440 --> 00:25:54,760
+ALS العكس لأنه بدأ بـ lower motoneuron symptoms
+
+315
+00:25:54,760 --> 00:25:59,320
+سنقول lower motoneuron onset ALS يعني المرض
+
+316
+00:25:59,320 --> 00:26:03,080
+يبدأ أولاً بـ signs of lower motoneuron يكون
+
+317
+00:26:03,080 --> 00:26:08,060
+لديهم muscle wasting fasciculation hypotrophy
+
+318
+00:26:08,060 --> 00:26:12,400
+skeleton hand  severe muscle hypotrophy
+
+319
+00:26:12,400 --> 00:26:17,080
+و بعدها يحدث  hyperreflexia
+
+320
+00:26:17,080 --> 00:26:23,100
+ونقول لديهم lower motor neuron onset ALS طب لو
+
+321
+00:26:23,100 --> 00:26:27,680
+كان خليط ما بينهما من البداية أو طور المرض ووجدنا
+
+322
+00:26:27,680 --> 00:26:29,740
+عند المريض upper motor neuron مع lower motor
+
+323
+00:26:29,740 --> 00:26:32,700
+neuron  muscle hypotrophy muscle
+
+324
+00:26:32,700 --> 00:26:35,600
+fasciculation و hyperreflexia hyperreflexia عندما
+
+325
+00:26:35,600 --> 00:26:40,170
+نرى في هذه الحالة ماذا نقول عند المريض لديه أميو
+
+326
+00:26:40,170 --> 00:26:43,170
+تروفيك لاترال اسكليروسيس  هو
+
+327
+00:26:43,170 --> 00:26:47,350
+combination between upper motoneuron damage and
+
+328
+00:26:47,350 --> 00:26:50,550
+lower motoneuron damage وفي هذه الحالة يكون
+
+329
+00:26:50,550 --> 00:26:54,110
+المشكلة في الـ corticospinal tract في الـ anterior horn cells
+
+330
+00:26:54,110 --> 00:26:57,410
+ممكن يكونوا في الـ bulbar nuclei ممكن يكونوا في الـ
+
+331
+00:26:57,410 --> 00:27:02,710
+corticonuclear tract ونسميه amyotrophic lateral
+
+332
+00:27:02,710 --> 00:27:09,350
+sclerosis هنا واضح المرضى لديهم atrophy في
+
+333
+00:27:09,350 --> 00:27:14,530
+الـ facial muscles في الـ shoulder في الـ arm في
+
+334
+00:27:14,530 --> 00:27:19,610
+الـ hand hypotrophy نسميها skeleton hand skeleton
+
+335
+00:27:19,610 --> 00:27:22,510
+hand من ماذا؟ من الـ muscle hypotrophy  distal
+
+336
+00:27:22,510 --> 00:27:28,670
+hypotrophy واضح عند المرضى pseudobulbar palsy
+
+337
+00:27:28,670 --> 00:27:33,450
+pseudobulbar palsy هي upper motor neuron
+
+338
+00:27:33,450 --> 00:27:40,650
+damage due to lesion of or degeneration of both
+
+339
+00:27:40,650 --> 00:27:47,490
+corticonuclear tracts أو corticobulbar tract نفس
+
+340
+00:27:47,490 --> 00:27:50,350
+الشيء corticobulbar أو corticonuclear tract هنا
+
+341
+00:27:50,350 --> 00:27:53,210
+نلاحظ لديهم exaggeration of gag reflex
+
+342
+00:27:53,210 --> 00:27:57,040
+يكون لديهم food Floyd  regurgitation يكون لديهم
+
+343
+00:27:57,040 --> 00:28:01,340
+dysphagia، dysphonia، dysarthria، tongue is
+
+344
+00:28:01,340 --> 00:28:06,140
+immobile و cannot protrude، يكون لديهم emotional
+
+345
+00:28:06,140 --> 00:28:10,360
+liability، يبكون بدون سبب، يضحكون بدون سبب
+
+346
+00:28:12,260 --> 00:28:14,300
+النوع الأخير progressive bulbar palsy progressive
+
+347
+00:28:14,300 --> 00:28:17,700
+bulbar palsy progressive bulbar palsy
+
+348
+00:28:17,700 --> 00:28:18,920
+progressive bulbar palsy progressive bulbar palsy
+
+349
+00:28:18,920 --> 00:28:19,120
+progressive bulbar palsy progressive bulbar palsy
+
+350
+00:28:19,120 --> 00:28:19,980
+progressive bulbar palsy progressive bulbar palsy
+
+351
+00:28:19,980 --> 00:28:20,380
+progressive bulbar palsy progressive bulbar palsy
+
+352
+00:28:20,380 --> 00:28:32,840
+progressive bulbar palsy progressive bulbar palsy
+
+353
+00:28:32,840 --> 00:28:37,950
+bulbar palsy  ممكن المرض يبدأ بأعراض بلبار مثل
+
+354
+00:28:37,950 --> 00:28:41,090
+الحالة التي عرضتها بدأت بالبلبار وممكن يتطور
+
+355
+00:28:41,090 --> 00:28:48,550
+لأعراض أخرى ونسميه bulbar onset ALS المرض إذا بدأ
+
+356
+00:28:48,550 --> 00:28:52,530
+بالبلبار خطير  وإذا بدأ بـ lower motor neuron
+
+357
+00:28:52,530 --> 00:28:57,060
+أخطر يعني المرضى لديهم muscle fasciculation
+
+358
+00:28:57,060 --> 00:29:00,780
+and atrophy, jaw jerk and gag reflex absent
+
+359
+00:29:00,780 --> 00:29:04,380
+المريضة عندما أخرجت لسانها لاحظت
+
+360
+00:29:04,380 --> 00:29:08,080
+لديه اللسان severe muscle atrophy مع
+
+361
+00:29:08,080 --> 00:29:12,380
+fasciculation  هذه حالة motor
+
+362
+00:29:12,380 --> 00:29:18,700
+neuron disease bulbar onset bulbar type نتذكر يا
+
+363
+00:29:18,700 --> 00:29:27,240
+جماعة أن motor neuron disease لا يوجد أعراض حسية
+
+364
+00:29:27,240 --> 00:29:33,780
+sensory symptoms  لا مشاكل في الإحساس لا يوجد
+
+365
+00:29:33,780 --> 00:29:39,660
+ocular symptoms لا مشاكل في عضلات العين لا يوجد
+
+366
+00:29:39,660 --> 00:29:43,500
+sphincter dysfunctions لا مشاكل في البول
+
+367
+00:29:43,500 --> 00:29:47,800
+و البراز لا يوجد وأنا أتذكرها في MND أو
+
+368
+00:29:47,800 --> 00:29:51,240
+motor neurone disease  لا أعراض حسية
+
+369
+00:29:52,290 --> 00:29:57,990
+no ocular symptoms and no autonomic sphincter
+
+370
+00:29:57,990 --> 00:30:03,630
+symptoms  لا سلس بول أو براز أتحدث
+
+371
+00:30:03,630 --> 00:30:09,290
+كلمتين أخذتوها في الأطفال  inherited motor
+
+372
+00:30:09,290 --> 00:30:13,030
+neuron disease هذه تسمى spinal muscular atrophy
+
+373
+00:30:13,030 --> 00:30:18,230
+أو SMA أخذتوها في الأطفال SMA is inherited motor
+
+374
+00:30:18,230 --> 00:30:23,710
+neuron disease أو تسمى recessive disease المشكلة
+
+375
+00:30:23,710 --> 00:30:27,770
+أين هنا المشكلة تكون في الـ anterior horn cells of
+
+376
+00:30:27,770 --> 00:30:32,190
+the spinal cord  degeneration of the
+
+377
+00:30:32,190 --> 00:30:36,030
+anterior horn cells يؤدي إلى symmetrical muscle
+
+378
+00:30:36,030 --> 00:30:39,850
+weakness and wasting  أنواع كثيرة منهم وأنا
+
+379
+00:30:39,850 --> 00:30:43,910
+أذكر لكم النوع الأول  Hoffman disease acute
+
+380
+00:30:43,910 --> 00:30:48,050
+infantile spinal muscular atrophy يموتون
+
+381
+00:30:48,050 --> 00:30:52,630
+الأطفال قبل سن ثمانية عشر شهراً من الـ aspiration
+
+382
+00:30:52,630 --> 00:30:56,840
+pneumonia من الـ respiratory failure في
+
+383
+00:30:56,840 --> 00:31:01,300
+Werdnig-Hoffmann disease late infantile type وفي adult
+
+384
+00:31:01,300 --> 00:31:05,960
+type of spinal muscular atrophy هذا adult type of
+
+385
+00:31:05,960 --> 00:31:09,440
+spinal muscular atrophy لأعمل differential
+
+386
+00:31:09,440 --> 00:31:13,200
+diagnosis مع progressive muscular atrophy  يجب
+
+387
+00:31:13,200 --> 00:31:22,900
+أن نعمل genetic study دراسة وراثية كيف نشخص مرضى
+
+388
+00:31:22,900 --> 00:31:26,420
+الذين لديهم ALS أو amyotrophic lateral sclerosis
+
+389
+00:31:26,420 --> 00:31:31,820
+نأخذ التاريخ physical examination نعملهم good
+
+390
+00:31:31,820 --> 00:31:35,520
+examination electromyography and nerve conduction
+
+391
+00:31:35,520 --> 00:31:41,580
+study نعمل neuroimaging brain و spinal cord MRI to
+
+392
+00:31:41,580 --> 00:31:44,220
+exclude other pathology  ليس ضروري يعني عملنا
+
+393
+00:31:44,220 --> 00:31:48,500
+spinal cord MRI وجدنا غضروف صغير ليس له علاقة
+
+394
+00:31:48,500 --> 00:31:52,340
+بالأعراض  أقول المريض لديه غضروف لا  أنا
+
+395
+00:31:52,340 --> 00:31:55,240
+أرى الأشياء ذات العلاقة بـ clinical representation
+
+396
+00:31:55,240 --> 00:32:01,500
+laboratory test genetic study muscle biopsy
+
+397
+00:32:01,500 --> 00:32:07,880
+في هذه الحالات أهم فحص  أهم فحص لتأكيد
+
+398
+00:32:07,880 --> 00:32:12,560
+التشخيص هو Electromyography  أهم فحص لتشخيص
+
+399
+00:32:12,560 --> 00:32:21,300
+حالة ALS هو Electromyography  prognosis ALS
+
+400
+00:32:21,300 --> 00:32:27,840
+is fatal disease مرض خطير younger
+
+401
+00:32:27,840 --> 00:32:30,840
+patients may have a slower rate of progression
+
+402
+00:32:30,840 --> 00:32:37,600
+patients with bulbar onset خاصة المرضى الذين
+
+403
+00:32:37,600 --> 00:32:41,300
+يبدأ لديهم lower motor neuron progressive  لديه
+
+404
+00:32:41,300 --> 00:32:48,700
+poor prognosis لديهم poor prognosis  
+
+405
+00:32:48,700 --> 00:32:52,320
+life expectancy كم يعيش هؤلاء المرضى والأعمار
+
+406
+00:32:52,320 --> 00:32:57,480
+تعتمد على stage of disease at diagnosis
+
+407
+00:32:57,480 --> 00:33:02,180
+أكثر من خمسين في المائة منهم يعيشون ثلاث إلى خمس
+
+408
+00:33:02,180 --> 00:33:07,760
+سنوات عشرون في المائة يعيشون خمس سنوات، ست، سبع،
+
+409
+00:33:07,760 --> 00:33:12,260
+ثمانية، تسعة عشر في المائة يعيشون عشر سنوات و
+
+410
+00:33:12,260 --> 00:33:17,920
+أكثر يعني من عشر إلى عشرين سنة خمسة في المائة ممكن
+
+411
+00:33:17,920 --> 00:33:21,740
+يعيشون عشرين سنة أو أكثر من عشرين سنة، خمسة في
+
+4
+
+445
+00:35:33,890 --> 00:35:38,570
+Tracheostomy و في نهاية المرض، في المراحل المتأخرة
+
+446
+00:35:38,570 --> 00:35:41,310
+من المرض، بنحطه على mechanical ventilation
+
+447
+00:35:46,090 --> 00:35:49,510
+Symptomatic therapy according to the symptoms
+
+448
+00:35:49,510 --> 00:35:53,290
+عندهم كرامب، بأخدوا تيزانيدين، كربامازيبين
+
+449
+00:35:53,290 --> 00:35:57,590
+ماجنيزيام، عندهم specificity، بيعطيهم بكلوفين
+
+450
+00:35:57,590 --> 00:36:01,650
+تيزانيدين، ديازيبام، عندهم pseudo bulbar syndrome
+
+451
+00:36:01,650 --> 00:36:05,290
+ومع emotional liability، بيبكوا بدون سبب، بيضحكوا
+
+452
+00:36:05,290 --> 00:36:10,630
+بدون سبب، بيعطيهم امتريبتيلين، dysphagia and
+
+453
+00:36:10,630 --> 00:36:14,690
+aspiration، مشاكل في الـ dysphagia، صعوبة البلع مع
+
+454
+00:36:14,690 --> 00:36:18,530
+aspiration pneumonia، باخدوا percutaneous ... بحطلهم
+
+455
+00:36:18,530 --> 00:36:23,070
+percutaneous endoscopic gastrostomy أو PIG، ضروري
+
+456
+00:36:23,070 --> 00:36:26,170
+respiratory care، ضروري، medical rehabilitation and
+
+457
+00:36:26,170 --> 00:36:33,590
+physiotherapy و psychosocial support، هذا ملخص كان
+
+458
+00:36:33,590 --> 00:36:45,140
+اللي هو ستيفن هوكينج، مفهوم فيزيائي، ومثابر، تم تشخيصه
+
+459
+00:36:45,140 --> 00:36:50,740
+في عمره 21 سنة، كان عمره 21 سنة، تزوج سنة 1965 من
+
+460
+00:36:50,740 --> 00:36:56,220
+Jane Hawking، وانفصلوا بعدها عن بعض، وأصيب بالمرض، كان
+
+461
+00:36:56,220 --> 00:37:03,940
+عمره 21 سنة، وولد في 8/1/1942، وتوفي في 14/3/
+
+462
+00:37:03,940 --> 00:37:10,790
+2018، يعني عاش فترة طويلة مصابًا بهذا المرض، تقريبًا
+
+463
+00:37:10,790 --> 00:37:18,490
+خمسين سنة، وكان مصابًا، عمره كان في سنة الثلاثة والستين
+
+464
+00:37:18,490 --> 00:37:21,910
+أصيب بالمرض سنة ألف وتسعمائة وثلاثة وستين، سنة
+
+465
+00:37:21,910 --> 00:37:25,350
+... سنة ... آسف، سنة ألف وتسعمائة وثلاثة وستين، أصيب
+
+466
+00:37:25,350 --> 00:37:29,190
+بالمرض، ومن ألف وتسعمائة وثلاثة وستين إلى ألفين
+
+467
+00:37:29,190 --> 00:37:35,630
+وثمانية عشر، مصاب بمرض ALS، يعني لو حسبناهم، سبعة
+
+468
+00:37:35,630 --> 00:37:41,810
+وثلاثين سنة، حوالي خمسة وخمسين سنة، كان مصابًا بمرض
+
+469
+00:37:41,810 --> 00:37:48,130
+ALS، خمسة وخمسين سنة، ولد في ثمانية واحد ألف
+
+470
+00:37:48,130 --> 00:37:51,830
+وتسعمائة واثنين وأربعين، في أوكسفورد، في إنجلترا، و
+
+471
+00:37:51,830 --> 00:37:55,390
+حصل على البكالوريوس، ثم حصل على الدكتوراه
+
+472
+00:37:55,390 --> 00:38:00,250
+من كامبريدج، وأصيب
+
+473
+00:38:00,250 --> 00:38:03,290
+بمرضه في سن الواحدة والعشرين، كان عمره واحد وعشرين
+
+474
+00:38:03,290 --> 00:38:10,390
+يعني سنة ألف وتسعمائة وثلاثة وستين، والده طبيب، عاش
+
+475
+00:38:10,390 --> 00:38:16,130
+من سنة 1963 إلى 2018 وهو مصاب بمرض MND، هذه حالات نادرة
+
+476
+00:38:16,130 --> 00:38:21,350
+cases، يعني أطول إنسان عاش بمرض MND هو ستيفن
+
+477
+00:38:21,350 --> 00:38:27,490
+Hawking، سنة 1951، وهذه سنة 1963، عند بداية المرض، لما
+
+478
+00:38:27,490 --> 00:38:33,090
+بدأ المرض معه، كان 21 عامًا، لاحظوا
+
+479
+00:38:33,090 --> 00:38:38,940
+إيش حصل، على جوائز، ومناصب، وهو مصاب بالمرض، كل هذا
+
+480
+00:38:38,940 --> 00:38:41,860
+إلى 2009، وبعد 2009، أكيد كمان حصل
+
+481
+00:38:41,860 --> 00:38:48,980
+على مناصب ورتب وجوائز، لعبان، ما توفي في سنة
+
+482
+00:38:48,980 --> 00:38:54,420
+ألفين وثمانيتاشر، هكذا بكون وصلت لنهاية المحاضرة، motor
+
+483
+00:38:54,420 --> 00:38:57,520
+neuron disease، اللي هي amyotrophic lateral
+
+484
+00:38:57,520 --> 00:39:01,980
+sclerosis، وشرحت لكم أنواع motor neuron disease
+
+485
+00:39:01,980 --> 00:39:05,860
+والتصنيف بتاعتهم، والعرض السريري
+
+486
+00:39:05,860 --> 00:39:09,900
+presentation بتاعة المرض، يعطيكم ألف عافية، أنتم
+
+487
+00:39:09,900 --> 00:39:10,360
+بخير
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..697ce8b5b5209368a9361471166f0163cbf4a628
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/_bI5TSnkjdA_postprocess.srt
@@ -0,0 +1,1948 @@
+1
+00:00:04,910 --> 00:00:07,470
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,470 --> 00:00:13,590
+وبركاته المحاضرة الأولى للاسبوع الحادي عشر راح
+
+3
+00:00:13,590 --> 00:00:18,690
+يكون motor neuron disease والمحاضرة الثانية راح
+
+4
+00:00:18,690 --> 00:00:24,610
+اتكلم على brain tumors motor neuron disease قبل ما
+
+5
+00:00:24,610 --> 00:00:27,250
+ابدأ المحاضرة راح اعرض case
+
+6
+00:00:30,200 --> 00:00:37,000
+47 سنة كانت في حالة معروفة لديها حرارة كبيرة وكانت
+
+7
+00:00:37,000 --> 00:00:46,300
+تبكي من المدخلين منذ عامين صعوبة اللغة يعني كان
+
+8
+00:00:46,300 --> 00:00:53,280
+عندها بينغسين ديس أرتريا ديسفونيا with nasal tone
+
+9
+00:00:53,280 --> 00:01:02,710
+of speech كانت رؤية من نيرولوجياالدراسة الأولى CVA
+
+10
+00:01:02,710 --> 00:01:07,490
+brain CT كانت مجرد عملية مرتين عملية عملية عملية
+
+11
+00:01:07,490 --> 00:01:07,730
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+12
+00:01:07,730 --> 00:01:09,950
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+13
+00:01:09,950 --> 00:01:12,770
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+14
+00:01:12,770 --> 00:01:15,390
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+15
+00:01:15,390 --> 00:01:15,710
+عملية عملية عملية عملية عملية عملية عملية عملية
+
+16
+00:01:15,710 --> 00:01:18,830
+عملية عملية عملية عملية عملية عملية
+
+17
+00:01:18,830 --> 00:01:28,590
+عملية عمل
+
+18
+00:01:29,130 --> 00:01:33,010
+أي ال brain CT تقريبا normal لكن لو بدنا نركز شوية
+
+19
+00:01:33,010 --> 00:01:37,970
+على ال CT ممكن نلاقي small hyper dense signal في
+
+20
+00:01:37,970 --> 00:01:41,730
+ال right frontal lobe و قد يكون ما لهوش علاقة بكل
+
+21
+00:01:41,730 --> 00:01:46,450
+الأعراض اللي عند المريضة أول تشخيص كان لل
+
+22
+00:01:46,450 --> 00:01:50,310
+neurologist cerebrovascular accidentبعدين تم
+
+23
+00:01:50,310 --> 00:01:54,370
+تحويلها لأنفضن حنجرة laryngitis بعدين تم تشخيص
+
+24
+00:01:54,370 --> 00:01:59,170
+myasthenia gravis واخر شئ وصلوله الهو hemangioma
+
+25
+00:01:59,170 --> 00:02:03,770
+or avmal formation of right frontal lobe by brain
+
+26
+00:02:03,770 --> 00:02:09,410
+MRI هذه اللي احنا اتكلمنا عنها في ال CT أخصائي
+
+27
+00:02:09,410 --> 00:02:17,410
+الانفضن حنجرة عملولها ال laryngoscopyوكان normal
+
+28
+00:02:17,410 --> 00:02:22,390
+vocal cord يعني E and T free مافي عندها مشاكل في
+
+29
+00:02:22,390 --> 00:02:27,450
+الأنفض الحنجرة ما بعرف كيف دخل ال psychiatric على
+
+30
+00:02:27,450 --> 00:02:32,970
+الخط أخصائي النفسية وعمل EEG و أكيد وجدت ال EEG
+
+31
+00:02:32,970 --> 00:02:36,510
+bilateral paroxysmal brain discharge بدالها ب
+
+32
+00:02:36,510 --> 00:02:42,090
+antiepileptic drugs و Xanax Motival أدوية مهددة
+
+33
+00:02:42,090 --> 00:02:50,610
+للأعصابهي brain المرأي ال brain المرأي واضح هنا في
+
+34
+00:02:50,610 --> 00:02:54,250
+something lesion small lesion هذا في المكان هذا
+
+35
+00:02:54,250 --> 00:02:58,410
+لكن هذا طبيعي ممكن يكون هذا عبارة عن angioma
+
+36
+00:02:58,410 --> 00:03:02,850
+congenital angioma or cavernoma التشوه بسيط في
+
+37
+00:03:02,850 --> 00:03:07,730
+شريان ما لهوش علاقة بالحدث اللي عند المريض بتاعةتم
+
+38
+00:03:07,730 --> 00:03:11,790
+تحويل المريضة على مستشفى المقاصد على الجدس ال head
+
+39
+00:03:11,790 --> 00:03:17,090
+CT and MRI done final diagnosis a sinus tumor or
+
+40
+00:03:17,090 --> 00:03:21,130
+infection و اللي في ال right frontal loop كانت
+
+41
+00:03:21,130 --> 00:03:24,310
+small right frontal angioma
+
+42
+00:03:26,510 --> 00:03:28,830
+recommendation neurosurgical management not
+
+43
+00:03:28,830 --> 00:03:32,190
+indicated و فعلا هي هذه أنجيومة صغيرة مالهاش علاقة
+
+44
+00:03:32,190 --> 00:03:35,450
+بالجراحة مابدهاش تدخل جراحي بسيطة جدا و مالهاش
+
+45
+00:03:35,450 --> 00:03:38,870
+علاقة بالأعراض اللي عند المريضة need ENT
+
+46
+00:03:38,870 --> 00:03:41,350
+evaluation and management تم تحويلها على مستشفى
+
+47
+00:03:41,350 --> 00:03:46,730
+المبطلة في القدسفي نفس الوقت العامة لا رنجيوسكوبي
+
+48
+00:03:46,730 --> 00:03:50,630
+no any pathological findings ال diagnosis
+
+49
+00:03:50,630 --> 00:03:54,990
+اسفينويدايتس treated by antibacterial and anti
+
+50
+00:03:54,990 --> 00:03:59,750
+-inflammatory drugs تم طلق لها follow-up with
+
+51
+00:03:59,750 --> 00:04:07,010
+neck, brain and sinus CT في
+
+52
+00:04:07,010 --> 00:04:12,620
+غزة شافوها ال neurologist ENT neurosurgeonبعد هي
+
+53
+00:04:12,620 --> 00:04:15,100
+راحت لأ neurological consultation رجالتي شفتها
+
+54
+00:04:15,100 --> 00:04:22,420
+اللي في ال examination لما عينتها كان عندها اللي
+
+55
+00:04:22,420 --> 00:04:27,920
+هو progressive speech difficulty, dysarthria,
+
+56
+00:04:28,240 --> 00:04:32,120
+dysphonia, nasal tone of speech, family history,
+
+57
+00:04:32,460 --> 00:04:35,860
+no familial history of neural or muscular disease
+
+58
+00:04:35,860 --> 00:04:39,480
+في ال examination كان عندها normal cognitive
+
+59
+00:04:39,480 --> 00:04:45,080
+functioncranial nerves من واحد لتمانية كانوا طبيعي
+
+60
+00:04:45,080 --> 00:04:49,660
+nasal tone of speechless artery bilateral wasting
+
+61
+00:04:49,660 --> 00:04:53,600
+and fasciculation of tongue كان عندها wasting و
+
+62
+00:04:53,600 --> 00:04:56,280
+fasciculation في ال tongue تم تشخيصها قبل ما جمع
+
+63
+00:04:56,280 --> 00:05:00,760
+الكرسي مجرد ما طلبت انها تخرج لسانها و لاحظت عندها
+
+64
+00:05:00,760 --> 00:05:04,500
+fasciculation و muscular atrophy in the tongue
+
+65
+00:05:04,500 --> 00:05:09,220
+muscle كان تشخيصها جاهز decrease bilateral and gag
+
+66
+00:05:09,220 --> 00:05:14,210
+reflexلكن أيامها أول ما شوفتها كان absolutely no
+
+67
+00:05:14,210 --> 00:05:18,810
+motor, no coordination, no sensory disturbances,
+
+68
+00:05:19,230 --> 00:05:23,450
+autonomic sphincters normal بعدها أكيد اتطور المرض
+
+69
+00:05:23,450 --> 00:05:27,530
+وحدث معها weakness في ال upper limbs و ال lower
+
+70
+00:05:27,530 --> 00:05:36,330
+limbs ال MRI تم إعادة ال MRI لها واضح هنا أن
+
+71
+00:05:37,650 --> 00:05:42,290
+something بسيط هذه ماشية مع اللي هي انعمل MR
+
+72
+00:05:42,290 --> 00:05:45,630
+Angiography وهذه ال blood vessels تعتبر blood
+
+73
+00:05:45,630 --> 00:05:50,830
+vessels هي angioma of ايش؟ Artery وهذه تعتبر
+
+74
+00:05:50,830 --> 00:05:54,690
+congenital منذ الولادة مش جديدة ومالهاش علاقة
+
+75
+00:05:54,690 --> 00:05:56,450
+بالأعراض اللي عند المريضة
+
+76
+00:06:06,520 --> 00:06:09,740
+هي MR Angiography اللي blood vessels كويسين فى
+
+77
+00:06:09,740 --> 00:06:14,840
+المكان هذا بس فقط فى small angioma MRV Magneto
+
+78
+00:06:14,840 --> 00:06:19,240
+Resonance Venography كان mild hypoplasia فى left
+
+79
+00:06:19,240 --> 00:06:22,640
+transverse sinus و they are not related ل ال
+
+80
+00:06:22,640 --> 00:06:26,850
+patient presentationطلبت لها EMG and nerve
+
+81
+00:06:26,850 --> 00:06:30,750
+conduction study عشان أكد المشكلة في ال nerve أو
+
+82
+00:06:30,750 --> 00:06:34,930
+في ال muscle أو في ال nuclear بتاع ال hypoglossal
+
+83
+00:06:34,930 --> 00:06:38,370
+nerve و ال glossopharyngeal و Vegas و cranial
+
+84
+00:06:38,370 --> 00:06:42,710
+accessory اللي لما طلبت ال EMG في الأبر و ال lower
+
+85
+00:06:42,710 --> 00:06:46,850
+limbs كانوا normal كانوا normal ال EMG و ال nerve
+
+86
+00:06:46,850 --> 00:06:50,390
+conduction study ل ال muscle tongue كان في signs
+
+87
+00:06:50,390 --> 00:06:55,010
+of fibrillation, fasciculationwith decreased
+
+88
+00:06:55,010 --> 00:06:59,110
+amplitude of compound muscle action potential لكن
+
+89
+00:06:59,110 --> 00:07:06,670
+كان عندها normal conduction velocity يعني normal
+
+90
+00:07:06,670 --> 00:07:11,810
+conduction velocity بيدل على ايه normal conduction
+
+91
+00:07:11,810 --> 00:07:17,850
+velocity بيدل انه ال nerve سليم ال nerve غير مصعب
+
+92
+00:07:19,810 --> 00:07:23,770
+وكان تشخيصي إنها إيها هذه حالة motor neuron
+
+93
+00:07:23,770 --> 00:07:29,010
+disease أو بيسموه lowgeric disease isolated
+
+94
+00:07:29,010 --> 00:07:32,950
+progressive bulbar pulse يعني المرض اسمه motor
+
+95
+00:07:32,950 --> 00:07:36,810
+neuron disease والنوع اللي بدأ فيه المرض bulbar
+
+96
+00:07:36,810 --> 00:07:43,290
+pulse bulbar pulse نبدأ بمحاضرة motor neuron
+
+97
+00:07:43,290 --> 00:07:48,470
+disease إيش هو motor neuron disease؟ هو عبارة عن
+
+98
+00:07:49,630 --> 00:07:54,870
+progressive disease characterized by progressive
+
+99
+00:07:54,870 --> 00:07:58,910
+degeneration of motor neuron in the brain and
+
+100
+00:07:58,910 --> 00:08:05,130
+spinal cord يبقى المرض بيصيب فقط ال motor neuron
+
+101
+00:08:05,130 --> 00:08:11,170
+in the brain and spinal cord لذلك سمي المرض motor
+
+102
+00:08:11,170 --> 00:08:16,850
+neuron disease بيصيب ال upper motor neuron و بيصيب
+
+103
+00:08:16,850 --> 00:08:21,530
+ال lower motor neuronWhat is the motor neuron
+
+104
+00:08:21,530 --> 00:08:27,650
+disease؟ ال motor neuron disease هو بنسميه
+
+105
+00:08:27,650 --> 00:08:33,150
+amyotrophic lateral sclerosis هذا ال amyotrophic
+
+106
+00:08:33,150 --> 00:08:37,210
+lateral sclerosis اللي الأمريكان بتلقوه على ال MND
+
+107
+00:08:37,210 --> 00:08:41,330
+يعني MND او amyotrophic lateral sclerosis نفس
+
+108
+00:08:41,330 --> 00:08:45,790
+المرض لكن البريطانيين قالوا لأ ال MND هو المرض
+
+109
+00:08:45,790 --> 00:08:50,750
+الرئيسيو amyotrophic lateral sclerosis هو نوع من
+
+110
+00:08:50,750 --> 00:08:53,770
+أنواع ال motor neuron disease وهذا الصح وهذا هو
+
+111
+00:08:53,770 --> 00:08:57,770
+الصح يعني ال motor neuron disease هو عنوان المرض
+
+112
+00:08:57,770 --> 00:09:03,470
+ككل ويله sub types من ضمنهم amyotrophic lateral
+
+113
+00:09:03,470 --> 00:09:10,410
+sclerosis أو بيسموه الأمريكان logaric disease من
+
+114
+00:09:10,410 --> 00:09:14,310
+وين أجى كلمة amyotrophic lateral sclerosis أنا لما
+
+115
+00:09:14,310 --> 00:09:19,120
+أتكلم على ال A على S بتكلم على M و D كمانأيه لأن
+
+116
+00:09:19,120 --> 00:09:24,500
+هو نوع من أنواع الـ MND ايه absence my muscle
+
+117
+00:09:24,500 --> 00:09:29,860
+trophic nourishment lateral side of spine
+
+118
+00:09:29,860 --> 00:09:35,120
+sclerosis hardening hardening لأن هو amyotrophic
+
+119
+00:09:35,120 --> 00:09:40,900
+lateral sclerosis loggerg
+
+120
+00:09:40,900 --> 00:09:48,070
+مرض loggerg هو عبارة عنfamous baseball player
+
+121
+00:09:48,070 --> 00:09:59,310
+أمريكي الجنسية أصيب بمرض ALS من سنة 1938 سنة 1938
+
+122
+00:09:59,310 --> 00:10:05,430
+كان عنده poor season حدث معاه leg weakness ال
+
+123
+00:10:05,430 --> 00:10:11,070
+weakness في ال leg أكتر من ال arm و بدأ عملية سقوط
+
+124
+00:10:11,070 --> 00:10:25,110
+كتير أثناء اللعب بتاعهلعب 2130 games سنة 1939 فقط
+
+125
+00:10:25,110 --> 00:10:33,210
+eight games يعني انخفض النشاط اللي بتابعه اتزل
+
+126
+00:10:33,210 --> 00:10:37,150
+في 25939
+
+127
+00:10:39,210 --> 00:10:43,690
+تم تشخيصه .. لحظة .. متى تم تشخيصه؟ في تسعتاش ستة
+
+128
+00:10:43,690 --> 00:10:46,370
+الف وتسعمائة وتسعة و تلاتين في العالم كله هذا
+
+129
+00:10:46,370 --> 00:10:50,190
+المرض ممكن يستغرق تشخيصه ست شهور لأنه في البداية
+
+130
+00:10:50,190 --> 00:10:53,870
+احنا لا ال MRI ولا ال CT بشخصه لازم اكون عارف
+
+131
+00:10:53,870 --> 00:11:00,640
+clinical presentation of disease good كان عمرهفي
+
+132
+00:11:00,640 --> 00:11:10,160
+ال 1936 سنة يعني المرض خطير مرض خطير سنة 1940 حدث
+
+133
+00:11:10,160 --> 00:11:15,800
+معاه dysphonia مشاكل في الصوت و الكلام اكيد حدث
+
+134
+00:11:15,800 --> 00:11:22,760
+معاه dysphagia صعوبة في البلعب و اتوفى في 26 1941
+
+135
+00:11:22,760 --> 00:11:30,650
+عمره كان 38 سنة يعني خلال عامينبدأ المرض سنة 1938
+
+136
+00:11:30,650 --> 00:11:37,570
+و 1941 عن ثلاث سنوات ثلاث سنوات اتوفى المرض عشان
+
+137
+00:11:37,570 --> 00:11:42,170
+هيك الأمريكان سموه الهو Gehrig disease احتراما
+
+138
+00:11:42,170 --> 00:11:48,250
+لللاعب ال baseball بتاعهم اللي أصيب بهذا المرض طيب
+
+139
+00:11:48,250 --> 00:11:52,410
+كيف تم تشخيص الحالات ال history of amyotrophic
+
+140
+00:11:52,410 --> 00:11:57,090
+lateral sclerosisأول حالة تم تشخيصها في فرنسا في
+
+141
+00:11:57,090 --> 00:12:04,870
+باريس by جين مارتين شاركوت مبدع في طب الأعصاب كان
+
+142
+00:12:04,870 --> 00:12:12,730
+في فرنسا سنة 1869 تم تشخيص أول حالة بمرض ال ALS أو
+
+143
+00:12:12,730 --> 00:12:19,180
+motor neuron diseaseو سنة 1881 تم ترجمة أول محاضرة
+
+144
+00:12:19,180 --> 00:12:25,400
+من اللغة الفرنسية إلى اللغة الإنجليزية بمرض ALS أو
+
+145
+00:12:25,400 --> 00:12:30,240
+مرض MND اللي هو motor neurone disease في ال normal
+
+146
+00:12:31,780 --> 00:12:36,120
+لما يكون ال neuron سليم راح يسلم إشارة ل ال muscle
+
+147
+00:12:36,120 --> 00:12:39,780
+و ال muscle تكون في وضع ممتاز لكن في حال حدث
+
+148
+00:12:39,780 --> 00:12:44,660
+degeneration ل ال motor neurons راح الإشارة تكون
+
+149
+00:12:44,660 --> 00:12:49,280
+أضعف لما تصل للعضلة و راح يحدث wasting in the
+
+150
+00:12:49,280 --> 00:12:52,280
+muscle muscle wasting او muscle hypotrophy
+
+151
+00:12:52,280 --> 00:13:01,360
+epidemiology ال incidence of ELSتنين لكل مائة ألف
+
+152
+00:13:01,360 --> 00:13:08,580
+في السنة حالتين لكل مائة ألف نسنة ال male to
+
+153
+00:13:08,580 --> 00:13:13,260
+female ratio تلاتة لاتنين ال male لل female يصيب
+
+154
+00:13:13,260 --> 00:13:17,340
+ال male أكتر من ال female ال main age خمسة و خمسين
+
+155
+00:13:17,340 --> 00:13:21,000
+لكن أكتر شيء بيبدأ المرض في سن الأربعين في
+
+156
+00:13:21,000 --> 00:13:26,200
+التلاتينات في الأربعين في الخمسينخمسين في المية من
+
+157
+00:13:26,200 --> 00:13:31,720
+مرضى ال ALS بتوفوا خلال تلات لخمس سنوات يعني مرض
+
+158
+00:13:31,720 --> 00:13:36,080
+خطير مثل ال cancer مثل السرطان malignant disease
+
+159
+00:13:36,080 --> 00:13:40,620
+عشرة لعشرين في المية منهم ممكن يعيشوا اكتر من عشر
+
+160
+00:13:40,620 --> 00:13:47,800
+سنوات من بعد تشخيصهم etiology of ALS ايش أسباب ال
+
+161
+00:13:47,800 --> 00:13:51,800
+ALS ممكن
+
+162
+00:13:51,800 --> 00:13:59,060
+يكون ال ALSSporadic cases وممكن يكونوا genetic او
+
+163
+00:13:59,060 --> 00:14:04,620
+familial case تسعين في المية من ال ALS بيكونوا
+
+164
+00:14:04,620 --> 00:14:08,920
+sporadic مش معروف سببهم تسعين في المية عشرة في
+
+165
+00:14:08,920 --> 00:14:13,100
+المية من الحالات بيكونوا familial ويراثيا والعشرة
+
+166
+00:14:13,100 --> 00:14:17,680
+في المية هذول وجدوا انه عشرين في المية يعني عشرين
+
+167
+00:14:17,680 --> 00:14:23,090
+في المية من العشرةعندهم موتاشن في انزايم اسمه
+
+168
+00:14:23,090 --> 00:14:27,070
+superoxide desmothase 1 جين يعني عندهم موتاشن في
+
+169
+00:14:27,070 --> 00:14:33,570
+جين اللي هو superoxide desmothase طيب ايش وظيفته
+
+170
+00:14:33,570 --> 00:14:37,670
+هذا superoxide desmothase في الطبيعة ال superoxide
+
+171
+00:14:37,670 --> 00:14:42,520
+desmothaseبتحد وبعمل pendings مع ال active
+
+172
+00:14:42,520 --> 00:14:48,200
+radicals وبخرجهم من الجسم عن طريق البولب مع ال
+
+173
+00:14:48,200 --> 00:14:55,220
+urine لكن لما نكون في mutation في حالات ال
+
+174
+00:14:55,220 --> 00:14:59,290
+familial amyotrophic lateral sclerosisاللأ حدث
+
+175
+00:14:59,290 --> 00:15:03,170
+mutations طفرة في هذا ال gene اللي مسئول عن ال
+
+176
+00:15:03,170 --> 00:15:07,670
+enzyme بيكون في حالة هذه او ال protein unable to
+
+177
+00:15:07,670 --> 00:15:12,730
+pending to the active radicals مابقدرش اتحد مع ال
+
+178
+00:15:12,730 --> 00:15:17,610
+active radicals مثل ايه؟ ال zincو في الحالة هذه ال
+
+179
+00:15:17,610 --> 00:15:20,510
+zinc راح يتحد مع other proteins و يحدث له
+
+180
+00:15:20,510 --> 00:15:23,970
+accumulation في الجسم و يأثر على ال motor neurons
+
+181
+00:15:23,970 --> 00:15:29,610
+لكن لحد الان مافي اي prof في العالم قادر يجاوب على
+
+182
+00:15:29,610 --> 00:15:33,810
+السؤال ليه بيصيب ال motor neurons و بيترك ال
+
+183
+00:15:33,810 --> 00:15:37,590
+sensory neurons فقط بيصيب ال خلايا الحركية
+
+184
+00:15:37,590 --> 00:15:43,710
+المسؤولة عن الحركةطب في ال cases ال superoxide
+
+185
+00:15:43,710 --> 00:15:48,690
+ديسموتز بيكون normal طبيعي لكن ال zinc و other
+
+186
+00:15:48,690 --> 00:15:51,950
+active radicals ما بيتحدوا مع ال superoxide
+
+187
+00:15:51,950 --> 00:15:55,970
+ديسموتز و بيروحوا يتحدوا مع other proteins و نفس
+
+188
+00:15:55,970 --> 00:15:59,810
+الشيء بيحدث ايش accumulation لهم في الجسم و
+
+189
+00:15:59,810 --> 00:16:05,720
+بيعملولنا degeneration ل ال motor neuronsقولنا
+
+190
+00:16:05,720 --> 00:16:10,200
+الاتيولوجيا هو a non-disease لكن في تيورية ممكن
+
+191
+00:16:10,200 --> 00:16:14,000
+نقولها mutation في ال super oxide اسم تيزوان جين
+
+192
+00:16:15,100 --> 00:16:19,780
+تنين Excessive level of glutamate في الدراسة قالك
+
+193
+00:16:19,780 --> 00:16:23,280
+بيزيد نسبة ال glutamate في الجسم و ال glutamate
+
+194
+00:16:23,280 --> 00:16:26,380
+بيعمل neuro degeneration اللي حتى الآن مش عارف اين
+
+195
+00:16:26,380 --> 00:16:30,220
+ولا حد عارف ولا جد يجيب على السؤال ليه بيعمل
+
+196
+00:16:30,220 --> 00:16:33,940
+degeneration للموتو نيرون و بيترك ال sensory؟ ليه
+
+197
+00:16:33,940 --> 00:16:38,340
+بيصيب الخلايا الحركية و بيترك الخلايا الحسية؟ okay
+
+198
+00:16:38,340 --> 00:16:44,870
+metachondrial dysfunction viral infectionabaptosis
+
+199
+00:16:44,870 --> 00:16:49,650
+اللي هو الموت المبرمج للخلايا و growth factor
+
+200
+00:16:49,650 --> 00:16:54,410
+abnormalities and other mechanism طب يعني لما
+
+201
+00:16:54,410 --> 00:16:59,970
+أخدنا في سنة ثالثة الموت نيرون قلنا في شيء اسمه
+
+202
+00:16:59,970 --> 00:17:04,190
+Corticospinal tract اللي Corticospinal tract بيبدأ
+
+203
+00:17:04,190 --> 00:17:09,260
+من ال cortexوبعدين في الأول مجلة أبلانجاتا بيعمل
+
+204
+00:17:09,260 --> 00:17:11,960
+crossings وبنزل على ال lateral column of spinal
+
+205
+00:17:11,960 --> 00:17:17,160
+cord as lateral corticospinal tract وبيعطي كل ما
+
+206
+00:17:17,160 --> 00:17:21,460
+يصل segment بيعطي fibers لمن؟ للانتريوهورنس
+
+207
+00:17:23,260 --> 00:17:26,700
+من الـ anterior horn cells بيبدأ ال lower
+
+208
+00:17:26,700 --> 00:17:30,760
+motoneuron ال fibers تتجه من ال anterior horn
+
+209
+00:17:30,760 --> 00:17:34,900
+cells على نفس ال segment على نفس ال level بيطلعوا
+
+210
+00:17:34,900 --> 00:17:39,100
+root اسمه anterior root ال anterior root بتحد مع
+
+211
+00:17:39,100 --> 00:17:41,980
+ال posterior root ال sensory و بيعطونا spinal
+
+212
+00:17:41,980 --> 00:17:45,000
+nerve و spinal nerve بيصل ل ال neuromuscular
+
+213
+00:17:45,000 --> 00:17:48,940
+junction و بيغدينا ال muscle fibers يبقوا هذا
+
+214
+00:17:48,940 --> 00:17:55,170
+يعتبر ايه؟Lower Motoneuron الأصفر والأحمر يعتبر
+
+215
+00:17:55,170 --> 00:17:59,350
+Upper Motoneuron نفس الشيء لما شرحتلكوا في سنة
+
+216
+00:17:59,350 --> 00:18:04,110
+ثالثة Corticonuclear retract أو Corticobulbar
+
+217
+00:18:04,110 --> 00:18:09,490
+retract المسئول عن مين؟ المسئول عن cranial nerves
+
+218
+00:18:09,490 --> 00:18:13,830
+nuclei cranial nerves nuclei من ناحية الموتر
+
+219
+00:18:13,830 --> 00:18:17,190
+نتكلم، من ناحية عيش الموترالـ Cortico Nuclear
+
+220
+00:18:17,190 --> 00:18:21,390
+Retract أو Cortico Pulmonary Retract يعتبر Upper
+
+221
+00:18:21,390 --> 00:18:26,550
+Motoneuron طب الموتور النوكلياي in the brainstem
+
+222
+00:18:26,550 --> 00:18:30,670
+بتاعة ال cranial nerves تعتبر Lower Motoneuron طب
+
+223
+00:18:30,670 --> 00:18:33,430
+ال cranial nerves Lower Motoneuron طب ال
+
+224
+00:18:33,430 --> 00:18:36,030
+neuromuscular junction Lower Motoneuron ال muscle
+
+225
+00:18:36,030 --> 00:18:41,670
+fibers Lower Motoneuron إيش
+
+226
+00:18:41,670 --> 00:18:47,990
+بحدث في مرض ال motor neurone disease؟فى هنا motor
+
+227
+00:18:47,990 --> 00:18:53,250
+area ال motor area تعطينا corticospinal tract او
+
+228
+00:18:53,250 --> 00:18:58,170
+fibers و corticonuclear او corticobulbar tract ال
+
+229
+00:18:58,170 --> 00:19:01,510
+corticospinal tract بيعطينا fibers لل anterior
+
+230
+00:19:01,510 --> 00:19:04,870
+horn cells و ال anterior horn cells بتسلم ال nerve
+
+231
+00:19:04,870 --> 00:19:08,410
+و ال muscleقبل corticobulbar أو corticonuclear
+
+232
+00:19:08,410 --> 00:19:12,030
+tract نفس الشيء بيعطينا fibers للموتور نوكلياي in
+
+233
+00:19:12,030 --> 00:19:15,410
+the brainstem طب والموتور نوكلياي او الموتور بلبر
+
+234
+00:19:15,410 --> 00:19:19,030
+نوكلياي بتعطينا fibers ل ال cranial nerves motor
+
+235
+00:19:19,030 --> 00:19:22,610
+والموتور cranial nerves بيعطونا fibers ل ال muscle
+
+236
+00:19:22,610 --> 00:19:26,250
+بيغدوا ال muscles المرض هذا اللي هو motor neuron
+
+237
+00:19:26,250 --> 00:19:32,850
+disease ممكن يصيب corticospinal tract لوحده في
+
+238
+00:19:32,850 --> 00:19:40,040
+البداية وممكن يصيبcorticobulbar retract هي اتنين
+
+239
+00:19:40,040 --> 00:19:46,400
+وممكن يصيب anterior horn cells ثلاثة وممكن يصيب
+
+240
+00:19:46,400 --> 00:19:51,600
+motor bulbar nuclei in the brainstem اربع وممكن
+
+241
+00:19:51,600 --> 00:19:56,800
+يكون خليط ما بينهم يصيب اكتر من جهة في نفس اللحظة
+
+242
+00:19:56,800 --> 00:20:02,180
+او يبدأ بجهة ويتطور لجهة اخرى يبقى كمان مرة نفهمش
+
+243
+00:20:02,180 --> 00:20:05,780
+المرض بيصيب بيصيب ال corticospinal retract هي واحد
+
+244
+00:20:06,880 --> 00:20:10,900
+بصيب corticobulbar retract هى صار نوعين بصيب ال
+
+245
+00:20:10,900 --> 00:20:15,380
+anterior horses حدث ثلاثة بصيب ال motor nuclei in
+
+246
+00:20:15,380 --> 00:20:18,880
+the brainstem أربع وممكن يكون خليط ما بينهم هى
+
+247
+00:20:18,880 --> 00:20:23,320
+خمسة هى خمس نوع للموتور ال neuron disease في حال
+
+248
+00:20:23,320 --> 00:20:30,700
+صاب ال corticospinal retract رح يكون الأعراض upper
+
+249
+00:20:30,700 --> 00:20:36,250
+motoneuronفي حال صاب الكورتيكو بالبري تراك راح
+
+250
+00:20:36,250 --> 00:20:40,810
+يكون الأعراض upper motoneuron طب لو صاب ال
+
+251
+00:20:40,810 --> 00:20:44,630
+anterior horn cells راح يكون lower motoneuron
+
+252
+00:20:44,630 --> 00:20:48,830
+symptoms طب لو صاب الموتور نوكلياين دابرين السمرح
+
+253
+00:20:48,830 --> 00:20:52,570
+يكون lower motor neuron symptom طب لو حدث خليط ما
+
+254
+00:20:52,570 --> 00:20:56,470
+بينهم صعب أكتر من جزء رح يكون upper and lower
+
+255
+00:20:56,470 --> 00:21:01,970
+motor neuron يعني mixed paralysis شلال mixed بيكون
+
+256
+00:21:01,970 --> 00:21:05,570
+فيه بيكون signs of upper motor neuron و signs of
+
+257
+00:21:05,570 --> 00:21:10,380
+lower motor neuronهنا شرحت لكوا وين المشكلة في
+
+258
+00:21:10,380 --> 00:21:15,520
+المرض لان راح ننتقل لانواعه او ال type of motor
+
+259
+00:21:15,520 --> 00:21:19,340
+neuron disease هاي انواع ال motor neuron disease
+
+260
+00:21:19,340 --> 00:21:26,620
+اول نوع primary lateral sclerosis ال primary
+
+261
+00:21:26,620 --> 00:21:30,880
+lateral sclerosis بيكون صعب من صعب ال upper motor
+
+262
+00:21:30,880 --> 00:21:34,560
+neuron اللي هو lateral corticospinal tract lateral
+
+263
+00:21:34,560 --> 00:21:38,900
+corticospinal tract او corticospinal tractيعني ال
+
+264
+00:21:38,900 --> 00:21:43,560
+symptoms رح يكونوا upper motoneuron طب لو صعب ال
+
+265
+00:21:43,560 --> 00:21:48,440
+anterior horn cells رح يعطينا progressive muscular
+
+266
+00:21:48,440 --> 00:21:53,480
+atrophy و ال symptoms رح يكونوا lower motoneuron
+
+267
+00:21:53,480 --> 00:21:59,140
+طب لو كان خليط ما بينهم كلهم amyotrophic lateral
+
+268
+00:21:59,140 --> 00:22:04,820
+sclerosis amyotrophic lateral sclerosis يعني lower
+
+269
+00:22:04,820 --> 00:22:11,200
+motoneuron مع upper motoneuron مع بعضلو حصب ال
+
+270
+00:22:11,200 --> 00:22:16,560
+motor nuclei in the brain السم رح يعطينا
+
+271
+00:22:16,560 --> 00:22:22,580
+progressive bulbar pulse طب
+
+272
+00:22:22,580 --> 00:22:27,660
+لو حصب corticonuclear tract او corticobulbar tract
+
+273
+00:22:27,660 --> 00:22:32,960
+bilateral رح يعطينا progressive pseudobulbar pulse
+
+274
+00:22:33,800 --> 00:22:35,960
+و في أنواع بتاخدوها في الأطفال أو أخدتوها
+
+275
+00:22:35,960 --> 00:22:41,800
+inherited MND نسميها السماء السماء اللي هو spinal
+
+276
+00:22:41,800 --> 00:22:48,440
+muscular dystrophy اول
+
+277
+00:22:48,440 --> 00:22:52,640
+نوع نتركه نبدأ في النوع الثاني primary lateral
+
+278
+00:22:52,640 --> 00:22:57,080
+sclerosis وين المشكلة في corticospinal tract ال
+
+279
+00:22:57,080 --> 00:23:00,640
+symptoms upper motoneuron بيكون isolated upper
+
+280
+00:23:00,640 --> 00:23:04,810
+motoneuronالنوع الثاني progressive muscular
+
+281
+00:23:04,810 --> 00:23:09,610
+atrophy، وين المشكلة؟ في الـ anterior horn cells،
+
+282
+00:23:09,610 --> 00:23:13,570
+ال symptoms؟ lower motor neurone lesion النوع اللي
+
+283
+00:23:13,570 --> 00:23:18,120
+بعده؟ progressive bulbar palsy، وين المشكلة؟في ال
+
+284
+00:23:18,120 --> 00:23:23,400
+motor nuclei in the brain stem symptoms lower
+
+285
+00:23:23,400 --> 00:23:27,160
+motor neuron lesion النهار الأخير progressive
+
+286
+00:23:27,160 --> 00:23:32,680
+pseudobulbar palsy وين المشكلة damage of both
+
+287
+00:23:32,680 --> 00:23:37,100
+corticonuclear tract ال symptoms upper motor
+
+288
+00:23:37,100 --> 00:23:41,400
+neuron lesion طب لو حدث خليط ما بينهم انصاب اكتر
+
+289
+00:23:41,400 --> 00:23:46,050
+من ال fibers او ال nucleiيعني كان هنا primary
+
+290
+00:23:46,050 --> 00:23:50,270
+لاترال واتطور ل progressive muscular او من البداية
+
+291
+00:23:50,270 --> 00:23:52,990
+بدوا بالثنين مع بعض او بدوا مع البلبر مع بعض
+
+292
+00:23:52,990 --> 00:23:58,870
+بسميها amyotrophic lateral sclerosis شايفين؟
+
+293
+00:23:58,870 --> 00:24:02,250
+amyotrophic lateral sclerosis يعني amyotrophic
+
+294
+00:24:02,250 --> 00:24:07,390
+lateral sclerosis تعتبر upper motoneuron and lower
+
+295
+00:24:07,390 --> 00:24:13,400
+motoneuron كون combination ما بينهمprimary lateral
+
+296
+00:24:13,400 --> 00:24:17,500
+sclerosis is
+
+297
+00:24:17,500 --> 00:24:27,100
+progressive isolated upper motor neuron lesion due
+
+298
+00:24:27,100 --> 00:24:31,460
+to damage of corticospinal tract
+
+299
+00:24:36,160 --> 00:24:40,020
+Upper Motoneuron ونضلنا نسميه مدى الحياة Primary
+
+300
+00:24:40,020 --> 00:24:44,700
+Lateral Sclerosis لكن أكثر الحالات بعد فترة من
+
+301
+00:24:44,700 --> 00:24:49,520
+الزمن بيظهر عليهم علامات Lower Motoneuron لكن
+
+302
+00:24:49,520 --> 00:24:53,100
+المرض بدأ بإيش بال Upper Motoneuron Lesion يجب أن
+
+303
+00:24:53,100 --> 00:25:02,670
+نسميه Upper Motoneuron Onset of ALSيعني إيش upper
+
+304
+00:25:02,670 --> 00:25:06,870
+motoneuron onset ALS؟ المريض عنده mixed paralysis
+
+305
+00:25:06,870 --> 00:25:10,090
+عنده upper و lower motoneuron لكن الأعراض الظاهرة
+
+306
+00:25:10,090 --> 00:25:13,950
+أكتر عن المريض و الأعراض اللي بدأ فيها المرض هي
+
+307
+00:25:13,950 --> 00:25:19,050
+upper motoneuron عشان هيك بنسميها upper motoneuron
+
+308
+00:25:19,050 --> 00:25:25,370
+onset ALS النوع الثاني progressive muscular
+
+309
+00:25:25,370 --> 00:25:31,000
+atrophyوين المشكلة هنا؟ في ال anterior horn cells
+
+310
+00:25:31,000 --> 00:25:34,320
+مادام في ال anterior horn cells راح يكون الأعراض
+
+311
+00:25:34,320 --> 00:25:38,980
+lower motoneuron lesion ممكن يظلوا isolated long
+
+312
+00:25:38,980 --> 00:25:43,640
+life lower motoneuron وممكن بعد هيظهر أعراض تانية
+
+313
+00:25:43,640 --> 00:25:51,440
+مثل hyperreflexia ونسميهاlower motoneuron onset
+
+314
+00:25:51,440 --> 00:25:54,760
+ELS العكس كونه بدأ بlower motoneuron symptoms
+
+315
+00:25:54,760 --> 00:25:59,320
+هنقولنا lower motoneuron onset ELS يعني المرض
+
+316
+00:25:59,320 --> 00:26:03,080
+بيبدأ أول شي ب signs of lower motoneuron بيكون
+
+317
+00:26:03,080 --> 00:26:08,060
+عندهم muscle wasting fasciculation hypotrophy
+
+318
+00:26:08,060 --> 00:26:12,400
+skeleton hand ايه دي فيهم severe muscle hypotrophy
+
+319
+00:26:12,400 --> 00:26:17,080
+و later بيحدث معاهم ايه اللي هوhyperreflexia
+
+320
+00:26:17,080 --> 00:26:23,100
+وبنقول عندهم lower motor neuron onset ELS طب لو
+
+321
+00:26:23,100 --> 00:26:27,680
+كان mixed ما بينهم من البداية او طور المرض و وجدنا
+
+322
+00:26:27,680 --> 00:26:29,740
+عند المريض upper motor neuron مع lower motor
+
+323
+00:26:29,740 --> 00:26:32,700
+neuron يعني ايه muscle hypotrophy muscle
+
+324
+00:26:32,700 --> 00:26:35,600
+fasciculation وhyperreflexia hyperreflexia لما
+
+325
+00:26:35,600 --> 00:26:40,170
+ندرم في الحالة هذه ايش بقول عند المريض عندهأميو
+
+326
+00:26:40,170 --> 00:26:43,170
+تروفيك لاترال اسكليروسيز يبقى ان هو عبارة عن
+
+327
+00:26:43,170 --> 00:26:47,350
+combination between upper motoneuron damage and
+
+328
+00:26:47,350 --> 00:26:50,550
+lower motoneuron damage وفي الحالة هذه بيكون
+
+329
+00:26:50,550 --> 00:26:54,110
+المشكلة في ال corticospinal tract في الانترهورنسز
+
+330
+00:26:54,110 --> 00:26:57,410
+ممكن يكونوا في البلبر نوكلياي ممكن يكونوا في ال
+
+331
+00:26:57,410 --> 00:27:02,710
+corticonuclear tract وبنسميه اميو تروفيك لاترال
+
+332
+00:27:02,710 --> 00:27:09,350
+اسكليروسيزهنا واضح المرضى عندهم بيكون atrophy هاي
+
+333
+00:27:09,350 --> 00:27:14,530
+في ال facial muscle في ال shoulder في ال arm هاي
+
+334
+00:27:14,530 --> 00:27:19,610
+ال hand hypotrophy بيسميها skeleton hand skeleton
+
+335
+00:27:19,610 --> 00:27:22,510
+hand من ايه؟ من ال muscle hypotrophy هاي distal
+
+336
+00:27:22,510 --> 00:27:28,670
+hypotrophy واضح عند المرضى pseudo bulbar palsy
+
+337
+00:27:28,670 --> 00:27:33,450
+pseudo bulbar palsy هي عبارة عن upper motor neuron
+
+338
+00:27:33,450 --> 00:27:40,650
+damagedue to lesion of or degeneration of both
+
+339
+00:27:40,650 --> 00:27:47,490
+corticonuclear tract او corticobulbar tract نفس
+
+340
+00:27:47,490 --> 00:27:50,350
+الشي corticobulbar او corticonuclear tract هنا
+
+341
+00:27:50,350 --> 00:27:53,210
+باللاحظة عندهم exaggeration of geogeric، gag
+
+342
+00:27:53,210 --> 00:27:57,040
+reflex، بيكون عندهم food Floyd regergeبيكون عندهم
+
+343
+00:27:57,040 --> 00:28:01,340
+dysphagia، dysphonia، dysarthria، tongue is
+
+344
+00:28:01,340 --> 00:28:06,140
+immobile و cannot protrude، بيكون عندهم emotional
+
+345
+00:28:06,140 --> 00:28:10,360
+liability، ممكن يبكي بدون سبب، ممكن يضحك بدون سبب
+
+346
+00:28:12,260 --> 00:28:14,300
+النوع الأخير progressive bulbar palsy بروجرسيف
+
+347
+00:28:14,300 --> 00:28:17,700
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+348
+00:28:17,700 --> 00:28:18,920
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+349
+00:28:18,920 --> 00:28:19,120
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+350
+00:28:19,120 --> 00:28:19,980
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+351
+00:28:19,980 --> 00:28:20,380
+بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي
+
+352
+00:28:20,380 --> 00:28:32,840
+بروجرسيف بلبر بالسي بروجرسيف بلبر بالسي بروجرسيف
+
+353
+00:28:32,840 --> 00:28:37,950
+بلبر بالسي بروجرسممكن المرض يبدأ بأعراض بالبرز مثل
+
+354
+00:28:37,950 --> 00:28:41,090
+الحالة اللي أنا عرضتها بدأت بالبر بلسي وممكن يتطور
+
+355
+00:28:41,090 --> 00:28:48,550
+لأعراض أخرى واسمي بالبر onset ALS المرض إذا بدأ
+
+356
+00:28:48,550 --> 00:28:52,530
+بالبر بلسي خطير أخطر بيكون وإذا بدأ بلورموت نيرون
+
+357
+00:28:52,530 --> 00:28:57,060
+أخطر يعنيالمرضى بيكون عندهم muscle fasciculation
+
+358
+00:28:57,060 --> 00:29:00,780
+and atrophy, jaw jerk and gag reflex absent
+
+359
+00:29:00,780 --> 00:29:04,380
+المريضة مجرد ما طلعت منها تخرج لسانها و لاحظت
+
+360
+00:29:04,380 --> 00:29:08,080
+عندها اللسان كان لديه severe muscle atrophy مع
+
+361
+00:29:08,080 --> 00:29:12,380
+fasciculation شخصها جاب المجوم انه هذه حالة motor
+
+362
+00:29:12,380 --> 00:29:18,700
+neuron disease bulbar onset bulbar type نتذكر يا
+
+363
+00:29:18,700 --> 00:29:27,240
+جماعة ان motor neuron diseaseNo ثلاثة No No
+
+364
+00:29:27,240 --> 00:29:33,780
+sensory symptoms مافي مشاكل في الإحساس ثلاثة No
+
+365
+00:29:33,780 --> 00:29:39,660
+ocular symptoms مافي مشاكل في عضلات العين ثلاثة No
+
+366
+00:29:39,660 --> 00:29:43,500
+sphincter dysfunctions مافي مشاكل في موضوع البول
+
+367
+00:29:43,500 --> 00:29:47,800
+والبرازي يبقى ثلاثة No وانا اتذكرهم في ال MND او
+
+368
+00:29:47,800 --> 00:29:51,240
+ال motor neurone disease واحد No sensory symptoms
+
+369
+00:29:52,290 --> 00:29:57,990
+no ocular symptoms and no autonomic sphincter
+
+370
+00:29:57,990 --> 00:30:03,630
+symptoms يعني no urine او stool incontinence اتكلم
+
+371
+00:30:03,630 --> 00:30:09,290
+كلمتين اخدتها في الأطفال على inherited motor
+
+372
+00:30:09,290 --> 00:30:13,030
+neuron disease هذا بيسموها spinal muscular atrophy
+
+373
+00:30:13,030 --> 00:30:18,230
+او سماء اخدتها في الأطفال سماء is inherited motor
+
+374
+00:30:18,230 --> 00:30:23,710
+neuron disease او تسمى ال recessive diseaseالمشكلة
+
+375
+00:30:23,710 --> 00:30:27,770
+وين هنا المشكلة بتكون في ال anterior horn cells of
+
+376
+00:30:27,770 --> 00:30:32,190
+the spinal cord عبارة عن degeneration of the
+
+377
+00:30:32,190 --> 00:30:36,030
+anterior horn cells بيؤدي إلى symmetrical muscle
+
+378
+00:30:36,030 --> 00:30:39,850
+weakness and wasting في أنواع كتيرة منهمو انا
+
+379
+00:30:39,850 --> 00:30:43,910
+اذكرلكوا النوع الاول Hoffman disease acute
+
+380
+00:30:43,910 --> 00:30:48,050
+infantile spinal muscular atrophy اطول بتوفوا
+
+381
+00:30:48,050 --> 00:30:52,630
+الأطفال على سن تمانتاشر شهر من ال aspiration
+
+382
+00:30:52,630 --> 00:30:56,840
+pneumonia من ال respiratory failureفي ال
+
+383
+00:30:56,840 --> 00:31:01,300
+overlander disease late infantile type وفي adult
+
+384
+00:31:01,300 --> 00:31:05,960
+type of spinal muscular atrophy هذا adult type of
+
+385
+00:31:05,960 --> 00:31:09,440
+spinal muscular atrophy عشان أعمل differential
+
+386
+00:31:09,440 --> 00:31:13,200
+diagnosis مع progressive muscular atrophy بلزم
+
+387
+00:31:13,200 --> 00:31:22,900
+نعمل genetic study دراسة وراثية لهمكيف نشخص مرضى
+
+388
+00:31:22,900 --> 00:31:26,420
+اللي عندهم ALS او amyotrophic lateral sclerosis
+
+389
+00:31:26,420 --> 00:31:31,820
+ناخد ال history physical examination نعملهم good
+
+390
+00:31:31,820 --> 00:31:35,520
+examination electromyography and nerve conduction
+
+391
+00:31:35,520 --> 00:31:41,580
+studyبنعمل neuroimaging brain و spinal cord MRI to
+
+392
+00:31:41,580 --> 00:31:44,220
+exclude other pathology بس مش ضروري يعني عملنا
+
+393
+00:31:44,220 --> 00:31:48,500
+spinal cord MRI لاجينا غضروف صغيرة مالهوش علاقة
+
+394
+00:31:48,500 --> 00:31:52,340
+بالأعراض أجي أقول المريض عنده غضروف لأ يبقى أنا
+
+395
+00:31:52,340 --> 00:31:55,240
+بشوف أشياء علاقة بال clinical representation
+
+396
+00:31:55,240 --> 00:32:01,500
+laboratory test genetic study muscle biopsy
+
+397
+00:32:01,500 --> 00:32:07,880
+الحالات هذه أهم أهم فحصأهم فحص فيهم for confirm
+
+398
+00:32:07,880 --> 00:32:12,560
+diagnosis هو Electromyography فالأهم فحص لتشخيص
+
+399
+00:32:12,560 --> 00:32:21,300
+حالة ال ALS هو Electromyography ال prognosis ALS
+
+400
+00:32:21,300 --> 00:32:27,840
+is fatal disease مرض خطير younger
+
+401
+00:32:27,840 --> 00:32:30,840
+patient may have a slower rate of progression
+
+402
+00:32:30,840 --> 00:32:37,600
+patient with bulbar onsetخاصة كمان المرضى اللي
+
+403
+00:32:37,600 --> 00:32:41,300
+بيبدو كمان معلور موتو نيرون progressive مصري عطرفي
+
+404
+00:32:41,300 --> 00:32:48,700
+have a poor a prognosis عندهم a poor prognosis ال
+
+405
+00:32:48,700 --> 00:32:52,320
+life expectancy كم بيعيشوا هذول المرضى والأعمار
+
+406
+00:32:52,320 --> 00:32:57,480
+بيدلها depend on stage of disease at diagnosis
+
+407
+00:32:57,480 --> 00:33:02,180
+أكتر من خمسين في المية منهم بيعيشوا تلاتة لخمس
+
+408
+00:33:02,180 --> 00:33:07,760
+سنواتعشرين في المية بيعيشوا خمس سنوات، ستة، سبعة،
+
+409
+00:33:07,760 --> 00:33:12,260
+تمانية، تسعة عشرة في المية بيعيشوا عشر سنوات و
+
+410
+00:33:12,260 --> 00:33:17,920
+أكتر يعني من عشر إلى عشرين سنة خمسة في المية ممكن
+
+411
+00:33:17,920 --> 00:33:21,740
+يعيشوا عشرين سنة أو أكتر من عشرين سنة، خمسة في
+
+412
+00:33:21,740 --> 00:33:26,180
+المية لكن هذا مرض fatal disease، ليه؟ لأنه لاحظوا
+
+413
+00:33:26,180 --> 00:33:29,940
+خمسين في المية بتوفق خلال ثلاث، خمس سنوات
+
+414
+00:33:32,700 --> 00:33:37,400
+إيش العلاج بتاع المرض هذا؟ Treatment، there is no
+
+415
+00:33:37,400 --> 00:33:41,300
+radical therapy for MND، مافي علاج بنهي أو بجذع
+
+416
+00:33:41,300 --> 00:33:44,620
+على المرض هذا، بنعطيها دوة اسمه Relazol أو
+
+417
+00:33:44,620 --> 00:33:49,120
+RelatectRilazol أو Rilotec هذا بيشتغل على ال
+
+418
+00:33:49,120 --> 00:33:52,580
+glutamate بيشتغل ضد ال glutamate بيعمل block لل
+
+419
+00:33:52,580 --> 00:33:56,340
+glutamate واحنا عارفين زيادة ال glutamate ممكن
+
+420
+00:33:56,340 --> 00:33:59,660
+تزود ال neurodegeneration في ال motor neurons في
+
+421
+00:33:59,660 --> 00:34:03,340
+الحالة هذه الدواء هذا شوية مكلف بنعطيه لمرضى ال
+
+422
+00:34:03,340 --> 00:34:06,820
+motor neuron disease اسمه Rilazol أو Rilotec لكن
+
+423
+00:34:06,820 --> 00:34:11,320
+هذا العلاج بيقلل ال progression of disease ما بنهي
+
+424
+00:34:11,320 --> 00:34:14,080
+المرض مابيعالجش المرض نهائي بيقلل التدهور الحالي
+
+425
+00:34:14,080 --> 00:34:19,410
+فقطممكن يطول عمرهم لسنة سنتين فقط لغير ال
+
+426
+00:34:19,410 --> 00:34:23,170
+antioxidant ترابي symptomatic ترابي ممكن ياخدوا
+
+427
+00:34:23,170 --> 00:34:28,330
+injectionof botulinum toxin type B في ال salivary
+
+428
+00:34:28,330 --> 00:34:31,810
+gland لإيه؟ لأن المرضى دول بيكون عندهم severe
+
+429
+00:34:31,810 --> 00:34:37,010
+dysphagia مشاكل في البلع و المشاكل البلع هذه و ال
+
+430
+00:34:37,010 --> 00:34:38,970
+dysphagia اللي عندهم راح تأدي الى aspiration
+
+431
+00:34:38,970 --> 00:34:42,370
+pneumonia عشان نقل ال production of saliva ممكن
+
+432
+00:34:42,370 --> 00:34:45,770
+نعطيه أدوية علاجات لكن في بعض الحالات يتكون عندهم
+
+433
+00:34:45,770 --> 00:34:49,110
+medical refractory ويحتاجوا injection of botulinum
+
+434
+00:34:49,110 --> 00:34:54,390
+toxin in the salivary glandطب لما نحدث معاهم
+
+435
+00:34:54,390 --> 00:34:57,750
+dysphagia و في صعوبة في البلع مؤقت ممكن نحط
+
+436
+00:34:57,750 --> 00:35:02,090
+نيزوجاستريك تيوب بس هذا مش حال جدري سبوع سبوعين لو
+
+437
+00:35:02,090 --> 00:35:05,950
+حالة CVA أو جلطة دماغية او شيء او trauma ممكن
+
+438
+00:35:05,950 --> 00:35:09,190
+يتحسن المريض لكن هذا المرض راح يزيد من سيء لأسوأ
+
+439
+00:35:09,190 --> 00:35:12,590
+يبقى المريض هذا لازم نحطه على ايه؟ على pig يعني
+
+440
+00:35:12,590 --> 00:35:17,410
+نعمله percutaneous endoscopic gastrostomy يعني
+
+441
+00:35:17,410 --> 00:35:21,130
+نعمله بربيش عن طريق المنظر في المعد أو سير يأكل عن
+
+442
+00:35:21,130 --> 00:35:26,650
+طريق هذا البربيشأو ال tube non invasive
+
+443
+00:35:26,650 --> 00:35:30,270
+ventilation نعطيهم Oxygen و في النهاية و نهاية
+
+444
+00:35:30,270 --> 00:35:33,890
+المرض بتوفر على جهاز التنافس الاصطناعي بنعمله
+
+445
+00:35:33,890 --> 00:35:38,570
+Tracheostomy و في نهاية المرض في المراحل المتأخرة
+
+446
+00:35:38,570 --> 00:35:41,310
+من المرض بنحطه على mechanical ventilation
+
+447
+00:35:46,090 --> 00:35:49,510
+Symptomatic therapy according to the symptoms
+
+448
+00:35:49,510 --> 00:35:53,290
+عندهم كرامب بأخدوا تيزانيدين كربامازيبيين
+
+449
+00:35:53,290 --> 00:35:57,590
+ماجنيزيام عندهم specificity بيعطيهم بكلوفين
+
+450
+00:35:57,590 --> 00:36:01,650
+تيزانيدين ديازيبام عندهم pseudo bulbar syndrome
+
+451
+00:36:01,650 --> 00:36:05,290
+ومع emotional liability بيبكوا بدون سبب بيضحكوا
+
+452
+00:36:05,290 --> 00:36:10,630
+بدون سبب بيعطيهم امتريبتيلينdysphagia and
+
+453
+00:36:10,630 --> 00:36:14,690
+aspiration مشاكل في الـ dysphagia صعوبة البلاء مع
+
+454
+00:36:14,690 --> 00:36:18,530
+aspiration pneumonia باخدوا percutaneous .. بحطلهم
+
+455
+00:36:18,530 --> 00:36:23,070
+percutaneous endoscopic gastrostomy او PIG ضروري
+
+456
+00:36:23,070 --> 00:36:26,170
+respiratory care ضروري medical rehabilitation and
+
+457
+00:36:26,170 --> 00:36:33,590
+physiotherapy وpsychosocial support هذا ملحد كان
+
+458
+00:36:33,590 --> 00:36:45,140
+اللي هوستيفن هاكينج مفهوم فيزياء ومثابرةتم تشخيصه
+
+459
+00:36:45,140 --> 00:36:50,740
+في عمره 21 سنة كان عمره 21 سنة تزوج سنة 1965 من
+
+460
+00:36:50,740 --> 00:36:56,220
+Jane Hawking وانفصلوا بعدها عن بعض وصيب بالمرض كان
+
+461
+00:36:56,220 --> 00:37:03,940
+عمره 21 سنة وولد في 8 او 1 1942 واتوفى في 14 3
+
+462
+00:37:03,940 --> 00:37:10,790
+2018 يعني عاش فترة طويلة بمصاب بهذا المرضتقريبا
+
+463
+00:37:10,790 --> 00:37:18,490
+خمسين سنة وكان مصاب عمره كان في سنة التلاتة وستين
+
+464
+00:37:18,490 --> 00:37:21,910
+أصيب بالمرض سنة الف وتسعمائية وثلاثة وستين سنة
+
+465
+00:37:21,910 --> 00:37:25,350
+..سنة ..أسف سنة الف وتسعمائية وثلاثة وستين أصيب
+
+466
+00:37:25,350 --> 00:37:29,190
+بالمرض ومن الف وتسعمائية وثلاثة وستين لألفين
+
+467
+00:37:29,190 --> 00:37:35,630
+وثمانتاش مصاب بمرض ال ALS يعني لو حسبناهم سبعة
+
+468
+00:37:35,630 --> 00:37:41,810
+وثلاثين سنةحوالي خمسة و خمسين سنة كان مصاب بمرض ال
+
+469
+00:37:41,810 --> 00:37:48,130
+ALS خمسة و خمسين سنة ولد في تمانية واحد الف
+
+470
+00:37:48,130 --> 00:37:51,830
+وتسعمائة و اتنين و اربعين في اكسفورد في انجلاند و
+
+471
+00:37:51,830 --> 00:37:55,390
+حصل على ال baccalaureate من ثم حصل على الدكتوراه
+
+472
+00:37:55,390 --> 00:38:00,250
+من كامبريش و أصيب
+
+473
+00:38:00,250 --> 00:38:03,290
+بمرضه في سن واحد و عشرين كان عمره واحد و عشرين
+
+474
+00:38:03,290 --> 00:38:10,390
+يعني سنة الف وتسعمائة و ثلاثة و ستينوالده طبيب عاش
+
+475
+00:38:10,390 --> 00:38:16,130
+من سنة 1963 ل2018 و هو مصاب بمرض ال MND هدول rare
+
+476
+00:38:16,130 --> 00:38:21,350
+cases يعني اطول انسان يعيش بمرض ال MND هو Stephen
+
+477
+00:38:21,350 --> 00:38:27,490
+Hawking سنة 1951 وهيه سنة 1963 عند بداية المرض لما
+
+478
+00:38:27,490 --> 00:38:33,090
+بدأ المرض معاه كان 21 عام لاحظوا
+
+479
+00:38:33,090 --> 00:38:38,940
+ايش حصل علىجوائز ومناصب و هو مصاب بالمرض كل هذا
+
+480
+00:38:38,940 --> 00:38:41,860
+لحد الفين و تسعة و بعد الفين و تسعة اكيد كمان حصل
+
+481
+00:38:41,860 --> 00:38:48,980
+على مناصب و رتب و جوائز لعبان ما اتوفى في سنة
+
+482
+00:38:48,980 --> 00:38:54,420
+الفين و ثمانتاش هيك بكون وصلت لنهاية محاضرةmotor
+
+483
+00:38:54,420 --> 00:38:57,520
+neuron disease اللي هي amyotrophic lateral
+
+484
+00:38:57,520 --> 00:39:01,980
+sclerosis وشرحت لكم أنواع ال motor neuron disease
+
+485
+00:39:01,980 --> 00:39:05,860
+و ال classification بتاعتهم و ال clinical
+
+486
+00:39:05,860 --> 00:39:09,900
+presentation بتاعة المرض يعطيكم ألف عافية أنتم
+
+487
+00:39:09,900 --> 00:39:10,360
+بخير
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.json b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..4e0c67f3f35b4ee191c6567bb1f16bffb5f7eeeb
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/aKktcv_rdPM_raw.json
@@ -0,0 +1 @@
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"seek": 73121, "start": 712.17, "end": 731.21, "text": "sight of hemorrhage in hypertensive patients up to 70% occurs in thalamus and basal nuclei أكتر شيء النظيف الدماغي بيكون في ال basal nuclei اتذكروا لما شرحنا لكم ال anatomy في السنة الثالثة و شرحنا ال blood supply of the brain", "tokens": [28654, 295, 8636, 24362, 71, 609, 294, 37488, 2953, 4209, 493, 281, 5285, 4, 11843, 294, 258, 23819, 301, 293, 987, 304, 49919, 5551, 4117, 2655, 2288, 44049, 38207, 28239, 19913, 33911, 32748, 2304, 5718, 118, 1829, 4724, 1829, 30544, 8978, 2423, 987, 304, 49919, 1975, 2655, 8848, 37983, 14407, 5296, 15042, 13412, 2288, 5016, 8315, 5296, 24793, 2423, 31566, 8978, 21136, 1863, 3660, 6024, 104, 6027, 12984, 3660, 4032, 13412, 2288, 5016, 8315, 2423, 3390, 5847, 295, 264, 3567], "avg_logprob": -0.24151233979213385, "compression_ratio": 1.3878504672897196, "no_speech_prob": 0.0, "words": [{"start": 712.17, "end": 712.69, "word": "sight", "probability": 0.115234375}, {"start": 712.69, "end": 712.95, 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tissue وبعدين لونها بيصير عسواد high burdens هذه ال stages اللي بيمور فيها intra cerebral bleeding هي عندي واضح ال CT في ال CT في ال base النوكلي في high burdens lesion هي في ال base النوكلي على ال right side و ال bleeding داخل في ال ventricles في ال ventricular system", "tokens": [40228, 22653, 8978, 29739, 28259, 10632, 39894, 30544, 1090, 37882, 5296, 11536, 11296, 5551, 21292, 11242, 46599, 22488, 9957, 6055, 2655, 5016, 12610, 5296, 11536, 11296, 4724, 4587, 9640, 3555, 5296, 11536, 2423, 3567, 12404, 46599, 22488, 9957, 5296, 11536, 11296, 4724, 1829, 9381, 13546, 6225, 3794, 14407, 3215, 1090, 37882, 29538, 2423, 10232, 13672, 1829, 4724, 32640, 13063, 8978, 11296, 43358, 43561, 19312, 39896, 18871, 16254, 4032, 46958, 5016, 2423, 19529, 8978, 2423, 19529, 8978, 2423, 3096, 28239, 2407, 4117, 20292, 8978, 1090, 37882, 1512, 313, 39896, 8978, 2423, 3096, 28239, 2407, 4117, 20292, 15844, 2423, 558, 1252, 4032, 2423, 19312, 11778, 47283, 1211, 8978, 2423, 6931, 1341, 904, 8978, 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هذا bad إذا كانت intraventricular أو pontine hemorrhage كمان bad إذا المريض كان في deep coma قلنا بيركسيا وconvulsion هذا كله إيه؟ يعتبر سيئة علامات سيئة لكن good prognostic features", "tokens": [4318, 4568, 8211, 4716, 447, 4568, 19634, 4122, 8978, 11203, 10943, 9307, 8608, 1829, 19986, 3660, 50113, 1211, 11933, 1829, 3224, 22807, 11933, 15730, 25961, 2655, 2423, 3224, 1829, 2304, 41193, 20498, 3660, 2416, 4032, 2452, 8636, 267, 6440, 23758, 1578, 11933, 15730, 25961, 2655, 43358, 2475, 42750, 34051, 18770, 533, 8636, 24362, 71, 609, 9122, 2304, 7649, 1578, 11933, 15730, 9673, 16572, 11242, 25961, 8978, 2452, 35106, 12174, 1211, 8315, 4724, 13546, 4117, 3794, 25528, 4032, 1671, 85, 22973, 23758, 28242, 3224, 11933, 1829, 3224, 22807, 7251, 34268, 26890, 8608, 1829, 19986, 3660, 11203, 10943, 9307, 8608, 1829, 19986, 3660, 44381, 665, 447, 4568, 19634, 4122], "avg_logprob": -0.28790509783559376, "compression_ratio": 1.6837606837606838, "no_speech_prob": 0.0, "words": [{"start": 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1594.25, "text": "إذا كانت small superficial hematoma لوبر هيماتومه هذا كويس صغيرة و سطحية إذا المرضى conscious ممتاز normal temperature without conversion كل هذه علامات ممتازة بالنسبة للمحالة المرضية مرتارية ال rate ممكن يصل ل 25-60% لكن الحالات اللي بيكونوا deep coma غيبوبة عميقة أو إش بتعدل 90% نسبة وفايت فيهم اللي عندهم بيكونوا غيبوبة تماما", "tokens": [28814, 15730, 25961, 2655, 1359, 34622, 8636, 267, 6440, 5296, 37746, 2288, 8032, 32640, 9307, 20498, 3224, 23758, 9122, 45865, 3794, 20328, 17082, 48923, 4032, 8608, 9566, 5016, 10632, 11933, 15730, 9673, 43042, 7578, 6648, 3714, 2304, 2655, 31377, 2710, 4292, 1553, 14298, 28242, 29538, 11203, 10943, 9307, 3714, 2304, 2655, 31377, 3660, 20666, 1863, 35457, 3660, 5296, 19528, 5016, 6027, 3660, 9673, 43042, 10632, 3714, 43500, 9640, 10632, 2423, 3314, 3714, 43020, 7251, 36520, 5296, 3552, 12, 4550, 4, 44381, 21542, 6027, 9307, 13672, 1829, 4724, 1829, 30544, 14407, 2452, 35106, 32771, 1829, 3555, 37746, 3660, 6225, 2304, 1829, 28671, 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"end": 1583.45, "word": " يصل", "probability": 0.959716796875}, {"start": 1583.45, "end": 1583.59, "word": " ل", "probability": 0.78125}, {"start": 1583.59, "end": 1583.85, "word": " 25", "probability": 0.58447265625}, {"start": 1583.85, "end": 1584.31, "word": "-60", "probability": 0.600341796875}, {"start": 1584.31, "end": 1584.65, "word": "%", "probability": 0.92041015625}, {"start": 1584.65, "end": 1585.31, "word": " لكن", "probability": 0.84814453125}, {"start": 1585.31, "end": 1585.75, "word": " الحالات", "probability": 0.93994140625}, {"start": 1585.75, "end": 1585.85, "word": " اللي", "probability": 0.870361328125}, {"start": 1585.85, "end": 1586.15, "word": " بيكونوا", "probability": 0.92529296875}, {"start": 1586.15, "end": 1586.41, "word": " deep", "probability": 0.8515625}, {"start": 1586.41, "end": 1587.83, "word": " coma", "probability": 0.9365234375}, {"start": 1587.83, "end": 1588.59, "word": " غيبوبة", "probability": 0.87900390625}, {"start": 1588.59, "end": 1588.95, 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"probability": 0.96826171875}], "temperature": 1.0}, {"id": 72, "seek": 164751, "start": 1641.83, "end": 1647.51, "text": "أكثر مكان في subarachnoid hemorrhage في العالم اللي هو اليابان", "tokens": [10721, 4117, 49115, 3714, 41361, 8978, 1422, 289, 608, 1771, 327, 8636, 24362, 71, 609, 8978, 18863, 45340, 13672, 1829, 31439, 45595, 16758, 7649], "avg_logprob": -0.1067187523841858, "compression_ratio": 1.1071428571428572, "no_speech_prob": 0.0, "words": [{"start": 1641.83, "end": 1642.17, "word": "أكثر", "probability": 0.8966471354166666}, {"start": 1642.17, "end": 1642.59, "word": " مكان", "probability": 0.977783203125}, {"start": 1642.59, "end": 1642.93, "word": " في", "probability": 0.93994140625}, {"start": 1642.93, "end": 1645.85, "word": " subarachnoid", "probability": 0.83671875}, {"start": 1645.85, "end": 1646.29, "word": " hemorrhage", "probability": 0.88330078125}, {"start": 1646.29, "end": 1646.37, "word": " في", "probability": 0.93115234375}, {"start": 1646.37, "end": 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"duration": 2580.87475, "duration_after_vad": 2482.7493749999926}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b351c0a9abc263bff28bcfab29b8240ef3637701
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/azTCjebbUy0.srt
@@ -0,0 +1,2042 @@
+1
+00:00:04,930 --> 00:00:08,650
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله و
+
+2
+00:00:08,650 --> 00:00:13,670
+بركاته محاضرة الأسبوع التاسع هي عبارة عن
+
+3
+00:00:13,670 --> 00:00:19,190
+demyelinating disease of the CNS.  رح تكون جزئين، الجزء
+
+4
+00:00:19,190 --> 00:00:23,070
+الأول رح نتكلم على multiple sclerosis. في الجزء
+
+5
+00:00:23,070 --> 00:00:27,130
+الثاني بنتكلم على acute transverse myelitis،
+
+6
+00:00:27,130 --> 00:00:32,830
+acute disseminated encephalomyelitis (ADEM)، وممكن نتكلم
+
+7
+00:00:32,830 --> 00:00:37,730
+على اللي هو neuromyelitis optica أو Devic's disease. الجزء
+
+8
+00:00:37,730 --> 00:00:40,590
+الأول من المحاضرة رح يكون على موضوع multiple
+
+9
+00:00:40,590 --> 00:00:47,620
+sclerosis. حد بيعرف صورة مين هذا اللي موجود هنا؟ هذا
+
+10
+00:00:47,620 --> 00:00:52,860
+جين مارتن شاركو، فرنسي الجنسية. أول ما كتب عن مرض
+
+11
+00:00:52,860 --> 00:00:57,200
+multiple sclerosis. مرض multiple sclerosis بنسميه
+
+12
+00:00:57,200 --> 00:01:03,100
+التصلب اللويحي، أو مرض التصلب المتعدد، أو التصلب
+
+13
+00:01:03,100 --> 00:01:03,840
+المتناثر.
+
+14
+00:01:06,220 --> 00:01:13,500
+24 سنة عمرها، كانت في 24 ساعة تشعر بالغضب من جذب يدها
+
+15
+00:01:13,500 --> 00:01:18,020
+اليسرى، وجذب يدها اليسرى في  الانتشار... الانتشار
+
+16
+00:01:18,020 --> 00:01:20,160
+(repeated word, likely a transcription error)
+
+17
+00:01:20,160 --> 00:01:20,820
+(repeated word, likely a transcription error)
+
+18
+00:01:20,820 --> 00:01:23,000
+(repeated word, likely a transcription error)
+
+19
+00:01:23,000 --> 00:01:23,760
+(repeated word, likely a transcription error)
+
+20
+00:01:23,760 --> 00:01:23,780
+(repeated word, likely a transcription error)
+
+21
+00:01:23,780 --> 00:01:33,060
+(repeated word, likely a transcription error)
+
+22
+00:01:34,010 --> 00:01:37,050
+Two years ago, she had an episode of blurring
+
+23
+00:01:37,050 --> 00:01:41,430
+vision that resolved in about two weeks. ماقالش
+
+24
+00:01:41,430 --> 00:01:45,230
+resolved within a few minutes. مثل ال transgenic
+
+25
+00:01:45,230 --> 00:01:52,550
+attack. قال few days. ثانيا، ال age 24، أربع وعشرين سنة،
+
+26
+00:01:52,550 --> 00:01:58,970
+female. Okay، ال symptoms: heterogeneous symptoms.
+
+27
+00:01:58,970 --> 00:02:02,990
+عندها numbness، sensory symptoms، عندها poor balance،
+
+28
+00:02:02,990 --> 00:02:08,030
+discoordination، ال blurring of vision، visual
+
+29
+00:02:08,030 --> 00:02:12,750
+symptoms. يبقى الأعراض متعددة، ولذلك سمي المرض
+
+30
+00:02:12,750 --> 00:02:17,970
+multiple sclerosis. What is the correct option for
+
+31
+00:02:17,970 --> 00:02:21,690
+this patient؟ نعطي IV الـ Tissue Plasminogen
+
+32
+00:02:21,690 --> 00:02:24,970
+Activator؟ هذه حالة الـ Stroke؟ نعطيه؟ لأ، مش Stroke.
+
+33
+00:02:24,970 --> 00:02:28,570
+مش جلطة دماغية هذه الحالة.  ثانيا، Lumbar Puncture
+
+34
+00:02:28,570 --> 00:02:32,550
+and brain MRI will help us to diagnose the patient.
+
+35
+00:02:32,550 --> 00:02:38,650
+لو أخدنا خزعة، وأخدنا سائل الـ CSF، وعملنا lumbar
+
+36
+00:02:38,650 --> 00:02:41,810
+puncture، وأخدنا سائل... أو بنسميه عملنا بزل، مش خزعة.
+
+37
+00:02:41,810 --> 00:02:49,330
+بزل للـ CSF، وفحصناه، بنجد أنه فيه مشكلة في الـ white
+
+38
+00:02:49,330 --> 00:02:53,290
+blood cells، فيه increase اللي هو الـ total protein،
+
+39
+00:02:53,290 --> 00:02:57,790
+في فحص، serology test، اسمه
+
+40
+00:02:57,790 --> 00:03:01,910
+oligoclonal bands IgG. راح اتكلم عنه في المحاضرة.
+
+41
+00:03:01,910 --> 00:03:08,570
+Okay. C. We should treat here with a high dose of
+
+42
+00:03:08,570 --> 00:03:13,190
+methylprednisolone 1000 mg during 5 days. نعطي high
+
+43
+00:03:13,190 --> 00:03:17,290
+dose of methylprednisolone. صح، لازم نعطيه. بنعمل MRI و
+
+44
+00:03:17,290 --> 00:03:19,790
+lumbar puncture، وبنعطي methylprednisolone. يمكن
+
+45
+00:03:19,790 --> 00:03:26,470
+الإجابة رح تكون B and C.  الـ CSF Examination، وجدنا
+
+46
+00:03:26,470 --> 00:03:29,730
+أنه فيه ثمانية cells، وكلهم lymphocytes. يبقى أن فيه
+
+47
+00:03:29,730 --> 00:03:32,390
+increase في الـ white blood cells. الـ oligoclonal
+
+48
+00:03:32,390 --> 00:03:35,370
+bands كانت positive. يبقى أنها حالة multiple
+
+49
+00:03:35,370 --> 00:03:39,950
+sclerosis. سيرولوجي positive. على الـ MRI كان فيه
+
+50
+00:03:39,950 --> 00:03:43,970
+hyperintense plaques/lesions. هذه النقط البيضاء هي
+
+51
+00:03:43,970 --> 00:03:47,110
+عبارة عن إيه؟ demyelination. عبارة عن إيه؟
+
+52
+00:03:47,110 --> 00:03:49,710
+demyelination. روحوا تاخدوا هذا في موضوع الـ radiology.
+
+53
+00:03:50,920 --> 00:03:54,160
+يبقى أن هذه حالة multiple sclerosis. كانت حالة
+
+54
+00:03:54,160 --> 00:03:57,700
+multiple sclerosis. الآن نتكلم على classification
+
+55
+00:03:57,700 --> 00:04:03,080
+of CNS demyelinating diseases، أو classification of
+
+56
+00:04:03,080 --> 00:04:09,100
+demyelinating diseases of the CNS. الـ classification هم
+
+57
+00:04:09,100 --> 00:04:14,260
+أكثر من هكذا أنواع. النوع الأول: Multiple Sclerosis، أو
+
+58
+00:04:14,260 --> 00:04:18,160
+Disseminated Sclerosis، اللي هو تصلب متعدد، وأكثر
+
+59
+00:04:18,160 --> 00:04:21,740
+انتشاراً في العالم. لذلك راح أعطيه اهتمام أكبر، و
+
+60
+00:04:21,740 --> 00:04:26,340
+أشرحه في الجزء الأول من المحاضرة. الثاني: Transverse
+
+61
+00:04:26,340 --> 00:04:31,100
+Myelitis. تتذكرين لما أخذت معاكم، وشرحنا الـ diseases
+
+62
+00:04:31,100 --> 00:04:34,320
+of the spinal cord؟ قلت لكم Transverse Myelitis، راح
+
+63
+00:04:34,320 --> 00:04:38,840
+أشرح لكم في محاضرة الـ demyelination. Neuromyelitis optica is
+
+64
+00:04:38,840 --> 00:04:42,100
+an optic-spinal disease. We have acute-disseminated
+
+65
+00:04:42,100 --> 00:04:45,440
+encephalomyelitis، أو ADEM. acute and sub-acute
+
+66
+00:04:45,440 --> 00:04:47,720
+necrotizing hemorrhagic encephalopathy. هذا مش
+
+67
+00:04:47,720 --> 00:04:51,200
+مطالب منكم. النوع الخامس مش مطالب. very rare. راح
+
+68
+00:04:51,200 --> 00:04:56,360
+أشرح لكم أنا الأربع أنواع الأولى. نبدأ بمحاضرة
+
+69
+00:04:56,360 --> 00:04:59,980
+multiple sclerosis. جئنا نبدأ المحاضرة، نتكلم عن
+
+70
+00:04:59,980 --> 00:05:06,100
+تاريخ المرض.  History gives the name multiple due to
+
+71
+00:05:06,100 --> 00:05:09,960
+many sites of demyelination. ليه سموه multiples؟
+
+72
+00:05:09,960 --> 00:05:15,140
+لأنه في عندنا many sites of demyelination.  كونوا في
+
+73
+00:05:15,140 --> 00:05:19,380
+عندنا many sites of demyelination. يبقى الـ symptoms
+
+74
+00:05:19,380 --> 00:05:23,160
+راح تكون many symptoms، heterogeneous symptoms. راح
+
+75
+00:05:23,160 --> 00:05:26,800
+تكون إيه؟ أعراض مش فقط زي الـ CVA، left side weakness،
+
+76
+00:05:26,800 --> 00:05:29,840
+وخلاص. ها، راح يكون الـ symptoms: مشاكل في الـ urine،
+
+77
+00:05:29,840 --> 00:05:34,060
+مشاكل في الـ vision، numbness، ataxia، weakness، و
+
+78
+00:05:34,060 --> 00:05:40,690
+هكذا. Sclerosis meaning scaring. بيصير scar، مثل واحد
+
+79
+00:05:40,690 --> 00:05:44,270
+بنجرح، بيصير scar معه. وهناك نفس الشيء بيحدث في
+
+80
+00:05:44,270 --> 00:05:48,250
+demyelination. بعدها بيصير تصنيع، بيرجع لعدد تصنيع
+
+81
+00:05:48,250 --> 00:05:51,090
+المايلين، اللي هو الـ remyelination، لكن ما بيرجعش
+
+82
+00:05:51,090 --> 00:05:54,270
+بالكمية الطبيعية، وبيحدث scar مكان الـ
+
+83
+00:05:54,270 --> 00:05:58,570
+demyelination. لذلك سمي المرض multiple sclerosis.
+
+84
+00:05:59,220 --> 00:06:03,860
+Okay. First diagnosis of the disease. أول مرة تم تشخيص
+
+85
+00:06:03,860 --> 00:06:07,660
+المرض سنة ألف وثمان مائة وتسعة وأربعين، ألف وثمان مائة
+
+86
+00:06:07,660 --> 00:06:11,900
+وتسعة وأربعين. أول شخص شخصه، اللي هو جين مارتن
+
+87
+00:06:11,900 --> 00:06:15,840
+شاركو. جين مارتن شاركو، اللي هو عاش من سنة ألف
+
+88
+00:06:15,840 --> 00:06:19,420
+وثمان مائة وعشرين، لـ ألف وثمان مائة وثلاثة وتسعين. أبدع
+
+89
+00:06:19,420 --> 00:06:23,800
+في موضوع الـ neurology في باريس، في فرنسا. Multiple
+
+90
+00:06:23,800 --> 00:06:27,700
+sclerosis. إيش الـ multiple sclerosis؟ إيش تعريفه؟ إيش
+
+91
+00:06:27,700 --> 00:06:33,790
+تعريف المرض؟ It is a chronic... chronic مزمن،
+
+92
+00:06:33,790 --> 00:06:39,350
+inflammatory demyelinating disease. هو مرض مزمن،
+
+93
+00:06:39,350 --> 00:06:43,970
+بيحدث فيه التهابات، مع تآكل في مادة المايلين، في
+
+94
+00:06:43,970 --> 00:06:46,870
+غلاف المايلين، اللي بيحيط في الأعصاب، وفي الـ axons
+
+95
+00:06:46,870 --> 00:06:50,890
+of the central nervous system. بيصيب الـ central nervous
+
+96
+00:06:50,890 --> 00:06:54,070
+system، الجهاز العصبي المركزي. بيصيب الدماغ، الـ brain،
+
+97
+00:06:54,070 --> 00:07:00,480
+و spinal cord. Characterized by demyelination. بحدث
+
+98
+00:07:00,480 --> 00:07:04,140
+معه المرض demyelination. يعني demyelination يعني
+
+99
+00:07:04,140 --> 00:07:09,200
+تآكل في مادة المايلين، and secondary axonal loss، و
+
+100
+00:07:09,200 --> 00:07:14,820
+بيحدث ثانوي، مشاكل في الـ axon نفسه. Where there is
+
+101
+00:07:14,820 --> 00:07:19,080
+dissemination in space. إيش يعني dissemination in
+
+102
+00:07:19,080 --> 00:07:21,940
+space؟ بيصيب أكثر من مكان في spinal cord، في الـ
+
+103
+00:07:21,940 --> 00:07:27,870
+brain. لذلك سمي المرض multiple. Dissemination in time:
+
+104
+00:07:27,870 --> 00:07:32,690
+الأعراض بتيجي متكررة. يعني المرض مزمن، النوبات بتيجي
+
+105
+00:07:32,690 --> 00:07:37,010
+في أول السنة، أو نص السنة، أو آخر السنة. ممكن كل شهر،
+
+106
+00:07:37,010 --> 00:07:40,630
+ممكن كل شهرين، ممكن كل سنتين. الأعراض بتتكرر. يبقى
+
+107
+00:07:40,630 --> 00:07:45,910
+إيه؟ dissemination in time، في الوقت. And no
+
+108
+00:07:45,910 --> 00:07:49,050
+alternative neurological disease. ما ينفع المريض يكون
+
+109
+00:07:49,050 --> 00:07:52,670
+عنده ورم في الدماغ، وأقول هذا multiple sclerosis.
+
+110
+00:07:52,670 --> 00:07:56,410
+يبقى لازم أستثني كل الأسباب الأخرى اللي بيصيب
+
+111
+00:07:56,410 --> 00:08:00,410
+الدماغ، مثل مرض بهجت، the Behçet's disease،
+
+112
+00:08:00,410 --> 00:08:04,390
+الذئبة الحمراء، systemic lupus erythematosus. هذه
+
+113
+00:08:04,390 --> 00:08:07,610
+الأمراض ممكن تصيب، أو vasculitis، التهاب شرايين دماغية.
+
+114
+00:08:07,610 --> 00:08:10,130
+هذه ممكن تصيب الدماغ. يبقى عشان أحط multiple
+
+115
+00:08:10,130 --> 00:08:13,730
+sclerosis، لازم أستثني هذه الأمراض. No alternative
+
+116
+00:08:13,730 --> 00:08:18,210
+neurological disease. Okay. Demyelinating disorders of
+
+117
+00:08:18,210 --> 00:08:26,620
+the CNS affect myelin and/or oligodendrocytes. Cause
+
+118
+00:08:26,620 --> 00:08:29,300
+block in signal conduction. يعني في مرض multiple
+
+119
+00:08:29,300 --> 00:08:33,100
+sclerosis، بيحدث demyelination، تآكل في الـ myelin
+
+120
+00:08:33,100 --> 00:08:36,320
+sheath، وفي الـ neuroglial cells، اللي هي
+
+121
+00:08:36,320 --> 00:08:40,080
+oligodendrocytes، اللي لها علاقة في production of
+
+122
+00:08:40,080 --> 00:08:44,760
+myelin sheath. هذا بيؤدي إلى block in signal
+
+123
+00:08:44,760 --> 00:08:49,620
+conduction. لحظة! Multiple sclerosis...
+
+124
+00:08:53,950 --> 00:08:59,690
+(Repeated word, likely a transcription error)
+
+125
+00:08:59,690 --> 00:09:01,010
+(Repeated word, likely a transcription error)
+
+126
+00:09:01,010 --> 00:09:01,950
+(Repeated word, likely a transcription error)
+
+127
+00:09:01,950 --> 00:09:02,070
+(Repeated word, likely a transcription error)
+
+128
+00:09:02,070 --> 00:09:02,570
+(Repeated word, likely a transcription error)
+
+129
+00:09:02,570 --> 00:09:03,350
+(Repeated word, likely a transcription error)
+
+130
+00:09:03,350 --> 00:09:04,790
+(Repeated word, likely a transcription error)
+
+131
+00:09:04,790 --> 00:09:05,930
+(Repeated word, likely a transcription error)
+
+132
+00:09:05,930 --> 00:09:11,630
+(Repeated word, likely a transcription error)
+
+133
+00:09:11,630 --> 00:09:17,350
+(Repeated word, likely a transcription error)
+
+134
+00:09:17,380 --> 00:09:21,040
+Areas of demyelination with loss of
+
+135
+00:09:21,040 --> 00:09:25,140
+oligodendrocytes and myelin sheath. وهذا المرض يحصل
+
+136
+00:09:25,140 --> 00:09:29,180
+في أكثر من مكان، وبيعمل تآكل في غلاف المايلين اللي
+
+137
+00:09:29,180 --> 00:09:33,460
+بيحيط بالأكسون، وفي الـ oligodendrocytes، اللي هم
+
+138
+00:09:33,460 --> 00:09:39,640
+الخلايا المسؤولة عن production of myelin. لاحظوا
+
+139
+00:09:39,640 --> 00:09:45,160
+activated T cells تعمل cross للـ blood brain barrier،
+
+140
+00:09:45,970 --> 00:09:50,470
+بتفوت الحاجز بتاع الـ blood brain barrier، وتدخل
+
+141
+00:09:50,470 --> 00:09:56,470
+لوين؟ بتهاجم إيش؟ الـ axon. بتهاجم الـ myelin، بتعمل
+
+142
+00:09:56,470 --> 00:09:59,850
+demyelination. غير هيك، بتعمل secondary axonal
+
+143
+00:09:59,850 --> 00:10:03,930
+damage. وهذا بيؤدي إلى إيه؟ decrease في الـ
+
+144
+00:10:03,930 --> 00:10:07,370
+conduction في الـ nerve fibers، ويعطينا إيه؟
+
+145
+00:10:07,370 --> 00:10:10,170
+neurological symptoms and neurological signs.
+
+146
+00:10:15,700 --> 00:10:19,380
+هي الـ axon. الـ
+
+147
+00:10:19,380 --> 00:10:23,440
+axon في هذا الـ cell body، لها غلاف اسمه myelin
+
+148
+00:10:23,440 --> 00:10:28,060
+sheath. Myelin sheath. طبعا الـ myelin sheath له
+
+149
+00:10:28,060 --> 00:10:30,620
+علاقة بالـ conduction function. الـ conduction
+
+150
+00:10:30,620 --> 00:10:34,840
+function. لاحظوا إيش بيحدث في الـ MS، في multiple
+
+151
+00:10:34,840 --> 00:10:40,980
+sclerosis. T cells، هذه بتقوم بمهاجمة، والـ antibodies
+
+152
+00:10:40,980 --> 00:10:45,690
+بيقوموا بمهاجمة إيش؟ الـ myelin sheath. هو بيعملون
+
+153
+00:10:45,690 --> 00:10:49,510
+إيه؟ demyelination.  يبين الجسم اللي لابس الـ
+
+154
+00:10:49,510 --> 00:10:52,970
+myelin sheet، أو الملابس اللي لابسهم، اللي هو عبارة
+
+155
+00:10:52,970 --> 00:10:58,150
+عن myelin sheet. بيحدث تآكل لهم. لحظة! تآكل لهم، حدث
+
+156
+00:10:58,150 --> 00:11:01,070
+تآكل في الـ myelin sheet. هذا يؤدي إلى إيه؟
+
+157
+00:11:01,070 --> 00:11:05,510
+demyelination. Demyelination of fibers. وممكن أن فيه
+
+158
+00:11:05,510 --> 00:11:08,630
+demyelination، يبين في neurological deficit، في
+
+159
+00:11:08,630 --> 00:11:11,510
+neurological symptoms، فيه إيه؟ deficit، في signs.
+
+160
+00:11:11,510 --> 00:11:17,600
+Multiple neurological signs. رح يكونوا حسب الـ site
+
+161
+00:11:17,600 --> 00:11:18,540
+of demyelination.
+
+162
+00:11:23,220 --> 00:11:26,980
+أنتم عارفين الـ oligodendrocytes هي نوع من أنواع
+
+163
+00:11:26,980 --> 00:11:31,020
+إيه؟ نوع من أنواع الـ neuroglial cells. الوظيفة
+
+164
+00:11:31,020 --> 00:11:33,320
+بتاعتها، الـ main function اللي إلها، اللي هو
+
+165
+00:11:33,320 --> 00:11:39,220
+production of myelin sheath. مدام
+
+166
+00:11:39,220 --> 00:11:41,420
+production of myelin sheath، يبقى إنها علاقة بالـ
+
+167
+00:11:41,420 --> 00:11:44,980
+increase conductivity of action potential. طب هو
+
+168
+00:11:44,980 --> 00:11:47,590
+عبارة عن إيش هذا المايلين؟ الـ myelin عبارة عن
+
+169
+00:11:47,590 --> 00:11:51,990
+إيه؟ عبارة عن الـ lipoprotein. بتكون من الـ lipids
+
+170
+00:11:51,990 --> 00:11:56,530
+والـ proteins. بتكون من 80% من الـ lipids، و20% من
+
+171
+00:11:56,530 --> 00:11:58,230
+البروتينات.
+
+172
+00:12:06,230 --> 00:12:09,390
+هذا بيؤدي إلى إيه؟ Decrease action potential.
+
+173
+00:12:09,390 --> 00:12:12,090
+مدام فيه decrease action potential، you gonna فيه
+
+174
+00:12:12,090 --> 00:12:15,710
+symptoms. والـ symptoms بتعتمد على حسب المكان اللي
+
+175
+00:12:15,710 --> 00:12:17,910
+أصيب. إذا كان الـ demyelination أكثر في الـ
+
+176
+00:12:17,910 --> 00:12:20,710
+cerebellum، رح يكون cerebellar symptoms. إذا كانوا
+
+177
+00:12:20,710 --> 00:12:23,710
+أكثر في الـ upper motor neuron، رح يكون deficit
+
+178
+00:12:23,710 --> 00:12:27,810
+motor. إذا كانوا في الـ optic، رح يكون visual، وهكذا.
+
+179
+00:12:27,810 --> 00:12:31,670
+الآن
+
+180
+00:12:31,670 --> 00:12:35,940
+أتكلم على الـ epidemiology of multiple sclerosis. أول
+
+181
+00:12:35,940 --> 00:12:39,340
+شي
+
+223
+00:15:39,470 --> 00:15:44,050
+demyelination راح تلاحظوا في مرض Parkinson disease
+
+224
+00:15:44,050 --> 00:15:48,750
+و Alzheimer راح نتكلم على Parkinson و نقول المدخن
+
+225
+00:15:48,750 --> 00:15:51,730
+أقل عرضة للإصابة ب Parkinson disease لكن هذا ليس
+
+226
+00:15:51,730 --> 00:15:56,670
+مبرر للتدخين، الأضرار أكثر من المنافع. ننتقل لـ
+
+227
+00:15:56,670 --> 00:15:59,990
+Genetic Factors. مالذي ملاحظينه في الصورة هذه أن
+
+228
+00:15:59,990 --> 00:16:05,950
+هؤلاء هم أخوات من بويضة واحدة، ولا أستطيع أن أعرف
+
+229
+00:16:05,950 --> 00:16:09,690
+منهن سمر ومنهن سماح، حسب المثال. لو كانوا أخوات تمام
+
+230
+00:16:09,690 --> 00:16:13,370
+هؤلاء من بويضة واحدة ويشبهن بعض، Female و
+
+231
+00:16:13,370 --> 00:16:18,810
+يشبهن بعض، يمكن... لاحظوا First and second degree
+
+232
+00:16:18,810 --> 00:16:24,220
+relatives are at increased risk. دائما لما كنت أدرس
+
+233
+00:16:24,220 --> 00:16:27,240
+طلاب، أول ما تطلع الصورة يقولوا حلوين، فأقول لهم على
+
+234
+00:16:27,240 --> 00:16:31,380
+الـslide، أنت بتطلع على الصورة، بس يبقى risk is
+
+235
+00:16:31,380 --> 00:16:36,900
+higher in siblings. يبقى الـ risk أكثر في الأخوة
+
+236
+00:16:36,900 --> 00:16:43,260
+siblings، monozygotic twins، اللي من بويضة واحدة.
+
+237
+00:16:43,260 --> 00:16:50,030
+اللي من بويضة واحدة عندهم 30% risk. طب dizygotic
+
+238
+00:16:50,030 --> 00:16:55,390
+twins، تكون من بويضتين، يعني جاء بنت وولد أو
+
+239
+00:16:55,390 --> 00:16:59,130
+بنتين، بس كل واحدة تختلف عن الثانية بالشكل بتاعها.
+
+240
+00:16:59,130 --> 00:17:02,630
+هذه من إيه؟ بويضتين مختلفتين، هذه بويضة واحدة،
+
+241
+00:17:02,630 --> 00:17:06,770
+الـ monozygotic، وبعدين تنقسم لجنينين، هذا إيه؟ بويضتان
+
+242
+00:17:06,770 --> 00:17:11,890
+مختلفتان، okay. الـ dizygotic twins خمسة في المائة.
+
+243
+00:17:14,760 --> 00:17:19,120
+طب non-twins siblings، يعني الأخوة بس مش توأم، 2%.
+
+244
+00:17:19,120 --> 00:17:24,220
+لحظة، ثلاثين، خمسة، اثنين، يبقى الموضوع، العامل الوراثي
+
+245
+00:17:24,220 --> 00:17:29,240
+مهم في الـ multiple sclerosis. نيجي نلاقي العامل
+
+246
+00:17:29,240 --> 00:17:29,860
+الجغرافي.
+
+247
+00:17:32,810 --> 00:17:37,050
+high frequency area. أكثر الأماكن بيكون المرضى
+
+248
+00:17:37,050 --> 00:17:41,310
+التصلب المتعدد في الشمال. ماحدش يقول شمال غزة وجنوب
+
+249
+00:17:41,310 --> 00:17:44,690
+غزة، ماهي غزة كلها نقطة. إحنا بنتكلم في أوروبا، في
+
+250
+00:17:44,690 --> 00:17:51,730
+أمريكا، في روسيا، تمام. شمال وجنوب، يبقى الأكثر بيكون
+
+251
+00:17:51,730 --> 00:18:01,060
+في الشمال، 60 لكل 100 ألف. أكثر مكان في العالم في
+
+252
+00:18:01,060 --> 00:18:07,100
+مرض التصلب المتعدد، جزر الـ Orkney، Orkney Island، 300
+
+253
+00:18:07,100 --> 00:18:11,880
+في المحيط الأطلسي، 300 حالة لكل 100 ألف نسمة، 300
+
+254
+00:18:11,880 --> 00:18:17,960
+حالة لكل 100 ألف نسمة. الـ risk of MS increasing
+
+255
+00:18:17,960 --> 00:18:22,220
+from south to north. والـ risk تبع الـ MS، حالات
+
+256
+00:18:22,220 --> 00:18:25,720
+التصلب المتعدد، بيزيد كل ما اتجهنا من الجنوب إلى
+
+257
+00:18:25,720 --> 00:18:30,510
+الشمال، okay. بس حاجة تقول لي يا دكتور، أنت من الشمال
+
+258
+00:18:30,510 --> 00:18:34,290
+عندك ريسك أكثر في التصلب المتعدد، لأ، وكل غزة نقطة
+
+259
+00:18:34,290 --> 00:18:38,410
+واحدة، أصغر مدينة في روسيا كان فيها مرضى التصلب المتعدد أكثر.
+
+260
+00:18:38,410 --> 00:18:44,830
+أكثر يصيب الـ white population، الـ white
+
+261
+00:18:44,830 --> 00:18:50,810
+البيض أكثر من الـ non-white. غير هيك، بيصيب الـ female
+
+262
+00:18:50,810 --> 00:18:56,510
+أكثر من الـ male، قلنا، والـ young female. الناس في
+
+263
+00:18:56,510 --> 00:19:01,030
+آسيا، وأفريقيا، وأمريكا الجنوبية، والهند، عندهم أقل في الـ
+
+264
+00:19:01,030 --> 00:19:07,010
+schema. بيقول لك المرض مش معروف عندهم، بيعرفوش المرض.
+
+265
+00:19:07,010 --> 00:19:08,970
+هذا لأنه ليس موجود عندهم، مرض اسمه multiple
+
+266
+00:19:08,970 --> 00:19:14,450
+sclerosis، مع أنه أقصى الشمال، القطب الشمالي. لكن الظاهر
+
+267
+00:19:14,450 --> 00:19:17,970
+إيه العلاقة؟ يتغذون، يعتمدون في أكلهم هناك في الـ
+
+268
+00:19:17,970 --> 00:19:21,790
+إسكيمو على الأسماك، بتغدوا أسماك طول حياتهم،
+
+269
+00:19:21,790 --> 00:19:25,030
+بيعرفوش إيش اللحم العجل والخروف والحاجات هذه،
+
+270
+00:19:25,030 --> 00:19:29,790
+بيعتمدوا على موضوع الأسماك، وأعتقد أن هذا العامل
+
+271
+00:19:29,790 --> 00:19:33,850
+الرئيسي أن عندهم مرضى اللي ما يقسمش موجود في الـ
+
+272
+00:19:33,850 --> 00:19:42,070
+إسكيمو، خذوا هذه الملاحظة. الناس المدخنين عندهم الـ MS
+
+273
+00:19:42,070 --> 00:19:46,350
+أكثر من غير المدخنين، في دراسة large population
+
+274
+00:19:46,350 --> 00:19:51,370
+based study للـ MS، وجدوا الناس اللي ولدوا في شهر
+
+275
+00:19:51,370 --> 00:19:56,120
+خمسة، تمام؟ أكثر نسبة في الـ MS كانت عند الناس اللي
+
+276
+00:19:56,120 --> 00:20:00,200
+كانوا مولودين في شهر خمسة، في مايو، وأقل نسبة كانت
+
+277
+00:20:00,200 --> 00:20:03,200
+في نوفمبر. هذا ليس يعني، مش أرقام مئة بالمئة، لكن أخذوا
+
+278
+00:20:03,200 --> 00:20:07,440
+ألف مريض، قسموهم حسب شهر الميلاد، وجدوا أن أكثر عدد
+
+279
+00:20:07,440 --> 00:20:10,620
+كان في هذه الـ group موجود في شهر خمسة، وأقل عدد في
+
+280
+00:20:10,620 --> 00:20:13,720
+شهر نوفمبر. لا يعني أن اللي يجي في شهر سبعة معصوم
+
+281
+00:20:13,720 --> 00:20:16,200
+من مرض multiple sclerosis، من مرض multiple
+
+282
+00:20:16,200 --> 00:20:20,850
+sclerosis. لاحظوا موضوع العامل الجغرافي، شمال
+
+283
+00:20:20,850 --> 00:20:28,510
+أوروبا من 100 إلى 200 حالة كل 100 ألف، جنوب أوروبا 20
+
+284
+00:20:28,510 --> 00:20:38,370
+إلى 50، كندا 100، الكيان الصهيوني 46، 47. ليش الصهيونية
+
+285
+00:20:38,370 --> 00:20:43,000
+عندهم 46، 47؟ لأن عندهم immigrations، ناس بيجوا من
+
+286
+00:20:43,000 --> 00:20:45,920
+وين؟ المهاجرون، هذا أكبر دليل أن هذا ليس بلدهم.
+
+287
+00:20:45,920 --> 00:20:49,620
+Immigrants بيجوا من إيه؟ من أوروبا، من أمريكا، من
+
+288
+00:20:49,620 --> 00:20:54,340
+هنا، من هنا، وبيسكوا في الأراضي المحتلة. هذا يؤكد
+
+289
+00:20:54,340 --> 00:20:58,800
+أن العامل الجغرافي كمان مهم، مع أن عددهم قليل، ولأن
+
+290
+00:20:58,800 --> 00:21:04,340
+الرقم أقل منهم بكثير، الكويت، ليبيا، السعودية، ستة
+
+291
+00:21:04,340 --> 00:21:09,450
+إلى ثمانية، ستة، ثمانية حالات. Okay. ماليزيا، كوريا، الصين
+
+292
+00:21:09,450 --> 00:21:13,190
+كذا، اليابان، حالة إلى أربع حالات كل مائة ألف، يعني
+
+293
+00:21:13,190 --> 00:21:17,310
+العامل الجغرافي هنا مهم جدا، مهم جدا. خذوا هذه
+
+294
+00:21:17,310 --> 00:21:22,550
+المعلومة كمان. في دراسة أثبتت أنّه بتؤكد موضوع
+
+295
+00:21:22,550 --> 00:21:28,070
+العامل الجغرافي. أنا عشت في فلسطين ثمانية عشر سنة، و
+
+296
+00:21:28,070 --> 00:21:30,950
+سافرت لأوكرانيا، تعلمت عندهم، وقعدت، عشت ثلاث عشرة سنة
+
+297
+00:21:30,950 --> 00:21:36,620
+عندهم. أنا في risk of multiple sclerosis، بأخذ risk
+
+298
+00:21:36,620 --> 00:21:41,320
+فلسطين، لأنّي عشت ثمانية عشر، وسن الـ بلوغ كان في فلسطين، لكن
+
+299
+00:21:41,320 --> 00:21:44,700
+لو أنا سافرت لأوكرانيا وأنا عمري خمس سنوات وأربع
+
+300
+00:21:44,700 --> 00:21:49,500
+سنوات، سافرت وعشت في أوكرانيا، هاجرت هناك، أنا بأخذ
+
+301
+00:21:49,500 --> 00:21:51,880
+الـ risk بتاع الأوكرانيين، تأخذ الـ risk بتاع
+
+302
+00:21:51,880 --> 00:21:56,620
+الأوكرانيين، okay. أنا بنتي كانت معي عمرها أربع
+
+303
+00:21:56,620 --> 00:22:02,140
+سنوات في أوكرانيا، ورجعنا من أوكرانيا لغزة. البنت
+
+304
+00:22:02,140 --> 00:22:06,080
+تأخذ الـ risk بتاع مين؟ بتاع فلسطين، لأنها أخذت
+
+305
+00:22:06,080 --> 00:22:10,580
+إيه؟ سافرت قبل سن الـ بلوغ أربع سنوات، لكن لو عاشت
+
+306
+00:22:10,580 --> 00:22:13,960
+عندهم ثمانية عشر سنة ورجعت لغزة، راحت تأخذ الـ risk بتاع
+
+307
+00:22:13,960 --> 00:22:17,700
+الـ MS بتاع أوكرانيا، يعني هذا يؤكد العامل الجغرافي.
+
+308
+00:22:19,820 --> 00:22:23,740
+هنا الـ word distribution of multiple sclerosis، هذه
+
+309
+00:22:23,740 --> 00:22:27,940
+المناطق الحمراء ذكرتني في الكورونا، المناطق الحمراء.
+
+310
+00:22:27,940 --> 00:22:30,920
+okay. هذه المناطق الحمراء بتاعة الـ multiple
+
+311
+00:22:30,920 --> 00:22:36,060
+sclerosis. الـ MS pathology، multiple sclerosis
+
+312
+00:22:36,060 --> 00:22:41,000
+pathology. الـ pathology بتكون disseminated area of
+
+313
+00:22:41,000 --> 00:22:45,760
+demyelination. بيكون عبارة عن إيه؟ plaques.
+
+314
+00:22:48,430 --> 00:22:52,490
+الـ plaques are more common in optic nerve، الـ
+
+315
+00:22:52,490 --> 00:22:55,050
+optic nerve، عشان هيك بيحدث معهم blurring of
+
+316
+00:22:55,050 --> 00:22:58,590
+vision أو decrease vision. Paraventricular area
+
+317
+00:22:58,590 --> 00:23:04,710
+حول الـ ventricles، brain stem and cerebellar,
+
+318
+00:23:05,590 --> 00:23:13,050
+cervical spinal cord. واضح لما نكون healthy axon
+
+319
+00:23:13,050 --> 00:23:16,710
+و يعني الـ myelin شيء طبيعي سليم، الإشارة في الـ
+
+320
+00:23:16,710 --> 00:23:20,590
+nerve تكون أسرع، لكن لما يحدث demyelination، تلاقي
+
+321
+00:23:20,590 --> 00:23:24,650
+بعد ما حدث demyelination، حدث scarring. إيش scar؟
+
+322
+00:23:24,650 --> 00:23:29,870
+scar، بعد ما ينجرح الـ axon، تصلب، يعني لذلك سمي المرض
+
+323
+00:23:29,870 --> 00:23:33,890
+التصلب اللويحي أو التصلب المتعدد أو التصلب
+
+324
+00:23:33,890 --> 00:23:37,830
+المتناثر. يبقى أن هو تصلب، الـ sclerosis، عشان خاطر الـ
+
+325
+00:23:37,830 --> 00:23:38,530
+scar لهذا.
+
+326
+00:23:42,380 --> 00:23:45,400
+ننتقل لأنواع multiple sclerosis. أول ما تشوف الـ
+
+327
+00:23:45,400 --> 00:23:48,220
+slide ده بيخوفكم، لكن راح أشرحه في خمس دقائق، وأ
+
+328
+00:23:48,220 --> 00:23:53,800
+بسطه لكم على الآخر. المهم، الـ type of MS، عشان نعرف
+
+329
+00:23:53,800 --> 00:23:57,760
+الـ diagnosis of disease، ونعرف كيف نتعامل معاهم في
+
+330
+00:23:57,760 --> 00:24:01,260
+العلاج، وإيش الـ outcome بتاعي لما نتعامل مع المريض
+
+331
+00:24:01,260 --> 00:24:03,880
+حتى من ناحية العلاج الطبيعي، لما نتعامل مع مريض
+
+332
+00:24:03,880 --> 00:24:07,660
+أتحدث مع مريض، هذا relapsing remitting type، أو
+
+333
+00:24:07,660 --> 00:24:10,300
+primary progressive، وأعرف إيش الـ outcome اللي
+
+334
+00:24:10,300 --> 00:24:15,920
+بنتظره، وبنتظر المريض في الحالة هذه. benign type،
+
+335
+00:24:15,920 --> 00:24:22,870
+no disability with mild relapse and complete return
+
+336
+00:24:22,870 --> 00:24:26,750
+to the condition between attacks. نلاحظ، هاي هنا
+
+337
+00:24:26,750 --> 00:24:33,530
+أزرق، remission، relapse أحمر، بين النوبات، stable
+
+338
+00:24:33,530 --> 00:24:37,390
+المريض، ووضعه كويس، وبين النوبات، بيرجع لوضعه
+
+339
+00:24:37,390 --> 00:24:40,890
+الطبيعي، ما في أعراض. غير هيك، الـ relapse، اللي هي
+
+340
+00:24:40,890 --> 00:24:44,750
+exacerbation، بتكون قصيرة، فترة قصيرة، صغيرة، والـ
+
+341
+00:24:44,750 --> 00:24:49,090
+remission طويلة. وبين النوبات بيكون وضعه سليم، طبيعي،
+
+342
+00:24:49,090 --> 00:24:53,070
+stable. هذه نسميها إيه؟ نسميها benign، نسميها
+
+343
+00:24:53,070 --> 00:24:59,670
+إيه؟ benign type. طيب، النوع الثاني، relapsing
+
+344
+00:24:59,670 --> 00:25:03,790
+remitting type multiple sclerosis. هذا تقريبا 70%
+
+345
+00:25:03,790 --> 00:25:06,870
+من حالات الـ multiple sclerosis، بيكونوا relapsing
+
+346
+00:25:06,870 --> 00:25:11,090
+remitting type. It is the most common type of multiple
+
+347
+00:25:11,090 --> 00:25:15,690
+sclerosis. Spontaneous improvement، لكن أكثر شيء
+
+348
+00:25:15,690 --> 00:25:19,190
+بيكونه response to corticosteroid، بيستجيبوا
+
+349
+00:25:19,190 --> 00:25:24,030
+للكورتيكوستيرويد، بتحسّن. full recovery، مش كثير full
+
+350
+00:25:24,030 --> 00:25:26,990
+recovery، ممكن أكثر يكون عندهم residual deficit، في
+
+351
+00:25:26,990 --> 00:25:29,990
+بداية المرض، ممكن يكون full recovery في بداية المرض،
+
+352
+00:25:29,990 --> 00:25:33,830
+لكن بعدين يكون عندهم residual deficit. أهم شيء
+
+353
+00:25:33,830 --> 00:25:38,950
+بيكونوا stable between attacks. طيب، الدكتور، إيش
+
+354
+00:25:38,950 --> 00:25:43,780
+الفرق بين benign type و relapsing؟ الـ benign
+
+355
+00:25:43,780 --> 00:25:48,440
+relapse بيكون قصير وأصغر، relapsing remitting أطول
+
+356
+00:25:48,440 --> 00:25:53,860
+وأكبر، الـ relapse. ثانيا، في الـ benign، بيرجع
+
+357
+00:25:53,860 --> 00:25:57,940
+لطبيعته without residual symptoms. لاحظوا هنا، هاي
+
+358
+00:25:57,940 --> 00:26:02,620
+بداية المرض، ما يرجعش لطبيعته، ما يرجعش لإيه؟ للـ
+
+359
+00:26:02,620 --> 00:26:05,940
+baseline بتاعه. كل فترة بيكون في زيادة في الـ
+
+360
+00:26:05,940 --> 00:26:11,280
+symptoms عنده، لكن between attacks، المريض بين
+
+361
+00:26:11,280 --> 00:26:16,900
+النوبات، الوضع بيكون مستقر، الوضع بيكون مستقر. الـ
+
+362
+00:26:16,900 --> 00:26:20,980
+remission أطول في الـ benign، وفي الـ relapsing
+
+363
+00:26:20,980 --> 00:26:25,080
+remitting أكثر، لكن المريض بين النوبات بيكون إيش؟
+
+364
+00:26:25,080 --> 00:26:29,580
+بيكون وضعه سليم، بيكون الوضع بتاعه سليم. هي أنّه
+
+365
+00:26:29,580 --> 00:26:32,920
+remission
+
+366
+00:26:32,920 --> 00:26:43,970
+بعد المرض، لكن النوبة تأتي، يأخذ علاج، ويتحسن المريض، يأخذ
+
+367
+00:26:43,970 --> 00:26:48,670
+علاج، ويتحسن، وهكذا. ما يرجعش لإيه؟ للـ baseline، بيظل
+
+368
+00:26:48,670 --> 00:26:51,930
+عنده بعض الأعراض، لكن المرض بيكون، أو المريض بيكون
+
+369
+00:26:51,930 --> 00:26:57,710
+stable between attacks. هذا نسميه إيه؟ relapsing
+
+370
+00:26:57,710 --> 00:27:04,250
+remitting type. طيب، ننتقل للثالث، ننتقل لـ secondary
+
+371
+00:27:04,250 --> 00:27:08,630
+progressive type. الرابع، اللي هي secondary
+
+372
+00:27:08,630 --> 00:27:11,930
+progressive type MS. في البداية بيبدأ المرض عندهم
+
+373
+00:27:11,930 --> 00:27:17,250
+as relapsing remitting type. بعدها بيحدث معاهم
+
+374
+00:27:17,250 --> 00:27:19,310
+progressive deterioration without relapse
+
+375
+00:27:19,310 --> 00:27:26,170
+remission. لاحظوا، هو المرض عندهم لحد الآن بدأ مثل
+
+376
+00:27:26,170 --> 00:27:31,830
+إيش؟ مثل relapsing remitting، نفس الشيء. بعدها بيحدث
+
+377
+00:27:31,830 --> 00:27:37,500
+عندهم إيه؟ progressive course without relapse
+
+378
+00:27:37,500 --> 00:27:42,520
+remission. هذا نسميه secondary progressive MS، يعني
+
+379
+00:27:42,520 --> 00:27:47,840
+ليش secondary؟ لأنه في البداية بدأ بإيش؟ بـ relapsing
+
+380
+00:27:47,840 --> 00:27:52,860
+remitting course، وبعدها تطور المرض ودخل في شيء اسمه
+
+381
+00:27:52,860 --> 00:27:57,280
+relapsing أو بيسموه هو secondary progressive
+
+382
+00:27:57,280 --> 00:28:02,520
+type of MS. النوع الثالث، primary progressive
+
+383
+00:28:02,520 --> 00:28:06,280
+multiple sclerosis. هذا منذ البداية المرض بيكون في
+
+384
+00:28:06,280 --> 00:28:10,060
+وضع progressive course، مثل ورم السرطان، من سيء
+
+385
+00:28:10,060 --> 00:28:13,260
+لأسوأ، without relapse and remission. أكثر شيء المرض
+
+386
+00:28:13,260 --> 00:28:17,040
+هذا بيكون عند الـ old patients، المرضى اللي بيحدث
+
+387
+00:28:17,040 --> 00:28:21,720
+معهم المرض في سن متأخر، في سن متقدم من العمر. هي
+
+388
+00:28:21,720 --> 00:28:27,100
+واضح، الـ primary progressive، من سيء لأسوأ، المرض من
+
+389
+00:28:27,100 --> 00:28:32,900
+سيء لأسوأ، هذا اسمه primary progressive multiple
+
+390
+00:28:32,900 --> 00:28:35,860
+sclerosis. الـ primary progressive multiple
+
+391
+00:28:35,860 --> 00:28:42,440
+sclerosis. في progressive relapsing MS، يعني progress
+
+392
+00:28:42,440 --> 00:28:46,640
+أو progressive course from the onset، sometime
+
+393
+00:28:46,640 --> 00:28:51,200
+associated with a clear acute relapse. هاي هذا
+
+394
+00:28:
+
+445
+00:32:50,920 --> 00:32:57,390
+في عندهم ataxia وعدم اتزان، tremors، رشة problem
+
+446
+00:32:57,390 --> 00:33:00,370
+with bladder control مشاكل في الـ bladder control
+
+447
+00:33:00,370 --> 00:33:05,030
+ممكن يحصل معهم urine retention، حبسة أو انقطاع في
+
+448
+00:33:05,030 --> 00:33:08,830
+البول، ممكن يحدث معهم urine incontinence، هذا الموضوع
+
+449
+00:33:08,830 --> 00:33:14,490
+عدم التحكم في البول، و urine urgency، urine urgency
+
+450
+00:33:14,490 --> 00:33:17,850
+هي increase الـ frequency of urination، عندهم بيضلوا
+
+451
+00:33:17,850 --> 00:33:21,010
+يروحوا الحمام كثير و يبولوا كثير، في صبية كانت
+
+452
+00:33:21,010 --> 00:33:23,660
+تابعة مع دكتور ولادة فترة طويلة في موضوع الـ urine
+
+453
+00:33:23,660 --> 00:33:27,980
+urgency، ولما قيمته وفحصها، قلت لها: "أيه، يا امرأة، أيه؟"
+
+454
+00:33:27,980 --> 00:33:30,360
+وجدت أنه عندها multiple sclerosis، و الـ multiple
+
+455
+00:33:30,360 --> 00:33:33,260
+sclerosis هو كان السبب في موضوع الـ urine urgency، و
+
+456
+00:33:33,260 --> 00:33:36,320
+أنت تروحين حمام كثير، فترة طويلة، تروحين حمام كل فترة، كل
+
+457
+00:33:36,320 --> 00:33:39,000
+نصف ساعة، تروحين حمام، كمية البول تكون
+
+458
+00:33:39,000 --> 00:33:41,760
+قليلة، إيش السبب؟ إيش الدافع اللي كان يخليها تروح
+
+459
+00:33:41,760 --> 00:33:46,280
+الحمام؟ كان عندها مرض، مرض اسمه تصلب متعدد، hit
+
+460
+00:33:46,280 --> 00:33:50,770
+intolerance، المرضى هدول ما بيحملوش الميّة السخنة
+
+461
+00:33:50,770 --> 00:33:53,930
+بننصحهم: لما تتحملوا، ميّ باردة تكون، لأنّ
+
+462
+00:33:53,930 --> 00:33:59,770
+الميّة السخنة راح تضرهم شويّة، الـ Ocular Symptoms، الـ
+
+463
+00:33:59,770 --> 00:34:02,630
+Optic Neuritis، كل مريض بيجينا بأعراض Optic
+
+464
+00:34:02,630 --> 00:34:05,970
+Neuritis، التهاب في عصب العين، لازم نعمله Brain و
+
+465
+00:34:05,970 --> 00:34:09,610
+Orbit و Cervical Spinal Marae، لأنّ 30% من مرضى
+
+466
+00:34:09,610 --> 00:34:12,750
+التصلّب المتعدد، بيبدأ المرض عندهم بالتهاب في عصب
+
+467
+00:34:12,750 --> 00:34:16,390
+العين، Optic Neuritis، مهم جداً هذا الموضوع، 6 nerve
+
+468
+00:34:16,390 --> 00:34:20,530
+pulses، يوم من الأيام كان عندي مريض عمره 21 سنة، ضايل له
+
+469
+00:34:20,530 --> 00:34:26,070
+أسبوع بده يتزوج، أو سبعة أيام، كان أيامها أمثلة CT free
+
+470
+00:34:26,070 --> 00:34:28,430
+أجانب، كانت six nerve pulse، يعني هذه حالة وحيدة
+
+471
+00:34:28,430 --> 00:34:31,710
+اللي في العيادة، بشتغل من سنة 1988 لليوم
+
+472
+00:34:31,710 --> 00:34:38,270
+أول حالة تمرّ عليه هيك، اللي بعرفه عصب السادس عنده
+
+473
+00:34:38,270 --> 00:34:42,670
+كان conversion paralytic squint، طلبت له CT، كان CT
+
+474
+00:34:42,670 --> 00:34:47,490
+normal، طبيعي، اتعملت معالجتها في عصب العين، و
+
+475
+00:34:47,490 --> 00:34:50,690
+ما فيش عنده لا سكر ولا ضغط، ما اتحسنش المريض، اضطريت
+
+476
+00:34:50,690 --> 00:34:54,710
+أعمله MRI، ووجدت عنده أنه عنده تصلب متعدد، دخلته
+
+477
+00:34:54,710 --> 00:34:57,250
+على السريع بالدواء، و أعطيته Methylprednisone، والحمد
+
+478
+00:34:57,250 --> 00:35:01,570
+لله، جاب له الفرح بتاعه، انعادل نظره، ورجعت العين
+
+479
+00:35:01,570 --> 00:35:06,790
+طبيعتها، واتحسن، والحمد لله وضعه كويس، الثالث
+
+480
+00:35:06,790 --> 00:35:10,910
+والرابع nerve palsy، غير عامل blurring في الرؤية، و
+
+481
+00:35:10,910 --> 00:35:15,250
+في الرؤية، استيقظ، ما حدث معهم optic disc blurring أو
+
+482
+00:35:15,250 --> 00:35:19,550
+atrophy، بيصير ضمور في العصب البصري، و visual field
+
+483
+00:35:19,550 --> 00:35:24,350
+defect، أنا الآن بكمل الـ presentation، الـ motor
+
+484
+00:35:24,350 --> 00:35:27,370
+symptoms، upper motor neurons، بيكون عندهم upper
+
+485
+00:35:27,370 --> 00:35:31,750
+motor neurons، mild spasticity، حد يقدر يجاوبني ليش
+
+486
+00:35:31,750 --> 00:35:35,670
+mild spasticity؟  إحنا عارفين في الـ upper motoneuron
+
+487
+00:35:35,670 --> 00:35:40,550
+بيكون high spasticity، لأنه في multiple sclerosis
+
+488
+00:35:40,550 --> 00:35:43,810
+مرض التصلب المتعدد، بيصيب الـ upper motoneuron، بيصيب
+
+489
+00:35:43,810 --> 00:35:47,370
+الـ corticospinal tract، وبيصيب الـ cerebellum، الـ
+
+490
+00:35:47,370 --> 00:35:50,030
+upper motoneuron بيعملنا high spasticity، و الـ
+
+491
+00:35:50,030 --> 00:35:54,630
+cerebellum  دمج بيعمل muscle hypotonia، بيعملهم
+
+492
+00:35:54,630 --> 00:35:56,810
+muscle hypotonia، لأ، الـ cerebellum بيعملهم muscle
+
+493
+00:35:56,810 --> 00:35:58,950
+hypotonia، و الـ upper motor neuron بيعملهم
+
+494
+00:35:58,950 --> 00:36:02,230
+hypertonia، في الحالة هذه ما بيكونش عند مرضى، مرضى الـ
+
+495
+00:36:02,230 --> 00:36:03,250
+MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS
+
+496
+00:36:03,250 --> 00:36:05,930
+مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى
+
+497
+00:36:05,930 --> 00:36:06,250
+الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS
+
+498
+00:36:06,250 --> 00:36:06,730
+مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى
+
+499
+00:36:06,730 --> 00:36:09,010
+مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى
+
+500
+00:36:09,010 --> 00:36:15,890
+الـ MS، مرضى الـ MS، مرضى الـ MS، مرضى
+
+501
+00:36:15,890 --> 00:36:24,400
+الـ MS، مرضى الـ MS، numbness, bilateral hand numbness,
+
+502
+00:36:25,580 --> 00:36:30,480
+hemiparesthesia, reduction of proprioception،
+
+503
+00:36:30,480 --> 00:36:33,640
+عندهم نقص في الـ deep sensation، هو يكون مُحوّم
+
+504
+00:36:33,640 --> 00:36:38,070
+sensitive ataxia، Cerebellar symptoms, attacks in
+
+505
+00:36:38,070 --> 00:36:42,170
+coordination, attacks in gait, drunken gait، كثير
+
+506
+00:36:42,170 --> 00:36:45,110
+هؤلاء المرضى في الأردن وفي الدول العربية بيوقفوهم
+
+507
+00:36:45,110 --> 00:36:48,950
+الشرطة وبيقعدوا يفحصوا عليهم فحص التوازن، و
+
+508
+00:36:48,950 --> 00:36:53,670
+بيكونوا ماشيين، ماشي تلاقي الرجل شربان خمران، وهم
+
+509
+00:36:53,670 --> 00:36:58,490
+مساكين مرضى، هم مرضى عندهم مشاكل في الترنح، لكن
+
+510
+00:36:58,490 --> 00:37:00,670
+بياخدوهم... ممكن ياخدوهم على الشرطة، يفحصوا نسبة
+
+511
+00:37:00,670 --> 00:37:03,950
+الكحول في الدم، بيفكّروهم شربين كحول، وهو ناتج عن
+
+512
+00:37:03,950 --> 00:37:08,480
+المرض، التصلّب المتعدد، abnormal speech، slurred speech
+
+513
+00:37:08,480 --> 00:37:12,720
+بيكون معهم slow or over rapid or repetitive
+
+514
+00:37:12,720 --> 00:37:15,540
+movement، لو عملنا حركة supination و pronation
+
+515
+00:37:15,540 --> 00:37:21,520
+بسرعة، أحطّ أيديها على ركبتيها وأجلبها، أنا بعملها بصحّة
+
+516
+00:37:21,520 --> 00:37:24,260
+الـ coordination، مئة بالمئة، لكن المرضى بيصيروا إيش؟
+
+517
+00:37:24,260 --> 00:37:28,520
+ما يظبطوش فيها، في الحالة هذه، الست لو قلت لها: "اعملي
+
+518
+00:37:28,520 --> 00:37:31,640
+حركة هذه"، يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+519
+00:37:31,640 --> 00:37:33,140
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+520
+00:37:33,140 --> 00:37:34,560
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+521
+00:37:34,560 --> 00:37:34,740
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+522
+00:37:34,740 --> 00:37:36,940
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+523
+00:37:36,940 --> 00:37:41,040
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+524
+00:37:41,040 --> 00:37:46,680
+يجي يجي يجي يجي يجي، يفقد الـ symptoms، موضوع المسالك
+
+525
+00:37:46,680 --> 00:37:50,300
+البولية، بيكون عندهم increase frequency of urination، بيكون
+
+526
+00:37:50,300 --> 00:37:53,660
+عندهم urine urgency، بيروحوا الحمام كثير، عشان موضوع
+
+527
+00:37:53,660 --> 00:37:57,080
+التبول، ممكن يحدث معهم urine incontinence، عندي
+
+528
+00:37:57,080 --> 00:37:59,700
+مريضة قبل فترة، كان عندها urine retention، انقطاع في
+
+529
+00:37:59,700 --> 00:38:02,220
+البول، وراحت للمسالك البولية، ما تحسّنتش، دخلت على
+
+530
+00:38:02,220 --> 00:38:05,350
+الجسم، وأعطيتها مثلاً prednisone، لأنّها هي non case
+
+531
+00:38:05,350 --> 00:38:08,690
+to have multiple sclerosis، والحمد لله، بعد أسبوعين
+
+532
+00:38:08,690 --> 00:38:12,690
+راجعتني، وموضوع البول، رفعنا القصّر البولي من
+
+533
+00:38:12,690 --> 00:38:15,970
+اللي عندها، ووضعه الآن كويس، وبتتحكم أكثر في موضوع
+
+534
+00:38:15,970 --> 00:38:21,090
+التبول، ممكن يحدث معهم incomplete emptying، ما يخرجواش
+
+535
+00:38:21,090 --> 00:38:25,050
+بالكامل، وهذا يؤدي إلى urinary tract infection أو
+
+536
+00:38:25,050 --> 00:38:28,940
+UTI، في الـ cognitive and emotional abnormalities
+
+537
+00:38:28,940 --> 00:38:33,580
+ممكن يحدث معهم emotional liability، يضحك بدون سبب،
+
+538
+00:38:33,580 --> 00:38:37,820
+euphoric، دائماً مبسوط، ويضحك، يعني أنت حزين عليه، و
+
+539
+00:38:37,820 --> 00:38:42,500
+حزين على مرضه، وهو مبسوط، يضحك، المريض، أو هذه حكمة
+
+540
+00:38:42,500 --> 00:38:46,480
+ربّانية، ربّنا أعطاهم إياها، الـ euphoria، عشان يقلّل نسبة
+
+541
+00:38:46,480 --> 00:38:49,320
+الـ depression، والاكتئاب النفسي عندهم، ويقلّل الـ
+
+542
+00:38:49,320 --> 00:38:54,110
+suicide attempt، ونسبة الانتحار، depression بيحدث
+
+543
+00:38:54,110 --> 00:39:06,650
+معهم أحياناً، اكتئاب، anxiety، fatigue، الـ MRI، الـ...الـ
+
+544
+00:39:06,650 --> 00:39:11,770
+...الـ...بالنسبة للـ MRI، بالنسبة لها، عندهم blacks
+
+545
+00:39:11,770 --> 00:39:17,550
+multiple blacks، الـ MRI راح تاخدوها في الـ...الـ
+
+546
+00:39:17,550 --> 00:39:21,790
+radiology، في منها نوع اسمه T1
+
+547
+00:39:25,150 --> 00:39:31,130
+weighted image، وفي
+
+548
+00:39:31,130 --> 00:39:40,910
+أيه؟ T2 weighted image، وفي flare، هلأ الـ T1 بيكون
+
+549
+00:39:40,910 --> 00:39:46,030
+عندهم الـ CSF hypo
+
+550
+00:39:46,030 --> 00:39:53,590
+intense، hypo intense، يعني لونه أيه؟ أسود، و الـ
+
+551
+00:39:53,590 --> 00:40:01,350
+lesion بتكون كمان hyper intense، يعني
+
+552
+00:40:01,350 --> 00:40:14,250
+أيه؟ أسود، طب الـ T2 بيكون الـ CSF hyper intense، يعني
+
+553
+00:40:14,250 --> 00:40:21,430
+أبيض، السائل النخاعي أبيض، و الـ legions بتكون كمان hyper
+
+554
+00:40:21,430 --> 00:40:22,030
+intense
+
+555
+00:40:29,090 --> 00:40:33,830
+بيكون أبيض، لونه الـ
+
+556
+00:40:33,830 --> 00:40:43,290
+flare، بتكون CSF hypo intense، أسود
+
+557
+00:40:43,290 --> 00:40:48,070
+اللون، و الـ lesion بتكون hyper intense
+
+558
+00:40:50,820 --> 00:40:55,180
+أبيض، يعني في الـ flare، في الـ flare بيكون الـ CSF
+
+559
+00:40:55,180 --> 00:40:59,160
+أسود، و الـ lesion أبيض، الـ T2 الثانيين بيكونوا أبيض
+
+560
+00:40:59,160 --> 00:41:02,280
+الـ CSF أبيض، و الـ lesion أبيض، في الـ T1 بيكون
+
+561
+00:41:02,280 --> 00:41:05,260
+الثانيين أسود، الـ hypo intense CSF، و الـ hypo
+
+562
+00:41:05,260 --> 00:41:10,020
+intense lesion، okay، هنا عندي الـ T2، لاحظوا في hyper
+
+563
+00:41:10,020 --> 00:41:17,920
+intense blacks، نقطة بيضاء واضحة في الصورة هنا، okay
+
+564
+00:41:17,920 --> 00:41:24,590
+هنا واضحة أخرى، هذه الـ T1، الليجين هي أسود، high
+
+565
+00:41:24,590 --> 00:41:29,430
+point، هذه T1، إحنا في الـ T1 بنعطي contrast، لأنّ
+
+566
+00:41:29,430 --> 00:41:32,750
+الليجين بيكون فيها أسود، نحوّله لأبيض، بنعطي contrast
+
+567
+00:41:32,750 --> 00:41:35,930
+gadolinium، يتحوّل للون أبيض
+
+568
+00:41:39,300 --> 00:41:42,940
+هذه مريضة عندي شخصتها، كان عندها optic neuritis، و
+
+569
+00:41:42,940 --> 00:41:45,980
+اتعالجت في مصر، ونعِم، الرنين كان سليم، بعد فترة حدث
+
+570
+00:41:45,980 --> 00:41:49,860
+معها relapse للـ symptoms، ظهرت أعراض أخرى، عدّلت لها الـ
+
+571
+00:41:49,860 --> 00:41:53,040
+MRI، ووجدت عندها multiple sclerosis، هذه GONA T2، ليش
+
+572
+00:41:53,040 --> 00:41:56,500
+GONA T2؟ لأنّ شايفين الـ CSF لونه أبيض، hyper
+
+573
+00:41:56,500 --> 00:42:01,160
+intense، و الـ legions كمان أبيض، يبين، هذه T2 أكزيال
+
+574
+00:42:01,160 --> 00:42:06,320
+إيش؟ أكزيال، مقطعي، ساجيتال، جانبي، كورونا، الأمامي، خلفي
+
+575
+00:42:06,320 --> 00:42:11,920
+هذه أكزيال، مقطعي، نفس الشيء لها، هذه أكزيال T2 image
+
+576
+00:42:11,920 --> 00:42:15,960
+MRI، وفي multiple legions، بلاحظوا الـ legions النقاط
+
+577
+00:42:15,960 --> 00:42:18,460
+هذه دائماً بتيجي بِـرا ventricular، حول الـ ventricle
+
+578
+00:42:18,460 --> 00:42:23,760
+أكثر، هذه flare، ليش قلت flare؟ لأنّ الـ CSF أسود، hypo
+
+579
+00:42:23,760 --> 00:42:28,680
+intense، و الـ lesion أبيض، hyper intense، هذه corona
+
+580
+00:42:28,680 --> 00:42:33,460
+القطعي، الأمامي، خلفي، يبقى أنّ هذه حالة MS،
+
+581
+00:42:33,460 --> 00:42:38,100
+multiple sclerosis، هذه مريضة ثانية، 33
+
+582
+00:42:38,100 --> 00:42:41,780
+سنة، كمان شخصناها multiple sclerosis، هذه flare، ليش
+
+583
+00:42:41,780 --> 00:42:47,990
+قلت flare؟ الصورة واضحة، لأنّ الـ CSF لونها أيه؟ لونها
+
+584
+00:42:47,990 --> 00:42:52,130
+أسود، hypo intense، و الـ lesions أبيض، لاحظوا
+
+585
+00:42:52,130 --> 00:42:57,550
+multiple lesions، multiple lesions، هان وهان وهان
+
+586
+00:42:57,550 --> 00:43:01,710
+وهان وهان، تمام، عشان نكشف المرض، multiple
+
+587
+00:43:01,710 --> 00:43:06,730
+sclerosis، نفس المريضة، في الـ spinal cord، multiple
+
+588
+00:43:06,730 --> 00:43:13,280
+إيش؟ blacks، في الـ spinal cord كمان، مريضة ثانية على
+
+589
+00:43:13,280 --> 00:43:16,600
+الـ flare، الـ flare بيبين أفضل أو أوضح الـ blacks
+
+590
+00:43:16,600 --> 00:43:19,900
+ليش؟ لأنّ السائل النخاعي بيكون لونه أسود، و الـ legions
+
+591
+00:43:19,900 --> 00:43:23,500
+لونهم أبيض، بيكونوا بيلمعوا أكثر، وواضحين أكثر في الـ
+
+592
+00:43:23,500 --> 00:43:26,460
+flare، بيقولوا هنا multiple أيه؟ الـ blacks، وتلاحظوا
+
+593
+00:43:26,460 --> 00:43:30,040
+في الـ right cerebellar، بالuncle's hand، في الـ periventricular
+
+594
+00:43:30,040 --> 00:43:33,600
+في الـ temporal lobe، كله موجود عندها، أيه؟ الـ
+
+595
+00:43:33,600 --> 00:43:36,260
+blacks، للـ MS، بيقولوا هنا دي حالة multiple
+
+596
+00:43:36,260 --> 00:43:41,600
+sclerosis، على الـ T2، لأنّ الـ CSF hyper intense، أبيض
+
+597
+00:43:41,600 --> 00:43:46,460
+والـ lesions hyper intense، multiple blacks، periventricular، hard
+
+598
+00:43:46,460 --> 00:43:50,680
+حيث أنّ هذه حالة multiple sclerosis، لحظة، دلوقت نقف
+
+599
+00:43:50,680 --> 00:43:54,700
+المحاضرة، الجزء الأول، إن شاء الله بنكمل الجزء
+
+600
+00:43:54,700 --> 00:43:58,880
+الثاني، بنكمل فيه اللي هو ما تبقّى من multiple
+
+601
+00:43:58,880 --> 00:44:03,880
+sclerosis، وبناخد Transverse Myelitis، و Adam و
+
+602
+00:44:03,880 --> 00:44:05,360
+Neuromyelitis Optica
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b85dedae587cb9ab3e02656bc9ac1c3718886895
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_postprocess.srt
@@ -0,0 +1,2348 @@
+1
+00:00:05,080 --> 00:00:09,740
+بسم الله الرحمن الرحيم نكمل معكم الجزء الثاني من
+
+2
+00:00:09,740 --> 00:00:15,100
+disease of the peripheral nerves الآن اتكلم على
+
+3
+00:00:15,100 --> 00:00:19,060
+diabetic polyneuropathy هو عبارة عن اعتلال في
+
+4
+00:00:19,060 --> 00:00:24,560
+الأعصاب الطرفية ناتج عن مرض السكر about sixty to
+
+5
+00:00:24,560 --> 00:00:29,590
+seventy percent of peopleوالـ diabetes have mild
+
+6
+00:00:29,590 --> 00:00:33,090
+to severe form of nervous system damage including
+
+7
+00:00:33,090 --> 00:00:37,690
+يعني 60% ل 70% من المرضى اللي عندهم ثقر عندهم
+
+8
+00:00:37,690 --> 00:00:43,090
+إعتلال في الأعصاب الطرفية مثل a impaired sensation
+
+9
+00:00:43,090 --> 00:00:47,670
+أو pain in the feet and hand due to diabetic
+
+10
+00:00:47,670 --> 00:00:52,290
+polyneuropathy entrapment syndrome مثل Carpal
+
+11
+00:00:52,290 --> 00:00:58,570
+tunnel syndromeتغير الهيبوتروفيا والتروفيا بسبب
+
+12
+00:00:58,570 --> 00:01:04,210
+نيروباتيا قد يحدث معاهم مونونيروباتيا أو نيروباتيا
+
+13
+00:01:04,210 --> 00:01:10,670
+بولينيا أكتر من 60% من الناس الليمونية الانبطاطية
+
+14
+00:01:10,670 --> 00:01:14,190
+في الولايات المتحدة حصلت بين الناس الذين كانوا مع
+
+15
+00:01:14,190 --> 00:01:21,280
+الهيبوتحوالى 60% اكتر من 60% من المرضى اللى بيحدث
+
+16
+00:01:21,280 --> 00:01:23,840
+اللهم amputation و butter لل lower limbs او
+
+17
+00:01:23,840 --> 00:01:30,560
+للاطراف السفلية بيكون ناتج عن مرض السكر لما اتكلم
+
+18
+00:01:30,560 --> 00:01:33,400
+على diabetic polyneuropathy لازم افهم اول شي ال
+
+19
+00:01:33,400 --> 00:01:37,820
+pathogenesis of diabetic neuropathy اذا فهمنا صح
+
+20
+00:01:37,820 --> 00:01:43,600
+ال pathogenesis بتاعهم بيكون العلاج
+
+21
+00:01:43,600 --> 00:01:48,170
+صحيحبيحدث عند مرضى اللي عندهم diabetic neuropathy
+
+22
+00:01:48,170 --> 00:01:56,530
+microangiopathy microangiopathy due to ischemia of
+
+23
+00:01:56,530 --> 00:01:59,910
+vasa nervosa الشعيرات الدموية الصغيرة اللي بتغدي
+
+24
+00:01:59,910 --> 00:02:05,510
+ال peripheral nerve بيحدث فيها تسلب و بيقدي إلى
+
+25
+00:02:05,510 --> 00:02:11,330
+ischemic changesأثنين macroangiopathy اعتلال في
+
+26
+00:02:11,330 --> 00:02:14,930
+الشرايين الكبرى بيؤدي مثل حالات التصلب الشرايين
+
+27
+00:02:14,930 --> 00:02:19,570
+بتأدي إلى reduction of nerve blood supply ونقص
+
+28
+00:02:19,570 --> 00:02:26,470
+ثروة العصب dyslipidemia ارتفاع الكوليسترول و
+
+29
+00:02:26,470 --> 00:02:31,290
+الدهون الثلاثي triglyceride و LDL اللي هو low
+
+30
+00:02:31,290 --> 00:02:37,400
+density lipoprotein ارتفاعهم مع انخفاضhigh density
+
+31
+00:02:37,400 --> 00:02:42,760
+lipoprotein يؤدي إلى atherosclerosis hypertension
+
+32
+00:02:42,760 --> 00:02:50,660
+ارتفاع الضغط يكون المريض عنده سكر بدون ضغط اهو ان
+
+33
+00:02:50,660 --> 00:02:52,480
+ما يكون المريض عنده سكر وضغط مع بعض
+
+34
+00:02:52,480 --> 00:02:57,720
+hypovitaminosis مرضى السكر بيكون عندهم polyuria
+
+35
+00:02:57,720 --> 00:03:04,800
+بيبولوا كثير مع ال polyuriaبيحدث washing لـ water
+
+36
+00:03:04,800 --> 00:03:10,540
+-soluble vitamins مثل vitamin B group وهذا يؤدي
+
+37
+00:03:10,540 --> 00:03:12,920
+إلى نقص في الـ vitamins لذلك في علاج
+
+38
+00:03:12,920 --> 00:03:17,850
+البولينيروبتديابتك لازم نحط vitamins group BToxic
+
+39
+00:03:17,850 --> 00:03:23,710
+effect بتاع الـ ketones، body والسربيتول اللي ناتج
+
+40
+00:03:23,710 --> 00:03:28,470
+عن a transformation of glucose هدول ال toxins ال
+
+41
+00:03:28,470 --> 00:03:31,990
+ketones، body والسربيتول بيأثروا على ال peripheral
+
+42
+00:03:31,990 --> 00:03:38,130
+nerves و بيعملون اتلال في العصاب الترافيةيكون انا
+
+43
+00:03:38,130 --> 00:03:45,270
+في علاجي لهدول المرضى راح ضروري اكد و اضبط لهم ال
+
+44
+00:03:45,270 --> 00:03:48,270
+micro و ال macro angiopathy اضبط لهم ال
+
+45
+00:03:48,270 --> 00:03:52,250
+dyslipidemia ال hypertension نقص ال vitamins و
+
+46
+00:03:52,250 --> 00:03:57,870
+نعطي antioxidant عشان ال toxins الموجودين مين هم
+
+47
+00:03:57,870 --> 00:04:01,330
+ال risk factors ل ال diabetic polyneuropathy
+
+48
+00:04:01,330 --> 00:04:08,980
+جلوكوز controlمهم بختلف مريض سكره مظبوط ميا ميا عن
+
+49
+00:04:08,980 --> 00:04:13,980
+مريض neglected و سكره دايما 400 و 300 و 500 و ال
+
+50
+00:04:13,980 --> 00:04:17,640
+hemoglobin A1c اللي هو مخزون السكر دايما عالي تنين
+
+51
+00:04:17,640 --> 00:04:24,860
+duration of diabetes بختفي ده المريض اللي عنده سكر
+
+52
+00:04:24,860 --> 00:04:27,660
+من سنة ع مريض اخر اللي عنده سكر من عشرين سنة
+
+53
+00:04:27,660 --> 00:04:31,460
+damage to blood vessels إذا في damage لل blood
+
+54
+00:04:31,460 --> 00:04:35,080
+vessels حدثmechanical injury to the nerve حدث
+
+55
+00:04:35,080 --> 00:04:37,940
+mechanical injury إصابة في ال nerve نفسها أو
+
+56
+00:04:37,940 --> 00:04:40,960
+compression عن ال nerve dyslipidemia إذا المريض
+
+57
+00:04:40,960 --> 00:04:44,650
+عنده اعتلال في موضوع الدهون في الدمautoimmune
+
+58
+00:04:44,650 --> 00:04:48,210
+factors إذا المريض عنده غير ال polyneuropathy عنده
+
+59
+00:04:48,210 --> 00:04:51,330
+كمان أمراض أخرى مثل rheumatoid arthritis ع سبيل
+
+60
+00:04:51,330 --> 00:04:57,790
+المثال genetic factors عنده عوامل جينية تمام بتأثر
+
+61
+00:04:57,790 --> 00:05:02,050
+على موضوع ال polyneuropathy lifestyle factors ال
+
+62
+00:05:02,050 --> 00:05:05,870
+diabetic smoker بيختلف عن ال diabetic non-smoker
+
+63
+00:05:07,040 --> 00:05:10,720
+الـ diet واحد محافظ على الـ diet وزنه مابيزيدش
+
+64
+00:05:10,720 --> 00:05:14,720
+مختلف عن واحد ايه مش مفرجة مع وزنه صار 120 كيلو و
+
+65
+00:05:14,720 --> 00:05:19,380
+عنده DM يجب نوضع وراح يكون هذا صعب كتير، ايش بيحدث
+
+66
+00:05:19,380 --> 00:05:22,750
+في عيننا في ال blood vessels؟لما يكون في المريض
+
+67
+00:05:22,750 --> 00:05:27,010
+عنده atherosclerosis ويحصل narrowing في blood
+
+68
+00:05:27,010 --> 00:05:32,070
+vessels هذا راح يؤدي إلى reduction في blood flow
+
+69
+00:05:32,070 --> 00:05:35,150
+to the peripheral nerve ويؤدي إلى damage of
+
+70
+00:05:35,150 --> 00:05:38,290
+peripheral nerve هذا يؤدي إلى polyneuropathy او
+
+71
+00:05:38,290 --> 00:05:40,990
+mononeuropathy لكن المريض لما يكون الشريان عنده
+
+72
+00:05:40,990 --> 00:05:45,380
+فاتح كويسرح يعطي جد blood supply، العصب رح يظله
+
+73
+00:05:45,380 --> 00:05:49,880
+healthy، و ال blood vessels الموجودين في العصب،
+
+74
+00:05:49,880 --> 00:05:52,540
+اللي هي الفرازة النيرفوزة حوالين العصب كمان، رح
+
+75
+00:05:52,540 --> 00:05:56,400
+يكونوا سالمين، و يصل كمية blood لل nerves كافية
+
+76
+00:05:56,400 --> 00:06:02,530
+Clinical features of diabetic neuropathyclinical
+
+77
+00:06:02,530 --> 00:06:05,770
+features of diabetic neuropathy أول شيء المريض راح
+
+78
+00:06:05,770 --> 00:06:09,810
+يكون عنده clinical features of DM يعني أعراض السكر
+
+79
+00:06:09,810 --> 00:06:14,810
+نفسه مثل polyuria polydipsia polyphagia يعني
+
+80
+00:06:14,810 --> 00:06:19,090
+polyphagia بيأكل كثير polydipsia بيشرب كثير
+
+81
+00:06:19,090 --> 00:06:26,350
+polyuria بيبول كثير هذه أعراض السكر المشاكل
+
+82
+00:06:26,350 --> 00:06:29,950
+اللي بتحصل في ال peripheral nerves ممكن ال DM يصيب
+
+83
+00:06:29,950 --> 00:06:35,440
+mononeurofmononeuropathy يعني عصب واحد أو
+
+84
+00:06:35,440 --> 00:06:41,040
+polyneuropathy multiple symmetrical neuropathy ايش
+
+85
+00:06:41,040 --> 00:06:45,340
+مثال على ال mononeuropathy optic neuropathy عصب
+
+86
+00:06:45,340 --> 00:06:51,520
+العصب الثاني أو oculomotor neuropathy العصب الثالث
+
+87
+00:06:51,520 --> 00:06:55,020
+أو abducent neuropathy العصب الثالثاني صابت أي عصب
+
+88
+00:06:55,020 --> 00:06:59,530
+واحدسياتيك نيروباتيه في مرال وها كذا كرينيا نيرس
+
+89
+00:06:59,530 --> 00:07:02,530
+قولنا الثاني و الثالث رابع و السادس سابقا
+
+90
+00:07:02,530 --> 00:07:07,310
+polyneuropathy هذي symmetrical bilateral nerve
+
+91
+00:07:07,310 --> 00:07:12,590
+damage في ال polyneuropathyالنتيجة عن الديابتك أول
+
+92
+00:07:12,590 --> 00:07:16,250
+شي بيكون عندهم mainly sensory type في البداية
+
+93
+00:07:16,250 --> 00:07:18,770
+الأكبر في السن أو اللي عندهم ثقر بتلاقيه بيقولك في
+
+94
+00:07:18,770 --> 00:07:23,790
+الشتاء مش قادر أغطي رجليه بيش بالإحرام اللي خاطر
+
+95
+00:07:23,790 --> 00:07:27,070
+أحط رجليه في مياه باردة، تلج، ليه؟ لأنه عندهم
+
+96
+00:07:27,070 --> 00:07:31,610
+increase sensation عندهم hyperesthesia عندهم
+
+97
+00:07:31,610 --> 00:07:35,670
+hotness sensation numbness, paresthesia سخونة في
+
+98
+00:07:35,670 --> 00:07:40,030
+القدامين بتكون عندهم later on في المراحل المتقدمة
+
+99
+00:07:40,670 --> 00:07:44,410
+بيحدث عندهم hypoesthesia أو decrease of sensation
+
+100
+00:07:44,410 --> 00:07:49,610
+بتكون ال stock and glut type وبيحدث معها loss of
+
+101
+00:07:49,610 --> 00:07:53,170
+deep sensation and joint sensation المرضى هذول مع
+
+102
+00:07:53,170 --> 00:07:56,210
+ال diabetic neuropathy ممكن يحدث معهم ataxia ال
+
+103
+00:07:56,210 --> 00:07:58,770
+ataxia مش ناتجة عن cerebellar ataxia عن cerebellar
+
+104
+00:07:58,770 --> 00:08:03,310
+damage ناتجة عن إرتلال في الأعصاب ناتجة عن loss of
+
+105
+00:08:03,310 --> 00:08:07,130
+deep sensation مشاكل في الإحساس العميق اللي هو
+
+106
+00:08:07,130 --> 00:08:11,880
+مسئول عناش عن ال jointزي ما اتفقنا lost deep
+
+107
+00:08:11,880 --> 00:08:17,300
+sensation، motor، ال motor بيكون كتير بيسلم عليك
+
+108
+00:08:17,300 --> 00:08:19,860
+مريض، أول ما يسلم عليك تقوله عندك سكر، بيقولك إيش
+
+109
+00:08:19,860 --> 00:08:23,460
+هعرفك، عنده في ال hand muscle بيكون atrophy،
+
+110
+00:08:23,460 --> 00:08:27,980
+muscle hypotrophyمصل ايه؟ hypotrophy مصل هيبوتونيا
+
+111
+00:08:27,980 --> 00:08:32,820
+وهي reflexia او hyperreflexia of deep reflexes
+
+112
+00:08:32,820 --> 00:08:35,480
+وبيكونوا symmetrical في ال polyneuropathy الديابتك
+
+113
+00:08:35,480 --> 00:08:39,540
+بصيب distaly group مصل اكتر من ال proximal و بصيب
+
+114
+00:08:39,540 --> 00:08:44,720
+ال lower limbs اكتر من ال upper limbs autonomic
+
+115
+00:08:44,720 --> 00:08:48,660
+manifestation of diabetic neuropathy postural
+
+116
+00:08:48,660 --> 00:08:54,070
+hypotensionTachycardia Silent MI اللي ينتبه يا
+
+117
+00:08:54,070 --> 00:08:57,190
+جماعة مرضى لأنه سكر كبار في السن ممكن تجي جلطة في
+
+118
+00:08:57,190 --> 00:09:00,110
+القلب بدون أنه يشعر بالألم ليه؟ لأنه عنده
+
+119
+00:09:00,110 --> 00:09:03,190
+autonomic neuropathy في أتلال في الأعصاب بتاعة
+
+120
+00:09:03,190 --> 00:09:08,040
+autonomic nervous system ناتجة عن DMال بيوبلز ممكن
+
+121
+00:09:08,040 --> 00:09:11,500
+يصيروا مدرياسز مشاكل عندهم في ال genitourinary
+
+122
+00:09:11,500 --> 00:09:15,180
+tract يكون عندهم hypotonic dilated blooder
+
+123
+00:09:15,180 --> 00:09:19,240
+impotence مشاكل في ال erection ال GIT system
+
+124
+00:09:19,240 --> 00:09:23,480
+gastroparesis early nocturnal diarrhea يحدث معهم
+
+125
+00:09:23,480 --> 00:09:28,400
+سهل في الليل later ممكن يحدث معهم ايه conservation
+
+126
+00:09:28,400 --> 00:09:34,900
+امساك skin coldness يشعروا ببرودة في القدمينأو
+
+127
+00:09:34,900 --> 00:09:40,160
+hotness sensation سخونة أو anhidrosis اللي هو loss
+
+128
+00:09:40,160 --> 00:09:47,220
+of sweat traffic changes ulcers تقرحات diabetic
+
+129
+00:09:47,220 --> 00:09:52,520
+food brittle nails مشاكل في الأضافة لأنهم بتكسروا
+
+130
+00:09:52,520 --> 00:09:58,820
+loss of hair فقدان الشعر neuropathic joint اللي هو
+
+131
+00:09:58,820 --> 00:10:04,700
+painless deformed jointهنا احنا شايفين في الصور
+
+132
+00:10:04,700 --> 00:10:10,640
+فيه موجود ايه؟ Diabetic foot عندهم ايه؟ Ulcers في
+
+133
+00:10:10,640 --> 00:10:17,080
+ال foot واضحين هان هاي charcoal joint هذا لما نشوف
+
+134
+00:10:17,080 --> 00:10:19,200
+ال charcoal joint على السريع اتذكر ال
+
+135
+00:10:19,200 --> 00:10:22,620
+polyneurobotic characteristic لحالات ايش؟ اللي هو
+
+136
+00:10:22,620 --> 00:10:28,220
+diabetic polyneurobotic بيكون deformed مع painless
+
+137
+00:10:28,220 --> 00:10:36,100
+لان بتكلم علىTreatment of Diabetic Polyneuropathy
+
+138
+00:10:36,100 --> 00:10:39,460
+لما أتكلم على Treatment of Diabetic Polyneuropathy
+
+139
+00:10:39,460 --> 00:10:44,740
+بذكر ال Mechanism of Diabetic Neuropathy يبقى
+
+140
+00:10:44,740 --> 00:10:49,020
+الأهم شيء في علاج Diabetic Neuropathy strict
+
+141
+00:10:49,020 --> 00:10:54,280
+control of DM ايش strict control؟ اناظم السكر عند
+
+142
+00:10:54,280 --> 00:11:03,110
+المريض2- نعطي Anti-platelet حسن الcirculation في
+
+143
+00:11:03,110 --> 00:11:06,390
+حالات ال microangiopathy و ال macroangiopathy نعطي
+
+144
+00:11:06,390 --> 00:11:11,250
+Aspirin ديبريدامول Vitamins and Antioxidants قلنا
+
+145
+00:11:11,250 --> 00:11:13,970
+في ال polynaerobathy الديابتك بحدث معهم
+
+146
+00:11:13,970 --> 00:11:19,890
+hypovitaminosis peripheral microcirculation حسن ال
+
+147
+00:11:19,890 --> 00:11:23,650
+microcirculation عن طريق Trintal أو Pentoxyfilin
+
+148
+00:11:24,300 --> 00:11:27,960
+نعمل control لـ dyslipidemia، بنعطيه أدوية مثل
+
+149
+00:11:27,960 --> 00:11:31,600
+التروة الستاتين أو الستاتينز و يفيه بيزا فيبرات أو
+
+150
+00:11:31,600 --> 00:11:36,260
+فيبرات، بنعطيه analgesics، good analgesia، همشي ال
+
+151
+00:11:36,260 --> 00:11:41,250
+analgesia هانبنعطي اللي هو antiepileptic drugs
+
+152
+00:11:41,250 --> 00:11:45,010
+كربا ماذيبين جابابنتين بريجابالين زي هيك أدوية
+
+153
+00:11:45,010 --> 00:11:48,930
+بنعطيه لمرض السرع للكهرب وبنعطيه أدوية للاكتئاب
+
+154
+00:11:48,930 --> 00:11:51,970
+مضادة للاكتئاب مثل الامي تريبتلين وبنروح نكتب
+
+155
+00:11:51,970 --> 00:11:55,530
+رشيطة للمريض بنكتبله عصابي مثل كربا ماذيبين مع
+
+156
+00:11:55,530 --> 00:11:59,170
+الاترول بيجي الصيدلاني المحترم بيقوله ليش بناخد
+
+157
+00:11:59,170 --> 00:12:03,330
+الأدوية هدول؟ هدول للاكتئابولا الصراع انت عندك
+
+158
+00:12:03,330 --> 00:12:05,770
+صراع طب ايش دخلك انت انت صرف الروشتات و الدكتور
+
+159
+00:12:05,770 --> 00:12:08,930
+عارف ليه ايش اعطاهم لأن لو اعطيت المريض لتروفين او
+
+160
+00:12:08,930 --> 00:12:12,410
+ديكلفين ماراح يجاوب معاه ماراح يخفف الألم اللي راح
+
+161
+00:12:12,410 --> 00:12:16,810
+يخفف الألم هم antiepileptic drugs و antidepressant
+
+162
+00:12:16,810 --> 00:12:22,740
+و فيزيو ثرابي فيزيو ثرابيأنا شرحتلكم الـ Diabetic
+
+163
+00:12:22,740 --> 00:12:28,220
+Neuropathy أشرحلكم slide عن اللي هو vitamin B12 دي
+
+164
+00:12:28,220 --> 00:12:32,740
+في شانسة في حال صار نقص في vitamin B12 ومنتشر
+
+165
+00:12:32,740 --> 00:12:37,120
+كثيرة ان ايش بيحدث عند المرضى blood changes
+
+166
+00:12:37,120 --> 00:12:41,940
+megaloplastic anemia يعني بترتفع ل MCV و بيحدث
+
+167
+00:12:41,940 --> 00:12:47,400
+معاهم أنيميا لكن ملاحظة جدا نهتم فيها مش ضروري
+
+168
+00:12:47,400 --> 00:12:50,140
+يكون المريض عنده نقص vitamin B12 يكون عنده أنيميا
+
+169
+00:12:50,900 --> 00:12:54,660
+not all patients with neurologic abnormalities
+
+170
+00:12:54,660 --> 00:12:58,220
+will have anemia مش ضروري كلهم يكون عندهم أنيميا
+
+171
+00:12:58,220 --> 00:13:01,960
+ممكن ال neurological symptoms تسبق ال
+
+172
+00:13:01,960 --> 00:13:06,060
+hematological manifestations GIT بيحدث معاهم
+
+173
+00:13:06,060 --> 00:13:11,000
+الصوموتيتس، dysbepsia أو الدياريا neurological
+
+174
+00:13:11,000 --> 00:13:15,960
+examination هنا بيكون عندهمslowly progressive
+
+175
+00:13:15,960 --> 00:13:21,540
+sensory ataxia لسه م sub acute لأن الأعراض بتاعته
+
+176
+00:13:21,540 --> 00:13:26,400
+تجي من شهر لشهرين يعني أعراض مش حادة بتكون هاي
+
+177
+00:13:26,400 --> 00:13:33,060
+واحد ثاني لسه من ال combined degeneration لأن هذا
+
+178
+00:13:33,060 --> 00:13:37,200
+المرض بيصيب ال peripheral nerves و بيصيب ال
+
+179
+00:13:37,200 --> 00:13:41,040
+lateral column of spinal cordو بيصيب ال posterior
+
+180
+00:13:41,040 --> 00:13:44,520
+colon و spinal cord و بيصيب ال cortex ال cortex
+
+181
+00:13:44,520 --> 00:13:48,200
+يعني أكتر من مكان combined degeneration هذا المرض
+
+182
+00:13:48,200 --> 00:13:52,160
+بيكون عندهم decreased deep sensation decreased
+
+183
+00:13:52,160 --> 00:13:55,760
+deep sensation بيكون عندهم sensory ataxia with
+
+184
+00:13:55,760 --> 00:14:00,360
+loss of vibration and joint sensation اتنين بيحصل
+
+185
+00:14:00,360 --> 00:14:06,440
+معاهم أعراض polyneuropathy ثلاثة بيحصل معاهم lower
+
+186
+00:14:06,440 --> 00:14:10,220
+limb ممكن specificityhyperreflexia في الـ knee
+
+187
+00:14:10,220 --> 00:14:15,440
+jerk لماذا؟ لأنه فيه damage لـ lateral column في
+
+188
+00:14:15,440 --> 00:14:17,240
+ال lateral column بيكون موجود lateral
+
+189
+00:14:17,240 --> 00:14:21,940
+corticospinal tract بيحدث معهم loss of deep
+
+190
+00:14:21,940 --> 00:14:25,720
+sensation and joint sensation قلنا لماذا حدث؟ لأن
+
+191
+00:14:25,720 --> 00:14:30,100
+المرضى بيصير damaged معهم ل ال posterior column of
+
+192
+00:14:30,100 --> 00:14:36,450
+spinal cord damage لgriseal and conate tractبكون
+
+193
+00:14:36,450 --> 00:14:42,050
+معاهم المرضى دول dementia، خرف و dysfunction of
+
+194
+00:14:42,050 --> 00:14:45,510
+the sphincter يوم من الأيام أجاني مريض على إيادة
+
+195
+00:14:45,510 --> 00:14:50,190
+في غزة المريض لما أجى لابس sweater اتنين تلاتة
+
+196
+00:14:50,190 --> 00:14:54,670
+عليه أنا فاجأت يعني بعرف هذا المريض كانت علاجلاندي
+
+197
+00:14:54,670 --> 00:14:59,860
+سابقالما ماشي كان ماشي attacks ال gate، حد بنسميها
+
+198
+00:14:59,860 --> 00:15:03,480
+broad base gate، ماشي و مش قادر يغمض عنه، ماشي و
+
+199
+00:15:03,480 --> 00:15:06,520
+بتطلع تحته، لإن في عنده loss of deep sensation،
+
+200
+00:15:06,520 --> 00:15:10,980
+بتطلع جناده، فحاسطه كان hyperreflexia في ال knee
+
+201
+00:15:10,980 --> 00:15:14,760
+jerk و loss of ankle، ال loss of ankle jerk ناتج
+
+202
+00:15:14,760 --> 00:15:19,190
+عن polyneuropathyلجيته فيه عنده شوية خرف زوجته
+
+203
+00:15:19,190 --> 00:15:24,330
+بتقوللي أخر فترة صار مش مظبوط يعني الذاكره عنده مش
+
+204
+00:15:24,330 --> 00:15:28,210
+كويسة مشاكله كثيرة صارت سألتها عن موضوع التحكم في
+
+205
+00:15:28,210 --> 00:15:30,350
+ال ball قاللي الدكتور كلامك مظبوط أخر فترة بتحكمش
+
+206
+00:15:30,350 --> 00:15:36,010
+في ال ball ع السريع ذكرت نقص vitamin B12 طلبتله
+
+207
+00:15:36,010 --> 00:15:38,770
+vitamin B12 serum level وكان low يعني شخصه في نفس
+
+208
+00:15:38,770 --> 00:15:43,110
+اليوم و بدأتله علاج من أول يوم investigations اللي
+
+209
+00:15:43,110 --> 00:15:50,420
+بنعملهم للمرضى دول ال CBCBlood Film، Serum vitamin
+
+210
+00:15:50,420 --> 00:15:54,280
+B12، نبحث vitamin B12 في الدم، Gastroscopy، بنعمل
+
+211
+00:15:54,280 --> 00:15:57,940
+من ضرر للمعدة، بلاش يكون عنده cancer في ال
+
+212
+00:15:57,940 --> 00:16:00,460
+stomach، يمكن يكون عنده cancer ماليجنانسي في ال
+
+213
+00:16:00,460 --> 00:16:03,480
+stomach، وهي اللي تعملنا ميجالو بلاستيك أنيميا أو
+
+214
+00:16:03,480 --> 00:16:07,980
+مشاكل في الضوء في الدم، ونقص انتصاص ال vitamin B12
+
+215
+00:16:08,550 --> 00:16:13,210
+و دورس ال spinal cord MRI و لما نعمل spinal cord
+
+216
+00:16:13,210 --> 00:16:17,150
+MRI بنلاقي hyper intense signal أكتر شي ال hyper
+
+217
+00:16:17,150 --> 00:16:21,090
+intense signal جاي في ال posterior part of the
+
+218
+00:16:21,090 --> 00:16:25,570
+spinal cord ل treatment هانإذا في سبب لنقص ال
+
+219
+00:16:25,570 --> 00:16:29,550
+vitamin B12 لازم نعالج السبب تبع بنقصه و نعطي
+
+220
+00:16:29,550 --> 00:16:33,250
+vitamin B12 injection في البداية بنعطي injection
+
+221
+00:16:33,250 --> 00:16:37,290
+حقنة في العضل كل يوم لمدة سبع أيام، بعدين بنعطي
+
+222
+00:16:37,290 --> 00:16:40,250
+حقنة في العضل أسبوعيا، كل أسبوع بنعطي حقنة لمدة
+
+223
+00:16:40,250 --> 00:16:44,110
+سبع أسابيع، و بعدها بيصير ياخد حقنة في العضل شهريا
+
+224
+00:16:44,110 --> 00:16:49,930
+بصورة دائمةهكذا انا شرحت لكم نقص فيتن بيتولف الان
+
+225
+00:16:49,930 --> 00:16:57,130
+انتجي لموضوع مهم جدا جدا
+
+226
+00:16:57,130 --> 00:16:57,670
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+227
+00:16:57,670 --> 00:16:57,690
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+228
+00:16:57,690 --> 00:16:57,890
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+229
+00:16:57,890 --> 00:16:58,170
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+230
+00:16:58,170 --> 00:16:58,670
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+231
+00:16:58,670 --> 00:17:00,690
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+232
+00:17:00,690 --> 00:17:07,790
+جدا جدا جدا جدا جدا جدا جدا جدا
+
+233
+00:17:07,790 --> 00:17:16,490
+جدا جداالمرض هذا بيسبب disability المريض بيكون
+
+234
+00:17:16,490 --> 00:17:20,510
+مدرس او بيطلع دوامه خلال يومين بيصير a wheelchair
+
+235
+00:17:20,510 --> 00:17:24,330
+dependent على كرسي متحرك في الحالات هذه خطيرة و
+
+236
+00:17:24,330 --> 00:17:30,450
+لازم تشخص بدري و ياخدوا علاجهم مظبوط acute GBS او
+
+237
+00:17:30,450 --> 00:17:35,050
+Golian Bar Syndrome هو عبارة عن acute immune
+
+238
+00:17:35,050 --> 00:17:42,310
+mediated polyneuropathyGouliain و Par هدولة دكاترة
+
+239
+00:17:42,310 --> 00:17:45,390
+علماء فرنسيين في الحرب العالمية أول شي شخصوا
+
+240
+00:17:45,390 --> 00:17:49,290
+حالتين في ال acute polyneuropathy وسموا المرض
+
+241
+00:17:49,290 --> 00:17:53,190
+باسمهم Gouliain و Par syndrome تنين هما Gouliain
+
+242
+00:17:53,190 --> 00:17:56,690
+Par تمام؟ يعني هو عبارة عن acute inflammatory
+
+243
+00:17:57,960 --> 00:18:02,160
+Immuno-mediated polyneuropathy يقول إنه عبارة عن
+
+244
+00:18:02,160 --> 00:18:06,100
+acute inflammatory demyelinating polyneuropathy
+
+245
+00:18:06,100 --> 00:18:09,840
+GBS
+
+246
+00:18:09,840 --> 00:18:15,600
+presents as an acute monophysic paralyzing illness
+
+247
+00:18:15,600 --> 00:18:20,040
+provoked by a preceding infection يعني أعراضه
+
+248
+00:18:20,040 --> 00:18:23,680
+بتيجي one stage في one static course أولها
+
+249
+00:18:23,680 --> 00:18:29,590
+progressiveو monophysic فيز واحدة و بيكون شلل حدث
+
+250
+00:18:29,590 --> 00:18:34,570
+معاه قبل بسبوع بسبوعين ممكن يكون عند المرضى هذول
+
+251
+00:18:34,570 --> 00:18:38,550
+common cold يعني عندهم يكون respiratory infection
+
+252
+00:18:41,260 --> 00:18:46,880
+هيستوريكالي في الهستوريا جي بي أس was considered a
+
+253
+00:18:46,880 --> 00:18:50,920
+single disorder في الزمنات كان جي بي أس هو نوع
+
+254
+00:18:50,920 --> 00:18:55,940
+واحد هو نوع واحد اسمه acute inflammatory
+
+255
+00:18:55,940 --> 00:19:00,600
+demyelinating polyneuropathy الان جي بي أس يعتبر
+
+256
+00:19:00,600 --> 00:19:04,960
+syndrome heterogeneous syndrome ويله sub types
+
+257
+00:19:04,960 --> 00:19:10,320
+ويله أنواع و variant epidemiology of جي بي أس
+
+258
+00:19:11,460 --> 00:19:15,420
+حالتين لكل مائة ألف نسمة في السنة كل مائة ألف ممكن
+
+259
+00:19:15,420 --> 00:19:20,440
+يصاب حالتين في السنة all group are affected لكن ال
+
+260
+00:19:20,440 --> 00:19:25,640
+pick أكتر شيء يكون في ال young adults أقل المرض
+
+261
+00:19:25,640 --> 00:19:31,880
+هذا ييجي في ال elderly أقل و أقل عند الأطفال
+
+262
+00:19:31,880 --> 00:19:37,310
+الأطفال أقلراحظوا ال young adult حالتين لكل مائة
+
+263
+00:19:37,310 --> 00:19:41,750
+ألف الأطفال zero point thirty eight zero point
+
+264
+00:19:41,750 --> 00:19:48,050
+ninety one يعني أقل من واحد لكل مليون لكل مائة ألف
+
+265
+00:19:48,050 --> 00:19:53,810
+ال GPS occurs rarely in children جونا younger than
+
+266
+00:19:53,810 --> 00:19:58,030
+two years ال male لل female ratio ثلاثة لاتنين
+
+267
+00:19:58,030 --> 00:20:02,980
+يعني ال male أكتر من ال female يصاب ب GPSقبل ثلاث
+
+268
+00:20:02,980 --> 00:20:07,080
+سنوات شخصيت إخوة اتنين خلال أشهر كان عندهم GPS
+
+269
+00:20:07,080 --> 00:20:10,300
+والثانين عمارهم كانوا حوالي خمسين سنة او تلاتة
+
+270
+00:20:10,300 --> 00:20:13,700
+وخمسين سنة خلال اربع او خمس شهور اتنين كانوا
+
+271
+00:20:13,700 --> 00:20:17,380
+مصابين هذا لا يعني ان هو دعامي وراثي الصدفة كانت
+
+272
+00:20:17,380 --> 00:20:24,980
+عندهم etiology and pathogenesis of GPS أهم شيء هنا
+
+273
+00:20:24,980 --> 00:20:29,900
+immune demyelinatingmechanism immundemilinating
+
+274
+00:20:29,900 --> 00:20:35,000
+secondary ممكن يكون ناتج عن ايه عن viral infection
+
+275
+00:20:35,000 --> 00:20:39,980
+فيروسات كم بيلب أكتر ال infection كم بيلب أكتر ال
+
+276
+00:20:39,980 --> 00:20:43,500
+vaccination اللي بياخد تطعيم مثل ال influenza
+
+277
+00:20:43,500 --> 00:20:50,580
+vaccine ال meningococcal vaccine clinical features
+
+278
+00:20:50,580 --> 00:20:51,380
+of gps
+
+279
+00:20:55,190 --> 00:20:58,930
+في برايل stage في البداية ممكن يحدث معاهم في برايل
+
+280
+00:20:58,930 --> 00:21:04,300
+مثل common call واحد في الأوانزاالتهابات في
+
+281
+00:21:04,300 --> 00:21:07,360
+القصابات الهوائية و الفيروسات يصابوا بعد ذلك
+
+282
+00:21:07,360 --> 00:21:11,240
+يفبرال ال stage أسبوع أسبوعين حد أربع أسبوع ممكن
+
+283
+00:21:11,240 --> 00:21:16,780
+يكون كويس و مارس حياته و عمله بعد أسبوعين بدخل في
+
+284
+00:21:16,780 --> 00:21:21,380
+مرحلة الشلل paralytic stage paralytic stage هنا
+
+285
+00:21:21,380 --> 00:21:25,940
+أكتر شيء في ال motor أو في ال GPS يكون متأثر ال
+
+286
+00:21:25,940 --> 00:21:29,120
+motor system يتأثر ال motor fibers of the
+
+287
+00:21:29,120 --> 00:21:33,290
+peripheral nerves يبقى المريضبحث معاه massive
+
+288
+00:21:33,290 --> 00:21:38,450
+massive ascending paralysis شلال ايه؟ من تحت لفوق،
+
+289
+00:21:38,450 --> 00:21:44,110
+لكن في uncommon cause أو uncommon type of GPS ممكن
+
+290
+00:21:44,110 --> 00:21:48,380
+يبدأ المرض من فوق لتحتuncommon مرة عليا حالتين في
+
+291
+00:21:48,380 --> 00:21:53,320
+حياتي يبدأ مرضهم من ال cranial nerves ل shoulder ل
+
+292
+00:21:53,320 --> 00:21:57,020
+lower limbs لكن ال presentation is typically
+
+293
+00:21:57,020 --> 00:22:01,220
+ascending course
+
+294
+00:22:01,220 --> 00:22:05,710
+of paralysisالـ motor acute onset of massive
+
+295
+00:22:05,710 --> 00:22:09,830
+ascending flaccid symmetrical paralysis with loss
+
+296
+00:22:09,830 --> 00:22:13,430
+of deep reflexes يقول هنا الشرل بيكون بيصيب
+
+297
+00:22:13,430 --> 00:22:18,490
+الأطراف السفلية أو العلوية مع فقدان الرد الفعل ال
+
+298
+00:22:18,490 --> 00:22:21,640
+reflexes sensationفي البداية بيكون عندهم
+
+299
+00:22:21,640 --> 00:22:25,080
+tenderness and pain of the calf muscle وDistal
+
+300
+00:22:25,080 --> 00:22:28,400
+hypersthesia و Parasthesia Later في المراحل
+
+301
+00:22:28,400 --> 00:22:32,500
+المتقدمة بيصير معهم decrease of sensation و ال
+
+302
+00:22:32,500 --> 00:22:36,660
+deep sensation بيكون نوعهم stock glove type
+
+303
+00:22:36,660 --> 00:22:44,140
+cranial nerve involvement في ال GPSfacial and
+
+304
+00:22:44,140 --> 00:22:48,060
+oropharyngeal weakness 50% يعني 50% من حالات ال
+
+305
+00:22:48,060 --> 00:22:51,160
+GPS ممكن يجينا ب facial and oropharyngeal weakness
+
+306
+00:22:51,160 --> 00:22:55,620
+15% ممكن يجينا ب oculomotor weakness و oculomotor
+
+307
+00:22:55,620 --> 00:22:59,080
+nerve weakness in severe cases respiratory and
+
+308
+00:22:59,080 --> 00:23:04,900
+bulbar involvement maybe okay 20% من حالات ال GPS
+
+309
+00:23:04,900 --> 00:23:10,350
+ممكن يحتاجوا ال truck يستمي فتحه علشان التنفسأو
+
+310
+00:23:10,350 --> 00:23:14,670
+ventilator او يحطهم على جهاز التنفس الصناعي ليش؟
+
+311
+00:23:14,670 --> 00:23:19,290
+لأنه بيحدث معهم paralysis of respiratory muscle
+
+312
+00:23:19,290 --> 00:23:23,910
+عشان هي مرضى ال GPS المفروض يعلجه في وحدة اللينية
+
+313
+00:23:23,910 --> 00:23:29,290
+المركزة في أقسام اللينية المركزة clinical features
+
+314
+00:23:29,290 --> 00:23:35,490
+of GPS 79% منهم يكون عندهم neuropathic pain60%
+
+315
+00:23:35,490 --> 00:23:39,610
+بيقدروش يمشوا يعني عندهم paralysis في ال lower
+
+316
+00:23:39,610 --> 00:23:46,570
+limbs 51% Autonomic dysfunctions 46% عندهم مشاكل
+
+317
+00:23:46,570 --> 00:23:51,890
+في ال cranial nerves 24% could not use their arms
+
+318
+00:23:51,890 --> 00:23:56,510
+13% بيحتاجوا mechanical ventilation و احنا قلنا 20
+
+319
+00:23:56,510 --> 00:23:59,510
+% ممكن يحتاجوا mechanical ventilation او
+
+320
+00:23:59,510 --> 00:24:02,250
+tracheostomy without ventilator
+
+321
+00:24:04,870 --> 00:24:07,370
+ما هو الـ Autonomic dysfunction اللي تحدث عن مرضى
+
+322
+00:24:07,370 --> 00:24:13,930
+الـ GPS؟ Cardiac Dysrhythmia مشاكل في نبض القلب
+
+323
+00:24:13,930 --> 00:24:18,410
+Bradycardia Tachycardia Tachyarrhythmia
+
+324
+00:24:18,410 --> 00:24:22,770
+Orthostatic Hypotension Transient or Persistent
+
+325
+00:24:22,770 --> 00:24:28,360
+Hypertension Paralytic Iliasbladder dysfunction
+
+326
+00:24:28,360 --> 00:24:34,740
+abnormal sweating يا جماعة في ال GBS نادر ما نشوف
+
+327
+00:24:34,740 --> 00:24:37,260
+ان المرضى عندهم urine retention و urine
+
+328
+00:24:37,260 --> 00:24:40,140
+incontinence اكثر موضوع urine retention و urine
+
+329
+00:24:40,140 --> 00:24:43,540
+incontinence بيكون في ال spinal cord lesion لكن في
+
+330
+00:24:43,540 --> 00:24:48,640
+ال severe cases of GBS ممكن يحدث معاهم مشاكل في ال
+
+331
+00:24:48,640 --> 00:24:55,040
+urine و ال stool ده بتكلم على severe autonomic
+
+332
+00:24:55,040 --> 00:24:56,060
+neuropathy
+
+333
+00:24:58,970 --> 00:25:04,490
+اتفقنا ان في الزمان كان ال GPS نوع واحد هو acute
+
+334
+00:25:04,490 --> 00:25:11,410
+inflammatory demyelinating polyneuropathy الان ال
+
+335
+00:25:11,410 --> 00:25:17,730
+GPS هو عنوان ويله sub types او variants من ضمنهم
+
+336
+00:25:17,730 --> 00:25:22,930
+acute inflammatory demyelinating polyneuropathy
+
+337
+00:25:23,790 --> 00:25:29,630
+يعني صار ال I أو ال AIDB صار prototype of GPS صار
+
+338
+00:25:29,630 --> 00:25:34,410
+إيه prototype of GPS النوع الثاني acute motor
+
+339
+00:25:34,410 --> 00:25:39,310
+axonal polyneuropathy أمان أمان نحفظها أمان و
+
+340
+00:25:39,310 --> 00:25:43,190
+النوع الثالث acute motor sensory axonal
+
+341
+00:25:43,190 --> 00:25:49,050
+polyneuropathy أمسان يعني أمان و أمسان حلو هذاطب
+
+342
+00:25:49,050 --> 00:25:52,970
+ايش الفرق بينهم؟ ايش الفرق بين هذه الأنواع؟ النوع
+
+343
+00:25:52,970 --> 00:25:56,550
+الأول acute inflammatory demyelinating
+
+344
+00:25:56,550 --> 00:26:01,870
+polyneuropathy ايش اختلاف بينه بين النوع الثالث؟
+
+345
+00:26:01,870 --> 00:26:05,410
+او بلاش الثالث ايش اختلاف بين الأول والثاني؟ acute
+
+346
+00:26:05,410 --> 00:26:08,830
+inflammatory demyelinating polyneuropathy هذا
+
+347
+00:26:08,830 --> 00:26:15,590
+بيصيب ال sensory و ال motor طب والنوع الثانيacute
+
+348
+00:26:15,590 --> 00:26:18,690
+motor بيصيب فقط ال motor النوع الثاني يكون هي
+
+349
+00:26:18,690 --> 00:26:23,470
+اختلاف الأول أنه الأول motor sensory والثاني pure
+
+350
+00:26:23,470 --> 00:26:27,610
+motor شيء
+
+351
+00:26:27,610 --> 00:26:32,430
+ثاني أنه الأول demyelinating الأول demyelinating
+
+352
+00:26:37,200 --> 00:26:40,460
+axonal يبقى كمان على ال nerve conduction الصدي على
+
+353
+00:26:40,460 --> 00:26:44,240
+الجهاز ال nerve conduction الصدي بميز ان الأول
+
+354
+00:26:44,240 --> 00:26:48,940
+بيكون demyelinating و الثاني axonal طيب طب ايش
+
+355
+00:26:48,940 --> 00:26:52,700
+الفرق بين الأول و الثالث الأول و الثالث من ناحية
+
+356
+00:26:52,700 --> 00:26:56,120
+clinical نفس الشيء بيكون فيهم motor و sensory طب
+
+357
+00:26:56,120 --> 00:27:01,420
+كيف افرق بين الأول و الثالث الأول demyelinating و
+
+358
+00:27:01,420 --> 00:27:06,580
+الثالث axonalطب كيف افرق بين الثاني و الثالث؟
+
+359
+00:27:06,580 --> 00:27:17,800
+الثاني pure motor و الثالث sensory and motor النوع
+
+360
+00:27:17,800 --> 00:27:21,100
+الرابع اللي قولنا اسمه ميلار فيشر variant
+
+361
+00:27:26,000 --> 00:27:31,420
+Fisher syndrome او Miller Fisher variant of GBS في
+
+362
+00:27:31,420 --> 00:27:35,020
+حياتي شخصت تلات حالات حالتين في غزة و حالة في
+
+363
+00:27:35,020 --> 00:27:41,860
+أكرانيا كانت حالة منهم اخر حالة مريض من المصيرات
+
+364
+00:27:41,860 --> 00:27:48,380
+بيجي على عياتي المريض بيجي له اسبوع undiagnosed مش
+
+365
+00:27:48,380 --> 00:27:52,900
+شخص لما انحضر للعيادة كانوا الاقارب مسكينهم من
+
+366
+00:27:52,900 --> 00:27:58,650
+ايديهماشي مش قادر يمشي عنده ataxia ترانح اجعته
+
+367
+00:27:58,650 --> 00:28:02,950
+فحصته لاجيت عنده ophthalmobligia الزواجية في
+
+368
+00:28:02,950 --> 00:28:07,250
+الرؤية و يشوفونه مسكرين شوية ببحث رد الفعل لاجيت
+
+369
+00:28:07,250 --> 00:28:10,690
+عنده loss of reflexes ع السريع كان عندي تشخيص في
+
+370
+00:28:10,690 --> 00:28:16,830
+مقهي ان هذا ايه ميلار فيشار فارين دي بي اس طب بلاش
+
+371
+00:28:16,830 --> 00:28:19,990
+يكون مشكلة في ال brainقلت له على السريع بنعمل سورة
+
+372
+00:28:19,990 --> 00:28:23,950
+رنين مغناطيسي توكسيكلود أنيسينتراليجي المشاكل تكون
+
+373
+00:28:23,950 --> 00:28:28,270
+في ال brain stem عملنا سورة رنين للدماغ الحمد لله
+
+374
+00:28:28,270 --> 00:28:32,110
+سليمة في نفس اليوم دخلته على المستشفى وعطيته علاج
+
+375
+00:28:32,110 --> 00:28:35,930
+اسمه intravenous immunoglobulin علاج غالي مكلف
+
+376
+00:28:35,930 --> 00:28:42,080
+اليوم في 700 دولار IVIG الحمد لله اليوم الخامسممشي
+
+377
+00:28:42,080 --> 00:28:47,240
+لوحده بدون مساعدة كان والان هو امام المسجد والان
+
+378
+00:28:47,240 --> 00:28:51,320
+مافيش اي اعراض عنده يعني خلال شهرين تلاتة كان كل
+
+379
+00:28:51,320 --> 00:28:55,380
+اعراض اختفت الحمد لله ليه؟ يبقى ان ال symptom او
+
+380
+00:28:55,380 --> 00:28:57,860
+ال syndrome هذا له triad symptoms ال triad
+
+381
+00:28:57,860 --> 00:29:03,320
+symptoms اذا اجاني مريض شوفت هذه الاعراض اول شيء
+
+382
+00:29:03,320 --> 00:29:11,030
+ataxia without weakness ترنح بدون ضعف العضلاتأفثال
+
+383
+00:29:11,030 --> 00:29:15,190
+موبليجيا، شلل في حركة أعصاب العين أو عضلات العين
+
+384
+00:29:15,190 --> 00:29:22,040
+ثلاثة أرفليكسيا، فقدان ال reflexesمن حد ما أسمع في
+
+385
+00:29:22,040 --> 00:29:25,660
+التلاتة أو أبحث عن المريض نتذكر اللي هو Miller
+
+386
+00:29:25,660 --> 00:29:33,000
+Fisher Syndrome اللي هو one type of GBS وبيكون
+
+387
+00:29:33,000 --> 00:29:39,440
+عندهم antibodies against GQ1B هذا بنفحص GQ1B بنفحص
+
+388
+00:29:39,440 --> 00:29:44,580
+عن طريق ال CSF 85% ل 90% من هدول المرضى بيكون
+
+389
+00:29:44,580 --> 00:29:47,120
+عندهم positive هذا ال antibodies
+
+390
+00:29:49,200 --> 00:29:53,360
+أي حالات GPS بيكون عندهم drop feet واضح أنها drop
+
+391
+00:29:53,360 --> 00:29:59,640
+feet في القدمين atrophy loss of muscle بيكون عندهم
+
+392
+00:29:59,640 --> 00:30:03,360
+muscle hypotrophy loss of hair لاحظوا مافيش شعر في
+
+393
+00:30:03,360 --> 00:30:07,840
+القدمين و distal muscle hypotrophy
+
+394
+00:30:09,570 --> 00:30:14,090
+مش بنعمل investigations للمرضى اللي عندهم GPS CSF
+
+395
+00:30:14,090 --> 00:30:19,950
+Examination بنفحص السائل بنلاحظ أنه في increase في
+
+396
+00:30:19,950 --> 00:30:22,610
+ال protein و ال increase في ال protein بتتم على
+
+397
+00:30:22,610 --> 00:30:28,510
+الأسبوع الثاني أو الثالث ال cells ممكن نلاحظ أنه
+
+398
+00:30:28,510 --> 00:30:32,290
+عندهم عشرين تلاتين اربعين خمسين white blood cells
+
+399
+00:30:32,290 --> 00:30:35,800
+و بيكونوا lymphocyteفي ال nerve conduction study
+
+400
+00:30:35,800 --> 00:30:39,460
+في بداية المرض ممكن مايكونش فيه تغيرات بعد مرور
+
+401
+00:30:39,460 --> 00:30:43,120
+عشر أيام اسبوعين بيحدث عندهم decrease conduction
+
+402
+00:30:43,120 --> 00:30:47,300
+velocity لاحظولي ان المرض اهم شي بتشخص بالمخ مش
+
+403
+00:30:47,300 --> 00:30:51,050
+بالاجهزة في البداية لان في البدايةالـ CSF بيكون
+
+404
+00:30:51,050 --> 00:30:53,710
+Normal والـ nerve conduction study Normal لحظة كل
+
+405
+00:30:53,710 --> 00:30:56,590
+التغيرات بتتم على اليوم العاشر على الأسبوعين يقول
+
+406
+00:30:56,590 --> 00:31:00,030
+أنا لازم أشخصي من أول يوم بالأعراض الكليكية و أبدأ
+
+407
+00:31:00,030 --> 00:31:04,250
+علاجي و بعدين ايه أثبت تشخيصي بال nerve conduction
+
+408
+00:31:04,250 --> 00:31:10,880
+study و بال CSF examinationTreatment of GBS، في
+
+409
+00:31:10,880 --> 00:31:15,660
+الزمنات كان أهم شيء في علاج الـGBS هو الاستيرويد،
+
+410
+00:31:15,660 --> 00:31:19,560
+لكن ما وجدوا أنه له دور، الكورتازون والاستيرويد
+
+411
+00:31:19,560 --> 00:31:23,160
+مالهاش دور، أهم شيء في علاج الـGBS
+
+412
+00:31:25,310 --> 00:31:30,550
+IVIG بنعطي 400 ميلي جرام لكل كيلو جرام خمس أيام
+
+413
+00:31:30,550 --> 00:31:35,790
+خمس أيام يعني ال total dose تبعتها لو بدنا ناخد لل
+
+414
+00:31:35,790 --> 00:31:41,230
+course ال course بياخد اتنين جرام لكل كيلو جرام
+
+415
+00:31:41,230 --> 00:31:48,730
+وزن يعني واحد وزنه خمسين كيلو خمسين كيلو وزنه ضرب
+
+416
+00:31:48,730 --> 00:31:53,350
+اتنين جرام يسوي مائة جرام بدنايلهم مائة جرامهذا
+
+417
+00:31:53,350 --> 00:31:58,350
+المية جرام ممكن اوزحها على خمس أيام تطلع كل يوم
+
+418
+00:31:58,350 --> 00:32:04,090
+عشرين جرام يعني اربعمائة ميلي جرام كل بير كيجي
+
+419
+00:32:04,090 --> 00:32:08,430
+وممكن طريقة ثانية اجسمها ليومين كل يوم اعطيه خمسين
+
+420
+00:32:08,430 --> 00:32:13,470
+خمسين يعني ال IVIG الأطفال بيحبوا يعطوه الأطفال
+
+421
+00:32:13,470 --> 00:32:21,610
+الخصين أطفال واحد جرام لكل كيلو جرام تالي
+
+422
+00:32:24,520 --> 00:32:30,000
+for two days يعني بيبقى جسمه جرعته ليومين كل يوم
+
+423
+00:32:30,000 --> 00:32:33,060
+بيعطوه واحد جرام لكل كيلو جرام احنا ال adult لأ
+
+424
+00:32:33,060 --> 00:32:37,840
+بحب نجسمه لخمس أيام و نعطيه اربعمائة ملي جراملكل
+
+425
+00:32:37,840 --> 00:32:40,180
+كيلو جرام هذا مش شغل علاج طبيعي بس انا حبيت
+
+426
+00:32:40,180 --> 00:32:42,900
+اشرحلكم النقطة هذه يعني ممكن يمر عليكوا الأطفال
+
+427
+00:32:42,900 --> 00:32:46,640
+يتقولوا أخدوا العلاج في يومين صح لأنه جسموا واحد
+
+428
+00:32:46,640 --> 00:32:50,160
+جرام لكل كيلو جرام او الكبار اعطوه في خمس أيام صح
+
+429
+00:32:50,160 --> 00:32:53,480
+لأن احنا جسمنا اربعمائة ملي جرام لكل كيلو جرام لكن
+
+430
+00:32:53,480 --> 00:32:56,940
+ال total dose تبعتهم ع الجهتين مش راح تزيد عن
+
+431
+00:32:56,940 --> 00:32:59,580
+اتنين جرام لكل كيلو جرام يعني كل course العلاج
+
+432
+00:32:59,580 --> 00:33:05,900
+تبعه اتنين جرام IVIG لكل كيلو جرام وزنطب ما عنده
+
+433
+00:33:05,900 --> 00:33:09,980
+حساسية من ال IVIG تحسس جسمه او ماتحسنش حالته
+
+434
+00:33:09,980 --> 00:33:13,940
+بالزيد سوء او not available IVIG مش موجود مش متوفر
+
+435
+00:33:13,940 --> 00:33:18,400
+IVIG بنعمل فصل بلازمة تغيير بلازمة البلازمة بتنفصل
+
+436
+00:33:18,400 --> 00:33:22,220
+وهي بنغيرهاطب ممكن نعطيهم IVIG و Plasma
+
+437
+00:33:22,220 --> 00:33:24,880
+Pharyngesis مع بعض على الفاضى، الدراسات أثبتت أنه
+
+438
+00:33:24,880 --> 00:33:28,920
+على الفاضى، إما نعطيه IVIG و إما نعطيه Plasma
+
+439
+00:33:28,920 --> 00:33:32,400
+Exchange، لأن لو عطينا IVIG للمريض، و عملنا له حصل
+
+440
+00:33:32,400 --> 00:33:34,980
+Plasma، إحنا مع حصل Plasma، هذا الألاج الغالي اللي
+
+441
+00:33:34,980 --> 00:33:38,160
+راح نطلعه من الجسم، و مااستفدنا منه أي شيء، ضروري
+
+442
+00:33:38,160 --> 00:33:42,520
+نعطيهم Anticoagulant، Heparin، و ينعمللهم فيزيو
+
+443
+00:33:42,520 --> 00:33:47,900
+ترابي to prevent اللي هوdeep venous thrombosis
+
+444
+00:33:47,900 --> 00:33:52,040
+symptomatic therapy حسب الأعراض يعني عاملهم
+
+445
+00:33:52,040 --> 00:33:55,420
+suction ممكن يحتاجوا tracheostomy ممكن يحتاجوا
+
+446
+00:33:55,420 --> 00:33:59,240
+NGTU ممكن يحتاجوا mechanical ventilation وبعد ما
+
+447
+00:33:59,240 --> 00:34:02,580
+أخلص العلاج بسرعة بحول هذول المرضى في stable
+
+448
+00:34:02,580 --> 00:34:07,140
+condition لمستشفيات rehabilitation و فيزي ثرابي
+
+449
+00:34:07,140 --> 00:34:11,880
+للعلاج الطبيعي و التأهيل الطبي في الحالات هذه مهم
+
+450
+00:34:11,880 --> 00:34:15,700
+جدا العلاج الطبيعي هنا في الموضوع هذاأخر موضوع في
+
+451
+00:34:15,700 --> 00:34:19,840
+محاضرة اليوم chronic inflammatory demyelinating
+
+452
+00:34:19,840 --> 00:34:22,240
+polyneuropathy هذا chronic inflammatory
+
+453
+00:34:22,240 --> 00:34:24,700
+demyelinating polyneuropathy مش بال GPS اللي انا
+
+454
+00:34:24,700 --> 00:34:28,200
+شرحته لكن chronic أعراضه بتكون ايش ايه chronic
+
+455
+00:34:28,200 --> 00:34:34,310
+اكثر من شهرين يكون CIDBهو عبارة عن chronic
+
+456
+00:34:34,310 --> 00:34:38,250
+inflammatory demyelinating polyneuropathy هو عبارة
+
+457
+00:34:38,250 --> 00:34:42,310
+عن acquired polyneuropathy الدمج بيحصل في الـ
+
+458
+00:34:42,310 --> 00:34:44,630
+peripheral nerve في الـ root of peripheral nerve
+
+459
+00:34:44,630 --> 00:34:52,430
+لاحظوا similar بشبه مين GPS but with progressive
+
+460
+00:34:52,430 --> 00:34:57,390
+ممكن الأعراض تكون progressive or relapsing
+
+461
+00:34:57,390 --> 00:35:02,190
+-remitting type fluctuating with symptoms more
+
+462
+00:35:02,190 --> 00:35:07,540
+thanEight weeks و الأعراض تكون أكتر من ثمان أسابيع
+
+463
+00:35:07,540 --> 00:35:10,740
+و الأعراض تكون أكتر من إيه ثمان أسابيع يعني أكتر
+
+464
+00:35:10,740 --> 00:35:14,320
+من شهرين Classification
+
+465
+00:35:14,320 --> 00:35:18,140
+of Chronic Inflammatory Demyelinating Pulmonary
+
+466
+00:35:18,140 --> 00:35:22,780
+Arthritis لاحظوا الـ CIDB يعني الـ CIDB نوع من
+
+467
+00:35:22,780 --> 00:35:27,520
+أنواع الـ CIDB نوع من أنواع الـ CIDB النوع الثاني
+
+468
+00:35:27,520 --> 00:35:35,010
+Multifocal Motor Neuropathyالنوع الثالث بيسموه الـ
+
+469
+00:35:35,010 --> 00:35:39,370
+Louise Sumner Syndrome هو multifocal نفس التاني
+
+470
+00:35:39,370 --> 00:35:43,610
+acquired demyelinating sensory and motor
+
+471
+00:35:43,610 --> 00:35:47,090
+neuropathy النوع الثالث الرابع sensory
+
+472
+00:35:47,090 --> 00:35:50,330
+polyneuropathy pure sensory demyelinating
+
+473
+00:35:50,330 --> 00:35:53,830
+polyneuropathy النوع الخامس demyelinating
+
+474
+00:35:53,830 --> 00:35:57,610
+polyneuropathy with CNS demyelination يعني ممكن
+
+475
+00:35:57,610 --> 00:36:03,180
+يكون عندهم CIDBمع ايه؟ مع multiple sclerosis .. مع
+
+476
+00:36:03,180 --> 00:36:09,120
+ايه؟ مع multiple sclerosis اللي بعده demyelinating
+
+477
+00:36:09,120 --> 00:36:13,040
+polyneuropathy associated with systemic disorders
+
+478
+00:36:13,040 --> 00:36:14,380
+نرجحهم مع بعض
+
+479
+00:36:17,270 --> 00:36:21,230
+CIDB Chronic Inflammatory Demyelinating
+
+480
+00:36:21,230 --> 00:36:24,830
+Polyneuropathy هذه الأعراض تكون عندهم sensory and
+
+481
+00:36:24,830 --> 00:36:28,430
+motor وعلى ال nerve conduction تكون demyelinating
+
+482
+00:36:28,430 --> 00:36:32,950
+okay النوع الثاني multifocal ايش بقصد كلمة
+
+483
+00:36:32,950 --> 00:36:37,790
+multifocal يعني non symmetrical asymmetrical اللي
+
+484
+00:36:37,790 --> 00:36:42,130
+يعملوش بيختلفوا عن بعض motor neuropathy يعني هذه
+
+485
+00:36:42,130 --> 00:36:46,430
+فقط ايش motorمافي أعراض من ناحية ال sensation
+
+486
+00:36:46,430 --> 00:36:52,250
+النوع الثالث multifocal acquired demyelinating
+
+487
+00:36:52,250 --> 00:36:56,730
+sensory and motor neuropathy يبقى النوع الثالث
+
+488
+00:36:56,730 --> 00:37:01,050
+بيختلف عن الثاني انه في الثالث فيه sensory و motor
+
+489
+00:37:01,050 --> 00:37:05,770
+طب الثاني pure motor والثاني multifocal يعني ايش
+
+490
+00:37:05,770 --> 00:37:10,300
+multifocal non symmetricalطب النوع الأول لأ
+
+491
+00:37:10,300 --> 00:37:14,380
+symmetrical و بيكون صحيب ايش ال sensory و ال motor
+
+492
+00:37:14,380 --> 00:37:17,860
+يعني الأول عن الثاني بيختلف انه بيكون symmetrical
+
+493
+00:37:17,860 --> 00:37:22,000
+نيروبطي الأول الثاني asymmetrical الأول sensory
+
+494
+00:37:22,000 --> 00:37:26,620
+motor الثاني pure motor الأول و الثالث الأول
+
+495
+00:37:26,620 --> 00:37:30,340
+sensory motor و الثالث sensory motor زيه الأول
+
+496
+00:37:30,340 --> 00:37:34,400
+symmetrical بيكون .. symmetrical بيكون و الثاني ..
+
+497
+00:37:34,400 --> 00:37:37,500
+و الثالث بيكون ايه asymmetrical يعني non
+
+498
+00:37:37,500 --> 00:37:43,150
+symmetricalالرابع هذا pure sensory بيكون dominant
+
+499
+00:37:43,150 --> 00:37:49,890
+sensory type الخامس هذا بيكون demyelinating
+
+500
+00:37:49,890 --> 00:37:53,070
+polyneuropathy with CNS demyelination يعني ايش؟
+
+501
+00:37:53,070 --> 00:37:56,990
+polyneuropathy في ال upper و lower limbs مع ايه؟
+
+502
+00:37:56,990 --> 00:38:04,470
+مع الهو ال CNS demyelination مثل ايش؟ مثل multiple
+
+503
+00:38:04,470 --> 00:38:09,770
+sclerosisوdemyelinating أخر نوع polyneuropathy
+
+504
+00:38:09,770 --> 00:38:15,650
+associated with a systemic disorder يعني كيف؟ يعني
+
+505
+00:38:15,650 --> 00:38:21,850
+polyneuropathy نتج عن ديابتك ديابتس مليتس
+
+506
+00:38:22,780 --> 00:38:28,200
+بولينيروباطي ناتج عنه chronic renal failure أو
+
+507
+00:38:28,200 --> 00:38:33,280
+بولينيروباطي ناتج عنه عن مرض أسهلي systemic lobus
+
+508
+00:38:33,280 --> 00:38:37,500
+erythromatosis أو بولينيروباطي ناتج عنه vasculitis
+
+509
+00:38:37,500 --> 00:38:46,260
+و هكذا ال .. إيش ال systemic disorders اللي maybe
+
+510
+00:38:46,260 --> 00:38:52,630
+associated with CIDB؟ Hepatitis Hepatitis B و Cالـ
+
+511
+00:38:52,630 --> 00:38:59,010
+HIV والـ AIDS والملك نانسي والقنصر لعمل البرانيو
+
+512
+00:38:59,010 --> 00:39:02,630
+بلاستيك النيروباتيالديابتس مليتس السكر بيعمل
+
+513
+00:39:02,630 --> 00:39:06,210
+ديابتك بول نيرباتي، systemic disease SLE
+
+514
+00:39:06,210 --> 00:39:11,490
+الفاسكولايتس كله هذا بيحجي ال disease روماتويد
+
+515
+00:39:11,490 --> 00:39:16,190
+أرثرايتس كله بيعملن يه بول نيرباتي، hypothyroidism
+
+516
+00:39:16,190 --> 00:39:21,670
+أو hyperthyroidism، thyrotoxicosis بيعملن يه بول
+
+517
+00:39:21,670 --> 00:39:27,330
+نيرباتي، organ and bone marrow transplantationالـ
+
+518
+00:39:27,330 --> 00:39:31,530
+inherited neuropathy زي تشاركوت ماري توث ديزيز
+
+519
+00:39:31,530 --> 00:39:36,370
+للناس اللي عندهم رينال فيلر، hepatic filler، الناس
+
+520
+00:39:36,370 --> 00:39:39,250
+اللي عندهم inflammatory bowel disease، كل هذه
+
+521
+00:39:39,250 --> 00:39:43,670
+الأمراض بتأدي إلى إيه؟ Systemic polyneuropathy
+
+522
+00:39:43,670 --> 00:39:49,850
+Diagnostic criteria for CIDB، كيف بدي أشخص CIDB؟
+
+523
+00:39:51,390 --> 00:39:56,430
+أول شيء symptom progression over than two months
+
+524
+00:39:56,430 --> 00:39:59,170
+يعني الأعراض راح تكون عند المريض أكتر من ثمان
+
+525
+00:39:59,170 --> 00:40:04,370
+أسابيع اثنين weakness more than sensory symptoms
+
+526
+00:40:04,370 --> 00:40:09,510
+يعني الشلل والضعف العضلي أكتر من مشاكل الإحساس
+
+527
+00:40:09,510 --> 00:40:14,450
+تلاتة proximal muscle involved along with distal
+
+528
+00:40:14,450 --> 00:40:20,370
+musclesreduce deep tendon reflexes increase CSF
+
+529
+00:40:20,370 --> 00:40:23,610
+protein and pleocytosis يعني increase اللي هو
+
+530
+00:40:23,610 --> 00:40:26,860
+white blood cells lymphocyteالـ nerve conduction
+
+531
+00:40:26,860 --> 00:40:30,580
+study بيكون الـ demyelinating neuropathy ممكن نعمل
+
+532
+00:40:30,580 --> 00:40:34,220
+nerve biopsy و يبينلنا segmental demyelination لو
+
+533
+00:40:34,220 --> 00:40:38,340
+أخدنا sensory nerve لكن في بعض الأحيان ال biopsy
+
+534
+00:40:38,340 --> 00:40:40,900
+ممكن ما يساعدش يكون المرض صعيب ال motor fibers
+
+535
+00:40:40,900 --> 00:40:44,140
+only و احنا ناخد من ال sensory biopsy و يطلع false
+
+536
+00:40:44,140 --> 00:40:48,240
+negative مابنسى مريضة من غزة هذه المريضة أجتني
+
+537
+00:40:48,240 --> 00:40:53,110
+wheelchair dependent أجتني على كرسي متحركعمرها كان
+
+538
+00:40:53,110 --> 00:40:56,650
+تقريبا خمسين سنة، تمانية وربين سنة خمسين اللي هي
+
+539
+00:40:56,650 --> 00:41:00,430
+تقريبا تعاني من أشهر، تمان، ستة، تمان شهور من
+
+540
+00:41:00,430 --> 00:41:02,230
+weakness في ال upper and lower limbs، في البداية
+
+541
+00:41:02,230 --> 00:41:05,850
+نعملها Carpal Tunnel، نمنس في إيديها، فتحوا ..
+
+542
+00:41:05,850 --> 00:41:08,970
+عملوا relays ل ال median nerve شوية شوية تدريجيا
+
+543
+00:41:08,970 --> 00:41:13,170
+لما صارت المريضة مقعدة على كرسي متحرك فحصتها،
+
+544
+00:41:13,170 --> 00:41:15,590
+قيمتها، لجيت عندها weakness في ال upper and lower
+
+545
+00:41:15,590 --> 00:41:20,100
+limbs، شلال رباعي، جزء ايه؟Areflexia loss of deep
+
+546
+00:41:20,100 --> 00:41:24,640
+reflexes.Distally hypoesthesia مباشرة أجف مخي
+
+547
+00:41:24,640 --> 00:41:28,940
+موضوع CIDB chronic inflammatory demyelinating
+
+548
+00:41:28,940 --> 00:41:32,620
+polyneuropathy مثلا EMG and nerve conduction study
+
+549
+00:41:32,620 --> 00:41:36,720
+وجدت عندها severe demyelinating polyneuropathy
+
+550
+00:41:36,720 --> 00:41:41,780
+chronicدخلناها على المستشفى و أعطيناها
+
+551
+00:41:41,780 --> 00:41:47,160
+methylbrednison و IVIG و الحمد لله شوية شوية صارت
+
+552
+00:41:47,160 --> 00:41:50,340
+تمشي على عكاز، بعدين تركت العكاز و في نفس السنة
+
+553
+00:41:50,340 --> 00:41:56,900
+حجت و زارت مكة و الحمد لله الآن تمشي بدون أي
+
+554
+00:41:56,900 --> 00:42:01,690
+مساعدة، بدون أي حتى أن العكاز ما بتستخدمههذه حالات
+
+555
+00:42:01,690 --> 00:42:05,830
+الـ CIDB لو شخصناها صح ممكن نعليجها كمان صح و ننقض
+
+556
+00:42:05,830 --> 00:42:09,510
+المريض و لو أتأخرنا كمان ممكن المريض يظل في حالة
+
+557
+00:42:09,510 --> 00:42:15,210
+disability long life نوع من أنواع الـ CIDB اسمه
+
+558
+00:42:15,210 --> 00:42:19,440
+idiopathic multifocal motor neuropathyهذا بيكون
+
+559
+00:42:19,440 --> 00:42:23,260
+Distal لكن Asymmetric عشان Multifocal Asymmetric
+
+560
+00:42:23,260 --> 00:42:27,320
+Lower Motor Neuron Weakness يعني أعراض فقط Motor
+
+561
+00:42:27,320 --> 00:42:30,440
+بيكون Without Sensory Symptoms و أحيانا بيكون
+
+562
+00:42:30,440 --> 00:42:33,620
+عندهم كمان Fasciculation و أحيانا هذا المرض
+
+563
+00:42:33,620 --> 00:42:37,600
+بيعملنا Mistaking مع المرض اسمه Motor Neuron
+
+564
+00:42:37,600 --> 00:42:41,520
+Disease و هي ان شاء الله راح أشرحلكم الفرق بينهم
+
+565
+00:42:41,520 --> 00:42:45,600
+بين هذا المرض و مرض Motor Neuron Diseaseفي محاضرة
+
+566
+00:42:45,600 --> 00:42:48,560
+motor neurone disease في ال nerve conduction study
+
+567
+00:42:48,560 --> 00:42:52,260
+بيكون عندهم conduction block ليش conduction block؟
+
+568
+00:42:52,260 --> 00:42:55,480
+لأن هذا ناتج عن severe demyelinating
+
+569
+00:42:55,480 --> 00:43:00,140
+polyneuropathy ال diagnostic evaluation of CIDB
+
+570
+00:43:00,140 --> 00:43:04,620
+بنعمل لهم laboratory studyElectrodiagnostic Study
+
+571
+00:43:04,620 --> 00:43:08,420
+مثل EMG و Nerve Conduction Study CSF Analysis
+
+572
+00:43:08,420 --> 00:43:12,600
+Nerve Biopsy ممكن يعمل MRI لبريفرال نيرف و بيلاقر
+
+573
+00:43:12,600 --> 00:43:17,220
+ال Plexus و في بعض الأحيان الهو Genetic Study
+
+574
+00:43:17,220 --> 00:43:22,400
+Treatment of CIDB لاحظوا في ال acute في ال GPS
+
+575
+00:43:22,400 --> 00:43:25,700
+قالوا مافيش role للاستيرويد الاستيرويد هان بيحتلوا
+
+576
+00:43:25,700 --> 00:43:33,650
+المرتبة الأولىباخدوا المرضى ألف ميلي جرام IV لثلاث
+
+577
+00:43:33,650 --> 00:43:37,690
+خمس أيام، بعدها بنحولهم لبردنزون أورالي واحد ملي
+
+578
+00:43:37,690 --> 00:43:42,420
+جرام لكل كيلو جرامبنقعد مع IVIG زى ما شرحتلكوا 400
+
+579
+00:43:42,420 --> 00:43:45,640
+ميلي جرام لكل كيلو جرام بخمس أيام وبعض الحالات
+
+580
+00:43:45,640 --> 00:43:49,060
+ممكن مايتحسنوش على ال IVIG واسترويد يعني عاملهم
+
+581
+00:43:49,060 --> 00:43:52,760
+فصل بلازمة تغيير البلازمة ال chronic
+
+582
+00:43:52,760 --> 00:43:56,900
+immunomodulating drugs بياخدوا azithioprine
+
+583
+00:43:56,900 --> 00:44:01,080
+symptomatic ترابي حسب الأعراضالـ Medical
+
+584
+00:44:01,080 --> 00:44:04,440
+Rehabilitation and Physiotherapy هي كأنا بكون
+
+585
+00:44:04,440 --> 00:44:09,460
+خلصتلكم موضوع ال disease of peripheral nerves
+
+586
+00:44:09,460 --> 00:44:14,380
+أخدناه في جزئين من المحاضرات يعطيكوا ألف عافية و
+
+587
+00:44:14,380 --> 00:44:15,880
+بالتوفيق ان شاء الله
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..49c692b68c2089cfb9e816a01ec3cb0079d319a7
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/dTVq1ck5Umc_raw.srt
@@ -0,0 +1,2352 @@
+1
+00:00:05,080 --> 00:00:09,740
+بسم الله الرحمن الرحيم نكمل معكم الجزء الثاني من
+
+2
+00:00:09,740 --> 00:00:15,100
+disease of the peripheral nerves الآن اتكلم على
+
+3
+00:00:15,100 --> 00:00:19,060
+diabetic polyneuropathy هو عبارة عن اعتلال في
+
+4
+00:00:19,060 --> 00:00:24,560
+الأعصاب الطرفية ناتج عن مرض السكر about sixty to
+
+5
+00:00:24,560 --> 00:00:29,590
+seventy percent of peopleوالـ diabetes have mild
+
+6
+00:00:29,590 --> 00:00:33,090
+to severe form of nervous system damage including
+
+7
+00:00:33,090 --> 00:00:37,690
+يعني 60% ل 70% من المرضى اللي عندهم ثقر عندهم
+
+8
+00:00:37,690 --> 00:00:43,090
+إعتلال في الأعصاب الطرفية مثل a impaired sensation
+
+9
+00:00:43,090 --> 00:00:47,670
+أو pain in the feet and hand due to diabetic
+
+10
+00:00:47,670 --> 00:00:52,290
+polyneuropathy entrapment syndrome مثل Carpal
+
+11
+00:00:52,290 --> 00:00:58,570
+tunnel syndromeتغير الهيبوتروفيا والتروفيا بسبب
+
+12
+00:00:58,570 --> 00:01:04,210
+نيروباتيا قد يحدث معاهم مونونيروباتيا أو نيروباتيا
+
+13
+00:01:04,210 --> 00:01:10,670
+بولينيا أكتر من 60% من الناس الليمونية الانبطاطية
+
+14
+00:01:10,670 --> 00:01:14,190
+في الولايات المتحدة حصلت بين الناس الذين كانوا مع
+
+15
+00:01:14,190 --> 00:01:21,280
+الهيبوتحوالى 60% اكتر من 60% من المرضى اللى بيحدث
+
+16
+00:01:21,280 --> 00:01:23,840
+اللهم amputation و butter لل lower limbs او
+
+17
+00:01:23,840 --> 00:01:30,560
+للاطراف السفلية بيكون ناتج عن مرض السكر لما اتكلم
+
+18
+00:01:30,560 --> 00:01:33,400
+على diabetic polyneuropathy لازم افهم اول شي ال
+
+19
+00:01:33,400 --> 00:01:37,820
+pathogenesis of diabetic neuropathy اذا فهمنا صح
+
+20
+00:01:37,820 --> 00:01:43,600
+ال pathogenesis بتاعهم بيكون العلاج
+
+21
+00:01:43,600 --> 00:01:48,170
+صحيحبيحدث عند مرضى اللي عندهم diabetic neuropathy
+
+22
+00:01:48,170 --> 00:01:56,530
+microangiopathy microangiopathy due to ischemia of
+
+23
+00:01:56,530 --> 00:01:59,910
+vasa nervosa الشعيرات الدموية الصغيرة اللي بتغدي
+
+24
+00:01:59,910 --> 00:02:05,510
+ال peripheral nerve بيحدث فيها تسلب و بيقدي إلى
+
+25
+00:02:05,510 --> 00:02:11,330
+ischemic changesأثنين macroangiopathy اعتلال في
+
+26
+00:02:11,330 --> 00:02:14,930
+الشرايين الكبرى بيؤدي مثل حالات التصلب الشرايين
+
+27
+00:02:14,930 --> 00:02:19,570
+بتأدي إلى reduction of nerve blood supply ونقص
+
+28
+00:02:19,570 --> 00:02:26,470
+ثروة العصب dyslipidemia ارتفاع الكوليسترول و
+
+29
+00:02:26,470 --> 00:02:31,290
+الدهون الثلاثي triglyceride و LDL اللي هو low
+
+30
+00:02:31,290 --> 00:02:37,400
+density lipoprotein ارتفاعهم مع انخفاضhigh density
+
+31
+00:02:37,400 --> 00:02:42,760
+lipoprotein يؤدي إلى atherosclerosis hypertension
+
+32
+00:02:42,760 --> 00:02:50,660
+ارتفاع الضغط يكون المريض عنده سكر بدون ضغط اهو ان
+
+33
+00:02:50,660 --> 00:02:52,480
+ما يكون المريض عنده سكر وضغط مع بعض
+
+34
+00:02:52,480 --> 00:02:57,720
+hypovitaminosis مرضى السكر بيكون عندهم polyuria
+
+35
+00:02:57,720 --> 00:03:04,800
+بيبولوا كثير مع ال polyuriaبيحدث washing لـ water
+
+36
+00:03:04,800 --> 00:03:10,540
+-soluble vitamins مثل vitamin B group وهذا يؤدي
+
+37
+00:03:10,540 --> 00:03:12,920
+إلى نقص في الـ vitamins لذلك في علاج
+
+38
+00:03:12,920 --> 00:03:17,850
+البولينيروبتديابتك لازم نحط vitamins group BToxic
+
+39
+00:03:17,850 --> 00:03:23,710
+effect بتاع الـ ketones، body والسربيتول اللي ناتج
+
+40
+00:03:23,710 --> 00:03:28,470
+عن a transformation of glucose هدول ال toxins ال
+
+41
+00:03:28,470 --> 00:03:31,990
+ketones، body والسربيتول بيأثروا على ال peripheral
+
+42
+00:03:31,990 --> 00:03:38,130
+nerves و بيعملون اتلال في العصاب الترافيةيكون انا
+
+43
+00:03:38,130 --> 00:03:45,270
+في علاجي لهدول المرضى راح ضروري اكد و اضبط لهم ال
+
+44
+00:03:45,270 --> 00:03:48,270
+micro و ال macro angiopathy اضبط لهم ال
+
+45
+00:03:48,270 --> 00:03:52,250
+dyslipidemia ال hypertension نقص ال vitamins و
+
+46
+00:03:52,250 --> 00:03:57,870
+نعطي antioxidant عشان ال toxins الموجودين مين هم
+
+47
+00:03:57,870 --> 00:04:01,330
+ال risk factors ل ال diabetic polyneuropathy
+
+48
+00:04:01,330 --> 00:04:08,980
+جلوكوز controlمهم بختلف مريض سكره مظبوط ميا ميا عن
+
+49
+00:04:08,980 --> 00:04:13,980
+مريض neglected و سكره دايما 400 و 300 و 500 و ال
+
+50
+00:04:13,980 --> 00:04:17,640
+hemoglobin A1c اللي هو مخزون السكر دايما عالي تنين
+
+51
+00:04:17,640 --> 00:04:24,860
+duration of diabetes بختفي ده المريض اللي عنده سكر
+
+52
+00:04:24,860 --> 00:04:27,660
+من سنة ع مريض اخر اللي عنده سكر من عشرين سنة
+
+53
+00:04:27,660 --> 00:04:31,460
+damage to blood vessels إذا في damage لل blood
+
+54
+00:04:31,460 --> 00:04:35,080
+vessels حدثmechanical injury to the nerve حدث
+
+55
+00:04:35,080 --> 00:04:37,940
+mechanical injury إصابة في ال nerve نفسها أو
+
+56
+00:04:37,940 --> 00:04:40,960
+compression عن ال nerve dyslipidemia إذا المريض
+
+57
+00:04:40,960 --> 00:04:44,650
+عنده اعتلال في موضوع الدهون في الدمautoimmune
+
+58
+00:04:44,650 --> 00:04:48,210
+factors إذا المريض عنده غير ال polyneuropathy عنده
+
+59
+00:04:48,210 --> 00:04:51,330
+كمان أمراض أخرى مثل rheumatoid arthritis ع سبيل
+
+60
+00:04:51,330 --> 00:04:57,790
+المثال genetic factors عنده عوامل جينية تمام بتأثر
+
+61
+00:04:57,790 --> 00:05:02,050
+على موضوع ال polyneuropathy lifestyle factors ال
+
+62
+00:05:02,050 --> 00:05:05,870
+diabetic smoker بيختلف عن ال diabetic non-smoker
+
+63
+00:05:07,040 --> 00:05:10,720
+الـ diet واحد محافظ على الـ diet وزنه مابيزيدش
+
+64
+00:05:10,720 --> 00:05:14,720
+مختلف عن واحد ايه مش مفرجة مع وزنه صار 120 كيلو و
+
+65
+00:05:14,720 --> 00:05:19,380
+عنده DM يجب نوضع وراح يكون هذا صعب كتير، ايش بيحدث
+
+66
+00:05:19,380 --> 00:05:22,750
+في عيننا في ال blood vessels؟لما يكون في المريض
+
+67
+00:05:22,750 --> 00:05:27,010
+عنده atherosclerosis ويحصل narrowing في blood
+
+68
+00:05:27,010 --> 00:05:32,070
+vessels هذا راح يؤدي إلى reduction في blood flow
+
+69
+00:05:32,070 --> 00:05:35,150
+to the peripheral nerve ويؤدي إلى damage of
+
+70
+00:05:35,150 --> 00:05:38,290
+peripheral nerve هذا يؤدي إلى polyneuropathy او
+
+71
+00:05:38,290 --> 00:05:40,990
+mononeuropathy لكن المريض لما يكون الشريان عنده
+
+72
+00:05:40,990 --> 00:05:45,380
+فاتح كويسرح يعطي جد blood supply، العصب رح يظله
+
+73
+00:05:45,380 --> 00:05:49,880
+healthy، و ال blood vessels الموجودين في العصب،
+
+74
+00:05:49,880 --> 00:05:52,540
+اللي هي الفرازة النيرفوزة حوالين العصب كمان، رح
+
+75
+00:05:52,540 --> 00:05:56,400
+يكونوا سالمين، و يصل كمية blood لل nerves كافية
+
+76
+00:05:56,400 --> 00:06:02,530
+Clinical features of diabetic neuropathyclinical
+
+77
+00:06:02,530 --> 00:06:05,770
+features of diabetic neuropathy أول شيء المريض راح
+
+78
+00:06:05,770 --> 00:06:09,810
+يكون عنده clinical features of DM يعني أعراض السكر
+
+79
+00:06:09,810 --> 00:06:14,810
+نفسه مثل polyuria polydipsia polyphagia يعني
+
+80
+00:06:14,810 --> 00:06:19,090
+polyphagia بيأكل كثير polydipsia بيشرب كثير
+
+81
+00:06:19,090 --> 00:06:26,350
+polyuria بيبول كثير هذه أعراض السكر المشاكل
+
+82
+00:06:26,350 --> 00:06:29,950
+اللي بتحصل في ال peripheral nerves ممكن ال DM يصيب
+
+83
+00:06:29,950 --> 00:06:35,440
+mononeurofmononeuropathy يعني عصب واحد أو
+
+84
+00:06:35,440 --> 00:06:41,040
+polyneuropathy multiple symmetrical neuropathy ايش
+
+85
+00:06:41,040 --> 00:06:45,340
+مثال على ال mononeuropathy optic neuropathy عصب
+
+86
+00:06:45,340 --> 00:06:51,520
+العصب الثاني أو oculomotor neuropathy العصب الثالث
+
+87
+00:06:51,520 --> 00:06:55,020
+أو abducent neuropathy العصب الثالثاني صابت أي عصب
+
+88
+00:06:55,020 --> 00:06:59,530
+واحدسياتيك نيروباتيه في مرال وها كذا كرينيا نيرس
+
+89
+00:06:59,530 --> 00:07:02,530
+قولنا الثاني و الثالث رابع و السادس سابقا
+
+90
+00:07:02,530 --> 00:07:07,310
+polyneuropathy هذي symmetrical bilateral nerve
+
+91
+00:07:07,310 --> 00:07:12,590
+damage في ال polyneuropathyالنتيجة عن الديابتك أول
+
+92
+00:07:12,590 --> 00:07:16,250
+شي بيكون عندهم mainly sensory type في البداية
+
+93
+00:07:16,250 --> 00:07:18,770
+الأكبر في السن أو اللي عندهم ثقر بتلاقيه بيقولك في
+
+94
+00:07:18,770 --> 00:07:23,790
+الشتاء مش قادر أغطي رجليه بيش بالإحرام اللي خاطر
+
+95
+00:07:23,790 --> 00:07:27,070
+أحط رجليه في مياه باردة، تلج، ليه؟ لأنه عندهم
+
+96
+00:07:27,070 --> 00:07:31,610
+increase sensation عندهم hyperesthesia عندهم
+
+97
+00:07:31,610 --> 00:07:35,670
+hotness sensation numbness, paresthesia سخونة في
+
+98
+00:07:35,670 --> 00:07:40,030
+القدامين بتكون عندهم later on في المراحل المتقدمة
+
+99
+00:07:40,670 --> 00:07:44,410
+بيحدث عندهم hypoesthesia أو decrease of sensation
+
+100
+00:07:44,410 --> 00:07:49,610
+بتكون ال stock and glut type وبيحدث معها loss of
+
+101
+00:07:49,610 --> 00:07:53,170
+deep sensation and joint sensation المرضى هذول مع
+
+102
+00:07:53,170 --> 00:07:56,210
+ال diabetic neuropathy ممكن يحدث معهم ataxia ال
+
+103
+00:07:56,210 --> 00:07:58,770
+ataxia مش ناتجة عن cerebellar ataxia عن cerebellar
+
+104
+00:07:58,770 --> 00:08:03,310
+damage ناتجة عن إرتلال في الأعصاب ناتجة عن loss of
+
+105
+00:08:03,310 --> 00:08:07,130
+deep sensation مشاكل في الإحساس العميق اللي هو
+
+106
+00:08:07,130 --> 00:08:11,880
+مسئول عناش عن ال jointزي ما اتفقنا lost deep
+
+107
+00:08:11,880 --> 00:08:17,300
+sensation، motor، ال motor بيكون كتير بيسلم عليك
+
+108
+00:08:17,300 --> 00:08:19,860
+مريض، أول ما يسلم عليك تقوله عندك سكر، بيقولك إيش
+
+109
+00:08:19,860 --> 00:08:23,460
+هعرفك، عنده في ال hand muscle بيكون atrophy،
+
+110
+00:08:23,460 --> 00:08:27,980
+muscle hypotrophyمصل ايه؟ hypotrophy مصل هيبوتونيا
+
+111
+00:08:27,980 --> 00:08:32,820
+وهي reflexia او hyperreflexia of deep reflexes
+
+112
+00:08:32,820 --> 00:08:35,480
+وبيكونوا symmetrical في ال polyneuropathy الديابتك
+
+113
+00:08:35,480 --> 00:08:39,540
+بصيب distaly group مصل اكتر من ال proximal و بصيب
+
+114
+00:08:39,540 --> 00:08:44,720
+ال lower limbs اكتر من ال upper limbs autonomic
+
+115
+00:08:44,720 --> 00:08:48,660
+manifestation of diabetic neuropathy postural
+
+116
+00:08:48,660 --> 00:08:54,070
+hypotensionTachycardia Silent MI اللي ينتبه يا
+
+117
+00:08:54,070 --> 00:08:57,190
+جماعة مرضى لأنه سكر كبار في السن ممكن تجي جلطة في
+
+118
+00:08:57,190 --> 00:09:00,110
+القلب بدون أنه يشعر بالألم ليه؟ لأنه عنده
+
+119
+00:09:00,110 --> 00:09:03,190
+autonomic neuropathy في أتلال في الأعصاب بتاعة
+
+120
+00:09:03,190 --> 00:09:08,040
+autonomic nervous system ناتجة عن DMال بيوبلز ممكن
+
+121
+00:09:08,040 --> 00:09:11,500
+يصيروا مدرياسز مشاكل عندهم في ال genitourinary
+
+122
+00:09:11,500 --> 00:09:15,180
+tract يكون عندهم hypotonic dilated blooder
+
+123
+00:09:15,180 --> 00:09:19,240
+impotence مشاكل في ال erection ال GIT system
+
+124
+00:09:19,240 --> 00:09:23,480
+gastroparesis early nocturnal diarrhea يحدث معهم
+
+125
+00:09:23,480 --> 00:09:28,400
+سهل في الليل later ممكن يحدث معهم ايه conservation
+
+126
+00:09:28,400 --> 00:09:34,900
+امساك skin coldness يشعروا ببرودة في القدمينأو
+
+127
+00:09:34,900 --> 00:09:40,160
+hotness sensation سخونة أو anhidrosis اللي هو loss
+
+128
+00:09:40,160 --> 00:09:47,220
+of sweat traffic changes ulcers تقرحات diabetic
+
+129
+00:09:47,220 --> 00:09:52,520
+food brittle nails مشاكل في الأضافة لأنهم بتكسروا
+
+130
+00:09:52,520 --> 00:09:58,820
+loss of hair فقدان الشعر neuropathic joint اللي هو
+
+131
+00:09:58,820 --> 00:10:04,700
+painless deformed jointهنا احنا شايفين في الصور
+
+132
+00:10:04,700 --> 00:10:10,640
+فيه موجود ايه؟ Diabetic foot عندهم ايه؟ Ulcers في
+
+133
+00:10:10,640 --> 00:10:17,080
+ال foot واضحين هان هاي charcoal joint هذا لما نشوف
+
+134
+00:10:17,080 --> 00:10:19,200
+ال charcoal joint على السريع اتذكر ال
+
+135
+00:10:19,200 --> 00:10:22,620
+polyneurobotic characteristic لحالات ايش؟ اللي هو
+
+136
+00:10:22,620 --> 00:10:28,220
+diabetic polyneurobotic بيكون deformed مع painless
+
+137
+00:10:28,220 --> 00:10:36,100
+لان بتكلم علىTreatment of Diabetic Polyneuropathy
+
+138
+00:10:36,100 --> 00:10:39,460
+لما أتكلم على Treatment of Diabetic Polyneuropathy
+
+139
+00:10:39,460 --> 00:10:44,740
+بذكر ال Mechanism of Diabetic Neuropathy يبقى
+
+140
+00:10:44,740 --> 00:10:49,020
+الأهم شيء في علاج Diabetic Neuropathy strict
+
+141
+00:10:49,020 --> 00:10:54,280
+control of DM ايش strict control؟ اناظم السكر عند
+
+142
+00:10:54,280 --> 00:11:03,110
+المريض2- نعطي Anti-platelet حسن الcirculation في
+
+143
+00:11:03,110 --> 00:11:06,390
+حالات ال microangiopathy و ال macroangiopathy نعطي
+
+144
+00:11:06,390 --> 00:11:11,250
+Aspirin ديبريدامول Vitamins and Antioxidants قلنا
+
+145
+00:11:11,250 --> 00:11:13,970
+في ال polynaerobathy الديابتك بحدث معهم
+
+146
+00:11:13,970 --> 00:11:19,890
+hypovitaminosis peripheral microcirculation حسن ال
+
+147
+00:11:19,890 --> 00:11:23,650
+microcirculation عن طريق Trintal أو Pentoxyfilin
+
+148
+00:11:24,300 --> 00:11:27,960
+نعمل control لـ dyslipidemia، بنعطيه أدوية مثل
+
+149
+00:11:27,960 --> 00:11:31,600
+التروة الستاتين أو الستاتينز و يفيه بيزا فيبرات أو
+
+150
+00:11:31,600 --> 00:11:36,260
+فيبرات، بنعطيه analgesics، good analgesia، همشي ال
+
+151
+00:11:36,260 --> 00:11:41,250
+analgesia هانبنعطي اللي هو antiepileptic drugs
+
+152
+00:11:41,250 --> 00:11:45,010
+كربا ماذيبين جابابنتين بريجابالين زي هيك أدوية
+
+153
+00:11:45,010 --> 00:11:48,930
+بنعطيه لمرض السرع للكهرب وبنعطيه أدوية للاكتئاب
+
+154
+00:11:48,930 --> 00:11:51,970
+مضادة للاكتئاب مثل الامي تريبتلين وبنروح نكتب
+
+155
+00:11:51,970 --> 00:11:55,530
+رشيطة للمريض بنكتبله عصابي مثل كربا ماذيبين مع
+
+156
+00:11:55,530 --> 00:11:59,170
+الاترول بيجي الصيدلاني المحترم بيقوله ليش بناخد
+
+157
+00:11:59,170 --> 00:12:03,330
+الأدوية هدول؟ هدول للاكتئابولا الصراع انت عندك
+
+158
+00:12:03,330 --> 00:12:05,770
+صراع طب ايش دخلك انت انت صرف الروشتات و الدكتور
+
+159
+00:12:05,770 --> 00:12:08,930
+عارف ليه ايش اعطاهم لأن لو اعطيت المريض لتروفين او
+
+160
+00:12:08,930 --> 00:12:12,410
+ديكلفين ماراح يجاوب معاه ماراح يخفف الألم اللي راح
+
+161
+00:12:12,410 --> 00:12:16,810
+يخفف الألم هم antiepileptic drugs و antidepressant
+
+162
+00:12:16,810 --> 00:12:22,740
+و فيزيو ثرابي فيزيو ثرابيأنا شرحتلكم الـ Diabetic
+
+163
+00:12:22,740 --> 00:12:28,220
+Neuropathy أشرحلكم slide عن اللي هو vitamin B12 دي
+
+164
+00:12:28,220 --> 00:12:32,740
+في شانسة في حال صار نقص في vitamin B12 ومنتشر
+
+165
+00:12:32,740 --> 00:12:37,120
+كثيرة ان ايش بيحدث عند المرضى blood changes
+
+166
+00:12:37,120 --> 00:12:41,940
+megaloplastic anemia يعني بترتفع ل MCV و بيحدث
+
+167
+00:12:41,940 --> 00:12:47,400
+معاهم أنيميا لكن ملاحظة جدا نهتم فيها مش ضروري
+
+168
+00:12:47,400 --> 00:12:50,140
+يكون المريض عنده نقص vitamin B12 يكون عنده أنيميا
+
+169
+00:12:50,900 --> 00:12:54,660
+not all patients with neurologic abnormalities
+
+170
+00:12:54,660 --> 00:12:58,220
+will have anemia مش ضروري كلهم يكون عندهم أنيميا
+
+171
+00:12:58,220 --> 00:13:01,960
+ممكن ال neurological symptoms تسبق ال
+
+172
+00:13:01,960 --> 00:13:06,060
+hematological manifestations GIT بيحدث معاهم
+
+173
+00:13:06,060 --> 00:13:11,000
+الصوموتيتس، dysbepsia أو الدياريا neurological
+
+174
+00:13:11,000 --> 00:13:15,960
+examination هنا بيكون عندهمslowly progressive
+
+175
+00:13:15,960 --> 00:13:21,540
+sensory ataxia لسه م sub acute لأن الأعراض بتاعته
+
+176
+00:13:21,540 --> 00:13:26,400
+تجي من شهر لشهرين يعني أعراض مش حادة بتكون هاي
+
+177
+00:13:26,400 --> 00:13:33,060
+واحد ثاني لسه من ال combined degeneration لأن هذا
+
+178
+00:13:33,060 --> 00:13:37,200
+المرض بيصيب ال peripheral nerves و بيصيب ال
+
+179
+00:13:37,200 --> 00:13:41,040
+lateral column of spinal cordو بيصيب ال posterior
+
+180
+00:13:41,040 --> 00:13:44,520
+colon و spinal cord و بيصيب ال cortex ال cortex
+
+181
+00:13:44,520 --> 00:13:48,200
+يعني أكتر من مكان combined degeneration هذا المرض
+
+182
+00:13:48,200 --> 00:13:52,160
+بيكون عندهم decreased deep sensation decreased
+
+183
+00:13:52,160 --> 00:13:55,760
+deep sensation بيكون عندهم sensory ataxia with
+
+184
+00:13:55,760 --> 00:14:00,360
+loss of vibration and joint sensation اتنين بيحصل
+
+185
+00:14:00,360 --> 00:14:06,440
+معاهم أعراض polyneuropathy ثلاثة بيحصل معاهم lower
+
+186
+00:14:06,440 --> 00:14:10,220
+limb ممكن specificityhyperreflexia في الـ knee
+
+187
+00:14:10,220 --> 00:14:15,440
+jerk لماذا؟ لأنه فيه damage لـ lateral column في
+
+188
+00:14:15,440 --> 00:14:17,240
+ال lateral column بيكون موجود lateral
+
+189
+00:14:17,240 --> 00:14:21,940
+corticospinal tract بيحدث معهم loss of deep
+
+190
+00:14:21,940 --> 00:14:25,720
+sensation and joint sensation قلنا لماذا حدث؟ لأن
+
+191
+00:14:25,720 --> 00:14:30,100
+المرضى بيصير damaged معهم ل ال posterior column of
+
+192
+00:14:30,100 --> 00:14:36,450
+spinal cord damage لgriseal and conate tractبكون
+
+193
+00:14:36,450 --> 00:14:42,050
+معاهم المرضى دول dementia، خرف و dysfunction of
+
+194
+00:14:42,050 --> 00:14:45,510
+the sphincter يوم من الأيام أجاني مريض على إيادة
+
+195
+00:14:45,510 --> 00:14:50,190
+في غزة المريض لما أجى لابس sweater اتنين تلاتة
+
+196
+00:14:50,190 --> 00:14:54,670
+عليه أنا فاجأت يعني بعرف هذا المريض كانت علاجلاندي
+
+197
+00:14:54,670 --> 00:14:59,860
+سابقالما ماشي كان ماشي attacks ال gate، حد بنسميها
+
+198
+00:14:59,860 --> 00:15:03,480
+broad base gate، ماشي و مش قادر يغمض عنه، ماشي و
+
+199
+00:15:03,480 --> 00:15:06,520
+بتطلع تحته، لإن في عنده loss of deep sensation،
+
+200
+00:15:06,520 --> 00:15:10,980
+بتطلع جناده، فحاسطه كان hyperreflexia في ال knee
+
+201
+00:15:10,980 --> 00:15:14,760
+jerk و loss of ankle، ال loss of ankle jerk ناتج
+
+202
+00:15:14,760 --> 00:15:19,190
+عن polyneuropathyلجيته فيه عنده شوية خرف زوجته
+
+203
+00:15:19,190 --> 00:15:24,330
+بتقوللي أخر فترة صار مش مظبوط يعني الذاكره عنده مش
+
+204
+00:15:24,330 --> 00:15:28,210
+كويسة مشاكله كثيرة صارت سألتها عن موضوع التحكم في
+
+205
+00:15:28,210 --> 00:15:30,350
+ال ball قاللي الدكتور كلامك مظبوط أخر فترة بتحكمش
+
+206
+00:15:30,350 --> 00:15:36,010
+في ال ball ع السريع ذكرت نقص vitamin B12 طلبتله
+
+207
+00:15:36,010 --> 00:15:38,770
+vitamin B12 serum level وكان low يعني شخصه في نفس
+
+208
+00:15:38,770 --> 00:15:43,110
+اليوم و بدأتله علاج من أول يوم investigations اللي
+
+209
+00:15:43,110 --> 00:15:50,420
+بنعملهم للمرضى دول ال CBCBlood Film، Serum vitamin
+
+210
+00:15:50,420 --> 00:15:54,280
+B12، نبحث vitamin B12 في الدم، Gastroscopy، بنعمل
+
+211
+00:15:54,280 --> 00:15:57,940
+من ضرر للمعدة، بلاش يكون عنده cancer في ال
+
+212
+00:15:57,940 --> 00:16:00,460
+stomach، يمكن يكون عنده cancer ماليجنانسي في ال
+
+213
+00:16:00,460 --> 00:16:03,480
+stomach، وهي اللي تعملنا ميجالو بلاستيك أنيميا أو
+
+214
+00:16:03,480 --> 00:16:07,980
+مشاكل في الضوء في الدم، ونقص انتصاص ال vitamin B12
+
+215
+00:16:08,550 --> 00:16:13,210
+و دورس ال spinal cord MRI و لما نعمل spinal cord
+
+216
+00:16:13,210 --> 00:16:17,150
+MRI بنلاقي hyper intense signal أكتر شي ال hyper
+
+217
+00:16:17,150 --> 00:16:21,090
+intense signal جاي في ال posterior part of the
+
+218
+00:16:21,090 --> 00:16:25,570
+spinal cord ل treatment هانإذا في سبب لنقص ال
+
+219
+00:16:25,570 --> 00:16:29,550
+vitamin B12 لازم نعالج السبب تبع بنقصه و نعطي
+
+220
+00:16:29,550 --> 00:16:33,250
+vitamin B12 injection في البداية بنعطي injection
+
+221
+00:16:33,250 --> 00:16:37,290
+حقنة في العضل كل يوم لمدة سبع أيام، بعدين بنعطي
+
+222
+00:16:37,290 --> 00:16:40,250
+حقنة في العضل أسبوعيا، كل أسبوع بنعطي حقنة لمدة
+
+223
+00:16:40,250 --> 00:16:44,110
+سبع أسابيع، و بعدها بيصير ياخد حقنة في العضل شهريا
+
+224
+00:16:44,110 --> 00:16:49,930
+بصورة دائمةهكذا انا شرحت لكم نقص فيتن بيتولف الان
+
+225
+00:16:49,930 --> 00:16:57,130
+انتجي لموضوع مهم جدا جدا
+
+226
+00:16:57,130 --> 00:16:57,130
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+227
+00:16:57,130 --> 00:16:57,670
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+228
+00:16:57,670 --> 00:16:57,690
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+229
+00:16:57,690 --> 00:16:57,890
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+230
+00:16:57,890 --> 00:16:58,170
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+231
+00:16:58,170 --> 00:16:58,670
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+232
+00:16:58,670 --> 00:17:00,690
+جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا جدا
+
+233
+00:17:00,690 --> 00:17:07,790
+جدا جدا جدا جدا جدا جدا جدا جدا
+
+234
+00:17:07,790 --> 00:17:16,490
+جدا جداالمرض هذا بيسبب disability المريض بيكون
+
+235
+00:17:16,490 --> 00:17:20,510
+مدرس او بيطلع دوامه خلال يومين بيصير a wheelchair
+
+236
+00:17:20,510 --> 00:17:24,330
+dependent على كرسي متحرك في الحالات هذه خطيرة و
+
+237
+00:17:24,330 --> 00:17:30,450
+لازم تشخص بدري و ياخدوا علاجهم مظبوط acute GBS او
+
+238
+00:17:30,450 --> 00:17:35,050
+Golian Bar Syndrome هو عبارة عن acute immune
+
+239
+00:17:35,050 --> 00:17:42,310
+mediated polyneuropathyGouliain و Par هدولة دكاترة
+
+240
+00:17:42,310 --> 00:17:45,390
+علماء فرنسيين في الحرب العالمية أول شي شخصوا
+
+241
+00:17:45,390 --> 00:17:49,290
+حالتين في ال acute polyneuropathy وسموا المرض
+
+242
+00:17:49,290 --> 00:17:53,190
+باسمهم Gouliain و Par syndrome تنين هما Gouliain
+
+243
+00:17:53,190 --> 00:17:56,690
+Par تمام؟ يعني هو عبارة عن acute inflammatory
+
+244
+00:17:57,960 --> 00:18:02,160
+Immuno-mediated polyneuropathy يقول إنه عبارة عن
+
+245
+00:18:02,160 --> 00:18:06,100
+acute inflammatory demyelinating polyneuropathy
+
+246
+00:18:06,100 --> 00:18:09,840
+GBS
+
+247
+00:18:09,840 --> 00:18:15,600
+presents as an acute monophysic paralyzing illness
+
+248
+00:18:15,600 --> 00:18:20,040
+provoked by a preceding infection يعني أعراضه
+
+249
+00:18:20,040 --> 00:18:23,680
+بتيجي one stage في one static course أولها
+
+250
+00:18:23,680 --> 00:18:29,590
+progressiveو monophysic فيز واحدة و بيكون شلل حدث
+
+251
+00:18:29,590 --> 00:18:34,570
+معاه قبل بسبوع بسبوعين ممكن يكون عند المرضى هذول
+
+252
+00:18:34,570 --> 00:18:38,550
+common cold يعني عندهم يكون respiratory infection
+
+253
+00:18:41,260 --> 00:18:46,880
+هيستوريكالي في الهستوريا جي بي أس was considered a
+
+254
+00:18:46,880 --> 00:18:50,920
+single disorder في الزمنات كان جي بي أس هو نوع
+
+255
+00:18:50,920 --> 00:18:55,940
+واحد هو نوع واحد اسمه acute inflammatory
+
+256
+00:18:55,940 --> 00:19:00,600
+demyelinating polyneuropathy الان جي بي أس يعتبر
+
+257
+00:19:00,600 --> 00:19:04,960
+syndrome heterogeneous syndrome ويله sub types
+
+258
+00:19:04,960 --> 00:19:10,320
+ويله أنواع و variant epidemiology of جي بي أس
+
+259
+00:19:11,460 --> 00:19:15,420
+حالتين لكل مائة ألف نسمة في السنة كل مائة ألف ممكن
+
+260
+00:19:15,420 --> 00:19:20,440
+يصاب حالتين في السنة all group are affected لكن ال
+
+261
+00:19:20,440 --> 00:19:25,640
+pick أكتر شيء يكون في ال young adults أقل المرض
+
+262
+00:19:25,640 --> 00:19:31,880
+هذا ييجي في ال elderly أقل و أقل عند الأطفال
+
+263
+00:19:31,880 --> 00:19:37,310
+الأطفال أقلراحظوا ال young adult حالتين لكل مائة
+
+264
+00:19:37,310 --> 00:19:41,750
+ألف الأطفال zero point thirty eight zero point
+
+265
+00:19:41,750 --> 00:19:48,050
+ninety one يعني أقل من واحد لكل مليون لكل مائة ألف
+
+266
+00:19:48,050 --> 00:19:53,810
+ال GPS occurs rarely in children جونا younger than
+
+267
+00:19:53,810 --> 00:19:58,030
+two years ال male لل female ratio ثلاثة لاتنين
+
+268
+00:19:58,030 --> 00:20:02,980
+يعني ال male أكتر من ال female يصاب ب GPSقبل ثلاث
+
+269
+00:20:02,980 --> 00:20:07,080
+سنوات شخصيت إخوة اتنين خلال أشهر كان عندهم GPS
+
+270
+00:20:07,080 --> 00:20:10,300
+والثانين عمارهم كانوا حوالي خمسين سنة او تلاتة
+
+271
+00:20:10,300 --> 00:20:13,700
+وخمسين سنة خلال اربع او خمس شهور اتنين كانوا
+
+272
+00:20:13,700 --> 00:20:17,380
+مصابين هذا لا يعني ان هو دعامي وراثي الصدفة كانت
+
+273
+00:20:17,380 --> 00:20:24,980
+عندهم etiology and pathogenesis of GPS أهم شيء هنا
+
+274
+00:20:24,980 --> 00:20:29,900
+immune demyelinatingmechanism immundemilinating
+
+275
+00:20:29,900 --> 00:20:35,000
+secondary ممكن يكون ناتج عن ايه عن viral infection
+
+276
+00:20:35,000 --> 00:20:39,980
+فيروسات كم بيلب أكتر ال infection كم بيلب أكتر ال
+
+277
+00:20:39,980 --> 00:20:43,500
+vaccination اللي بياخد تطعيم مثل ال influenza
+
+278
+00:20:43,500 --> 00:20:50,580
+vaccine ال meningococcal vaccine clinical features
+
+279
+00:20:50,580 --> 00:20:51,380
+of gps
+
+280
+00:20:55,190 --> 00:20:58,930
+في برايل stage في البداية ممكن يحدث معاهم في برايل
+
+281
+00:20:58,930 --> 00:21:04,300
+مثل common call واحد في الأوانزاالتهابات في
+
+282
+00:21:04,300 --> 00:21:07,360
+القصابات الهوائية و الفيروسات يصابوا بعد ذلك
+
+283
+00:21:07,360 --> 00:21:11,240
+يفبرال ال stage أسبوع أسبوعين حد أربع أسبوع ممكن
+
+284
+00:21:11,240 --> 00:21:16,780
+يكون كويس و مارس حياته و عمله بعد أسبوعين بدخل في
+
+285
+00:21:16,780 --> 00:21:21,380
+مرحلة الشلل paralytic stage paralytic stage هنا
+
+286
+00:21:21,380 --> 00:21:25,940
+أكتر شيء في ال motor أو في ال GPS يكون متأثر ال
+
+287
+00:21:25,940 --> 00:21:29,120
+motor system يتأثر ال motor fibers of the
+
+288
+00:21:29,120 --> 00:21:33,290
+peripheral nerves يبقى المريضبحث معاه massive
+
+289
+00:21:33,290 --> 00:21:38,450
+massive ascending paralysis شلال ايه؟ من تحت لفوق،
+
+290
+00:21:38,450 --> 00:21:44,110
+لكن في uncommon cause أو uncommon type of GPS ممكن
+
+291
+00:21:44,110 --> 00:21:48,380
+يبدأ المرض من فوق لتحتuncommon مرة عليا حالتين في
+
+292
+00:21:48,380 --> 00:21:53,320
+حياتي يبدأ مرضهم من ال cranial nerves ل shoulder ل
+
+293
+00:21:53,320 --> 00:21:57,020
+lower limbs لكن ال presentation is typically
+
+294
+00:21:57,020 --> 00:22:01,220
+ascending course
+
+295
+00:22:01,220 --> 00:22:05,710
+of paralysisالـ motor acute onset of massive
+
+296
+00:22:05,710 --> 00:22:09,830
+ascending flaccid symmetrical paralysis with loss
+
+297
+00:22:09,830 --> 00:22:13,430
+of deep reflexes يقول هنا الشرل بيكون بيصيب
+
+298
+00:22:13,430 --> 00:22:18,490
+الأطراف السفلية أو العلوية مع فقدان الرد الفعل ال
+
+299
+00:22:18,490 --> 00:22:21,640
+reflexes sensationفي البداية بيكون عندهم
+
+300
+00:22:21,640 --> 00:22:25,080
+tenderness and pain of the calf muscle وDistal
+
+301
+00:22:25,080 --> 00:22:28,400
+hypersthesia و Parasthesia Later في المراحل
+
+302
+00:22:28,400 --> 00:22:32,500
+المتقدمة بيصير معهم decrease of sensation و ال
+
+303
+00:22:32,500 --> 00:22:36,660
+deep sensation بيكون نوعهم stock glove type
+
+304
+00:22:36,660 --> 00:22:44,140
+cranial nerve involvement في ال GPSfacial and
+
+305
+00:22:44,140 --> 00:22:48,060
+oropharyngeal weakness 50% يعني 50% من حالات ال
+
+306
+00:22:48,060 --> 00:22:51,160
+GPS ممكن يجينا ب facial and oropharyngeal weakness
+
+307
+00:22:51,160 --> 00:22:55,620
+15% ممكن يجينا ب oculomotor weakness و oculomotor
+
+308
+00:22:55,620 --> 00:22:59,080
+nerve weakness in severe cases respiratory and
+
+309
+00:22:59,080 --> 00:23:04,900
+bulbar involvement maybe okay 20% من حالات ال GPS
+
+310
+00:23:04,900 --> 00:23:10,350
+ممكن يحتاجوا ال truck يستمي فتحه علشان التنفسأو
+
+311
+00:23:10,350 --> 00:23:14,670
+ventilator او يحطهم على جهاز التنفس الصناعي ليش؟
+
+312
+00:23:14,670 --> 00:23:19,290
+لأنه بيحدث معهم paralysis of respiratory muscle
+
+313
+00:23:19,290 --> 00:23:23,910
+عشان هي مرضى ال GPS المفروض يعلجه في وحدة اللينية
+
+314
+00:23:23,910 --> 00:23:29,290
+المركزة في أقسام اللينية المركزة clinical features
+
+315
+00:23:29,290 --> 00:23:35,490
+of GPS 79% منهم يكون عندهم neuropathic pain60%
+
+316
+00:23:35,490 --> 00:23:39,610
+بيقدروش يمشوا يعني عندهم paralysis في ال lower
+
+317
+00:23:39,610 --> 00:23:46,570
+limbs 51% Autonomic dysfunctions 46% عندهم مشاكل
+
+318
+00:23:46,570 --> 00:23:51,890
+في ال cranial nerves 24% could not use their arms
+
+319
+00:23:51,890 --> 00:23:56,510
+13% بيحتاجوا mechanical ventilation و احنا قلنا 20
+
+320
+00:23:56,510 --> 00:23:59,510
+% ممكن يحتاجوا mechanical ventilation او
+
+321
+00:23:59,510 --> 00:24:02,250
+tracheostomy without ventilator
+
+322
+00:24:04,870 --> 00:24:07,370
+ما هو الـ Autonomic dysfunction اللي تحدث عن مرضى
+
+323
+00:24:07,370 --> 00:24:13,930
+الـ GPS؟ Cardiac Dysrhythmia مشاكل في نبض القلب
+
+324
+00:24:13,930 --> 00:24:18,410
+Bradycardia Tachycardia Tachyarrhythmia
+
+325
+00:24:18,410 --> 00:24:22,770
+Orthostatic Hypotension Transient or Persistent
+
+326
+00:24:22,770 --> 00:24:28,360
+Hypertension Paralytic Iliasbladder dysfunction
+
+327
+00:24:28,360 --> 00:24:34,740
+abnormal sweating يا جماعة في ال GBS نادر ما نشوف
+
+328
+00:24:34,740 --> 00:24:37,260
+ان المرضى عندهم urine retention و urine
+
+329
+00:24:37,260 --> 00:24:40,140
+incontinence اكثر موضوع urine retention و urine
+
+330
+00:24:40,140 --> 00:24:43,540
+incontinence بيكون في ال spinal cord lesion لكن في
+
+331
+00:24:43,540 --> 00:24:48,640
+ال severe cases of GBS ممكن يحدث معاهم مشاكل في ال
+
+332
+00:24:48,640 --> 00:24:55,040
+urine و ال stool ده بتكلم على severe autonomic
+
+333
+00:24:55,040 --> 00:24:56,060
+neuropathy
+
+334
+00:24:58,970 --> 00:25:04,490
+اتفقنا ان في الزمان كان ال GPS نوع واحد هو acute
+
+335
+00:25:04,490 --> 00:25:11,410
+inflammatory demyelinating polyneuropathy الان ال
+
+336
+00:25:11,410 --> 00:25:17,730
+GPS هو عنوان ويله sub types او variants من ضمنهم
+
+337
+00:25:17,730 --> 00:25:22,930
+acute inflammatory demyelinating polyneuropathy
+
+338
+00:25:23,790 --> 00:25:29,630
+يعني صار ال I أو ال AIDB صار prototype of GPS صار
+
+339
+00:25:29,630 --> 00:25:34,410
+إيه prototype of GPS النوع الثاني acute motor
+
+340
+00:25:34,410 --> 00:25:39,310
+axonal polyneuropathy أمان أمان نحفظها أمان و
+
+341
+00:25:39,310 --> 00:25:43,190
+النوع الثالث acute motor sensory axonal
+
+342
+00:25:43,190 --> 00:25:49,050
+polyneuropathy أمسان يعني أمان و أمسان حلو هذاطب
+
+343
+00:25:49,050 --> 00:25:52,970
+ايش الفرق بينهم؟ ايش الفرق بين هذه الأنواع؟ النوع
+
+344
+00:25:52,970 --> 00:25:56,550
+الأول acute inflammatory demyelinating
+
+345
+00:25:56,550 --> 00:26:01,870
+polyneuropathy ايش اختلاف بينه بين النوع الثالث؟
+
+346
+00:26:01,870 --> 00:26:05,410
+او بلاش الثالث ايش اختلاف بين الأول والثاني؟ acute
+
+347
+00:26:05,410 --> 00:26:08,830
+inflammatory demyelinating polyneuropathy هذا
+
+348
+00:26:08,830 --> 00:26:15,590
+بيصيب ال sensory و ال motor طب والنوع الثانيacute
+
+349
+00:26:15,590 --> 00:26:18,690
+motor بيصيب فقط ال motor النوع الثاني يكون هي
+
+350
+00:26:18,690 --> 00:26:23,470
+اختلاف الأول أنه الأول motor sensory والثاني pure
+
+351
+00:26:23,470 --> 00:26:27,610
+motor شيء
+
+352
+00:26:27,610 --> 00:26:32,430
+ثاني أنه الأول demyelinating الأول demyelinating
+
+353
+00:26:37,200 --> 00:26:40,460
+axonal يبقى كمان على ال nerve conduction الصدي على
+
+354
+00:26:40,460 --> 00:26:44,240
+الجهاز ال nerve conduction الصدي بميز ان الأول
+
+355
+00:26:44,240 --> 00:26:48,940
+بيكون demyelinating و الثاني axonal طيب طب ايش
+
+356
+00:26:48,940 --> 00:26:52,700
+الفرق بين الأول و الثالث الأول و الثالث من ناحية
+
+357
+00:26:52,700 --> 00:26:56,120
+clinical نفس الشيء بيكون فيهم motor و sensory طب
+
+358
+00:26:56,120 --> 00:27:01,420
+كيف افرق بين الأول و الثالث الأول demyelinating و
+
+359
+00:27:01,420 --> 00:27:06,580
+الثالث axonalطب كيف افرق بين الثاني و الثالث؟
+
+360
+00:27:06,580 --> 00:27:17,800
+الثاني pure motor و الثالث sensory and motor النوع
+
+361
+00:27:17,800 --> 00:27:21,100
+الرابع اللي قولنا اسمه ميلار فيشر variant
+
+362
+00:27:26,000 --> 00:27:31,420
+Fisher syndrome او Miller Fisher variant of GBS في
+
+363
+00:27:31,420 --> 00:27:35,020
+حياتي شخصت تلات حالات حالتين في غزة و حالة في
+
+364
+00:27:35,020 --> 00:27:41,860
+أكرانيا كانت حالة منهم اخر حالة مريض من المصيرات
+
+365
+00:27:41,860 --> 00:27:48,380
+بيجي على عياتي المريض بيجي له اسبوع undiagnosed مش
+
+366
+00:27:48,380 --> 00:27:52,900
+شخص لما انحضر للعيادة كانوا الاقارب مسكينهم من
+
+367
+00:27:52,900 --> 00:27:58,650
+ايديهماشي مش قادر يمشي عنده ataxia ترانح اجعته
+
+368
+00:27:58,650 --> 00:28:02,950
+فحصته لاجيت عنده ophthalmobligia الزواجية في
+
+369
+00:28:02,950 --> 00:28:07,250
+الرؤية و يشوفونه مسكرين شوية ببحث رد الفعل لاجيت
+
+370
+00:28:07,250 --> 00:28:10,690
+عنده loss of reflexes ع السريع كان عندي تشخيص في
+
+371
+00:28:10,690 --> 00:28:16,830
+مقهي ان هذا ايه ميلار فيشار فارين دي بي اس طب بلاش
+
+372
+00:28:16,830 --> 00:28:19,990
+يكون مشكلة في ال brainقلت له على السريع بنعمل سورة
+
+373
+00:28:19,990 --> 00:28:23,950
+رنين مغناطيسي توكسيكلود أنيسينتراليجي المشاكل تكون
+
+374
+00:28:23,950 --> 00:28:28,270
+في ال brain stem عملنا سورة رنين للدماغ الحمد لله
+
+375
+00:28:28,270 --> 00:28:32,110
+سليمة في نفس اليوم دخلته على المستشفى وعطيته علاج
+
+376
+00:28:32,110 --> 00:28:35,930
+اسمه intravenous immunoglobulin علاج غالي مكلف
+
+377
+00:28:35,930 --> 00:28:42,080
+اليوم في 700 دولار IVIG الحمد لله اليوم الخامسممشي
+
+378
+00:28:42,080 --> 00:28:47,240
+لوحده بدون مساعدة كان والان هو امام المسجد والان
+
+379
+00:28:47,240 --> 00:28:51,320
+مافيش اي اعراض عنده يعني خلال شهرين تلاتة كان كل
+
+380
+00:28:51,320 --> 00:28:55,380
+اعراض اختفت الحمد لله ليه؟ يبقى ان ال symptom او
+
+381
+00:28:55,380 --> 00:28:57,860
+ال syndrome هذا له triad symptoms ال triad
+
+382
+00:28:57,860 --> 00:29:03,320
+symptoms اذا اجاني مريض شوفت هذه الاعراض اول شيء
+
+383
+00:29:03,320 --> 00:29:11,030
+ataxia without weakness ترنح بدون ضعف العضلاتأفثال
+
+384
+00:29:11,030 --> 00:29:15,190
+موبليجيا، شلل في حركة أعصاب العين أو عضلات العين
+
+385
+00:29:15,190 --> 00:29:22,040
+ثلاثة أرفليكسيا، فقدان ال reflexesمن حد ما أسمع في
+
+386
+00:29:22,040 --> 00:29:25,660
+التلاتة أو أبحث عن المريض نتذكر اللي هو Miller
+
+387
+00:29:25,660 --> 00:29:33,000
+Fisher Syndrome اللي هو one type of GBS وبيكون
+
+388
+00:29:33,000 --> 00:29:39,440
+عندهم antibodies against GQ1B هذا بنفحص GQ1B بنفحص
+
+389
+00:29:39,440 --> 00:29:44,580
+عن طريق ال CSF 85% ل 90% من هدول المرضى بيكون
+
+390
+00:29:44,580 --> 00:29:47,120
+عندهم positive هذا ال antibodies
+
+391
+00:29:49,200 --> 00:29:53,360
+أي حالات GPS بيكون عندهم drop feet واضح أنها drop
+
+392
+00:29:53,360 --> 00:29:59,640
+feet في القدمين atrophy loss of muscle بيكون عندهم
+
+393
+00:29:59,640 --> 00:30:03,360
+muscle hypotrophy loss of hair لاحظوا مافيش شعر في
+
+394
+00:30:03,360 --> 00:30:07,840
+القدمين و distal muscle hypotrophy
+
+395
+00:30:09,570 --> 00:30:14,090
+مش بنعمل investigations للمرضى اللي عندهم GPS CSF
+
+396
+00:30:14,090 --> 00:30:19,950
+Examination بنفحص السائل بنلاحظ أنه في increase في
+
+397
+00:30:19,950 --> 00:30:22,610
+ال protein و ال increase في ال protein بتتم على
+
+398
+00:30:22,610 --> 00:30:28,510
+الأسبوع الثاني أو الثالث ال cells ممكن نلاحظ أنه
+
+399
+00:30:28,510 --> 00:30:32,290
+عندهم عشرين تلاتين اربعين خمسين white blood cells
+
+400
+00:30:32,290 --> 00:30:35,800
+و بيكونوا lymphocyteفي ال nerve conduction study
+
+401
+00:30:35,800 --> 00:30:39,460
+في بداية المرض ممكن مايكونش فيه تغيرات بعد مرور
+
+402
+00:30:39,460 --> 00:30:43,120
+عشر أيام اسبوعين بيحدث عندهم decrease conduction
+
+403
+00:30:43,120 --> 00:30:47,300
+velocity لاحظولي ان المرض اهم شي بتشخص بالمخ مش
+
+404
+00:30:47,300 --> 00:30:51,050
+بالاجهزة في البداية لان في البدايةالـ CSF بيكون
+
+405
+00:30:51,050 --> 00:30:53,710
+Normal والـ nerve conduction study Normal لحظة كل
+
+406
+00:30:53,710 --> 00:30:56,590
+التغيرات بتتم على اليوم العاشر على الأسبوعين يقول
+
+407
+00:30:56,590 --> 00:31:00,030
+أنا لازم أشخصي من أول يوم بالأعراض الكليكية و أبدأ
+
+408
+00:31:00,030 --> 00:31:04,250
+علاجي و بعدين ايه أثبت تشخيصي بال nerve conduction
+
+409
+00:31:04,250 --> 00:31:10,880
+study و بال CSF examinationTreatment of GBS، في
+
+410
+00:31:10,880 --> 00:31:15,660
+الزمنات كان أهم شيء في علاج الـGBS هو الاستيرويد،
+
+411
+00:31:15,660 --> 00:31:19,560
+لكن ما وجدوا أنه له دور، الكورتازون والاستيرويد
+
+412
+00:31:19,560 --> 00:31:23,160
+مالهاش دور، أهم شيء في علاج الـGBS
+
+413
+00:31:25,310 --> 00:31:30,550
+IVIG بنعطي 400 ميلي جرام لكل كيلو جرام خمس أيام
+
+414
+00:31:30,550 --> 00:31:35,790
+خمس أيام يعني ال total dose تبعتها لو بدنا ناخد لل
+
+415
+00:31:35,790 --> 00:31:41,230
+course ال course بياخد اتنين جرام لكل كيلو جرام
+
+416
+00:31:41,230 --> 00:31:48,730
+وزن يعني واحد وزنه خمسين كيلو خمسين كيلو وزنه ضرب
+
+417
+00:31:48,730 --> 00:31:53,350
+اتنين جرام يسوي مائة جرام بدنايلهم مائة جرامهذا
+
+418
+00:31:53,350 --> 00:31:58,350
+المية جرام ممكن اوزحها على خمس أيام تطلع كل يوم
+
+419
+00:31:58,350 --> 00:32:04,090
+عشرين جرام يعني اربعمائة ميلي جرام كل بير كيجي
+
+420
+00:32:04,090 --> 00:32:08,430
+وممكن طريقة ثانية اجسمها ليومين كل يوم اعطيه خمسين
+
+421
+00:32:08,430 --> 00:32:13,470
+خمسين يعني ال IVIG الأطفال بيحبوا يعطوه الأطفال
+
+422
+00:32:13,470 --> 00:32:21,610
+الخصين أطفال واحد جرام لكل كيلو جرام تالي
+
+423
+00:32:24,520 --> 00:32:30,000
+for two days يعني بيبقى جسمه جرعته ليومين كل يوم
+
+424
+00:32:30,000 --> 00:32:33,060
+بيعطوه واحد جرام لكل كيلو جرام احنا ال adult لأ
+
+425
+00:32:33,060 --> 00:32:37,840
+بحب نجسمه لخمس أيام و نعطيه اربعمائة ملي جراملكل
+
+426
+00:32:37,840 --> 00:32:40,180
+كيلو جرام هذا مش شغل علاج طبيعي بس انا حبيت
+
+427
+00:32:40,180 --> 00:32:42,900
+اشرحلكم النقطة هذه يعني ممكن يمر عليكوا الأطفال
+
+428
+00:32:42,900 --> 00:32:46,640
+يتقولوا أخدوا العلاج في يومين صح لأنه جسموا واحد
+
+429
+00:32:46,640 --> 00:32:50,160
+جرام لكل كيلو جرام او الكبار اعطوه في خمس أيام صح
+
+430
+00:32:50,160 --> 00:32:53,480
+لأن احنا جسمنا اربعمائة ملي جرام لكل كيلو جرام لكن
+
+431
+00:32:53,480 --> 00:32:56,940
+ال total dose تبعتهم ع الجهتين مش راح تزيد عن
+
+432
+00:32:56,940 --> 00:32:59,580
+اتنين جرام لكل كيلو جرام يعني كل course العلاج
+
+433
+00:32:59,580 --> 00:33:05,900
+تبعه اتنين جرام IVIG لكل كيلو جرام وزنطب ما عنده
+
+434
+00:33:05,900 --> 00:33:09,980
+حساسية من ال IVIG تحسس جسمه او ماتحسنش حالته
+
+435
+00:33:09,980 --> 00:33:13,940
+بالزيد سوء او not available IVIG مش موجود مش متوفر
+
+436
+00:33:13,940 --> 00:33:18,400
+IVIG بنعمل فصل بلازمة تغيير بلازمة البلازمة بتنفصل
+
+437
+00:33:18,400 --> 00:33:22,220
+وهي بنغيرهاطب ممكن نعطيهم IVIG و Plasma
+
+438
+00:33:22,220 --> 00:33:24,880
+Pharyngesis مع بعض على الفاضى، الدراسات أثبتت أنه
+
+439
+00:33:24,880 --> 00:33:28,920
+على الفاضى، إما نعطيه IVIG و إما نعطيه Plasma
+
+440
+00:33:28,920 --> 00:33:32,400
+Exchange، لأن لو عطينا IVIG للمريض، و عملنا له حصل
+
+441
+00:33:32,400 --> 00:33:34,980
+Plasma، إحنا مع حصل Plasma، هذا الألاج الغالي اللي
+
+442
+00:33:34,980 --> 00:33:38,160
+راح نطلعه من الجسم، و مااستفدنا منه أي شيء، ضروري
+
+443
+00:33:38,160 --> 00:33:42,520
+نعطيهم Anticoagulant، Heparin، و ينعمللهم فيزيو
+
+444
+00:33:42,520 --> 00:33:47,900
+ترابي to prevent اللي هوdeep venous thrombosis
+
+445
+00:33:47,900 --> 00:33:52,040
+symptomatic therapy حسب الأعراض يعني عاملهم
+
+446
+00:33:52,040 --> 00:33:55,420
+suction ممكن يحتاجوا tracheostomy ممكن يحتاجوا
+
+447
+00:33:55,420 --> 00:33:59,240
+NGTU ممكن يحتاجوا mechanical ventilation وبعد ما
+
+448
+00:33:59,240 --> 00:34:02,580
+أخلص العلاج بسرعة بحول هذول المرضى في stable
+
+449
+00:34:02,580 --> 00:34:07,140
+condition لمستشفيات rehabilitation و فيزي ثرابي
+
+450
+00:34:07,140 --> 00:34:11,880
+للعلاج الطبيعي و التأهيل الطبي في الحالات هذه مهم
+
+451
+00:34:11,880 --> 00:34:15,700
+جدا العلاج الطبيعي هنا في الموضوع هذاأخر موضوع في
+
+452
+00:34:15,700 --> 00:34:19,840
+محاضرة اليوم chronic inflammatory demyelinating
+
+453
+00:34:19,840 --> 00:34:22,240
+polyneuropathy هذا chronic inflammatory
+
+454
+00:34:22,240 --> 00:34:24,700
+demyelinating polyneuropathy مش بال GPS اللي انا
+
+455
+00:34:24,700 --> 00:34:28,200
+شرحته لكن chronic أعراضه بتكون ايش ايه chronic
+
+456
+00:34:28,200 --> 00:34:34,310
+اكثر من شهرين يكون CIDBهو عبارة عن chronic
+
+457
+00:34:34,310 --> 00:34:38,250
+inflammatory demyelinating polyneuropathy هو عبارة
+
+458
+00:34:38,250 --> 00:34:42,310
+عن acquired polyneuropathy الدمج بيحصل في الـ
+
+459
+00:34:42,310 --> 00:34:44,630
+peripheral nerve في الـ root of peripheral nerve
+
+460
+00:34:44,630 --> 00:34:52,430
+لاحظوا similar بشبه مين GPS but with progressive
+
+461
+00:34:52,430 --> 00:34:57,390
+ممكن الأعراض تكون progressive or relapsing
+
+462
+00:34:57,390 --> 00:35:02,190
+-remitting type fluctuating with symptoms more
+
+463
+00:35:02,190 --> 00:35:07,540
+thanEight weeks و الأعراض تكون أكتر من ثمان أسابيع
+
+464
+00:35:07,540 --> 00:35:10,740
+و الأعراض تكون أكتر من إيه ثمان أسابيع يعني أكتر
+
+465
+00:35:10,740 --> 00:35:14,320
+من شهرين Classification
+
+466
+00:35:14,320 --> 00:35:18,140
+of Chronic Inflammatory Demyelinating Pulmonary
+
+467
+00:35:18,140 --> 00:35:22,780
+Arthritis لاحظوا الـ CIDB يعني الـ CIDB نوع من
+
+468
+00:35:22,780 --> 00:35:27,520
+أنواع الـ CIDB نوع من أنواع الـ CIDB النوع الثاني
+
+469
+00:35:27,520 --> 00:35:35,010
+Multifocal Motor Neuropathyالنوع الثالث بيسموه الـ
+
+470
+00:35:35,010 --> 00:35:39,370
+Louise Sumner Syndrome هو multifocal نفس التاني
+
+471
+00:35:39,370 --> 00:35:43,610
+acquired demyelinating sensory and motor
+
+472
+00:35:43,610 --> 00:35:47,090
+neuropathy النوع الثالث الرابع sensory
+
+473
+00:35:47,090 --> 00:35:50,330
+polyneuropathy pure sensory demyelinating
+
+474
+00:35:50,330 --> 00:35:53,830
+polyneuropathy النوع الخامس demyelinating
+
+475
+00:35:53,830 --> 00:35:57,610
+polyneuropathy with CNS demyelination يعني ممكن
+
+476
+00:35:57,610 --> 00:36:03,180
+يكون عندهم CIDBمع ايه؟ مع multiple sclerosis .. مع
+
+477
+00:36:03,180 --> 00:36:09,120
+ايه؟ مع multiple sclerosis اللي بعده demyelinating
+
+478
+00:36:09,120 --> 00:36:13,040
+polyneuropathy associated with systemic disorders
+
+479
+00:36:13,040 --> 00:36:14,380
+نرجحهم مع بعض
+
+480
+00:36:17,270 --> 00:36:21,230
+CIDB Chronic Inflammatory Demyelinating
+
+481
+00:36:21,230 --> 00:36:24,830
+Polyneuropathy هذه الأعراض تكون عندهم sensory and
+
+482
+00:36:24,830 --> 00:36:28,430
+motor وعلى ال nerve conduction تكون demyelinating
+
+483
+00:36:28,430 --> 00:36:32,950
+okay النوع الثاني multifocal ايش بقصد كلمة
+
+484
+00:36:32,950 --> 00:36:37,790
+multifocal يعني non symmetrical asymmetrical اللي
+
+485
+00:36:37,790 --> 00:36:42,130
+يعملوش بيختلفوا عن بعض motor neuropathy يعني هذه
+
+486
+00:36:42,130 --> 00:36:46,430
+فقط ايش motorمافي أعراض من ناحية ال sensation
+
+487
+00:36:46,430 --> 00:36:52,250
+النوع الثالث multifocal acquired demyelinating
+
+488
+00:36:52,250 --> 00:36:56,730
+sensory and motor neuropathy يبقى النوع الثالث
+
+489
+00:36:56,730 --> 00:37:01,050
+بيختلف عن الثاني انه في الثالث فيه sensory و motor
+
+490
+00:37:01,050 --> 00:37:05,770
+طب الثاني pure motor والثاني multifocal يعني ايش
+
+491
+00:37:05,770 --> 00:37:10,300
+multifocal non symmetricalطب النوع الأول لأ
+
+492
+00:37:10,300 --> 00:37:14,380
+symmetrical و بيكون صحيب ايش ال sensory و ال motor
+
+493
+00:37:14,380 --> 00:37:17,860
+يعني الأول عن الثاني بيختلف انه بيكون symmetrical
+
+494
+00:37:17,860 --> 00:37:22,000
+نيروبطي الأول الثاني asymmetrical الأول sensory
+
+495
+00:37:22,000 --> 00:37:26,620
+motor الثاني pure motor الأول و الثالث الأول
+
+496
+00:37:26,620 --> 00:37:30,340
+sensory motor و الثالث sensory motor زيه الأول
+
+497
+00:37:30,340 --> 00:37:34,400
+symmetrical بيكون .. symmetrical بيكون و الثاني ..
+
+498
+00:37:34,400 --> 00:37:37,500
+و الثالث بيكون ايه asymmetrical يعني non
+
+499
+00:37:37,500 --> 00:37:43,150
+symmetricalالرابع هذا pure sensory بيكون dominant
+
+500
+00:37:43,150 --> 00:37:49,890
+sensory type الخامس هذا بيكون demyelinating
+
+501
+00:37:49,890 --> 00:37:53,070
+polyneuropathy with CNS demyelination يعني ايش؟
+
+502
+00:37:53,070 --> 00:37:56,990
+polyneuropathy في ال upper و lower limbs مع ايه؟
+
+503
+00:37:56,990 --> 00:38:04,470
+مع الهو ال CNS demyelination مثل ايش؟ مثل multiple
+
+504
+00:38:04,470 --> 00:38:09,770
+sclerosisوdemyelinating أخر نوع polyneuropathy
+
+505
+00:38:09,770 --> 00:38:15,650
+associated with a systemic disorder يعني كيف؟ يعني
+
+506
+00:38:15,650 --> 00:38:21,850
+polyneuropathy نتج عن ديابتك ديابتس مليتس
+
+507
+00:38:22,780 --> 00:38:28,200
+بولينيروباطي ناتج عنه chronic renal failure أو
+
+508
+00:38:28,200 --> 00:38:33,280
+بولينيروباطي ناتج عنه عن مرض أسهلي systemic lobus
+
+509
+00:38:33,280 --> 00:38:37,500
+erythromatosis أو بولينيروباطي ناتج عنه vasculitis
+
+510
+00:38:37,500 --> 00:38:46,260
+و هكذا ال .. إيش ال systemic disorders اللي maybe
+
+511
+00:38:46,260 --> 00:38:52,630
+associated with CIDB؟ Hepatitis Hepatitis B و Cالـ
+
+512
+00:38:52,630 --> 00:38:59,010
+HIV والـ AIDS والملك نانسي والقنصر لعمل البرانيو
+
+513
+00:38:59,010 --> 00:39:02,630
+بلاستيك النيروباتيالديابتس مليتس السكر بيعمل
+
+514
+00:39:02,630 --> 00:39:06,210
+ديابتك بول نيرباتي، systemic disease SLE
+
+515
+00:39:06,210 --> 00:39:11,490
+الفاسكولايتس كله هذا بيحجي ال disease روماتويد
+
+516
+00:39:11,490 --> 00:39:16,190
+أرثرايتس كله بيعملن يه بول نيرباتي، hypothyroidism
+
+517
+00:39:16,190 --> 00:39:21,670
+أو hyperthyroidism، thyrotoxicosis بيعملن يه بول
+
+518
+00:39:21,670 --> 00:39:27,330
+نيرباتي، organ and bone marrow transplantationالـ
+
+519
+00:39:27,330 --> 00:39:31,530
+inherited neuropathy زي تشاركوت ماري توث ديزيز
+
+520
+00:39:31,530 --> 00:39:36,370
+للناس اللي عندهم رينال فيلر، hepatic filler، الناس
+
+521
+00:39:36,370 --> 00:39:39,250
+اللي عندهم inflammatory bowel disease، كل هذه
+
+522
+00:39:39,250 --> 00:39:43,670
+الأمراض بتأدي إلى إيه؟ Systemic polyneuropathy
+
+523
+00:39:43,670 --> 00:39:49,850
+Diagnostic criteria for CIDB، كيف بدي أشخص CIDB؟
+
+524
+00:39:51,390 --> 00:39:56,430
+أول شيء symptom progression over than two months
+
+525
+00:39:56,430 --> 00:39:59,170
+يعني الأعراض راح تكون عند المريض أكتر من ثمان
+
+526
+00:39:59,170 --> 00:40:04,370
+أسابيع اثنين weakness more than sensory symptoms
+
+527
+00:40:04,370 --> 00:40:09,510
+يعني الشلل والضعف العضلي أكتر من مشاكل الإحساس
+
+528
+00:40:09,510 --> 00:40:14,450
+تلاتة proximal muscle involved along with distal
+
+529
+00:40:14,450 --> 00:40:20,370
+musclesreduce deep tendon reflexes increase CSF
+
+530
+00:40:20,370 --> 00:40:23,610
+protein and pleocytosis يعني increase اللي هو
+
+531
+00:40:23,610 --> 00:40:26,860
+white blood cells lymphocyteالـ nerve conduction
+
+532
+00:40:26,860 --> 00:40:30,580
+study بيكون الـ demyelinating neuropathy ممكن نعمل
+
+533
+00:40:30,580 --> 00:40:34,220
+nerve biopsy و يبينلنا segmental demyelination لو
+
+534
+00:40:34,220 --> 00:40:38,340
+أخدنا sensory nerve لكن في بعض الأحيان ال biopsy
+
+535
+00:40:38,340 --> 00:40:40,900
+ممكن ما يساعدش يكون المرض صعيب ال motor fibers
+
+536
+00:40:40,900 --> 00:40:44,140
+only و احنا ناخد من ال sensory biopsy و يطلع false
+
+537
+00:40:44,140 --> 00:40:48,240
+negative مابنسى مريضة من غزة هذه المريضة أجتني
+
+538
+00:40:48,240 --> 00:40:53,110
+wheelchair dependent أجتني على كرسي متحركعمرها كان
+
+539
+00:40:53,110 --> 00:40:56,650
+تقريبا خمسين سنة، تمانية وربين سنة خمسين اللي هي
+
+540
+00:40:56,650 --> 00:41:00,430
+تقريبا تعاني من أشهر، تمان، ستة، تمان شهور من
+
+541
+00:41:00,430 --> 00:41:02,230
+weakness في ال upper and lower limbs، في البداية
+
+542
+00:41:02,230 --> 00:41:05,850
+نعملها Carpal Tunnel، نمنس في إيديها، فتحوا ..
+
+543
+00:41:05,850 --> 00:41:08,970
+عملوا relays ل ال median nerve شوية شوية تدريجيا
+
+544
+00:41:08,970 --> 00:41:13,170
+لما صارت المريضة مقعدة على كرسي متحرك فحصتها،
+
+545
+00:41:13,170 --> 00:41:15,590
+قيمتها، لجيت عندها weakness في ال upper and lower
+
+546
+00:41:15,590 --> 00:41:20,100
+limbs، شلال رباعي، جزء ايه؟Areflexia loss of deep
+
+547
+00:41:20,100 --> 00:41:24,640
+reflexes.Distally hypoesthesia مباشرة أجف مخي
+
+548
+00:41:24,640 --> 00:41:28,940
+موضوع CIDB chronic inflammatory demyelinating
+
+549
+00:41:28,940 --> 00:41:32,620
+polyneuropathy مثلا EMG and nerve conduction study
+
+550
+00:41:32,620 --> 00:41:36,720
+وجدت عندها severe demyelinating polyneuropathy
+
+551
+00:41:36,720 --> 00:41:41,780
+chronicدخلناها على المستشفى و أعطيناها
+
+552
+00:41:41,780 --> 00:41:47,160
+methylbrednison و IVIG و الحمد لله شوية شوية صارت
+
+553
+00:41:47,160 --> 00:41:50,340
+تمشي على عكاز، بعدين تركت العكاز و في نفس السنة
+
+554
+00:41:50,340 --> 00:41:56,900
+حجت و زارت مكة و الحمد لله الآن تمشي بدون أي
+
+555
+00:41:56,900 --> 00:42:01,690
+مساعدة، بدون أي حتى أن العكاز ما بتستخدمههذه حالات
+
+556
+00:42:01,690 --> 00:42:05,830
+الـ CIDB لو شخصناها صح ممكن نعليجها كمان صح و ننقض
+
+557
+00:42:05,830 --> 00:42:09,510
+المريض و لو أتأخرنا كمان ممكن المريض يظل في حالة
+
+558
+00:42:09,510 --> 00:42:15,210
+disability long life نوع من أنواع الـ CIDB اسمه
+
+559
+00:42:15,210 --> 00:42:19,440
+idiopathic multifocal motor neuropathyهذا بيكون
+
+560
+00:42:19,440 --> 00:42:23,260
+Distal لكن Asymmetric عشان Multifocal Asymmetric
+
+561
+00:42:23,260 --> 00:42:27,320
+Lower Motor Neuron Weakness يعني أعراض فقط Motor
+
+562
+00:42:27,320 --> 00:42:30,440
+بيكون Without Sensory Symptoms و أحيانا بيكون
+
+563
+00:42:30,440 --> 00:42:33,620
+عندهم كمان Fasciculation و أحيانا هذا المرض
+
+564
+00:42:33,620 --> 00:42:37,600
+بيعملنا Mistaking مع المرض اسمه Motor Neuron
+
+565
+00:42:37,600 --> 00:42:41,520
+Disease و هي ان شاء الله راح أشرحلكم الفرق بينهم
+
+566
+00:42:41,520 --> 00:42:45,600
+بين هذا المرض و مرض Motor Neuron Diseaseفي محاضرة
+
+567
+00:42:45,600 --> 00:42:48,560
+motor neurone disease في ال nerve conduction study
+
+568
+00:42:48,560 --> 00:42:52,260
+بيكون عندهم conduction block ليش conduction block؟
+
+569
+00:42:52,260 --> 00:42:55,480
+لأن هذا ناتج عن severe demyelinating
+
+570
+00:42:55,480 --> 00:43:00,140
+polyneuropathy ال diagnostic evaluation of CIDB
+
+571
+00:43:00,140 --> 00:43:04,620
+بنعمل لهم laboratory studyElectrodiagnostic Study
+
+572
+00:43:04,620 --> 00:43:08,420
+مثل EMG و Nerve Conduction Study CSF Analysis
+
+573
+00:43:08,420 --> 00:43:12,600
+Nerve Biopsy ممكن يعمل MRI لبريفرال نيرف و بيلاقر
+
+574
+00:43:12,600 --> 00:43:17,220
+ال Plexus و في بعض الأحيان الهو Genetic Study
+
+575
+00:43:17,220 --> 00:43:22,400
+Treatment of CIDB لاحظوا في ال acute في ال GPS
+
+576
+00:43:22,400 --> 00:43:25,700
+قالوا مافيش role للاستيرويد الاستيرويد هان بيحتلوا
+
+577
+00:43:25,700 --> 00:43:33,650
+المرتبة الأولىباخدوا المرضى ألف ميلي جرام IV لثلاث
+
+578
+00:43:33,650 --> 00:43:37,690
+خمس أيام، بعدها بنحولهم لبردنزون أورالي واحد ملي
+
+579
+00:43:37,690 --> 00:43:42,420
+جرام لكل كيلو جرامبنقعد مع IVIG زى ما شرحتلكوا 400
+
+580
+00:43:42,420 --> 00:43:45,640
+ميلي جرام لكل كيلو جرام بخمس أيام وبعض الحالات
+
+581
+00:43:45,640 --> 00:43:49,060
+ممكن مايتحسنوش على ال IVIG واسترويد يعني عاملهم
+
+582
+00:43:49,060 --> 00:43:52,760
+فصل بلازمة تغيير البلازمة ال chronic
+
+583
+00:43:52,760 --> 00:43:56,900
+immunomodulating drugs بياخدوا azithioprine
+
+584
+00:43:56,900 --> 00:44:01,080
+symptomatic ترابي حسب الأعراضالـ Medical
+
+585
+00:44:01,080 --> 00:44:04,440
+Rehabilitation and Physiotherapy هي كأنا بكون
+
+586
+00:44:04,440 --> 00:44:09,460
+خلصتلكم موضوع ال disease of peripheral nerves
+
+587
+00:44:09,460 --> 00:44:14,380
+أخدناه في جزئين من المحاضرات يعطيكوا ألف عافية و
+
+588
+00:44:14,380 --> 00:44:15,880
+بالتوفيق ان شاء الله
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ccb0fee3966a402e7b86ccc7f3a588f5c34e20f7
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/g2ZuGrJFd1I_raw.srt
@@ -0,0 +1,1672 @@
+1
+00:00:05,420 --> 00:00:08,980
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,980 --> 00:00:15,260
+وبركاته الجزء الثاني من محاضرة muscle disease راح
+
+3
+00:00:15,260 --> 00:00:19,920
+اتكلم عن myotonia and muscular dystrophy في الجزء
+
+4
+00:00:19,920 --> 00:00:25,900
+الأول شرحتلكم myasthenia gravis ال myotonia تعتبر
+
+5
+00:00:25,900 --> 00:00:30,580
+عكس myasthenia gravis قلنا ال myasthenia gravis هي
+
+6
+00:00:30,580 --> 00:00:35,510
+عبارة عن fatigability of skeletal musclesراح نلاحظ
+
+7
+00:00:35,510 --> 00:00:39,690
+أنه في الميوتونيا راح يكون في increase في ال
+
+8
+00:00:39,690 --> 00:00:44,390
+contractivity function of the muscle with delay of
+
+9
+00:00:44,390 --> 00:00:48,990
+relaxation إيش هو ميوتونيا؟ ميوتونيا عبارة عن
+
+10
+00:00:48,990 --> 00:00:55,090
+delay relaxation of skeletal muscle after
+
+11
+00:00:55,090 --> 00:01:00,430
+cessation of voluntary movement يعني لو أنا ضغط
+
+12
+00:01:00,430 --> 00:01:05,370
+بالإيد هيك، سكرت إيدي، طبيعي أفتحها مباشرةلكن
+
+13
+00:01:05,370 --> 00:01:08,710
+المريض الميوتونيا لو ضغط على ايده و جونالو يفتح
+
+14
+00:01:08,710 --> 00:01:13,830
+ايدك بيعمل الحركة هادة بيصير ايه delay of
+
+15
+00:01:13,830 --> 00:01:24,190
+relaxation لو فتح الباب و ضغط بيده مابترك ايده
+
+16
+00:01:24,190 --> 00:01:30,510
+بسرعة بتتأخر الايد في ال relaxation حركة هادة لو
+
+17
+00:01:30,510 --> 00:01:38,170
+ضربنا بالهمر بتاعناراح تعمل abduction للثمب طبيعي
+
+18
+00:01:38,170 --> 00:01:42,170
+ما نشعرش بال abduction لكن هنا راح يحدث abduction
+
+19
+00:01:42,170 --> 00:01:49,070
+مع delay of abduction okay voluntary
+
+20
+00:01:49,070 --> 00:01:55,110
+patient is unable to open hand except very late
+
+21
+00:01:55,110 --> 00:01:59,690
+مثل ما اتكلمنا mechanical percussion لو عملنا
+
+22
+00:01:59,690 --> 00:02:04,740
+tapping على thinner immunesتعمل abduction للثمب
+
+23
+00:02:04,740 --> 00:02:10,600
+مثل ما اتكلمت with delay of abduction لو عملنا
+
+24
+00:02:10,600 --> 00:02:13,580
+tapping على ال tongue ضربنا بالهمارة على ال tongue
+
+25
+00:02:13,580 --> 00:02:17,100
+عملنا percussion على ال tongue في الحالة دي راح
+
+26
+00:02:17,100 --> 00:02:21,480
+يحدث dimpling dimpling يعني contraction of the
+
+27
+00:02:21,480 --> 00:02:27,400
+tongue muscle with delay of relaxation طيب كيف
+
+28
+00:02:27,400 --> 00:02:31,940
+نشخصهم هدوء المرضى نعملهم electromyography
+
+29
+00:02:33,440 --> 00:02:36,900
+الـ Electromyography راح تبين انه فيه انا increase
+
+30
+00:02:36,900 --> 00:02:41,840
+في ال contractivity function of the muscle يعني
+
+31
+00:02:41,840 --> 00:02:45,680
+هنا
+
+32
+00:02:45,680 --> 00:02:50,400
+في الناس الطبيعيين ان بلزم عشان يحدث muscle
+
+33
+00:02:50,400 --> 00:02:56,220
+contraction بلزمني 6 ملي امبير يعني عشان احفظ ال
+
+34
+00:02:56,220 --> 00:02:59,760
+muscle و اعملها muscle contraction بلزم 6 ملي
+
+35
+00:02:59,760 --> 00:03:05,680
+امبير لكن في مرض ال myotoniaتنين لثلاثة ملي امبير
+
+36
+00:03:05,680 --> 00:03:13,820
+enough to produce muscle contraction نجي لل coldو
+
+37
+00:03:13,820 --> 00:03:18,740
+ال potassium و ال cholinergic drugs هدون عكس موضوع
+
+38
+00:03:18,740 --> 00:03:22,780
+ال myasthenia gravis هدون بيحسنوا مرض ال
+
+39
+00:03:22,780 --> 00:03:26,700
+myasthenia gravis لكن في ال myotonia راح يعملوا
+
+40
+00:03:26,700 --> 00:03:32,920
+ارتفاع ل ال myotonic phenomena راح يزودوا أعراض ال
+
+41
+00:03:32,920 --> 00:03:36,700
+myotonia عشان هيك مرض ال myotonia بتعبوا في البرد
+
+42
+00:03:36,700 --> 00:03:41,300
+و لو أخدوا potassium بتعبوا و ال cholinergic drugs
+
+43
+00:03:41,300 --> 00:03:43,140
+are contraindication
+
+44
+00:03:45,990 --> 00:03:54,170
+هي هنا في الصورة واضح لو ضغط على إيد بيحصل delay
+
+45
+00:03:54,170 --> 00:03:59,770
+في ال a relaxation لو عملنا percussionعال muscle
+
+46
+00:03:59,770 --> 00:04:03,570
+بيحدث مثل ال dimpling of the muscle عشان ايك
+
+47
+00:04:03,570 --> 00:04:07,410
+المصريين عندهم نقطة بيقولك المريض الميوتونيا أو
+
+48
+00:04:07,410 --> 00:04:10,250
+المريض الميوتونيا ممنوع الراجل يسلم على الست
+
+49
+00:04:10,250 --> 00:04:13,210
+وممنوع الست تسلم على الراجل لأنه لو سلم للرجل على
+
+50
+00:04:13,210 --> 00:04:16,330
+الست راح يظلوا ضغط على إيدها يتفكر أشياء ثانية ليش
+
+51
+00:04:16,330 --> 00:04:19,110
+ضالوا ضغط على إيدها و العكس صحيح لو الست سلمت على
+
+52
+00:04:19,110 --> 00:04:22,790
+الراجل راح يظلوا ضغط على إيدها لأ هو مريض لأنه
+
+53
+00:04:22,790 --> 00:04:27,270
+عنده delay ofrelaxation after muscle contraction
+
+54
+00:04:27,270 --> 00:04:31,830
+بس احنا بنتكلم كلام هذا عشان نقرب وجهة النظر و
+
+55
+00:04:31,830 --> 00:04:34,870
+تفهموا ايش هو مرض ال myotonia هو عبارة عن increase
+
+56
+00:04:34,870 --> 00:04:39,990
+of contractivity with delay of relaxation after
+
+57
+00:04:39,990 --> 00:04:40,970
+muscle contraction
+
+58
+00:04:43,350 --> 00:04:46,430
+نفس الشيء انا لو في ال thinner imminance عملنا
+
+59
+00:04:46,430 --> 00:04:49,370
+percussion مش .. مش ضابطها في الصورة المفروض اعمل
+
+60
+00:04:49,370 --> 00:04:52,650
+ايه adoption لل thumb مفروض اعمل ايه adoption لل
+
+61
+00:04:52,650 --> 00:04:55,990
+thumb عملنا percussion على thinner imminance
+
+62
+00:04:55,990 --> 00:05:03,530
+المفروض يحدث ايه adoption لل thumb في نوعين من ال
+
+63
+00:05:03,530 --> 00:05:08,730
+myotonia في myotonia dystrophica او بنسميها
+
+64
+00:05:08,730 --> 00:05:13,330
+atrophica myotoniaهذه بتكون autosomal dominant
+
+65
+00:05:13,330 --> 00:05:18,950
+common in males سنة عشرين لخمسين سنة ال myotonia
+
+66
+00:05:18,950 --> 00:05:22,950
+associated with muscle hypertrophy and muscle
+
+67
+00:05:22,950 --> 00:05:27,190
+wasting عشان يسموها atrophic myotonia او myotonia
+
+68
+00:05:27,190 --> 00:05:30,250
+dystrophica يعني فيها muscular dystrophy
+
+69
+00:05:34,600 --> 00:05:38,780
+الكاركترستك لإلهم و دول المرضى بيكون عندهم frontal
+
+70
+00:05:38,780 --> 00:05:43,960
+baldness يعني بيحدث معاهم صلاعة من الأمام cataract
+
+71
+00:05:43,960 --> 00:05:47,880
+عشان هيك لازم نفحصهم و نبعتهم لدكتور العيون ممكن
+
+72
+00:05:47,880 --> 00:05:51,800
+يحدث معاهم Arrhythmia cardiomyopathy و يتوفوا من
+
+73
+00:05:51,800 --> 00:05:56,040
+ال cardiac arrest و الarrhythmia ممكن يكون عندهم
+
+74
+00:05:56,040 --> 00:06:02,540
+mild intellectual dysfunction يعني ال mentality
+
+75
+00:06:02,540 --> 00:06:08,800
+فيها lowglucose intolerance هدول ممكن يحدث عندهم
+
+76
+00:06:08,800 --> 00:06:13,680
+السكر عشان هيك بلزم نفحص لهم fasting blood sugar،
+
+77
+00:06:13,680 --> 00:06:19,090
+hypogonadism ممكن يكون عندهم مشاكل في الإنجابال
+
+78
+00:06:19,090 --> 00:06:23,730
+muscle pain دارو بيكون عندهم و أول symptoms المريض
+
+79
+00:06:23,730 --> 00:06:26,890
+بيجي فيه اللي هو muscle pain ليه؟ لإنه بيحدث معاه
+
+80
+00:06:26,890 --> 00:06:30,650
+muscle cramp تشنجات من كتر ما فيه contraction في
+
+81
+00:06:30,650 --> 00:06:33,130
+ال muscle بيحدث معاهم muscle cramp و أول ما بيصير
+
+82
+00:06:33,130 --> 00:06:36,890
+يتنقل من دكتور لدكتور دكتور عضام دكتور كده و في
+
+83
+00:06:36,890 --> 00:06:42,950
+الأخير ممكن يتشخص as myotonia as myotoniaال EMG
+
+84
+00:06:42,950 --> 00:06:46,150
+بيكون عندهم positive meiotonic pattern و احنا
+
+85
+00:06:46,150 --> 00:06:49,550
+اتفاقنا ايش هو positive meiotonic pattern؟ ال
+
+86
+00:06:49,550 --> 00:06:52,870
+normal population بلزم يعملهم 6 ملي امبير عشان
+
+87
+00:06:52,870 --> 00:06:57,490
+يحدث muscle contraction في مرضى ال meiotonia 2 ل 3
+
+88
+00:06:57,490 --> 00:07:04,200
+ملي امبير enough to produce muscle contractionهنا
+
+89
+00:07:04,200 --> 00:07:09,680
+واضح يكون عندهم frontal baldness ال face الأترافي
+
+90
+00:07:09,680 --> 00:07:13,100
+يكون عندهم هذه muscle هيبوترافي في ال shoulder و
+
+91
+00:07:13,100 --> 00:07:20,940
+هكذا ان هو الثاني من ال myotonia بنسميها myotonia
+
+92
+00:07:20,940 --> 00:07:26,260
+hypertrophica او Thompson disease هو عبارة عن
+
+93
+00:07:26,260 --> 00:07:31,480
+isolated autosomal dominant typecommon in female
+
+94
+00:07:31,480 --> 00:07:37,580
+in childhood myotonia associated with muscle
+
+95
+00:07:37,580 --> 00:07:42,480
+hypertrophy ممكن تكون حقيقي true او real
+
+96
+00:07:42,480 --> 00:07:47,360
+hypertrophy وممكن يكون pseudo hypertrophy يعني
+
+97
+00:07:47,360 --> 00:07:54,060
+تدخم في العضلة كادب بيكون فيه fat deposition الآن
+
+98
+00:07:54,060 --> 00:07:58,780
+بنتجل للنوع التالف من ال muscle diseaseاللي هو
+
+99
+00:07:58,780 --> 00:08:03,360
+myopathy and muscular dystrophy اختي ذا خدته في طب
+
+100
+00:08:03,360 --> 00:08:08,620
+الأطفال myopathy ايش الفرق بين ال myopathy ضمور
+
+101
+00:08:08,620 --> 00:08:12,460
+العضلات و ال muscular dystrophy؟ muscular
+
+102
+00:08:12,460 --> 00:08:20,180
+dystrophy هي نفسها myopathyلكن muscular dystrophy
+
+103
+00:08:20,180 --> 00:08:27,080
+is an inherited group of myopathic disease هي نوع
+
+104
+00:08:27,080 --> 00:08:30,680
+من أنواع ال myopathy لكن ناتجة عن مشاكل في الجينات
+
+105
+00:08:30,680 --> 00:08:37,900
+و بتكون ويراثي resulting from defect in a number
+
+106
+00:08:37,900 --> 00:08:43,980
+of generequire for normal muscle function يقول ان
+
+107
+00:08:43,980 --> 00:08:49,640
+في defect في number of gene و هذا ال number of
+
+108
+00:08:49,640 --> 00:08:53,380
+gene ال defect اللي بيحدث فيها مهم جدا لتكوين
+
+109
+00:08:53,380 --> 00:08:58,680
+أنسجة العضلات أهم symptoms ل ال myopathy و ال
+
+110
+00:08:58,680 --> 00:09:03,650
+muscular dystrophy هوmuscle weakness muscle
+
+111
+00:09:03,650 --> 00:09:07,610
+weakness يبقى muscle weakness يعتبر ال primary
+
+112
+00:09:07,610 --> 00:09:14,270
+symptom يعتبر ايه ال primary symptoms انواع
+
+113
+00:09:14,270 --> 00:09:20,890
+الميوباتيه فيه muscular dystrophy, Duchenne type,
+
+114
+00:09:22,510 --> 00:09:29,090
+Baker type, facial scapulohumeral typeLimb girdle
+
+115
+00:09:29,090 --> 00:09:33,150
+يبقى هذول يعتبروا إيه؟ وراثة هذول بتورثه من جيل
+
+116
+00:09:33,150 --> 00:09:37,130
+لجيل النوع الثاني inflammatory myopathies
+
+117
+00:09:37,130 --> 00:09:41,170
+polymyositis, dermatomyositis, inclusion body
+
+118
+00:09:41,170 --> 00:09:45,010
+myositis, viral هذول بتاخده في طب الباطنة أو ال
+
+119
+00:09:45,010 --> 00:09:49,130
+rheumatology metabolic myopathy ممكن تكون diabetic
+
+120
+00:09:49,130 --> 00:09:52,880
+عند مرض السكرhypothyroidism يأثر
+
+121
+00:09:52,880 --> 00:09:57,780
+الـhyperthyroidism مشاكل الـ adrenal gland و هكذا
+
+122
+00:09:57,780 --> 00:10:02,620
+الاندوكراين اندوكراين و متابوليك نفس الشيء بيكونوا
+
+123
+00:10:02,620 --> 00:10:06,760
+يعني تيرويد براتيرويد ادرينال بتيتريك toxic
+
+124
+00:10:06,760 --> 00:10:16,380
+myopathy alcohol شرب الكحول corticosteroid local
+
+125
+00:10:16,380 --> 00:10:21,880
+injections of narcotics colchicineاللي بتاخد للـ
+
+126
+00:10:21,880 --> 00:10:29,000
+Goutالستاتينز اللى بنعطل دهون كتير مرضى بيكون
+
+127
+00:10:29,000 --> 00:10:31,860
+عندهم جلطات دماغية و بنعطيهم علاج استاتينز زى
+
+128
+00:10:31,860 --> 00:10:35,500
+أكتروفستاتينز و بيحدث معهم muscle weakness و
+
+129
+00:10:35,500 --> 00:10:38,940
+muscle fatigability
+
+130
+00:10:38,940 --> 00:10:45,380
+و بيكون السبب عندهم انه في حدث secondary myopathy
+
+131
+00:10:45,380 --> 00:10:50,780
+او drug induced myopathy due to use of استاتينز
+
+132
+00:10:53,090 --> 00:10:57,210
+نقبل الآن ب muscular dystrophy و ناخد أول نوع منه
+
+133
+00:10:57,210 --> 00:11:02,130
+دوشين muscular dystrophy دوشين type muscular
+
+134
+00:11:02,130 --> 00:11:07,570
+dystrophy it is the most common type of muscular
+
+135
+00:11:07,570 --> 00:11:13,490
+dystrophy دوشين type أكثر نوع منتشر في موضوع ال
+
+136
+00:11:13,490 --> 00:11:18,170
+muscular dystrophy و هو أخطر نوع و هو أيه أخطر نوع
+
+137
+00:11:18,760 --> 00:11:21,820
+وين المشكلة في الـ muscular dystrophy اللي هي
+
+138
+00:11:21,820 --> 00:11:25,940
+دوشين type بيكون فيه mutation في الـ dystrophin
+
+139
+00:11:25,940 --> 00:11:32,520
+gene هي تعتبر X linked recessive affected ال male
+
+140
+00:11:32,520 --> 00:11:37,460
+و ال female carrier ال female بتكون حامل و ال male
+
+141
+00:11:37,460 --> 00:11:44,700
+يصاب ال onset سنتين لخمس سنوات دوشين muscular
+
+142
+00:11:44,700 --> 00:11:49,910
+dystrophyis associated with the most severe
+
+143
+00:11:49,910 --> 00:11:54,430
+clinical symptoms يعني الدشين type بيكون عندهم
+
+144
+00:11:54,430 --> 00:11:59,390
+أكتر أعراض أكتر أعراض غير موجودة في الدشين type
+
+145
+00:11:59,390 --> 00:12:05,410
+muscular dystrophy clinical manifestation of
+
+146
+00:12:05,410 --> 00:12:11,080
+الدشين muscular dystrophya weakness of muscle بصيب
+
+147
+00:12:11,080 --> 00:12:14,520
+approximately group muscle أكتر من ال distal احنا
+
+148
+00:12:14,520 --> 00:12:18,140
+أخدنا في موضوع ال polyneuropathy ان ال distal
+
+149
+00:12:18,140 --> 00:12:21,980
+group involved more than proximal لكن هنا العكس
+
+150
+00:12:21,980 --> 00:12:25,420
+الأمراض بصيب approximately muscle أكتر من ال
+
+151
+00:12:25,420 --> 00:12:33,100
+distal و بصيب ال lower limbs قبل upper limbsهنا
+
+152
+00:12:33,100 --> 00:12:36,960
+بيكون عندهم difficulty running، jumping و walking،
+
+153
+00:12:36,960 --> 00:12:40,680
+صعوبة في الحركة و في القافز و في المشي كده، جوار
+
+154
+00:12:40,680 --> 00:12:43,580
+science بيكون عندهم positive، بيكون عندهم جوار
+
+155
+00:12:43,580 --> 00:12:47,700
+science positive لو قعدنا المريض، بتلاقي لما يجاف،
+
+156
+00:12:47,700 --> 00:12:51,700
+بيكون عملية إيش؟ عنده عملية تسلق، بتسلق عشان يعدي
+
+157
+00:12:51,700 --> 00:12:55,710
+لحاله و يجافيبقى ان هدى لحد ما اشوف مريض suspicion
+
+158
+00:12:55,710 --> 00:12:58,730
+عنده muscular dystrophy بجعده على الأرض و بقوله
+
+159
+00:12:58,730 --> 00:13:02,870
+اجف و بيحدث عملية تسلق، مقدرش اجف مثلنا لإن هو
+
+160
+00:13:02,870 --> 00:13:07,600
+عنده weakness وين في proximal muscles، رح نشوفهال
+
+161
+00:13:07,600 --> 00:13:11,660
+.. وادلين جيت بيكون عندهم ال gate تبعهم وادلين جيت
+
+162
+00:13:11,660 --> 00:13:17,400
+مثل البطة مثل الست اللي في أخر أسبوع في الحمل قبل
+
+163
+00:13:17,400 --> 00:13:20,820
+الولادة بأسبوع كيف تمشي بتكون، نفس الشيء أنا مرضى
+
+164
+00:13:20,820 --> 00:13:23,680
+ال myopathy أو muscular dystrophy عندهم وادلين جيت
+
+165
+00:13:24,970 --> 00:13:31,010
+بحث معهم pseudo-hypertrophy في ال calf muscle due
+
+166
+00:13:31,010 --> 00:13:36,430
+to muscle degeneration and fat deposition هدول
+
+167
+00:13:36,430 --> 00:13:43,590
+المرضى في سن تسع اتناشر سنة تلتاشر سنة بيكونوا
+
+168
+00:13:43,590 --> 00:13:47,290
+well and share dependent بيمشوش على كرسي متحرك
+
+169
+00:13:50,050 --> 00:13:54,370
+هي انه الهو guard signs كيف الإنسان لو قعد بيعمل
+
+170
+00:13:54,370 --> 00:13:57,830
+عملية تسلق عشان يعدل حاله يجه ليه طلعوا لأنه في
+
+171
+00:13:57,830 --> 00:14:02,110
+عنده weakness وين في ال proximal muscle of the
+
+172
+00:14:02,110 --> 00:14:07,810
+thigh في fat deposition اللي بيشوف بيقولك عنده ال
+
+173
+00:14:07,810 --> 00:14:11,950
+calf muscle نصحين لأ هذا الناتج عن انه في
+
+174
+00:14:11,950 --> 00:14:15,410
+deposition of fat هذا ال pseudo-hyperatrophy لكن
+
+175
+00:14:15,410 --> 00:14:20,500
+العضلة ضعيفةبالمظهر الخارجي من بينها ان فيها تضخم
+
+176
+00:14:20,500 --> 00:14:24,400
+لكن هي تضخم هذا كاذب ناتج عن تكوين دهون في مكان
+
+177
+00:14:24,400 --> 00:14:30,820
+العضلات what's the complications of Duchenne
+
+178
+00:14:30,820 --> 00:14:35,680
+muscular dystrophy؟ أول شيء dilated cardiomyopathy
+
+179
+00:14:36,470 --> 00:14:41,270
+و المرضى هدول بتوفوا اخر شئ من ال cardio myopathy
+
+180
+00:14:41,270 --> 00:14:46,110
+او من respiratory failure و بتوفوا احيانا على جهاز
+
+181
+00:14:46,110 --> 00:14:50,670
+التنفس الصناعي orthopedic complications fractures
+
+182
+00:14:50,670 --> 00:14:57,130
+lordosis scoliosis respiratory failure shortening
+
+183
+00:14:57,130 --> 00:15:02,610
+of Achilles tendon prognosis of patients of
+
+184
+00:15:02,610 --> 00:15:07,480
+muscular dystrophidochain typeبيكونوا على
+
+185
+00:15:07,480 --> 00:15:13,040
+wheelchair خلال اتناشر سنة من عمرهم و ال death
+
+186
+00:15:13,040 --> 00:15:17,380
+بيحدث في سن يتراوح ما بين اتشرين لتلاتين سنة، يبقى
+
+187
+00:15:17,380 --> 00:15:22,540
+ان هذا سن مبكر بالنسبة لمرضى ال myopathy what's
+
+188
+00:15:22,540 --> 00:15:25,240
+the cause of death؟ ال cause of death
+
+189
+00:15:25,240 --> 00:15:31,090
+cardiomyopathyand respiratory failure فشل في
+
+190
+00:15:31,090 --> 00:15:35,510
+التنفس وضعف عضلات التنفس وممكن يكون فيه مشاكل في
+
+191
+00:15:35,510 --> 00:15:41,310
+عضلات القلب النوع الثاني من muscular dystrophy
+
+192
+00:15:41,310 --> 00:15:46,830
+بيكر type muscular dystrophy البيكر type muscular
+
+193
+00:15:46,830 --> 00:15:52,880
+dystrophy مش بالكثير دوشين typeلكن نتكلم على
+
+194
+00:15:52,880 --> 00:15:56,320
+الاختلاف it is the second most common type of
+
+195
+00:15:56,320 --> 00:15:59,660
+muscular dystrophy بعد دوشان يبقى الأول شئ بكون
+
+196
+00:15:59,660 --> 00:16:05,040
+دوشان بعده بيكر نفس الشيء المشكلة ال mutation في
+
+197
+00:16:05,040 --> 00:16:12,220
+ال dystrophin gene و نفس الشيء X linked recessive
+
+198
+00:16:12,220 --> 00:16:18,080
+type و ال effect ال male و ال female بيكونوا
+
+199
+00:16:18,080 --> 00:16:24,270
+carrier لكن إيش الاختلاف؟اختلاف ان هو الانثت
+
+200
+00:16:24,270 --> 00:16:28,270
+variable هي واحد يعني مابيجيش في سن مبكر مثل
+
+201
+00:16:28,270 --> 00:16:35,450
+الدوشين، اتنين more benign course يعني اقل خطورة و
+
+202
+00:16:35,450 --> 00:16:39,370
+اقل تدهور بيكون الحالة المريض من حالات الدوشين
+
+203
+00:16:50,970 --> 00:16:56,290
+المرض بتأخر شوية بيجيش بسن مبكر و more benign
+
+204
+00:16:56,290 --> 00:16:56,750
+cause
+
+205
+00:17:01,070 --> 00:17:04,370
+muscle involvement is less severe than in a
+
+206
+00:17:04,370 --> 00:17:07,170
+Duchenne muscular dystrophy لأن هو more benign
+
+207
+00:17:07,170 --> 00:17:11,950
+وأقل خطورة من ال Duchenne type لكن ما ننسى موضوع
+
+208
+00:17:11,950 --> 00:17:15,770
+cardiac involvement cardiac involvement and
+
+209
+00:17:15,770 --> 00:17:20,410
+cardiomyopathy more evident وكل المرضى اللي عندهم
+
+210
+00:17:20,410 --> 00:17:24,550
+muscular dystrophy بلزم عرض على أخصائي القلب
+
+211
+00:17:24,550 --> 00:17:31,410
+وينعملهم eco cardiography هذا هو حالاتbaker
+
+212
+00:17:31,410 --> 00:17:35,190
+muscular dystrophy لاحظوا سنه فوق الثلاثين و بمشي
+
+213
+00:17:35,190 --> 00:17:39,650
+لساته ما جاعد على كورسة متحرك هذا بدل انه benign
+
+214
+00:17:39,650 --> 00:17:45,870
+عنده scoliosis facial
+
+215
+00:17:45,870 --> 00:17:51,570
+scapulohumeral muscular dystrophy النوع الثالث من
+
+216
+00:17:51,570 --> 00:17:58,020
+ال muscular dystrophy facial scapulohumeral typeأو
+
+217
+00:17:58,020 --> 00:18:04,860
+بنسمي لندوزيه دي جيراين disease لندوزيه دي جيراين
+
+218
+00:18:04,860 --> 00:18:08,640
+disease يبقى لو سألنا ايش هو لندوزيه دي جيراين
+
+219
+00:18:08,640 --> 00:18:12,700
+muscular dystrophy ع السريع بنقول facial
+
+220
+00:18:12,700 --> 00:18:18,140
+scapulohumeral type of muscular dystrophyit is the
+
+221
+00:18:18,140 --> 00:18:21,720
+third most common type of muscular dystrophy يبقى
+
+222
+00:18:21,720 --> 00:18:26,000
+انه يعتبر النوع الثالث بعد دوشان وبعد بيكر
+
+223
+00:18:26,000 --> 00:18:32,100
+autosomal dominant clinical manifestation of
+
+224
+00:18:32,100 --> 00:18:36,480
+facial scapulohumeral type of muscular dystrophy
+
+225
+00:18:36,480 --> 00:18:43,350
+ال age المرض بيجي في ال middle ageيعني في second
+
+226
+00:18:43,350 --> 00:18:49,230
+decade يبقى راح يكون more benign than دوشين إيش
+
+227
+00:18:49,230 --> 00:18:51,830
+الأعراض اللي بتكون عندهم progressive muscle
+
+228
+00:18:51,830 --> 00:18:55,390
+weakness تبدأ بال facial muscle, scapular muscle,
+
+229
+00:18:55,530 --> 00:18:58,870
+upper limbs عشان هيك سموا إيش المرض facial,
+
+230
+00:18:59,430 --> 00:19:05,250
+scapular, humeral type of muscular disorder حسب ال
+
+231
+00:19:05,250 --> 00:19:09,980
+onset of muscle weakness هو وين بيبدأبصيب ال lower
+
+232
+00:19:09,980 --> 00:19:16,380
+limbs, leg, hip جيرد ال muscle و ال symptoms
+
+233
+00:19:16,380 --> 00:19:20,140
+usually symmetrical يعني ال right و ال left
+
+234
+00:19:20,140 --> 00:19:24,080
+بيختلفوا عن بعض يعني ممكن تصيب جهة أكتر من جهة هاي
+
+235
+00:19:24,080 --> 00:19:30,550
+واضحانا اللي هو ال facial scapulohumeral type أي
+
+236
+00:19:30,550 --> 00:19:37,110
+صيب الليمب جيردلز الفيمورال جيردلز والهيمورال
+
+237
+00:19:37,110 --> 00:19:41,430
+جيردلز تمام في الحالة هذه واضح ال scapular muscle
+
+238
+00:19:41,430 --> 00:19:47,530
+أتروفي هذا يعتبر facial scapulohumeral type
+
+239
+00:19:47,530 --> 00:19:51,810
+muscular dystrophyفي other manifestation يعني احنا
+
+240
+00:19:51,810 --> 00:19:54,750
+اتفاقنا انه اهم manifestation ل ال muscular
+
+241
+00:19:54,750 --> 00:19:58,930
+dystrophy اللي هو ايه؟ اللي هو muscle weakness و
+
+242
+00:19:58,930 --> 00:20:03,450
+muscle atrophy لكن في ال facial scapulohumeral
+
+243
+00:20:03,450 --> 00:20:07,370
+type muscular dystrophypresented other
+
+244
+00:20:07,370 --> 00:20:13,050
+manifestations أو بنسميهم non neurological
+
+245
+00:20:13,050 --> 00:20:16,130
+manifestations أو بنسميهم أصح non skeletal
+
+246
+00:20:16,130 --> 00:20:19,490
+manifestations مالهم مش علاقة بيش بال muscle مثل
+
+247
+00:20:19,490 --> 00:20:24,490
+pain ألم kyphosis lordosisمالهومش علاقة بالعضلات
+
+248
+00:20:24,490 --> 00:20:28,090
+لحد الآن Retinal, Vasculopathy, Hearing Loss,
+
+249
+00:20:28,610 --> 00:20:31,590
+Cardiac Arrhythmia, Cognitive Impairment,
+
+250
+00:20:31,930 --> 00:20:35,630
+Convulsion and Epilepsy كل هذا مالهومش علاقة
+
+251
+00:20:35,630 --> 00:20:38,450
+بالعضلات، احنا قلنا أهم symptoms لـ muscular
+
+252
+00:20:38,450 --> 00:20:43,190
+dystrophy هو muscle weakness و muscle atrophy لكن
+
+253
+00:20:43,190 --> 00:20:47,590
+في النوع هذا ممكن يحدث أعراض أخرى غير الموضوع اللي
+
+254
+00:20:47,590 --> 00:20:52,200
+هو muscle weakness painكيفاصس، دردوسس، hearing
+
+255
+00:20:52,200 --> 00:20:56,800
+loss، Epilepsy، Convulsion، Arrhythmia و هكذا كله
+
+256
+00:20:56,800 --> 00:21:02,840
+cognitive impairmentأخر نوع في ال muscular
+
+257
+00:21:02,840 --> 00:21:08,040
+dystrophy اللي هو limb girdle muscular dystrophy
+
+258
+00:21:08,040 --> 00:21:12,600
+limb girdle muscular dystrophy من اسمه limb girdle
+
+259
+00:21:12,600 --> 00:21:16,860
+muscular dystrophy راح يصيب ايش الجردل اما
+
+260
+00:21:16,860 --> 00:21:22,040
+scapulohumeral type واما pelvifemoral type تمام
+
+261
+00:21:22,040 --> 00:21:29,210
+يعتبر muscular dystrophyPredominantly a proximal
+
+262
+00:21:29,210 --> 00:21:33,490
+distribution of weakness بصيب ال proximal muscle و
+
+263
+00:21:33,490 --> 00:21:38,930
+بحدث spearing ل ال distal muscle و ال facial و ال
+
+264
+00:21:38,930 --> 00:21:43,670
+extraocular muscle Inheritance لإن Inheritance في
+
+265
+00:21:43,670 --> 00:21:46,210
+ال limb gerdial muscular dystrophy ممكن يكون
+
+266
+00:21:46,970 --> 00:21:51,530
+autosomal recessive وممكن يكون autosomal dominant
+
+267
+00:21:51,530 --> 00:21:55,990
+يعني في بعض الحلات في المجرد ممكن تكون recessive
+
+268
+00:21:55,990 --> 00:22:01,570
+وبعض الحلات ممكن يكونوا إيش dominant onset late
+
+269
+00:22:01,570 --> 00:22:07,130
+first or second decade of life expression بيصيب ال
+
+270
+00:22:07,130 --> 00:22:13,310
+male و ال femaleو weakness me affected shoulder
+
+271
+00:22:13,310 --> 00:22:18,210
+girdle و نسميها scapulohumeral type و ممكن نصيب
+
+272
+00:22:18,210 --> 00:22:23,250
+الهو pelvic girdle و نسميه pelvic femoral type
+
+273
+00:22:23,250 --> 00:22:27,790
+يعني ال limb girdle muscular dystrophy هو عبارة عن
+
+274
+00:22:27,790 --> 00:22:33,710
+one type of the muscular dystrophy بيصيب proximal
+
+275
+00:22:33,710 --> 00:22:41,730
+musclesو ممكن يبدأ في السن خمساشت، سبعتاش، تسعتاش
+
+276
+00:22:41,730 --> 00:22:45,630
+أو في العشرينات المرض هذا ممكن يكون autosomal
+
+277
+00:22:45,630 --> 00:22:49,770
+recessive و ممكن يكون autosomal dominant و من
+
+278
+00:22:49,770 --> 00:22:54,970
+ناحية ال clinical manifestation حسب أي مكان يصاب
+
+279
+00:22:54,970 --> 00:23:00,810
+أكتر ممكن يتقسم لقسمينسكابلو هي moral type بيصيب
+
+280
+00:23:00,810 --> 00:23:06,010
+shoulder girdle وممكن يقسم لبلفي في moral type
+
+281
+00:23:06,010 --> 00:23:15,050
+بيصيب ال pelvic girdle أي لمب جردل مسكولردستروفي
+
+282
+00:23:15,050 --> 00:23:20,580
+بنقله نوعين او تسمى ال recessiveو autosomal
+
+283
+00:23:20,580 --> 00:23:23,840
+dominant يبقى النوعين autosomal recessive و
+
+284
+00:23:23,840 --> 00:23:30,220
+dominant يعني سائد المتنحي والسائد إيش الفرق بين
+
+285
+00:23:30,220 --> 00:23:37,240
+recessive type و dominant type؟ مين أختار؟من ناحية
+
+286
+00:23:37,240 --> 00:23:41,400
+ال progression of disease من ناحية ال clinical
+
+287
+00:23:41,400 --> 00:23:46,040
+manifestation من ناحية ال disability مين الأخطر؟
+
+288
+00:23:46,040 --> 00:23:52,480
+راح نلاحظ ان ال recessive type more dangerous ليه؟
+
+289
+00:23:52,480 --> 00:23:55,920
+لأن ال symptoms تبدأ early، يكون عندهم early
+
+290
+00:23:55,920 --> 00:23:58,080
+signs، early onset
+
+291
+00:24:00,520 --> 00:24:03,500
+more rapid progression of disease more rapid
+
+292
+00:24:03,500 --> 00:24:08,760
+progression of disease ثالثة high ck level بيكون
+
+293
+00:24:08,760 --> 00:24:13,280
+عندهم مرتفع نسبة لكرياتينين كينيز اللي بيدل على
+
+294
+00:24:13,280 --> 00:24:17,620
+انه فيه degeneration في ال muscle هذا انزيم تمام
+
+295
+00:24:17,620 --> 00:24:23,720
+نجي ل auto somal dominant subtype more benign
+
+296
+00:24:23,720 --> 00:24:28,880
+course هي واحد more gradual progression او more
+
+297
+00:24:28,880 --> 00:24:34,560
+benign courseأثنين later age of onset بيبدأ في سن
+
+298
+00:24:34,560 --> 00:24:39,820
+متأخر ثلاثة minimal elevation of CK level وهنا
+
+299
+00:24:39,820 --> 00:24:43,840
+بيبدأ مشاكل مريض عنده أعراض myopathy muscular
+
+300
+00:24:43,840 --> 00:24:49,960
+dystrophy بنطلبله ال CK و LDH بنلاقيهم normal أو
+
+301
+00:24:49,960 --> 00:24:54,760
+mild elevation فيهم بيجي طبيب أخر بيقولك لأ دي مش
+
+302
+00:24:54,760 --> 00:24:59,970
+حالة myopathy ال CK normalومافيش ضمور في العضلات
+
+303
+00:24:59,970 --> 00:25:03,370
+مدام seeking normal نتذكر انه في نوع benign
+
+304
+00:25:03,370 --> 00:25:08,690
+dominant type of limb geared myopathy هذا النوع
+
+305
+00:25:08,690 --> 00:25:14,050
+بيبدأ more late presentation في سن متأخر شوية بعد
+
+306
+00:25:14,050 --> 00:25:20,160
+العشرين بعد تمامثلاثة ال course بتاعه more benign
+
+307
+00:25:20,160 --> 00:25:26,200
+ثلاثة ال elevation of CK أو LDH ممكن تكون normal
+
+308
+00:25:26,200 --> 00:25:31,440
+or associated with mild elevation of CK and LDH
+
+309
+00:25:31,440 --> 00:25:36,320
+دلوقت
+
+310
+00:25:36,320 --> 00:25:40,880
+نتكلم على ال secondary myopathy نتكلمنا أول شي على
+
+311
+00:25:40,880 --> 00:25:45,740
+ال inherited muscular dystrophyالان هتكلم على
+
+312
+00:25:45,740 --> 00:25:50,600
+secondary myopathy، endocrine ضروري كل مرضى اللي
+
+313
+00:25:50,600 --> 00:25:55,260
+عندهم myopathy and muscular dystrophy يعملهم good
+
+314
+00:25:55,260 --> 00:26:01,380
+screening ل ال hormones، ل ال metabolism كله، ممكن
+
+315
+00:26:01,380 --> 00:26:03,600
+يكون عندهم hypothyroidism، ممكن يكون عندهم
+
+316
+00:26:03,600 --> 00:26:07,050
+hyperthyroidismcaching syndrome, adrenal
+
+317
+00:26:07,050 --> 00:26:10,990
+insufficiency, hyper aldosteronism,
+
+318
+00:26:11,470 --> 00:26:16,010
+hyperparathyroidism DM مابنسى مريض يوم من الأيام
+
+319
+00:26:16,010 --> 00:26:20,210
+استدعونى عليه مريض فى مستشفى ما كان فى العناية
+
+320
+00:26:20,210 --> 00:26:25,190
+المركزة المريض اضئله تقريبا اكتر من سنة بتعالج as
+
+321
+00:26:25,190 --> 00:26:30,330
+myasthenia gravis مرض واحد العضلات دخل فى MI دخل
+
+322
+00:26:30,330 --> 00:26:35,480
+فى جلطة فى القلباللي لما أنا خدت ال history منه،
+
+323
+00:26:35,480 --> 00:26:41,540
+وجدت انه كان عنده وزنه بيزيد، عنده خمور طول الفترة
+
+324
+00:26:43,010 --> 00:26:46,890
+ال CK عالية و هنا انت بتكون في dilemma ممكن ال CK
+
+325
+00:26:46,890 --> 00:26:51,770
+هذا اعلي من ال MI او من اشياء ثانية هل انا اجى بقى
+
+326
+00:26:51,770 --> 00:26:55,650
+لموضوع ال hypothyroidism كسل الغدادراقية و ممكن
+
+327
+00:26:55,650 --> 00:26:57,770
+اللي عنده مش مرض myasthenia grave اسمها العضلات و
+
+328
+00:26:57,770 --> 00:27:01,530
+عنده secondary myopathy due to hypothyroidism فعلا
+
+329
+00:27:01,530 --> 00:27:04,250
+طلبت فحص ال TSH
+
+330
+00:27:06,980 --> 00:27:10,480
+اللي هو thyroid stimulating hormone الطبيعي من 0.5
+
+331
+00:27:10,480 --> 00:27:17,580
+ل 5 وجدت عند المريض كان 55 تقريبا 55 عالي جدا يبقى
+
+332
+00:27:17,580 --> 00:27:20,340
+لما ده معالي ال TSH بيدل انه فيها ايش
+
+333
+00:27:20,340 --> 00:27:28,160
+hypothyroidism hypothyroidism انتوا عارفين ال TSH
+
+334
+00:27:28,160 --> 00:27:33,260
+بيرتفع في حالات ال hypothyroidism و بينخفض في
+
+335
+00:27:33,260 --> 00:27:38,810
+حالات ال hyperthyroidism بشتغل معهم asأي بار
+
+336
+00:27:38,810 --> 00:27:44,590
+ثيروديزم بشتغل معهم as feedback mechanism عكسي
+
+337
+00:27:44,590 --> 00:27:49,430
+نظام عكسي نظام عكسي حدث كسل في الغضب الدراقية
+
+338
+00:27:49,430 --> 00:27:52,690
+والغضب النخامية بترفع ال TSH عشان تعمل
+
+339
+00:27:52,690 --> 00:27:56,590
+compensation العكس صحيح حدث نشاط في الغضب الدراقية
+
+340
+00:27:56,590 --> 00:28:00,650
+الغضب النخامية بتقلل ال TSH عشان تعمل inhibition
+
+341
+00:28:00,650 --> 00:28:06,500
+لإفراز هرمونات الغضب الدراقيةmetabolic screening
+
+342
+00:28:06,500 --> 00:28:12,480
+للكربوهيدرات الشجر للبدز لفيتامين E البوتاسيوم
+
+343
+00:28:12,480 --> 00:28:16,740
+البوتاسيوم ممكن يعملنا periodic myobligia ممكن
+
+344
+00:28:16,740 --> 00:28:20,360
+يكون hypokalemic periodic myobligia ممكن تكون
+
+345
+00:28:20,360 --> 00:28:24,140
+hyperkalemic periodic myobligia ممكن تكون
+
+346
+00:28:24,140 --> 00:28:28,000
+normalkalemic periodic myobligia اللي علاقة بموضوع
+
+347
+00:28:28,000 --> 00:28:33,100
+البوتاسيوم بنفحص الكارنتين لإن الكارنتين دي في
+
+348
+00:28:33,100 --> 00:28:36,870
+شансي يؤدي إلى myopathyنفحص rheumatological
+
+349
+00:28:36,870 --> 00:28:40,970
+disease، systemic disease لل SLA، لل rheumatoid
+
+350
+00:28:40,970 --> 00:28:44,450
+arthritis، ل vasculitis، كل هذه الأمراض، ال
+
+351
+00:28:44,450 --> 00:28:46,890
+systemic disease ممكن تعملنا secondary، myopathy
+
+352
+00:28:48,390 --> 00:28:51,650
+drugs and toxins ضروري ناخد ال history، إذا مريض
+
+353
+00:28:51,650 --> 00:28:55,330
+بتوعاطع مخدرات، heroin، cocaine، كل هذا ممكن
+
+354
+00:28:55,330 --> 00:28:59,890
+يعملنا سكندريا ما يبثي، alcohol، corticosteroids،
+
+355
+00:28:59,890 --> 00:29:03,350
+colchicine اللي بنعطه للـ gout، للنقرص،
+
+356
+00:29:03,350 --> 00:29:07,310
+bisafibrate، والستينزة دول بنعطه للدهون، خاصة ال
+
+357
+00:29:07,310 --> 00:29:13,180
+bisafibrateassociated with secondary myopathy إذا
+
+358
+00:29:13,180 --> 00:29:16,720
+أنا بعالج مريض وبعطيه بيزا فيبريت أو بعطيه ستينز
+
+359
+00:29:16,720 --> 00:29:19,860
+ضروري إذا جالنا بعد فترة و جال عندي ألم في العضلات
+
+360
+00:29:19,860 --> 00:29:23,600
+وعنده ضعف وهزل نفكر إنه في حدث معاه secondary
+
+361
+00:29:23,600 --> 00:29:29,980
+myopathy drug-induced myopathy viral infection
+
+362
+00:29:29,980 --> 00:29:34,970
+انفلوانزاكل حياتنا صار معنا secondary myopathy،
+
+363
+00:29:34,970 --> 00:29:37,930
+كلنا صار معنا secondary myopathy، لما يحدث عندنا
+
+364
+00:29:37,930 --> 00:29:40,530
+انفلوانزا، إيش بيكون؟ بيكونوا مكسرين، تعبانين، مش
+
+365
+00:29:40,530 --> 00:29:42,390
+قادرين يعملوا أي شيء، إنه خاطر الموضوع اللي أنا
+
+366
+00:29:42,390 --> 00:29:46,870
+قاعدين، و مش من ال fresh، من إيه؟ لتأثير السموم،
+
+367
+00:29:46,870 --> 00:29:49,790
+تبع ال virus، و ال virus نفسه على ال muscle و
+
+368
+00:29:49,790 --> 00:29:54,530
+عضلات الجسم، HIV, cytomegalovirus infection و
+
+369
+00:29:54,530 --> 00:30:00,100
+other viral infectionيعني مريض عنده muscular
+
+370
+00:30:00,100 --> 00:30:03,360
+dystrophy او myopathy ايش بنعمله؟ بناخد ال history
+
+371
+00:30:03,360 --> 00:30:11,740
+بعدها clinical evaluation ال examination
+
+372
+00:30:11,740 --> 00:30:15,920
+investigations يعني أخدنا history
+
+373
+00:30:18,530 --> 00:30:21,170
+الكلنكة كلها evaluation أخدنا history بعد ال
+
+374
+00:30:21,170 --> 00:30:23,910
+history بنعمل examination للمريض بعد ال
+
+375
+00:30:23,910 --> 00:30:28,110
+examination بعمله investigation for confirm
+
+376
+00:30:28,110 --> 00:30:34,370
+diagnosis إيش هم الفحوصات
+
+377
+00:30:34,370 --> 00:30:36,850
+اللي بنعملهم للمرضى اللي عندهم myopathy أو
+
+378
+00:30:36,850 --> 00:30:45,470
+muscular dystrophy CBC ESR blood chemistryLiver
+
+379
+00:30:45,470 --> 00:30:49,230
+Function Test Kidney Function Test Serum
+
+380
+00:30:49,230 --> 00:30:55,110
+Electrolytes Creatinine CK Metabolic Screening
+
+381
+00:30:55,110 --> 00:31:02,190
+Thyroid Function Test Cortisol Level ECG Ecocardio
+
+382
+00:31:02,190 --> 00:31:05,670
+Electromyography
+
+383
+00:31:06,530 --> 00:31:10,170
+muscle biopsy genetic study كلهم بنعملهم ال
+
+384
+00:31:10,170 --> 00:31:14,450
+electrode myography بشخص إذا فيه دمور في العضلات
+
+385
+00:31:14,450 --> 00:31:18,430
+ecocardiography بنعمل عشان إذا فيه اعتلال في عضلات
+
+386
+00:31:18,430 --> 00:31:23,830
+القلب وفي ما يبثل ECG عشان إذا فيه أرhythmia
+
+387
+00:31:23,830 --> 00:31:27,750
+muscle biopsy for confirm diagnosis genetic study
+
+388
+00:31:27,750 --> 00:31:31,170
+عشان نبين إذا حالة وراثية هذه muscular dystrophy
+
+389
+00:31:31,670 --> 00:31:34,890
+الثيرويد فانكشن والكرتزول والميتابوليك ضروري
+
+390
+00:31:34,890 --> 00:31:37,950
+نعملهم هم و ال biochemistry عشان نعمل ال exclusion
+
+391
+00:31:37,950 --> 00:31:43,890
+لال secondary myopathy ال ck و ال ldh بنعملهم for
+
+392
+00:31:43,890 --> 00:31:47,450
+confirmed diagnosis بيرتفعوا في حالات muscular
+
+393
+00:31:47,450 --> 00:31:54,690
+dystrophy treatment of muscular dystrophy لأ ال
+
+394
+00:31:54,690 --> 00:31:58,030
+muscular dystrophy مافيش لها علاج كاملmascular
+
+395
+00:31:58,030 --> 00:32:01,330
+dystrophy احنا بنتكلم على primary او genetic type
+
+396
+00:32:01,330 --> 00:32:04,530
+اذا فيه secondary myopathy بدنا نعالج السبب
+
+397
+00:32:04,530 --> 00:32:08,790
+الرئيسي يعني مريض عنده myopathy ناتج عن
+
+398
+00:32:08,790 --> 00:32:12,770
+hypothyroidism بدنا نعالج ال hypothyroidism مريض
+
+399
+00:32:12,770 --> 00:32:15,730
+عنده myopathy ناتج عن DM عن السكر بدنا نعالج مرض
+
+400
+00:32:15,730 --> 00:32:20,410
+السكر في ال secondary myopathy لازم نعالج السبب
+
+401
+00:32:20,410 --> 00:32:26,360
+الرئيسي لكن في ال primary muscular dystrophyاللي
+
+402
+00:32:26,360 --> 00:32:32,920
+هو genetic cause أول شيء ما لهم علاج كامل ما لهم
+
+403
+00:32:32,920 --> 00:32:38,420
+Radical therapy في دوشين type فقط بنعطيه low dose
+
+404
+00:32:38,420 --> 00:32:41,620
+of prednisone مع أنه احنا قولنا ال cortisone ممكن
+
+405
+00:32:41,620 --> 00:32:46,920
+يعمل myopathy لكن أثبت ان ال prednisone في جرعات
+
+406
+00:32:46,920 --> 00:32:54,260
+بسيطة 0.75 ميلي جرام PRKG كل يومفي حالات دوشين طيب
+
+407
+00:32:54,260 --> 00:32:59,560
+مسكولر ديستروفي ممكن يقللوا ال progression of
+
+408
+00:32:59,560 --> 00:33:08,700
+disease ين ثيرابي كارنتين مالتي ويتامينSymptomatic
+
+409
+00:33:08,700 --> 00:33:13,280
+Therapy, Orthopedic Management and Physical
+
+410
+00:33:13,280 --> 00:33:17,560
+Therapy, Physiotherapy and Medical Rehabilitation،
+
+411
+00:33:17,560 --> 00:33:21,440
+هذا هو أهم شيء في علاج الـ Myopathy، الآن راح أعرض
+
+412
+00:33:21,440 --> 00:33:27,860
+لكم فيديو لحالة تطور مرض اللي هو muscular
+
+413
+00:33:27,860 --> 00:33:30,960
+dystrophin type، نشوف مع بعض الفيديو
+
+414
+00:34:59,430 --> 00:35:00,270
+العزيزة
+
+415
+00:36:27,850 --> 00:36:29,250
+موسيقى
+
+416
+00:37:41,000 --> 00:37:41,640
+العزيزة
+
+417
+00:39:07,960 --> 00:39:13,020
+هكذا وصلنا لنهاية محاضرة muscle disease يعطيكم
+
+418
+00:39:13,020 --> 00:39:13,760
+العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA.srt
new file mode 100644
index 0000000000000000000000000000000000000000..52381979e241d9bd71ccef6cd402fe51de155130
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA.srt
@@ -0,0 +1,1414 @@
+1
+00:00:04,930 --> 00:00:10,450
+بسم الله الرحمن الرحيم جزء ثاني من محاضرة الـ
+
+2
+00:00:10,450 --> 00:00:16,570
+demyelinating disease of the CNS فهنكمل كام slide على
+
+3
+00:00:16,570 --> 00:00:20,740
+multiple sclerosis وصلنا الى Eradiological
+
+4
+00:00:20,740 --> 00:00:24,040
+diagnosis of multiple sclerosis الآن ننتقل إلى
+
+5
+00:00:24,040 --> 00:00:28,500
+multiple sclerosis CSF findings بنعمل lumbar
+
+6
+00:00:28,500 --> 00:00:33,520
+puncture، و نأخذ CSF، و نفحص العينة  فنلاقي
+
+7
+00:00:33,520 --> 00:00:42,200
+فيه increase في الـ white blood cells  65%، و increase
+
+8
+00:00:42,200 --> 00:00:46,540
+في الـ total protein.  الطبيعي  لـ protein بيكون
+
+9
+00:00:46,540 --> 00:00:49,720
+خمسة عشر لخمسة وأربعين ملي جرام من الديسيلتر. هذا
+
+10
+00:00:49,720 --> 00:00:52,740
+ممكن يجيء مئة ومئة وخمسين، لأنه الـ myelin sheath هو
+
+11
+00:00:52,740 --> 00:00:58,080
+عبارة عن إيه؟ عبارة عن ليبوبروتين. بنجد positive
+
+12
+00:00:58,080 --> 00:01:03,340
+اللي هو الـ oligoclonal bands من الجلوبولين، وفي
+
+13
+00:01:03,340 --> 00:01:07,980
+الحالة هذه،  multiple sclerosis نقسمها قسمين: zero
+
+14
+00:01:07,980 --> 00:01:13,200
+serology positive و serology
+
+15
+00:01:15,780 --> 00:01:22,920
+negative MS أو بيقولوا zero positive MS. تقريباً
+
+16
+00:01:22,920 --> 00:01:31,700
+خمسة وثمانون في المئة لتسعين بيكونوا zero positive
+
+17
+00:01:31,700 --> 00:01:37,240
+MS، ومن عشرة لخمسة عشر في المئة بيكونوا zero
+
+18
+00:01:37,240 --> 00:01:41,540
+negative MS، بيكون عندهم الـ bands negative.
+
+19
+00:01:44,150 --> 00:01:48,330
+الـ precipitating factors for MS. ننصح المرضى
+
+20
+00:01:48,330 --> 00:01:51,170
+بتوع التصلب المتعدد يبتعدوا عن الأشياء اللي ممكن
+
+21
+00:01:51,170 --> 00:01:55,290
+تُزيد لهم الـ exacerbation of disease. Fever، most
+
+22
+00:01:55,290 --> 00:02:00,710
+common cause of exacerbation of disease. Infection
+
+23
+00:02:00,710 --> 00:02:03,430
+زي الإنفلوانزا أو upper respiratory tract
+
+24
+00:02:03,430 --> 00:02:07,690
+infection. Heat sensitivity. بنطلب من المرضى يحاولوا
+
+25
+00:02:07,690 --> 00:02:10,970
+يبتعدوا عن المياه الساخنة كثيراً، يدخلوا المياه الساخنة و
+
+26
+00:02:10,970 --> 00:02:14,610
+يتحملوا، يبتعدوا عن المياه الساخنة. Emotional stress،
+
+27
+00:02:14,610 --> 00:02:21,070
+المشاكل العاطفية، و التوتر النفسي، و الـ stress كله
+
+28
+00:02:21,070 --> 00:02:24,870
+هذا يؤدي إلى increase of the exacerbation.
+
+29
+00:02:24,870 --> 00:02:30,320
+Physical exertion، المجهود العضلي، و المجهود المتعب
+
+30
+00:02:30,320 --> 00:02:35,080
+اللي بيكون شاق، قد يؤدي إلى exacerbation. Surgical
+
+31
+00:02:35,080 --> 00:02:39,760
+intervention، خاصة surgical intervention under
+
+32
+00:02:39,760 --> 00:02:43,620
+general anesthesia. التدخل الجراحي، بحيث أن التدخل
+
+33
+00:02:43,620 --> 00:02:47,940
+الجراحي يعتبر stress للمريض، و توتر نفسي زائد، اللي
+
+34
+00:02:47,940 --> 00:02:51,980
+هو الـ general anesthesia، ممكن يحفز و يزيد موضوع
+
+35
+00:02:51,980 --> 00:02:57,550
+demyelination. الآن ننتقل لموضوع treatment، علاج المرض.
+
+36
+00:02:57,550 --> 00:03:01,910
+Treatment of multiple sclerosis. أنتم ما بتاخدوا
+
+37
+00:03:01,910 --> 00:03:04,730
+كثير موضوع التدخل للعلاج الدوائي، راح تأخذوا
+
+38
+00:03:04,730 --> 00:03:10,090
+الموضوع العلاج الطبيعي في الـ MS، لكن how is MS
+
+39
+00:03:10,090 --> 00:03:14,310
+treated and managed؟ أول شيء فيه drug therapy، علاج
+
+40
+00:03:14,310 --> 00:03:19,670
+دوائي. علاج دوائي لـ new attacks، من علاج الـ
+
+41
+00:03:19,670 --> 00:03:25,080
+exacerbation، علاج عند النوبة. أي واحد ثاني: prevent
+
+42
+00:03:25,080 --> 00:03:29,560
+the occurrence of future attacks. بنعمل وقاية
+
+43
+00:03:29,560 --> 00:03:34,860
+للنوبات. بنعطي علاج يعمل slow لـ progression of
+
+44
+00:03:34,860 --> 00:03:41,640
+disease. و العلاج هذا يعتبر بيقلل أو يوقف تدهور المرض،
+
+45
+00:03:41,640 --> 00:03:45,650
+و يمنع النوبات، أو لا يمنع النوبات، قد يعني يقلل
+
+46
+00:03:45,650 --> 00:03:49,950
+النوبات. يقلل الـ relapse of disease and
+
+47
+00:03:49,950 --> 00:03:54,530
+treatment of symptoms. يعتبر symptomatic treatment،
+
+48
+00:03:54,530 --> 00:03:59,010
+treat the symptoms of disease. حسب الأعراض اللي
+
+49
+00:03:59,010 --> 00:04:03,730
+عند المريض. بنعطي بعض العلاجات. Medical
+
+50
+00:04:03,730 --> 00:04:07,510
+rehabilitation and physiotherapy، العلاج الطبيعي
+
+51
+00:04:07,510 --> 00:04:12,290
+و التأهيل الطبي لهؤلاء المرضى، و الـ psychosocial
+
+52
+00:04:12,290 --> 00:04:17,450
+support، الدعم النفسي و الاجتماعي لمرضى التصلب المتعدد.
+
+53
+00:04:17,450 --> 00:04:23,910
+Treatment of exacerbation. بالنسبة لـ exacerbation
+
+54
+00:04:23,910 --> 00:04:27,050
+في كل العالم، و عندنا، و في العالم كله، ندخل المريض
+
+55
+00:04:27,050 --> 00:04:31,030
+إلى المستشفى، و نعطيه Methylprednisolone، كورتيكوستيرويد.
+
+56
+00:04:31,030 --> 00:04:36,110
+بنعطيه 1000 ملي جرام في محلول ملحي، مرة في اليوم،
+
+57
+00:04:36,110 --> 00:04:41,930
+ثلاثة أيام أو خمسة أيام. يعني ممكن ياخدوا ثلاث جرعات،
+
+58
+00:04:41,930 --> 00:04:47,370
+يعني كل يوم جرعة، أو خمس جرعات. كله صح، حسب الـ.. حسب
+
+59
+00:04:47,370 --> 00:04:55,270
+الـ massive أو الـ severity of exacerbation.  في بعض
+
+60
+00:04:55,270 --> 00:04:58,350
+الحالات اللي بيكون فيها نوع أنا ما تكلمت
+
+61
+00:04:58,350 --> 00:05:02,070
+عنه، اللي هو malignant type of MS. في نوع malignant
+
+62
+00:05:02,070 --> 00:05:05,950
+type، بنسميه plasma exchange، بنعمل لهم plasma
+
+63
+00:05:05,950 --> 00:05:10,790
+exchange.  في medical rehabilitation and
+
+64
+00:05:10,790 --> 00:05:14,490
+physiotherapy. يبقى أن هذا كله علاج لـ exacerbation.
+
+65
+00:05:16,120 --> 00:05:19,560
+Prevention of future attacks، الوقاية من النوبات، و
+
+66
+00:05:19,560 --> 00:05:22,740
+إنقاص الـ progression of disease، بنعطي علاجات غالية
+
+67
+00:05:22,740 --> 00:05:28,980
+جداً: Beta Interferon، Avonex، Rebif، Beta Seron. هذا
+
+68
+00:05:28,980 --> 00:05:32,060
+الـ Beta Interferon، يمكن 6000 جنيه الحقنة الواحدة.
+
+69
+00:05:32,930 --> 00:05:37,170
+Glatiramer، Copaxone، humanized monoclonal antibodies،
+
+70
+00:05:37,170 --> 00:05:41,330
+زي الـ Natalizumab.  اليوم في السوق في دواء اسمه
+
+71
+00:05:41,330 --> 00:05:45,310
+أكريليزوماب أو أُكريزماب، هذا بـ 18000 دولار في السنة.
+
+72
+00:05:45,310 --> 00:05:50,640
+علاج بـ 18000 دولار في السنة، أُكريليزوماب أو أُكريزماب، اللي
+
+73
+00:05:50,640 --> 00:05:53,420
+بنعطيه كل ستة أشهر، كل ستة أشهر بنعطيه مرة في
+
+74
+00:05:53,420 --> 00:05:56,080
+الوريد.  Anti-neoplastic، الأدوية اللي بتعطى
+
+75
+00:05:56,080 --> 00:05:59,220
+للأورام، زي الـ Mitoxantrone أو Novantrone.  ما هو
+
+76
+00:05:59,220 --> 00:06:02,660
+ضروري تحفظ الأسماء كلها، بس أنا يعني  أُعددت لكم،
+
+77
+00:06:02,660 --> 00:06:04,580
+لو مر عليكم الأدوية هذه، تعرفوا أن هذه أدوية
+
+78
+00:06:04,580 --> 00:06:10,580
+لمرضى التصلب المتعدد. الـ Rehabilitation ضروري في
+
+79
+00:06:10,580 --> 00:06:13,980
+العالم كله. كان فيه في كييف، في عاصمة أوكرانيا، كان فيه
+
+80
+00:06:13,980 --> 00:06:18,420
+كييف center، اللي هو اسمه MS Center، مركز أبحاث
+
+81
+00:06:18,420 --> 00:06:21,560
+لـ مرضى التصلب المتعدد. هذا المركز ما بيعالج إلا حالات
+
+82
+00:06:21,560 --> 00:06:25,300
+multiple sclerosis. بيكون بتكون من multiple
+
+83
+00:06:25,300 --> 00:06:28,040
+sclerosis specialists، أو أصولهم هؤلاء neurologists
+
+84
+00:06:28,040 --> 00:06:33,460
+بيكونوا MS nurses، تمريض متخصصين في مرضى multiple
+
+85
+00:06:33,460 --> 00:06:37,890
+sclerosis. Physiotherapists، أخصائي علاج طبيعي متخصص
+
+86
+00:06:37,890 --> 00:06:41,830
+في الـ MS. Occupational therapists، أخصائي علاج وظيفي
+
+87
+00:06:41,830 --> 00:06:46,150
+متخصص في موضوع الـ MS.  Clinical psychologists،
+
+88
+00:06:46,150 --> 00:06:51,430
+أخصائي نفسي متخصص في موضوع الـ MS، and speech and
+
+89
+00:06:51,430 --> 00:06:55,930
+language specialists، هذا أخصائي نطق متخصص في حالات
+
+90
+00:06:55,930 --> 00:07:01,990
+التصلب المتعدد. هيك بيكون، أنا وصلت لنهاية الموضوع
+
+91
+00:07:01,990 --> 00:07:05,930
+اللي هو الـ multiple sclerosis، التصلب المتعدد، لأن
+
+92
+00:07:05,930 --> 00:07:10,270
+ننتقل لمرض آخر، المرض رقم اثنين، اللي هو Transverse
+
+93
+00:07:10,270 --> 00:07:16,370
+Myelitis. Transverse Myelitis، و عبارة عن segmental
+
+94
+00:07:16,370 --> 00:07:21,070
+spinal cord injury. Segmental spinal cord injury.
+
+95
+00:07:21,070 --> 00:07:25,150
+Okay، تسمعوا كلمة injury، تفكروا إصابة، trauma، لأ،
+
+96
+00:07:25,150 --> 00:07:31,540
+caused by acute inflammation. يبقى أن هو عبارة
+
+97
+00:07:31,540 --> 00:07:34,800
+عن إصابة في الحبل الشوكي ناتجة عن إيه؟ الإصابة في
+
+98
+00:07:34,800 --> 00:07:38,900
+الحبل الشوكي ناتجة عن التهاب، التهاب حاد، acute
+
+99
+00:07:38,900 --> 00:07:42,080
+inflammation. يبقى أن هو عبارة عن segmental
+
+100
+00:07:42,080 --> 00:07:46,420
+inflammation of the spinal cord. عبارة عن segmental
+
+101
+00:07:46,420 --> 00:07:50,560
+inflammation of the spinal cord. من هنا جاء myelitis،
+
+102
+00:07:50,560 --> 00:07:57,190
+التهاب الحبل الشوكي. Transverse، مقطعي. Transverse
+
+103
+00:07:57,190 --> 00:08:02,510
+myelitis is uncommon. حالة لخمس حالات كل مليون، كل
+
+104
+00:08:02,510 --> 00:08:06,130
+سنة، كل مليون نسمة بيجيهم من حالة لخمس حالات
+
+105
+00:08:06,130 --> 00:08:11,750
+transverse myelitis. أكثر الحالات بيكون idiopathic،
+
+106
+00:08:11,750 --> 00:08:16,510
+لكن الغالب بيكون precipitating due to autoimmune
+
+107
+00:08:16,510 --> 00:08:21,650
+process، أو precipitating due to infection. Symptoms
+
+108
+00:08:21,650 --> 00:08:26,580
+typically rapid، over several hours. الآن ما راح
+
+109
+00:08:26,580 --> 00:08:29,760
+أشرح لكم إذا أصيب الحبل الشوكي على مستوى الـ
+
+110
+00:08:29,760 --> 00:08:33,520
+cervical، thoracic، lumbar، hemocord، anterior
+
+111
+00:08:33,520 --> 00:08:36,980
+cord، posterior cord، central cord. كله شرحته في
+
+112
+00:08:36,980 --> 00:08:41,760
+محاضرة اسمها هنا الـ cord diseases. Okay، يبقى الإصابة
+
+113
+00:08:41,760 --> 00:08:45,180
+تكون سريعة. تلاقي طالب أو طالبة راحت على الجامعة أو
+
+114
+00:08:45,180 --> 00:08:49,910
+على المدرسة، خلال ساعات بطلت تقدر تمشي، و أصبحت
+
+115
+00:08:49,910 --> 00:08:54,790
+تعتمد على كرسي متحرك، شلل، و عدم تحكم في البول،
+
+116
+00:08:54,790 --> 00:08:58,730
+و البراز. Loss of sensation، فقدان الإحساس. مرض مش
+
+117
+00:08:58,730 --> 00:09:03,950
+بسيط، خطير. Okay. Typically the inflammation is
+
+118
+00:09:03,950 --> 00:09:08,260
+bilateral، producing weakness، sensory disturbances،
+
+119
+00:09:08,260 --> 00:09:11,980
+below the level of lesion. و عندهم، عند هؤلاء المرضى،
+
+120
+00:09:11,980 --> 00:09:15,940
+بيكون عندهم فقدان الإحساس تحت مستوى الإصابة، أو تحت
+
+121
+00:09:15,940 --> 00:09:20,760
+مستوى الالتهاب، شلل تحت مستوى الالتهاب اللي حدث في
+
+122
+00:09:20,760 --> 00:09:25,120
+الحبل الشوكي. الـ spinal cord inflammation، أو الـ
+
+123
+00:09:25,120 --> 00:09:30,300
+transverse myelitis، ممكن يكون complete، يعني total،
+
+124
+00:09:30,300 --> 00:09:34,800
+أو incomplete، partial. و نحن اتفقنا أن الـ partial
+
+125
+00:09:34,800 --> 00:09:38,380
+هو أنواع: Brown-Sequard syndrome، إصابة نصف الحبل
+
+126
+00:09:38,380 --> 00:09:42,780
+الشوكي. Anterior cord syndrome، إصابة الجزء الأمامي
+
+127
+00:09:42,780 --> 00:09:46,480
+من الحبل الشوكي. Posterior cord syndrome، إصابة
+
+128
+00:09:46,480 --> 00:09:50,320
+الجزء الخلفي من الحبل الشوكي. Central cord syndrome،
+
+129
+00:09:50,320 --> 00:09:54,820
+إصابة الجزء المركزي، أو الـ segment of the spinal
+
+130
+00:09:54,820 --> 00:10:01,130
+cord. إيش قال؟ قال لك patient presenting with acute
+
+131
+00:10:01,130 --> 00:10:06,610
+complete transverse myelitis have a risk of MS
+
+132
+00:10:06,610 --> 00:10:10,950
+only five to ten percent. يعني الناس اللي بيصيب
+
+133
+00:10:10,950 --> 00:10:14,890
+معهم transverse myelitis، خمسة إلى عشرة في المئة منهم
+
+134
+00:10:14,890 --> 00:10:18,270
+اللي عندهم complete spinal cord transverse
+
+135
+00:10:18,270 --> 00:10:21,650
+myelitis، ممكن يكون هذا initial presentation of MS،
+
+136
+00:10:21,650 --> 00:10:28,630
+بداية مرض التصلب المتعدد. Okay. طيب، المرضى اللي عندهم
+
+137
+00:10:28,630 --> 00:10:36,070
+partial أو incomplete transverse myelitis، من 57% إلى
+
+138
+00:10:36,070 --> 00:10:42,430
+72% من هؤلاء المرضى ممكن يكون هذا بداية transverse
+
+139
+00:10:42,430 --> 00:10:46,790
+myelitis. يعني أحياناً مريض شخصناه Transverse
+
+140
+00:10:46,790 --> 00:10:49,810
+Myelitis، و لكنها partial inflammation في spinal
+
+141
+00:10:49,810 --> 00:10:54,650
+cord، لازم أعمل له brain MRI. ليه لازم أعمل له brain MRI؟
+
+142
+00:10:54,650 --> 00:10:57,610
+لو وجدت عنده في الـ brain فيه كمان demyelination،
+
+143
+00:10:57,610 --> 00:11:01,030
+أُبطل أقول partial transverse myelitis، أقول هذه
+
+144
+00:11:01,030 --> 00:11:05,430
+حالة إيه؟ multiple sclerosis. طيب كويس، لو بدأنا المرض
+
+145
+00:11:05,430 --> 00:11:10,450
+بـ blacks، one blacks في spinal cord، و شخصناه as
+
+146
+00:11:10,450 --> 00:11:13,230
+partial transverse myelitis، و الـ brain كان free،
+
+147
+00:11:13,230 --> 00:11:19,420
+بعد سنة و بدأ عنده أعراض أخرى، و عملنا brain MRI،
+
+148
+00:11:19,420 --> 00:11:25,500
+و وجدنا عنده plaques في الـ brain، أبطل أقول هذا
+
+149
+00:11:25,500 --> 00:11:28,620
+transverse myelitis، أقول هذا multiple sclerosis،
+
+150
+00:11:28,620 --> 00:11:33,440
+و أنا ما أخطأت، أنا عالجته صح، عالجته صح، لأن العلاج تبع
+
+151
+00:11:33,440 --> 00:11:36,840
+الـ transverse myelitis و الـ MS في الـ exacerbation
+
+152
+00:11:36,840 --> 00:11:42,250
+the same treatment تقريباً. يبقى نُلخّص الـ incomplete
+
+153
+00:11:42,250 --> 00:11:45,690
+transverse myelitis، 57% أو 72% منهم ممكن يكون هذا
+
+154
+00:11:45,690 --> 00:11:50,790
+الـ initial presentation of MS. Etiology of
+
+155
+00:11:50,790 --> 00:11:52,650
+transverse myelitis، إيش أسباب transverse
+
+156
+00:11:52,650 --> 00:11:57,110
+myelitis؟ Most cases of transverse myelitis are
+
+157
+00:11:57,110 --> 00:12:00,950
+idiopathic، اللي هم علاقة بـ autoimmune process.
+
+158
+00:12:02,620 --> 00:12:07,040
+جزء منهم كبير قلنا يعتبر first manifestation of
+
+159
+00:12:07,040 --> 00:12:10,560
+multiple sclerosis. ممكن يكون ناتجة عن viral
+
+160
+00:12:10,560 --> 00:12:14,880
+infection، Mycoplasma pneumonia، ممكن يكون ناتجة عن
+
+161
+00:12:14,880 --> 00:12:17,580
+systemic lupus erythematosus، vasculitis،
+
+162
+00:12:17,580 --> 00:12:21,840
+rheumatoid arthritis، antiphospholipid syndrome. في
+
+163
+00:12:21,840 --> 00:12:25,220
+مريضة عالجتها، و هي كانت في الثلاثينيات، شخصناها  بـ
+
+164
+00:12:25,220 --> 00:12:28,540
+رشح على transverse myelitis، لما أخذنا منها history، كان
+
+165
+00:12:28,540 --> 00:12:31,760
+عندها recurrent abortion، recurrent abortion، و هي
+
+166
+00:12:31,760 --> 00:12:35,240
+مشخصة في الأصل antiphospholipid syndrome. يبقى الـ
+
+167
+00:12:35,240 --> 00:12:37,780
+antiphospholipid syndrome هذا هو اللي سبب له
+
+168
+00:12:37,780 --> 00:12:41,050
+الالتهاب في الحبل الشوكي، الـ transverse myelitis. عندي
+
+169
+00:12:41,050 --> 00:12:45,710
+مريضة حديثاً في المستشفى، حدث معها مشاكل، و شلل في
+
+170
+00:12:45,710 --> 00:12:49,750
+رجليها، و فقدان التحكم في البراز و البول، و التبرز،
+
+171
+00:12:49,750 --> 00:12:56,210
+ووجدنا عندها التهاب في الحبل الشوكي، عملنا لها work up
+
+172
+00:12:56,210 --> 00:12:59,370
+ثاني، لأن عندها فقدان الوزن و كذا، و لكن وجدنا عندها
+
+173
+00:12:59,370 --> 00:13:03,610
+metastasis، عندها سرطان منتشر. يقول الـ inflammation
+
+174
+00:13:03,610 --> 00:13:07,230
+اللي في الـ spinal cord هذا كان ناتج عن cancer، ناتج
+
+175
+00:13:07,230 --> 00:13:10,430
+عن cancer، بنسميه Paraneoplastic Syndrome.
+
+176
+00:13:10,430 --> 00:13:13,170
+Paraneoplastic Syndrome. يقول لازم أبحث عن السبب
+
+177
+00:13:13,170 --> 00:13:17,550
+عشان أشخص صح. الـ investigations بنعملها لـ
+
+178
+00:13:17,550 --> 00:13:21,430
+transverse myelitis. أول شيء بنعمل investigations، الـ
+
+179
+00:13:21,430 --> 00
+
+223
+00:16:25,040 --> 00:16:29,260
+embolism والمريض موتيبقى هذا مهم جدا اللي هو deep
+
+224
+00:16:29,260 --> 00:16:32,240
+venous thrombosis ولما تشتغلوا عداش طبيعي تنتبهوا
+
+225
+00:16:32,240 --> 00:16:35,260
+لل leg بلاش يكون عند المريض DVT. ننظر إذا في
+
+226
+00:16:35,260 --> 00:16:39,240
+swelling في ال leg، وممكن تكون عادي، إيش DVT و
+
+227
+00:16:39,240 --> 00:16:41,860
+ننتبه لها، ولا نشتغل معه في الحالة هذه، نستهدف
+
+228
+00:16:41,860 --> 00:16:45,500
+الطبيب  بإبلاغه بسرعة، مهم جدا موضوع ال anticoagulant
+
+229
+00:16:45,500 --> 00:16:48,960
+to prevent DVT, deep venous thrombosis, and
+
+230
+00:16:48,960 --> 00:16:50,480
+pulmonary embolism.
+
+231
+00:16:52,870 --> 00:16:55,210
+medical rehabilitation and physiotherapy بعد
+
+232
+00:16:55,210 --> 00:16:59,010
+العلاج هذا، بعد يوم، أسبوع، خمسة أيام، أسبوع، حسب الحالة.
+
+233
+00:16:59,010 --> 00:17:02,050
+لما نكون stable، بنحولهم ل medical rehabilitation
+
+234
+00:17:02,050 --> 00:17:06,170
+and physiotherapy. الموضوع الثالث اللي هنتكلم عنه
+
+235
+00:17:06,170 --> 00:17:10,990
+اليوم، acute disseminated encephalomyelitis، أو
+
+236
+00:17:10,990 --> 00:17:16,090
+بنسميه  ADEM. ADEM هو عبارة عن post infectious
+
+237
+00:17:16,090 --> 00:17:20,870
+encephalomyelitis، post infectious، و acute immune
+
+238
+00:17:20,870 --> 00:17:24,570
+-mediated demyelinating disorder of the brain and
+
+239
+00:17:24,570 --> 00:17:29,430
+spinal cord.  بيشبه بعضها، often post-vaccination، يعني
+
+240
+00:17:29,430 --> 00:17:32,050
+بيختلف عن ال transverse myelitis، أن بيكون ال
+
+241
+00:17:32,050 --> 00:17:34,790
+inflammation في ال spinal cord وفي ال brain مع
+
+242
+00:17:34,790 --> 00:17:40,020
+بعض. طيب، multifocal neurologic signs and symptoms. طب
+
+243
+00:17:40,020 --> 00:17:43,360
+كيف؟ إيش الفرق بينه وبين ال multiple sclerosis؟ إيش
+
+244
+00:17:43,360 --> 00:17:47,440
+الفرق بينه وبين multiple sclerosis؟ هنا في ال ADEM
+
+245
+00:17:47,440 --> 00:17:51,540
+أو MS، كل ما أتذكر ال ADEM، بتذكر مريض كان محظوظًا
+
+246
+00:17:51,540 --> 00:17:56,420
+حاله، بدأ يروح للحج، وأخذ تطعيم ضد الإنفلونزا، بعد
+
+247
+00:17:56,420 --> 00:18:00,540
+يومين، انشل هذا المريض. من التطعيم الإنفلونزا، حدث
+
+248
+00:18:00,540 --> 00:18:04,590
+معه ADEM. يبقى ال ADEM في ال history بيكون عندهم
+
+249
+00:18:04,590 --> 00:18:08,390
+preceding infection, illness, or immunization. ممكن
+
+250
+00:18:08,390 --> 00:18:12,950
+يكون عنده مرض viral infection قبلها، أو يكون عنده
+
+251
+00:18:12,950 --> 00:18:18,290
+مأخذ تطعيم، vaccine، vaccination. المرضى هؤلاء بيكون
+
+252
+00:18:18,290 --> 00:18:21,310
+عندهم associated with، إيش؟ fever. ممكن يكون عندهم
+
+253
+00:18:21,310 --> 00:18:24,530
+fever. كان مهم هذا ال fever، ما تكلمناش عنه في ال MS.
+
+254
+00:18:24,530 --> 00:18:28,880
+بيكونش معاهم fever. غير كده، أن المرض هذا بيصيب الكورتكس
+
+255
+00:18:28,880 --> 00:18:31,720
+بيصيب ال white matter، و الكورتكس. مادام صاب
+
+256
+00:18:31,720 --> 00:18:35,740
+الكورتكس، بيكون عندهم هؤلاء المرضى mental status
+
+257
+00:18:35,740 --> 00:18:40,640
+changes، seizures. عند مريض كان ثمانيتاشر سنة تقريبًا،
+
+258
+00:18:40,640 --> 00:18:44,100
+هذا المريض أول ما حدث معه المرض، دخل في شيء اسمه
+
+259
+00:18:44,100 --> 00:18:47,620
+psychosis، confusion، agitation.  اتعالج عند ال
+
+260
+00:18:47,620 --> 00:18:52,190
+psychiatry. بعد فترة، مرة أخرى بعد أسبوع، خيمته وجدت أنه
+
+261
+00:18:52,190 --> 00:18:55,250
+فيه أعراض، ممكن يكون ADEM. كان عنده fever قبلها،
+
+262
+00:18:55,250 --> 00:18:59,430
+طلبت له MRI لل brain، spinal cord، وكان فعلاً عنده
+
+263
+00:18:59,430 --> 00:19:02,310
+acute disseminated encephalomyelitis. والآن الحمد
+
+264
+00:19:02,310 --> 00:19:07,880
+لله، وضعه كويس، وأخذ علاجه، وممتاز. ال Age أكتر
+
+265
+00:19:07,880 --> 00:19:11,820
+شيء، ال ADEM بيجي في أطفال، عند الأطفال، ال ADEM 10 سنين،
+
+266
+00:19:11,820 --> 00:19:14,800
+11، 12 كده، لا، يعني أنه بيجي في ال 18 وال 20 بيجي،
+
+267
+00:19:14,800 --> 00:19:19,160
+بس بيجي أكتر بيكون عند الأطفال، وال MS أكتر بيكون
+
+268
+00:19:19,160 --> 00:19:23,990
+عند ال young adult. عند ايه؟ young adult. ال
+
+269
+00:19:23,990 --> 00:19:26,570
+investigations بتاعة ال ADEM نفس ال investigations
+
+270
+00:19:26,570 --> 00:19:30,490
+اللي بنعملها لمين؟ ل... اللي هو transverse
+
+271
+00:19:30,490 --> 00:19:34,790
+myelitis.  مرّة حكينا عنها كتير، بنعمل ال CSF، وبنفحص
+
+272
+00:19:34,790 --> 00:19:38,170
+ال cells، وال protein، وإذا كان positive
+
+273
+00:19:38,170 --> 00:19:42,130
+oligoclonal bands. بتعامل مع حالة إيش؟ تصلب متعدد،
+
+274
+00:19:42,130 --> 00:19:49,130
+MS، بنعمل ال brain و spinal cord MRI. هنا عندي في
+
+275
+00:19:49,130 --> 00:19:53,740
+الصورة، واضح أنه هذا رأس طفل، وحيقول لنا أن ADEM بيصيب
+
+276
+00:19:53,740 --> 00:19:57,280
+أكتر شيء أطفال. واضح أنه في inflammation هنا، وفي ال
+
+277
+00:19:57,280 --> 00:20:01,170
+spinal cord. هذا spinal cord، inflammation في
+
+278
+00:20:01,170 --> 00:20:04,390
+myelitis. واضح ال hyper intense signal. غير هيك، في
+
+279
+00:20:04,390 --> 00:20:08,030
+hyper intense، اللي بيختلف عن ال MS. أول شيء الحجم،
+
+280
+00:20:08,030 --> 00:20:13,050
+plaques كبيرة، وميأخذ ال white وال grey matter. لاحظين
+
+281
+00:20:13,050 --> 00:20:16,930
+أن ال blacks داخل أو بين كمان كثير على ال grey matter.
+
+282
+00:20:16,930 --> 00:20:21,410
+يمكن هذه حالة acute disseminated encephalomyelitis
+
+283
+00:20:21,410 --> 00:20:26,330
+in a child. هذا المريض اللي أنا شخصته، وقلت لكم كان
+
+284
+00:20:26,330 --> 00:20:31,390
+عنده acute psychosis. تقريبًا كان عمره... ممكن كان
+
+285
+00:20:31,390 --> 00:20:35,070
+عمره ايه؟ تقريبًا ثمانيتاشر، تسعتاشر سنة، ثمانيتاشر
+
+286
+00:20:35,070 --> 00:20:40,530
+سنة. واضح ال hyper intense signal. هذه axial T2، وهذه
+
+287
+00:20:40,530 --> 00:20:46,810
+coronal flair. لأن ال CSF hypo... hypo intense، أسود.
+
+288
+00:20:46,810 --> 00:20:50,730
+وأنا ال CSF hypo intense أبيض، لاحظوا ال plaques
+
+289
+00:20:50,730 --> 00:20:54,030
+وين جاية أكتر؟ ال plaques جاية مقربة من ال cortex، هذا
+
+290
+00:20:54,030 --> 00:20:58,450
+اللي سبب له agitation، و confusion، و irritability.
+
+291
+00:20:58,450 --> 00:21:03,960
+لهذا المريض، من دير البلح، شخصته أنا. ال treatment of
+
+292
+00:21:03,960 --> 00:21:07,620
+ADEM نفس ال treatment بتاعة مين؟ Transverse
+
+293
+00:21:07,620 --> 00:21:12,100
+myelitis. نفس ال treatment of ايه؟ Transverse
+
+294
+00:21:12,100 --> 00:21:15,720
+myelitis. وبعدها بنحولهم ل medical rehabilitation
+
+295
+00:21:15,720 --> 00:21:20,430
+and physiotherapy. آخر موضوع بدي أتكلم عنه اليوم،
+
+296
+00:21:20,430 --> 00:21:25,150
+اللي هو neuromyelitis optica. neuromyelitis optica،
+
+297
+00:21:25,150 --> 00:21:30,990
+أو Devic disease. Devic، شخص أول حالة في فرنسا. ال
+
+298
+00:21:30,990 --> 00:21:36,070
+neuromyelitis optica is a subacute autoimmune
+
+299
+00:21:36,070 --> 00:21:39,510
+disorder characterized by demyelination and
+
+300
+00:21:39,510 --> 00:21:43,710
+inflammation of both optic nerves and spinal cord.
+
+301
+00:21:43,710 --> 00:21:47,670
+يبقى أن المرض هذا بيكون mixed transverse myelitis
+
+302
+00:21:47,670 --> 00:21:52,170
+مع bilateral loss of vision. ما أنساش حالة، شخصت أول
+
+303
+00:21:52,170 --> 00:21:56,150
+حالة في غزة، شخصت حالة، وفي حالة شفناها في
+
+304
+00:21:56,150 --> 00:21:59,630
+أوكرانيا. ما مر علي حالتين في حياتي من 98 لليوم، 22
+
+305
+00:21:59,630 --> 00:22:02,470
+سنة، حالتين neuromyelitis optica، Devic disease.
+
+306
+00:22:02,470 --> 00:22:05,510
+بتصل علي زميلة من المستشفى، بتقول: يا دكتور يا دفيع،
+
+307
+00:22:05,510 --> 00:22:10,510
+أن ابنة عمي عندها فقدت النظر. الصبية كانت 46 سنة،
+
+308
+00:22:10,510 --> 00:22:16,250
+كانت صارت أفراح، خلال ساعات ما بتشوفش أي شيء، و
+
+309
+00:22:16,250 --> 00:22:20,950
+عملنا فحص عيون، كان العيون كويسة، فحصتها، قلت لها: عيديلي
+
+310
+00:22:20,950 --> 00:22:24,070
+الفحص غدًا، ممكن يكون هذا inflammation في ال optic
+
+311
+00:22:24,070 --> 00:22:27,570
+nerve. إذا inflammation في ال optic nerve، قد يكون
+
+312
+00:22:27,570 --> 00:22:30,150
+حاجة اسمها neuromyelitis optica. أنا في غزة ما شفتش
+
+313
+00:22:30,150 --> 00:22:34,170
+ولا حالة، قد تكون هذه أول حالة. ولكن إذا كانت
+
+314
+00:22:34,170 --> 00:22:38,310
+neuromyelitis optica، ننتظر خلال يومين يحدث مشكلة في ال
+
+315
+00:22:38,310 --> 00:22:42,710
+في الأطراف السفلية. فعلاً حولوها لمستشفى، عيون، عناصر
+
+316
+00:22:42,710 --> 00:22:45,530
+قيمت الحالة، ودخلتها عندي في الجسم. فعلاً كان عندها
+
+317
+00:22:45,530 --> 00:22:49,390
+مشاكل في النظر. ما شفتنيش، هي الآن بتتكلم معاه، و
+
+318
+00:22:49,390 --> 00:22:52,150
+الرجل أطلعها طبيبتها، والرجل أطلعها عملها طبيعي، و
+
+319
+00:22:52,150 --> 00:22:55,950
+بتقول: دائمًا بجيب لطلاب الطب، أنا ما شفتش الدكتورة
+
+320
+00:22:55,950 --> 00:23:00,930
+دي لما قيمتها، شفتها. بعدين لما تحسنت، كان عندها
+
+321
+00:23:00,930 --> 00:23:06,310
+فقدان النظر كامل، عدم التحكم في البول، و براز، وشلل
+
+322
+00:23:06,310 --> 00:23:08,170
+في الأطراف السفلية. كانت على wheelchair...
+
+323
+00:23:08,170 --> 00:23:11,750
+wheelchair dependent. الحمد لله دخلت، وعملت لها
+
+324
+00:23:11,750 --> 00:23:15,510
+lumbar puncture، وفحصتها، وعملت لها MRI، وشخصتها
+
+325
+00:23:15,510 --> 00:23:19,210
+نهائيًا أن هو Devic disease، أو neuromyelitis optica.
+
+326
+00:23:19,210 --> 00:23:22,830
+لأن هذا المرض بيصيب ال both optic nerves، وبيصيب ال
+
+327
+00:23:22,830 --> 00:23:26,390
+spinal cord. يعني بيكون معهم transverse myelitis، مع
+
+328
+00:23:26,390 --> 00:23:31,770
+bilateral optic neuritis، مع بعض. المرض ال SLA، و
+
+329
+00:23:31,770 --> 00:23:35,450
+الحمد لله أخذت علاجها، والآن مئة في المئة، complete
+
+330
+00:23:35,450 --> 00:23:39,150
+return، اللي رجع نظرها طبيعي زي ما كان، وشالت اللي
+
+331
+00:23:39,150 --> 00:23:43,130
+عندها ال muscle power، خمسة على خمسة، رجعت لطبيعتها، و
+
+332
+00:23:43,130 --> 00:23:51,980
+رجعت لعملها اللي هي كانت تشتغل فيه، مدرسة. ال SLA، و
+
+333
+00:23:51,980 --> 00:23:55,420
+بعض ال diseases، و ال sarcoidosis، بيعطونا أحيانًا
+
+334
+00:23:55,420 --> 00:23:58,840
+similar presentation، مثل ال Devic، و ال
+
+335
+00:23:58,840 --> 00:24:01,620
+neuromyelitis optica. زمان كانوا كثير بيشخصوها as
+
+336
+00:24:01,620 --> 00:24:05,200
+multiple sclerosis، لكن الآن اللي هو antibodies،
+
+337
+00:24:05,200 --> 00:24:11,120
+بنفحص، وبنميز بين أنه هذه MS، أو neuromyelitis
+
+338
+00:24:11,120 --> 00:24:14,440
+optica. في ال MS بيكون unilateral عندهم optic
+
+339
+00:24:14,440 --> 00:24:17,500
+neuritis. في ال neuromyelitis بيكون bilateral عندهم
+
+340
+00:24:17,500 --> 00:24:20,380
+bilateral loss of vision، أو bilateral optic
+
+341
+00:24:20,380 --> 00:24:24,100
+neuritis. ال clinical representation of
+
+342
+00:24:24,100 --> 00:24:28,100
+neuromyelitis optica، أول شيء بيكون ال primary، ممكن
+
+343
+00:24:28,100 --> 00:24:30,340
+يحدث ال primary progressive with fulminant
+
+344
+00:24:30,340 --> 00:24:34,440
+disability، أو ممكن يكون في relapsing remitting
+
+345
+00:24:34,440 --> 00:24:39,660
+course. مرض خطير، صعب، مش بسيط. total rapid bilateral
+
+346
+00:24:39,660 --> 00:24:43,840
+loss of vision. تتخيل فجأة بتشوف، خلال ساعة، ساعتين،
+
+347
+00:24:43,840 --> 00:24:47,980
+يكون عندك blind، أعمى، ما بتشوفش لا اليمين ولا الشمال.
+
+348
+00:24:49,180 --> 00:24:56,240
+ثمانية spinal cord symptoms، ممكن تبدأ خلال ساعات، و
+
+349
+00:24:56,240 --> 00:25:00,460
+ممكن تبدأ مع بداية المرض، أنه فقد النظر، وبدأ يظهر
+
+350
+00:25:00,460 --> 00:25:03,540
+عليه weakness في ال lower limbs، وممكن أنه أول شيء
+
+351
+00:25:03,540 --> 00:25:08,660
+يفقد، المريض يفقد النظر، وبعد يوم، يومين،
+
+352
+00:25:08,660 --> 00:25:11,160
+يحدث عنده weakness في ال lower limbs، و sphincter
+
+353
+00:25:11,160 --> 00:25:14,360
+dysfunctions.
+
+354
+00:25:14,360 --> 00:25:19,040
+Urine retention is common. زي ما اتفقنا، الشخص مع
+
+355
+00:25:19,040 --> 00:25:22,520
+neuromyelitis optica لديه تقارير أقل لاستعادة
+
+356
+00:25:22,520 --> 00:25:27,640
+الرؤية، أقل من الشخص اللي لديه مرض أشد من ال multiple
+
+357
+00:25:27,640 --> 00:25:32,880
+sclerosis. والتحسن في النظر أقل يكون من ال MS، وما
+
+358
+00:25:32,880 --> 00:25:36,260
+تنسوا أنه في ال disease بيكون bilateral loss of
+
+359
+00:25:36,260 --> 00:25:40,690
+vision. Recovery is complete in 60-70% of patients، و
+
+360
+00:25:40,690 --> 00:25:44,630
+الحمد لله، الحالة اللي كانت عندها في غزة كانت مئة في المئة،
+
+361
+00:25:44,630 --> 00:25:48,850
+complete recovery.
+
+362
+00:25:48,850 --> 00:25:52,430
+ال investigations اللي بنعمله لل neuromyelitis
+
+363
+00:25:52,430 --> 00:25:56,600
+optica نفس ال ADEM، وال transverse myelitis. بنعمل of
+
+364
+00:25:56,600 --> 00:25:59,880
+neurological examination، ضروري CSF examination،
+
+365
+00:25:59,880 --> 00:26:05,220
+brain MRI، و spinal cord MRI، و orbit، وبنفحص إيش؟ ال
+
+366
+00:26:05,220 --> 00:26:08,760
+anti-aquaporin-4 antibodies. بسمّوه neuromyelitis
+
+367
+00:26:08,760 --> 00:26:15,260
+optica  anti-aquaporin-4 IgG، أو قسم ثاني، aquaporin-4
+
+368
+00:26:15,260 --> 00:26:21,840
+antibodies. ال spinal cord inflammation، لاحظوا بيكون
+
+369
+00:26:21,840 --> 00:26:24,640
+عندنا swelling فيه. transverse myelitis، التهاب في
+
+370
+00:26:24,640 --> 00:26:28,500
+الحبل الشوكي، زائد في ال both optic nerves فيه
+
+371
+00:26:28,500 --> 00:26:32,020
+inflammation. يبقى عندنا bilateral optic nerve
+
+372
+00:26:32,020 --> 00:26:35,640
+inflammation، يعني bilateral optic neuritis، مع
+
+373
+00:26:35,640 --> 00:26:40,520
+transverse myelitis. عشان
+
+374
+00:26:40,520 --> 00:26:44,770
+أشخص الحالة، بيلزم ليها criteria. عشان ال
+
+375
+00:26:44,770 --> 00:26:47,710
+neuromyelitis optica، إيش بيلزم شرط عشان أشخص حالة
+
+376
+00:26:47,710 --> 00:26:52,070
+الـ neuromyelitis optica؟ بيلزم optic neuritis
+
+377
+00:26:52,070 --> 00:26:56,910
+bilateral، اثنين أصيبوا، اثنين transverse myelitis، و
+
+378
+00:26:56,910 --> 00:27:01,050
+بيلزم one of the following: MRI evidence of spinal
+
+379
+00:27:01,050 --> 00:27:05,150
+cord lesion three or more segments، أو يكون عندهم
+
+380
+00:27:05,150 --> 00:27:08,470
+seropositive neuromyelitis optica immunoglobulin. يا
+
+381
+00:27:08,470 --> 00:27:13,190
+هذا يا هذا. المريضة اللي عندي، كان عندها
+
+382
+00:27:13,190 --> 00:27:19,210
+bilateral optic neuritis، وكان عندها myelitis، بتدخل
+
+383
+00:27:19,210 --> 00:27:22,170
+ال criteria، وكان عندها أيضًا ال MRI evidence، بين
+
+384
+00:27:22,170 --> 00:27:25,770
+الكورة، كان positive، وال serology test unavailable،
+
+385
+00:27:25,770 --> 00:27:30,450
+في غزة ما قدرت أعمله في غزة. بيقول: أنا اكتفيت بال
+
+386
+00:27:30,450 --> 00:27:33,570
+criteria هذه، ودخلت لها ال criteria، بيقول: بقدر
+
+387
+00:27:33,570 --> 00:27:36,190
+أشخصها بال criteria هذه، بالمدوّن في غزة، بقدر
+
+388
+00:27:36,190 --> 00:27:41,310
+أشخصها، وشخصناها، واتعالجت مئة في المئة. التريتمنت بتاع ال
+
+389
+00:27:41,310 --> 00:27:45,030
+neuromyelitis optica، مثالي، methylprednisolone، نفس الشيء، ألف ملي
+
+390
+00:27:45,030 --> 00:27:48,950
+جرام، لثلاثة، خمسة أيام، أكتر شيء بنعطيه خمسة أيام، بنعطيه
+
+391
+00:27:48,950 --> 00:27:55,810
+IVIG، في بعض الحالات بنعمل plasma exchange، لكن ال
+
+392
+00:27:55,810 --> 00:27:59,470
+main treatment، مثالي methylprednisolone، و plasmapheresis. وفي
+
+393
+00:27:59,470 --> 00:28:03,130
+دراسات قالت لك أن خمسين في المئة من المرضى اللي ما اتحسنوش
+
+394
+00:28:03,130 --> 00:28:06,830
+على ال methylprednisolone، أعطوناهم IVIG، واستجابوا
+
+395
+00:28:06,830 --> 00:28:12,190
+للعلاج. بعدها بنحولهم ل medical rehabilitation and
+
+396
+00:28:12,190 --> 00:28:15,370
+physiotherapy. والمريضة بتاعتنا حولناها ل medical
+
+397
+00:28:15,370 --> 00:28:18,290
+rehabilitation و physiotherapy، والحمد لله، risk
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_postprocess.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d7de5b831b14f0ac64cf81d26c3a5fcfcf4007aa
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_postprocess.srt
@@ -0,0 +1,1624 @@
+1
+00:00:04,930 --> 00:00:10,450
+بسم الله الرحمن الرحيم جزء ثاني من محاضرة الـ
+
+2
+00:00:10,450 --> 00:00:16,570
+demyelinating disease of CNS فهنكمل كام slide على
+
+3
+00:00:16,570 --> 00:00:20,740
+multiple sclerosisوصلنا الى Eradiological
+
+4
+00:00:20,740 --> 00:00:24,040
+diagnosis of multiple sclerosis الان ننتج ال
+
+5
+00:00:24,040 --> 00:00:28,500
+multiple sclerosis CSF finding بنعمل lumpar
+
+6
+00:00:28,500 --> 00:00:33,520
+puncture و بناخد CSF و بنفحص العينة بتاعتهم بنلاقي
+
+7
+00:00:33,520 --> 00:00:42,200
+في increase في ال white blood cells 65% و increase
+
+8
+00:00:42,200 --> 00:00:46,540
+في ال total proteinالطبيعي تطارد البروتين بيكون
+
+9
+00:00:46,540 --> 00:00:49,720
+خمستاشر لخمسة واربعين ميلي جرام من الديسليتر هذا
+
+10
+00:00:49,720 --> 00:00:52,740
+ممكن نجيه مية ومية وخمسين لأنه ال myelin sheet هو
+
+11
+00:00:52,740 --> 00:00:58,080
+عبارة عن ايه عبارة عن ليبوبروتين بنجيه positive
+
+12
+00:00:58,080 --> 00:01:03,340
+اللي هو الoligoclonal bands من الجلوبولين وفي
+
+13
+00:01:03,340 --> 00:01:07,980
+الحالة هذه multiple sclerosis بنقسمها قسمين zero
+
+14
+00:01:07,980 --> 00:01:13,200
+serology positive وserology
+
+15
+00:01:15,780 --> 00:01:22,920
+negative MS أو بيقولوا zero positive MS تقريبا
+
+16
+00:01:22,920 --> 00:01:31,700
+خمسة وتمانين في المية لتسعين بيكونوا zero positive
+
+17
+00:01:31,700 --> 00:01:37,240
+MS ومن عشرة لخمستاشر في المية بيكونوا zero
+
+18
+00:01:37,240 --> 00:01:41,540
+negative MS بيكونوا عندهم ال bands negative
+
+19
+00:01:44,150 --> 00:01:48,330
+الـ precipitating factors for MS ننصح المرضى
+
+20
+00:01:48,330 --> 00:01:51,170
+بتاعين التصلب المتعدد يبعدوا عن أشياء اللي ممكن
+
+21
+00:01:51,170 --> 00:01:55,290
+تزودلهم ل exacerbation of disease fever most
+
+22
+00:01:55,290 --> 00:02:00,710
+common cause of exacerbation of diseaseInfection
+
+23
+00:02:00,710 --> 00:02:03,430
+زي الانفلوانزا او upper respiratory tract
+
+24
+00:02:03,430 --> 00:02:07,690
+infection Hate sensitivity بنطلب من المرضى يحاولوا
+
+25
+00:02:07,690 --> 00:02:10,970
+يبتعدوا عن الميه السخنة كتير يدشوا الميه السخنة و
+
+26
+00:02:10,970 --> 00:02:14,610
+يتحملوا يبتعدوا عن الميه السخنة Emotional stress
+
+27
+00:02:14,610 --> 00:02:21,070
+المشاكل العاطفية و التوتر النفسي و ال stress كله
+
+28
+00:02:21,070 --> 00:02:24,870
+هذا بيقدي الى increase of the exacerbation
+
+29
+00:02:24,870 --> 00:02:30,320
+Physical exertionالمجهود العضلي والمجهود المتعب
+
+30
+00:02:30,320 --> 00:02:35,080
+اللي بيكون شاق قد يؤدي إلى exacerbation surgical
+
+31
+00:02:35,080 --> 00:02:39,760
+intervention خاصة surgical intervention under
+
+32
+00:02:39,760 --> 00:02:43,620
+general anesthesia التدخل الجراحي بحيث ذات التدخل
+
+33
+00:02:43,620 --> 00:02:47,940
+الجراحي يعتبر stress للمريض وتوتر نفسي زائد اللي
+
+34
+00:02:47,940 --> 00:02:51,980
+هو ال general anesthesia ممكن تحفز و تزود موضوع
+
+35
+00:02:51,980 --> 00:02:57,550
+demyelinationلأ بنتقل لموضوع treatment علاج المرض
+
+36
+00:02:57,550 --> 00:03:01,910
+treatment of multiple sclerosis انتوا مابيعنيكوش
+
+37
+00:03:01,910 --> 00:03:04,730
+كتير موضوع التدخل للعلاج الدوائي راح تاخدوا
+
+38
+00:03:04,730 --> 00:03:10,090
+الموضوع العلاج الطبيعي في ال MS لكن how is MS
+
+39
+00:03:10,090 --> 00:03:14,310
+treated and managed؟ أول شيء فيه drug therapy علاج
+
+40
+00:03:14,310 --> 00:03:19,670
+بدوائي علاج دوائي ل ال new attacks من علاج ال
+
+41
+00:03:19,670 --> 00:03:25,080
+exacerbation علاج عند النوبة اي واحد ثانىprevent
+
+42
+00:03:25,080 --> 00:03:29,560
+the occurrence of futures attacks، بنعمل وقايا
+
+43
+00:03:29,560 --> 00:03:34,860
+للنوبات، بنعطي علاج يعمل slow ل ال progression of
+
+44
+00:03:34,860 --> 00:03:41,640
+disease، والعلاج هذا بيعتبره بيقلل او تدهور المرض،
+
+45
+00:03:41,640 --> 00:03:45,650
+وبمنع النوبات أو مش بيمنعوا النوباتقد يعني يقلل
+
+46
+00:03:45,650 --> 00:03:49,950
+النوبات، بيقلل الموضوع الـ relapse of disease and
+
+47
+00:03:49,950 --> 00:03:54,530
+treatment of symptoms، يعتبر symptomatic treatment
+
+48
+00:03:54,530 --> 00:03:59,010
+treat the symptoms of disease، حسب الأعراض اللي
+
+49
+00:03:59,010 --> 00:04:03,730
+عند المريض، بنعطي بعض العلاجاتmedical
+
+50
+00:04:03,730 --> 00:04:07,510
+rehabilitation and physiotherapy العلاج الطبيعي
+
+51
+00:04:07,510 --> 00:04:12,290
+والتأهيل الطبي لهدول المرضى و ال psycho social
+
+52
+00:04:12,290 --> 00:04:17,450
+support الدعم النفسي والاجتماعي لمرضى تصلب المتعدد
+
+53
+00:04:17,450 --> 00:04:23,910
+treatment of exacerbationبالنسبة لل Exacerbation
+
+54
+00:04:23,910 --> 00:04:27,050
+في كل العالم و عندنا و في العالم كله بدخل المريض
+
+55
+00:04:27,050 --> 00:04:31,030
+للجسم و بنعطيهم Methylbrednisone كورتيكوستيرويد
+
+56
+00:04:31,030 --> 00:04:36,110
+بنعطيه 1000 ميلي جرام في محلول ملحي مرة في اليوم
+
+57
+00:04:36,110 --> 00:04:41,930
+ثلاث أيام أو خمس أيام يعني ممكن ياخدوا ثلاث جرعات
+
+58
+00:04:41,930 --> 00:04:47,370
+يعني كل يوم جرعة أو خمس جرعات كله صححسب ال .. حسب
+
+59
+00:04:47,370 --> 00:04:55,270
+ال massive أو ال severity of exacerbation اثنين في
+
+60
+00:04:55,270 --> 00:04:58,350
+بعض الحالات اللي بيكون فيهم في نوع انا ما اتكلمت
+
+61
+00:04:58,350 --> 00:05:02,070
+عنه اللي هو malignant type of MS في نوع malignant
+
+62
+00:05:02,070 --> 00:05:05,950
+type بنسميه plasma exchange بنعمللهم plasma
+
+63
+00:05:05,950 --> 00:05:10,790
+exchange في medical rehabilitation and
+
+64
+00:05:10,790 --> 00:05:14,490
+physiotherapy يبقى ان هذا كله علاج لل exacerbation
+
+65
+00:05:16,120 --> 00:05:19,560
+Prevention of Futures Attack الوقاية من النوبات و
+
+66
+00:05:19,560 --> 00:05:22,740
+انقلل ال progression of disease بنعطي علاجات غالية
+
+67
+00:05:22,740 --> 00:05:28,980
+جدا Beta Interferon, Avonix, Repif, Beta Seron هذا
+
+68
+00:05:28,980 --> 00:05:32,060
+ال Beta Interferon يمكن 600 شكل حقنة الواحدة
+
+69
+00:05:32,930 --> 00:05:37,170
+glatiramir كباكسون humanized monoclonal antibodies
+
+70
+00:05:37,170 --> 00:05:41,330
+زي التسابري او نتلزماب اليوم في السوق في دواء اسمه
+
+71
+00:05:41,330 --> 00:05:45,310
+أكريفاس أو أكريلزماب هذا بيده 18000 دولار في السنة
+
+72
+00:05:45,310 --> 00:05:50,640
+علاج 18000 دولار في السنة أكريفاس أو أكريلزماباللي
+
+73
+00:05:50,640 --> 00:05:53,420
+بنعطيك كل ست أشهر، كل ست شهور بنعطيها مرة في
+
+74
+00:05:53,420 --> 00:05:56,080
+الوريد Anti-neoplastic الأدوية اللي بتنعطيها
+
+75
+00:05:56,080 --> 00:05:59,220
+للأورام زي الـ Novantrone أو ميجزانترون، مامش
+
+76
+00:05:59,220 --> 00:06:02,660
+ضروري تحفظ الأسماء كلها، بس انا يعني ايه بعديدكوا،
+
+77
+00:06:02,660 --> 00:06:04,580
+لو مر عليكم الأدوية هذه، تعرفوا أن هذول أدوية
+
+78
+00:06:04,580 --> 00:06:10,580
+لمرضى يتصلوا بالمتعددالـ Rehabilitation ضروري في
+
+79
+00:06:10,580 --> 00:06:13,980
+العالم كله كان في كييف في عاصمة القرنية كان في
+
+80
+00:06:13,980 --> 00:06:18,420
+كييف center هو اللي هو اسمه MS Center مركز أبحاث
+
+81
+00:06:18,420 --> 00:06:21,560
+لمرضى تصل المتعدد هذا المركز ما بيعالج إلا حالات
+
+82
+00:06:21,560 --> 00:06:25,300
+multiple sclerosis بيكون بتكون من multiple
+
+83
+00:06:25,300 --> 00:06:28,040
+sclerosis specialists أو أصلهم هدول نيرولوجيست
+
+84
+00:06:28,040 --> 00:06:33,460
+بيكونوا MS nurse تمريض متخصصين في مرضها ل multiple
+
+85
+00:06:33,460 --> 00:06:37,890
+sclerosisphysiotherapist أخصائي علاج طبيعي متخصص
+
+86
+00:06:37,890 --> 00:06:41,830
+بال MS occupational therapy أخصائي علاج وظيفي
+
+87
+00:06:41,830 --> 00:06:46,150
+متخصص في موضوع ال MS ال clinical psychologist
+
+88
+00:06:46,150 --> 00:06:51,430
+أخصائي نفسي متخصص في موضوع ال MS and speech and
+
+89
+00:06:51,430 --> 00:06:55,930
+language specialist هذا أخصائي نطق متخصص في حالات
+
+90
+00:06:55,930 --> 00:07:01,990
+التصل بالمتعددهيك بيكون انا اوصلت لنهاية الموضوع
+
+91
+00:07:01,990 --> 00:07:05,930
+اللى هو ال multiple sclerosis التصلب متعدد لان
+
+92
+00:07:05,930 --> 00:07:10,270
+بنتجل لمرض اخر المرض رقم اتنين اللى هو Transverse
+
+93
+00:07:10,270 --> 00:07:16,370
+Myelitis Transverse Myelitis و عبارة عن segmental
+
+94
+00:07:16,370 --> 00:07:21,070
+spinal cord injury segmental spinal cord injury
+
+95
+00:07:21,070 --> 00:07:25,150
+okay تسمعوا كلمة injury تفكروا إصابة trauma لأ
+
+96
+00:07:25,150 --> 00:07:31,540
+caused سببby acute inflammation يبقى ان هو عبارة
+
+97
+00:07:31,540 --> 00:07:34,800
+عن إصابة في الحبل الشوكي ناتجة عن إيش الإصابة هتبع
+
+98
+00:07:34,800 --> 00:07:38,900
+الحبل الشوكي ناتجة عن التهاب التهاب حاد acute
+
+99
+00:07:38,900 --> 00:07:42,080
+inflammation يبقى ان هو عبارة عن segmental
+
+100
+00:07:42,080 --> 00:07:46,420
+inflammation of the spinal cord عبارة عن segmental
+
+101
+00:07:46,420 --> 00:07:50,560
+inflammation of spinal cord من هنا جاء myelitis
+
+102
+00:07:50,560 --> 00:07:57,190
+التهاب الحبل الشوكي transverse مقطعيtransverse
+
+103
+00:07:57,190 --> 00:08:02,510
+myelitis is uncommon حالة لخمس حالات كل مليون كل
+
+104
+00:08:02,510 --> 00:08:06,130
+سنة كل مليون نسمة بيجيهم من حالة لخمس حالات
+
+105
+00:08:06,130 --> 00:08:11,750
+transverse myelitis أكتر الحالات بيكون idiopathic
+
+106
+00:08:11,750 --> 00:08:16,510
+لكن الغالب بيكون precipitating due to autoimmune
+
+107
+00:08:16,510 --> 00:08:21,650
+process أو precipitating due to infection symptoms
+
+108
+00:08:21,650 --> 00:08:26,580
+typically rapidover several hours الان مارح
+
+109
+00:08:26,580 --> 00:08:29,760
+أشرحلكوا إذا أصيب الحبل الشوكي على مستوى ال
+
+110
+00:08:29,760 --> 00:08:33,520
+cervical, thoracic, lumbar, hemocord, anterior
+
+111
+00:08:33,520 --> 00:08:36,980
+cord, posterior cord, central cord كله شرحته في
+
+112
+00:08:36,980 --> 00:08:41,760
+محاضرة اسمها هنا ال core disease okay يبقى الإصابة
+
+113
+00:08:41,760 --> 00:08:45,180
+تكون سريعة تلاقي طالب أو طالبة راحت على الجامعة أو
+
+114
+00:08:45,180 --> 00:08:49,910
+على المدرسة خلال ساعاتبطلت تقدر تمشي والد شير
+
+115
+00:08:49,910 --> 00:08:54,790
+ديبندن على كرسي متحرك شلل وعدم تحكم في البول
+
+116
+00:08:54,790 --> 00:08:58,730
+البرازي loss of sensation فقدان الإحساس مرض مش
+
+117
+00:08:58,730 --> 00:09:03,950
+بسيط خطير okay typically the inflammation is
+
+118
+00:09:03,950 --> 00:09:08,260
+bilateralproducing weakness sensory disturbances
+
+119
+00:09:08,260 --> 00:09:11,980
+below the level of lesion و عندهم عند دول المرضى
+
+120
+00:09:11,980 --> 00:09:15,940
+بيكون عندهم فقدان الاحساس تحت مستوى الإصابة أو تحت
+
+121
+00:09:15,940 --> 00:09:20,760
+مستوى الالتهاب شلل تحت مستوى الالتهاب اللي حدث في
+
+122
+00:09:20,760 --> 00:09:25,120
+الحبل الشوكي ال spinal cord inflammation أو ال
+
+123
+00:09:25,120 --> 00:09:30,300
+transverse myelitis ممكن يكون completeيعني total
+
+124
+00:09:30,300 --> 00:09:34,800
+او incomplete partial واحنا اتفاقنا ان ال partial
+
+125
+00:09:34,800 --> 00:09:38,380
+هو انواع brown sequer syndrome إصابة نصف الحبل
+
+126
+00:09:38,380 --> 00:09:42,780
+الشوكي anterior cord syndrome إصابة الجزء الأمامي
+
+127
+00:09:42,780 --> 00:09:46,480
+من الحبل الشوكي posterior cord syndrome إصابة
+
+128
+00:09:46,480 --> 00:09:50,320
+الجزء الخلفي من الحبل الشوكي central cord syndrome
+
+129
+00:09:50,320 --> 00:09:54,820
+إصابة الجزء المركزي أو ال grammar of the spinal
+
+130
+00:09:54,820 --> 00:10:01,130
+cord إيش قال؟قال لك patient presenting with acute
+
+131
+00:10:01,130 --> 00:10:06,610
+complete transverse myelitis have a risk of MS
+
+132
+00:10:06,610 --> 00:10:10,950
+only five to ten percent يعني الناس اللي بيصيب
+
+133
+00:10:10,950 --> 00:10:14,890
+معاهم transverse myelitis خمس لعشرة في المية منهم
+
+134
+00:10:14,890 --> 00:10:18,270
+اللي عندهم complete spinal cord transverse
+
+135
+00:10:18,270 --> 00:10:21,650
+myelitis ممكن يكون هذا initial presentation of MS
+
+136
+00:10:21,650 --> 00:10:28,630
+بداية مرض التسلب المتعدد okay طيبالمرضى اللى عندهم
+
+137
+00:10:28,630 --> 00:10:36,070
+partial او incomplete transverse myelitis من 57% ل
+
+138
+00:10:36,070 --> 00:10:42,430
+72% من هدول المرضى ممكن يكون هدى بداية transverse
+
+139
+00:10:42,430 --> 00:10:46,790
+myelitis يعني أجانب مريضوشخصناها Transverse
+
+140
+00:10:46,790 --> 00:10:49,810
+Myelitis لجيناها partial inflammation في spinal
+
+141
+00:10:49,810 --> 00:10:54,650
+cord لازم اعمله brain MRI ليه لازم اعمله brain MRI
+
+142
+00:10:54,650 --> 00:10:57,610
+لو وجدت عنده في ال brain فيه كمان demyelination
+
+143
+00:10:57,610 --> 00:11:01,030
+ببطل اقول partial transverse myelitis بقول هذه
+
+144
+00:11:01,030 --> 00:11:05,430
+حالة ايه multiple sclerosis طب كويسة لو بدل المرض
+
+145
+00:11:05,430 --> 00:11:10,450
+ب blacks one blacks في spinal cord وشخصناها as
+
+146
+00:11:10,450 --> 00:11:13,230
+partial transverse myelitis و ال brain كان free
+
+147
+00:11:13,230 --> 00:11:19,420
+بعد سنةوبدا عنده أعراض أخرى وعملنا brain of المرأة
+
+148
+00:11:19,420 --> 00:11:25,500
+ووجدنا عنده plagues في ال brain ببطل أقول هذا
+
+149
+00:11:25,500 --> 00:11:28,620
+transverse myelitis بقول هذا multiple sclerosis
+
+150
+00:11:28,620 --> 00:11:33,440
+وانا ما أخطأت أنا علجته صح علجته صح لأن العلاج تبع
+
+151
+00:11:33,440 --> 00:11:36,840
+ال transverse myelitis و ال MS في ال exacerbation
+
+152
+00:11:36,840 --> 00:11:42,250
+the same treatment تقريبايبقى نطلعه الـ Incomplete
+
+153
+00:11:42,250 --> 00:11:45,690
+Transvirus Myelites، 57% أو 72% منهم ممكن يكون هذه
+
+154
+00:11:45,690 --> 00:11:50,790
+الـ Initial Presentation of MS. Etiology of
+
+155
+00:11:50,790 --> 00:11:52,650
+Transvirus Myelites، إيش أسباب Transvirus
+
+156
+00:11:52,650 --> 00:11:57,110
+Myelites؟ Most cases of Transvirus Myelites are
+
+157
+00:11:57,110 --> 00:12:00,950
+idiopathic، اللي هم علاقة بالـ autoimmune process
+
+158
+00:12:02,620 --> 00:12:07,040
+جزء منهم كبير قلنا يعتبر first manifestation of
+
+159
+00:12:07,040 --> 00:12:10,560
+multiple sclerosis ممكن يكون ناتجة عن viral
+
+160
+00:12:10,560 --> 00:12:14,880
+infectionmecoplasma pneumonia ممكن يكون ناتجة عن
+
+161
+00:12:14,880 --> 00:12:17,580
+systemic lobus erythromatosis vasculitis
+
+162
+00:12:17,580 --> 00:12:21,840
+rheumatoid arthritis antiphospholipid syndrome في
+
+163
+00:12:21,840 --> 00:12:25,220
+صيبية علاجتها انها كانت في التلاتينات شخصناها برش
+
+164
+00:12:25,220 --> 00:12:28,540
+على transverse myelitis لما ناخدت منها history كان
+
+165
+00:12:28,540 --> 00:12:31,760
+عندها recurrent abortion recurrent abortion وهي
+
+166
+00:12:31,760 --> 00:12:35,240
+مشخصة في الأصل antiphospholipid syndrome يبقى ال
+
+167
+00:12:35,240 --> 00:12:37,780
+antiphospholipid syndrome هذا هو اللي سبب له
+
+168
+00:12:37,780 --> 00:12:41,050
+الاتهاب في الحبل الشوكي ال transverse myelitisعندي
+
+169
+00:12:41,050 --> 00:12:45,710
+مريضة حديثا في المستشفى حدث معها مشاكل و شلال في
+
+170
+00:12:45,710 --> 00:12:49,750
+رجليها و فقدان التحكم في البراز و التبول و التبرز
+
+171
+00:12:49,750 --> 00:12:56,210
+و وجدنا عنها انتهاب في الحبل الشوكيعملتلها work up
+
+172
+00:12:56,210 --> 00:12:59,370
+ثاني لأن في عندها فقدان الوزن و كده لاجيت عندها
+
+173
+00:12:59,370 --> 00:13:03,610
+metastasis عندها سرطان منتشر يقول ال inflammation
+
+174
+00:13:03,610 --> 00:13:07,230
+اللي في ال spinal cord هذا كان ناتج عن cancer ناتج
+
+175
+00:13:07,230 --> 00:13:10,430
+عن cancer بنسميه Paraneoplastic Syndrome
+
+176
+00:13:10,430 --> 00:13:13,170
+Paraneoplastic Syndrome يقول لازم أبحث عن السبب
+
+177
+00:13:13,170 --> 00:13:17,550
+عشان أشخص صح ال investigations بنعملهم لل
+
+178
+00:13:17,550 --> 00:13:21,430
+Transvirus Myelitis أول شي بنعمل investigations ال
+
+179
+00:13:21,430 --> 00:13:24,480
+general investigation CBC chemistryبنعمل
+
+180
+00:13:24,480 --> 00:13:29,200
+cerebrospinal fluid بنعمل بزل وبناخد السائل بتاع
+
+181
+00:13:29,200 --> 00:13:37,760
+الحبل الشوكي وإيش بنفحصه السائل هذا ال CSF بنجد في
+
+182
+00:13:37,760 --> 00:13:41,120
+elevation of البروتين ارتفاع في البروتين زاد
+
+183
+00:13:41,120 --> 00:13:45,180
+ارتفاع في ال lymphocyte ال white blood cells ضروري
+
+184
+00:13:45,180 --> 00:13:49,160
+جدا هنا إذا في ممكنية في الضفة في غزة مافيش ممكنية
+
+185
+00:13:49,160 --> 00:13:53,560
+هذي نفحص Illegoclonal bands IGالـ Oligoclonal
+
+186
+00:13:53,560 --> 00:13:57,880
+bands IG إذا وجدناها positive منذ البداية باتكلم
+
+187
+00:13:57,880 --> 00:14:00,620
+على multiple sclerosis باتكلم مش على transverse
+
+188
+00:14:00,620 --> 00:14:06,640
+myelitis بنعمل ال brain و spinal cord MRI ليه
+
+189
+00:14:06,640 --> 00:14:10,280
+نعملنا ال brain MRI؟ to exclude multiple sclerosis
+
+190
+00:14:10,280 --> 00:14:14,660
+يبقى هذا كله مهم جدا إيش بنجد في ال spinal cord؟
+
+191
+00:14:14,660 --> 00:14:17,600
+ممكن يكون عندنا swelling hyper intense signal مع
+
+192
+00:14:17,600 --> 00:14:21,000
+swelling وانتفاخ في الحبل الشوكي due to
+
+193
+00:14:21,000 --> 00:14:26,350
+inflammationواضح أن هنا في inflammation في الحبل
+
+194
+00:14:26,350 --> 00:14:30,010
+الشوكي في swelling واضح أن ال hyper intense signal
+
+195
+00:14:30,010 --> 00:14:33,470
+هنا complete transverse myelitis ال spinal cord
+
+196
+00:14:33,470 --> 00:14:36,830
+منتفق من ال edema عندنا swelling و edema في spinal
+
+197
+00:14:36,830 --> 00:14:40,590
+cord مع inflammation في tissue of the spinal cord
+
+198
+00:14:41,750 --> 00:14:46,830
+هنا حالة partial transverse myelitis عند man سبعة
+
+199
+00:14:46,830 --> 00:14:49,710
+و تلاتين سنة كان من literature هذا partial
+
+200
+00:14:49,710 --> 00:14:52,810
+transverse myelitis هذا على الـ Sagittal وهنا على
+
+201
+00:14:52,810 --> 00:14:56,910
+ال Axial cut هاي ال inflammation في ال posterior
+
+202
+00:14:56,910 --> 00:15:00,730
+part يبقى ان هذه كانت حالة ايش تشخصها transverse
+
+203
+00:15:00,730 --> 00:15:03,610
+myelitis لكن لما يعملوا work up و يعملوا brain MRI
+
+204
+00:15:03,610 --> 00:15:07,470
+و يفحصوا ال cerebrospinal fluid ال CSFتم تشخيصه
+
+205
+00:15:07,470 --> 00:15:11,410
+إلى multiple sclerosis هذا طلعت حالة ايش؟ تسلب
+
+206
+00:15:11,410 --> 00:15:14,110
+متعدد و احنا عادي اتكلمنا ان ال incomplete
+
+207
+00:15:14,110 --> 00:15:20,530
+transverse myelitis من 57% ل 72% ممكن اعراضها تكون
+
+208
+00:15:20,530 --> 00:15:27,190
+عبارة عن initial presentation of MS كيف نعالج
+
+209
+00:15:27,190 --> 00:15:31,250
+حالات ال transverse myelitis؟ مثل علاج ال MS
+
+210
+00:15:31,250 --> 00:15:35,340
+exacerbation نعطي high doseHigh-dose
+
+211
+00:15:35,340 --> 00:15:40,200
+Methylprednisone نعطي 1000 ميلي جرام لخمس أيام
+
+212
+00:15:40,200 --> 00:15:47,140
+وبنعطي معهم IVIG اللي هو علاج زي ما اتكلمنا اليوم
+
+213
+00:15:47,140 --> 00:15:51,440
+Golian Bar Syndrome GPS Intravenous Immunoglobulin
+
+214
+00:15:51,440 --> 00:15:55,580
+400 ميلي جرام لكل كيلو ديالي في اليوم لمدة خمس
+
+215
+00:15:55,580 --> 00:15:59,680
+أيام في بعض الأحيان ممكن المرضى مايتحسنوش ينعملهم
+
+216
+00:15:59,680 --> 00:16:03,620
+حاجة اسمة plasma exchange فصل plasmaوبما ننسى يا
+
+217
+00:16:03,620 --> 00:16:07,460
+جماعة موضوع ال anticoagulant بنعطي ده أدوية لميوت
+
+218
+00:16:07,460 --> 00:16:11,400
+الدم هيبارين أو كليكسان ليه بنعطيهم؟ to prevent
+
+219
+00:16:11,400 --> 00:16:15,600
+deep vein thrombosis بنعمل ال prevention لل DVT
+
+220
+00:16:15,600 --> 00:16:19,000
+لأن المريض بيكون في spinal shock flaccid ويهانة
+
+221
+00:16:19,000 --> 00:16:22,400
+ممكن يحدث معاهم deep vein thrombosis تبدو اشتغلوا
+
+222
+00:16:22,400 --> 00:16:25,040
+علاج طبيعي وانتم مش منتبهين يحدث معاه pulmonary
+
+223
+00:16:25,040 --> 00:16:29,260
+embolism والمريض موتيبقى هذا مهم جدا اللي هو deep
+
+224
+00:16:29,260 --> 00:16:32,240
+venous thrombosis و لما تشتغلوا عداش طبيعي تنتبهوا
+
+225
+00:16:32,240 --> 00:16:35,260
+لل leg بلاش يكون عند المريض DVT ننظر إذا في
+
+226
+00:16:35,260 --> 00:16:39,240
+swelling في ال leg و ممكن تكون عادي إيش DVT و
+
+227
+00:16:39,240 --> 00:16:41,860
+ننتبهلها و مانشتغلش معاه في الحالة هذه نستهدف
+
+228
+00:16:41,860 --> 00:16:45,500
+الطبيب لإله بسرعة مهم جدا موضوع ال anticoagulant
+
+229
+00:16:45,500 --> 00:16:48,960
+to prevent DVT deep venous thrombosis and
+
+230
+00:16:48,960 --> 00:16:50,480
+pulmonary embolism
+
+231
+00:16:52,870 --> 00:16:55,210
+medical rehabilitation and physiotherapy بعد
+
+232
+00:16:55,210 --> 00:16:59,010
+العلاج هذا بعد يوم أسبوع خمس أيام أسبوع حسب الحالة
+
+233
+00:16:59,010 --> 00:17:02,050
+لما نكون stable بنحولهم ل medical rehabilitation
+
+234
+00:17:02,050 --> 00:17:06,170
+and physiotherapy الموضوع الثالث اللي بتتكلم عنه
+
+235
+00:17:06,170 --> 00:17:10,990
+اليوم acute disseminated encephalomyelitis أو
+
+236
+00:17:10,990 --> 00:17:16,090
+بنسمي Adam Adam هو عبارة عن post infectious
+
+237
+00:17:16,090 --> 00:17:20,870
+encephalomyelitis post infectiousو acute immune
+
+238
+00:17:20,870 --> 00:17:24,570
+-mediated demyelinating disorder of brain and
+
+239
+00:17:24,570 --> 00:17:29,430
+spinal cord بشبه بعضها often post-vaccination يعني
+
+240
+00:17:29,430 --> 00:17:32,050
+بيختلف عن ال Transverse myelitis ان بيكون ال
+
+241
+00:17:32,050 --> 00:17:34,790
+inflammation في ال spinal cord و في ال brain مع
+
+242
+00:17:34,790 --> 00:17:40,020
+بعض طيب multifocal neurologic signs and symptomsطب
+
+243
+00:17:40,020 --> 00:17:43,360
+كيف؟ ايش الفرق بينه بين ال multiple sclerosis؟ ايش
+
+244
+00:17:43,360 --> 00:17:47,440
+الفرق بينه بين multiple sclerosis؟ هنا في ال Adam
+
+245
+00:17:47,440 --> 00:17:51,540
+او MS كل ما اتذكر ال Adam بتذكر مريض كان محظوظ
+
+246
+00:17:51,540 --> 00:17:56,420
+حاله بدأ يروح للحج و أخد تطعيم ضد الانفلوانزا بعد
+
+247
+00:17:56,420 --> 00:18:00,540
+يومين انشل هذا المريض من التطعيم الانفلوانزا حدث
+
+248
+00:18:00,540 --> 00:18:04,590
+مع Adamيبقى الادم في ال history بيكون عندهم
+
+249
+00:18:04,590 --> 00:18:08,390
+preceding infection illness or immunization ممكن
+
+250
+00:18:08,390 --> 00:18:12,950
+يكون عنده مرض viral infection قبلها أو يكون عنده
+
+251
+00:18:12,950 --> 00:18:18,290
+ماخد تطعيم vaccine vaccination المرض هذول بيكون
+
+252
+00:18:18,290 --> 00:18:21,310
+عندهم associated with إيش fever ممكن يكون عندهم
+
+253
+00:18:21,310 --> 00:18:24,530
+fever كان مهم هذا ال fever ماتكلمناش عنه في ال MS
+
+254
+00:18:24,530 --> 00:18:28,880
+بيكونش معاهم feverغيرك ان المرض هذا بيسيب الكورتكس
+
+255
+00:18:28,880 --> 00:18:31,720
+بيسيب ال white matter و الكورتكس مادام صاب
+
+256
+00:18:31,720 --> 00:18:35,740
+الكورتكس بيكون عندهم هدول المرضى mental status
+
+257
+00:18:35,740 --> 00:18:40,640
+changes seizures عند مريض كان تمنتاشر سنة تقريبا
+
+258
+00:18:40,640 --> 00:18:44,100
+هذا المريض اول ما حدث معاه المرض دخل في شي اسمه
+
+259
+00:18:44,100 --> 00:18:47,620
+psychosis confusion agitation اتعالج عند ال
+
+260
+00:18:47,620 --> 00:18:52,190
+psychiatry بعد فترة مرة علي بعد سبوعخيمته وجدت انه
+
+261
+00:18:52,190 --> 00:18:55,250
+فيه أعراض ممكن يكون أدم كان عنده fever قبلها
+
+262
+00:18:55,250 --> 00:18:59,430
+طلبتله MRI لل brain spinal cord وكان فعلا عنده
+
+263
+00:18:59,430 --> 00:19:02,310
+acute disseminated encephalomyelitis والأن الحمد
+
+264
+00:19:02,310 --> 00:19:07,880
+لله وضعه كويس وازوج واخد علاجه وممتازالـ Age أكتر
+
+265
+00:19:07,880 --> 00:19:11,820
+شيء الادم بيجي في أطفال عند الأطفال الادم 10 سنين
+
+266
+00:19:11,820 --> 00:19:14,800
+11 12 كده لا يعني انه بيجي في ال 18 و ال 20 بيجي
+
+267
+00:19:14,800 --> 00:19:19,160
+بس بيقول أكتر بيكون عند الأطفال و ال MS أكتر بيكون
+
+268
+00:19:19,160 --> 00:19:23,990
+عند ال young adult عند ايه young adultالـ
+
+269
+00:19:23,990 --> 00:19:26,570
+investigations بتاعة الادام نفس ال investigations
+
+270
+00:19:26,570 --> 00:19:30,490
+اللي بنعملها لمين؟ ل .. اللي هو transverse
+
+271
+00:19:30,490 --> 00:19:34,790
+myelites مرة حكف عليها كتير بنعمل ال CSF و بنفحص
+
+272
+00:19:34,790 --> 00:19:38,170
+ال cells و ال protein و إذا كان positive
+
+273
+00:19:38,170 --> 00:19:42,130
+oligoclonal bands بتعامل مع حالة إيش تتصلب متعدد
+
+274
+00:19:42,130 --> 00:19:49,130
+MS بنعمل ال brain و spinal cord MRI هنا عندي في
+
+275
+00:19:49,130 --> 00:19:53,740
+الصورةواضح انه هذا رأس طفل وحيقولنا اللي ادم بيصيب
+
+276
+00:19:53,740 --> 00:19:57,280
+اكتر شيء اطفال واضح انه في inflammation هي وفي ال
+
+277
+00:19:57,280 --> 00:20:01,170
+spinal cordهذا spinal cord inflammation في
+
+278
+00:20:01,170 --> 00:20:04,390
+myelitis واضح ال hyper intense signal غير هيك في
+
+279
+00:20:04,390 --> 00:20:08,030
+hyper intense اللي بيختلف عن ال MS أول شي الحجم
+
+280
+00:20:08,030 --> 00:20:13,050
+بليكس كبيرة و ميخد ال white و ال grey مطر لاحظين
+
+281
+00:20:13,050 --> 00:20:16,930
+ان ال blacks داخل اوين كمان كثير على ال grey مطر
+
+282
+00:20:16,930 --> 00:20:21,410
+يمكن هذه حالة acute disseminated encephalomyelitis
+
+283
+00:20:21,410 --> 00:20:26,330
+in a childهذا المريض اللي أنا شخصته وقلتلكوا كان
+
+284
+00:20:26,330 --> 00:20:31,390
+عنده acute psychosis تقريبا كان عمره .. ممكن كان
+
+285
+00:20:31,390 --> 00:20:35,070
+عمره ايه ما تقريبا تمانتاش تسعتاشر سنة تمانتاشر
+
+286
+00:20:35,070 --> 00:20:40,530
+سنة واضح ال hyper intense signal هذه axial T2 وهذه
+
+287
+00:20:40,530 --> 00:20:46,810
+coronal flareلأن ال CSF هيبو .. هيبو intense أسود
+
+288
+00:20:46,810 --> 00:20:50,730
+و أنا ال CSF هيبو intense أبيض، لاحظوا ال plaques
+
+289
+00:20:50,730 --> 00:20:54,030
+وين جاية أكتر؟ ال plaques جاية مقدر ال cortex، هذا
+
+290
+00:20:54,030 --> 00:20:58,450
+اللي سبب له agitation و confusion و irritability
+
+291
+00:20:58,450 --> 00:21:03,960
+لهذا المريض من دير بلح شخصته أناال treatment of
+
+292
+00:21:03,960 --> 00:21:07,620
+Adam نفس ال treatment بتاعة مين؟ Transverse
+
+293
+00:21:07,620 --> 00:21:12,100
+myelitis نفس ال treatment of ايه؟ Transverse
+
+294
+00:21:12,100 --> 00:21:15,720
+myelitis وبعدها بنحولهم ل medical rehabilitation
+
+295
+00:21:15,720 --> 00:21:20,430
+and physiotherapyأخر موضوع بدي أتكلم عنه اليوم
+
+296
+00:21:20,430 --> 00:21:25,150
+اللي هو neuromyelitis optica neuromyelitis optica
+
+297
+00:21:25,150 --> 00:21:30,990
+أو devic disease devic شخص أول حالة في فرنسا ال
+
+298
+00:21:30,990 --> 00:21:36,070
+neuromyelitis optica is a sub acuteautomune
+
+299
+00:21:36,070 --> 00:21:39,510
+disorder characterized by demyelination and
+
+300
+00:21:39,510 --> 00:21:43,710
+inflammation of both optic nerves and spinal cord
+
+301
+00:21:43,710 --> 00:21:47,670
+يبقى ان المرض هذا بيكون mixed transverse myelitis
+
+302
+00:21:47,670 --> 00:21:52,170
+مع bilateral loss of vision مابنساش حالة شخصة أول
+
+303
+00:21:52,170 --> 00:21:56,150
+حالة في غزائنا شخص حالة و في حالة شفناها في
+
+304
+00:21:56,150 --> 00:21:59,630
+أوكرانيا مارا عليه حالتين في حياتي من 98 لليوم 22
+
+305
+00:21:59,630 --> 00:22:02,470
+سنة حالتين neuromyelitis optica diabetic disease
+
+306
+00:22:02,470 --> 00:22:05,510
+بتصل عليه زميلة من المستشفىبقول يا دكتور يا دفيع
+
+307
+00:22:05,510 --> 00:22:10,510
+ان ابنت عمي عندها فقدت النظر الصبية كانت 46 سنة
+
+308
+00:22:10,510 --> 00:22:16,250
+كانت صارت أفراح خلال ساعات ما بتشوفش أي شيء و
+
+309
+00:22:16,250 --> 00:22:20,950
+عملنا فحص عيونك كان العيون كويس فحصة قلت له عيدلي
+
+310
+00:22:20,950 --> 00:22:24,070
+الفحص غدا ممكن يكون هذا inflammation في ال optic
+
+311
+00:22:24,070 --> 00:22:27,570
+nerve إذا inflammation في ال optic nerve قد يكون
+
+312
+00:22:27,570 --> 00:22:30,150
+حاجة اسمها neuron myelites optic أنا في غزة ماشوتش
+
+313
+00:22:30,150 --> 00:22:34,170
+ولا حالة قد تكون هذه أول حالةولكن إذا كانت
+
+314
+00:22:34,170 --> 00:22:38,310
+neuromyelitis optica ننتظر خلال يومين يحدث محشلال
+
+315
+00:22:38,310 --> 00:22:42,710
+في الأطراف السفلية فعلا حولوها لمستشفى عينيه عناصر
+
+316
+00:22:42,710 --> 00:22:45,530
+قيمت لحالة ودخلتها عندي في الجسم فعلا كان عندها
+
+317
+00:22:45,530 --> 00:22:49,390
+مشاكل في النظر ما شفتنيش هي الآن بتتكلم معاه و
+
+318
+00:22:49,390 --> 00:22:52,150
+الرجل اتلقى طبيبتها و الرجل اتلقى عملها طبيعي و
+
+319
+00:22:52,150 --> 00:22:55,950
+بتقول دايما بجيب لطلاب الطب انا ماشوفتش الدكتورية
+
+320
+00:22:55,950 --> 00:23:00,930
+دي لما قيمني شوفته بعدين لما انتحسنت كان عندها
+
+321
+00:23:00,930 --> 00:23:06,310
+فقداني النظر كاملو عدم التحكم في البولبوراز و شلال
+
+322
+00:23:06,310 --> 00:23:08,170
+في الأطراف الصفلية كانت على wheelchair ..
+
+323
+00:23:08,170 --> 00:23:11,750
+wheelchair dependent الحمد لله دخلت و عملت لها
+
+324
+00:23:11,750 --> 00:23:15,510
+number puncture و فحصتها و عملت لها MRI و شخصها
+
+325
+00:23:15,510 --> 00:23:19,210
+نهائي ان هو ديفك disease أو neuromyelitis optica
+
+326
+00:23:19,210 --> 00:23:22,830
+لأن هذا المرض بصيب ال both optic nerves و بصيب ال
+
+327
+00:23:22,830 --> 00:23:26,390
+spinal cord يعني بيكون معهم transverse myelitis مع
+
+328
+00:23:26,390 --> 00:23:31,770
+bilateral optic neuritis مع بعضالمرض ال SLA و
+
+329
+00:23:31,770 --> 00:23:35,450
+الحمد لله أخدت علاجها و الآن مية في المية complete
+
+330
+00:23:35,450 --> 00:23:39,150
+return اللي رجع نظرها طبيعي زي ما كان و شيل اللي
+
+331
+00:23:39,150 --> 00:23:43,130
+عندها ال muscle power خمسة ع خمسة رجعت لطبيعتها و
+
+332
+00:23:43,130 --> 00:23:51,980
+رجعت لعملها اللي هي كانت تشتغل فيه مدرسة ال SLAو
+
+333
+00:23:51,980 --> 00:23:55,420
+بهجة ال disease و ال sarcoidosis بيعطونا احيانا
+
+334
+00:23:55,420 --> 00:23:58,840
+similar presentation مثل ال devic و ال
+
+335
+00:23:58,840 --> 00:24:01,620
+neuromyelitis optica زمان كانوا كتير شخصوا as
+
+336
+00:24:01,620 --> 00:24:05,200
+multiple sclerosis لكن الان اللي هو antibodies
+
+337
+00:24:05,200 --> 00:24:11,120
+بنفحص و بنميز بين انه هذه MS على neuromyelitis
+
+338
+00:24:11,120 --> 00:24:14,440
+optica في ال MS بيكون unilateral عندهم optic
+
+339
+00:24:14,440 --> 00:24:17,500
+neuritis في ال neuromyelitis بيكون bilateral عندهم
+
+340
+00:24:17,500 --> 00:24:20,380
+bilateral loss of vision أو bilateral optic
+
+341
+00:24:20,380 --> 00:24:24,100
+neuritisالـ clinical representation of
+
+342
+00:24:24,100 --> 00:24:28,100
+neuromyelitis optica أول شي بيكون ال primary ممكن
+
+343
+00:24:28,100 --> 00:24:30,340
+يحدث ال primary progressive with fulminant
+
+344
+00:24:30,340 --> 00:24:34,440
+disability أو ممكن يكون في relapsing remitting
+
+345
+00:24:34,440 --> 00:24:39,660
+course مرض خطير صيب مش بسيط total rapid bilateral
+
+346
+00:24:39,660 --> 00:24:43,840
+loss of genes تتصور فجأة بتشوف خلال ساعة ساعتين
+
+347
+00:24:43,840 --> 00:24:47,980
+يكون عندك blind أعمى مابتشوفش لا اليمين ولا الشمال
+
+348
+00:24:49,180 --> 00:24:56,240
+ثمانى spinal cord symptoms ممكن تبدأ خلال ساعات و
+
+349
+00:24:56,240 --> 00:25:00,460
+ممكن تبدأ مع بداية المرض انه فقد النظر و بدأ يظهر
+
+350
+00:25:00,460 --> 00:25:03,540
+عليه weakness في ال lower limbs و ممكن انه اول شي
+
+351
+00:25:03,540 --> 00:25:08,660
+يفقد المرض يفقد النظر و المريض و بعد يوم يومين
+
+352
+00:25:08,660 --> 00:25:11,160
+يحدث عنده weakness في ال lower limbs و sphincter
+
+353
+00:25:11,160 --> 00:25:14,360
+dysfunctions
+
+354
+00:25:14,360 --> 00:25:19,040
+urine retention is common زى ما اتفقناالشخص مع
+
+355
+00:25:19,040 --> 00:25:22,520
+نيرو ميولاتيس أوبتيكا لديه تقارير أقل لإستعادة
+
+356
+00:25:22,520 --> 00:25:27,640
+رؤية أقل من الشخص اللي لديه مرض أخطر من المرتب
+
+357
+00:25:27,640 --> 00:25:32,880
+السكليروسيس والتحسن في النظر أقل يكون من ال MS وما
+
+358
+00:25:32,880 --> 00:25:36,260
+تنسوا أنه في ال disease بيكون bilateral loss of
+
+359
+00:25:36,260 --> 00:25:40,690
+visionrecovery is complete 60-70% of patients و
+
+360
+00:25:40,690 --> 00:25:44,630
+الحمد لله الحالة اللي كانت عندها في غزة كانت 100%
+
+361
+00:25:44,630 --> 00:25:48,850
+complete recovery
+
+362
+00:25:48,850 --> 00:25:52,430
+ال investigations اللي بنعمله لل neuromyelitis
+
+363
+00:25:52,430 --> 00:25:56,600
+optic نفس ال Adam و ال transfer myelitisبنعمل of
+
+364
+00:25:56,600 --> 00:25:59,880
+thermological examination ضرورى CSF examination
+
+365
+00:25:59,880 --> 00:26:05,220
+brain MRI و spinal cord MRI و orbit و بنفحص ايش ال
+
+366
+00:26:05,220 --> 00:26:08,760
+mono globulin antibodies بسموه neuromyelitis
+
+367
+00:26:08,760 --> 00:26:15,260
+optica mono globulin G او لقسم ثاني aquiparine IV
+
+368
+00:26:15,260 --> 00:26:21,840
+antibodiesالـ spinal cord inflammation لاحظوا يكون
+
+369
+00:26:21,840 --> 00:26:24,640
+عندنا swelling فيه transverse myelitis التهاب في
+
+370
+00:26:24,640 --> 00:26:28,500
+الحبل الشوكي زائد في ال both optic nerve فيه
+
+371
+00:26:28,500 --> 00:26:32,020
+inflammation يبقى عندنا bilateral optic nerve
+
+372
+00:26:32,020 --> 00:26:35,640
+inflammation يعني bilateral optic neuritis مع
+
+373
+00:26:35,640 --> 00:26:40,520
+transverse myelitis عشان
+
+374
+00:26:40,520 --> 00:26:44,770
+أشخص الحالة بلزم ليها criteriaعشان الـ
+
+375
+00:26:44,770 --> 00:26:47,710
+neuromyelitis optica ايش بلزم شرط عشان اشخص حالة
+
+376
+00:26:47,710 --> 00:26:52,070
+الاش ال neuromyelitis optica بلزم optic neuritis
+
+377
+00:26:52,070 --> 00:26:56,910
+bilateral اثنين اصيبوا اثنين transverse myelitis و
+
+378
+00:26:56,910 --> 00:27:01,050
+بلزم one of the following MRI evidence of spinal
+
+379
+00:27:01,050 --> 00:27:05,150
+cord lesion three or more segments او يكون عندهم
+
+380
+00:27:05,150 --> 00:27:08,470
+zero positive neuromyelitis optica monoglobulin يا
+
+381
+00:27:08,470 --> 00:27:13,190
+هذا يا هذا انا المريضة اللي عندىكان عندها
+
+382
+00:27:13,190 --> 00:27:19,210
+bilateral optic neuritis وكان عندها myelitis تدخل
+
+383
+00:27:19,210 --> 00:27:22,170
+ال criteria وكان عندها ايضا ال MRI evidence بين
+
+384
+00:27:22,170 --> 00:27:25,770
+الكورة كان positive و ال serology test unavailable
+
+385
+00:27:25,770 --> 00:27:30,450
+في غزة ماقدرتش اعمله في غزة يقول انا اكتفيت بال
+
+386
+00:27:30,450 --> 00:27:33,570
+criteria هذه ودخلت لها ال criteria يقول بقدر
+
+387
+00:27:33,570 --> 00:27:36,190
+اشخصها بال criteria هذه بالمدوفر في غزة بقدر
+
+388
+00:27:36,190 --> 00:27:41,310
+اشخصها وشخصناها و اتعالجت 100%التريتمنت بتاع ال
+
+389
+00:27:41,310 --> 00:27:45,030
+neuromyelitis optic مثالي برنزون نفس الشي ألف ميلي
+
+390
+00:27:45,030 --> 00:27:48,950
+جرام لثلاث خمس أيام أكتر شي بنعطيه خمس أيام بنعطيه
+
+391
+00:27:48,950 --> 00:27:55,810
+IVIG في بعض الحلات بنعمل plasma exchange لكن ال
+
+392
+00:27:55,810 --> 00:27:59,470
+main treatment مثالي برنزون و plasma phoresisو في
+
+393
+00:27:59,470 --> 00:28:03,130
+دراسات قالت لك ان 50% من المرضى اللي ما اتحسنوش
+
+394
+00:28:03,130 --> 00:28:06,830
+على الـ Methylprednisone اعطوناهم IVIG واستجابوا
+
+395
+00:28:06,830 --> 00:28:12,190
+العلاج بعدها بنحولهم ل medical rehabilitation and
+
+396
+00:28:12,190 --> 00:28:15,370
+physiotherapy و المريضة بتاعتنا حولناها ل medical
+
+397
+00:28:15,370 --> 00:28:18,290
+rehabilitation و physiotherapy و الحمد لله risk
+
+398
+00:28:18,290 --> 00:28:24,890
+حدث معها complete recovery في الحالةOkay هيك بيكون
+
+399
+00:28:24,890 --> 00:28:30,930
+وصلنا لمنهاية المحاضرة واتكلمنا لكم على أمراض مهمة
+
+400
+00:28:30,930 --> 00:28:34,510
+و راح تتعاملوا معها في حياتك العملية في
+
+401
+00:28:34,510 --> 00:28:37,290
+demyelinating disease أو في central nervous system
+
+402
+00:28:37,290 --> 00:28:41,910
+راح تشوفوهم في ال outpatient clinic أو في ال
+
+403
+00:28:41,910 --> 00:28:46,990
+inpatient clinic أو في inpatient hospitalالحالات
+
+404
+00:28:46,990 --> 00:28:50,470
+هذه كتيرة موجودة خاصة ال multiple sclerosis و ان
+
+405
+00:28:50,470 --> 00:28:54,570
+شاء الله تكون تستفيدوا كتير في المحاضرة هذه في
+
+406
+00:28:54,570 --> 00:28:56,770
+حياتكم العملية و يعطيكم ألف حاجة
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d7de5b831b14f0ac64cf81d26c3a5fcfcf4007aa
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/gz8iVspiaEA_raw.srt
@@ -0,0 +1,1624 @@
+1
+00:00:04,930 --> 00:00:10,450
+بسم الله الرحمن الرحيم جزء ثاني من محاضرة الـ
+
+2
+00:00:10,450 --> 00:00:16,570
+demyelinating disease of CNS فهنكمل كام slide على
+
+3
+00:00:16,570 --> 00:00:20,740
+multiple sclerosisوصلنا الى Eradiological
+
+4
+00:00:20,740 --> 00:00:24,040
+diagnosis of multiple sclerosis الان ننتج ال
+
+5
+00:00:24,040 --> 00:00:28,500
+multiple sclerosis CSF finding بنعمل lumpar
+
+6
+00:00:28,500 --> 00:00:33,520
+puncture و بناخد CSF و بنفحص العينة بتاعتهم بنلاقي
+
+7
+00:00:33,520 --> 00:00:42,200
+في increase في ال white blood cells 65% و increase
+
+8
+00:00:42,200 --> 00:00:46,540
+في ال total proteinالطبيعي تطارد البروتين بيكون
+
+9
+00:00:46,540 --> 00:00:49,720
+خمستاشر لخمسة واربعين ميلي جرام من الديسليتر هذا
+
+10
+00:00:49,720 --> 00:00:52,740
+ممكن نجيه مية ومية وخمسين لأنه ال myelin sheet هو
+
+11
+00:00:52,740 --> 00:00:58,080
+عبارة عن ايه عبارة عن ليبوبروتين بنجيه positive
+
+12
+00:00:58,080 --> 00:01:03,340
+اللي هو الoligoclonal bands من الجلوبولين وفي
+
+13
+00:01:03,340 --> 00:01:07,980
+الحالة هذه multiple sclerosis بنقسمها قسمين zero
+
+14
+00:01:07,980 --> 00:01:13,200
+serology positive وserology
+
+15
+00:01:15,780 --> 00:01:22,920
+negative MS أو بيقولوا zero positive MS تقريبا
+
+16
+00:01:22,920 --> 00:01:31,700
+خمسة وتمانين في المية لتسعين بيكونوا zero positive
+
+17
+00:01:31,700 --> 00:01:37,240
+MS ومن عشرة لخمستاشر في المية بيكونوا zero
+
+18
+00:01:37,240 --> 00:01:41,540
+negative MS بيكونوا عندهم ال bands negative
+
+19
+00:01:44,150 --> 00:01:48,330
+الـ precipitating factors for MS ننصح المرضى
+
+20
+00:01:48,330 --> 00:01:51,170
+بتاعين التصلب المتعدد يبعدوا عن أشياء اللي ممكن
+
+21
+00:01:51,170 --> 00:01:55,290
+تزودلهم ل exacerbation of disease fever most
+
+22
+00:01:55,290 --> 00:02:00,710
+common cause of exacerbation of diseaseInfection
+
+23
+00:02:00,710 --> 00:02:03,430
+زي الانفلوانزا او upper respiratory tract
+
+24
+00:02:03,430 --> 00:02:07,690
+infection Hate sensitivity بنطلب من المرضى يحاولوا
+
+25
+00:02:07,690 --> 00:02:10,970
+يبتعدوا عن الميه السخنة كتير يدشوا الميه السخنة و
+
+26
+00:02:10,970 --> 00:02:14,610
+يتحملوا يبتعدوا عن الميه السخنة Emotional stress
+
+27
+00:02:14,610 --> 00:02:21,070
+المشاكل العاطفية و التوتر النفسي و ال stress كله
+
+28
+00:02:21,070 --> 00:02:24,870
+هذا بيقدي الى increase of the exacerbation
+
+29
+00:02:24,870 --> 00:02:30,320
+Physical exertionالمجهود العضلي والمجهود المتعب
+
+30
+00:02:30,320 --> 00:02:35,080
+اللي بيكون شاق قد يؤدي إلى exacerbation surgical
+
+31
+00:02:35,080 --> 00:02:39,760
+intervention خاصة surgical intervention under
+
+32
+00:02:39,760 --> 00:02:43,620
+general anesthesia التدخل الجراحي بحيث ذات التدخل
+
+33
+00:02:43,620 --> 00:02:47,940
+الجراحي يعتبر stress للمريض وتوتر نفسي زائد اللي
+
+34
+00:02:47,940 --> 00:02:51,980
+هو ال general anesthesia ممكن تحفز و تزود موضوع
+
+35
+00:02:51,980 --> 00:02:57,550
+demyelinationلأ بنتقل لموضوع treatment علاج المرض
+
+36
+00:02:57,550 --> 00:03:01,910
+treatment of multiple sclerosis انتوا مابيعنيكوش
+
+37
+00:03:01,910 --> 00:03:04,730
+كتير موضوع التدخل للعلاج الدوائي راح تاخدوا
+
+38
+00:03:04,730 --> 00:03:10,090
+الموضوع العلاج الطبيعي في ال MS لكن how is MS
+
+39
+00:03:10,090 --> 00:03:14,310
+treated and managed؟ أول شيء فيه drug therapy علاج
+
+40
+00:03:14,310 --> 00:03:19,670
+بدوائي علاج دوائي ل ال new attacks من علاج ال
+
+41
+00:03:19,670 --> 00:03:25,080
+exacerbation علاج عند النوبة اي واحد ثانىprevent
+
+42
+00:03:25,080 --> 00:03:29,560
+the occurrence of futures attacks، بنعمل وقايا
+
+43
+00:03:29,560 --> 00:03:34,860
+للنوبات، بنعطي علاج يعمل slow ل ال progression of
+
+44
+00:03:34,860 --> 00:03:41,640
+disease، والعلاج هذا بيعتبره بيقلل او تدهور المرض،
+
+45
+00:03:41,640 --> 00:03:45,650
+وبمنع النوبات أو مش بيمنعوا النوباتقد يعني يقلل
+
+46
+00:03:45,650 --> 00:03:49,950
+النوبات، بيقلل الموضوع الـ relapse of disease and
+
+47
+00:03:49,950 --> 00:03:54,530
+treatment of symptoms، يعتبر symptomatic treatment
+
+48
+00:03:54,530 --> 00:03:59,010
+treat the symptoms of disease، حسب الأعراض اللي
+
+49
+00:03:59,010 --> 00:04:03,730
+عند المريض، بنعطي بعض العلاجاتmedical
+
+50
+00:04:03,730 --> 00:04:07,510
+rehabilitation and physiotherapy العلاج الطبيعي
+
+51
+00:04:07,510 --> 00:04:12,290
+والتأهيل الطبي لهدول المرضى و ال psycho social
+
+52
+00:04:12,290 --> 00:04:17,450
+support الدعم النفسي والاجتماعي لمرضى تصلب المتعدد
+
+53
+00:04:17,450 --> 00:04:23,910
+treatment of exacerbationبالنسبة لل Exacerbation
+
+54
+00:04:23,910 --> 00:04:27,050
+في كل العالم و عندنا و في العالم كله بدخل المريض
+
+55
+00:04:27,050 --> 00:04:31,030
+للجسم و بنعطيهم Methylbrednisone كورتيكوستيرويد
+
+56
+00:04:31,030 --> 00:04:36,110
+بنعطيه 1000 ميلي جرام في محلول ملحي مرة في اليوم
+
+57
+00:04:36,110 --> 00:04:41,930
+ثلاث أيام أو خمس أيام يعني ممكن ياخدوا ثلاث جرعات
+
+58
+00:04:41,930 --> 00:04:47,370
+يعني كل يوم جرعة أو خمس جرعات كله صححسب ال .. حسب
+
+59
+00:04:47,370 --> 00:04:55,270
+ال massive أو ال severity of exacerbation اثنين في
+
+60
+00:04:55,270 --> 00:04:58,350
+بعض الحالات اللي بيكون فيهم في نوع انا ما اتكلمت
+
+61
+00:04:58,350 --> 00:05:02,070
+عنه اللي هو malignant type of MS في نوع malignant
+
+62
+00:05:02,070 --> 00:05:05,950
+type بنسميه plasma exchange بنعمللهم plasma
+
+63
+00:05:05,950 --> 00:05:10,790
+exchange في medical rehabilitation and
+
+64
+00:05:10,790 --> 00:05:14,490
+physiotherapy يبقى ان هذا كله علاج لل exacerbation
+
+65
+00:05:16,120 --> 00:05:19,560
+Prevention of Futures Attack الوقاية من النوبات و
+
+66
+00:05:19,560 --> 00:05:22,740
+انقلل ال progression of disease بنعطي علاجات غالية
+
+67
+00:05:22,740 --> 00:05:28,980
+جدا Beta Interferon, Avonix, Repif, Beta Seron هذا
+
+68
+00:05:28,980 --> 00:05:32,060
+ال Beta Interferon يمكن 600 شكل حقنة الواحدة
+
+69
+00:05:32,930 --> 00:05:37,170
+glatiramir كباكسون humanized monoclonal antibodies
+
+70
+00:05:37,170 --> 00:05:41,330
+زي التسابري او نتلزماب اليوم في السوق في دواء اسمه
+
+71
+00:05:41,330 --> 00:05:45,310
+أكريفاس أو أكريلزماب هذا بيده 18000 دولار في السنة
+
+72
+00:05:45,310 --> 00:05:50,640
+علاج 18000 دولار في السنة أكريفاس أو أكريلزماباللي
+
+73
+00:05:50,640 --> 00:05:53,420
+بنعطيك كل ست أشهر، كل ست شهور بنعطيها مرة في
+
+74
+00:05:53,420 --> 00:05:56,080
+الوريد Anti-neoplastic الأدوية اللي بتنعطيها
+
+75
+00:05:56,080 --> 00:05:59,220
+للأورام زي الـ Novantrone أو ميجزانترون، مامش
+
+76
+00:05:59,220 --> 00:06:02,660
+ضروري تحفظ الأسماء كلها، بس انا يعني ايه بعديدكوا،
+
+77
+00:06:02,660 --> 00:06:04,580
+لو مر عليكم الأدوية هذه، تعرفوا أن هذول أدوية
+
+78
+00:06:04,580 --> 00:06:10,580
+لمرضى يتصلوا بالمتعددالـ Rehabilitation ضروري في
+
+79
+00:06:10,580 --> 00:06:13,980
+العالم كله كان في كييف في عاصمة القرنية كان في
+
+80
+00:06:13,980 --> 00:06:18,420
+كييف center هو اللي هو اسمه MS Center مركز أبحاث
+
+81
+00:06:18,420 --> 00:06:21,560
+لمرضى تصل المتعدد هذا المركز ما بيعالج إلا حالات
+
+82
+00:06:21,560 --> 00:06:25,300
+multiple sclerosis بيكون بتكون من multiple
+
+83
+00:06:25,300 --> 00:06:28,040
+sclerosis specialists أو أصلهم هدول نيرولوجيست
+
+84
+00:06:28,040 --> 00:06:33,460
+بيكونوا MS nurse تمريض متخصصين في مرضها ل multiple
+
+85
+00:06:33,460 --> 00:06:37,890
+sclerosisphysiotherapist أخصائي علاج طبيعي متخصص
+
+86
+00:06:37,890 --> 00:06:41,830
+بال MS occupational therapy أخصائي علاج وظيفي
+
+87
+00:06:41,830 --> 00:06:46,150
+متخصص في موضوع ال MS ال clinical psychologist
+
+88
+00:06:46,150 --> 00:06:51,430
+أخصائي نفسي متخصص في موضوع ال MS and speech and
+
+89
+00:06:51,430 --> 00:06:55,930
+language specialist هذا أخصائي نطق متخصص في حالات
+
+90
+00:06:55,930 --> 00:07:01,990
+التصل بالمتعددهيك بيكون انا اوصلت لنهاية الموضوع
+
+91
+00:07:01,990 --> 00:07:05,930
+اللى هو ال multiple sclerosis التصلب متعدد لان
+
+92
+00:07:05,930 --> 00:07:10,270
+بنتجل لمرض اخر المرض رقم اتنين اللى هو Transverse
+
+93
+00:07:10,270 --> 00:07:16,370
+Myelitis Transverse Myelitis و عبارة عن segmental
+
+94
+00:07:16,370 --> 00:07:21,070
+spinal cord injury segmental spinal cord injury
+
+95
+00:07:21,070 --> 00:07:25,150
+okay تسمعوا كلمة injury تفكروا إصابة trauma لأ
+
+96
+00:07:25,150 --> 00:07:31,540
+caused سببby acute inflammation يبقى ان هو عبارة
+
+97
+00:07:31,540 --> 00:07:34,800
+عن إصابة في الحبل الشوكي ناتجة عن إيش الإصابة هتبع
+
+98
+00:07:34,800 --> 00:07:38,900
+الحبل الشوكي ناتجة عن التهاب التهاب حاد acute
+
+99
+00:07:38,900 --> 00:07:42,080
+inflammation يبقى ان هو عبارة عن segmental
+
+100
+00:07:42,080 --> 00:07:46,420
+inflammation of the spinal cord عبارة عن segmental
+
+101
+00:07:46,420 --> 00:07:50,560
+inflammation of spinal cord من هنا جاء myelitis
+
+102
+00:07:50,560 --> 00:07:57,190
+التهاب الحبل الشوكي transverse مقطعيtransverse
+
+103
+00:07:57,190 --> 00:08:02,510
+myelitis is uncommon حالة لخمس حالات كل مليون كل
+
+104
+00:08:02,510 --> 00:08:06,130
+سنة كل مليون نسمة بيجيهم من حالة لخمس حالات
+
+105
+00:08:06,130 --> 00:08:11,750
+transverse myelitis أكتر الحالات بيكون idiopathic
+
+106
+00:08:11,750 --> 00:08:16,510
+لكن الغالب بيكون precipitating due to autoimmune
+
+107
+00:08:16,510 --> 00:08:21,650
+process أو precipitating due to infection symptoms
+
+108
+00:08:21,650 --> 00:08:26,580
+typically rapidover several hours الان مارح
+
+109
+00:08:26,580 --> 00:08:29,760
+أشرحلكوا إذا أصيب الحبل الشوكي على مستوى ال
+
+110
+00:08:29,760 --> 00:08:33,520
+cervical, thoracic, lumbar, hemocord, anterior
+
+111
+00:08:33,520 --> 00:08:36,980
+cord, posterior cord, central cord كله شرحته في
+
+112
+00:08:36,980 --> 00:08:41,760
+محاضرة اسمها هنا ال core disease okay يبقى الإصابة
+
+113
+00:08:41,760 --> 00:08:45,180
+تكون سريعة تلاقي طالب أو طالبة راحت على الجامعة أو
+
+114
+00:08:45,180 --> 00:08:49,910
+على المدرسة خلال ساعاتبطلت تقدر تمشي والد شير
+
+115
+00:08:49,910 --> 00:08:54,790
+ديبندن على كرسي متحرك شلل وعدم تحكم في البول
+
+116
+00:08:54,790 --> 00:08:58,730
+البرازي loss of sensation فقدان الإحساس مرض مش
+
+117
+00:08:58,730 --> 00:09:03,950
+بسيط خطير okay typically the inflammation is
+
+118
+00:09:03,950 --> 00:09:08,260
+bilateralproducing weakness sensory disturbances
+
+119
+00:09:08,260 --> 00:09:11,980
+below the level of lesion و عندهم عند دول المرضى
+
+120
+00:09:11,980 --> 00:09:15,940
+بيكون عندهم فقدان الاحساس تحت مستوى الإصابة أو تحت
+
+121
+00:09:15,940 --> 00:09:20,760
+مستوى الالتهاب شلل تحت مستوى الالتهاب اللي حدث في
+
+122
+00:09:20,760 --> 00:09:25,120
+الحبل الشوكي ال spinal cord inflammation أو ال
+
+123
+00:09:25,120 --> 00:09:30,300
+transverse myelitis ممكن يكون completeيعني total
+
+124
+00:09:30,300 --> 00:09:34,800
+او incomplete partial واحنا اتفاقنا ان ال partial
+
+125
+00:09:34,800 --> 00:09:38,380
+هو انواع brown sequer syndrome إصابة نصف الحبل
+
+126
+00:09:38,380 --> 00:09:42,780
+الشوكي anterior cord syndrome إصابة الجزء الأمامي
+
+127
+00:09:42,780 --> 00:09:46,480
+من الحبل الشوكي posterior cord syndrome إصابة
+
+128
+00:09:46,480 --> 00:09:50,320
+الجزء الخلفي من الحبل الشوكي central cord syndrome
+
+129
+00:09:50,320 --> 00:09:54,820
+إصابة الجزء المركزي أو ال grammar of the spinal
+
+130
+00:09:54,820 --> 00:10:01,130
+cord إيش قال؟قال لك patient presenting with acute
+
+131
+00:10:01,130 --> 00:10:06,610
+complete transverse myelitis have a risk of MS
+
+132
+00:10:06,610 --> 00:10:10,950
+only five to ten percent يعني الناس اللي بيصيب
+
+133
+00:10:10,950 --> 00:10:14,890
+معاهم transverse myelitis خمس لعشرة في المية منهم
+
+134
+00:10:14,890 --> 00:10:18,270
+اللي عندهم complete spinal cord transverse
+
+135
+00:10:18,270 --> 00:10:21,650
+myelitis ممكن يكون هذا initial presentation of MS
+
+136
+00:10:21,650 --> 00:10:28,630
+بداية مرض التسلب المتعدد okay طيبالمرضى اللى عندهم
+
+137
+00:10:28,630 --> 00:10:36,070
+partial او incomplete transverse myelitis من 57% ل
+
+138
+00:10:36,070 --> 00:10:42,430
+72% من هدول المرضى ممكن يكون هدى بداية transverse
+
+139
+00:10:42,430 --> 00:10:46,790
+myelitis يعني أجانب مريضوشخصناها Transverse
+
+140
+00:10:46,790 --> 00:10:49,810
+Myelitis لجيناها partial inflammation في spinal
+
+141
+00:10:49,810 --> 00:10:54,650
+cord لازم اعمله brain MRI ليه لازم اعمله brain MRI
+
+142
+00:10:54,650 --> 00:10:57,610
+لو وجدت عنده في ال brain فيه كمان demyelination
+
+143
+00:10:57,610 --> 00:11:01,030
+ببطل اقول partial transverse myelitis بقول هذه
+
+144
+00:11:01,030 --> 00:11:05,430
+حالة ايه multiple sclerosis طب كويسة لو بدل المرض
+
+145
+00:11:05,430 --> 00:11:10,450
+ب blacks one blacks في spinal cord وشخصناها as
+
+146
+00:11:10,450 --> 00:11:13,230
+partial transverse myelitis و ال brain كان free
+
+147
+00:11:13,230 --> 00:11:19,420
+بعد سنةوبدا عنده أعراض أخرى وعملنا brain of المرأة
+
+148
+00:11:19,420 --> 00:11:25,500
+ووجدنا عنده plagues في ال brain ببطل أقول هذا
+
+149
+00:11:25,500 --> 00:11:28,620
+transverse myelitis بقول هذا multiple sclerosis
+
+150
+00:11:28,620 --> 00:11:33,440
+وانا ما أخطأت أنا علجته صح علجته صح لأن العلاج تبع
+
+151
+00:11:33,440 --> 00:11:36,840
+ال transverse myelitis و ال MS في ال exacerbation
+
+152
+00:11:36,840 --> 00:11:42,250
+the same treatment تقريبايبقى نطلعه الـ Incomplete
+
+153
+00:11:42,250 --> 00:11:45,690
+Transvirus Myelites، 57% أو 72% منهم ممكن يكون هذه
+
+154
+00:11:45,690 --> 00:11:50,790
+الـ Initial Presentation of MS. Etiology of
+
+155
+00:11:50,790 --> 00:11:52,650
+Transvirus Myelites، إيش أسباب Transvirus
+
+156
+00:11:52,650 --> 00:11:57,110
+Myelites؟ Most cases of Transvirus Myelites are
+
+157
+00:11:57,110 --> 00:12:00,950
+idiopathic، اللي هم علاقة بالـ autoimmune process
+
+158
+00:12:02,620 --> 00:12:07,040
+جزء منهم كبير قلنا يعتبر first manifestation of
+
+159
+00:12:07,040 --> 00:12:10,560
+multiple sclerosis ممكن يكون ناتجة عن viral
+
+160
+00:12:10,560 --> 00:12:14,880
+infectionmecoplasma pneumonia ممكن يكون ناتجة عن
+
+161
+00:12:14,880 --> 00:12:17,580
+systemic lobus erythromatosis vasculitis
+
+162
+00:12:17,580 --> 00:12:21,840
+rheumatoid arthritis antiphospholipid syndrome في
+
+163
+00:12:21,840 --> 00:12:25,220
+صيبية علاجتها انها كانت في التلاتينات شخصناها برش
+
+164
+00:12:25,220 --> 00:12:28,540
+على transverse myelitis لما ناخدت منها history كان
+
+165
+00:12:28,540 --> 00:12:31,760
+عندها recurrent abortion recurrent abortion وهي
+
+166
+00:12:31,760 --> 00:12:35,240
+مشخصة في الأصل antiphospholipid syndrome يبقى ال
+
+167
+00:12:35,240 --> 00:12:37,780
+antiphospholipid syndrome هذا هو اللي سبب له
+
+168
+00:12:37,780 --> 00:12:41,050
+الاتهاب في الحبل الشوكي ال transverse myelitisعندي
+
+169
+00:12:41,050 --> 00:12:45,710
+مريضة حديثا في المستشفى حدث معها مشاكل و شلال في
+
+170
+00:12:45,710 --> 00:12:49,750
+رجليها و فقدان التحكم في البراز و التبول و التبرز
+
+171
+00:12:49,750 --> 00:12:56,210
+و وجدنا عنها انتهاب في الحبل الشوكيعملتلها work up
+
+172
+00:12:56,210 --> 00:12:59,370
+ثاني لأن في عندها فقدان الوزن و كده لاجيت عندها
+
+173
+00:12:59,370 --> 00:13:03,610
+metastasis عندها سرطان منتشر يقول ال inflammation
+
+174
+00:13:03,610 --> 00:13:07,230
+اللي في ال spinal cord هذا كان ناتج عن cancer ناتج
+
+175
+00:13:07,230 --> 00:13:10,430
+عن cancer بنسميه Paraneoplastic Syndrome
+
+176
+00:13:10,430 --> 00:13:13,170
+Paraneoplastic Syndrome يقول لازم أبحث عن السبب
+
+177
+00:13:13,170 --> 00:13:17,550
+عشان أشخص صح ال investigations بنعملهم لل
+
+178
+00:13:17,550 --> 00:13:21,430
+Transvirus Myelitis أول شي بنعمل investigations ال
+
+179
+00:13:21,430 --> 00:13:24,480
+general investigation CBC chemistryبنعمل
+
+180
+00:13:24,480 --> 00:13:29,200
+cerebrospinal fluid بنعمل بزل وبناخد السائل بتاع
+
+181
+00:13:29,200 --> 00:13:37,760
+الحبل الشوكي وإيش بنفحصه السائل هذا ال CSF بنجد في
+
+182
+00:13:37,760 --> 00:13:41,120
+elevation of البروتين ارتفاع في البروتين زاد
+
+183
+00:13:41,120 --> 00:13:45,180
+ارتفاع في ال lymphocyte ال white blood cells ضروري
+
+184
+00:13:45,180 --> 00:13:49,160
+جدا هنا إذا في ممكنية في الضفة في غزة مافيش ممكنية
+
+185
+00:13:49,160 --> 00:13:53,560
+هذي نفحص Illegoclonal bands IGالـ Oligoclonal
+
+186
+00:13:53,560 --> 00:13:57,880
+bands IG إذا وجدناها positive منذ البداية باتكلم
+
+187
+00:13:57,880 --> 00:14:00,620
+على multiple sclerosis باتكلم مش على transverse
+
+188
+00:14:00,620 --> 00:14:06,640
+myelitis بنعمل ال brain و spinal cord MRI ليه
+
+189
+00:14:06,640 --> 00:14:10,280
+نعملنا ال brain MRI؟ to exclude multiple sclerosis
+
+190
+00:14:10,280 --> 00:14:14,660
+يبقى هذا كله مهم جدا إيش بنجد في ال spinal cord؟
+
+191
+00:14:14,660 --> 00:14:17,600
+ممكن يكون عندنا swelling hyper intense signal مع
+
+192
+00:14:17,600 --> 00:14:21,000
+swelling وانتفاخ في الحبل الشوكي due to
+
+193
+00:14:21,000 --> 00:14:26,350
+inflammationواضح أن هنا في inflammation في الحبل
+
+194
+00:14:26,350 --> 00:14:30,010
+الشوكي في swelling واضح أن ال hyper intense signal
+
+195
+00:14:30,010 --> 00:14:33,470
+هنا complete transverse myelitis ال spinal cord
+
+196
+00:14:33,470 --> 00:14:36,830
+منتفق من ال edema عندنا swelling و edema في spinal
+
+197
+00:14:36,830 --> 00:14:40,590
+cord مع inflammation في tissue of the spinal cord
+
+198
+00:14:41,750 --> 00:14:46,830
+هنا حالة partial transverse myelitis عند man سبعة
+
+199
+00:14:46,830 --> 00:14:49,710
+و تلاتين سنة كان من literature هذا partial
+
+200
+00:14:49,710 --> 00:14:52,810
+transverse myelitis هذا على الـ Sagittal وهنا على
+
+201
+00:14:52,810 --> 00:14:56,910
+ال Axial cut هاي ال inflammation في ال posterior
+
+202
+00:14:56,910 --> 00:15:00,730
+part يبقى ان هذه كانت حالة ايش تشخصها transverse
+
+203
+00:15:00,730 --> 00:15:03,610
+myelitis لكن لما يعملوا work up و يعملوا brain MRI
+
+204
+00:15:03,610 --> 00:15:07,470
+و يفحصوا ال cerebrospinal fluid ال CSFتم تشخيصه
+
+205
+00:15:07,470 --> 00:15:11,410
+إلى multiple sclerosis هذا طلعت حالة ايش؟ تسلب
+
+206
+00:15:11,410 --> 00:15:14,110
+متعدد و احنا عادي اتكلمنا ان ال incomplete
+
+207
+00:15:14,110 --> 00:15:20,530
+transverse myelitis من 57% ل 72% ممكن اعراضها تكون
+
+208
+00:15:20,530 --> 00:15:27,190
+عبارة عن initial presentation of MS كيف نعالج
+
+209
+00:15:27,190 --> 00:15:31,250
+حالات ال transverse myelitis؟ مثل علاج ال MS
+
+210
+00:15:31,250 --> 00:15:35,340
+exacerbation نعطي high doseHigh-dose
+
+211
+00:15:35,340 --> 00:15:40,200
+Methylprednisone نعطي 1000 ميلي جرام لخمس أيام
+
+212
+00:15:40,200 --> 00:15:47,140
+وبنعطي معهم IVIG اللي هو علاج زي ما اتكلمنا اليوم
+
+213
+00:15:47,140 --> 00:15:51,440
+Golian Bar Syndrome GPS Intravenous Immunoglobulin
+
+214
+00:15:51,440 --> 00:15:55,580
+400 ميلي جرام لكل كيلو ديالي في اليوم لمدة خمس
+
+215
+00:15:55,580 --> 00:15:59,680
+أيام في بعض الأحيان ممكن المرضى مايتحسنوش ينعملهم
+
+216
+00:15:59,680 --> 00:16:03,620
+حاجة اسمة plasma exchange فصل plasmaوبما ننسى يا
+
+217
+00:16:03,620 --> 00:16:07,460
+جماعة موضوع ال anticoagulant بنعطي ده أدوية لميوت
+
+218
+00:16:07,460 --> 00:16:11,400
+الدم هيبارين أو كليكسان ليه بنعطيهم؟ to prevent
+
+219
+00:16:11,400 --> 00:16:15,600
+deep vein thrombosis بنعمل ال prevention لل DVT
+
+220
+00:16:15,600 --> 00:16:19,000
+لأن المريض بيكون في spinal shock flaccid ويهانة
+
+221
+00:16:19,000 --> 00:16:22,400
+ممكن يحدث معاهم deep vein thrombosis تبدو اشتغلوا
+
+222
+00:16:22,400 --> 00:16:25,040
+علاج طبيعي وانتم مش منتبهين يحدث معاه pulmonary
+
+223
+00:16:25,040 --> 00:16:29,260
+embolism والمريض موتيبقى هذا مهم جدا اللي هو deep
+
+224
+00:16:29,260 --> 00:16:32,240
+venous thrombosis و لما تشتغلوا عداش طبيعي تنتبهوا
+
+225
+00:16:32,240 --> 00:16:35,260
+لل leg بلاش يكون عند المريض DVT ننظر إذا في
+
+226
+00:16:35,260 --> 00:16:39,240
+swelling في ال leg و ممكن تكون عادي إيش DVT و
+
+227
+00:16:39,240 --> 00:16:41,860
+ننتبهلها و مانشتغلش معاه في الحالة هذه نستهدف
+
+228
+00:16:41,860 --> 00:16:45,500
+الطبيب لإله بسرعة مهم جدا موضوع ال anticoagulant
+
+229
+00:16:45,500 --> 00:16:48,960
+to prevent DVT deep venous thrombosis and
+
+230
+00:16:48,960 --> 00:16:50,480
+pulmonary embolism
+
+231
+00:16:52,870 --> 00:16:55,210
+medical rehabilitation and physiotherapy بعد
+
+232
+00:16:55,210 --> 00:16:59,010
+العلاج هذا بعد يوم أسبوع خمس أيام أسبوع حسب الحالة
+
+233
+00:16:59,010 --> 00:17:02,050
+لما نكون stable بنحولهم ل medical rehabilitation
+
+234
+00:17:02,050 --> 00:17:06,170
+and physiotherapy الموضوع الثالث اللي بتتكلم عنه
+
+235
+00:17:06,170 --> 00:17:10,990
+اليوم acute disseminated encephalomyelitis أو
+
+236
+00:17:10,990 --> 00:17:16,090
+بنسمي Adam Adam هو عبارة عن post infectious
+
+237
+00:17:16,090 --> 00:17:20,870
+encephalomyelitis post infectiousو acute immune
+
+238
+00:17:20,870 --> 00:17:24,570
+-mediated demyelinating disorder of brain and
+
+239
+00:17:24,570 --> 00:17:29,430
+spinal cord بشبه بعضها often post-vaccination يعني
+
+240
+00:17:29,430 --> 00:17:32,050
+بيختلف عن ال Transverse myelitis ان بيكون ال
+
+241
+00:17:32,050 --> 00:17:34,790
+inflammation في ال spinal cord و في ال brain مع
+
+242
+00:17:34,790 --> 00:17:40,020
+بعض طيب multifocal neurologic signs and symptomsطب
+
+243
+00:17:40,020 --> 00:17:43,360
+كيف؟ ايش الفرق بينه بين ال multiple sclerosis؟ ايش
+
+244
+00:17:43,360 --> 00:17:47,440
+الفرق بينه بين multiple sclerosis؟ هنا في ال Adam
+
+245
+00:17:47,440 --> 00:17:51,540
+او MS كل ما اتذكر ال Adam بتذكر مريض كان محظوظ
+
+246
+00:17:51,540 --> 00:17:56,420
+حاله بدأ يروح للحج و أخد تطعيم ضد الانفلوانزا بعد
+
+247
+00:17:56,420 --> 00:18:00,540
+يومين انشل هذا المريض من التطعيم الانفلوانزا حدث
+
+248
+00:18:00,540 --> 00:18:04,590
+مع Adamيبقى الادم في ال history بيكون عندهم
+
+249
+00:18:04,590 --> 00:18:08,390
+preceding infection illness or immunization ممكن
+
+250
+00:18:08,390 --> 00:18:12,950
+يكون عنده مرض viral infection قبلها أو يكون عنده
+
+251
+00:18:12,950 --> 00:18:18,290
+ماخد تطعيم vaccine vaccination المرض هذول بيكون
+
+252
+00:18:18,290 --> 00:18:21,310
+عندهم associated with إيش fever ممكن يكون عندهم
+
+253
+00:18:21,310 --> 00:18:24,530
+fever كان مهم هذا ال fever ماتكلمناش عنه في ال MS
+
+254
+00:18:24,530 --> 00:18:28,880
+بيكونش معاهم feverغيرك ان المرض هذا بيسيب الكورتكس
+
+255
+00:18:28,880 --> 00:18:31,720
+بيسيب ال white matter و الكورتكس مادام صاب
+
+256
+00:18:31,720 --> 00:18:35,740
+الكورتكس بيكون عندهم هدول المرضى mental status
+
+257
+00:18:35,740 --> 00:18:40,640
+changes seizures عند مريض كان تمنتاشر سنة تقريبا
+
+258
+00:18:40,640 --> 00:18:44,100
+هذا المريض اول ما حدث معاه المرض دخل في شي اسمه
+
+259
+00:18:44,100 --> 00:18:47,620
+psychosis confusion agitation اتعالج عند ال
+
+260
+00:18:47,620 --> 00:18:52,190
+psychiatry بعد فترة مرة علي بعد سبوعخيمته وجدت انه
+
+261
+00:18:52,190 --> 00:18:55,250
+فيه أعراض ممكن يكون أدم كان عنده fever قبلها
+
+262
+00:18:55,250 --> 00:18:59,430
+طلبتله MRI لل brain spinal cord وكان فعلا عنده
+
+263
+00:18:59,430 --> 00:19:02,310
+acute disseminated encephalomyelitis والأن الحمد
+
+264
+00:19:02,310 --> 00:19:07,880
+لله وضعه كويس وازوج واخد علاجه وممتازالـ Age أكتر
+
+265
+00:19:07,880 --> 00:19:11,820
+شيء الادم بيجي في أطفال عند الأطفال الادم 10 سنين
+
+266
+00:19:11,820 --> 00:19:14,800
+11 12 كده لا يعني انه بيجي في ال 18 و ال 20 بيجي
+
+267
+00:19:14,800 --> 00:19:19,160
+بس بيقول أكتر بيكون عند الأطفال و ال MS أكتر بيكون
+
+268
+00:19:19,160 --> 00:19:23,990
+عند ال young adult عند ايه young adultالـ
+
+269
+00:19:23,990 --> 00:19:26,570
+investigations بتاعة الادام نفس ال investigations
+
+270
+00:19:26,570 --> 00:19:30,490
+اللي بنعملها لمين؟ ل .. اللي هو transverse
+
+271
+00:19:30,490 --> 00:19:34,790
+myelites مرة حكف عليها كتير بنعمل ال CSF و بنفحص
+
+272
+00:19:34,790 --> 00:19:38,170
+ال cells و ال protein و إذا كان positive
+
+273
+00:19:38,170 --> 00:19:42,130
+oligoclonal bands بتعامل مع حالة إيش تتصلب متعدد
+
+274
+00:19:42,130 --> 00:19:49,130
+MS بنعمل ال brain و spinal cord MRI هنا عندي في
+
+275
+00:19:49,130 --> 00:19:53,740
+الصورةواضح انه هذا رأس طفل وحيقولنا اللي ادم بيصيب
+
+276
+00:19:53,740 --> 00:19:57,280
+اكتر شيء اطفال واضح انه في inflammation هي وفي ال
+
+277
+00:19:57,280 --> 00:20:01,170
+spinal cordهذا spinal cord inflammation في
+
+278
+00:20:01,170 --> 00:20:04,390
+myelitis واضح ال hyper intense signal غير هيك في
+
+279
+00:20:04,390 --> 00:20:08,030
+hyper intense اللي بيختلف عن ال MS أول شي الحجم
+
+280
+00:20:08,030 --> 00:20:13,050
+بليكس كبيرة و ميخد ال white و ال grey مطر لاحظين
+
+281
+00:20:13,050 --> 00:20:16,930
+ان ال blacks داخل اوين كمان كثير على ال grey مطر
+
+282
+00:20:16,930 --> 00:20:21,410
+يمكن هذه حالة acute disseminated encephalomyelitis
+
+283
+00:20:21,410 --> 00:20:26,330
+in a childهذا المريض اللي أنا شخصته وقلتلكوا كان
+
+284
+00:20:26,330 --> 00:20:31,390
+عنده acute psychosis تقريبا كان عمره .. ممكن كان
+
+285
+00:20:31,390 --> 00:20:35,070
+عمره ايه ما تقريبا تمانتاش تسعتاشر سنة تمانتاشر
+
+286
+00:20:35,070 --> 00:20:40,530
+سنة واضح ال hyper intense signal هذه axial T2 وهذه
+
+287
+00:20:40,530 --> 00:20:46,810
+coronal flareلأن ال CSF هيبو .. هيبو intense أسود
+
+288
+00:20:46,810 --> 00:20:50,730
+و أنا ال CSF هيبو intense أبيض، لاحظوا ال plaques
+
+289
+00:20:50,730 --> 00:20:54,030
+وين جاية أكتر؟ ال plaques جاية مقدر ال cortex، هذا
+
+290
+00:20:54,030 --> 00:20:58,450
+اللي سبب له agitation و confusion و irritability
+
+291
+00:20:58,450 --> 00:21:03,960
+لهذا المريض من دير بلح شخصته أناال treatment of
+
+292
+00:21:03,960 --> 00:21:07,620
+Adam نفس ال treatment بتاعة مين؟ Transverse
+
+293
+00:21:07,620 --> 00:21:12,100
+myelitis نفس ال treatment of ايه؟ Transverse
+
+294
+00:21:12,100 --> 00:21:15,720
+myelitis وبعدها بنحولهم ل medical rehabilitation
+
+295
+00:21:15,720 --> 00:21:20,430
+and physiotherapyأخر موضوع بدي أتكلم عنه اليوم
+
+296
+00:21:20,430 --> 00:21:25,150
+اللي هو neuromyelitis optica neuromyelitis optica
+
+297
+00:21:25,150 --> 00:21:30,990
+أو devic disease devic شخص أول حالة في فرنسا ال
+
+298
+00:21:30,990 --> 00:21:36,070
+neuromyelitis optica is a sub acuteautomune
+
+299
+00:21:36,070 --> 00:21:39,510
+disorder characterized by demyelination and
+
+300
+00:21:39,510 --> 00:21:43,710
+inflammation of both optic nerves and spinal cord
+
+301
+00:21:43,710 --> 00:21:47,670
+يبقى ان المرض هذا بيكون mixed transverse myelitis
+
+302
+00:21:47,670 --> 00:21:52,170
+مع bilateral loss of vision مابنساش حالة شخصة أول
+
+303
+00:21:52,170 --> 00:21:56,150
+حالة في غزائنا شخص حالة و في حالة شفناها في
+
+304
+00:21:56,150 --> 00:21:59,630
+أوكرانيا مارا عليه حالتين في حياتي من 98 لليوم 22
+
+305
+00:21:59,630 --> 00:22:02,470
+سنة حالتين neuromyelitis optica diabetic disease
+
+306
+00:22:02,470 --> 00:22:05,510
+بتصل عليه زميلة من المستشفىبقول يا دكتور يا دفيع
+
+307
+00:22:05,510 --> 00:22:10,510
+ان ابنت عمي عندها فقدت النظر الصبية كانت 46 سنة
+
+308
+00:22:10,510 --> 00:22:16,250
+كانت صارت أفراح خلال ساعات ما بتشوفش أي شيء و
+
+309
+00:22:16,250 --> 00:22:20,950
+عملنا فحص عيونك كان العيون كويس فحصة قلت له عيدلي
+
+310
+00:22:20,950 --> 00:22:24,070
+الفحص غدا ممكن يكون هذا inflammation في ال optic
+
+311
+00:22:24,070 --> 00:22:27,570
+nerve إذا inflammation في ال optic nerve قد يكون
+
+312
+00:22:27,570 --> 00:22:30,150
+حاجة اسمها neuron myelites optic أنا في غزة ماشوتش
+
+313
+00:22:30,150 --> 00:22:34,170
+ولا حالة قد تكون هذه أول حالةولكن إذا كانت
+
+314
+00:22:34,170 --> 00:22:38,310
+neuromyelitis optica ننتظر خلال يومين يحدث محشلال
+
+315
+00:22:38,310 --> 00:22:42,710
+في الأطراف السفلية فعلا حولوها لمستشفى عينيه عناصر
+
+316
+00:22:42,710 --> 00:22:45,530
+قيمت لحالة ودخلتها عندي في الجسم فعلا كان عندها
+
+317
+00:22:45,530 --> 00:22:49,390
+مشاكل في النظر ما شفتنيش هي الآن بتتكلم معاه و
+
+318
+00:22:49,390 --> 00:22:52,150
+الرجل اتلقى طبيبتها و الرجل اتلقى عملها طبيعي و
+
+319
+00:22:52,150 --> 00:22:55,950
+بتقول دايما بجيب لطلاب الطب انا ماشوفتش الدكتورية
+
+320
+00:22:55,950 --> 00:23:00,930
+دي لما قيمني شوفته بعدين لما انتحسنت كان عندها
+
+321
+00:23:00,930 --> 00:23:06,310
+فقداني النظر كاملو عدم التحكم في البولبوراز و شلال
+
+322
+00:23:06,310 --> 00:23:08,170
+في الأطراف الصفلية كانت على wheelchair ..
+
+323
+00:23:08,170 --> 00:23:11,750
+wheelchair dependent الحمد لله دخلت و عملت لها
+
+324
+00:23:11,750 --> 00:23:15,510
+number puncture و فحصتها و عملت لها MRI و شخصها
+
+325
+00:23:15,510 --> 00:23:19,210
+نهائي ان هو ديفك disease أو neuromyelitis optica
+
+326
+00:23:19,210 --> 00:23:22,830
+لأن هذا المرض بصيب ال both optic nerves و بصيب ال
+
+327
+00:23:22,830 --> 00:23:26,390
+spinal cord يعني بيكون معهم transverse myelitis مع
+
+328
+00:23:26,390 --> 00:23:31,770
+bilateral optic neuritis مع بعضالمرض ال SLA و
+
+329
+00:23:31,770 --> 00:23:35,450
+الحمد لله أخدت علاجها و الآن مية في المية complete
+
+330
+00:23:35,450 --> 00:23:39,150
+return اللي رجع نظرها طبيعي زي ما كان و شيل اللي
+
+331
+00:23:39,150 --> 00:23:43,130
+عندها ال muscle power خمسة ع خمسة رجعت لطبيعتها و
+
+332
+00:23:43,130 --> 00:23:51,980
+رجعت لعملها اللي هي كانت تشتغل فيه مدرسة ال SLAو
+
+333
+00:23:51,980 --> 00:23:55,420
+بهجة ال disease و ال sarcoidosis بيعطونا احيانا
+
+334
+00:23:55,420 --> 00:23:58,840
+similar presentation مثل ال devic و ال
+
+335
+00:23:58,840 --> 00:24:01,620
+neuromyelitis optica زمان كانوا كتير شخصوا as
+
+336
+00:24:01,620 --> 00:24:05,200
+multiple sclerosis لكن الان اللي هو antibodies
+
+337
+00:24:05,200 --> 00:24:11,120
+بنفحص و بنميز بين انه هذه MS على neuromyelitis
+
+338
+00:24:11,120 --> 00:24:14,440
+optica في ال MS بيكون unilateral عندهم optic
+
+339
+00:24:14,440 --> 00:24:17,500
+neuritis في ال neuromyelitis بيكون bilateral عندهم
+
+340
+00:24:17,500 --> 00:24:20,380
+bilateral loss of vision أو bilateral optic
+
+341
+00:24:20,380 --> 00:24:24,100
+neuritisالـ clinical representation of
+
+342
+00:24:24,100 --> 00:24:28,100
+neuromyelitis optica أول شي بيكون ال primary ممكن
+
+343
+00:24:28,100 --> 00:24:30,340
+يحدث ال primary progressive with fulminant
+
+344
+00:24:30,340 --> 00:24:34,440
+disability أو ممكن يكون في relapsing remitting
+
+345
+00:24:34,440 --> 00:24:39,660
+course مرض خطير صيب مش بسيط total rapid bilateral
+
+346
+00:24:39,660 --> 00:24:43,840
+loss of genes تتصور فجأة بتشوف خلال ساعة ساعتين
+
+347
+00:24:43,840 --> 00:24:47,980
+يكون عندك blind أعمى مابتشوفش لا اليمين ولا الشمال
+
+348
+00:24:49,180 --> 00:24:56,240
+ثمانى spinal cord symptoms ممكن تبدأ خلال ساعات و
+
+349
+00:24:56,240 --> 00:25:00,460
+ممكن تبدأ مع بداية المرض انه فقد النظر و بدأ يظهر
+
+350
+00:25:00,460 --> 00:25:03,540
+عليه weakness في ال lower limbs و ممكن انه اول شي
+
+351
+00:25:03,540 --> 00:25:08,660
+يفقد المرض يفقد النظر و المريض و بعد يوم يومين
+
+352
+00:25:08,660 --> 00:25:11,160
+يحدث عنده weakness في ال lower limbs و sphincter
+
+353
+00:25:11,160 --> 00:25:14,360
+dysfunctions
+
+354
+00:25:14,360 --> 00:25:19,040
+urine retention is common زى ما اتفقناالشخص مع
+
+355
+00:25:19,040 --> 00:25:22,520
+نيرو ميولاتيس أوبتيكا لديه تقارير أقل لإستعادة
+
+356
+00:25:22,520 --> 00:25:27,640
+رؤية أقل من الشخص اللي لديه مرض أخطر من المرتب
+
+357
+00:25:27,640 --> 00:25:32,880
+السكليروسيس والتحسن في النظر أقل يكون من ال MS وما
+
+358
+00:25:32,880 --> 00:25:36,260
+تنسوا أنه في ال disease بيكون bilateral loss of
+
+359
+00:25:36,260 --> 00:25:40,690
+visionrecovery is complete 60-70% of patients و
+
+360
+00:25:40,690 --> 00:25:44,630
+الحمد لله الحالة اللي كانت عندها في غزة كانت 100%
+
+361
+00:25:44,630 --> 00:25:48,850
+complete recovery
+
+362
+00:25:48,850 --> 00:25:52,430
+ال investigations اللي بنعمله لل neuromyelitis
+
+363
+00:25:52,430 --> 00:25:56,600
+optic نفس ال Adam و ال transfer myelitisبنعمل of
+
+364
+00:25:56,600 --> 00:25:59,880
+thermological examination ضرورى CSF examination
+
+365
+00:25:59,880 --> 00:26:05,220
+brain MRI و spinal cord MRI و orbit و بنفحص ايش ال
+
+366
+00:26:05,220 --> 00:26:08,760
+mono globulin antibodies بسموه neuromyelitis
+
+367
+00:26:08,760 --> 00:26:15,260
+optica mono globulin G او لقسم ثاني aquiparine IV
+
+368
+00:26:15,260 --> 00:26:21,840
+antibodiesالـ spinal cord inflammation لاحظوا يكون
+
+369
+00:26:21,840 --> 00:26:24,640
+عندنا swelling فيه transverse myelitis التهاب في
+
+370
+00:26:24,640 --> 00:26:28,500
+الحبل الشوكي زائد في ال both optic nerve فيه
+
+371
+00:26:28,500 --> 00:26:32,020
+inflammation يبقى عندنا bilateral optic nerve
+
+372
+00:26:32,020 --> 00:26:35,640
+inflammation يعني bilateral optic neuritis مع
+
+373
+00:26:35,640 --> 00:26:40,520
+transverse myelitis عشان
+
+374
+00:26:40,520 --> 00:26:44,770
+أشخص الحالة بلزم ليها criteriaعشان الـ
+
+375
+00:26:44,770 --> 00:26:47,710
+neuromyelitis optica ايش بلزم شرط عشان اشخص حالة
+
+376
+00:26:47,710 --> 00:26:52,070
+الاش ال neuromyelitis optica بلزم optic neuritis
+
+377
+00:26:52,070 --> 00:26:56,910
+bilateral اثنين اصيبوا اثنين transverse myelitis و
+
+378
+00:26:56,910 --> 00:27:01,050
+بلزم one of the following MRI evidence of spinal
+
+379
+00:27:01,050 --> 00:27:05,150
+cord lesion three or more segments او يكون عندهم
+
+380
+00:27:05,150 --> 00:27:08,470
+zero positive neuromyelitis optica monoglobulin يا
+
+381
+00:27:08,470 --> 00:27:13,190
+هذا يا هذا انا المريضة اللي عندىكان عندها
+
+382
+00:27:13,190 --> 00:27:19,210
+bilateral optic neuritis وكان عندها myelitis تدخل
+
+383
+00:27:19,210 --> 00:27:22,170
+ال criteria وكان عندها ايضا ال MRI evidence بين
+
+384
+00:27:22,170 --> 00:27:25,770
+الكورة كان positive و ال serology test unavailable
+
+385
+00:27:25,770 --> 00:27:30,450
+في غزة ماقدرتش اعمله في غزة يقول انا اكتفيت بال
+
+386
+00:27:30,450 --> 00:27:33,570
+criteria هذه ودخلت لها ال criteria يقول بقدر
+
+387
+00:27:33,570 --> 00:27:36,190
+اشخصها بال criteria هذه بالمدوفر في غزة بقدر
+
+388
+00:27:36,190 --> 00:27:41,310
+اشخصها وشخصناها و اتعالجت 100%التريتمنت بتاع ال
+
+389
+00:27:41,310 --> 00:27:45,030
+neuromyelitis optic مثالي برنزون نفس الشي ألف ميلي
+
+390
+00:27:45,030 --> 00:27:48,950
+جرام لثلاث خمس أيام أكتر شي بنعطيه خمس أيام بنعطيه
+
+391
+00:27:48,950 --> 00:27:55,810
+IVIG في بعض الحلات بنعمل plasma exchange لكن ال
+
+392
+00:27:55,810 --> 00:27:59,470
+main treatment مثالي برنزون و plasma phoresisو في
+
+393
+00:27:59,470 --> 00:28:03,130
+دراسات قالت لك ان 50% من المرضى اللي ما اتحسنوش
+
+394
+00:28:03,130 --> 00:28:06,830
+على الـ Methylprednisone اعطوناهم IVIG واستجابوا
+
+395
+00:28:06,830 --> 00:28:12,190
+العلاج بعدها بنحولهم ل medical rehabilitation and
+
+396
+00:28:12,190 --> 00:28:15,370
+physiotherapy و المريضة بتاعتنا حولناها ل medical
+
+397
+00:28:15,370 --> 00:28:18,290
+rehabilitation و physiotherapy و الحمد لله risk
+
+398
+00:28:18,290 --> 00:28:24,890
+حدث معها complete recovery في الحالةOkay هيك بيكون
+
+399
+00:28:24,890 --> 00:28:30,930
+وصلنا لمنهاية المحاضرة واتكلمنا لكم على أمراض مهمة
+
+400
+00:28:30,930 --> 00:28:34,510
+و راح تتعاملوا معها في حياتك العملية في
+
+401
+00:28:34,510 --> 00:28:37,290
+demyelinating disease أو في central nervous system
+
+402
+00:28:37,290 --> 00:28:41,910
+راح تشوفوهم في ال outpatient clinic أو في ال
+
+403
+00:28:41,910 --> 00:28:46,990
+inpatient clinic أو في inpatient hospitalالحالات
+
+404
+00:28:46,990 --> 00:28:50,470
+هذه كتيرة موجودة خاصة ال multiple sclerosis و ان
+
+405
+00:28:50,470 --> 00:28:54,570
+شاء الله تكون تستفيدوا كتير في المحاضرة هذه في
+
+406
+00:28:54,570 --> 00:28:56,770
+حياتكم العملية و يعطيكم ألف حاجة
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..98cb4001006692994d213663c2b8930716e95399
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/mvdh8T2rhGE_raw.srt
@@ -0,0 +1,2052 @@
+1
+00:00:04,930 --> 00:00:08,930
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,930 --> 00:00:15,210
+وبركاته محاضرة الأسبوع الثامن راح تكون على disease
+
+3
+00:00:15,210 --> 00:00:20,290
+of the peripheral nerves راح نطرق إلى general
+
+4
+00:00:20,290 --> 00:00:25,850
+information about the symptoms of the peripheral
+
+5
+00:00:25,850 --> 00:00:31,970
+nerve lesions وناخد بعض الأنواع مثل ال acute, sub
+
+6
+00:00:31,970 --> 00:00:37,160
+acute and chronicPoloneuropathy ومن ضمنهم اهم
+
+7
+00:00:37,160 --> 00:00:41,020
+موضوع رح يكون عندنا Julian Barre Syndrome اللي هو
+
+8
+00:00:41,020 --> 00:00:43,840
+acute inflammatory demyelinating poloneuropathy
+
+9
+00:00:43,840 --> 00:00:48,000
+المحاضرة رح تكون جزئين جزء الأول وجزء الثاني ان
+
+10
+00:00:48,000 --> 00:00:56,640
+شاء الله ابدا ب case male patient 35 years old
+
+11
+00:00:56,640 --> 00:01:02,580
+complained offour limbs weakness يعني عنده
+
+12
+00:01:02,580 --> 00:01:05,500
+weakness في ال upper و ال lower limbs for one day
+
+13
+00:01:05,500 --> 00:01:10,300
+on admission خلال يوم he had a common cold two
+
+14
+00:01:10,300 --> 00:01:13,900
+weeks before admission قبل ما يدخل المستشفى كان
+
+15
+00:01:13,900 --> 00:01:18,160
+عنده أعراض influenza أو common cold قبل بسبوعين
+
+16
+00:01:25,930 --> 00:01:31,590
+والشلل اللي عنده أصبح كبير وكثير وزاد عنده شلل حتى
+
+17
+00:01:31,590 --> 00:01:36,350
+وصل عنده لشلل الربعي على اليوم الثالثSwallowing
+
+18
+00:01:36,350 --> 00:01:40,250
+difficulty appeared almost at the same time ومع
+
+19
+00:01:40,250 --> 00:01:44,350
+الضعف اللي كان عنده حصل معاه صعوبة في البلع نمنس
+
+20
+00:01:44,350 --> 00:01:54,110
+of fingers and toes was mentioned ومافيش
+
+21
+00:01:54,110 --> 00:01:57,850
+عنده مشاكل في التبول والتبرز موضوع السفينكتر
+
+22
+00:01:57,850 --> 00:02:03,790
+السليمة أنا أبعدت شوية عن spinal cord lesionon
+
+23
+00:02:03,790 --> 00:02:08,250
+examination cranial nerve decrease elevation of
+
+24
+00:02:08,250 --> 00:02:11,290
+palatal gag reflex disappear يعني عندنا فيه
+
+25
+00:02:11,290 --> 00:02:15,450
+decrease في ال reflexes motor system muscle
+
+26
+00:02:15,450 --> 00:02:19,210
+hypotonia quadriplegia more distally المريض عنده
+
+27
+00:02:19,210 --> 00:02:25,590
+شلل رباعي و الشلل أكتر دستالي في ال hand و ال feet
+
+28
+00:02:25,590 --> 00:02:31,330
+reflexes areflexia loss of deep reflexes Babinski
+
+29
+00:02:31,330 --> 00:02:37,760
+reflex negativeSensory system slightly stuck in
+
+30
+00:02:37,760 --> 00:02:42,660
+gloves-type pain and paresthesia والمريض عنده
+
+31
+00:02:42,660 --> 00:02:46,660
+مشاكل في الإحساس، this اللي يعني ميخده ال hand و
+
+32
+00:02:46,660 --> 00:02:50,000
+ال feet، يعني بنسميهم stuck in the gloves-type
+
+33
+00:02:50,000 --> 00:02:56,380
+Other normal What is the diagnosis؟ هل هذا
+
+34
+00:02:56,380 --> 00:02:59,460
+peripheral nerve lesion؟ هل هذا spinal cord
+
+35
+00:02:59,460 --> 00:03:03,580
+lesion؟من الأعراض اللي عند المريض أنه خلال اليومين
+
+36
+00:03:03,580 --> 00:03:08,160
+تلاثة ال symptoms زادت، من الأعراض اللي فيه في ال
+
+37
+00:03:08,160 --> 00:03:09,800
+history كان عنده common cold
+
+38
+00:03:12,570 --> 00:03:16,570
+عنده quadriplegia ال sensation مش ماخدة ال sensory
+
+39
+00:03:16,570 --> 00:03:20,430
+level مثل spinal cord lesion ماخدة ديستالي يبقى
+
+40
+00:03:20,430 --> 00:03:23,470
+متأثر ال peripheral nerves أكتر و احنا عارفين وين
+
+41
+00:03:23,470 --> 00:03:26,010
+أضعف مكان بيكون فيه ال peripheral nerves ديستالي
+
+42
+00:03:26,010 --> 00:03:30,530
+في نهايته ال centers intact الحالة دي أنا بفكر في
+
+43
+00:03:30,530 --> 00:03:35,310
+acute inflammatory demyelinating polyneuropathy
+
+44
+00:03:35,310 --> 00:03:39,010
+بفكر في julian barre syndrome اللي هنتكلم عنه ان
+
+45
+00:03:39,010 --> 00:03:43,050
+شاء اللهالأن في جزء الأول من المحاضرة هتكلم
+
+46
+00:03:43,050 --> 00:03:46,950
+general about the peripheral nerve disease
+
+47
+00:03:46,950 --> 00:03:51,990
+peripheral nervous system هي عبارة عن cranial and
+
+48
+00:03:51,990 --> 00:03:57,450
+spinal nerves فيها 31 pairs of spinal nerves and
+
+49
+00:03:57,450 --> 00:04:02,430
+12 pairs of cranial nerves all of the spinal
+
+50
+00:04:02,430 --> 00:04:07,960
+nerves are mixedمع أن الـ cranial nerves يختلقون
+
+51
+00:04:07,960 --> 00:04:12,860
+إلى ثلاث جروب باعتبار المفروض، الجروب الأول مجرد
+
+52
+00:04:12,860 --> 00:04:15,960
+جروب موتوري، الجروب الثاني مجرد جروب شعيري،
+
+53
+00:04:15,960 --> 00:04:23,060
+والجروب الثالث مجموعة cranial nerves. مفروض هذه
+
+54
+00:04:23,060 --> 00:04:30,330
+المفروض أن تحمل تحركاتto and from CNS إما بيوصل
+
+55
+00:04:30,330 --> 00:04:36,090
+الإشارة لـCNS هذا بيكون sensory nerve أو من الـCNS
+
+56
+00:04:36,090 --> 00:04:39,370
+يعني من ال spinal cord من ال brain ل ال muscles
+
+57
+00:04:39,370 --> 00:04:45,130
+هذا بيكون motorوزي ما اتفقنا في عنا 31 pairs of
+
+58
+00:04:45,130 --> 00:04:49,710
+spinal nerves which leave the spinal cord and pass
+
+59
+00:04:49,710 --> 00:04:53,190
+through intervertebral foramina in the vertebral
+
+60
+00:04:53,190 --> 00:04:59,790
+column وفي عنا 31 زوج من spinal nerves بخرجوا من
+
+61
+00:04:59,790 --> 00:05:04,170
+ال spinal canal بمروا في intervertebral foramina
+
+62
+00:05:04,170 --> 00:05:08,890
+واتفقنا ان all of the spinal nerves are mixed
+
+63
+00:05:09,760 --> 00:05:14,860
+Contains motor, sensory and autonomic functions أو
+
+64
+00:05:14,860 --> 00:05:22,120
+fibers The nerve fibers نيرف فايبرز عبارة عن أكسن
+
+65
+00:05:22,120 --> 00:05:28,620
+أو ديندريت نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+66
+00:05:28,620 --> 00:05:28,840
+نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+67
+00:05:28,840 --> 00:05:31,360
+نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+68
+00:05:31,360 --> 00:05:31,860
+نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+69
+00:05:31,860 --> 00:05:31,860
+نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+70
+00:05:31,860 --> 00:05:31,860
+نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف نيرف
+
+71
+00:05:31,860 --> 00:05:35,500
+نيرف نيرف نيرف نيرف
+
+72
+00:05:35,500 --> 00:05:41,940
+نيرشوان سيلز ميالينشيت و node of Ranvier يعني
+
+73
+00:05:41,940 --> 00:05:45,860
+تركيبة ال nerve cells و ال axon تكون فيها nerve
+
+74
+00:05:45,860 --> 00:05:50,260
+cells cell body و يدخلها نوكلياس شوان سيلز بتكون
+
+75
+00:05:50,260 --> 00:05:55,260
+حوالين ال myelin sheet لأن ال شوان سيلز في ال
+
+76
+00:05:55,260 --> 00:05:58,100
+peripheral nervous system بيعملنا production
+
+77
+00:05:58,100 --> 00:06:04,000
+للميالينشيت مثل oligodendrocyte in the CNS بتعمل
+
+78
+00:06:04,000 --> 00:06:09,780
+production لالميالينو node of renvier هذه وظيفتها
+
+79
+00:06:09,780 --> 00:06:14,980
+تعمل passive transmission لل nerve impulse هي
+
+80
+00:06:14,980 --> 00:06:22,240
+بيوضع هنا أنا cell body هذا ال cell body داخلها
+
+81
+00:06:22,240 --> 00:06:33,040
+نوكليا الاشارة تخرج بال axon ال axon هنا في حواليه
+
+82
+00:06:33,040 --> 00:06:43,660
+myelin sheathهذا الـ axon كله حوالي ال axon Myelin
+
+83
+00:06:43,660 --> 00:06:51,320
+Sheet Myelin
+
+84
+00:06:51,320 --> 00:06:56,380
+Sheet تكون فيها شفان cells واضفتها production
+
+85
+00:06:56,380 --> 00:07:04,820
+للميلين وفي هنا node of renvier هذا نسميه node of
+
+86
+00:07:04,820 --> 00:07:08,300
+renvierهدّي ال node overrun variable تعمل عملية
+
+87
+00:07:08,300 --> 00:07:16,000
+قفز للإشارة العصبية من جزء لجزء من ال nerve fibers
+
+88
+00:07:16,000 --> 00:07:21,720
+وتؤدي إلى nerve conduction توصيل الإشارة
+
+89
+00:07:34,590 --> 00:07:41,350
+ماذا هو ميكانيزم إدارة دماغ النار؟ إما بيكون الـ
+
+90
+00:07:41,350 --> 00:07:45,470
+demyelinating و
+
+91
+00:07:45,470 --> 00:07:51,650
+بتأثرها الشفان سلز و الـ myelin sheath مثل الـ
+
+92
+00:07:51,650 --> 00:07:55,770
+guillain barre syndrome هو فيه نوع ثاني hereditary
+
+93
+00:07:55,770 --> 00:08:00,250
+sensory motor النيروباطي هتكلم عنهم النوع الثاني
+
+94
+00:08:00,250 --> 00:08:04,620
+من الميكانيزم axonal degenerationExternal
+
+95
+00:08:04,620 --> 00:08:09,320
+degeneration هنا بيكون المشكلة في ال axon نفسه
+
+96
+00:08:09,320 --> 00:08:15,460
+بيحدث degeneration لل axon و بيكون في حالات ال
+
+97
+00:08:15,460 --> 00:08:20,780
+toxic neuropathy النوع الثالث Valerian type
+
+98
+00:08:21,540 --> 00:08:26,060
+degeneration هنا بيكون mixed axonal degeneration
+
+99
+00:08:26,060 --> 00:08:32,840
+and demyelination اكتر
+
+100
+00:08:32,840 --> 00:08:36,420
+شي بنشوف هم ال valerian type في حالات ال diabetic
+
+101
+00:08:36,420 --> 00:08:42,040
+polyneuropathy ونوع ثالث او رابع اللي هو
+
+102
+00:08:42,040 --> 00:08:45,750
+compressionميكانيزم بيكون عندنا focal
+
+103
+00:08:45,750 --> 00:08:49,790
+demyelination at the point of compression أكتر شيء
+
+104
+00:08:49,790 --> 00:08:53,730
+بنشوفهم في ال entrapment syndrome مثل carpal
+
+105
+00:08:53,730 --> 00:08:59,050
+tunnel syndrome أو teresal tunnel syndrome and
+
+106
+00:08:59,050 --> 00:09:02,270
+other entrapment syndrome تاخدوهم في ال orthopedic
+
+107
+00:09:02,270 --> 00:09:07,150
+اليوم رح أشرحهم بسرعة في نقطة خامس ischemic
+
+108
+00:09:07,710 --> 00:09:10,990
+ميكانيزم اكتر شئ بتشوفه في حالة ال Vasculitis
+
+109
+00:09:10,990 --> 00:09:15,410
+وAtherosclerosis والنوع الأخير اللي هو
+
+110
+00:09:15,410 --> 00:09:20,570
+Infiltration Infiltration عبارة عن Infiltration of
+
+111
+00:09:20,570 --> 00:09:25,710
+inflammatory cellsمثل في sarcoidosis في الماليك
+
+112
+00:09:25,710 --> 00:09:29,530
+نان سيلز يعني في مثال عليهم هذول infiltration
+
+113
+00:09:29,530 --> 00:09:35,350
+Paraneoplastic anaerobathy هذا في حالات non
+
+114
+00:09:35,350 --> 00:09:39,330
+-metastatic manifestation of cancer المرضى لأنه
+
+115
+00:09:39,330 --> 00:09:43,290
+سرطان وأنواع ثانية من السرطانات ممكن يحدث معاهم
+
+116
+00:09:43,690 --> 00:09:47,450
+Poloneuropathy due to toxic effect التوكسين اللي
+
+117
+00:09:47,450 --> 00:09:51,370
+بتخرجها ال cancer cells ال malignant cells بتأثر
+
+118
+00:09:51,370 --> 00:09:53,690
+على ال peripheral nerves وتعملنا شئ اسمه
+
+119
+00:09:53,690 --> 00:09:57,770
+Paraneoplastic syndrome كلمة Paraneoplastic
+
+120
+00:09:57,770 --> 00:10:01,130
+syndrome أنا بقصد فيها non metastatic
+
+121
+00:10:01,130 --> 00:10:06,030
+manifestation of cancer يبان في ميكانيزم
+
+122
+00:10:06,030 --> 00:10:08,310
+peripheral nerve damage إما بيكون عند المريض
+
+123
+00:10:08,310 --> 00:10:13,660
+demyelinationواما بيكون axonal degeneration واما
+
+124
+00:10:13,660 --> 00:10:17,660
+بيكون valerian degeneration بيكون mixed axonal and
+
+125
+00:10:17,660 --> 00:10:20,960
+demyelination compression mechanism ischemic
+
+126
+00:10:20,960 --> 00:10:26,400
+mechanism and infiltration الان روح اتكلم على
+
+127
+00:10:26,400 --> 00:10:32,040
+symptoms of polyneuropathy الان مابشرحش أمراض انا
+
+128
+00:10:32,040 --> 00:10:38,490
+بتكلم من أعراض تلال الأعصاب الترافيةsensory
+
+129
+00:10:38,490 --> 00:10:42,030
+symptoms of neuropathy أكتر الشيء بتبدأ ب positive
+
+130
+00:10:42,030 --> 00:10:45,030
+phenomena يعني في البداية المرضى بيكون عندهم حاجة
+
+131
+00:10:45,030 --> 00:10:48,470
+اسمة positive phenomena إيش مقصود في ال positive
+
+132
+00:10:48,470 --> 00:10:52,650
+phenomena يعني increase of sensation يعني الإحساس
+
+133
+00:10:52,650 --> 00:10:58,110
+زي ده عند المريض paresthesia between a needle
+
+134
+00:10:58,110 --> 00:11:03,130
+sensation خاصة اللي عنده مريض سكر في بيتهم بيتذكر
+
+135
+00:11:03,130 --> 00:11:07,950
+بشوف المرضى هذول بشكم الحرجانتنخز زي الإبر في
+
+136
+00:11:07,950 --> 00:11:12,390
+القدمين أكتر شيء، ليش بتأثروا دايما في الـ
+
+137
+00:11:12,390 --> 00:11:15,890
+Polyneuropathy الـ distally group، ال hand و ال
+
+138
+00:11:15,890 --> 00:11:20,410
+feet؟ ليه؟ لأن ال peripheral nerves أضعف مكان
+
+139
+00:11:20,410 --> 00:11:23,450
+بيكون في نهايته، في نهايته، يبقى الأول شيء اللي
+
+140
+00:11:23,450 --> 00:11:30,310
+راح يتأثر نهاية العصباثنين هيبراستيزيا هيبراستيزيا
+
+141
+00:11:30,310 --> 00:11:34,990
+بيكون increase sensation to any stimulus يعني
+
+142
+00:11:34,990 --> 00:11:39,370
+المريض عنده زيادة في الإحساس زيادة في الإحساس
+
+143
+00:11:39,370 --> 00:11:47,410
+هيبرالجيزيا هيبرالجيزيا increase sensitivity to
+
+144
+00:11:47,410 --> 00:11:51,570
+painful stimuli يعني لما يكون واحد عنده صدع مصدق
+
+145
+00:11:51,570 --> 00:11:54,190
+بيجي يقول اتنين بالله تجيبلي حبة analgesic
+
+146
+00:11:55,300 --> 00:11:59,260
+analgesic يعني مش مسكّن للألم مسكّن للألم يبقى
+
+147
+00:11:59,260 --> 00:12:04,400
+كلمة الهيبرالجيزيا increase sensitivity to pain
+
+148
+00:12:04,400 --> 00:12:10,320
+for stimuli كوزالجيا كوزالجيا أكتر شيء هذي
+
+149
+00:12:10,320 --> 00:12:14,240
+characterized لل sympathetic pain لل autonomous
+
+150
+00:12:14,240 --> 00:12:17,860
+pain لل sympathetic pain كوزالجيا عبارة عن severe
+
+151
+00:12:17,860 --> 00:12:24,960
+sympathetic painالاخر شئ phantom pain متذكرين مر
+
+152
+00:12:24,960 --> 00:12:30,980
+عليكوا حالات حالات amputation بطر فالمرضى دول بعد
+
+153
+00:12:30,980 --> 00:12:35,480
+ما تنبطر رجله او الساق او كده بقعد فترة من الزمن
+
+154
+00:12:35,480 --> 00:12:43,080
+يشكي من ألام ألام شديدة و الغريب هنا انه عنده بطر
+
+155
+00:12:43,080 --> 00:12:48,640
+في الساق اعلى الرقبة او تحت الرقبةبصيريش كل زوجته
+
+156
+00:12:48,640 --> 00:12:52,580
+أو لأخوه أو لأبوه انه عنده ألم في أصبعه في القدم
+
+157
+00:12:52,580 --> 00:12:56,780
+القدم مش موجود مبتور لكن هو بشعر بألم في القدم
+
+158
+00:12:56,780 --> 00:13:00,340
+بيصيروا يقولك ايه هذه صدمة نفسية عنده اتدهرن صدمة
+
+159
+00:13:00,340 --> 00:13:04,720
+نفسيا بعد ما بطروا رجله لا يا جماعة القدم اللي
+
+160
+00:13:04,720 --> 00:13:10,000
+انبطر هذا في الدماغ له مركز موجود في الدماغ صح
+
+161
+00:13:10,000 --> 00:13:15,100
+انبطر القدم و راح لكن العصب تبعه اللي بوصل الدماغ
+
+162
+00:13:15,100 --> 00:13:21,060
+موجودلو صار التهيوج واحتكاك في نهاية العصب هذا،
+
+163
+00:13:21,060 --> 00:13:25,140
+راح تصل إشارة لدماغ إن هذا جاية من القدم، ويجي
+
+164
+00:13:25,140 --> 00:13:29,480
+يقول زوجته حكيلي القدم تبعه، أو في ألم فيه، طب
+
+165
+00:13:29,480 --> 00:13:34,400
+القدم مش موجود، هذا بنسميه phantom pain، phantom
+
+166
+00:13:34,400 --> 00:13:40,010
+pain أو post amputation painاللي في البداية
+
+167
+00:13:40,010 --> 00:13:42,730
+positive phenomena، في أشياء negative، المريض لو
+
+168
+00:13:42,730 --> 00:13:45,290
+عنده polyneuropathy، في بدايته ممكن يحدث معاه
+
+169
+00:13:45,290 --> 00:13:53,810
+increase of sensation later on في المراحل المتقدمة
+
+170
+00:13:53,810 --> 00:13:59,110
+من المرضبيحدث معاه negative phenomena ايش negative
+
+171
+00:13:59,110 --> 00:14:03,970
+phenomena؟ بيصير decrease of sensation بدل ما هي
+
+172
+00:14:03,970 --> 00:14:09,350
+hypoesthesia بيصير hypoesthesia او anesthesia من
+
+173
+00:14:09,350 --> 00:14:14,850
+هنا تخصص التخدير تخصص التخديراسمه anesthesiology،
+
+174
+00:14:14,850 --> 00:14:17,850
+anesthesiology يعني ايه؟ يعني loss of sensation
+
+175
+00:14:17,850 --> 00:14:21,410
+الإنسان لما يكون متخدر general anesthesia بيكون
+
+176
+00:14:21,410 --> 00:14:25,810
+عنده loss of sensation لا بيشوف ولا بسمع ولا بشم
+
+177
+00:14:25,810 --> 00:14:29,910
+ولا بتضوق ولا بيحس بالألم بعمل كل العملية ساعات
+
+178
+00:14:29,910 --> 00:14:35,370
+وما بيحسش بأي ألم okayو بيكون عندهم نوع ال
+
+179
+00:14:35,370 --> 00:14:39,490
+hypoesthesia هذه stocking and gloves type يعني إيه
+
+180
+00:14:39,490 --> 00:14:42,710
+stocking and gloves type؟ مثل الواحد اللي لابس إيش
+
+181
+00:14:42,710 --> 00:14:46,770
+إجرابات وكفات و هذا أول slide في المحاضرة انتوا لو
+
+182
+00:14:46,770 --> 00:14:51,890
+حطوا إيش حطيتوا؟ حطيتوا إنسان لابس مثل الإجرابات و
+
+183
+00:14:51,890 --> 00:14:56,850
+الكفات يبقوا اللي لابس stock and gloves بيكون عنده
+
+184
+00:14:56,850 --> 00:15:00,270
+ديستالية لأن ال peripheral nerves أكتر متأثر في
+
+185
+00:15:00,270 --> 00:15:07,470
+نهايتهننتقل ل motor symptoms of neuropathy انا لما
+
+186
+00:15:07,470 --> 00:15:10,330
+اتكلم على neuropathy انا بتكلم على upper motor
+
+187
+00:15:10,330 --> 00:15:13,190
+neuron ولا lower motor neuron انا بتكلم على lower
+
+188
+00:15:13,190 --> 00:15:16,830
+motor neuron lower ايه؟ motor neuron في الحالة هذه
+
+189
+00:15:16,830 --> 00:15:23,870
+راح يكون عند المرضى lower motor neuron lesion ايش
+
+190
+00:15:23,870 --> 00:15:26,470
+lower motor neuron lesion؟ راح يكون weakness او
+
+191
+00:15:26,470 --> 00:15:31,100
+paralysis ضعف تمامإثنين رح يكون هيبوتونيا muscle
+
+192
+00:15:31,100 --> 00:15:35,140
+هيبوتونيا ثلاثة رح يكون a reflexia loss of deep
+
+193
+00:15:35,140 --> 00:15:39,160
+reflexia أو هيبرفليكسيا طب وين رح يكون ال weakness
+
+194
+00:15:39,160 --> 00:15:43,470
+في ال proximal group muscle؟فى ال thigh و ال
+
+195
+00:15:43,470 --> 00:15:46,470
+shoulder ولا فى ال distal muscle group اكثر ال
+
+196
+00:15:46,470 --> 00:15:50,870
+weakness راح يكون more distaly فى ال myopathy و هي
+
+197
+00:15:50,870 --> 00:15:53,530
+ال muscular dystrophy راح يكون ال weakness اكتر
+
+198
+00:15:53,530 --> 00:15:58,630
+وين عندهم فى ال proximal muscle group يبقى هنا راح
+
+199
+00:15:58,630 --> 00:16:02,800
+يكون ماخد اكتر distal muscle groupفي muscle
+
+200
+00:16:02,800 --> 00:16:06,420
+fasciculation ممكن تكون rare ان شاء الله لاحقا
+
+201
+00:16:06,420 --> 00:16:10,280
+باعرضكم حالة فيها muscle fasciculation في محاضرة
+
+202
+00:16:10,280 --> 00:16:15,470
+motor neurone disease هي عبارة عنSpontaneous
+
+203
+00:16:15,470 --> 00:16:20,530
+muscle contraction قد تكون physiological مثل واحد
+
+204
+00:16:20,530 --> 00:16:25,370
+متوتر قبل امتحان قبل quiz كذا توتر بيحس ان العضلة
+
+205
+00:16:25,370 --> 00:16:28,610
+تبعت و تتحرك هذا physiological fasciculation
+
+206
+00:16:28,610 --> 00:16:33,430
+physiological fasciculation او بنسميها احيانا بيجي
+
+207
+00:16:33,430 --> 00:16:37,110
+واحد بيقولك والله عيني بترف رفة في العين مع التوتر
+
+208
+00:16:37,110 --> 00:16:41,150
+وعيني بترف هذه بنسميها myokemia myokemia
+
+209
+00:16:43,200 --> 00:16:46,620
+تمام؟ مايوكيميا، هذه بيسميها مايوكيميا، في الحالة
+
+210
+00:16:46,620 --> 00:16:52,640
+هذه، هذه عبارة عن إيه؟ رشفة خفيفة في عضلة العين،
+
+211
+00:16:52,640 --> 00:17:00,160
+ناتج عن إيه؟ Anxiety و التوترات العصبية الآن
+
+212
+00:17:00,160 --> 00:17:04,240
+بتكلم كمان مرة، بختصر أو بلخص الحاجات اللي اتكلمت
+
+213
+00:17:04,240 --> 00:17:10,280
+عنها general clinical picture of neuropathymotor
+
+214
+00:17:10,280 --> 00:17:15,080
+symptoms اتفقنا ال motor symptoms رح يكونوا أبار
+
+215
+00:17:15,080 --> 00:17:18,200
+motor neuron ولا لوار motor neuron؟ رح يكونوا
+
+216
+00:17:18,200 --> 00:17:22,600
+lower motor neuron lesion لأنه اتدمج وين؟ في ال
+
+217
+00:17:22,600 --> 00:17:26,520
+peripheral nerve تمام رح يكونوا symmetrical أكتر
+
+218
+00:17:26,520 --> 00:17:30,640
+symmetrical symptoms طب ال reflexes رح يكون
+
+219
+00:17:30,640 --> 00:17:35,360
+hyporeflexia أو areflexia okay طيب في ال
+
+220
+00:17:35,360 --> 00:17:40,190
+polyneuropathyوين يصاب أكتر ال upper limbs ولا ال
+
+221
+00:17:40,190 --> 00:17:44,350
+lower limbs؟ يصاب ال lower limbs أكتر، طب ليش ال
+
+222
+00:17:44,350 --> 00:17:47,150
+lower limbs أكتر من ال upper limbs؟ لأنه العصاب
+
+223
+00:17:47,150 --> 00:17:49,990
+طويلة في ال lower limbs، أطول العصاب في ال lower
+
+224
+00:17:49,990 --> 00:17:52,770
+limbs من ال upper limbs، عصاب الطرف السفلي أطول من
+
+225
+00:17:52,770 --> 00:17:56,150
+عصاب الطرف العلوي، okayيبقى ال symptoms في ال
+
+226
+00:17:56,150 --> 00:17:59,370
+lower limbs more than upper limbs و هي ال distal
+
+227
+00:17:59,370 --> 00:18:02,090
+group muscle أكتر من ال proximal muscles بواحدة
+
+228
+00:18:02,090 --> 00:18:06,770
+معاهم ممكن هي bilateral foot drop سقوط في القدم أو
+
+229
+00:18:06,770 --> 00:18:12,470
+rest drop او سقوط في ال hand لما يكون عندهم foot
+
+230
+00:18:12,470 --> 00:18:15,870
+drop بيكون عندهم ايه بنسمي established gate او
+
+231
+00:18:15,870 --> 00:18:17,170
+high established gate
+
+232
+00:18:19,830 --> 00:18:23,890
+Sensation تفاجنا في البداية بيكون عندهم positive
+
+233
+00:18:23,890 --> 00:18:27,130
+phenomena يعني ايش positive phenomena دستالي
+
+234
+00:18:27,130 --> 00:18:31,110
+increase sensation increase sensation
+
+235
+00:18:31,110 --> 00:18:34,990
+,hyperesthesia,paresthesia, numbness, hotness
+
+236
+00:18:34,990 --> 00:18:39,570
+sensation كل هذا يعتبر positive phenomena later
+
+237
+00:18:39,570 --> 00:18:45,890
+بيحدث معاهم loss of superficial sensation and loss
+
+238
+00:18:45,890 --> 00:18:53,050
+of deep sensationفي ال symptoms بيكون more distaly
+
+239
+00:18:53,050 --> 00:18:57,970
+مقدة ايه؟ Stocks and gloves type ال superficial
+
+240
+00:18:57,970 --> 00:19:00,970
+sensation زي ما قلنا early pain, paresthesia,
+
+241
+00:19:01,370 --> 00:19:05,470
+later distal hypoesthesia و ال deep sensation في
+
+242
+00:19:05,470 --> 00:19:09,850
+ال later stage بيحدث معهم loss of deep sensation
+
+243
+00:19:09,850 --> 00:19:12,930
+لما المريض يكون عنده loss of deep sensation بيكون
+
+244
+00:19:12,930 --> 00:19:19,000
+عنده أعراض a sensitive ataxiaAutonomic
+
+245
+00:19:19,000 --> 00:19:24,140
+manifestation, coldness, cyanosis, anhidrosis,
+
+246
+00:19:24,580 --> 00:19:28,560
+loss of hair, brittle nails، تكسير في الأظافر،
+
+247
+00:19:28,560 --> 00:19:32,360
+trophic ulcers، تقرحات يحدث معهم، و في تشاركوت
+
+248
+00:19:32,360 --> 00:19:36,820
+جوينت، إيش هو تشاركوت جوينت؟ هو عبارة عن painless,
+
+249
+00:19:37,420 --> 00:19:41,280
+deformed joint، painless, deformed joint، وين
+
+250
+00:19:41,280 --> 00:19:44,540
+بشوفوا هذا ال تشاركوت جوينت؟ بنشوفه في حالات اللي
+
+251
+00:19:44,540 --> 00:19:47,120
+هو diabetic polyaneuropathy
+
+252
+00:19:48,660 --> 00:19:52,580
+في specific features according to etiology and
+
+253
+00:19:52,580 --> 00:19:57,700
+type of neuropathy ممكن يحدث معاهم حسب النوع ايش
+
+254
+00:19:57,700 --> 00:20:00,980
+investigations بعمل لل neuropathy ضروري يعمل CBC
+
+255
+00:20:00,980 --> 00:20:05,240
+ESR blood chemistry يوم لأيام جاني مريض عنده drop
+
+256
+00:20:05,240 --> 00:20:10,240
+foot عمره 27 سنة drop foot فقط drop foot عنده
+
+257
+00:20:10,240 --> 00:20:15,850
+ويلها كام يوم؟لما سألته كان الوزن بنزل loss of
+
+258
+00:20:15,850 --> 00:20:19,390
+weight خلال شهرين طلبت ال CBC و Chemistry و Sugar
+
+259
+00:20:19,390 --> 00:20:23,610
+لجهة ال fasting blood sugar سكره 460 يعني المريض
+
+260
+00:20:23,610 --> 00:20:28,250
+عنده سكر و هو مش حاسس و هو متعلجش للسكر و بدأ عنده
+
+261
+00:20:28,250 --> 00:20:31,130
+complication neurological complication قبل ما يكشف
+
+262
+00:20:31,130 --> 00:20:35,630
+أنه عنده سكر okay vitamin B12 ضروري vitamin B12 دي
+
+263
+00:20:35,630 --> 00:20:39,750
+مش هنصي بعملنا polyneuropathy نقص ال vitamin B12
+
+264
+00:20:40,340 --> 00:20:44,620
+الـ Thyroid Function Test TSH Thyroid Stimulating
+
+265
+00:20:44,620 --> 00:20:49,560
+Hormone DNA لو Antinuclear Antibodies عشان أعمل
+
+266
+00:20:49,560 --> 00:20:53,680
+exclusion لsystemic disease مثل ايه؟ مرض الذئب
+
+267
+00:20:53,680 --> 00:20:58,320
+الحمراء Systemic Lobosarithomatosis هلأ فيه
+
+268
+00:20:58,320 --> 00:21:01,020
+special investigations مثل ايش special
+
+269
+00:21:01,020 --> 00:21:03,940
+investigations؟ nerve conduction studies
+
+270
+00:21:05,540 --> 00:21:10,380
+Electromyography تخطيط للعضلات تخطيط للأعصاب nerve
+
+271
+00:21:10,380 --> 00:21:14,000
+biopsy ممكن يتاخد nerve biopsy من ال sensory nerve
+
+272
+00:21:14,000 --> 00:21:17,420
+مثل حالات ال multiple mononeuritis في ال
+
+273
+00:21:17,420 --> 00:21:20,460
+vasculitis في ال sarcoidosis وبعض الحالات اللي
+
+274
+00:21:20,460 --> 00:21:27,820
+عمللهم genetic study دراسة جينات ال neuropathy
+
+275
+00:21:27,820 --> 00:21:34,900
+كلمة neuropathy ممكن اقصد فيهاmononeuropathy يعني
+
+276
+00:21:34,900 --> 00:21:39,480
+إصابة عصب واحد مثل إيش facial neuropathy عصب بس
+
+277
+00:21:39,480 --> 00:21:43,600
+عصب الوجه متأثر أو radial neuropathy عصبك تنين
+
+278
+00:21:43,600 --> 00:21:48,680
+ممكن أقصد في كلمة neuropathy polyneuropathy كيف
+
+279
+00:21:48,680 --> 00:21:53,480
+يعني؟ صح أقول المريض عنده diabetic neuropathy هي
+
+280
+00:21:53,480 --> 00:21:56,700
+نفسها diabetic neuropathy أنا بقصد فيك diabetic
+
+281
+00:21:56,700 --> 00:22:00,980
+polyneuropathy يعني كلمة neuropathy ممكن أطلق على
+
+282
+00:22:00,980 --> 00:22:07,460
+neuropathyوعلى mono neuropathy وعلى ايه؟ وعلى poly
+
+283
+00:22:07,460 --> 00:22:13,820
+neuropathy طيب وفي mono neuritis multiplex mono
+
+284
+00:22:13,820 --> 00:22:16,920
+neuritis multiplex راح أشرحها في ال slide اللي
+
+285
+00:22:16,920 --> 00:22:23,140
+بعده طيب هذه ال neuropathy إلها نوعين axonal type
+
+286
+00:22:24,370 --> 00:22:28,170
+and demyelinating type ايش axonal type و
+
+287
+00:22:28,170 --> 00:22:32,150
+demyelinating type ال axonal type يعني damage of
+
+288
+00:22:32,150 --> 00:22:36,130
+the axon طب و ايش ال demyelinating type damage وين
+
+289
+00:22:36,130 --> 00:22:39,190
+في ال myelin sheath هل انا بالأعراض ممكن اميزها
+
+290
+00:22:39,190 --> 00:22:42,870
+صعب طب كيف نفرق بينهم دي axonal type او
+
+291
+00:22:42,870 --> 00:22:47,730
+demyelinating type بميز عن طريق ال nerve
+
+292
+00:22:47,730 --> 00:22:52,110
+conduction study بعمل دراسة لتوصيل العصب في حال
+
+293
+00:22:52,110 --> 00:22:57,550
+انهكان severe loss of conduction velocity أنا
+
+294
+00:22:57,550 --> 00:23:01,070
+بتكلم عن demyelinating لأنه الـmyelin sheet هو
+
+295
+00:23:01,070 --> 00:23:09,230
+المسئول عن nerve transmission لحد
+
+296
+00:23:09,230 --> 00:23:13,590
+الآن definitions بتكلم neuropathy هذا أنا قاعد
+
+297
+00:23:13,590 --> 00:23:18,650
+بفصل ال slide اللي قبله neuropathy هي عبارة عن
+
+298
+00:23:18,650 --> 00:23:24,610
+pathological processaffecting peripheral nerve or
+
+299
+00:23:24,610 --> 00:23:28,690
+nerves يبقى ان هي عبارة عن اعتلال اما في عصب واحد
+
+300
+00:23:28,690 --> 00:23:38,370
+او في عدة عصب ثمانى mono neuropathy يبقى انه عبارة
+
+301
+00:23:38,370 --> 00:23:42,230
+عن ال process affecting a single nerve يبقى ان هو
+
+302
+00:23:42,230 --> 00:23:47,790
+بيصيب ايش بس عصب واحد يعنيفاشيال نيرو بيثي
+
+303
+00:23:47,790 --> 00:23:52,330
+أوكولوموتر نيرو بيثي هذا مونو نيرو بيثي عصب واحد
+
+304
+00:23:52,330 --> 00:23:58,610
+طيب مونو نيروهايتس مالتيبليكس او بنسميها multiple
+
+305
+00:23:58,610 --> 00:24:04,770
+mono neuropathy طيب ال multiple neuropathy هي
+
+306
+00:24:04,770 --> 00:24:08,970
+عبارة عن affection of several or multiple nerves
+
+307
+00:24:08,970 --> 00:24:15,350
+طيب what's the difference betweenmononeuritis
+
+308
+00:24:15,350 --> 00:24:21,250
+multiplex and polyneuropathy في المونونيورايتس
+
+309
+00:24:21,250 --> 00:24:27,490
+مالتيبليكس بيكونوا asymmetrical يعني إصابة الأعصاب
+
+310
+00:24:27,490 --> 00:24:30,540
+في الجهة اليمنى و اليزرقمختلفة ممكن في اليمين
+
+311
+00:24:30,540 --> 00:24:33,860
+radial nerve في اليسار ulnar nerve في اليمين
+
+312
+00:24:33,860 --> 00:24:38,060
+facial nerve بتاعت في ال lower limb common
+
+313
+00:24:38,060 --> 00:24:40,960
+peroneal nerve يعني الإصابة بتكون asymmetrical في
+
+314
+00:24:40,960 --> 00:24:46,360
+اختلاف يعني بيصاب أكتر من عصب but not symmetrical
+
+315
+00:24:46,360 --> 00:24:50,300
+لكن في ال polyneuropathy نشوف ال polyneuropathy
+
+316
+00:24:50,300 --> 00:24:58,910
+عبارة عن diffuse وأهم شيءsymmetrical disease هو
+
+317
+00:24:58,910 --> 00:25:03,030
+diffuse and symmetrical disease usually beginning
+
+318
+00:25:03,030 --> 00:25:07,390
+دستاليو اكتر شئ بيصيبش الـ distal group nerves طيب
+
+319
+00:25:07,390 --> 00:25:11,570
+ايش انواع ال polyneuropathy ممكن يكون acute
+
+320
+00:25:11,570 --> 00:25:16,570
+polyneuropathy يعني حاد و ممكن يكون sub acute
+
+321
+00:25:16,570 --> 00:25:20,610
+polyneuropathy و ممكن يكون a chronic
+
+322
+00:25:20,610 --> 00:25:29,140
+polyneuropathy مزمنحسب course of disease static
+
+323
+00:25:29,140 --> 00:25:33,860
+على نفس المنمط على نفس المستوى progressive بيزيد
+
+324
+00:25:33,860 --> 00:25:39,300
+أعراض و relapsing relapsing remitting type يعني
+
+325
+00:25:39,300 --> 00:25:44,140
+أيش يعني هاي أنواعهم static بنفس الوطيرة
+
+326
+00:25:44,140 --> 00:25:50,900
+progressive بيزيد relapsing remission relapse
+
+327
+00:25:52,670 --> 00:25:56,750
+Remission, Relapse, Remission, Relapse وهكذا
+
+328
+00:25:56,750 --> 00:26:05,450
+Relapse, Remission وهكذا
+
+329
+00:26:05,450 --> 00:26:10,790
+ال course بتاع Polniopathyحسب الـ clinical
+
+330
+00:26:10,790 --> 00:26:15,790
+manifestations اللي عند المريض قد يكون pure motor
+
+331
+00:26:15,790 --> 00:26:21,170
+neuropathy حيث الأعراض كلها تكون أعراض حركية و قد
+
+332
+00:26:21,170 --> 00:26:26,210
+يكون pure sensory neuropathy أو autonomic
+
+333
+00:26:26,210 --> 00:26:30,130
+neuropathy أو يكون mixed neuropathy أكتر شيء بيكون
+
+334
+00:26:30,130 --> 00:26:36,470
+هو mixed neuropathy حسب الميكانيزم ممكن يكون الـ
+
+335
+00:26:36,470 --> 00:26:41,270
+demyelinating typeو axonal type ممكن يكون أنواع
+
+336
+00:26:41,270 --> 00:26:44,050
+ثانية زي ال valerian type او الأنواع اللي اتكلمنا
+
+337
+00:26:44,050 --> 00:26:48,950
+عنهم ischemic type و ممكن يكون mixed type يعني
+
+338
+00:26:48,950 --> 00:26:54,570
+demyelination مع axonal مثل ال valerian type طيب
+
+339
+00:26:54,570 --> 00:26:58,970
+ايش كلمة plexopathy disease
+
+340
+00:26:58,970 --> 00:27:03,810
+affecting multiple nerves in plexus يعني واحدأعمل
+
+341
+00:27:03,810 --> 00:27:08,610
+مشكلة تبع مخدرات راحوا الشرطة شبحوه لما شبحوه ممكن
+
+342
+00:27:08,610 --> 00:27:13,110
+يأثروا على الـ brachial plexus يجينا ايه بحركش ال
+
+343
+00:27:13,110 --> 00:27:17,410
+upper limbs ايش حصل مع هذا المريض حصل compression
+
+344
+00:27:17,410 --> 00:27:21,830
+على ال brachial plexus أدى إلى brachial plexopathy
+
+345
+00:27:21,830 --> 00:27:26,690
+يبقى كلمة plexopathy اعتلال في ضفيرة الأعصاب
+
+346
+00:27:26,690 --> 00:27:32,250
+اعتلال في ضفيرة الأعصاب RadiculopathyDisease
+
+347
+00:27:32,250 --> 00:27:36,990
+affecting nerve root في الـ Radiculopathy المشكلة
+
+348
+00:27:36,990 --> 00:27:39,850
+في جذب العصب في الـ Radiculopathy المشكلة في جذب
+
+349
+00:27:39,850 --> 00:27:40,870
+العصب في الـ Radiculopathy المشكلة في جذب العصب في
+
+350
+00:27:40,870 --> 00:27:44,610
+جذب العصب Classification
+
+351
+00:27:44,610 --> 00:27:49,650
+of neuropathy according to onset Acute neuropathy
+
+352
+00:27:50,450 --> 00:27:54,230
+يعني إذا الأعراض بدأت عند المريض ساعت يوم يومين
+
+353
+00:27:54,230 --> 00:27:57,350
+لحد أربع أسابيع يعني لأحد شهر أخدنا ال history من
+
+354
+00:27:57,350 --> 00:28:00,690
+المريض الأعراض اللي لها شهر عنده أقل من شهر يعتبر
+
+355
+00:28:00,690 --> 00:28:04,530
+acute حد مثل Guillain-barre syndrome post
+
+356
+00:28:04,530 --> 00:28:07,450
+-infectious polyneuropathy post-diphtheric
+
+357
+00:28:07,450 --> 00:28:12,350
+polyneuropathy نتج عن دفتيريا ثانية sub-acute
+
+358
+00:28:12,350 --> 00:28:18,550
+polyneuropathy هذه من أربع أسابيع إلى ثمان أسابيع
+
+359
+00:28:19,530 --> 00:28:23,790
+يبقى sub-acute من أربع أسابيع لثمان أسابيع مثل
+
+360
+00:28:23,790 --> 00:28:29,290
+toxic neuropathy، neuropathy due to vitamin B
+
+361
+00:28:29,290 --> 00:28:35,190
+deficiency مثل نقص vitamin B12 بسبب حاجة اسمها sub
+
+362
+00:28:35,190 --> 00:28:39,250
+-acute combined degeneration ناتج عن نقص vitamin
+
+363
+00:28:39,250 --> 00:28:42,660
+B12 رح أشرحها اليوم إن شاء اللهو chronic
+
+364
+00:28:42,660 --> 00:28:47,520
+neuropathy هي عبارة عن neuropathy أو
+
+365
+00:28:47,520 --> 00:28:52,460
+polyneuropathy more than 8 weeks مثل ال
+
+366
+00:28:52,460 --> 00:28:56,740
+paraneoplastic neuropathy ناتج عن ماليجنانسي كانسر
+
+367
+00:28:56,740 --> 00:29:00,480
+connective tissue disorders مثل systemic lobus,
+
+368
+00:29:00,580 --> 00:29:04,340
+erythematosis, rheumatoid arthritis, metabolic
+
+369
+00:29:05,160 --> 00:29:10,520
+hypothyroidism, diabetic polyneuropathy, uremic ال
+
+370
+00:29:10,520 --> 00:29:14,220
+polyneuropathy chronic inflammatory, demyelinating
+
+371
+00:29:14,220 --> 00:29:17,300
+polyneuropathy فيه hereditary hereditary,
+
+372
+00:29:17,460 --> 00:29:20,600
+sensorimotor, نيروباتي نسميها charcoal, tumour,
+
+373
+00:29:21,080 --> 00:29:24,160
+tooth disease أنواع كثيرة اللي هي ال chronic
+
+374
+00:29:24,160 --> 00:29:26,760
+polyneuropathy من ضمنها ال metabolic
+
+375
+00:29:26,760 --> 00:29:32,400
+polyneuropathy و هكذا هي كده احنا جسمنا ال نيروبات
+
+376
+00:29:32,400 --> 00:29:38,320
+الأنواع ابدا الآنببعض الأمراض اللي بتصيب العصاب
+
+377
+00:29:38,320 --> 00:29:42,460
+الترافية nerve compression and entrapment هذا
+
+378
+00:29:42,460 --> 00:29:45,280
+الموضوع اللي علاقة بالعظام و ال orthopedic أكتر
+
+379
+00:29:45,280 --> 00:29:51,080
+لكن راح اليوم أشرحه بسرعة Carpal tunnel syndrome
+
+380
+00:29:51,080 --> 00:29:53,940
+سمعتوا فيه Carpal tunnel syndrome هو عبارة عن
+
+381
+00:29:53,940 --> 00:29:57,600
+median nerve compression in the carpal tunnel اللي
+
+382
+00:29:57,600 --> 00:30:01,920
+وين موجودة في ال wrist موجودة وين في ال wrist
+
+383
+00:30:03,130 --> 00:30:07,750
+Cubital tunnel syndrome قلنر نيرف كمبريشن in the
+
+384
+00:30:07,750 --> 00:30:11,290
+cubital tunnel في القلبه في المكان هذا عشانيك
+
+385
+00:30:11,290 --> 00:30:13,730
+بننصح الطلاب ده لما يقعدوا في المحاضرة مايحطوش
+
+386
+00:30:13,730 --> 00:30:16,250
+ايدهم وحطوا رأسهم يركزوا عليها راح يصير
+
+387
+00:30:16,250 --> 00:30:20,610
+compression وين؟ في المكان هذا في ال cubital
+
+388
+00:30:20,610 --> 00:30:24,550
+tunnel اللي بيمور فيها العصب الذنبي اللي هو قلنر
+
+389
+00:30:24,550 --> 00:30:30,060
+نيرف Radial nerveneuropathy radial neuropathy
+
+390
+00:30:30,060 --> 00:30:33,640
+radial nerve compression in spirally groove of
+
+391
+00:30:33,640 --> 00:30:39,000
+humerus هانا كثير في بلاد الغرب لما بيشربوا كحول و
+
+392
+00:30:39,000 --> 00:30:45,680
+بيحدث معهم compression على ال radial nerve و
+
+393
+00:30:45,680 --> 00:30:49,410
+بيصحوا الصبحلأنهم يشربوا كحول toxic effect على
+
+394
+00:30:49,410 --> 00:30:52,410
+الكحول هى واحد ثانيا بنكون نايم مثل الميت
+
+395
+00:30:52,410 --> 00:30:58,350
+مابتجلبشه شرب الكحول بزيد الضغط احنا لما ننام بنضل
+
+396
+00:30:58,350 --> 00:31:01,250
+نجلب حالنا من الشمال ليمين عشان نخفف ال
+
+397
+00:31:01,250 --> 00:31:03,390
+compression على ال peripheral nerves هنا مريض
+
+398
+00:31:03,390 --> 00:31:07,350
+under under alcohol intoxication بيكون نايم على
+
+399
+00:31:07,350 --> 00:31:13,050
+جنبه بيضغط على وين على ال radial nerveفي الـ
+
+400
+00:31:13,050 --> 00:31:17,310
+spiral groove بيصحى الصبح بيلاقي إيش إيده بالشكل
+
+401
+00:31:17,310 --> 00:31:22,070
+هذا عنده إيه drop في الرس بيقدرش يعملنا إيه اللي
+
+402
+00:31:22,070 --> 00:31:27,170
+هو extension لإيه لال hand بيكون عنده إيه drop وين
+
+403
+00:31:27,170 --> 00:31:31,550
+في الرس ال
+
+404
+00:31:31,550 --> 00:31:37,130
+miralgia parasitica في lateral femoral nerve بيغدى
+
+405
+00:31:37,130 --> 00:31:43,670
+ال anterior lateral cervisof thigh antilateral
+
+406
+00:31:43,670 --> 00:31:47,670
+service of thigh في الحالة هذه بيحصل فعليه
+
+407
+00:31:47,670 --> 00:31:53,670
+compression و بيمر وين هو من تحت ال inguinal
+
+408
+00:31:53,670 --> 00:31:56,750
+ligament يبقى أن أكتر شيء هذا المرض راح ييجي عن
+
+409
+00:31:56,750 --> 00:32:00,130
+الناس ال obese اللي مكرش كبير اللي بلبس و ملابس
+
+410
+00:32:00,130 --> 00:32:03,270
+حزجة كتير اللي بيقعدوا في flexion position و
+
+411
+00:32:03,270 --> 00:32:06,030
+بيتغطوا عليه بيخنجوا على العصب اللي هو lateral
+
+412
+00:32:06,030 --> 00:32:10,780
+femoral cutaneous nervecommon peroneal neuropathy
+
+413
+00:32:10,780 --> 00:32:13,960
+ال common peroneal neuropathy أكتر شيء بيكون
+
+414
+00:32:13,960 --> 00:32:17,620
+compression على ال common peroneal nerve في لما
+
+415
+00:32:17,620 --> 00:32:22,320
+يحدث fractures ل ال neck of fibula في حالة لما
+
+416
+00:32:22,320 --> 00:32:26,660
+يحدث كسر ل ال neck of fibula بنضغط العصب و بيحدث
+
+417
+00:32:26,660 --> 00:32:33,040
+drop foot و Tarzal tunnel syndrome عبارة عن tibial
+
+418
+00:32:33,040 --> 00:32:37,560
+nerve compression in the tarzal tunnel في ال foot
+
+419
+00:32:38,390 --> 00:32:43,480
+Hi Andyواضح اللي هو Carpal tunnel syndrome في
+
+420
+00:32:43,480 --> 00:32:45,860
+compression على ال medium nerve في Carpal tunnel
+
+421
+00:32:45,860 --> 00:32:49,380
+وهنا بنعمل ال release في كل ال entrapment syndrome
+
+422
+00:32:49,380 --> 00:32:53,460
+ممكن يكون السبب primary او secondary كثير بيكون
+
+423
+00:32:53,460 --> 00:32:55,760
+Carpal tunnel syndrome عند ال females في ال
+
+424
+00:32:55,760 --> 00:32:58,340
+pregnancy في ال late stage of pregnancy في أثناء
+
+425
+00:32:58,340 --> 00:33:02,720
+الحمل وقد يكون ناتج عنها other disease مثل DM سكر
+
+426
+00:33:02,720 --> 00:33:09,200
+روماتويت أرثرايتس Hypothyroidism كسل غضدرقيةالـ
+
+427
+00:33:09,200 --> 00:33:13,680
+SLA other systemic disease و هكذا هذا المرضى بيكون
+
+428
+00:33:13,680 --> 00:33:18,460
+عندهم nocturnal paresthesia of the thumb, index
+
+429
+00:33:18,460 --> 00:33:21,440
+and middle fingers بيكون عندهم في الثلاث أصابع
+
+430
+00:33:21,440 --> 00:33:24,840
+هذول خدال في الليل و بيصحوا من الخدال بيقدروا
+
+431
+00:33:24,840 --> 00:33:30,100
+شنهمه بيقولك المريضة ايدي خميلة حاسسة ثقيلة من
+
+432
+00:33:30,100 --> 00:33:33,520
+ايه؟ من ال anesthesia او الhypoesthesia و ال
+
+433
+00:33:33,520 --> 00:33:38,230
+numbness اللي موجود في ال handهي المكان اللي بيكون
+
+434
+00:33:38,230 --> 00:33:43,610
+فيه numbness في ال hand ulnar neuropathy أو
+
+435
+00:33:43,610 --> 00:33:46,390
+cubital tunnel syndrome اللي بيكون في ال cubital
+
+436
+00:33:46,390 --> 00:33:50,070
+tunnel بيكون عندنا compression على ال ulnar nerve
+
+437
+00:33:52,540 --> 00:33:56,500
+radial neuropathy يكون compression على اللي هو
+
+438
+00:33:56,500 --> 00:34:01,220
+radial nerve في ال spiral groove هذا يؤدي إلى drop
+
+439
+00:34:01,220 --> 00:34:06,160
+rest في بلاد الغرب بيسموه سطر ديه syndrome سطر ديه
+
+440
+00:34:06,160 --> 00:34:09,470
+الحمد لله مافيش انا اخوك في غزاككان سموه في رأي
+
+441
+00:34:09,470 --> 00:34:13,070
+Thursday Syndrome يوم الخميس عندهم بيسموه يوم
+
+442
+00:34:13,070 --> 00:34:16,750
+السبت هذا او Syndrome يوم السبت ليه؟ لأنه بيكونوا
+
+443
+00:34:16,750 --> 00:34:20,430
+شاربين كحول و بيناموا لأنه عندهم الإجازة في صندي
+
+444
+00:34:20,430 --> 00:34:24,750
+يوم الأحد و بيصحوا عندهم drop breast لو كان أنه
+
+445
+00:34:24,750 --> 00:34:29,270
+كان صحي يوم الجمعة و يديهم مشلولة وصمنا يوم الخميس
+
+446
+00:34:29,270 --> 00:34:32,750
+متلازمة يوم الخميس الله لا يقدر يصيروا عندنا أشياء
+
+447
+00:34:32,750 --> 00:34:37,810
+مثل هي مين عالج يا أبو عراي الستكة؟ميرالجيا
+
+448
+00:34:37,810 --> 00:34:43,130
+براستيتكا هنا بيكون في انغوينال ليجامينت انغوينال
+
+449
+00:34:43,130 --> 00:34:48,990
+ليجامينت ايه و
+
+450
+00:34:48,990 --> 00:34:56,720
+تحته بيمر نيرف اسمهlateral femoral cutaneous nerve
+
+451
+00:34:56,720 --> 00:35:01,940
+هذا nerve sensory nerve بيغدى ال anterior lateral
+
+452
+00:35:01,940 --> 00:35:06,340
+service of thigh والمرضى دول بيشكوا من ايه؟ من
+
+453
+00:35:06,340 --> 00:35:09,500
+numbness في ال anterior lateral service of the
+
+454
+00:35:09,500 --> 00:35:14,960
+thigh بيكون عندهم numbness و بيقولك المريض ان
+
+455
+00:35:14,960 --> 00:35:17,860
+الاحساس عندي على اليمين بيختلف عن الشمال و هكذا
+
+456
+00:35:18,050 --> 00:35:21,190
+أكتر شيء بيكون ال risk group اللي هم ال female
+
+457
+00:35:21,190 --> 00:35:27,250
+obesity اللي ممكن يحدث في الناس اللي عندهم عملهم
+
+458
+00:35:27,250 --> 00:35:32,090
+دايما في وضعية flexion بيكونوا في ال spine وهذا
+
+459
+00:35:32,090 --> 00:35:36,910
+بيقدر إلى entrapment syndrome لمن؟ ل lateral
+
+460
+00:35:36,910 --> 00:35:40,910
+femoral cutaneous nerve below the inguinal
+
+461
+00:35:40,910 --> 00:35:41,830
+ligament
+
+462
+00:35:45,270 --> 00:35:49,330
+هنا peroneal nerve common peroneal nerve لما يكون
+
+463
+00:35:49,330 --> 00:35:53,310
+عندي fracture في الفيبولا في ال head of فيبولا هذا
+
+464
+00:35:53,310 --> 00:35:57,170
+بيؤدي إلى damage ل ال common peroneal nerve و
+
+465
+00:35:57,170 --> 00:36:01,070
+بيؤدي إلى drop foot زي ما تشايفين هنا هذا normal
+
+466
+00:36:01,070 --> 00:36:04,150
+طبعا
+
+467
+00:36:04,150 --> 00:36:10,370
+فيه dorsiflexion normal هنا drop foot فينا drop
+
+468
+00:36:10,370 --> 00:36:15,490
+سقوط في القدم عند المريض هناهذه تارسل تانيرل
+
+469
+00:36:15,490 --> 00:36:18,210
+سندروم المشكلة في تارسل تانيرل سندروم انه بيكون
+
+470
+00:36:18,210 --> 00:36:21,910
+عندنا compression عوين على ال tibial nerve على ال
+
+471
+00:36:21,910 --> 00:36:26,710
+tibial nerve و المرض هذول بيكون عندهم severe pain
+
+472
+00:36:26,710 --> 00:36:32,210
+و numbness في ال ankle و ال soul soul of the foot
+
+473
+00:36:32,210 --> 00:36:40,230
+ناخد مرض اسمه charcot marie tooth disease charcot
+
+474
+00:36:40,230 --> 00:36:46,990
+marie tooth disease هذا عبارة عنHereditary Sensor
+
+475
+00:36:46,990 --> 00:36:51,310
+Motor Neuropathy هو عبارة عن مرض وراثة بصيب
+
+476
+00:36:51,310 --> 00:36:56,870
+الأعصاب بأثر على الأعصاب الحركية و الحسية It is a
+
+477
+00:36:56,870 --> 00:37:00,910
+hereditary familial polyneuropathy with gradual
+
+478
+00:37:00,910 --> 00:37:05,650
+onset و العراد تدريجيا in the first and second
+
+479
+00:37:05,650 --> 00:37:11,440
+decade of life تيجيبسموه peroneal muscular atrophy
+
+480
+00:37:11,440 --> 00:37:14,940
+لأنه بيعمل اه و بيسبب atrophy في البرونيائي muscle
+
+481
+00:37:14,940 --> 00:37:20,980
+ال age of onset في هنا first type second type
+
+482
+00:37:20,980 --> 00:37:23,720
+third type في other types بكفي انا اعرف هدول
+
+483
+00:37:23,720 --> 00:37:29,680
+التلتة انواع ال first typeبيجي في سن أقل من ثلاثين
+
+484
+00:37:29,680 --> 00:37:35,200
+سنة second type بيجي في سن أكتر من ثلاثين سنة و ال
+
+485
+00:37:35,200 --> 00:37:40,620
+third type بيجي عند الأطفال في سبع سنوات ست سنوات
+
+486
+00:37:40,620 --> 00:37:46,530
+ال inheritancedominant بيكون في ال first type و ال
+
+487
+00:37:46,530 --> 00:37:50,770
+second type و recessive بيكون في ال third type
+
+488
+00:37:50,770 --> 00:37:56,530
+يعني بياخد صفة سائدة في عملية الوراثة في النوع
+
+489
+00:37:56,530 --> 00:38:01,530
+الأول و النوع الثاني و بيكون بصفة متنحية أو
+
+490
+00:38:01,530 --> 00:38:06,690
+recessive في النوع الثالث clinical manifestation
+
+491
+00:38:06,690 --> 00:38:12,550
+of charcot marie tooth diseaseهيكون wasting and
+
+492
+00:38:12,550 --> 00:38:17,050
+weakness of intrinsic foot muscles, peroneal
+
+493
+00:38:17,050 --> 00:38:20,530
+muscles وثيبيا ال group عشان هيك بيبقى بيحدث معاهم
+
+494
+00:38:20,530 --> 00:38:26,120
+atrophyفي إيه؟ في البرونياي muscle عشان إيه سموه
+
+495
+00:38:26,120 --> 00:38:29,980
+peroneal muscular atrophy ولو طلعنا على المريض
+
+496
+00:38:29,980 --> 00:38:34,660
+اللي عاش برا و شاف عندهم بيشبهول أجانب ب inverted
+
+497
+00:38:34,660 --> 00:38:39,040
+champagne bottle مثل زجاجة الشامبانيا بتاعتهم هي
+
+498
+00:38:39,040 --> 00:38:44,110
+بتكون إيه المجلوبةشبهو بزجاجة الشامبانيا المجلوبة
+
+499
+00:38:44,110 --> 00:38:47,610
+inverted it's champagne's bottle، بيكون ال thigh
+
+500
+00:38:47,610 --> 00:38:50,810
+عنده تمام عضلات ال thigh، لكن في ال leg إياش
+
+501
+00:38:50,810 --> 00:38:55,970
+أرفيع، من الأطرفي، من ناحية ال sensation stock and
+
+502
+00:38:55,970 --> 00:39:00,810
+glove hypoesthesia with affection of vibration
+
+503
+00:39:00,810 --> 00:39:05,320
+sense and deep sensationهدول المرضى بنشخصهم كتير
+
+504
+00:39:05,320 --> 00:39:09,680
+بالانسبكشن أحيانا بنلاحظ عندهم skeletal
+
+505
+00:39:09,680 --> 00:39:17,580
+deformities مثل ايش؟ تشوهات في القدم بيسكيبس تليبس
+
+506
+00:39:17,580 --> 00:39:22,640
+ايقينوس and كيفوسكاليوسيس حقي أن شايفين كيف اللي
+
+507
+00:39:22,640 --> 00:39:28,860
+هو بيسكيبس تكون القدم عندهم عالية شوية هذه تشوهات
+
+508
+00:39:28,860 --> 00:39:34,970
+في القدم اسمها بيسكيبسTulipas Equinas القدامين
+
+509
+00:39:34,970 --> 00:39:44,130
+منحرفين للداخل منذ الولادة K-Foscaliosis الان
+
+510
+00:39:44,130 --> 00:39:50,850
+باعطيكوا راحة بنجف شوية و بنكمل جزء ثاني من
+
+511
+00:39:50,850 --> 00:39:53,830
+المحاضرة اللي هو راح اتكلم عن ال Golian Bar
+
+512
+00:39:53,830 --> 00:39:57,130
+Syndrome و Chronic Polyneuropathy و راح اتطرق الى
+
+513
+00:39:57,130 --> 00:40:00,310
+ال Diabetic Polyneuropathy معهم يعطيكوا الف عافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_raw.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8fadb95b97e05ade8a2b0d625339f1b7ded18b04
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/nZv7yfJCdKo_raw.srt
@@ -0,0 +1,2364 @@
+1
+00:00:05,260 --> 00:00:08,600
+بسم الله الرحمن الرحيم الجزء الثاني من محاضرة
+
+2
+00:00:08,600 --> 00:00:13,700
+spinal cord disease اللي هي نتكلم على incomplete
+
+3
+00:00:13,700 --> 00:00:18,560
+spinal cord lesion راح أبدأ بـ Brown-Squared
+
+4
+00:00:18,560 --> 00:00:21,780
+Syndrome إيش يعني Brown-Squared Syndrome؟ هي
+
+5
+00:00:21,780 --> 00:00:25,880
+hemicord lesion يعني إصابة في نص الحبل الشوكي إما
+
+6
+00:00:25,880 --> 00:00:29,620
+على اليمين وإما على اليسار هذا هو المقصود في Brown
+
+7
+00:00:29,620 --> 00:00:35,470
+-Squared Syndromeإيش بيحدث عند المرضى below the
+
+8
+00:00:35,470 --> 00:00:42,310
+level of lesion تحت مستوى الإصابة Ipsilateral loss
+
+9
+00:00:42,310 --> 00:00:48,430
+of deep sensation يعني المريض تحت مستوى الإصابة
+
+10
+00:00:48,430 --> 00:00:53,560
+يعني بيحدث عندهloss of deep sensation يعني فقدان
+
+11
+00:00:53,560 --> 00:00:58,420
+الإحساس العميق ليه فقدان الإحساس العميق due to
+
+12
+00:00:58,420 --> 00:01:02,400
+damage of gracil and connective tract due to
+
+13
+00:01:02,400 --> 00:01:05,860
+damage of gracil and connective tract طب سؤال طالب
+
+14
+00:01:05,860 --> 00:01:10,920
+يقول ليه يا دكتور إبسي lateral مش Contralateralلأن
+
+15
+00:01:10,920 --> 00:01:14,660
+grassail and connective tract مايله decassation في
+
+16
+00:01:14,660 --> 00:01:18,140
+spinal cord بيظلوا صاعد على نفس الجهة و بيعمل ال
+
+17
+00:01:18,140 --> 00:01:20,500
+crossing في الميدالة قبل ان جاتها في الحالة هذه
+
+18
+00:01:20,500 --> 00:01:23,960
+صار إصابة على الجهة اليمنى المريض راح يفقد ال deep
+
+19
+00:01:23,960 --> 00:01:26,880
+sensation على الجهة اليمنى صار علي اليسرى راح يفقد
+
+20
+00:01:26,880 --> 00:01:29,240
+ال deep sensation علي اليسرى اتفهمتوا ليه؟ لأن
+
+21
+00:01:29,240 --> 00:01:33,020
+grassail and connective tract don't make
+
+22
+00:01:33,020 --> 00:01:39,240
+decassation in the spinal cord اتنينepsilateral
+
+23
+00:01:39,240 --> 00:01:43,100
+upper motor neuron lesion below the level of
+
+24
+00:01:43,100 --> 00:01:48,620
+lesion ليه؟ due to damage of epsilateral
+
+25
+00:01:48,620 --> 00:01:53,780
+corticospinal tract أصح؟ lateral corticospinal
+
+26
+00:01:53,780 --> 00:01:57,320
+tract okay even due to damage of lateral
+
+27
+00:01:57,320 --> 00:02:01,600
+corticospinal tract طب سؤال ليش دكتور epsilateral
+
+28
+00:02:01,600 --> 00:02:06,720
+ما هو contralateral أنتوا عارفينال Corticospinal
+
+29
+00:02:06,720 --> 00:02:09,720
+tract بيعمل ال crossing وين؟ في المضالة أو
+
+30
+00:02:09,720 --> 00:02:12,820
+بلانجاتا ال left بيروح لل right و ال right بيروح
+
+31
+00:02:12,820 --> 00:02:16,900
+لل left في حالة هذه صار damaged ل ال right side of
+
+32
+00:02:16,900 --> 00:02:20,360
+spinal cord بيصير below the level of lesion a
+
+33
+00:02:20,360 --> 00:02:25,460
+upper motoneuron paralysis طب هل هو Corticospinal
+
+34
+00:02:25,460 --> 00:02:28,180
+tract بيعمل ال crossing في spinal cord؟ لأ ال
+
+35
+00:02:28,180 --> 00:02:31,820
+decassation بتاعة Corticospinal tract موجودة وين؟
+
+36
+00:02:31,820 --> 00:02:39,160
+في المضالة أو بلانجاتاثلاثة Contralateral loss of
+
+37
+00:02:39,160 --> 00:02:44,600
+pain, temperature and across touch sensation
+
+38
+00:02:44,600 --> 00:02:48,520
+الفاين تاتش بدكرها دايما مع ال deep sensation يعني
+
+39
+00:02:48,520 --> 00:02:52,960
+لما نقول loss of deep sensation and fine touch لأن
+
+40
+00:02:52,960 --> 00:02:55,840
+ال fine touch بتمر مع ال deep sensation لكن رقم
+
+41
+00:02:55,840 --> 00:03:00,360
+ثلاثة Contralateral loss of pain and temperature
+
+42
+00:03:00,360 --> 00:03:05,150
+sensationwith crude touch loss due to damage of
+
+43
+00:03:05,150 --> 00:03:11,190
+lateral and ventral spinothalamic tract لازم ترجع
+
+44
+00:03:11,190 --> 00:03:14,250
+على سنة ثالثة ترجع ال pathway of deep sensation و
+
+45
+00:03:14,250 --> 00:03:18,930
+superficial sensation and motor احنا شرحنا في سنة
+
+46
+00:03:18,930 --> 00:03:23,490
+ثالثة انه ال pain و ال temperature sensation و ال
+
+47
+00:03:23,490 --> 00:03:26,290
+crude touch ال fibers بعدها بتفوت على ال posterior
+
+48
+00:03:26,290 --> 00:03:30,150
+horn cells بتفوت وين؟ على ال posterior horn cells
+
+49
+00:03:32,890 --> 00:03:36,810
+هيهم فاتوا على ال posterior horn cells بال
+
+50
+00:03:36,810 --> 00:03:40,710
+posterior horn cells بيعملوا crossing إما على ال
+
+51
+00:03:40,710 --> 00:03:45,150
+opposite side بيعملوا crossing وين؟ على ال
+
+52
+00:03:45,150 --> 00:03:52,790
+opposite side هنا ال crossing بالتم على
+
+53
+00:03:52,790 --> 00:03:59,450
+ال إيه؟ ال ventral أو anterior spine مثلا لما يكي
+
+54
+00:03:59,450 --> 00:04:04,240
+تراكت أو عوينعال lateral spine مثلا ممكن تراكت في
+
+55
+00:04:04,240 --> 00:04:08,700
+الحالة هذا اللي تراكت هذا لو صار damage لإله و هنا
+
+56
+00:04:08,700 --> 00:04:10,440
+ال deep sensation ال pain و ال temperature ال
+
+57
+00:04:10,440 --> 00:04:13,120
+sensation lost و ال crow touch على ال opposite
+
+58
+00:04:13,120 --> 00:04:17,420
+side ليه على ال opposite side لأن ال pathway of
+
+59
+00:04:17,420 --> 00:04:22,500
+pain temperature and crow touch sensation make
+
+60
+00:04:22,500 --> 00:04:28,250
+decassationin the entry of spinal cord مجرد ال
+
+61
+00:04:28,250 --> 00:04:31,350
+fibers مدفوطة على spinal cord بتعمل ال left
+
+62
+00:04:31,350 --> 00:04:34,550
+decassation على ال right في الحالة دي صار إصابة لل
+
+63
+00:04:34,550 --> 00:04:39,710
+right part of spinal cord pain, temperature and
+
+64
+00:04:39,710 --> 00:04:43,890
+crude touch sensation lost على ال opposite side
+
+65
+00:04:43,890 --> 00:04:52,940
+هنا عندي مريض صار إصابة عندهفي نصف الـ spinal cord
+
+66
+00:04:52,940 --> 00:04:57,760
+على الجهة A اليمنى Ipsilateral
+
+67
+00:04:57,760 --> 00:05:02,680
+below the level of lesion أنا بتكلم Ipsilateral
+
+68
+00:05:02,680 --> 00:05:08,160
+loss of deep sensation due to damage of the gracil
+
+69
+00:05:08,160 --> 00:05:15,120
+and connective tract اتنين Ipsilateral power
+
+70
+00:05:15,120 --> 00:05:20,280
+lesion او motor power lossأو Paralysis Upper
+
+71
+00:05:20,280 --> 00:05:24,320
+Motoneuron lesion due to damage of lateral
+
+72
+00:05:24,320 --> 00:05:31,400
+corticospinal tract هنا اجرسيل تكون اجرسيل medial
+
+73
+00:05:31,400 --> 00:05:39,760
+و conate lateral conate and اجرسيل tract ليه
+
+74
+00:05:39,760 --> 00:05:42,380
+ال motor و ال deep sensation ابسilateral؟ لأن ال
+
+75
+00:05:42,380 --> 00:05:45,360
+pathway بتاعتهم ما تعملش crossing في ال spinal
+
+76
+00:05:45,360 --> 00:05:52,010
+cord و contralateralloss of pain temperature
+
+77
+00:05:52,010 --> 00:06:00,410
+sensation لأن ال lateral spinothalamic tract هو
+
+78
+00:06:00,410 --> 00:06:03,170
+أصل ال fibers سبعتها جاء من ال contralateral side
+
+79
+00:06:03,170 --> 00:06:05,390
+لأن ال fibers سبعتهم بيعملوا crossing في ال intro
+
+80
+00:06:05,390 --> 00:06:09,690
+of spinal cord و ال ventral spinothalamic tract
+
+81
+00:06:09,690 --> 00:06:10,990
+المسئول عن crowd touch
+
+82
+00:06:14,620 --> 00:06:17,540
+و Lateral Spinal Thalamic Extraction مسئول عن ايه؟
+
+83
+00:06:17,540 --> 00:06:21,600
+عن اللي هي pain, temperature, sensation لو صار لهم
+
+84
+00:06:21,600 --> 00:06:25,100
+damage في الحالة هذه المريض راح يفقد ال pain,
+
+85
+00:06:25,320 --> 00:06:28,180
+temperature, sensation و crowed touch على ال
+
+86
+00:06:28,180 --> 00:06:32,220
+opposite side okay نجيب مثال مريض
+
+87
+00:06:34,400 --> 00:06:40,160
+حدث معاه spinal cord injury gunshot injury وكانت
+
+88
+00:06:40,160 --> 00:06:45,920
+على مستوى T6 T7 level على left side ايش حدث مع
+
+89
+00:06:45,920 --> 00:06:55,340
+المريض هذا? Ipsilateral Ipsilateral loss of deep
+
+90
+00:06:55,340 --> 00:07:00,640
+sensation Ipsilateral paralysis
+
+91
+00:07:04,130 --> 00:07:07,790
+أبرموتونيرون ليهم due to damage of lateral
+
+92
+00:07:07,790 --> 00:07:10,370
+corticospinal tract و ال deep sensation و ال fine
+
+93
+00:07:10,370 --> 00:07:16,050
+touch and fine touch due to damage of grass cell
+
+94
+00:07:16,050 --> 00:07:18,650
+and connective tract إذا بتكلم على lower limb أنا
+
+95
+00:07:18,650 --> 00:07:22,930
+بتكلم على grass cell tract only okay على ال
+
+96
+00:07:22,930 --> 00:07:31,270
+opposite side صار عندنا loss of pain
+
+97
+00:07:37,410 --> 00:07:42,970
+temperature and crude touch due to damage of
+
+98
+00:07:42,970 --> 00:07:49,970
+lateral and ventral spinothalamic tract تمام ماحدش
+
+99
+00:07:49,970 --> 00:07:53,850
+جالي من الطلاب سألني السؤال ليش يا دكتور أنت
+
+100
+00:07:53,850 --> 00:07:56,570
+شرحتلنا below the level of lesion طب ع مستوى
+
+101
+00:07:56,570 --> 00:08:01,610
+الإصابة ع مستوى الإصابة إيش بيحدث عند المريض هايو
+
+102
+00:08:01,610 --> 00:08:02,590
+المريض هذا
+
+103
+00:08:06,050 --> 00:08:12,750
+حدث اندو دامج لـ spinal cord على الجهة اليمنى
+
+104
+00:08:12,750 --> 00:08:17,810
+انت شرحتنا انه صار اندو دامج في ال deep sensation
+
+105
+00:08:17,810 --> 00:08:23,380
+عشان الجراس السيلو كانت تتراكتوشرحتلنا ال motor
+
+106
+00:08:23,380 --> 00:08:25,560
+power below the level of lesion عشان خاطر ال
+
+107
+00:08:25,560 --> 00:08:28,860
+lateral corticospinal tract و ال pain temperature
+
+108
+00:08:28,860 --> 00:08:32,860
+عشان خاطر lateral spinothalamic tract و crowd
+
+109
+00:08:32,860 --> 00:08:38,480
+touch عشان خاطر مين اللي هو ventral
+
+110
+00:08:38,480 --> 00:08:41,100
+spinothalamic tract طب ماشرحتلناش إيش بيصير عند
+
+111
+00:08:41,100 --> 00:08:44,740
+المريض لما يصير damage ده لجريماتر مش على نفس
+
+112
+00:08:44,740 --> 00:08:50,450
+المستوى تصاب لجريماترOkay على نفس المستوى .. على
+
+113
+00:08:50,450 --> 00:08:53,830
+نفس المستوى at the level of injury راح يكون
+
+114
+00:08:53,830 --> 00:08:55,850
+myotome
+
+115
+00:09:00,790 --> 00:09:03,790
+of myotomy يعني جزء من العضلات على نفس المستوى راح
+
+116
+00:09:03,790 --> 00:09:08,350
+تكون مشلولة وراح تكون ايش lower motor neuron
+
+117
+00:09:08,350 --> 00:09:12,290
+lesion يبقى على نفس مستوى الإصابة راح تكون جزء من
+
+118
+00:09:12,290 --> 00:09:16,970
+العضلات فيها lower motor neuron lesion due to
+
+119
+00:09:16,970 --> 00:09:21,550
+damage of anterior horn cells اي واحد اثنين على
+
+120
+00:09:21,550 --> 00:09:26,230
+مستوى الإصابة وipsilateral راح تكون dermatoma
+
+121
+00:09:30,120 --> 00:09:33,520
+يعني جزء من ال skin في anesthesia .. anesthesia
+
+122
+00:09:33,520 --> 00:09:39,260
+ليه؟ due to damage of posterior horn cells نفس ما
+
+123
+00:09:39,260 --> 00:09:41,900
+انتوا شايفين هنا على نفس الإصابة وعلى نفس مستوى
+
+124
+00:09:41,900 --> 00:09:46,000
+الإصابة المريض فقد الإحساس فقد الإحساس due to
+
+125
+00:09:46,000 --> 00:09:51,740
+damage of a left posterior horn cells okay هيكا
+
+126
+00:09:51,740 --> 00:09:55,520
+بيكون شرحنالكوا Brown-Square Syndrome بالتفصيل بس
+
+127
+00:09:55,520 --> 00:10:01,200
+عشان تفهموا أكتر ارجعواادرسوا pathway of motor and
+
+128
+00:10:01,200 --> 00:10:08,920
+sensory ننتقل
+
+129
+00:10:08,920 --> 00:10:13,530
+لـ anterior spinal cord syndromeLegion of the
+
+130
+00:10:13,530 --> 00:10:17,550
+anterior part of spinal cord يعني الإصابة في الـ
+
+131
+00:10:17,550 --> 00:10:22,570
+anterior part of spinal cord أكتر شيء هذه بتكون مع
+
+132
+00:10:22,570 --> 00:10:27,350
+affliction injury إصابة مع affliction Occlusion of
+
+133
+00:10:27,350 --> 00:10:31,270
+the anterior spinal artery جلطة في الحبل الشوكي في
+
+134
+00:10:31,270 --> 00:10:35,810
+الـ anterior spinal artery هنا راح يكون عند المريض
+
+135
+00:10:35,810 --> 00:10:42,810
+loss of bilateralLoss of pain, temperature, crot,
+
+136
+00:10:42,950 --> 00:10:46,210
+touch, below، على نفس المستوى، at the level and
+
+137
+00:10:46,210 --> 00:10:50,930
+below the level of lesion Paralysis،
+
+138
+00:10:50,930 --> 00:10:53,810
+upper motor neuron، below the level، وعلى نفس
+
+139
+00:10:53,810 --> 00:10:56,950
+المستوى، lower motor neuron، لها على نفس المستوى،
+
+140
+00:10:56,950 --> 00:10:58,990
+lower motor neuron، due to damage of anterior horn
+
+141
+00:10:58,990 --> 00:11:01,950
+cells، لها below the level، upper motor neuron،
+
+142
+00:11:01,950 --> 00:11:04,250
+due to damage of the corticospinal tract
+
+143
+00:11:05,460 --> 00:11:08,200
+dysfunction of sphincters والمريض مش راح يتحكم فيه
+
+144
+00:11:08,200 --> 00:11:14,080
+الـ sphincters لكن هي عندي هنا gracele و konate
+
+145
+00:11:14,080 --> 00:11:19,560
+gracele و konate هنا intact سالمين لكن المريض هذا
+
+146
+00:11:19,560 --> 00:11:23,620
+راح يكون عنده deep sensation preserved في الحالة
+
+147
+00:11:23,620 --> 00:11:28,000
+هذه المريض راح يفقد ال motor sphincter dysfunction
+
+148
+00:11:28,000 --> 00:11:33,260
+loss pain temperature crow touch لكنdeep sensation
+
+149
+00:11:33,260 --> 00:11:38,020
+و fine touch preserved هذا بسميه anterior cord
+
+150
+00:11:38,020 --> 00:11:45,740
+syndrome anterior ايه؟ cord syndrome زي
+
+151
+00:11:45,740 --> 00:11:49,860
+ما شايفين المريض هذا صار معاه damage وين؟ في ال
+
+152
+00:11:49,860 --> 00:11:55,740
+anterior part of spinal cordفقد ال motor و ال
+
+153
+00:11:55,740 --> 00:11:58,760
+sensation pain temperature across touch at the
+
+154
+00:11:58,760 --> 00:12:02,820
+level and below the level لكن المريض هذا عنده
+
+155
+00:12:02,820 --> 00:12:06,400
+graft cell tract سليمية و ال connect سليم في
+
+156
+00:12:06,400 --> 00:12:10,400
+الحالة هذه المريض هذا راح يكون عنده deep sensation
+
+157
+00:12:10,400 --> 00:12:15,110
+and fine touchis preserved خطب نسميه anterior cord
+
+158
+00:12:15,110 --> 00:12:20,170
+syndrome ومثال عليه لو حدث exclusion او جلطة في ال
+
+159
+00:12:20,170 --> 00:12:24,210
+anterior spinal artery تتذكروا على السريع anterior
+
+160
+00:12:24,210 --> 00:12:25,350
+cord syndrome
+
+161
+00:12:30,000 --> 00:12:34,480
+الأكس صحيح posterior cord syndrome في الـ
+
+162
+00:12:34,480 --> 00:12:37,320
+posterior cord syndrome هنا في إصابة للجزء الخلفي
+
+163
+00:12:37,320 --> 00:12:40,960
+من الـ spinal cord associated with cervical
+
+164
+00:12:40,960 --> 00:12:45,060
+hyperextension injury Tapis Dorsalis هذا tertiary
+
+165
+00:12:45,060 --> 00:12:48,160
+syphilis، مرض الزهر يصيب الـ posterior part of
+
+166
+00:12:48,160 --> 00:12:50,920
+spinal cord ischemic infarction في الـ posterior
+
+167
+00:12:50,920 --> 00:12:56,670
+spinal arteryأهم شيء هنا عند المريض loss of deep
+
+168
+00:12:56,670 --> 00:13:00,130
+sensation and difficulty in coordination movement
+
+169
+00:13:00,130 --> 00:13:07,450
+loss of fine touch some weakness ممكن يحدث some
+
+170
+00:13:07,450 --> 00:13:14,680
+weakness سأشرحلكم هي ليهbut pain, temperature and
+
+171
+00:13:14,680 --> 00:13:18,680
+crotouch is preserved عكس صحيح هنا بيصير loss of
+
+172
+00:13:18,680 --> 00:13:22,240
+deep sensation fine touch و preserved pain و
+
+173
+00:13:22,240 --> 00:13:25,340
+temperature و crotouch sensation لأنها الإصابة في
+
+174
+00:13:25,340 --> 00:13:29,160
+الجزء الخلفي من ال spinal cord و ممكن يحدث معهم
+
+175
+00:13:29,160 --> 00:13:32,680
+some weakness some weakness ليه some weakness ممكن
+
+176
+00:13:32,680 --> 00:13:38,300
+يحدث معهم لأن ال lateral corticospinal tract
+
+177
+00:13:40,940 --> 00:13:45,100
+located more posterior يعني لما يحدث إصابة في
+
+178
+00:13:45,100 --> 00:13:49,220
+الجزء الخلفي من spinal cord ممكن تتأثر ال lateral
+
+179
+00:13:49,220 --> 00:13:54,740
+corticospinal tract ويحدث معه some witness وممكن
+
+180
+00:13:54,740 --> 00:13:58,600
+المريض يكون المصل بورا عنده خمسة على خمسة إذا كانت
+
+181
+00:13:58,600 --> 00:14:01,960
+الإصابة isolated و بس ماخدة إيه ال posterior
+
+182
+00:14:01,960 --> 00:14:06,120
+column بنطلع بال slide هذا بنتيجة إنه في موضوع ال
+
+183
+00:14:06,120 --> 00:14:09,750
+posterior cord syndromeالإصابة بيصير فقدان للـ
+
+184
+00:14:09,750 --> 00:14:13,050
+deep sensation و ال fine touch with preserved of
+
+185
+00:14:13,050 --> 00:14:16,710
+pain, temperature and a crude touch sensation
+
+186
+00:14:16,710 --> 00:14:21,170
+الموتور maybe يكون عند المرضى some weakness due to
+
+187
+00:14:21,170 --> 00:14:24,490
+damage of corticospinal tract واحنا عارفين ال
+
+188
+00:14:24,490 --> 00:14:28,630
+lateral corticospinal tract located more posterior
+
+189
+00:14:28,630 --> 00:14:31,850
+in the lateral column of spinal cord
+
+190
+00:14:34,990 --> 00:14:38,650
+Central Cord Syndrome هلأ Central Cord Syndrome
+
+191
+00:14:38,650 --> 00:14:42,390
+هان الإصابة وين جاية؟ في الـ gray مطر جاية وين
+
+192
+00:14:42,390 --> 00:14:45,790
+الإصابة؟ في ال gray مطر مدام الإصابة في ال gray
+
+193
+00:14:45,790 --> 00:14:49,910
+مطر راح يكون ال symptoms at the level of injury
+
+194
+00:14:49,910 --> 00:14:54,010
+يعني ال white motor ملاحظين ال white motor intact
+
+195
+00:14:54,010 --> 00:14:56,470
+يعني مش راح يكون فينا symptoms في بداية المرض
+
+196
+00:14:56,470 --> 00:15:00,250
+below the level of lesionأكتر مرض بيسبب central
+
+197
+00:15:00,250 --> 00:15:03,790
+cord syndrome اللي هو Serringomyelia
+
+198
+00:15:03,790 --> 00:15:08,510
+Serringomyelia راح نتكلم عنه damage of gray matter
+
+199
+00:15:08,510 --> 00:15:12,870
+بيحدث cavitation of the gray matter ممكن يكون
+
+200
+00:15:12,870 --> 00:15:19,110
+cervical spinal cord injury الأعراض هنا leading to
+
+201
+00:15:19,110 --> 00:15:23,150
+weakness great weakness in the upper limbs إذا كان
+
+202
+00:15:23,150 --> 00:15:25,010
+ال damage في ال cervical راح يكون weakness في ال
+
+203
+00:15:25,010 --> 00:15:29,180
+upper limbs و ال lower limbs intactOkay طب إيش نوع
+
+204
+00:15:29,180 --> 00:15:33,000
+ال weakness راح يكون؟ لإن هو دمج وين قولنا؟ ال
+
+205
+00:15:33,000 --> 00:15:36,820
+damage راح يكون في ال grey matter هنا اللي أنا
+
+206
+00:15:36,820 --> 00:15:39,460
+معلم في ال grey matter إيش نوع ال weakness راح
+
+207
+00:15:39,460 --> 00:15:42,000
+يكون؟ upper motor neuron ولا lower motor neuron؟
+
+208
+00:15:42,000 --> 00:15:44,500
+راح يكون lower motor neuron due to damage of
+
+209
+00:15:44,500 --> 00:15:45,220
+anterior horns
+
+210
+00:15:48,460 --> 00:15:52,160
+طب إذا زاد ال cavitation وكبريت راح تضغط على ال
+
+211
+00:15:52,160 --> 00:15:54,860
+white matter ممكن يصير weakness below the level of
+
+212
+00:15:54,860 --> 00:15:58,960
+lesion؟ ممكن لكن ال weakness أكتر راح يكون at the
+
+213
+00:15:58,960 --> 00:16:02,260
+level of lesion يعني المريض عنده syringomyelia في
+
+214
+00:16:02,260 --> 00:16:05,260
+ال cervical spinal cord ممكن يصير مع بربا races في
+
+215
+00:16:05,260 --> 00:16:07,940
+ال upper limbs weakness و some weakness في ال
+
+216
+00:16:07,940 --> 00:16:10,700
+lower limbs طب ليه صار مع some weakness في ال
+
+217
+00:16:10,700 --> 00:16:13,080
+lower limbs؟ لأنه صار damage أو ضغط أو compression
+
+218
+00:16:13,080 --> 00:16:17,070
+على ال corticospinal tractطب ليش ال damage او ليش
+
+219
+00:16:17,070 --> 00:16:20,490
+ال symptoms اكثر في ال upper limbs لإنه حدث عند
+
+220
+00:16:20,490 --> 00:16:22,990
+المريض ال damage ليه؟ ليها ال grey matter لل
+
+221
+00:16:22,990 --> 00:16:28,030
+anterior horn cellsطب ممكن يصير عندهم loss of pain
+
+222
+00:16:28,030 --> 00:16:30,630
+temperature نعم بيصير loss of pain temperature
+
+223
+00:16:30,630 --> 00:16:34,710
+sensation نظام jacket شايفين؟ نظام ايه؟ jacket
+
+224
+00:16:34,710 --> 00:16:39,130
+يعني أعلى مستوى الإصابة ال sensation normal تحت
+
+225
+00:16:39,130 --> 00:16:42,130
+مستوى الإصابة ال sensation normal على مستوى
+
+226
+00:16:42,130 --> 00:16:45,090
+الإصابة بيصير عندنا loss of pain temperature
+
+227
+00:16:45,090 --> 00:16:49,600
+sensationwe crowd touch نظام jacket طب لو كان ال
+
+228
+00:16:49,600 --> 00:16:54,540
+cavity ماخدة نص Spinal cord عليها واحدة ممكن يحدث
+
+229
+00:16:54,540 --> 00:16:58,600
+معاهم half jacket يعني loss of sensation نظام نص
+
+230
+00:16:58,600 --> 00:17:04,630
+jacket نصف ايش؟ jacketطب ال deep sensation spared،
+
+231
+00:17:04,630 --> 00:17:07,830
+ليش ال deep sensation spared؟ لأن ال deep
+
+232
+00:17:07,830 --> 00:17:10,810
+sensation ما بيفوت في ال grey مطار، direct من
+
+233
+00:17:10,810 --> 00:17:16,530
+البستيرو روت، بيطلع بإما بـ gracile أو باش بكونية
+
+234
+00:17:16,530 --> 00:17:22,500
+attract، ب gracile أو كونية attractهذا هو ايش؟
+
+235
+00:17:22,500 --> 00:17:26,220
+Central Cord Lesion في الـ Central Cord Lesion الـ
+
+236
+00:17:26,220 --> 00:17:31,080
+symptoms بتكون at the level of lesion ليه؟ due to
+
+237
+00:17:31,080 --> 00:17:35,200
+damage of gray matter later on لو زادت ممكن يحدث
+
+238
+00:17:35,200 --> 00:17:38,580
+عنها بعض العراض below the level of lesion راح تكون
+
+239
+00:17:38,580 --> 00:17:43,380
+لكن أقل بكتير من نفس ال level below the level راح
+
+240
+00:17:43,380 --> 00:17:46,700
+تكون upper motoneuron at the level lower
+
+241
+00:17:46,700 --> 00:17:53,630
+motoneuron lesionواضح هنا Seringomyelia ممكن تجينا
+
+242
+00:17:53,630 --> 00:17:56,590
+في الـ gray matter around central canal و spinal
+
+243
+00:17:56,590 --> 00:18:00,870
+cord و أول ما تصيب بيصيب ل gray matter مدام صبت ل
+
+244
+00:18:00,870 --> 00:18:03,850
+gray matter ال symptoms راح يكونوا وين؟ at the
+
+245
+00:18:03,850 --> 00:18:09,120
+level of lesionننتقل الآن إلى spinal cord lesion،
+
+246
+00:18:09,120 --> 00:18:11,980
+ايش الأمراض اللي ممكن تصيب spinal cord؟ احنا راح
+
+247
+00:18:11,980 --> 00:18:14,900
+ناخد ان شاء الله محاضرة الأسبوع هذا السادس واسبوع
+
+248
+00:18:14,900 --> 00:18:18,480
+السابع واسبوع الثامن على موضوع ال spinal cord
+
+249
+00:18:18,480 --> 00:18:23,680
+ونشرح spinal cord injury، نشرح ال disk prolapse،
+
+250
+00:18:23,680 --> 00:18:32,440
+tumors و هكذادي spinal cord lesion congenital ممكن
+
+251
+00:18:32,440 --> 00:18:37,420
+تكون spinal canal stenosis منينجو ميلوسيل وممكن
+
+252
+00:18:37,420 --> 00:18:42,360
+انا اخففهم في أسبوعين بنشوف كيف ال congenital
+
+253
+00:18:42,360 --> 00:18:47,260
+spinal canal stenosis منينجو ميلوسيل traumatic
+
+254
+00:18:47,260 --> 00:18:52,670
+gunshot injuryRTA حدث طرق fracture, disc prolapse,
+
+255
+00:18:53,530 --> 00:18:57,990
+inflammatory transverse myelitis, poliomyelitis ال
+
+256
+00:18:57,990 --> 00:18:59,930
+transverse myelitis راح أشرحلكوا إياها إن شاء الله
+
+257
+00:18:59,930 --> 00:19:03,070
+في محاضرة ال demyelinating disease of spinal cord
+
+258
+00:19:03,070 --> 00:19:08,070
+و MS المالتبسكليروسيز في محاضرة واحدة راح تكون
+
+259
+00:19:08,410 --> 00:19:11,390
+Polymyelitis، مش هي للأطفال، راح تاخدوه في .. مع
+
+260
+00:19:11,390 --> 00:19:15,090
+الأطفال، مع طب الأطفال ال tumors، primary or
+
+261
+00:19:15,090 --> 00:19:19,690
+metastatic tumors Vascular، ناتجة عن ايه؟ ischemic
+
+262
+00:19:19,690 --> 00:19:23,170
+infarction أو transient spinal ischemia أو
+
+263
+00:19:23,170 --> 00:19:27,470
+hemorrhagic lesion of the spinal cord Motor neuron
+
+264
+00:19:27,470 --> 00:19:29,790
+disease، راح نتكلم عنه في المحاضرة لوحده
+
+265
+00:19:30,520 --> 00:19:34,020
+Deformities بتاخدوه في ال orthopedic Degenerative
+
+266
+00:19:34,020 --> 00:19:37,760
+اي اللي هو ال vertebral spondylosis راح نتكلم عنه
+
+267
+00:19:37,760 --> 00:19:40,800
+السنة القادمة Seringomyelia هنتكلم عنه اليوم
+
+268
+00:19:40,800 --> 00:19:44,100
+Hereditary في مرض اسمه hereditary spastic
+
+269
+00:19:44,100 --> 00:19:46,860
+paraplegia بتاخدوه في الأطفال Demyelinating
+
+270
+00:19:46,860 --> 00:19:50,900
+disease Multiple sclerosis Adam Davick disease ان
+
+271
+00:19:50,900 --> 00:19:53,760
+شاء الله راح أشرحه في محاضرة Demyelinating disease
+
+272
+00:19:53,760 --> 00:19:59,380
+of CNS في محاضرة ساعتينvitamin B12 deficiency بسبب
+
+273
+00:19:59,380 --> 00:20:02,220
+sub acute combined degeneration و بيعمل معهم
+
+274
+00:20:02,220 --> 00:20:04,360
+polyneuropathy ان شاء الله في محاضرة
+
+275
+00:20:04,360 --> 00:20:07,440
+polyneuropathy بنتكلم عنه Tabas Dersales
+
+276
+00:20:07,440 --> 00:20:11,300
+النيوروسيفلس هذا مرض معدي مرض زهري بيصيب الجهاز
+
+277
+00:20:11,300 --> 00:20:18,440
+العصبي والجهاز التناسل نتكلم على Seringomyelia
+
+278
+00:20:18,440 --> 00:20:22,180
+Seringomyelia يوم ما اتكلم على Seringomyelia
+
+279
+00:20:22,180 --> 00:20:27,600
+مباشرةالان صار أسهل علينا اتذكرولي ايه؟ Central
+
+280
+00:20:27,600 --> 00:20:31,100
+cord syndrome هو عبارة عن أيش هذا المرض؟ chronic
+
+281
+00:20:31,100 --> 00:20:36,240
+disease characterized by gliosis and cavitation
+
+282
+00:20:36,240 --> 00:20:41,280
+بيصير عملية ايه؟ فجوات تجويف في الحبل الشوكي وين؟
+
+283
+00:20:41,280 --> 00:20:45,240
+around the central canal of a gray matter طب هذه
+
+284
+00:20:45,240 --> 00:20:48,200
+ال cavitation ايش بتدخل فيها؟ بيكون فيها سائل اسمه
+
+285
+00:20:48,200 --> 00:20:55,210
+cerebrospinal fluid syrinx هي ترجمةfluid filled
+
+286
+00:20:55,210 --> 00:20:59,590
+cavity، cavity وداخله إيه؟ سائل وين أكتر مكان
+
+287
+00:20:59,590 --> 00:21:04,170
+بيحدث Seringomyelia؟ أكتر مكان cervical dorsal
+
+288
+00:21:04,170 --> 00:21:08,430
+part، لكن ممكن يصيب brain stem، ال brain stem
+
+289
+00:21:08,430 --> 00:21:12,050
+ويعملنا مرض اسمه Seringopalpia، يبقى Seringopalpia
+
+290
+00:21:12,050 --> 00:21:15,350
+هي عبارة عن cavitation of the brain stem،
+
+291
+00:21:15,350 --> 00:21:19,030
+Seringomyelia هي عبارة عن cavitation of the spinal
+
+292
+00:21:19,030 --> 00:21:22,960
+cordممكن يحدث في الـ lumbar region في ال lower
+
+293
+00:21:22,960 --> 00:21:28,520
+part of spinal cord what's the cause of
+
+294
+00:21:28,520 --> 00:21:32,740
+syringomyelia؟ syringomyelia أسباب كثيرة ممكن تكون
+
+295
+00:21:32,740 --> 00:21:35,680
+idiopathic ممكن تكون يعني مايلها سبب ممكن تكون نتج
+
+296
+00:21:35,680 --> 00:21:40,920
+عن malformation Arnold cherry malformation Arnold
+
+297
+00:21:40,920 --> 00:21:44,900
+cherry malformation بيكون التنزل بتاعة ال
+
+298
+00:21:44,900 --> 00:21:48,800
+cerebellum التنزل ساعة ال cerebellumبتدخل وين هى
+
+299
+00:21:48,800 --> 00:21:52,260
+هى هى على foramen magnum وبتعملنا compression على
+
+300
+00:21:52,260 --> 00:21:56,080
+ال spinal cord وبتعمل compression على ال central
+
+301
+00:21:56,080 --> 00:21:59,260
+spinal canal هذا اسمه Arnold Guillain malformation
+
+302
+00:21:59,260 --> 00:22:02,840
+هذه تنزل تحت الcerebellum بتفوت في foramen magnum
+
+303
+00:22:02,840 --> 00:22:06,380
+وبتعمل compression على ال central spinal canal وفي
+
+304
+00:22:06,380 --> 00:22:10,320
+الحالة هذه محتاجة decompression بنعمل عملية جراحية
+
+305
+00:22:10,320 --> 00:22:13,960
+توسيع ل foramen magnum عشان نخفف ال compression
+
+306
+00:22:13,960 --> 00:22:15,840
+على ال spinal cord
+
+307
+00:22:19,920 --> 00:22:23,820
+Bony anomaly زي ما قلنا ممكن تكون اللي لها علاقة
+
+308
+00:22:23,820 --> 00:22:28,040
+بمراض congenital disease زي meningiocele
+
+309
+00:22:28,040 --> 00:22:32,900
+meningomyelocele يكون عندهم hydrocephalus tumors
+
+310
+00:22:32,900 --> 00:22:36,500
+in spinal cord مثل ابن دايماما ممكن تكون جان
+
+311
+00:22:36,500 --> 00:22:41,660
+trauma post traumatic syringomyelia كل هذه أسباب
+
+312
+00:22:41,660 --> 00:22:45,560
+clinical picture of syringomyelia إيش الأعراض اللي
+
+313
+00:22:45,560 --> 00:22:50,140
+بتحدث عندهم؟أول شيء الـ age أكتر شيء في سن الخمس
+
+314
+00:22:50,140 --> 00:22:54,580
+عشر لخمس و تلاتين ال onset gradual onset and
+
+315
+00:22:54,580 --> 00:22:59,360
+progressive course symptoms motor deficit متفاجنا
+
+316
+00:22:59,360 --> 00:23:02,240
+أنه هذا central core syndrome يبقى بتكون عندهم
+
+317
+00:23:02,240 --> 00:23:05,820
+early in the upper limbs with muscle fasciculation
+
+318
+00:23:05,820 --> 00:23:10,770
+due to irritation of anterior horn cellslater لو
+
+319
+00:23:10,770 --> 00:23:14,230
+زاد ال cavitation كبر ممكن يؤدي إذا lower limbs
+
+320
+00:23:14,230 --> 00:23:17,510
+parabasis يكونوا upper motoneuron it due to damage
+
+321
+00:23:17,510 --> 00:23:21,110
+of lateral corticospinal tract in the lateral
+
+322
+00:23:21,110 --> 00:23:24,490
+colon لكن وين الأعراض بتكون أكتر في ال upper limbs
+
+323
+00:23:24,490 --> 00:23:26,930
+ولا في ال lower limbs لأ في ال upper limbs الأعراض
+
+324
+00:23:26,930 --> 00:23:30,250
+بتكون أكتر وفي ال upper limbs راح يكونوا lower
+
+325
+00:23:30,250 --> 00:23:33,350
+motoneuron وفي ال lower limbs راح يكونوا upper
+
+326
+00:23:33,350 --> 00:23:39,080
+motoneuron okay sensationبيحدث عندهم loss of
+
+327
+00:23:39,080 --> 00:23:42,340
+sensory اللي هو pain temperature sensation, crow
+
+328
+00:23:42,340 --> 00:23:45,880
+touch sensation وبيكون نظام jacket او half jacket
+
+329
+00:23:45,880 --> 00:23:48,320
+طب و ال deep sensation؟ ال deep sensation ال
+
+330
+00:23:48,320 --> 00:23:53,950
+preserved مابتأثرش ال deep sensationAutonomic ممكن
+
+331
+00:23:53,950 --> 00:23:56,890
+يحدث معها homotropic changes في ال skin، coldness،
+
+332
+00:23:56,890 --> 00:24:01,530
+cyanosis، skeletal deformities بيسكيفاس، brain
+
+333
+00:24:01,530 --> 00:24:07,170
+symptoms in سيرينجو بلبية، في حال cavitation حدث
+
+334
+00:24:07,170 --> 00:24:10,510
+في ال brain stem، راح نجد عند المرضى كمان cranial
+
+335
+00:24:10,510 --> 00:24:14,650
+nerve pulses و pulpar syndrome، damage في الموضوع
+
+336
+00:24:14,650 --> 00:24:19,370
+ال swallowing، في ال speech، و هكذاInvestigations،
+
+337
+00:24:19,370 --> 00:24:25,190
+إيش نعمل Investigation؟ لسيرينجومييليا نعمل ال
+
+338
+00:24:25,190 --> 00:24:30,560
+brain and spinal cord MRIالـ Management Surgical
+
+339
+00:24:30,560 --> 00:24:34,400
+بيعمل الـ Decompression إما لـ Minocotomy أو بيعمل
+
+340
+00:24:34,400 --> 00:24:38,800
+ال Decompression على مستوى Foramen Magnum حاليًا
+
+341
+00:24:38,800 --> 00:24:41,860
+ممكن يعملوا عمليات Shunt نظام Shunt توصيلة واصلة
+
+342
+00:24:41,860 --> 00:24:46,020
+بين الـ Syrinx و البريتونيوم يدخلوا واصلة Shunt في
+
+343
+00:24:46,020 --> 00:24:48,920
+الـ Syrinx داخل الـ Syrinx نفسها، داخل الـ Cavity
+
+344
+00:24:48,920 --> 00:24:53,760
+يصرف الـ CSF لـ Abdominal Wall Cavity لبريتونيوم
+
+345
+00:24:53,760 --> 00:24:59,730
+عشان هيسموها Syrinx Beretonium Shuntنفس ال VB شانت
+
+346
+00:24:59,730 --> 00:25:02,150
+ال ventricular peritoneum شانت اللي في الدماغ بنحط
+
+347
+00:25:02,150 --> 00:25:05,410
+في ال ventricles لكن هنا في ال spine بنحط في ال
+
+348
+00:25:05,410 --> 00:25:08,910
+syrinx نفسها و بتصرف ال fluid ل ال peritoneum
+
+349
+00:25:08,910 --> 00:25:15,060
+سموها syrinx peritoneum شانتالـ symptomatic
+
+350
+00:25:15,060 --> 00:25:19,480
+therapy ممكن ياخدوا علاجات حسب الأعراض حسب عنده
+
+351
+00:25:19,480 --> 00:25:22,800
+ألم بدنا نعطيه analgesic و هكذا ال physiotherapy
+
+352
+00:25:22,800 --> 00:25:26,280
+and medical rehabilitation ليه؟ لأن المرضى طب يحدث
+
+353
+00:25:26,280 --> 00:25:34,700
+معهم muscle paralysis واضح أن هنا في MRI هذه على
+
+354
+00:25:34,700 --> 00:25:40,260
+ال T2 MRIفي cavitation داخلها CSF لونه hyper
+
+355
+00:25:40,260 --> 00:25:44,340
+intense على ال T2 واللي هنا واضح السبقراكنويد
+
+356
+00:25:44,340 --> 00:25:48,380
+space هذه السبقراكنويد space فيها CSF ولونه شايفين
+
+357
+00:25:48,380 --> 00:25:52,760
+hyper intense أبيض كل هذا CSF هذه ال cavity في نص
+
+358
+00:25:52,760 --> 00:25:58,340
+ال spinal cord فيها CSF نظام إيه؟ syrinx ناتجة عن
+
+359
+00:25:58,340 --> 00:26:02,700
+syringomyeliaهذه ملونة باللون بس تلوين هي syringes
+
+360
+00:26:02,700 --> 00:26:06,580
+ماخدة cavitation كبيرة في ال spinal cord في داخل
+
+361
+00:26:06,580 --> 00:26:09,480
+ال spinal cord في ال central part of spinal cord
+
+362
+00:26:09,480 --> 00:26:12,440
+هذه cavitation ناجعة المرض اسمه syringomyelia
+
+363
+00:26:17,020 --> 00:26:20,440
+واضح كمان هنا في الـlower part في الـthoracic و
+
+364
+00:26:20,440 --> 00:26:25,280
+الـlumbar part فيه cavitation diffuse سيرينجو
+
+365
+00:26:25,280 --> 00:26:32,840
+ميليا كبيرة و داخلها CSF هنا واضحة كمان نخد واصل
+
+366
+00:26:32,840 --> 00:26:36,200
+لحد ال lower part of the spinal cord هذه كلها ال
+
+367
+00:26:36,200 --> 00:26:43,600
+cavitation ناتجة عن سيرينجو ميليا ننتقل لموضوع
+
+368
+00:26:43,600 --> 00:26:47,720
+anterior spinal artery occlusionAnterior Spinal
+
+369
+00:26:47,720 --> 00:26:51,560
+Artery Occlusion ع السريع بتذكر Anterior Cord
+
+370
+00:26:51,560 --> 00:26:57,680
+Syndrome هنا يعتبر Occlusion في الـ Anterior
+
+371
+00:26:57,680 --> 00:26:59,620
+Spinal Artery واحنا عارفين الـ Anterior Spinal
+
+372
+00:26:59,620 --> 00:27:03,820
+Artery بغض الـ Anterior Part Of Spinal Cord بغض
+
+373
+00:27:03,820 --> 00:27:06,640
+الـ Anterior Column، Lateral Column، Anterior Horn
+
+374
+00:27:06,640 --> 00:27:11,730
+Cells و Lateral Horn Cellsالأعراض راح تكون إما
+
+375
+00:27:11,730 --> 00:27:15,910
+quadriplegia أو paraplegia حسب ال level أخد
+
+376
+00:27:15,910 --> 00:27:18,770
+cervical level راح يكون quadriplegia أخد thoracic
+
+377
+00:27:18,770 --> 00:27:22,950
+level أو لمبر راح يكون هي paraplegia
+
+378
+00:27:23,740 --> 00:27:26,440
+loss of pain and temperature sensation and
+
+379
+00:27:26,440 --> 00:27:31,300
+crotouch with spared of deep sensation يعني في
+
+380
+00:27:31,300 --> 00:27:34,060
+الحالة هذه في الـ anterior spinal artery occlusion
+
+381
+00:27:34,060 --> 00:27:37,660
+المريض بيفقد الإحساس السطحي pain temperature و
+
+382
+00:27:37,660 --> 00:27:40,580
+crotouch below the level of lesion بحدث معاه شلل
+
+383
+00:27:40,580 --> 00:27:45,670
+إما شلل رباعي أو شلل سفليلكن ال deep sensation و
+
+384
+00:27:45,670 --> 00:27:48,470
+ال fine touch preserved ليه preserved وسليمة
+
+385
+00:27:48,470 --> 00:27:51,830
+بتضالها لأنهم موجودين في ال posterior column و ال
+
+386
+00:27:51,830 --> 00:27:53,930
+posterior column مابخدش من ال anterior spinal
+
+387
+00:27:53,930 --> 00:27:57,530
+artery باخد من ال posterior spinal artery أسباب ال
+
+388
+00:27:57,530 --> 00:28:02,840
+infractionThrombotic أو Embolic Vascular Disease،
+
+389
+00:28:02,840 --> 00:28:08,100
+Endocarditis، Severe Hypotension، Atheroma، DM،
+
+390
+00:28:08,100 --> 00:28:12,300
+Polycythemia، Vasculitis، Atherosclerosis، بنتذكر
+
+391
+00:28:12,300 --> 00:28:16,240
+كل ال cause of ischemic stroke و احنا اتكلمنا عنهم
+
+392
+00:28:16,240 --> 00:28:20,980
+في موضوع ال ischemic stroke هو واضح هنا عندي في ال
+
+393
+00:28:20,980 --> 00:28:25,570
+anterior part of spinal cord هي ال infarctionبيكون
+
+394
+00:28:25,570 --> 00:28:29,490
+hyper intense signal hyper intense signal في ال
+
+395
+00:28:29,490 --> 00:28:32,410
+spinal cord لاحظوا في spinal cord في swelling هنا
+
+396
+00:28:32,410 --> 00:28:36,670
+وفي بياض hyper intense signal في ال anterior part
+
+397
+00:28:36,670 --> 00:28:40,610
+of spinal cord هذه نتج عن أيه؟ عن acute ischemic
+
+398
+00:28:40,610 --> 00:28:43,630
+infarction of the spinal cord في ال anterior
+
+399
+00:28:43,630 --> 00:28:47,690
+spinal artery موضوع Transverse Myelitis راح
+
+400
+00:28:47,690 --> 00:28:50,570
+أشرحلكوا إياه إن شاء الله في محاضرة a
+
+401
+00:28:50,570 --> 00:28:57,010
+demyelinating disease of CNSالأن بنتجل الموضوع آخر
+
+402
+00:28:57,010 --> 00:29:01,890
+what's the cause of spinal cord compression؟ إيش
+
+403
+00:29:01,890 --> 00:29:06,920
+أسباب spinal cord compression؟أول شي Extradural
+
+404
+00:29:06,920 --> 00:29:14,400
+and Extramedullary و Intramedullary ال tumors ال
+
+405
+00:29:14,400 --> 00:29:18,040
+tumors ممكن يكونوا Extradural Extramedullary
+
+406
+00:29:18,040 --> 00:29:23,020
+Intramedullary راح أشرحهم disc and vertebral
+
+407
+00:29:23,020 --> 00:29:25,200
+lesion راح أتكلم عنهم ان شاء الله سواء القادم
+
+408
+00:29:25,200 --> 00:29:29,220
+اليوم بتكلم عن ال tumors inflammatory Epidural
+
+409
+00:29:29,220 --> 00:29:35,910
+abscess TP cell ال granulomaVertebral neoplastic
+
+410
+00:29:35,910 --> 00:29:38,910
+tumor في الـSpine نفسه ممكن يكون Primary أو
+
+411
+00:29:38,910 --> 00:29:44,070
+Secondary tumors Epidural hematoma Scoliosis with
+
+412
+00:29:44,070 --> 00:29:48,110
+spinal cord compression Arteriovenous malformation
+
+413
+00:29:48,110 --> 00:29:54,710
+تشوى في الشرايين والأوردةosteoporosis اللي هو هشاش
+
+414
+00:29:54,710 --> 00:29:58,770
+الأضام with fractures لما يحدث لهم fractures ويعمل
+
+415
+00:29:58,770 --> 00:30:02,510
+spinal cord compression hematomelia هي عبارة عن
+
+416
+00:30:02,510 --> 00:30:07,250
+نزيف لحب الشوكة هي عبارة عن spinal cord hemorrhage
+
+417
+00:30:07,250 --> 00:30:11,970
+كل هذه اللي هي علاقة ب spinal cord compression
+
+418
+00:30:11,970 --> 00:30:18,280
+spinal cord tumor متكلم عن spinal cord tumorالـCNS
+
+419
+00:30:18,280 --> 00:30:21,240
+مصممة من تشيوك نيرو، يعني الـspinal cord فيه
+
+420
+00:30:21,240 --> 00:30:27,040
+تشيوك، فيها نيروين و فيها جليال سيلز هذه التشيوك
+
+421
+00:30:27,040 --> 00:30:31,240
+تتغير و تنتج في الـtumors الـspinal cord ممكن يحصل
+
+422
+00:30:31,240 --> 00:30:37,400
+تغييرات في هذه الأنسجة و يحدث فيها أورام الـblood
+
+423
+00:30:37,400 --> 00:30:40,740
+vessels و الـbone أيضا يمكن أن تكون جزء من
+
+424
+00:30:40,740 --> 00:30:44,840
+الـtumors ممكن الأورام هذه تصيب الـblood vessels و
+
+425
+00:30:44,840 --> 00:30:49,250
+تصيب الورتبرة نفسها و الـboneSpinal cord tumor
+
+426
+00:30:49,250 --> 00:30:52,650
+maybe primary or secondary يعني ال spinal cord
+
+427
+00:30:52,650 --> 00:30:55,850
+tumor ممكن يكون primary مصدره من البداية من spinal
+
+428
+00:30:55,850 --> 00:30:58,870
+cord او من ال vertabra وممكن يكون secondary
+
+429
+00:30:58,870 --> 00:31:01,330
+metastatic tumor جاي من مكان ثاني
+
+430
+00:31:03,980 --> 00:31:07,840
+most spinal cord tumors are found in the thoracic
+
+431
+00:31:07,840 --> 00:31:10,220
+region ان شاء الله السبوع القادم راح نتكلم على ال
+
+432
+00:31:10,220 --> 00:31:12,740
+disk bulge على الغضاريف نقول أكتر شيء في ال lumber
+
+433
+00:31:12,740 --> 00:31:16,000
+و في ال cervical و ال thoracic جليل جدا يكون فيه
+
+434
+00:31:16,000 --> 00:31:20,040
+غضاريف فيها انزلاق غضروفي لكن ال tumors أكتر مكان
+
+435
+00:31:20,040 --> 00:31:24,640
+يصاب ب tumors هو thoracic level لا يعني أن ال
+
+436
+00:31:24,640 --> 00:31:26,720
+lumber مابيجيش فيها و ال cervical مابيجيش فيها بس
+
+437
+00:31:26,720 --> 00:31:32,300
+نتكلم على أكتر مكانSpinal cord tumors can compress
+
+438
+00:31:32,300 --> 00:31:37,300
+و invade the neural tissue ممكن ال tumor يعمل ضغط
+
+439
+00:31:37,300 --> 00:31:39,940
+على ال tissue بتاعت ال spinal cord ممكن يعمل
+
+440
+00:31:39,940 --> 00:31:43,000
+invasion و يدخل في ال tissue نفسه و ممكن يعملنا
+
+441
+00:31:43,000 --> 00:31:46,800
+compression على blood vessels يضغط عشريان و يعمل a
+
+442
+00:31:46,800 --> 00:31:49,180
+ischemic infarction in the spinal cord
+
+443
+00:31:49,180 --> 00:31:52,540
+classification
+
+444
+00:31:52,540 --> 00:31:59,240
+of spinal tumors by origin حسب ال originprimary
+
+445
+00:31:59,240 --> 00:32:02,020
+spinal cord humor يعني مش primary يعني مصدرهم
+
+446
+00:32:02,020 --> 00:32:06,540
+الرئيسي من ال spinal cord originate in the spinal
+
+447
+00:32:06,540 --> 00:32:12,190
+cord or meningessecondary spinal cord tumor يعني
+
+448
+00:32:12,190 --> 00:32:14,770
+metastatic tumor يعني هذه جاية من مكان ثاني المريض
+
+449
+00:32:14,770 --> 00:32:17,970
+عنده liver cancer عنده سرطان في الكبد و اعطى
+
+450
+00:32:17,970 --> 00:32:20,770
+metastases انتشر على ال bone او على spinal cord
+
+451
+00:32:20,770 --> 00:32:25,130
+المريض عنده prostate cancer عنده cancer وين في ال
+
+452
+00:32:25,130 --> 00:32:28,350
+prostate ممكن ينتشر و يصيب ال spine او ال spinal
+
+453
+00:32:28,350 --> 00:32:34,340
+cord according to the location حسب ال locationممكن
+
+454
+00:32:34,340 --> 00:32:36,440
+يكون ال tumor داخل ال spinal cord في داخل ال
+
+455
+00:32:36,440 --> 00:32:40,840
+spinal cord هذا بنسميه Intramedullary tumor وممكن
+
+456
+00:32:40,840 --> 00:32:45,020
+يكون خارج ال spinal cord بنسميه Extramedullary
+
+457
+00:32:45,020 --> 00:32:48,320
+tumor يعني إذا كان ال tumor داخل الحبل الشوكي هذا
+
+458
+00:32:48,320 --> 00:32:51,480
+اسمه Intramedullary tumor صحيح بال tissue بتاعة
+
+459
+00:32:51,480 --> 00:32:55,980
+spinal cordطب ده كان من خارج الـ spinal cord بسميه
+
+460
+00:32:55,980 --> 00:32:59,220
+extra-medullary tumor من خارج الـ spinal cord طب
+
+461
+00:32:59,220 --> 00:33:02,500
+الـ extra-medullary tumor ممكن يكون من داخل
+
+462
+00:33:02,500 --> 00:33:07,320
+الديورة بنسميه intra-diural tumor يعني intra
+
+463
+00:33:07,320 --> 00:33:12,280
+-diural extra-medullary أو extra-diural من خارج
+
+464
+00:33:12,280 --> 00:33:17,560
+الديورة إيه extra-diural إيه extra-medullary extra
+
+465
+00:33:17,560 --> 00:33:20,820
+-diural extra-medullary نشوف صورة
+
+466
+00:33:23,250 --> 00:33:26,470
+لو يجينا نقول هنا هاي في وراهم في الحبل الشوكي
+
+467
+00:33:26,470 --> 00:33:32,250
+داخله هذا إيش اسمه؟ Intramedullary tumor و هاي ال
+
+468
+00:33:32,250 --> 00:33:35,130
+tumor ها نفس الشيء مياخد ال right part of spinal
+
+469
+00:33:35,130 --> 00:33:39,330
+cord داخل ال spinal cord هذا اسمه Intramedullary
+
+470
+00:33:39,330 --> 00:33:42,890
+tumor طب والباقين كلهم .. الباقين كلهم هدول
+
+471
+00:33:42,890 --> 00:33:46,190
+Extramedullary tumor Extra إيه؟ Medullary tumor
+
+472
+00:33:46,190 --> 00:33:52,570
+هال Extramedullary tumor بنقسمهم لجسمينانترا
+
+473
+00:33:52,570 --> 00:33:57,850
+الديورال و إكسترا الديورال هذا عندى وراه مجاي
+
+474
+00:33:57,850 --> 00:34:03,070
+خارجي برا الديورال من ال posterior part هذا إكسترا
+
+475
+00:34:03,070 --> 00:34:06,470
+الديورال التيومرا هذا إيه إكسترا الديورال من خارج
+
+476
+00:34:06,470 --> 00:34:11,130
+الديورال طب و هنا لأ داخل الديورال نقضه باللون
+
+477
+00:34:11,130 --> 00:34:18,300
+الأزرق يبقى أن هذا الأحمر قولنا إكسترا الديورالطب
+
+478
+00:34:18,300 --> 00:34:22,460
+هنا intradural وخارج ال spinal cord يعتبر extra
+
+479
+00:34:22,460 --> 00:34:28,120
+medallary طب هذا نفس الشيء extra medallary
+
+480
+00:34:28,120 --> 00:34:36,660
+intradural هنا extra medallary وextraduralإذا كان
+
+481
+00:34:36,660 --> 00:34:40,440
+ال tumor داخل ال spinal cortex بسميه
+
+482
+00:34:40,440 --> 00:34:43,160
+Intramedullary نفس الأسود الألوان السوداء هذا
+
+483
+00:34:43,160 --> 00:34:45,720
+Intramedullary و الباقين يعتبروا إيه
+
+484
+00:34:45,720 --> 00:34:49,600
+Extramedullary إذا كانوا خارج الديورة بسميها كمان
+
+485
+00:34:49,600 --> 00:34:53,500
+Extradural خارج الديورة Extradural Extradural
+
+486
+00:34:53,500 --> 00:34:57,320
+Extradural إذا داخل الديورة بسميها Intradural من
+
+487
+00:34:57,320 --> 00:35:01,200
+داخل الديورة زي ال neuroma neurofibroma هذه كله
+
+488
+00:35:01,200 --> 00:35:04,740
+يعتبر إيه Intradural okay
+
+489
+00:35:16,710 --> 00:35:21,270
+الـ classification قلنا by location الـ
+
+490
+00:35:21,270 --> 00:35:24,750
+Intramedullary tumor ممكن يكون غليومة، ليبومة،
+
+491
+00:35:24,750 --> 00:35:29,070
+هيمانجيوبلستومة، تيراتومة، إبن دايمومة، أسرو،
+
+492
+00:35:29,070 --> 00:35:32,210
+إسيتومة، والـ Extramedullary ممكن يكون قلنا
+
+493
+00:35:32,210 --> 00:35:36,650
+Intradural من داخل ديورة من انجيومة، نيوروفيبرومة،
+
+494
+00:35:36,650 --> 00:35:40,200
+شفانومة و هكذاطب ال extra دي ورا اللي خارج دي ورا
+
+495
+00:35:40,200 --> 00:35:42,840
+ممكن تكون من ال blood vessels أنجيومة ممكن تكون من
+
+496
+00:35:42,840 --> 00:35:46,680
+ال bone أستيومة أوسيو ساركومة ممكن يكون متاستاتيك
+
+497
+00:35:46,680 --> 00:35:51,060
+تمور جاية من وين؟ من ال lung، من ال breast، liver،
+
+498
+00:35:51,060 --> 00:35:57,670
+ثيرويد و هكذاهذه واضحة عندنا اللي هي neurofibroma
+
+499
+00:35:57,670 --> 00:36:08,350
+تعتبر intradural extramedullary tumor داخل وين؟
+
+500
+00:36:08,350 --> 00:36:12,030
+داخل الدورة لكن خارج spinal cord بنسميها إيه؟
+
+501
+00:36:12,030 --> 00:36:15,850
+بنسميها intradural
+
+502
+00:36:15,850 --> 00:36:20,670
+tumor what's
+
+503
+00:36:20,670 --> 00:36:23,350
+the common manifestation of spinal cord lesion؟
+
+504
+00:36:25,820 --> 00:36:30,460
+symptoms العراض اللي بتعتمد عليها anatomical level
+
+505
+00:36:30,460 --> 00:36:35,060
+of spinal cord lesion anatomical equation حسب ال
+
+506
+00:36:35,060 --> 00:36:39,530
+location حسب ال type of tumorSpinal nerve
+
+507
+00:36:39,530 --> 00:36:43,570
+affection و هي stage of tumor يعني بختلف حسب
+
+508
+00:36:43,570 --> 00:36:48,510
+anatomical level, cervical level, thoracic level,
+
+509
+00:36:48,830 --> 00:36:52,470
+lumber، anatomic location، جاي في ال left side، في
+
+510
+00:36:52,470 --> 00:36:56,390
+ال right side، posterior part، anterior part، حسب
+
+511
+00:36:56,390 --> 00:36:59,630
+نوع ال tumor، حسب إنه في affection على ال root ولا
+
+512
+00:36:59,630 --> 00:37:05,080
+ما فيهلكن أهم شيء نميزه، واحد مريض عنده غضروف، لو
+
+513
+00:37:05,080 --> 00:37:08,840
+ارتاح، بيخفي الألم، المريض اللي عنده سرطان أو ورم
+
+514
+00:37:08,840 --> 00:37:12,940
+في ال spinal cord أو الـ spine، pain is the most
+
+515
+00:37:12,940 --> 00:37:17,020
+common presenting symptoms that is not relieved by
+
+516
+00:37:17,020 --> 00:37:22,060
+bed restأهم شيء في ورم في حبل الشوكة أن الألم ما
+
+517
+00:37:22,060 --> 00:37:25,300
+بيختفي لا في راحة ولا في حركة بيظل مستمر عندهم
+
+518
+00:37:25,300 --> 00:37:29,000
+الألم حتى في وقت الراحة يكون عندهم كمان ألم لكن لو
+
+519
+00:37:29,000 --> 00:37:32,700
+كان غضروف، انزلك غضروف، الألم بيخف أثناء ال rest
+
+520
+00:37:32,700 --> 00:37:36,870
+أو أثناء الراحةOther symptoms similar to those
+
+521
+00:37:36,870 --> 00:37:40,450
+found of spinal cord lesion بيكون معهم sensory
+
+522
+00:37:40,450 --> 00:37:44,690
+symptoms و motor symptoms و sphincters حسب مكان ال
+
+523
+00:37:44,690 --> 00:37:47,990
+tumor، ال cervical level جاي ثروسيك كلمبر مابدأ
+
+524
+00:37:47,990 --> 00:37:51,790
+ضال عيدهم، حسب كان anterior cord جاي posterior
+
+525
+00:37:51,790 --> 00:37:56,230
+cord, hemicord, lesion, brown sick word يعني right
+
+526
+00:37:56,230 --> 00:38:00,720
+أو leftلكن تفاجنا إن ال common manifestation راح
+
+527
+00:38:00,720 --> 00:38:06,800
+تكون pain back, chest not relieved by bed rest،
+
+528
+00:38:06,800 --> 00:38:10,140
+راح يكون ده كان malignant tumor، cancer، راح يكون
+
+529
+00:38:10,140 --> 00:38:12,860
+general symptoms of tumor، المرضى ده يكون عندهم
+
+530
+00:38:12,860 --> 00:38:16,940
+loss of weight، فقدان الوزن، anorexia، general
+
+531
+00:38:16,940 --> 00:38:20,460
+muscle fatigue، sensory changes، يكون مشاكل في ال
+
+532
+00:38:20,460 --> 00:38:24,180
+sensationParesis and specificity of upper limbs
+
+533
+00:38:24,180 --> 00:38:26,620
+and lower limbs يعني بيكون below the level of
+
+534
+00:38:26,620 --> 00:38:30,040
+lesion المرضى عندهم upper motoneuron و at the
+
+535
+00:38:30,040 --> 00:38:34,140
+level of lesion بيكون عندهم lower motoneuron Bowel
+
+536
+00:38:34,140 --> 00:38:38,830
+and bladder dysfunctionsبالنسبة لل tumor واضح هنا
+
+537
+00:38:38,830 --> 00:38:42,630
+هذه حالات احنا شخصناها هذه كانت صبية عمرها تقريبا
+
+538
+00:38:42,630 --> 00:38:46,810
+27 سنة كانت جاية tumor من extra-dural وعمل
+
+539
+00:38:46,810 --> 00:38:50,930
+invasion وضغط على الحبل الشوكي واضح الحبل الشوكي
+
+540
+00:38:50,930 --> 00:38:56,590
+هنا انه مضغوط نفس الشيء هي ال tumor جاية من ال
+
+541
+00:38:56,590 --> 00:39:01,190
+extra-dural نشوف
+
+542
+00:39:01,190 --> 00:39:01,790
+صورة ثانية
+
+543
+00:39:07,830 --> 00:39:12,790
+هنا فيه tumor وين؟ Intramedullary، هذا أكتر شي ابن
+
+544
+00:39:12,790 --> 00:39:16,610
+ديموما، داخل ال spinal cord، هذا sagittal cut وهنا
+
+545
+00:39:16,610 --> 00:39:21,110
+transverse أو axial بنسميه، because هذي عبارة عن
+
+546
+00:39:21,110 --> 00:39:25,490
+ابن ديموما، Intramedullary tumor، tumor داخل الحبل
+
+547
+00:39:25,490 --> 00:39:27,030
+الشوكي من نفس الحبل الشوكي
+
+548
+00:39:31,780 --> 00:39:37,800
+هنا كمان فيه tumor واضح extra medullary intradural
+
+549
+00:39:37,800 --> 00:39:42,300
+داخل على حبل الشوك داخل على فن الديورة أو داخل على
+
+550
+00:39:42,300 --> 00:39:47,980
+حبل الشوك ممكن يكون من ال meninges جاي من ال bone
+
+551
+00:39:47,980 --> 00:39:56,740
+يكون كمان extra diural هذه
+
+552
+00:39:56,740 --> 00:39:59,900
+ال meningioma جاية على ال medullary cervical
+
+553
+00:39:59,900 --> 00:40:04,440
+junctionوضغط على ال upper part أو ال beginning of
+
+554
+00:40:04,440 --> 00:40:08,580
+spinal cord وضغط على ال medulla oblongata tumor
+
+555
+00:40:08,580 --> 00:40:16,420
+meningioma جاي من ال meninges treatment
+
+556
+00:40:16,420 --> 00:40:20,220
+of spinal cord tumors ال treatment رح يكون عبارة
+
+557
+00:40:20,220 --> 00:40:24,780
+عن medications, analgesics مسكنا الألم, استيرويد
+
+558
+00:40:24,780 --> 00:40:28,420
+عشان نخفف الأديمة و symptomatic therapy and
+
+559
+00:40:28,420 --> 00:40:30,580
+medical rehabilitation فيزوترابيا
+
+560
+00:40:33,390 --> 00:40:36,630
+surgery for spinal cord tumor ممكن نعملهم تدخلات
+
+561
+00:40:36,630 --> 00:40:40,550
+جراحية laminectomy عشان نقلل ال compression أو
+
+562
+00:40:40,550 --> 00:40:44,850
+ينعمل partial أو complete removal of tumor يرتفع
+
+563
+00:40:44,850 --> 00:40:49,970
+الورم ينعملوا عملية جراحية إزالة radiation ممكن
+
+564
+00:40:49,970 --> 00:40:53,970
+نعمل عمية إشعاع علاج بالإشعاع عشان نقلل الحجم و ال
+
+565
+00:40:53,970 --> 00:40:58,530
+size تبع ال tumor و نعمل control لل pain medical
+
+566
+00:40:58,530 --> 00:41:02,800
+rehabilitation قلنا و فيزيو ثرابيSpinal cord
+
+567
+00:41:02,800 --> 00:41:05,840
+investigations او في حالات spinal cord lesion ايش
+
+568
+00:41:05,840 --> 00:41:08,640
+ال investigations اللي نعملهم منهم ضروري نعمل
+
+569
+00:41:08,640 --> 00:41:12,560
+general investigations, vitamin B12 في serum
+
+570
+00:41:12,560 --> 00:41:16,500
+level, spine x-ray, spine CT احنا بنحبش اللي نعمل
+
+571
+00:41:16,500 --> 00:41:19,560
+CT بنحب نلاقي مراعاية افضل في ال spine ممكن نفحص
+
+572
+00:41:19,560 --> 00:41:24,240
+CSFHSX-Ray بلاش يكون فيه tumor في ال lung و عامل
+
+573
+00:41:24,240 --> 00:41:28,480
+متاسا تكليزين TB ممكن يكون في ال lung EMG
+
+574
+00:41:28,480 --> 00:41:31,220
+Electromyography في حالات إذا كان suspicion يكون
+
+575
+00:41:31,220 --> 00:41:34,960
+هذه حالة motor neuron disease أحيانا بنعمل بيوبسي
+
+576
+00:41:34,960 --> 00:41:38,990
+و بنفحص العينة عشان موضوع ال tumorsspecial
+
+577
+00:41:38,990 --> 00:41:42,270
+investigations حسب الحالة ايش ال complications
+
+578
+00:41:42,270 --> 00:41:45,310
+اللي بتحدث في حالة spinal cord lesion؟
+
+579
+00:41:45,310 --> 00:41:48,950
+complications كثيرة spasticity depression chronic
+
+580
+00:41:48,950 --> 00:41:53,290
+pain UTI pressure source osteoporosis with
+
+581
+00:41:53,290 --> 00:41:57,390
+fractures pneumonia sexual dysfunction autonomic
+
+582
+00:41:57,390 --> 00:42:01,220
+dysreflexianeurogenic shock, deep venous
+
+583
+00:42:01,220 --> 00:42:04,320
+thrombosis, pulmonary embolism, post-traumatic
+
+584
+00:42:04,320 --> 00:42:07,000
+syringomyelia and other complications الموضوع
+
+585
+00:42:07,000 --> 00:42:10,500
+spinal cord lesion موضوع صعب والمرضى بيكونوا bed
+
+586
+00:42:10,500 --> 00:42:13,720
+ridden أكترهم في حالات الإصابات راح نتكلم عنهم
+
+587
+00:42:13,720 --> 00:42:17,480
+أسبوع القادم ان شاء اللهفي موضوع ال spinal cord
+
+588
+00:42:17,480 --> 00:42:24,200
+lesion أو spinal cord injury and spondylosis لحد
+
+589
+00:42:24,200 --> 00:42:27,660
+الان و بنكتفي في محاضرتنا محاضرة صحية طويلة كانت
+
+590
+00:42:27,660 --> 00:42:31,200
+بس انا اضطريت اعملكم مراجعة ال anatomy of the
+
+591
+00:42:31,200 --> 00:42:33,100
+spinal cord يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo.srt
new file mode 100644
index 0000000000000000000000000000000000000000..aef3794a36531a0f19d65f12164c15cf66606d2e
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/tVGqWa95VSo.srt
@@ -0,0 +1,1933 @@
+1
+00:00:04,940 --> 00:00:09,920
+السلام عليكم ورحمة الله وبركاته الجزء الثاني من
+
+2
+00:00:09,920 --> 00:00:13,400
+المحاضرة اللي هي محاضرة cerebrovascular disease
+
+3
+00:00:13,400 --> 00:00:17,720
+راح يكون على transient ischemic attack ونكمل
+
+4
+00:00:17,720 --> 00:00:22,120
+ischemic stroke management transient ischemic
+
+5
+00:00:22,120 --> 00:00:28,420
+attack اللي هي TIA هي عبارة عن transient episode
+
+6
+00:00:28,420 --> 00:00:35,110
+of focal neurologic deficit due to vascular lesion
+
+7
+00:00:35,110 --> 00:00:41,690
+the symptom lasting لحد vascular lesion نفس ال
+
+8
+00:00:41,690 --> 00:00:46,350
+definition of stroke لكن أشوف الاختلاف symptom
+
+9
+00:00:46,350 --> 00:00:51,670
+lasting with complete recovery from few seconds to
+
+10
+00:00:51,670 --> 00:00:57,210
+24 hours يبقى الشرط الأول عشان أقول TIA أن الأعراض
+
+11
+00:00:57,210 --> 00:01:03,160
+تختفي خلال 24 ساعة، اثنين without acute infarction
+
+12
+00:01:03,160 --> 00:01:07,940
+يبقى بيلزمني شرطين أو ثلاثة شروط عشان أقول
+
+13
+00:01:07,940 --> 00:01:13,480
+transient ischemic attack. أول شرط أنه sudden neurological
+
+14
+00:01:13,480 --> 00:01:17,620
+deficit due to vascular lesion. هاي واحد، اثنين
+
+15
+00:01:17,620 --> 00:01:22,960
+symptoms lasting within 24 hours، أقل من 24 hours
+
+16
+00:01:22,960 --> 00:01:28,560
+ثلاثة no infarction. لو صورنا المريض ما نلاقي عنده
+
+17
+00:01:28,560 --> 00:01:32,300
+infarction، ويكون related to the acute
+
+18
+00:01:32,300 --> 00:01:39,820
+manifestation. tissue-based definition of TIA في ال
+
+19
+00:01:39,820 --> 00:01:43,580
+tissue-based definition of TIA. هنا أهم شيء نقول
+
+20
+00:01:43,580 --> 00:01:49,670
+absence of ischemic infarction by neuroimaging. طيب
+
+21
+00:01:49,670 --> 00:01:54,490
+tissue-based definition of TIA، يعني هذا التعريف الـ
+
+22
+00:01:54,490 --> 00:01:58,670
+TIA بيتمد على التشوهات على الأنسجة، حدث changes ولا ما
+
+23
+00:01:58,670 --> 00:02:03,130
+حدث، حدث infarction أو ما حدث. يعتبر الـ clinical
+
+24
+00:02:03,130 --> 00:02:07,330
+symptoms of TIA typically last within one hour.
+
+25
+00:02:07,330 --> 00:02:11,730
+أكثر شيء في الـ TIA، الـ symptoms بتختفي خلال ساعة
+
+26
+00:02:11,730 --> 00:02:18,490
+لكن قد يستمرّوا حتى 24 ساعة. طيب
+
+27
+00:02:19,930 --> 00:02:27,010
+في حال كان الـ symptoms lasting less than 24 hours
+
+28
+00:02:27,010 --> 00:02:30,790
+إحنا قلنا إذا أكثر من 24 ساعة، خلاص انتهى الموضوع.
+
+29
+00:02:30,790 --> 00:02:36,250
+طب إذا أقل من 24 ساعة، ويعمل لنا CT أو MRI، ووجدنا
+
+30
+00:02:36,250 --> 00:02:39,590
+infarction acute related to the clinical picture
+
+31
+00:02:39,590 --> 00:02:42,410
+بقدر أسمّيه transient ischemic attack؟ ما أقدرش.
+
+32
+00:02:42,820 --> 00:02:46,160
+يبقى transient ischemic attack لازم شرطين. الشرط الأول يكون
+
+33
+00:02:46,160 --> 00:02:50,520
+الـ symptoms lasting less than 24 hours، والشرط
+
+34
+00:02:50,520 --> 00:02:55,640
+الثاني أنه no infarction on neuroimaging. طبعاً لكن
+
+35
+00:02:55,640 --> 00:03:00,720
+في حال وجدت infarction على الـ CT أو على الـ MRI
+
+36
+00:03:00,720 --> 00:03:06,120
+بسمّي هذا a transient symptoms with infarction أو
+
+37
+00:03:06,120 --> 00:03:10,540
+cerebral infarction with transient symptoms. It is
+
+38
+00:03:10,540 --> 00:03:15,580
+transient neurological deficit less than 24 hours
+
+39
+00:03:15,580 --> 00:03:21,520
+لكن can be associated with ischemic infarction. إذا
+
+40
+00:03:21,520 --> 00:03:24,620
+associated with ischemic infarction يكون هذا
+
+41
+00:03:24,620 --> 00:03:27,780
+transient symptom with infarction. طب إذا without
+
+42
+00:03:27,780 --> 00:03:30,880
+ischemic infarction هذه بتكون transient ischemic
+
+43
+00:03:30,880 --> 00:03:36,060
+attack. واضح؟ Patients with transient symptoms with
+
+44
+00:03:36,060 --> 00:03:42,360
+infarction have a higher short-term risk for
+
+45
+00:03:42,360 --> 00:03:46,080
+recurrence or stroke. يعني المرضى اللي عندهم
+
+46
+00:03:46,080 --> 00:03:50,720
+transient symptoms with infarction أخطر من المرضى
+
+47
+00:03:50,720 --> 00:03:53,680
+اللي عندهم transient ischemic attack. ممكن هدول
+
+48
+00:03:53,680 --> 00:03:57,440
+المرضى يكون عندهم خلال يومين ischemic stroke أكثر
+
+49
+00:03:57,440 --> 00:04:00,120
+من نسبة من المرضى اللي عندهم TIA.
+
+50
+00:04:02,480 --> 00:04:06,340
+عشان نقيم مرضى اللي عندهم TIA فيه score اسمها
+
+51
+00:04:06,340 --> 00:04:14,960
+ABCD2 score. A: Age. إذا المريض حصل عمره أو كان عمره
+
+52
+00:04:14,960 --> 00:04:19,400
+أكثر من ستين سنة، بيحصل على one score. Blood
+
+53
+00:04:19,400 --> 00:04:22,440
+pressure. إذا ضغطه أكثر من مائة وأربعين، أو أكثر
+
+54
+00:04:22,440 --> 00:04:27,780
+الـ diastolic من تسعين، أو الـ diastolic أكثر من
+
+55
+00:04:27,780 --> 00:04:34,080
+تسعين ومائة وأربعين، بيكون عندهم one score أو one
+
+56
+00:04:34,080 --> 00:04:40,320
+point. Clinical features. إذا عنده motor deficit two
+
+57
+00:04:40,320 --> 00:04:44,500
+score. إذا speech one score. إذا other zero. لكن
+
+58
+00:04:44,500 --> 00:04:49,160
+اليوم غيّروا شوية هنا في النقطة هذه، وصحيح اللي غيّروا
+
+59
+00:04:49,160 --> 00:04:52,700
+لأنّه طب تصوّر مريض عنده sensory symptoms، أيش ياخذ
+
+60
+00:04:52,700 --> 00:04:57,700
+zero. يبقى الصح نقول إذا motor deficit two score
+
+61
+00:04:57,700 --> 00:05:06,570
+إذا other symptoms one score. هذه C. يبقى A, B, C, D
+
+62
+00:05:06,570 --> 00:05:13,250
+duration of symptoms. إذا أعراض المريض استمرت
+
+63
+00:05:13,250 --> 00:05:19,350
+أكثر من ساعة، ستين دقيقة، باخد two points. طيب من عشر
+
+64
+00:05:19,350 --> 00:05:25,250
+دقائق لتسعين، يعني من عشر دقائق لساعة، باخد one
+
+65
+00:05:25,250 --> 00:05:31,980
+point. إذا أقل من عشر دقائق، باخد zero point. تمام. D2
+
+66
+00:05:31,980 --> 00:05:36,800
+معناها D2، يعني حرفين D، رح يكونوا الـ D الثانية DM
+
+67
+00:05:36,800 --> 00:05:41,920
+سكر. إذا المريض عنده سكر DM، باخد one point. without
+
+68
+00:05:41,920 --> 00:05:46,040
+باخد zero point. نجيب مثل، أنا في الـ emergency
+
+69
+00:05:46,040 --> 00:05:50,300
+department، في قسم الاستقبال، وصل إليّ مريض، المريض
+
+70
+00:05:50,300 --> 00:05:57,790
+عمره 64 سنة، أخذ one point. الـ blood pressure 160
+
+71
+00:05:57,790 --> 00:06:02,310
+على 100، أخذ كمان point، صاروا اثنين. أعراض الـ
+
+72
+00:06:02,310 --> 00:06:05,750
+transient dysarthria، speech difficulty، أخذ one
+
+73
+00:06:05,750 --> 00:06:11,470
+point، صار ثلاثة. الـ symptoms lasting within twenty
+
+74
+00:06:11,470 --> 00:06:15,030
+minutes، خلال عشرين دقيقة، أخذ one point، صاروا أربعة.
+
+75
+00:06:15,030 --> 00:06:18,630
+المريض ما عندوش سكر، ضلّوا أربعة، يبقى حصل على كام؟
+
+76
+00:06:18,630 --> 00:06:23,690
+على four points. هذا مهم جداً عشان أقيم ايه؟ High
+
+77
+00:06:23,690 --> 00:06:28,640
+two-day stroke risk. في الحالة هذه، مريضنا اللي أخذ
+
+78
+00:06:28,640 --> 00:06:34,260
+أربعة، راح يكون high ولا moderate ولا low؟ مدام أخذ
+
+79
+00:06:34,260 --> 00:06:38,440
+أربعة، راح يروح لـ moderate. يبقى مدام أخذ أربعة، راح
+
+80
+00:06:38,440 --> 00:06:43,540
+يكون moderate. يبقى المرضى اللي بياخدوا من صفر لثلاثة
+
+81
+00:06:43,540 --> 00:06:47,460
+points، هذول بيكون عندهم low two-day stroke risk.
+
+82
+00:06:47,460 --> 00:06:52,340
+يعني كل مائة حالة TIA خلال يومين، حالة واحدة تدخل في
+
+83
+00:06:52,340 --> 00:06:55,340
+جلطة، في stroke. طب والـ moderate، اللي أهل المريض
+
+84
+00:06:55,340 --> 00:06:59,530
+اللي جبتُه مثال لكم، أخذ أربعة، يبقى من أربعة لخمسة
+
+85
+00:06:59,530 --> 00:07:04,270
+هذا يعتبر moderate two-day stroke risk. كل مائة
+
+86
+00:07:04,270 --> 00:07:07,970
+حالة، بدخل أربع حالات في الـ stroke خلال يومين، أربعة
+
+87
+00:07:07,970 --> 00:07:11,370
+في المائة. طيب، والـ high risk اللي بيحصلهم من ستة
+
+88
+00:07:11,370 --> 00:07:18,610
+لسّبعة score، هذول كل مائة حالة، بدخل ثمان حالات منهم
+
+89
+00:07:18,610 --> 00:07:22,910
+في جلطة دماغية خلال يومين. يبقى الـ high two-day
+
+90
+00:07:22,910 --> 00:07:27,750
+stroke risk ثمانية في المائة. ثمانية في المائة هذا مهم
+
+91
+00:07:27,750 --> 00:07:31,870
+جداً عشان نحدد الـ management تبعنا، وما نستعجل في
+
+92
+00:07:31,870 --> 00:07:36,110
+تخريج المرضى من القسم. ده كان عنده high two-day
+
+93
+00:07:36,110 --> 00:07:40,150
+stroke risk، خليه هنا في المستشفى زيادة يومين،
+
+94
+00:07:40,150 --> 00:07:43,910
+ثلاثة، ونعمل لهم good management. What's the clinical
+
+95
+00:07:43,910 --> 00:07:45,750
+manifestation of a stroke؟ هذه الـ clinical
+
+96
+00:07:45,750 --> 00:07:49,250
+manifestation هي قد تكون لـ TIA وإلى ischemic stroke
+
+97
+00:07:49,250 --> 00:07:53,010
+و hemorrhagic stroke. Weakness or paralysis of the
+
+98
+00:07:53,010 --> 00:07:57,130
+face, arm, or leg on one side of the body. يعني
+
+99
+00:07:57,130 --> 00:08:02,420
+بيجيهم شلل في جهة من الجسم. Unilateral monoparesis.
+
+100
+00:08:02,420 --> 00:08:07,080
+hemiparesis. Unilateral numbness. ممكن يجيهم خدر في
+
+101
+00:08:07,080 --> 00:08:11,400
+جهة مع نقص الإحساس. ممكن يكون معهم discoordination
+
+102
+00:08:11,400 --> 00:08:15,360
+ataxia. ممكن يجيونا بـ ocular symptoms أو cranial
+
+103
+00:08:15,360 --> 00:08:19,860
+nerve symptoms. Loss of vision. Acute mental status
+
+104
+00:08:19,860 --> 00:08:24,000
+changes. Confusion. ممكن يجيونا بـ seizures وهكذا.
+
+105
+00:08:24,000 --> 00:08:29,900
+speech difficulty. يصير معهم dysarthria, dysphasia, و
+
+106
+00:08:29,900 --> 00:08:35,380
+aphasia وهكذا. طيب الآن ننتقل لـ stroke
+
+107
+00:08:35,380 --> 00:08:39,800
+investigations. أيش نعمل investigations لمرضى الـ
+
+108
+00:08:39,800 --> 00:08:42,920
+stroke، لجلطات الدماغية؟ أيش نعملهم investigations؟
+
+109
+00:08:42,920 --> 00:08:50,150
+أول شيء blood evaluation. نبحث الـ CBC، الـ ESR، صورة
+
+110
+00:08:50,150 --> 00:08:54,770
+الترسيب، يعني risk factor detection. ضروري نفحص لهم
+
+111
+00:08:54,770 --> 00:08:58,470
+الـ cholesterol، triglycerides، glucose، level K، و coagulation
+
+112
+00:08:58,470 --> 00:09:01,770
+studies، عشان نشوف عملية التجلط، نسبة الدهون في الدم،
+
+113
+00:09:01,770 --> 00:09:07,570
+السكر. Cardiac evaluation، بنعمل لهم x-ray، ECG،
+
+114
+00:09:07,570 --> 00:09:11,130
+echocardiography، كل هذا مهم عشان لو في مشاكل في
+
+115
+00:09:11,130 --> 00:09:13,730
+القلب نكشفها ونعالجها ونحدد أيش الـ management
+
+116
+00:09:13,730 --> 00:09:21,460
+تبعنا. بعدين brain imaging، CT, MRI.  لما نتكلم
+
+117
+00:09:21,460 --> 00:09:24,720
+على الـ ischemic stroke، الـ MRI أفضل من الـ CT، وأسرع
+
+118
+00:09:24,720 --> 00:09:27,380
+من الـ CT في كشف الـ ischemic stroke. لكن لما نتكلم
+
+119
+00:09:27,380 --> 00:09:32,320
+عن نزيف دماغي، الـ CT أفضل من الـ MRI. الـ CT أفضل
+
+120
+00:09:32,320 --> 00:09:35,620
+يعني الـ CT في النزيف أفضل من الرنين المغناطيسي.
+
+121
+00:09:36,740 --> 00:09:40,980
+Okay. بعدها بنعمل blood vessel visualization. ممكن
+
+122
+00:09:40,980 --> 00:09:44,200
+عشان نشوف إذا فيه stenosis في الـ arteries، بنعمل
+
+123
+00:09:44,200 --> 00:09:50,940
+Duplex scan, MR Angiography, CT Angiography, Cerebral
+
+124
+00:09:50,940 --> 00:09:54,080
+Angiography. عملية تصوير لشرايين الدماء، ونحدد
+
+125
+00:09:54,080 --> 00:09:56,600
+إذا فيه stenosis فيها أو malformation.
+
+126
+00:09:59,080 --> 00:10:03,200
+هدول صور من رسالة في الدكتوراه اللي أنا كنت في
+
+127
+00:10:03,200 --> 00:10:06,840
+الدكتوراه من سنة 2001 إلى 2004. هدول من أوكرانيا
+
+128
+00:10:06,840 --> 00:10:10,080
+كانت صور. هاي مريض عنده left common carotid artery
+
+129
+00:10:10,080 --> 00:10:14,200
+الأحمر هذا اللون هذا blood flow. عنده شريان، لكن
+
+130
+00:10:14,200 --> 00:10:18,380
+عندنا الـ internal carotid artery فيه occlusion
+
+131
+00:10:18,380 --> 00:10:21,800
+انسداد كامل، انسداد كامل في الـ left internal
+
+132
+00:10:21,800 --> 00:10:27,090
+carotid artery. هي الـ external carotid artery، واضح؟
+
+133
+00:10:27,090 --> 00:10:29,790
+فيه blood flow، تمام؟ لكن هنا عند الـ internal carotid
+
+134
+00:10:29,790 --> 00:10:35,770
+artery، انسداد كامل على transverse cut. هاي صورة
+
+135
+00:10:35,770 --> 00:10:37,090
+ثانية لمريض
+
+136
+00:10:39,750 --> 00:10:45,690
+سنة 2003، أيوة 24/3/2003 في مدينة كيف، أوكرانيا.
+
+137
+00:10:45,690 --> 00:10:49,750
+فيه stenosis، severe stenosis. هذا الـ stenosis بيصل لـ
+
+138
+00:10:49,750 --> 00:10:53,730
+95%. يعني فيه انسداد في شريان نسبة 95%. هذا محتاج
+
+139
+00:10:53,730 --> 00:10:57,290
+تدخّل جراحي، يا ينحطّ دعامة، يا ينفتح الشريان ويتنظف
+
+140
+00:10:57,290 --> 00:11:00,790
+من الـ atherosclerosis. ينعمل له endarterectomy أو
+
+141
+00:11:00,790 --> 00:11:05,330
+ينحط له stent أو دعامة، ويفتح الشريان. فيه المفروض
+
+142
+00:11:05,330 --> 00:11:09,620
+يكون هيك شريان، الـ internal carotid artery على الـ
+
+143
+00:11:09,620 --> 00:11:13,360
+left side. لكن تشوفوا قدّيش فيه الـ stenosis. كل هذا
+
+144
+00:11:13,360 --> 00:11:18,840
+يُعتبر أثر تصلّب الشرايين. نفس الشيء هنا فيه
+
+145
+00:11:18,840 --> 00:11:22,920
+atheroma في تصلّب الشريان. عامل moderate stenosis في
+
+146
+00:11:22,920 --> 00:11:28,780
+انسداد متوسط في الشريان. هذه حالة كمان كانت عندنا
+
+147
+00:11:29,930 --> 00:11:38,510
+سنة 2001.  Atheroma عاملة انسداد في الـ right common
+
+148
+00:11:38,510 --> 00:11:39,410
+carotid artery.
+
+149
+00:11:42,560 --> 00:11:47,480
+بنعمل CT ضروري لمرضى الـ ischemic stroke في جميع
+
+150
+00:11:47,480 --> 00:11:50,940
+دول العالم. الـ CT موجود في قسم الاستقبال والطوارئ
+
+151
+00:11:50,940 --> 00:11:56,160
+في الـ emergency department. الـ CT مهم جداً ليه؟ لأنّ
+
+152
+00:11:56,160 --> 00:11:59,900
+أول شيء أنا شخصت cerebrovascular disease، شخصنا
+
+153
+00:11:59,900 --> 00:12:03,400
+المريض عنده جلطة. الآن السؤال الثاني، أيش نوع الجلطة؟
+
+154
+00:12:03,400 --> 00:12:07,720
+نزيف ولا انسداد؟ لأنّ التعامل مع الحالة بيختلف، يعني
+
+155
+00:12:07,720 --> 00:12:10,700
+التعامل مع الضغط وتنزيل الضغط للمريض بيختلف من حالة
+
+156
+00:12:10,700 --> 00:12:18,090
+لحالة. يبقى أن في الحالة هذه بنعمل urgent CT. هذا
+
+157
+00:12:18,090 --> 00:12:22,350
+جهاز CT. المريض بيكون نايم supine. هذه الـ gantry، هذه
+
+158
+00:12:22,350 --> 00:12:25,330
+بتلفّ بـ circular slices داخلها، وبتاخد مقاطع من
+
+159
+00:12:25,330 --> 00:12:29,410
+الرأس. إحنا حدّدنا وحطينا الرأس مقابل الـ gantry هنا
+
+160
+00:12:29,410 --> 00:12:34,490
+وهي راح تلف بسرعة وتاخد مقاطع من الدماغ وتصوّر
+
+161
+00:12:34,490 --> 00:12:39,290
+فيها. والدكتور بتاع الأشعة أو الفني بيكون في غرفة
+
+162
+00:12:39,290 --> 00:12:43,630
+مقابلة للمريض بزجاج عشان الأشعة، وبيحكم في غرفة
+
+163
+00:12:43,630 --> 00:12:48,270
+التحكم، اسمها غرفة التحكم، بالجهاز، وبيصوّر المريض. CT
+
+164
+00:12:48,270 --> 00:12:52,610
+manifestation of ischemic infarction is a zone of
+
+165
+00:12:52,610 --> 00:12:57,210
+slightly reduced density. يعني في الـ CT بيكون
+
+166
+00:12:57,210 --> 00:13:01,030
+المريض عنده hypodensity. يعني أيش hypodensity؟ يعني
+
+167
+00:13:01,030 --> 00:13:08,650
+الـ hypodensity أنه فيه decrease في الـ density of
+
+168
+00:13:08,650 --> 00:13:11,690
+the brain. يعني لون الـ ischemia بتكون على لون غامق
+
+169
+00:13:11,690 --> 00:13:17,690
+على سواد شوية. Beginning on the second day and with
+
+170
+00:13:17,690 --> 00:13:20,690
+the maximum around the fifth day. يعني حالات الـ
+
+171
+00:13:20,690 --> 00:13:24,930
+ischemia، can be detected لو صورناهم أول ساعات، عشرين في
+
+172
+00:13:24,930 --> 00:13:28,970
+المائة ممكن نكشفهم مباشرة، لكن ثمانين في المائة من
+
+173
+00:13:28,970 --> 00:13:32,350
+حالات الـ ischemia بتبين بعد مرور أربع وعشرين ساعة،
+
+174
+00:13:32,350 --> 00:13:36,110
+ثمان وأربعين ساعة. وفي النهاية في الـ final stage
+
+175
+00:13:36,110 --> 00:13:40,770
+في الـ chronic stage، بيحدث مكان الـ ischemia بيحدث
+
+176
+00:13:40,770 --> 00:13:44,850
+cyst. بيسمّى encephalomalacic cyst. cyst وبيكون فيها
+
+177
+00:13:44,850 --> 00:13:54,840
+CSF. هنا نشوف صور CT مع بعض، جماعة. الـ brain tissue
+
+178
+00:13:54,840 --> 00:13:58,220
+راح تاخذه فيه الأشعة. هذا الـ brain tissue، بنسمّيه iso
+
+17
+
+223
+00:17:18,520 --> 00:17:24,130
+فيه هنا التواء في شريان، فيه في شريان يبقى الشريان
+
+224
+00:17:24,130 --> 00:17:29,430
+طويل شوية ومثني، مجرد المريض أو المريضة هي كانت
+
+225
+00:17:29,430 --> 00:17:32,490
+female كانت مجرد ما كانت تلف ركبتها شيء يحصل
+
+226
+00:17:32,490 --> 00:17:36,170
+انسداد في الشريان ونقص في تروية الدماغ في الحالة
+
+227
+00:17:36,170 --> 00:17:40,470
+هذه تم إجراء لها عملية، كشفناها وتم إجراء لها
+
+228
+00:17:40,470 --> 00:17:44,270
+عملية عن طريق الجراحين الفاسكولار وركب لها دعامة
+
+229
+00:17:44,270 --> 00:17:48,730
+في الشريان، في عملية ثانية ممكن تتعمل، ييجوا هنا
+
+230
+00:17:48,730 --> 00:17:51,450
+الـ bifurcation of the external .. of the internal
+
+231
+00:17:51,450 --> 00:17:56,070
+cartilage يجسّوه، يجسّوا جزء منه، هذا الجزء يجسّوه يرموه
+
+232
+00:17:56,070 --> 00:18:00,630
+ويسحبوا الشريان سحبًا ويخيطوه في المكان هذا، يقصّروا
+
+233
+00:18:00,630 --> 00:18:10,230
+يحاولوا يشدّوا عشان يرفعوا الشريان اللي موجودة هذه
+
+234
+00:18:10,230 --> 00:18:13,990
+عبارة عن cerebral angiography، cerebral angiography
+
+235
+00:18:13,990 --> 00:18:19,660
+في صور الـ angiography هذه arteriovenous malformation
+
+236
+00:18:19,660 --> 00:18:23,040
+هي عبارة عن malformation زي سلك متجلّط بيكون
+
+237
+00:18:23,040 --> 00:18:26,080
+malformation بين الـ veins والـ arteries بين الـ
+
+238
+00:18:26,080 --> 00:18:29,160
+veins والـ arteries، لاحظوا هذه cerebral
+
+239
+00:18:29,160 --> 00:18:33,240
+angiography، صورة قريبة على شرايين الدماغ، هذا common
+
+240
+00:18:33,240 --> 00:18:37,040
+carotid artery، وهذا external carotid artery، وهذا
+
+241
+00:18:37,040 --> 00:18:40,820
+internal carotid artery، شوفوا إيش في هنا في المكان
+
+242
+00:18:40,820 --> 00:18:46,740
+هذافي stenosis، في ضيق في الشريان، في ضيق في الشريان
+
+243
+00:18:46,740 --> 00:18:50,280
+وعاملنا الـ stenosis، والـ stenosis في اثنين في
+
+244
+00:18:50,280 --> 00:18:53,460
+مكان الـ bifurcation، إيش الـ bifurcation؟ هو انقسام
+
+245
+00:18:53,460 --> 00:18:57,380
+الـ common carotid artery إلى external وإلى internal
+
+246
+00:18:57,380 --> 00:19:02,400
+هذا المكان نسميه bifurcation، اللي هو انقسام common
+
+247
+00:19:02,400 --> 00:19:05,320
+carotid artery إلى internal وإلى external، ليش أنا قلت
+
+248
+00:19:05,320 --> 00:19:09,270
+هذا internal وهذا external، لأن الـ external
+
+249
+00:19:09,270 --> 00:19:12,530
+بيعطينا branches في النقل، لكن الـ internal لا يعطينا
+
+250
+00:19:12,530 --> 00:19:15,170
+ولا branch في النقل، بيفوّض في الـ brain وفي الـ brain
+
+251
+00:19:15,170 --> 00:19:30,590
+بيعطي الـ branches بتاعته هنا
+
+252
+00:19:30,590 --> 00:19:34,670
+نتكلم على management of stroke، علاج للحالات
+
+253
+00:19:34,670 --> 00:19:39,450
+الجلطات الدماغية، في اتفاقنا أن فيه شيء اسمه dead
+
+254
+00:19:39,450 --> 00:19:43,210
+tissue، وفي potentially viable tissue، وفي viable
+
+255
+00:19:43,210 --> 00:19:50,210
+tissue، التدخل الصحيح والتدخل لصالح المريض راح يكون
+
+256
+00:19:50,210 --> 00:19:54,570
+أن أنا أحول potentially viable tissue، أحول
+
+257
+00:19:54,570 --> 00:19:59,170
+ischemic penumbra إلى viable tissue، لكن إذا كان تدخل
+
+258
+00:19:59,170 --> 00:20:03,350
+خاطئ أو تأخر، المريض ممكن أحوله إلى اللي هو
+
+259
+00:20:03,350 --> 00:20:05,970
+potentially viable tissue إلى dead tissue وأزيد
+
+260
+00:20:05,970 --> 00:20:12,150
+الـ ischemia وأزيد من الـ ischemia، pre-hospital ما
+
+261
+00:20:12,150 --> 00:20:16,270
+قبل المستشفى، لازم يكون عندنا public awareness on
+
+262
+00:20:16,270 --> 00:20:20,830
+signs of stroke، لازم الشعب والعالم والناس يكونوا
+
+263
+00:20:20,830 --> 00:20:23,630
+عارفين إيش الأعراض بتاعة الجلطات الدماغية ويكونوا
+
+264
+00:20:23,630 --> 00:20:27,110
+عندهم خلفية عن موضوع الجلطات الدماغية، فيه شيء اسمه
+
+265
+00:20:27,110 --> 00:20:35,240
+FAST، راح أتكلم عنه، إيش هو FAST؟ أقول لك act FAST، يقول
+
+266
+00:20:35,240 --> 00:20:40,580
+لو أي إنسان عرف الـ slide هذا ويمشي في الطريق بيشخص
+
+267
+00:20:40,580 --> 00:20:45,120
+حالة الجلطة الدماغية كيف؟ FAST، من إيش جاءت كلمة
+
+268
+00:20:45,120 --> 00:20:51,740
+FAST؟ من face, arm, speech, time، لو قرأناها هكذا طلع
+
+269
+00:20:51,740 --> 00:21:01,290
+FAST، FAST face, arm, speech, time، لو اتكلمنا مع المريض
+
+270
+00:21:01,290 --> 00:21:04,410
+وضحكنا معه،  نقشه أو طلبنا منه لو أرجّح أسنانه
+
+271
+00:21:04,410 --> 00:21:09,730
+بتلاقي فيه إيش؟ الـ symmetry of face، فيه اختلاف في
+
+272
+00:21:09,730 --> 00:21:12,870
+الـ mouth angle، لو طلبنا من المريض يرفع يديه لفوق
+
+273
+00:21:13,370 --> 00:21:17,810
+بتلاقي في يد بيصير drop، drop في إيه؟ one hand، لو
+
+274
+00:21:17,810 --> 00:21:21,590
+اتكلمنا مع المريض speech، بنلاحظ عنده لعثمة في
+
+275
+00:21:21,590 --> 00:21:24,730
+الكلام أو حابسة في الكلام، dysarthria أو dysphasia
+
+276
+00:21:24,730 --> 00:21:29,490
+الـ time مهم، الوقت، نتصل على 101، على إسعاف
+
+277
+00:21:29,490 --> 00:21:35,430
+عشان نأخذ المريض إلى أين؟ إلى المستشفى، acute stroke
+
+278
+00:21:35,430 --> 00:21:40,870
+present، ووصل المريض لقسم الاستقبال والطوارئ، في
+
+279
+00:21:40,870 --> 00:21:45,930
+الحالة هذه، ensure medical stability، ضروري الـ ABC's
+
+280
+00:21:45,930 --> 00:21:51,540
+airway، breathing، circulation، Care of unconscious
+
+281
+00:21:51,540 --> 00:21:55,420
+patients، إذا المريض وصل للاستقبال في حالة غيبوبة
+
+282
+00:21:55,420 --> 00:22:00,700
+ننتبه لموضوع الـ blood، bowel، breathing، إذا عنده أي
+
+283
+00:22:00,700 --> 00:22:04,440
+مشاكل، نعمله suction، إذا عنده صعوبة في التنفس، نحط له
+
+284
+00:22:04,440 --> 00:22:10,230
+oxygen، نحط له Foley catheter عشان نفرغ المثانة، rapid
+
+285
+00:22:10,230 --> 00:22:14,650
+assessment، والتقييم بيستخدمه الـ national institute
+
+286
+00:22:14,650 --> 00:22:17,770
+of health stroke scale، هذه الـ scale بيستخدموها
+
+287
+00:22:17,770 --> 00:22:22,110
+لتقييم حالات الـ stroke، بعد هيك الـ CBC، Serum
+
+288
+00:22:22,110 --> 00:22:24,730
+glucose، kidney function test، ممكن المريض يكون
+
+289
+00:22:24,730 --> 00:22:29,610
+هبوط سكري، مش جلطة، فيه سكر منخفض ويكون الحالة
+
+290
+00:22:29,610 --> 00:22:36,200
+أسهل ونعالجها، ECG ضروري، وبنعمل non-contrast brain
+
+291
+00:22:36,200 --> 00:22:39,820
+CT، ليش قلنا non-contrast؟ لا نعطي contrast مباشرة
+
+292
+00:22:39,820 --> 00:22:42,900
+بنعمل non-contrast لأن الـ contrast لونه أبيض ممكن
+
+293
+00:22:42,900 --> 00:22:46,780
+يعمل لنا masking لإيه؟ intra cerebral و subarachnoid
+
+294
+00:22:46,780 --> 00:22:49,740
+hemorrhage، خاصة subarachnoid hemorrhage، بنعمل non-
+
+295
+00:22:49,740 --> 00:22:55,500
+contrast CT، اللي هي normal، يعني without contrast
+
+296
+00:22:55,500 --> 00:22:58,160
+CT without contrast، هذا الـ CT بيكون في الـ
+
+297
+00:22:58,160 --> 00:23:02,320
+emergency department، هذه الـ national institute of
+
+298
+00:23:02,320 --> 00:23:05,720
+health stroke scale، هذه بيستخدموها في العالم
+
+299
+00:23:05,720 --> 00:23:11,400
+لتقييم حالات الـ stroke، و severity of stroke عن
+
+300
+00:23:11,400 --> 00:23:15,120
+طريق 11 items، بيفحصوا level of consciousness
+
+301
+00:23:15,120 --> 00:23:21,300
+horizontal eye movement، visual field test، facial
+
+302
+00:23:21,300 --> 00:23:25,940
+palsy، motor arm، motor leg، limb ataxia، sensory،
+
+303
+00:23:25,940 --> 00:23:30,260
+language، speech، inattention، وكل item لها
+
+304
+00:23:30,260 --> 00:23:35,840
+score أو point، إذا المريض حصل على zero point، ما فيش
+
+305
+00:23:35,840 --> 00:23:39,660
+بيكون no stroke symptoms، بتكون ممكن هذه حالة إيش؟
+
+306
+00:23:39,660 --> 00:23:43,640
+transient ischemic attack، إذا المريض حصل واحد
+
+307
+00:23:43,640 --> 00:23:48,940
+إلى أربعة، بيكون minor stroke، من خمسة إلى خمسة عشر، moderate
+
+308
+00:23:48,940 --> 00:23:54,320
+stroke، متوسط، من ستة عشر إلى عشرين، متوسط إلى شديد، moderate
+
+309
+00:23:54,320 --> 00:23:57,420
+to severe، وإذا كان واحد وعشرين إلى اثنين وأربعين
+
+310
+00:23:57,420 --> 00:24:02,400
+بيكون هذا severe stroke، عشان احنا نحدد كمان الـ
+
+311
+00:24:02,400 --> 00:24:05,960
+outcome of the patient، وأنا لما أشتغل مع علاج طبي
+
+312
+00:24:05,960 --> 00:24:11,580
+أو أعطيه علاجات، أكون أتوقع إيش اللي راح يصير، أفهم أهل
+
+313
+00:24:11,580 --> 00:24:14,580
+المريض من البداية، أن الوضع سهل أو الوضع صعب
+
+314
+00:24:17,240 --> 00:24:21,300
+الـ management، قلنا في المستشفى ضروري general
+
+315
+00:24:21,300 --> 00:24:25,200
+medical measures، اللي هي موضوع الـ care of
+
+316
+00:24:25,200 --> 00:24:28,500
+unconscious patients، blood and bowel and breathing
+
+317
+00:24:28,500 --> 00:24:32,660
+أن أعطيهم oxygen mask، ضروري نحط لهم oxygen،  نتشَكَّل
+
+318
+00:24:32,660 --> 00:24:38,120
+blood pressure، نقيس الضغط، ونقيس القلب، نعمل brain
+
+319
+00:24:38,120 --> 00:24:41,880
+CT، brain imaging، إذا في إمكانية، هنا حددنا أن هذا
+
+320
+00:24:41,880 --> 00:24:45,330
+ischemic stroke، والمريض وصلنا بأقل من 6 ساعات أو
+
+321
+00:24:45,330 --> 00:24:47,630
+أقل من 4 ساعات ونصف، أو أقل من 6 ساعات، حاليًا يتكلم
+
+322
+00:24:47,630 --> 00:24:50,890
+على 6 ساعات، ممكن ينعطى وما عنده Contra indication
+
+323
+00:24:50,890 --> 00:24:55,150
+للـ thrombolysis، ممكن ينعطى tissue plasminogen
+
+324
+00:24:55,150 --> 00:24:58,550
+activator، هذا لازم يكون في حالات الجلطات الدماغية
+
+325
+00:24:58,550 --> 00:25:06,190
+في stroke unit، الـ maximum dose 90 مليجرام، والـ
+
+326
+00:25:06,190 --> 00:25:11,090
+dose بتاعته 0.9 من 10 مليجرام/ كغم، ممكن نعمل
+
+327
+00:25:11,090 --> 00:25:14,830
+mechanical thrombectomy، عن طريق إيش؟ عن طريق قسطرة
+
+328
+00:25:14,830 --> 00:25:20,590
+دماغية، ويتم إزالة الـ thrombus، إذا في
+
+329
+00:25:20,590 --> 00:25:24,970
+contraindication للـ thrombolysis، ممكن نعطي Aspirin
+
+330
+00:25:24,970 --> 00:25:29,530
+325 مليجرام في اليوم، وممكن نعطي anticoagulant
+
+331
+00:25:29,530 --> 00:25:35,550
+أدوية ضد تخثّر الدم حسب الـ indications، طب كيف نقيم
+
+332
+00:25:35,550 --> 00:25:41,240
+الضغط؟ الـ blood pressure، إذا كان ضغط المريض عالي، وعنده
+
+333
+00:25:41,240 --> 00:25:44,920
+انخفاض في الضغط، نزود الضغط، نرفع الضغط عن
+
+334
+00:25:44,920 --> 00:25:48,160
+طريق normal saline، أو عن طريق vasopressor الأدوية
+
+335
+00:25:48,160 --> 00:25:51,620
+طب وإذا ضغطه عالي، يعني لك scheme you can
+
+336
+00:25:51,620 --> 00:25:57,740
+stroke، ضغطه أقل من 220 على 120، أترك المريض في
+
+337
+00:25:57,740 --> 00:26:00,340
+حالته، لا تنزل الضغط في الأول، في البداية، لا تنزل
+
+338
+00:26:00,340 --> 00:26:02,440
+الضغط، لو ضغطه 220، أهل المريض بيقولوا لك إيه؟
+
+339
+00:26:02,440 --> 00:26:04,700
+الحاجة يا دكتور، ضغطه 200، بيقولوا ما تخافش، هذا
+
+340
+00:26:04,700 --> 00:26:08,760
+الـ compensatory، هذا تدخل رباني للمريض إنه يرفع
+
+341
+00:26:08,760 --> 00:26:13,240
+ضغطه، على أساس إيه؟ على أساس يقلل الـ scheme، يعني ممكن
+
+342
+00:26:13,240 --> 00:26:19,240
+ننزل الضغط إذا كان في حالات اللي ما بننزلش
+
+343
+00:26:19,240 --> 00:26:24,460
+بلازمينوجين activator، أقل من 185 على 110، to
+
+344
+00:26:24,460 --> 00:26:30,400
+prevent intracranial bleeding، ممكن نعطي Aspirin
+
+345
+00:26:30,400 --> 00:26:33,660
+اللي هو antiplatelet، Clopidogrel، في Aggrenox، مش
+
+346
+00:26:33,660 --> 00:26:38,170
+مهم كل الأدوية كثير الآن، anticoagulant، طيب الضغط
+
+347
+00:26:38,170 --> 00:26:42,430
+ممكن أنزله أقل من 220 على 120، ممكن أنزله في حالات
+
+348
+00:26:42,430 --> 00:26:46,830
+مريض عنده جلطة قلبية، عنده MI، acute MI، مريض عنده
+
+349
+00:26:46,830 --> 00:26:50,610
+فشل كلوي حاد، renal failure، المريض عنده pulmonary
+
+350
+00:26:50,610 --> 00:26:53,510
+edema، المريض عنده انفصال في الشبكية، retinal
+
+351
+00:26:53,510 --> 00:26:57,630
+detachment، heart failure، في الحالات هذه لا نسمح
+
+352
+00:26:57,630 --> 00:27:01,390
+الدغط يكون عالي، بنزل الضغط كمان، بس بيكون إيش؟
+
+353
+00:27:01,390 --> 00:27:07,640
+gentle reduction، يعني ماشي بسرعة، ما نمشي صدمة، Surgical
+
+354
+00:27:07,640 --> 00:27:12,160
+management، بنعمل internal carotid endarterectomy
+
+355
+00:27:12,160 --> 00:27:18,960
+أو بنحط دعامة، for symptomatic stenosis more than
+
+356
+00:27:18,960 --> 00:27:23,940
+70%، إذا المريض عندهم سداد في الشريان أكثر من 70%
+
+357
+00:27:23,940 --> 00:27:28,060
+ممكن نحط دعامة، أو يتم تدخل جراحي لتوسيع وفتح
+
+358
+00:27:28,060 --> 00:27:33,730
+الشريان، الوقاية من جلطة الدماغية، كيف الوقاية من
+
+359
+00:27:33,730 --> 00:27:39,170
+جلطة الدماغية؟ الـ lifestyle changes، نوقف التدخين، و
+
+360
+00:27:39,170 --> 00:27:43,450
+نمارس الرياضة، ونأكل غذاءً صحيًا، management of
+
+361
+00:27:43,450 --> 00:27:48,590
+hypertension، علاج الضغط، management of DM، نعمل
+
+362
+00:27:48,590 --> 00:27:53,910
+control للسكر، الـ management of dyslipidemia، عن
+
+363
+00:27:53,910 --> 00:27:58,790
+طريق الـ statins، نعالج مشاكل الدهون بالـ statins، small
+
+364
+00:27:58,790 --> 00:28:03,090
+vessels disease، ممكن نعطيهم antiplatelet، أو
+
+365
+00:28:03,090 --> 00:28:06,310
+Clopidogrel، يعني نعطيه Aspirin أو Clopidogrel، مش
+
+366
+00:28:06,310 --> 00:28:08,770
+مهم كثير إعطاء الأدوية، وانتم علاج طبيعي، لأن بس
+
+367
+00:28:08,770 --> 00:28:12,890
+أنا لازم أتكلم فيه، إذا كان الـ stenosis أكثر من 70%
+
+368
+00:28:12,890 --> 00:28:17,730
+بنعمل عملية revascularization، اللي هي عملية إعادة
+
+369
+00:28:17,730 --> 00:28:21,310
+الـ blood supply للـ brain، عن طريق الـ stent، عن طريق
+
+370
+00:28:21,310 --> 00:28:27,520
+دعامة، أو بواسطة التدخل الجراحي، الـ Intracranial
+
+371
+00:28:27,520 --> 00:28:31,700
+stenosis، أو أذَرَةٌ شَرِيانيةٌ سَدِيدَة، ممكن عامل
+
+372
+00:28:31,700 --> 00:28:35,760
+combination، Aspirin مع Clopidogrel، طب وإذا في
+
+373
+00:28:35,760 --> 00:28:40,320
+cardiogenic shock، أو atrial fibrillation، بياخذوا
+
+374
+00:28:40,320 --> 00:28:43,720
+anticoagulant، في حالات الـ atrial fibrillation
+
+375
+00:28:43,720 --> 00:28:49,740
+بنعطى warfarin،  Liquix أو Xarelto، لكن في حالات
+
+376
+00:28:49,740 --> 00:28:53,720
+إذا كان valve replacement فقط، warfarin بياخذوا
+
+377
+00:28:53,720 --> 00:28:55,360
+warfarin
+
+378
+00:28:57,160 --> 00:29:01,620
+الآن المحاضرة خلصت، راح نأخذ مع بعض كم حالة
+
+379
+00:29:01,620 --> 00:29:11,660
+نتناقش فيها، نشوفهم، مريض خمسة وخمسين سنة،
+
+380
+00:29:11,660 --> 00:29:16,130
+hypertension، smoker، 20 cigarette per day، in this
+
+381
+00:29:16,130 --> 00:29:19,490
+dyslipidemia، ست ساعات أو حتى أكثر من ست ساعات، أجابت
+
+382
+00:29:19,490 --> 00:29:23,270
+سبع ساعات، نقول إلى الـ emergency department، with
+
+383
+00:29:23,270 --> 00:29:27,410
+sudden loss of strength and sensitivity of left
+
+384
+00:29:27,410 --> 00:29:33,230
+hemibody، حصل معه جلطة، حصل معه فقدان الحركة على
+
+385
+00:29:33,230 --> 00:29:38,920
+الجهة اليسرى، left side hemiplegia، the day before
+
+386
+00:29:38,920 --> 00:29:44,040
+قبل يوم، he experienced a similar episode resolving
+
+387
+00:29:44,040 --> 00:29:51,520
+spontaneously in minutes، وقبل يوم كان عنده شيء
+
+388
+00:29:51,520 --> 00:29:54,580
+اسمه transient ischemic attack، الأعراض في الـ
+
+389
+00:29:54,580 --> 00:29:58,980
+physical examination، المريض conscious، واعي،
+
+390
+00:29:58,980 --> 00:30:03,780
+disoriented، left-side hemiplegia أو hemiparesis،
+
+391
+00:30:03,780 --> 00:30:08,380
+hypoesthesia، dominantly facial brachial type
+
+392
+00:30:08,380 --> 00:30:10,600
+يعني إيش facial brachial type؟ يعني الـ weakness،
+
+393
+00:30:10,600 --> 00:30:12,840
+الـ deficit في الـ face والـ upper limb أكثر من الـ
+
+394
+00:30:12,840 --> 00:30:17,400
+lower limb، والـ left-side homonymous hemianopia، و
+
+395
+00:30:17,400 --> 00:30:20,380
+الـ left-side homonymous hemianopia، الـ blood
+
+396
+00:30:20,380 --> 00:30:24,610
+pressure، 180 على 95، heart rate
+
+445
+00:33:59,210 --> 00:34:03,330
+أخذ الحبة وصار انتصار سريع، ونزلت الضغط بسرعة
+
+446
+00:34:04,240 --> 00:34:07,840
+ما أقدرش أتحكم، يبقى نعطي IV، ليش IV؟ لأنه أنت بتحط
+
+447
+00:34:07,840 --> 00:34:10,760
+العلاج في محلول، بتعطي drip، بالنقطة، بتعطي والـ
+
+448
+00:34:10,760 --> 00:34:16,380
+monitoring، بفحص الضغط، في الحالة هذه، المفعول
+
+449
+00:34:16,380 --> 00:34:19,100
+للعلاج سريع راح يكون، مجرد ما ينزل الضغط، بوقف
+
+450
+00:34:19,100 --> 00:34:22,340
+المحلول، بتحكم أنا في علاجي، يبقى نعطها في البداية
+
+451
+00:34:22,340 --> 00:34:22,840
+IV
+
+452
+00:34:26,390 --> 00:34:32,610
+الـ CT اللي عمل CT، الـ CT أظهرت هنا ischemic infarction
+
+453
+00:34:32,610 --> 00:34:35,670
+مش واضح، بس على الـ laptop راح تشوفوه في الـ
+
+454
+00:34:35,670 --> 00:34:39,610
+PowerPoint راح يكون واضح، ischemic infarction
+
+455
+00:34:39,610 --> 00:34:44,490
+على الـ، في الـ right middle cerebral artery، في acute
+
+456
+00:34:44,490 --> 00:34:46,950
+ischemic infarction، هنا في الـ right middle
+
+457
+00:34:46,950 --> 00:34:47,890
+cerebral artery
+
+458
+00:34:50,470 --> 00:34:52,670
+الـ middle cerebral artery، ليش قلت middle cerebral
+
+459
+00:34:52,670 --> 00:34:55,590
+artery؟ لأنه الـ middle cerebral artery بيغذي اللي
+
+460
+00:34:55,590 --> 00:35:01,250
+هو الـ posterior .. الـ superior .. بيغذي الـ lateral
+
+461
+00:35:01,250 --> 00:35:04,430
+surface of the cerebral hemisphere، وهو المسئول عن الـ
+
+462
+00:35:04,430 --> 00:35:08,160
+area بتاعة الـ face والـ upper limb، هذه هي الـ ischemic
+
+463
+00:35:08,160 --> 00:35:11,560
+infarction، acute ischemic infarction، هذا راح يكون
+
+464
+00:35:11,560 --> 00:35:17,080
+عندي في الـ right middle cerebral artery، واضح، أظهر
+
+465
+00:35:17,080 --> 00:35:23,660
+بعد كام يوم؟ بعد أربعة أيام، نعمل study، وكان فيه
+
+466
+00:35:23,660 --> 00:35:26,920
+stenosis في الـ artery 80%، وكان المريض هذا بيحتاج
+
+467
+00:35:26,920 --> 00:35:31,960
+لتدخل كمان جراحي على الشريان، والـ discharge بعد
+
+468
+00:35:31,960 --> 00:35:39,190
+14 يوم، كان في وضع أفضل، نشوف حالة ثانية، seventy
+
+469
+00:35:39,190 --> 00:35:44,130
+-seven years old woman، female patient، سبعين سبعين
+
+470
+00:35:44,130 --> 00:35:48,690
+سنة، no significant previous medical history، no
+
+471
+00:35:48,690 --> 00:35:53,930
+previous medication، a week before، قبل أسبوع
+
+472
+00:35:53,930 --> 00:35:59,750
+unstable gait، double vision، lasted ten minutes
+
+473
+00:35:59,750 --> 00:36:06,080
+يعني قبل أسبوع كان عندها أعراض transient ischemic attack، في
+
+474
+00:36:06,080 --> 00:36:09,300
+الـ physical examination، right-side homonymous
+
+475
+00:36:09,300 --> 00:36:13,200
+hemianopia، يعني مريضة فقدت مجال الإبصار في نص العين
+
+476
+00:36:13,200 --> 00:36:16,840
+اليمين، وفي نص اليمين من العين اليسرى، نصين اليمين
+
+477
+00:36:16,840 --> 00:36:22,120
+كان عندها فقدان مجال الإبصار، Arrhythmia في atrial
+
+478
+00:36:22,120 --> 00:36:27,020
+fibrillation، و they still murmur on mitral focus
+
+479
+00:36:27,020 --> 00:36:33,240
+يعني في اللي هو عندنا في الـ mitral valve، عندنا
+
+480
+00:36:33,240 --> 00:36:37,570
+stenosis، عندنا stenosis في الـ mitral valve، لأنه في
+
+481
+00:36:37,570 --> 00:36:42,650
+murmur diastolic، الـ blood pressure 160 على 70، الـ heart
+
+482
+00:36:42,650 --> 00:36:46,410
+rate 80، الـ temperature 36.7، الـ oxygen saturation
+
+483
+00:36:46,410 --> 00:36:51,570
+95%، على الـ ECG، انتبهوا، atrial fibrillation، يبقى إن
+
+484
+00:36:51,570 --> 00:36:55,410
+في مشكلة في القلب، في رفة في القلب، و chest x-ray
+
+485
+00:36:55,410 --> 00:36:59,350
+normal، و blood laboratory tests normal، عملنا CT
+
+486
+00:36:59,350 --> 00:37:04,800
+high resolution CT، في acute ischemic infarction في الـ left
+
+487
+00:37:04,800 --> 00:37:09,840
+occipital area، في أي area؟ في area of left
+
+488
+00:37:09,840 --> 00:37:13,720
+posterior cerebral artery، left posterior cerebral
+
+489
+00:37:13,720 --> 00:37:18,760
+artery، في الحالة هذه أنا راح أتعامل مع حالة acute
+
+490
+00:37:18,760 --> 00:37:22,800
+ischemic stroke، والسبب atrial fibrillation، مدام
+
+491
+00:37:22,800 --> 00:37:28,710
+atrial fibrillation، نشوف هل ننصح، refer the patient
+
+492
+00:37:28,710 --> 00:37:32,570
+to neurology outpatient clinic؟ نقول للمريضة روح
+
+493
+00:37:32,570 --> 00:37:38,710
+للبيت، واتابعي في العيادة ده خارجية، خطأ، give aspirin، و
+
+494
+00:37:38,710 --> 00:37:44,270
+نعطي aspirin، ونخرج المريضة للبيت؟ لأ، خطأ، the
+
+495
+00:37:44,270 --> 00:37:46,810
+patient should be admitted، لازم ندخل المريضة، و
+
+496
+00:37:46,810 --> 00:37:51,390
+نعطيها anticoagulant، أو our patient is too old
+
+497
+00:37:51,390 --> 00:37:54,770
+anticoagulant is contraindicated، لأ، في الحالة هذه
+
+498
+00:37:54,770 --> 00:37:57,830
+المريضة لازم admission، ندخلها، ونعطيها anticoagulant
+
+499
+00:37:57,830 --> 00:38:00,290
+ليش هنعطيها anticoagulant؟ لأنه عندها cardiac
+
+500
+00:38:00,290 --> 00:38:03,270
+indication، في عندها mitral stenosis، في ضيق في
+
+501
+00:38:03,270 --> 00:38:06,710
+الصمام الـ mitral، وفي عندها رفة في القلب، في عندها
+
+502
+00:38:06,710 --> 00:38:09,790
+atrial fibrillation، في الحالة هذه الـ aspirin ما راح
+
+503
+00:38:09,790 --> 00:38:12,550
+يفيدنا، اللي راح يفيدنا anticoagulant، نعطيها
+
+504
+00:38:12,550 --> 00:38:19,160
+anticoagulant، حالة ثلاثة، seventy-five years old man
+
+505
+00:38:19,160 --> 00:38:25,500
+myocardial infarction، خمسة وسبعين، كان عنده myocardial
+
+506
+00:38:25,500 --> 00:38:29,340
+infarction قبل خمسة عشر سنة، fifteen years ago، عنده
+
+507
+00:38:29,340 --> 00:38:34,020
+chronic non-valvular AF، و بياخد anticoagulant، و
+
+508
+00:38:34,020 --> 00:38:38,000
+بتعالج بيه بالـ anticoagulant، أدوية ضد تجلط الدم
+
+509
+00:38:41,090 --> 00:38:49,060
+ولما وجدوه found on the ground، with right hemiparesis
+
+510
+00:38:49,060 --> 00:38:52,460
+and difficulty to talk، كان عنده، مرمي على الأرض، و
+
+511
+00:38:52,460 --> 00:38:55,620
+عنده شلل في الجهة اليمنى، مع صعوبة في الكلام، و
+
+512
+00:38:55,620 --> 00:38:59,320
+الحديث، physical examination، في الـ examination، في
+
+513
+00:38:59,320 --> 00:39:02,580
+good level of consciousness، global aphasia، عنده
+
+514
+00:39:02,580 --> 00:39:07,120
+motor و sensory aphasia، right hemiparesis، facial
+
+515
+00:39:07,120 --> 00:39:09,820
+brachial type، يعني كان عنده مشكلة في الـ middle
+
+516
+00:39:09,820 --> 00:39:12,060
+cerebral artery، مدام right، كان عنده في الـ left
+
+517
+00:39:12,060 --> 00:39:15,980
+middle cerebral artery، الـ blood pressure 170 على 70
+
+518
+00:39:15,980 --> 00:39:23,480
+الـ heart rate 90، الـ saturation 93%، ECG AF 90 في
+
+519
+00:39:23,480 --> 00:39:28,460
+الدقيقة، الـ chest x-ray no significant changes، الـ
+
+520
+00:39:28,460 --> 00:39:33,620
+hemogram normal، الـ INR تبع فحص تجلط الدم
+
+521
+00:39:33,620 --> 00:39:40,780
+1.4، الأمور ماشية كويسة،  فجيت عملنا CT، شوفنا الـ CT، لاحظوا الـ
+
+522
+00:39:40,780 --> 00:39:44,000
+CT، مش مبين أي شيء، مش مبين أي شيء في الـ CT، acute
+
+523
+00:39:44,000 --> 00:39:47,580
+لكن فيه hyperdense signal، بقع بيضاء، هذا يعتبر في
+
+524
+00:39:47,580 --> 00:39:51,100
+inclusion، أكثر وين؟ في الـ left middle cerebral
+
+525
+00:39:51,100 --> 00:39:57,060
+artery، بعد 12 ساعة، حالته زادت سوءًا، حالة المريض زادت
+
+526
+00:39:57,060 --> 00:40:00,780
+سوءًا، أقول أنا بأتكلم عن حالة إيش؟ عن cardio embolic
+
+527
+00:40:00,780 --> 00:40:03,260
+ischemic stroke، cardio embolic ischemic stroke
+
+528
+00:40:03,910 --> 00:40:08,210
+التمريض استدعانا، قال إن المريض level of
+
+529
+00:40:08,210 --> 00:40:12,130
+consciousness نزل، يعني دخل في غيبوبة، vomiting
+
+530
+00:40:12,130 --> 00:40:18,170
+بيصير عنده vomiting، ترجيع، تقيؤ، heavy hemiplegia
+
+531
+00:40:18,170 --> 00:40:22,670
+شلل زاد عنده، له oculocephalic deviation of head to
+
+532
+00:40:22,670 --> 00:40:26,610
+the left، ورأسه رجعة تلفه على الجهة اليسرى، الـ blood
+
+533
+00:40:26,610 --> 00:40:31,310
+pressure 122 على 130، heart rate 95، temperature
+
+534
+00:40:31,310 --> 00:40:36,590
+37.6، saturation 93، إيش نعمل في الحالة هذه؟ هل
+
+535
+00:40:36,590 --> 00:40:42,380
+نضل ننعطي anticoagulant؟ هل نعطي antiplatelet؟ نستدعي
+
+536
+00:40:42,380 --> 00:40:45,900
+ICU؟ نعيد الـ CT؟ إيش إحنا اتكلمنا في حالات الـ
+
+537
+00:40:45,900 --> 00:40:49,500
+cardio embolic stroke؟ مش قولنا عندهم tendency to
+
+538
+00:40:49,500 --> 00:40:52,140
+hemorrhagic bleeding؟ ممكن هذول المرضى يدخلوا في
+
+539
+00:40:52,140 --> 00:40:55,140
+نزيف، ويتحول الـ ischemic stroke من ischemic لـ
+
+540
+00:40:55,140 --> 00:40:58,520
+hemorrhagic، نسميه hemorrhagic infarction، يكون في
+
+541
+00:40:58,520 --> 00:41:03,900
+الحالة هذه، لازم نعيد الـ CT، عيدنا الـ CT،
+
+542
+00:41:03,900 --> 00:41:07,820
+لحظة، الـ CT، في الـ CT واضح الـ infarction هذا، الـ
+
+543
+00:41:07,820 --> 00:41:11,000
+hypodensity، السواد هذا، ischemic infarction، إيش حدث
+
+544
+00:41:11,000 --> 00:41:15,040
+مع الـ infarction الأبيض هذا؟ نزيف، حدث نزيف في الـ
+
+545
+00:41:15,040 --> 00:41:19,100
+ischemia، حدث hemorrhagic transformation of ischemic
+
+546
+00:41:19,100 --> 00:41:22,180
+stroke، والـ blood دخل وين؟ في الـ ventricular
+
+547
+00:41:22,180 --> 00:41:24,980
+system، في الـ third ventricle، وفي الـ both lateral
+
+548
+00:41:24,980 --> 00:41:32,990
+ventricles، حالة رقم أربعة، 62 سنة، لا قصة طبية قبلها
+
+549
+00:41:32,990 --> 00:41:34,470
+ولا قصة طبية قبلها، ولا قصة طبية قبلها، ولا قصة طبية
+
+550
+00:41:34,470 --> 00:41:37,170
+قبلها، ولا قصة طبية قبلها، ولا قصة طبية قبلها، ولا
+
+551
+00:41:37,170 --> 00:41:38,670
+قصة طبية قبلها، ولا قصة طبية قبلها، ولا قصة طبية
+
+552
+00:41:38,670 --> 00:41:40,290
+قبلها، ولا قصة طبية قبلها، ولا قصة طبية قبلها، ولا
+
+553
+00:41:40,290 --> 00:41:42,390
+قصة طبية قبلها، ولا قصة طبية قبلها، ولا قصة طبية
+
+554
+00:41:42,390 --> 00:41:45,550
+قبلها، ولا قصة طبية قبلها، ولا قصة طبية قبلها، ولا
+
+555
+00:41:45,550 --> 00:41:50,290
+قصة طبية قبلها، ولا قصة طبية قبلها، ولا قصة طبية
+
+556
+00:41:50,290 --> 00:41:53,970
+قبلها، ولا قصة طبية قبلها، ولا قصة طبية قبلها، ولا
+
+557
+00:41:53,970 --> 00:42:00,920
+قصة طبية قبلها، ولا قصة، الـ deep reflexes هذا بيدل
+
+558
+00:42:00,920 --> 00:42:04,520
+إن المريضة عندها مشكلة قديمة، إيش بنلاحظ من
+
+559
+00:42:04,520 --> 00:42:07,340
+الحالة؟ إنه ما فيش عندها عوامل risk، ما فيش risk فيها
+
+560
+00:42:07,340 --> 00:42:10,720
+كثير، الحاجة الثانية إن الأعراض من الـ seventies بدأت
+
+561
+00:42:10,720 --> 00:42:13,220
+تدريجيًا، مش sudden، إحنا جينا الـ stroke sudden onset،
+
+562
+00:42:13,220 --> 00:42:17,900
+يعني هنا الأعراض بدأت تدريجيًا، وباقي كل شيء normal
+
+563
+00:42:18,980 --> 00:42:24,120
+انعمل الـ CT، الـ CT واضح إنه في شيء هنا، عامل زي
+
+564
+00:42:24,120 --> 00:42:30,060
+finger like، وذمة vasogenic، وذمة في زي mass، وضغط
+
+565
+00:42:30,060 --> 00:42:33,440
+على الـ lateral ventricle، هذا أكثر شيء ورم، مدام
+
+566
+00:42:33,440 --> 00:42:35,520
+الأعراض بدأت تدريجيًا، إحنا بنعمل differential
+
+567
+00:42:35,520 --> 00:42:38,880
+diagnosis مع الـ stroke، يعني أنا بأتكلم على tumor، و
+
+568
+00:42:38,880 --> 00:42:42,380
+tumor، ضغط، طيب كيف أتأكد tumor ولا لأ؟ بنعطيه
+
+569
+00:42:42,380 --> 00:42:46,140
+contrast، الـ contrast صبغة، لو ischemia، متسكر الشريان
+
+570
+00:42:46,140 --> 00:42:50,800
+ما راح تدخل، لكن لو ورم، الـ contrast اللون الأبيض
+
+571
+00:42:50,800 --> 00:42:55,600
+بيصبغ الورم، أعطينا هنا صبغة، إبا يعني الصبغة دخلت
+
+572
+00:42:55,600 --> 00:42:58,980
+للورم، واتحول للون أبيض، يعني هذا شريان فاتح، يعني
+
+573
+00:42:58,980 --> 00:43:03,260
+هذا بيدل على إيه؟ على brain tumor، brain tumor
+
+574
+00:43:03,260 --> 00:43:09,460
+الـ slide هذا بكون وصلت للي هي نهاية المحاضرة، to
+
+575
+00:43:09,460 --> 00:43:12,300
+cerebrovascular disease، يعطيكم ألف عافية
diff --git a/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U.srt b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0afe94a28cbfae191a340a849a0c6272611b4b85
--- /dev/null
+++ b/PL9fwy3NUQKwZ7hqEFOK6hcgg9t31_jSzA/vS_2-cTkV5U.srt
@@ -0,0 +1,1697 @@
+1
+00:00:04,980 --> 00:00:08,520
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:08,520 --> 00:00:15,120
+وبركاته اليوم راح نسجل هذه محاضرة الأسبوع الثالث
+
+3
+00:00:15,120 --> 00:00:21,260
+ischemic cerebrovascular disease قبل ما أبدأ
+
+4
+00:00:21,260 --> 00:00:25,980
+محاضرة ischemic cerebrovascular disease راح أراجع
+
+5
+00:00:25,980 --> 00:00:29,200
+معكم اللي هو anatomy and physiology of the brain
+
+6
+00:00:29,200 --> 00:00:35,360
+Cerebral blood supply. Cerebral blood supply is blood supply
+
+7
+00:00:35,360 --> 00:00:39,060
+to the brain in a given time. Normal cerebral
+
+8
+00:00:39,060 --> 00:00:45,800
+blood flow حوالي سبعمائة وخمسين ملليلتر إلى ألف ملليلتر
+
+9
+00:00:45,800 --> 00:00:49,220
+في الدقيقة الواحدة، الدماغ بيصلّهُ، يعني الدماغ بياخد
+
+10
+00:00:49,220 --> 00:00:56,120
+حوالي عشرين في المائة من الـ total cardiac output. لو
+
+11
+00:00:56,120 --> 00:01:00,720
+أخدنا regional cerebral blood flow، تلاحظ أن الـ
+
+12
+00:01:00,720 --> 00:01:08,240
+cerebrum بياخد 50 إلى 54 ملليلتر blood لكل 100 جرام
+
+13
+00:01:08,240 --> 00:01:13,160
+brain في الدقيقة الواحدة. متى يحدث ischemia؟ يعني
+
+14
+00:01:13,160 --> 00:01:17,500
+ischemia without cells death بدون ما يموتوا
+
+15
+00:01:17,500 --> 00:01:22,820
+الخلايا. إيشيميا is a result if blood flow to the brain
+
+16
+00:01:22,820 --> 00:01:30,360
+is below 18 إلى 20 milliliter per 100 gram of brain
+
+17
+00:01:30,360 --> 00:01:35,220
+tissue per minute. يعني لو نزل الـ blood supply تحت
+
+18
+00:01:35,220 --> 00:01:41,980
+ثمانية عشر ملليلتر لكل مئة gram brain tissue
+
+19
+00:01:41,980 --> 00:01:46,240
+في الدقيقة الواحدة يحدث الإيشيميا. طب متى يحدث
+
+20
+00:01:46,240 --> 00:01:51,680
+this؟ بيموت الخلايا في حال نزل الـ blood supply أقل
+
+21
+00:01:51,680 --> 00:01:56,520
+من ثمانية عشر ملليلتر في الدقيقة الواحدة لكل مئة
+
+22
+00:01:56,520 --> 00:02:06,420
+جرام brain tissue. زي ما أنتم متذكرين، blood supply of
+
+23
+00:02:06,420 --> 00:02:10,420
+the brain يتكون من two systems. الـ brain بياخد blood
+
+24
+00:02:10,420 --> 00:02:14,490
+supply عن طريق two systems. الموضوع الأول هو الـ
+
+25
+00:02:14,490 --> 00:02:20,110
+Carotid System. هو الموضوع الرئيسي، 80% من أجزاء
+
+26
+00:02:20,110 --> 00:02:22,690
+الدماغ تأخذ إمداداتها عن طريق الـ Carotid System.
+
+27
+00:02:22,690 --> 00:02:29,970
+الموضوع الثاني هو الـ Vertebro-Basilar System.
+
+28
+00:02:41,260 --> 00:02:48,280
+common carotid artery يتفرع إلى external
+
+29
+00:02:48,280 --> 00:02:52,140
+carotid artery and internal carotid artery. الـ
+
+30
+00:02:52,140 --> 00:02:55,340
+internal carotid artery بيفوت عن طريق الـ carotid
+
+31
+00:02:55,340 --> 00:03:00,890
+canal. طب كيف نفرق بين external carotid artery and
+
+32
+00:03:00,890 --> 00:03:04,710
+internal carotid artery؟ الـ internal carotid artery
+
+33
+00:03:04,710 --> 00:03:09,370
+gives no branches at the neck. بيعطيش ولا أي فرع في
+
+34
+00:03:09,370 --> 00:03:14,670
+الرقبة، لكن external carotid artery gives branches
+
+35
+00:03:14,670 --> 00:03:19,590
+to the neck and facial area.
+
+36
+00:03:27,120 --> 00:03:32,560
+هنا عندي internal carotid artery بيفوت في الـ carotid
+
+37
+00:03:32,560 --> 00:03:37,960
+canal، بعدها بيفوت للـ cavernous sinus، وبتوزع لـ
+
+38
+00:03:37,960 --> 00:03:41,880
+branches هنا.
+
+39
+00:03:41,880 --> 00:03:46,240
+خمسة branches للـ internal carotid artery في اللى
+
+40
+00:03:46,240 --> 00:03:46,520
+هو
+
+41
+00:03:51,760 --> 00:03:55,820
+في الـ branches، اللي هو أول branch اسمه ophthalmic
+
+42
+00:03:55,820 --> 00:04:02,180
+artery، the second branch is anterior choroidal
+
+43
+00:04:02,180 --> 00:04:04,720
+artery، أو بنسميه اللي قبله بيكون posterior
+
+44
+00:04:04,720 --> 00:04:08,120
+communicating artery، بعدين بيجينا third branch
+
+45
+00:04:08,120 --> 00:04:13,250
+anterior choroidal artery. Fourth اللي هو anterior
+
+46
+00:04:13,250 --> 00:04:17,150
+cerebral artery، و الـ terminal branch اللي هو
+
+47
+00:04:17,150 --> 00:04:20,470
+middle cerebral artery، the largest branch is
+
+48
+00:04:20,470 --> 00:04:24,130
+middle cerebral artery، middle cerebral artery
+
+49
+00:04:24,130 --> 00:04:27,720
+بنسميه lateral branch.  It supplies the posterior lateral
+
+50
+00:04:27,720 --> 00:04:32,640
+surface except occipital area and except superior
+
+51
+00:04:32,640 --> 00:04:36,300
+lateral area. السوبريالترال ايريا بتاخد من الانترال
+
+52
+00:04:36,300 --> 00:04:41,100
+سريبرال ارتري، والاوكسبيتال لوب بتاخد من البوستيريو
+
+53
+00:04:41,100 --> 00:04:45,720
+سريبرال ارتري. في برانش بيطلع من الانترال كارتد
+
+54
+00:04:45,720 --> 00:04:49,140
+ارتري اسمه أوفثالمك برانش. اول برانش يبقى اول برانش
+
+55
+00:04:49,140 --> 00:04:53,910
+اسمه أوفثالمك ارتري. بعدها بنتكلم على vertebral
+
+56
+00:04:53,910 --> 00:04:58,190
+basilar system. بتجينا
+
+57
+00:04:58,190 --> 00:05:03,170
+من subclavian artery، من first part of subclavian
+
+58
+00:05:03,170 --> 00:05:08,610
+artery. عندنا two vertebral arteries. بيصعدوا، بيمروا
+
+59
+00:05:08,610 --> 00:05:15,250
+في الـ transverse foramina of the upper six cervical vertebrae.
+
+60
+00:05:15,250 --> 00:05:19,910
+بعد هيك بيفوتوا في foramen magnum وبتحدوا مع بعض
+
+61
+00:05:19,910 --> 00:05:25,090
+وبيكونوا لنا single artery، وهي basilar artery. في
+
+62
+00:05:25,090 --> 00:05:29,810
+branches للـ vertebral artery. الـ branches بتاعين الـ
+
+63
+00:05:29,810 --> 00:05:32,710
+vertebral artery: anterior spinal arteries،
+
+64
+00:05:32,710 --> 00:05:35,850
+posterior
+
+65
+00:05:35,850 --> 00:05:40,600
+spinal arteries، Posterior inferior cerebellar
+
+66
+00:05:40,600 --> 00:05:45,920
+artery، و medullary branches. وفي branches للـ basilar
+
+67
+00:05:45,920 --> 00:05:51,480
+artery. بيعطينا anterior inferior cerebellar artery،
+
+68
+00:05:51,480 --> 00:05:55,400
+أو بتسمّى AICA. بيعطينا اللي هو internal
+
+69
+00:05:55,400 --> 00:05:59,140
+labyrinthine artery، اللي بنسميه auditory artery،
+
+70
+00:05:59,140 --> 00:06:03,460
+وبيعطينا paramedian branches. بيغذي الـ pons،
+
+71
+00:06:03,460 --> 00:06:08,820
+وبيعطينا superior cerebellar artery، and the last
+
+72
+00:06:08,820 --> 00:06:13,800
+branch is posterior cerebral artery. لأن لو سألنا
+
+73
+00:06:13,800 --> 00:06:17,580
+سؤال: مين هو الـ largest branch من الـ internal
+
+74
+00:06:17,580 --> 00:06:22,540
+carotid artery؟ بيكون middle cerebral artery. من هو
+
+75
+00:06:22,540 --> 00:06:26,420
+الـ largest branch من الـ vertebral artery؟ راح يكون
+
+76
+00:06:26,420 --> 00:06:30,980
+posterior inferior cerebellar artery، أو PICA. من هو
+
+77
+00:06:30,980 --> 00:06:34,380
+الـ largest branch من الـ basilar artery؟ راح
+
+78
+00:06:34,380 --> 00:06:38,920
+يكون posterior cerebral artery. هي واضحة عندي هنا
+
+79
+00:06:38,920 --> 00:06:45,020
+اللي هو vertebral artery. بيخرج من الـ first part of
+
+80
+00:06:45,020 --> 00:06:48,760
+the vertebra، then ascends in the transverse
+
+81
+00:06:48,760 --> 00:06:53,320
+foramina of the upper six cervical vertebrae. هي
+
+82
+00:06:53,320 --> 00:06:57,620
+عندي اللي هو first part of subclavian artery بيكون
+
+83
+00:06:57,620 --> 00:07:03,080
+medial to anterior scalene muscle. بيكون medial للـ
+
+84
+00:07:03,080 --> 00:07:09,040
+anterior scalene muscle. لاحظوا هنا، هيأنا two
+
+85
+00:07:09,040 --> 00:07:16,780
+vertebral arteries. اتحدوا مع بعض، وكونوا ايه؟ single
+
+86
+00:07:16,780 --> 00:07:22,160
+basilar artery.  vertebral artery بيخرج منه branches.
+
+87
+00:07:22,160 --> 00:07:30,380
+أول شيء عندي هنا في اللي هم anterior spinal arteries.
+
+88
+00:07:30,380 --> 00:07:33,760
+بتحدوا مع بعض، وكونوا single anterior spinal
+
+89
+00:07:33,760 --> 00:07:34,740
+artery. هي واحد.
+
+90
+00:07:39,620 --> 00:07:45,580
+Posterior Spinal arteries. PICA
+
+91
+00:07:45,580 --> 00:07:53,000
+PICA PICA
+
+92
+00:07:53,000 --> 00:07:54,300
+PICA PICA PICA PICA PICA PICA PICA PICA
+
+93
+00:07:54,300 --> 00:07:55,280
+PICA PICA PICA PICA PICA PICA PICA PICA
+
+94
+00:07:55,280 --> 00:08:07,860
+PICA PICA PICA
+
+95
+00:08:07,860 --> 00:08:14,020
+بيكون anterior inferior cerebellar artery اللي هو
+
+96
+00:08:14,020 --> 00:08:20,440
+AICA. بعدين بيعطينا labyrinthine artery، اللي بنسميه
+
+97
+00:08:20,440 --> 00:08:25,200
+auditory artery. وهو بيمر، بيدفع ضريبة المرور للـ
+
+98
+00:08:25,200 --> 00:08:30,440
+bones. بيعطي pontine branches. في عندي superior
+
+99
+00:08:33,020 --> 00:08:36,800
+cerebellar artery. وآخر شيء، الـ posterior cerebral artery.
+
+100
+00:08:36,800 --> 00:08:43,880
+الـ basilar artery بيتقسم لـ two posterior
+
+101
+00:08:43,880 --> 00:08:48,620
+cerebral arteries. largest. هذه هي تقسيم الـ vertebral
+
+102
+00:08:48,620 --> 00:08:52,120
+artery و الـ vertebrobasilar artery.
+
+103
+00:09:03,290 --> 00:09:10,070
+The circle of Willis is an arterial anastomosis between
+
+104
+00:09:10,070 --> 00:09:15,590
+nine arteries supplying the brain. Its function is
+
+105
+00:09:15,590 --> 00:09:19,110
+to provide collateral circulation to other branches in cases of
+
+106
+00:09:19,110 --> 00:09:22,250
+occlusion and to connect the carotid system with
+
+107
+00:09:22,250 --> 00:09:26,130
+the vertebrobasilar system. يمكن وظيفة الـ circle of
+
+108
+00:09:26,130 --> 00:09:29,950
+Willis، أو بنسميه Willis formation، أنه يعمل
+
+109
+00:09:29,950 --> 00:09:34,990
+anastomosis between the internal carotid system and
+
+110
+00:09:34,990 --> 00:09:39,130
+the vertebrobasilar system. في حال حدث occlusion في
+
+111
+00:09:39,130 --> 00:09:41,530
+الـ internal carotid أو في الـ branches of internal
+
+112
+00:09:41,530 --> 00:09:44,810
+carotid، الـ vertebrobasilar بيحاول يعوّض، والعكس
+
+113
+00:09:44,810 --> 00:09:49,550
+صحيح. لو حصل ischemia في الـ branches of vertebral
+
+114
+00:09:49,550 --> 00:09:52,970
+artery أو basilar artery، راح يكون الـ internal
+
+115
+00:09:52,970 --> 00:09:56,250
+carotid artery مساعد، بيحاول يعوّضهم. في رسالة
+
+116
+00:09:56,250 --> 00:10:01,290
+الدكتوراه كانت عندي سنة 2001 إلى 2004. درست اللي هو
+
+117
+00:10:01,290 --> 00:10:04,690
+مجموعة مرضى عندهم ischemic stroke في الـ carotid
+
+118
+00:10:04,690 --> 00:10:09,370
+artery، وأثبتنا ب... عن طريق الـ carotid doppler و
+
+119
+00:10:09,370 --> 00:10:14,590
+الـ MRI، increase blood supply و hemodynamic in the
+
+120
+00:10:14,590 --> 00:10:18,390
+vertebrobasilar system in the patients with
+
+121
+00:10:18,390 --> 00:10:23,450
+acute ischemic stroke in carotid arteries in
+
+122
+00:10:23,450 --> 00:10:27,880
+branches of carotid أو internal. من ايه بتتكون الـ
+
+123
+00:10:27,880 --> 00:10:32,060
+circle of Willis أو Willis formation؟ بتتكون من nine
+
+124
+00:10:32,060 --> 00:10:37,580
+arteries: واحد فردي وأربعة أزواج. نشوفهم مع بعض على الـ
+
+125
+00:10:37,580 --> 00:10:47,880
+slide. الفردي: anterior communicating artery. بربط ما
+
+126
+00:10:47,880 --> 00:10:51,640
+بين right و left
+
+127
+00:10:56,660 --> 00:11:02,110
+anterior cerebral artery. من وين بيخرج؟ هاي واحد، صاروا اثنين.
+
+128
+00:11:02,110 --> 00:11:05,710
+ثلاثة. من وين بيخرج؟ anterior cerebral artery من الـ
+
+129
+00:11:05,710 --> 00:11:11,330
+internal carotid artery. صاروا أربعة. خمسة: إلى الخلف
+
+130
+00:11:11,330 --> 00:11:17,630
+باتجاه artery اسمه posterior communicating artery.
+
+131
+00:11:17,630 --> 00:11:21,050
+بيربط
+
+132
+00:11:21,050 --> 00:11:25,810
+الـ internal carotid artery مع اللي هو posterior
+
+133
+00:11:27,100 --> 00:11:31,520
+cerebral artery. صار عددهم ثمانية. تسعة: هذا هو الـ
+
+134
+00:11:31,520 --> 00:11:34,560
+circle of Willis. بتكون من anterior communicating
+
+135
+00:11:34,560 --> 00:11:39,360
+artery واحد، اثنين: anterior cerebral artery، اثنين
+
+136
+00:11:39,360 --> 00:11:42,300
+internal carotid arteries، اثنين posterior
+
+137
+00:11:42,300 --> 00:11:45,980
+communicating arteries، واثنين posterior cerebral
+
+138
+00:11:45,980 --> 00:11:49,760
+arteries. صار عددهم كام؟ تسعة. صار عددهم كام؟ تسعة.
+
+139
+00:11:58,600 --> 00:12:02,700
+هذه كانت كلها مراجعة لسنة ثالثة في موضوع الـ blood
+
+140
+00:12:02,700 --> 00:12:06,500
+supply of the brain. الآن نبدأ المحاضرة لسنة رابعة:
+
+141
+00:12:06,500 --> 00:12:10,980
+cerebrovascular disease. cerebrovascular disease.
+
+142
+00:12:10,980 --> 00:12:16,060
+إيش تعريف stroke؟ إيش تعريف brain attack؟ stroke أو
+
+143
+00:12:16,060 --> 00:12:22,830
+brain attack هو عبارة عن acute sudden focal
+
+144
+00:12:22,830 --> 00:12:28,450
+neurological deficit due to vascular abnormality.
+
+145
+00:12:28,450 --> 00:12:34,770
+the symptoms lasting longer than 24 hours. يبقى أن
+
+146
+00:12:34,770 --> 00:12:41,070
+هم عبارة عن أعراض مفاجئة، تأتي على جهة واحدة، أكثر من
+
+147
+00:12:41,070 --> 00:12:48,190
+نقص في جهاز العصبي، والسبب: مشاكل، اضطرابات في شرايين
+
+148
+00:12:48,190 --> 00:12:54,560
+الدماغ. الأعراض تستمر أكثر من 24 ساعة. هذا هو إجارة
+
+149
+00:12:54,560 --> 00:12:58,320
+الدماغية. يبقى stroke عبارة عن sudden focal
+
+150
+00:12:58,320 --> 00:13:02,800
+neurological deficit due to vascular lesion. the
+
+151
+00:13:02,800 --> 00:13:07,820
+symptoms lasting longer than 24 hours. طيب لو كان الـ
+
+152
+00:13:07,820 --> 00:13:12,860
+symptoms lasting less than 24 hours، إن شاء الله راح
+
+153
+00:13:12,860 --> 00:13:18,920
+أتكلم عنهم بعد كده، بعد شوية. okay. minor stroke. minor
+
+154
+00:13:18,920 --> 00:13:22,840
+stroke نفس الشيء، هو عبارة عن sudden focal
+
+155
+00:13:22,840 --> 00:13:27,640
+neurological deficit due to vascular lesion.  سمّيْتُ
+
+156
+00:13:27,640 --> 00:13:33,520
+اللي عند المريض بتستمر أكثر من 24 ساعة إلى حد أسبوع.
+
+157
+00:13:33,520 --> 00:13:37,400
+يعني بيحدث معه إما أكثر ما في الكلام، أو ضعف في يده
+
+158
+00:13:37,400 --> 00:13:42,100
+من 24 ساعة، بتستمر أكثر من 24 ساعة إلى حد 7 أيام.
+
+159
+00:13:42,100 --> 00:13:47,720
+تقريباً. Lacunar infarction. لاكونار هي عبارة عن small
+
+160
+00:13:47,720 --> 00:13:51,420
+infarction. أقل من 1 سم إلى 1.5 سم. هي
+
+161
+00:13:51,420 --> 00:13:57,620
+عبارة عن area of infarction seen by CT, MRI أو
+
+162
+00:13:57,620 --> 00:14:01,820
+أوتوبسي. وأحياناً المرضى بيجيئون بأعراض lacunar
+
+163
+00:14:01,820 --> 00:14:06,320
+ischemic infarction. بيكون عندهم minor deficit. إيش
+
+164
+00:14:06,320 --> 00:14:09,240
+بيكون عندهم minor deficit؟ يعني المريض بتعرض لجلطة
+
+165
+00:14:09,240 --> 00:14:12,460
+دماغية، فقط بيقول لك: أنا شعرت بضعف في الكلام،
+
+166
+00:14:12,460 --> 00:14:16,420
+لساني ثقيل، يدي رجليّ ميّان ميّان، أو بيجيئك ب hand
+
+167
+00:14:16,420 --> 00:14:23,360
+weakness. هذا بنسميه lacunar infarction. Epidemiology
+
+168
+00:14:23,360 --> 00:14:28,060
+of stroke. 7 مليون stroke في أمريكا كل سنة،
+
+169
+00:14:28,060 --> 00:14:35,570
+7 مليون حالة. 200 ألف recurrence. يعني موضوع الـ
+
+170
+00:14:35,570 --> 00:14:39,810
+recurrence of stroke بيعدل 25%. يعني كل حالات الـ
+
+171
+00:14:39,810 --> 00:14:44,650
+stroke، 25% منهم recurrence. هذا مهم جداً لنعمل
+
+172
+00:14:44,650 --> 00:14:49,910
+secondary prevention للـ stroke. حالة جديدة كل 40
+
+173
+00:14:49,910 --> 00:14:54,210
+ثانية في أمريكا. كل 40 ثانية حالة جديدة. يعتبر the
+
+174
+00:14:54,210 --> 00:15:00,190
+third leading cause of death. 175 ألف حالة منهم
+
+175
+00:15:00,190 --> 00:15:05,190
+بتوفوا خلال سنة. يعني 25% من الحالات تقريباً بتوفوا
+
+176
+00:15:05,190 --> 00:15:10,390
+خلال السنة الأولى. كل أربع دقائق حالة بتتوفى من
+
+177
+00:15:10,390 --> 00:15:16,190
+مشاكل الـ stroke. يعتبر leading cause of long-term
+
+178
+00:15:16,190 --> 00:15:21,890
+disability. مهم جداً في الـ adult، وبيعطينا حاجة اسمها
+
+179
+00:15:21,890 --> 00:15:26,340
+permanent disability. الآن هو الـ incidence في
+
+180
+00:15:26,340 --> 00:15:32,940
+بريطانيا حوالي 150 إلى 200 حالة لكل 100 ألف نسمة في
+
+181
+00:15:32,940 --> 00:15:39,460
+العالم. كل سنة يتم إحصاء حوالي 15 مليون حالة stroke
+
+182
+00:15:39,460 --> 00:15:48,140
+وأكثر من 5 مليون حالة stroke في العالم. الآن راح
+
+183
+00:15:48,140 --> 00:15:56,780
+نتجه لموضوع اللي هو risk factors of ischemic stroke.
+
+184
+00:15:56,780 --> 00
+
+223
+00:18:25,840 --> 00:18:28,760
+زوري وإذا عندي مشاكل في الدهون أنزلها أمارس
+
+224
+00:18:28,760 --> 00:18:32,720
+الرياضة، obesity، أعمل diet، بلاش طول اليوم ناكل نضن
+
+225
+00:18:32,720 --> 00:18:37,180
+أكل طول اليوم أكل.. أكل وبدون حركة، يعني أكل و
+
+226
+00:18:37,180 --> 00:18:41,000
+مرة وقليل صنعة، يبقى أن هذا ما بيصير، هذا بنفع برفع
+
+227
+00:18:41,000 --> 00:18:45,980
+الوزن، وإذا ارتفع الوزن زادت المشاكل، carotid
+
+228
+00:18:45,980 --> 00:18:48,840
+disease، مشاكل الـ carotid artery لما يكون
+
+229
+00:18:48,840 --> 00:18:51,800
+atherosclerosis والـ stenosis في الـ carotid artery
+
+230
+00:18:51,800 --> 00:18:57,120
+راح يزود الـ risk of stroke، physical inactivity و
+
+231
+00:18:57,120 --> 00:19:00,670
+اللي اليوم إحنا بنعاني منها كتير، اللي هي طول الوقت
+
+232
+00:19:00,670 --> 00:19:04,710
+إحنا قاعدين ما فيش حركة، ما فيش رياضة، قلة الرياضة هذا
+
+233
+00:19:04,710 --> 00:19:09,510
+مهم جداً الـ hyper-coagulation في بعض الحالات عندهم
+
+234
+00:19:09,510 --> 00:19:12,670
+hyper-coagulation، أمراض بتسبب hyper-coagulation أو
+
+235
+00:19:12,670 --> 00:19:17,010
+عندهم وراثياً في مشاكل في الـ coagulation، drug abuse،
+
+236
+00:19:17,010 --> 00:19:21,690
+الناس اللي بياخدوا، بيشربوا مخدرات، اللي بياخدوا
+
+237
+00:19:21,690 --> 00:19:24,390
+cocaine وكوكا، وحاجات زي هيك، هذا كله يعتبر risk
+
+238
+00:19:24,390 --> 00:19:29,210
+factor لموضوع الـ stroke، الـ heavy alcohol use، الحمد
+
+239
+00:19:29,210 --> 00:19:32,370
+لله، يعني قليل عنها في بلاد أوروبا، أكتر موضوع الـ
+
+240
+00:19:32,370 --> 00:19:37,250
+alcohol use، hormone replacement therapy، ستات اللي
+
+241
+00:19:37,250 --> 00:19:41,630
+بياخدوا هرمونات، وoral contraceptive، أقراص مانع
+
+242
+00:19:41,630 --> 00:19:46,490
+الحمل، أقراص مانع الحمل بيزود الـ calculation و
+
+243
+00:19:46,490 --> 00:19:50,290
+بيزود الـ risk of stroke and cardiovascular disease
+
+244
+00:19:53,250 --> 00:19:58,390
+visual disease risk factors، العوامل من ناحية إيش
+
+245
+00:19:58,390 --> 00:20:01,210
+الشرايين، إيش اللي بيصيب الشرايين، الأمراض
+
+246
+00:20:01,210 --> 00:20:06,370
+atherosclerosis، تصلب الشرايين، dissection، الإنسلاخ
+
+247
+00:20:06,370 --> 00:20:11,730
+بتاع الشريان، arthritis، اللي هو التهاب الشرايين
+
+248
+00:20:11,730 --> 00:20:17,490
+vasculitis، fibromuscular dysplasia، لما يكون فيه
+
+249
+00:20:17,490 --> 00:20:23,010
+اعتلال في الجدار بتاع الشرايين، تشوهات تحدث فيهم،
+
+250
+00:20:23,010 --> 00:20:26,150
+non-inflammatory vasculopathy، ممكن تكون هذه الـ
+
+251
+00:20:26,150 --> 00:20:30,130
+vasculopathy مع systemic disease مثل بهجت disease
+
+252
+00:20:30,130 --> 00:20:35,950
+مثل SLE، اللي هي الدئبة الحمراء، Vasoconstriction
+
+253
+00:20:35,950 --> 00:20:40,150
+أيام دراسة طب سنة ستة وتسعين، كنا أنا كنت في سنة
+
+254
+00:20:40,150 --> 00:20:44,430
+رابعة طب، سنة ستة وتسعين، كانوا لما يعطونا موضوع
+
+255
+00:20:44,430 --> 00:20:48,150
+الجلطات الدماغية وأسبابها، يقولك Vasospasm،
+
+256
+00:20:48,150 --> 00:20:51,170
+Vasoconstriction، السبب الرئيسي، اليوم هذه الـ theory
+
+257
+00:20:51,170 --> 00:20:57,360
+اتنحت، فجأة الـ vasoconstriction فقط بنشهدها في
+
+258
+00:20:57,360 --> 00:21:01,160
+حالات subarachnoid hemorrhage، في حال أنه حدث نزيف
+
+259
+00:21:01,160 --> 00:21:04,380
+تحت الأم العنكبوتية، من الـ complications of
+
+260
+00:21:04,380 --> 00:21:08,320
+subarachnoid hemorrhage، يعتبر vasoconstriction one
+
+261
+00:21:08,320 --> 00:21:12,500
+of the complications of subarachnoid hemorrhage is
+
+262
+00:21:12,500 --> 00:21:19,060
+vasospasm and vasoconstriction due to bleeding and
+
+263
+00:21:19,060 --> 00:21:21,240
+due to severe headache
+
+264
+00:21:25,050 --> 00:21:29,030
+طلعوا ما شاء الله، high risk cardiac source for
+
+265
+00:21:29,030 --> 00:21:33,330
+embolic stroke، قد إيش مشاكل في القلب بتصيب الدماغ و
+
+266
+00:21:33,330 --> 00:21:37,350
+بتأثر على الدماغ وبتعملنا جلطات، لذلك لازم يكون
+
+267
+00:21:37,350 --> 00:21:42,570
+عندنا رعاية ممتازة للقلب، atrial fibrillation،
+
+268
+00:21:44,030 --> 00:21:47,730
+Rheumatic mitral or aortic valve disease، الناس
+
+269
+00:21:47,730 --> 00:21:50,790
+اللي حاطين إيه، مغيرين الصمام وراكبين إيه
+
+270
+00:21:50,790 --> 00:21:53,490
+mechanical valve، هذول راكبين mechanical valve،
+
+271
+00:21:53,490 --> 00:21:57,210
+ضروري ياخدوا anticoagulant، لأنه لو ما أخدوش
+
+272
+00:21:57,210 --> 00:21:59,870
+anticoagulant بتصير thrombus على الـ metallic valve،
+
+273
+00:21:59,870 --> 00:22:04,550
+لكن الناس اللي مغيرين صمام بيولوجي، صمام من الخنزير
+
+274
+00:22:04,550 --> 00:22:07,730
+وكده، هذول ما بيحتاجوش warfarin، اللي بيحتاجوا
+
+275
+00:22:07,730 --> 00:22:12,840
+warfarin اللي حاطين صمام معدني، أو metallic valve، أو
+
+276
+00:22:12,840 --> 00:22:17,360
+mechanical، نسميها atrial or ventricular thrombus،
+
+277
+00:22:17,360 --> 00:22:22,860
+recent myocardial infarction، cardiomyopathy with
+
+278
+00:22:22,860 --> 00:22:25,140
+low ejection fraction، لما يكون الـ ejection
+
+279
+00:22:25,140 --> 00:22:31,220
+fraction أقل من 30%، Endocarditis، إما non-bacterial
+
+280
+00:22:31,220 --> 00:22:34,920
+endocarditis، في حالات systemic disease مثل بهجت،
+
+281
+00:22:34,920 --> 00:22:38,920
+مثل antiphospholipid syndrome، مثل SLE، الدئبة
+
+282
+00:22:38,920 --> 00:22:44,940
+الحمراء، أو يكون bacterial endocarditis ناتج عن
+
+283
+00:22:44,940 --> 00:22:48,780
+infection، left atrium، eczema، يوم من الأيام دخلت هنا
+
+284
+00:22:48,780 --> 00:22:52,930
+مريضة في العشرينات، young، كانت يعني مش middle age،
+
+285
+00:22:52,930 --> 00:22:57,630
+نعتبره stroke، لا عندها hypertension، ولا DM، ولا في
+
+286
+00:22:57,630 --> 00:23:01,510
+AF، طلبنا لها echocardiography، وجدنا عندها ورم
+
+287
+00:23:01,510 --> 00:23:05,510
+ميّزُومَة في الـ left atrium، في الـ left atrium، وهذا
+
+288
+00:23:05,510 --> 00:23:08,330
+هو السبب اللي هي thrombus، وسبب اللي هي ischemic
+
+289
+00:23:08,330 --> 00:23:13,380
+infarction، Coronary Artery Bypass Graft، الناس اللي
+
+290
+00:23:13,380 --> 00:23:16,820
+عاملين عملية CABG، أثناء عملية الـ CABG، دكتور
+
+291
+00:23:16,820 --> 00:23:20,380
+جراح بيوقعك على ورقة، أو أهل المريض، أنه إذا حدث
+
+292
+00:23:20,380 --> 00:23:23,520
+معاه جلطة دماغية، أنا مش مسؤول عنها، ليه؟ لأنه أثناء
+
+293
+00:23:23,520 --> 00:23:27,200
+العملية، ممكن يكون detachment لـ fragment of a
+
+294
+00:23:27,200 --> 00:23:30,320
+plaque موجودة في الـ heart، أو thrombus، أو كده،
+
+295
+00:23:30,320 --> 00:23:33,900
+ويعمل inclusion في الـ distal cerebral arteries،
+
+296
+00:23:36,500 --> 00:23:40,080
+Blood Disorder Risk Factors، في عوامل مساعدة من
+
+297
+00:23:40,080 --> 00:23:44,680
+ناحية الـ blood مثل إيه؟ Sickle Cell Anemia، الناس
+
+298
+00:23:44,680 --> 00:23:48,240
+اللي عندهم إيه؟ Sickle Cell Anemia، Polycythemia
+
+299
+00:23:48,240 --> 00:23:53,140
+Vera، الناس اللي عندهم ارتفاع في الـ hemoglobin،
+
+300
+00:23:53,140 --> 00:23:55,960
+وارتفاع الـ platelet، وهكذا، Essential
+
+301
+00:23:55,960 --> 00:23:59,140
+Thrombocytosis، الناس اللي عندهم ارتفاع في الصفائح
+
+302
+00:23:59,140 --> 00:23:59,700
+الدموية،
+
+303
+00:24:02,540 --> 00:24:10,860
+الناس اللي عندهم نقص في protein C وS، الناس
+
+304
+00:24:10,860 --> 00:24:13,740
+اللي عندهم نقص في protein C وS، الناس اللي عندهم
+
+305
+00:24:13,740 --> 00:24:15,380
+نقص في protein C وS، الناس اللي عندهم نقص في
+
+306
+00:24:15,380 --> 00:24:15,640
+protein C وS، الناس اللي عندهم نقص في protein C وS
+
+307
+00:24:15,640 --> 00:24:17,260
+الناس اللي عندهم نقص في protein C وS، الناس اللي
+
+308
+00:24:17,260 --> 00:24:17,320
+protein C وS، الناس اللي عندهم نقص في protein C وS
+
+309
+00:24:17,320 --> 00:24:17,980
+عندهم نقص في protein C وS، الناس اللي عندهم نقص في
+
+310
+00:24:17,980 --> 00:24:19,940
+protein C وS، الناس اللي عندهم نقص في protein C وS
+
+311
+00:24:19,940 --> 00:24:26,840
+الناس اللي عندهم نقص في protein C وS، الناس
+
+312
+00:24:26,840 --> 00:24:30,980
+اللي عندهم نقص في protein C وأنا راح أتكلم على
+
+313
+00:24:30,980 --> 00:24:34,220
+أنواع الجلطات الدماغية، إيش أنواع الجلطات
+
+314
+00:24:34,220 --> 00:24:38,620
+الدماغية؟ الجلطات الدماغية في نوعين، إما ischemic
+
+315
+00:24:38,620 --> 00:24:44,960
+stroke وإما hemorrhagic stroke، ومحاضرتنا اللي هي
+
+316
+00:24:44,960 --> 00:24:48,240
+محاضرة الأسبوع الثالث، راح تكون جزءين من المحاضرة
+
+317
+00:24:48,240 --> 00:24:52,430
+راح نتكلم على ischemic stroke، محاضرة الأسبوع الرابع
+
+318
+00:24:52,430 --> 00:24:55,430
+راح يكون فيها محاضرة على، كومة أوي، محاضرة على
+
+319
+00:24:55,430 --> 00:24:59,890
+hemorrhagic stroke، okay، ischemic stroke، تقريباً من
+
+320
+00:24:59,890 --> 00:25:04,190
+ثمانين لخمسة وثمانين في المئة، هذا ischemic stroke،
+
+321
+00:25:04,190 --> 00:25:09,030
+من ثمانين لخمسة وثمانين في المئة، hemorrhagic
+
+322
+00:25:09,030 --> 00:25:13,990
+stroke بياخد من خمسة عشر لعشرين في المئة، اللي هو
+
+323
+00:25:13,990 --> 00:25:17,590
+إيه، hemorrhagic stroke، ischemic stroke له أنواع
+
+324
+00:25:17,590 --> 00:25:23,980
+thrombotic، embolic، lacunar، hemodynamic، هتكلم عنهم
+
+325
+00:25:23,980 --> 00:25:30,640
+طيب، hemorrhagic stroke له نوعين، intracerebral و
+
+326
+00:25:30,640 --> 00:25:34,220
+intracerebral hematoma، وفي subarachnoid
+
+327
+00:25:34,220 --> 00:25:38,040
+hemorrhage، هذا الموضوع ما هنتكلم عليه اليوم، هتكلم في
+
+328
+00:25:38,040 --> 00:25:43,620
+الأسبوع الرابع عنه، الـ hemorrhagic stroke ناتج عن
+
+329
+00:25:43,620 --> 00:25:46,520
+rupture of the artery، يعني الـ hemorrhagic stroke
+
+330
+00:25:46,520 --> 00:25:53,210
+إيش حدث؟ حدث rupture في الوعاء، البلد خرج من الـ
+
+331
+00:25:53,210 --> 00:25:58,470
+blood vessels، وعملنا إما نزيف، إذا البلد أو الوعاء
+
+332
+00:25:58,470 --> 00:26:01,230
+اللي كان في الـ brain، تشوف بيعمل intracerebral أو
+
+333
+00:26:01,230 --> 00:26:05,050
+intracerebellar، طب وإذا حدث rupture للـ blood
+
+334
+00:26:05,050 --> 00:26:08,850
+vessels، مثل أنوريزم في الـ subarachnoid space، رح
+
+335
+00:26:08,850 --> 00:26:13,210
+يؤدي إلى subarachnoid hemorrhage، طب الـ ischemic
+
+336
+00:26:13,210 --> 00:26:17,950
+stroke، ischemic stroke لإ inadequate bleeding، أما
+
+337
+00:26:17,950 --> 00:26:23,330
+حدث انسداد في الشريان عن طريق أن، سكرّت شريانه،
+
+338
+00:26:23,330 --> 00:26:29,010
+واما حدث atherosclerosis، وزاد تصلب الشرايين، لما
+
+339
+00:26:29,010 --> 00:26:33,390
+إيه، عمل انسداد في الشريان، عمل انسداد في الشريان،
+
+340
+00:26:33,390 --> 00:26:37,710
+يبقى هذا اللي هو ischemic stroke، اليوم راح نكمل
+
+341
+00:26:37,710 --> 00:26:40,850
+محاضرتنا في موضوع ischemic stroke،
+
+342
+00:26:49,690 --> 00:26:55,570
+هي لاحظوا هنا، في حال حدث اللي هو rupture في الـ
+
+343
+00:26:55,570 --> 00:26:59,950
+artery، بيؤدي إلى subarachnoid hemorrhage أو
+
+344
+00:26:59,950 --> 00:27:04,520
+intracerebral hematoma، هنا حدث صَـدَمٌ رَكَنُويدٌ عَصَبِيّ،
+
+345
+00:27:04,520 --> 00:27:08,720
+المثال، حدث هنا أن rupture في الـ penetrating artery
+
+346
+00:27:08,720 --> 00:27:12,320
+في الـ brain tissue، أدى إلى إيه؟ intracerebral
+
+347
+00:27:12,320 --> 00:27:17,000
+hematoma، لكن لاحظوا لي هنا فيه stenosis، severe
+
+348
+00:27:17,000 --> 00:27:20,840
+stenosis، atherosclerosis، تصلب في الشريان، وحدث
+
+349
+00:27:20,840 --> 00:27:24,840
+انسداد في الشريان، رح يؤدي إلى ischemic infarction،
+
+350
+00:27:24,840 --> 00:27:27,240
+رح يؤدي إلى إيه؟ ischemic infarction،
+
+351
+00:27:29,730 --> 00:27:32,810
+Cerebrovascular disease، Ischemic cerebrovascular
+
+352
+00:27:32,810 --> 00:27:36,970
+disease، أو بنسمي Ischemic cerebrovascular accident،
+
+353
+00:27:36,970 --> 00:27:41,910
+ممكن تسمعوا الـ CVA أو الـ CVD، Carotid ischemic
+
+354
+00:27:41,910 --> 00:27:45,490
+stroke، 80%، يعني الـ ischemic stroke بيحدث في الـ
+
+355
+00:27:45,490 --> 00:27:50,290
+carotid artery بنسبة 80%، في الـ vertebrobasilar
+
+356
+00:27:50,290 --> 00:27:52,610
+system في 20%،
+
+357
+00:27:56,970 --> 00:28:00,190
+نتكلم الآن على شيء اسمه ischemic penumbra، ischemic
+
+358
+00:28:00,190 --> 00:28:03,250
+penumbra،
+
+359
+00:28:03,250 --> 00:28:10,070
+ischemic penumbra هي عبارة عن إيه، border zone، هذه
+
+360
+00:28:10,070 --> 00:28:14,450
+dead tissue، وهنا
+
+361
+00:28:14,450 --> 00:28:19,150
+potentially viable tissue، وهنا viable tissue، يعني
+
+362
+00:28:19,150 --> 00:28:24,430
+هذه الخلايا الحمراء، هذه سليمة، والرمادي هذه ميتة،
+
+363
+00:28:24,430 --> 00:28:30,570
+خلايا ميتة، واللي بينهم الأزرق، هذه حدث فيها
+
+364
+00:28:30,570 --> 00:28:35,130
+ischemia، لكن لسه تماماً ما اتشكلت فيها schema، لسه
+
+365
+00:28:35,130 --> 00:28:39,850
+تماماً ما اتشكلت، هذه بنسميها ischemic penumbra أو
+
+366
+00:28:39,850 --> 00:28:45,830
+potentially viable tissue، إذا دخلنا صح وعالجنا
+
+367
+00:28:45,830 --> 00:28:48,870
+المريض صح، ممكن هذه الـ potentially viable tissue
+
+368
+00:28:48,870 --> 00:28:52,450
+هذه الـ tissue ما حد راح يغيرها، خلاص ماتت، ما حد راح
+
+369
+00:28:52,450 --> 00:28:55,370
+يعمل فيها شيء، لكن الـ potentially viable tissue هذه
+
+370
+00:28:55,370 --> 00:29:01,390
+ممكن أحولها لـ viable tissue، وده أنا الشغل كان مش
+
+371
+00:29:01,390 --> 00:29:05,870
+مظبوط، واتعملت خطأ مع المريض، روحت نزلت دغته بسرعة،
+
+372
+00:29:05,870 --> 00:29:10,060
+روحت.. نزلت الـ cerebral perfusion، رح أحولها من
+
+373
+00:29:10,060 --> 00:29:12,780
+potential viable tissue لـ dead tissue، لـ dead
+
+374
+00:29:12,780 --> 00:29:15,800
+tissue، يبقى إيش هي الـ potential viable tissue هذه؟
+
+375
+00:29:15,800 --> 00:29:19,820
+أو الـ ischemic penumbra، هي عبارة عن border zone،
+
+376
+00:29:19,820 --> 00:29:23,580
+إيش border zone، reversible area، يعني إيش
+
+377
+00:29:23,580 --> 00:29:26,900
+reversible area، يعني ممكن ترجع لحياتها الطبيعية،
+
+378
+00:29:26,900 --> 00:29:31,340
+تمام، نقص تروية حدث فيها، لسه ما ماتتش، لكن ممكن ترجع
+
+379
+00:29:31,340 --> 00:29:34,600
+لطبيعتها، يعني هي عبارة عن reversible، reversible
+
+380
+00:29:34,600 --> 00:29:38,950
+area that surround the ischemic area، يبقى أن هي
+
+381
+00:29:38,950 --> 00:29:42,530
+محيطة بالـ dead area، بالـ area اللي فيها dead tissue،
+
+382
+00:29:42,530 --> 00:29:48,150
+أكتر، يعني ischemic area، صح نقول surround the dead
+
+383
+00:29:48,150 --> 00:29:54,380
+tissue area in which there is reduced blood flow،
+
+384
+00:29:54,380 --> 00:29:59,320
+يعني إيه؟ في نقص الـ blood flow، لكن لو رجعت حسنت الـ
+
+385
+00:29:59,320 --> 00:30:03,580
+blood supply خلال ثلاث ساعات، اليوم نتكلم لحد حتة
+
+386
+00:30:03,580 --> 00:30:08,620
+أربع ساعات ونصف، لحد ست ساعات كمان، راح تحولها من
+
+387
+00:30:08,620 --> 00:30:12,400
+potentially viability show، أو من ischemic penumbra،
+
+388
+00:30:12,400 --> 00:30:17,720
+لـ viability show، لخلايا سليمة، okay، ischemic stroke،
+
+389
+00:30:17,720 --> 00:30:19,380
+ischemic stroke،
+
+390
+00:30:23,380 --> 00:30:28,600
+is the result of inadequate blood flow، يبقى أن هو
+
+391
+00:30:28,600 --> 00:30:35,520
+ناتج عن إيه؟ عن inadequate blood flow to brain due
+
+392
+00:30:35,520 --> 00:30:40,400
+to partial or complete occlusion of an artery، يبقى
+
+393
+00:30:40,400 --> 00:30:45,040
+أن ischemic stroke هو عبارة عن إيه؟ inadequate
+
+394
+00:30:45,040 --> 00:30:49,740
+blood flow، في نقص في الـ cerebral blood supply due
+
+395
+00:30:49,740 --> 00:30:55,840
+to partial or complete occlusion of an artery، ناتج
+
+396
+00:30:55,840 --> 00:31:01,820
+عن انسداد جزء أو كل في الشريان، أنواع ischemic
+
+397
+00:31:01,820 --> 00:31:07,630
+stroke، فيه نوع اسمه thrombotic stroke، فيه نوع اسمه
+
+398
+00:31:07,630 --> 00:31:12,990
+embolic stroke، فيه نوع اسمه lacunar stroke، وفي نوع
+
+399
+00:31:12,990 --> 00:31:18,790
+اسمه hemodynamic stroke، أو بنسميه watershed
+
+400
+00:
+
+445
+00:34:32,950 --> 00:34:38,110
+infarction small infarction بيكونوا إيه؟ small هو
+
+446
+00:34:38,110 --> 00:34:41,950
+واضح؟ يبقى الإنفار كشن راح يكون الإنفار كشن small مادام
+
+447
+00:34:41,950 --> 00:34:46,530
+الإنفار كشن small يبقى الـ neurological deficit راح
+
+448
+00:34:46,530 --> 00:34:50,850
+يكون إيه؟ راح يكون الـ neurological deficit minor
+
+449
+00:34:50,850 --> 00:34:53,990
+minor neurological deficit يبقى هذا اللي لكه
+
+450
+00:34:53,990 --> 00:34:57,590
+الإنفار كشن عبارة عن عشرة في المئة من حالات ischemic
+
+451
+00:34:57,590 --> 00:35:01,950
+stroke. Occlusion of deep penetrating arteries زي ما
+
+452
+00:35:01,950 --> 00:35:05,010
+اتكلمنا ناتجة عن hypertension دي انفاسكوليتس
+
+453
+00:35:05,010 --> 00:35:09,570
+والإسكيميك إنفار كشن راح يكون small ومدام هو small
+
+454
+00:35:09,570 --> 00:35:13,210
+راح يكون عندنا minor neurologic deficit motor
+
+455
+00:35:13,210 --> 00:35:18,510
+sensory speech وهكذا هذا الـ hemodynamic stroke
+
+456
+00:35:18,510 --> 00:35:23,070
+راح نتكلم عنه لأنه مهم جدا بنسميه watershed
+
+457
+00:35:23,070 --> 00:35:29,490
+syndrome. watershed إسكيميك ستروك ناتج عن cerebral
+
+458
+00:35:29,490 --> 00:35:36,190
+hypoperfusion نقص في التروية in the most distal
+
+459
+00:35:36,190 --> 00:35:39,890
+arteries. هذا النوع ممكن الدكتور يدخل المريض في
+
+460
+00:35:39,890 --> 00:35:45,330
+جلطة منه، كيف؟ مريض أجاك على استقبال، أعراض بداية
+
+461
+00:35:45,330 --> 00:35:50,050
+جلطة، ربنا تدخل وأعطاه compensation، رفع له ضغط
+
+462
+00:35:50,050 --> 00:35:53,810
+المريض، عشان يعوض النقص، نقص الشريان يعوضه بارتفاع
+
+463
+00:35:53,810 --> 00:35:58,550
+الضغط، أنا بشبهه، حط هنا حصوة صغيرة في باربيش مايا
+
+464
+00:35:59,420 --> 00:36:03,840
+فتحنا المية شئ بسيط الحصوة راح تظل مكانها لكن لو
+
+465
+00:36:03,840 --> 00:36:06,680
+فتحنا المية الضغط عالينا ممكن يمشيها يحركها
+
+466
+00:36:06,680 --> 00:36:10,760
+يفتفتها ويمشي المية وهذا نفس الشيء في الـ blood لو
+
+467
+00:36:10,760 --> 00:36:15,260
+الضغط دلوقت عالي ممكن يفتح شرايين تانية يعوض عن
+
+468
+00:36:15,260 --> 00:36:20,860
+طريق collateral blood supply يحسن عن طريق الـ wells
+
+469
+00:36:20,860 --> 00:36:27,540
+formation. في حال الدكتور أتعسر ونزل ضغط المريض راح
+
+470
+00:36:27,540 --> 00:36:30,740
+إيه؟ يزيد الـ ischemic infarction؟ راح يحول الـ
+
+471
+00:36:30,740 --> 00:36:34,760
+ischemic بنمرة من potentially viable tissue لدى الـ
+
+472
+00:36:34,760 --> 00:36:38,320
+tissue. يكون في الحالة هذه ما نستعجلش وننزل الضغط
+
+473
+00:36:38,320 --> 00:36:41,580
+إذا كان hemorrhagic okay ممكن ننزل، إذا كان نزيف،
+
+474
+00:36:41,580 --> 00:36:44,980
+لكن إذا كان ischemic لأ ما نستعجل في تنزيل الضغط و
+
+475
+00:36:44,980 --> 00:36:47,900
+لو اضطرينا ننزله ولازم كان ينزل ضغط المريض
+
+476
+00:36:47,900 --> 00:36:52,060
+gentle reduction، ننزله ببطء مش بسرعة
+
+477
+00:36:54,740 --> 00:36:57,680
+can produce bilateral neurological symptoms.
+
+478
+00:36:57,680 --> 00:37:02,380
+الأعراض ممكن تكون هنا bilateral لأن هذا يعتبر
+
+479
+00:37:02,380 --> 00:37:05,420
+systemic hyperperfusion. الهيبوتنشن راح يأثر على الـ
+
+480
+00:37:05,420 --> 00:37:09,220
+right وعلى الـ left لكن ممكن يعطينا unilateral
+
+481
+00:37:09,220 --> 00:37:12,740
+symptoms. ممكن يعطي unilateral symptoms كيف مريض
+
+482
+00:37:12,740 --> 00:37:15,840
+عنده شريان فيه انسداد في الشريان 60% على اليمين
+
+483
+00:37:15,840 --> 00:37:20,080
+internal carotid arteriosclerosis وعلى الشمال 10% هم
+
+484
+00:37:20,080 --> 00:37:24,620
+عايش وcompensated. الصورة المريض يدخل في severe
+
+485
+00:37:24,620 --> 00:37:29,080
+hypotension. نزل ضغط بسرعة كتير، مين راح يتأثر؟
+
+486
+00:37:29,080 --> 00:37:31,880
+الجهة اللي فيها انسداد 60% ولا الجهة اللي فيها
+
+487
+00:37:31,880 --> 00:37:35,220
+انسداد 10%؟ أكيد الجهة اللي فيها انسداد 60%، في
+
+488
+00:37:35,220 --> 00:37:41,420
+الحالة هذه راح يعطينا unilateral symptoms. what's
+
+489
+00:37:41,420 --> 00:37:43,220
+the cause of
+
+490
+00:37:47,050 --> 00:37:52,150
+severe dehydration. يعني جفاف واحد عنده
+
+491
+00:37:52,150 --> 00:37:58,170
+gastroenteritis مع دياريا. operation under general
+
+492
+00:37:58,170 --> 00:38:04,010
+anesthesia. العملية تحت تدخل الـ بنج الكامل
+
+493
+00:38:04,010 --> 00:38:07,650
+aggressive management of pulmonary edema أو
+
+494
+00:38:07,650 --> 00:38:10,450
+hypertensive crisis. الناس اللي عندهم ضغط عالي و
+
+495
+00:38:10,450 --> 00:38:13,530
+نزلناه فجأة مشكلة الناس اللي عندهم pulmonary ديما
+
+496
+00:38:13,530 --> 00:38:17,330
+راح ياخدوا furosemide أو لازيكس هذا يعتبر إيه؟
+
+497
+00:38:18,060 --> 00:38:23,880
+diuretic. ممكن أنزل الضغط فجأة وأعمل جفاف في جسم
+
+498
+00:38:23,880 --> 00:38:27,020
+المريض وفي الحالة دخل المريض في stroke  ونسميه
+
+499
+00:38:27,020 --> 00:38:30,620
+hemodynamic stroke. cardio respiratory arrest الناس
+
+500
+00:38:30,620 --> 00:38:35,460
+اللي بتوفوا وبيحصل توقف للقلب في بداية بيحصل توقف
+
+501
+00:38:35,460 --> 00:38:39,160
+للقلب ممكن ينعش المريض يعمل عملية إنعاش للقلب و
+
+502
+00:38:39,160 --> 00:38:43,180
+يرجع يعيش. هذا في الحالة هذه ممكن يكون عند المريض
+
+503
+00:38:43,180 --> 00:38:46,800
+حدث bilateral ischemic infarction أو hemodynamic
+
+504
+00:38:46,800 --> 00:38:53,580
+stroke أو بنسميه brain anoxia. إن شاء الله في الجزء
+
+505
+00:38:53,580 --> 00:38:56,860
+الثاني من المحاضرة راح نكمل اللي هو transient
+
+506
+00:38:56,860 --> 00:39:01,760
+ischemic attack ونتحدث على الـ management and
+
+507
+00:39:01,760 --> 00:39:04,760
+treatment of ischemic stroke. يعطيكم العلم
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/-X1IADcJUvc_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/-X1IADcJUvc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..75911600f57c080e27c6d446deb553fe69516ebc
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/-X1IADcJUvc_raw.json
@@ -0,0 +1 @@
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"end": 34.95, "word": " والـ", "probability": 0.664794921875}, {"start": 34.95, "end": 35.41, "word": " Median", "probability": 0.881591796875}, {"start": 35.41, "end": 37.77, "word": " وقلنا", "probability": 0.8201904296875}, {"start": 37.77, "end": 37.93, "word": " إن", "probability": 0.56005859375}, {"start": 37.93, "end": 38.13, "word": " الـ", "probability": 0.802978515625}, {"start": 38.13, "end": 38.55, "word": " Median", "probability": 0.892822265625}, {"start": 38.55, "end": 39.55, "word": " بيستخدم", "probability": 0.9341796875}, {"start": 39.55, "end": 39.79, "word": " في", "probability": 0.9384765625}, {"start": 39.79, "end": 39.95, "word": " الـ", "probability": 0.92626953125}, {"start": 39.95, "end": 40.07, "word": " two", "probability": 0.54345703125}, {"start": 40.07, "end": 40.59, "word": " groups", "probability": 0.87939453125}, {"start": 40.59, "end": 41.09, "word": " or", "probability": 0.87841796875}, {"start": 41.09, "end": 41.51, "word": " more", "probability": 0.962890625}, {"start": 41.51, "end": 43.97, "word": " هنتكلم", "probability": 0.8448486328125}, {"start": 43.97, "end": 44.15, "word": " إن", "probability": 0.66015625}, {"start": 44.15, "end": 44.33, "word": " شاء", "probability": 0.991943359375}, {"start": 44.33, "end": 44.71, "word": " الله", "probability": 0.96484375}, {"start": 44.71, "end": 45.25, "word": " على", "probability": 0.49462890625}, {"start": 45.25, "end": 46.17, "word": " ال", "probability": 0.412353515625}, {"start": 46.17, "end": 46.37, "word": " cross", "probability": 0.3359375}, {"start": 46.37, "end": 46.83, "word": "-calculus", "probability": 0.559814453125}, {"start": 46.83, "end": 47.35, "word": " test", "probability": 0.93359375}, {"start": 47.35, "end": 48.13, "word": " اللي", "probability": 0.940185546875}, {"start": 48.13, "end": 48.87, "word": " يستخدم", "probability": 0.9688720703125}, {"start": 48.87, "end": 49.29, "word": " في", "probability": 0.9853515625}, {"start": 49.29, "end": 50.03, "word": " حالة", "probability": 0.99658203125}, {"start": 50.03, "end": 50.41, "word": " لما", "probability": 0.888671875}, {"start": 50.41, "end": 50.85, "word": " بتكون", "probability": 0.945068359375}, {"start": 50.85, "end": 51.51, "word": " عندنا", "probability": 0.94677734375}, {"start": 51.51, "end": 52.27, "word": " more", "probability": 0.87939453125}, {"start": 52.27, "end": 52.89, "word": " than", "probability": 0.9658203125}, {"start": 52.89, "end": 54.55, "word": " two", "probability": 0.86279296875}, {"start": 54.55, "end": 55.15, "word": " category", "probability": 0.6455078125}, {"start": 55.15, "end": 55.69, "word": " أو", "probability": 0.7626953125}, {"start": 55.69, "end": 56.09, "word": " three", "probability": 0.83642578125}, {"start": 56.09, "end": 56.65, "word": " category", "probability": 0.7236328125}, {"start": 56.65, "end": 57.01, "word": " or", "probability": 0.947265625}, {"start": 57.01, "end": 57.41, "word": " less", "probability": 0.93896484375}, {"start": 57.41, "end": 57.97, "word": " in", "probability": 0.93359375}, {"start": 57.97, "end": 58.29, "word": " a", "probability": 0.65185546875}, {"start": 58.29, "end": 58.67, "word": " qualitative", "probability": 0.95458984375}, {"start": 58.67, "end": 59.59, "word": " variable", "probability": 0.9208984375}], "temperature": 1.0}, {"id": 3, "seek": 8761, "start": 60.75, "end": 87.61, "text": "الـ Variable التاني بيكون Quantitative Variable كمان إنه في هذا اللقاء هنتكلم علي Fredman's Test وKai-Sukuiya Test وMacNamara Test وSperman Correlation حقيقة في الـ non-parametric test لما يكونوا أكتر من three group أو three group or more في أكتر من اختبار", "tokens": [6027, 39184, 32511, 712, 16712, 7649, 1829, 4724, 1829, 30544, 26968, 14275, 32511, 712, 9122, 2304, 7649, 36145, 3224, 8978, 23758, 13672, 4587, 16606, 8032, 29399, 4117, 19528, 25894, 10112, 1601, 311, 9279, 4032, 42, 1301, 12, 50, 2034, 3077, 3016, 9279, 4032, 34355, 45, 335, 2419, 9279, 4032, 50, 610, 1601, 3925, 4419, 399, 11331, 38436, 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73.17, "end": 74.89, "word": " وSperman", "probability": 0.63250732421875}, {"start": 74.89, "end": 76.45, "word": " Correlation", "probability": 0.9303385416666666}, {"start": 76.45, "end": 79.01, "word": " حقيقة", "probability": 0.8453776041666666}, {"start": 79.01, "end": 79.25, "word": " في", "probability": 0.83642578125}, {"start": 79.25, "end": 79.39, "word": " الـ", "probability": 0.65380859375}, {"start": 79.39, "end": 79.43, "word": " non", "probability": 0.278076171875}, {"start": 79.43, "end": 79.89, "word": "-parametric", "probability": 0.8280029296875}, {"start": 79.89, "end": 80.27, "word": " test", "probability": 0.72314453125}, {"start": 80.27, "end": 80.51, "word": " لما", "probability": 0.782958984375}, {"start": 80.51, "end": 80.89, "word": " يكونوا", "probability": 0.8561197916666666}, {"start": 80.89, "end": 81.21, "word": " أكتر", "probability": 0.93505859375}, {"start": 81.21, "end": 81.41, "word": " من", "probability": 0.9951171875}, {"start": 81.41, "end": 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ال cross-calculus test ولكل اختبار احصائي بتطلب assumption مختلف عن التاني وقلنا فيه منها لما بتكون normal distribution بنستخدم ال parametric ولما تكون not normal distribution بنستخدم ال non-parametric وهذه الاختلافات بتخلينا نحدد هل هنستخدم ال parametric ولا ال non-parametric test", "tokens": [2407, 6027, 47283, 2655, 3555, 9640, 9307, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 16095, 2423, 26779, 4032, 6027, 5016, 9957, 8032, 29399, 4117, 19528, 15844, 36764, 24401, 9154, 16095, 13672, 1829, 31439, 2423, 3278, 12, 9895, 36002, 1500, 4032, 23275, 1211, 1975, 46456, 3555, 9640, 1975, 5016, 9381, 16373, 1829, 39894, 9566, 46152, 15302, 3714, 46456, 46538, 18871, 16712, 7649, 1829, 4032, 4587, 1211, 8315, 8978, 3224, 9154, 11296, 5296, 15042, 39894, 30544, 2710, 7316, 44945, 14851, 9778, 40448, 2423, 6220, 17475, 4032, 1211, 15042, 6055, 30544, 406, 2710, 7316, 44945, 14851, 9778, 40448, 2423, 2107, 12, 2181, 335, 17475, 37037, 24192, 2423, 47283, 2655, 15040, 5172, 9307, 39894, 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"text": "فكرة الـ Crosscut Wallace Test هي مقابلة للـ ANOVA Test في الـ Parametric Test وممتدة فكرتها الـ Crosscut Wallace Test من الـ Man Whitney Test أو الـ U-Test الـ Assumption و الـ procedure نفسها تعت الـ Man Whitney Test أن أنا باخد pool من ال data ككل أو من ال groups و بجيب فيها a rank و بشوف", "tokens": [5172, 4117, 25720, 2423, 39184, 11623, 6672, 32626, 9279, 39896, 3714, 4587, 16758, 37977, 24976, 39184, 5252, 46, 20914, 9279, 8978, 2423, 39184, 34882, 17475, 9279, 4032, 2304, 2304, 2655, 41891, 6156, 4117, 43500, 11296, 2423, 39184, 11623, 6672, 32626, 9279, 9154, 2423, 39184, 2458, 39466, 9279, 34051, 2423, 39184, 624, 12, 51, 377, 2423, 39184, 6281, 449, 1695, 4032, 2423, 39184, 10747, 8717, 36178, 11296, 6055, 34268, 2423, 39184, 2458, 39466, 9279, 14739, 41850, 4724, 47283, 3215, 7005, 9154, 2423, 1412, 9122, 28820, 34051, 9154, 2423, 3935, 4032, 4724, 7435, 1829, 3555, 8978, 11296, 257, 6181, 4032, 4724, 8592, 38688], "avg_logprob": -0.26240808472913857, 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{"start": 141.77, "end": 142.17, "word": " أو", "probability": 0.88916015625}, {"start": 142.17, "end": 142.35, "word": " من", "probability": 0.94873046875}, {"start": 142.35, "end": 142.43, "word": " ال", "probability": 0.919921875}, {"start": 142.43, "end": 142.85, "word": " groups", "probability": 0.65087890625}, {"start": 142.85, "end": 143.53, "word": " و", "probability": 0.546875}, {"start": 143.53, "end": 144.17, "word": " بجيب", "probability": 0.871826171875}, {"start": 144.17, "end": 145.01, "word": " فيها", "probability": 0.99462890625}, {"start": 145.01, "end": 146.37, "word": " a", "probability": 0.7041015625}, {"start": 146.37, "end": 146.79, "word": " rank", "probability": 0.9345703125}, {"start": 146.79, "end": 147.39, "word": " و", "probability": 0.7509765625}, {"start": 147.39, "end": 147.83, "word": " بشوف", "probability": 0.9890950520833334}], "temperature": 1.0}, {"id": 6, "seek": 17502, "start": 148.9, "end": 175.02, "text": "الـ Summation تبع الـ Rank لكل مجموعة 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إن التلت مجموعات not equal in median هي لو تم استخدام ال course equivalence test أو ال median test", "tokens": [6027, 39184, 412, 1958, 39894, 30544, 36145, 28242, 9673, 7435, 2304, 45367, 9307, 4724, 1829, 47283, 3215, 14407, 8717, 36178, 2423, 6175, 35525, 19452, 23032, 1211, 34268, 18871, 995, 12174, 32640, 3660, 2423, 430, 2158, 5551, 4587, 1211, 9154, 1025, 4, 46740, 1829, 4117, 44945, 39648, 8717, 14851, 9566, 40228, 8717, 4587, 1211, 2423, 412, 1958, 13672, 1829, 39894, 39648, 36145, 16712, 1211, 2655, 3714, 7435, 2304, 45367, 9307, 2681, 6156, 3555, 6027, 2655, 6027, 1829, 44945, 14851, 29399, 7435, 36145, 16712, 1211, 2655, 3714, 7435, 2304, 45367, 9307, 406, 2681, 294, 26779, 39896, 45164, 46811, 44713, 9778, 3215, 10943, 2423, 1164, 9052, 655, 1500, 34051, 2423, 26779, 1500], "avg_logprob": -0.22784090705893256, "compression_ratio": 1.7160493827160495, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 521.42, "end": 521.7, "word": "الـ", "probability": 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عندي 3 مقارنات و هتقلل قيمة الـ Type I Ore بقسم الـ B Value اللي مسموح فيها أو الـ 5% اللي مسموح فيها على 3 تطلع عندي 17 من 1000", "tokens": [2407, 6027, 5016, 1211, 16712, 7649, 1829, 14739, 12174, 32640, 3660, 2423, 39184, 363, 39352, 13672, 1829, 6055, 9566, 1211, 3615, 9154, 2423, 39184, 2458, 39466, 9279, 4724, 11242, 37746, 11296, 8978, 805, 4032, 19528, 11703, 995, 5551, 11242, 37746, 11296, 8978, 805, 4724, 4587, 2288, 1863, 11296, 20666, 39184, 1025, 4, 4724, 47283, 2655, 9381, 9640, 41850, 18871, 16254, 805, 3714, 4587, 9640, 8315, 2655, 4032, 8032, 2655, 4587, 1211, 1211, 12174, 32640, 3660, 2423, 39184, 15576, 286, 31405, 4724, 4587, 38251, 2423, 39184, 363, 39352, 13672, 1829, 47524, 2304, 2407, 5016, 8978, 11296, 34051, 2423, 39184, 1025, 4, 13672, 1829, 47524, 2304, 2407, 5016, 8978, 11296, 15844, 805, 6055, 9566, 1211, 3615, 18871, 16254, 3282, 9154, 9714], "avg_logprob": -0.19127604042490323, "compression_ratio": 1.8063063063063063, "no_speech_prob": 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Correlation يبقى الـ Pearson Correlation ما بين two quantitative variables بيكونون اتنين Normal Distribution اي واحد فيه مش Normal Distribution مباشرة بنستخدم Experiment Correlation سمي Experiment Correlation", "tokens": [15208, 21277, 9840, 30783, 44945, 14851, 9778, 40448, 37933, 3925, 4419, 399, 45164, 25961, 36764, 24401, 43242, 8315, 21277, 9840, 30783, 4032, 14407, 24401, 5296, 10721, 9122, 2304, 7649, 44945, 14851, 9778, 40448, 37933, 3925, 4419, 399, 7251, 3555, 4587, 7578, 2423, 39184, 39041, 3925, 4419, 399, 19446, 49374, 732, 27778, 9102, 4724, 1829, 30544, 11536, 1975, 2655, 1863, 9957, 21277, 9840, 30783, 1975, 1829, 36764, 24401, 8978, 3224, 37893, 21277, 9840, 30783, 3714, 3555, 33599, 25720, 44945, 14851, 9778, 40448, 37933, 3925, 4419, 399, 8608, 2304, 1829, 37933, 3925, 4419, 399], "avg_logprob": -0.23370295378469652, "compression_ratio": 2.028708133971292, "no_speech_prob": 0.0, "words": [{"start": 1219.42, "end": 1219.78, "word": "Not", "probability": 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1327.12, "end": 1327.68, "word": " بتكون", "probability": 0.940185546875}, {"start": 1327.68, "end": 1328.28, "word": " سالب", "probability": 0.8722330729166666}, {"start": 1328.28, "end": 1328.74, "word": " واحد", "probability": 0.986083984375}, {"start": 1328.74, "end": 1329.62, "word": " الشرط", "probability": 0.7994791666666666}, {"start": 1329.62, "end": 1330.06, "word": " الموجب", "probability": 0.8772786458333334}, {"start": 1330.06, "end": 1330.68, "word": " بتدلل", "probability": 0.9237060546875}, {"start": 1330.68, "end": 1330.88, "word": " على", "probability": 0.8916015625}, {"start": 1330.88, "end": 1331.2, "word": " positive", "probability": 0.87890625}, {"start": 1331.2, "end": 1331.92, "word": " correlation", "probability": 0.9658203125}, {"start": 1331.92, "end": 1332.9, "word": " والسالب", "probability": 0.9202880859375}, {"start": 1332.9, "end": 1333.4, "word": " بتدلل", "probability": 0.98193359375}, {"start": 1333.4, "end": 1333.5, "word": " على", "probability": 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"end": 1417.67, "word": " بعض", "probability": 0.99658203125}, {"start": 1417.67, "end": 1418.53, "word": " ال", "probability": 0.939453125}, {"start": 1418.53, "end": 1419.21, "word": " H0", "probability": 0.55908203125}, {"start": 1419.21, "end": 1419.75, "word": " أو", "probability": 0.787109375}, {"start": 1419.75, "end": 1419.89, "word": " ال", "probability": 0.6875}, {"start": 1419.89, "end": 1420.05, "word": " null", "probability": 0.48681640625}, {"start": 1420.05, "end": 1420.53, "word": " hypothesis", "probability": 0.841796875}, {"start": 1420.53, "end": 1421.01, "word": " بتقول", "probability": 0.981689453125}, {"start": 1421.01, "end": 1421.21, "word": " no", "probability": 0.68896484375}, {"start": 1421.21, "end": 1421.73, "word": " relation", "probability": 0.98681640625}], "temperature": 1.0}, {"id": 51, "seek": 145113, "start": 1422.27, "end": 1451.13, "text": "بينما الـ HA بتقول إنه في relation موجودة ولكن الـ chi-square ما بيحدد نوع العلاقة اللي موجودة فقط بيقول في relation ولا فيش relation فالـ chi-square test بيحسب إن الإختلاف اللي موجود ما بين ال variables وبيقولنا قيمة الchi ومن الchi ممكن نقرنها بال cut-off ونقول والله نقبل الفرضية الـ H0 أو نرفضها", "tokens": [3555, 9957, 15042, 2423, 39184, 11979, 39894, 39648, 36145, 3224, 8978, 9721, 3714, 29245, 23328, 3660, 35525, 19452, 2423, 39184, 13228, 12, 33292, 543, 19446, 4724, 1829, 24401, 3215, 8717, 45367, 18863, 15040, 28671, 13672, 1829, 3714, 29245, 23328, 3660, 6156, 47432, 4724, 1829, 39648, 8978, 9721, 49429, 8978, 8592, 9721, 6156, 6027, 39184, 13228, 12, 33292, 543, 1500, 4724, 1829, 5016, 35457, 36145, 33688, 46456, 15040, 5172, 13672, 1829, 3714, 29245, 23328, 19446, 49374, 2423, 9102, 4032, 21292, 39648, 8315, 12174, 32640, 3660, 2423, 8036, 4032, 27842, 2423, 8036, 3714, 43020, 8717, 4587, 2288, 1863, 11296, 20666, 1723, 12, 4506, 4032, 1863, 39648, 16070, 43761, 8717, 4587, 36150, 27188, 43042, 10632, 2423, 39184, 389, 15, 34051, 8717, 28480, 11242, 11296], "avg_logprob": 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"probability": 0.252197265625}, {"start": 1427.73, "end": 1428.19, "word": "-square", "probability": 0.8631184895833334}, {"start": 1428.19, "end": 1428.41, "word": " ما", "probability": 0.6640625}, {"start": 1428.41, "end": 1429.11, "word": " بيحدد", "probability": 0.9326171875}, {"start": 1429.11, "end": 1429.53, "word": " نوع", "probability": 0.96142578125}, {"start": 1429.53, "end": 1430.13, "word": " العلاقة", "probability": 0.97607421875}, {"start": 1430.13, "end": 1430.53, "word": " اللي", "probability": 0.900390625}, {"start": 1430.53, "end": 1431.19, "word": " موجودة", "probability": 0.98681640625}, {"start": 1431.19, "end": 1431.55, "word": " فقط", "probability": 0.958251953125}, {"start": 1431.55, "end": 1431.93, "word": " بيقول", "probability": 0.9560546875}, {"start": 1431.93, "end": 1432.11, "word": " في", "probability": 0.82568359375}, {"start": 1432.11, "end": 1432.71, "word": " relation", "probability": 0.99169921875}, {"start": 1432.71, "end": 1432.99, "word": " ولا", "probability": 0.6337890625}, {"start": 1432.99, "end": 1433.29, "word": " فيش", "probability": 0.730224609375}, {"start": 1433.29, "end": 1433.99, "word": " relation", "probability": 0.99169921875}, {"start": 1433.99, "end": 1435.65, "word": " فالـ", "probability": 0.6790364583333334}, {"start": 1435.65, "end": 1435.79, "word": " chi", "probability": 0.65673828125}, {"start": 1435.79, "end": 1436.17, "word": "-square", "probability": 0.95751953125}, {"start": 1436.17, "end": 1436.55, "word": " test", "probability": 0.86181640625}, {"start": 1436.55, "end": 1437.15, "word": " بيحسب", "probability": 0.88427734375}, {"start": 1437.15, "end": 1437.31, "word": " إن", "probability": 0.7783203125}, {"start": 1437.31, "end": 1437.83, "word": " الإختلاف", "probability": 0.9024658203125}, {"start": 1437.83, "end": 1437.99, "word": " اللي", "probability": 0.979736328125}, {"start": 1437.99, "end": 1438.53, "word": " موجود", "probability": 0.9913736979166666}, {"start": 1438.53, "end": 1439.21, "word": " ما", "probability": 0.92822265625}, {"start": 1439.21, "end": 1439.51, "word": " بين", "probability": 0.98779296875}, {"start": 1439.51, "end": 1439.69, "word": " ال", "probability": 0.9208984375}, {"start": 1439.69, "end": 1440.27, "word": " variables", "probability": 0.88623046875}, {"start": 1440.27, "end": 1441.05, "word": " وبيقولنا", "probability": 0.7169189453125}, {"start": 1441.05, "end": 1441.43, "word": " قيمة", "probability": 0.99755859375}, {"start": 1441.43, "end": 1441.89, "word": " الchi", "probability": 0.6278076171875}, {"start": 1441.89, "end": 1442.33, "word": " ومن", "probability": 0.919189453125}, {"start": 1442.33, "end": 1442.75, "word": " الchi", "probability": 0.89013671875}, {"start": 1442.75, "end": 1443.05, "word": " ممكن", "probability": 0.9697265625}, {"start": 1443.05, "end": 1443.71, "word": " نقرنها", "probability": 0.92841796875}, {"start": 1443.71, "end": 1444.29, "word": " بال", "probability": 0.94873046875}, {"start": 1444.29, "end": 1444.55, "word": " cut", "probability": 0.72265625}, {"start": 1444.55, "end": 1444.87, "word": "-off", "probability": 0.746337890625}, {"start": 1444.87, "end": 1445.57, "word": " ونقول", "probability": 0.9611002604166666}, {"start": 1445.57, "end": 1446.01, "word": " والله", "probability": 0.80224609375}, {"start": 1446.01, "end": 1446.63, "word": " نقبل", "probability": 0.9921875}, {"start": 1446.63, "end": 1448.19, "word": " الفرضية", "probability": 0.87890625}, {"start": 1448.19, "end": 1448.45, "word": " الـ", "probability": 0.672607421875}, {"start": 1448.45, "end": 1449.05, "word": " H0", "probability": 0.748291015625}, {"start": 1449.05, "end": 1449.93, "word": " أو", "probability": 0.93212890625}, {"start": 1449.93, "end": 1451.13, "word": " نرفضها", "probability": 0.9827880859375}], "temperature": 1.0}, {"id": 52, "seek": 147705, "start": 1451.47, "end": 1477.05, "text": "بناء على قيمة الـ chi-square اللي احنا حسبناها ومقارنتها بال cut-off value وهذا اتكلمنا عنه في محاضرات سابقة فالـ chi-square test اللي اتكلمنا عنه سابقا بنقول يساوي ال summation لل observated count ناقص ال expected count مقصوم على ال expected count وبنقول في الآخر قداش قيمة الchi-square", "tokens": [3555, 1863, 16606, 15844, 12174, 32640, 3660, 2423, 39184, 13228, 12, 33292, 543, 13672, 1829, 1975, 5016, 8315, 11331, 35457, 8315, 11296, 4032, 2304, 4587, 9640, 29399, 11296, 20666, 1723, 12, 4506, 2158, 37037, 15730, 1975, 2655, 4117, 19528, 8315, 18871, 3224, 8978, 3714, 5016, 46958, 2288, 9307, 8608, 16758, 28671, 6156, 6027, 39184, 13228, 12, 33292, 543, 1500, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 3224, 8608, 16758, 4587, 995, 44945, 39648, 7251, 3794, 995, 45865, 2423, 28811, 24976, 9951, 770, 1207, 8717, 995, 4587, 9381, 2423, 5176, 1207, 3714, 4587, 9381, 20498, 15844, 2423, 5176, 1207, 46599, 1863, 39648, 8978, 6024, 95, 34740, 12174, 3215, 33599, 12174, 32640, 3660, 2423, 8036, 12, 33292, 543], "avg_logprob": -0.1953124948224779, "compression_ratio": 1.8, "no_speech_prob": 2.7418136596679688e-06, "words": [{"start": 1451.47, "end": 1451.91, "word": "بناء", "probability": 0.8570963541666666}, {"start": 1451.91, "end": 1452.11, "word": " على", "probability": 0.82861328125}, {"start": 1452.11, "end": 1453.21, "word": " قيمة", "probability": 0.9949544270833334}, {"start": 1453.21, "end": 1454.29, "word": " الـ", "probability": 0.604736328125}, {"start": 1454.29, "end": 1454.43, "word": " chi", "probability": 0.11724853515625}, {"start": 1454.43, "end": 1454.85, "word": "-square", "probability": 0.7867838541666666}, {"start": 1454.85, "end": 1455.01, "word": " اللي", "probability": 0.8779296875}, {"start": 1455.01, "end": 1455.19, "word": " احنا", "probability": 0.7477213541666666}, {"start": 1455.19, "end": 1455.91, "word": " حسبناها", "probability": 0.9774169921875}, {"start": 1455.91, "end": 1457.01, "word": " ومقارنتها", "probability": 0.934326171875}, {"start": 1457.01, "end": 1457.27, "word": " بال", "probability": 0.9609375}, {"start": 1457.27, "end": 1457.51, "word": " cut", "probability": 0.50927734375}, {"start": 1457.51, "end": 1457.73, "word": "-off", "probability": 0.749267578125}, {"start": 1457.73, "end": 1458.43, "word": " value", "probability": 0.9521484375}, {"start": 1458.43, "end": 1459.61, "word": " وهذا", "probability": 0.8154296875}, {"start": 1459.61, "end": 1460.09, "word": " اتكلمنا", "probability": 0.884716796875}, {"start": 1460.09, "end": 1460.49, "word": " عنه", "probability": 0.991455078125}, {"start": 1460.49, "end": 1460.81, "word": " في", "probability": 0.974609375}, {"start": 1460.81, "end": 1461.49, "word": " محاضرات", "probability": 0.87763671875}, {"start": 1461.49, "end": 1462.01, "word": " سابقة", "probability": 0.943359375}, {"start": 1462.01, "end": 1463.11, "word": " فالـ", "probability": 0.73876953125}, {"start": 1463.11, "end": 1463.27, "word": " chi", "probability": 0.7236328125}, {"start": 1463.27, "end": 1463.65, "word": "-square", "probability": 0.9627278645833334}, {"start": 1463.65, "end": 1464.13, "word": " test", "probability": 0.94287109375}, {"start": 1464.13, "end": 1464.53, "word": " اللي", "probability": 0.93798828125}, {"start": 1464.53, "end": 1465.05, "word": " اتكلمنا", "probability": 0.96142578125}, {"start": 1465.05, "end": 1465.29, "word": " عنه", "probability": 0.989501953125}, {"start": 1465.29, "end": 1465.75, "word": " سابقا", "probability": 0.9644775390625}, {"start": 1465.75, "end": 1466.15, "word": " بنقول", "probability": 0.5743408203125}, {"start": 1466.15, "end": 1466.71, "word": " يساوي", "probability": 0.9400634765625}, {"start": 1466.71, "end": 1466.95, "word": " ال", "probability": 0.755859375}, {"start": 1466.95, "end": 1467.45, "word": " summation", "probability": 0.6611328125}, {"start": 1467.45, "end": 1467.79, "word": " لل", "probability": 0.8056640625}, {"start": 1467.79, "end": 1468.65, "word": " observated", "probability": 0.52294921875}, {"start": 1468.65, "end": 1469.11, "word": " count", "probability": 0.93017578125}, {"start": 1469.11, "end": 1469.69, "word": " ناقص", "probability": 0.9366455078125}, {"start": 1469.69, "end": 1469.85, "word": " ال", "probability": 0.92724609375}, {"start": 1469.85, "end": 1470.31, "word": " expected", "probability": 0.8115234375}, {"start": 1470.31, "end": 1470.67, "word": " count", "probability": 0.90673828125}, {"start": 1470.67, "end": 1472.31, "word": " مقصوم", "probability": 0.609375}, {"start": 1472.31, "end": 1472.51, "word": " على", "probability": 0.791015625}, {"start": 1472.51, "end": 1472.67, "word": " ال", "probability": 0.9345703125}, {"start": 1472.67, "end": 1473.07, "word": " expected", "probability": 0.81640625}, {"start": 1473.07, "end": 1473.61, "word": " count", "probability": 0.89794921875}, {"start": 1473.61, "end": 1474.85, "word": " وبنقول", "probability": 0.815673828125}, {"start": 1474.85, "end": 1474.97, "word": " في", "probability": 0.919921875}, {"start": 1474.97, "end": 1475.29, "word": " الآخر", "probability": 0.90625}, {"start": 1475.29, "end": 1475.67, "word": " قداش", "probability": 0.8639322916666666}, {"start": 1475.67, "end": 1476.19, "word": " قيمة", "probability": 0.9947916666666666}, {"start": 1476.19, "end": 1476.61, "word": " الchi", "probability": 0.677490234375}, {"start": 1476.61, "end": 1477.05, "word": "-square", "probability": 0.9658203125}], "temperature": 1.0}, {"id": 53, "seek": 150589, "start": 1477.57, "end": 1505.89, "text": "وبنقارن القيمة اللي طلعت معنا بقيمة cut-off value اللي بنجيبها من degree of freedom اللي هي number of row ناقص واحد مضوبة في number of column ناقص واحد وبنشوف cut-off value وبنقارن قيمة chi فيها وبنقول ان كل ما زادت قيمة chi كل ما قلت قيمة ال b value وكل ما زاد احتمالية انها تكون significant ال assumption تحت البياس on chi-square ان انا عندي random sample", "tokens": [37746, 1863, 4587, 9640, 1863, 25062, 32640, 3660, 13672, 1829, 23032, 1211, 34268, 20449, 8315, 4724, 4587, 32640, 3660, 1723, 12, 4506, 2158, 13672, 1829, 44945, 7435, 1829, 3555, 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"probability": 0.9404296875}, {"start": 1672.84, "end": 1673.04, "word": " by", "probability": 0.9794921875}, {"start": 1673.04, "end": 1674.34, "word": " two؟", "probability": 0.68115234375}, {"start": 1674.34, "end": 1674.94, "word": " المقصود", "probability": 0.9036865234375}, {"start": 1674.94, "end": 1675.38, "word": " بالtable", "probability": 0.88330078125}, {"start": 1675.38, "end": 1675.64, "word": " two", "probability": 0.93896484375}, {"start": 1675.64, "end": 1675.86, "word": " by", "probability": 0.98583984375}, {"start": 1675.86, "end": 1676.2, "word": " two", "probability": 0.95166015625}, {"start": 1676.2, "end": 1677.38, "word": " انها", "probability": 0.66259765625}, {"start": 1677.38, "end": 1677.66, "word": " تكون", "probability": 0.98388671875}, {"start": 1677.66, "end": 1678.16, "word": " عندنا", "probability": 0.952880859375}, {"start": 1678.16, "end": 1679.22, "word": " اتنين", "probability": 0.90380859375}, {"start": 1679.22, "end": 1679.66, "word": " في", "probability": 0.662109375}, {"start": 1679.66, "end": 1680.16, "word": " اتنين", "probability": 0.9830322265625}, {"start": 1680.16, "end": 1681.28, "word": " رقمين", "probability": 0.969970703125}, {"start": 1681.28, "end": 1681.54, "word": " في", "probability": 0.74462890625}, {"start": 1681.54, "end": 1682.24, "word": " رقمين", "probability": 0.99560546875}, {"start": 1682.24, "end": 1682.96, "word": " يبقى", "probability": 0.966552734375}, {"start": 1682.96, "end": 1683.32, "word": " عندنا", "probability": 0.979736328125}, {"start": 1683.32, "end": 1683.62, "word": " two", "probability": 0.8203125}, {"start": 1683.62, "end": 1684.2, "word": " category", "probability": 0.9423828125}], "temperature": 1.0}, {"id": 60, "seek": 171422, "start": 1684.82, "end": 1714.22, "text": "و2 category هذا variable وهذا variable وكل واحد فيه 10 تاني يبقى two by two او هي رقمين فرقمين هيك اتنين وهيك اتنين هذا المقصود بال two by two ان لما احسب ال expected value او ال expected number لل cases او لل control في اي واحد فيهم تكون عندنا اقل من واحد يبقى بتكون تساوي عندنا اقل من واحد تسعة من عشرة أو كده بنجيب ال expected value", "tokens": [2407, 17, 7719, 23758, 7006, 37037, 15730, 7006, 4032, 28820, 36764, 24401, 8978, 3224, 1266, 6055, 7649, 1829, 7251, 3555, 4587, 7578, 732, 538, 732, 1975, 2407, 39896, 12602, 4587, 2304, 9957, 6156, 2288, 4587, 2304, 9957, 39896, 4117, 1975, 2655, 1863, 9957, 37037, 1829, 4117, 1975, 2655, 1863, 9957, 23758, 9673, 4587, 9381, 23328, 20666, 732, 538, 732, 16472, 5296, 15042, 1975, 5016, 35457, 2423, 5176, 2158, 1975, 2407, 2423, 5176, 1230, 24976, 3331, 1975, 2407, 24976, 1969, 8978, 1975, 1829, 36764, 24401, 8978, 16095, 6055, 30544, 43242, 8315, 1975, 4587, 1211, 9154, 36764, 24401, 7251, 3555, 4587, 7578, 39894, 30544, 6055, 3794, 995, 45865, 43242, 8315, 1975, 4587, 1211, 9154, 36764, 24401, 6055, 3794, 27884, 9154, 6225, 8592, 25720, 34051, 9122, 3215, 3224, 44945, 7435, 1829, 3555, 2423, 5176, 2158], "avg_logprob": -0.19701597072128066, 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قيمة CAI ان يكون عندنا 25% من ال cells وين ال cells؟ هاي cells واحدة، تنتين، تلاتة، أربعة ال 25% منهم انها تكون قيمة واحدة من الأربع قيم اللي موجودة أقل من خمسة أي عندنا قيمة أقل من خمسة", "tokens": [11622, 1829, 19446, 44945, 7435, 1829, 3555, 11296, 8978, 2423, 39184, 22852, 40, 46859, 4073, 9279, 4032, 9307, 4117, 19528, 8315, 9122, 33911, 8717, 7435, 1829, 3555, 2423, 39184, 2111, 10729, 39352, 13672, 1829, 44945, 5016, 35457, 9154, 11296, 12174, 32640, 3660, 22852, 40, 16472, 7251, 30544, 43242, 8315, 3552, 4, 9154, 2423, 5438, 4032, 9957, 2423, 5438, 22807, 8032, 47302, 5438, 36764, 24401, 3660, 12399, 6055, 29399, 9957, 12399, 6055, 1211, 9307, 3660, 12399, 5551, 25513, 27884, 2423, 3552, 4, 9154, 16095, 16472, 11296, 6055, 30544, 12174, 32640, 3660, 36764, 24401, 3660, 9154, 16247, 25513, 3615, 12174, 32640, 13672, 1829, 3714, 29245, 23328, 3660, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 3660, 36632, 43242, 8315, 12174, 32640, 3660, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 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1740.96, "end": 1768.96, "text": "يبقى هذه كل ال table اللي موجودة بالصورة هذه فشق قدامي اللي أستخدمها ال Fisher exact test المقنمار test بيكون عندنا هو table two by two اي واحد اتنين تلاتة اربعة اتنين في اتنين هيك اتنين وهيك اتنين بيكون paired انا في عند ناس كانوا طبيعيين بعدين أصيبوا كانوا healthy وبعدين صاروا diabetic", "tokens": [1829, 3555, 4587, 7578, 29538, 28242, 2423, 3199, 13672, 1829, 3714, 29245, 23328, 3660, 20666, 9381, 13063, 3660, 29538, 6156, 8592, 4587, 12174, 3215, 10943, 1829, 13672, 1829, 5551, 14851, 9778, 40448, 11296, 2423, 26676, 1900, 1500, 9673, 4587, 1863, 2304, 9640, 1500, 4724, 1829, 30544, 43242, 8315, 31439, 3199, 732, 538, 732, 1975, 1829, 36764, 24401, 1975, 2655, 1863, 9957, 6055, 1211, 9307, 3660, 1975, 25513, 27884, 1975, 2655, 1863, 9957, 8978, 1975, 2655, 1863, 9957, 39896, 4117, 1975, 2655, 1863, 9957, 37037, 1829, 4117, 1975, 2655, 1863, 9957, 4724, 1829, 30544, 25699, 1975, 8315, 8978, 43242, 8717, 32277, 25961, 14407, 23032, 21292, 3615, 1829, 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"end": 1764.58, "word": " طبيعيين", "probability": 0.9486328125}, {"start": 1764.58, "end": 1766.06, "word": " بعدين", "probability": 0.7568359375}, {"start": 1766.06, "end": 1766.74, "word": " أصيبوا", "probability": 0.92470703125}, {"start": 1766.74, "end": 1767.26, "word": " كانوا", "probability": 0.885009765625}, {"start": 1767.26, "end": 1767.64, "word": " healthy", "probability": 0.892578125}, {"start": 1767.64, "end": 1768.24, "word": " وبعدين", "probability": 0.82421875}, {"start": 1768.24, "end": 1768.64, "word": " صاروا", "probability": 0.8401692708333334}, {"start": 1768.64, "end": 1768.96, "word": " diabetic", "probability": 0.703125}], "temperature": 1.0}, {"id": 63, "seek": 179143, "start": 1769.51, "end": 1791.43, "text": "سألتهم أسئلة لمّا كانوا healthy ولمّا صاروا درابتك سألتهم أسئلة exposed و non-exposed فهنا صارت هذه عندي dependent فبستخدم المقنمار test وهي قانون المقنمار test اللي موجود وإيش القالية اللي بعتمد عليها المقنمار test", "tokens": [3794, 10721, 1211, 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اللي", "probability": 0.872314453125}, {"start": 1786.59, "end": 1787.15, "word": " موجود", "probability": 0.98828125}, {"start": 1787.15, "end": 1787.95, "word": " وإيش", "probability": 0.8966064453125}, {"start": 1787.95, "end": 1788.69, "word": " القالية", "probability": 0.8302408854166666}, {"start": 1788.69, "end": 1789.15, "word": " اللي", "probability": 0.966064453125}, {"start": 1789.15, "end": 1789.67, "word": " بعتمد", "probability": 0.8226318359375}, {"start": 1789.67, "end": 1790.17, "word": " عليها", "probability": 0.986328125}, {"start": 1790.17, "end": 1791.05, "word": " المقنمار", "probability": 0.97587890625}, {"start": 1791.05, "end": 1791.43, "word": " test", "probability": 0.958984375}], "temperature": 1.0}, {"id": 64, "seek": 182164, "start": 1792.16, "end": 1821.64, "text": "إن الـ absolute للـ B ناقص C اللي هي مناطق الإختلاف اللي هي الـ non-exposed و الـ exposed و الـ exposed و الـ non-exposed ناقص واحد مقسوم على الجذر التربيعي للـ B زائد C لكل تربيع و لو وقعنا بنقول إن الـ B ناقص الـ C ناقص واحد لكل تربيع على الـ B زائد الـ C فتطلع معانا قيمة CHI و بنشوفها من CHI curve", "tokens": [28814, 1863, 2423, 39184, 8236, 24976, 39184, 363, 8717, 995, 4587, 9381, 383, 13672, 1829, 39896, 3714, 8315, 9566, 4587, 33688, 46456, 15040, 5172, 13672, 1829, 39896, 2423, 39184, 2107, 12, 15952, 1744, 4032, 2423, 39184, 9495, 4032, 2423, 39184, 9495, 4032, 2423, 39184, 2107, 12, 15952, 1744, 8717, 995, 4587, 9381, 36764, 24401, 3714, 4587, 3794, 20498, 15844, 25724, 8848, 2288, 16712, 2288, 21292, 3615, 1829, 24976, 39184, 363, 30767, 16373, 3215, 383, 5296, 28820, 6055, 2288, 21292, 3615, 4032, 45164, 4032, 4587, 3615, 8315, 44945, 39648, 36145, 2423, 39184, 363, 8717, 995, 4587, 9381, 2423, 39184, 383, 8717, 995, 4587, 9381, 36764, 24401, 5296, 28820, 6055, 2288, 21292, 3615, 15844, 2423, 39184, 363, 30767, 16373, 3215, 2423, 39184, 383, 6156, 2655, 9566, 1211, 3615, 20449, 7649, 995, 12174, 32640, 3660, 5995, 40, 4032, 44945, 8592, 38688, 11296, 9154, 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ال variable اللي موجودة وبعد ما نضيفهم بنضغط على okay", "tokens": [10721, 2407, 9154, 2423, 39184, 1723, 12, 4506, 13672, 1829, 3714, 29245, 23328, 3660, 39896, 4776, 49429, 43685, 9122, 33911, 44945, 7435, 1829, 3555, 9673, 4587, 1863, 2304, 9640, 9122, 47302, 3794, 4117, 2407, 13546, 6055, 14851, 22807, 12477, 15844, 42585, 15844, 3278, 4421, 44945, 1829, 7435, 1829, 34105, 15844, 29588, 46599, 1863, 15040, 38436, 34105, 3714, 4117, 2655, 37746, 9673, 4587, 1863, 2304, 9640, 9122, 47302, 3794, 4117, 2407, 13546, 6055, 14851, 46599, 1863, 39648, 46740, 2354, 46599, 1863, 11242, 33911, 2423, 7006, 13672, 1829, 3714, 29245, 23328, 3660, 46599, 22488, 19446, 8717, 11242, 33911, 16095, 44945, 11242, 17082, 9566, 15844, 1392], "avg_logprob": -0.2355769225038015, "compression_ratio": 1.7377049180327868, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 1821.98, "end": 1822.3, "word": "أو", "probability": 0.836181640625}, {"start": 1822.3, "end": 1822.44, "word": " من", 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new file mode 100644
index 0000000000000000000000000000000000000000..97c889b767a6125f9b5926c4913153672caea815
--- /dev/null
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"end": 88.22, "text": "بتكون هي عبارة عن Variable و الـ Variable أو الـ Variables اللي بتكون موجودة أمامنا بدها تنقسم لنوعين الـ Type of Variables يا أما qualitative وصفية يا أما quantitative وقلنا الفارق الوحيد اللي بيميز ما بين التنتين هدول هو وجود Unit إن الـ Quantitative أو الـ numerical data بتكون لها Unit", "tokens": [3555, 2655, 30544, 39896, 6225, 3555, 9640, 3660, 18871, 32511, 712, 4032, 2423, 39184, 32511, 712, 34051, 2423, 39184, 32511, 2965, 13672, 1829, 39894, 30544, 3714, 29245, 23328, 3660, 5551, 2304, 10943, 8315, 47525, 11296, 6055, 1863, 4587, 38251, 5296, 1863, 45367, 9957, 2423, 39184, 15576, 295, 32511, 2965, 35186, 5551, 15042, 31312, 4032, 9381, 5172, 10632, 35186, 5551, 15042, 27778, 4032, 4587, 1211, 8315, 27188, 9640, 4587, 2423, 2407, 5016, 25708, 13672, 1829, 4724, 32640, 1829, 11622, 19446, 49374, 16712, 29399, 9957, 8032, 3215, 12610, 31439, 49610, 23328, 27894, 36145, 2423, 39184, 26968, 14275, 34051, 2423, 39184, 29054, 1412, 39894, 30544, 5296, 11296, 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" اللي", "probability": 0.6590576171875}, {"start": 101.34, "end": 101.56, "word": " هي", "probability": 0.96630859375}, {"start": 101.56, "end": 101.7, "word": " ال", "probability": 0.6494140625}, {"start": 101.7, "end": 102.04, "word": " nominal", "probability": 0.87353515625}], "temperature": 1.0}, {"id": 5, "seek": 12809, "start": 102.67, "end": 128.09, "text": "والـ Ordinal وقلنا باللخصها No unit أنه أو نو يونيت وقلنا إن ال quantitative data هي عبارة عن قسمين أو two scale هذا ال two scale يا إما interval يا إما ratio وقلنا في ال interval ال zero غير حقيقي وال ratio ال zero بيكون فيها حقيقي وال zero بيكون معناه إنه لا شيء موجود أو ال zero معناه نل", "tokens": [2407, 6027, 39184, 29388, 2071, 4032, 4587, 1211, 8315, 20666, 1211, 9778, 9381, 11296, 883, 4985, 14739, 3224, 34051, 8717, 2407, 7251, 11536, 36081, 4032, 4587, 1211, 8315, 36145, 2423, 27778, 1412, 39896, 6225, 3555, 9640, 3660, 18871, 12174, 38251, 9957, 34051, 732, 4373, 23758, 2423, 732, 4373, 35186, 11933, 15042, 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0.861328125}, {"start": 120.65, "end": 121.01, "word": " بيكون", "probability": 0.7532552083333334}, {"start": 121.01, "end": 121.27, "word": " فيها", "probability": 0.9375}, {"start": 121.27, "end": 121.81, "word": " حقيقي", "probability": 0.986328125}, {"start": 121.81, "end": 122.03, "word": " وال", "probability": 0.57470703125}, {"start": 122.03, "end": 122.33, "word": " zero", "probability": 0.68798828125}, {"start": 122.33, "end": 122.73, "word": " بيكون", "probability": 0.9029947916666666}, {"start": 122.73, "end": 123.55, "word": " معناه", "probability": 0.96728515625}, {"start": 123.55, "end": 123.87, "word": " إنه", "probability": 0.6494140625}, {"start": 123.87, "end": 124.01, "word": " لا", "probability": 0.93994140625}, {"start": 124.01, "end": 124.49, "word": " شيء", "probability": 0.939453125}, {"start": 124.49, "end": 125.29, "word": " موجود", "probability": 0.98828125}, {"start": 125.29, "end": 126.59, "word": " أو", "probability": 0.90771484375}, {"start": 126.59, 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فيها الـ Agenda موجود فيها الـ Age وموجود فيها الـ Result وموجود فيها الـ Degree", "tokens": [2407, 2407, 36520, 8315, 32767, 2407, 11242, 45367, 2423, 39184, 11888, 19945, 399, 34051, 2423, 39184, 25285, 82, 337, 33253, 399, 11888, 34051, 33253, 278, 11888, 2423, 3224, 3215, 5172, 20666, 3615, 10943, 9154, 37279, 16572, 5172, 14739, 3224, 41850, 8978, 3224, 43242, 1829, 11888, 4724, 16254, 5551, 25957, 1211, 11296, 33253, 278, 14739, 3224, 41850, 5551, 2655, 9778, 26895, 14739, 3224, 12174, 3215, 10943, 11296, 2423, 39184, 25535, 8032, 18513, 7578, 4032, 4724, 16254, 5551, 1211, 9778, 9381, 11296, 20666, 15040, 5016, 19913, 14739, 3714, 29245, 23328, 8978, 11296, 2423, 39184, 2725, 7639, 3714, 29245, 23328, 8978, 11296, 2423, 39184, 16280, 4032, 2304, 29245, 23328, 8978, 11296, 2423, 39184, 5015, 723, 4032, 2304, 29245, 23328, 8978, 11296, 2423, 39184, 413, 26359], "avg_logprob": -0.18000507548572572, "compression_ratio": 1.9914893617021276, "no_speech_prob": 5.960464477539063e-08, 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نشوف", "probability": 0.9835611979166666}, {"start": 234.3, "end": 234.56, "word": " كم", "probability": 0.64599609375}, {"start": 234.56, "end": 234.78, "word": " واحد", "probability": 0.9931640625}, {"start": 234.78, "end": 235.08, "word": " نجح", "probability": 0.9788411458333334}, {"start": 235.08, "end": 235.4, "word": " وكم", "probability": 0.6858723958333334}, {"start": 235.4, "end": 235.84, "word": " واحد", "probability": 0.968994140625}, {"start": 235.84, "end": 236.12, "word": " ما", "probability": 0.7470703125}, {"start": 236.12, "end": 236.78, "word": " نجحش،", "probability": 0.870703125}], "temperature": 1.0}, {"id": 10, "seek": 25540, "start": 237.08, "end": 255.4, "text": "ولو بنشوف المعدل التراكمي أو ال degree بنجيب متوسط العلامات للطلاب وأحيانا بنجيب متوسط العلامات للمايل اللي حال والفيميل اللي حالي هذا الكلام اللي احنا بنحكيه من ناحية نظرية هو اسمه presenting ال data أنا بده ألخص هذا ال data اللي موجودة", "tokens": [12610, 2407, 44945, 8592, 38688, 9673, 22488, 1211, 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Percentage لـ Male اللي موجودين فبنقول إن ال number أو ال frequency لـ Male 20 ويُمثل 80% الرقم 80", "tokens": [45367, 3215, 3215, 2423, 39184, 27288, 25961, 14407, 1025, 46599, 3215, 10721, 5551, 5016, 12610, 16095, 5296, 1863, 35457, 3660, 3714, 15040, 2407, 10632, 12174, 1211, 2655, 18863, 3215, 3215, 5296, 28820, 3552, 4032, 4587, 1211, 2655, 36145, 2423, 39184, 945, 15844, 3552, 7251, 3794, 995, 45865, 4688, 5551, 12984, 1863, 16606, 12602, 4587, 2304, 4688, 23758, 7251, 10859, 34268, 26890, 9122, 39184, 3026, 2207, 609, 5296, 39184, 21080, 13672, 1829, 3714, 29245, 23328, 9957, 6156, 3555, 1863, 39648, 36145, 2423, 1230, 34051, 2423, 7893, 5296, 39184, 21080, 945, 4032, 1829, 10859, 2304, 12984, 1211, 4688, 4, 34892, 4587, 2304, 4688], "avg_logprob": -0.29473039653955724, "compression_ratio": 1.5, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 463.74, "end": 464.28, "word": "وعدد", "probability": 0.7850748697916666}, {"start": 464.28, "end": 464.4, "word": " الـ", 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"temperature": 1.0}, {"id": 46, "seek": 121909, "start": 1198.34, "end": 1219.1, "text": "إنه أنا عند الأرقام بتطلع فيهم وباخد القيمة الأكثر تكراراً وزي ما أحنا شايفين إن رقم 6 هو أكثر واحد مكرر فبكون هو عبارة عن الـ Mode رقم 6 أحيان بلاحظ أنه أنا عندي", "tokens": [28814, 1863, 3224, 41850, 43242, 16247, 2288, 4587, 10943, 39894, 9566, 1211, 3615, 8978, 16095, 46599, 47283, 3215, 25062, 32640, 3660, 16247, 4117, 49115, 6055, 37983, 9640, 995, 14111, 4032, 11622, 1829, 19446, 5551, 5016, 8315, 13412, 995, 33911, 9957, 36145, 12602, 4587, 2304, 1386, 31439, 5551, 4117, 49115, 36764, 24401, 3714, 37983, 2288, 6156, 3555, 30544, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 39184, 20500, 12602, 4587, 2304, 1386, 5551, 5016, 1829, 7649, 4724, 15040, 5016, 19913, 14739, 3224, 41850, 18871, 16254], "avg_logprob": -0.18805804032654988, "compression_ratio": 1.6473988439306357, "no_speech_prob": 2.181529998779297e-05, "words": [{"start": 1198.34, "end": 1198.74, "word": "إنه", "probability": 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median استخدمت مع الـ median الـ internal quartile range اللي هو الـ 25 اللي تلو اتكلمنا عنها الـ internal quartile range اللي هي 25 UQ1 واستخدمت معاها U3 اللي هي 75 percentile", "tokens": [3555, 1863, 8592, 38688, 34105, 12399, 45164, 2423, 39184, 1412, 25961, 2655, 6225, 42213, 8315, 11296, 20666, 39184, 26779, 44713, 9778, 40448, 2655, 20449, 2423, 39184, 26779, 2423, 39184, 6920, 20837, 794, 3613, 13672, 1829, 31439, 2423, 39184, 3552, 13672, 1829, 6055, 1211, 2407, 1975, 2655, 4117, 19528, 8315, 18871, 11296, 2423, 39184, 6920, 20837, 794, 3613, 13672, 1829, 39896, 3552, 624, 48, 16, 36764, 14851, 9778, 40448, 2655, 20449, 995, 11296, 624, 18, 13672, 1829, 39896, 9562, 3043, 794], "avg_logprob": -0.2692901352305471, "compression_ratio": 1.7752808988764044, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2003.79, "end": 2004.37, "word": "بنشوف", "probability": 0.8709716796875}, {"start": 2004.37, "end": 2005.15, "word": " هنا،", "probability": 0.5965576171875}, 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1.0}, {"id": 78, "seek": 208333, "start": 2055.37, "end": 2083.33, "text": "لهيك أحنا بنأخد الوصف بتاع البيانات و الـ Presented بتاع الـ Data حتى أنت في بحث الـ Magistrate تعرف إيش الأشياء اللي بدك تعملها Presenting و إيش تستخدم فيها متى أستخدم الـ Main؟ و متى أستخدم الـ Median؟ و متى أستخدم الـ Mode؟ و متى أستخدم الـ Midrange؟ هذا هنتكلم عنها في الإختبارات الأحصائية قدام شوية لو رجعنا شوية في نفس الـ Articles", "tokens": [43761, 1829, 4117, 5551, 5016, 8315, 44945, 10721, 9778, 3215, 2423, 2407, 9381, 5172, 39894, 45761, 2423, 21292, 7649, 9307, 4032, 2423, 39184, 2718, 6003, 39894, 45761, 2423, 39184, 11888, 11331, 49975, 14739, 2655, 8978, 4724, 5016, 12984, 2423, 39184, 6395, 468, 4404, 6055, 3615, 28480, 11933, 1829, 8592, 16247, 8592, 1829, 16606, 13672, 1829, 47525, 4117, 6055, 25957, 1211, 11296, 33253, 278, 4032, 11933, 1829, 8592, 6055, 14851, 9778, 40448, 8978, 11296, 44650, 7578, 5551, 14851, 9778, 40448, 2423, 39184, 12383, 22807, 4032, 44650, 7578, 5551, 14851, 9778, 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ان انا استخدمت ال number و ال percentage طب ليش ما استخدم ال mean في النحية هذه لـ male و female لأن ال gender عبارة عن qualitative data و ال qualitative data قلنا بنستخدمها اللي هي ال proportion أو ال percentage لهيك هو عملها واسق بال number و proportion طب اللاحظ ان ال age", "tokens": [2407, 11622, 1829, 8315, 34105, 6156, 6027, 15040, 5016, 19913, 16472, 34105, 50239, 16472, 1975, 8315, 44713, 9778, 40448, 2655, 2423, 1230, 4032, 2423, 9668, 23032, 3555, 32239, 8592, 19446, 44713, 9778, 40448, 2423, 914, 8978, 28239, 5016, 10632, 29538, 5296, 39184, 7133, 4032, 6556, 5296, 33456, 2423, 7898, 6225, 3555, 9640, 3660, 18871, 31312, 1412, 4032, 2423, 31312, 1412, 12174, 1211, 8315, 44945, 14851, 9778, 40448, 11296, 13672, 1829, 39896, 2423, 16068, 34051, 2423, 9668, 46740, 1829, 4117, 31439, 6225, 42213, 11296, 4032, 32277, 4587, 20666, 1230, 4032, 16068, 23032, 3555, 13672, 39319, 19913, 16472, 2423, 3205], "avg_logprob": -0.2945075902071866, "compression_ratio": 1.8577405857740585, 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age", "probability": 0.456298828125}], "temperature": 1.0}, {"id": 80, "seek": 214219, "start": 2115.7, "end": 2142.2, "text": "كتبوا بالـ mean والـ standard تفيجي لأنه عبارة عن quantitative data الـ duration الخاص بالديابيتس بالـ years اتكلم عنه بالـ mean والـ standard لأنه عبارة عن quantitative data والـ quantitative data كنا بتم وصفها بالـ mean أو بالـ median أو بالـ midrange أو بالمود", "tokens": [4117, 2655, 3555, 14407, 20666, 39184, 914, 16070, 39184, 3832, 6055, 5172, 1829, 7435, 1829, 5296, 33456, 3224, 6225, 3555, 9640, 3660, 18871, 27778, 1412, 2423, 39184, 16365, 33962, 33546, 20666, 16254, 16758, 36081, 3794, 20666, 39184, 924, 1975, 2655, 4117, 19528, 18871, 3224, 20666, 39184, 914, 16070, 39184, 3832, 5296, 33456, 3224, 6225, 3555, 9640, 3660, 18871, 27778, 1412, 16070, 39184, 27778, 1412, 9122, 8315, 4724, 39237, 4032, 9381, 5172, 11296, 20666, 39184, 914, 34051, 20666, 39184, 26779, 34051, 20666, 39184, 2062, 14521, 34051, 20666, 2304, 23328], "avg_logprob": 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Non-Smoking أو Smoker و Non-Smoker هنا لأنه مافيش الـ Unit، Smoker إيش Unit بتاعتها؟ هي qualitative data فاستخدملها ال percentage و ال frequency فهي هو عبارة عن وضح بال percentage و frequency", "tokens": [2407, 6027, 10721, 4117, 49115, 44713, 9778, 3215, 10943, 995, 14111, 13672, 1829, 31439, 2423, 39184, 12383, 4032, 28543, 10943, 11296, 8717, 2655, 4117, 19528, 20666, 2655, 5172, 33546, 26895, 19446, 19452, 2655, 8592, 4724, 10721, 14851, 9778, 3215, 10943, 28242, 36764, 24401, 8978, 16095, 45164, 10874, 1829, 8315, 34105, 8717, 2655, 4117, 19528, 18871, 2423, 39184, 3915, 5953, 4032, 2423, 39184, 8774, 12, 26578, 5953, 34051, 3915, 16722, 4032, 8774, 12, 26578, 16722, 34105, 5296, 33456, 3224, 19446, 41185, 8592, 2423, 39184, 27894, 12399, 3915, 16722, 11933, 1829, 8592, 27894, 39894, 995, 34268, 11296, 22807, 39896, 31312, 1412, 6156, 995, 14851, 9778, 40448, 1211, 11296, 2423, 9668, 4032, 2423, 7893, 6156, 3224, 1829, 31439, 6225, 3555, 9640, 3660, 18871, 4032, 11242, 5016, 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index 0000000000000000000000000000000000000000..a79f160e3d89375cd50ccf9b73fc5ccb1c020ded
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@@ -0,0 +1 @@
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بعض المتغيرات وأنواعها اليوم هنتكلم عن تعريفها وأنواعها من ناحية أحصائية هنتكلم على خطوات اللي بتتم فيها الـ Medical Biostatistics ما هي هذه الخطوات بعد جمع البيانات لتجهيز البيانات", "tokens": [15042, 31439, 9673, 2655, 17082, 13546, 4032, 15042, 39896, 9673, 2655, 17082, 13546, 9307, 4032, 4117, 8315, 1975, 2655, 4117, 19528, 8315, 8978, 25724, 11622, 38207, 16247, 12610, 18871, 45030, 11242, 9673, 2655, 17082, 13546, 9307, 4032, 33456, 14407, 3615, 11296, 45595, 20498, 8032, 29399, 4117, 19528, 18871, 37279, 16572, 5172, 11296, 4032, 33456, 14407, 3615, 11296, 9154, 8717, 39319, 10632, 5551, 5016, 9381, 16373, 10632, 8032, 29399, 4117, 19528, 15844, 16490, 9566, 2407, 9307, 13672, 1829, 39894, 39237, 8978, 11296, 2423, 39184, 15896, 13007, 39036, 6006, 19446, 39896, 29538, 33962, 9566, 2407, 9307, 39182, 10874, 2304, 3615, 2423, 21292, 7649, 9307, 5296, 2655, 7435, 3224, 1829, 11622, 2423, 21292, 7649, 9307], "avg_logprob": -0.07694966814159292, "compression_ratio": 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307.82, "end": 308.0, "word": " لا", "probability": 0.9384765625}, {"start": 308.0, "end": 308.6, "word": " يمنع", "probability": 0.9903971354166666}, {"start": 308.6, "end": 308.82, "word": " أن", "probability": 0.6123046875}, {"start": 308.82, "end": 309.18, "word": " تكون", "probability": 0.979248046875}, {"start": 309.18, "end": 309.76, "word": " الدراسة", "probability": 0.990234375}, {"start": 309.76, "end": 310.04, "word": " فيها", "probability": 0.982177734375}, {"start": 310.04, "end": 310.32, "word": " cohort", "probability": 0.99072265625}, {"start": 310.32, "end": 310.88, "word": " study", "probability": 0.984375}, {"start": 310.88, "end": 311.8, "word": " أنه", "probability": 0.496337890625}, {"start": 311.8, "end": 311.98, "word": " احنا", "probability": 0.84375}, {"start": 311.98, "end": 312.4, "word": " نبدأ", "probability": 0.9762369791666666}, {"start": 312.4, "end": 312.6, "word": " من", "probability": 0.98876953125}, {"start": 312.6, "end": 312.86, "word": " عام", 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collection اللي موجودة عندنا وبدأت جمع البيانات هو كان كاتبها في آخر جزئية في ال research أنا بدي أجمع بيانات كذا وهذه البيانات تعتبر بيانات وصفية ان بيانات كمية", "tokens": [35473, 46456, 26890, 27188, 43042, 10632, 13672, 1829, 31439, 4032, 11242, 3615, 11296, 4032, 1829, 44510, 10721, 7251, 5016, 1211, 8978, 9673, 8592, 28820, 3660, 16247, 3794, 32277, 10632, 34051, 27188, 4117, 25720, 29739, 5016, 12984, 10632, 13672, 1829, 25961, 2655, 43242, 3224, 10874, 11622, 19986, 10632, 2423, 1412, 5765, 13672, 1829, 3714, 29245, 23328, 3660, 43242, 8315, 4032, 44510, 10721, 2655, 10874, 2304, 3615, 2423, 21292, 7649, 9307, 31439, 25961, 9122, 9307, 3555, 11296, 8978, 19753, 34740, 10874, 11622, 19986, 10632, 8978, 2423, 2132, 41850, 4724, 16254, 5551, 7435, 2304, 3615, 4724, 1829, 7649, 9307, 9122, 15730, 37037, 24192, 2423, 21292, 7649, 9307, 6055, 34268, 26890, 4724, 1829, 7649, 9307, 4032, 9381, 5172, 10632, 16472, 4724, 1829, 7649, 9307, 9122, 2304, 10632], "avg_logprob": 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"probability": 0.835205078125}, {"start": 867.93, "end": 868.97, "word": " وبدأت", "probability": 0.7620849609375}, {"start": 868.97, "end": 869.57, "word": " جمع", "probability": 0.9791666666666666}, {"start": 869.57, "end": 870.49, "word": " البيانات", "probability": 0.9288330078125}, {"start": 870.49, "end": 872.83, "word": " هو", "probability": 0.66796875}, {"start": 872.83, "end": 873.15, "word": " كان", "probability": 0.96240234375}, {"start": 873.15, "end": 873.61, "word": " كاتبها", "probability": 0.9744873046875}, {"start": 873.61, "end": 873.75, "word": " في", "probability": 0.919921875}, {"start": 873.75, "end": 874.13, "word": " آخر", "probability": 0.9248046875}, {"start": 874.13, "end": 874.91, "word": " جزئية", "probability": 0.985595703125}, {"start": 874.91, "end": 875.55, "word": " في", "probability": 0.9541015625}, {"start": 875.55, "end": 875.97, "word": " ال", "probability": 0.921875}, {"start": 875.97, "end": 876.43, "word": " research", "probability": 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"word": " Analysis", "probability": 0.94189453125}, {"start": 890.08, "end": 890.58, "word": " اللي", "probability": 0.9248046875}, {"start": 890.58, "end": 890.88, "word": " هو", "probability": 0.97607421875}, {"start": 890.88, "end": 891.54, "word": " الجزئي", "probability": 0.8460693359375}, {"start": 891.54, "end": 892.28, "word": " المتعلق", "probability": 0.9566650390625}, {"start": 892.28, "end": 893.3, "word": " بالإحصار", "probability": 0.92294921875}, {"start": 893.3, "end": 894.9, "word": " وبنلاحظ", "probability": 0.82705078125}, {"start": 894.9, "end": 895.8, "word": " أنه", "probability": 0.58349609375}, {"start": 895.8, "end": 896.28, "word": " احنا", "probability": 0.86474609375}, {"start": 896.28, "end": 897.26, "word": " بعد", "probability": 0.9677734375}, {"start": 897.26, "end": 897.44, "word": " ما", "probability": 0.9345703125}, {"start": 897.44, "end": 897.98, "word": " عملنا", "probability": 0.9861653645833334}, {"start": 897.98, "end": 898.42, "word": " 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2855.67, "word": " وأساليب", "probability": 0.886328125}, {"start": 2855.67, "end": 2856.17, "word": " البحث", "probability": 0.9951171875}, {"start": 2856.17, "end": 2858.11, "word": " ونأسأل", "probability": 0.7101033528645834}, {"start": 2858.11, "end": 2858.29, "word": " الله", "probability": 0.962890625}, {"start": 2858.29, "end": 2858.55, "word": " عز", "probability": 0.919921875}, {"start": 2858.55, "end": 2858.97, "word": " وجل", "probability": 0.955322265625}, {"start": 2858.97, "end": 2859.87, "word": " لكم", "probability": 0.964599609375}, {"start": 2859.87, "end": 2860.21, "word": " دوام", "probability": 0.9313151041666666}, {"start": 2860.21, "end": 2860.81, "word": " الصحة", "probability": 0.9921875}, {"start": 2860.81, "end": 2861.63, "word": " والعافية", "probability": 0.942626953125}], "temperature": 1.0}, {"id": 115, "seek": 286930, "start": 2862.32, "end": 2869.3, "text": "ونتمنى لكم التوفيق والسداد والسلام عليكم ورحمة الله وبركاته", "tokens": [11536, 39237, 1863, 7578, 5296, 24793, 16712, 38688, 1829, 4587, 16070, 3794, 3215, 18513, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.10507812847693761, "compression_ratio": 1.2941176470588236, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2862.32, "end": 2863.22, "word": "ونتمنى", "probability": 0.7413330078125}, {"start": 2863.22, "end": 2863.62, "word": " لكم", "probability": 0.968505859375}, {"start": 2863.62, "end": 2864.3, "word": " التوفيق", "probability": 0.94775390625}, {"start": 2864.3, "end": 2865.46, "word": " والسداد", "probability": 0.8604736328125}, {"start": 2865.46, "end": 2867.0, "word": " والسلام", "probability": 0.8660481770833334}, {"start": 2867.0, "end": 2867.56, "word": " عليكم", "probability": 0.970703125}, {"start": 2867.56, "end": 2868.18, "word": " ورحمة", "probability": 0.985595703125}, {"start": 2868.18, "end": 2868.46, "word": " الله", "probability": 0.974609375}, {"start": 2868.46, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/1rNObcchnGM_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/1rNObcchnGM_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3ebd7be8e4c4e1c765e6e97fbe11ce56f092e032
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/1rNObcchnGM_raw.srt
@@ -0,0 +1,2380 @@
+1
+00:00:04,940 --> 00:00:10,100
+بسم الله الرحيم والصلاة والسلام على رسول الله وعلى
+
+2
+00:00:10,100 --> 00:00:15,520
+آله وصحبه أجمعين طلابنا الأعزاء بعد الانتهاء من
+
+3
+00:00:15,520 --> 00:00:22,180
+الجزء الأول المتعلق بأساليب البحث العلمي سوف ننتقل
+
+4
+00:00:22,180 --> 00:00:27,040
+إلى الجزء الثاني والمتعلق بالإحصاء الحيوي الـ
+
+5
+00:00:27,040 --> 00:00:33,250
+Biostatistics واللي هنتكلم فيه علىكيفية وصف بيانات
+
+6
+00:00:33,250 --> 00:00:39,230
+معينة وما هي الاختبارات الأحصائية المتعلقة بهذه
+
+7
+00:00:39,230 --> 00:00:47,370
+البيانات في البداية الأشياء اللي هنتكلم عنها في
+
+8
+00:00:47,370 --> 00:00:53,170
+الجزء التاني هنتكلم على أهمية الأحصاء الحيوي وكيف
+
+9
+00:00:53,170 --> 00:00:59,140
+تم فصل الإحصاء الحيوي عن الأحصاء التطبيقيوالآن
+
+10
+00:00:59,140 --> 00:01:03,960
+أصبح يوجد ما يسمى بالـMedical Biostatistics إحصاء
+
+11
+00:01:03,960 --> 00:01:11,660
+طبي وسيتم الحديث عن كيفية التفرقاء بينهم ولماذا
+
+12
+00:01:11,660 --> 00:01:18,720
+سميوا بهذه الأسماء أيضًا سنتكلم عن الـData،
+
+13
+00:01:18,720 --> 00:01:24,800
+البيانات صفات هذه البيانات وأنواع البيانات اللي
+
+14
+00:01:24,800 --> 00:01:31,370
+احنا بنشوفها خلال أبحاث الماجستيروكما هو معروف أي
+
+15
+00:01:31,370 --> 00:01:37,630
+رحث ماجستير بدو يتم في جمع بيانات وتحليل هذه
+
+16
+00:01:37,630 --> 00:01:44,470
+البيانات باستخدام برامج إحصائية معينة وسنتكلم عن
+
+17
+00:01:44,470 --> 00:01:50,190
+هذه البرامج بالتفصيل وكيف آلية استخدامها هذه
+
+18
+00:01:50,190 --> 00:01:57,350
+البيانات تتكون من عدة variables متغيرات وحنتكلم
+
+19
+00:01:58,560 --> 00:02:03,200
+ما هو المتغير وما هي المتغيرات وكنا اتكلمنا في
+
+20
+00:02:03,200 --> 00:02:09,040
+الجزء الأول عن بعض المتغيرات وأنواعها اليوم هنتكلم
+
+21
+00:02:09,040 --> 00:02:14,420
+عن تعريفها وأنواعها من ناحية أحصائية هنتكلم على
+
+22
+00:02:14,420 --> 00:02:20,140
+خطوات اللي بتتم فيها الـ Medical Biostatistics ما
+
+23
+00:02:20,140 --> 00:02:26,660
+هي هذه الخطوات بعد جمع البيانات لتجهيز البيانات
+
+24
+00:02:27,590 --> 00:02:33,670
+وحصرها في متغيرات وتحويلها إلى Variables تخدم
+
+25
+00:02:33,670 --> 00:02:42,450
+أهداف البحث وكيفية تصنيف هذه المتغيرات بحيث تخدم
+
+26
+00:02:42,450 --> 00:02:48,750
+أهداف البحث وتساعد في إيجاد حل مشكلة الدراسة
+
+27
+00:02:48,750 --> 00:02:54,730
+وكيفية اختبار فرضية البحث من خلال هذه الـVariables
+
+28
+00:02:55,900 --> 00:03:00,160
+والإجابة على سؤال الدراسة أو research question
+
+29
+00:03:00,160 --> 00:03:08,120
+هناخد تطبيق عملي على برنامج الإحصائي الـ Software
+
+30
+00:03:08,120 --> 00:03:13,300
+الـ SBSS Statistical Package for the Social
+
+31
+00:03:13,300 --> 00:03:20,440
+Science وهو الحزم الإحصائي للعلوم الإجتماعية هي
+
+32
+00:03:20,440 --> 00:03:25,590
+تعريفها باللغة العربيةهنتكلم أيضًا على التوزيع
+
+33
+00:03:25,590 --> 00:03:31,270
+الطبيعي للبيانات وما هي أهم خصائص هذا التوزيع
+
+34
+00:03:31,270 --> 00:03:36,850
+للبيانات وهل ممكن البيانات تكون لا تتبع التوزيع
+
+35
+00:03:36,850 --> 00:03:41,850
+الطبيعي وإذا كانت لا تتبع التوزيع الطبيعي كيف يتم
+
+36
+00:03:41,850 --> 00:03:47,130
+تمييزها واختبارها وفي حال كانت لا تتبع التوزيع
+
+37
+00:03:47,130 --> 00:03:52,760
+الطبيعي ما هو الأفضل في وصف هذه البياناتوهل ممكن
+
+38
+00:03:52,760 --> 00:03:58,120
+استخدام نفس الأداة اللي مستخدمة في الـ Normal
+
+39
+00:03:58,120 --> 00:04:02,520
+Distribution في حالة الـ Abnormal أو الـ Non
+
+40
+00:04:02,520 --> 00:04:07,120
+-Normal Distribution Data؟ أيضًا، هنتكلم على أنواع
+
+41
+00:04:07,120 --> 00:04:11,220
+الأخطاء اللي موجودة في الأحصاء الـ Type of Errors
+
+42
+00:04:11,220 --> 00:04:17,840
+اللي هو Type 1 و Type 2 وكيف ممكن نميز بينهم؟ وإيش
+
+43
+00:04:17,840 --> 00:04:25,070
+اللي بهمنا احنا في الأحصاء؟الحيوي حتى نستخدمه في
+
+44
+00:04:25,070 --> 00:04:34,330
+أبحاثنا في كل بحث وفي كل جزء بيتم اختبار
+
+45
+00:04:34,330 --> 00:04:39,810
+الاختلافات اللي موجودة ما بين مجموعات وبتكون من
+
+46
+00:04:39,810 --> 00:04:45,290
+أهم أهداف الدراسة لأن بحث المجستير بكونش بحث
+
+47
+00:04:45,290 --> 00:04:50,640
+descriptive في الغالب هو بيكون analytical studyويا
+
+48
+00:04:50,640 --> 00:04:55,220
+بيكون عندنا course sectional أو case control في
+
+49
+00:04:55,220 --> 00:05:00,000
+الغالب بيكون من النوع من النوعين هدول ونادر ما
+
+50
+00:05:00,000 --> 00:05:04,940
+يكون cohort study لأنه حكينا على ال disadvantage
+
+51
+00:05:04,940 --> 00:05:09,760
+تاعة ال cohort study ولكن لا يمنع أن تكون الدراسة
+
+52
+00:05:09,760 --> 00:05:14,620
+فيها cohort study أنه احنا نبدأ من عام 2005 وصولنا
+
+53
+00:05:14,620 --> 00:05:18,660
+للعام 2020 ونجمع هذه البيانات ونعتبرها cohort
+
+54
+00:05:18,660 --> 00:05:24,030
+studyهناخد أيش الاختبارات الأحصائية اللي بتستخدم
+
+55
+00:05:24,030 --> 00:05:28,170
+في تحليل بياناتنا في البحث سواء كانت هذه
+
+56
+00:05:28,170 --> 00:05:34,950
+الاختبارات K-Square Test ولا الـ T-Test وفي أحيان
+
+57
+00:05:34,950 --> 00:05:38,690
+بنسمع في بعض ال articles بيحكوا على اختبار اسمه
+
+58
+00:05:38,690 --> 00:05:42,130
+ANOVAOne-Way Analysis of Variance Test
+
+59
+00:05:42,130 --> 00:05:47,370
+الـCorrelation اختبار الأرتباط وRegression اختبار
+
+60
+00:05:47,370 --> 00:05:52,550
+الانحضاركل هذه الاختبارات سيتم الحديث عنها
+
+61
+00:05:52,550 --> 00:05:59,070
+بالتفصيل وحنأخد كيف ممكن نطبقها في أبحاثنا زي ما
+
+62
+00:05:59,070 --> 00:06:04,350
+أخدنا في جزئية البحث السابق حنأخد كمان آخر شيء جزء
+
+63
+00:06:04,350 --> 00:06:10,230
+اللي خاص بينا كعلوم طبية مخبرية واللي هو الـ
+
+64
+00:06:10,230 --> 00:06:15,990
+Diagnostic Test ما هي اختبارات الـ Diagnostic Test
+
+65
+00:06:16,530 --> 00:06:21,070
+وكيف بدنا نشوف الـ Biomarker هذا هل هو بنفع انه
+
+66
+00:06:21,070 --> 00:06:26,250
+يعمل عندنا تشخيص لـ Disease معين أو انه لا يمكن ان
+
+67
+00:06:26,250 --> 00:06:31,590
+يستخدم في تشخيص هذا Disease لأن أحيان بيكون بعض
+
+68
+00:06:31,590 --> 00:06:36,450
+الـ Biomarker بيحتاج ان نعمل Combined يعني ربط مع
+
+69
+00:06:36,450 --> 00:06:42,430
+Marker تاني زي اليوريا والكرياتينينبيكونوا الأثنين
+
+70
+00:06:42,430 --> 00:06:48,050
+مع بعض بيدّونا accuracy للـdiagnostic أفضل ما يكون
+
+71
+00:06:48,050 --> 00:06:52,790
+واحد فيهم لحاله نفس الشيء في اختبارات liver enzyme
+
+72
+00:06:52,790 --> 00:06:58,230
+لما بيكون الـALT والـAST والـAlkaline Phosphatase
+
+73
+00:06:58,230 --> 00:07:02,070
+مع بعض بيدّونا accuracy و sensitivity و
+
+74
+00:07:02,070 --> 00:07:07,590
+specificity more than لما بيكون واحد فيهم لحاله
+
+75
+00:07:07,590 --> 00:07:15,280
+فبالتالي بنقول هنا عملنا combinedأو الشراك بالعربي
+
+76
+00:07:15,280 --> 00:07:20,580
+هيك ما بين الفحوصات المخبرية حتى يتم تشخيص disease
+
+77
+00:07:20,580 --> 00:07:25,280
+معين أحياناً بيكون في عندنا biomarker جديد فبدنا
+
+78
+00:07:25,280 --> 00:07:31,160
+نشوف هل ال biomarker الجديد اللي موجود لوحده بيكفي
+
+79
+00:07:31,160 --> 00:07:35,840
+أنه يشخص ال disease أم يحتاج إلى biomarker تاني
+
+80
+00:07:35,840 --> 00:07:39,800
+يكون مرتبط فيه والاتنين مع بعض ممكن يدّونا
+
+81
+00:07:39,800 --> 00:07:46,770
+accuracyفي تشخيص هذا الـ Disease بطريقة أفضل الـ
+
+82
+00:07:46,770 --> 00:07:50,770
+Correlation و الـ Regression في منهم عدة أنواع
+
+83
+00:07:50,770 --> 00:07:55,270
+فمثلًا الـ Correlation بيكون في عندنا Linear
+
+84
+00:07:55,270 --> 00:07:59,810
+Correlation اللي هو ارتباط خطي و أحيانًا بيكون
+
+85
+00:07:59,810 --> 00:08:03,710
+عندنا مقصوم لقسمين اللي هو Pearson Correlation و
+
+86
+00:08:03,710 --> 00:08:07,750
+Spearman Correlation و هنتكلم عنهمواحد يستخدم لما
+
+87
+00:08:07,750 --> 00:08:10,490
+بتكون ال data تتبع التوزيع الطبيعي Normal
+
+88
+00:08:10,490 --> 00:08:14,630
+Distribution Data وواحد يستخدم لما بتكون البيانات
+
+89
+00:08:14,630 --> 00:08:18,350
+لا تتبع التوزيع الطبيعي وكل هذا هنتكلم عنه
+
+90
+00:08:18,350 --> 00:08:22,710
+بتفاصيله هناخد أحيان ال correlation بيكون موجود
+
+91
+00:08:22,710 --> 00:08:26,250
+ولكن بيكون ال correlation not significant يعني ما
+
+92
+00:08:26,250 --> 00:08:32,250
+له أي دلالة من ناحية طبية هنتكلم كيف بيتم اختبار
+
+93
+00:08:32,250 --> 00:08:36,750
+ال testing less significantوإيش أهم الطرق لاختبار
+
+94
+00:08:36,750 --> 00:08:41,330
+الـ Significant وعند قد ياش بتكون Significant وعند
+
+95
+00:08:41,330 --> 00:08:45,810
+قد ياش بتكون Not Significant هنتكلم على Regression
+
+96
+00:08:45,810 --> 00:08:50,710
+بأنواعها وما يطلق عليها باسم Prediction يبقى
+
+97
+00:08:50,710 --> 00:08:55,190
+Regression هو اختبار الانحضار أحيان يطلق عليه اسم
+
+98
+00:08:55,190 --> 00:09:00,290
+Prediction Test وزي ما حكينا أنه في ال Screening
+
+99
+00:09:00,290 --> 00:09:05,040
+وDiagnostic Test هنتكلم عنه بأنواعهموللتنويه إن
+
+100
+00:09:05,040 --> 00:09:08,580
+الـ regression كمان له تلت أنواع في عندنا simple
+
+101
+00:09:08,580 --> 00:09:13,720
+regression وفي عندنا multiple regression وفي عندنا
+
+102
+00:09:13,720 --> 00:09:19,780
+logistic regression وي ال multiple regression بين
+
+103
+00:09:19,780 --> 00:09:24,920
+قسم لقسمين multiple linear regression و multiple
+
+104
+00:09:24,920 --> 00:09:29,380
+logistic regression كل هذه الاختبارات بتفاصيلها
+
+105
+00:09:29,380 --> 00:09:39,200
+سيتم الحديث عنهافبالتالي كل ما سبق يعتبر مقدمة
+
+106
+00:09:39,200 --> 00:09:45,820
+للأشياء اللي هنتكلم عنهم خلال المرساق الحالي من
+
+107
+00:09:45,820 --> 00:09:49,900
+المفترض أن يكون الإختبارات السابقة اللي اتكلمنا
+
+108
+00:09:49,900 --> 00:09:55,040
+عنها أن الطالب في مرحلة الـBaccalaureate درسهم
+
+109
+00:09:55,040 --> 00:10:00,040
+ودرس تفاصيلهم كيف بتم اختبار الـChi-Sequoia Test
+
+110
+00:10:00,560 --> 00:10:05,520
+طريقة يدوية وكيف بيتم حسابها كيف بيتم حساب الـ T
+
+111
+00:10:05,520 --> 00:10:11,000
+-test طريقة يدوية وما هي الآلية اللي بتتم فيها وما
+
+112
+00:10:11,000 --> 00:10:15,580
+هي قوانينها Analysis of variance الـ ANOVA test
+
+113
+00:10:15,580 --> 00:10:19,160
+المفترض الطالب في مرحلة الـ baccalaureate يكون
+
+114
+00:10:19,160 --> 00:10:24,040
+عارف ان كيف بيتم اختبار هذه الفراضيات وما هي
+
+115
+00:10:24,040 --> 00:10:29,340
+قوانينها وكذلك ال correlation with regression لأنه
+
+116
+00:10:29,710 --> 00:10:35,410
+هيكون الجزء شاق عليكم لو نتكلم في قوانين الأحصاء
+
+117
+00:10:35,410 --> 00:10:39,710
+بالنسبة للاختبارات هذه فبالتالي، هيكون في عندنا
+
+118
+00:10:39,710 --> 00:10:44,690
+جزءين الجزء هنتكلم عنه من ناحية software كيف بتتم
+
+119
+00:10:44,690 --> 00:10:49,930
+تحليل هذه البيانات على برنامج الـ SPSS والناس اللي
+
+120
+00:10:49,930 --> 00:10:54,450
+أخدت الأختبارات الأحصائية ونسيت القوانين أو ما
+
+121
+00:10:54,450 --> 00:10:58,820
+مرضش عليها أن أخدتها في جامعتهاهننزللكم محاضرات
+
+122
+00:10:58,820 --> 00:11:03,960
+خاصة فيها يفضل أن الطالب يطلع عليها وأحنا مش
+
+123
+00:11:03,960 --> 00:11:08,560
+مطالبينه بالقوانين ولكن هو مطالب أن يكون عارف فيهم
+
+124
+00:11:08,560 --> 00:11:14,580
+للمعرفة لأن بفضوه في رسالة ماجستير في خاصية تفسير
+
+125
+00:11:14,580 --> 00:11:20,860
+النتائج الخاصة بالبحث بنكرر للمرة التانية كل هذه
+
+126
+00:11:20,860 --> 00:11:24,680
+القوانين اللي أمامنا الست القوانين اللي موجودة
+
+127
+00:11:25,240 --> 00:11:28,440
+يُفترض أن الطالب يكون في مرحلة الـ Baccalaureate
+
+128
+00:11:28,440 --> 00:11:34,880
+مر عليهم كلهم بقوانينهم وكيف بيتم حسابهم من ناحية
+
+129
+00:11:34,880 --> 00:11:39,220
+يدوية وليست من ناحية Computerized يعني من ناحية
+
+130
+00:11:39,220 --> 00:11:44,780
+Software أحنا في خلال البحث هنتكلم على ما بهم طالب
+
+131
+00:11:44,780 --> 00:11:49,060
+الـ Magistrate أنه يعرف يعمل اختبار وماكنش يستخدمه
+
+132
+00:11:49,060 --> 00:11:54,300
+وكيف آلية التعليق على هذا الاختبارلأنه مافي طالب
+
+133
+00:11:54,300 --> 00:12:00,760
+ماجستير يحسبه manual ولكن لو طالب بده يستزيد انه
+
+134
+00:12:00,760 --> 00:12:06,440
+فعلا ما هي القوانين ودراسها ونسيها او مارسش عليه
+
+135
+00:12:06,440 --> 00:12:12,440
+اصلا وحاب يعرفهم هنزل محاضرات في الموضوع هذا ولكن
+
+136
+00:12:12,440 --> 00:12:17,520
+هنكون منوين في بداية المحاضرةأو من خلال إشعار
+
+137
+00:12:17,520 --> 00:12:22,160
+أثناء المحاضرة أن الطالب غير مطالب بحفظ هذه
+
+138
+00:12:22,160 --> 00:12:29,660
+القوانين وهي للاطلاع فقط كنا في المساق الصابق أو
+
+139
+00:12:29,660 --> 00:12:36,420
+الجزء الصابق قبل بداية الفصل اتكلمنا على research
+
+140
+00:12:36,420 --> 00:12:44,640
+process ما هي الخطوات العملية لعمل بحث وقلنا إنه
+
+141
+00:12:45,740 --> 00:12:53,480
+الباحث بيبدأ بفكرة معينة لدى الباحث بيكون هو شعر
+
+142
+00:12:53,480 --> 00:12:59,100
+بمشكلة أثناء عمله أو سمع بمشكلة أو هو حاب يشتغل
+
+143
+00:12:59,100 --> 00:13:04,340
+بحته في مجال معين راح الباحث جير دراسات سابقة
+
+144
+00:13:04,340 --> 00:13:09,520
+literature review وبدأ يجمع معلومات عن هذه المشكلة
+
+145
+00:13:09,520 --> 00:13:14,920
+ومدى انتشارها في العالم يدرس ال prevalence بتاعتها
+
+146
+00:13:15,380 --> 00:13:18,940
+والـ Risk Factor الـ Pathology و الـ Pathogenesis
+
+147
+00:13:18,940 --> 00:13:23,280
+يتطلع على كيف الـ Diagnostic ويروح يشوف الـ
+
+148
+00:13:23,280 --> 00:13:27,000
+Complication و الـ Prevention و الـ Treatment و
+
+149
+00:13:27,000 --> 00:13:32,020
+الـ Prognosis وبعدين بعد ما خلص بدأ تتبلور عنده
+
+150
+00:13:32,020 --> 00:13:37,340
+فكرة على آلية كتابة الـ Proposal وما هو جزء النظري
+
+151
+00:13:37,340 --> 00:13:42,930
+الخاص بكتابة المشكلة البحثيةووضع سؤال للبحث
+
+152
+00:13:42,930 --> 00:13:48,370
+research question وبدأ يسعى من خلال اطلاعه
+
+153
+00:13:48,370 --> 00:13:53,820
+والمعلومات المتوفرة على إنه إيجاد مشكلةفرح صمم
+
+154
+00:13:53,820 --> 00:13:59,200
+research design اللي يخدم حل هذه المشكلة واختار ال
+
+155
+00:13:59,200 --> 00:14:03,780
+design المناسب توا كان descriptive ولا analytical
+
+156
+00:14:03,780 --> 00:14:09,160
+study بفرعية اللي هم observational أو experimental
+
+157
+00:14:09,160 --> 00:14:14,120
+وبدأ يجمع فيه البيانات اللي بدها تحل هذه المشكلة
+
+158
+00:14:14,730 --> 00:14:20,850
+وتختبر الفرضية اللي هو وضعها ويبدأ يحل في المشكلة
+
+159
+00:14:20,850 --> 00:14:25,590
+الأساسية أو الفكرة البحثية اللي كانت عنده جزئية ال
+
+160
+00:14:25,590 --> 00:14:29,570
+data collection اللي موجودة عندنا وبدأت جمع
+
+161
+00:14:29,570 --> 00:14:36,430
+البيانات هو كان كاتبها في آخر جزئية في ال research
+
+162
+00:14:36,430 --> 00:14:41,590
+أنا بدي أجمع بيانات كذا وهذه البيانات تعتبر بيانات
+
+163
+00:14:41,590 --> 00:14:46,460
+وصفية ان بيانات كميةوبعد مجمع هذه البيانات اللي
+
+164
+00:14:46,460 --> 00:14:50,880
+موجودة بدأ في موضوع الـ Data Analysis اللي هو
+
+165
+00:14:50,880 --> 00:14:57,440
+الجزئي المتعلق بالإحصار وبنلاحظ أنه احنا بعد ما
+
+166
+00:14:57,440 --> 00:15:02,800
+عملنا Research Design وال Data Collection وال Data
+
+167
+00:15:02,800 --> 00:15:08,420
+Analysis أن المنطقة هذه ماخدة خط أحمروهنا السبب إن
+
+168
+00:15:08,420 --> 00:15:13,640
+اللون هذا أحمر بخلاف الصابق كله إنه لا يمكن العودة
+
+169
+00:15:13,640 --> 00:15:20,840
+إلى الوراء أو للخلف في البحث لأن واحنا صممنا الـ
+
+170
+00:15:20,840 --> 00:15:27,080
+Design جمعنا البيانات وبدأنا تحليل فمثلا لو الباحث
+
+171
+00:15:27,080 --> 00:15:33,720
+نسيأي variable من ضمن أهداف الدراسة اللي كان وضعها
+
+172
+00:15:33,720 --> 00:15:39,000
+فبالتالي صعب جدا يرجع يجيب الـ variable اللي موجود
+
+173
+00:15:39,000 --> 00:15:44,670
+ناخد مثال على ذلكإن واحنا في عندنا من ضمن أهداف
+
+174
+00:15:44,670 --> 00:15:50,390
+الدراسة كنا بدنا نشوف ال relation ما بين ال age و
+
+175
+00:15:50,390 --> 00:15:54,530
+ال biomarker الجديد هل ال biomarker الجديد أو
+
+176
+00:15:54,530 --> 00:15:58,270
+المتغير الجديد اللي أنا بدي استخدمه اللي له علاقة
+
+177
+00:15:58,270 --> 00:16:02,240
+بال age ولا مالوش علاقة بال age؟واتفاجأت بعد ما
+
+178
+00:16:02,240 --> 00:16:07,640
+جمعنا كل هذه الاستبانات إنه أنا ناسي أكتب العمر في
+
+179
+00:16:07,640 --> 00:16:11,980
+الاستبانة فبالتالي جمعت كل البيانات من المرضى اللي
+
+180
+00:16:11,980 --> 00:16:17,140
+موجودين في العيادات والمستشفيات ولكن دون أخر
+
+181
+00:16:17,140 --> 00:16:22,280
+أعمارها فهنا بكون الأمر صعب أرجع و أتصل فيهم تاني
+
+182
+00:16:22,630 --> 00:16:27,910
+وأخد منهم العمراء وإن كانت جوّالاتهم موجودة لأن
+
+183
+00:16:27,910 --> 00:16:32,290
+هذا فيه مرضود نفسي على المريض لما أنا بعد ما خلصت
+
+184
+00:16:32,290 --> 00:16:36,130
+منه جمع البيانات أرجع وأتصل فيه وأقول له جديش عمرك
+
+185
+00:16:36,130 --> 00:16:43,250
+فببدأ من ناحية نفسية يتساءل إن هم اتصلوا فيه أكيد
+
+186
+00:16:43,250 --> 00:16:46,350
+في الفحوصات اللي موجودة أو في الـ Experimental
+
+187
+00:16:46,350 --> 00:16:50,250
+اللي عملوها أو في التحليل اللي موجود فيه خلل معين
+
+188
+00:16:50,250 --> 00:16:55,020
+لهيك اتواصلوا معاهوفيبدأ ينتقبوا شعور من عدم
+
+189
+00:16:55,020 --> 00:17:00,920
+الارتياح من الاتصال كمان أن طريقة الاتصال بالـ
+
+190
+00:17:00,920 --> 00:17:06,280
+Patients حاليًا صارت صعبة لأنه بدك تأخذ مرافقة
+
+191
+00:17:06,280 --> 00:17:13,350
+وزارة الداخلية أنك تتصل بالمرضى لأن اليومالأمور
+
+192
+00:17:13,350 --> 00:17:18,430
+أصبحت معقدة أكثر من السابق بخصوص جمع البيانات من
+
+193
+00:17:18,430 --> 00:17:25,110
+الناس وخصوصا إذا كان وصل لمركز صحي وبعد ذلك بدك
+
+194
+00:17:25,110 --> 00:17:29,750
+تتواصل معاه بأي طريقةبلزمك تُخُد مرافقة وزارة
+
+195
+00:17:29,750 --> 00:17:34,530
+الصحة إنك تتصل بالمريد وبلزمك تُخُد مرافقة وزارة
+
+196
+00:17:34,530 --> 00:17:38,950
+الداخلية إنك تتصل على رقم تبع المريض وإلا بتكون
+
+197
+00:17:38,950 --> 00:17:42,990
+تحت طاللة المسؤولية، لعدة أسباب، منها العامل
+
+198
+00:17:42,990 --> 00:17:46,750
+النفسي اللي اتكلمنا، منه أحيانًا بتكون هي عبارة عن
+
+199
+00:17:46,750 --> 00:17:50,290
+Female، وانت Male، وتروح تتصل في أي وقت بدّك بعض
+
+200
+00:17:50,290 --> 00:17:54,730
+البيانات، وأن كنت باحث في هذا لا يعطيك حق إنك تتصل
+
+201
+00:17:54,730 --> 00:17:58,740
+على الجوال أو الـMobile،نفس الشيء لو كانت باحثة
+
+202
+00:17:58,740 --> 00:18:03,560
+واتصلت في أي وقت بدي تجمع بيانات من mail فالأمر
+
+203
+00:18:03,560 --> 00:18:08,360
+بيكون نوعا ما لتقاليدنا وعاداتنا في نوعا ما من
+
+204
+00:18:08,360 --> 00:18:14,720
+الإزعاج لبعض الناس فأصبحت الموافقات الأخلاقية
+
+205
+00:18:14,720 --> 00:18:19,520
+للبحث عندنا أكثر تعقيدا في الوقت الحالي من السابق
+
+206
+00:18:19,520 --> 00:18:24,880
+لعدة أسباب ومشاكلطرقت في الأيون الأخيرة على بعض
+
+207
+00:18:24,880 --> 00:18:29,820
+الأبحاث المقدمة من الطلاب اللي بيعملوا دراسات على
+
+208
+00:18:29,820 --> 00:18:35,400
+المرضى وما ينتابوا من إزعاج لبعض الناس خلال
+
+209
+00:18:35,400 --> 00:18:40,280
+الاتصال لأن الباحث أحيان بتصل بالمريد اليوم بده
+
+210
+00:18:40,280 --> 00:18:45,360
+يعرف قديش العمر بعد يومين تلاتة بتذكر أن هو مش
+
+211
+00:18:45,360 --> 00:18:49,880
+ماخد هو من أي منطقة فبتروح يتصل كمان مرة ولو سمحت
+
+212
+00:18:49,880 --> 00:18:54,130
+اعطينا أنت ساكن وينكمان يومين تلاتة بيقول المشرف
+
+213
+00:18:54,130 --> 00:18:57,950
+لأ احنا بدنا نربط عدد الأبناء اللي موجودين عنده و
+
+214
+00:18:57,950 --> 00:19:02,210
+نربط مكان السكن اللي موجود فيه السابق و الحالي
+
+215
+00:19:02,210 --> 00:19:05,250
+فبدنا نجيب بعض البيانات فرجع باتصل في المريض تاني
+
+216
+00:19:05,250 --> 00:19:09,330
+لما يكون عند ميت مريض الأمر متعب على الباحث و لما
+
+217
+00:19:09,330 --> 00:19:13,630
+يكون عند patients تم الاتصال فيه تلال يومين لمدة
+
+218
+00:19:13,630 --> 00:19:17,810
+تلات أو أربع مرات عشان أعبي استيبانات الدراسة هو
+
+219
+00:19:17,810 --> 00:19:22,960
+كتير من التساؤلات اللي بتبدأ والشكوكالمريض ان هما
+
+220
+00:19:22,960 --> 00:19:30,660
+بتصلوا فيه ليش فبالتالي بنقول لأي باحث لو انت جمعت
+
+221
+00:19:30,660 --> 00:19:34,100
+ال data collection ووصلت لمرحلة ال data analysis
+
+222
+00:19:34,100 --> 00:19:38,500
+وجب عليك انك تكتفي بالبيانات اللي موجودة وتحليل
+
+223
+00:19:38,500 --> 00:19:43,320
+الدراسة اللي موجودةولا يعطيك الحق إنك ترجع تاني
+
+224
+00:19:43,320 --> 00:19:46,440
+لهيك بتكون المنطقة هذه دخلنا في منطقة حمراء لا
+
+225
+00:19:46,440 --> 00:19:51,220
+يمكن العودة و لازم أستمر في البحث كله و أخلصه و
+
+226
+00:19:51,220 --> 00:19:54,760
+أكتب من ضمن ال conclusion و recommendation أوصي
+
+227
+00:19:54,760 --> 00:19:59,400
+بدراسات مستقبلية تقوم بعمل كذا و كذا و كذا
+
+228
+00:19:59,400 --> 00:20:04,860
+فبالتالي بتكون عندنا جزئية ال data analysis بتجاوب
+
+229
+00:20:04,860 --> 00:20:08,120
+عندنا على السؤال اللي انطرح اللي هو research
+
+230
+00:20:08,120 --> 00:20:12,800
+questionوكمان بتعطينا بعض الملاحظات اللي أنا أقعد
+
+231
+00:20:12,800 --> 00:20:16,520
+فيهم أثناء تحليل البيانات والمتغيرات اللي أنا
+
+232
+00:20:16,520 --> 00:20:20,920
+فقدتهم وممكن يكونوا عندي Confounding ممكن يكونوا
+
+233
+00:20:20,920 --> 00:20:24,020
+كان لهم أهمية في البحث وانا نسيت أخدهم، هذه كلها
+
+234
+00:20:24,020 --> 00:20:27,530
+بنكتبها في recommendationبعد ما نعمل تحليل
+
+235
+00:20:27,530 --> 00:20:31,770
+للبيانات ونضيفهم على شكل table بنبدأ نعمل تعليق
+
+236
+00:20:31,770 --> 00:20:38,530
+لهذه البيانات ونقرنها بدراسات سابقة صارت مؤخرا أو
+
+237
+00:20:38,530 --> 00:20:42,910
+سابقا ونكتب ال conclusion ومن ضمن ال conclusion
+
+238
+00:20:42,910 --> 00:20:50,150
+بيكون انه انا بنحل المشكلة الفلانية يكمل في التالي
+
+239
+00:20:50,150 --> 00:20:54,660
+لو لاحظنا ان واحنالما حكينا على الـ Data Analysis
+
+240
+00:20:54,660 --> 00:20:58,200
+وجينا نكتب في الـ Conclusion and Recommendations
+
+241
+00:20:58,200 --> 00:21:01,860
+فيه الكثير من الـ Limitation أو المعيقات اللي كانت
+
+242
+00:21:01,860 --> 00:21:05,620
+موجودة أو الأشياء اللي أنا وقعت فيهم بحذر منهم
+
+243
+00:21:05,620 --> 00:21:09,320
+الباحثين من خلال الـ Recommendation إن أنا بوصف
+
+244
+00:21:09,320 --> 00:21:15,000
+دراسات مستقبلية تقوم بدراسة البحث أو الـ Biomarker
+
+245
+00:21:15,000 --> 00:21:21,010
+اللي موجود مع متغيرالعمر مع متغير الـ Gender مع
+
+246
+00:21:21,010 --> 00:21:25,530
+متغير المكان السكن بنكتب كل الأشياء هذه اللي كانت
+
+247
+00:21:25,530 --> 00:21:30,150
+موجودة فبالتالي بيتكون نشأت عندنا فكرة بحثية جديدة
+
+248
+00:21:30,150 --> 00:21:34,230
+ممكن هذه ال recommendation اللي انت كتبتها انت
+
+249
+00:21:34,230 --> 00:21:38,010
+تبدأ تعمل البحث من جديد وتلف ال cycle مرة تانية
+
+250
+00:21:38,010 --> 00:21:42,170
+وتجمع هذه البياناتوللعلم أثناء جمع البيانات للمرة
+
+251
+00:21:42,170 --> 00:21:46,490
+التانية لازم انك تكتشف كمان شغلة انت نفسي تاخدها
+
+252
+00:21:46,490 --> 00:21:49,490
+فبالتالي بتظل ال cycle اللي موجودة زي ما احنا
+
+253
+00:21:49,490 --> 00:21:54,430
+ملاحظين ان البحث cycle لا تنتهي وهي عبارة عن
+
+254
+00:21:54,430 --> 00:21:58,790
+research process بظل الباحث ماشي فيها والتفثير
+
+255
+00:21:58,790 --> 00:22:04,480
+تبعه وهذه بتكون مشكلةالدراسة والبحث إن هو عبارة عن
+
+256
+00:22:04,480 --> 00:22:08,380
+أساليب البحث وهي مشاكل البحث كل ما يوجد مشكلة حل
+
+257
+00:22:08,380 --> 00:22:13,340
+مشكلة معينة ممكن تطرع عنا أثناء البحث إنه احنا
+
+258
+00:22:13,340 --> 00:22:17,640
+لاحظنا مشكلة جديدة فبالتالي بدنا نرجع نبحث على حل
+
+259
+00:22:17,640 --> 00:22:21,780
+هذه المشكلة وإذا مش احنا اللي بنعمل تحليل أو حل
+
+260
+00:22:21,780 --> 00:22:26,300
+هذه المشكلة ممكن نوصي باحثين أو طلاب مجستير
+
+261
+00:22:26,300 --> 00:22:33,750
+مستقبلي أنهم يقوموا بهاوبيكون عندنا كل الخطوات
+
+262
+00:22:33,750 --> 00:22:38,190
+السابقة لـ Undosated Data Collection كلها موجودة
+
+263
+00:22:38,190 --> 00:22:42,370
+في الـ Proposal وممكن الباحث يعدل في أي وقت ولكن
+
+264
+00:22:42,370 --> 00:22:45,910
+عندما يبدأ بتنفيذ الـ Proposal ويجمع البيانات
+
+265
+00:22:45,910 --> 00:22:51,070
+ويبدأ تحليل فبيكون الأمر معقد جدا أنه يبدأ يعدل في
+
+266
+00:22:51,070 --> 00:22:56,580
+أي بياناتالصورة اللي موجودة أمامنا هي تمامًا بتمثل
+
+267
+00:22:56,580 --> 00:23:01,540
+واقع الباحث أو واقعك كباحث ماجستير، إذا أنت في الـ
+
+268
+00:23:01,540 --> 00:23:06,780
+Proposal لن تحسن كتابة الـ Proposal، اللي هي خطة
+
+269
+00:23:06,780 --> 00:23:11,840
+البحث، وتاخد بالك من كل المتغيرات اللي ممكن تطرق
+
+270
+00:23:11,840 --> 00:23:18,090
+وتوقف عائق أمام تحقيق أهداف الدراسةفبتكون الفكرة
+
+271
+00:23:18,090 --> 00:23:21,690
+البحثية عندك تماما زي الثمر اللي موجودة أمامنا
+
+272
+00:23:21,690 --> 00:23:26,830
+اللي كبرت في مكان غير مناسب هي okay أدت منظر جميل
+
+273
+00:23:26,830 --> 00:23:32,170
+ولكن بعد ذلك كانت النهاية صعبة بالنسبالها وكانت
+
+274
+00:23:32,170 --> 00:23:38,010
+النهاية مؤلمة بالنسبالها لمكوثها أو البدأ انها
+
+275
+00:23:38,010 --> 00:23:43,700
+تكبر في مكان غير مناسبفبالتالي الفكرة البحثية اللي
+
+276
+00:23:43,700 --> 00:23:49,140
+بتكون عندك كطالب ماجستير المفترض إنك تكون سألت
+
+277
+00:23:49,140 --> 00:23:54,840
+واستشارت المشرف واستشارت أكتر من حده بيكونوا إنه
+
+278
+00:23:54,840 --> 00:24:01,060
+ممكن تحقيقها والالتزام بالوقت المحدد حتى ما أمكث
+
+279
+00:24:01,060 --> 00:24:06,120
+كتير بتحليل البيانات وجمع البيانات والتكلفة
+
+280
+00:24:06,120 --> 00:24:13,910
+الباهظة كل باحث أيًا كانسواء بكالوريوس أو ماجستير
+
+281
+00:24:13,910 --> 00:24:21,770
+أو دكتورة هو كل هدفه إنه يقدم أكبر كمية من النتائج
+
+282
+00:24:21,770 --> 00:24:28,090
+والمعلومات اللي يكون لها تأثير وقيمة في المجتمع
+
+283
+00:24:28,090 --> 00:24:34,430
+واللي ممكن الناس تستفيد منها ولكن أحيان بتكون إنه
+
+284
+00:24:34,430 --> 00:24:38,490
+الهدف اللي أنت بتضيفه للدراسةأو العنوان اللي انت
+
+285
+00:24:38,490 --> 00:24:43,490
+اخترته لا يتوازى ولا يتماشى مع الامكانيات المادية
+
+286
+00:24:43,490 --> 00:24:50,510
+اللي موجودة لك و الوقت اللازم انك تنجز في بحث
+
+287
+00:24:50,510 --> 00:24:58,490
+الماجستير ليس من المنطق ان انا اجمع بيانات و اخد
+
+288
+00:24:58,490 --> 00:25:03,510
+عنوان بحث لمدة 3 سنوات في حين ان زملاء اللي كانوا
+
+289
+00:25:03,510 --> 00:25:07,440
+معايا و بدؤوا البحثبلشوا أنهم يناقشوا موضوع
+
+290
+00:25:07,440 --> 00:25:10,240
+الدكتوراه وليس المجستير وانا نازلك في أجمع في بحث
+
+291
+00:25:10,240 --> 00:25:15,820
+المجستير فبالتالي بنقول لأ أي باحث جديش بتتعب في
+
+292
+00:25:15,820 --> 00:25:20,560
+موضوع ال proposal وكتابة ال proposal انت بترتاح في
+
+293
+00:25:20,560 --> 00:25:25,960
+تنفيذ موضوع البحث وخطة البحث بتكون ميصرة لك جديش
+
+294
+00:25:25,960 --> 00:25:31,370
+انت بترتاحو بالشلفك بموضوع كتابة ال proposal و
+
+295
+00:25:31,370 --> 00:25:34,810
+بتخلصه في أسبوع و بتجيبه للمشرف و بتناقشه و بتاخد
+
+296
+00:25:34,810 --> 00:25:37,950
+عليه approval من الجامعة جديش بتدفع التمن باهظ
+
+297
+00:25:37,950 --> 00:25:42,470
+أثناء تنفيذ البحث لأنه ماياخده من كل النواحي ولا
+
+298
+00:25:42,470 --> 00:25:47,160
+أدراسه من كل النواحيكداش انت طالب مجستير و بتتعب و
+
+299
+00:25:47,160 --> 00:25:51,440
+انت بتستشير في الناس و بتسأل كل شخص اللي علاقة
+
+300
+00:25:51,440 --> 00:25:55,940
+بموضوع البحث و بتستفيد من خبرته كداش انت بترتاح في
+
+301
+00:25:55,940 --> 00:26:00,360
+التنفيذ و بتلاقي ناس مساعدين ودعمين لك في تنفيذ
+
+302
+00:26:00,360 --> 00:26:06,360
+هذا البحث كداش انت بتتكاسل و بتتكاسلوبتخجل وبتسحي
+
+303
+00:26:06,360 --> 00:26:09,300
+أنك تسأل حد و تكتب له proposal و تأخذ عليه
+
+304
+00:26:09,300 --> 00:26:14,660
+approval كده أنك بتدفع ثمن باهظ في النتائج و
+
+305
+00:26:14,660 --> 00:26:19,500
+المخاجرات الخاصة بالبحث. لهيك في ال proposal بنقول
+
+306
+00:26:19,500 --> 00:26:25,720
+لك قد ما تقدر استشير و استخير واسأل وما تخجل من حد
+
+307
+00:26:25,720 --> 00:26:30,490
+أنك ما زلت طالب مجستير وساعي للعلموكل هذا سيريحك
+
+308
+00:26:30,490 --> 00:26:35,670
+في التنفيذ وزيد معلوماتك البحثية وخبرتك المستقبلية
+
+309
+00:26:35,670 --> 00:26:39,470
+في
+
+310
+00:26:39,470 --> 00:26:42,430
+عندنا ال data اللي بنجمعها كل هدف من ال data اللي
+
+311
+00:26:42,430 --> 00:26:47,890
+انا بلمها و اجمعها ان احولها ل information انا قلت
+
+312
+00:26:47,890 --> 00:26:53,410
+ان بعض الأدوية بزيد نسبة السكر لما فحصنا لمجموعة
+
+313
+00:26:53,410 --> 00:26:56,990
+من الناس نسبة السكر الجين المتوسط تبع الناس هذول
+
+314
+00:26:56,990 --> 00:27:03,260
+205205 هو كرقم لـ fasting blood glucose هو data
+
+315
+00:27:03,260 --> 00:27:08,700
+رقم 205 هو data ال information إن هدولة يعتبروا
+
+316
+00:27:08,700 --> 00:27:13,140
+مرضى type 2 diabetes إذا كان أعمارهم أكتر من 40
+
+317
+00:27:13,140 --> 00:27:19,720
+فبالتالي كل اللي موجود في الملفات ونتائج المختبر
+
+318
+00:27:19,720 --> 00:27:24,920
+تعتبر ك real data موجودة هذه كلها بنجمعها بنحولها
+
+319
+00:27:24,920 --> 00:27:30,400
+ل data و بنروح نطلع منها ب informationناخد مثال
+
+320
+00:27:30,400 --> 00:27:35,300
+أول حاجة لما بيجي مريض بيقولك شوف نتيجة الفحص
+
+321
+00:27:35,300 --> 00:27:39,080
+المخبر اللي موجود بتقول الـ Homoglobin إذا كانت
+
+322
+00:27:39,080 --> 00:27:43,880
+female تسعة و نص ال information أنه إنت عندك
+
+323
+00:27:43,880 --> 00:27:50,680
+أنيميا بنيجي على موضوع تاني الكلسترول كان 230، 230
+
+324
+00:27:50,680 --> 00:27:54,580
+هي عبارة عن data ال information أنه إنت عندك
+
+325
+00:27:54,580 --> 00:27:58,590
+hyperlipidemia أو dyslipidemiaبنجي في موضوع الـ
+
+326
+00:27:58,590 --> 00:28:03,950
+Urine Analysis الـ White Blood Cell كانت من 70 لـ
+
+327
+00:28:03,950 --> 00:28:10,170
+80 هو هنا يعتبر من 70 ل 80 data ال information ان
+
+328
+00:28:10,170 --> 00:28:15,590
+وجود UTI بنجي بعد منجيب ال data و ال information
+
+329
+00:28:15,590 --> 00:28:22,110
+الهدف من الاتنين هدول ان انا اخد action او اقلر
+
+330
+00:28:22,110 --> 00:28:25,350
+recommendation من ناحية الأولى لما قلنا
+
+331
+00:28:25,350 --> 00:28:30,470
+الهموجلوبيين كانتسعة و نص الـ Homoglobin في أنيميا
+
+332
+00:28:30,470 --> 00:28:34,530
+كـ transformation الـ action تحتاجي إذا كنت كست
+
+333
+00:28:34,530 --> 00:28:37,870
+pregnancy انك تخدم القويات زي الحديد والـ folic
+
+334
+00:28:37,870 --> 00:28:45,350
+acid لو كان عندنا الكوليسترول 210، 220، 250، 270
+
+335
+00:28:45,350 --> 00:28:50,250
+بلزم انه احنا نحولها لـ transformation انه في
+
+336
+00:28:50,250 --> 00:28:53,970
+عندنا hyperlipidemia او dyslipidemia ال action انه
+
+337
+00:28:53,970 --> 00:28:58,800
+انا ابدأأتحمى عن الدهون بشكل كامل أو أجلل منها ك
+
+338
+00:28:58,800 --> 00:29:03,760
+action أو أخد علاج أنه ممكن ينزل نسبة الدهون بخصوص
+
+339
+00:29:03,760 --> 00:29:07,480
+الـ UTI لما كانت من 70 ل 80 الـ white blood cell
+
+340
+00:29:07,480 --> 00:29:14,680
+ال information كانت UTI ال data اللي احنا بنينا
+
+341
+00:29:14,680 --> 00:29:17,280
+عليها ال information اللي هي كمية ال white blood
+
+342
+00:29:17,280 --> 00:29:22,300
+cell من 70 ل 80 وال action أنه بالدعم المزرعة
+
+343
+00:29:22,760 --> 00:29:27,120
+بالذات الـ Antibiotic أو الـ Spectrum أيًا كان فهو
+
+344
+00:29:27,120 --> 00:29:30,500
+الـ Action بيكون موجود بعد ما يعرف الـ Information
+
+345
+00:29:30,500 --> 00:29:36,700
+الشيء المهم في الليجراف اللي موجود أمامنا أنه أنا
+
+346
+00:29:36,700 --> 00:29:40,440
+لا يمكن أنه أعمل Action على الـ Data اللي موجودة
+
+347
+00:29:40,440 --> 00:29:45,000
+بذاتًا لا يمكن أنه احنا نعمل Action على الـ Data
+
+348
+00:29:45,000 --> 00:29:48,720
+اللي موجودة فبالتالي يجب أنه نحوّلها لـ
+
+349
+00:29:48,720 --> 00:29:53,490
+Information ومن الـ Information نتخذ الـ Actionلأن
+
+350
+00:29:53,490 --> 00:29:59,070
+أحيانًا حتى سبحان الله في تصرفاتنا اليومية بنلاحظ
+
+351
+00:29:59,070 --> 00:30:02,750
+أن ال data و ال information بيأثروا على ال action
+
+352
+00:30:02,750 --> 00:30:08,570
+ناخد مثلين والمثلين متساوين نفترض أن في طالب في
+
+353
+00:30:08,570 --> 00:30:14,510
+الثانوي العام حاصل على نسبة 95% هذه ك dataالـ
+
+354
+00:30:14,510 --> 00:30:19,430
+Information إنه علمات ممتازة وطالب توجيه جاب 95%
+
+355
+00:30:19,430 --> 00:30:23,610
+والـ Action أنا بقول إن هو طالب ممتاز وبنبارك
+
+356
+00:30:23,610 --> 00:30:29,470
+لأهله وبنكون مبسوطين جداً وتتسم الفرحة على وجهنا
+
+357
+00:30:29,470 --> 00:30:32,990
+واحنا بنقول لأهله ألف مبارك هذا الـ Design الأول
+
+358
+00:30:32,990 --> 00:30:36,710
+أو الـ Style الأول من الـ Data اتفاجئني لما شوفنا
+
+359
+00:30:36,710 --> 00:30:41,650
+بوست على الـ Facebook إنه جاب 95% وحولنا الـ
+
+360
+00:30:41,650 --> 00:30:46,150
+Information إنه ممتازواتصلنا على الأهل إنه ناخد ال
+
+361
+00:30:46,150 --> 00:30:49,190
+action في البلاد كلهم، اتفاجأنا إن الأهل بيقولوا
+
+362
+00:30:49,190 --> 00:30:53,330
+والله هو، برك الله فيك على الاتصال، ولكن هو الطالب
+
+363
+00:30:53,330 --> 00:30:57,250
+السنة اللي فاتت كان جايب 96، وكان نفسه يدرس طب في
+
+364
+00:30:57,250 --> 00:31:00,570
+غزن، في الجامعة الإسلامية أو لازهة، وعيدناه
+
+365
+00:31:00,570 --> 00:31:05,130
+توجيهي، ولكن قدظ الله وما شاء فعل إنه جاب بدل ما
+
+366
+00:31:05,130 --> 00:31:09,640
+يجيب 97 جاب 95كانت عنا الـ Information إنه ممتاز
+
+367
+00:31:09,640 --> 00:31:13,960
+وبنبرك انقلب الـ Action هنا إننا أصبحنا بنواسي في
+
+368
+00:31:13,960 --> 00:31:16,780
+الأهل وبنقولهم يلّا إن شاء الله خيرها في غيرها
+
+369
+00:31:16,780 --> 00:31:20,480
+ممكن ندرس طب في مكان تاني فبناء على الـ Data اللي
+
+370
+00:31:20,480 --> 00:31:25,060
+موجودة هذه لما حولناها لـ Information حددنا يسمعوا
+
+371
+00:31:25,060 --> 00:31:29,490
+الـ Actionالرقم بحيث ذاته من القصتين اللي فاتوا
+
+372
+00:31:29,490 --> 00:31:33,870
+بنوصل لقناعة أن الرقم بحيث ذاته كرقم لما أنا بسمعه
+
+373
+00:31:33,870 --> 00:31:38,390
+لا يعني شيء بالمطلق فبالتالي أول نسمع أي رقم كان
+
+374
+00:31:38,390 --> 00:31:43,390
+موجود الرقم هذا لا يعني شيء بدون ما أشوف ال
+
+375
+00:31:43,390 --> 00:31:48,410
+environment أو ال situation اللي كان فيه الرقم حتى
+
+376
+00:31:48,410 --> 00:31:52,690
+أقدر أحول ال information ناخد مثال مريض سُكّة
+
+377
+00:31:53,640 --> 00:31:58,800
+Fasting Blood Glucose كان موجود عنده 170 هو كـ 170
+
+378
+00:31:58,800 --> 00:32:02,780
+يعني بنقوله كويس لا مضى السكر وإذا كان هم مقلبين A
+
+379
+00:32:02,780 --> 00:32:06,860
+و C عنده أقل من 8 بنقول والله يعني ممتاز يعني
+
+380
+00:32:06,860 --> 00:32:11,660
+مقبول في عندنا حالتين الحال الأولى أنه أنا بسأله
+
+381
+00:32:11,660 --> 00:32:14,360
+عن الفحص السابق قاله والله الفحص السابق كان عندنا
+
+382
+00:32:14,360 --> 00:32:21,720
+330 ونزل ل 170 ممتازولكن لو هو أول مرة يفحص و
+
+383
+00:32:21,720 --> 00:32:25,060
+fasting blood glucose وكان 170، ال information
+
+384
+00:32:25,060 --> 00:32:28,480
+اللي صارت عندي غير عن ال information الأولى،
+
+385
+00:32:28,480 --> 00:32:32,740
+الأولى كان 330، نزل ل 170، بنعتبره ممتاز، بنقوله
+
+386
+00:32:32,740 --> 00:32:35,580
+والله هذه الأمور ماشية كويسة، وبدأ ينزل السكر،
+
+387
+00:32:35,580 --> 00:32:40,300
+وبدأ ينتظم، بالناحية التانية، بنقوله انتتعتبر مريض
+
+388
+00:32:40,300 --> 00:32:43,360
+طيب 2 ديابيتس لإنك fasting blood glucose عندك
+
+389
+00:32:43,360 --> 00:32:47,380
+موجود 170 بالزمه ك action تعمل عندنا البورصة برن
+
+390
+00:32:47,380 --> 00:32:51,840
+ديال blood glucose وتعمل عندنا هموجلبين A وC فهم
+
+391
+00:32:51,840 --> 00:32:55,640
+نفس الرقم ولكن ال situation أو ال environment تحت
+
+392
+00:32:55,640 --> 00:32:58,920
+الرقم اتغيرت فبالتالي اتغيرت عندنا ال information
+
+393
+00:32:58,920 --> 00:33:04,400
+و recommendation أو ال action اتغيرت على ال
+
+394
+00:33:04,400 --> 00:33:07,220
+environment أو ال situation تحت الرقم وليس على
+
+395
+00:33:07,220 --> 00:33:15,370
+الرقم ذاتهتماماً زي طالب آخر الفصل وصلت العلامة
+
+396
+00:33:15,370 --> 00:33:21,730
+على رسالة فالعلامة كانت بالنسباله 93 في مساق X هو
+
+397
+00:33:21,730 --> 00:33:28,590
+اعتبر 93 ممتازة وبدأت البسمة ترتسم على معالم وجهه
+
+398
+00:33:28,590 --> 00:33:32,450
+وبدأ أنه مبسوط ويطسي في زملائته فاتفاجر أنه أقل
+
+399
+00:33:32,450 --> 00:33:37,470
+واحد موجود في زملاته فبالتالي ال information اللي
+
+400
+00:33:37,470 --> 00:33:40,770
+صارت عنده أنه أقل علامة جال في الطلابالـ Action
+
+401
+00:33:40,770 --> 00:33:45,310
+تتغير كل معالي مجهور بالنسبة للموضوع اللي صار،
+
+402
+00:33:45,310 --> 00:33:48,310
+ويبدأ الطالب يتحسب أنه كان أعلى واحد جايب في
+
+403
+00:33:48,310 --> 00:33:52,010
+النصفي، وكيف هو أخر واحد جايب في الـ Final، ويبدأ
+
+404
+00:33:52,010 --> 00:33:55,650
+الـ Action تبعه غير عن الـ Action اللي الأول واحدة
+
+405
+00:33:55,650 --> 00:34:01,330
+وصلت فيه العالمة. كل الحديث اللي أحنا حكيناه سابق،
+
+406
+00:34:01,330 --> 00:34:06,670
+الهدف الأساسي الوحيد أن نوصله للطالب، دائما أنت
+
+407
+00:34:06,670 --> 00:34:12,490
+كطالب وباحثالرقم بالنسبالك بدون ما تفهم اللي
+
+408
+00:34:12,490 --> 00:34:18,450
+حواليه لا تفتيه فيه بتاتا ولا تبني عليه أي
+
+409
+00:34:18,450 --> 00:34:24,990
+information ولا تتخذ عليه أي action حتى تعرف بيئة
+
+410
+00:34:24,990 --> 00:34:30,570
+الرقم اللي كانت موجودة فيها إيش بالظبط فبتكون
+
+411
+00:34:30,570 --> 00:34:34,210
+عندنا في عنا أرقام موجودة بنبدأ collection بنبدأ
+
+412
+00:34:34,210 --> 00:34:37,430
+coding تبدأ عملية processing و interpretation
+
+413
+00:34:38,440 --> 00:34:41,940
+Presentation بعدين بيبدأ نحوّلها لـ Information زي
+
+414
+00:34:41,940 --> 00:34:46,360
+ما قولنا طالب جايب 93 بيبدأ يتصل ويسأل ويلم
+
+415
+00:34:46,360 --> 00:34:49,800
+معلومات ويقول كده جابه هذا كلها عبارة عن عملية
+
+416
+00:34:49,800 --> 00:34:54,640
+بعدين بيبدأ يقارن علاماته اللي موجودة اللي هي 93
+
+417
+00:34:54,640 --> 00:34:58,860
+بعلامات زملاته اللي أقل واحد جابه 95 بعدين يبدأ
+
+418
+00:34:58,860 --> 00:35:02,400
+يحط العلامات قدامه ويبدأ يحوّلها ل Information أنه
+
+419
+00:35:02,400 --> 00:35:06,850
+أنا أقل طالب حصلت في العلامات او من جايب 93وببدأ
+
+420
+00:35:06,850 --> 00:35:11,930
+بعد ذلك يحط سياسة هل أنا بدأ أراجع المشرف، بدأ
+
+421
+00:35:11,930 --> 00:35:16,630
+أراجع المدرس، بدأ أراجع الجامعة، بدأ أشوف ليش أنا
+
+422
+00:35:16,630 --> 00:35:21,190
+هذه العلامة هيك، وبدأ أبدأ اتصالات، وبدأ أاخد
+
+423
+00:35:21,190 --> 00:35:25,230
+action في الآخر، هي العلامة ليش هي. تماما زي طالب
+
+424
+00:35:25,230 --> 00:35:30,650
+جاب 30 من 30 في النصفي، وآخر شيء وصلته رسالة أن هو
+
+425
+00:35:30,650 --> 00:35:34,480
+جايبأربعة وتسعين أو خمسة وتسعين العلامة ماعجبتهش
+
+426
+00:35:34,480 --> 00:35:37,460
+لأن هو استقل العلامة اللي موجودة باعتباره انه جايب
+
+427
+00:35:37,460 --> 00:35:40,300
+علامة كاملة في النصفي ومتوقع ان هو كمان في
+
+428
+00:35:40,300 --> 00:35:43,060
+المشاركات اللي موجودة كمان علامة كاملة ومقدمة
+
+429
+00:35:43,060 --> 00:35:47,980
+كويسةفاتفاجأة لما اتصل بزملاته اللي جابه 30 من 30
+
+430
+00:35:47,980 --> 00:35:52,860
+كلهم علاماتهم أقل من 85 فباعتبر بالنسباله هو الأول
+
+431
+00:35:52,860 --> 00:35:57,540
+هو 93 أو 95 فبالتالي بيتيجي عنده ال information
+
+432
+00:35:57,540 --> 00:36:01,560
+اللي موجودة غير عن ال information اللي حكيناها و
+
+433
+00:36:01,560 --> 00:36:08,300
+ال scenario اللي حكيناها سابقاً الحين
+
+434
+00:36:08,300 --> 00:36:11,500
+إن ال data اللي موجودة و ال information و ال
+
+435
+00:36:11,500 --> 00:36:17,710
+actionكل هدول كمان بالنسبالي كباحث لا يعنو شيء إذا
+
+436
+00:36:17,710 --> 00:36:21,490
+لم يتوافقوا مع الـ Objective تبع البحث يبقى يقولنا
+
+437
+00:36:21,490 --> 00:36:25,990
+ال data بتعنيش share إلا لما نحولها ل information
+
+438
+00:36:26,860 --> 00:36:30,760
+والـ Information لازم تأخذ عليها Action والتالتة
+
+439
+00:36:30,760 --> 00:36:34,560
+كلهم مع بعض، مش من ضمن أهداف البحث اللي أنا بقدرسه
+
+440
+00:36:34,560 --> 00:36:37,100
+ومش من ضمن الـ General Objective والـ Specific
+
+441
+00:36:37,100 --> 00:36:42,140
+Objective كمان لا يعني شيء بالنسبة للمشرف أو
+
+442
+00:36:42,140 --> 00:36:46,510
+البناتش أو الباحثفبالتالي كل ال data و ال
+
+443
+00:36:46,510 --> 00:36:51,830
+information بيكون تتوافق مع ال goal of study أو ال
+
+444
+00:36:51,830 --> 00:36:55,170
+objective of study أو ال hypothesis of study أو
+
+445
+00:36:55,170 --> 00:37:00,250
+research question of study كم أنك تكون دقيق في جمع
+
+446
+00:37:00,250 --> 00:37:04,610
+ال data و تحويلها ل informationوتعمل عليها
+
+447
+00:37:04,610 --> 00:37:07,450
+interpretation وعشان تاخد عليها action وتكتب
+
+448
+00:37:07,450 --> 00:37:10,690
+recommendation و conclusion بيكون الأمر سهل لأن ال
+
+449
+00:37:10,690 --> 00:37:14,750
+data اللي لميتها بكل بساطة كانت عبارة عن data
+
+450
+00:37:14,750 --> 00:37:19,010
+حقيقية انت ال data اتعبت وانت بتلم فيهم فبالتالي
+
+451
+00:37:19,010 --> 00:37:22,370
+ال information بتقولها وانت متأكد فيها وبتكتب ال
+
+452
+00:37:22,370 --> 00:37:25,810
+recommendation وانت متأكد فيهمأحيانًا الـ
+
+453
+00:37:25,810 --> 00:37:28,030
+Objective بتاعة الدراسة اللي احنا بنكتبها بتكون
+
+454
+00:37:28,030 --> 00:37:31,790
+سهلة زي ما احنا شايفين ال scenario اللي قدامنا انه
+
+455
+00:37:31,790 --> 00:37:37,010
+بكل سهولة اللاعب جاب الهدف و أحيانًا بتكون ال
+
+456
+00:37:37,010 --> 00:37:41,490
+objective فعب جدًا ان انا احققها و بتكون شويه
+
+457
+00:37:41,490 --> 00:37:45,690
+معقدة لأن انا استعجلت شويه و انا بكتب في ال
+
+458
+00:37:45,690 --> 00:37:49,510
+proposal وماخدتش بالي و انا بكتب في ال proposal
+
+459
+00:37:49,510 --> 00:37:54,700
+فبالتالي كانت أمورالـ goals أننا نطبقها أو الـ
+
+460
+00:37:54,700 --> 00:37:58,720
+object في أننا نطبقها كانت صعبة جداً زي ما احنا
+
+461
+00:37:58,720 --> 00:38:02,440
+شايفين في ال scenario اللي أمامنا فبالتالي
+
+462
+00:38:04,350 --> 00:38:07,290
+الـ Objective أحنا بنكتبها بدنا نكون دقيقين فيها
+
+463
+00:38:07,290 --> 00:38:10,590
+متأكدين إن احنا ممكن نحققها بكل سهولة وأي
+
+464
+00:38:10,590 --> 00:38:15,170
+Objective أجد فيه صعوبة في كتابته ممكن أنا ماضفوش
+
+465
+00:38:15,170 --> 00:38:17,710
+كـGeneral Objective ممكن أضيفه كـSpecific
+
+466
+00:38:17,710 --> 00:38:22,270
+Objective ويتم التناقص فيه مع المشرف واناقش فيه
+
+467
+00:38:22,270 --> 00:38:25,910
+لجنة التحكيم الخاصة بالـ Proposal ولو شعرت إن هو
+
+468
+00:38:25,910 --> 00:38:29,710
+صعب إني أحققه أو مش مجابل أو إني ممكن ألاقي فيه
+
+469
+00:38:29,710 --> 00:38:32,690
+صعوبات ممكن استبتال Objective هدف Objective تاني
+
+470
+00:38:32,690 --> 00:38:37,590
+اللي هو يكون أسهلويحقق هدف الدراسة المرجوعة
+
+471
+00:38:37,590 --> 00:38:40,810
+أحيانًا الباحث بعد ما بتعب في كتابة ال proposal
+
+472
+00:38:40,810 --> 00:38:47,110
+وتوجيهات المشرف ويبدأ يجمع البيانات تحدث عنده حاجة
+
+473
+00:38:47,110 --> 00:38:52,790
+اسمها deviation في الدراسات يعني يغير مصار الدراسة
+
+474
+00:38:52,790 --> 00:38:57,190
+بالكامل يعني يكون كاتب ال proposal وامور تمام يجمع
+
+475
+00:38:57,190 --> 00:39:01,170
+البيانات من المستشفى يقعد مع رئيس القسم يبدأ رئيس
+
+476
+00:39:01,170 --> 00:39:06,520
+القسميعطي ما لديه من فتوة أن هذا البحث لا يصلح أن
+
+477
+00:39:06,520 --> 00:39:10,840
+يكون بحث ماجستير، البحث بحث simple، أنت لازم تغير
+
+478
+00:39:10,840 --> 00:39:13,340
+في ال objective، لازم تغير في ال design اللي
+
+479
+00:39:13,340 --> 00:39:17,820
+موجود، لازم تعمل، ببدأ عند الباحث أن هي كستير عنده
+
+480
+00:39:17,820 --> 00:39:20,750
+زي واشة، هو فعلا كلامه منطقي ولا مش منطقي؟أو
+
+481
+00:39:20,750 --> 00:39:25,090
+بالبلد هي غسيل الإدماغ، أن هو هل فعلاً كلامه اللي
+
+482
+00:39:25,090 --> 00:39:29,050
+موجود أو هموجود لجنة التحكيم، الجامعة أو المشرف،
+
+483
+00:39:29,050 --> 00:39:32,190
+هل فعلاً هذا يصلح أن يكون باحث مجستية، هممكن نعدّل
+
+484
+00:39:32,190 --> 00:39:35,210
+عليه، ممكن نضيف الـMutation جديدة، Polymorphism
+
+485
+00:39:35,210 --> 00:39:37,910
+جديدة، ممكن نضيف كمان Objective جديد، ممكن نضيف
+
+486
+00:39:37,910 --> 00:39:43,010
+مواد تانية، بنقول للباحث في الحالة هذه، كل ما
+
+487
+00:39:43,010 --> 00:39:46,990
+تسمعه أثناء جمع البيانات من الناس اللي موجودين في
+
+488
+00:39:46,990 --> 00:39:52,730
+المراكز الصحية، سجله،ولكن احتفظ فيه لأبحاث
+
+489
+00:39:52,730 --> 00:39:56,370
+مستقبلية توصي فيها زملاتك أو أبحاث مستقبلية أنت
+
+490
+00:39:56,370 --> 00:40:00,050
+تطبقها وما تتغيرش بتاعة في الـ Objective ولا في
+
+491
+00:40:00,050 --> 00:40:04,430
+مسارك البحثي وأيا كانت النتائج لأن أنت معاك مشرف
+
+492
+00:40:04,430 --> 00:40:10,290
+وواجب عليك احترام رأي المشرف وعدم الدلو والانجرار
+
+493
+00:40:10,290 --> 00:40:14,630
+ورأي الآخرين في الدراسة اللي موجودة طالما في عندنا
+
+494
+00:40:14,630 --> 00:40:17,490
+موافقة من الجامعة بضلني ماشي على الـ Objective
+
+495
+00:40:17,490 --> 00:40:20,390
+وبحق الـ Objectiveوكل اللي قالولييا كـ Notes،
+
+496
+00:40:20,390 --> 00:40:25,250
+بسجلها، وفيه دراسات مستقبلية، بنحاول نستفيد منها
+
+497
+00:40:25,250 --> 00:40:28,590
+ونطبقها، يا بنكتبها في الـ documentation لباحثين
+
+498
+00:40:28,590 --> 00:40:32,450
+آخرين، أو ممكن أنا في المستقبل، إذا بدي أكمل
+
+499
+00:40:32,450 --> 00:40:36,770
+دكتوراه، أكمل على نفس الموضوع، مع التعديلات اللي
+
+500
+00:40:36,770 --> 00:40:41,050
+أقفوها الناس اللي أنا حسيت أنهم Expert أو أنهم هم
+
+501
+00:40:41,050 --> 00:40:47,040
+بدهم يخدموني، لأنه أحيانًا إضافة أي بحث،والانشغال
+
+502
+00:40:47,040 --> 00:40:52,060
+ان انا لو ضفته ممكن احسن في التواصل هذا بعمل عندك
+
+503
+00:40:52,060 --> 00:40:57,000
+موت للدافع الذاتي ان انت تستمر في البحثبيقتل عندك
+
+504
+00:40:57,000 --> 00:41:01,180
+تماماً الدافع الذاتي أنك انت تبقى ماشي في موضوع
+
+505
+00:41:01,180 --> 00:41:05,440
+البحث لأنه بدوا يخافوك هذا رسالة، هذا بحث، هذا
+
+506
+00:41:05,440 --> 00:41:08,920
+objective، لأ المفترض كذا، لأ المفترض كذا، لأ احنا
+
+507
+00:41:08,920 --> 00:41:11,640
+ممكن ناخد كل ال recommendation هذه اللي موجودة
+
+508
+00:41:11,640 --> 00:41:14,840
+ونحتفظ فيها لبحث الدكتوراه وان شاء الله كلكم
+
+509
+00:41:14,840 --> 00:41:20,580
+تكملوا الدكتوراه وتكونوا باحثين مميزين نوصل لموضوع
+
+510
+00:41:20,580 --> 00:41:23,020
+الـ Biostatistics اللي هو موضوع الدراسة
+
+511
+00:41:27,640 --> 00:41:34,160
+أنا كباحث إيش بدي أستفيد من دراسة الإحصاء الهيو؟
+
+512
+00:41:34,160 --> 00:41:39,800
+هل هو يقتصر الموضوع على كتابة Chapter of Results
+
+513
+00:41:39,800 --> 00:41:45,920
+الخاص في البحث؟ ولا في أهداف أخرى للموضوع؟ مع
+
+514
+00:41:45,920 --> 00:41:51,340
+العلم إنه أنا كباحث أو طالب مجلسية بسمع إن جزئية
+
+515
+00:41:51,340 --> 00:41:54,460
+الـBio Statistics إن ممكن أي أحصاء يجوم فيها
+
+516
+00:41:55,820 --> 00:41:59,660
+والجزئية الأولى اللى احنا دراسناها هي جزئية خاصة
+
+517
+00:41:59,660 --> 00:42:03,140
+بكتابة proposal و بتفيد ولكن جزئية ال bio
+
+518
+00:42:03,140 --> 00:42:07,540
+statistics انا كطالب ماجستير ايش اللى ممكن استفيد
+
+519
+00:42:07,540 --> 00:42:11,640
+منها الموضوع مش انه انت تكتب chapter result اللى
+
+520
+00:42:11,640 --> 00:42:17,180
+هو chapter 4 وخلاص الموضوع اكبر من هيك بكتير انت
+
+521
+00:42:17,180 --> 00:42:21,520
+كطالب ماجستيرما يميزك في المستقبل عن زملائك
+
+522
+00:42:21,520 --> 00:42:26,140
+الأكاديميين في أي مؤسسة أكاديمية هو الجانب البحثي
+
+523
+00:42:26,140 --> 00:42:31,820
+والأحصائي واللي بيميزك أكثر إنك تكون عارف في
+
+524
+00:42:31,820 --> 00:42:38,060
+الجانب الأحصائي من البحثي طب إيش بيفيد بالظبط؟
+
+525
+00:42:38,060 --> 00:42:41,840
+صحيح إن كل واحد فينا ممكن لما بروح أي مؤسسة
+
+526
+00:42:41,840 --> 00:42:46,480
+أكاديمية ممكن لما بروح أي مؤسسة أكاديمية ممكن لما
+
+527
+00:42:46,480 --> 00:42:46,800
+بروح أي مؤسسة أكاديمية ممكن لما بروح أي مؤسسة
+
+528
+00:42:46,800 --> 00:42:52,170
+أكاديميةبتكاشر درس مادة Biochemistry، بندرسهاش،
+
+529
+00:42:52,170 --> 00:42:56,110
+بنفسي ندرس مادة Biostatistics، بديش أدرسها كمان،
+
+530
+00:42:56,110 --> 00:42:58,810
+ولا درسياش ولا درسياش، أنا بختار المادة اللي
+
+531
+00:42:58,810 --> 00:43:05,070
+تتوافق مع هواي، وأنا شاعر نفسي متميز فيها، طب، إيش
+
+532
+00:43:05,070 --> 00:43:07,370
+بالظبط موضوع الـ Biostatistics والـ Research
+
+533
+00:43:07,370 --> 00:43:13,330
+Methodologies؟ كل اللي أنت حكيته سابقًا أتفق معاك،
+
+534
+00:43:13,600 --> 00:43:19,700
+ولكن لا يمكن انك ترفض في اي مؤسسة تعليمية انك تشرف
+
+535
+00:43:19,700 --> 00:43:24,080
+على طلاب باكلاريوس اذا كنت مخلص ماجستير على الأقل
+
+536
+00:43:24,080 --> 00:43:28,060
+طلبة ال باكلاريوس انك تشرف علي أبحاثهم وده متكاش
+
+537
+00:43:28,060 --> 00:43:33,110
+تشرف علي أبحاثهم على الأقل هيجب وك اتناقشفبالتالي
+
+538
+00:43:33,110 --> 00:43:36,410
+إذا لم تكن لديك خبرة في البيوستاتيستيك ولا في
+
+539
+00:43:36,410 --> 00:43:40,430
+research methodology لن تستطيع أن تتكلم في جزءية
+
+540
+00:43:40,430 --> 00:43:43,970
+المناقشة الخاصة بالبحث إلا في شغلتين
+
+541
+00:43:46,510 --> 00:43:51,690
+وبدل ا رحط was وبدل will be رحط were وهنا بدل
+
+542
+00:43:51,690 --> 00:43:56,890
+dependent and dependent on يعني بتبدأ كل جهدك يروح
+
+543
+00:43:56,890 --> 00:44:01,110
+على ناحية اللغة الإنجليزية ويجرم أكثر من غروح ان
+
+544
+00:44:01,110 --> 00:44:05,170
+يثري البحث في أشياء أخرى فبالتالي، كم أنك اليوم
+
+545
+00:44:05,170 --> 00:44:09,490
+متمتن في الجانب البحثي والاحصائي كم أنك بتكون عندك
+
+546
+00:44:09,490 --> 00:44:15,330
+القدرة أنك تناقشوتحكي في موضوع المناقشة على أساس
+
+547
+00:44:15,330 --> 00:44:19,970
+علمي وتثري الدراسات اللي موجودة وبتكون مشكلة
+
+548
+00:44:19,970 --> 00:44:26,010
+الأكاديمي ليس المشكلة أنه ماعوش علم في شئ معين
+
+549
+00:44:26,010 --> 00:44:30,270
+ولكن المشكلة عندما يكون طالب بكالوريوس أعلى منه في
+
+550
+00:44:30,270 --> 00:44:33,450
+جزئية ال research وال biostatistics وهو مشرف على
+
+551
+00:44:33,450 --> 00:44:37,170
+الطالب هذا فبتكون المأساة بدل ما تكون واحدة تنتهن
+
+552
+00:44:37,170 --> 00:44:40,730
+أن الطالب أقوى من المشرف ولو أنت بتناقش فيه الطالب
+
+553
+00:44:41,120 --> 00:44:44,720
+والطالب اللي انت بتناقش فيه حكالك أي كلمة و أي
+
+554
+00:44:44,720 --> 00:44:47,700
+قانون انت في لحظته هتقول خلاص بدا ما انتوا شايفين
+
+555
+00:44:47,700 --> 00:44:50,620
+الأمور هي تبقى الأمور زي ما انتوا شايفينها بدا ما
+
+556
+00:44:50,620 --> 00:44:54,380
+يكون انت عندك على أسس علمية و بحثية و أحصائية
+
+557
+00:44:54,380 --> 00:44:58,400
+سليمة وعارف ايش القوانين الأحصائية تتكلمها وحفظها
+
+558
+00:44:58,730 --> 00:45:01,910
+فبالتالي جزئية الـ Biostatistics والرسلاتش اللي
+
+559
+00:45:01,910 --> 00:45:05,470
+اتكلمنا عنها سابقاً غير انها بتديك skills انك تكتب
+
+560
+00:45:05,470 --> 00:45:08,990
+بثالث الماجستير بتديك skills انك تشرف على طلاب في
+
+561
+00:45:08,990 --> 00:45:12,970
+جامعات هتدرس فيها ان شاء الله قريب خلال فترة قريبة
+
+562
+00:45:12,970 --> 00:45:17,350
+لأنه الأيام بتجري يعني امبارح كنا في بداية 2020
+
+563
+00:45:17,350 --> 00:45:22,350
+واليوم هي 2020 خلصها وبتدينا skills ان نشرف ونناقش
+
+564
+00:45:22,350 --> 00:45:26,650
+وان نكتب articles كمان وننقض articles موجودة
+
+565
+00:45:27,050 --> 00:45:31,570
+فبالتالي، الأمر بنأكد و بنقول لا يقتصر على كتاب
+
+566
+00:45:31,570 --> 00:45:35,490
+الـ Chapter 4 جد ما هو يقتصر على مهاراتك في
+
+567
+00:45:35,490 --> 00:45:40,230
+المستقبل في الإشراف و مناقشة الطلاب اللي انت هتشرف
+
+568
+00:45:40,230 --> 00:45:46,970
+أو تقشهم و أي أكاديم اليوم في المؤسسات بتشعر
+
+569
+00:45:46,970 --> 00:45:53,570
+المؤسسة ان هو يتهرب من الإشراف و مناقشة الطلاب و
+
+570
+00:45:53,570 --> 00:45:58,660
+بالذات لما كان يكونواطلاب Baccalaureate بتبدأ شكوك
+
+571
+00:45:58,660 --> 00:46:03,980
+حوالين هذا الأكاديمي تحروم على قدرته البحثية
+
+572
+00:46:03,980 --> 00:46:08,680
+والنقدية لموضوع البحث وكمان على قدرته ان يكون
+
+573
+00:46:08,680 --> 00:46:13,180
+أكاديمي موجود في المؤسسة أو يساعد في نمو هذه
+
+574
+00:46:13,180 --> 00:46:21,280
+المؤسسة كمان احنا ممكن نستفيدمن ناحية أخرى أنه عند
+
+575
+00:46:21,280 --> 00:46:25,060
+مؤتمر علمي وانا في خلال هذا المؤتمر بدي أقدم مرقة
+
+576
+00:46:25,060 --> 00:46:28,320
+علمية طب أنا بقدم مرقة الماجستير وخلاص طب في مرقة
+
+577
+00:46:28,320 --> 00:46:34,040
+الماجستير حكيناها في المؤتمر وبعدين فبيكون علمك
+
+578
+00:46:34,040 --> 00:46:38,680
+بجزئية ال research و الأحصار بيخليك تكتب الورقة
+
+579
+00:46:38,680 --> 00:46:43,650
+العلمية وتلقيها أمام الناسوأي حد بيسألك سؤال في
+
+580
+00:46:43,650 --> 00:46:47,950
+متغيرات البحث تكون على قدر المسئولية أنك تجاوبه
+
+581
+00:46:47,950 --> 00:46:55,140
+بكل ثقة ورياحيةبنأكد لضلابنا الأعزاء الموضوع مش
+
+582
+00:46:55,140 --> 00:46:58,840
+موضوع أنه أنا بدي أكتب chapter result هو هذا جزء
+
+583
+00:46:58,840 --> 00:47:04,860
+من هدف الدراسة، ولكن الهدف الأسمع والأفضل والأحسن
+
+584
+00:47:04,860 --> 00:47:07,920
+أن الطالب يبدأ يقنم نفسه عليه أنه أنا ما بعد
+
+585
+00:47:07,920 --> 00:47:11,040
+ماجستير أنا بدي أشترف على طلبة وبيكون عارف أيش
+
+586
+00:47:11,040 --> 00:47:13,790
+يعني bio-statisticما هو الـ Search؟ ما هو الطالب
+
+587
+00:47:13,790 --> 00:47:16,670
+الكاتب في Chapter 4؟ هل عنده قدرة تحويل الـ Data
+
+588
+00:47:16,670 --> 00:47:19,410
+لـ Information وكتب عليها Recommendation أو لا؟ كل
+
+589
+00:47:19,410 --> 00:47:23,430
+هذه الـ Skills هناخدها في جزئية الـ Biostatistics
+
+590
+00:47:23,430 --> 00:47:25,970
+وأخدنا في جزئية الـ Research الـ Skills اللي
+
+591
+00:47:25,970 --> 00:47:30,250
+بتمكننا من كتابة الـ Proposal سنكتفي في هذه
+
+592
+00:47:30,250 --> 00:47:36,170
+المحاضرة بهذا القدر من أهمية الأحصاء وأساليب البحث
+
+593
+00:47:36,170 --> 00:47:43,220
+ونأسأل الله عز وجل لكم دوام الصحة والعافيةونتمنى
+
+594
+00:47:43,220 --> 00:47:48,460
+لكم التوفيق والسداد والسلام عليكم ورحمة الله
+
+595
+00:47:48,460 --> 00:47:49,300
+وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/3-QnSGSDU40_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/3-QnSGSDU40_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6bc72fb2f996e6991b66d4249a472e2229001d84
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/3-QnSGSDU40_raw.srt
@@ -0,0 +1,1772 @@
+1
+00:00:03,640 --> 00:00:07,100
+باسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,100 --> 00:00:12,560
+الله محمد بن عبد الله وعلى آله وصحبه أجمعين ونكمل
+
+3
+00:00:12,560 --> 00:00:18,020
+حديثنا اليوم تكلمنا سابقا أن عملية البحث تمر بعدة
+
+4
+00:00:18,020 --> 00:00:24,420
+خطوات وقلنا أول خطوة هي اختيار ال topic وإذا كان
+
+5
+00:00:24,420 --> 00:00:29,820
+اختيار ال topic عملية موفقة سينتج عنها اختيار
+
+6
+00:00:29,820 --> 00:00:36,190
+title موفق وقلنا الفرقما بين الخطة البحثية والبحث
+
+7
+00:00:36,190 --> 00:00:41,890
+أن الخطة البحثية تحتوي على ثلاث شباتر فقط شبتر
+
+8
+00:00:41,890 --> 00:00:45,930
+واحد اللي هو خاص بال introduction شبتر اتنين
+
+9
+00:00:45,930 --> 00:00:50,550
+literature review أو related study وفيها عدة أشياء
+
+10
+00:00:50,550 --> 00:00:53,810
+اتكلمنا عنها وشبتر تلاتة اللي هو ال methodology
+
+11
+00:00:53,810 --> 00:00:58,050
+بهيك يكون هذا هو ال proposal لما بنكمل على ال
+
+12
+00:00:58,050 --> 00:01:02,620
+proposal نفسهوبنضيف عليهم chapter 4 chapter result
+
+13
+00:01:02,620 --> 00:01:07,120
+النتائج وبنضيف عليه ال discussion مناقشة النتائج
+
+14
+00:01:07,120 --> 00:01:11,200
+وبنضيف عليه ال recommendation و ال conclusion أو
+
+15
+00:01:11,200 --> 00:01:14,540
+ال conclusion و ال recommendation بكون هو عبارة عن
+
+16
+00:01:14,540 --> 00:01:20,880
+chapter 6 فبالتالي chapter 4 و 5 و 6 بتكون في
+
+17
+00:01:20,880 --> 00:01:24,690
+البحث الكلي أو ما يسمى بال thesisبنقول إن chapter
+
+18
+00:01:24,690 --> 00:01:30,890
+4 فيه results النتائج اللي نتجت عن البحث chapter 5
+
+19
+00:01:30,890 --> 00:01:35,870
+فيه ال discussion اللي هي مناقشة النتائج ليش هي
+
+20
+00:01:35,870 --> 00:01:40,210
+طلعت زي هيك و chapter 6 بيكون فيه ال conclusion و
+
+21
+00:01:40,210 --> 00:01:44,430
+recommendation وبعد ذلك آخر شيء بيكون اللي هو ال
+
+22
+00:01:44,430 --> 00:01:50,310
+reference فبالتالي إن ال topic إذا كنا موفقين في
+
+23
+00:01:50,310 --> 00:01:54,940
+اختيارهسوف نكون موفقين في اختيار ال title وبكل
+
+24
+00:01:54,940 --> 00:02:00,100
+سهولة وبعد ذلك بنقوم كتابة chapter واحد و chapter
+
+25
+00:02:00,100 --> 00:02:03,560
+واحد بيحتوي على overview و ال objective و
+
+26
+00:02:03,560 --> 00:02:07,360
+significant of ال study وقولنا من ال objective
+
+27
+00:02:07,360 --> 00:02:10,780
+ممكن نجيب research question و research hypothesis
+
+28
+00:02:10,780 --> 00:02:14,720
+لما راحنا على chapter اتنين و بعد ذلك روحنا
+
+29
+00:02:14,720 --> 00:02:17,360
+اتكلمنا المحاضرة السابقة عن ال study design
+
+30
+00:02:18,120 --> 00:02:20,960
+واتكلمنا في ال study design على أنواع ال study
+
+31
+00:02:20,960 --> 00:02:26,040
+design من حيث الأهمية ومن حيث الأفضلية ومن حيث
+
+32
+00:02:26,040 --> 00:02:30,700
+السهولة وحكينا المرة اللي فاتت إذا أنا بدي أجيب ال
+
+33
+00:02:30,700 --> 00:02:34,540
+risk factor و ال prevalence في objective واحد
+
+34
+00:02:34,540 --> 00:02:38,640
+الدراسة الوحيدة اللي ممكن تجمع ما بين الاتنين اللي
+
+35
+00:02:38,640 --> 00:02:43,420
+هي دراسة ل course sectional study بعد ذلك بعد ما
+
+36
+00:02:43,420 --> 00:02:48,470
+نخلصكتابة ال proposal هروح نتكلم على ال
+
+37
+00:02:48,470 --> 00:02:53,750
+statistical method آخر شيء بيكون في chapter ثلاثة
+
+38
+00:02:53,750 --> 00:02:57,490
+هو ايش الطرق اللي احنا بنستخدمها من ناحية احصائية
+
+39
+00:02:57,490 --> 00:03:01,910
+اتكلمنا عن ال sample وقلنا ايش انواع ال sample
+
+40
+00:03:01,910 --> 00:03:06,090
+واتكلمنا انه في عندنا sample ان هي بيكون في شанс
+
+41
+00:03:06,090 --> 00:03:10,810
+لكل واحد بنسميها probability sample وفي عندنا بعض
+
+42
+00:03:11,040 --> 00:03:15,760
+الـ Sample هو اللي موجود ما بيكون الشанс إن كل
+
+43
+00:03:15,760 --> 00:03:20,780
+واحد بنقول عنا Non Probability Sample الـ Data
+
+44
+00:03:20,780 --> 00:03:24,340
+Collection كيف لمّا الاستبانة الـ Data Collection
+
+45
+00:03:24,340 --> 00:03:29,000
+معناها البيانات الخاصة بالبحث كيف أنا بدي أجمع هذه
+
+46
+00:03:29,000 --> 00:03:34,640
+البيانات وما هي أفضل طريقة لجمع البيانات أفضل
+
+47
+00:03:34,640 --> 00:03:39,620
+طريقة لجمع البيانات أنه أنا أكون في عندي استبانةأو
+
+48
+00:03:39,620 --> 00:03:45,540
+تكون الاستبانة اللي موجودة هذه فيها قلايا فاضية أو
+
+49
+00:03:45,540 --> 00:03:49,780
+بيكون فيها مربعات فاضية وداخل كل مربع فاضي باكتب
+
+50
+00:03:49,780 --> 00:03:53,860
+النتيجة يعني على سبيل المثال زي ال family history
+
+51
+00:03:53,860 --> 00:03:58,540
+اللي كان مكتوب يا بيكون yes أو بيكون no يعني هي
+
+52
+00:03:58,540 --> 00:04:01,780
+عندنا ال family history للدرابيتس مكتوب yes و no
+
+53
+00:04:01,780 --> 00:04:06,500
+اللي موجود هنا بيكون هو عبارة عن استبانة صممت هذه
+
+54
+00:04:06,500 --> 00:04:12,040
+الاستبانة من الضلابوعملوا الاستبانة بالتنصيق مع
+
+55
+00:04:12,040 --> 00:04:17,340
+المشرف وحكموا الاستبانة وساعدهم حد فيها فبالتالي
+
+56
+00:04:17,340 --> 00:04:21,660
+هذه عبارة بتكون أداة لجمع البيانات بنسميها ال
+
+57
+00:04:21,660 --> 00:04:25,340
+tools لل data collection طب ال data collection
+
+58
+00:04:25,340 --> 00:04:29,140
+اللي موجودة معناه ايش اللي مقصود فيها مقصود فيها
+
+59
+00:04:29,140 --> 00:04:32,980
+ال data collection ال tools ايش اللي هتستخدمها
+
+60
+00:04:32,980 --> 00:04:36,680
+اللي هي استبانة احيانا بكونش فقط استبانة زي ما
+
+61
+00:04:36,680 --> 00:04:41,090
+احنا شايفينأحيانًا بيكون نحتاج إلى عمل بعض
+
+62
+00:04:41,090 --> 00:04:47,450
+الفحوصات المخبرية فبالتالي بنعمل بعض الفحوصات
+
+63
+00:04:47,450 --> 00:04:51,390
+المخبرية وهذه الفحوصات المخبرية اللي بننقل فيها
+
+64
+00:04:51,390 --> 00:04:55,930
+بدها تكون مضيوفة في table تاني ومكتوب أن اليوريا
+
+65
+00:04:55,930 --> 00:05:00,350
+والكرياتينين إلى آخره كل واحد في جدول وقداش
+
+66
+00:05:00,350 --> 00:05:05,010
+النتيجة بتاعته طب يعني ال biochemical test أو ال
+
+67
+00:05:05,010 --> 00:05:09,610
+clinicalكمبليكيشن اللي موجودة عند المريض بتطلب مني
+
+68
+00:05:09,610 --> 00:05:14,110
+استيبانة تانية لأ هي نفس الاستيبانة بس بنضيفها في
+
+69
+00:05:14,110 --> 00:05:16,390
+الصفحة التانية يعني بتكون الصفحة هذه موجودة في
+
+70
+00:05:16,390 --> 00:05:19,470
+الاستيبانة وعلى دهر الاستيبانة في الصفحة التانية
+
+71
+00:05:19,470 --> 00:05:23,690
+بروح ضايفين جدول بنيجي هنا على الصفحة التانية
+
+72
+00:05:23,690 --> 00:05:28,590
+بنعمل enter بننقل على الصفحة التانية وبنيجي هنا
+
+73
+00:05:28,590 --> 00:05:32,710
+على أنسيات وبنقوله بنضيف table بنضيف ال table اللي
+
+74
+00:05:32,710 --> 00:05:36,480
+موجودة هي ال table هنا بنقدر نكتبماذا نكتب على
+
+75
+00:05:36,480 --> 00:05:40,880
+سبيل المثال الفحص اسم الفحص والـ result ونكتب
+
+76
+00:05:40,880 --> 00:05:44,740
+الفحصات مكتوبة هنا بتكون أسهل في تعبير الاستيبان
+
+77
+00:05:44,740 --> 00:05:48,220
+من ال patient بكتب هنا ال biochemical test وهنا
+
+78
+00:05:48,220 --> 00:05:53,100
+result هنا ال homoglobin ال MCV هنا بنكتب ال NCH
+
+79
+00:05:53,100 --> 00:05:56,220
+ممكن نكتب ال urea كرياطينين فبالتالي ال data
+
+80
+00:05:56,220 --> 00:05:59,560
+collection اللي اتكلمنا عنها statistical analysis
+
+81
+00:05:59,560 --> 00:06:02,760
+اللي هيش الاختبارات الإحصائية اللي انا بدي
+
+82
+00:06:02,760 --> 00:06:05,450
+استخدمهاالاختبارات الأحصائية اللي احنا بدنا
+
+83
+00:06:05,450 --> 00:06:10,510
+نستخدمهم كل test انا بدي اعمله و relation بدي احكي
+
+84
+00:06:10,510 --> 00:06:13,870
+ايش اللي بدي اعمله هي بيظل عندنا chapter 5 ال
+
+85
+00:06:13,870 --> 00:06:18,310
+presentation و ال discussion هي ان انا كيف بدي
+
+86
+00:06:18,310 --> 00:06:20,690
+اكتب هذا الموضوع يبقى في عند ال statistical
+
+87
+00:06:20,690 --> 00:06:25,270
+analysis موجود و في عندنا chapter 4 بتكون ال
+
+88
+00:06:25,270 --> 00:06:28,590
+result و chapter 5 بتكون عندنا ال discussion تبع
+
+89
+00:06:28,590 --> 00:06:31,570
+ال resultطب احنا ايش نفهم من هال slide هذه اللي
+
+90
+00:06:31,570 --> 00:06:34,970
+موجودة؟ نفهم من ال slide هذه كلها ان عمية البحث
+
+91
+00:06:34,970 --> 00:06:39,830
+عملية لازم انها تتم بخطوات وبنفعش نسبق خطوة عن
+
+92
+00:06:39,830 --> 00:06:45,070
+خطوة، يعني طيب بنلاحظ ان هي موجودة in the search
+
+93
+00:06:45,070 --> 00:06:47,990
+question اللي توشفناها في الاستبانة هو
+
+94
+00:06:47,990 --> 00:06:51,370
+quantitative researchأيش مقصود ب Quantitative
+
+95
+00:06:51,370 --> 00:06:55,370
+Research؟ يعني في جواب محدد يجب أن يجاوبه الباشن
+
+96
+00:06:55,370 --> 00:06:59,430
+الموضوع ليس مفتوح أن يكون لو نسأله مثلا انجدش
+
+97
+00:06:59,430 --> 00:07:05,270
+العمر احنا عارفين أنه يجاوب العمر من سن واحد إلى
+
+98
+00:07:05,270 --> 00:07:09,430
+سن مية مش معقول أحد يقول الله أنا عمر صفر و أصدقه
+
+99
+00:07:09,430 --> 00:07:13,110
+أو عمر 250 سنة و أصدقه يبقى بيكون في عندنا closed
+
+100
+00:07:13,110 --> 00:07:17,290
+answerإجابة مغلقة بده يجيبها هذا مش منطق الجواب
+
+101
+00:07:17,290 --> 00:07:22,450
+فطالما في عنا الإجابات محددة هذا بيكون بنقول عنه
+
+102
+00:07:22,450 --> 00:07:27,210
+close question زي ما بيجينا في الامتحان صح وغلط يا
+
+103
+00:07:27,210 --> 00:07:32,470
+صح يا غلط ال M secure A وB وC وD أسئلة محددة
+
+104
+00:07:32,470 --> 00:07:37,250
+الجواب له السؤال له رقم والإجابة لها يا A يا B يا
+
+105
+00:07:37,250 --> 00:07:41,210
+C يا D هذا وكلهم بنقول عنهم هو عبارة عن
+
+106
+00:07:41,210 --> 00:07:49,390
+quantitative researchيعني research كمية وطالما انه
+
+107
+00:07:49,390 --> 00:07:51,370
+quantitative research يعني نفهم منك انه في
+
+108
+00:07:51,370 --> 00:07:53,970
+qualitative research صحيح في عندك qualitative
+
+109
+00:07:53,970 --> 00:07:58,790
+research research وصفي وحنتكلم عنه الحين بتفاصيله
+
+110
+00:07:58,790 --> 00:08:04,870
+لو جينا هنا سألنا سؤال هم الناس بتدخن ليش وهم
+
+111
+00:08:04,870 --> 00:08:09,390
+يعرفين أضارة التدخين هل في عندنا أجوبة معينة ممكن
+
+112
+00:08:09,390 --> 00:08:15,590
+نختار منهم؟إذا كان سأطلع أجواء محددة مثلًا كتب له
+
+113
+00:08:15,590 --> 00:08:20,710
+أنك بتدخن إيه مشان ال stress إتنين إيه الفلوس
+
+114
+00:08:20,710 --> 00:08:25,410
+الزايدة ثلاثة على سبيل المثال الوضع الاجتماعي رقم
+
+115
+00:08:25,410 --> 00:08:29,550
+أربعة أنه أنت حاسس أن التدخين ممكن يعمل تعديل
+
+116
+00:08:29,550 --> 00:08:34,330
+للمزاج فهذه كلهم بيقول عنهم quantitative research
+
+117
+00:08:34,330 --> 00:08:41,470
+سؤال موجودوالمبحوث أو اللى بده يعبي الاستبانة بده
+
+118
+00:08:41,470 --> 00:08:44,910
+يجاوب اللى فقط يختار من هدول مش مسموح له يحكي بأى
+
+119
+00:08:44,910 --> 00:08:49,630
+حاجة تانية ولكن لو أنا فسألت سؤال مفتوح برأيك أنت
+
+120
+00:08:49,630 --> 00:08:54,250
+بتدخن ليش أغم أنك عارف أن التدخين مضارب هنا السؤال
+
+121
+00:08:54,250 --> 00:08:58,470
+مفتوح ممكن المريض يجاوب ويقول والله أنا لأن أنا
+
+122
+00:08:58,470 --> 00:09:02,590
+وعيت ع الدنيا لقيت أن والدي بدخن واتشبعت براحة
+
+123
+00:09:02,590 --> 00:09:06,700
+الدخان وبالتالي صار عندى فضولممكن حد يقول لك لأن
+
+124
+00:09:06,700 --> 00:09:11,080
+أنا بأشعر أن المدخن في نوع من الرجولة بالذات عندنا
+
+125
+00:09:11,080 --> 00:09:14,420
+الشباب اليوم ممكن حد بيقول لك لأ لأن الدخان متوفر
+
+126
+00:09:14,420 --> 00:09:18,600
+لمجانا فممكن يكون أكتر من إجابة نسقط ال
+
+127
+00:09:18,600 --> 00:09:21,000
+qualitative research و ال quantitative research
+
+128
+00:09:21,000 --> 00:09:24,640
+على موضوع الأسئلة اللي بتجيناها في الامتحانات إذا
+
+129
+00:09:24,640 --> 00:09:28,760
+كان السؤال insecure أو true and false أو matching
+
+130
+00:09:28,760 --> 00:09:33,580
+أنا عنده خيارات محددة هو المدرس بيعمل quantitative
+
+131
+00:09:33,580 --> 00:09:38,490
+researchبديك تجاوب واحد من اللي موجود ولكن السؤال
+
+132
+00:09:38,490 --> 00:09:44,870
+إذا كان ملوش range موجود أو مفتوح اتجاوب قدام
+
+133
+00:09:44,870 --> 00:09:47,890
+المبحوث فهذا بيقول عنه equality and difference في
+
+134
+00:09:47,890 --> 00:09:52,690
+السياج كل ال objective و السياج question و السياج
+
+135
+00:09:52,690 --> 00:09:56,700
+hypothesis و ال study design و ال variableوالـ
+
+136
+00:09:56,700 --> 00:09:58,900
+Statistical Method و الـ Sample و الـ Data
+
+137
+00:09:58,900 --> 00:10:01,180
+Collection Technique أو Data Collection
+
+138
+00:10:01,180 --> 00:10:05,100
+Questionnaire كل هذه ستكون موجودة في البحث اللي هو
+
+139
+00:10:05,100 --> 00:10:07,840
+الـ Quantitative Research طب الأبحاث اللي احنا
+
+140
+00:10:07,840 --> 00:10:13,400
+بنعملها اليوم كلها Quantitative Research فينا بنجي
+
+141
+00:10:13,400 --> 00:10:17,020
+هنا ناخد تعريف عن ال Quantitative Research و ال
+
+142
+00:10:17,020 --> 00:10:20,800
+Quantitative Research فبلخصها بنقول ان البحث ال
+
+143
+00:10:20,800 --> 00:10:27,130
+Quantitative Research أو البحث الكمي هو يهتمبحساب
+
+144
+00:10:27,130 --> 00:10:32,730
+الأشياء وقياساتها والأعداد وتقديرات النتائج
+
+145
+00:10:32,730 --> 00:10:37,870
+القابلة للقياس يبقى في شيء قابل للقياس وانا بتدعف
+
+146
+00:10:37,870 --> 00:10:42,510
+الشوية yes و no موجود ولا مش موجود طيب لـ
+
+147
+00:10:42,510 --> 00:10:46,390
+qualitative research البحث النوعي من الأبحاث هو
+
+148
+00:10:46,390 --> 00:10:51,890
+بحث يهتم أكثر بفهم ما يجري أو دراسة حقائق غير
+
+149
+00:10:51,890 --> 00:10:58,480
+قابلة للقياس مثل معرفة سبب شيء معينأو موقف معين
+
+150
+00:10:58,480 --> 00:11:03,760
+حصل، ليش؟ أو أنت معتقد هي الأمور بتتم عنا هيك،
+
+151
+00:11:03,760 --> 00:11:08,040
+ليش؟ أو المشاعر أو الأشياء الأخرى فالـ Qualitative
+
+152
+00:11:08,040 --> 00:11:12,780
+Research بالتالي بوضّح أشياء أنا مش عارفها يعني
+
+153
+00:11:12,780 --> 00:11:18,400
+مثال اليوم الطالب مسجل لمصاق أحصاء واساليب بحث Yes
+
+154
+00:11:18,400 --> 00:11:22,320
+و No هو Quantitative Research طب هي ده سؤال الطالب
+
+155
+00:11:22,320 --> 00:11:25,840
+بيسأل نفسه هو أنا لما أخلص المادة أنا إيش اللي بدي
+
+156
+00:11:25,840 --> 00:11:29,950
+أستفيده؟إذا كان فيش عنده خيارات بده يختار منهم ومش
+
+157
+00:11:29,950 --> 00:11:33,670
+عارف يجيب على السؤال والسؤال بالنسباله مبهم لهو
+
+158
+00:11:33,670 --> 00:11:37,030
+عارف ليش ولا عارف إيش بده يستفيد أنا بقول عن
+
+159
+00:11:37,030 --> 00:11:41,010
+qualitative research سؤال كيفي هو ليش أحنا بيحصل
+
+160
+00:11:41,010 --> 00:11:45,130
+معانا هيك؟ سؤال كيفي هو الشخص ليش بيعملني هيك؟ هو
+
+161
+00:11:45,130 --> 00:11:49,050
+سؤال كيفي يعني بنسأل أحنا على qualitative على
+
+162
+00:11:49,050 --> 00:11:53,410
+أشياء موجودة طيب الحين لما بنتكلم على مقارنة ما
+
+163
+00:11:53,410 --> 00:11:56,520
+بين qualitative و quantitative researchبنقول الـ
+
+164
+00:11:56,520 --> 00:11:59,820
+Quantitative Research هو عبارة عن Data موجودة
+
+165
+00:11:59,820 --> 00:12:04,800
+ومركبة Data موجودة ومركبة استبانة اللي احنا شفناها
+
+166
+00:12:04,800 --> 00:12:10,140
+هنا هي لها تركيبة معينة ومحددة فبالتالي هذه
+
+167
+00:12:10,140 --> 00:12:13,980
+الاستبانة اللي موجودة بتركبتها هي الـ Fracture
+
+168
+00:12:13,980 --> 00:12:19,100
+الـQuestionnaire لها تركيبة محددة ومعلومة فبالتالي
+
+169
+00:12:19,100 --> 00:12:23,280
+عندنا الـ Qualitative Research له تركيبة معينة
+
+170
+00:12:23,280 --> 00:12:27,820
+استبانة موجودة للـ Dataاللي هو عفوًا لـ
+
+171
+00:12:27,820 --> 00:12:30,040
+Quantitative Research طيب و ليه Quantitative
+
+172
+00:12:30,040 --> 00:12:33,880
+Research؟ مالوش تركيبة أنا الأسئلة اللي موجودة
+
+173
+00:12:33,880 --> 00:12:37,780
+مفتوحة و المريض بيجاوب اللي بيدرياه و أحيان ممكن
+
+174
+00:12:37,780 --> 00:12:42,300
+السؤال يجيب سؤال يعني ممكن المريض يقولي جواب و منه
+
+175
+00:12:42,300 --> 00:12:47,700
+أطلع بسؤال تاني أنت بتاخد علاج؟ إيش اسم العلاج؟ و
+
+176
+00:12:47,700 --> 00:12:51,620
+لا أنا باخدش علاج لأ بعمله سؤال تاني أنت بتاخدش
+
+177
+00:12:51,620 --> 00:12:56,190
+علاج ليش؟ طب التحليل الأحصائيالـ Quantitative
+
+178
+00:12:56,190 --> 00:12:59,330
+Reciprocity معروفة أنا سألته الـ Family History
+
+179
+00:12:59,330 --> 00:13:03,670
+بدي أجيب النسبة المعروفة خلصنا التحليل الأحصائي
+
+180
+00:13:03,670 --> 00:13:07,470
+معروف طيب والـ Quantitative Reciprocity بنفعش فيه
+
+181
+00:13:07,470 --> 00:13:12,210
+أعمل هنا نسبة وتناسب أنا بلخص العوامل يعني مثال لو
+
+182
+00:13:12,210 --> 00:13:17,850
+قلنا لكل طالب تكتب ما هو الفائد المرجوه عندك بعد
+
+183
+00:13:17,850 --> 00:13:23,070
+ما تخلص من دراستك في الجامعة فساعة كل طالب يكتبلنا
+
+184
+00:13:23,070 --> 00:13:28,440
+جوابفي الآخر أنا بجيب تلخيصات الطلاب وبجاوب عليهم
+
+185
+00:13:28,440 --> 00:13:31,940
+هنا بتكون البيانات اللي موجودة فيه objective واضح
+
+186
+00:13:31,940 --> 00:13:36,220
+وبناء على ال objective conclusion واضح يبقى مثلًا
+
+187
+00:13:36,220 --> 00:13:40,640
+في علاقة ما بين الـ urinary tract infection ومرض
+
+188
+00:13:40,640 --> 00:13:44,620
+السُكّة وقول there is a relation between urinary
+
+189
+00:13:44,620 --> 00:13:48,820
+tract infection بين بثين UTI and type 2 diabetes
+
+190
+00:13:48,820 --> 00:13:52,560
+فبالتالي هنا فيه objective واضحطب إيش ممكن نوصله
+
+191
+00:13:52,560 --> 00:13:55,300
+في الآخر حاجة؟ اللي يبقى ال conclusion هيكون واحد
+
+192
+00:13:55,300 --> 00:13:59,160
+من اتنين، يا there is relation يا there is no
+
+193
+00:13:59,160 --> 00:14:03,420
+relation، البحث هيوضح إن في الآخر شغل يبتد تاني،
+
+194
+00:14:03,420 --> 00:14:07,280
+يا في علاقة يا مافيش علاقة، ولكن في ال quality
+
+195
+00:14:07,280 --> 00:14:12,460
+تفرسيش، مافيش hypothesis أصلا، عشان أقدر أستنتج إن
+
+196
+00:14:12,460 --> 00:14:15,720
+إيش بدك تكتب، فبالتالي بيكون الموضوع ال conclusion
+
+197
+00:14:15,720 --> 00:14:21,500
+مفتوح، open، إيش ما يقلع معاي، هكتب،طب كيف ممكن
+
+198
+00:14:21,500 --> 00:14:25,800
+نلم البيانات هنا؟ ممكن نلم البيانات من خلال survey
+
+199
+00:14:25,800 --> 00:14:29,900
+انا بعمل مسح للمنطقة كامل او من خلال experimental
+
+200
+00:14:29,900 --> 00:14:34,100
+من خلال بحث تجريبي ان انا اتوقع في علاقة ولا مافيش
+
+201
+00:14:34,100 --> 00:14:37,740
+علاقة عندي موجودة طب في النهاية التانية مش سؤال
+
+202
+00:14:37,740 --> 00:14:41,180
+يسولوه بده يجاوبه بده تعمل هنا مقابلة شخصية معاه
+
+203
+00:14:41,180 --> 00:14:45,660
+وبنفعش في الغالب انه اروح انا احط له أسئلة وابقوله
+
+204
+00:14:45,660 --> 00:14:49,360
+جاوب على الأسئلة هادي واسيبه أحيانا
+
+205
+00:14:51,970 --> 00:14:55,070
+أفضل طريقة للـ qualitative research أن أعمل مقابلة
+
+206
+00:14:55,070 --> 00:14:59,090
+مع الشخص أعرفه بنفسي لأن أحيانا لو أديت ال patient
+
+207
+00:14:59,090 --> 00:15:03,010
+أسئلة محددة وكان البحث اللي موجود كله qualitative
+
+208
+00:15:03,010 --> 00:15:07,130
+طب مش احنا قولنا سؤال بيجي من سؤال؟ طب هو هيلاقي
+
+209
+00:15:07,130 --> 00:15:10,790
+أسئلة محددة و هيجاوبها و مش هيجاوب غيرهاولكن انت
+
+210
+00:15:10,790 --> 00:15:15,810
+بتستقصي ليش الأمور هي هيك، فبالتالي ممكن سؤال يطرح
+
+211
+00:15:15,810 --> 00:15:18,970
+سؤال وانت قاعد معاه، ليه بيقول عنها interview،
+
+212
+00:15:18,970 --> 00:15:22,910
+مقابلة بتكون موجودة ما بين الشخص والشخص، أو أحيان
+
+213
+00:15:22,910 --> 00:15:25,930
+حد بيقولك لا والله هو شخص مش ممكن أنت تكون أخر
+
+214
+00:15:25,930 --> 00:15:30,130
+شخص، أنا بدي أجيب focus group، بدي أجيب مجموعة و
+
+215
+00:15:30,130 --> 00:15:34,790
+أقعد معهم، و هذه المجموعة اللي موجودة بتطرح سؤال،
+
+216
+00:15:34,790 --> 00:15:38,690
+و أسيبهم يتناقشوا، و أنا من هذا النقاش هذا أصل
+
+217
+00:15:38,690 --> 00:15:43,740
+لخلاصة محددة،يعني على سبيل المثال، لو جبنا خمسة من
+
+218
+00:15:43,740 --> 00:15:48,240
+أخصيين الفيروسات وقعدوا يتناقشوا، انت مش تخصك
+
+219
+00:15:48,240 --> 00:15:52,540
+فيروسات، بس بدك تعرف ان الـ Coronavirus اليوم ليش
+
+220
+00:15:52,540 --> 00:15:56,620
+عامل عماله في العالم وهدد الدنيا كلها، هم قاعدين
+
+221
+00:15:56,620 --> 00:16:01,660
+الخمسة علماء بتناقشه وانت قاعد بتلخص أيش اللي
+
+222
+00:16:01,660 --> 00:16:05,940
+قاعدين بوصلوله، زي ما نشوف مقابلة في التليفزيون،
+
+223
+00:16:05,940 --> 00:16:09,850
+انت فتحت تليفزيون الجزية أو العربية أو أي صوت،في
+
+224
+00:16:09,850 --> 00:16:15,930
+نقاش بيتم ما بين المذيع و ما بين متخصص معين أحيان
+
+225
+00:16:15,930 --> 00:16:19,450
+بيجيبوا حد متخصص في الفيروسات أحيان في حد في ال
+
+226
+00:16:19,450 --> 00:16:22,670
+genetic أحيان بيجيبوا طبيب و أحيان بيجيبوا تمريض و
+
+227
+00:16:22,670 --> 00:16:27,050
+بدورها النقاش أنت كمستطلع في الحالة هنا بعد ما
+
+228
+00:16:27,050 --> 00:16:31,450
+يخلص اللقاء تتبلور عندك فكرة معينة أول ما جلست على
+
+229
+00:16:31,450 --> 00:16:34,650
+التليفزيون كنت متخيل أن الفكرة هذه تكون موجودة
+
+230
+00:16:34,650 --> 00:16:38,330
+عندك طبعا لأ لأنه no hypothesis مافيش فرضية عندك و
+
+231
+00:16:38,330 --> 00:16:42,830
+بعد ما خلصتوأتنقل القناعة إن الفيروس هذا لا يمكن
+
+232
+00:16:42,830 --> 00:16:46,850
+إيجاد له علاج أو لقاح إلا بعد سنة لأنك إنت سمعت من
+
+233
+00:16:46,850 --> 00:16:50,090
+ناس وتخصصين وناس علماء ليش هي الأمور ماشية في
+
+234
+00:16:50,090 --> 00:16:53,770
+الناحية هذه أنا إنت عملت focus group فبالتالي
+
+235
+00:16:53,770 --> 00:16:57,630
+قاعدتك على التليفزيون واتلاحظ النقاش اللي بتم ما
+
+236
+00:16:57,630 --> 00:17:01,090
+بين خمس مراسلين والمذيع هو focus group وانت
+
+237
+00:17:01,090 --> 00:17:04,730
+بتلاحظه فهنا مكتوب فيها S هنا يعني معناته إن في
+
+238
+00:17:04,730 --> 00:17:08,230
+البحث بدك تعمل أكتر من مقابلةيعني أنا مانفعش أجل
+
+239
+00:17:08,230 --> 00:17:11,150
+الطالب أقوله إيش رأيك في محاضرات الأحصاء وقال لي
+
+240
+00:17:11,150 --> 00:17:14,610
+كويسة وممتازة والأمور تمام، أقول والله خلاص الطالب
+
+241
+00:17:14,610 --> 00:17:18,630
+أقولهم لأ أنا بدأ أعمل أكثر من مقابلة مع أكثر من
+
+242
+00:17:18,630 --> 00:17:21,910
+طالب و أسمع أراهم و أخد عينة من الموجودين و أسمع
+
+243
+00:17:21,910 --> 00:17:26,270
+أراهم، هي كويسة ليش و مش ليش، طب في هنا
+
+244
+00:17:26,270 --> 00:17:30,790
+observations، هنا أحيانًا أنت بتطلب منك تطوح و
+
+245
+00:17:30,790 --> 00:17:34,670
+تلاحظ زي ما حكينا أنه أنت بتطوح على قسم معين
+
+246
+00:17:35,560 --> 00:17:39,600
+وبتلاحظ الشخص الفلاني أو بتراقبه هو بيعمل الأشياء
+
+247
+00:17:39,600 --> 00:17:45,220
+هذه ليش وبتكتب ملاحظاتك ناخد مثال هم الموظفين لما
+
+248
+00:17:45,220 --> 00:17:49,020
+بيجوا ع الدوام رغم أنهم بيوقعوا على الساعة سبعة
+
+249
+00:17:49,020 --> 00:17:54,440
+ونص إلا أنهم باسترموا شغل الساعة تسعة لماش السبب
+
+250
+00:17:54,440 --> 00:17:59,460
+مش عارفين اجينا لواحد قالك لأ مهم الصحيح أول ما
+
+251
+00:17:59,460 --> 00:18:05,070
+بيوصلوا يشربوا شاي خمس دقايق الشاي وبعدينما هو
+
+252
+00:18:05,070 --> 00:18:08,950
+بيحكي بالجوال و بالتلفون طب ماشي و بيحكي بالجوال و
+
+253
+00:18:08,950 --> 00:18:11,350
+بالتلفون خلّي كمان نص ساعة طب احنا بنحكي من سبعة و
+
+254
+00:18:11,350 --> 00:18:16,690
+نص لتسعة و نص او تسعة في ساعة و نص حد قالك انا
+
+255
+00:18:16,690 --> 00:18:21,370
+بقولك هو ببدأ شغل لأن هو بعمل controlات الأجهزة طب
+
+256
+00:18:21,370 --> 00:18:24,270
+ماشي الأجهزة controlات كل يوم ساعة و نص مش منطق
+
+257
+00:18:24,270 --> 00:18:28,570
+كمان طب ايش الحال في الحالة هذه اتبع الموظف اراقبه
+
+258
+00:18:28,570 --> 00:18:33,280
+طيب قوات ال qualitative في السياسةأنا كيف بدأ أبدأ
+
+259
+00:18:33,280 --> 00:18:35,820
+أعمل الـ Qualitative Research؟ و لا أنا بدأ أقول
+
+260
+00:18:35,820 --> 00:18:40,400
+بدي علاقة بين الموظفين بتأخروا هيك و خلاص؟ لأ
+
+261
+00:18:40,400 --> 00:18:44,420
+الموضوع أكبر من هيك بالـ Qualitative Research أول
+
+262
+00:18:44,420 --> 00:18:47,220
+حاجة بدك تعرف الأسئلة اللي أنت بدك تجاوب عليها
+
+263
+00:18:47,220 --> 00:18:51,960
+بعدين بعد ما أكون عارف الأسئلة امحدد ايش طبيعة
+
+264
+00:18:51,960 --> 00:18:55,160
+السلاسل اللي بده ينسل و ال style تبعه و الجهة
+
+265
+00:18:55,160 --> 00:18:58,600
+بتاعته حاجة تانية بدأ أكون عارف أيش ال data اللي
+
+266
+00:18:58,600 --> 00:19:02,310
+بده ألمها كيف يعني ال data اللي بده ألمها هذه؟يعني
+
+267
+00:19:02,310 --> 00:19:08,290
+هو لما قعد ياكل أو قعد عن نت الوقت اللي انت جسته
+
+268
+00:19:08,290 --> 00:19:13,770
+جسته بالساعة ولا بالثانية ولا تم قياسه بالدقيقة
+
+269
+00:19:13,770 --> 00:19:17,470
+هذا نوع ال data اللي انت لميتها الناس اللي سلم
+
+270
+00:19:17,470 --> 00:19:22,770
+عليهم وقعد معهم هل موظفين ولا مواجعين ولا جايين من
+
+271
+00:19:22,770 --> 00:19:27,370
+عيادته هذا نوع من ال data اللي موجودين بنحدد كمان
+
+272
+00:19:27,370 --> 00:19:32,160
+عدد الأسنين اللي موجودة طيبهل هذا الـ share اللي
+
+273
+00:19:32,160 --> 00:19:35,100
+موجود بتضل اعمل و لا اجدش ال sample size اللي
+
+274
+00:19:35,100 --> 00:19:40,680
+موجودة؟ يعني انا لو بدي اشوف آراء طلاب في التعليم
+
+275
+00:19:40,680 --> 00:19:46,160
+الإلكتروني و اتصلت في أول عشرة و اتصلت في كمان
+
+276
+00:19:46,160 --> 00:19:51,940
+عشرة كل ما طالب بيجاوب انا باكتشف انه في حاجة
+
+277
+00:19:51,940 --> 00:19:57,040
+جديدة و معيق و لمتيجة للتعليم الإلكتروني طب اضل
+
+278
+00:19:57,040 --> 00:20:01,410
+اتصل في باق الطلاب انت بتضلك تتصل في الطلبةلما
+
+279
+00:20:01,410 --> 00:20:05,830
+تتصل في اتنين او تلاتة او اربع او خمسة ويتنعاد
+
+280
+00:20:05,830 --> 00:20:10,250
+الإجابات تعليم الإلكتروني كويس كأنه في المحاضرة
+
+281
+00:20:10,250 --> 00:20:13,870
+تعليم الإلكتروني ممتاز بوفّي المواصلات تعليم
+
+282
+00:20:13,870 --> 00:20:16,930
+الإلكتروني مش كويس لأن الناس تضعيف تعليم
+
+283
+00:20:16,930 --> 00:20:21,070
+الإلكتروني مش كويس لأنه مافيش عندي smartphone فكل
+
+284
+00:20:21,070 --> 00:20:26,650
+هذا أشياء بيضل أسأل أسأل أسأل وأستقصي لما في الآخر
+
+285
+00:20:26,650 --> 00:20:31,950
+تضلها تطلع معايا نفس الإجاباتبرادب الموظفين برادب
+
+286
+00:20:31,950 --> 00:20:36,110
+الموظف الأول والتاني والتالت والظابع والخامس
+
+287
+00:20:36,110 --> 00:20:40,870
+لعندما نفس الاستبان تتكفر وكأن الاستبان الخامس
+
+288
+00:20:40,870 --> 00:20:44,350
+اتوافقت جزء منها مع الأول وجزء منها مع التاني وجزء
+
+289
+00:20:44,350 --> 00:20:46,710
+منها مع التاسع وجزء منها مع الرابع فا باستبان
+
+290
+00:20:46,710 --> 00:20:49,850
+السادسة اتوافقت مع الأول بالكليان باستبان التامن
+
+291
+00:20:49,850 --> 00:20:54,870
+اتوافقت مع التالتهذه كلها بضل أعبي و أبحث لما
+
+292
+00:20:54,870 --> 00:20:59,750
+ألاقي الأجواب تتكبر زي السؤال اليوم هو نصف وقتاش
+
+293
+00:20:59,750 --> 00:21:04,110
+غير محدد تسأل الطالبة و تسأل الطالبة التانية و
+
+294
+00:21:04,110 --> 00:21:07,890
+التالتة طب ماتصلتش فراب عليش لأن التلات الأولانيين
+
+295
+00:21:07,890 --> 00:21:12,510
+جاوبوكوا نفس السؤال فبالتالي مش هتروح تتصل فرابعة
+
+296
+00:21:12,510 --> 00:21:18,770
+أو الستة اللي انت سألتيهم جاوبوا نفس الجوابأو
+
+297
+00:21:18,770 --> 00:21:21,930
+الخمسة اللي انت سألتهم قالوا لك ان هو الامتحان
+
+298
+00:21:21,930 --> 00:21:25,550
+النصف و النهاية مع بعض فكل هذه الأشياء بتكون
+
+299
+00:21:25,550 --> 00:21:29,290
+موجودة على موضوع الـ Qualitative Research بضل أسئل
+
+300
+00:21:29,290 --> 00:21:35,130
+لما تطلع معايا نفس الإجابة فبتكون هي العمليات اللي
+
+301
+00:21:35,130 --> 00:21:40,210
+بتتم بجمع البيانات بشوف كلعامل أنا يا جماعة أقول
+
+302
+00:21:40,210 --> 00:21:44,170
+علاقة بالأسباب اللي موجودة و لا بحللها البيانات من
+
+303
+00:21:44,170 --> 00:21:47,150
+ناحية منطقية و لا مش منطقية و آخر حاجة بعمل
+
+304
+00:21:47,150 --> 00:21:51,130
+representation ل ال data ال time اللي بيستخدمه
+
+305
+00:21:51,130 --> 00:21:55,490
+البحث ممكن يستخدم عندنا من سنتين لتلاتة في الغالب
+
+306
+00:21:55,490 --> 00:21:59,670
+لـ qualitative research ممكن يستخدم عندنا من سنة
+
+307
+00:21:59,670 --> 00:22:03,810
+لسنتين و ممكن عدة شهور و ممكن سنة و ممكن يوم او
+
+308
+00:22:03,810 --> 00:22:08,850
+يوم ممكن إذا انت بتشوف شخص معينهو بتأخر ليش؟
+
+309
+00:22:08,850 --> 00:22:13,550
+متراقبه؟ ما انت بتشوف الشخص هذا في يوم كل الخطوات
+
+310
+00:22:13,550 --> 00:22:17,030
+هذه بتكون اللي احنا بنقول عنها بتكون cycle موجودة
+
+311
+00:22:17,030 --> 00:22:20,330
+يبقى أول خطوة ان هي بتكون عندنا cycle العملية
+
+312
+00:22:20,330 --> 00:22:26,850
+بتكون قابلة للتعديل في أي وقت أيضا كذلك انه هي في
+
+313
+00:22:26,850 --> 00:22:30,170
+كل فترة الدراسة بيضطر ان انا اتعرف على بعض
+
+314
+00:22:30,170 --> 00:22:35,370
+المتغيرات وكل ما انا باجد شغلة بتسأل واروح استفسر
+
+315
+00:22:35,370 --> 00:22:39,050
+عنهاطب إيش مبسوطة بـ Cycle؟ إنه هي بتتكرر نفس
+
+316
+00:22:39,050 --> 00:22:43,790
+خطوات وانا بأعمل مقابلة مع واحد والتاني وبنلاحظ
+
+317
+00:22:43,790 --> 00:22:47,330
+نفس المذيعة تسأل السؤال للأولاني و بتروح تسأل
+
+318
+00:22:47,330 --> 00:22:54,250
+السؤال للتاني و أحيانا نفس الشيء و هي بتحكي سؤال و
+
+319
+00:22:54,250 --> 00:22:57,550
+لما طلعت تسأل للتاني بتكون عدلت في السؤال مش نفس
+
+320
+00:22:57,550 --> 00:23:02,470
+الصيغة وكأنها تاخدت خبرة من طريقة سؤالها للأول
+
+321
+00:23:03,730 --> 00:23:08,170
+وحسنت في سؤال التاني وعدّلت عليه و طوال فترة
+
+322
+00:23:08,170 --> 00:23:11,810
+الملقاء التليفزيوني اللي موجود وهي بتجيب أسئلة
+
+323
+00:23:11,810 --> 00:23:15,030
+بتكون بتكون الأسئلة نابع على النقاش اللي موجود
+
+324
+00:23:15,030 --> 00:23:18,910
+فبالتالي هي بتكون عملية cycle وهي عملية بتكون
+
+325
+00:23:18,910 --> 00:23:22,010
+modification فهي well to adjusted وبتكون طوال
+
+326
+00:23:22,010 --> 00:23:25,170
+الفترة أنا بضن في تعديل في هذه الأسئلة اللي بتكون
+
+327
+00:23:25,170 --> 00:23:29,910
+موجودة ال limitation بتاعة الqualitative في ال CS
+
+328
+00:23:30,480 --> 00:23:34,260
+أيش عيوب الـ qualitative في السياسة؟ هو الحاجة هو
+
+329
+00:23:34,260 --> 00:23:40,220
+أصعب من ال quantitative وبيستهلك وقت أكتر حاجة
+
+330
+00:23:40,220 --> 00:23:44,360
+تانية مافيش standard محدد يعني مش أنا بدي أستقصي
+
+331
+00:23:44,360 --> 00:23:48,180
+فيه standard محدد طبق الموضوع التأخير في المستشفى
+
+332
+00:23:48,180 --> 00:23:53,160
+الأوروبي ممكن نفسي أسئلة تكون في مستشفى ناصر مافيش
+
+333
+00:23:53,160 --> 00:23:55,980
+design وأسئلة محددة اللي أنا أتبعها ومافيش
+
+334
+00:23:55,980 --> 00:23:59,940
+checklist معينةاللي هيك بيكون انه رايح الأكثر
+
+335
+00:23:59,940 --> 00:24:03,880
+التحيز يعني بيكون المراقب ممكن يتحيز براحته
+
+336
+00:24:03,880 --> 00:24:08,880
+فبالتالي لأنه مافيش standard الأولانة تبعته لما
+
+337
+00:24:08,880 --> 00:24:13,960
+دخل المستشفى وشوفته لما راح على الجهاز واطلعتش
+
+338
+00:24:13,960 --> 00:24:18,180
+الأسباب اللي خلته يتأخر ممكن مع الأول عملت كل
+
+339
+00:24:18,180 --> 00:24:21,540
+الخطوات اللي أنا كتبها ومع التاني والتانية لإن أنا
+
+340
+00:24:21,540 --> 00:24:25,500
+بقعد وطنشت وماحدش هيقوللي أنت إيش بتشوي بالظبط في
+
+341
+00:24:25,500 --> 00:24:29,850
+الحالة هذهفبتكون مافيش عندي uniform محدد في ال
+
+342
+00:24:29,850 --> 00:24:36,130
+methodology وهذا بقلل عنها موضوع مصداقية ودقة
+
+343
+00:24:36,130 --> 00:24:41,370
+البحث لأن مافيش عنها أشياء بتكون و standard بتكون
+
+344
+00:24:41,370 --> 00:24:44,470
+عندنا موجودة فبالتالي بتكون عندنا في الحالة هذه
+
+345
+00:24:44,470 --> 00:24:48,910
+مافيش inclusion و exclusion كارتيريا محددة وهذه
+
+346
+00:24:48,910 --> 00:24:53,950
+بتخلينا نراقب عدة حالات من الموجودين في المستشفى
+
+347
+00:24:56,470 --> 00:25:00,310
+الـ Sample في الغالب بتكون عندي مش معروف الـ
+
+348
+00:25:00,310 --> 00:25:03,770
+Sample Size لأن أنا مش عارف كده الناس أنا بتضل ألم
+
+349
+00:25:03,770 --> 00:25:10,090
+بيانات لما أجوبة عندي تتكرر مرة تانية و الأجوبة
+
+350
+00:25:10,090 --> 00:25:14,030
+بتطلع زي ما كانت فبالتالي بواقف جمع البيانات كل
+
+351
+00:25:14,030 --> 00:25:16,790
+الأشياء اللي بنسويها و النتائج اللي بتطلع فيها
+
+352
+00:25:16,790 --> 00:25:21,250
+بتكون غير قابلة للقياس لأن أنا أساسا مش عارف كده
+
+353
+00:25:21,250 --> 00:25:26,720
+يطلع معايا أن هو الناس اللي بروحوا بفطرواومش عارف
+
+354
+00:25:26,720 --> 00:25:30,480
+هو كم واحد شكى من المادة يبقى قاوجينا هنا نطلع
+
+355
+00:25:30,480 --> 00:25:34,040
+التعليم الإلكتروني إيش ما سوى واحد قالك إن التعليم
+
+356
+00:25:34,040 --> 00:25:36,820
+الإلكتروني مافيش فيه net والتاني قالك إن ال net
+
+357
+00:25:36,820 --> 00:25:39,860
+ضعيف والتالت والرابع والخامس وانت لقيت الأجواء
+
+358
+00:25:39,860 --> 00:25:43,980
+بتتكرر هي هي فبالتالي بتقول والله سوق خدمات ال net
+
+359
+00:25:43,980 --> 00:25:47,440
+هي سبب أساسي لأنها اتكررت في خمسة واللي عندهي أنا
+
+360
+00:25:47,440 --> 00:25:52,480
+بتدقف مافيش سبب تاني طيب تعميم النتائج هذه اللي
+
+361
+00:25:52,480 --> 00:25:58,120
+طلعت معاه على كل المستشفيات الأخرىبكون صعب لأن كل
+
+362
+00:25:58,120 --> 00:26:01,980
+مستشفى لهالتها وحتى تعميمه على كل الموظفين اللي
+
+363
+00:26:01,980 --> 00:26:05,100
+بتأخره بيكون صعب لأن أحيانًا ممكن تكون العوامل
+
+364
+00:26:05,100 --> 00:26:08,620
+اللي أدت إلى تأخير الموظف عن عمله في قسم الجراحة
+
+365
+00:26:08,620 --> 00:26:11,640
+غير عن قسم الباطنة في المختبر غير عن العلاج
+
+366
+00:26:11,640 --> 00:26:17,100
+الطبيعي فبالتالي كمان العمم النتائج بيكون صعب هذا
+
+367
+00:26:17,100 --> 00:26:20,220
+من ال limitation تعوتها أو من الصعوبات التابعونها
+
+368
+00:26:20,220 --> 00:26:23,060
+فبتكون ال limitation اللي موجودة عند كل هذه اللي
+
+369
+00:26:23,060 --> 00:26:28,820
+موجودة بتقول بتخليأو خلّيني أقول أن موضوع الـ
+
+370
+00:26:28,820 --> 00:26:32,220
+Qualitative Research هو صعب كمان المقارنة ما بين
+
+371
+00:26:32,220 --> 00:26:36,940
+المجموعات بتكون صعبة لأنه لو بدى قارن واحد بالتاني
+
+372
+00:26:36,940 --> 00:26:40,740
+أو قسم بالتاني كل قسم كله ظروفه فبالتالي مقدرش
+
+373
+00:26:40,740 --> 00:26:44,940
+القارن مقارنة فيه أن نفس العامل هنا وموجود هنا أو
+
+374
+00:26:44,940 --> 00:26:52,060
+العامل X يتطبق أكتر من قسم A عن قسم B فنوصل لخلاصة
+
+375
+00:26:52,060 --> 00:26:56,360
+أن الـ Qualitative Research الأمر فيهإنه هو كده
+
+376
+00:26:56,360 --> 00:27:01,220
+احنا بالظاهر في الموضوع إنه سهل ولكن بيكون الأمر
+
+377
+00:27:01,220 --> 00:27:04,680
+لـ Limitation اللي موجود بيكون صعب ففي الموضوع الـ
+
+378
+00:27:04,680 --> 00:27:06,880
+Qualitative Research هالـ Limitation هي المطلوبة
+
+379
+00:27:06,880 --> 00:27:10,180
+نحفظها؟ لأ ماتحفظهاش وإذا بنسألك في الامتحان
+
+380
+00:27:10,180 --> 00:27:13,780
+هنقولك قليلنا تنتهي من ال Limitation مش ممكن
+
+381
+00:27:13,780 --> 00:27:16,520
+نجيبها في الصح والغلط؟ لأ بداشي نجيبها ولا في ال
+
+382
+00:27:16,520 --> 00:27:20,580
+MCQ؟ مدناشي نجيبها كمان في ال MCQيبقى هذا إذا
+
+383
+00:27:20,580 --> 00:27:23,560
+بننزل في ال limitations هذه كلها فقط هنقولك و
+
+384
+00:27:23,560 --> 00:27:26,880
+نقلنا اتنين أو تلاتة من ال limitations فقط احفظ
+
+385
+00:27:26,880 --> 00:27:29,880
+اتنين او تلاتة من الأشياء والباقيات فاهميهم فاهم
+
+386
+00:27:29,880 --> 00:27:33,620
+ومايشحنسك لا في MCQ ولا في matching ولا في two and
+
+387
+00:27:33,620 --> 00:27:36,860
+fourth فقط هذا الموضوع اللي يكون موجود عندك طب
+
+388
+00:27:36,860 --> 00:27:39,920
+بدأت بتحكي عن امتحان في النقطة هذه بس يريد
+
+389
+00:27:39,920 --> 00:27:43,060
+فاصلايات اللي قبل كمان بس نوضح مع بعض إيش الشغلات
+
+390
+00:27:43,060 --> 00:27:46,080
+المهمة و اللي مش مهم و اللي ممكن نسأل فيها لأنه
+
+391
+00:27:46,080 --> 00:27:48,400
+حاسين إن الموضوع إن ساعة بنحكي و الكلام بنلف
+
+392
+00:27:48,400 --> 00:27:52,260
+حوالين نفسهفي الـ slides اللي قبل الجزئي هذه
+
+393
+00:27:52,260 --> 00:27:55,760
+بالذات بدي أعرف كلمة cascade أن الـ research هو
+
+394
+00:27:55,760 --> 00:28:00,320
+cascade بس عما باق الكلام اللي موجود بدي أعرفه فقط
+
+395
+00:28:00,320 --> 00:28:02,580
+أعرف أن عملية ال research عملية cascade في ال
+
+396
+00:28:02,580 --> 00:28:05,940
+slide اللي موجودة طب و ال slide اللي بعديها بتكون
+
+397
+00:28:05,940 --> 00:28:08,800
+كمان هذا السؤال مفتوح فبالتالي كمان ال slide اللي
+
+398
+00:28:08,800 --> 00:28:12,560
+بعديها بتكون مش مطلوبة طب و في ال slide هذه في ال
+
+399
+00:28:12,560 --> 00:28:16,400
+slide هذه بنقول أن نكون عارفين أنه فقط أن ال
+
+400
+00:28:16,400 --> 00:28:19,120
+quality of the research no hypothesisوالـ
+
+401
+00:28:19,120 --> 00:28:23,780
+Quantitative يلو Hypothesis طيب و السؤال هذا صحيح
+
+402
+00:28:23,780 --> 00:28:27,100
+هو مطلوب أن نكون عارفين التعريفات تعريفات مطلوبة
+
+403
+00:28:27,100 --> 00:28:31,380
+ومطلوب أن نكون عارفينها سواء في Compare أو نقول في
+
+404
+00:28:31,380 --> 00:28:34,880
+مقارنة أو صح أو غلط أو Matching طب و هذه .. هذه
+
+405
+00:28:34,880 --> 00:28:37,940
+بالذات مطلوبة أنك أنت تقارن ما بين qualitative و
+
+406
+00:28:37,940 --> 00:28:41,300
+quantitative في السياش أو أظن أن الأمور سهلة طب و
+
+407
+00:28:41,300 --> 00:28:44,300
+الخطوات هذه .. الخطوات هذه مش مطالبينكوا فيها ال
+
+408
+00:28:44,300 --> 00:28:46,840
+step بتاعة qualitative في السياش مابتناش إياها ومش
+
+409
+00:28:46,840 --> 00:28:51,670
+هنسأل فيها في الامتحانطب و هذا بالمرة، هذا بنا
+
+410
+00:28:51,670 --> 00:28:55,550
+نكون عارفين بس الجزئيات الأولى إنه إيش هي أشياء
+
+411
+00:28:55,550 --> 00:28:58,930
+اللي بتمر فيهم الـ Qualitative Research كلهم فيهم
+
+412
+00:28:58,930 --> 00:29:02,190
+Data، يبقى Data Collection و Data Verification و
+
+413
+00:29:02,190 --> 00:29:05,170
+Data Analysis و آخر حاجة الـ Presentation أربع
+
+414
+00:29:05,170 --> 00:29:08,070
+كلمات يكون عارفين الـ Step بتاعة الـ Qualitative
+
+415
+00:29:08,070 --> 00:29:11,530
+Research طب و الـ Time و الـ Cycle اللي مكتوبة،
+
+416
+00:29:11,530 --> 00:29:14,830
+كمان هذه الجزئية مش هنطلبينكوا فيها تكونوا
+
+417
+00:29:14,830 --> 00:29:19,510
+عافظينها أو مش هنسل فيهاوالـ limitation أخر نقطة
+
+418
+00:29:19,510 --> 00:29:24,890
+من كذا لو سألنا أقصى حد سنقول ثلاثة أذكر ثلاثة لأ
+
+419
+00:29:24,890 --> 00:29:28,150
+ممكن نقول أربع لأقصى حد سنسأل فيه ثلاثة من ال
+
+420
+00:29:28,150 --> 00:29:32,070
+limitation اللي كانوا موجودين عندنا في ال
+
+421
+00:29:32,070 --> 00:29:34,910
+qualitative research دلوقت سألت انت في ال
+
+422
+00:29:34,910 --> 00:29:38,450
+qualitative research في عندنا limitation في ال
+
+423
+00:29:38,450 --> 00:29:41,970
+quantitative research في عندنا limitation ليس هناك
+
+424
+00:29:41,970 --> 00:29:45,310
+limitation في ال quantitative research إلا حسب ال
+
+425
+00:29:45,310 --> 00:29:48,480
+designيعني الـ Experimental الـ limitation بتاعتها
+
+426
+00:29:48,480 --> 00:29:51,500
+بتكون فيها أنهي فيها ethical issue الـ
+
+427
+00:29:51,500 --> 00:29:54,360
+Experimental أنهي بتكون cost يعني هي ال
+
+428
+00:29:54,360 --> 00:29:58,240
+disadvantage في ال quantitative research اللي قبل
+
+429
+00:29:58,240 --> 00:30:02,100
+قبل شويه اتكلمنا عنه في ال design تبعهم نقدر نكتب
+
+430
+00:30:02,100 --> 00:30:05,440
+ال disadvantage بتاعت كل design طب ممكن يكون ال
+
+431
+00:30:05,440 --> 00:30:08,920
+quantitative research in general إله disadvantage
+
+432
+00:30:08,920 --> 00:30:12,540
+هو ال research بشكل عام زي ما أنتوا شايفين ال
+
+433
+00:30:12,540 --> 00:30:16,650
+disadvantage بتاعته أنه بده حد مزاج وريقوفاضي و
+
+434
+00:30:16,650 --> 00:30:22,010
+اليوم الطالب مشغول ومشغل كتير فأفضل شئ حتى تكون
+
+435
+00:30:22,010 --> 00:30:24,590
+باحث فهو أن تكون فاضي، طب ممكن نسأل في ال
+
+436
+00:30:24,590 --> 00:30:27,550
+qualitative .. في ال quantitative research
+
+437
+00:30:27,550 --> 00:30:31,650
+disadvantage و حكيت عنهم الأشياء اللي قبل، فممكن
+
+438
+00:30:31,650 --> 00:30:33,630
+نقول لك الدراسة و نقول لك advantage أو
+
+439
+00:30:33,630 --> 00:30:37,090
+disadvantage فقط، بس مش هتيجي بصيغة limitation
+
+440
+00:30:40,440 --> 00:30:42,780
+أحنا في المحاضرة هذه هنقف لعند الـ Data Collection
+
+441
+00:30:42,780 --> 00:30:47,280
+هنكمل المحاضرة جاية موضوع الـ Data Collection في
+
+442
+00:30:47,280 --> 00:30:51,260
+نهاية اللقاء أنا بشكركم، باطمنعكم التوفيق والسلام
+
+443
+00:30:51,260 --> 00:30:53,040
+عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f824b61af2ba21e051493b3eeeb873af22f00bd4
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0.srt
@@ -0,0 +1,1589 @@
+1
+00:00:02,060 --> 00:00:04,520
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:04,520 --> 00:00:10,240
+الرحيم، طلابنا الأعزاء، زملائنا الأفاضل، بداية نتمنى
+
+3
+00:00:10,240 --> 00:00:15,640
+لكم السلامة، وموفور الصحة والعافية في هذا اللقاء.
+
+4
+00:00:15,640 --> 00:00:19,360
+سيتم الحديث إن شاء الله عن اختبار regression
+
+5
+00:00:19,360 --> 00:00:26,160
+analysis، regression analysis، المقصود فيه هو اختبار
+
+6
+00:00:26,160 --> 00:00:32,620
+التنبؤ، والتنبؤ معناه أنني أريد أن أستخدم Variables أو
+
+7
+00:00:32,620 --> 00:00:38,880
+Variable، متغير أو متغيرات للتنبؤ بمتغير آخر. نتذكر
+
+8
+00:00:38,880 --> 00:00:42,900
+سوياً أننا قلنا أن الاختبارات الإحصائية التي
+
+9
+00:00:42,900 --> 00:00:48,380
+سنستخدمها في كل الأبحاث العلمية هي عبارة عن
+
+10
+00:00:48,380 --> 00:00:53,580
+الـ Chi، والـ R،  correlation، والـ T test، والـ F
+
+11
+00:00:53,580 --> 00:00:57,820
+test، وهو اختصار لـANOVA، والـ regression. وتكلمنا وقلنا
+
+12
+00:00:57,820 --> 00:01:02,140
+لما تكون العلاقة التي نريد إيجادها بين متغيرين، وكلاهما
+
+13
+00:01:02,140 --> 00:01:06,340
+وصفيين qualitative و qualitative، فهو يكون اختبار
+
+14
+00:01:06,340 --> 00:01:10,160
+chi-square. ولما تكون العلاقة بين متغيرين،
+
+15
+00:01:10,160 --> 00:01:13,760
+والمتغيرين كميين quantitative، analysis بتكون
+
+16
+00:01:13,760 --> 00:01:18,280
+العلاقة التي نريد إيجادها باختبار correlation. ولما يكون
+
+17
+00:01:18,280 --> 00:01:22,700
+لدينا اختبار نريد فيه إيجاد العلاقة ما بين متغير، ومتغير
+
+18
+00:01:22,700 --> 00:01:28,060
+كمي، ومتغير آخر وصفي، فنرى المتغير الوصفي الـ
+
+19
+00:01:28,060 --> 00:01:31,600
+Qualitative Research كم مجموعة فيه، كم
+
+20
+00:01:31,600 --> 00:01:36,580
+category. وإذا كان الـ Qualitative Research فيه
+
+21
+00:01:36,580 --> 00:01:42,360
+داخله two category أو two group، مع متغير آخر
+
+22
+00:01:42,360 --> 00:01:47,440
+quantitative، لإيجاد العلاقة نستخدم الـ T-test.
+
+23
+00:01:47,440 --> 00:01:51,320
+ولكن لو الـ Qualitative Research فيه ثلاث
+
+24
+00:01:51,320 --> 00:01:56,390
+مجموعات، مثل الـ Education، نجيب علاقته مع متغير
+
+25
+00:01:56,390 --> 00:02:01,030
+آخر، والمتغير الآخر quantitative، نستخدم الـ ANOVA
+
+26
+00:02:01,030 --> 00:02:05,690
+test، أو ما يُختصر به الـ one way ANOVA، أو Analysis
+
+27
+00:02:05,690 --> 00:02:10,570
+of Variance، أو الـ F-test. ولكن لما يكون لدينا متغير،
+
+28
+00:02:10,570 --> 00:02:14,050
+والمتغير الموجود qualitative أو quantitative،
+
+29
+00:02:14,050 --> 00:02:19,550
+ونبدأ التنبؤ بمتغير آخر، فنستخدم اختباراً اسمه
+
+30
+00:02:19,550 --> 00:02:24,240
+regression analysis. ومثال على ذلك، لما يكون عندي
+
+31
+00:02:24,240 --> 00:02:30,400
+شخص يقول أنه في الصف السادس، أتنبأ أنه في
+
+32
+00:02:30,400 --> 00:02:35,800
+الصف السادس، أن عمره كمتغير آخر، الـ age، أن عمره
+
+33
+00:02:35,800 --> 00:02:40,720
+عبارة عن 12 عاماً، لأنه 6 سنوات قبل دخوله المدرسة، و
+
+34
+00:02:40,720 --> 00:02:45,580
+6 سنوات درسها، لو وصل للصف السادس، فبكون عمره
+
+35
+00:02:45,580 --> 00:02:50,500
+حالياً 12 عاماً. أو طالب يقول لي أنا حالياً سنة أولى
+
+36
+00:02:50,500 --> 00:02:53,060
+جامعة، سنة أولى جامعة هو عبارة عن qualitative
+
+37
+00:02:53,060 --> 00:02:58,680
+variable، أتنبأ بكم عمره سنة أولى جامعة، سواء
+
+38
+00:02:58,680 --> 00:03:04,460
+طالب أو طالبة، فيقول هو في الغالب عمره 18 عاماً أو
+
+39
+00:03:04,460 --> 00:03:08,440
+بداية في التاسعة عشر عاماً. أحياناً الأمر يكون عند
+
+40
+00:03:08,440 --> 00:03:11,640
+variable، quantitative variable، والـ quantitative
+
+41
+00:03:11,640 --> 00:03:17,670
+variable هذا أتنبأ به بـ variable آخر، مثل اليوريا
+
+42
+00:03:17,670 --> 00:03:22,990
+والكرياتينين. عندي اليوريا تكون عالية، أقول
+
+43
+00:03:22,990 --> 00:03:26,510
+والله كتنبؤ أن الـ variable الآخر الذي هو
+
+44
+00:03:26,510 --> 00:03:30,230
+الكرياتينين أتنبأ أنه يكون عالياً، ولو كان
+
+45
+00:03:30,230 --> 00:03:34,390
+الكرياتينين عالياً أتنبأ أن اليوريا تكون عالية. حتى
+
+46
+00:03:34,390 --> 00:03:39,710
+نجد معادلة للتنبؤ، ويكون التنبؤ على أسس علمية، وكل
+
+47
+00:03:39,710 --> 00:03:43,750
+قاعدة علمية موجودة يُعمل لها اختبار regression
+
+48
+00:03:43,750 --> 00:03:47,490
+analysis. الـ regression analysis يعطينا معادلة،
+
+49
+00:03:47,490 --> 00:03:52,310
+وهذه المعادلة ممكن نسقطها على أي variable لـ
+
+50
+00:03:52,310 --> 00:03:55,730
+variable في التنبؤ، أو يكون لدينا بداية تنبؤ بـ variable
+
+51
+00:03:55,730 --> 00:04:01,510
+من عدة variables أخرى. أنواع regression: إما عند
+
+52
+00:04:01,510 --> 00:04:05,710
+simple linear regression analysis، أو multiple
+
+53
+00:04:05,710 --> 00:04:09,320
+linear regression analysis، أو Logistic Regression
+
+54
+00:04:09,320 --> 00:04:13,840
+Analysis.  simple Linear Regression Analysis: عندي
+
+55
+00:04:13,840 --> 00:04:18,580
+variable واحد، أتنبأ به بـ variable ثانٍ، مثل اليوريا،
+
+56
+00:04:18,580 --> 00:04:23,740
+أتنبأ بها بالكرياتينين. وطالما أنه Linear، و
+
+57
+00:04:23,740 --> 00:04:29,060
+Linear، نتذكر دائماً أن كلمة Linear تستخدم
+
+58
+00:04:29,060 --> 00:04:32,920
+للتنبؤ بـ variable quantitative  لـ variable
+
+59
+00:04:32,920 --> 00:04:38,480
+quantitative. وليس في حالة الـ Linear Regression أنه
+
+60
+00:04:38,480 --> 00:04:43,360
+أتنبأ باختبار Qualitative. هي كلها تكون عبارة
+
+61
+00:04:43,360 --> 00:04:48,140
+عن تنبؤ لـ Variable Quantitative، أو numerical
+
+62
+00:04:48,140 --> 00:04:52,520
+variable، لـ numerical variable آخر، مثل اليوريا
+
+63
+00:04:52,520 --> 00:04:57,480
+والكرياتينين. مثال كعصابي، نحسب الـ LDL من
+
+64
+00:04:57,480 --> 00:05:02,100
+الكوليسترول، والترايجليسرايد، والـ HDL. كل هذه تستخدم
+
+65
+00:05:02,100 --> 00:05:06,940
+فيها التنبؤ. لما يقول عندنا symbol، يعني variable لـ
+
+66
+00:05:06,940 --> 00:05:11,560
+variable واحد لواحد، عندي variable، أتنبأ منه
+
+67
+00:05:11,560 --> 00:05:15,860
+variable ثاني. لما يقول multiple linear regression،
+
+68
+00:05:16,880 --> 00:05:21,380
+عدة Variables يجب أن تكون موجودة، حتى نتنبأ بـ Variable
+
+69
+00:05:21,380 --> 00:05:24,300
+آخر يكون Quantitative. والـ Logistic Regression
+
+70
+00:05:24,300 --> 00:05:28,340
+Analysis، أبدأ التنبؤ بـ Variable Qualitative بواسطة
+
+71
+00:05:28,340 --> 00:05:32,400
+استخدام عدة Variables تكون Qualitative أو
+
+72
+00:05:32,400 --> 00:05:36,660
+Quantitative. نأخذ مثالاً، لما أبدأ التنبؤ هل
+
+73
+00:05:36,660 --> 00:05:40,400
+المريض عنده Meningitis أم لا، ألزمني عدة
+
+74
+00:05:40,400 --> 00:05:43,600
+Variables. الـ Variable الأول، نبدأ بـ White Blood
+
+75
+00:05:43,600 --> 00:05:47,770
+Cell،  هل لديه.  الحاجة الثانية، هل عنده Vvar، و
+
+76
+00:05:47,770 --> 00:05:53,410
+لا، عنده حرارة أم لا، عنده white blood cell
+
+77
+00:05:53,410 --> 00:05:58,880
+الموجودة،  في عينة الـ CSF،  قدَ إيه  حددها؟ الجلوكوز
+
+78
+00:05:58,880 --> 00:06:04,000
+الموجود داخل الـ CSF، لما نعمل قياس، قدَ إيه كميته؟
+
+79
+00:06:04,000 --> 00:06:08,340
+كمية البروتين الموجودة في عينة الـ CSF. كل هذه في
+
+80
+00:06:08,340 --> 00:06:12,680
+الآخر، عدة variables موجودة، نضعها أمام الطبيب، حتى
+
+81
+00:06:12,680 --> 00:06:17,220
+في الآخر يقرر، هل المريض مصاب بـ meningitis أم لا.
+
+82
+00:06:17,220 --> 00:06:21,520
+meningitis. نعيدهم ثانيةً، الـ regression analysis، الـ
+
+83
+00:06:21,520 --> 00:06:24,260
+simple linear regression analysis، أنا فيه أتنبأ بـ
+
+84
+00:06:24,260 --> 00:06:29,370
+variable بواسطة variable آخر، وكلاهما
+
+85
+00:06:29,370 --> 00:06:32,010
+الذي أريد التنبؤ به، والذي أستخدمه للتنبؤ،
+
+86
+00:06:32,010 --> 00:06:35,770
+quantitative variable، أو numerical variable. الـ
+
+87
+00:06:35,770 --> 00:06:38,830
+multiple linear regression analysis، أنا أريد التنبؤ بـ
+
+88
+00:06:38,830 --> 00:06:42,810
+variable، و الـ variable quantitative، بواسطة
+
+89
+00:06:42,810 --> 00:06:46,930
+استخدام عدة variables أخرى، وكل هذه الـ variables التي
+
+90
+00:06:46,930 --> 00:06:50,630
+أريد استخدامها في التنبؤ، هي عبارة عن quantitative
+
+91
+00:06:50,630 --> 00:06:56,230
+variables. مثال على ذلك، أبدأ التنبؤ بكمية الـ LDL،
+
+92
+00:06:56,230 --> 00:06:59,730
+كميتها كـ quantitative variable. وكل هذه الـ variables
+
+93
+00:06:59,730 --> 00:07:04,310
+الموجودة، الـ total cholesterol، والـ HDL، والـ
+
+94
+00:07:04,310 --> 00:07:08,370
+trigocyte، كلها عبارة عن quantitative variable. وهنا
+
+95
+00:07:08,370 --> 00:07:12,250
+نسميه Multiple Linear Regression Analysis. أبدأ
+
+96
+00:07:12,250 --> 00:07:17,390
+استخدام عدة variables، وكلها quantitative، حتى أقدر
+
+97
+00:07:17,390 --> 00:07:20,550
+التنبؤ بالـ variables، وهذا الـ variables أيضاً
+
+98
+00:07:20,550 --> 00:07:24,820
+quantitative. الـ Logistic Regression Analysis، أنا
+
+99
+00:07:24,820 --> 00:07:28,280
+عندي Variable، والـ Variable الموجود هو
+
+100
+00:07:28,280 --> 00:07:32,640
+qualitative، وأريد التنبؤ في هذا الـ Variable من
+
+101
+00:07:32,640 --> 00:07:38,140
+خلال استخدام عدة Variables، وكل هذه الـ Variables
+
+102
+00:07:38,140 --> 00:07:42,220
+الموجودة عبارة عن qualitative أو quantitative
+
+103
+00:07:42,220 --> 00:07:48,180
+Variables.  زي ما حكينا قبل شوية، نريد التنبؤ هل
+
+104
+00:07:48,180 --> 00:07:52,890
+لديه  مرض  meningitis أم لا، نعمل عدة فحوصات، من ضمنها لـ
+
+105
+00:07:52,890 --> 00:07:56,870
+blood cells، نعمل الـ white blood cell count،
+
+106
+00:07:56,870 --> 00:08:01,810
+ونشوف فيه كم عددها. نشوف كمان هل لدينا في
+
+107
+00:08:01,810 --> 00:08:05,710
+العينة white blood cell، ونشوف كمان نسبة الجلوكوز،
+
+108
+00:08:05,710 --> 00:08:12,570
+ونسبة البروتين داخل عينة الـ CSF. يبقى الـ regression
+
+109
+00:08:12,570 --> 00:08:16,970
+analysis يستخدم لحالة التنبؤ، نتنبأ بـ dependent
+
+110
+00:08:16,970 --> 00:08:22,180
+variables على أساس variables أخرى معروفة، وهذا الـ
+
+111
+00:08:22,180 --> 00:08:26,140
+variable نسميه independent variable. الـ variable
+
+112
+00:08:26,140 --> 00:08:29,380
+الذي نريد التنبؤ به من خلال الـ regression analysis،
+
+113
+00:08:29,380 --> 00:08:32,500
+نسميه dependent variable. والـ variable التي
+
+114
+00:08:32,500 --> 00:08:38,740
+نستخدمها حتى نتنبأ بالـ variable المفقود نسميه
+
+115
+00:08:38,740 --> 00:08:42,320
+independent variable. يبقى من خلال هذه المعادلة،
+
+116
+00:08:42,320 --> 00:08:46,420
+هذه عبارة عن independent، والـ LDL عبارة عن
+
+117
+00:08:46,420 --> 00:08:52,790
+dependent variable. أيضاً يستخدم حتى يعمل لنا explain،
+
+118
+00:08:52,790 --> 00:08:57,470
+يوضح تأثير الـ Independent Variable على الـ
+
+119
+00:08:57,470 --> 00:09:01,530
+Dependent Variable. أيضاً يستخدم الـ Regression
+
+120
+00:09:01,530 --> 00:09:06,030
+Analysis حتى نتحكم في الـ Confounder. خلاصة الـ
+
+121
+00:09:06,030 --> 00:09:09,650
+Regression Analysis، أنا أريد عمل معادلة، وهذه
+
+122
+00:09:09,650 --> 00:09:15,290
+المعادلة من خلالها أريد التنبؤ بـ Variable معين، وهدف
+
+123
+00:09:15,290 --> 00:09:20,780
+الـ Regression أنني أضع المتغيرات التي لها علاقة
+
+124
+00:09:20,780 --> 00:09:26,180
+مع بعضها في معادلة، زي قبل شوية ما حكينا. هذه المعادلة
+
+125
+00:09:26,180 --> 00:09:30,440
+الموجودة، سنكون كل شهر نتعلم أن هذه معادلة
+
+126
+00:09:30,440 --> 00:09:37,940
+كيف نجدها؟ وهي عندنا systolic blood pressure، وgest،
+
+127
+00:09:37,940 --> 00:09:43,480
+وعندنا الـ age، ووجدنا لهم علاقة مع بعض كـ Correlation،
+
+128
+00:09:43,480 --> 00:09:46,420
+موجودة بين الإثنين. وزي ما نحن نشاهد أن فيه
+
+129
+00:09:46,420 --> 00:09:49,420
+لدينا علاقة خطية، و Positive Significant
+
+130
+00:09:49,420 --> 00:09:54,380
+Correlation. كيف أنا من خلال الـ Age أريد التنبؤ بـ
+
+131
+00:09:54,380 --> 00:09:59,020
+systolic blood؟  بإيجاز، كل ما نفعله نطلب من
+
+132
+00:09:59,020 --> 00:10:03,780
+البرنامج التابع لـ SPSS أن يعمل لنا علاقة، أو معادلة، ما
+
+133
+00:10:03,780 --> 00:10:08,610
+بين الـ Age، وSystolic Blood pressure. فهو يطلب منا،
+
+134
+00:10:08,610 --> 00:10:12,070
+يقول لنا، من الذي تريد إيجاد معادلته؟ نقول له
+
+135
+00:10:12,070 --> 00:10:16,250
+systolic blood pressure، ونريد استخدام الـ age، لأنه
+
+136
+00:10:16,250 --> 00:10:19,350
+أريد أن أسأل المريض عن عمره، ومن خلال عمره أريد
+
+137
+00:10:19,350 --> 00:10:23,410
+التنبؤ بـ systolic blood pressure.  فالذي يحدث أنه
+
+138
+00:10:23,410 --> 00:10:26,630
+يرسم لنا الخط الموجود، ويقول لنا أن الـ systolic
+
+139
+00:10:26,630 --> 00:10:36,370
+blood pressure يساوي 81.54 + 1.22 مضروب في
+
+140
+00:10:36,370 --> 00:10:40,810
+الـ Age.  يُعطيك مباشرة الـ systolic blood pressure. هو
+
+141
+00:10:40,810 --> 00:10:45,010
+يُعمل لنا هذه المعادلة، وهذه المعادلة نستخدمها بعد
+
+142
+00:10:45,010 --> 00:10:48,170
+ذلك للتنبؤ بـ systolic blood pressure.
+
+143
+00:10:50,630 --> 00:10:54,910
+الـ Linear Regression، الهدف الأساسي منه أن نجد
+
+144
+00:10:54,910 --> 00:11:00,890
+معادلة، هذه المعادلة تُمكّنني من التنبؤ بـ
+
+145
+00:11:00,890 --> 00:11:06,830
+Variable معين. تركيب المعادلة، أن عندي Y، الـ
+
+146
+00:11:06,830 --> 00:11:13,290
+Variable الذي أريد التنبؤ به، يساوي الـ Beta مضروبة في X،
+
+147
+00:11:13,290 --> 00:11:16,110
+الـ X هو الـ Variable الذي أستخدمه في التنبؤ،
+
+148
+00:11:16,110 --> 00:11:22,250
+زائد Alpha. الـ Beta هي عبارة عن الـ slope، أو الـ
+
+149
+00:11:22,250 --> 00:11:27,450
+change، الذي يكون موجود في Y لكل وحدة تغيير في X،
+
+150
+00:11:27,450 --> 00:11:34,490
+زائد الـ Alpha، وهي عبارة عن constant. لفهم هذا،
+
+151
+00:11:34,490 --> 00:11:39,130
+مثال،  لو لدينا مثال عصابي، طالب، نريد معرفة
+
+152
+00:11:39,130 --> 00:11:44,410
+عمره، ونريد أن نسأله عن عمره بطريقة غير مباشرة،
+
+153
+00:11:44,410 --> 00:11:48,170
+نقول له: أنت ماذا تعمل؟ كم سنة لك مخلص؟ بكالوريوس؟
+
+154
+00:11:48,770 --> 00:11:55,710
+فبحكينا أنه خريج منذ أربع سنوات، نقول إنه بدأ، و
+
+155
+00:11:55,710 --> 00:12:00,330
+مخلص له أربع سنوات، وهو يُنهي البكالوريوس في الغالب على
+
+156
+00:12:00,330 --> 00:12:07,750
+22 عاماً، فبكون عمره حالياً 26. أنا استخدمت الـ Y أني
+
+157
+00:12:07,750 --> 00:12:13,610
+أتنبأ بـ Age، من خلال معرفة كم سنة له خريج، زائد
+
+158
+00:12:13,610 --> 00:12:19,450
+Constant. الـ Constant، وهي عبارة عن 22 سنة، فتكون
+
+159
+00:12:19,450 --> 00:12:24,750
+الـ 22 عبارة عن constant، كل خريج عمره 22 سنة، وكم
+
+160
+00:12:24,750 --> 00:12:30,870
+سنة لو خلص 4 سنوات؟ نقول أن عمره، الـ age كـ
+
+161
+00:12:30,870 --> 00:12:38,330
+quantitative variable، يساوي الـ beta ضرب الـ x، 4
+
+162
+00:12:38,330 --> 00:12:46,370
+زائد 22 عاماً كـ constant. لماذا هذا constant؟ لأن معظم
+
+163
+00:12:46,370 --> 00:12:50,690
+الخريجين عند انتهاء دراستهم عمرهم 22 عاماً. فنقول هنا في
+
+164
+00:12:50,690 --> 00:12:55,230
+الحالة هذا الـ slope، واحد، مضروب، الـ slope في أربع
+
+165
+00:12:55,230 --> 00:13:01,930
+سنوات له خريج، زائد 22، فبيكون عمره 26. لو شخص قال لنا له
+
+166
+00:13:01,930 --> 00:13:06,810
+خريج عشر سنوات، فنقول أنه، طالما له خريج عشر سنوات،
+
+167
+00:13:06,810 --> 00:13:14,310
+في الغالب نقول واحد ضرب عشرة، بكون عشرة، زائد إثنين
+
+168
+00:13:14,310 --> 00:13:19,550
+وعشرين، فبكون عمره حالياً اثنين وثلاثين عاماً. الـ
+
+169
+00:13:19,550 --> 00:13:24,090
+Simple Linear Regression Analysis، الـ Assumption
+
+170
+00:13:24,090 --> 00:13:26,750
+للـ Simple Linear Regression Analysis، أول شيء أن
+
+171
+00:13:26,750 --> 00:13:31,210
+يكون هناك Linear Correlation، أو Significant
+
+172
+00:13:31,210 --> 00:13:35,340
+Correlation. يبقى أول شيء حتى أعمل الـ
+
+173
+00:13:35,340 --> 00:13:39,480
+regression ما بين إثنين variables، يكونان إثنان
+
+174
+00:13:39,480 --> 00:13:43,300
+variables، بينهما علاقة، والعلاقة الموجودة linear
+
+175
+00:13:43,300 --> 00:13:46,460
+correlation، أو significant linear correlation.
+
+176
+00:13:46,460 --> 00:13:49,720
+الاثنان يكونان independent عن بعض، ما ليس لهما
+
+177
+00:13:49,720 --> 00:13:52,
+
+223
+00:17:09,140 --> 00:17:12,800
+Correlation أو Simple Linear Correlation سنفحص
+
+224
+00:17:12,800 --> 00:17:15,500
+الـ correlation ما بين الاثنين ونشوف في عندنا
+
+225
+00:17:15,500 --> 00:17:18,900
+correlation أم لا يوجد لدينا correlation، وهي اليوريا
+
+226
+00:17:18,900 --> 00:17:23,760
+و الكرياتينين، وبنجيب الـ Pearson correlation، و
+
+227
+00:17:23,760 --> 00:17:29,360
+بنقول له okay، نطلع في عندنا Significant Linear
+
+228
+00:17:29,360 --> 00:17:33,320
+Correlation، فبالتالي يمكن استخدام اليوريا للتنبؤ
+
+229
+00:17:33,320 --> 00:17:38,630
+بالكرياتينين. بعدها نذهب إلى analyze ثم regression
+
+230
+00:17:38,630 --> 00:17:44,010
+ثم linear regression، أريد استخدام اليوريا للتنبؤ
+
+231
+00:17:44,010 --> 00:17:46,930
+بها بالكرياتينين، يبقى المتغير الذي أريد
+
+232
+00:17:46,930 --> 00:17:50,410
+التنبؤ به، أو الذي أريد التنبؤ
+
+233
+00:17:50,410 --> 00:17:54,090
+بالكرياتينين باستخدام اليوريا، نقول أن الكرياتينين هو
+
+234
+00:17:54,090 --> 00:17:57,670
+عبارة عن dependent لأن هذا ما نريده، من الـ
+
+235
+00:17:57,670 --> 00:18:01,030
+variable الثاني الذي تريد استخدامه للتنبؤ
+
+236
+00:18:01,030 --> 00:18:06,020
+بـه، نقول اليوريا. الهدف من الـ Regression Analysis أو
+
+237
+00:18:06,020 --> 00:18:08,960
+الـ Linear Regression Analysis أن أجد معادلة
+
+238
+00:18:08,960 --> 00:18:12,240
+توضح فيها قيمة اليوريا، وتعطيني قيمة
+
+239
+00:18:12,240 --> 00:18:18,080
+الكرياتينين. نقول له okay، هنا حصلنا على الـ
+
+240
+00:18:18,080 --> 00:18:21,680
+correlation، وحصلنا على أن المعادلة الخاصة بـ linear
+
+241
+00:18:21,680 --> 00:18:24,880
+regression significant،  أي يمكن استخدامها،  قيمتها
+
+242
+00:18:24,880 --> 00:18:29,240
+في المعادلة صفر،  صفر أي قيمة  sig هو
+
+243
+00:18:29,240 --> 00:18:34,520
+Type 1 error أو الـ P value أو الـ Significant Level
+
+244
+00:18:34,520 --> 00:18:39,780
+كلها عبارة عن الـ Type 1 error،  لدينا الـ Constant
+
+245
+00:18:39,780 --> 00:18:45,020
+الموجودة، ولدينا قيمة اليوريا، لو كتبنا المعادلة
+
+246
+00:18:45,020 --> 00:18:55,900
+بنقول أن الكرياتينين يساوي الـ constant 293 زائد 0.015 مضروباً في قيمة اليوريا، هذا هو الـ slope
+
+247
+00:18:55,900 --> 00:19:01,780
+، الـ B هو الـ constant، نكتب قيمتها، ولدينا
+
+248
+00:19:01,780 --> 00:19:05,980
+باقي المعادلة جاهزة، فنستطيع من خلال هذه المعادلة
+
+249
+00:19:05,980 --> 00:19:10,560
+التي كتبناها أن نتنبأ بقيمة الكرياتينين،  لو وجدنا
+
+250
+00:19:10,560 --> 00:19:15,000
+عنده قيمة per unit، وهكذا نجد معادلة
+
+251
+00:19:15,000 --> 00:19:20,380
+للتنبؤ بمتغير من متغير آخر، وهذا ما نسميه simple
+
+252
+00:19:20,380 --> 00:19:26,080
+linear regression. وحالياً سنرى الفكرة أو
+
+253
+00:19:26,080 --> 00:19:32,560
+كيف تم إيجاد معادلة الـ LDL للتنبؤ بها من
+
+254
+00:19:32,560 --> 00:19:39,160
+خلال استخدام الـ HDL و الـ cholesterol و Triglyceride
+
+255
+00:19:39,160 --> 00:19:44,680
+أولاً، قالوا Analyze ثم Correlation، Bivariate،
+
+256
+00:19:44,680 --> 00:19:51,080
+ووجدوا هل توجد علاقة بين الكوليسترول و الـ Triglyceride
+
+257
+00:19:51,080 --> 00:19:56,360
+و الـ HDL و الـ LDL أم لا، وقالوا okay، فظهر أن
+
+258
+00:19:56,360 --> 00:20:02,720
+الـ LDL له significant correlation مع الـ HDL و
+
+259
+00:20:02,720 --> 00:20:08,880
+الـ Triglyceride و الكوليسترول، فقالوا طالما يوجد
+
+260
+00:20:08,880 --> 00:20:13,340
+significant correlation، يمكن استخدام هذه المتغيرات الثلاثة
+
+261
+00:20:13,340 --> 00:20:16,240
+، باستخدام الـ multiple linear
+
+262
+00:20:16,240 --> 00:20:18,960
+regression، لإيجاد قيمة LDL cholesterol. نعمل معادلة حتى
+
+263
+00:20:18,960 --> 00:20:25,380
+يُكتشف المعادلة أو يكتب المعادلة. Analyze ثم
+
+264
+00:20:25,380 --> 00:20:29,780
+regression الخطية، ذهبوا إلى regression، وضعوا
+
+265
+00:20:29,780 --> 00:20:36,660
+المتغيرات التي يريدون حسابها أو يريدون إيجاد معادلة لها في الـ dependent، وقالوا هذا هو الكوليسترول
+
+266
+00:20:36,660 --> 00:20:39,900
+وهذه هي HDL وهذه Triglyceride، جنباً إلى جنب، okay
+
+267
+00:20:39,900 --> 00:20:43,940
+ظهر لهم أولاً أنه يوجد correlation بين
+
+268
+00:20:43,940 --> 00:20:51,280
+المتغيرات الثلاثة، strong correlation،  أي قيمة  واحدة
+
+269
+00:20:53,320 --> 00:20:56,500
+وcoefficient of determination الذي تحدثنا عنه
+
+270
+00:20:56,500 --> 00:20:59,920
+أيضاً واحد، لأنه يساوي R²، أخذ R وعمل
+
+271
+00:20:59,920 --> 00:21:04,220
+تربيعاً،  وطلع معهم slope لكل واحد،  وطلع معهم هل هو
+
+272
+00:21:04,220 --> 00:21:08,700
+significant أم لا، وجدوا أن الثلاثة، نسبة الخطأ في
+
+273
+00:21:08,700 --> 00:21:16,320
+هم، لو استخدمناهم للتنبؤ،  صفر،  قلنا أن sig هو
+
+274
+00:21:16,320 --> 00:21:19,220
+عبارة عن P-Value وهي عبارة عن Type 1 error
+
+275
+00:21:19,220 --> 00:21:23,530
+فإذا كانت نسبة الخطأ في التنبؤ صفر،  يبقى يمكن
+
+276
+00:21:23,530 --> 00:21:26,670
+استخدامها في التنبؤ، أخذوا الـ output الموجود
+
+277
+00:21:26,670 --> 00:21:31,290
+هنا ووضَعُوه، وبدأوا يكتبون المعادلة، و لكتابة المعادلة
+
+278
+00:21:31,290 --> 00:21:37,070
+يجب استخدام الـ slope الموجودة و نبدأ الكتابة في
+
+279
+00:21:37,070 --> 00:21:42,450
+المعادلة ونقول أن LDL cholesterol
+
+280
+00:21:42,450 --> 00:21:47,990
+يساوي ناقص 2.22 مضروباً في عشرة مرفوع
+
+281
+00:21:47,990 --> 00:21:56,220
+لأس -13
+
+282
+00:21:56,220 --> 00:22:01,680
+وهي موجودة هنا لأنها exponential  معناها
+
+283
+00:22:01,680 --> 00:22:10,500
+أنها مضروبة في 10 مرفوع لأس -13، زائد 1 مضروباً في
+
+284
+00:22:10,500 --> 00:22:11,800
+الكوليسترول، وهو الواحد، وهو الـ slope، مضروباً في
+
+285
+00:22:15,060 --> 00:22:19,240
+الكوليسترول، وأصلها من Y  أي LDL cholesterol
+
+286
+00:22:19,240 --> 00:22:25,700
+يساوي P0، التي تساوي دائماً صفر، الـ slope الأول
+
+287
+00:22:25,700 --> 00:22:31,960
+مضروب في المتغير الأول، والـ slope الثاني مضروب
+
+288
+00:22:31,960 --> 00:22:38,600
+في المتغير الثاني، والـ slope الثالث مضروب في المتغير
+
+289
+00:22:38,600 --> 00:22:42,700
+الثالث،  لذلك، الـ slope الأول مضروب في المتغير
+
+290
+00:22:42,700 --> 00:22:45,880
+الأول زائد الـ slope الثاني الذي هو ناقص 1
+
+291
+00:22:45,880 --> 00:22:48,280
+مضروب في المتغير الثاني
+
+292
+00:22:48,280 --> 00:22:51,760
+والـ slope الثالث مضروب في المتغير
+
+293
+00:22:51,760 --> 00:22:59,420
+الثالث، وكأننا نمشي على هذه المعادلة، هذه هي الـ constant
+
+294
+00:22:59,420 --> 00:23:02,520
+وهي أن الـ slope الأول مضروب في المتغير الأول
+
+295
+00:23:17,050 --> 00:23:24,450
+زائد الـ slope الثالث مضروباً
+
+296
+00:23:24,450 --> 00:23:31,590
+في المتغير الثالث، وهو
+
+297
+00:23:31,590 --> 00:23:34,950
+كأننا نمشي على هذه المعادلة، هذه هي الـ constant
+
+298
+00:23:34,950 --> 00:23:38,070
+وهي أن الـ slope الأول مضروب في المتغير الأول
+
+299
+00:23:38,070 --> 00:23:41,590
+والـ slope الثاني مضروب في المتغير الثاني، والـ slope
+
+300
+00:23:41,590 --> 00:23:46,000
+الثالث مضروب في المتغير الثالث،  هذا الرقم يساوي
+
+301
+00:23:46,000 --> 00:23:49,220
+ناقص 2.22 مضروباً في 10 مرفوع لأس ناقص 13
+
+302
+00:23:49,220 --> 00:23:55,080
+زائد 1 مضروباً في الكوليسترول، وهو عبارة عن كوليسترول
+
+303
+00:23:55,080 --> 00:24:02,080
+يبقى كما هو، نخرج الناقص،  يصبح ناقص
+
+304
+00:24:02,080 --> 00:24:05,860
+نجمعهم معاً،  1 مضروباً في هذه، تصبح  HDL
+
+305
+00:24:05,860 --> 00:24:13,380
+cholesterol. هنا لدينا ناقص 2.22،  يصبح ناقص لأن
+
+306
+00:24:13,380 --> 00:24:18,620
+ابقينا الناقص، 2.22 مضروباً في  it's only
+
+307
+00:24:18,620 --> 00:24:24,600
+this line، هذا الرقم يساوي 5 لو قلنا
+
+308
+00:24:24,600 --> 00:24:30,100
+1/5،  أي 0.2،  فيصبح لدينا
+
+309
+00:24:30,100 --> 00:24:37,170
+LDL cholesterol يساوي هذا الرقم،  بدأنا بقيمة صغيرة،  يقول
+
+310
+00:24:37,170 --> 00:24:40,290
+ليس مهماً،  يُعتَبَر صفر كـ constant، أي  التغير في
+
+311
+00:24:40,290 --> 00:24:43,770
+constant، لأن الـ constant يساوي صفر لأنه
+
+312
+00:24:43,770 --> 00:24:48,170
+قليل جداً، فذهبوا لآخر  يقول  يساوي cholesterol
+
+313
+00:24:48,170 --> 00:24:57,370
+ناقص HDL ناقص  وهو 0.2، وهو 1/5 مضروباً في Triglyceride
+
+314
+00:24:57,370 --> 00:25:04,010
+1/5 مضروباً في Triglyceride
+
+315
+00:25:11,190 --> 00:25:16,990
+وهذه هي معادلة LDL-cholesterol التي تم إيجادها
+
+316
+00:25:16,990 --> 00:25:21,210
+بهذه الطريقة، باستخدام الـ Multiple Linear
+
+317
+00:25:21,210 --> 00:25:25,590
+Regression.  حالياً،  سنأخذ مثالاً عن الـ Logistic
+
+318
+00:25:25,590 --> 00:25:32,150
+Regression، الـ Logistic Regression يكون عندما يكون لدينا
+
+319
+00:25:32,150 --> 00:25:38,710
+متغير نوعي  yes و no، المتغير
+
+320
+00:25:38,710 --> 00:25:46,460
+تصنيفي أو مجموعي، متغير وصفي،  يتنبأ بـ
+
+321
+00:25:46,460 --> 00:25:50,600
+هذا المتغير باستخدام متغيرات أخرى، لو أردنا معرفة
+
+322
+00:25:50,600 --> 00:25:53,900
+من هذه المتغيرات الموجودة تفيد في
+
+323
+00:25:53,900 --> 00:25:57,620
+التنبؤ بوجود سكري أو عدم وجود سكري،  نقوم بـ
+
+324
+00:25:57,620 --> 00:26:02,640
+analyze ثم regression، ثم نذهب إلى شيء اسمه binary
+
+325
+00:26:02,640 --> 00:26:07,170
+logistic regression، فنقول له لدينا
+
+326
+00:26:07,170 --> 00:26:11,790
+متغير، ونرى من هو الأكثر،  يمكن أن يقول لي  لديه
+
+327
+00:26:11,790 --> 00:26:15,270
+سكري أم لا، نضيفه إلى الـ dependent
+
+328
+00:26:15,270 --> 00:26:20,730
+ونضيف، على سبيل المثال،  الاعتلال الكلوي، و
+
+329
+00:26:20,730 --> 00:26:25,710
+أمراض القلب والأوعية الدموية، والاعتلال العصبي، نضيفهم
+
+330
+00:26:25,710 --> 00:26:29,210
+ونضيف السكر واليوريا والكرياتينين والكوليسترول، و
+
+331
+00:26:29,210 --> 00:26:39,410
+الـ triglycerides، ونقول له okay،  فيبدأ يظهر لنا ما يسمى بـ
+
+332
+00:26:39,410 --> 00:26:43,810
+الـ Table المفيدة في LibreOffice، فتظهر لنا الـ
+
+333
+00:26:43,810 --> 00:26:47,630
+Table الموجودة  لاستخدامها في إيجاد
+
+334
+00:26:47,630 --> 00:26:53,050
+المعادلة الخاصة بـ LibreOffice، نذهب أولاً،  يكتبون الـ
+
+335
+00:26:53,050 --> 00:26:58,350
+Diabetic 100،  وهي Yes و No، تساوي قيمة الـ
+
+336
+00:26:58,350 --> 00:27:01,850
+Constant في البداية، التي نكتبها، ناقص الرقم الموجود
+
+337
+00:27:01,850 --> 00:27:06,570
+مضروباً في Retinopathy، زائد لأن هذا بالموجب
+
+338
+00:27:06,570 --> 00:27:08,890
+الرقم الموجود مضروباً في الـ Cardiovascular
+
+339
+00:27:08,890 --> 00:27:13,790
+Disease، ناقص الرقم الموجود، لأن هذا بالسالب، في
+
+340
+00:27:13,790 --> 00:27:18,270
+الـ Nephropathy، ونستمر في الكتابة حتى آخر variable
+
+341
+00:27:18,270 --> 00:27:21,390
+من المتغيرات الموجودة،  وتكون هذه المتغيرات
+
+342
+00:27:21,390 --> 00:27:25,870
+هي التي تُستخدم في التنبؤ، أي أنه لو
+
+343
+00:27:25,870 --> 00:27:28,550
+أردنا استخدام المعادلة، إذا كان المريض لديه
+
+344
+00:27:28,550 --> 00:27:33,190
+Retinopathy، نكتب 1، وإذا لم يكن لديه، نكتب
+
+345
+00:27:33,190 --> 00:27:38,900
+0، طالما كتبنا 0، فهذا يعني  لو كان لديه
+
+346
+00:27:38,900 --> 00:27:42,540
+Cardiovascular Disease، نكتب 1، وإذا لم يكن لديه نكتب
+
+347
+00:27:42,540 --> 00:27:45,840
+0،  عندما نصل إلى الـ Quantitative Variable
+
+348
+00:27:45,840 --> 00:27:48,940
+الكرياتينين، نكتب قيمته،  إذا كان لديه 6/10
+
+349
+00:27:48,940 --> 00:27:52,860
+نكتب 6/10، 1 نكتب 1، وهكذا،
+
+350
+00:27:52,860 --> 00:27:56,980
+إذا كان لديه 45، 50، 75، 30
+
+351
+00:27:56,980 --> 00:28:00,760
+ونكتب القيمة،  في النهاية  يظهر رقم
+
+352
+00:28:00,760 --> 00:28:05,000
+1 أو 0،  عندما نقربه،  إذا كان 1 يكون
+
+353
+00:28:05,000 --> 00:28:09,540
+سكرياً،  وإذا كان 0 أو قريب من الـ 0، يكون غير
+
+354
+00:28:09,540 --> 00:28:13,740
+سكري،  فتم استخدام كل هذه المتغيرات
+
+355
+00:28:13,740 --> 00:28:18,460
+للتنبؤ،  لو أردنا معرفة أي المتغيرات لها تأثير أكبر،
+
+356
+00:28:18,460 --> 00:28:24,480
+ننظر إلى الـ Wald test ونرى أعلى قيمة،  أعلى قيمة هي
+
+357
+00:28:24,480 --> 00:28:28,960
+قيمة الجلوكوز،  يكون الجلوكوز هو الأكثر تأثيراً في
+
+358
+00:28:28,960 --> 00:28:34,730
+المعادلة،  بعدها يأتي اليوريا، نرتبهم حسب
+
+359
+00:28:34,730 --> 00:28:39,150
+الـ Wald Test،  يظهر الأقل تأثيراً وهو الـ
+
+360
+00:28:39,150 --> 00:28:41,650
+Cardiovascular Disease، لأن الـ Cardiovascular
+
+361
+00:28:41,650 --> 00:28:47,550
+Disease له أقل قيمة بين الموجودة، ويتم استبعاد
+
+362
+00:28:47,550 --> 00:28:55,670
+الـ Constant لأن الـ Constant ليس متغيراً، ولو
+
+363
+00:28:55,670 --> 00:28:59,650
+أردنا معرفة الـ Significant،  ننظر لقيمة
+
+364
+00:28:59,650 --> 00:29:03,290
+الـ P Value،  نقول أن الـ Significant هي الجلوكوز
+
+365
+00:29:03,290 --> 00:29:07,310
+واليوريا و الـ Triglycerides،  فتكون الـ Non
+
+366
+00:29:07,310 --> 00:29:11,110
+-significant التي قيمة الـ P value أعلى من 0.05
+
+367
+00:29:11,110 --> 00:29:15,430
+و الـ P value نكرر،  هي Type 1 error،  أي
+
+368
+00:29:15,430 --> 00:29:19,490
+نسبة الخطأ تكون أعلى من 0.05،  فتكون
+
+369
+00:29:19,490 --> 00:29:22,210
+الكرياتينين و الـ Retinopathy والكوليسترول و الـ
+
+370
+00:29:22,210 --> 00:29:26,490
+Cardiovascular Disease. كيف نعمل Critique لـ
+
+371
+00:29:26,490 --> 00:29:32,340
+Regression؟ أولاً، لدينا 300 شخص،  و الـ 300
+
+372
+00:29:32,340 --> 00:29:36,660
+معهم سكري،  و مكتوب في الـ objective للدراسة
+
+373
+00:29:36,660 --> 00:29:40,280
+to predict،  أي objective of study to predict
+
+374
+00:29:40,280 --> 00:29:44,660
+Type 2 diabetic from complication من الـ
+
+375
+00:29:44,660 --> 00:29:48,060
+complications الموجودة والـ biochemical ووجدنا
+
+376
+00:29:48,060 --> 00:29:52,200
+الباحث  عامل الـ data الموجودة عاملها هكذا،  أي
+
+377
+00:29:52,200 --> 00:29:55,120
+كل واحد كم لديه  retinopathy، وكم الكوليسترول و
+
+378
+00:29:55,120 --> 00:29:59,320
+النفروباثي، وكم لديه  chi  وكم لديه  T-test الذي يريد
+
+379
+00:29:59,320 --> 00:30:03,980
+فحصه، وحصل على chi square  للـ complications لأنه  category
+
+380
+00:30:03,980 --> 00:30:07,760
+variable  أو  quantitative variable مع  quantitative
+
+381
+00:30:07,760 --> 00:30:11,620
+variable،  فاستخدم chi،  وعندما أراد  profile
+
+382
+00:30:11,620 --> 00:30:16,420
+استخدم  T-test  لأنه قال أنها عبارة عن two
+
+383
+00:30:16,420 --> 00:30:19,980
+groups، ولدينا هنا  quantitative variable،  الأفضل
+
+384
+00:30:19,980 --> 00:30:25,010
+استخدام الـ T-test،  في هذه الحالة، كل العمل الموجود
+
+385
+00:30:25,010 --> 00:30:29,250
+هذا بالنسبة للـ Objective،  لا يكفي ولا يُغنِي
+
+386
+00:30:29,250 --> 00:30:32,870
+عن جهد آخر، لأن الـ Objective يحتوي على prediction،  الأولى أن
+
+387
+00:30:32,870 --> 00:30:37,550
+الباحث يقوم بعمل regression analysis،  قام بعمل univariate
+
+388
+00:30:37,550 --> 00:30:41,030
+analysis، والمفروض أن يقوم بعمل logistic regression
+
+389
+00:30:41,030 --> 00:30:44,250
+analysis،  فبالتالي،  نقوول أن كل هذه الـ Tables
+
+390
+00:30:44,250 --> 00:30:48,930
+الموجودة ليست صحيحة ولا تخدم هدف الدراسة، لأن هدف
+
+391
+00:30:48,930 --> 00:30:52,810
+الدراسة يحتوي على prediction،  والأصل أن يقوم بـ logistic
+
+392
+00:30:52,810 --> 00:30:57,930
+regression،  وهكذا نكون أنهينا الـ regression analysis، كيف
+
+393
+00:30:57,930 --> 00:31:01,610
+نقوم بعمل critique للاستبانة؟ وللقيام بـ critique
+
+394
+00:31:01,610 --> 00:31:05,850
+للاستبانة،  عند النظر في الاستبانة، يجب أن يكون الـ
+
+395
+00:31:05,850 --> 00:31:
+
+445
+00:34:29,630 --> 00:34:34,790
+لازم نكون فاهمينها قبل ما نعملها. أول حاجة بدنا
+
+446
+00:34:34,790 --> 00:34:40,990
+نكون عارفين إذا كان عندنا الـ Sig هنا أقل من 5%
+
+447
+00:34:40,990 --> 00:34:43,970
+يبقى هنا فيه Significant Difference عن الـ Normal
+
+448
+00:34:43,970 --> 00:34:46,430
+Significant Difference عن الـ Normal فبتكون
+
+449
+00:34:46,430 --> 00:34:51,980
+Abnormal. إذا كانت قيمة الـ Sig أو الـ P Value أقل
+
+450
+00:34:51,980 --> 00:34:56,100
+من 5%، فبالتالي يعني الـ Care بيكون Significant،
+
+451
+00:34:56,100 --> 00:34:58,680
+Difference عن الـ Normal. طالما أنه يختلف عن الـ
+
+452
+00:34:58,680 --> 00:35:03,460
+Normal فبيكون Abnormal. وكذلك شابيرو، فليه نعملها
+
+453
+00:35:03,460 --> 00:35:10,460
+على برنامج الـ SPSS. بنجعل البرنامج على الـ Data
+
+454
+00:35:10,460 --> 00:35:14,840
+اللي بدها تكون Quantitative Data. بنقول Analyze، على
+
+455
+00:35:14,840 --> 00:35:19,410
+Descriptive أو على Explore. بيقولنا إيه الـ
+
+456
+00:35:19,410 --> 00:35:24,170
+Variable اللي بتعمله Normality وليه يكون Sugar أو
+
+457
+00:35:24,170 --> 00:35:29,870
+الجليكوز. بعدين بنقوله هنا نعمل بلوت، بنقوله نصمم
+
+458
+00:35:29,870 --> 00:35:36,290
+الهستجرام وبنقول هنا الـ None، وعملنا الـ Normality
+
+459
+00:35:36,290 --> 00:35:40,030
+Plot، okay.
+
+460
+00:35:40,030 --> 00:35:46,290
+Okay، ببدأ أول حاجة يجيبلنا descriptive، بعدين
+
+461
+00:35:47,530 --> 00:35:51,510
+بيجيب لنا كل مجروفة. شبيهة، أن هنا فيه Significant عن
+
+462
+00:35:51,510 --> 00:35:56,970
+الـ Normal، فبتكون الـ Data Abnormal. ولو بدنا نرسم الـ
+
+463
+00:35:56,970 --> 00:36:01,490
+Normal Curve، بنضغط Double Click، بنروح هنا بنضغط
+
+464
+00:36:01,490 --> 00:36:06,710
+على الـ Curve، فبيطلع معانا الرسم اللي موجود بالشكل
+
+465
+00:36:06,710 --> 00:36:12,330
+هذا. هذه البيانات بتؤكد أنه مش Symmetrical، الأثنين
+
+466
+00:36:12,330 --> 00:36:18,130
+فبالتالي بيكون Not Normal Distribution. وهنلاحظ
+
+467
+00:36:18,130 --> 00:36:20,830
+أن كل مجروف قال لنا هو Significant عن الـ Normal
+
+468
+00:36:20,830 --> 00:36:23,770
+فبالتالي بيكون Abnormal. وشابيرو قال أنه
+
+469
+00:36:23,770 --> 00:36:27,430
+Significant عن الـ Normal، فبالتالي بيقول Abnormal.
+
+470
+00:36:27,430 --> 00:36:30,510
+هي عندنا هذا الـ Stem and Leaf كمان بيطلعها لنا
+
+471
+00:36:30,510 --> 00:36:34,350
+البرنامج، وبيطلعها لنا البرنامج. إذا بدنا الـ Box Plot
+
+472
+00:36:34,350 --> 00:36:39,000
+تكون موجودة ولا لا، وهي الـ Box Plot بتطلع إنها
+
+473
+00:36:39,000 --> 00:36:42,580
+بالصورة هذه. بتقول إن الـ Box Plot هي بتكون عبارة عن
+
+474
+00:36:42,580 --> 00:36:46,640
+إحدى الـ Curves اللي تُرسم لـ Quantitative Data.
+
+475
+00:36:46,640 --> 00:36:51,140
+هذه كلها عبارة عن قيم شاذة. هذه البيانات بتكون
+
+476
+00:36:51,140 --> 00:36:54,560
+Outlier Value، وهذه Extreme Value. الأرقام اللي
+
+477
+00:36:54,560 --> 00:36:58,860
+موجودة، هذه عبارة عن أرقام العينات. يبقى فيه عندنا عينة
+
+478
+00:36:58,860 --> 00:37:04,480
+رقم مثلاً 202، قيمة السكر فيها قيمة شاذة 220، فيها
+
+479
+00:37:04,480 --> 00:37:09,950
+قيمة السكر قيمة شاذة. بتحديد الـ Normality، في عندنا
+
+480
+00:37:09,950 --> 00:37:14,290
+غير أنه الـ Normal Distribution Symmetrical. لما
+
+481
+00:37:14,290 --> 00:37:17,590
+أخذناهم،  أخذنا، قلنا في الـ Shape، وفي بدأت تكون
+
+482
+00:37:17,590 --> 00:37:21,630
+Symmetrical، والـ Mean والـ Median والـ Mode Equal.
+
+483
+00:37:21,630 --> 00:37:28,570
+ثلاث خصائص اللي أخذناهم، اللي هم 68 و 95 و 99.7%. في
+
+484
+00:37:28,570 --> 00:37:32,770
+كمان كل مجروف وشابيرو، وبحدد الـ Normality. ونعيد تاني، لو
+
+485
+00:37:32,770 --> 00:37:35,690
+كنا نقسم الكيرف ونضغط Double Click، ونضغط على القون
+
+486
+00:37:35,690 --> 00:37:38,830
+اللي موجودة أمامنا، ونقول Okay. فهي الـ Data اللي
+
+487
+00:37:38,830 --> 00:37:42,430
+موجودة، وهي شكلها بيكون Not Symmetrical. الأثنين لو
+
+488
+00:37:42,430 --> 00:37:47,610
+قسمناهم من النصف. ففي المثال اللي أمامنا، قيمة الـ
+
+489
+00:37:47,610 --> 00:37:51,810
+Sig أو الـ P Value أقل من 5%، هي Significant عن الـ
+
+490
+00:37:51,810 --> 00:37:57,470
+Normal، فبالتالي بتكون Abnormal Distribution. نكتفي
+
+491
+00:37:57,470 --> 00:38:01,500
+بهذا القدر في هذه المحاضرة. نتمنى لكم التوفيق
+
+492
+00:38:01,500 --> 00:38:04,580
+والسلام عليكم ورحمة الله وبركاته
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7a0f99784b5301a913f71b0cec785d21646d2ff4
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/DAgIM6jOZe0_postprocess.srt
@@ -0,0 +1,1968 @@
+1
+00:00:02,060 --> 00:00:04,520
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:04,520 --> 00:00:10,240
+الرحيم طلابنا الأعزاء زملائنا الأفاضل بداية نتمنى
+
+3
+00:00:10,240 --> 00:00:15,640
+لكم السلامة ومفوضة الصحة والعافية في هذا اللقاء
+
+4
+00:00:15,640 --> 00:00:19,360
+سيتم الحديث ان شاء الله عن اختبار regression
+
+5
+00:00:19,360 --> 00:00:26,160
+analysis regression analysis المقصود فيه هو اختبار
+
+6
+00:00:26,160 --> 00:00:32,620
+التنبؤوالتنبؤ معناته أنا بدي استخدم Variables أو
+
+7
+00:00:32,620 --> 00:00:38,880
+Variable متغير أو متغيرات للتنبؤ متغير آخر نتذكر
+
+8
+00:00:38,880 --> 00:00:42,900
+سويا انه احنا قلنا ان الاختبارات الأحصائية اللي
+
+9
+00:00:42,900 --> 00:00:48,380
+احنا هنستخدمها في كل الأبحاث العلمية هي عبارة عن
+
+10
+00:00:48,380 --> 00:00:53,580
+الـ Chi و ال R ال correlation و ال T test و ال F
+
+11
+00:00:53,580 --> 00:00:57,820
+test اللي هو الانوفا و ال regressionوتكلمنا وقلنا
+
+12
+00:00:57,820 --> 00:01:02,140
+لما تكون العلاقة بدنا نوجدها بين متغيرين والاتنين
+
+13
+00:01:02,140 --> 00:01:06,340
+وصفيين qualitative و qualitative هو بيكون اختبار
+
+14
+00:01:06,340 --> 00:01:10,160
+chi-square ولمّا تكون العلاقة بين متغيرين
+
+15
+00:01:10,160 --> 00:01:13,760
+والمتغيرين كميين quantitative analysis بتكون
+
+16
+00:01:13,760 --> 00:01:18,280
+العلاقة بدنا نجيبها باختبار correlation ولمّا يكون
+
+17
+00:01:18,280 --> 00:01:22,700
+عندنا اختبار بدنا نجيب العلاقة ما بين متغير ومتغير
+
+18
+00:01:22,700 --> 00:01:28,060
+كمي ومتغير آخر وصفيبنشوف المتغير الوصفي الـ
+
+19
+00:01:28,060 --> 00:01:31,600
+Qualitative Research أكم مجموعة في داخله، أكم
+
+20
+00:01:31,600 --> 00:01:36,580
+category وإذا كان الـ Qualitative Research في
+
+21
+00:01:36,580 --> 00:01:42,360
+داخله two category أو two group مع متغير آخر
+
+22
+00:01:42,360 --> 00:01:47,440
+quantitative حتى نوجد العلاقة بنستخدم الـ T-test
+
+23
+00:01:47,440 --> 00:01:51,320
+ولكن لو الـ Qualitative Research في داخله تلت
+
+24
+00:01:51,320 --> 00:01:56,390
+مجموعات زي الـ Educationبتنجيب بعلاقته مع متغير
+
+25
+00:01:56,390 --> 00:02:01,030
+آخر والمتغير الآخر quantitative بنستخدم الـ ANOVA
+
+26
+00:02:01,030 --> 00:02:05,690
+test أو ما يُخصط بيه الـ one way ANOVA أو Analysis
+
+27
+00:02:05,690 --> 00:02:10,570
+of Variance أو الـ F-test ولكن لما يكون عنده متغير
+
+28
+00:02:10,570 --> 00:02:14,050
+والمتغير اللي موجود qualitative أو quantitative
+
+29
+00:02:14,050 --> 00:02:19,550
+وبدأ تنبأ بتغير آخر فبنستخدم اختبار اسمه
+
+30
+00:02:19,550 --> 00:02:24,240
+regression analysisومثال على ذلك لما يكون عندى
+
+31
+00:02:24,240 --> 00:02:30,400
+واحد يقول ان هو حاليا في الصف السادس باتنبأ انه في
+
+32
+00:02:30,400 --> 00:02:35,800
+الصف السادس ان عمره كمتغير آخر ال age ان عمره
+
+33
+00:02:35,800 --> 00:02:40,720
+عبارة عن 12 عام لانه 6 سنوات قبل ما يدخل المدرسة و
+
+34
+00:02:40,720 --> 00:02:45,580
+6 سنوات لما انه درس لو وصل للصف السادس فبكون عمره
+
+35
+00:02:45,580 --> 00:02:50,500
+حاليا 12 عامأو طالب يقول لي أنا حاليا سنة أولى
+
+36
+00:02:50,500 --> 00:02:53,060
+جامعة سنة أولى جامعة هو عبارة عن qualitative
+
+37
+00:02:53,060 --> 00:02:58,680
+variable وبتتنبأ بقدش عمره سنة أولى جامعة سواء
+
+38
+00:02:58,680 --> 00:03:04,460
+طالب أو طالبة بيقول هو في الأغلب عمره 18 عام أو
+
+39
+00:03:04,460 --> 00:03:08,440
+بادي في التسعة عشر عام أحيان الأمر بيكون عند
+
+40
+00:03:08,440 --> 00:03:11,640
+variable quantitative variable وال quantitative
+
+41
+00:03:11,640 --> 00:03:17,670
+variable هذا أنا بتتنبأ فيه variable آخرزي اليوريا
+
+42
+00:03:17,670 --> 00:03:22,990
+والكرياتينين أنا عندي اليوريا بتكون عالية بقول
+
+43
+00:03:22,990 --> 00:03:26,510
+والله كتنبؤ ان ال variable الأخر اللي هو
+
+44
+00:03:26,510 --> 00:03:30,230
+الكرياتينين أنا بتنبأ انه يكون عالي ولو كان
+
+45
+00:03:30,230 --> 00:03:34,390
+الكرياتينين عالي أنا بتنبأ اليوريا تكون عالية حتى
+
+46
+00:03:34,390 --> 00:03:39,710
+نوجد معادلة للتنبؤ ويكون التنبؤ على أسس علميةوكل
+
+47
+00:03:39,710 --> 00:03:43,750
+قاعدة علمية موجودة بتم عمل اختبار regression
+
+48
+00:03:43,750 --> 00:03:47,490
+analysis ال regression analysis بيعطينا معادلة
+
+49
+00:03:47,490 --> 00:03:52,310
+وهذه المعادلة ممكن نسقطها على أي variable لـ
+
+50
+00:03:52,310 --> 00:03:55,730
+variable في التنبؤ أو يكون عندنا بدأ تنبأ variable
+
+51
+00:03:55,730 --> 00:04:01,510
+من عدة variable أخرى أنواع regression يا إما عند
+
+52
+00:04:01,510 --> 00:04:05,710
+simple linear regression analysis أو multiple
+
+53
+00:04:05,710 --> 00:04:09,320
+linear regression analysisأو Logistic Regression
+
+54
+00:04:09,320 --> 00:04:13,840
+Analysis سمبل Linear Regression Analysis أنا عندي
+
+55
+00:04:13,840 --> 00:04:18,580
+variable واحد وبتتنبأ فيه variable تاني زي الورية
+
+56
+00:04:18,580 --> 00:04:23,740
+بتتنبأ فيها بالكرياطينين وطالما انه Linear و
+
+57
+00:04:23,740 --> 00:04:29,060
+Linear نتذكر دائما ان كلمة Linear ان هي تستخدم
+
+58
+00:04:29,060 --> 00:04:32,920
+للتنبؤ variable quantitative لvariable
+
+59
+00:04:32,920 --> 00:04:38,480
+quantitativeوليس في حالة الـ Linear Regression إنه
+
+60
+00:04:38,480 --> 00:04:43,360
+أنا بتنبأ باختبار Equalitative هي كلها بتكون عبارة
+
+61
+00:04:43,360 --> 00:04:48,140
+عن تنبؤ لـ Variable Quantitative أو numerical
+
+62
+00:04:48,140 --> 00:04:52,520
+variable لـ numerical variable آخر زي اليوريا
+
+63
+00:04:52,520 --> 00:04:57,480
+والكرياتينين زي عصابي المثال بتحسب الـ LDL من
+
+64
+00:04:57,480 --> 00:05:02,100
+الكوليسترول والتيريجيسالايد والـHDL كل هذه تستخدم
+
+65
+00:05:02,100 --> 00:05:06,940
+لها التنبؤلما بيقول عندنا symbol يعني variable ل
+
+66
+00:05:06,940 --> 00:05:11,560
+variable واحد ل واحد أنا عند variable و بتتنبأ منه
+
+67
+00:05:11,560 --> 00:05:15,860
+variable تاني لما بيقول multiple linear regression
+
+68
+00:05:16,880 --> 00:05:21,380
+عدة Variable يجب أن تكون موجودة حتى تنبأ Variable
+
+69
+00:05:21,380 --> 00:05:24,300
+آخر يكون Quantitative والـ Logistic Regression
+
+70
+00:05:24,300 --> 00:05:28,340
+Analysis أنا بدأ تنبأ Variable Qualitative بواسطة
+
+71
+00:05:28,340 --> 00:05:32,400
+استخدام عدة Variables يكونوا Qualitative أو
+
+72
+00:05:32,400 --> 00:05:36,660
+Quantitative ناخد مثال، لما أنا بدأ اتنبأ هل
+
+73
+00:05:36,660 --> 00:05:40,400
+المريض عنده Meningitis و لا لأ، أنا بلزمني عدة
+
+74
+00:05:40,400 --> 00:05:43,600
+Variable الـ Variable الأول يبدأش الـ White Blood
+
+75
+00:05:43,600 --> 00:05:47,770
+Cell اللي عندهالحاجة التانية، هل في عنده Vvar و
+
+76
+00:05:47,770 --> 00:05:53,410
+لا، عنده حرارة موجودة و لا، عنده white blood cell
+
+77
+00:05:53,410 --> 00:05:58,880
+اللي موجودة، جوا عينة ال CSF، قديش حددهاالجلوكوزي
+
+78
+00:05:58,880 --> 00:06:04,000
+اللي موجود داخل ال CSF لما بتعمله قياس قداش كميته
+
+79
+00:06:04,000 --> 00:06:08,340
+كمية البورتين اللي موجودة في عينة ال CSF كل هذه في
+
+80
+00:06:08,340 --> 00:06:12,680
+الآخر عدة variable موجودة بحطها الطبيب أمامه حتى
+
+81
+00:06:12,680 --> 00:06:17,220
+في الآخر يقرر هل هو المريض meningitis ولا مش
+
+82
+00:06:17,220 --> 00:06:21,520
+meningitis نعيدهم تاني ال regression analysis ال
+
+83
+00:06:21,520 --> 00:06:24,260
+simple linear regression analysis أنا فيه عندى
+
+84
+00:06:24,260 --> 00:06:29,370
+بتتنبأ ب variableبواسطة variable آخر والاتنين اللي
+
+85
+00:06:29,370 --> 00:06:32,010
+بدي أتنبأ فيه و اللي بدي أستخدمه للتنبؤ
+
+86
+00:06:32,010 --> 00:06:35,770
+quantitative variable أو numerical variable ال
+
+87
+00:06:35,770 --> 00:06:38,830
+multiple linear regression analysis أنا بدي أتنبأ
+
+88
+00:06:38,830 --> 00:06:42,810
+ال variable و ال variable quantitative بواسطة
+
+89
+00:06:42,810 --> 00:06:46,930
+استخدام عدة variable أخرى و كل هال variable اللي
+
+90
+00:06:46,930 --> 00:06:50,630
+بدي أستخدمهم في التنبؤ هم عبارة عن quantitative
+
+91
+00:06:50,630 --> 00:06:56,230
+variablesمثال على ذلك أنا بدأ اتنبأ الـ LDL قداش
+
+92
+00:06:56,230 --> 00:06:59,730
+كميتها ك quantitative variable وكل هال variable
+
+93
+00:06:59,730 --> 00:07:04,310
+اللي موجودة الـ total cholesterol و الـHDL و الـ
+
+94
+00:07:04,310 --> 00:07:08,370
+trigocyte كلهم عبارة عن quantitative variable وهنا
+
+95
+00:07:08,370 --> 00:07:12,250
+بسميه Multiple Linear Regression Analysis أنا بدأ
+
+96
+00:07:12,250 --> 00:07:17,390
+أستخدم قدة variables وكلها quantitative حتى أقدر
+
+97
+00:07:17,390 --> 00:07:20,550
+أتنبأ ال variables و هذا ال variables كمان
+
+98
+00:07:20,550 --> 00:07:24,820
+quantitativeالـ Logistic Regression Analysis أنا
+
+99
+00:07:24,820 --> 00:07:28,280
+عندي Variable والـ Variable اللي موجود هو
+
+100
+00:07:28,280 --> 00:07:32,640
+Equalitative وبدى أتنبأ في هذا الـ Variable من
+
+101
+00:07:32,640 --> 00:07:38,140
+خلال استخدام عدة Variable وكل هذه الـ Variables
+
+102
+00:07:38,140 --> 00:07:42,220
+اللي موجودة عبارة عن Equalitative أو Quantitative
+
+103
+00:07:42,220 --> 00:07:48,180
+Variables زي ما حكينا قبل شوية أحنا بدنا نتنبأ هل
+
+104
+00:07:48,180 --> 00:07:52,890
+في مرنجية سوية لأبنعمل عدة فحوصات من ضمنها لـ
+
+105
+00:07:52,890 --> 00:07:56,870
+blood cells بنعمل الـ white blood cell count
+
+106
+00:07:56,870 --> 00:08:01,810
+وبنشوف فى قداش عددها بنشوف كمان هل في عندنا في
+
+107
+00:08:01,810 --> 00:08:05,710
+العينة white blood cell وبنشوف كمان نسبة الجنوكوز
+
+108
+00:08:05,710 --> 00:08:12,570
+ونسبة البروتين داخل عينة ال CSF يبقى ال regression
+
+109
+00:08:12,570 --> 00:08:16,970
+analysis بيستخدم لحالة التنبؤ بتتنبأ dependent
+
+110
+00:08:16,970 --> 00:08:22,180
+variables على أساسvariables تاني معروف وهذا الـ
+
+111
+00:08:22,180 --> 00:08:26,140
+variable بنسميه independent variable ال variable
+
+112
+00:08:26,140 --> 00:08:29,380
+اللي بدنا نتنبأه من خلال ال regression analysis
+
+113
+00:08:29,380 --> 00:08:32,500
+بنسميه dependent variable وال variable اللي
+
+114
+00:08:32,500 --> 00:08:38,740
+بنستخدمها حتى نتنبأ بال variable اللي مفقود بنسميه
+
+115
+00:08:38,740 --> 00:08:42,320
+independent variable يبقى من خلال هذه المعادلة
+
+116
+00:08:42,320 --> 00:08:46,420
+هدول عبارة عن independent وال LDL عبارة عن
+
+117
+00:08:46,420 --> 00:08:52,790
+dependent variableأيضًا يستخدم حتى يعملنا explain
+
+118
+00:08:52,790 --> 00:08:57,470
+يوضح تأثير الـ Independent Variable على الـ
+
+119
+00:08:57,470 --> 00:09:01,530
+Dependent Variable أيضًا بيستخدم الـ Regression
+
+120
+00:09:01,530 --> 00:09:06,030
+Analysis حتى نتحكم في الـ Confounder خلاصة الـ
+
+121
+00:09:06,030 --> 00:09:09,650
+Regression Analysis أنا بدي أعمل معادلة وهذه
+
+122
+00:09:09,650 --> 00:09:15,290
+المعادلة من خلالها بدي أتنبأ بـ Variable معين وهدف
+
+123
+00:09:15,290 --> 00:09:20,780
+الـ Regression أنه أناأوضع التغيرات اللي لها علاقة
+
+124
+00:09:20,780 --> 00:09:26,180
+مع بعض في معادلة زي قبل شوية ما حكينا هذه المعادلة
+
+125
+00:09:26,180 --> 00:09:30,440
+اللي موجودة احنا هكون كل شهر احنا انه هذه معادلة
+
+126
+00:09:30,440 --> 00:09:37,940
+كيف نوجدها وهي عندنا systolic blood pressure gesto
+
+127
+00:09:37,940 --> 00:09:43,480
+وعند ال edgeولقيت لهم علاقة مع بعض كـ Correlation
+
+128
+00:09:43,480 --> 00:09:46,420
+موجود ما بين الاتنين وزي ما احنا شايفين ان في
+
+129
+00:09:46,420 --> 00:09:49,420
+عندنا علاقة خلطية و Positive Significant
+
+130
+00:09:49,420 --> 00:09:54,380
+Correlation كيف انا من خلال الـ Age بدي اتنبأ بـ
+
+131
+00:09:54,380 --> 00:09:59,020
+systolic blood باشر فكل اللي بنعمله بنطلب من
+
+132
+00:09:59,020 --> 00:10:03,780
+البرنامج تبع ال SPSS ليعملنا علاقة أو معادلة ما
+
+133
+00:10:03,780 --> 00:10:08,610
+بين الـ Age وSystolic Blood باشرفهو بطلب مننا
+
+134
+00:10:08,610 --> 00:10:12,070
+بيقولنا مين اللي بدك إياه يتجيسه هو بنقوله
+
+135
+00:10:12,070 --> 00:10:16,250
+systemic blood pressure و بدنا نستخدم ال edge لأنه
+
+136
+00:10:16,250 --> 00:10:19,350
+أنا بدي أسأل المريض عن عمره و من خلال عمره بدي
+
+137
+00:10:19,350 --> 00:10:23,410
+أتنبأ بsystemic blood pressureفاللي بيصير أنه
+
+138
+00:10:23,410 --> 00:10:26,630
+جروحها أصمنا الخط اللي موجود وقالنا الـ systolic
+
+139
+00:10:26,630 --> 00:10:36,370
+blood pressure يساوي 81.54% زائد 1.22000 مضروب في
+
+140
+00:10:36,370 --> 00:10:40,810
+الـ Age بديك مباشرة الـ systolic blood pressure هو
+
+141
+00:10:40,810 --> 00:10:45,010
+بيعملنا المعادلة هذه وهذه المعادلة بنستخدمها بعد
+
+142
+00:10:45,010 --> 00:10:48,170
+ذلك للتنبؤ بـ systolic blood pressure
+
+143
+00:10:50,630 --> 00:10:54,910
+الـ Linear Regression الهدف الأساسي منه إنه أوجد
+
+144
+00:10:54,910 --> 00:11:00,890
+معادلة اللي تمكنني هذه المعادلة من التنبؤ بـ
+
+145
+00:11:00,890 --> 00:11:06,830
+Variable معين تركيبت المعادلة إن أنا عندي Y الـ
+
+146
+00:11:06,830 --> 00:11:13,290
+Variable اللي بدي أتنبأه يساوي الـ Beta مضوبة في X
+
+147
+00:11:13,290 --> 00:11:16,110
+الـ X هو الـ Variable اللي بدي أستخدمه في التنبؤ
+
+148
+00:11:16,110 --> 00:11:22,250
+زائد Alphaالـ Beta هي عبارة عن الـ slope أو الـ
+
+149
+00:11:22,250 --> 00:11:27,450
+change اللي بيكون موجود في Y لكل وحدة تغيير في X
+
+150
+00:11:27,450 --> 00:11:34,490
+زائد الألفة اللي هي عبارة عن constant لكي نفهم هل
+
+151
+00:11:34,490 --> 00:11:39,130
+مثال اللي موجود لو عندنا عسابي مثال طالب بدنا نعرف
+
+152
+00:11:39,130 --> 00:11:44,410
+عمره وبدنا نسأله عن جديشه العمر بطريقة غير مباشرة
+
+153
+00:11:44,410 --> 00:11:48,170
+بنقول له أنت إيه لك؟ أكم سنة مخلص؟ بكالوريوس؟
+
+154
+00:11:48,770 --> 00:11:55,710
+فبحكينا إن هو خريج منذ أربع سنوات بنقول إنه بدأ و
+
+155
+00:11:55,710 --> 00:12:00,330
+مخلص له أربع سنوات و هو بخلص البكاليوز في الغالب ع
+
+156
+00:12:00,330 --> 00:12:07,750
+22 عام فبكون عمره حاليًا 26 أنا استخدمت ال Y إني
+
+157
+00:12:07,750 --> 00:12:13,610
+أتنبأ بـ Age من خلال معرفة كام سنة له خريج زائد
+
+158
+00:12:13,610 --> 00:12:19,450
+Constant الـ Constant اللي هي عبارة عن 22 سنةفتكون
+
+159
+00:12:19,450 --> 00:12:24,750
+الـ 22 عبارة عن constant كل خريج عمره 22 سنة و أكم
+
+160
+00:12:24,750 --> 00:12:30,870
+سنة لو خلص 4 سنوات فبنقول أن عمر الـ age ك
+
+161
+00:12:30,870 --> 00:12:38,330
+quantitative variable يسوى الـ beta ضرب الـ x 4
+
+162
+00:12:38,330 --> 00:12:46,370
+زائد 22 عام ك constantليش هذا constant؟ لأن معظم
+
+163
+00:12:46,370 --> 00:12:50,690
+الخريجين عند انتهاء عمرهم 22 عام فبنقول هنا في
+
+164
+00:12:50,690 --> 00:12:55,230
+الحالة هذا ال slope واحد مضوب ال slope في أربع
+
+165
+00:12:55,230 --> 00:13:01,930
+سنوات له خريج زاد 22 فبيكون عمره 26 لو حد جالنا له
+
+166
+00:13:01,930 --> 00:13:06,810
+خريج عشر سنوات فبنقول انه طالما له خريج عشر سنوات
+
+167
+00:13:06,810 --> 00:13:14,310
+في الغالب بنقول واحد ضرب عشرةبكون عشرة زائد اتنين
+
+168
+00:13:14,310 --> 00:13:19,550
+و عشرين فبكون عمره حاليا اتنين و تلاتين عام الـ
+
+169
+00:13:19,550 --> 00:13:24,090
+Simple Linear Regression Analysis الـ Assumption
+
+170
+00:13:24,090 --> 00:13:26,750
+للـ Simple Linear Regression Analysis أول حاجة أن
+
+171
+00:13:26,750 --> 00:13:31,210
+يكون في أن Linear Correlation أو Significant
+
+172
+00:13:31,210 --> 00:13:35,340
+Correlationيبقى بيكون أول حاجة حتى أعمل الـ
+
+173
+00:13:35,340 --> 00:13:39,480
+regression ما بين اتنين variable بيكونوا الاتنين
+
+174
+00:13:39,480 --> 00:13:43,300
+variable بينهم علاقة والعلاقة اللي موجودة linear
+
+175
+00:13:43,300 --> 00:13:46,460
+correlation أو significant linear correlation
+
+176
+00:13:46,460 --> 00:13:49,720
+الأتنين يكونوا independent على بعض ما ليهم مش
+
+177
+00:13:49,720 --> 00:13:52,800
+علاقة في بعض ثالث شيء أن يكونوا عندنا في
+
+178
+00:13:52,800 --> 00:13:55,580
+الـobjective اللي موجود تبع البحث في كلمة
+
+179
+00:13:55,580 --> 00:14:00,270
+prediction الـassumption، نعيدهم تانيالـ Linear
+
+180
+00:14:00,270 --> 00:14:04,130
+Correlation Independent وإن يكون عندنا في الـ
+
+181
+00:14:04,130 --> 00:14:08,150
+research أو في البحث مكتوب كلمة protection في الـ
+
+182
+00:14:08,150 --> 00:14:12,210
+general objective أو في الـ specific objective الـ
+
+183
+00:14:12,210 --> 00:14:16,650
+Multiple Linear Regression الـ Multiple Linear
+
+184
+00:14:16,650 --> 00:14:20,690
+Regression إنه أنا بدأ أستخدم أكتر من variables
+
+185
+00:14:20,690 --> 00:14:25,890
+حتى تنبأ variables آخر والـ Multiple Linear
+
+186
+00:14:25,890 --> 00:14:29,030
+Regression Analysis بيكون لها أكتر من السلوب موجود
+
+187
+00:14:29,750 --> 00:14:35,490
+يعني أكثر من قيمة انحضار موجودة لكل variable فيه
+
+188
+00:14:35,490 --> 00:14:38,470
+slope معين بيكون موجود و ال slope هذا بيكون ال
+
+189
+00:14:38,470 --> 00:14:41,450
+variable الأول له قيمة و ال variable التاني له
+
+190
+00:14:41,450 --> 00:14:45,490
+قيمة و ال variable التالت له قيمة زائد constant ال
+
+191
+00:14:45,490 --> 00:14:50,110
+P1 اللي هي ال slope لل variable الأول ال P2 ال
+
+192
+00:14:50,110 --> 00:14:54,570
+slope لل variable التاني و بنضلنا ماشيين إلى نوصل
+
+193
+00:14:54,570 --> 00:14:58,370
+لل variable الأخرlogistic regression أنا عند اللي
+
+194
+00:14:58,370 --> 00:15:00,750
+بدي يطلع معايا في ال outcome اللي أنا بدي أتنبأ
+
+195
+00:15:00,750 --> 00:15:04,830
+فيه يا أما في عندي meningitis أو لا يوجد
+
+196
+00:15:04,830 --> 00:15:08,710
+meningitis yes or no meningitis من خلال عدة
+
+197
+00:15:08,710 --> 00:15:14,070
+variable اللي حكينا عنهم واللي بيميزوا عن ال
+
+198
+00:15:14,070 --> 00:15:16,950
+linear regression analysis واللي بيميزوا عن ال
+
+199
+00:15:16,950 --> 00:15:19,330
+linear regression analysis أن ال outcome بيكون
+
+200
+00:15:19,330 --> 00:15:23,470
+عبارة عن continuous أو quantitative variable
+
+201
+00:15:25,630 --> 00:15:30,430
+الـ Hypothesis في Irregression طالما أننا عند الـ
+
+202
+00:15:30,430 --> 00:15:34,250
+Y تساوي الـ slope الأولاني أو الـ slope الـ Zero
+
+203
+00:15:34,250 --> 00:15:37,530
+والسلوب الـ variable الأول والسلوب الـ variable
+
+204
+00:15:37,530 --> 00:15:41,250
+التاني والسلوب الـ variable التالت والرابع زاد ال
+
+205
+00:15:41,250 --> 00:15:45,490
+constant فلو حطينا افترضنا ان كل slope اللي موجود
+
+206
+00:15:45,490 --> 00:15:49,430
+هنا عبارة عن Zero افترضنا ان كل واحد Zero فبطلع
+
+207
+00:15:49,430 --> 00:15:55,730
+عندنا الـ Y تساوي ال constantفبالتالي بيكون No
+
+208
+00:15:55,730 --> 00:16:00,290
+Prediction أو No Effect ولكن إذا كان عندنا الأسلوب
+
+209
+00:16:00,290 --> 00:16:04,670
+اللي موجود لا يساوي Zero فبتكون عندنا There is a
+
+210
+00:16:04,670 --> 00:16:08,990
+Prediction أو Effect فبالتالي بيكون عندنا موجود
+
+211
+00:16:08,990 --> 00:16:13,610
+Prediction بقدر أوجده أو بقدر استخدم التنبؤ نذكر
+
+212
+00:16:13,610 --> 00:16:21,290
+دائما أن الـ At Zeroفي الـ Correlation كنا نقول
+
+213
+00:16:21,290 --> 00:16:25,830
+إنه هي عبارة عن الـ R أو الـ P تساوي Zero، No
+
+214
+00:16:25,830 --> 00:16:30,550
+Correlation وكمان في الـ Regression إن الأسلوب
+
+215
+00:16:30,550 --> 00:16:35,550
+يساوي Zero الـ HA للأسلوب لا يساوي Zero ونذكر إنها
+
+216
+00:16:35,550 --> 00:16:39,250
+كانت في الـ Correlation إن الـ R أو الـ P لا تساوي
+
+217
+00:16:39,250 --> 00:16:44,690
+Zero هنأخد على الـ SPSS كيفية عمل معادلات للتنبؤ
+
+218
+00:16:44,690 --> 00:16:51,280
+بمتغير من متغير آخرهيعنى على سبيل المثال الـ data
+
+219
+00:16:51,280 --> 00:16:54,560
+اللى موجودة اللى اتكلمنا عنها مسبقا و اللى احنا
+
+220
+00:16:54,560 --> 00:17:00,460
+استخدمناها ببعض الأمثلة السابقة بدا اشوف هل بنفع
+
+221
+00:17:00,460 --> 00:17:05,820
+استخدم اليوريا حتى اتنبأ بالكرياتينين ولا لأأول شي
+
+222
+00:17:05,820 --> 00:17:09,140
+أقول للـ Assumption بيكون في عندنا Linear
+
+223
+00:17:09,140 --> 00:17:12,800
+Correlation أو Simple Linear Correlation بروح نفحص
+
+224
+00:17:12,800 --> 00:17:15,500
+ال correlation ما بين الاتنين و نشوف في عندنا
+
+225
+00:17:15,500 --> 00:17:18,900
+correlation و لا فيش عندنا correlation هي اليوريا
+
+226
+00:17:18,900 --> 00:17:23,760
+وهي كرياتينين و بنجيب ال Pearson correlation و
+
+227
+00:17:23,760 --> 00:17:29,360
+بنقول له okay طالع في عندنا Significant Linear
+
+228
+00:17:29,360 --> 00:17:33,320
+Correlation فبالتالي بنفع استخدم اليوريا حتى تتنبأ
+
+229
+00:17:33,320 --> 00:17:38,630
+بالكرياتينينبعدها بروح على analyze على regression
+
+230
+00:17:38,630 --> 00:17:44,010
+على linear regression انا بدي استخدم اليوريا حتى
+
+231
+00:17:44,010 --> 00:17:46,930
+اتنبأ منها بالكرياتينين يبقى ال variable اللي انا
+
+232
+00:17:46,930 --> 00:17:50,410
+بدي اتنبأه او بدي اعفمين انا بدي اتنبأ
+
+233
+00:17:50,410 --> 00:17:54,090
+بالكرياتينين باستخدام اليوريا بنقول الكرياتينين هو
+
+234
+00:17:54,090 --> 00:17:57,670
+عبارة عن dependent لأن هذا اللي بده وجده طب من ال
+
+235
+00:17:57,670 --> 00:18:01,030
+variable التاني اللي انت حابب تستخدمه حتى تتنبأ
+
+236
+00:18:01,030 --> 00:18:06,020
+بنقول اليورياالهدف من الـ Regression Analysis أو
+
+237
+00:18:06,020 --> 00:18:08,960
+الـ Linear Regression Analysis ان انا اوجد معادلة
+
+238
+00:18:08,960 --> 00:18:12,240
+اوضح فيها قيمة الـ Uية تطلع معاها قيمة
+
+239
+00:18:12,240 --> 00:18:18,080
+الكريوتينيين وبنقول له okay هيأنا جابنا ال
+
+240
+00:18:18,080 --> 00:18:21,680
+correlation وجابنا ان المعادلة بتاعة ال linear
+
+241
+00:18:21,680 --> 00:18:24,880
+regression significant يعني ممكن تستخدمها كمية
+
+242
+00:18:24,880 --> 00:18:29,240
+الخضع في المعادلة Zero يبقى صفر اللي هو سيك هو
+
+243
+00:18:29,240 --> 00:18:34,520
+type 1 error او ال B value اوالـ Significant Level
+
+244
+00:18:34,520 --> 00:18:39,780
+كلها عبارة عن الـ Type 1 Or هي عندنا الـ Constant
+
+245
+00:18:39,780 --> 00:18:45,020
+اللي موجود وهي عندنا قيمة اليوريا لو نكتب المعادلة
+
+246
+00:18:45,020 --> 00:18:55,900
+بنقول ان الكرياتينين يساوي ال constant 293 زائد ال
+
+247
+00:18:55,900 --> 00:19:01,780
+15 من الف مضوب في قيمة اليوريا هي عندنا ال slope
+
+248
+00:19:01,780 --> 00:19:05,980
+ال Bهي عندنا الـ constant نكتب قداش وهي عندنا
+
+249
+00:19:05,980 --> 00:19:10,560
+صرارة المعادلة جاهزة فبنقدر من خلال هذه المعادلة
+
+250
+00:19:10,560 --> 00:19:15,000
+اللي احنا كتبناها نتنبأ بقيمة الكرياطينين لو نجدت
+
+251
+00:19:15,000 --> 00:19:20,380
+عنده قيمة per unit قداش وهيك بيكون وجدنا معادلة
+
+252
+00:19:20,380 --> 00:19:26,080
+لتنبؤ variable من variable وهذا بنسميه simple
+
+253
+00:19:26,080 --> 00:19:32,560
+linear regressionوحاليًا بدنا نشوف إيش الفكرة أو
+
+254
+00:19:32,560 --> 00:19:39,160
+كيف هم أوجدوا معادلة الـ LDL حتى يتنبؤوا بيها من
+
+255
+00:19:39,160 --> 00:19:44,680
+خلال استخدام الـHDL و الـcholestrol و Triglyceride
+
+256
+00:19:44,680 --> 00:19:51,080
+أول شيء قالوا Analyze على Correlation، Bivariate،
+
+257
+00:19:51,080 --> 00:19:56,360
+وأوجدوا هل في علاقة ما بينالكلسترول و الـTigerside
+
+258
+00:19:56,360 --> 00:20:02,720
+و الـHDL و الـLDL و لا لا و قالوا okay فطلعت ان
+
+259
+00:20:02,720 --> 00:20:08,880
+الـ LDL significant correlation مع الـHDL و
+
+260
+00:20:08,880 --> 00:20:13,340
+الـTigerside و الكلسترول فقالوا طالما فيه
+
+261
+00:20:13,340 --> 00:20:16,240
+significant correlation ممكن نستخدم التلاتة
+
+262
+00:20:16,240 --> 00:20:18,960
+variable هدول باستخدام ال multiple linear
+
+263
+00:20:18,960 --> 00:20:25,380
+regression لكي نجد الـLDL كلسترولبنعمل معادلة حتى
+
+264
+00:20:25,380 --> 00:20:29,780
+يكتشف المعادلة أو يكتب المعادلة Analize على
+
+265
+00:20:29,780 --> 00:20:36,660
+regression لينية راحوا هنا عندنا regression حطوا
+
+266
+00:20:36,660 --> 00:20:39,900
+ال variable اللي هم بدهم يحسبوه أو بدهم يوجدوله
+
+267
+00:20:39,900 --> 00:20:43,940
+معادلة في ال dependent وراحوا قالوا هاي الكلسترول
+
+268
+00:20:43,940 --> 00:20:51,280
+وهي عندنا ال HDL وهي side by side okay
+
+269
+00:20:53,320 --> 00:20:56,500
+طلع معهم أول حاجة أنه فيه correlation ما بين
+
+270
+00:20:56,500 --> 00:20:59,920
+المتغيرات التلاتة الـ strong correlation يعني واحد
+
+271
+00:20:59,920 --> 00:21:04,220
+وال coefficient of determination اللي اتكلمنا عنه
+
+272
+00:21:04,220 --> 00:21:08,700
+كمان واحد لأنه يساوي الـ R² أخذ الـ R هذا وعملها
+
+273
+00:21:08,700 --> 00:21:16,320
+تربيع وطلع معهم ال slope لكل واحد وطلع معهم هل هو
+
+274
+00:21:16,320 --> 00:21:19,220
+significant ولا لأ فوجدوا أن التلاتة نسبة الأورو
+
+275
+00:21:19,220 --> 00:21:23,530
+فيهملو استخدمناهم للتنبؤ Zero وقلنا الـ Sig هي
+
+276
+00:21:23,530 --> 00:21:26,670
+عبارة عن الـ P-Value وهي عبارة عن الـ Type 1 Ora
+
+277
+00:21:26,670 --> 00:21:31,290
+فإذا كان نسبة الخطأ في التنبؤ Zero يبقى أنا بنفع
+
+278
+00:21:31,290 --> 00:21:37,070
+استخدمها في التنبؤ أخدوا ال output اللي موجود وراه
+
+279
+00:21:37,070 --> 00:21:42,450
+هنا وضعوه وبدوا يكتبوا المعادلة وحتى نكتب المعادلة
+
+280
+00:21:42,450 --> 00:21:47,990
+بدنا نستخدم السلوب اللي موجود ونبدأ نكتب في
+
+281
+00:21:47,990 --> 00:21:56,220
+المعادلة ونقول إنهالـ LDL كلثول
+
+282
+00:21:56,220 --> 00:22:01,680
+تساوي ماينوس
+
+283
+00:22:01,680 --> 00:22:10,500
+اتنين واتنين اللي هي الـ constant مضوبة في عشرة قص
+
+284
+00:22:10,500 --> 00:22:11,800
+ماينوس تلتاشر
+
+285
+00:22:15,060 --> 00:22:19,240
+وهي أصلها موجود هنا لأن هذا exponential معناته
+
+286
+00:22:19,240 --> 00:22:25,700
+أنها مضوبة في 10 رقم أقصى minus 13 زائد 1 ضرب
+
+287
+00:22:25,700 --> 00:22:31,960
+الكلسترول وهي الواحد اللي هو ال slope مضوب في
+
+288
+00:22:31,960 --> 00:22:38,600
+الكلسترول وأصلها Jمن الـ Y اللي هي الـ LDL Control
+
+289
+00:22:38,600 --> 00:22:42,700
+يساوي الـ P0 اللي هي دايماً Zero السلوب الأول
+
+290
+00:22:42,700 --> 00:22:45,880
+مضروف في الـ Variable الأول والسلوب التاني مضروف
+
+291
+00:22:45,880 --> 00:22:48,280
+في الـ Variable التاني والسلوب التالت مضروف في الـ
+
+292
+00:22:48,280 --> 00:22:51,760
+Variable التالت فهي أن السلوب الأول مضروف في الـ
+
+293
+00:22:51,760 --> 00:22:59,420
+Variable الأول زائد السلوب التاني اللي هو minus 1
+
+294
+00:22:59,420 --> 00:23:02,520
+مضروف في الـ Variable التاني
+
+295
+00:23:17,050 --> 00:23:24,450
+زائد الـ slope التالت مضوب
+
+296
+00:23:24,450 --> 00:23:31,590
+في الـ variable التالت واللي
+
+297
+00:23:31,590 --> 00:23:34,950
+هو كأننا ماشيين على المعادلة هادى هي الـ constant
+
+298
+00:23:34,950 --> 00:23:38,070
+وهي أن ال slope الأول مضوب في الـ variable الأول
+
+299
+00:23:38,070 --> 00:23:41,590
+والسلوب التاني مضوب في الـ variable التاني والسلوب
+
+300
+00:23:41,590 --> 00:23:46,000
+التالت مضوب في الـ variable التالتهي رقم هذا يساوي
+
+301
+00:23:46,000 --> 00:23:49,220
+ماينوس اتنين واثنين مضوف في عشر واش ماينوس تلاتة
+
+302
+00:23:49,220 --> 00:23:55,080
+عشر زائد واحد ضرب الكرسترول هو عبارة عن كرسترول
+
+303
+00:23:55,080 --> 00:24:02,080
+بيظل نفسه زائد ناقص بنطلع الناقص برا بتكون ناقص
+
+304
+00:24:02,080 --> 00:24:05,860
+نضفهم في بعض واحد ضرب الاش دي ال بتكون اش دي
+
+305
+00:24:05,860 --> 00:24:13,380
+الكرسترول وهنا عندنا ماينوس اتنينبصير minus لأنه
+
+306
+00:24:13,380 --> 00:24:18,620
+ضلنا الـ minus برا اتنين و اتنين ضرب it's only
+
+307
+00:24:18,620 --> 00:24:24,600
+this line الحين هذا الرقم هو عبارة عن خمس لو قلنا
+
+308
+00:24:24,600 --> 00:24:30,100
+واحد على خمس يعني هو اتنين من عشرة فبصير عندنا ال
+
+309
+00:24:30,100 --> 00:24:37,170
+LDL كلسترول يساويالرقم هذا بدأ مكلو صغير بيقول لك
+
+310
+00:24:37,170 --> 00:24:40,290
+مالوش لازم بيعتبره Zero ك constant يعني التغل
+
+311
+00:24:40,290 --> 00:24:43,770
+constant لأن ال constant يساوي Zero باعتباره لأنه
+
+312
+00:24:43,770 --> 00:24:48,170
+قلل جدا فراحوا لأخوه قال لك يساوي ال cholesterol
+
+313
+00:24:48,170 --> 00:24:57,370
+ناقص ال HDL ناقص اللي هي 2 من 10 هي عبارة عن 1 على
+
+314
+00:24:57,370 --> 00:25:04,010
+5 1 على 5 مضروبة في لطاية إجرسال
+
+315
+00:25:11,190 --> 00:25:16,990
+وهي أصل معادلة الـ LDL-chlorosol تم إيجادها
+
+316
+00:25:16,990 --> 00:25:21,210
+بالطريقة هذه بواسطة استخدام الـ Multiple Linear
+
+317
+00:25:21,210 --> 00:25:25,590
+Regression حاليًا بدأ ناخد مثال عن الـ Logistic
+
+318
+00:25:25,590 --> 00:25:32,150
+Regression الـ Logistic Regression بيكون إن أنا في
+
+319
+00:25:32,150 --> 00:25:38,710
+عندي variable qualitative yes و no ال variable
+
+320
+00:25:38,710 --> 00:25:46,460
+category أو groupالـ Variable وصفي ويتنبأ بالـ
+
+321
+00:25:46,460 --> 00:25:50,600
+Variable هذا باستخدام متغيرات أخرى لو بدنا نشوف من
+
+322
+00:25:50,600 --> 00:25:53,900
+من هذه المتغيرات اللي موجودة بتفيد في ال
+
+323
+00:25:53,900 --> 00:25:57,620
+prediction تبع أنه في سُكّة ولا في السُكّة ونقوم ن
+
+324
+00:25:57,620 --> 00:26:02,640
+analyze على regression وروحنا لحاجة اسمها binary
+
+325
+00:26:02,640 --> 00:26:07,170
+logistic regressionفبنقول له احنا في عندنا
+
+326
+00:26:07,170 --> 00:26:11,790
+variable وبنشوف مين فيها اكتر واحد ممكن يقول لي في
+
+327
+00:26:11,790 --> 00:26:15,270
+ضيابتك ولا مش ضيابتك فروح ضايفينه في ال dependent
+
+328
+00:26:15,270 --> 00:26:20,730
+وروحنا وضفنا على سبيل المثال الاتينوباثي و ال
+
+329
+00:26:20,730 --> 00:26:25,710
+cardiovascular disease و ال neuropathy ضايفينهم
+
+330
+00:26:25,710 --> 00:26:29,210
+وضفنا السكر و اليوريا و الكريسنين و الكريسترول و
+
+331
+00:26:29,210 --> 00:26:39,410
+الطيجسرايد وقلنا لهOkay فببدأ يظهر لنا اللي هو الـ
+
+332
+00:26:39,410 --> 00:26:43,810
+Table اللي مفيدة في LibreDiction فبتطلع معانا الـ
+
+333
+00:26:43,810 --> 00:26:47,630
+Table اللي موجودة حتى يتم استخدامها بإيجاد
+
+334
+00:26:47,630 --> 00:26:53,050
+المعادلة لـ LibreDiction بروح أول حاجة كاتبين الـ
+
+335
+00:26:53,050 --> 00:26:58,350
+Diabetic 100 اللي هي Yes و No تساوي هي قيمة الـ
+
+336
+00:26:58,350 --> 00:27:01,850
+Constant في الأول اللي بنكتبها ناقص الرقم اللي
+
+337
+00:27:01,850 --> 00:27:06,570
+موجود مضروف في Retinopathyزائد لأن هذا بالموجب
+
+338
+00:27:06,570 --> 00:27:08,890
+الرقم اللي موجود مضيف في الـ Cardiovascular
+
+339
+00:27:08,890 --> 00:27:13,790
+Disease ناقص الرقم اللي موجود لأن هذا بالناقص في
+
+340
+00:27:13,790 --> 00:27:18,270
+الـ Nephropathy وبنضل نكتب فيها حتى آخر variable
+
+341
+00:27:18,270 --> 00:27:21,390
+من الـ variable اللي موجودة وبتكون هذه الـ
+
+342
+00:27:21,390 --> 00:27:25,870
+variable هي اللي تستخدم في التنبؤ يعني أننا لو
+
+343
+00:27:25,870 --> 00:27:28,550
+بدنا نعود في المعادلة إذا كان المريض عنده
+
+344
+00:27:28,550 --> 00:27:33,190
+Retinopathy بنكتب واحد وإذا كان ماعندهوش بنكتب
+
+345
+00:27:33,190 --> 00:27:38,900
+Zeroطالما كتبنا Zero يبقى هذه التغت إذا كان عنده
+
+346
+00:27:38,900 --> 00:27:42,540
+Cardiovascular Diseases بنكتب واحد إذا ماعنده نكتب
+
+347
+00:27:42,540 --> 00:27:45,840
+Zero لما نوصل لـ Quantitative Variable
+
+348
+00:27:45,840 --> 00:27:48,940
+الكرياطينيين بنكتب قيمتها إذا عنده ستة من عشرة
+
+349
+00:27:48,940 --> 00:27:52,860
+بنكتبها ستة من عشرة واحد بنكتبها واحد وLuna كذلك
+
+350
+00:27:52,860 --> 00:27:56,980
+إذا عنده خمس واربعين، خمسين، خمس وسبعين، تلاتة
+
+351
+00:27:56,980 --> 00:28:00,760
+وعشرين، بنكتب القيمة في الآخر بتطلع معانا رقم يا
+
+352
+00:28:00,760 --> 00:28:05,000
+بطلع واحد يا بطلع Zero لما نقربهإذا كان واحد بيكون
+
+353
+00:28:05,000 --> 00:28:09,540
+ضيابتك وإذا كان Zero أو قريب من الـ Zero بيكون non
+
+354
+00:28:09,540 --> 00:28:13,740
+ضيابتك فبتم استخدام كل هال variable اللي موجودة
+
+355
+00:28:13,740 --> 00:28:18,460
+للتنبؤ طب لو بدنا نشوف مين أكثر variable له effect
+
+356
+00:28:18,460 --> 00:28:24,480
+بنطلع ال world test وبنشوف أعلى قيمة أعلى قيمة هي
+
+357
+00:28:24,480 --> 00:28:28,960
+قيمة الجليكوز فبكون الجليكوز هو أكثر effect في
+
+358
+00:28:28,960 --> 00:28:34,730
+المعادلة بعدها بتيجي اليوريابنعملهم Sorting على
+
+359
+00:28:34,730 --> 00:28:39,150
+حسب الـ World Test فبطلع الأقل تأثير اللي هو الـ
+
+360
+00:28:39,150 --> 00:28:41,650
+Cardiovascular Disease لأن الـ Cardiovascular
+
+361
+00:28:41,650 --> 00:28:47,550
+Disease هو أقل قيمة في اللي موجودين ويتم استثناء
+
+362
+00:28:47,550 --> 00:28:55,670
+الـ Constant لأن الـ Constant مش Variable ولو
+
+363
+00:28:55,670 --> 00:28:59,650
+بدنا نشوف الـ Significant بالدكتور بنطلع على قيمة
+
+364
+00:28:59,650 --> 00:29:03,290
+الـ B Valueبنقول إن الـ Significant هم الجلوكوز
+
+365
+00:29:03,290 --> 00:29:07,310
+واليوريا والـ Triglyceride فبتكون الـ Non
+
+366
+00:29:07,310 --> 00:29:11,110
+-significant اللي قيمة الـ P value أعلى من خمس من
+
+367
+00:29:11,110 --> 00:29:15,430
+مائة والـ P value بنكره تاني هي type 1 أورو يعني
+
+368
+00:29:15,430 --> 00:29:19,490
+نسبة الخضرة بتكون أعلى من خمس من مائة فهي بتكون
+
+369
+00:29:19,490 --> 00:29:22,210
+الكرياطينين والريتينوبثي والكريستول والـ
+
+370
+00:29:22,210 --> 00:29:26,490
+cardiovascular disease كيف بنعمل كريتيك لـ
+
+371
+00:29:26,490 --> 00:29:32,340
+Regression أول حاجة عندنا كان300 واحد والـ 300
+
+372
+00:29:32,340 --> 00:29:36,660
+معاهم سُكة وكان مكتوب في الـ objective تاع الدراسة
+
+373
+00:29:36,660 --> 00:29:40,280
+to predict يعني الـ objective of study to predict
+
+374
+00:29:40,280 --> 00:29:44,660
+type 2 diabetic from complication من الـ
+
+375
+00:29:44,660 --> 00:29:48,060
+complication اللي موجود و ال biochemical ولقينا
+
+376
+00:29:48,060 --> 00:29:52,200
+الباحث عامل ال data اللي موجودة عاملها زي هيك يعني
+
+377
+00:29:52,200 --> 00:29:55,120
+كل واحد جاي برتينوبث يقداش و الكوليستور يقداش و
+
+378
+00:29:55,120 --> 00:29:59,320
+النفروبثي و جاي بالكاي و جاي بالتي تيست اللي بدو
+
+379
+00:29:59,320 --> 00:30:03,980
+بوفايةو جاب الكاي سكوير لكمبليكيشن لأنه category
+
+380
+00:30:03,980 --> 00:30:07,760
+variable او quantitative variable مع quantitative
+
+381
+00:30:07,760 --> 00:30:11,620
+variable فاستخدم الكاي و لما هجعل لبدو profile
+
+382
+00:30:11,620 --> 00:30:16,420
+استخدم عنده ال T-test لأنه قالك هو عبارة عن two
+
+383
+00:30:16,420 --> 00:30:19,980
+group و عندنا هنا quantitative variable فالافضل
+
+384
+00:30:19,980 --> 00:30:25,010
+استخدم ال T-testهو في الحالة هذه كل الشغل اللي
+
+385
+00:30:25,010 --> 00:30:29,250
+موجود هذا بالنسبة للـ Objective لا يصمن ولا يغني
+
+386
+00:30:29,250 --> 00:30:32,870
+من جوع لأن الـ Objective فيه prediction فالأولى أن
+
+387
+00:30:32,870 --> 00:30:37,550
+الباحث يعمل regression analysis فهو عمل univariate
+
+388
+00:30:37,550 --> 00:30:41,030
+analysis والمفترض أنه يعمل logistic regression
+
+389
+00:30:41,030 --> 00:30:44,250
+analysisفبالتالي بنقول أن كل الـ Table هذه
+
+390
+00:30:44,250 --> 00:30:48,930
+الموجودة لا صحيحة ولا تخدم هدف الدراسة لأن هدف
+
+391
+00:30:48,930 --> 00:30:52,810
+الدراسة فيه prediction والأصل أنه يعمل logistic
+
+392
+00:30:52,810 --> 00:30:57,930
+regression وهكذا خلصنا ال regression analysis كيف
+
+393
+00:30:57,930 --> 00:31:01,610
+أحنا بنعمل critique لااستبانة؟ وحتى نعمل critique
+
+394
+00:31:01,610 --> 00:31:05,850
+لااستبانة أول ما نطلع في الاستبانة يجب أن يكون ال
+
+395
+00:31:05,850 --> 00:31:09,960
+objective تبع الاستبانة موجودحتى نقدر نعملها
+
+396
+00:31:09,960 --> 00:31:12,980
+Critique. فبالتالي أول حاجة في الـ Critique بتاع
+
+397
+00:31:12,980 --> 00:31:16,120
+الـ Questionnaire أو الاستبانة، بدنا نشوف إيش الـ
+
+398
+00:31:16,120 --> 00:31:19,400
+Objective طيار الدراسة. الـ Objective طيار الدراسة
+
+399
+00:31:19,400 --> 00:31:23,000
+بيقول إن هو بده يتعرف على Risk Factor وSelf
+
+400
+00:31:23,000 --> 00:31:26,160
+-repeated Complication اللي موجودين في طيارته
+
+401
+00:31:26,160 --> 00:31:26,860
+طيابيت.
+
+402
+00:31:30,440 --> 00:31:34,220
+عرفنا الـ Objective، بنبدأ نطلع على الـ Items اللي
+
+403
+00:31:34,220 --> 00:31:38,550
+موجودة في الاستبانة.في عندنا الـ Telephone Number
+
+404
+00:31:38,550 --> 00:31:41,550
+موجود في الـ Personal Data الـ Name، الـ Age، الـ
+
+405
+00:31:41,550 --> 00:31:44,770
+Education، الـ Family History of Diabetes الـ Body
+
+406
+00:31:44,770 --> 00:31:48,950
+Mass Index و الـ Diet و بعدين بنوقف عند الـ
+
+407
+00:31:48,950 --> 00:31:52,570
+Clinical Data لو جينا عند الـ Age بنلاقي أنه الـ
+
+408
+00:31:52,570 --> 00:32:00,310
+18 عام وأقل من 18 ل 30 من 30 ل 45 أكبر من 45 الـ
+
+409
+00:32:00,310 --> 00:32:04,050
+Age بالذات اللي موجود هنا عندنا فيه 3 أخطاءالخطأ
+
+410
+00:32:04,050 --> 00:32:07,750
+الأول يجب ان يكون مضح ال unit كاتب هنا بال years
+
+411
+00:32:07,750 --> 00:32:12,350
+الخطأ التاني احنا حكينا ال objective ان من type 2
+
+412
+00:32:12,350 --> 00:32:18,070
+ديابتس صح فأقل من 18 عام بدي تكون type 1 المفروض
+
+413
+00:32:18,070 --> 00:32:22,510
+يكون مش موجودة فبالتالي هذا بده شيل خطأ التالت
+
+414
+00:32:22,510 --> 00:32:27,250
+مكتوب من 18 ل 30 و من 30 ل 40 فال 30 مكررة في
+
+415
+00:32:27,250 --> 00:32:32,290
+المجموعتين في الاستبانة فبنخلي هنا من 1 ل 30عند 45
+
+416
+00:32:32,290 --> 00:32:38,270
+وأكبر من 45 ال education هذه البرامج مش مرتبة وهي
+
+417
+00:32:38,270 --> 00:32:41,730
+ordinal الأصل اللي تم ترتيبها نقول primary school
+
+418
+00:32:41,730 --> 00:32:45,130
+في الأول ونكمل بالترتيب لأنه احنا قولنا ال
+
+419
+00:32:45,130 --> 00:32:48,690
+education هو عبارة عن ordinal data والأصل تكون
+
+420
+00:32:48,690 --> 00:32:52,530
+ترتيبية ال family history of diabetes ال body mass
+
+421
+00:32:52,530 --> 00:32:58,450
+index و ال dietOkay مافيش فيهم مشاكل، بنجي على
+
+422
+00:32:58,450 --> 00:33:04,650
+chemical data ودراجز
+
+423
+00:33:04,650 --> 00:33:07,830
+بتظهر لدراجز الكمبليكيشن، بنطلع في الكمبليكيشن
+
+424
+00:33:07,830 --> 00:33:10,670
+اللي موجودة باللحظة ترينوباتي cardiovascular
+
+425
+00:33:10,670 --> 00:33:13,690
+disease family history of hypertension ال family
+
+426
+00:33:13,690 --> 00:33:16,310
+history مش كمبليكيشن فبالتالي بنطلع على البروسمال
+
+427
+00:33:16,310 --> 00:33:20,770
+data وللنروباتي كمبليكيشن بنخليهاالـ Smoking مش
+
+428
+00:33:20,770 --> 00:33:23,790
+Complication فبالتالي بدنا نطلعها الـ Family
+
+429
+00:33:23,790 --> 00:33:26,170
+History of Diabetes مش Complication فبالتالي بدنا
+
+430
+00:33:26,170 --> 00:33:28,930
+نودّيها على الـ Personal Data Recurrent Infection
+
+431
+00:33:28,930 --> 00:33:32,830
+بنخليها موجودة كComplication أخر حاجة اسم الباحث
+
+432
+00:33:32,830 --> 00:33:37,670
+مش موجود الأصل أن الباحث يكتب اسمه أصفر الاستبانة
+
+433
+00:33:37,670 --> 00:33:42,650
+ويكتب أقام جواله فبتكون هي عندنا الأخطاء اللي
+
+434
+00:33:42,650 --> 00:33:46,690
+موجودة وكلها إيش الأرواح اللي موجود وإيش الـ
+
+435
+00:33:46,690 --> 00:33:49,090
+Correct اللي موجود للاستبانة
+
+436
+00:33:51,730 --> 00:33:54,770
+وبتكون الاستماع انهيب الصورة هذه بعد تعديل كل
+
+437
+00:33:54,770 --> 00:34:00,870
+الأخطاء اللي احنا اتكلمنا عنها مسبقًا وهيك
+
+438
+00:34:00,870 --> 00:34:03,390
+بيكون خلصنا كيف نعمل الـ Critique للـ
+
+439
+00:34:03,390 --> 00:34:06,810
+Questionnaire هنتكلم في النقطة الأخيرة كيف نعمل
+
+440
+00:34:06,810 --> 00:34:12,310
+الـ Normality Test بوسطة الـ SPSS الـ Normality
+
+441
+00:34:12,310 --> 00:34:15,370
+Test بتتم باختبارين اللي هم «كولمقروف سيمانوف»
+
+442
+00:34:15,370 --> 00:34:19,790
+و«شابيرو» بليك هذه بتتم ال Normality للـ
+
+443
+00:34:19,790 --> 00:34:23,130
+Quantitative Dataولا تعمل الـ Normalty للـ
+
+444
+00:34:23,130 --> 00:34:29,630
+Qualitative Data حتى نعملها في برنامج الـ SPSS
+
+445
+00:34:29,630 --> 00:34:34,790
+لازم نكون فاهمينها قبل ما نعملها أول حاجة بدنا
+
+446
+00:34:34,790 --> 00:34:40,990
+نكون عارفين إذا كان عندنا الـ Sig هنا أقل من 5%
+
+447
+00:34:40,990 --> 00:34:43,970
+يبقى هنا فيه Significant Different عن الـ Normal
+
+448
+00:34:43,970 --> 00:34:46,430
+Significant Different عن الـ Normal فبتكون
+
+449
+00:34:46,430 --> 00:34:51,980
+Abnormal إذا كانت قيمة الـ Sig أو الـ P Valueأقل
+
+450
+00:34:51,980 --> 00:34:56,100
+من 5% فبالتالي يعني الـ Care بيكون Significant،
+
+451
+00:34:56,100 --> 00:34:58,680
+Different عن الـ Normal طالما أنه يختلف عن الـ
+
+452
+00:34:58,680 --> 00:35:03,460
+Normal فبيكون Abnormal وكذلك شبيرة فليه يتعملها
+
+453
+00:35:03,460 --> 00:35:10,460
+على برنامج الـ SPSS بنجعل البرنامج على الـ Data
+
+454
+00:35:10,460 --> 00:35:14,840
+اللي بدها تكون Quantitative Data بنقول Analyze على
+
+455
+00:35:14,840 --> 00:35:19,410
+Descriptive أو على ExplorerExplore بيقولنا إيه الـ
+
+456
+00:35:19,410 --> 00:35:24,170
+Variable اللي بتعمله Normalty وليه يكون Sugar أو
+
+457
+00:35:24,170 --> 00:35:29,870
+الجليكوز بعدين بنقوله هنا نعمل بلوت بنقوله نصم
+
+458
+00:35:29,870 --> 00:35:36,290
+الهستجرام وبنقول هنا ال none وعملنا ال normality
+
+459
+00:35:36,290 --> 00:35:40,030
+بلوت okay
+
+460
+00:35:40,030 --> 00:35:46,290
+okay ببدأ أول حاجة يجيبلنا descriptive بعدين
+
+461
+00:35:47,530 --> 00:35:51,510
+بجيبنا كل مجروفه شبيهه أن هنا فيه significant عن
+
+462
+00:35:51,510 --> 00:35:56,970
+ال normal فبتكون ال data abnormal ولو بدنا نرسم ال
+
+463
+00:35:56,970 --> 00:36:01,490
+normal curve بنضغط double click بنروح هنا بنضغط
+
+464
+00:36:01,490 --> 00:36:06,710
+على ال curve فبطلع معانا الرسم اللي موجود بالشكل
+
+465
+00:36:06,710 --> 00:36:12,330
+هذا هذه الأداء بأكد أنه مش symmetrical الأثنين
+
+466
+00:36:12,330 --> 00:36:18,130
+فبالتالي بيكون not normal distribution وهنالحظنا
+
+467
+00:36:18,130 --> 00:36:20,830
+ان كل مجروف قالنا هو significant عن ال normal
+
+468
+00:36:20,830 --> 00:36:23,770
+فبالتالي بيكون abnormal وشابيرو قال انه
+
+469
+00:36:23,770 --> 00:36:27,430
+significant عن ال normal فبالتالي بيقول abnormal
+
+470
+00:36:27,430 --> 00:36:30,510
+هي عندنا هذا stem and leaf كمان بطلعنا إياها
+
+471
+00:36:30,510 --> 00:36:34,350
+البرنامج و بطلعنا البرنامج إذا بدنا ال box plot
+
+472
+00:36:34,350 --> 00:36:39,000
+تكون موجودة ولا لاوهي الـ Box Plot بطلع إنيها
+
+473
+00:36:39,000 --> 00:36:42,580
+بالصورة هذه تقول إن الـ Box Plot هي بتكون عبارة عن
+
+474
+00:36:42,580 --> 00:36:46,640
+إحدى الـ Curves اللي تُرسم لـ Quantitative Data
+
+475
+00:36:46,640 --> 00:36:51,140
+هذه كلها عبارة عن قيم شاذة هذه الدرائق بتكون
+
+476
+00:36:51,140 --> 00:36:54,560
+Outlier Value وهذه Extreme Value الأرقام اللي
+
+477
+00:36:54,560 --> 00:36:58,860
+موجودة هذه عبارة عن أرقام العينات يبقى في عنا عينة
+
+478
+00:36:58,860 --> 00:37:04,480
+رقم مثلا 202 قيمة السكر فيها قيمة شاذة 220 فيها
+
+479
+00:37:04,480 --> 00:37:09,950
+قيمة السكر قيمة شاذةبتحديد الـ Normalty في عندنا
+
+480
+00:37:09,950 --> 00:37:14,290
+غير انه الـ Normal Distribution Symmetrical لما
+
+481
+00:37:14,290 --> 00:37:17,590
+ناخدناهم واخدنا قولنا في بالـ Shape وفي بدأت تكون
+
+482
+00:37:17,590 --> 00:37:21,630
+Symmetrical و الـ Mean و ال Medium و ال Mode Equal
+
+483
+00:37:21,630 --> 00:37:28,570
+تلت خصائص اللي أخدناهم اللي هم 68 و 95 و 99 و 7 في
+
+484
+00:37:28,570 --> 00:37:32,770
+كمان كل مجروف وشبيه وبحدد ال Normaltyونعيد تاني لو
+
+485
+00:37:32,770 --> 00:37:35,690
+كنا نقسم الكير ونضغط double click ونضغط على القون
+
+486
+00:37:35,690 --> 00:37:38,830
+اللي موجودة أمامنا ونقول okay فهي ال data اللي
+
+487
+00:37:38,830 --> 00:37:42,430
+موجودة وهي شكلها بكون not symmetrical الأثنين لو
+
+488
+00:37:42,430 --> 00:37:47,610
+جسمناهم من النصف ففي المثال اللي أمامنا قيمة ال
+
+489
+00:37:47,610 --> 00:37:51,810
+Sig أو ال P value أقل من 5% هي significant عن ال
+
+490
+00:37:51,810 --> 00:37:57,470
+normal فبالتالي بتكون abnormal distribution نكتفي
+
+491
+00:37:57,470 --> 00:38:01,500
+بهذا القدرفي هذه المحاضرة نتمنى لكم التوفيق
+
+492
+00:38:01,500 --> 00:38:04,580
+والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..54df3c2618081f35d03976fae0c2d39cbcb40c0a
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_postprocess.srt
@@ -0,0 +1,2160 @@
+1
+00:00:01,100 --> 00:00:03,680
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:03,680 --> 00:00:08,240
+الرحيم نستكمل الحديث على موضوع الـ Biostatistics
+
+3
+00:00:08,240 --> 00:00:13,660
+ونتكلم على موضوع الإختبارات الأحصائية وبالأخص أول
+
+4
+00:00:13,660 --> 00:00:17,160
+إختبار أحصائي راح نتكلم عنه اللي هو الـ Chi-Square
+
+5
+00:00:17,160 --> 00:00:23,100
+للتركيز إختبار الـChi-Square هو بجيس العلاقة ما
+
+6
+00:00:23,100 --> 00:00:27,800
+بين متغيرين والمتغيرين كميين أو two variable
+
+7
+00:00:27,800 --> 00:00:31,170
+qualitativeإن أنا عند الـvariable الأولاني
+
+8
+00:00:31,170 --> 00:00:33,650
+qualitative بدي أشوف مبادرة relation مع
+
+9
+00:00:33,650 --> 00:00:39,190
+الـvariable التاني اللي هو qualitative يبقى الـchi
+
+10
+00:00:39,190 --> 00:00:44,690
+-square هو عبارة عن اختبار أحصائي يقيس العلاقة بين
+
+11
+00:00:44,690 --> 00:00:51,370
+متغيرين والمتغيرين qualitative variables يبقى
+
+12
+00:00:51,370 --> 00:00:54,010
+تعريف الـchi-square إنه بيبين إن العلاقة اللي
+
+13
+00:00:54,010 --> 00:00:57,130
+موجودة هل هي statistically significant
+
+14
+00:00:57,130 --> 00:01:01,580
+relationshipما بين two categorical variable أو
+
+15
+00:01:01,580 --> 00:01:06,340
+qualitative variable نفس الإسم على سبيل المثال ال
+
+16
+00:01:06,340 --> 00:01:09,000
+gender اللي هو ال male و ال female ال gender هو
+
+17
+00:01:09,000 --> 00:01:13,840
+variable و ال obesity obese و non obese وهي عندنا
+
+18
+00:01:13,840 --> 00:01:19,700
+cross tabulation اللي اتكلمنا عنها سابقا ان عندنا
+
+19
+00:01:19,700 --> 00:01:23,800
+cross tabulation ال two variable موجودين و ال two
+
+20
+00:01:23,800 --> 00:01:27,580
+variable qualitativeوهي عنا cross tabulation عند
+
+21
+00:01:27,580 --> 00:01:30,140
+الـ male و ال female اللي هو ال gender و ال
+
+22
+00:01:30,140 --> 00:01:33,720
+obesity اللي هو obese و non obese وهي الأرقام اللي
+
+23
+00:01:33,720 --> 00:01:37,560
+موجودة فيهم فبنشوف هل في relation موجودة ما بين
+
+24
+00:01:37,560 --> 00:01:41,580
+الأثنين ولا مافيش relation موجودة فبكون ال
+
+25
+00:01:41,580 --> 00:01:45,420
+objective to investigate أو to measure the
+
+26
+00:01:45,420 --> 00:01:49,180
+relation between gender and obesity بنعمل هال
+
+27
+00:01:49,180 --> 00:01:52,180
+table اللي موجودة ل cross tabulation وبتطلع معانا
+
+28
+00:01:52,180 --> 00:01:52,680
+أرقام
+
+29
+00:01:56,300 --> 00:01:58,780
+الـ assumption بتاعة الـ chi-square أن الـ two
+
+30
+00:01:58,780 --> 00:02:01,560
+variables اللي أنا بدي أجيز بينهم العلاقة بدهم
+
+31
+00:02:01,560 --> 00:02:07,240
+يكونوا qualitative independent records أنه مافيش
+
+32
+00:02:07,240 --> 00:02:10,440
+variable له علاقة بالتاني كل variable مستقل عن
+
+33
+00:02:10,440 --> 00:02:16,320
+التاني فأنا لما بسأل الشخص اللي بدي أعب منه البحث
+
+34
+00:02:16,320 --> 00:02:20,120
+بسأله عن ال gender في سؤال لهال و بسأله هل أنت
+
+35
+00:02:20,120 --> 00:02:23,520
+obese أو non obese أو أنا بشوف ال scale أجيز فيه
+
+36
+00:02:23,520 --> 00:02:27,030
+ال obesity في هذا الشخصبيكون الـ Scale اللي بيجيث
+
+37
+00:02:27,030 --> 00:02:29,410
+الـ Variable الأول مالوش علاقة بالـ Scale اللي
+
+38
+00:02:29,410 --> 00:02:33,570
+بيجيث الـ Variable التاني بدنا نذكر دائما أن الـ
+
+39
+00:02:33,570 --> 00:02:38,830
+chi-square لا يُحسب على النسبة المأوية فما بنفع
+
+40
+00:02:38,830 --> 00:02:42,330
+نجيب النسبة المأوية و نقيص منها و نعمل calculation
+
+41
+00:02:42,330 --> 00:02:47,270
+لـ chi-square دائما يجب تكون الأرقام الحقيقية فلو
+
+42
+00:02:47,270 --> 00:02:50,410
+جيبنا النسبة المأوية من الخمسين جديش و من الستين
+
+43
+00:02:50,410 --> 00:02:54,210
+جديش و كتبنا هي النسبة المأويةما بنفع نجيس عليها
+
+44
+00:02:54,210 --> 00:02:58,190
+الـ Pi² اللي يجب أنها تكون الأرقام والأعداد
+
+45
+00:02:58,190 --> 00:03:03,470
+الحقيقية اللي موجودة حتى يتم حساب وcalculation الـ
+
+46
+00:03:03,470 --> 00:03:09,810
+Pi² عملية قياسها على ال SPSS أنا باجي هنا، بقول
+
+47
+00:03:09,810 --> 00:03:13,370
+عند analyze على descriptive على حاجة اسمها cross
+
+48
+00:03:13,370 --> 00:03:17,250
+-tabulation وللـ cross-tabulation بدخل الجندر في
+
+49
+00:03:17,250 --> 00:03:20,530
+variable وبدخل ال stage اللي هو ال obese وال non
+
+50
+00:03:20,530 --> 00:03:26,980
+-obeseفي الـ variable of raw وبعدين بقول له okay
+
+51
+00:03:26,980 --> 00:03:33,360
+فبطلع معانا بالشكل اللي أمامنا أن هى ال obese و ال
+
+52
+00:03:33,360 --> 00:03:36,980
+non obese و هى عندنا ال male و ال female و هى
+
+53
+00:03:36,980 --> 00:03:41,300
+بتطلع معانا قيمة chi-square وبطلع معانا كمان قيمة
+
+54
+00:03:41,300 --> 00:03:45,920
+ال P value بعد ما عملناها مع USB أساس طلعوا معانا
+
+55
+00:03:45,920 --> 00:03:49,830
+ال two tables اللي موجودين أمامنافي الـ tables
+
+56
+00:03:49,830 --> 00:03:53,450
+الموجودين أمامنا لو بدنا نقراهم بنقول أربعة وخمسين
+
+57
+00:03:53,450 --> 00:03:59,110
+ونص من ال male كانوا non obese بينما خمس واربعين
+
+58
+00:03:59,110 --> 00:04:04,090
+ونص من ال males كانوا obese وبدأت بال mail لأنه
+
+59
+00:04:04,090 --> 00:04:08,110
+أنا في عندي علمية هي موجودة هنا واتكلمنا المحاضرة
+
+60
+00:04:08,110 --> 00:04:12,690
+السابقة أنه احنا بناخد اتجاه الأعلى في قراءة ال
+
+61
+00:04:12,690 --> 00:04:18,000
+tableلو نقارن ما بين الـ Male و الـ Female بنقول
+
+62
+00:04:18,000 --> 00:04:23,660
+إنه نسبة الـ Female اللي كانوا obese أعلى من الـ
+
+63
+00:04:23,660 --> 00:04:31,660
+Male 55.6% من الـ Female كانوا obese بينما 45.5%
+
+64
+00:04:31,660 --> 00:04:36,300
+من الـ Male كانوا obese وبدأنا بالـ Male و الـ
+
+65
+00:04:36,300 --> 00:04:40,140
+Female لأن هي الرقم 100 موجود أسفل الـ Table طب
+
+66
+00:04:40,140 --> 00:04:42,830
+بدنا نشوف هذه العلاقة اللي موجودةهل فيها
+
+67
+00:04:42,830 --> 00:04:45,850
+statistically significant difference ولا لأ؟ هي
+
+68
+00:04:45,850 --> 00:04:53,570
+عندنا قيمة الـ Chi وقيمة الـ P-value قيمة الـ P
+
+69
+00:04:53,570 --> 00:04:58,170
+-value اللي هي الـ Sig اللي قلنا سابقا أننا
+
+70
+00:04:58,170 --> 00:05:01,450
+بنسميها الـ P-value أو الـ Significant Level أو
+
+71
+00:05:01,450 --> 00:05:06,290
+الـ Alpha Level أو الـ Taiwan Era طلعت معانا 155
+
+72
+00:05:06,290 --> 00:05:14,330
+من الف أو 15.5%وقلنا هي مقبولة لعند 5% فهي هنا
+
+73
+00:05:14,330 --> 00:05:18,710
+أعلى من النسبة المقبولة فبتكون non statistically
+
+74
+00:05:18,710 --> 00:05:26,750
+significant الـ step hypothesis لكاي سكوير أنه أنا
+
+75
+00:05:26,750 --> 00:05:29,450
+في عنده two variables الـ qualities بتكلمنا عنهم
+
+76
+00:05:29,450 --> 00:05:32,930
+عندنا random sample أنا أخدت عيين عشوائية من ال
+
+77
+00:05:32,930 --> 00:05:37,000
+male و ال female لو شفتهم obese و non obeseواخدنا
+
+78
+00:05:37,000 --> 00:05:41,480
+independent records اللي هما two variables ولا
+
+79
+00:05:41,480 --> 00:05:47,420
+واحد فيهم له علاقة بالتاني الـ H0 في البحث بيكون
+
+80
+00:05:47,420 --> 00:05:51,740
+عندنا ال proportion للـ male تساوي ال proportion
+
+81
+00:05:51,740 --> 00:05:56,520
+لل female اللي هو أن نسبة الـ obesity في ال male
+
+82
+00:05:56,520 --> 00:06:00,600
+تساوي نسبة ال obesity في ال femaleطب الأتشير الـ
+
+83
+00:06:00,600 --> 00:06:03,440
+alternative hypothesis بيكون أنه ال proportion
+
+84
+00:06:03,440 --> 00:06:07,660
+للمايل لا يساوي ال proportion للفيميل واتكلمنا في
+
+85
+00:06:07,660 --> 00:06:10,940
+الـ type of hypothesis وقلنا أيش الفرق فيما بينهم
+
+86
+00:06:10,940 --> 00:06:17,040
+آخر شيء بطلع معانا جدول بالشكل هذا وحنشوف كيف على
+
+87
+00:06:17,040 --> 00:06:22,040
+ال SPSS ممكن نطلع الجدول اللي أحنا شايفينه أول
+
+88
+00:06:22,040 --> 00:06:26,620
+حاجة هنلاقي موجودة في الـ general objective to
+
+89
+00:06:26,620 --> 00:06:32,060
+investigate the relation betweenType 2 Diabetes و
+
+90
+00:06:32,060 --> 00:06:36,040
+الـ General Characteristic فبالتالي عندي الـ
+
+91
+00:06:36,040 --> 00:06:38,260
+General Characteristic اللي منها الـ Education و
+
+92
+00:06:38,260 --> 00:06:42,020
+الـ Family History و الـ Diet و الـ Variable
+
+93
+00:06:42,020 --> 00:06:44,760
+التاني اللي هو الـ Control و الـ Cases اللي هم
+
+94
+00:06:44,760 --> 00:06:47,940
+يعتبروا الـ Type of Sample فمن حيث الـ Type 2
+
+95
+00:06:47,940 --> 00:06:50,100
+Diabetes ما بين الـ Case و الـ Control هذا الـ
+
+96
+00:06:50,100 --> 00:06:54,540
+Type of Sample هذا كـ Variable و الـ Education كـ
+
+97
+00:06:54,540 --> 00:06:59,300
+Variable تانيماذا هو الاختبار الأحصائي اللي
+
+98
+00:06:59,300 --> 00:07:02,320
+بنستخدمه؟ بنقول الـ variable الأولى مافيش الو unit
+
+99
+00:07:02,320 --> 00:07:04,800
+ولا ال 10 الو unit فبالتالي اتنين qualitative
+
+100
+00:07:04,800 --> 00:07:08,780
+فالاختبار عبارة عن chi-square كمان ال family
+
+101
+00:07:08,780 --> 00:07:12,200
+history مع ال case و ال control مع ال type of
+
+102
+00:07:12,200 --> 00:07:15,020
+sample ال two variables اللي موجودين qualitative
+
+103
+00:07:15,020 --> 00:07:19,120
+كمان هيكون chi-square والضيقة نفس الشيء هيكون chi
+
+104
+00:07:19,120 --> 00:07:23,700
+-squareبعد ما خلصنا أدخال البيانات بنلاحظ أنه أنا
+
+105
+00:07:23,700 --> 00:07:27,220
+عندي في البرنامج بتاع ال SPSS أو في ال data اللي
+
+106
+00:07:27,220 --> 00:07:31,560
+موجودة أنه أنا عندي ال type of sample case of
+
+107
+00:07:31,560 --> 00:07:35,260
+control بدي أجيس علاقتها مع ال education و بدي
+
+108
+00:07:35,260 --> 00:07:37,940
+أجيس علاقتها مع ال family history و بدي أجيس
+
+109
+00:07:37,940 --> 00:07:43,440
+علاقتها مع كمان اللي هو الضيادة هذا اللي موجود في
+
+110
+00:07:43,440 --> 00:07:48,720
+ال objective الأول حتى نعمل ال case query بنقول
+
+111
+00:07:48,720 --> 00:07:55,130
+analyzedescriptive statistic cost tabulation بنجي
+
+112
+00:07:55,130 --> 00:07:58,350
+أول حاجة في الـ column لأنه أنا بدي شكل ال table
+
+113
+00:07:58,350 --> 00:08:02,870
+يكون بالشكل اللي موجود أمامنا اللي هو موجود في ال
+
+114
+00:08:02,870 --> 00:08:05,910
+column اللي هو type of sample وموجود في ال row
+
+115
+00:08:05,910 --> 00:08:10,650
+اللي هو ال variable الأخرى فبنجي أول حاجة بقول
+
+116
+00:08:10,650 --> 00:08:14,490
+type of sample في ال column وبدنا ال variable
+
+117
+00:08:14,490 --> 00:08:17,390
+التانية تكون موجودة اللي أنا بدي أجيسها زي ال
+
+118
+00:08:17,390 --> 00:08:21,270
+education موجودة في ال rowوبنقول له هنا statistic
+
+119
+00:08:21,270 --> 00:08:27,390
+وبنقول له عملنا chi² وبنقول له continue وبنقول له
+
+120
+00:08:27,390 --> 00:08:33,490
+okay فاللاحظ هنا جابلنا ال number بس ما جابش لنا
+
+121
+00:08:33,490 --> 00:08:37,310
+ال percentage اللي موجودة وانا بدي ال number وقداش
+
+122
+00:08:37,310 --> 00:08:42,410
+كل واحد كانت تساوي في المئة من اقل 150 فعلى نفس
+
+123
+00:08:42,410 --> 00:08:48,310
+الخطوات السابقة analyze على cross tabulationقبل أن
+
+124
+00:08:48,310 --> 00:08:51,910
+أقوم بالـ OK، سأذهب إلى الـ cell و أخبره أنه يريد
+
+125
+00:08:51,910 --> 00:08:55,110
+النسبة المقاومة يقول إذا كنت تريدها تكون على الـ
+
+126
+00:08:55,110 --> 00:08:57,510
+column أو على الـ row نقول دائما على ال column
+
+127
+00:08:57,510 --> 00:09:02,050
+اللي نريدها لأنه نريدها تكون أسفل ال column
+
+128
+00:09:02,050 --> 00:09:05,690
+الموجود 100% لأنه أسهل في التعليق نقول continue و
+
+129
+00:09:05,690 --> 00:09:11,250
+نقول okay سيظهر لنا النسبة المقاومة و ال frequency
+
+130
+00:09:11,250 --> 00:09:15,310
+لكل variable من اللي موجود أو لكل items من اللي
+
+131
+00:09:15,310 --> 00:09:19,520
+موجودين عنديفبنقول 46% من ال control كانوا
+
+132
+00:09:19,520 --> 00:09:23,800
+universal بينما 31.3% من ال patient كانوا
+
+133
+00:09:23,800 --> 00:09:27,480
+university بنقول
+
+134
+00:09:27,480 --> 00:09:33,660
+أنه 36 أو 7 من ال type 2 diabetes أو من ال patient
+
+135
+00:09:33,660 --> 00:09:36,740
+كان secondary school طب ليش بدأت بال patient؟ قلنا
+
+136
+00:09:36,740 --> 00:09:39,960
+لأن هي المية في المية موجودة أسفل طب بنشوف هل في
+
+137
+00:09:39,960 --> 00:09:42,640
+statistically significant difference ولا لأ في
+
+138
+00:09:42,640 --> 00:09:44,880
+عندنا statistically significant difference لأن
+
+139
+00:09:44,880 --> 00:09:53,210
+قيمة ال P valueأقل من 5% وبنلاحظ أن هذا رقم 000 هو
+
+140
+00:09:53,210 --> 00:09:56,410
+رقم مقرر ولو عملنا عليه double click زي هيك نشوف
+
+141
+00:09:56,410 --> 00:10:01,110
+أسل رقم، بنلاحظ هي رقم اللي موجود اللي هو عبارة عن
+
+142
+00:10:01,110 --> 00:10:08,110
+4 من 10000 فبكون أقل من 5% هذه نسبة الخطأ اللي
+
+143
+00:10:08,110 --> 00:10:12,730
+موجودة في العلاقة اللي موجودة، فهي نسبة بسيطة
+
+144
+00:10:13,770 --> 00:10:17,690
+فبنعتبر أنه فيه relation موجودة ما بين الـ Type 2
+
+145
+00:10:17,690 --> 00:10:21,630
+Diabetes و ال education حتى نشوف لصالح مين ال
+
+146
+00:10:21,630 --> 00:10:25,770
+relation اللي موجودة بنلاحظ أن نسبة المتعلمين اللي
+
+147
+00:10:25,770 --> 00:10:29,930
+موجودين في الـ Type 2 Diabetes أقل من ال control
+
+148
+00:10:29,930 --> 00:10:35,290
+فبتكون عندنا الـ Type 2 Diabetes less than control
+
+149
+00:10:35,290 --> 00:10:39,590
+regarding to education level فبتكون لصالح ال
+
+150
+00:10:39,590 --> 00:10:44,080
+control اللي هو أعلىلهيك بتكون عندنا كانت
+
+151
+00:10:44,080 --> 00:10:48,020
+statistically significant فعلا لو بنعمل كمان ال
+
+152
+00:10:48,020 --> 00:10:51,320
+family history بدل ما اروح ا analyze و descriptive
+
+153
+00:10:51,320 --> 00:10:55,060
+و اروح course tabulation و اضغط فيه هنا عنا ايقونة
+
+154
+00:10:55,060 --> 00:10:58,900
+وهذه الايقونة مكتوب عليها recently used dialogues
+
+155
+00:10:58,900 --> 00:11:02,020
+وبضغط عليها مباشرة بتجيب ليها course tabulation
+
+156
+00:11:02,020 --> 00:11:05,080
+يعني أول مرة بعملها بعدين هي بتجيبها في الأول
+
+157
+00:11:05,080 --> 00:11:09,260
+وبروح هنا بدل ال education levelبنضيف الـ variable
+
+158
+00:11:09,260 --> 00:11:12,520
+التاني اللي هو الـ family history و بنقول له okay
+
+159
+00:11:12,520 --> 00:11:16,020
+هى و جاب عندنا ال family history نفس الشيء السابق
+
+160
+00:11:16,020 --> 00:11:20,380
+و جاب انه في عندنا ال percentage و ال frequency و
+
+161
+00:11:20,380 --> 00:11:26,340
+جاب قيمة ال chi-square و قيمة ال P value و لو بدنا
+
+162
+00:11:26,340 --> 00:11:30,140
+نعمل كمان آخر variable اللي هو الضيات اللي كان
+
+163
+00:11:30,140 --> 00:11:35,790
+موجودونضغط نفس الحاجة ونقول okay وناخد الأرقام هذه
+
+164
+00:11:35,790 --> 00:11:39,790
+اللي موجودة ونلخصها في الـ table بالصورة اللي
+
+165
+00:11:39,790 --> 00:11:44,670
+أمامنا فبنكتب فيهم بالصورة هذه ونضيف النسبة
+
+166
+00:11:44,670 --> 00:11:47,410
+المراوية بين قوسين ونلخصهم بنكتب قيمة الـchi
+
+167
+00:11:47,410 --> 00:11:52,370
+-square وبنكتب قيمة الـb-value هي موجودة 00000 في
+
+168
+00:11:52,370 --> 00:11:56,430
+ال SPSSهنكتبها أقل من واحد من ألف لأن لما ضغطنا
+
+169
+00:11:56,430 --> 00:12:00,410
+قبل شويه هي لا تساوي صفر هي تساوي أربع من عشرة ألف
+
+170
+00:12:00,410 --> 00:12:05,770
+فبنكتبها أقل من واحد من ألف هي أصح من كتابها 000
+
+171
+00:12:05,770 --> 00:12:10,550
+هيك بيكون ال table اللي موجودة أمامنا هيها موجودة
+
+172
+00:12:10,550 --> 00:12:15,210
+أحنا لخصناها و هيك توضع في البحث و التلخيص بيكون
+
+173
+00:12:15,210 --> 00:12:21,090
+كامل لل table و هيك بكون أنا عملتها على شكل data و
+
+174
+00:12:21,090 --> 00:12:25,510
+بدي أحولها ل informationفبعد مكتب الأرقام بالطريقة
+
+175
+00:12:25,510 --> 00:12:29,150
+اللي حكيناها بقول في الآخر أنه there is a
+
+176
+00:12:29,150 --> 00:12:32,290
+significant difference between controls and type 2
+
+177
+00:12:32,290 --> 00:12:37,390
+diabetes وبنكتب قيمة الكاي وبنكتب so the decreased
+
+178
+00:12:37,390 --> 00:12:41,710
+education level was associated with type 2
+
+179
+00:12:41,710 --> 00:12:46,870
+diabetes أو ضيابيتس ونفس الشيء بخصوص ال family
+
+180
+00:12:46,870 --> 00:12:52,310
+history وبخصوص الدائرة أحنا في الامتحان بجينا ال
+
+181
+00:12:52,310 --> 00:12:56,140
+tableونعلّق على الـ Table هذه ونحوّلها لـ
+
+182
+00:12:56,140 --> 00:12:59,940
+Information يعني بتكون هي عبارة عن Data وانت بدأ
+
+183
+00:12:59,940 --> 00:13:04,440
+تكتب القليل وتحولوها ل Information بنفس ال design
+
+184
+00:13:04,440 --> 00:13:09,280
+اللي موجود أمامنا يبقى ال Table هذه كلها أصلها
+
+185
+00:13:09,280 --> 00:13:15,280
+أصلها من برنامج ال SPSS بنبدأ نلخصها ونجيب الأرقام
+
+186
+00:13:15,280 --> 00:13:20,300
+رقم رقم وننقلهم على ال Tableفبناخد الـ 69 وبنفتح
+
+187
+00:13:20,300 --> 00:13:25,080
+course وبنكتب 46 وبنسكر الcourse بعد ما ندهم على
+
+188
+00:13:25,080 --> 00:13:28,500
+ال world وفي ال world بروح ونفتح في خانة ال
+
+189
+00:13:28,500 --> 00:13:34,040
+patient 47 ونكتب 31 و3 ونكتب نفس الأرقام اللي
+
+190
+00:13:34,040 --> 00:13:37,900
+موجودة وبناخد عند ال chi-square هي قيمة ال chi
+
+191
+00:13:37,900 --> 00:13:44,260
+-square وهي قيمة ال b value اللي موجودة وإحنا لو
+
+192
+00:13:44,260 --> 00:13:48,680
+عندنا table موجودة وبدنا نناقش فيها طالب وتابل
+
+193
+00:13:48,680 --> 00:13:52,280
+بالصورة اللي أمامنا نتطلع على الـ table اللي موجود
+
+194
+00:13:52,280 --> 00:13:54,620
+الأول واحد لما نفكر أن الـ table مافيش فيها أي
+
+195
+00:13:54,620 --> 00:13:58,140
+share ناقص فبنلاحظ أن هنا ال number أول share مش
+
+196
+00:13:58,140 --> 00:14:04,080
+موجود وطالما ال number مش موجود فبدو إضافة بعدين
+
+197
+00:14:04,080 --> 00:14:06,960
+بنيجي على ال education وقلنا ال education عبارة عن
+
+198
+00:14:06,960 --> 00:14:11,300
+ordinal data وال ordinal data يجب أن تتبع ترتيب
+
+199
+00:14:11,300 --> 00:14:15,570
+يعني تكون ترتيبيةبما بنفع نقول university بإبارة
+
+200
+00:14:15,570 --> 00:14:18,410
+school وprimary school لأن في secondary school
+
+201
+00:14:18,410 --> 00:14:22,190
+لازم تيجي مباشرة بعد ال university فهدول بدهم يعاد
+
+202
+00:14:22,190 --> 00:14:27,850
+الترتيب بنيجي كمان بنطلع هنا لإن هدول هيكون مجموح
+
+203
+00:14:27,850 --> 00:14:31,350
+همية فبنطلع في هدول بيلاقيش مجموح همية على ضريقة
+
+204
+00:14:31,350 --> 00:14:34,890
+ال column بيلاقيهم مجموح همية الباحث عملهم على
+
+205
+00:14:34,890 --> 00:14:39,710
+الرور غلطان فيهملما رأى ال SPSS بدل ما يقوله بدي
+
+206
+00:14:39,710 --> 00:14:42,010
+اياهم على ال column قال له بدي اياهم على ال row
+
+207
+00:14:42,010 --> 00:14:45,210
+والخطأ عند الباحث بدل ما يعلم على ال column هو رأى
+
+208
+00:14:45,210 --> 00:14:49,770
+علم على ال row وقال له okay فطلعت معاه ال
+
+209
+00:14:49,770 --> 00:14:53,130
+percentage على ال row مش على ال column فبدها عادة
+
+210
+00:14:53,130 --> 00:14:57,710
+صياغة وعادة ترتيب باللحظة لما نجمع الأرقام اللي
+
+211
+00:14:57,710 --> 00:15:01,350
+موجودة هنا كمان مجموحهم لا يساوي 100 هدول مجموحهم
+
+212
+00:15:01,350 --> 00:15:05,830
+100 وهدول مجموحهم 110هذه بدها حسبة تطلع معاها 13
+
+213
+00:15:05,830 --> 00:15:12,010
+و3 بدل 23 ولكن من الصورة بيكون الباحث كتبها 2 بدل
+
+214
+00:15:12,010 --> 00:15:17,990
+1 باللاحظ كمان أنه قيمة الـ chi-square عالية كثير
+
+215
+00:15:17,990 --> 00:15:23,290
+و not significant ودائما كل ما كبرت قيمة الـ chi
+
+216
+00:15:23,290 --> 00:15:25,770
+-square كل ما قالت أنها تكون significant و ال
+
+217
+00:15:25,770 --> 00:15:29,750
+value قليلة فبدنا
+
+218
+00:15:30,400 --> 00:15:34,420
+الراجح كمان هذه أو بنقول البحث راجع قيمة الـ P
+
+219
+00:15:34,420 --> 00:15:37,320
+value اللي موجودة لأنه قيمة الـ chi-square كبيرة
+
+220
+00:15:37,320 --> 00:15:43,760
+لأنه باللاحظ 33.2 كانت significant تقريبا 38 أعلى
+
+221
+00:15:43,760 --> 00:15:49,200
+منها فمن باب أولى أنها تكون significant ال P value
+
+222
+00:15:49,200 --> 00:15:53,480
+لا توضع أسفار هيك ولكن لما بتكون أسفار في البرنامج
+
+223
+00:15:55,020 --> 00:15:59,200
+زي ما احنا شايفين انه هذا مش معناته Zero هذا رقم
+
+224
+00:15:59,200 --> 00:16:05,000
+ان هو عبارة عن أربعة من عشر تلاف وحتى لو روحنا على
+
+225
+00:16:05,000 --> 00:16:09,800
+رقم الـchi-square التاني هنلاحظ انه هنا مش Zero هو
+
+226
+00:16:09,800 --> 00:16:14,560
+عبارة عن تمانية واحد ضرب عشر أقصى minus تسعة يبقى
+
+227
+00:16:14,560 --> 00:16:19,000
+بعد التسعة أسفار في هنا موجود تمانية فبكون لا
+
+228
+00:16:19,000 --> 00:16:23,660
+يساوي Zero فالمفترض ان أصلها هتكون بالصورة هذه
+
+229
+00:16:26,460 --> 00:16:30,540
+أيضاً هنا مكتوب بـ value of chi-square exact test
+
+230
+00:16:30,540 --> 00:16:35,020
+وهذه كلمة exact test مالهاش داعي لأنه أنا عندى ال
+
+231
+00:16:35,020 --> 00:16:38,040
+sample size كبيرة والـ exact test بيكتبوها لما
+
+232
+00:16:38,040 --> 00:16:42,600
+تكون ال sample size أقل من 30 فبالتالي كمان مالهاش
+
+233
+00:16:42,600 --> 00:16:45,900
+علاقة أنها تكون موجودة هذه ال critique تبع ال
+
+234
+00:16:45,900 --> 00:16:49,620
+table موجودة وكل واحد هييش اللي هو اللي موجود وهي
+
+235
+00:16:49,620 --> 00:16:55,940
+كيف نعرفه وكيف بدنا نصلحها ولا يخلو عاممن الأعوام
+
+236
+00:16:55,940 --> 00:17:00,100
+أنه جبنا فيه table والـ table قلنا أن الباحث طلّع
+
+237
+00:17:00,100 --> 00:17:03,520
+الأخطاء اللي بتكون موجودة فيها والأخطاء اللي بتكون
+
+238
+00:17:03,520 --> 00:17:06,640
+موجودة فيها بتكون موجودة فيها على الأقل سبعة أو
+
+239
+00:17:06,640 --> 00:17:09,980
+تمان أخطاء وبيكون مضطر من الباحث تطلع واحد أو اتين
+
+240
+00:17:09,980 --> 00:17:14,960
+على الأقل من هالأخطاء اللي موجودينوهيك احنا بيكون
+
+241
+00:17:14,960 --> 00:17:19,500
+خلصنا اختبار كاي سكوير اللي بيكون بجيس العلاقة ما
+
+242
+00:17:19,500 --> 00:17:23,220
+بين متغيرين والـ two variables عبارة عن
+
+243
+00:17:23,220 --> 00:17:28,320
+qualitative variables هنتكلم عن ال T-test ال T
+
+244
+00:17:28,320 --> 00:17:31,920
+-test بتجيس العلاقة بين two variables كمان ولكن ال
+
+245
+00:17:31,920 --> 00:17:36,500
+two variables وضعهم مختلف عن الكاي سكوير في ال T
+
+246
+00:17:36,500 --> 00:17:40,160
+بيكون عندنا ال qualitative variable جوات ال two
+
+247
+00:17:40,160 --> 00:17:44,340
+group عميل وفيميل، obese and non-obeseCase of
+
+248
+00:17:44,340 --> 00:17:47,980
+Control والـ Variables التاني بيكون عبارة عن الـ
+
+249
+00:17:47,980 --> 00:17:53,800
+Quantitative Variables الـ Unit فالـ T-test بتجيس
+
+250
+00:17:53,800 --> 00:17:58,360
+الـ difference اللي موجود ما بين two means موجودين
+
+251
+00:17:58,360 --> 00:18:02,100
+والفكرة القائمة انه الفرج ما بين ال two means
+
+252
+00:18:02,100 --> 00:18:08,140
+مجسوم على ال standard R يبقى الـ T تساوي ال
+
+253
+00:18:08,140 --> 00:18:11,760
+difference between two meansهي الـ mean الأول والـ
+
+254
+00:18:11,760 --> 00:18:16,540
+mean التاني مقصومة على الـ standard error هي عندنا
+
+255
+00:18:16,540 --> 00:18:19,460
+الـ normal distribution للجروب الأول وهي الـ
+
+256
+00:18:19,460 --> 00:18:22,680
+normal distribution للجروب التانية فكرة الـ T-test
+
+257
+00:18:22,680 --> 00:18:25,580
+قائمة على أنها بتجيب الـ difference ما بين الأثنين
+
+258
+00:18:25,580 --> 00:18:30,220
+مقصومة على الـ standard error الأثنين هدول فبتطلع
+
+259
+00:18:30,220 --> 00:18:35,220
+معانا قيمة الـ T-test فكرة الـ T-test أو قانون الـ
+
+260
+00:18:35,220 --> 00:18:39,100
+T-test أن الـ standard error لـ mean المجموعة
+
+261
+00:18:39,100 --> 00:18:43,880
+الأولىاللي هي الـ Average أو المتوسط الحسابي لـ
+
+262
+00:18:43,880 --> 00:18:49,240
+Treatment Group ناقص المتوسط الحسابي للـ Control
+
+263
+00:18:49,240 --> 00:18:54,300
+ويساوي الجذر التربيعي للـ Variance والـ Variance
+
+264
+00:18:54,300 --> 00:18:58,300
+مقصود في الـ Standard Deviation تربيع هاي عندنا
+
+265
+00:18:58,300 --> 00:19:02,800
+الـ Standard Deviation تربيع هو الـ Variance مقسوم
+
+266
+00:19:02,800 --> 00:19:07,760
+على الـ N والـ N numberof subject أو عدد المشاركين
+
+267
+00:19:07,760 --> 00:19:11,260
+في treatment group زائد ال variance لمجموعة ال
+
+268
+00:19:11,260 --> 00:19:15,880
+control اللي هو ال standard diffusion تربيع مقصوم
+
+269
+00:19:15,880 --> 00:19:19,540
+على ال number لل control هيك بنجيب ال standard R
+
+270
+00:19:19,540 --> 00:19:25,100
+بعدين بنقول أن ال mean المجموعة الأولى ناقص
+
+271
+00:19:25,100 --> 00:19:27,580
+المتوسط الحسابي للمجموعة التانية اللي هو ال mean
+
+272
+00:19:27,580 --> 00:19:31,600
+المجموعة التانية على ال standard R هو نفسه هذا هو
+
+273
+00:19:31,600 --> 00:19:36,450
+يهين ال standard R ويساوي في الآخر قيمة Tهي قانون
+
+274
+00:19:36,450 --> 00:19:40,690
+الـ T وهي قانون الـ T، الأثنين هدول ولكن الفرق
+
+275
+00:19:40,690 --> 00:19:44,870
+الوحيد أن الـ variance هنا هو نفسه وهو الـ
+
+276
+00:19:44,870 --> 00:19:49,160
+standard diffusion تربيعفالفكرة الأساسية من الـ T
+
+277
+00:19:49,160 --> 00:19:53,680
+-test أنه أنا فيه عندي متوسطات حسابية لمجمعتين
+
+278
+00:19:53,680 --> 00:19:57,580
+متوسط حسابي لمجموعة الأولى ومتوسط حسابي لمجموعة
+
+279
+00:19:57,580 --> 00:20:01,380
+تانية وبالتقارن بينهم وأشوف هل الفروقات اللي
+
+280
+00:20:01,380 --> 00:20:04,360
+موجودة statistically significantly different و لا
+
+281
+00:20:04,360 --> 00:20:09,480
+كل واحدة من التانية بنأكد أنه الـ T-test بجيس
+
+282
+00:20:09,480 --> 00:20:16,300
+الفروقات اللي موجودة ما بين two groups onlyالهدف
+
+283
+00:20:16,300 --> 00:20:19,740
+الأساسي من الـ t-test هو ان انا فيه عنده متوسط
+
+284
+00:20:19,740 --> 00:20:24,140
+حسابي وهي عنده متوسط حسابي بدي اشوف هل بالفروقات
+
+285
+00:20:24,140 --> 00:20:27,860
+اللي موجودة ما بين المتوسطين اللي موجودين هدول هل
+
+286
+00:20:27,860 --> 00:20:32,500
+في صفر فروقات ذات دا لأحصائي و لا وقداش الـ p
+
+287
+00:20:32,500 --> 00:20:36,980
+-value فبتاخدوا المتوسط الحساب الأول والمتوسط
+
+288
+00:20:36,980 --> 00:20:41,220
+الحساب التاني وأحسب قيمة الـ t-test وأحسب قيمة الـ
+
+289
+00:20:41,220 --> 00:20:41,720
+p-value
+
+290
+00:20:46,700 --> 00:20:51,460
+أنواع الـ T-Test أنه في عندي Independent Sample T
+
+291
+00:20:51,460 --> 00:20:55,940
+-Test وفي عندي نوع تاني اسمه Dependent Sample T
+
+292
+00:20:55,940 --> 00:20:59,220
+-Test أو يطلق عليه اسم Paired T-Test أو Matched T
+
+293
+00:20:59,220 --> 00:21:04,200
+-Test الـ Independent Sample T-Test بيكون عندى
+
+294
+00:21:04,200 --> 00:21:08,080
+مجموعتين والمجموعتين هدول اللي موجودين هم عبارة عن
+
+295
+00:21:08,080 --> 00:21:14,240
+مجموعتين مستقلين زي ال Case و Control فبدأ أجيب
+
+296
+00:21:14,240 --> 00:21:20,570
+قيمة الـ Vitaminوالفروقات ما بينهم ولكن أحيان
+
+297
+00:21:20,570 --> 00:21:23,890
+بيكون عندنا dependent أيش مقصود ال dependent أو
+
+298
+00:21:23,890 --> 00:21:28,730
+بيض أو ماتشد أنه أنا بدي أخد نفس الشخص هو هو بدي
+
+299
+00:21:28,730 --> 00:21:32,910
+أجيسله pre و post يعني بدي أخد الشخص الأولاني
+
+300
+00:21:32,910 --> 00:21:38,830
+وأجيسله vitamin D قبل العلاج وأجيسله vitamin D بعد
+
+301
+00:21:38,830 --> 00:21:43,930
+العلاجالشخص التاني vitamin D قبل العلاج وبعد
+
+302
+00:21:43,930 --> 00:21:47,410
+العلاج فبكون paired وكانوا نفس الشخص ماخود له
+
+303
+00:21:47,410 --> 00:21:51,110
+قمتين هذا بنسميه dependent لأنه اعتمر على الشخص
+
+304
+00:21:51,110 --> 00:21:57,350
+نفسه وهو فبنسميه paired t-test زي عندما ناخد نسبة
+
+305
+00:21:57,350 --> 00:22:00,970
+الهمoglobin ونجيسها لشخص قبل ما ياخد ال folic acid
+
+306
+00:22:00,970 --> 00:22:05,630
+و الحديد ونجيسها بعد ما ياخده فبكون هي dependent
+
+307
+00:22:05,630 --> 00:22:11,330
+ال CS6 أو تلاتةفبتكون dependent ع الشخص نفسه، ليه
+
+308
+00:22:11,330 --> 00:22:15,310
+بيسموها dependent t-test الـ independent t-test
+
+309
+00:22:15,310 --> 00:22:18,630
+مرسومة لجسمين، في عندنا equal variance و unequal
+
+310
+00:22:18,630 --> 00:22:22,470
+variance أو ما تسمى بال student t-test و الوالش t
+
+311
+00:22:22,470 --> 00:22:26,010
+-test أحنا بهمنا ال student t-test أو ال equal
+
+312
+00:22:26,010 --> 00:22:30,970
+variance التاني مش كتير مهمة في شغل بدنا نقول
+
+313
+00:22:30,970 --> 00:22:34,030
+عارفينها شغل اسمها degree of freedom أو درجة
+
+314
+00:22:34,030 --> 00:22:40,270
+الحريةدائما دراسة الحرية تساوي لكل مجموعة N ناقص
+
+315
+00:22:40,270 --> 00:22:45,010
+واحد لو كان عندنا مجموعة واحدة فبنقول ال degree of
+
+316
+00:22:45,010 --> 00:22:49,070
+freedom لمجموعة ال cases تساوي ال number عدد الناس
+
+317
+00:22:49,070 --> 00:22:53,010
+اللي موجودين في ال cases ناقص واحد لو كان ال cases
+
+318
+00:22:53,010 --> 00:22:56,750
+زي قبل شوية 150 بتكون ال degree of freedom تساوي
+
+319
+00:22:56,750 --> 00:23:03,480
+150 ناقص واحد فبتكون 149 لو كانوا موجودين عندنا2
+
+320
+00:23:03,480 --> 00:23:07,660
+group case of control بنقول أنه في ال two sample t
+
+321
+00:23:07,660 --> 00:23:11,440
+-test أن المجموعة الأولى ناقص واحد والمجموعة
+
+322
+00:23:11,440 --> 00:23:15,880
+التانية ناقص واحد فبنقول المجموعة الأولى ناقص واحد
+
+323
+00:23:15,880 --> 00:23:22,060
+150 ناقص واحد 149 والمجموعة التانية 150 ناقص واحد
+
+324
+00:23:22,060 --> 00:23:27,840
+149 وبنجمع التنتين مع بعض بيطلع معانا 298أو أسهل
+
+325
+00:23:27,840 --> 00:23:32,380
+بنقول مجموعة الأولى زاد المجموعة التانية نقص 2
+
+326
+00:23:32,380 --> 00:23:40,680
+وكأننا بنقول 150 زاد 150 ثلاثمية نقص 98 لما
+
+327
+00:23:40,680 --> 00:23:44,320
+نعمل ال test على SPSS بتطلع معنا two table هي ال
+
+328
+00:23:44,320 --> 00:23:47,900
+table الأولى وهي ال table التانية هدولة ال table
+
+329
+00:23:47,900 --> 00:23:52,580
+بتطلع معنا فبتكون ال table رقم 1 بالصورة اللي
+
+330
+00:23:52,580 --> 00:23:58,950
+أمامنا وهي ال table رقم 2بخشوف التامر رقم 1 بتجيب
+
+331
+00:23:58,950 --> 00:24:02,970
+إن هي group A و group B كداش عدد كل واحد في كل
+
+332
+00:24:02,970 --> 00:24:06,850
+group كداش المتوسط الحسابي وال standard deviation
+
+333
+00:24:06,850 --> 00:24:11,470
+لكل مجموعة وال standard R لكل مجموعة وال standard
+
+334
+00:24:11,470 --> 00:24:16,530
+R يساوي ال standard deviation على جذر ال N ابنجي
+
+335
+00:24:16,530 --> 00:24:21,610
+هنا بنطلع إن هنا بنوضح كل واحد كداش كانت موجودة من
+
+336
+00:24:21,610 --> 00:24:25,270
+كل مجموعة، اللي بتشرح اللي احنا حكينا قبل شوية
+
+337
+00:24:25,780 --> 00:24:28,720
+فبنقول إن أحنا عندنا ال population اللي موجودين to
+
+338
+00:24:28,720 --> 00:24:32,860
+group فى كل مجموعة فيه 12 المتوسط الحسابى للمجموعة
+
+339
+00:24:32,860 --> 00:24:35,340
+الأولى جداش كان ولمجموعة التانية جداش كان ومن
+
+340
+00:24:35,340 --> 00:24:39,420
+الحراف المعيارة لكل مجموعة والstandard لكل مجموعة
+
+341
+00:24:39,420 --> 00:24:44,000
+ال table التانى اللى موجودة بس حتى نكبرها أخدنا ال
+
+342
+00:24:44,000 --> 00:24:48,100
+table هادي اللى عندهين هيك وكبرناها هفضلنا حياة ال
+
+343
+00:24:48,100 --> 00:24:52,580
+table هادي من كل هال table اللى موجودة بيهمونا تلت
+
+344
+00:24:52,580 --> 00:24:56,470
+أرقام الرقم الأول قيمة Tوقيمة الـ degree of
+
+345
+00:24:56,470 --> 00:24:59,210
+freedom وقيمة الـ significant عن الـ two tail
+
+346
+00:24:59,210 --> 00:25:03,170
+وخدنا في بداية الفصل أيش الفرق ما بين ال two tail
+
+347
+00:25:03,170 --> 00:25:09,470
+و ال one tail قيمة ال T هي قيمة T تساوي تلاتة
+
+348
+00:25:09,470 --> 00:25:12,510
+وستمية وخمس سبعين من الف ال degree of freedom
+
+349
+00:25:12,510 --> 00:25:17,450
+تساوي اتنين وعشرين ليش اتناش ناقص واحد زي اتناش
+
+350
+00:25:17,450 --> 00:25:22,710
+ناقص واحد او اتناش زي اتناش ناقص اتنين معانا اتنين
+
+351
+00:25:22,710 --> 00:25:26,640
+وعترينبقيمة الـ P-Value أو ما تسمى بالـ
+
+352
+00:25:26,640 --> 00:25:29,760
+Significant Level فيها طلعت معانا Significant
+
+353
+00:25:29,760 --> 00:25:34,140
+فبكون بناءً على الـ Data اللي موجودة أمامنا لو
+
+354
+00:25:34,140 --> 00:25:37,760
+نحوّلها لـ Unformation بنقول إن المتوسطات
+
+355
+00:25:37,760 --> 00:25:40,900
+الحسابيات اللي موجودات أمامنا في بينهم
+
+356
+00:25:40,900 --> 00:25:44,540
+statistically significantly different أو بنقول الـ
+
+357
+00:25:44,540 --> 00:25:47,740
+Comment there are statistically significantly
+
+358
+00:25:47,740 --> 00:25:51,850
+different between means of group Aand mean of
+
+359
+00:25:51,850 --> 00:25:54,390
+group B or there are significant difference
+
+360
+00:25:54,390 --> 00:25:59,630
+between group A and group B أو بنقول كمان من طريقة
+
+361
+00:25:59,630 --> 00:26:04,210
+تالتة للـ comment أنه group A higher statistically
+
+362
+00:26:04,210 --> 00:26:09,170
+significant than group Bومن كل الـ two tables اللي
+
+363
+00:26:09,170 --> 00:26:13,210
+موجودات بنوصل للخلاصة اللي موجودة هذه أنه بنحط الـ
+
+364
+00:26:13,210 --> 00:26:16,010
+group A و الـ mean و ال standard و ال number و
+
+365
+00:26:16,010 --> 00:26:19,770
+group B كذلك و قيمة ال T و قيمة ال B و بنقول هي ال
+
+366
+00:26:19,770 --> 00:26:22,690
+mean و ال standard و بنقول في الآخر ال comment أن
+
+367
+00:26:22,690 --> 00:26:25,610
+group A higher statistically significant than
+
+368
+00:26:25,610 --> 00:26:30,010
+group B أو the average of group A higher
+
+369
+00:26:30,010 --> 00:26:33,330
+statistically significant than average of group B
+
+370
+00:26:33,570 --> 00:26:39,890
+وبنقول ان الـ P value عندنا تساوي واحد من ألف ال
+
+371
+00:26:39,890 --> 00:26:43,090
+assumption بتاعة ال T-test variable quantitative
+
+372
+00:26:43,090 --> 00:26:48,070
+data والvariable التاني qualitative data ال
+
+373
+00:26:48,070 --> 00:26:50,770
+variable التاني عبارة عن two group independent
+
+374
+00:26:50,770 --> 00:26:56,150
+record ماتمدوش على بعض ال hypothesis الاصل zero
+
+375
+00:26:56,150 --> 00:27:02,290
+انه ال mean تبع group A يساوي group Bوالـ HA لا
+
+376
+00:27:02,290 --> 00:27:06,030
+يساوي نفس الكلام بس لا يساوي ولمّا اتكلمنا في ال
+
+377
+00:27:06,030 --> 00:27:09,830
+hypothesis سابقاً قلنا إيش الفرق بين الـH0 والـHA
+
+378
+00:27:09,830 --> 00:27:15,970
+بعد كل هالكلام اللي موجود ولخص الجدول اللي موجود
+
+379
+00:27:15,970 --> 00:27:19,870
+بنوصل لـclinical conclusion اللي هي ال information
+
+380
+00:27:19,870 --> 00:27:23,290
+that systolic blood pressure are significantly
+
+381
+00:27:23,290 --> 00:27:28,850
+higher in group A than group Bالـ Parametric Test
+
+382
+00:27:28,850 --> 00:27:33,510
+هذا جدول بلخص كل الكلام اللي احنا بنشرح فيه انه
+
+383
+00:27:33,510 --> 00:27:36,930
+انا لما بتكون عندنا one quantitative variable،
+
+384
+00:27:36,930 --> 00:27:41,710
+variable واحد، بتقارنه بقيمة موجودة، يعني عندي أنا
+
+385
+00:27:41,710 --> 00:27:46,090
+ببقى نسبة السُكر اللي موجودة عند 110، بالnormal
+
+386
+00:27:46,090 --> 00:27:50,410
+range من 70 ل110، القيمة الموجودة 150، بتقارنها
+
+387
+00:27:50,410 --> 00:27:53,830
+بالnormal range اللي هي 110، هذا بيسموها one
+
+388
+00:27:53,830 --> 00:27:57,890
+sample t-testلما بتكون عندنا variable quantitative
+
+389
+00:27:57,890 --> 00:28:01,910
+وvariable qualitative وفيه two group هذا
+
+390
+00:28:01,910 --> 00:28:05,470
+independent sample t-test أو بنسميها student
+
+391
+00:28:05,470 --> 00:28:10,230
+sample t-test أو two sample t-test لما بتكون عندنا
+
+392
+00:28:10,230 --> 00:28:14,170
+واحد variable quantitative زائد paired يعني نفسه
+
+393
+00:28:14,170 --> 00:28:18,710
+وهو pre و post واحد مقابل واحد بنسميه paired
+
+394
+00:28:18,710 --> 00:28:24,940
+sample t-testمجمعتين ولكن المتوسطات اللي موجودة
+
+395
+00:28:24,940 --> 00:28:29,960
+واحد pre واحد post لنفس المجموعة أنا أخدت مجموعة
+
+396
+00:28:29,960 --> 00:28:33,880
+من الطلاب وهدول المجموعة من الطلاب اعملتلهم امتحان
+
+397
+00:28:33,880 --> 00:28:38,780
+نصفي وامتحان نهائي عنده هيطلع متوسط حساب العلامات
+
+398
+00:28:38,780 --> 00:28:43,420
+للنصفي ومتوسط حساب النهائي ولكن لمجموعة واحدة من
+
+399
+00:28:43,420 --> 00:28:47,620
+الناس مش two group أو two class اللي موجودين
+
+400
+00:28:47,620 --> 00:28:52,190
+فاصلينأو two gender هما نفس المجموعة بنسميهم PRT
+
+401
+00:28:52,190 --> 00:28:56,030
+test لما بيكونوا أكتر من تلاتة في ال qualitative
+
+402
+00:28:56,030 --> 00:29:01,690
+مع one variable quantitative بنقول عنه ANOVA نفس
+
+403
+00:29:01,690 --> 00:29:06,030
+الحاجة لما بتكون كمان repeated أو related لما
+
+404
+00:29:06,030 --> 00:29:09,900
+بتكون أكتر من اتنين كمان ANOVAلما يكون الاتنين
+
+405
+00:29:09,900 --> 00:29:13,160
+equalitative نستخدم الـ CHI و لما يكون الـ two
+
+406
+00:29:13,160 --> 00:29:15,360
+variables الـ quantitative نستخدم الـ correlation
+
+407
+00:29:15,360 --> 00:29:20,040
+و لما في عندي prediction أو في عندي تنبؤ شغلة
+
+408
+00:29:20,040 --> 00:29:23,600
+معينة من variable ل variable نستخدم regression
+
+409
+00:29:23,600 --> 00:29:31,300
+test وبنأكد إننا هنا نكتب CHI² ناخد تطبيق عملي على
+
+410
+00:29:31,300 --> 00:29:35,160
+موضوع الـ T sample الـ T sample هي عندي أنا الـ
+
+411
+00:29:35,160 --> 00:29:39,640
+type of sample فيها case of controlوعند الـ Age
+
+412
+00:29:39,640 --> 00:29:43,200
+عبارة عن quantitative data بدي أجيب ال relation ما
+
+413
+00:29:43,200 --> 00:29:46,340
+بين ال two variables النوع الأول ال quantitative
+
+414
+00:29:46,340 --> 00:29:50,520
+والنوع التاني ال qualitative وال qualitative في
+
+415
+00:29:50,520 --> 00:29:53,760
+داخله two category وحتى نتأكد أنهم two category
+
+416
+00:29:53,760 --> 00:29:57,180
+بنضغط double click وبنضغط على ال values وبنلاقيهم
+
+417
+00:29:57,180 --> 00:30:04,340
+تنتين مش تلاتة زي ال educationلو بدنا نرجع إلى الـ
+
+418
+00:30:04,340 --> 00:30:07,820
+data view بنقول هنا هي أننا variable و variable
+
+419
+00:30:07,820 --> 00:30:10,700
+وكيف نجيب ال relation بينهم أو نختبر الفروقات اللي
+
+420
+00:30:10,700 --> 00:30:15,100
+موجودة بينهم analyze، بروح على compare mean وبنقول
+
+421
+00:30:15,100 --> 00:30:20,780
+هنا independent sample t test بروح و بناخد type of
+
+422
+00:30:20,780 --> 00:30:25,160
+sample اللي هو case of control وبهنا بقول لعلامتين
+
+423
+00:30:25,160 --> 00:30:29,120
+استفهام كيف مكوّدهم أو كيف عملهم بنقول لهم أنا
+
+424
+00:30:29,120 --> 00:30:32,890
+مكوّدهم واحد واثنين و بنقول له okayقارن واحد
+
+425
+00:30:32,890 --> 00:30:38,710
+باتنين ونتذكر ان هنا واحد واتنين وبعد شويه هنرجع
+
+426
+00:30:38,710 --> 00:30:42,090
+نقلب اتنين وواحد هي هتطلع نفس الشغل بس فيها شغل
+
+427
+00:30:42,090 --> 00:30:48,330
+بسيطة بتفرق ونيجي هنقوله هنا ال edge ونقوله okay
+
+428
+00:30:48,330 --> 00:30:51,590
+فتبين
+
+429
+00:30:51,590 --> 00:30:56,190
+ان ال patient عبارة عن مية وخمسينواتنين مافيش حاجة
+
+430
+00:30:56,190 --> 00:30:59,990
+اسمها اتنين فبنرجع تاني نتأكد من ال code اللي احنا
+
+431
+00:30:59,990 --> 00:31:06,770
+عاملينه هل هو واحد واثنين ولا لا بنيجي هنا على ال
+
+432
+00:31:06,770 --> 00:31:12,110
+type و بروح نضغط double click و بنشوف هنا هو مكوّن
+
+433
+00:31:12,110 --> 00:31:18,990
+01 مش 12 فبالتالي بنقول analyze على compare mean
+
+434
+00:31:18,990 --> 00:31:27,010
+على independent و هنا بدل 12 بنقول 100أو 0 و1
+
+435
+00:31:27,010 --> 00:31:33,210
+ونقوله continue ونقوله okay هاي جابلنا 150 و150 ل
+
+436
+00:31:33,210 --> 00:31:37,530
+case control وقداشي متوسط الحسابي وقداشي standard
+
+437
+00:31:37,530 --> 00:31:41,310
+و standard raw جابلنا قيمة ال P value اللي موجودة
+
+438
+00:31:41,310 --> 00:31:44,290
+وجابلنا قيمة ال T test وجابلنا قيمة degree of
+
+439
+00:31:44,290 --> 00:31:47,370
+freedom اللي اتكلمنا عنهم وجبنا ال degree of
+
+440
+00:31:47,370 --> 00:31:53,060
+freedom هي عبارة عن 150 زي 150 نقص 2أو 150 ناقص 1
+
+441
+00:31:53,060 --> 00:31:58,220
+زائد 150 ناقص 1 وهي قيمة الـ T موجودة وهي قيمة الـ
+
+442
+00:31:58,220 --> 00:32:02,880
+B موجودة فاللحظة، رغم أن الـ Age متقارب إلا أن في
+
+443
+00:32:02,880 --> 00:32:08,840
+عندنا اختلافات وبنقول أن هناك اختلاف كبير بين الـ
+
+444
+00:32:08,840 --> 00:32:16,820
+Case وControl أو بنقول أن الـ Age كان كبير كمان
+
+445
+00:32:16,820 --> 00:32:20,800
+كمان كمان كمان كمان كمان كمان
+
+446
+00:32:21,800 --> 00:32:24,780
+هذا الـ comment تبع الـ table اللي كان موجود عندنا
+
+447
+00:32:24,780 --> 00:32:30,340
+ولكن اللي خلّى رغم اخترابهم يكون موجود من بعض أنه
+
+448
+00:32:30,340 --> 00:32:33,200
+فيه اختلافات وفيه significant difference أنه أنا
+
+449
+00:32:33,200 --> 00:32:36,940
+عندى قيمة ال standard or صغيرة كتير فهي اللي خلّى
+
+450
+00:32:36,940 --> 00:32:42,500
+في عندنا significant difference موجودة وحتى هو
+
+451
+00:32:42,500 --> 00:32:46,000
+بيكون حاسب لل SPSS قيمة ال main difference اللي
+
+452
+00:32:46,000 --> 00:32:49,920
+كانت موجودةباللحظة اللي قلت له قارن ما بين ال case
+
+453
+00:32:49,920 --> 00:32:54,840
+و ال control أنا قلت له قارن ما بين 1 و 0 أو 0 و 1
+
+454
+00:32:54,840 --> 00:33:00,040
+فطلّع قيمة ال T بالسالب نفسه هو هو بس بدنا نقوله
+
+455
+00:33:00,040 --> 00:33:06,240
+قارن ما بين ال 1 و ال 0 بدنا نقلب هدول زي ما هما و
+
+456
+00:33:06,240 --> 00:33:10,720
+نقوله قارن ما بين 1 و ال 0 و نقوله continue okay
+
+457
+00:33:11,600 --> 00:33:16,340
+بتلاحظ ان الفرق شيء واحد فقط ان هنا قيمة T بالسالب
+
+458
+00:33:16,340 --> 00:33:21,440
+وقيمة T بالموجة وكأن ان انا لو عند اتنين طلاب واحد
+
+459
+00:33:21,440 --> 00:33:27,300
+اسمه احمد وواحد اسمه حسن واحمد جاب تسعين وحسن خمسة
+
+460
+00:33:27,300 --> 00:33:31,900
+وتمانين فلما بدي اقارن احمد بحسن بقول احمد اعلى
+
+461
+00:33:31,900 --> 00:33:36,920
+معدل من حسن ولما بدي اقارن حسن باحمد بقول ان حسن
+
+462
+00:33:36,920 --> 00:33:43,290
+اقل معدل من احمدفبالتالي بيكون عندنا في الأرقام
+
+463
+00:33:43,290 --> 00:33:48,210
+اللي موجودة فقط شيء واحد اللي أفرج اللي هو الإشارة
+
+464
+00:33:48,210 --> 00:33:53,250
+هي هنا بالسالب وهنا طلعت معانتي بالموجب لأنه
+
+465
+00:33:53,250 --> 00:33:59,570
+ماينفعش أن نقول نفس المقانتين نفس الاتجاه لأنه أنا
+
+466
+00:33:59,570 --> 00:34:05,830
+غلبتهم في المقان فالـ comment الأولالصح أني أقول
+
+467
+00:34:05,830 --> 00:34:08,750
+في الـ comment الأول أن الـ control أقل من ال
+
+468
+00:34:08,750 --> 00:34:12,850
+patient لأنه قيمة ال T بالسالب وفي الـ comment
+
+469
+00:34:12,850 --> 00:34:16,710
+التاني كون ال T بالموجب لازم أني أقول أن ال
+
+470
+00:34:16,710 --> 00:34:22,350
+patient higher statistically than control حتى
+
+471
+00:34:22,350 --> 00:34:29,350
+بنلاحظ هنا ال patient كان موجود في الأول وهنا
+
+472
+00:34:29,350 --> 00:34:34,190
+كان ال control موجود في الأولحسب معنى ضربت منه لما
+
+473
+00:34:34,190 --> 00:34:40,570
+دخلت الـ 1 والـ 0 أو الـ 0 والـ 1 في البرتي تيست
+
+474
+00:34:40,570 --> 00:34:45,330
+أنه أنا بس فقط بلاحظ أن عندي after و before أو pre
+
+475
+00:34:45,330 --> 00:34:50,790
+و post ولكن نفس مكان سابق موجود أنه أنا فيه عندي
+
+476
+00:34:50,790 --> 00:34:54,690
+الـ mean و ال number و ال standard deviation و ال
+
+477
+00:34:54,690 --> 00:34:58,990
+standard error بنفس الحيثيات السابقة ال assumption
+
+478
+00:34:58,990 --> 00:35:03,450
+تعتهاالـ Paired t-test أن الـ two paired sample
+
+479
+00:35:03,450 --> 00:35:07,250
+يكونوا موجودين يعني نفس ال sample يكون لها قرارتين
+
+480
+00:35:07,250 --> 00:35:10,870
+واحد pre واحد post واحد after واحد before بيكونوا
+
+481
+00:35:10,870 --> 00:35:15,310
+dependent record عكس السابقة اللي كانت موجودة
+
+482
+00:35:15,310 --> 00:35:18,190
+عندنا ال independent sample t-test كانت
+
+483
+00:35:18,190 --> 00:35:21,870
+independent record ال dependent sample t-test أو
+
+484
+00:35:21,870 --> 00:35:25,690
+ال paired t-test هذا بنسميها dependent record
+
+485
+00:35:25,690 --> 00:35:30,300
+لأنها تعتمد على نفس الأشخاصالـ H0 الميو لـ B4
+
+486
+00:35:30,300 --> 00:35:35,120
+تساوي الميو للـ after الـ HA الميو لـ B4 لا تساوي
+
+487
+00:35:35,120 --> 00:35:39,440
+الميو للـ after والميو مرسوط فيها المتوسط الحسابي
+
+488
+00:35:39,440 --> 00:35:45,140
+وهذه الأوضة بتاع الـ RSP أساسي بتطلع بالصورة هذه
+
+489
+00:35:45,140 --> 00:35:50,740
+وهذه المين والـ standard diffusion والـ standard
+
+490
+00:35:50,740 --> 00:35:54,040
+order of mean بتطلع معنا قيمة الـ T وال degree of
+
+491
+00:35:54,040 --> 00:35:59,260
+freedom وال level significant أو ال B valueالـ
+
+492
+00:35:59,260 --> 00:36:02,700
+mean للـ different هذا اللي موجود والـ standard
+
+493
+00:36:02,700 --> 00:36:08,100
+error للـ different وهي الـ T وهي ال degree of
+
+494
+00:36:08,100 --> 00:36:13,860
+freedom وهي ال significance level أو ال P value ال
+
+495
+00:36:13,860 --> 00:36:18,080
+degree of freedom هي تساوي N ناقص واحد اللي هم خمس
+
+496
+00:36:18,080 --> 00:36:22,940
+أشخاص نقصنا منهم واحد يبقى ال degree of freedom في
+
+497
+00:36:22,940 --> 00:36:25,960
+ال independent T test تساوي N واحد زايد N اتنين
+
+498
+00:36:25,960 --> 00:36:29,960
+ناقص اتنينالـ degree of freedom في الـ PRT test
+
+499
+00:36:29,960 --> 00:36:34,800
+تساوي N نقص واحد وهي عندنا الـ table إنهائي اللي
+
+500
+00:36:34,800 --> 00:36:39,040
+بتطلع من ال SPI أساسي وبيلخصها بالصورة هذه وبيكون
+
+501
+00:36:39,040 --> 00:36:42,520
+عندنا هاي before drugs وهي after drugs موجود وزي
+
+502
+00:36:42,520 --> 00:36:46,300
+ما احنا ملاحظين انه كان عندنا المستوى الجليكوز 166
+
+503
+00:36:46,300 --> 00:36:51,240
+بينما كانت بعد ما أخذوا علاجات 117 وقيمة الـ T
+
+504
+00:36:51,240 --> 00:36:56,180
+test بتكون بالمينوس وقيمة ال B valueفبكون الـ
+
+505
+00:36:56,180 --> 00:36:59,000
+Commend-A-Duck كان significantly lower blood
+
+506
+00:36:59,000 --> 00:37:05,460
+glucose in type 2 diabetes وهيعنى مثال تطبيق على
+
+507
+00:37:05,460 --> 00:37:09,240
+الـ BRT Test أنه أنا فيه عندي 30 patient والـ 30
+
+508
+00:37:09,240 --> 00:37:14,780
+patient جستلهم الجليكوز قبل وبعد العلاج فكان عندنا
+
+509
+00:37:14,780 --> 00:37:20,940
+في ال patient الأول قبل العلاج كان 113 وبعد العلاج
+
+510
+00:37:20,940 --> 00:37:26,210
+85وال patient التاني والتالت والرابع ال patient
+
+511
+00:37:26,210 --> 00:37:31,130
+رقم أربعة عشر متين وخمس وعشرين قبل العلاج وبعد
+
+512
+00:37:31,130 --> 00:37:35,030
+العلاج صار عندنا مية وتسعة وستين بنتشوف هل في
+
+513
+00:37:35,030 --> 00:37:39,810
+فروقات ما بين متوسطات المجموعة الأولى والتانية ولا
+
+514
+00:37:39,810 --> 00:37:44,770
+لا اللي قبل وبعد العلاج بنقول هنا analyze وروح على
+
+515
+00:37:44,770 --> 00:37:50,600
+compare mean في حاجة اسمها PRT testهنا بيقولنا هاي
+
+516
+00:37:50,600 --> 00:37:53,140
+الـ variable الأول والـ variable التاني بنقوله
+
+517
+00:37:53,140 --> 00:37:59,160
+بدنا نضيف الأول الشيء الـ after وبعدين ال before
+
+518
+00:37:59,160 --> 00:38:06,280
+أو العكس بنقوله okay فهنا بيبدأ يعملنا descriptive
+
+519
+00:38:06,280 --> 00:38:13,010
+لل data اللي موجودة جالنا 117 و 156والـ Sample 30
+
+520
+00:38:13,010 --> 00:38:16,930
+و 30 اللي هو كل مجموعة كان فيها 30 before و after
+
+521
+00:38:16,930 --> 00:38:23,030
+فهو نفس الأشخاص اللي موجودين وبنلاحظ هنا أنه كتبنا
+
+522
+00:38:23,030 --> 00:38:26,470
+ال standard في أجمعي ال standard أخرى هنا ال 30 و
+
+523
+00:38:26,470 --> 00:38:31,230
+30 هم شخص .. هم 30 شخص والدليل أن هم 30 شخص اللي
+
+524
+00:38:31,230 --> 00:38:35,070
+موجودين أنه لو رجعنا على الملف قبل شويه ونشوفهم هم
+
+525
+00:38:35,070 --> 00:38:41,130
+30 هي 30 واحد اللي كانوا موجودينفبدأ يجيبنا
+
+526
+00:38:41,130 --> 00:38:46,810
+المتوسطات الحسابية لكل الـ after والـ before والـ
+
+527
+00:38:46,810 --> 00:38:50,450
+standard diffusion والـ standard error هذه الـ
+
+528
+00:38:50,450 --> 00:38:53,090
+mean difference اللي هو الفرق ما بين الـ before
+
+529
+00:38:53,090 --> 00:38:58,010
+والـ after قداش نقص مستوى الجليكوز الـ mean
+
+530
+00:38:58,010 --> 00:39:00,610
+difference وهي ال standard diffusion تبع الـ
+
+531
+00:39:00,610 --> 00:39:04,200
+differenceوهي اجابتنا قيمة الـ T و degree of
+
+532
+00:39:04,200 --> 00:39:05,460
+freedom التي تقريبا تقريبا تقريبا تقريبا تقريبا
+
+533
+00:39:05,460 --> 00:39:14,840
+تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا
+
+534
+00:39:14,840 --> 00:39:18,680
+تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا
+
+535
+00:39:18,680 --> 00:39:18,700
+تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا
+
+536
+00:39:18,700 --> 00:39:19,120
+تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا
+
+537
+00:39:19,120 --> 00:39:28,680
+تقريبا تقريبا
+
+538
+00:39:31,970 --> 00:39:38,370
+سنكتفي بهذا القدر ونسأل الله عز وجل لكم السلامة
+
+539
+00:39:38,370 --> 00:39:41,530
+ومفروض الصحة والعافية ودوام التوفيق والسداد
+
+540
+00:39:41,530 --> 00:39:45,150
+والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..daeeb5093e9bb23e6fa9506e0e750fffed5c406b
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/GNFM_WVwLlI_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2838, "start": 1.1, "end": 28.38, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم نستكمل الحديث على موضوع الـ Biostatistics ونتكلم على موضوع الإختبارات الأحصائية وبالأخص أول إختبار أحصائي راح نتكلم عنه اللي هو الـ Chi-Square للتركيز إختبار الـChi-Square هو بجيس العلاقة ما بين متغيرين والمتغيرين كميين أو two variable qualitative", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 8717, 14851, 24793, 1211, 21542, 16254, 12984, 15844, 3714, 2407, 11242, 45367, 2423, 39184, 13007, 39036, 6006, 4032, 1863, 2655, 4117, 19528, 15844, 3714, 2407, 11242, 45367, 33688, 46456, 3555, 9640, 9307, 16247, 5016, 9381, 16373, 10632, 4032, 3555, 6027, 10721, 9778, 9381, 5551, 12610, 11933, 46456, 3555, 9640, 5551, 5016, 9381, 16373, 1829, 12602, 39319, 8717, 2655, 4117, 19528, 18871, 3224, 13672, 1829, 31439, 2423, 39184, 17730, 12, 50, 358, 543, 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الرحمن", "probability": 0.9571940104166666}, {"start": 3.68, "end": 4.18, "word": " الرحيم", "probability": 0.9967447916666666}, {"start": 4.18, "end": 5.32, "word": " نستكمل", "probability": 0.9493408203125}, {"start": 5.32, "end": 5.98, "word": " الحديث", "probability": 0.9908854166666666}, {"start": 5.98, "end": 6.4, "word": " على", "probability": 0.8271484375}, {"start": 6.4, "end": 7.0, "word": " موضوع", "probability": 0.9896240234375}, {"start": 7.0, "end": 7.44, "word": " الـ", "probability": 0.857177734375}, {"start": 7.44, "end": 8.24, "word": " Biostatistics", "probability": 0.7068684895833334}, {"start": 8.24, "end": 9.54, "word": " ونتكلم", "probability": 0.8671875}, {"start": 9.54, "end": 9.74, "word": " على", "probability": 0.8505859375}, {"start": 9.74, "end": 10.1, "word": " موضوع", "probability": 0.9970703125}, {"start": 10.1, "end": 10.76, "word": " الإختبارات", "probability": 0.86201171875}, {"start": 10.76, "end": 11.56, "word": " الأحصائية", "probability": 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"temperature": 1.0}, {"id": 8, "seek": 22808, "start": 201.42, "end": 228.08, "text": "في الـ variable of raw وبعدين بقول له okay فبطلع معانا بالشكل اللي أمامنا أن هى ال obese و ال non obese و هى عندنا ال male و ال female و هى بتطلع معانا قيمة chi-square وبطلع معانا كمان قيمة ال P value بعد ما عملناها مع USB أساس طلعوا معانا ال two tables اللي موجودين أمامنا", "tokens": [41185, 2423, 39184, 7006, 295, 8936, 46599, 22488, 9957, 4724, 39648, 46740, 1392, 6156, 3555, 9566, 1211, 3615, 20449, 7649, 995, 20666, 8592, 28820, 13672, 1829, 5551, 2304, 10943, 8315, 14739, 8032, 7578, 2423, 50060, 4032, 2423, 2107, 50060, 4032, 8032, 7578, 43242, 8315, 2423, 7133, 4032, 2423, 6556, 4032, 8032, 7578, 39894, 9566, 1211, 3615, 20449, 7649, 995, 12174, 32640, 3660, 13228, 12, 33292, 543, 46599, 9566, 1211, 3615, 20449, 7649, 995, 9122, 2304, 7649, 12174, 32640, 3660, 2423, 430, 2158, 39182, 19446, 6225, 42213, 8315, 11296, 20449, 10109, 5551, 3794, 32277, 23032, 1211, 3615, 14407, 20449, 7649, 995, 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"text": "في الـ tables الموجودين أمامنا لو بدنا نقراهم بنقول أربعة وخمسين ونص من ال male كانوا non obese بينما خمس واربعين ونص من ال males كانوا obese وبدأت بال mail لأنه أنا في عندي علمية هي موجودة هنا واتكلمنا المحاضرة السابقة أنه احنا بناخد اتجاه الأعلى في قراءة ال table", "tokens": [41185, 2423, 39184, 8020, 9673, 29245, 23328, 9957, 5551, 2304, 10943, 8315, 45164, 47525, 8315, 8717, 4587, 23557, 16095, 44945, 39648, 5551, 25513, 27884, 4032, 9778, 2304, 3794, 9957, 4032, 1863, 9381, 9154, 2423, 7133, 25961, 14407, 2107, 50060, 49374, 15042, 16490, 2304, 3794, 4032, 9640, 3555, 3615, 9957, 4032, 1863, 9381, 9154, 2423, 20776, 25961, 14407, 50060, 4032, 44510, 10721, 2655, 20666, 10071, 5296, 33456, 3224, 41850, 8978, 18871, 16254, 11203, 2304, 10632, 39896, 3714, 29245, 23328, 3660, 34105, 4032, 9307, 4117, 19528, 8315, 9673, 5016, 46958, 25720, 21136, 16758, 28671, 14739, 3224, 1975, 5016, 8315, 44945, 47283, 3215, 1975, 2655, 7435, 40294, 16247, 3615, 23942, 8978, 12174, 2288, 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من", "probability": 0.9921875}, {"start": 240.11, "end": 240.31, "word": " ال", "probability": 0.966796875}, {"start": 240.31, "end": 240.77, "word": " males", "probability": 0.982421875}, {"start": 240.77, "end": 241.27, "word": " كانوا", "probability": 0.982666015625}, {"start": 241.27, "end": 241.69, "word": " obese", "probability": 0.95703125}, {"start": 241.69, "end": 242.67, "word": " وبدأت", "probability": 0.87353515625}, {"start": 242.67, "end": 242.85, "word": " بال", "probability": 0.98046875}, {"start": 242.85, "end": 243.25, "word": " mail", "probability": 0.324951171875}, {"start": 243.25, "end": 244.09, "word": " لأنه", "probability": 0.7433268229166666}, {"start": 244.09, "end": 244.27, "word": " أنا", "probability": 0.6806640625}, {"start": 244.27, "end": 244.41, "word": " في", "probability": 0.9541015625}, {"start": 244.41, "end": 244.91, "word": " عندي", "probability": 0.635986328125}, {"start": 244.91, "end": 245.59, "word": " علمية", "probability": 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{"start": 328.09, "end": 328.33, "word": " qualities", "probability": 0.356689453125}, {"start": 328.33, "end": 329.07, "word": " بتكلمنا", "probability": 0.8922119140625}, {"start": 329.07, "end": 329.45, "word": " عنهم", "probability": 0.970947265625}, {"start": 329.45, "end": 330.27, "word": " عندنا", "probability": 0.7421875}, {"start": 330.27, "end": 330.49, "word": " random", "probability": 0.78955078125}, {"start": 330.49, "end": 331.05, "word": " sample", "probability": 0.8759765625}, {"start": 331.05, "end": 331.33, "word": " أنا", "probability": 0.740234375}, {"start": 331.33, "end": 331.65, "word": " أخدت", "probability": 0.881103515625}, {"start": 331.65, "end": 331.95, "word": " عيين", "probability": 0.625244140625}, {"start": 331.95, "end": 332.61, "word": " عشوائية", "probability": 0.987109375}, {"start": 332.61, "end": 332.77, "word": " من", "probability": 0.97998046875}, {"start": 332.77, "end": 332.93, "word": " ال", "probability": 0.58056640625}, {"start": 332.93, "end": 333.07, "word": " male", "probability": 0.638671875}, {"start": 333.07, "end": 333.23, "word": " و", "probability": 0.61669921875}, {"start": 333.23, "end": 333.31, "word": " ال", "probability": 0.54638671875}, {"start": 333.31, "end": 333.53, "word": " female", "probability": 0.89794921875}, {"start": 333.53, "end": 333.77, "word": " لو", "probability": 0.9228515625}, {"start": 333.77, "end": 334.19, "word": " شفتهم", "probability": 0.8265380859375}, {"start": 334.19, "end": 334.47, "word": " obese", "probability": 0.96240234375}, {"start": 334.47, "end": 334.61, "word": " و", "probability": 0.9453125}, {"start": 334.61, "end": 334.79, "word": " non", "probability": 0.93359375}, {"start": 334.79, "end": 335.23, "word": " obese", "probability": 0.74853515625}], "temperature": 1.0}, {"id": 13, "seek": 35848, "start": 336.22, "end": 358.48, "text": "واخدنا independent records اللي هما two variables ولا واحد فيهم له علاقة بالتاني الـ H0 في البحث بيكون عندنا ال proportion للـ male تساوي ال proportion لل female اللي هو أن نسبة الـ obesity في ال male تساوي نسبة ال obesity في ال female", "tokens": [2407, 47283, 3215, 8315, 6695, 7724, 13672, 1829, 8032, 15042, 732, 9102, 4032, 15040, 36764, 24401, 8978, 16095, 46740, 11203, 995, 28671, 20666, 2655, 7649, 1829, 2423, 39184, 389, 15, 8978, 29739, 5016, 12984, 4724, 1829, 30544, 43242, 8315, 2423, 16068, 24976, 39184, 7133, 6055, 3794, 995, 45865, 2423, 16068, 24976, 6556, 13672, 1829, 31439, 14739, 8717, 35457, 3660, 2423, 39184, 29744, 8978, 2423, 7133, 6055, 3794, 995, 45865, 8717, 35457, 3660, 2423, 29744, 8978, 2423, 6556], "avg_logprob": -0.2726362290290686, "compression_ratio": 1.7222222222222223, "no_speech_prob": 0.0, "words": [{"start": 336.22, "end": 337.0, "word": "واخدنا", "probability": 0.7843017578125}, {"start": 337.0, "end": 337.54, "word": " independent", "probability": 0.351806640625}, {"start": 337.54, "end": 338.34, "word": " records", "probability": 0.4306640625}, {"start": 338.34, "end": 338.62, 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"probability": 0.9384765625}, {"start": 346.44, "end": 346.94, "word": " البحث", "probability": 0.99365234375}, {"start": 346.94, "end": 347.42, "word": " بيكون", "probability": 0.6385904947916666}, {"start": 347.42, "end": 348.02, "word": " عندنا", "probability": 0.85888671875}, {"start": 348.02, "end": 348.48, "word": " ال", "probability": 0.83837890625}, {"start": 348.48, "end": 349.14, "word": " proportion", "probability": 0.673828125}, {"start": 349.14, "end": 349.66, "word": " للـ", "probability": 0.548095703125}, {"start": 349.66, "end": 349.96, "word": " male", "probability": 0.572265625}, {"start": 349.96, "end": 351.14, "word": " تساوي", "probability": 0.81884765625}, {"start": 351.14, "end": 351.28, "word": " ال", "probability": 0.89599609375}, {"start": 351.28, "end": 351.74, "word": " proportion", "probability": 0.7314453125}, {"start": 351.74, "end": 352.02, "word": " لل", "probability": 0.919921875}, {"start": 352.02, "end": 352.5, "word": " female", "probability": 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49889, "start": 470.25, "end": 498.89, "text": "descriptive statistic cost tabulation بنجي أول حاجة في الـ column لأنه أنا بدي شكل ال table يكون بالشكل اللي موجود أمامنا اللي هو موجود في ال column اللي هو type of sample وموجود في ال row اللي هو ال variable الأخرى فبنجي أول حاجة بقول type of sample في ال column وبدنا ال variable التانية تكون موجودة اللي أنا بدي أجيسها زي ال education موجودة في ال row", "tokens": [14792, 5944, 488, 29588, 2063, 4421, 2776, 44945, 7435, 1829, 5551, 12610, 11331, 26108, 3660, 8978, 2423, 39184, 7738, 5296, 33456, 3224, 41850, 4724, 16254, 13412, 28820, 2423, 3199, 7251, 30544, 20666, 8592, 28820, 13672, 1829, 3714, 29245, 23328, 5551, 2304, 10943, 8315, 13672, 1829, 31439, 3714, 29245, 23328, 8978, 2423, 7738, 13672, 1829, 31439, 2010, 295, 6889, 4032, 2304, 29245, 23328, 8978, 2423, 5386, 13672, 1829, 31439, 2423, 7006, 16247, 34740, 7578, 6156, 3555, 1863, 7435, 1829, 5551, 12610, 11331, 26108, 3660, 4724, 39648, 2010, 295, 6889, 8978, 2423, 7738, 4032, 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وبنقول له عملنا chi² وبنقول له continue وبنقول له okay فاللاحظ هنا جابلنا ال number بس ما جابش لنا ال percentage اللي موجودة وانا بدي ال number وقداش كل واحد كانت تساوي في المئة من اقل 150 فعلى نفس الخطوات السابقة analyze على cross tabulation", "tokens": [37746, 1863, 39648, 46740, 34105, 29588, 46599, 1863, 39648, 46740, 6225, 42213, 8315, 13228, 27643, 46599, 1863, 39648, 46740, 2354, 46599, 1863, 39648, 46740, 1392, 6156, 6027, 15040, 5016, 19913, 34105, 10874, 16758, 1211, 8315, 2423, 1230, 4724, 3794, 19446, 10874, 16758, 8592, 5296, 8315, 2423, 9668, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 7649, 995, 4724, 16254, 2423, 1230, 4032, 28543, 33599, 28242, 36764, 24401, 25961, 2655, 6055, 3794, 995, 45865, 8978, 9673, 19986, 3660, 9154, 1975, 4587, 1211, 8451, 6156, 3615, 23942, 8717, 36178, 33962, 9566, 2407, 9307, 21136, 16758, 28671, 12477, 15844, 3278, 4421, 2776], "avg_logprob": -0.23042928630655463, "compression_ratio": 1.699588477366255, "no_speech_prob": 0.0, "words": 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666.48, "word": " وبروح", "probability": 0.8142903645833334}, {"start": 666.48, "end": 666.64, "word": " هنا", "probability": 0.9296875}, {"start": 666.64, "end": 666.9, "word": " بدل", "probability": 0.6787109375}, {"start": 666.9, "end": 666.98, "word": " ال", "probability": 0.57666015625}, {"start": 666.98, "end": 667.3, "word": " education", "probability": 0.83984375}, {"start": 667.3, "end": 667.78, "word": " level", "probability": 0.9716796875}], "temperature": 1.0}, {"id": 25, "seek": 69066, "start": 668.18, "end": 690.66, "text": "بنضيف الـ variable التاني اللي هو الـ family history و بنقول له okay هى و جاب عندنا ال family history نفس الشيء السابق و جاب انه في عندنا ال percentage و ال frequency و جاب قيمة ال chi-square و قيمة ال P value و لو بدنا نعمل كمان آخر variable اللي هو الضيات اللي كان موجود", "tokens": [3555, 1863, 11242, 33911, 2423, 39184, 7006, 16712, 7649, 1829, 13672, 1829, 31439, 2423, 39184, 1605, 2503, 4032, 44945, 39648, 46740, 1392, 8032, 7578, 4032, 10874, 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{"start": 670.06, "end": 670.22, "word": " هو", "probability": 0.98779296875}, {"start": 670.22, "end": 670.38, "word": " الـ", "probability": 0.886962890625}, {"start": 670.38, "end": 670.52, "word": " family", "probability": 0.56640625}, {"start": 670.52, "end": 670.98, "word": " history", "probability": 0.80810546875}, {"start": 670.98, "end": 671.5, "word": " و", "probability": 0.3486328125}, {"start": 671.5, "end": 671.88, "word": " بنقول", "probability": 0.764892578125}, {"start": 671.88, "end": 672.1, "word": " له", "probability": 0.6162109375}, {"start": 672.1, "end": 672.52, "word": " okay", "probability": 0.669921875}, {"start": 672.52, "end": 673.34, "word": " هى", "probability": 0.398681640625}, {"start": 673.34, "end": 673.44, "word": " و", "probability": 0.458984375}, {"start": 673.44, "end": 673.62, "word": " جاب", "probability": 0.861083984375}, {"start": 673.62, "end": 673.88, "word": " عندنا", "probability": 0.855224609375}, {"start": 673.88, "end": 673.96, "word": " ال", "probability": 0.955078125}, {"start": 673.96, "end": 674.14, "word": " family", "probability": 0.55419921875}, {"start": 674.14, "end": 674.64, "word": " history", "probability": 0.8720703125}, {"start": 674.64, "end": 675.0, "word": " نفس", "probability": 0.978515625}, {"start": 675.0, "end": 675.34, "word": " الشيء", "probability": 0.8155924479166666}, {"start": 675.34, "end": 676.02, "word": " السابق", "probability": 0.94091796875}, {"start": 676.02, "end": 676.42, "word": " و", "probability": 0.390869140625}, {"start": 676.42, "end": 676.62, "word": " جاب", "probability": 0.949462890625}, {"start": 676.62, "end": 676.86, "word": " انه", "probability": 0.454345703125}, {"start": 676.86, "end": 676.96, "word": " في", "probability": 0.80029296875}, {"start": 676.96, "end": 677.8, "word": " عندنا", "probability": 0.95263671875}, {"start": 677.8, "end": 678.22, "word": " ال", "probability": 0.96435546875}, {"start": 678.22, "end": 679.14, "word": " percentage", "probability": 0.712890625}, {"start": 679.14, "end": 679.44, "word": " و", "probability": 0.6943359375}, {"start": 679.44, "end": 679.48, "word": " ال", "probability": 0.73828125}, {"start": 679.48, "end": 680.04, "word": " frequency", "probability": 0.9912109375}, {"start": 680.04, "end": 680.38, "word": " و", "probability": 0.884765625}, {"start": 680.38, "end": 680.6, "word": " جاب", "probability": 0.8974609375}, {"start": 680.6, "end": 680.88, "word": " قيمة", "probability": 0.9728190104166666}, {"start": 680.88, "end": 681.26, "word": " ال", "probability": 0.548828125}, {"start": 681.26, "end": 681.48, "word": " chi", "probability": 0.1588134765625}, {"start": 681.48, "end": 682.1, "word": "-square", "probability": 0.84521484375}, {"start": 682.1, "end": 682.28, "word": " و", "probability": 0.9306640625}, {"start": 682.28, "end": 682.64, "word": " قيمة", "probability": 0.9134114583333334}, {"start": 682.64, "end": 682.74, "word": " ال", "probability": 0.92919921875}, {"start": 682.74, "end": 682.86, "word": " P", "probability": 0.295654296875}, {"start": 682.86, "end": 683.26, "word": " value", "probability": 0.70263671875}, {"start": 683.26, "end": 685.92, "word": " و", "probability": 0.66845703125}, {"start": 685.92, "end": 686.08, "word": " لو", "probability": 0.9267578125}, {"start": 686.08, "end": 686.34, "word": " بدنا", "probability": 0.775634765625}, {"start": 686.34, "end": 686.62, "word": " نعمل", "probability": 0.9973958333333334}, {"start": 686.62, "end": 687.1, "word": " كمان", "probability": 0.8963216145833334}, {"start": 687.1, "end": 687.82, "word": " آخر", "probability": 0.842529296875}, {"start": 687.82, "end": 688.32, "word": " variable", "probability": 0.93017578125}, {"start": 688.32, "end": 688.74, "word": " اللي", "probability": 0.7802734375}, {"start": 688.74, "end": 689.04, "word": " هو", "probability": 0.9521484375}, {"start": 689.04, "end": 689.76, "word": " الضيات", "probability": 0.68902587890625}, {"start": 689.76, "end": 689.94, "word": " اللي", "probability": 0.86083984375}, {"start": 689.94, "end": 690.14, "word": " كان", "probability": 0.9921875}, {"start": 690.14, "end": 690.66, "word": " موجود", "probability": 0.8453776041666666}], "temperature": 1.0}, {"id": 26, "seek": 71317, "start": 691.65, "end": 713.17, "text": "ونضغط نفس الحاجة ونقول okay وناخد الأرقام هذه اللي موجودة ونلخصها في الـ table بالصورة اللي أمامنا فبنكتب فيهم بالصورة هذه ونضيف النسبة المراوية بين قوسين ونلخصهم بنكتب قيمة الـchi-square وبنكتب قيمة الـb-value هي موجودة 00000 في ال SPSS", "tokens": [2407, 1863, 11242, 17082, 9566, 8717, 36178, 21542, 26108, 3660, 4032, 1863, 39648, 1392, 4032, 1863, 47283, 3215, 16247, 2288, 4587, 10943, 29538, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 1863, 1211, 9778, 9381, 11296, 8978, 2423, 39184, 3199, 20666, 9381, 13063, 3660, 13672, 1829, 5551, 2304, 10943, 8315, 6156, 3555, 1863, 4117, 2655, 3555, 8978, 16095, 20666, 9381, 13063, 3660, 29538, 4032, 1863, 11242, 33911, 28239, 35457, 3660, 9673, 23557, 2407, 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0.902587890625}, {"start": 703.01, "end": 703.49, "word": " بالصورة", "probability": 0.9373779296875}, {"start": 703.49, "end": 703.81, "word": " هذه", "probability": 0.88818359375}, {"start": 703.81, "end": 704.33, "word": " ونضيف", "probability": 0.9632568359375}, {"start": 704.33, "end": 704.67, "word": " النسبة", "probability": 0.8489583333333334}, {"start": 704.67, "end": 705.09, "word": " المراوية", "probability": 0.75836181640625}, {"start": 705.09, "end": 705.33, "word": " بين", "probability": 0.96533203125}, {"start": 705.33, "end": 705.71, "word": " قوسين", "probability": 0.5735677083333334}, {"start": 705.71, "end": 706.41, "word": " ونلخصهم", "probability": 0.8370768229166666}, {"start": 706.41, "end": 706.79, "word": " بنكتب", "probability": 0.8370361328125}, {"start": 706.79, "end": 707.15, "word": " قيمة", "probability": 0.9287109375}, {"start": 707.15, "end": 707.41, "word": " الـchi", "probability": 0.40283203125}, {"start": 707.41, "end": 707.91, "word": "-square", "probability": 0.86328125}, {"start": 707.91, "end": 709.03, "word": " وبنكتب", "probability": 0.8327392578125}, {"start": 709.03, "end": 709.53, "word": " قيمة", "probability": 0.83447265625}, {"start": 709.53, "end": 709.79, "word": " الـb", "probability": 0.662841796875}, {"start": 709.79, "end": 710.23, "word": "-value", "probability": 0.732666015625}, {"start": 710.23, "end": 710.79, "word": " هي", "probability": 0.74267578125}, {"start": 710.79, "end": 711.29, "word": " موجودة", "probability": 0.931884765625}, {"start": 711.29, "end": 712.21, "word": " 00000", "probability": 0.509033203125}, {"start": 712.21, "end": 712.37, "word": " في", "probability": 0.92529296875}, {"start": 712.37, "end": 712.47, "word": " ال", "probability": 0.9580078125}, {"start": 712.47, "end": 713.17, "word": " SPSS", "probability": 0.7782389322916666}], "temperature": 1.0}, {"id": 27, "seek": 74247, "start": 713.37, "end": 742.47, "text": "هنكتبها أقل من واحد من ألف لأن لما ضغطنا قبل شويه هي لا تساوي صفر هي تساوي أربع من عشرة ألف فبنكتبها أقل من واحد من ألف هي أصح من كتابها 000 هيك بيكون ال table اللي موجودة أمامنا هيها موجودة أحنا لخصناها و هيك توضع في البحث و التلخيص بيكون كامل لل table و هيك بكون أنا عملتها على شكل data و بدي أحولها ل information", "tokens": [3224, 1863, 4117, 2655, 3555, 11296, 5551, 4587, 1211, 9154, 36764, 24401, 9154, 5551, 46538, 5296, 33456, 5296, 15042, 48812, 17082, 9566, 8315, 12174, 36150, 13412, 45865, 3224, 39896, 20193, 6055, 3794, 995, 45865, 20328, 5172, 2288, 39896, 6055, 3794, 995, 45865, 5551, 25513, 3615, 9154, 6225, 8592, 25720, 5551, 46538, 6156, 3555, 1863, 4117, 2655, 3555, 11296, 5551, 4587, 1211, 9154, 36764, 24401, 9154, 5551, 46538, 39896, 5551, 9381, 5016, 9154, 9122, 2655, 16758, 11296, 13711, 39896, 4117, 4724, 1829, 30544, 2423, 3199, 13672, 1829, 3714, 29245, 23328, 3660, 5551, 2304, 10943, 8315, 39896, 11296, 3714, 29245, 23328, 3660, 5551, 5016, 8315, 5296, 9778, 9381, 8315, 11296, 4032, 39896, 4117, 33427, 11242, 3615, 8978, 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وال qualitative في داخله two category وحتى نتأكد أنهم two category بنضغط double click وبنضغط على ال values وبنلاقيهم تنتين مش تلاتة زي ال education", "tokens": [2407, 3615, 41260, 2423, 39184, 16280, 6225, 3555, 9640, 3660, 18871, 27778, 1412, 4724, 16254, 5551, 7435, 1829, 3555, 2423, 9721, 19446, 49374, 2423, 732, 9102, 28239, 45367, 16247, 12610, 2423, 27778, 16070, 1863, 45367, 16712, 7649, 1829, 2423, 31312, 16070, 31312, 8978, 11778, 47283, 43761, 732, 7719, 4032, 33753, 7578, 8717, 2655, 10721, 4117, 3215, 14739, 16095, 732, 7719, 44945, 11242, 17082, 9566, 3834, 2052, 46599, 1863, 11242, 17082, 9566, 15844, 2423, 4190, 46599, 1863, 15040, 38436, 16095, 6055, 29399, 9957, 37893, 6055, 1211, 9307, 3660, 30767, 1829, 2423, 3309], "avg_logprob": -0.258321998235972, "compression_ratio": 1.683127572016461, "no_speech_prob": 0.0, "words": [{"start": 1778.62, "end": 1779.12, "word": "وعند", "probability": 0.5950724283854166}, {"start": 1779.12, "end": 1779.32, "word": " الـ", 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183136, "start": 1802.28, "end": 1831.36, "text": "لو بدنا نرجع إلى الـ data view بنقول هنا هي أننا variable و variable وكيف نجيب ال relation بينهم أو نختبر الفروقات اللي موجودة بينهم analyze، بروح على compare mean وبنقول هنا independent sample t test بروح و بناخد type of sample اللي هو case of control وبهنا بقول لعلامتين استفهام كيف مكوّدهم أو كيف عملهم بنقول لهم أنا مكوّدهم واحد واثنين و بنقول له okay", "tokens": [1211, 2407, 47525, 8315, 8717, 47341, 3615, 30731, 2423, 39184, 1412, 1910, 44945, 39648, 34105, 39896, 14739, 8315, 7006, 4032, 7006, 4032, 4117, 33911, 8717, 7435, 1829, 3555, 2423, 9721, 49374, 16095, 34051, 8717, 46456, 26890, 27188, 2288, 30543, 9307, 13672, 1829, 3714, 29245, 23328, 3660, 49374, 16095, 12477, 12399, 4724, 32887, 5016, 15844, 6794, 914, 4032, 3555, 1863, 39648, 34105, 6695, 6889, 256, 1500, 4724, 32887, 5016, 4032, 44945, 47283, 3215, 2010, 295, 6889, 13672, 1829, 31439, 1389, 295, 1969, 46599, 3224, 8315, 4724, 39648, 5296, 30241, 10943, 2655, 9957, 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وجابلنا قيمة ال T test وجابلنا قيمة degree of freedom اللي اتكلمنا عنهم وجبنا ال degree of freedom هي عبارة عن 150 زي 150 نقص 2", "tokens": [10721, 2407, 1958, 4032, 16, 4032, 1863, 39648, 3224, 2354, 4032, 1863, 39648, 3224, 1392, 8032, 47302, 10874, 16758, 1211, 8315, 8451, 4032, 20120, 5296, 1389, 1969, 4032, 28543, 33599, 1829, 44650, 41779, 9566, 21542, 3794, 16758, 1829, 4032, 28543, 33599, 1829, 3832, 4032, 3832, 8936, 10874, 16758, 1211, 8315, 12174, 32640, 3660, 2423, 430, 2158, 13672, 1829, 3714, 29245, 23328, 3660, 49610, 16758, 1211, 8315, 12174, 32640, 3660, 2423, 314, 1500, 49610, 16758, 1211, 8315, 12174, 32640, 3660, 4314, 295, 5645, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 16095, 49610, 3555, 8315, 2423, 4314, 295, 5645, 39896, 6225, 3555, 9640, 3660, 18871, 8451, 30767, 1829, 8451, 8717, 4587, 9381, 568], "avg_logprob": -0.2653484471076358, "compression_ratio": 1.8333333333333333, "no_speech_prob": 4.172325134277344e-07, "words": [{"start": 1884.95, "end": 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"probability": 0.849853515625}, {"start": 2240.0, "end": 2240.4, "word": " وبعد", "probability": 0.86767578125}, {"start": 2240.4, "end": 2240.94, "word": " العلاج", "probability": 0.9755859375}, {"start": 2240.94, "end": 2241.46, "word": " 85", "probability": 0.92138671875}], "temperature": 1.0}, {"id": 84, "seek": 226805, "start": 2243.43, "end": 2268.05, "text": "وال patient التاني والتالت والرابع ال patient رقم أربعة عشر متين وخمس وعشرين قبل العلاج وبعد العلاج صار عندنا مية وتسعة وستين بنتشوف هل في فروقات ما بين متوسطات المجموعة الأولى والتانية ولا لا اللي قبل وبعد العلاج بنقول هنا analyze وروح على compare mean في حاجة اسمها PRT test", "tokens": [2407, 6027, 4537, 16712, 7649, 1829, 16070, 2655, 6027, 2655, 16070, 2288, 16758, 3615, 2423, 4537, 12602, 4587, 2304, 5551, 25513, 27884, 6225, 46309, 44650, 9957, 4032, 9778, 2304, 3794, 4032, 3615, 46309, 9957, 12174, 36150, 18863, 1211, 26108, 46599, 22488, 18863, 1211, 26108, 20328, 9640, 43242, 8315, 3714, 10632, 34683, 3794, 27884, 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بيبدأ يعملنا descriptive لل data اللي موجودة جالنا 117 و 156", "tokens": [3224, 8315, 4724, 1829, 39648, 8315, 8032, 47302, 2423, 39184, 7006, 16247, 12610, 16070, 39184, 7006, 16712, 7649, 1829, 44945, 39648, 3224, 47525, 8315, 8717, 11242, 33911, 16247, 12610, 25124, 1829, 38207, 2423, 39184, 934, 46599, 22488, 9957, 2423, 949, 34051, 18863, 4117, 3794, 44945, 39648, 3224, 1392, 6156, 3224, 8315, 4724, 1829, 44510, 10721, 7251, 25957, 1211, 8315, 42585, 24976, 1412, 13672, 1829, 3714, 29245, 23328, 3660, 10874, 6027, 8315, 2975, 22, 4032, 2119, 21], "avg_logprob": -0.2597402690292953, "compression_ratio": 1.6062176165803108, "no_speech_prob": 0.0, "words": [{"start": 2269.18, "end": 2269.48, "word": "هنا", "probability": 0.64306640625}, {"start": 2269.48, "end": 2270.08, "word": " بيقولنا", "probability": 0.68121337890625}, {"start": 2270.08, "end": 2270.6, "word": " هاي", "probability": 0.40869140625}, {"start": 2270.6, "end": 2270.78, "word": " الـ", "probability": 0.77392578125}, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6f6030fa41bd76d89b9653e00a28ceddc0c508c
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_postprocess.srt
@@ -0,0 +1,1732 @@
+1
+00:00:00,170 --> 00:00:04,070
+ملخص ايش اللي مطلوب منها في موضوع ال proposal وكيف
+
+2
+00:00:04,070 --> 00:00:08,850
+احنا نكتبه كلمنا في بداية الفصل ان ال proposal
+
+3
+00:00:08,850 --> 00:00:13,770
+بتكون من اول شيء ال cover الغلاف الخارجي و بدأ
+
+4
+00:00:13,770 --> 00:00:17,390
+يكون في عندي title و هذا ال title انا مقتبسه من
+
+5
+00:00:17,390 --> 00:00:19,950
+طبك فبالتالي بدأ يكون عندنا في الاول في عندنا
+
+6
+00:00:19,950 --> 00:00:25,590
+title و هذا ال title اللي انا انفكر فيه اساسا جاي
+
+7
+00:00:25,590 --> 00:00:30,990
+من طبكوبعد ذلك بيدكون موجود في صفحة الأولى هي صفحة
+
+8
+00:00:30,990 --> 00:00:34,170
+الغلاف بيدكون موجود عندنا ال name تبع ال
+
+9
+00:00:34,170 --> 00:00:38,470
+researcher و ال supervisor ال chapter التاني بيكون
+
+10
+00:00:38,470 --> 00:00:41,850
+عند ال introduction هكون كاتب overview و كاتب
+
+11
+00:00:41,850 --> 00:00:44,710
+objective و كاتب significant ال chapter التالت
+
+12
+00:00:44,710 --> 00:00:49,210
+أحنا عملناه جاهز و سلمناكوا إياه في كل الأشياء هذه
+
+13
+00:00:49,210 --> 00:00:52,290
+اللي موجودة اللي هو في ال material و ال method و
+
+14
+00:00:52,290 --> 00:00:55,780
+بنسميه chapter تلاتةفبالتالي يظل علينا chapter two
+
+15
+00:00:55,780 --> 00:00:59,360
+chapter اتنين قلنا بنكتب فيه related study و
+
+16
+00:00:59,360 --> 00:01:03,520
+هنوضحها ان شاء الله في فيديو خاص نبدأ واحدة واحدة
+
+17
+00:01:03,520 --> 00:01:08,720
+أول شيء كيف نختار ال title و ال topic ال topic
+
+18
+00:01:08,720 --> 00:01:12,360
+اللي بدك تختاريه أول حاجة بدكون له علاقة بتخصصك و
+
+19
+00:01:12,360 --> 00:01:16,760
+ماحدش يشتغل فيه قبل هيكومشكلة موجودة وبدها حل
+
+20
+00:01:16,760 --> 00:01:20,500
+وممكن الحل اللي انا بده اجيبه ونتائج البحث اللي
+
+21
+00:01:20,500 --> 00:01:24,640
+الناس تقبلها ويكون البحث هذا اللي موجود بحث سهل
+
+22
+00:01:24,640 --> 00:01:29,520
+وكمان البحث ممكن أسويه بكل سهولة وأهم حاجة في
+
+23
+00:01:29,520 --> 00:01:32,980
+الموضوع ان يكون في عندي pickable لل ethics يعني
+
+24
+00:01:32,980 --> 00:01:37,660
+مايكونش بضغط بحياة أي حد من الناس اللي موجودين
+
+25
+00:01:37,660 --> 00:01:40,420
+عندنا هذا أهم الشغلات في ال topic اللي انا بده
+
+26
+00:01:40,420 --> 00:01:45,710
+اختاره ان انا بده اجيب topic موضوع معينبدو يا طالب
+
+27
+00:01:45,710 --> 00:01:50,130
+و هو طالب مهتم فيه أثناء الدراسة أنطلب مني
+
+28
+00:01:50,130 --> 00:01:54,590
+proposal على بروتين محدد أعمل عليه بحث أو أنطلب
+
+29
+00:01:54,590 --> 00:02:00,090
+مني أثناء الدراسة أعمل survey أو مسح لمرض معين و
+
+30
+00:02:00,090 --> 00:02:03,570
+أقول رأي فيه وممكن كل الموضوع عجبني أو كنت أنا
+
+31
+00:02:03,570 --> 00:02:07,830
+بتضرب في مستشفى أو في مختبر وفيه مشكلة موجودة زي
+
+32
+00:02:07,830 --> 00:02:11,750
+موضوع ال abortion اللي هو الإجهاد هذا الموضوع بكون
+
+33
+00:02:11,750 --> 00:02:15,380
+أنا عرفته من خلال الطلاعيوفي مواضيع الواحد هو
+
+34
+00:02:15,380 --> 00:02:18,740
+بيكون يعني حاب يشتغل فيها من خلال مساقاته اللي
+
+35
+00:02:18,740 --> 00:02:24,060
+بدرسها فبالتالي ما بين هدولة كلهم بدي أجمع و أختار
+
+36
+00:02:24,060 --> 00:02:28,340
+و أروح أاخد ال topic تبعي اللي بدي أشتغل عليه كيف
+
+37
+00:02:28,340 --> 00:02:31,600
+بدي أتحول له title؟ بدي أتحول له title بطريقة سهلة
+
+38
+00:02:31,600 --> 00:02:35,820
+أول حاجة ال topic حتى يتحول له title بننظيف له
+
+39
+00:02:35,820 --> 00:02:39,800
+إحدى الكلمات التالية يا prevalence يا risk factor
+
+40
+00:02:39,800 --> 00:02:42,850
+أو prevalence and risk factorأو أضيف له كلمة
+
+41
+00:02:42,850 --> 00:02:45,630
+Pathology و Pathogenesis أو Complication أو
+
+42
+00:02:45,630 --> 00:02:48,390
+Diagnostic أو Prevention أو Treatment أو Prognosis
+
+43
+00:02:48,390 --> 00:02:52,990
+يبقى أول حاجة الـ topic باخد اسم المرض أو اسم
+
+44
+00:02:52,990 --> 00:02:56,410
+الشغل اللي بدنا نشغل عليها ال infertility بقول
+
+45
+00:02:56,410 --> 00:03:01,250
+Prevalence of Infertility أبصرت هناك title؟ لأ لسه
+
+46
+00:03:01,250 --> 00:03:04,530
+ما أبصرتش title حتى تصبح title بلزمها كمان شغلتين
+
+47
+00:03:04,530 --> 00:03:09,490
+بلزمها ال population و ال areaمن هم الناس اللي انا
+
+48
+00:03:09,490 --> 00:03:12,910
+بدي اشتغل عليهم وين ساكنين هدول الناس يبقى انا
+
+49
+00:03:12,910 --> 00:03:14,790
+اللي انا بدي احكي على الـ Retinopathy الـ
+
+50
+00:03:14,790 --> 00:03:18,670
+Prevalence of Retinopathy among type 2 diabetes
+
+51
+00:03:18,670 --> 00:03:22,450
+mellitus in Gaza Strip فصاروا عنده أربعة أشياء،
+
+52
+00:03:22,450 --> 00:03:24,770
+أحد من الأشياء اللي احنا دراسناهم اللي هم هدول
+
+53
+00:03:24,770 --> 00:03:28,890
+بنضيف عليها اسم المرض أو اسم الموضوع اللي بدي
+
+54
+00:03:28,890 --> 00:03:31,740
+اشتغل عليهمش صارت دائما يكون مرض، ممكن يكون
+
+55
+00:03:31,740 --> 00:03:34,540
+infertility، الـ infertility مش مرض يكون موجود
+
+56
+00:03:34,540 --> 00:03:37,880
+عندنا، ممكن يكون الإرضان جمهور، مش disease،
+
+57
+00:03:37,880 --> 00:03:41,240
+فبالتالي بقول هنا عندي في الأشياء اللي موجودة، هذا
+
+58
+00:03:41,240 --> 00:03:44,740
+أول شغلة، رقم 1، وأهم حاجة يكون في عنده topic، إذا
+
+59
+00:03:44,740 --> 00:03:48,600
+أنا حدثت topic، سهل جدا أن أحوله ل title، أول حاجة
+
+60
+00:03:48,600 --> 00:03:53,140
+بضيف كلمة من الموجودات، ثاني شغلة، بضيف ال topic
+
+61
+00:03:53,140 --> 00:03:57,540
+اللي أنا استخدمته، بضيف له اسم ال population، مين
+
+62
+00:03:57,540 --> 00:04:01,150
+هم الناس اللي هشتري عليهم،Type 2 diabetes الستات
+
+63
+00:04:01,150 --> 00:04:05,210
+ال pregnant ال abortion الأنيميا والحاجة الرابعة
+
+64
+00:04:05,210 --> 00:04:09,550
+بضيف ال area in Gaza Strip هيك بكون اتحول ال topic
+
+65
+00:04:09,550 --> 00:04:13,850
+ل title وخلصنا موضوع ال title كتبنا ال title بنجي
+
+66
+00:04:13,850 --> 00:04:16,890
+بنكتبه أول شي في البحث في الصفحه الأولى بالتالي
+
+67
+00:04:16,890 --> 00:04:21,230
+بنروح بنكتب الأسماء و بعدين بنكتب اسم المشرف وهيك
+
+68
+00:04:21,230 --> 00:04:26,900
+بنكون خلصنا صفحه الغلاف الأولىفبكون هى عندنا ال
+
+69
+00:04:26,900 --> 00:04:30,000
+title اللى موجود prevalence of rhinitis infection
+
+70
+00:04:30,000 --> 00:04:35,000
+among type 2 diabetes mellitus patient in Gaza
+
+71
+00:04:35,000 --> 00:04:38,600
+city طب ممكن تكون هنا Gaza strip ممكن تكون خانونس
+
+72
+00:04:38,600 --> 00:04:42,300
+ممكن تكون نور على حسب المكان اللى انت بدك تشتغل
+
+73
+00:04:42,300 --> 00:04:46,180
+عليه فهى ال title خلصناه وبنيجي على المشرف وبنكتب
+
+74
+00:04:46,180 --> 00:04:50,570
+اسم المشرف هنا بنكتب كمان السنةوالشهر اللي بتسلم
+
+75
+00:04:50,570 --> 00:04:54,370
+فيه لبرابوزل هي صفحة الغلاف خلصناها وهي شعار
+
+76
+00:04:54,370 --> 00:04:58,370
+الجامعة بيكون بالصورة هذه والتخطيط هذا مش لازم
+
+77
+00:04:58,370 --> 00:05:02,110
+يكون موجود عندنا تخطيط الصفحات بالصورة هذه دائما
+
+78
+00:05:02,110 --> 00:05:06,510
+البرابوزل يسلم بدون تخطيط الصفحات يعني هذا التخطيط
+
+79
+00:05:06,510 --> 00:05:11,790
+مالوش لازم يكون عندنا موجود لهذا احنا بنقول الصفحة
+
+80
+00:05:11,790 --> 00:05:15,510
+الأولى فرد جاهزة احنا بنتقل مباشرة على Chapter 1
+
+81
+00:05:15,510 --> 00:05:20,530
+Chapter 1 طالما انا حددتالـ Title صار أمر بسيط،
+
+82
+00:05:20,530 --> 00:05:23,390
+يجب أن تكتب Overview يجب أن تكتب General Objective
+
+83
+00:05:23,390 --> 00:05:26,630
+وSpecific Objective وSignificant فكيف يجب أن تكتب
+
+84
+00:05:26,630 --> 00:05:30,110
+الـ Overview؟ ماهو الـ Title اللي نستخدمه؟ Urinary
+
+85
+00:05:30,110 --> 00:05:34,510
+Tract Infection هذا كله كـ Disease بيكون موجود، لو
+
+86
+00:05:34,510 --> 00:05:37,150
+أنا كل هذا فيه Capital واحد، بدي أخليه كله
+
+87
+00:05:37,150 --> 00:05:41,390
+Capital، يا كل Small عشان يكون هنا مواحد طيب، أنا
+
+88
+00:05:41,390 --> 00:05:43,390
+مش عارف مين Independent ومين Independent، مين
+
+89
+00:05:43,390 --> 00:05:48,110
+Exposure ومين Outcome؟هي عنده واحد اللي موجود ال
+
+90
+00:05:48,110 --> 00:05:52,030
+disease وهي عنده ال population رقم اتنين هدولة
+
+91
+00:05:52,030 --> 00:05:56,130
+الاتنين انا بدأ اكون active عنهم هو مين بيجي قبل
+
+92
+00:05:56,130 --> 00:06:00,070
+مين الطالب 2 ديرابيتس بيصير و بعدين بيصير ريونارات
+
+93
+00:06:00,070 --> 00:06:02,930
+راك انفكشن و لا بيصير عنده ريونارات راك انفكشن و
+
+94
+00:06:02,930 --> 00:06:07,270
+بعدين بيجي ديرابيتس انا اعتقادي و فكري و فرضيتي ال
+
+95
+00:06:07,270 --> 00:06:10,730
+hypothesis بتقول انه بيصير عنده سُكَر بعدين دروح
+
+96
+00:06:10,730 --> 00:06:14,590
+بيصير عنده ريونارات راك انفكشن فبالتالي الطالب
+
+97
+00:06:14,790 --> 00:06:20,570
+بتروح يكتب أول حاجة على type 2 diabetes بعدين اروح
+
+98
+00:06:20,570 --> 00:06:23,910
+يكتب عرض Neurotracking Fiction في المقدمة ايش
+
+99
+00:06:23,910 --> 00:06:26,370
+المعلومات اللي لازم اكون عارفها حتى قبل اكتب في
+
+100
+00:06:26,370 --> 00:06:29,490
+المقدمة هذه المعلومات لازم تكون عارفة في بعض ال
+
+101
+00:06:29,490 --> 00:06:32,090
+information لازم انت تكون عارفها قبل ان تكتب في
+
+102
+00:06:32,090 --> 00:06:35,510
+المقدمة الشيء ال information هذه اول حاجة قبل ان
+
+103
+00:06:35,510 --> 00:06:38,670
+ابدأ في المقدمة بتكون عارف على الشيء اللي انا كتبت
+
+104
+00:06:38,670 --> 00:06:42,390
+فيه على type 2 diabetes كل الأشياء اللي موجودة هذه
+
+105
+00:06:42,750 --> 00:06:46,690
+وأنا فاهمهم وعندي جواب لكل سؤال فيهم لو سألناك
+
+106
+00:06:46,690 --> 00:06:49,570
+العنوان اللي قبل شوية الـLunar Track Infection
+
+107
+00:06:49,570 --> 00:06:52,870
+والـType 2 Diabetes فتكون عارف الـDefinition تبع
+
+108
+00:06:52,870 --> 00:06:55,430
+Lunar Track Infection والـDefinition تبع
+
+109
+00:06:55,430 --> 00:06:57,770
+الـDiabetes الـPrevalence تحت Lunar Track
+
+110
+00:06:57,770 --> 00:06:59,890
+Infection في الـDiabetes والـPrevalence تحت
+
+111
+00:06:59,890 --> 00:07:03,190
+الـDiabetes in general الـRisk Factor للـLunar
+
+112
+00:07:03,190 --> 00:07:06,310
+Track Infection والـRisk Factor للـDiabetes
+
+113
+00:07:06,310 --> 00:07:10,660
+الـPathogenesisللـ Diabetes و الـ Pathogenesis لـ
+
+114
+00:07:10,660 --> 00:07:14,420
+Lunar Track Infection لكي تكون فاهم الـ Pathology
+
+115
+00:07:14,420 --> 00:07:17,580
+لـ Lunar Track Infection و الـ Pathology لـ
+
+116
+00:07:17,580 --> 00:07:20,620
+Diabetes لكي تكون عارف الـ Complication بتاعة الـ
+
+117
+00:07:20,620 --> 00:07:23,320
+Type 2 Diabetes و الـ Complication بتاعة الـ Lunar
+
+118
+00:07:23,320 --> 00:07:26,740
+Track Infection لكي تكون عارف كيف هو يشخص السكر و
+
+119
+00:07:26,740 --> 00:07:30,140
+أيضا كيف هو يشخص Lunar Track Infection لكي تكون
+
+120
+00:07:30,140 --> 00:07:33,440
+عارف طرق الوقاية من الـ Type 2 Diabetes لكي تكون
+
+121
+00:07:33,440 --> 00:07:36,740
+عارف طرق الوقاية من Lunar Track Infectionتكون عارف
+
+122
+00:07:36,740 --> 00:07:39,120
+إيش الدواء اللي بيستخدمه المريض تابع ديابيتس
+
+123
+00:07:39,120 --> 00:07:42,620
+والدواء اللي بيستخدمه المريض لما يصاب بـ Jonathan
+
+124
+00:07:42,620 --> 00:07:47,400
+Hitchens تكون عارف كيف بتتم متابعة تابع ديابيتس
+
+125
+00:07:47,400 --> 00:07:51,900
+وكذلك كيف بتتم متابعة Jonathan Hitchens هذه
+
+126
+00:07:51,900 --> 00:07:56,080
+المعلومات والأسئلة جوابتي عنها أو جوابت عنها تبدأ
+
+127
+00:07:56,080 --> 00:07:59,340
+تكتب في المقدمة بعد ذلك طب كيف نكتب في المقدمة
+
+128
+00:07:59,340 --> 00:08:02,420
+عرفنا كل حاجة في هاتول وقمنا من كل هذه المعلومات
+
+129
+00:08:02,420 --> 00:08:07,700
+وحطيتها واحد في صحة الأشياء هذهأول شيء في الكتابة،
+
+130
+00:08:07,700 --> 00:08:11,800
+تكتب في اللي بيجي قبل الـType 2 Diabetes بيجي قبل
+
+131
+00:08:11,800 --> 00:08:16,940
+الـRenal Track Infection تكتب تعريف الـType 2
+
+132
+00:08:16,940 --> 00:08:20,240
+Diabetes، تكتب الـPrevalence و تكتب الـRisk Factor
+
+133
+00:08:20,240 --> 00:08:25,660
+على نفس الـType 2 Diabetesبتكتب ال pathology و ال
+
+134
+00:08:25,660 --> 00:08:28,480
+pathogenesis و ال complications اللي من ضمنها ال
+
+135
+00:08:28,480 --> 00:08:32,220
+neonatal infection بعد ذلك نكتب ال diagnosis و ال
+
+136
+00:08:32,220 --> 00:08:35,380
+prevention و نكتب كمان ال treatment و ال prognosis
+
+137
+00:08:35,380 --> 00:08:39,420
+لجزء اللي بيجي في الأولخلصنا الجزء الأول بنروح على
+
+138
+00:08:39,420 --> 00:08:43,340
+الـ UTI الـ UTI بنكتب فيها نفس الأشياء هنهنه تعريف
+
+139
+00:08:43,340 --> 00:08:46,560
+الـ UTI كانت إيش نسبتها في مرض السكر؟ إيش عوامل
+
+140
+00:08:46,560 --> 00:08:49,980
+الـ UTI في مرض السكر؟ تب التم؟ إيش الأعضاء اللي
+
+141
+00:08:49,980 --> 00:08:53,020
+بتتأثر؟ الـ kidney وإذا في عوامل تاني زي الـ liver
+
+142
+00:08:53,020 --> 00:08:55,500
+لو حد صار عنده UTI إيش ال complicated اللي بتتم
+
+143
+00:08:55,500 --> 00:08:59,640
+عنده؟ كل واحدة سطر سطر سطر أو أقل يعني ممكن ال
+
+144
+00:08:59,640 --> 00:09:04,340
+prevalence تكون في نص سطر وتكون ال risk factor في
+
+145
+00:09:04,340 --> 00:09:08,890
+سطرالـ pathogenesis تكون في سطح ممكن ال pathology
+
+146
+00:09:08,890 --> 00:09:11,310
+نقول إن هنا track infection بأثر على ال kidney
+
+147
+00:09:11,310 --> 00:09:17,000
+تكون كلمة بتكفيأو كلمتين أو تلاتة الـ Complication
+
+148
+00:09:17,000 --> 00:09:20,360
+لما صار عنده Renal Tract Infection أنه بيصير عنده
+
+149
+00:09:20,360 --> 00:09:23,460
+صعوبة في التبول فهذه الـ Complication بتكون كمان
+
+150
+00:09:23,460 --> 00:09:27,260
+كلمة كيف تشخص عن طريق تحليل الـ Vol؟ كيف ممكن يمنع
+
+151
+00:09:27,260 --> 00:09:30,220
+Renal Tract Infection أن المريض يتبع؟ وأحيانا
+
+152
+00:09:30,220 --> 00:09:34,420
+بيخضرها بعض العلاجات آخر فترة بتكون عندى موجودة أن
+
+153
+00:09:34,420 --> 00:09:37,800
+أنا أربط التنتين هدول مع بعض الأول والتاني أني
+
+154
+00:09:37,800 --> 00:09:42,580
+أقول في مرضى السُكر كثير من مرضى السُكر بيعانوا من
+
+155
+00:09:42,580 --> 00:09:46,590
+Renal Tract Infectionأو بقول أكتر من الدراسات
+
+156
+00:09:46,590 --> 00:09:51,330
+بيّنت أن الـ Type 2 Diabetes هو Risk موجود
+
+157
+00:09:51,330 --> 00:09:56,030
+لـLionella Tract Infection ومرضى السُكر أكثر عوضة
+
+158
+00:09:56,030 --> 00:10:01,230
+وبكتب اسم المرجع خلصنا بهيك كل الأشياء المتعلقة في
+
+159
+00:10:01,230 --> 00:10:05,350
+الـ Overview وبتكون عبارة عن صفحتين من خلال معرفتي
+
+160
+00:10:05,790 --> 00:10:09,190
+لازم اكتب كل هذه الشغلات؟ لأ مش لازم ممكن تكتب
+
+161
+00:10:09,190 --> 00:10:13,150
+منها بعض الشغلات اللي موجودة وممكن نكتب منها أجزاء
+
+162
+00:10:13,150 --> 00:10:17,170
+بسيطة يعني ممكن حد يكتفي في الفقه هذه كلها تاوي
+
+163
+00:10:17,170 --> 00:10:21,650
+توسع فيها okay بس بتكون عارف لو انسأل من أي حد بس
+
+164
+00:10:21,650 --> 00:10:23,590
+اكتب proposal لو انسأله في الأشياء التانية بده
+
+165
+00:10:23,590 --> 00:10:26,410
+يعرف يجاوبهم فبالتالي ممكن نكتفي بالأشياء اللي
+
+166
+00:10:26,410 --> 00:10:30,550
+موجودة هذه وممكن هذه كلها كمان مانكتبهاش نكتب ال
+
+167
+00:10:30,550 --> 00:10:33,100
+definitionوالـ Prevalence للـ Type II Diabetes
+
+168
+00:10:33,100 --> 00:10:36,840
+with this factor ونروح مباشرة نحكي عن الـ UTI نكتب
+
+169
+00:10:36,840 --> 00:10:39,440
+الـ Definition و الـ Prevalence with this factor
+
+170
+00:10:39,440 --> 00:10:43,560
+ونقول عندك صفحة و نص بكفي بس هذه الأشياء بدأت أكون
+
+171
+00:10:43,560 --> 00:10:48,060
+عارفها حتى لو حد سألني عنها أقدر أجاوب ولكن جزئية
+
+172
+00:10:48,060 --> 00:10:50,720
+المهمة هذه لازم تكون مكتوبة نربط فيها الـ
+
+173
+00:10:50,720 --> 00:10:53,580
+Dependent بالـ Independent أو الأولاني بالتاني أو
+
+174
+00:10:53,580 --> 00:10:56,740
+اللي بيجي قبل باللي بيجي بعد وكلها بتكون فقرة
+
+175
+00:10:56,740 --> 00:11:00,980
+واحدة أو سطرين أنه بقول هناك العديد من الدراسات
+
+176
+00:11:01,700 --> 00:11:04,900
+Several studies illustrated that the relation
+
+177
+00:11:04,900 --> 00:11:07,340
+between urinary tract infection and type 2
+
+178
+00:11:07,340 --> 00:11:11,240
+diabetes أو type 2 diabetes بيعمل عندنا urinary
+
+179
+00:11:11,240 --> 00:11:14,120
+tract infection أو urinary tract infection is
+
+180
+00:11:14,120 --> 00:11:18,140
+complicated هو بتيجي complicated from type 2
+
+181
+00:11:18,140 --> 00:11:22,000
+diabetes وبنكتب اسم المرجع اللي كان موجود عندنا
+
+182
+00:11:22,000 --> 00:11:26,320
+طيب لما نروح على جوجل بنكتب prevalence urinary
+
+183
+00:11:26,320 --> 00:11:30,450
+tract infection وبنكتب type 2هنا بتكون الكلمات
+
+184
+00:11:30,450 --> 00:11:34,170
+اللي موجودة كلمات مفتاحية بيجيب لكل حاجة فيها ال
+
+185
+00:11:34,170 --> 00:11:37,230
+prevalence معيونة track infection مع type 2
+
+186
+00:11:37,230 --> 00:11:40,950
+diabetes بدون أي حروف جامب تكون موجودة in و out و
+
+187
+00:11:40,950 --> 00:11:44,250
+و بدون أي الحروف اللي بتكون موجودة نكتبها بس
+
+188
+00:11:44,250 --> 00:11:47,450
+الكلمات المفتاحية ال keys الأساسية اللي بتكون
+
+189
+00:11:47,450 --> 00:11:50,510
+موجودة عندنا يا بنكتبها و العادية يا بنوديها على
+
+190
+00:11:50,510 --> 00:11:51,110
+Google Scholar
+
+191
+00:11:53,740 --> 00:11:57,100
+وهي ودناها على Google Scholar وطلعت معانا النتائج
+
+192
+00:11:57,100 --> 00:12:00,540
+اللي موجودة بين إيدينا طب وانا بدي في Google
+
+193
+00:12:00,540 --> 00:12:04,520
+Scholar أجيب للأشياء اللي موجودة فيها كل الأشياء
+
+194
+00:12:04,520 --> 00:12:07,500
+هذه ال prevalence ولونها track infection وtype 2
+
+195
+00:12:07,500 --> 00:12:11,660
+diabetes ويستثنى كل الباقي بكتب هنا كلمة and and
+
+196
+00:12:11,660 --> 00:12:15,900
+فبيجيب لل title اللي فيها الأشياء هذه فقط بروح
+
+197
+00:12:15,900 --> 00:12:18,160
+بدور على ال title اللي فيها كلمة prevalence
+
+198
+00:12:18,160 --> 00:12:24,050
+incidenceوبيجيبها هي وفيها هنا Track and Fiction و
+
+199
+00:12:24,050 --> 00:12:26,950
+الـ Type 2 Diabetes و الـ Prevalence و كل الأشياء
+
+200
+00:12:26,950 --> 00:12:30,550
+بتكون فبتكون هذه الدراسات قريبة من العنوان اللي
+
+201
+00:12:30,550 --> 00:12:37,430
+أنا بديها حتى أجيب دراسات من سنوات محددة بكتب هنا
+
+202
+00:12:37,430 --> 00:12:44,790
+2015 لـ 2020 و بعمله بحث بلاحظ في الأبحاث اللي
+
+203
+00:12:44,790 --> 00:12:50,800
+موجودة كلهاجابلنا الأبحاث 2015 2017 2015 فبكون
+
+204
+00:12:50,800 --> 00:12:55,460
+جابلنا كمان 2016 جابلنا 2016 فبتكون كلها أبحاث
+
+205
+00:12:55,460 --> 00:12:59,520
+حديثة بنبدأ واحد واحد فيهم و احنا أول حاجة بنروح
+
+206
+00:12:59,520 --> 00:13:02,860
+ندور نقرأ فيها الأبحاث اللي موجودة و لو روحنا
+
+207
+00:13:02,860 --> 00:13:05,580
+فتحنا أول واحدة هلاقي أحيان موجود فيها ال
+
+208
+00:13:05,580 --> 00:13:08,200
+definition هلاقي موجود فيها ال prevalence هلاقي
+
+209
+00:13:08,200 --> 00:13:11,200
+موجود فيها كل الأشياء اللي نبديها بناخد هذه
+
+210
+00:13:11,200 --> 00:13:16,000
+المعلومات و بنبدأ نكتب بال introductionهو كتبنا
+
+211
+00:13:16,000 --> 00:13:20,860
+type 2 diabetes definition بنبدأ أول حاجة هي موجود
+
+212
+00:13:20,860 --> 00:13:24,360
+أول title أجي عنها في تاريخ 2014 موجود في ال
+
+213
+00:13:24,360 --> 00:13:27,380
+definition و ال classification و ال diagnosis لال
+
+214
+00:13:27,380 --> 00:13:32,040
+diabetes لو فتحنا الملف اللي موجود بنلاقيه هو
+
+215
+00:13:32,040 --> 00:13:34,960
+كتبلنا التعريف تبعه كتبلنا التصنيفات احنا بدنا
+
+216
+00:13:34,960 --> 00:13:39,900
+التعريف بناخد copy وهي كتبنا chapter 1 هتعملهم
+
+217
+00:13:39,900 --> 00:13:44,600
+توسيط بنجي هنا على توسيط الصفحة بنخليهم 14 او 16
+
+218
+00:13:45,350 --> 00:13:48,570
+بنجي هنا ونخليها الـ overview خط 14 لأنه بيكون
+
+219
+00:13:48,570 --> 00:13:53,730
+الخط التاني بنخليه هنا capital ال overview وبنجي
+
+220
+00:13:53,730 --> 00:14:00,030
+هنا الخط بنخليه اللي هو time of new roman وبنخليه
+
+221
+00:14:00,030 --> 00:14:03,650
+على خط 12 بنعمل كمان أن يكون عندنا فيه نهاية
+
+222
+00:14:03,650 --> 00:14:06,830
+للصفحات زي ما احنا شايفين خط واحد وبنعمل تباعد
+
+223
+00:14:06,830 --> 00:14:11,330
+الأسطور اللي موجود سطر نص بنقول okay أحيانا هذه
+
+224
+00:14:11,330 --> 00:14:15,100
+الفترة أنا أخدتها كتعريفطيب، من أين أنا جبت
+
+225
+00:14:15,100 --> 00:14:17,960
+التعريف هذا؟ جبنا التعريف من الـ reference اللي
+
+226
+00:14:17,960 --> 00:14:21,240
+كان موجود عندنا الـ reference اللي أنا أخدت منه
+
+227
+00:14:21,240 --> 00:14:24,560
+بنضغط على الـ reference وهي الـ reference وبناخد
+
+228
+00:14:24,560 --> 00:14:29,160
+الـ reference copy وبنضيفه في قائمة المراجع وبنروح
+
+229
+00:14:29,160 --> 00:14:32,980
+هنا عاملين صفحة تانية لـ reference لأنه أسهل لي أن
+
+230
+00:14:32,980 --> 00:14:36,300
+أضيف الـ reference فبكون هنا عندنا صفحة تانية
+
+231
+00:14:36,300 --> 00:14:44,320
+بتيجي من إنشاء ملف word بيطلع عندنا الملفبنسميه
+
+232
+00:14:44,320 --> 00:14:49,240
+reference وبنخلي كلمة references موجودة في خط 14
+
+233
+00:14:49,240 --> 00:14:54,960
+وبنخليها bold هين رايحين عاملين insert وضيفين جدول
+
+234
+00:14:54,960 --> 00:14:59,540
+الجدول اللي موجود بيكون بالتالي بالشكل هذا ليش
+
+235
+00:14:59,540 --> 00:15:02,480
+الجدول هنتخلع ان شاء الله ليش الجدول خط اول
+
+236
+00:15:02,480 --> 00:15:06,020
+reference احين كيف بتوثق اللي موجود قبل باخد هذه
+
+237
+00:15:06,020 --> 00:15:11,860
+الفقرة copy وباجي هنا مباشر باخد الأولىوباخد كلمة
+
+238
+00:15:11,860 --> 00:15:15,840
+2014 الاتنين تاني هدول بضل الاولى و بضغط على
+
+239
+00:15:15,840 --> 00:15:20,460
+control و بضل ضغط و باخد 2014 و بقول copy لو كانوا
+
+240
+00:15:20,460 --> 00:15:24,320
+اتنين بدي اكتب الاتنين لو كانوا اكتر من اتنين بدي
+
+241
+00:15:24,320 --> 00:15:28,100
+اكتب الاولاني و اكتب it ال و اكتب اللي بعدين
+
+242
+00:15:28,100 --> 00:15:33,340
+فبالتالي لو كان الاول موجود و هذا مش موجود زي هيك
+
+243
+00:15:33,340 --> 00:15:41,150
+عسب المثال كان هذا مش موجود فبنكتبأول حاجة يجب أن
+
+244
+00:15:41,150 --> 00:15:47,430
+تكون موجودة في القائمة بالشكل هذا و بعدين فاصلة و
+
+245
+00:15:47,430 --> 00:15:54,750
+2014 و بين قوسين نضيفها لو كان واحد لحاله نودّيها
+
+246
+00:15:54,750 --> 00:16:03,630
+على الفقرة اللي أخدتها و
+
+247
+00:16:03,630 --> 00:16:09,910
+نضيفها هنا هذه ساعة و ضفانة موجودة لو كانوا اتنين
+
+248
+00:16:11,270 --> 00:16:15,610
+زي ما هو موجود في المثال اتنين بصورة هادى هنكتب
+
+249
+00:16:15,610 --> 00:16:23,010
+اسم الأول والتانى يعني هنكتب الأول شايلين
+
+250
+00:16:23,010 --> 00:16:32,030
+بعض الكلام اللى موجود وكاتبين 2014 بصورة
+
+251
+00:16:32,030 --> 00:16:38,670
+هادى فاصلة بناخد و بنضيفها بين قوسين هيضيف فاصلة
+
+252
+00:16:38,670 --> 00:16:42,560
+انا بدى اخد احين اعمل منه citationبنعملها قص
+
+253
+00:16:42,560 --> 00:16:48,380
+ضيفينها على صفحة ال word اللي هي هنا يبقى لو كان
+
+254
+00:16:48,380 --> 00:16:51,460
+واحد بتكون بالصورة هذه لو كان اتنين بتكون بالصورة
+
+255
+00:16:51,460 --> 00:16:55,660
+هذه هي الفقرة اللي موجودة وهي ال difference تبعها
+
+256
+00:16:55,660 --> 00:16:59,160
+بعد ذلك الفقرة اللي بعدها
+
+257
+00:17:02,050 --> 00:17:04,370
+بندور بعد ما خلصنا الـ definition على prevalence
+
+258
+00:17:04,370 --> 00:17:07,670
+of type 2 diabetes فبنكتب prevalence of type 2
+
+259
+00:17:07,670 --> 00:17:11,010
+diabetes وبنجي هنا على هذه تقريبا هي كاتبة
+
+260
+00:17:11,010 --> 00:17:14,730
+prevalence of type 2 diabetes بنضغط عليها تفتح
+
+261
+00:17:14,730 --> 00:17:18,310
+معانا الأرقونة فبنلاقي كاتب prevalence of type 2
+
+262
+00:17:18,310 --> 00:17:22,840
+diabetes 7.3%هو كاتب بناخد الـ prevalence of type
+
+263
+00:17:22,840 --> 00:17:26,480
+2 diabetes و اللي هو الرقم اللي موجود هنا نلاثق
+
+264
+00:17:26,480 --> 00:17:29,560
+ماتجهاش نفس التنصيق حتى نجيب نفس التنصيق بنضغط على
+
+265
+00:17:29,560 --> 00:17:32,620
+أي مكان فيه التنصيق اللي أنا معتمده و بنضغط عليه
+
+266
+00:17:32,620 --> 00:17:35,220
+في فرشاية و بنعمل عليه بيصير نفس التنصيق اللي
+
+267
+00:17:35,220 --> 00:17:38,040
+موجود هذه الكلمة أنا شاية أعملهاش لازمة بنشيلها
+
+268
+00:17:38,430 --> 00:17:41,690
+عشان يكون نفس الشيء type 2 diabetes mellitus
+
+269
+00:17:41,690 --> 00:17:45,170
+فبتكون هذه طب كيف بنجيب المرجع بنرجع على نفس
+
+270
+00:17:45,170 --> 00:17:48,310
+المرجع اللي أنا أخدت منه اللي هو هذا نضغط على الـ
+
+271
+00:17:48,310 --> 00:17:51,570
+double comma اللي موجودة بيجينا أكتر من واحد copy
+
+272
+00:17:51,570 --> 00:17:55,770
+بدل ما أكون فاتح الصفحه ده وأظلني أوائه جاي أدور
+
+273
+00:17:55,770 --> 00:17:57,890
+على مكان ال reference هم بيكونوا موجودين في file
+
+274
+00:17:57,890 --> 00:18:02,150
+لحالي بادرح تغطين وضيفينه في file لحالي بيكونوا زي
+
+275
+00:18:02,150 --> 00:18:06,090
+هيك وهنا أكتر من واحد في الحالة هذا بتاخد الأولاني
+
+276
+00:18:06,090 --> 00:18:11,570
+وادرح عملي اللي لسقبين في المكان تحت منه وبعدين
+
+277
+00:18:11,570 --> 00:18:19,910
+بنقول it ال نقطة فاصلة الفين وعشرة هي رقم 2010
+
+278
+00:18:19,910 --> 00:18:27,190
+فصار كأننا بنقول العالم الأولان وشركاءه وبناخد هذه
+
+279
+00:18:27,190 --> 00:18:31,570
+الفقرة وبنقول له cut وبنروح هنا بنقول له على
+
+280
+00:18:31,570 --> 00:18:38,030
+الأشياء اللي بنعمله كمان لسقهذا تاني يقولّي كل
+
+281
+00:18:38,030 --> 00:18:40,810
+فقرة بيدا أظل أجيب فيها زي هيك .. أه كل فقرة بدك
+
+282
+00:18:40,810 --> 00:18:44,270
+تجيب إليها reference طب مانفعش هدول أنجمعهم في
+
+283
+00:18:44,270 --> 00:18:47,970
+الآخر يعني لو جبت هنا ال definition و ال
+
+284
+00:18:47,970 --> 00:18:51,170
+prevalence و ال risk factor أنجمعهم مع بعض مانفع
+
+285
+00:18:51,170 --> 00:18:54,230
+كذلك بيدا أقول ال epidemiology أو risk factor
+
+286
+00:18:54,230 --> 00:18:58,010
+للtype 2 diabetes في google scholar و أعمل CHوبيجي
+
+287
+00:18:58,010 --> 00:19:01,030
+هنا عندنا الـ Risk Factor لـ Type 2 Diabetes
+
+288
+00:19:01,030 --> 00:19:04,570
+وبيروح فاتحينها، بلاحظ أن العالم قالنا هنا هو كاتب
+
+289
+00:19:04,570 --> 00:19:08,330
+نفس الشيء، كاتب تعريف الـ Diabetes، كاتب الـ
+
+290
+00:19:08,330 --> 00:19:11,690
+Prevalence زي ما احنا بدنا، و بعدين داخل على ال
+
+291
+00:19:11,690 --> 00:19:14,670
+Risk Factor، و كأنه ماشي على ال step اللي مُعتمد
+
+292
+00:19:14,670 --> 00:19:18,150
+أو موجودة، هايو كاتب ال Risk Factor اللي موجودة لـ
+
+293
+00:19:18,150 --> 00:19:25,930
+Type 2 Diabetes، في منهامايكو وفي منها ميكو ميكو
+
+294
+00:19:25,930 --> 00:19:33,310
+ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو
+
+295
+00:19:33,310 --> 00:19:35,430
+ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو
+
+296
+00:19:35,430 --> 00:19:37,470
+ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو ميكو
+
+297
+00:19:37,470 --> 00:19:45,430
+ميكو ميكو
+
+298
+00:19:46,900 --> 00:19:50,600
+بنضلل الكلام مباشرة بتحول للتنصيق اللي بدناه
+
+299
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+بنضغط عليها عملوله copy وبنروح على الورق اللي فيها
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+301
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+ال reference اللي موجودين وبنسخها بعد ذلك بناخد
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+اتقال معناته وشركائه 2014 وبنسكر ال course هي احنا
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+اكون كاتب انه في journal track infectionOkay ماشي،
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+هذه في الأشياء اللي اتكلمنا عنهم بخصوص Chapter 1
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+هذا الـ Overview كلمنا كيف نجيب المراجع لكل فقرة
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+كيف نكتبهم بالصورة اللي استخدمناها وهنا بتكون
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+نجيب هنا نعمل اللي هم Password ببدي نضغط على الـ A
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+ليهم ابجدي ريحنا في ترتيب الابجدي وحتى الخنات اللي
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+ضلت فاضية ممكن أعملها delete لما أخلص طب كيف بدنا
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+بنروح معالمين على ال gross من اللي موجود وبنقول له
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+نضغط ضغط بضيف ان عبارة عن او بضيف صفر بنضغط اكتر
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+كده بنكتب ال objective ال objective بنكتبها زيها
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+زي ال title هي ال objective اللي موجودة بناخد نفس
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+ال title بس بنضيفله الأمور التاليةأحد الفروع
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+الكلمات اللي موجودة عندنا يا إما to determine، يا
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+to compare، يا to describe، يا to calculated، to
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+explore، to identify، to establish، to test ونبعد
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+عن الـverb هذه ممنوع نكتبها to understand، to
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+show، to study، to believe، to share ما بنكتبها
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+بسميه general objective وspecific objective
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+الـgeneral objective بكتبأسس هذا الـ verb اللي
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+انه مش نفس التنسيق ما بدنا نجيب نفس التنسيق بدي
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+الأيقونة و بنقوله هيو جابها بالصورة هذه نفس
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+بنضغط على shift و بنظل ضغطين و بنضغط على F3 بتتحول
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+كلها لcapital كمان ضغط و احنا ضغطين على shift
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+بتتحول كلها لsmall طب هذه المنطقة بديها تكون
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+capital بروح و نكتبي انها يدوي طب في حال تاني انك
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+انت تروح manual ان احنا نعملهم كل الحروف اللي كانت
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+موجودة عندي قبل ان انا اجبب باجع هدولة manual
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+بخليهم smallطب بدنا نجيبهم محاذايا عاليمين
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+ومحاذايا عالشمال بنجي هنا بعد ما نخلص هذه كل
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+أهيتها الحروف بروح بنعملهم محاذايا عاليمين في
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+الصورة هذه طب بدي اياهم يكونوا مستويين وكلهم نفس
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+بعض أكتر من هنا بنقول الخط لازم يكون سطر و نص تبعد
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+الأسطور سطر و نص طب هي bold بديها تكون مش bold
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+نضغط على القون هذه فبتكون ال objective جاهز ففيك
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+objective مكتوب من كتب تلاتي اسم فيك objective
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+فبنبدأ أول حاجة نقول to measure to measure the
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+concentration of unit of creatinine and glucose
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+385
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+مابين المشاركين فبالتالي الأمر سهل لو خدنا
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+relation between gender and your narrative and
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+387
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+fiction ممكن نكون ك objective relation between
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+388
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+governorate و your narrative and fiction أيضا صار
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+389
+00:25:49,470 --> 00:25:56,290
+عندي objective ال relation between ال education و
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+390
+00:25:56,290 --> 00:25:58,070
+your narrative and fiction صار عنده objective
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+391
+00:25:58,070 --> 00:26:02,230
+هجيبت objective غير اللي موجودة genderو Education
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+و Governorate أساسيات وكل واحد بضيفها فيه
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+objective و بضيف اسم ال decision اللي مستخدم حد
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+قال لك ليش انت قلت هنا track infection ماقلتش
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+الطيب 2 diabetes لأنك انت في الحالة هذه كل العينا
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+اللي موجودة عندك هم هنا track infection وال
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+outcome اللي هيطلع عندك هيطلع عندك هنا track
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+infection yes or no مش هيطلع عندك طيب 2 diabetes
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+yes or no انت كل الناس اللي ماخدهمطيب 2 ديابيتس
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+هيكونوا طيب 2 ديابيتس بس ال yes و ال no جاي معناه
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+attack and friction هي اللي بنكتبها في ال specific
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+403
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+objective هذه ال specific objective كمان خلصناها
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+404
+00:26:47,250 --> 00:26:51,990
+specific objective بتكونش فيها reference خالص و ال
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+general objective بتكونش فيها reference خالصبقى
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+406
+00:26:54,830 --> 00:26:57,270
+عندنا آخر حاجة في الـ chapter اللي هي الـ
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+407
+00:26:57,270 --> 00:27:00,450
+Significance of Study Significance of Study بدنا
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+00:27:00,450 --> 00:27:05,550
+نتكلم فيها هي بتكون آخر حاجة موجودة نقول فيها عاش
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+الفقهة أو عاش المشكلة اللي موجودة عندي المشكلة
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+اللي موجودة عندي أن مرضى السكر بينصاب بالـ UTI
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+والبحث إيش بده يشارك البحث بده يشارك بده يسلط
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+00:27:17,070 --> 00:27:20,510
+الضوع النسبة هذه وهذه تُكتب بعد الـ Objective يعني
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+هتلاقي بحث من الارتخاذ اللي انت خدت منهم واحد كاتب
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+تكتب زيها و بس هو بيكون كاتب ال area في هونج كونج
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+دمش في بعض ويطلع بـ Significant كويس ومرتبع واحد
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+420
+00:27:44,600 --> 00:27:48,020
+تالت ممكن ياخد نفس اللي احنا كاتبينها في الأبحاث
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+اللي احنا رفعناهم ويسقطها على نفس الضغط بتاعته
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+ويطلع عنده الـ Significant جاهزة الموضوع بس بده
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+00:27:54,980 --> 00:27:58,600
+يكون نية ان الحد بدي يكون ناوي يشتغل طب و specific
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+object فانا مش عارف اكتبهم و اين اجيبهم نفس ما
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+00:28:01,540 --> 00:28:04,140
+اتكلمنا في الـ Significant تلاقي في الدراسات
+
+426
+00:28:04,140 --> 00:28:07,300
+السابقة مكتوبة general objective و specific
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+objectiveتخديها من دراسات سابقة موجودة ان شاء الله
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+هتحسوا كل واحد فيكوا او كل واحد فيكوا ان هي المادة
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+فدتها بشكل كبير و أكتبت الأفكار و بدنا نوقف
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+430
+00:28:18,990 --> 00:28:22,530
+لعندهين في الفيديو هذا شابط كامر خصصته في فيديو
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+خاصة بإن اي حد عنده مشكلة خلال رسالة على ال email
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+00:28:27,210 --> 00:28:31,630
+رسالة على ال whatsapp رسالة على ال facebook فاتمنى
+
+433
+00:28:31,630 --> 00:28:34,170
+لكم التوفيق والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..2920bbd9182cfb76714416f1528cea08900f586d
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/HyONzTyYnQU_raw.json
@@ -0,0 +1 @@
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title؟ بدي أتحول له title بطريقة سهلة أول حاجة ال topic حتى يتحول له title بننظيف له إحدى الكلمات التالية يا prevalence يا risk factor أو prevalence and risk factor", "tokens": [38688, 1829, 3714, 2407, 46958, 40228, 2423, 14407, 24401, 31439, 4724, 1829, 30544, 37495, 22653, 11331, 16758, 7251, 8592, 2655, 17082, 1211, 8978, 11296, 9154, 16490, 1211, 6027, 47524, 995, 4587, 9307, 3224, 13672, 1829, 47525, 2288, 3794, 11296, 6156, 3555, 6027, 2655, 6027, 1829, 19446, 49374, 8032, 3215, 12610, 3660, 28242, 16095, 4724, 16254, 5551, 7435, 2304, 3615, 4032, 5551, 46456, 9640, 4032, 5551, 32887, 5016, 5551, 47283, 3215, 2423, 4829, 6055, 3555, 3615, 1829, 13672, 1829, 4724, 16254, 5551, 8592, 2655, 17082, 1211, 47356, 9122, 33911, 4724, 16254, 5551, 2655, 5016, 12610, 46740, 4876, 22807, 4724, 16254, 5551, 2655, 5016, 12610, 46740, 4876, 4724, 9566, 16572, 28671, 8608, 3224, 37977, 5551, 12610, 11331, 26108, 3660, 2423, 4829, 11331, 49975, 7251, 2655, 5016, 12610, 46740, 4876, 44945, 1863, 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بدنا نشغل عليها ال infertility بقول Prevalence of Infertility أبصرت هناك title؟ لأ لسه ما أبصرتش title حتى تصبح title بلزمها كمان شغلتين بلزمها ال population و ال area", "tokens": [10721, 2407, 5551, 11242, 33911, 46740, 9122, 19528, 3660, 21914, 1793, 4032, 21914, 8799, 9374, 34051, 2432, 4770, 399, 34051, 8789, 4535, 19634, 34051, 38699, 34051, 20298, 518, 34051, 1705, 4568, 8211, 7251, 3555, 4587, 7578, 5551, 12610, 11331, 26108, 3660, 2423, 39184, 4829, 4724, 47283, 3215, 24525, 2304, 9673, 43042, 34051, 24525, 2304, 25124, 17082, 1211, 13672, 1829, 47525, 8315, 8717, 8592, 17082, 1211, 25894, 11296, 2423, 13596, 83, 1140, 4724, 39648, 6001, 3337, 655, 295, 682, 34784, 1140, 5551, 3555, 9381, 43500, 34105, 4117, 4876, 22807, 5296, 10721, 5296, 3794, 3224, 19446, 5551, 3555, 9381, 43500, 8592, 4876, 11331, 49975, 6055, 9381, 49628, 4876, 4724, 1211, 11622, 2304, 11296, 9122, 2304, 7649, 13412, 17082, 1211, 2655, 9957, 4724, 1211, 11622, 2304, 11296, 2423, 4415, 4032, 2423, 1859], 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"من هم الناس اللي انا بدي اشتغل عليهم وين ساكنين هدول الناس يبقى انا اللي انا بدي احكي على الـ Retinopathy الـ Prevalence of Retinopathy among type 2 diabetes mellitus in Gaza Strip فصاروا عنده أربعة أشياء، أحد من الأشياء اللي احنا دراسناهم اللي هم هدول بنضيف عليها اسم المرض أو اسم الموضوع اللي بدي اشتغل عليه", "tokens": [27842, 8032, 2304, 2423, 8315, 3794, 13672, 1829, 1975, 8315, 4724, 16254, 1975, 8592, 2655, 17082, 1211, 25894, 16095, 4032, 9957, 8608, 995, 19452, 9957, 8032, 3215, 12610, 2423, 8315, 3794, 7251, 3555, 4587, 7578, 1975, 8315, 13672, 1829, 1975, 8315, 4724, 16254, 1975, 5016, 4117, 1829, 15844, 2423, 39184, 11495, 259, 404, 9527, 2423, 39184, 6001, 3337, 655, 295, 11495, 259, 404, 9527, 3654, 2010, 568, 13881, 385, 285, 30973, 294, 37800, 745, 8400, 6156, 9381, 9640, 14407, 43242, 3224, 5551, 25513, 27884, 5551, 8592, 1829, 16606, 12399, 5551, 24401, 9154, 16247, 8592, 1829, 16606, 13672, 1829, 1975, 5016, 8315, 11778, 23557, 3794, 8315, 16095, 13672, 1829, 8032, 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تجيب إليها reference طب مانفعش هدول أنجمعهم في الآخر يعني لو جبت هنا ال definition و ال prevalence و ال risk factor أنجمعهم مع بعض مانفع كذلك بيدا أقول ال epidemiology أو risk factor للtype 2 diabetes في google scholar و أعمل CH", "tokens": [3224, 15730, 6055, 7649, 1829, 7251, 39648, 11703, 1829, 28242, 6156, 4587, 25720, 4724, 25708, 995, 5551, 19913, 1211, 5551, 7435, 1829, 3555, 8978, 11296, 30767, 1829, 39896, 4117, 4386, 5551, 3224, 28242, 6156, 4587, 25720, 47525, 4117, 6055, 7435, 1829, 3555, 11933, 20292, 11296, 6408, 23032, 3555, 3714, 7649, 5172, 3615, 8592, 8032, 3215, 12610, 14739, 7435, 2304, 3615, 16095, 8978, 6024, 95, 34740, 37495, 22653, 45164, 10874, 3555, 2655, 34105, 2423, 7123, 4032, 2423, 42583, 4032, 2423, 3148, 5952, 14739, 7435, 2304, 3615, 16095, 20449, 45030, 11242, 3714, 7649, 5172, 3615, 9122, 8848, 23275, 4724, 25708, 995, 5551, 39648, 2423, 35761, 1793, 34051, 3148, 5952, 24976, 20467, 568, 13881, 8978, 20742, 17912, 4032, 5551, 25957, 1211, 5995], 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فيها، اتجاوبها", "tokens": [8297, 3714, 33599, 1829, 12399, 4724, 3794, 47525, 4117, 6055, 30544, 6225, 9640, 5172, 5551, 7435, 37746, 3660, 9673, 2407, 46958, 40228, 13672, 1829, 48812, 1211, 11703, 5172, 25894, 4117, 12399, 45164, 21136, 33604, 6027, 8978, 11296, 12399, 1975, 2655, 7435, 995, 37746, 11296], "avg_logprob": -0.15755208333333334, "compression_ratio": 1.2758620689655173, "no_speech_prob": 0.0, "words": [{"start": 1253.14, "end": 1253.5, "word": "Okay", "probability": 0.7607421875}, {"start": 1253.5, "end": 1254.12, "word": " ماشي،", "probability": 0.7801513671875}, {"start": 1254.12, "end": 1254.26, "word": " بس", "probability": 0.953125}, {"start": 1254.26, "end": 1254.46, "word": " بدك", "probability": 0.77783203125}, {"start": 1254.46, "end": 1254.66, "word": " تكون", "probability": 0.982177734375}, {"start": 1254.66, "end": 1255.04, "word": " عارف", "probability": 0.9095052083333334}, {"start": 1255.04, "end": 1255.46, "word": " أجوبة", "probability": 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"end": 1679.36, "word": " مش", "probability": 0.990234375}, {"start": 1679.36, "end": 1679.54, "word": " عارف", "probability": 0.99169921875}, {"start": 1679.54, "end": 1679.96, "word": " اكتبهم", "probability": 0.91494140625}, {"start": 1679.96, "end": 1680.04, "word": " و", "probability": 0.8251953125}, {"start": 1680.04, "end": 1680.1, "word": " اين", "probability": 0.6790771484375}, {"start": 1680.1, "end": 1680.64, "word": " اجيبهم", "probability": 0.95537109375}, {"start": 1680.64, "end": 1681.4, "word": " نفس", "probability": 0.88232421875}, {"start": 1681.4, "end": 1681.54, "word": " ما", "probability": 0.92578125}, {"start": 1681.54, "end": 1682.02, "word": " اتكلمنا", "probability": 0.95537109375}, {"start": 1682.02, "end": 1682.12, "word": " في", "probability": 0.90673828125}, {"start": 1682.12, "end": 1682.24, "word": " الـ", "probability": 0.801025390625}, {"start": 1682.24, "end": 1682.74, "word": " Significant", "probability": 0.835205078125}, {"start": 1682.74, "end": 1683.52, "word": " تلاقي", "probability": 0.7392578125}, {"start": 1683.52, "end": 1683.64, "word": " في", "probability": 0.96435546875}, {"start": 1683.64, "end": 1684.14, "word": " الدراسات", "probability": 0.925537109375}, {"start": 1684.14, "end": 1684.58, "word": " السابقة", "probability": 0.71875}, {"start": 1684.58, "end": 1685.34, "word": " مكتوبة", "probability": 0.95625}, {"start": 1685.34, "end": 1685.84, "word": " general", "probability": 0.443603515625}, {"start": 1685.84, "end": 1686.44, "word": " objective", "probability": 0.8759765625}, {"start": 1686.44, "end": 1686.68, "word": " و", "probability": 0.91748046875}, {"start": 1686.68, "end": 1687.3, "word": " specific", "probability": 0.1912841796875}, {"start": 1687.3, "end": 1687.86, "word": " objective", "probability": 0.88916015625}], "temperature": 1.0}, {"id": 67, "seek": 171417, "start": 1688.49, "end": 1714.17, "text": "تخديها من دراسات سابقة موجودة ان شاء الله هتحسوا كل واحد فيكوا او كل واحد فيكوا ان هي المادة فدتها بشكل كبير و أكتبت الأفكار و بدنا نوقف لعندهين في الفيديو هذا شابط كامر خصصته في فيديو خاصة بإن اي حد عنده مشكلة خلال رسالة على ال email رسالة على ال whatsapp رسالة على ال facebook فاتمنى لكم التوفيق والسلام عليكم ورحمة الله وبركاته", "tokens": [2655, 9778, 16254, 11296, 9154, 11778, 23557, 3794, 9307, 8608, 16758, 28671, 3714, 29245, 23328, 3660, 16472, 13412, 16606, 21984, 8032, 2655, 5016, 3794, 14407, 28242, 36764, 24401, 8978, 4117, 14407, 1975, 2407, 28242, 36764, 24401, 8978, 4117, 14407, 16472, 39896, 9673, 18513, 3660, 6156, 3215, 2655, 11296, 4724, 8592, 28820, 9122, 3555, 13546, 4032, 5551, 4117, 2655, 3555, 2655, 16247, 5172, 4117, 9640, 4032, 47525, 8315, 8717, 30543, 5172, 5296, 3615, 41260, 3224, 9957, 8978, 27188, 1829, 16254, 2407, 23758, 13412, 16758, 9566, 9122, 10943, 2288, 16490, 9381, 9381, 47395, 8978, 8978, 16254, 2407, 16490, 33546, 3660, 4724, 28814, 1863, 1975, 1829, 11331, 3215, 43242, 3224, 37893, 28820, 3660, 16490, 1211, 6027, 12602, 3794, 6027, 3660, 15844, 2423, 3796, 12602, 3794, 6027, 3660, 15844, 2423, 29625, 1746, 12602, 3794, 6027, 3660, 15844, 2423, 23372, 6156, 9307, 27842, 7578, 5296, 24793, 16712, 38688, 1829, 4587, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.24029503697934357, "compression_ratio": 1.9591836734693877, "no_speech_prob": 2.7179718017578125e-05, "words": [{"start": 1688.49, "end": 1689.05, "word": "تخديها", "probability": 0.3541259765625}, {"start": 1689.05, "end": 1689.19, "word": " من", "probability": 0.94580078125}, {"start": 1689.19, "end": 1689.67, "word": " دراسات", "probability": 0.8331298828125}, {"start": 1689.67, "end": 1689.99, "word": " سابقة", "probability": 0.82421875}, {"start": 1689.99, "end": 1690.49, "word": " موجودة", "probability": 0.9808349609375}, {"start": 1690.49, "end": 1690.67, "word": " ان", "probability": 0.475341796875}, {"start": 1690.67, "end": 1690.87, "word": " شاء", "probability": 0.9765625}, {"start": 1690.87, "end": 1691.15, "word": " الله", "probability": 0.9375}, {"start": 1691.15, "end": 1692.13, "word": " هتحسوا", "probability": 0.86923828125}, {"start": 1692.13, "end": 1692.41, "word": " كل", "probability": 0.90966796875}, {"start": 1692.41, "end": 1692.75, "word": " واحد", "probability": 0.995849609375}, {"start": 1692.75, "end": 1693.11, "word": " فيكوا", "probability": 0.6845703125}, {"start": 1693.11, "end": 1693.23, "word": " او", "probability": 0.7117919921875}, {"start": 1693.23, "end": 1693.39, "word": " كل", "probability": 0.96044921875}, {"start": 1693.39, "end": 1693.61, "word": " واحد", "probability": 0.982421875}, {"start": 1693.61, "end": 1694.05, "word": " فيكوا", "probability": 0.8660481770833334}, {"start": 1694.05, "end": 1694.47, "word": " ان", "probability": 0.81884765625}, {"start": 1694.47, "end": 1694.89, "word": " هي", "probability": 0.7333984375}, {"start": 1694.89, "end": 1695.71, "word": " المادة", "probability": 0.9718424479166666}, {"start": 1695.71, "end": 1696.17, "word": " فدتها", "probability": 0.89892578125}, {"start": 1696.17, "end": 1696.43, "word": " بشكل", "probability": 0.9840494791666666}, {"start": 1696.43, "end": 1696.83, "word": " كبير", "probability": 0.9954427083333334}, {"start": 1696.83, "end": 1697.27, "word": " و", "probability": 0.796875}, {"start": 1697.27, "end": 1697.65, "word": " أكتبت", "probability": 0.6801513671875}, {"start": 1697.65, "end": 1698.17, "word": " الأفكار", "probability": 0.9658203125}, {"start": 1698.17, "end": 1698.41, "word": " و", "probability": 0.37109375}, {"start": 1698.41, "end": 1698.67, "word": " بدنا", "probability": 0.59405517578125}, {"start": 1698.67, "end": 1698.99, "word": " نوقف", "probability": 0.9376627604166666}, {"start": 1698.99, "end": 1699.53, "word": " لعندهين", "probability": 0.719580078125}, {"start": 1699.53, "end": 1699.63, "word": " في", "probability": 0.8310546875}, {"start": 1699.63, "end": 1699.91, "word": " الفيديو", "probability": 0.9578857421875}, {"start": 1699.91, "end": 1700.23, "word": " هذا", "probability": 0.9423828125}, {"start": 1700.23, "end": 1700.81, "word": " شابط", "probability": 0.5402628580729166}, {"start": 1700.81, "end": 1701.29, "word": " كامر", "probability": 0.6572265625}, {"start": 1701.29, "end": 1701.93, "word": " خصصته", "probability": 0.802490234375}, {"start": 1701.93, "end": 1702.33, "word": " في", "probability": 0.5625}, {"start": 1702.33, "end": 1702.53, "word": " فيديو", "probability": 0.8387044270833334}, {"start": 1702.53, "end": 1703.23, "word": " خاصة", "probability": 0.9920247395833334}, {"start": 1703.23, "end": 1703.73, "word": " بإن", "probability": 0.40087890625}, {"start": 1703.73, "end": 1704.23, "word": " اي", "probability": 0.6622314453125}, {"start": 1704.23, "end": 1704.49, "word": " حد", "probability": 0.94677734375}, {"start": 1704.49, "end": 1704.79, "word": " عنده", "probability": 0.987060546875}, {"start": 1704.79, "end": 1705.29, "word": " مشكلة", "probability": 0.97998046875}, {"start": 1705.29, "end": 1706.03, "word": " خلال", "probability": 0.9366861979166666}, {"start": 1706.03, "end": 1706.63, "word": " رسالة", "probability": 0.9931640625}, {"start": 1706.63, "end": 1706.77, "word": " على", "probability": 0.65478515625}, {"start": 1706.77, "end": 1706.85, "word": " ال", "probability": 0.69873046875}, {"start": 1706.85, "end": 1707.21, "word": " email", "probability": 0.71533203125}, {"start": 1707.21, "end": 1708.17, "word": " رسالة", "probability": 0.9166259765625}, {"start": 1708.17, "end": 1708.33, "word": " على", "probability": 0.8662109375}, {"start": 1708.33, "end": 1708.41, "word": " ال", "probability": 0.97607421875}, {"start": 1708.41, "end": 1708.95, "word": " whatsapp", "probability": 0.5675048828125}, {"start": 1708.95, "end": 1709.81, "word": " رسالة", "probability": 0.96728515625}, {"start": 1709.81, "end": 1710.15, "word": " على", "probability": 0.93212890625}, {"start": 1710.15, "end": 1710.29, "word": " ال", "probability": 0.69921875}, {"start": 1710.29, "end": 1710.69, "word": " facebook", "probability": 0.56201171875}, {"start": 1710.69, "end": 1711.63, "word": " فاتمنى", "probability": 0.751220703125}, {"start": 1711.63, "end": 1711.75, "word": " لكم", "probability": 0.66845703125}, {"start": 1711.75, "end": 1712.27, "word": " التوفيق", "probability": 0.983154296875}, {"start": 1712.27, "end": 1712.75, "word": " والسلام", "probability": 0.9153645833333334}, {"start": 1712.75, "end": 1713.13, "word": " عليكم", "probability": 0.94775390625}, {"start": 1713.13, "end": 1713.41, "word": " ورحمة", "probability": 0.8414306640625}, {"start": 1713.41, "end": 1713.57, "word": " الله", "probability": 0.95263671875}, {"start": 1713.57, "end": 1714.17, "word": " وبركاته", "probability": 0.97236328125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1714.724, "duration_after_vad": 1687.961874999996}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who.srt
new file mode 100644
index 0000000000000000000000000000000000000000..95c47b4db7e43cdd4928fd8ccd5e8ecc43349fff
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who.srt
@@ -0,0 +1,695 @@
+1
+00:00:05,430 --> 00:00:09,790
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:09,790 --> 00:00:17,970
+الله وعلى آله وصحبه ومن اهتدى بهداه زملائنا الأعزاء
+
+3
+00:00:17,970 --> 00:00:23,930
+نحيكم بتحية الإسلام السلام عليكم ورحمة الله
+
+4
+00:00:23,930 --> 00:00:31,510
+وبركاته أجمل ما يمكن أن نفتتح به العام الدراسي
+
+5
+00:00:31,510 --> 00:00:40,240
+الجديد، وتفاؤلنا بعامنا هذا بهذا الحضور العلمي من
+
+6
+00:00:40,240 --> 00:00:49,620
+طلاب وطالبات وزملاء أخصائي التحاليل الطبية في مساق
+
+7
+00:00:49,620 --> 00:00:56,920
+الإحصاء الحيوي وأساليب البحث العلمي. أهلا بكم مع
+
+8
+00:00:56,920 --> 00:01:01,770
+بداية العام الدراسي الجديد. مرحبا بالعلم المفيد
+
+9
+00:01:01,770 --> 00:01:08,850
+وبالعمل الأكيد. زادت الجامعة فرحة بلقائكم في فصلكم
+
+10
+00:01:08,850 --> 00:01:16,490
+هذا. مرحبا بكم على طريق العلم والمحبة. نجدد معا
+
+11
+00:01:16,490 --> 00:01:23,230
+العزيمة والأمل. نتمنى أن يكون عامنا ممتلئا برخاء
+
+12
+00:01:23,230 --> 00:01:30,430
+وإنجاز، وندعو الله أن يجنبكم البلاء والوباء. نتمنى
+
+13
+00:01:30,430 --> 00:01:37,170
+لكم دوام الصحة والعافية. سأكون معكم في مساق
+
+14
+00:01:37,170 --> 00:01:42,650
+Biostatistics and Research Methods، الإحصاء الحيوي
+
+15
+00:01:42,650 --> 00:01:48,910
+وأساليب البحث العلمي. بداية،
+
+16
+00:01:48,910 --> 00:01:54,050
+أعرفكم بنفسي، أخوكم الدكتور أيمن مصطفى أبو مصطفى.
+
+17
+00:01:54,920 --> 00:01:58,700
+بكالوريوس وماجستير تحاليل طبية من الجامعة
+
+18
+00:01:58,700 --> 00:02:04,240
+الإسلامية بغزة. حصل على درجة الدكتوراه في الكيمياء
+
+19
+00:02:04,240 --> 00:02:10,460
+الحيوية من جامعة عين شمس بجمهورية مصر العربية. حصل
+
+20
+00:02:10,460 --> 00:02:14,700
+على دبلوم متخصص بعد الدكتوراه في الإحصاء الطبي وال
+
+21
+00:02:14,700 --> 00:02:20,620
+بحث علمي لمدة سنتين من معهد معتمد للتنمية
+
+22
+00:02:20,620 --> 00:02:24,800
+المهنية المستدامة في جامعة القاهرة. ومكان الإقامة
+
+23
+00:02:24,800 --> 00:02:29,120
+الحالي محافظة خان يونس، بني سهيلة. عملت
+
+24
+00:02:29,120 --> 00:02:34,040
+كأخصائي تحاليل طبية بمجمع ناصر الطبي بوزارة
+
+25
+00:02:34,040 --> 00:02:40,140
+الصحة لمدة عشر سنوات من العام 2000 حتى عام 2010.
+
+26
+00:02:40,140 --> 00:02:45,760
+عملت رئيس قسم البحث العلمي بوزارة الصحة من العام
+
+27
+00:02:45,760 --> 00:02:48,400
+2011 حتى العام 2016.
+
+28
+00:02:50,570 --> 00:02:54,710
+انتقلت للعمل بكلية فلسطين للتمريض منذ العام 2016
+
+29
+00:02:54,710 --> 00:03:01,530
+مدرسًا لمساقات الكيمياء والكيمياء الحيوية والأحياء
+
+30
+00:03:01,530 --> 00:03:08,410
+العامة والميكروبيولوجي والإحصاء الطبي حتى هذه
+
+31
+00:03:08,410 --> 00:03:14,270
+اللحظة. وأعمل حاليًا في كلية فلسطين للتمريض رئيس قسم
+
+32
+00:03:14,270 --> 00:03:19,870
+التعليم المستمر وخدمة المجتمع. أعمل محاضرًا لطلاب
+
+33
+00:03:19,870 --> 00:03:24,150
+الماجستير لمساق الإحصاء الحيوي وأساليب البحث
+
+34
+00:03:24,150 --> 00:03:29,670
+العلمي، تخصص علوم طبية مخبرية، منذ العام 2017 حتى
+
+35
+00:03:29,670 --> 00:03:35,150
+الآن. أعمل كذلك محاضرًا لطلاب الماجستير تخصص تمريض
+
+36
+00:03:35,150 --> 00:03:42,930
+بجامعة القدس المفتوحة، وأقوم بتدريسهم مساق إحصاء طبي
+
+37
+00:03:42,930 --> 00:03:51,520
+متقدم منذ العام 2017. أعمل كذلك محاضرًا لطلاب الـ
+
+38
+00:03:51,520 --> 00:03:54,800
+بكالوريوس لمساق الإحصاء، وأشرف على البحوث في الجامعة
+
+39
+00:03:54,800 --> 00:04:00,620
+الإسلامية. مدرب معتمد لدورات الإحصاء الطبي والبحث
+
+40
+00:04:00,620 --> 00:04:06,280
+العلمي بوزارة الصحة بغزة. وقد شاركت في خمس عشرة دورة
+
+41
+00:04:06,280 --> 00:04:12,100
+تدريبية خاصة بالبحث العلمي، والتي عقدت بالإدارة
+
+42
+00:04:12,100 --> 00:04:15,980
+العامة لتنمية القوى البشرية وفي المستشفيات بوزارة
+
+43
+00:04:15,980 --> 00:04:20,450
+الصحة. عملت محاضرًا في الكلية الجامعية للعلوم
+
+44
+00:04:20,450 --> 00:04:25,170
+والتكنولوجيا بخان يونس. وقد قمت بتدريس مساق، سواء
+
+45
+00:04:25,170 --> 00:04:31,810
+للسنة الماضية. مشرف أيضًا على طلاب ماجستير، ناقشت
+
+46
+00:04:31,810 --> 00:04:34,670
+العديد من أبحاث الماجستير في الجامعة الإسلامية
+
+47
+00:04:34,670 --> 00:04:41,980
+تخصص العلوم الطبية المخبرية، وفي قسم الأحياء. وكذلك
+
+48
+00:04:41,980 --> 00:04:46,040
+ناقشت رسائل ماجستير ببرنامج الماجستير في جامعة
+
+49
+00:04:46,040 --> 00:04:50,780
+الأزهر، تخصص التغذية الإكلينيكية، وفي ماجستير التصوير
+
+50
+00:04:50,780 --> 00:04:55,100
+الطبي. ناقشت العديد من الأبحاث في الدورات التي
+
+51
+00:04:55,100 --> 00:05:00,000
+تعقدها وزارة الصحة، والتي تجاوز عدد هذه الأبحاث 40.
+
+52
+00:05:00,000 --> 00:05:05,960
+باحث وعضو في لجنة البحث العلمي ووزارة الصحة بغزة.
+
+53
+00:05:06,790 --> 00:05:11,430
+عدد الأبحاث المنشورة منذ العام 2016: تسعة وثلاثون
+
+54
+00:05:11,430 --> 00:05:15,990
+بحثًا في مجلات عالمية. هوايتي المفضلة هي البحث العلمي
+
+55
+00:05:15,990 --> 00:05:22,030
+والأحصاء الحيوي، حيث قمت منذ العام 2013 حتى
+
+56
+00:05:22,030 --> 00:05:26,710
+اللحظة بمتابعة 250 بحثًا من الناحية الإحصائية
+
+57
+00:05:26,710 --> 00:05:35,590
+والبحثية. أهمية مساق الإحصاء الحيوي وأساليب البحث
+
+58
+00:05:35,590 --> 00:05:42,670
+العلمي: أنه يهدف هذا المساق إلى تمكين الطالب في
+
+59
+00:05:42,670 --> 00:05:49,990
+مرحلة الماجستير من إعداد الخطة البحثية، وكذلك
+
+60
+00:05:49,990 --> 00:05:57,190
+آلية العمل على تنفيذ تلك الخطة بهدف كتابة رسالة
+
+61
+00:05:57,190 --> 00:06:04,950
+الماجستير بالكامل دون مشقة أو عناء. يهدف أيضًا
+
+62
+00:06:06,420 --> 00:06:11,440
+المساق إلى تعريف طالب الدراسات العليا على آلية
+
+63
+00:06:11,440 --> 00:06:16,800
+النقاش أثناء اللقاءات العلمية والبحثية، وكيفية
+
+64
+00:06:16,800 --> 00:06:21,620
+إدارة النقاش بطريقة علمية، وما هي أهم النقاط
+
+65
+00:06:21,620 --> 00:06:28,600
+المتوقعة أثناء النقاش العلمي والبحثي. كما أيضًا هذا
+
+66
+00:06:28,600 --> 00:06:35,500
+المساق سيتم فيه توضيح آلية كتابة الأوراق العلمية
+
+67
+00:06:35,500 --> 00:06:40,700
+والبحثية للمجلات العالمية الخاصة بنشر تلك
+
+68
+00:06:40,700 --> 00:06:46,240
+الأبحاث، وكيفية تقديم البحث الخاص بالطالب في
+
+69
+00:06:46,240 --> 00:06:52,600
+المؤتمرات العلمية، وكذلك كيفية تقديم وعرض رسالة
+
+70
+00:06:52,600 --> 00:06:59,660
+الماجستير يوم المناقشة. المساق الحالي سوف يمكن
+
+71
+00:06:59,660 --> 00:07:07,660
+متخذي القرارات وأصحاب المناصب الإشرافية منكم على
+
+72
+00:07:07,660 --> 00:07:13,520
+كيفية الاستفادة من البيانات والإحصائيات، وعمل ما
+
+73
+00:07:13,520 --> 00:07:19,040
+يلزم من خطوات بهدف تحسين خدمة معينة وفق خطوات
+
+74
+00:07:19,040 --> 00:07:21,740
+علمية وبحثية ممنهجة.
+
+75
+00:07:24,220 --> 00:07:27,500
+سوف يمكن هذا المساق أيضًا الطالب من كتابة
+
+76
+00:07:27,500 --> 00:07:32,360
+التقارير وتقديمها لجهات عليا بهدف تطبيق ما يلزم
+
+77
+00:07:32,360 --> 00:07:40,320
+بكل وضوح ويسر. أهم ما يرتكز عليه الجزء الأول من
+
+78
+00:07:40,320 --> 00:07:47,760
+هذا المساق، وهو أساليب البحث العلمي، هو كيفية كتابة
+
+79
+00:07:47,760 --> 00:07:52,020
+الخطة البحثية، أو ما يسمى بـ Proposal.
+
+80
+00:07:54,460 --> 00:07:59,420
+هنتكلم عن الخطة البحثية، عن كيفية كتابتها من
+
+81
+00:07:59,420 --> 00:08:03,880
+الصفحة الأولى، وهي الغلاف الخارجي، الـ Cover، لـ
+
+82
+00:08:03,880 --> 00:08:11,300
+الخطة البحثية، كيفية كتابة الـ Title، أين تتم كتابة
+
+83
+00:08:11,300 --> 00:08:16,180
+اسم الباحث، وكيفية كتابة اسم المشرف على الغلاف
+
+84
+00:08:16,180 --> 00:08:25,080
+الخارجي لخطة البحثية. ومن ثم سيتم الحديث عن كيفية
+
+85
+00:08:25,080 --> 00:08:31,500
+كتابة المقدمة للخطة البحثية، الـ Overview، كيفية
+
+86
+00:08:31,500 --> 00:08:37,560
+كتابة أهداف البحث الخاص بطالب الماجستير، وكيفية
+
+87
+00:08:37,560 --> 00:08:42,400
+كتابة الـ Significance of the Study، أهمية الدراسة،
+
+88
+00:08:42,400 --> 00:08:48,680
+لتكون مقنعة للمناقشين باعتمادها كخطة بحثية لطالب
+
+89
+00:08:48,680 --> 00:08:49,300
+ماجستير.
+
+90
+00:08:52,570 --> 00:08:56,610
+سيتم الحديث أيضًا على كيفية كتابة الـ Materials و
+
+91
+00:08:56,610 --> 00:09:02,970
+الـ Methods الخاصة بالخطة البحثية، سواء كان من الـ
+
+92
+00:09:02,970 --> 00:09:10,750
+Data Collection، كيف سيتم جمع بيانات البحث، أيضًا
+
+93
+00:09:10,750 --> 00:09:17,030
+كيفية تصميم الاستبانة للبحث، وما هي أهم الـ Domains،
+
+94
+00:09:17,030 --> 00:09:23,560
+المحاور الخاصة بالبحث. كيفية اختيار عينة البحث،
+
+95
+00:09:23,560 --> 00:09:30,840
+وكيفية كتابة آلية سحب العينات، وما أهم الفحوصات
+
+96
+00:09:30,840 --> 00:09:35,180
+الكيميائية التي تتعلق بالبحث، والـ Objectives بتاعة
+
+97
+00:09:35,180 --> 00:09:41,700
+الدراسة، التي هي أهداف الدراسة. كمان كيف نبدأ بكتابة الـ
+
+98
+00:09:41,700 --> 00:09:48,300
+Data Analysis، تحليل البيانات، لكل بحث Design
+
+99
+00:09:48,300 --> 00:09:48,880
+معين.
+
+100
+00:09:51,750 --> 00:09:58,070
+المقصود فيه تصميم البحث، كيف سيتم اختيار عينة البحث
+
+101
+00:09:58,070 --> 00:10:02,070
+من الناس اللي موجودين، وهل أنا لازم آخذ كل الناس
+
+102
+00:10:02,070 --> 00:10:05,870
+اللي موجودين في البحث، أو ممكن آخذ منهم Sample
+
+103
+00:10:05,870 --> 00:10:12,150
+يكفي؟ وإذا أنا بدأت آخذ عينة من الناس اللي بدأت أجرى
+
+104
+00:10:12,150 --> 00:10:17,210
+عليهم البحث، كيفية اختيار هذه العينة، وعلى أي أساس
+
+105
+00:10:18,740 --> 00:10:23,300
+حتى أعمل البحث، بلزمني آخذ موافقات. هذه الموافقات
+
+106
+00:10:23,300 --> 00:10:26,900
+تبدأ من الشخص اللي أنا بدي أعمل عليه البحث، أو بدي
+
+107
+00:10:26,900 --> 00:10:31,480
+آخذ منه العينة، وكذلك موافقة وزارة الصحة، وهذه
+
+108
+00:10:31,480 --> 00:10:35,780
+الأشياء نسميها الـ Ethical Considerations، واللي
+
+109
+00:10:35,780 --> 00:10:39,740
+بلزم فيها موافقة الشخص اللي بدي أعمل عليه استبانة، أو
+
+110
+00:10:39,740 --> 00:10:44,380
+أنا بدي أسحب منه عينة، وبلزم كذلك موافقة الجامعة
+
+111
+00:10:44,380 --> 00:10:50,750
+على البحث ونوع البحث، وموافقة وزارة الصحة، ولجنة
+
+112
+00:10:50,750 --> 00:10:56,570
+Helsinki. كل هذه الأشياء بتفاصيلها، هنغطيها في
+
+113
+00:10:56,570 --> 00:11:01,950
+محاضرتين أو ثلاث قادمات. وسيكون الباحث قادرًا على
+
+114
+00:11:01,950 --> 00:11:08,250
+كتابة كل جزئية بكل سهولة. البحث العلمي عبارة عن
+
+115
+00:11:08,250 --> 00:11:13,110
+خطوات، تبدأ تلك الخطوات من الخطة البحثية.
+
+116
+00:11:16,420 --> 00:11:23,500
+والخطة البحثية دائمًا تبدأ بفكرة معينة. هذه الفكرة
+
+117
+00:11:23,500 --> 00:11:28,560
+تقود الباحث أن يبحث، يشوف هل فيه دراسات سابقة
+
+118
+00:11:28,560 --> 00:11:32,940
+موجودة، و Literature Review، وإيش الدراسات
+
+119
+00:11:32,940 --> 00:11:41,020
+السابقة هذه قالت. بعد ذلك، تجعل الباحث يفكر في صياغة
+
+120
+00:11:41,020 --> 00:11:48,130
+مشكلة البحث، ومن ثم صياغة سؤال خاص بالدراسة ليتم
+
+121
+00:11:48,130 --> 00:11:54,930
+الإجابة عليها من خلال تصميم خطة معينة للبحث، وعمل
+
+122
+00:11:54,930 --> 00:12:00,330
+Design، للـ Research، بعدها الباحث يقوم بعمل Data
+
+123
+00:12:00,330 --> 00:12:07,310
+Collection، بيانات، وبعد ما يجمع البيانات بتم تحليل
+
+124
+00:12:07,310 --> 00:12:12,690
+هذه البيانات، والخروج منها بإجابة على السؤال تبع
+
+125
+00:12:12,690 --> 00:12:18,990
+الباحث، وكتابة تعليقه على هذه البيانات. وبعدين بيطلع
+
+126
+00:12:18,990 --> 00:12:23,230
+الـ Conclusion النهائي. في الـ Conclusion النهائي أحيانًا
+
+127
+00:12:23,230 --> 00:12:25,670
+بتيجي بعض الأفكار عند الباحث بيكتبها في
+
+128
+00:12:25,670 --> 00:12:30,130
+Recommendation، اللي بتكون فكرة جديدة لباحثين في
+
+129
+00:12:30,130 --> 00:12:36,680
+سنوات مستقبلية. خطوات البحث، أو Research Process، اللي
+
+130
+00:12:36,680 --> 00:12:42,380
+موجودة أمامنا، هي اللي بتركز عليها مساق الإحصاء
+
+131
+00:12:42,380 --> 00:12:47,320
+الحيوي وأساليب البحث العلمي، اللي هنأخذه خطوة
+
+132
+00:12:47,320 --> 00:12:52,380
+بخطوة، وكيف نكتب كل خطوة فيها. لأن أي رسالة ماجستير
+
+133
+00:12:52,380 --> 00:12:58,480
+بدنا نصممها بتبدأ أن يكون عندي موجود في رسالة
+
+134
+00:12:58,480 --> 00:13:05,080
+هذه ستة Chapters. الـ Chapters هذه اللي موجودة، حتى أبدأ
+
+135
+00:13:05,080 --> 00:13:09,660
+أنا أكتب فيها وأطبقها، تبدأ أن يكون عندك خطة بحثية.
+
+136
+00:13:09,660 --> 00:13:14,920
+الخطة البحثية عادة بيكون مكتوب فيها Chapter 1 و 2
+
+137
+00:13:14,920 --> 00:13:19,940
+و 3، وبيكون واضح فيها كل الأشياء اللي أنا بدي
+
+138
+00:13:19,940 --> 00:13:24,300
+أطبقها في البحث. وهذول بنسميهم الخطة البحثية، الـ
+
+139
+00:13:24,300 --> 00:13:29,720
+Proposal، اللي تكلمنا عنها سابقًا. Chapter الأول
+
+140
+00:13:29,720 --> 00:13:33,760
+بيكون فيه مقدمة، وهذه المقدمة بيكون فيها الـ
+
+141
+00:13:33,760 --> 00:13:37,480
+Objectives بتاعة الدراسة، وهي الـ Significance بتاعة
+
+142
+00:13:37,480 --> 00:13:43,060
+الدراسة، وهنتكلم كيف نحن بنكتب المقدمة بتفاصيلها.
+
+143
+00:13:43,060 --> 00:13:46,820
+Chapter اثنين، كيف الاستفادة من الدراسات السابقة،
+
+144
+00:13:46,820 --> 00:13:50,540
+الـ Literature Review، و Chapter ثلاثة، اللي هي المنهجية
+
+145
+00:13:50,540 --> 00:13:56,460
+الخاصة بالدراسة. بعدين، بعد ما نخلص هذه الأشياء كلها،
+
+146
+00:13:56,460 --> 00:13:59,280
+بنقدم هذا الـ Proposal بتاعة Chapters اللي احنا
+
+147
+00:13:59,280 --> 00:14:03,940
+كتبناها، وبناخذ اعتماد من إدارة الجامعة، وبنبدأ
+
+148
+00:14:03,940 --> 00:14:08,020
+نجمع البيانات وفق الخطة اللي مكتوبة، وبعد ما نجمع
+
+149
+00:14:08,020 --> 00:14:12,620
+البيانات بنبقى نحلّل هذه البيانات، ونكتب اللي هو
+
+150
+00:14:12,620 --> 00:14:16,880
+الـ Chapter الرابع، اللي هو Results، اللي فيه بتكون كل
+
+151
+00:14:16,880 --> 00:14:20,960
+النتائج الخاصة بالاستبانات، وكذلك إن البيانات اللي
+
+152
+00:14:20,960 --> 00:14:25,200
+موجودة عندي، كيف جمعتها. Chapter 4 نتكلم فيه عن
+
+153
+00:14:25,200 --> 00:14:30,500
+الـ Results بكل ما يحتويه من نتائج. بعد ما نخلص Chapter
+
+154
+00:14:30,500 --> 00:14:36,860
+4 في البحث، بنكتب Chapter 5 اللي هو الـ Discussion، و
+
+155
+00:14:36,860 --> 00:14:39,400
+بنكتب Chapter 6 اللي هو الـ Conclusion and
+
+156
+00:14:39,400 --> 00:14:44,400
+Recommendation. بنلاحظ أنه أكثر Chapter هنركز عليه،
+
+157
+00:14:44,400 --> 00:14:49,600
+اللي هو Chapter 4 اللي هو Results. هنتكلم عن كل جزئية
+
+158
+00:14:49,600 --> 00:14:55,060
+فيه، وكيف كتبناها بطريقة علمية ممنهجة بحيث أن تكون
+
+159
+00:14:55,060 --> 00:14:59,540
+هذه النتائج مقنعة لأي مناقش بده يناقشنا في البحث.
+
+160
+00:14:59,540 --> 00:15:02,920
+تقسيم
+
+161
+00:15:02,920 --> 00:15:06,200
+العلامات في المساق: هيكون في عندنا Assignment
+
+162
+00:15:06,200 --> 00:15:11,510
+بثلاثين علامة. هيكون في عندنا كمان إن احنا نكتب
+
+163
+00:15:11,510 --> 00:15:15,170
+Proposal خطوة بخطوة، ونكتب مع بعض على مدار الفصل.
+
+164
+00:15:15,170 --> 00:15:20,670
+هيكون في عندنا اختبار نصفي، واختبار نهائي. المساق
+
+165
+00:15:20,670 --> 00:15:26,950
+بشكل عام، مساق سهل جدًا، وهو من أهم المساقات اللي
+
+166
+00:15:26,950 --> 00:15:30,250
+بيضل الباحث يستفيد منها، أو الطالب يستفيد منها.
+
+167
+00:15:31,010 --> 00:15:34,930
+بيستفيد منها في مرحلة إعداد رسالة الماجستير، ولو
+
+168
+00:15:34,930 --> 00:15:37,870
+بده يكمل في المستقبل دراسات أعلى من الماجستير،
+
+169
+00:15:37,870 --> 00:15:44,190
+الدكتوراه، كمان بيستفيد من المساق الحالي بخصوص
+
+170
+00:15:44,190 --> 00:15:50,010
+الامتحانات. بنتكلم احنا كلام خارج عن المحاضرة، أو مش
+
+171
+00:15:50,010 --> 00:15:54,210
+موجود في الـ Slides اللي الطالب مطالب فيه، ما هو
+
+172
+00:15:54,210 --> 00:15:57,890
+موجود في الـ Slides فقط. أما أي كلام خارجي احنا
+
+173
+00:15:57,890 --> 00:16:02,280
+بنحكيه، بنحكيه من باب التوضيح. الامتحانات بشكل عام
+
+174
+00:16:02,280 --> 00:16:07,180
+بتكون امتحانات تطبيقية، يعني بتسأل فيها أس
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..44a1e25dc4a5fb36e54f66dd92f3473ca79579c9
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/OLGrKp_-Who_raw.srt
@@ -0,0 +1,776 @@
+1
+00:00:05,430 --> 00:00:09,790
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:09,790 --> 00:00:17,970
+الله وعلى آله وصحبه ومن اهتدى بهدى زملائنا الأعزاء
+
+3
+00:00:17,970 --> 00:00:23,930
+نحيكم بتحية الإسلام السلام عليكم ورحمة الله
+
+4
+00:00:23,930 --> 00:00:31,510
+وبركاته أجمل ما يمكن أن نفتتح به العام الدراسي
+
+5
+00:00:31,510 --> 00:00:40,240
+الجديدهو تفاؤلنا بعامنا هذا بهذا الحضورة العلمي من
+
+6
+00:00:40,240 --> 00:00:49,620
+طلاب وطالبات وزملاء أخصائي التحاليل الطبية في مساق
+
+7
+00:00:49,620 --> 00:00:56,920
+الأحصاء الحيوي وأساليب البحث العلمي أهلا بكم مع
+
+8
+00:00:56,920 --> 00:01:01,770
+بداية العام الدراسي الجديدمرحبا بالعلم المفيد
+
+9
+00:01:01,770 --> 00:01:08,850
+وبالعمل الأكيد زادت الجامعة فرحة بلقائكم في فصلكم
+
+10
+00:01:08,850 --> 00:01:16,490
+هذا مرحبا بكم على طريق العلم والمحبة نجدد معا
+
+11
+00:01:16,490 --> 00:01:23,230
+العزيمة والأمل نتمنى أن يكون عامنا ممتلئا برخاء
+
+12
+00:01:23,230 --> 00:01:30,430
+وانجاز وندعو الله أن يجنبكم البلاء والوباءونتمنى
+
+13
+00:01:30,430 --> 00:01:37,170
+لكم دوام الصحة والعافية سأكون معكم في مصاق
+
+14
+00:01:37,170 --> 00:01:42,650
+biostatistics and research methods الإحصاء الحيوي
+
+15
+00:01:42,650 --> 00:01:48,910
+وأساليب البحث العلمي بداية
+
+16
+00:01:48,910 --> 00:01:54,050
+أعرفكم بنفسي أخوكم الدكتور أيمن مصطفى أبو مصطفى
+
+17
+00:01:54,920 --> 00:01:58,700
+بكالوريوس وماجستير تحاليل طبية من الجامعة
+
+18
+00:01:58,700 --> 00:02:04,240
+الإسلامية بغزا حصل على درجة الدكتوراه في الكيمياء
+
+19
+00:02:04,240 --> 00:02:10,460
+الحيوية من جامعة عين شمس بجمهورية مصر عربية حصل
+
+20
+00:02:10,460 --> 00:02:14,700
+على دبلوم متخصص بعد الدكتوراه في الإحصاء الطبي و
+
+21
+00:02:14,700 --> 00:02:20,620
+البحث العلمي لمدة سنتين من معهد معتمدللتنمية
+
+22
+00:02:20,620 --> 00:02:24,800
+المهنية المستدامة في جامعة القاهرة ومكان الإقامة
+
+23
+00:02:24,800 --> 00:02:29,120
+الحالي محافظة Khan Younes Beni Suheila عملت
+
+24
+00:02:29,120 --> 00:02:34,040
+كأخصائي التحاليل الطبية بمجمع ناصر الطبي بوزارة
+
+25
+00:02:34,040 --> 00:02:40,140
+الصحة لمدة عشر سنوات من العام 2000 حتى عام 2010
+
+26
+00:02:40,140 --> 00:02:45,760
+عملت رئيس قسم البحث العلمي بوزارة الصحة من العام
+
+27
+00:02:45,760 --> 00:02:48,400
+2011 حتى العام 2016
+
+28
+00:02:50,570 --> 00:02:54,710
+انتقلت للعمل بكلية فلسطين للتمريد منذ العام 2016
+
+29
+00:02:54,710 --> 00:03:01,530
+مدرس لمسارقات الكيميا والكيميا الحيوية والاحياء
+
+30
+00:03:01,530 --> 00:03:08,410
+العامة وال micro biology والإحصاء الطبي حتى هذه
+
+31
+00:03:08,410 --> 00:03:14,270
+اللحظة وأعمل حاليا في كلية فلسطين للتمريد رئيس قسم
+
+32
+00:03:14,270 --> 00:03:19,870
+التعليم المستمر وخدمة المجتمعأعمل محاضر لطلاب
+
+33
+00:03:19,870 --> 00:03:24,150
+الماجستير لمصاق الإحصاء الحيوي وأساليب البحث
+
+34
+00:03:24,150 --> 00:03:29,670
+العلمي تخصص علوم طبية مخبرية منذ العام 2017 حتى
+
+35
+00:03:29,670 --> 00:03:35,150
+الآن أعمل كذلك محاضر لطلاب الماجستير تخصص تمريض
+
+36
+00:03:35,150 --> 00:03:42,930
+بجامعة القز أبوديس وأقوم بتدريسهم مصاق إحصاء طبي
+
+37
+00:03:42,930 --> 00:03:51,520
+متقدم منذ العام 2017أعمل كذلك محاضر لطلاب ال
+
+38
+00:03:51,520 --> 00:03:54,800
+bachelor's لمثاق الإحصاء وأثير بالبحث في الجامعة
+
+39
+00:03:54,800 --> 00:04:00,620
+الإسلامية مدرب معتمد لدورات الإحصاء الطبي والبحث
+
+40
+00:04:00,620 --> 00:04:06,280
+العلمي بوزاة الصحة بغزا وقد شاركت في خمسة عشر دور
+
+41
+00:04:06,280 --> 00:04:12,100
+تدريبية خاصة بي البحث العلمي والتي عقدت بالإدارة
+
+42
+00:04:12,100 --> 00:04:15,980
+العامة لتنمية قوة البشرية وفي المستشفيات بوزاة
+
+43
+00:04:15,980 --> 00:04:20,450
+الصحةعمل محاضرة في الكلية الجامعية للعلوم
+
+44
+00:04:20,450 --> 00:04:25,170
+والتكنولوجيا بخان يونس وقد قمت بتدريس مساق سواء
+
+45
+00:04:25,170 --> 00:04:31,810
+لجسم الفصل الماضي مشرف أيضا على طلاب ماجستير ناقشت
+
+46
+00:04:31,810 --> 00:04:34,670
+العديد من أبحاث الماجستير في الجامعة الإسلامية
+
+47
+00:04:34,670 --> 00:04:41,980
+تخصص العلوم الطبية المخبريةوفي قسم الأحياء وكذلك
+
+48
+00:04:41,980 --> 00:04:46,040
+نقشت رسائل ماجستير ببرنامج الماجستير في جامعة
+
+49
+00:04:46,040 --> 00:04:50,780
+الأزهار تخصص التغذية الكليكية وفي ماجستير التصوير
+
+50
+00:04:50,780 --> 00:04:55,100
+الطبي نقشت العديد من الأبحاث في الدورات التي
+
+51
+00:04:55,100 --> 00:05:00,000
+تعقدها وزارة الصحة والتي تجاوز عدد هذه الأبحاث 40
+
+52
+00:05:00,000 --> 00:05:05,960
+باحث عضوا في لجنة البحث العلمي ووزارة الصحة بغزا
+
+53
+00:05:06,790 --> 00:05:11,430
+عدد الأبحاث المنشورة منذ العام 2016 تسعة وثلاثون
+
+54
+00:05:11,430 --> 00:05:15,990
+بحث في مجلات عالمية الهواي المفضلة هي البحث العلمي
+
+55
+00:05:15,990 --> 00:05:22,030
+والتحليل الأحصائي حيث قمت منذ العام 2013 حتى
+
+56
+00:05:22,030 --> 00:05:26,710
+اللحظة لمتابع 250 بحث من الناحية الأحصائية
+
+57
+00:05:26,710 --> 00:05:35,590
+والبحثية أهمية مصاق الأحصاء الحيوي وأساليب البحث
+
+58
+00:05:35,590 --> 00:05:42,670
+العلميأنه يهدف هذا المصاق إلى تمكين الطالب في
+
+59
+00:05:42,670 --> 00:05:49,990
+مرحلة الـ Magistere من إعداد الخطة البحثية وكذلك
+
+60
+00:05:49,990 --> 00:05:57,190
+آلية العمل على تنفيذ تلك الخطة بهدف كتابة رسادة
+
+61
+00:05:57,190 --> 00:06:04,950
+الـ Magistere بالكامل دون مشقة أو عناء يهدف أيضًا
+
+62
+00:06:06,420 --> 00:06:11,440
+المصادق إلى تعريف طالب الدراسات العليا على آلية
+
+63
+00:06:11,440 --> 00:06:16,800
+النقاش أثناء اللقاءات العلمية والبحثية وكيفية
+
+64
+00:06:16,800 --> 00:06:21,620
+إدارة النقاش بطريقة علمية وما هي أهم النقاط
+
+65
+00:06:21,620 --> 00:06:28,600
+المتوقعة أثناء النقاش العلمي والبحثيكما أيضًا هذا
+
+66
+00:06:28,600 --> 00:06:35,500
+المساق سيتم فيه توضيح آلية كتابة الأوراق العلمية
+
+67
+00:06:35,500 --> 00:06:40,700
+والبحثية من المجلات العالمية الخاصة بنشر تلك
+
+68
+00:06:40,700 --> 00:06:46,240
+الأبحاث وكيفية تقديم البحث الخاص بالطالب في
+
+69
+00:06:46,240 --> 00:06:52,600
+المؤتمرات العلمية وكذلك كيفية تقديم وعرض رسالة
+
+70
+00:06:52,600 --> 00:06:59,660
+الماجستير يوم المناقشةالمسارق الحالي سوف يمكن
+
+71
+00:06:59,660 --> 00:07:07,660
+متخذية أقارات وأصحاب المناصب الأشرفية منكم على
+
+72
+00:07:07,660 --> 00:07:13,520
+كيفية الاستفادة من البيانات والأحصائيات وعمل ما
+
+73
+00:07:13,520 --> 00:07:19,040
+يلزم من خطوات بهدف تحسين خدمة معينة وفق خطوات
+
+74
+00:07:19,040 --> 00:07:21,740
+علمية وبحثية ممنهجة
+
+75
+00:07:24,220 --> 00:07:27,500
+سوف يمكن هذا المصارق أيضًا الطالب من كتابة
+
+76
+00:07:27,500 --> 00:07:32,360
+التقارير وتقديمها لجهات عليا بهدف تطبيق ما يلزم
+
+77
+00:07:32,360 --> 00:07:40,320
+بكل وضوح وأريحيًا أهم ما يرتكز عليه الجزء الأول من
+
+78
+00:07:40,320 --> 00:07:47,760
+هذا المصارق وهو أساليب البحث العلمي هو كيفية كتابة
+
+79
+00:07:47,760 --> 00:07:52,020
+الخطة البحثية أو ما يسمى بـ Proposal
+
+80
+00:07:54,460 --> 00:07:59,420
+هنتكلم عن الخطة الباحثية عن كيفية كتابتها من
+
+81
+00:07:59,420 --> 00:08:03,880
+الصفحة الأولى اللى هى الغلاف الخارجى ال cover ل
+
+82
+00:08:03,880 --> 00:08:11,300
+الخطة الباحثية كيفية كتابة ال title أين تتم كتابة
+
+83
+00:08:11,300 --> 00:08:16,180
+اسم الباحث وكيفية كتابة اسم المشرف على الغلاف
+
+84
+00:08:16,180 --> 00:08:25,080
+الخارجى لخطة الباحثية ومن ثمسيتم الحديث عن كيفية
+
+85
+00:08:25,080 --> 00:08:31,500
+كتابة المقدمة للخطة البحثية ال overview كيفية
+
+86
+00:08:31,500 --> 00:08:37,560
+كتابة أهداف البحث الخاص بطالب الماجستير وكيفية
+
+87
+00:08:37,560 --> 00:08:42,400
+كتابة ال significant of a study أهمية الدراسة
+
+88
+00:08:42,400 --> 00:08:48,680
+لتكون مقنعة للمناقشين باعتمادها كخطة بحثية لطالب
+
+89
+00:08:48,680 --> 00:08:49,300
+ماجستير
+
+90
+00:08:52,570 --> 00:08:56,610
+سيتم الحديث أيضًا على كيفية كتابة الـ material و
+
+91
+00:08:56,610 --> 00:09:02,970
+ال methods الخاصة بالخطة البحثية سواء كان من ال
+
+92
+00:09:02,970 --> 00:09:10,750
+data collection كيف سيتم جمع بيانات البحث أيضًا
+
+93
+00:09:10,750 --> 00:09:17,030
+كيفية تصميم الاستبانة للبحث وما هي أهم ال domains
+
+94
+00:09:17,030 --> 00:09:23,560
+المحاور الخاصة بالبحثكيفية اختيار عينة البحث
+
+95
+00:09:23,560 --> 00:09:30,840
+وكيفية كتابة آلية سحب العينات وما أهم الفحوصات
+
+96
+00:09:30,840 --> 00:09:35,180
+الكيميائية اللي بتتعلق بالبحث و ال objective بتاعة
+
+97
+00:09:35,180 --> 00:09:41,700
+الدراسة اللي هي أهداف الدراسة كمان كيف بدأ نكتب ال
+
+98
+00:09:41,700 --> 00:09:48,300
+data analysis تحليل البيانات في لكل بحث design
+
+99
+00:09:48,300 --> 00:09:48,880
+معين
+
+100
+00:09:51,750 --> 00:09:58,070
+المقصود فيه تصميم البحث كيف سيتم اختيار عينة البحث
+
+101
+00:09:58,070 --> 00:10:02,070
+من الناس اللي موجودين وهل أنا لازم أخد كل الناس
+
+102
+00:10:02,070 --> 00:10:05,870
+اللي موجودين في البحث أو ممكن أخد منهم sample
+
+103
+00:10:05,870 --> 00:10:12,150
+ابتكفي وإذا أنا بدأ أخد عينة من الناس اللي بدأ أجر
+
+104
+00:10:12,150 --> 00:10:17,210
+عليهم البحث كيفية اختيار هذه العينة وعلى أي أساس
+
+105
+00:10:18,740 --> 00:10:23,300
+حتى أعمل البحث بلزمني أخد موافقات هذه الموافقات
+
+106
+00:10:23,300 --> 00:10:26,900
+تبدأ من الشخص اللي أنا بدي أعمل عليه البحث أو بدي
+
+107
+00:10:26,900 --> 00:10:31,480
+أخد منه العينة وكذلك موافقة وزارة الصحة وهذه
+
+108
+00:10:31,480 --> 00:10:35,780
+الأشياء بنسميها ال ethical consideration واللي
+
+109
+00:10:35,780 --> 00:10:39,740
+بلزم فيها موافقة الشخص اللي بدي أعمل استبانة أو
+
+110
+00:10:39,740 --> 00:10:44,380
+أنا بدي أسحب منه عينة وبلزم كذلك موافقة الجامعة
+
+111
+00:10:44,380 --> 00:10:50,750
+على البحث ونمط البحثوموافقة وزارة الصحة ولجنة
+
+112
+00:10:50,750 --> 00:10:56,570
+helsinki كل هذه الأشياء بتفاصيلها هنغطيها في
+
+113
+00:10:56,570 --> 00:11:01,950
+محاضرتين أو تلات قادمات وسيكون الباحث قادر على
+
+114
+00:11:01,950 --> 00:11:08,250
+كتابة كل جزئية بكل سهولة البحث العلمي عبارة عن
+
+115
+00:11:08,250 --> 00:11:13,110
+خطوات تبدأ تلك الخطوات من الخطة البحثية
+
+116
+00:11:16,420 --> 00:11:23,500
+والخطة الباحثية دائما تبدأ بفكرة معينة هذه الفكرة
+
+117
+00:11:23,500 --> 00:11:28,560
+تقود الباحث انه يبحث يشوف هل فيه دراسات سابقة
+
+118
+00:11:28,560 --> 00:11:32,940
+موجودة و لا literature review وإيش الدراسات
+
+119
+00:11:32,940 --> 00:11:41,020
+السابقة هذه قالت بعد ذلك تجعل الباحث يفكر في صياغة
+
+120
+00:11:41,020 --> 00:11:48,130
+مشكلة البحثومن ثم صياغة سؤال خاص بالدراسة ليتم
+
+121
+00:11:48,130 --> 00:11:54,930
+الإجابة عليها من خلال تصميم خطة معينة للبحث وعمل
+
+122
+00:11:54,930 --> 00:12:00,330
+design ل RCR بعدها الباحث يقوم بعمل data
+
+123
+00:12:00,330 --> 00:12:07,310
+collection بيانات وبعد ما يجمع البيانات بتم تحليل
+
+124
+00:12:07,310 --> 00:12:12,690
+هذه البياناتوالخروج منها بإجابة على السؤال تبع
+
+125
+00:12:12,690 --> 00:12:18,990
+الباحث وكتابة تعليقه على هذه البيانات وبعدين بيطلع
+
+126
+00:12:18,990 --> 00:12:23,230
+ال conclusion نهائي في ال conclusion النهائي أحيان
+
+127
+00:12:23,230 --> 00:12:25,670
+بتيجي بعض الأفكار عند الباحث بيكتبها في
+
+128
+00:12:25,670 --> 00:12:30,130
+recommendation اللي بتكون فكرة جديدة لباحثين في
+
+129
+00:12:30,130 --> 00:12:36,680
+سنوات مستقبليةخطوات البحث أو research process اللي
+
+130
+00:12:36,680 --> 00:12:42,380
+موجودة أمامنا هي اللي بتمركز عليها المصاد الأحصاء
+
+131
+00:12:42,380 --> 00:12:47,320
+الحيوي وأساليب البحث العلمي اللي احنا هناخدها خطوة
+
+132
+00:12:47,320 --> 00:12:52,380
+بخطوة وكيف نكتب كل خطوة فيها لأن أي رسالة ماجستير
+
+133
+00:12:52,380 --> 00:12:58,480
+بدنا نصممها بتبدأ ان يكون عندي أنا موجود في رسالة
+
+134
+00:12:58,480 --> 00:13:05,080
+هذه ست شباتهاالستشاباتر هذه اللي موجودة حتى ابدأ
+
+135
+00:13:05,080 --> 00:13:09,660
+انا اكتب فيهم و اطبقهم بدأ تكون عنده خطة بحثية
+
+136
+00:13:09,660 --> 00:13:14,920
+الخطة البحثية عادة بيكون مكتوب فيها chapter 1 و 2
+
+137
+00:13:14,920 --> 00:13:19,940
+و 3 و بيكون واضح فيهم كل الأشياء اللي انا بدأ
+
+138
+00:13:19,940 --> 00:13:24,300
+اطبقهم فيه البحث و هدولة بنسميهم الخطة البحثية ال
+
+139
+00:13:24,300 --> 00:13:29,720
+proposalاللي اتكلمنا عنها سابقا chapter الاول
+
+140
+00:13:29,720 --> 00:13:33,760
+بيكون فيه مقدمة و هذه المقدمة بيكون فيها ال
+
+141
+00:13:33,760 --> 00:13:37,480
+objective بتاعة الدراسة و هي ال significant بتاعة
+
+142
+00:13:37,480 --> 00:13:43,060
+الدراسة و هنتكلم كيف احنا بنكتب المقدمة بتفاصيلها
+
+143
+00:13:43,060 --> 00:13:46,820
+chapter اتنين كيف الاستفادة من الدراسات السابقة
+
+144
+00:13:46,820 --> 00:13:50,540
+the teacher review و chapter تلاتة اللي هي المتدرج
+
+145
+00:13:50,540 --> 00:13:56,460
+الخاصة بالدراسةبعدين بعد ما نخلص هذه الأشياء كلها
+
+146
+00:13:56,460 --> 00:13:59,280
+بنقدم هذا ال proposal بتاعة شباتل اللي احنا
+
+147
+00:13:59,280 --> 00:14:03,940
+كتبناهم و بناخد اعتماد من أدارة الجامعة و بنبدأ
+
+148
+00:14:03,940 --> 00:14:08,020
+نجمع البيانات وفق الخطة اللي مكتوبة و بعد ما نجمع
+
+149
+00:14:08,020 --> 00:14:12,620
+البيانات بنبقى نحلل هذه البيانات و نكتب اللي هو
+
+150
+00:14:12,620 --> 00:14:16,880
+الشرطة الأربعة اللي هو result اللي فيه بتكون كل
+
+151
+00:14:16,880 --> 00:14:20,960
+النتائج الخاصة بالاستبانات و كذلك ان البيانات اللي
+
+152
+00:14:20,960 --> 00:14:25,200
+موجودة عندي كيف جمعتهمchapter 4 بنتكلم فيه ع
+
+153
+00:14:25,200 --> 00:14:30,500
+result بكل ما يحتويه من نتائج بعد ما نخلص chapter
+
+154
+00:14:30,500 --> 00:14:36,860
+4 في البحث بنكتب chapter 5 اللي هو ال discussion و
+
+155
+00:14:36,860 --> 00:14:39,400
+بنكتب chapter 6 اللي هو ال conclusion and
+
+156
+00:14:39,400 --> 00:14:44,400
+recommendationبنلاحظ أنه أكتر chapter هنشره عنه
+
+157
+00:14:44,400 --> 00:14:49,600
+اللي هو chapter 4 اللي هو result هنتكلم عن كل جزئي
+
+158
+00:14:49,600 --> 00:14:55,060
+فيه وكيف كتبتها بطريقة علمية ممنهجة بحيث أنه تكون
+
+159
+00:14:55,060 --> 00:14:59,540
+هذه النتاج مقنعة لأي مناقش بده يناقشنا فيه البحث
+
+160
+00:14:59,540 --> 00:15:02,920
+تقسيم
+
+161
+00:15:02,920 --> 00:15:06,200
+العلامات في المساق هيكون في عندنا assignment
+
+162
+00:15:06,200 --> 00:15:11,510
+بتلاتين علامةهيكون في عندنا كمان ان احنا نكتب
+
+163
+00:15:11,510 --> 00:15:15,170
+proposal خطوة بخطوة و نكتب مع بعض على مدار الفصل
+
+164
+00:15:15,170 --> 00:15:20,670
+هيكون في عندنا اختبار نصفي و اختبار نهائي المساق
+
+165
+00:15:20,670 --> 00:15:26,950
+بشكل عام مساق سهل جدا و هو من اهم المساقات اللي
+
+166
+00:15:26,950 --> 00:15:30,250
+بتضل الباحث يستفيد منها او الطالب يستفيد منها
+
+167
+00:15:31,010 --> 00:15:34,930
+باستفيد منها في مرحلة اعداد رسالة ل مجستير و لو
+
+168
+00:15:34,930 --> 00:15:37,870
+بده يكمل في المستقبل دراسات أعلى من مجستير
+
+169
+00:15:37,870 --> 00:15:44,190
+الدكتوراه كمان بيستفيد من المسار الحالي بخصوص
+
+170
+00:15:44,190 --> 00:15:50,010
+الامتحانات بنتكلم احنا كلام خارج عن المحاضرة او مش
+
+171
+00:15:50,010 --> 00:15:54,210
+موجود في ال slides اللي الطالب مطالب فيه ما هو
+
+172
+00:15:54,210 --> 00:15:57,890
+موجود في ال slide فقط اما اي كلام خارجي احنا
+
+173
+00:15:57,890 --> 00:16:02,280
+بنحكيه بنحكيه من باب التوضيحالامتحانات بشكل عام
+
+174
+00:16:02,280 --> 00:16:07,180
+بتكون امتحانات تطبيقية يعني بتسأل فيها أسئلة واضحة
+
+175
+00:16:07,180 --> 00:16:12,020
+هي هتكون من أسهل المثقات اللي موجودة مافيش فيها
+
+176
+00:16:12,020 --> 00:16:16,400
+غلبة كتير في موضوع الدراسة لأنها بتعتمد أكثر على
+
+177
+00:16:16,400 --> 00:16:19,800
+التطبيق العملي الأسئلة كلها بتيجي للطالب مباشرة
+
+178
+00:16:19,800 --> 00:16:24,380
+ممكن أحصل علامات كويسة بكل سهولة إذا هو تابع موضوع
+
+179
+00:16:24,380 --> 00:16:25,320
+المحاضرات
+
+180
+00:16:27,690 --> 00:16:32,350
+قالية التواصل هتكون إما بالإيميل أو ممكن على رقم
+
+181
+00:16:32,350 --> 00:16:38,030
+الواتس اللي هو رقم الجوال اللي هو 0599577280
+
+182
+00:16:38,030 --> 00:16:44,410
+أو ممكن من خلال صفحة ال facebook اللي مكتوب عليها
+
+183
+00:16:44,410 --> 00:16:49,730
+الإسم باللغة العربية دكتور أيمن أبو مصطفى و برحب
+
+184
+00:16:49,730 --> 00:16:54,130
+بأي استفسارات موجودة أو أي ملاحظات على المحاضرات
+
+185
+00:16:54,730 --> 00:16:59,150
+ممكن نعمل meeting ع ال zone إذا كان بالنسبة لكم كل
+
+186
+00:16:59,150 --> 00:17:04,330
+أسبوع لمدة ساعة و نناقش فيه أهم الأشياء اللي مش
+
+187
+00:17:04,330 --> 00:17:10,010
+واضحة و آلية تجاوز هذه الأشياء لا تترددوا في طلب
+
+188
+00:17:10,010 --> 00:17:15,510
+أي مساعدة أو أي استفسار لقاء اليوم هو كان لقاء
+
+189
+00:17:15,510 --> 00:17:22,430
+تعريفي فقط بيئ المساق و أهمية المساق و محاول
+
+190
+00:17:22,430 --> 00:17:27,170
+المساقان شاء الله هنبدأ من الأسبوع القادم ننزل
+
+191
+00:17:27,170 --> 00:17:33,650
+المحاضرات العلمية في النهاية بنكرر الترحال فيكم
+
+192
+00:17:33,650 --> 00:17:39,510
+وبشكركم لحسن استماعكم ونسأل الله عز وجل لكم درام
+
+193
+00:17:39,510 --> 00:17:43,690
+الصحة والعافية ونسأله تعالى لكم درام التوفيق
+
+194
+00:17:43,690 --> 00:17:50,070
+والسداد وشكرا لكم والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..caea2b2b7e4562aed715c4ab2cc1d3dbc6c264e3
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0.srt
@@ -0,0 +1,1396 @@
+1
+00:00:03,960 --> 00:00:07,820
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,820 --> 00:00:15,500
+الله، زملائنا، طلابنا الأعزاء، نستكمل ما تم الحديث
+
+3
+00:00:15,500 --> 00:00:21,680
+عنه في محاضرة السابقة، واللي هو chapter واحد، الـ
+
+4
+00:00:21,680 --> 00:00:26,760
+interaction. اتكلمنا في الـ chapter السابق أو في
+
+5
+00:00:26,760 --> 00:00:32,020
+الجزء السابق كيف ممكن تكتب الـ overview،
+
+6
+00:00:35,200 --> 00:00:39,460
+وبعدين اتكلمنا على موضوع الـ hypothesis، نستكمل
+
+7
+00:00:39,460 --> 00:00:45,660
+حديثنا في هذا الجزء لما اتكلمنا عن الـ benefit of
+
+8
+00:00:45,660 --> 00:00:49,860
+research hypothesis. قلنا في حاجة عندنا نتعرف على
+
+9
+00:00:49,860 --> 00:00:53,620
+الـ variable، variable،
+
+10
+00:00:53,620 --> 00:00:59,900
+يعني متغير، والمتغير له عدة أنواع، الـ family of
+
+11
+00:00:59,900 --> 00:01:09,170
+variables in studies، أنواع المتغيرات في الدراسة يا
+
+12
+00:01:09,170 --> 00:01:12,670
+بيكون عندنا independent، يا بيكون عندنا dependent،
+
+13
+00:01:12,670 --> 00:01:16,330
+يا بيكون في عندنا confounding، يا بيكون عندنا
+
+14
+00:01:16,330 --> 00:01:20,770
+control. الـ
+
+15
+00:01:20,770 --> 00:01:25,010
+independent بيكون عبارة عن الـ variable اللي بيدّي
+
+16
+00:01:25,010 --> 00:01:31,030
+عندنا للـ outcome، والـ dependent اللي هو عامل
+
+17
+00:01:31,030 --> 00:01:33,490
+التابع أو المتغير التابع،
+
+18
+00:01:37,620 --> 00:01:42,440
+هو الناتج عن الـ independent variable. يبقى أول حاجة
+
+19
+00:01:42,440 --> 00:01:46,520
+بيكون عندنا الـ family of the independent variable،
+
+20
+00:01:46,520 --> 00:01:56,240
+متغير مستقل أو متغير تابع. المتغير المستقل اللي بيكون
+
+21
+00:01:56,240 --> 00:02:02,040
+عبارة عن متغير متوقع أنه يدينا outcome، والـ
+
+22
+00:02:02,040 --> 00:02:07,080
+dependent بيكون الـ outcome نفسه. الـ Confounding
+
+23
+00:02:07,080 --> 00:02:14,200
+بيكون هو عبارة عن شيء دخل وأثر على النتيجة أو أثر
+
+24
+00:02:14,200 --> 00:02:24,460
+على الـ variable أو أثر على مجريات الدراسة، و
+
+25
+00:02:24,460 --> 00:02:30,540
+هناخد أمثلة بعد لحظات توضح أيش الأنواع، الـ family
+
+26
+00:02:30,540 --> 00:02:35,250
+هذا بالظبط بالتفصيل. الـ control variable هو شيء بكون
+
+27
+00:02:35,250 --> 00:02:41,150
+أنا ثبته حتى مايعملش عنا effect على موضوع الـ
+
+28
+00:02:41,150 --> 00:02:45,070
+variable. وخلّي عندنا confounding. الـ slide هذه
+
+29
+00:02:45,070 --> 00:02:50,870
+نخليها شوية وناخد الأمثلة، وراجعين تاني نوضحها،
+
+30
+00:02:50,870 --> 00:02:54,250
+وهذا
+
+31
+00:02:54,250 --> 00:03:00,910
+الـ slide كذلك. عندنا نفترض أن احنا في عندنا بحث، و
+
+32
+00:03:00,910 --> 00:03:07,390
+البحث اللي موجود أمامنا، بدي أجيس عنه تأثير مستوى
+
+33
+00:03:07,390 --> 00:03:12,850
+الـ ترامادول على الـ kidney function، الناس اللي بتاخد
+
+34
+00:03:12,850 --> 00:03:18,730
+ترامادول، بدنا نشوف أيش تأثير الترامادول على الـ kidney
+
+35
+00:03:18,730 --> 00:03:24,190
+function. أول
+
+36
+00:03:24,190 --> 00:03:27,810
+حاجة الدراسة بتقول لك to assist the kidney
+
+37
+00:03:27,810 --> 00:03:33,350
+function among a tromodole in Gaza Strip. يعني بدها
+
+38
+00:03:33,350 --> 00:03:36,790
+تشوف قداش مستوى الـ kidney function في الناس اللي
+
+39
+00:03:36,790 --> 00:03:40,950
+بياخدوا ترامادول في قطاع غزة. أخدوا مية واحد بياخدوا
+
+40
+00:03:40,950 --> 00:03:46,010
+ترامادول، ومية واحد ما بياخدوش. دايما الناس اللي بياخدوا
+
+41
+00:03:46,010 --> 00:03:51,390
+الدواء بيقول عنهم cases، والناس الـ healthy بيقول
+
+42
+00:03:51,390 --> 00:03:57,570
+عنهم control. الآن تساوي مية، والآن تساوي مية. لما
+
+43
+00:03:57,570 --> 00:03:59,110
+أجوا هنا جاسو اليوريا
+
+44
+00:04:01,650 --> 00:04:08,050
+في الـ control لقوها 22.5 كمتوسط
+
+45
+00:04:08,050 --> 00:04:12,630
+حسابي، ولما أخدوا في الناس اللي بتاخد الـ Tramadol
+
+46
+00:04:12,630 --> 00:04:18,610
+لقوها 52. يبقى Abnormal. المطلع
+
+47
+00:04:18,610 --> 00:04:23,760
+على البحث. بواقعه اللي موجودة، وبالنتائج هذه بيقول
+
+48
+00:04:23,760 --> 00:04:30,160
+إنه 52 Abnormal، و 22.5 في الـ normal range. يبقى
+
+49
+00:04:30,160 --> 00:04:34,160
+الترامادول بأثر عندنا على الـ kidney. فراح يتأكد من
+
+50
+00:04:34,160 --> 00:04:38,600
+الكرياتينين. لاقي عندنا 1.5 المتوسط الحسابي في الـ
+
+51
+00:04:38,600 --> 00:04:43,020
+cases، ولاقي عندنا الكرياتينين نصف في الـ control،
+
+52
+00:04:43,020 --> 00:04:49,580
+فوصل الباحث لـ conclusion إنه والله الترامادول بأثر
+
+53
+00:04:49,580 --> 00:04:56,080
+على الـ kidney function. وبالمنسبة هذه عبارة عن
+
+54
+00:04:56,080 --> 00:05:01,940
+نتائج عرضت في مؤتمر، وصار النقاش اللي هنتكلم عنه أن
+
+55
+00:05:01,940 --> 00:05:05,720
+الباحث قال في الـ conclusion أن الترامادول بيعمل
+
+56
+00:05:05,720 --> 00:05:09,800
+عندنا defect في الـ kidney function. طب إحنا عارفين
+
+57
+00:05:09,800 --> 00:05:16,000
+أن الـ age بأثر على مستوى اليوريا. لو اطلعنا للناس
+
+58
+00:05:16,000 --> 00:05:21,060
+اللي أخدهم cases، هم أكبر في السن، فوق الخمسين، والـ
+
+59
+00:05:21,060 --> 00:05:28,760
+control كلهم young، 27. فاحتمال يكون أن الـ 52 اليوريا،
+
+60
+00:05:28,760 --> 00:05:35,240
+الزيادة اللي موجودة هنا هي أصلاً جاية من الـ age، مش
+
+61
+00:05:35,240 --> 00:05:40,400
+جاية من الترامادول. والزيادة في الكرياتينين اللي كانت
+
+62
+00:05:40,400 --> 00:05:45,460
+هنا، احتمال تكون جاية من الـ age، مش جاية كمان من
+
+63
+00:05:45,460 --> 00:05:52,150
+الترامادول. لأنه واحد قالك أن الكرياتينين بتأثرش بالـ
+
+64
+00:05:52,150 --> 00:05:57,190
+age، صحيح، بس لو اطلعنا في الـ age اللي موجود عندنا
+
+65
+00:05:57,190 --> 00:06:01,470
+بنلاقي أنه في واحد عمره تسعين سنة في الـ cases، يبقى
+
+66
+00:06:01,470 --> 00:06:05,150
+في واحد عمره تسعين سنة وبياخد ترامادول، يمكن هو
+
+67
+00:06:05,150 --> 00:06:09,270
+بالتسعين هذا هو اللي الـ maximum تبع الكرياتينين
+
+68
+00:06:09,270 --> 00:06:13,310
+كان عنده تلاتة ونصف، لأن الكرياتينين بعد سن معين
+
+69
+00:06:13,310 --> 00:06:19,940
+بيبدأ يزيد. فبالتالي أن تأثير الـ age على نتائج هذه
+
+70
+00:06:19,940 --> 00:06:25,280
+واضح، وما فيش حد يقدر ينكره. بنقول هنا الـ age عبارة
+
+71
+00:06:25,280 --> 00:06:29,660
+عن confounder. الـ age هو عبارة عن متغير confounding
+
+72
+00:06:29,660 --> 00:06:36,900
+اتدخل في تغيير النتائج اللي موجودة. هذه معناتها
+
+73
+00:06:36,900 --> 00:06:41,120
+confounding، يعني شيء بيخلي النتائج تطلع غلط. يبقى
+
+74
+00:06:41,120 --> 00:06:47,250
+النتائج اللي طلعت منه مش هي فعلاً صحيحة. طب أيش الـ
+
+75
+00:06:47,250 --> 00:06:51,330
+dependent والـ independent في الحالة هذه؟ باللاحظ
+
+76
+00:06:51,330 --> 00:06:55,250
+أنه عندنا الـ cases والـ control، هدول الإثنين
+
+77
+00:06:55,250 --> 00:07:00,210
+عبارة عن independent. يبقى في عندنا في الدراسة في
+
+78
+00:07:00,210 --> 00:07:04,110
+حاجة اسمها variable، والـ variable في dependent و
+
+79
+00:07:04,110 --> 00:07:10,390
+independent و confounding، وفي عندنا control. دائماً
+
+80
+00:07:10,390 --> 00:07:16,930
+اللي بيكون على رأس الـ table من فوق أو بيكون موجود
+
+81
+00:07:16,930 --> 00:07:24,090
+أعلى الجدول، هذا بنقول عنه independent، واللي
+
+82
+00:07:24,090 --> 00:07:28,010
+بيكون اتأثر بالـ independent بنسميه dependent. يبقى
+
+83
+00:07:28,010 --> 00:07:33,990
+مستوى اليوريا هنا اعتمد على كونها cases، ومستوى
+
+84
+00:07:33,990 --> 00:07:39,830
+الكرياتينين dependent أو تابع لإنها cases. الرقم
+
+85
+00:07:39,830 --> 00:07:44,310
+اللي كان 52 هذا كان
+
+86
+00:07:45,730 --> 00:07:49,570
+مستقل بالنسبة للـ cases ولا مستقل بالنسبة لـ
+
+87
+00:07:49,570 --> 00:07:55,450
+اليوريا؟ هو كان يعتمد على الـ cases. يبقى، وقم اليوريا
+
+88
+00:07:55,450 --> 00:08:01,130
+52 هي، لا اليوريا أن هذه اليوريا اعتمدت أنها في الـ
+
+89
+00:08:01,130 --> 00:08:04,850
+cases. فبالتالي بنقول هنا في الحالة هذه اليوريا
+
+90
+00:08:04,850 --> 00:08:12,850
+تابع، dependent. وهنا independent، مستقلة، متغير مستقل.
+
+91
+00:08:14,100 --> 00:08:20,220
+طب هو اليوريا زادت، و
+
+92
+00:08:20,220 --> 00:08:25,420
+لا، الـ cases أجت قبل. يعني مين أجى قبل؟ هو كان cases
+
+93
+00:08:25,420 --> 00:08:29,520
+وزادت عنده، ولا اليوريا زادت وبعدين صار cases
+
+94
+00:08:29,520 --> 00:08:33,280
+مستوى
+
+95
+00:08:33,280 --> 00:08:40,100
+اليوريا هنا. حصل قبل، 22.5 أجى قبل
+
+96
+00:08:42,970 --> 00:08:46,790
+في اليوريا، ولا في الـ control؟ لأ، هو كونه control
+
+97
+00:08:46,790 --> 00:08:51,230
+كانت عنده اليوريا هيك. نعيدها أكثر توضيحاً بنقول
+
+98
+00:08:51,230 --> 00:08:56,670
+دائماً قانون اللي بيجي قبل، أو اللي بنبدأ فيه هو
+
+99
+00:08:56,670 --> 00:09:00,690
+اللي بيكون independent. الشيء اللي إحنا بنبدأ فيه هو
+
+100
+00:09:00,690 --> 00:09:05,050
+بيكون عبارة عن independent. أنا بدأت case و control،
+
+101
+00:09:05,050 --> 00:09:10,310
+ورحت أجيس فيهم اليوريا، والكرياتينين، والـ age،
+
+102
+00:09:11,090 --> 00:09:14,730
+يبقى بدأت في مجموعة case، خات case وخات control،
+
+103
+00:09:14,730 --> 00:09:19,050
+روحت أجيس فيهم الـ variables هذه. فاللي ببدأ فيها
+
+104
+00:09:19,050 --> 00:09:23,710
+دائماً هي عبارة عن independent، واللي بتكون موجودة،
+
+105
+00:09:23,710 --> 00:09:27,470
+اللي أنا بروح أجيسهم بيكونوا عبارة عن dependent،
+
+106
+00:09:27,470 --> 00:09:32,450
+واللي أثرت على النتيجة بتكون عبارة عن confounder.
+
+107
+00:09:33,560 --> 00:09:36,340
+يبقى أحياناً ممكن يكون الـ variable اللي موجود هنا،
+
+108
+00:09:36,340 --> 00:09:39,740
+اللي شايفينه هذا independent، وممكن يكون
+
+109
+00:09:39,740 --> 00:09:44,320
+confounding، وممكن يكون control. طب لو هنا أخدنا
+
+110
+00:09:44,320 --> 00:09:47,520
+equal لإثنين زي ما هو في الـ table اللي موجودة،
+
+111
+00:09:47,520 --> 00:09:52,960
+لإثنين matching. أنا عملت تثبيت للـ age، يعني حجة الـ
+
+112
+00:09:52,960 --> 00:09:56,260
+age اللي أنتم بتحججوا فيها، أنا هنا أخفيتها،
+
+113
+00:09:56,260 --> 00:10:01,130
+وثبتتها. هنا صار عندي control variable. أنا شيء
+
+114
+00:10:01,130 --> 00:10:06,250
+عملته، له ضبط ووزن ثابت. زي ما بنيجي نكافئ الميزان، ومع
+
+115
+00:10:06,250 --> 00:10:10,250
+إننا بكافئ ميزان قبل ما نوزن عليهم، بنتأكد أن
+
+116
+00:10:10,250 --> 00:10:14,890
+الإثنين matching، the equal، نفس الوزن. فبالتالي
+
+117
+00:10:14,890 --> 00:10:19,670
+بنقول إحنا عملنا control. يبقى في الـ variable اللي
+
+118
+00:10:19,670 --> 00:10:23,610
+أشوفه قدامي أنا في الـ table، أبدأ أشوف أول حاجة هو
+
+119
+00:10:23,610 --> 00:10:27,850
+dependent ولا independent ولا control ولا
+
+120
+00:10:27,850 --> 00:10:32,230
+confounding. طب كيف أنا بدي أعرفهم؟ بعرفهم أول حاجة
+
+121
+00:10:32,230 --> 00:10:36,090
+من شكل الـ table اللي موجود. إذا كان عندي أنا، وأنا
+
+122
+00:10:36,090 --> 00:10:39,170
+بقرا في الـ table اللي موجود، أول شيء case و control،
+
+123
+00:10:39,170 --> 00:10:43,050
+هذا عبارة عن independent. اللي موجود هنا كله عبارة
+
+124
+00:10:43,050 --> 00:10:46,950
+عن dependent. بتطلع إذا معمول له matching، بكون
+
+125
+00:10:46,950 --> 00:10:50,950
+control. مش معمول matching وأنا بعيني ملاحظ إنه أثر
+
+126
+00:10:50,950 --> 00:10:55,090
+على النتيجة بنسميه confounding، زي ما كان موجود في
+
+127
+00:10:55,090 --> 00:10:58,270
+الجدول اللي فوق. أنا متأكد أن علو اليوريا اللي
+
+128
+00:10:58,270 --> 00:11:03,230
+موجود هنا تأثيره جاي من الـ age. وهذا خلاني أشك.
+
+129
+00:11:03,230 --> 00:11:08,950
+فناخد
+
+130
+00:11:08,950 --> 00:11:15,850
+كمان مثال. المثال يقول أن أنا عندي ناس بتتعرض
+
+131
+00:11:15,850 --> 00:11:20,470
+لمبيدات حشرية، والمبيدات الحشرية هذه أنا حطيت فرضية
+
+132
+00:11:20,470 --> 00:11:23,970
+أن الناس اللي بتتعرض للمبيدات الحشرية بيكون عندهم
+
+133
+00:11:23,970 --> 00:11:27,730
+anemia. الناس اللي بيشتغلوا في الزراعة وبيتعرضوا للرش،
+
+134
+00:11:27,730 --> 00:11:32,110
+وأمور، الأشياء هذه، كلها أثناء الزراعة، هذه كلها
+
+135
+00:11:32,110 --> 00:11:38,590
+بتعمل عندهم anemia. فروحنا أخدنا 98 واحد، والـ 98 واحد
+
+136
+00:11:38,590 --> 00:11:43,790
+هذول أخدتهم مزارعين، برش ومبيدات حشرية، وأخدنا 98
+
+137
+00:11:43,790 --> 00:11:50,030
+واحد كمان، لكن ما بيشتغلوش في مجال المبيدات الحشرية،
+
+138
+00:11:50,030 --> 00:11:54,330
+فطلع
+
+139
+00:11:54,330 --> 00:12:00,670
+لنا جداول. زي ما إحنا شايفين أن الـ white PCs ستة، و
+
+140
+00:12:00,670 --> 00:12:05,750
+تسعة كانت في الـ control، وسبعة في الـ cases.
+
+141
+00:12:10,330 --> 00:12:15,650
+الـ platelets 4.9، و4.9. إيكول. أول ما تتطلع في الجدول
+
+142
+00:12:15,650 --> 00:12:18,470
+هي الـ independent مباشرة، فوق، الـ independent موجودة،
+
+143
+00:12:18,470 --> 00:12:22,480
+وكل اللي على الجنب هذول الـ dependent. فاطلعت في الأرقام
+
+144
+00:12:22,480 --> 00:12:26,940
+اللي موجودة، كلها لقيتها تقريباً فيهم كلهم، حتى في
+
+145
+00:12:26,940 --> 00:12:33,740
+نسبة الـ hemoglobin 14.6، و14.3، وكأنه ما فيش عندنا
+
+146
+00:12:33,740 --> 00:12:36,920
+اختلاف ما بين الناس اللي اتعرضوا لمبيدات الحشرية،
+
+147
+00:12:36,920 --> 00:12:40,280
+والناس اللي ما اتعرضوش. وقلت والله أن الـ hemoglobin ما
+
+148
+00:12:40,280 --> 00:12:46,580
+بتأثر. ولكن لما الباحث بعرض في النتائج، اتفاجأ أن
+
+149
+00:12:46,580 --> 00:12:49,720
+الناس اللي بتسمع في الباحث أن في عندهم confounding،
+
+150
+00:12:50,750 --> 00:12:55,690
+أول confounding موجود، أنه أخد مجموعة الـ cases، كمية
+
+151
+00:12:55,690 --> 00:13:00,970
+كبيرة منهم مدخنين، يعني 93 في 109، 94 تقريباً كانوا
+
+152
+00:13:00,970 --> 00:13:04,690
+مدخنين، وإحنا عارفين أن التدخين بيزيد الـ hemoglobin،
+
+153
+00:13:04,690 --> 00:13:09,850
+بينما الـ control كان 16، 3. هذا أول عامل ممكن يكون
+
+154
+00:13:09,850 --> 00:13:14,350
+أخفى النتيجة. كان في الـ confounding الأول أن هو وضح
+
+155
+00:13:14,350 --> 00:13:18,300
+أنه فيه نتيجة، وزود في النتيجة هنا. في confounding
+
+156
+00:13:18,300 --> 00:13:22,680
+أخفى النتيجة. هو أخد مزارعين ومدخنين، وأخد control
+
+157
+00:13:22,680 --> 00:13:29,560
+وغير مدخنين. وكأنه التدخين زود الـ hemoglobin، فأخفى الـ
+
+158
+00:13:29,560 --> 00:13:33,820
+effect بتاع المبيد الحشري، أو التعرض لأدوات الـ rush،
+
+159
+00:13:33,820 --> 00:13:38,080
+الزراعية. اتفاجئوا كمان أن الـ cases هنا education،
+
+160
+00:13:38,080 --> 00:13:41,420
+تبعهم عالي. ممكن يكونوا ناس متعلمين ومزارعين،
+
+161
+00:13:41,420 --> 00:13:47,330
+فبالتالي بلبسوا كمامة، وبمنعوا الـ effect تبع أدوات
+
+162
+00:13:47,330 --> 00:13:51,410
+الرش اللي بيستخدموها. لاحظوا إنه كمان مش نفس الـ
+
+163
+00:13:51,410 --> 00:13:55,230
+area، مش عامل matching في الـ area، أو control للـ
+
+164
+00:13:55,230 --> 00:14:00,570
+area. فجال في عنده confounding إثنين، تلاتة. هدول
+
+165
+00:14:00,570 --> 00:14:05,170
+عبارة عن confounding، أثرّوا على نتائج هذه، وقد تكون
+
+166
+00:14:05,170 --> 00:14:09,650
+هي اللي خلت الـ hemoglobin يطلع equal، لما أنتَ 14،
+
+167
+00:14:09,650 --> 00:14:16,970
+وتلاتة، ومدخنين، و14، و6، وغير مدخنين. بالمنطق أنها تكون
+
+168
+00:14:16,970 --> 00:14:20,050
+أقل من هيك، لأن الـ smoking هو اللي زود الـ
+
+169
+00:14:20,050 --> 00:14:25,350
+hemoglobin. فبالتالي أخفى النتيجة. نرجع تاني نطلع في
+
+170
+00:14:25,350 --> 00:14:28,850
+النتائج اللي موجودة، بنلاقي أنه إحنا عندنا عامل للـ
+
+171
+00:14:28,850 --> 00:14:32,650
+age matching، فبيكون عندنا الـ matching اللي موجود
+
+172
+00:14:32,650 --> 00:14:37,590
+في الـ age هو عبارة عن control variable، والتلاتة
+
+173
+00:14:37,590 --> 00:14:42,130
+هدول عبارة عن confounding variables. ما بكيف إحنا
+
+174
+
+223
+00:17:51,370 --> 00:17:54,730
+independent اللي هو الage وباقي الأشياء كلها
+
+224
+00:17:54,730 --> 00:18:01,320
+بتكون عبارة عن dependent. مثال ثاني لو أجينا في ال
+
+225
+00:18:01,320 --> 00:18:04,740
+white blood cell، بدي أشوف علاقتها مع الTSH دائما.
+
+226
+00:18:04,740 --> 00:18:07,580
+الwhite blood cellالموجود على رأس القائمة، بقول
+
+227
+00:18:07,580 --> 00:18:10,140
+الrelation between white blood cell and thyroid
+
+228
+00:18:10,140 --> 00:18:12,660
+stimulated hormone، بقول في الحالة هذه أن الwhite
+
+229
+00:18:12,660 --> 00:18:15,700
+blood cellهي عبارة عن independent، والdependent
+
+230
+00:18:15,700 --> 00:18:20,840
+اللي موجود هو عبارة عن الTSH. يبقى إحنا أخدنا
+
+231
+00:18:20,840 --> 00:18:25,160
+قاعدتين: القاعدة الأولى بتقول أن أنا اللي ببدأ فيه
+
+232
+00:18:25,160 --> 00:18:29,400
+بيكون عبارة عن independent، والتانية بتقول لك أنا مش
+
+233
+00:18:29,400 --> 00:18:32,940
+عارف بمين بدء، وموجود الجدول قدامي، فجأة لقيته قدامي.
+
+234
+00:18:32,940 --> 00:18:36,180
+فاللي بيكون عنوان الجدول من فوق بيكون عبارة عن
+
+235
+00:18:36,180 --> 00:18:39,220
+independent. هي شغلة تانية. الشغلة الثالثة بتقول لك
+
+236
+00:18:39,220 --> 00:18:43,180
+القاعدة دائما: الgrouping variableهو independent،
+
+237
+00:18:43,180 --> 00:18:48,800
+والtested variableهو dependent. يبقى case
+
+238
+00:18:48,800 --> 00:18:52,820
+وcontrol group، مجموعتين: مجموعة case ومجموعة
+
+239
+00:18:52,820 --> 00:18:57,400
+control، اللي أنا روحت فحصتهم، اللي هم اليوريا
+
+240
+00:18:57,400 --> 00:19:00,200
+والكرياتينين والwhite blood cellوالhematocrit
+
+241
+00:19:00,200 --> 00:19:05,980
+والMCVوالMCHوالMCHC، هدول بسميهم عبارة عن
+
+242
+00:19:05,980 --> 00:19:10,140
+tested variable، بسميهم عبارة عن dependent variable.
+
+243
+00:19:10,140 --> 00:19:16,620
+هاه مثال، مثال بيقول لك أنا بدي أقارن الكوليسترول ما بين
+
+244
+00:19:16,620 --> 00:19:21,100
+الobeseوالnon obese، مين اللي عندنا موجود كـ
+
+245
+00:19:21,100 --> 00:19:25,600
+levelأو كرقم؟ عندنا جروب، مجموعتين: المجموعةobese
+
+246
+00:19:25,600 --> 00:19:30,340
+ومجموعةnon obese. obeseوnon obeseبنقول في
+
+247
+00:19:30,340 --> 00:19:33,560
+الحالة هذه، الgrouping variableهو عبارة عن
+
+248
+00:19:33,560 --> 00:19:37,000
+dependent. فبتكونobeseوnon obeseهم عبارة عن
+
+249
+00:19:37,000 --> 00:19:40,620
+independent. عفوا، بنقول أن الobeseوالnon obese
+
+250
+00:19:40,620 --> 00:19:45,540
+هم عبارة عن independent، والtested variableمن حيث إنّي
+
+251
+00:19:45,540 --> 00:19:50,100
+فحصت الكوليسترول في كل واحد فيهم، بقول عنه dependent.
+
+252
+00:19:51,880 --> 00:19:56,160
+هنا السؤال: لو اتخيلنا الموقف، أنا أخدت الobeseوالـ
+
+253
+00:19:56,160 --> 00:20:01,180
+non obeseورحت فحصت لهم الكوليسترول، ولا فحصت
+
+254
+00:20:01,180 --> 00:20:04,740
+الكوليسترول ومنه عرفت  obeseوnon obeseبالمنطق.
+
+255
+00:20:04,740 --> 00:20:09,260
+يعني هيك، بالعجل نعيد السيناريو تاني: أنا عندي
+
+256
+00:20:09,260 --> 00:20:12,540
+مجموعةobeseوnon obeseورحت فحصت لهم الكوليسترول.
+
+257
+00:20:12,540 --> 00:20:16,220
+هيك أنا بدأت في اتجاهobeseوnon obeseوفحصت
+
+258
+00:20:16,220 --> 00:20:22,120
+الكوليسترول، ولا فحصت cholesterolومنّها روحت عرفت أنه
+
+259
+00:20:22,120 --> 00:20:25,720
+obeseوnon obese.  هو المنطق أنهobeseوnon obese
+
+260
+00:20:25,720 --> 00:20:29,240
+ورحت فحصت لهم الcholesterol، فبالتالي بيكون كمان
+
+261
+00:20:29,240 --> 00:20:33,720
+بالشيء الثاني اللي ممكن نتأكد منه أنه أنا بدأت في
+
+262
+00:20:33,720 --> 00:20:35,720
+الobeseوالnon obeseوفحصتcholesterol، فاللي
+
+263
+00:20:35,720 --> 00:20:38,260
+بدأت فيه بيكون هو عبارة عن independent، والـ
+
+264
+00:20:38,260 --> 00:20:43,320
+cholesterolبيكون هو عبارة عن dependent. حاجة تانية:
+
+265
+00:20:43,320 --> 00:20:47,300
+أنا بدي أقارن ساعات العمل ما بين الmaleوالـ
+
+266
+00:20:47,300 --> 00:20:51,300
+female. عندنا two scenarios: السيناريو الأول أن آخذ
+
+267
+00:20:51,300 --> 00:20:55,360
+مجموعة من الmaleوأسألهم كم ساعة اشتغلوا، ومجموعة من الـ
+
+268
+00:20:55,360 --> 00:20:57,600
+femaleوأسألهم كم ساعة اشتغلوا.
+
+269
+00:20:57,600 --> 00:21:01,080
+فبكون بدأت بالmaleوالfemaleوسألتهم كم
+
+270
+00:21:01,080 --> 00:21:04,800
+ساعة اشتغلوا. فبكون الmaleوالfemaleهم الـ
+
+271
+00:21:04,800 --> 00:21:09,740
+independent، وعدد الساعات هو independentولا
+
+272
+00:21:09,740 --> 00:21:14,400
+بالمنطق: أنا بروح أشوف ساعات العمل، ومن ساعات
+
+273
+00:21:14,400 --> 00:21:17,740
+العمل أستنتج والله زي ما اشتغل ست ساعات بيكون
+
+274
+00:21:17,740 --> 00:21:21,460
+عبارة عن female. بالمنطق مش ممكن يكون هيك. المنطق أن
+
+275
+00:21:21,460 --> 00:21:25,860
+أنا بسأل: أنت maleأو بشوف هو maleولاfemaleوبشوف
+
+276
+00:21:25,860 --> 00:21:29,720
+ساعات العمل، لأن العكس لا يمكن أن يكون صحيح أن
+
+277
+00:21:29,720 --> 00:21:33,180
+أنا أشوف عند فلان موجود أن فلان خمس ساعات، يبقى
+
+278
+00:21:33,180 --> 00:21:37,740
+هدف female. أقدر أستنتج منهم هذا بالمنطق. لأ، أنا بقى
+
+279
+00:21:37,740 --> 00:21:41,740
+أقول بالمنطق أنه maleوfemaleوبسأل فيهم الـ، و
+
+280
+00:21:41,740 --> 00:21:45,020
+بدأت في الmaleوالfemaleوجمعت عدد الساعات.
+
+281
+00:21:45,020 --> 00:21:49,760
+فبالتالي بقول اللي بدأنا فيه بيكون هو عبارة عن
+
+282
+00:21:49,760 --> 00:21:54,480
+independent، وساعات العمل بيكون عبارة عن dependent
+
+283
+00:21:54,480 --> 00:21:55,460
+variable.
+
+284
+00:22:02,090 --> 00:22:04,930
+يبقى بنرجع لـhypothesisوstatistical hypothesis.
+
+285
+00:22:04,930 --> 00:22:11,770
+أنا بقدر أقول، نشوف عدة أشياء: بقدر أشوف الـ
+
+286
+00:22:11,770 --> 00:22:15,250
+variables، أشوف كيف ممكن أعمل لهم summary، أشوف الـ
+
+287
+00:22:15,250 --> 00:22:18,050
+outcome. اتكلمنا كمان إن إحنا بنقدر نعرف الـ
+
+288
+00:22:18,050 --> 00:22:20,530
+dependentوالindependentونربطها بالدراسات
+
+289
+00:22:20,530 --> 00:22:27,980
+السابقة. منها كمان بنقدر نستنتج حقيقة الhypothesisهذه.
+
+290
+00:22:27,980 --> 00:22:32,380
+لها علاقة بالtitleتبع البحث، وعلاقتها بـ
+
+291
+00:22:32,380 --> 00:22:38,520
+research question. هل هذه ممكن نقدر نطبقها ولا
+
+292
+00:22:38,520 --> 00:22:44,380
+نقدرش نطبقها؟ وكيف إحنا ممكن نحولresearch
+
+293
+00:22:44,380 --> 00:22:48,560
+questionأوstatistical hypothesis؟ هذا الslide
+
+294
+00:22:48,560 --> 00:22:52,360
+للإطلاع بس فقط، يعني ما حد يغلب حاله فيها، هي بس إحنا
+
+295
+00:22:52,360 --> 00:22:53,340
+حاطينها للإطلاع.
+
+296
+00:22:55,880 --> 00:23:00,100
+وهذه كمان الslide، بس نتذكر فيها أنه ممكن من خلال
+
+297
+00:23:00,100 --> 00:23:06,180
+الhypothesisكمان أقدر أتوقع النتائج، و
+
+298
+00:23:06,180 --> 00:23:08,980
+أقدر أعرف الdependentوالindependentوالـ
+
+299
+00:23:08,980 --> 00:23:12,620
+control variable، إذا في عندي أشياء ممكن تأثر في
+
+300
+00:23:12,620 --> 00:23:15,860
+النتائج ولا لأ، من خلال الhypothesis. وهذه الـ
+
+301
+00:23:15,860 --> 00:23:22,300
+slideكمان للإطلاع فقط. في عندنا ملاحظة هنا بتقول
+
+302
+00:23:23,680 --> 00:23:26,620
+إنه دائما إذا النتائج اختلفت أو اتفقت معايا
+
+303
+00:23:26,620 --> 00:23:31,700
+hypothesis، بتخليها كما هي، ممنوع أغير فيها. فبالتالي
+
+304
+00:23:31,700 --> 00:23:38,140
+إذا عندي نتائج البحث اتفقت مع الدراسة، بتخليها و
+
+305
+00:23:38,140 --> 00:23:44,540
+أتبناها اللي بتقول أن أنت بيوتيك معين بيأثر
+
+306
+00:23:44,540 --> 00:23:49,840
+البكتيريا وممكن يعالجها. وإذا كمان النتائج اللي
+
+307
+00:23:49,840 --> 00:23:54,050
+طلعت في نهاية الدراسة ما اتفقتش معايا فرضية، أنه طلع
+
+308
+00:23:54,050 --> 00:23:57,070
+الantibioticهذا لا يقتل البكتيريا ولا حاجة كمان.
+
+309
+00:23:57,070 --> 00:24:02,310
+ممنوع أغير في الفرضية ثاني، ممنوع أغير في النتائج.
+
+310
+00:24:02,310 --> 00:24:07,470
+وببدأ أحاول أبرر وأجيب أسباب أنه ليش الفرضية اللي
+
+311
+00:24:07,470 --> 00:24:13,550
+طلعت معايا هذه ما اتفقتش مع النتائج. وصلنا الحين في
+
+312
+00:24:13,550 --> 00:24:18,700
+chapter one، لجزئية بتاعت الobjective، وحتى نعرف كيف
+
+313
+00:24:18,700 --> 00:24:21,520
+نكتب الobjective، بنكون عارفين الhypothesis
+
+314
+00:24:21,520 --> 00:24:25,340
+ومحتوياتها، وعارفين أنه في عنده confounding، وعارفين
+
+315
+00:24:25,340 --> 00:24:28,040
+أنه في عنده independentوdependentوcontrol، لايك
+
+316
+00:24:28,040 --> 00:24:31,580
+اتكلمنا عن كل السابق، فمش ممكن أن أكتب الobjective
+
+317
+00:24:31,580 --> 00:24:35,140
+وأنا مش عارف في عنده confoundingولا لأ، في عندي
+
+318
+00:24:35,140 --> 00:24:38,300
+controlلازم أعمل ولا لأ، مين independentومين
+
+319
+00:24:38,300 --> 00:24:41,780
+dependent، كل هذه الشغلات لازم أكون عارفها حتى
+
+320
+00:24:41,780 --> 00:24:45,140
+أبدأ صياغة الobjective. أول حاجة في الobjective
+
+321
+00:24:46,790 --> 00:24:51,390
+بتكون متوافقة مع الtitle. يبقى عندنا الobjective
+
+322
+00:24:51,390 --> 00:24:56,490
+بتكون ماشية تماما مع الtitle. لو الtitleكان عندنا
+
+323
+00:24:56,490 --> 00:25:01,290
+the relation between obesity and hypertension،
+
+324
+00:25:01,290 --> 00:25:06,390
+بتكون الobjective: to assess the relation between
+
+325
+00:25:06,390 --> 00:25:11,270
+obesity and hypertension. يبقى بتكون متوافقة مع الـ
+
+326
+00:25:11,270 --> 00:25:19,510
+title. الشغلة التانية: هذا الobjectiveبدّه يلخص عندي
+
+327
+00:25:19,510 --> 00:25:26,790
+ما هو المطلوب تحقيقه في الدراسة. يبقى لو كان عندنا
+
+328
+00:25:26,790 --> 00:25:33,050
+مثال أنه أنا بدي، عندي الproblem statement، الموضوع
+
+329
+00:25:33,050 --> 00:25:39,990
+الذي نباتي، الtopic، وكان عندنا الtitleبيقول
+
+330
+00:25:39,990 --> 00:25:43,370
+clinical and biochemical parameters associated with
+
+331
+00:25:43,370 --> 00:25:46,950
+diabetic retinopathy in male patients in Gaza Strip،
+
+332
+00:25:46,950 --> 00:25:54,250
+فقط، حتى أجيب الobjective، ببدأ أقول: to identify. طب
+
+333
+00:25:54,250 --> 00:25:58,450
+ليش اخترت verbهذا بالذات؟ لأن في عندنا عدة verbs
+
+334
+00:25:58,450 --> 00:26:05,630
+تستخدم، وفي عندنا verbsلا تستخدم، وهنتكلم عنهم في الـ
+
+335
+00:26:05,630 --> 00:26:10,070
+slideاللي بعد القادمة. ولكن الobjectiveباختصار
+
+336
+00:26:10,070 --> 00:26:14,210
+بيدّكون عندنا smart، يعني بيكون الobjective: specific،
+
+337
+00:26:14,210 --> 00:26:18,970
+measurable، specificيعني دقيق، وmeasurableقابل
+
+338
+00:26:18,970 --> 00:26:28,850
+للقياس وممكن يتحقق، وإله relatedللtitle، وكمان
+
+339
+00:26:28,850 --> 00:26:35,770
+إله زمن محدد ممكن أحققه فيه. فهنا smartهي الـ
+
+340
+00:26:35,770 --> 00:26:40,590
+formulation of the research objective. الverbsاللي
+
+341
+00:26:40,590 --> 00:26:46,010
+بيستخدم في كتابة الobjective، في حاجة بنسميها الـ
+
+342
+00:26:46,010 --> 00:26:49,550
+action verbs، وشغلة تانية بنسميها الnon-action verbs.
+
+343
+00:26:49,550 --> 00:26:53,890
+هذه الverbsاللي ممكن نستخدمها، وهذه الverbsممنوع
+
+344
+00:26:53,890 --> 00:26:58,010
+نستخدمها: to determine، to calculate، to explore،
+
+345
+00:26:58,370 --> 00:27:04,310
+to identify، to compare، to test، to assess، كل هذه
+
+346
+00:27:04,310 --> 00:27:09,140
+الverbsإحنا بنستخدمها في الobjective، ولكن لما
+
+347
+00:27:09,140 --> 00:27:11,860
+بيقول: to share، to understand، to believe، to
+
+348
+00:27:11,860 --> 00:27:16,040
+show، to study، كل هذه الverbsلا تستخدم في الـ
+
+349
+00:27:16,040 --> 00:27:23,860
+objective. ناخد مثال: كان جميل، الtitleبيقول في
+
+350
+00:27:23,860 --> 00:27:27,540
+الدراسة: the bacterial etiology of wound infection
+
+351
+00:27:27,540 --> 00:27:31,100
+and their antibiotic susceptibility pattern among
+
+352
+00:27:31,100 --> 00:27:35,500
+the patients in hospital. بنلاحظ هو هنا استخدم to
+
+353
+00:27:35,500 --> 00:27:41,400
+study، هنا verbto studyلا يستخدم، لأنه هنا كان
+
+354
+00:27:41,400 --> 00:27:45,820
+عندنا من ضمن الverbsالتي لا تستخدم: to study. هو
+
+355
+00:27:45,820 --> 00:27:49,920
+المفترض هنا قالto assess. هنا لاحظوا الverbsاللي
+
+356
+00:27:49,920 --> 00:27:54,760
+استخدمها هنا: to describe، هنا هي من نفس الverbs
+
+357
+00:27:54,760 --> 00:27:58,300
+اللي مستخدمة، ولكن استخدم هنا verbto studyكمان
+
+358
+00:27:58,300 --> 00:28:02,600
+مرة ثانية، وهذا الverbلا يمكن أن يستخدم في كتابة
+
+359
+00:28:02,600 --> 00:28:08,360
+الobjective. بنلاحظ أنه هنا استخدمto assess، to
+
+360
+00:28:08,360 --> 00:28:13,260
+determine، to test، to evaluate، كل هذه الverbs
+
+361
+00:28:13,260 --> 00:28:19,060
+بتستخدم من ضمن الverbsالمستخدمة في كتابة الـ
+
+362
+00:28:19,060 --> 00:28:23,800
+objective. فبدنا نكون واخدين بالنا في حالة كتابة الـ
+
+363
+00:28:23,800 --> 00:28:27,240
+objective. طب إيش الفرق ما بينspecific objectiveو
+
+364
+00:28:27,240 --> 00:28:31,180
+general objective؟ الgeneral objectiveدائما بيكون
+
+365
+00:28:31,180 --> 00:28:35,540
+نفس الtitleهو هو، ولكن بضيف له الverb. فبكون الـ
+
+366
+00:28:35,540 --> 00:28:40,120
+title: serum vitamin D level in chronic kidney
+
+367
+00:28:40,120 --> 00:28:44,480
+disease patients from Gaza Strip، حتى أجعل الtitle
+
+368
+00:28:44,480 --> 00:28:47,740
+هذا اللي موجود، عبارة عن general objectiveفقط بضيف
+
+369
+00:28:47,740 --> 00:28:52,170
+قدامه action verb: to assess. طب الspecific
+
+370
+00:28:52,170 --> 00:28:55,650
+objective، أي شغلة تانية: هل أنت فقط هتقيس الـ
+
+371
+00:28:55,650 --> 00:28:58,010
+vitamin Dفي الchronic kidney disease، ولا في
+
+372
+00:28:58,010 --> 00:29:01,970
+أشياء تانية زي العوامل مثلا، قياس الfiltration
+
+373
+00:29:01,970 --> 00:29:07,950
+rate، البروتين، الليبيد، الكالسيوم، الفوسفات، كل الأشياء
+
+374
+00:29:07,950 --> 00:29:11,930
+التانية اللي أنت بتقيسها بتضيفها بنفس الصيغة، بس
+
+375
+00:29:11,930 --> 00:29:16,670
+بدل ما هي vitamin D، بتروح كاتب الkidney function
+
+376
+00:29:16,670 --> 00:29:21,190
+التوتر، البروتين، والألبومين، والجلوبيولين، السيرام
+
+377
+00:29:21,190 --> 00:29:25,070
+ال كالسيوم، والفوسفات، الvitamin D، والprevious
+
+378
+00:29:25,070 --> 00:29:28,790
+parameters، كل هذه الشغلات تعتبر specific objective.
+
+379
+00:29:28,790 --> 00:29:33,990
+هذا نفس السابق، بنقول أنّه الresearch objectiveبتكون
+
+380
+00:29:33,990 --> 00:29:37,870
+عندنا smart، ووضحناهم سابقا. الslideهذا نفسة
+
+381
+00:29:37,870 --> 00:29:42,760
+مكرر. أروح على الsignificance of study. الـ
+
+382
+00:29:42,760 --> 00:29:45,140
+significance of study، أول حاجة هتكتبها في الـ
+
+383
+00:29:45,140 --> 00:29:50,060
+significance of study: مشكلة الدراسة، أنّه إحنا عندنا
+
+384
+00:29:50,060 --> 00:29:52,900
+الvitamin D deficiencyبيزيد عند مرضى الكرونا، الـ
+
+385
+00:29:52,900 --> 00:29:58,500
+kidney disease، أو عند مرضى السكر. بعدين بدّك تكتب في
+
+386
+00:29:58,500 --> 00:30:01,860
+الsignificance of study، البحث تبعك هذا إيش بدّه
+
+387
+00:30:01,860 --> 00:30:06,160
+يشارك في حالة المشكلة هذه؟ أنت قلت أن المشكلة أنّه
+
+388
+00:30:06,160 --> 00:30:10,320
+الvitamin Dبيقل في الناس اللي عندهم الكرونا، الـ
+
+389
+00:30:10,320 --> 00:30:13,430
+kidney disease، هذه المشكلة، وبصير عندنا vitamin D
+
+390
+00:30:13,430 --> 00:30:17,630
+deficiency. طب بحثك إيش بدّه يساوي في هالمشكلة هذه؟ وإيش
+
+391
+00:30:17,630 --> 00:30:21,310
+بدّه يساهم في حلّها؟ بدّه يسلّط الضوء على إنّ الـ
+
+392
+00:30:21,310 --> 00:30:25,050
+prevalenceبتاعة الvitamin D deficiencyبيزيد عند الـ
+
+393
+00:30:25,050 --> 00:30:28,930
+kidney disease. فبالتالي بدنا نخليهم يفحصوا vitamin
+
+394
+00:30:28,930 --> 00:30:33,070
+D deficiency، وياخدوا بعض الأدوية، أو يعملوا بعض
+
+395
+00:30:33,070 --> 00:30:36,010
+الأشياء، أو بعض الأغذية اللي بتساعد في تحسين
+
+396
+00:30:36,010 --> 00:30:41,960
+vitamin D deficiencyأو تقليلها، وتقلل عندنا الvitamin
+
+397
+00:30:41,960 --> 00:30:47,540
+D deficiencyعندنا.
+
+398
+00:30:4
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a08d526af29317a43214c9c6cff17b7ced69c0f4
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/Oq4rbQ0AXe0_raw.srt
@@ -0,0 +1,1752 @@
+1
+00:00:03,960 --> 00:00:07,820
+بسم الله الرحمن الرحيم و الصلاة والسلام على رسول
+
+2
+00:00:07,820 --> 00:00:15,500
+الله زملائنا طلابنا الأعزاء نستكمل ما تم الحديث
+
+3
+00:00:15,500 --> 00:00:21,680
+عنه في محاضرة السابقة و اللي هو chapter واحد ال
+
+4
+00:00:21,680 --> 00:00:26,760
+interaction اتكلمنا في ال chapter السابق او في
+
+5
+00:00:26,760 --> 00:00:32,020
+الجزء السابق كيف ممكن تكتب ال overview
+
+6
+00:00:35,200 --> 00:00:39,460
+وبعدين اتكلمنا على موضوع ال hypothesis نستكمل
+
+7
+00:00:39,460 --> 00:00:45,660
+حديثنا في هذا الجزء لما اتكلمنا عن ال benefit of
+
+8
+00:00:45,660 --> 00:00:49,860
+research hypothesis قلنا في حاجة عندنا نتعرف على
+
+9
+00:00:49,860 --> 00:00:53,620
+ال variable variable
+
+10
+00:00:53,620 --> 00:00:59,900
+يعني متغير والمتغير له عدة أنواع ال family of
+
+11
+00:00:59,900 --> 00:01:09,170
+variable in studiesأنواع المتغيرات في الدراسة يا
+
+12
+00:01:09,170 --> 00:01:12,670
+بيكون عندنا independent يا بيكون عندنا dependent
+
+13
+00:01:12,670 --> 00:01:16,330
+يا بيكون في عندنا confounding يا بيكون عندنا
+
+14
+00:01:16,330 --> 00:01:20,770
+control ال
+
+15
+00:01:20,770 --> 00:01:25,010
+independent بيكون عبارة عن ال variable اللي بيدّي
+
+16
+00:01:25,010 --> 00:01:31,030
+عندنا لل outcome و ال dependent اللي هو عامل
+
+17
+00:01:31,030 --> 00:01:33,490
+التابع أو المتغير التابع
+
+18
+00:01:37,620 --> 00:01:42,440
+هو الناتج عن ال independent variable يبقى أول حاجة
+
+19
+00:01:42,440 --> 00:01:46,520
+بيكون عندنا ال family of the variable independent
+
+20
+00:01:46,520 --> 00:01:56,240
+متغير مستقل أو متغير تابع متغير المستقل اللي بيكون
+
+21
+00:01:56,240 --> 00:02:02,040
+عبارة عن متغير متوقع أنه يدينا outcome و ال
+
+22
+00:02:02,040 --> 00:02:07,080
+dependent بيكون ال outcome نفسهالـ Confounding
+
+23
+00:02:07,080 --> 00:02:14,200
+بيكون هو عبارة عن شيء دخل و أثر على النتيجة أو أثر
+
+24
+00:02:14,200 --> 00:02:24,460
+على ال variable أو أثر على مجريات الدراسة و
+
+25
+00:02:24,460 --> 00:02:30,540
+هناخد أمثلة بعد لحظات توضح أيش الأنواع ال family
+
+26
+00:02:30,540 --> 00:02:35,250
+هذا بالظبط بالتفصيلال control variable هو شيء بكون
+
+27
+00:02:35,250 --> 00:02:41,150
+أنا ثبته حتى مايعملش عنا effect على موضوع ال
+
+28
+00:02:41,150 --> 00:02:45,070
+variable وخلّي عندنا confounding ال slide هذه
+
+29
+00:02:45,070 --> 00:02:50,870
+نخليها شوية و ناخد الأمثلة و راجعين تاني نوضحها
+
+30
+00:02:50,870 --> 00:02:54,250
+وهذا
+
+31
+00:02:54,250 --> 00:03:00,910
+ال slide كذلك عندنا نفترض ان احنا في عندنا بحث و
+
+32
+00:03:00,910 --> 00:03:07,390
+البحث اللي موجود أمامنابدي اجيس عنها تأثير مستوى
+
+33
+00:03:07,390 --> 00:03:12,850
+الاترمال على ال kidney function الناس اللي بتاخد
+
+34
+00:03:12,850 --> 00:03:18,730
+اترمال بدنا نشوف ايش تأثير الاترمال على ال kidney
+
+35
+00:03:18,730 --> 00:03:24,190
+function اول
+
+36
+00:03:24,190 --> 00:03:27,810
+حاجة الدراسة بتقول لك to assist the kidney
+
+37
+00:03:27,810 --> 00:03:33,350
+function among a tromodole in Gaza Stripيعني بدها
+
+38
+00:03:33,350 --> 00:03:36,790
+تشوف قداش مستوى ال kidney function في الناس اللي
+
+39
+00:03:36,790 --> 00:03:40,950
+بياخدوا ترمدول في قطاع غزة أخدوا ميت واحد بياخدوا
+
+40
+00:03:40,950 --> 00:03:46,010
+ترمدول و ميت واحد بياخدوش دايما الناس اللي بياخدوا
+
+41
+00:03:46,010 --> 00:03:51,390
+الدواء بيقول عنهم cases و الناس ال healthy بيقول
+
+42
+00:03:51,390 --> 00:03:57,570
+عنهم control الأن تساوي مية و الأن تساوي مية لما
+
+43
+00:03:57,570 --> 00:03:59,110
+أجوا هنا جاسو اليوريا
+
+44
+00:04:01,650 --> 00:04:08,050
+في المية ال control لقوها 22.5 كمتوسط
+
+45
+00:04:08,050 --> 00:04:12,630
+حسابي ولمّا أخدوا في الناس اللي بتاخد ال Thermadol
+
+46
+00:04:12,630 --> 00:04:18,610
+لقوها 52 يبقى Abnormal المطلع
+
+47
+00:04:18,610 --> 00:04:23,760
+على البحثبواقعه اللي موجودة وبالنتائج هذه بيقول
+
+48
+00:04:23,760 --> 00:04:30,160
+إنه 52 abnormal و 22.5 في ال normal range يبقى
+
+49
+00:04:30,160 --> 00:04:34,160
+الترمدول بأثر عندنا على ال kidney فراح يتأكد من
+
+50
+00:04:34,160 --> 00:04:38,600
+الكرياتينين لاجي عندنا 1.5 المتوسط الحسابي في ال
+
+51
+00:04:38,600 --> 00:04:43,020
+cases و لاجي عندنا الكرياتينين نصف في ال control
+
+52
+00:04:43,020 --> 00:04:49,580
+فوصل الباحث ل conclusion إنه والله الترمدول بأثر
+
+53
+00:04:49,580 --> 00:04:56,080
+علىالـ kidney function و بالمناسبة هذه عبارة عن
+
+54
+00:04:56,080 --> 00:05:01,940
+نتائج عرضت في مؤتمر وصار النقاش اللي هنتكلم عنه أن
+
+55
+00:05:01,940 --> 00:05:05,720
+الباحث قال في ال conclusion أن اللي ثم دول بيعمل
+
+56
+00:05:05,720 --> 00:05:09,800
+عندنا defect في ال kidney function طب أحنا عارفين
+
+57
+00:05:09,800 --> 00:05:16,000
+أن ال age بأثر على مستوى اليوريا لو اطلعنا للناس
+
+58
+00:05:16,000 --> 00:05:21,060
+اللي أخدهم cases هم أكبر في السن فوق الخمسينوال
+
+59
+00:05:21,060 --> 00:05:28,760
+control كلهم young 27 فاحتمال يكون ان ال 52 الورية
+
+60
+00:05:28,760 --> 00:05:35,240
+الزيادة اللي موجودة هنا هي أصلا جاية من ال edge مش
+
+61
+00:05:35,240 --> 00:05:40,400
+جاية من لثومدول والزيادة في الكرياتينين اللي كانت
+
+62
+00:05:40,400 --> 00:05:45,460
+هنا احتمال تكون جاية من ال edge مش جاية كمان من
+
+63
+00:05:45,460 --> 00:05:52,150
+لثومدوللأنه واحد قالك ان الكرياتينين بتأثرش بال
+
+64
+00:05:52,150 --> 00:05:57,190
+age صحيح بس لو اطلعنا في ال age اللي موجود عندنا
+
+65
+00:05:57,190 --> 00:06:01,470
+بنلاقي انه في واحد عمره تسعين سنة في ال cases يبقى
+
+66
+00:06:01,470 --> 00:06:05,150
+في واحد عمره تسعين سنة و بياخد ترمدول يمكن هو
+
+67
+00:06:05,150 --> 00:06:09,270
+بالتسعين هذا هو اللي ال maximum تبع الكرياتينين
+
+68
+00:06:09,270 --> 00:06:13,310
+كان عنده تلاتة و نص لإن الكرياتينين بعد سن معين
+
+69
+00:06:13,310 --> 00:06:19,940
+بيبدأ يزيدفبالتالي أن تأثير ال age عن نتائج هذه
+
+70
+00:06:19,940 --> 00:06:25,280
+واضح وما فيش حد بقدر ينكره بنقول هنا ال age عبارة
+
+71
+00:06:25,280 --> 00:06:29,660
+عن confounder ال age هو عبارة عن متغير confounding
+
+72
+00:06:29,660 --> 00:06:36,900
+اتدخل في تغيير النتائج اللي موجودة هذه معنات
+
+73
+00:06:36,900 --> 00:06:41,120
+confounding يعني شيء بيخلي النتائج تطلع غلط يبقى
+
+74
+00:06:41,120 --> 00:06:47,250
+النتائج اللي طلعت منه مش هي فعلا مرقعيةطب ايش ال
+
+75
+00:06:47,250 --> 00:06:51,330
+dependent و ال independent في الحالة هذه باللاحظ
+
+76
+00:06:51,330 --> 00:06:55,250
+انه عندنا ال cases و ال control هدولة التنتين
+
+77
+00:06:55,250 --> 00:07:00,210
+عبارة عن independent يبقى في عندنا في الدراسة في
+
+78
+00:07:00,210 --> 00:07:04,110
+حاجة اسمها variable و ال variable في dependent و
+
+79
+00:07:04,110 --> 00:07:10,390
+independent و confounding و في عندنا control دائما
+
+80
+00:07:10,390 --> 00:07:16,930
+اللي بيكون على رأس ال table من فوق او بيكونموجود
+
+81
+00:07:16,930 --> 00:07:24,090
+أعلى الجدول هذا بنقول عنه independent واللي
+
+82
+00:07:24,090 --> 00:07:28,010
+بيكون اتأثر بال independent بنسميه dependent يبقى
+
+83
+00:07:28,010 --> 00:07:33,990
+مستوى اليوري هنا اعتمد على كونها cases ومستوى
+
+84
+00:07:33,990 --> 00:07:39,830
+الكرياطينين dependent أو تابع لإنها cases الرقم
+
+85
+00:07:39,830 --> 00:07:44,310
+اللي كان 52 هذا كان
+
+86
+00:07:45,730 --> 00:07:49,570
+مستقل بالنسبة ل ال cases ولا مستقل بالنسبة ل
+
+87
+00:07:49,570 --> 00:07:55,450
+اليوريا هو كان يعتمد على ال cases يبقى وقم اليوريا
+
+88
+00:07:55,450 --> 00:08:01,130
+52 هي لا اليوريا ان هذه اليوريا اعتمدت انها في ال
+
+89
+00:08:01,130 --> 00:08:04,850
+cases فبالتالي بنقول هنا في الحالة هذه اليوريا
+
+90
+00:08:04,850 --> 00:08:12,850
+تابع dependent وهنا independent مستقلة متغير مستقل
+
+91
+00:08:14,100 --> 00:08:20,220
+طب هو اليوريا زادت و
+
+92
+00:08:20,220 --> 00:08:25,420
+لا ال cases أجت قبل يعني مين أجى قبل هو كان cases
+
+93
+00:08:25,420 --> 00:08:29,520
+و زادت عنده و لا اليوريا زادت و بعدين صار cases
+
+94
+00:08:29,520 --> 00:08:33,280
+مستوى
+
+95
+00:08:33,280 --> 00:08:40,100
+اليوريا هنا حصل قبل 22.5 أجى قبل
+
+96
+00:08:42,970 --> 00:08:46,790
+في اليوريا و لا في ال control لأ هو كونه control
+
+97
+00:08:46,790 --> 00:08:51,230
+كانت عنده اليوريا هيك نعيدها أكتر توضيحا بنقول
+
+98
+00:08:51,230 --> 00:08:56,670
+دائما قانون اللي بيجي قبل أو اللي بنبدأ فيه هو
+
+99
+00:08:56,670 --> 00:09:00,690
+اللي بيكون independent الشي اللي احنا بنبدأ فيه هو
+
+100
+00:09:00,690 --> 00:09:05,050
+بيكون عبارة عن independent انا بدأت case و control
+
+101
+00:09:05,050 --> 00:09:10,310
+و روحت اجريس فيهم اليوريا و الكرياتينين و ال edge
+
+102
+00:09:11,090 --> 00:09:14,730
+يبقى بدأت في مجموعة case خات case وخات control
+
+103
+00:09:14,730 --> 00:09:19,050
+روحت أجيس فيهم ال variable هذه فاللي ببدأ فيها
+
+104
+00:09:19,050 --> 00:09:23,710
+دائما هي عبارة عن independent واللي بتكون موجودة
+
+105
+00:09:23,710 --> 00:09:27,470
+اللي أنا بروح أجيسهم بيكونوا عبارة عن dependent
+
+106
+00:09:27,470 --> 00:09:32,450
+واللي أثرت على النتيجة بتكون عبارة عن confounder
+
+107
+00:09:33,560 --> 00:09:36,340
+يبقى أحيان ممكن يكون ال variable اللي موجود هنا
+
+108
+00:09:36,340 --> 00:09:39,740
+اللي شايفينه هذا independent وممكن يكون
+
+109
+00:09:39,740 --> 00:09:44,320
+confounding وممكن يكون control طب لو هنا أخدنا
+
+110
+00:09:44,320 --> 00:09:47,520
+equal لإتنين زي ما هو في ال table اللي موجودة
+
+111
+00:09:47,520 --> 00:09:52,960
+لإتنين matching أنا عملت تثبيت لل edge يعني حجة ال
+
+112
+00:09:52,960 --> 00:09:56,260
+edge اللي أنتم تتحججوا فيها أنا هنا أخفيتها
+
+113
+00:09:56,260 --> 00:10:01,130
+وثبتتهاهنا صار عندي control variable انا اشي
+
+114
+00:10:01,130 --> 00:10:06,250
+عملتهله ضبط ووزن ثابت زي ما بنيجي كافة الميزان ومع
+
+115
+00:10:06,250 --> 00:10:10,250
+اننا كافتين ميزان قبل ما نوزن عليهم بنتأكد ان
+
+116
+00:10:10,250 --> 00:10:14,890
+التنتين matching the equal نفس الوزن فبالتالي
+
+117
+00:10:14,890 --> 00:10:19,670
+بنقول احنا عملنا control يبقى في ال variable اللي
+
+118
+00:10:19,670 --> 00:10:23,610
+اشوفه قدامي انا في ال table بدأ اشوف اول حاجة هو
+
+119
+00:10:23,610 --> 00:10:27,850
+dependentو لا independent و لا control و لا
+
+120
+00:10:27,850 --> 00:10:32,230
+confounding طب كيف أنا بدي أعرفهم؟ بعرفهم أول حاجة
+
+121
+00:10:32,230 --> 00:10:36,090
+من شكل ال table اللي موجود إذا كان عندي أنا و أنا
+
+122
+00:10:36,090 --> 00:10:39,170
+بقرا في ال table اللي موجود أول شي case و control
+
+123
+00:10:39,170 --> 00:10:43,050
+هذا عبارة عن independentاللي موجود هنا كله عبارة
+
+124
+00:10:43,050 --> 00:10:46,950
+عن dependent بتطلع إذا معمول ل matching بكون
+
+125
+00:10:46,950 --> 00:10:50,950
+control مش معمول matching وانا بعيني ملاحظ إنه أثر
+
+126
+00:10:50,950 --> 00:10:55,090
+على النتيجة بنسميه confounding زي ما كان موجود في
+
+127
+00:10:55,090 --> 00:10:58,270
+الجدول اللي فوق أنا متأكد إن علو اليوريا اللي
+
+128
+00:10:58,270 --> 00:11:03,230
+موجود هنا تأثير أجر من ال edge وهذا خلاني أشك
+
+129
+00:11:03,230 --> 00:11:08,950
+فناخد
+
+130
+00:11:08,950 --> 00:11:15,850
+كمان مثالالمثال يقول إن أنا عندي ناس بتتعرض
+
+131
+00:11:15,850 --> 00:11:20,470
+لمبادات حشرية والمبادات الحشرية هذه أنا حطيت فرضية
+
+132
+00:11:20,470 --> 00:11:23,970
+إن الناس اللي بتتعرض للمبادات الحشرية بيسكون عندهم
+
+133
+00:11:23,970 --> 00:11:27,730
+anemia الناس اللي بيشغله في الزراعة وبيتعرضوا للرش
+
+134
+00:11:27,730 --> 00:11:32,110
+وامور الأشياء هذه كل هيتها أثناء الزراعة هذه كلها
+
+135
+00:11:32,110 --> 00:11:38,590
+بتعمل عندهم anemia فروحنا أخد 98 واحدوال 98 واحد
+
+136
+00:11:38,590 --> 00:11:43,790
+هذول أخدتهم مزارعين بروش ومبيدات حشرية واخد 98
+
+137
+00:11:43,790 --> 00:11:50,030
+واحد كمان لكن ما بيشتغلوا في مجال المبيدات الحشرية
+
+138
+00:11:50,030 --> 00:11:54,330
+فطلع
+
+139
+00:11:54,330 --> 00:12:00,670
+لنا جداول زي ما احنا شايفين ان ال white PCs ستة و
+
+140
+00:12:00,670 --> 00:12:05,750
+تسعة كانت في ال control وسبعة في ال cases
+
+141
+00:12:10,330 --> 00:12:15,650
+الرد بلاتزل 4.9 و4.9 ايكول اول ما تتطلع في الجدول
+
+142
+00:12:15,650 --> 00:12:18,470
+هي ال independent مباشرة فوق ال independent موجودة
+
+143
+00:12:18,470 --> 00:12:22,480
+وكل اللي ع الجنب هذو ال dependentفاطلعت في الأرقام
+
+144
+00:12:22,480 --> 00:12:26,940
+اللي موجودة كلها لقيتها تقريبا فيهم كلهم حتى في
+
+145
+00:12:26,940 --> 00:12:33,740
+نسبة ال homoglobin 14.6 و14.3 وكأنه مافيش عندنا
+
+146
+00:12:33,740 --> 00:12:36,920
+اختلاف ما بين الناس اللي بتعرضوا لمبادئ الحشرية
+
+147
+00:12:36,920 --> 00:12:40,280
+والناس اللي بتعرضوش وقلت والله ان ال homoglobin ما
+
+148
+00:12:40,280 --> 00:12:46,580
+بتأثر ولكن لما الباحث بعرض في النتائج اتفاجأ ان
+
+149
+00:12:46,580 --> 00:12:49,720
+الناس اللي بتسمع في الباحث ان في عندهم confounding
+
+150
+00:12:50,750 --> 00:12:55,690
+أول Confounding موجود أنه أخد مجموعة ال cases كمية
+
+151
+00:12:55,690 --> 00:13:00,970
+كبيرة منهم مدخنين يعني 93 في 109 94 تقريبا كانوا
+
+152
+00:13:00,970 --> 00:13:04,690
+مدخنين واحنا عارفين أن التدخين بيزيد ال hemoglobin
+
+153
+00:13:04,690 --> 00:13:09,850
+بينما ال control كان 16 3 هذا أول عامل ممكن يكون
+
+154
+00:13:09,850 --> 00:13:14,350
+أخفى النتيجة كان في ال Confounding الأول أن هو وضح
+
+155
+00:13:14,350 --> 00:13:18,300
+أنه فيه نتيجةوزود في النتيجة هنا في Confounding
+
+156
+00:13:18,300 --> 00:13:22,680
+أخفى النتيجة هو أخد مزارعين ومدخنين واخد control
+
+157
+00:13:22,680 --> 00:13:29,560
+وغير مدخنين وكأنه التدخين زود الهموجلبين فأخفى ال
+
+158
+00:13:29,560 --> 00:13:33,820
+effect بتاع المبيض الحشري أو التعرض لأدوات ال rush
+
+159
+00:13:33,820 --> 00:13:38,080
+الزراعية اتفاجئوا كمان أن ال cases هنا education
+
+160
+00:13:38,080 --> 00:13:41,420
+تبعهم عالي ممكن يكونوا ناس متعلمين ومزارعين
+
+161
+00:13:41,420 --> 00:13:47,330
+فبالتالي بلبسوا كمامةوبمنعوا ال effect تبع أدوات
+
+162
+00:13:47,330 --> 00:13:51,410
+الرشي اللي بيستخدموها لاحظوا إنه كمان مش نفس ال
+
+163
+00:13:51,410 --> 00:13:55,230
+area مش عامل matching في ال area أو control لل
+
+164
+00:13:55,230 --> 00:14:00,570
+area فجال في عنده confounding اتنين تلاتة هدول
+
+165
+00:14:00,570 --> 00:14:05,170
+عبارة عن confounding أفرعوا عن نتائج هذه وقد تكون
+
+166
+00:14:05,170 --> 00:14:09,650
+هي اللي خلت ال hemoglobin يطلع equal لما أنت 14
+
+167
+00:14:09,650 --> 00:14:16,970
+تلاتة ومدخنينو14 و6 وغير مدخنين بالمنطق أنها تكون
+
+168
+00:14:16,970 --> 00:14:20,050
+أقل من هيك لأن ال smoking هو اللي زود ال
+
+169
+00:14:20,050 --> 00:14:25,350
+homoglobin فبالتالي أخفى النتيجة نرجع تاني نطلع في
+
+170
+00:14:25,350 --> 00:14:28,850
+النتائج اللي موجودة بنلاقي أنه احنا عندنا عامل لل
+
+171
+00:14:28,850 --> 00:14:32,650
+age matching فبيكون عندنا ال matching اللي موجود
+
+172
+00:14:32,650 --> 00:14:37,590
+في ال age هو عبارة عن control variable والتلاتة
+
+173
+00:14:37,590 --> 00:14:42,130
+هدول عبارة عن confounding variableما بكيف احنا
+
+174
+00:14:42,130 --> 00:14:45,550
+ممكن نعرف الـ Confounding Variable و الـ Control
+
+175
+00:14:45,550 --> 00:14:49,530
+Variable من الـ Dependent و الـ Independent و الـ
+
+176
+00:14:49,530 --> 00:14:53,170
+Control؟ أحيانا احنا عندنا بنتطلع في ال table اللي
+
+177
+00:14:53,170 --> 00:14:57,170
+موجودة اتفاقنا كلنا مع بعض أن أي شيء بيكون أعلى
+
+178
+00:14:57,170 --> 00:15:01,050
+الجدول هو Independent خلصنا بنيجي على نتائج هذه
+
+179
+00:15:01,050 --> 00:15:05,190
+اللي موجودة بنعتبرها أول ما بنفرضها Independent
+
+180
+00:15:05,190 --> 00:15:09,450
+بعدين بنبدأ نتطلع فيها هل هي أثرت على نتائج
+
+181
+00:15:09,450 --> 00:15:13,080
+الدراسة ولا ما أثرتشولكن لو لاحظنا ان في عندى
+
+182
+00:15:13,080 --> 00:15:16,920
+matching موجود control هي أفضت عن نتائج اللى
+
+183
+00:15:16,920 --> 00:15:21,320
+موجودة بنقول عنها Confounding Variable يبقى نرزع
+
+184
+00:15:21,320 --> 00:15:24,580
+على ال family اللى موجودة family of variable اللى
+
+185
+00:15:24,580 --> 00:15:28,360
+موجودة عندناتتلخص إنه في عندى independent بكون
+
+186
+00:15:28,360 --> 00:15:31,460
+موجود عقس ال table أو أنا ببدأ فيه باخد case لحاله
+
+187
+00:15:31,460 --> 00:15:34,980
+و control لحاله وبعدين بروح بجيس فيهم ال CPC بجيس
+
+188
+00:15:34,980 --> 00:15:38,060
+فيهم ال euro كرة تانية أنا بدأت ب case و control
+
+189
+00:15:38,060 --> 00:15:41,040
+بكلهم ال independent الأشياء الباقية كلها
+
+190
+00:15:41,040 --> 00:15:45,500
+dependent ما لم يثبت عليها علامات استفهام matching
+
+191
+00:15:45,500 --> 00:15:50,340
+control أو confounding أثرت على النتيجة بنقول في
+
+192
+00:15:50,340 --> 00:15:53,740
+عندى confounding هو اللي أثر على النتيجة ناخد مثال
+
+193
+00:15:55,260 --> 00:16:00,980
+الحين احنا لو يجينا عندنا انه في طالب مستوى معروف
+
+194
+00:16:00,980 --> 00:16:06,320
+دائما بيجيب في السبعين وقعد في مقعد خلف طالب دائما
+
+195
+00:16:06,320 --> 00:16:10,960
+بيجيب امتياز تسعين وفجأة هم الاتنين جابوا خمسة و
+
+196
+00:16:10,960 --> 00:16:15,640
+تسعين علاماتهم بنقول انه في Confounding اللي هو
+
+197
+00:16:15,640 --> 00:16:19,700
+الطالب اللي بيجيب امتياز أفع نتيجة الطالب التاني
+
+198
+00:16:20,660 --> 00:16:24,480
+اللي هو خلاه ينقل فصار عندنا في عندنا Confounding
+
+199
+00:16:24,480 --> 00:16:27,840
+موجود عندنا ك variable داخل القاعة اللي أثرت على
+
+200
+00:16:27,840 --> 00:16:32,580
+النتيجة من ناحية طبية و من ناحية علمية في البحث
+
+201
+00:16:32,580 --> 00:16:36,540
+تبعك انت مش هتشوف Confounding لأنه انت لو في
+
+202
+00:16:36,540 --> 00:16:39,380
+Confounding موجود في البحث و انت ماتكتشفه من الأول
+
+203
+00:16:39,380 --> 00:16:43,860
+المفترض انك انت عملتله control لو انت يعني ماحدش
+
+204
+00:16:43,860 --> 00:16:46,280
+يقولي والله أنا في عنده في الدراسة تاعتي و ال
+
+205
+00:16:46,280 --> 00:16:49,940
+proposal تاعي قبل تتقيق في Confounding ممنوعلأن
+
+206
+00:16:49,940 --> 00:16:53,260
+إذا فيه confounding المفروض أنت تكون عملتله
+
+207
+00:16:53,260 --> 00:16:57,720
+control قبل ما تبدأ تعمل في البحث وروح تعملته
+
+208
+00:16:57,720 --> 00:17:03,100
+matching زي ما احنا شايفين هنا نفسنا نطلع على
+
+209
+00:17:03,100 --> 00:17:06,240
+الأسماء اللي موجودة في عند independent case of
+
+210
+00:17:06,240 --> 00:17:10,430
+control وروحت against فيهم independentيبقى بدأت
+
+211
+00:17:10,430 --> 00:17:12,850
+بال case و ال control روحت أجيص ال euro و
+
+212
+00:17:12,850 --> 00:17:16,490
+الكرياتينين اللي بدأت فيه دائما إذا مش موجود في
+
+213
+00:17:16,490 --> 00:17:19,830
+table و أنا بدأ أشوف هو dependent ولا مش dependent
+
+214
+00:17:19,830 --> 00:17:22,870
+بقول أنه اللي ببدأ فيه ال variable هو independent
+
+215
+00:17:22,870 --> 00:17:27,030
+و اللي بروح أجيصه كله عبارة عن dependent و اللي
+
+216
+00:17:27,030 --> 00:17:30,570
+أثر عن نتيجة عبارة عن confounding أثر عن نتيجة مين
+
+217
+00:17:30,570 --> 00:17:34,470
+ال dependent ال euro و الكرياتينين و الأشياء اللي
+
+218
+00:17:34,470 --> 00:17:38,330
+ما أثرتش عن نتيجة و خلت النتيجة تطلع كويسة بسميها
+
+219
+00:17:38,330 --> 00:17:38,810
+control
+
+220
+00:17:41,550 --> 00:17:46,590
+وانا اكتشفتها وعملت لها matching نجي في ال table
+
+221
+00:17:46,590 --> 00:17:48,970
+اللي موجودة أمامنا وين ال dependent وين ال
+
+222
+00:17:48,970 --> 00:17:51,370
+independent رأس القائمة بكون دايما هو ال
+
+223
+00:17:51,370 --> 00:17:54,730
+independent اللي هو ال age وباقى الأشياء كلها
+
+224
+00:17:54,730 --> 00:18:01,320
+بتكون عبارة عن dependent مثال تانيلو أجينا في ال
+
+225
+00:18:01,320 --> 00:18:04,740
+white blood cell بدي أشوف علاقتها مع ال TSH دائما
+
+226
+00:18:04,740 --> 00:18:07,580
+ال white blood cell الموجود على رأس القائمة بقول
+
+227
+00:18:07,580 --> 00:18:10,140
+ال relation between white blood cell and thyroid
+
+228
+00:18:10,140 --> 00:18:12,660
+stimulated hormone بقول في الحالة هذه أن ال white
+
+229
+00:18:12,660 --> 00:18:15,700
+blood cell هي عبارة عن independent وال dependent
+
+230
+00:18:15,700 --> 00:18:20,840
+اللي موجود هو عبارة عن ال TSH يبقى أحنا أخدنا
+
+231
+00:18:20,840 --> 00:18:25,160
+قاعدتين القاعدة الأولى بتقول أن أنا اللي ببدأ فيه
+
+232
+00:18:25,160 --> 00:18:29,400
+بيكون عبارة عن independentوالتانية بتقولك أنا مش
+
+233
+00:18:29,400 --> 00:18:32,940
+عارف بمين بدي وموجود الجدول قدامي فجأة لقيته قدامي
+
+234
+00:18:32,940 --> 00:18:36,180
+فاللي بيكون عقس الجدول من فوق بيكون عبارة عن
+
+235
+00:18:36,180 --> 00:18:39,220
+independent هي شغل تانية الشغل التالت بتقولك
+
+236
+00:18:39,220 --> 00:18:43,180
+القاعدة دائما ال grouping variable هو independent
+
+237
+00:18:43,180 --> 00:18:48,800
+وال tested variable هو dependent يبقى case
+
+238
+00:18:48,800 --> 00:18:52,820
+وcontrol group مجموعتين مجموعة case ومجموعة
+
+239
+00:18:52,820 --> 00:18:57,400
+controlاللي أنا روحت فحصتهم اللي هم اليورا
+
+240
+00:18:57,400 --> 00:19:00,200
+والكرياتينين وال white blood cell و ال hematocrit
+
+241
+00:19:00,200 --> 00:19:05,980
+و ال mcv و ال mch و ال mchc هدولة بسميهم عبارة عن
+
+242
+00:19:05,980 --> 00:19:10,140
+tested variable بسميهم عبارة عن dependent variable
+
+243
+00:19:10,140 --> 00:19:16,620
+هاي مثال مثال بيقولك أنا متدققان الكلسترول ما بين
+
+244
+00:19:16,620 --> 00:19:21,100
+ال obese و ال non obese مين اللي عندنا موجود ك
+
+245
+00:19:21,100 --> 00:19:25,600
+level أو كرقمعندنا لجروب مجموعتين المجموعة obese
+
+246
+00:19:25,600 --> 00:19:30,340
+ومجموعة non obese obese و non obese بنقول في
+
+247
+00:19:30,340 --> 00:19:33,560
+الحالة هذه ال grouping variable هو عبارة عن
+
+248
+00:19:33,560 --> 00:19:37,000
+dependent فبتكون obese و non obese هم عبارة عن
+
+249
+00:19:37,000 --> 00:19:40,620
+independent عفوا بنقول أن ال obese و ال non obese
+
+250
+00:19:40,620 --> 00:19:45,540
+هم عبارة عن independent و ال tested variable منحت
+
+251
+00:19:45,540 --> 00:19:50,100
+فحصت الكنسترول في كل واحد فيهم بقول عنه dependent
+
+252
+00:19:51,880 --> 00:19:56,160
+هنا السؤال لو اتخيلنا الموقف انا خدت ال obese و ال
+
+253
+00:19:56,160 --> 00:20:01,180
+non obese و روحت جستلهم الكلسترول ولا جستل
+
+254
+00:20:01,180 --> 00:20:04,740
+الكلسترول و منه عرفتهم obese و non obese بالمنطق
+
+255
+00:20:04,740 --> 00:20:09,260
+يعني هيك بالعجل نعيد السيناريو تاني انا عندي
+
+256
+00:20:09,260 --> 00:20:12,540
+مجموعة obese و non obese و روحت جستلهم الكلسترول
+
+257
+00:20:12,540 --> 00:20:16,220
+هيك انا بديت في اتجاه obese و non obese و جستل
+
+258
+00:20:16,220 --> 00:20:22,120
+كلسترول ولاgestal cholesterol ومنه روحت عرفت أنه
+
+259
+00:20:22,120 --> 00:20:25,720
+obese و non obese هو المنطق أنه obese و non obese
+
+260
+00:20:25,720 --> 00:20:29,240
+و روحت gestalهم ال cholesterol فبالتالي بيكون كمان
+
+261
+00:20:29,240 --> 00:20:33,720
+بالشيء التاني اللي ممكن نتأكد منه أنه أنا بدأت في
+
+262
+00:20:33,720 --> 00:20:35,720
+ال obese و ال non obese و gestal cholesterol فاللي
+
+263
+00:20:35,720 --> 00:20:38,260
+بدأت فيه بيكون هو عبارة عن independent و ال
+
+264
+00:20:38,260 --> 00:20:43,320
+cholesterol بيكون هو عبارة عن dependent حاجة تانية
+
+265
+00:20:43,320 --> 00:20:47,300
+أنا بدي أقارن ساعات العمل ما بين ال male و ال
+
+266
+00:20:47,300 --> 00:20:51,300
+femaleفعنا two scenario السيناريو الأول أن أخد
+
+267
+00:20:51,300 --> 00:20:55,360
+مجموعة من ال male و أسأله ما كام ساعة أشتغلته و
+
+268
+00:20:55,360 --> 00:20:57,600
+مجموعة من ال female و أسأله ما كام ساعة أشتغلته
+
+269
+00:20:57,600 --> 00:21:01,080
+فبكون بدأت بال male و ال female و سألته ما كام
+
+270
+00:21:01,080 --> 00:21:04,800
+ساعة أشتغلته فبكون ال male و ال female هم ال
+
+271
+00:21:04,800 --> 00:21:09,740
+independent و عدد الساعات هو independent ولا
+
+272
+00:21:09,740 --> 00:21:14,400
+بالمنطقان انا اوح اشوف ساعات العمل و من ساعات
+
+273
+00:21:14,400 --> 00:21:17,740
+العمل استنتج و الله زي ما اشتغل ست ساعات بكون
+
+274
+00:21:17,740 --> 00:21:21,460
+عبارة عن female بالمنطق مش ممكن يكون هيك المنطق ان
+
+275
+00:21:21,460 --> 00:21:25,860
+انا باسأل و انت male او بشوف هو male ولا female و
+
+276
+00:21:25,860 --> 00:21:29,720
+بشوف ساعات العمل لأن العكس لا يمكن يكون صحيح ان
+
+277
+00:21:29,720 --> 00:21:33,180
+انا اشوف عند فلاستة موجود ان فلان خمس ساعات يبقى
+
+278
+00:21:33,180 --> 00:21:37,740
+هدف femaleأقدر أستنتج منهم هذا بالمنطق لأ أنا بقى
+
+279
+00:21:37,740 --> 00:21:41,740
+أقول بالمنطق أنه male و female و بنجيز فيهم ال و
+
+280
+00:21:41,740 --> 00:21:45,020
+بدأت في ال male و ال female و جيزت عدد الساعات
+
+281
+00:21:45,020 --> 00:21:49,760
+فبالتالي بقول اللي بدأنا فيه بيكون هو عبارة عن
+
+282
+00:21:49,760 --> 00:21:54,480
+independent و ساعات العمل بيكون عبارة عن dependent
+
+283
+00:21:54,480 --> 00:21:55,460
+variable
+
+284
+00:22:02,090 --> 00:22:04,930
+يبقى بنرسلش hypothesis و statistically hypothesis
+
+285
+00:22:04,930 --> 00:22:11,770
+أنا بقدر قولنا نشوف عدة أشياء بقدر أشوف ال
+
+286
+00:22:11,770 --> 00:22:15,250
+variable أشوف كيف ممكن أعملهم summary أشوف ال
+
+287
+00:22:15,250 --> 00:22:18,050
+outcome اتكلمنا كمان إن احنا بنقدر نعرف ال
+
+288
+00:22:18,050 --> 00:22:20,530
+dependent و ال independent و نربطها بالدراسات
+
+289
+00:22:20,530 --> 00:22:27,980
+السابقة منها كمان بنقدر نستنتج حلالhypothesis هذه
+
+290
+00:22:27,980 --> 00:22:32,380
+لها علاقة بال title تبع البحث والها علاقة ب
+
+291
+00:22:32,380 --> 00:22:38,520
+research question هل هذه ممكن نقدر نطبقها و لا
+
+292
+00:22:38,520 --> 00:22:44,380
+نقدرش نطبقها؟ وكيف احنا ممكن نحول research
+
+293
+00:22:44,380 --> 00:22:48,560
+question او statistical hypothesis هذا ال slide
+
+294
+00:22:48,560 --> 00:22:52,360
+للاطلاع بس فقط يعني ماحد يغلب حاله فيها هي بس احنا
+
+295
+00:22:52,360 --> 00:22:53,340
+حاطينها للاطلاع
+
+296
+00:22:55,880 --> 00:23:00,100
+وهذه كمان ال slide بس نتذكر فيها أنه ممكن من خلال
+
+297
+00:23:00,100 --> 00:23:06,180
+ال hypothesis كمان أقدر أتوقع النتائج و
+
+298
+00:23:06,180 --> 00:23:08,980
+أقدر أعرف ال dependent و ال independent و ال
+
+299
+00:23:08,980 --> 00:23:12,620
+control variable إذا في عندي أشياء ممكن تأثر في
+
+300
+00:23:12,620 --> 00:23:15,860
+النتائج و لا لأ من خلال ال hypothesis وهذه ال
+
+301
+00:23:15,860 --> 00:23:22,300
+slide كمان للإطلاع فقط في عندنا ملاحظة هنا بتقول
+
+302
+00:23:23,680 --> 00:23:26,620
+إنه دائما إذا النتائج اختلفت أو اتفقت معايا
+
+303
+00:23:26,620 --> 00:23:31,700
+hypothesis بتخليها عمهين ممنوع أغير فيها فبالتالي
+
+304
+00:23:31,700 --> 00:23:38,140
+إذا عندي نتائج البحث اتفقت مع الدراسة بتخليها و
+
+305
+00:23:38,140 --> 00:23:44,540
+أتبناها اللي بتقول أن أنت بيوتك معين بأثع
+
+306
+00:23:44,540 --> 00:23:49,840
+البكتيريا و ممكن يعالجها وإذا كمان النتائج اللي
+
+307
+00:23:49,840 --> 00:23:54,050
+طلعت في نهاية الدراسة ماتفقتش معايا فرضيةأنه طلع
+
+308
+00:23:54,050 --> 00:23:57,070
+ال antibiotic هذا لا بقتل البكتيريا ولا حاجة كمان
+
+309
+00:23:57,070 --> 00:24:02,310
+ممنوع أغير في الفرضية تاني ممنوع أغير في النتائج
+
+310
+00:24:02,310 --> 00:24:07,470
+وبدأ أحاول أبرر و أجيب أسباب أنه ليش الفرضية اللي
+
+311
+00:24:07,470 --> 00:24:13,550
+طلعت معاه هادي مااتفقتش مع النتائج وصلنا الحين في
+
+312
+00:24:13,550 --> 00:24:18,700
+chapter one لجزئية بتاعت ال objectiveوحتى نعرف كيف
+
+313
+00:24:18,700 --> 00:24:21,520
+نكتب ال objective بنكون عارفين ال hypothesis
+
+314
+00:24:21,520 --> 00:24:25,340
+ومحتوياتها وعارفين إنه في عنده confounding وعارفين
+
+315
+00:24:25,340 --> 00:24:28,040
+إنه في عنده independent و dependent وcontrol لايك
+
+316
+00:24:28,040 --> 00:24:31,580
+اتكلمنا عن كل الصبق فمش ممكن إن أكتب ال objective
+
+317
+00:24:31,580 --> 00:24:35,140
+وانا مش عارف في عنده confounding ولا لأ في عندى
+
+318
+00:24:35,140 --> 00:24:38,300
+control لازم أعمل ولا لأ مين independent ومين
+
+319
+00:24:38,300 --> 00:24:41,780
+independent كل هذه الشغلات لازم أكون عارفها حتى
+
+320
+00:24:41,780 --> 00:24:45,140
+أبدأ صياغة ال objective أول حاجة في ال objective
+
+321
+00:24:46,790 --> 00:24:51,390
+بتكون متوافقة مع ال title يبقى عندنا ال objective
+
+322
+00:24:51,390 --> 00:24:56,490
+بتكون ماشي تماما مع ال title لو ال title كان عندنا
+
+323
+00:24:56,490 --> 00:25:01,290
+the relation between obesity and hypertension
+
+324
+00:25:01,290 --> 00:25:06,390
+بتكون ال objective to assess the relation between
+
+325
+00:25:06,390 --> 00:25:11,270
+obesity and hypertension يبقى بتكون متوافقة مع ال
+
+326
+00:25:11,270 --> 00:25:19,510
+title الشغل التانيهذا ال objective بدو يلخص عندي
+
+327
+00:25:19,510 --> 00:25:26,790
+ما هو المطلوب تحقيقه في الدراسة يبقى لو كان عندنا
+
+328
+00:25:26,790 --> 00:25:33,050
+مثال انه انا بدي عندي ال problem statement الموضوع
+
+329
+00:25:33,050 --> 00:25:39,990
+التي نباتي ال topic وكان عندناالـ title بيقول
+
+330
+00:25:39,990 --> 00:25:43,370
+clinical and biochemical parameter associated with
+
+331
+00:25:43,370 --> 00:25:46,950
+diabetic retinopathy in male patient in Gaza Strip
+
+332
+00:25:46,950 --> 00:25:54,250
+فقط حتى أجيب ال object بدأ أقول to identify طب
+
+333
+00:25:54,250 --> 00:25:58,450
+ليش اخترت verb هذا بالذات؟ لأن في عندنا عدة verb
+
+334
+00:25:58,450 --> 00:26:05,630
+تستخدم و في عندنا verb لا تستخدم و هنتكلم عنهم ال
+
+335
+00:26:05,630 --> 00:26:10,070
+slide اللي بعد القادمةولكن ال object باختصار
+
+336
+00:26:10,070 --> 00:26:14,210
+بيدكون عندنا smart يعني بيدكون ال object specific
+
+337
+00:26:14,210 --> 00:26:18,970
+measurable specific يعني ذقيق و measurable قابل
+
+338
+00:26:18,970 --> 00:26:28,850
+للقياس وممكن يتحقق وإله related ل ال title وكمان
+
+339
+00:26:28,850 --> 00:26:35,770
+إله زمن محدد ممكن أحققه فيه فهنا smart هي ال
+
+340
+00:26:35,770 --> 00:26:40,590
+formulation of the research objectiveالـ verb اللي
+
+341
+00:26:40,590 --> 00:26:46,010
+بيستخدم في كتابة ال objective في حاجة بنسميها ال
+
+342
+00:26:46,010 --> 00:26:49,550
+action verb وشغل تاني بنسميها ال non-action verbs
+
+343
+00:26:49,550 --> 00:26:53,890
+هذه ال verb اللي ممكن نستخدمها و هذه ال verb ممنوع
+
+344
+00:26:53,890 --> 00:26:58,010
+نستخدمها to determine, to calculate, to explore,
+
+345
+00:26:58,370 --> 00:27:04,310
+to identify, to compare, to test, to assess كل هذه
+
+346
+00:27:04,310 --> 00:27:09,140
+ال verb احنا بنستخدمها فيالـ objective ولكن لما
+
+347
+00:27:09,140 --> 00:27:11,860
+بيقول to share, to understand, to believe, to
+
+348
+00:27:11,860 --> 00:27:16,040
+show, to study كل هذه الverb لا تستخدم في ال
+
+349
+00:27:16,040 --> 00:27:23,860
+objective ناخد مثال كان جميل ال title بيقول في
+
+350
+00:27:23,860 --> 00:27:27,540
+الدراسة the bacterial etiology of wound infection
+
+351
+00:27:27,540 --> 00:27:31,100
+and their antibiotic susceptibility pattern among
+
+352
+00:27:31,100 --> 00:27:35,500
+the patient in hospitalبنلاحظ هو هنا استخدم to
+
+353
+00:27:35,500 --> 00:27:41,400
+study هنا verb to study لا يستخدم لأنه هنا كان
+
+354
+00:27:41,400 --> 00:27:45,820
+عندنا من ضمن ال verb التي لا تستخدم to study هو
+
+355
+00:27:45,820 --> 00:27:49,920
+المفترض هنا قال to assess هنا لاحظوا ال verb اللي
+
+356
+00:27:49,920 --> 00:27:54,760
+استخدمها هنا to describe هنا هي من نفس ال verb
+
+357
+00:27:54,760 --> 00:27:58,300
+اللي مستخدمة ولكن استخدم هنا verb to study كمان
+
+358
+00:27:58,300 --> 00:28:02,600
+مرة تانية وهذا ال verb لا يمكن أن يستخدم في كتابة
+
+359
+00:28:02,600 --> 00:28:08,360
+ال objectiveبنلاحظ أنه هنا استخدم to assess, to
+
+360
+00:28:08,360 --> 00:28:13,260
+determine, to test, to evaluate كل هذه ال verb
+
+361
+00:28:13,260 --> 00:28:19,060
+بتستخدم من ضمن ال verb المستخدمة في كتابة ال
+
+362
+00:28:19,060 --> 00:28:23,800
+objective فبدنا نكون ماخدين بالنا في حالة كتابة ال
+
+363
+00:28:23,800 --> 00:28:27,240
+objective طب إيش الفرق ما بين specific objective و
+
+364
+00:28:27,240 --> 00:28:31,180
+general objective؟ال general objective دائما يكون
+
+365
+00:28:31,180 --> 00:28:35,540
+نفس ال title هو هو ولكن بضيف له ال verb فبكون ال
+
+366
+00:28:35,540 --> 00:28:40,120
+title serum vitamin D level in a chronic kidney
+
+367
+00:28:40,120 --> 00:28:44,480
+disease patients from Gaza strip حتى أخل ال title
+
+368
+00:28:44,480 --> 00:28:47,740
+هذا اللي موجود عبارة عن general objective فقط بضيف
+
+369
+00:28:47,740 --> 00:28:52,170
+قدامه action verb to assistطب ال specific
+
+370
+00:28:52,170 --> 00:28:55,650
+objective أي شغلية تانية هل أنت فقط هتجيس ال
+
+371
+00:28:55,650 --> 00:28:58,010
+vitamin D في ال chronic kidney disease ولا في
+
+372
+00:28:58,010 --> 00:29:01,970
+أشياء تانية زي العصابير مثلا جمع ال filtration
+
+373
+00:29:01,970 --> 00:29:07,950
+rate البوتين الليبد الكالسيوم الفوسفاص كل الأشياء
+
+374
+00:29:07,950 --> 00:29:11,930
+التانية اللي أنت بتجيسها بتضيفها بنفس الصيغة بس
+
+375
+00:29:11,930 --> 00:29:16,670
+بدل ما هي vitamin D بتطوح كاتبالـ kidney function
+
+376
+00:29:16,670 --> 00:29:21,190
+التوتر البروتين والألبومين والجبريلين السيرام
+
+377
+00:29:21,190 --> 00:29:25,070
+الكالسيوم والفوسفيت ال vitamin D و ال previous
+
+378
+00:29:25,070 --> 00:29:28,790
+parameter كل هذه الشغلات تعتبر specific objective
+
+379
+00:29:28,790 --> 00:29:33,990
+هذا نفس السابق بنقول انه ال search objective بتكون
+
+380
+00:29:33,990 --> 00:29:37,870
+عندنا smart ووضحناهم سابقا ال slide هذا نفسها
+
+381
+00:29:37,870 --> 00:29:42,760
+مكررة اروح على ال significance of studyال
+
+382
+00:29:42,760 --> 00:29:45,140
+significant of study أول حاجة هتكتبها في ال
+
+383
+00:29:45,140 --> 00:29:50,060
+significant of study مشكلة الدراسة انه احنا عندنا
+
+384
+00:29:50,060 --> 00:29:52,900
+ال vitamin D دفيشنسي بزيد عند مرضى الكورونا ال
+
+385
+00:29:52,900 --> 00:29:58,500
+kidney disease او عند مرضى السكر بعدين بدك تكتب في
+
+386
+00:29:58,500 --> 00:30:01,860
+ال significant of study البحث تبعك هذا ايش بده
+
+387
+00:30:01,860 --> 00:30:06,160
+يشارك في حالة المشكلة هذه انت قلت ان المشكلة انه
+
+388
+00:30:06,160 --> 00:30:10,320
+ال vitamin D بقل في الناس اللي عندهم الكورونا ال
+
+389
+00:30:10,320 --> 00:30:13,430
+kidney disease هذا المشكلةوبصير عندنا vitamin D
+
+390
+00:30:13,430 --> 00:30:17,630
+دفشانسي طب بحثك إيش بده يساوي في هالمشكلة ده؟ وإيش
+
+391
+00:30:17,630 --> 00:30:21,310
+بده يساهم في حلها؟ بده يسلطوا الضوء على إن ال
+
+392
+00:30:21,310 --> 00:30:25,050
+prevalence بتاعة ال vitamin D دفشانسي بزيد عند ال
+
+393
+00:30:25,050 --> 00:30:28,930
+kidney disease فبالتالي بدنا نخليهم يفحصوا vitamin
+
+394
+00:30:28,930 --> 00:30:33,070
+D دفشانسي وياخدوا بعض الأدوية أو يعملوا بعض
+
+395
+00:30:33,070 --> 00:30:36,010
+الأشياء أو بعض الأغذية اللي بتساعد في تحسين
+
+396
+00:30:36,010 --> 00:30:41,960
+vitamin D دفشانسي أو تقليلهاوتقلل عندنا ال vitamin
+
+397
+00:30:41,960 --> 00:30:47,540
+D deficiency عندنا
+
+398
+00:30:47,540 --> 00:30:52,100
+موضوع ال reference موضوع ال reference ان احنا كيف
+
+399
+00:30:52,100 --> 00:30:57,440
+بنكتب المراجع و ايش الأشياء اللي بنعملها حتى نكتب
+
+400
+00:30:57,440 --> 00:31:01,580
+المراجع بطريقة دقيقة في عندنا تلت طرق لكتابة
+
+401
+00:31:01,580 --> 00:31:04,540
+المراجع الطريقة الأولى هي الطريقة التقليدية هنتكلم
+
+402
+00:31:04,540 --> 00:31:08,680
+عنهافي طريقة Google Scholar أنه أنا باخدها من
+
+403
+00:31:08,680 --> 00:31:11,580
+Google Scholar و هنتكلم عنها و في عندنا طريقة
+
+404
+00:31:11,580 --> 00:31:15,120
+تالتة اللي هي برنامج ال EndNote اللي كلهم
+
+405
+00:31:15,120 --> 00:31:18,740
+بيستخدموه حاليا في البحث العلمي و اللي يعتبر هو
+
+406
+00:31:18,740 --> 00:31:24,020
+تقريبا أفضل شيء للباحث أنه يستخدموه ال reference
+
+407
+00:31:24,020 --> 00:31:29,960
+أنه أنا أول حاجة لو كان عندي book بروح بقى أخد اسم
+
+408
+00:31:29,960 --> 00:31:35,360
+العيلة تاعت المؤلف اسم العائلةبعدين أول حرف من
+
+409
+00:31:35,360 --> 00:31:39,160
+اسمه و أول حرف من اسم والده بعدين العالم التاني
+
+410
+00:31:39,160 --> 00:31:43,840
+اسم عيلته و أول حرف من اسمه ناخد مثال مثلا أيمن
+
+411
+00:31:43,840 --> 00:31:50,900
+مصطفى أبو مصطفى بقول أبو مصطفى am يعني أبو مصطفى
+
+412
+00:31:50,900 --> 00:31:58,360
+اسم العيلة a dot m فهيك بكون أنا كتبت الجزء الأول
+
+413
+00:31:59,430 --> 00:32:02,870
+بعدين بنكتب التاني بنفس الطريقة بعد ذلك بنروح
+
+414
+00:32:02,870 --> 00:32:10,190
+كاتبين العنوان تبع الكتاب و كاتبين النسخة قداش و
+
+415
+00:32:10,190 --> 00:32:17,750
+وين النسخة هذه انطبعت و سنة قداش نفس
+
+416
+00:32:17,750 --> 00:32:22,450
+الشيء لو كان articles بناخد اسم العنوان البحث و
+
+417
+00:32:22,450 --> 00:32:26,800
+بعدين اسم الجورنالز و بعدين بنكتب السنةهذه الأشياء
+
+418
+00:32:26,800 --> 00:32:29,600
+يدويًا اليوم مافيش حد بيستخدمها يعني مافيش حد
+
+419
+00:32:29,600 --> 00:32:34,420
+بيمسك كتاب و بيصير يكتبها يدويًا في عندنا Google
+
+420
+00:32:34,420 --> 00:32:37,980
+Scholar بتريحنا من كل الأشياء هذه و ممكن ناخد منها
+
+421
+00:32:37,980 --> 00:32:45,000
+المراجع بكل سهولة و أريحية و هذا اللي بيسموه النوع
+
+422
+00:32:45,000 --> 00:32:48,840
+ال ABA يبقى في عندنا .. هتسمعوا في الجامعة أو
+
+423
+00:32:48,840 --> 00:32:55,300
+المشترك بيقولك احنا ماعتمدين نوع أو style ال ABA
+
+424
+00:32:56,180 --> 00:32:59,180
+هتسمع المشرف بيقول احنا معتمدين ال style ال ABA
+
+425
+00:32:59,180 --> 00:33:03,020
+اللي بنستخدمه ان هو اسم العائلة بعدين اول حرف من
+
+426
+00:33:03,020 --> 00:33:07,360
+اسم المؤلف بعدين اول حرف من اسم والده بعدين التاني
+
+427
+00:33:07,360 --> 00:33:13,560
+و التالت و الضابط هنتكلم لاحقا بالتفصيل كيف نبدأ
+
+428
+00:33:13,560 --> 00:33:17,820
+نكتب ال introduction و ناخد أمثلة واقعية من ال net
+
+429
+00:33:17,820 --> 00:33:22,360
+و نبدأ نكتب مع بعض و هنزلكوا فيديو كيف تكتبوا
+
+430
+00:33:23,160 --> 00:33:29,100
+بالتفصيل اللي هي ال title و ال objective و كمان
+
+431
+00:33:29,100 --> 00:33:35,780
+كيف تكتبوا ال introduction كاملة بكل محتوها احنا
+
+432
+00:33:35,780 --> 00:33:39,680
+راح نتوقف عند الجزئية هذه بتمنى انكوا تكونوا
+
+433
+00:33:39,680 --> 00:33:46,910
+استفدتوا و زي ما وعدناكواان شاء الله راح يكون في
+
+434
+00:33:46,910 --> 00:33:51,030
+فيديو خاص كيف نطبقها مباشرة من ال net وكيف نبدأ
+
+435
+00:33:51,030 --> 00:33:54,690
+نكتب في ال title و ال objective و ال introduction
+
+436
+00:33:54,690 --> 00:33:58,250
+و كل الأشياء هذه مع بعض في فيديو هنزله ان شاء الله
+
+437
+00:33:58,250 --> 00:34:03,410
+ملحق للمحاضرة شكرا لكم لإستماعكم و برك الله فيكم و
+
+438
+00:34:03,410 --> 00:34:06,170
+السلام عليكم و رحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s.srt
new file mode 100644
index 0000000000000000000000000000000000000000..be87f26c91a10ccc8757917a6af6bd976471be5d
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s.srt
@@ -0,0 +1,1865 @@
+1
+00:00:00,000 --> 00:00:03,100
+بسم الله الرحمن الرحيم إن شاء الله اليوم هنتكلم
+
+2
+00:00:03,100 --> 00:00:06,960
+على موضوع الـ data collection الـ data collection
+
+3
+00:00:06,960 --> 00:00:10,760
+يمكن اتكلمنا عليها لما حكينا أن الـ data عبارة عن
+
+4
+00:00:10,760 --> 00:00:13,920
+cascade بتكون موجودة، الـ research كله عبارة عن
+
+5
+00:00:13,920 --> 00:00:18,680
+cascade ووصلنا لجزئية الـ data واتكلمنا على موضوع
+
+6
+00:00:18,680 --> 00:00:21,380
+الـ data collection وقولنا أن الـ data collection
+
+7
+00:00:21,380 --> 00:00:25,080
+بتكون واسطة a questionnaire وحكينا في الـ
+
+8
+00:00:25,080 --> 00:00:28,730
+qualitative research، أن الـ data collection بتكون
+
+9
+00:00:28,730 --> 00:00:33,510
+ممكن تكون focus group أو interview، فبالتالي بتكون
+
+10
+00:00:33,510 --> 00:00:37,930
+عندنا الوسائل الأساسية للـ data collection يا بتكون بـ
+
+11
+00:00:37,930 --> 00:00:43,810
+interview يا بتكون بـ observation، بتلاحظ أن الـ
+
+12
+00:00:43,810 --> 00:00:46,470
+observation أحيانًا بتكون الـ checklist موجودة و
+
+13
+00:00:46,470 --> 00:00:50,530
+مكتوب عليها، يسموه، فكلمة observation في الحالة هذه
+
+14
+00:00:50,530 --> 00:00:54,770
+ممكن تيجي مع qualitative وممكن تيجي مع
+
+15
+00:00:54,770 --> 00:00:58,160
+quantitative research، كيف ممكن تجي معها؟
+
+16
+00:00:58,160 --> 00:01:02,740
+qualitative، لما بتكون الـ observation مفتوحة وممكن
+
+17
+00:01:02,740 --> 00:01:08,580
+خلال الملاحظة هذه نسأل سؤال واحنا مش عارفين جوابه،
+
+18
+00:01:08,580 --> 00:01:12,380
+فبالتالي بتكون qualitative، طب و
+
+19
+00:01:12,380 --> 00:01:15,540
+quantitative؟ الـ observation بتكون quantitative لما
+
+20
+00:01:15,540 --> 00:01:18,980
+بتكون عندنا checklist والـ checklist هي قائمة
+
+21
+00:01:18,980 --> 00:01:22,300
+موجودة، تشيرك على أشياء موجودة زي الـ quality
+
+22
+00:01:22,300 --> 00:01:27,370
+control، بلبس gloves yes or no، بلبس lab coat yes و
+
+23
+00:01:27,370 --> 00:01:31,230
+no، بيجي الساعة 7:30 yes و no، بيعمل الشغل في
+
+24
+00:01:31,230 --> 00:01:33,910
+موقعه yes و no، هذه كلها بتكون checklist، أنا
+
+25
+00:01:33,910 --> 00:01:37,530
+بشوفها عن الموظف، بيكون أحيانًا موجودة عند الأجهزة،
+
+26
+00:01:37,530 --> 00:01:41,790
+checklist، نظفت العدسات تاعت الميكروسكوب yes و no،
+
+27
+00:01:41,790 --> 00:01:45,970
+بنحط علامة صح، الـ Interview في الغالب بتكون الـ
+
+28
+00:01:45,970 --> 00:01:49,510
+Interview هي عبارة عن qualitative research ولكن
+
+29
+00:01:49,510 --> 00:01:53,710
+أحيانًا بيكون فيها أسئلة quantitative research رغم
+
+30
+00:01:53,710 --> 00:01:57,170
+أنها interview، طب أنت قبل أن تتكلم في المحاضرة
+
+31
+00:01:57,170 --> 00:02:02,790
+السابقة، أن الـ interview بتكون في qualitative
+
+32
+00:02:02,790 --> 00:02:07,050
+research، صحيح كلام صحيح 100%، ولكن لما بيجيني هنا
+
+33
+00:02:07,050 --> 00:02:11,390
+أن أنا عملت interview ومكتوب الـ gender male أو
+
+34
+00:02:11,390 --> 00:02:14,710
+female للشخص اللي أنا بدي أعمله interview، السؤال
+
+35
+00:02:14,710 --> 00:02:18,970
+هذا بالذات هو عبارة عن quantitative question، ولكن
+
+36
+00:02:18,970 --> 00:02:23,490
+المقابلة ككل اسمها qualitative، المقابلة ولكن الـ
+
+37
+00:02:23,490 --> 00:02:27,730
+question بكون عبارة عن quantitative question، روح
+
+38
+00:02:27,730 --> 00:02:30,910
+اللي بعديها، الـ questionnaire، الـ questionnaire هو
+
+39
+00:02:30,910 --> 00:02:34,010
+tools، أنا بعدها، واتكلمنا المرة اللي فاتت كنت
+
+40
+00:02:34,010 --> 00:02:37,610
+أشوفها في تفاصيلها زيادة، أن الـ questionnaire هو
+
+41
+00:02:37,610 --> 00:02:41,080
+عبارة عن tools أنا بحددها، وأحيانًا الـ
+
+42
+00:02:41,080 --> 00:02:46,540
+questionnaire بتكون متاخدة من مؤسسة زي مثلًا الـ
+
+43
+00:02:46,540 --> 00:02:50,440
+WHO، questionnaire معمول وجاهز، فإذا كان الـ
+
+44
+00:02:50,440 --> 00:02:54,780
+questionnaire معمول وجاهز، خدته أنا هذا اللي و
+
+45
+00:02:54,780 --> 00:02:58,180
+اشتغلت عليه بظبط، وإذا كان الـ questionnaire أنا
+
+46
+00:02:58,180 --> 00:03:02,860
+عديته كمان، الـ questionnaire هي tools تستخدم لجمع
+
+47
+00:03:02,860 --> 00:03:08,260
+البيانات، مش دائمًا مطلوب مننا أن نروح نحدد الـ
+
+48
+00:03:08,260 --> 00:03:13,450
+questionnaire ولا نحدد عن ايش الأسئلة ونكتبها في
+
+49
+00:03:13,450 --> 00:03:17,430
+ورقة ونطبعها، أحيانًا ممكن تطلع على جهة معينة وتاخد
+
+50
+00:03:17,430 --> 00:03:21,150
+الـ data، الـ data هذه اللي بتحقق الـ objective، يعني
+
+51
+00:03:21,150 --> 00:03:25,930
+مثال: كم واحد من الناس اللي عندهم كورونا في الصين
+
+52
+00:03:25,930 --> 00:03:30,530
+صار عندهم مثلًا رينا فيريار، بيروح ناخد الـ data اللي
+
+53
+00:03:30,530 --> 00:03:35,290
+موجودة من المستشفى، وهم بيكونوا كاتبين هل المريض
+
+54
+00:03:35,290 --> 00:03:40,050
+مصاب ولا مش مصاب، وصار عنده فشل كلوي ولا لأ؟ طب كم
+
+55
+00:03:40,050 --> 00:03:43,790
+واحد صار عنده صعوبة في التنفس؟ بكون مكتوب الـ signs و
+
+56
+00:03:43,790 --> 00:03:46,330
+الـ symptoms، كل مريض ايش الـ complications اللي صارت
+
+57
+00:03:46,330 --> 00:03:50,930
+عنده، هذه بتريحني كتير، ما بجمع بيانات وأخد
+
+58
+00:03:50,930 --> 00:03:56,110
+موافقات من المرضى وكمان بدي موافقات من المستشفى،
+
+59
+00:03:56,110 --> 00:04:00,210
+خلاص، أنا باخد موافقة واحدة لأخد البيانات اللي
+
+60
+00:04:00,210 --> 00:04:04,470
+عليها التحليل وبجيب منها الأشياء اللي أنا بديها
+
+61
+00:04:04,470 --> 00:04:08,350
+على حسب الـ objective بتاعة الدراسة، الـ
+
+62
+00:04:08,350 --> 00:04:11,650
+questionnaire design، الـ questionnaire design
+
+63
+00:04:11,650 --> 00:04:14,310
+أحيانًا بنلاقي فيه الأسئلة اللي موجودة، الأسئلة
+
+64
+00:04:14,310 --> 00:04:17,710
+قولنا إذا كانت closed question بنقول عنها
+
+65
+00:04:17,710 --> 00:04:21,230
+quantitative، في عندنا شغل بيسموها Likert Scale،
+
+66
+00:04:21,230 --> 00:04:27,250
+Likert Scale، يعني الترتيب للأجوبة واجب، مثال على
+
+67
+00:04:27,250 --> 00:04:33,150
+ذلك، لما بنقول إنه ما مدى موافقتك على التعليم
+
+68
+00:04:33,150 --> 00:04:38,870
+الإلكتروني؟ بتقول الأجوبة strongly disagree و
+
+69
+00:04:38,870 --> 00:04:44,870
+disagree، neutral، agree، strongly agree، علينا
+
+70
+00:04:44,870 --> 00:04:49,670
+الأجوبة هذه اللي موجودة، يجب أنها تكون ترتيبية، ولو
+
+71
+00:04:49,670 --> 00:04:53,750
+لاحظنا أنه حتى في تقييم المدرسين بتكون هذه موجودة،
+
+72
+00:04:53,750 --> 00:04:58,710
+عندنا الأشياء مرتبة، لأن الترتيب فيها واجب، ليش
+
+73
+00:04:58,710 --> 00:05:02,970
+واجب؟ عشان السؤال الأول أقول strongly disagree،
+
+74
+00:05:03,850 --> 00:05:07,330
+وبعدين أقول إنه neutral، وبعدين أقول disagree،
+
+75
+00:05:07,330 --> 00:05:10,990
+وبعدين أقول strongly disagree، وبعدين أقول agree، غلط،
+
+76
+00:05:10,990 --> 00:05:16,490
+لأن هذا بيقول عنه Likert scale، بيسموها لحالة هذا
+
+77
+00:05:16,490 --> 00:05:22,450
+ordinal question، جواب ترتيبي أو الـ rank معين، يجب
+
+78
+00:05:22,450 --> 00:05:26,930
+أن يكون الجواب بهذه الصورة، يبقى الاستبانة اللي
+
+79
+00:05:26,930 --> 00:05:32,860
+موجودة عندي، بكون عارف إن مين في الأسئلة لازم يترتب،
+
+80
+00:05:32,860 --> 00:05:36,780
+ومين مش فارق الترتيب فيه، يعني سؤال أنت smoking
+
+81
+00:05:36,780 --> 00:05:43,020
+yes و no، سواء قلت no yes أو yes و no نفس الشيء،
+
+82
+00:05:43,020 --> 00:05:47,000
+ولكن في موضوع الـ Likert scale بيكونوا بالترتيب،
+
+83
+00:05:47,000 --> 00:05:52,220
+فبدينا مثال ثاني، مثال ثاني، Stage of Cancer، الـ breast
+
+84
+00:05:52,220 --> 00:05:57,940
+cancer، الـ breast cancer بنقول Stage 1 و2 و3 و4، ولكن
+
+85
+00:05:57,940 --> 00:06:03,360
+ممنوع نقول Stage 4، الخيارات في الاستبانة Stage 1 ثم
+
+86
+00:06:03,360 --> 00:06:09,000
+Stage 3 ثم No ثم Stage 4، يعني بتكون الأسئلة
+
+87
+00:06:09,000 --> 00:06:12,600
+مخبطة أو الأجوبة مخبطة، وهذا بيعمل confused، تكون
+
+88
+00:06:12,600 --> 00:06:17,500
+الأسئلة ranked ومكتوبة بهذه الصورة، قبل ننصبهم
+
+89
+00:06:17,500 --> 00:06:22,240
+الاستبانة، بدنا نكون عارفين عدة أمور، أول شيء بدنا
+
+90
+00:06:22,240 --> 00:06:28,020
+نكون عارفينه، هل الاستبانة هذه اللي موجودة بتحقق الـ
+
+91
+00:06:28,020 --> 00:06:34,080
+objective بتاعتها ولا لأ؟ يعني ايش اللي أنا لازم أتعرف
+
+92
+00:06:34,080 --> 00:06:39,260
+بالظبط من خلال هذه الاستبانة، حتى أخد وأحلل و
+
+93
+00:06:39,260 --> 00:06:42,180
+أعمل تحليل إحصائي وأجيب على الـ objective أو الـ
+
+94
+00:06:42,180 --> 00:06:45,760
+research question، وهل كل الـ research question اللي
+
+95
+00:06:45,760 --> 00:06:49,560
+موجودة عندي أو الـ hypothesis أو الـ objective هذه
+
+96
+00:06:49,560 --> 00:06:53,740
+الاستبانة اللي بتحتوي عليهم، يعني مثال على ذلك، فأنا
+
+97
+00:06:53,740 --> 00:06:57,300
+فأنا objective موجود، والـ objective بيقول الـ
+
+98
+00:06:57,300 --> 00:07:01,660
+relation between vitamin D، يبقى معناته الاستبانة
+
+99
+00:07:01,660 --> 00:07:06,640
+بيكون فيها موجود،  association between
+
+100
+00:07:06,640 --> 00:07:10,720
+vitamin D and governorate، والمحافظات، بيشوف مين
+
+101
+00:07:10,720 --> 00:07:14,520
+أعلى من مين، معناته في الاستبانة بيكون
+
+102
+00:07:14,520 --> 00:07:18,880
+الـ governorate مكتوبة، relation between education
+
+103
+00:07:18,880 --> 00:07:24,520
+and vitamin D deficiency، فبيكون عندنا الحالة هذه
+
+104
+00:07:24,520 --> 00:07:27,760
+الـ education مكتوب في الاستبانة، يبقى سواء الـ
+
+105
+00:07:28,840 --> 00:07:33,280
+أو الـ governorate أو الـ education، هدول أنا جبت
+
+106
+00:07:33,280 --> 00:07:35,800
+أسئلة الاستبانة من وين؟ من الـ objective بتاع
+
+107
+00:07:35,800 --> 00:07:39,740
+الدراسة بتاعتي، لأن هدول لازم يكونوا موجودين، ما يكونوش
+
+108
+00:07:39,740 --> 00:07:42,960
+مكتوبين في الـ objective اللي مش موجودين في الاستبانة،
+
+109
+00:07:42,960 --> 00:07:47,960
+حاجة ثالثة، لو حد كتب إنه جدك أو عمك أو والدك في
+
+110
+00:07:47,960 --> 00:07:50,220
+الاستبانة، طب هذه ايش علاقتها بالـ objective بتاع
+
+111
+00:07:50,220 --> 00:07:53,020
+الدراسة؟ مالهاش علاقة، يمكن مالهاش، لازم تكون في
+
+112
+00:07:53,020 --> 00:07:56,150
+الاستبانة، يبقى الـ guideline الأساسي في تصميم
+
+113
+00:07:56,150 --> 00:08:00,330
+الاستبانة هو الـ objective، بحطها قدامي أهو في
+
+114
+00:08:00,330 --> 00:08:03,790
+الدراسة، بتكون واقعة الـ general objective و
+
+115
+00:08:03,790 --> 00:08:08,330
+specific objective، وبقدر أضيف من خلالهم ايش
+
+116
+00:08:08,330 --> 00:08:11,450
+الأسئلة اللي أنا بدي إياها، طيب أنا بضيف سؤال ومش
+
+117
+00:08:11,450 --> 00:08:14,990
+موجود في الـ objective، بدك تضيف سؤال ومش موجود في
+
+118
+00:08:14,990 --> 00:08:18,350
+الـ objective، okay، ضيفه ولكن ممنوع تكتبه في
+
+119
+00:08:18,350 --> 00:08:21,430
+النتائج إلا إذا درجته في الـ objective، لأن الـ
+
+120
+00:08:21,430 --> 00:08:24,750
+objective بتكون specific objective خاصة، وبدك
+
+121
+00:08:24,750 --> 00:08:28,450
+تجاوب عليها بالظبط، وتكون النتائج بتجاوب على الـ
+
+122
+00:08:28,450 --> 00:08:33,070
+objective، وأي شيء زيادة، نفس نقصان في البحث
+
+123
+00:08:33,070 --> 00:08:36,290
+العلمي، زيادة عن الـ objective زي النقصان في
+
+124
+00:08:36,290 --> 00:08:39,990
+الـ objective نفس المعنى، إنك تلاقي 50 table و
+
+125
+00:08:39,990 --> 00:08:43,630
+objective واحد، غلط، وإن تلاقي 50 objective و table
+
+126
+00:08:43,630 --> 00:08:48,010
+واحد كمان خطأ، فبتكون كل table لها reference في
+
+127
+00:08:48,010 --> 00:08:50,360
+الـ objective وفي الـ hypothesis وفي الـ research
+
+128
+00:08:50,360 --> 00:08:54,660
+question اللي أنا عاملها، طب هل فعلاً التكنيك بتاع
+
+129
+00:08:54,660 --> 00:09:02,120
+الاستبانة بيجاوب عن الـ objective؟ يعني مثلًا أنا عملت
+
+130
+00:09:02,120 --> 00:09:06,360
+استبانة، والاستبانة هذه اللي موجودة، أنت قلت قبل
+
+131
+00:09:06,360 --> 00:09:12,120
+شوية، association between vitamin D deficiency and
+
+132
+00:09:12,120 --> 00:09:18,140
+age أو gender أو governorate أو education، طب هو
+
+133
+00:09:18,140 --> 00:09:22,540
+أساسًا الـ vitamin D عنده في المستشفى المرضى بيجسوّه،
+
+134
+00:09:22,540 --> 00:09:25,660
+بيجسوّهوش.
+
+135
+00:09:25,660 --> 00:09:30,580
+طب ايش الحل في الحالة هذه؟ الحل في الحالة هذه أنت
+
+136
+00:09:30,580 --> 00:09:34,160
+بدك تعبي في المستشفى الأشياء اللي موجودة عند
+
+137
+00:09:34,160 --> 00:09:39,080
+المريض، وتسحب منه عينة ويضل المكان في الاستبانة
+
+138
+00:09:39,080 --> 00:09:44,280
+فاضي، لما ترجع تشتغلها في مختبر وتحلها وتكتب
+
+139
+00:09:44,280 --> 00:09:47,560
+نتيجتها وتكتبها في الاستبانة، فمش كل حاجة في
+
+140
+00:09:47,560 --> 00:09:50,680
+الاستبانة أنا وأنا رايح على المستشفى، المتوقع اللي
+
+141
+00:09:50,680 --> 00:09:57,040
+أجهزه، بكون عارف الناس بتصور الـ CT، الناس اللي
+
+142
+00:09:57,040 --> 00:10:01,160
+موجودة، على سبيل المثال، بتعملش PNA و NC، مرض
+
+143
+00:10:01,160 --> 00:10:05,660
+السكري، فأنا ببدأ أروح أكتب في الاستبانة كسؤال، على
+
+144
+00:10:05,660 --> 00:10:09,060
+جهز الورقة، بيكون table، ايش الأسئلة اللي أنا بدي
+
+145
+00:10:09,060 --> 00:10:12,060
+أعملها private، واِيش الأسئلة اللي ممكن أجيبها من
+
+146
+00:10:12,060 --> 00:10:15,970
+المستشفى، هو فيه فرق بين استبانة questionnaire و
+
+147
+00:10:15,970 --> 00:10:20,030
+checklist؟ هو فيه حاجة اسمها questionnaire، أنا بسأل
+
+148
+00:10:20,030 --> 00:10:24,350
+المريض، وفي شغلات أنا بلاحظها على المريض، يعني مثال
+
+149
+00:10:24,350 --> 00:10:29,430
+لما أقوله من ناحية stress، أقوله كيف شايف الوضع، و
+
+150
+00:10:29,430 --> 00:10:32,870
+قال الحمد لله، قال هيك، واتنحّك، يعني الأمور مش
+
+151
+00:10:32,870 --> 00:10:36,430
+عاجباه، فأنا بكتب في الحالة هذه، فبيكون في عندي زي
+
+152
+00:10:36,430 --> 00:10:39,330
+checklist، أنا بشيك على المريض اللي موجود، في حالة
+
+153
+00:10:39,330 --> 00:10:42,070
+ثانية، بقول المريض أنت بتقدر تمشي؟ بقول لك آه أنا بقدر
+
+154
+00:10:42,070 --> 00:10:46,090
+امشي، ولما بيقوم المريض بيقول لك اِوقفني، ما هو مش
+
+155
+00:10:46,090 --> 00:10:49,050
+قادر يمشي أساسًا، فبالتالي أنت تكون عندك الـ checklist
+
+156
+00:10:49,050 --> 00:10:53,610
+منفصل عن الاستبانة، وكأنه في نقاش بيضطر بين
+
+157
+00:10:53,610 --> 00:10:56,950
+وبين المريض وورقة، وورقة ثانية أنا بقيم فيها الـ
+
+158
+00:10:56,950 --> 00:11:00,890
+clinical future تحت الـ patient، اللي بيسموها هدف
+
+159
+00:11:00,890 --> 00:11:05,800
+خاصة، موفقة بتكون في الـ questionnaire، checklist، هل
+
+160
+00:11:05,800 --> 00:11:09,680
+يمكن أن يكون بحث checklist بدون questionnaire
+
+161
+00:11:09,680 --> 00:11:14,790
+صحيح؟ مثلًا، ما مدى الالتزام بالـ Infection Control؟ بأجي
+
+162
+00:11:14,790 --> 00:11:18,490
+أنا بقول للمستشفى، الديني الـ infection control
+
+163
+00:11:18,490 --> 00:11:22,430
+اللي عندك، بيقول لك لازم يعمل 1 و2 و3 و4 و5،
+
+164
+00:11:22,430 --> 00:11:27,070
+بأخد هذه الأسئلة وبحط خانتين yes و no، التزم و
+
+165
+00:11:27,070 --> 00:11:31,190
+مالتزمش، في الحالة هذه بيسموها checklist، هذه بيقول
+
+166
+00:11:31,190 --> 00:11:34,750
+عنها، أنا بشيك، أشوف ملتزم ولا مالتزمش، وفي منهم
+
+167
+00:11:34,750 --> 00:11:38,510
+بيضيفوها، question  يركن استباني، بس أنا بعبيها، أنا كـ
+
+168
+00:11:38,510 --> 00:11:43,980
+researcher، أنا اللي بعبيها، طيب questionnaire
+
+169
+00:11:43,980 --> 00:11:48,060
+وعرفناها، و checklist وفهمناها، طب ممكن نسأل، سواء
+
+170
+00:11:48,060 --> 00:11:50,120
+ايش الفرق ما بين الـ questionnaire و الـ .. مش هنسأل
+
+171
+00:11:50,120 --> 00:11:52,900
+فيه، هذه مش هنسألك في الامتحان، ايش الفرق بينهم،
+
+172
+00:11:52,900 --> 00:11:57,760
+هنسألك فقط ما هو الشغلات اللي موجودة عندنا في الـ
+
+173
+00:11:57,760 --> 00:12:01,610
+questionnaire، سواء كانت qualitative أو quantitative question،
+
+174
+00:12:01,610 --> 00:12:06,370
+طب، روح طالب سائل يقول لك، طب ماشي الـ questionnaire
+
+175
+00:12:06,370 --> 00:12:11,350
+ورايح، والـ checklist ورايح، طب بعد إذنك قولي ايش
+
+176
+00:12:11,350 --> 00:12:14,070
+يعني investigation، investigation other than
+
+177
+00:12:14,07
+
+223
+00:15:13,170 --> 00:15:17,110
+بده يجاوب على الاستبانة قبل ما جاوب حتى أحط الأسئلة
+
+224
+00:15:17,110 --> 00:15:21,710
+تتناسب مع طبيعة الشخص اللي بده يجاوب، وكمان هل
+
+225
+00:15:21,710 --> 00:15:25,630
+الأشخاص اللي بدهم يجاوبوا ناس متعلمين، وصيغة
+
+226
+00:15:25,630 --> 00:15:29,530
+السؤال اللي محطوطة بتقبلوها، ولا ناس مش متعلمين ومش
+
+227
+00:15:29,530 --> 00:15:33,170
+ممكن يتقبلوا صيغة السؤال؟ فبالتالي ممكن يكون متعلم ولا
+
+228
+00:15:33,170 --> 00:15:38,050
+يتقبل صيغة السؤال؟ كيف يعني؟ لما أدخل على المستشفى و
+
+229
+00:15:38,050 --> 00:15:41,990
+أسأل المدير العام للمجمع: "أنت معدلك في التوجيه جيد؟"
+
+230
+00:15:41,990 --> 00:15:46,110
+طب إيش بفيدك في الدراسة؟ عفوًا، هذا السؤال هذا أو
+
+231
+00:15:46,110 --> 00:15:51,170
+أسأله أنه: "أنت عندك كم حالة موجودة في المستشفى من
+
+232
+00:15:51,170 --> 00:15:54,550
+الموظفين؟" هتقول لي: "احنا مش..." أنا متجهة
+
+233
+00:15:54,550 --> 00:15:58,180
+أقول لك أسماء الناس المصابين. فبالتالي سيكون السؤال
+
+234
+00:15:58,180 --> 00:16:01,840
+اللي موجود يتناسب مع إن اللي قدامي يجاوبه، ومن
+
+235
+00:16:01,840 --> 00:16:05,200
+صلاحياته أنه يجاوبه؛ لأن في أسئلة مش من صلاحيات اللي
+
+236
+00:16:05,200 --> 00:16:09,580
+قدامك أنه هو يجاوبها. زي مثلًا عدد الفحوصات اللي بتتم
+
+237
+00:16:09,580 --> 00:16:14,340
+في مختبر X، مش من صلاحيات مدير المختبر يجاوبك إلا
+
+238
+00:16:14,340 --> 00:16:19,180
+بإذن. فبتكون الأسئلة اللي موجودة تتناسب مع صلاحيات
+
+239
+00:16:19,180 --> 00:16:23,360
+الشخص اللي قدامي. حاجة تانية: إيش التكنيك اللي أنا
+
+240
+00:16:23,360 --> 00:16:27,880
+بدي أستخدمه؟ هل أنا بدي أستخدم استبانة؟ وهل الاستبانة
+
+241
+00:16:27,880 --> 00:16:31,780
+بتكون ممكن يعبيها بنفسه؟ يعني رأيه في المحاضرة مش
+
+242
+00:16:31,780 --> 00:16:35,220
+ممكن أنا أقول للطالب: "الشرح واضح ولا مش واضح؟" مش
+
+243
+00:16:35,220 --> 00:16:39,240
+هتأخذ حتى في الإجابة، لأ هي تأخذ الإجابة الاستبانة
+
+244
+00:16:39,240 --> 00:16:43,160
+تجاوبها وتجيبها وترجعها. Okay. ولكن في بعض
+
+245
+00:16:43,160 --> 00:16:47,440
+الأسئلة لازم أنا اللي أسألها، زي الـ open question
+
+246
+00:16:47,440 --> 00:16:52,050
+لأن من السؤال بيجي كمان سؤال. الـ open question اللي
+
+247
+00:16:52,050 --> 00:16:56,050
+موجود، جاوب لما كان مفتوح، ولا محتاج كمان موضوع
+
+248
+00:16:56,050 --> 00:17:00,410
+discussion؟ أعمل منه interview. الأشياء اللي بتكون
+
+249
+00:17:00,410 --> 00:17:05,270
+لازمة سواء لشخص أو اتنين أو لتلاتة. هل هي هذه
+
+250
+00:17:05,270 --> 00:17:07,590
+الشغلات قبل ما أبدأ الاستبانة اللي هو اللي خدت بالي
+
+251
+00:17:07,590 --> 00:17:12,490
+منها بتكفي صحيح، ولكن في بعض الأشياء بتكون كمان
+
+252
+00:17:12,490 --> 00:17:18,640
+ما آخد بالي منها. أول حاجة: هل الأسئلة اللي موجودة في
+
+253
+00:17:18,640 --> 00:17:22,560
+الاستبانة أو في الـ checklist تجاوب على
+
+254
+00:17:22,560 --> 00:17:26,280
+الـ hypothesis والـ questions والـ objectives
+
+255
+00:17:26,280 --> 00:17:30,540
+والـ questionnaires وإلا؟ وهل الـ data collection
+
+256
+00:17:30,540 --> 00:17:34,820
+للاستبانة هذه متوفرة (available)؟ لنروح المستشفى
+
+257
+00:17:34,820 --> 00:17:40,620
+بالدنياها وإلا؟ وهل هذه تتوافق مع الـ results اللي
+
+258
+00:17:40,620 --> 00:17:44,460
+أنا بدي أعملها للناس وإلا؟ وهل التجارب (تجربة) موجودة
+
+259
+00:17:44,460 --> 00:17:49,280
+ولا لأ؟ ومن اللي فات كله. هل إمكانياتك المادية
+
+260
+00:17:49,280 --> 00:17:54,440
+بتسمح أنك تعبي كل الاستبانات ولا لأ؟ فكيف
+
+261
+00:17:54,440 --> 00:17:58,500
+الاستبانات... عفوًا، كيف الإمكانيات المادية لا تسمح
+
+262
+00:17:58,500 --> 00:18:03,380
+ما هي استبانات؟ وعفوًا هي الورقة، يعني كل 100 ورقة
+
+263
+00:18:03,380 --> 00:18:08,410
+حاجة. اليوم خمس شيكل. فلو عملنا استبانات جد، ما نعمل
+
+264
+00:18:08,410 --> 00:18:12,270
+مش كتير. يعني الأمر مضحك بالنسبة لنا، لأ، الأمر في الـ
+
+265
+00:18:12,270 --> 00:18:16,330
+questionnaires بيكون أكثر من ما أنت متوقع. فبكون أكثر من
+
+266
+00:18:16,330 --> 00:18:20,270
+ما احنا متوقعين. أدينا مثال على ذلك، المثال يعني لو
+
+267
+00:18:20,270 --> 00:18:24,210
+كانت طاقة الـ population تاعتك اللي موجودين ناس عندهم
+
+268
+00:18:24,210 --> 00:18:28,690
+Down Syndrome، وروحت على المؤسسة اللي بتتعامل مع
+
+269
+00:18:28,690 --> 00:18:32,730
+المرضى هدول، وقالت لك: "أنا آسف إني أديك أي بيانات."
+
+270
+00:18:33,340 --> 00:18:36,640
+فبالتالي يجب أن تذهب إلى مصمم، لازم تجمع هذه
+
+271
+00:18:36,640 --> 00:18:40,660
+البيانات. فقلت: "ماني بعرف واحد"، والشخص يودينا
+
+272
+00:18:40,660 --> 00:18:45,320
+واحد ثاني. روحت عند أول واحد، قال لك: "أنا في ابني صحيح
+
+273
+00:18:45,320 --> 00:18:50,440
+Down Syndrome، وفيه اتنين، تلاتة." أدّاك جوالات: واحد
+
+274
+00:18:50,440 --> 00:18:55,360
+في بيت حنون، وواحد في رفع. هل إمكانياتك بتسمح أنك
+
+275
+00:18:55,360 --> 00:19:01,810
+تذهب على بيت حنون تعبي الاستبانة، وهم يدلوك تعبية
+
+276
+00:19:01,810 --> 00:19:05,410
+حنون، دالك أو واحد في المغازي، ولا فرافح، دالك أو
+
+277
+00:19:05,410 --> 00:19:10,030
+واحد في منطقة الشوكة. فهل هذا بيسمح إمكانياتك و
+
+278
+00:19:10,030 --> 00:19:15,210
+الوقت اللي محدد للدراسة أن أنا أقوم بـ... فيك؟ هل
+
+279
+00:19:15,210 --> 00:19:18,370
+في ظل وجود كورونا اليوم؟
+
+280
+00:19:19,850 --> 00:19:24,130
+انتشارها اللي موجود، هل أنت بتقدر تطلع من بيتك؟
+
+281
+00:19:24,130 --> 00:19:28,510
+فبالتالي بدي أشوف هل الاستبانات هذه اللي موجودة مش
+
+282
+00:19:28,510 --> 00:19:33,530
+اليوم طبعتها هي مرهقة. كمان تعباتها كمان مرهقة في
+
+283
+00:19:33,530 --> 00:19:38,390
+ظل الظروف. وصلنا لحاجة في الـ question أو الـ
+
+284
+00:19:38,390 --> 00:19:41,770
+questionnaire، حاجة بيقولوا عنها structured
+
+285
+00:19:41,770 --> 00:19:45,550
+questionnaire، وحاجة بيسموها semi-structured
+
+286
+00:19:45,550 --> 00:19:49,000
+questionnaire، و unstructured questionnaire. الـ
+
+287
+00:19:49,000 --> 00:19:52,640
+structured questionnaire بيكون هو quantitative
+
+288
+00:19:52,640 --> 00:19:56,120
+questionnaire، يعني كل الأسئلة اللي موجودة فيها
+
+289
+00:19:56,120 --> 00:20:01,940
+مُسجلة، زي الامتحان تبع التوفير، كله مُسجّل. عندك
+
+290
+00:20:01,940 --> 00:20:06,840
+هذه الأجوبة ما فيش غيرهم، بدك تجاوب منهم. طيب، في
+
+291
+00:20:06,840 --> 00:20:09,380
+سؤال ما فيش فيه جواب، بيكون كاتب لك: "مضارب (none of"
+
+292
+00:20:09,380 --> 00:20:13,360
+them)". يبقى جوابه بيكون موجود، ما فيش قدامك خيار
+
+293
+00:20:13,360 --> 00:20:18,210
+ثاني. خالص. طب semi-structured questionnaire هذا
+
+294
+00:20:18,210 --> 00:20:22,290
+بيكون نفس الامتحان اللي بيكون موجود في الجامعة، فيه
+
+295
+00:20:22,290 --> 00:20:26,010
+أسئلة مقالية، وأسئلة MCQ، وأسئلة true and false.
+
+296
+00:20:26,010 --> 00:20:30,350
+هيك بيسميه، كأنه هذا الامتحان كأنه questionnaire.
+
+297
+00:20:30,350 --> 00:20:33,390
+أنت بدك تجاوبه، فبيسميه semi-structured
+
+298
+00:20:33,390 --> 00:20:36,990
+questionnaire. فيه أسئلة open، وفيه أسئلة closed.
+
+299
+00:20:36,990 --> 00:20:40,730
+فيه أسئلة الأولانية MCQ، closed question، و true and
+
+300
+00:20:40,730 --> 00:20:44,170
+false، closed question. أو طيب، والـ matching كمان closed
+
+301
+00:20:44,170 --> 00:20:49,310
+question. يقول لك: "اكتب رأيك (your opinion)" في موضوع معين.
+
+302
+00:20:49,310 --> 00:20:55,090
+أو خلاك الباب مفتوح، اكتب البديهيات. هنا بنسميه
+
+303
+00:20:55,090 --> 00:20:58,990
+unstructured questionnaire. السؤال مفتوح، اكتب اللي
+
+304
+00:20:58,990 --> 00:21:02,330
+بتعرفه. في الحالة هذه، لما بتكون عندنا الاستبانة
+
+305
+00:21:02,330 --> 00:21:07,990
+اللي موجودة structured، بيقول في الحالة هذه أن أنا
+
+306
+00:21:07,990 --> 00:21:13,330
+عندي a clause، a question. ولكن إذا كان semi-
+
+307
+00:21:13,330 --> 00:21:16,150
+structured questionnaire، بيكون في عندك clause
+
+308
+00:21:16,950 --> 00:21:21,370
+وكمان في عندي open. جامعة، نرجع لبعض الـ unstructured
+
+309
+00:21:21,370 --> 00:21:24,970
+questionnaire. بيقول هذا فقط open question موجود
+
+310
+00:21:24,970 --> 00:21:30,070
+فيه، والتعليقات هذه مهمة. من الأشياء بيجي التعليق
+
+311
+00:21:30,070 --> 00:21:34,330
+اللي موجود اللي أنت شايفه، وبيجي التدول في الأشياء
+
+312
+00:21:34,330 --> 00:21:38,230
+الجواب واحد فيهم، فبيجيك السؤال في الحالة هذه
+
+313
+00:21:38,230 --> 00:21:41,890
+quantitative question. طب احنا إيش اللي هنستخدمه في
+
+314
+00:21:41,890 --> 00:21:45,250
+بحثنا؟ في الغالب طلبة البكالوريوس بيستخدموا من النوع
+
+315
+00:21:45,250 --> 00:21:48,690
+الأول، كله closed question. طب يعني بتنصحنا عشان نحط
+
+316
+00:21:48,690 --> 00:21:53,230
+سؤال: "إيش رأيك فيه؟" Okay. بتضيف سؤال، بس هذا الكلام أنت
+
+317
+00:21:53,230 --> 00:21:56,750
+ما تكتبوهوش في البحث؛ لأن هذا التعليق على السؤال، هذا
+
+318
+00:21:56,750 --> 00:22:01,350
+هياخد منك وقت، ويبقى حد expert يرتّبهم. الاستبانات
+
+319
+00:22:01,350 --> 00:22:04,510
+اللي موجودين عندك. فممكن هذا تعمله، السؤال يكون
+
+320
+00:22:04,510 --> 00:22:09,890
+موجود، بس لما تفق الاستبانة، لما بدك تسلم البحث،
+
+321
+00:22:09,890 --> 00:22:14,030
+بيكونش فيها؛ لأنك هتنسخ عنه في مناقشة البحث، أو
+
+322
+00:22:14,030 --> 00:22:19,190
+يكون سؤال موجود، بعيد عن اللي قلنا عنه قبل شوية في
+
+323
+00:22:19,190 --> 00:22:21,890
+الـ investigator أو الـ investigators، يعني إيش هي
+
+324
+00:22:21,890 --> 00:22:25,910
+تاني؟ إيش خاص فيه؟ ساعدنا في التعليق على الدراسة؟
+
+325
+00:22:25,910 --> 00:22:29,550
+يعني مثال على ذلك، أدينا مثال، المثال يعني حد اللي
+
+326
+00:22:29,550 --> 00:22:32,090
+أجى أنه مرضى السكري ما فيش عندهم address في موضوع
+
+327
+00:22:32,090 --> 00:22:37,700
+العلاج، مش ملتزمين، مش خالص ملتزمين. بقيس مدى
+
+328
+00:22:37,700 --> 00:22:41,480
+الالتزام، وقال أنه بدي أسأله: "مدة ليش مش ملتزمين؟"
+
+329
+00:22:41,480 --> 00:22:45,260
+لأن لما أختي بشرط الـ discussion بدي أشتغل فيه
+
+330
+00:22:45,260 --> 00:22:50,060
+بيفيدني. بقول: "هم مش ملتزمين بالعلاج؛ لأن العلاج اللي
+
+331
+00:22:50,060 --> 00:22:55,060
+بياخدوْه مش كافي، أن يكون في آخر الشهر." فأنا لما سألت
+
+332
+00:22:55,060 --> 00:22:58,060
+السؤال هذا، فأني في موضوع الـ discussion، وأنا بأعلق
+
+333
+00:22:58,060 --> 00:23:02,690
+ليش ما فيش adherence. فبالتالي ممكن نضيف السؤال ويكون
+
+334
+00:23:02,690 --> 00:23:05,650
+السؤال مفيد في موضوع الـ discussion، وبنسميه semi-
+
+335
+00:23:05,650 --> 00:23:07,910
+structured questionnaire. يعني هذا semi-structured
+
+336
+00:23:07,910 --> 00:23:11,290
+questionnaire بيكون موجود عندنا. آخر شيء بيكون في
+
+337
+00:23:11,290 --> 00:23:15,770
+الـ qualitative research بيكون open-ended question.
+
+338
+00:23:15,770 --> 00:23:20,290
+كل الاستبانة بتحتوي على أسئلة مفتوحة. طب فيها
+
+339
+00:23:20,290 --> 00:23:24,510
+الـ gender، الاستبانة، الاستبانة فيها gender، ميل وفيميل،
+
+340
+00:23:24,510 --> 00:23:27,510
+مغلق، وباقي الأسئلة مفتوحة. إيش في الحالة هذا
+
+341
+00:23:27,510 --> 00:23:31,590
+بنسميها؟ بنقول اللي بيحدد عندنا في الحالة هذه أي
+
+342
+00:23:31,590 --> 00:23:35,490
+نوع الـ objective. هل في الحالة خاص بالـ gender في الـ
+
+343
+00:23:35,490 --> 00:23:40,490
+objective، ولا الـ gender بس أنا بدي أضيفه هيك. يبقى
+
+344
+00:23:40,490 --> 00:23:44,970
+بنشوف إيش الأشياء اللي بتحقق الـ objective. إذا
+
+345
+00:23:44,970 --> 00:23:48,450
+كانت الـ objective تتحقق فقط من الـ open question،
+
+346
+00:23:48,450 --> 00:23:53,050
+يبقى هو هذا unstructured questionnaire، ما لوش
+
+347
+00:23:53,050 --> 00:23:56,830
+تركيبة بنائية؛ لأنه الكلام بيجيب كلام. في موضوع
+
+348
+00:23:57,930 --> 00:24:01,890
+الأسئلة اللي بتكون معايا: "هو أنت مش ملتزم بالعلاج،
+
+349
+00:24:01,890 --> 00:24:04,270
+ليش؟ ما فيش معايا فلوس." تظل في هذا الوضع الاقتصادي،
+
+350
+00:24:04,270 --> 00:24:08,770
+فتعطيش العلاج الكافي. ليش؟ لأنه بيجيهم هم كمان
+
+351
+00:24:08,770 --> 00:24:15,070
+عدد محدود، حسب ما بيقولوا، والمرضى بيزيدوا. ممكن يكون
+
+352
+00:24:15,070 --> 00:24:19,510
+الشهر هذا بس ما أدّوش علاج؛ لأن في اليوم عندنا موضوع
+
+353
+00:24:19,510 --> 00:24:23,110
+اللي هو إغلاق بعض العيادات، ومواعيد العيادة الأولية
+
+354
+00:24:23,110 --> 00:24:29,300
+وكأنه أنا لو أخدت منه الجواب أنه هو مش ملتزم بالعلاج،
+
+355
+00:24:29,300 --> 00:24:32,880
+لأن الوصفة اللي بياخدها من المستشفى غير كافية،
+
+356
+00:24:32,880 --> 00:24:37,580
+والعلاج اللي بيكون عندك سؤال تاني: "أنت ما جاش
+
+357
+00:24:37,580 --> 00:24:41,220
+بدوك علاج مهم، والله بس الشهر هذا". هل أنا ممكن
+
+358
+00:24:41,220 --> 00:24:45,720
+آخذ عليه ولا مش ممكن آخذ عليه؟ على حسب طبيعة البحث.
+
+359
+00:24:45,720 --> 00:24:51,320
+ناخد أمثلة على to close a question، أنه أنا بأجي
+
+360
+00:24:51,320 --> 00:24:56,010
+هنا بقول أن to close a question عندنا زي المرض الـ
+
+361
+00:24:56,010 --> 00:25:00,470
+status، هل هو single ولا married ولا others؟ هذا يعتبر
+
+362
+00:25:00,470 --> 00:25:04,390
+سؤال أنا بسأله في الاستبانة، وبكون a closed
+
+363
+00:25:04,390 --> 00:25:10,170
+question، يعني إجابته محددة ومغلقة، وفي أجوبة معينة
+
+364
+00:25:10,170 --> 00:25:16,130
+لهيك بنقول هو عبارة عن list من الأجوبة أو من الـ
+
+365
+00:25:16,130 --> 00:25:21,590
+options اللي بتكون عندنا. هيعندنا سؤال تاني: "هل أنت
+
+366
+00:25:21,590 --> 00:25:26,460
+تعالَجْت في مستشفى ولا ما تعالَجْتش؟" هل تعرّضت في
+
+367
+00:25:26,460 --> 00:25:29,160
+المستشفى اللي أنت في المنطقة اللي ساكن فيها فيها
+
+368
+00:25:29,160 --> 00:25:33,220
+مستشفى، تعرّضت فيه؟ هو لا، بيكون الجواب yes or no. يعني
+
+369
+00:25:33,220 --> 00:25:38,280
+هنا أسئلة بيكون جوابها لكارت، لكارت مقصود فيها
+
+370
+00:25:38,280 --> 00:25:43,640
+ترتيبي، أنه أنا بأجي بأقول: "عندك إيه رأيك في شغل معين،
+
+371
+00:25:43,640 --> 00:25:49,640
+والـ skill واضح ومحدد". يعني في عندنا شغل محدد، زي
+
+372
+00:25:49,640 --> 00:25:53,320
+نسألُك: "التعليم الإلكتروني، هل هو مفيد؟ extremely
+
+373
+00:25:53,320 --> 00:25:57,950
+useful، very useful، useful، ولا not very useful، not
+
+374
+00:25:57,950 --> 00:26:01,810
+useful at all؟" هذه الأجوبة الترتيبية بيسموها Likert
+
+375
+00:26:01,810 --> 00:26:07,150
+Scale. زي هنا السؤال: "strongly agree، agree، disagree،
+
+376
+00:26:07,150 --> 00:26:11,890
+strongly disagree". هنا بيقول عنهم كلهم أسئلة
+
+377
+00:26:11,890 --> 00:26:17,150
+ordinal. وهذه الأسئلة الـ ordinal ترتيبية، وبدلًا من
+
+378
+00:26:17,150 --> 00:26:23,930
+الترتيبية بيقول عنها Likert Scale. يبقى الـ Likert
+
+379
+00:26:23,930 --> 00:26:29,290
+categories هي عبارة عن أسئلة لها ترتيب محدد. طب لأنه
+
+380
+00:26:29,290 --> 00:26:32,370
+بنلاقي بعض الاستبانات مكتوبين بس التلاتة هدول،
+
+381
+00:26:32,370 --> 00:26:38,690
+التلاتة هم ترتيبيين. لو طلعنا فيهم فعلا لازم يكونوا
+
+382
+00:26:38,690 --> 00:26:42,930
+ترتيبيين؛ لأنه ما ينفعش نقول agree و disagree و
+
+383
+00:26:42,930 --> 00:26:48,230
+neither agree nor disagree. بنقول disagree، neither
+
+384
+00:26:48,230 --> 00:26:53,390
+agree nor disagree، و agree. ممكن نجيبهم، ممكن نجيب
+
+385
+00:26:53,390 --> 00:26:58,030
+agree و disagree مع بعض، وربع بعض. هذا بنسميه
+
+386
+00:26:58,030 --> 00:27:01,930
+Likert Scale. مضمون منا في الامتحان، لو جالنا
+
+387
+00:27:01,930 --> 00:27:05,550
+اكتبوا example على Likert Scale، وحدة كتبهم مش
+
+388
+00:27:05,550 --> 00:27:10,810
+مرتبين، خطأ؛ لأن الهدف من السؤال نفسه أن احنا نكون
+
+389
+00:27:10,810 --> 00:27:15,010
+عارفين أنك أنت عارف أن Likert Scale ترتيبي ولا مش
+
+390
+00:27:15,010 --> 00:27:22,200
+ترتيبي؟ و open question
+
+391
+00:27:22,200 --> 00:27:26,440
+ولا closed question؟ هو closed question؛ لأنه ملزوم
+
+392
+00:27:26,440 --> 0
+
+445
+00:31:14,880 --> 00:31:18,880
+عبارة عن اللي بده يعمل البحث مع مجموعة من الناس
+
+446
+00:31:18,880 --> 00:31:21,840
+بيلتقي في مجموعة من الناس وبيصيروا يتناقشوا في
+
+447
+00:31:21,840 --> 00:31:25,880
+موضوع محدد، والهدف هو أنه أنا بدي أعرف رأيهم
+
+448
+00:31:26,690 --> 00:31:31,630
+وتوجهاتهم في موضوع معين، فبالتالي بختار هذه
+
+449
+00:31:31,630 --> 00:31:37,770
+المجموعة اللي موجودة، وأسألهم عن طبيعة آرائهم، وإيش
+
+450
+00:31:37,770 --> 00:31:41,930
+ممكن يجاوبونا حول topic معين، وحول أسئلة
+
+451
+00:31:41,930 --> 00:31:47,290
+معينة بهدف أنه أنا أحقق أهداف الدراسة، وأحقق الـ
+
+452
+00:31:47,290 --> 00:31:50,750
+research، وأهداف الدراسة، والـ objective، والـ hypothesis
+
+453
+00:31:50,750 --> 00:31:54,440
+وكل الأشياء اللي اتكلمنا عنها، الـ in-depth
+
+454
+00:31:54,440 --> 00:31:59,800
+interview هي من شخص إلى شخص، بنقش فيها شيء محدد أو
+
+455
+00:31:59,800 --> 00:32:06,340
+معلومة معينة بهدف استخلاص آرائهم، ولكن بتتم هنا شخص
+
+456
+00:32:06,340 --> 00:32:13,140
+شخص واحد واحد، بتتم مقابلتهم، فبالتالي one on one.
+
+457
+00:32:13,140 --> 00:32:17,800
+هذه بنسميها in-depth interview. الـ group، من اسمها
+
+458
+00:32:17,800 --> 00:32:22,100
+focus group discussion. الـ open-ended question
+
+459
+00:32:22,100 --> 00:32:26,740
+بيكون عبارة عن الـ three responses، يعني هو بيقدر
+
+460
+00:32:26,740 --> 00:32:31,300
+يقول اللي بدو إياه، ويتكلم الجواب اللي بدو إياه، ما فيش
+
+461
+00:32:31,300 --> 00:32:36,980
+عنده أجوبة محددة، ممكن يخلقها، فبالتالي كل الخيارات جدًا
+
+462
+00:32:36,980 --> 00:32:41,130
+ممكنة، ويتكلم فيها. هذه مفيدة جدًا، أنه أنا بقدر أعرف
+
+463
+00:32:41,130 --> 00:32:44,970
+منها حقائق تقدر تساعدني كمان. هذه الحقائق في كتير
+
+464
+00:32:44,970 --> 00:32:49,630
+من الأشياء المستقبلية، مثلًا أبحاث مستقبلية حول آراء
+
+465
+00:32:49,630 --> 00:32:54,210
+الناس وتوجهاتهم للأشياء المعينة، اقتراحاتهم لتحسين
+
+466
+00:32:54,210 --> 00:33:00,570
+خدمة معينة. هذا الـ open-ended question هو أفضل شيء
+
+467
+00:33:00,570 --> 00:33:04,650
+لمن بتطور مؤسسة، لأن الـ closed question في الغالب
+
+468
+00:33:04,650 --> 00:33:08,860
+ما بيكشفش حقائق مخفية. الـ open-ended question بيكشف
+
+469
+00:33:08,860 --> 00:33:12,660
+لنا الكثير من الأشياء اللي أنا أحيانًا بكون مش
+
+470
+00:33:12,660 --> 00:33:17,500
+عارفها، زي ليش الناس بطلت تيجي على العيادة، مثال لو
+
+471
+00:33:17,500 --> 00:33:20,880
+أنا عامل خمس خيارات، فبختار الخمس خيارات وبتجنبها، فبالتالي يبدو الناس تيجي
+
+472
+00:33:20,880 --> 00:33:24,320
+على العيادة. ولكن في سبب أنا مش عارفه، ممكن يكون
+
+473
+00:33:24,320 --> 00:33:28,060
+السبب هذا البعد الجغرافي، ممكن يكون السبب هذا أن في
+
+474
+00:33:28,060 --> 00:33:31,380
+طبيب ثاني منافس، السبب هذا اللي موجود أن العلاج اللي
+
+475
+00:33:31,380 --> 00:33:36,720
+بنكتبه في العيادة مش كتير، ممكن يكون السبب أن
+
+476
+00:33:36,720 --> 00:33:39,620
+العيادة ما توفرش مواصلات. هذا الموضوع عندما يكون open
+
+477
+00:33:39,620 --> 00:33:43,200
+question، كمان بيكون sensitive issue، يعني بيكون
+
+478
+00:33:43,200 --> 00:33:47,540
+الموضوع نوعًا ما فيه نوع من الحساسية في الإجابات، يعني
+
+479
+00:33:47,540 --> 00:33:51,780
+أنا لما بجاوبك على شيء معين، بكون متأمل منك السرية
+
+480
+00:33:51,780 --> 00:33:55,760
+لأن بقول لك رأيي بكل مصداقية وبكل أمانة. هي لما أنت
+
+481
+00:33:55,760 --> 00:34:00,920
+بتحتاجي تمدحي مدرس موجود في وسط مدرسين، وتقولي إن أنا
+
+482
+00:34:00,920 --> 00:34:05,860
+عجبوني المحاضرات اللي بيلقيها، لأن فيها واحد، اثنين،
+
+483
+00:34:05,860 --> 00:34:09,420
+ثلاثة، أربعة. أنت الأمر مش في disadvantage، الأمر
+
+484
+00:34:09,420 --> 00:34:12,880
+advantage، ولكن كون موجودين جماعة، والجماعة هذول أنتِ
+
+485
+00:34:12,880 --> 00:34:19,040
+بدك تفضلي مدرس عن مدرس، فرايدك فيهم، فبنقول عنه
+
+486
+00:34:19,040 --> 00:34:23,720
+sensitive. خلافًا على ذلك، أن المدرس يسألك كيف
+
+487
+00:34:23,720 --> 00:34:27,780
+المحاضرات مسجلة إلكترونيًا، والله محاضرات كويسة يعني
+
+488
+00:34:27,780 --> 00:34:32,140
+هو سألك إياها، كويس ولا مش كويس، وأنت جاوبته غير ما
+
+489
+00:34:32,140 --> 00:34:37,080
+أنت بدك تيجي تتكلم وتقول رأيك، أقول لك، قول رأيك في
+
+490
+00:34:37,080 --> 00:34:40,700
+المحاضرات الإلكترونية. صار السؤال مفتوح، وأكثر من
+
+491
+00:34:40,700 --> 00:34:44,880
+جواب له، و sensitive نوعًا ما. لو بدك تقعد تمدحها و
+
+492
+00:34:44,880 --> 00:34:48,440
+تتكلم فيها وتقول رأيك بشكل عام. ناخذ مثال على ذلك، على
+
+493
+00:34:48,440 --> 00:34:53,160
+open ended question، أنه أنا عندي، بتعرف إيش أسباب
+
+494
+00:34:53,160 --> 00:34:57,100
+غياب الطلبة أو إنهم ما بيروحوش على المدارس في منطقة
+
+495
+00:34:57,100 --> 00:35:00,980
+محددة، وأنا بسيب السؤال مفتوح للطالب والطالبة، لكل
+
+496
+00:35:00,980 --> 00:35:07,200
+مستوى دراسي، وكل واحد بيجيب إجابته. بعدين بنلمها
+
+497
+00:35:07,200 --> 00:35:10,720
+الإجابات هذه، وبنلخصها، الأكثر تكرارًا منها، بضل ألم
+
+498
+00:35:10,720 --> 00:35:15,360
+أسئلة من الطلبة، وهم يجاوبوا. لما الإجابات تبدأ
+
+499
+00:35:15,360 --> 00:35:19,560
+تتكرر لمدة خمس أو ست استبانات، صارت نفس النتيجة
+
+500
+00:35:19,560 --> 00:35:23,360
+طالعة عندي، مش الجيدة، بوقف الاستبانات، لأن أنا بكون
+
+501
+00:35:23,360 --> 00:35:27,120
+وصلت للحد اللي بدي إياه. طيب، مين أفضل، هو يعبي الاستبانة
+
+502
+00:35:27,120 --> 00:35:31,260
+اللي موجودة لحاله، ولا نفسه هو؟ في الحالة هذه، إذا
+
+503
+00:35:31,260 --> 00:35:37,160
+كانت الاستبانة اللي موجودة qualitative، يفضل أنت
+
+504
+00:35:37,160 --> 00:35:40,760
+اللي تسأله. ولكن إذا كانت الأسئلة مغلقة، close
+
+505
+00:35:40,760 --> 00:35:45,620
+question، وهو يعرف يقرأ كويس، ومستوى تفكيره و
+
+506
+00:35:45,620 --> 00:35:50,140
+عقلي ممتاز، ممكن هو كمان يعبيها لحاله. ولكن الـ
+
+507
+00:35:50,140 --> 00:35:53,680
+open، هو معروفة one on one، يعني واحد وواحد بتناقش و
+
+508
+00:35:53,680 --> 00:35:58,960
+بتجاوبه، لأنه في أسئلة ثانية بتحتاج تسألها. الـ
+
+509
+00:35:58,960 --> 00:36:02,740
+advantage تبع الـ open-ended question، أن هو بيزيدني
+
+510
+00:36:02,740 --> 00:36:08,460
+معلومات مخفية، لا يمكن تمامًا أي closed question
+
+511
+00:36:08,460 --> 00:36:12,620
+يجيبها، أو أي خيارات تكشف عنها. ميزة الـ open-ended
+
+512
+00:36:12,620 --> 00:36:17,800
+question، أنه بتطلع لي معلومات جديدة. الـ disadvantage
+
+513
+00:36:17,800 --> 00:36:22,850
+بتاعتها، أنها بتطلب حد عنده skills عالية في الأسئلة،
+
+514
+00:36:22,850 --> 00:36:26,610
+يعني ما ينفعش واحد جديد أروح أسأل سؤال: هو أنت
+
+515
+00:36:26,610 --> 00:36:30,190
+بتدخن، حضرتك ليش؟ وحضرتك بتدخل، وشايف الواحد
+
+516
+00:36:30,190 --> 00:36:33,750
+ليش؟ طب أنت إيش اللي دخلك في الموضوع، عفوًا؟ أنت
+
+517
+00:36:33,750 --> 00:36:37,170
+مين؟ فبتطلب سؤال، وبتطلب شخص يلقي السؤال هذا يكون
+
+518
+00:36:37,170 --> 00:36:43,890
+على قدر مهارة عالية. يعني، في ظل الظروف الاقتصادية
+
+519
+00:36:43,890 --> 00:36:47,990
+الصعبة اليوم، ورغم أنك تمر بأزمة اقتصادية صعبة، في ظل
+
+520
+00:36:47,990 --> 00:36:53,220
+المتغيرات الدولية والإقليمية اللي إحنا ملاحظينها، أن
+
+521
+00:36:53,220 --> 00:36:57,080
+بعض الناس بتدخن، باعتقادك، الناس اللي بتدخنوا يعني
+
+522
+00:36:57,080 --> 00:37:02,120
+أنت ما بتسألهوش عن نفسه، بتسأله عن general، بدخنوا
+
+523
+00:37:02,120 --> 00:37:05,040
+ليش، بيسيبوا إجابات عن نفسه. ولكن طبيعة السؤال كانت
+
+524
+00:37:05,040 --> 00:37:09,760
+بـ skills معينة، غير ما تقول له: بتدخن لليوم ليش؟ إن هم
+
+525
+00:37:09,760 --> 00:37:13,960
+الـ 50 سنة بتدخن، مش مستحيل حاله. هذا سؤال حد ممكن
+
+526
+00:37:13,960 --> 00:37:18,040
+يقوله. السؤال الثاني بينقال بـ skills تكون عنده
+
+527
+00:37:18,040 --> 00:37:22,490
+عالية، في ظل المتغيرات. مقدمة بسيطة اللي هي تخليه
+
+528
+00:37:22,490 --> 00:37:26,590
+يرتاح للسؤال، وأسأل السؤال بشكل عام، كأن المشكلة مش
+
+529
+00:37:26,590 --> 00:37:30,490
+مشكلته، قلت الناس كلها بتدخن. تحليل الاستبانة بده
+
+530
+00:37:30,490 --> 00:37:36,070
+يِستغرق منك وقت كتير، لأن عندك 200 واحد حكوا لك ليش
+
+531
+00:37:36,070 --> 00:37:40,310
+هم بدخنوا، وكل واحد قال لك سبب غير عن الثاني، وكل واحد
+
+532
+00:37:40,310 --> 00:37:44,270
+أفصح بطريقته وحكى لك السبب، سواء اقتنعت فيه ولا ما
+
+533
+00:37:44,270 --> 00:37:48,350
+اقتنعتش، فبدك تلخصهم كلهم وتبدأ تشوف مين اللي
+
+534
+00:37:48,350 --> 00:37:52,450
+تكرر، سواء سبب التدخين أو الإدمان. الـ 90% قالوا
+
+535
+00:37:52,450 --> 00:37:57,370
+الإدمان، يبقى هذا رقم واحد. حاجة ثانية، سبب التدخين
+
+536
+00:37:57,370 --> 00:38:01,190
+أو الظروف الاجتماعية، يبقى هذا رقم اثنين، وضلنا
+
+537
+00:38:01,190 --> 00:38:04,530
+ماشين لما وصلنا لعند ترتيبهم على حسب التكرار.
+
+538
+00:38:04,530 --> 00:38:08,270
+واحد قال لنا أنه دخن لأنه ما عندهوش لابتوب في البيت
+
+539
+00:38:08,270 --> 00:38:13,000
+أو ما عندهوش جوال smart، فبالتالي هو مش سبب مُغني في
+
+540
+00:38:13,000 --> 00:38:16,560
+الحالة دي. ولكن أنا بلم الأسباب الأساسية وبكتبهم،
+
+541
+00:38:16,560 --> 00:38:20,260
+وفي الآخر بكتب ملاحظة أن في بعض الأشخاص قالوا رأيهم
+
+542
+00:38:20,260 --> 00:38:24,500
+واحد، اثنين، ثلاثة، ونكتبهم خط مستقيم أو زي ما حكينا
+
+543
+00:38:24,500 --> 00:38:28,600
+سابقا، بنحطهم في table، وهذه الـ table بتكون موجودة
+
+544
+00:38:28,600 --> 00:38:33,000
+في Appendix البحث، وبنشير إليها أثناء الكلام وأثناء الـ
+
+545
+00:38:33,000 --> 00:38:37,820
+paragraph اللي كان موجود فيه. هذا الـ disadvantage
+
+546
+00:38:37,820 --> 00:38:41,250
+بتاع الـ open-ended question. طب إيش الطرق اللي بدنا
+
+547
+00:38:41,250 --> 00:38:46,250
+نعبي فيها الاستبانة؟ أول حاجة، الـ self-administrated،
+
+548
+00:38:46,250 --> 00:38:50,230
+يعني أنت بتعطيه، ويعبي الاستبانة لحاله. الحاجة
+
+549
+00:38:50,230 --> 00:38:54,090
+الثانية، أن أنا بقعد أُتصل فيه تليفون، وبقول له، مدد
+
+550
+00:38:54,090 --> 00:38:58,870
+أسئلة، أعدد أسئلة، سواء open ولا closed، زي ما بتعمل
+
+551
+00:38:58,870 --> 00:39:03,730
+معاه شركة وطنية، وجوال. بقول، قيّم مقدم الخدمة من صفر
+
+552
+00:39:03,730 --> 00:39:09,710
+لأربعة. هو هذا بالتليفون، هو أعطاك closed question. في
+
+553
+00:39:09,710 --> 00:39:13,950
+بعض الاستبانات، بالإيميل بتوصلك على الـ email
+
+554
+00:39:13,950 --> 00:39:17,370
+استبانة، أو بيكون رابط موجود على الفيسبوك. direct
+
+555
+00:39:17,370 --> 00:39:21,010
+interview، يعني أنا بروح أقعد معه مقابلة زي ما
+
+556
+00:39:21,010 --> 00:39:24,990
+إحنا شايفين، أنا أسأل وهو يجاوب. طب الـ direct
+
+557
+00:39:24,990 --> 00:39:28,530
+interview ما كنتش أنا بفضل هذه لما يكون هنا الناس
+
+558
+00:39:28,530 --> 00:39:32,710
+بتعامل معها. أصعب حاجة ممكن تكون على الباحث أنه يعمل
+
+559
+00:39:32,710 --> 00:39:37,550
+معه direct interview. direct interview يا بتكون
+
+560
+00:39:37,550 --> 00:39:40,870
+face to face، يا بتكون online. حد بينزل في اتجاه
+
+561
+00:39:40,870 --> 00:39:44,350
+معاكس، والناس بتسأله. فبنقول، هل عبارة عنها online
+
+562
+00:39:44,350 --> 00:39:47,990
+موجود الشيء online، أو بكون موجود الشيء عندنا متوفر
+
+563
+00:39:47,990 --> 00:39:52,690
+بشكل إلكتروني. في نهاية اللقاء، أنا بشكرّكم، وبتمنا لكم
+
+564
+00:39:52,690 --> 00:39:58,810
+التوفيق، والسلام عليكم ورحمة الله وبركاته.
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..534b6aed379090bfd65058df0b4522bf6b38ef63
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.json
@@ -0,0 +1 @@
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and governorate والمحافظات بيشوف مين أعلى من مين معناته في الاستبانة بيكون الgovernorate مكتوبة relation between education and vitamin D deficiency فبيكون عندنا الحالة هذا ال education مكتوب في الاستبانة يبقى سواء agenda", "tokens": [1829, 3555, 4587, 7578, 20449, 8315, 47395, 42963, 14851, 3555, 7649, 3660, 4724, 1829, 30544, 8978, 11296, 3714, 29245, 23328, 9829, 14598, 1296, 17163, 413, 293, 12965, 473, 16070, 2304, 5016, 31845, 19913, 9307, 4724, 1829, 8592, 38688, 3714, 9957, 5551, 3615, 23942, 9154, 3714, 9957, 20449, 8315, 47395, 8978, 42963, 14851, 3555, 7649, 3660, 4724, 1829, 30544, 2423, 35329, 284, 473, 3714, 4117, 2655, 37746, 3660, 9721, 1296, 3309, 293, 17163, 413, 37500, 6156, 3555, 1829, 30544, 43242, 8315, 21542, 6027, 3660, 23758, 2423, 3309, 3714, 4117, 2655, 37746, 8978, 42963, 14851, 3555, 7649, 3660, 7251, 3555, 4587, 7578, 8608, 2407, 16606, 9829], "avg_logprob": -0.24479166326068696, "compression_ratio": 1.854077253218884, "no_speech_prob": 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"end": 1138.6, "text": "فبالتالي يجب أن تذهب إلى مصمم لازم تجمع هذه البيانات فقلت مانيش انا اعرف واحد و الشخص يودينا واحد تاني روحت عند أول واحد قالك انا في ابني صحيح Down Syndrome وفيه اتنين تلاتة ادّاك جوالات واحد في بيت حنون و واحد في رفع هل امكانياتك بتسمح انك تذهب على بيت حنون تعب الاستبانة", "tokens": [5172, 3555, 6027, 2655, 6027, 1829, 7251, 7435, 3555, 14739, 6055, 24192, 3555, 30731, 3714, 9381, 2304, 2304, 5296, 31377, 2304, 6055, 7435, 2304, 3615, 29538, 2423, 21292, 7649, 9307, 6156, 4587, 1211, 2655, 3714, 7649, 1829, 8592, 1975, 8315, 1975, 3615, 28480, 36764, 24401, 4032, 25124, 9778, 9381, 7251, 2407, 16254, 8315, 36764, 24401, 6055, 7649, 1829, 12602, 2407, 33753, 43242, 5551, 12610, 36764, 24401, 50239, 4117, 1975, 8315, 8978, 48127, 22653, 20328, 5016, 1829, 5016, 9506, 44545, 4032, 41185, 3224, 1975, 2655, 1863, 9957, 6055, 1211, 9307, 3660, 1975, 3215, 11703, 995, 4117, 10874, 2407, 6027, 9307, 36764, 24401, 8978, 4724, 36081, 11331, 1863, 11536, 4032, 36764, 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2377.17, "end": 2377.27, "word": " هو", "probability": 0.630859375}, {"start": 2377.27, "end": 2377.55, "word": " يعمل", "probability": 0.9713541666666666}, {"start": 2377.55, "end": 2377.79, "word": " معاه", "probability": 0.956298828125}, {"start": 2377.79, "end": 2378.01, "word": " direct", "probability": 0.61376953125}, {"start": 2378.01, "end": 2378.51, "word": " interview", "probability": 0.96826171875}, {"start": 2378.51, "end": 2379.31, "word": " direct", "probability": 0.366455078125}, {"start": 2379.31, "end": 2380.01, "word": " interview", "probability": 0.98779296875}, {"start": 2380.01, "end": 2380.51, "word": " يا", "probability": 0.53955078125}, {"start": 2380.51, "end": 2380.87, "word": " بتكون", "probability": 0.98876953125}, {"start": 2380.87, "end": 2381.15, "word": " face", "probability": 0.76611328125}, {"start": 2381.15, "end": 2381.33, "word": " to", "probability": 0.6708984375}, {"start": 2381.33, "end": 2381.63, "word": " face", "probability": 0.9130859375}, {"start": 2381.63, "end": 2382.05, "word": " يا", "probability": 0.77783203125}, {"start": 2382.05, "end": 2382.39, "word": " بتكون", "probability": 0.985107421875}, {"start": 2382.39, "end": 2382.91, "word": " online", "probability": 0.73974609375}, {"start": 2382.91, "end": 2383.35, "word": " حد", "probability": 0.383056640625}, {"start": 2383.35, "end": 2383.81, "word": " بنزل", "probability": 0.96630859375}, {"start": 2383.81, "end": 2384.03, "word": " في", "probability": 0.78857421875}, {"start": 2384.03, "end": 2384.35, "word": " اتجاه", "probability": 0.8935546875}, {"start": 2384.35, "end": 2384.97, "word": " معاكس", "probability": 0.9498291015625}, {"start": 2384.97, "end": 2385.53, "word": " والناس", "probability": 0.8818359375}, {"start": 2385.53, "end": 2386.09, "word": " بتسأله", "probability": 0.902587890625}, {"start": 2386.09, "end": 2386.69, "word": " فبنقول", "probability": 0.9393310546875}, {"start": 2386.69, "end": 2386.87, "word": " هل", "probability": 0.655517578125}, {"start": 2386.87, "end": 2387.27, "word": " عبارة", "probability": 0.9876708984375}, {"start": 2387.27, "end": 2387.55, "word": " عنه", "probability": 0.6932373046875}, {"start": 2387.55, "end": 2387.99, "word": " online", "probability": 0.81005859375}, {"start": 2387.99, "end": 2388.73, "word": " موجود", "probability": 0.8790690104166666}, {"start": 2388.73, "end": 2389.09, "word": " الشيء", "probability": 0.7635091145833334}, {"start": 2389.09, "end": 2389.53, "word": " online", "probability": 0.845703125}, {"start": 2389.53, "end": 2390.03, "word": " أو", "probability": 0.6455078125}, {"start": 2390.03, "end": 2390.33, "word": " بكون", "probability": 0.5966796875}, {"start": 2390.33, "end": 2390.67, "word": " موجود", "probability": 0.9563802083333334}, {"start": 2390.67, "end": 2391.27, "word": " الشيء", "probability": 0.9837239583333334}, {"start": 2391.27, "end": 2391.95, "word": " عندنا", "probability": 0.95703125}, {"start": 2391.95, "end": 2392.69, "word": " متوفر", "probability": 0.99462890625}, {"start": 2392.69, "end": 2393.43, "word": " بشكل", "probability": 0.8287760416666666}, {"start": 2393.43, "end": 2394.63, "word": " إلكتروني", "probability": 0.9173177083333334}, {"start": 2394.63, "end": 2395.97, "word": " في", "probability": 0.7294921875}, {"start": 2395.97, "end": 2396.25, "word": " نهاية", "probability": 0.9611002604166666}, {"start": 2396.25, "end": 2396.81, "word": " اللقاء", "probability": 0.99365234375}, {"start": 2396.81, "end": 2397.11, "word": " أنا", "probability": 0.7392578125}, {"start": 2397.11, "end": 2397.77, "word": " بشكركم", "probability": 0.86865234375}, {"start": 2397.77, "end": 2398.81, "word": " بتمناكوا", "probability": 0.542431640625}, {"start": 2398.81, "end": 2399.33, "word": " التوفيق", "probability": 0.983154296875}, {"start": 2399.33, "end": 2399.97, "word": " والسلام", "probability": 0.8566080729166666}, {"start": 2399.97, "end": 2400.47, "word": " عليكم", "probability": 0.965087890625}, {"start": 2400.47, "end": 2400.93, "word": " ورحمة", "probability": 0.9801025390625}, {"start": 2400.93, "end": 2401.15, "word": " الله", "probability": 0.97021484375}, {"start": 2401.15, "end": 2401.79, "word": " وبركاته", "probability": 0.96923828125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2401.756, "duration_after_vad": 2361.1065937499934}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f2b675f971648fc99ce83fd570e5e55342be09fe
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/WI1D3Lktt0s_raw.srt
@@ -0,0 +1,2260 @@
+1
+00:00:00,000 --> 00:00:03,100
+بسم الله الرحمن الرحيم ان شاء الله اليوم هنتكلم
+
+2
+00:00:03,100 --> 00:00:06,960
+على موضوع ال data collection ال data collection
+
+3
+00:00:06,960 --> 00:00:10,760
+يمكن اتكلمنا عليها لما حكينا ان ال data عبارة عن
+
+4
+00:00:10,760 --> 00:00:13,920
+cascade بتكون موجودة ال research كله عبارة عن
+
+5
+00:00:13,920 --> 00:00:18,680
+cascade ووصلنا لجزئية ال data واتكلمنا على موضوع
+
+6
+00:00:18,680 --> 00:00:21,380
+ال data collection وقولنا ان ال data collection
+
+7
+00:00:21,380 --> 00:00:25,080
+بتكون واسطة a questionnaire وحكينا في ال
+
+8
+00:00:25,080 --> 00:00:28,730
+qualitative researchإن ال data collection بتكون
+
+9
+00:00:28,730 --> 00:00:33,510
+ممكن تكون focus group أو interview فبالتالي بتكون
+
+10
+00:00:33,510 --> 00:00:37,930
+عندنا المتد الأساسية لل data collection يا بتكون ب
+
+11
+00:00:37,930 --> 00:00:43,810
+interview يا بتكون ب observation بتلاحظ أن ال
+
+12
+00:00:43,810 --> 00:00:46,470
+observation أحيان بتكون ال checklist موجودة و
+
+13
+00:00:46,470 --> 00:00:50,530
+مكتوب عليها يسموه فكلمة observation في الحالة هذه
+
+14
+00:00:50,530 --> 00:00:54,770
+ممكن تيجي مع qualitative وممكن تيجي مع
+
+15
+00:00:54,770 --> 00:00:58,160
+quantitative researchكيف ممكن تجي معاها
+
+16
+00:00:58,160 --> 00:01:02,740
+qualitative لما بتكون ال observation مفتوحة و ممكن
+
+17
+00:01:02,740 --> 00:01:08,580
+خلال الملاحظة هذه نسأل سؤال و احنا مش عارفين جوابه
+
+18
+00:01:08,580 --> 00:01:12,380
+فبالتالي بتكون qualitative السيارة طب و
+
+19
+00:01:12,380 --> 00:01:15,540
+quantitative ال observation بتكون quantitative لما
+
+20
+00:01:15,540 --> 00:01:18,980
+بتكون عندنا check list وال check list هي قائمة
+
+21
+00:01:18,980 --> 00:01:22,300
+موجودة تشيرك على أشياء موجودة زي ال quality
+
+22
+00:01:22,300 --> 00:01:27,370
+control بالبس gloves yes or noبلبس lab coat yes و
+
+23
+00:01:27,370 --> 00:01:31,230
+no بيجي ع السابعة و نص yes و no بيعمل الشغل في
+
+24
+00:01:31,230 --> 00:01:33,910
+موقعه yes و no هذه كلها بتكون check list أنا
+
+25
+00:01:33,910 --> 00:01:37,530
+بشوفها عن الموظف بيكون أحيانا موجودة عند الأجهزة
+
+26
+00:01:37,530 --> 00:01:41,790
+check list نظفت العدسات تاعت الميكروسكوب yes و no
+
+27
+00:01:41,790 --> 00:01:45,970
+بنحط علامة صحالـ Interview في الغالب بتكون الـ
+
+28
+00:01:45,970 --> 00:01:49,510
+Interview هي عبارة عن qualitative research ولكن
+
+29
+00:01:49,510 --> 00:01:53,710
+أحيانا بيكون فيها أسئلة quantitative research رغم
+
+30
+00:01:53,710 --> 00:01:57,170
+أنها interview طب أنت قبل أن تتكلم في المحاضرة
+
+31
+00:01:57,170 --> 00:02:02,790
+السابقة أن ال interview بتكون في qualitative
+
+32
+00:02:02,790 --> 00:02:07,050
+research صحيح كلام صحيح 100% ولكن لما بيجيني هنا
+
+33
+00:02:07,050 --> 00:02:11,390
+أن أنا عملت interview ومكتوب ال gender male أو
+
+34
+00:02:11,390 --> 00:02:14,710
+female للشخص اللي أنا بدي أعمله interviewالسؤال
+
+35
+00:02:14,710 --> 00:02:18,970
+هذا بالذات هو عبارة عن quantitative question ولكن
+
+36
+00:02:18,970 --> 00:02:23,490
+المقابلة ككل اسمها qualitative المقابلة ولكن ال
+
+37
+00:02:23,490 --> 00:02:27,730
+question بكون عبارة عن quantitative question روح
+
+38
+00:02:27,730 --> 00:02:30,910
+اللي بعديها ال questionnaire ال questionnaire هو
+
+39
+00:02:30,910 --> 00:02:34,010
+tools أنا بعدها واتكلمنا المرة اللي فاتة كنت
+
+40
+00:02:34,010 --> 00:02:37,610
+أشوفها في تفاصيلها زيادة إن ال questionnaire هو
+
+41
+00:02:37,610 --> 00:02:41,080
+عبارة عن tools أنا بحددهاوأحيانًا الـ
+
+42
+00:02:41,080 --> 00:02:46,540
+Questionnaire بتكون متاخدة من مؤسسة زي مثلًا الـ
+
+43
+00:02:46,540 --> 00:02:50,440
+WHO Questionnaire معمول وجاهز فإذا كان الـ
+
+44
+00:02:50,440 --> 00:02:54,780
+Questionnaire معمول وجاهز خدته أنا هذا اللي و
+
+45
+00:02:54,780 --> 00:02:58,180
+أشتغلت عليه بظبط وإذا كان الـ Questionnaire أنا
+
+46
+00:02:58,180 --> 00:03:02,860
+عديته كمان الـ Questionnaire هي tools تستخدم لغم
+
+47
+00:03:02,860 --> 00:03:08,260
+البيانات مش دائمًا مطلوب مننا أن نروح نحدد الـ
+
+48
+00:03:08,260 --> 00:03:13,450
+Questionnaireولا نحدد عن ايش الأسئلة ونكتبها في
+
+49
+00:03:13,450 --> 00:03:17,430
+ورقة ونطبعها أحياناً ممكن تطوع على جهة معينة وتاخد
+
+50
+00:03:17,430 --> 00:03:21,150
+ال data ال data هذه اللي بتحقق ال objective يعني
+
+51
+00:03:21,150 --> 00:03:25,930
+مثال أكم واحد من الناس اللي عندهم كورونا في الصين
+
+52
+00:03:25,930 --> 00:03:30,530
+صار عندهم مثلا رينا فيريار بيروح ناخد ال data اللي
+
+53
+00:03:30,530 --> 00:03:35,290
+موجودة من المستشفى و هم بيكونوا كاتبين هل المريض
+
+54
+00:03:35,290 --> 00:03:40,050
+مصاب ولا مش مصاب وصار عندهفشل كلبه ولا لأ؟ طب أكام
+
+55
+00:03:40,050 --> 00:03:43,790
+واحد صار عنده صعوبة في التنفس بكون مكتوب ال sign و
+
+56
+00:03:43,790 --> 00:03:46,330
+ال symptoms كل مريض ايش ال complications اللي صارت
+
+57
+00:03:46,330 --> 00:03:50,930
+عنده، هذه بتريحني كتير مقعد ألم بيانات و أخد
+
+58
+00:03:50,930 --> 00:03:56,110
+موافقات من المرضى و كمان بدي موافقات ودي المستشفى،
+
+59
+00:03:56,110 --> 00:04:00,210
+خلاص أنا باخد موافقة واحدة لأخد البيانات اللي
+
+60
+00:04:00,210 --> 00:04:04,470
+عليها التحليل و بجيب منها الأشياء اللي أنا بديها
+
+61
+00:04:04,470 --> 00:04:08,350
+على حسب ال objective بتاعة الدراسةالـ
+
+62
+00:04:08,350 --> 00:04:11,650
+Questionnaire Design الـ Questionnaire Design
+
+63
+00:04:11,650 --> 00:04:14,310
+أحيانًا بنلاقي فيه الأسئلة اللي موجودة الأسئلة
+
+64
+00:04:14,310 --> 00:04:17,710
+قولنا إذا كانت closed question بنقول عنها
+
+65
+00:04:17,710 --> 00:04:21,230
+quantitative في عندنا شغل بيسموها Likert Scale
+
+66
+00:04:21,230 --> 00:04:27,250
+Likert Scale يعني الترتيب للأجوبة واجب مثال على
+
+67
+00:04:27,250 --> 00:04:33,150
+ذلك لما بنقول إنه ما مدى موافقتك على التعليم
+
+68
+00:04:33,150 --> 00:04:38,870
+الإلكترونيتقول الأجوبة strongly disagree و
+
+69
+00:04:38,870 --> 00:04:44,870
+disagree neutral agree strongly agree علينا
+
+70
+00:04:44,870 --> 00:04:49,670
+الأجوبة هذه اللي موجودة يجب أنها تكون ترتيبية و لو
+
+71
+00:04:49,670 --> 00:04:53,750
+لاحظنا أنه حتى في تقييم المدرسين بتكون هذه موجودة
+
+72
+00:04:53,750 --> 00:04:58,710
+عندنا الأشياء مرتبة لأن الترتيب فيها واجب ليش
+
+73
+00:04:58,710 --> 00:05:02,970
+واجب؟ عشان السؤال الأول أقول strongly disagree
+
+74
+00:05:03,850 --> 00:05:07,330
+وبعدين اقول انه neutral وبعدين اقول disagree
+
+75
+00:05:07,330 --> 00:05:10,990
+وبعدين اقول strongly disagree وبعدين ا agree غلط
+
+76
+00:05:10,990 --> 00:05:16,490
+لأن هذا بيقول عنه liquor scale بيسموها لحالة هذا
+
+77
+00:05:16,490 --> 00:05:22,450
+ordinal question جواب ترتيبي او ال rank معين يجب
+
+78
+00:05:22,450 --> 00:05:26,930
+ان يكون الجواب بصورة هذه يبقى الاستبانة اللي
+
+79
+00:05:26,930 --> 00:05:32,860
+موجودة عندى بيكون عارفإن مين في الأسئلة لازم يترتب
+
+80
+00:05:32,860 --> 00:05:36,780
+ومين مش فارجع الترتيب فيه يعني سؤال انت smoking
+
+81
+00:05:36,780 --> 00:05:43,020
+yes و no سواء قلت no yes أو yes و no نفس الشيء
+
+82
+00:05:43,020 --> 00:05:47,000
+ولكن في موضوع اللي كارتس كيل بيكونوا بالترتيب
+
+83
+00:05:47,000 --> 00:05:52,220
+فبدينا مثال تاني مثال تاني Stage of Cancer البرست
+
+84
+00:05:52,220 --> 00:05:57,940
+كانسر البرست كانسر بنقول Stage 1 و2 و3 و4 ولكن
+
+85
+00:05:57,940 --> 00:06:03,360
+مفهوم نقول Stage 4الخيارات في الاستبانة Stage 1 ثم
+
+86
+00:06:03,360 --> 00:06:09,000
+Stage 3 ثم No ترثة ثم Stage 4 يعني بتكون الأسئلة
+
+87
+00:06:09,000 --> 00:06:12,600
+مخبطة أو الأجوبة مخبطة وهذا بتعمل Confused تكون
+
+88
+00:06:12,600 --> 00:06:17,500
+الأسئلة Ranked ومكتوبة بالصورة هذه قبل منصبهم
+
+89
+00:06:17,500 --> 00:06:22,240
+الاستبانة بدنا نكون عارفين عدة أمور أول شيء بدنا
+
+90
+00:06:22,240 --> 00:06:28,020
+نكون عارفينه هل الاستبانة هذه اللي موجودة بتحقق ال
+
+91
+00:06:28,020 --> 00:06:34,080
+object بتاعته ولا لايعني إيش اللي أنا لازم أتدعف
+
+92
+00:06:34,080 --> 00:06:39,260
+بالظبط من خلال هذه الاستبانة حتى أخد و أحلل و
+
+93
+00:06:39,260 --> 00:06:42,180
+أتحليل إحصائي و أجيب على الـ objective أو الـ
+
+94
+00:06:42,180 --> 00:06:45,760
+serious question وهل كل الـ serious question اللي
+
+95
+00:06:45,760 --> 00:06:49,560
+موجود عندي أو ال hypothesis أو ال objective هذه
+
+96
+00:06:49,560 --> 00:06:53,740
+الاستبانة اللي بتحتوي عليهم يعني مثال على ذلك فانا
+
+97
+00:06:53,740 --> 00:06:57,300
+فانا objective موجود و ال objective بيقول ال
+
+98
+00:06:57,300 --> 00:07:01,660
+relation between vitamin Dيبقى معناته الاستبانة
+
+99
+00:07:01,660 --> 00:07:06,640
+بيكون فيها موجود agenda association between
+
+100
+00:07:06,640 --> 00:07:10,720
+vitamin D and governorate والمحافظات بيشوف مين
+
+101
+00:07:10,720 --> 00:07:14,520
+أعلى من مين معناته في الاستبانة بيكون
+
+102
+00:07:14,520 --> 00:07:18,880
+الgovernorate مكتوبة relation between education
+
+103
+00:07:18,880 --> 00:07:24,520
+and vitamin D deficiency فبيكون عندنا الحالة هذا
+
+104
+00:07:24,520 --> 00:07:27,760
+ال education مكتوب في الاستبانة يبقى سواء agenda
+
+105
+00:07:28,840 --> 00:07:33,280
+ولا الgovernment ولا ال education هدول أنا جبت
+
+106
+00:07:33,280 --> 00:07:35,800
+أسلة الاستبانة من وين؟ من ال objective بتاع
+
+107
+00:07:35,800 --> 00:07:39,740
+الدراسة بتاعتي لأن هدول لازم يعرفهم مايكونوش
+
+108
+00:07:39,740 --> 00:07:42,960
+مكتوبين بال objective اللي مش موجودين في الاستبانة
+
+109
+00:07:42,960 --> 00:07:47,960
+حاجة تالتة لو حد كتب انه جديش عمو والدك في
+
+110
+00:07:47,960 --> 00:07:50,220
+الاستبانة طب هذه ايش علاقة بتاعة ال objective بتاع
+
+111
+00:07:50,220 --> 00:07:53,020
+الدراسة؟ مالهاش علاقة يمكن مالهاش لازم تكون في
+
+112
+00:07:53,020 --> 00:07:56,150
+الاستبانةيبقى الـ Guideline الأساسي في تصميم
+
+113
+00:07:56,150 --> 00:08:00,330
+الاستبانة هو الـ Objective بحطها قدامي أه في
+
+114
+00:08:00,330 --> 00:08:03,790
+الدراسة بتكون واقعة الـ General Objective و
+
+115
+00:08:03,790 --> 00:08:08,330
+Specific Objective و بقدر أضيف من خلالهم أيش
+
+116
+00:08:08,330 --> 00:08:11,450
+الأسئلة اللي أنا بدي أهم طيب أنا بضيف سؤال و مش
+
+117
+00:08:11,450 --> 00:08:14,990
+موجود في الـ Objective بدك تضيف سؤال و مش موجود في
+
+118
+00:08:14,990 --> 00:08:18,350
+الـ Objective okay ضيفه ولكن ممنوح تكتبه في
+
+119
+00:08:18,350 --> 00:08:21,430
+النتائج إلا تذهب تدرجه في الـ Objectiveلأن الـ
+
+120
+00:08:21,430 --> 00:08:24,750
+objective بتكون specific objective خاصة و بدك
+
+121
+00:08:24,750 --> 00:08:28,450
+تجاوب عجبها بالظبط وتكون النتائج بتجاوب على ال
+
+122
+00:08:28,450 --> 00:08:33,070
+objective و أي شيء زيادة نفس نفس النقصان في البحث
+
+123
+00:08:33,070 --> 00:08:36,290
+العلمي زيادة عن الobjective زي النقصان في
+
+124
+00:08:36,290 --> 00:08:39,990
+الobjective نفس المعنى فإنك تلاقي 50 table و
+
+125
+00:08:39,990 --> 00:08:43,630
+objective واحد غلط وإن لاجي 50 objective وtable
+
+126
+00:08:43,630 --> 00:08:48,010
+واحد كمان خطأ فبتكون كل table لها reference في
+
+127
+00:08:48,010 --> 00:08:50,360
+الobjectiveوفي الـ hypothesis وفي الـ research
+
+128
+00:08:50,360 --> 00:08:54,660
+question اللي أنا عملهم طب هل فعلا التكنيك بتاع
+
+129
+00:08:54,660 --> 00:09:02,120
+الاستبانة بيجاوب عن ال object يعني مثلًا أنا عملت
+
+130
+00:09:02,120 --> 00:09:06,360
+استبانة والاستبانة هذه اللي موجودة انت قلت قبل
+
+131
+00:09:06,360 --> 00:09:12,120
+شوية association between vitamin D deficiency and
+
+132
+00:09:12,120 --> 00:09:18,140
+age أو gender أو government أو educationطب هو
+
+133
+00:09:18,140 --> 00:09:22,540
+أساسا الـ Vitamin D عنده في المستشفى المرضى بيجسوه
+
+134
+00:09:22,540 --> 00:09:25,660
+بيجسوهوش
+
+135
+00:09:25,660 --> 00:09:30,580
+طب إيش الحل في الحالة هذه الحل في الحالة هذه أنت
+
+136
+00:09:30,580 --> 00:09:34,160
+بدك تعبي في المستشفى الأشياء اللي موجودة عند
+
+137
+00:09:34,160 --> 00:09:39,080
+المريض وتسحب منه عينة ويظل مكانها في الاستبانة
+
+138
+00:09:39,080 --> 00:09:44,280
+فاضي لما ترجع تشتغلها في مختبر وتحللها وتكتب
+
+139
+00:09:44,280 --> 00:09:47,560
+نتيجتها وتكتبها في الاستبانةفمش كل حاجة في
+
+140
+00:09:47,560 --> 00:09:50,680
+الاستبانة انا وانا رايح على المستشفى المتوقع اللي
+
+141
+00:09:50,680 --> 00:09:57,040
+اجهها وبيكون عارف الناس بتصور ال CT الناس اللي
+
+142
+00:09:57,040 --> 00:10:01,160
+موجودة على سبيل المثال بتعملش PNA و NC مرض
+
+143
+00:10:01,160 --> 00:10:05,660
+السُكّار فانا بدأ أروح أكتب في الاستبانة كسؤال على
+
+144
+00:10:05,660 --> 00:10:09,060
+دهر الورقة بيكون table إيش الأسئلة اللي أنا بدي
+
+145
+00:10:09,060 --> 00:10:12,060
+أعملها private وإيش الأسئلة اللي ممكن أجيبها من
+
+146
+00:10:12,060 --> 00:10:15,970
+المستشفىهو فيه فرق بين استبانة questionnaire و
+
+147
+00:10:15,970 --> 00:10:20,030
+checklist هو في حاجة اسمها questionnaire انا بسأل
+
+148
+00:10:20,030 --> 00:10:24,350
+المريض وفي شغلات انا بلاحظها على المريض يعني مثال
+
+149
+00:10:24,350 --> 00:10:29,430
+لما اقوله من ناحية stress اقوله كيف شايف الوضع و
+
+150
+00:10:29,430 --> 00:10:32,870
+قال الحمد لله قال هيك و اتنحك يعني الأمور مش
+
+151
+00:10:32,870 --> 00:10:36,430
+عاجباه فانا باكتب في الحال هان فيكون في عندي زي
+
+152
+00:10:36,430 --> 00:10:39,330
+checklist انا بشيك على المريض اللي موجود في حال
+
+153
+00:10:39,330 --> 00:10:42,070
+تاني بقول المريض انت بتقدر تمشي بقولك اه انا بقدر
+
+154
+00:10:42,070 --> 00:10:46,090
+امشيولمّا بيقوم المريض بيقول لك واقفني ما هو مش
+
+155
+00:10:46,090 --> 00:10:49,050
+قادر يمشي أساساً فبالتالي انت تكون عند ال check
+
+156
+00:10:49,050 --> 00:10:53,610
+list منفصل عن الاستبانة وكأنه في نقاش بدور بين و
+
+157
+00:10:53,610 --> 00:10:56,950
+بين المريض وورقة وورقة تانية أنا بقيّم فيها ال
+
+158
+00:10:56,950 --> 00:11:00,890
+clinical future تحت ال patient اللي بيسموها هدف
+
+159
+00:11:00,890 --> 00:11:05,800
+خاصة موفقة بتكون في ال questionnaire check listهل
+
+160
+00:11:05,800 --> 00:11:09,680
+يمكن أن يكون بحث check-list بدون questionnaire
+
+161
+00:11:09,680 --> 00:11:14,790
+صحيح؟ مثلًا، ما دلتزام بالـ Infection Control؟بأجي
+
+162
+00:11:14,790 --> 00:11:18,490
+أنا بقول للمستشفي الديني الـ infection control
+
+163
+00:11:18,490 --> 00:11:22,430
+اللي عندك بيقول لك يلازم يعمل 1 و 2 و 3 و 4 و 5
+
+164
+00:11:22,430 --> 00:11:27,070
+باخد هذه الأسئلة و بحط خانتين yes و no التزم و
+
+165
+00:11:27,070 --> 00:11:31,190
+مالتزمش في الحالة هذي بيسموها check list هذي بيقول
+
+166
+00:11:31,190 --> 00:11:34,750
+عنها أنا بيدشيك أشوف بنتزم ولا بنتزمش وفي منهم
+
+167
+00:11:34,750 --> 00:11:38,510
+بيضيفوها question يركن استباني بس أنا بعبيها أنا ك
+
+168
+00:11:38,510 --> 00:11:43,980
+researcher أنا اللي بعبيها طيبQuestionnaire
+
+169
+00:11:43,980 --> 00:11:48,060
+وعرفناها و check list وفهمناها طب ممكن نسأل سواء
+
+170
+00:11:48,060 --> 00:11:50,120
+ايش الفرق ما بين ال questionnaire و ال .. مش هنسأل
+
+171
+00:11:50,120 --> 00:11:52,900
+فيه هذه مش هنسألك في الامتحان ايش الفرق بينهم
+
+172
+00:11:52,900 --> 00:11:57,760
+هنسألك فقط ما هو الشغلات اللي موجودة عندنا في ال
+
+173
+00:11:57,760 --> 00:12:01,610
+questionnaire سواء كانتوالا quantitative question
+
+174
+00:12:01,610 --> 00:12:06,370
+طب روح طالب سائل يقول لك طب ماشي ال questionnaire
+
+175
+00:12:06,370 --> 00:12:11,350
+وارحى و ال checklist وارحى طب بعد اذنك قولي ايش
+
+176
+00:12:11,350 --> 00:12:14,070
+يعني investigation investigation other than
+
+177
+00:12:14,070 --> 00:12:16,810
+investigation يعني أنا متدسر او المريض هذا اللي
+
+178
+00:12:16,810 --> 00:12:19,670
+موجود عندى على شغلات تانية خاصة بعيدة عن البحث
+
+179
+00:12:19,670 --> 00:12:24,210
+يعني هو مسموح اسأل شغلات بعيدة عن البحث صحيح يعني
+
+180
+00:12:24,210 --> 00:12:27,700
+مثالإنه لما خدنا في ال sample في حاجة اسمها
+
+181
+00:12:27,700 --> 00:12:31,640
+snowballs اللي هو قوات التلت متدهرج أنت بتتحدث
+
+182
+00:12:31,640 --> 00:12:35,960
+مريض تاني بياخد كترمدول هذه أسئلة بتكون هي أسئلة
+
+183
+00:12:35,960 --> 00:12:39,580
+خاصة أو جانبية بعيدا عن ال questionnaire يعني أنا
+
+184
+00:12:39,580 --> 00:12:43,610
+ماتكتبهاش قدامالشخص اللي أداني البيانات مايقولش
+
+185
+00:12:43,610 --> 00:12:47,130
+انت أخدت مني بيانات و أخدت مني document انت اللي
+
+186
+00:12:47,130 --> 00:12:51,070
+قلت هذا بسأله على شغل بعيدة تماما عن ال checklist
+
+187
+00:12:51,070 --> 00:12:54,550
+و بعيدة عن الاستبانة بس على شغل تانية انه انت
+
+188
+00:12:54,550 --> 00:12:57,430
+بتعرف حاجة مش ملتزمة بضوابط ال infection control
+
+189
+00:12:57,430 --> 00:13:04,120
+في المستشفىوحسيت انه ملتزم واموره كويسة ومنضبطة
+
+190
+00:13:04,120 --> 00:13:08,500
+والثاني ملتزم والتالت ملتزم والرابع ملتزم انا كان
+
+191
+00:13:08,500 --> 00:13:12,760
+في عند عامل في الدراسة سؤال انت مين بتعرف مش ملتزم
+
+192
+00:13:12,760 --> 00:13:16,640
+فبنجاوب الطالب اللي سأل وبنقوله ال questionnaire
+
+193
+00:13:17,340 --> 00:13:20,420
+والـ checklist okay و ال investigation اللي بتكون
+
+194
+00:13:20,420 --> 00:13:24,900
+موجودة هذه بتكون شغل بعيدة عن البحث شويه مالهاش في
+
+195
+00:13:24,900 --> 00:13:28,260
+البحث أنا بتتصل لل objective من خلال انه يديني
+
+196
+00:13:28,260 --> 00:13:33,020
+بيانات عن أشخاص معروفين طيب هدا بقولك طب احنا ممكن
+
+197
+00:13:33,020 --> 00:13:36,620
+نسأل المرضى عن شغلات خاصة؟ بنعيده و بنكره و بنقول
+
+198
+00:13:36,620 --> 00:13:40,400
+صح يعني مثلًا أنا ال sample size اللي موجودة روحت
+
+199
+00:13:40,400 --> 00:13:43,740
+على المستشفى بدنا أسمعهم سُكّة واتفاجأت قاعد طول
+
+200
+00:13:43,740 --> 00:13:47,120
+اليوم اللي موجودهي ادوة بجمعت خمس حلوات وانا جاي
+
+201
+00:13:47,120 --> 00:13:50,500
+اسمبت خمسين حالة خلاص انا معتقد في داخلي انه جاي
+
+202
+00:13:50,500 --> 00:13:54,800
+علم خمسين لجيت عند اول ساعة اجي واحد و تاني ساعة
+
+203
+00:13:54,800 --> 00:13:58,840
+اجي واحد و تاني ساعة اجي واحد بتكون انا اسأله نفسه
+
+204
+00:13:58,840 --> 00:14:01,720
+ال patientهما الناس اللي اليوم مجوش على المستشفى
+
+205
+00:14:01,720 --> 00:14:05,380
+ليش؟ هقولك لهم هو المستشفى خلص العلاج انت بدك
+
+206
+00:14:05,380 --> 00:14:10,640
+الناس تيجي أول الشهر فهذا بيكون استفسارات أخرى أنا
+
+207
+00:14:10,640 --> 00:14:13,820
+بكون محضرها استفسارها من ال patients اللي كانوا
+
+208
+00:14:13,820 --> 00:14:17,160
+موجودين فبالتالي قبل أصمم الاستبانة و أحط
+
+209
+00:14:17,160 --> 00:14:20,740
+الاستبانة بدك تكون عارف الاستبانة هل هي أسئلة فقط؟
+
+210
+00:14:20,740 --> 00:14:24,060
+هل بتطلب أرفق فيها checklist؟ وفي عندك أسئلة تانية
+
+211
+00:14:24,060 --> 00:14:27,100
+توصلنا لل objective في حال ماقدرتش ألم البيانات
+
+212
+00:14:27,100 --> 00:14:31,920
+هذه ولا لا؟كمان قبل ما أصبح من الاستبانة أريد أن
+
+213
+00:14:31,920 --> 00:14:35,060
+أكون عارف هل السؤال هذا اللي معناه حط وممكن الناس
+
+214
+00:14:35,060 --> 00:14:38,340
+تجاوبه كل أريحية و لا صعب عليهم من ال population
+
+215
+00:14:38,340 --> 00:14:41,960
+يعني على سبيل المثال لو كنا ناخد الأطفال حدثي
+
+216
+00:14:41,960 --> 00:14:46,360
+الولادة ونسأل عن risk factor للدواء السنظام هو من
+
+217
+00:14:46,360 --> 00:14:49,480
+اللي يجب أن يجاوب الطفل ولا أمه ولا والده ففي
+
+218
+00:14:49,480 --> 00:14:52,600
+الحالة هذه أريد أن أكون جاهل وأعب الأستبانات من
+
+219
+00:14:52,600 --> 00:14:57,300
+ولي أمر الطفل أو المولود مش ممكن أعب الاستبانة من
+
+220
+00:14:57,300 --> 00:15:03,720
+مرضى أو طبيببالاستبانة من زائر أو من عمه لأنه عمه
+
+221
+00:15:03,720 --> 00:15:08,500
+مش عارف أن والدية الطفل هذا لها أخوة عندهم down
+
+222
+00:15:08,500 --> 00:15:13,170
+ولا لاممكن يكون مش عارف فبالتالي بدي أحدد مين اللي
+
+223
+00:15:13,170 --> 00:15:17,110
+بده يجاوب على الاستبانة قبل جاوب حتى أحط الأسئلة
+
+224
+00:15:17,110 --> 00:15:21,710
+تتناسب مع طبيعة الشخص اللي بده يجاوب وكمان هل
+
+225
+00:15:21,710 --> 00:15:25,630
+الأشخاص اللي بدهم يجاوبوني ناس متعلمين وصيغة
+
+226
+00:15:25,630 --> 00:15:29,530
+السؤال اللي محطوبة بتقبلوها ولا ناس مش متعلمين ومش
+
+227
+00:15:29,530 --> 00:15:33,170
+ممكن يتقبل صيغة السؤال فبحيان ممكن يكون متعلم ولا
+
+228
+00:15:33,170 --> 00:15:38,050
+يتقبل صيغة السؤال كيف يعني؟لما أدخل على المستشفى و
+
+229
+00:15:38,050 --> 00:15:41,990
+أسأل المدير عام المجمع أنت معدلك في توجيهه جداشف
+
+230
+00:15:41,990 --> 00:15:46,110
+طب إيش بفيدك في الدراسة عفوًا هذا السؤال هذا أو
+
+231
+00:15:46,110 --> 00:15:51,170
+أسأله أنه أنت عندك أكم حالة موجودة في المستشفى من
+
+232
+00:15:51,170 --> 00:15:54,550
+الموظفين هبطاية الصين أقولك احنا مش أنا متجهة
+
+233
+00:15:54,550 --> 00:15:58,180
+أقولك أسماء الناس المصابينفبالتالي سيكون السؤال
+
+234
+00:15:58,180 --> 00:16:01,840
+اللي موجود تتناسب بإن اللي قدامي يجاوبه ومن
+
+235
+00:16:01,840 --> 00:16:05,200
+صلاحياته ان يجاوبه لأن في أسئلة مش من صلاحيات اللي
+
+236
+00:16:05,200 --> 00:16:09,580
+قدامك ان هو يجاوبها زي مثلا عدد الفحوصات اللي بتتم
+
+237
+00:16:09,580 --> 00:16:14,340
+في مختبر X مش من صلاحيات مدير المختبر يجاوبك إلا
+
+238
+00:16:14,340 --> 00:16:19,180
+بإذن فبتكون الأسئلة اللي موجودة تتناسب مع صلاحيات
+
+239
+00:16:19,180 --> 00:16:23,360
+الشخص اللي قدامي حاجة تانية إيش التكنيك اللي أنا
+
+240
+00:16:23,360 --> 00:16:27,880
+بدي أستخدمههل انا بدأ استخدم استبانة وهل الاستبانة
+
+241
+00:16:27,880 --> 00:16:31,780
+بتكون ممكن اعبيها بنفسه يعني رأيه في المحاضرة مش
+
+242
+00:16:31,780 --> 00:16:35,220
+ممكن انا اقول طالب اقعد الشرح واضح ولا مش واضح مش
+
+243
+00:16:35,220 --> 00:16:39,240
+هتاخد حتى في الإجابة لأ هي تاخد الإجابة الاستبانة
+
+244
+00:16:39,240 --> 00:16:43,160
+تجاوبها و تجيبها و تراحتها okay ولكن في بعض
+
+245
+00:16:43,160 --> 00:16:47,440
+الأسئلة لازم انا اللي اسألها زي ال open question
+
+246
+00:16:47,440 --> 00:16:52,050
+لأن من السؤال بيجي كمان سؤال ال open questionاللي
+
+247
+00:16:52,050 --> 00:16:56,050
+موجود جاوب لما كان مفتوح و لا محتاج كمان موضوع
+
+248
+00:16:56,050 --> 00:17:00,410
+discussion اعمل منه interview الاشياء اللي بتكون
+
+249
+00:17:00,410 --> 00:17:05,270
+لازمة سواء لشخص او اتنين او لتلاتة هل هي هذه
+
+250
+00:17:05,270 --> 00:17:07,590
+الشغلات قبل خصومي الصبان اللي هو اللي خدت بالي
+
+251
+00:17:07,590 --> 00:17:12,490
+منها بتكفي صحيح ولكن في بعض الأشياء بتكون كمان
+
+252
+00:17:12,490 --> 00:17:18,640
+مااخد بالك منها اول حاجة هل الأسئلة اللي موجودةفي
+
+253
+00:17:18,640 --> 00:17:22,560
+الاستبانة أو في الchecklist تجاوب على
+
+254
+00:17:22,560 --> 00:17:26,280
+الـhypothesis والـquestionية والـobjective
+
+255
+00:17:26,280 --> 00:17:30,540
+والـquestionersية وإلا وهل ال data collection
+
+256
+00:17:30,540 --> 00:17:34,820
+للاستبانة هذه متوفرة available لنروح المستشفى
+
+257
+00:17:34,820 --> 00:17:40,620
+بالدنياها وإلا وهل هذه تتوافق مع ال result اللي
+
+258
+00:17:40,620 --> 00:17:44,460
+أنا بدي أعملها للناس وإلاوهل التجارب تجروب موجودة
+
+259
+00:17:44,460 --> 00:17:49,280
+ولا لأ وهم من اللي فات كله هل إمكانياتك المادية
+
+260
+00:17:49,280 --> 00:17:54,440
+بتسمح انك تعبي كلها الاستبانات ولا لأ فكيف
+
+261
+00:17:54,440 --> 00:17:58,500
+الاستبانات .. عفوا كيف الامكانيات المادية لا تسمح
+
+262
+00:17:58,500 --> 00:18:03,380
+ما هي استبانات؟ وعفوا هي الورقة يعني كل 100 ورقة
+
+263
+00:18:03,380 --> 00:18:08,410
+حاجهم اليوم خمس شكلفلو عملنا استيبانات جد ما نعمل
+
+264
+00:18:08,410 --> 00:18:12,270
+مش كتير يعني الأمر مضحك بالنسبالنا لأ الأمر في ال
+
+265
+00:18:12,270 --> 00:18:16,330
+questionnaires بيكون أكتر من ما انت متوقع فبكتر من
+
+266
+00:18:16,330 --> 00:18:20,270
+ما احنا متوقعين ادينا مثال على ذلك، المثال يعني لو
+
+267
+00:18:20,270 --> 00:18:24,210
+كانت طاقة population تاعتك اللي موجودين ناس عندهم
+
+268
+00:18:24,210 --> 00:18:28,690
+Down Syndrome وروحت على المؤسسة اللي بتتعامل مع
+
+269
+00:18:28,690 --> 00:18:32,730
+المرضى هدول وقالتك أنا آسف اني أديك أي بيانات
+
+270
+00:18:33,340 --> 00:18:36,640
+فبالتالي يجب أن تذهب إلى مصمم لازم تجمع هذه
+
+271
+00:18:36,640 --> 00:18:40,660
+البيانات فقلت مانيش انا اعرف واحد و الشخص يودينا
+
+272
+00:18:40,660 --> 00:18:45,320
+واحد تاني روحت عند أول واحد قالك انا في ابني صحيح
+
+273
+00:18:45,320 --> 00:18:50,440
+Down Syndrome وفيه اتنين تلاتة ادّاك جوالات واحد
+
+274
+00:18:50,440 --> 00:18:55,360
+في بيت حنون و واحد في رفع هل امكانياتك بتسمح انك
+
+275
+00:18:55,360 --> 00:19:01,810
+تذهب على بيت حنون تعب الاستبانةو هم يدلوك تعبية
+
+276
+00:19:01,810 --> 00:19:05,410
+حنون دالك او واحد في المغازي و لا فرافح دالك او
+
+277
+00:19:05,410 --> 00:19:10,030
+واحد في منطقة الشوكة فهل هذا بيسمح إمكانياتك و
+
+278
+00:19:10,030 --> 00:19:15,210
+الوقت اللي محدد للدراسة ان انا اقوم بدلته فيك؟ هل
+
+279
+00:19:15,210 --> 00:19:18,370
+في ظل وجود كورونا اليوم؟
+
+280
+00:19:19,850 --> 00:19:24,130
+انتشارها اللي موجود هل انت بتقدر تطلع من بيتك
+
+281
+00:19:24,130 --> 00:19:28,510
+فبالتالي بدي اشوف هل الاستبانات هذه اللي موجودة مش
+
+282
+00:19:28,510 --> 00:19:33,530
+اليوم طبعتها هي المرهقة كمان تعباتها كمان مرهقة في
+
+283
+00:19:33,530 --> 00:19:38,390
+ظلها الظروف وصلنا لحاجة في ال question أو ال
+
+284
+00:19:38,390 --> 00:19:41,770
+questionnaire حاجة بيقولوا عنها structure
+
+285
+00:19:41,770 --> 00:19:45,550
+questionnaire وحاجة بيسموها semi-structure
+
+286
+00:19:45,550 --> 00:19:49,000
+questionnaire و unstructure questionnaireالـ
+
+287
+00:19:49,000 --> 00:19:52,640
+Structure Questionnaire بيكون هو Quantitative
+
+288
+00:19:52,640 --> 00:19:56,120
+Questionnaire يعني كل الأسئلة اللي موجودة فيها
+
+289
+00:19:56,120 --> 00:20:01,940
+مsecure زي الامتحان تبع التوفير كله مsecure عندك
+
+290
+00:20:01,940 --> 00:20:06,840
+هذه الأجواء مافيش غيرهم، بدك تجاوب منهم طيب، في
+
+291
+00:20:06,840 --> 00:20:09,380
+سؤال مافيش فيه جواب، بيكون كتب لك المضارف none of
+
+292
+00:20:09,380 --> 00:20:13,360
+them يبقى جوابه بيكون موجود، مافيش قدام الخيار
+
+293
+00:20:13,360 --> 00:20:18,210
+تبدو بائق خالص طب Sim Structure Questionnaireهذا
+
+294
+00:20:18,210 --> 00:20:22,290
+بيكون نفس الامتحان اللي بيكون موجود في الجامعة فيه
+
+295
+00:20:22,290 --> 00:20:26,010
+أسئلة مقالية و أسئلة MCQ و أسئلة true and false
+
+296
+00:20:26,010 --> 00:20:30,350
+هيك بيسميه كأنه هذا الامتحان كأنه questionnaire
+
+297
+00:20:30,350 --> 00:20:33,390
+أنت بدك تجاوبه فبيسميه semi-structural
+
+298
+00:20:33,390 --> 00:20:36,990
+questionnaire فيه أسئلة open و فيه أسئلة closed
+
+299
+00:20:36,990 --> 00:20:40,730
+فيه أسئلة الأولانية MCQ closed question و true and
+
+300
+00:20:40,730 --> 00:20:44,170
+false closed question أو طيب والماتشن كمان closed
+
+301
+00:20:44,170 --> 00:20:49,310
+question يقولك اكتب رأيكyour opinion في موضوع معين
+
+302
+00:20:49,310 --> 00:20:55,090
+او خلّالك الباب مفتوح اكتب البدأكية هنا بنسمي
+
+303
+00:20:55,090 --> 00:20:58,990
+unstructured questionnaire السؤال مفتوح اكتب اللي
+
+304
+00:20:58,990 --> 00:21:02,330
+بتعرفه في الحالة هذه لما بتكون عندنا الاستبانة
+
+305
+00:21:02,330 --> 00:21:07,990
+اللي موجودة structural بيقول في الحالة هذه ان انا
+
+306
+00:21:07,990 --> 00:21:13,330
+عندي a clause a question ولكن اذا كان semi
+
+307
+00:21:13,330 --> 00:21:16,150
+-structured questionnaire بيكون في عندك clause
+
+308
+00:21:16,950 --> 00:21:21,370
+وكمان في عندي open جامعة نير مابعض ال unstructured
+
+309
+00:21:21,370 --> 00:21:24,970
+questionnaire بيقول هذا فقط open question موجود
+
+310
+00:21:24,970 --> 00:21:30,070
+فيه والتعليفات هذه مهمة من الأشياء بيجي التعليف
+
+311
+00:21:30,070 --> 00:21:34,330
+اللي موجود اللي انت شايفه وبيجي التدولة في الاشياء
+
+312
+00:21:34,330 --> 00:21:38,230
+الجواب واحد فيهم فبيجيك السؤال في الحالة هذه
+
+313
+00:21:38,230 --> 00:21:41,890
+quantitative questionطب احنا ايش اللي هنستخدمه في
+
+314
+00:21:41,890 --> 00:21:45,250
+باحثنا؟ في الغالب طلبة البكريوز بيستخدم من النوع
+
+315
+00:21:45,250 --> 00:21:48,690
+الأول كله closed question طب يعني بتنصحنا عشان نحط
+
+316
+00:21:48,690 --> 00:21:53,230
+سؤال ايش رأيك فيه؟ okay بتضيف سؤال بس هذا الك انت
+
+317
+00:21:53,230 --> 00:21:56,750
+ماتكتبوهوش في البحث لأن هذا التعليق على السؤال هذا
+
+318
+00:21:56,750 --> 00:22:01,350
+هياخد منك وجد ويبدوا حد expert يرتبهم المستباني
+
+319
+00:22:01,350 --> 00:22:04,510
+اللي موجودين عندك فممكن هذا تعمليه السؤال يكون
+
+320
+00:22:04,510 --> 00:22:09,890
+موجود بس لما تفق الاستبانيلما بدك تسلم البحث،
+
+321
+00:22:09,890 --> 00:22:14,030
+بيكونش فيها لأنك هتنسقل عنه في مناقشة البحث أو
+
+322
+00:22:14,030 --> 00:22:19,190
+يكون سؤال موجود، بعيد عن اللي قلنا عنه قبل شوية في
+
+323
+00:22:19,190 --> 00:22:21,890
+الـinvestigator أو الـinvestigator، يعني إيش هي
+
+324
+00:22:21,890 --> 00:22:25,910
+تاني؟ إيش خاص فيه؟ ساعدنا في التعليق على الدراسة؟
+
+325
+00:22:25,910 --> 00:22:29,550
+يعني مثال على ذلك، ادينا مثال، المثال يعني حد اللي
+
+326
+00:22:29,550 --> 00:22:32,090
+أجى أنه مراد السُكَر مافيش عندهم address في موضوع
+
+327
+00:22:32,090 --> 00:22:37,700
+العلاج، مش متزمين، مش خالص اتزامهو بقيسم مدى
+
+328
+00:22:37,700 --> 00:22:41,480
+الإلتزام وقال أنه بدي أسأله مدة ليش مش ملتزمين
+
+329
+00:22:41,480 --> 00:22:45,260
+لأنه لما أختي بشرط ال discussion بدي أستشتغل فيه
+
+330
+00:22:45,260 --> 00:22:50,060
+بيفيدني بقول هم مش ملتزمين بالعلاج لأن العلاج اللي
+
+331
+00:22:50,060 --> 00:22:55,060
+بياخدوه مش كافي أن يكون في أخر شهر فأنا لما سألت
+
+332
+00:22:55,060 --> 00:22:58,060
+سؤال هذا فاني في موضوع ال discussion و أنا بعلق
+
+333
+00:22:58,060 --> 00:23:02,690
+ليش مافيش adherenceفبالتالي ممكن نضيف السؤال ويكون
+
+334
+00:23:02,690 --> 00:23:05,650
+السؤال مفيد في موضوع ال discussion وبنسميه semi
+
+335
+00:23:05,650 --> 00:23:07,910
+-structured questionnaire يعني هذا semi-structured
+
+336
+00:23:07,910 --> 00:23:11,290
+questionnaire بيكون موجود عندنا آخر شيء بيكون في
+
+337
+00:23:11,290 --> 00:23:15,770
+ال qualitative research بيكون open-ended question
+
+338
+00:23:15,770 --> 00:23:20,290
+كل الاستبانة بتحتوى على أسئلة مفتوحة طب فيها
+
+339
+00:23:20,290 --> 00:23:24,510
+الجندر الاستبانة الاستبانة فيها جندر ميل وفيميل
+
+340
+00:23:24,510 --> 00:23:27,510
+مغلق وباقى الأسئلة مفتوحة إيش في الحالة هذا
+
+341
+00:23:27,510 --> 00:23:31,590
+بنسميها؟بنقول اللي بيحدد عندنا في الحالة هذه أي
+
+342
+00:23:31,590 --> 00:23:35,490
+نوع الـ Objective هل في الحالة خاص بالجندر في الـ
+
+343
+00:23:35,490 --> 00:23:40,490
+Objective ولا الجندر بس أنا بدي أضيفه هيك يبقى
+
+344
+00:23:40,490 --> 00:23:44,970
+بنشوف إيش الأشياء اللي بتتحقق الـ Objective إذا
+
+345
+00:23:44,970 --> 00:23:48,450
+كانت الـ Objective تتحقق فقط من الـ Open Question
+
+346
+00:23:48,450 --> 00:23:53,050
+يبقى هو هذا Unstructured Questionnaire مالوش
+
+347
+00:23:53,050 --> 00:23:56,830
+تركيبة بنائية لأنه الكلام بيجيب كلام في موضوع
+
+348
+00:23:57,930 --> 00:24:01,890
+الأسئلة اللي بتكون معايا هو أنت مش مرتزم بالعلاج
+
+349
+00:24:01,890 --> 00:24:04,270
+ليش؟ مافيش معايا فلوس تظل في هذا الوضع الاقتصادي
+
+350
+00:24:04,270 --> 00:24:08,770
+فتعطيكاش العلاج الكافي ليش؟ لأنه بيجيهم هم كمان
+
+351
+00:24:08,770 --> 00:24:15,070
+عدد محدود حسب ما بيقولوا والمرضى بيزيدوا ممكن يكون
+
+352
+00:24:15,070 --> 00:24:19,510
+الشهر هذا بس مدهوش علاج لأن في اليوم عندنا موضوع
+
+353
+00:24:19,510 --> 00:24:23,110
+اللي هو اغلاق بعض العيادات ومواعز العائلة الأولية
+
+354
+00:24:23,110 --> 00:24:29,300
+وكأنه انا لو أخدت منه الجواب ان هومش ملتزم بالعلاج
+
+355
+00:24:29,300 --> 00:24:32,880
+لأن الوصفة اللي بياخدها من المستشفى غير كافية
+
+356
+00:24:32,880 --> 00:24:37,580
+والعلاج اللي بيكون عندك سؤال تاني انت من واجتيش
+
+357
+00:24:37,580 --> 00:24:41,220
+بدوكاش علاج مهمة والله بس الشهر هذا هل انا ممكن
+
+358
+00:24:41,220 --> 00:24:45,720
+اخد عليه ولا مش ممكن اخد عليه على حسب طبيعة البحث
+
+359
+00:24:45,720 --> 00:24:51,320
+ناخد امثلة على to close a question انه انا باجي
+
+360
+00:24:51,320 --> 00:24:56,010
+هنا بقول ان to close a question عندنازي المرض ال
+
+361
+00:24:56,010 --> 00:25:00,470
+status هل هو single ولا مرض ولا others هذا يعتبر
+
+362
+00:25:00,470 --> 00:25:04,390
+سؤال أنا باسأله في الاستبانة وبكون a closed
+
+363
+00:25:04,390 --> 00:25:10,170
+question يعني إجابته محددة ومغلقة وفي أجوبة معينة
+
+364
+00:25:10,170 --> 00:25:16,130
+لهيك بنقول هو عبارة عن list من الأجوبة أو من ال
+
+365
+00:25:16,130 --> 00:25:21,590
+options اللي بتكون عندنا هيعندنا سؤال تاني انه هل
+
+366
+00:25:21,590 --> 00:25:26,460
+انت تعلجت في مستشفى ولا ما تعلجتشهل يتعرضش في
+
+367
+00:25:26,460 --> 00:25:29,160
+المستشفى اللي انت في المنطقة اللي ساكن فيها فيها
+
+368
+00:25:29,160 --> 00:25:33,220
+مستشفى تعرضت فيه هو لا بيكون الجواب yes or no يعني
+
+369
+00:25:33,220 --> 00:25:38,280
+هنا أسئلة بيكون جوابها لكارت لكارت مقصود فيها
+
+370
+00:25:38,280 --> 00:25:43,640
+ترتيبي أنه أنا باجي مقول عندي إيه رأيك في شغل معين
+
+371
+00:25:43,640 --> 00:25:49,640
+و ال skill واضح و محدد يعني في عندنا شغل محدد زي
+
+372
+00:25:49,640 --> 00:25:53,320
+نسألك التعليم الإلكتروني هل هو مفيد extremely
+
+373
+00:25:53,320 --> 00:25:57,950
+usefulvery useful useful ولا not very useful not
+
+374
+00:25:57,950 --> 00:26:01,810
+useful at all هذه الأجوبة الترتبية بيسموها Likert
+
+375
+00:26:01,810 --> 00:26:07,150
+Scale زي هنا السؤال strongly agree agree disagree
+
+376
+00:26:07,150 --> 00:26:11,890
+strongly disagree هنا بيقول عنهم كلهم أسئلة
+
+377
+00:26:11,890 --> 00:26:17,150
+ordinal وهذه الأسئلة ال ordinal ترتبية وبدلا من
+
+378
+00:26:17,150 --> 00:26:23,930
+ترتبية بيقول عنها Likert Scaleيبقى الكرتس كير
+
+379
+00:26:23,930 --> 00:26:29,290
+كاتجوري هي عبارة عن أسئلة لها ترتيب محدد طب لأنه
+
+380
+00:26:29,290 --> 00:26:32,370
+بنلاقي بعض الاستبانات مكتوبين بس التلاتة هدول
+
+381
+00:26:32,370 --> 00:26:38,690
+التلاتة هم ترتيبيين لو طلعنا فيهم فعلا لازم يكونوا
+
+382
+00:26:38,690 --> 00:26:42,930
+ترتيبيين لأنه منفعش نقول agree و disagree و
+
+383
+00:26:42,930 --> 00:26:48,230
+neither agree nor disagree بنقول disagree neither
+
+384
+00:26:48,230 --> 00:26:53,390
+agree nor disagree و agree ممكن نجلبهمممكن نجيب
+
+385
+00:26:53,390 --> 00:26:58,030
+agree و disagree مع بعض و ربع بعض هذا بنسميه
+
+386
+00:26:58,030 --> 00:27:01,930
+Likert Scale مضمون مننا في الامتحان لو جالنا
+
+387
+00:27:01,930 --> 00:27:05,550
+اكتبوا example على Likert Scale وحدة كتبهم مش
+
+388
+00:27:05,550 --> 00:27:10,810
+مرتبين خطأ لأن الهدف من السؤال نفسه ان احنا نكون
+
+389
+00:27:10,810 --> 00:27:15,010
+عارفين انك انت عارف ان Likert Scale ترتيبي ولا مش
+
+390
+00:27:15,010 --> 00:27:22,200
+ترتيبيهو open question
+
+391
+00:27:22,200 --> 00:27:26,440
+ولا closed question؟ هو closed question لأنه ملزوم
+
+392
+00:27:26,440 --> 00:27:31,800
+إبقى جوابة محددة ومعينة طيب ال closed question إيش
+
+393
+00:27:31,800 --> 00:27:37,020
+ال advantage بتاعتهم؟ سرعة وكمان بنحلل الاستماع
+
+394
+00:27:37,020 --> 00:27:40,490
+بكل سهولة ومافيش فيها missing بالتمالـ
+
+395
+00:27:40,490 --> 00:27:44,890
+disadvantage بتاعتها أن هذه الأسئلة الـ closed
+
+396
+00:27:44,890 --> 00:27:50,450
+question بتبينش لو في شيء مخفي مثال على ذلك و احنا
+
+397
+00:27:50,450 --> 00:27:54,850
+بنقيص مدى انتزامهم بالمرض أو مدى انتزامهم بعلاج
+
+398
+00:27:54,850 --> 00:28:01,390
+المرض و كنا بناخد ذكر تسكين خماسي لو في شيء مخفي و
+
+399
+00:28:01,390 --> 00:28:05,750
+المريض عرفه أساسي و أنا مش كاتبه في الاستبانة مش
+
+400
+00:28:05,750 --> 00:28:10,430
+هتكشفه الأسئلة الـ closedلازم أكون فاخر الاستبانة
+
+401
+00:28:10,430 --> 00:28:14,490
+في سؤال مفتوح هو انت مش متزمين بالعلاج ليش؟ و هذه
+
+402
+00:28:14,490 --> 00:28:18,090
+الأشياء بناخدها هذا بيقول طيب يعني ممكن احنا إيش
+
+403
+00:28:18,090 --> 00:28:23,070
+نستفيد من الشغلات هذه؟ هو أنا ممكن في الآخر أجمع
+
+404
+00:28:23,070 --> 00:28:28,890
+الأسئلة اللي لملمتها كلها من open question و
+
+405
+00:28:28,890 --> 00:28:34,730
+أكتبها بتلخيص حتى اللي ييجي يعمل بحث قدامي قبل
+
+406
+00:28:34,730 --> 00:28:40,880
+أضيف هذه من ضمن الأسئلة تعونهفبتكون هذه أسئلة
+
+407
+00:28:40,880 --> 00:28:45,800
+جاهزة جبتها من open question بأبحاث مستقبلية
+
+408
+00:28:45,800 --> 00:28:49,620
+بنحطها في ال closed question فبالتالي بتكون ال
+
+409
+00:28:49,620 --> 00:28:53,180
+disadvantage بتاعتها أن ال closed question أنها
+
+410
+00:28:53,180 --> 00:28:56,980
+بتجيبش عند الأشياء اللي مخفية وال disadvantage
+
+411
+00:28:56,980 --> 00:29:01,080
+بتاعتها أن الناس مش هيجاوبوا على كل الأسئلة
+
+412
+00:29:01,080 --> 00:29:06,060
+بأريحية وبالذات لما تكون الأسئلة كتير ومحددة أو
+
+413
+00:29:06,060 --> 00:29:11,000
+أنه في جوابتوقع المريض يلاجيه ما لاجهوش فبالتالي
+
+414
+00:29:11,000 --> 00:29:15,540
+مش هيجيب على استبانة أحياناً بتكون في عند بعض
+
+415
+00:29:15,540 --> 00:29:19,040
+المعلومات فيها missing موجودة أو بعض البيانات و
+
+416
+00:29:19,040 --> 00:29:22,320
+الأسئلة اللي موجودة فيها missing يعني مثال على ذلك
+
+417
+00:29:22,320 --> 00:29:27,160
+أنه أنا في سؤال و المريض مش عارف يجيبه أنت مش
+
+418
+00:29:27,160 --> 00:29:33,200
+ملتزم بالدواء لأن الدواء سعره غالي طب هو مش عارف
+
+419
+00:29:33,200 --> 00:29:36,500
+أنه عشر أشكل أو لا مش غالي هي العشر أشكل بالنسبة
+
+420
+00:29:36,500 --> 00:29:40,380
+لواحد بسيطةوبالنسبة لواحد تاني عادية وبالنسبة
+
+421
+00:29:40,380 --> 00:29:45,600
+لواحد تالت غالية حسب الإمكانيات فهذه ما هتقيصها ال
+
+422
+00:29:45,600 --> 00:29:51,020
+close question لأن كل واحد أخد الجواب بمفهوم يعني
+
+423
+00:29:51,020 --> 00:29:56,640
+في ناس اليوم لو قلنا لهم أن تكلفة العلاج خمس شكل
+
+424
+00:29:56,640 --> 00:30:00,420
+هو بالنسباله غالي جدا بديها free متعود ياخدوا free
+
+425
+00:30:00,420 --> 00:30:05,760
+من الواكلة طب واحد تاني بيعتبره بسيط جداوأنه أدنى
+
+426
+00:30:05,760 --> 00:30:08,380
+من أني أتكلم في السؤال هذا بالعكس السؤال هذا
+
+427
+00:30:08,380 --> 00:30:11,680
+المفروض مانطلحش واحد تاعت بيقولها متوسط العلاج لا
+
+428
+00:30:11,680 --> 00:30:15,200
+هو غالي ولا هو مش غالي أخر شغلة في ال disadvantage
+
+429
+00:30:15,200 --> 00:30:19,160
+لما بتكون الاستبانة فيها مائة سؤال مش أحنا كعلوم
+
+430
+00:30:19,160 --> 00:30:21,880
+صحية في بعض العيوم الإنسانية بعب الأستبانة فيها
+
+431
+00:30:21,880 --> 00:30:25,080
+مائة سؤال بعد السؤال العشرين بيبدأ يميل منها
+
+432
+00:30:25,080 --> 00:30:29,240
+فبالتالي بيقل اهتمام اللي بيعبل الاستبانة بباقي
+
+433
+00:30:29,240 --> 00:30:34,900
+الأسئلة بيصير وحطهم صح أي كلام فهذا عيب الto close
+
+434
+00:30:34,900 --> 00:30:37,560
+a question في شكل عام الـ semi-structured
+
+435
+00:30:37,560 --> 00:30:39,200
+questionnaires والان الـ unstructured
+
+436
+00:30:39,200 --> 00:30:42,500
+questionnaires هدول اتنتين نستخدم بيهم open
+
+437
+00:30:42,500 --> 00:30:45,760
+question طب ايش طبيعة ال open question اللي بتكون
+
+438
+00:30:45,760 --> 00:30:49,400
+موجودة طبيعة ال open اللي بتكون موجودة يا بتكون
+
+439
+00:30:49,400 --> 00:30:54,340
+interview مقابلة عادية يا اما هذه بتكون عبارة عن
+
+440
+00:30:54,340 --> 00:30:57,900
+focus group ال interview بيسموها in-depth
+
+441
+00:30:57,900 --> 00:31:02,780
+interviewيعني بتكون من واحد لواحد اتنين بتقابله و
+
+442
+00:31:02,780 --> 00:31:07,160
+بيصير بينهم أسئلة و نقاش فهذه هي بتكون من شخص إلى
+
+443
+00:31:07,160 --> 00:31:11,340
+شخص ولكن التاني اللي موجود اللي هي group
+
+444
+00:31:11,340 --> 00:31:14,880
+discussion أو focus group discussion هذي بتكون
+
+445
+00:31:14,880 --> 00:31:18,880
+عبارة عن اللي بده يعمل البحث مع مجموعة من الناس
+
+446
+00:31:18,880 --> 00:31:21,840
+بيلتقي في مجموعة من الناس و بيصيروا يتناقشوا في
+
+447
+00:31:21,840 --> 00:31:25,880
+موضوع محدد والهدف هو انه انا بده اعرف رأيهم
+
+448
+00:31:26,690 --> 00:31:31,630
+وتوجهاتهم في موضوع معين فبالتالي بختار هذه
+
+449
+00:31:31,630 --> 00:31:37,770
+المجموعة اللي موجودة واسألهم عن طبيعة أرائهم وإيش
+
+450
+00:31:37,770 --> 00:31:41,930
+ممكن يجاوبونا حوالين topic معين وحوالين أسئلة
+
+451
+00:31:41,930 --> 00:31:47,290
+معينة بهدف أنه أنا أحقق أهداف الدراسة وأحقق ال
+
+452
+00:31:47,290 --> 00:31:50,750
+research تعوض الدراسة وال objective وال hypothesis
+
+453
+00:31:50,750 --> 00:31:54,440
+وكل الأشياء اللي اتكلمنا عنهاالـ in-depth
+
+454
+00:31:54,440 --> 00:31:59,800
+interview هي من شخص إلى شخص بنقش فيها شيء محدد أو
+
+455
+00:31:59,800 --> 00:32:06,340
+معلومة معينة بهدف استخلاص آرائهم ولكن بتتم هنا شخص
+
+456
+00:32:06,340 --> 00:32:13,140
+شخص واحد واحد بتتم مقابلتهم فبالتالي one on one
+
+457
+00:32:13,140 --> 00:32:17,800
+هذه بنسميها in-depth interview الـ group من اسمها
+
+458
+00:32:17,800 --> 00:32:22,100
+focus group discussionالـ open-ended question
+
+459
+00:32:22,100 --> 00:32:26,740
+بيكون عبارة عن الـ three responses يعني هو بيقدر
+
+460
+00:32:26,740 --> 00:32:31,300
+يقول اللي بدويا ويتكلم الجواب اللي بدويا مافيش
+
+461
+00:32:31,300 --> 00:32:36,980
+عنده أجوبة ممكن يخلقها فبالتالي كل الخيارات جدا
+
+462
+00:32:36,980 --> 00:32:41,130
+ممكن يتكلم فيهمهذه مفيدة جداً إنه أنا بقدر أعرف
+
+463
+00:32:41,130 --> 00:32:44,970
+منها حقائق تقدر تساعدني كمان هذه الحقائق في كتير
+
+464
+00:32:44,970 --> 00:32:49,630
+من الأشياء المستقبلية مثلا أبحاث مستقبلية حول آراء
+
+465
+00:32:49,630 --> 00:32:54,210
+الناس وتوجهاتهم للأشياء المعينة اقتراحاتهم لتحسين
+
+466
+00:32:54,210 --> 00:33:00,570
+خدمة معينة هذا ال open-ended question هو أفضل شيء
+
+467
+00:33:00,570 --> 00:33:04,650
+لمن بتطور مؤسسة لأن ال closed question في الغالب
+
+468
+00:33:04,650 --> 00:33:08,860
+بيكشفش حقائق مخفيةالـ open-ended question بيكشف
+
+469
+00:33:08,860 --> 00:33:12,660
+لنا الكثير من الشغلات اللي أنا أحياناً بكون مش
+
+470
+00:33:12,660 --> 00:33:17,500
+عارفهم زي ليش الناس بطلت تيجي على العيادة مثال لو
+
+471
+00:33:17,500 --> 00:33:20,880
+أنا عارف ليش و عندي خمس خمس خيارات فانا بعمل كل
+
+472
+00:33:20,880 --> 00:33:24,320
+الخمس خيارات و بتجنبهم فبالتالي يبدو الناس تيجي
+
+473
+00:33:24,320 --> 00:33:28,060
+على العيادة ولكن في سبب أنا مش معروف ممكن يكون
+
+474
+00:33:28,060 --> 00:33:31,380
+السبب هذا البعد الجغرافي ممكن يكون السبب هذا ان في
+
+475
+00:33:31,380 --> 00:33:36,720
+طبيب تاني منافسالسبب هذا اللي موجود ان العلاج اللي
+
+476
+00:33:36,720 --> 00:33:39,620
+بنكتب في العيادة مش كتير ممكن يكون السبب ان
+
+477
+00:33:39,620 --> 00:33:43,200
+العيادة متوفرش مواصلاتهذا الموضوع عندما يكون open
+
+478
+00:33:43,200 --> 00:33:47,540
+question كمان بيكون sensitive issue يعني بيكون
+
+479
+00:33:47,540 --> 00:33:51,780
+الموضوع نوعا ما فيه نوع من حساسية في الأجوبة يعني
+
+480
+00:33:51,780 --> 00:33:55,760
+أنا لما بجاوبك على شغل معينة بكون بتأمل منك السرية
+
+481
+00:33:55,760 --> 00:34:00,920
+لإن بقولك رأي بكل مصداقية و بكل مانع هي لما أنت
+
+482
+00:34:00,920 --> 00:34:05,860
+بتحتيجي تمدح مدرس موجود في وسط مدرسينوتقول ان انا
+
+483
+00:34:05,860 --> 00:34:09,420
+عجبوني المحاضرات اللي بتلقيهم لأن فيهم واحد اتنين
+
+484
+00:34:09,420 --> 00:34:12,880
+تلاتة اربعة انت الامر مش في disadvantage الامر
+
+485
+00:34:12,880 --> 00:34:19,040
+advantage ولكن كون موجودين جماعة والجماعة هدول انت
+
+486
+00:34:19,040 --> 00:34:23,720
+بدك تفضل مدرس عن مدرس فرائدك فيهم فبنقول عنه
+
+487
+00:34:23,720 --> 00:34:27,780
+sensitive خلاف على ذلك ان المدرس يسألك كيف
+
+488
+00:34:27,780 --> 00:34:32,140
+المحاضرات مسجلة إلكترونيا والله محاضرات كويسة يعني
+
+489
+00:34:32,140 --> 00:34:37,080
+هو سألك إياهمكويس ولا مش كويس وانت جوابته غير ما
+
+490
+00:34:37,080 --> 00:34:40,700
+انت بدك تيجي تتكلم و تقول رأيك اقولك قول رأيك في
+
+491
+00:34:40,700 --> 00:34:44,880
+المحاضرات الإلكترونية صار السؤال مفتوح و أكتر من
+
+492
+00:34:44,880 --> 00:34:48,440
+جوابه له و sensitive نوع عنها لو بدك تقعد تمدحها و
+
+493
+00:34:48,440 --> 00:34:53,160
+تتكلمها و تقول رأيك بشكل عام ناخد مثال على ذلك على
+
+494
+00:34:53,160 --> 00:34:57,100
+open ended question انه انا عندى بتعرف ايش أسباب
+
+495
+00:34:57,100 --> 00:35:00,980
+غروب الطلبة او انهم بروحوش على المدارس في منطقة
+
+496
+00:35:00,980 --> 00:35:07,200
+محددةوانا بسيب السؤال مفتوح للطالب والطالبة لكل
+
+497
+00:35:07,200 --> 00:35:10,720
+مستوى دراسي وكل واحد بيجيبوا bio بعدين بنلمها
+
+498
+00:35:10,720 --> 00:35:15,360
+الأجوبة هذه و بنلخصها الأكثر تكرارا منها بضل ألم
+
+499
+00:35:15,360 --> 00:35:19,560
+أسئلة من الطلبة و هم يجابوا لما الإجابات تبدأ
+
+500
+00:35:19,560 --> 00:35:23,360
+تتكثر لمدة خمسة أو ست استبانات صارت نفسي النتيجة
+
+501
+00:35:23,360 --> 00:35:27,120
+طالع عندي مش الجيد بوقف لم الاستبانات لإن انا بكون
+
+502
+00:35:27,120 --> 00:35:31,260
+وصلت للحد اللي بديهاطب مين أفضل هو يعبي الاستباد
+
+503
+00:35:31,260 --> 00:35:37,160
+اللي موجودة لحاله و لا نفسه هو في الحالة هذه إذا
+
+504
+00:35:37,160 --> 00:35:40,760
+كانت الاستباد اللي موجودة qualitative يفضل انت
+
+505
+00:35:40,760 --> 00:35:45,620
+اللي تسأله ولكن إذا كانت الأسئلة مغلقة close
+
+506
+00:35:45,620 --> 00:35:50,140
+question و هو يعرف يقرأ كويس ومستوى التفكيري و
+
+507
+00:35:50,140 --> 00:35:53,680
+العقلي ممتاز ممكن هو كمان يعبيها لحاله ولكن ال
+
+508
+00:35:53,680 --> 00:35:58,960
+open هو معروفة oneon one يعني واحد و واحد بتناقش و
+
+509
+00:35:58,960 --> 00:36:02,740
+بتجاوبه لأنه في أسئلة تانية بتحتاج تسألها ال
+
+510
+00:36:02,740 --> 00:36:08,460
+advantage تبعت ال open-end question ان هو بيزودني
+
+511
+00:36:08,460 --> 00:36:12,620
+معلومات مخفية لا يمكن تماما اي closed question
+
+512
+00:36:12,620 --> 00:36:17,800
+يجيبهم او اي خيارات تكشف عنهم حيميزة ال open-end
+
+513
+00:36:17,800 --> 00:36:22,850
+question انه بتطلعلي معلومات جديدةالـ disadvantage
+
+514
+00:36:22,850 --> 00:36:26,610
+بتاعتها أنها بتطلب حد عنده skills عالي في الأسئلة
+
+515
+00:36:26,610 --> 00:36:30,190
+يعني ماينفعش واحد جديد أروح يسأل سؤال هو أنت
+
+516
+00:36:30,190 --> 00:36:33,750
+بتشتغل دخان حضرتك ليش؟ وحضرتك بتدخل وشايف الواحد
+
+517
+00:36:33,750 --> 00:36:37,170
+ليش؟ طب إنت إيش اللي دخلك في الموضوع عفوًا؟ أنت
+
+518
+00:36:37,170 --> 00:36:43,890
+مين؟ فبتطلب سؤال وبتطلب شخص يلقي السؤال هذا يكون
+
+519
+00:36:43,890 --> 00:36:47,990
+على قدر مهارة عالية يعني فيظل الظروف الاقتصادي
+
+520
+00:36:47,990 --> 00:36:53,220
+الصعب اليومورغم أنك تمر بأزمة اقتصادية صعبة في ظل
+
+521
+00:36:53,220 --> 00:36:57,080
+المتغيرات الدولية والاقليمية اللي احنا ملاحظين ان
+
+522
+00:36:57,080 --> 00:37:02,120
+بعض الناس بتدخن باعتقادك الناس اللي بدخنوا يعني
+
+523
+00:37:02,120 --> 00:37:05,040
+انت مابتسألهوش عن نفسه مابتسألوا عن جنرال بدخنوا
+
+524
+00:37:05,040 --> 00:37:09,760
+ليش بيسيدوا يجاوبوا عن نفسه ولكن طبيعة السؤال كانت
+
+525
+00:37:09,760 --> 00:37:13,960
+ب skills معينة غير ما حدثك بتدخن لليوم ليش ان هم
+
+526
+00:37:13,960 --> 00:37:18,040
+ال 50 سنة بتدخن مش مستحيل حالك هذا سؤال حد ممكن
+
+527
+00:37:18,040 --> 00:37:22,490
+يقولهالسؤال التاني بينقال بيده حد skills تكون عنده
+
+528
+00:37:22,490 --> 00:37:26,590
+عالية فيظلها المتغيرات مقدمة بسيطة اللي هي تخليه
+
+529
+00:37:26,590 --> 00:37:30,490
+يرتاح للسؤال وأسأل السؤال بشكل عام كأن المشكلة مش
+
+530
+00:37:30,490 --> 00:37:36,070
+مشكلته قالت الناس كلها بدخنةتحليل الاستبانة بده
+
+531
+00:37:36,070 --> 00:37:40,310
+يستغرج منك وقت كتير لأن عندك 200 واحد حكوا لك ليش
+
+532
+00:37:40,310 --> 00:37:44,270
+هم بدخنوا وكل واحد قالك سبب غير عن التاني وكل واحد
+
+533
+00:37:44,270 --> 00:37:48,350
+ألفلك بطريقته وحكالك السبب سواء اقتنعت فيه ولا ما
+
+534
+00:37:48,350 --> 00:37:52,450
+اقتنعتش فبدك تلخصهم كلهم و تبدأ تشوف مين اللي
+
+535
+00:37:52,450 --> 00:37:57,370
+اتكررسواء سبب الدخان أو الإدمان الـ G 90% قالوا
+
+536
+00:37:57,370 --> 00:38:01,190
+الإدمان يبقى هذا رقم واحد حاجة تانية سبب التدخين
+
+537
+00:38:01,190 --> 00:38:04,530
+أو الظروف الاجتماعية يبقى هذا رقم اتنين وضلنا
+
+538
+00:38:04,530 --> 00:38:08,270
+ماشيين لما وصلنا لعند تأتيبتهم على حسب التقرار
+
+539
+00:38:08,270 --> 00:38:13,000
+واحد قالناإن هو دخن لأنه ماعندهوش لابتوب في البيت
+
+540
+00:38:13,000 --> 00:38:16,560
+أو ماعندهوش جوال smart فبالتالي هو مش سبب مغنى في
+
+541
+00:38:16,560 --> 00:38:20,260
+الحالة دي ولكن أنا بلم الأسباب الأساسية وبكتبهم
+
+542
+00:38:20,260 --> 00:38:24,500
+وفي الآخر بكتب ملاحظة ان في بعض الأشخاص دال ورايهم
+
+543
+00:38:24,500 --> 00:38:28,600
+واحد اتنين تلاتة ونكتبهم خط مصير أو زي ما حكينا
+
+544
+00:38:28,600 --> 00:38:33,000
+سابقا بنحطهم في table وهذه ال table بتكون موجودة
+
+545
+00:38:33,000 --> 00:38:37,820
+في app البحث وبنشير إليها أثناء الكلام و أثناء ال
+
+546
+00:38:37,820 --> 00:38:41,250
+paragraph اللي كان موجود فيهفهذا الـ disadvantage
+
+547
+00:38:41,250 --> 00:38:46,250
+بتاعة ال open end question طب إيش الطرق اللي بدنا
+
+548
+00:38:46,250 --> 00:38:50,230
+نعب فيها الاستبانة؟ أول حاجة ال self-administrated
+
+549
+00:38:50,230 --> 00:38:54,090
+يعني أنت بتدّيه و يعبّي الاستبانة لحاله الحاجة
+
+550
+00:38:54,090 --> 00:38:58,870
+التانية أن أنا بقعد باتصل فيه تليفون و بقوله مدد
+
+551
+00:38:58,870 --> 00:39:03,730
+أسئلة أعدد أسئلة سواء open ولا closed زي ما بتعمل
+
+552
+00:39:03,730 --> 00:39:09,710
+معاه شركة وطنية و جوالبقول اقيم مقدم الخدمة من صفر
+
+553
+00:39:09,710 --> 00:39:13,950
+لأربع هو هذا بالتليفون هو اعطاك lose question في
+
+554
+00:39:13,950 --> 00:39:17,370
+بعض الاستبانات بالإيميل بتوصلك على ال email
+
+555
+00:39:17,370 --> 00:39:21,010
+استبانة او بيكون رابط موجود على الفيسبوك direct
+
+556
+00:39:21,010 --> 00:39:24,990
+interview يعني انا بروح اقعد معاه مقابلة زي ما
+
+557
+00:39:24,990 --> 00:39:28,530
+احنا شايفين انا اسأل و هو يجاوب طب ال direct
+
+558
+00:39:28,530 --> 00:39:32,710
+interview ماكنتش انا بفضل هذه لما يكون هنا الناس
+
+559
+00:39:32,710 --> 00:39:37,550
+بتعاملوشأصعب حاجة ممكن تكون على الباحث ان هو يعمل
+
+560
+00:39:37,550 --> 00:39:40,870
+معاه direct interview direct interview يا بتكون
+
+561
+00:39:40,870 --> 00:39:44,350
+face to face يا بتكون online حد بنزل في اتجاه
+
+562
+00:39:44,350 --> 00:39:47,990
+معاكس والناس بتسأله فبنقول هل عبارة عنه online
+
+563
+00:39:47,990 --> 00:39:52,690
+موجود الشيء online أو بكون موجود الشيء عندنا متوفر
+
+564
+00:39:52,690 --> 00:39:58,810
+بشكل إلكتروني في نهاية اللقاء أنا بشكركم بتمناكوا
+
+565
+00:39:58,810 --> 00:40:01,790
+التوفيق والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/_xjN7O-WeO4_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/_xjN7O-WeO4_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..65158f97f326af975a009124a90e4eec96d7427b
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/_xjN7O-WeO4_raw.srt
@@ -0,0 +1,2260 @@
+1
+00:00:03,760 --> 00:00:07,500
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,500 --> 00:00:13,100
+الله وعلى آله وصحبه ومن اهتدى بهداه طلابنا الأفاضل
+
+3
+00:00:13,100 --> 00:00:19,760
+السلام عليكم ورحمة الله وبركاته مواضيع المحاضرة ان
+
+4
+00:00:19,760 --> 00:00:24,240
+شاء الله هتكون أول حاجة هنتكلم على كيفية تصميم
+
+5
+00:00:24,240 --> 00:00:29,180
+الاستبانة بعدين هنتكلم على ال validity of a
+
+6
+00:00:29,180 --> 00:00:33,100
+questionnaire اللي هو الصدق الاستبانة أو الصدق
+
+7
+00:00:33,650 --> 00:00:37,650
+الاتصاق الداخلي للاستبانة وحنتكلم على reliability
+
+8
+00:00:37,650 --> 00:00:41,250
+of a questionnaire اللي هو مقصود فيها ثبات
+
+9
+00:00:41,250 --> 00:00:46,790
+الاستبانة حنتكلم على الأخلاقيات والأوراق اللازم ان
+
+10
+00:00:46,790 --> 00:00:51,410
+احنا ناخدها قبل البدء بالبحث ال ethical issue and
+
+11
+00:00:51,410 --> 00:00:56,450
+administrative process حنتكلم على بعض الأبحاث اللي
+
+12
+00:00:56,450 --> 00:00:59,630
+بتتكلم على ال knowledge وال attitude وال practice
+
+13
+00:00:59,630 --> 00:01:03,500
+اللي هي ال campus study، إيش أنواعهاهنتكلم كمان
+
+14
+00:01:03,500 --> 00:01:06,920
+على الـ conceptual framework اللي هو المخطط اللي
+
+15
+00:01:06,920 --> 00:01:11,660
+احنا بنعمله لسير البحث و هنتكلم على ال study plan
+
+16
+00:01:11,660 --> 00:01:16,580
+خطة البحث كيف نكتبها ويه ال budget كيف احنا نقدر
+
+17
+00:01:16,580 --> 00:01:22,150
+ميزانية البحثوهنأخد كمان بعض البرامج زي اجراميرلي
+
+18
+00:01:22,150 --> 00:01:26,330
+والـ EndNote اللي خاصة بالبحث اجراميرلي بدقيق
+
+19
+00:01:26,330 --> 00:01:30,230
+البحث من ناحية لغوية والـ EndNote بيكتبلنا
+
+20
+00:01:30,230 --> 00:01:34,890
+Reference جاهز بدون أي تعب أو عناء هنتكلم أيضًا
+
+21
+00:01:34,890 --> 00:01:39,370
+أنه احنا كيف ممكن نلقي ال proposal أمام لجنة
+
+22
+00:01:39,370 --> 00:01:43,310
+التحكيم اللي هي بدها تقول ملاحظاتها عن ال proposal
+
+23
+00:01:43,310 --> 00:01:49,020
+كيف بنقدمها ال proposal وآخر حاجة هنتكلمكيف نبدأ
+
+24
+00:01:49,020 --> 00:01:53,140
+بـAssignment رقم واحد كيف نبدأ نكتب الـ Proposal
+
+25
+00:01:53,140 --> 00:01:58,620
+اللي اتكلمنا عنه من أول الفصل اللي هو متطلب لمادة
+
+26
+00:01:58,620 --> 00:02:04,140
+الأحصاء الحيوي وأساليب البحث كيفية و آلية تصميم
+
+27
+00:02:04,140 --> 00:02:08,740
+الاستبانة وتطويرها في البداية نضع أمامنا أهداف
+
+28
+00:02:08,740 --> 00:02:12,680
+البحث العامة الـGeneral Objective والـSpecific
+
+29
+00:02:12,680 --> 00:02:17,710
+Objective اللي هي الأهداف الخاصة بالبحثومن ثم نقوم
+
+30
+00:02:17,710 --> 00:02:23,350
+بجمع المتغيرات ذات العلاقة لتحقيق أهداف البحث
+
+31
+00:02:23,350 --> 00:02:28,810
+متغيرات ذات العلاقة أو البيانات المطلوبة للبحث
+
+32
+00:02:28,810 --> 00:02:36,890
+ممكن أن نحصل عليها من دراسات سابقةأولاً نحدد نوع
+
+33
+00:02:36,890 --> 00:02:40,210
+الاستبانة هل هي qualitative ولا quantitative
+
+34
+00:02:40,210 --> 00:02:44,470
+واتكلمنا سابقاً ما الفرق ما بين qualitative و
+
+35
+00:02:44,470 --> 00:02:47,970
+quantitative research و qualitative و quantitative
+
+36
+00:02:47,970 --> 00:02:54,190
+questionnaire ثانياً نحدد ال outcomeand exposure،
+
+37
+00:02:54,190 --> 00:02:57,490
+أيش الـ outcome اللي انا بتحصل عليه من البحث و الـ
+
+38
+00:02:57,490 --> 00:03:01,450
+exposure و هدولة ممكن اننا نحددهم من خلال الـ
+
+39
+00:03:01,450 --> 00:03:04,950
+design و اتكلمنا ان ال outcome و ال exposure اللي
+
+40
+00:03:04,950 --> 00:03:10,450
+هم علاقة بال study design تالت حاجة، هل هناك اي
+
+41
+00:03:10,450 --> 00:03:15,200
+confounder ممكن ان يؤثر على النتيجةويقوم بعمل
+
+42
+00:03:15,200 --> 00:03:21,060
+تغيير واضح في النتائج ولذلك يجب تحديده من خلال
+
+43
+00:03:21,060 --> 00:03:26,520
+أبحاث سابقة يتم الإطلاع عليها ومن ثم نقوم بتحديد
+
+44
+00:03:26,520 --> 00:03:31,640
+الـ Confounder والعمل قدر الإمكان على تجنب وجوده
+
+45
+00:03:31,640 --> 00:03:36,470
+في البحثويتم تجنب وجود الـ Confounder للأشياء اللي
+
+46
+00:03:36,470 --> 00:03:41,650
+بتأثر على نتائج البحث من خلال أولا استبعاد الناس
+
+47
+00:03:41,650 --> 00:03:46,650
+اللي ممكن يعملولي تغيير في نتائج البحث الشيء
+
+48
+00:03:46,650 --> 00:03:50,670
+التاني أنه أنا بعمل matching بعمل ال case و ال
+
+49
+00:03:50,670 --> 00:03:54,490
+control equalنفس الـ Variable اللي بيعمل
+
+50
+00:03:54,490 --> 00:03:58,270
+Confounder أنا بثبته واتكلمنا لما تكلمنا عن الـ
+
+51
+00:03:58,270 --> 00:04:02,630
+Confounders كيف ممكن نثبت هذا الـ Variable أن أحنا
+
+52
+00:04:02,630 --> 00:04:07,990
+نعمله Matching الشيء التاني في الاستبانة بدنا نحدد
+
+53
+00:04:07,990 --> 00:04:15,430
+أداة لقياس هذه المتغيرات هل مطلوب مني أنه أنا أقيس
+
+54
+00:04:15,430 --> 00:04:21,860
+المتغيراتبشيء qualitative ولا quantitative؟ هل هذه
+
+55
+00:04:21,860 --> 00:04:26,960
+الاستبانات مطلوب مننا والمتغيرات أن يكون جواب على
+
+56
+00:04:26,960 --> 00:04:32,140
+كل سؤال نعم أو لا زي الـComplication أو مطلوب مننا
+
+57
+00:04:32,140 --> 00:04:37,380
+يكون شيء رقمي زي قياس نسبة السكر واليوريا
+
+58
+00:04:37,380 --> 00:04:42,720
+والكرياتينين فبالتالي، بدي أحدد ما هي آدات القياس
+
+59
+00:04:42,720 --> 00:04:50,060
+لكل متغير من المتغيرات اللي موجودةومن ثم نقوم بوضع
+
+60
+00:04:50,060 --> 00:04:55,480
+هذه المتغيرات على شكل list بنحطها ورا بعض وبنقوم
+
+61
+00:04:55,480 --> 00:05:02,680
+بعد ذلك بصياغتها على شكل أسئلة ويجب أن تكون هذه
+
+62
+00:05:02,680 --> 00:05:07,780
+الأسئلة تخدم الهدف العام للدراسة اللي هو الـ
+
+63
+00:05:07,780 --> 00:05:11,240
+General Objective بعد ما نجيب هذه المتغيرات اللي
+
+64
+00:05:11,240 --> 00:05:16,090
+موجودةونسيغها على شكل أسئلة أنه احنا نقدر نجمع هذه
+
+65
+00:05:16,090 --> 00:05:20,550
+البيانات بنحط أول حاجة الاستبانة على شكل draft
+
+66
+00:05:20,550 --> 00:05:25,630
+يعني مسودة للـ questionnaire وبعدين بنبدأ نتطلع في
+
+67
+00:05:25,630 --> 00:05:30,050
+الاستبانة مرة أخرى ونشوف إذا في إلنا عليها أي
+
+68
+00:05:30,050 --> 00:05:33,810
+ملاحظات أو أي variable من ال object في أحنا نفسنا
+
+69
+00:05:33,810 --> 00:05:38,430
+نضيفه ونضيفه خلال الاستبانة اللي هي draft
+
+70
+00:05:38,430 --> 00:05:45,660
+questionnaireومن ثم نبدأ بمراجعة الاستبانة نبدأ
+
+71
+00:05:45,660 --> 00:05:51,460
+بمراجعة الاستبانة من خلال تخيل أنك ليس صاحب البحث
+
+72
+00:05:51,460 --> 00:05:58,760
+وأنك تسأل هذه الأسئلة وما هو تعليقك وتحديد الأخطاء
+
+73
+00:05:58,760 --> 00:06:03,840
+واللبس في المفاهيم عند من سيقوم بتعبئة الاستبانة
+
+74
+00:06:04,620 --> 00:06:09,860
+ومعرفة والتعليف على كل الكلمات اللي ممكن يكون فيها
+
+75
+00:06:09,860 --> 00:06:15,280
+confuse عند القارة والتعليف على المتراضفات
+
+76
+00:06:15,280 --> 00:06:21,900
+التخصصية مثلا لما نقول متراضفات تخصصية زي كلمة
+
+77
+00:06:21,900 --> 00:06:27,900
+اعتلال الشبكية هل لديك اعتلال شبكية؟يمكن المريض
+
+78
+00:06:27,900 --> 00:06:32,640
+أصلاً مش عارف إيش يعني شبكية حتى يكون عارف اعتلال
+
+79
+00:06:32,640 --> 00:06:38,140
+الشبكية فبدنا نصيغها بصيغة قريبة لفهم اللي بده
+
+80
+00:06:38,140 --> 00:06:44,680
+يعبي الاستبانة أو نقول لل patientsهل لديك أمراض
+
+81
+00:06:44,680 --> 00:06:48,660
+القلب الوعائية اللي هي Cardiovascular Disease هو
+
+82
+00:06:48,660 --> 00:06:52,900
+يمكن يقول لك أنا ماعنديش لأنه عارف نفسه معاه أمراض
+
+83
+00:06:52,900 --> 00:06:56,680
+القلب بس مش عارف أن اسمها أمراض القلب الوعائية
+
+84
+00:06:56,680 --> 00:07:01,580
+فبالتالي بنقول هل عندك أي مشاكل في القلب لحظتها هو
+
+85
+00:07:01,580 --> 00:07:06,540
+بيجاوب نعم ولا لا بعدين بنحاول الأسئلة ال complex
+
+86
+00:07:06,540 --> 00:07:12,730
+والمعقدة ان نجسمها ناخد مثال على ذلكهل لديك
+
+87
+00:07:12,730 --> 00:07:19,230
+مضاعفات نتيجة مرض السُكر؟ المريض هو عنده مضاعفة
+
+88
+00:07:19,230 --> 00:07:22,450
+واحدة انت لما بتسأله مضاعفات هو بيفهم انه مضاعفات
+
+89
+00:07:22,450 --> 00:07:25,810
+كتيرة فبقولك لا أنا ماعنديش اي مضاعفات فبالتالي
+
+90
+00:07:25,810 --> 00:07:31,370
+بنقول هل مرض السُكر سبب اليك اي مشاكل؟ yes or no
+
+91
+00:07:31,370 --> 00:07:35,670
+أو بنكون ضايفين ال complications كلهم على بعض وكل
+
+92
+00:07:35,670 --> 00:07:39,790
+واحد على جباله نعم او لا او yes او no انه مرض
+
+93
+00:07:39,790 --> 00:07:45,680
+القلب نعم لااعتلال الشبكية أو أمراض في العين نعم
+
+94
+00:07:45,680 --> 00:07:51,700
+أو لا؟ أمراض القلب نعم أو لا؟ هل لديك مشاكل في
+
+95
+00:07:51,700 --> 00:07:55,160
+التبول نتيجة التهيبات؟ كمان مضيفة نعم أو لا؟
+
+96
+00:07:55,160 --> 00:07:59,280
+فبالتالي بنقسم الـComplication إلى عدة أسئلة في
+
+97
+00:07:59,280 --> 00:08:04,520
+الآخر، كل سؤال منها الأسئلة موجودة على شكل Items،
+
+98
+00:08:04,520 --> 00:08:09,830
+Band وهذا الـBand واضح للي بده يعبي الاستبانةبعدها
+
+99
+00:08:09,830 --> 00:08:14,410
+نقوم بعمل المتغيرات على شكل أسئلة مختصرة مبسطة
+
+100
+00:08:14,410 --> 00:08:21,990
+بهدف تحسين دقة السؤال وتحسين معدل الاستجابة عند
+
+101
+00:08:21,990 --> 00:08:26,510
+الناس اللي بتمعبوا الاستبيانات وكذلك تسهيل عملية
+
+102
+00:08:26,510 --> 00:08:31,470
+إدخال البيانات على برامج التحليل الأحصائي وأيضًا
+
+103
+00:08:31,470 --> 00:08:36,230
+كذلك نكون عندنا مخطط واضح للجداول النهائية اللي
+
+104
+00:08:36,230 --> 00:08:43,070
+بتطلع فيهم نتائج البحثفلمّا يكون عنده سؤال عبارة
+
+105
+00:08:43,070 --> 00:08:47,970
+عن ثلاث أسطور وياجي أضيفه في جدول، هيأخد كام كبير
+
+106
+00:08:47,970 --> 00:08:52,270
+من الجدول غير ما يكون السؤال عبارة عن خمسة إلى ست
+
+107
+00:08:52,270 --> 00:08:58,590
+كلمات بعد ما نعمل كل الخطوات الخمسة السابقة، بنقوم
+
+108
+00:08:58,590 --> 00:09:02,750
+بعمل عينة استطلاعية اللي هي الـBiological Study أو
+
+109
+00:09:02,750 --> 00:09:10,100
+ما تسمى بلي بري تست وقياس ما هي المشاكلالتي واجهت
+
+110
+00:09:10,100 --> 00:09:13,860
+المبحثين أو الناس اللي بدهم يدّون البيانات في
+
+111
+00:09:13,860 --> 00:09:18,300
+تعبئة هذه الاستبانة وبعدين برو عامل إلها فحص
+
+112
+00:09:18,300 --> 00:09:23,440
+مستوطية اللي هي هل الأسئلة كانت في قيس الأهداف ولا
+
+113
+00:09:23,440 --> 00:09:28,260
+لأ من خلال ما يسمى بصدق الاستبانة اللي هنتكلم عنه
+
+114
+00:09:28,260 --> 00:09:33,320
+الآن اللي هو الـ Validity الـ Validity مقصود فيه
+
+115
+00:09:33,320 --> 00:09:38,400
+هو صدق الإختبار، صدق المحتوىهل إن الاستبانة هذه
+
+116
+00:09:38,400 --> 00:09:43,320
+اللي موجودة ومحتوها الحالي، هل إنه بيخدم كل أهداف
+
+117
+00:09:43,320 --> 00:09:48,460
+الدراسة، وبقدر ألم كلها البيانات اللي موجودة؟ وإلى
+
+118
+00:09:48,460 --> 00:09:53,900
+أي مدى هذه الأسئلة تقيّم جميع جوانب المرض اللي
+
+119
+00:09:53,900 --> 00:09:58,460
+موجود، اللي أنا بتدرسه؟ وإلى أي مدى تحقق أهداف هذا
+
+120
+00:09:58,460 --> 00:10:04,290
+البحث؟وهذا اللي بنسميه الـ Content Validity اللي
+
+121
+00:10:04,290 --> 00:10:09,430
+هو صدق المحتوى يبقى صدق المحتوى بيقول لي إلى أي
+
+122
+00:10:09,430 --> 00:10:14,790
+مدى هذه الأسئلة تقيم جميع جوانب الظاهرة اللي أنا
+
+123
+00:10:14,790 --> 00:10:19,610
+بتبحث فيها أو المرض اللي أنا بتبحث فيه وهل هذه
+
+124
+00:10:19,610 --> 00:10:26,030
+الأسئلة تحقق أهداف البحث أم لا في ثغرة تانية
+
+125
+00:10:26,030 --> 00:10:31,960
+بيسموها Construct Validity اللي هوصدق التركيب أو
+
+126
+00:10:31,960 --> 00:10:38,420
+البنية أي مدى توافق أسئلة الاستبانة مع الإطار
+
+127
+00:10:38,420 --> 00:10:41,940
+النظري اللي أنا ضورت فيه واللي أنا كتبته
+
+128
+00:10:41,940 --> 00:10:47,300
+والتعريفات والمفاهيم اللي موجودة للمتغيرات مثال
+
+129
+00:10:47,300 --> 00:10:53,300
+على ذلك هل أنا لما سألت على موضوع الـComplication
+
+130
+00:10:53,300 --> 00:10:59,100
+of type 2 diabetes وكنت أنا كاتبمن ضمن الـ
+
+131
+00:10:59,100 --> 00:11:04,880
+Complication of type 2 diabetes سؤال بيحكي عن ما
+
+132
+00:11:04,880 --> 00:11:09,880
+هو علاج الـ type 2 diabetes اللي أنت بتاخده أنا ال
+
+133
+00:11:09,880 --> 00:11:12,820
+domain أو المجال اللي بحكي فيه هو Complication
+
+134
+00:11:12,820 --> 00:11:16,240
+وقعد بسأل عن Complication وبين أسئلة الـ
+
+135
+00:11:16,240 --> 00:11:20,080
+Complication كنت واضع سؤال بيتكلم على نوع العلاج
+
+136
+00:11:20,080 --> 00:11:24,820
+أو type of treatment أو ال drugs هل هذا السؤال
+
+137
+00:11:24,820 --> 00:11:28,580
+مكانه الاستبانة؟ما بين الـ complications صح ولا لأ
+
+138
+00:11:28,580 --> 00:11:33,000
+هو بالاضاءة أنه مايكونش موجود المفروض يكون فيه
+
+139
+00:11:33,000 --> 00:11:36,220
+عندنا خانة خاصة بال treatment و ال complications
+
+140
+00:11:36,220 --> 00:11:41,540
+موجودين كلهم ورا بعض حتى مايكون فيه أي confuse
+
+141
+00:11:41,540 --> 00:11:46,220
+موجود في تعبئة الاستبانة أو أسأل و أنا بسأل عن ال
+
+142
+00:11:46,220 --> 00:11:51,360
+complications هل أنت بتاخد علاجولا بتاخدش علاج، هل
+
+143
+00:11:51,360 --> 00:11:55,020
+أنت ملتزم بالعلاج ولا مش ملتزم بالعلاج؟ والأسئلة
+
+144
+00:11:55,020 --> 00:11:59,120
+كلها جاية ورا بعض تحكي عن الـComplication سواء كان
+
+145
+00:11:59,120 --> 00:12:02,820
+نفروباثي أو تينوباثي أو Cardiovascular disease أو
+
+146
+00:12:02,820 --> 00:12:07,630
+UTI وفي نص الأسئلة هذه كان سؤالبيتكلم على موضوع
+
+147
+00:12:07,630 --> 00:12:11,990
+اللي هو «هل أنت مرتزم بأخذ الدواء و إيه لـ Drugs
+
+148
+00:12:11,990 --> 00:12:15,950
+ولا لأ؟» فبالتالي بقولنا إن الـ Construct Validity
+
+149
+00:12:15,950 --> 00:12:20,050
+إن والله السؤال هذا مش مكانه يكون موجود ما بين الـ
+
+150
+00:12:20,050 --> 00:12:26,130
+Complication فبالتالي الـ Content Validity بتتكلم
+
+151
+00:12:26,130 --> 00:12:29,930
+«هل كل المتغيرات اللي موجودة هذه لها علاقة بأهداف
+
+152
+00:12:29,930 --> 00:12:33,310
+الدراسة ولا لأ؟الـ Construct Validity بتقولنا هل
+
+153
+00:12:33,310 --> 00:12:37,350
+ترتيب الأسئلة هذه اللي لها علاقة بأهداف الدراسة هل
+
+154
+00:12:37,350 --> 00:12:42,810
+هي مرتبة بحيث تخدم أهداف الدراسة وكلها متتالية ولا
+
+155
+00:12:42,810 --> 00:12:51,030
+لا الـ Criterion Related Validity وهي تعرف بالصدقة
+
+156
+00:12:51,030 --> 00:12:57,800
+المتعلقة بالمحقويقصد به مدى ارتباط مقياس جديد
+
+157
+00:12:57,800 --> 00:13:04,420
+بنتيجة معينة موجودة مسبقًا.يعني، لو أنا عندي
+
+158
+00:13:04,420 --> 00:13:10,180
+أسئلة، وهذه الأسئلة على شكل اختبار، وانا بدي أقيم
+
+159
+00:13:10,180 --> 00:13:13,720
+هل الاختبار هذا اللي موجود، هل في عندنا validity
+
+160
+00:13:13,720 --> 00:13:18,420
+في ال question اللي موجودة في الاختبار و لا، بقول
+
+161
+00:13:18,420 --> 00:13:23,480
+لو حد حصل على علامة 100،بكون أسئلة الامتحان كويسة،
+
+162
+00:13:23,480 --> 00:13:27,800
+100 من 100، فبالتالي، بكون صدق الامتحان وأسئلة
+
+163
+00:13:27,800 --> 00:13:32,640
+الامتحان متعلقة بمحاك إن طالب، منها الطلبة، أن
+
+164
+00:13:32,640 --> 00:13:38,020
+يحصل على علامة 100%. وهذا يستخدم في الغالب في
+
+165
+00:13:38,020 --> 00:13:43,400
+الإختبارات النفسية والتربوية للأغراض النظرية
+
+166
+00:13:43,400 --> 00:13:47,860
+والعملية، وبتكون مهمة في اتخاذ القرار في الجانب
+
+167
+00:13:47,860 --> 00:13:53,920
+النفسي.في عندنا ما يسمى بالـ Face Validity اللي هو
+
+168
+00:13:53,920 --> 00:13:58,820
+الشكل العام والـ Design العام للاستبانة يبقى
+
+169
+00:13:58,820 --> 00:14:02,880
+الواحد أول ما بتطلع الاستبانة يبدو يعبيها يا أما
+
+170
+00:14:02,880 --> 00:14:07,260
+بقبلها يا أما برفضها إيش مرسوم بالـ Face Validity؟
+
+171
+00:14:07,390 --> 00:14:11,970
+هل الاستبانة مرتبة وسهل أن الشخص يعبيها الاستبانة
+
+172
+00:14:11,970 --> 00:14:16,910
+أم الاستبانة صعبة وغير منصقة يكون مكتوب السؤال
+
+173
+00:14:16,910 --> 00:14:22,930
+الأول بخط 9 والسؤال التاني مكتوب بخط 13 وبعد شويه
+
+174
+00:14:22,930 --> 00:14:27,710
+سؤال مكتوب Bold يعني بخط غامق وبعدين سؤال مكتوب
+
+175
+00:14:27,710 --> 00:14:31,470
+بخط ثلاثة أو تمانية دوب واضح ويلاجي إشي موجود في
+
+176
+00:14:31,470 --> 00:14:34,870
+جدول إشي يمين وإشي جمال في الكلمات اللي مكتوبة
+
+177
+00:14:35,370 --> 00:14:39,530
+واللاقي إنه في شيء في جدول وشيء بدون جدول اللاجئ
+
+178
+00:14:39,530 --> 00:14:43,330
+إنه مكتوب الـ Age ومش مكتوب له تمييز اللاجئ مكتوب
+
+179
+00:14:43,330 --> 00:14:47,470
+ال weight ومش مكتوب ال height إنه جداش الطول يشعر
+
+180
+00:14:47,470 --> 00:14:51,910
+اللي بعب الاستبانة إن شكل الاستبانة هي مش مريح في
+
+181
+00:14:51,910 --> 00:14:56,050
+تعبات الاستبانة أو التصميم بتاعتها وهذا بنسميها هو
+
+182
+00:14:56,050 --> 00:15:00,350
+ال phase validity للاستبانة وكتير مننا ماقدرش يعب
+
+183
+00:15:00,350 --> 00:15:04,210
+الاستبانةلأن الـ Face Validity بتاعتها مش مضيها
+
+184
+00:15:04,210 --> 00:15:08,270
+بكون مكبّر الخطبدل ما تكون الاستبانة في صفحتين
+
+185
+00:15:08,270 --> 00:15:12,550
+بنلاقي عامل الاستبانة في تمام صفحات وأول الواحد
+
+186
+00:15:12,550 --> 00:15:15,950
+بيشوف إن الاستبانة تمام صفحات فبالتالي بيقول لك
+
+187
+00:15:15,950 --> 00:15:19,630
+أنا ماعديش وقت أعبيها ولكن لو خلّها على خط 12 بدل
+
+188
+00:15:19,630 --> 00:15:23,930
+18 كان طلعت معاه كل هالاستبانة هدف الصفحتين ولو
+
+189
+00:15:23,930 --> 00:15:27,490
+حطها على وجهه جافة كمان بتكون في ورقة واحدة
+
+190
+00:15:27,490 --> 00:15:31,250
+فبالتالي بيكون الـ Face Validity للاستبانة بيكون
+
+191
+00:15:31,250 --> 00:15:36,280
+ممتاز Reliability of Questionnaireمقصود فيها ما
+
+192
+00:15:36,280 --> 00:15:42,000
+مدى ثبات أسئلة الاستبانة بين المبحثين اللي مقصود
+
+193
+00:15:42,000 --> 00:15:47,320
+بثبات الاستبانة إن الاستبانة لو وزعت عدة مرات
+
+194
+00:15:47,320 --> 00:15:53,420
+تعطيني نفس النتائج نخد مثال على مجال التحاليل
+
+195
+00:15:53,420 --> 00:16:00,270
+الطبية لو أحنا عندنا أكثر من جهاز بكيسمستوى
+
+196
+00:16:00,270 --> 00:16:04,370
+الجليكوز في الـ blood المفروض أن يكون كل الأجهزة
+
+197
+00:16:04,370 --> 00:16:09,690
+بيعطوني نفس النتيجة كذلك هذا المقصود بثبات الـ
+
+198
+00:16:09,690 --> 00:16:13,530
+questionnaire سواء أنا عبيتها من ال patient اليوم
+
+199
+00:16:13,530 --> 00:16:18,310
+أو امبارح أو عبيها كمان يومين أو تلاتة المفترض
+
+200
+00:16:18,310 --> 00:16:22,470
+أنها تعطينا نفس النتائج اللي موجودة في ال
+
+201
+00:16:22,470 --> 00:16:28,850
+questionnaire reliability of questionnaireقياسها
+
+202
+00:16:28,850 --> 00:16:34,490
+بما يسمى بـ Compact Alpha مجال وهو اختبار أحصائي
+
+203
+00:16:34,490 --> 00:16:39,550
+موجود في برنامج الـ SPSS وحنتكلم عنه إن شاء الله
+
+204
+00:16:39,550 --> 00:16:43,690
+في جزئية الأحصاء كيف أنه احنا ممكن أنقيز ثبات
+
+205
+00:16:43,690 --> 00:16:48,390
+الاستبانات وتعبات الاستبانات وكل هذه الأمور حنتكلم
+
+206
+00:16:48,390 --> 00:16:52,790
+عنها في جزئية الأحصاءأتكلمنا المحاضرة اللي فاتت
+
+207
+00:16:52,790 --> 00:16:56,350
+أنه أحنا ممكن نعبّي الاستبانة بعدة طرق وهذه
+
+208
+00:16:56,350 --> 00:16:59,710
+الاستبانة ممكن أنه أنا أطلع هذه الأسئلة أو أتصل
+
+209
+00:16:59,710 --> 00:17:04,830
+تليفون وأعبّي هذه الاستبانة أو من خلال الجوال ألم
+
+210
+00:17:04,830 --> 00:17:09,330
+البيانات أو من خلال الـE-mail أو من خلال مقابلة
+
+211
+00:17:09,330 --> 00:17:13,690
+مباشرة قلنا المقابلة المباشرة بتكون ممتازة في حالة
+
+212
+00:17:13,690 --> 00:17:17,620
+الـQualitative Researchأو بتكون من خلال Online
+
+213
+00:17:17,620 --> 00:17:22,640
+يعني أعب الإستبانة من خلال رابط موجود معين أحطه
+
+214
+00:17:22,640 --> 00:17:28,260
+على كل صفحات التواصل الاجتماعي وأكتب عليه بوست هيك
+
+215
+00:17:28,260 --> 00:17:33,740
+وأطلب من الناس ذات علاقة بالموضوع البحث إنهم يعبوا
+
+216
+00:17:33,740 --> 00:17:38,920
+لي الاستبانة في عندنا أبحاث وهذه الأبحاث يطلق
+
+217
+00:17:38,920 --> 00:17:43,100
+عليها اسم CAB Research اللي هي الـ Knowledge
+
+218
+00:17:43,100 --> 00:17:47,520
+والAttitude والPracticeالـ Knowledge المعرفة الـ
+
+219
+00:17:47,520 --> 00:17:52,120
+Attitude الاتجاهات and الـ Practice اللي هي
+
+220
+00:17:52,120 --> 00:17:57,180
+الممارسات ولو بدنا ناخد مثال نقول إنه الـ
+
+221
+00:17:57,180 --> 00:17:59,800
+Knowledge والـ Attitude والـ Practice للـ
+
+222
+00:17:59,800 --> 00:18:04,780
+Physician Perception لرأي الطباء بما يتعلق بالـ
+
+223
+00:18:04,780 --> 00:18:08,560
+Antibiotics اللي هي المضادات الحيوية اللي بيعطوها
+
+224
+00:18:08,560 --> 00:18:12,580
+للمرضى اللي عندهم Acute Aparospiratory Tract
+
+225
+00:18:12,580 --> 00:18:17,160
+Infectionبنشوف هل الأطباء عندهم معرفة بهذه الأدوية
+
+226
+00:18:17,160 --> 00:18:21,800
+هل عندهم attitude يعني هم مقتنعين في داخلهم أو
+
+227
+00:18:21,800 --> 00:18:25,760
+بيدافع عن هذه العلاج إن هو كعلاج وهل هو بيكتب هذه
+
+228
+00:18:25,760 --> 00:18:29,920
+العلاجات وانا بكتبهاش فهذه بيسموها الـ CAB Study
+
+229
+00:18:29,920 --> 00:18:35,060
+أو الـ CAB Research الـ Knowledge في الغالب أنا
+
+230
+00:18:35,060 --> 00:18:39,900
+بقى أشوف هل الأطباء عندهم معرفة بالـ Etiology اللي
+
+231
+00:18:39,900 --> 00:18:44,590
+هي الـ Risk Factorهل الأطباء عندهم معرفة بالـSign
+
+232
+00:18:44,590 --> 00:18:49,110
+والـSymptoms لـAccute upper respiratory tract
+
+233
+00:18:49,110 --> 00:18:51,650
+infection؟ هل الأطباء عندهم معرفة
+
+234
+00:18:51,650 --> 00:18:55,130
+بالـComplication؟ وهل عندهم معرفة بالـTreatment
+
+235
+00:18:55,130 --> 00:19:00,190
+ولا لأ؟ هذه بتكون من خلال أسئلة موجودة في استبانة
+
+236
+00:19:00,190 --> 00:19:04,670
+الطبيب بيعبيها بعدين بنشوف الـAttitude التوجهات
+
+237
+00:19:04,670 --> 00:19:10,190
+تحت الأطباء هدول هل هو إنه فعلا مقتنع إنه الـRisk
+
+238
+00:19:10,190 --> 00:19:14,150
+Factor هذي حقيقي ولا لأ؟يعني إنه هل الطبيب مقتنع
+
+239
+00:19:14,150 --> 00:19:20,150
+إن المريض لازم يخد العلاجات ولا هو بيكتب العلاج بس
+
+240
+00:19:20,150 --> 00:19:24,930
+كونه protocol؟ في حاجة تانية، هل الأضباء نفسهم
+
+241
+00:19:24,930 --> 00:19:29,090
+عندهم قابلية إنهم يدافعوا عن العلاج هذا لو تم
+
+242
+00:19:29,090 --> 00:19:34,690
+تغييره أو تم منعوا عن هؤلاء المرضى؟ بعدين بنقول
+
+243
+00:19:34,690 --> 00:19:39,420
+رأيهم في تقبل المجتمع أو ال attitude تاعتهمخلال
+
+244
+00:19:39,420 --> 00:19:42,700
+تقبل المجتمع لهذه العلاجات، هل هم عندهم القدرة
+
+245
+00:19:42,700 --> 00:19:46,140
+يقنعوا الناس أنهم يأخذوا العلاجات ولا لا، كل هذا
+
+246
+00:19:46,140 --> 00:19:49,960
+بنقول عنها attitude. الـ Practice، هل هم فعلا
+
+247
+00:19:49,960 --> 00:19:52,740
+بيكتبوا العلاج هذا في رشدات، بغض من أنه عنده
+
+248
+00:19:52,740 --> 00:19:55,640
+knowledge، عنده معرفة باللي فيكتب على العلاج، هو
+
+249
+00:19:55,640 --> 00:19:59,000
+بيدافع عن العلاج، ولكن هل هو بيكتب نفس العلاج اللي
+
+250
+00:19:59,000 --> 00:20:03,220
+بيدافع عنه ولا لا؟ يبقى الـ Knowledge، هل الطبيب
+
+251
+00:20:03,220 --> 00:20:08,820
+عنده معرفة؟الـ Attitude هل الطبيب مقتنع بالعلاج
+
+252
+00:20:08,820 --> 00:20:13,760
+أنه يديه و لا مش مقتنع في practice هل هو بيكتب هذا
+
+253
+00:20:13,760 --> 00:20:19,060
+العلاج للمرضى ولا لا؟ بتلاحظ أنه الـ Knowledge
+
+254
+00:20:19,060 --> 00:20:24,120
+والـ Attitude بتعتمد على الـ Age للطبيب، بتعتمد
+
+255
+00:20:24,120 --> 00:20:29,510
+علىسنة التخرج بتعتمد على المواهب العلمي وبتعتمد
+
+256
+00:20:29,510 --> 00:20:33,790
+على البلدان اللي أخد فيها الطبيب أو الأماكن اللي
+
+257
+00:20:33,790 --> 00:20:38,950
+أخد فيها الطبيب دورة تدريبية في هذا المجال ولكن ال
+
+258
+00:20:38,950 --> 00:20:42,130
+attitude و ال practice بيعتمدوا على مكان العمل
+
+259
+00:20:42,130 --> 00:20:46,910
+بيعتمدوا على هل في عند الطبيب ضغط عمل ولا لافي
+
+260
+00:20:46,910 --> 00:20:51,750
+إشراف موجود من قبل المستشفي على الطبيب ويه الـ
+
+261
+00:20:51,750 --> 00:20:54,250
+Attitude و الـ Practice بتاعته يعني بيعطيه دورات
+
+262
+00:20:54,250 --> 00:20:58,050
+تدريبية وبيعززه اعتقاده بنفسه واعتقاده بالبرتكولات
+
+263
+00:20:58,050 --> 00:21:02,650
+اللي موجودة وكمان عندنا مطالب المرضى نفسهم أنه
+
+264
+00:21:02,650 --> 00:21:06,690
+بيطلب علاج أقل سعر أو أكتر سعر كمان بتأثر على الـ
+
+265
+00:21:06,690 --> 00:21:12,350
+Attitude و الـ Practice تبعات الطبيب ناخد مثال آخر
+
+266
+00:21:12,350 --> 00:21:15,860
+على الـ Knowledge و الـ Attitude و الـ Practiceالـ
+
+267
+00:21:15,860 --> 00:21:19,760
+Infection Control كلنا عارفين إنه لازم لما نسحب
+
+268
+00:21:19,760 --> 00:21:23,600
+وحدات الدم في المستشفيات إنه لازم نكون لابسين
+
+269
+00:21:23,600 --> 00:21:27,540
+Gloves هذا كلنا عارفينه كـ Knowledge الـ Attitude
+
+270
+00:21:27,540 --> 00:21:32,480
+كلنا معتقدين وميقنين تماما إن الـ Gloves بتحمينا
+
+271
+00:21:32,480 --> 00:21:36,320
+من موضوع الـ Infection سواء عند المريض Hepatitis B
+
+272
+00:21:36,320 --> 00:21:40,380
+أو Hepatitis C أو أي viral infection ممكن يعدينا
+
+273
+00:21:40,380 --> 00:21:45,370
+لـ Practice قال أنا رغم إن أنا معاي معرفةوعندي
+
+274
+00:21:45,370 --> 00:21:49,830
+اعتقاد مطلق بالحماية اللي من ال gloves هل أنا بلبس
+
+275
+00:21:49,830 --> 00:21:53,530
+ال gloves أثناء سحب وحدات الدم ولا لا؟ هي ممكن
+
+276
+00:21:53,530 --> 00:21:56,830
+يكون عندنا knowledge ولكن مافيش عندنا attitude و
+
+277
+00:21:56,830 --> 00:22:00,950
+مافيش عندنا practice أنا أعتقد وعندي علم تام
+
+278
+00:22:00,950 --> 00:22:05,190
+بموضوع ال gloves لازم أثناء سحب وحدة الدم لأنه
+
+279
+00:22:05,190 --> 00:22:10,010
+بحمي نفسي و بحمي المريض ولكن في داخلي مش مقتنع
+
+280
+00:22:10,010 --> 00:22:14,270
+بالموضوع ولا بطبقهطب ممكن يكون في عندنا knowledge
+
+281
+00:22:14,270 --> 00:22:17,670
+و في عندنا attitude و في عندنا practice صحيح ممكن
+
+282
+00:22:17,670 --> 00:22:21,270
+يكون في عندنا knowledge و عندنا attitude أنه احنا
+
+283
+00:22:21,270 --> 00:22:25,710
+مقتنعين و على معرفة بموضوع ال infection control
+
+284
+00:22:25,710 --> 00:22:30,530
+أنه ال gloves بيمنعه ولكن مابلبسش gloves طب ممكن
+
+285
+00:22:30,530 --> 00:22:33,270
+يكون عنده knowledge و attitude و practice صحيح أنه
+
+286
+00:22:33,270 --> 00:22:38,020
+أنا على معرفة و knowledge بقيمة ال glovesمقتنع
+
+287
+00:22:38,020 --> 00:22:42,980
+تمامًا وبدافع وبحث الناس إن هي تلبسه، وكمان أنا
+
+288
+00:22:42,980 --> 00:22:47,560
+بقوم بلبس ال gloves أثناء ساحب وحدات قدام. هذه
+
+289
+00:22:47,560 --> 00:22:53,920
+بتعتمد كل هالشغلات بالـ Age، جديش عمر فن المختبأ،
+
+290
+00:22:53,920 --> 00:22:58,440
+بنلاقي إن في ناس مع الـ Age ممكن يكون لسه خريجي
+
+291
+00:22:58,440 --> 00:23:01,820
+جديد ومرتزم، عنده knowledge و attitude و practice،
+
+292
+00:23:01,820 --> 00:23:05,620
+وممكن مع العمر إنه يبدأ شويه شويه يهمل أو العكس،
+
+293
+00:23:06,030 --> 00:23:10,550
+بنلاقي إنه الجامعة اللي متخرج منها بتلعب دور و
+
+294
+00:23:10,550 --> 00:23:15,810
+زمان تخرجه كمان بيلعب دور كبيرة هل هو أخدالـ
+
+295
+00:23:15,810 --> 00:23:18,470
+Training Program على موضوع الـ Infection Control
+
+296
+00:23:18,470 --> 00:23:24,630
+داخل بنوك الدم ولا لا؟ هذه كلها تلعب دور كبير في
+
+297
+00:23:24,630 --> 00:23:28,130
+الـ Knowledge و الـ Attitude ولكن ما يلعب دور في
+
+298
+00:23:28,130 --> 00:23:31,350
+الـ Attitude و الـ Practice داخل بنوك الدم أن أنا
+
+299
+00:23:31,350 --> 00:23:34,250
+ألبس Gloves و أمنع ال infection اللي هو المكان
+
+300
+00:23:34,250 --> 00:23:37,490
+اللي أنا بشغل فيه هل موجود فيه Gloves أني ألبسه؟
+
+301
+00:23:37,490 --> 00:23:39,930
+ولا بس هو مكتوب في الـ protocols و مافيش Gloves
+
+302
+00:23:39,930 --> 00:23:45,150
+أني ألبسه؟هل أنا عندي متبرعين بكم كبير أنه أنا
+
+303
+00:23:45,150 --> 00:23:49,650
+ألبس الـGloves دايما ولا عندي fish load؟ يعني أنا
+
+304
+00:23:49,650 --> 00:23:53,550
+الـPG متبرع دولار واحد وخلال المتبرع حد انا ممكن
+
+305
+00:23:53,550 --> 00:23:56,870
+ألبس الـGloves وكل شوية أغيره؟ وهل أنه في عندي
+
+306
+00:23:56,870 --> 00:23:59,970
+مشرفين على بنك الدم بتابعوا أنه احنا بنلبس
+
+307
+00:23:59,970 --> 00:24:05,130
+الـGloves ولا لأ؟ وهل أنه كمان الناس المتبرعين
+
+308
+00:24:05,130 --> 00:24:11,810
+نفسهم بيشجعوا أو بيحثوا على لبس الـGloves؟مثلًا لو
+
+309
+00:24:11,810 --> 00:24:15,670
+أنا مابديش ألبس ال gloves ألاقي أنه المتبرع ال
+
+310
+00:24:15,670 --> 00:24:19,070
+donors بيقول لي لو سمحت ألبس ال gloves حتى تحميني
+
+311
+00:24:19,070 --> 00:24:23,390
+وتحمي نفسك كذلك موضوع الكمامة بنلاقي في ناس عندهم
+
+312
+00:24:23,390 --> 00:24:26,790
+معرفة قيمة الكمامة ولكن هو مش مقتنع أن هو يلبسها
+
+313
+00:24:26,790 --> 00:24:29,790
+ودايمًا يقدروا يلابسوا الكمامة وبالتالي مابيطبقهاش
+
+314
+00:24:29,790 --> 00:24:33,390
+في ناس عندهم knowledge وبيحثوا الناس أن هو تلبسها
+
+315
+00:24:33,390 --> 00:24:37,550
+ولكن في التطبيق هو مابيطبقهابنلاقي انه سائق بيقولك
+
+316
+00:24:37,550 --> 00:24:40,350
+اول ما تطلع بالسيارة معاك كمامة، بيسألك معاك
+
+317
+00:24:40,350 --> 00:24:43,890
+كمامة، بتقوله صحيح، بتطلع بالسيارة، بعد شوية
+
+318
+00:24:43,890 --> 00:24:46,730
+بتلاقي هو مش لابس الكمامة، هو عنده knowledge،
+
+319
+00:24:46,730 --> 00:24:51,110
+مافيش عنده attitude ولا عنده practice. في عندنا ما
+
+320
+00:24:51,110 --> 00:24:55,170
+يسمى بالـEthical Issue and Administrative Process،
+
+321
+00:24:55,170 --> 00:24:59,230
+إيش الخطوات اللي أنا بدي أعملها، حتى أاخد موافقات
+
+322
+00:24:59,230 --> 00:25:02,310
+أخلاقية وإدارية لأجراء البحث اللي أنا بدي أعمله
+
+323
+00:25:02,310 --> 00:25:05,350
+فيه الـMagistrate.أول حاجة في الـ Ethical Issue
+
+324
+00:25:05,350 --> 00:25:09,650
+ناخد موافقة لجنة الهلسينكي لجنة الهلسينكي هي لجنة
+
+325
+00:25:09,650 --> 00:25:15,510
+بتكون وطنية مكوّنة من أكاديميين بتطلعوا في البحث
+
+326
+00:25:15,510 --> 00:25:18,310
+وفي الـ design تبع البحث وبيدّونا الموافقات
+
+327
+00:25:18,310 --> 00:25:22,410
+وبيسميها الهلسينكي approval هذه الهلسينكي اللي
+
+328
+00:25:22,410 --> 00:25:27,410
+احنا بناخدهاتحمينا من عدة شغلات أول حاجة لو أنا
+
+329
+00:25:27,410 --> 00:25:31,430
+أيه لو myself مساءلة قانونية بقول أنا معايا موافقة
+
+330
+00:25:31,430 --> 00:25:35,330
+ليرنيس تليسينكي ولا أعتقد أن البحث تبعي أثر على
+
+331
+00:25:35,330 --> 00:25:39,630
+المريض لأنه أنا ماخد موافقة أخلاقيات البحث العلمي
+
+332
+00:25:39,630 --> 00:25:42,610
+الحاجة التانية في ال ethical issue informed
+
+333
+00:25:42,610 --> 00:25:46,050
+consent اللي هي موافقة المريض نفسه أنه أنا بقوله
+
+334
+00:25:47,450 --> 00:25:50,870
+بدي أسحب منك عينة و بدي أعمل البحث و هذا البحث
+
+335
+00:25:50,870 --> 00:25:54,050
+بقوله إيش مواصفاته و إيش الفائد اللي ممكن تعود على
+
+336
+00:25:54,050 --> 00:25:57,750
+المجتمع و بقوله significant of study و ببدأ أخد
+
+337
+00:25:57,750 --> 00:26:02,930
+منه موافقة و بوقع الاستبانة و بعد ذلك ببدأ بتعبئة
+
+338
+00:26:02,930 --> 00:26:07,430
+الاستبانة من المريض و أسحب عينات الدم لإجراء بعض
+
+339
+00:26:07,430 --> 00:26:13,320
+الفحوصات الطبية و أدخلها في البحثالـ Helsinki
+
+340
+00:26:13,320 --> 00:26:18,900
+Approval كمان بيفيدنا لما يتم نشر البحث في مجلات
+
+341
+00:26:18,900 --> 00:26:23,700
+عالمية أو محلية لأنه بيطلبوا مننا يكون موجود في
+
+342
+00:26:23,700 --> 00:26:28,620
+عندنا مرافقات إدارية اللي بنسميها Administrative
+
+343
+00:26:28,620 --> 00:26:33,140
+Process زي مرافقة الكلية على الـ Proposal بالدرجة
+
+344
+00:26:33,140 --> 00:26:38,880
+الأولى بعدين مرافقة الدراسات العليا كمان إنها تكون
+
+345
+00:26:38,880 --> 00:26:45,220
+موجودةموافقة وزارة الصحة وكذلك موافقة المؤسسة اللي
+
+346
+00:26:45,220 --> 00:26:50,720
+انا بده أعب منها الاستبانة موافقة الكلية هاد باخد
+
+347
+00:26:50,720 --> 00:26:56,620
+موافقة من القسم اللي أنا منتمي إليه اللي هو كلية
+
+348
+00:26:56,620 --> 00:27:01,080
+العلوم الصحية باخد موافقة من قسم التحاليل الطبية
+
+349
+00:27:01,080 --> 00:27:06,260
+على أثرها بيقوم عميل كلية العلوم الصحية كتب لي
+
+350
+00:27:06,260 --> 00:27:13,820
+كتاب أو معطيني كتاب خطيأتوجه فيه لوزارة الصحة أو
+
+351
+00:27:13,820 --> 00:27:17,600
+الدراسات العليا بتديني كتاب لأي جهة أنا بدي أعب
+
+352
+00:27:17,600 --> 00:27:22,880
+منها الاستبانة باروح بعد ذلك لوزارة الصحة بدوني ما
+
+353
+00:27:22,880 --> 00:27:29,060
+يسمى اسهيل مهمة باحث أتوجه فيه للمؤسسة أو المستشفى
+
+354
+00:27:29,060 --> 00:27:32,400
+اللي أنا بدي أعب منها الاستبيانات وأاخد منها
+
+355
+00:27:32,400 --> 00:27:38,020
+العينات أول ما أصل للمستشفى المفترض أني أروح لمدير
+
+356
+00:27:38,020 --> 00:27:38,720
+المستشفى
+
+357
+00:27:41,260 --> 00:27:45,700
+وذهاب الشخص لمدير المستشفى ليس مضيع على الوقت لأنه
+
+358
+00:27:45,700 --> 00:27:51,140
+مش معقول أنك كباحث تسحب عينات داخل المستشفى ومن
+
+359
+00:27:51,140 --> 00:27:54,360
+المرضى بيواجعوا في المستشفى وإضاءة المستشفى ما
+
+360
+00:27:54,360 --> 00:27:58,280
+معها خبر لأنه ممكن يجي شخص في أي وقت يسألك أنت
+
+361
+00:27:58,280 --> 00:28:02,280
+حضرتك مين هتقول أنا معايا موافقة نظرات الصحة وكذلك
+
+362
+00:28:02,280 --> 00:28:07,180
+معايا توقيع مدير عامل مجمع أنه أنا أسحب العينات لو
+
+363
+00:28:07,180 --> 00:28:12,090
+مافيش معاك موافقةمدير عام المجمع أو المؤسسة اللي
+
+364
+00:28:12,090 --> 00:28:16,650
+انت بدت تسحب منها العينات هذا بيعمل عندنا خلل في
+
+365
+00:28:16,650 --> 00:28:20,430
+الخدمات الصحية المقدمة وفي البحث كذلك الخدمات
+
+366
+00:28:20,430 --> 00:28:23,490
+الصحية المقدمة أنه ممكن يكون الناس ما فيش عندهم
+
+367
+00:28:23,490 --> 00:28:26,950
+ثقة أنهم ييجوا على المؤسسة هذه مرة تانية و بالذات
+
+368
+00:28:26,950 --> 00:28:32,030
+إذا كانت مؤسسة خاصة لأنهم بيقولك هدول بيسوي عينة
+
+369
+00:28:32,030 --> 00:28:39,470
+تجارب طب على مستوى البحث إذا مافيش موافقة المستشفة
+
+370
+00:28:39,810 --> 00:28:44,890
+وانت حكيت في مؤتمرة ان انا جمعت عينات من مجمع
+
+371
+00:28:44,890 --> 00:28:48,670
+الشفاء الطبي من قسم القلب وكان موجود مدير عامل
+
+372
+00:28:48,670 --> 00:28:53,860
+مجمع وائس قسم القلبوهم الاتنين قالولك احنا
+
+373
+00:28:53,860 --> 00:28:56,340
+مشوفناكاش، يعني عمنا ماشوفناك و لا جيت انت
+
+374
+00:28:56,340 --> 00:28:59,400
+المستشفى، هتقول لأ أنا جيت معايا موافقة موظفات
+
+375
+00:28:59,400 --> 00:29:02,620
+الصحة، كل أسف هيقولولك لأ احنا بنشكك في كل النتائج
+
+376
+00:29:02,620 --> 00:29:06,040
+الموجودة، لأن احنا فعلا مالمسنا انك جيت ولا خدت
+
+377
+00:29:06,040 --> 00:29:10,180
+العينات هذه، فبالتالي احنا نعتقد، الاعتقاد جازم ان
+
+378
+00:29:10,180 --> 00:29:13,820
+كل النتائج اللي موجودة، ان كل النتائج اللي انت
+
+379
+00:29:13,820 --> 00:29:18,980
+بتحكيها هذه غير منطقية وغير دقيقة وفيش مصدقية في
+
+380
+00:29:18,980 --> 00:29:24,050
+البيانات اللي انت عبيتها،وبالمناسبة هذه بتحدث في
+
+381
+00:29:24,050 --> 00:29:29,070
+كتير من المؤتمرات أنه بيقف مدير عام المجمع للباحث
+
+382
+00:29:29,070 --> 00:29:33,430
+وبيقوله أنا ماشوفت cash وماعيش خبر بالبحث وأنا
+
+383
+00:29:33,430 --> 00:29:39,390
+أشكك في كل نتائج البحث قلبا وقالبا وبيكون معاه
+
+384
+00:29:39,390 --> 00:29:46,050
+الحاج لأنه فعلا ماشافش الباحث في عندنا خطة البحث
+
+385
+00:29:46,050 --> 00:29:49,690
+ال study plan هذه بتكون موجودة في شبطة تلاتة في
+
+386
+00:29:49,690 --> 00:29:53,610
+آخر الشبطةإنه أنا باكتب كل شهر أنا إيش بدي أعمل
+
+387
+00:29:53,610 --> 00:29:57,810
+بالظبط ووقت إيش بدي أبدأ ووقت إيش بدي أنتي إنه أنا
+
+388
+00:29:57,810 --> 00:30:03,930
+بدي أبدأ في شهر أكتوبر 2020 و بدي أنتي في شهر مايو
+
+389
+00:30:03,930 --> 00:30:10,190
+2021 وبكون محدد إنه في أكتوبر 2020 أنا بدي أكتب ال
+
+390
+00:30:10,190 --> 00:30:14,770
+proposal وبعدين بدي أخد الموافقات الأخلاقية في شهر
+
+391
+00:30:14,770 --> 00:30:19,410
+نوفمبربدي أكتب literature review وكمان أحصل على
+
+392
+00:30:19,410 --> 00:30:23,830
+موافقات المؤسسات اللي أنا بدي أخد منها العينات في
+
+393
+00:30:23,830 --> 00:30:27,350
+شهر ديسمبر وبعدين في شهر واحد بدي أبدأ أجمع
+
+394
+00:30:27,350 --> 00:30:31,050
+العينات شهر واحد واثنين وتلاتة وبدي أبدأ أعمل
+
+395
+00:30:31,050 --> 00:30:36,270
+تحليل هذه العينات في شهر تلاتة واربعة وكذلك بدي
+
+396
+00:30:36,270 --> 00:30:41,490
+أقوم بعمل تحليل البيانات في شهر تلاتةفي آخر تلاتة،
+
+397
+00:30:41,490 --> 00:30:45,490
+وبدأ أكتب النتائج الخاصة والعلاقات اللي موجودة
+
+398
+00:30:45,490 --> 00:30:51,840
+للبحث في شهر تلاتة واربعة وخمسة، وبدأ أكون مخدصلو
+
+399
+00:30:51,840 --> 00:30:56,920
+بنلاحظ هنا خلال الكتابة فيه متداخلات لأنه أنا ممكن
+
+400
+00:30:56,920 --> 00:31:00,300
+أكتب في شغلة و أبدأ جمع العينات يعني يبقى أكتب في
+
+401
+00:31:00,300 --> 00:31:03,320
+الـ Research Review لدراسة أو الـSurvey اللي
+
+402
+00:31:03,320 --> 00:31:07,620
+موجودة أو أخد موافقات أخلاقية و أبدأ جمع العينات
+
+403
+00:31:07,620 --> 00:31:11,940
+في نفس الشهر أبدأ في أول شهر December أخد
+
+404
+00:31:11,940 --> 00:31:16,990
+الموافقاتوفي خلال نصف شهر ديسمبر أبدأ جمع العينات
+
+405
+00:31:16,990 --> 00:31:21,750
+وانتج جمع العينات لشهر فبراير وخلال الفبراير أكون
+
+406
+00:31:21,750 --> 00:31:24,910
+أنا كل العينات اللي بسحبهم بعملهم الفحوصات أول
+
+407
+00:31:24,910 --> 00:31:28,330
+بأول اللي بتم سحبها العينة بعملها الفحوصات
+
+408
+00:31:28,330 --> 00:31:32,550
+والاستفانة اللي أنا بعبيها بدخلها كمان على برنامج
+
+409
+00:31:32,550 --> 00:31:36,550
+التحليل الأحصائي ال SPSS وببدأ أعلق على بعض
+
+410
+00:31:36,550 --> 00:31:41,440
+النتائج اللي بتكونلأنها موجودة ودول في هذا الشهر،
+
+411
+00:31:41,440 --> 00:31:45,340
+وبعدين بقوم كاتب الـ Thesis وامخلص منه خلال أكتهر
+
+412
+00:31:45,340 --> 00:31:49,940
+مايو 2021. هذه الخطة لازم تكون موجودة في الـ
+
+413
+00:31:49,940 --> 00:31:54,400
+Proposal، وتعرض على لجنة المناقشة للـ Proposal.
+
+414
+00:31:54,880 --> 00:31:58,380
+لأن الـ Budget كمان لازم تكون في الـ Proposal، إنه
+
+415
+00:31:58,380 --> 00:32:02,920
+أنا بكون كاتب، كل شغل أنا بدأ أدفعها، بتكون
+
+416
+00:32:02,920 --> 00:32:08,320
+مكتوبة، جمع العينات بتكلفني 100 دولار،بدأ أجيب كت
+
+417
+00:32:08,320 --> 00:32:12,140
+مايكو ألبوم نيوريا بده يكلفني 500، بدأ أجيب هرمونز
+
+418
+00:32:12,140 --> 00:32:16,200
+وجيناتيك برايمر معين لجيل معين بده يكلفني 800
+
+419
+00:32:16,200 --> 00:32:20,220
+دولار، بدأ أجيب كتات شوجر ويورو وكرياتينين واللي
+
+420
+00:32:20,220 --> 00:32:26,690
+بده profile بده يكلفني 300 دولاربحثهم بدي مواصلات
+
+421
+00:32:26,690 --> 00:32:31,750
+وبدي تصالات مليون دولار وبدي طباعة للأبحاث وطباعة
+
+422
+00:32:31,750 --> 00:32:37,210
+الاستبيانات وكمان طباعة نسخة للمناقشين والمشرف بدي
+
+423
+00:32:37,210 --> 00:32:41,650
+500 دولار وبكتب الـ Total Budget بتكون مكتوبة في
+
+424
+00:32:41,650 --> 00:32:45,510
+الآخر في الـ Design اللي أحنا شايفينه في عند ما
+
+425
+00:32:45,510 --> 00:32:51,210
+يسمى بالبحث بعد ما أخلص تقديم ال proposal وأخد
+
+426
+00:32:51,210 --> 00:32:57,510
+عليه موافقةوأبدأ جمع العينات أول 10 عينات بجمعهم
+
+427
+00:32:57,510 --> 00:33:01,910
+أو 10% من قيمة الـ Sample Size لو كان عندي 200
+
+428
+00:33:01,910 --> 00:33:05,150
+عينا أنا بدي أسحب بدي أخد 20 عينا و بعمل عليهم
+
+429
+00:33:05,150 --> 00:33:09,850
+Pilot Study وما يسمى بالعينا الاستطلاعية أو
+
+430
+00:33:09,850 --> 00:33:14,150
+الدراسة الاستطلاعية هذه بالظبط بتفيدنا الـ Pilot
+
+431
+00:33:14,150 --> 00:33:17,730
+Study الـ Pilot Study بتفيدنا في عدة أمور أول حد
+
+432
+00:33:17,730 --> 00:33:22,030
+أنا بشوف هل في عندي الفرضية اللي أنا افترضتها في
+
+433
+00:33:22,030 --> 00:33:28,060
+البحثفي relation هل هي صح ولا مش صح الشغل التاني
+
+434
+00:33:28,060 --> 00:33:35,260
+بتساعد الباحث أنه ممكن حد أثناء جمع العينات العشرة
+
+435
+00:33:35,260 --> 00:33:41,480
+الأولى يديه اختراح معين يقوله أي فكرة معينة اتقلل
+
+436
+00:33:41,480 --> 00:33:46,020
+عنده الواجت ويزيد chance انه يحصل على ناس هو عينته
+
+437
+00:33:46,020 --> 00:33:52,570
+الدراسة بسرعة الشغل اللي بعدهافأشوف هل في بيانات
+
+438
+00:33:52,570 --> 00:33:57,330
+محددة من اللي أنا بلمها مش هتستخدم في البحث يعني
+
+439
+00:33:57,330 --> 00:34:03,370
+لو أجينا مثلا قولنا للناس هل تلقيت دواء تدريبية في
+
+440
+00:34:03,370 --> 00:34:09,250
+بنوك الدم وبعدين اللي قال نعم كنا حاطين تحته خط
+
+441
+00:34:09,250 --> 00:34:13,330
+أنه يكتب أيش الدواء التدريبيةفأنا بعب في الاستبانة
+
+442
+00:34:13,330 --> 00:34:16,970
+وجدت كل واحد بيدينا دورة غير عن التاني، لأن هذه
+
+443
+00:34:16,970 --> 00:34:20,810
+البيانات مش كلها نفس المجال، فبالتالي بقول في
+
+444
+00:34:20,810 --> 00:34:23,910
+الآخر إن أسماء دورات كتيرة وكل واحد بيدينا أسماء
+
+445
+00:34:23,910 --> 00:34:26,770
+عشر إلى خمس عشر دور أخدهم قبل هيك، إيش بدي أفعل
+
+446
+00:34:26,770 --> 00:34:29,990
+فيهم هدول؟، فبالتالي ما بلزمني، بلزمني هل هو أخد
+
+447
+00:34:29,990 --> 00:34:33,210
+ال training program أو لا، وأكم ساعة هو أخد بالظبط
+
+448
+00:34:33,210 --> 00:34:36,650
+ال training program اللي كان موجود، لأن أهداف
+
+449
+00:34:36,650 --> 00:34:40,670
+الدراسة ما كان فيها شيء يتعلق بنوعية ال training
+
+450
+00:34:40,670 --> 00:34:44,620
+program اللي أخده،فبالتالي السؤال هذا حدد نوع
+
+451
+00:34:44,620 --> 00:34:47,760
+الضواط ما اللي لازم بشيله أو في ناس بقولك والله
+
+452
+00:34:47,760 --> 00:34:50,780
+عندي ضواط كتير بس إيش أسميهم بالظبط من الذاكر يعني
+
+453
+00:34:50,780 --> 00:34:54,000
+أنا أخد عشر ضواط بس والله أسميهم أنا نسيت جالي
+
+454
+00:34:54,000 --> 00:34:57,580
+واحدة أو تنتين وكان ناسي الباقي فصعب تحديدها أو
+
+455
+00:34:57,580 --> 00:35:03,520
+صعب قياسها فبالتالي بأجوم حاذف هذا السؤال اللي هو
+
+456
+00:35:03,520 --> 00:35:08,380
+حدد النوع و باكتفي بعدد الساعات اللي هو أخدها كمان
+
+457
+00:35:08,380 --> 00:35:13,860
+ممكن أن ال biological studyتقلل عندي عدد المشاكل
+
+458
+00:35:13,860 --> 00:35:18,280
+الغير متوقعة يعني المشاكل الغير متوقعة أنه أنا في
+
+459
+00:35:18,280 --> 00:35:21,580
+عندي شغلة ماكنتش متوقعها أنها تكون أو الناس
+
+460
+00:35:21,580 --> 00:35:25,480
+يتضايقوا منها و بدأت أعب في الاستبانات و لاحظت
+
+461
+00:35:25,480 --> 00:35:29,660
+أنها بالسبب للناس نوع من المضايقات أو الناس مش حاب
+
+462
+00:35:29,660 --> 00:35:34,060
+السؤال هذا حسبني المثال أنه قداش دخلك في الوضع
+
+463
+00:35:34,060 --> 00:35:39,430
+الحالي اللي دخله كويسبخاف من الحسد واللي دخله قليل
+
+464
+00:35:39,430 --> 00:35:44,890
+بيستحقوله فبالتالي بقوله هل دخلك أقل من 1450 شكل
+
+465
+00:35:44,890 --> 00:35:49,830
+ولا أكثر أنا بحط Range للناس ممكن تكون أسهل للناس
+
+466
+00:35:49,830 --> 00:35:57,170
+في تعبئة وي القياس ناخد مثال أن كيف ال pilot study
+
+467
+00:35:57,170 --> 00:36:02,250
+بتقلل المشاكل الغير متوقعة أنه أنا باجي بعب
+
+468
+00:36:02,250 --> 00:36:06,510
+الاستبانةوباخد كل هذه البيانات وبجيب أسحب من ال
+
+469
+00:36:06,510 --> 00:36:10,430
+patient العينة، بقدرش أسحب منه عينة blood، لصعوبة
+
+470
+00:36:10,430 --> 00:36:14,150
+في سحب العينة، ممكن يكون obeseفبالتالي في الـ Bios
+
+471
+00:36:14,150 --> 00:36:18,150
+Study بقوله عن البحث و بقوله عن كل الأشياء هذه قبل
+
+472
+00:36:18,150 --> 00:36:20,630
+ما أسأله كم الأسئلة الكبيرة و أجبض معاه نص ساعة
+
+473
+00:36:20,630 --> 00:36:24,390
+أعبي منه استبانة و بعدين ماقدرش أجيب عينة blood لأ
+
+474
+00:36:24,390 --> 00:36:27,850
+ببدأ بسحب عينة ال blood في الأول و بعد عينة ال
+
+475
+00:36:27,850 --> 00:36:31,510
+blood ما أسحبها ممكن أقعد أنا ويا و أبدأ أسحب منه
+
+476
+00:36:31,510 --> 00:36:36,850
+العينة أو أبدأ أعبي منه الاستبانة لأنه كمانلو أنا
+
+477
+00:36:36,850 --> 00:36:40,210
+بسأل فيه، طالما أنه عارف بعد كل هذه الأسئلة أن أنا
+
+478
+00:36:40,210 --> 00:36:43,290
+بتاخد منه عين طبلات، بظل و أنا بسأل فيه، بفكر في
+
+479
+00:36:43,290 --> 00:36:46,310
+العينة، هو بتسحب مني عينة، هو يعرف يسحب أو لا يعرف
+
+480
+00:36:46,310 --> 00:36:49,330
+يسحب، طالما أن أنا أخدتها في الأول، و بعدين قعدت
+
+481
+00:36:49,330 --> 00:36:52,770
+أسأله، فبالتالي بيكون الأمر أسهل، و بنقل الكثير من
+
+482
+00:36:52,770 --> 00:36:56,330
+المشاكل اللي تكون موجودة، و لو ماقدرش أسحب عينة،
+
+483
+00:36:56,330 --> 00:37:02,840
+باعتذر كمان عن تعبئة الاستبانة.لأنه لما أعتذر عن
+
+484
+00:37:02,840 --> 00:37:06,900
+تعبت الاستبانة وماكنتش أسحب فأكون أنا قللت الوقت
+
+485
+00:37:06,900 --> 00:37:11,020
+المستهلك وقللت الفلوس اللي أنا فيها عند استباني
+
+486
+00:37:11,020 --> 00:37:15,600
+عبيتها وخسرتها وممكن
+
+487
+00:37:15,600 --> 00:37:20,750
+ال pilot studyوحدة يقوللي ممكن لو انت مش جاهز تسحب
+
+488
+00:37:20,750 --> 00:37:24,270
+العينات، في عندنا فني معين ان هو ممكن يسحبها
+
+489
+00:37:24,270 --> 00:37:28,050
+بدائلك لو انت تتغلبت فيهم، بالتالي بيكون أعطاني
+
+490
+00:37:28,050 --> 00:37:33,010
+بدائل موجودة للبحث، وممكن حد تاني يقوللي أنا بعبي
+
+491
+00:37:33,010 --> 00:37:36,590
+معاك الاستبانة وانت اسحب عينات ال blood، يبقى ال
+
+492
+00:37:36,590 --> 00:37:40,290
+patient اللي انت تسحب منه عينات سلمني انا بعبي منه
+
+493
+00:37:40,290 --> 00:37:43,450
+الاستبانة، او فن المختبر في المستشفى يقولك أنا
+
+494
+00:37:43,450 --> 00:37:47,150
+بسحبلك العينات، بس انت عبي الاستباناتالخاصة فيه
+
+495
+00:37:47,150 --> 00:37:50,090
+كما احنا سحبين عينات سحبين عينات فبالتالي بيكون
+
+496
+00:37:50,090 --> 00:37:53,830
+عندنا عدة مدائل بتكون عندنا موجودة من خلال ال
+
+497
+00:37:53,830 --> 00:37:59,030
+pilot study بنكتشفهاوممكن الـ pilot study إذا
+
+498
+00:37:59,030 --> 00:38:02,650
+مافيش أي تغيير على الاستبانة أضل أجمع العينات وإذا
+
+499
+00:38:02,650 --> 00:38:06,310
+طرأ أي تغيير على الاستبانة حظف أسئلة أو إضافة
+
+500
+00:38:06,310 --> 00:38:10,870
+أسئلة أو أي شيء تاني أننا نحذف هذه العينات لأن في
+
+501
+00:38:10,870 --> 00:38:14,330
+عندي متغيرات أنظفتها ومش موجودة في الاستبيانات
+
+502
+00:38:14,330 --> 00:38:20,650
+العشر الأولى اللي أنا عبيته وال pilot study بتُكتب
+
+503
+00:38:20,650 --> 00:38:27,060
+في ال methodology وكذلك أن ال pilot studyالمشارفين
+
+504
+00:38:27,060 --> 00:38:30,240
+كلهم بيأكدوا عليها، ولكن أحيانًا الطالب مع العجل
+
+505
+00:38:30,240 --> 00:38:33,500
+بس بدي يخلص، بعملش ال Biological Study، باتفاجأ
+
+506
+00:38:33,500 --> 00:38:36,120
+بعد ما لم كل هذه البيانات أنه في عنده بعض ال
+
+507
+00:38:36,120 --> 00:38:39,340
+variables المفروض لمهم، لأنه ما راح أخد ال
+
+508
+00:38:39,340 --> 00:38:41,680
+Biological Study وعملها أحصى، وشاف النتائج
+
+509
+00:38:41,680 --> 00:38:45,460
+المبدئية، لأ البحث، هو دلوا يجمعوا المية عينة،
+
+510
+00:38:45,460 --> 00:38:48,580
+وبعد المية عينة، اتفاجأوا أنه فيه objective معين
+
+511
+00:38:49,120 --> 00:38:53,020
+ولازم يجيز فيه Variable معين والـ Variable هذا مش
+
+512
+00:38:53,020 --> 00:38:55,720
+موجود. لو من الأول عمل الاختبارات الأحصائية
+
+513
+00:38:55,720 --> 00:38:58,740
+والتحليل الأحصائي للـ Biological Study كان هو
+
+514
+00:38:58,740 --> 00:39:03,260
+اكتشف إنه في عنده خلل في البحث وتصميم البحث، اكتشف
+
+515
+00:39:03,260 --> 00:39:06,980
+إنه في عنده جداول لازم أضيفها، ولازم أضيف متغيرات،
+
+516
+00:39:06,980 --> 00:39:11,360
+لكي يكون وفر كتير من الوقت والجهد أيضًا، اللي هو
+
+517
+00:39:11,360 --> 00:39:14,700
+الـ Band الخامس. في عندنا ما يُطلَق عليه الـ
+
+518
+00:39:14,700 --> 00:39:19,210
+Preconception الـ Framework هوعنا في العلوم الصحية
+
+519
+00:39:19,210 --> 00:39:23,670
+بيكونش موجود في أبحاثنا ولكن في بعض العلوم الأخرى
+
+520
+00:39:23,670 --> 00:39:27,690
+بيكون موجود اللي هو المخطط تبع البحث مخطط البحث
+
+521
+00:39:27,690 --> 00:39:31,210
+بيكون مرسوم الفرضيات والـobjective بتاعة البحث
+
+522
+00:39:31,210 --> 00:39:36,230
+كلها على شكل مخطط اللي بتطلع المخطط هذا بعرف إيش
+
+523
+00:39:36,230 --> 00:39:39,290
+الأهداف وإيش الـtitle وإيش ال hypothesis وإيش
+
+524
+00:39:39,290 --> 00:39:42,790
+research questionلأنه بيكون كل المتغيرات اللي
+
+525
+00:39:42,790 --> 00:39:46,750
+موجودة، هذه موجودة فيه، بقدر كمان من خلال الـ
+
+526
+00:39:46,750 --> 00:39:52,170
+Conceptual Framework يتوقع ما هي نتائج البحث أو
+
+527
+00:39:52,170 --> 00:39:56,790
+إيش اللي الباحث كان دور عليه في دراسته، من الـ
+
+528
+00:39:56,790 --> 00:40:01,120
+Title ومن أشياء أخرى.هي عندنا مثال لو طلعنا إنه
+
+529
+00:40:01,120 --> 00:40:04,660
+احنا بيه عندنا congenital heart disease الـ
+
+530
+00:40:04,660 --> 00:40:07,260
+congenital heart disease موجود في النصر وموجود
+
+531
+00:40:07,260 --> 00:40:10,020
+عندنا عدة متغيرات الـ environment والـ genetic
+
+532
+00:40:10,020 --> 00:40:13,020
+factor والـ healthy surface والـ material
+
+533
+00:40:13,020 --> 00:40:16,960
+variables كل هذه المتغيرات موجودة حول الـ
+
+534
+00:40:16,960 --> 00:40:20,760
+congenital heart defect الـ congenital heart
+
+535
+00:40:20,760 --> 00:40:23,700
+defect اللي موجود أول ما أطلع في الـ framework
+
+536
+00:40:23,700 --> 00:40:28,800
+بقول إنهالباحث كان بيضغط risk factor للـ
+
+537
+00:40:28,800 --> 00:40:31,360
+congenital heart defect أو الـ congenital heart
+
+538
+00:40:31,360 --> 00:40:36,460
+disease among Palestinian children فبالتالي بكون
+
+539
+00:40:36,460 --> 00:40:40,690
+توقعت إيش ال titleحاجة تانية، بكون عارف إن
+
+540
+00:40:40,690 --> 00:40:44,590
+الاستيبان تعته احتوى على أسئلة في الـ Environment،
+
+541
+00:40:44,590 --> 00:40:48,210
+أسئلة في الـSocial Demographic Data، اتضمنت الـ
+
+542
+00:40:48,210 --> 00:40:50,730
+Age of Mother، اتضمنت كمان عندنا الـ Genetic
+
+543
+00:40:50,730 --> 00:40:54,710
+Factor، ممكن يكون عمل بعض الفرصات الجينية، اتضمنت
+
+544
+00:40:54,710 --> 00:40:59,050
+كل الخدمات الصحية المقدمة، واتضمنت كمان المتغيرات
+
+545
+00:40:59,050 --> 00:41:01,790
+الخاصة بالأم، هل في عندها سُكر، هل عندها
+
+546
+00:41:01,790 --> 00:41:06,240
+Infection، هل هي obese ولا مش obese.كمان وضّحت مين
+
+547
+00:41:06,240 --> 00:41:10,520
+بأثر على مين الـ Conceptual Framework وضّح كمان
+
+548
+00:41:10,520 --> 00:41:15,160
+إنه المتغيرات الخاصة بالـ M لها علاقة بالخدمات
+
+549
+00:41:15,160 --> 00:41:22,000
+الطبية أو الصحية المقدمة والعكس كمان وضّح إنه الـ
+
+550
+00:41:22,000 --> 00:41:27,780
+Genetic Factor ممكن تؤثر مباشرة على الـ Congenital
+
+551
+00:41:27,780 --> 00:41:31,660
+Heart Disease ولكن مافيش بينها وبين الـ Health
+
+552
+00:41:31,660 --> 00:41:36,480
+Surface أي رابطزي ما الرابط اللي موجود ما بين
+
+553
+00:41:36,480 --> 00:41:39,980
+المتغيرين اللي أمامنا اللي هو الـ Maternity
+
+554
+00:41:39,980 --> 00:41:43,620
+Variable و الـ Health Surface وكمان مضح أنه ما بين
+
+555
+00:41:43,620 --> 00:41:46,180
+الـ Genetic Factor و الـ Sociodemographic Data
+
+556
+00:41:46,180 --> 00:41:50,640
+مافيش أي ترابط في أهداف الدراسة فبالتالي ممكن يوضع
+
+557
+00:41:50,640 --> 00:41:53,880
+الفرضيات من خلال الـ Conceptual Framework وممكن
+
+558
+00:41:53,880 --> 00:41:56,660
+يوضع من خلال الـ Conceptual Framework الـ Research
+
+559
+00:41:56,660 --> 00:42:00,580
+Question والـ Title وكل الأشياء المتعلقة بالبحث
+
+560
+00:42:00,580 --> 00:42:06,400
+يقدر يعرفها الباحثفهو تياجران بيكون موجود أو فيديو
+
+561
+00:42:06,400 --> 00:42:10,800
+مورد بيكون موجود بيلخص إنه مجريات البحث كلهيتها
+
+562
+00:42:10,800 --> 00:42:17,460
+وبيساعد في تصميم الاستبانة بكل سهولة سنكتفي بهذا
+
+563
+00:42:17,460 --> 00:42:21,840
+القطر في هذا الجزء فتمنى لكم التوفيق ونسأل الله عز
+
+564
+00:42:21,840 --> 00:42:26,600
+وجل لكم مفورة الصحة والعافية والسلام عليكم ورحمة
+
+565
+00:42:26,600 --> 00:42:27,940
+الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6812a7c98696dd6836e3ab90d64c9c25b61172e
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_postprocess.srt
@@ -0,0 +1,1224 @@
+1
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+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
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+2
+00:00:08,040 --> 00:00:12,900
+الله وعلى آله وصحبه ومن اهتدى بهداه قولّابنا
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+3
+00:00:12,900 --> 00:00:19,120
+الأفاضل زملائنا الأعزاء السلام عليكم ورحمة الله
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+4
+00:00:19,120 --> 00:00:25,120
+وبركاته هيكون موضوع اللقاء ان شاء الله على برنامج
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+5
+00:00:25,120 --> 00:00:32,580
+agramarly هو برنامج خاص بالتدقيق الإملائي على ملف
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+6
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+ال worldهنتكلم كمان على برنامج الـ EndNote وهو
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+7
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+برنامج خاص بالـ Reference كيف أحنا نستخدمه هنتكلم
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+8
+00:00:43,780 --> 00:00:48,780
+على Tools للـ Paraphrase سواء كانت Online أو هذه
+
+9
+00:00:48,780 --> 00:00:54,640
+الأدوات ممكن أحنا نستخدمها من خلال البرامج اللي
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+10
+00:00:54,640 --> 00:00:59,440
+موجودة على الـ Word نفسه أيضًا سيتم الحديث على آلة
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+11
+00:00:59,440 --> 00:01:05,590
+كتابة الـ Proposalوكيف احنا نقدمه كـ PowerPoint
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+12
+00:01:05,590 --> 00:01:11,730
+أمام لجنس التحكيم يوم مناقشة خطة البحث وآخر شيء،
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+13
+00:01:11,730 --> 00:01:15,030
+هنتكلم على الـ Assignment الأول اللي هو الـ
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+14
+00:01:15,030 --> 00:01:21,830
+Proposal برنامج Grammarly هو برنامج موجود Online
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+15
+00:01:21,830 --> 00:01:28,590
+ممكن احنا نثبته على الجهاز من خلال الرابط اللي
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+16
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+مكتوب أو نكتب على GoogleIgramarly بعدين بروح
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+ابنختار أنه بدنا نثبته على ال office أو على ال
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+19
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+موجودة على الحاسوب أو ال laptop أو ال desktop لأنه
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+20
+00:01:50,100 --> 00:01:55,500
+ما بتم تثبيته إذا كان أي ملف office أو word مفتوح
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+21
+00:01:55,500 --> 00:02:02,890
+على الجهاز بعد ما نختار الأيقونةببدأ يتم تثبيت
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+22
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+البرنامج اللي موجود وبنمشي على process next next
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+00:02:07,090 --> 00:02:14,870
+حتى يتم تثبيته بعد ما يتم تثبيته بروح على ملف ال
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+24
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+word نفسه اللي موجود في الأعلى مكتوب اغرامالي
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+25
+00:02:18,950 --> 00:02:26,390
+بنبدأ هنا نقوله ابدأ ابحث وشوف وين اللي موجود ببدأ
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+هو يبحث وإذا بدأ ساكره بكتب close البرنامجهو بيبدأ
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+يبحث هي كلمة social demographic data بدها تعديل هي
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+كلمة qualification بدها تعديل هي كلمة course بدها
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+29
+00:02:40,380 --> 00:02:45,420
+تعديل هي كلمة NASA study بيبدأ يحطلنا أيش الخطوط
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+الحمراء اللي موجودة على الكلمات لو أجينا من ناحية
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+ببدأ يبحث ويعمل شك على ملف الـ Word اللي موجود
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+بنيجي أول حاجة حيث عندنا أول كلمة خطأ بنضغط بنشوف
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+أيش الأشياء أو أيش الكلمات اللي ممكن نختار منهم
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+أول ما بضغط عليها زي هيك بتتعدل الكلمة بعد ذلك
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+42
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+43
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+في الملفات لو ضلنا ماشيين على الكلمات هنا بقولنا
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+هنا بدل ما تكتب number of nails اكتب several أو
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+45
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+someأو money يعني هو بيجيبولنا مقترحات بدل الكلمات
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+كيف نستخدم برنامج Grammarly هو برنامج بيساعد كتير
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+48
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+في التطبيق الإملائي ويجب ان نكون مخدين بأنه أثناء
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+49
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+بدنا نكون احنا على الطلع تام بأنه يكون كل كلمة
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+paragraph اللي بتكتبوها لأي assignment في أي مصاد
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+جداً في كتابة المراجع بوفر كثير من الوقت والجهد
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+بياخد شوقت فيه كمان بطلب منه Key يكون موجود أو
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+على البرنامج بروح فاتحين Google Scholar وبنضغط على
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+74
+00:06:34,650 --> 00:06:39,910
+Google Scholar وبنقول له بدنا أنسولين والأنسولين
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+75
+00:06:39,910 --> 00:06:46,150
+الريسبتر بعد
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+76
+00:06:46,150 --> 00:06:49,230
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+الريسبترمثلًا انا بدي اخد البحث اللي موجود أمامنا
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+79
+00:07:00,850 --> 00:07:03,990
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+00:07:03,990 --> 00:07:08,230
+على صفحة world نكتب chapter واحد introduction and
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+81
+00:07:08,230 --> 00:07:13,470
+overview بنعملهم كلهم خط 14 بنختار نوع الخط
+
+82
+00:07:13,470 --> 00:07:18,170
+وبنعملهم bold بنخلي chapter واحد و introduction
+
+83
+00:07:19,140 --> 00:07:22,860
+موجودة في الوسط بنعملهم توصيت وبعدين بنقول واحد
+
+84
+00:07:22,860 --> 00:07:29,120
+لواحد ال overview في فقهة احنا أخدناها بدنا نلصقها
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+85
+00:07:29,120 --> 00:07:33,760
+سابقا أخدناها من البحث هي أن التعريف اللي موجود
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+86
+00:07:33,760 --> 00:07:41,200
+على سبيل المثال أخدناه copy وبدنا نضيفه على الصفحة
+
+87
+00:07:41,200 --> 00:07:48,340
+اللي موجودة دائما تبعد الأسطورة في التنسيق 1.5 نوع
+
+88
+00:07:48,340 --> 00:07:53,440
+الخطTime in Euroman وبكون مكتوب عندنا في البحث حقم
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+89
+00:07:53,440 --> 00:07:57,300
+12 باللاحظ ان هنا التنتين هدول أسجين في بعض لو
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+90
+00:07:57,300 --> 00:08:02,520
+بنبعدهم ممكن نيجي هنا ونقوله بعد before و after
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+91
+00:08:02,520 --> 00:08:06,700
+اللي هو بنضيف على سبيل المثال 6 و 6 او 12 و 12
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+92
+00:08:06,700 --> 00:08:11,660
+عشان يكون قبلها و بعدها يكون اتبعدوا عن بعض بنضيف
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+93
+00:08:11,660 --> 00:08:16,310
+الحينالمرجع لو بدنا نخليها على جبال الواحد بالظبط
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+94
+00:08:16,310 --> 00:08:21,470
+بنحركها من هنا أو بنخليها زي قبل مش اي مشكلة نفس
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+95
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+المرجع اللي احنا اخدناه بدنا نضيفه و نكتبه في
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+97
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+double كمه على ال site او على ال citation هنا
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+98
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+101
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+113
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+النسخة السادسة حتى في الجامعة بعتمدوا أنه أول مرة
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+114
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+119
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+120
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+127
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+131
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+132
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+138
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+design السابق بنختار النسخة السادسة بيعود لحاله
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+143
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+كيف ممكن نعمل citation من ال end note هيا عندنا
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+articles تاني انا مبتقدس منه بنيجي هنا على ال end
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+148
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+149
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+قواعد بنكتب أول حاجة ال definition وبعدين ال
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+prevalence وبعدين فنضلنا نكتب فيه ال risk factor
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+154
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+00:17:57,600 --> 00:18:02,840
+Methods ولو بلاحظين أنه Chapter 2 مش موجود في
+
+223
+00:18:02,840 --> 00:18:08,260
+الأشياء اللي احنا اتكلمنا عنها لأن الـ Related
+
+224
+00:18:08,260 --> 00:18:13,140
+Study لا تعرض في خلال الـ Presentation الخاص بالـ
+
+225
+00:18:13,140 --> 00:18:19,920
+Proposal ما يتم عرضه اللي هو صفحة الغلاف Chapter 1
+
+226
+00:18:19,920 --> 00:18:25,340
+و Chapter 3Chapter 1 أنا بكتب مقدمة بسيطة بكتب الـ
+
+227
+00:18:25,340 --> 00:18:28,640
+Objective و بكتب الـ Significant و Chapter 3 الـ
+
+228
+00:18:28,640 --> 00:18:32,160
+Materials and Methods بنكتب الـ Study Design و
+
+229
+00:18:32,160 --> 00:18:34,700
+Part of the Population و الـ Sample Size و الـ
+
+230
+00:18:34,700 --> 00:18:37,860
+Sampling و الـ Exclusion الكارتيريا الـ Exclusion
+
+231
+00:18:37,860 --> 00:18:40,280
+المقصود فيها أشياء بتعمل لعندي Confounding
+
+232
+00:18:40,280 --> 00:18:43,320
+فبالتالي بدي أستثنيهم Ethical Consideration
+
+233
+00:18:43,320 --> 00:18:47,430
+اتكلمنا عنهم الـ Data Collectionالـ Questionnaire
+
+234
+00:18:47,430 --> 00:18:51,710
+إذا بدى اعمل Interview نوع العينات اللى بدى أسحبهم
+
+235
+00:18:51,710 --> 00:18:54,630
+وإيش الأدوات اللى بدى أستخدمهم وإيش الأختبارات
+
+236
+00:18:54,630 --> 00:18:58,870
+الأفسرية اللى أنا بدي أعملها فالـ slide الأولى
+
+237
+00:18:58,870 --> 00:19:02,990
+بنكتب العنوان واسم الباحث واسم المشرف هذا بالنسبة
+
+238
+00:19:02,990 --> 00:19:05,970
+لل slide الأولى في ال presentation بعدين قولنا
+
+239
+00:19:05,970 --> 00:19:09,850
+بنبدأ بال independent اللى بدأنا فيه بنقول تعريفه
+
+240
+00:19:10,420 --> 00:19:13,400
+بنحكي إذا في أنواع موجودة منه و لا لأ اللي هو type
+
+241
+00:19:13,400 --> 00:19:18,180
+1 و type 2 بنقول إذا في أيه عندى كانت prevalence
+
+242
+00:19:18,180 --> 00:19:23,020
+أو كان عندى موجود pathology أو pathogenesis أو
+
+243
+00:19:23,020 --> 00:19:26,200
+diagnosis أو complication ولكن لو حسيتهم طوالة
+
+244
+00:19:26,200 --> 00:19:29,800
+شوية بناخد أهم الأشياء فيهم أنا بتتكلم عن ال
+
+245
+00:19:29,800 --> 00:19:32,640
+complication على سبيل المثال فممكن أحكي مباشرة عن
+
+246
+00:19:32,640 --> 00:19:35,620
+ال complication بس لازم أكون عارف لو ان سألت في ال
+
+247
+00:19:35,620 --> 00:19:38,910
+prevalence أكون أنا عارفها و أجاوبهابعدين بنبدأ
+
+248
+00:19:38,910 --> 00:19:41,890
+بالـ Dependent وبنسينا نتكلم عنه، إيش تعريفه؟ إيش
+
+249
+00:19:41,890 --> 00:19:44,870
+ال prevalence بتاعته؟ إذا موجود عندنا؟ إيش كمان
+
+250
+00:19:44,870 --> 00:19:47,250
+كان موجود عندنا؟ إذا في عندنا pathogenesis،
+
+251
+00:19:47,250 --> 00:19:50,630
+pathology، complication؟ نحكي كل واحد لو سطر واحد
+
+252
+00:19:50,630 --> 00:19:55,290
+بكفي في slide أو اتنين على أساس أنها تكون المقدمة
+
+253
+00:19:55,290 --> 00:19:59,630
+لازم تجاوز من خمسة إلى ستة slides. أنا انتجل على
+
+254
+00:19:59,630 --> 00:20:01,830
+ال objective ال general objective و ال specific
+
+255
+00:20:01,830 --> 00:20:05,190
+objective و أحكيهم و أكتب بعدهم ال significant of
+
+256
+00:20:05,190 --> 00:20:09,780
+study. بعدين بنبدأبالـ Material و الـ Method أو
+
+257
+00:20:09,780 --> 00:20:15,420
+الـ Subjects and Methods بنكتب فيها Study Design و
+
+258
+00:20:15,420 --> 00:20:18,580
+Study Population بعدها بنتكلم عن الـ Sample Size و
+
+259
+00:20:18,580 --> 00:20:21,240
+إذا أنا جسمتهم لجروب و من ال case و من ال control
+
+260
+00:20:21,240 --> 00:20:23,220
+بعدين بتكلم عن ال sampling و ال ethical
+
+261
+00:20:23,220 --> 00:20:27,140
+consideration و ال exclusion of criteria و ال data
+
+262
+00:20:27,140 --> 00:20:30,240
+collection بعدين بحكيش في حصات اللي أنا بدي أعملها
+
+263
+00:20:30,240 --> 00:20:34,340
+للبحثوهل هذه الفحوصات كانت في الـ serum ولا في ال
+
+264
+00:20:34,340 --> 00:20:37,100
+urine أو أيش ال sample اللي انا بدي أخدها وإذا أنا
+
+265
+00:20:37,100 --> 00:20:39,720
+عندي أي معادلات بدي أستخدمهم أو أي calculation
+
+266
+00:20:39,720 --> 00:20:44,120
+بكون كاتبهم بعدين بكتب الإختبارات الأحصائية اللي
+
+267
+00:20:44,120 --> 00:20:49,480
+انا بدي أستخدمها في تحليل البيانات وآخر شيء بقولهم
+
+268
+00:20:49,480 --> 00:20:54,340
+thank you و بشكرهم لو وجودهم في لجنة المناقشة بكذا
+
+269
+00:20:54,340 --> 00:20:58,380
+الواحد شكرا لهموهيك بيكون تم عرض أمام لجنة
+
+270
+00:20:58,380 --> 00:21:03,340
+المناقشة كل ما يتعلق بالـ Proposal وأهم النقاط فيه
+
+271
+00:21:03,340 --> 00:21:08,000
+وأحياناً ممكن المشرف يطلب مننا إضافة الـ Budget
+
+272
+00:21:08,000 --> 00:21:10,860
+اللي كنا كتبينها قبل شويه وتكلمنا عنها الجدول
+
+273
+00:21:10,860 --> 00:21:14,520
+بنضيفه ال slide وبنضيف الخطة أن أنا بدأ أبدأ من
+
+274
+00:21:14,520 --> 00:21:19,820
+شهر أكتوبر 2020 وبدأ انت شهر مايو 2021 كمان بنضيفه
+
+275
+00:21:19,820 --> 00:21:23,560
+في ال slides الأخيرةوفي بعض المشرفين بطلب ان نكتب
+
+276
+00:21:23,560 --> 00:21:26,760
+reference لو احنا استخدمنا reference ولكن على أرجح
+
+277
+00:21:26,760 --> 00:21:30,260
+مافيش حد بكتبها بس هو الصح انها تكون موجودة لو
+
+278
+00:21:30,260 --> 00:21:35,940
+استخدمناها وكتبناها بكون أفضل احنا هيك وخلصنا
+
+279
+00:21:35,940 --> 00:21:42,340
+الجزء الأول اللي بتعلق ب research methodology
+
+280
+00:21:42,340 --> 00:21:48,380
+اتكلمنا فيه عن chapter 1 و2 و3 وكل ما يتعلق فيهم
+
+281
+00:21:49,520 --> 00:21:52,900
+وهنبدأ ان شاء الله من المحاضرة القادمة في جزئية
+
+282
+00:21:52,900 --> 00:21:55,860
+الـ Biostatistics ولكن قبل ما نبدأ في الـ
+
+283
+00:21:55,860 --> 00:21:59,360
+Biostatistics بنذكركم أنكم انتم تبدوا تكتبوا في ال
+
+284
+00:21:59,360 --> 00:22:05,100
+proposal مطلوب مننا أننا نبدأ نكتب في ال proposal
+
+285
+00:22:05,100 --> 00:22:09,560
+وهو ال assignment الأول في الجزء الأول اللي هو
+
+286
+00:22:09,560 --> 00:22:14,720
+research methods ونسلم ال proposal خلال شهر من
+
+287
+00:22:14,720 --> 00:22:17,920
+تاريخ المحاضرة الحالية
+
+288
+00:22:20,380 --> 00:22:24,000
+الـ Proposal خلصنا جزئي الخاص بي الـ Research
+
+289
+00:22:24,000 --> 00:22:27,460
+Methods وحنبدأ إن شاء الله من الأسبوع القادم في
+
+290
+00:22:27,460 --> 00:22:31,440
+جزئية الأحصاء كتابة
+
+291
+00:22:31,440 --> 00:22:35,660
+الـ Proposal هو الـ Assignment الأول في هذا المساق
+
+292
+00:22:35,660 --> 00:22:39,640
+وحكينا في بداية المساق أنه على الـ Proposal وتقييم
+
+293
+00:22:39,640 --> 00:22:43,380
+الـ Proposal عشر عالمات من مية الـ Proposal
+
+294
+00:22:43,380 --> 00:22:47,440
+المطلوب تسليمه خلال شهر ما هنسيبك في كتابة الـ
+
+295
+00:22:47,440 --> 00:22:52,560
+Proposalهننزل تلات فيديوهات لكل chapter كيف تبدأ
+
+296
+00:22:52,560 --> 00:22:56,420
+تكتب فيه فبدك تتبع هذه الفيديوهات أو تتبع هذه
+
+297
+00:22:56,420 --> 00:23:00,400
+الفيديوهات و تبدأ تكتبي أول بأول معاهم و ان شاء
+
+298
+00:23:00,400 --> 00:23:04,160
+الله ما هيستغرق معاك وقت أي حد بيلاقي أي صعوبة
+
+299
+00:23:04,160 --> 00:23:09,020
+ممكن يتواصل معنا و احنا ان شاء الله ما هنقصر معاه
+
+300
+00:23:09,020 --> 00:23:12,340
+بكون سعيد جدا بالرد على استفساراتكم و المتابعة
+
+301
+00:23:12,340 --> 00:23:17,480
+معاكم في كتابة ال proposalبهيك بنكون أنهينا الجزء
+
+302
+00:23:17,480 --> 00:23:20,760
+الأول من مصاد research methodology and
+
+303
+00:23:20,760 --> 00:23:24,040
+biostatistics واخدنا كل ما يتعلق بال research
+
+304
+00:23:24,040 --> 00:23:27,540
+methodology وان شاء الله نلقاكم من الأسبوع القادم
+
+305
+00:23:27,540 --> 00:23:31,480
+في ال bio statistic نتمنى لكم التوفيق والسلام
+
+306
+00:23:31,480 --> 00:23:33,840
+عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..0a07a73df9be9c19c697271ff40af78e7d455202
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.json
@@ -0,0 +1 @@
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"end": 1402.92, "word": " ما", "probability": 0.94775390625}, {"start": 1402.92, "end": 1403.54, "word": " يتعلق", "probability": 0.9871826171875}, {"start": 1403.54, "end": 1403.74, "word": " بال", "probability": 0.3994140625}, {"start": 1403.74, "end": 1404.04, "word": " research", "probability": 0.7490234375}, {"start": 1404.04, "end": 1404.58, "word": " methodology", "probability": 0.95361328125}, {"start": 1404.58, "end": 1405.56, "word": " وان", "probability": 0.810791015625}, {"start": 1405.56, "end": 1405.76, "word": " شاء", "probability": 0.96337890625}, {"start": 1405.76, "end": 1405.86, "word": " الله", "probability": 0.93994140625}, {"start": 1405.86, "end": 1406.44, "word": " نلقاكم", "probability": 0.9412109375}, {"start": 1406.44, "end": 1406.6, "word": " من", "probability": 0.52294921875}, {"start": 1406.6, "end": 1406.96, "word": " الأسبوع", "probability": 0.8922526041666666}, {"start": 1406.96, "end": 1407.54, "word": " القادم", "probability": 0.9957682291666666}, {"start": 1407.54, "end": 1407.84, "word": " في", "probability": 0.8759765625}, {"start": 1407.84, "end": 1407.92, "word": " ال", "probability": 0.95263671875}, {"start": 1407.92, "end": 1408.08, "word": " bio", "probability": 0.434326171875}, {"start": 1408.08, "end": 1408.56, "word": " statistic", "probability": 0.2320556640625}, {"start": 1408.56, "end": 1409.86, "word": " نتمنى", "probability": 0.8502197265625}, {"start": 1409.86, "end": 1410.08, "word": " لكم", "probability": 0.958984375}, {"start": 1410.08, "end": 1410.72, "word": " التوفيق", "probability": 0.984130859375}, {"start": 1410.72, "end": 1411.48, "word": " والسلام", "probability": 0.7801920572916666}, {"start": 1411.48, "end": 1412.04, "word": " عليكم", "probability": 0.97021484375}, {"start": 1412.04, "end": 1412.6, "word": " ورحمة", "probability": 0.970947265625}, {"start": 1412.6, "end": 1412.92, "word": " الله", "probability": 0.96826171875}, {"start": 1412.92, "end": 1413.84, "word": " وبركاته", "probability": 0.980078125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1415.1865625, "duration_after_vad": 1375.0618749999985}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6812a7c98696dd6836e3ab90d64c9c25b61172e
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/a8yWWLigcWc_raw.srt
@@ -0,0 +1,1224 @@
+1
+00:00:04,620 --> 00:00:08,040
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
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+2
+00:00:08,040 --> 00:00:12,900
+الله وعلى آله وصحبه ومن اهتدى بهداه قولّابنا
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+3
+00:00:12,900 --> 00:00:19,120
+الأفاضل زملائنا الأعزاء السلام عليكم ورحمة الله
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+4
+00:00:19,120 --> 00:00:25,120
+وبركاته هيكون موضوع اللقاء ان شاء الله على برنامج
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+5
+00:00:25,120 --> 00:00:32,580
+agramarly هو برنامج خاص بالتدقيق الإملائي على ملف
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+6
+00:00:32,580 --> 00:00:38,480
+ال worldهنتكلم كمان على برنامج الـ EndNote وهو
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+7
+00:00:38,480 --> 00:00:43,780
+برنامج خاص بالـ Reference كيف أحنا نستخدمه هنتكلم
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+8
+00:00:43,780 --> 00:00:48,780
+على Tools للـ Paraphrase سواء كانت Online أو هذه
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+9
+00:00:48,780 --> 00:00:54,640
+الأدوات ممكن أحنا نستخدمها من خلال البرامج اللي
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+10
+00:00:54,640 --> 00:00:59,440
+موجودة على الـ Word نفسه أيضًا سيتم الحديث على آلة
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+11
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+كتابة الـ Proposalوكيف احنا نقدمه كـ PowerPoint
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+12
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+أمام لجنس التحكيم يوم مناقشة خطة البحث وآخر شيء،
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+13
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+هنتكلم على الـ Assignment الأول اللي هو الـ
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+14
+00:01:15,030 --> 00:01:21,830
+Proposal برنامج Grammarly هو برنامج موجود Online
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+15
+00:01:21,830 --> 00:01:28,590
+ممكن احنا نثبته على الجهاز من خلال الرابط اللي
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+16
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+مكتوب أو نكتب على GoogleIgramarly بعدين بروح
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+17
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+ابنختار أنه بدنا نثبته على ال office أو على ال
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+word و لازم نكون مسكرين كل ملفات ال word اللي
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+19
+00:01:44,240 --> 00:01:50,100
+موجودة على الحاسوب أو ال laptop أو ال desktop لأنه
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+20
+00:01:50,100 --> 00:01:55,500
+ما بتم تثبيته إذا كان أي ملف office أو word مفتوح
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+21
+00:01:55,500 --> 00:02:02,890
+على الجهاز بعد ما نختار الأيقونةببدأ يتم تثبيت
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+22
+00:02:02,890 --> 00:02:07,090
+البرنامج اللي موجود وبنمشي على process next next
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+23
+00:02:07,090 --> 00:02:14,870
+حتى يتم تثبيته بعد ما يتم تثبيته بروح على ملف ال
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+24
+00:02:14,870 --> 00:02:18,950
+word نفسه اللي موجود في الأعلى مكتوب اغرامالي
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+25
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+بنبدأ هنا نقوله ابدأ ابحث وشوف وين اللي موجود ببدأ
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+26
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+هو يبحث وإذا بدأ ساكره بكتب close البرنامجهو بيبدأ
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+27
+00:02:31,700 --> 00:02:35,820
+يبحث هي كلمة social demographic data بدها تعديل هي
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+28
+00:02:35,820 --> 00:02:40,380
+كلمة qualification بدها تعديل هي كلمة course بدها
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+29
+00:02:40,380 --> 00:02:45,420
+تعديل هي كلمة NASA study بيبدأ يحطلنا أيش الخطوط
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+30
+00:02:45,420 --> 00:02:49,800
+الحمراء اللي موجودة على الكلمات لو أجينا من ناحية
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+31
+00:02:49,800 --> 00:02:57,260
+عملية هي الملف اللي موجود اقرأ مرلي فأقول له open
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+32
+00:02:58,520 --> 00:03:03,480
+ببدأ يبحث ويعمل شك على ملف الـ Word اللي موجود
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+33
+00:03:03,480 --> 00:03:08,400
+بنيجي أول حاجة حيث عندنا أول كلمة خطأ بنضغط بنشوف
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+34
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+أيش الأشياء أو أيش الكلمات اللي ممكن نختار منهم
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+أول ما بضغط عليها زي هيك بتتعدل الكلمة بعد ذلك
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+36
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+بيجيني كلمة course بقولنا كلمة course مش هيك هي
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+37
+00:03:22,960 --> 00:03:27,690
+course بالصورة هذهالكلمة هذه هنا نقصة حرف الـ I
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+38
+00:03:27,690 --> 00:03:33,090
+بحط تحتها خط و بقوله okay بيجي كلمة nearest
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+39
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+بيقولنا nearest بتاعة كلمة the the nearest بيجي
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+40
+00:03:37,330 --> 00:03:42,600
+بعدها study بيقوله the studyبنلاحظ بيضلوا يعدل في
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+41
+00:03:42,600 --> 00:03:46,440
+الأشياء اللي موجودة كل الأخطاء اللي موجودة حتى
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+42
+00:03:46,440 --> 00:03:50,940
+يكون كاتب تحت هم موجودين وين الأخطاء اللي موجودة
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+43
+00:03:50,940 --> 00:03:55,140
+في الملفات لو ضلنا ماشيين على الكلمات هنا بقولنا
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+44
+00:03:55,140 --> 00:03:59,480
+هنا بدل ما تكتب number of nails اكتب several أو
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+45
+00:03:59,480 --> 00:04:03,840
+someأو money يعني هو بيجيبولنا مقترحات بدل الكلمات
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+46
+00:04:03,840 --> 00:04:08,900
+اللي بتكون عندنا موجودة لحاله هيك احنا بنكون خلصنا
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+47
+00:04:08,900 --> 00:04:14,080
+كيف نستخدم برنامج Grammarly هو برنامج بيساعد كتير
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+48
+00:04:14,080 --> 00:04:18,800
+في التطبيق الإملائي ويجب ان نكون مخدين بأنه أثناء
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+49
+00:04:18,800 --> 00:04:25,430
+تعديله لأنه بيظلذكاء إلكتروني وممكن يخطأ فبالتالي
+
+50
+00:04:25,430 --> 00:04:31,130
+بدنا نكون احنا على الطلع تام بأنه يكون كل كلمة
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+51
+00:04:31,130 --> 00:04:34,610
+بيقولنا ياها نتأكد ان هي هذه الكلمة اللي موجودة
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+52
+00:04:34,610 --> 00:04:40,110
+ولا لا فبالتالي هو من أهم البرامج اللي ممكن اريحكم
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+53
+00:04:40,110 --> 00:04:44,250
+في كتابة وتعديل ال grammar اللي موجود في ال
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+54
+00:04:44,250 --> 00:04:48,550
+paragraph اللي بتكتبوها لأي assignment في أي مصاد
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+55
+00:04:48,550 --> 00:04:53,610
+وليس البحث فقطبرنامج الـ EndNote هو برنامج ممتاز
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+56
+00:04:53,610 --> 00:04:58,370
+جداً في كتابة المراجع بوفر كثير من الوقت والجهد
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+57
+00:04:58,370 --> 00:05:05,150
+بيخلي الباحث على يقين تامأنه مايوجد أي خطأ وكذلك
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+58
+00:05:05,150 --> 00:05:10,050
+يجعل المشرف يظل مطمن أن الباحث يكتب الـ Reference
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+59
+00:05:10,050 --> 00:05:16,290
+بشكل ممتاز البرنامج سوف يتم وضع رابط على الموديل
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+60
+00:05:16,290 --> 00:05:21,290
+وممكن الطالب ينزله على الجهاز التنصيب على الجهاز
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+61
+00:05:21,290 --> 00:05:26,370
+بياخد شوقت فيه كمان بطلب منه Key يكون موجود أو
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+62
+00:05:26,370 --> 00:05:33,770
+Password يكون موجود أو لكراك تبعهكمان هنزله مع
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+63
+00:05:33,770 --> 00:05:40,990
+البرنامج تثبيته سهل نفس موضوع Grammarly بنتبته
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+64
+00:05:40,990 --> 00:05:47,870
+ويجب قبل تثبيته ان يكون ال word عندنا مغلق الملف
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+65
+00:05:47,870 --> 00:05:54,030
+بينزل عندنا مضغوط بنعمل على فك الدغط من خلال الدغط
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+66
+00:05:54,030 --> 00:06:00,420
+على استخراج هنابعد ذلك نضغط و نفتح الملافة وهي
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+67
+00:06:00,420 --> 00:06:04,380
+بنعمل ال setup وهي ال key تبعه اللي بتطلبه مننا
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+68
+00:06:04,380 --> 00:06:07,860
+بيقولنا إيش ال key اللي مطلوب بنضيفه وبعد ذلك
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+69
+00:06:07,860 --> 00:06:12,100
+بنعمله next حتى يتم تثبيت الجهاز ملاحظة عن تثبيت
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+70
+00:06:12,100 --> 00:06:16,640
+الجهاز لازم كل ملفات ال word تكون مغلقة حتى يتم
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+71
+00:06:16,640 --> 00:06:21,300
+إضافة ايقونة ال end note بعدين باجي بقوله ال end
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+72
+00:06:21,300 --> 00:06:26,930
+noteوبروح فاتح البرنامج تبع الـ EndNote وببدأ أطبق
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+73
+00:06:26,930 --> 00:06:34,650
+على البرنامج بروح فاتحين Google Scholar وبنضغط على
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+74
+00:06:34,650 --> 00:06:39,910
+Google Scholar وبنقول له بدنا أنسولين والأنسولين
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+75
+00:06:39,910 --> 00:06:46,150
+الريسبتر بعد
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+76
+00:06:46,150 --> 00:06:49,230
+ما نفتح Google Scholar بنكتب له أنسولين والأنسولين
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+77
+00:06:49,230 --> 00:06:53,590
+الريسبترمثلًا انا بدي اخد البحث اللي موجود أمامنا
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+78
+00:06:53,590 --> 00:07:00,850
+اقوم ضغط على البحث هذه
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+79
+00:07:00,850 --> 00:07:03,990
+الفقرة انا بدي اخدها او بدي اخد منها جزء وانضيفه
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+80
+00:07:03,990 --> 00:07:08,230
+على صفحة world نكتب chapter واحد introduction and
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+overview بنعملهم كلهم خط 14 بنختار نوع الخط
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+82
+00:07:13,470 --> 00:07:18,170
+وبنعملهم bold بنخلي chapter واحد و introduction
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+83
+00:07:19,140 --> 00:07:22,860
+موجودة في الوسط بنعملهم توصيت وبعدين بنقول واحد
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+84
+00:07:22,860 --> 00:07:29,120
+لواحد ال overview في فقهة احنا أخدناها بدنا نلصقها
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+85
+00:07:29,120 --> 00:07:33,760
+سابقا أخدناها من البحث هي أن التعريف اللي موجود
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+86
+00:07:33,760 --> 00:07:41,200
+على سبيل المثال أخدناه copy وبدنا نضيفه على الصفحة
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+87
+00:07:41,200 --> 00:07:48,340
+اللي موجودة دائما تبعد الأسطورة في التنسيق 1.5 نوع
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+88
+00:07:48,340 --> 00:07:53,440
+الخطTime in Euroman وبكون مكتوب عندنا في البحث حقم
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+89
+00:07:53,440 --> 00:07:57,300
+12 باللاحظ ان هنا التنتين هدول أسجين في بعض لو
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+90
+00:07:57,300 --> 00:08:02,520
+بنبعدهم ممكن نيجي هنا ونقوله بعد before و after
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+91
+00:08:02,520 --> 00:08:06,700
+اللي هو بنضيف على سبيل المثال 6 و 6 او 12 و 12
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+92
+00:08:06,700 --> 00:08:11,660
+عشان يكون قبلها و بعدها يكون اتبعدوا عن بعض بنضيف
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+93
+00:08:11,660 --> 00:08:16,310
+الحينالمرجع لو بدنا نخليها على جبال الواحد بالظبط
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+94
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+بنحركها من هنا أو بنخليها زي قبل مش اي مشكلة نفس
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+95
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+المرجع اللي احنا اخدناه بدنا نضيفه و نكتبه في
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+96
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+المكان هذا بروح بنعمل تراجع على نفسه بنضغط على ال
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+97
+00:08:29,250 --> 00:08:32,450
+double كمه على ال site او على ال citation هنا
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+98
+00:08:32,450 --> 00:08:40,230
+بنقوله ودي على ال end note هينزل إن ال citation أو
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+99
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+اسم الكتاب وده على ال end noteجابو اللي هو كتبه
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+00:08:46,200 --> 00:08:52,280
+سوس و كتبه ألف تسعمائة وتلاتة وتسعين كيف بدنا
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+101
+00:08:52,280 --> 00:08:56,500
+نضيفه على ال word of the author الفقرة السابقة
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+102
+00:08:56,500 --> 00:09:00,760
+ابنجي هنا وهيعلنا فوق بعد ما ثبتنا الجهاز بتجي
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+103
+00:09:00,760 --> 00:09:07,180
+ايقونة ال end note X7 بنقوله insert citationبنضغط
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+104
+00:09:07,180 --> 00:09:10,100
+على insert citation بيقول لي إيش اسم ال citation
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+105
+00:09:10,100 --> 00:09:13,860
+اللي أنت بدك تضيفه بنكتب فيه أول أحوال اللي كانت
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+106
+00:09:13,860 --> 00:09:16,460
+موجودة وبنقول له ابحث عنه بنقول له هو هذا اللي
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+107
+00:09:16,460 --> 00:09:21,780
+احنا بدنا نضيفه double comma بنلاحظ هي هو مباشرة
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+108
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+109
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+154
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+164
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+165
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+166
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+167
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+168
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+183
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+188
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+189
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+190
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+191
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+195
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+197
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+198
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+199
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+204
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+205
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+206
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+210
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+220
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+221
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+222
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+
+223
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+
+224
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+
+225
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+Proposal ما يتم عرضه اللي هو صفحة الغلاف Chapter 1
+
+226
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+227
+00:18:25,340 --> 00:18:28,640
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+228
+00:18:28,640 --> 00:18:32,160
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+
+229
+00:18:32,160 --> 00:18:34,700
+Part of the Population و الـ Sample Size و الـ
+
+230
+00:18:34,700 --> 00:18:37,860
+Sampling و الـ Exclusion الكارتيريا الـ Exclusion
+
+231
+00:18:37,860 --> 00:18:40,280
+المقصود فيها أشياء بتعمل لعندي Confounding
+
+232
+00:18:40,280 --> 00:18:43,320
+فبالتالي بدي أستثنيهم Ethical Consideration
+
+233
+00:18:43,320 --> 00:18:47,430
+اتكلمنا عنهم الـ Data Collectionالـ Questionnaire
+
+234
+00:18:47,430 --> 00:18:51,710
+إذا بدى اعمل Interview نوع العينات اللى بدى أسحبهم
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+235
+00:18:51,710 --> 00:18:54,630
+وإيش الأدوات اللى بدى أستخدمهم وإيش الأختبارات
+
+236
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+237
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+238
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+لل slide الأولى في ال presentation بعدين قولنا
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+239
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+240
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+
+241
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+
+242
+00:19:18,180 --> 00:19:23,020
+أو كان عندى موجود pathology أو pathogenesis أو
+
+243
+00:19:23,020 --> 00:19:26,200
+diagnosis أو complication ولكن لو حسيتهم طوالة
+
+244
+00:19:26,200 --> 00:19:29,800
+شوية بناخد أهم الأشياء فيهم أنا بتتكلم عن ال
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+245
+00:19:29,800 --> 00:19:32,640
+complication على سبيل المثال فممكن أحكي مباشرة عن
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+246
+00:19:32,640 --> 00:19:35,620
+ال complication بس لازم أكون عارف لو ان سألت في ال
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+247
+00:19:35,620 --> 00:19:38,910
+prevalence أكون أنا عارفها و أجاوبهابعدين بنبدأ
+
+248
+00:19:38,910 --> 00:19:41,890
+بالـ Dependent وبنسينا نتكلم عنه، إيش تعريفه؟ إيش
+
+249
+00:19:41,890 --> 00:19:44,870
+ال prevalence بتاعته؟ إذا موجود عندنا؟ إيش كمان
+
+250
+00:19:44,870 --> 00:19:47,250
+كان موجود عندنا؟ إذا في عندنا pathogenesis،
+
+251
+00:19:47,250 --> 00:19:50,630
+pathology، complication؟ نحكي كل واحد لو سطر واحد
+
+252
+00:19:50,630 --> 00:19:55,290
+بكفي في slide أو اتنين على أساس أنها تكون المقدمة
+
+253
+00:19:55,290 --> 00:19:59,630
+لازم تجاوز من خمسة إلى ستة slides. أنا انتجل على
+
+254
+00:19:59,630 --> 00:20:01,830
+ال objective ال general objective و ال specific
+
+255
+00:20:01,830 --> 00:20:05,190
+objective و أحكيهم و أكتب بعدهم ال significant of
+
+256
+00:20:05,190 --> 00:20:09,780
+study. بعدين بنبدأبالـ Material و الـ Method أو
+
+257
+00:20:09,780 --> 00:20:15,420
+الـ Subjects and Methods بنكتب فيها Study Design و
+
+258
+00:20:15,420 --> 00:20:18,580
+Study Population بعدها بنتكلم عن الـ Sample Size و
+
+259
+00:20:18,580 --> 00:20:21,240
+إذا أنا جسمتهم لجروب و من ال case و من ال control
+
+260
+00:20:21,240 --> 00:20:23,220
+بعدين بتكلم عن ال sampling و ال ethical
+
+261
+00:20:23,220 --> 00:20:27,140
+consideration و ال exclusion of criteria و ال data
+
+262
+00:20:27,140 --> 00:20:30,240
+collection بعدين بحكيش في حصات اللي أنا بدي أعملها
+
+263
+00:20:30,240 --> 00:20:34,340
+للبحثوهل هذه الفحوصات كانت في الـ serum ولا في ال
+
+264
+00:20:34,340 --> 00:20:37,100
+urine أو أيش ال sample اللي انا بدي أخدها وإذا أنا
+
+265
+00:20:37,100 --> 00:20:39,720
+عندي أي معادلات بدي أستخدمهم أو أي calculation
+
+266
+00:20:39,720 --> 00:20:44,120
+بكون كاتبهم بعدين بكتب الإختبارات الأحصائية اللي
+
+267
+00:20:44,120 --> 00:20:49,480
+انا بدي أستخدمها في تحليل البيانات وآخر شيء بقولهم
+
+268
+00:20:49,480 --> 00:20:54,340
+thank you و بشكرهم لو وجودهم في لجنة المناقشة بكذا
+
+269
+00:20:54,340 --> 00:20:58,380
+الواحد شكرا لهموهيك بيكون تم عرض أمام لجنة
+
+270
+00:20:58,380 --> 00:21:03,340
+المناقشة كل ما يتعلق بالـ Proposal وأهم النقاط فيه
+
+271
+00:21:03,340 --> 00:21:08,000
+وأحياناً ممكن المشرف يطلب مننا إضافة الـ Budget
+
+272
+00:21:08,000 --> 00:21:10,860
+اللي كنا كتبينها قبل شويه وتكلمنا عنها الجدول
+
+273
+00:21:10,860 --> 00:21:14,520
+بنضيفه ال slide وبنضيف الخطة أن أنا بدأ أبدأ من
+
+274
+00:21:14,520 --> 00:21:19,820
+شهر أكتوبر 2020 وبدأ انت شهر مايو 2021 كمان بنضيفه
+
+275
+00:21:19,820 --> 00:21:23,560
+في ال slides الأخيرةوفي بعض المشرفين بطلب ان نكتب
+
+276
+00:21:23,560 --> 00:21:26,760
+reference لو احنا استخدمنا reference ولكن على أرجح
+
+277
+00:21:26,760 --> 00:21:30,260
+مافيش حد بكتبها بس هو الصح انها تكون موجودة لو
+
+278
+00:21:30,260 --> 00:21:35,940
+استخدمناها وكتبناها بكون أفضل احنا هيك وخلصنا
+
+279
+00:21:35,940 --> 00:21:42,340
+الجزء الأول اللي بتعلق ب research methodology
+
+280
+00:21:42,340 --> 00:21:48,380
+اتكلمنا فيه عن chapter 1 و2 و3 وكل ما يتعلق فيهم
+
+281
+00:21:49,520 --> 00:21:52,900
+وهنبدأ ان شاء الله من المحاضرة القادمة في جزئية
+
+282
+00:21:52,900 --> 00:21:55,860
+الـ Biostatistics ولكن قبل ما نبدأ في الـ
+
+283
+00:21:55,860 --> 00:21:59,360
+Biostatistics بنذكركم أنكم انتم تبدوا تكتبوا في ال
+
+284
+00:21:59,360 --> 00:22:05,100
+proposal مطلوب مننا أننا نبدأ نكتب في ال proposal
+
+285
+00:22:05,100 --> 00:22:09,560
+وهو ال assignment الأول في الجزء الأول اللي هو
+
+286
+00:22:09,560 --> 00:22:14,720
+research methods ونسلم ال proposal خلال شهر من
+
+287
+00:22:14,720 --> 00:22:17,920
+تاريخ المحاضرة الحالية
+
+288
+00:22:20,380 --> 00:22:24,000
+الـ Proposal خلصنا جزئي الخاص بي الـ Research
+
+289
+00:22:24,000 --> 00:22:27,460
+Methods وحنبدأ إن شاء الله من الأسبوع القادم في
+
+290
+00:22:27,460 --> 00:22:31,440
+جزئية الأحصاء كتابة
+
+291
+00:22:31,440 --> 00:22:35,660
+الـ Proposal هو الـ Assignment الأول في هذا المساق
+
+292
+00:22:35,660 --> 00:22:39,640
+وحكينا في بداية المساق أنه على الـ Proposal وتقييم
+
+293
+00:22:39,640 --> 00:22:43,380
+الـ Proposal عشر عالمات من مية الـ Proposal
+
+294
+00:22:43,380 --> 00:22:47,440
+المطلوب تسليمه خلال شهر ما هنسيبك في كتابة الـ
+
+295
+00:22:47,440 --> 00:22:52,560
+Proposalهننزل تلات فيديوهات لكل chapter كيف تبدأ
+
+296
+00:22:52,560 --> 00:22:56,420
+تكتب فيه فبدك تتبع هذه الفيديوهات أو تتبع هذه
+
+297
+00:22:56,420 --> 00:23:00,400
+الفيديوهات و تبدأ تكتبي أول بأول معاهم و ان شاء
+
+298
+00:23:00,400 --> 00:23:04,160
+الله ما هيستغرق معاك وقت أي حد بيلاقي أي صعوبة
+
+299
+00:23:04,160 --> 00:23:09,020
+ممكن يتواصل معنا و احنا ان شاء الله ما هنقصر معاه
+
+300
+00:23:09,020 --> 00:23:12,340
+بكون سعيد جدا بالرد على استفساراتكم و المتابعة
+
+301
+00:23:12,340 --> 00:23:17,480
+معاكم في كتابة ال proposalبهيك بنكون أنهينا الجزء
+
+302
+00:23:17,480 --> 00:23:20,760
+الأول من مصاد research methodology and
+
+303
+00:23:20,760 --> 00:23:24,040
+biostatistics واخدنا كل ما يتعلق بال research
+
+304
+00:23:24,040 --> 00:23:27,540
+methodology وان شاء الله نلقاكم من الأسبوع القادم
+
+305
+00:23:27,540 --> 00:23:31,480
+في ال bio statistic نتمنى لكم التوفيق والسلام
+
+306
+00:23:31,480 --> 00:23:33,840
+عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a1a925b0b20281cdbb55c1e452ee550aa76e6fc7
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg.srt
@@ -0,0 +1,1409 @@
+1
+00:00:01,850 --> 00:00:04,770
+أَعُوذُ بِاللهِ مِنَ الشَّيْطَانِ الرَّجِيمِ بِسْمِ اللهِ الرَّحْمَنِ
+
+2
+00:00:04,770 --> 00:00:11,590
+الرَّحِيمِ أَعِزَّاءِ الطُّلَّابِ، زُمَلاءِ الطُّلَّابِ، السَّلامُ عَلَيْكُمْ
+
+3
+00:00:11,590 --> 00:00:20,890
+وَرَحْمَةُ اللهِ وَبَرَكَاتُهُ. جِدًّا أُرَحِّبُ بِكُمْ فِي هَذَا اللِّقاءِ، وَسَوْفَ
+
+4
+00:00:20,890 --> 00:00:26,410
+يَتِمُّ، إِن شاءَ الله، التَّحَدُّثُ عَنْ  types of errors  اللَّتِي هِيَ
+
+5
+00:00:26,410 --> 00:00:28,930
+أَنْوَاعُ الأَخْطاءِ الَّتِي تَتِمُّ فِي الإِحْصَاءِ
+
+6
+00:00:31,990 --> 00:00:37,490
+الـ types of errors الَّتِي تَتِمُّ هُمَا نَوْعَانِ تَتِمَّانِ خِلالَ
+
+7
+00:00:37,490 --> 00:00:43,650
+عَمَلِيَّةِ  البَحْثِ. يَبْقَى أَنْتَ فِي بَحْثِكَ قَدْ يَحْدُثُ مَعَكَ نَوْعَانِ مِنْ
+
+8
+00:00:43,650 --> 00:00:49,330
+الخَطَأِ؛ خَطَأٌ نُسَمِّيهِ type 1 error ، وَالخَطَأُ الثَّانِي
+
+9
+00:00:49,330 --> 00:00:55,150
+نُسَمِّيهِ type 2 error . هَذَانِ النَّوْعَانِ قَدْ يَحْدُثَانِ مَعَكَ
+
+10
+00:00:55,150 --> 00:01:01,010
+خِلالَ إِجْراءِ البَحْثِ. سَنَشُوفُ إيشَ تَعْرِيفُهُمَا، وَلَوْ وَقَعَا
+
+11
+00:01:01,010 --> 00:01:07,680
+مَعَنَاهُ، كَيْفَ نَحْنُ مُمْكِنٌ أَنْ نَتَجَنَّبَهُمَا؟ التَّابْلُ الَّذِي أَمَامَنَا
+
+12
+00:01:07,680 --> 00:01:14,320
+تُلَخِّصُ أَنْوَاعَ الأَخْطاءِ الَّتِي تَكُونُ مَوْجُودَةً خِلالَ عَمَلِيَّةِ
+
+13
+00:01:14,320 --> 00:01:20,880
+إِجْراءِ بَحْثِ مَاجِسْتير. أَوَّلُ حَاجَةٍ أَنَّ أَنْتَ بَيَكُونُ عِنْدَكَ بَعْدَ
+
+14
+00:01:20,880 --> 00:01:27,400
+مَا تَجْمَعُ البَيَانَاتِ، وَتَلِمُّ  الاستبانات
+
+15
+00:01:27,400 --> 00:01:33,850
+وَتَبْدَأُ تَحْلِيلَهُمَا، أَنْتَ بِتِطْلَعُ مَعَكَ أَنَّ فِي عِلاقَةٍ مَا بَيْنَ
+
+16
+00:01:33,850 --> 00:01:41,530
+الـ two variables الَّذِي أَنْتَ بِتُدْرِسُهُمَا. وَفِي الحَقِيقَةِ، وَكُلُّ
+
+17
+00:01:41,530 --> 00:01:46,870
+النَّاسِ بِتَقُولُ، وَفِي الواقِعِ، أَنَّ فِي عِلاقَةٍ، أَنْتَ طِلِعَ مَعَكَ زَيِّ
+
+18
+00:01:46,870 --> 00:01:51,450
+مَا النَّاسُ قَالَتْ، وَزَيِّ مَا هُوَ الحَقِيقَةُ مَوْجُودَةٌ، بَيَكُونُ شُغْلُكَ
+
+19
+00:01:51,450 --> 00:01:57,590
+correct ، أَوْ بِنُسَمِّيهِ الـ true positive . وَلَكِنْ لَوْ أَنْتَ قُلْتَ
+
+20
+00:01:57,590 --> 00:02:01,470
+فِي relation ، وَطِلِعَ مَعَاكَ فِي الاستباناتِ فِي relation
+
+21
+00:02:01,470 --> 00:02:06,530
+وَقُلْتَ فِي عِلاقَةٍ مَا بَيْنَ مُتَغَيِّرِ X وَمُتَغَيِّرِ Y  الَّذِي أَنْتَ
+
+22
+00:02:06,530 --> 00:02:12,570
+بِتُدْرِسُهُمَا، وَلَكِنْ فِي الأَصْلِ مَا كَانْشَ فِيهِ، يَعْنِي طِلِعَتِ العِلاقَةُ
+
+23
+00:02:12,570 --> 00:02:18,090
+الَّتِي مَعَكَ هَذِهِ عِلاقَةٌ مُضْغُوطَةٌ. بِاخْتِصارٍ، أَنَّ أَنْتَ اسْتَعْجَلْتَ
+
+24
+00:02:18,090 --> 00:02:21,970
+فِي جَمْعِ  الاستبانات ، وَقُلْتَ فِي relation ، وَالأَصْلُ وَالْواقِعُ
+
+25
+00:02:21,970 --> 00:02:26,400
+مَا فِيشَ relation . هَذَا بِنُسَمِّيهِ type 1 error ، الَّذِي هُوَ
+
+26
+00:02:26,400 --> 00:02:29,800
+الخَطَأُ مِنَ النَّوْعِ الأَوَّلِ، أَوْ بِنُسَمِّيهِ false positive ، يَعْنِي
+
+27
+00:02:29,800 --> 00:02:33,420
+طِلِعَ مَعَاكَ positive فِي relation ، وَلَكِنَّ الأَصْلَ مَا فِيشَ
+
+28
+00:02:33,420 --> 00:02:39,940
+النَّوْعُ الثَّانِي مِنَ الأَخْطاءِ أَنَّهُ
+
+29
+00:02:39,940 --> 00:02:45,240
+بَيَكُونُ أَنَا قُلْتُ مَا فِيشَ عِلاقَةٍ، لا يُوجَدُ عِلاقَةٌ مَا بَيْنَ
+
+30
+00:02:45,240 --> 00:02:52,300
+مُتَغَيِّرٍ الأَوَّلِ وَالثَّانِي، وَلَكِنَّ الأَصْلَ فِي عِلاقَةٍ، وَلَكِنْ طِلِعَتْ
+
+31
+00:02:52,300 --> 00:02:55,240
+هُوَ مَا فِيشَ عِلاقَةٌ عِنْدِي، لِأَنَّهُ فِي Confounder ، وَاتَّكَلَّمْنَا عَنْ
+
+32
+00:02:55,240 --> 00:03:00,160
+الـ Confounder ، شَمَعَةٌ دَخَلَتْ وَأَخْفَتْ  العِلاقَةَ هَذِهِ، وَلَكِنَّ
+
+33
+00:03:00,160 --> 00:03:04,940
+الأَصْلَ فِيهِ. هَذَا بِنُسَمِّيهِ type 2 error ، أَنَّ أَنَا قُلْتُ مَا فِيشَ
+
+34
+00:03:04,940 --> 00:03:12,380
+عِلاقَةٍ، وَالأَصْلُ كَانَ فِي عِلاقَةٍ، بَسَّ أَنَا لَمْ أُوَفَّقْ فِي كَشْفِهَا
+
+35
+00:03:12,380 --> 00:03:16,360
+فِي خِلالِ بَحْثِي تَبَعَ الـ Magister . وَلَكِنْ لَوْ كَانَ مَا فِيشَ
+
+36
+00:03:16,360 --> 00:03:20,810
+عِلاقَةٍ، وَالأَصْلُ مَا فِيشَ عِلاقَةٍ، هَذَا correct ، وَبَيَقُولُ عَنْهُ true
+
+37
+00:03:20,810 --> 00:03:25,670
+negative ، يَعْنِي negative مَاشِي، مَا عِنْدِي الصَّحْ، أَوْ فِي عِلاقَةٍ
+
+38
+00:03:25,670 --> 00:03:30,290
+مِشْ مَوْجُودَةٌ، وَأَنَا وَضَعْتُهَا، وَقُلْتُ true negative ، فَبِالتَّالِي
+
+39
+00:03:30,290 --> 00:03:36,950
+بِتْكُونُ أَنَا correct . يَبْقَى لَوْ فِي عِلاقَةٍ فِي الحَقِيقَةِ، وَأَنَا
+
+40
+00:03:36,950 --> 00:03:40,390
+قُلْتُ فِي عِلاقَةٍ، true positive . مَا فِيشَ عِلاقَةٍ، وَأَنَا قُلْتُ
+
+41
+00:03:40,390 --> 00:03:43,350
+مَا فِيشَ عِلاقَةٍ، correct ، وَلَكِنَّ true negative .
+
+42
+00:03:46,580 --> 00:03:52,200
+النَّوْعُ الثَّانِي أَوْ السِّينَارِيُو أَنَّهُ أَنَا قُلْتُ فِي عِلاقَةٍ
+
+43
+00:03:52,200 --> 00:03:57,300
+وَالأَصْلُ مَا فِيشَ، هَذَا بَيَقُولُ عَنْهُ type 1 . وَلَوْ قُلْتُ مَا فِيشَ عِلاقَةٍ
+
+44
+00:03:57,300 --> 00:04:02,860
+وَالأَصْلُ فِيهِ، مَا أَقْدَرْشْ أَوَضِّحَهَا فِي البَحْثِ، بَيَقُولُ عَنْهُ type 2 .
+
+45
+00:04:02,860 --> 00:04:10,340
+أَوْ آخِرُ، نُعِيدُهُمْ ثَانِيًا بِأَكْثَرَ أَمْثِلَةٍ، وَبِأَكْثَرَ وُضوحًا، أَنَا قُلْتُ
+
+46
+00:04:10,340 --> 00:04:15,420
+فِي عِلاقَةٍ مَا بَيْنَ lung cancer وَ smoking
+
+47
+00:04:16,380 --> 00:04:19,520
+وَالأَصْلُ فِي عِلاقَةٍ، كُلُّ الأَبْحَاثِ بِتَقُولُ فِي عِلاقَةٍ، وَالحَقِيقَةُ
+
+48
+00:04:19,520 --> 00:04:25,340
+فِي عِلاقَةٍ، أَنَا بَأَقُولُ عَنْهُ correct وَ positive . أَنَا قُلْتُ
+
+49
+00:04:25,340 --> 00:04:29,040
+مَا فِيشَ عِلاقَةٍ مَا بَيْنَ obesity وَ الـ smoking ، يَعْنِي
+
+50
+00:04:29,040 --> 00:04:32,940
+النَّاسُ الَّتِي بِتَدْخُنُ مَالَهَا عِلاقَةٌ أَنَّ هُوَ obese أَوْ not
+
+51
+00:04:32,940 --> 00:04:37,180
+obese ، وَالأَصْلُ مَا فِيشَ عِلاقَةٌ، كَمَانْ بَأَقُولُ عَنْهُ correct
+
+52
+00:04:37,180 --> 00:04:43,710
+وَ مَا فِيشَ عِلاقَةٌ true negative . أَنَا وَضَّحْتُ أَنَّهُ مَا فِيشَ عِلاقَةٌ، لِعَنْ
+
+53
+00:04:43,710 --> 00:04:48,330
+أَنَا قُلْتُ فِي عِلاقَةٍ مَا بَيْنَ الـ lung cancer وَ الـ
+
+54
+00:04:48,330 --> 00:04:55,170
+smoking ، وَ البَحْثُ التَّابِعِيُّ طِلِعَ أَنَّ فِي relation ، وَلَكِنَّ
+
+55
+00:04:55,170 --> 00:05:01,210
+الأَصْلُ مَا فِيشَ relation . أَنَا فِي الحالِ هَذِهِ ارْتَكَبْتُ فِي
+
+56
+00:05:01,210 --> 00:05:05,350
+بَحْثِي نَوْعَ خَطَأٍ نُسَمِّيهِ مِنَ النَّوْعِ الأَوَّلِ، أَنْ قُلْتُ فِي
+
+57
+00:05:05,350 --> 00:05:08,050
+relation ، وَالأَصْلُ مَا فِيشَ relation .
+
+58
+00:05:12,680 --> 00:05:21,380
+بَعْدَ ذلِكَ، أَنَا قُلْتُ الـ obesity وَ الـ weed وَ الـ
+
+59
+00:05:21,380 --> 00:05:28,540
+smoking مَا فِيشَ بَيْنَهُمْ عِلاقَةٌ، وَالأَصْلُ كَانَ فِيهِ. فِي
+
+60
+00:05:28,540 --> 00:05:31,040
+النَّاحِيَةِ هَذِهِ بِتْكُونُ أَنْتَ ارْتَكَبْتَ خَطَأً مِنَ النَّوْعِ الثَّانِي
+
+61
+00:05:31,040 --> 00:05:35,860
+بِنُسَمِّيهِ false negative . نَأْخُذُ مِثَالًا بَعِيدًا شَوِيَّةً عَنِ البَحْثِ
+
+62
+00:05:35,860 --> 00:05:42,310
+الْعِلْمِيِّ، أَنْتَ الْحِينَ انْفَجَرَ جَوَّالُكَ، فِي شَخْصٍ فِي القَاعَةِ
+
+63
+00:05:42,310 --> 00:05:49,290
+مَا حَدَّشْ دَخَلَ القَاعَةَ إِلَّا هُوَ. أَنْتَ بَعْدَ مَا أَنْتَ عَمِلْتَ عَصْفًا
+
+64
+00:05:49,290 --> 00:05:53,530
+ذَهْنِيًّا، وَصَلْتَ لِقَنَاعَةٍ، مَا حَدَّشْ دَخَلَ القَاعَةَ إِلَّا الشَّخْصُ هَذَا
+
+65
+00:05:53,530 --> 00:05:57,050
+وَبِالْمُضْبَطِ، مَا حَدَّشْ دَخَلَ، هُوَ اللَّذِي آخَذَهُ. أَنْتَ قُلْتَ هُوَ اللَّذِي
+
+66
+00:05:57,050 --> 00:06:02,030
+آخَذَهُ، فِي عِلاقَةٍ بَيْنَ سَرَقَةِ الجَوَّالِ وَالحَقِيقَةِ
+
+67
+00:06:02,030 --> 00:06:05,270
+هُوَ فِعْلًا آخَذَهُ، أَنْتَ قُلْتَ correct ، يَعْنِي أَنْتَ تَوَقَّعْتَ كَانَ صَحِيحًا
+
+68
+00:06:05,270 --> 00:06:12,720
+أَنْتَ فِي شَخْصٍ ثَانٍ شُفْتَهُ دَخَلَ القَاعَةَ، بَسَّ مَا شُفْتِشْ إِذَا حَدٌّ
+
+69
+00:06:12,720 --> 00:06:15,920
+دَخَلَ، لِأَنَّكَ مِشْ عَارِفْ مِينْ دَخَلَ وَمِينْ طِلِعَ مِنَ القَاعَةِ. قُلْتَ
+
+70
+00:06:15,920 --> 00:06:18,580
+مَا أَظُنُّشْ هُوَ، لِأَنَّ أَخْلاقَهُ عَالِيَةٌ، مَا أَظُنُّشْ هُوَ اللَّذِي آخَذَ
+
+71
+00:06:18,580 --> 00:06:21,900
+الْجَوَّالَ، وَالأَصْلُ كَمَانْ مِشْ هُوَ اللَّذِي مَاخِذُهُ، يَعْنِي فِعْلًا مِشْ
+
+72
+00:06:21,900 --> 00:06:24,600
+هُوَ اللَّذِي مَاخِذُهُ، لِأَنَّهُ شَخْصٌ مُحْتَرَمٌ، مِشْ مُمْكِنْ يَمِدُّ يَدَهُ عَلَى
+
+73
+00:06:24,600 --> 00:06:30,500
+الْجَوَّالِ. بَأَقُولُ عَنْهُ true negative . فِي المُقَابِلِ نَأْخُذُ
+
+74
+00:06:30,500 --> 00:06:34,580
+سِّينَارِيُو ثَانٍ، أَنْتَ قُلْتَ أَنَّ الشَّخْصَ هَذَا هُوَ اللَّذِي سَرَقَ
+
+75
+00:06:34,580 --> 00:06:42,590
+الْجَوَّالَ، وَلَكِنَّ الأَصْلَ هُوَ مَا لَهُشْ عِلاقَةٌ بِالْجَوَّالِ، هُوَ مَا لَهُشْ
+
+76
+00:06:42,590 --> 00:06:45,510
+عِلاقَةٌ،  العِلاقَةُ مَفْقُودَةٌ، بَيَقُولُ هَذَا type 1  أَوْ أَنْتَ
+
+77
+00:06:45,510 --> 00:06:50,190
+ارْتَكَبْتَهُ، أَنْتَ قُلْتَ فِي عِلاقَةٍ، هُوَ مَا لَهُشْ دَعْوَةٌ،  اللِّي بَعْدِيهَا
+
+78
+00:06:50,190 --> 00:06:54,970
+قُلْتَ أَنْتَ الشَّخْصَ هَذَا لا يُمْكِنُ يَمِدُّ يَدَهُ عَلَى الجَوَّالِ، وَالأَصْلُ
+
+79
+00:06:54,970 --> 00:06:59,070
+التَّوَقُّعُ خَاطِئٌ، لِأَنَّهُ طِلِعَ هُوَ اللَّذِي مَاخِذُ الجَوَّالِ، وَأَنْتَ تَخْمِينُكَ
+
+80
+00:06:59,070 --> 00:07:02,810
+تَهَاوُنُكَ فِيهِ، أَنَّهُ كَوَيْسٌ، أَنَّهُ شَخْصٌ مِشْ كَوَيْسٌ، هَذَا النَّوْعُ
+
+81
+00:07:02,810 --> 00:07:09,450
+بِنُسَمِّيهِ type 2 . أَوْ بِاعْتِقَادِكُمْ، مِينْ أَخْطَرُ؟ Type 1  وَلا
+
+82
+00:07:09,450 --> 00:07:13,790
+Type 2 ؟ أَنْتَ تُهِمُّ واحِدًا أَنَّهُ سَرَقَ، وَهُوَ مَا سَرَقْشَ، بَرِيءٌ
+
+83
+00:07:13,790 --> 00:07:22,450
+وَالخَطَأُ الثَّانِي، أَنْتَ بَرَّأْتَ واحِدًا، وَهُوَ فِعْلًا سَارِقٌ. نُفَكِّرُ
+
+84
+00:07:22,450 --> 00:07:26,530
+فِيهَا، لَمَّا نَوْصَلْ لِحَالَتِهَا، وَنُشْرَحَ الـ Type 1 Error وَ
+
+85
+00:07:26,530 --> 00:07:30,650
+Type 2 Error  التَّفَاصِيلَ، وَنَرْجَعْ نُحِلُّ اللُّغْزَ الَّذِي أَحْنَا
+
+86
+00:07:30,650 --> 00:07:34,490
+حَكَيْنَا، مِينْ أَخْطَرُ فِيهِمْ مِنَ الثَّانِي، الـ Type of Error
+
+87
+00:07:34,490 --> 00:07:39,880
+Type 1 Error ، أَنَّ أَنَا بَأَقُولُ فِي عِلاقَةٍ، وَبَأَسْتَنْتِجُ فِي بَحْثِي
+
+88
+00:07:39,880 --> 00:07:43,280
+أَنَّهُ فِي عِلاقَةٍ مَوْجُودَةٍ، بَيْنَمَا الأَصْلُ مَا فِيشَ عِلاقَةٍ
+
+89
+00:07:43,280 --> 00:07:47,960
+وَالحَقِيقَةُ مَا فِيشَ عِلاقَةٌ، هَذَا بِيُسَمَّى type 1 error ، وَيُسَمَّى
+
+90
+00:07:47,960 --> 00:07:51,720
+false positive ، وَيُقَالُ لَهُ اسم Alpha error ، وَيُقَالُ لَهُ
+
+91
+00:07:51,720 --> 00:07:56,540
+significant level ، وَكَمَانْ  اسم  p value  أَوْ
+
+92
+00:07:56,540 --> 00:08:00,330
+comparability of error . طَبْ لِيشَ الأَسْماءُ هَذِهِ كُلُّهَا لَازِمْ
+
+93
+00:08:00,330 --> 00:08:03,730
+نُعْرِفَهَا؟ لَازِمْ تَعْرَفُ الأَسْماءَ هَذِهِ كُلَّهَا، لِأَنَّهُ فِي
+
+94
+00:08:03,730 --> 00:08:07,290
+الـ articles ، وَأَنْتَ بِتَجْرِي، هَتْلاقِيها مَوْجُودَةٌ، كُلَّ مَرَّةٍ مَوْجُودَةٌ
+
+95
+00:08:07,290 --> 00:08:11,570
+شَكْلُهَا، هَيْقُولُ لَكَ البَاحِثُ فِي الـ methodology أَنَّ أَنَا
+
+96
+00:08:11,570 --> 00:08:17,490
+اسْتَخْدَمْتُ false positive 5%، وَهَيْقُولُ لَكَ Alpha = 5%،
+
+97
+00:08:17,490 --> 00:08:21,890
+وَهَيْقُولُ لَكَ أَنَا عِنْدِي significant level 5%، وَهَيْقُولُ لَكَ الـ p
+
+98
+00:08:21,890 --> 00:08:27,070
+value 5%، وَهَيْقُولُ probability of error 5% . فَكُلُّ هَذِهِ
+
+99
+00:08:27,070 --> 00:08:32,250
+الْمُصْطَلَحَاتِ لَازِمٌ جِدًّا أَنْ نَكُونَ عَارِفِينَهَا، بِغَضِّ النَّظَرِ عَنْ
+
+100
+00:08:32,250 --> 00:08:36,630
+عَدَدِهِمْ، لِأَنَّهُمْ كُلُّهُمْ هَيَلْزَمُونَا، وَكُلُّهُمْ هَنْنْزِلُ فِيهِمْ مَسْمُوحٌ
+
+101
+00:08:36,630 --> 00:08:44,010
+لِأَخْطاءٍ فِي  الجانبِ هَذَا فِي إيجَادِ عِلاقَةٍ، وَأَقُولُ أَنَّهُ فِيهِ
+
+102
+00:08:44,010 --> 00:08:51,870
+وَالأَصْلُ مَا فِيشَ، فَقَطْ 5%، يَعْنِي مَا يَزِيدُشْ عَنْ 5%، وَهِيَ بِنُسَمِّيهَا
+
+103
+00:08:51,870 --> 00:08:58,080
+الـ p value  اللَّتِي قَبْلَ شَوَيَّةٍ قُلْنَا هَنَتْكَلَّمُ عَنْهَا، وَنُوَضِّحَها
+
+104
+00:08:58,080 --> 00:09:01,200
+الَّتِي كَانَتْ مَوْجُودَةً عِنْدَنَا فِي الـ articles  الَّتِي كُنَّا
+
+105
+00:09:01,200 --> 00:09:05,440
+فَاتِحِينَهَا، الَّتِي هِيَ بِاخْتِصارٍ شَدِيدٍ كَانَتْ مَوْجُودَةً فِي
+
+106
+00:09:05,440 --> 00:09:09,940
+الْمَنْطِقَةِ هَذِهِ فِي الـ articles . يَبْقَى الـ p-value  هُنَا
+
+107
+00:09:09,940 --> 00:09:
+
+223
+00:18:37,550 --> 00:18:41,150
+مقبولة في study power قوة الدراسة حتى أحيانًا
+
+224
+00:18:41,150 --> 00:18:43,830
+بيقولهم قوة الدراسة لما بتكون 100% بتكون excellent
+
+225
+00:18:43,830 --> 00:18:47,570
+بيقولك لأ هي لعند 80 هو حافظ الـ 80% وخلاص
+
+226
+00:18:47,570 --> 00:18:53,490
+فبالتالي معادة في study power من 80 لـ 100 بتكون
+
+227
+00:18:53,490 --> 00:18:59,610
+مقبولة أقل من هيك بتكون غير مقبولة زمان أخذنا احنا
+
+228
+00:18:59,610 --> 00:19:03,290
+أن الـ principle hypothesis الشيء هي هي المال
+
+229
+00:19:03,290 --> 00:19:08,730
+hypothesis واللي بنعملها reject لما بتكون الـ P
+
+230
+00:19:08,730 --> 00:19:18,670
+value أو الـ type 1 أو أقل أو يساوي 0.05 كيف
+
+231
+00:19:18,670 --> 00:19:22,210
+احنا بنعمل اختبار للـ normality أنا في عندي كيرف
+
+232
+00:19:22,210 --> 00:19:25,410
+وهذا الكيرف أنا مش ممكن اقعد في الأرقام اللي
+
+233
+00:19:25,410 --> 00:19:33,790
+موجودة عندي عجب منهم 68% عجب منهم 95% منهم 99.7% الـ
+
+234
+00:19:33,790 --> 00:19:38,630
+3SD كيف احنا ممكن نعمل الـ normality عن طريق
+
+235
+00:19:38,630 --> 00:19:44,210
+البرامج أو إن كيف لو أتوفنا data قدامنا نقدر نحدد
+
+236
+00:19:44,210 --> 00:19:49,330
+في عندنا اختبارين اختبارين احصائيين بحدد الـ
+
+237
+00:19:49,330 --> 00:19:53,970
+normality أول اختبار اسمه كولموغروف والاختبار الثاني
+
+238
+00:19:53,970 --> 00:19:58,900
+اسمه Shapiro  هدول الاختبارين اللي
+
+239
+00:19:58,900 --> 00:20:02,420
+موجودين بيحددوا هل الـ data normal distribution و
+
+240
+00:20:02,420 --> 00:20:07,260
+لا مش normal distribution أول حاجة بنسيب كل
+
+241
+00:20:07,260 --> 00:20:12,000
+الأرقام اللي موجودة بنيجي عند الـ type one error أو
+
+242
+00:20:12,000 --> 00:20:15,440
+الـ P value أو الـ significant level لاحظوا شوفناها
+
+243
+00:20:15,440 --> 00:20:21,820
+في الـ articles قبل شوية مكتوبة P value الـ SPSS
+
+244
+00:20:21,820 --> 00:20:24,740
+بكتبها SIG يعني Significant Level لهيك احنا لازم
+
+245
+00:20:24,740 --> 00:20:27,560
+نعرف كل الأسماء بالنسبالي بعض الـ articles كانت بقى
+
+246
+00:20:27,560 --> 00:20:31,160
+false  و بعض الـ articles كانت بقى false positive
+
+247
+00:20:31,160 --> 00:20:38,420
+فبدنا نكون عارفين الأسماء هذه زي أسامينا بنطلع
+
+248
+00:20:38,420 --> 00:20:44,860
+على قيمة الـ SIG قيمة الخطأ 0.004 ايش يعني
+
+249
+00:20:44,860 --> 00:20:55,510
+0.004؟ أنه هي لعند 5%، 5% وأكثر تعتبر
+
+250
+00:20:55,510 --> 00:20:59,970
+Significant Different هي أقل من 5% يبقى هي
+
+251
+00:20:59,970 --> 00:21:02,810
+Significant Different عن الـ Normal Distribution
+
+252
+00:21:02,810 --> 00:21:09,650
+هي تختلف عن الـ Normal Distribution ونسبة الخطأ في
+
+253
+00:21:09,650 --> 00:21:12,850
+جملة تختلف عن الـ Normal Distribution 0.004
+
+254
+00:21:12,850 --> 00:21:19,630
+بتكون Normal، نعيدها ثانية البيانات اللي موجودة
+
+255
+00:21:19,630 --> 00:21:25,030
+تختلف عن الـ Normal Distribution وجملة تختلف 0.004
+
+256
+00:21:25,030 --> 00:21:28,450
+في الألف نسبة الخطأ فيها بتكون Normal طالما أن
+
+257
+00:21:28,450 --> 00:21:31,470
+نسبة الخطأ الكلمة تختلف عن الـ Normal Distribution
+
+258
+00:21:31,470 --> 00:21:34,730
+0.004 فتختلف عن الـ Normal Distribution
+
+259
+00:21:34,730 --> 00:21:40,670
+يبقى بتكون Abnormal نيجي هين هي significantly
+
+260
+00:21:40,670 --> 00:21:48,760
+different عن الـ Normal هي تختلف عن الطبيعي بتكون
+
+261
+00:21:48,760 --> 00:21:54,700
+غير طبيعي بيكون الشكل abnormal حتى احنا في حياتنا
+
+262
+00:21:54,700 --> 00:21:59,540
+بنقول لشخص معين احنا حافظين شكله ايه الـ style معين
+
+263
+00:21:59,540 --> 00:22:03,740
+ايه الـ tolerance معينة بنقول انه انت اليوم شكلك مش
+
+264
+00:22:03,740 --> 00:22:07,960
+طبيعي انت significantly different عن الطبيعي بيكون
+
+265
+00:22:07,960 --> 00:22:15,520
+طبيعي بكونش طبيعي نفس الشيء في شابيرو بيكون يختلف
+
+266
+00:22:15,520 --> 00:22:21,270
+عن الشكل الطبيعي فهو بيكون غير طبيعي نتذكر دائما أن
+
+267
+00:22:21,270 --> 00:22:27,690
+كولموغروف شابيرو لما بتكون أقل من 5% فبتكون تختلف
+
+268
+00:22:27,690 --> 00:22:30,530
+عن الشكل الطبيعي فطالما أنها تختلف عن الشكل
+
+269
+00:22:30,530 --> 00:22:34,230
+الطبيعي فبكون الشكل غير طبيعي أو not normal
+
+270
+00:22:34,230 --> 00:22:39,610
+distribution للـ data ونعيد مجددا احنا حتى بنشوف
+
+271
+00:22:39,610 --> 00:22:42,450
+زملائنا في الجامعة بنقولهم أنت اليوم شكلك مش مبسوط
+
+272
+00:22:42,450 --> 00:22:45,930
+أنت شكلك مش طبيعي لأن أنا حافظ الشكل الطبيعي له
+
+273
+00:22:46,640 --> 00:22:50,320
+وحافظ الشكل الطبيعي لـ Normal Distribution وكل
+
+274
+00:22:50,320 --> 00:22:53,860
+كولموغروف وشابيرو قالولي هو بيختلف عن الشكل الطبيعي يبقى
+
+275
+00:22:53,860 --> 00:22:58,880
+بيكون غير طبيعي ونسبة الخطأ في أنه يختلف عن الشكل
+
+276
+00:22:58,880 --> 00:23:05,580
+الطبيعي 0.004 وهنا صفر وهنا 0.001
+
+277
+00:23:05,580 --> 00:23:12,430
+وهنا صفر فبيكون إن الـ diastolic blood pressure و
+
+278
+00:23:12,430 --> 00:23:15,710
+number of cigarettes  ليست of normal التوزيع
+
+279
+00:23:15,710 --> 00:23:19,230
+الطبيعي للبيانات تبعهم بيكون مش normal distributed
+
+280
+00:23:19,230 --> 00:23:24,590
+وقت ايش بطلع كولموغروف ووقت ايش بطلع شابيرو نطلع
+
+281
+00:23:24,590 --> 00:23:28,130
+على كولموغروف لما بتكون الـ sample size كبيرة أكثر
+
+282
+00:23:28,130 --> 00:23:34,230
+من 200، يعني 300، 400، 500، نطلع شابيرو لما بتكون
+
+283
+00:23:34,230 --> 00:23:41,250
+الـ sample size من 20 لـ 200 فبنقول بناخد قراءة شبيهة
+
+284
+00:23:41,250 --> 00:23:44,250
+لما بتكون الـ Sample Size من 20 إلى 200 ولما
+
+285
+00:23:44,250 --> 00:23:48,050
+بتكون عندنا أكثر من 200 الـ Sample Size بنطلع على
+
+286
+00:23:48,050 --> 00:23:53,470
+كولموغروف في عندنا الـ Graph و الـ Table هنتكلم عنهم
+
+287
+00:23:53,470 --> 00:23:57,530
+الـ Tables هذا الـ Tables اللي أمامنا بنسميه الـ
+
+288
+00:23:57,530 --> 00:24:01,670
+Frequency Table أنا عندي كم واحد Male في الـ
+
+289
+00:24:01,670 --> 00:24:04,370
+medical statistics course موجود من الـ student
+
+290
+00:24:04,370 --> 00:24:08,880
+كانوا عشرين نسبتهم 80% وحكينا كيف بنحسبهم والـ
+
+291
+00:24:08,880 --> 00:24:12,620
+Female كانوا خمسة تطلع عشرين في المائة واتكلمنا كيف
+
+292
+00:24:12,620 --> 00:24:17,360
+نحسبهم وقلنا إن الـ ratio تطلع أربعة لواحد وقلنا هنا
+
+293
+00:24:17,360 --> 00:24:20,780
+جبنا الـ percentage و الـ ratio لأن الـ data عبارة عن
+
+294
+00:24:20,780 --> 00:24:26,790
+qualitative data هذا الـ table اسمه Frequency Table
+
+295
+00:24:26,790 --> 00:24:30,550
+اللي بيهمني اسم الـ Table عندما نطلع اللعبة لـ
+
+296
+00:24:30,550 --> 00:24:33,350
+Frequency أو الـ Number و الـ Percentage لأن اسمه
+
+297
+00:24:33,350 --> 00:24:35,990
+Frequency Table في نوع ثاني من الـ Table اسمه
+
+298
+00:24:35,990 --> 00:24:39,610
+Cumulative Table الـ Table هذا باللاحظ أنه موجود
+
+299
+00:24:39,610 --> 00:24:42,190
+فيه الـ Frequency و الـ Percentage وموجود فيه الـ
+
+300
+00:24:42,190 --> 00:24:45,850
+Cumulative Frequency و الـ Cumulative Percentage
+
+301
+00:24:45,850 --> 00:24:50,210
+هذا بنسميه Cumulative Table من الأثنين هدول اللي
+
+302
+00:24:50,210 --> 00:24:56,980
+موجودين نفس الصابط بيجيب من الـ Total جداش الـ
+
+303
+00:24:56,980 --> 00:25:00,640
+percentage يعني كأنه بيجمع هدول كلهم وبيحسب
+
+304
+00:25:00,640 --> 00:25:06,280
+الثلاثة على عددهم ولو جمعنا هدول بنلاقيهم 153
+
+305
+00:25:06,280 --> 00:25:14,800
+على 50 × 100 بيطلع 6%، 5 على 50 × 100 بيطلع 10%، 9
+
+306
+00:25:14,800 --> 00:25:20,480
+على 50 × 100 بيطلع 18%، 10 على 50 × 100 بيطلع 20%
+
+307
+00:25:22,530 --> 00:25:27,430
+وهكذا الآن الـ Cumulative التراكمية إنه أنا بقول
+
+308
+00:25:27,430 --> 00:25:35,310
+الثلاثة عند الـ 177، ثلاثة بعد الثلاثة جات الخمسة
+
+309
+00:25:35,310 --> 00:25:41,870
+ثلاثة والخمسة بيصير ثمانية، طب هذه بتكون التسعة
+
+310
+00:25:41,870 --> 00:25:46,690
+والخمسة والسبعة تطلع معاه 17، طب اللي بعديها الـ 27
+
+311
+00:25:46,690 --> 00:25:53,160
+كيف جات؟ العشرة ونعد الأرقام اللي فوقها نفس الشيء
+
+312
+00:25:53,160 --> 00:25:56,740
+بندع نمشي عند الخمسين هي من عند الثلاثة وبروح
+
+313
+00:25:56,740 --> 00:26:01,340
+حاسبين كل الأرقام بتطلع معانا خمسين نفس الشيء في
+
+314
+00:26:01,340 --> 00:26:06,760
+الـ percentage بنيجي عند الستة بنقول هي رقم ستة هي
+
+315
+00:26:06,760 --> 00:26:10,360
+الستة، طب الستة عشر كيف جات؟ العشرة بجمع اللي فوقيها
+
+316
+00:26:10,360 --> 00:26:14,200
+طب الأربعة وثلاثين باجي عقبالها الطمنتعش بجمع
+
+317
+00:26:14,200 --> 00:26:19,140
+اللي فوقيها، الستة وسبعين عقبالها الإثنين وعشرين
+
+318
+00:26:19,140 --> 00:26:24,030
+مع اللي فوقيها الأربعة والتسعين باخد الـ 18 وبحسب
+
+319
+00:26:24,030 --> 00:26:28,310
+اللي أعلى منها كلهم، الـ 94 والـ 6 باخد الـ 6 و
+
+320
+00:26:28,310 --> 00:26:32,790
+بحسب اللي أعلى منه كلها بتكون 100% طب كيف هي اللي
+
+321
+00:26:32,790 --> 00:26:35,890
+بتيجي في الامتحان بتيجي في الامتحان ان هنا بيجي
+
+322
+00:26:35,890 --> 00:26:39,950
+حرف B وهنا
+
+323
+00:26:39,950 --> 00:26:50,270
+بيجي حرف A، A، B، C، D وأنت عبيهم أنت بتحسب الأرقام A
+
+324
+00:26:50,990 --> 00:26:56,010
+إن أنا حتى أجيب الـ A بدي أروح أطلع في الـ Total
+
+325
+00:26:56,010 --> 00:26:59,710
+قد ايش كان فأقوم جامع اللي جاب له كله واللي
+
+326
+00:26:59,710 --> 00:27:03,890
+بعديه كله تطلع معاه قيمة A يعني بجمع هدول وهذه
+
+327
+00:27:03,890 --> 00:27:10,970
+بيطلعوا معايا 41، بقسمها على الـ 50، من الـ 41 تطلع 82% بكتب
+
+328
+00:27:10,970 --> 00:27:21,040
+عند A 82% هنا بكون مكتوب B، B بالـ percentage هي المائة
+
+329
+00:27:21,040 --> 00:27:27,560
+وهنا قلنا بيه بروح جمعين هدول وجمعين الأسفل منهم
+
+330
+00:27:27,560 --> 00:27:30,720
+بنقول مائة ناقص الأرقام اللي طلع معايا بيطلع معايا
+
+331
+00:27:30,720 --> 00:27:38,340
+18% طب هنا بكون مكتوب C بنجي عقبال الـ C وبنجمع
+
+332
+00:27:38,340 --> 00:27:42,080
+كل اللي فوقيها بتطلع معايا السبعة عشر الـ C هنا
+
+333
+00:27:42,080 --> 00:27:46,340
+بكون رقم موجود، بكون مكتوب D، تجمعيلنا، جيبلنا الـ D
+
+334
+00:27:47,360 --> 00:27:50,680
+بتجيب الـ D هي إنك بتجيب قدامها هي cumulative
+
+335
+00:27:50,680 --> 00:27:54,500
+percentage بتجي عند الـ percentage وبتاخد من عند
+
+336
+00:27:54,500 --> 00:27:57,580
+الأقبلها وبتجمعهم كلهم الـ 18 مع المجموع اللي فوق
+
+337
+00:27:57,580 --> 00:28:03,560
+كلهم بتطلع معانا D وبنكتبها، دي النوع الثالث
+
+338
+00:28:03,560 --> 00:28:07,860
+اسمه cross tabulation وبكون علاقة ما بين two
+
+339
+00:28:07,860 --> 00:28:12,480
+variables هي عند ناس نجحوا وناس مانجحوش وهي الـ
+
+340
+00:28:12,480 --> 00:28:17,240
+male وهي الـ female وهي الـ total اللي موجود عندهم في
+
+341
+00:28:17,240 --> 00:28:21,040
+الـ tabular اللي موجودة أمامنا أول ما أشوف two
+
+342
+00:28:21,040 --> 00:28:23,700
+variables موجودة هي عندنا variable وهذا variable
+
+343
+00:28:23,700 --> 00:28:26,940
+وهذا الـ gender وهذا variable الـ result نجح ولا ما
+
+344
+00:28:26,940 --> 00:28:31,240
+نجحش في الحالة هذه أول ما أشوف الـ two variables
+
+345
+00:28:31,240 --> 00:28:35,920
+اللي موجودين بقول هذا اسمها cross tabulation لأن في
+
+346
+00:28:35,920 --> 00:28:38,920
+عندنا two variables هي الـ variable الأول وهي الـ
+
+347
+00:28:38,920 --> 00:28:44,780
+variable الثاني بينما بنلاحظ في الـ Table الأولى
+
+348
+00:28:44,780 --> 00:28:48,340
+هذا واحد variable الطول بالسنتي variable واحد
+
+349
+00:28:48,340 --> 00:28:55,300
+واللي قبلها الـ frequency كمان variable واحد والـ
+
+350
+00:28:55,300 --> 00:29:00,360
+frequency tables هي variable واحد فبيكون الـ
+
+351
+00:29:00,360 --> 00:29:03,680
+cumulative table والـ frequency variable واحد والـ
+
+352
+00:29:03,680 --> 00:29:07,650
+cross tabulation عبارة عن two variables تبقى الـ two
+
+353
+00:29:07,650 --> 00:29:10,830
+variables اللي بتكون في cross tabulation لو طلعنا
+
+354
+00:29:10,830 --> 00:29:15,590
+هي نسبة الـ male ونسبة الـ female لكل واحد نجح وكل
+
+355
+00:29:15,590 --> 00:29:20,110
+واحد رسب كيف نقرأها الأرقام اللي موجودة في cross
+
+356
+00:29:20,110 --> 00:29:24,230
+tabulation واللي بتكون موجودة في أبحاث نتائج
+
+357
+00:29:24,230 --> 00:29:29,230
+ماجستير ويطلب منها المشرف انك تعلق عليهم واللي مش مصدق
+
+358
+00:29:29,230 --> 00:29:34,090
+انها بتكون موجودة هيبحث والبحث في cross
+
+359
+00:29:34,090 --> 00:29:37,830
+tabulation لأن هي عندها variable وهي عند الـ
+
+360
+00:29:37,830 --> 00:29:41,530
+variable وهي عند المشاركين كان variable وهي عند
+
+361
+00:29:41,530 --> 00:29:46,410
+الجندر كان variable وبقول لك المشرف علق على هذا
+
+362
+00:29:46,410 --> 00:29:52,110
+الـ Table اللي موجودة كيف نعلق على 52 و48؟ 52 و
+
+363
+00:29:52,110 --> 00:29:58,170
+48 كيف نعلق عليهم؟ التعليق على الأرقام اللي موجودة
+
+364
+00:29:58,170 --> 00:30:06,130
+بيكون بالشكل التالي انه أنا بقول 78.9% من اللي
+
+365
+00:30:06,130 --> 00:30:11,070
+نجحوا كانوا male طب ليش ما قلتش أنا 78.9%
+
+366
+00:30:11,070 --> 00:30:16,390
+وتسعة من الـ male نجحوا لأنني بتطلع علميه وين
+
+367
+00:30:16,390 --> 00:30:20,590
+موجودة، قانون هذا في العشرة بتحفظه زي اسمك أو
+
+368
+00:30:20,590 --> 00:30:24,930
+تحفظيه زي اسمك، بتطلع عليها وابدأ في اللي أعلى منها
+
+369
+00:30:24,930 --> 00:30:29,490
+في الكلام، 78.9% من اللي نجحوا كانوا
+
+370
+00:30:29,490 --> 00:30:38,320
+male والباقي كانوا female لو قلت أنت لو قلت 78.9%
+
+371
+00:30:38,320 --> 00:30:43,500
+من الـ Male نجحوا يبقى جداش اللي رسب من الـ Male
+
+372
+00:30:43,500 --> 00:30:48,720
+أنت قلت 78.9% من الـ Male نجحوا وافترضت إن هي صح
+
+373
+00:30:48,720 --> 00:30:56,140
+بس هي غلط، بدي يكون رسب من الـ Male 21.1% وهي مش
+
+374
+00:30:56,140 --> 00:31:03,280
+صح هي 78.9% من اللي نجحوا Male وبيظل الباقي من
+
+375
+00:31:03,280 --> 00:31:11,550
+اللي نجحوا Female و 83.3% من اللي رسبوا كانوا male
+
+376
+00:31:11,550 --> 00:31:17,610
+و 16.7% من اللي رسبوا كانوا female وهيك تقرأ الـ
+
+377
+00:31:17,610 --> 00:31:21,130
+table نشوف الـ table اللي بعديها cross tabulation to
+
+378
+00:31:21,130 --> 00:31:24,810
+variables نفس الحاجة ولكن اتفاجأنا إن المجموع جاي
+
+379
+00:31:24,810 --> 00:31:31,210
+بالعكس إن 25% اللي موجود ولو جمعنا هدول ما طلعوش
+
+380
+00:31:31,210 --> 00:31:35,550
+100%، جات عندنا عن ناحية اليمين كيف نعلق على
+
+381
+00:31:35,550 --> 00:31:39,750
+الـ table اللي موجودة الأمر السهل هي المائة وين
+
+382
+00:31:39,750 --> 00:31:44,350
+عقبالها هادي
+
+383
+00:31:44,350 --> 00:31:52,010
+ولا هادي، بنقول عقبالها الـ male فبنقول 25% من الـ
+
+384
+00:31:52,010 --> 00:31:58,750
+male لأن عقبال المائة رسب و20% من الـ female اللي
+
+385
+00:31:58,750 --> 00:32:06,140
+هي عقبال المائة رسبوا 75% 20% من الـ Male نجحوا 80%
+
+386
+00:32:06,140 --> 00:32:12,480
+من الـ Female نجحوا فبالتالي
+
+387
+00:32:12,480 --> 00:32:20,920
+لما بنجي بنعلق بنقول 20% من الـ Female رسبوا 80%
+
+388
+00:32:20,920 --> 00:32:31,430
+من الـ Female نجحوا 75% من الـ Male نجحوا و25% من
+
+389
+00:32:31,430 --> 00:32:36,750
+الـ male رسبوا لأن اللي حدد اتجاهها بدأ بالـ male ولا
+
+390
+00:32:36,750 --> 00:32:42,110
+نجح ولا رسب اللي هو نسبة 100% إني ببدأ من عقبالها
+
+391
+00:32:42,110 --> 00:32:48,290
+الأمر أكثر صعوبة في الـ Table هادي الـ Table هادي
+
+392
+00:32:48,29
+
+445
+00:36:56,930 --> 00:37:00,510
+يستخدم للـ quantitative data يبقى الـ quantitative
+
+446
+00:37:00,510 --> 00:37:03,870
+data فيه histogram فيه frequency curve وفيه
+
+447
+00:37:03,870 --> 00:37:08,810
+scatter plot أو ما يسمى بالـ XY scatter plot وهذه
+
+448
+00:37:08,810 --> 00:37:13,730
+كلها تستخدم للـ Quantitative Data في عندنا Stem and
+
+449
+00:37:13,730 --> 00:37:17,650
+Leaf Stem and Leaf هو عبارة عن شكل من أشكال الـ
+
+450
+00:37:17,650 --> 00:37:22,530
+Graph يستخدم للـ Quantitative Data أو بلخصنا للـ
+
+451
+00:37:22,530 --> 00:37:25,930
+Quantitative Data على شكل أرقام، فكرة Stem and Leaf
+
+452
+00:37:25,930 --> 00:37:29,230
+فكرة بسيطة أنه هي الأرقام اللي موجودة عندي
+
+453
+00:37:29,230 --> 00:37:32,970
+الأرقام اللي موجودة هذه عندي كلها، باخد الـ Minimum
+
+454
+00:37:32,970 --> 00:37:36,990
+والـ Maximum وبرتبهم، باخد أول حاجة الرقمين اللي
+
+455
+00:37:36,990 --> 00:37:43,120
+موجودين في الأول والتاني، الـ 13 والـ 17، هي الـ 13
+
+456
+00:37:43,120 --> 00:37:46,600
+والـ 17 وبكتب الأرقام اللي موجودة بينهم: 13, 14,
+
+457
+00:37:46,860 --> 00:37:52,900
+15, 16, 17 أو بالعكس 13, 14, 15, 16, 17 زي ما بدنا
+
+458
+00:37:52,900 --> 00:37:58,340
+بعدين بنبدأ نقول 13 هي عندنا الـ 13 اللي موجودة
+
+459
+00:37:58,340 --> 00:38:03,880
+بعد ما رتبهم ترتيب بنقول 13 وبنضيف هنا 2 كأنه stem
+
+460
+00:38:03,880 --> 00:38:09,760
+اللي هو عبارة عن اللي هو الغصن، والأوراق الـ leaves
+
+461
+00:38:09,760 --> 00:38:13,620
+بتكون عبارة عن اتنين، هي اتنين، وبعدين باخد الرقم
+
+462
+00:38:13,620 --> 00:38:16,700
+اللي بعديه اللي هو الأربع، بعدين الرقم اللي بعديه
+
+463
+00:38:16,700 --> 00:38:22,540
+ثمانية، وصلنا لـ 140، برو عند 14 بكتب صفر، بعدين بكتب
+
+464
+00:38:22,540 --> 00:38:27,360
+واحد، بعدين اتنين، بعدين ستة، بعدين ستة، وصلنا لـ 150
+
+465
+00:38:27,360 --> 00:38:33,860
+برو عند 15 نكتب 150، 52، 54، وبعدين نطلع على 16 نكتب
+
+466
+00:38:33,860 --> 00:38:39,390
+6، خلصنا الـ 16 ونذهب للـ 17 ونكتب 2، كما تكون خلصت
+
+467
+00:38:39,390 --> 00:38:44,290
+كل الأرقام اللي بدنا إياها، الفائدة الأساسي للـ stem
+
+468
+00:38:44,290 --> 00:38:48,290
+and leaf أنه أنا أقدر أرسم الـ normal distribution
+
+469
+00:38:48,290 --> 00:38:52,510
+يعني لو جيت هنا وأرسمت خط، فهيك ومسكت الخط اللي
+
+470
+00:38:52,510 --> 00:38:58,110
+أنا رسمته وعدلته، يعني جلبته، بقدر أعرف الـ data
+
+471
+00:38:58,110 --> 00:39:02,430
+normal ولا abnormal distribution، غير ذلك، لو أردت
+
+472
+00:39:02,430 --> 00:39:08,890
+فك الأرقام هذه، على طول بنفكهم: 132، 134، 138، 141،
+
+473
+00:39:08,890 --> 00:39:20,630
+142، 146، 146، 152، 154، 166، 172، 172، 172، 172،
+
+474
+00:39:20,630 --> 00:39:20,670
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+475
+00:39:20,670 --> 00:39:22,650
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+476
+00:39:22,650 --> 00:39:26,610
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+477
+00:39:26,610 --> 00:39:26,630
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+478
+00:39:26,630 --> 00:39:29,450
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+479
+00:39:29,450 --> 00:39:36,390
+172، 172، 172، 172، 172، 172،
+
+480
+00:39:36,390 --> 00:39:41,170
+172، وهي الشكل اللي موجود أمامنا في الـ stem and
+
+481
+00:39:41,170 --> 00:39:44,450
+leaf بشكل عام، وقلنا إن هي الـ data اللي موجودة
+
+482
+00:39:44,450 --> 00:39:49,490
+أمامنا، وممكن من خلالها نحدد normality of data حتى
+
+483
+00:39:49,490 --> 00:39:54,650
+لما يوضح، لأنه ممكن يكون موضحش لواحد من الطلبة أنه
+
+484
+00:39:54,650 --> 00:39:57,150
+كيف الـ Normal Distribution، إن أنا هي عند الأرقام
+
+485
+00:39:57,150 --> 00:40:00,450
+اللي موجودة، هي هذه عند نفسها ضخمة، هذه لفناها
+
+486
+00:40:00,450 --> 00:40:03,910
+لفها، جينا نقسم الـ Normal Distribution، فطلع معنا
+
+487
+00:40:03,910 --> 00:40:07,330
+بالشكل هذا، لما حطينا خط على أرقام، فطلع معنا في
+
+488
+00:40:07,330 --> 00:40:10,110
+عندنا التواء ناحية الـ Positive، يعني الـ Positive
+
+489
+00:40:10,110 --> 00:40:12,270
+skewness طالع من ناحية هدف بكونه Normal
+
+490
+00:40:12,270 --> 00:40:15,370
+Distribution، أنا عرفته من خلال الـ stem and leaf
+
+491
+00:40:16,720 --> 00:40:20,280
+لو أخدنا هذا واطلعنا فيها، تطلع معانا Abnormal
+
+492
+00:40:20,280 --> 00:40:26,460
+Distribution، بنفس الطريقة، الـ Boxplot هو
+
+493
+00:40:26,460 --> 00:40:30,620
+النوع الخامس من الـ Graph اللي يستخدم للـ
+
+494
+00:40:30,620 --> 00:40:32,960
+Quantitative Data، يمكن الـ Quantitative Data هما
+
+495
+00:40:32,960 --> 00:40:38,100
+اثنين، والـ Quantitative Data هو خمسة Graph، بنحاول
+
+496
+00:40:38,100 --> 00:40:40,700
+تاني، وبنكرر أن الـ Quantitative Data فيها اثنين
+
+497
+00:40:40,700 --> 00:40:45,290
+Graph والـ Quantitative Data إلى خمسة Graph، هذه هي
+
+498
+00:40:45,290 --> 00:40:49,010
+تعتبر الـ Box Plot، Box هذا اللي موجود اللي هو هنا
+
+499
+00:40:49,010 --> 00:40:54,150
+بيكون الـ Q1 وهنا Q3، هذا الـ Minimum وهنا الـ
+
+500
+00:40:54,150 --> 00:40:58,150
+Maximum، بتكون موجودة، هذه تعتبر كلها Outlier Value
+
+501
+00:40:58,150 --> 00:41:02,250
+أو Extreme Value، لما بنشوف دائرة بنسميها Outlier، و
+
+502
+00:41:02,250 --> 00:41:06,190
+لما بنشوف نجمة بنسميها Extreme، والـ Outlier أو الـ
+
+503
+00:41:06,190 --> 00:41:10,660
+Extreme Value لها قوانين تحسب فيها، يعني مثلاً زي ما
+
+504
+00:41:10,660 --> 00:41:13,260
+اتكلمنا في المحاضرة السابقة، أن يكون عندنا طلاب
+
+505
+00:41:13,260 --> 00:41:17,980
+مستوى تالت، وهذول الطلاب عندهم طالب بيجسر أو بيكمل
+
+506
+00:41:17,980 --> 00:41:22,240
+من دبلوم، عمره 45 سنة، هو هذا يعتبر بالنسبة للطلاب
+
+507
+00:41:22,240 --> 00:41:25,820
+اللي موجودين extreme value أو outlier value، قيم
+
+508
+00:41:25,820 --> 00:41:32,160
+شاذة، معناتها هو لها قوانين تحسب فيها، ولكن احنا إن
+
+509
+00:41:32,160 --> 00:41:34,740
+شاء الله لما ناخد على برنامج SPSS، هو البرنامج
+
+510
+00:41:34,740 --> 00:41:38,740
+بيطلع لنا إياها مباشرة، وبيقول لنا أنه extreme ولا
+
+511
+00:41:38,740 --> 00:41:42,160
+outlier، عن طريق التمييز أنه نجمة تعتبر extreme
+
+512
+00:41:42,160 --> 00:41:46,320
+يعني قيمة شديدة جداً، زي ما نقول أنه عندنا واحد عمره 80
+
+513
+00:41:46,320 --> 00:41:51,220
+سنة بيدرس في قاعة طلاب عمرهم كلهم 21 و22 سنة
+
+514
+00:41:51,220 --> 00:41:55,520
+بنسميه extreme، وزي ما نقول Outlier Value أن واحد
+
+515
+00:41:55,520 --> 00:41:59,900
+عمره 35 سنة بيكون موجود في قاعة طلاب أعمارهم كلهم
+
+516
+00:41:59,900 --> 00:42:04,500
+في العشرينات، فبنعد 35 سنة هو Outlier Value، قيمة
+
+517
+00:42:04,500 --> 00:42:08,020
+شاذة ولكن مش كتير زي أباً الـ 80 سنة، أن يكون موجود
+
+518
+00:42:08,020 --> 00:42:14,700
+في القاعة، أو زي أباً الـ 60 سنة، بنكتفي
+
+519
+00:42:14,700 --> 00:42:18,680
+بذلك نختم هذه المحاضرة، نتمنى لكم التوفيق
+
+520
+00:42:18,680 --> 00:42:21,740
+والسلام عليكم ورحمة الله وبركاته
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8265386c102a7af9afd0dd421abba7ec39eec07b
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_postprocess.srt
@@ -0,0 +1,2080 @@
+1
+00:00:01,850 --> 00:00:04,770
+أعود بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:04,770 --> 00:00:11,590
+الرحيم أعزاء الطلاب زملاء الطلاب السلام عليكم
+
+3
+00:00:11,590 --> 00:00:20,890
+ورحمة الله وبركاته جدًا أترحبكم في هذا اللقاء وسوف
+
+4
+00:00:20,890 --> 00:00:26,410
+يتم إن شاء الله الحديث عن type of errors اللي هي
+
+5
+00:00:26,410 --> 00:00:28,930
+أنواع الأخطاء اللي بتتم في الأحصاء
+
+6
+00:00:31,990 --> 00:00:37,490
+الـ type of errors اللي بتتم هما نوعين بتتموا خلال
+
+7
+00:00:37,490 --> 00:00:43,650
+عملية البحث يبقى أنت في بحثك قد يحدث معاك نوعين من
+
+8
+00:00:43,650 --> 00:00:49,330
+الخطأ في خطأ بنسميه type 1 error والخطأ التاني
+
+9
+00:00:49,330 --> 00:00:55,150
+بنسميه type 2 error هدول النوعين قد يحدثوا معاك
+
+10
+00:00:55,150 --> 00:01:01,010
+خلال إجراء البحث هنشوف إيش تعريفهم و لو وجعوا
+
+11
+00:01:01,010 --> 00:01:07,680
+معناهاكيف أحنا ممكن نتجنبهم التابل اللي أمامنا
+
+12
+00:01:07,680 --> 00:01:14,320
+بتلخص أنواع الأخطاء اللي بتكون موجودة خلال عملية
+
+13
+00:01:14,320 --> 00:01:20,880
+إجراء بحث ماجستير أول حاجة أنه أنت بيكون عندك بعد
+
+14
+00:01:20,880 --> 00:01:27,400
+ما تجمع البيانات وتلم الاستبانات
+
+15
+00:01:27,400 --> 00:01:33,850
+وتبدأ تحليلهمان انت بتطلع معاك ان في علاقة ما بين
+
+16
+00:01:33,850 --> 00:01:41,530
+ال two variables اللي انت بتدرسهم وفي الحقيقة وكل
+
+17
+00:01:41,530 --> 00:01:46,870
+الناس بتقول وفي الواقع ان في علاقة انت طلع معاك زي
+
+18
+00:01:46,870 --> 00:01:51,450
+الناس ما قالت وزي ما هو الحقيقة موجودة بيكون شغلك
+
+19
+00:01:51,450 --> 00:01:57,590
+correct او بنسميه ال two positive ولكن لو انت قلت
+
+20
+00:01:57,590 --> 00:02:01,470
+في relationوطلع معاك في الاستبانات في relation
+
+21
+00:02:01,470 --> 00:02:06,530
+وقلت في علاقة ما بين متغير X ومتغير Y اللي انت
+
+22
+00:02:06,530 --> 00:02:12,570
+بتدرسهم ولكن في الأصل ماكانش فيه يعني طلعت العلاقة
+
+23
+00:02:12,570 --> 00:02:18,090
+اللي معاك هذه علاقة مضغوبة باختصار انه انت استعجلت
+
+24
+00:02:18,090 --> 00:02:21,970
+في جمع الاستبانات وقلت في relation والاصل والواقع
+
+25
+00:02:21,970 --> 00:02:26,400
+مافيش relationهذا بنسميه type 1 error اللي هو
+
+26
+00:02:26,400 --> 00:02:29,800
+الخطأ من النوع الأول أو بنسميه false positive يعني
+
+27
+00:02:29,800 --> 00:02:33,420
+طلع معاك positive في relation ولكن الأصل مافيش
+
+28
+00:02:33,420 --> 00:02:39,940
+النوع التاني من الأخطاء أنه
+
+29
+00:02:39,940 --> 00:02:45,240
+بيكون أنا قلت مافيش علاقة لا يوجد علاقة ما بين
+
+30
+00:02:45,240 --> 00:02:52,300
+متغير الأول والتانيولكن الأصل في علاقة ولكن طلعت
+
+31
+00:02:52,300 --> 00:02:55,240
+هو فيش علاقة عندى لأنه في Confounder واتكلمنا عن
+
+32
+00:02:55,240 --> 00:03:00,160
+الـ Confounder شمع دخلته وأخفتها العلاقة هذه ولكن
+
+33
+00:03:00,160 --> 00:03:04,940
+الأصل فيه هذا بنسميه type 2 error أنه أنا قلت فيش
+
+34
+00:03:04,940 --> 00:03:12,380
+علاقة والأصل كان في علاقة بس أنا لم أوفق في كشفها
+
+35
+00:03:12,380 --> 00:03:16,360
+في خلال بحثي تبع الـ Magistrate ولكن لو كان فيش
+
+36
+00:03:16,360 --> 00:03:20,810
+علاقةوالأصل فيش علاقة هذا correct وبيقول عنه to
+
+37
+00:03:20,810 --> 00:03:25,670
+negative يعني negative ماشي ماعيش الصح أو في علاقة
+
+38
+00:03:25,670 --> 00:03:30,290
+مش موجودة وانا وضعتها وقلت to negative فبالتالي
+
+39
+00:03:30,290 --> 00:03:36,950
+بتكون أنا correct يبقى لو في علاقة في الحقيقة وانا
+
+40
+00:03:36,950 --> 00:03:40,390
+قلت في علاقة correct positive فيش علاقة وانا قلت
+
+41
+00:03:40,390 --> 00:03:43,350
+فيش علاقة correct ولكن to negative
+
+42
+00:03:46,580 --> 00:03:52,200
+النوع التاني أو السيناريو إنه أنا قلت في علاقة
+
+43
+00:03:52,200 --> 00:03:57,300
+والأصل فيش هذا بيقول عنه type 1 ولو قلت فيش علاقة
+
+44
+00:03:57,300 --> 00:04:02,860
+والأصل فيه مقدرش أوضحها في البحث بيقول عنه type 2
+
+45
+00:04:02,860 --> 00:04:10,340
+او اخر نعيدهم تاني بأكثر أمثلة وبأكثر وضوح أنا قلت
+
+46
+00:04:10,340 --> 00:04:15,420
+في علاقة ما بين lung cancer وsmoking
+
+47
+00:04:16,380 --> 00:04:19,520
+والأصل في علاقة كل الأبحاث بتقول في علاقة وحقيقة
+
+48
+00:04:19,520 --> 00:04:25,340
+في علاقة أنا بقول عنه correct و positive أنا قلت
+
+49
+00:04:25,340 --> 00:04:29,040
+مافيش علاقة ما بين ال opposite و ال smoking يعني
+
+50
+00:04:29,040 --> 00:04:32,940
+الناس اللي بتدخن مالهاش علاقة ان هو obese ولا not
+
+51
+00:04:32,940 --> 00:04:37,180
+obese والأصل مافيش علاقة كمان بقول عنه correct
+
+52
+00:04:37,180 --> 00:04:43,710
+وفيش علاقة too negative أنا وضحت انه فيش علاقةعشان
+
+53
+00:04:43,710 --> 00:04:48,330
+أنا قلت في علاقة ما بين ال lung cancer و ال
+
+54
+00:04:48,330 --> 00:04:55,170
+smoking و البحث التابعي طلع ان في relation و لكن
+
+55
+00:04:55,170 --> 00:05:01,210
+الأصل مافيش relation أنا في الحال هادي ارتكبت في
+
+56
+00:05:01,210 --> 00:05:05,350
+بحثي نوع خطأ من سميه من النوع الأول ان قلت في
+
+57
+00:05:05,350 --> 00:05:08,050
+relation و الأصل مافيش relation
+
+58
+00:05:12,680 --> 00:05:21,380
+بعد ذلك أنا قلت الـ obesity و الـ weed و الـ
+
+59
+00:05:21,380 --> 00:05:28,540
+smoking مافيش بينهم علاقة والأصل كان فيه في
+
+60
+00:05:28,540 --> 00:05:31,040
+الناحية هذه بتكون انت تكبت خطأ من النوع الثاني
+
+61
+00:05:31,040 --> 00:05:35,860
+بنسميه false negative ناخد مثال بعيد شوية عن البحث
+
+62
+00:05:35,860 --> 00:05:42,310
+العلمي انت الحين انفجرت جوالكوفي شخص في القاعة
+
+63
+00:05:42,310 --> 00:05:49,290
+ماحدش دخل القاعة إلا هو انت بعد ما انت عملت عصف
+
+64
+00:05:49,290 --> 00:05:53,530
+ذهني وصلت لقناة ماحدش دخل القاعة إلا الشخص هذا
+
+65
+00:05:53,530 --> 00:05:57,050
+وبالمضبط ماحدش دخل هو اللي أخده انت قلت هو اللي
+
+66
+00:05:57,050 --> 00:06:02,030
+أخده في علاقة بين سلكت الجوال والحقيقة
+
+67
+00:06:02,030 --> 00:06:05,270
+هو فعلا أخده انت قلت correct يعني انت توقعت كان صح
+
+68
+00:06:05,270 --> 00:06:12,720
+انت في شخص تانيشوفته دخل القاعة بس ماشوفش إذا حد
+
+69
+00:06:12,720 --> 00:06:15,920
+دخل لإنك مش عارف مين دخل و مين طلع من القاعة قولت
+
+70
+00:06:15,920 --> 00:06:18,580
+ما أظنش هو لإنه أخلاقه عالية ماظنش هو اللي أخد
+
+71
+00:06:18,580 --> 00:06:21,900
+الجوال والأصل كمان مش هو اللي ماخده يعني فعلا مش
+
+72
+00:06:21,900 --> 00:06:24,600
+هو اللي ماخده لإنه شخص محترم مش ممكن يمديده عن
+
+73
+00:06:24,600 --> 00:06:30,500
+الجوال بقول عنه correct negative في المقابل ناخد
+
+74
+00:06:30,500 --> 00:06:34,580
+سيناريو تاني انت قولت إن الشخص هذا هو اللي سرق
+
+75
+00:06:34,580 --> 00:06:42,590
+الجوال ولكن الأصل هو مالوش علاقة بالجوالهو مايله
+
+76
+00:06:42,590 --> 00:06:45,510
+علاقة العلاقة مفقودة بيقول هذا type 1 او او انت
+
+77
+00:06:45,510 --> 00:06:50,190
+اتكبته انت قلت في علاقة هو مالوس دعوة اللي بعديها
+
+78
+00:06:50,190 --> 00:06:54,970
+قلت انت الشخص هذا لايمكن يمد يده على الجوال والأصل
+
+79
+00:06:54,970 --> 00:06:59,070
+التوقع خاطر انه طلع هو اللي ماخد الجوال وانت تخمين
+
+80
+00:06:59,070 --> 00:07:02,810
+تهضامك فيه انه كويس انه شخص مش كويس هذا النوع
+
+81
+00:07:02,810 --> 00:07:09,450
+بنسميه type 2 او او باعتقادكوا مين أختار؟Type 1 و
+
+82
+00:07:09,450 --> 00:07:13,790
+لا Type 2 انت تتهم واحد انه سرق و هو ما سرقش بريء
+
+83
+00:07:13,790 --> 00:07:22,450
+و الخطأ التاني انت برأت واحد و هو فعلا سارق نفكر
+
+84
+00:07:22,450 --> 00:07:26,530
+فيها لما نوصل لحالها و نشرح الـ Type 1 Error و
+
+85
+00:07:26,530 --> 00:07:30,650
+Type 2 Error التفاصيل و نرجع نحل اللغز اللي احنا
+
+86
+00:07:30,650 --> 00:07:34,490
+حكينا مين أخطر فيهم من التاني الـ Type of Error
+
+87
+00:07:34,490 --> 00:07:39,880
+Type 1 Error ان انا بقولفي علاقة وبستنتج في بحثي
+
+88
+00:07:39,880 --> 00:07:43,280
+أنه في علاقة موجودة بينما الأصل مافيش علاقة
+
+89
+00:07:43,280 --> 00:07:47,960
+والحقيقة مافيش علاقة هذا بيسمي type 1 error ويسمى
+
+90
+00:07:47,960 --> 00:07:51,720
+false positive ويله اسم اسم Alpha error ويله اسم
+
+91
+00:07:51,720 --> 00:07:56,540
+significant level وكمان اسم B value أو
+
+92
+00:07:56,540 --> 00:08:00,330
+comparability of errorطب ليش الأسماء هذه كلها لازم
+
+93
+00:08:00,330 --> 00:08:03,730
+نعرفها؟ لازم تعرف الأسماء هذه كلها لأنه في ال
+
+94
+00:08:03,730 --> 00:08:07,290
+articles وانت بتجرى هتلاقيها موجودة كل مرة موجودة
+
+95
+00:08:07,290 --> 00:08:11,570
+شكله هيقولك الباحث في ال methodology أنه أنا
+
+96
+00:08:11,570 --> 00:08:17,490
+استخدمist poles positive 5% وهيقولك Alpha R 5%
+
+97
+00:08:17,490 --> 00:08:21,890
+وهيقولك أنا عند significant level 5% وهيقولك ال P
+
+98
+00:08:21,890 --> 00:08:27,070
+value 5% وهيقولنا probability of R 5% فكل هذه
+
+99
+00:08:27,070 --> 00:08:32,250
+المصطلحاتضاولي جداً نكون عارفينهم بغض النظر عن
+
+100
+00:08:32,250 --> 00:08:36,630
+عددهم لأنهم كلهم هيلزمونا وكلهم هننزل فيهم مسموح
+
+101
+00:08:36,630 --> 00:08:44,010
+لأخطأ في الجانب هذا في إيجاد علاقة و أقول إنه فيه
+
+102
+00:08:44,010 --> 00:08:51,870
+والأصل مافيش فقط 5% يعني مازيدش عن 5% وهي بنسميها
+
+103
+00:08:51,870 --> 00:08:58,080
+الـ B Value اللي قبل شوية قلنا هنتكلم عنهاونوضحها
+
+104
+00:08:58,080 --> 00:09:01,200
+اللي كانت موجودة عندنا في ال articles اللي كنا
+
+105
+00:09:01,200 --> 00:09:05,440
+فاتحينها اللي هي باختصار شديد كانت موجودة في
+
+106
+00:09:05,440 --> 00:09:09,940
+المنطقة هذه في ال articles يبقى الـ P-Value هنا
+
+107
+00:09:09,940 --> 00:09:17,300
+معناتها Type 1 Euro Alpha Euro Significant Level
+
+108
+00:09:17,300 --> 00:09:25,160
+وكمان كان معناها الـ False Positive Euro
+
+109
+00:09:27,170 --> 00:09:36,210
+كل هذه بنسميها الـ P-Value أو بنسميها Probability
+
+110
+00:09:36,210 --> 00:09:42,010
+of error لا يخلو بحث comparative study من الـ P
+
+111
+00:09:42,010 --> 00:09:47,410
+-Value لهيك لازم نكون عارفينها وفاهمينها لو اطلعنا
+
+112
+00:09:47,410 --> 00:09:52,010
+هنا في البحث اللي موجود قدامنا البحث هي نسبة الخطأ
+
+113
+00:09:52,820 --> 00:09:57,040
+إنه في العلاقة اللي أوجدها ما بين التلات مجموعات
+
+114
+00:09:57,040 --> 00:10:04,220
+هذه إتنين وعشرين من ألف يعني إن قربها شويه إتنين
+
+115
+00:10:04,220 --> 00:10:09,460
+من مية يعني نسبة مقبولة نسبة الخطأ اللي موجودة إنه
+
+116
+00:10:09,460 --> 00:10:14,180
+في علاقة والأصل مافيش إتنين في المية بنقول ماشي
+
+117
+00:10:14,180 --> 00:10:21,110
+مقبولة أو بنعتبرها significant هنا إتنين من ألفهنا
+
+118
+00:10:21,110 --> 00:10:27,390
+5 من 100 هنا نسبة الخطأ 52% ليك نسبة عالية ليك not
+
+119
+00:10:27,390 --> 00:10:30,790
+significant مافيش إلها أي دلالة إحصائية لأن نسبة
+
+120
+00:10:30,790 --> 00:10:35,770
+الخطأ كبيرة نتذكر دائما أن ال P value معناها خطأ
+
+121
+00:10:35,770 --> 00:10:40,850
+ونسبة type 1R كل ما أقل الخطأ ونسبة الخطأ بكون
+
+122
+00:10:40,850 --> 00:10:48,110
+أفضل فبالتالي بنقول لما بتكوناللي عند 5% بنقول
+
+123
+00:10:48,110 --> 00:10:51,650
+statistically significant انه في علاقة وانا متأكد
+
+124
+00:10:51,650 --> 00:10:56,950
+منها حتى نقول ان احنا متأكدين 95% أنا متأكد من
+
+125
+00:10:56,950 --> 00:11:01,890
+كلام اللي بحكي 95% انه كلام صحيح هذه 95% نسبة
+
+126
+00:11:01,890 --> 00:11:06,750
+بتأكيد، طب جديه اختلف من 95%؟ 5% اللي هو عنده لما
+
+127
+00:11:06,750 --> 00:11:11,990
+قال انه متأكد 95% هو مخلي 5% خطأ احنا بنقولها لا
+
+128
+00:11:11,990 --> 00:11:16,550
+إعادي، ولكن هي إلهاقيمة في الأحصاء وعلم الأحصاء
+
+129
+00:11:16,550 --> 00:11:21,310
+أنه بتضال 5% نسبة الخضر اللي مسموح فيها إذا زالت
+
+130
+00:11:21,310 --> 00:11:25,790
+عن 5% بنقول عنها No أو None Statistically
+
+131
+00:11:25,790 --> 00:11:32,910
+Significant مافيش إليها أي دلالة أحصائية الـ
+
+132
+00:11:32,910 --> 00:11:40,730
+P-Value إذا كان إن الـ P-Value أقل من 5% بنقول إن
+
+133
+00:11:40,730 --> 00:11:45,170
+الـ null hypothesis is rejectedالفرضية إنهم يكونوا
+
+134
+00:11:45,170 --> 00:11:49,450
+الأثنين نفس الـ Effect مرفوضة الفرضية السفرية
+
+135
+00:11:49,450 --> 00:11:55,750
+بتقول إنه الأثنين equal أو نفس الـ Effect والـ
+
+136
+00:11:55,750 --> 00:11:59,150
+Research Hypothesis بتقول إنه في علاقة أو واحد
+
+137
+00:11:59,150 --> 00:12:02,990
+أعلى من التانية أحيانا نسبة الخطأ أقل من 5%
+
+138
+00:12:02,990 --> 00:12:07,370
+فبالتالي احتمال إنهم يكونوا equal مرفوض فبنقول إن
+
+139
+00:12:07,370 --> 00:12:10,970
+الـ null hypothesis is rejected وبكونه
+
+140
+00:12:10,970 --> 00:12:14,770
+statistically significantبنقيدها تاني الـ P-Value،
+
+141
+00:12:14,770 --> 00:12:17,990
+Alpha Error، Type 1 Error، Significant Level، Type
+
+142
+00:12:17,990 --> 00:12:21,790
+1 Probability Error، كلهم نفس المعنى بنقول لما
+
+143
+00:12:21,790 --> 00:12:25,810
+بتكون قيمة الـ P-Value أو الـ Alpha Error أو الـ
+
+144
+00:12:25,810 --> 00:12:28,210
+Type 1 Error أو الـ Significant Level أو
+
+145
+00:12:28,210 --> 00:12:32,550
+Probability Error كلهم أو الـ False Positive كلهم
+
+146
+00:12:32,550 --> 00:12:38,270
+أقل من 5% أو لعند 5%بنقول إنه فيه statistically
+
+147
+00:12:38,270 --> 00:12:42,570
+significant واحنا احتمالية إنهم يكونوا equal
+
+148
+00:12:42,570 --> 00:12:46,490
+مرفوضة لهيك بنقول الـ null hypothesis is rejected
+
+149
+00:12:46,490 --> 00:12:50,330
+الـ type II error أو ما تسمى بالـ false negative
+
+150
+00:12:50,330 --> 00:12:55,990
+إنه أنا بأستنتج إنه مافيش علاقة ولكن الأصل فيه هذا
+
+151
+00:12:55,990 --> 00:13:00,750
+يسمى type II error ويسمى beta error وفي الأحصاء
+
+152
+00:13:00,750 --> 00:13:04,810
+مسموحلك فيه لعند 20% يعني خد راحتك في موضوع الـ
+
+153
+00:13:04,810 --> 00:13:05,330
+type II error
+
+154
+00:13:08,520 --> 00:13:13,100
+يسمى أيضًا كذلك بالـ Beta Error غير أنه Type I
+
+155
+00:13:13,100 --> 00:13:17,360
+Error والـ False Negative Error يبقى هذه تلت أسماء
+
+156
+00:13:17,360 --> 00:13:22,440
+نحن نكون عارفينها لأنها موجودة أيضًا في الـ
+
+157
+00:13:22,440 --> 00:13:29,620
+Articles ونكون فاهمينهم فحد مسموح
+
+158
+00:13:29,620 --> 00:13:34,320
+فيه اللي عنده 20% يبقى 15% مسموح فيه و لا مش مسموح
+
+159
+00:13:34,320 --> 00:13:38,660
+فيه؟ مسموح فيه 15%أحنا بنقول للطلبة في الامتحانات
+
+160
+00:13:38,660 --> 00:13:43,340
+15% مقبول في الـ Type 1 بيقولك لا 20% لأ احنا
+
+161
+00:13:43,340 --> 00:13:48,280
+بنقول ان ال maximum لعنده 20% 15% مقبول و 10%
+
+162
+00:13:48,280 --> 00:13:52,060
+مقبول و 7% مقبول و 8% مقبول ان يكون في عنده خطأ من
+
+163
+00:13:52,060 --> 00:13:57,400
+Type 2 ولكن Type 1 معايله 5% بس مايزيدش عن 5% 1%
+
+164
+00:13:57,400 --> 00:14:02,940
+بمشي 2% بمشي 3% بمشي 4% بمشي 5% بمشي ولكن نزيد عن
+
+165
+00:14:02,940 --> 00:14:09,320
+هيكلةفي حاجة بيسموها قوة الدراسة The Study Power
+
+166
+00:14:09,320 --> 00:14:14,360
+اللي هي 1 ناقص الـ B اللي هو الـ Type 2A وبنقول 1
+
+167
+00:14:14,360 --> 00:14:22,700
+ناقص الـ 2 من 10 اللي هي تسوى 20% نفس المعنى ويسوى
+
+168
+00:14:22,700 --> 00:14:27,180
+80% وهذا بيقول عنه قيمة الـ Turbose Diffusion Rate
+
+169
+00:14:27,180 --> 00:14:32,020
+أو بيسموها The Study Power لازم قوة الدراسة ما
+
+170
+00:14:32,020 --> 00:14:37,430
+تجلش عن 80%بكتير هتنسيقل في المناقشة Study Power
+
+171
+00:14:37,430 --> 00:14:42,710
+قديش كانت عندك Study Power بقول واحد ناقص قيمة الـ
+
+172
+00:14:42,710 --> 00:14:47,210
+Type 2R اللي كانت عندى لو كان عندك الـ Type 2R 15%
+
+173
+00:14:47,210 --> 00:14:53,170
+بقول واحد ناقص 15 فبتكون عندى point 85 يعني 85 من
+
+174
+00:14:53,170 --> 00:14:59,330
+100 لو كان الـ Type 2R 10% بقول واحد ناقص 10%
+
+175
+00:14:59,330 --> 00:15:05,420
+ويساوي 90% وهذا بتسمى true positiveالسؤال واللغز
+
+176
+00:15:05,420 --> 00:15:09,020
+اللي قلنا عنه قبل شويه مين أخطر فيهم Type 1 و لا
+
+177
+00:15:09,020 --> 00:15:15,720
+Type 2 انك انت تتهم واحد ان هو سرق و هو ماسرقش هو
+
+178
+00:15:15,720 --> 00:15:20,360
+فعلا أخطر من انك تقول عنه بريء و هو اللي سارك لإنك
+
+179
+00:15:20,360 --> 00:15:24,380
+انت لو اتهمت حدا و علاقتك معاه كويسة او زميلك و هو
+
+180
+00:15:24,380 --> 00:15:29,860
+بريء لايمكن في يوم من الأيام تقدر تمهي هالخطر اللي
+
+181
+00:15:29,860 --> 00:15:34,590
+انت اتكبته حتى لو اعترفتلهولكن لو الشخص اللي انت
+
+182
+00:15:34,590 --> 00:15:39,810
+برّعته وفي الاصل هو ما ياخده في احتمالية تسأل عنه
+
+183
+00:15:39,810 --> 00:15:43,570
+عن أخلاقه يبقى انت سيبت بورها من الوقت أو بورها من
+
+184
+00:15:43,570 --> 00:15:47,830
+الزمن تسأل فيها تسأل بزود ال sample size يبقى ال
+
+185
+00:15:47,830 --> 00:15:51,550
+type 1 oral هو أخطر من ال type 2 oral لأن أول حاجة
+
+186
+00:15:51,550 --> 00:15:56,030
+أنا مسموح ليه ال type 1 oral عند 5% بس و ال type 2
+
+187
+00:15:56,030 --> 00:15:59,750
+oral معايا ل 20% وهذا بأكد على خطوات ال type 1
+
+188
+00:15:59,750 --> 00:16:05,750
+oral أن ال typeOne Euro مش ممكن أتحكم فيه أو مش
+
+189
+00:16:05,750 --> 00:16:09,770
+ممكن أرجع أعدله لأن أنا قلتله أنت اللي سارق والأصل
+
+190
+00:16:09,770 --> 00:16:12,570
+هو مش سارق فكيف بدأ أصلحها بعدين حتى لو اعتدرت على
+
+191
+00:16:12,570 --> 00:16:16,650
+الفاضي أنت قلت فيه relation والأصل فيش أنت قلت إن
+
+192
+00:16:16,650 --> 00:16:19,650
+الدورة هذا مش في الناس والأصل مابيش فيش والناس
+
+193
+00:16:19,650 --> 00:16:23,430
+صارت تاخد العلاج فكيف بدك تعدله؟ ولكن الـType 2
+
+194
+00:16:23,430 --> 00:16:28,730
+Euro أنه أنت ممكن أنك تقلله أو تتحكم فيه من خلال
+
+195
+00:16:28,730 --> 00:16:31,490
+زيادة الـ Sample Size نسأل عن الشخص اللي أحنا
+
+196
+00:16:31,490 --> 00:16:35,610
+برناهالدراسة اللي أنا قلت إنه علاج مش فيش والعصر
+
+197
+00:16:35,610 --> 00:16:39,290
+مش فيه إن أعمل البحث مرة تانية وتالتة ورابعة
+
+198
+00:16:39,290 --> 00:16:42,770
+وأتأكد إن العلاج هذا effect ولا مالوش effect فما
+
+199
+00:16:42,770 --> 00:16:45,750
+أنا أطلع أقول في مؤتمر أنه effect والعصر مافيش
+
+200
+00:16:45,750 --> 00:16:51,630
+effect الـ Type 2 Error prevent benefit بيمنع
+
+201
+00:16:51,630 --> 00:16:58,210
+منفعة ولكن الـ Type 1 Error بيجلب مفسدةودرء
+
+202
+00:16:58,210 --> 00:17:03,510
+المفاسد أولى من جلب المنافع وهذا عندنا في شريعتنا
+
+203
+00:17:03,510 --> 00:17:07,550
+موجود خلاصة
+
+204
+00:17:07,550 --> 00:17:10,290
+الـ Type I والـ Type II أورو أنه أنا عند الـ Type
+
+205
+00:17:10,290 --> 00:17:16,750
+I أورو معاي لـ 5% والـ Type II أورو معاي لعند 20%
+
+206
+00:17:16,750 --> 00:17:23,010
+والـ Study Power أكتر من 80% يعني متزيد عن 80% من
+
+207
+00:17:23,010 --> 00:17:26,410
+الـ Study Power حتى من ضمن الأسئلة اللي نسألها
+
+208
+00:17:26,410 --> 00:17:32,050
+الطلبةأن الـ Type I R مقبول لعند 4 من 100 بقول
+
+209
+00:17:32,050 --> 00:17:37,830
+أخلط هو خلاص حافظ أنه 5 من 100 طب 4% مقبول و 3%
+
+210
+00:17:37,830 --> 00:17:44,050
+مقبول أقل من 5% مقبول لـ Type I R معاك أقل من 5% 5
+
+211
+00:17:44,050 --> 00:17:48,370
+% و أقل مقبول و الـ Type II R بنقولهم أن الـ Type
+
+212
+00:17:48,370 --> 00:17:55,980
+II R 19% مقبول بقولك لأ ل 20 هو حافظ ل 20الـ 19
+
+213
+00:17:55,980 --> 00:18:00,560
+والـ 18 والـ 13 والـ 12 والـ 10 والـ 9 والـ 3 والـ
+
+214
+00:18:00,560 --> 00:18:07,660
+2 مقبول ال 21 مش مقبول ال
+
+215
+00:18:07,660 --> 00:18:12,180
+20 نفسها عند ال 20 بعض ال articles بتقول مقبول
+
+216
+00:18:12,180 --> 00:18:15,080
+وبعض ال articles بتقول مش مقبول احنا مابنسأل ال 20
+
+217
+00:18:15,080 --> 00:18:19,740
+بالظبطأحنا بنقول رقم أقل من عشرين أو بنقول الـ
+
+218
+00:18:19,740 --> 00:18:22,500
+maximum لعند عشرين زي ما اتكلمنا في الـ slide اللي
+
+219
+00:18:22,500 --> 00:18:26,220
+قبل قلنا إن الـ Beta Error معانا لـ maximum اللي
+
+220
+00:18:26,220 --> 00:18:29,980
+هتوصل لعشرين في الميليمتر الـ study بوابة بدها
+
+221
+00:18:29,980 --> 00:18:33,640
+تكون من تمانين وزيادة لو قلنا اللي أطلع بـ 85، الـ
+
+222
+00:18:33,640 --> 00:18:37,550
+tool enforced بقول أخلطفما انت معاك من 80 لعند 100
+
+223
+00:18:37,550 --> 00:18:41,150
+مقبولة في study power قوة الدراسة حتى أحيان
+
+224
+00:18:41,150 --> 00:18:43,830
+بيقولهم قوة الدراسة لما بتكون 100% بتكون excellent
+
+225
+00:18:43,830 --> 00:18:47,570
+بيقولك لأ هي لعند 80 هو حافظ ال 80% و خلاص
+
+226
+00:18:47,570 --> 00:18:53,490
+فبالتالي معادة في study power من 80 ل100 بتكون
+
+227
+00:18:53,490 --> 00:18:59,610
+مقبولة أقل من هيك بتكون غير مقبولة زمان أخدنا احنا
+
+228
+00:18:59,610 --> 00:19:03,290
+ان ال principle hypothesis الشي هي هي المال
+
+229
+00:19:03,290 --> 00:19:08,730
+hypothesisواللي بنعملها reject لما بتكون الـ P
+
+230
+00:19:08,730 --> 00:19:18,670
+value أو الـ type 1 أو أقل أو يساوي 5 من 100 كيف
+
+231
+00:19:18,670 --> 00:19:22,210
+احنا بنعمل اختبار لل normality أنا في عند كيرف
+
+232
+00:19:22,210 --> 00:19:25,410
+وهذا الكيرف أنا مش ممكن اقعد في الأرقام اللي
+
+233
+00:19:25,410 --> 00:19:33,790
+موجودة عندى عجب منهم 68 عجب منهم 95% منهم 99.7الـ
+
+234
+00:19:33,790 --> 00:19:38,630
+3SD كيف أحنا ممكن نعمل الـ normality عن طريق
+
+235
+00:19:38,630 --> 00:19:44,210
+البرامج أو إن كيف لو أتوفنا data قدامنا نقدر نحدد
+
+236
+00:19:44,210 --> 00:19:49,330
+في عندنا اختبارين اختبارين احصائيين بحدد ال
+
+237
+00:19:49,330 --> 00:19:53,970
+normality أول اختبار اسمه كل مقرف والاختبار التاني
+
+238
+00:19:53,970 --> 00:19:58,900
+اسمه Shapiro كل مقرفه Shapiroهدول الاختبارين اللي
+
+239
+00:19:58,900 --> 00:20:02,420
+موجودين بيحددوا هل ال data normal distribution و
+
+240
+00:20:02,420 --> 00:20:07,260
+لا مش normal distribution أول حاجة بنسيب كل
+
+241
+00:20:07,260 --> 00:20:12,000
+الأرقام اللي موجودة بنيجي عند ال type one euro أو
+
+242
+00:20:12,000 --> 00:20:15,440
+ال B value أو ال significant level لاحظوا شوفناها
+
+243
+00:20:15,440 --> 00:20:21,820
+في ال articles قبل شوية مكتوبة B valueالـ SPSS
+
+244
+00:20:21,820 --> 00:20:24,740
+بكتبها SIG يعني Significant Level لهيك احنا لازم
+
+245
+00:20:24,740 --> 00:20:27,560
+نعرف كل الأسماء بالنسبالي بعض ال articles كانت بقى
+
+246
+00:20:27,560 --> 00:20:31,160
+الف اره و بعض ال articles كانت بقى false positive
+
+247
+00:20:31,160 --> 00:20:38,420
+فبدنا نكون عارفين الأسماء هذه زي أسامينا بنطلع
+
+248
+00:20:38,420 --> 00:20:44,860
+على قيمة ال SIG قيمة الخطأ أربعة من ألف ايش يعني
+
+249
+00:20:44,860 --> 00:20:55,510
+أربعة من ألف؟ انهجُنّة هي لعند 5% 5% وأجل تعتبر
+
+250
+00:20:55,510 --> 00:20:59,970
+Significant Different هي أقل من 5% يبقى هي
+
+251
+00:20:59,970 --> 00:21:02,810
+Significant Different عن الـ Normal Distribution
+
+252
+00:21:02,810 --> 00:21:09,650
+هي تختلف عن الـ Normal Distribution ونسبة الخطأ في
+
+253
+00:21:09,650 --> 00:21:12,850
+جملة تختلف عن الـ Normal Distribution 4 في الألف
+
+254
+00:21:12,850 --> 00:21:19,630
+بتكون Normal، نعيدها تانيهي البيانات اللي موجودة
+
+255
+00:21:19,630 --> 00:21:25,030
+تختلف عن الـ Normal Distribution وجملة تختلف أربعة
+
+256
+00:21:25,030 --> 00:21:28,450
+في الأقل نسبة الخطأ فيها بتكون Normal طالما أن
+
+257
+00:21:28,450 --> 00:21:31,470
+نسبة الخطأ الكلمة تختلف عن الـ Normal Distribution
+
+258
+00:21:31,470 --> 00:21:34,730
+أربعة في المية فتختلف عن الـ Normal Distribution
+
+259
+00:21:34,730 --> 00:21:40,670
+يبقى بتكون Abnormal ني جي هين هي significantly
+
+260
+00:21:40,670 --> 00:21:48,760
+different عن الـ Normal هي تختلف عن الطبيعيفبتكون
+
+261
+00:21:48,760 --> 00:21:54,700
+غير طبيعي بيكون الشكل abnormal حتى احنا في حياتنا
+
+262
+00:21:54,700 --> 00:21:59,540
+بنقول لشخص معين احنا حافظين شكله ايه ال style معين
+
+263
+00:21:59,540 --> 00:22:03,740
+ايه التسامح معينة بنقول انه انت اليوم شكلك مش
+
+264
+00:22:03,740 --> 00:22:07,960
+طبيعي انت significant different عن الطبيعي بيكون
+
+265
+00:22:07,960 --> 00:22:15,520
+طبيعي بكونش طبيعي نفس الشيء في شابيرو بيكون يختلف
+
+266
+00:22:15,520 --> 00:22:21,270
+عن الشكل الطبيعيفهو بيكون غير طبيعي نتذكر دائما أن
+
+267
+00:22:21,270 --> 00:22:27,690
+كل مجروفه شبيه له لما بتكون أقل من 5% فبتكون تختلف
+
+268
+00:22:27,690 --> 00:22:30,530
+عن الشكل الطبيعي فطالما أنها تختلف عن الشكل
+
+269
+00:22:30,530 --> 00:22:34,230
+الطبيعي فبكون الشكل غير طبيعي أو not normal
+
+270
+00:22:34,230 --> 00:22:39,610
+distribution لل data ونعيد مجددا أحنا حتى بنشوف
+
+271
+00:22:39,610 --> 00:22:42,450
+زملاتنا في الجامعة بنقولهم أنت اليوم شكلك مش مبسوط
+
+272
+00:22:42,450 --> 00:22:45,930
+أنت شكلك مش طبيعي لأن أنا حافظ الشكل الطبيعي له
+
+273
+00:22:46,640 --> 00:22:50,320
+وحافظ الشكل الطبيعي لـ Normal Distribution وكل
+
+274
+00:22:50,320 --> 00:22:53,860
+مجروف وشبير قالولي هو بختلف عن الشكل الطبيعي يبقى
+
+275
+00:22:53,860 --> 00:22:58,880
+بكون غير طبيعي ونسبة الخطأ في أنه يختلف عن الشكل
+
+276
+00:22:58,880 --> 00:23:05,580
+الطبيعي أربعة من ألف وهنا سفر وهنا واحد من ألف
+
+277
+00:23:05,580 --> 00:23:12,430
+وهنا سفر فبكون انه الـdiastolic blood pressureو
+
+278
+00:23:12,430 --> 00:23:15,710
+number of cigarettes لإتنين of normal التوزيع
+
+279
+00:23:15,710 --> 00:23:19,230
+الطبيعي للبيانات تبعهم بيكون مش normal distributed
+
+280
+00:23:19,230 --> 00:23:24,590
+وقت إيش بطلع كل مجروف و وقت إيش بطلع عشابيره نطلع
+
+281
+00:23:24,590 --> 00:23:28,130
+على كل مجروف لما بتكون ال sample size كبيرة أكتر
+
+282
+00:23:28,130 --> 00:23:34,230
+من 200، يعني 300، 400، 500، نطلع عشابيره لما بتكون
+
+283
+00:23:34,230 --> 00:23:41,250
+ال sample size من 20 ل 200فبنقول بناخد قراءة شبيهة
+
+284
+00:23:41,250 --> 00:23:44,250
+لما بتكون الـ Sample Size من 20 إلى 200 ولمّا
+
+285
+00:23:44,250 --> 00:23:48,050
+بتكون عندنا أكتر من 200 الـ Sample Size بنطلّع على
+
+286
+00:23:48,050 --> 00:23:53,470
+كل مقرف في عندنا الـ Graph و الـ Table هنتكلم عنهم
+
+287
+00:23:53,470 --> 00:23:57,530
+الـ Tables هذا الـ Tables اللي أمامنا بنسميه الـ
+
+288
+00:23:57,530 --> 00:24:01,670
+Frequency Table أنا عندي أكم واحد Male في ال
+
+289
+00:24:01,670 --> 00:24:04,370
+medical statistics course موجود من ال student
+
+290
+00:24:04,370 --> 00:24:08,880
+كانوا عشرين نسبتهم 80% وحكينا كيف بنحسبهموالـ
+
+291
+00:24:08,880 --> 00:24:12,620
+Female كانوا خمسة تطلع عشرين في المية واتكلمنا كيف
+
+292
+00:24:12,620 --> 00:24:17,360
+نحسبهم وقلنا إن ال ratio تطلع أربع لواحد وقلنا هنا
+
+293
+00:24:17,360 --> 00:24:20,780
+جبنا ال percentage و ال ratio لأن ال data عبارة عن
+
+294
+00:24:20,780 --> 00:24:26,790
+qualitative data هذا ال table اسمهFrequency Table
+
+295
+00:24:26,790 --> 00:24:30,550
+اللي بيهمني اسم الـ Table عندما نطلع اللعبة لـ
+
+296
+00:24:30,550 --> 00:24:33,350
+Frequency أو الـ Number و الـ Percentage لأن اسمه
+
+297
+00:24:33,350 --> 00:24:35,990
+Frequency Table في نوع تاني من الـ Table اسمه
+
+298
+00:24:35,990 --> 00:24:39,610
+Cumulative Table الـ Table هذا باللاحظ أنه موجود
+
+299
+00:24:39,610 --> 00:24:42,190
+فيه الـ Frequency و الـ Percentage و موجود فيه الـ
+
+300
+00:24:42,190 --> 00:24:45,850
+Cumulative Frequency و الـ Cumulative Percentage
+
+301
+00:24:45,850 --> 00:24:50,210
+هذا بنسميه Cumulative Table من الأثنين هدول اللي
+
+302
+00:24:50,210 --> 00:24:56,980
+موجوديننفس الصابط بيجيب من الـ Total جداش ال
+
+303
+00:24:56,980 --> 00:25:00,640
+percentage يعني كأنه بيجمع هدول كلهم و بيجسم
+
+304
+00:25:00,640 --> 00:25:06,280
+التلاتة على عددهم و لو جمعنا هدول بنلاقيهم 50 3
+
+305
+00:25:06,280 --> 00:25:14,800
+على 50 في 100 بيطلع 6% 5 على 50 في 100 بيطلع 10% 9
+
+306
+00:25:14,800 --> 00:25:20,480
+على 50 في 100 بيطلع 18 10 على 50 في 100 بيطلع 20
+
+307
+00:25:22,530 --> 00:25:27,430
+وهكذا الآن الـ Cumulative التراكمية إنه أنا بقول
+
+308
+00:25:27,430 --> 00:25:35,310
+التلاتة عند الـ 177 تلاتة بعد التلاتة جت الخمسة
+
+309
+00:25:35,310 --> 00:25:41,870
+تلاتة والخمسة بيصير تمانية طب هذه بتكون التسعة
+
+310
+00:25:41,870 --> 00:25:46,690
+والخمسة والسبعة تطلع معاه 17 طب اللي بعديها الـ 27
+
+311
+00:25:46,690 --> 00:25:53,160
+كيف جت؟ العشرة ونعد الأرقام اللي فوقنفس الشيء
+
+312
+00:25:53,160 --> 00:25:56,740
+بندنع نمشي عند الخمسين هي من عند التلاتة و بروح
+
+313
+00:25:56,740 --> 00:26:01,340
+حاسبين كل الأرقام بتطلع معانا خمسين نفس الشيء في
+
+314
+00:26:01,340 --> 00:26:06,760
+ال percentage بنيجي عند الستة بنقول هي رقم ستة هي
+
+315
+00:26:06,760 --> 00:26:10,360
+الستة طب الست عشر كيف جت؟ العشرة بجمع اللي فوقيها
+
+316
+00:26:10,360 --> 00:26:14,200
+طب الأربعة و تلاتين باجي عقبالها الطمنتعش بجمع
+
+317
+00:26:14,200 --> 00:26:19,140
+اللي فوقيها الستة و سبعين عقبالها الأتنين و عشرين
+
+318
+00:26:19,140 --> 00:26:24,030
+مع اللي فوقيها الأربعة و تسعينباخد الـ 18 و بحسب
+
+319
+00:26:24,030 --> 00:26:28,310
+اللي أعلى منها كلهم الـ 194 و الـ 6 باخد الـ 6 و
+
+320
+00:26:28,310 --> 00:26:32,790
+بحسب اللي أعلى منهم كلها بتكون 100% طب كيف هي اللي
+
+321
+00:26:32,790 --> 00:26:35,890
+بتيجي في الامتحان بتيجي في الامتحان ان هنا بيجي
+
+322
+00:26:35,890 --> 00:26:39,950
+حرف B وهنا
+
+323
+00:26:39,950 --> 00:26:50,270
+بيجي حرف A A B C D و انت عبيهم انت بتحسب الأرقام A
+
+324
+00:26:50,990 --> 00:26:56,010
+إن أنا حتى أجيب الـ A بدي أروح أطلع في الـ Total
+
+325
+00:26:56,010 --> 00:26:59,710
+قد إيش كان فأقوم جامع اللي جاب ليه كله و اللي
+
+326
+00:26:59,710 --> 00:27:03,890
+بعديه كله تطلع معاه قيمة A يعني بجمع هدول وهذه
+
+327
+00:27:03,890 --> 00:27:10,970
+بطلعوا معايا 41 برقصها الـ 50 من ال 41 تطلع 9 بكتب
+
+328
+00:27:10,970 --> 00:27:21,040
+عند A 9 هنا بكون مكتوب B Bبالـ percentage هي المية
+
+329
+00:27:21,040 --> 00:27:27,560
+وهنا قلنا بيه بروح جمعين هدول وجمعين الأسفل منهم
+
+330
+00:27:27,560 --> 00:27:30,720
+بنقول مية ناقص الأرقام اللي طلع معايا بطلع معايا
+
+331
+00:27:30,720 --> 00:27:38,340
+عشرين طب هنا بكون مكتوب C بنجي أقبال الـ C وبنجمع
+
+332
+00:27:38,340 --> 00:27:42,080
+كل اللي فوقيها بتطلع معايا السبعتاشر الـ C هنا
+
+333
+00:27:42,080 --> 00:27:46,340
+بكون رقم موجود بكون مكتوب D تجمعيلنا جيبلنا الـ D
+
+334
+00:27:47,360 --> 00:27:50,680
+بتجيب الـ D هي انك بتجيب ادام هي cumulative
+
+335
+00:27:50,680 --> 00:27:54,500
+percentage بتجي عند ال percentage و بتاخد من عند
+
+336
+00:27:54,500 --> 00:27:57,580
+الأقبلة و بتجمعهم كلهم ال 18 مع المجموع اللي فوق
+
+337
+00:27:57,580 --> 00:28:03,560
+كلهم تطلع معانا D و بنكتب ال email دي النوع التالت
+
+338
+00:28:03,560 --> 00:28:07,860
+اسمه cross tabulation وبكون علاقة ما بين two
+
+339
+00:28:07,860 --> 00:28:12,480
+variable هي عند ناس نجحوا و ناس مانجحوش وهي ال
+
+340
+00:28:12,480 --> 00:28:17,240
+male وهي ال female وهي ال total اللي موجود عندهمفي
+
+341
+00:28:17,240 --> 00:28:21,040
+الـ tabular اللي موجودة أمامنا أول ما أشوف two
+
+342
+00:28:21,040 --> 00:28:23,700
+variable موجودة هي عندنا variable وهذا variable
+
+343
+00:28:23,700 --> 00:28:26,940
+وهذا ال gender وهذا variable ال result نجح ولا ما
+
+344
+00:28:26,940 --> 00:28:31,240
+نجحش في الحالة هذه أول ما أشوف ال two variable
+
+345
+00:28:31,240 --> 00:28:35,920
+اللي موجودين بقول هذا اسمها cost tabulation لأن في
+
+346
+00:28:35,920 --> 00:28:38,920
+عندنا two variable هي ال variable الأول وهي ال
+
+347
+00:28:38,920 --> 00:28:44,780
+variable التانيبينما بنلاحظ في الـ Table الأولى
+
+348
+00:28:44,780 --> 00:28:48,340
+هدا واحد variable الطول بالصنطي variable واحد
+
+349
+00:28:48,340 --> 00:28:55,300
+واللي قبلها ال frequency كمان variable واحد والـ
+
+350
+00:28:55,300 --> 00:29:00,360
+frequency tables هي variable واحد فبكون ال
+
+351
+00:29:00,360 --> 00:29:03,680
+cumulative table و ال frequency variable واحد و ال
+
+352
+00:29:03,680 --> 00:29:07,650
+cost tabulation عبارة عن two variablesتبقى الـ two
+
+353
+00:29:07,650 --> 00:29:10,830
+variables اللي بتكون في course tabulation لو طلعنا
+
+354
+00:29:10,830 --> 00:29:15,590
+هي نسبة ال male ونسبة ال female لكل واحد نجح وكل
+
+355
+00:29:15,590 --> 00:29:20,110
+واحد رصد كيف نقرأها الأقام اللي موجودة في course
+
+356
+00:29:20,110 --> 00:29:24,230
+tabulation و اللي بتكون موجودة في أبحاث نتائج
+
+357
+00:29:24,230 --> 00:29:29,230
+مجستير ويطلب منها المشرف انعلق عليهم واللي مش مصدق
+
+358
+00:29:29,230 --> 00:29:34,090
+أنها بتكون موجودة هيبحث والبحث في course
+
+359
+00:29:34,090 --> 00:29:37,830
+tabulation لأن هي عند ال variableوهي عند الـ
+
+360
+00:29:37,830 --> 00:29:41,530
+Variable وهي عند المشاركين كان Variable وهي عند
+
+361
+00:29:41,530 --> 00:29:46,410
+الجندر كان Variable وبقولّك المشرف علّق على هذا
+
+362
+00:29:46,410 --> 00:29:52,110
+الـ Table اللي موجودة كيف نعلّق على 52 و 48؟ 52 و
+
+363
+00:29:52,110 --> 00:29:58,170
+48 كيف نعلّق عليهم؟ التعليق على الأقام اللي موجودة
+
+364
+00:29:58,170 --> 00:30:06,130
+بيكون بالشكل التالي أنه أنا بقول 78 و 9من اللي
+
+365
+00:30:06,130 --> 00:30:11,070
+نجحوا كانوا male طب ليش ماقولتش انا تمانية وسبعين
+
+366
+00:30:11,070 --> 00:30:16,390
+وتسعة من ال male نجحوا لأنني بتطلع علميه وين
+
+367
+00:30:16,390 --> 00:30:20,590
+موجودة قانون هذا في العصارة بتحفظه زي اسمك أو
+
+368
+00:30:20,590 --> 00:30:24,930
+تحفظيه زي اسمك بتطلع عليها وابدأ في اللي أعلى منها
+
+369
+00:30:24,930 --> 00:30:29,490
+في الكلام تمانية وسبعين وتسعة من اللي نجحوا كانوا
+
+370
+00:30:29,490 --> 00:30:38,320
+male والباقي كانوا female لو قلت انتلو قلت 78.9%
+
+371
+00:30:38,320 --> 00:30:43,500
+من الـ Male نجحوا يبقى جداش اللي رصبه من الـ Male
+
+372
+00:30:43,500 --> 00:30:48,720
+انت قلت 78.9% من الـ Male نجحوا وافترضت ان هي صح
+
+373
+00:30:48,720 --> 00:30:56,140
+بس هي غلط بديكون ضال من الـ Male رصبه 21% وهي مش
+
+374
+00:30:56,140 --> 00:31:03,280
+صح هي 78.9% من اللي نجحوا Male وبيظل الباقي من
+
+375
+00:31:03,280 --> 00:31:11,550
+اللي نجحوا Femaleو 83 و 3 من اللي رصبوا كانوا male
+
+376
+00:31:11,550 --> 00:31:17,610
+و 16 و 7 من اللي رصبوا كانوا female و هيك تقرأ ال
+
+377
+00:31:17,610 --> 00:31:21,130
+table نشوف ال table اللي بعديها constabulation to
+
+378
+00:31:21,130 --> 00:31:24,810
+variable نفس الحاجة ولكن اتفاجأنا ان المجموع جاي
+
+379
+00:31:24,810 --> 00:31:31,210
+بالعكس ان 25 اللي موجود و لو جمعنا هدول ماطلعوش
+
+380
+00:31:31,210 --> 00:31:35,550
+100 المية جت عندنا عن ناحية اليمينكيف نعلّق على
+
+381
+00:31:35,550 --> 00:31:39,750
+الـ table اللي موجودة الأمر السهل هي المية وين
+
+382
+00:31:39,750 --> 00:31:44,350
+العجبالها هادي
+
+383
+00:31:44,350 --> 00:31:52,010
+ولا هادي بنقول العجبالها ال male فبنقول 25% من ال
+
+384
+00:31:52,010 --> 00:31:58,750
+male لأن عجبال المية رصبه و20% من ال female اللي
+
+385
+00:31:58,750 --> 00:32:06,140
+هي عجبال المية رصبه 75%20% من الـ Male نجحوا 80%
+
+386
+00:32:06,140 --> 00:32:12,480
+من ال Female نجحوا فبالتالي
+
+387
+00:32:12,480 --> 00:32:20,920
+لما بنجي بنعلق بنقول 20% من ال Female راصبوا 80%
+
+388
+00:32:20,920 --> 00:32:31,430
+من ال Female نجحوا 75% من ال Male نجحواو 25% من
+
+389
+00:32:31,430 --> 00:32:36,750
+الميال رصبه لأن اللي حدد اتجاهها بدأ بالميال و لا
+
+390
+00:32:36,750 --> 00:32:42,110
+نجح و لا رصب اللي هو نسبة 100% أني ببدأ من عقبالها
+
+391
+00:32:42,110 --> 00:32:48,290
+الأمر أكثر صعوبة في الـ Table هادي الـ Table هادي
+
+392
+00:32:48,290 --> 00:32:52,230
+لا يعرف فيه يمين ولا يعرف فيه شمال يعني نطلع في
+
+393
+00:32:52,230 --> 00:32:57,900
+الـ Table نيجي لا 100 هنا ولا 100 هناالـ 100 جاي
+
+394
+00:32:57,900 --> 00:33:01,680
+على الـ Total وكأنه قسم الخمسة والخمستاش والواحد
+
+395
+00:33:01,680 --> 00:33:07,220
+والاربعة جماعهم وقسمهم على 100 بالحالة هذه الحالة
+
+396
+00:33:07,220 --> 00:33:12,780
+المية موجودة بنعلق على رقم هذا بقول من إجمال الناس
+
+397
+00:33:12,780 --> 00:33:17,460
+عينة الدراسة أو من إجمال ال student أو من إجمال
+
+398
+00:33:17,460 --> 00:33:24,440
+الطلاب 4% من ال female رصبوا ولكن قبل التعليق لازم
+
+399
+00:33:24,440 --> 00:33:29,940
+أقول من ال total أو من الإجماليبقول من إجمالي
+
+400
+00:33:29,940 --> 00:33:36,120
+الطلاب 16% كانوا في ميل ونجحوا لازم كلمة من إجمال
+
+401
+00:33:36,120 --> 00:33:40,900
+الطلاب أو من الـ total student تكون قبل التعليق
+
+402
+00:33:40,900 --> 00:33:45,480
+أحيان في الانتحارات وكتير بنقوله علّق على الرقم
+
+403
+00:33:45,480 --> 00:33:50,180
+هذا بيكون كاتبينله ايه وعلّق على الرقم هذا ابني
+
+404
+00:33:50,180 --> 00:33:54,140
+الأمر عند هذه بنعلّق عليها هذا أسهل من اللي قبل
+
+405
+00:33:54,140 --> 00:34:03,610
+لأن هي المية بنقول 20%كانوا Female و 80% كانوا
+
+406
+00:34:03,610 --> 00:34:10,210
+Male وكأني أنا انسيت هذا كله ورجعت على ال
+
+407
+00:34:10,210 --> 00:34:14,750
+frequency table كأني حذفت كل اللي فات اللي جاي ال
+
+408
+00:34:14,750 --> 00:34:19,990
+course tabulation اللي موجود هذا كله انحذف وراح
+
+409
+00:34:19,990 --> 00:34:22,550
+اللي موجود عندنا هذا كان مش موجود هذا بعتبر مش
+
+410
+00:34:22,550 --> 00:34:27,250
+موجودوبيصير كأنها frequency table زي الـ table
+
+411
+00:34:27,250 --> 00:34:30,750
+اللي قبل شوية شفناها وبدأنا فيها ال frequency
+
+412
+00:34:30,750 --> 00:34:35,670
+table أن 20% كانوا female و 80% كانوا male من عينة
+
+413
+00:34:35,670 --> 00:34:42,390
+الدراسة ال graph ال graph باختصار في عندنا graph
+
+414
+00:34:42,390 --> 00:34:45,990
+لا qualitative واتكلمنا عنهم graph لا quantitative
+
+415
+00:34:45,990 --> 00:34:49,490
+data وقلنا لا qualitative في عندنا ال by و ال bar
+
+416
+00:34:49,490 --> 00:34:55,460
+اللي هو ال barوالـ bi هدرول الـ qualitative data
+
+417
+00:34:55,460 --> 00:34:59,040
+وانت مطلوب منك بس الشكل تعرف مش مطلوب منك ترسمهم
+
+418
+00:34:59,040 --> 00:35:02,780
+في الامتحان ولا هنجيبك بيانات ونقولك ارسمهم مطلوب
+
+419
+00:35:02,780 --> 00:35:06,300
+انك شوفت الشكل هذا تعرفون ان ال qualitative data
+
+420
+00:35:06,300 --> 00:35:12,470
+وش اسمه بقىشوفت الشكل هذا، هذا اسمه by يستخدم للـ
+
+421
+00:35:12,470 --> 00:35:16,270
+qualitative data زي ال male و ال female وإن سأل
+
+422
+00:35:16,270 --> 00:35:18,950
+النساء بالمقاوية تقول فيها unit فهذا quantitative
+
+423
+00:35:18,950 --> 00:35:23,170
+data أنا بسألك عن الشكل، بسألكاش عن النساء بسألك
+
+424
+00:35:23,170 --> 00:35:28,490
+عن اسم ال graph واستخدامه في عندنا graph يستخدم لل
+
+425
+00:35:28,490 --> 00:35:32,570
+quantitative data أول واحد والمفروض نكون عارفينه
+
+426
+00:35:32,570 --> 00:35:36,170
+ان الهستجرام اللي قبل شوية رسمنا منه ال normal
+
+427
+00:35:36,170 --> 00:35:39,860
+distributionأول واحد يستخدم الـ histogram للـ
+
+428
+00:35:39,860 --> 00:35:43,960
+quantitative data ومطلوب بس الشكل فبكي أبدأ أميز
+
+429
+00:35:43,960 --> 00:35:50,740
+ال histogram عن ال bar هذا الأعمدة إبعاد عن بعض
+
+430
+00:35:50,740 --> 00:35:56,120
+وفي ال histogram متلاسقين جانب بعض أول ما أشوفهم
+
+431
+00:35:56,120 --> 00:36:00,520
+لازقين مع بعض بقول هذا quantitative وأول ما أشوفهم
+
+432
+00:36:00,520 --> 00:36:05,410
+إبعاد عن بعض بقول عنهم qualitativeهذا نسميه
+
+433
+00:36:05,410 --> 00:36:09,250
+«هستاجرام» ومميزناه عن الـ «بار» أنه يكون متلاثقين
+
+434
+00:36:09,250 --> 00:36:13,550
+ويكون أبعاد الأعمض عن بعض هذا نسميه frequency
+
+435
+00:36:13,550 --> 00:36:18,390
+curve هو نفسه وهو هذا بس رسمناه على شكل curve كما
+
+436
+00:36:18,390 --> 00:36:22,980
+رسمناه قبل قليلبنسميه frequency curve وهذا بنسميه
+
+437
+00:36:22,980 --> 00:36:26,360
+شكل scatter plot يعني بناخد القيام اللي موجودة
+
+438
+00:36:26,360 --> 00:36:30,700
+نقطة و بناخد اللي عقبالها و نقطة ال quantitative و
+
+439
+00:36:30,700 --> 00:36:34,320
+quantitative بنوصم اليوريا مع ال temperature
+
+440
+00:36:34,320 --> 00:36:39,500
+بالفهرن و بنحط خط و بنقول كل ما زالت اليوريا كل ما
+
+441
+00:36:39,500 --> 00:36:43,770
+قلت ال temperatureفبنسميه scatter plot ومطلوب نعرف
+
+442
+00:36:43,770 --> 00:36:47,310
+الشكل لو شوفنا شكل زي هيك نقطعه في نص مخط ونقول
+
+443
+00:36:47,310 --> 00:36:50,250
+هذا اسمه scatter plot لما نوصل لل correlation
+
+444
+00:36:50,250 --> 00:36:56,930
+هناخد بالتفصيل كيف بنرسمه وهذا
+
+445
+00:36:56,930 --> 00:37:00,510
+يستخدم لل quantitative data يبقى ال quantitative
+
+446
+00:37:00,510 --> 00:37:03,870
+data فيه histogram فيه frequency curve وفيه
+
+447
+00:37:03,870 --> 00:37:08,810
+scatter plot أو ما يسمى بال XY scatter plotوهذه
+
+448
+00:37:08,810 --> 00:37:13,730
+كلها تستخدم لـ Quantitative Data في عندنا Stem and
+
+449
+00:37:13,730 --> 00:37:17,650
+Leaf Stem and Leaf هو عبارة عن شكل من أشكال لـ
+
+450
+00:37:17,650 --> 00:37:22,530
+Graph يستخدم لـ Quantitative Data أو بلخصنا لـ
+
+451
+00:37:22,530 --> 00:37:25,930
+Quantitative Data على شكل أرقام فكرة Stem and Leaf
+
+452
+00:37:25,930 --> 00:37:29,230
+فكرة بسيطة أنه أهي الأرقام اللي موجودة عندي
+
+453
+00:37:29,230 --> 00:37:32,970
+الأرقام اللي موجودة هذه عندي كلها باخد الـ Minimum
+
+454
+00:37:32,970 --> 00:37:36,990
+والـ Maximum وبرتبهم باخد أول حاجة الرقامين اللي
+
+455
+00:37:36,990 --> 00:37:43,120
+موجودينفي الأول والتاني الـ 13 والـ 17 هي الـ 13
+
+456
+00:37:43,120 --> 00:37:46,600
+والـ 17 وبكتب الأرقام اللي موجودة بينهم 13, 14,
+
+457
+00:37:46,860 --> 00:37:52,900
+15, 16, 17 أو بالعكس 13, 14, 15, 16, 17 زي ما بدنا
+
+458
+00:37:52,900 --> 00:37:58,340
+بعدين بنبدأ نقول 13 هي عندنا الـ 13 اللي موجودة
+
+459
+00:37:58,340 --> 00:38:03,880
+بعد مرتبهم ترتيب بنقول 13 وبنضيف هنا 2 كأنه stem
+
+460
+00:38:03,880 --> 00:38:09,760
+اللي هو عبارة عن اللي هوالغصن والأوراق الـ leaves
+
+461
+00:38:09,760 --> 00:38:13,620
+بتكون عبارة عن اتنين هي اتنين وبعدين باخد الرقم
+
+462
+00:38:13,620 --> 00:38:16,700
+اللي بعديه اللي هو الأربع بعدين الرقم اللي بعديه
+
+463
+00:38:16,700 --> 00:38:22,540
+تمانية وصلنا ل140 برو عند 14 بكتب صفر بعدين بكتب
+
+464
+00:38:22,540 --> 00:38:27,360
+واحد بعدين اتنين بعدين ستة بعدين ستة وصلنا ل 150
+
+465
+00:38:27,360 --> 00:38:33,860
+برو عند 15 نكتب 150 52 54 و بعدين نطلع على 16 نكتب
+
+466
+00:38:33,860 --> 00:38:39,390
+6خلصنا الـ 16 ونذهب للـ 17 ونكتب 2 كما تكون خلصت
+
+467
+00:38:39,390 --> 00:38:44,290
+كل الأرقام اللي بدنا إياها الفائد الأساسي للـ stem
+
+468
+00:38:44,290 --> 00:38:48,290
+and leaf أنه أنا أقدر أرسم الـ normal distribution
+
+469
+00:38:48,290 --> 00:38:52,510
+يعني لو جيت هنا و أرسمت خط فهيك ومسكت الخط اللي
+
+470
+00:38:52,510 --> 00:38:58,110
+أنا أرسمته وعدلته يعني جلبته بقدر أعرف ال data
+
+471
+00:38:58,110 --> 00:39:02,430
+normal ولا abnormal distributionغير ذلك، لو أردت
+
+472
+00:39:02,430 --> 00:39:08,890
+فك الأرقام هذه، على طول بنفكهم 132، 134، 138، 141،
+
+473
+00:39:08,890 --> 00:39:20,630
+142، 146،146، 152، 154، 166، 172، 172، 172، 172،
+
+474
+00:39:20,630 --> 00:39:20,670
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+475
+00:39:20,670 --> 00:39:22,650
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+476
+00:39:22,650 --> 00:39:26,610
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+477
+00:39:26,610 --> 00:39:26,630
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+478
+00:39:26,630 --> 00:39:29,450
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+479
+00:39:29,450 --> 00:39:36,390
+172، 172، 172، 172، 172، 172،
+
+480
+00:39:36,390 --> 00:39:41,170
+172وهي الشكل اللي موجود أمامنا في الـ stem and
+
+481
+00:39:41,170 --> 00:39:44,450
+leaf بشكل عام وقلنا إن هي ال data اللي موجودة
+
+482
+00:39:44,450 --> 00:39:49,490
+أمامنا وممكن من خلالها نحدد normality of data حتى
+
+483
+00:39:49,490 --> 00:39:54,650
+لما يوضحلأنه ممكن يكون موضحش لحدة من الطلبة أنه
+
+484
+00:39:54,650 --> 00:39:57,150
+كيف الـ Normal Distribution إن أنا هي عند الأرقام
+
+485
+00:39:57,150 --> 00:40:00,450
+اللي موجودة، هي هذه عند نفسها ضخمة هذه لفناها
+
+486
+00:40:00,450 --> 00:40:03,910
+لفها، جينا نقسم الـ Normal Distribution، فطلع معنا
+
+487
+00:40:03,910 --> 00:40:07,330
+بالشكل هذا، لما حطنا خط على أرقام، فطلع معنا في
+
+488
+00:40:07,330 --> 00:40:10,110
+عندنا التواء ناحية الـ Positive، يعني الـ Positive
+
+489
+00:40:10,110 --> 00:40:12,270
+Sequences طالع من ناحية هدف بكونة Normal
+
+490
+00:40:12,270 --> 00:40:15,370
+Distribution، أنا عرفته من خلال الـ stem and leaf
+
+491
+00:40:16,720 --> 00:40:20,280
+لو أخدنا هذا واطلعنا فيها تطلع معانا Abnormal
+
+492
+00:40:20,280 --> 00:40:26,460
+Distribution بنفس الطريقة الصالحة الـ Boxplot هو
+
+493
+00:40:26,460 --> 00:40:30,620
+النوع الخامس من الـ Graph اللي يستخدم للـ
+
+494
+00:40:30,620 --> 00:40:32,960
+Quantitative Data يمكن الـ Quantitative Data هما
+
+495
+00:40:32,960 --> 00:40:38,100
+اتنين والـ Quantitative Data هو خمسة Graph بنحاول
+
+496
+00:40:38,100 --> 00:40:40,700
+تاني و بنكرر ان الـ Quantitative Data فيها اتنين
+
+497
+00:40:40,700 --> 00:40:45,290
+Graph والـ Quantitative Data إلى خمسة Graphهذه هي
+
+498
+00:40:45,290 --> 00:40:49,010
+تعتبر الـ Box Plot Box هذا اللي موجود اللي هو هنا
+
+499
+00:40:49,010 --> 00:40:54,150
+بكون الـ Q1 وهنا Q3 هذا الـ Minimum وهنا الـ
+
+500
+00:40:54,150 --> 00:40:58,150
+Maximum بتكون موجودة هذه تعتبر كلها Outlier Value
+
+501
+00:40:58,150 --> 00:41:02,250
+أو Extreme Value لما بنشوف دائرة بنسميها Outlier و
+
+502
+00:41:02,250 --> 00:41:06,190
+لما بنشوف نجمة بنسميها Extreme والـ Outlier أو الـ
+
+503
+00:41:06,190 --> 00:41:10,660
+Extreme Value لها قوانين تحسب فيها يعني مثلازي ما
+
+504
+00:41:10,660 --> 00:41:13,260
+اتكلمنا في المحاضرة السابقة أن يكون عندنا طلاب
+
+505
+00:41:13,260 --> 00:41:17,980
+مستوى تالت وهدول الطلاب عندهم طالب بيجسر أو بيكمل
+
+506
+00:41:17,980 --> 00:41:22,240
+من دبلوم عمه 45 سنة هو هذا يعتبر بالنسبة للطلاب
+
+507
+00:41:22,240 --> 00:41:25,820
+اللي موجودين extreme value أو outlier value قيم
+
+508
+00:41:25,820 --> 00:41:32,160
+شاذة معناتهاهو لها قوانين تحسن فيها ولكن احنا ان
+
+509
+00:41:32,160 --> 00:41:34,740
+شاء الله لما ناخد على برنامج ASPSS هو البرنامج
+
+510
+00:41:34,740 --> 00:41:38,740
+بيطلعيلنا إياها مباشرة وبيقولنا انه extreme و لا
+
+511
+00:41:38,740 --> 00:41:42,160
+outlier عن طريق التمييز انه نجمة تعتبر extreme
+
+512
+00:41:42,160 --> 00:41:46,320
+يعني قيمة شد جدا زي ما نقول انه عندنا واحد عمره 80
+
+513
+00:41:46,320 --> 00:41:51,220
+سنة بدرس في قاعة طلاب عمرهم كلهم 21 و 22 سنة
+
+514
+00:41:51,220 --> 00:41:55,520
+بنسميه extremeوزي ما نقول Outlier Value أن واحد
+
+515
+00:41:55,520 --> 00:41:59,900
+عمره 35 سنة بيكون موجود في قاعة طلاب عمارهم كلهم
+
+516
+00:41:59,900 --> 00:42:04,500
+في العشرينات فبنعدل 35 سنة هو Outlier Value قيمة
+
+517
+00:42:04,500 --> 00:42:08,020
+شادة ولكن مش كتير زيابوا الـ 80 سنة أن يكون موجود
+
+518
+00:42:08,020 --> 00:42:14,700
+في القاعة أو زيابوا الـ 60 سنة بنكتفي
+
+519
+00:42:14,700 --> 00:42:18,680
+بهذا القرن من المحاضرة الحالية نتمنى لكم التوفيق
+
+520
+00:42:18,680 --> 00:42:21,740
+والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d0ee4e8cd1f70a663834fab31b156737de0d478d
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.json
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0.91748046875}, {"start": 114.51, "end": 116.69, "word": " ولكن", "probability": 0.89111328125}, {"start": 116.69, "end": 116.93, "word": " لو", "probability": 0.916015625}, {"start": 116.93, "end": 117.23, "word": " انت", "probability": 0.920166015625}, {"start": 117.23, "end": 117.59, "word": " قلت", "probability": 0.9571940104166666}, {"start": 117.59, "end": 117.77, "word": " في", "probability": 0.9306640625}, {"start": 117.77, "end": 118.43, "word": " relation", "probability": 0.89697265625}], "temperature": 1.0}, {"id": 5, "seek": 14272, "start": 119.15, "end": 142.73, "text": "وطلع معاك في الاستبانات في relation وقلت في علاقة ما بين متغير X ومتغير Y اللي انت بتدرسهم ولكن في الأصل ماكانش فيه يعني طلعت العلاقة اللي معاك هذه علاقة مضغوبة باختصار انه انت استعجلت في جمع الاستبانات وقلت في relation والاصل والواقع مافيش relation", "tokens": [2407, 9566, 1211, 3615, 20449, 995, 4117, 8978, 42963, 14851, 3555, 7649, 9307, 8978, 9721, 4032, 4587, 1211, 2655, 8978, 11203, 995, 28671, 19446, 49374, 44650, 17082, 13546, 1783, 4032, 2304, 2655, 17082, 13546, 398, 13672, 1829, 16472, 2655, 39894, 3215, 2288, 3794, 16095, 35525, 19452, 8978, 16247, 36520, 19446, 41361, 8592, 8978, 3224, 37495, 22653, 23032, 1211, 34268, 18863, 15040, 28671, 13672, 1829, 20449, 995, 4117, 29538, 11203, 995, 28671, 3714, 11242, 17082, 37746, 3660, 4724, 47283, 2655, 9381, 9640, 16472, 3224, 16472, 2655, 44713, 3615, 7435, 1211, 2655, 8978, 10874, 2304, 3615, 42963, 14851, 3555, 7649, 9307, 4032, 4587, 1211, 2655, 8978, 9721, 16070, 33546, 1211, 16070, 14407, 4587, 3615, 19446, 41185, 8592, 9721], "avg_logprob": -0.14943910816795805, "compression_ratio": 1.9906976744186047, "no_speech_prob": 1.8477439880371094e-06, "words": [{"start": 119.15, "end": 119.67, "word": "وطلع", "probability": 0.8182373046875}, {"start": 119.67, "end": 120.01, "word": " معاك", "probability": 0.8318684895833334}, {"start": 120.01, "end": 120.13, "word": " في", "probability": 0.94775390625}, {"start": 120.13, "end": 120.79, "word": " الاستبانات", "probability": 0.91455078125}, {"start": 120.79, "end": 120.95, "word": " في", "probability": 0.724609375}, {"start": 120.95, "end": 121.47, "word": " relation", "probability": 0.48388671875}, {"start": 121.47, "end": 123.05, "word": " وقلت", "probability": 0.8472900390625}, {"start": 123.05, "end": 123.15, "word": " في", "probability": 0.78173828125}, {"start": 123.15, "end": 123.73, "word": " علاقة", "probability": 0.9680989583333334}, {"start": 123.73, "end": 124.09, "word": " ما", "probability": 0.95458984375}, {"start": 124.09, "end": 124.23, "word": " بين", "probability": 0.9912109375}, {"start": 124.23, "end": 124.85, "word": " متغير", "probability": 0.9827473958333334}, {"start": 124.85, "end": 125.09, "word": " X", "probability": 0.7001953125}, {"start": 125.09, "end": 125.71, "word": " ومتغير", "probability": 0.866162109375}, {"start": 125.71, "end": 126.05, "word": " Y", "probability": 0.994140625}, {"start": 126.05, "end": 126.39, "word": " اللي", "probability": 0.837646484375}, {"start": 126.39, "end": 126.53, "word": " انت", "probability": 0.608642578125}, {"start": 126.53, "end": 127.17, "word": " بتدرسهم", "probability": 0.873828125}, {"start": 127.17, "end": 129.37, "word": " ولكن", "probability": 0.819580078125}, {"start": 129.37, "end": 129.55, "word": " في", "probability": 0.96484375}, {"start": 129.55, "end": 130.09, "word": " الأصل", "probability": 0.798583984375}, {"start": 130.09, "end": 131.17, "word": " ماكانش", "probability": 0.8338216145833334}, {"start": 131.17, "end": 131.55, "word": " فيه", "probability": 0.932861328125}, {"start": 131.55, "end": 131.81, "word": " يعني", "probability": 0.835693359375}, {"start": 131.81, "end": 132.15, "word": " طلعت", "probability": 0.9441731770833334}, {"start": 132.15, "end": 132.57, "word": " العلاقة", "probability": 0.955078125}, {"start": 132.57, "end": 132.73, "word": " اللي", "probability": 0.911376953125}, {"start": 132.73, "end": 133.09, "word": " معاك", "probability": 0.9840494791666666}, {"start": 133.09, "end": 133.39, "word": " هذه", "probability": 0.6572265625}, {"start": 133.39, "end": 133.77, "word": " علاقة", "probability": 0.9632161458333334}, {"start": 133.77, "end": 135.07, "word": " مضغوبة", "probability": 0.79931640625}, {"start": 135.07, "end": 135.97, "word": " باختصار", "probability": 0.97646484375}, {"start": 135.97, "end": 136.49, "word": " انه", "probability": 0.662353515625}, {"start": 136.49, "end": 136.97, "word": " انت", "probability": 0.9072265625}, {"start": 136.97, "end": 138.09, "word": " استعجلت", "probability": 0.96767578125}, {"start": 138.09, "end": 138.17, "word": " في", "probability": 0.9833984375}, {"start": 138.17, "end": 138.39, "word": " جمع", "probability": 0.82080078125}, {"start": 138.39, "end": 139.09, "word": " الاستبانات", "probability": 0.9818359375}, {"start": 139.09, "end": 139.41, "word": " وقلت", "probability": 0.929931640625}, {"start": 139.41, "end": 139.51, "word": " في", "probability": 0.97021484375}, {"start": 139.51, "end": 140.01, "word": " relation", "probability": 0.806640625}, {"start": 140.01, "end": 141.41, "word": " والاصل", "probability": 0.6595052083333334}, {"start": 141.41, "end": 141.97, "word": " والواقع", "probability": 0.913330078125}, {"start": 141.97, "end": 142.29, "word": " مافيش", "probability": 0.966796875}, {"start": 142.29, "end": 142.73, "word": " relation", "probability": 0.98681640625}], "temperature": 1.0}, {"id": 6, "seek": 16678, "start": 143.4, "end": 166.78, "text": "هذا بنسميه type 1 error اللي هو الخطأ من النوع الأول أو بنسميه false positive يعني طلع معاك positive في relation ولكن الأصل مافيش النوع التاني من الأخطاء أنه بيكون أنا قلت مافيش علاقة لا يوجد علاقة ما بين متغير الأول والتاني", "tokens": [3224, 15730, 44945, 38251, 1829, 3224, 2010, 502, 6713, 13672, 1829, 31439, 33962, 9566, 10721, 9154, 28239, 45367, 16247, 12610, 34051, 44945, 38251, 1829, 3224, 7908, 3353, 37495, 22653, 23032, 1211, 3615, 20449, 995, 4117, 3353, 8978, 9721, 35525, 19452, 16247, 36520, 19446, 41185, 8592, 28239, 45367, 16712, 7649, 1829, 9154, 16247, 9778, 9566, 16606, 14739, 3224, 4724, 1829, 30544, 41850, 12174, 1211, 2655, 19446, 41185, 8592, 11203, 995, 28671, 20193, 7251, 29245, 3215, 11203, 995, 28671, 19446, 49374, 44650, 17082, 13546, 16247, 12610, 16070, 2655, 7649, 1829], "avg_logprob": -0.14273173621531282, "compression_ratio": 1.7607655502392345, "no_speech_prob": 1.7285346984863281e-06, "words": [{"start": 143.4, "end": 143.84, "word": "هذا", "probability": 0.910400390625}, {"start": 143.84, "end": 144.7, "word": " بنسميه", "probability": 0.82818603515625}, {"start": 144.7, "end": 145.12, "word": " type", "probability": 0.544921875}, {"start": 145.12, "end": 145.44, "word": " 1", "probability": 0.65478515625}, {"start": 145.44, "end": 145.76, "word": " error", "probability": 0.87646484375}, {"start": 145.76, "end": 146.26, "word": " اللي", "probability": 0.77880859375}, {"start": 146.26, "end": 146.4, "word": " هو", "probability": 0.97998046875}, {"start": 146.4, "end": 146.84, "word": " الخطأ", "probability": 0.9812825520833334}, {"start": 146.84, "end": 146.98, "word": " من", "probability": 0.97119140625}, {"start": 146.98, "end": 147.26, "word": " النوع", "probability": 0.981689453125}, {"start": 147.26, "end": 147.68, "word": " الأول", "probability": 0.976318359375}, {"start": 147.68, "end": 147.9, "word": " أو", "probability": 0.9033203125}, {"start": 147.9, "end": 148.44, "word": " بنسميه", "probability": 0.9228515625}, {"start": 148.44, "end": 148.68, "word": " false", "probability": 0.783203125}, {"start": 148.68, "end": 149.2, "word": " positive", "probability": 0.91845703125}, {"start": 149.2, "end": 149.8, "word": " يعني", "probability": 0.909423828125}, {"start": 149.8, "end": 150.04, "word": " طلع", "probability": 0.7696940104166666}, {"start": 150.04, "end": 150.34, "word": " معاك", "probability": 0.9080403645833334}, {"start": 150.34, "end": 150.82, "word": " positive", "probability": 0.81591796875}, {"start": 150.82, "end": 151.22, "word": " في", "probability": 0.9365234375}, {"start": 151.22, "end": 151.7, "word": " relation", "probability": 0.7470703125}, {"start": 151.7, "end": 152.54, "word": " ولكن", "probability": 0.871337890625}, {"start": 152.54, "end": 152.9, "word": " الأصل", "probability": 0.904296875}, {"start": 152.9, "end": 153.42, "word": " مافيش", "probability": 0.890625}, {"start": 153.42, "end": 155.36, "word": " النوع", "probability": 0.968017578125}, {"start": 155.36, "end": 155.92, "word": " التاني", "probability": 0.97265625}, {"start": 155.92, "end": 156.14, "word": " من", "probability": 0.990234375}, {"start": 156.14, "end": 156.78, "word": " الأخطاء", "probability": 0.9866943359375}, {"start": 156.78, "end": 159.94, "word": " أنه", "probability": 0.662109375}, {"start": 159.94, "end": 160.88, "word": " بيكون", "probability": 0.8097330729166666}, {"start": 160.88, "end": 161.16, "word": " أنا", "probability": 0.77734375}, {"start": 161.16, "end": 161.54, "word": " قلت", "probability": 0.9412434895833334}, {"start": 161.54, "end": 161.86, "word": " مافيش", "probability": 0.7149251302083334}, {"start": 161.86, "end": 162.38, "word": " علاقة", "probability": 0.9884440104166666}, {"start": 162.38, "end": 163.48, "word": " لا", "probability": 0.39306640625}, {"start": 163.48, "end": 163.82, "word": " يوجد", "probability": 0.876953125}, {"start": 163.82, "end": 164.56, "word": " علاقة", "probability": 0.98193359375}, {"start": 164.56, "end": 165.06, "word": " ما", "probability": 0.90625}, {"start": 165.06, "end": 165.24, "word": " بين", "probability": 0.984375}, {"start": 165.24, "end": 165.82, "word": " متغير", "probability": 0.84130859375}, {"start": 165.82, "end": 166.2, "word": " الأول", "probability": 0.989501953125}, {"start": 166.2, "end": 166.78, "word": " والتاني", "probability": 0.955810546875}], "temperature": 1.0}, {"id": 7, "seek": 19682, "start": 168.04, "end": 196.82, "text": "ولكن الأصل في علاقة ولكن طلعت هو فيش علاقة عندى لأنه في Confounder واتكلمنا عن الـ Confounder شمع دخلته وأخفتها العلاقة هذه ولكن الأصل فيه هذا بنسميه type 2 error أنه أنا قلت فيش علاقة والأصل كان في علاقة بس أنا لم أوفق في كشفها في خلال بحثي تبع الـ Magistrate ولكن لو كان فيش علاقة", "tokens": [12610, 19452, 16247, 36520, 8978, 11203, 995, 28671, 35525, 19452, 23032, 1211, 34268, 31439, 8978, 8592, 11203, 995, 28671, 43242, 7578, 5296, 33456, 3224, 8978, 11701, 554, 260, 4032, 9307, 4117, 19528, 8315, 18871, 2423, 39184, 11701, 554, 260, 13412, 2304, 3615, 11778, 9778, 1211, 47395, 36725, 9778, 5172, 2655, 11296, 18863, 15040, 28671, 29538, 35525, 19452, 16247, 36520, 8978, 3224, 23758, 44945, 38251, 1829, 3224, 2010, 568, 6713, 14739, 3224, 41850, 12174, 1211, 2655, 8978, 8592, 11203, 995, 28671, 4032, 6027, 10721, 36520, 25961, 8978, 11203, 995, 28671, 4724, 3794, 41850, 32767, 5551, 38688, 4587, 8978, 9122, 8592, 5172, 11296, 8978, 16490, 1211, 6027, 4724, 5016, 12984, 1829, 6055, 3555, 3615, 2423, 39184, 6395, 468, 4404, 35525, 19452, 45164, 25961, 8978, 8592, 11203, 995, 28671], "avg_logprob": -0.20964566788335484, "compression_ratio": 1.9705882352941178, "no_speech_prob": 2.676248550415039e-05, "words": [{"start": 168.04, "end": 168.62, "word": "ولكن", "probability": 0.904541015625}, {"start": 168.62, "end": 169.2, "word": " الأصل", "probability": 0.804931640625}, {"start": 169.2, "end": 169.54, "word": " في", "probability": 0.87890625}, {"start": 169.54, "end": 170.16, "word": " علاقة", "probability": 0.9720052083333334}, {"start": 170.16, "end": 171.5, "word": " ولكن", "probability": 0.802978515625}, {"start": 171.5, "end": 172.3, "word": " طلعت", "probability": 0.8040364583333334}, {"start": 172.3, "end": 172.54, "word": " هو", "probability": 0.67578125}, {"start": 172.54, "end": 172.84, "word": " فيش", "probability": 0.58941650390625}, {"start": 172.84, "end": 173.22, "word": " علاقة", "probability": 0.9788411458333334}, {"start": 173.22, "end": 173.54, "word": " عندى", "probability": 0.66796875}, {"start": 173.54, "end": 173.84, "word": " لأنه", "probability": 0.77880859375}, {"start": 173.84, "end": 173.94, "word": " في", "probability": 0.873046875}, {"start": 173.94, "end": 174.6, "word": " Confounder", "probability": 0.7236328125}, {"start": 174.6, "end": 175.16, "word": " واتكلمنا", "probability": 0.8078125}, {"start": 175.16, "end": 175.24, "word": " عن", "probability": 0.66552734375}, {"start": 175.24, "end": 175.4, "word": " الـ", "probability": 0.768798828125}, {"start": 175.4, "end": 176.18, "word": " Confounder", "probability": 0.8961588541666666}, {"start": 176.18, "end": 176.94, "word": " شمع", "probability": 0.3765869140625}, {"start": 176.94, "end": 178.06, "word": " دخلته", "probability": 0.8245849609375}, {"start": 178.06, "end": 178.56, "word": " وأخفتها", "probability": 0.85498046875}, {"start": 178.56, "end": 178.94, "word": " العلاقة", "probability": 0.9796549479166666}, {"start": 178.94, "end": 179.34, "word": " هذه", "probability": 0.8056640625}, {"start": 179.34, "end": 180.16, "word": " ولكن", "probability": 0.931640625}, {"start": 180.16, "end": 180.54, "word": " الأصل", "probability": 0.965087890625}, {"start": 180.54, "end": 181.02, "word": " فيه", "probability": 0.9521484375}, {"start": 181.02, "end": 181.94, "word": " هذا", "probability": 0.88427734375}, {"start": 181.94, "end": 182.62, "word": " بنسميه", "probability": 0.9161376953125}, {"start": 182.62, "end": 183.0, "word": " type", "probability": 0.58837890625}, {"start": 183.0, "end": 183.32, "word": " 2", "probability": 0.420654296875}, {"start": 183.32, "end": 183.66, "word": " error", "probability": 0.9560546875}, {"start": 183.66, "end": 184.24, "word": " أنه", "probability": 0.6689453125}, {"start": 184.24, "end": 184.42, "word": " أنا", "probability": 0.7978515625}, {"start": 184.42, "end": 184.68, "word": " قلت", "probability": 0.9267578125}, {"start": 184.68, "end": 184.94, "word": " فيش", "probability": 0.898681640625}, {"start": 184.94, "end": 185.46, "word": " علاقة", "probability": 0.9793294270833334}, {"start": 185.46, "end": 187.2, "word": " والأصل", "probability": 0.76776123046875}, {"start": 187.2, "end": 188.3, "word": " كان", "probability": 0.99169921875}, {"start": 188.3, "end": 188.48, "word": " في", "probability": 0.98828125}, {"start": 188.48, "end": 189.04, "word": " علاقة", "probability": 0.9659830729166666}, {"start": 189.04, "end": 190.2, "word": " بس", "probability": 0.965087890625}, {"start": 190.2, "end": 190.58, "word": " أنا", "probability": 0.8701171875}, {"start": 190.58, "end": 190.92, "word": " لم", "probability": 0.96728515625}, {"start": 190.92, "end": 191.54, "word": " أوفق", "probability": 0.8544921875}, {"start": 191.54, "end": 191.74, "word": " في", "probability": 0.93310546875}, {"start": 191.74, "end": 192.38, "word": " كشفها", "probability": 0.955078125}, {"start": 192.38, "end": 192.58, "word": " في", "probability": 0.9521484375}, {"start": 192.58, "end": 192.98, "word": " خلال", "probability": 0.9833984375}, {"start": 192.98, "end": 193.36, "word": " بحثي", "probability": 0.966796875}, {"start": 193.36, "end": 193.56, "word": " تبع", "probability": 0.9112955729166666}, {"start": 193.56, "end": 193.68, "word": " الـ", "probability": 0.6502685546875}, {"start": 193.68, "end": 194.18, "word": " Magistrate", "probability": 0.4711100260416667}, {"start": 194.18, "end": 195.76, "word": " ولكن", "probability": 0.939697265625}, {"start": 195.76, "end": 195.94, "word": " لو", "probability": 0.97509765625}, {"start": 195.94, "end": 196.12, "word": " كان", "probability": 0.99072265625}, {"start": 196.12, "end": 196.36, "word": " فيش", "probability": 0.84521484375}, {"start": 196.36, "end": 196.82, "word": " علاقة", "probability": 0.9822591145833334}], "temperature": 1.0}, {"id": 8, "seek": 22335, "start": 197.79, "end": 223.35, "text": "والأصل فيش علاقة هذا correct وبيقول عنه to negative يعني negative ماشي ماعيش الصح أو في علاقة مش موجودة وانا وضعتها وقلت to negative فبالتالي بتكون أنا correct يبقى لو في علاقة في الحقيقة وانا قلت في علاقة correct positive فيش علاقة وانا قلت فيش علاقة correct ولكن to negative", "tokens": [2407, 6027, 10721, 36520, 8978, 8592, 11203, 995, 28671, 23758, 3006, 4032, 21292, 39648, 18871, 3224, 281, 3671, 37495, 22653, 3671, 3714, 33599, 1829, 19446, 3615, 1829, 8592, 31767, 5016, 34051, 8978, 11203, 995, 28671, 37893, 3714, 29245, 23328, 3660, 4032, 7649, 995, 4032, 11242, 34268, 11296, 4032, 4587, 1211, 2655, 281, 3671, 6156, 3555, 6027, 2655, 6027, 1829, 39894, 30544, 41850, 3006, 7251, 3555, 4587, 7578, 45164, 8978, 11203, 995, 28671, 8978, 21542, 38436, 28671, 4032, 7649, 995, 12174, 1211, 2655, 8978, 11203, 995, 28671, 3006, 3353, 8978, 8592, 11203, 995, 28671, 4032, 7649, 995, 12174, 1211, 2655, 8978, 8592, 11203, 995, 28671, 3006, 35525, 19452, 281, 3671], "avg_logprob": -0.16534090489149095, "compression_ratio": 2.072463768115942, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 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"word": " to", "probability": 0.98193359375}, {"start": 222.69, "end": 223.35, "word": " negative", "probability": 0.96533203125}], "temperature": 1.0}, {"id": 9, "seek": 25542, "start": 226.58, "end": 255.42, "text": "النوع التاني أو السيناريو إنه أنا قلت في علاقة والأصل فيش هذا بيقول عنه type 1 ولو قلت فيش علاقة والأصل فيه مقدرش أوضحها في البحث بيقول عنه type 2 او اخر نعيدهم تاني بأكثر أمثلة وبأكثر وضوح أنا قلت في علاقة ما بين lung cancer وsmoking", "tokens": [6027, 1863, 45367, 16712, 7649, 1829, 34051, 21136, 1829, 8315, 16572, 2407, 36145, 3224, 41850, 12174, 1211, 2655, 8978, 11203, 995, 28671, 4032, 6027, 10721, 36520, 8978, 8592, 23758, 4724, 1829, 39648, 18871, 3224, 2010, 502, 4032, 1211, 2407, 12174, 1211, 2655, 8978, 8592, 11203, 995, 28671, 4032, 6027, 10721, 36520, 8978, 3224, 3714, 28543, 2288, 8592, 34051, 11242, 5016, 11296, 8978, 29739, 5016, 12984, 4724, 1829, 39648, 18871, 3224, 2010, 568, 1975, 2407, 1975, 34740, 8717, 3615, 25708, 16095, 6055, 7649, 1829, 4724, 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"start": 283.43, "end": 308.05, "text": "عشان أنا قلت في علاقة ما بين ال lung cancer و ال smoking و البحث التابعي طلع ان في relation و لكن الأصل مافيش relation أنا في الحال هادي ارتكبت في بحثي نوع خطأ من سميه من النوع الأول ان قلت في relation و الأصل مافيش relation", "tokens": [3615, 8592, 7649, 41850, 12174, 1211, 2655, 8978, 11203, 995, 28671, 19446, 49374, 2423, 16730, 5592, 4032, 2423, 14055, 4032, 29739, 5016, 12984, 16712, 16758, 3615, 1829, 23032, 1211, 3615, 16472, 8978, 9721, 4032, 44381, 16247, 36520, 19446, 41185, 8592, 9721, 41850, 8978, 21542, 6027, 8032, 995, 16254, 1975, 43500, 4117, 3555, 2655, 8978, 4724, 5016, 12984, 1829, 8717, 45367, 16490, 9566, 10721, 9154, 8608, 2304, 1829, 3224, 9154, 28239, 45367, 16247, 12610, 16472, 12174, 1211, 2655, 8978, 9721, 4032, 16247, 36520, 19446, 41185, 8592, 9721], "avg_logprob": -0.22862786842488694, "compression_ratio": 1.8385416666666667, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 283.43, "end": 283.71, "word": 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normality أنا في عند كيرف وهذا الكيرف أنا مش ممكن اقعد في الأرقام اللي موجودة عندى عجب منهم 68 عجب منهم 95% منهم 99.7", "tokens": [2407, 6027, 20292, 44945, 25957, 1211, 11296, 8248, 5296, 15042, 39894, 30544, 2423, 39184, 430, 2158, 34051, 2423, 39184, 2010, 502, 34051, 5551, 4587, 1211, 34051, 7251, 3794, 995, 45865, 1025, 9154, 2319, 9122, 33911, 1975, 5016, 8315, 44945, 25957, 1211, 1975, 46456, 3555, 9640, 24976, 2026, 1860, 41850, 8978, 43242, 9122, 13546, 5172, 37037, 15730, 33251, 13546, 5172, 41850, 37893, 3714, 43020, 1975, 4587, 22488, 8978, 16247, 2288, 4587, 10943, 13672, 1829, 3714, 29245, 23328, 3660, 43242, 7578, 6225, 7435, 3555, 9154, 16095, 23317, 6225, 7435, 3555, 9154, 16095, 13420, 4, 9154, 16095, 11803, 13, 22], "avg_logprob": -0.2646683573114629, "compression_ratio": 1.587719298245614, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 1144.49, "end": 1144.81, "word": "واللي", "probability": 0.6670735677083334}, {"start": 1144.81, "end": 1145.29, 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حافظين شكله ايه ال style معين ايه التسامح معينة بنقول انه انت اليوم شكلك مش طبيعي انت significant different عن الطبيعي بيكون طبيعي بكونش طبيعي نفس الشيء في شابيرو بيكون يختلف عن الشكل الطبيعي", "tokens": [5172, 3555, 2655, 30544, 32771, 13546, 23032, 21292, 3615, 1829, 4724, 1829, 30544, 25124, 28820, 32847, 11331, 49975, 1975, 5016, 8315, 8978, 11331, 1829, 9307, 8315, 44945, 39648, 5296, 8592, 9778, 9381, 20449, 9957, 1975, 5016, 8315, 11331, 31845, 19913, 9957, 13412, 28820, 3224, 1975, 1829, 3224, 2423, 3758, 20449, 9957, 1975, 1829, 3224, 16712, 3794, 10943, 5016, 20449, 9957, 3660, 44945, 39648, 16472, 3224, 16472, 2655, 45595, 20498, 13412, 4117, 23275, 37893, 23032, 21292, 3615, 1829, 16472, 2655, 4776, 819, 18871, 41950, 21292, 3615, 1829, 4724, 1829, 30544, 23032, 21292, 3615, 1829, 4724, 30544, 8592, 23032, 21292, 3615, 1829, 8717, 36178, 25124, 1829, 38207, 8978, 13412, 16758, 13546, 2407, 4724, 1829, 30544, 7251, 46456, 46538, 18871, 25124, 28820, 41950, 21292, 3615, 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Cumulative Frequency و الـ Cumulative Percentage هذا بنسميه Cumulative Table من الأثنين هدول اللي موجودين", "tokens": [47537, 48154, 25535, 13672, 1829, 4724, 1829, 16095, 22653, 24525, 2304, 2423, 39184, 25535, 43242, 15042, 8717, 9566, 1211, 3615, 13672, 3615, 49401, 5296, 39184, 6142, 48154, 34051, 2423, 39184, 5118, 4032, 2423, 39184, 3026, 2207, 609, 5296, 33456, 24525, 2304, 3224, 6142, 48154, 25535, 8978, 8717, 45367, 6055, 7649, 1829, 9154, 2423, 39184, 25535, 24525, 2304, 3224, 26337, 22678, 25535, 2423, 39184, 25535, 23758, 20666, 15040, 5016, 19913, 14739, 3224, 3714, 29245, 23328, 8978, 3224, 2423, 39184, 6142, 48154, 4032, 2423, 39184, 3026, 2207, 609, 4032, 3714, 29245, 23328, 8978, 3224, 2423, 39184, 26337, 22678, 6142, 48154, 4032, 2423, 39184, 26337, 22678, 3026, 2207, 609, 23758, 44945, 38251, 1829, 3224, 26337, 22678, 25535, 9154, 16247, 12984, 1863, 9957, 8032, 3215, 12610, 13672, 1829, 3714, 29245, 23328, 9957], "avg_logprob": -0.2764050387596899, 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"end": 2107.62, "text": "والـ bi هدرول الـ qualitative data وانت مطلوب منك بس الشكل تعرف مش مطلوب منك ترسمهم في الامتحان ولا هنجيبك بيانات ونقولك ارسمهم مطلوب انك شوفت الشكل هذا تعرفون ان ال qualitative data وش اسمه بقى", "tokens": [2407, 6027, 39184, 3228, 8032, 3215, 2288, 12610, 2423, 39184, 31312, 1412, 4032, 7649, 2655, 3714, 9566, 1211, 37746, 9154, 4117, 4724, 3794, 25124, 28820, 37279, 28480, 37893, 3714, 9566, 1211, 37746, 9154, 4117, 6055, 2288, 38251, 16095, 8978, 2423, 10943, 2655, 5016, 7649, 49429, 8032, 1863, 7435, 1829, 3555, 4117, 4724, 1829, 7649, 9307, 4032, 1863, 39648, 4117, 1975, 2288, 38251, 16095, 3714, 9566, 1211, 37746, 16472, 4117, 13412, 38688, 2655, 25124, 28820, 23758, 37279, 28480, 11536, 16472, 2423, 31312, 1412, 4032, 8592, 24525, 2304, 3224, 4724, 4587, 7578], "avg_logprob": -0.28657281136774754, "compression_ratio": 1.8238636363636365, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2092.5, "end": 2093.3, "word": "والـ", "probability": 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213703, "start": 2108.11, "end": 2137.03, "text": "شوفت الشكل هذا، هذا اسمه by يستخدم للـ qualitative data زي ال male و ال female وإن سأل النساء بالمقاوية تقول فيها unit فهذا quantitative data أنا بسألك عن الشكل، بسألكاش عن النساء بسألك عن اسم ال graph واستخدامه في عندنا graph يستخدم لل quantitative data أول واحد والمفروض نكون عارفينه ان الهستجرام اللي قبل شوية رسمنا منه ال normal distribution", "tokens": [8592, 38688, 2655, 25124, 28820, 23758, 12399, 23758, 24525, 2304, 3224, 538, 7251, 14851, 9778, 40448, 24976, 39184, 31312, 1412, 30767, 1829, 2423, 7133, 4032, 2423, 6556, 4032, 28814, 1863, 8608, 10721, 1211, 28239, 3794, 16606, 20666, 2304, 4587, 995, 2407, 10632, 6055, 39648, 8978, 11296, 4985, 6156, 3224, 15730, 27778, 1412, 41850, 4724, 3794, 10721, 23275, 18871, 25124, 28820, 12399, 4724, 3794, 10721, 23275, 33599, 18871, 28239, 3794, 16606, 4724, 3794, 10721, 23275, 18871, 24525, 2304, 2423, 4295, 4032, 32277, 2655, 9778, 3215, 10943, 3224, 8978, 43242, 8315, 4295, 7251, 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{"start": 2482.34, "end": 2482.82, "word": " موجودين", "probability": 0.9844970703125}, {"start": 2482.82, "end": 2483.24, "word": " extreme", "probability": 0.38916015625}, {"start": 2483.24, "end": 2483.74, "word": " value", "probability": 0.970703125}, {"start": 2483.74, "end": 2484.1, "word": " أو", "probability": 0.83349609375}, {"start": 2484.1, "end": 2484.58, "word": " outlier", "probability": 0.6661376953125}, {"start": 2484.58, "end": 2485.08, "word": " value", "probability": 0.984375}, {"start": 2485.08, "end": 2485.82, "word": " قيم", "probability": 0.9130859375}, {"start": 2485.82, "end": 2486.6, "word": " شاذة", "probability": 0.90283203125}, {"start": 2486.6, "end": 2487.24, "word": " معناتها", "probability": 0.9290771484375}], "temperature": 1.0}, {"id": 93, "seek": 251226, "start": 2489.42, "end": 2512.26, "text": "هو لها قوانين تحسن فيها ولكن احنا ان شاء الله لما ناخد على برنامج ASPSS هو البرنامج بيطلعيلنا إياها مباشرة وبيقولنا انه extreme و لا outlier عن طريق التمييز انه نجمة تعتبر extreme يعني قيمة شد جدا زي ما نقول انه عندنا واحد عمره 80 سنة بدرس في قاعة طلاب عمرهم كلهم 21 و 22 سنة بنسميه extreme", "tokens": [3224, 2407, 5296, 11296, 12174, 2407, 7649, 9957, 6055, 5016, 3794, 1863, 8978, 11296, 35525, 19452, 1975, 5016, 8315, 16472, 13412, 16606, 21984, 5296, 15042, 8717, 47283, 3215, 15844, 4724, 2288, 8315, 2304, 7435, 7469, 6273, 50, 31439, 2423, 26890, 8315, 2304, 7435, 4724, 1829, 9566, 1211, 3615, 26895, 8315, 11933, 25528, 11296, 3714, 3555, 33599, 25720, 46599, 1829, 39648, 8315, 16472, 3224, 8084, 4032, 20193, 484, 2753, 18871, 23032, 16572, 4587, 16712, 2304, 1829, 1829, 11622, 16472, 3224, 8717, 7435, 46007, 6055, 34268, 26890, 8084, 37495, 22653, 12174, 32640, 3660, 13412, 3215, 10874, 28259, 30767, 1829, 19446, 8717, 39648, 16472, 3224, 43242, 8315, 36764, 24401, 6225, 29973, 3224, 4688, 8608, 1863, 3660, 47525, 2288, 3794, 8978, 12174, 995, 27884, 23032, 15040, 3555, 6225, 29973, 16095, 28242, 16095, 5080, 4032, 5853, 8608, 1863, 3660, 44945, 38251, 1829, 3224, 8084], "avg_logprob": -0.19464285522699357, "compression_ratio": 1.76, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 2489.42, "end": 2489.7, "word": "هو", "probability": 0.59912109375}, {"start": 2489.7, "end": 2489.92, "word": " لها", "probability": 0.6473388671875}, {"start": 2489.92, "end": 2490.34, "word": " قوانين", "probability": 0.9844970703125}, {"start": 2490.34, "end": 2490.74, "word": " تحسن", "probability": 0.9007568359375}, {"start": 2490.74, "end": 2491.16, "word": " فيها", "probability": 0.981689453125}, {"start": 2491.16, "end": 2491.74, "word": " ولكن", "probability": 0.7578125}, {"start": 2491.74, "end": 2492.02, "word": " احنا", "probability": 0.8035481770833334}, {"start": 2492.02, "end": 2492.16, "word": " ان", "probability": 0.51806640625}, {"start": 2492.16, "end": 2492.36, "word": " شاء", "probability": 0.970458984375}, {"start": 2492.36, "end": 2492.44, "word": " الله", "probability": 0.939453125}, {"start": 2492.44, "end": 2492.64, "word": " لما", "probability": 0.868408203125}, {"start": 2492.64, "end": 2492.92, "word": " ناخد", "probability": 0.92822265625}, {"start": 2492.92, "end": 2493.0, "word": " على", "probability": 0.623046875}, {"start": 2493.0, "end": 2493.34, "word": " برنامج", "probability": 0.97529296875}, {"start": 2493.34, "end": 2494.08, "word": " ASPSS", "probability": 0.4041341145833333}, {"start": 2494.08, "end": 2494.24, "word": " هو", "probability": 0.814453125}, {"start": 2494.24, "end": 2494.74, "word": " البرنامج", "probability": 0.91591796875}, {"start": 2494.74, "end": 2495.3, "word": " بيطلعيلنا", "probability": 0.718505859375}, {"start": 2495.3, "end": 2495.78, "word": " إياها", "probability": 0.8294270833333334}, {"start": 2495.78, "end": 2496.72, "word": " مباشرة", "probability": 0.98779296875}, {"start": 2496.72, "end": 2497.3, "word": " وبيقولنا", "probability": 0.77655029296875}, {"start": 2497.3, "end": 2497.6, "word": " انه", "probability": 0.810302734375}, {"start": 2497.6, "end": 2498.08, "word": " extreme", "probability": 0.400390625}, {"start": 2498.08, "end": 2498.62, "word": " و", "probability": 0.41357421875}, {"start": 2498.62, "end": 2498.74, "word": " لا", "probability": 0.91943359375}, {"start": 2498.74, "end": 2499.24, "word": " outlier", "probability": 0.8125}, {"start": 2499.24, "end": 2499.46, "word": " عن", "probability": 0.9677734375}, {"start": 2499.46, "end": 2499.78, "word": " طريق", "probability": 0.9697265625}, {"start": 2499.78, "end": 2500.32, "word": " التمييز", "probability": 0.98017578125}, {"start": 2500.32, "end": 2500.6, "word": " انه", "probability": 0.658935546875}, {"start": 2500.6, "end": 2500.98, "word": " نجمة", "probability": 0.8670247395833334}, {"start": 2500.98, "end": 2501.66, "word": " تعتبر", "probability": 0.7495930989583334}, {"start": 2501.66, "end": 2502.16, "word": " extreme", "probability": 0.83447265625}, {"start": 2502.16, "end": 2502.36, "word": " يعني", "probability": 0.90966796875}, {"start": 2502.36, "end": 2502.78, "word": " قيمة", "probability": 0.9375}, {"start": 2502.78, "end": 2503.02, "word": " شد", "probability": 0.760498046875}, {"start": 2503.02, "end": 2503.48, "word": " جدا", "probability": 0.9423828125}, {"start": 2503.48, "end": 2504.22, "word": " زي", "probability": 0.921142578125}, {"start": 2504.22, "end": 2504.28, "word": " ما", "probability": 0.96142578125}, {"start": 2504.28, "end": 2504.6, "word": " نقول", "probability": 0.980712890625}, {"start": 2504.6, "end": 2504.9, "word": " انه", "probability": 0.712890625}, {"start": 2504.9, "end": 2505.22, "word": " عندنا", "probability": 0.776123046875}, {"start": 2505.22, "end": 2505.5, "word": " واحد", "probability": 0.989501953125}, {"start": 2505.5, "end": 2506.0, "word": " عمره", "probability": 0.96728515625}, {"start": 2506.0, "end": 2506.32, "word": " 80", "probability": 0.6875}, {"start": 2506.32, "end": 2506.8, "word": " سنة", "probability": 0.9900716145833334}, {"start": 2506.8, "end": 2507.56, "word": " بدرس", "probability": 0.8938802083333334}, {"start": 2507.56, "end": 2507.74, "word": " في", "probability": 0.89111328125}, {"start": 2507.74, "end": 2508.16, "word": " قاعة", "probability": 0.9327799479166666}, {"start": 2508.16, "end": 2508.74, "word": " طلاب", "probability": 0.9466145833333334}, {"start": 2508.74, "end": 2509.26, "word": " عمرهم", "probability": 0.9544270833333334}, {"start": 2509.26, "end": 2509.52, "word": " كلهم", "probability": 0.929931640625}, {"start": 2509.52, "end": 2509.92, "word": " 21", "probability": 0.92822265625}, {"start": 2509.92, "end": 2510.1, "word": " و", "probability": 0.826171875}, {"start": 2510.1, "end": 2510.42, "word": " 22", "probability": 0.63916015625}, {"start": 2510.42, "end": 2511.22, "word": " سنة", "probability": 0.9918619791666666}, {"start": 2511.22, "end": 2511.88, "word": " بنسميه", "probability": 0.8365478515625}, {"start": 2511.88, "end": 2512.26, "word": " extreme", "probability": 0.77734375}], "temperature": 1.0}, {"id": 94, "seek": 254173, "start": 2513.18, "end": 2541.74, "text": "وزي ما نقول Outlier Value أن واحد عمره 35 سنة بيكون موجود في قاعة طلاب عمارهم كلهم في العشرينات فبنعدل 35 سنة هو Outlier Value قيمة شادة ولكن مش كتير زيابوا الـ 80 سنة أن يكون موجود في القاعة أو زيابوا الـ 60 سنة بنكتفي بهذا القرن من المحاضرة الحالية نتمنى لكم التوفيق والسلام عليكم ورحمة الله وبركاته", "tokens": [2407, 11622, 1829, 19446, 8717, 39648, 5925, 2753, 39352, 14739, 36764, 24401, 6225, 29973, 3224, 6976, 8608, 1863, 3660, 4724, 1829, 30544, 3714, 29245, 23328, 8978, 12174, 995, 27884, 23032, 15040, 3555, 6225, 2304, 9640, 16095, 28242, 16095, 8978, 18863, 46309, 9957, 9307, 6156, 3555, 1863, 22488, 1211, 6976, 8608, 1863, 3660, 31439, 5925, 2753, 39352, 12174, 32640, 3660, 13412, 18513, 3660, 35525, 19452, 37893, 9122, 2655, 13546, 30767, 1829, 16758, 14407, 2423, 39184, 4688, 8608, 1863, 3660, 14739, 7251, 30544, 3714, 29245, 23328, 8978, 25062, 995, 27884, 34051, 30767, 1829, 16758, 14407, 2423, 39184, 4060, 8608, 1863, 3660, 44945, 4117, 2655, 41185, 39627, 15730, 25062, 2288, 1863, 9154, 9673, 5016, 46958, 25720, 21542, 6027, 10632, 8717, 2655, 27842, 7578, 5296, 24793, 16712, 38688, 1829, 4587, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.15184859564186823, "compression_ratio": 1.8654545454545455, "no_speech_prob": 1.6689300537109375e-06, "words": [{"start": 2513.18, "end": 2513.6, "word": "وزي", "probability": 0.8673502604166666}, {"start": 2513.6, "end": 2513.7, "word": " ما", "probability": 0.9755859375}, {"start": 2513.7, "end": 2513.96, "word": " نقول", "probability": 0.9345703125}, {"start": 2513.96, "end": 2514.42, "word": " Outlier", "probability": 0.720458984375}, {"start": 2514.42, "end": 2514.92, "word": " Value", "probability": 0.80029296875}, {"start": 2514.92, "end": 2515.28, "word": " أن", "probability": 0.350341796875}, {"start": 2515.28, "end": 2515.52, "word": " واحد", "probability": 0.894287109375}, {"start": 2515.52, "end": 2515.76, "word": " عمره", "probability": 0.9231770833333334}, {"start": 2515.76, "end": 2516.08, "word": " 35", "probability": 0.8701171875}, {"start": 2516.08, "end": 2516.74, "word": " سنة", "probability": 0.9944661458333334}, {"start": 2516.74, "end": 2517.34, "word": " بيكون", "probability": 0.798828125}, {"start": 2517.34, "end": 2517.9, "word": " موجود", "probability": 0.9716796875}, {"start": 2517.9, "end": 2518.26, "word": " في", "probability": 0.927734375}, {"start": 2518.26, "end": 2518.68, "word": " قاعة", "probability": 0.7826334635416666}, {"start": 2518.68, "end": 2519.1, "word": " طلاب", "probability": 0.9192708333333334}, {"start": 2519.1, "end": 2519.54, "word": " عمارهم", "probability": 0.914306640625}, {"start": 2519.54, "end": 2519.9, "word": " كلهم", "probability": 0.97509765625}, {"start": 2519.9, "end": 2520.08, "word": " في", "probability": 0.92041015625}, {"start": 2520.08, "end": 2520.76, "word": " العشرينات", "probability": 0.75732421875}, {"start": 2520.76, "end": 2521.94, "word": " فبنعدل", "probability": 0.77763671875}, {"start": 2521.94, "end": 2522.24, "word": " 35", "probability": 0.95068359375}, {"start": 2522.24, "end": 2522.84, "word": " سنة", "probability": 0.9925130208333334}, {"start": 2522.84, "end": 2523.28, "word": " هو", "probability": 0.69140625}, {"start": 2523.28, "end": 2523.76, "word": " Outlier", "probability": 0.926025390625}, {"start": 2523.76, "end": 2524.16, "word": " Value", "probability": 0.96484375}, {"start": 2524.16, "end": 2524.5, "word": " قيمة", "probability": 0.88330078125}, {"start": 2524.5, "end": 2524.94, "word": " شادة", "probability": 0.800048828125}, {"start": 2524.94, "end": 2525.5, "word": " ولكن", "probability": 0.876220703125}, {"start": 2525.5, "end": 2525.68, "word": " مش", "probability": 0.974609375}, {"start": 2525.68, "end": 2526.0, "word": " كتير", "probability": 0.8942057291666666}, {"start": 2526.0, "end": 2526.32, "word": " زيابوا", "probability": 0.830810546875}, {"start": 2526.32, "end": 2526.48, "word": " الـ", "probability": 0.6962890625}, {"start": 2526.48, "end": 2526.66, "word": " 80", "probability": 0.89453125}, {"start": 2526.66, "end": 2527.08, "word": " سنة", "probability": 0.9952799479166666}, {"start": 2527.08, "end": 2527.42, "word": " أن", "probability": 0.42919921875}, {"start": 2527.42, "end": 2527.62, "word": " يكون", "probability": 0.98583984375}, {"start": 2527.62, "end": 2528.02, "word": " موجود", "probability": 0.904296875}, {"start": 2528.02, "end": 2528.22, "word": " في", "probability": 0.97705078125}, {"start": 2528.22, "end": 2528.58, "word": " القاعة", "probability": 0.8056640625}, {"start": 2528.58, "end": 2528.86, "word": " أو", "probability": 0.958984375}, {"start": 2528.86, "end": 2529.14, "word": " زيابوا", "probability": 0.9422607421875}, {"start": 2529.14, "end": 2529.26, "word": " الـ", "probability": 0.93212890625}, {"start": 2529.26, "end": 2529.46, "word": " 60", "probability": 0.83203125}, {"start": 2529.46, "end": 2531.64, "word": " سنة", "probability": 0.99658203125}, {"start": 2531.64, "end": 2534.7, "word": " بنكتفي", "probability": 0.7823486328125}, {"start": 2534.7, "end": 2534.96, "word": " بهذا", "probability": 0.822509765625}, {"start": 2534.96, "end": 2535.32, "word": " القرن", "probability": 0.66259765625}, {"start": 2535.32, "end": 2535.48, "word": " من", "probability": 0.85888671875}, {"start": 2535.48, "end": 2536.12, "word": " المحاضرة", "probability": 0.9796142578125}, {"start": 2536.12, "end": 2536.98, "word": " الحالية", "probability": 0.904296875}, {"start": 2536.98, "end": 2537.92, "word": " نتمنى", "probability": 0.8162841796875}, {"start": 2537.92, "end": 2538.06, "word": " لكم", "probability": 0.6845703125}, {"start": 2538.06, "end": 2538.68, "word": " التوفيق", "probability": 0.987548828125}, {"start": 2538.68, "end": 2539.34, "word": " والسلام", "probability": 0.8478190104166666}, {"start": 2539.34, "end": 2539.96, "word": " عليكم", "probability": 0.94873046875}, {"start": 2539.96, "end": 2540.54, "word": " ورحمة", "probability": 0.97900390625}, {"start": 2540.54, "end": 2540.86, "word": " الله", "probability": 0.96923828125}, {"start": 2540.86, "end": 2541.74, "word": " وبركاته", "probability": 0.9765625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2543.212, "duration_after_vad": 2463.3462499999905}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4c731723535a6270e97a5f9d4a8521fc98439554
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/c7TJqygkzCg_raw.srt
@@ -0,0 +1,2084 @@
+1
+00:00:01,850 --> 00:00:04,770
+أعود بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:04,770 --> 00:00:11,590
+الرحيم أعزاء الطلاب زملاء الطلاب السلام عليكم
+
+3
+00:00:11,590 --> 00:00:20,890
+ورحمة الله وبركاته جدًا أترحبكم في هذا اللقاء وسوف
+
+4
+00:00:20,890 --> 00:00:26,410
+يتم إن شاء الله الحديث عن type of errors اللي هي
+
+5
+00:00:26,410 --> 00:00:28,930
+أنواع الأخطاء اللي بتتم في الأحصاء
+
+6
+00:00:31,990 --> 00:00:37,490
+الـ type of errors اللي بتتم هما نوعين بتتموا خلال
+
+7
+00:00:37,490 --> 00:00:43,650
+عملية البحث يبقى أنت في بحثك قد يحدث معاك نوعين من
+
+8
+00:00:43,650 --> 00:00:49,330
+الخطأ في خطأ بنسميه type 1 error والخطأ التاني
+
+9
+00:00:49,330 --> 00:00:55,150
+بنسميه type 2 error هدول النوعين قد يحدثوا معاك
+
+10
+00:00:55,150 --> 00:01:01,010
+خلال إجراء البحث هنشوف إيش تعريفهم و لو وجعوا
+
+11
+00:01:01,010 --> 00:01:07,680
+معناهاكيف أحنا ممكن نتجنبهم التابل اللي أمامنا
+
+12
+00:01:07,680 --> 00:01:14,320
+بتلخص أنواع الأخطاء اللي بتكون موجودة خلال عملية
+
+13
+00:01:14,320 --> 00:01:20,880
+إجراء بحث ماجستير أول حاجة أنه أنت بيكون عندك بعد
+
+14
+00:01:20,880 --> 00:01:27,400
+ما تجمع البيانات وتلم الاستبانات
+
+15
+00:01:27,400 --> 00:01:33,850
+وتبدأ تحليلهمان انت بتطلع معاك ان في علاقة ما بين
+
+16
+00:01:33,850 --> 00:01:41,530
+ال two variables اللي انت بتدرسهم وفي الحقيقة وكل
+
+17
+00:01:41,530 --> 00:01:46,870
+الناس بتقول وفي الواقع ان في علاقة انت طلع معاك زي
+
+18
+00:01:46,870 --> 00:01:51,450
+الناس ما قالت وزي ما هو الحقيقة موجودة بيكون شغلك
+
+19
+00:01:51,450 --> 00:01:57,590
+correct او بنسميه ال two positive ولكن لو انت قلت
+
+20
+00:01:57,590 --> 00:02:01,470
+في relationوطلع معاك في الاستبانات في relation
+
+21
+00:02:01,470 --> 00:02:06,530
+وقلت في علاقة ما بين متغير X ومتغير Y اللي انت
+
+22
+00:02:06,530 --> 00:02:12,570
+بتدرسهم ولكن في الأصل ماكانش فيه يعني طلعت العلاقة
+
+23
+00:02:12,570 --> 00:02:18,090
+اللي معاك هذه علاقة مضغوبة باختصار انه انت استعجلت
+
+24
+00:02:18,090 --> 00:02:21,970
+في جمع الاستبانات وقلت في relation والاصل والواقع
+
+25
+00:02:21,970 --> 00:02:26,400
+مافيش relationهذا بنسميه type 1 error اللي هو
+
+26
+00:02:26,400 --> 00:02:29,800
+الخطأ من النوع الأول أو بنسميه false positive يعني
+
+27
+00:02:29,800 --> 00:02:33,420
+طلع معاك positive في relation ولكن الأصل مافيش
+
+28
+00:02:33,420 --> 00:02:39,940
+النوع التاني من الأخطاء أنه
+
+29
+00:02:39,940 --> 00:02:45,240
+بيكون أنا قلت مافيش علاقة لا يوجد علاقة ما بين
+
+30
+00:02:45,240 --> 00:02:52,300
+متغير الأول والتانيولكن الأصل في علاقة ولكن طلعت
+
+31
+00:02:52,300 --> 00:02:55,240
+هو فيش علاقة عندى لأنه في Confounder واتكلمنا عن
+
+32
+00:02:55,240 --> 00:03:00,160
+الـ Confounder شمع دخلته وأخفتها العلاقة هذه ولكن
+
+33
+00:03:00,160 --> 00:03:04,940
+الأصل فيه هذا بنسميه type 2 error أنه أنا قلت فيش
+
+34
+00:03:04,940 --> 00:03:12,380
+علاقة والأصل كان في علاقة بس أنا لم أوفق في كشفها
+
+35
+00:03:12,380 --> 00:03:16,360
+في خلال بحثي تبع الـ Magistrate ولكن لو كان فيش
+
+36
+00:03:16,360 --> 00:03:20,810
+علاقةوالأصل فيش علاقة هذا correct وبيقول عنه to
+
+37
+00:03:20,810 --> 00:03:25,670
+negative يعني negative ماشي ماعيش الصح أو في علاقة
+
+38
+00:03:25,670 --> 00:03:30,290
+مش موجودة وانا وضعتها وقلت to negative فبالتالي
+
+39
+00:03:30,290 --> 00:03:36,950
+بتكون أنا correct يبقى لو في علاقة في الحقيقة وانا
+
+40
+00:03:36,950 --> 00:03:40,390
+قلت في علاقة correct positive فيش علاقة وانا قلت
+
+41
+00:03:40,390 --> 00:03:43,350
+فيش علاقة correct ولكن to negative
+
+42
+00:03:46,580 --> 00:03:52,200
+النوع التاني أو السيناريو إنه أنا قلت في علاقة
+
+43
+00:03:52,200 --> 00:03:57,300
+والأصل فيش هذا بيقول عنه type 1 ولو قلت فيش علاقة
+
+44
+00:03:57,300 --> 00:04:02,860
+والأصل فيه مقدرش أوضحها في البحث بيقول عنه type 2
+
+45
+00:04:02,860 --> 00:04:10,340
+او اخر نعيدهم تاني بأكثر أمثلة وبأكثر وضوح أنا قلت
+
+46
+00:04:10,340 --> 00:04:15,420
+في علاقة ما بين lung cancer وsmoking
+
+47
+00:04:16,380 --> 00:04:19,520
+والأصل في علاقة كل الأبحاث بتقول في علاقة وحقيقة
+
+48
+00:04:19,520 --> 00:04:25,340
+في علاقة أنا بقول عنه correct و positive أنا قلت
+
+49
+00:04:25,340 --> 00:04:29,040
+مافيش علاقة ما بين ال opposite و ال smoking يعني
+
+50
+00:04:29,040 --> 00:04:32,940
+الناس اللي بتدخن مالهاش علاقة ان هو obese ولا not
+
+51
+00:04:32,940 --> 00:04:37,180
+obese والأصل مافيش علاقة كمان بقول عنه correct
+
+52
+00:04:37,180 --> 00:04:43,710
+وفيش علاقة too negative أنا وضحت انه فيش علاقةعشان
+
+53
+00:04:43,710 --> 00:04:48,330
+أنا قلت في علاقة ما بين ال lung cancer و ال
+
+54
+00:04:48,330 --> 00:04:55,170
+smoking و البحث التابعي طلع ان في relation و لكن
+
+55
+00:04:55,170 --> 00:05:01,210
+الأصل مافيش relation أنا في الحال هادي ارتكبت في
+
+56
+00:05:01,210 --> 00:05:05,350
+بحثي نوع خطأ من سميه من النوع الأول ان قلت في
+
+57
+00:05:05,350 --> 00:05:08,050
+relation و الأصل مافيش relation
+
+58
+00:05:12,680 --> 00:05:21,380
+بعد ذلك أنا قلت الـ obesity و الـ weed و الـ
+
+59
+00:05:21,380 --> 00:05:28,540
+smoking مافيش بينهم علاقة والأصل كان فيه في
+
+60
+00:05:28,540 --> 00:05:31,040
+الناحية هذه بتكون انت تكبت خطأ من النوع الثاني
+
+61
+00:05:31,040 --> 00:05:35,860
+بنسميه false negative ناخد مثال بعيد شوية عن البحث
+
+62
+00:05:35,860 --> 00:05:42,310
+العلمي انت الحين انفجرت جوالكوفي شخص في القاعة
+
+63
+00:05:42,310 --> 00:05:49,290
+ماحدش دخل القاعة إلا هو انت بعد ما انت عملت عصف
+
+64
+00:05:49,290 --> 00:05:53,530
+ذهني وصلت لقناة ماحدش دخل القاعة إلا الشخص هذا
+
+65
+00:05:53,530 --> 00:05:57,050
+وبالمضبط ماحدش دخل هو اللي أخده انت قلت هو اللي
+
+66
+00:05:57,050 --> 00:06:02,030
+أخده في علاقة بين سلكت الجوال والحقيقة
+
+67
+00:06:02,030 --> 00:06:05,270
+هو فعلا أخده انت قلت correct يعني انت توقعت كان صح
+
+68
+00:06:05,270 --> 00:06:12,720
+انت في شخص تانيشوفته دخل القاعة بس ماشوفش إذا حد
+
+69
+00:06:12,720 --> 00:06:15,920
+دخل لإنك مش عارف مين دخل و مين طلع من القاعة قولت
+
+70
+00:06:15,920 --> 00:06:18,580
+ما أظنش هو لإنه أخلاقه عالية ماظنش هو اللي أخد
+
+71
+00:06:18,580 --> 00:06:21,900
+الجوال والأصل كمان مش هو اللي ماخده يعني فعلا مش
+
+72
+00:06:21,900 --> 00:06:24,600
+هو اللي ماخده لإنه شخص محترم مش ممكن يمديده عن
+
+73
+00:06:24,600 --> 00:06:30,500
+الجوال بقول عنه correct negative في المقابل ناخد
+
+74
+00:06:30,500 --> 00:06:34,580
+سيناريو تاني انت قولت إن الشخص هذا هو اللي سرق
+
+75
+00:06:34,580 --> 00:06:42,590
+الجوال ولكن الأصل هو مالوش علاقة بالجوالهو مايله
+
+76
+00:06:42,590 --> 00:06:45,510
+علاقة العلاقة مفقودة بيقول هذا type 1 او او انت
+
+77
+00:06:45,510 --> 00:06:50,190
+اتكبته انت قلت في علاقة هو مالوس دعوة اللي بعديها
+
+78
+00:06:50,190 --> 00:06:54,970
+قلت انت الشخص هذا لايمكن يمد يده على الجوال والأصل
+
+79
+00:06:54,970 --> 00:06:59,070
+التوقع خاطر انه طلع هو اللي ماخد الجوال وانت تخمين
+
+80
+00:06:59,070 --> 00:07:02,810
+تهضامك فيه انه كويس انه شخص مش كويس هذا النوع
+
+81
+00:07:02,810 --> 00:07:09,450
+بنسميه type 2 او او باعتقادكوا مين أختار؟Type 1 و
+
+82
+00:07:09,450 --> 00:07:13,790
+لا Type 2 انت تتهم واحد انه سرق و هو ما سرقش بريء
+
+83
+00:07:13,790 --> 00:07:22,450
+و الخطأ التاني انت برأت واحد و هو فعلا سارق نفكر
+
+84
+00:07:22,450 --> 00:07:26,530
+فيها لما نوصل لحالها و نشرح الـ Type 1 Error و
+
+85
+00:07:26,530 --> 00:07:30,650
+Type 2 Error التفاصيل و نرجع نحل اللغز اللي احنا
+
+86
+00:07:30,650 --> 00:07:34,490
+حكينا مين أخطر فيهم من التاني الـ Type of Error
+
+87
+00:07:34,490 --> 00:07:39,880
+Type 1 Error ان انا بقولفي علاقة وبستنتج في بحثي
+
+88
+00:07:39,880 --> 00:07:43,280
+أنه في علاقة موجودة بينما الأصل مافيش علاقة
+
+89
+00:07:43,280 --> 00:07:47,960
+والحقيقة مافيش علاقة هذا بيسمي type 1 error ويسمى
+
+90
+00:07:47,960 --> 00:07:51,720
+false positive ويله اسم اسم Alpha error ويله اسم
+
+91
+00:07:51,720 --> 00:07:56,540
+significant level وكمان اسم B value أو
+
+92
+00:07:56,540 --> 00:08:00,330
+comparability of errorطب ليش الأسماء هذه كلها لازم
+
+93
+00:08:00,330 --> 00:08:03,730
+نعرفها؟ لازم تعرف الأسماء هذه كلها لأنه في ال
+
+94
+00:08:03,730 --> 00:08:07,290
+articles وانت بتجرى هتلاقيها موجودة كل مرة موجودة
+
+95
+00:08:07,290 --> 00:08:11,570
+شكله هيقولك الباحث في ال methodology أنه أنا
+
+96
+00:08:11,570 --> 00:08:17,490
+استخدمist poles positive 5% وهيقولك Alpha R 5%
+
+97
+00:08:17,490 --> 00:08:21,890
+وهيقولك أنا عند significant level 5% وهيقولك ال P
+
+98
+00:08:21,890 --> 00:08:27,070
+value 5% وهيقولنا probability of R 5% فكل هذه
+
+99
+00:08:27,070 --> 00:08:32,250
+المصطلحاتضاولي جداً نكون عارفينهم بغض النظر عن
+
+100
+00:08:32,250 --> 00:08:36,630
+عددهم لأنهم كلهم هيلزمونا وكلهم هننزل فيهم مسموح
+
+101
+00:08:36,630 --> 00:08:44,010
+لأخطأ في الجانب هذا في إيجاد علاقة و أقول إنه فيه
+
+102
+00:08:44,010 --> 00:08:51,870
+والأصل مافيش فقط 5% يعني مازيدش عن 5% وهي بنسميها
+
+103
+00:08:51,870 --> 00:08:58,080
+الـ B Value اللي قبل شوية قلنا هنتكلم عنهاونوضحها
+
+104
+00:08:58,080 --> 00:09:01,200
+اللي كانت موجودة عندنا في ال articles اللي كنا
+
+105
+00:09:01,200 --> 00:09:05,440
+فاتحينها اللي هي باختصار شديد كانت موجودة في
+
+106
+00:09:05,440 --> 00:09:09,940
+المنطقة هذه في ال articles يبقى الـ P-Value هنا
+
+107
+00:09:09,940 --> 00:09:17,300
+معناتها Type 1 Euro Alpha Euro Significant Level
+
+108
+00:09:17,300 --> 00:09:25,160
+وكمان كان معناها الـ False Positive Euro
+
+109
+00:09:27,170 --> 00:09:36,210
+كل هذه بنسميها الـ P-Value أو بنسميها Probability
+
+110
+00:09:36,210 --> 00:09:42,010
+of error لا يخلو بحث comparative study من الـ P
+
+111
+00:09:42,010 --> 00:09:47,410
+-Value لهيك لازم نكون عارفينها وفاهمينها لو اطلعنا
+
+112
+00:09:47,410 --> 00:09:52,010
+هنا في البحث اللي موجود قدامنا البحث هي نسبة الخطأ
+
+113
+00:09:52,820 --> 00:09:57,040
+إنه في العلاقة اللي أوجدها ما بين التلات مجموعات
+
+114
+00:09:57,040 --> 00:10:04,220
+هذه إتنين وعشرين من ألف يعني إن قربها شويه إتنين
+
+115
+00:10:04,220 --> 00:10:09,460
+من مية يعني نسبة مقبولة نسبة الخطأ اللي موجودة إنه
+
+116
+00:10:09,460 --> 00:10:14,180
+في علاقة والأصل مافيش إتنين في المية بنقول ماشي
+
+117
+00:10:14,180 --> 00:10:21,110
+مقبولة أو بنعتبرها significant هنا إتنين من ألفهنا
+
+118
+00:10:21,110 --> 00:10:27,390
+5 من 100 هنا نسبة الخطأ 52% ليك نسبة عالية ليك not
+
+119
+00:10:27,390 --> 00:10:30,790
+significant مافيش إلها أي دلالة إحصائية لأن نسبة
+
+120
+00:10:30,790 --> 00:10:35,770
+الخطأ كبيرة نتذكر دائما أن ال P value معناها خطأ
+
+121
+00:10:35,770 --> 00:10:40,850
+ونسبة type 1R كل ما أقل الخطأ ونسبة الخطأ بكون
+
+122
+00:10:40,850 --> 00:10:48,110
+أفضل فبالتالي بنقول لما بتكوناللي عند 5% بنقول
+
+123
+00:10:48,110 --> 00:10:51,650
+statistically significant انه في علاقة وانا متأكد
+
+124
+00:10:51,650 --> 00:10:56,950
+منها حتى نقول ان احنا متأكدين 95% أنا متأكد من
+
+125
+00:10:56,950 --> 00:11:01,890
+كلام اللي بحكي 95% انه كلام صحيح هذه 95% نسبة
+
+126
+00:11:01,890 --> 00:11:06,750
+بتأكيد، طب جديه اختلف من 95%؟ 5% اللي هو عنده لما
+
+127
+00:11:06,750 --> 00:11:11,990
+قال انه متأكد 95% هو مخلي 5% خطأ احنا بنقولها لا
+
+128
+00:11:11,990 --> 00:11:16,550
+إعادي، ولكن هي إلهاقيمة في الأحصاء وعلم الأحصاء
+
+129
+00:11:16,550 --> 00:11:21,310
+أنه بتضال 5% نسبة الخضر اللي مسموح فيها إذا زالت
+
+130
+00:11:21,310 --> 00:11:25,790
+عن 5% بنقول عنها No أو None Statistically
+
+131
+00:11:25,790 --> 00:11:32,910
+Significant مافيش إليها أي دلالة أحصائية الـ
+
+132
+00:11:32,910 --> 00:11:40,730
+P-Value إذا كان إن الـ P-Value أقل من 5% بنقول إن
+
+133
+00:11:40,730 --> 00:11:45,170
+الـ null hypothesis is rejectedالفرضية إنهم يكونوا
+
+134
+00:11:45,170 --> 00:11:49,450
+الأثنين نفس الـ Effect مرفوضة الفرضية السفرية
+
+135
+00:11:49,450 --> 00:11:55,750
+بتقول إنه الأثنين equal أو نفس الـ Effect والـ
+
+136
+00:11:55,750 --> 00:11:59,150
+Research Hypothesis بتقول إنه في علاقة أو واحد
+
+137
+00:11:59,150 --> 00:12:02,990
+أعلى من التانية أحيانا نسبة الخطأ أقل من 5%
+
+138
+00:12:02,990 --> 00:12:07,370
+فبالتالي احتمال إنهم يكونوا equal مرفوض فبنقول إن
+
+139
+00:12:07,370 --> 00:12:10,970
+الـ null hypothesis is rejected وبكونه
+
+140
+00:12:10,970 --> 00:12:14,770
+statistically significantبنقيدها تاني الـ P-Value،
+
+141
+00:12:14,770 --> 00:12:17,990
+Alpha Error، Type 1 Error، Significant Level، Type
+
+142
+00:12:17,990 --> 00:12:21,790
+1 Probability Error، كلهم نفس المعنى بنقول لما
+
+143
+00:12:21,790 --> 00:12:25,810
+بتكون قيمة الـ P-Value أو الـ Alpha Error أو الـ
+
+144
+00:12:25,810 --> 00:12:28,210
+Type 1 Error أو الـ Significant Level أو
+
+145
+00:12:28,210 --> 00:12:32,550
+Probability Error كلهم أو الـ False Positive كلهم
+
+146
+00:12:32,550 --> 00:12:38,270
+أقل من 5% أو لعند 5%بنقول إنه فيه statistically
+
+147
+00:12:38,270 --> 00:12:42,570
+significant واحنا احتمالية إنهم يكونوا equal
+
+148
+00:12:42,570 --> 00:12:46,490
+مرفوضة لهيك بنقول الـ null hypothesis is rejected
+
+149
+00:12:46,490 --> 00:12:50,330
+الـ type II error أو ما تسمى بالـ false negative
+
+150
+00:12:50,330 --> 00:12:55,990
+إنه أنا بأستنتج إنه مافيش علاقة ولكن الأصل فيه هذا
+
+151
+00:12:55,990 --> 00:13:00,750
+يسمى type II error ويسمى beta error وفي الأحصاء
+
+152
+00:13:00,750 --> 00:13:04,810
+مسموحلك فيه لعند 20% يعني خد راحتك في موضوع الـ
+
+153
+00:13:04,810 --> 00:13:05,330
+type II error
+
+154
+00:13:08,520 --> 00:13:13,100
+يسمى أيضًا كذلك بالـ Beta Error غير أنه Type I
+
+155
+00:13:13,100 --> 00:13:17,360
+Error والـ False Negative Error يبقى هذه تلت أسماء
+
+156
+00:13:17,360 --> 00:13:22,440
+نحن نكون عارفينها لأنها موجودة أيضًا في الـ
+
+157
+00:13:22,440 --> 00:13:29,620
+Articles ونكون فاهمينهم فحد مسموح
+
+158
+00:13:29,620 --> 00:13:34,320
+فيه اللي عنده 20% يبقى 15% مسموح فيه و لا مش مسموح
+
+159
+00:13:34,320 --> 00:13:38,660
+فيه؟ مسموح فيه 15%أحنا بنقول للطلبة في الامتحانات
+
+160
+00:13:38,660 --> 00:13:43,340
+15% مقبول في الـ Type 1 بيقولك لا 20% لأ احنا
+
+161
+00:13:43,340 --> 00:13:48,280
+بنقول ان ال maximum لعنده 20% 15% مقبول و 10%
+
+162
+00:13:48,280 --> 00:13:52,060
+مقبول و 7% مقبول و 8% مقبول ان يكون في عنده خطأ من
+
+163
+00:13:52,060 --> 00:13:57,400
+Type 2 ولكن Type 1 معايله 5% بس مايزيدش عن 5% 1%
+
+164
+00:13:57,400 --> 00:14:02,940
+بمشي 2% بمشي 3% بمشي 4% بمشي 5% بمشي ولكن نزيد عن
+
+165
+00:14:02,940 --> 00:14:09,320
+هيكلةفي حاجة بيسموها قوة الدراسة The Study Power
+
+166
+00:14:09,320 --> 00:14:14,360
+اللي هي 1 ناقص الـ B اللي هو الـ Type 2A وبنقول 1
+
+167
+00:14:14,360 --> 00:14:22,700
+ناقص الـ 2 من 10 اللي هي تسوى 20% نفس المعنى ويسوى
+
+168
+00:14:22,700 --> 00:14:27,180
+80% وهذا بيقول عنه قيمة الـ Turbose Diffusion Rate
+
+169
+00:14:27,180 --> 00:14:32,020
+أو بيسموها The Study Power لازم قوة الدراسة ما
+
+170
+00:14:32,020 --> 00:14:37,430
+تجلش عن 80%بكتير هتنسيقل في المناقشة Study Power
+
+171
+00:14:37,430 --> 00:14:42,710
+قديش كانت عندك Study Power بقول واحد ناقص قيمة الـ
+
+172
+00:14:42,710 --> 00:14:47,210
+Type 2R اللي كانت عندى لو كان عندك الـ Type 2R 15%
+
+173
+00:14:47,210 --> 00:14:53,170
+بقول واحد ناقص 15 فبتكون عندى point 85 يعني 85 من
+
+174
+00:14:53,170 --> 00:14:59,330
+100 لو كان الـ Type 2R 10% بقول واحد ناقص 10%
+
+175
+00:14:59,330 --> 00:15:05,420
+ويساوي 90% وهذا بتسمى true positiveالسؤال واللغز
+
+176
+00:15:05,420 --> 00:15:09,020
+اللي قلنا عنه قبل شويه مين أخطر فيهم Type 1 و لا
+
+177
+00:15:09,020 --> 00:15:15,720
+Type 2 انك انت تتهم واحد ان هو سرق و هو ماسرقش هو
+
+178
+00:15:15,720 --> 00:15:20,360
+فعلا أخطر من انك تقول عنه بريء و هو اللي سارك لإنك
+
+179
+00:15:20,360 --> 00:15:24,380
+انت لو اتهمت حدا و علاقتك معاه كويسة او زميلك و هو
+
+180
+00:15:24,380 --> 00:15:29,860
+بريء لايمكن في يوم من الأيام تقدر تمهي هالخطر اللي
+
+181
+00:15:29,860 --> 00:15:34,590
+انت اتكبته حتى لو اعترفتلهولكن لو الشخص اللي انت
+
+182
+00:15:34,590 --> 00:15:39,810
+برّعته وفي الاصل هو ما ياخده في احتمالية تسأل عنه
+
+183
+00:15:39,810 --> 00:15:43,570
+عن أخلاقه يبقى انت سيبت بورها من الوقت أو بورها من
+
+184
+00:15:43,570 --> 00:15:47,830
+الزمن تسأل فيها تسأل بزود ال sample size يبقى ال
+
+185
+00:15:47,830 --> 00:15:51,550
+type 1 oral هو أخطر من ال type 2 oral لأن أول حاجة
+
+186
+00:15:51,550 --> 00:15:56,030
+أنا مسموح ليه ال type 1 oral عند 5% بس و ال type 2
+
+187
+00:15:56,030 --> 00:15:59,750
+oral معايا ل 20% وهذا بأكد على خطوات ال type 1
+
+188
+00:15:59,750 --> 00:16:05,750
+oral أن ال typeOne Euro مش ممكن أتحكم فيه أو مش
+
+189
+00:16:05,750 --> 00:16:09,770
+ممكن أرجع أعدله لأن أنا قلتله أنت اللي سارق والأصل
+
+190
+00:16:09,770 --> 00:16:12,570
+هو مش سارق فكيف بدأ أصلحها بعدين حتى لو اعتدرت على
+
+191
+00:16:12,570 --> 00:16:16,650
+الفاضي أنت قلت فيه relation والأصل فيش أنت قلت إن
+
+192
+00:16:16,650 --> 00:16:19,650
+الدورة هذا مش في الناس والأصل مابيش فيش والناس
+
+193
+00:16:19,650 --> 00:16:23,430
+صارت تاخد العلاج فكيف بدك تعدله؟ ولكن الـType 2
+
+194
+00:16:23,430 --> 00:16:28,730
+Euro أنه أنت ممكن أنك تقلله أو تتحكم فيه من خلال
+
+195
+00:16:28,730 --> 00:16:31,490
+زيادة الـ Sample Size نسأل عن الشخص اللي أحنا
+
+196
+00:16:31,490 --> 00:16:35,610
+برناهالدراسة اللي أنا قلت إنه علاج مش فيش والعصر
+
+197
+00:16:35,610 --> 00:16:39,290
+مش فيه إن أعمل البحث مرة تانية وتالتة ورابعة
+
+198
+00:16:39,290 --> 00:16:42,770
+وأتأكد إن العلاج هذا effect ولا مالوش effect فما
+
+199
+00:16:42,770 --> 00:16:45,750
+أنا أطلع أقول في مؤتمر أنه effect والعصر مافيش
+
+200
+00:16:45,750 --> 00:16:51,630
+effect الـ Type 2 Error prevent benefit بيمنع
+
+201
+00:16:51,630 --> 00:16:58,210
+منفعة ولكن الـ Type 1 Error بيجلب مفسدةودرء
+
+202
+00:16:58,210 --> 00:17:03,510
+المفاسد أولى من جلب المنافع وهذا عندنا في شريعتنا
+
+203
+00:17:03,510 --> 00:17:07,550
+موجود خلاصة
+
+204
+00:17:07,550 --> 00:17:10,290
+الـ Type I والـ Type II أورو أنه أنا عند الـ Type
+
+205
+00:17:10,290 --> 00:17:16,750
+I أورو معاي لـ 5% والـ Type II أورو معاي لعند 20%
+
+206
+00:17:16,750 --> 00:17:23,010
+والـ Study Power أكتر من 80% يعني متزيد عن 80% من
+
+207
+00:17:23,010 --> 00:17:26,410
+الـ Study Power حتى من ضمن الأسئلة اللي نسألها
+
+208
+00:17:26,410 --> 00:17:32,050
+الطلبةأن الـ Type I R مقبول لعند 4 من 100 بقول
+
+209
+00:17:32,050 --> 00:17:37,830
+أخلط هو خلاص حافظ أنه 5 من 100 طب 4% مقبول و 3%
+
+210
+00:17:37,830 --> 00:17:44,050
+مقبول أقل من 5% مقبول لـ Type I R معاك أقل من 5% 5
+
+211
+00:17:44,050 --> 00:17:48,370
+% و أقل مقبول و الـ Type II R بنقولهم أن الـ Type
+
+212
+00:17:48,370 --> 00:17:55,980
+II R 19% مقبول بقولك لأ ل 20 هو حافظ ل 20الـ 19
+
+213
+00:17:55,980 --> 00:18:00,560
+والـ 18 والـ 13 والـ 12 والـ 10 والـ 9 والـ 3 والـ
+
+214
+00:18:00,560 --> 00:18:07,660
+2 مقبول ال 21 مش مقبول ال
+
+215
+00:18:07,660 --> 00:18:12,180
+20 نفسها عند ال 20 بعض ال articles بتقول مقبول
+
+216
+00:18:12,180 --> 00:18:15,080
+وبعض ال articles بتقول مش مقبول احنا مابنسأل ال 20
+
+217
+00:18:15,080 --> 00:18:19,740
+بالظبطأحنا بنقول رقم أقل من عشرين أو بنقول الـ
+
+218
+00:18:19,740 --> 00:18:22,500
+maximum لعند عشرين زي ما اتكلمنا في الـ slide اللي
+
+219
+00:18:22,500 --> 00:18:26,220
+قبل قلنا إن الـ Beta Error معانا لـ maximum اللي
+
+220
+00:18:26,220 --> 00:18:29,980
+هتوصل لعشرين في الميليمتر الـ study بوابة بدها
+
+221
+00:18:29,980 --> 00:18:33,640
+تكون من تمانين وزيادة لو قلنا اللي أطلع بـ 85، الـ
+
+222
+00:18:33,640 --> 00:18:37,550
+tool enforced بقول أخلطفما انت معاك من 80 لعند 100
+
+223
+00:18:37,550 --> 00:18:41,150
+مقبولة في study power قوة الدراسة حتى أحيان
+
+224
+00:18:41,150 --> 00:18:43,830
+بيقولهم قوة الدراسة لما بتكون 100% بتكون excellent
+
+225
+00:18:43,830 --> 00:18:47,570
+بيقولك لأ هي لعند 80 هو حافظ ال 80% و خلاص
+
+226
+00:18:47,570 --> 00:18:53,490
+فبالتالي معادة في study power من 80 ل100 بتكون
+
+227
+00:18:53,490 --> 00:18:59,610
+مقبولة أقل من هيك بتكون غير مقبولة زمان أخدنا احنا
+
+228
+00:18:59,610 --> 00:19:03,290
+ان ال principle hypothesis الشي هي هي المال
+
+229
+00:19:03,290 --> 00:19:08,730
+hypothesisواللي بنعملها reject لما بتكون الـ P
+
+230
+00:19:08,730 --> 00:19:18,670
+value أو الـ type 1 أو أقل أو يساوي 5 من 100 كيف
+
+231
+00:19:18,670 --> 00:19:22,210
+احنا بنعمل اختبار لل normality أنا في عند كيرف
+
+232
+00:19:22,210 --> 00:19:25,410
+وهذا الكيرف أنا مش ممكن اقعد في الأرقام اللي
+
+233
+00:19:25,410 --> 00:19:33,790
+موجودة عندى عجب منهم 68 عجب منهم 95% منهم 99.7الـ
+
+234
+00:19:33,790 --> 00:19:38,630
+3SD كيف أحنا ممكن نعمل الـ normality عن طريق
+
+235
+00:19:38,630 --> 00:19:44,210
+البرامج أو إن كيف لو أتوفنا data قدامنا نقدر نحدد
+
+236
+00:19:44,210 --> 00:19:49,330
+في عندنا اختبارين اختبارين احصائيين بحدد ال
+
+237
+00:19:49,330 --> 00:19:53,970
+normality أول اختبار اسمه كل مقرف والاختبار التاني
+
+238
+00:19:53,970 --> 00:19:58,900
+اسمه Shapiro كل مقرفه Shapiroهدول الاختبارين اللي
+
+239
+00:19:58,900 --> 00:20:02,420
+موجودين بيحددوا هل ال data normal distribution و
+
+240
+00:20:02,420 --> 00:20:07,260
+لا مش normal distribution أول حاجة بنسيب كل
+
+241
+00:20:07,260 --> 00:20:12,000
+الأرقام اللي موجودة بنيجي عند ال type one euro أو
+
+242
+00:20:12,000 --> 00:20:15,440
+ال B value أو ال significant level لاحظوا شوفناها
+
+243
+00:20:15,440 --> 00:20:21,820
+في ال articles قبل شوية مكتوبة B valueالـ SPSS
+
+244
+00:20:21,820 --> 00:20:24,740
+بكتبها SIG يعني Significant Level لهيك احنا لازم
+
+245
+00:20:24,740 --> 00:20:27,560
+نعرف كل الأسماء بالنسبالي بعض ال articles كانت بقى
+
+246
+00:20:27,560 --> 00:20:31,160
+الف اره و بعض ال articles كانت بقى false positive
+
+247
+00:20:31,160 --> 00:20:38,420
+فبدنا نكون عارفين الأسماء هذه زي أسامينا بنطلع
+
+248
+00:20:38,420 --> 00:20:44,860
+على قيمة ال SIG قيمة الخطأ أربعة من ألف ايش يعني
+
+249
+00:20:44,860 --> 00:20:55,510
+أربعة من ألف؟ انهجُنّة هي لعند 5% 5% وأجل تعتبر
+
+250
+00:20:55,510 --> 00:20:59,970
+Significant Different هي أقل من 5% يبقى هي
+
+251
+00:20:59,970 --> 00:21:02,810
+Significant Different عن الـ Normal Distribution
+
+252
+00:21:02,810 --> 00:21:09,650
+هي تختلف عن الـ Normal Distribution ونسبة الخطأ في
+
+253
+00:21:09,650 --> 00:21:12,850
+جملة تختلف عن الـ Normal Distribution 4 في الألف
+
+254
+00:21:12,850 --> 00:21:19,630
+بتكون Normal، نعيدها تانيهي البيانات اللي موجودة
+
+255
+00:21:19,630 --> 00:21:25,030
+تختلف عن الـ Normal Distribution وجملة تختلف أربعة
+
+256
+00:21:25,030 --> 00:21:28,450
+في الأقل نسبة الخطأ فيها بتكون Normal طالما أن
+
+257
+00:21:28,450 --> 00:21:31,470
+نسبة الخطأ الكلمة تختلف عن الـ Normal Distribution
+
+258
+00:21:31,470 --> 00:21:34,730
+أربعة في المية فتختلف عن الـ Normal Distribution
+
+259
+00:21:34,730 --> 00:21:40,670
+يبقى بتكون Abnormal ني جي هين هي significantly
+
+260
+00:21:40,670 --> 00:21:48,760
+different عن الـ Normal هي تختلف عن الطبيعيفبتكون
+
+261
+00:21:48,760 --> 00:21:54,700
+غير طبيعي بيكون الشكل abnormal حتى احنا في حياتنا
+
+262
+00:21:54,700 --> 00:21:59,540
+بنقول لشخص معين احنا حافظين شكله ايه ال style معين
+
+263
+00:21:59,540 --> 00:22:03,740
+ايه التسامح معينة بنقول انه انت اليوم شكلك مش
+
+264
+00:22:03,740 --> 00:22:07,960
+طبيعي انت significant different عن الطبيعي بيكون
+
+265
+00:22:07,960 --> 00:22:15,520
+طبيعي بكونش طبيعي نفس الشيء في شابيرو بيكون يختلف
+
+266
+00:22:15,520 --> 00:22:21,270
+عن الشكل الطبيعيفهو بيكون غير طبيعي نتذكر دائما أن
+
+267
+00:22:21,270 --> 00:22:27,690
+كل مجروفه شبيه له لما بتكون أقل من 5% فبتكون تختلف
+
+268
+00:22:27,690 --> 00:22:30,530
+عن الشكل الطبيعي فطالما أنها تختلف عن الشكل
+
+269
+00:22:30,530 --> 00:22:34,230
+الطبيعي فبكون الشكل غير طبيعي أو not normal
+
+270
+00:22:34,230 --> 00:22:39,610
+distribution لل data ونعيد مجددا أحنا حتى بنشوف
+
+271
+00:22:39,610 --> 00:22:42,450
+زملاتنا في الجامعة بنقولهم أنت اليوم شكلك مش مبسوط
+
+272
+00:22:42,450 --> 00:22:45,930
+أنت شكلك مش طبيعي لأن أنا حافظ الشكل الطبيعي له
+
+273
+00:22:46,640 --> 00:22:50,320
+وحافظ الشكل الطبيعي لـ Normal Distribution وكل
+
+274
+00:22:50,320 --> 00:22:53,860
+مجروف وشبير قالولي هو بختلف عن الشكل الطبيعي يبقى
+
+275
+00:22:53,860 --> 00:22:58,880
+بكون غير طبيعي ونسبة الخطأ في أنه يختلف عن الشكل
+
+276
+00:22:58,880 --> 00:23:05,580
+الطبيعي أربعة من ألف وهنا سفر وهنا واحد من ألف
+
+277
+00:23:05,580 --> 00:23:12,430
+وهنا سفر فبكون انه الـdiastolic blood pressureو
+
+278
+00:23:12,430 --> 00:23:15,710
+number of cigarettes لإتنين of normal التوزيع
+
+279
+00:23:15,710 --> 00:23:19,230
+الطبيعي للبيانات تبعهم بيكون مش normal distributed
+
+280
+00:23:19,230 --> 00:23:24,590
+وقت إيش بطلع كل مجروف و وقت إيش بطلع عشابيره نطلع
+
+281
+00:23:24,590 --> 00:23:28,130
+على كل مجروف لما بتكون ال sample size كبيرة أكتر
+
+282
+00:23:28,130 --> 00:23:34,230
+من 200، يعني 300، 400، 500، نطلع عشابيره لما بتكون
+
+283
+00:23:34,230 --> 00:23:41,250
+ال sample size من 20 ل 200فبنقول بناخد قراءة شبيهة
+
+284
+00:23:41,250 --> 00:23:44,250
+لما بتكون الـ Sample Size من 20 إلى 200 ولمّا
+
+285
+00:23:44,250 --> 00:23:48,050
+بتكون عندنا أكتر من 200 الـ Sample Size بنطلّع على
+
+286
+00:23:48,050 --> 00:23:53,470
+كل مقرف في عندنا الـ Graph و الـ Table هنتكلم عنهم
+
+287
+00:23:53,470 --> 00:23:57,530
+الـ Tables هذا الـ Tables اللي أمامنا بنسميه الـ
+
+288
+00:23:57,530 --> 00:24:01,670
+Frequency Table أنا عندي أكم واحد Male في ال
+
+289
+00:24:01,670 --> 00:24:04,370
+medical statistics course موجود من ال student
+
+290
+00:24:04,370 --> 00:24:08,880
+كانوا عشرين نسبتهم 80% وحكينا كيف بنحسبهموالـ
+
+291
+00:24:08,880 --> 00:24:12,620
+Female كانوا خمسة تطلع عشرين في المية واتكلمنا كيف
+
+292
+00:24:12,620 --> 00:24:17,360
+نحسبهم وقلنا إن ال ratio تطلع أربع لواحد وقلنا هنا
+
+293
+00:24:17,360 --> 00:24:20,780
+جبنا ال percentage و ال ratio لأن ال data عبارة عن
+
+294
+00:24:20,780 --> 00:24:26,790
+qualitative data هذا ال table اسمهFrequency Table
+
+295
+00:24:26,790 --> 00:24:30,550
+اللي بيهمني اسم الـ Table عندما نطلع اللعبة لـ
+
+296
+00:24:30,550 --> 00:24:33,350
+Frequency أو الـ Number و الـ Percentage لأن اسمه
+
+297
+00:24:33,350 --> 00:24:35,990
+Frequency Table في نوع تاني من الـ Table اسمه
+
+298
+00:24:35,990 --> 00:24:39,610
+Cumulative Table الـ Table هذا باللاحظ أنه موجود
+
+299
+00:24:39,610 --> 00:24:42,190
+فيه الـ Frequency و الـ Percentage و موجود فيه الـ
+
+300
+00:24:42,190 --> 00:24:45,850
+Cumulative Frequency و الـ Cumulative Percentage
+
+301
+00:24:45,850 --> 00:24:50,210
+هذا بنسميه Cumulative Table من الأثنين هدول اللي
+
+302
+00:24:50,210 --> 00:24:56,980
+موجوديننفس الصابط بيجيب من الـ Total جداش ال
+
+303
+00:24:56,980 --> 00:25:00,640
+percentage يعني كأنه بيجمع هدول كلهم و بيجسم
+
+304
+00:25:00,640 --> 00:25:06,280
+التلاتة على عددهم و لو جمعنا هدول بنلاقيهم 50 3
+
+305
+00:25:06,280 --> 00:25:14,800
+على 50 في 100 بيطلع 6% 5 على 50 في 100 بيطلع 10% 9
+
+306
+00:25:14,800 --> 00:25:20,480
+على 50 في 100 بيطلع 18 10 على 50 في 100 بيطلع 20
+
+307
+00:25:22,530 --> 00:25:27,430
+وهكذا الآن الـ Cumulative التراكمية إنه أنا بقول
+
+308
+00:25:27,430 --> 00:25:35,310
+التلاتة عند الـ 177 تلاتة بعد التلاتة جت الخمسة
+
+309
+00:25:35,310 --> 00:25:41,870
+تلاتة والخمسة بيصير تمانية طب هذه بتكون التسعة
+
+310
+00:25:41,870 --> 00:25:46,690
+والخمسة والسبعة تطلع معاه 17 طب اللي بعديها الـ 27
+
+311
+00:25:46,690 --> 00:25:53,160
+كيف جت؟ العشرة ونعد الأرقام اللي فوقنفس الشيء
+
+312
+00:25:53,160 --> 00:25:56,740
+بندنع نمشي عند الخمسين هي من عند التلاتة و بروح
+
+313
+00:25:56,740 --> 00:26:01,340
+حاسبين كل الأرقام بتطلع معانا خمسين نفس الشيء في
+
+314
+00:26:01,340 --> 00:26:06,760
+ال percentage بنيجي عند الستة بنقول هي رقم ستة هي
+
+315
+00:26:06,760 --> 00:26:10,360
+الستة طب الست عشر كيف جت؟ العشرة بجمع اللي فوقيها
+
+316
+00:26:10,360 --> 00:26:14,200
+طب الأربعة و تلاتين باجي عقبالها الطمنتعش بجمع
+
+317
+00:26:14,200 --> 00:26:19,140
+اللي فوقيها الستة و سبعين عقبالها الأتنين و عشرين
+
+318
+00:26:19,140 --> 00:26:24,030
+مع اللي فوقيها الأربعة و تسعينباخد الـ 18 و بحسب
+
+319
+00:26:24,030 --> 00:26:28,310
+اللي أعلى منها كلهم الـ 194 و الـ 6 باخد الـ 6 و
+
+320
+00:26:28,310 --> 00:26:32,790
+بحسب اللي أعلى منهم كلها بتكون 100% طب كيف هي اللي
+
+321
+00:26:32,790 --> 00:26:35,890
+بتيجي في الامتحان بتيجي في الامتحان ان هنا بيجي
+
+322
+00:26:35,890 --> 00:26:39,950
+حرف B وهنا
+
+323
+00:26:39,950 --> 00:26:50,270
+بيجي حرف A A B C D و انت عبيهم انت بتحسب الأرقام A
+
+324
+00:26:50,990 --> 00:26:56,010
+إن أنا حتى أجيب الـ A بدي أروح أطلع في الـ Total
+
+325
+00:26:56,010 --> 00:26:59,710
+قد إيش كان فأقوم جامع اللي جاب ليه كله و اللي
+
+326
+00:26:59,710 --> 00:27:03,890
+بعديه كله تطلع معاه قيمة A يعني بجمع هدول وهذه
+
+327
+00:27:03,890 --> 00:27:10,970
+بطلعوا معايا 41 برقصها الـ 50 من ال 41 تطلع 9 بكتب
+
+328
+00:27:10,970 --> 00:27:21,040
+عند A 9 هنا بكون مكتوب B Bبالـ percentage هي المية
+
+329
+00:27:21,040 --> 00:27:27,560
+وهنا قلنا بيه بروح جمعين هدول وجمعين الأسفل منهم
+
+330
+00:27:27,560 --> 00:27:30,720
+بنقول مية ناقص الأرقام اللي طلع معايا بطلع معايا
+
+331
+00:27:30,720 --> 00:27:38,340
+عشرين طب هنا بكون مكتوب C بنجي أقبال الـ C وبنجمع
+
+332
+00:27:38,340 --> 00:27:42,080
+كل اللي فوقيها بتطلع معايا السبعتاشر الـ C هنا
+
+333
+00:27:42,080 --> 00:27:46,340
+بكون رقم موجود بكون مكتوب D تجمعيلنا جيبلنا الـ D
+
+334
+00:27:47,360 --> 00:27:50,680
+بتجيب الـ D هي انك بتجيب ادام هي cumulative
+
+335
+00:27:50,680 --> 00:27:54,500
+percentage بتجي عند ال percentage و بتاخد من عند
+
+336
+00:27:54,500 --> 00:27:57,580
+الأقبلة و بتجمعهم كلهم ال 18 مع المجموع اللي فوق
+
+337
+00:27:57,580 --> 00:28:03,560
+كلهم تطلع معانا D و بنكتب ال email دي النوع التالت
+
+338
+00:28:03,560 --> 00:28:07,860
+اسمه cross tabulation وبكون علاقة ما بين two
+
+339
+00:28:07,860 --> 00:28:12,480
+variable هي عند ناس نجحوا و ناس مانجحوش وهي ال
+
+340
+00:28:12,480 --> 00:28:17,240
+male وهي ال female وهي ال total اللي موجود عندهمفي
+
+341
+00:28:17,240 --> 00:28:21,040
+الـ tabular اللي موجودة أمامنا أول ما أشوف two
+
+342
+00:28:21,040 --> 00:28:23,700
+variable موجودة هي عندنا variable وهذا variable
+
+343
+00:28:23,700 --> 00:28:26,940
+وهذا ال gender وهذا variable ال result نجح ولا ما
+
+344
+00:28:26,940 --> 00:28:31,240
+نجحش في الحالة هذه أول ما أشوف ال two variable
+
+345
+00:28:31,240 --> 00:28:35,920
+اللي موجودين بقول هذا اسمها cost tabulation لأن في
+
+346
+00:28:35,920 --> 00:28:38,920
+عندنا two variable هي ال variable الأول وهي ال
+
+347
+00:28:38,920 --> 00:28:44,780
+variable التانيبينما بنلاحظ في الـ Table الأولى
+
+348
+00:28:44,780 --> 00:28:48,340
+هدا واحد variable الطول بالصنطي variable واحد
+
+349
+00:28:48,340 --> 00:28:55,300
+واللي قبلها ال frequency كمان variable واحد والـ
+
+350
+00:28:55,300 --> 00:29:00,360
+frequency tables هي variable واحد فبكون ال
+
+351
+00:29:00,360 --> 00:29:03,680
+cumulative table و ال frequency variable واحد و ال
+
+352
+00:29:03,680 --> 00:29:07,650
+cost tabulation عبارة عن two variablesتبقى الـ two
+
+353
+00:29:07,650 --> 00:29:10,830
+variables اللي بتكون في course tabulation لو طلعنا
+
+354
+00:29:10,830 --> 00:29:15,590
+هي نسبة ال male ونسبة ال female لكل واحد نجح وكل
+
+355
+00:29:15,590 --> 00:29:20,110
+واحد رصد كيف نقرأها الأقام اللي موجودة في course
+
+356
+00:29:20,110 --> 00:29:24,230
+tabulation و اللي بتكون موجودة في أبحاث نتائج
+
+357
+00:29:24,230 --> 00:29:29,230
+مجستير ويطلب منها المشرف انعلق عليهم واللي مش مصدق
+
+358
+00:29:29,230 --> 00:29:34,090
+أنها بتكون موجودة هيبحث والبحث في course
+
+359
+00:29:34,090 --> 00:29:37,830
+tabulation لأن هي عند ال variableوهي عند الـ
+
+360
+00:29:37,830 --> 00:29:41,530
+Variable وهي عند المشاركين كان Variable وهي عند
+
+361
+00:29:41,530 --> 00:29:46,410
+الجندر كان Variable وبقولّك المشرف علّق على هذا
+
+362
+00:29:46,410 --> 00:29:52,110
+الـ Table اللي موجودة كيف نعلّق على 52 و 48؟ 52 و
+
+363
+00:29:52,110 --> 00:29:58,170
+48 كيف نعلّق عليهم؟ التعليق على الأقام اللي موجودة
+
+364
+00:29:58,170 --> 00:30:06,130
+بيكون بالشكل التالي أنه أنا بقول 78 و 9من اللي
+
+365
+00:30:06,130 --> 00:30:11,070
+نجحوا كانوا male طب ليش ماقولتش انا تمانية وسبعين
+
+366
+00:30:11,070 --> 00:30:16,390
+وتسعة من ال male نجحوا لأنني بتطلع علميه وين
+
+367
+00:30:16,390 --> 00:30:20,590
+موجودة قانون هذا في العصارة بتحفظه زي اسمك أو
+
+368
+00:30:20,590 --> 00:30:24,930
+تحفظيه زي اسمك بتطلع عليها وابدأ في اللي أعلى منها
+
+369
+00:30:24,930 --> 00:30:29,490
+في الكلام تمانية وسبعين وتسعة من اللي نجحوا كانوا
+
+370
+00:30:29,490 --> 00:30:38,320
+male والباقي كانوا female لو قلت انتلو قلت 78.9%
+
+371
+00:30:38,320 --> 00:30:43,500
+من الـ Male نجحوا يبقى جداش اللي رصبه من الـ Male
+
+372
+00:30:43,500 --> 00:30:48,720
+انت قلت 78.9% من الـ Male نجحوا وافترضت ان هي صح
+
+373
+00:30:48,720 --> 00:30:56,140
+بس هي غلط بديكون ضال من الـ Male رصبه 21% وهي مش
+
+374
+00:30:56,140 --> 00:31:03,280
+صح هي 78.9% من اللي نجحوا Male وبيظل الباقي من
+
+375
+00:31:03,280 --> 00:31:11,550
+اللي نجحوا Femaleو 83 و 3 من اللي رصبوا كانوا male
+
+376
+00:31:11,550 --> 00:31:17,610
+و 16 و 7 من اللي رصبوا كانوا female و هيك تقرأ ال
+
+377
+00:31:17,610 --> 00:31:21,130
+table نشوف ال table اللي بعديها constabulation to
+
+378
+00:31:21,130 --> 00:31:24,810
+variable نفس الحاجة ولكن اتفاجأنا ان المجموع جاي
+
+379
+00:31:24,810 --> 00:31:31,210
+بالعكس ان 25 اللي موجود و لو جمعنا هدول ماطلعوش
+
+380
+00:31:31,210 --> 00:31:35,550
+100 المية جت عندنا عن ناحية اليمينكيف نعلّق على
+
+381
+00:31:35,550 --> 00:31:39,750
+الـ table اللي موجودة الأمر السهل هي المية وين
+
+382
+00:31:39,750 --> 00:31:44,350
+العجبالها هادي
+
+383
+00:31:44,350 --> 00:31:52,010
+ولا هادي بنقول العجبالها ال male فبنقول 25% من ال
+
+384
+00:31:52,010 --> 00:31:58,750
+male لأن عجبال المية رصبه و20% من ال female اللي
+
+385
+00:31:58,750 --> 00:32:06,140
+هي عجبال المية رصبه 75%20% من الـ Male نجحوا 80%
+
+386
+00:32:06,140 --> 00:32:12,480
+من ال Female نجحوا فبالتالي
+
+387
+00:32:12,480 --> 00:32:20,920
+لما بنجي بنعلق بنقول 20% من ال Female راصبوا 80%
+
+388
+00:32:20,920 --> 00:32:31,430
+من ال Female نجحوا 75% من ال Male نجحواو 25% من
+
+389
+00:32:31,430 --> 00:32:36,750
+الميال رصبه لأن اللي حدد اتجاهها بدأ بالميال و لا
+
+390
+00:32:36,750 --> 00:32:42,110
+نجح و لا رصب اللي هو نسبة 100% أني ببدأ من عقبالها
+
+391
+00:32:42,110 --> 00:32:48,290
+الأمر أكثر صعوبة في الـ Table هادي الـ Table هادي
+
+392
+00:32:48,290 --> 00:32:52,230
+لا يعرف فيه يمين ولا يعرف فيه شمال يعني نطلع في
+
+393
+00:32:52,230 --> 00:32:57,900
+الـ Table نيجي لا 100 هنا ولا 100 هناالـ 100 جاي
+
+394
+00:32:57,900 --> 00:33:01,680
+على الـ Total وكأنه قسم الخمسة والخمستاش والواحد
+
+395
+00:33:01,680 --> 00:33:07,220
+والاربعة جماعهم وقسمهم على 100 بالحالة هذه الحالة
+
+396
+00:33:07,220 --> 00:33:12,780
+المية موجودة بنعلق على رقم هذا بقول من إجمال الناس
+
+397
+00:33:12,780 --> 00:33:17,460
+عينة الدراسة أو من إجمال ال student أو من إجمال
+
+398
+00:33:17,460 --> 00:33:24,440
+الطلاب 4% من ال female رصبوا ولكن قبل التعليق لازم
+
+399
+00:33:24,440 --> 00:33:29,940
+أقول من ال total أو من الإجماليبقول من إجمالي
+
+400
+00:33:29,940 --> 00:33:36,120
+الطلاب 16% كانوا في ميل ونجحوا لازم كلمة من إجمال
+
+401
+00:33:36,120 --> 00:33:40,900
+الطلاب أو من الـ total student تكون قبل التعليق
+
+402
+00:33:40,900 --> 00:33:45,480
+أحيان في الانتحارات وكتير بنقوله علّق على الرقم
+
+403
+00:33:45,480 --> 00:33:50,180
+هذا بيكون كاتبينله ايه وعلّق على الرقم هذا ابني
+
+404
+00:33:50,180 --> 00:33:54,140
+الأمر عند هذه بنعلّق عليها هذا أسهل من اللي قبل
+
+405
+00:33:54,140 --> 00:34:03,610
+لأن هي المية بنقول 20%كانوا Female و 80% كانوا
+
+406
+00:34:03,610 --> 00:34:10,210
+Male وكأني أنا انسيت هذا كله ورجعت على ال
+
+407
+00:34:10,210 --> 00:34:14,750
+frequency table كأني حذفت كل اللي فات اللي جاي ال
+
+408
+00:34:14,750 --> 00:34:19,990
+course tabulation اللي موجود هذا كله انحذف وراح
+
+409
+00:34:19,990 --> 00:34:22,550
+اللي موجود عندنا هذا كان مش موجود هذا بعتبر مش
+
+410
+00:34:22,550 --> 00:34:27,250
+موجودوبيصير كأنها frequency table زي الـ table
+
+411
+00:34:27,250 --> 00:34:30,750
+اللي قبل شوية شفناها وبدأنا فيها ال frequency
+
+412
+00:34:30,750 --> 00:34:35,670
+table أن 20% كانوا female و 80% كانوا male من عينة
+
+413
+00:34:35,670 --> 00:34:42,390
+الدراسة ال graph ال graph باختصار في عندنا graph
+
+414
+00:34:42,390 --> 00:34:45,990
+لا qualitative واتكلمنا عنهم graph لا quantitative
+
+415
+00:34:45,990 --> 00:34:49,490
+data وقلنا لا qualitative في عندنا ال by و ال bar
+
+416
+00:34:49,490 --> 00:34:55,460
+اللي هو ال barوالـ bi هدرول الـ qualitative data
+
+417
+00:34:55,460 --> 00:34:59,040
+وانت مطلوب منك بس الشكل تعرف مش مطلوب منك ترسمهم
+
+418
+00:34:59,040 --> 00:35:02,780
+في الامتحان ولا هنجيبك بيانات ونقولك ارسمهم مطلوب
+
+419
+00:35:02,780 --> 00:35:06,300
+انك شوفت الشكل هذا تعرفون ان ال qualitative data
+
+420
+00:35:06,300 --> 00:35:12,470
+وش اسمه بقىشوفت الشكل هذا، هذا اسمه by يستخدم للـ
+
+421
+00:35:12,470 --> 00:35:16,270
+qualitative data زي ال male و ال female وإن سأل
+
+422
+00:35:16,270 --> 00:35:18,950
+النساء بالمقاوية تقول فيها unit فهذا quantitative
+
+423
+00:35:18,950 --> 00:35:23,170
+data أنا بسألك عن الشكل، بسألكاش عن النساء بسألك
+
+424
+00:35:23,170 --> 00:35:28,490
+عن اسم ال graph واستخدامه في عندنا graph يستخدم لل
+
+425
+00:35:28,490 --> 00:35:32,570
+quantitative data أول واحد والمفروض نكون عارفينه
+
+426
+00:35:32,570 --> 00:35:36,170
+ان الهستجرام اللي قبل شوية رسمنا منه ال normal
+
+427
+00:35:36,170 --> 00:35:39,860
+distributionأول واحد يستخدم الـ histogram للـ
+
+428
+00:35:39,860 --> 00:35:43,960
+quantitative data ومطلوب بس الشكل فبكي أبدأ أميز
+
+429
+00:35:43,960 --> 00:35:50,740
+ال histogram عن ال bar هذا الأعمدة إبعاد عن بعض
+
+430
+00:35:50,740 --> 00:35:56,120
+وفي ال histogram متلاسقين جانب بعض أول ما أشوفهم
+
+431
+00:35:56,120 --> 00:36:00,520
+لازقين مع بعض بقول هذا quantitative وأول ما أشوفهم
+
+432
+00:36:00,520 --> 00:36:05,410
+إبعاد عن بعض بقول عنهم qualitativeهذا نسميه
+
+433
+00:36:05,410 --> 00:36:09,250
+«هستاجرام» ومميزناه عن الـ «بار» أنه يكون متلاثقين
+
+434
+00:36:09,250 --> 00:36:13,550
+ويكون أبعاد الأعمض عن بعض هذا نسميه frequency
+
+435
+00:36:13,550 --> 00:36:18,390
+curve هو نفسه وهو هذا بس رسمناه على شكل curve كما
+
+436
+00:36:18,390 --> 00:36:22,980
+رسمناه قبل قليلبنسميه frequency curve وهذا بنسميه
+
+437
+00:36:22,980 --> 00:36:26,360
+شكل scatter plot يعني بناخد القيام اللي موجودة
+
+438
+00:36:26,360 --> 00:36:30,700
+نقطة و بناخد اللي عقبالها و نقطة ال quantitative و
+
+439
+00:36:30,700 --> 00:36:34,320
+quantitative بنوصم اليوريا مع ال temperature
+
+440
+00:36:34,320 --> 00:36:39,500
+بالفهرن و بنحط خط و بنقول كل ما زالت اليوريا كل ما
+
+441
+00:36:39,500 --> 00:36:43,770
+قلت ال temperatureفبنسميه scatter plot ومطلوب نعرف
+
+442
+00:36:43,770 --> 00:36:47,310
+الشكل لو شوفنا شكل زي هيك نقطعه في نص مخط ونقول
+
+443
+00:36:47,310 --> 00:36:50,250
+هذا اسمه scatter plot لما نوصل لل correlation
+
+444
+00:36:50,250 --> 00:36:56,930
+هناخد بالتفصيل كيف بنرسمه وهذا
+
+445
+00:36:56,930 --> 00:37:00,510
+يستخدم لل quantitative data يبقى ال quantitative
+
+446
+00:37:00,510 --> 00:37:03,870
+data فيه histogram فيه frequency curve وفيه
+
+447
+00:37:03,870 --> 00:37:08,810
+scatter plot أو ما يسمى بال XY scatter plotوهذه
+
+448
+00:37:08,810 --> 00:37:13,730
+كلها تستخدم لـ Quantitative Data في عندنا Stem and
+
+449
+00:37:13,730 --> 00:37:17,650
+Leaf Stem and Leaf هو عبارة عن شكل من أشكال لـ
+
+450
+00:37:17,650 --> 00:37:22,530
+Graph يستخدم لـ Quantitative Data أو بلخصنا لـ
+
+451
+00:37:22,530 --> 00:37:25,930
+Quantitative Data على شكل أرقام فكرة Stem and Leaf
+
+452
+00:37:25,930 --> 00:37:29,230
+فكرة بسيطة أنه أهي الأرقام اللي موجودة عندي
+
+453
+00:37:29,230 --> 00:37:32,970
+الأرقام اللي موجودة هذه عندي كلها باخد الـ Minimum
+
+454
+00:37:32,970 --> 00:37:36,990
+والـ Maximum وبرتبهم باخد أول حاجة الرقامين اللي
+
+455
+00:37:36,990 --> 00:37:43,120
+موجودينفي الأول والتاني الـ 13 والـ 17 هي الـ 13
+
+456
+00:37:43,120 --> 00:37:46,600
+والـ 17 وبكتب الأرقام اللي موجودة بينهم 13, 14,
+
+457
+00:37:46,860 --> 00:37:52,900
+15, 16, 17 أو بالعكس 13, 14, 15, 16, 17 زي ما بدنا
+
+458
+00:37:52,900 --> 00:37:58,340
+بعدين بنبدأ نقول 13 هي عندنا الـ 13 اللي موجودة
+
+459
+00:37:58,340 --> 00:38:03,880
+بعد مرتبهم ترتيب بنقول 13 وبنضيف هنا 2 كأنه stem
+
+460
+00:38:03,880 --> 00:38:09,760
+اللي هو عبارة عن اللي هوالغصن والأوراق الـ leaves
+
+461
+00:38:09,760 --> 00:38:13,620
+بتكون عبارة عن اتنين هي اتنين وبعدين باخد الرقم
+
+462
+00:38:13,620 --> 00:38:16,700
+اللي بعديه اللي هو الأربع بعدين الرقم اللي بعديه
+
+463
+00:38:16,700 --> 00:38:22,540
+تمانية وصلنا ل140 برو عند 14 بكتب صفر بعدين بكتب
+
+464
+00:38:22,540 --> 00:38:27,360
+واحد بعدين اتنين بعدين ستة بعدين ستة وصلنا ل 150
+
+465
+00:38:27,360 --> 00:38:33,860
+برو عند 15 نكتب 150 52 54 و بعدين نطلع على 16 نكتب
+
+466
+00:38:33,860 --> 00:38:39,390
+6خلصنا الـ 16 ونذهب للـ 17 ونكتب 2 كما تكون خلصت
+
+467
+00:38:39,390 --> 00:38:44,290
+كل الأرقام اللي بدنا إياها الفائد الأساسي للـ stem
+
+468
+00:38:44,290 --> 00:38:48,290
+and leaf أنه أنا أقدر أرسم الـ normal distribution
+
+469
+00:38:48,290 --> 00:38:52,510
+يعني لو جيت هنا و أرسمت خط فهيك ومسكت الخط اللي
+
+470
+00:38:52,510 --> 00:38:58,110
+أنا أرسمته وعدلته يعني جلبته بقدر أعرف ال data
+
+471
+00:38:58,110 --> 00:39:02,430
+normal ولا abnormal distributionغير ذلك، لو أردت
+
+472
+00:39:02,430 --> 00:39:08,890
+فك الأرقام هذه، على طول بنفكهم 132، 134، 138، 141،
+
+473
+00:39:08,890 --> 00:39:20,630
+142، 146،146، 152، 154، 166، 172، 172، 172، 172،
+
+474
+00:39:20,630 --> 00:39:20,670
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+475
+00:39:20,670 --> 00:39:22,650
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+476
+00:39:22,650 --> 00:39:26,610
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+477
+00:39:26,610 --> 00:39:26,630
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+478
+00:39:26,630 --> 00:39:26,630
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+479
+00:39:26,630 --> 00:39:29,450
+172، 172، 172، 172، 172، 172، 172، 172، 172، 172،
+
+480
+00:39:29,450 --> 00:39:36,390
+172، 172، 172، 172، 172، 172،
+
+481
+00:39:36,390 --> 00:39:41,170
+172وهي الشكل اللي موجود أمامنا في الـ stem and
+
+482
+00:39:41,170 --> 00:39:44,450
+leaf بشكل عام وقلنا إن هي ال data اللي موجودة
+
+483
+00:39:44,450 --> 00:39:49,490
+أمامنا وممكن من خلالها نحدد normality of data حتى
+
+484
+00:39:49,490 --> 00:39:54,650
+لما يوضحلأنه ممكن يكون موضحش لحدة من الطلبة أنه
+
+485
+00:39:54,650 --> 00:39:57,150
+كيف الـ Normal Distribution إن أنا هي عند الأرقام
+
+486
+00:39:57,150 --> 00:40:00,450
+اللي موجودة، هي هذه عند نفسها ضخمة هذه لفناها
+
+487
+00:40:00,450 --> 00:40:03,910
+لفها، جينا نقسم الـ Normal Distribution، فطلع معنا
+
+488
+00:40:03,910 --> 00:40:07,330
+بالشكل هذا، لما حطنا خط على أرقام، فطلع معنا في
+
+489
+00:40:07,330 --> 00:40:10,110
+عندنا التواء ناحية الـ Positive، يعني الـ Positive
+
+490
+00:40:10,110 --> 00:40:12,270
+Sequences طالع من ناحية هدف بكونة Normal
+
+491
+00:40:12,270 --> 00:40:15,370
+Distribution، أنا عرفته من خلال الـ stem and leaf
+
+492
+00:40:16,720 --> 00:40:20,280
+لو أخدنا هذا واطلعنا فيها تطلع معانا Abnormal
+
+493
+00:40:20,280 --> 00:40:26,460
+Distribution بنفس الطريقة الصالحة الـ Boxplot هو
+
+494
+00:40:26,460 --> 00:40:30,620
+النوع الخامس من الـ Graph اللي يستخدم للـ
+
+495
+00:40:30,620 --> 00:40:32,960
+Quantitative Data يمكن الـ Quantitative Data هما
+
+496
+00:40:32,960 --> 00:40:38,100
+اتنين والـ Quantitative Data هو خمسة Graph بنحاول
+
+497
+00:40:38,100 --> 00:40:40,700
+تاني و بنكرر ان الـ Quantitative Data فيها اتنين
+
+498
+00:40:40,700 --> 00:40:45,290
+Graph والـ Quantitative Data إلى خمسة Graphهذه هي
+
+499
+00:40:45,290 --> 00:40:49,010
+تعتبر الـ Box Plot Box هذا اللي موجود اللي هو هنا
+
+500
+00:40:49,010 --> 00:40:54,150
+بكون الـ Q1 وهنا Q3 هذا الـ Minimum وهنا الـ
+
+501
+00:40:54,150 --> 00:40:58,150
+Maximum بتكون موجودة هذه تعتبر كلها Outlier Value
+
+502
+00:40:58,150 --> 00:41:02,250
+أو Extreme Value لما بنشوف دائرة بنسميها Outlier و
+
+503
+00:41:02,250 --> 00:41:06,190
+لما بنشوف نجمة بنسميها Extreme والـ Outlier أو الـ
+
+504
+00:41:06,190 --> 00:41:10,660
+Extreme Value لها قوانين تحسب فيها يعني مثلازي ما
+
+505
+00:41:10,660 --> 00:41:13,260
+اتكلمنا في المحاضرة السابقة أن يكون عندنا طلاب
+
+506
+00:41:13,260 --> 00:41:17,980
+مستوى تالت وهدول الطلاب عندهم طالب بيجسر أو بيكمل
+
+507
+00:41:17,980 --> 00:41:22,240
+من دبلوم عمه 45 سنة هو هذا يعتبر بالنسبة للطلاب
+
+508
+00:41:22,240 --> 00:41:25,820
+اللي موجودين extreme value أو outlier value قيم
+
+509
+00:41:25,820 --> 00:41:32,160
+شاذة معناتهاهو لها قوانين تحسن فيها ولكن احنا ان
+
+510
+00:41:32,160 --> 00:41:34,740
+شاء الله لما ناخد على برنامج ASPSS هو البرنامج
+
+511
+00:41:34,740 --> 00:41:38,740
+بيطلعيلنا إياها مباشرة وبيقولنا انه extreme و لا
+
+512
+00:41:38,740 --> 00:41:42,160
+outlier عن طريق التمييز انه نجمة تعتبر extreme
+
+513
+00:41:42,160 --> 00:41:46,320
+يعني قيمة شد جدا زي ما نقول انه عندنا واحد عمره 80
+
+514
+00:41:46,320 --> 00:41:51,220
+سنة بدرس في قاعة طلاب عمرهم كلهم 21 و 22 سنة
+
+515
+00:41:51,220 --> 00:41:55,520
+بنسميه extremeوزي ما نقول Outlier Value أن واحد
+
+516
+00:41:55,520 --> 00:41:59,900
+عمره 35 سنة بيكون موجود في قاعة طلاب عمارهم كلهم
+
+517
+00:41:59,900 --> 00:42:04,500
+في العشرينات فبنعدل 35 سنة هو Outlier Value قيمة
+
+518
+00:42:04,500 --> 00:42:08,020
+شادة ولكن مش كتير زيابوا الـ 80 سنة أن يكون موجود
+
+519
+00:42:08,020 --> 00:42:14,700
+في القاعة أو زيابوا الـ 60 سنة بنكتفي
+
+520
+00:42:14,700 --> 00:42:18,680
+بهذا القرن من المحاضرة الحالية نتمنى لكم التوفيق
+
+521
+00:42:18,680 --> 00:42:21,740
+والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..bd0e6eac8b3dc3200e30e0e2d2f69c2049fe71c8
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2587, "start": 2.75, "end": 25.87, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم دولة الأعزاء نستكمل الحديث عن الأختبارات الأحصائية سيكون موضوع هذه المحاضرة هو اختبار one-way ANOVA أو ما يسمى one-way analysis of variance اللي هو ANOVA", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 11778, 12610, 3660, 16247, 3615, 11622, 16606, 8717, 14851, 24793, 1211, 21542, 16254, 12984, 18871, 16247, 46456, 3555, 9640, 9307, 16247, 5016, 9381, 16373, 10632, 8608, 1829, 30544, 3714, 2407, 11242, 45367, 29538, 9673, 5016, 46958, 25720, 31439, 1975, 46456, 3555, 9640, 472, 12, 676, 5252, 46, 20914, 34051, 19446, 7251, 38251, 7578, 472, 12, 676, 5215, 295, 21977, 13672, 1829, 31439, 5252, 46, 20914], "avg_logprob": -0.18872893124483944, "compression_ratio": 1.6028708133971292, "no_speech_prob": 1.6689300537109375e-06, "words": [{"start": 2.75, "end": 3.07, "word": "أعوذ", "probability": 0.62860107421875}, {"start": 3.07, "end": 3.31, "word": " بالله", "probability": 0.932861328125}, {"start": 3.31, "end": 3.49, "word": " من", "probability": 0.79150390625}, {"start": 3.49, "end": 3.87, "word": " الشيطان", "probability": 0.9652099609375}, {"start": 3.87, "end": 4.29, "word": " الرجيم", "probability": 0.88916015625}, {"start": 4.29, "end": 4.57, "word": " بسم", "probability": 0.83642578125}, {"start": 4.57, "end": 4.79, "word": " الله", "probability": 0.93408203125}, {"start": 4.79, "end": 5.21, "word": " الرحمن", "probability": 0.9705403645833334}, {"start": 5.21, "end": 5.73, "word": " الرحيم", "probability": 0.9970703125}, {"start": 5.73, "end": 6.37, "word": " دولة", "probability": 0.235595703125}, {"start": 6.37, "end": 7.09, "word": " الأعزاء", "probability": 0.8447265625}, {"start": 7.09, "end": 8.03, "word": " نستكمل", "probability": 0.950439453125}, {"start": 8.03, "end": 8.73, "word": " الحديث", "probability": 0.9342447916666666}, {"start": 8.73, "end": 9.03, "word": " عن", "probability": 0.9755859375}, {"start": 9.03, "end": 10.01, "word": " الأختبارات", "probability": 0.869970703125}, {"start": 10.01, "end": 10.89, "word": " الأحصائية", "probability": 0.942578125}, {"start": 10.89, "end": 15.05, "word": " سيكون", "probability": 0.9475911458333334}, {"start": 15.05, "end": 15.43, "word": " موضوع", "probability": 0.990234375}, {"start": 15.43, "end": 15.71, "word": " هذه", "probability": 0.98095703125}, {"start": 15.71, "end": 16.45, "word": " المحاضرة", "probability": 0.9566650390625}, {"start": 16.45, "end": 16.99, "word": " هو", "probability": 0.85107421875}, {"start": 16.99, "end": 17.69, "word": " اختبار", "probability": 0.913330078125}, {"start": 17.69, "end": 17.95, "word": " one", "probability": 0.50390625}, {"start": 17.95, "end": 18.17, "word": "-way", "probability": 0.6756591796875}, {"start": 18.17, "end": 18.71, "word": " ANOVA", "probability": 0.9236653645833334}, {"start": 18.71, "end": 20.61, "word": " أو", "probability": 0.71435546875}, {"start": 20.61, "end": 20.75, "word": " ما", "probability": 0.95556640625}, {"start": 20.75, "end": 21.53, "word": " يسمى", "probability": 0.9479166666666666}, {"start": 21.53, "end": 22.69, "word": " one", "probability": 0.5537109375}, {"start": 22.69, "end": 23.01, "word": "-way", "probability": 0.85595703125}, {"start": 23.01, "end": 23.55, "word": " analysis", "probability": 0.81298828125}, {"start": 23.55, "end": 23.89, "word": " of", "probability": 0.96484375}, {"start": 23.89, "end": 24.49, "word": " variance", "probability": 0.70361328125}, {"start": 24.49, "end": 25.13, "word": " اللي", "probability": 0.870361328125}, {"start": 25.13, "end": 25.37, "word": " هو", "probability": 0.98388671875}, {"start": 25.37, "end": 25.87, "word": " ANOVA", "probability": 0.8719075520833334}], "temperature": 1.0}, {"id": 2, "seek": 5571, "start": 29.29, "end": 55.71, "text": "وفق الخريطة اللي أخدناها أنه بيكون عندنا بدنا نقيس العلاقة و ال relation ما بين المتغيرين والمتغيرين واحد فيهم quantitative والتاني فيهم qualitative ولكن ال qualitative في داخله أكتر من اتنين يعني زي متغير ال education في داخله secondary school و university و higher education أكتر من اتنين", "tokens": [38688, 4587, 33962, 16572, 9566, 3660, 13672, 1829, 5551, 9778, 3215, 8315, 11296, 14739, 3224, 4724, 1829, 30544, 43242, 8315, 47525, 8315, 8717, 38436, 3794, 18863, 15040, 28671, 4032, 2423, 9721, 19446, 49374, 9673, 2655, 17082, 13546, 9957, 16070, 2304, 2655, 17082, 13546, 9957, 36764, 24401, 8978, 16095, 27778, 16070, 2655, 7649, 1829, 8978, 16095, 31312, 35525, 19452, 2423, 31312, 8978, 11778, 47283, 43761, 5551, 4117, 2655, 2288, 9154, 1975, 2655, 1863, 9957, 37495, 22653, 30767, 1829, 44650, 17082, 13546, 2423, 3309, 8978, 11778, 47283, 43761, 11396, 1395, 4032, 5454, 4032, 2946, 3309, 5551, 4117, 2655, 2288, 9154, 1975, 2655, 1863, 9957], "avg_logprob": -0.16732402883687067, "compression_ratio": 1.8649789029535866, 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0.391357421875}, {"start": 34.33, "end": 34.67, "word": " relation", "probability": 0.90673828125}, {"start": 34.67, "end": 34.89, "word": " ما", "probability": 0.77880859375}, {"start": 34.89, "end": 35.11, "word": " بين", "probability": 0.9921875}, {"start": 35.11, "end": 35.95, "word": " المتغيرين", "probability": 0.930859375}, {"start": 35.95, "end": 37.11, "word": " والمتغيرين", "probability": 0.940673828125}, {"start": 37.11, "end": 38.35, "word": " واحد", "probability": 0.945556640625}, {"start": 38.35, "end": 38.69, "word": " فيهم", "probability": 0.967529296875}, {"start": 38.69, "end": 39.29, "word": " quantitative", "probability": 0.80908203125}, {"start": 39.29, "end": 41.43, "word": " والتاني", "probability": 0.849365234375}, {"start": 41.43, "end": 41.91, "word": " فيهم", "probability": 0.983642578125}, {"start": 41.91, "end": 42.97, "word": " qualitative", "probability": 0.9931640625}, {"start": 42.97, "end": 43.69, "word": " ولكن", "probability": 0.794189453125}, {"start": 43.69, "end": 43.87, "word": " ال", "probability": 0.9150390625}, {"start": 43.87, "end": 44.53, "word": " qualitative", "probability": 0.96728515625}, {"start": 44.53, "end": 45.25, "word": " في", "probability": 0.94677734375}, {"start": 45.25, "end": 45.79, "word": " داخله", "probability": 0.9720052083333334}, {"start": 45.79, "end": 46.19, "word": " أكتر", "probability": 0.9385986328125}, {"start": 46.19, "end": 46.37, "word": " من", "probability": 0.99365234375}, {"start": 46.37, "end": 47.05, "word": " اتنين", "probability": 0.8599853515625}, {"start": 47.05, "end": 47.47, "word": " يعني", "probability": 0.884033203125}, {"start": 47.47, "end": 47.65, "word": " زي", "probability": 0.8115234375}, {"start": 47.65, "end": 48.17, "word": " متغير", "probability": 0.8740234375}, {"start": 48.17, "end": 48.29, "word": " ال", "probability": 0.84716796875}, {"start": 48.29, "end": 48.79, "word": " education", "probability": 0.97119140625}, {"start": 48.79, "end": 49.13, "word": " في", "probability": 0.9052734375}, {"start": 49.13, "end": 49.47, "word": " داخله", "probability": 0.9817708333333334}, {"start": 49.47, "end": 49.83, "word": " secondary", "probability": 0.84423828125}, {"start": 49.83, "end": 50.57, "word": " school", "probability": 0.97119140625}, {"start": 50.57, "end": 52.01, "word": " و", "probability": 0.21044921875}, {"start": 52.01, "end": 52.75, "word": " university", "probability": 0.8330078125}, {"start": 52.75, "end": 53.23, "word": " و", "probability": 0.95361328125}, {"start": 53.23, "end": 53.41, "word": " higher", "probability": 0.428466796875}, {"start": 53.41, "end": 54.05, "word": " education", "probability": 0.9599609375}, {"start": 54.05, "end": 55.13, "word": " أكتر", "probability": 0.9649658203125}, {"start": 55.13, "end": 55.29, "word": " من", "probability": 0.99755859375}, {"start": 55.29, "end": 55.71, "word": " اتنين", "probability": 0.9571533203125}], "temperature": 1.0}, {"id": 3, "seek": 8290, "start": 56.46, "end": 82.9, "text": "والمتغير التاني a quantitative variable زي الـ Age يبقى عندنا one way ANOVA متغير بيكون categorical وفي داخله أكثر من مجموعتين، تلاتة، أربعة، خمسة أو أكثر والمتغير التاني quantitative اللي هو متغير له unit", "tokens": [2407, 45340, 2655, 17082, 13546, 16712, 7649, 1829, 257, 27778, 7006, 30767, 1829, 2423, 39184, 16280, 7251, 3555, 4587, 7578, 43242, 8315, 472, 636, 5252, 46, 20914, 44650, 17082, 13546, 4724, 1829, 30544, 19250, 804, 4032, 41185, 11778, 47283, 43761, 5551, 4117, 49115, 9154, 3714, 7435, 2304, 45367, 2655, 9957, 12399, 6055, 1211, 9307, 3660, 12399, 5551, 25513, 27884, 12399, 16490, 2304, 3794, 3660, 34051, 5551, 4117, 49115, 16070, 2304, 2655, 17082, 13546, 16712, 7649, 1829, 27778, 13672, 1829, 31439, 44650, 17082, 13546, 46740, 4985], "avg_logprob": -0.17550872335600298, "compression_ratio": 1.5594059405940595, "no_speech_prob": 3.635883331298828e-06, "words": [{"start": 56.46, "end": 57.22, "word": "والمتغير", "probability": 0.94072265625}, {"start": 57.22, 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hypothesis أو ال research hypothesis بتقول أنه في عندنا statistically significant difference between ال groups فاعتنانا أن في ال table اللي موجودة ال group 1 ال group 2 و ال group 3 قد يكون في اختلاف ما بين المجموعة الأولى والتانية", "tokens": [3555, 1863, 36178, 21136, 1829, 8315, 16572, 2407, 13672, 1829, 3714, 29245, 23328, 6156, 1863, 19913, 2288, 2423, 17291, 39894, 39648, 14739, 3224, 36478, 4776, 2649, 19446, 49374, 9673, 7435, 2304, 45367, 9307, 16070, 8535, 17291, 34051, 2423, 2132, 17291, 39894, 39648, 14739, 3224, 8978, 43242, 8315, 36478, 4776, 2649, 1296, 2423, 3935, 6156, 995, 34268, 1863, 7649, 995, 14739, 8978, 2423, 3199, 13672, 1829, 3714, 29245, 23328, 3660, 2423, 1594, 502, 2423, 1594, 568, 4032, 2423, 1594, 805, 12174, 3215, 7251, 30544, 8978, 1975, 46456, 15040, 5172, 19446, 49374, 9673, 7435, 2304, 2407, 27884, 16247, 12610, 7578, 16070, 2655, 7649, 10632], "avg_logprob": -0.2858009778180169, "compression_ratio": 1.945736434108527, "no_speech_prob": 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{"start": 857.32, "end": 857.46, "word": " في", "probability": 0.98193359375}, {"start": 857.46, "end": 857.9, "word": " المجموعة", "probability": 0.92509765625}, {"start": 857.9, "end": 858.42, "word": " التانية", "probability": 0.982421875}, {"start": 858.42, "end": 858.84, "word": " وقيم", "probability": 0.8640950520833334}, {"start": 858.84, "end": 859.14, "word": " الكل", "probability": 0.866943359375}, {"start": 859.14, "end": 859.36, "word": " سطول", "probability": 0.9951171875}, {"start": 859.36, "end": 859.48, "word": " في", "probability": 0.98876953125}, {"start": 859.48, "end": 859.86, "word": " المجموعة", "probability": 0.93359375}, {"start": 859.86, "end": 860.6, "word": " التالتة", "probability": 0.9754638671875}, {"start": 860.6, "end": 861.42, "word": " ال", "probability": 0.6962890625}, {"start": 861.42, "end": 861.66, "word": " degree", "probability": 0.9716796875}, {"start": 861.66, "end": 861.86, "word": " of", "probability": 0.97216796875}, {"start": 861.86, "end": 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واحد واحد واحد وبجمعهم بيكونوا اربعة واربعة واربعة بيطلعوا اتناش وكأنه في عندنا تنتيجة degree of freedom في الانوفا بخلاف ال T-test", "tokens": [3555, 9566, 1211, 3615, 1975, 2655, 1863, 9957, 4314, 295, 5645, 4724, 38251, 1829, 11296, 4314, 295, 5645, 36764, 24401, 4032, 41185, 43242, 8315, 4314, 295, 5645, 9154, 33962, 2304, 3794, 8032, 3215, 12610, 28242, 36764, 24401, 44945, 7435, 3794, 36764, 24401, 36764, 24401, 36764, 24401, 46599, 7435, 2304, 3615, 16095, 4724, 1829, 30544, 14407, 1975, 25513, 27884, 4032, 9640, 3555, 27884, 4032, 9640, 3555, 27884, 4724, 1829, 9566, 1211, 3615, 14407, 1975, 2655, 1863, 33599, 4032, 4117, 33456, 3224, 8978, 43242, 8315, 6055, 29399, 1829, 7435, 3660, 4314, 295, 5645, 8978, 2423, 7649, 38688, 995, 4724, 9778, 15040, 5172, 2423, 314, 12, 31636], "avg_logprob": -0.28407739457629977, "compression_ratio": 1.9895833333333333, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 866.88, "end": 867.38, "word": "بطلع", "probability": 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879.26, "word": " بيكونوا", "probability": 0.65631103515625}, {"start": 879.26, "end": 879.8, "word": " اربعة", "probability": 0.7858072916666666}, {"start": 879.8, "end": 880.8, "word": " واربعة", "probability": 0.7550048828125}, {"start": 880.8, "end": 881.2, "word": " واربعة", "probability": 0.94140625}, {"start": 881.2, "end": 881.58, "word": " بيطلعوا", "probability": 0.7569173177083334}, {"start": 881.58, "end": 882.06, "word": " اتناش", "probability": 0.887939453125}, {"start": 882.06, "end": 883.8, "word": " وكأنه", "probability": 0.8759765625}, {"start": 883.8, "end": 883.9, "word": " في", "probability": 0.83935546875}, {"start": 883.9, "end": 884.2, "word": " عندنا", "probability": 0.95751953125}, {"start": 884.2, "end": 884.6, "word": " تنتيجة", "probability": 0.69462890625}, {"start": 884.6, "end": 884.82, "word": " degree", "probability": 0.9765625}, {"start": 884.82, "end": 885.0, "word": " of", "probability": 0.9775390625}, {"start": 885.0, "end": 885.28, "word": " 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freedom within group بطلع معنا 93.3 لو جسمنا ال mean square between group", "tokens": [1211, 2407, 10874, 1829, 8315, 34105, 4032, 4587, 1211, 8315, 2408, 295, 3732, 1296, 1594, 10874, 38251, 8315, 11296, 15844, 568, 34892, 4587, 2304, 16953, 6866, 13, 15628, 4724, 9566, 1211, 3615, 20449, 8315, 12602, 4587, 2304, 6673, 20419, 13, 17, 45164, 12174, 1211, 8315, 2408, 295, 3732, 1951, 1594, 13672, 1829, 31439, 2975, 3405, 13, 21, 6055, 4587, 3794, 32640, 2272, 13672, 1829, 31439, 4314, 295, 5645, 1951, 1594, 4724, 9566, 1211, 3615, 20449, 8315, 28876, 13, 18, 45164, 10874, 38251, 8315, 2423, 914, 3732, 1296, 1594], "avg_logprob": -0.16195576512411738, "compression_ratio": 1.7015706806282722, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 921.73, "end": 922.03, "word": "لو", "probability": 0.717041015625}, {"start": 922.03, "end": 922.29, "word": " جينا", "probability": 0.9033203125}, {"start": 922.29, "end": 922.45, "word": " هنا", "probability": 0.9033203125}, {"start": 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"probability": 0.9138997395833334}, {"start": 1303.56, "end": 1303.76, "word": " ال", "probability": 0.7998046875}, {"start": 1303.76, "end": 1303.98, "word": " post", "probability": 0.11798095703125}, {"start": 1303.98, "end": 1304.24, "word": " hoc", "probability": 0.7978515625}, {"start": 1304.24, "end": 1304.6, "word": " test", "probability": 0.931640625}, {"start": 1304.6, "end": 1305.08, "word": " ل", "probability": 0.84033203125}, {"start": 1305.08, "end": 1305.96, "word": " TigerSide", "probability": 0.22735595703125}], "temperature": 1.0}, {"id": 51, "seek": 133517, "start": 1306.83, "end": 1335.17, "text": "قلنا قانوني أن الـ post hoc test لما تكون الـ overall significant أقل من 5% بدنا نضيف كل قيمة زي ما في الجدول اللي علم أنه قيمة group 1 مع 2 و group 1 مع 3 و group 2 مع 3 يعني نفس حد مقانة و لو كانت هذه not significant مافيش داعي أن نعمل post hoc test ولكن أنا بلاحظ أن قيمة الـ F عالية", "tokens": [4587, 1211, 8315, 12174, 7649, 11536, 1829, 14739, 2423, 39184, 2183, 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1327.05, "end": 1327.69, "word": " significant", "probability": 0.84716796875}, {"start": 1327.69, "end": 1328.75, "word": " مافيش", "probability": 0.5462646484375}, {"start": 1328.75, "end": 1329.05, "word": " داعي", "probability": 0.8321940104166666}, {"start": 1329.05, "end": 1329.17, "word": " أن", "probability": 0.68603515625}, {"start": 1329.17, "end": 1329.53, "word": " نعمل", "probability": 0.8269856770833334}, {"start": 1329.53, "end": 1329.85, "word": " post", "probability": 0.364501953125}, {"start": 1329.85, "end": 1330.15, "word": " hoc", "probability": 0.97265625}, {"start": 1330.15, "end": 1330.59, "word": " test", "probability": 0.958984375}, {"start": 1330.59, "end": 1332.79, "word": " ولكن", "probability": 0.909423828125}, {"start": 1332.79, "end": 1332.97, "word": " أنا", "probability": 0.76220703125}, {"start": 1332.97, "end": 1333.59, "word": " بلاحظ", "probability": 0.94873046875}, {"start": 1333.59, "end": 1333.89, "word": " أن", "probability": 0.88671875}, {"start": 1333.89, "end": 1334.33, "word": " قيمة", "probability": 0.9884440104166666}, {"start": 1334.33, "end": 1334.49, "word": " الـ", "probability": 0.71435546875}, {"start": 1334.49, "end": 1334.63, "word": " F", "probability": 0.6875}, {"start": 1334.63, "end": 1335.17, "word": " عالية", "probability": 0.9646809895833334}], "temperature": 1.0}, {"id": 52, "seek": 136142, "start": 1335.74, "end": 1361.42, "text": "أو قيمة الانوفا أعلى من الأثنين اللي كانوا significant أصلاً فيكون الرقم هذا هو الخطأ وهو هذا الرقم اللي بده تعديل اللي هو قيمة ال overall في value ممكن تكون هنا 002 بدل 7 يكون بالخطأ كتبها فهي بتكون هنا significant لأن قيمة ال F بتكون عندنا عالية وقيمة تقولنا قيمة T أعلى من 2 بتكون significant لما تكون sample size كبيرة", "tokens": [10721, 2407, 12174, 32640, 3660, 2423, 7649, 38688, 995, 5551, 3615, 23942, 9154, 16247, 12984, 1863, 9957, 13672, 1829, 25961, 14407, 1465, 35277, 5551, 9381, 15040, 14111, 6156, 1829, 30544, 34892, 4587, 2304, 23758, 31439, 33962, 9566, 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"text": "وقيمة الـ Chi لما تكون two by two اتنين في اتنين اعلى من تلاتة وتمانين بتكون significant وقيمة ال F-test كمان بتكون اعلى من اربعة بتكون significant وهيك بنكون خلصنا اختبار الانوفا وكمان ضمننا فيه ال critique لل T-test نيجي على اختبار الرابع اللي هما يكون ال two variable ال quantitative variable", "tokens": [2407, 4587, 32640, 3660, 2423, 39184, 17730, 5296, 15042, 6055, 30544, 732, 538, 732, 1975, 2655, 1863, 9957, 8978, 1975, 2655, 1863, 9957, 1975, 3615, 23942, 9154, 6055, 1211, 9307, 3660, 34683, 2304, 7649, 9957, 39894, 30544, 4776, 4032, 4587, 32640, 3660, 2423, 479, 12, 31636, 9122, 2304, 7649, 39894, 30544, 1975, 3615, 23942, 9154, 1975, 25513, 27884, 39894, 30544, 4776, 37037, 1829, 4117, 44945, 30544, 16490, 1211, 9381, 8315, 1975, 46456, 3555, 9640, 2423, 7649, 38688, 995, 4032, 24793, 7649, 48812, 27842, 8315, 8978, 3224, 2423, 25673, 24976, 314, 12, 31636, 8717, 1829, 7435, 1829, 15844, 1975, 46456, 3555, 9640, 34892, 16758, 3615, 13672, 1829, 8032, 15042, 7251, 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اللي موجودة و ال association اللي موجود ما بين اليوريا و الكرياتينين الاتنين quantitative variable و الاتنين ال هم ينات هذا الاختبار اسمه correlation test", "tokens": [1829, 7435, 3555, 16472, 1975, 4587, 9640, 1863, 1975, 2655, 1863, 9957, 4032, 1975, 2655, 1863, 9957, 27778, 9102, 30767, 1829, 2423, 39184, 3205, 4032, 2423, 3364, 30767, 1829, 2423, 3205, 4032, 2423, 1772, 2758, 8186, 2423, 9307, 1863, 9957, 12602, 4587, 2304, 1829, 9307, 30767, 1829, 45595, 13063, 25528, 4032, 33251, 16572, 9307, 9957, 9957, 4032, 4724, 16254, 1975, 7435, 1829, 3794, 18863, 15040, 28671, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 2423, 14598, 13672, 1829, 3714, 29245, 23328, 19446, 49374, 45595, 13063, 25528, 4032, 33251, 16572, 9307, 9957, 9957, 2423, 9307, 1863, 9957, 27778, 7006, 4032, 2423, 9307, 1863, 9957, 2423, 8032, 2304, 7251, 8315, 2655, 23758, 2423, 47283, 2655, 3555, 9640, 24525, 2304, 3224, 20009, 1500], "avg_logprob": -0.3031249893208345, "compression_ratio": 2.1222707423580784, 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كنا زمان ندرس في مراحل الدراسة الأولى أنه في عندنا ارتباط طاضي وارتباط عكسي هذا هو ال correlation لما بيكون عندنا positive correlation بنسميه ارتباط طاضي كل ما زالت X بزيد معاها Y وكل ما زالت Y بزيد معاها X", "tokens": [47283, 2655, 3555, 9640, 16247, 43500, 3555, 41193, 2423, 39184, 732, 7006, 27778, 34051, 2423, 39184, 29054, 1412, 4724, 1829, 30544, 14407, 3714, 29245, 23328, 9957, 9122, 8315, 30767, 2304, 7649, 8717, 3215, 2288, 3794, 8978, 3714, 23557, 5016, 1211, 32748, 23557, 3794, 3660, 16247, 12610, 7578, 14739, 3224, 8978, 43242, 8315, 1975, 43500, 3555, 41193, 23032, 46958, 1829, 4032, 9640, 2655, 3555, 41193, 6225, 4117, 3794, 1829, 23758, 31439, 2423, 20009, 5296, 15042, 4724, 1829, 30544, 43242, 8315, 3353, 20009, 44945, 38251, 1829, 3224, 1975, 43500, 3555, 41193, 23032, 46958, 1829, 28242, 19446, 30767, 6027, 2655, 1783, 4724, 11622, 25708, 20449, 995, 11296, 398, 4032, 28820, 19446, 30767, 6027, 2655, 398, 4724, 11622, 25708, 20449, 995, 11296, 1783], "avg_logprob": 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واحد هو Range تبع ال correlation أو correlation coefficient لما بيكون الإشارة موجب يبقى positive correlation و لما بتكون الإشارة سالب بيكون negative correlation أو اعتبار برضي بزيد X و بتقل Y أو العكس ولما بتكون موجب بتكون X بزيد و Y بزيد معها أو بتنقص X و Y بتنقص معها", "tokens": [6027, 39184, 33778, 6055, 3555, 3615, 3224, 4724, 1829, 30544, 9154, 3714, 29245, 3555, 36764, 24401, 5296, 3794, 6027, 3555, 36764, 24401, 6156, 3555, 1829, 30544, 2423, 39184, 33778, 9154, 8608, 6027, 3555, 36764, 24401, 32767, 29245, 3555, 36764, 24401, 31439, 33778, 6055, 3555, 3615, 2423, 20009, 34051, 20009, 17619, 5296, 15042, 4724, 1829, 30544, 33688, 8592, 9640, 3660, 3714, 29245, 3555, 7251, 3555, 4587, 7578, 3353, 20009, 4032, 5296, 15042, 39894, 30544, 33688, 8592, 9640, 3660, 8608, 6027, 3555, 4724, 1829, 30544, 3671, 20009, 34051, 1975, 34268, 3555, 9640, 4724, 43042, 1829, 4724, 11622, 25708, 1783, 4032, 39894, 4587, 1211, 398, 34051, 18863, 4117, 3794, 35525, 15042, 39894, 30544, 3714, 29245, 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1546.69, "end": 1569.71, "text": "الـ Assumption بتاعة الـ Correlation أنه two variable quantitative أو numerical بجيس العلاقة الخطية اللي موجودة ويفضل مايكونش أي outlier value ال hypothesis بتاعة ال correlation لما بتكون قيمة ال correlation تساوي zero يبقى no correlation ووضحناها في الرسم السابق اللي هي هذه", "tokens": [6027, 39184, 6281, 449, 1695, 39894, 995, 27884, 2423, 39184, 3925, 4419, 399, 14739, 3224, 732, 7006, 27778, 34051, 29054, 4724, 7435, 1829, 3794, 18863, 15040, 28671, 33962, 9566, 10632, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 33911, 11242, 1211, 19446, 1829, 30544, 8592, 36632, 484, 2753, 2158, 2423, 17291, 39894, 995, 27884, 2423, 20009, 5296, 15042, 39894, 30544, 12174, 32640, 3660, 2423, 20009, 6055, 3794, 995, 45865, 4018, 7251, 3555, 4587, 7578, 572, 20009, 4032, 2407, 11242, 5016, 8315, 11296, 8978, 34892, 38251, 21136, 16758, 4587, 13672, 1829, 39896, 29538], "avg_logprob": -0.21739130612948668, "compression_ratio": 1.6213991769547325, "no_speech_prob": 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تكون موجودة في البحث بدها تكون بالشكل هذا قيمة الـPerson Correlation أو الـA القيمة الـP Value", "tokens": [12610, 2304, 11703, 995, 4724, 1829, 30544, 43242, 8315, 20193, 6055, 3794, 995, 45865, 17182, 4724, 1829, 30544, 8978, 43242, 8315, 3925, 4419, 399, 37037, 15730, 39896, 2423, 39184, 39, 32, 16070, 39184, 39, 15, 2423, 39184, 4983, 39894, 30544, 43242, 8315, 20193, 7251, 3794, 995, 45865, 11778, 16373, 2304, 14111, 995, 12174, 1211, 8315, 16070, 39184, 39, 15, 7251, 3794, 995, 45865, 7251, 3794, 995, 45865, 17182, 7251, 3555, 4587, 7578, 883, 3925, 4419, 399, 43242, 8315, 8978, 2423, 9640, 2655, 3555, 41193, 34051, 1975, 46456, 3555, 9640, 2423, 39184, 29020, 4419, 399, 34892, 38251, 3660, 13672, 1829, 47525, 11296, 6055, 30544, 3714, 29245, 23328, 3660, 8978, 29739, 5016, 12984, 47525, 11296, 6055, 30544, 20666, 8592, 28820, 23758, 12174, 32640, 3660, 2423, 39184, 47, 3953, 3925, 4419, 399, 34051, 2423, 39184, 32, 25062, 32640, 3660, 2423, 39184, 47, 39352], "avg_logprob": 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«microalbumin»", "probability": 0.8950892857142857}, {"start": 1616.0, "end": 1616.0, "word": " و", "probability": 0.6181640625}, {"start": 1616.0, "end": 1616.0, "word": " الـ", "probability": 0.839111328125}, {"start": 1616.0, "end": 1616.76, "word": " «Urea»", "probability": 0.85693359375}, {"start": 1616.76, "end": 1617.08, "word": " بيدا", "probability": 0.7350260416666666}, {"start": 1617.08, "end": 1617.46, "word": " استخدم", "probability": 0.8284505208333334}, {"start": 1617.46, "end": 1617.7, "word": " لهم", "probability": 0.796875}, {"start": 1617.7, "end": 1618.64, "word": " اختبار", "probability": 0.86566162109375}, {"start": 1618.64, "end": 1619.14, "word": " R", "probability": 0.8818359375}], "temperature": 1.0}, {"id": 63, "seek": 164217, "start": 1620.45, "end": 1642.17, "text": "طريقة الـ comment على الـ table اللي أمامنا وبقول there was significant positive correlation between microalbumin creatinine ratio and الـ positive significant اللي الـ B value فيها أقل من خمس من مائة اللي هي الجليكوز و الكلسترول و التيرستريد و ال LDL بينما", "tokens": [9566, 16572, 28671, 2423, 39184, 2871, 15844, 2423, 39184, 3199, 13672, 1829, 5551, 2304, 10943, 8315, 46599, 39648, 456, 390, 4776, 3353, 20009, 1296, 4532, 304, 5559, 259, 1428, 259, 533, 8509, 293, 2423, 39184, 3353, 4776, 13672, 1829, 2423, 39184, 363, 2158, 8978, 11296, 5551, 4587, 1211, 9154, 16490, 2304, 3794, 9154, 3714, 16373, 3660, 13672, 1829, 39896, 25724, 20292, 4117, 2407, 11622, 4032, 2423, 28820, 3794, 2655, 2288, 12610, 4032, 2423, 2655, 13546, 14851, 2288, 25708, 4032, 2423, 33936, 43, 49374, 15042], "avg_logprob": -0.33455881371217616, "compression_ratio": 1.5387931034482758, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1620.45, "end": 1620.97, "word": "طريقة", "probability": 0.9609375}, {"start": 1620.97, "end": 1621.11, "word": " الـ", "probability": 0.86865234375}, {"start": 1621.11, "end": 1621.41, "word": " comment", "probability": 0.44091796875}, {"start": 1621.41, 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"probability": 0.7350260416666666}, {"start": 1647.31, "end": 1647.87, "word": " ratio", "probability": 0.91748046875}, {"start": 1647.87, "end": 1648.79, "word": " and", "probability": 0.70068359375}, {"start": 1648.79, "end": 1649.69, "word": " وبنشوف", "probability": 0.72652587890625}, {"start": 1649.69, "end": 1649.91, "word": " مين", "probability": 0.7578125}, {"start": 1649.91, "end": 1650.15, "word": " الـ", "probability": 0.60791015625}, {"start": 1650.15, "end": 1650.39, "word": " negative", "probability": 0.833984375}, {"start": 1650.39, "end": 1650.69, "word": " اللي", "probability": 0.698974609375}, {"start": 1650.69, "end": 1651.01, "word": " هي", "probability": 0.90478515625}, {"start": 1651.01, "end": 1651.37, "word": " الـ", "probability": 0.736572265625}, {"start": 1651.37, "end": 1652.05, "word": " HDL", "probability": 0.853515625}, {"start": 1652.05, "end": 1654.15, "word": " وفي", "probability": 0.815673828125}, {"start": 1654.15, "end": 1654.71, "word": " عندنا", 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" لحاجة", "probability": 0.79608154296875}, {"start": 1956.91, "end": 1957.45, "word": " اسمها", "probability": 0.9739583333333334}, {"start": 1957.45, "end": 1958.67, "word": " by", "probability": 0.3310546875}, {"start": 1958.67, "end": 1959.57, "word": " footing", "probability": 0.7626953125}, {"start": 1959.57, "end": 1960.93, "word": " table", "probability": 0.88623046875}, {"start": 1960.93, "end": 1962.15, "word": " ونسحب", "probability": 0.90849609375}, {"start": 1962.15, "end": 1962.31, "word": " ال", "probability": 0.634765625}, {"start": 1962.31, "end": 1962.87, "word": " statistic", "probability": 0.46435546875}, {"start": 1962.87, "end": 1963.57, "word": " سحب", "probability": 0.9334309895833334}], "temperature": 1.0}, {"id": 76, "seek": 199182, "start": 1964.06, "end": 1991.82, "text": "ونضيفها ونقول له okay هاي أجوا عندنا ratio microalbum كرياطينين وهي عندنا ال Sig أو ال B value و ال Pearson correlation وهي جدول أجه مرتبة أقدر أخده ك copy & paste ووديه على صفحة ال word وأكمل بحثي وهكذا خلصنا اختبار ال correlation من ناحية شرحه من ناحية تطبيقه على ال SPSS نستكفي بهذا القرار في هذه المحاضرة", "tokens": [2407, 1863, 11242, 33911, 11296, 4032, 1863, 39648, 46740, 1392, 8032, 47302, 5551, 7435, 14407, 43242, 8315, 8509, 4532, 304, 5559, 9122, 16572, 41193, 9957, 9957, 37037, 1829, 43242, 8315, 2423, 37763, 34051, 2423, 363, 2158, 4032, 2423, 39041, 20009, 37037, 1829, 10874, 3215, 12610, 5551, 7435, 3224, 3714, 43500, 49401, 5551, 28543, 2288, 5551, 9778, 3215, 3224, 9122, 5055, 3693, 9163, 4032, 2407, 16254, 3224, 15844, 20328, 5172, 5016, 3660, 2423, 1349, 36725, 24793, 1211, 4724, 5016, 12984, 1829, 4032, 3224, 4117, 15730, 16490, 1211, 9381, 8315, 1975, 46456, 3555, 9640, 2423, 20009, 9154, 8717, 39319, 10632, 13412, 2288, 5016, 3224, 9154, 8717, 39319, 10632, 6055, 9566, 21292, 4587, 3224, 15844, 2423, 318, 6273, 50, 8717, 14851, 4117, 41185, 39627, 15730, 25062, 2288, 9640, 8978, 29538, 9673, 5016, 46958, 25720], "avg_logprob": -0.2743844678907683, "compression_ratio": 1.6372881355932203, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 1964.06, "end": 1964.98, "word": "ونضيفها", "probability": 0.8267578125}, {"start": 1964.98, "end": 1965.9, "word": " ونقول", "probability": 0.9142252604166666}, {"start": 1965.9, "end": 1966.14, "word": " له", "probability": 0.48974609375}, {"start": 1966.14, "end": 1966.72, "word": " okay", "probability": 0.51318359375}, {"start": 1966.72, "end": 1967.32, "word": " هاي", "probability": 0.4034423828125}, {"start": 1967.32, "end": 1967.6, "word": " أجوا", "probability": 0.7127278645833334}, {"start": 1967.6, "end": 1968.06, "word": " عندنا", "probability": 0.824462890625}, {"start": 1968.06, "end": 1968.84, "word": " ratio", "probability": 0.80810546875}, {"start": 1968.84, "end": 1969.48, "word": " microalbum", "probability": 0.6299641927083334}, {"start": 1969.48, "end": 1970.32, "word": " كرياطينين", "probability": 0.549755859375}, {"start": 1970.32, "end": 1971.02, "word": " وهي", "probability": 0.8447265625}, {"start": 1971.02, "end": 1971.5, "word": " عندنا", "probability": 0.870849609375}, {"start": 1971.5, "end": 1971.74, "word": " ال", "probability": 0.83251953125}, {"start": 1971.74, "end": 1972.04, "word": " Sig", "probability": 0.144775390625}, {"start": 1972.04, "end": 1972.26, "word": " أو", "probability": 0.84130859375}, {"start": 1972.26, "end": 1972.38, "word": " ال", "probability": 0.94482421875}, {"start": 1972.38, "end": 1972.48, "word": " B", "probability": 0.291259765625}, {"start": 1972.48, "end": 1972.94, "word": " value", "probability": 0.7158203125}, {"start": 1972.94, "end": 1973.32, "word": " و", "probability": 0.5712890625}, {"start": 1973.32, "end": 1973.42, "word": " ال", "probability": 0.6884765625}, {"start": 1973.42, "end": 1973.68, "word": " Pearson", "probability": 0.65869140625}, {"start": 1973.68, "end": 1974.38, "word": " correlation", "probability": 0.8330078125}, {"start": 1974.38, "end": 1974.86, "word": " وهي", "probability": 0.87158203125}, {"start": 1974.86, "end": 1975.2, "word": " جدول", "probability": 0.9493815104166666}, {"start": 1975.2, "end": 1975.56, "word": " أجه", "probability": 0.7874348958333334}, {"start": 1975.56, "end": 1976.14, "word": " مرتبة", "probability": 0.8502604166666666}, {"start": 1976.14, "end": 1976.42, "word": " أقدر", "probability": 0.8497721354166666}, {"start": 1976.42, "end": 1976.74, "word": " أخده", "probability": 0.6688232421875}, {"start": 1976.74, "end": 1976.9, "word": " ك", "probability": 0.357177734375}, {"start": 1976.9, "end": 1977.08, "word": " copy", "probability": 0.63525390625}, {"start": 1977.08, "end": 1977.18, "word": " &", "probability": 0.2763671875}, {"start": 1977.18, "end": 1977.46, "word": " paste", "probability": 0.88916015625}, {"start": 1977.46, "end": 1978.66, "word": " ووديه", "probability": 0.759033203125}, {"start": 1978.66, "end": 1979.26, "word": " على", "probability": 0.89794921875}, {"start": 1979.26, "end": 1980.08, "word": " صفحة", "probability": 0.97705078125}, {"start": 1980.08, "end": 1980.34, "word": " ال", "probability": 0.93603515625}, {"start": 1980.34, "end": 1980.64, "word": " word", "probability": 0.80712890625}, {"start": 1980.64, "end": 1981.52, "word": " وأكمل", "probability": 0.8600260416666666}, {"start": 1981.52, "end": 1982.46, "word": " بحثي", "probability": 0.8853759765625}, {"start": 1982.46, "end": 1983.56, "word": " وهكذا", "probability": 0.668212890625}, {"start": 1983.56, "end": 1984.2, "word": " خلصنا", "probability": 0.80450439453125}, {"start": 1984.2, "end": 1984.56, "word": " اختبار", "probability": 0.9197998046875}, {"start": 1984.56, "end": 1984.68, "word": " ال", "probability": 0.73046875}, {"start": 1984.68, "end": 1985.16, "word": " correlation", "probability": 0.943359375}, {"start": 1985.16, "end": 1985.9, "word": " من", "probability": 0.955078125}, {"start": 1985.9, "end": 1986.2, "word": " ناحية", "probability": 0.9674479166666666}, {"start": 1986.2, "end": 1986.58, "word": " شرحه", "probability": 0.9161376953125}, {"start": 1986.58, "end": 1986.7, "word": " من", "probability": 0.78076171875}, {"start": 1986.7, "end": 1986.92, "word": " ناحية", "probability": 0.9765625}, {"start": 1986.92, "end": 1987.52, "word": " تطبيقه", "probability": 0.855419921875}, {"start": 1987.52, "end": 1987.68, "word": " على", "probability": 0.9365234375}, {"start": 1987.68, "end": 1988.0, "word": " ال", "probability": 0.7978515625}, {"start": 1988.0, "end": 1988.94, "word": " SPSS", "probability": 0.8639322916666666}, {"start": 1988.94, "end": 1990.16, "word": " نستكفي", "probability": 0.850830078125}, {"start": 1990.16, "end": 1990.44, "word": " بهذا", "probability": 0.901123046875}, {"start": 1990.44, "end": 1990.82, "word": " القرار", "probability": 0.9303385416666666}, {"start": 1990.82, "end": 1990.96, "word": " في", "probability": 0.97900390625}, {"start": 1990.96, "end": 1991.14, "word": " هذه", "probability": 0.81005859375}, {"start": 1991.14, "end": 1991.82, "word": " المحاضرة", "probability": 0.969970703125}], "temperature": 1.0}, {"id": 77, "seek": 199750, "start": 1992.68, "end": 1997.5, "text": "ونتمنى لكم التوفيق والسلام عليكم ورحمة الله وبركاته", "tokens": [2407, 1863, 39237, 1863, 7578, 5296, 24793, 16712, 38688, 1829, 4587, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.14113136242937158, "compression_ratio": 1.2179487179487178, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 1992.68, "end": 1993.42, "word": "ونتمنى", "probability": 0.72626953125}, {"start": 1993.42, "end": 1993.68, "word": " لكم", "probability": 0.936279296875}, {"start": 1993.68, "end": 1994.38, "word": " التوفيق", "probability": 0.9517822265625}, {"start": 1994.38, "end": 1995.0, "word": " والسلام", "probability": 0.81787109375}, {"start": 1995.0, "end": 1995.6, "word": " عليكم", "probability": 0.9677734375}, {"start": 1995.6, "end": 1996.18, "word": " ورحمة", "probability": 0.9781494140625}, {"start": 1996.18, "end": 1996.5, "word": " الله", "probability": 0.97216796875}, {"start": 1996.5, "end": 1997.5, "word": " وبركاته", "probability": 0.9734375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1998.8898125, "duration_after_vad": 1937.279374999995}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9bad5511b2973856bdcc0da2120f6237b876fc2b
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/cH-AyAmaZyE_raw.srt
@@ -0,0 +1,1788 @@
+1
+00:00:02,750 --> 00:00:05,210
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:05,210 --> 00:00:10,010
+الرحيم دولة الأعزاء نستكمل الحديث عن الأختبارات
+
+3
+00:00:10,010 --> 00:00:15,050
+الأحصائية سيكون
+
+4
+00:00:15,050 --> 00:00:20,750
+موضوع هذه المحاضرة هو اختبار one-way ANOVA أو ما
+
+5
+00:00:20,750 --> 00:00:25,870
+يسمى one-way analysis of variance اللي هو ANOVA
+
+6
+00:00:29,290 --> 00:00:33,490
+وفق الخريطة اللي أخدناها أنه بيكون عندنا بدنا نقيس
+
+7
+00:00:33,490 --> 00:00:37,110
+العلاقة و ال relation ما بين المتغيرين والمتغيرين
+
+8
+00:00:37,110 --> 00:00:42,970
+واحد فيهم quantitative والتاني فيهم qualitative
+
+9
+00:00:42,970 --> 00:00:47,650
+ولكن ال qualitative في داخله أكتر من اتنين يعني زي
+
+10
+00:00:47,650 --> 00:00:52,010
+متغير ال education في داخله secondary school و
+
+11
+00:00:52,010 --> 00:00:55,710
+university و higher education أكتر من اتنين
+
+12
+00:00:56,460 --> 00:01:00,320
+والمتغير التاني a quantitative variable زي الـ Age
+
+13
+00:01:00,320 --> 00:01:03,400
+يبقى
+
+14
+00:01:03,400 --> 00:01:11,840
+عندنا one way ANOVA متغير بيكون categorical وفي
+
+15
+00:01:11,840 --> 00:01:18,620
+داخله أكثر من مجموعتين، تلاتة، أربعة، خمسة أو أكثر
+
+16
+00:01:18,620 --> 00:01:22,900
+والمتغير التاني quantitative اللي هو متغير له unit
+
+17
+00:01:27,110 --> 00:01:30,370
+ولكن لو كان أنا متغير لـ qualitative في داخله
+
+18
+00:01:30,370 --> 00:01:37,050
+تنتين group أو مجمعتين بنستخدم ال T-test الانوفا
+
+19
+00:01:37,050 --> 00:01:41,470
+دائما بكون تلاتة أو أكثر أحيانا حتى في الاختبارات
+
+20
+00:01:41,470 --> 00:01:46,890
+بنقول للطلاب أكثر من اتنين صح وخطأ بقولك خطأ هي
+
+21
+00:01:46,890 --> 00:01:51,130
+أكتر من اتنين صح لأن التلاتة وأكثر هي نفسها أكتر
+
+22
+00:01:51,130 --> 00:01:57,100
+من اتنين ال one way ANOVA بيقارنمتوسطات حسابيات
+
+23
+00:01:57,100 --> 00:02:01,840
+عددها ثلاث فأكتر يبقى ثلاث متوسطات حسابيات فأكتر
+
+24
+00:02:01,840 --> 00:02:07,800
+وهدولة بدهم يكونوا متوسطات لايعتمدوا على بعض يبقى
+
+25
+00:02:07,800 --> 00:02:13,320
+عندي أنا العمر لأربع مجموعات وبدأ اقرر المتوسط
+
+26
+00:02:13,320 --> 00:02:17,940
+الحسابي للعمر في الأربع مجموعات المتوسط الحسابي ال
+
+27
+00:02:17,940 --> 00:02:20,940
+quantitative data والاربع مجموعات هي categorical
+
+28
+00:02:20,940 --> 00:02:25,130
+data بنقول في الحال هذا هنستخدمالـ one-way ANOVA
+
+29
+00:02:25,130 --> 00:02:31,270
+يمكن باختصار أنه أنا عندي الـ ANOVA بدأ قارن ما
+
+30
+00:02:31,270 --> 00:02:36,470
+بين تلت متوسطات حسابيات أو أكثر وهذه بدأت تكون
+
+31
+00:02:36,470 --> 00:02:43,830
+المتوسطات غير معتمدة على بعض هذه مثال مستوى
+
+32
+00:02:43,830 --> 00:02:49,030
+الكلسول quantitative جروب 1 و2 و3 الجروب مع بعض
+
+33
+00:02:49,030 --> 00:02:54,280
+هذهQualitative عندي 3 متوسطات حسابية بدي أقارنها
+
+34
+00:02:54,280 --> 00:02:58,140
+مع بعض بدي أستخدم analysis of variance أو الـ one
+
+35
+00:02:58,140 --> 00:03:02,340
+way ANOVA السؤال، طب ليش ما أستخدم الـ T-test ما
+
+36
+00:03:02,340 --> 00:03:06,680
+بين كل اتنين وخلاص ما بين group A و B و ما بين A و
+
+37
+00:03:06,680 --> 00:03:12,300
+C و ما بين B و C؟ و ليش أستخدم ANOVA؟ ماينفعش
+
+38
+00:03:12,300 --> 00:03:17,720
+نستخدم الـ T-test لأن أنا بزود قيمة الخطأ من الـ
+
+39
+00:03:17,720 --> 00:03:24,660
+type 1لأن الـ Type I اللي مسموح فيه هو 5% أو لعند
+
+40
+00:03:24,660 --> 00:03:30,900
+5% أقصى حد 5% طب لما بقارن ما بين A و B Group A و
+
+41
+00:03:30,900 --> 00:03:36,580
+Group B بالـ T-Test، هي 5% وكمان ما بين A و C،
+
+42
+00:03:36,580 --> 00:03:41,000
+كمان سمحت بـ5% ولمّا بدّا القارن ما بين B و C،
+
+43
+00:03:41,000 --> 00:03:46,060
+كمان أنا سمحت بـ5% فبكون كإني أنا سمحت في Type I
+
+44
+00:03:46,060 --> 00:03:52,790
+أخرىأو Alpha R أو P Value بقيمة تساوي 15 من 100
+
+45
+00:03:52,790 --> 00:03:59,390
+فبكون أنا زوّت قيمة الـ Type 1R وإذا بدي استخدم
+
+46
+00:03:59,390 --> 00:04:03,570
+الـ T-test ومصر بدي اعمل حاجة اسمها Panferroni
+
+47
+00:04:03,570 --> 00:04:07,350
+Correction بدي اخد قيمة الـ P Value اللي مسموح
+
+48
+00:04:07,350 --> 00:04:12,420
+فيها الخمسة في المئة واجسمها على تلاتةالتلاتة من
+
+49
+00:04:12,420 --> 00:04:16,280
+وين؟ هي واحد، اتنين، تلاتة فبيكون الـ significant
+
+50
+00:04:16,280 --> 00:04:21,280
+level بدل ما هو 5% بيكون عند 17 من الف وبدل ما
+
+51
+00:04:21,280 --> 00:04:25,140
+نلفها اللفة هذه كلها خلاص بنستخدم الانوظا هو أسهل
+
+52
+00:04:25,140 --> 00:04:28,840
+لو كان عندنا أربع مجموعات كيف بتكون المقارنات؟
+
+53
+00:04:28,840 --> 00:04:32,080
+المجموعة الأولى مع التاني، الأولى مع التالتة،
+
+54
+00:04:32,080 --> 00:04:36,120
+الأولى مع الظابعة والتاني مع التالتة، والتاني مع
+
+55
+00:04:36,120 --> 00:04:40,960
+الظابعة، والتالتة مع الظابعةهك بتكون عندنا 6
+
+56
+00:04:40,960 --> 00:04:48,820
+مقارنات طيب لو كانوا عندنا 8 مجموعات كيف نسويهم؟
+
+57
+00:04:48,820 --> 00:04:54,460
+مباشرة أسهل طريقة في هذه الحالة أنه أنا بقول 7
+
+58
+00:04:54,460 --> 00:05:00,600
+زائد 6 زائد 5 زائد 4 زائد 3 زائد 2 زائد 1عندما
+
+59
+00:05:00,600 --> 00:05:03,940
+نجيب عدد المقارنات ما بين المجموعات ما علي غير
+
+60
+00:05:03,940 --> 00:05:08,120
+أنزل وقم بعد المجموعة وأجمعه للآخر هي تلاتة اتنين
+
+61
+00:05:08,120 --> 00:05:12,420
+زائد واحد ثلاث مقارنات اربعة تلاتة زائد اتنين زائد
+
+62
+00:05:12,420 --> 00:05:17,820
+واحد ستة خمسة اربعة زائد تلاتة سبعة زائد اتنين
+
+63
+00:05:17,820 --> 00:05:22,360
+تسعة زائد واحد عشرة فبتكون عدد المقارنات اللي
+
+64
+00:05:22,360 --> 00:05:26,720
+موجودةفي الـ groups بتعتمد أني بنقص رقم واحد من
+
+65
+00:05:26,720 --> 00:05:29,380
+number of group وبجمع لعنده واحد بتطلع معايا عدد
+
+66
+00:05:29,380 --> 00:05:33,100
+المقارنات اللي هتكون حتى نطلع من كل اللخم اللي
+
+67
+00:05:33,100 --> 00:05:37,480
+احنا بنحكيها بنستخدم ANOVA ANOVA بتطيحنا من كل
+
+68
+00:05:37,480 --> 00:05:41,800
+اللي احنا قاعدين متعبين نفسنا فيه وهي بتعملنا كل
+
+69
+00:05:41,800 --> 00:05:47,180
+المقارنات اللي موجودة ناخد مثال عندي أنا مجموعة
+
+70
+00:05:47,180 --> 00:05:50,540
+واحد واثنين وتلاتة جسدينهم مستوى الكلوستور ال
+
+71
+00:05:50,540 --> 00:05:50,820
+different
+
+72
+00:05:53,680 --> 00:05:58,800
+وبدأ اقارن جروب 1 و جروب 2 و جروب 3 ما مدى الـ
+
+73
+00:05:58,800 --> 00:06:04,400
+difference اللي موجود ما بين التلات مجموعات أول
+
+74
+00:06:04,400 --> 00:06:06,940
+حاجة الـ variable اللي موجودة هي عبارة عن
+
+75
+00:06:06,940 --> 00:06:09,480
+quantitative data اللي هو الكوليسترول و
+
+76
+00:06:09,480 --> 00:06:17,340
+qualitative data اللي هو جروب 1 و 2 و 3 المجموعات
+
+77
+00:06:17,340 --> 00:06:20,840
+لا تعتمد على بعض يعني أنا قصدت كل مجموعة لحال
+
+78
+00:06:20,840 --> 00:06:21,640
+وسجلتها
+
+79
+00:06:24,950 --> 00:06:27,910
+الـ null hypothesis و الـ search hypothesis الـ
+
+80
+00:06:27,910 --> 00:06:31,810
+null hypothesis أو الـ H0 بتقول ال mean بتاع
+
+81
+00:06:31,810 --> 00:06:33,930
+المجموعة الأولى يساوي ال mean بتاع المجموعة
+
+82
+00:06:33,930 --> 00:06:37,010
+التالتة و يساوي ال mean بتاع المجموعة الرابعة و لو
+
+83
+00:06:37,010 --> 00:06:42,290
+كانوا أكتر من هيك من المجموعات بنظل نظيف ال HA ال
+
+84
+00:06:42,290 --> 00:06:45,350
+mean للمجموعة الأولى لا يساوي ال mean للمجموعة
+
+85
+00:06:45,350 --> 00:06:48,670
+التانية لا يساوي ال mean للمجموعة التالتة طب لو
+
+86
+00:06:48,670 --> 00:06:51,930
+كانوا أكتر من تلات مجموعات انت بده قارنهم بضل
+
+87
+00:06:51,930 --> 00:06:56,210
+نماشيبنفس السيناريو اللي موجود فنظر ال hypothesis
+
+88
+00:06:56,210 --> 00:06:58,630
+بتقول أنه statistically significant difference ما
+
+89
+00:06:58,630 --> 00:07:02,010
+بين المجموعات وال alternative hypothesis أو ال
+
+90
+00:07:02,010 --> 00:07:04,110
+research hypothesis بتقول أنه في عندنا
+
+91
+00:07:04,110 --> 00:07:06,650
+statistically significant difference between ال
+
+92
+00:07:06,650 --> 00:07:11,770
+groups فاعتنانا أن في ال table اللي موجودة ال
+
+93
+00:07:11,770 --> 00:07:17,210
+group 1 ال group 2 و ال group 3 قد يكون في اختلاف
+
+94
+00:07:17,210 --> 00:07:21,210
+ما بين المجموعة الأولى والتانيةوالأولى والتالتة
+
+95
+00:07:21,210 --> 00:07:25,410
+بينما مافيش اختلاف بين التانية والتالتة هذا الكلام
+
+96
+00:07:25,410 --> 00:07:29,950
+اللى احنا بنحكيه بنسميه ال post hoc test يبقى ال
+
+97
+00:07:29,950 --> 00:07:32,730
+post hoc test بيحددلي ان ال statistically
+
+98
+00:07:32,730 --> 00:07:36,950
+significant different well موجود بالظبط هل مجموعة
+
+99
+00:07:36,950 --> 00:07:42,690
+A تساوي مجموعة B بينما ال B أكبر من ال C؟هل مجموعة
+
+100
+00:07:42,690 --> 00:07:46,650
+A بتختلف عن الـ B بتختلف عن الـ C؟ هل مجموعة A
+
+101
+00:07:46,650 --> 00:07:50,750
+بتختلف عن الـ B بينما الـ B لا تختلف عن الـ C؟ كل
+
+102
+00:07:50,750 --> 00:07:54,970
+هذا بحدد اختبار اسمه post hoc test يبقى في عندنا
+
+103
+00:07:54,970 --> 00:07:59,790
+في الانوفا في حاجة اسمها overall p-value اللي هي
+
+104
+00:07:59,790 --> 00:08:04,050
+بتقل عن تلت مجموعات ك total مرة واحدة وفي عندنا ال
+
+105
+00:08:04,050 --> 00:08:09,010
+post hoc test p-value ووضح كل مجمعتين لحال يبقى
+
+106
+00:08:09,010 --> 00:08:16,850
+عندنا ناخد مثاللو عندنا تلت طلاب والتلت طلاب هذول
+
+107
+00:08:16,850 --> 00:08:24,710
+معدلهم التواكمي كان الأول 91 والتاني 91 والتالت
+
+108
+00:08:24,710 --> 00:08:30,430
+كان معدله التواكمي 94عندنا لو بدنا نقول الـ 3 طلاب
+
+109
+00:08:30,430 --> 00:08:34,250
+هدول اللي موجودين كلمة واحدة في اختلاف في المعدر
+
+110
+00:08:34,250 --> 00:08:38,690
+ولا فيش هنقول فيه اختلاف هذا كلمة فيه اختلاف ك
+
+111
+00:08:38,690 --> 00:08:43,950
+overall إجمالي بنسميها overall P-value ولكن أنا
+
+112
+00:08:43,950 --> 00:08:48,270
+بدأ أفسر شوية بقول أن الطالب الأول والتاني مافيش
+
+113
+00:08:48,270 --> 00:08:53,610
+بينهم خلاف بينما التالت أبو 94 بيخلف عن الأتنين
+
+114
+00:08:53,610 --> 00:08:58,820
+فهذا بنسميه ال post hoc testفبالتالي عندنا في الـ
+
+115
+00:08:58,820 --> 00:09:01,820
+different اللي بتضاده لما يكون أكتر من المجمعتين
+
+116
+00:09:01,820 --> 00:09:06,780
+في عنا overhaul و في عنا post hoc test different
+
+117
+00:09:06,780 --> 00:09:11,410
+ويستخدم ال post hoc لما يكون عندنافيه different
+
+118
+00:09:11,410 --> 00:09:15,350
+واضح أنه فيه significant ولكن إذا كانوا التلاتة
+
+119
+00:09:15,350 --> 00:09:20,650
+متساويين عند تلات موظفين و هم التلاتة راتبهم 3000
+
+120
+00:09:20,650 --> 00:09:24,210
+شكل و قلت والله التلاتة بيختلفوش مافيش داعي أقعد
+
+121
+00:09:24,210 --> 00:09:27,770
+أفصل أقول الأول زي التاني والأول زي التالت والتاني
+
+122
+00:09:27,770 --> 00:09:32,930
+زي التالتفبالتالي إذا كان عندنا الـ overall قلنا
+
+123
+00:09:32,930 --> 00:09:36,490
+فيه اختلاف فبتطلب مننا أن نذهب و نوضح أين الاختلاف
+
+124
+00:09:36,490 --> 00:09:39,090
+ولكن إذا الـ overall مافيش فيه statistically
+
+125
+00:09:39,090 --> 00:09:42,430
+significant difference مش محتاجين نعمل ال test
+
+126
+00:09:42,430 --> 00:09:46,130
+post hoc لأن بكلمة واحدة بنقول إنه مافيش different
+
+127
+00:09:46,130 --> 00:09:51,150
+أو خلاص ال test post hoc في منه نوعين في منه test
+
+128
+00:09:51,150 --> 00:09:55,750
+panferroni وفي من عندنا test chefe panferroni
+
+129
+00:09:57,400 --> 00:10:00,520
+adjusted للـ P-value أنه بيعملنا تعديل للـ P-value
+
+130
+00:10:00,520 --> 00:10:04,060
+اللي موجودة و بقلل الـ type 1 أو الـ type 2 و كذلك
+
+131
+00:10:04,060 --> 00:10:06,920
+الـ chevier test نفس الحاجة لـ multiple comparison
+
+132
+00:10:06,920 --> 00:10:13,280
+و كمان إذا بدى أعمل على ال T-test كل اتنين مع بعض
+
+133
+00:10:13,280 --> 00:10:18,020
+بيدروح أجسم الخمسة في المية على عدد المقارنات ولكن
+
+134
+00:10:18,020 --> 00:10:21,100
+البانفروني test و chevier test بريحنا من الموضوع
+
+135
+00:10:21,100 --> 00:10:25,500
+هذا هو بيجسمهم لحاله بدنا نشوف المثال السابق اللي
+
+136
+00:10:25,500 --> 00:10:30,340
+اتكلمنا عنهكيف بدنا نعمله على ال SPSS ونقلها
+
+137
+00:10:30,340 --> 00:10:35,720
+المقارنة أول حاجة في ال SPSS بفتح صفحة SPSS ونحاول
+
+138
+00:10:35,720 --> 00:10:38,400
+ندخل عليها الأرقام اللي موجودة أول شي بنجي على
+
+139
+00:10:38,400 --> 00:10:43,520
+file بنقوله new data عملنا صفحة data جديدة وبروح
+
+140
+00:10:43,520 --> 00:10:51,080
+على variable view وبنقوله عنا group وبنيجي
+
+141
+00:10:51,080 --> 00:11:00,230
+هنا بنقوله رقم واحد هي عبارة عن groupone ورقم
+
+142
+00:11:00,230 --> 00:11:05,230
+اتنين هي عبارة عن group اتنين
+
+143
+00:11:05,230 --> 00:11:18,230
+ورقم تلاتة هي عبارة عن group تلاتة ونقول okay هنا
+
+144
+00:11:18,230 --> 00:11:24,430
+بنكتب الكلسترول ومع جبالها في ال label بنكتب كلمة
+
+145
+00:11:24,430 --> 00:11:29,710
+كلسترولوبنكتب ال unit تاعة milligram لكل deciliter
+
+146
+00:11:29,710 --> 00:11:33,050
+وهيك بيكون صاروا عندنا ال two variables اللي
+
+147
+00:11:33,050 --> 00:11:38,010
+موجودين حتى أدخل الأرقام اللي موجودة بنضغط هنا هاي
+
+148
+00:11:38,010 --> 00:11:41,710
+لغروب بيقولي ايش لغروب البنيان بيقولي واحد لو
+
+149
+00:11:41,710 --> 00:11:45,890
+كتبنا هنا واحد واحد واحد واحد هاي صار عندنا خمس
+
+150
+00:11:45,890 --> 00:11:50,230
+مجموعات كاملين وبعدين بروح بنضيف هاي كمان لغروب
+
+151
+00:11:50,230 --> 00:11:56,480
+اتنين والاكم كمان خمس مجموعاتهي عنا تلات مجموعات
+
+152
+00:11:56,480 --> 00:12:01,080
+وهي رقم تلات اللي حاولوا بيقلب هي وظيفة ال coding
+
+153
+00:12:01,080 --> 00:12:05,480
+أنه أنا بدخل الأرقام بكل سهولة بعدين بنجيب الأرقام
+
+154
+00:12:05,480 --> 00:12:12,780
+من الجدول وبنضيفهم أحنا قبل أن نعمل المقارنة تبعت
+
+155
+00:12:12,780 --> 00:12:16,780
+الانهوفا بنقول analyze على compare mean في عندنا
+
+156
+00:12:16,780 --> 00:12:20,400
+هنا one way انهوفا في عندنا ال factor هنا بنقولوا
+
+157
+00:12:20,400 --> 00:12:25,470
+حطلنا ال group في ال factor و جيبولنا كلسترولبدنا
+
+158
+00:12:25,470 --> 00:12:29,730
+descriptive لموضوع الكوليسترول جيبنا المين والمين
+
+159
+00:12:29,730 --> 00:12:34,850
+والستاندر فبنقوله هنا options اعملنا descriptive
+
+160
+00:12:34,850 --> 00:12:38,610
+ولو بدنا ال post hoc test هيفي عندنا ال post hoc
+
+161
+00:12:38,610 --> 00:12:43,070
+test يا بختار عندنا panferroni يا بختار عندنا شي
+
+162
+00:12:43,070 --> 00:12:47,370
+فيه test واحد فيهم هدول اللي أنا بستخدمه وبقوله
+
+163
+00:12:47,370 --> 00:12:51,570
+بعدها continue بستخدم واحد مش اتنين وبقوله okay
+
+164
+00:12:52,740 --> 00:12:56,480
+لحظه هو جاب عندنا في الجدول اللي موجودة عندنا جاب
+
+165
+00:12:56,480 --> 00:13:01,860
+عندنا هاي جدول، جدولين، تلت جدول، هدول التلت جدول
+
+166
+00:13:01,860 --> 00:13:06,500
+اللي هو ال output بتاعة ال ANOVA test الجدول
+
+167
+00:13:06,500 --> 00:13:09,920
+الأول، كل مجموعة، قديش هذا ال sample اللي فيها
+
+168
+00:13:09,920 --> 00:13:13,640
+خمسة، المتوسط الحسابي، ال standard deviation، ال
+
+169
+00:13:13,640 --> 00:13:17,520
+standard error، ال minimum، ال maximumهي عندنا
+
+170
+00:13:17,520 --> 00:13:19,840
+اختبار الانوفا اللي موجود و الـ Significant
+
+171
+00:13:19,840 --> 00:13:23,740
+Difference و هنتكلم عن كل واحد كيف أجى وهي عندنا
+
+172
+00:13:23,740 --> 00:13:27,440
+ال multiple comparison اللي هو البنفروني اللي
+
+173
+00:13:27,440 --> 00:13:34,220
+اتكلمنا عنه سابقًا هي ال output تبع ال SPSSوالـ
+
+174
+00:13:34,220 --> 00:13:38,480
+output هذا بتكون للـ assumption نذكر دائما أن هما
+
+175
+00:13:38,480 --> 00:13:42,120
+عبارة عن quantitative data تلت مجموعات، أكتر من
+
+176
+00:13:42,120 --> 00:13:45,560
+مجموعتين، يعني تلت مجموعات، أربع مجموعات، خمس
+
+177
+00:13:45,560 --> 00:13:49,000
+مجموعات، هتطبق الانوفا independent report وهي ال
+
+178
+00:13:49,000 --> 00:13:53,240
+hypothesis هي الجدول، الجدول الأول هو عبارة عن
+
+179
+00:13:53,240 --> 00:13:56,220
+report أو descriptive، بيجيبلنا قيم الكلستور في كل
+
+180
+00:13:56,220 --> 00:14:00,740
+مجموعةالجدول التاني هو عبارة عن اختبار ANOVA
+
+181
+00:14:00,740 --> 00:14:05,240
+بيجيبلنا sum of square between a group يعني ما بين
+
+182
+00:14:05,240 --> 00:14:09,620
+كل مجموعة والتاني وبعدين بيجيبلنا sum of square
+
+183
+00:14:09,620 --> 00:14:14,920
+within a group اللي هي ما بين قيم الكل سطول في
+
+184
+00:14:14,920 --> 00:14:18,420
+المجموعة الأولى وقيم الكل سطول في المجموعة التانية
+
+185
+00:14:18,420 --> 00:14:21,860
+وقيم الكل سطول في المجموعة التالتة ال degree of
+
+186
+00:14:21,860 --> 00:14:25,500
+freedom between a group التلاتة هدول لما نقص منهم
+
+187
+00:14:25,500 --> 00:14:30,100
+واحدبطلع اتنين degree of freedom بسميها degree of
+
+188
+00:14:30,100 --> 00:14:35,640
+freedom واحد وفي عندنا degree of freedom من الخمس
+
+189
+00:14:35,640 --> 00:14:39,260
+هدول كل واحد بنجس واحد واحد واحد وبجمعهم بيكونوا
+
+190
+00:14:39,260 --> 00:14:44,200
+اربعة واربعة واربعة بيطلعوا اتناش وكأنه في عندنا
+
+191
+00:14:44,200 --> 00:14:47,400
+تنتيجة degree of freedom في الانوفا بخلاف ال T
+
+192
+00:14:47,400 --> 00:14:47,840
+-test
+
+193
+00:14:51,560 --> 00:14:54,640
+وهنا في الانوفا ال degree of freedom الأولى بتكون
+
+194
+00:14:54,640 --> 00:14:59,980
+عدد ال group number of group ناقص واحد والتانية
+
+195
+00:14:59,980 --> 00:15:05,060
+بتكون عبارة عن number of cases أو number of number
+
+196
+00:15:05,060 --> 00:15:11,000
+عرض الأرقام عنده 15 رقم ناقص عرض المجموعات أو باخد
+
+197
+00:15:11,000 --> 00:15:15,760
+كل مجموعة من المجموعات هذه خمس ناقص واحد خمس ناقص
+
+198
+00:15:15,760 --> 00:15:19,660
+واحد خمس ناقص واحد أربع وأربع وأربع بجمعهم بطلعوا
+
+199
+00:15:19,660 --> 00:15:24,270
+معايا 12لو جينا هنا وقلنا sum of square between
+
+200
+00:15:24,270 --> 00:15:32,270
+group جسمناها على 2 الرقم 4716.42 بطلع معنا رقم
+
+201
+00:15:32,270 --> 00:15:38,970
+2358.2 لو قلنا sum of square within group اللي هو
+
+202
+00:15:38,970 --> 00:15:45,110
+1119.6 تقسيم 12 اللي هو degree of freedom within
+
+203
+00:15:45,110 --> 00:15:49,690
+group بطلع معنا 93.3 لو جسمنا ال mean square
+
+204
+00:15:49,690 --> 00:15:54,850
+between groupعلى الـ mean square within a group
+
+205
+00:15:54,850 --> 00:16:05,630
+يعني 2385.2 مكسومة على 93.3 هيطلع معانا 25275
+
+206
+00:16:05,630 --> 00:16:10,970
+من ألف هنأخذ الرقم اللي موجود ونضعه على جدول
+
+207
+00:16:10,970 --> 00:16:15,630
+الانوفا ونطلع قيمة الـ B value وهذا بنسميها
+
+208
+00:16:15,630 --> 00:16:20,550
+overall of B valueالتام الأخير اللي طلع معنا من
+
+209
+00:16:20,550 --> 00:16:24,710
+SPSS هو الـ Post-Hoc Test اللي بيجيب لنا بقارن
+
+210
+00:16:24,710 --> 00:16:27,810
+مجموعة الأولى في التانية وهي قيمة الـ P-Value
+
+211
+00:16:27,810 --> 00:16:30,950
+مجموعة الأولى في التالتة وهي قيمة الـ P-Value
+
+212
+00:16:30,950 --> 00:16:33,930
+المجموعة التانية مع الأولى وهي قيمة الـ P-Value
+
+213
+00:16:33,930 --> 00:16:38,670
+التانية مع التالتة وهي قيمة الـ P-Value والتالتة
+
+214
+00:16:38,670 --> 00:16:42,430
+مع الأولى والتالتة مع التانية لو بدنا نلخص في
+
+215
+00:16:42,430 --> 00:16:45,530
+هدولة نشوف أيش المكور ونشيله بنلاقي الأولى مع
+
+216
+00:16:45,530 --> 00:16:50,150
+التانيةوالأولى مع التالتة لما جينا هنا التانى مع
+
+217
+00:16:50,150 --> 00:16:52,890
+الأولى هي نفسها مكررة فبالتالي هذه كأنها مابدناش
+
+218
+00:16:52,890 --> 00:16:58,810
+هيها طب التانى مع التالتة مش مكررة فبكون عنده
+
+219
+00:16:58,810 --> 00:17:03,350
+واحدة تنتين تلاتة طب التالت مع الأولى هي نفسها
+
+220
+00:17:03,350 --> 00:17:06,390
+الأولى مع التالتة
+
+221
+00:17:08,600 --> 00:17:12,720
+ثم مع التانية هي نفسها التانية مع التالتة فبتطلع
+
+222
+00:17:12,720 --> 00:17:15,780
+نفس القيم فبالتالي بيكون هدولة كلها تلت مقارنات
+
+223
+00:17:15,780 --> 00:17:19,560
+اللي بديها اللي هي الأولى والتانية والرابعة هدول
+
+224
+00:17:19,560 --> 00:17:23,280
+اللي أنا بستخدمهم في الكمبيوتر بيكون خلاص ال
+
+225
+00:17:23,280 --> 00:17:26,240
+schedule بالشكل هذا أنه أنا بجيب ال mean وال
+
+226
+00:17:26,240 --> 00:17:28,400
+standard و ال mean وال standard و ال mean وال
+
+227
+00:17:28,400 --> 00:17:31,840
+standard و الهدف الأساسي من ال ANOVA أنه نقدر
+
+228
+00:17:31,840 --> 00:17:37,000
+نقارن ما بين تلت متوسطات حسابيات وهي قيمة ال F
+
+229
+00:17:37,000 --> 00:17:40,510
+-test أو ال ANOVAوفي الآخر بكتب الـ overall P
+
+230
+00:17:40,510 --> 00:17:44,910
+value اللي كانت موجودة هيها هنا وبكتب قيمة ال F
+
+231
+00:17:44,910 --> 00:17:49,170
+test اللي كانت موجودة عند هيها كمان موجودة بكتبها
+
+232
+00:17:49,170 --> 00:17:53,270
+وباخد القيم اللي موجودة جروب واحد مع اتنين وجروب
+
+233
+00:17:53,270 --> 00:17:57,270
+واحد مع تلاتة وجروب اتنين مع تلاتة اللي هي القيم
+
+234
+00:17:57,270 --> 00:18:02,310
+اللي كانت موجودة واحد واتنين واربعة وبضيفهم في
+
+235
+00:18:02,310 --> 00:18:07,230
+الجدولوبعدين بنعمل عندنا مقارنة أو comment بنقول
+
+236
+00:18:07,230 --> 00:18:10,170
+إن في عندنا significant difference ما بين التلات
+
+237
+00:18:10,170 --> 00:18:13,930
+مجموعات بنقول there are significant different from
+
+238
+00:18:13,930 --> 00:18:16,770
+each other يعني حتى كل واحدة في significant
+
+239
+00:18:16,770 --> 00:18:21,110
+different عن التانية وهذا بيكون شكل الجدول في
+
+240
+00:18:21,110 --> 00:18:25,910
+البحث اللي موجود عندنا أو البحث اللي احنا بنعمله و
+
+241
+00:18:25,910 --> 00:18:32,120
+بنقدمه كدراسة أو بنقدمه في مؤتمرهيعنى جدول كيبن
+
+242
+00:18:32,120 --> 00:18:35,560
+يعملنا جدول هدا كريتيك ونشوف الأخطار اللى موجودة
+
+243
+00:18:35,560 --> 00:18:39,080
+فيه أول حاجة عند case of control و الباحث مستخدم
+
+244
+00:18:39,080 --> 00:18:46,920
+ال F هو يفضل أو أصح أن يستخدم ال T فبالتالي بنقول
+
+245
+00:18:46,920 --> 00:18:52,720
+أن أول حاجة الاختبار الأحصائي هذا بده مراجعة هنا
+
+246
+00:18:52,720 --> 00:18:58,340
+مكتوب أن ال P value significant at عند واحد من مية
+
+247
+00:18:59,150 --> 00:19:04,170
+وهنا عند 5 من 100 فبننوحد الأثنين اللي موجودين
+
+248
+00:19:04,170 --> 00:19:10,470
+باللاحظ هنا مكتوب أن ال mean وال dispersion اللي
+
+249
+00:19:10,470 --> 00:19:13,590
+موجود هو ال standard أخر والصح ندرسنا أن ال mean
+
+250
+00:19:13,590 --> 00:19:16,570
+بتيجي معاهالـ standard دي فيه أجر مش الـ standard
+
+251
+00:19:16,570 --> 00:19:20,570
+أخر فهذه كمان بدها تعديل هذا بدل الـ F قولنا
+
+252
+00:19:20,570 --> 00:19:25,290
+بنعدّلها لـ T وبنلاحظ أن القمتين متساويتين ولكن
+
+253
+00:19:25,290 --> 00:19:28,950
+قيم الـ P value بتختلف وفيش قيمة P value أعلى من
+
+254
+00:19:28,950 --> 00:19:33,550
+واحد فبالتالي بتكون قيمة الـ P value بدها كمان
+
+255
+00:19:33,550 --> 00:19:39,690
+تعديلوبدها تعديل على الرقم اللي موجود ولو لاحظنا
+
+256
+00:19:39,690 --> 00:19:43,250
+أن الـdifference اللي موجود ما بين المتوسطات مش هو
+
+257
+00:19:43,250 --> 00:19:46,390
+نفس الـdifference، فبالتالي كمان الكلمة هذه بدها
+
+258
+00:19:46,390 --> 00:19:51,770
+مراجعة وبدها تعديل فبنوصل الباحث أن يعيد الأرقام
+
+259
+00:19:51,770 --> 00:19:56,830
+تاني ويركز وهو بيكتب فيهم على أساس مايكونش فيهم أي
+
+260
+00:19:56,830 --> 00:20:02,670
+أراضي التدوير اللي بعدين قالنا أن في عندنا sample
+
+261
+00:20:02,670 --> 00:20:07,410
+201 100 case 100 controlوقلنا بدنا نشوف الـ
+
+262
+00:20:07,410 --> 00:20:10,170
+difference اللي موجود ولقينا الباحث كاتب الجدول
+
+263
+00:20:10,170 --> 00:20:15,270
+هذا ولمّا طلعنا في الجدول هذا لاحظنا انه كاتب تحت
+
+264
+00:20:15,270 --> 00:20:19,590
+dependent t-test والاصل ان يكون الاختبار هو ايش؟
+
+265
+00:20:19,590 --> 00:20:22,410
+independent t-test لأن الـ dependent بيكون pre و
+
+266
+00:20:22,410 --> 00:20:26,810
+post ولكن هو كاتب dependent t-test والاصل يكون هو
+
+267
+00:20:26,810 --> 00:20:30,770
+independent t-test باللاحظ كمان ان قيمة الـ P
+
+268
+00:20:30,770 --> 00:20:36,780
+value اللي موجودة لما نربطها مع الـ Tالـ T قلنا
+
+269
+00:20:36,780 --> 00:20:40,740
+لما خدنا الـ mean زاد او ناقص اتنين standard
+
+270
+00:20:40,740 --> 00:20:45,020
+deviation والـ T أعلى من اتنين بتكون significant
+
+271
+00:20:45,020 --> 00:20:48,520
+ولأن الـ T لما بتكون اعلى من اتنين بتكون عندنا
+
+272
+00:20:48,520 --> 00:20:53,160
+قيمة الـ P value significant فبالتالي
+
+273
+00:20:53,160 --> 00:20:59,010
+الـ T اللي موجودة 17ولمّا نيجي نربطها بالـ P-value
+
+274
+00:20:59,010 --> 00:21:02,430
+فبتطلع الـ T هذه بدها تعديل أو الـ P-value بدها
+
+275
+00:21:02,430 --> 00:21:05,970
+تعديل فبنقول راجعهم لأن هنا عندنا الـ standard
+
+276
+00:21:05,970 --> 00:21:09,610
+differs بين الأثنين الصغيرة والمينة الكبيرة
+
+277
+00:21:09,610 --> 00:21:13,690
+فالمفترض أن تكون فيه اختلاف يُعزى إلى دلالة
+
+278
+00:21:13,690 --> 00:21:16,950
+أحصائية أو there are statistically significant
+
+279
+00:21:16,950 --> 00:21:25,080
+found والمفترض أن قيمة الـ P-value أقل من 5من 100
+
+280
+00:21:25,080 --> 00:21:31,240
+اللي هي الـ Type 1 error لـ Critique للانهوفا هي
+
+281
+00:21:31,240 --> 00:21:33,300
+عندنا جدولة الانهوفا بدنا نشوف ايش الأخطاء اللي
+
+282
+00:21:33,300 --> 00:21:37,100
+موجودة فيه أول حاجة بدنا نقول أنك تكتب هنا الان
+
+283
+00:21:37,100 --> 00:21:41,100
+تساوي كذا يعني كل ان قداش تساوي أو number of group
+
+284
+00:21:41,100 --> 00:21:45,080
+الحاجة التانية بدك تضيف ال post hoc test ل
+
+285
+00:21:45,080 --> 00:21:49,290
+TigerSideقلنا قانوني أن الـ post hoc test لما تكون
+
+286
+00:21:49,290 --> 00:21:55,130
+الـ overall significant أقل من 5% بدنا نضيف كل
+
+287
+00:21:55,130 --> 00:21:58,730
+قيمة زي ما في الجدول اللي علم أنه قيمة group 1 مع
+
+288
+00:21:58,730 --> 00:22:02,910
+2 و group 1 مع 3 و group 2 مع 3 يعني نفس حد مقانة
+
+289
+00:22:02,910 --> 00:22:09,530
+و لو كانت هذه not significant مافيش داعي أن نعمل
+
+290
+00:22:09,530 --> 00:22:16,020
+post hoc test ولكن أنا بلاحظ أن قيمة الـ F عاليةأو
+
+291
+00:22:16,020 --> 00:22:18,420
+قيمة الانوفا أعلى من الأثنين اللي كانوا
+
+292
+00:22:18,420 --> 00:22:22,200
+significant أصلاً فيكون الرقم هذا هو الخطأ وهو هذا
+
+293
+00:22:22,200 --> 00:22:25,940
+الرقم اللي بده تعديل اللي هو قيمة ال overall في
+
+294
+00:22:25,940 --> 00:22:31,560
+value ممكن تكون هنا 002 بدل 7 يكون بالخطأ كتبها
+
+295
+00:22:31,560 --> 00:22:34,940
+فهي بتكون هنا significant لأن قيمة ال F بتكون
+
+296
+00:22:34,940 --> 00:22:39,360
+عندنا عالية وقيمة تقولنا قيمة T أعلى من 2 بتكون
+
+297
+00:22:39,360 --> 00:22:43,290
+significant لما تكون sample size كبيرةوقيمة الـ
+
+298
+00:22:43,290 --> 00:22:46,650
+Chi لما تكون two by two اتنين في اتنين اعلى من
+
+299
+00:22:46,650 --> 00:22:49,870
+تلاتة وتمانين بتكون significant وقيمة ال F-test
+
+300
+00:22:49,870 --> 00:22:59,030
+كمان بتكون اعلى من اربعة بتكون significant وهيك
+
+301
+00:22:59,030 --> 00:23:03,210
+بنكون خلصنا اختبار الانوفا وكمان ضمننا فيه ال
+
+302
+00:23:03,210 --> 00:23:09,210
+critique لل T-test نيجي على اختبار الرابع اللي هما
+
+303
+00:23:09,210 --> 00:23:12,790
+يكون ال two variable ال quantitative variableيجب
+
+304
+00:23:12,790 --> 00:23:17,330
+ان اقارن اتنين و اتنين quantitative variables زي
+
+305
+00:23:17,330 --> 00:23:21,730
+الـ age و ال weight زي ال age و ال body mass index
+
+306
+00:23:21,730 --> 00:23:29,610
+الاتنين رقميات زي اليوريا و الكرياتينين و بدي اجيس
+
+307
+00:23:29,610 --> 00:23:32,810
+العلاقة اللي موجودة و ال association اللي موجود ما
+
+308
+00:23:32,810 --> 00:23:35,550
+بين اليوريا و الكرياتينين الاتنين quantitative
+
+309
+00:23:35,550 --> 00:23:39,830
+variable و الاتنين ال هم ينات هذا الاختبار اسمه
+
+310
+00:23:39,830 --> 00:23:43,650
+correlation testاختبار الأرتباط الـ two variable
+
+311
+00:23:43,650 --> 00:23:47,190
+quantitative أو الـ numerical data بيكونوا موجودين
+
+312
+00:23:47,190 --> 00:23:50,790
+كنا زمان ندرس في مراحل الدراسة الأولى أنه في عندنا
+
+313
+00:23:50,790 --> 00:23:54,670
+ارتباط طاضي وارتباط عكسي هذا هو ال correlation لما
+
+314
+00:23:54,670 --> 00:23:57,610
+بيكون عندنا positive correlation بنسميه ارتباط
+
+315
+00:23:57,610 --> 00:24:02,430
+طاضي كل ما زالت X بزيد معاها Y وكل ما زالت Y بزيد
+
+316
+00:24:02,430 --> 00:24:06,960
+معاها Xفي عندنا ارتباط عكسي الـ Negative
+
+317
+00:24:06,960 --> 00:24:11,500
+Correlation كل ما زالت X بتقل Y وكل ما جلت Y بتزيد
+
+318
+00:24:11,500 --> 00:24:16,220
+X في عندنا No Correlation كل واحدة بيزيد و بتقل
+
+319
+00:24:16,220 --> 00:24:20,120
+عكيفها مش وابتات في بعض ممكن X يزيد و Y تظهر
+
+320
+00:24:20,120 --> 00:24:23,520
+كونستانت و ممكن Y يزيد و X تظهر كونستانت بنقول
+
+321
+00:24:23,520 --> 00:24:28,080
+عنها No Correlationالجرافي اللي موجود بلخص ال
+
+322
+00:24:28,080 --> 00:24:31,020
+correlation هي عندنا positive correlation الاتنين
+
+323
+00:24:31,020 --> 00:24:33,740
+بيزيدوا مع بعض هي negative correlation واحد بيزيد
+
+324
+00:24:33,740 --> 00:24:38,340
+و واحد بنقص وهي عندنا no correlation اللي هو قيمة
+
+325
+00:24:38,340 --> 00:24:42,800
+ال correlation يساوي 0 دائما بنلاحظ أن العلاقة
+
+326
+00:24:42,800 --> 00:24:45,420
+اللي موجودة هي تكون ما بين independent و
+
+327
+00:24:45,420 --> 00:24:48,620
+independent variableدائما اللي بيكون موجود على
+
+328
+00:24:48,620 --> 00:24:52,700
+محور X هو بيكون independent variable واللي موجود
+
+329
+00:24:52,700 --> 00:24:57,060
+على محور Y هو dependent variable في العلاقة أو في
+
+330
+00:24:57,060 --> 00:25:00,120
+ال scatter plot وقلنا ال scatter plot لما أخدنا
+
+331
+00:25:00,120 --> 00:25:05,020
+أنواع لجراف هي تمثل ال quantitative data ونوع من
+
+332
+00:25:05,020 --> 00:25:09,080
+أنواع الجراف تاعة quantitative data ال correlation
+
+333
+00:25:09,080 --> 00:25:11,580
+coefficient هو بجيس العلاقة أو trajectory relation
+
+334
+00:25:11,580 --> 00:25:15,920
+ما بين two quantitative variable أو two numerical
+
+335
+00:25:15,920 --> 00:25:21,010
+variableالـ Range تبعه بيكون من موجب واحد لسالب
+
+336
+00:25:21,010 --> 00:25:25,490
+واحد فبيكون الـ Range من سالب واحد لموجب واحد هو
+
+337
+00:25:25,490 --> 00:25:27,970
+Range تبع ال correlation أو correlation
+
+338
+00:25:27,970 --> 00:25:31,450
+coefficient لما بيكون الإشارة موجب يبقى positive
+
+339
+00:25:31,450 --> 00:25:34,830
+correlation و لما بتكون الإشارة سالب بيكون
+
+340
+00:25:34,830 --> 00:25:38,650
+negative correlation أو اعتبار برضي بزيد X و بتقل
+
+341
+00:25:38,650 --> 00:25:43,390
+Y أو العكس ولما بتكون موجب بتكون X بزيد و Y بزيد
+
+342
+00:25:43,390 --> 00:25:48,350
+معها أو بتنقص X و Y بتنقص معهاالـ Assumption بتاعة
+
+343
+00:25:48,350 --> 00:25:51,670
+الـ Correlation أنه two variable quantitative أو
+
+344
+00:25:51,670 --> 00:25:55,990
+numerical بجيس العلاقة الخطية اللي موجودة ويفضل
+
+345
+00:25:55,990 --> 00:26:02,370
+مايكونش أي outlier value ال hypothesis بتاعة ال
+
+346
+00:26:02,370 --> 00:26:05,230
+correlation لما بتكون قيمة ال correlation تساوي
+
+347
+00:26:05,230 --> 00:26:08,810
+zero يبقى no correlation ووضحناها في الرسم السابق
+
+348
+00:26:08,810 --> 00:26:13,880
+اللي هي هذهولمّا بيكون عندنا لا تساوي Zero بيكون
+
+349
+00:26:13,880 --> 00:26:18,700
+في عندنا Correlation وهذا هي الـHA والـH0 الـHA
+
+350
+00:26:18,700 --> 00:26:23,780
+بتكون عندنا لا يساوي دائمًا قلنا والـH0 يساوي
+
+351
+00:26:23,780 --> 00:26:29,720
+يساوي Zero يبقى No Correlation عندنا في الارتباط
+
+352
+00:26:29,720 --> 00:26:32,760
+أو اختبار الـCorrelation الرسمة اللي بدها تكون
+
+353
+00:26:32,760 --> 00:26:36,040
+موجودة في البحث بدها تكون بالشكل هذا قيمة
+
+354
+00:26:36,040 --> 00:26:40,620
+الـPerson Correlation أو الـA القيمة الـP Valueلو
+
+355
+00:26:40,620 --> 00:26:42,980
+بدأت أجيب على العلاقة ما بين الـ «microalbumin
+
+356
+00:26:42,980 --> 00:26:47,300
+-creatinine ratio» و «Glucose» هذا الـ «unit» و
+
+357
+00:26:47,300 --> 00:26:50,640
+هذا الـ «unit» معناه بأنه بيدا استخدم اختبار R و
+
+358
+00:26:50,640 --> 00:26:53,060
+الـ «Urea» و الـ «creatinine» و الـ «cholestrol» و
+
+359
+00:26:53,060 --> 00:26:55,320
+الـ «triglyceride» و الـ «RCDL» و الـ «LDL» مع الـ
+
+360
+00:26:55,320 --> 00:26:58,640
+«microalbumin» و الـ «Urea» بيدا استخدم لهم اختبار
+
+361
+00:26:58,640 --> 00:27:03,690
+Rطريقة الـ comment على الـ table اللي أمامنا وبقول
+
+362
+00:27:03,690 --> 00:27:07,750
+there was significant positive correlation between
+
+363
+00:27:07,750 --> 00:27:11,430
+microalbumin creatinine ratio and الـ positive
+
+364
+00:27:11,430 --> 00:27:14,290
+significant اللي الـ B value فيها أقل من خمس من
+
+365
+00:27:14,290 --> 00:27:19,590
+مائة اللي هي الجليكوز و الكلسترول و التيرستريد و
+
+366
+00:27:19,590 --> 00:27:24,950
+ال LDL بينماThere was negative significant
+
+367
+00:27:24,950 --> 00:27:27,870
+correlation between microalbumin creatinine ratio
+
+368
+00:27:27,870 --> 00:27:34,150
+and وبنشوف مين الـ negative اللي هي الـ HDL وفي
+
+369
+00:27:34,150 --> 00:27:38,830
+عندنا التنتين هدول اللي يُدعوا كreatinine هدولة
+
+370
+00:27:38,830 --> 00:27:42,790
+not statistically significant مافيش علاقة بينهم
+
+371
+00:27:42,790 --> 00:27:47,920
+لأنهم أعلى من 5%بنقول no correlation between
+
+372
+00:27:47,920 --> 00:27:51,360
+microalbumin creatinine ratio and urea
+
+373
+00:27:51,360 --> 00:27:56,440
+والكرياتينين وهي ال comment اللي اتكلمنا عنه قبل
+
+374
+00:27:56,440 --> 00:28:01,460
+شوية يبقى significant to insignificant بتحددها
+
+375
+00:28:01,460 --> 00:28:04,880
+قيمة ال P valueالـ positive والـ negative بتحددها
+
+376
+00:28:04,880 --> 00:28:08,340
+قيمة الـ person correlation اللي موجودة إذا كان في
+
+377
+00:28:08,340 --> 00:28:10,860
+هنا positive بنقول positive وإذا كان فيه negative
+
+378
+00:28:10,860 --> 00:28:13,900
+بنقول negative بشرط لما أقول positive و negative
+
+379
+00:28:13,900 --> 00:28:18,940
+إنها تكون هذه significant أقل من خمسة من مية وإذا
+
+380
+00:28:18,940 --> 00:28:21,940
+كانت أعلى من خمسة من مية بنقول مباشرة no
+
+381
+00:28:21,940 --> 00:28:26,580
+correlation بغض النظر عن قيمة الإشارة اللي موجودة
+
+382
+00:28:26,580 --> 00:28:32,400
+لو هالغراف اللي موجود هذا بدنا نعلق عليهنطلع
+
+383
+00:28:32,400 --> 00:28:35,860
+مباشرة على الـ P-Value Significant وهي عندنا قيمة
+
+384
+00:28:35,860 --> 00:28:40,680
+الـ R وبنقول هي الـ Hepcidin اللي موجود عندنا وهي
+
+385
+00:28:40,680 --> 00:28:43,240
+الـ Serum Iron وبنقول Significant Positive
+
+386
+00:28:43,240 --> 00:28:46,460
+Correlation between Hepcidin Hormone and Serum
+
+387
+00:28:46,460 --> 00:28:52,600
+Iron بناء على قيمة R اللي هي positive وقيمة Sig
+
+388
+00:28:52,600 --> 00:28:56,600
+اللي هي أقل من 5%لو في الـ Graph هذه اللي موجود
+
+389
+00:28:56,600 --> 00:28:59,720
+نطلع الـ Dependent والـ Independent نقول في الرسم
+
+390
+00:28:59,720 --> 00:29:03,600
+اللي قبل أنه قانون هي الـ Independent بتكون على
+
+391
+00:29:03,600 --> 00:29:06,920
+الـ X والـ Dependent بتكون على الـ Y فبتكون هنا
+
+392
+00:29:06,920 --> 00:29:09,880
+الـ Hepcidin هي الـ Independent والـ Serum Iron
+
+393
+00:29:09,880 --> 00:29:16,740
+بتكون الـ Dependent variable لو بنعمل critique للـ
+
+394
+00:29:16,740 --> 00:29:22,240
+Correlation أو جدور الـ Correlation بنطلع فيه أول
+
+395
+00:29:22,240 --> 00:29:26,050
+حاجة في جدور الـ Correlation اللي موجودهنا لو
+
+396
+00:29:26,050 --> 00:29:29,490
+طلعنا في الأرقام اللي موجودة بنلاقي ان الكرياتينين
+
+397
+00:29:29,490 --> 00:29:33,270
+قيمته zero يبقى فش correlation طب كيف طلع ال
+
+398
+00:29:33,270 --> 00:29:37,130
+significant؟ وهي فش correlation أصلا فهذا أول خطأ
+
+399
+00:29:37,130 --> 00:29:40,830
+بيكون موجود تاني حاجة قيمة ال correlation درسناها
+
+400
+00:29:40,830 --> 00:29:44,730
+قبل شوية بتكون من سالب واحد لواحد وهنا أعلى من
+
+401
+00:29:44,730 --> 00:29:50,890
+واحد قيمة ال R فبالتالي بتكون كمان هذه غلط قلنا أن
+
+402
+00:29:50,890 --> 00:29:54,950
+هنا موجود ال gender male و femaleوجايب لهم
+
+403
+00:29:54,950 --> 00:29:59,470
+correlation وهذه عبارة عن qualitative data وهو يجب
+
+404
+00:29:59,470 --> 00:30:03,850
+أن تكون quantitative data وال gender عبارة عن
+
+405
+00:30:03,850 --> 00:30:08,730
+qualitative فبالتالي ما بنفع نطبق اختبار ال
+
+406
+00:30:08,730 --> 00:30:12,510
+correlation ما بين ال gender and microalbuminuria
+
+407
+00:30:12,510 --> 00:30:16,210
+هذا بنفعل اختبار ال test مش ال correlation لأن
+
+408
+00:30:16,210 --> 00:30:21,310
+عندي male و female two groupوهي qualitative وهي
+
+409
+00:30:21,310 --> 00:30:24,730
+quantitative فبكون ال test هذا مابنفع ان نعمله
+
+410
+00:30:24,730 --> 00:30:29,410
+اختبار correlation فما بنفع نعمله اختبار
+
+411
+00:30:29,410 --> 00:30:32,670
+correlation في هذا الخط كله بده ينشال فما بنفعش
+
+412
+00:30:32,670 --> 00:30:36,970
+يكون موجود في الاختبار الاحصائي اللي أمامنا فعندنا
+
+413
+00:30:36,970 --> 00:30:42,170
+هذا بنشال وهذا رقم بتعدل وهذا رقم كمان بتعدل وهكذا
+
+414
+00:30:42,170 --> 00:30:45,270
+نكون خلصنا اختبار correlation مع ال critique تبعه
+
+415
+00:30:45,270 --> 00:30:49,390
+كيف نطلع في ال table ونطلع الأخطاء اللي موجودة فيه
+
+416
+00:30:50,480 --> 00:30:55,180
+وبظهر لنا آخر شيء أننا كيف نعمل الـ correlation
+
+417
+00:30:55,180 --> 00:31:02,600
+على ال SPSS هاي عندنا ال data بنيجي على analyze
+
+418
+00:31:02,600 --> 00:31:08,360
+بنيجي على correlation بنختار في correlation
+
+419
+00:31:08,360 --> 00:31:12,820
+bivariate وبنقول اللي بدنا العلاقة بيقولنا وين ال
+
+420
+00:31:12,820 --> 00:31:16,620
+qualitative variable اللي بدك إياها أول شي بنضيف
+
+421
+00:31:16,620 --> 00:31:20,420
+عندنا ال microalbumin creatinine ratioبعدين بنضيف
+
+422
+00:31:20,420 --> 00:31:23,460
+الـ variable اللي احنا بدنا نعمله معاهم
+
+423
+00:31:23,460 --> 00:31:29,220
+correlation بنضيف الجليكوز، اليوريا، الكرياتينين،
+
+424
+00:31:29,220 --> 00:31:39,940
+كلسترول، تيجاسايد والـ HDL والـ LDL في
+
+425
+00:31:39,940 --> 00:31:43,820
+عندنا خاصية ان انا بقدر اضيفه مرة واحدة ان انا
+
+426
+00:31:43,820 --> 00:31:48,780
+باجي عنده جليكوزوبأجي عند آخر واحد بضغط على shift
+
+427
+00:31:48,780 --> 00:31:53,200
+و بضل ضغط و أنا ضغط على shift بضغط على آخر واحد
+
+428
+00:31:53,200 --> 00:31:56,720
+اللي هي ال LDL بتعلمه كلهم و بنضغفهم مرة واحدة هنا
+
+429
+00:31:56,720 --> 00:32:00,100
+بقول له ال person correlation موجودة ع ال two tail
+
+430
+00:32:00,100 --> 00:32:03,920
+وإذا في significant حطلي عليه نجم يعني عساس وضحها
+
+431
+00:32:03,920 --> 00:32:06,300
+هنا بحط نجم و هنا بحطش نجم علي ال significant
+
+432
+00:32:06,300 --> 00:32:11,380
+ونقول له okay حيو جاب عندنا قيمة ال correlation
+
+433
+00:32:11,380 --> 00:32:17,710
+لهم ولكن بشكلاللي موجودة احنا بترمنا هي قيمة الـ
+
+434
+00:32:17,710 --> 00:32:20,830
+Pearson Correlation وهي قيمة الـ Sig وهي قيمة الـ
+
+435
+00:32:20,830 --> 00:32:23,550
+Pearson Correlation وهي قيمة الـ Sig وهي قيمة
+
+436
+00:32:23,550 --> 00:32:26,690
+الأشياء اللي كانت موجودة للألبوم الكرياثني ال
+
+437
+00:32:26,690 --> 00:32:32,450
+ratio ولو بدنا نجيبهم بشكل عمودي يكونوا هدول جايات
+
+438
+00:32:32,450 --> 00:32:37,450
+بالطول مع اننا نضغط double click ونروح لحاجة اسمها
+
+439
+00:32:37,450 --> 00:32:44,980
+by footing table ونسحب ال statistic سحبونضيفها
+
+440
+00:32:44,980 --> 00:32:49,480
+ونقول له okay هاي أجوا عندنا ratio microalbum
+
+441
+00:32:49,480 --> 00:32:53,420
+كرياطينين وهي عندنا ال Sig أو ال B value و ال
+
+442
+00:32:53,420 --> 00:32:56,900
+Pearson correlation وهي جدول أجه مرتبة أقدر أخده ك
+
+443
+00:32:56,900 --> 00:33:02,460
+copy & paste ووديه على صفحة ال word وأكمل بحثي
+
+444
+00:33:02,460 --> 00:33:06,700
+وهكذا خلصنا اختبار ال correlation من ناحية شرحه من
+
+445
+00:33:06,700 --> 00:33:11,140
+ناحية تطبيقه على ال SPSS نستكفي بهذا القرار في هذه
+
+446
+00:33:11,140 --> 00:33:16,180
+المحاضرةونتمنى لكم التوفيق والسلام عليكم ورحمة
+
+447
+00:33:16,180 --> 00:33:17,500
+الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e65779129deefc3a62feec1dfc4e3b2b298b38ce
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4.srt
@@ -0,0 +1,1507 @@
+1
+00:00:00,660 --> 00:00:04,360
+بسم الله الرحمن الرحيم سنتكلم إن شاء الله سويا على
+
+2
+00:00:04,360 --> 00:00:10,040
+chapter 2 أو ما يسمى literature review هو الذي هو
+
+3
+00:00:10,040 --> 00:00:13,980
+فيه بيكون related study، الجزئية المهمة التي هي
+
+4
+00:00:13,980 --> 00:00:17,860
+ستكون محور حديثنا. أحيانا بعض المشرفين يطلبون الـ
+
+5
+00:00:17,860 --> 00:00:22,740
+chapter الثاني يكون مكتملًا.  ماذا تقصد بكلمة مكتمل؟
+
+6
+00:00:22,740 --> 00:00:31,710
+يعني يكون فيه كل تفاصيل الـ title، يكون مكتوبًا الـ
+
+7
+00:00:31,710 --> 00:00:38,250
+type 2 diabetes بأنواعه، تعريفه في سطرين،
+
+8
+00:00:38,250 --> 00:00:43,390
+تصنيفاته، الـ classification في نص صفحة. بتكون في
+
+9
+00:00:43,390 --> 00:00:45,930
+researcher review.  احنا حاليًا نحكي في chapter 2.
+
+10
+00:00:45,930 --> 00:00:50,210
+بعض المشرفين يطلبون أن يكون more details، يعني
+
+11
+00:00:50,210 --> 00:00:54,070
+تفاصيل أكثر في chapter 2، المشرف يطلبه.
+
+12
+00:00:54,070 --> 00:00:58,750
+أحيانًا يصل إلى 15 صفحة. طيب، ماذا يطلبه في الـ
+
+13
+00:00:58,750 --> 00:01:03,890
+proposal؟ لأنه في الـ thesis أو في البحث النهائي،
+
+14
+00:01:03,890 --> 00:01:06,550
+الـ search and review، يجب أن يكون على الأقل من 15 إلى 20
+
+15
+00:01:06,550 --> 00:01:10,490
+صفحة. فالمشرف يطلب من الطالب من البداية أن يُجهزه
+
+16
+00:01:10,490 --> 00:01:18,110
+حتى يرتاح الطالب فيما بعد. طيب، ماذا يكتب فيه؟ يكتب
+
+17
+00:01:18,110 --> 00:01:22,070
+فيه تعريف الـ type 2، لأن تعريف الـ type 2 يجي قبله
+
+18
+00:01:22,070 --> 00:01:24,590
+learn how to write a fiction. يكتب فيه الـ
+
+19
+00:01:24,590 --> 00:01:29,370
+classification، تصنيفاته. هذا بياخد تقريبًا صفحة.
+
+20
+00:01:29,370 --> 00:01:34,150
+طيب، وبعد ذلك يمسك الـ prevalence، الـ prevalence
+
+21
+00:01:34,150 --> 00:01:39,770
+(كتبناها قبل قليل 7.3%)، واكتفينا. ولكن يذهبون
+
+22
+00:01:39,770 --> 00:01:44,090
+ويضعون prevalence of type 2 diabetes عنوانًا في صفحة،
+
+23
+00:01:44,090 --> 00:01:48,270
+ويقول:  الـ prevalence في الـ United States كانت
+
+24
+00:01:48,270 --> 00:01:52,310
+كذا، وهي الـ articles التي قالت ذلك، والـ prevalence في
+
+25
+00:01:52,310 --> 00:01:57,440
+مصر كانت كذا، والـ prevalence في ألمانيا كانت كذا.
+
+26
+00:01:57,440 --> 00:02:01,340
+فيصبح يحكي عن كل دولة بتفاصيلها، الـ prevalence فيها.
+
+27
+00:02:01,340 --> 00:02:05,960
+فكل دولة تكون في title منشور، و يأخذ هذا الـ title
+
+28
+00:02:05,960 --> 00:02:09,760
+الموجود ويكتب صفحة خاصة بالـ prevalence، بعدين
+
+29
+00:02:09,760 --> 00:02:12,980
+يذهب إلى risk factor. قبل قليل، لما حكينا عن الـ type
+
+30
+00:02:12,980 --> 00:02:16,840
+2 diabetes، الـ risk factor كتبناها مرة بسرعة،
+
+31
+00:02:16,840 --> 00:02:19,500
+وقلنا فيه منها micro وفيه منها macro، cardiovascular
+
+32
+00:02:19,500 --> 00:02:22,900
+disease، واكتفينا في الـ introduction. شيء ممتاز،
+
+33
+00:02:22,900 --> 00:02:26,550
+وجميل. الـ risk factor بتكون أيضًا في صفحة.  Out in
+
+34
+00:02:26,550 --> 00:02:30,910
+ثاني، نقول: risk factor، أولًا الـ micro، الـ
+
+35
+00:02:30,910 --> 00:02:34,490
+microvascular، نكتب فيها كل الأشياء المتعلقة في
+
+36
+00:02:34,490 --> 00:02:37,870
+صفحة، ونذهب لنقول على الـ microvascular أيضًا صفحة
+
+37
+00:02:37,870 --> 00:02:42,730
+ثانية. فبتكون الـ risk موجود بزيادة. نوضح المثال ثانيًا.
+
+38
+00:02:42,730 --> 00:02:49,210
+الـ complication أو لما نقول pathogenesis أو أي
+
+39
+00:02:49,210 --> 00:02:53,470
+شغل، نأخذ مثال على الـ risk factor لـ lung
+
+40
+00:02:53,470 --> 00:03:00,050
+cancer. أولًا، الـ smoking. فأكتب risk factor of
+
+41
+00:03:00,050 --> 00:03:05,090
+lung cancer أو lung cancer risk factor في صفحة،
+
+42
+00:03:05,090 --> 00:03:09,490
+وبعد ذلك أقول رقم 1: smoking، وأشرح لماذا smoking
+
+43
+00:03:09,490 --> 00:03:14,250
+يسبب lung cancer. بعد ذلك، الشيء الثاني، استنشاق
+
+44
+00:03:14,250 --> 00:03:20,390
+الغازات. أذهب وأكتب أيضًا صفحة. فيصبح كل risk مكتوب
+
+45
+00:03:20,390 --> 00:03:24,250
+عليها صفحة. هذا يزيد من chapter الثاني تبع
+
+46
+00:03:24,250 --> 00:03:28,210
+literature review.  فهنا أخذنا chapter 2، راح كتب
+
+47
+00:03:28,210 --> 00:03:30,370
+عن الـ definition، ولاحظ أنه كتب عن الـ
+
+48
+00:03:30,370 --> 00:03:35,330
+definition تقريبًا فقرة كاملة. بعد ذلك، كتب الـ type 2
+
+49
+00:03:35,330 --> 00:03:39,010
+diabetes أو type diabetes.  فيه type 1، وكتب
+
+50
+00:03:39,010 --> 00:03:42,610
+عليها فقرة كاملة من الـ American Diabetic
+
+51
+00:03:42,610 --> 00:03:46,980
+Association في 2012. بعد ذلك، عن الـ type 2، بعدين
+
+52
+00:03:46,980 --> 00:03:50,180
+Gestational Diabetes، وظلوا ماشيين على كل أنواع
+
+53
+00:03:50,180 --> 00:03:53,040
+الـ diabetes. بعد ذلك، أخذ type 2 diabetes، وكتب عن الـ
+
+54
+00:03:53,040 --> 00:03:56,960
+metabolism الخاصة به، وظللنا ماشيين. تقريبًا كتب له
+
+55
+00:03:56,960 --> 00:04:00,040
+صفحتين أو ثلاث. بعد ذلك، كتب prevalence and
+
+56
+00:04:00,040 --> 00:04:04,120
+mortality rate of type 2 diabetes. كتب عن الـ
+
+57
+00:04:04,120 --> 00:04:07,240
+prevalence، كما نرى، أيضًا صفحة.  ثم ذهب
+
+58
+00:04:07,240 --> 00:04:10,320
+إلى الـ risk factor، وصار يكتب في الـ risk factor، الـ
+
+59
+00:04:10,320 --> 00:04:13,180
+body mass index رقم واحد، الـ lipids رقم اثنين، الـ diet
+
+60
+00:04:13,180 --> 00:04:18,290
+rehab، كتب عنها، وذهب إلى الـ genetic، وصار يكتب عن
+
+61
+00:04:18,290 --> 00:04:21,770
+الـ Complication. فنلاحظ أنه ماشي على الـ steps
+
+62
+00:04:21,770 --> 00:04:25,690
+التي شرحناها. هذا كله يكون مكتوبًا في chapter 2.
+
+63
+00:04:25,690 --> 00:04:30,210
+لكن هذه الأشياء تكتب خلال البحث الكامل. نلاحظ أنه
+
+64
+00:04:30,210 --> 00:04:34,830
+كان هذا البحث يتناول العلاقة بين الـ type 2
+
+65
+00:04:34,830 --> 00:04:38,190
+diabetes وفيتامين د، وهو قال: الناس الذين
+
+66
+00:04:38,190 --> 00:04:41,270
+يُصابون بـ type 2 diabetes، يصابون بنقص فيتامين د،
+
+67
+00:04:41,270 --> 00:04:45,010
+deficiency. فحكى عن شغلات أساسية في الـ type 2
+
+68
+00:04:45,010 --> 00:04:48,650
+diabetes. بعد ذلك، انتقل إلى فيتامين د، بدأ يكتب عن
+
+69
+00:04:48,650 --> 00:04:51,010
+الـ Definition تحت فيتامين د، والـ prevalence
+
+70
+00:04:51,010 --> 00:04:54,110
+تحت فيتامين د، deficiency. وبعد ذلك، الـ risk factor
+
+71
+00:04:54,110 --> 00:04:58,250
+تحت فيتامين د، deficiency. وظلوا ماشيين فيها، كل شيء
+
+72
+00:04:58,250 --> 00:05:02,090
+وصل إلى related study، وهي مطلوبة منا
+
+73
+00:05:02,090 --> 00:05:07,670
+أن نكتبها. related study تعني دراسات سابقة تتكلم
+
+74
+00:05:07,670 --> 00:05:11,970
+على نفس عنوان الدراسة، التي تعتمد على نفس الـ
+
+75
+00:05:11,970 --> 00:05:15,690
+objective. طيب، كيف نجدها؟ أن تجد الدراسات
+
+76
+00:05:15,690 --> 00:05:20,190
+السابقة أمر سهل جدًا. أولًا، في ما هو موجود لدينا،
+
+77
+00:05:20,190 --> 00:05:24,330
+الـ Prevalence of Renal Track Infection among Type
+
+78
+00:05:24,330 --> 00:05:28,110
+2 Diabetes. يبقى لدينا عاملان أساسيان: Renal
+
+79
+00:05:28,110 --> 00:05:32,490
+Track Infection وType 2 Diabetes. نعلم أولًا Renal
+
+80
+00:05:32,490 --> 00:05:36,950
+Track Infection، ونذهب إلى Control، ونضغط ضغطتين
+
+81
+00:05:36,950 --> 00:05:40,070
+عليها، ونضغط ضغطتين على Control، ونذهب، ونعلم
+
+82
+00:05:40,070 --> 00:05:43,990
+الثاني. بعد ذلك، نرفع أيدينا عن الـ control، ونضغط
+
+83
+00:05:43,990 --> 00:05:48,390
+بزر اليمين بالـ mouse، ونقول له copy، ونذهب إلى Google
+
+84
+00:05:48,390 --> 00:05:52,070
+Scholar. في Google Scholar، نكتب الـ Renal Track
+
+85
+00:05:52,070 --> 00:05:55,890
+Infection والـ Type 2 Diabetes، فيأتينا كل
+
+86
+00:05:55,890 --> 00:06:00,390
+الأبحاث التي تتحدث عن الـ Type 2 Diabetes و Renal
+
+87
+00:06:00,390 --> 00:06:03,670
+Track Infection. هذه الـ incidence، أنا أحكي عن
+
+88
+00:06:03,670 --> 00:06:06,690
+prevalence. أريد أن آتي هنا، وأكتب كلمة prevalence.
+
+89
+00:06:06,690 --> 00:06:11,440
+فبالتالي، إذا أردت فقط الـ prevalence، آتي
+
+90
+00:06:11,440 --> 00:06:16,200
+إلى prevalence، وأضغط على control، وأضغط ضغطتين،
+
+91
+00:06:16,200 --> 00:06:18,380
+وأضغط ضغطتين على control، وأعلم الأشياء التي
+
+92
+00:06:18,380 --> 00:06:22,800
+أريدها، الكلمات الثلاث المفتاحية. فلا نختار غزة، لأن لو هو
+
+93
+00:06:22,800 --> 00:06:26,940
+عمل في غزة، وماذا أريد أنا؟
+
+94
+00:06:26,940 --> 00:06:30,240
+لماذا أنا أعمل البحث؟  يجب أن لا يكون هناك تكرار في
+
+95
+00:06:30,240 --> 00:06:33,260
+هذه الحالة إلا إذا كان معمولًا قبل خمس أو ست سنوات،
+
+96
+00:06:33,260 --> 00:06:36,520
+ولكن إذا كان جديدًا،  لا داعي للبحث. فبالتالي،
+
+97
+00:06:36,520 --> 00:06:39,990
+لا يجوز أن أكتب غزة. لأن لو وجدت بحثًا موجودًا عن غزة،
+
+98
+00:06:39,990 --> 00:06:43,290
+لا داعي أن أكمل بحثي، وأعمله، لأن هناك ناسًا قبل ذلك
+
+99
+00:06:43,290 --> 00:06:48,610
+عملوا فيه.  أذهب هنا، وألصقه في هذه الحالة.
+
+100
+00:06:48,610 --> 00:06:55,690
+أريد أن أكتب هنا كلمة and، وأكتب بعد كلمة and
+
+101
+00:06:55,690 --> 00:07:00,270
+حتى يجلب لي الأشياء التي فيها الـ prevalence، ويجلب لي
+
+102
+00:07:00,270 --> 00:07:02,870
+أنها Renal Track Infection وType 2 diabetes، الـ
+
+103
+00:07:02,870 --> 00:07:06,970
+prevalence أو الـ incidence، وهي Renal Track Infection وType 2
+
+104
+00:07:06,970 --> 00:07:11,210
+diabetes. فجلب كل الأبحاث التي تُكمل بحثي، فصار
+
+105
+00:07:11,210 --> 00:07:15,290
+هذا أول واحد موجود، وهذا الثاني، وهذا الثالث، وهذا
+
+106
+00:07:15,290 --> 00:07:20,870
+الرابع موجود. وهذه الأبحاث كلها موجودة. فنأخذ
+
+107
+00:07:20,870 --> 00:07:24,910
+نحو أربعة أبحاث أو خمسة أبحاث. وما أريد
+
+108
+00:07:24,910 --> 00:07:28,330
+أن أكتبه، لأكتبه، نأتي أولًا ونضغط على البحث
+
+109
+00:07:28,330 --> 00:07:34,180
+الأول، البحث الأول. كيف أريده؟ آتي إلى
+
+110
+00:07:34,180 --> 00:07:39,120
+الـ abstract، أظللها كاملة كما هي، وآخذ الـ
+
+111
+00:07:39,120 --> 00:07:45,280
+abstract copy، وأذهب إلى صفحة الـ Word التي أنا
+
+112
+00:07:45,280 --> 00:07:51,920
+أكتب فيها. ولما وصلت هنا، وكتبت chapter 2،
+
+113
+00:07:51,920 --> 00:07:55,660
+researcher review، نلصقها، ونظللها. بعد ما
+
+114
+00:07:55,660 --> 00:07:59,420
+كتبناها، نأتي هنا، ونقول إن هذه عبارة عن 16، تكون
+
+115
+00:07:59,420 --> 00:08:04,100
+bold، خط غامق، وتكون في الوسط. وبعد ذلك، أذهب
+
+116
+00:08:04,100 --> 00:08:08,920
+كاتبة related study، كتبنا related study، نريد
+
+117
+00:08:08,920 --> 00:08:12,620
+أن نجلبها إلى جهة اليسار، نضغط على هذه الجهة،
+
+118
+00:08:12,620 --> 00:08:16,900
+التي تأتي في جهة اليسار. نكتبها 2 إلى 1. هذه
+
+119
+00:08:16,900 --> 00:08:21,040
+كتبناها 2 إلى 1. طيب، ماذا نكتب أولًا؟ نفس ما
+
+120
+00:08:21,040 --> 00:08:26,060
+قمنا بـ copy له قبل قليل، هذا copy.  ونأتي
+
+121
+00:08:26,060 --> 00:08:30,000
+إلى related study الموجودة لدي، ونلصقها.
+
+122
+00:08:30,430 --> 00:08:33,970
+فأصبحت موجودة. التنسيق الموجود، أريد كل
+
+123
+00:08:33,970 --> 00:08:37,030
+البحث أن يكون بنفس التنسيق. لو رجعنا إلى الأشياء التي
+
+124
+00:08:37,030 --> 00:08:39,970
+كتبناها قبل قليل، والفقرات في الـ introduction،
+
+125
+00:08:39,970 --> 00:08:43,430
+هذا، وأريد نفس التنسيق هنا، يكون مطابقًا للبحث. أضغط
+
+126
+00:08:43,430 --> 00:08:48,090
+على الفرشاة، وأظل ضاغطة عليها ضغطة واحدة، ونأتي
+
+127
+00:08:48,090 --> 00:08:51,750
+هنا، وبدلًا من أن نضغط عليها، يأخذ نفس التنسيق، كما
+
+128
+00:08:51,750 --> 00:08:55,970
+هو. يأخذ نفس التنسيق. كيف نجعل هذه related
+
+129
+00:08:55,970 --> 00:09:01,000
+study؟ أولًا، هذا تعريف عن related study.  نزيله
+
+130
+00:09:01,000 --> 00:09:08,320
+كله. فنذهب للتعريف الأول، ونضغط على الجزء الأول،
+
+131
+00:09:08,320 --> 00:09:14,900
+ونضغط على الجزء الأول، ونضغط على الجزء الأول، ونضغط
+
+132
+00:09:14,900 --> 00:09:18,220
+على الجزء الأول، ونضغط على الجزء الأول، ونضغط على
+
+133
+00:09:18,220 --> 00:09:19,180
+الجزء الأول، ونضغط على الجزء الأول، ونضغط على الجزء
+
+134
+00:09:19,180 --> 00:09:19,640
+الأول، ونضغط على الجزء الأول، ونضغط على الجزء الأول
+
+135
+00:09:19,640 --> 00:09:19,660
+ونضغط على الجزء الأول، ونضغط على الجزء الأول، ونضغط
+
+136
+00:09:19,660 --> 00:09:21,160
+على الجزء الأول، ونضغط على الجزء الأول، ونضغط على
+
+137
+00:09:21,160 --> 00:09:28,660
+الجزء الأول، ونضغط على الجزء الأول، ونضغط على الجزء
+
+138
+00:09:28,660 --> 00:09:33,040
+الأول، ونلصق. لأن هذا نموذج، أخذته حتى يأخذوا نفس
+
+139
+00:09:33,040 --> 00:09:37,540
+التنسيق. نضغط على ما جاء له، ونعلم، ونذهب، ما
+
+140
+00:09:37,540 --> 00:09:40,780
+يأخذ نفس التنسيق السابق. نذهب، ضغطتين على الأول،
+
+141
+00:09:40,780 --> 00:09:44,980
+الأول، copy، وأذهب أضيفه في الجدول الثاني،
+
+142
+00:09:44,980 --> 00:09:48,860
+حتى لا نكرر. نقول: دائمًا يُقال، وأكيد ذاكرون لماذا
+
+143
+00:09:48,860 --> 00:09:56,720
+قلنا: يُقال؟ لأن هؤلاء أكثر من اثنين. نقول: 2015،
+
+144
+00:09:56,720 --> 00:10:03,000
+ونغلق الـ course كما هي تمامًا.
+
+145
+00:10:03,000 --> 00:10:07,300
+نأتي
+
+146
+00:10:07,300 --> 00:10:14,280
+إلى الفقرة. إذا أنا بدأت أضيف الاسم هنا، يبقى كما
+
+147
+00:10:14,280 --> 00:10:19,500
+هو، بين قوسين. ولكن لو بدأت أقول: هنا آتي بنفس الاسم،
+
+148
+00:10:19,500 --> 00:10:22,560
+لا أريده في الآخر، أريده في الأول. هو في
+
+149
+00:10:22,560 --> 00:10:26,740
+الأول، وسحبناه أولًا هنا. لا يجوز أن نكتب بهذه الصيغة،
+
+150
+00:10:26,740 --> 00:10:32,070
+يجب أن يكون مكتوبًا بهذه الصيغة. نكتب هنا: illustrated
+
+151
+00:10:32,070 --> 00:10:35,210
+that
+
+152
+00:10:35,210 --> 00:10:41,330
+يوضح الأشياء التالية. ونظل كاتبين هذا الكلام، أن
+
+153
+00:10:41,330 --> 00:10:45,110
+هو ما قاله، وهو فعلاً قاله. فتكون هذه الدراسة
+
+154
+00:10:45,110 --> 00:10:49,230
+الأولى جاهزة. ولو نظرنا فيها، نجد أن هذه الدراسة
+
+155
+00:10:49,230 --> 00:10:54,470
+الأولى جاهزة، ولكن تظهر فيها بعض الأفعال أو بعض
+
+156
+00:10:54,470 --> 00:10:59,420
+الأشياء الموجودة، التي تجعلها في الماضي. نأتي
+
+157
+00:10:59,420 --> 00:11:04,360
+مثلًا هنا، نكتب كلمة: there is a shop، حيث there is a
+
+158
+00:11:04,360 --> 00:11:16,320
+shop should that. ونجعل الكلمة الموجودة small.
+
+159
+00:11:16,320 --> 00:11:23,520
+بعد ذلك، هذا الكلام يظل ماشيًا إلى آخر شيء. بعد ذلك، هم they
+
+160
+00:11:23,520 --> 00:11:27,060
+الذين
+
+161
+00:11:27,060 --> 00:11:34,080
+هم الباحثون، pointed out. يعني أنا أنسب الكلام إليهم. الـ
+
+162
+00:11:34,080 --> 00:11:43,180
+treatment كانت موجودة هكذا. finally they
+
+163
+00:11:43,180 --> 00:11:46,400
+concluded
+
+164
+00:11:46,400 --> 00:11:56,260
+that. وأذهب، وأجعل الكلام منسوبًا إليهم، أو أنسب
+
+165
+00:11:56,260 --> 00:12:01,310
+الكلام إليهم. وهنا الـ final تحتاج إلى فاصلة، نضيفها.
+
+166
+00:12:01,310 --> 00:12:04,130
+فهكذا تكون الجملة صحيحة. يعني، يبقى أنا أولًا
+
+167
+00:12:04,130 --> 00:12:10,710
+أضفت هذا.  نحن أضفنا هذا بلون
+
+168
+00:12:10,710 --> 00:12:15,450
+آخر. بعد ذلك، قلنا that،  عشان نجلب
+
+169
+00:12:15,450 --> 00:12:20,010
+الكلام، أنهم بيّنوه. بعد ذلك، قلنا they pointed out،
+
+170
+00:12:20,010 --> 00:12:24,390
+هم أشاروا إلى
+
+171
+00:12:24,390 --> 00:12:25,370
+أن that
+
+172
+00:12:28,280 --> 00:12:32,220
+الباحثون. وبعد ذلك نقول finally they concluded that.
+
+173
+00:12:32,220 --> 00:12:36,580
+يعني، أنا الدراسة أخذتها كما هي. في الغالب، هناك شيء
+
+174
+00:12:36,580 --> 00:12:39,320
+يسمى paraphrase، الـ paraphrase، أنك تفهم
+
+175
+00:12:39,320 --> 00:12:43,340
+الفقرة المكتوبة، وتعِيد صياغتها بطريقتك
+
+223
+00:16:21,490 --> 00:16:25,470
+في آخر شابتر رقم واحد لأنّي شايف إنّه في علاقة ما
+
+224
+00:16:25,470 --> 00:16:28,350
+بينها، وممكن تكون موجودة. أنا بقول لك لأ، هنا بحكي
+
+225
+00:16:28,350 --> 00:16:31,910
+على treatment، وأنا هَنبَحكي على equivalence بتظلّ
+
+226
+00:16:31,910 --> 00:16:36,590
+نفسها، هي هي مكتوبة، ولكن بدل كلمة treatment بنحطّ
+
+227
+00:16:36,590 --> 00:16:39,150
+كلمة equivalence.
+
+228
+00:16:41,510 --> 00:16:46,590
+وبتكون هذه الفقرة بناخدها وبنضيفها في آخر الـ
+
+229
+00:16:46,590 --> 00:16:50,530
+chapter اللي موجود في هذه الفقرة. إذا هي عجباني، أحبّ
+
+230
+00:16:50,530 --> 00:17:00,430
+أخليها موجودة، بتظلّ موجودة. أنّ هو أنّ الـ and they
+
+231
+00:17:00,430 --> 00:17:03,970
+recommended
+
+232
+00:17:03,970 --> 00:17:08,030
+also that
+
+233
+00:17:10,480 --> 00:17:14,820
+الباحثون أيضاً أنّنا نعمل عدة دراسات متعلقة بـ
+
+234
+00:17:14,820 --> 00:17:19,800
+prevalence والأمور هذه. الترقيم الإملائي ممكن كمان
+
+235
+00:17:19,800 --> 00:17:22,880
+هو بس بتكون two spaces، يعني هنا هو جاب الخط لأنّ
+
+236
+00:17:22,880 --> 00:17:26,480
+فيه مكان فاضي، وفيه كمان مكان فاضي، هو حاسس إنّ في
+
+237
+00:17:26,480 --> 00:17:30,920
+عندنا فراغين، فعمل إنّه عندنا. عادة بنضغط هنا، وبنروح
+
+238
+00:17:30,920 --> 00:17:34,280
+من جولة. فهي أول دراسة خلّصناها، وعملنا لها paraphrase
+
+239
+00:17:34,280 --> 00:17:37,360
+هي الطريقة. لو المشترك قال لك اعمل paraphrase،
+
+240
+00:17:37,360 --> 00:17:41,180
+يعني paraphrase، هي إحنا قلنا لك طريقة سهلة. فيه طلاب
+
+241
+00:17:41,180 --> 00:17:45,380
+بيروحوا، بِيكتبوها كلها، وبيختصروها في سطرين أو ثلاثة
+
+242
+00:17:45,380 --> 00:17:49,280
+أو أربعة، يعني على سبيل المثال بيروحوا، بيكتبوا جزئياتها
+
+243
+00:17:49,280 --> 00:17:56,440
+دي كلها، ومباشرة بخليها زي هيك، من باب تقليل المسافة.
+
+244
+00:17:56,440 --> 00:18:00,140
+كلمة الـ recommendation كمان، هذا بروح حرفها، فبتكون
+
+245
+00:18:00,140 --> 00:18:04,120
+عدة مختصرات. الدراسة طلعت في الصورة هذه، كلّ
+
+246
+00:18:04,120 --> 00:18:07,900
+السيناريوهات صح، فكل السيناريوهات ممكن تؤدي نفس
+
+247
+00:18:07,900 --> 00:18:13,190
+الغرض، ولكن أنت بدك تكون عارف إيش اللي بدك تكتبه في
+
+248
+00:18:13,190 --> 00:18:16,230
+المحصلة. ما تقلقش، إن الأمور تكون صعبة، هي الأمور زي
+
+249
+00:18:16,230 --> 00:18:19,750
+ما أنت شايفها، أو زي ما أنت شايف فيها، سهل جداً جداً.
+
+250
+00:18:19,750 --> 00:18:23,350
+الثاني اللي بدنا نأخذه مثال، الثاني بدنا نأخذ مثال
+
+251
+00:18:23,350 --> 00:18:28,750
+prevalence of rhinitis infection، بروح ضغطتين عاليات.
+
+252
+00:18:28,750 --> 00:18:32,850
+فبيكون عندنا هي اللي طلع عندنا بالبحث. فأول شيء بروح
+
+253
+00:18:32,850 --> 00:18:39,770
+بأخذ الـ title كـ copy وبروح
+
+254
+00:18:39,910 --> 00:18:44,290
+بلزقه في الـ chapter الثاني، ولا تلاحظ ما جاء نفس
+
+255
+00:18:44,290 --> 00:18:47,490
+التنسيق، ما بقاش الحلّ، الحلّ زي ما اتكلمنا، وبعيدها
+
+256
+00:18:47,490 --> 00:18:58,970
+إنّها، وآخذ نفس التنسيق. إنّ هذا العنوان was was
+
+257
+00:18:58,970 --> 00:19:07,390
+studied by، درس بواسطة، وبروح على google scholar app.
+
+258
+00:19:08,950 --> 00:19:14,730
+بنرجع على الـ reference وبنضغط عليه، وبناخد copy
+
+259
+00:19:14,730 --> 00:19:23,050
+وبروح بنضيفه على الـ reference في المكان التالي. هاي
+
+260
+00:19:23,050 --> 00:19:26,110
+صاروا عندنا الأشياء. طب، حتى يأخذ نفس التنسيق، بروح
+
+261
+00:19:26,110 --> 00:19:31,130
+بضغطين عليها، ومعاملها نفس التنسيق. فأخذ
+
+262
+00:19:31,130 --> 00:19:35,490
+البحث نفس التنسيق. تفهّم إيش فكرة إنّ يكون موجود الـ
+
+263
+00:19:35,490 --> 00:19:40,960
+reference في صفحة word لحالها. أنا سهل أن أتنقّل ما
+
+264
+00:19:40,960 --> 00:19:44,460
+بين الـ reference والأشياء، ولما أخلص في الآخر
+
+265
+00:19:44,460 --> 00:19:47,440
+بنسخ الـ reference هذه كلّها، وبوديها على الـ thesis.
+
+266
+00:19:47,440 --> 00:19:51,560
+بنقول الحين، بَدأنا نكتبه في آخر البحث. بروح فاتحين أول
+
+267
+00:19:51,560 --> 00:19:58,640
+شيء، course، بأخذ copy من اسم العالم زي ما اتكلمنا.
+
+268
+00:19:58,640 --> 00:20:06,180
+أتقال معناها، وشركائه، ونقول 2001، وبروح بأخذها
+
+269
+00:20:06,180 --> 00:20:12,310
+هذه، وعاملين إنّها copy ورايحين على البحث اللي أنا
+
+270
+00:20:12,310 --> 00:20:19,430
+بشتغل فيه، وبيلزق بالصورة هذه. بلاحظ إنّ إحنا عندنا
+
+271
+00:20:19,430 --> 00:20:23,010
+إنّها ما بتنفعش إنّها تكون بين جُملتين، لأنّها مش في آخر
+
+272
+00:20:23,010 --> 00:20:27,270
+الكلام. فالحلّ إنّي الجملة هذه اللي موجودة، بضلّ اللي
+
+273
+00:20:27,270 --> 00:20:32,610
+بيسحبها، أو بروح بعملها delete من هنا، delete، وبروح
+
+274
+00:20:32,610 --> 00:20:37,270
+بنضيفه بعد it all، بنضيفه بالصورة هذه. فصار عندنا
+
+275
+00:20:37,580 --> 00:20:45,920
+الفقرة، العنوان جاهزة، وبنقول they showed
+
+276
+00:20:45,920 --> 00:20:53,600
+that، هم إيش بيّنوا، وبضغط على نفس الـ articles، وبدل ما
+
+277
+00:20:53,600 --> 00:20:59,500
+آخذ المقدّمة، وأرجع ثاني، بشوف هم إيش هم وجدوا. هو
+
+278
+00:20:59,500 --> 00:21:03,880
+جالك، بدأ بالمثال، ومباشرة بنظلّل كل الفقرة اللي
+
+279
+00:21:03,880 --> 00:21:08,740
+موجودة، وبنعملها copy. والحين في خاصية كويسة موجودة
+
+280
+00:21:08,740 --> 00:21:12,720
+في الـ word، بنعملها هنا لصق. طب، بدي أنا لصق، لو
+
+281
+00:21:12,720 --> 00:21:16,440
+عملت له لصق، نشوف إيش بيصير. عادي، ما جابش نفس التنسيق
+
+282
+00:21:16,440 --> 00:21:20,020
+اللي فاتت. لازم أقع نفس القصة. طب، فيش أسهل من هيك.
+
+283
+00:21:20,020 --> 00:21:25,240
+صحيح إنّي بأجي هنا، وبقول له لصق التنسيق السابق.
+
+284
+00:21:25,240 --> 00:21:28,900
+يعني انسخ لي إياها بنفس التنسيق السابق، التانية مش
+
+285
+00:21:28,900 --> 00:21:33,020
+الأولى. بقول له okay، فلاحظ هو أخذ نفس التنسيق
+
+286
+00:21:33,020 --> 00:21:39,210
+السابق. هدول وضحوا في case control study. طب، هنا
+
+287
+00:21:39,210 --> 00:21:42,570
+ممكن نكتبها، إيش نحوّلها، نقول عنها observational
+
+288
+00:21:42,570 --> 00:21:46,670
+study، أو نكتب كلمة observational case control
+
+289
+00:21:46,670 --> 00:21:50,930
+study، عشان نغيّر، بلاش phrase، هم كتبوا إيه، بنكتب
+
+290
+00:21:50,930 --> 00:21:55,310
+ذي، بنحوّر الكلام، وبنضل نمشي، بن track
+
+291
+00:21:55,310 --> 00:21:58,810
+infection. أمّا إحنا كتبنا الاختصار قبل، فبنشيل
+
+292
+00:21:58,810 --> 00:22:02,270
+الكلمة، وبنكفي فقط بالاختصار.
+
+293
+00:22:04,910 --> 00:22:08,150
+واللي أخذوا عندي هدول كانوا مي، واتنين. بضلّ نفس
+
+294
+00:22:08,150 --> 00:22:13,490
+الكلام ماشي كويس، ونقول الـ subject هو اللي كانوا in
+
+295
+00:22:13,490 --> 00:22:25,610
+this study، in this study the subjects كانوا. وكأنّ
+
+296
+00:22:25,610 --> 00:22:29,750
+أنا عشان أوضّح إنّه مش أنا اللي عملت الدراسة ورجعتها
+
+297
+00:22:29,750 --> 00:22:35,120
+لأصحابها، فبالتالي هي عندنا أضفنا الكلمة هذه فقط. أنّ
+
+298
+00:22:35,120 --> 00:22:41,480
+هَيْ ضفنا they عشان نرجع إنّه فيه، مش إحنا اللي
+
+299
+00:22:41,480 --> 00:22:46,260
+عاملينه. في غيرهم، وبنضلّنا نقرأ في البحث، وننسّق
+
+300
+00:22:46,260 --> 00:22:49,840
+فيه. طب، الكلام اللي موجود بالأزرق هذا إيش حلو
+
+301
+00:22:49,840 --> 00:22:53,720
+أقول له حالياً، أول حاجة، حتى يختفي، بنضغط click باليمين
+
+302
+00:22:53,720 --> 00:23:00,040
+وبنقول remove hyperlink، شيل الرابط، لأنّ هذا
+
+303
+00:23:00,040 --> 00:23:04,720
+بتكون مربوط في إيش، مربوطة، مربوطة بالنت، كيف مربوطة
+
+304
+00:23:04,720 --> 00:23:09,380
+بالنت. لو ضغطنا على control، واتضلعنا فيها، المفروض
+
+305
+00:23:09,380 --> 00:23:13,140
+تيجي إشارة، يعني بنضغط على control، تجينا إشارة.
+
+306
+00:23:13,140 --> 00:23:16,340
+المفروض لما أضغط، وأنا ضاغط على control، وأضلّ ضاغط
+
+307
+00:23:16,340 --> 00:23:20,360
+بأروح، ورايحة على نفس المكان اللي جاية منه هذه
+
+308
+00:23:20,360 --> 00:23:24,340
+فبتفتح للنت مباشرة، أنا بتدلّغيها. فلو ضغطنا على
+
+309
+00:23:24,340 --> 00:23:27,860
+control، وضغطنا هنا، هتفتح صفحة نت، هي واحدة.
+
+310
+00:23:27,860 --> 00:23:32,240
+فتحت لنا صفحة نت من صفحة الـ word على كلمة rhinotracheitis
+
+311
+00:23:32,240 --> 00:23:38,410
+track infection. بنضغط click باليمين، بنيجي على كلمة
+
+312
+00:23:38,410 --> 00:23:41,850
+remove، وبنقول له remove. هاي، بروح نفس الشيء هنا.
+
+313
+00:23:41,850 --> 00:23:45,750
+بنقول له remove، بروح. طب، فيش أسهل، كلهم مرة واحدة.
+
+314
+00:23:45,750 --> 00:23:49,490
+صحيح إنّ إحنا بنضغط، وبروح الفرشاية هاي، وبنضلّلهم
+
+315
+00:23:49,490 --> 00:23:54,310
+كلهم مرة واحدة، وبالتالي كلّ الأزرق بروح، وبس هنا
+
+316
+00:23:54,310 --> 00:23:59,150
+ضلّوا جايين بخطّ مائل شوية. بنكرّر العملية كمان مرة، و
+
+317
+00:23:59,150 --> 00:24:02,650
+بنروح بنضلّلهم، فبالتالي بطلع كله نفس الخطّ، و
+
+318
+00:24:02,650 --> 00:24:12,130
+النتائج. وصلنا لعند هنا. in all subjects in this
+
+319
+00:24:12,130 --> 00:24:18,290
+study، في هذه الدراسة. حتى إحنا نقول مش إحنا اللي
+
+320
+00:24:18,290 --> 00:24:22,130
+عملناها. بنضلّ ماشيين كمان نفس الكلام. إذا بدك تعمل
+
+321
+00:24:22,130 --> 00:24:24,970
+paraphrase، ممكن تعمل paraphrase بالطرق اللي إحنا
+
+322
+00:24:24,970 --> 00:24:30,440
+قلناها قبل. renal بتصير kidney abnormal. بنضغط click
+
+323
+00:24:30,440 --> 00:24:32,440
+باليمين، وبنشوف إيش الشغلات اللي موجودة. not
+
+324
+00:24:32,440 --> 00:24:35,920
+standard regular، بنضيف نفس الأشياء اللي بدنا إياها،
+
+325
+00:24:35,920 --> 00:24:40,400
+وبنضلّ ماشيين على الأشياء. وبتكون هذه الدراسة
+
+326
+00:24:40,400 --> 00:24:45,580
+الثانية خلصت. بعد ما نيجي نكمّلهم كلهم، بنقول the
+
+327
+00:24:45,580 --> 00:24:56,340
+prevalence of UTI. بنقول هنا the researchers showed
+
+328
+00:24:56,340 --> 00:25:06,350
+that، الـ researchers أوضحوا الـ equivalence of UTI، الـ
+
+329
+00:25:06,350 --> 00:25:10,570
+EQUALI كانت
+
+330
+00:25:10,570 --> 00:25:22,310
+الـ common اللي موجود. بقول الـ results pointed
+
+331
+00:25:22,310 --> 00:25:29,800
+out، أو described، أو presented، وجدوا أنّ الـ
+
+332
+00:25:29,800 --> 00:25:33,360
+Escherichia coli كانت. هذه الـ Escherichia coli هي
+
+333
+00:25:33,360 --> 00:25:37,860
+أكثَر حاجة موجودة في مرضى السُكّري. هي كمان كلمة
+
+334
+00:25:37,860 --> 00:25:46,360
+أضفناها. بنضلّ ماشيين فيها، وقلنا when compared to
+
+335
+00:25:46,360 --> 00:25:53,980
+the control، when the researchers showed، أو الـ authors
+
+336
+00:25:53,980 --> 00:26:00,970
+compared to control. واضحت معهم النتيجة. هنا أنا 50%
+
+337
+00:26:00,970 --> 00:26:05,390
+من الـ patients with diabetes and UTI كان عندهم
+
+338
+00:26:05,390 --> 00:26:11,610
+مشاكل في الـ renal. لو بدنا نغيّرها بنقول the
+
+339
+00:26:11,610 --> 00:26:15,910
+prevalence
+
+340
+00:26:15,910 --> 00:26:19,850
+of
+
+341
+00:26:19,850 --> 00:26:26,110
+UTI
+
+342
+00:26:26,110 --> 00:26:27,030
+and renal
+
+343
+00:26:32,830 --> 00:26:44,250
+was، وهي 50% among patients with diabetes. كمان هي
+
+344
+00:26:44,250 --> 00:26:48,150
+عملنا لها كلّها paraphrase، حتى إحنا نأخذ أمثلة
+
+345
+00:26:48,150 --> 00:26:53,330
+على الـ paraphrase وإحنا ماشيين. هي دي prevalence
+
+346
+00:26:53,330 --> 00:26:58,750
+of diabetes no UTI. هادول كلّها الفقرة ممكن نشيلها،
+
+347
+00:26:58,750 --> 00:27:01,920
+نحذفها. لأنّ أنا خلاص يكفيني الجزء اللي بدنا إياه.
+
+348
+00:27:01,920 --> 00:27:08,160
+أخذناه، وممكن أضلّ أكتبها. فلو بدنا نضلّ نكتبها، بدنا
+
+349
+00:27:08,160 --> 00:27:11,620
+نكمل فيها. the prevalence of type 2 diabetes no UTI
+
+350
+00:27:11,620 --> 00:27:21,340
+also higher. بنقول هنا they showed that، يعني نفس
+
+351
+00:27:21,340 --> 00:27:27,040
+الكلمات هي هي. لما قارنوها مع الـ compare، وبنضلّ نمشي
+
+352
+00:27:27,040 --> 00:27:31,490
+ونغيّر في الكلمات زي ما اتكلمنا، ولكن أنا بفضّل
+
+353
+00:27:31,490 --> 00:27:34,450
+الشغلات اللي ما فيهاش relation زي إنّه
+
+354
+00:27:34,450 --> 00:27:38,690
+significant والأمور هذه، إنّ إحنا نشيلها من الأشياء
+
+355
+00:27:38,690 --> 00:27:43,990
+لأنّها خلاص ما فيش حاجة، وقدّت شوية، وبدأت تتعدّى عن الـ
+
+356
+00:27:43,990 --> 00:27:48,010
+objective تبعي. اللي هو الـ objective كان يقول إنّه
+
+357
+00:27:48,010 --> 00:27:52,050
+في prevalence ما بين الـ type 2 diabetes والـ
+
+358
+00:27:52,050 --> 00:27:55,350
+neuron attack infected. فهذه كلّها ممكن نشيلها، أو
+
+359
+00:27:55,350 --> 00:28:03,330
+ممكن نخليها. وإذا بدنا نخليها، بنقول finally، بلاش
+
+360
+00:28:03,330 --> 00:28:10,930
+finally كلّ مرة. بنقول finally، on the other hand، من
+
+361
+00:28:10,930 --> 00:28:18,990
+ناحية أخرى. the the authors found that
+
+362
+00:28:23,830 --> 00:28:27,310
+No significant difference in vascular events
+
+363
+00:28:27,310 --> 00:28:31,630
+والـ hypertension، والبروتينيوريا، والـ renal function test
+
+364
+00:28:31,630 --> 00:28:38,330
+والـ hemoglobin A1c. للآخر، هم هنا في الآخر كان عندهم
+
+365
+00:28:38,330 --> 00:28:47,610
+استنتاج اللي موجود. فبنقول They concluded
+
+366
+00:28:47,610 --> 00:28:52,370
+that
+
+367
+00:28:54,780 --> 00:29:01,460
+أسقط على الموضوع على الباحثين، وخليها
+
+368
+00:29:01,460 --> 00:29:06,400
+تزامني. ولكلّ البروتوكولات هذه الموجودة ممكن تساعدنا
+
+369
+00:29:06,400 --> 00:29:09,500
+في أنّنا نعمل management للـ neuron attack
+
+370
+00:29:09,500 --> 00:29:16,200
+infection بين مرضى السُكّري. فبنقول الـ researchers
+
+371
+00:29:16,200 --> 00:29:24,240
+recommended
+
+372
+00:29:29,290 --> 00:29:36,510
+that the results of
+
+373
+00:29:36,510 --> 00:29:46,850
+this study. فبتكون إنّي أضفت فقرة بسيطة، أو عزّيت على
+
+374
+00:29:46,850 --> 00:29:50,750
+هم الباحثين، إيش كانوا بدهم يسوّوا. فلاحظ إنّه هنا
+
+375
+00:29:50,750 --> 00:29:56,250
+كانت في الأولى، وهنا بدأنا فيها الفقرة، ونأخذ مثال
+
+376
+00:29:56,250 --> 00:30:03,050
+ثاني. نبدأ فيها الفقرة من الآخر. هاي المثال بيقول لنا
+
+377
+00:30:03,050 --> 00:30:06,790
+الـ incidence للـ urinary tract infection ما بين
+
+378
+00:30:06,790 --> 00:30:11,850
+المرضى والسُكّري. نضغط عليها، فبيكون هنا بنقول الـ
+
+379
+00:30:11,850 --> 00:30:17,990
+incidence اللي موجودة copy، فروح آخذينها على نفس
+
+380
+00:30:17,990 --> 00:30:22,470
+مكان الـ chapter. هو هو إحنا معلّمينه بالأحمر فقط
+
+381
+00:30:22,470 --> 00:30:25,750
+لموضوع إنّ إحنا نبين كيف إحنا بنغيّر في الفقرات
+
+382
+00:30:25,750 --> 00:30:32,450
+ونعملها paraphrase. لو بدي أرجع أقول هنا لصق، وأقول له نفس
+
+383
+00:30:32,450 --> 00:30:35,610
+التنسيق السابق، بيجيب لي نفس التنسيق السابق. فعندي
+
+384
+00:30:35,610 --> 00:30:41,490
+اتنين، يا لصق نفس النصّ، يا إمّا لصق نفس التنسيق
+
+385
+00:30:41,490 --> 00:30:46,430
+السابق. فبيجيب لي نفس التنسيق السابق. فلو بدي أخليه
+
+386
+00:30:46,430 --> 00:30:49,790
+مش bold، بضلّ أقول له مش bold، أو بالفرشاية بنعمله
+
+387
+00:30:49,790 --> 00:30:54,790
+بطريقة هذه، وبنقول
+
+388
+00:30:54,790 --> 00:30:58,270
+هنا was started.
+
+389
+00:31:01,900 --> 00:31:07,180
+وبنحطّ نقطة. بروح إيش عاملين، جايبين الـ abstract زي
+
+390
+00:31:07,180 --> 00:31:15,000
+ما هي. هاي الـ abstract اللي موجودة copy paste.
+
+391
+00:31:15,000 --> 00:31:21,240
+وقلنا
+
+392
+00:31:21,240 --> 00:31:27,700
+هنا لما عملنا لها لصق، لما أجينا هنا وعملنا لصق، عجب
+
+445
+00:36:01,680 --> 00:36:05,980
+وبنقول له هذه كلها delete  دل عند ال reference هنا
+
+446
+00:36:05,980 --> 00:36:10,360
+مرتبين، بنسخ ال reference هذه وبروح بوديهم بعد ما
+
+447
+00:36:10,360 --> 00:36:15,680
+خلص شبطة تلاتة، بوديهم على آخر البحث اللي موجود
+
+448
+00:36:15,680 --> 00:36:21,350
+عندهم، بنجي بنقول، بنقول هنا بننزل على الصفحة وهتنزل
+
+449
+00:36:21,350 --> 00:36:24,350
+مباشرة على الصفحة اللي بعدها، Ctrl + Enter بنزل على
+
+450
+00:36:24,350 --> 00:36:27,310
+الصفحة الثانية بدون مضال، أضغط Enter Enter Enter، فـ
+
+451
+00:36:27,310 --> 00:36:30,130
+Ctrl + Enter بودينا على الصفحة الثانية مباشرة، بنضغط
+
+452
+00:36:30,130 --> 00:36:34,470
+عليها، هي عدة الأشياء اللي موجودة، لو لاحظتوا أن هنا
+
+453
+00:36:34,470 --> 00:36:38,690
+اللي موجودة عندنا أنه توجه الصفحة رغم أن أنا
+
+454
+00:36:38,690 --> 00:36:43,830
+عملت له الحدود زي هيك، ولكن دل الأمور هنا مجلوبة
+
+455
+00:36:43,830 --> 00:36:47,600
+يعني شيء جاي عدل، وشيء جاي مش مجلوب، طب بحاول أظبطهم
+
+456
+00:36:47,600 --> 00:36:51,420
+مع بعض، هاي هما الظابطين، طب إيش المشكلة؟ إنه هذا
+
+457
+00:36:51,420 --> 00:36:54,640
+ضلّت زي ما هي، هيك okay، طب لو جينا هنا، هاي
+
+458
+00:36:54,640 --> 00:36:57,940
+المشكلة، المشكلة إن هدول مكتوبين على أساس إنهم
+
+459
+00:36:57,940 --> 00:37:02,360
+عربي، فاللاحظ إن هنا مكتوب من اليمين للشمال، طب و
+
+460
+00:37:02,360 --> 00:37:06,260
+هنا من الشمال لليمين، بدا واحد منهم، بضلهم كلهم، و
+
+461
+00:37:06,260 --> 00:37:09,800
+بقول لهم كله من الشمال لليمين، فراحت اللي كانت قبل
+
+462
+00:37:09,800 --> 00:37:15,950
+موجودة، صارت زيها زي اللي جابلي إياها، طلب مني ألغى
+
+463
+00:37:15,950 --> 00:37:19,250
+الخطوط، بنلغي الخطوط، بنجي، بنجي لكلمة reference
+
+464
+00:37:19,250 --> 00:37:24,530
+كمان زيها بنعملها محذوفة، علي اليمين، أو ممكن نهيئ، أنهي
+
+465
+00:37:24,530 --> 00:37:28,070
+لما كانت موجودة من قبل، أضغط على هادي، أتأكد من
+
+466
+00:37:28,070 --> 00:37:31,530
+الاتجاه، فبتوحد، فبكون هي reference بعد chapter تلاتة
+
+467
+00:37:31,530 --> 00:37:36,190
+ما يكون جاهز ومرتبة أبجدياً وكويسة، طب أنا ما بديش
+
+468
+00:37:36,190 --> 00:37:38,550
+الخط هذا، هذا يكون موجود، ماذا موجود وماذا مش
+
+469
+00:37:38,550 --> 00:37:42,790
+موجود، بسيطة، بننقل على إحدى الكلمات اللي موجودة
+
+470
+00:37:42,790 --> 00:37:48,850
+وبندغط عليها، وبتكون هنا خلصنا chapter 2 وبهيك
+
+471
+00:37:48,850 --> 00:37:55,990
+أنهينا chapter 2، ملاحظة في آخر الفيديو بدنا نؤكد
+
+472
+00:37:55,990 --> 00:38:00,330
+على شغل، ما تترددش، وما تتردديش إنك تسألي سؤال
+
+473
+00:38:00,330 --> 00:38:04,690
+بالعكس، الأسئلة بتساعدنا، وإن شاء الله بنوعدكم نكون
+
+474
+00:38:04,690 --> 00:38:08,910
+دايماً عندكم،  تحياي إليكم،  بتمنا لكم السلامة
+
+475
+00:38:08,910 --> 00:38:12,510
+وربنا إن شاء الله يرفع عنا هذا البلاء وعن شعوب كل
+
+476
+00:38:12,510 --> 00:38:15,500
+الأمة، ومن هون تحياتنا، مابا تانية
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..55082ada955b4e14ce215bc7ac54712b2330955a
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_postprocess.srt
@@ -0,0 +1,1904 @@
+1
+00:00:00,660 --> 00:00:04,360
+بسم الله الرحمن الرحيم سنتكلم ان شاء الله سويا على
+
+2
+00:00:04,360 --> 00:00:10,040
+chapter 2 او ما يسمى literature review هو اللي هو
+
+3
+00:00:10,040 --> 00:00:13,980
+فيه بيكون related study الجزئية المهمة اللي هي
+
+4
+00:00:13,980 --> 00:00:17,860
+هتكون محور حديثنا احيانا بعض المشرفين بطلب ال
+
+5
+00:00:17,860 --> 00:00:22,740
+chapter التاني يكون مكتمل ايش بتقصد بكلمة مكتمل
+
+6
+00:00:22,740 --> 00:00:31,710
+يعني يكون في كل تفاصيل ال title يكون فيهمكتوب الـ
+
+7
+00:00:31,710 --> 00:00:38,250
+type 2 diabetes بأنواعها تعريفها في سطرين
+
+8
+00:00:38,250 --> 00:00:43,390
+تصنيفاتها الـ classification في نص صفحة بتكون في
+
+9
+00:00:43,390 --> 00:00:45,930
+researcher review احنا حاليا بنحكي في شطر اتنين
+
+10
+00:00:45,930 --> 00:00:50,210
+بعض المشرفين بيطلب ان يكون more details يعني
+
+11
+00:00:50,210 --> 00:00:54,070
+تفاصيل اكثر في الشطر يعني شطر اتنين المشرف بيطلبه
+
+12
+00:00:54,070 --> 00:00:58,750
+احيانا بيوصل ل 15 صفحةطب إيش هو بطلبه في ال
+
+13
+00:00:58,750 --> 00:01:03,890
+proposal؟ لأن هو في ال thesis أو في البحث النهائي
+
+14
+00:01:03,890 --> 00:01:06,550
+ال search and review بدي يكون على الأقل 15 ل 20
+
+15
+00:01:06,550 --> 00:01:10,490
+صفحة فالمشرف بطلب من الطالب من الأول يقول يجهزه
+
+16
+00:01:10,490 --> 00:01:18,110
+حتى الطالب يرتاح فيما بعد طب إيش يكتب فيه؟ يكتب
+
+17
+00:01:18,110 --> 00:01:22,070
+فيه ال type 2 التعريف لأن ال type 2 بتيجي قبله
+
+18
+00:01:22,070 --> 00:01:24,590
+learn how to write a fiction بيكتب فيه ال
+
+19
+00:01:24,590 --> 00:01:29,370
+classification تصنيفاتههذا بيكون ماخدة تقريبا صفحة
+
+20
+00:01:29,370 --> 00:01:34,150
+طيب و بعد ذلك يمسك ال prevalence ال prevalence
+
+21
+00:01:34,150 --> 00:01:39,770
+احنا كتبناها قبل شويه 7.3% و اكتفينا ولكن بيروحوا
+
+22
+00:01:39,770 --> 00:01:44,090
+و حطين prevalence of type 2 diabetes عنوان في صفحة
+
+23
+00:01:44,090 --> 00:01:48,270
+و بيقول ال prevalence كانت في ال united states كان
+
+24
+00:01:48,270 --> 00:01:52,310
+كذا وهي ال articles اللي قالت و ال prevalence في
+
+25
+00:01:52,310 --> 00:01:57,440
+إيجيبت كانت كذا و ال prevalence فيألمانيا كانت كذا
+
+26
+00:01:57,440 --> 00:02:01,340
+فبصير يحكي عن كل دولة بتفاصيلها ال prevalence فيها
+
+27
+00:02:01,340 --> 00:02:05,960
+فكل دولة بتكون في title منشور وبياخد هذا ال title
+
+28
+00:02:05,960 --> 00:02:09,760
+اللي موجود وبيكتب صفحة خاصة بال prevalence بعدين
+
+29
+00:02:09,760 --> 00:02:12,980
+بروح على risk factor قبل شويه لما حكينا عن ال type
+
+30
+00:02:12,980 --> 00:02:16,840
+2 diabetes ال risk factor كتبناها مرة بعض ع السريع
+
+31
+00:02:16,840 --> 00:02:19,500
+وقلنا في منهم micro وفي منهم macro cardiovascular
+
+32
+00:02:19,500 --> 00:02:22,900
+disease واكتفينا في ال introduction شيء ممتاز
+
+33
+00:02:22,900 --> 00:02:26,550
+وجميلالـ risk factor بتكون كمان في صفحة out in
+
+34
+00:02:26,550 --> 00:02:30,910
+تاني بنقول ال risk factor أول حاجة ال micro ال
+
+35
+00:02:30,910 --> 00:02:34,490
+microvascular بنكتب فيها كل الأشياء المتعلقة في
+
+36
+00:02:34,490 --> 00:02:37,870
+صفحة و بروح نقول على ال microvascular كمان صفحة
+
+37
+00:02:37,870 --> 00:02:42,730
+تانية فبتكون ال risk موجود بزيادة نوضح المثال تاني
+
+38
+00:02:42,730 --> 00:02:49,210
+ال complication أو لما بنقول pathogenesis أو أي
+
+39
+00:02:49,210 --> 00:02:53,470
+شغل كانت ناخد مثال على ال risk factorللـ lung
+
+40
+00:02:53,470 --> 00:03:00,050
+cancer أول حاجة لـ smoking فباكتب risk factor of
+
+41
+00:03:00,050 --> 00:03:05,090
+lung cancer أو lung cancer risk factor في صفحة و
+
+42
+00:03:05,090 --> 00:03:09,490
+بعد ذلك بقول رقم 1 لـ smoking و بشرح ليش smoking
+
+43
+00:03:09,490 --> 00:03:14,250
+بيعمل عند lung cancer بعدين الحاجة التانية استنشاق
+
+44
+00:03:14,250 --> 00:03:20,390
+الغازاتو بروح كاتب كمان صفحة فبصير كل risk مكتوب
+
+45
+00:03:20,390 --> 00:03:24,250
+عليها صفحة هذا بزود عندنا ال chapter التاني تبع
+
+46
+00:03:24,250 --> 00:03:28,210
+literature review فهي أخدنا chapter اتنين راح كتب
+
+47
+00:03:28,210 --> 00:03:30,370
+عن ال definition و لاحظ هو كده كتب عن ال
+
+48
+00:03:30,370 --> 00:03:35,330
+definition تقريبا فقرة كاملة بعدين كتب ال type 2
+
+49
+00:03:35,330 --> 00:03:39,010
+diabetes او ال type diabetes في عند type 1 و كتب
+
+50
+00:03:39,010 --> 00:03:42,610
+عليها فقرة كاملة من ال American Diabetic
+
+51
+00:03:42,610 --> 00:03:46,980
+Association في 2012 بعدين ع ال type 2بعدين
+
+52
+00:03:46,980 --> 00:03:50,180
+Adjustational Diabetes وضلوا ماشي على كل أنواع
+
+53
+00:03:50,180 --> 00:03:53,040
+الديابيتس بعدين أخد type 2 diabetes وكتب على ال
+
+54
+00:03:53,040 --> 00:03:56,960
+متابوليزم بتاعتها وانضلنا ماشيين تقريبا كتبله
+
+55
+00:03:56,960 --> 00:04:00,040
+صفحتين تلاتة بعدين راح كتب prevalence and
+
+56
+00:04:00,040 --> 00:04:04,120
+mortality rate of type 2 diabetes كتب على ال
+
+57
+00:04:04,120 --> 00:04:07,240
+prevalence زي ما احنا شايفين كمان صفحة تالك راح
+
+58
+00:04:07,240 --> 00:04:10,320
+على ال risk factor وصار يكتب في ال risk factor ال
+
+59
+00:04:10,320 --> 00:04:13,180
+body mass index رقم واحد الليبد رقم اتنين diet
+
+60
+00:04:13,180 --> 00:04:18,290
+rehabit كتب عنها ومشي على ال geneticوصار يكتب على
+
+61
+00:04:18,290 --> 00:04:21,770
+الـ Complication فبنلاحظ ان هو ماشي على ال step
+
+62
+00:04:21,770 --> 00:04:25,690
+اللي احنا شرحناها هذا كله بيكون كاتبه في chapter 2
+
+63
+00:04:25,690 --> 00:04:30,210
+لكن هذه الأشياء تكتب خلال البحث الكامل بنلاحظ هو
+
+64
+00:04:30,210 --> 00:04:34,830
+كان البحث هذا ماخد العلاقة ما بين ال type 2
+
+65
+00:04:34,830 --> 00:04:38,190
+diabetes و ال vitamin D وهو قال لك الناس اللي
+
+66
+00:04:38,190 --> 00:04:41,270
+عندهم type 2 diabetes بيصير عندهم vitamin D
+
+67
+00:04:41,270 --> 00:04:45,010
+deficiency فحكى على شغلات أساسية بال type 2
+
+68
+00:04:45,010 --> 00:04:48,650
+diabetesبعدين انتقل ع الـ Vitamin D بدأ يكتب على
+
+69
+00:04:48,650 --> 00:04:51,010
+الـ Definition تحت الـ Vitamin D و ال prevalence
+
+70
+00:04:51,010 --> 00:04:54,110
+تحت الـ Vitamin D دفشانسي و بعدين ال risk factor
+
+71
+00:04:54,110 --> 00:04:58,250
+تحت الـ Vitamin D دفشانسي و دلوا ماشي فيها كل شيء
+
+72
+00:04:58,250 --> 00:05:02,090
+وصل لحاجة اسمها related study اللي هي مطلوبة مننا
+
+73
+00:05:02,090 --> 00:05:07,670
+أن نكتبها related study معناتها دراسات سابقة تتكلم
+
+74
+00:05:07,670 --> 00:05:11,970
+على نفس العنوان تبع الدراسة التي تعتي على نفس ال
+
+75
+00:05:11,970 --> 00:05:15,690
+objective طب كيف بدنا نجيبها؟إنك تجيب الدراسات
+
+76
+00:05:15,690 --> 00:05:20,190
+السابقة أمر سهل جدا أول حاجة في اللي موجود عندنا
+
+77
+00:05:20,190 --> 00:05:24,330
+الـ Prevalence of Renal Track Infection among Type
+
+78
+00:05:24,330 --> 00:05:28,110
+2 Diabetes يبقى صافي عندنا عاملين أساسيين Renal
+
+79
+00:05:28,110 --> 00:05:32,490
+Track Infection وType 2 Diabetes بنعلم الأول Renal
+
+80
+00:05:32,490 --> 00:05:36,950
+Track Infection و بنروح على Control و بنظل ضغطين
+
+81
+00:05:36,950 --> 00:05:40,070
+عليها و بنظل ضغطين على Control و بنروح و بنعلم
+
+82
+00:05:40,070 --> 00:05:43,990
+التانيبعدين بنرفع إيدينا عن الـ control و نضغط
+
+83
+00:05:43,990 --> 00:05:48,390
+يمين بالـ mouse و نقول له copy و بروح على جوجل
+
+84
+00:05:48,390 --> 00:05:52,070
+schoolه في جوجل schoolه بنكتب الـ Lunar Track
+
+85
+00:05:52,070 --> 00:05:55,890
+Infection و الـ Type 2 Diabetes فبيجيبلنا كل
+
+86
+00:05:55,890 --> 00:06:00,390
+الأبحاث اللي بتحكي على الـ Type 2 Diabetes و Lunar
+
+87
+00:06:00,390 --> 00:06:03,670
+Track Infection هاي ال incidence أنا بحكي عن
+
+88
+00:06:03,670 --> 00:06:06,690
+prevalence بدي أجيب هنا أكتب كلمة prevalence
+
+89
+00:06:06,690 --> 00:06:11,440
+فبالتالي إذا أنا بدي بدي بس ال prevalenceبقى اجي
+
+90
+00:06:11,440 --> 00:06:16,200
+على prevalence و بنضغط على control و بنظل ضغطين و
+
+91
+00:06:16,200 --> 00:06:18,380
+بنظل ضغطين على control و نعلم الأشياء اللي
+
+92
+00:06:18,380 --> 00:06:22,800
+بدناياها التلات كلمات المفتاحية فبليش معلمنا على
+
+93
+00:06:22,800 --> 00:06:26,940
+Gaza city لأنه لو هو نعمل في غزة و إيش بدي فيه أنا
+
+94
+00:06:26,940 --> 00:06:30,240
+ليش أنا بعمل البحث و هو معمول يكون duplication في
+
+95
+00:06:30,240 --> 00:06:33,260
+الحالة هذه إلا إذا كان معمول قبل خمس أو ست سنوات
+
+96
+00:06:33,260 --> 00:06:36,520
+ولكن إذا new معمول مافيش دايع للبحث فبالتالي
+
+97
+00:06:36,520 --> 00:06:39,990
+ماينفعش أكتب غزةلأن لو وجدت بحث موجود على غزة
+
+98
+00:06:39,990 --> 00:06:43,290
+مافيش داعي ان اكمل بحثي و اعمله لأن في ناس قبل ذلك
+
+99
+00:06:43,290 --> 00:06:48,610
+اشتغلوا فيه و بروح هنا بنعمله لصق في الحالة هذه
+
+100
+00:06:48,610 --> 00:06:55,690
+بدي اكتب هنا كلمة and و اكتب بعد الكلمة هذه and
+
+101
+00:06:55,690 --> 00:07:00,270
+حتى يجيبلي الأشياء اللي فيها ال prevalence ويجيبلي
+
+102
+00:07:00,270 --> 00:07:02,870
+انها track infection و type 2 diabetes ال
+
+103
+00:07:02,870 --> 00:07:06,970
+prevalence أو ال incidenceوهي تارك انفكشن وtype 2
+
+104
+00:07:06,970 --> 00:07:11,210
+diabetes فجاب لكل الأبحاث اللي هما قابلة بحثي فصار
+
+105
+00:07:11,210 --> 00:07:15,290
+هاي أول واحد موجود وهي تاني واحد وهي تالت واحد وهي
+
+106
+00:07:15,290 --> 00:07:20,870
+رابع واحد موجود وهي الأبحاث كلها موجودة فبناخد
+
+107
+00:07:20,870 --> 00:07:24,910
+احنا على الأقل ربع أبحاث أو خمس أبحاث واللي بدي
+
+108
+00:07:24,910 --> 00:07:28,330
+اكتب عشان اكتب بنيجي أول حاجة وبنضغط على البحث
+
+109
+00:07:28,330 --> 00:07:34,180
+الأولاني البحث الأولاني كيف انا بدي أخدهبأجي لل
+
+110
+00:07:34,180 --> 00:07:39,120
+abstract كلها بضللها كاملة زي ما هي و باخد ال
+
+111
+00:07:39,120 --> 00:07:45,280
+abstract copy و بروح على صفحة ال word اللي أنا
+
+112
+00:07:45,280 --> 00:07:51,920
+بكتب فيها و لما وصلت هنا و كتبت chapter 2
+
+113
+00:07:51,920 --> 00:07:55,660
+researcher review بدنا نصقها و نضللها بعد ما
+
+114
+00:07:55,660 --> 00:07:59,420
+كتبناها بنيجي هنا و نقول ان هذه عبارة عن 16 بتكون
+
+115
+00:07:59,420 --> 00:08:04,100
+bold خط غميق وتكون جاية في الوسطالان بعدها بروح
+
+116
+00:08:04,100 --> 00:08:08,920
+كاتبين related study كتبنا related study بدنا
+
+117
+00:08:08,920 --> 00:08:12,620
+نجيبها على ناحية الشمال بدنا نضغط على ناحية هذه
+
+118
+00:08:12,620 --> 00:08:16,900
+بتيجي على ناحية الشمال بدنا نكتبها 2 إلى 1 هاي
+
+119
+00:08:16,900 --> 00:08:21,040
+كتبنا 2 إلى 1 طب إيش بدنا نكتب أول حاجة نفس اللي
+
+120
+00:08:21,040 --> 00:08:26,060
+عملنا لها copy من قبل شوية اللي هي هذه copy وبنيجي
+
+121
+00:08:26,060 --> 00:08:30,000
+على related study اللي موجودة عندى وبنعملها لصق
+
+122
+00:08:30,430 --> 00:08:33,970
+فصارت هذا هي موجودة التنصيق اللي موجود أنا بدي كل
+
+123
+00:08:33,970 --> 00:08:37,030
+البحث يكون نفس التنصيق لو رجعنا على الأشياء اللي
+
+124
+00:08:37,030 --> 00:08:39,970
+احنا كتبناها قبل شوية و الفقرات في ال introduction
+
+125
+00:08:39,970 --> 00:08:43,430
+هاد و بدي نفس التنصيق هنا يكون عامل مع البحث بضغط
+
+126
+00:08:43,430 --> 00:08:48,090
+على ال فرشاية و بضلنا ضغط عليها ضغطة واحدة و بنيجي
+
+127
+00:08:48,090 --> 00:08:51,750
+هنا و بدلا من ضغطنا عليها بياخد نفس التنصيق زي ما
+
+128
+00:08:51,750 --> 00:08:55,970
+هو هيأخد نفس التنصيق كيف بينا نخليها هذه related
+
+129
+00:08:55,970 --> 00:09:01,000
+study أول حاجة هذا تعريف على related studyبنشيلها
+
+130
+00:09:01,000 --> 00:09:08,320
+كلها فنذهب للتعريف الأول و نضغط على جزئي الأول و
+
+131
+00:09:08,320 --> 00:09:14,900
+نضغط على جزئي الأول و نضغط على جزئي الأول و نضغط
+
+132
+00:09:14,900 --> 00:09:18,220
+على جزئي الأول و نضغط على جزئي الأول و نضغط على
+
+133
+00:09:18,220 --> 00:09:19,180
+جزئي الأول و نضغط على جزئي الأول و نضغط على جزئي
+
+134
+00:09:19,180 --> 00:09:19,640
+الأول و نضغط على جزئي الأول و نضغط على جزئي الأول
+
+135
+00:09:19,640 --> 00:09:19,660
+و نضغط على جزئي الأول و نضغط على جزئي الأول و نضغط
+
+136
+00:09:19,660 --> 00:09:21,160
+على جزئي الأول و نضغط على جزئي الأول و نضغط على
+
+137
+00:09:21,160 --> 00:09:28,660
+جزئي الأول و نضغط على جزئي الأول و نضغط على جزئي
+
+138
+00:09:28,660 --> 00:09:33,040
+الأول و نلأن هذا عالم أنا أخدت منه حتى يأخذوا نفس
+
+139
+00:09:33,040 --> 00:09:37,540
+التنسيق نضغط على اللي جاب ليه و بنعلم و بروح ما
+
+140
+00:09:37,540 --> 00:09:40,780
+أخد نفس التنسيق السابق بنروح ضغطين على الأولى
+
+141
+00:09:40,780 --> 00:09:44,980
+الأولاني copy و بروح ضايفينه في الجدولة التانية و
+
+142
+00:09:44,980 --> 00:09:48,860
+حتى ما نسافر نقول دايما اتقال و أكيد ذاكرين ليش
+
+143
+00:09:48,860 --> 00:09:56,720
+قلنا اتقال لأن هدولة أكتر من اتنين بنقول 2015 و
+
+144
+00:09:56,720 --> 00:10:03,000
+بنسكر ال courseزي هي تماما
+
+145
+00:10:03,000 --> 00:10:07,300
+ابنجي
+
+146
+00:10:07,300 --> 00:10:14,280
+على الفقه اذا انا بدأ اضيف العالم هنا بيظل زي ما
+
+147
+00:10:14,280 --> 00:10:19,500
+هو بين قوسين ولكن لو بدأ اقول هنا اجيب نفس العالم
+
+148
+00:10:19,500 --> 00:10:22,560
+مابديش احطه في الآخر مابدي نحطه في الأول هي في
+
+149
+00:10:22,560 --> 00:10:26,740
+الأول وسحبناها الأول هنا مانفعش نكتب بالصيغة هادى
+
+150
+00:10:26,740 --> 00:10:32,070
+لازم يكون مكتوب بالصيغة هادىونكتب هنا illustrated
+
+151
+00:10:32,070 --> 00:10:35,210
+that
+
+152
+00:10:35,210 --> 00:10:41,330
+بيّن الأشياء التالية ومنظلنا كاتبين الكلام هذا أن
+
+153
+00:10:41,330 --> 00:10:45,110
+هو اللي قاله وهو فعلا قاله فبتكون هذه الدراسة
+
+154
+00:10:45,110 --> 00:10:49,230
+الأولى جاهزة ولو طلعنا فيها أن كل هذه الدراسة
+
+155
+00:10:49,230 --> 00:10:54,470
+الأولى جاهزة بس بتظهر فيها بعض ال verb أو بعض
+
+156
+00:10:54,470 --> 00:10:59,420
+الشغلات اللي بتكون موجودة اللي تخليها في الماضينجي
+
+157
+00:10:59,420 --> 00:11:04,360
+مثلا هنا بنكتب كلمة there is a shop حيث there is a
+
+158
+00:11:04,360 --> 00:11:16,320
+shop should that و بنخلي الكلمة اللي موجودة small
+
+159
+00:11:16,320 --> 00:11:23,520
+بعدين هاي الكلام دلو ماشي لآخر شيء بعدين هو they
+
+160
+00:11:23,520 --> 00:11:27,060
+اللي
+
+161
+00:11:27,060 --> 00:11:34,080
+هم الباحثينpointed out يعني أنا بوعز الكلام لهم ال
+
+162
+00:11:34,080 --> 00:11:43,180
+treatment كانت هيك موجودة finally they
+
+163
+00:11:43,180 --> 00:11:46,400
+concluded
+
+164
+00:11:46,400 --> 00:11:56,260
+that و بروح مخلين الكلام جايب بالنسبالهم أو نسقط
+
+165
+00:11:56,260 --> 00:12:01,310
+الكلام بالنسبالهموهنا الـ final بدها فاصلة بنضيفها
+
+166
+00:12:01,310 --> 00:12:04,130
+فهيك بتكون الجملة الصحية يعني يبقى انا اول حاجة
+
+167
+00:12:04,130 --> 00:12:10,710
+ضفت هذه هي احنا ضفنا هذه اللونها
+
+168
+00:12:10,710 --> 00:12:15,450
+بلون تاني بعد ذلك قلنا that السياسة عشان اجيب
+
+169
+00:12:15,450 --> 00:12:20,010
+الكلام ان هما بيانوه بعدين قلنا they pointed out
+
+170
+00:12:20,010 --> 00:12:24,390
+هما أشاروا إلى
+
+171
+00:12:24,390 --> 00:12:25,370
+انه that
+
+172
+00:12:28,280 --> 00:12:32,220
+الباحثين وبعدين بنقول finally they concluded that
+
+173
+00:12:32,220 --> 00:12:36,580
+يعني أنا الدراسة أخدتها زي ما هي في الغالب في حاجة
+
+174
+00:12:36,580 --> 00:12:39,320
+اسمها paraphrase ال paraphrase انك انت بدك تفهم
+
+175
+00:12:39,320 --> 00:12:43,340
+الفقرة هذه اللي مفتوبة وتعيد سياغتها بطريقتك الصح
+
+176
+00:12:43,340 --> 00:12:47,760
+ان الباحث لما يسلم البحث مش في ال proposal في
+
+177
+00:12:47,760 --> 00:12:52,580
+البحث ان يكون عاد سياغة ال paragraph طيب كيف بدنا
+
+178
+00:12:52,580 --> 00:12:56,440
+نعيد سياغة ال paragraph ناخد فكرة عنه حتى لو قدام
+
+179
+00:12:56,910 --> 00:13:01,910
+تزمتنا في البحث ليس نفس الكلام لو ضغطنا هنا اقلق
+
+180
+00:13:01,910 --> 00:13:07,250
+باليمين وجينا على كلمة مفادات بنلاقي عدة كلمات
+
+181
+00:13:07,250 --> 00:13:13,270
+بنختار هي احنا غيرنا كلمة immune system بنقول على
+
+182
+00:13:13,270 --> 00:13:16,670
+سبيل المثال بدالها كلمة بتعني بال immune system
+
+183
+00:13:16,670 --> 00:13:23,250
+اللي هي بنقول انه انه بدنا نضيف كلمة انها تغير
+
+184
+00:13:23,250 --> 00:13:29,220
+المعنىفبنقول هنا كلمة power قوة جهاز المناع و بور
+
+185
+00:13:29,220 --> 00:13:33,700
+متبلك بدل كلمة متبلك بور متبلك هنا ممكن نكتب bad
+
+186
+00:13:33,700 --> 00:13:38,880
+متبلك لنغيّعنا الأمور هذه incomplete هنا بنكتب
+
+187
+00:13:38,880 --> 00:13:44,020
+limited محددة يعني بتصير احنا ماشيين نغير في بعض
+
+188
+00:13:44,020 --> 00:13:48,940
+المتراضفات اللي موجودة عندنا all هنا بنقول كلمة
+
+189
+00:13:48,940 --> 00:13:55,510
+mustفبتيجي بعض الكلمات تقريبا بتكون موجودة كلمة
+
+190
+00:13:55,510 --> 00:13:58,270
+الـ the new anti ممكن هذه الكلمة ماتكونش لها لازمة
+
+191
+00:13:58,270 --> 00:14:03,170
+نشيلها ده يجي ال cause وبنكتب هنا two inhibitors
+
+192
+00:14:03,170 --> 00:14:07,150
+have not been found نضغط نقل باليمين ونشوف أيش في
+
+193
+00:14:07,150 --> 00:14:12,250
+كلمة ممكن تكون لها علاقة بنضيفها فبنضلنا ماشيين
+
+194
+00:14:12,250 --> 00:14:17,650
+originate to significant increase ممكن نكتب هنا
+
+195
+00:14:17,650 --> 00:14:20,960
+statistically significantأو بدون كلمة significant
+
+196
+00:14:20,960 --> 00:14:26,980
+روح نخليها increase مباشرة فلاحظوا ان احنا بنغير
+
+197
+00:14:26,980 --> 00:14:31,220
+في البراجعه بشغلات بسيطة هنا مثلا هو كاتب ان هنا
+
+198
+00:14:31,220 --> 00:14:35,880
+ال symptoms انا اكتب هنا symptoms and أو sign and
+
+199
+00:14:35,880 --> 00:14:41,500
+symptoms ما هي نفس المعنى ال sign and
+
+200
+00:14:41,500 --> 00:14:45,020
+symptoms urinary tract infection هو اكتبها زي هيك
+
+201
+00:14:45,020 --> 00:14:51,160
+احنا بروح كاتبين UTI اختصار لهاكلمة patient with
+
+202
+00:14:51,160 --> 00:14:55,380
+أو without diabetes بنكتب هنا type two diabetes
+
+203
+00:14:55,380 --> 00:15:00,800
+mellitus فسوف انا اعمل paraphrase في بعض المرضى
+
+204
+00:15:00,800 --> 00:15:03,160
+diabetic nephropathy بنكتب here diabetic
+
+205
+00:15:03,160 --> 00:15:09,120
+nephropathy ال clinical ممكن نهدي بدالها نخلي كلمة
+
+206
+00:15:09,120 --> 00:15:12,900
+medical وبنيجي نتأكد من هنا ان في clinical هي فيها
+
+207
+00:15:12,900 --> 00:15:16,510
+عاجبالها كلمة medicalبنضل نشيل نعمل paraphrase إذا
+
+208
+00:15:16,510 --> 00:15:19,010
+بدنا نعمل لكن هي الطريقة اللي بنعمل فيها ال
+
+209
+00:15:19,010 --> 00:15:22,050
+paraphrase ده الأمور اللي موجودة هنا ممكن تكون
+
+210
+00:15:22,050 --> 00:15:27,650
+several factor نقول عنها different factor if the
+
+211
+00:15:27,650 --> 00:15:30,390
+infection هو قصده بال infection urinary tract
+
+212
+00:15:30,390 --> 00:15:37,150
+infection if urinary tract infection فأنا بسير أجي
+
+213
+00:15:37,150 --> 00:15:41,150
+و أميز هنا kidney بكتب بدلها كلمة renal نفس
+
+214
+00:15:41,150 --> 00:15:47,790
+المصطلحفبنضلنا ماشيين فيهم وهنا كلمة مثلا type2
+
+215
+00:15:47,790 --> 00:15:53,210
+نفس الحاجة type2 diabetes من leads أنا ماشي و
+
+216
+00:15:53,210 --> 00:15:57,990
+ببدّل كلمات وهنا بنضلنا نقول أنه في عندنا دراسات
+
+217
+00:15:57,990 --> 00:16:02,230
+سابقة وضحت أنه في علاقة ما بين ال type2 فاللاحظ
+
+218
+00:16:02,230 --> 00:16:05,430
+أنه ممكن الفقهة هذه اللي موجودة أستفيد منها في ال
+
+219
+00:16:05,430 --> 00:16:09,010
+significance أو أستفيد منها في آخر ال introduction
+
+220
+00:16:09,010 --> 00:16:13,170
+مش قولنا في آخر introductionإنه في كلمة بتتبقى
+
+221
+00:16:13,170 --> 00:16:16,910
+variable مع بعض هاي فقرة موجودة و جاهزة فبأخدها
+
+222
+00:16:16,910 --> 00:16:21,490
+أنا هنا بقصها و بروح بوديها على المكان اللي موجود
+
+223
+00:16:21,490 --> 00:16:25,470
+في آخر شابطة رقم واحد لإن أنا شايف إنه في علاقة ما
+
+224
+00:16:25,470 --> 00:16:28,350
+بينها و ممكن تكون موجودة أنا بتقول لك لأ هنا بحكي
+
+225
+00:16:28,350 --> 00:16:31,910
+على treatment و أنا هبنحكي على equivalence بتظلها
+
+226
+00:16:31,910 --> 00:16:36,590
+نفسها هي هي مكتوبة ولكن بدل كلمة treatment بنكتر
+
+227
+00:16:36,590 --> 00:16:39,150
+كلمة equivalence
+
+228
+00:16:41,510 --> 00:16:46,590
+وبتكون هذه الفقهة بناخدها وبنضيفها في آخر الـ
+
+229
+00:16:46,590 --> 00:16:50,530
+chapter اللي موجود في الفقهة هذه إذا هي عجباني أحب
+
+230
+00:16:50,530 --> 00:17:00,430
+أخليها موجودة، بتظل موجودة أن هو أن الـ and they
+
+231
+00:17:00,430 --> 00:17:03,970
+recommended
+
+232
+00:17:03,970 --> 00:17:08,030
+also that
+
+233
+00:17:10,480 --> 00:17:14,820
+الباحثين ايضا اننا نعمل عدة دراسات متعلقة ال
+
+234
+00:17:14,820 --> 00:17:19,800
+prevalence و الأمور هذه الترقيغ الإملائي ممكن كمان
+
+235
+00:17:19,800 --> 00:17:22,880
+هو بس بتكون two space يعني هنا هو جابل الخط لأن
+
+236
+00:17:22,880 --> 00:17:26,480
+فيه مكان فاضي و فيه كمان مكان فاضي هو حاسس ان في
+
+237
+00:17:26,480 --> 00:17:30,920
+عندنا فراغين فعمل انه عندنا عادة بنضغط هنا و بنروح
+
+238
+00:17:30,920 --> 00:17:34,280
+من جولة فهي أول دراسة خلصناها و عملنا لها برا
+
+239
+00:17:34,280 --> 00:17:37,360
+phrase هي الطريقة لو المشترك قالك اعمل برا phrase
+
+240
+00:17:37,360 --> 00:17:41,180
+يعني برا graph هي احنا قلنا لك طريقة سهلةفيه طلباء
+
+241
+00:17:41,180 --> 00:17:45,380
+برايح روسهم بيجروها كلها وبلخصها في سطرين أو تلاتة
+
+242
+00:17:45,380 --> 00:17:49,280
+أو أربعة يعني على سبيل المثال بروحوا وحد في جزئيها
+
+243
+00:17:49,280 --> 00:17:56,440
+دي كلها ومباشرة خليها زي هيك من باب تقليل المسافة
+
+244
+00:17:56,440 --> 00:18:00,140
+كلمة ال recommendation كمان هذا بروح حرفها فبتكون
+
+245
+00:18:00,140 --> 00:18:04,120
+عده مختصرة الدراسة طلعت في الصورة هذه كل
+
+246
+00:18:04,120 --> 00:18:07,900
+السيناريوهات صح فكل السيناريوهات ممكن تؤدي نفس
+
+247
+00:18:07,900 --> 00:18:13,190
+الغرض ولكنانت بدك تكون عارف ايش اللي بدك تكتبه في
+
+248
+00:18:13,190 --> 00:18:16,230
+المحصلة ماتجلجيش ان الأمور تكون صعبة هي الأمور زي
+
+249
+00:18:16,230 --> 00:18:19,750
+ما انت شايفها او زي ما انت شايف فيها سهل جدا جدا
+
+250
+00:18:19,750 --> 00:18:23,350
+التاني اللي بدنا ناخده مثال التاني بدنا ناخد مثال
+
+251
+00:18:23,350 --> 00:18:28,750
+prevalence of rhinitis infection بروح ضغطين عالية
+
+252
+00:18:28,750 --> 00:18:32,850
+فبكون عندنا هي اللي طلع عندنا البحث فأول شيء بروح
+
+253
+00:18:32,850 --> 00:18:39,770
+ماخد ال title ك copy وبروح
+
+254
+00:18:39,910 --> 00:18:44,290
+لازقه في الـ chapter التاني و لاحظ ما جيه نفس
+
+255
+00:18:44,290 --> 00:18:47,490
+التنصيق مابقاش الحل الحل زي ما اتكلمنا و بعيدها
+
+256
+00:18:47,490 --> 00:18:58,970
+انه اهي و اخد نفس التنصيق ان هذا العنوان was was
+
+257
+00:18:58,970 --> 00:19:07,390
+studied by درس بواسطة و بروح على google school app
+
+258
+00:19:08,950 --> 00:19:14,730
+بنرجع على ال reference وبنضغط عليه وبناخد copy
+
+259
+00:19:14,730 --> 00:19:23,050
+وبروح بنضيفه على ال reference في المكان التالي هاي
+
+260
+00:19:23,050 --> 00:19:26,110
+وصاروا عندنا الأشياء طب حتى ياخد نفس التنصيق بروح
+
+261
+00:19:26,110 --> 00:19:31,130
+ضغطين عليها ومعلمينها ومعاملين نفس التنصيق فأخد
+
+262
+00:19:31,130 --> 00:19:35,490
+البحث نفس التنصيق تفهين إيش فكرة أن يكون موجود ال
+
+263
+00:19:35,490 --> 00:19:40,960
+reference في صفحة word لحالان انا سهل ان اتنقل ما
+
+264
+00:19:40,960 --> 00:19:44,460
+بين ال reference و الأشياء و لما اخلص في الآخر
+
+265
+00:19:44,460 --> 00:19:47,440
+بأنسخ ال reference هذه كلها و بوديها على ال thesis
+
+266
+00:19:47,440 --> 00:19:51,560
+بنقول الحين بدأ نكتبه في آخر البحث بروح فاتحين اول
+
+267
+00:19:51,560 --> 00:19:58,640
+شيء course ماخدين copy من اسم العالم زي ما اتكلمنا
+
+268
+00:19:58,640 --> 00:20:06,180
+اتقال معناه و شركائه و نقول 2001 و بروح ماخدينها
+
+269
+00:20:06,180 --> 00:20:12,310
+هذهوعملين انها copy ورايحين على البحث اللي انا
+
+270
+00:20:12,310 --> 00:20:19,430
+بشتغل فيه ولاسق بالصورة هذه بلاحظ انه احنا عندنا
+
+271
+00:20:19,430 --> 00:20:23,010
+انه بتنفعش انها تكون بين جثين لانها مش في اخر
+
+272
+00:20:23,010 --> 00:20:27,270
+الكلام فالحل انه انا الجث هذا اللي موجود بضل اللي
+
+273
+00:20:27,270 --> 00:20:32,610
+بيسحبه او بروح بعمله delete من هنا delete وبروح
+
+274
+00:20:32,610 --> 00:20:37,270
+بنضيفه بعد it all بنضيفه بالصورة هذه فصار عندنا
+
+275
+00:20:37,580 --> 00:20:45,920
+الفقرة العنوان جاهزة وبنقول they showed
+
+276
+00:20:45,920 --> 00:20:53,600
+that هم ايش بيّنوا بضو على نفس ال articles وبدل ما
+
+277
+00:20:53,600 --> 00:20:59,500
+اخد المقدمة و ارجع تاني بشوف هم ايش هم وجدوا هو
+
+278
+00:20:59,500 --> 00:21:03,880
+جالك بدأ بالمثالوج مباشرة فبنضلل كل الفقرة اللي
+
+279
+00:21:03,880 --> 00:21:08,740
+موجودة وبنعملها copyوالحين في خاصية كويسة موجودة
+
+280
+00:21:08,740 --> 00:21:12,720
+في ال word بنعملها هنا لصق طب بدي انا لصق لو
+
+281
+00:21:12,720 --> 00:21:16,440
+عملتله لصق نشوف ايش بيصير عادي ماجعش نفس التنصيق
+
+282
+00:21:16,440 --> 00:21:20,020
+اللي فاتت لازم اقع نفس القصة طب فيش أسهر من هيك
+
+283
+00:21:20,020 --> 00:21:25,240
+صحيح انه انا باجي هنا و بقوله لصق التنصيق السابق
+
+284
+00:21:25,240 --> 00:21:28,900
+يعني انسخلياه بنفس التنصيق السابق التانية مش
+
+285
+00:21:28,900 --> 00:21:33,020
+الأولى بقوله okay فاللاحظ هو أخد نفس التنصيق
+
+286
+00:21:33,020 --> 00:21:39,210
+السابق هدولة وضحوافي case control study طب هنا
+
+287
+00:21:39,210 --> 00:21:42,570
+ممكن نكتبها إيش نحولها نقول عنها observational
+
+288
+00:21:42,570 --> 00:21:46,670
+study أو نكتب كلمة observational case control
+
+289
+00:21:46,670 --> 00:21:50,930
+study عشان نغير بلا phrase هم كتبوا إيه، بنكتب
+
+290
+00:21:50,930 --> 00:21:55,310
+ذيه، بنحور الكلام و بنظل نمشي نرينيا track
+
+291
+00:21:55,310 --> 00:21:58,810
+infection أما أحنا كتبين الإختصار قبل فبنشيل
+
+292
+00:21:58,810 --> 00:22:02,270
+الكلمة و نكتفي فقط بالاختصار
+
+293
+00:22:04,910 --> 00:22:08,150
+واللي أخدوا عندي هدول كانوا مي و اتنين بضل نفس
+
+294
+00:22:08,150 --> 00:22:13,490
+الكلام ماشي كويس ونقول ال subject هو اللي كانوا in
+
+295
+00:22:13,490 --> 00:22:25,610
+this study in this study the subjects كانوا وكأن
+
+296
+00:22:25,610 --> 00:22:29,750
+انا عشان اوضح انه مش انا اللي عمل الدراسة ورجعها
+
+297
+00:22:29,750 --> 00:22:35,120
+لاصحابها فبالتالي هي عندنا اضفنا الكلمة هذه فقطانه
+
+298
+00:22:35,120 --> 00:22:41,480
+buy هذه ضفنا they عشان نرجع انه فيه مش احنا اللي
+
+299
+00:22:41,480 --> 00:22:46,260
+عاملينه في غيرهم و بنضلنا نقرأ في البحث و ننصق
+
+300
+00:22:46,260 --> 00:22:49,840
+فيها طب الكلام اللي موجود بالأزرق هذا ايش حلو
+
+301
+00:22:49,840 --> 00:22:53,720
+اقوله حاليا اول حاجة حتى يختفي بنضغط click باليمين
+
+302
+00:22:53,720 --> 00:23:00,040
+و بنقول in remove hyperlink شيل الرابط لأن هذا
+
+303
+00:23:00,040 --> 00:23:04,720
+بتكون مربوط في ايش مربوطة مربوطة بالنتكيف مربوطة
+
+304
+00:23:04,720 --> 00:23:09,380
+بالنت لو ضغطنا على control و اتضلعنا فيها المفروض
+
+305
+00:23:09,380 --> 00:23:13,140
+تيجي اشارة يعني بنضغط على control تجينا اشارة
+
+306
+00:23:13,140 --> 00:23:16,340
+المفروض لما اضغط و انا ضغط على control و اضال ضغط
+
+307
+00:23:16,340 --> 00:23:20,360
+بطوح و رايحة على نفس المكان اللي جاية منه هذه
+
+308
+00:23:20,360 --> 00:23:24,340
+فبتفتح للنت مباشرة انا بتدلغيها فلو ضغطنا على
+
+309
+00:23:24,340 --> 00:23:27,860
+control وضغطيني وضغطنا هنا هتفتح صفحة نت هي واحد
+
+310
+00:23:27,860 --> 00:23:32,240
+فتحتلنا صفحة نت من صفحة ال word على كلمة رونيرا
+
+311
+00:23:32,240 --> 00:23:38,410
+track infectionبنضغط كليك باليمين بنجي على كلمة
+
+312
+00:23:38,410 --> 00:23:41,850
+remove و بنقول له remove هاي بروح نفس الشيء هنا
+
+313
+00:23:41,850 --> 00:23:45,750
+بنقول له remove بروح طب فيش أسهل كلهم مرة واحدة
+
+314
+00:23:45,750 --> 00:23:49,490
+صحيح ان احنا بنضغط و بروح الفرشاية هاي و بنضللهم
+
+315
+00:23:49,490 --> 00:23:54,310
+كلهم مرة واحدة وبالتالي كل الأزرق بروح و بس هنا
+
+316
+00:23:54,310 --> 00:23:59,150
+ضلوا مجيين بخط مائل شوية بنكرر العملية كمان مرة و
+
+317
+00:23:59,150 --> 00:24:02,650
+بنروح بنضللهم و فبالتالي بطلع كله نفس الخط و
+
+318
+00:24:02,650 --> 00:24:12,130
+النتائجوصلنا لعند هنا in all subjects in this
+
+319
+00:24:12,130 --> 00:24:18,290
+study في هذه الدراسة حتى احنا نقول مش احنا اللي
+
+320
+00:24:18,290 --> 00:24:22,130
+عملناها بنضلنا ماشيين كمان نفس الكلمة اذا بدك تعمل
+
+321
+00:24:22,130 --> 00:24:24,970
+paraphrase ممكن تعمل paraphrase بالصطوخ اللي احنا
+
+322
+00:24:24,970 --> 00:24:30,440
+قلناها قبل رينال بتصير kidney abnormalبنضغط كليك
+
+323
+00:24:30,440 --> 00:24:32,440
+باليمين وبنشوف إيش الشغلات اللي موجودة not
+
+324
+00:24:32,440 --> 00:24:35,920
+standard regular بنضيف نفس الأشياء اللي بدناها
+
+325
+00:24:35,920 --> 00:24:40,400
+وبنظل ماشيين على الأشياء وبتكون هذه الدراسة
+
+326
+00:24:40,400 --> 00:24:45,580
+التانية خلصت بعد ما نيجي نكملهم كل هيتهم بنقول the
+
+327
+00:24:45,580 --> 00:24:56,340
+prevalence of UTI بنقول هنا the researcher show
+
+328
+00:24:56,340 --> 00:25:06,350
+that ال researcher وضحواالـ equivalence of UTI الـ
+
+329
+00:25:06,350 --> 00:25:10,570
+EQUALI كانت
+
+330
+00:25:10,570 --> 00:25:22,310
+الـ common اللي موجود بقول الـ result pointed
+
+331
+00:25:22,310 --> 00:25:29,800
+out أو described أو present وجدت أنهالـ
+
+332
+00:25:29,800 --> 00:25:33,360
+Escherichia coli كانت هذه الـ Escherichia coli هي
+
+333
+00:25:33,360 --> 00:25:37,860
+أكتر حاجة موجودة في مرضى السُكّهة هي كمان كلمة
+
+334
+00:25:37,860 --> 00:25:46,360
+أضفناها بنضلنا ماشيين فيها وقلنا when compared to
+
+335
+00:25:46,360 --> 00:25:53,980
+the control when the research shop أو ال authors
+
+336
+00:25:53,980 --> 00:26:00,970
+compared to controlواضحت معاهم النتيجة هنا أنا 50%
+
+337
+00:26:00,970 --> 00:26:05,390
+من ال patient with diabetes and UTI كان عندهم
+
+338
+00:26:05,390 --> 00:26:11,610
+مشاكل في الرينال لو بدنا نغيرها بنقول the
+
+339
+00:26:11,610 --> 00:26:15,910
+prevalence
+
+340
+00:26:15,910 --> 00:26:19,850
+of
+
+341
+00:26:19,850 --> 00:26:26,110
+UTI
+
+342
+00:26:26,110 --> 00:26:27,030
+and Renal
+
+343
+00:26:32,830 --> 00:26:44,250
+was وهي 50% among patients with diabetes كمان هي
+
+344
+00:26:44,250 --> 00:26:48,150
+عملنا لها دو كلها paraphrase حتى احنا ناخد أمثلة
+
+345
+00:26:48,150 --> 00:26:53,330
+على ال paraphrase و احنا ماشيين هي ده prevalence
+
+346
+00:26:53,330 --> 00:26:58,750
+of diabetes no ETI هادو كلها الفقرة ممكن نشيلها
+
+347
+00:26:58,750 --> 00:27:01,920
+نحذفهالأن أنا خلاص بيكفيني جزء اللي بدنا إياه
+
+348
+00:27:01,920 --> 00:27:08,160
+أخدناه وممكن أظل نكتبها فلو بدنا نظل نكتبها بدنا
+
+349
+00:27:08,160 --> 00:27:11,620
+نكمل فيها the prevalence of type 2 diabetes no UTI
+
+350
+00:27:11,620 --> 00:27:21,340
+also higher بنقول هنا they showed that يعني نفس
+
+351
+00:27:21,340 --> 00:27:27,040
+الكلمات هي هي لما قارنوها مع ال compare وبنظل نمشي
+
+352
+00:27:27,040 --> 00:27:31,490
+ونغير في الكلماتزي ما اتكلمنا ولكن أنا بفضل
+
+353
+00:27:31,490 --> 00:27:34,450
+الشغلات اللي مافيش فيها relation زي انه
+
+354
+00:27:34,450 --> 00:27:38,690
+significant والامور هذه ان احنا نشيلها من الأشياء
+
+355
+00:27:38,690 --> 00:27:43,990
+لأن هي خلاص مافيش جراسة وقدت شويه وبدت تتعد عن ال
+
+356
+00:27:43,990 --> 00:27:48,010
+objective تبعي اللي هو ال objective كان يقول انه
+
+357
+00:27:48,010 --> 00:27:52,050
+في prevalence ما بين ال type 2 diabetes و ال
+
+358
+00:27:52,050 --> 00:27:55,350
+neuron attack infected فهذه كلها ممكن نشيلها او
+
+359
+00:27:55,350 --> 00:28:03,330
+ممكن نخليهاوإذا بدنا نخليها بنقول finally بلاش
+
+360
+00:28:03,330 --> 00:28:10,930
+finally كل مرة بنقول finally on the other hand من
+
+361
+00:28:10,930 --> 00:28:18,990
+ناحية أخرى the the author found that
+
+362
+00:28:23,830 --> 00:28:27,310
+No significant difference in vascular events
+
+363
+00:28:27,310 --> 00:28:31,630
+والهيبرتنشن والبروتينيوريا والذينال فانكشن تيست
+
+364
+00:28:31,630 --> 00:28:38,330
+والهمoglobin A1c للآخر هم هنا في الآخر كان عندهم
+
+365
+00:28:38,330 --> 00:28:47,610
+استنتاج اللي موجود فبنقول They concluded
+
+366
+00:28:47,610 --> 00:28:52,370
+that
+
+367
+00:28:54,780 --> 00:29:01,460
+أسقط على الموضوع على الباحثين وخلّيها
+
+368
+00:29:01,460 --> 00:29:06,400
+تزامهي ولكل البروتوكولات هذه الموجودة ممكن تساعدنا
+
+369
+00:29:06,400 --> 00:29:09,500
+في أننا نعمل management للـ neuron attack
+
+370
+00:29:09,500 --> 00:29:16,200
+infection بين مرضى السُكّار فبنقول ده researcher
+
+371
+00:29:16,200 --> 00:29:24,240
+recommended
+
+372
+00:29:29,290 --> 00:29:36,510
+that the results of
+
+373
+00:29:36,510 --> 00:29:46,850
+this study فبتكون ان انا اضفت فقه بسيطه او عزت علي
+
+374
+00:29:46,850 --> 00:29:50,750
+هم الباحثين ايش كانوا بدهم يسووا فاللاحظ انه هنا
+
+375
+00:29:50,750 --> 00:29:56,250
+كانت في الأولى وهنا بدينا فيها الفقه وناخد مثال
+
+376
+00:29:56,250 --> 00:30:03,050
+تالدنبدأ فيها الفاقرة من الآخر هاي المثال بيقولنا
+
+377
+00:30:03,050 --> 00:30:06,790
+ال incidence لل-urinary tract infection ما بين
+
+378
+00:30:06,790 --> 00:30:11,850
+المرضى والسُكر نضغط عليها فبيكون هنا بنقول ال
+
+379
+00:30:11,850 --> 00:30:17,990
+incidence اللي موجودة copy فروح مخدينها على نفس
+
+380
+00:30:17,990 --> 00:30:22,470
+مكان ال chapter هو هو احنا معلوم بالأحمر فقط
+
+381
+00:30:22,470 --> 00:30:25,750
+لموضوع ان احنا نبين كيف احنا بنغير في الفقرات
+
+382
+00:30:25,750 --> 00:30:32,450
+ونعملها برفيزلو بدى ارجع اقول هنا لصق و اقوله نفس
+
+383
+00:30:32,450 --> 00:30:35,610
+التنسيق السابق بجيبلي نفس التنسيق السابق فعندي
+
+384
+00:30:35,610 --> 00:30:41,490
+اتنين يا لصق نفس المصدق يا اما لصق نفس التنسيق
+
+385
+00:30:41,490 --> 00:30:46,430
+السابق فبيجيبلي نفس التنسيق السابق فلو بدى اخليه
+
+386
+00:30:46,430 --> 00:30:49,790
+مش bold بضله بقوله مش bold او بالفرشاية بنعمله
+
+387
+00:30:49,790 --> 00:30:54,790
+بطريقة هذه وبنقول
+
+388
+00:30:54,790 --> 00:30:58,270
+هنا was started
+
+389
+00:31:01,900 --> 00:31:07,180
+وبنحط نقطة بروح ايش عاملين جايبين ال abstract زي
+
+390
+00:31:07,180 --> 00:31:15,000
+ما هين هاي ال abstract اللي موجودة copy paste
+
+391
+00:31:15,000 --> 00:31:21,240
+وقلنا
+
+392
+00:31:21,240 --> 00:31:27,700
+هنا لما عملنا لها لصق لما اجينا هنا وعملنا لصق عجب
+
+393
+00:31:27,700 --> 00:31:30,060
+نفس التنسيق اللي موجودة طب احنا بنيها تكون نفس
+
+394
+00:31:30,060 --> 00:31:33,810
+التنسيق السابقبنضغط هنا بالسهم و بنقول له نسخ
+
+395
+00:31:33,810 --> 00:31:37,430
+للتنسيق السابق لاحظوا الفقرة كلها أجت كيف؟ قبل هنا
+
+396
+00:31:37,430 --> 00:31:41,310
+شالته التالتة اللي لها فائدة أنه شالته بدون الرابط
+
+397
+00:31:41,310 --> 00:31:44,150
+يعني كان في قبل عندنا الميز التالت اللي بدنا
+
+398
+00:31:44,150 --> 00:31:48,610
+نتعلمها أنه أنا بنتسخ معايا و بدون الرابط اللي
+
+399
+00:31:48,610 --> 00:31:53,010
+كانت موجودة باللون الأزرق أسرع عندنا في اللسق أول
+
+400
+00:31:53,010 --> 00:31:57,070
+مرة اتعودنا تنسيق سابق و الحين هتعودنا طريقة أسهل
+
+401
+00:31:57,070 --> 00:32:02,320
+أن احنا بدون اللون السابقوبتكون هذا هي جاية فقرة
+
+402
+00:32:02,320 --> 00:32:08,580
+كاملة ومتكاملة بنقول the objective of this study
+
+403
+00:32:08,580 --> 00:32:14,960
+ممكن نشيل الكلمة هذه was ونبقى ماشيين معاها كدا
+
+404
+00:32:14,960 --> 00:32:19,960
+بنقول type 2 ديابيتس in this study
+
+405
+00:32:26,880 --> 00:32:31,640
+وبنضلنا مكملين وبنضيف كما هو في السابق يعني بنضيف
+
+406
+00:32:31,640 --> 00:32:34,340
+هنا الشغلات بدنا عشان نضيع فيها وقت ان احنا
+
+407
+00:32:34,340 --> 00:32:37,720
+بنعملها كلها paraphrase زي ما عملنا قبل طب ايش
+
+408
+00:32:37,720 --> 00:32:44,300
+افرادتين؟ هاي in this study عملناها وعملنا هنا
+
+409
+00:32:44,300 --> 00:32:52,460
+عندنا ال patient where كمان بنقول death رشيها
+
+410
+00:32:52,460 --> 00:32:52,820
+short
+
+411
+00:32:56,470 --> 00:33:08,730
+show that وضّحوا أن ال patient بنفس
+
+412
+00:33:08,730 --> 00:33:16,150
+الشيء اللي قبل بنشوف وين بداية جمل they were
+
+413
+00:33:16,150 --> 00:33:19,490
+compared
+
+414
+00:33:19,490 --> 00:33:26,370
+بنيجي على آخر الفقه بدل in generalفينالي ممكن
+
+415
+00:33:26,370 --> 00:33:30,750
+نغيرها لـ finally ممكن نخليها زي ما هي ولكن أخر
+
+416
+00:33:30,750 --> 00:33:35,250
+حاجة نكتب ال reference هالمرة مابناش نكتب ال
+
+417
+00:33:35,250 --> 00:33:39,630
+reference في نص الفقرة من باب التلويع كنا كتبنا
+
+418
+00:33:39,630 --> 00:33:43,490
+هنا في النص و في الأول كتبناها في الأول نروح في
+
+419
+00:33:43,490 --> 00:33:50,250
+الآخر كتبينها في آخر الفقرة نبحضع هنا و نرجع تاني
+
+420
+00:33:50,250 --> 00:33:55,080
+من مكان ماخدناها و نضغط عليهاوناخدها copy وضعها
+
+421
+00:33:55,080 --> 00:34:00,060
+على خانة ال reference ونضغط عليها وكاتبينها
+
+422
+00:34:00,060 --> 00:34:08,280
+control ونعملها لسق بنعمل
+
+423
+00:34:08,280 --> 00:34:13,600
+لسق فبتيجي عندنا صارت بنفس الفترات لاحظوا قبل لما
+
+424
+00:34:13,600 --> 00:34:18,600
+عملنا لسق بالأولى أجت بالتنسيق فيها خطوط مائلة
+
+425
+00:34:18,600 --> 00:34:24,100
+أحيانابدي انافسي التنصيق السابق مباشرة و اضغط على
+
+426
+00:34:24,100 --> 00:34:28,900
+حرف الـA فبيجيبلي نفس التنصيق السابق مباشرة بضلله
+
+427
+00:34:28,900 --> 00:34:34,700
+بالفرشاية حتى تتبعد المسافة وبقول هي الأولاني copy
+
+428
+00:34:34,700 --> 00:34:45,940
+وهي التاني 2012 وبنسكر
+
+429
+00:34:45,940 --> 00:34:50,700
+وبنخدها وبنوديهاهتبسأل سؤال ليش كل ال reference
+
+430
+00:34:50,700 --> 00:34:56,700
+قديمة احنا بس من باب التدريب هذا اول شغل و لو بدنا
+
+431
+00:34:56,700 --> 00:35:00,080
+reference جديدة الحين هنتكلم ان احنا كيف نجيب ال
+
+432
+00:35:00,080 --> 00:35:04,400
+reference جديدة هى reference جديدة ماعليك تكتب من
+
+433
+00:35:04,400 --> 00:35:10,880
+هنا 2015 ل2019 وتقول enter فجابلنا ابحاث جديدة
+
+434
+00:35:10,880 --> 00:35:16,040
+ممكن نخدها بدل الأبحاث القديمة بدك 2020 okay هى
+
+435
+00:35:16,040 --> 00:35:21,140
+2020 اذا بدك ابحاثأو بدك أبحاث جديدة هي 2020
+
+436
+00:35:21,140 --> 00:35:26,380
+بتجيبلنا أبحاث و باللاحظ أن كلمة prevalence مفجودة
+
+437
+00:35:26,380 --> 00:35:30,700
+فمطلب مني أوسع ال range شوية حتى تطلع معايا كلمة
+
+438
+00:35:30,700 --> 00:35:34,960
+prevalence في الدراسات اللي كانت موجودة هاي طلعت
+
+439
+00:35:34,960 --> 00:35:39,480
+معايا دراسة 2018 فقدر أخد هالدراسة هادي و أستدل
+
+440
+00:35:39,480 --> 00:35:45,140
+فيها هيك بنكون احنا خلصنا موضوع related study بعد
+
+441
+00:35:45,140 --> 00:35:50,520
+ما خلصت هالشبات الهاديبقدر ارتب ال reference بنضغط
+
+442
+00:35:50,520 --> 00:35:54,160
+عليها click باليمين من a to z بنضغط هنا على column
+
+443
+00:35:54,160 --> 00:35:57,800
+رقم واحد ان يكون column رقم واحد بنقوله okay
+
+444
+00:35:57,800 --> 00:36:01,680
+فجابلنا الأعمض الفاضية هذه كلها مالهاش لازمة
+
+445
+00:36:01,680 --> 00:36:05,980
+وبنقول له هذه كلها delete دل عند ال reference هنا
+
+446
+00:36:05,980 --> 00:36:10,360
+مرتبين بانسخ ال reference هذه وبروح بوديهم بعد ما
+
+447
+00:36:10,360 --> 00:36:15,680
+خلص شبطة تلاتة بوديهم على آخر البحث اللي موجود
+
+448
+00:36:15,680 --> 00:36:21,350
+عندهم بنجي بنقولبنقول هنا بننزل على الصفحة و هتنزل
+
+449
+00:36:21,350 --> 00:36:24,350
+مباشرة على الصفحة اللي بعدها Ctrl Enter بنزل على
+
+450
+00:36:24,350 --> 00:36:27,310
+الصفحة التانية بدون مضال أضغط Enter Enter Enter ف
+
+451
+00:36:27,310 --> 00:36:30,130
+Ctrl Enter بودينا على الصفحة التانية مباشرة بنضغط
+
+452
+00:36:30,130 --> 00:36:34,470
+عليها هي عدة الأشياء اللي موجودة لو لاحظته أن هنا
+
+453
+00:36:34,470 --> 00:36:38,690
+اللي موجودة عندنا أنه توجه الصفحة رغم أن أنا
+
+454
+00:36:38,690 --> 00:36:43,830
+عملتله الحدود زي هيك ولكن دل الأمور هنا مجلوبة
+
+455
+00:36:43,830 --> 00:36:47,600
+يعني إشي جاي عدل و إشي جاي مش مجلوبطب بحاول أظبطهم
+
+456
+00:36:47,600 --> 00:36:51,420
+مع بعض، هاي هما الظابطين، طب إيش المشكلة؟ إنه هذا
+
+457
+00:36:51,420 --> 00:36:54,640
+ضلت زي ما هي، هيك okay طب لو جينا هنا، هاي
+
+458
+00:36:54,640 --> 00:36:57,940
+المشكلة، المشكلة إن هدولة مكتوبين على أساس إنهم
+
+459
+00:36:57,940 --> 00:37:02,360
+عربي، فاللاحظ إن هنا مكتوب من اليمين للشمال، طب و
+
+460
+00:37:02,360 --> 00:37:06,260
+هنا من الشمال لليمين، بدا واحدهم، بضلهم كلهم، و
+
+461
+00:37:06,260 --> 00:37:09,800
+بقولهم كله من الشمال لليمين، فراحت اللي كانت قبل
+
+462
+00:37:09,800 --> 00:37:15,950
+موجودة، صارت زيها زي اللي جابليهاطلب مني ألغى
+
+463
+00:37:15,950 --> 00:37:19,250
+الخطوط بنلغى الخطوط بنجي بنجي لاك كلمة reference
+
+464
+00:37:19,250 --> 00:37:24,530
+كمان زيها بنعملها محذة علييمين أو ممكن نهين أنهي
+
+465
+00:37:24,530 --> 00:37:28,070
+لمّا كانت موجودة من قبل أضغط على هادي أتأكد من
+
+466
+00:37:28,070 --> 00:37:31,530
+الاتجاه فبتوح فبكون هي reference بعد chapter تلاتي
+
+467
+00:37:31,530 --> 00:37:36,190
+ما يكون جاهز ومرتبة أبجديا وكويسة طب أنا مابديش
+
+468
+00:37:36,190 --> 00:37:38,550
+الخط اتالك هذا يكون موجود ماذا موجود وماذا مش
+
+469
+00:37:38,550 --> 00:37:42,790
+موجود بسيطة بننقل على أحدى الكلمات اللي موجودة
+
+470
+00:37:42,790 --> 00:37:48,850
+وبندغط عليهاوبتكون هنا خلصنا chapter 2 وبهيك
+
+471
+00:37:48,850 --> 00:37:55,990
+أنهينا chapter 2 ملاحظة في آخر الفيديو بدنا نأكد
+
+472
+00:37:55,990 --> 00:38:00,330
+على شغل ما تترددش وما تتردديش انك تسألي سؤال
+
+473
+00:38:00,330 --> 00:38:04,690
+بالعكس الأسئلة بتساعدنا وان شاء الله بنوعدكوا نكون
+
+474
+00:38:04,690 --> 00:38:08,910
+دايما عند رفض ضمكوا تحياتي اليكم بتمناكوا السلامة
+
+475
+00:38:08,910 --> 00:38:12,510
+وربنا ان شاء الله يرفع عننا هذا البلاء وعن شعوب كل
+
+476
+00:38:12,510 --> 00:38:15,500
+الأمةومن كذا تحياتنا مابا تانية
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..cfeaab37a842100873d8ecf2f5076cfb29204bfe
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/d6lHwPc0om4_raw.json
@@ -0,0 +1 @@
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0.806640625}, {"start": 646.93, "end": 647.37, "word": " طلعنا", "probability": 0.949951171875}, {"start": 647.37, "end": 647.77, "word": " فيها", "probability": 0.972900390625}, {"start": 647.77, "end": 648.25, "word": " أن", "probability": 0.615234375}, {"start": 648.25, "end": 648.57, "word": " كل", "probability": 0.83251953125}, {"start": 648.57, "end": 648.89, "word": " هذه", "probability": 0.81005859375}, {"start": 648.89, "end": 649.23, "word": " الدراسة", "probability": 0.9947509765625}, {"start": 649.23, "end": 649.49, "word": " الأولى", "probability": 0.931640625}, {"start": 649.49, "end": 649.81, "word": " جاهزة", "probability": 0.9892578125}, {"start": 649.81, "end": 649.99, "word": " بس", "probability": 0.730712890625}, {"start": 649.99, "end": 650.45, "word": " بتظهر", "probability": 0.653564453125}, {"start": 650.45, "end": 651.47, "word": " فيها", "probability": 0.507904052734375}, {"start": 651.47, "end": 652.45, "word": " بعض", "probability": 0.956787109375}, {"start": 652.45, "end": 653.37, "word": " ال", "probability": 0.89306640625}, {"start": 653.37, "end": 654.05, "word": " verb", "probability": 0.1339111328125}, {"start": 654.05, "end": 654.25, "word": " أو", "probability": 0.94287109375}, {"start": 654.25, "end": 654.47, "word": " بعض", "probability": 0.97998046875}, {"start": 654.47, "end": 654.91, "word": " الشغلات", "probability": 0.9493408203125}, {"start": 654.91, "end": 655.03, "word": " اللي", "probability": 0.859375}, {"start": 655.03, "end": 655.31, "word": " بتكون", "probability": 0.802001953125}, {"start": 655.31, "end": 655.73, "word": " موجودة", "probability": 0.974365234375}, {"start": 655.73, "end": 655.83, "word": " اللي", "probability": 0.6600341796875}, {"start": 655.83, "end": 656.33, "word": " تخليها", "probability": 0.913818359375}, {"start": 656.33, "end": 656.71, "word": " في", "probability": 0.97509765625}, {"start": 656.71, "end": 657.31, "word": " الماضي", "probability": 0.9879557291666666}], "temperature": 1.0}, {"id": 24, "seek": 68796, "start": 659.1, "end": 687.96, "text": "نجي مثلا هنا بنكتب كلمة there is a shop حيث there is a shop should that و بنخلي الكلمة اللي موجودة small بعدين هاي الكلام دلو ماشي لآخر شيء بعدين هو they اللي هم الباحثين", "tokens": [1863, 7435, 1829, 50113, 15040, 34105, 44945, 4117, 2655, 3555, 9122, 19528, 3660, 456, 307, 257, 3945, 11331, 1829, 12984, 456, 307, 257, 3945, 820, 300, 4032, 44945, 9778, 20292, 33251, 19528, 3660, 13672, 1829, 3714, 29245, 23328, 3660, 1359, 39182, 9957, 8032, 47302, 2423, 28820, 10943, 11778, 1211, 2407, 3714, 33599, 1829, 5296, 148, 95, 34740, 44049, 38207, 39182, 9957, 31439, 436, 13672, 1829, 8032, 2304, 29739, 39319, 12984, 9957], "avg_logprob": -0.239149305348595, "compression_ratio": 1.5748502994011977, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 659.1, "end": 659.42, "word": "نجي", "probability": 0.5029296875}, {"start": 659.42, "end": 659.78, "word": " مثلا", "probability": 0.879638671875}, {"start": 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should", "probability": 0.453369140625}, {"start": 667.76, "end": 669.62, "word": " that", "probability": 0.92578125}, {"start": 669.62, "end": 672.06, "word": " و", "probability": 0.6259765625}, {"start": 672.06, "end": 672.6, "word": " بنخلي", "probability": 0.8128255208333334}, {"start": 672.6, "end": 673.2, "word": " الكلمة", "probability": 0.8191731770833334}, {"start": 673.2, "end": 673.24, "word": " اللي", "probability": 0.583740234375}, {"start": 673.24, "end": 675.14, "word": " موجودة", "probability": 0.9757080078125}, {"start": 675.14, "end": 676.32, "word": " small", "probability": 0.7841796875}, {"start": 676.32, "end": 678.42, "word": " بعدين", "probability": 0.886962890625}, {"start": 678.42, "end": 679.2, "word": " هاي", "probability": 0.6314697265625}, {"start": 679.2, "end": 679.56, "word": " الكلام", "probability": 0.9132486979166666}, {"start": 679.56, "end": 679.84, "word": " دلو", "probability": 0.5948079427083334}, {"start": 679.84, "end": 680.32, "word": " ماشي", "probability": 0.9427083333333334}, {"start": 680.32, "end": 681.22, "word": " لآخر", "probability": 0.8721923828125}, {"start": 681.22, "end": 681.78, "word": " شيء", "probability": 0.712646484375}, {"start": 681.78, "end": 682.02, "word": " بعدين", "probability": 0.76611328125}, {"start": 682.02, "end": 682.4, "word": " هو", "probability": 0.86962890625}, {"start": 682.4, "end": 683.52, "word": " they", "probability": 0.93701171875}, {"start": 683.52, "end": 687.06, "word": " اللي", "probability": 0.908935546875}, {"start": 687.06, "end": 687.26, "word": " هم", "probability": 0.908447265625}, {"start": 687.26, "end": 687.96, "word": " الباحثين", "probability": 0.9874267578125}], "temperature": 1.0}, {"id": 25, "seek": 71782, "start": 688.58, "end": 717.82, "text": "pointed out يعني أنا بوعز الكلام لهم ال treatment كانت هيك موجودة finally they concluded that و بروح مخلين الكلام جايب بالنسبالهم أو نسقط الكلام بالنسبالهم", "tokens": [6053, 292, 484, 37495, 22653, 41850, 4724, 45367, 11622, 2423, 28820, 10943, 5296, 16095, 2423, 5032, 25961, 2655, 39896, 4117, 3714, 29245, 23328, 3660, 2721, 436, 22960, 300, 4032, 4724, 32887, 5016, 3714, 9778, 1211, 9957, 2423, 28820, 10943, 10874, 47302, 3555, 20666, 1863, 35457, 6027, 16095, 34051, 8717, 3794, 47432, 2423, 28820, 10943, 20666, 1863, 35457, 6027, 16095], "avg_logprob": -0.15729167188207308, "compression_ratio": 1.4938271604938271, "no_speech_prob": 0.0013628005981445312, "words": [{"start": 688.58, "end": 689.5, "word": "pointed", "probability": 0.725341796875}, {"start": 689.5, "end": 691.02, "word": " out", "probability": 0.89794921875}, {"start": 691.02, "end": 691.22, "word": " يعني", "probability": 0.835693359375}, {"start": 691.22, "end": 691.42, "word": " أنا", "probability": 0.75927734375}, {"start": 691.42, "end": 691.9, "word": " بوعز", "probability": 0.7605794270833334}, {"start": 691.9, "end": 692.42, "word": " الكلام", "probability": 0.9456380208333334}, {"start": 692.42, "end": 693.02, "word": " لهم", "probability": 0.730224609375}, {"start": 693.02, "end": 694.08, "word": " ال", "probability": 0.56884765625}, {"start": 694.08, "end": 694.52, "word": " treatment", "probability": 0.93212890625}, {"start": 694.52, "end": 695.1, "word": " كانت", "probability": 0.9619140625}, {"start": 695.1, "end": 695.34, "word": " هيك", "probability": 0.67919921875}, {"start": 695.34, "end": 696.16, "word": " موجودة", "probability": 0.9854736328125}, {"start": 696.16, "end": 698.18, "word": " finally", "probability": 0.705078125}, {"start": 698.18, "end": 703.18, "word": " they", "probability": 0.857421875}, {"start": 703.18, "end": 706.4, "word": " concluded", "probability": 0.88623046875}, {"start": 706.4, "end": 709.34, "word": " that", "probability": 0.91650390625}, {"start": 709.34, "end": 711.18, "word": " و", "probability": 0.3701171875}, {"start": 711.18, "end": 711.74, "word": " بروح", "probability": 0.8826497395833334}, {"start": 711.74, "end": 713.28, "word": " مخلين", "probability": 0.8521728515625}, {"start": 713.28, "end": 714.56, "word": " الكلام", "probability": 0.9676106770833334}, {"start": 714.56, "end": 715.02, "word": " جايب", "probability": 0.8365885416666666}, {"start": 715.02, "end": 715.68, "word": " بالنسبالهم", "probability": 0.99208984375}, {"start": 715.68, "end": 715.86, "word": " أو", "probability": 0.6640625}, {"start": 715.86, "end": 716.26, "word": " نسقط", "probability": 0.9259440104166666}, {"start": 716.26, "end": 716.82, "word": " الكلام", "probability": 0.96630859375}, {"start": 716.82, "end": 717.82, "word": " بالنسبالهم", "probability": 0.992578125}], "temperature": 1.0}, {"id": 26, "seek": 74537, "start": 718.15, "end": 745.37, "text": "وهنا الـ final بدها فاصلة بنضيفها فهيك بتكون الجملة الصحية يعني يبقى انا اول حاجة ضفت هذه هي احنا ضفنا هذه اللونها بلون تاني بعد ذلك قلنا that السياسة عشان اجيب الكلام ان هما بيانوه بعدين قلنا they pointed out هما أشاروا إلى انه that", "tokens": [2407, 3224, 8315, 2423, 39184, 2572, 47525, 11296, 6156, 33546, 37977, 44945, 11242, 33911, 11296, 6156, 3224, 1829, 4117, 39894, 30544, 25724, 2304, 37977, 31767, 5016, 10632, 37495, 22653, 7251, 3555, 4587, 7578, 1975, 8315, 1975, 12610, 11331, 26108, 3660, 48812, 5172, 2655, 29538, 39896, 1975, 5016, 8315, 48812, 5172, 8315, 29538, 13672, 11536, 11296, 4724, 1211, 11536, 6055, 7649, 1829, 39182, 29910, 23275, 12174, 1211, 8315, 300, 21136, 25528, 3794, 3660, 6225, 8592, 7649, 1975, 7435, 1829, 3555, 2423, 28820, 10943, 16472, 8032, 15042, 4724, 1829, 7649, 2407, 3224, 39182, 9957, 12174, 1211, 8315, 436, 10932, 484, 8032, 15042, 5551, 8592, 9640, 14407, 30731, 16472, 3224, 300], "avg_logprob": -0.23466170271602246, "compression_ratio": 1.7025862068965518, "no_speech_prob": 0.0007419586181640625, "words": [{"start": 718.15, "end": 718.51, "word": "وهنا", "probability": 0.6627604166666666}, {"start": 718.51, "end": 718.71, "word": " الـ", "probability": 0.50054931640625}, {"start": 718.71, "end": 718.99, "word": " final", "probability": 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0.9715169270833334}, {"start": 724.13, "end": 724.41, "word": " ضفت", "probability": 0.8795572916666666}, {"start": 724.41, "end": 724.73, "word": " هذه", "probability": 0.8271484375}, {"start": 724.73, "end": 726.61, "word": " هي", "probability": 0.335205078125}, {"start": 726.61, "end": 726.83, "word": " احنا", "probability": 0.9571940104166666}, {"start": 726.83, "end": 727.15, "word": " ضفنا", "probability": 0.9837239583333334}, {"start": 727.15, "end": 727.51, "word": " هذه", "probability": 0.94091796875}, {"start": 727.51, "end": 730.71, "word": " اللونها", "probability": 0.9752604166666666}, {"start": 730.71, "end": 731.11, "word": " بلون", "probability": 0.86181640625}, {"start": 731.11, "end": 731.67, "word": " تاني", "probability": 0.9451497395833334}, {"start": 731.67, "end": 733.05, "word": " بعد", "probability": 0.9453125}, {"start": 733.05, "end": 733.55, "word": " ذلك", "probability": 0.99560546875}, {"start": 733.55, "end": 734.09, "word": " قلنا", "probability": 0.8837890625}, {"start": 734.09, "end": 734.27, "word": " that", "probability": 0.2381591796875}, {"start": 734.27, "end": 734.87, "word": " السياسة", "probability": 0.7899169921875}, {"start": 734.87, "end": 735.23, "word": " عشان", "probability": 0.87646484375}, {"start": 735.23, "end": 735.45, "word": " اجيب", "probability": 0.87548828125}, {"start": 735.45, "end": 735.83, "word": " الكلام", "probability": 0.9357096354166666}, {"start": 735.83, "end": 735.95, "word": " ان", "probability": 0.81005859375}, {"start": 735.95, "end": 736.09, "word": " هما", "probability": 0.5784912109375}, {"start": 736.09, "end": 737.01, "word": " بيانوه", "probability": 0.7837890625}, {"start": 737.01, "end": 737.67, "word": " بعدين", "probability": 0.835205078125}, {"start": 737.67, "end": 738.01, "word": " قلنا", "probability": 0.96435546875}, {"start": 738.01, "end": 738.35, "word": " they", "probability": 0.72314453125}, {"start": 738.35, "end": 739.41, "word": " pointed", "probability": 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"end": 2273.15, "word": " في", "probability": 0.84814453125}, {"start": 2273.15, "end": 2274.65, "word": " آخر", "probability": 0.81103515625}, {"start": 2274.65, "end": 2275.19, "word": " الفيديو", "probability": 0.9788818359375}, {"start": 2275.19, "end": 2275.65, "word": " بدنا", "probability": 0.6204833984375}, {"start": 2275.65, "end": 2275.99, "word": " نأكد", "probability": 0.9508056640625}, {"start": 2275.99, "end": 2276.11, "word": " على", "probability": 0.51171875}, {"start": 2276.11, "end": 2276.45, "word": " شغل", "probability": 0.92919921875}, {"start": 2276.45, "end": 2277.23, "word": " ما", "probability": 0.5166015625}, {"start": 2277.23, "end": 2278.01, "word": " تترددش", "probability": 0.9639485677083334}, {"start": 2278.01, "end": 2278.29, "word": " وما", "probability": 0.812744140625}, {"start": 2278.29, "end": 2279.05, "word": " تتردديش", "probability": 0.9420572916666666}, {"start": 2279.05, "end": 2279.53, "word": " انك", "probability": 0.7578125}, {"start": 2279.53, "end": 2279.87, "word": " تسألي", "probability": 0.84503173828125}, {"start": 2279.87, "end": 2280.33, "word": " سؤال", "probability": 0.9959309895833334}, {"start": 2280.33, "end": 2281.71, "word": " بالعكس", "probability": 0.9588623046875}, {"start": 2281.71, "end": 2282.25, "word": " الأسئلة", "probability": 0.9744873046875}, {"start": 2282.25, "end": 2282.81, "word": " بتساعدنا", "probability": 0.92958984375}, {"start": 2282.81, "end": 2283.09, "word": " وان", "probability": 0.8662109375}, {"start": 2283.09, "end": 2283.31, "word": " شاء", "probability": 0.971435546875}, {"start": 2283.31, "end": 2283.49, "word": " الله", "probability": 0.94677734375}, {"start": 2283.49, "end": 2284.17, "word": " بنوعدكوا", "probability": 0.7330078125}, {"start": 2284.17, "end": 2284.69, "word": " نكون", "probability": 0.73193359375}, {"start": 2284.69, "end": 2285.17, "word": " دايما", "probability": 0.87451171875}, {"start": 2285.17, "end": 2285.51, "word": " عند", "probability": 0.60693359375}, {"start": 2285.51, "end": 2285.69, "word": " رفض", "probability": 0.5138346354166666}, {"start": 2285.69, "end": 2286.37, "word": " ضمكوا", "probability": 0.52301025390625}, {"start": 2286.37, "end": 2287.03, "word": " تحياتي", "probability": 0.78857421875}, {"start": 2287.03, "end": 2287.41, "word": " اليكم", "probability": 0.5501708984375}, {"start": 2287.41, "end": 2288.23, "word": " بتمناكوا", "probability": 0.69306640625}, {"start": 2288.23, "end": 2288.91, "word": " السلامة", "probability": 0.92529296875}, {"start": 2288.91, "end": 2289.35, "word": " وربنا", "probability": 0.8098958333333334}, {"start": 2289.35, "end": 2289.49, "word": " ان", "probability": 0.87451171875}, {"start": 2289.49, "end": 2289.67, "word": " شاء", "probability": 0.980224609375}, {"start": 2289.67, "end": 2289.77, "word": " الله", "probability": 0.95068359375}, {"start": 2289.77, "end": 2290.27, "word": " يرفع", "probability": 0.9778645833333334}, {"start": 2290.27, "end": 2290.61, "word": " عننا", "probability": 0.720947265625}, {"start": 2290.61, "end": 2290.77, "word": " هذا", "probability": 0.314208984375}, {"start": 2290.77, "end": 2291.21, "word": " البلاء", "probability": 0.9290364583333334}, {"start": 2291.21, "end": 2291.77, "word": " وعن", "probability": 0.9013671875}, {"start": 2291.77, "end": 2292.19, "word": " شعوب", "probability": 0.8541666666666666}, {"start": 2292.19, "end": 2292.51, "word": " كل", "probability": 0.927734375}, {"start": 2292.51, "end": 2292.91, "word": " الأمة", "probability": 0.86181640625}], "temperature": 1.0}, {"id": 80, "seek": 229550, "start": 2293.4, "end": 2295.5, "text": "ومن كذا تحياتنا مابا تانية", "tokens": [2407, 27842, 9122, 15730, 6055, 5016, 1829, 9307, 8315, 3714, 16758, 995, 6055, 7649, 10632], "avg_logprob": -0.28076170943677425, "compression_ratio": 0.96, "no_speech_prob": 0.0, "words": [{"start": 2293.4, "end": 2293.68, "word": "ومن", "probability": 0.5955810546875}, {"start": 2293.68, "end": 2294.1, "word": " كذا", "probability": 0.860595703125}, {"start": 2294.1, "end": 2294.94, "word": " تحياتنا", "probability": 0.87568359375}, {"start": 2294.94, "end": 2295.22, "word": " مابا", "probability": 0.6765950520833334}, {"start": 2295.22, "end": 2295.5, "word": " تانية", "probability": 0.84326171875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2296.383875, "duration_after_vad": 2228.618749999994}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9ca8b13a7430f82b38974327b05b8938ecdd9489
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc.srt
@@ -0,0 +1,1695 @@
+1
+00:00:04,390 --> 00:00:07,530
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,530 --> 00:00:14,470
+الرحيم، زملائنا الأعزاء، طلابنا الأفاضل، السلام عليكم
+
+3
+00:00:14,470 --> 00:00:20,190
+ورحمة الله وبركاته، بالبداية نسأل الله عز وجل أن
+
+4
+00:00:20,190 --> 00:00:27,910
+يحفظكم، ونتمنى لكم دوام الصحة والعافية، موضوع
+
+5
+00:00:27,910 --> 00:00:31,250
+لقاء اليوم إن شاء الله، سيكون على الـ Non
+
+6
+00:00:31,250 --> 00:00:37,200
+Parametric Tests، كنا سابقًا تكلمنا على موضوع الـ
+
+7
+00:00:37,200 --> 00:00:41,880
+Parametric Tests، كنا قد تكلمنا سابقًا على موضوع الـ
+
+8
+00:00:41,880 --> 00:00:45,340
+Parametric Tests، وقلنا إنّ الـ Parametric Tests لها
+
+9
+00:00:45,340 --> 00:00:49,060
+Assumptions حتى نعملها، ومن ضمن الـ Parametric Tests
+
+10
+00:00:49,060 --> 00:00:54,600
+مثل الـ one sample t-test، و الـ two sample t-test، أو
+
+11
+00:00:54,600 --> 00:00:59,440
+ما سُمّيَ بـ independent t-test، و الـ paired t-test، و
+
+12
+00:00:59,440 --> 00:01:04,060
+الـ ANOVA، و الـ Pearson correlation، وقلنا يُفضّل أن تكون
+
+13
+00:01:04,060 --> 00:01:09,060
+equal variance، وتكون الـ sample size مناسبة.
+
+14
+00:01:09,060 --> 00:01:13,620
+أحيانًا هذه الـ assumptions التي نطلبها، تكون
+
+15
+00:01:13,620 --> 00:01:19,060
+غير متوفرة، حتى أعمل اختبار Parametric Test، لو
+
+16
+00:01:19,060 --> 00:01:23,280
+وجود abnormal distribution، أو أنْ يكون لدينا outlier
+
+17
+00:01:23,280 --> 00:01:27,650
+موجودة، أو تكون لدينا very small sample size،
+
+18
+00:01:27,650 --> 00:01:31,770
+أو small sample size، وكلّ هذه تفقد الـ assumptions
+
+19
+00:01:31,770 --> 00:01:36,610
+المطلوبة للـ Parametric tests، قيمتها في هذه الحالة
+
+20
+00:01:36,610 --> 00:01:42,110
+الأفضل أنْ أعمل اختبارات
+
+21
+00:01:42,110 --> 00:01:47,850
+نسمّيها distribution-free أو non-parametric tests.
+
+22
+00:01:47,850 --> 00:01:52,490
+الـ disadvantage  لـ non-parametric tests، أنّها
+
+23
+00:01:52,490 --> 00:01:57,160
+تكون أقل قيمة وأقل قوة من الـ Parametric Tests في
+
+24
+00:01:57,160 --> 00:02:03,960
+إيجاد العلاقة إذا كانت موجودة حقيقية، لذلك نُفضّل
+
+25
+00:02:03,960 --> 00:02:08,080
+استخدام الـ Parametric Tests إذا هذه الـ assumptions
+
+26
+00:02:08,080 --> 00:02:13,420
+موجودة، الـ hypothesis test تختلف في الـ
+
+27
+00:02:13,420 --> 00:02:17,160
+Parametric Tests عن الـ non-parametric tests، لأنّ
+
+28
+00:02:17,160 --> 00:02:21,360
+تكلّمنا في الـ Parametric Tests، نستخدم الـ mean في
+
+29
+00:02:21,360 --> 00:02:25,390
+الغالِب، نقول أنّ الـ Central Tendency في الـ
+
+30
+00:02:25,390 --> 00:02:28,130
+Parametric Tests تكون الـ Mean، والـ Dispersion
+
+31
+00:02:28,130 --> 00:02:31,310
+تكون الـ Standard Deviation، ولكن بالـ
+
+32
+00:02:31,310 --> 00:02:34,710
+Nonparametric Tests، تكون لدينا الـ Central
+
+33
+00:02:34,710 --> 00:02:38,770
+Tendency أو الـ Central Location، الـ Median بدلًا
+
+34
+00:02:38,770 --> 00:02:43,110
+الـ Mean، ونستخدم معها الـ Percentile أو الـ quartile.
+
+35
+00:02:43,110 --> 00:02:49,130
+نكرّر ونقول إنّ الأفضل أن نستخدم الـ Parametric
+
+36
+00:02:49,130 --> 00:02:54,780
+Tests إذا كانت الـ assumptions موجودة، لو كانت لدينا
+
+37
+00:02:54,780 --> 00:02:58,640
+non-normal distribution data، أُحاول أنْ أعمل لها
+
+38
+00:02:58,640 --> 00:03:02,420
+transformation، والـ transformation المقصود فيه أنّه
+
+39
+00:03:02,420 --> 00:03:05,820
+أنا أُريد أنْ أحذف الـ outlier values أو الـ extreme values
+
+40
+00:03:06,200 --> 00:03:10,400
+وأُحاول إعادة اختبار الـ Normality بالـ Normal
+
+41
+00:03:10,400 --> 00:03:14,840
+Distribution Curve، وأرى هل الـ Mean والـ Median والـ
+
+42
+00:03:14,840 --> 00:03:19,000
+Mode متساوية، وأرى لدينا أيضًا اختبار Kolmogorov-Smirnov و Shapiro-Wilk
+
+43
+00:03:19,000 --> 00:03:25,620
+اللذين استخدمناهما سابقًا، ولكن لو الـ Data بقيت لدينا
+
+44
+00:03:25,620 --> 00:03:29,460
+غير طبيعية (غير ذات توزيع طبيعي) ولم أوفق في تحويلها إلى
+
+45
+00:03:29,460 --> 00:03:33,000
+Normal Distribution، بحذف الـ Outlier Values أو الـ
+
+46
+00:03:33,000 --> 00:03:37,510
+Extreme Values، ليس أمامي خيار إلا استخدام الـ Non
+
+47
+00:03:37,510 --> 00:03:42,630
+-parametric tests، ولَمّا أكون شاكًّا، أيّ منهما أُستخدم؟
+
+48
+00:03:42,630 --> 00:03:47,290
+بإمكاني عمل الاثنين، وأرى الـ conclusion، وإذا بقيت
+
+49
+00:03:47,290 --> 00:03:52,410
+نفس النتيجة في كليهما، فلا مشكلة. إذا كان لدينا
+
+50
+00:03:52,410 --> 00:03:55,510
+نتيجة الـ Non-parametric test غير معنوية (not significant)
+
+51
+00:03:55,510 --> 00:03:59,970
+بينما الـ Parametric result معنوية (significant)، نريد
+
+52
+00:03:59,970 --> 00:04:06,190
+أنْ نحاول أنْ نرى لها تفسيرًا، أحد هذه التفسيرات أنْ يكون
+
+53
+00:04:06,190 --> 00:04:11,350
+لدينا بعض القيم Extreme Values، قيم شاذة تؤثر على
+
+54
+00:04:11,350 --> 00:04:16,530
+الـ Mean، فبالتالي أرجع وأتحقق وأتأكد أنه ليس
+
+55
+00:04:16,530 --> 00:04:20,870
+لدينا أيّ Outliers أو أيّ Extreme Values، الـ Non
+
+56
+00:04:20,870 --> 00:04:24,370
+Parametric Tests لا تحتاج أنْ أُجري الـ
+
+57
+00:04:24,370 --> 00:04:29,830
+Normality Test، والـ Nonparametric Tests تُناسب أيّ
+
+58
+00:04:29,830 --> 00:04:34,330
+نوع من الـ Scales، سواء كانت Ratio أو Interval أو
+
+59
+00:04:34,330 --> 00:04:39,330
+Ordinal أو Nominal، لأنّ الـ Chi-Square يُعتبر من
+
+60
+00:04:39,330 --> 00:04:43,410
+اختبارات الـ Nonparametric Tests التي نستخدمها في
+
+61
+00:04:43,410 --> 00:04:48,170
+موضوع الـ Nominal Data أو Ordinal Data، مثال على
+
+62
+00:04:48,170 --> 00:04:52,950
+الاختبارات الـ Nonparametric Tests، هو Wilcoxon Rank Sum
+
+63
+00:04:52,950 --> 00:04:57,910
+Test، الـ advantages الخاصة بالـ non-parametric tests
+
+64
+00:04:57,910 --> 00:05:02,770
+أنّني أستخدمها في كلّ أنواع الـ scales الموجودة
+
+65
+00:05:02,770 --> 00:05:09,250
+لدى، سهلة في الحساب، تُستخدم في حالة ما تكون لدينا
+
+66
+00:05:09,250 --> 00:05:13,970
+small sample size، لو كان لدينا بعض الـ assumptions
+
+67
+00:05:13,970 --> 00:05:18,250
+المطلوبة للـ parametric tests مفقودة، أو أيّ
+
+68
+00:05:18,250 --> 00:05:21,830
+assumption موجودة، يُمكنني استخدام الـ non-parametric
+
+69
+00:05:21,830 --> 00:05:27,070
+tests، لستُ بحاجةٍ إلى إجراء الـ Normality Test، ولو الـ
+
+70
+00:05:27,070 --> 00:05:31,930
+data كانت ذات توزيع طبيعي، لا يختلف الأمر، النتائج
+
+71
+00:05:31,930 --> 00:05:39,390
+تكون دقيقة مثل الـ Parametric Procedures، الـ
+
+72
+00:05:39,390 --> 00:05:42,790
+disadvantages للـ non-parametric tests، أنّني أفقد
+
+73
+00:05:42,790 --> 00:05:47,090
+بعض المعلومات، الـ Parametric Tests تكون أكثر فعالية
+
+74
+00:05:47,090 --> 00:05:52,810
+إذا سمحت البيانات بذلك، يكون من الصعب حساب الـ
+
+75
+00:05:52,810 --> 00:05:55,370
+Nonparametric Tests عندما تكون لدينا Large Sample
+
+76
+00:05:55,370 --> 00:06:00,270
+Size، وكذلك لو أردتُ إيجاد الـ cut-off value للـ
+
+77
+00:06:00,270 --> 00:06:04,890
+Nonparametric Tests، فلنْ أجد الجدول الذي أستخرِج منه
+
+78
+00:06:04,890 --> 00:06:08,270
+الـ cut-off value عندما تكون لدينا Large
+
+79
+00:06:08,270 --> 00:06:13,990
+Sample Size، الجدول الذي أمامنا يُوضّح الـ Parametric
+
+80
+00:06:13,990 --> 00:06:19,360
+وNonparametric Tests، هذا الجدول تكلّمنا عنه سابقًا
+
+81
+00:06:19,360 --> 00:06:23,060
+وقلنا عندما تكون الـ data ذات توزيع طبيعي (normal distribution) نستخدم
+
+82
+00:06:23,060 --> 00:06:28,540
+هذه الاختبارات، ولكن في حالة أنْ تكون الـ data غير
+
+83
+00:06:28,540 --> 00:06:32,420
+ذات توزيع طبيعي (not normal distribution) أو ذات توزيع غير طبيعي (abnormal distribution)، بدلًا
+
+84
+00:06:32,420 --> 00:06:37,640
+من استخدام الـ one sample t-test، سأستخدم الـ sign
+
+85
+00:06:37,640 --> 00:06:42,740
+test، وفي حالة الـ paired sample، عندما تكون الـ data
+
+86
+00:06:42,740 --> 00:06:45,640
+غير ذات توزيع طبيعي (not normal distribution)، سأستخدم اختبار
+
+87
+00:06:45,640 --> 00:06:51,290
+non-parametric يُسمّى Wilcoxon Signed Rank Test، وفي
+
+88
+00:06:51,290 --> 00:06:55,150
+حالة الـ Independent Variable والـ Two Groups، و
+
+89
+00:06:55,150 --> 00:06:58,390
+الـ Data تكون ذات توزيع غير طبيعي (Abnormal Distribution)، بدلًا من
+
+90
+00:06:58,390 --> 00:07:02,230
+استخدام الـ T-Test، سأستخدم ما يُسمّى بـ Mann-
+
+91
+00:07:02,230 --> 00:07:06,510
+-Whitney Test، أو له اسم آخر، اسمه Wilcoxon Rank
+
+92
+00:07:06,510 --> 00:07:13,100
+Sum Test، وكذلك يُمكن استخدام الـ Median Test، عندما
+
+93
+00:07:13,100 --> 00:07:16,900
+يكون لدينا في المتغيرات النوعية (qualitative variable) أكثر من two
+
+94
+00:07:16,900 --> 00:07:21,480
+groups، سنستخدم الـ Kruskal-Wallis Test أو
+
+95
+00:07:21,480 --> 00:07:24,940
+الـ Median Test، عندما تكون الـ data غير ذات توزيع طبيعي (not normal
+
+96
+00:07:24,940 --> 00:07:30,060
+distribution)، وعندما تكون لدينا related samples أكثر
+
+97
+00:07:30,060 --> 00:07:34,720
+من اثنتين، بدلًا من استخدام الـ Repeated Measures ANOVA، سأبدأ
+
+98
+00:07:34,720 --> 00:07:38,380
+باستخدام Friedman Test، لأنّ الـ data تكون ذات توزيع غير طبيعي
+
+99
+00:07:38,380 --> 00:07:42,380
+(abnormal distribution)، عندما يكون لدينا two
+
+100
+00:07:42,380 --> 00:07:45,820
+variables، اللذان نريد إيجاد العلاقة بينهما، وهما نوعيان (qualitative)
+
+101
+00:07:45,820 --> 00:07:51,800
+وكلاهما مستقلان عن بعضهما البعض (independent)، كلّ واحد منهما
+
+102
+00:07:51,800 --> 00:07:56,440
+منفصل عن الآخر، مثل التدخين (Smoking) و السمنة (Obesity)، سأستخدم
+
+103
+00:07:56,440 --> 00:08:01,220
+الـ Chi-Square Test، ولو لاحظنا أنّ في الـ
+
+104
+00:08:01,220 --> 00:08:05,080
+Qualitative Variables، ليس لدينا Normality Test، و
+
+105
+00:08:05,080 --> 00:08:09,260
+تكلّمنا في هذا الموضوع، فبالتالي يُعتبر الـ Chi-Square
+
+106
+00:08:09,260 --> 00:08:14,750
+من اختبارات الـ Non-parametric Tests، عندما يكون
+
+107
+00:08:14,750 --> 00:08:17,490
+لدينا الـ two qualitative variables، و dependent
+
+108
+00:08:17,490 --> 00:08:24,630
+على المريض، عندما يقول المريض أخذ علاج A وأخذ علاج B، هذه
+
+109
+00:08:24,630 --> 00:08:30,110
+المريض الأول أخذ العلاج A وأخذ العلاج B، المريض
+
+110
+00:08:30,110 --> 00:08:36,990
+الثاني لم يأخذ لا A ولا B، المريض الرابع أخذ العلاج A
+
+111
+00:08:36,990 --> 00:08:44,510
+و B، المريض الخامس أخذ العلاج B ولم يأخذ العلاج A، لو
+
+112
+00:08:44,510 --> 00:08:48,970
+لاحظنا أنّ الـ two variables اللذين أمامي
+
+113
+00:08:48,970 --> 00:08:53,730
+متعلقان (dependent) بالمريض نفسه، فهما نوعيان (qualitative)
+
+114
+00:08:53,730 --> 00:08:58,690
+ولكنهما مترابطان (dependent)، لأنّني أتعامل مع المريض، ووفقًا لحالته
+
+115
+00:08:58,690 --> 00:09:04,130
+كتب له علاج 1 وعلاج 2، أو علاج A وعلاج B، فهما
+
+116
+00:09:04,130 --> 00:09:09,850
+يُعتبران مترابطان (dependent) على بعضهما البعض، نستخدم لهما اختبارًا نسميه
+
+117
+00:09:09,850 --> 00:09:15,650
+McNemar Test، فبالتالي الـ McNemar test، عندما يكون
+
+118
+00:09:15,650 --> 00:09:19,130
+الـ two qualitative variables مترابطان (dependent) على بعضهما البعض.
+
+119
+00:09:19,130 --> 00:09:24,930
+وتكلّمنا، قلنا عندما يكون متغيرين كمّيان (quantitative variables)
+
+120
+00:09:24,930 --> 00:09:29,390
+وتكون الـ data ذات توزيع طبيعي (normal distribution)، نستخدم Pearson
+
+121
+00:09:29,390 --> 00:09:33,970
+correlation، وعندما تكون الـ data ذات توزيع غير طبيعي (abnormal distribution)، نستخدم
+
+122
+00:09:33,970 --> 00:09:39,430
+Spearman correlation، وفي حالة الـ regression، قلنا
+
+123
+00:09:39,430 --> 00:09:43,580
+أنّ الـ Assumptions لـ Linear و Multiple
+
+124
+00:09:43,580 --> 00:09:46,820
+Linear Regression، أن تكون Normal Distribution.
+
+125
+00:09:46,820 --> 00:09:52,260
+ويُمكن أيضًا في حالة الـ Logistic Regression، نستخدمها
+
+126
+00:09:52,260 --> 00:09:57,820
+سواء كانت ذات توزيع طبيعي (Normal) أو غير طبيعي (Abnormal Distribution)، ولكن لو
+
+127
+00:09:57,820 --> 00:10:02,080
+الـ Data كانت غير ذات توزيع طبيعي (Not Normal Distribution)، ليس
+
+128
+00:10:02,080 --> 00:10:06,400
+أمامي إلا استخدام الـ Logistic Regression، ولا يُمكن
+
+129
+00:10:06,400 --> 00:10:11,730
+استخدام الـ Linear أو Multiple regression، هذا الـ
+
+130
+00:10:11,730 --> 00:10:15,150
+slide يُصنّفها من ناحية أخرى، عندما تكون
+
+131
+00:10:15,150 --> 00:10:19,310
+لدينا متغيرات كمية (quantitative variables) أو ترتيبية (ordinal)، لأنّنا قلنا أنّ
+
+132
+00:10:19,310 --> 00:10:23,710
+nonparametric tests تُناسب كلّ أنواع الـ scales، و
+
+133
+00:10:23,710 --> 00:10:29,690
+عندما تكون مقرونة (paired) وعينة واحدة (one sample)، أستخدم الـ sign test، و
+
+134
+00:10:29,690 --> 00:10:34,410
+عندما تكون عينتان (two sample)، أستخدم الـ sign test، و Wilcoxon signed rank
+
+135
+00:10:34,410 --> 00:10:38,670
+test، وعندما تكون أكثر من اثنتين، أستخدم Kruskal-Wallis
+
+136
+00:10:38,670 --> 00:10:42,130
+test، في حالة المقرونة (paired) وغير المقرونة (non-paired) التي
+
+137
+00:10:42,130 --> 00:10:46,410
+هي المستقلة (independent)، عندما تكون عينة واحدة (one sample)، أستخدم الـ
+
+138
+00:10:46,410 --> 00:10:49,990
+sign test نفسه، وعندما تكون عينتان (two sample)، أستخدم Mann-Whitney
+
+139
+00:10:49,990 --> 00:10:54,470
+أو ما تُسمّى بـ U-test، يُمكن استخدام الـ median test
+
+140
+00:10:54,470 --> 00:10:58,850
+وعندما تكون أكثر من عينتين (samples) أو مجموعات (groups) في
+
+141
+00:10:58,850 --> 00:11:02,790
+المتغيرات النوعية (qualitative)، نستخدم Kruskal-Wallis test أو ما تُسمّى
+
+142
+00:11:02,790 --> 00:11:07,740
+بـ H test، وكذلك نستخدم الـ Median Test، أمّا في
+
+143
+00:11:07,740 --> 00:11:13,560
+حالة المتغيرات الاسمية (Nominal)، عندما تكون لدينا فئتان (two categories) في عينة واحدة
+
+144
+00:11:13,560 --> 00:11:17,520
+(one sample)، أستخدم الـ sign test، عندما تكون عينتان (two sample)
+
+145
+00:11:17,520 --> 00:11:22,220
+مقرونة (pair)، أستخدم McNemar Test، عندما تكون عينتان (two sample) مُجْمَعَتان
+
+146
+00:11:22,220 --> 00:11:27,120
+(pooled)، والـ two sample pooled المقصود بها مستقلتان (independent)،
+
+147
+00:11:27,120 --> 00:11:31,720
+أستخدم الـ Chi-Square Test، وعندما تكون لدينا الـ
+
+148
+00:11:31,720 --> 00:11:36,060
+Sample Size قليلة جدًا، أستخدم الـ Fisher Exact Test،
+
+149
+00:11:36,060 --> 00:11:40,720
+وعندما يكون لدينا في كلّ متغير أكثر من مجموعتين (Two Groups)
+
+150
+00:11:40,720 --> 00:11:44,520
+أو عينتين (Two Samples)، سواء في المقرونة (paired) أو في غير المقرونة (unpaired)، في
+
+151
+00:11:44,520 --> 00:11:47,700
+المتغيرات التابعة (dependent) أو في المستقلة (independent)، أستخدم الـ Cochran's Q
+
+152
+00:11:47,700 --> 00:11:51,440
+Test نفسه، أو نستخدم Cochran's Q Test،
+
+153
+00:11:51,440 --> 00:11:57,000
+وهنا المقصود فئتان (Two Categories) أو مجموعتان (Two Groups)، أن يكون
+
+154
+00:11:57,000 --> 00:12:01,400
+لدينا متغير واحد في فئتين (two categories)، بينما الـ
+
+155
+00:12:01,400 --> 00:12:05,140
+متغير الثاني الذي نبحث عن العلاقة معه، يكون
+
+156
+00:12:05,140 --> 00:12:08,960
+لدينا أكثر من فئتين (categories)، يبقى هنا عندما تكون
+
+157
+00:12:08,960 --> 00:12:11,920
+لدينا متغير، وهذا المتغير فيه فئتان (two categories)،
+
+158
+00:12:11,920 --> 00:12:15,640
+نضربه بمتغير آخر، وهذا المتغير الآخر في
+
+159
+00:12:15,640 --> 00:12:18,740
+فئة واحدة (one category)، نستخدم الـ sign test، عندما يكون لدينا
+
+160
+00:12:18,740 --> 00:12:22,140
+متغير في فئتين (two categories) أو مجموعتين (two groups) نضربه
+
+161
+00:12:22,140 --> 00:12:28,380
+بمتغير آخر، ولكن هذان الاثنان مترابطان (dependent) على بعضهما البعض،
+
+162
+00:12:28,380 --> 00:12:32,920
+نستخدم McNemar test، ولَمّا يكون هذان الاثنان
+
+163
+00:12:32,920 --> 00:12:37,460
+مستقلّان (independent) عن بعضهما البعض، مثل متغير في مجموعتين (two groups)،
+
+164
+00:12:37,460 --> 00:12:40,580
+والمتغير الثاني في مجموعتين (two groups)، وكلاهما ليسا
+
+165
+00:12:40,580 --> 00:12:44,620
+مترابطان (dependent) على بعضهما البعض، مستقلّان (independent)، يعني مثل التدخين (smoking) و
+
+166
+00:12:44,620 --> 00:12:48,060
+السمنة (obesity)، نستخدم الـ Chi-Square Test، ولَمّا تكون
+
+167
+00:12:48,060 --> 00:12:52,500
+لدينا Sample Size قليلة جدًا، نستخدم Fisher Exact
+
+168
+00:12:52,500 --> 00:12:56,560
+Test، عندما يكون لدينا الـ two variables اللذان
+
+169
+00:12:56,560 --> 00:13:01,580
+كلّ واحد منهما أكثر من فئتين (categories)، مثل
+
+170
+00:13:01,580 --> 00:13:05,320
+مستوى التعليم (education level) والمحافظة (governorate)، مستوى التعليم (education level)
+
+171
+00:13:05,320 --> 00:13:08,920
+فيه أكثر من مجموعة، وهي المرحلة الابتدائية (primary school)، والمرحلة ما قبل
+
+172
+00:13:08,920 --> 00:13:13,020
+الابتدائية (pre-primary school)، والمرحلة الثانوية (secondary school)، والجامعة (university)، و
+
+173
+00:13:13,020 --> 00:13:
+
+223
+00:17:12,700 --> 00:17:16,940
+عنده رغم أنه التزام بالتعليمات، فبالتالي نجي هنا
+
+224
+00:17:16,940 --> 00:17:22,480
+بنطلع وبنقول أنه بدنا نشوف هل عندي الالتزام
+
+225
+00:17:22,480 --> 00:17:30,000
+بتعليمات تنظيف الأسنان أثرت أم لا، بنحسب
+
+226
+00:17:30,000 --> 00:17:33,320
+كم عدد الناس اللي نقصت عندهم الـ score تحت التسوس؟
+
+227
+00:17:33,640 --> 00:17:38,480
+وكم عدد الناس اللي زادت عندهم، وبنتجاهل الشخص اللي
+
+228
+00:17:38,480 --> 00:17:44,580
+موجود زي ما هو، وبنحذفه من الدراسة، فبالتالي بنقول
+
+229
+00:17:44,580 --> 00:17:48,380
+كم نقصت وكم زادت، وبنقول فيه significant أم لا؟
+
+230
+00:17:48,380 --> 00:17:53,000
+insignificant، وهذا بنسميه الـ Sign Test لأنه بقى
+
+231
+00:17:53,000 --> 00:17:56,640
+بيقول لي الـ effect positive أم negative بدون ما
+
+232
+00:17:56,640 --> 00:18:00,780
+يقيس حجم الـ effect، فبالتالي الـ Sign Test عندنا
+
+233
+00:18:01,370 --> 00:18:03,650
+بيقول لي فيه اختلاف في الـ Positive والـ Negative
+
+234
+00:18:03,650 --> 00:18:07,790
+بينما بتجاهل كم حجم الاختلاف اللي موجود، والـ
+
+235
+00:18:07,790 --> 00:18:11,490
+Wilcoxon Sign Rank Test بيوضح لنا كم هذا الاختلاف
+
+236
+00:18:11,490 --> 00:18:17,310
+اللي كان موجود، فبالتالي الـ Wilcoxon Sign Rank Test
+
+237
+00:18:17,310 --> 00:18:22,010
+بيكون هو سبب في تحديد الاختلافات الحقيقية إن وجدت،
+
+238
+00:18:22,010 --> 00:18:26,350
+ولا يتطلب أن تكون الـ Sample اللي موجودة عندي
+
+239
+00:18:26,350 --> 00:18:29,970
+Normal Distribution، يعني Symmetrical Distribution.
+
+240
+00:18:31,940 --> 00:18:36,320
+فسواء كانت Normal أو Abnormal، ممكن نحلل البيانات
+
+241
+00:18:36,320 --> 00:18:41,600
+اللي موجودة، لذا يعتبر Wilcoxon Sign Rank Test more
+
+242
+00:18:41,600 --> 00:18:46,520
+flexible، أكثر مرونة من الـ Parametric Test، ولكن
+
+243
+00:18:46,520 --> 00:18:51,720
+عليه قيود أكثر من الـ Sign Test، نشوف فكرة الـ
+
+244
+00:18:51,720 --> 00:18:55,120
+Wilcoxon Sign Rank Test، زي ما شوفنا فكرة الـ Sign
+
+245
+00:18:55,120 --> 00:18:59,900
+Test، فكرة الـ Wilcoxon Sign Rank Test تتمثل في 6
+
+246
+00:18:59,900 --> 00:19:03,900
+خطوات، مثال بيقول عند fetal movement before and
+
+247
+00:19:03,900 --> 00:19:08,200
+after chronic villus، أخد له القراءات before and
+
+248
+00:19:08,200 --> 00:19:12,860
+after، هي عنده عشر مرضى، أول خطوة، الخطوة الثانية أخد
+
+249
+00:19:12,860 --> 00:19:15,840
+له القراءة before، الخطوة الثالثة أخد له after،
+
+250
+00:19:15,840 --> 00:19:20,000
+الخطوة الرابعة difference ما بين الـ before والـ
+
+251
+00:19:20,000 --> 00:19:25,120
+after، الخطوة الخامسة أني لغيت الإشارة، يعني أخدت الـ
+
+252
+00:19:25,120 --> 00:19:31,420
+Absolute، وعملت ترتيب للقيم هذه من الأقل للأكثر، فهي
+
+253
+00:19:31,420 --> 00:19:36,420
+عندي واحد وواحد، المفروض فيهم الأول والأول مكرر،
+
+254
+00:19:36,420 --> 00:19:40,660
+فالثاني راح، فبالتالي بنقول واحد زائد اثنين صاروا
+
+255
+00:19:40,660 --> 00:19:44,400
+عندنا ثلاثة، تجسيم اثنين، كل واحد فيهم بناخد واحد
+
+256
+00:19:44,400 --> 00:19:48,840
+ونصف، هذه الخطوة الخامسة، بناخد الـ rank للـ Absolute
+
+257
+00:19:49,300 --> 00:19:54,240
+خصوصًا الـ Sets، أني برجع الإشارة للقيمة تحت Rank،
+
+258
+00:19:54,240 --> 00:19:59,220
+والـ Wilcoxon Sign Rank Test، الـ Assumption أنها تكون
+
+259
+00:19:59,220 --> 00:20:02,180
+عندي Random Sample، أو على الأقل representative
+
+260
+00:20:02,180 --> 00:20:08,400
+ممثلة، Not Normal Distribution، والبيانات مش متماثلة
+
+261
+00:20:08,400 --> 00:20:15,560
+حول الـ Mean، أو غير متماثلة حول الـ Mean، عندي
+
+262
+00:20:15,560 --> 00:20:19,080
+بتكون عندي القياسات اللي بدها تكون، يا بتكون
+
+263
+00:20:19,080 --> 00:20:22,800
+interval أو ratio أو ordinal، بتنفعش يعني للـ
+
+264
+00:20:22,800 --> 00:20:27,140
+nominal، لأن الـ nominal data بستخدم لها الـ Sign Test،
+
+265
+00:20:27,140 --> 00:20:34,000
+الفكرة الأساسية اللي أنا بعملها عندي transformed لـ
+
+266
+00:20:34,000 --> 00:20:38,720
+different، أو بعمل عندي rank لـ different، وبأحسب
+
+267
+00:20:38,720 --> 00:20:42,520
+قيمة الـ Z، ومن الـ Z بنجيب قيمة الـ P value.
+
+268
+00:20:46,740 --> 00:20:50,200
+الـ Nominal، طب إيش الحل لـ Nominal؟ أني أستخدم لها
+
+269
+00:20:50,200 --> 00:20:56,900
+الـ Sign Test، فبالتالي بتكون عندي nominal data هذه
+
+270
+00:20:56,900 --> 00:21:02,820
+فيها two category، بتكون paired two samples، زي ما
+
+271
+00:21:02,820 --> 00:21:07,600
+اتكلمنا هنا before و after، وحولناها لإشارات، هي هنا
+
+272
+00:21:07,600 --> 00:21:14,450
+عندي two samples وكانت paired، الـ Sign Test بتقول عندي أنه
+
+273
+00:21:14,450 --> 00:21:17,630
+equal في الـ median في الـ pre والـ post، أو الـ
+
+274
+00:21:17,630 --> 00:21:22,150
+after والـ before، أيضًا لو أخدنا الـ proportion ما
+
+275
+00:21:22,150 --> 00:21:24,630
+بين الـ positive والـ negative بتكون عندي equal،
+
+276
+00:21:24,630 --> 00:21:29,730
+والاختلاف ما بين الـ after والـ before، أو الـ pre والـ
+
+277
+00:21:29,730 --> 00:21:35,690
+الـ post بتكون عندي يساوي 0، بذلك طالما أنا بشغل على الـ
+
+278
+00:21:35,690 --> 00:21:39,040
+Sign Test، ما فيش داعي أن أبحث عن الـ assumption
+
+279
+00:21:39,040 --> 00:21:42,380
+بتاعة الـ normality، وأشوف الـ data تتبع الـ
+
+280
+00:21:42,380 --> 00:21:46,160
+normal distribution أم لا، الفكرة الأساسية للـ
+
+281
+00:21:46,160 --> 00:21:51,400
+Sign Test أنه أنا بشوف كم حالات عندي الـ after والـ
+
+282
+00:21:51,400 --> 00:21:54,020
+الـ before كان في عندي positive effect أو negative
+
+283
+00:21:54,020 --> 00:21:59,180
+effect، أو no different، بتم استثناء وتجاهل كل القيم
+
+284
+00:21:59,180 --> 00:22:03,900
+اللي كان فيش فيها different، لأن الحالات اللي فيش
+
+285
+00:22:03,900 --> 00:22:08,590
+فيها different لا تفيد في أي معلومة أو إضافة أي
+
+286
+00:22:08,590 --> 00:22:15,210
+معلومة، بعدين بعمل proportion لـ positive و
+
+287
+00:22:15,210 --> 00:22:19,410
+proportion لـ negative، وبروح أحسب على الـ Z test
+
+288
+00:22:19,410 --> 00:22:23,490
+للـ proportion، وبطلع قيمة الـ Z، وبعدين بحسب منها
+
+289
+00:22:23,490 --> 00:22:26,970
+قيمة الـ P value، وبشوف الاختلاف significant أم لا؟
+
+290
+00:22:26,970 --> 00:22:32,880
+not significant between positive and negative، والـ
+
+291
+00:22:32,880 --> 00:22:36,340
+Wilcoxon Sign Rank Test اللي اتكلمنا عنه قبل شوية في
+
+292
+00:22:36,340 --> 00:22:39,700
+الـ Fetal Movement Before and After Chronic Villus،
+
+293
+00:22:39,700 --> 00:22:43,300
+أنه هي عندي عشر حالات، العشر حالات هي الـ before
+
+294
+00:22:43,300 --> 00:22:47,480
+وهي الـ after، بنحسب الـ difference اللي موجود، بنجيب
+
+295
+00:22:47,480 --> 00:22:51,220
+الـ rank للـ absolute difference اللي موجود عندي،
+
+296
+00:22:51,220 --> 00:22:56,020
+بعدين برجع الإشارة، الخطوة اللي بعدها بنجمع قيم الـ
+
+297
+00:22:56,020 --> 00:23:01,320
+positive لحالها، وقيم الـ negative لحالها، وبنشوف عندنا
+
+298
+00:23:01,320 --> 00:23:06,280
+قيم الـ positive، قداش كانت المجموع، ومجموع القيم
+
+299
+00:23:06,280 --> 00:23:10,340
+الـ negative، اللي هي هذه، قداش كان عندنا مجموعها؟
+
+300
+00:23:10,340 --> 00:23:17,000
+بعدين بأخد القيمة الأقل اللي هي 23.5، وبروح على
+
+301
+00:23:17,000 --> 00:23:21,460
+جدول وبشوف هذه القيمة أقل من قيمة cut-off value
+
+302
+00:23:21,460 --> 00:23:26,400
+أم لا، هي عندنا عند number of pairs عند عشر حالات،
+
+303
+00:23:26,880 --> 00:23:29,540
+هذه ليست فيها degree of freedom، يعني ما نستخدمش
+
+304
+00:23:29,540 --> 00:23:33,560
+degree of freedom، عند عشر حالات، الـ cut-off ثمانية،
+
+305
+00:23:33,560 --> 00:23:37,540
+إذا كانت أقل من ثمانية بتكون significant، عكس
+
+306
+00:23:37,540 --> 00:23:40,840
+السابق، وإذا كانت أكثر من ثمانية بتكون not
+
+307
+00:23:40,840 --> 00:23:46,520
+significant، فبالتالي هنا كانت عندنا 23.5، فهي بتكون
+
+308
+00:23:46,520 --> 00:23:51,000
+أكثر من قيمة الـ cut-off value، فبتكون عندي not
+
+309
+00:23:51,000 --> 00:23:55,840
+significant، وبنقول بدل من 23.5 أعلى من 8، اللي هي
+
+310
+00:23:55,840 --> 00:23:59,990
+cut-off، بتكون عندنا قيمة الـ P value أعلى من 5 من
+
+311
+00:23:59,990 --> 00:24:04,010
+100، فبالتالي بنقول not statistically significant.
+
+312
+00:24:04,010 --> 00:24:10,070
+ولو بدنا نعمل الاختبار بواسطه الـ SPSS، بعد ادخال
+
+313
+00:24:10,070 --> 00:24:14,650
+البيانات، Analyze، بروح على الـ Nonparametric Tests وبنختار
+
+314
+00:24:14,650 --> 00:24:20,490
+عندنا الـ Two Related Samples، بنضيف أول حاجة الـ
+
+315
+00:24:20,490 --> 00:24:24,930
+after، وبنقول له LB4، وبنقول له I will cook some
+
+316
+00:24:24,930 --> 00:24:28,970
+test، وبنقول له okay، هي عندها طلع الـ negative value
+
+317
+00:24:28,970 --> 00:24:32,830
+23.5، و positive value، يعني مجموع الـ negative
+
+318
+00:24:32,830 --> 00:24:35,130
+إشارات الـ negative، ومجموع إشارات الـ positive،
+
+319
+00:24:35,130 --> 00:24:39,110
+وطلع عندنا قيمة الـ P value، وبيّن إنها not
+
+320
+00:24:39,110 --> 00:24:42,750
+statistically significant between after and before.
+
+321
+00:24:42,750 --> 00:24:48,230
+بنفس الخطوات لو بده أعمل الـ Sign Test، بروح على
+
+322
+00:24:48,230 --> 00:24:53,730
+اختبار الـ Nonparametric Tests، بروح على Two Related Samples،
+
+323
+00:24:53,730 --> 00:24:58,140
+بعدين ما نقوله Wilcoxon Signed Rank Test، بيقولنا Sign Test،
+
+324
+00:24:58,140 --> 00:25:03,740
+وبنقوله okay، هيطلع عندنا قيمة T value، وطلع عندنا
+
+325
+00:25:03,740 --> 00:25:06,880
+كم قيمة طلعت positive، وكم قيمة طلعت negative،
+
+326
+00:25:06,880 --> 00:25:09,580
+يعني أعد القيم الـ positive خمسة، والقيم الـ
+
+327
+00:25:09,580 --> 00:25:13,300
+negative خمسة، اللي نقصوا خمسة، واللي زادوا خمسة، لو
+
+328
+00:25:13,300 --> 00:25:18,220
+جينا هنا عديناهم، بنلاقي هي واحد اثنين ثلاثة أربعة
+
+329
+00:25:18,220 --> 00:25:22,120
+خمسة، والـ positive كمان خمس حالات، فبيكونوا equal،
+
+330
+00:25:22,120 --> 00:25:28,070
+فبالتالي الـ H0 not reject، أو cannot reject، طالما
+
+331
+00:25:28,070 --> 00:25:33,330
+عندي العدد تبع الـ positive يساوي العدد تبع الـ
+
+332
+00:25:33,330 --> 00:25:39,310
+negative، بنقول أن الـ H0 cannot reject، وبتكون not
+
+333
+00:25:39,310 --> 00:25:45,430
+significant، هنتكلم عن اختبار الـ median لما بيكون
+
+334
+00:25:45,430 --> 00:25:48,990
+عندنا two groups، وهنا لو لاحظنا أن الـ Median Test
+
+335
+00:25:48,990 --> 00:25:53,900
+بينفع لما تكون two groups أو ثلاث groups أو أكثر،
+
+336
+00:25:53,900 --> 00:25:58,520
+الـ Median Test هو عبارة عن اختبار من اختبارات الـ
+
+337
+00:25:58,520 --> 00:26:02,300
+Nonparametric Procedures اللي بتستخدم لما بتكون
+
+338
+00:26:02,300 --> 00:26:06,380
+عندنا null hypothesis لعينتين، مستقلتين أو أكثر،
+
+339
+00:26:06,380 --> 00:26:11,220
+تتساوى في الـ Medians، لكي نعمل الـ Median Test،
+
+340
+00:26:11,220 --> 00:26:16,460
+ونحسبه، أول خطوة بناخد كل المجموعات على بعض ونضيف
+
+341
+00:26:16,460 --> 00:26:22,140
+الأرقام فوق بعض، ونجيب الـ Median تبعهم، يبقى أول خطوة
+
+342
+00:26:22,140 --> 00:26:26,600
+نجيب الـ Median للكل (All Observations)، يبقى كل
+
+343
+00:26:26,600 --> 00:26:30,600
+اللي موجودين عندي، والبيانات بنخلطهم مع بعض، و
+
+344
+00:26:30,600 --> 00:26:34,780
+أجيب لهم الـ Medians في كل group، وهي مثال لما تكون
+
+345
+00:26:34,780 --> 00:26:38,180
+في عندنا مدارس في مناطق حضرية ومناطق ريفية، Urban
+
+346
+00:26:38,180 --> 00:26:42,380
+and rural، فبأخد كل القيم هذه، بخلط كل القيم هذه مع
+
+347
+00:26:42,380 --> 00:26:49,250
+بعض، وأجيب لها الـ Median، بعد ما أجيب الـ Median، بروح
+
+348
+00:26:49,250 --> 00:26:52,970
+بشوف مين من القيم هذه أعلى من الـ median، ومين أقل
+
+349
+00:26:52,970 --> 00:26:58,090
+من الـ median في كل جروب، الـ H0 بتقول أن
+
+350
+00:26:58,090 --> 00:27:04,770
+المجموعتين، عدد الـ above والـ below من الـ median
+
+351
+00:27:04,770 --> 00:27:09,130
+بتكون equal، فلو كانت عندي قيمة بتساوي الـ median
+
+352
+00:27:09,130 --> 00:27:14,410
+بالضبط، أعتبرها أقل أم أكثر؟ في هذه الحالة ممكن
+
+353
+00:27:14,410 --> 00:27:19,900
+نعمل عدة أمور، أول حاجة أن احنا نحذفها، يعني نستثنيها
+
+354
+00:27:19,900 --> 00:27:25,500
+من كل الدراسة، أو نعملها drop-out، وخصوصًا لو كان
+
+355
+00:27:25,500 --> 00:27:28,400
+حجم الدراسة في المجموعة الأولى والمجموعة الثانية
+
+356
+00:27:28,400 --> 00:27:32,840
+كبير، فما فيش مشكلة لو احنا حذفناهم، الطريقة الثانية
+
+357
+00:27:32,840 --> 00:27:38,280
+أن ممكن أقسمهم لمجموعتين، مجموعة أولى باللي زاد عن قيمة
+
+358
+00:27:38,280 --> 00:27:42,760
+الـ median، والمجموعة الثانية الباقية، فبالتالي
+
+359
+00:27:42,760 --> 00:27:49,630
+بنضيفها للمجموعة الثانية، يعني بنقول أكثر من أو أقل
+
+360
+00:27:49,630 --> 00:27:53,950
+من أو يساوي، هيك بتكون التجسيمة، فبنضيفهم مع أقل أو
+
+361
+00:27:53,950 --> 00:27:57,350
+يساوي للمجموعة الثانية، والـ Median Test نفس الـ
+
+362
+00:27:57,350 --> 00:28:00,970
+Sign Test، ما بيقدرش يحدد لي كمية الـ difference
+
+363
+00:28:00,970 --> 00:28:05,750
+اللي موجودة ما بين المجموعات، فبالتالي بتكون أول
+
+364
+00:28:05,750 --> 00:28:09,990
+خطوة أنه أنا بدي أجيب كل الـ two group أو الثلاث
+
+365
+00:28:09,990 --> 00:28:14,000
+groups، وأحطهم مع بعض، أحسب الـ median، وأشوف مين أعلى
+
+366
+00:28:14,000 --> 00:28:17,740
+من الـ median، ومين أقل من الـ median، ولو شيء طلع
+
+367
+00:28:17,740 --> 00:28:21,280
+يساوي الـ median، ممكن نستخدم الطرق اللي اتكلمنا عنها
+
+368
+00:28:21,280 --> 00:28:26,140
+سابقًا، هي عندنا مثال، والمثال بيقول باختصار أن
+
+369
+00:28:26,140 --> 00:28:30,120
+أنا عندي باحث راعى المدارس الإعدادية في المناطق
+
+370
+00:28:30,120 --> 00:28:34,780
+الريفية، وأخد 12 males، وراعى المناطق الحضرية، وأخد
+
+371
+00:28:34,780 --> 00:28:38,960
+16 males، وراح قاس لهم الـ level of mental health،
+
+372
+00:28:39,750 --> 00:28:42,990
+الـ Assumption إن هما Independent records، عندنا
+
+373
+00:28:42,990 --> 00:28:47,430
+مجموعتين مختلفتين عن بعض، Independent، وعندنا الـ data
+
+374
+00:28:47,430 --> 00:28:52,530
+هي عبارة عن quantitative data اللي موجودة، وعندنا
+
+375
+00:28:52,530 --> 00:28:56,630
+two groups، أو إذا احنا أخدنا الـ level of mental
+
+376
+00:28:56,630 --> 00:29:01,710
+health على شكل score أو ordinal data، فهي هي قيمها
+
+377
+00:29:01,710 --> 00:29:05,650
+الاسم، الـ H0 بتقول أن الـ median للـ Urban يساوي الـ
+
+378
+00:29:05,650 --> 00:29:10,350
+median للـ rural، اللي هما المناطق الريفية، يبقى
+
+379
+00:29:10,350 --> 00:29:13,250
+الـ Median للمناطق الحضرية يساوي الـ Median
+
+380
+00:29:13,250 --> 00:29:19,810
+للمناطق الريفية، والـ H1 لا يساوي، حل السؤال إن هو
+
+381
+00:29:19,810 --> 00:29:25,150
+اللي راح عمل أول حاجة الـ Median لكل الـ data، أخد
+
+382
+00:29:25,150 --> 00:29:30,470
+القيم هذه كلها، وراح جابلها الـ Median، فطلع معاه
+
+383
+00:29:30,470 --> 00:29:35,670
+الـ Median لكل الـ data في المجموعتين 33.5، بدأ هنا
+
+384
+00:29:36,460 --> 00:29:41,680
+يشوف مين أعلى ومين أقل من الـ Median، هي الـ 33 هي
+
+385
+00:29:41,680 --> 00:29:47,280
+أعلى من الـ Median، يكتب above، و26 below، فصار يصنف
+
+386
+00:29:47,280 --> 00:29:54,060
+above و below في كل الـ data اللي موجودة، بعدين جال
+
+387
+00:29:54,060 --> 00:29:57,960
+عندنا في الـ table، اللي هم الـ above 6 والـ below
+
+388
+00:29:57,960 --> 00:30:04,790
+10 و8 و4، ومجموعة من 12، وطالما وصلنا للـ Table
+
+389
+00:30:04,790 --> 00:30:10,830
+هذه وقسمناها لـ Above و Below، كأننا رجعناها لـ Two
+
+390
+00:30:10,830 --> 00:30:14,330
+Groups، و Two Groups واحنا استخدمنا الـ Chi-Square
+
+391
+00:30:14,330 --> 00:30:18,310
+Test، وجبنا قيمة الـ P-Value من الـ Chi-Square
+
+392
+00:30:18,310 --> 00:30:22,330
+Table، أو جبنا قيمة الـ Cut-Off كما استعملناها في
+
+393
+00:30:22,330 --> 00:30:26,350
+الـ Chi-Square، وشوفناها هل هي أعلى من الـ Cut-
+
+
+445
+00:34:16,100 --> 00:34:20,680
+نتكلمنا عن الـ Z-test سابقًا، إليك مثال بيقول أنه
+
+446
+00:34:20,680 --> 00:34:23,740
+أنا عندي عشرين مريضًا، عشرة منهم أخذوا علاج A وعشرة
+
+447
+00:34:23,740 --> 00:34:28,700
+أخذوا علاج B، وروحنا نشوف مستوى الـ plasma globulin
+
+448
+00:34:28,700 --> 00:34:34,000
+fraction بعد العلاج في كلاهما، واعتبرنا أن البيانات
+
+449
+00:34:34,000 --> 00:34:39,560
+ليست بتوزيع طبيعي، وقررنا أن نستخدم الـ non
+
+450
+00:34:39,560 --> 00:34:44,120
+parametric test. الخطوة الأولى أن أرتب العشرين
+
+451
+00:34:44,120 --> 00:34:47,460
+الرقم من Group A و Group B أو Treatment A و
+
+452
+00:34:47,460 --> 00:34:55,060
+Treatment B، وبعدين بديهم ترقيم من واحد لعشرين، فهي
+
+453
+00:34:55,060 --> 00:35:00,080
+عندنا مثلًا الرقم تسعة عشر، وعشرين، نفس الرقم قد يكون
+
+454
+00:35:00,080 --> 00:35:05,020
+تسعة عشر ونصف، وتسعة عشر ونصف. الخطوة التي بعدها أن
+
+455
+00:35:05,020 --> 00:35:08,180
+أنا أجيء عند Treatment A، الرقم ثمانية وثلاثين، أيش
+
+456
+00:35:08,180 --> 00:35:12,860
+يأخذ rank، أكتب له 26، أيش يأخذ rank وأكتبه، وظللت ماشيًا
+
+457
+00:35:12,860 --> 00:35:16,720
+على نفس الأرقام، و Treatment B نفس الحاجة، كتبت rank
+
+458
+00:35:16,720 --> 00:35:20,380
+لكل رقم، ورحت جبت مجموع الـ rank للمجموعة الأولى
+
+459
+00:35:20,380 --> 00:35:23,480
+ومجموع الـ rank للمجموعة الثانية، مجموع الـ rank لـ
+
+460
+00:35:23,480 --> 00:35:27,460
+Treatment A، ومجموع الـ rank لـ Treatment B، طلع معي
+
+461
+00:35:27,460 --> 00:35:33,720
+مجموع الـ rank لـ Group A 81.5، و Group B 128.5، نأخذ
+
+462
+00:35:33,720 --> 00:35:40,020
+أقل قيمة، اللي هو Group A، 81.5، بعدها أروح على الـ
+
+463
+00:35:40,020 --> 00:35:44,360
+table، وبنجيب الـ cut-off، ونشوفها أقل أو أكثر من
+
+464
+00:35:44,360 --> 00:35:51,020
+الـ cut-off، هيعني الـ Mann-Whitney table لـ
+
+465
+00:35:51,020 --> 00:35:54,700
+independent sample أو الـ unpaired sample، نجيء عند
+
+466
+00:35:54,700 --> 00:36:00,000
+الـ N2 عشرة، والـ N1 عشرة، تطلع قيمة الـ cut-off 78.
+
+467
+00:36:01,970 --> 00:36:07,210
+طالما طلعت أعلى من الـ cut-off، بتكون القيمة قيمة
+
+468
+00:36:07,210 --> 00:36:10,930
+الـ p-value أعلى من 5%، فبالتالي بتكون not
+
+469
+00:36:10,930 --> 00:36:13,790
+statistically significant، وقلنا في الـ
+
+470
+00:36:13,790 --> 00:36:17,770
+nonparametric، القيمة الأعلى من الـ cut-off تكون
+
+471
+00:36:17,770 --> 00:36:21,510
+عندنا not significant، فبكون الـ conclusion no
+
+472
+00:36:21,510 --> 00:36:26,810
+significant difference between two groups. امتداد
+
+473
+00:36:26,810 --> 00:36:30,500
+للـ median test، إنه بينفع يستخدم لما بتكون عندنا
+
+474
+00:36:30,500 --> 00:36:33,520
+أكثر من مجموعتين موجودات في المتغيرات الكمية
+
+475
+00:36:33,520 --> 00:36:37,700
+و البيانات ليست بتوزيع طبيعي.
+
+476
+00:36:37,700 --> 00:36:43,220
+نفسها، هي مقابلة في الـ parametric للـ ANOVA test، ولكن
+
+477
+00:36:43,220 --> 00:36:48,040
+الـ median بينفع يستخدم لمجموعتين أو أكثر من
+
+478
+00:36:48,040 --> 00:36:52,970
+ثلاث مجموعات، يساوي ثلاث مجموعات أو أكثر، فبالتالي الـ
+
+479
+00:36:52,970 --> 00:36:56,790
+median بالذات له استثناء، هذا الاستثناء أنه بنفع
+
+480
+00:36:56,790 --> 00:37:01,030
+لمجموعتين، وبنفع يكون لثلاث مجموعات فأكثر.
+
+481
+00:37:01,030 --> 00:37:05,070
+بنفع يكون في الـ non-parametric مقابل للـ t-test، و
+
+482
+00:37:05,070 --> 00:37:09,330
+بنفع يكون مقابل في الـ non-parametric للـ ANOVA، و
+
+483
+00:37:09,330 --> 00:37:13,570
+نفس خطوات الـ ANOVA، ونفس افتراضات الـ ANOVA، إلا أنه
+
+484
+00:37:13,570 --> 00:37:18,870
+بتكون ليست بتوزيع طبيعي، أو حجم العينة صغير.
+
+485
+00:37:20,340 --> 00:37:23,940
+وقلنا أن حجم العينة الصغير في الغالب بيقول
+
+486
+00:37:23,940 --> 00:37:29,820
+أنه تكون ليست بتوزيع طبيعي. فكرة الـ median
+
+487
+00:37:29,820 --> 00:37:33,020
+test في حالة أكثر من مجموعتين، ثلاث، وأربع، أو
+
+488
+00:37:33,020 --> 00:37:37,400
+خمس، أو أكثر، بتكون هي هي، نفس لما يكون مجموعتين،
+
+489
+00:37:37,400 --> 00:37:42,200
+أنه أنا بروح بقى أجيب الوسيطات لكل
+
+490
+00:37:42,200 --> 00:37:45,720
+المجموعات، وبعد ما أجيب الوسيط، بشوف مين أعلى
+
+491
+00:37:45,720 --> 00:37:49,260
+ومين أقل، في كل مجموعة، من أعلى ومن أقل في المجموعة
+
+492
+00:37:49,260 --> 00:37:52,420
+الأولى، والمجموعة الثانية، والثالثة، وقد ما يكون عدد
+
+493
+00:37:52,420 --> 00:37:56,080
+المجموعات، والافتراضات هي هي اللي اتكلمنا عنهم
+
+494
+00:37:56,080 --> 00:38:01,260
+في الـ median لما بتكون أكثر من مجموعتين. المثال بيقول أنه في
+
+495
+00:38:01,260 --> 00:38:04,440
+عنده باحث، الباحث بده يشوف تأثير الـ benzaldehyde
+
+496
+00:38:04,440 --> 00:38:09,540
+والـ acetaldehyde على القصاصات الهوائية، أخذ عنده 15
+
+497
+00:38:09,540 --> 00:38:14,740
+خنزيرًا، وقسمهم إلى ثلاث مجموعات، المجموعة الأولى خمسة
+
+498
+00:38:14,740 --> 00:38:18,060
+والثانية خمسة، والثالثة خمسة. المجموعة الأولى خلها
+
+499
+00:38:18,060 --> 00:38:21,980
+تستنشق هواء عاديًا، والمجموعة الثانية تستنشق بنزالدهيد،
+
+500
+00:38:21,980 --> 00:38:27,380
+والمجموعة الثالثة أسيتالدهايد، وبعدين خدرهم وقاس
+
+501
+00:38:27,380 --> 00:38:29,620
+الإجابة كـ response اللي موجودة في القصاصات
+
+502
+00:38:29,620 --> 00:38:34,020
+الهوائية عن طريق قياس كمية وعدد الايوزينوفيل اللي
+
+503
+00:38:34,020 --> 00:38:38,660
+موجودة داخل القصاصات الهوائية. الفرضية أن
+
+504
+00:38:38,660 --> 00:38:41,540
+الـ H0 بتقول أن الثلاث مجموعات متساوية في الوسيط،
+
+505
+00:38:41,540 --> 00:38:42,740
+والـ HA
+
+506
+00:38:44,800 --> 00:38:48,260
+أنه عندنا على الأقل وسيطان يختلفان عن بعض.
+
+507
+00:38:48,260 --> 00:38:53,860
+خطوات الحل زي الـ two group، أنه هو بيجيب الوسيط،
+
+508
+00:38:53,860 --> 00:38:58,960
+وطلع معاه 28.3، وبيبدأ يشوف عندنا في كل مجموعة مين
+
+509
+00:38:58,960 --> 00:39:04,420
+أعلى ومين أقل من الوسيط، وفي الآخر هيعندنا الـ
+
+510
+00:39:04,420 --> 00:39:07,520
+هواء اللي هو الهواء العادي، والـ benzaldehyde، والـ
+
+511
+00:39:07,520 --> 00:39:11,770
+acetaldehyde، اللي موجودين، وشاف مين أعلى ومين أقل من
+
+512
+00:39:11,770 --> 00:39:15,310
+قيمة الوسيط، وطلع معاه الـ table بالصورة هذه،
+
+513
+00:39:15,310 --> 00:39:19,990
+ورح حسب قيمة الـ Chi-Square، وطلع منها قيمة
+
+514
+00:39:19,990 --> 00:39:23,430
+الـ P-Value، وطلعوا عندنا الثلاث، وطلع عندنا الـ P
+
+515
+00:39:23,430 --> 00:39:28,730
+-Value اللي موجود عندنا 0.031، فبالتالي بتكون
+
+516
+00:39:28,730 --> 00:39:31,330
+عندنا أنه في فرق معنوي بين
+
+517
+00:39:31,330 --> 00:39:35,770
+المجموعات الثلاث. واحنا ملاحظين أنه عندنا حجم الـ
+
+518
+00:39:35,770 --> 00:39:40,710
+عينة صغير، وفي الواقع أنه احنا في الوسيط ننصح أن
+
+519
+00:39:40,710 --> 00:39:46,130
+نستخدمه في حالات لما يكون حجم العينة صغير. الـ
+
+520
+00:39:46,130 --> 00:39:48,690
+الوسيط في الـ SPSS احنا شرحناه سابقًا في الـ two
+
+521
+00:39:48,690 --> 00:39:55,350
+group، ونفس الخطوات هي هي. هنكتفي
+
+522
+00:39:55,350 --> 00:40:00,050
+بهذا القدر من المحاضرة، نسأل الله عز وجل لكم دوام
+
+523
+00:40:00,050 --> 00:40:04,010
+التوفيق والسداد، وموفور الصحة والعافية، والسلام
+
+524
+00:40:04,010 --> 00:40:06,550
+عليكم ورحمة الله وبركاته
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2393b24ab092cfef5397fc901a73aefbbcc86d9b
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_postprocess.srt
@@ -0,0 +1,2096 @@
+1
+00:00:04,390 --> 00:00:07,530
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,530 --> 00:00:14,470
+الرحيم زملائنا الأعزاء طلابنا الأفاضل السلام عليكم
+
+3
+00:00:14,470 --> 00:00:20,190
+ورحمة الله وبركاته بالبداية نسأل الله عز وجل أن
+
+4
+00:00:20,190 --> 00:00:27,910
+يحفظكم ونتمنى لكم دوام الصحة والعافية موضوع
+
+5
+00:00:27,910 --> 00:00:31,250
+لقاء اليوم ان شاء الله هيكون على الـ Non
+
+6
+00:00:31,250 --> 00:00:37,200
+Parametric Testكنا سابقًا تكلمنا على موضوع الـ
+
+7
+00:00:37,200 --> 00:00:41,880
+Parametric Test كنا قد تكلمنا سابقًا على موضوع ال
+
+8
+00:00:41,880 --> 00:00:45,340
+Parametric Test وقلنا إن ال Parametric Test لها
+
+9
+00:00:45,340 --> 00:00:49,060
+assumption حتى نعملها ومن ضمن ال Parametric Test
+
+10
+00:00:49,060 --> 00:00:54,600
+زي الـ one sample t-test و ال two sample t-test أو
+
+11
+00:00:54,600 --> 00:00:59,440
+ما سميت بـ independent t-test و ال pair t-test و
+
+12
+00:00:59,440 --> 00:01:04,060
+الANOVA و ال Pearson correlation وقلنا يفضلإنها
+
+13
+00:01:04,060 --> 00:01:09,060
+تكون equal variance وتكون الـ sample size مناسبة
+
+14
+00:01:09,060 --> 00:01:13,620
+أحياناً هذه ال assumption اللي احنا بنطلبها بتكون
+
+15
+00:01:13,620 --> 00:01:19,060
+شكلها متوفرة حتى أعمل اختبار Parametric Test لو
+
+16
+00:01:19,060 --> 00:01:23,280
+وجود abnormal distribution أنه في عندنا out layer
+
+17
+00:01:23,280 --> 00:01:27,650
+بتكون موجودة أو بتكون عندناvery small sample size
+
+18
+00:01:27,650 --> 00:01:31,770
+أو small sample size وكل هذه بتفقد ال assumption
+
+19
+00:01:31,770 --> 00:01:36,610
+اللي مطلوبة لل parameter test قيمتها في هذه الحالة
+
+20
+00:01:36,610 --> 00:01:42,110
+أفضل شيء في هذه الحالة الأفضل ان اعمل اختبارات
+
+21
+00:01:42,110 --> 00:01:47,850
+بنسميها distribution free or non-parametric test
+
+22
+00:01:47,850 --> 00:01:52,490
+ال disadvantage بتاعة ال non-parametric test انها
+
+23
+00:01:52,490 --> 00:01:57,160
+بتكونأقل قيمة وأقل قوة من الـ Parametric Test في
+
+24
+00:01:57,160 --> 00:02:03,960
+إيجاد العلاقة إذا كانت موجودة حقيقية لذلك بنفضل
+
+25
+00:02:03,960 --> 00:02:08,080
+استخدام ال Parametric Test إذا هذه ال assumption
+
+26
+00:02:08,080 --> 00:02:13,420
+بتكون موجودة ال hypothesis test بتختلف في ال
+
+27
+00:02:13,420 --> 00:02:17,160
+Parametric Test عن ال non-parametric test لأن
+
+28
+00:02:17,160 --> 00:02:21,360
+اتكلمنا في ال Parametric Test بنستخدم ال mean في
+
+29
+00:02:21,360 --> 00:02:25,390
+الغالبوقولنا إن الـ Central Tendency في الـ
+
+30
+00:02:25,390 --> 00:02:28,130
+Parametric Test بتكون الـ Mean والـ Dispersion
+
+31
+00:02:28,130 --> 00:02:31,310
+بتكون الـ Standard Diffusion ولكن بالـ
+
+32
+00:02:31,310 --> 00:02:34,710
+Nonparametric Test بتكون عندنا الـ Central
+
+33
+00:02:34,710 --> 00:02:38,770
+Tendency أو الـ Central Location الـ Median بدل
+
+34
+00:02:38,770 --> 00:02:43,110
+الـ Mean وبنستخدم معها الـ Percentile أو الكورتايل
+
+35
+00:02:43,110 --> 00:02:49,130
+بنكرر و بنقول إن الأفضل إن نستخدم ال Parametric
+
+36
+00:02:49,130 --> 00:02:54,780
+Testإذا الـ assumption كانت موجودة لو كانت عندنا
+
+37
+00:02:54,780 --> 00:02:58,640
+non-normal distribution data بدي أحاول أعمل لها a
+
+38
+00:02:58,640 --> 00:03:02,420
+transformation وtransformation المقصود فيها إنه
+
+39
+00:03:02,420 --> 00:03:05,820
+أنا بدي أحذف ال outlier value أو ال extreme value
+
+40
+00:03:06,200 --> 00:03:10,400
+وأحاول أعيد اختبار الـ Normality بالـ Normal
+
+41
+00:03:10,400 --> 00:03:14,840
+Distribution Curve واشوف الـ Mean والـ Median والـ
+
+42
+00:03:14,840 --> 00:03:19,000
+Mode equal وأشوف عندنا كمان اختبار كل مجرف وشابيرو
+
+43
+00:03:19,000 --> 00:03:25,620
+اللي استخدمناهم سابقاً ولكن لو الـ Data بقيت عندنا
+
+44
+00:03:25,620 --> 00:03:29,460
+بـ Normal Distribution ولم أوفق اني أحولها لـ
+
+45
+00:03:29,460 --> 00:03:33,000
+Normal Distribution بحذف الـ Outlier Value أو الـ
+
+46
+00:03:33,000 --> 00:03:37,510
+Extreme Valueفيش أمامنا خيار إلا نستخدم الـ Non
+
+47
+00:03:37,510 --> 00:03:42,630
+-parametric test ولمّا تكون شاكك مين تستخدم فيهم
+
+48
+00:03:42,630 --> 00:03:47,290
+بتقدر تعمل الأتنين وتشوف ال conclusion وإذا بقيت
+
+49
+00:03:47,290 --> 00:03:52,410
+نفس النتيجة في كلاهما، فيش أي مشكلة إذا كان عندنا
+
+50
+00:03:52,410 --> 00:03:55,510
+نتيجة الـ Non-parametric test not significant
+
+51
+00:03:55,510 --> 00:03:59,970
+بينما الـ Parametric result is significant بدنا
+
+52
+00:03:59,970 --> 00:04:06,190
+نحاول نشوف إلها تفسيرو إحدى هذه التفسيرات أنه يكون
+
+53
+00:04:06,190 --> 00:04:11,350
+عندنا بعض القيم Extreme Value قيم شاذة بتأثر على
+
+54
+00:04:11,350 --> 00:04:16,530
+الـ Mean فبالتالي بدي أرجع أشيك و أتأكد أنه مافيش
+
+55
+00:04:16,530 --> 00:04:20,870
+عندنا أي Outlier أو أي Extreme Value الـ Non
+
+56
+00:04:20,870 --> 00:04:24,370
+Parametric Test مش محتاج عندي أنه أنا أعمل الـ
+
+57
+00:04:24,370 --> 00:04:29,830
+Normality Testوالـ Nonparametric Test بينفع لأي
+
+58
+00:04:29,830 --> 00:04:34,330
+نوع من الـ Scale سواء كانت Ratio أو Interval أو
+
+59
+00:04:34,330 --> 00:04:39,330
+Ordinal أو Nominal لأن الـ Chi-Square يعتبر من
+
+60
+00:04:39,330 --> 00:04:43,410
+اختبارات الـ Nonparametric Test اللي بنستخدمها في
+
+61
+00:04:43,410 --> 00:04:48,170
+موضوع الـ Nominal Data أو Ordinal Data مثال على
+
+62
+00:04:48,170 --> 00:04:52,950
+الاختبارات الـ Nonparametric Test وCoxin Sum Rank
+
+63
+00:04:52,950 --> 00:04:57,910
+Testالـ advantage الخاصة بالـ non-parametric test
+
+64
+00:04:57,910 --> 00:05:02,770
+أنه أنا بستخدمها في كل أنواع الـ scale اللي موجودة
+
+65
+00:05:02,770 --> 00:05:09,250
+عندي سهلة في الحساب مستخدم في حالة لما تكون عندي
+
+66
+00:05:09,250 --> 00:05:13,970
+small sample size لو كان عندي بعض ال assumption
+
+67
+00:05:13,970 --> 00:05:18,250
+المطلوبة للـparametric test مفقودة أو أي
+
+68
+00:05:18,250 --> 00:05:21,830
+assumption موجودة ممكن أستخدم الـ non-parametric
+
+69
+00:05:21,830 --> 00:05:27,070
+testمش محتاجين نعمل الـ Normality Test ولو الـ
+
+70
+00:05:27,070 --> 00:05:31,930
+data كانت of normal distribution ما بتفرق النتائج
+
+71
+00:05:31,930 --> 00:05:39,390
+بتكون دقيقة زيها زي الـ Parametric Procedure الـ
+
+72
+00:05:39,390 --> 00:05:42,790
+disadvantage للـ non-parametric test أنه أنا بفقد
+
+73
+00:05:42,790 --> 00:05:47,090
+بعض المعلومات الـ Parametric Test بيكون أكتر فعلية
+
+74
+00:05:47,090 --> 00:05:52,810
+إذا البيانات سمحت بذلكبيكون صعب حساب الـ
+
+75
+00:05:52,810 --> 00:05:55,370
+Nonparametric Test لما بتكون عندنا Large Sample
+
+76
+00:05:55,370 --> 00:06:00,270
+Size وكذلك لو بدي أجيب ال cut-off value للـ
+
+77
+00:06:00,270 --> 00:06:04,890
+Nonparametric Test فمش عندي table اللي موجودة اللي
+
+78
+00:06:04,890 --> 00:06:08,270
+هطلع منها ال cut-off value لما بتكون عندنا Large
+
+79
+00:06:08,270 --> 00:06:13,990
+Sample Size الجدول اللي أمامنا بوضح ال Parametric
+
+80
+00:06:13,990 --> 00:06:19,360
+وNonparametric Testهذا الجدول اتكلمنا عنه سابقاً
+
+81
+00:06:19,360 --> 00:06:23,060
+وقلنا لما تكون ال data normal distribution بنستخدم
+
+82
+00:06:23,060 --> 00:06:28,540
+هذه الاختبارات ولكن في حالة ال data كانت عندنا not
+
+83
+00:06:28,540 --> 00:06:32,420
+normal distribution أو abnormal distribution بدل
+
+84
+00:06:32,420 --> 00:06:37,640
+ما استخدم ال one sample t-test بده استخدم ال sign
+
+85
+00:06:37,640 --> 00:06:42,740
+test وفي حالة ال bird sample لما تكون عندنا data
+
+86
+00:06:42,740 --> 00:06:45,640
+not normal distribution بده استخدم اختبار
+
+87
+00:06:45,640 --> 00:06:51,290
+nonparametricاسمه Wilcoxin Signed Rank Test وفي
+
+88
+00:06:51,290 --> 00:06:55,150
+حالة الـ Independent Variable و الـ Two Group و
+
+89
+00:06:55,150 --> 00:06:58,390
+الـ Data تكون عندها Abnormal Distribution بدل ما
+
+90
+00:06:58,390 --> 00:07:02,230
+يستخدم الـ T-Test بدى يستخدم ما يسمى بالـ Man
+
+91
+00:07:02,230 --> 00:07:06,510
+-Whitney Test أو له اسم تاني اسمه Wilcoxin Rank
+
+92
+00:07:06,510 --> 00:07:13,100
+Sum Test وكذلك ممكن استخدام الـ Median Testلمّا
+
+93
+00:07:13,100 --> 00:07:16,900
+يكون عندنا في qualitative variable أكثر من two
+
+94
+00:07:16,900 --> 00:07:21,480
+group بدنا نستخدم الـ Cost Calorie Loss Test أو
+
+95
+00:07:21,480 --> 00:07:24,940
+الـ Median Test لما تكون عندنا الـ data not normal
+
+96
+00:07:24,940 --> 00:07:30,060
+distribution ولمّا تكون عندنا related sample أكتر
+
+97
+00:07:30,060 --> 00:07:34,720
+من تنتين بدل ما أستخدم الـ Repeated Anova Mega بدأ
+
+98
+00:07:34,720 --> 00:07:38,380
+أستخدم Affirmative Test لأن الـ data بتكون عندنا
+
+99
+00:07:38,380 --> 00:07:42,380
+abnormal distributionلما يكونوا عندنا two
+
+100
+00:07:42,380 --> 00:07:45,820
+variables اللي بده يجيب بينهم العلاقة qualitative
+
+101
+00:07:45,820 --> 00:07:51,800
+والاتنين هدولة independent على بعضكل واحد فيهم
+
+102
+00:07:51,800 --> 00:07:56,440
+منفصل عن التاني زي الـ Smoking و الـ Obesity بدي
+
+103
+00:07:56,440 --> 00:08:01,220
+استخدم الـ Chi-Square Test و لو لاحظنا انه في الـ
+
+104
+00:08:01,220 --> 00:08:05,080
+Qualitative Variable مافيش عندنا Normalty Test و
+
+105
+00:08:05,080 --> 00:08:09,260
+اتكلمنا في الموضوع هذا فبالتالي يعد الـ Chi-Square
+
+106
+00:08:09,260 --> 00:08:14,750
+من اختبارات الـ Non-parametric Testلما يكونوا
+
+107
+00:08:14,750 --> 00:08:17,490
+عندنا الـ two qualitative variable و dependent
+
+108
+00:08:17,490 --> 00:08:24,630
+المريض لما يقول أخد علاج A و أخد علاج B هاي عندي
+
+109
+00:08:24,630 --> 00:08:30,110
+المريض الأول أخد العلاج A و أخد العلاج B المريض
+
+110
+00:08:30,110 --> 00:08:36,990
+التاني ماخدش لا A ولا B المريض الرابع أخد العلاج A
+
+111
+00:08:36,990 --> 00:08:44,510
+و B المريض الخامس أخد العلاج B و ماخدش العلاج Aلو
+
+112
+00:08:44,510 --> 00:08:48,970
+لاحظنا أن الـ two variables اللي موجودين أمامي
+
+113
+00:08:48,970 --> 00:08:53,730
+هدولة dependent على المريض نفسه فهم qualitative
+
+114
+00:08:53,730 --> 00:08:58,690
+ولكن dependent لأن أنا عند المريض وعلى حسب حالته
+
+115
+00:08:58,690 --> 00:09:04,130
+كتبوله علاج 1 وعلاج 2 أو علاج A وعلاج B هدولة
+
+116
+00:09:04,130 --> 00:09:09,850
+يعتبروا dependent على بعض بنستخدملهم اختبار بنسميه
+
+117
+00:09:09,850 --> 00:09:15,650
+McNamara Testفبالتالي الـ McNemar test لما يكون
+
+118
+00:09:15,650 --> 00:09:19,130
+الـ two qualitative variable dependent على بعض
+
+119
+00:09:19,130 --> 00:09:24,930
+وتكلمنا قلنا لما يكون اتنين quantitative variable
+
+120
+00:09:24,930 --> 00:09:29,390
+تكون ال data normal distribution بنستخدم Pearson
+
+121
+00:09:29,390 --> 00:09:33,970
+correlation وال abnormal distribution data بنستخدم
+
+122
+00:09:33,970 --> 00:09:39,430
+Spearman correlation وفي حالة ال regression قلنا
+
+123
+00:09:39,430 --> 00:09:43,580
+انهالـ Assumption تاعت الـ Linear والـ Multiple
+
+124
+00:09:43,580 --> 00:09:46,820
+Linear Regression أنها تكون Normal Distribution
+
+125
+00:09:46,820 --> 00:09:52,260
+وممكن كمان في حالة الـ Logistic Regression نستخدم
+
+126
+00:09:52,260 --> 00:09:57,820
+سواء كانت Normal أو Abnormal Distribution ولكن لو
+
+127
+00:09:57,820 --> 00:10:02,080
+الـ Data كانت عندي Not Normal Distribution مافيش
+
+128
+00:10:02,080 --> 00:10:06,400
+قدامي إلا استخدم الـ Logistic Regression ومنفعش
+
+129
+00:10:06,400 --> 00:10:11,730
+نستخدم الـ Linear أو Multipleregression هذا ال
+
+130
+00:10:11,730 --> 00:10:15,150
+slide بصنفهم من ناحية تانية لما تكون عندك
+
+131
+00:10:15,150 --> 00:10:19,310
+quantitative variable أو ال ordinal لأن قلنا ال
+
+132
+00:10:19,310 --> 00:10:23,710
+nonparametric test بتنفع في كل أنواع ال scale و
+
+133
+00:10:23,710 --> 00:10:29,690
+لما تكون paired one sample بستخدم ال sine test و
+
+134
+00:10:29,690 --> 00:10:34,410
+two sample بستخدم ال sine test و ال coaxial sine
+
+135
+00:10:34,410 --> 00:10:38,670
+rank testولما تكون أكثر من تنتين بستخدم a third
+
+136
+00:10:38,670 --> 00:10:42,130
+man test في حالة الـ paired والـ non-paired اللي
+
+137
+00:10:42,130 --> 00:10:46,410
+هي الـ independent لما تكون one sample بستخدم الـ
+
+138
+00:10:46,410 --> 00:10:49,990
+scientist نفسه و two sample بستخدم ال man Whitney
+
+139
+00:10:49,990 --> 00:10:54,470
+أو ما تسمى بالـ U-test ممكن نستخدم ال median test
+
+140
+00:10:54,470 --> 00:10:58,850
+ولما تكون أكثر من اتنين sample أو group موجودة في
+
+141
+00:10:58,850 --> 00:11:02,790
+ال qualitative بنستخدم a crosscut الولس أو ما تسمى
+
+142
+00:11:02,790 --> 00:11:07,740
+بالأتش testوكذلك بنستخدم الـ Median Test أما في
+
+143
+00:11:07,740 --> 00:11:13,560
+حالة الـ Nominal لما تكون عندي two category في one
+
+144
+00:11:13,560 --> 00:11:17,520
+sample بستخدم الـ Sine Test لما تكون two sample
+
+145
+00:11:17,520 --> 00:11:22,220
+pair بستخدم المقنمار Test لما تكون two sample pool
+
+146
+00:11:22,220 --> 00:11:27,120
+والـ two sample pool المقصود فيها Independent
+
+147
+00:11:27,120 --> 00:11:31,720
+بستخدم الـ Quasi-Clear Testولمّا تكون عندى الـ
+
+148
+00:11:31,720 --> 00:11:36,060
+Sample Size قليل جدا بستخدم الـ Fisher Exact Test
+
+149
+00:11:36,060 --> 00:11:40,720
+ولمّا تكون عندنا في كل Variable أكتر من Two Group
+
+150
+00:11:40,720 --> 00:11:44,520
+أو Two Samples سواء في ال Bird أو في ال Bull، في
+
+151
+00:11:44,520 --> 00:11:47,700
+ال Dependent أو في ال Independent بستخدم ال Case
+
+152
+00:11:47,700 --> 00:11:51,440
+Sequel Test نفسه أو بنستخدم ال Case Sequel Return
+
+153
+00:11:51,440 --> 00:11:57,000
+Test وهنا مقصود Two Category أو Two Groupان يكون
+
+154
+00:11:57,000 --> 00:12:01,400
+عندى variable واحد في two category بينما ال
+
+155
+00:12:01,400 --> 00:12:05,140
+variable التانى اللى انا متواجد معاه العلاقة بتكون
+
+156
+00:12:05,140 --> 00:12:08,960
+عندنا اكثر من اتنين category يبقى هنا لما تكون
+
+157
+00:12:08,960 --> 00:12:11,920
+عندى variable و ال variable فيه two category
+
+158
+00:12:11,920 --> 00:12:15,640
+بتضربته ب variable تانى و ال variable التانى في
+
+159
+00:12:15,640 --> 00:12:18,740
+one category بستخدم ال scientist لما يكون عندى
+
+160
+00:12:18,740 --> 00:12:22,140
+variable في two category او two group بتضربته
+
+161
+00:12:22,140 --> 00:12:28,380
+variable تانىولكن هدولة الاتنين dependent على بعض
+
+162
+00:12:28,380 --> 00:12:32,920
+بستخدم المقنمار test ولمّا يكونوا الاتنين هدولة
+
+163
+00:12:32,920 --> 00:12:37,460
+independent على بعض زي variable في two group
+
+164
+00:12:37,460 --> 00:12:40,580
+والvariable التاني في two group والاتنين مش
+
+165
+00:12:40,580 --> 00:12:44,620
+dependent على بعض independent يعني زي ال smoking و
+
+166
+00:12:44,620 --> 00:12:48,060
+ال obesity بستخدم ال case query test ولمّا تكون
+
+167
+00:12:48,060 --> 00:12:52,500
+عندنا sample size قليل جدا بستخدم official exact
+
+168
+00:12:52,500 --> 00:12:56,560
+testلما بيكون عندنا الـ two variables اللي موجودين
+
+169
+00:12:56,560 --> 00:13:01,580
+كل واحد فيهم أكثر من اتنين category زي ال
+
+170
+00:13:01,580 --> 00:13:05,320
+education level و الgovernorate ال education level
+
+171
+00:13:05,320 --> 00:13:08,920
+فيه أكثر من جروب اللي هو primary school و pre
+
+172
+00:13:08,920 --> 00:13:13,020
+-primary school و secondary school و ال university
+
+173
+00:13:13,020 --> 00:13:16,760
+و ال high education يعني عندنا فيه أكثر من اتنين
+
+174
+00:13:16,760 --> 00:13:20,840
+category بدنا ننبطهم بالمحافظات اللي هم ال north
+
+175
+00:13:21,210 --> 00:13:26,530
+وبعضها في المصدر اللي هو الـ middle zone أو
+
+176
+00:13:26,530 --> 00:13:30,390
+خانيونيس أو رافح فبالتالي بيكون عندنا الـ two
+
+177
+00:13:30,390 --> 00:13:34,490
+variables ال education والgovernance هدولة كل واحد
+
+178
+00:13:34,490 --> 00:13:39,290
+فيهم أكتر من two category بدنا نستخدم الpy sequer
+
+179
+00:13:39,290 --> 00:13:46,230
+test بغض النظر عن حجم العينة يبقى بدنا نلخص كل
+
+180
+00:13:46,230 --> 00:13:49,290
+الصابق إذا ال assumption بتاعة الparametric test
+
+181
+00:13:49,290 --> 00:13:54,970
+مش موجودةزي الـ Normal Distribution للـ Data ويبقى
+
+182
+00:13:54,970 --> 00:13:58,690
+الـ Assumption بيدا استخدم اختبار يسمى الـ Non
+
+183
+00:13:58,690 --> 00:14:04,010
+-parametric Test وناخد أول تطبيق والـ Coxenstein
+
+184
+00:14:04,010 --> 00:14:08,510
+Rank Sum Test أو ما يسمى بالـ Man Whitney Test أو
+
+185
+00:14:08,510 --> 00:14:14,590
+أيضا يسمى بالـ U-Test وهو يستخدم لما تكون عندنا
+
+186
+00:14:14,590 --> 00:14:21,820
+Unpaired Data أو Independent Variableحتى نفهم في
+
+187
+00:14:21,820 --> 00:14:25,180
+الـ Nonparametric Test الاختلاف ما بين الـ Sine
+
+188
+00:14:25,180 --> 00:14:29,060
+Test و Wilcoxon Sine Rank Test و الـ Mann-Whitney
+
+189
+00:14:29,060 --> 00:14:33,440
+Test بدنا نشوف هالـ slide إيش بتحكي الـ Sine Test
+
+190
+00:14:33,440 --> 00:14:38,120
+بيحول عندنا الـ variable اللي موجودة لإيجاد
+
+191
+00:14:38,120 --> 00:14:43,040
+الإختلاف لـ positive و negative مع تجاهله الكامل
+
+192
+00:14:43,040 --> 00:14:49,540
+للمعلومات اللي موجودة حول حجم الإختلافهي مثال هذه
+
+193
+00:14:49,540 --> 00:14:53,640
+الأسماء اللي موجودة بشوف النتائج اللي موجودة
+
+194
+00:14:53,640 --> 00:14:58,640
+الأولى والتانية وبحولها لإشارة يعني هاي عنا ع سبيل
+
+195
+00:14:58,640 --> 00:15:03,220
+المثال كان excellent وصار good حط الإشارة بتاعته
+
+196
+00:15:03,220 --> 00:15:09,460
+negative يبقى أن هو مستوى القل بعدين كان poor وصار
+
+197
+00:15:09,460 --> 00:15:13,800
+good حط الإشارة موجب كان excellent وظل excellent
+
+198
+00:15:13,800 --> 00:15:20,130
+حط الإشارة zeroوهذا الـ zero تُحذف من الإختبار وهي
+
+199
+00:15:20,130 --> 00:15:24,210
+عندنا poor وصار fair وصار عندنا positive هي عندنا
+
+200
+00:15:24,210 --> 00:15:27,370
+good و poor صار عندنا negative poor و good صار
+
+201
+00:15:27,370 --> 00:15:30,230
+عندنا positive فمحول ال different اللي موجود
+
+202
+00:15:30,230 --> 00:15:35,370
+لإشارات واتنين اللي زي بعض بيحذفهم أو بيبعدهم عن
+
+203
+00:15:35,370 --> 00:15:41,550
+التحليل وبتجهلهم هذه الإشارة لا توضح حجم الإختلاف
+
+204
+00:15:41,550 --> 00:15:44,790
+بينما بتقول اللي فيه اختلاف و لا لأ بس قداش قيمته
+
+205
+00:15:44,790 --> 00:15:50,390
+مابتوضحهاالمثال التاني أنه أنا عندى 12 شخص و هدول
+
+206
+00:15:50,390 --> 00:15:55,450
+12 شخص أنا خدتلهم الـ Score قبل الالتزام بتعليمات
+
+207
+00:15:55,450 --> 00:15:59,830
+تنظيف الأسنان وشوفت ما مدى التسويس اللى كان موجود
+
+208
+00:15:59,830 --> 00:16:05,070
+عندهم و بعدين أديتهم تعليمات وشوفت كمية التسويس
+
+209
+00:16:05,070 --> 00:16:09,810
+اللى موجودة و أخدت الـ Score من 5 لاحظنا أنه في
+
+210
+00:16:09,810 --> 00:16:14,250
+الشخص الأول كانت الـ Score قبل ما يعرف التعليمات
+
+211
+00:16:14,360 --> 00:16:18,820
+بعد تنظيف الأسنان كانت 2 بينما بعد ما أعطينا
+
+212
+00:16:18,820 --> 00:16:23,580
+التعليمات نقصت نسبة التسوّس وصارت 1.5 من 5
+
+213
+00:16:23,580 --> 00:16:29,100
+فبالتالي صارت ال X ناقص ال Y أنه في عندي minus لو
+
+214
+00:16:29,100 --> 00:16:33,040
+أخدنا التاني كان عندي قبل يعرف التعليمات نسبة
+
+215
+00:16:33,040 --> 00:16:37,500
+التسوّس أو سكورة التسوّس في الأسنان 2 من 5 وبعد ما
+
+216
+00:16:37,500 --> 00:16:41,960
+أعطيناها التعليمات دلت زي ما هي كمان 2 من 5 لو
+
+217
+00:16:41,960 --> 00:16:47,690
+أخدنا السابعكان الـ Score بتاعة التسوّس 3.5 وبعد
+
+218
+00:16:47,690 --> 00:16:51,670
+التعليمات ما التزم فيها نقصة الـ Score ونسبة
+
+219
+00:16:51,670 --> 00:16:57,090
+التسوّس لـ 2 من 5 وبنضلنا على نفس السيناريو لما
+
+220
+00:16:57,090 --> 00:17:02,130
+نكمل لـ 12 شخص الموجودين لو جينا للشخص الأول نسبة
+
+221
+00:17:02,130 --> 00:17:06,590
+التسوّس للأسنان نقصة الشخص التاني ضلت زي ما هي
+
+222
+00:17:06,590 --> 00:17:12,700
+الشخص التالت نقصت كمان الرابعنسبة التسوُس زادت
+
+223
+00:17:12,700 --> 00:17:16,940
+عنده رغم انه التزام بالتعليمات فبالتالي بنيجي هنا
+
+224
+00:17:16,940 --> 00:17:22,480
+بنطلع و بنقول انه بدنا نشوف هل عندي الالتزام
+
+225
+00:17:22,480 --> 00:17:30,000
+بتعليمات تنظيف الأسنان أثرت ولا ما أثرتش بنحسب
+
+226
+00:17:30,000 --> 00:17:33,320
+قداش الناس اللي نقصت عندهم ال score تحت التسوُس
+
+227
+00:17:33,640 --> 00:17:38,480
+وجدس الناس اللي زادت عندهم وبنتجاهل الشخص اللي
+
+228
+00:17:38,480 --> 00:17:44,580
+موجود زي ما هو وبنحذفه من الدراسة فبالتالي بنقول
+
+229
+00:17:44,580 --> 00:17:48,380
+جداش نقصت و جداش زادت وبنقول فيه significant ولا
+
+230
+00:17:48,380 --> 00:17:53,000
+insignificant وهذا بنسميه ال scientist لأنه بقى
+
+231
+00:17:53,000 --> 00:17:56,640
+بيقولي ال effect positive ولا negative بدون ما
+
+232
+00:17:56,640 --> 00:18:00,780
+يقيس حزم ال effect فبالتالي ال scientist عندنا
+
+233
+00:18:01,370 --> 00:18:03,650
+بيقول لي فيه اختلاف في الـ Positive والـ Negative
+
+234
+00:18:03,650 --> 00:18:07,790
+بينما بتجاهل قداش حجم الاختلاف اللي موجود والـ
+
+235
+00:18:07,790 --> 00:18:11,490
+Coxon Sign Rank Test بيوضح لنا قداش هذا الاختلاف
+
+236
+00:18:11,490 --> 00:18:17,310
+اللي كان موجود فبالتالي الـ Coxon Sign Rank Test
+
+237
+00:18:17,310 --> 00:18:22,010
+بيكون هو سبب في تحديد الاختلافات الحقيقية إن وجدت
+
+238
+00:18:22,010 --> 00:18:26,350
+ولا يتطلب إنها تكون الـ Sample اللي موجودة عندي
+
+239
+00:18:26,350 --> 00:18:29,970
+Normal Distribution يعني Symmetrical Distribution
+
+240
+00:18:31,940 --> 00:18:36,320
+فسواء كانت Normal أو Abnormal ممكن نحلل البيانات
+
+241
+00:18:36,320 --> 00:18:41,600
+اللي موجودة لذا يعتبر Wilcoxin Sign Rank Test more
+
+242
+00:18:41,600 --> 00:18:46,520
+flexible أكثر مرونة من الـ Parametric Test ولكن
+
+243
+00:18:46,520 --> 00:18:51,720
+عليا قيود أكثر من الـ Sign Test نشوف فكرة ال
+
+244
+00:18:51,720 --> 00:18:55,120
+Wilcoxin Sign Rank Test زي ما شوفنا فكرة الـ Sign
+
+245
+00:18:55,120 --> 00:18:59,900
+Test فكرة ال Wilcoxin Sign Rank Test تتمثل في 6
+
+246
+00:18:59,900 --> 00:19:03,900
+خطواتمثال بيقول عند fetal movement before and
+
+247
+00:19:03,900 --> 00:19:08,200
+after chronic villus أخد له القراءات before and
+
+248
+00:19:08,200 --> 00:19:12,860
+after هي عنده عشر مرضى أول خطوة الخطوة التانية أخد
+
+249
+00:19:12,860 --> 00:19:15,840
+له القراءة before الخطوة التالتة أخد له after
+
+250
+00:19:15,840 --> 00:19:20,000
+الخطوة الرابعة different ما بين ال before و ال
+
+251
+00:19:20,000 --> 00:19:25,120
+after الخطوة الخامسةاني لغيت الإشارة يعني أخدت الـ
+
+252
+00:19:25,120 --> 00:19:31,420
+Absolute وعملت ترتيب للقيم هذه من الأقل للأكثر فهي
+
+253
+00:19:31,420 --> 00:19:36,420
+عندي واحد وواحد المفروض فيهم الأول والأول مكرر
+
+254
+00:19:36,420 --> 00:19:40,660
+فالتاني راح فبالتالي بنقول واحد زائد اتنين صاروا
+
+255
+00:19:40,660 --> 00:19:44,400
+عندنا تلاتة تجسيم اتنين كل واحد فيهم بناخد واحد
+
+256
+00:19:44,400 --> 00:19:48,840
+ونص هذا الخطوة الخامسة بناخد ال rank لل Absolute
+
+257
+00:19:49,300 --> 00:19:54,240
+خصوصًا الـ Sets أني برجع الإشارة للقيمة تحت Rank
+
+258
+00:19:54,240 --> 00:19:59,220
+والـ Coxenstein Rank Test الـ Assumption أنها تكون
+
+259
+00:19:59,220 --> 00:20:02,180
+عندي Random Sample أو على الأقل representative
+
+260
+00:20:02,180 --> 00:20:08,400
+ممثلة Not Normal Distribution والبيانات مش متماثلة
+
+261
+00:20:08,400 --> 00:20:15,560
+حول الـ Mean أو غير متماثلة حول الـ Mean عندى
+
+262
+00:20:15,560 --> 00:20:19,080
+بتكون عنديالقياسات اللي بدها تكون يا بتكون
+
+263
+00:20:19,080 --> 00:20:22,800
+interval أو ratio أو ordinal بتنفعش يعني لل
+
+264
+00:20:22,800 --> 00:20:27,140
+nominal لأن ال nominal data بستخدملها ال scientist
+
+265
+00:20:27,140 --> 00:20:34,000
+الفكرة الأساسية اللي أنا بعمل عندي transformed ل
+
+266
+00:20:34,000 --> 00:20:38,720
+different أو بعمل عندي rank ل different وبأحسب
+
+267
+00:20:38,720 --> 00:20:42,520
+قيمة ال Z ومن ال Z بنجيب قيمة ال P value
+
+268
+00:20:46,740 --> 00:20:50,200
+الـ Nominal طب إيش الحل لـ Nominal أني أستخدم لها
+
+269
+00:20:50,200 --> 00:20:56,900
+الـ scientist فبالتالي بتكون عندي nominal data هذه
+
+270
+00:20:56,900 --> 00:21:02,820
+فيها two category بتكون paired two samples زي ما
+
+271
+00:21:02,820 --> 00:21:07,600
+اتكلمنا هنا before و after وحولناها لإشارات هي هنا
+
+272
+00:21:07,600 --> 00:21:14,450
+عندي two samples وكانت pairedالـ 0 بتقول عندي أنه
+
+273
+00:21:14,450 --> 00:21:17,630
+equal في الـ median في الـ pre و ال post أو ال
+
+274
+00:21:17,630 --> 00:21:22,150
+after و ال before أيضًا لو أخدنا ال proportion ما
+
+275
+00:21:22,150 --> 00:21:24,630
+بين ال positive و ال negative بتكون عندي equal
+
+276
+00:21:24,630 --> 00:21:29,730
+والاختلاف ما بين ال after و ال before أو ال pre و
+
+277
+00:21:29,730 --> 00:21:35,690
+ال post بتكون عندي يساوي 0 بذلك طالما أنا بشغل على
+
+278
+00:21:35,690 --> 00:21:39,040
+ال scientistمافيش داعي أن أبحث عن الـ assumption
+
+279
+00:21:39,040 --> 00:21:42,380
+تأتي من الـ normality و أشوف ال data تتبع ال
+
+280
+00:21:42,380 --> 00:21:46,160
+normal distribution ولا لا الفكرة الأساسية للـ
+
+281
+00:21:46,160 --> 00:21:51,400
+scientist أنه أنا بشوف قداش حالات عندي ال after و
+
+282
+00:21:51,400 --> 00:21:54,020
+ال before كان في عندي positive effect أو negative
+
+283
+00:21:54,020 --> 00:21:59,180
+effect أو no different بتم استثناء وتجاهل كل القيم
+
+284
+00:21:59,180 --> 00:22:03,900
+اللي كان فيش فيها different لأن الحالات اللي فيش
+
+285
+00:22:03,900 --> 00:22:08,590
+فيها differentلا تفيد في أي معلومة أو إضافة أي
+
+286
+00:22:08,590 --> 00:22:15,210
+معلومة بعدين بعمل proportion لـ positive و
+
+287
+00:22:15,210 --> 00:22:19,410
+proportion لـ negative و بروح أحسب على ال Z test
+
+288
+00:22:19,410 --> 00:22:23,490
+لل proportion و بطلع قيمة ال Z و بعدين بحسب منها
+
+289
+00:22:23,490 --> 00:22:26,970
+قيمة ال P value و بشوف الإختلاف significant و لا
+
+290
+00:22:26,970 --> 00:22:32,880
+not significant between positive and negativeوالـ
+
+291
+00:22:32,880 --> 00:22:36,340
+Coxenstein Rank Test اللي اتكلمنا عنه قبل شوية في
+
+292
+00:22:36,340 --> 00:22:39,700
+الـFetal Movement Before and After Chronic Villas
+
+293
+00:22:39,700 --> 00:22:43,300
+أنه هي عندى عشر حالات، العشر حالات هي الـbefore
+
+294
+00:22:43,300 --> 00:22:47,480
+وهي الـafter بنحسب الـdifferent اللى موجود بنجيب
+
+295
+00:22:47,480 --> 00:22:51,220
+ال rank لل absolute different اللى موجود عندى،
+
+296
+00:22:51,220 --> 00:22:56,020
+بعدين برجع الإشارة الخطوة اللى بعدها بنجمع قيم ال
+
+297
+00:22:56,020 --> 00:23:01,320
+positive لحالوقيم الـ Negative لحالي وبنشوف عندنا
+
+298
+00:23:01,320 --> 00:23:06,280
+قيم الـ Positive قداش كانت المجموع ومجموع القيم
+
+299
+00:23:06,280 --> 00:23:10,340
+الـ Negative اللي هي هذه قداش كان عندنا مجموعة
+
+300
+00:23:10,340 --> 00:23:17,000
+بعدين باخد القيمة الأقل اللي هي 23.5 وبروح على
+
+301
+00:23:17,000 --> 00:23:21,460
+جدول وبشوف هذه القيمة أقل من قيمة cut-off value
+
+302
+00:23:21,460 --> 00:23:26,400
+ولا لا هي عندنا عند number of beers عند عشر حالات
+
+303
+00:23:26,880 --> 00:23:29,540
+هذه ليست فيها degree of freedom يعني ماستخدمش
+
+304
+00:23:29,540 --> 00:23:33,560
+degree of freedom عند عشر حالات ال cut-off تمانية
+
+305
+00:23:33,560 --> 00:23:37,540
+إذا كانت أقل من تمانية بتكون significant عكس
+
+306
+00:23:37,540 --> 00:23:40,840
+السابق وإذا كانت أكثر من تمانية بتكون not
+
+307
+00:23:40,840 --> 00:23:46,520
+significant فبالتالي هنا كانت عندنا 23.5 فهي بتكون
+
+308
+00:23:46,520 --> 00:23:51,000
+أكثر من قيمة ال cut-off value فبتكون عندي not
+
+309
+00:23:51,000 --> 00:23:55,840
+significant وبنقول بدل من 23.5 أعلى من 8 اللي هي
+
+310
+00:23:55,840 --> 00:23:59,990
+cut-offبتكون عندنا قيمة الـ P value أعلى من 5 من
+
+311
+00:23:59,990 --> 00:24:04,010
+100 فبالتالي بنقول not statistically significant
+
+312
+00:24:04,010 --> 00:24:10,070
+ولو بدنا نعمل اختبار بوصفة ال SPSS بعد ادخال
+
+313
+00:24:10,070 --> 00:24:14,650
+البيانات analyze بروح على ال number metric وبنختار
+
+314
+00:24:14,650 --> 00:24:20,490
+عندنا ال two related sample بنضيف أول حاجة ال
+
+315
+00:24:20,490 --> 00:24:24,930
+after وبنقول له LB4 وبنقول له I will cook some
+
+316
+00:24:24,930 --> 00:24:28,970
+test وبنقول له okayهي عندها طلع الـ negative value
+
+317
+00:24:28,970 --> 00:24:32,830
+23.5 و positive value يعني مجموع الـ negative
+
+318
+00:24:32,830 --> 00:24:35,130
+إشارات الـ negative ومجموع إشارات الـ positive
+
+319
+00:24:35,130 --> 00:24:39,110
+وطلع عندنا قيمة الـ B value وبيّن إنها not
+
+320
+00:24:39,110 --> 00:24:42,750
+statistically significant between after and before
+
+321
+00:24:42,750 --> 00:24:48,230
+بنفس الخطوات لو بده أعمل ال scientist بروح على
+
+322
+00:24:48,230 --> 00:24:53,730
+اختبار الـ nonparametric بروح على two related
+
+323
+00:24:53,730 --> 00:24:58,140
+sampleوبعدين ما نقوله كوكسوم بيقولنا scientist
+
+324
+00:24:58,140 --> 00:25:03,740
+وبنقوله okay هيطلع عندنا قيمة LB value وطلع عندنا
+
+325
+00:25:03,740 --> 00:25:06,880
+أكم قيمة طلعت positive و أكم قيمة طلعت negative
+
+326
+00:25:06,880 --> 00:25:09,580
+يعني أعد القيم ال positive خمسة و القيم ال
+
+327
+00:25:09,580 --> 00:25:13,300
+negative خمسة اللي نقصوا خمسة و اللي زادوا خمسة لو
+
+328
+00:25:13,300 --> 00:25:18,220
+جينا هنا عدناهم بنلاقي هاي واحد اتنين تلاتة اربعة
+
+329
+00:25:18,220 --> 00:25:22,120
+خمسة و ال positive كمان خمس حلات فبكونوا equal
+
+330
+00:25:22,120 --> 00:25:28,070
+فبالتاليالـ H0 not reject أو cannot reject فطالما
+
+331
+00:25:28,070 --> 00:25:33,330
+عندي العدد تبع الـ positive جد العدد تبع الـ
+
+332
+00:25:33,330 --> 00:25:39,310
+negative بنقول ان الـ H0 cannot reject وبتكون not
+
+333
+00:25:39,310 --> 00:25:45,430
+significant هنتكلم عن اختبار ال median لما بكون
+
+334
+00:25:45,430 --> 00:25:48,990
+عندنا two groups وهنا لو لاحظنا ان ال median test
+
+335
+00:25:48,990 --> 00:25:53,900
+بينفع لما تكون two groups أوتلاتة groups أو أكثر
+
+336
+00:25:53,900 --> 00:25:58,520
+الـ Median Test هو عبارة عن اختبار من اختبارات الـ
+
+337
+00:25:58,520 --> 00:26:02,300
+Nonparametric Procedure اللي بتستخدم لما بتكون
+
+338
+00:26:02,300 --> 00:26:06,380
+عندنا null hypothesis لعينتين، مستقلتين أو أكثر
+
+339
+00:26:06,380 --> 00:26:11,220
+تتساوى في ال Medians لكي نعمل ال Median Test
+
+340
+00:26:11,220 --> 00:26:16,460
+ونحسبه أول خطوة بناخد كل المجموعات على بعض ونضيف
+
+341
+00:26:16,460 --> 00:26:22,140
+الأرقام فوق بعض ونجيب ال Median تبعهميبقى أول خطوة
+
+342
+00:26:22,140 --> 00:26:26,600
+نجيب الـ Median للبول All Observations يبقى كل
+
+343
+00:26:26,600 --> 00:26:30,600
+اللي موجودين عندى و البيانات بتخلطهم مع بعض و
+
+344
+00:26:30,600 --> 00:26:34,780
+أجيبلهم ال Medians في كل group وهي مثال لما تكون
+
+345
+00:26:34,780 --> 00:26:38,180
+في عندنا مدارس في مناطق حضرية و مناطق ريفية Urban
+
+346
+00:26:38,180 --> 00:26:42,380
+and rural فباخد كل القيم هذه بخلط كل القيم هذه مع
+
+347
+00:26:42,380 --> 00:26:49,250
+بعض و أجيبلها ال Median بعد ما أجيب ال Medianبروح
+
+348
+00:26:49,250 --> 00:26:52,970
+بشوف مين من القيم هذه أعلى من الـ median ومين أقل
+
+349
+00:26:52,970 --> 00:26:58,090
+من ال median في كل جروب الـ at zero بتقول ان
+
+350
+00:26:58,090 --> 00:27:04,770
+المجمعتين عدد ال above و ال below من ال median
+
+351
+00:27:04,770 --> 00:27:09,130
+بتكون equal فلو كانت عند قيمة بتساوي ال median
+
+352
+00:27:09,130 --> 00:27:14,410
+بالظبط اعتبرها أقل ولا أكثر في هذه الحالة ممكن
+
+353
+00:27:14,410 --> 00:27:19,900
+نعمل عدة أمور أول حاجة ان احنا نحذفهايعني نستثنيها
+
+354
+00:27:19,900 --> 00:27:25,500
+من كل الدراسة أو نعملها drop-out وخصوصًا لو كان
+
+355
+00:27:25,500 --> 00:27:28,400
+تعيين الدراسة في المجموعة الأولى والمجموعة التانية
+
+356
+00:27:28,400 --> 00:27:32,840
+كبيرة ففيش مشكلة لو احنا حذفناهم الطريقة التانية
+
+357
+00:27:32,840 --> 00:27:38,280
+أن ممكن أقسمهم لمجمعتين مجموعة أولى بالزيد عن قيمة
+
+358
+00:27:38,280 --> 00:27:42,760
+ال median والمجموعة التانية الباقية فبالتالي
+
+359
+00:27:42,760 --> 00:27:49,630
+بنضيفها للمجموعة التانية يعني بنقول أكثر منأو أقل
+
+360
+00:27:49,630 --> 00:27:53,950
+أو يساوي هيك بتكون التجسيمة فبنضيفهم مع أقل أو
+
+361
+00:27:53,950 --> 00:27:57,350
+يساوي للمجموعة التانية و ال median test نفس ال
+
+362
+00:27:57,350 --> 00:28:00,970
+scientist بيقدرش يحددلي قداش كمية ال difference
+
+363
+00:28:00,970 --> 00:28:05,750
+اللي موجودة ما بين المجموعات فبالتالي بتكون أول
+
+364
+00:28:05,750 --> 00:28:09,990
+خطوة أنه أنا بدي أجيب كل ال two group أو التلاتة
+
+365
+00:28:09,990 --> 00:28:14,000
+group و أحطهم مع بعضأحسب ال median و أشوف مين أعلى
+
+366
+00:28:14,000 --> 00:28:17,740
+من ال median و مين أقل من ال median و لو اشي طلع
+
+367
+00:28:17,740 --> 00:28:21,280
+جد ال median ممكن نستخدم الطرق اللي اتكلمنا عنها
+
+368
+00:28:21,280 --> 00:28:26,140
+سابقًا هاي عندنا مثال و المثال بيقول باختصار ان
+
+369
+00:28:26,140 --> 00:28:30,120
+انا عندي باحث راعى المدارس الإعدادية في المناطق
+
+370
+00:28:30,120 --> 00:28:34,780
+الريفية و أخد 12 males و راعى المناطق الحضرية و
+
+371
+00:28:34,780 --> 00:28:38,960
+أخد 16 males و راح جسلهم ال level of mental health
+
+372
+00:28:39,750 --> 00:28:42,990
+الـ Assumption إن هما Independent records عندنا
+
+373
+00:28:42,990 --> 00:28:47,430
+مجموعتين مختلفات عن بعض Independent وعندنا ال data
+
+374
+00:28:47,430 --> 00:28:52,530
+هي عبارة عن quantitative data اللي موجودة وعندنا
+
+375
+00:28:52,530 --> 00:28:56,630
+two group أو إذا أحنا خدنا ال level of mental
+
+376
+00:28:56,630 --> 00:29:01,710
+health على شكل score أو ordinal data فهي هي قيمها
+
+377
+00:29:01,710 --> 00:29:05,650
+الاسم الـ Zero بتقول إن ال median لل Urban يسوء ال
+
+378
+00:29:05,650 --> 00:29:10,350
+median ل ال dollar اللي هما المناطق الريفيةيبقى
+
+379
+00:29:10,350 --> 00:29:13,250
+الـ Median للمناطق الحضرية يساوي الـ Median
+
+380
+00:29:13,250 --> 00:29:19,810
+للمناطق الريفية والـ HA لا يساوي حل السؤال إن هو
+
+381
+00:29:19,810 --> 00:29:25,150
+راعينا جاب أول حاجة الـ Median لكل الـ Data أخد
+
+382
+00:29:25,150 --> 00:29:30,470
+القيم هذه كلها وراح جابلها الـ Median فطلع معاه
+
+383
+00:29:30,470 --> 00:29:35,670
+الـ Median لكل الـ Data في المجموعتين 33.5 بدأ هنا
+
+384
+00:29:36,460 --> 00:29:41,680
+يشوف مين أعلى ومين أقل من الـ Median هي الـ 33 هي
+
+385
+00:29:41,680 --> 00:29:47,280
+أعلى من الـ Median يكتب above و 26 below فصار يصنف
+
+386
+00:29:47,280 --> 00:29:54,060
+above و below في كل ال data اللي موجودة بعدين جال
+
+387
+00:29:54,060 --> 00:29:57,960
+عندنا في ال AirBand اللي هم ال above 6 و ال below
+
+388
+00:29:57,960 --> 00:30:04,790
+10 و 8 و 4 و مجموعة من 12وطالما وصلنا للـ Table
+
+389
+00:30:04,790 --> 00:30:10,830
+هذه وقسمناها ل Above وBelow كأننا رجعناها لـ Two
+
+390
+00:30:10,830 --> 00:30:14,330
+Group وTwo Group واحنا استخدمنا الـ Caius-Square
+
+391
+00:30:14,330 --> 00:30:18,310
+Test وجبنا قيمة الـ P-Value من الـ Caius-Square
+
+392
+00:30:18,310 --> 00:30:22,330
+Table أو جبنا قيمة الـ Cut-Off كما استعملناها في
+
+393
+00:30:22,330 --> 00:30:26,350
+الـ Caius-Square وشوفناها هل هي أعلى من الـ Cut
+
+394
+00:30:26,350 --> 00:30:30,210
+-Off ولا أقل من الـ Cut-Off وبحساب الـ P-Value طلع
+
+395
+00:30:30,210 --> 00:30:36,490
+معنا 252 قيمةطيب بنقرر فبالتالي بتكون عندنا not
+
+396
+00:30:36,490 --> 00:30:40,890
+statistically significant وكان الاستنتاج انه ال
+
+397
+00:30:40,890 --> 00:30:44,270
+level of mental health في ال two group سواء كانت
+
+398
+00:30:44,270 --> 00:30:48,370
+في المناطق الحضرية او الريفية ال median تقريبا
+
+399
+00:30:48,370 --> 00:30:51,070
+متساوي و not significantly different between
+
+400
+00:30:51,070 --> 00:30:55,490
+median لو بدنا نحسبها بالاساس بروح ا analyse on a
+
+401
+00:30:55,490 --> 00:31:00,210
+parametric على ال K independent sampleلأنه بتنفع 2
+
+402
+00:31:00,210 --> 00:31:04,710
+و3 و4 و5 فبنقول عنها K independent sample وبنستخدم
+
+403
+00:31:04,710 --> 00:31:09,390
+ال median test فبنعلم على ال median وبنضيف له
+
+404
+00:31:09,390 --> 00:31:14,830
+score وبنضيف هنا ال school وبنقول له okay تطبع
+
+405
+00:31:14,830 --> 00:31:18,070
+معانا القيم هذه وهي قيمة عندنا ال median جديش كانت
+
+406
+00:31:18,070 --> 00:31:23,430
+عندنا وهي قيمة التي في كوير test أو ما يسمى بال
+
+407
+00:31:23,430 --> 00:31:25,170
+exact significant level
+
+408
+00:31:28,070 --> 00:31:33,750
+كنا أنه الـ Median زي الـ Scientist فإن هو ببينشنا
+
+409
+00:31:33,750 --> 00:31:37,470
+قداش كمية الـ difference اللي موجودة غير هيك كل
+
+410
+00:31:37,470 --> 00:31:41,110
+القيم اللي بتكون تساوي الـ Median بنحذفها أو
+
+411
+00:31:41,110 --> 00:31:45,650
+بنلغيها من التحليل فبالتالي بنكون عندنا بنخسر بعض
+
+412
+00:31:45,650 --> 00:31:49,150
+البيانات اللي موجودة أو بنفقد بعض ال information
+
+413
+00:31:49,150 --> 00:31:54,140
+اللي بتكون عندنا موجودة لهيكحتى نستفيد من كل
+
+414
+00:31:54,140 --> 00:31:59,380
+المعلومات اللي موجودة ونستغلها بنستخدم اختبار اسمه
+
+415
+00:31:59,380 --> 00:32:02,820
+الـ Coxelstein Ranked Test أو ما يسمى بالـ Man
+
+416
+00:32:02,820 --> 00:32:08,260
+Whitney Test أو ما يسمى بالـ U-Test وبنقدر نستخدم
+
+417
+00:32:08,260 --> 00:32:12,460
+كل البيانات اللي موجودة ونجبلها rank ونحسب الـ U
+
+418
+00:32:12,460 --> 00:32:18,160
+-Test فبالتالي بنفقدش أي رقم من الموجودات وبنستخدم
+
+419
+00:32:18,160 --> 00:32:19,760
+كل ال data اللي موجودة
+
+420
+00:32:22,730 --> 00:32:26,630
+الـ Wilcoxin Test هو نفس الـ Mann-Whitney Test أو
+
+421
+00:32:26,630 --> 00:32:30,390
+الـ U-Test هو أكتر استخداما في حالة لما تكون عندنا
+
+422
+00:32:30,390 --> 00:32:34,390
+two independent samples وهو مقابل للـ T-Test في
+
+423
+00:32:34,390 --> 00:32:38,870
+البرامتري الـ assumption أنه بيكونوا عندنا two
+
+424
+00:32:38,870 --> 00:32:42,950
+groups من ال qualitative variable وبكون عندنا
+
+425
+00:32:42,950 --> 00:32:48,690
+variable و quantitative variable وبنفع نستخدمه في
+
+426
+00:32:48,690 --> 00:32:54,710
+ال ordinal و ال interval و ال ratioوبنشوف هل في
+
+427
+00:32:54,710 --> 00:32:57,010
+اختلاف في الـ median اللي موجود ما بين الـ two
+
+428
+00:32:57,010 --> 00:33:03,110
+group ولا لأ ال hypothesis بتاعة ال U test ال H0
+
+429
+00:33:03,110 --> 00:33:09,310
+بتقول ان هما equal median ال two group بينما لما
+
+430
+00:33:09,310 --> 00:33:14,250
+بنقول ال HA يا بيكونوا مش equal اتنين وبنقول عنها
+
+431
+00:33:14,250 --> 00:33:18,270
+two side test وهذا اكثر استخداماوقلنا أحيانًا ممكن
+
+432
+00:33:18,270 --> 00:33:20,710
+يكون الـmedian للجروب الأولى أعلى من الـmedian
+
+433
+00:33:20,710 --> 00:33:25,050
+للجروب التانية أو العكس الـmedian للجروب التانية
+
+434
+00:33:25,050 --> 00:33:28,610
+أعلى من الـmedian للجروب الأولى أو نفسها هي نقول
+
+435
+00:33:28,610 --> 00:33:31,550
+أن الـmedian للجروب الأولى أقل من الـmedian للجروب
+
+436
+00:33:31,550 --> 00:33:38,850
+التاني وهذا بنسميها one side test أو one side test
+
+437
+00:33:38,850 --> 00:33:44,230
+ال assumption للـman Whitney test أنه عندنا two
+
+438
+00:33:44,230 --> 00:33:51,400
+sample independent recordRandom sample بنستخدم الـ
+
+439
+00:33:51,400 --> 00:33:55,540
+ordinal at least ونستخدم ال interval ويه ال ratio
+
+440
+00:33:55,540 --> 00:34:00,000
+أيضا كذلك بتبين إذا في عندنا اختلاف في ال medians
+
+441
+00:34:00,000 --> 00:34:03,680
+وبتكون عندنا ال data not normal distribution هذا
+
+442
+00:34:03,680 --> 00:34:06,980
+تلخيص ال hypothesis اللي قبل شوية اتكلمنا عنه ان
+
+443
+00:34:06,980 --> 00:34:10,080
+لأسس Zero ال median واحد يسوى ال median اتنين وال
+
+444
+00:34:10,080 --> 00:34:16,100
+HA لا يساويالتست الستيستيكي نستخدم الـ Z-test
+
+445
+00:34:16,100 --> 00:34:20,680
+نتكلمنا عن الـ Z-test سابقًا هينا مثال بيقول أنه
+
+446
+00:34:20,680 --> 00:34:23,740
+أنا عند عشرين مريض عشرة منهم أخدوا علاج A وعشرة
+
+447
+00:34:23,740 --> 00:34:28,700
+أخدوا علاج B وروحنا نشوف مستوى لـ plasma globulin
+
+448
+00:34:28,700 --> 00:34:34,000
+fraction بعد العلاج في كلاهما واعتبرنا أن ال data
+
+449
+00:34:34,000 --> 00:34:39,560
+not normal distribution وقررنا أن نستخدم الـ non
+
+450
+00:34:39,560 --> 00:34:44,120
+-parametric testالخطوة الأولى ان انا برتب العشرين
+
+451
+00:34:44,120 --> 00:34:47,460
+الرقم الـ Group A و Group B او Treatment A و
+
+452
+00:34:47,460 --> 00:34:55,060
+Treatment B وبعدين بديهم ترقيم من واحد لعشرين فهي
+
+453
+00:34:55,060 --> 00:35:00,080
+عندنا مثلا الرقم تسعتاش وعشرين نفس الرقم قدناه
+
+454
+00:35:00,080 --> 00:35:05,020
+تسعتاش و نص و تسعتاش و نص الخطوة اللي بعديها ان
+
+455
+00:35:05,020 --> 00:35:08,180
+انا اجيت عند treatment A الرقم تمانية و تلاتين ايش
+
+456
+00:35:08,180 --> 00:35:12,860
+اخد rank كتبتهو26 ايش اخد rank وكتبته وظلت ماشي
+
+457
+00:35:12,860 --> 00:35:16,720
+على نفس الأرقام و treatment P نفس الحاجة كتبت rank
+
+458
+00:35:16,720 --> 00:35:20,380
+لكل رقم وروحت جبت مجموع ال rank للمجموع الأولى
+
+459
+00:35:20,380 --> 00:35:23,480
+ومجموع ال rank للمجموع التانى مجموع ال rank ل
+
+460
+00:35:23,480 --> 00:35:27,460
+treatment A ومجموع ال rank ل treatment B طلع معايا
+
+461
+00:35:27,460 --> 00:35:33,720
+مجموع ال rank ل group A 81.5 و group B 128.5 بناخد
+
+462
+00:35:33,720 --> 00:35:40,020
+أقل قيمة اللي هو group A 81.5بعدها بروح على ال
+
+463
+00:35:40,020 --> 00:35:44,360
+table و بنجيب ال cut-off و نشوفها أقل أو أكثر من
+
+464
+00:35:44,360 --> 00:35:51,020
+ال cut-off هيعنى ال man whitney table ل ال
+
+465
+00:35:51,020 --> 00:35:54,700
+independent sample أو ال unpaired sample بنيجي عند
+
+466
+00:35:54,700 --> 00:36:00,000
+ال N2 عشرة و ال N1 عشرة تطلع قيمة ال cut-off 78
+
+467
+00:36:01,970 --> 00:36:07,210
+طالما طلعت أعلى من الـ cut-off بتكون القيمة قيمة
+
+468
+00:36:07,210 --> 00:36:10,930
+الـ p-value أعلى من 5% فبالتالي بتكون not
+
+469
+00:36:10,930 --> 00:36:13,790
+statistically significant وقلنا في الـ
+
+470
+00:36:13,790 --> 00:36:17,770
+nonparametric القيمة الأعلى من ال cut-off تكون
+
+471
+00:36:17,770 --> 00:36:21,510
+عندنا not significant فبكون ال conclusion no
+
+472
+00:36:21,510 --> 00:36:26,810
+significant difference between two groups امتداد
+
+473
+00:36:26,810 --> 00:36:30,500
+للـ median testإنه بينفع يستخدم لما بتكون عندنا
+
+474
+00:36:30,500 --> 00:36:33,520
+أكثر من two groups موجودات في ال qualitative
+
+475
+00:36:33,520 --> 00:36:37,700
+variables وال data تكون not normal distribution
+
+476
+00:36:37,700 --> 00:36:43,220
+نفسها هي مقابلة في الparametric للانوفا test ولكن
+
+477
+00:36:43,220 --> 00:36:48,040
+ال median بينفع يستخدم ل two groups أو أكثر من
+
+478
+00:36:48,040 --> 00:36:52,970
+تلاتة groups يسوى تلاتة groups أو أكثرفبالتالي الـ
+
+479
+00:36:52,970 --> 00:36:56,790
+Medium بالذات له استثناء هذا الاستثناء أن هو بنفع
+
+480
+00:36:56,790 --> 00:37:01,030
+للـ two groups و بنفع يكون للتلاتة groups فأكثر
+
+481
+00:37:01,030 --> 00:37:05,070
+بنفع يكون في الـ non-parametric مقابل للـ t-test و
+
+482
+00:37:05,070 --> 00:37:09,330
+بنفع يكون مقابل في الـ non-parametric للانوفا و
+
+483
+00:37:09,330 --> 00:37:13,570
+نفس خطوات الانوفا و نفس assumption الانوفا إلا أنه
+
+484
+00:37:13,570 --> 00:37:18,870
+بتكون not normal distribution أو small sample size
+
+485
+00:37:20,340 --> 00:37:23,940
+وقلنا إن الـ small sample size في الغالب بتقول
+
+486
+00:37:23,940 --> 00:37:29,820
+إنها تكون not normal distribution فكرة ال median
+
+487
+00:37:29,820 --> 00:37:33,020
+test في حالة أكثر من two groups تلاتة وأربعة أو
+
+488
+00:37:33,020 --> 00:37:37,400
+خمسة أو أكثر بتكون نفسها هي هي نفس لما يكون two
+
+489
+00:37:37,400 --> 00:37:42,200
+groups أنه أنا بروح بقى أجيب ال medians لكل
+
+490
+00:37:42,200 --> 00:37:45,720
+المجموعات وبعد ما أجيب ال median بشوف مين أعلى
+
+491
+00:37:45,720 --> 00:37:49,260
+ومين أقل في كل مجموعةمن أعلى ومن أقل في المجموعة
+
+492
+00:37:49,260 --> 00:37:52,420
+الأولى والمجموعة التانية والتالتة وقد ما يكون عدد
+
+493
+00:37:52,420 --> 00:37:56,080
+المجموعات وال assumption هما هما اللي اتكلمنا عنهم
+
+494
+00:37:56,080 --> 00:38:01,260
+في ال median لما بتكون to go المثال بيقول انه في
+
+495
+00:38:01,260 --> 00:38:04,440
+عنده باحث الباحث بده يشوف تأثير ال benzaldehyde
+
+496
+00:38:04,440 --> 00:38:09,540
+والacetaldehyde على القصابات الهوائية أخد عنده 15
+
+497
+00:38:09,540 --> 00:38:14,740
+خنزير وقسمهم إلى 3 مجموعات المجموعة الأولى خمسة
+
+498
+00:38:14,740 --> 00:38:18,060
+والتانية خمسة والتالتة خمسةالمجموعة الأولى خلّاها
+
+499
+00:38:18,060 --> 00:38:21,980
+تستنشق هواء عادي والمجموعة التانية تستنشق بنزلدهيد
+
+500
+00:38:21,980 --> 00:38:27,380
+والمجموعة التالتة أستردهيد وبعدين خدّرهم وقاسل
+
+501
+00:38:27,380 --> 00:38:29,620
+الإجازة كـresponse اللي موجودة في القصابات
+
+502
+00:38:29,620 --> 00:38:34,020
+الهوائية عن طريق قداش كمية وعدد الازينوفيل اللي
+
+503
+00:38:34,020 --> 00:38:38,660
+موجودة داخل القصابات الهوائية الhypothesis أن
+
+504
+00:38:38,660 --> 00:38:41,540
+الـH0 بتقول أن تلت مجموعات equal في ال median
+
+505
+00:38:41,540 --> 00:38:42,740
+والـHA
+
+506
+00:38:44,800 --> 00:38:48,260
+إنه عندنا على الأقل two medians بختلفوا عن بعض
+
+507
+00:38:48,260 --> 00:38:53,860
+خطوات الحل زي ال two group إن هو بجيب ال median
+
+508
+00:38:53,860 --> 00:38:58,960
+وطلع معاه 28.3 وبيبدأ يشوف عندنا في كل group مين
+
+509
+00:38:58,960 --> 00:39:04,420
+أعلى ومين أقل من ال median وفي الآخر هيعندنا ال
+
+510
+00:39:04,420 --> 00:39:07,520
+air اللي هو الهواء العادي و ال benzaldehyde و ال
+
+511
+00:39:07,520 --> 00:39:11,770
+acetaldehyde اللي موجودينوشاف مين أعلى ومين أقل من
+
+512
+00:39:11,770 --> 00:39:15,310
+قيمة الـ Median وطلعت معاه الـ Table بالصورة هذه
+
+513
+00:39:15,310 --> 00:39:19,990
+وراح حسب عندنا قيمة الـ Chi-Square وطلع منها قيمة
+
+514
+00:39:19,990 --> 00:39:23,430
+الـ P-Value وطلعوا عندنا التلت وطلع عندنا الـ P
+
+515
+00:39:23,430 --> 00:39:28,730
+-Value اللي موجود عندنا 31 من الف فبالتالي بتكون
+
+516
+00:39:28,730 --> 00:39:31,330
+عندنا انه في significant difference between the
+
+517
+00:39:31,330 --> 00:39:35,770
+three groups واحنا ملاحظين انه عندنا ال sample
+
+518
+00:39:35,770 --> 00:39:40,710
+size صغيرةوفي الواقع أنه احنا ال media ندنصح ان
+
+519
+00:39:40,710 --> 00:39:46,130
+نستخدمه في حالات لما بتكون ال sample size صغيرة ال
+
+520
+00:39:46,130 --> 00:39:48,690
+media في ال SPSS احنا شرحناها سابقا في ال two
+
+521
+00:39:48,690 --> 00:39:55,350
+group ونفس الخطوات هما هما هنكتفي
+
+522
+00:39:55,350 --> 00:40:00,050
+بهذا القرار من المحاضرة نسأل الله عز وجل لكم دوام
+
+523
+00:40:00,050 --> 00:40:04,010
+التوفيق والستداد ومفور الصحة والعافية والسلام
+
+524
+00:40:04,010 --> 00:40:06,550
+عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..07fd4f71296e2c87fefab4dd61a8385dfe9acfa0
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/dFXni5edoBc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3254, "start": 4.39, "end": 32.55, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم زملائنا الأعزاء طلابنا الأفاضل السلام عليكم ورحمة الله وبركاته بالبداية نسأل الله عز وجل أن يحفظكم ونتمنى لكم دوام الصحة والعافية موضوع لقاء اليوم ان شاء الله هيكون على الـ Non Parametric Test", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 30767, 42213, 16373, 8315, 16247, 3615, 11622, 16606, 23032, 15040, 3555, 8315, 16247, 5172, 46958, 1211, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224, 20666, 3555, 28259, 10632, 8717, 3794, 10721, 1211, 21984, 6225, 11622, 49610, 1211, 14739, 7251, 5016, 5172, 19913, 24793, 4032, 29399, 27842, 7578, 5296, 24793, 11778, 2407, 10943, 31767, 5016, 3660, 16070, 3615, 31845, 10632, 3714, 2407, 11242, 45367, 5296, 4587, 16606, 45595, 20498, 16472, 13412, 16606, 21984, 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"probability": 0.3916015625}, {"start": 58.48, "end": 58.74, "word": " t", "probability": 0.57421875}, {"start": 58.74, "end": 59.18, "word": "-test", "probability": 0.936279296875}, {"start": 59.18, "end": 59.44, "word": " و", "probability": 0.86181640625}, {"start": 59.44, "end": 60.04, "word": " الANOVA", "probability": 0.6898600260416666}, {"start": 60.04, "end": 60.34, "word": " و", "probability": 0.95361328125}, {"start": 60.34, "end": 60.44, "word": " ال", "probability": 0.455810546875}, {"start": 60.44, "end": 60.7, "word": " Pearson", "probability": 0.8505859375}, {"start": 60.7, "end": 61.34, "word": " correlation", "probability": 0.72998046875}, {"start": 61.34, "end": 62.74, "word": " وقلنا", "probability": 0.8717041015625}, {"start": 62.74, "end": 63.36, "word": " يفضل", "probability": 0.9517822265625}], "temperature": 1.0}, {"id": 3, "seek": 8560, "start": 63.7, "end": 85.6, "text": "إنها تكون equal variance وتكون الـ sample size مناسبة أحياناً هذه ال assumption اللي احنا بنطلبها بتكون شكلها متوفرة حتى أعمل اختبار Parametric Test لو وجود abnormal distribution أنه في عندنا out layer بتكون موجودة أو بتكون عندنا", "tokens": [28814, 1863, 11296, 6055, 30544, 2681, 21977, 34683, 30544, 2423, 39184, 6889, 2744, 3714, 8315, 35457, 3660, 5551, 5016, 1829, 7649, 995, 14111, 29538, 2423, 15302, 13672, 1829, 1975, 5016, 8315, 44945, 9566, 46152, 11296, 39894, 30544, 13412, 28820, 11296, 44650, 38688, 25720, 11331, 49975, 5551, 25957, 1211, 1975, 46456, 3555, 9640, 34882, 17475, 9279, 45164, 49610, 23328, 32847, 7316, 14739, 3224, 8978, 43242, 8315, 484, 4583, 39894, 30544, 3714, 29245, 23328, 3660, 34051, 39894, 30544, 43242, 8315], "avg_logprob": -0.1978837070585806, "compression_ratio": 1.4913793103448276, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 63.7, "end": 64.06, "word": "إنها", "probability": 0.744140625}, {"start": 64.06, "end": 64.48, "word": " تكون", "probability": 0.97119140625}, {"start": 64.48, "end": 64.88, "word": " equal", 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اللي مطلوبة لل parameter test قيمتها في هذه الحالة أفضل شيء في هذه الحالة الأفضل ان اعمل اختبارات بنسميها distribution free or non-parametric test ال disadvantage بتاعة ال non-parametric test انها بتكون", "tokens": [448, 1359, 6889, 2744, 34051, 1359, 6889, 2744, 4032, 28820, 29538, 39894, 5172, 28543, 2423, 15302, 13672, 1829, 3714, 9566, 1211, 37746, 3660, 24976, 13075, 1500, 12174, 32640, 2655, 11296, 8978, 29538, 21542, 6027, 3660, 5551, 5172, 11242, 1211, 44049, 38207, 8978, 29538, 21542, 6027, 3660, 16247, 5172, 11242, 1211, 16472, 1975, 25957, 1211, 1975, 46456, 3555, 9640, 9307, 44945, 38251, 1829, 11296, 7316, 1737, 420, 2107, 12, 2181, 335, 17475, 1500, 2423, 24292, 39894, 995, 27884, 2423, 2107, 12, 2181, 335, 17475, 1500, 16472, 11296, 39894, 30544], "avg_logprob": -0.16362359416618777, "compression_ratio": 1.6784140969162995, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 86.01, "end": 86.35, "word": "very", "probability": 0.213134765625}, {"start": 86.35, 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"probability": 0.98974609375}, {"start": 99.43, "end": 100.41, "word": " الأفضل", "probability": 0.9913330078125}, {"start": 100.41, "end": 100.73, "word": " ان", "probability": 0.397705078125}, {"start": 100.73, "end": 101.23, "word": " اعمل", "probability": 0.8590494791666666}, {"start": 101.23, "end": 102.11, "word": " اختبارات", "probability": 0.98740234375}, {"start": 102.11, "end": 102.97, "word": " بنسميها", "probability": 0.948974609375}, {"start": 102.97, "end": 104.21, "word": " distribution", "probability": 0.87353515625}, {"start": 104.21, "end": 104.91, "word": " free", "probability": 0.71630859375}, {"start": 104.91, "end": 106.23, "word": " or", "probability": 0.6767578125}, {"start": 106.23, "end": 106.77, "word": " non", "probability": 0.9423828125}, {"start": 106.77, "end": 107.33, "word": "-parametric", "probability": 0.79217529296875}, {"start": 107.33, "end": 107.85, "word": " test", "probability": 0.943359375}, {"start": 107.85, "end": 109.57, "word": " ال", "probability": 0.9384765625}, {"start": 109.57, "end": 110.23, "word": " disadvantage", "probability": 0.7666015625}, {"start": 110.23, "end": 110.61, "word": " بتاعة", "probability": 0.8072916666666666}, {"start": 110.61, "end": 110.77, "word": " ال", "probability": 0.90380859375}, {"start": 110.77, "end": 110.95, "word": " non", "probability": 0.8046875}, {"start": 110.95, "end": 111.43, "word": "-parametric", "probability": 0.95849609375}, {"start": 111.43, "end": 111.89, "word": " test", "probability": 0.94873046875}, {"start": 111.89, "end": 112.49, "word": " انها", "probability": 0.813720703125}, {"start": 112.49, "end": 112.99, "word": " بتكون", "probability": 0.982666015625}], "temperature": 1.0}, {"id": 5, "seek": 14191, "start": 113.28, "end": 141.92, "text": "أقل قيمة وأقل قوة من الـ Parametric Test في إيجاد العلاقة إذا كانت موجودة حقيقية لذلك بنفضل استخدام ال Parametric Test إذا هذه ال assumption بتكون موجودة ال hypothesis test بتختلف في ال Parametric Test عن ال non-parametric test لأن اتكلمنا في ال Parametric Test بنستخدم ال mean في الغالب", "tokens": [10721, 4587, 1211, 12174, 32640, 3660, 36725, 4587, 1211, 12174, 2407, 3660, 9154, 2423, 39184, 34882, 17475, 9279, 8978, 11933, 1829, 7435, 18513, 18863, 15040, 28671, 11933, 15730, 25961, 2655, 3714, 29245, 23328, 3660, 11331, 38436, 4587, 10632, 5296, 8848, 23275, 44945, 5172, 11242, 1211, 44713, 9778, 3215, 10943, 2423, 34882, 17475, 9279, 11933, 15730, 29538, 2423, 15302, 39894, 30544, 3714, 29245, 23328, 3660, 2423, 17291, 1500, 39894, 46456, 46538, 8978, 2423, 34882, 17475, 9279, 18871, 2423, 2107, 12, 2181, 335, 17475, 1500, 5296, 33456, 1975, 2655, 4117, 19528, 8315, 8978, 2423, 34882, 17475, 9279, 44945, 14851, 9778, 40448, 2423, 914, 8978, 6024, 118, 6027, 3555], "avg_logprob": -0.11368283058438346, "compression_ratio": 1.8, "no_speech_prob": 0.00027441978454589844, "words": [{"start": 113.28, "end": 113.8, "word": "أقل", "probability": 0.9861653645833334}, {"start": 113.8, "end": 114.36, "word": " قيمة", "probability": 0.9684244791666666}, {"start": 114.36, "end": 114.92, "word": " وأقل", "probability": 0.8484700520833334}, {"start": 114.92, "end": 115.34, "word": " قوة", "probability": 0.9921875}, {"start": 115.34, "end": 115.48, "word": " من", "probability": 0.955078125}, {"start": 115.48, "end": 115.6, "word": " الـ", "probability": 0.87548828125}, {"start": 115.6, "end": 116.02, "word": " Parametric", "probability": 0.85791015625}, {"start": 116.02, "end": 116.42, "word": " Test", "probability": 0.783203125}, {"start": 116.42, "end": 117.16, "word": " في", "probability": 0.89013671875}, {"start": 117.16, "end": 117.92, "word": " إيجاد", "probability": 0.97314453125}, {"start": 117.92, "end": 118.52, "word": " العلاقة", "probability": 0.9822591145833334}, {"start": 118.52, "end": 118.78, "word": " إذا", "probability": 0.969970703125}, {"start": 118.78, "end": 119.16, "word": " كانت", "probability": 0.988525390625}, {"start": 119.16, "end": 119.58, "word": " موجودة", "probability": 0.9425048828125}, {"start": 119.58, "end": 120.18, "word": " حقيقية", "probability": 0.9107666015625}, {"start": 120.18, "end": 122.46, "word": " لذلك", "probability": 0.9443359375}, {"start": 122.46, "end": 123.96, "word": " بنفضل", "probability": 0.8846435546875}, {"start": 123.96, "end": 125.28, "word": " استخدام", "probability": 0.968017578125}, {"start": 125.28, "end": 125.76, "word": " ال", "probability": 0.94873046875}, {"start": 125.76, "end": 126.3, "word": " Parametric", "probability": 0.699951171875}, {"start": 126.3, "end": 126.76, "word": " Test", "probability": 0.939453125}, {"start": 126.76, "end": 127.08, "word": " إذا", "probability": 0.97021484375}, {"start": 127.08, "end": 127.46, "word": " هذه", "probability": 0.94873046875}, {"start": 127.46, "end": 127.58, "word": " ال", "probability": 0.94091796875}, {"start": 127.58, "end": 128.08, "word": " assumption", "probability": 0.498779296875}, {"start": 128.08, "end": 129.0, "word": " بتكون", "probability": 0.85546875}, {"start": 129.0, "end": 129.9, "word": " موجودة", "probability": 0.989501953125}, {"start": 129.9, "end": 131.0, "word": " ال", "probability": 0.94970703125}, {"start": 131.0, "end": 131.4, "word": " hypothesis", "probability": 0.7734375}, {"start": 131.4, "end": 131.84, "word": " test", "probability": 0.91796875}, {"start": 131.84, "end": 132.6, "word": " بتختلف", "probability": 0.95947265625}, {"start": 132.6, "end": 133.14, "word": " في", "probability": 0.87548828125}, {"start": 133.14, "end": 133.42, "word": " ال", "probability": 0.90380859375}, {"start": 133.42, "end": 133.94, "word": " Parametric", "probability": 0.839599609375}, {"start": 133.94, "end": 134.36, "word": " Test", "probability": 0.88623046875}, {"start": 134.36, "end": 134.64, "word": " عن", "probability": 0.93359375}, {"start": 134.64, "end": 134.76, "word": " ال", "probability": 0.95947265625}, {"start": 134.76, "end": 134.94, "word": " non", "probability": 0.7802734375}, {"start": 134.94, "end": 135.56, "word": "-parametric", "probability": 0.82867431640625}, {"start": 135.56, "end": 136.04, "word": " test", "probability": 0.875}, {"start": 136.04, "end": 137.16, "word": " لأن", "probability": 0.8974609375}, {"start": 137.16, "end": 138.3, "word": " اتكلمنا", "probability": 0.957421875}, {"start": 138.3, "end": 138.52, "word": " في", "probability": 0.9794921875}, {"start": 138.52, "end": 138.64, "word": " ال", "probability": 0.76318359375}, {"start": 138.64, "end": 139.06, "word": " Parametric", "probability": 0.897216796875}, {"start": 139.06, "end": 139.48, "word": " Test", "probability": 0.90576171875}, {"start": 139.48, "end": 140.12, "word": " بنستخدم", "probability": 0.849365234375}, {"start": 140.12, "end": 140.3, "word": " ال", "probability": 0.6904296875}, {"start": 140.3, "end": 140.56, "word": " mean", "probability": 0.54248046875}, {"start": 140.56, "end": 141.36, "word": " في", "probability": 0.525390625}, {"start": 141.36, "end": 141.92, "word": " الغالب", "probability": 0.984375}], "temperature": 1.0}, {"id": 6, "seek": 16959, "start": 142.27, "end": 169.59, "text": "وقولنا إن الـ Central Tendency في الـ Parametric Test بتكون الـ Mean والـ Dispersion بتكون الـ Standard Diffusion ولكن بالـ Nonparametric Test بتكون عندنا الـ Central Tendency أو الـ Central Location الـ Median بدل الـ Mean وبنستخدم معها الـ Percentile أو الكورتايل بنكرر و بنقول إن الأفضل إن نستخدم ال Parametric Test", "tokens": [2407, 39648, 8315, 36145, 2423, 39184, 9701, 314, 521, 3020, 8978, 2423, 39184, 34882, 17475, 9279, 39894, 30544, 2423, 39184, 12302, 16070, 39184, 4208, 21819, 313, 39894, 30544, 2423, 39184, 21298, 413, 3661, 5704, 35525, 19452, 20666, 39184, 8774, 2181, 335, 17475, 9279, 39894, 30544, 43242, 8315, 2423, 39184, 9701, 314, 521, 3020, 34051, 2423, 39184, 9701, 12859, 399, 2423, 39184, 3982, 952, 47525, 1211, 2423, 39184, 12302, 46599, 1863, 14851, 9778, 40448, 20449, 11296, 2423, 39184, 3026, 2207, 794, 34051, 33251, 13063, 2655, 995, 26895, 44945, 37983, 2288, 4032, 44945, 39648, 36145, 16247, 5172, 11242, 1211, 36145, 8717, 14851, 9778, 40448, 2423, 34882, 17475, 9279], "avg_logprob": -0.1831191599926102, "compression_ratio": 1.9733333333333334, "no_speech_prob": 1.049041748046875e-05, "words": [{"start": 142.27, "end": 142.87, "word": "وقولنا", "probability": 0.7447916666666666}, {"start": 142.87, "end": 143.13, "word": " إن", "probability": 0.75146484375}, {"start": 143.13, "end": 143.29, "word": " الـ", "probability": 0.95751953125}, {"start": 143.29, "end": 143.57, "word": " Central", "probability": 0.499267578125}, {"start": 143.57, "end": 144.37, "word": " Tendency", "probability": 0.7303873697916666}, {"start": 144.37, "end": 145.05, "word": " في", "probability": 0.802734375}, {"start": 145.05, "end": 145.39, "word": " الـ", "probability": 0.739501953125}, {"start": 145.39, "end": 145.79, "word": " Parametric", "probability": 0.926025390625}, {"start": 145.79, "end": 146.09, "word": " Test", "probability": 0.8515625}, {"start": 146.09, "end": 146.47, "word": " بتكون", "probability": 0.913818359375}, {"start": 146.47, "end": 146.67, "word": " الـ", "probability": 0.94140625}, {"start": 146.67, "end": 146.91, "word": " Mean", "probability": 0.3955078125}, {"start": 146.91, "end": 147.51, "word": " والـ", "probability": 0.74658203125}, {"start": 147.51, "end": 148.13, "word": " Dispersion", "probability": 0.8624674479166666}, {"start": 148.13, "end": 148.57, "word": " بتكون", "probability": 0.968505859375}, {"start": 148.57, "end": 148.79, "word": " الـ", "probability": 0.89013671875}, {"start": 148.79, "end": 149.05, "word": " Standard", "probability": 0.8154296875}, {"start": 149.05, "end": 149.69, "word": " Diffusion", "probability": 0.8135579427083334}, {"start": 149.69, "end": 150.85, "word": " ولكن", "probability": 0.877685546875}, {"start": 150.85, "end": 151.31, "word": " بالـ", "probability": 0.714111328125}, {"start": 151.31, "end": 151.87, "word": " Nonparametric", "probability": 0.818603515625}, {"start": 151.87, "end": 152.37, "word": " Test", "probability": 0.8916015625}, {"start": 152.37, "end": 153.27, "word": " بتكون", "probability": 0.95703125}, {"start": 153.27, "end": 154.11, "word": " عندنا", "probability": 0.85986328125}, {"start": 154.11, "end": 154.41, "word": " الـ", "probability": 0.961181640625}, {"start": 154.41, "end": 154.71, "word": " Central", "probability": 0.97509765625}, {"start": 154.71, "end": 155.33, "word": " Tendency", "probability": 0.8976236979166666}, {"start": 155.33, "end": 155.53, "word": " أو", "probability": 0.9833984375}, {"start": 155.53, "end": 155.67, "word": " الـ", "probability": 0.943603515625}, {"start": 155.67, "end": 155.91, "word": " Central", "probability": 0.95361328125}, {"start": 155.91, "end": 156.57, "word": " Location", "probability": 0.889892578125}, {"start": 156.57, "end": 156.95, "word": " الـ", "probability": 0.838134765625}, {"start": 156.95, "end": 157.35, "word": " Median", "probability": 0.873046875}, {"start": 157.35, "end": 158.77, "word": " بدل", "probability": 0.981689453125}, {"start": 158.77, "end": 158.97, "word": " الـ", "probability": 0.951904296875}, {"start": 158.97, "end": 159.21, "word": " Mean", "probability": 0.8232421875}, {"start": 159.21, "end": 160.27, "word": " وبنستخدم", "probability": 0.894384765625}, {"start": 160.27, "end": 160.73, "word": " معها", "probability": 0.9384765625}, {"start": 160.73, "end": 161.07, "word": " الـ", "probability": 0.88525390625}, {"start": 161.07, "end": 161.83, "word": " Percentile", "probability": 0.803955078125}, {"start": 161.83, "end": 162.23, "word": " أو", "probability": 0.98095703125}, {"start": 162.23, "end": 163.11, "word": " الكورتايل", "probability": 0.703564453125}, {"start": 163.11, "end": 165.95, "word": " بنكرر", "probability": 0.9080403645833334}, {"start": 165.95, "end": 166.05, "word": " و", "probability": 0.60693359375}, {"start": 166.05, "end": 166.51, "word": " بنقول", "probability": 0.84521484375}, {"start": 166.51, "end": 166.83, "word": " إن", "probability": 0.5830078125}, {"start": 166.83, "end": 167.45, "word": " الأفضل", "probability": 0.992431640625}, {"start": 167.45, "end": 167.65, "word": " إن", "probability": 0.59521484375}, {"start": 167.65, "end": 168.37, "word": " نستخدم", "probability": 0.964599609375}, {"start": 168.37, "end": 168.65, "word": " ال", "probability": 0.94580078125}, {"start": 168.65, "end": 169.13, "word": " Parametric", "probability": 0.754638671875}, {"start": 169.13, "end": 169.59, "word": " Test", "probability": 0.91455078125}], "temperature": 1.0}, {"id": 7, "seek": 18582, "start": 169.78, "end": 185.82, "text": "إذا الـ assumption كانت موجودة لو كانت عندنا non-normal distribution data بدي أحاول أعمل لها a transformation وtransformation المقصود فيها إنه أنا بدي أحذف ال outlier value أو ال extreme value", "tokens": [28814, 15730, 2423, 39184, 15302, 25961, 2655, 3714, 29245, 23328, 3660, 45164, 25961, 2655, 43242, 8315, 2107, 12, 23157, 7316, 1412, 4724, 16254, 5551, 5016, 995, 12610, 5551, 25957, 1211, 5296, 11296, 257, 9887, 4032, 24999, 8663, 9673, 4587, 9381, 23328, 8978, 11296, 36145, 3224, 41850, 4724, 16254, 5551, 5016, 8848, 5172, 2423, 484, 2753, 2158, 34051, 2423, 8084, 2158], "avg_logprob": -0.2374487675604273, "compression_ratio": 1.4640883977900552, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 169.78, "end": 170.2, "word": "إذا", "probability": 0.8115234375}, {"start": 170.2, "end": 170.48, "word": " الـ", "probability": 0.6722412109375}, {"start": 170.48, "end": 170.94, "word": " assumption", "probability": 0.56787109375}, {"start": 170.94, "end": 171.68, "word": " كانت", "probability": 0.969482421875}, {"start": 171.68, "end": 172.4, "word": " موجودة", "probability": 0.97119140625}, {"start": 172.4, "end": 173.46, "word": " لو", "probability": 0.62841796875}, {"start": 173.46, "end": 173.88, "word": " كانت", "probability": 0.9609375}, {"start": 173.88, "end": 174.78, "word": " عندنا", "probability": 0.876708984375}, {"start": 174.78, "end": 175.06, "word": " non", "probability": 0.53564453125}, {"start": 175.06, "end": 175.54, "word": "-normal", "probability": 0.838134765625}, {"start": 175.54, "end": 176.22, "word": " distribution", "probability": 0.87060546875}, {"start": 176.22, "end": 176.72, "word": " data", "probability": 0.859375}, {"start": 176.72, "end": 177.3, "word": " بدي", "probability": 0.407958984375}, {"start": 177.3, "end": 177.7, "word": " أحاول", "probability": 0.943115234375}, {"start": 177.7, "end": 178.12, "word": " أعمل", "probability": 0.9246419270833334}, {"start": 178.12, "end": 178.46, "word": " لها", "probability": 0.6993408203125}, {"start": 178.46, "end": 178.64, "word": " a", "probability": 0.36328125}, {"start": 178.64, "end": 179.38, "word": " transformation", "probability": 0.84521484375}, {"start": 179.38, "end": 181.0, "word": " وtransformation", "probability": 0.5611979166666666}, {"start": 181.0, "end": 181.58, "word": " المقصود", "probability": 0.9703369140625}, {"start": 181.58, "end": 182.04, "word": " فيها", "probability": 0.97607421875}, {"start": 182.04, "end": 182.42, "word": " إنه", "probability": 0.5875244140625}, {"start": 182.42, "end": 182.56, "word": " أنا", "probability": 0.61865234375}, {"start": 182.56, "end": 182.84, "word": " بدي", "probability": 0.961181640625}, {"start": 182.84, "end": 183.22, "word": " أحذف", "probability": 0.9549560546875}, {"start": 183.22, "end": 183.42, "word": " ال", "probability": 0.81005859375}, {"start": 183.42, "end": 183.9, "word": " outlier", "probability": 0.749755859375}, {"start": 183.9, "end": 184.48, "word": " value", "probability": 0.98486328125}, {"start": 184.48, "end": 184.82, "word": " أو", "probability": 0.9462890625}, {"start": 184.82, "end": 184.94, "word": " ال", "probability": 0.8583984375}, {"start": 184.94, "end": 185.32, "word": " extreme", "probability": 0.9208984375}, {"start": 185.32, "end": 185.82, "word": " value", "probability": 0.98583984375}], "temperature": 1.0}, {"id": 8, "seek": 21372, "start": 186.2, "end": 213.72, "text": "وأحاول أعيد اختبار الـ Normality بالـ Normal Distribution Curve واشوف الـ Mean والـ Median والـ Mode equal وأشوف عندنا كمان اختبار كل مجرف وشابيرو اللي استخدمناهم سابقاً ولكن لو الـ Data بقيت عندنا بـ Normal Distribution ولم أوفق اني أحولها لـ Normal Distribution بحذف الـ Outlier Value أو الـ Extreme Value", "tokens": [2407, 10721, 5016, 995, 12610, 5551, 3615, 25708, 1975, 46456, 3555, 9640, 2423, 39184, 8702, 1860, 20666, 39184, 21277, 9840, 30783, 7907, 303, 4032, 33599, 38688, 2423, 39184, 12302, 16070, 39184, 3982, 952, 16070, 39184, 20500, 2681, 36725, 8592, 38688, 43242, 8315, 9122, 2304, 7649, 1975, 46456, 3555, 9640, 28242, 3714, 7435, 28480, 4032, 8592, 16758, 13546, 2407, 13672, 1829, 44713, 9778, 40448, 8315, 16095, 8608, 16758, 4587, 995, 14111, 35525, 19452, 45164, 2423, 39184, 11888, 4724, 4587, 36081, 43242, 8315, 4724, 39184, 21277, 9840, 30783, 4032, 19528, 5551, 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اختبار", "probability": 0.97509765625}, {"start": 197.78, "end": 198.0, "word": " كل", "probability": 0.837890625}, {"start": 198.0, "end": 198.34, "word": " مجرف", "probability": 0.8230794270833334}, {"start": 198.34, "end": 199.0, "word": " وشابيرو", "probability": 0.8115234375}, {"start": 199.0, "end": 199.46, "word": " اللي", "probability": 0.96533203125}, {"start": 199.46, "end": 201.52, "word": " استخدمناهم", "probability": 0.94189453125}, {"start": 201.52, "end": 202.88, "word": " سابقاً", "probability": 0.8140625}, {"start": 202.88, "end": 204.02, "word": " ولكن", "probability": 0.912109375}, {"start": 204.02, "end": 204.26, "word": " لو", "probability": 0.9521484375}, {"start": 204.26, "end": 204.5, "word": " الـ", "probability": 0.7998046875}, {"start": 204.5, "end": 204.72, "word": " Data", "probability": 0.75048828125}, {"start": 204.72, "end": 205.22, "word": " بقيت", "probability": 0.9313151041666666}, {"start": 205.22, "end": 205.62, "word": " عندنا", "probability": 0.97216796875}, {"start": 205.62, "end": 205.84, "word": " بـ", "probability": 0.768798828125}, {"start": 205.84, "end": 206.06, "word": " Normal", "probability": 0.83984375}, {"start": 206.06, "end": 206.9, "word": " Distribution", "probability": 0.95556640625}, {"start": 206.9, "end": 207.8, "word": " ولم", "probability": 0.89111328125}, {"start": 207.8, "end": 208.48, "word": " أوفق", "probability": 0.8582356770833334}, {"start": 208.48, "end": 208.78, "word": " اني", "probability": 0.462890625}, {"start": 208.78, "end": 209.24, "word": " أحولها", "probability": 0.797119140625}, {"start": 209.24, "end": 209.46, "word": " لـ", "probability": 0.96142578125}, {"start": 209.46, "end": 209.66, "word": " Normal", "probability": 0.841796875}, {"start": 209.66, "end": 210.46, "word": " Distribution", "probability": 0.979736328125}, {"start": 210.46, "end": 211.26, "word": " بحذف", "probability": 0.83270263671875}, {"start": 211.26, "end": 211.42, "word": " الـ", "probability": 0.935791015625}, {"start": 211.42, "end": 211.82, "word": " Outlier", "probability": 0.83154296875}, {"start": 211.82, "end": 212.34, "word": " Value", "probability": 0.90576171875}, {"start": 212.34, "end": 212.86, "word": " أو", "probability": 0.8896484375}, {"start": 212.86, "end": 213.0, "word": " الـ", "probability": 0.7666015625}, {"start": 213.0, "end": 213.3, "word": " Extreme", "probability": 0.9482421875}, {"start": 213.3, "end": 213.72, "word": " Value", "probability": 0.94873046875}], "temperature": 1.0}, {"id": 9, "seek": 24197, "start": 214.29, "end": 241.97, "text": "فيش أمامنا خيار إلا نستخدم الـ Non-parametric test ولمّا تكون شاكك مين تستخدم فيهم بتقدر تعمل الأتنين وتشوف ال conclusion وإذا بقيت نفس النتيجة في كلاهما، فيش أي مشكلة إذا كان عندنا نتيجة الـ Non-parametric test not significant بينما الـ Parametric result is significant بدنا نحاول نشوف إلها تفسير", "tokens": [41185, 8592, 5551, 2304, 10943, 8315, 16490, 1829, 9640, 11933, 15040, 8717, 14851, 9778, 40448, 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"end": 215.63, "word": " خيار", "probability": 0.994140625}, {"start": 215.63, "end": 215.89, "word": " إلا", "probability": 0.947265625}, {"start": 215.89, "end": 216.63, "word": " نستخدم", "probability": 0.9520263671875}, {"start": 216.63, "end": 217.17, "word": " الـ", "probability": 0.95703125}, {"start": 217.17, "end": 217.51, "word": " Non", "probability": 0.40478515625}, {"start": 217.51, "end": 218.09, "word": "-parametric", "probability": 0.7886962890625}, {"start": 218.09, "end": 218.49, "word": " test", "probability": 0.6181640625}, {"start": 218.49, "end": 220.79, "word": " ولمّا", "probability": 0.838134765625}, {"start": 220.79, "end": 221.07, "word": " تكون", "probability": 0.975830078125}, {"start": 221.07, "end": 221.53, "word": " شاكك", "probability": 0.94091796875}, {"start": 221.53, "end": 221.65, "word": " مين", "probability": 0.978271484375}, {"start": 221.65, "end": 222.15, "word": " تستخدم", "probability": 0.9908447265625}, {"start": 222.15, "end": 222.63, "word": " فيهم", "probability": 0.977783203125}, {"start": 222.63, "end": 223.67, "word": " بتقدر", "probability": 0.8251139322916666}, {"start": 223.67, "end": 224.09, "word": " تعمل", "probability": 0.9659830729166666}, {"start": 224.09, "end": 224.61, "word": " الأتنين", "probability": 0.746337890625}, {"start": 224.61, "end": 225.39, "word": " وتشوف", "probability": 0.8331705729166666}, {"start": 225.39, "end": 225.51, "word": " ال", "probability": 0.97998046875}, {"start": 225.51, "end": 226.07, "word": " conclusion", "probability": 0.59765625}, {"start": 226.07, "end": 226.89, "word": " وإذا", "probability": 0.9549153645833334}, {"start": 226.89, "end": 227.29, "word": " بقيت", "probability": 0.9651692708333334}, {"start": 227.29, "end": 227.55, "word": " نفس", "probability": 0.997802734375}, {"start": 227.55, "end": 228.05, "word": " النتيجة", "probability": 0.9033203125}, {"start": 228.05, "end": 228.21, "word": " في", "probability": 0.96630859375}, {"start": 228.21, "end": 229.11, "word": " كلاهما،", "probability": 0.757568359375}, {"start": 229.11, "end": 229.35, "word": " فيش", "probability": 0.59820556640625}, {"start": 229.35, "end": 229.51, "word": " أي", "probability": 0.8310546875}, {"start": 229.51, "end": 230.39, "word": " مشكلة", "probability": 0.9895833333333334}, {"start": 230.39, "end": 231.73, "word": " إذا", "probability": 0.95849609375}, {"start": 231.73, "end": 231.97, "word": " كان", "probability": 0.99609375}, {"start": 231.97, "end": 232.41, "word": " عندنا", "probability": 0.900634765625}, {"start": 232.41, "end": 233.15, "word": " نتيجة", "probability": 0.9945068359375}, {"start": 233.15, "end": 233.33, "word": " الـ", "probability": 0.9130859375}, {"start": 233.33, "end": 233.45, "word": " Non", "probability": 0.79638671875}, {"start": 233.45, "end": 233.95, "word": "-parametric", "probability": 0.972412109375}, {"start": 233.95, "end": 234.43, "word": " test", "probability": 0.92236328125}, {"start": 234.43, "end": 234.79, "word": " not", "probability": 0.70166015625}, {"start": 234.79, "end": 235.51, "word": " significant", "probability": 0.8740234375}, {"start": 235.51, "end": 236.49, "word": " بينما", "probability": 0.84375}, {"start": 236.49, "end": 236.67, "word": " الـ", "probability": 0.89697265625}, {"start": 236.67, "end": 237.27, "word": " Parametric", "probability": 0.789794921875}, {"start": 237.27, "end": 237.97, "word": " result", "probability": 0.9345703125}, {"start": 237.97, "end": 238.53, "word": " is", "probability": 0.78369140625}, {"start": 238.53, "end": 239.27, "word": " significant", "probability": 0.87646484375}, {"start": 239.27, "end": 239.97, "word": " بدنا", "probability": 0.55145263671875}, {"start": 239.97, "end": 240.55, "word": " نحاول", "probability": 0.9967041015625}, {"start": 240.55, "end": 241.03, "word": " نشوف", "probability": 0.9705403645833334}, {"start": 241.03, "end": 241.37, "word": " إلها", "probability": 0.754638671875}, {"start": 241.37, "end": 241.97, "word": " تفسير", "probability": 0.9884440104166666}], "temperature": 1.0}, {"id": 10, "seek": 26547, "start": 243.69, "end": 265.47, "text": "و إحدى هذه التفسيرات أنه يكون عندنا بعض القيم Extreme Value قيم شاذة بتأثر على الـ Mean فبالتالي بدي أرجع أشيك و أتأكد أنه مافيش عندنا أي Outlier أو أي Extreme Value الـ Non Parametric Test مش محتاج عندي أنه أنا أعمل الـ Normality Test", "tokens": [2407, 11933, 24401, 7578, 29538, 16712, 36178, 13546, 9307, 14739, 3224, 7251, 30544, 43242, 8315, 45030, 11242, 25062, 32640, 39525, 39352, 12174, 32640, 13412, 45636, 3660, 39894, 10721, 49115, 15844, 2423, 39184, 12302, 6156, 3555, 6027, 2655, 6027, 1829, 4724, 16254, 5551, 47341, 3615, 5551, 8592, 1829, 4117, 4032, 5551, 2655, 10721, 4117, 3215, 14739, 3224, 19446, 41185, 8592, 43242, 8315, 36632, 5925, 2753, 34051, 36632, 39525, 39352, 2423, 39184, 8774, 34882, 17475, 9279, 37893, 3714, 33753, 26108, 18871, 16254, 14739, 3224, 41850, 5551, 25957, 1211, 2423, 39184, 8702, 1860, 9279], "avg_logprob": 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0.7548828125}, {"start": 248.97, "end": 249.57, "word": " قيم", "probability": 0.8662109375}, {"start": 249.57, "end": 250.21, "word": " شاذة", "probability": 0.8361002604166666}, {"start": 250.21, "end": 251.11, "word": " بتأثر", "probability": 0.85205078125}, {"start": 251.11, "end": 251.35, "word": " على", "probability": 0.82568359375}, {"start": 251.35, "end": 251.61, "word": " الـ", "probability": 0.803466796875}, {"start": 251.61, "end": 251.81, "word": " Mean", "probability": 0.3740234375}, {"start": 251.81, "end": 253.09, "word": " فبالتالي", "probability": 0.97509765625}, {"start": 253.09, "end": 253.73, "word": " بدي", "probability": 0.5303955078125}, {"start": 253.73, "end": 254.31, "word": " أرجع", "probability": 0.8951822916666666}, {"start": 254.31, "end": 255.13, "word": " أشيك", "probability": 0.9156494140625}, {"start": 255.13, "end": 255.29, "word": " و", "probability": 0.53125}, {"start": 255.29, "end": 255.93, "word": " أتأكد", "probability": 0.9845703125}, {"start": 255.93, "end": 256.31, "word": " أنه", "probability": 0.645263671875}, {"start": 256.31, "end": 256.53, "word": " مافيش", "probability": 0.6432291666666666}, {"start": 256.53, "end": 256.93, "word": " عندنا", "probability": 0.964599609375}, {"start": 256.93, "end": 257.23, "word": " أي", "probability": 0.6123046875}, {"start": 257.23, "end": 257.87, "word": " Outlier", "probability": 0.665283203125}, {"start": 257.87, "end": 258.17, "word": " أو", "probability": 0.93310546875}, {"start": 258.17, "end": 258.39, "word": " أي", "probability": 0.68115234375}, {"start": 258.39, "end": 258.89, "word": " Extreme", "probability": 0.96240234375}, {"start": 258.89, "end": 259.37, "word": " Value", "probability": 0.95263671875}, {"start": 259.37, "end": 260.77, "word": " الـ", "probability": 0.7841796875}, {"start": 260.77, "end": 260.87, "word": " Non", "probability": 0.72119140625}, {"start": 260.87, "end": 261.43, "word": " Parametric", "probability": 0.6466064453125}, {"start": 261.43, "end": 261.83, "word": " Test", "probability": 0.88525390625}, {"start": 261.83, "end": 262.17, "word": " مش", "probability": 0.78662109375}, {"start": 262.17, "end": 262.63, "word": " محتاج", "probability": 0.9925130208333334}, {"start": 262.63, "end": 263.03, "word": " عندي", "probability": 0.7113037109375}, {"start": 263.03, "end": 263.45, "word": " أنه", "probability": 0.74267578125}, {"start": 263.45, "end": 263.63, "word": " أنا", "probability": 0.378662109375}, {"start": 263.63, "end": 264.13, "word": " أعمل", "probability": 0.9611002604166666}, {"start": 264.13, "end": 264.37, "word": " الـ", "probability": 0.755615234375}, {"start": 264.37, "end": 264.91, "word": " Normality", "probability": 0.722412109375}, {"start": 264.91, "end": 265.47, "word": " Test", "probability": 0.908203125}], "temperature": 1.0}, {"id": 11, "seek": 29339, "start": 267.43, "end": 293.39, "text": "والـ Nonparametric Test بينفع لأي نوع من الـ Scale سواء كانت Ratio أو Interval أو Ordinal أو Nominal لأن الـ Chi-Square يعتبر من اختبارات الـ Nonparametric Test اللي بنستخدمها في موضوع الـ Nominal Data أو Ordinal Data مثال على الاختبارات الـ Nonparametric Test وCoxin Sum Rank Test", "tokens": [2407, 6027, 39184, 8774, 2181, 335, 17475, 9279, 4724, 9957, 5172, 3615, 5296, 10721, 1829, 8717, 45367, 9154, 2423, 39184, 42999, 8608, 2407, 16606, 25961, 2655, 24269, 1004, 34051, 5751, 3337, 34051, 29388, 2071, 34051, 31272, 2071, 5296, 33456, 2423, 39184, 17730, 12, 50, 358, 543, 7251, 34268, 26890, 9154, 1975, 46456, 3555, 9640, 9307, 2423, 39184, 8774, 2181, 335, 17475, 9279, 13672, 1829, 44945, 14851, 9778, 40448, 11296, 8978, 3714, 2407, 11242, 45367, 2423, 39184, 31272, 2071, 11888, 34051, 29388, 2071, 11888, 50113, 6027, 15844, 42963, 46456, 3555, 9640, 9307, 2423, 39184, 8774, 2181, 335, 17475, 9279, 4032, 34, 5230, 259, 8626, 35921, 9279], "avg_logprob": -0.16818986045864392, "compression_ratio": 1.6885964912280702, "no_speech_prob": 5.960464477539063e-08, "words": 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"probability": 0.9833984375}, {"start": 373.27, "end": 373.99, "word": " Parametric", "probability": 0.63427734375}, {"start": 373.99, "end": 375.01, "word": " وNonparametric", "probability": 0.805029296875}, {"start": 375.01, "end": 375.51, "word": " Test", "probability": 0.84521484375}], "temperature": 1.0}, {"id": 15, "seek": 40652, "start": 376.88, "end": 406.52, "text": "هذا الجدول اتكلمنا عنه سابقاً وقلنا لما تكون ال data normal distribution بنستخدم هذه الاختبارات ولكن في حالة ال data كانت عندنا not normal distribution أو abnormal distribution بدل ما استخدم ال one sample t-test بده استخدم ال sign test وفي حالة ال bird sample لما تكون عندنا data not normal distribution بده استخدم اختبار nonparametric", "tokens": [3224, 15730, 25724, 3215, 12610, 1975, 2655, 4117, 19528, 8315, 18871, 3224, 8608, 16758, 4587, 995, 14111, 4032, 4587, 1211, 8315, 5296, 15042, 6055, 30544, 2423, 1412, 2710, 7316, 44945, 14851, 9778, 40448, 29538, 42963, 46456, 3555, 9640, 9307, 35525, 19452, 8978, 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"probability": 0.9977213541666666}, {"start": 386.96, "end": 387.14, "word": " ال", "probability": 0.9482421875}, {"start": 387.14, "end": 387.34, "word": " data", "probability": 0.96923828125}, {"start": 387.34, "end": 387.8, "word": " كانت", "probability": 0.987548828125}, {"start": 387.8, "end": 388.24, "word": " عندنا", "probability": 0.860595703125}, {"start": 388.24, "end": 388.54, "word": " not", "probability": 0.85009765625}, {"start": 388.54, "end": 388.96, "word": " normal", "probability": 0.7822265625}, {"start": 388.96, "end": 389.82, "word": " distribution", "probability": 0.9091796875}, {"start": 389.82, "end": 390.12, "word": " أو", "probability": 0.822265625}, {"start": 390.12, "end": 390.46, "word": " abnormal", "probability": 0.7880859375}, {"start": 390.46, "end": 391.48, "word": " distribution", "probability": 0.91796875}, {"start": 391.48, "end": 392.42, "word": " بدل", "probability": 0.980712890625}, {"start": 392.42, "end": 392.54, "word": " ما", "probability": 0.96044921875}, {"start": 392.54, "end": 393.04, "word": " استخدم", "probability": 0.7996419270833334}, {"start": 393.04, "end": 393.16, "word": " ال", "probability": 0.990234375}, {"start": 393.16, "end": 393.38, "word": " one", "probability": 0.9189453125}, {"start": 393.38, "end": 393.94, "word": " sample", "probability": 0.6103515625}, {"start": 393.94, "end": 394.2, "word": " t", "probability": 0.68798828125}, {"start": 394.2, "end": 394.68, "word": "-test", "probability": 0.836181640625}, {"start": 394.68, "end": 396.22, "word": " بده", "probability": 0.372802734375}, {"start": 396.22, "end": 396.82, "word": " استخدم", "probability": 0.9381510416666666}, {"start": 396.82, "end": 397.34, "word": " ال", "probability": 0.79248046875}, {"start": 397.34, "end": 397.64, "word": " sign", "probability": 0.231201171875}, {"start": 397.64, "end": 398.1, "word": " test", "probability": 0.9130859375}, {"start": 398.1, "end": 399.78, "word": " وفي", "probability": 0.942626953125}, {"start": 399.78, "end": 400.18, "word": " حالة", "probability": 0.9969075520833334}, {"start": 400.18, "end": 400.32, "word": " ال", "probability": 0.99365234375}, {"start": 400.32, "end": 400.56, "word": " bird", "probability": 0.51416015625}, {"start": 400.56, "end": 401.18, "word": " sample", "probability": 0.86376953125}, {"start": 401.18, "end": 401.88, "word": " لما", "probability": 0.942138671875}, {"start": 401.88, "end": 402.14, "word": " تكون", "probability": 0.977294921875}, {"start": 402.14, "end": 402.42, "word": " عندنا", "probability": 0.987548828125}, {"start": 402.42, "end": 402.74, "word": " data", "probability": 0.57177734375}, {"start": 402.74, "end": 403.02, "word": " not", "probability": 0.94970703125}, {"start": 403.02, "end": 403.38, "word": " normal", "probability": 0.87158203125}, {"start": 403.38, "end": 404.22, "word": " distribution", "probability": 0.89892578125}, {"start": 404.22, "end": 404.72, "word": " بده", "probability": 0.92041015625}, {"start": 404.72, "end": 405.14, "word": " استخدم", "probability": 0.9065755208333334}, {"start": 405.14, "end": 405.64, "word": " اختبار", "probability": 0.980712890625}, {"start": 405.64, "end": 406.52, "word": " nonparametric", "probability": 0.82098388671875}], "temperature": 1.0}, {"id": 16, "seek": 43169, "start": 406.91, "end": 431.69, "text": "اسمه Wilcoxin Signed Rank Test وفي حالة الـ Independent Variable و الـ Two Group و الـ Data تكون عندها Abnormal Distribution بدل ما يستخدم الـ T-Test بدى يستخدم ما يسمى بالـ Man-Whitney Test أو له اسم تاني اسمه Wilcoxin Rank Sum Test وكذلك ممكن استخدام الـ Median Test", "tokens": [32277, 2304, 3224, 9483, 1291, 87, 259, 13515, 292, 35921, 9279, 4032, 41185, 11331, 6027, 3660, 2423, 39184, 40310, 32511, 712, 4032, 2423, 39184, 4453, 10500, 4032, 2423, 39184, 11888, 6055, 30544, 43242, 11296, 2847, 23157, 9840, 30783, 47525, 1211, 19446, 7251, 14851, 9778, 40448, 2423, 39184, 314, 12, 51, 377, 47525, 7578, 7251, 14851, 9778, 40448, 19446, 7251, 38251, 7578, 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{"start": 427.49, "end": 429.31, "word": " وكذلك", "probability": 0.8670654296875}, {"start": 429.31, "end": 429.67, "word": " ممكن", "probability": 0.98583984375}, {"start": 429.67, "end": 430.47, "word": " استخدام", "probability": 0.9710693359375}, {"start": 430.47, "end": 430.85, "word": " الـ", "probability": 0.9599609375}, {"start": 430.85, "end": 431.23, "word": " Median", "probability": 0.951171875}, {"start": 431.23, "end": 431.69, "word": " Test", "probability": 0.8974609375}], "temperature": 1.0}, {"id": 17, "seek": 45978, "start": 432.72, "end": 459.78, "text": "لمّا يكون عندنا في qualitative variable أكثر من two group بدنا نستخدم الـ Cost Calorie Loss Test أو الـ Median Test لما تكون عندنا الـ data not normal distribution ولمّا تكون عندنا related sample أكتر من تنتين بدل ما أستخدم الـ Repeated Anova Mega بدأ أستخدم Affirmative Test لأن الـ data بتكون عندنا abnormal distribution", "tokens": [19528, 11703, 995, 7251, 30544, 43242, 8315, 8978, 31312, 7006, 5551, 4117, 49115, 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{"start": 462.16, "end": 462.38, "word": " two", "probability": 0.3701171875}, {"start": 462.38, "end": 463.18, "word": " variables", "probability": 0.9521484375}, {"start": 463.18, "end": 463.5, "word": " اللي", "probability": 0.883056640625}, {"start": 463.5, "end": 463.8, "word": " بده", "probability": 0.475341796875}, {"start": 463.8, "end": 463.96, "word": " يجيب", "probability": 0.9737548828125}, {"start": 463.96, "end": 464.3, "word": " بينهم", "probability": 0.963134765625}, {"start": 464.3, "end": 464.96, "word": " العلاقة", "probability": 0.90283203125}, {"start": 464.96, "end": 465.82, "word": " qualitative", "probability": 0.90966796875}, {"start": 465.82, "end": 467.66, "word": " والاتنين", "probability": 0.78265380859375}, {"start": 467.66, "end": 468.46, "word": " هدولة", "probability": 0.8919677734375}, {"start": 468.46, "end": 469.04, "word": " independent", "probability": 0.9404296875}, {"start": 469.04, "end": 469.46, "word": " على", "probability": 0.489990234375}, 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493.93, "end": 523.57, "text": "لما يكونوا عندنا الـ two qualitative variable و dependent المريض لما يقول أخد علاج A و أخد علاج B هاي عندي المريض الأول أخد العلاج A و أخد العلاج B المريض التاني ماخدش لا A ولا B المريض الرابع أخد العلاج A و B المريض الخامس أخد العلاج B و ماخدش العلاج A", "tokens": [1211, 15042, 7251, 30544, 14407, 43242, 8315, 2423, 39184, 732, 31312, 7006, 4032, 12334, 9673, 16572, 11242, 5296, 15042, 7251, 39648, 5551, 9778, 3215, 11203, 26108, 316, 4032, 5551, 9778, 3215, 11203, 26108, 363, 8032, 47302, 18871, 16254, 9673, 16572, 11242, 16247, 12610, 5551, 9778, 3215, 18863, 1211, 26108, 316, 4032, 5551, 9778, 3215, 18863, 1211, 26108, 363, 9673, 16572, 11242, 16712, 7649, 1829, 19446, 9778, 3215, 8592, 20193, 316, 49429, 363, 9673, 16572, 11242, 34892, 16758, 3615, 5551, 9778, 3215, 18863, 1211, 26108, 316, 4032, 363, 9673, 16572, 11242, 33962, 10943, 3794, 5551, 9778, 3215, 18863, 1211, 26108, 363, 4032, 19446, 9778, 3215, 8592, 18863, 1211, 26108, 316], 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Logistic Regression نستخدم سواء كانت Normal أو Abnormal Distribution ولكن لو الـ Data كانت عندي Not Normal Distribution مافيش قدامي إلا استخدم الـ Logistic Regression ومنفعش نستخدم الـ Linear أو Multiple", "tokens": [6027, 39184, 6281, 449, 1695, 6055, 995, 34268, 2423, 39184, 14670, 289, 16070, 39184, 40056, 14670, 289, 4791, 2775, 14739, 11296, 6055, 30544, 21277, 9840, 30783, 4032, 2304, 43020, 9122, 2304, 7649, 8978, 11331, 6027, 3660, 2423, 39184, 10824, 3142, 4791, 2775, 8717, 14851, 9778, 40448, 8608, 2407, 16606, 25961, 2655, 21277, 34051, 2847, 23157, 9840, 30783, 35525, 19452, 45164, 2423, 39184, 11888, 25961, 2655, 43242, 1829, 1726, 21277, 9840, 30783, 19446, 41185, 8592, 12174, 3215, 10943, 1829, 11933, 15040, 44713, 9778, 40448, 2423, 39184, 10824, 3142, 4791, 2775, 4032, 27842, 5172, 3615, 8592, 8717, 14851, 9778, 40448, 2423, 39184, 14670, 289, 34051, 40056], "avg_logprob": -0.1974702312832787, "compression_ratio": 1.873913043478261, "no_speech_prob": 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{"start": 868.72, "end": 869.06, "word": "-Whitney", "probability": 0.9053955078125}, {"start": 869.06, "end": 869.46, "word": " Test", "probability": 0.93310546875}, {"start": 869.46, "end": 870.0, "word": " بدنا", "probability": 0.57244873046875}, {"start": 870.0, "end": 870.32, "word": " نشوف", "probability": 0.9918619791666666}, {"start": 870.32, "end": 870.54, "word": " هالـ", "probability": 0.4725341796875}, {"start": 870.54, "end": 870.98, "word": " slide", "probability": 0.5}, {"start": 870.98, "end": 871.3, "word": " إيش", "probability": 0.7501627604166666}, {"start": 871.3, "end": 871.86, "word": " بتحكي", "probability": 0.977294921875}, {"start": 871.86, "end": 872.82, "word": " الـ", "probability": 0.835693359375}, {"start": 872.82, "end": 873.08, "word": " Sine", "probability": 0.890625}, {"start": 873.08, "end": 873.44, "word": " Test", "probability": 0.9091796875}, {"start": 873.44, "end": 874.38, "word": " بيحول", "probability": 0.902099609375}, {"start": 874.38, "end": 875.46, "word": " عندنا", "probability": 0.8076171875}, {"start": 875.46, "end": 876.22, "word": " الـ", "probability": 0.92822265625}, {"start": 876.22, "end": 876.54, "word": " variable", "probability": 0.57373046875}, {"start": 876.54, "end": 876.8, "word": " اللي", "probability": 0.948974609375}, {"start": 876.8, "end": 877.6, "word": " موجودة", "probability": 0.90478515625}, {"start": 877.6, "end": 878.12, "word": " لإيجاد", "probability": 0.9685546875}, {"start": 878.12, "end": 878.96, "word": " الإختلاف", "probability": 0.8160400390625}, {"start": 878.96, "end": 879.4, "word": " لـ", "probability": 0.904052734375}, {"start": 879.4, "end": 879.7, "word": " positive", "probability": 0.46875}, {"start": 879.7, "end": 880.08, "word": " و", "probability": 0.966796875}, {"start": 880.08, "end": 880.52, "word": " negative", "probability": 0.9169921875}, {"start": 880.52, "end": 881.66, "word": " مع", "probability": 0.98095703125}, {"start": 881.66, "end": 882.32, "word": " تجاهله", "probability": 0.9853515625}, {"start": 882.32, "end": 883.04, "word": " الكامل", "probability": 0.9654947916666666}, {"start": 883.04, "end": 884.34, "word": " للمعلومات", "probability": 0.9505859375}, {"start": 884.34, "end": 884.54, "word": " اللي", "probability": 0.9736328125}, {"start": 884.54, "end": 885.22, "word": " موجودة", "probability": 0.989013671875}, {"start": 885.22, "end": 885.7, "word": " حول", "probability": 0.97314453125}, {"start": 885.7, "end": 886.08, "word": " حجم", "probability": 0.9905598958333334}, {"start": 886.08, "end": 886.76, "word": " الإختلاف", "probability": 0.850341796875}], "temperature": 1.0}, {"id": 34, "seek": 91506, "start": 887.86, "end": 915.06, "text": "هي مثال هذه الأسماء اللي موجودة بشوف النتائج اللي موجودة الأولى والتانية وبحولها لإشارة يعني هاي عنا ع سبيل المثال كان excellent وصار good حط الإشارة بتاعته negative يبقى أن هو مستوى القل بعدين كان poor وصار good حط الإشارة موجب كان excellent وظل excellent حط الإشارة zero", "tokens": [3224, 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negative poor و good صار عندنا positive فمحول ال different اللي موجود لإشارات واتنين اللي زي بعض بيحذفهم أو بيبعدهم عن التحليل وبتجهلهم هذه الإشارة لا توضح حجم الإختلاف بينما بتقول اللي فيه اختلاف و لا لأ بس قداش قيمته مابتوضحها", "tokens": [2407, 3224, 15730, 2423, 39184, 4018, 6055, 10859, 5016, 8848, 5172, 9154, 33688, 46456, 3555, 9640, 37037, 1829, 43242, 8315, 4716, 4032, 9381, 9640, 3143, 4032, 9381, 9640, 43242, 8315, 3353, 39896, 43242, 8315, 665, 4032, 4716, 20328, 9640, 43242, 8315, 3671, 4716, 4032, 665, 20328, 9640, 43242, 8315, 3353, 6156, 2304, 5016, 12610, 2423, 819, 13672, 1829, 3714, 29245, 23328, 5296, 28814, 8592, 9640, 9307, 4032, 9307, 1863, 9957, 13672, 1829, 30767, 1829, 45030, 11242, 4724, 1829, 5016, 8848, 5172, 16095, 34051, 4724, 1829, 3555, 22488, 16095, 18871, 16712, 5016, 20292, 1211, 46599, 2655, 7435, 3224, 1211, 16095, 29538, 33688, 8592, 9640, 3660, 20193, 33427, 11242, 5016, 11331, 7435, 2304, 33688, 46456, 15040, 5172, 49374, 15042, 39894, 39648, 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"probability": 0.98095703125}, {"start": 925.35, "end": 925.87, "word": " negative", "probability": 0.92578125}, {"start": 925.87, "end": 926.79, "word": " poor", "probability": 0.8671875}, {"start": 926.79, "end": 926.97, "word": " و", "probability": 0.9580078125}, {"start": 926.97, "end": 927.15, "word": " good", "probability": 0.7939453125}, {"start": 927.15, "end": 927.37, "word": " صار", "probability": 0.940185546875}, {"start": 927.37, "end": 927.61, "word": " عندنا", "probability": 0.986328125}, {"start": 927.61, "end": 927.99, "word": " positive", "probability": 0.91845703125}, {"start": 927.99, "end": 928.85, "word": " فمحول", "probability": 0.7718505859375}, {"start": 928.85, "end": 929.07, "word": " ال", "probability": 0.96875}, {"start": 929.07, "end": 929.41, "word": " different", "probability": 0.6220703125}, {"start": 929.41, "end": 929.77, "word": " اللي", "probability": 0.916748046875}, {"start": 929.77, "end": 930.23, "word": " موجود", "probability": 0.98388671875}, {"start": 930.23, "end": 931.03, "word": " لإشارات", "probability": 0.95947265625}, {"start": 931.03, "end": 931.99, "word": " واتنين", "probability": 0.7684326171875}, {"start": 931.99, "end": 932.19, "word": " اللي", "probability": 0.99072265625}, {"start": 932.19, "end": 932.41, "word": " زي", "probability": 0.989013671875}, {"start": 932.41, "end": 932.83, "word": " بعض", "probability": 0.99267578125}, {"start": 932.83, "end": 933.81, "word": " بيحذفهم", "probability": 0.9404296875}, {"start": 933.81, "end": 934.43, "word": " أو", "probability": 0.93408203125}, {"start": 934.43, "end": 935.15, "word": " بيبعدهم", "probability": 0.97431640625}, {"start": 935.15, "end": 935.37, "word": " عن", "probability": 0.98828125}, {"start": 935.37, "end": 936.07, "word": " التحليل", "probability": 0.974365234375}, {"start": 936.07, "end": 937.07, "word": " وبتجهلهم", "probability": 0.8578287760416666}, {"start": 937.07, "end": 938.29, "word": " هذه", "probability": 0.75}, {"start": 938.29, "end": 939.07, "word": " الإشارة", "probability": 0.990966796875}, {"start": 939.07, "end": 939.93, "word": " لا", "probability": 0.720703125}, {"start": 939.93, "end": 940.45, "word": " توضح", "probability": 0.87255859375}, {"start": 940.45, "end": 940.79, "word": " حجم", "probability": 0.9943033854166666}, {"start": 940.79, "end": 941.55, "word": " الإختلاف", "probability": 0.8541259765625}, {"start": 941.55, "end": 942.23, "word": " بينما", "probability": 0.712890625}, {"start": 942.23, "end": 942.63, "word": " بتقول", "probability": 0.9306640625}, {"start": 942.63, "end": 942.75, "word": " اللي", "probability": 0.638671875}, {"start": 942.75, "end": 942.93, "word": " فيه", "probability": 0.78076171875}, {"start": 942.93, "end": 943.33, "word": " اختلاف", "probability": 0.92822265625}, {"start": 943.33, "end": 943.47, "word": " و", "probability": 0.52880859375}, {"start": 943.47, "end": 943.51, "word": " لا", "probability": 0.69580078125}, {"start": 943.51, "end": 943.71, "word": " 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"probability": 0.8916015625}, {"start": 1349.93, "end": 1350.31, "word": " negative", "probability": 0.97119140625}], "temperature": 1.0}, {"id": 51, "seek": 137696, "start": 1352.58, "end": 1376.96, "text": "والـ Coxenstein Rank Test اللي اتكلمنا عنه قبل شوية في الـFetal Movement Before and After Chronic Villas أنه هي عندى عشر حالات، العشر حالات هي الـbefore وهي الـafter بنحسب الـdifferent اللى موجود بنجيب ال rank لل absolute different اللى موجود عندى، بعدين برجع الإشارة الخطوة اللى بعدها بنجمع قيم ال positive لحال", "tokens": [2407, 6027, 39184, 41576, 268, 9089, 35921, 9279, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 3224, 12174, 36150, 13412, 2407, 10632, 8978, 2423, 39184, 37, 302, 304, 26523, 4546, 293, 2381, 1721, 11630, 14244, 296, 14739, 3224, 39896, 43242, 7578, 6225, 46309, 11331, 6027, 9307, 12399, 18863, 46309, 11331, 6027, 9307, 39896, 2423, 39184, 45301, 37037, 1829, 2423, 39184, 18837, 44945, 5016, 35457, 2423, 39184, 67, 15790, 13672, 7578, 3714, 29245, 23328, 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0.991943359375}, {"start": 1355.08, "end": 1355.3, "word": " قبل", "probability": 0.9833984375}, {"start": 1355.3, "end": 1355.8, "word": " شوية", "probability": 0.89501953125}, {"start": 1355.8, "end": 1356.34, "word": " في", "probability": 0.66259765625}, {"start": 1356.34, "end": 1356.76, "word": " الـFetal", "probability": 0.760498046875}, {"start": 1356.76, "end": 1357.2, "word": " Movement", "probability": 0.90673828125}, {"start": 1357.2, "end": 1357.6, "word": " Before", "probability": 0.74658203125}, {"start": 1357.6, "end": 1357.96, "word": " and", "probability": 0.7333984375}, {"start": 1357.96, "end": 1358.4, "word": " After", "probability": 0.88427734375}, {"start": 1358.4, "end": 1358.86, "word": " Chronic", "probability": 0.555938720703125}, {"start": 1358.86, "end": 1359.7, "word": " Villas", "probability": 0.4984130859375}, {"start": 1359.7, "end": 1360.1, "word": " أنه", "probability": 0.4068603515625}, {"start": 1360.1, "end": 1360.22, "word": " هي", "probability": 0.60498046875}, {"start": 1360.22, "end": 1360.5, "word": " عندى", "probability": 0.6640625}, {"start": 1360.5, "end": 1360.76, "word": " عشر", "probability": 0.7000732421875}, {"start": 1360.76, "end": 1361.8, "word": " حالات،", "probability": 0.79595947265625}, {"start": 1361.8, "end": 1362.12, "word": " العشر", "probability": 0.905517578125}, {"start": 1362.12, "end": 1362.54, "word": " حالات", "probability": 0.9798177083333334}, {"start": 1362.54, "end": 1362.76, "word": " هي", "probability": 0.6513671875}, {"start": 1362.76, "end": 1363.3, "word": " الـbefore", "probability": 0.7361653645833334}, {"start": 1363.3, "end": 1363.6, "word": " وهي", "probability": 0.70458984375}, {"start": 1363.6, "end": 1364.06, "word": " الـafter", "probability": 0.8582356770833334}, {"start": 1364.06, "end": 1365.1, "word": " بنحسب", "probability": 0.9440104166666666}, {"start": 1365.1, "end": 1365.6, "word": " الـdifferent", "probability": 0.8101806640625}, {"start": 1365.6, "end": 1365.84, "word": " اللى", "probability": 0.719482421875}, {"start": 1365.84, "end": 1366.42, "word": " موجود", "probability": 0.9912109375}, {"start": 1366.42, "end": 1367.48, "word": " بنجيب", "probability": 0.853515625}, {"start": 1367.48, "end": 1367.62, "word": " ال", "probability": 0.9150390625}, {"start": 1367.62, "end": 1367.96, "word": " rank", "probability": 0.65087890625}, {"start": 1367.96, "end": 1368.18, "word": " لل", "probability": 0.7939453125}, {"start": 1368.18, "end": 1368.62, "word": " absolute", "probability": 0.68115234375}, {"start": 1368.62, "end": 1369.38, "word": " different", "probability": 0.787109375}, {"start": 1369.38, "end": 1369.98, "word": " اللى", "probability": 0.943603515625}, {"start": 1369.98, "end": 1370.34, "word": " موجود", "probability": 0.9879557291666666}, {"start": 1370.34, "end": 1371.22, "word": " عندى،", "probability": 0.7058919270833334}, {"start": 1371.22, "end": 1371.58, "word": " بعدين", "probability": 0.897216796875}, {"start": 1371.58, "end": 1372.06, "word": " برجع", "probability": 0.8444010416666666}, {"start": 1372.06, "end": 1372.74, "word": " الإشارة", "probability": 0.982177734375}, {"start": 1372.74, "end": 1373.64, "word": " الخطوة", "probability": 0.9678955078125}, {"start": 1373.64, "end": 1373.78, "word": " اللى", "probability": 0.92578125}, {"start": 1373.78, "end": 1374.3, "word": " بعدها", "probability": 0.84130859375}, {"start": 1374.3, "end": 1375.46, "word": " بنجمع", "probability": 0.9019775390625}, {"start": 1375.46, "end": 1375.82, "word": " قيم", "probability": 0.95751953125}, {"start": 1375.82, "end": 1376.02, "word": " ال", "probability": 0.943359375}, {"start": 1376.02, "end": 1376.34, "word": " positive", "probability": 0.40771484375}, {"start": 1376.34, "end": 1376.96, "word": " لحال", "probability": 0.9869791666666666}], "temperature": 1.0}, {"id": 52, "seek": 140640, "start": 1378.34, "end": 1406.4, "text": "وقيم الـ Negative لحالي وبنشوف عندنا قيم الـ Positive قداش كانت المجموع ومجموع القيم الـ Negative اللي هي هذه قداش كان عندنا مجموعة بعدين باخد القيمة الأقل اللي هي 23.5 وبروح على جدول وبشوف هذه القيمة أقل من قيمة cut-off value ولا لا هي عندنا عند number of beers عند عشر حالات", "tokens": [2407, 4587, 32640, 2423, 39184, 43230, 5296, 5016, 6027, 1829, 46599, 1863, 8592, 38688, 43242, 8315, 12174, 32640, 2423, 39184, 46326, 12174, 3215, 33599, 25961, 2655, 9673, 7435, 2304, 45367, 4032, 2304, 7435, 2304, 45367, 25062, 32640, 2423, 39184, 43230, 13672, 1829, 39896, 29538, 12174, 3215, 33599, 25961, 43242, 8315, 3714, 7435, 2304, 2407, 27884, 39182, 9957, 4724, 47283, 3215, 25062, 32640, 3660, 16247, 4587, 1211, 13672, 1829, 39896, 6673, 13, 20, 46599, 32887, 5016, 15844, 10874, 3215, 12610, 46599, 8592, 38688, 29538, 25062, 32640, 3660, 5551, 4587, 1211, 9154, 12174, 32640, 3660, 1723, 12, 4506, 2158, 49429, 20193, 39896, 43242, 8315, 43242, 1230, 295, 34159, 43242, 6225, 46309, 11331, 6027, 9307], "avg_logprob": -0.21308074799259152, "compression_ratio": 1.9310344827586208, 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{"start": 1383.44, "end": 1384.1, "word": " المجموع", "probability": 0.905517578125}, {"start": 1384.1, "end": 1385.62, "word": " ومجموع", "probability": 0.9208984375}, {"start": 1385.62, "end": 1386.28, "word": " القيم", "probability": 0.90869140625}, {"start": 1386.28, "end": 1386.7, "word": " الـ", "probability": 0.8857421875}, {"start": 1386.7, "end": 1387.08, "word": " Negative", "probability": 0.8662109375}, {"start": 1387.08, "end": 1387.54, "word": " اللي", "probability": 0.711181640625}, {"start": 1387.54, "end": 1387.7, "word": " هي", "probability": 0.705078125}, {"start": 1387.7, "end": 1388.12, "word": " هذه", "probability": 0.6396484375}, {"start": 1388.12, "end": 1388.96, "word": " قداش", "probability": 0.94482421875}, {"start": 1388.96, "end": 1389.26, "word": " كان", "probability": 0.9921875}, {"start": 1389.26, "end": 1389.7, "word": " عندنا", "probability": 0.79052734375}, {"start": 1389.7, "end": 1390.34, "word": " مجموعة", "probability": 0.93876953125}, {"start": 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"end": 1398.34, "word": " هذه", "probability": 0.3984375}, {"start": 1398.34, "end": 1399.36, "word": " القيمة", "probability": 0.97705078125}, {"start": 1399.36, "end": 1399.82, "word": " أقل", "probability": 0.9558919270833334}, {"start": 1399.82, "end": 1400.02, "word": " من", "probability": 0.98388671875}, {"start": 1400.02, "end": 1400.46, "word": " قيمة", "probability": 0.9959309895833334}, {"start": 1400.46, "end": 1400.74, "word": " cut", "probability": 0.701171875}, {"start": 1400.74, "end": 1401.0, "word": "-off", "probability": 0.6610107421875}, {"start": 1401.0, "end": 1401.46, "word": " value", "probability": 0.88916015625}, {"start": 1401.46, "end": 1401.92, "word": " ولا", "probability": 0.482421875}, {"start": 1401.92, "end": 1402.18, "word": " لا", "probability": 0.4384765625}, {"start": 1402.18, "end": 1403.84, "word": " هي", "probability": 0.48193359375}, {"start": 1403.84, "end": 1404.14, "word": " عندنا", "probability": 0.724365234375}, {"start": 1404.14, "end": 1404.34, "word": " عند", "probability": 0.54296875}, {"start": 1404.34, "end": 1404.6, "word": " number", "probability": 0.94775390625}, {"start": 1404.6, "end": 1404.88, "word": " of", "probability": 0.9775390625}, {"start": 1404.88, "end": 1405.24, "word": " beers", "probability": 0.429931640625}, {"start": 1405.24, "end": 1405.5, "word": " عند", "probability": 0.94384765625}, {"start": 1405.5, "end": 1405.76, "word": " عشر", "probability": 0.6964111328125}, {"start": 1405.76, "end": 1406.4, "word": " حالات", "probability": 0.9703776041666666}], "temperature": 1.0}, {"id": 53, "seek": 143644, "start": 1406.88, "end": 1436.44, "text": "هذه ليست فيها degree of freedom يعني ماستخدمش degree of freedom عند عشر حالات ال cut-off تمانية إذا كانت أقل من تمانية بتكون significant عكس السابق وإذا كانت أكثر من تمانية بتكون not significant فبالتالي هنا كانت عندنا 23.5 فهي بتكون أكثر من قيمة ال cut-off value فبتكون عندي not significant وبنقول بدل من 23.5 أعلى من 8 اللي هي cut-off", "tokens": [3224, 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0.9912109375}, {"start": 1435.08, "end": 1435.56, "word": " 8", "probability": 0.46435546875}, {"start": 1435.56, "end": 1435.7, "word": " اللي", "probability": 0.781494140625}, {"start": 1435.7, "end": 1435.84, "word": " هي", "probability": 0.85302734375}, {"start": 1435.84, "end": 1436.12, "word": " cut", "probability": 0.861328125}, {"start": 1436.12, "end": 1436.44, "word": "-off", "probability": 0.95263671875}], "temperature": 1.0}, {"id": 54, "seek": 146621, "start": 1436.79, "end": 1466.21, "text": "بتكون عندنا قيمة الـ P value أعلى من 5 من 100 فبالتالي بنقول not statistically significant ولو بدنا نعمل اختبار بوصفة ال SPSS بعد ادخال البيانات analyze بروح على ال number metric وبنختار عندنا ال two related sample بنضيف أول حاجة ال after وبنقول له LB4 وبنقول له I will cook some test وبنقول له okay", "tokens": [3555, 2655, 30544, 43242, 8315, 12174, 32640, 3660, 2423, 39184, 430, 2158, 5551, 3615, 23942, 9154, 1025, 9154, 2319, 6156, 3555, 6027, 2655, 6027, 1829, 44945, 39648, 406, 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"start": 1581.14, "end": 1608.0, "text": "يبقى أول خطوة نجيب الـ Median للبول All Observations يبقى كل اللي موجودين عندى و البيانات بتخلطهم مع بعض و أجيبلهم ال Medians في كل group وهي مثال لما تكون في عندنا مدارس في مناطق حضرية و مناطق ريفية Urban and rural فباخد كل القيم هذه بخلط كل القيم هذه مع بعض و أجيبلها ال Median بعد ما أجيب ال Median", "tokens": [1829, 3555, 4587, 7578, 5551, 12610, 16490, 9566, 2407, 3660, 8717, 7435, 1829, 3555, 2423, 39184, 3982, 952, 24976, 3555, 12610, 1057, 42547, 763, 7251, 3555, 4587, 7578, 28242, 13672, 1829, 3714, 29245, 23328, 9957, 43242, 7578, 4032, 2423, 21292, 7649, 9307, 39894, 9778, 1211, 9566, 16095, 20449, 45030, 11242, 4032, 5551, 7435, 1829, 3555, 1211, 16095, 2423, 3982, 2567, 8978, 28242, 1594, 37037, 1829, 50113, 6027, 5296, 15042, 6055, 30544, 8978, 43242, 8315, 3714, 3215, 9640, 3794, 8978, 9154, 41193, 4587, 11331, 11242, 2288, 10632, 4032, 9154, 41193, 4587, 12602, 33911, 10632, 24885, 293, 11165, 6156, 3555, 47283, 3215, 28242, 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عندنا مجموعتين مختلفات عن بعض Independent وعندنا ال data هي عبارة عن quantitative data اللي موجودة وعندنا two group أو إذا أحنا خدنا ال level of mental health على شكل score أو ordinal data فهي هي قيمها الاسم الـ Zero بتقول إن ال median لل Urban يسوء ال median ل ال dollar اللي هما المناطق الريفية", "tokens": [6027, 39184, 6281, 449, 1695, 36145, 8032, 15042, 40310, 7724, 43242, 8315, 3714, 7435, 2304, 45367, 2655, 9957, 3714, 46456, 46538, 9307, 18871, 45030, 11242, 40310, 4032, 3615, 41260, 8315, 2423, 1412, 39896, 6225, 3555, 9640, 3660, 18871, 27778, 1412, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 3615, 41260, 8315, 732, 1594, 34051, 11933, 15730, 5551, 5016, 8315, 16490, 3215, 8315, 2423, 1496, 295, 4973, 1585, 15844, 13412, 28820, 6175, 34051, 4792, 2071, 1412, 6156, 3224, 1829, 39896, 12174, 32640, 11296, 2423, 32277, 2304, 2423, 39184, 17182, 39894, 39648, 36145, 2423, 26779, 24976, 24885, 7251, 3794, 2407, 38207, 2423, 26779, 5296, 2423, 7241, 13672, 1829, 8032, 15042, 9673, 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"probability": 0.98056640625}, {"start": 1822.09, "end": 1822.33, "word": " في", "probability": 0.9912109375}, {"start": 1822.33, "end": 1823.13, "word": " الـ", "probability": 0.863037109375}, {"start": 1823.13, "end": 1823.39, "word": " Caius", "probability": 0.91552734375}, {"start": 1823.39, "end": 1823.85, "word": "-Square", "probability": 0.92919921875}, {"start": 1823.85, "end": 1824.95, "word": " وشوفناها", "probability": 0.819091796875}, {"start": 1824.95, "end": 1825.41, "word": " هل", "probability": 0.92333984375}, {"start": 1825.41, "end": 1825.59, "word": " هي", "probability": 0.95556640625}, {"start": 1825.59, "end": 1825.87, "word": " أعلى", "probability": 0.9373372395833334}, {"start": 1825.87, "end": 1826.01, "word": " من", "probability": 0.99267578125}, {"start": 1826.01, "end": 1826.17, "word": " الـ", "probability": 0.781982421875}, {"start": 1826.17, "end": 1826.35, "word": " Cut", "probability": 0.96044921875}, {"start": 1826.35, "end": 1826.55, "word": "-Off", "probability": 0.979248046875}, {"start": 1826.55, "end": 1826.77, "word": " ولا", "probability": 0.368896484375}, {"start": 1826.77, "end": 1827.05, "word": " أقل", "probability": 0.96875}, {"start": 1827.05, "end": 1827.19, "word": " من", "probability": 0.99072265625}, {"start": 1827.19, "end": 1827.37, "word": " الـ", "probability": 0.939697265625}, {"start": 1827.37, "end": 1827.53, "word": " Cut", "probability": 0.96240234375}, {"start": 1827.53, "end": 1827.79, "word": "-Off", "probability": 0.988037109375}, {"start": 1827.79, "end": 1828.87, "word": " وبحساب", "probability": 0.79046630859375}, {"start": 1828.87, "end": 1829.03, "word": " الـ", "probability": 0.92919921875}, {"start": 1829.03, "end": 1829.17, "word": " P", "probability": 0.97314453125}, {"start": 1829.17, "end": 1829.69, "word": "-Value", "probability": 0.9808349609375}, {"start": 1829.69, "end": 1830.21, "word": " طلع", "probability": 0.9293619791666666}, {"start": 1830.21, "end": 1830.65, "word": " معنا", "probability": 0.974853515625}, {"start": 1830.65, "end": 1832.29, "word": " 252", "probability": 0.88671875}, {"start": 1832.29, "end": 1833.21, "word": " قيمة", "probability": 0.9954427083333334}], "temperature": 1.0}, {"id": 68, "seek": 185847, "start": 1833.33, "end": 1858.47, "text": "طيب بنقرر فبالتالي بتكون عندنا not statistically significant وكان الاستنتاج انه ال level of mental health في ال two group سواء كانت في المناطق الحضرية او الريفية ال median تقريبا متساوي و not significantly different between median لو بدنا نحسبها بالاساس بروح ا analyse on a parametric على ال K independent sample", "tokens": [9566, 1829, 3555, 4724, 1863, 4587, 2288, 2288, 6156, 3555, 6027, 2655, 6027, 1829, 39894, 30544, 43242, 8315, 406, 36478, 4776, 4032, 41361, 42963, 14851, 29399, 26108, 16472, 3224, 2423, 1496, 295, 4973, 1585, 8978, 2423, 732, 1594, 8608, 2407, 16606, 25961, 2655, 8978, 9673, 1863, 41193, 4587, 21542, 11242, 2288, 10632, 1975, 2407, 2423, 16572, 5172, 10632, 2423, 26779, 6055, 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هذه وهي قيمة عندنا ال median جديش كانت عندنا وهي قيمة التي في كوير test أو ما يسمى بال exact significant level", "tokens": [1211, 33456, 3224, 39894, 1863, 5172, 3615, 568, 4032, 18, 4032, 19, 4032, 20, 6156, 3555, 1863, 39648, 18871, 11296, 591, 6695, 6889, 46599, 1863, 14851, 9778, 40448, 2423, 26779, 1500, 6156, 3555, 1863, 3615, 19528, 15844, 2423, 26779, 46599, 1863, 11242, 33911, 46740, 6175, 46599, 1863, 11242, 33911, 34105, 2423, 1395, 46599, 1863, 39648, 46740, 1392, 6055, 9566, 3555, 3615, 20449, 7649, 995, 25062, 32640, 29538, 37037, 1829, 12174, 32640, 3660, 43242, 8315, 2423, 26779, 10874, 16254, 8592, 25961, 2655, 43242, 8315, 37037, 1829, 12174, 32640, 3660, 38392, 8978, 9122, 2407, 13546, 1500, 34051, 19446, 7251, 38251, 7578, 20666, 1900, 4776, 1496], "avg_logprob": -0.2774939969755136, "compression_ratio": 1.6640316205533596, "no_speech_prob": 1.8894672393798828e-05, "words": [{"start": 1858.73, "end": 1859.11, "word": "لأنه", "probability": 0.669677734375}, {"start": 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0.96484375}, {"start": 1882.77, "end": 1883.27, "word": " يسمى", "probability": 0.9788411458333334}, {"start": 1883.27, "end": 1883.43, "word": " بال", "probability": 0.98876953125}, {"start": 1883.43, "end": 1883.87, "word": " exact", "probability": 0.6376953125}, {"start": 1883.87, "end": 1884.49, "word": " significant", "probability": 0.78076171875}, {"start": 1884.49, "end": 1885.17, "word": " level", "probability": 0.970703125}], "temperature": 1.0}, {"id": 70, "seek": 191221, "start": 1888.07, "end": 1912.21, "text": "كنا أنه الـ Median زي الـ Scientist فإن هو ببينشنا قداش كمية الـ difference اللي موجودة غير هيك كل القيم اللي بتكون تساوي الـ Median بنحذفها أو بنلغيها من التحليل فبالتالي بنكون عندنا بنخسر بعض البيانات اللي موجودة أو بنفقد بعض ال information اللي بتكون عندنا موجودة لهيك", "tokens": [4117, 8315, 14739, 3224, 2423, 39184, 3982, 952, 30767, 1829, 2423, 39184, 18944, 468, 6156, 28814, 1863, 31439, 4724, 3555, 9957, 8592, 8315, 12174, 3215, 33599, 9122, 2304, 10632, 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كل البيانات اللي موجودة ونجبلها rank ونحسب الـ U-Test فبالتالي بنفقدش أي رقم من الموجودات وبنستخدم كل ال data اللي موجودة", "tokens": [33753, 7578, 8717, 14851, 5172, 25708, 9154, 28242, 9673, 30241, 20498, 9307, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 1863, 14851, 17082, 1211, 11296, 44945, 14851, 9778, 40448, 1975, 46456, 3555, 9640, 24525, 2304, 3224, 2423, 39184, 41576, 338, 9089, 35921, 292, 9279, 34051, 19446, 7251, 38251, 7578, 20666, 39184, 2458, 39466, 9279, 34051, 19446, 7251, 38251, 7578, 20666, 39184, 624, 12, 51, 377, 4032, 3555, 1863, 28543, 2288, 8717, 14851, 9778, 40448, 28242, 2423, 21292, 7649, 9307, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 1863, 7435, 36150, 11296, 6181, 4032, 1863, 5016, 35457, 2423, 39184, 624, 12, 51, 377, 6156, 3555, 6027, 2655, 6027, 1829, 44945, 5172, 28543, 8592, 36632, 12602, 4587, 2304, 9154, 9673, 29245, 23328, 9307, 4032, 3555, 1863, 14851, 9778, 40448, 28242, 2423, 1412, 13672, 1829, 3714, 29245, 23328, 3660], "avg_logprob": 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"word": " ونجبلها", "probability": 0.85517578125}, {"start": 1930.7, "end": 1931.14, "word": " rank", "probability": 0.59375}, {"start": 1931.14, "end": 1931.9, "word": " ونحسب", "probability": 0.9696044921875}, {"start": 1931.9, "end": 1932.28, "word": " الـ", "probability": 0.880859375}, {"start": 1932.28, "end": 1932.46, "word": " U", "probability": 0.84912109375}, {"start": 1932.46, "end": 1932.84, "word": "-Test", "probability": 0.8603515625}, {"start": 1932.84, "end": 1935.46, "word": " فبالتالي", "probability": 0.9900716145833334}, {"start": 1935.46, "end": 1936.2, "word": " بنفقدش", "probability": 0.81939697265625}, {"start": 1936.2, "end": 1936.4, "word": " أي", "probability": 0.64111328125}, {"start": 1936.4, "end": 1936.74, "word": " رقم", "probability": 0.9954427083333334}, {"start": 1936.74, "end": 1936.88, "word": " من", "probability": 0.93310546875}, {"start": 1936.88, "end": 1937.54, "word": " الموجودات", "probability": 0.97705078125}, {"start": 1937.54, "end": 1938.16, 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{"start": 2152.46, "end": 2152.6, "word": " ال", "probability": 0.9794921875}, {"start": 2152.6, "end": 2153.1, "word": " unpaired", "probability": 0.8264973958333334}, {"start": 2153.1, "end": 2153.66, "word": " sample", "probability": 0.8466796875}, {"start": 2153.66, "end": 2154.34, "word": " بنيجي", "probability": 0.8319091796875}, {"start": 2154.34, "end": 2154.7, "word": " عند", "probability": 0.9775390625}, {"start": 2154.7, "end": 2155.16, "word": " ال", "probability": 0.97607421875}, {"start": 2155.16, "end": 2155.72, "word": " N2", "probability": 0.534912109375}, {"start": 2155.72, "end": 2156.26, "word": " عشرة", "probability": 0.6990559895833334}, {"start": 2156.26, "end": 2156.42, "word": " و", "probability": 0.75732421875}, {"start": 2156.42, "end": 2156.54, "word": " ال", "probability": 0.7587890625}, {"start": 2156.54, "end": 2157.0, "word": " N1", "probability": 0.8408203125}, {"start": 2157.0, "end": 2157.56, "word": " عشرة", "probability": 0.9567057291666666}, 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normal distribution أو small sample size", "tokens": [5172, 3555, 6027, 2655, 6027, 1829, 2423, 39184, 38915, 20666, 8848, 9307, 46740, 44713, 12984, 1863, 16606, 23758, 42963, 14851, 12984, 1863, 16606, 14739, 31439, 44945, 5172, 3615, 24976, 39184, 732, 3935, 4032, 44945, 5172, 3615, 7251, 30544, 24976, 2655, 1211, 9307, 3660, 3935, 6156, 10721, 4117, 49115, 44945, 5172, 3615, 7251, 30544, 8978, 2423, 39184, 2107, 12, 2181, 335, 17475, 3714, 4587, 16758, 1211, 24976, 39184, 256, 12, 31636, 4032, 44945, 5172, 3615, 7251, 30544, 3714, 4587, 16758, 1211, 8978, 2423, 39184, 2107, 12, 2181, 335, 17475, 24976, 7649, 38688, 995, 4032, 8717, 36178, 16490, 9566, 2407, 9307, 2423, 7649, 38688, 995, 4032, 8717, 36178, 15302, 2423, 7649, 38688, 995, 11933, 15040, 14739, 3224, 39894, 30544, 406, 2710, 7316, 34051, 1359, 6889, 2744], "avg_logprob": -0.18999999618530272, "compression_ratio": 1.9338842975206612, "no_speech_prob": 0.0, "words": [{"start": 2212.13, "end": 2212.75, "word": "فبالتالي", 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" non", "probability": 0.93212890625}, {"start": 2227.17, "end": 2227.83, "word": "-parametric", "probability": 0.95458984375}, {"start": 2227.83, "end": 2228.87, "word": " للانوفا", "probability": 0.77020263671875}, {"start": 2228.87, "end": 2229.33, "word": " و", "probability": 0.87548828125}, {"start": 2229.33, "end": 2229.59, "word": " نفس", "probability": 0.95361328125}, {"start": 2229.59, "end": 2230.15, "word": " خطوات", "probability": 0.975830078125}, {"start": 2230.15, "end": 2230.77, "word": " الانوفا", "probability": 0.9654541015625}, {"start": 2230.77, "end": 2230.95, "word": " و", "probability": 0.970703125}, {"start": 2230.95, "end": 2231.19, "word": " نفس", "probability": 0.965576171875}, {"start": 2231.19, "end": 2231.71, "word": " assumption", "probability": 0.77294921875}, {"start": 2231.71, "end": 2232.53, "word": " الانوفا", "probability": 0.86163330078125}, {"start": 2232.53, "end": 2233.07, "word": " إلا", "probability": 0.891357421875}, {"start": 2233.07, "end": 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لما يكون two groups أنه أنا بروح بقى أجيب ال medians لكل المجموعات وبعد ما أجيب ال median بشوف مين أعلى ومين أقل في كل مجموعة", "tokens": [2407, 4587, 1211, 8315, 36145, 2423, 39184, 1359, 6889, 2744, 8978, 6024, 118, 6027, 3555, 39894, 39648, 36145, 11296, 6055, 30544, 406, 2710, 7316, 6156, 4117, 25720, 2423, 26779, 1500, 8978, 11331, 6027, 3660, 5551, 4117, 49115, 9154, 732, 3935, 6055, 1211, 9307, 3660, 36725, 25513, 27884, 34051, 16490, 2304, 3794, 3660, 34051, 5551, 4117, 49115, 39894, 30544, 8717, 36178, 11296, 39896, 39896, 8717, 36178, 5296, 15042, 7251, 30544, 732, 3935, 14739, 3224, 41850, 4724, 32887, 5016, 4724, 4587, 7578, 5551, 7435, 1829, 3555, 2423, 1205, 2567, 5296, 28820, 9673, 7435, 2304, 45367, 9307, 46599, 22488, 19446, 5551, 7435, 1829, 3555, 2423, 26779, 4724, 8592, 38688, 3714, 9957, 5551, 3615, 23942, 4032, 2304, 9957, 5551, 4587, 1211, 8978, 28242, 3714, 7435, 2304, 2407, 27884], "avg_logprob": -0.15525000715255738, "compression_ratio": 1.7509293680297398, 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"word": " groups", "probability": 0.96435546875}, {"start": 2252.0, "end": 2252.54, "word": " تلاتة", "probability": 0.8040771484375}, {"start": 2252.54, "end": 2252.9, "word": " وأربعة", "probability": 0.8204752604166666}, {"start": 2252.9, "end": 2253.02, "word": " أو", "probability": 0.5078125}, {"start": 2253.02, "end": 2253.5, "word": " خمسة", "probability": 0.915771484375}, {"start": 2253.5, "end": 2253.64, "word": " أو", "probability": 0.78173828125}, {"start": 2253.64, "end": 2254.08, "word": " أكثر", "probability": 0.90625}, {"start": 2254.08, "end": 2254.98, "word": " بتكون", "probability": 0.84228515625}, {"start": 2254.98, "end": 2255.64, "word": " نفسها", "probability": 0.9541015625}, {"start": 2255.64, "end": 2256.04, "word": " هي", "probability": 0.70849609375}, {"start": 2256.04, "end": 2256.32, "word": " هي", "probability": 0.85693359375}, {"start": 2256.32, "end": 2256.68, "word": " نفس", "probability": 0.996337890625}, {"start": 2256.68, "end": 2256.9, "word": " لما", "probability": 0.851318359375}, {"start": 2256.9, "end": 2257.16, "word": " يكون", "probability": 0.962890625}, {"start": 2257.16, "end": 2257.4, "word": " two", "probability": 0.43603515625}, {"start": 2257.4, "end": 2257.86, "word": " groups", "probability": 0.9580078125}, {"start": 2257.86, "end": 2259.16, "word": " أنه", "probability": 0.62890625}, {"start": 2259.16, "end": 2259.42, "word": " أنا", "probability": 0.8134765625}, {"start": 2259.42, "end": 2260.04, "word": " بروح", "probability": 0.9588216145833334}, {"start": 2260.04, "end": 2260.24, "word": " بقى", "probability": 0.8746744791666666}, {"start": 2260.24, "end": 2260.58, "word": " أجيب", "probability": 0.9874267578125}, {"start": 2260.58, "end": 2260.72, "word": " ال", "probability": 0.9775390625}, {"start": 2260.72, "end": 2261.26, "word": " medians", "probability": 0.6978759765625}, {"start": 2261.26, "end": 2262.2, "word": " لكل", "probability": 0.974609375}, {"start": 2262.2, "end": 2262.98, "word": " المجموعات", "probability": 0.975390625}, {"start": 2262.98, "end": 2263.72, "word": " وبعد", "probability": 0.7841796875}, {"start": 2263.72, "end": 2263.82, "word": " ما", "probability": 0.93310546875}, {"start": 2263.82, "end": 2264.1, "word": " أجيب", "probability": 0.98828125}, {"start": 2264.1, "end": 2264.22, "word": " ال", "probability": 0.97509765625}, {"start": 2264.22, "end": 2264.54, "word": " median", "probability": 0.939453125}, {"start": 2264.54, "end": 2265.04, "word": " بشوف", "probability": 0.9736328125}, {"start": 2265.04, "end": 2265.36, "word": " مين", "probability": 0.927978515625}, {"start": 2265.36, "end": 2265.72, "word": " أعلى", "probability": 0.9641927083333334}, {"start": 2265.72, "end": 2266.08, "word": " ومين", "probability": 0.8123372395833334}, {"start": 2266.08, "end": 2266.44, "word": " أقل", "probability": 0.98974609375}, {"start": 2266.44, "end": 2266.6, "word": " في", "probability": 0.97607421875}, {"start": 2266.6, "end": 2266.8, "word": " كل", 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0.9945068359375}, {"start": 2283.58, "end": 2283.72, "word": " ال", "probability": 0.486083984375}, {"start": 2283.72, "end": 2284.44, "word": " benzaldehyde", "probability": 0.848193359375}, {"start": 2284.44, "end": 2285.98, "word": " والacetaldehyde", "probability": 0.845947265625}, {"start": 2285.98, "end": 2286.34, "word": " على", "probability": 0.85595703125}, {"start": 2286.34, "end": 2287.3, "word": " القصابات", "probability": 0.9052734375}, {"start": 2287.3, "end": 2287.94, "word": " الهوائية", "probability": 0.98369140625}, {"start": 2287.94, "end": 2288.88, "word": " أخد", "probability": 0.8592122395833334}, {"start": 2288.88, "end": 2289.12, "word": " عنده", "probability": 0.97216796875}, {"start": 2289.12, "end": 2289.54, "word": " 15", "probability": 0.58984375}, {"start": 2289.54, "end": 2290.06, "word": " خنزير", "probability": 0.9801025390625}, {"start": 2290.06, "end": 2290.68, "word": " وقسمهم", "probability": 0.9017333984375}, {"start": 2290.68, "end": 2291.0, "word": " إلى", "probability": 0.87109375}, {"start": 2291.0, "end": 2291.72, "word": " 3", "probability": 0.671875}, {"start": 2291.72, "end": 2292.5, "word": " مجموعات", "probability": 0.98603515625}, {"start": 2292.5, "end": 2293.84, "word": " المجموعة", "probability": 0.786181640625}, {"start": 2293.84, "end": 2294.26, "word": " الأولى", "probability": 0.9827473958333334}, {"start": 2294.26, "end": 2294.74, "word": " خمسة", "probability": 0.8931884765625}, {"start": 2294.74, "end": 2295.2, "word": " والتانية", "probability": 0.8489990234375}, {"start": 2295.2, "end": 2295.54, "word": " خمسة", "probability": 0.96728515625}, {"start": 2295.54, "end": 2296.0, "word": " والتالتة", "probability": 0.95244140625}, {"start": 2296.0, "end": 2296.48, "word": " خمسة", "probability": 0.9937744140625}], "temperature": 1.0}, {"id": 85, "seek": 232273, "start": 2296.82, "end": 2322.74, "text": "المجموعة الأولى خلّاها تستنشق هواء عادي والمجموعة التانية تستنشق بنزلدهيد والمجموعة التالتة أستردهيد وبعدين خدّرهم وقاسل الإجازة كـresponse اللي موجودة في القصابات الهوائية عن طريق قداش كمية وعدد الازينوفيل اللي موجودة داخل القصابات الهوائية الhypothesis أن الـH0 بتقول أن تلت مجموعات equal في ال median والـHA", "tokens": [45340, 7435, 2304, 2407, 27884, 16247, 12610, 7578, 16490, 1211, 11703, 995, 11296, 6055, 14851, 1863, 8592, 4587, 31439, 16606, 6225, 995, 16254, 16070, 2304, 7435, 2304, 2407, 27884, 16712, 7649, 10632, 6055, 14851, 1863, 8592, 4587, 44945, 11622, 1211, 3215, 3224, 25708, 16070, 2304, 7435, 2304, 2407, 27884, 16712, 6027, 2655, 3660, 5551, 14851, 2288, 3215, 3224, 25708, 46599, 22488, 9957, 16490, 3215, 11703, 2288, 16095, 4032, 4587, 32277, 1211, 33688, 7435, 31377, 3660, 9122, 39184, 5667, 3739, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 25062, 9381, 16758, 9307, 2423, 3224, 2407, 16373, 10632, 18871, 23032, 16572, 4587, 12174, 3215, 33599, 9122, 2304, 10632, 4032, 22488, 3215, 2423, 31377, 9957, 38688, 26895, 13672, 1829, 3714, 29245, 23328, 3660, 11778, 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2423, 39184, 430, 12, 53, 304, 622, 13672, 1829, 3714, 29245, 23328, 43242, 8315, 10353, 9154, 27188, 6156, 3555, 6027, 2655, 6027, 1829, 39894, 30544, 43242, 8315, 16472, 3224, 8978, 4776, 2649, 1296, 264, 1045, 3935, 4032, 39319, 8315, 3714, 15040, 5016, 19913, 9957, 16472, 3224, 43242, 8315, 2423, 6889, 2744, 20328, 17082, 48923], "avg_logprob": -0.2232142789023263, "compression_ratio": 1.775438596491228, "no_speech_prob": 3.3974647521972656e-06, "words": [{"start": 2349.17, "end": 2349.65, "word": "وشاف", "probability": 0.822265625}, {"start": 2349.65, "end": 2349.85, "word": " مين", "probability": 0.707275390625}, {"start": 2349.85, "end": 2350.27, "word": " أعلى", "probability": 0.87744140625}, {"start": 2350.27, "end": 2350.83, "word": " ومين", "probability": 0.89990234375}, {"start": 2350.83, "end": 2351.31, "word": " أقل", "probability": 0.9905598958333334}, {"start": 2351.31, "end": 2351.77, "word": " من", "probability": 0.97802734375}, {"start": 2351.77, "end": 2352.35, "word": " قيمة", "probability": 0.9938151041666666}, {"start": 2352.35, "end": 2352.61, "word": " الـ", "probability": 0.74267578125}, {"start": 2352.61, "end": 2352.99, "word": " Median", "probability": 0.687255859375}, {"start": 2352.99, "end": 2353.69, "word": " وطلعت", "probability": 0.8531494140625}, {"start": 2353.69, "end": 2354.05, "word": " معاه", "probability": 0.662109375}, {"start": 2354.05, "end": 2354.13, "word": " الـ", "probability": 0.6689453125}, {"start": 2354.13, "end": 2354.33, "word": " Table", "probability": 0.5966796875}, {"start": 2354.33, "end": 2354.87, "word": " بالصورة", "probability": 0.932861328125}, {"start": 2354.87, "end": 2355.31, "word": " هذه", "probability": 0.92138671875}, {"start": 2355.31, "end": 2356.67, "word": " وراح", "probability": 0.7353515625}, {"start": 2356.67, "end": 2356.89, "word": " حسب", "probability": 0.923583984375}, {"start": 2356.89, "end": 2357.17, "word": " عندنا", "probability": 0.7265625}, {"start": 2357.17, "end": 2357.69, "word": " قيمة", "probability": 0.99609375}, {"start": 2357.69, "end": 2357.97, "word": " الـ", "probability": 0.4698486328125}, {"start": 2357.97, "end": 2358.13, "word": " Chi", "probability": 0.36328125}, {"start": 2358.13, "end": 2358.67, "word": "-Square", "probability": 0.6663818359375}, {"start": 2358.67, "end": 2359.23, "word": " وطلع", "probability": 0.937744140625}, {"start": 2359.23, "end": 2359.45, "word": " منها", "probability": 0.984130859375}, {"start": 2359.45, "end": 2359.99, "word": " قيمة", "probability": 0.9923502604166666}, {"start": 2359.99, "end": 2360.23, "word": " الـ", "probability": 0.89501953125}, {"start": 2360.23, "end": 2360.33, "word": " P", "probability": 0.3154296875}, {"start": 2360.33, "end": 2360.79, "word": "-Value", "probability": 0.8494873046875}, {"start": 2360.79, "end": 2361.35, "word": " وطلعوا", "probability": 0.809375}, {"start": 2361.35, "end": 2361.73, "word": " عندنا", "probability": 0.908203125}, {"start": 2361.73, "end": 2362.41, "word": " التلت", "probability": 0.7538248697916666}, {"start": 2362.41, "end": 2362.97, "word": " وطلع", "probability": 0.945068359375}, {"start": 2362.97, "end": 2363.19, "word": " عندنا", "probability": 0.967041015625}, {"start": 2363.19, "end": 2363.31, "word": " الـ", "probability": 0.820068359375}, {"start": 2363.31, "end": 2363.43, "word": " P", "probability": 0.953125}, {"start": 2363.43, "end": 2363.73, "word": "-Value", "probability": 0.9840087890625}, {"start": 2363.73, "end": 2363.87, "word": " اللي", "probability": 0.904541015625}, {"start": 2363.87, "end": 2364.41, "word": " موجود", "probability": 0.98876953125}, {"start": 2364.41, "end": 2365.19, "word": " عندنا", "probability": 0.934326171875}, {"start": 2365.19, "end": 2365.65, "word": " 31", "probability": 0.828125}, {"start": 2365.65, "end": 2366.27, "word": " من", "probability": 0.8974609375}, {"start": 2366.27, "end": 2366.61, "word": " الف", "probability": 0.352783203125}, {"start": 2366.61, "end": 2368.09, "word": " فبالتالي", "probability": 0.9803059895833334}, {"start": 2368.09, "end": 2368.73, "word": " بتكون", "probability": 0.556671142578125}, {"start": 2368.73, "end": 2369.21, "word": " عندنا", "probability": 0.985107421875}, {"start": 2369.21, "end": 2369.55, "word": " انه", "probability": 0.4765625}, {"start": 2369.55, "end": 2369.63, "word": " في", "probability": 0.8642578125}, {"start": 2369.63, "end": 2370.15, "word": " significant", "probability": 0.490234375}, {"start": 2370.15, "end": 2370.61, "word": " difference", "probability": 0.83154296875}, {"start": 2370.61, "end": 2371.07, "word": " between", "probability": 0.86767578125}, {"start": 2371.07, "end": 2371.33, "word": " the", "probability": 0.55810546875}, {"start": 2371.33, "end": 2371.57, "word": " three", "probability": 0.8408203125}, {"start": 2371.57, "end": 2371.95, "word": " groups", "probability": 0.1448974609375}, {"start": 2371.95, "end": 2374.61, "word": " واحنا", "probability": 0.7945963541666666}, {"start": 2374.61, "end": 2375.05, "word": " ملاحظين", "probability": 0.95712890625}, {"start": 2375.05, "end": 2375.23, "word": " انه", "probability": 0.686767578125}, {"start": 2375.23, "end": 2375.45, "word": " عندنا", "probability": 0.98828125}, {"start": 2375.45, "end": 2375.57, "word": " ال", "probability": 0.837890625}, {"start": 2375.57, "end": 2375.77, "word": " sample", "probability": 0.71533203125}, {"start": 2375.77, "end": 2376.27, "word": " size", "probability": 0.81298828125}, {"start": 2376.27, "end": 2377.07, "word": " صغيرة", "probability": 0.9879557291666666}], "temperature": 1.0}, {"id": 88, "seek": 240655, "start": 2377.77, "end": 2406.55, "text": "وفي الواقع أنه احنا ال media ندنصح ان نستخدمه في حالات لما بتكون ال sample size صغيرة ال media في ال SPSS احنا شرحناها سابقا في ال two group ونفس الخطوات هما هما هنكتفي بهذا القرار من المحاضرة نسأل الله عز وجل لكم دوام التوفيق والستداد ومفور الصحة والعافية والسلام عليكم ورحمة الله وبركاته", "tokens": [2407, 41185, 2423, 14407, 4587, 3615, 14739, 3224, 1975, 5016, 8315, 2423, 3021, 8717, 3215, 1863, 9381, 5016, 16472, 8717, 14851, 9778, 40448, 3224, 8978, 11331, 6027, 9307, 5296, 15042, 39894, 30544, 2423, 6889, 2744, 20328, 17082, 48923, 2423, 3021, 8978, 2423, 318, 6273, 50, 1975, 5016, 8315, 13412, 2288, 5016, 8315, 11296, 8608, 16758, 4587, 995, 8978, 2423, 732, 1594, 4032, 1863, 36178, 33962, 9566, 2407, 9307, 8032, 15042, 8032, 15042, 8032, 1863, 4117, 2655, 41185, 39627, 15730, 25062, 2288, 9640, 9154, 9673, 5016, 46958, 25720, 8717, 3794, 10721, 1211, 21984, 6225, 11622, 49610, 1211, 5296, 24793, 11778, 2407, 10943, 16712, 38688, 1829, 4587, 16070, 14851, 3215, 18513, 4032, 2304, 5172, 13063, 31767, 5016, 3660, 16070, 3615, 31845, 10632, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.16934741945827708, "compression_ratio": 1.779783393501805, "no_speech_prob": 3.504753112792969e-05, "words": [{"start": 2377.77, "end": 2378.05, "word": "وفي", "probability": 0.5025634765625}, {"start": 2378.05, "end": 2378.63, "word": " الواقع", "probability": 0.984375}, {"start": 2378.63, "end": 2378.93, "word": " أنه", "probability": 0.3572998046875}, {"start": 2378.93, "end": 2379.25, "word": " احنا", "probability": 0.8837890625}, {"start": 2379.25, "end": 2379.77, "word": " ال", "probability": 0.8271484375}, {"start": 2379.77, "end": 2379.99, "word": " media", "probability": 0.245361328125}, {"start": 2379.99, "end": 2380.55, "word": " ندنصح", "probability": 0.600439453125}, {"start": 2380.55, "end": 2380.71, "word": " ان", "probability": 0.367431640625}, {"start": 2380.71, "end": 2381.65, "word": " نستخدمه", "probability": 0.84140625}, {"start": 2381.65, "end": 2381.99, "word": " في", "probability": 0.90673828125}, {"start": 2381.99, "end": 2382.47, "word": " حالات", "probability": 0.9729817708333334}, {"start": 2382.47, "end": 2382.65, "word": " لما", "probability": 0.744873046875}, {"start": 2382.65, "end": 2383.05, "word": " بتكون", "probability": 0.898681640625}, {"start": 2383.05, "end": 2383.19, "word": " ال", "probability": 0.9130859375}, {"start": 2383.19, "end": 2383.47, "word": " sample", "probability": 0.90673828125}, {"start": 2383.47, "end": 2383.99, "word": " size", "probability": 0.78369140625}, {"start": 2383.99, "end": 2384.87, "word": " صغيرة", "probability": 0.9755859375}, {"start": 2384.87, "end": 2386.13, "word": " ال", "probability": 0.87939453125}, {"start": 2386.13, "end": 2386.35, "word": " media", "probability": 0.84814453125}, {"start": 2386.35, "end": 2386.55, "word": " في", "probability": 0.90234375}, {"start": 2386.55, "end": 2386.65, "word": " ال", "probability": 0.95361328125}, {"start": 2386.65, "end": 2387.25, "word": " SPSS", "probability": 0.8986002604166666}, {"start": 2387.25, "end": 2387.45, "word": " احنا", "probability": 0.92138671875}, {"start": 2387.45, "end": 2387.97, "word": " شرحناها", "probability": 0.97890625}, {"start": 2387.97, "end": 2388.37, "word": " سابقا", "probability": 0.956787109375}, {"start": 2388.37, "end": 2388.49, "word": " في", "probability": 0.779296875}, {"start": 2388.49, "end": 2388.59, "word": " ال", "probability": 0.90234375}, {"start": 2388.59, "end": 2388.69, "word": " two", "probability": 0.802734375}, {"start": 2388.69, "end": 2389.07, "word": " group", "probability": 0.424072265625}, {"start": 2389.07, "end": 2389.79, "word": " ونفس", "probability": 0.8821614583333334}, {"start": 2389.79, "end": 2390.51, "word": " الخطوات", "probability": 0.9779052734375}, {"start": 2390.51, "end": 2390.89, "word": " هما", "probability": 0.93359375}, {"start": 2390.89, "end": 2391.45, "word": " هما", "probability": 0.978271484375}, {"start": 2391.45, "end": 2395.35, "word": " هنكتفي", "probability": 0.745166015625}, {"start": 2395.35, "end": 2395.63, "word": " بهذا", "probability": 0.924072265625}, {"start": 2395.63, "end": 2395.97, "word": " القرار", "probability": 0.9044596354166666}, {"start": 2395.97, "end": 2396.13, "word": " من", "probability": 0.99267578125}, {"start": 2396.13, "end": 2396.85, "word": " المحاضرة", "probability": 0.9661865234375}, {"start": 2396.85, "end": 2398.29, "word": " نسأل", "probability": 0.919189453125}, {"start": 2398.29, "end": 2398.43, "word": " الله", "probability": 0.943359375}, {"start": 2398.43, "end": 2398.61, "word": " عز", "probability": 0.96337890625}, {"start": 2398.61, "end": 2399.01, "word": " وجل", "probability": 0.8984375}, {"start": 2399.01, "end": 2399.61, "word": " لكم", "probability": 0.977783203125}, {"start": 2399.61, "end": 2400.05, "word": " دوام", "probability": 0.9021809895833334}, {"start": 2400.05, "end": 2400.53, "word": " التوفيق", "probability": 0.9677734375}, {"start": 2400.53, "end": 2401.25, "word": " والستداد", "probability": 0.75579833984375}, {"start": 2401.25, "end": 2401.85, "word": " ومفور", "probability": 0.79901123046875}, {"start": 2401.85, "end": 2402.37, "word": " الصحة", "probability": 0.97412109375}, {"start": 2402.37, "end": 2403.11, "word": " والعافية", "probability": 0.9342041015625}, {"start": 2403.11, "end": 2404.01, "word": " والسلام", "probability": 0.8492838541666666}, {"start": 2404.01, "end": 2404.61, "word": " عليكم", "probability": 0.95947265625}, {"start": 2404.61, "end": 2405.23, "word": " ورحمة", "probability": 0.968505859375}, {"start": 2405.23, "end": 2405.55, "word": " الله", "probability": 0.97607421875}, {"start": 2405.55, "end": 2406.55, "word": " وبركاته", "probability": 0.9740234375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2408.1183125, "duration_after_vad": 2345.5074999999933}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4de49ca41268462acafc1c77f285fb86fe41b009
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU.srt
@@ -0,0 +1,1507 @@
+1
+00:00:03,980 --> 00:00:07,740
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,740 --> 00:00:12,880
+الله وعلى آله وصحبه ومن احتدى بهديه، زملائنا الأعزاء
+
+3
+00:00:12,880 --> 00:00:16,600
+السلام عليكم ورحمة الله وبركاته
+
+4
+00:00:18,590 --> 00:00:23,150
+سيكون، إن شاء الله، عنوان المحاضرة الحالية هو
+
+5
+00:00:23,150 --> 00:00:30,470
+التعريف بما هو البحث العلمي وأنواع البحث العلمي
+
+6
+00:00:30,470 --> 00:00:38,730
+وكيفية كتابة المشكلة البحثية، وكذلك كيفية كتابة
+
+7
+00:00:38,730 --> 00:00:46,190
+الفرضية البحثية الخاصة بالدراسة البحثية
+
+8
+00:00:46,190 --> 00:00:55,720
+العلمية. هو عبارة عن طريق تفكير للباحث، والبحث
+
+9
+00:00:55,720 --> 00:01:06,300
+العلمي له عدة مفاهيم وله عدة تعريفات، وسوف يتم
+
+10
+00:01:06,300 --> 00:01:13,800
+الحديث عن بعض هذه التعريفات.  research أول شيء هو
+
+11
+00:01:13,800 --> 00:01:20,970
+عبارة عن طريق تفكير معيّن. تمامًا عندما يفقد الشخص
+
+12
+00:01:20,970 --> 00:01:27,910
+شيئًا معينًا، يبدأ بالبحث عنه، فبالتالي يقوم بعمل عدة
+
+13
+00:01:27,910 --> 00:01:33,830
+أفكار معينة وعدة ترتيبات للوصول إلى الشيء المفقود.
+
+14
+00:01:33,830 --> 00:01:41,050
+كونه عبارة عن طريق تفكير، تتولد عند الباحث عدة
+
+15
+00:01:41,050 --> 00:01:47,160
+مهارات، وهذه المهارات تجعل الباحث في المراحل
+
+16
+00:01:47,160 --> 00:01:51,420
+القادمة يبحث بطريقة أفضل، فبالتالي هو عبارة عن
+
+17
+00:01:51,420 --> 00:01:58,840
+مجموعة من الـ skills أيضًا. البحث هو عبارة عن سؤال
+
+18
+00:01:58,840 --> 00:02:08,660
+وهذا السؤال يحتاج إلى إجابة. مثلًا: كيف حدث هذا
+
+19
+00:02:08,660 --> 00:02:14,000
+الشيء؟ ولماذا حدث هذا الشيء؟ وما الذي أحدث هذا
+
+20
+00:02:14,000 --> 00:02:21,360
+الشيء؟ كل هذه عبارة عن أسئلة تحتاج إلى إجابة. لو
+
+21
+00:02:21,360 --> 00:02:27,420
+أخذنا مثالًا على موضوع infection معين، أول شيء ممكن
+
+22
+00:02:27,420 --> 00:02:35,480
+يخطر في بال أي شخص: كيف تمت العدوى؟ ثاني شيء: لماذا
+
+23
+00:02:35,480 --> 00:02:43,040
+تمت العدوى؟ وماذا هو السبب الأساسي والرئيسي لكون
+
+24
+00:02:43,040 --> 00:02:47,380
+العدوى وصلت لهذا الشخص؟ لو أخذنا في الواقع الحالي
+
+25
+00:02:47,380 --> 00:02:56,160
+موضوع coronavirus، بدأت الخارطة الوبائية وبدأوا في
+
+26
+00:02:56,160 --> 00:03:02,940
+البحث عن: كيف وصل الوباء إلى قطاع غزة؟ وماذا هو
+
+27
+00:03:02,940 --> 00:03:08,600
+السبب في وصول virus corona إلى قطاع غزة؟ ولماذا يتم
+
+28
+00:03:08,600 --> 00:03:11,360
+انتشار هذا الـ virus؟
+
+29
+00:03:17,490 --> 00:03:22,210
+الـ research  ممكن أن يُعرّف على أنه تطوير واختبار
+
+30
+00:03:22,210 --> 00:03:27,230
+نظرية جديدة. فمثلًا،
+
+31
+00:03:27,230 --> 00:03:34,130
+حينما يتم الحديث عن أن فيروس كورونا COVID-19 هو
+
+32
+00:03:34,130 --> 00:03:40,210
+عبارة عن فيروس مصنع، بالتالي هذه النظرية تحتاج
+
+33
+00:03:40,210 --> 00:03:40,910
+إلى الاختبار.
+
+34
+00:03:45,900 --> 00:03:53,560
+أيضًا يُعرّف الـ research على أنه عبارة عن قياس وفحص
+
+35
+00:03:53,560 --> 00:04:02,380
+إجراءات جديدة يتم اختبارها. مثلًا نقوم بعمل قياس
+
+36
+00:04:02,380 --> 00:04:06,180
+واختبار الإجراءات الوقائية التي تتم  لفيروس
+
+37
+00:04:06,180 --> 00:04:11,940
+كورونا. يعني مثلًا يتم وضع مقارنة ما بين الناس الذين
+
+38
+00:04:11,940 --> 00:04:16,260
+يلبسون كمامة والناس الذين لا يلبسونها، لنكون إنهم وضعوا في
+
+39
+00:04:16,260 --> 00:04:21,060
+الـ protocol الجديد أن فيروس كورونا ممكن الوقاية
+
+40
+00:04:21,060 --> 00:04:25,280
+منه عن طريق الكمامة، وينتقل عن طريق الأنف فقط.
+
+41
+00:04:25,280 --> 00:04:29,440
+فبالتالي هذه الفرضية وهذا الـ procedure الذي نحن
+
+42
+00:04:29,440 --> 00:04:33,320
+عملناه وقلنا للناس يلتزموا به، يلبسوا كمامات،
+
+43
+00:04:33,320 --> 00:04:37,680
+يحتاج إلى اختبار. فهذا الاختبار يتم عن طريق بحث
+
+44
+00:04:37,680 --> 00:04:44,240
+علمي. understanding guiding principle أنه أنا عندي
+
+45
+00:04:44,240 --> 00:04:50,760
+عندي principle جديد أو فحص جديد، بتأكد من أنه دقيق
+
+46
+00:04:50,760 --> 00:04:56,040
+ولا غير دقيق، فبتم فحص هذا الشيء عن طريق بحث علمي.
+
+47
+00:04:56,040 --> 00:05:00,860
+موجود أيضًا
+
+48
+00:05:00,860 --> 00:05:05,460
+الـ research ممكن أن يُعرّف على أنه المساهمة في
+
+49
+00:05:05,460 --> 00:05:10,940
+النهوض بمهنتك وممارساتك اليومية، أنك أنت قدّاش يوميًا
+
+50
+00:05:10,940 --> 00:05:16,720
+بتمارس من مهام، وبتشوف هذه المهام، هل تسعى إلى تطوير
+
+51
+00:05:16,720 --> 00:05:22,380
+ذاتك؟ ولا يعني باختصار شديد: المراجعة اليومية للأعمال
+
+52
+00:05:22,380 --> 00:05:26,000
+التي نجوم فيها، حتى نتعلم من الأخطاء الموجودة.
+
+53
+00:05:26,000 --> 00:05:31,760
+ممكن أن يُعرّف كونها للسياسي، وأيضًا
+
+54
+00:05:31,760 --> 00:05:36,760
+ممكن أن يُعرّف على أنه طريقة لجمع الأدلة التي
+
+55
+00:05:36,760 --> 00:05:39,400
+موجودة في أعمالنا اليومية.
+
+56
+00:05:43,840 --> 00:05:51,000
+كل هذه الأشياء هي تعريف الـ research، وهذه بس فقط إن
+
+57
+00:05:51,000 --> 00:05:55,260
+نحن نطلع عليها ونحن نأخذ ما هو تعريف الـ research
+
+58
+00:05:55,260 --> 00:06:01,660
+من الناحية العلمية. يتم تطبيق البحث لاستخدام المنهج
+
+59
+00:06:01,660 --> 00:06:07,480
+العلمي للتحقيق في مشكلة معينة، يمكن أن تكون مشكلة
+
+60
+00:06:07,480 --> 00:06:13,940
+صحية أو مشكلة بيولوجية. فبالتالي المنهج العلمي الذي
+
+61
+00:06:13,940 --> 00:06:21,420
+أنا أستخدمه حتى أتحقق من وجود مشكلة معينة، سواء
+
+62
+00:06:21,420 --> 00:06:25,640
+كانت صحية أو بيولوجية، هو هذا الذي نحن نسميه
+
+63
+00:06:25,640 --> 00:06:33,460
+بالبحث العلمي. البحث تعريفه هو عبارة عن عملية جمع
+
+64
+00:06:33,460 --> 00:06:42,720
+المعلومات من خلال خبراتك الخاصة، ومصادر المعرفة التي
+
+65
+00:06:42,720 --> 00:06:48,280
+تطلع عليها، والبيانات، الـ data، التي تكون موجودة في
+
+66
+00:06:48,280 --> 00:06:53,000
+التجارب التي نحن نقوم بها، experimental، كل هذه
+
+67
+00:06:53,000 --> 00:07:00,040
+الأشياء تقودنا أن نعرف البحث العلمي، research،
+
+68
+00:07:00,040 --> 00:07:03,880
+هو عبارة عن عملية، وهذه العملية collection للـ
+
+69
+00:07:03,880 --> 00:07:08,910
+information، جمع بيانات من خلال الـ experience، من
+
+70
+00:07:08,910 --> 00:07:13,790
+خلال خبرتك، ومن خلال الـ knowledge، المعرفة التي أنت
+
+71
+00:07:13,790 --> 00:07:19,350
+تعرفها، أو من خلال تجارب أنت قمت بها. كل هذه
+
+72
+00:07:19,350 --> 00:07:26,550
+الأشياء هي عبارة عن research. هو عبارة عن title
+
+73
+00:07:26,550 --> 00:07:30,110
+نحصل عليه من topic. فبالتالي الـ topic بيكون هو عبارة عن
+
+74
+00:07:30,110 --> 00:07:35,400
+موضوع البحث. أنا أريد أن أجعل البحث في موضوع الـ type 2
+
+75
+00:07:35,400 --> 00:07:40,100
+diabetes، فبالتالي يكون عنده topic هو type 2
+
+76
+00:07:40,100 --> 00:07:45,300
+diabetes. طب، والـ title هو more specific than topic.
+
+77
+00:07:45,300 --> 00:07:51,420
+يعني أكثر تخصيصًا من موضوع الـ topic. أنا أريد أن أشتغل
+
+78
+00:07:51,420 --> 00:07:58,020
+الـ UTI في مرضى السكري. فبالتالي نقول أن الـ topic
+
+79
+00:07:58,020 --> 00:08:01,040
+هو عبارة عن الموضوع الذي أنا أريد أن أشتغل فيه، نسميه
+
+80
+00:08:01,040 --> 00:08:04,960
+topic: type 2 diabetes، وأريد أن أشتغل في الـ type 2
+
+81
+00:08:04,960 --> 00:08:08,680
+diabetes، موضوع الالتهابات المجاري البولية، الذي هو
+
+82
+00:08:08,680 --> 00:08:12,630
+urinary tract infection. أيضًا أنا ممكن آخذ topic
+
+83
+00:08:12,630 --> 00:08:16,970
+آخر أريد أن أشتغل فيه: cancer، كلمة cancer، وهذا اسمه
+
+84
+00:08:16,970 --> 00:08:21,300
+topic، الذي هو topic تبع أو موضوع البحث، وأنا بدأت
+
+85
+00:08:21,300 --> 00:08:25,320
+أشتغل عليه: biomarker، لـ new biomarker الذي أنا بدأت
+
+86
+00:08:25,320 --> 00:08:28,860
+أشتغل عليه. هذا نسميه الـ title. فبالتالي أنا بدأت
+
+87
+00:08:28,860 --> 00:08:33,960
+أقول: new biomarker in cancer patient، هذا أصبح اسمه
+
+88
+00:08:33,960 --> 00:08:38,580
+title، ولكن للـ title فيه معايير معينة سنتكلم عنها
+
+89
+00:08:38,580 --> 00:08:42,920
+لاحقًا، إن شاء الله. نحن نلخص هذه الـ slide الموجودة
+
+90
+00:08:42,920 --> 00:08:46,620
+أنه أنا: research عبارة عن منهج علمي لحل مشكلة
+
+91
+00:08:46,620 --> 00:08:51,730
+معينة، وحتى أحل هذه المشكلة، أريد أن أجمع بيانات موجودة
+
+92
+00:08:51,730 --> 00:08:58,010
+من خلال خبرتي ومعرفتي، ومن خلال أشياء وتجارب أنا
+
+93
+00:08:58,010 --> 00:09:02,930
+أخذتها واطلعت عليها، وفي الآخر أريد أن أصل إلى نتيجة موجودة
+
+94
+00:09:02,930 --> 00:09:09,190
+عندي. What is research؟ الـ research هو عبارة عن
+
+95
+00:09:09,190 --> 00:09:17,890
+منهج علمي بحثي يستخدم لحل مشكلة معينة، سواء كانت هذه
+
+96
+00:09:17,890 --> 00:09:26,030
+المشكلة في المجال الصحي أو في مجال الـ biology. الـ
+
+97
+00:09:26,030 --> 00:09:30,970
+research يُعتبر هو عبارة عن عملية أنا أجمع فيها
+
+98
+00:09:30,970 --> 00:09:35,170
+البيانات، وهذه البيانات التي أنا أجمعها عن الـ
+
+99
+00:09:35,170 --> 00:09:38,830
+research من خلال خبرتي، أنا أشعر أن هناك مشكلة محددة
+
+100
+00:09:39,600 --> 00:09:44,420
+من خلال مصادر المعرفة، أنا كل يوم أسمع مشاكل
+
+101
+00:09:44,420 --> 00:09:48,220
+الناس الموجودة، فصار عندي مصدر لأتعرف على
+
+102
+00:09:48,220 --> 00:09:52,970
+مشاكل الناس، وأقول هذه المشكلة تحتاج إلى حل من خلال بعض
+
+103
+00:09:52,970 --> 00:09:56,390
+التجارب التي أنا أخذتها، يعني أنا ذهبت إلى مؤسسة
+
+104
+00:09:56,390 --> 00:10:02,070
+معينة، وشعرت أنه لا يوجد رضا محدد عند الناس، أو رضا
+
+105
+00:10:02,070 --> 00:10:06,410
+كامل عند الناس عن هذه المؤسسة، فصار موضوع بحثي، أنا
+
+106
+00:10:06,410 --> 00:10:10,630
+أريد أن أقيس الرضا من خلال التجارب التي أنا رأيتها، أو
+
+107
+00:10:10,630 --> 00:10:15,540
+التي أنا أخذتها. هذا كله السابق يقودنا أن نحن أول
+
+108
+00:10:15,540 --> 00:10:20,880
+شيء في موضوع اختيار عنوان رسالة الماجستير، نحتاج
+
+109
+00:10:20,880 --> 00:10:25,720
+أن نحدد الـ topic. يبقى الـ topic هو عبارة عن موضوع
+
+110
+00:10:25,720 --> 00:10:31,100
+البحث. موضوع البحث بيكون أن أنا أريد أن أحدد أيش المجال
+
+111
+00:10:31,100 --> 00:10:35,040
+الذي أنا أريد أن أشتغل فيه. أنا أريد أن أشتغل في type 2
+
+112
+00:10:35,040 --> 00:10:39,280
+diabetes، نسميه topic. أريد أن أشتغل في موضوع الـ cancer،
+
+113
+00:10:39,280 --> 00:10:44,500
+اسمه topic. أبدأ أشتغل في موضوع الـ abortion، هذا عبارة
+
+114
+00:10:44,500 --> 00:10:49,480
+عن topic. حتى الـ topic هذا، موضوع البحث، يتحول إلى
+
+115
+00:10:49,480 --> 00:10:53,880
+title، عنوان البحث، يلزم أن أكون more specific،
+
+116
+00:10:53,880 --> 00:10:58,160
+يعني أكثر تخصيصًا، أنه أنا أبدأ أشتغل في الـ type 2
+
+117
+00:10:58,160 --> 00:11:04,740
+diabetes، أبدأ أشتغل في موضوع الـ neuropathy، اعتلال
+
+118
+00:11:04,740 --> 00:11:08,680
+الأعصاب عند مرضى السكري. أريد أن أشتغل في موضوع
+
+119
+00:11:08,680 --> 00:11:15,180
+الـ nephropathy، اعتلال الكلى. أريد أن أشتغل في موضوع الـ
+
+120
+00:11:15,180 --> 00:11:19,220
+cardiovascular disease، الأمراض الوعائية التي
+
+121
+00:11:19,220 --> 00:11:24,980
+موجودة في القلب. كل هذا يقود أن أنا أختار منه
+
+122
+00:11:24,980 --> 00:11:28,000
+title. فبالتالي الـ topic بيكون عبارة عن المجال الذي
+
+123
+00:11:28,000 --> 00:11:31,460
+أريد أن أشتغل فيه، والـ title بيكون more specific عن الـ
+
+124
+00:11:31,460 --> 00:11:39,930
+topic. البحث الصحي هو عبارة عن جمع وتحليل وتفسير
+
+125
+00:11:39,930 --> 00:11:46,430
+منهجي للبيانات المتعلقة بالصحة. وهذا التحليل
+
+126
+00:11:46,430 --> 00:11:51,670
+والتفسير المنهجي للبيانات المتعلقة بالصحة بيكون
+
+127
+00:11:51,670 --> 00:11:57,870
+هدفه الإجابة على سؤال معين، لحل مشكلة ما في المجال
+
+128
+00:11:57,870 --> 00:12:04,900
+الصحي. أنواع الـ research: يا بيكون عندنا primary
+
+129
+00:12:04,900 --> 00:12:10,480
+research، أو بيكون عندنا secondary research. الـ
+
+130
+00:12:10,480 --> 00:12:15,140
+primary research هو عبارة عن بحث أو استفسار أنت
+
+131
+00:12:15,140 --> 00:12:22,040
+قمت به بنفسك، وأنت أول واحد تقوم بهذا البحث. على سبيل
+
+132
+00:12:22,040 --> 00:12:27,460
+مثال: عمل مقابلة لاستفسار عن شيء محدد، أو عمل
+
+133
+00:12:27,460 --> 00:12:35,420
+استبانة، أو عمل بحوث إجرائية، أو كتابة ملاحظات، أو
+
+134
+00:12:35,420 --> 00:12:40,600
+كتابة case study. كل هذه الأشياء أنت أول واحد تقوم
+
+135
+00:12:40,600 --> 00:12:47,140
+بعملها. مثال: أنت لاحظت أنه في مشكلة معينة، في أخطاء
+
+136
+00:12:47,140 --> 00:12:54,720
+موجودة في بعض الفحوصات المخبرية ونتائجها، ذهبت عملت
+
+137
+00:12:54,720 --> 00:12:59,300
+مقابلة مع الناس الذين يشتغلون في المجال، وقدرت أنك
+
+138
+00:12:59,300 --> 00:13:03,260
+تصل إلى حل لهذه المشكلة عن طريق المقابلة، الـ
+
+139
+00:13:03,260 --> 00:13:07,380
+interview. فبالتالي بيكون عبارة عن primary research.
+
+140
+00:13:07,380 --> 00:13:12,720
+هو أنت أول شيء تقوم به، أو أول باحث يقوم بهذا البحث.
+
+141
+00:13:12,720 --> 00:13:18,400
+في عندنا استبانة محددة، وهذه الاستبانة الموجودة
+
+142
+00:13:18,400 --> 00:13:25,200
+بدها تقيس عندنا شيء معين. مثال: أنت
+
+143
+00:13:25,200 --> 00:13:30,510
+لاحظت أن هناك مشكلة في موضوع التعليم الإلكتروني، وفي
+
+144
+00:13:30,510 --> 00:13:35,470
+عند الطلاب بعض الملاحظات، فأنت صممت استبانة، ومن
+
+145
+00:13:35,470 --> 00:13:40,510
+خلال هذه الاستبانة، جاوب الطلاب على موضوع التعليم
+
+146
+00:13:40,510 --> 00:13:44,430
+الإلكتروني، وكانت هذه الاستبانة أول استبانة تُصمّم
+
+147
+00:13:44,430 --> 00:13:48,390
+ولك السبق في تصميمها، فنقول عنه primary research.
+
+148
+00:13:48,390 --> 00:13:53,630
+لأنه أنت لم تأخذها من أحد قبل هيك. البحوث الإجرائية
+
+149
+00:13:53,630 --> 00:14:00,800
+التي تتم عندنا، الـ action and search، أنه أنت لاحظت
+
+150
+00:14:00,800 --> 00:14:07,340
+أن هناك مشكلة محددة ومشكلة معينة، ذهبت عامل تدخل و
+
+151
+00:14:07,340 --> 00:14:13,140
+action على هذا الشيء وحليتها المشكلة. مثال: يعني أنت
+
+152
+00:14:13,140 --> 00:14:19,360
+لاحظت أن بعض الكيتات التي تأتي يومًا عن يوم، كفاءة الـ
+
+153
+00:14:19,360 --> 00:14:23,320
+test تقل، فأنت قلت: أنا كل يوم أريد أن أفعل calibration
+
+154
+00:14:23,320 --> 00:14:27,380
+وأدخل factor جديد موجود عندنا. فهو يعتبر primary
+
+155
+00:14:27,380 --> 00:14:30,960
+research، لأنك أنت لاحظت أنه في مشكلة، وأنت الوحيد
+
+156
+00:14:30,960 --> 00:14:35,260
+الأول الذي عمل على حل هذه المشكلة. موضوع الـ observation
+
+157
+00:14:35,260 --> 00:14:39,880
+ملاحظة محددة. أنت لاحظت أنه في موظف كل يوم يأتي
+
+158
+00:14:39,880 --> 00:14:44,160
+متأخرًا، ذهبت بحثت عن أسباب هذا التأخر وحليتها،
+
+159
+00:14:44,160 --> 00:14:49,240
+فتعتبر كـ primary research، لأنك أنت أول من عمل في
+
+160
+00:14:49,240 --> 00:14:54,650
+هذا المجال. في عندنا case study. case study معناه أن
+
+161
+00:14:54,650 --> 00:14:58,770
+أنا لاحظت أن هناك حالة موجودة محددة، وهذه الـ
+
+162
+00:14:58,770 --> 00:15:02,290
+case study الموجودة عندي، أنا كتبت عنها تقرير و
+
+163
+00:15:02,290 --> 00:15:05,990
+ذهبت نشرت التقرير الموجود أو فعلت الإدارة. فهذه
+
+164
+00:15:05,990 --> 00:15:11,050
+تُعتبر كـ case study. حالة مرضية محددة أنا كتبت
+
+165
+00:15:11,050 --> 00:15:15,150
+الحالة المرضية المحددة هذه، إنها أول حالة، وأيش
+
+166
+00:15:15,150 --> 00:15:20,830
+الإجراءات التي نحن قمنا بها. يعني مثال: لو أنت
+
+167
+00:15:20,830 --> 00:15:26,210
+لاحظت أن هناك مريض محدد، مثل الـ down
+
+168
+00:15:26,210 --> 00:15:30,510
+syndrome، أنه عنده الـ uric acid دائمًا عالي، فأنت ذهبت
+
+169
+00:15:30,510 --> 00:15:34,590
+كتبت أنه أنا عندي مريض، وهذا المريض يتردد على
+
+170
+00:15:34,590 --> 00:15:38,290
+المستشفى، والـ uric acid يكون دائمًا عنده عالي. هي
+
+171
+00:15:38,290 --> 00:15:41,990
+عبارة عن case واحدة، تذهب تكتب فيها report، تُعتبر
+
+172
+00:15:41,990 --> 00:15:46,450
+case study. الـ secondary research: أنت استخدمت
+
+173
+00:15:46,450 --> 00:15:51,790
+material لباحث سابق، وطبقتها بنفس الآلية التي هو
+
+174
+00:15:51,790 --> 00:15:57,310
+عملها
+
+223
+00:19:55,150 --> 00:19:59,530
+ذلك بتقوم بإجراء عدة تجارب على الـ bacteria
+
+224
+00:19:59,530 --> 00:20:05,540
+resistant فبالتالي أول حاجة أنتَ موضوع البكتيريا أو
+
+225
+00:20:05,540 --> 00:20:08,780
+الـ bacteria growth هو عبارة عن topic قرأتُ
+
+226
+00:20:08,780 --> 00:20:15,660
+reference كثيرة على الموضوع وجمعت معلومات، واستشرتُ
+
+227
+00:20:15,660 --> 00:20:20,080
+ناس expert في الموضوع، وبعدها من خلال هذه الاستشارات
+
+228
+00:20:20,080 --> 00:20:25,760
+اتبلورت عندك فكرة، وبدأتَ تجري بعض التجارب بهدف
+
+229
+00:20:25,760 --> 00:20:33,920
+إيقاف نمو البكتيريا. أحيانا أثناء سير البحث نلاحظ
+
+230
+00:20:33,920 --> 00:20:38,840
+أنَّهُ عندنا .. في عندنا مشكلة أو سؤال يحتاج إلى
+
+231
+00:20:38,840 --> 00:20:43,340
+إجابة. أنه بعد أن عرفت الـ antibiotic، بدي أعرف
+
+232
+00:20:43,340 --> 00:20:47,560
+كيف الـ antibiotic هذا يمنع نمو البكتيريا؟ هل هو
+
+233
+00:20:47,560 --> 00:20:51,720
+بيشتغل على الـ DNA؟ أم بيشتغل عندي داخل البكتيريا
+
+234
+00:20:51,720 --> 00:20:58,400
+على الـ cell wall أم الـ cell membrane؟ بيشتغل عندي
+
+235
+00:20:58,400 --> 00:21:02,260
+على الـ ribosome؟ هل الـ antibiotic هذا عبارة عن
+
+236
+00:21:02,260 --> 00:21:08,240
+specific لجين محدد، يُحدث inhibition؟ أم أيش
+
+237
+00:21:08,240 --> 00:21:13,540
+بالظبط؟ هذا يكون عبارة عن سؤال علمي يحتاج إلى
+
+238
+00:21:13,540 --> 00:21:17,900
+إجابة. فبالتالي
+
+239
+00:21:17,900 --> 00:21:24,480
+نصل في الآخر إلى أنَّنا نريد أن نعمل title
+
+240
+00:21:24,480 --> 00:21:30,550
+للبحث من خلال ما سبق. يبقى الـ title هو عبارة عن شيء
+
+241
+00:21:30,550 --> 00:21:35,510
+أنا أختاره، أو موضوع أنا أختاره، منطبق ومحدد، عشان
+
+242
+00:21:35,510 --> 00:21:40,850
+يكون له title. يعني نأخذ مثالاً على ذلك، المثال أن
+
+243
+00:21:40,850 --> 00:21:44,750
+أنا أبدأ أشوف prevalence of urinary tract infection
+
+244
+00:21:44,750 --> 00:21:51,230
+among primary school children in Gaza Strip. أنا
+
+245
+00:21:51,230 --> 00:21:56,230
+أبدأ أشوف ما مدى انتشار الالتهابات في المجال البولي، ما
+
+246
+00:21:56,230 --> 00:22:01,230
+بين الأطفال الموجودين في المدارس الإبتدائية في
+
+247
+00:22:01,230 --> 00:22:06,930
+قطاع غزة. هذا نقول عنه title. هذا الـ title جاء
+
+248
+00:22:06,930 --> 00:22:11,130
+من topic. الـ topic هو عبارة عن urinary tract
+
+249
+00:22:11,130 --> 00:22:14,270
+infection. أنا عندي urinary tract infection هو عبارة
+
+250
+00:22:14,270 --> 00:22:20,450
+عن مشكلة موجودة، وبدأ أروح أشوف ما مدى انتشارها في
+
+251
+00:22:20,450 --> 00:22:25,380
+أطفال الموجودين في المرحلة الإبتدائية. فبالتالي
+
+252
+00:22:25,380 --> 00:22:29,400
+لما تفكر في موضوع البحث تبع الـ majesia، بدك أول
+
+253
+00:22:29,400 --> 00:22:32,620
+حاجة تحدد الـ topic اللي بتشتغل عليه قبل الـ title
+
+254
+00:22:32,620 --> 00:22:39,340
+أنا بدي أشتغل موضوع genetic، يُعتبر topic. أنا بدي
+
+255
+00:22:39,340 --> 00:22:43,940
+أشتغل على الـ down syndrome، كمان يُعتبر topic. أنا
+
+256
+00:22:43,940 --> 00:22:48,420
+بدي أشتغل في الـ down syndrome against مستوى
+
+257
+00:22:48,420 --> 00:22:52,440
+الـ uric acid. هكذا أصبح اسمه title، لأنه أصبح more
+
+258
+00:22:52,440 --> 00:22:59,050
+specific. الـ title باختصار هو أكثر تخصيصاً، ممكن نصل
+
+259
+00:22:59,050 --> 00:23:04,050
+إليه. مش ممكن نصل لتخصيصية أكثر من هكذا. نأخذ مثالاً
+
+260
+00:23:04,050 --> 00:23:08,830
+ثانياً، موضوعي بدي أشتغل بحثي في الـ magistrate
+
+261
+00:23:08,830 --> 00:23:12,530
+على موضوع الـ abortion، اللي هو الإجهاض. الإجهاض هو
+
+262
+00:23:12,530 --> 00:23:18,590
+عبارة عن topic. أنا بدي أشتغل موضوع العلاقة ما
+
+263
+00:23:18,590 --> 00:23:24,560
+بين الـ abortion و الـ toxoplasmosis among women in
+
+264
+00:23:24,560 --> 00:23:30,000
+Gaza Strip. فبالتالي هنا صار عندي title، لأنني
+
+265
+00:23:30,000 --> 00:23:37,320
+حددت فيه الـ topic، وكنت more specific، يعني حددت
+
+266
+00:23:37,320 --> 00:23:42,140
+كذلك في موضوع الـ abortion، أنا أيش بدي أشتغل بالضبط
+
+267
+00:23:42,140 --> 00:23:47,680
+اللي هو موضوع الـ infection بتوكسوبلازموسس. سنتكلم
+
+268
+00:23:47,680 --> 00:23:52,570
+عن تركيبة الـ title بالتفصيل بعد قليل. ولكن الواجهة
+
+269
+00:23:52,570 --> 00:23:56,930
+الأساسية التي ستكون عندنا في الصفحة الأولى، الغلاف
+
+270
+00:23:56,930 --> 00:24:00,270
+الذي يخص البحث، أو الغلاف الذي يخص البحث سيكون
+
+271
+00:24:00,270 --> 00:24:06,490
+فيه موجود الـ title، سيكون موجود فيه كذلك اسم الباحث
+
+272
+00:24:06,490 --> 00:24:11,510
+وسيكون موجود فيه اسم المشرف، ويكون موجود اسم الباحث
+
+273
+00:24:11,510 --> 00:24:15,350
+قبل اسم المشرف، ويكون البحث موجود فوقهم
+
+274
+00:24:15,350 --> 00:24:19,270
+فبالتالي يكون أعلى شيء موجود هو الـ title
+
+275
+00:24:19,270 --> 00:24:23,250
+الذي أنا جبته من topic. وبعدين بتكون عندنا اسم
+
+276
+00:24:23,250 --> 00:24:28,150
+الباحث، وبعدين اسم المشرف. لو كان عندنا اثنين
+
+277
+00:24:28,150 --> 00:24:32,970
+مشرفين، نكتب هنا اسم الأول حسب الدرجة العلمية
+
+278
+00:24:32,970 --> 00:24:37,930
+الأعلى، وليس أبجدياً، وهنا نكتب اسم
+
+279
+00:24:37,930 --> 00:24:43,350
+الثاني الذي يكون أقل درجة علمية. ما نكتب أسماء
+
+280
+00:24:43,350 --> 00:24:46,110
+المشرفين في البحث لو كانوا اثنين تحت بعض، بيكونوا
+
+281
+00:24:46,110 --> 00:24:51,540
+موجودين فوق بعض في الرسالة. لو البحث الذي أنتَ
+
+282
+00:24:51,540 --> 00:24:59,040
+تقوم به موجود فيه أكثر من واحد، موجود فيه. ولكن في
+
+283
+00:24:59,040 --> 00:25:02,920
+الماجستير هو طالب واحد. ولكن لو أنت أشرفت على طلبة
+
+284
+00:25:02,920 --> 00:25:07,320
+baccalaureate وكانوا أربعة، بيكونوا موجودين مرتبين
+
+285
+00:25:07,320 --> 00:25:11,120
+أبجدياً، اثنين اثنين. لو أنتَ تشرف على طلبة
+
+286
+00:25:11,120 --> 00:25:15,200
+baccalaureate وكانوا موجودين عندنا أربعة مشاركين في
+
+287
+00:25:15,200 --> 00:25:18,280
+البحث، وكانوا اثنين اثنين موجودين. ولكن أنت في الـ
+
+288
+00:25:18,280 --> 00:25:22,280
+master هو عبارة عن باحث واحد، ويكون الاسم موجود
+
+289
+00:25:22,280 --> 00:25:31,500
+لوحده تحت الـ title مباشرةً. الـ
+
+290
+00:25:31,500 --> 00:25:36,080
+topic الذي تريد أن تأخذه، وتجلب منه الـ title. أول
+
+291
+00:25:36,080 --> 00:25:38,560
+حاجة، لازم يكون له علاقة بتخصصك
+
+292
+00:25:40,720 --> 00:25:45,300
+يعني له علاقة بالتخصص الذي تعمل فيه. الـ type
+
+293
+00:25:45,300 --> 00:25:51,160
+2 diabetes، أنا بدي أجيب له biomarker جديد. الـ cancer
+
+294
+00:25:51,160 --> 00:25:54,880
+أنا بدي أجيب له biomarker جديد. الـ biomarker هو تخصص
+
+295
+00:25:54,880 --> 00:25:59,740
+مختبرات طبية. فبالتالي بدي أكون أنا ذو
+
+296
+00:25:59,740 --> 00:26:04,160
+علاقة بالـ topic الموجود. طب ممكن يكون بحث أبعد
+
+297
+00:26:04,160 --> 00:26:08,880
+مالوش علاقة بالتخصص. ممكن، يعني مثال: لو طالب مختبرات
+
+298
+00:26:08,880 --> 00:26:17,670
+يريد أن يأخذ في بحث التخرج العلاقة ما بين
+
+299
+00:26:17,670 --> 00:26:22,790
+أداء المدرسين في التعليم الإلكتروني، والتحسين
+
+300
+00:26:22,790 --> 00:26:28,730
+الدراسي، مالوش علاقة بالمختبرات خالص. الموضوع، أو
+
+301
+00:26:28,730 --> 00:26:33,360
+مثال ثانياً: ما مدى علاقة الدراسة الخصوصية لطلبة
+
+302
+00:26:33,360 --> 00:26:36,460
+الثانوية العامة بالتحصيل الدراسي في المعدل
+
+303
+00:26:36,460 --> 00:26:40,600
+التراكمي؟ مالوش علاقة كذلك بتخصص التحاليل الطبية
+
+304
+00:26:40,600 --> 00:26:48,560
+فبالتالي يكون الموضوع أنت ذو علاقة به. الشيء
+
+305
+00:26:48,560 --> 00:26:54,120
+الثاني: أنني لا أريد أن يكون الموضوع مكبر
+
+306
+00:26:54,120 --> 00:26:58,680
+يعني طالب أخذ نفس الموضوع، أو انشغل فيه في فترات قريبة
+
+307
+00:26:59,810 --> 00:27:02,630
+وأنا أبدأ آخذ نفس الـ title وأشتغل عليه، فأكون أنا
+
+308
+00:27:02,630 --> 00:27:06,030
+عملتُ هنا duplication، فتجنب أن يكون عندي أي
+
+309
+00:27:06,030 --> 00:27:11,670
+duplication موجود في البحث. الشيء الذي بعده، يُفضل
+
+310
+00:27:11,670 --> 00:27:15,450
+أن يكون موضوع الدراسة لمشكلة عاجلة موجودة في
+
+311
+00:27:15,450 --> 00:27:19,770
+البلد، تريد أن تحلها. مثل موضوع زيادة الـ abortion
+
+312
+00:27:19,770 --> 00:27:25,010
+الموجود، وتريد أن تدرس إذا كان هناك جين محدد ممكن
+
+313
+00:27:25,010 --> 00:27:30,600
+أن تحدده كـ risk factor لموضوع الـ abortion. الشيء
+
+314
+00:27:30,600 --> 00:27:34,720
+الذي بعده، أن الموضوع مقبول، والنتائج والتوصيات
+
+315
+00:27:34,720 --> 00:27:41,180
+التي تخرج منه مقبولة وقابلة للتطبيق. فمثلاً لو أنتَ
+
+316
+00:27:41,180 --> 00:27:47,100
+تريد أن تقدم proposal أو title غير مقبول، لا عند الجامعة
+
+317
+00:27:47,100 --> 00:27:50,680
+ولا عند المشرف، ولا عند المجتمع، فبالتالي ما في داعي
+
+318
+00:27:50,680 --> 00:27:57,300
+أن تتعب من الأول وتختار الـ topic. يعني مثال: حد يقول
+
+319
+00:27:57,300 --> 00:28:02,770
+أنا بدي أدرس موضوع بحثي، وهذا الموضوع البحثي يتعلق
+
+320
+00:28:02,770 --> 00:28:08,970
+بأنَّ نسبة الدهون تزيد عند مرضى السكري. لما هو معروف
+
+321
+00:28:08,970 --> 00:28:11,730
+أنَّ نسبة الدهون تزيد عند مرضى السكري، والمشرف غير
+
+322
+00:28:11,730 --> 00:28:14,650
+سيوافق على الموضوع هذا، لأنَّ الموضوع هذا معروف، وهي
+
+323
+00:28:14,650 --> 00:28:19,750
+قاعدة موجودة، ولا يمكن أن يكون في أي حال من الأحوال
+
+324
+00:28:19,750 --> 00:28:27,040
+هو title لبحث ماجستير، عامل أيضاً proposal. وهذا الـ
+
+325
+00:28:27,040 --> 00:28:31,480
+proposal يتطلب جهاز يكون موجود، والجهاز ليس موجود
+
+326
+00:28:31,480 --> 00:28:35,520
+في قطاع غزة. فبالتالي الجامعة لن توافق عليه، كون
+
+327
+00:28:35,520 --> 00:28:39,520
+الجهاز الذي يقيس الـ marker الذي تشتغل عليه ليس
+
+328
+00:28:39,520 --> 00:28:43,120
+موجود، أو الـ primer الذي تشتغل عليه في الـ genetic
+
+329
+00:28:43,120 --> 00:28:48,680
+ليس موجود. فبالتالي الموضوع غير مقبول. يبقى ليس أنَّ
+
+330
+00:28:48,680 --> 00:28:53,140
+الموضوع كونه عاجلاً، وما فيش أحد اشتغل عليه، وله علاقة
+
+331
+00:28:53,140 --> 00:28:57,600
+بتخصصي، أنَّه ممكن أن يظهر هناك الكثير من الطلبة الذين
+
+332
+00:28:57,600 --> 00:29:00,980
+اختاروا مواضيع سابقة، ولما جاء عند التطبيق يجيبوا
+
+333
+00:29:00,980 --> 00:29:04,640
+الـ kit، يتغلب في موضوع الـ kit، أو أنَّه كيف يصل
+
+334
+00:29:04,640 --> 00:29:10,680
+الـ kit لقطاع غزة عشان يشتغل البحث. وأهم من كل الذي
+
+335
+00:29:10,680 --> 00:29:17,060
+سبق، أن يكون عندنا سهولة في إجراء البحث الذي
+
+336
+00:29:17,060 --> 00:29:23,440
+موجود. أهم شيء في الأشياء التي سبقت كلها، أن يكون
+
+337
+00:29:23,440 --> 00:29:29,780
+البحث لا يمس حياة مريض بأي شيء. ما أكون أنا بدي
+
+338
+00:29:29,780 --> 00:29:36,620
+أجرب علاجاً محدداً على مريض معين وأؤذيه. فبالتالي بدي
+
+339
+00:29:36,620 --> 00:29:41,240
+يكون الـ ethical consideration، أو الموافقات الأخلاقية
+
+340
+00:29:41,240 --> 00:29:47,420
+الموجودة كلها تدل على أنَّه ما فيش أي أذى لأي شخص
+
+341
+00:29:47,420 --> 00:29:53,260
+موجود مشارك في هذا البحث، سواء كان هذا الأذى جسدياً
+
+342
+00:29:53,260 --> 00:29:58,680
+أم كان هذا الأذى الموجود عندنا نفسياً. يعني ما
+
+343
+00:29:58,680 --> 00:30:04,340
+أجيء أنا لطفل، والطفل هذا أشوف عنده إسهال
+
+344
+00:30:04,340 --> 00:30:08,140
+وأجيء أنا بدي أقول بدي أجرب عشبة معينة، وأترك الطفل
+
+345
+00:30:08,140 --> 00:30:12,280
+يعاني لمدة أسبوع، عشان أجرب أقول والله العشبة
+
+346
+00:30:12,280 --> 00:30:16,040
+الفُلانِية ممكن تقضي على موضوع الإسهال، بدون اللجوء
+
+347
+00:30:16,040 --> 00:30:21,520
+إلى أي موضوع علاج antibiotic أو أي علاج موجود
+
+348
+00:30:21,520 --> 00:30:27,150
+مستخدم في الصيدليات. خلاصة القول، أنَّ اختيار الـ topic
+
+349
+00:30:27,150 --> 00:30:32,810
+الذي تريد أن تشتغل عليه أهم شيء لموضوع الـ title. فإذا
+
+350
+00:30:32,810 --> 00:30:35,690
+أنت اخترت الـ topic الذي ستشتغل عليه، بالتالي
+
+351
+00:30:35,690 --> 00:30:39,410
+تلقائياً سيخرج الـ title المناسب الذي ستشتغل عليه، و
+
+352
+00:30:39,410 --> 00:30:47,550
+ستكون أمور البحث ميسّرة وسهلة. هنا يأتي عندنا سؤال مهم:
+
+353
+00:30:47,550 --> 00:30:51,870
+كيف أنا كباحث أو طالب ماجستير ممكن أختار الـ topic؟
+
+354
+00:30:51,870 --> 00:30:59,490
+الـ topic يكون من شيء أنت تعرفه، أو سمعت عنه، ومجال
+
+355
+00:30:59,490 --> 00:31:05,410
+أنت تحب أن تشتغل فيه. و
+
+356
+00:31:05,410 --> 00:31:11,310
+طبق الناس دائماً يتكلمون فيه، وأنت تسمع منهم من كل
+
+357
+00:31:11,310 --> 00:31:13,890
+هؤلاء، تجمعهم مع بعض، وتختار الطبق الذي أنتَ
+
+358
+00:31:13,890 --> 00:31:19,170
+تشتغل عليه. يعني مثال: أنا أعرف أنَّ مرض السكري يصيب
+
+359
+00:31:19,170 --> 00:31:23,470
+عندهم complication، وأنا أحب أن أشتغل في مجال
+
+360
+00:31:23,470 --> 00:31:28,280
+clinical chemistry، وأسمع من الناس أنَّ أكثر الـ
+
+361
+00:31:28,280 --> 00:31:31,340
+complication التي تتم عندهم هو موضوع الـ
+
+362
+00:31:31,340 --> 00:31:35,140
+cardiovascular disease، أمراض القلب. فبالتالي هنا
+
+363
+00:31:35,140 --> 00:31:38,420
+أقول أنَّ الـ title بدي يكون أنا بدي أشتغل في الـ
+
+364
+00:31:38,420 --> 00:31:43,640
+chemical chemistry، وبدي أشتغل في موضوع الـ type 2
+
+365
+00:31:43,640 --> 00:31:49,180
+diabetes، لأنني أسمع عنه، وأسمع أنَّ موضوع الـ
+
+366
+00:31:49,180 --> 00:31:51,960
+cardiovascular disease. فأقول هنا: A prevalence of
+
+367
+00:31:51,960 --> 00:31:54,840
+cardiovascular disease among type 2 diabetes in
+
+368
+00:31:54,840 --> 00:32:01,040
+Gaza Strip. فصار الموضوع الموجود عندي موضوع أنا
+
+369
+00:32:01,040 --> 00:32:07,560
+أعرفه، وموضوع الناس حكت عنه في نفس المجال الذي
+
+370
+00:32:07,560 --> 00:32:12,220
+أنا أحبه، وممكن من خلاله وأنتَ تجري في الـ
+
+371
+00:32:12,220 --> 00:32:16,160
+prevalence، تجري كذلك شوية biomarker، شوية فحوصات
+
+372
+00:32:16,160 --> 00:32:25,640
+موجودة. مثال ثاني: حد يحب يشتغل في موضوع الـ micro، وفي
+
+373
+00:32:25,640 --> 00:32:30,580
+موضوع الـ infection control، لأنه
+
+374
+00:32:30,580 --> 00:32:33,760
+هو يعرف أنَّ الـ infection control يزيد في المستشفيات
+
+375
+00:32:33,760 --> 00:32:37,980
+فبالتالي هو يحب الـ micro ويعرف أنَّ الـ infection
+
+376
+00:32:37,980 --> 00:32:42,540
+control يزيد في المستشفيات، ويسمع أنَّ من أسباب الـ
+
+377
+00:32:42,540 --> 00:32:45,980
+infection control وزيادتها في المستشفيات، عدم
+
+378
+00:32:45,980 --> 00:32:50,200
+التعقيم الجيد للأدوات الموجودة في أقسام
+
+379
+00:32:50,200 --> 00:32:56,940
+العمليات. فبالتالي هنا أقول: العنوان الذي أنا أريده
+
+380
+00:32:56,940 --> 00:33:04,220
+أخذه، بدي أجيب: antimicrobial resistant among
+
+381
+00:33:04,220 --> 00:33:09,640
+caesarean section، أو antimicrobial resistant in
+
+382
+00:33:09,640 --> 00:33:14,840
+caesarean section. بدي آخذ موضوع المقاومة البكتيرية
+
+383
+00:33:14,840 --> 00:33:21,080
+عند النساء اللواتي يجرين قيصريات in الشفاء hospital
+
+384
+00:33:24,630 --> 00:33:27,170
+فبالتالي يكون الـ topic الموجود عندي
+
+385
+00:33:27,170 --> 00:33:34,910
+antimicrobial resistant among caesarean section
+
+386
+00:33:34,910 --> 00:33:38,750
+النساء اللواتي يجرين الـ caesarean section in الشفاء
+
+387
+00:33:38,750 --> 00:33:43,330
+hospital. فأكون أنا أحب موضوع الـ micro، أخذتُ موضوع
+
+388
+00:33:43,330 --> 00:33:47,910
+أعرفه، اللي هو الـ infection، في قسم يزيد فيه حالات الـ
+
+389
+00:33:47,910 --> 00:33:52,570
+infection، وهو قسم القيصريات أو عمليات القيصرية. فكل
+
+390
+00:33:52,570 --> 00:33:56,110
+هذا اخترتُ منه topic الذي ذهبت منه وجئت منه
+
+391
+00:33:56,110 --> 00:34:01,390
+title. طب لو هذه الأشياء غير متوفرة عندنا، وأنا غير
+
+392
+00:34:01,390 --> 00:34:06,650
+محدد المجال الذي أريده، ومختار أيش أشتغل وما
+
+393
+00:34:06,650 --> 00:34:12,190
+لم أسمع، ولا في شيء، كيف بدي أُحدد topic؟ أول حاجة
+
+394
+00:34:12,190 --> 00:34:16,830
+ممكن نحددها من خلال أنني في حد عنده موضوع موجود
+
+395
+00:34:16,830 --> 00:34:21,430
+أو في حد عنده مشروع ق
+
+445
+00:38:00,330 --> 00:38:05,550
+ممكن يتظاهر شوية، الأمور بالنسبة له ستكون أوضَح، بده
+
+446
+00:38:05,550 --> 00:38:13,430
+يكون عندنا أقصى حد للـ title يكون 72 حرفا، و72 حرفًا
+
+447
+00:38:13,430 --> 00:38:17,530
+هدول ما فيهم أي abbreviations، أي اختصارات تكون
+
+448
+00:38:17,530 --> 00:38:25,010
+موجودة، بده يكون الاسم كله كاملاً وموجودًا عندنا، وتُتجنب
+
+449
+00:38:25,010 --> 00:38:29,710
+إذا كانت أي مصطلحات موجودة، ممكن تعمل عندنا confuse
+
+450
+00:38:29,710 --> 00:38:33,770
+في الكلمات أو في الـ title، والأمثلة التي تكلمنا
+
+451
+00:38:33,770 --> 00:38:37,710
+عليها سابقًا، نعيدهم ثانيةً: prevalence of rhinitis
+
+452
+00:38:37,710 --> 00:38:44,430
+tract infection among primary school children in
+
+453
+00:38:44,430 --> 00:38:48,330
+Gaza Strip. فهنا اسم الـ disease موجود: urinary tract
+
+454
+00:38:48,330 --> 00:38:53,190
+infection، والـ population واضح مين هم: هم الأطفال
+
+455
+00:38:53,190 --> 00:38:56,290
+اللي موجودين في المراحل الإعدادية، عفواً الأطفال
+
+456
+00:38:56,290 --> 00:38:59,290
+اللي موجودين في المراحل الإبتدائية، الأطفال اللي
+
+457
+00:38:59,290 --> 00:39:02,730
+موجودين في المراحل الدراسية الإبتدائية. الهدف من
+
+458
+00:39:02,730 --> 00:39:06,130
+البحث، أنا بدي أشوف مدى انتشارها،  قداش الـ urinary
+
+459
+00:39:06,130 --> 00:39:09,730
+tract infection. ولو عدنا للحروف اللي بدها تكون
+
+460
+00:39:09,730 --> 00:39:18,280
+موجودة، بدها تكون أقل من 72. وأنا ما قلتش هنا UTI، قلت
+
+461
+00:39:18,280 --> 00:39:22,000
+prevalence of renal tract infection. يعني اتجنبت أن
+
+462
+00:39:22,000 --> 00:39:28,140
+يكون موجود عندنا أي اختصار كان موجودًا. نأخذ كمان
+
+463
+00:39:28,140 --> 00:39:31,100
+مثالًا، لما تكلمنا عن موضوع الـ antimicrobial
+
+464
+00:39:31,100 --> 00:39:37,220
+resistant among caesarean section in الشفاء
+
+465
+00:39:37,220 --> 00:39:41,000
+hospital. فبالتالي بيكون الـ antimicrobial resistance
+
+466
+00:39:41,000 --> 00:39:45,460
+هو الـ disease، والـ population بيكون النساء اللي عملوا
+
+467
+00:39:45,460 --> 00:39:49,960
+عمليات قيصرية. والهدف من الدراسة إني أُحدد الـ
+
+468
+00:39:49,960 --> 00:39:55,400
+antimicrobial resistance، وما فيش أي اختصارات
+
+469
+00:39:55,400 --> 00:40:01,320
+موجودة كانت عندنا في الـ title. هيك بنكون خلصنا، و
+
+470
+00:40:01,320 --> 00:40:08,490
+عرفنا كيف إنّ إحنا ممكن نختار title للبحث الخاص
+
+471
+00:40:08,490 --> 00:40:14,310
+بالمجلس، السياق، أو كيف ممكن نختار title لأي موضوع أو
+
+472
+00:40:14,310 --> 00:40:21,430
+أي بحث. بنطلب منكم إننا نَتَوَقّف عند الجزء الحالي، و
+
+473
+00:40:21,430 --> 00:40:26,090
+بنكمل إن شاء الله في الجزء الثاني. نتمنّى لكم
+
+474
+00:40:26,090 --> 00:40:29,810
+التوفيق، والسلام عليكم ورحمة الله وبركاته
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..45feffc252125dddcf2aa20a1c210aaa2d5ce262
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/j2koTIUqzKU_raw.srt
@@ -0,0 +1,1896 @@
+1
+00:00:03,980 --> 00:00:07,740
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,740 --> 00:00:12,880
+الله وعلى آله وصحبه ومن احتدى بهدا زملائنا الأعزاء
+
+3
+00:00:12,880 --> 00:00:16,600
+السلام عليكم ورحمة الله وبركاته
+
+4
+00:00:18,590 --> 00:00:23,150
+سيكون ان شاء الله عنوان المحاضرة الحالية هو
+
+5
+00:00:23,150 --> 00:00:30,470
+التعريف على ما هو البحث العلمي وأنواع البحث العلمي
+
+6
+00:00:30,470 --> 00:00:38,730
+وكيفية كتابة المشكلة البحثية وكذلك كيفية كتابة
+
+7
+00:00:38,730 --> 00:00:46,190
+الفرضية البحثية الخاصة بالدراسة البحث
+
+8
+00:00:46,190 --> 00:00:55,720
+العلميهو عبارة عن طريق التفكير للباحث والبحث
+
+9
+00:00:55,720 --> 00:01:06,300
+العلمي له عدة مفاهيم وله عدة تعريفات وسوف يتم
+
+10
+00:01:06,300 --> 00:01:13,800
+الحديث عن بعض هذه التعريفات ل research أول شيء هو
+
+11
+00:01:13,800 --> 00:01:20,970
+عبارة عن طريق التفكير معينةتماما عندما يفقد الشخص
+
+12
+00:01:20,970 --> 00:01:27,910
+شيء معين يبدأ بالبحث عنه فبالتالي يقوم بعمل عدة
+
+13
+00:01:27,910 --> 00:01:33,830
+أفكار معينة وعدة ترتيبات للوصول إلى الشيء المفقود
+
+14
+00:01:33,830 --> 00:01:41,050
+كونه عبارة عن طريق التفكير تتولد عند الباحث عدة
+
+15
+00:01:41,050 --> 00:01:47,160
+مهارات وهذه المهارات تجعل الباحثفي المضارات
+
+16
+00:01:47,160 --> 00:01:51,420
+القادمة يبحث بطريقة أفضل فبالتالي هو عبارة عن
+
+17
+00:01:51,420 --> 00:01:58,840
+مجموعة من ال skills أيضًا البحث هو عبارة عن سؤال
+
+18
+00:01:58,840 --> 00:02:08,660
+وهذا السؤال يحتاج إلى إجابة مثلًا كيف حدث هذا
+
+19
+00:02:08,660 --> 00:02:14,000
+الشيء؟ ولماذا حدث هذا الشيء؟ وما الذي أحدث هذا
+
+20
+00:02:14,000 --> 00:02:21,360
+الشيء؟كل هذه عبارة عن أسئلة تحتاج إلى إجابة لو
+
+21
+00:02:21,360 --> 00:02:27,420
+أخدنا مثال على موضوع infection معين أول شيء ممكن
+
+22
+00:02:27,420 --> 00:02:35,480
+يخطر في بال أي شخص كيف تمت العدوى تاني شيء لماذا
+
+23
+00:02:35,480 --> 00:02:43,040
+تمت العدوى وماذا هو السبب الأساسي والرئيسي لكون
+
+24
+00:02:43,040 --> 00:02:47,380
+العدوى وصلت لهذا الشخصلو أخدنا في الواقع الحالي
+
+25
+00:02:47,380 --> 00:02:56,160
+موضوع coronavirus بدأت الخارطة الوبائية وبدأوا في
+
+26
+00:02:56,160 --> 00:03:02,940
+البحث عن كيف وصل الوباء إلى قطاع غزة وماذا هو
+
+27
+00:03:02,940 --> 00:03:08,600
+السبب لوصول virus corona إلى قطاع غزة ولماذا يتم
+
+28
+00:03:08,600 --> 00:03:11,360
+انتشار هذا ال virus
+
+29
+00:03:17,490 --> 00:03:22,210
+الـ research ممكن أن يعرف على أنه تطوير واختبار
+
+30
+00:03:22,210 --> 00:03:27,230
+نظرية جديدة فمثلا،
+
+31
+00:03:27,230 --> 00:03:34,130
+حينما يتم الحديث عن أن فيروس كورونا COVID-19 هو
+
+32
+00:03:34,130 --> 00:03:40,210
+عبارة عن فيروس مصنع، بالتالي هذه النظرية تحتاج
+
+33
+00:03:40,210 --> 00:03:40,910
+الاختبار
+
+34
+00:03:45,900 --> 00:03:53,560
+أيضًا يُعرف ال research على أنه عبارة عن قياس وفحث
+
+35
+00:03:53,560 --> 00:04:02,380
+إجراءات جديدة يتم إختبارها مثلًا نقوم بعمل قياس
+
+36
+00:04:02,380 --> 00:04:06,180
+واختبار الإجراءات الوقائية اللي بتتم من فيروس
+
+37
+00:04:06,180 --> 00:04:11,940
+كورونا يعني مثلًا يتم وضع مقارنة ما بين الناس اللي
+
+38
+00:04:11,940 --> 00:04:16,260
+بلبسوا كمامة والناس اللي بلبسوشكونوا انهم مضعوا في
+
+39
+00:04:16,260 --> 00:04:21,060
+ال protocol الجديد ان فيروس كورونا ممكن الوقاية
+
+40
+00:04:21,060 --> 00:04:25,280
+منه عن طريق الكمامة وينتقل عن طريق الأنف فقط
+
+41
+00:04:25,280 --> 00:04:29,440
+فبالتالي هذه الفرضية وهذا ال procedure اللي احنا
+
+42
+00:04:29,440 --> 00:04:33,320
+عملناها وقلنا للناس يلتزموا فيه يلبسوا كمامات
+
+43
+00:04:33,320 --> 00:04:37,680
+يحتاج إلى اختبار فهذا الاختبار يتم عن طريق بحث
+
+44
+00:04:37,680 --> 00:04:44,240
+علمي understanding guiding principleانه انا في
+
+45
+00:04:44,240 --> 00:04:50,760
+عندى principle جديد او فحص جديد بتتأكد من انه دقيق
+
+46
+00:04:50,760 --> 00:04:56,040
+ولا غير دقيق فبتم فحص هذا الشيء عن طريق بحث علمى
+
+47
+00:04:56,040 --> 00:05:00,860
+موجود ايضا
+
+48
+00:05:00,860 --> 00:05:05,460
+ال research ممكن انه يعرف على انه المساهمة في
+
+49
+00:05:05,460 --> 00:05:10,940
+النهوض بمهنتك وممارساتك اليومية انه انت قداش يوميا
+
+50
+00:05:10,940 --> 00:05:16,720
+بتمارس من مهاموبتشوف هذه المهام هل تسعى إلى تطوير
+
+51
+00:05:16,720 --> 00:05:22,380
+ذاتك و لا يعني باختصار شديد المراجع اليومي للأعمال
+
+52
+00:05:22,380 --> 00:05:26,000
+اللي بنجوم فيها حتى نتعلم من الأخطاء اللي موجودة
+
+53
+00:05:26,000 --> 00:05:31,760
+ممكن أن تعرف كونها للسياسي وأيضا
+
+54
+00:05:31,760 --> 00:05:36,760
+ممكن أن يُعرف على أنه طريقة لجمع الأدلة اللي
+
+55
+00:05:36,760 --> 00:05:39,400
+موجودة في أعمالنا اليومية
+
+56
+00:05:43,840 --> 00:05:51,000
+كل هذه الأشياء هي تعريف ال research وهذه بس فقط ان
+
+57
+00:05:51,000 --> 00:05:55,260
+احنا نطلع عليها واحنا ناخد ما هو تعريف ال research
+
+58
+00:05:55,260 --> 00:06:01,660
+من الناحية العلمية يتم تطبيق البحث لاستخدام المنهج
+
+59
+00:06:01,660 --> 00:06:07,480
+العلمي لتحقيق في مشكلة معينة يمكن أن تكون مشكلة
+
+60
+00:06:07,480 --> 00:06:13,940
+صحية أو مشكلة بيولوجيةفبالتالي المنهج العلمي اللي
+
+61
+00:06:13,940 --> 00:06:21,420
+أنا بستخدمه حتى أتحقق من وجود مشكلة معينة سواء
+
+62
+00:06:21,420 --> 00:06:25,640
+كانت صحية أو بيولوجية هو هذا اللي احنا بنسميه
+
+63
+00:06:25,640 --> 00:06:33,460
+بالبحث العلمي البحث تعريفه هو عبارة عن عملية جمع
+
+64
+00:06:33,460 --> 00:06:42,720
+المعلومات من خلال خبراتك الخاصةومصادر المعرفة اللي
+
+65
+00:06:42,720 --> 00:06:48,280
+بتطلع عليها والبيانات ال data اللي بتكون موجودة في
+
+66
+00:06:48,280 --> 00:06:53,000
+التجارب اللي احنا بنعملها experimental كل هذه
+
+67
+00:06:53,000 --> 00:07:00,040
+الأشياء بتقودنا ان احنا نعرف البحث العلمي research
+
+68
+00:07:00,040 --> 00:07:03,880
+هو عبارة عن عملية وهذه العملية collection لل
+
+69
+00:07:03,880 --> 00:07:08,910
+informationجمع بيانات من خلال ال experience من
+
+70
+00:07:08,910 --> 00:07:13,790
+خلال خبرتك و من خلال ال knowledge المعرفة اللي انت
+
+71
+00:07:13,790 --> 00:07:19,350
+بتعرفها او من خلال تجارب انت قمت فيها كل هذه
+
+72
+00:07:19,350 --> 00:07:26,550
+الأشياء هي عبارة عن research هو عبارة عن title
+
+73
+00:07:26,550 --> 00:07:30,110
+نجيبه من topic فبالتالي ال topic بيكون هو عبارة عن
+
+74
+00:07:30,110 --> 00:07:35,400
+موضوع البحثأنا بدي أشغل البحث في موضوع ال type 2
+
+75
+00:07:35,400 --> 00:07:40,100
+diabetes فبالتالي بكون عنده topic هو type 2
+
+76
+00:07:40,100 --> 00:07:45,300
+diabetes طب و ال title هو more specific than topic
+
+77
+00:07:45,300 --> 00:07:51,420
+يعني أكثرتخصوصية من موضوع ال topic أنا بدي أشتغل
+
+78
+00:07:51,420 --> 00:07:58,020
+ال UTI في مرضى السُكّار فبالتالي بنقول أن ال topic
+
+79
+00:07:58,020 --> 00:08:01,040
+هو عبارة عن الموضوع اللي أنا بدي أشتغل فيه بنسميه
+
+80
+00:08:01,040 --> 00:08:04,960
+topic type 2 diabetes و بدي أشتغل في ال type 2
+
+81
+00:08:04,960 --> 00:08:08,680
+diabetes موضوع التهيبات المجاري البولية اللي هو
+
+82
+00:08:08,680 --> 00:08:12,630
+urinary tract infectionأيضا انا ممكن اخد topic
+
+83
+00:08:12,630 --> 00:08:16,970
+تاني انا بدي اشغل فيه cancer كلمة cancer وهذا اسمه
+
+84
+00:08:16,970 --> 00:08:21,300
+topicاللي هو topic تبع أو موضوع البحث وانا بدأ
+
+85
+00:08:21,300 --> 00:08:25,320
+اشتغل عليه biomarker ل new biomarker اللي انا بدأ
+
+86
+00:08:25,320 --> 00:08:28,860
+اشتغل عليه هذا بنسمي ال title فبالتالي انا بدأ
+
+87
+00:08:28,860 --> 00:08:33,960
+اقول new biomarker in cancer patient هذا صار اسمه
+
+88
+00:08:33,960 --> 00:08:38,580
+title ولكن لل title فيه كارتيريا معينة سنتكلم عنها
+
+89
+00:08:38,580 --> 00:08:42,920
+لاحقا ان شاء الله احنا نلخص هال slide اللي موجودة
+
+90
+00:08:42,920 --> 00:08:46,620
+انه انا research عبارة عن منهج علمي لحل مشكلة
+
+91
+00:08:46,620 --> 00:08:51,730
+معينةوحتى أحل المشكلة هذه بدي أجمع بيانات موجودة
+
+92
+00:08:51,730 --> 00:08:58,010
+من خلال خبرتي ومعرفتي ومن خلال أشياء وتجارب أنا
+
+93
+00:08:58,010 --> 00:09:02,930
+خدتها واطلعت عليها وفي الآخر بدي أطلع الطبق موجود
+
+94
+00:09:02,930 --> 00:09:09,190
+عندي what is research؟ ال research هو عبارة عن
+
+95
+00:09:09,190 --> 00:09:17,890
+منهج علمي بحثي يستخدم لحل مشكلة معينةسواء كانت هذه
+
+96
+00:09:17,890 --> 00:09:26,030
+المشكلة في المجال الصحي أو في مجال ال biology ال
+
+97
+00:09:26,030 --> 00:09:30,970
+research يعتبر هو عبارة عن عملية أنا بجمع فيها
+
+98
+00:09:30,970 --> 00:09:35,170
+البيانات و هذه البيانات اللي أنا بجمعها عن ال
+
+99
+00:09:35,170 --> 00:09:38,830
+research من خلال خبرتي انا حاسس ان في مشكلة محددة
+
+100
+00:09:39,600 --> 00:09:44,420
+من خلال مصادر المعرفة، أنا كل يوم باسمع مشاكل
+
+101
+00:09:44,420 --> 00:09:48,220
+الناس اللي موجودين، فصار عندي مصدر ان اتعرف على
+
+102
+00:09:48,220 --> 00:09:52,970
+مشاكل الناس و بقول هذه المشكلة بدها حلمن خلال بعض
+
+103
+00:09:52,970 --> 00:09:56,390
+التجارب اللي أنا خدتها، يعني أنا روحت على مؤسسة
+
+104
+00:09:56,390 --> 00:10:02,070
+معينة وشعرت أنه مافيش رضا محدد عند الناس أو رضا
+
+105
+00:10:02,070 --> 00:10:06,410
+كامل عند الناس عن هذه المؤسسة فصار موضوع بحثي، أنا
+
+106
+00:10:06,410 --> 00:10:10,630
+بدي أقيس الرضا من خلال التجارب اللي أنا شفتها أو
+
+107
+00:10:10,630 --> 00:10:15,540
+اللي أنا خدتهاهذا كل الصابق بيقودنا ان احنا اول
+
+108
+00:10:15,540 --> 00:10:20,880
+شيء في موضوع اختيار عنوان رسالة ال majestyر بنحتاج
+
+109
+00:10:20,880 --> 00:10:25,720
+ان نحدد ال topic يبقى ال topic هو عبارة عن موضوع
+
+110
+00:10:25,720 --> 00:10:31,100
+البحث موضوع البحث بيكون ان انا بدي احدد ايش المجال
+
+111
+00:10:31,100 --> 00:10:35,040
+اللي انا بدي اشتغل فيه انا بدي اشتغل في type 2
+
+112
+00:10:35,040 --> 00:10:39,280
+diabetes بنسمي topic بدي اشتغل في موضوع ال cancer
+
+113
+00:10:39,280 --> 00:10:44,500
+اسمه topicبدأ أشغل في موضوع ال abortion، هذا عبارة
+
+114
+00:10:44,500 --> 00:10:49,480
+عن topic حتى ال topic هذا، موضوع البحث يتحول ل
+
+115
+00:10:49,480 --> 00:10:53,880
+title، عنوان البحث، ملزمني أكون more specific،
+
+116
+00:10:53,880 --> 00:10:58,160
+يعني أكثر تخصيصيا، أنه أنا بدأ أشغل في ال type 2
+
+117
+00:10:58,160 --> 00:11:04,740
+diabetes، بدأ أشغل موضوع ال neuropathyاعتلال
+
+118
+00:11:04,740 --> 00:11:08,680
+الأعصاب عند المرضى بتاعه ديابيتز بدي اشتغل موضوع
+
+119
+00:11:08,680 --> 00:11:15,180
+ال nephropathy اعتلال الكله بدي اشتغل موضوع ال
+
+120
+00:11:15,180 --> 00:11:19,220
+cardiovascular disease الأمراض الوعائية اللى
+
+121
+00:11:19,220 --> 00:11:24,980
+موجودة فى القلب حد كله بيقود ان انا باختار منه
+
+122
+00:11:24,980 --> 00:11:28,000
+title فبالتالي ال topic بيكون عبارة عن المجال اللى
+
+123
+00:11:28,000 --> 00:11:31,460
+بدي اشتغل فيه و ال title بيكون more specific عن ال
+
+124
+00:11:31,460 --> 00:11:39,930
+topicالبحث الصحي هو عبارة عن جمع وتحليل وتفسير
+
+125
+00:11:39,930 --> 00:11:46,430
+منهجي للبيانات المتعلقة بالصحة وهذا التحليل
+
+126
+00:11:46,430 --> 00:11:51,670
+والتفسير المنهجي للبيانات المتعلقة بالصحة بيكون
+
+127
+00:11:51,670 --> 00:11:57,870
+هدفه الإجابة على سؤال معين لحل مشكلة ما في المجال
+
+128
+00:11:57,870 --> 00:12:04,900
+الصحي أنواع ال researchيا بيكون عندنا primary
+
+129
+00:12:04,900 --> 00:12:10,480
+research أو بيكون عندنا secondary research ال
+
+130
+00:12:10,480 --> 00:12:15,140
+primary research هو عبارة عن بحث أو استفسار أنت
+
+131
+00:12:15,140 --> 00:12:22,040
+قمت به بنفسك وانت أول واحد تقوم بهذا البحث ع سبيل
+
+132
+00:12:22,040 --> 00:12:27,460
+مثال عمل مقابلة لاستفسار عن شيء محدد أو عمل
+
+133
+00:12:27,460 --> 00:12:35,420
+استبانة أو عمل بحوث إجرائيةأو كتابة ملاحظات أو
+
+134
+00:12:35,420 --> 00:12:40,600
+كتابة case study كل هذه الأشياء أنت أول واحد تقوم
+
+135
+00:12:40,600 --> 00:12:47,140
+بعملها مثال أنت لاحظت أنه في مشكلة معينة في أخطاء
+
+136
+00:12:47,140 --> 00:12:54,720
+موجودة في بعض الفحوصات المخبري ونتائجها روحت عملت
+
+137
+00:12:54,720 --> 00:12:59,300
+مقابلة مع الناس اللي بتشتغل في المجالوقدرت انك
+
+138
+00:12:59,300 --> 00:13:03,260
+توصل لحل لهذه المشكلة عن طريق المقابلة ال
+
+139
+00:13:03,260 --> 00:13:07,380
+interview فبالتالي بيكون عبارة عن primary search
+
+140
+00:13:07,380 --> 00:13:12,720
+هو انت اول شئ تقوم فيه او اول باحث تقوم بهذا البحث
+
+141
+00:13:12,720 --> 00:13:18,400
+في عندها استبانة محددة وهذه الاستبانة اللي موجودة
+
+142
+00:13:18,400 --> 00:13:25,200
+بدها تقيس عندنا شيء معين مثال انت
+
+143
+00:13:25,200 --> 00:13:30,510
+لاحظت ان فيه مشكلةفي موضوع التعليم الإلكتروني وفي
+
+144
+00:13:30,510 --> 00:13:35,470
+عند الطلاب بعض الملاحظات فانت صممت استبانة ومن
+
+145
+00:13:35,470 --> 00:13:40,510
+خلال هالاستبانة هذه جاوب الطلاب على موضوع التعليم
+
+146
+00:13:40,510 --> 00:13:44,430
+الإلكتروني وكانت هذه الاستبانة أول استبانة تصمم
+
+147
+00:13:44,430 --> 00:13:48,390
+ولك السبق في تصميمها فبنقول عنه primary research
+
+148
+00:13:48,390 --> 00:13:53,630
+لأنه انت مااخدتها من حد قبل هيك البحوث الإجرائي
+
+149
+00:13:53,630 --> 00:14:00,800
+اللي بتتم عندناال action and search انه انت لاحظت
+
+150
+00:14:00,800 --> 00:14:07,340
+ان في مشكلة محددة ومشكلة معينة روحت عامل تدخل و
+
+151
+00:14:07,340 --> 00:14:13,140
+action على هذا الشيء وحليتها المشكلة مثال يعني انت
+
+152
+00:14:13,140 --> 00:14:19,360
+لاحظت ان بعض الكتات اللي بتيجي يوم عن يوم كفاءة ال
+
+153
+00:14:19,360 --> 00:14:23,320
+test بتقلفانت قلت انا كل يوم بدي اعمل calibration
+
+154
+00:14:23,320 --> 00:14:27,380
+وادخل factor جديد موجود عندنا فهو يعتبر primary
+
+155
+00:14:27,380 --> 00:14:30,960
+research لأنك انت لاحظت انه في مشكلة وانت الوحيد
+
+156
+00:14:30,960 --> 00:14:35,260
+اول من عمل على حل هذه المشكلة موضوع ال observation
+
+157
+00:14:35,260 --> 00:14:39,880
+ملاحظة محددة انت لاحظت انه في موظف كل يوم بيجي
+
+158
+00:14:39,880 --> 00:14:44,160
+متأخر روحت بحثت عن اسباب هذا التأخير وحليتها
+
+159
+00:14:44,160 --> 00:14:49,240
+فتعتبر كprimary research لأنك انت اول من عملت في
+
+160
+00:14:49,240 --> 00:14:54,650
+هذا المجالفي عندنا case study case study معناته ان
+
+161
+00:14:54,650 --> 00:14:58,770
+انا لاحظت ان في عندنا حالة موجودة محددة و هذه ال
+
+162
+00:14:58,770 --> 00:15:02,290
+case study اللي موجودة عندى انا كتبت عنها تقرير و
+
+163
+00:15:02,290 --> 00:15:05,990
+روحت ناشرة التقرير اللي موجود او هفعل الإدارة فهذه
+
+164
+00:15:05,990 --> 00:15:11,050
+تعتبر ك case study حالة مرضية محددة انا كتبت
+
+165
+00:15:11,050 --> 00:15:15,150
+الحالة المرضية المحددة هذه ان هي اول حالة و ايش
+
+166
+00:15:15,150 --> 00:15:20,830
+الإجراءات اللي احنا قمنا فيهم يعني مثاللو انت
+
+167
+00:15:20,830 --> 00:15:26,210
+لاحظت انه احنا انت في مريض محدد زي ال down
+
+168
+00:15:26,210 --> 00:15:30,510
+syndrome انه عنده ال uric acid دايما عالي فانت روح
+
+169
+00:15:30,510 --> 00:15:34,590
+تكاتب انه انا في عندى مريض و هذا المريض بتردد ع
+
+170
+00:15:34,590 --> 00:15:38,290
+المستشفى و ال uric acid بكون دايما عنده عالي هي
+
+171
+00:15:38,290 --> 00:15:41,990
+عبارة عن case واحدة روح تكاتب فيها report تعتبر
+
+172
+00:15:41,990 --> 00:15:46,450
+case studyال secondary research أنت استخدمت
+
+173
+00:15:46,450 --> 00:15:51,790
+material لباحث سابق و طبقتها بنفس الألية اللي هو
+
+174
+00:15:51,790 --> 00:15:57,310
+عملها و نجحت معاك يعني هو طبق الشيء هذا في دولة
+
+175
+00:15:57,310 --> 00:16:01,870
+محددة زي ألمانيا و أنت أجير طبقتها عندنا في غزة
+
+176
+00:16:01,870 --> 00:16:06,210
+لنفس المشكلة و بنفس ال procedure و نجحت معاك هذه
+
+177
+00:16:06,210 --> 00:16:12,530
+الطريقة فبنسميه secondary researchيعني مثال لو
+
+178
+00:16:12,530 --> 00:16:16,990
+طبقوا فاكسين محدد أو تطعيم محدد لموضوع ال
+
+179
+00:16:16,990 --> 00:16:22,970
+coronavirus في روسيا واحنا أخدناه وطبقناه عنا في
+
+180
+00:16:22,970 --> 00:16:27,970
+غزة وشوفنا مدى نجاحه هو يعتبر ك secondary research
+
+181
+00:16:27,970 --> 00:16:37,670
+لو حد معين عمل عناتقييم للتطعيم سابقا قبل خمس
+
+182
+00:16:37,670 --> 00:16:42,190
+سنوات وانت اتيت تتأكد منها التقييم اللي موجود هو
+
+183
+00:16:42,190 --> 00:16:47,590
+كان فيه تقييم باليه محددة بطريقة معينة وادات
+
+184
+00:16:47,590 --> 00:16:52,890
+التقييم موجودة وانت خدتها من 2015 قيمت في 2020
+
+185
+00:16:52,890 --> 00:16:57,210
+يعتبر هو عبارة عن secondary research ال secondary
+
+186
+00:16:57,210 --> 00:17:00,530
+research بيكون عبارة عن دراسة سابقة وانا خدت
+
+187
+00:17:00,530 --> 00:17:07,780
+طريقتها وطبقتها جبتmedia analysis أو meta analysis
+
+188
+00:17:07,780 --> 00:17:12,320
+وروحت خدت عدة دراسات وشوفت إيش عملوا وطبقت زيهم
+
+189
+00:17:12,320 --> 00:17:15,800
+كمان في عندنا statistical analysis في عندنا
+
+190
+00:17:15,800 --> 00:17:19,320
+اختبارات أحصائية هم عملوها وانا استخدمت نفسيها
+
+191
+00:17:19,320 --> 00:17:25,280
+وكذلك case study بنلاحظ أن موضوع ال case study
+
+192
+00:17:25,280 --> 00:17:29,000
+موجودة في ال primary research وموجود في ال
+
+193
+00:17:29,000 --> 00:17:32,880
+secondary researchلما كانت موجودة في ال primary
+
+194
+00:17:32,880 --> 00:17:36,720
+research دربنا لها مثال على موضوع ال down syndrome
+
+195
+00:17:36,720 --> 00:17:40,620
+و ال uric acid و كمان في ال secondary research
+
+196
+00:17:40,620 --> 00:17:48,810
+نضرب لها نفس المثال يعني انتجريتفي دراسة سابقة
+
+197
+00:17:48,810 --> 00:17:52,630
+موجودة إن الورك أسد بيزيد عند مريض معين في ال down
+
+198
+00:17:52,630 --> 00:17:55,970
+syndrome وانت قلت والله وإن في غزة في حاله نفس
+
+199
+00:17:55,970 --> 00:17:59,430
+الحاجة أنا في مريض down syndrome و الورك أسد بيزيد
+
+200
+00:17:59,430 --> 00:18:04,190
+فيه هذا تعتبر ك secondary research بينما الشخص
+
+201
+00:18:04,190 --> 00:18:08,710
+الأول الملاحظ أول واحد كتب بالنسبالي تعتبر primary
+
+202
+00:18:08,710 --> 00:18:13,810
+research ولكن انت كونك انت قريت ال articles هذهو
+
+203
+00:18:13,810 --> 00:18:17,530
+لاحظت على المريض و لجيت فعلا أنهي عالي و كتبت كمان
+
+204
+00:18:17,530 --> 00:18:21,070
+بحث عن الحالة هذه او reports عن الحالة هذه فتعتبر
+
+205
+00:18:21,070 --> 00:18:29,890
+ك case study ك secondary research مثال
+
+206
+00:18:29,890 --> 00:18:34,390
+على ال research انا بدأ اعرف كيف البكتيريا بتنمو ل
+
+207
+00:18:34,390 --> 00:18:38,370
+growth تبع البكتيريا اول حاجة بدروح اقرا عن
+
+208
+00:18:38,370 --> 00:18:44,100
+الموضوع هذافبكون عندى بعد ما أقرا عن الموضوع هذا و
+
+209
+00:18:44,100 --> 00:18:47,940
+أشوف الدراسات إيش بتحكي على الجروث بكتيريا بيكون
+
+210
+00:18:47,940 --> 00:18:52,580
+ال topic عندي هو عبارة عن بكتيريا reproduction and
+
+211
+00:18:52,580 --> 00:18:59,420
+how to block it كيف أنا بدي أشوف تضاعف البكتيريا و
+
+212
+00:18:59,420 --> 00:19:04,240
+كذلك كيف بتمنع أن البكتيريا تنمر و تتضاعف أنت في
+
+213
+00:19:04,240 --> 00:19:07,900
+الحالة هذه بتكون اخترت موضوع البكتيريا ك topic
+
+214
+00:19:08,660 --> 00:19:14,620
+بتروح تجرأ عن الموضوع و تشوف عدة references اتكلمت
+
+215
+00:19:14,620 --> 00:19:19,540
+على موضوع ال bacterial growth وهذه ال references
+
+216
+00:19:19,540 --> 00:19:23,680
+ممكن تكون كتب، ممكن تكون مجلات، ممكن تكون كمان أو
+
+217
+00:19:23,680 --> 00:19:29,880
+أي مصادر إلكترونية، محاوسبة فتبدأ من خلال هذه ال
+
+218
+00:19:29,880 --> 00:19:32,620
+references اللي موجودة تجمع information
+
+219
+00:19:36,590 --> 00:19:40,450
+و أحياناً و أنت بتجمع في ال information بتلاقي أنه
+
+220
+00:19:40,450 --> 00:19:44,710
+بيصير في عندك شوية لبس بتوح تستشير حد أخصائي
+
+221
+00:19:44,710 --> 00:19:50,410
+infractor أو يكون طبيب في موضوع البكتيريا، أيش أهم
+
+222
+00:19:50,410 --> 00:19:55,150
+ال antibiotic اللي ممكن تقضي على هذه البكتيريا بعد
+
+223
+00:19:55,150 --> 00:19:59,530
+ذلك بتقوم بإجراء عدة تجارب على ال bacteria
+
+224
+00:19:59,530 --> 00:20:05,540
+resistantفبالتالي أول حاجة انت موضوع البكتيريا أو
+
+225
+00:20:05,540 --> 00:20:08,780
+ال bacteria growth هو عبارة عن topic قريت
+
+226
+00:20:08,780 --> 00:20:15,660
+reference كتير على الموضوع وجمعت معلومات استشرت
+
+227
+00:20:15,660 --> 00:20:20,080
+ناس expert في الموضوع وبعدها بعض هذه الاستشارات
+
+228
+00:20:20,080 --> 00:20:25,760
+اتبلورت عندك فكرة وبدأت تجري بعض التجارب بهدف
+
+229
+00:20:25,760 --> 00:20:33,920
+إيقاف نمو البكتيرياأحيانا أثناء سير البحث بنلاحظ
+
+230
+00:20:33,920 --> 00:20:38,840
+أنه احنا عندنا .. في عندنا مشكلة أو سؤال يحتاج إلى
+
+231
+00:20:38,840 --> 00:20:43,340
+إجابة أنه بعد أن أنا معرفت ال antibiotic بدي أعرف
+
+232
+00:20:43,340 --> 00:20:47,560
+كيف ال antibiotic هذا بيمنع نمو البكتيريا هل هو
+
+233
+00:20:47,560 --> 00:20:51,720
+بيشتغل على ال DNA؟ ولا بيشتغل عندي داخل البكتيريا
+
+234
+00:20:51,720 --> 00:20:58,400
+على ال cell wall ولا ال cell membrane؟ بيشتغل عندي
+
+235
+00:20:58,400 --> 00:21:02,260
+على ribosome؟هل هو ال antibiotic هذا عبارة عن
+
+236
+00:21:02,260 --> 00:21:08,240
+specific لجين محدد بيعمله inhibition؟ ولا أيش
+
+237
+00:21:08,240 --> 00:21:13,540
+بالظبط؟ هذا بتكون عبارة عن سؤال علمي يحتاج إلى
+
+238
+00:21:13,540 --> 00:21:17,900
+إجابة فبالتالي
+
+239
+00:21:17,900 --> 00:21:24,480
+بنوصل في الآخر عنا أنه احنا عنا بدنا نعمل title
+
+240
+00:21:24,480 --> 00:21:30,550
+للبحث من خلال ما سبق يبقى ال title هو عبارة عنشيء
+
+241
+00:21:30,550 --> 00:21:35,510
+انا باختاره او موضوع انا باختاره منطبق محدد عشان
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+242
+00:21:35,510 --> 00:21:40,850
+يكون عنده title يعني ناخد مثال على ذلك المثال ان
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+243
+00:21:40,850 --> 00:21:44,750
+انا بدأ اشوف prevalence of lunar track infection
+
+244
+00:21:44,750 --> 00:21:51,230
+among primary school children in Gaza Strip انا
+
+245
+00:21:51,230 --> 00:21:56,230
+بدأ اشوف ما مدى انتشار التهيبات المجال البولية ما
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+246
+00:21:56,230 --> 00:22:01,230
+بين الأطفال اللي موجودينفي المدارس الإبتدائية في
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+247
+00:22:01,230 --> 00:22:06,930
+قطاع غزة هذا بنقول عنه title هذا ال title هو جاي
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+248
+00:22:06,930 --> 00:22:11,130
+من topic ال topic هو عبارة عن urinary tract
+
+249
+00:22:11,130 --> 00:22:14,270
+infection أنا عند urinary tract infection هو عبارة
+
+250
+00:22:14,270 --> 00:22:20,450
+عن مشكلة موجودة وبدأ أروح أشوف ما مدى انتشارها في
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+251
+00:22:20,450 --> 00:22:25,380
+أطفال اللي موجودين في المرحلة الإبتدائيةفبالتالي
+
+252
+00:22:25,380 --> 00:22:29,400
+لما بتفكر في موضوع البحث تبع ال majestia بدك أول
+
+253
+00:22:29,400 --> 00:22:32,620
+حاجة تحدد ال topic اللي بتشتغل عليه قبل ال title
+
+254
+00:22:32,620 --> 00:22:39,340
+أنا بدي أشتغل موضوع genetic يعتبر topic أنا بدي
+
+255
+00:22:39,340 --> 00:22:43,940
+أشتغل على ال down syndrome كمان يعتبر topic أنا
+
+256
+00:22:43,940 --> 00:22:48,420
+بدي أشتغل في ال down syndrome against ال level تبع
+
+257
+00:22:48,420 --> 00:22:52,440
+ال uric acid هيك أصبح اسمه title لأنه أصبح more
+
+258
+00:22:52,440 --> 00:22:59,050
+specificال title باختصار هو أكثر تخصيصي ممكن نوصل
+
+259
+00:22:59,050 --> 00:23:04,050
+إلها مش ممكن نوصل لتخصيصية أكتر من هيك ناخد مثال
+
+260
+00:23:04,050 --> 00:23:08,830
+تاني أنا موضوعي بدي أشتغل بحثي في ال magistrate
+
+261
+00:23:08,830 --> 00:23:12,530
+على موضوع ال abortion اللي هو الإجهاد الإجهاد هو
+
+262
+00:23:12,530 --> 00:23:18,590
+عبارة عن topic أنا بدي أشتغل موضوع ال relation ما
+
+263
+00:23:18,590 --> 00:23:24,560
+بين ال abortion و ال toxoplasmosisamong women in
+
+264
+00:23:24,560 --> 00:23:30,000
+Gaza Strip فبالتالي هنا صار عندى title لأن انا
+
+265
+00:23:30,000 --> 00:23:37,320
+حددت فيه ال topic وكنت more specific يعني حددت
+
+266
+00:23:37,320 --> 00:23:42,140
+كمان في موضوع ال abortion انا ايش بده اشتغل بالظبط
+
+267
+00:23:42,140 --> 00:23:47,680
+اللي هو موضوع ال infection بتكسو ابلازموسس هنتكلم
+
+268
+00:23:47,680 --> 00:23:52,570
+عن تركيبة ال title بالتفصيل بعد قليلولكن الواجهة
+
+269
+00:23:52,570 --> 00:23:56,930
+الأساسية اللى هتكون عندنا في الصفحة الأولى البر
+
+270
+00:23:56,930 --> 00:24:00,270
+اللى خاص بالبحث أو الغلاف اللى خاص بالبحث هيكون
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+271
+00:24:00,270 --> 00:24:06,490
+فيه موجود ال title هيكون موجود فيه كمان اسم الباحث
+
+272
+00:24:06,490 --> 00:24:11,510
+وهيكون موجود فيه اسم المشرف وبكون موجود اسم الباحث
+
+273
+00:24:11,510 --> 00:24:15,350
+قبل اسم المشرف وبكون البحث موجود أعلى منهم
+
+274
+00:24:15,350 --> 00:24:19,270
+فبالتالي بكون أعلى حاجة بتكون موجودة هى ال title
+
+275
+00:24:19,270 --> 00:24:23,250
+اللى أنا بكون جبته من topicوبعدين بتكون عندنا اسم
+
+276
+00:24:23,250 --> 00:24:28,150
+الباحث وبعدين اسم المشرف لو كانوا عندنا اتنين
+
+277
+00:24:28,150 --> 00:24:32,970
+مشرفين بنكتب هنا اسم الأول حسب الدرجة العلمية
+
+278
+00:24:32,970 --> 00:24:37,930
+الأعلى درجة علمية وليس ابجا دي وهنا بنكتب اسم
+
+279
+00:24:37,930 --> 00:24:43,350
+التاني اللي هو بيكون أقل درجة علمية ما بنكتب أسماء
+
+280
+00:24:43,350 --> 00:24:46,110
+المشرفين في البحث لو كانوا اتنين تحت بعض بيكونوا
+
+281
+00:24:46,110 --> 00:24:51,540
+موجودين على جبال بعض في الرسالةلو البحث اللي أنت
+
+282
+00:24:51,540 --> 00:24:59,040
+بتقوم فيه موجود كان أكتر من واحد موجود فيه ولكن في
+
+283
+00:24:59,040 --> 00:25:02,920
+الماجستير هو طالب واحد ولكن لو أنت أشرفت على طلبة
+
+284
+00:25:02,920 --> 00:25:07,320
+baccalaureate وكانوا أربع بيكونوا موجودين مرتبين
+
+285
+00:25:07,320 --> 00:25:11,120
+أبجدي اتنين واتنين لو أنت بتشرف على طلبة
+
+286
+00:25:11,120 --> 00:25:15,200
+baccalaureateوكانوا موجودين عندنا اربعة مشتركين في
+
+287
+00:25:15,200 --> 00:25:18,280
+البحث وكانوا اتنين و اتنين موجودين ولكن انت في ال
+
+288
+00:25:18,280 --> 00:25:22,280
+master هو عبارة عن باحث واحد وبيكون الاسم موجود
+
+289
+00:25:22,280 --> 00:25:31,500
+لوحده في تحت ال title مباشرة ال
+
+290
+00:25:31,500 --> 00:25:36,080
+topic اللي انت بدك تاخده و تجيب منه ال title اول
+
+291
+00:25:36,080 --> 00:25:38,560
+حاجة لازم يكون له علاقة بتخصصك
+
+292
+00:25:40,720 --> 00:25:45,300
+يعني إله علاقة بالتخصص اللي أنت بتشتغل فيه ال type
+
+293
+00:25:45,300 --> 00:25:51,160
+2 diabetes أنا بدي أجيبله biomarker جديد ال cancer
+
+294
+00:25:51,160 --> 00:25:54,880
+أنا بدي أجيبله biomarker جديد ال biomarker هو تخصص
+
+295
+00:25:54,880 --> 00:25:59,740
+تعوني مختبرات الطبية فبالتالي بدي أكون أنا ذو
+
+296
+00:25:59,740 --> 00:26:04,160
+علاقة بال topic اللي موجود طب ممكن يكون بحث أبعد
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+297
+00:26:04,160 --> 00:26:08,880
+مالوش علاقة بالتخصص ممكن يعني مثال لو طالب مختبرات
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+298
+00:26:08,880 --> 00:26:17,670
+بده يأخدفي بحث التخرج العلاقة ما بين ضد
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+299
+00:26:17,670 --> 00:26:22,790
+عن أداء المدرسين في التعليم الإلكتروني والتحسين
+
+300
+00:26:22,790 --> 00:26:28,730
+الدراسي مالوش علاقة بالمختبرات خالص الموضوع أو
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+301
+00:26:28,730 --> 00:26:33,360
+مثال تانيما مدى علاقة الدراسة الخصوصية لطلبة
+
+302
+00:26:33,360 --> 00:26:36,460
+الثانوية العامة بالتحصيل الدراسي في المعدل
+
+303
+00:26:36,460 --> 00:26:40,600
+التراكمي مالوش علاقة كمان بتخصص التحاليل الطبية
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+304
+00:26:40,600 --> 00:26:48,560
+فبالتالي بيكون الموضوع أنت ذو علاقة بيه الشيء
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+305
+00:26:48,560 --> 00:26:54,120
+التاني الشيء التاني أنه أنا بديش أكون الموضوع مكبر
+
+306
+00:26:54,120 --> 00:26:58,680
+يعني طالب ماخد نفس الموضوع أو انشغل في فترات قريبة
+
+307
+00:26:59,810 --> 00:27:02,630
+وأنا بدأ أخد نفس ال title و أشغل عليه فبكون أنا
+
+308
+00:27:02,630 --> 00:27:06,030
+عملت هنا duplication فبتجنب أن يكون عندي أي
+
+309
+00:27:06,030 --> 00:27:11,670
+duplication موجود في البحث الشيء اللي بعدين يفضل
+
+310
+00:27:11,670 --> 00:27:15,450
+أن يكون موضوع الدراسة لمشكلة urgent موجودة في
+
+311
+00:27:15,450 --> 00:27:19,770
+البلد انت بدك تحلها زي موضوع الزيادة ال abortion
+
+312
+00:27:19,770 --> 00:27:25,010
+اللي موجود وانت بدك تدرس اذا في جين محدد ممكن
+
+313
+00:27:25,010 --> 00:27:30,600
+انحدده هو ك risk factor لموضوع ال abortionالشيء
+
+314
+00:27:30,600 --> 00:27:34,720
+اللي بعدين أن الموضوع مقبول والنتائج والتوصيات
+
+315
+00:27:34,720 --> 00:27:41,180
+اللي بتطلع فيها مقبولة وقابلة للتطبيق فمثلا لو أنت
+
+316
+00:27:41,180 --> 00:27:47,100
+بدك تقدم proposal أو title مش مقبول لا عند الجامعة
+
+317
+00:27:47,100 --> 00:27:50,680
+ولا عند المشرف ولا عند المجتمع فبالتالي مافي داعي
+
+318
+00:27:50,680 --> 00:27:57,300
+تتعب من الأول و تختار ال topic يعني مثال حد بيقول
+
+319
+00:27:57,300 --> 00:28:02,770
+أنا بدي أدرس موضوع بحثتيوهذا الموضوع البحثي بتعلق
+
+320
+00:28:02,770 --> 00:28:08,970
+أن نسبة الدهون تزيد عند مرضى السُكّار لما هو معروف
+
+321
+00:28:08,970 --> 00:28:11,730
+نسبة الدهون تزيد عند مرضى السُكّار والمشرف مش
+
+322
+00:28:11,730 --> 00:28:14,650
+هيوافق على الموضوع هذا لأن الموضوع هذا معروف وهي
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+323
+00:28:14,650 --> 00:28:19,750
+قاعدة موجودة ولا يمكن أن يكون في أي حال من الأهوال
+
+324
+00:28:19,750 --> 00:28:27,040
+هو title لبحث ماجستيرعامل ايضا proposal وهذا ال
+
+325
+00:28:27,040 --> 00:28:31,480
+proposal يتطلب جهاز يكون موجود و الجهاز ليس موجود
+
+326
+00:28:31,480 --> 00:28:35,520
+في القطاع غزة فبالتالي الجامعة لن توافق عليه كون
+
+327
+00:28:35,520 --> 00:28:39,520
+الجهاز اللي بيقيص ال marker اللي تشتغل عليه ليس
+
+328
+00:28:39,520 --> 00:28:43,120
+موجود او ال primer اللي تشتغل عليه في ال genetic
+
+329
+00:28:43,120 --> 00:28:48,680
+ليس موجود فبالتالي الموضوع غير مقبوليبقى مش أن
+
+330
+00:28:48,680 --> 00:28:53,140
+الموضوع كونه urgent ومافيش حد أشتغله وليه علاقة
+
+331
+00:28:53,140 --> 00:28:57,600
+بتخصصي أنه ممكن ينبل هناك كثير من الطلبة اللي
+
+332
+00:28:57,600 --> 00:29:00,980
+اختاروا مواضيع سابقة ولمّا أجى عند التطبيق يجيب
+
+333
+00:29:00,980 --> 00:29:04,640
+الكتات اتغلب في موضوع الكتات أو أنه كيف يوصل
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+334
+00:29:04,640 --> 00:29:10,680
+الكتات لقطع غزة عشان يشتغل البحث وأهم من كل اللي
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+335
+00:29:10,680 --> 00:29:17,060
+سبق أن يكون عندنا أحنا سهولة في إجراء البحث اللي
+
+336
+00:29:17,060 --> 00:29:23,440
+موجودأهم حاجة في الأشياء اللي سبقت كلها أن يكون
+
+337
+00:29:23,440 --> 00:29:29,780
+البحث لا يمس حياة مريض بأي شيء ما أكون أنا بدي
+
+338
+00:29:29,780 --> 00:29:36,620
+أجرب علاج محدد على مريض معين و أذيه فبالتالي بدي
+
+339
+00:29:36,620 --> 00:29:41,240
+يكون ال ethical considerationأو الموافقات الأخلاقي
+
+340
+00:29:41,240 --> 00:29:47,420
+اللي موجودة كلها بتدلل على إن مافيش أي أذى لأي شخص
+
+341
+00:29:47,420 --> 00:29:53,260
+موجود مشارك في هذا البحث سواء كان هذا الأذى جسدي
+
+342
+00:29:53,260 --> 00:29:58,680
+ولا كان هذا الأذى اللي موجود عندنا نفسي يعني ما
+
+343
+00:29:58,680 --> 00:30:04,340
+باجي أنا لطفلوالطفل هذا أنا شايف عنده دياريا إسهال
+
+344
+00:30:04,340 --> 00:30:08,140
+وأجي أنا بدي أقول بدي أجرب عشبة معينة وأسيب الطفل
+
+345
+00:30:08,140 --> 00:30:12,280
+يعاني لمدة أسبوع مشان أجرب أقول والله العشبة
+
+346
+00:30:12,280 --> 00:30:16,040
+الفلانية ممكن تقضي على موضوع الدياريا بدون مالجة
+
+347
+00:30:16,040 --> 00:30:21,520
+على أي موضوع علاج antibiotic أو أي علاج موجود
+
+348
+00:30:21,520 --> 00:30:27,150
+مستخدم في الصدريات خلاص للقولإن اختيار ال topic
+
+349
+00:30:27,150 --> 00:30:32,810
+اللى بدك تشتغل عليه أهم شيء لموضوع ال title فإذا
+
+350
+00:30:32,810 --> 00:30:35,690
+انت اخترت ال topic اللى هتشتغل عليه بالتالي
+
+351
+00:30:35,690 --> 00:30:39,410
+automatic هيطلع ال title مناسب اللى هتشتغل عليه و
+
+352
+00:30:39,410 --> 00:30:47,550
+هتكون أمور البحث ميسرة وسهلة هنا بيجي عنا سؤال مهم
+
+353
+00:30:47,550 --> 00:30:51,870
+كيف أنا كباحث أو طالب ماجستير ممكن أختار ال topic
+
+354
+00:30:51,870 --> 00:30:59,490
+ال topic بيكون من شيء انت بتعرفهأو سمعت عنه و مجال
+
+355
+00:30:59,490 --> 00:31:05,410
+انت بتحب تشتغل فيه و
+
+356
+00:31:05,410 --> 00:31:11,310
+طبق الناس دايما بتتكلم فيه و انت بتسمع منهم من كل
+
+357
+00:31:11,310 --> 00:31:13,890
+هدولة بتجمعهم مع بعض و بتختار الطبق اللي انت
+
+358
+00:31:13,890 --> 00:31:19,170
+بتشتغل عليه يعني مثال انا بعرف ان مرض السكر بيصير
+
+359
+00:31:19,170 --> 00:31:23,470
+عندهم complication و انا حابب اشتغل في مجال
+
+360
+00:31:23,470 --> 00:31:28,280
+clinical chemistryوبسمع من الناس أن أكتر ال
+
+361
+00:31:28,280 --> 00:31:31,340
+complication اللي بتتم عندهم هو موضوع ال
+
+362
+00:31:31,340 --> 00:31:35,140
+cardiovascular disease، أمرض القلب فبالتالي هنا
+
+363
+00:31:35,140 --> 00:31:38,420
+بقول أن ال title بدي يكون أنا بدي أشغل في ال
+
+364
+00:31:38,420 --> 00:31:43,640
+chemical chemistry و بدي أشغل في موضوع ال type 2
+
+365
+00:31:43,640 --> 00:31:49,180
+diabetes لإن بسمع عنه و بسمع أن موضوع ال
+
+366
+00:31:49,180 --> 00:31:51,960
+cardiovascular disease فبقول هنا a prevalence of
+
+367
+00:31:51,960 --> 00:31:54,840
+cardiovascular disease among type 2 diabetes in
+
+368
+00:31:54,840 --> 00:32:01,040
+Gaza Stripفصار الموضوع اللي موجود عندى موضوع انا
+
+369
+00:32:01,040 --> 00:32:07,560
+بعرف فيه وموضوع الناس حكت عنهم في نفس المجال اللى
+
+370
+00:32:07,560 --> 00:32:12,220
+انا حاببه وممكن من خلاله وانت بتجيس في ال
+
+371
+00:32:12,220 --> 00:32:16,160
+prevalence تجيس كمان شوية biomarker شوية فحصات
+
+372
+00:32:16,160 --> 00:32:25,640
+موجودة مثال تانى حد حاب يشغل في موضوع ال microوفي
+
+373
+00:32:25,640 --> 00:32:30,580
+موضوع ال infection control لأنه
+
+374
+00:32:30,580 --> 00:32:33,760
+هو عارف إن ال infection control بزيد في المستشفيات
+
+375
+00:32:33,760 --> 00:32:37,980
+فبالتالي هو بحب ال micro ويعرف إن ال infection
+
+376
+00:32:37,980 --> 00:32:42,540
+control بزيد في المستشفيات وبيسمع إن من أسباب ال
+
+377
+00:32:42,540 --> 00:32:45,980
+infection control وزيادتها في المستشفيات عدم
+
+378
+00:32:45,980 --> 00:32:50,200
+التعقيم الجيد للأدوات اللي موجودة في أقصام
+
+379
+00:32:50,200 --> 00:32:56,940
+العمليات فبالتالي هنا بقولالعنوان اللي انا بده
+
+380
+00:32:56,940 --> 00:33:04,220
+اخده بده اجيب antimicrobial resistant among
+
+381
+00:33:04,220 --> 00:33:09,640
+caesarean section او antimicrobial resistant in
+
+382
+00:33:09,640 --> 00:33:14,840
+caesarean section بده اخد موضوع المقاومة البكتيريا
+
+383
+00:33:14,840 --> 00:33:21,080
+عند الستات اللي بيعملوا قيصريات in الشفاه hospital
+
+384
+00:33:24,630 --> 00:33:27,170
+فبالتالي بكون ال topic اللى موجود عندى
+
+385
+00:33:27,170 --> 00:33:34,910
+antimicrobial resistant among caesarean section
+
+386
+00:33:34,910 --> 00:33:38,750
+الستات اللى بيعمل ال caesarean section in shifa
+
+387
+00:33:38,750 --> 00:33:43,330
+hospital فبكون أنا بحب موضوع ال micro أخدت موضوع
+
+388
+00:33:43,330 --> 00:33:47,910
+عارفه اللى هو ال infection في قسم بزيد في حالات ال
+
+389
+00:33:47,910 --> 00:33:52,570
+infection و هو قسم القيصريات أو عمليات القيصريةفكل
+
+390
+00:33:52,570 --> 00:33:56,110
+هذا اخترت منه topic اللي انا روحت منه و جبت منه
+
+391
+00:33:56,110 --> 00:34:01,390
+title طب لو هالاشياء هذه مش متوفرة عندنا و انا مش
+
+392
+00:34:01,390 --> 00:34:06,650
+محدد المجال اللي انا بديه و مختار ايش اشتغل و
+
+393
+00:34:06,650 --> 00:34:12,190
+ماسمعتش ولا في حاجة كيف بدي احدد topic؟أول حاجة
+
+394
+00:34:12,190 --> 00:34:16,830
+ممكن نحددها من خلال انه انا في حد عنده موضوع موجود
+
+395
+00:34:16,830 --> 00:34:21,430
+او في حد عنده مشروع جاي او في شغلات محددة ممكن انا
+
+396
+00:34:21,430 --> 00:34:24,610
+اساعده في هالمشروع اللي موجود واخد branch من
+
+397
+00:34:24,610 --> 00:34:28,450
+هالاشياء اللي موجودة جاي دعم لموضوع محدد او جاي
+
+398
+00:34:28,450 --> 00:34:32,730
+دعم ل project معين فانا باخد منه branch و بشغل
+
+399
+00:34:32,730 --> 00:34:37,560
+عليه موضوع الرسالةتاني شيء أنه أنا في عنا مشاكل
+
+400
+00:34:37,560 --> 00:34:42,380
+يومية و هذه المشاكل اليومية موجودة و تسجل حالات
+
+401
+00:34:42,380 --> 00:34:45,320
+بسأل أنا إيش في مشاكل يومية موجودة في أقصار
+
+402
+00:34:45,320 --> 00:34:49,600
+المستشفيات أو في المجال الصحي ممكن نشتغل عليها
+
+403
+00:34:49,600 --> 00:34:55,320
+تالت شيء أن احنا بنشوف إيش الأشياء التكنولوجية
+
+404
+00:34:55,320 --> 00:34:58,860
+اللي بتتم و التغيرات التكنولوجية اللي بتتم و بنقدر
+
+405
+00:34:58,860 --> 00:35:03,720
+من خلالها نختار topicيعني مثال انا لاحظت ان في new
+
+406
+00:35:03,720 --> 00:35:07,540
+biomarker موجود جديد ويستخدم في كل دول العالم انه
+
+407
+00:35:07,540 --> 00:35:16,080
+بشخص موضوع cancer محدد زي ال head of pancreas ال
+
+408
+00:35:16,080 --> 00:35:19,620
+head of pancreas cancer فبالتالي بقى اشوف ال
+
+409
+00:35:19,620 --> 00:35:25,500
+biomarker اللي موجودوبأشتغل بطبق في غزة على موضوع
+
+410
+00:35:25,500 --> 00:35:30,160
+الناس هدول و بشوفوا فعلا هل ال biomarker بجيس و لا
+
+411
+00:35:30,160 --> 00:35:34,720
+لأ و بنطبق فعلا و بنتأكد من دقة هذا الفحص اللي
+
+412
+00:35:34,720 --> 00:35:39,560
+موجودأنا بلاحظ أنه في عندنا trend معين في بعض
+
+413
+00:35:39,560 --> 00:35:42,200
+الحالات اللي موجودة يعني بزيد عندنا حالات ال
+
+414
+00:35:42,200 --> 00:35:46,220
+cancer بزيد عندنا حالات ال UTI بزيد عندنا حالات ال
+
+415
+00:35:46,220 --> 00:35:48,340
+antimicrobial resistance بزيد عندنا حالات ال
+
+416
+00:35:48,340 --> 00:35:51,880
+infection اللي موجود داخل المستشفيات كل هذه
+
+417
+00:35:51,880 --> 00:35:56,280
+الأشياء أنه أنا بلاحظ من خلالها و بقدر أخد من هذه
+
+418
+00:35:56,280 --> 00:36:01,640
+ال trend موضوع بحثي كمان ممكن أن أختار موضوع ال
+
+419
+00:36:01,640 --> 00:36:07,020
+title أو ال topic من الأشياء مالهاش تفسيريعني
+
+420
+00:36:07,020 --> 00:36:12,040
+موضوع عدم التركيز الدراسي عند الأطفال إنه أنا ممكن
+
+421
+00:36:12,040 --> 00:36:16,720
+ألاحظ الموضوع هذا ومافيش حد قادر يفسر الظاهرة هذه
+
+422
+00:36:16,720 --> 00:36:20,460
+وأربطها بموضوع انتشار ال anemia ما بين الأطفال إنه
+
+423
+00:36:20,460 --> 00:36:23,260
+أنا أقول والله ممكن تكون ال anemia هي اللي مسبب
+
+424
+00:36:23,260 --> 00:36:30,090
+الموضوع عدم التركيز أثناء الفصل الدراسيممكن يكون
+
+425
+00:36:30,090 --> 00:36:34,270
+كمان موضوع من خلال مناقشة مع حد .. مع حد expert في
+
+426
+00:36:34,270 --> 00:36:38,650
+المجال يعني في عندي مشرف وهذا المشرف وانا باتناقش
+
+427
+00:36:38,650 --> 00:36:42,830
+أنا ويا وصلنا لموضوع topic محدد ان انا اخده ك
+
+428
+00:36:42,830 --> 00:36:47,510
+title هذه ال slide بتوضح ان ال criteria اللي
+
+429
+00:36:47,510 --> 00:36:54,230
+شرحناها قبل اللي كانت هنا بالتفصيلفهذه ال slide
+
+430
+00:36:54,230 --> 00:36:58,110
+بتقول ان الموضوع ال criteria للطب اللي انا بدي
+
+431
+00:36:58,110 --> 00:37:01,750
+اختارهم او المشكلة البحثية انه لازم تتوفر فيها
+
+432
+00:37:01,750 --> 00:37:07,750
+الأشياء اللي موجودة أمامنا بعد
+
+433
+00:37:07,750 --> 00:37:11,930
+ما اخترت ال topic و خلصت و بدي اصيغه على شكل title
+
+434
+00:37:11,930 --> 00:37:16,510
+ايش تركيبت ال title؟ أول حاجة تركيبت ال title بدي
+
+435
+00:37:16,510 --> 00:37:20,010
+أكون فيها اسم ال disease اللي انا بدي أبحث عنه
+
+436
+00:37:20,010 --> 00:37:24,750
+بعدين بدي أكون فيها موضوع ال populationمين هم
+
+437
+00:37:24,750 --> 00:37:29,990
+الناس اللي أنا بتدجر عليهم البحث؟وكمان يكون من
+
+438
+00:37:29,990 --> 00:37:34,690
+خلال ال title هدف الدراسة واضح و ال design تبع
+
+439
+00:37:34,690 --> 00:37:39,030
+الدراسة هل انا بدي اخد cross-sectional design ولا
+
+440
+00:37:39,030 --> 00:37:42,750
+case control ولا clinical trial prevalence risk
+
+441
+00:37:42,750 --> 00:37:46,670
+factor انا ايش بدي ااخد بالظبط و هذه كله ال design
+
+442
+00:37:46,670 --> 00:37:51,370
+of study او study design ان اجلها شوية الموضوع هذا
+
+443
+00:37:51,370 --> 00:37:54,890
+لان هناخدها جدا بالتفصيل يعني هيكون عندنا محاضرة
+
+444
+00:37:54,890 --> 00:38:00,330
+خاصة بجزئية study designفلو حد ما فهمهاش حاليا
+
+445
+00:38:00,330 --> 00:38:05,550
+ممكن يتظهر شوية، الأمور بالنسباله هتكون أوضعة، بده
+
+446
+00:38:05,550 --> 00:38:13,430
+يكون عندنا أقصى حد لل title يكون 72 حرف و 72 حرف
+
+447
+00:38:13,430 --> 00:38:17,530
+هدول مافيش فيهم أي abbreviations، أي اختصارات تكون
+
+448
+00:38:17,530 --> 00:38:25,010
+موجودة، بده يكون الاسم كله كامل وموجود عندناوتتجنب
+
+449
+00:38:25,010 --> 00:38:29,710
+إذا كانت أي مصطلحات موجودة ممكن تعمل عندنا confuse
+
+450
+00:38:29,710 --> 00:38:33,770
+في الكلمات أو في ال title والأمثلة اللي اتكلمنا
+
+451
+00:38:33,770 --> 00:38:37,710
+عليهم سابقاً انعيدهم تاني prevalence of rhinitis
+
+452
+00:38:37,710 --> 00:38:44,430
+tract infection among primary school childrenin
+
+453
+00:38:44,430 --> 00:38:48,330
+Gaza Strip فهنا اسم ال disease موجود urinary tract
+
+454
+00:38:48,330 --> 00:38:53,190
+infection ال population واضح مين هما هما الأطفال
+
+455
+00:38:53,190 --> 00:38:56,290
+اللي موجودين في المراحل الإعدادية عفرا الأطفال
+
+456
+00:38:56,290 --> 00:38:59,290
+اللي موجودين في المراحل الإبتدائية الأطفال اللي
+
+457
+00:38:59,290 --> 00:39:02,730
+موجودين في المراحل الدراسة الإبتدائية الهدف من
+
+458
+00:39:02,730 --> 00:39:06,130
+البحث أنا بده أشوف ممد انتشارها جداش ال urinary
+
+459
+00:39:06,130 --> 00:39:09,730
+tract infection ولو عدنا لحروف اللي بدها تكون
+
+460
+00:39:09,730 --> 00:39:18,280
+موجودةبدا تكون أقل من 72 وأنا ما قلتش هنا UTI قلت
+
+461
+00:39:18,280 --> 00:39:22,000
+prevalence of renal tract infection يعني اتجنبت أن
+
+462
+00:39:22,000 --> 00:39:28,140
+يكون موجود عندنا أي اختصار كان موجود ناخد كمان
+
+463
+00:39:28,140 --> 00:39:31,100
+مثال لما اتكلمنا عن موضوع ال antimicrobial
+
+464
+00:39:31,100 --> 00:39:37,220
+resistant among caesarean section in الشفاة
+
+465
+00:39:37,220 --> 00:39:41,000
+hospitalفبالتالي بيكون ال antimicrobial resistance
+
+466
+00:39:41,000 --> 00:39:45,460
+هو disease ال population بيكون الستات اللي عملوا
+
+467
+00:39:45,460 --> 00:39:49,960
+عمليات قيصرية و الهدف من الدراسة اني احدد ال
+
+468
+00:39:49,960 --> 00:39:55,400
+antimicrobial resistance و مافيش اي اختصارات
+
+469
+00:39:55,400 --> 00:40:01,320
+موجودة كانت عندنا في ال title هيك بنكون خلصنا و
+
+470
+00:40:01,320 --> 00:40:08,490
+عرفنا كيف ان احنا ممكن نختار titleللبحث الخاص
+
+471
+00:40:08,490 --> 00:40:14,310
+بالمجلس سياق أو كيف ممكن نختار title لأي موضوع أو
+
+472
+00:40:14,310 --> 00:40:21,430
+أي بحث بنطلب منها احنا بنتوقف عند الجزئي الحالي و
+
+473
+00:40:21,430 --> 00:40:26,090
+بنكمل ان شاء الله في الجزء الثاني بنتمنالكوا
+
+474
+00:40:26,090 --> 00:40:29,810
+التوفيق والسلام عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI.srt
new file mode 100644
index 0000000000000000000000000000000000000000..50c9d6f7dc3a17ad32b03fa8514c5a3299607204
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI.srt
@@ -0,0 +1,1825 @@
+1
+00:00:05,990 --> 00:00:10,890
+بسم الله الرحمن الرحيم، طلبتنا الأعزاء، السلام عليكم
+
+2
+00:00:10,890 --> 00:00:17,770
+ورحمة الله وبركاته، نجدد لكم الترحاب، ونسأل الله عز
+
+3
+00:00:17,770 --> 00:00:24,510
+وجل لكم دوام الصحة والعافية، ونسأل الله عز وجل لكم
+
+4
+00:00:24,510 --> 00:00:30,690
+أيضًا دوام التوفيق والسداد والنجاح. نستكمل الحديث
+
+5
+00:00:30,690 --> 00:00:35,730
+اليوم عن جزئية الـ Biostatistics.
+
+6
+00:00:38,710 --> 00:00:45,630
+ونعرف، كتعريف مبسط، الـ Biostatistics علم الأحصاء
+
+7
+00:00:45,630 --> 00:00:52,630
+الحيوي. هو علم إحصائي، ولكن هذا الإحصاء متعلق بجزئية
+
+8
+00:00:52,630 --> 00:01:00,410
+الأحياء، أو ما يسمى الـ Medical Biostatistics، يتعلق
+
+9
+00:01:00,410 --> 00:01:05,790
+بجزئية الجوانب الصحية أو العلوم الصحية.
+
+10
+00:01:09,440 --> 00:01:11,920
+فبالتالي، الذي يكون الإحصاء الحيوي هو جزء من
+
+11
+00:01:11,920 --> 00:01:17,200
+الإحصاء المتعلق بجانب العلوم الحياتية أو العلوم
+
+12
+00:01:17,200 --> 00:01:24,120
+الصحية. لا يعتمد فقط على المعلومات الإحصائية، وإنما
+
+13
+00:01:24,120 --> 00:01:30,080
+يلزم جوانب أخرى. الجوانب الأخرى التي حكينا عنها قبل
+
+14
+00:01:30,080 --> 00:01:35,960
+شوية، وهي الـ situation والـ environment التي
+
+15
+00:01:35,960 --> 00:01:39,880
+تكون موجودة فيها هذه الأرقام. فبالتالي، علم الأحصاء
+
+16
+00:01:39,880 --> 00:01:47,680
+يطلّع لي أرقامًا، علم الأحصاء يطلّع لي data حتى أحولها
+
+17
+00:01:47,680 --> 00:01:51,940
+إلى information. بلزم أعرف الجوانب الأخرى الموجودة
+
+18
+00:01:51,940 --> 00:01:56,700
+حول الرقم، وبناءً على هذه الجوانب أقدر أُفتي في
+
+19
+00:01:56,700 --> 00:02:01,080
+الرقم الموجود. يبقى بلزم مني أن يكون عندي معرفة
+
+20
+00:02:01,080 --> 00:02:07,240
+في الجانب العلمي الحياتي والجانب الطبي. وبلزم مني
+
+21
+00:02:07,240 --> 00:02:13,140
+أكون عارف متطلبات واحتياجات العوامل الصحية أو
+
+22
+00:02:13,140 --> 00:02:18,740
+الجوانب الصحية. نأخذ مثالًا، نفترض أنه أنا عندي علاج
+
+23
+00:02:18,740 --> 00:02:28,460
+معين، علاج X، وأجى باحث لاحظ وقال إن علاج X يزيد الـ
+
+24
+00:02:28,460 --> 00:02:34,000
+kidney function. أنت كطالب ماجستير، كنت أنا بدي أشوف
+
+25
+00:02:34,000 --> 00:02:39,580
+علاقة العلاج الموجود، هو أنه يزيد مستوى الـ kidney
+
+26
+00:02:39,580 --> 00:02:45,340
+function. فأخذت مجموعة من الناس التي تأخذ العلاج X
+
+27
+00:02:45,340 --> 00:02:48,020
+ومجموعة من الناس التي لا تأخذ علاجًا، أو تأخذ علاجًا
+
+28
+00:02:48,020 --> 00:02:55,280
+آخر موازي له، وبدأنا نفحص وظائف الكلى. أول ما
+
+29
+00:02:55,280 --> 00:02:59,920
+عملنا اليوريا والكرياتينين، لقينا في الناس التي
+
+30
+00:02:59,920 --> 00:03:05,750
+تأخذ العلاج X أن اليوريا الموجودة 40، والناس
+
+31
+00:03:05,750 --> 00:03:11,330
+العاديين 30. باللحظة، اه والله فعلاً أن الثلاثين
+
+32
+00:03:11,330 --> 00:03:16,710
+أقل بكثير من الأربعين بالنسبة لك، والكرياتينين كان
+
+33
+00:03:16,710 --> 00:03:20,090
+موجود عندنا 1، في حين أن الناس التي لم تأخذ
+
+34
+00:03:20,090 --> 00:03:23,730
+العلاج كان عندهم 7 من 10. تقول والله
+
+35
+00:03:23,730 --> 00:03:27,890
+فعلاً هو يزيد وظائف الكلى، لأن الكرياتينين كان
+
+36
+00:03:27,890 --> 00:03:31,550
+عندنا 1، واليوريا 40 في الناس التي تأخذ
+
+37
+00:03:31,550 --> 00:03:35,110
+علاج X، بينما الناس التي لا تأخذه كانت اليوريا 30
+
+38
+00:03:35,110 --> 00:03:39,850
+والكرياتينين كانت 7 من 10. في الحالة هذه،
+
+39
+00:03:39,850 --> 00:03:44,110
+بالمنطق وبالإحصاء أن اليوريا والكرياتينين زادا،
+
+40
+00:03:44,110 --> 00:03:47,650
+ولكن من ناحية Normal Range، الاثنان في الـ Normal
+
+41
+00:03:47,650 --> 00:03:51,710
+Range. فبالتالي، هما من ناحية إحصاء فيه Difference،
+
+42
+00:03:51,710 --> 00:03:55,470
+من ناحية إحصاء، ولكن من ناحية طبية، من ناحية قيمة
+
+43
+00:03:55,470 --> 00:03:59,030
+طبية، مافي اختلاف، لأن الاثنان ما زالا في Normal
+
+44
+00:03:59,030 --> 00:04:05,770
+Range. ولو تفاجأنا أكثر أن علاج X الموجود يشفي
+
+45
+00:04:05,770 --> 00:04:11,350
+المريض من مرض معين خلال يومين، بينما إذا بِدّه ينتظر
+
+46
+00:04:11,350 --> 00:04:18,230
+المريض ولا يأخذ علاج X، على جهاز المناعة يقعد شهر،
+
+47
+00:04:18,230 --> 00:04:23,010
+هل في الحالة هذه المريض يقعد يعاني شهرًا؟ ولا يضحي
+
+48
+00:04:23,010 --> 00:04:25,710
+أن الوضع يرتفع عنده مقدار 10 في نفس الـ Normal
+
+49
+00:04:25,710 --> 00:04:29,210
+Range، وبعد وقف العلاج رجع ثانيةً للـ Normal،
+
+50
+00:04:29,210 --> 00:04:32,620
+للتلاتين؟ فبالتالي نقول في الحالة هنا الـ
+
+51
+00:04:32,620 --> 00:04:35,480
+situation التي تكون موجودة فيها الحالة، أو الـ
+
+52
+00:04:35,480 --> 00:04:38,780
+environment الموجودة فيها، بكون ملزم أن أكون
+
+53
+00:04:38,780 --> 00:04:44,800
+عارفها. وهذا ما يُقصد بالمعرفة في الجانب الطبي
+
+54
+00:04:44,800 --> 00:04:49,100
+وجانب العلوم الحياتية، والاحتياجات الصحية التي
+
+55
+00:04:49,100 --> 00:04:52,180
+موجودة. والله أنا محتاج أن المرضى هؤلاء أنهم يعانون،
+
+56
+00:04:52,180 --> 00:04:55,230
+يأخذوا العلاج، ومش مشكلة لو اليوريا والـ
+
+57
+00:04:55,230 --> 00:04:57,750
+كرياتينين زادا عندهم شوية،
+
+58
+00:04:57,750 --> 00:05:01,670
+ما هم بعد ما وقّفوا
+
+59
+00:05:01,670 --> 00:05:06,310
+العلاج، هيرجعوا مرة ثانية، وترجع الأمور كما
+
+60
+00:05:06,310 --> 00:05:10,230
+كانت. علم الإحصاء لوحده يقول أن اليوريا والـ
+
+61
+00:05:10,230 --> 00:05:13,110
+كرياتينين بـ Zero. ولكن معرفتنا بالجوانب
+
+62
+00:05:13,110 --> 00:05:17,350
+الأخرى، تجعلنا نقول حتى لو زادا، ولكن هذه
+
+63
+00:05:17,350 --> 00:05:22,680
+الزيادة مقبولة. فهكذا بدأوا يفصلوا علم الـ Biostatistics عن علم الإحصاء العادي. فبالتالي،
+
+64
+00:05:22,680 --> 00:05:25,340
+علم الـ Biostatistics أو الـ Medical Statistics
+
+65
+00:05:25,340 --> 00:05:27,920
+يَلزم أن يكون عندنا معرفة بالجوانب الطبية
+
+66
+00:05:27,920 --> 00:05:32,040
+واحتياجاتها، وماذا نريده بالضبط، بغض النظر هل
+
+67
+00:05:32,040 --> 00:05:37,880
+الزيادة هذه كانت موجودة، تؤثر أم لا تؤثر. وممكن
+
+68
+00:05:37,880 --> 00:05:41,780
+نستخلص من كل هذه القصة التي حكيناها سابقًا، أن الـ
+
+69
+00:05:41,780 --> 00:05:48,640
+Biostatistics يُستخدم في القرارات الطبية الموجودة
+
+70
+00:05:48,640 --> 00:05:53,110
+و الإدارية الموجودة، يُستخدم في علم الـ Research،
+
+71
+00:05:53,110 --> 00:05:57,130
+أنه أنا أقدر من خلال البحث هذا أقرر هل العلاج هذا
+
+72
+00:05:57,130 --> 00:06:03,410
+يأخذه المريض أم لا يأخذه. يلزم أيضًا في اتخاذ قرار
+
+73
+00:06:03,410 --> 00:06:08,430
+طبي. فبالتالي، أحيانًا ممكن يكون الفئة الموجودة
+
+74
+00:06:08,430 --> 00:06:16,340
+عندي من ناحية طبية هم مرضى سرطان، وعلاج الكيميائي
+
+75
+00:06:16,340 --> 00:06:20,000
+المستخدم، الذي موجود، الذي يُساعد على شفائهم، يزيد الـ
+
+76
+00:06:20,000 --> 00:06:24,380
+Kidney Function. فبالتالي، لا أقدر أن أحرم المريض من
+
+77
+00:06:24,380 --> 00:06:28,960
+علاج للسرطان، حتى إن وظائف الكلى زادت من
+
+78
+00:06:28,960 --> 00:06:34,900
+20 إلى 27، أو من 20 إلى 35، ضمن Normal Range، أو
+
+79
+00:06:34,900 --> 00:06:38,160
+في نفس الـ Normal Range تبع اليوريا أو الكرياتينين،
+
+80
+00:06:38,160 --> 00:06:43,120
+بدلًا ما يكون 6 من 10، أصلاً عندي 1 أو 1.2. لكل ما سبق،
+
+81
+00:06:43,120 --> 00:06:48,570
+نقول: فُصِل علم الـ Biostatistics عن الإحصاء
+
+82
+00:06:48,570 --> 00:06:54,190
+العادي. نأخذ أمثلة على ما سبق، أنه جاء اثنان من الباحثين،
+
+83
+00:06:54,190 --> 00:06:58,830
+المجموعة الأولى قالت أنه أخذت عينة، والعينة هذه كانت
+
+84
+00:06:58,830 --> 00:07:02,650
+نسبة الناس الذين عندهم سرطان الرئة عالية في مجتمع
+
+85
+00:07:02,650 --> 00:07:06,130
+معين، والمجموعة الثانية قالت والله سرطان الرئة
+
+86
+00:07:06,130 --> 00:07:09,310
+كانت قليلة. المجموعة الأولى قالت أن نسبة سرطان الرئة
+
+87
+00:07:09,310 --> 00:07:15,460
+2%، والمجموعة الثانية قالت نصف %. ولما طلعنا
+
+88
+00:07:15,460 --> 00:07:19,740
+فيهم، الإثنان، من ناحية إحصائية فيه فروقات لما
+
+89
+00:07:19,740 --> 00:07:24,200
+نحكي عن 2% ونصف %. وفي نفس العام فيه اختلاف
+
+90
+00:07:24,200 --> 00:07:29,520
+في الباحثين، ولكن تفاجأنا أن الجزء الأول أخذ Males
+
+91
+00:07:29,520 --> 00:07:35,080
+الذين طلع عندهم 2%، ولما أخذ الـ Males، أخذهم معظمهم
+
+92
+00:07:35,080 --> 00:07:39,920
+مدخنين، يعني ناس مدخنة، Smoker، وهؤلاء Smoker نسبة
+
+93
+00:07:39,920 --> 00:07:43,100
+سرطان الرئة  أكثر عندهم من الناس غير
+
+94
+00:07:43,100 --> 00:07:49,610
+المدخنين، non-smoker. فبالتالي، طلعت عنده نسبة 2%. الشخص الذي طلع
+
+95
+00:07:49,610 --> 00:07:53,910
+عنده نصف %، هو أخذ Males مع Females، ونسبة الـ
+
+96
+00:07:53,910 --> 00:07:57,590
+التدخين في الـ Females قليلة، أو العدد، أو الـ
+
+97
+00:07:57,590 --> 00:08:01,030
+proportion تبع المدخنين في الـ Females قليلة، وكمان
+
+98
+00:08:01,030 --> 00:08:06,710
+أخذ Males من كل الأعمار، يعني بدأ من عمر 20
+
+99
+00:08:06,710 --> 00:08:10,670
+إلى عمر 70. اختلاف الـ population في الحالة هذه
+
+100
+00:08:10,670 --> 00:08:14,700
+هو الذي عمل عندنا اختلافًا في الـ proportion. فنقول
+
+101
+00:08:14,700 --> 00:08:18,320
+يلزم أن يكون عندنا معرفة في الجانب الطبي، أننا
+
+102
+00:08:18,320 --> 00:08:22,480
+عارفين أن سرطان الرئة يؤثر بالتدخين أم لا.
+
+103
+00:08:22,480 --> 00:08:27,020
+فبالتالي نقول: هي التي جعلت عندنا النسبتين تختلفان،
+
+104
+00:08:27,020 --> 00:08:29,700
+أم النسبتان، لو كان عندنا مطابقة في الـ
+
+105
+00:08:29,700 --> 00:08:34,700
+population، كان طلع نفس النسبة. ولكن هذا الاختلاف الذي
+
+106
+00:08:34,700 --> 00:08:41,360
+حدد أن سبب الاختلاف ليس إحصائيًا، الإحصائي قال لنا فقط
+
+107
+00:08:41,360 --> 00:08:45,220
+نسبة الـ proportion. فبالتالي، الإحصائي لما حكى الـ
+
+108
+00:08:45,220 --> 00:08:49,600
+Proportion، لازم في هذه الحالة يكون أحد في الجانب
+
+109
+00:08:49,600 --> 00:08:53,840
+الطبي، عالم في حالة الأرقام التي طلعت، أو في الـ
+
+110
+00:08:53,840 --> 00:08:58,760
+situation تحت الأرقام التي طلعت، ويقدر يفسرها. نأخذ
+
+111
+00:08:58,760 --> 00:09:02,800
+مثالًا، أن نسبة الهيموغلوبين في الناس الذين عندهم
+
+112
+00:09:02,800 --> 00:09:07,720
+لوكيميا، واحد قال أن نسبة الهيموغلوبين في مرضى
+
+113
+00:09:07,720 --> 00:09:12,930
+اللوكيميا قليلة، ووصل لنتيجة أن نسبة الهيموغلوبين
+
+114
+00:09:12,930 --> 00:09:16,690
+قليلة. طيب، ما نحن من خلال دراستنا في الـ bachelor's
+
+115
+00:09:16,690 --> 00:09:19,670
+عارفين أن نسبة الهيموغلوبين عند اللوكيميا قليلة،
+
+116
+00:09:19,670 --> 00:09:23,970
+لا تحتاج أحدًا إحصائيًا ليُخبرنا أن هذه النسبة الموجودة. فأول
+
+117
+00:09:23,970 --> 00:09:27,390
+ما أحد في المجال الطبي، وعارف في الـ medical
+
+118
+00:09:27,390 --> 00:09:31,030
+biostatistics، سيقول: يا عم هذا خلاص، هذا حقيقة
+
+119
+00:09:31,030 --> 00:09:35,170
+معروفة، ومعروفة مسبقًا. فبالتالي، ليس موضوع بحث أنك
+
+120
+00:09:35,170 --> 00:09:38,830
+تعمل بحثًا لتشوف موضوع الهيموغلوبين يزيد أم يقل
+
+121
+00:09:38,830 --> 00:09:43,300
+في مرضى اللوكيميا. نأخذ مثالًا آخر، نسبة الـ
+
+122
+00:09:43,300 --> 00:09:47,440
+Proportion للناس الذين يتوفون، اسمعنا أن أحدًا عمل
+
+123
+00:09:47,440 --> 00:09:50,920
+نسبة الـ Proportion للوفيات الموجودة، وبين
+
+124
+00:09:50,920 --> 00:09:53,600
+الساعة، نحن في المجال الطبي، هل هو عمل الـ
+
+125
+00:09:53,600 --> 00:09:57,940
+Proportion لمرض معين، يعني درس الـ survival، كم
+
+126
+00:09:57,940 --> 00:10:01,200
+عاش، كم مات؟ هل هو عمل الـ Mortality والـ
+
+127
+00:10:01,200 --> 00:10:05,460
+Morbidity للـ population ككل، بغض النظر عن وجود
+
+128
+00:10:05,460 --> 00:10:08,560
+مرض أم لا يوجد مرض؟ هل هو عمل الـ
+
+129
+00:10:08,560 --> 00:10:12,400
+Proportion للمواليد؟ فبالتالي، الذي قدر يسأل
+
+130
+00:10:12,400 --> 00:10:16,940
+التساؤلات هذه كلها كان على علم بالجانب الطبي، هذا
+
+131
+00:10:16,940 --> 00:10:20,260
+يأخذ موضوع الأسرة، وعدد الأسرة الموجودة في
+
+132
+00:10:20,260 --> 00:10:24,840
+المستشفيات، وقال أن عدد الأسرة الموجودة في
+
+133
+00:10:24,840 --> 00:10:29,420
+مستشفى أبو يوسف النجار أقل بكثير من الأسرة التي
+
+134
+00:10:29,420 --> 00:10:34,460
+موجودة في مجمع الشفاء الطبي، وعليه نوصي بزيادة
+
+135
+00:10:34,460 --> 00:10:38,360
+والمساواة بين المستشفيات الموجودة، مستشفى
+
+136
+00:10:38,360 --> 00:10:43,050
+الموجود في رفح، الذي هو مستشفى صغير نسبيًا،
+
+137
+00:10:43,050 --> 00:10:47,230
+ومجمع الشفاء الطبي. وقال لك أنه يعتبر عدد الأسرة
+
+138
+00:10:47,230 --> 00:10:51,130
+الموجودة في مجمع الشفاء الطبي عشر أضعاف التي
+
+139
+00:10:51,130 --> 00:10:55,050
+موجودة في مستشفى الشهيد أبو يوسف النجار، وبدأ يكتب
+
+140
+00:10:55,050 --> 00:10:57,950
+في الـ recommendation، من باب العدالة، لازم نساوي
+
+141
+00:10:57,950 --> 00:11:01,170
+بينهم. أحد قال في المجال الطبي: طيب، هي المستشفى
+
+142
+00:11:01,170 --> 00:11:04,550
+أصلًا صغيرة، حتى لو وفرنا عدد الأسرة، لن تتسع،
+
+143
+00:11:04,550 --> 00:11:08,190
+المستشفى. وبعدين الشفاء تغطي كل قطاع غزة ببعض
+
+144
+00:11:08,190 --> 00:11:14,050
+الأمراض، مثل أمراض السرطان عند الأطفال، تغطي
+
+145
+00:11:14,050 --> 00:11:19,210
+جراحات متخصصة في الأعصاب، تغطي بعض الإصابات، بعض
+
+146
+00:11:19,210 --> 00:11:23,150
+العمليات المعقدة في القلب، بخلاف مستشفى صغير مثل
+
+147
+00:11:23,150 --> 00:11:27,570
+مستشفى أبو يوسف النجار. فبالتالي، هذا يلزم أن يكون
+
+148
+00:11:27,570 --> 00:11:31,590
+أحد عنده معرفة بالمجال الطبي والواقع الصحي الذي
+
+149
+00:11:31,590 --> 00:11:37,300
+موجود، حتى يقدر يقنع الشخص الذي يتحدث، أو في
+
+150
+00:11:37,300 --> 00:11:42,500
+الأرقام التي يراها. يبقى كل هذا الـ slide هذا ملخص
+
+151
+00:11:42,500 --> 00:11:46,580
+الذي حكينا فيه في الجزء السابق، أن الرقم لحاله، لما
+
+152
+00:11:46,580 --> 00:11:52,780
+نسمعه لا يعني شيئًا إلا بوجود معرفة طبية وصحية للرقم
+
+153
+00:11:52,780 --> 00:11:55,740
+الموجود، والـ environment والـ situation التي كانت
+
+154
+00:11:55,740 --> 00:12:02,230
+فيه. الرقم. نرجع على هذا الـ slide الذي سيظل هو الـ
+
+155
+00:12:02,230 --> 00:12:05,510
+Guideline الموجودة، أنه كل ما نحكي جزئية في
+
+156
+00:12:05,510 --> 00:12:09,690
+الإحصاء، أنني عندي Data، وحكينا قبل شوية على
+
+157
+00:12:09,690 --> 00:12:13,530
+الأعداد، أعداد المرضى في المستشفيين، وحوّلناها إلى
+
+158
+00:12:13,530 --> 00:12:16,810
+Information، أن فعلاً هذه المستشفى يجب أن تكون أكثر
+
+159
+00:12:16,810 --> 00:12:20,830
+من الأخرى لأنها تخدم كذا وكذا، والـ Action أنه
+
+160
+00:12:20,830 --> 00:12:22,830
+أنا خلاص، الواقع الموجود يكفي، لا أحتاج لاتخاذ
+
+161
+00:12:22,830 --> 00:12:28,760
+Action، لأن هذا واقع موجود. حتى عدم اتخاذ قرار يُعتبر
+
+162
+00:12:28,760 --> 00:12:32,900
+Action، أو منع قرار، أو إيقاف قرار. هو في ناس تطالب
+
+163
+00:12:32,900 --> 00:12:37,760
+وتكتب، نجعل المستشفيين اثنين نفس عدد
+
+164
+00:12:37,760 --> 00:12:43,240
+الأسرة. وإن أنت قدرت تُقنعهم بالتراجع عن القرار، فهو
+
+165
+00:12:43,240 --> 00:12:47,000
+Action أنت اتخذته. فبالتالي، نقول أنه عبارة عن
+
+166
+00:12:47,000 --> 00:12:50,260
+Data حوّلناها إلى Information بناءً على الـ situation
+
+167
+00:12:50,260 --> 00:12:53,620
+الموجودة، وقدرنا في الآخر أن نتخذ عليها
+
+168
+00:12:53,620 --> 00:12:58,210
+Action. نأخذ بكل بساطة موضوع الـ Information والـ
+
+169
+00:12:58,210 --> 00:13:03,970
+Data، رقم 37، درجة الحرارة التي تكون عندنا 37
+
+170
+00:13:03,970 --> 00:13:09,310
+السابعة والثلاثين. لما نحكي بصفة مطلقة، درجة حرارة 37،
+
+171
+00:13:09,310 --> 00:13:12,970
+أسكت، هل هي درجة حرارة الجو؟ هل هي درجة حرارة
+
+172
+00:13:12,970 --> 00:13:17,190
+الجسم؟ هل هي درجة حرارة الـ Incubator؟ هل هي درجة
+
+173
+00:13:17,190 -->
+
+223
+00:16:48,230 --> 00:16:52,770
+خاصية الـVariable لما يكون كل الناس جاوبوا نفس
+
+224
+00:16:52,770 --> 00:16:56,870
+الجواب، يعني مثلًا أنا بدأت أقصى knowledge اللي
+
+225
+00:16:56,870 --> 00:17:03,330
+موجودة عن طلبة الجامعة الإسلامية أو جامعة الأزهر
+
+226
+00:17:03,330 --> 00:17:11,250
+أو وزارة الصحة أو جامعة الأقصى، على COVID-19، لو
+
+227
+00:17:11,250 --> 00:17:16,410
+أجيت هنا في كل الاستبانات اللي وجدت أنه موجود
+
+228
+00:17:16,410 --> 00:17:19,730
+وزارة الصحة، وزارة الصحة، وزارة الصحة، وفي الجامعات
+
+229
+00:17:19,730 --> 00:17:24,240
+الأخرى، فبالتالي طلع كله نفس الجواب، فبالتالي هنا فقط
+
+230
+00:17:24,240 --> 00:17:28,300
+حقه كـ variable، ولو طلعوا الناس كلهم نفس العمر
+
+231
+00:17:28,300 --> 00:17:32,140
+بيكون اسمه مش variable، ولو طلعوا كلهم نفس الـ
+
+232
+00:17:32,140 --> 00:17:35,820
+gender، بيكون مسموش variable، فبالتالي الـ variable
+
+233
+00:17:35,820 --> 00:17:41,120
+إله صفات وإله سمات بدنا نكون عارفينهم حتى يطلق
+
+234
+00:17:41,120 --> 00:17:47,960
+عليه اسم variable، أول هذه الصفات إنه لازم أنه
+
+235
+00:17:47,960 --> 00:17:49,800
+يختلف من واحد للتاني
+
+236
+00:17:52,640 --> 00:17:58,040
+لما أسأل السؤال اللي موجود، لازم إن السؤال يضمن إنه
+
+237
+00:17:58,040 --> 00:18:02,680
+بيختلف من واحد للتاني، المثال عندنا الاستبانة اللي
+
+238
+00:18:02,680 --> 00:18:06,720
+موجودة، وكان الهدف من الاستبانة إنه بتعرف الـ risk
+
+239
+00:18:06,720 --> 00:18:11,760
+factor و الـ complication لـ type 2 diabetes patients
+
+240
+00:18:11,760 --> 00:18:17,330
+لو كان في عندنا سؤال هنا: if not الـ diabetes اللي
+
+241
+00:18:17,330 --> 00:18:20,070
+عندك type 1 ولا type 2؟ ما هو في الـ objective كله
+
+242
+00:18:20,070 --> 00:18:24,710
+type 2، وكل الناس هتجاوب type 2، فبالتالي هنا فقط
+
+243
+00:18:24,710 --> 00:18:30,590
+خاصيته أن يختلف من واحد للتاني، أو نفترض أنه كان
+
+244
+00:18:30,590 --> 00:18:35,470
+عندنا هنا مكتوب أنه كلمة mail، أنه في الـ mails بس
+
+245
+00:18:35,470 --> 00:18:40,810
+وكنا كاتبين agenda، وأنا بقدر أجاوب فقط الـ mail، فبالتالي
+
+246
+00:18:40,810 --> 00:18:43,970
+كل اللي هسأله هيكون mail، فبالتالي مش هيختلف من
+
+247
+00:18:43,970 --> 00:18:48,400
+واحد للتاني، طب لو أنا من بداية تصميم الاستبانة
+
+248
+00:18:48,400 --> 00:18:53,200
+قلت إنه هذا مش variable، هل بنفع أضيفه للاستبانة؟
+
+249
+00:18:53,200 --> 00:18:57,220
+لا، ما بنفعش أن أضيفه للاستبانة، طالما مش إنه variable
+
+250
+00:18:57,220 --> 00:19:03,120
+لازم كل سؤال في الاستبانة يكون فيه خاصية الـ
+
+251
+00:19:03,120 --> 00:19:06,860
+variables، يبقى لو أنا بدرس الـ gender، هنا male
+
+252
+00:19:06,860 --> 00:19:11,330
+فقط، ما بنفعش أضيف الـ gender، لأنهم كلهم male، لو أنا
+
+253
+00:19:11,330 --> 00:19:15,150
+بدرس في وزارة الصحة، ما ينفعش أقوله أنت بتشتغل وين؟
+
+254
+00:19:15,150 --> 00:19:18,130
+لأنهم كلهم هيقولوا إني بشتغل في وزارة الصحة، إلا
+
+255
+00:19:18,130 --> 00:19:21,110
+إذا كان أنا بدي أحدد وين في وزارة الصحة أنا
+
+256
+00:19:21,110 --> 00:19:24,490
+مستشفيات ولا رعاية أولية، فبالتالي هيختلف من واحد
+
+257
+00:19:24,490 --> 00:19:28,550
+لواحد، ما ينفع أن أضيف سؤال في الجانب هذا، الخاصية
+
+258
+00:19:28,550 --> 00:19:33,050
+التانية أن الـ variables اللي موجودة، حتى يكون
+
+259
+00:19:33,050 --> 00:19:38,500
+variable، يكون قابل للقياس من الشخص نفسه، طب أنا لو
+
+260
+00:19:38,500 --> 00:19:43,100
+شخص معين سألت سؤال وعارف إن الناس مش هتقدر تجاوبه
+
+261
+00:19:43,100 --> 00:19:48,640
+يعني مثال، لو جينا سألنا طالب من الطلبة اللي
+
+262
+00:19:48,640 --> 00:19:53,800
+موجودين: كم طالب في الدفعة جاب امتياز؟ بدي أسأل كل
+
+263
+00:19:53,800 --> 00:19:57,240
+الطلبة: كم طالب جاب امتياز؟ وأنا عارف نص الدفعة مش
+
+264
+00:19:57,240 --> 00:20:00,740
+عارفين معدلات بعض، فبالتالي في الحالة هذه ما ينفعش
+
+265
+00:20:00,740 --> 00:20:05,400
+أضيف السؤال، لأن في الحالة هذه الـ variables هذا مش
+
+266
+00:20:05,400 --> 00:20:09,710
+كل الطلاب يقدروا يجاوبوا عليه، أولًا بدي أسأل طلبة
+
+267
+00:20:09,710 --> 00:20:12,590
+الماجستير: أنت وقت إيش متوقع تناقش أطروحة الماجستير
+
+268
+00:20:12,590 --> 00:20:16,950
+و لسة هو في السنة الأولى؟ بدينا نتحدث في  الشهر
+
+269
+00:20:16,950 --> 00:20:21,670
+اللي بدأنا نناقش فيه في 2021، معظم الطلبة مش عارف
+
+270
+00:20:21,670 --> 00:20:23,870
+الشهر بالظبط اللي بدنا نناقش فيه، أو هو وقت إيش
+
+271
+00:20:23,870 --> 00:20:28,270
+بدنا نخلص، أو ظروفه كيف، فبالتالي هنا بكون المتغير
+
+272
+00:20:28,270 --> 00:20:32,190
+رغم أنهم هيجاوبوا كل واحد غير عن التاني، كل واحد
+
+273
+00:20:32,190 --> 00:20:36,720
+بحدد الشهر، لكن ما حدا فيه محدد بالظبط، غير قابل للقياس
+
+274
+00:20:36,720 --> 00:20:41,400
+فبالتالي لا يعتبر Variable، بدي يكون له علاقة
+
+275
+00:20:41,400 --> 00:20:46,520
+بالشخص والـ environment، والسبب تبع البحث الـ
+
+276
+00:20:46,520 --> 00:20:50,080
+Pearson اللي موجود، اللي هو الأشخاص اللي تشملتهم
+
+277
+00:20:50,080 --> 00:20:53,980
+البحث، والـ environment اللي فيها البحث، والأسباب
+
+278
+00:20:53,980 --> 00:20:57,820
+اللي خلتني أعمل البحث اللي موجود، فبالتالي الـ
+
+279
+00:20:57,820 --> 00:21:02,490
+Variable له صفات، أول حاجة بتتغير من شخص لآخر، الناس
+
+280
+00:21:02,490 --> 00:21:07,990
+قدرت تجاوبه، وإيه علاقته بالـ Objective تبع الدراسة؟
+
+281
+00:21:07,990 --> 00:21:12,950
+لو جينا في الاستبانة السابقة اللي موجودة، وسألناها
+
+282
+00:21:12,950 --> 00:21:19,030
+في الأشياء اللي موجودة أمامنا: أنت قد ايش معدلك في
+
+283
+00:21:19,030 --> 00:21:23,090
+الثانوي العام؟ هل السؤال هذا اللي موجود، إيه علاقته
+
+284
+00:21:23,090 --> 00:21:26,210
+بالـ Objective تبع البحث؟ هل ممكن يخدم
+
+285
+00:21:26,210 --> 00:21:30,430
+الـ Objective أو يساعدنا في تفسير النتائج؟
+
+286
+00:21:31,090 --> 00:21:34,010
+بالتأكيد لا، فبالتالي أنا ما بيضمن الـ Variable أن
+
+287
+00:21:34,010 --> 00:21:38,210
+يكون هدف البحث، لأنه فقط خاصية أن يكون له علاقة
+
+288
+00:21:38,210 --> 00:21:41,550
+بالـ Environment، أو له علاقة بسبب الدراسة، أو له
+
+289
+00:21:41,550 --> 00:21:45,470
+علاقة بالأشخاص  تبع الدراسة، أنه أنا أستفيد منه كان
+
+290
+00:21:45,470 --> 00:21:49,710
+موجود، هذه خصائص الـ Variable اللي حكيناها، أنواع
+
+291
+00:21:49,710 --> 00:21:53,690
+الـ Variable، الـ Variable هم نوعين، النوع الأول
+
+292
+00:21:53,690 --> 00:21:57,970
+يكون quantitative، الـ numerical data اللي أنا بدي
+
+293
+00:21:57,970 --> 00:22:03,680
+أقيسه، هو بيكون عبارة عن رقم، وهذا وطن بيكون كمي يعني
+
+294
+00:22:03,680 --> 00:22:06,920
+كمي، زي مثلًا، هذا قد ايش العمر؟ يقول أنا عمري 30 عام
+
+295
+00:22:06,920 --> 00:22:12,380
+يبقى هو جايني كـ numerical data، وهنا الـ data
+
+296
+00:22:12,380 --> 00:22:19,180
+هذا بيكون له unit، وهذا الـ unit بتختلف من واحد
+
+297
+00:22:19,180 --> 00:22:23,910
+للتاني، واحد جايني عمره 30، واحد جايني عمره 32، الـ
+
+298
+00:22:23,910 --> 00:22:26,530
+Homoglobin، حد طلع عنده Homoglobin 11، حد طلع عنده
+
+299
+00:22:26,530 --> 00:22:30,010
+16، حد طلع 14، الـ Fasting Blood Glucose عنده حد
+
+300
+00:22:30,010 --> 00:22:34,830
+سبعين، تمانين، يمكن يكون 150، 210، مستوى
+
+301
+00:22:34,830 --> 00:22:40,210
+البروتين أو الـ Age، فبالتالي هو قادر على القياس، أو
+
+302
+00:22:40,210 --> 00:22:44,310
+عندنا قدرة على قياسه، باختلف من واحد للتاني وله
+
+303
+00:22:44,310 --> 00:22:49,250
+Unit، النوع التاني هو عبارة عن الـ Qualitative
+
+304
+00:22:49,250 --> 00:22:53,790
+Variable، Categorical Data، هذا النوع ليس له unit
+
+305
+00:22:53,790 --> 00:22:59,230
+وصف، مثل الـ Male و Female، نقول الـ Gender، الجواب
+
+306
+00:22:59,230 --> 00:23:02,070
+يا Male يا Female، ليس هناك unit، الأولان الـ
+
+307
+00:23:02,070 --> 00:23:06,210
+Quantity في الرقم، والرقم له وحدة، لما حكينا كم
+
+308
+00:23:06,210 --> 00:23:11,770
+مستوى الجلوكوز 130 ميلي جرام لكل ديسيلتر، بس هنا
+
+309
+00:23:11,770 --> 00:23:14,910
+لما حكينا عن الـ Gender، Male ليس له unit، ليس له
+
+310
+00:23:14,910 --> 00:23:18,330
+ميلي جرام، فبالتالي اللي بيميز الـ qualitative عن الـ
+
+311
+00:23:18,330 --> 00:23:22,510
+quantitative data هي الـ unit، أو لا يملك unit، إذا
+
+312
+00:23:22,510 --> 00:23:27,370
+الـ unit بيكون الـ numerical يبقى بيكون عبارة عن
+
+313
+00:23:27,370 --> 00:23:31,870
+quantitative data، أو الـ disease stage، Stage 1،
+
+314
+00:23:31,870 --> 00:23:34,870
+Stage 2، Stage 3، Stage 4، ما فيش له unit، هي
+
+315
+00:23:34,870 --> 00:23:39,910
+Stage 1، Stage 2، Stage 3، Stage 4، يبقى حتى ما
+
+316
+00:23:39,910 --> 00:23:45,110
+ننسى، بنقول دائما نذكر أن الـ N هذه اللي موجودة
+
+317
+00:23:45,460 --> 00:23:50,160
+نربطها بالـ numerical اللي هي رقمية، وبتكون data
+
+318
+00:23:50,160 --> 00:23:55,460
+بنقولها quantitative data، أو الـ numerical data، نفس
+
+319
+00:23:55,460 --> 00:23:58,960
+المعنى اللي موجودة، هذه اللي نركز أنه لها unit، يبقى
+
+320
+00:23:58,960 --> 00:24:05,460
+هنا بنقول إنه لها Unit، والشيء اللي بيميز الـ
+
+321
+00:24:05,460 --> 00:24:09,240
+Quantitative عن الـ Qualitative Data اللي هو وجود
+
+322
+00:24:09,240 --> 00:24:14,880
+الوحدة، فبالتالي أهم شيء للتمييز ما بين الـ
+
+323
+00:24:14,880 --> 00:24:18,880
+Qualitative و الـ Quantitative Data هي بتكون وجود
+
+324
+00:24:18,880 --> 00:24:25,000
+Unit من عدمه، الـ Quantitative Data مقسوم لقسمين يا
+
+325
+00:24:25,000 --> 00:24:30,310
+discrete يا continuous، الشيء اللي ما فيهوش كسور لا
+
+326
+00:24:30,310 --> 00:24:35,510
+يقبل أن يكون فيه نص، بنقول عنه discrete، زي عدد
+
+327
+00:24:35,510 --> 00:24:38,190
+الأبناء، لما نسأل حد عن الأبناء، ما ينفعش
+
+328
+00:24:38,190 --> 00:24:42,930
+يقول لنا 2.5، يا إما 2، يا إما 3، يا إما 4، يا إما
+
+329
+00:24:42,930 --> 00:24:46,970
+5، أو كده، على المرضى اللي موجودين في قسم العناية،
+
+330
+00:24:46,970 --> 00:24:49,570
+أو كم مريض اليوم أجوا على المختبر، كل هذه لازم
+
+331
+00:24:49,570 --> 00:24:53,610
+تكون أرقام صحيحة، بنقول عنها discrete، ولكن الشغل
+
+332
+00:24:53,610 --> 00:24:59,660
+اللي بتكون فيها كسور، بنقول عنها continuous، زي الـ
+
+333
+00:24:59,660 --> 00:25:04,700
+Age، بنفع واحد يقول عمري تلاتين ونص؟ آه بنفع، بنفع
+
+334
+00:25:04,700 --> 00:25:09,060
+نقول قد ايش معدلك التراكمي؟ بنفع أقول مثلًا تسعين و
+
+335
+00:25:09,060 --> 00:25:15,500
+نص، بظبط أقول تسعين ونص، طيب كم ساعة كنت بتشتغل؟
+
+336
+00:25:15,500 --> 00:25:18,440
+أنا كنت بشغل ست ساعات ونص، فبالتالي عدد الساعات
+
+337
+00:25:18,440 --> 00:25:22,320
+بيكون عندنا continuous، وهذا الـ scale بالذات الـ
+
+338
+00:25:22,320 --> 00:25:26,280
+continuous فيه كمان تصنيف، يا بيكون interval يا
+
+339
+00:25:26,280 --> 00:25:30,680
+إما بيكون ratio، الـ Interval بيكون فيها الـ Zero مش
+
+340
+00:25:30,680 --> 00:25:35,100
+حقيقي، يعني الـ Zero لا يعني  لا، مافيش ولا حاجة، الـ
+
+341
+00:25:35,100 --> 00:25:40,160
+Zero لها معنى، لما بنقول إن درجة حرارة الجو اليوم صفر
+
+342
+00:25:40,160 --> 00:25:44,340
+يبقى الجو بارد، مش أنه مافيش حرارة، في حرارة، ولكن
+
+343
+00:25:44,340 --> 00:25:50,580
+الجو بارد، أو قريبة من درجة التجمد، قلنا الـ Type
+
+344
+00:25:50,580 --> 00:25:53,440
+of Data نوعين، qualitative و quantitative، و اللي
+
+345
+00:25:53,440 --> 00:25:58,250
+بيميزهم الـ Unit، وعندنا كمان الـ Quantitative نوعين يا
+
+346
+00:25:58,250 --> 00:26:04,330
+بيكون discrete يا بيكون continuous، منفصل ومستمر،
+
+347
+00:26:04,330 --> 00:26:11,770
+الـ discrete المنفصل هو عبارة عن أرقام صحيحة، زي
+
+348
+00:26:11,770 --> 00:26:14,790
+عدد الأبناء، عدد الأطفال، عدد المرضى في قسم
+
+349
+00:26:14,790 --> 00:26:18,250
+العناية، عدد الناس اللي عندهم أزمة، عدد الناس اللي
+
+350
+00:26:18,250 --> 00:26:22,670
+أجوا على المختبر، ما ينفعش نقول عدد الأطفال اتنين
+
+351
+00:26:22,670 --> 00:26:27,090
+ونص، لازم يا اتنين يا تلاتة، ما ينفعش نقول على المرضى
+
+352
+00:26:27,090 --> 00:26:34,170
+اللي أجوا على المختبر 75.5، يا 75، يا 76، ما ينفعش
+
+353
+00:26:34,170 --> 00:26:38,550
+نقول على المرضى اللي موجودين في قسم العناية 13.5،
+
+354
+00:26:38,550 --> 00:26:43,670
+يا 13، يا إما بيكونوا 14، ما فيش كسور في
+
+355
+00:26:43,670 --> 00:26:47,910
+الناحية هذه في الـ Discrete، ولكن الـ Continuous
+
+356
+00:26:47,910 --> 00:26:53,490
+المستمر يقبل إن يكون فيه كسور، زي العمر الـ Age، ممكن
+
+357
+00:26:53,490 --> 00:26:59,610
+نقول عمر تلاتين ونص، أو سبعة شهور ونص، أو ممكن
+
+358
+00:26:59,610 --> 00:27:03,750
+نقول الـ Temperature كانت سبعة وتلاتين ونص، أو
+
+359
+00:27:03,750 --> 00:27:08,430
+ممكن نقول الطول كان مية وواحد وستين وتلاتة من
+
+360
+00:27:08,430 --> 00:27:12,730
+عشرة، فبالتالي بتكون continuous، هذا النوع كمان
+
+361
+00:27:12,730 --> 00:27:17,250
+ينقسم إلى تصنيف، continuous، يا بيكون interval يا
+
+362
+00:27:17,250 --> 00:27:23,210
+بيكون ratio، واللي بيميزهم الـ zero، يبقى اللي بيميز
+
+363
+00:27:23,210 --> 00:27:27,070
+الـ Discrete عن الـ Continuous الكسور، وداخل الـ
+
+364
+00:27:27,070 --> 00:27:29,710
+Continuous اللي بيميز الـ Interval عن الـ Ratio
+
+365
+00:27:29,710 --> 00:27:33,770
+اللي هو الـ Zero، الـ Zero حقيقي ولا مش حقيقي؟ طب
+
+366
+00:27:33,770 --> 00:27:37,430
+إيش هو الـ Zero الحقيقي؟ الـ Zero الحقيقي يعني إذا
+
+367
+00:27:37,430 --> 00:27:40,930
+كانت القيمة تساوي Zero يعني مافيش قيمة، يعني
+
+368
+00:27:40,930 --> 00:27:44,830
+يبقى تساوي Nil أو Null، يعني ما فيش عندنا شيء موجود
+
+369
+00:27:44,830 --> 00:27:48,590
+لما بنقول قد ايش الفلوس اللي معاك، وتقولي Zero، يبقى
+
+370
+00:27:48,590 --> 00:27:53,930
+أنت ماعندكش ولا قرش، فبالتالي إذا كان المعنى لا يوجد
+
+371
+00:27:53,930 --> 00:27:59,370
+بتكون Zero حقيقي، لما بنقول لحد كم سؤال غلطت فيه
+
+372
+00:27:59,370 --> 00:28:02,670
+في الامتحان، جاوب Zero على أساس اللي غلط فيهم، لأن
+
+373
+00:28:02,670 --> 00:28:06,210
+هو ما غلطش ولا في سؤال، فبالتالي بيكون الـ Zero
+
+374
+00:28:06,210 --> 00:28:11,890
+حقيقي، زي لما بنقول لحد العمر عنده Zero، أو الطول
+
+375
+00:28:11,890 --> 00:28:15,450
+Zero، أو الوزن Zero، يبقى مافيش وزن ولا فيه طول ولا
+
+376
+00:28:15,450 --> 00:28:19,750
+فيه عمر، لكن في الـ Temperature، في الـ Interval الـ
+
+377
+00:28:19,750 --> 00:28:23,210
+Zero غير حقيقي، لما بنقول الـ Temperature Zero، يبقى
+
+378
+00:28:23,210 --> 00:28:27,650
+فيه Temperature، والـ Temperature هذه بتعني أن الجو
+
+379
+00:28:27,650 --> 00:28:33,610
+بارد، ويعني الـ Zero هنا أنه مافيش حرارة، هنا يعني
+
+380
+00:28:33,610 --> 00:28:38,730
+أنه في حرارة، والجو اللي موجود جو بارد، فتعني بكون
+
+381
+00:28:38,730 --> 00:28:42,790
+كلمة Zero في الـ Temperature يعني Zero غير حقيقي
+
+382
+00:28:42,790 --> 00:28:48,570
+يبقى له معنى، بشكل عام في المجال الطبي، المثالين
+
+383
+00:28:48,570 --> 00:28:51,710
+اللي هيمروا علينا في الـ Interval هم الـ
+
+384
+00:28:51,710 --> 00:28:54,810
+Temperature و الـ Pressure، الدغط، أحيانًا بيكون
+
+385
+00:28:54,810 --> 00:28:57,910
+عندنا موجود الدغط Zero، فبالتالي الـ Temperature
+
+386
+00:28:57,910 --> 00:29:01,510
+لما بتكون Zero بتعطينا الإنطباع أن الجو بارد، مش
+
+387
+00:29:01,510 --> 00:29:05,350
+أنه مافيش حرارة خالص، والدغط لما يكون Zero بتبين
+
+388
+00:29:05,350 --> 00:29:09,510
+أنه الدغط منخفض جدًا، لأن الدغط أحيانًا ممكن يكون
+
+389
+00:29:09,510 --> 00:29:16,830
+بالسالب، فبالتالي هذه Interval، ولكن إذا كان عندنا لا
+
+390
+00:29:16,830 --> 00:29:25,410
+يعني شيء بنقول عنها Ratio، نوضحها بمثال أبسط، إذا
+
+391
+00:29:25,410 --> 00:29:29,670
+كان عندنا الشغل اللي بتطلع فيها، ممكن يكون فيها
+
+392
+00:29:29,670 --> 00:29:
+
+445
+00:33:19,820 --> 00:33:27,300
+فبالتالي أمرهم سهل وحتى ما ننساش نكتب كلمة no
+
+446
+00:33:27,300 --> 00:33:35,440
+unit no unit qualitative ما فيش لها unit و ال no
+
+447
+00:33:36,920 --> 00:33:42,140
+Nominal وOrdinal فبالتالي Nominal وOrdinal إثنين
+
+448
+00:33:42,140 --> 00:33:48,260
+بنقولهم في الـ qualitative data وبنضيف بعدهم كلمة
+
+449
+00:33:48,260 --> 00:33:53,520
+No unit فبالتالي ممكن نلخص كل qualitative data في
+
+450
+00:33:53,520 --> 00:33:59,360
+هالكلمة No unit يبقى الـ scale تبعها نوعين Nominal
+
+451
+00:33:59,360 --> 00:34:03,180
+وOrdinal في No وNo unit مالهاش unit بنقول عنها
+
+452
+00:34:03,180 --> 00:34:07,820
+qualitative data، بظل عندنا interval و ratio تكلمنا
+
+453
+00:34:07,820 --> 00:34:10,840
+عنهم، هؤلاء اللي بيكونوا في الـ quantitative في
+
+454
+00:34:10,840 --> 00:34:17,860
+الشغلات اللي لها unit، ناخدهم
+
+455
+00:34:17,860 --> 00:34:22,660
+بالتفصيل، والتفصيل هيكون سهل لأنه لخصناهم nominal
+
+456
+00:34:22,660 --> 00:34:27,680
+data scale، الـ nominal data scale إن الـ share بتكون
+
+457
+00:34:27,680 --> 00:34:32,420
+وصفي ما فيش فيها unit زي الـ male و الـ female، طب إيش
+
+458
+00:34:32,420 --> 00:34:37,310
+مميز عندنا الـ Nominal عن الـ Ordinal، بيميز
+
+459
+00:34:37,310 --> 00:34:40,990
+الـ Nominal عن الـ Ordinal شغلة إنه ما فيش فيها رتبـة
+
+460
+00:34:40,990 --> 00:34:45,390
+ما فيش فيها ترتيب، يبقى لو قلنا Male و Female نفس لو
+
+461
+00:34:45,390 --> 00:34:50,230
+قلنا Female و Male، إني أغير فيهم وأبدل عادي، لو
+
+462
+00:34:50,230 --> 00:34:55,820
+قلنا الجامعة الإسلامية وجامعة الأزهر وجامعة
+
+463
+00:34:55,820 --> 00:34:59,460
+الأقصى، لو بدأت بجامعة الأقصى والأزهر والإسلامية
+
+464
+00:34:59,460 --> 00:35:03,040
+الترتيب ما لهوش معنى، يبقى اسم الجامعة يكون
+
+465
+00:35:03,040 --> 00:35:05,720
+qualitative لأن اسم الجامعة ما فيش فيه وحدة قياس
+
+466
+00:35:05,720 --> 00:35:11,100
+unit وترتيب، أنا ممكن أخبطهم زي ما بدي، الاستبانة
+
+467
+00:35:11,100 --> 00:35:16,400
+ما حدش، اللي عندي ما لهوش معنى وما لهوش أي شيء، فبالتالي
+
+468
+00:35:16,400 --> 00:35:22,940
+بنقول عنها nominal data وبنستخدم في وصفها الأشياء
+
+469
+00:35:22,940 --> 00:35:26,260
+اللي هنتكلم عنها مستقبلاً في وصف الـ qualitative
+
+470
+00:35:26,260 --> 00:35:30,440
+data اللي هم الـ percentage والـ ratio مستقبلاً
+
+471
+00:35:30,440 --> 00:35:35,240
+هنتكلم عنهم بالتفصيل، ولكن توصف الـ nominal data
+
+472
+00:35:35,240 --> 00:35:39,380
+وتوصف الـ qualitative data بشكل عام بالـ percentage
+
+473
+00:35:39,380 --> 00:35:43,760
+والـ ratio، يبقى بقول 50% male و 50% female، بقول
+
+474
+00:35:43,760 --> 00:35:47,240
+نسبة الـ Male لـ Female واحد لواحد، واحد لواحد
+
+475
+00:35:47,240 --> 00:35:51,300
+تعتبر ratio وتعتبر كمان النسبة المئوية percentage
+
+476
+00:35:51,300 --> 00:35:54,200
+فبالتالي بنقول هنا الـ percentage والـ ratio هي
+
+477
+00:35:54,200 --> 00:35:58,240
+الطرق اللي توصف عنها الـ qualitative data، الـ
+
+478
+00:35:58,240 --> 00:36:03,240
+ordinal data هي عبارة عن أشياء وصفية qualitative
+
+479
+00:36:03,240 --> 00:36:10,020
+مافيش لها unit ولكن الترتيب فيها لازم، زي لما بقول أنا
+
+480
+00:36:12,120 --> 00:36:15,040
+الحالة يا إما mild يا إما moderate يا إما severe
+
+481
+00:36:15,040 --> 00:36:20,260
+ما ينفعش أقول moderate mild severe، لأن هي الترتيب
+
+482
+00:36:20,260 --> 00:36:24,180
+فيها واجب، وأنا بحكي كلام زي ما بحكي في الـ cancer
+
+483
+00:36:24,180 --> 00:36:29,320
+stage، إن أقول stage 1 و stage 2 و stage 3 و stage
+
+484
+00:36:29,320 --> 00:36:33,260
+4، في الاستبانة بكون كاتبهم مع بعض، ما ينفعش طالب يجي
+
+485
+00:36:33,260 --> 00:36:37,460
+في الاستبانة يكتب stage 4 بعد stage 4 يكتب stage 1
+
+486
+00:36:37,460 --> 00:36:41,960
+بعد stage 1 يكتب stage 3، لأن إذا كان ترتيبهم في
+
+487
+00:36:41,960 --> 00:36:46,140
+الاستبانة واجب، وهذا يحقق في الاستبانة Stage 1،
+
+488
+00:36:46,140 --> 00:36:50,640
+Stage 2، Stage 3، Stage 4، هذه تعتبر الـ
+
+489
+00:36:50,640 --> 00:36:54,420
+Qualitative Data والـ Scale يعتبر الـ Ordinal، ثم
+
+490
+00:36:54,420 --> 00:36:58,020
+يقول الطالب ما هي الـ Skills اللي موجود عندك في
+
+491
+00:36:58,020 --> 00:37:01,560
+الجامعة، يقول والله يا مقبول، يا جيد، يا جيد جداً،
+
+492
+00:37:01,560 --> 00:37:05,150
+يا ممتاز، بس ما عملناش اسم على الطالب، قال لك يا ممتاز،
+
+493
+00:37:05,150 --> 00:37:08,830
+يا مقبول، يا جيد، يا جيد جداً، لأن هنا هو بدأ فيهم
+
+494
+00:37:08,830 --> 00:37:14,510
+الترتيب كان واجب والترتيب له معنى، ولكن في الـ
+
+495
+00:37:14,510 --> 00:37:20,610
+Ordinal Data المسافة ما بين التنتين هدول والتنتين
+
+496
+00:37:20,610 --> 00:37:26,210
+هدول مش مهمة كتير بالنسبة لي لأنها مش equal يعني مش
+
+497
+00:37:26,210 --> 00:37:27,290
+متساوية
+
+498
+00:37:31,430 --> 00:37:35,310
+الـ Mild والـ moderate هي نفس الخطورة، من الـ moderate
+
+499
+00:37:35,310 --> 00:37:40,550
+للـ severe بالعكس، من الـ moderate للـ severe هي مسافة أكثر
+
+500
+00:37:40,550 --> 00:37:45,530
+بكتير، خطورة من الـ Mild للـ moderate في الـ Cancer Stage
+
+501
+00:37:45,530 --> 00:37:51,520
+1 و Stage 2، واحد كان Stage 1 صار Stage 2، مش نفس
+
+502
+00:37:51,520 --> 00:37:55,380
+المسافة ولا نفس الأهمية لما بيكون عندنا stage 3
+
+503
+00:37:55,380 --> 00:37:58,940
+وصار stage 4، يبقى stage 4 صار عندنا في الـ stage
+
+504
+00:37:58,940 --> 00:38:02,620
+الأخيرة وصار عندنا في مرحلة الخطر، فبالتالي هنا
+
+505
+00:38:02,620 --> 00:38:08,480
+بقول لك المسافة ما بين التنتين مش equal، وطالما مش
+
+506
+00:38:08,480 --> 00:38:13,740
+equal يبقى بالنسبة لي أنا ما يهمّنيش أي شيء، دايمًا
+
+507
+00:38:13,740 --> 00:38:16,660
+حكينا قبل شوية الـ difference ما بين mild و
+
+508
+00:38:16,660 --> 00:38:20,100
+moderate مش نفس المسافة ما بين الـ moderate و الـ
+
+509
+00:38:20,100 --> 00:38:23,000
+severe، بنعدّه إن الخطورة ما بين moderate و severe
+
+510
+00:38:23,000 --> 00:38:28,740
+هي أكثر بكثير من ما بين mild و moderate، هي هدف
+
+511
+00:38:28,740 --> 00:38:32,640
+الغالب توصف بنفس الطريقة اللي موجودة تحت الـ
+
+512
+00:38:32,640 --> 00:38:36,820
+qualitative data بالـ percentage و الـ proportion و
+
+513
+00:38:36,820 --> 00:38:39,480
+الـ ratio، والـ percentage و الـ proportion نفس
+
+514
+00:38:39,480 --> 00:38:43,880
+المعنى، نسبة مئوية، والـ Ratio اللي هي واحد لواحد زي
+
+515
+00:38:43,880 --> 00:38:46,300
+ما بقول نسبة اللوكيميا واحد لكل عشر آلاف، فهذه
+
+516
+00:38:46,300 --> 00:38:53,280
+تعتبر ريشيو واحد لكل عشر آلاف، ولكن لما بقول نسبة
+
+517
+00:38:53,280 --> 00:38:58,840
+الـ UTI اللي موجودة عندنا في قضايا غزة تعتبر 20%
+
+518
+00:38:58,840 --> 00:39:03,300
+كل 100 فيه 20، فبقول 20% تعتبر percentage أو
+
+519
+00:39:03,300 --> 00:39:06,740
+proportion، وبنقول من واحد لعشر آلاف هذا تعتبر
+
+520
+00:39:06,740 --> 00:39:12,530
+ريشيو، ونادر جداً ما توصف بالـ quantitative زي الـ
+
+521
+00:39:12,530 --> 00:39:18,930
+Mean والـ Standard والـ Mode، وهنا كلمة نادر جداً
+
+522
+00:39:18,930 --> 00:39:22,870
+فقط لا استثناء، الـ Likert Scale اللي اتكلمنا عنه
+
+523
+00:39:22,870 --> 00:39:27,610
+Likert Scale ممكن أنا أعتبره qualitative أو
+
+524
+00:39:27,610 --> 00:39:30,950
+quantitative data، وهنتكلم عنها في المستقبل
+
+525
+00:39:30,950 --> 00:39:34,890
+فبالتالي هذا يعني بتكون في الغالب نفس الـ
+
+526
+00:39:34,890 --> 00:39:38,600
+Qualitative Representation وفي حالات نادرة زي الـ
+
+527
+00:39:38,600 --> 00:39:41,040
+Likert Scale ممكن أطبق عليها قوانين لـ
+
+528
+00:39:41,040 --> 00:39:44,520
+Quantitative Data، وهنتكلم قدام في الـ Presentation
+
+529
+00:39:44,520 --> 00:39:49,080
+للـ Data الـ
+
+530
+00:39:49,080 --> 00:39:53,020
+Interval، حكينا إن الـ Interval No Natural Zero، الـ
+
+531
+00:39:53,020 --> 00:39:57,240
+Zero مش حاضر، اللي موجود فيها الـ Zero اللي موجود
+
+532
+00:39:57,240 --> 00:40:02,190
+لا يعني إنه ما فيش عندي، وإنما يعني فيه، يعني في عندي
+
+533
+00:40:02,190 --> 00:40:04,730
+شيء أنا حاسس فيه، زي الـ Temperature، زي ما بنقول
+
+534
+00:40:04,730 --> 00:40:08,390
+عندنا الـ Temperature Zero بتكون إنه أنا شاعر
+
+535
+00:40:08,390 --> 00:40:13,610
+وحاسس إن الجو بارد، هذه تطبق عليها قوانين الـ
+
+536
+00:40:13,610 --> 00:40:15,790
+Quantitative Data، لأنه أساساً حكينا أن الـ
+
+537
+00:40:15,790 --> 00:40:20,190
+Interval و الـ Ratio هم يعتبروا عندنا من الأشياء
+
+538
+00:40:20,190 --> 00:40:24,090
+اللي Quantitative، لأن نقول لهم Unit، الـ Temperature
+
+539
+00:40:24,090 --> 00:40:26,570
+فيه لها Unit بتكون تقاس فيه
+
+540
+00:40:36,810 --> 00:40:41,330
+زي ما حكينا، قصة كتاش معاك فلوس يبقى Zero يبقى ما معيش
+
+541
+00:40:41,330 --> 00:40:44,730
+إنه ولا حاجة، كتاش الطول Zero يبقى ما فيش طول، كتاش
+
+542
+00:40:44,730 --> 00:40:49,360
+العمر Zero يبقى ما فيش عمر، بنفس ما حكينا في السابق
+
+543
+00:40:49,360 --> 00:40:52,000
+في الـ Ratio تطبق عليها في الـ Descriptive
+
+544
+00:40:52,000 --> 00:40:56,200
+Representation قوانين اللي هي الـ Quantitative
+
+545
+00:40:56,200 --> 00:41:01,560
+Data، وهنتكلم في المحاضرة القادمة على الـ
+
+546
+00:41:01,560 --> 00:41:04,540
+Quantitative و الـ Qualitative Method of Data
+
+547
+00:41:04,540 --> 00:41:06,960
+Representation، هنتكلم عن الـ Data Representation
+
+548
+00:41:06,960 --> 00:41:12,600
+للـ Quantitative و الـ Qualitative Method، ملخص
+
+549
+00:41:12,600 --> 00:41:16,200
+كل ما سبق، في عندي الـ Data Variable اللي شفناها في
+
+550
+00:41:16,200 --> 00:41:21,590
+الاستبانة، بتكون مرسومة لنوعين يا qualitative يا إما
+
+551
+00:41:21,590 --> 00:41:25,210
+quantitative، الـ qualitative قلنا no unit ما فيش
+
+552
+00:41:25,210 --> 00:41:28,570
+فيها أي unit، بتكون يا nominal يا ordinal، والـ
+
+553
+00:41:28,570 --> 00:41:31,990
+quantitative يا إما بتكون interval يا إما بتكون
+
+554
+00:41:31,990 --> 00:41:37,590
+عندنا ratio، هذه بلخص كل السابق، سنكتفي بهذا القدر
+
+555
+00:41:37,590 --> 00:41:41,750
+في هذه المحاضرة، الجزء القادم هيكون على موضوع الـ
+
+556
+00:41:41,750 --> 00:41:46,830
+methods for representation of data، أشكركم لحسن
+
+557
+00:41:46,830 --> 00:41:53,010
+استماعكم، وأتمنى لكم دوام التوفيق والنجاح والسلام
+
+558
+00:41:53,010 --> 00:41:55,630
+عليكم ورحمة الله وبركاته
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..17404933aeb146cdc91eda1447e48cbf6a92123e
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_postprocess.srt
@@ -0,0 +1,2233 @@
+1
+00:00:05,990 --> 00:00:10,890
+بسم الله الرحمن الرحيم طلبنا الأعزاء السلام عليكم
+
+2
+00:00:10,890 --> 00:00:17,770
+ورحمة الله وبركاته نجدد بكم الترحاب ونسأل الله عز
+
+3
+00:00:17,770 --> 00:00:24,510
+وجل لكم درام الصحة والعافية ونسأل الله عز وجل لكم
+
+4
+00:00:24,510 --> 00:00:30,690
+أيضًا درام التوفيق والسداد والنجاح نستكمل الحديث
+
+5
+00:00:30,690 --> 00:00:35,730
+اليوم عن جزئية الـ Biostatistics
+
+6
+00:00:38,710 --> 00:00:45,630
+ونعرف كتعريف الشواء الـ Biostatistics علم الأحصاء
+
+7
+00:00:45,630 --> 00:00:52,630
+الحيوي هو علم أحصائي ولكن هذا الأحصاء متعلق بجزئية
+
+8
+00:00:52,630 --> 00:01:00,410
+الأحياء أو ما يسمى الـ Medical Biostatistics يتعلق
+
+9
+00:01:00,410 --> 00:01:05,790
+بجزئية الجوانب الصحية أو العلوم الصحية
+
+10
+00:01:09,440 --> 00:01:11,920
+فبالتالي اللي بيكون الأحصاء الحيوي هو جزء من
+
+11
+00:01:11,920 --> 00:01:17,200
+الأحصاء المتعلق بجانب العلوم الحياتية أو العلوم
+
+12
+00:01:17,200 --> 00:01:24,120
+الصحية لا يعتمد فقط على المعلومات الأحصائية وإنما
+
+13
+00:01:24,120 --> 00:01:30,080
+يلزم جوانب أخرى الجوانب الأخرى اللي حكينا عنها قبل
+
+14
+00:01:30,080 --> 00:01:35,960
+شوية اللي هي ال situation وال environment اللي
+
+15
+00:01:35,960 --> 00:01:39,880
+بتكون موجود فيها هذه الأرقامفبالتالي علم الأحصاء
+
+16
+00:01:39,880 --> 00:01:47,680
+بطلّعلي أرقام علم الأحصاء بطلّعلي data حتى أحولها
+
+17
+00:01:47,680 --> 00:01:51,940
+ل information بلزم أعرف الجوانب الأخرى اللي موجودة
+
+18
+00:01:51,940 --> 00:01:56,700
+حوالينا الرقم وبناء على هذه الجوانب أقدر أفتي في
+
+19
+00:01:56,700 --> 00:02:01,080
+الرقم اللي موجود يبقى بلزم مني أن يكون عندي معرفة
+
+20
+00:02:01,080 --> 00:02:07,240
+في الجانب العلوم الحياتية والجانب الطبيوبلزم مني
+
+21
+00:02:07,240 --> 00:02:13,140
+أكون عارف متطلبات والاحتياجات العوامل الصحية أو
+
+22
+00:02:13,140 --> 00:02:18,740
+الجوانب الصحية نأخد مثال نفترض إنه أنا عندي علاج
+
+23
+00:02:18,740 --> 00:02:28,460
+معين علاج X وأجى باحث لاحظ وقال إن علاج X بزيد ال
+
+24
+00:02:28,460 --> 00:02:34,000
+kidney function أنت كطالب مجستير كنت أنا بدي أشوف
+
+25
+00:02:34,000 --> 00:02:39,580
+علاقةالعلاج اللي موجود هو إنه بزيد مستوى ال kidney
+
+26
+00:02:39,580 --> 00:02:45,340
+function فأخدت مجموعة من الناس اللي بتاخد العلاج X
+
+27
+00:02:45,340 --> 00:02:48,020
+ومجموعة من الناس اللي بتاخدش علاج أو بتاخد علاج
+
+28
+00:02:48,020 --> 00:02:55,280
+تاني موازي له وبدأنا نفحص في وظائف الكلة أول ما
+
+29
+00:02:55,280 --> 00:02:59,920
+عملنا اليوريا والكرياتينين لقينا فيه الناس اللي
+
+30
+00:02:59,920 --> 00:03:05,750
+بياخدوا العلاج X إن اليوريا اللي موجودة 40والناس
+
+31
+00:03:05,750 --> 00:03:11,330
+العاديين تلاتين باللحظة اه والله فعلا ان التلاتين
+
+32
+00:03:11,330 --> 00:03:16,710
+اقل بكتير من الأربعين بالنسبالك والكرياطينين كان
+
+33
+00:03:16,710 --> 00:03:20,090
+موجود عندنا واحد في حين ان الناس اللي ماخدوش
+
+34
+00:03:20,090 --> 00:03:23,730
+العلاج كان عندهم سبعة من عشر ال press تقول والله
+
+35
+00:03:23,730 --> 00:03:27,890
+فعلا هو بيزود وضائف الكلة لأن الكرياطينين كان
+
+36
+00:03:27,890 --> 00:03:31,550
+عندنا واحد واليوريا أربعين في الناس اللي بياخدوا
+
+37
+00:03:31,550 --> 00:03:35,110
+علاج Xبينما الناس اللي بيخدوش كانت الـ Euro تلاتين
+
+38
+00:03:35,110 --> 00:03:39,850
+والكرياتينين كانت سبعة من عشر في الحالة هذه
+
+39
+00:03:39,850 --> 00:03:44,110
+بالمنطق و بالأحصاء أن الـ Euro و الكرياتينين زادوا
+
+40
+00:03:44,110 --> 00:03:47,650
+ولكن من ناحية Normal Range الأثنين في الـ Normal
+
+41
+00:03:47,650 --> 00:03:51,710
+Range فبالتالي هما من ناحية أحصاء فيه Difference
+
+42
+00:03:51,710 --> 00:03:55,470
+من ناحية أحصاء ولكن من ناحية Medical من ناحية قيمة
+
+43
+00:03:55,470 --> 00:03:59,030
+طبية مافي اختلاف لأن الأثنين ما زالوا في Normal
+
+44
+00:03:59,030 --> 00:04:05,770
+Rangeولو اتفاجأنا اكتر ان علاج X اللي موجود بيشفي
+
+45
+00:04:05,770 --> 00:04:11,350
+المريض من مرض معين خلال يومين بينما اذا بده ينتظر
+
+46
+00:04:11,350 --> 00:04:18,230
+المريض وماياخدش علاج X على جهاز المنعب يقعد شهر،
+
+47
+00:04:18,230 --> 00:04:23,010
+هل في الحالة هذا المريض يقعد يعاني شهر؟ ولا يضحي
+
+48
+00:04:23,010 --> 00:04:25,710
+ان الوضع ترتفع عنده مقدار عشرة في نفس الـ Normal
+
+49
+00:04:25,710 --> 00:04:29,210
+Range وبعد موقف العلاج رجع التاني للـNormal،
+
+50
+00:04:29,210 --> 00:04:32,620
+للتلاتين؟فبالتالي بنقول في الحالة هنا الـ
+
+51
+00:04:32,620 --> 00:04:35,480
+situation اللي بتكون موجودة فيها الحالة أو ال
+
+52
+00:04:35,480 --> 00:04:38,780
+environment اللي موجودة فيها بقم ملزم أن نكون
+
+53
+00:04:38,780 --> 00:04:44,800
+عارفينه وهذا اللي مقصود بالمعرفة في الجانب الطبي
+
+54
+00:04:44,800 --> 00:04:49,100
+وجانب العلوم الحياتية والاحتياجات الصحية اللي
+
+55
+00:04:49,100 --> 00:04:52,180
+موجودة والله أنا محتاج ان المرضى هدول انهم بيعانوا
+
+56
+00:04:52,180 --> 00:04:55,230
+ياخدوا العلاجومش مشكلة لو الـ «يورا» والـ
+
+57
+00:04:55,230 --> 00:04:57,750
+«كرياطينيين» زادوا عندهم شويه،
+ما هم بعد ما وقفوا
+
+58
+00:04:57,750 --> 00:05:01,670
+العلاج، هيرجعوا مرة تانية، وترجع الأمور زي ما
+
+59
+00:05:01,670 --> 00:05:06,310
+كانت. علم الأحصاء لوحده بقول إن الـ «يورا» والـ
+
+60
+00:05:06,310 --> 00:05:10,230
+«كرياطينيين» بـ Zero. ولكن معرفتنا بالجوانب
+
+61
+00:05:10,230 --> 00:05:13,110
+الأخرى، بتخلّينا نقول حتى لو زادوا، ولكن هذه
+
+62
+00:05:13,110 --> 00:05:17,350
+الزيادة مقبولة. فهيك بدوا يفصلوا علم الـ Wire
+
+63
+00:05:17,350 --> 00:05:22,680
+Statistics عن علم الـ Statistics العادى.فبالتالي،
+
+64
+00:05:22,680 --> 00:05:25,340
+علم الـ Biostatistics أو الـ Medical Statistics
+
+65
+00:05:25,340 --> 00:05:27,920
+بلزم أن يكون عندنا معرفة بالجوانب الطبية
+
+66
+00:05:27,920 --> 00:05:32,040
+وإحتياجاتها، وماذا نريدها بالظبط، بغض النظر هل
+
+67
+00:05:32,040 --> 00:05:37,880
+الزيادة هذي كانت موجودة، بتأثر ولا لا بتأثر. وممكن
+
+68
+00:05:37,880 --> 00:05:41,780
+نستخلص من كل هذه القصة اللي حكيناها سابقًا، أن الـ
+
+69
+00:05:41,780 --> 00:05:48,640
+Biostatistics يستخدم في القرارات الطبي اللي موجودة
+
+70
+00:05:48,640 --> 00:05:53,110
+والإدارية اللي موجودة،يستخدم في علم الـ Research
+
+71
+00:05:53,110 --> 00:05:57,130
+أنه أنا بقدر من خلال البحث هذا أقرر هل العلاج هذا
+
+72
+00:05:57,130 --> 00:06:03,410
+يأخذ المريض ولا ما ياخدوش بلزم كمان في اتخاذ قرار
+
+73
+00:06:03,410 --> 00:06:08,430
+طبي فبالتالي أحيانًا ممكن يكون الفئة اللي موجودة
+
+74
+00:06:08,430 --> 00:06:16,340
+عندى من ناحية طبية هم مرضى cancerوعلاج الكيمياء
+
+75
+00:06:16,340 --> 00:06:20,000
+المختارة باللي موجود اللي يساعد عشفائهم بزوّد الـ
+
+76
+00:06:20,000 --> 00:06:24,380
+Kidney Function فبالتالي ما بقدر أحرم المريض من
+
+77
+00:06:24,380 --> 00:06:28,960
+علاج لـ Cancer حتى إن وظائف الـ Kidney ما تزيدش من
+
+78
+00:06:28,960 --> 00:06:34,900
+20 لـ 27 أو من 20 لـ 35 في نظرين Normal Range أو
+
+79
+00:06:34,900 --> 00:06:38,160
+في نفس الـ Normal Range تبع اليوريا أو الكرياطينين
+
+80
+00:06:38,160 --> 00:06:43,120
+بدل ما يكون 6 من 10 أصلا عندي 1 أو 1 و2 لكل ما سبق
+
+81
+00:06:43,120 --> 00:06:48,570
+بنقولفصلوا علم الـ Biostatistics عن الـ Statistics
+
+82
+00:06:48,570 --> 00:06:54,190
+العادى ناخد أمثلة على ما سبق أنه أجوا اتنين باحثين
+
+83
+00:06:54,190 --> 00:06:58,830
+مجموعة الأولى قالت أنه أخدوا عينة والعينة هذه كانت
+
+84
+00:06:58,830 --> 00:07:02,650
+نسبة الناس اللي عندهم lung cancer عالية في مجتمع
+
+85
+00:07:02,650 --> 00:07:06,130
+معين والمجموعة التانية قالت والله ال lung cancer
+
+86
+00:07:06,130 --> 00:07:09,310
+كانت قليلة المجموعة الأولى قالت أنه نسبة ال lung
+
+87
+00:07:09,310 --> 00:07:15,460
+cancer 2% والمجموعة التانية قالت نصف %ولمّا طلعنا
+
+88
+00:07:15,460 --> 00:07:19,740
+فيهم في الإتنين من ناحية إحصائية فيه فروقات لما
+
+89
+00:07:19,740 --> 00:07:24,200
+نحكي على 2% و نصف فلمية وفي نفس العام فيه اختلاف
+
+90
+00:07:24,200 --> 00:07:29,520
+في الباحثين ولكن تفاجأنا إنه الجزء الأول أخد Male
+
+91
+00:07:29,520 --> 00:07:35,080
+اللي طلع عنده 2% ولمّا أخد ال Male أخدهم معظمهم
+
+92
+00:07:35,080 --> 00:07:39,920
+smoking يعني الناس بتدخن Smoker وهدول Smoker نسبة
+
+93
+00:07:39,920 --> 00:07:43,100
+ال lung cancer السيرة عندهم أكتر من الناس ال non
+
+94
+00:07:43,100 --> 00:07:49,610
+-smokerفبالتالي طلعت عنده نسبة 2% الشخص اللي طلع
+
+95
+00:07:49,610 --> 00:07:53,910
+عنده نصف المية هو أخد male مع female ونسبة ال
+
+96
+00:07:53,910 --> 00:07:57,590
+smoking في ال female قليلة أو ال number أو ال
+
+97
+00:07:57,590 --> 00:08:01,030
+proportion تبع ال smoker في ال female قليلة وكمان
+
+98
+00:08:01,030 --> 00:08:06,710
+أخد male من كل الأعمار يعني بدأ من عند عمر عشرين
+
+99
+00:08:06,710 --> 00:08:10,670
+لعند عمر سبعين اختلاف ال population في الحالة هذه
+
+100
+00:08:10,670 --> 00:08:14,700
+هو اللي عمل عندنا اختلاف في ال proportionفبنقول
+
+101
+00:08:14,700 --> 00:08:18,320
+بلزم ان يكون عندنا معرفة في ال medical انه احنا
+
+102
+00:08:18,320 --> 00:08:22,480
+عارفين ان ال lung cancer بتأثر بال smoking ولا لأ
+
+103
+00:08:22,480 --> 00:08:27,020
+فبالتالي بنقول هي اللي خلّى عندنا النسبتين يختلفوا
+
+104
+00:08:27,020 --> 00:08:29,700
+ولا هما النسبتين لو كان في عندنا matching في ال
+
+105
+00:08:29,700 --> 00:08:34,700
+population كان طلع نفس النسبة ولكن هذا الخلاف اللي
+
+106
+00:08:34,700 --> 00:08:41,360
+حدد ان سبب الاختلاف مش الاحصائي الاحصائي قالنا فقط
+
+107
+00:08:41,360 --> 00:08:45,220
+نسبة ال proportionفبالتالي الأحصائي لما حكى الـ
+
+108
+00:08:45,220 --> 00:08:49,600
+Proportion لازم في هذه الحالة يكون حد في الجانب
+
+109
+00:08:49,600 --> 00:08:53,840
+الطبي عالم في حالة الأرقام اللي طلعت أو في ال
+
+110
+00:08:53,840 --> 00:08:58,760
+situation تحت الأرقام اللي طلعت وقدر يفسرهم ناخد
+
+111
+00:08:58,760 --> 00:09:02,800
+مثال إنه نسبة الهمoglobin في الناس اللي عندهم
+
+112
+00:09:02,800 --> 00:09:07,720
+لوكيميا واحد شخص قال إن نسبة الهمoglobin في مرضى
+
+113
+00:09:07,720 --> 00:09:12,930
+اللوكيميا قليلةووصل لنتيجة ان نسبة الهمogloبين
+
+114
+00:09:12,930 --> 00:09:16,690
+قليلة طب ما احنا من خلال دراستنا في ال bachelor's
+
+115
+00:09:16,690 --> 00:09:19,670
+عارفين ان نسبة الهمoglobin عند اللوكيميا قليلة
+
+116
+00:09:19,670 --> 00:09:23,970
+بدهاش حد احصاء يجيب انها النسبة اللي موجودة فاول
+
+117
+00:09:23,970 --> 00:09:27,390
+ما حد في المجال الطبي وبيعرف في ال medical
+
+118
+00:09:27,390 --> 00:09:31,030
+biostatistics هيقول يا عم هذا خلاص هذا حقيقة
+
+119
+00:09:31,030 --> 00:09:35,170
+معروفة ومعروفة مسبقا فبالتالي مش موضوع بحث ان انت
+
+120
+00:09:35,170 --> 00:09:38,830
+تعمل بحث عشان تشوف موضوع الهمoglobin بزيد و لا بقل
+
+121
+00:09:38,830 --> 00:09:43,300
+في مرضى اللوكيمياناخد مثال تاني، نسبة الـ
+
+122
+00:09:43,300 --> 00:09:47,440
+Proportion للناس اللي بتتوفى اسمعنا إنه حد عمل
+
+123
+00:09:47,440 --> 00:09:50,920
+نسبة الـ Proportion للوفيات اللي موجودة، وبين
+
+124
+00:09:50,920 --> 00:09:53,600
+الساعة اللي احنا في المجال الطبي، هل هو عمل الـ
+
+125
+00:09:53,600 --> 00:09:57,940
+Proportion لمرض معين، يعني جاسس ال survival، جدّاش
+
+126
+00:09:57,940 --> 00:10:01,200
+عزو جدّاش ماته، هل هو عمل الـ Mortality و الـ
+
+127
+00:10:01,200 --> 00:10:05,460
+Morbidity للـ population ككل، بغض النظر عن وجود
+
+128
+00:10:05,460 --> 00:10:08,560
+disease ولا مافيش disease، هل هو عمل الـ
+
+129
+00:10:08,560 --> 00:10:12,400
+Proportion للموليد،فبالتالي اللي قدر يسأل
+
+130
+00:10:12,400 --> 00:10:16,940
+التساؤلات هذه كلها كان على علم بالجانب الطبي هذا
+
+131
+00:10:16,940 --> 00:10:20,260
+أجعل موضوع الأسرة وعدد الأسرة اللي موجود في
+
+132
+00:10:20,260 --> 00:10:24,840
+المستشفيات وقال إن عدد الأسرة اللي موجودة في
+
+133
+00:10:24,840 --> 00:10:29,420
+مستشفى أبو يوسف النجار أقل بكثير من الأسرة اللي
+
+134
+00:10:29,420 --> 00:10:34,460
+موجودة في مجمع الشفارة الطبي وعليه بنوصي بزيادة
+
+135
+00:10:34,460 --> 00:10:38,360
+والمساوية ما بين المستشفيات اللي موجودة مستشفى
+
+136
+00:10:38,360 --> 00:10:43,050
+اللي موجود في رفحاللي هو مستشفى صغير يعتبر نسبياً
+
+137
+00:10:43,050 --> 00:10:47,230
+ومجمع الشفاء الطبي وقال لك إنه تعتبر عدد الأسرة
+
+138
+00:10:47,230 --> 00:10:51,130
+اللي موجودة في مجمع الشفاء الطبي عشر أضعاف اللي
+
+139
+00:10:51,130 --> 00:10:55,050
+موجودة في مستشفى الشهيد أبو يوسف النجار وبدأ يكتب
+
+140
+00:10:55,050 --> 00:10:57,950
+في ال recommendation من باب العدالة لازم نساوي
+
+141
+00:10:57,950 --> 00:11:01,170
+بينهم حد قاله في المجال الطبي بيقول طب هي المستشفى
+
+142
+00:11:01,170 --> 00:11:04,550
+أساساً صغيرة حتى لو وفرنا عدد الأسرة مش هتوسعهم
+
+143
+00:11:04,550 --> 00:11:08,190
+المستشفىبعدين الشيفة بتغطي كل قطاع غزة ببعض
+
+144
+00:11:08,190 --> 00:11:14,050
+الأمراض زي أمراض الـ Cancer عند الأطفال، بتغطي
+
+145
+00:11:14,050 --> 00:11:19,210
+جراحات متخصة في الأعصاب، بتغطي بعض الإصابات، بعض
+
+146
+00:11:19,210 --> 00:11:23,150
+العمليات المعقدة في الكثور، بخلاف مستشفى صغير زي
+
+147
+00:11:23,150 --> 00:11:27,570
+مستشفى أبو يوسف النجار. فبالتالي، هذا بلزم أن يكون
+
+148
+00:11:27,570 --> 00:11:31,590
+حد عنده معرفة بالمجال الطبي والواقع الصحي اللي
+
+149
+00:11:31,590 --> 00:11:37,300
+موجود، حتى يقدر يقنع الشخص اللي بتكلمأو T في
+
+150
+00:11:37,300 --> 00:11:42,500
+الأرقام اللي بيشوفها يبقى كل هال slide هذا مطلخص
+
+151
+00:11:42,500 --> 00:11:46,580
+اللي حكيناها في الجزء السابق ان الرقم لحاله لما
+
+152
+00:11:46,580 --> 00:11:52,780
+نسمعه لا يعني شيء إلا بوجود معرفة طبية وصحية لرقم
+
+153
+00:11:52,780 --> 00:11:55,740
+اللي موجود وال environment وال situation اللي كانت
+
+154
+00:11:55,740 --> 00:12:02,230
+فيه الرقم نرجع على هال slideاللي هتظل هي الـ
+
+155
+00:12:02,230 --> 00:12:05,510
+Guideline اللي موجودة أنه كل ما نحكي جزئية في
+
+156
+00:12:05,510 --> 00:12:09,690
+الأحصاء أنه أنا فيه عندي Data وحكينا قبل شوية على
+
+157
+00:12:09,690 --> 00:12:13,530
+الأعداد تعوض المرضى في المستشفيين وحولناها لـ
+
+158
+00:12:13,530 --> 00:12:16,810
+Information أنه فعلا هذه المستشفى لازم تكون أكثر
+
+159
+00:12:16,810 --> 00:12:20,830
+من التانية لأنها بتخدم كذا وكذا والـ Action أنه
+
+160
+00:12:20,830 --> 00:12:22,830
+أنا خلاص الواقع اللي موجود بكفي، مابتدش اتخذ
+
+161
+00:12:22,830 --> 00:12:28,760
+Action لأن هذا واقع موجودحتى عدم اتخاذ قرار يُعتبر
+
+162
+00:12:28,760 --> 00:12:32,900
+Action أو منع قرار أو إيقاف قرار هو في ناس بتطالب
+
+163
+00:12:32,900 --> 00:12:37,760
+و بتكاتب نخلّي Two Hospitals اللي موجودين نفس عدد
+
+164
+00:12:37,760 --> 00:12:43,240
+الأسبوع وإن انت قدرت تجنعهم بالعدول عن القرار فهو
+
+165
+00:12:43,240 --> 00:12:47,000
+Action ان انت اتخذته فبالتالي بنقول إنه عبارة عن
+
+166
+00:12:47,000 --> 00:12:50,260
+Data حوّلناها لـ Information بناء على ال situation
+
+167
+00:12:50,260 --> 00:12:53,620
+اللي موجودة وقدرنا في الآخر إن احنا نتخذ عليها
+
+168
+00:12:53,620 --> 00:12:58,210
+Actionناخد بكل بساطة موضوع الـ Information والـ
+
+169
+00:12:58,210 --> 00:13:03,970
+Data رقم 37 الـ Temperature اللي بتكون عندنا 37
+
+170
+00:13:03,970 --> 00:13:09,310
+السبعة و تلاتين لما نحكي بصفة مطلقة درجة حرارة 37
+
+171
+00:13:09,310 --> 00:13:12,970
+ان أسكت هل هي درجة حرارة الجو؟ هل هي درجة حرارة
+
+172
+00:13:12,970 --> 00:13:17,190
+الجسم؟ هل هي درجة حرارة الـ Incubator؟ هل هي درجة
+
+173
+00:13:17,190 --> 00:13:20,130
+حرارة الـ Euclid؟ أيش بالظبط السبعة و تلاتين اللي
+
+174
+00:13:20,130 --> 00:13:23,710
+انت حكيتها؟ بنقول ان درجة السبعة و تلاتين اللي
+
+175
+00:13:23,710 --> 00:13:29,340
+موجودةهي درجة حرارة جسم شخص أو درجة حرارة شخص معين
+
+176
+00:13:29,340 --> 00:13:32,320
+أنا قصته اللي هو الحرارة اليوم على باب الجامعة
+
+177
+00:13:32,320 --> 00:13:36,400
+عنده الدخول في ظل جائحة كورونا وطلعت 37 ال
+
+178
+00:13:36,400 --> 00:13:40,120
+information أنه هي normal body temperatureولكن لو
+
+179
+00:13:40,120 --> 00:13:43,420
+طلعت عندنا أربعين الـ Temperature اللي موجودة لشخص
+
+180
+00:13:43,420 --> 00:13:46,800
+داخل على مؤسسة أو داخل على جامعة في ظل هذه الظروف
+
+181
+00:13:46,800 --> 00:13:50,420
+الحالية، بنقول والله الـ information إن هذا فيه
+
+182
+00:13:50,420 --> 00:13:53,860
+عنده severe fever، إنه عنده درجة حرارة عالية،
+
+183
+00:13:53,860 --> 00:13:56,920
+فممكن أن يكون هذا متوقع أن يكون عنده الأعراض
+
+184
+00:13:56,920 --> 00:14:02,300
+المصاحبة لمرض كورونا، اللي حاليًا كل الجامعات
+
+185
+00:14:02,300 --> 00:14:05,700
+والمؤسسات فيها أجهزة بتفحص على الباب، حتى يتأكدوا
+
+186
+00:14:05,700 --> 00:14:12,470
+خلوة الشخص من هذا المرض.فبالتالي الرقم لحاله هو
+
+187
+00:14:12,470 --> 00:14:17,250
+عبارة عن data الكلام اللي احنا بنحكيه هو عبارة عن
+
+188
+00:14:17,250 --> 00:14:21,190
+information هو التعليق الرقم اللي موجود هو عبارة
+
+189
+00:14:21,190 --> 00:14:24,810
+عن information من الأخطاء الكتير اللي بنوقع فيها
+
+190
+00:14:24,810 --> 00:14:30,010
+الطلاب بنقولهم ان ال information كانت 37 و ال data
+
+191
+00:14:30,010 --> 00:14:32,850
+كانت normal body temperature كل بيقولك في true and
+
+192
+00:14:32,850 --> 00:14:38,700
+false هذا صحهم بيكونوا مجلوبين يعني الرقمين
+
+193
+00:14:38,700 --> 00:14:41,760
+مجلوبين بس احنا بنتشوف في الامتحان ان الباحث جاد
+
+194
+00:14:41,760 --> 00:14:46,020
+رميز ان الرقم هو عبارة عن data ولا لا هنا بنتكون
+
+195
+00:14:46,020 --> 00:14:51,140
+متأكدين من الرقم ان هو ك data فقط وال information
+
+196
+00:14:51,140 --> 00:14:56,120
+هو التعليق أو ال interpret اللي بتتم على هذا الرقم
+
+197
+00:14:56,120 --> 00:15:03,120
+هيك بيقولوا بكل خلاصة وبكل بساطة لخصنا الفرق ما
+
+198
+00:15:03,120 --> 00:15:07,410
+بين ال data و ال information و ال actionبنجي على
+
+199
+00:15:07,410 --> 00:15:10,370
+موضوع الـ Questionnaire اللي اتكلمنا عنه سابقًا
+
+200
+00:15:10,370 --> 00:15:12,570
+والـ Design تبع الـ Questionnaire وقلنا في عندنا
+
+201
+00:15:12,570 --> 00:15:15,310
+نوعين من الـ Questionnaire وفي عندنا نوعين من الـ
+
+202
+00:15:15,310 --> 00:15:17,270
+Question وفي عندنا qualitative وفي عندنا
+
+203
+00:15:17,270 --> 00:15:21,310
+quantitative بنجي على الأسئلة تاعت الـ
+
+204
+00:15:21,310 --> 00:15:27,090
+Questionnaire اللي موجود أمامنا كل واحد فيهم يعتبر
+
+205
+00:15:27,090 --> 00:15:32,530
+ك Variable يبقى كل سؤال أنا بشوفه موجود وأنا باخده
+
+206
+00:15:32,530 --> 00:15:37,000
+من المريض هو يعتبر Variableفبالتالي في الاستبانة
+
+207
+00:15:37,000 --> 00:15:40,860
+اللي موجودة لو بدنا نعد ال variable اللي موجودة
+
+208
+00:15:40,860 --> 00:15:47,140
+بنعد عدد الأسئلة أكم سؤال كان موجود و أكم إجابة
+
+209
+00:15:47,140 --> 00:15:52,300
+للأسئلة هذه بتطلع معانا عدد ال variable لو جيني
+
+210
+00:15:52,300 --> 00:15:55,500
+هنا ال body mass index طلعنا ك body mass index هذا
+
+211
+00:15:55,500 --> 00:15:59,660
+اسمه variable لأن أنا حسبته من الوزن والطول
+
+212
+00:15:59,660 --> 00:16:04,440
+بمعادلة معينةولكن لو أنا بتاخد الطول لحال كمان
+
+213
+00:16:04,440 --> 00:16:08,100
+variable و لو بتاخد الوزن لحال كمان variable
+
+214
+00:16:08,100 --> 00:16:11,880
+فبالتالي إذا أنا في الدراسة كان من ضمن ال
+
+215
+00:16:11,880 --> 00:16:16,260
+objective ال body mass index والوزن والطول بقول
+
+216
+00:16:16,260 --> 00:16:20,360
+إنه ال body mass index variable و ال weight
+
+217
+00:16:20,360 --> 00:16:23,940
+variable و ال height variable التلاتة دولة كل واحد
+
+218
+00:16:23,940 --> 00:16:27,120
+variable ولكن لو أنا بدي ال body mass index لحال
+
+219
+00:16:27,790 --> 00:16:30,510
+فبالتالي، يكون هذا كـVariable الوحيد موجود في
+
+220
+00:16:30,510 --> 00:16:35,530
+البحث لأن هم لن يدخلوا فيه وصف الدراسة ولكن وجودهم
+
+221
+00:16:35,530 --> 00:16:41,070
+في الاستبانة يُعتبروا كـVariable في الاستبانة مدى
+
+222
+00:16:41,070 --> 00:16:48,230
+عندنا السؤال يفقد حقه كـVariable؟ يفقد أي سؤال
+
+223
+00:16:48,230 --> 00:16:52,770
+خاصية الـVariable لما يكون كل الناس جاوبوا نفس
+
+224
+00:16:52,770 --> 00:16:56,870
+الجواب يعني مثلًاأنا بدأت أقصى knowledge اللي
+
+225
+00:16:56,870 --> 00:17:03,330
+موجودة عن طلبة الجامعة الإسلامية أو جامعة الأزهار
+
+226
+00:17:03,330 --> 00:17:11,250
+أو وزارة الصحة أو جامعة الأقصى على COVID-19 لو
+
+227
+00:17:11,250 --> 00:17:16,410
+أجيت هنا في كل الاستبانات اللي وجدت أنه موجود
+
+228
+00:17:16,410 --> 00:17:19,730
+وزارة الصحة وزارة الصحة وزارة الصحة وفي الجامعات
+
+229
+00:17:19,730 --> 00:17:24,240
+الأخرى فبالتالي طلع كله نفس الجوابفبالتالي هنا فقط
+
+230
+00:17:24,240 --> 00:17:28,300
+حقه ك variable ولو طلعوا الناس كلهم نفس العمر
+
+231
+00:17:28,300 --> 00:17:32,140
+بيكون اسمه مش variable ولو طلعوا كلهم نفس ال
+
+232
+00:17:32,140 --> 00:17:35,820
+gender بيكون مسموش variable فبالتالي ال variable
+
+233
+00:17:35,820 --> 00:17:41,120
+إله صفات وإله سمات بدنا نكون عارفينهم حتى يطلق
+
+234
+00:17:41,120 --> 00:17:47,960
+عليه اسم variable أول هذه الصفات إنه لازم أنه
+
+235
+00:17:47,960 --> 00:17:49,800
+يختلف من واحد للتاني
+
+236
+00:17:52,640 --> 00:17:58,040
+لما أسأل السؤال اللي موجود لازم إن السؤال أضمن إنه
+
+237
+00:17:58,040 --> 00:18:02,680
+بيختلف من واحد لتاني المثال عندها الاستبانة اللي
+
+238
+00:18:02,680 --> 00:18:06,720
+موجودة وكان الهدف من الاستبانة إنه بتعرف ال risk
+
+239
+00:18:06,720 --> 00:18:11,760
+factor و ال complication لtype 2 diabetes patients
+
+240
+00:18:11,760 --> 00:18:17,330
+لو كان في عنده سؤال هنا if notالـ diabetes اللي
+
+241
+00:18:17,330 --> 00:18:20,070
+عندك type 1 ولا type 2؟ ما هو في ال objective كله
+
+242
+00:18:20,070 --> 00:18:24,710
+type 2 وكل الناس هتجاوب type 2 فبالتالي هنا فقط
+
+243
+00:18:24,710 --> 00:18:30,590
+خاصيته ان يختلف من واحد لتاني او نفترض انه كان
+
+244
+00:18:30,590 --> 00:18:35,470
+عندنا هنا مكتوب انه كلمة mail انه في ال mails بس
+
+245
+00:18:35,470 --> 00:18:40,810
+وكنا كاتبين agenda وانا بقدرش فقط ال mail فبالتالي
+
+246
+00:18:40,810 --> 00:18:43,970
+كل اللي اسأله هيكونه mail فبالتالي مش هيختلف من
+
+247
+00:18:43,970 --> 00:18:48,400
+واحد لتاني طب لو ان انامن بداية تصميم الاستبانة
+
+248
+00:18:48,400 --> 00:18:53,200
+قلت إنه هذا مش variable هل بنفع أضيفه الاستبانة؟
+
+249
+00:18:53,200 --> 00:18:57,220
+لأ، بنفعش أن أضيف الاستبانة طالما مش إنه variable
+
+250
+00:18:57,220 --> 00:19:03,120
+لازم كل سؤال في الاستبانة يكون فيه خاصية ال
+
+251
+00:19:03,120 --> 00:19:06,860
+variables يبقى لو أنا بدرس ال gender، هنا male
+
+252
+00:19:06,860 --> 00:19:11,330
+فقط، بنفعش أضيف ال gender، لأنهم كلهم maleلو أنا
+
+253
+00:19:11,330 --> 00:19:15,150
+بدرس في وزارة الصحة ماينفعش أقوله أنت بتشتغل وين
+
+254
+00:19:15,150 --> 00:19:18,130
+لأنهم كلهم هيقولوا أني بشتغل في وزارة الصحة إلا
+
+255
+00:19:18,130 --> 00:19:21,110
+إذا كان أنا بدي أحدد وين في وزارة الصحة أنا
+
+256
+00:19:21,110 --> 00:19:24,490
+مستشفيات ولا رعاية أولية فبالتالي هيختلف من واحد
+
+257
+00:19:24,490 --> 00:19:28,550
+لو واحد ماينفع أنضيف سؤال في الجانب هذا الخاصية
+
+258
+00:19:28,550 --> 00:19:33,050
+التانية أن ال variables اللي موجودة حتى يكون
+
+259
+00:19:33,050 --> 00:19:38,500
+variable يكون قابل للقياس من الشخص نفسهطب أنا لو
+
+260
+00:19:38,500 --> 00:19:43,100
+شخص معين سألت سؤال وعارف إن الناس مش هتقدر يتجاوبه
+
+261
+00:19:43,100 --> 00:19:48,640
+يعني مثال لو زينا سألنا طالب من الطلبة اللي
+
+262
+00:19:48,640 --> 00:19:53,800
+موجودين أكم طالب في الدفعة جاب امتياز؟ بدي أسأل كل
+
+263
+00:19:53,800 --> 00:19:57,240
+الطلبة أكم طالب جاب امتياز؟ وانا عارف نص الدفعة مش
+
+264
+00:19:57,240 --> 00:20:00,740
+عارفين معدلات بعض فبالتالي في الحالة هذه ماينفعش
+
+265
+00:20:00,740 --> 00:20:05,400
+أضيف السؤال لأن في الحالة هذه ال variables هذا مش
+
+266
+00:20:05,400 --> 00:20:09,710
+كل الطلاب يقدروا يجاوبوا عليهأولا بدي أسأل طلبة
+
+267
+00:20:09,710 --> 00:20:12,590
+الماجستير أنت وقت إيش متوقع تناقش أساسي الماجستير
+
+268
+00:20:12,590 --> 00:20:16,950
+و لسه هو في السنة الأولى؟ بدينا نتحدث دلنا الشهر
+
+269
+00:20:16,950 --> 00:20:21,670
+اللي بدينا نناقش فيه في 2021 معظم الطلبة مش عارف
+
+270
+00:20:21,670 --> 00:20:23,870
+الشهر بالظبط اللي بدنا نناقش فيه أو هو وقت إيش
+
+271
+00:20:23,870 --> 00:20:28,270
+بدنا نخلص أو ظروفه كيف فبالتالي هنا بكون المتغير
+
+272
+00:20:28,270 --> 00:20:32,190
+رغم أنهم هيجاوبوا كل واحد غير عن التاني كل واحد
+
+273
+00:20:32,190 --> 00:20:36,720
+لحد الشهرولكن محدش فيه محدد بالظبط غير قابل للقياس
+
+274
+00:20:36,720 --> 00:20:41,400
+فبالتالي لا يعتبر Variable بدي أكون له علاقة
+
+275
+00:20:41,400 --> 00:20:46,520
+بالشخص وال environment والسبب تبع البحث الـ
+
+276
+00:20:46,520 --> 00:20:50,080
+Pearson اللي موجود اللي هو الأشخاص اللي تشملتهم
+
+277
+00:20:50,080 --> 00:20:53,980
+البحث وال environment اللي فيها البحث والأسباب
+
+278
+00:20:53,980 --> 00:20:57,820
+اللي خلتني أعمل البحث اللي موجود فبالتالي الـ
+
+279
+00:20:57,820 --> 00:21:02,490
+Variable له صفات أول حاجة بتتغير من شخص لآخرالناس
+
+280
+00:21:02,490 --> 00:21:07,990
+قدرت جاوبه وإيه علاقة بالـ Objective تبع الدراسة؟
+
+281
+00:21:07,990 --> 00:21:12,950
+لو جينا في الاستبانة السابقة اللي موجودة وسألناها
+
+282
+00:21:12,950 --> 00:21:19,030
+في الأشياء اللي موجودة أمامنا أنت كدهش معدلك في
+
+283
+00:21:19,030 --> 00:21:23,090
+الثانوي العام؟ هل السؤال هذا اللي موجود إيه علاقة
+
+284
+00:21:23,090 --> 00:21:26,210
+بالـ Objective تبع البحث؟ هل ممكن يخدم
+
+285
+00:21:26,210 --> 00:21:30,430
+الـObjective أو يساعد عنا في تفسير النتائج؟
+
+286
+00:21:31,090 --> 00:21:34,010
+بالتأكيد لا، فبالتالي أنا ما بيذمن الـ Variable أن
+
+287
+00:21:34,010 --> 00:21:38,210
+يكون هدف البحث لأنه فقط خاصية أن يكون له علاقة
+
+288
+00:21:38,210 --> 00:21:41,550
+بالـ Environment أو له علاقة بسبب الدراسة أو له
+
+289
+00:21:41,550 --> 00:21:45,470
+علاقة بالأشخاص تعون الدراسة أنه أنا أستفيد منه كان
+
+290
+00:21:45,470 --> 00:21:49,710
+موجود هذه خصائص الـ Variable اللي حكيناها أنواع
+
+291
+00:21:49,710 --> 00:21:53,690
+الـ Variable الـ Variable هم نوعين النوع الأول
+
+292
+00:21:53,690 --> 00:21:57,970
+يكون quantitative الـ numerical data اللي أنا بدي
+
+293
+00:21:57,970 --> 00:22:03,680
+ألمه هو بيكون عبارة عن رقموهذا وطن بيكون كمي يعني
+
+294
+00:22:03,680 --> 00:22:06,920
+كمي زي مثلًا هذا جديش العمر يقول أنا عمره 30 عام
+
+295
+00:22:06,920 --> 00:22:12,380
+يبقى هو جالي كوطن ال numerical data وهنا ال data
+
+296
+00:22:12,380 --> 00:22:19,180
+هذا بيكون ال unit وهذا ال unit بتختلف من واحد
+
+297
+00:22:19,180 --> 00:22:23,910
+للتاني واحد جالي عمره 30 واحد جالي عمره 32الـ
+
+298
+00:22:23,910 --> 00:22:26,530
+Homoglobin، حد طلع عنده Homoglobin 11، حد طلع عنده
+
+299
+00:22:26,530 --> 00:22:30,010
+16، حد طلع 14، الـ Fasting Blood Glucose عنده حد
+
+300
+00:22:30,010 --> 00:22:34,830
+سبعين، تمانين، يمكن أن يكون 150، 210، مستوى
+
+301
+00:22:34,830 --> 00:22:40,210
+البروتين أو الـ Age فبالتالي هو قادر على القياس أو
+
+302
+00:22:40,210 --> 00:22:44,310
+عندنا قوة على قياسه، باختلف من واحد للتاني ويله
+
+303
+00:22:44,310 --> 00:22:49,250
+Unit النوع التاني هو عبارة عن الـ Qualitative
+
+304
+00:22:49,250 --> 00:22:53,790
+Variable Categorical Dataهذا النوع ليس له unit
+
+305
+00:22:53,790 --> 00:22:59,230
+واصفي مثل الـ Male و Female نقول الـ Gender الجواب
+
+306
+00:22:59,230 --> 00:23:02,070
+يا Male يا Female ليس هناك unit الأولان الـ
+
+307
+00:23:02,070 --> 00:23:06,210
+Quantity في الرقم والرقم له واحدة لما حكينا كم
+
+308
+00:23:06,210 --> 00:23:11,770
+مستوى الجلوكوز 130 ميلي جرام لكل دي سيلتر بس هنا
+
+309
+00:23:11,770 --> 00:23:14,910
+لما حكينا عن الـ Gender Male ليس له unit ليس له
+
+310
+00:23:14,910 --> 00:23:18,330
+ميلي جرامفبالتالي اللي بيميز الـ qualitative عن ال
+
+311
+00:23:18,330 --> 00:23:22,510
+quantitative data هي ال unit و لا مالوش unit إذا
+
+312
+00:23:22,510 --> 00:23:27,370
+ال unit بيكون ال numerical يبقى بيكون عبارة عن
+
+313
+00:23:27,370 --> 00:23:31,870
+quantitative data أو ال disease stage Stage 1،
+
+314
+00:23:31,870 --> 00:23:34,870
+Stage 2، Stage 3، Stage 4، مافيش قول هي unit هي
+
+315
+00:23:34,870 --> 00:23:39,910
+Stage 1، Stage 2، Stage 3، Stage 4 يبقى حتى ما
+
+316
+00:23:39,910 --> 00:23:45,110
+ننسهمش بنقول أكوان نذكر أن ال N هذه اللي موجودة
+
+317
+00:23:45,460 --> 00:23:50,160
+نربطها بالـ numerical اللي هي رقمية وي بتكون data
+
+318
+00:23:50,160 --> 00:23:55,460
+بنقول quantitative data أو الـ numerical data نفس
+
+319
+00:23:55,460 --> 00:23:58,960
+الان اللي موجودة هذه اللي ركّر انه لها unit يبقى
+
+320
+00:23:58,960 --> 00:24:05,460
+هاي انYn بيقول إنه إلها Unit والشيء اللي بيميز الـ
+
+321
+00:24:05,460 --> 00:24:09,240
+Quantitative عن الـ Qualitative Data اللي هو وجود
+
+322
+00:24:09,240 --> 00:24:14,880
+الوحدة فبالتالي السماء الأقوى للتمييز ما بين الـ
+
+323
+00:24:14,880 --> 00:24:18,880
+Qualitative و الـ Quantitative Data هي بتكون وجود
+
+324
+00:24:18,880 --> 00:24:25,000
+Unit من عدمه الـ Quantitative Data مقصوم لقسمين يا
+
+325
+00:24:25,000 --> 00:24:30,310
+discrete يا continuous الشيء اللي فيش فيه قصوةلا
+
+326
+00:24:30,310 --> 00:24:35,510
+يقبل أن يكون فيه نُص بنقول عنه discrete زي هذا
+
+327
+00:24:35,510 --> 00:24:38,190
+للأبناء، لما نسأل حد كده على الأبناء، مانفعش
+
+328
+00:24:38,190 --> 00:24:42,930
+يقولنا 2.5، يا أما 2، يا أما 3، يا أما 4، يا أما
+
+329
+00:24:42,930 --> 00:24:46,970
+5، أو كده على المرضى اللي موجودين في قسم العناية،
+
+330
+00:24:46,970 --> 00:24:49,570
+أو كم مرضى اليوم أجوا على المختبر، كل هذه لازم
+
+331
+00:24:49,570 --> 00:24:53,610
+تكون أرقام صحيحة، بنقول عنها discrete، ولكن الشغل
+
+332
+00:24:53,610 --> 00:24:59,660
+اللي بتكون فيها كسوة، بنقول عنها continuous، زيالـ
+
+333
+00:24:59,660 --> 00:25:04,700
+Age بنفع واحد يقول عمه تلاتين و نص؟ أه بنفع بنفع
+
+334
+00:25:04,700 --> 00:25:09,060
+نقول جديح معدلك التراكمي؟ بنفع أقول مثلا تسعين و
+
+335
+00:25:09,060 --> 00:25:15,500
+نص بظبط أقول تسعين و نص طيب أكم ساعة كنت بتشغل؟
+
+336
+00:25:15,500 --> 00:25:18,440
+أنا كنت بشغل ست ساعات و نص فبالتالي عدد الساعات
+
+337
+00:25:18,440 --> 00:25:22,320
+بيكون عندنا continuous وهذا ال scale بالذات ال
+
+338
+00:25:22,320 --> 00:25:26,280
+continuous فيه كمان جسميا، يا بيكون interval يا
+
+339
+00:25:26,280 --> 00:25:30,680
+إما بيكون ratioالـ Interval بيكون فيها الـ Zero مش
+
+340
+00:25:30,680 --> 00:25:35,100
+حقيقي يعني الـ Zero لا يعني لأ، مافيش ولا حاجة الـ
+
+341
+00:25:35,100 --> 00:25:40,160
+Zero لها معنى لما بنقول ان ضرر الجو اليوم Zero
+
+342
+00:25:40,160 --> 00:25:44,340
+يبقى الجو بارد مش أنه مافيش حرارة، في حرارة، ولكن
+
+343
+00:25:44,340 --> 00:25:50,580
+الجو بارد أو قريبة من طرقة التجمد قولنا الـ Type
+
+344
+00:25:50,580 --> 00:25:53,440
+of Data نوعين qualitative و quantitative و اللي
+
+345
+00:25:53,440 --> 00:25:58,250
+مميزهم الـ Unitوعنا كمان الـ Quantitative نوعين يا
+
+346
+00:25:58,250 --> 00:26:04,330
+بيكون discrete يا بيكون continuous منفصل ومستمر
+
+347
+00:26:04,330 --> 00:26:11,770
+الـ discrete المنفصل هو عبارة عن أرقام صحيحة زي
+
+348
+00:26:11,770 --> 00:26:14,790
+عدد الأبناء، عدد الأطفال، عدد المرضى في قسم
+
+349
+00:26:14,790 --> 00:26:18,250
+العناية، عدد الناس اللي عندهم أزمة، عدد الناس اللي
+
+350
+00:26:18,250 --> 00:26:22,670
+أجوا على المختبر، مانفعش نقول عدد الأطفال اتنين
+
+351
+00:26:22,670 --> 00:26:27,090
+ونص، لازم يا اتنين يا تلاتةمنفعش نقول على المرضى
+
+352
+00:26:27,090 --> 00:26:34,170
+اللي أجوا على المختبة 75.5، يا 75، يا 76، منفعش
+
+353
+00:26:34,170 --> 00:26:38,550
+نقول على المرضى اللي موجودين في قسم العناية 13.5،
+
+354
+00:26:38,550 --> 00:26:43,670
+يا 13، يا إما بيكونوا أنه 14، مافيش كسور في
+
+355
+00:26:43,670 --> 00:26:47,910
+الناحية هذه في الـDiscrete، ولكن الـContinuous
+
+356
+00:26:47,910 --> 00:26:53,490
+المستمر يقبل إن يكون فيه كسور زيالعمر الـ Age ممكن
+
+357
+00:26:53,490 --> 00:26:59,610
+نقول عمر تلاتين و نص أو سبعة شهور و نص أو ممكن
+
+358
+00:26:59,610 --> 00:27:03,750
+نقول الـ Temperature كانت سبعة و تلاتين و نص أو
+
+359
+00:27:03,750 --> 00:27:08,430
+ممكن نقول الطول كان مية و واحد و ستين و تلاتة من
+
+360
+00:27:08,430 --> 00:27:12,730
+عشرة فبالتالي بتكون continuous هذا النوع كمان
+
+361
+00:27:12,730 --> 00:27:17,250
+ينقسم إلى تصميم continuous يا بيكون interval يا
+
+362
+00:27:17,250 --> 00:27:23,210
+بيكون ratio واللي بيميزهم الـ zeroيبقى اللي بيميز
+
+363
+00:27:23,210 --> 00:27:27,070
+الـ Discrete عن الـ Continuous الكثور والداخل الـ
+
+364
+00:27:27,070 --> 00:27:29,710
+Continuous اللي بيميز الـ Interval عن الـ Ratio
+
+365
+00:27:29,710 --> 00:27:33,770
+اللي هو الـ Zero الـ Zero حقيقي ولا مش حقيقي؟ طب
+
+366
+00:27:33,770 --> 00:27:37,430
+إيش هو الـ Zero الحقيقي؟ الـ Zero الحقيقي يعني إذا
+
+367
+00:27:37,430 --> 00:27:40,930
+كانت الشغل تساوي Zero يعني مافيش بالبادحة يعني
+
+368
+00:27:40,930 --> 00:27:44,830
+يبقى تساوي Nil أو Null يعني مافيش عندنا شيء موجود
+
+369
+00:27:44,830 --> 00:27:48,590
+لما بنقول قداش الفلوس اللي معاك و تقولي Zero يبقى
+
+370
+00:27:48,590 --> 00:27:53,930
+أنت ماعكاش ولا شركةفبالتالي إذا كان المعنى لا يوجد
+
+371
+00:27:53,930 --> 00:27:59,370
+بتكون Zero حقيقي لما بنقول لحدى أكم سؤال أغلط فيه
+
+372
+00:27:59,370 --> 00:28:02,670
+في الامتحان جالك Zero على جاسس اللي أغلط فيهم لأن
+
+373
+00:28:02,670 --> 00:28:06,210
+هو ما غلطش ولا فيه سؤال فبالتالي بيكون الـ Zero
+
+374
+00:28:06,210 --> 00:28:11,890
+حقيقي زي لما بنقول لحدى العمر عنده Zero أو الطول
+
+375
+00:28:11,890 --> 00:28:15,450
+Zero أو الوزن Zero يبقى مافيش وزن ولا فيه طول ولا
+
+376
+00:28:15,450 --> 00:28:19,750
+فيه عمرولكن في الـ Temperature في الـ Interval الـ
+
+377
+00:28:19,750 --> 00:28:23,210
+Zero غير حقيقي لما بنقول الـ Temperature Zero يبقى
+
+378
+00:28:23,210 --> 00:28:27,650
+فيه Temperature والـ Temperature هذه بتعني أن الجو
+
+379
+00:28:27,650 --> 00:28:33,610
+بارد ويعني الـ Zero هنا أنه مافيش حرارة هنا يعني
+
+380
+00:28:33,610 --> 00:28:38,730
+أنه في حرارة والجو اللي موجود جو بارد فتعني بكون
+
+381
+00:28:38,730 --> 00:28:42,790
+كلمة Zero في الـ Temperature يعني Zero غير حقيقي
+
+382
+00:28:42,790 --> 00:28:48,570
+يبقى إلها معنىبشكل عام في المجال الطبي المثالين
+
+383
+00:28:48,570 --> 00:28:51,710
+اللي هيمروا علينا في الـ Interval هم الـ
+
+384
+00:28:51,710 --> 00:28:54,810
+Temperature و الـ Pressure الدغط أحيانًا بيكون
+
+385
+00:28:54,810 --> 00:28:57,910
+عندنا موجود الدغط Zero فبالتالي الـ Temperature
+
+386
+00:28:57,910 --> 00:29:01,510
+لما بتكون Zero بتبتينا الإنقباع أن الجو بارد مش
+
+387
+00:29:01,510 --> 00:29:05,350
+أنه مافيش حرارة خالص والدغط لما يكون Zero بتبين
+
+388
+00:29:05,350 --> 00:29:09,510
+أنه الدغط منخفض جداً لأن الدغط أحيانًا ممكن يكون
+
+389
+00:29:09,510 --> 00:29:16,830
+بالسالبفبالتالي هذي Interval ولكن إذا كان عندنا لا
+
+390
+00:29:16,830 --> 00:29:25,410
+يعني شيء بنقول عنها Ratio انسحلها بمثال أبسط إذا
+
+391
+00:29:25,410 --> 00:29:29,670
+كان عندنا الشغل اللي بتطلع فيها ممكن يكون فيها
+
+392
+00:29:29,670 --> 00:29:35,270
+سالب وموجب هذا بتكون Interval نتذكر ممكن يكون فيها
+
+393
+00:29:35,270 --> 00:29:40,900
+سالب وموجب يبقى من سالب سبعة لسالب لموجب سبعةالـ
+
+394
+00:29:40,900 --> 00:29:45,000
+Temperature فبتكون هذه عبارة عن Interval لأنه
+
+395
+00:29:45,000 --> 00:29:49,640
+Range ولكن إذا ماكانش فيها سالب كلها أرقام موجبة
+
+396
+00:29:49,640 --> 00:29:53,680
+ولا يمكن في حالة من الأحوال أن يكون فيها سالب زي
+
+397
+00:29:53,680 --> 00:29:56,910
+الطولالطول مش ممكن يكون في طول فيه سالب مع اننا
+
+398
+00:29:56,910 --> 00:30:01,450
+ماسمعنا حاجة طولها سالب سبعة ولا عمرنا سمعنا وزن
+
+399
+00:30:01,450 --> 00:30:07,030
+شئ وزنه سالب عشرين ولا عمرنا سمعنا حد عمره سالب
+
+400
+00:30:07,030 --> 00:30:10,490
+خمستاشر فبالتالي الشغل اللي مافيش فيها سالب بنقول
+
+401
+00:30:10,490 --> 00:30:15,470
+عنها ratio يبقى في عندنا ال zero هو المفتاح
+
+402
+00:30:15,470 --> 00:30:19,810
+الأساسي ولكن إذا اتغلبت ببدأ أفكر في اللي موجود
+
+403
+00:30:19,810 --> 00:30:22,910
+بقبل أن يكون فيه سالب أه والله بقبل بكون interval
+
+404
+00:30:23,630 --> 00:30:28,290
+ما بيقبل بيكون عبارة عن الـ Ratio دي بيبقى نرجع
+
+405
+00:30:28,290 --> 00:30:31,710
+ورجع مع بعض أن الـ type of variable نوعياً يا
+
+406
+00:30:31,710 --> 00:30:34,550
+quantitative يا qualitative والـ type of
+
+407
+00:30:34,550 --> 00:30:38,150
+quantitative نوعياً يا discrete يا continuous والـ
+
+408
+00:30:38,150 --> 00:30:41,550
+type of continuous كمان نوعياً يا اما interval يا
+
+409
+00:30:41,550 --> 00:30:46,910
+اما ratio الـ type of data اللي بيميز عندنا ال
+
+410
+00:30:46,910 --> 00:30:50,230
+quantitative و ال qualitative حكينا ال unit واللي
+
+411
+00:30:50,230 --> 00:30:54,260
+بيميز عندناالـ Type of quantitative data الـ
+
+412
+00:30:54,260 --> 00:30:58,200
+discrete والـ continuous بميزهم الكسوة تقبل الكسوة
+
+413
+00:30:58,200 --> 00:31:01,920
+ولا لا؟ والـ continuous بميز الـ interval والـ
+
+414
+00:31:01,920 --> 00:31:05,240
+ratio اللي هو الـ Zero وهل فيها سالب ولا ليس فيها
+
+415
+00:31:05,240 --> 00:31:10,000
+سالب قلنا أن الـ data هي نوعين quantitative و
+
+416
+00:31:10,000 --> 00:31:13,700
+qualitative كمان الـ data فيها scale وبدنا نكون
+
+417
+00:31:13,700 --> 00:31:18,750
+عارفين الـ scaleطب بس قبل ما نغلب حالنا و نعرف الـ
+
+418
+00:31:18,750 --> 00:31:22,050
+Scale و نعرفنا الأنواع و نحسينا أن الأمور Thought
+
+419
+00:31:22,050 --> 00:31:26,970
+مخضحك فيها لخبطة شوية احنا عارفين ليش ما بنستفيد
+
+420
+00:31:26,970 --> 00:31:29,990
+من كل هالكلام اللي بتحكيه احنا بنستفيد من كل
+
+421
+00:31:29,990 --> 00:31:34,250
+هالأشياء اللي بنحكيها بتحديد اسم الإختبار الإحصائي
+
+422
+00:31:34,250 --> 00:31:38,170
+اللي بنستخدمه لما تيجي بدك تختار إحدى الإختبارات
+
+423
+00:31:38,170 --> 00:31:43,610
+التالية لتحليل البيانات بدك تجاوب على سؤالين إيش
+
+424
+00:31:43,610 --> 00:31:47,710
+نوع ال dataهل هي quantitative ولا qualitative؟
+
+425
+00:31:47,710 --> 00:31:53,610
+وإيش الـ scale اللي موجود؟ حتى تقدر تختار أي واحد
+
+426
+00:31:53,610 --> 00:31:59,790
+في الإختبارات اللي موجودة فبالتالي عدم معرفتك بالـ
+
+427
+00:31:59,790 --> 00:32:04,730
+type of data qualitative و quantitative وعدم
+
+428
+00:32:04,730 --> 00:32:08,670
+معرفتك بال skills لا يمكن إنك تختار إيش الإختبار
+
+429
+00:32:08,670 --> 00:32:13,370
+الإحصائي اللي أصح تعمله في تحليل ال data اللي
+
+430
+00:32:13,370 --> 00:32:18,310
+موجودةوعدم معرفتك بالنوعين هدول لا يمكن أنك تقول
+
+431
+00:32:18,310 --> 00:32:21,770
+لباحث في المستقبل في مناقشة إن اختبار الحصار اللي
+
+432
+00:32:21,770 --> 00:32:26,070
+قمت فيه صح ولا خطأ لإنك أساسا مش عارف أيش نوع ال
+
+433
+00:32:26,070 --> 00:32:29,530
+data ولا نوع ال scale فإيش ما هيقدم لك الطالب اللي
+
+434
+00:32:29,530 --> 00:32:35,390
+بتشرف عليه أو أنت بدك تناقشه هتعتبره صحيح ال scale
+
+435
+00:32:35,390 --> 00:32:40,010
+هم أربعة يا nominal يا ordinal يا إما interval يا
+
+436
+00:32:40,010 --> 00:32:45,620
+إما ratioأول ما بنطلع باللاحظ أنه اتنين هدولة
+
+437
+00:32:45,620 --> 00:32:49,600
+مرضوا علينا قبل شوية until value ratio هدولة لهم
+
+438
+00:32:49,600 --> 00:32:54,600
+علاقة بال quantitative data يبقى ال scale اللي
+
+439
+00:32:54,600 --> 00:32:58,740
+موجودة فيه اتنين لل qualitative data الشغلات اللي
+
+440
+00:32:58,740 --> 00:33:02,560
+مالهاش unit وفيه اتنين لل quantitative data
+
+441
+00:33:02,560 --> 00:33:06,880
+الأشياء ال numerical اللي لها unit هدولة اتكلمنا
+
+442
+00:33:06,880 --> 00:33:10,320
+عنهم بيكونوا في ال continuousوبيكونوا في الـ
+
+443
+00:33:10,320 --> 00:33:15,040
+Quantitative خلاص خلصناهم عرفناهم بيظلوا اتنين ال
+
+444
+00:33:15,040 --> 00:33:19,820
+nominal وال ordinal هدولة لل qualitative data
+
+445
+00:33:19,820 --> 00:33:27,300
+فبالتالي أمرهم سهل وحتى ما ننسهمش نكتب كلمة no
+
+446
+00:33:27,300 --> 00:33:35,440
+unit no unit qualitative مافيش لها unit و ال no
+
+447
+00:33:36,920 --> 00:33:42,140
+Nominal وOrdinal فبالتالي Nominal وOrdinal اتنين
+
+448
+00:33:42,140 --> 00:33:48,260
+بنقولهم في الـ qualitative data وبنضيف بعدهم كلمة
+
+449
+00:33:48,260 --> 00:33:53,520
+No unit فبالتالي ممكن نلخص كل qualitative data في
+
+450
+00:33:53,520 --> 00:33:59,360
+هالكلمة No unit يبقى ال scale تبعها نوعين Nominal
+
+451
+00:33:59,360 --> 00:34:03,180
+وOrdinal في No وNo unit مالهاش unit بنقول عنها
+
+452
+00:34:03,180 --> 00:34:07,820
+qualitative data بظل عندناinterval و ratio تكلمنا
+
+453
+00:34:07,820 --> 00:34:10,840
+عنهم هؤلاء اللي بيكونوا في ال quantitative في
+
+454
+00:34:10,840 --> 00:34:17,860
+الشغلات اللي لها unit ناخدهم
+
+455
+00:34:17,860 --> 00:34:22,660
+بالتفصيل والتفصيل هيكون سهل لأنه لخصناهم nominal
+
+456
+00:34:22,660 --> 00:34:27,680
+data scale ال nominal data scale ان ال share بتكون
+
+457
+00:34:27,680 --> 00:34:32,420
+وصفي مافيش فيها unit زي ال male و ال female طب ايش
+
+458
+00:34:32,420 --> 00:34:37,310
+مميز عندناالـ Nominal عن الـ Ordinal بيميز
+
+459
+00:34:37,310 --> 00:34:40,990
+النومينال عن الـ Ordinal شغلة أنه مافيش فيها رقبة
+
+460
+00:34:40,990 --> 00:34:45,390
+مافيش فيها ترتيب يبقى لو قلنا Male و Female نفس لو
+
+461
+00:34:45,390 --> 00:34:50,230
+قلنا Female و Male أني أغير فيهم وأبدل عادي لو
+
+462
+00:34:50,230 --> 00:34:55,820
+قلنا الجامعة الـإسلامية وجامعة الأزهار وجامعة
+
+463
+00:34:55,820 --> 00:34:59,460
+الأقصى لو بدأت بجامعة الأقصى والأزهار والإسلامية
+
+464
+00:34:59,460 --> 00:35:03,040
+الترتيب ما لهش معنى يبقى اسم الجامعة يكون
+
+465
+00:35:03,040 --> 00:35:05,720
+qualitative لأن اسم الجامعة مافيش فيه واحدة قياس
+
+466
+00:35:05,720 --> 00:35:11,100
+unit وترتيب أنا ممكن أخبطهم زي ما بدي الاستبانة
+
+467
+00:35:11,100 --> 00:35:16,400
+ماحدش اللي عندي مالهوش معنى ومالهوش إشي فبالتالي
+
+468
+00:35:16,400 --> 00:35:22,940
+بنقول عنها nominal dataوبنستخدم في وصفها الأشياء
+
+469
+00:35:22,940 --> 00:35:26,260
+اللي هنتكلم عنها مستقبلا في وصف الـ qualitative
+
+470
+00:35:26,260 --> 00:35:30,440
+data اللي هم ال percentage وال ratio مستقبلا
+
+471
+00:35:30,440 --> 00:35:35,240
+هنتكلم عنهم بالتفصيل ولكن توصف ال nominal data
+
+472
+00:35:35,240 --> 00:35:39,380
+وتوصف ال qualitative data بشكل عام بال percentage
+
+473
+00:35:39,380 --> 00:35:43,760
+وال ratio يبقى بقول 50% email و 50% femaleبقول
+
+474
+00:35:43,760 --> 00:35:47,240
+نسبة الـ Male لـ Female واحد لواحد واحد لواحد
+
+475
+00:35:47,240 --> 00:35:51,300
+تعتبر ratio وتعتبر كمان النسبة المئوية percentage
+
+476
+00:35:51,300 --> 00:35:54,200
+فبالتالي بنقول هنا ال percentage وال ratio هي
+
+477
+00:35:54,200 --> 00:35:58,240
+الطرق اللي توصف عنها ال qualitative data ال
+
+478
+00:35:58,240 --> 00:36:03,240
+ordinal data هي عبارة عن أشياء وصفية qualitative
+
+479
+00:36:03,240 --> 00:36:10,020
+فشلها unit ولكن الترتيب فيها لازم زي لما بقول أنا
+
+480
+00:36:12,120 --> 00:36:15,040
+الحالة يا اما mild يا اما moderate يا اما severe
+
+481
+00:36:15,040 --> 00:36:20,260
+بنفعش اقول moderate mild severe لأن هي الترتيب
+
+482
+00:36:20,260 --> 00:36:24,180
+فيها واجب وانا بحكي كلام زي ما بحكي في ال cancer
+
+483
+00:36:24,180 --> 00:36:29,320
+stage ان اقول stage 1 و stage 2 و stage 3 و stage
+
+484
+00:36:29,320 --> 00:36:33,260
+4 في الاستبانة بكون كاتبهم مع بعض بنفعش طالب يجي
+
+485
+00:36:33,260 --> 00:36:37,460
+في الاستبانة يكتب stage 4 بعد stage 4 يكتب stage 1
+
+486
+00:36:37,460 --> 00:36:41,960
+بعد stage 1 يكتب stage 3لأن إذا كان ترتيبهم في
+
+487
+00:36:41,960 --> 00:36:46,140
+الاستبانة واجب، وهذا يحقق في الاستبانة Stage 1،
+
+488
+00:36:46,140 --> 00:36:50,640
+Stage 2، Stage 3، Stage 4، هذه تعتبر الـ
+
+489
+00:36:50,640 --> 00:36:54,420
+Qualitative Data والـ Scale يعتبر الـ Ordinal، ثم
+
+490
+00:36:54,420 --> 00:36:58,020
+يقول الطالب ما هي الـ Skills اللي موجود عندك في
+
+491
+00:36:58,020 --> 00:37:01,560
+الجامعة، يقول والله يا مقبول، يا جيد، يا جيد جدا،
+
+492
+00:37:01,560 --> 00:37:05,150
+يا ممتازبس ماعملناش اسم على الطالب قالك يا ممتاز،
+
+493
+00:37:05,150 --> 00:37:08,830
+يا مقبول، يا جيد، يا جيد جداً لأن هنا هو بدأ فيهم
+
+494
+00:37:08,830 --> 00:37:14,510
+التعتيب كان واجب والتعتيب له معنى ولكن في الـ
+
+495
+00:37:14,510 --> 00:37:20,610
+Ordinal Data المسافة ما بين التنتين هدول والتنتين
+
+496
+00:37:20,610 --> 00:37:26,210
+هدول مش مهمة كتير بالنسبالي لأنها مش equal يعني مش
+
+497
+00:37:26,210 --> 00:37:27,290
+انه
+
+498
+00:37:31,430 --> 00:37:35,310
+الـ Mild والمدرد هي نفس الخطورة من المدرة
+
+499
+00:37:35,310 --> 00:37:40,550
+التلسيفية بالعكس من المدرة التلسيفية هي مسافة أكتر
+
+500
+00:37:40,550 --> 00:37:45,530
+بكتير خطورة من الـ Mild للمدرد في الـ Cancer Stage
+
+501
+00:37:45,530 --> 00:37:51,520
+1 و Stage 2 واحد كان Stage 1 صار Stage 2مش نفس
+
+502
+00:37:51,520 --> 00:37:55,380
+المسافة ولا نفس الأهمية لما بيكون عندنا stage 3
+
+503
+00:37:55,380 --> 00:37:58,940
+وصار stage 4 يبقى stage 4 صار عندنا في ال stage
+
+504
+00:37:58,940 --> 00:38:02,620
+الأخيرة وصار عندنا في مرحلة الخطر فبالتالي هنا
+
+505
+00:38:02,620 --> 00:38:08,480
+بقولك المسافة ما بين التنتين مش equal وطالما مش
+
+506
+00:38:08,480 --> 00:38:13,740
+equal يبقى بالنسبالي أنا ابتعننيش أي شيءدايمًا
+
+507
+00:38:13,740 --> 00:38:16,660
+حكينا قبل شوية الـ difference ما بين mild و
+
+508
+00:38:16,660 --> 00:38:20,100
+moderate مش نفس المسافر ما بين ال moderate و ال
+
+509
+00:38:20,100 --> 00:38:23,000
+severe بنعدّه إن الخطورة ما بين moderate و severe
+
+510
+00:38:23,000 --> 00:38:28,740
+هي أكتر بكتير من ما بين mild و moderate هي هدف
+
+511
+00:38:28,740 --> 00:38:32,640
+الغالب توصف بنفس الطريقة اللي موجودة تحت ال
+
+512
+00:38:32,640 --> 00:38:36,820
+qualitative data بال percentage و ال proportion و
+
+513
+00:38:36,820 --> 00:38:39,480
+ال ratio وال percentage و ال proportion نفس
+
+514
+00:38:39,480 --> 00:38:43,880
+المعنى، نسبة معويةوالـ Ratio اللي هي واحد لواحد زي
+
+515
+00:38:43,880 --> 00:38:46,300
+ما بقول نسبة اللوكيميا واحد لكل عشر تلاف فهذه
+
+516
+00:38:46,300 --> 00:38:53,280
+تعتبر ريشيو واحد لكل عشر تلاف ولكن لما بقول نسبة
+
+517
+00:38:53,280 --> 00:38:58,840
+الـ UTI اللي موجودة عندنا في قضايا غزة تعتبر 20%
+
+518
+00:38:58,840 --> 00:39:03,300
+كل 100 فيه 20 فبقول 20% تعتبر percentage أو
+
+519
+00:39:03,300 --> 00:39:06,740
+proportion وبنقول من واحد لعشر تلاف هذا تعتبر
+
+520
+00:39:06,740 --> 00:39:12,530
+ريشيو ونادر جدا ما توصف بال quantitativeزي الـ
+
+521
+00:39:12,530 --> 00:39:18,930
+Mean والـ Standard والـ Mode وهنا كلمة نادر جداً
+
+522
+00:39:18,930 --> 00:39:22,870
+فقط لا استثناء الـ Likert Scale اللي اتكلمنا عنه
+
+523
+00:39:22,870 --> 00:39:27,610
+Likert Scale ممكن انا اعتبره qualitative أو
+
+524
+00:39:27,610 --> 00:39:30,950
+quantitative data وحنتكلم عنها في المستقبل
+
+525
+00:39:30,950 --> 00:39:34,890
+فبالتالي هذا يعني بتكون في الغالب نفس الـ
+
+526
+00:39:34,890 --> 00:39:38,600
+Qualitative Representationوفي حالات نادرة زي الـ
+
+527
+00:39:38,600 --> 00:39:41,040
+Likert Scale ممكن أطبق عليها قوانين لـ
+
+528
+00:39:41,040 --> 00:39:44,520
+Quantitative Data وهنتكلم قدام في الـ Presentation
+
+529
+00:39:44,520 --> 00:39:49,080
+للـ Data الـ
+
+530
+00:39:49,080 --> 00:39:53,020
+Interval حكينا إن الـ Interval No Natural Zero الـ
+
+531
+00:39:53,020 --> 00:39:57,240
+Zero مش حاضر اللي موجود فيها الـ Zero اللي موجود
+
+532
+00:39:57,240 --> 00:40:02,190
+لا يعني إنه مافيش عندي وإنما يعني فيهيعني في عندي
+
+533
+00:40:02,190 --> 00:40:04,730
+شغل أنا حاسس فيها زي الـ Temperature زي ما بنقول
+
+534
+00:40:04,730 --> 00:40:08,390
+عندنا الـ Temperature Zero بتكون أنه أنا شاعر
+
+535
+00:40:08,390 --> 00:40:13,610
+وحاسس أن الجو بارد هذه تطبق عليها قوانين الـ
+
+536
+00:40:13,610 --> 00:40:15,790
+Quantitative Data لأنه أساساً حكينا أن الـ
+
+537
+00:40:15,790 --> 00:40:20,190
+Interval و الـ Ratio هم تعتبروا عندنا من الأشياء
+
+538
+00:40:20,190 --> 00:40:24,090
+اللي Quantitative لأن نقولهم Unit الـ Temperature
+
+539
+00:40:24,090 --> 00:40:26,570
+فيه لها Unit بتكون تقاس فيه
+
+540
+00:40:36,810 --> 00:40:41,330
+زي ما حكينا قصة كتاش معاك فلوس يبقى Zero يبقى معيش
+
+541
+00:40:41,330 --> 00:40:44,730
+انه ولا حاجة، كتاش الطول Zero يبقى مافيش طول، كتاش
+
+542
+00:40:44,730 --> 00:40:49,360
+العمر Zero يبقى مافيش عمربنفس ما حكينا في السابق
+
+543
+00:40:49,360 --> 00:40:52,000
+في الـ Ratio تطبّق عليها في الـ Descriptive
+
+544
+00:40:52,000 --> 00:40:56,200
+Representation قوانين اللي هي الـ Quantitative
+
+545
+00:40:56,200 --> 00:41:01,560
+Data و هنتكلم في المحاضرة القادمة على الـ
+
+546
+00:41:01,560 --> 00:41:04,540
+Quantitative و الـ Qualitative Method of Data
+
+547
+00:41:04,540 --> 00:41:06,960
+Representation هنتكلم عن الـ Data Representation
+
+548
+00:41:06,960 --> 00:41:12,600
+للـ Quantitative و الـ Quantitative Method اللخص
+
+549
+00:41:12,600 --> 00:41:16,200
+كل ما سبق في عندي الـ Data Variable اللي شفناها في
+
+550
+00:41:16,200 --> 00:41:21,590
+الاستبانةبتكون مرسومة لنوعين يا qualitative يا إما
+
+551
+00:41:21,590 --> 00:41:25,210
+quantitative الـ qualitative قلنا no unit مافيش
+
+552
+00:41:25,210 --> 00:41:28,570
+فيها lone unit بتكون يا nominal يا ordinal والـ
+
+553
+00:41:28,570 --> 00:41:31,990
+quantitative يا إما بتكون interval يا إما بتكون
+
+554
+00:41:31,990 --> 00:41:37,590
+عندنا ratio هذه بلخص كل الصابق سنكتفي بهذا القدر
+
+555
+00:41:37,590 --> 00:41:41,750
+في هذه المحاضرة الجزء القادم هيكون على موضوع الـ
+
+556
+00:41:41,750 --> 00:41:46,830
+methods for representation of data أشكركم لحسن
+
+557
+00:41:46,830 --> 00:41:53,010
+استماعكمونتمنى لكم دوام التوفيق والنجاح والسلام
+
+558
+00:41:53,010 --> 00:41:55,630
+عليكم ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..e6eac44268c2675f5c8aa7c34b8bdc1e28b11a35
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ohzkjdQEGWI_raw.json
@@ -0,0 +1 @@
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"probability": 0.95068359375}, {"start": 933.69, "end": 934.27, "word": " يعتبر", "probability": 0.9254557291666666}, {"start": 934.27, "end": 934.95, "word": " Variable", "probability": 0.86767578125}], "temperature": 1.0}, {"id": 34, "seek": 96122, "start": 935.68, "end": 961.22, "text": "فبالتالي في الاستبانة اللي موجودة لو بدنا نعد ال variable اللي موجودة بنعد عدد الأسئلة أكم سؤال كان موجود و أكم إجابة للأسئلة هذه بتطلع معانا عدد ال variable لو جيني هنا ال body mass index طلعنا ك body mass index هذا اسمه variable لأن أنا حسبته من الوزن والطول بمعادلة معينة", "tokens": [5172, 3555, 6027, 2655, 6027, 1829, 8978, 42963, 14851, 3555, 7649, 3660, 13672, 1829, 3714, 29245, 23328, 3660, 45164, 47525, 8315, 8717, 22488, 2423, 7006, 13672, 1829, 3714, 29245, 23328, 3660, 44945, 22488, 6225, 3215, 3215, 16247, 3794, 19986, 37977, 5551, 24793, 8608, 33604, 6027, 25961, 3714, 29245, 23328, 4032, 5551, 24793, 11933, 7435, 16758, 3660, 24976, 10721, 3794, 19986, 37977, 29538, 39894, 9566, 1211, 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956.16, "word": " variable", "probability": 0.873046875}, {"start": 956.16, "end": 957.32, "word": " لأن", "probability": 0.866943359375}, {"start": 957.32, "end": 957.52, "word": " أنا", "probability": 0.64599609375}, {"start": 957.52, "end": 958.08, "word": " حسبته", "probability": 0.947265625}, {"start": 958.08, "end": 958.66, "word": " من", "probability": 0.99072265625}, {"start": 958.66, "end": 959.14, "word": " الوزن", "probability": 0.992919921875}, {"start": 959.14, "end": 959.66, "word": " والطول", "probability": 0.9549153645833334}, {"start": 959.66, "end": 960.64, "word": " بمعادلة", "probability": 0.94326171875}, {"start": 960.64, "end": 961.22, "word": " معينة", "probability": 0.9873046875}], "temperature": 1.0}, {"id": 35, "seek": 98712, "start": 962.08, "end": 987.12, "text": "ولكن لو أنا بتاخد الطول لحال كمان variable و لو بتاخد الوزن لحال كمان variable فبالتالي إذا أنا في الدراسة كان من ضمن ال objective ال body mass index والوزن والطول بقول إنه ال body mass index variable و ال weight variable و ال height variable التلاتة دولة كل واحد variable ولكن لو أنا بدي ال body mass index لحال", "tokens": [12610, 19452, 45164, 41850, 39894, 47283, 3215, 41950, 12610, 5296, 5016, 6027, 9122, 2304, 7649, 7006, 4032, 45164, 39894, 47283, 3215, 2423, 2407, 11622, 1863, 5296, 5016, 6027, 9122, 2304, 7649, 7006, 6156, 3555, 6027, 2655, 6027, 1829, 11933, 15730, 41850, 8978, 32748, 23557, 3794, 3660, 25961, 9154, 48812, 27842, 2423, 10024, 2423, 1772, 2758, 8186, 16070, 2407, 11622, 1863, 16070, 9566, 12610, 4724, 39648, 36145, 3224, 2423, 1772, 2758, 8186, 7006, 4032, 2423, 3364, 7006, 4032, 2423, 6681, 7006, 16712, 1211, 9307, 3660, 11778, 12610, 3660, 28242, 36764, 24401, 7006, 35525, 19452, 45164, 41850, 4724, 16254, 2423, 1772, 2758, 8186, 5296, 5016, 6027], "avg_logprob": -0.1516369002205985, "compression_ratio": 2.1455399061032865, "no_speech_prob": 0.0, "words": [{"start": 962.08, "end": 962.64, "word": "ولكن", "probability": 0.94921875}, {"start": 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978.72, "end": 979.7, "word": " و", "probability": 0.65869140625}, {"start": 979.7, "end": 980.14, "word": " ال", "probability": 0.5185546875}, {"start": 980.14, "end": 980.36, "word": " weight", "probability": 0.88232421875}, {"start": 980.36, "end": 980.94, "word": " variable", "probability": 0.91455078125}, {"start": 980.94, "end": 981.46, "word": " و", "probability": 0.810546875}, {"start": 981.46, "end": 981.54, "word": " ال", "probability": 0.89404296875}, {"start": 981.54, "end": 981.76, "word": " height", "probability": 0.94580078125}, {"start": 981.76, "end": 982.32, "word": " variable", "probability": 0.91357421875}, {"start": 982.32, "end": 983.04, "word": " التلاتة", "probability": 0.912841796875}, {"start": 983.04, "end": 983.36, "word": " دولة", "probability": 0.7805989583333334}, {"start": 983.36, "end": 983.5, "word": " كل", "probability": 0.970703125}, {"start": 983.5, "end": 983.94, "word": " واحد", "probability": 0.99609375}, {"start": 983.94, "end": 984.48, "word": " variable", "probability": 0.8671875}, {"start": 984.48, "end": 985.46, "word": " ولكن", "probability": 0.894775390625}, {"start": 985.46, "end": 985.62, "word": " لو", "probability": 0.9716796875}, {"start": 985.62, "end": 985.78, "word": " أنا", "probability": 0.84423828125}, {"start": 985.78, "end": 985.96, "word": " بدي", "probability": 0.78271484375}, {"start": 985.96, "end": 986.06, "word": " ال", "probability": 0.8564453125}, {"start": 986.06, "end": 986.2, "word": " body", "probability": 0.91259765625}, {"start": 986.2, "end": 986.42, "word": " mass", "probability": 0.91064453125}, {"start": 986.42, "end": 986.72, "word": " index", "probability": 0.92041015625}, {"start": 986.72, "end": 987.12, "word": " لحال", "probability": 0.9959309895833334}], "temperature": 1.0}, {"id": 36, "seek": 101481, "start": 987.79, "end": 1014.81, "text": "فبالتالي، يكون هذا كـVariable الوحيد موجود في البحث لأن هم لن يدخلوا فيه وصف الدراسة ولكن وجودهم في الاستبانة يُعتبروا كـVariable في الاستبانة مدى عندنا السؤال يفقد حقه كـVariable؟ يفقد أي سؤال خاصية الـVariable لما يكون كل الناس جاوبوا نفس الجواب يعني مثلًا", "tokens": [5172, 3555, 6027, 2655, 6027, 1829, 12399, 7251, 30544, 23758, 9122, 39184, 53, 3504, 712, 2423, 2407, 5016, 25708, 3714, 29245, 23328, 8978, 29739, 5016, 12984, 5296, 33456, 8032, 2304, 5296, 1863, 7251, 3215, 9778, 1211, 14407, 8978, 3224, 4032, 9381, 5172, 32748, 23557, 3794, 3660, 35525, 19452, 49610, 23328, 16095, 8978, 42963, 14851, 3555, 7649, 3660, 7251, 10859, 34268, 26890, 14407, 9122, 39184, 53, 3504, 712, 8978, 42963, 14851, 3555, 7649, 3660, 3714, 3215, 7578, 43242, 8315, 21136, 33604, 6027, 7251, 5172, 28543, 11331, 4587, 3224, 9122, 39184, 53, 3504, 712, 22807, 7251, 5172, 28543, 36632, 8608, 33604, 6027, 16490, 33546, 10632, 2423, 39184, 53, 3504, 712, 5296, 15042, 7251, 30544, 28242, 2423, 8315, 3794, 10874, 995, 37746, 14407, 8717, 36178, 25724, 14407, 3555, 37495, 22653, 50113, 1211, 14111, 995], "avg_logprob": -0.14334754228140367, 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سؤال في الجانب هذا الخاصية التانية أن ال variables اللي موجودة حتى يكون variable يكون قابل للقياس من الشخص نفسه", "tokens": [1211, 2407, 41850, 47525, 2288, 3794, 8978, 4032, 11622, 9640, 3660, 31767, 5016, 3660, 19446, 9957, 5172, 3615, 8592, 5551, 39648, 3224, 14739, 2655, 39894, 8592, 2655, 17082, 1211, 4032, 9957, 5296, 33456, 16095, 28242, 16095, 39896, 39648, 14407, 14739, 1829, 4724, 8592, 2655, 17082, 1211, 8978, 4032, 11622, 9640, 3660, 31767, 5016, 3660, 11933, 15040, 11933, 15730, 25961, 41850, 4724, 16254, 5551, 24401, 3215, 4032, 9957, 8978, 4032, 11622, 9640, 3660, 31767, 5016, 3660, 41850, 3714, 14851, 8592, 41185, 9307, 49429, 12602, 3615, 995, 10632, 5551, 12610, 10632, 6156, 3555, 6027, 2655, 6027, 1829, 39896, 46456, 46538, 9154, 36764, 24401, 45164, 36764, 24401, 19446, 9957, 5172, 3615, 14739, 11242, 33911, 8608, 33604, 6027, 8978, 25724, 7649, 3555, 23758, 33962, 33546, 10632, 16712, 7649, 10632, 14739, 2423, 9102, 13672, 1829, 3714, 29245, 23328, 3660, 11331, 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"word": " حقيقي", "probability": 0.990234375}, {"start": 1686.81, "end": 1687.57, "word": " زي", "probability": 0.951171875}, {"start": 1687.57, "end": 1687.79, "word": " لما", "probability": 0.945556640625}, {"start": 1687.79, "end": 1688.21, "word": " بنقول", "probability": 0.944091796875}, {"start": 1688.21, "end": 1689.39, "word": " لحدى", "probability": 0.9088541666666666}, {"start": 1689.39, "end": 1689.83, "word": " العمر", "probability": 0.9443359375}, {"start": 1689.83, "end": 1690.19, "word": " عنده", "probability": 0.981689453125}, {"start": 1690.19, "end": 1690.53, "word": " Zero", "probability": 0.96826171875}, {"start": 1690.53, "end": 1691.37, "word": " أو", "probability": 0.9169921875}, {"start": 1691.37, "end": 1691.89, "word": " الطول", "probability": 0.94287109375}, {"start": 1691.89, "end": 1692.51, "word": " Zero", "probability": 0.93408203125}, {"start": 1692.51, "end": 1692.79, "word": " أو", "probability": 0.94189453125}, {"start": 1692.79, "end": 1693.25, 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Interval الـ Zero غير حقيقي لما بنقول الـ Temperature Zero يبقى فيه Temperature والـ Temperature هذه بتعني أن الجو بارد ويعني الـ Zero هنا أنه مافيش حرارة هنا يعني أنه في حرارة والجو اللي موجود جو بارد فتعني بكون كلمة Zero في الـ Temperature يعني Zero غير حقيقي يبقى إلها معنى", "tokens": [12610, 19452, 8978, 2423, 39184, 34864, 1503, 8978, 2423, 39184, 5751, 3337, 2423, 39184, 17182, 32771, 13546, 11331, 38436, 38436, 5296, 15042, 44945, 39648, 2423, 39184, 34864, 1503, 17182, 7251, 3555, 4587, 7578, 8978, 3224, 34864, 1503, 16070, 39184, 34864, 1503, 29538, 39894, 3615, 22653, 14739, 25724, 2407, 4724, 9640, 3215, 4032, 40228, 22653, 2423, 39184, 17182, 34105, 14739, 3224, 19446, 41185, 8592, 11331, 2288, 9640, 3660, 34105, 37495, 22653, 14739, 3224, 8978, 11331, 2288, 9640, 3660, 16070, 7435, 2407, 13672, 1829, 3714, 29245, 23328, 10874, 2407, 4724, 9640, 3215, 6156, 2655, 3615, 22653, 4724, 30544, 9122, 19528, 3660, 17182, 8978, 2423, 39184, 34864, 1503, 37495, 22653, 17182, 32771, 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{"start": 1705.33, "end": 1705.67, "word": " هذه", "probability": 0.859375}, {"start": 1705.67, "end": 1706.25, "word": " بتعني", "probability": 0.9122721354166666}, {"start": 1706.25, "end": 1706.99, "word": " أن", "probability": 0.427490234375}, {"start": 1706.99, "end": 1707.65, "word": " الجو", "probability": 0.887451171875}, {"start": 1707.65, "end": 1708.21, "word": " بارد", "probability": 0.9920247395833334}, {"start": 1708.21, "end": 1709.41, "word": " ويعني", "probability": 0.90771484375}, {"start": 1709.41, "end": 1709.81, "word": " الـ", "probability": 0.95947265625}, {"start": 1709.81, "end": 1710.07, "word": " Zero", "probability": 0.9580078125}, {"start": 1710.07, "end": 1710.57, "word": " هنا", "probability": 0.98486328125}, {"start": 1710.57, "end": 1711.41, "word": " أنه", "probability": 0.737548828125}, {"start": 1711.41, "end": 1712.19, "word": " مافيش", "probability": 0.9005533854166666}, {"start": 1712.19, "end": 1712.99, "word": " حرارة", "probability": 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"word": " موضوع", "probability": 0.982177734375}, {"start": 2501.07, "end": 2501.75, "word": " الـ", "probability": 0.80615234375}, {"start": 2501.75, "end": 2502.09, "word": " methods", "probability": 0.44482421875}, {"start": 2502.09, "end": 2502.57, "word": " for", "probability": 0.8994140625}, {"start": 2502.57, "end": 2503.31, "word": " representation", "probability": 0.48974609375}, {"start": 2503.31, "end": 2503.99, "word": " of", "probability": 0.97900390625}, {"start": 2503.99, "end": 2504.35, "word": " data", "probability": 0.95947265625}, {"start": 2504.35, "end": 2506.15, "word": " أشكركم", "probability": 0.8765869140625}, {"start": 2506.15, "end": 2506.83, "word": " لحسن", "probability": 0.9697265625}, {"start": 2506.83, "end": 2507.65, "word": " استماعكم", "probability": 0.9541015625}], "temperature": 1.0}, {"id": 93, "seek": 251563, "start": 2508.75, "end": 2515.63, "text": "ونتمنى لكم دوام التوفيق والنجاح والسلام عليكم ورحمة الله وبركاته", "tokens": [11536, 2655, 27842, 7578, 5296, 24793, 11778, 2407, 10943, 16712, 38688, 1829, 4587, 16070, 1863, 7435, 39319, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.10907907196969698, "compression_ratio": 1.3370786516853932, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2508.75, "end": 2509.45, "word": "ونتمنى", "probability": 0.6805419921875}, {"start": 2509.45, "end": 2509.95, "word": " لكم", "probability": 0.95263671875}, {"start": 2509.95, "end": 2510.53, "word": " دوام", "probability": 0.9654947916666666}, {"start": 2510.53, "end": 2511.21, "word": " التوفيق", "probability": 0.986328125}, {"start": 2511.21, "end": 2512.43, "word": " والنجاح", "probability": 0.9581298828125}, {"start": 2512.43, "end": 2513.01, "word": " والسلام", "probability": 0.8225911458333334}, {"start": 2513.01, "end": 2513.61, "word": " عليكم", "probability": 0.972412109375}, {"start": 2513.61, "end": 2514.25, "word": " ورحمة", "probability": 0.9805908203125}, {"start": 2514.25, "end": 2514.59, "word": " الله", "probability": 0.9736328125}, {"start": 2514.59, "end": 2515.63, "word": " وبركاته", "probability": 0.96689453125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2517.1591875, "duration_after_vad": 2438.0712499999922}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b7841c48b566d74115ca555e1b10475c00bc0130
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s.srt
@@ -0,0 +1,691 @@
+1
+00:00:00,030 --> 00:00:03,390
+من خلال الفيديو هنتكلم على شبه تراثرية ال
+
+2
+00:00:03,390 --> 00:00:07,190
+materials and methods كيف أحنا ممكن نكتبها الصحيح
+
+3
+00:00:07,190 --> 00:00:10,510
+شبه تراثرية هو من أهم الشباتر اللي أحنا ممكن
+
+4
+00:00:10,510 --> 00:00:14,070
+نكتبهم في البحث لأنه بحدد آلية جمع البيانات
+
+5
+00:00:14,070 --> 00:00:16,610
+والطريقة الdesign  لصالة الdesign بحدد ال
+
+6
+00:00:16,610 --> 00:00:20,150
+population و بحدد ال sample size قداش هي بتكون و
+
+7
+00:00:20,150 --> 00:00:22,570
+بتحدد كذلك إيش نوع الأختبارات الإحصائية اللي ممكن
+
+8
+00:00:22,570 --> 00:00:25,550
+نستخدمها و اللي هنتكلم عنها بتفاصيلها
+
+9
+00:00:30,490 --> 00:00:35,650
+الشابتر 3 هيكون في عندنا form وهيقدر كل طالب وطالبة
+
+10
+00:00:35,650 --> 00:00:39,310
+ينزل الform اللي موجودة، كل الطلبة هتكون نفس ال
+
+11
+00:00:39,310 --> 00:00:43,490
+form، ولكن في أشياء بسيطة هنغيرها في الموضوع، يعني
+
+12
+00:00:43,490 --> 00:00:47,550
+هنكون بنكتب نفس الكلام مع بعض الكلمات البسيطة و
+
+13
+00:00:47,550 --> 00:00:52,090
+الشابتر مش هياخد أكثر من عشر إلى ثلاث ساعات بتعديله
+
+14
+00:00:52,090 --> 00:00:55,990
+وكتابته، يعني هو هيكون من عشر دقائق إلى ثلاث ساعات
+
+15
+00:00:55,990 --> 00:00:59,510
+بنكون مخلصين الشابتر إن شاء الله. أول حاجة نبدأ بالـ
+
+16
+00:00:59,510 --> 00:01:01,950
+study design هذا تعليقه، ماهو الشابتر اللي هو
+
+17
+00:01:01,950 --> 00:01:06,030
+هيحتويه، إيش ممكن محتويات الشابتر تكون؟ بعدين
+
+18
+00:01:06,030 --> 00:01:09,290
+بيجي الstudy design، نفس الشيء اللي موجود هنا،
+
+19
+00:01:09,290 --> 00:01:12,650
+هنكتب نفس الكلام، بس إذا كان أنا مستخدم case
+
+20
+00:01:12,650 --> 00:01:15,670
+control، هقول case control، فـ cross-sectional، هكتبها
+
+21
+00:01:15,670 --> 00:01:18,550
+cross-sectional، هتبقى نفس الكلام، إذا كان موجود عندي
+
+22
+00:01:18,550 --> 00:01:22,350
+هنا أنا مستخدم experimental، هكتب experimental، وأجي
+
+23
+00:01:22,350 --> 00:01:24,390
+هنا أكتب الadvantages والdisadvantages الـ
+
+24
+00:01:24,390 --> 00:01:27,470
+experimental اللي موجودة، وإذا كان case control نفس
+
+25
+00:01:27,470 --> 00:01:30,730
+الأشياء والadvantages والadvantages بتاعتها كـ
+
+26
+00:01:30,730 --> 00:01:33,590
+case control، أحنا أخدناها واتكلمنا عنها، وإذا كانت
+
+27
+00:01:33,590 --> 00:01:36,830
+descriptive، هتكون descriptive، بس بالغالب أحنا
+
+28
+00:01:36,830 --> 00:01:41,710
+معظمها هتكون cross-sectional study، لهيك
+
+29
+00:01:41,710 --> 00:01:44,470
+كتبنا بتاعت cross-sectional وجهزناها، ثم هروح الـ
+
+30
+00:01:44,470 --> 00:01:48,170
+target population، الtarget population هيكون الناس
+
+31
+00:01:48,170 --> 00:01:52,270
+اللي مشخصين، بس هنغير كلمة lymphoma، مشخصين كـ ديابتك،
+
+32
+00:01:52,270 --> 00:01:57,150
+مشخصين كـ tenopathy، مشخصين كـ leukemia، هم إيش
+
+33
+00:01:57,150 --> 00:02:01,190
+المشخصين؟ مشخصين كـ dry eyes، فكل هذه الشغلات هنغير
+
+34
+00:02:01,190 --> 00:02:04,930
+كلمة اللي موجودة، وكمان هنقول هدول الناس مسجلين فين؟
+
+35
+00:02:04,930 --> 00:02:08,700
+في وزارة الصحة ولا في مركز خاص؟ هنغيره، زي وزارة
+
+36
+00:02:08,700 --> 00:02:11,820
+الصحة بتبقى زي ما هي، إذا غيرها، بنغيرها،
+
+37
+00:02:11,820 --> 00:02:15,840
+فبالتالي، بس بنغير الكلمات اللي مخطوطة بالأحمر أو
+
+38
+00:02:15,840 --> 00:02:18,680
+ملونة بالأحمر، الsetting، أنا من أين بدي أخد
+
+39
+00:02:18,680 --> 00:02:21,960
+العينة؟ من الشفة؟ من الأوروبي؟ هل هي governmental
+
+40
+00:02:21,960 --> 00:02:25,400
+ولا non-governmental؟ إذا كان نفس الكلام اللي
+
+41
+00:02:25,400 --> 00:02:30,560
+موجود وبس بدي ألغي التضليل اللي موجود، باجي هنا و
+
+42
+00:02:30,560 --> 00:02:34,520
+باجي على إشارة الفرشاة اللي موجودة وبضغط عليها و
+
+43
+00:02:34,520 --> 00:02:38,650
+بعملها هيك، بروح للخط، لو كان نفس الكلام اللي
+
+44
+00:02:38,650 --> 00:02:42,710
+موجود هنا، أنا نفس المرضى لنفومة، بنضغط على هذه و
+
+45
+00:02:42,710 --> 00:02:45,870
+بروح كاتبين على نفس الخط، بتزعي نفس الكلام، حتى لو
+
+46
+00:02:45,870 --> 00:02:48,950
+أنا اتغلبت في الخطوط اللي موجودة، كيف أشيلهم؟ لو بدي
+
+47
+00:02:48,950 --> 00:02:52,930
+أشيل اللي موجود، سهل أشيلهم، هاي الكلام المخطوط
+
+48
+00:02:52,930 --> 00:02:57,230
+بعلمه وباجي هنا عند الخط وبعمله زي هيك، بروح بدي
+
+49
+00:02:57,230 --> 00:03:00,830
+أرجعه تاني، بضغط عليه مرة ثانية، فبرجع الكلام مرة
+
+50
+00:03:00,830 --> 00:03:04,630
+ثانية،  ام أو اتش، بدي أخليها، يا باجي بالفرشاة و
+
+51
+00:03:04,630 --> 00:03:08,920
+بضغط وتجي نفس القديم، طب بديها نفس الكلام اللي
+
+52
+00:03:08,920 --> 00:03:12,360
+موجود فوق، نفس الشيء، وبروح ضغطتين ومعلمين وضغطتين
+
+53
+00:03:12,360 --> 00:03:15,180
+عليها، بروح نفس الكلام اللي كان موجود، ضلت نتفات
+
+54
+00:03:15,180 --> 00:03:18,420
+بسيطة، بدي أعلمها okay، وبنرجع نفس الكلام، طب بدناش
+
+55
+00:03:18,420 --> 00:03:21,480
+الطريقة هذه، في طريقة ثانية، وفي طريقة ثانية أن نفس
+
+56
+00:03:21,480 --> 00:03:24,580
+الكلام هذا اللي موجود، بنيجي هنا بنلغي الخط اللي
+
+57
+00:03:24,580 --> 00:03:27,800
+موجود وبنيجي على الألوان وبنقوله بدنا إياهم كلهم أسود
+
+58
+00:03:27,800 --> 00:03:31,260
+وبنرجع نفس الكلام اللي كان عندنا موجود، بنضل
+
+59
+00:03:31,260 --> 00:03:33,740
+موجودين على كل الأشياء اللي موجودة، أنت من وقت إيش
+
+60
+00:03:33,740 --> 00:03:37,810
+بدك تبدل بحث من شهر ثلاثة لشهر عشرة، من شهر
+
+61
+00:03:37,810 --> 00:03:41,950
+ثلاثة لشهر سبعة، إيش الجسم اللي أنت موجودة فيه أو
+
+62
+00:03:41,950 --> 00:03:45,450
+اللي أنت بدك تاخدي منه موافقة أو بده يديك approval،
+
+63
+00:03:45,450 --> 00:03:49,170
+هذا تقريباً كلها نفس الطلبة هيكتبوا زي بعض باختلاف
+
+64
+00:03:49,170 --> 00:03:53,330
+الشغلات اللي موجودة، بندي على الsampling، من نوع
+
+65
+00:03:53,330 --> 00:03:56,150
+العينة اللي بدنا ناخدها، قلنا إن نجيب probability
+
+66
+00:03:56,150 --> 00:03:59,250
+sample صعب علينا وبندور على بعض، لو قلنا في حد
+
+67
+00:03:59,250 --> 00:04:01,570
+ممكن نجيب probability sample أو random sample،
+
+68
+00:04:02,000 --> 00:04:04,720
+فبالتالي بيظل نفس الكلام اللي موجود بس بنغير اسم
+
+69
+00:04:04,720 --> 00:04:09,660
+الdisease والمكان والمسجلين وبنحدد الأماكن و
+
+70
+00:04:09,660 --> 00:04:12,580
+بنشيل نعيد تاني، لو بدنا نلغي الكلام اللي موجود
+
+71
+00:04:12,580 --> 00:04:17,460
+بالتخطيط نشيله ونضغط هنا وبدنا نرجعه، بروح بنقول
+
+72
+00:04:17,460 --> 00:04:20,860
+هيك بدنا نعمله وبنعمله delete وبنكمل كلامنا، أحنا
+
+73
+00:04:20,860 --> 00:04:23,600
+إيش اللي بنكتبه بالضبط؟ الinclusion criteria،
+
+74
+00:04:23,600 --> 00:04:26,400
+مقسمة لقسمين، inclusion criteria، مين الناس اللي
+
+75
+00:04:26,400 --> 00:04:30,670
+هتكونوا في البحث؟ كل الناس اللي عندهم سُكر، وكل الناس
+
+76
+00:04:30,670 --> 00:04:33,870
+على سبيل المثال اللي عندهم autopathy ومشخصين
+
+77
+00:04:33,870 --> 00:04:37,930
+سابقاً وموجودين في قسم الأورام في مستشفى الشفاء في
+
+78
+00:04:37,930 --> 00:04:42,390
+قسم الoncology، في قسم الlab، في قسم مثلاً الـ
+
+79
+00:04:42,390 --> 00:04:47,930
+physiotherapy، كل هذه الشغلات ومسجلين وعاملين فحوصات
+
+80
+00:04:47,930 --> 00:04:51,830
+فين؟ كمان بنكتبها، الexclusion criteria، قلنا الـ
+
+81
+00:04:51,830 --> 00:04:55,010
+missing files ذات، مش هناخدها، أو الpatient اللي مش
+
+82
+00:04:55,010 --> 00:04:58,190
+موافق، ممكن الpregnant، ممكن الanemia، على حسب
+
+83
+00:04:58,190 --> 00:05:00,650
+طبيعة البحث، إيش الأشياء اللي ممكن تعملوا
+
+84
+00:05:00,650 --> 00:05:03,870
+confounding، كل هذا بنقول عندنا exclusion criteria،
+
+85
+00:05:03,870 --> 00:05:06,770
+فالexclusion criteria هي كل شيء ممكن يعملوا
+
+86
+00:05:06,770 --> 00:05:11,010
+confounding في النتيجة، بنضيفه، طيب، إيش الأداة
+
+87
+00:05:11,010 --> 00:05:13,770
+اللي بدك تستخدميها؟ بتستخدم استمارة وما بكون ضايفة
+
+88
+00:05:13,770 --> 00:05:16,930
+فيها الdemographic data والpersonal data، الـ
+
+89
+00:05:16,930 --> 00:05:19,570
+demographic يعني male ولا female، بيشتغل، بيشتغلش،
+
+90
+00:05:19,570 --> 00:05:23,370
+الpersonal data، الاسم، العمر، الأشياء الثانية،
+
+91
+00:05:23,960 --> 00:05:26,500
+اللي بتضيف الmedical history للمريض، إيش عنده
+
+92
+00:05:26,500 --> 00:05:30,240
+تاريخ مرضي، بتضيف على سبيل المثال عدد الناس اللي
+
+93
+00:05:30,240 --> 00:05:34,880
+شخصوه، سواء هتشخصه إن هو عنده اعتلال في شبكة العين
+
+94
+00:05:34,880 --> 00:05:40,260
+أو عنده dry eyes، كل هذه الشغلات بدي أكتبها، بدي
+
+95
+00:05:40,260 --> 00:05:44,140
+أستخدم أشياء مشخصة أو طرق بيصيغ في protocol محدد
+
+96
+00:05:44,140 --> 00:05:47,080
+بدي أكتبه، بدي أعمل عدة فحوصات، بدي أكتب هذه
+
+97
+00:05:47,080 --> 00:05:50,060
+الفحوصات، وكل هذه بتكون في الinstrumental، دعوني
+
+98
+00:05:50,060 --> 00:05:52,920
+المختبرات، بدي أعمل culture، دعوني المختبرات، بدي
+
+99
+00:05:52,920 --> 00:05:55,540
+أعمل بعض الفحوصات الكيميائية، دعوني المختبرات، بدي
+
+100
+00:05:55,540 --> 00:05:58,720
+آخذ نتائج من ملفات المرضى، فكل هذه بتكتب في الـ
+
+101
+00:05:58,720 --> 00:06:01,180
+instrumental، خلصنا موضوع الinstrumental، الdata
+
+102
+00:06:01,180 --> 00:06:04,640
+collection، الdata collection، أنا بدي أحضر
+
+103
+00:06:04,640 --> 00:06:07,980
+استبانة اللي علاقة بالobjective، بعد إطلاعي على
+
+104
+00:06:07,980 --> 00:06:12,320
+دراسات سابقة واللي هتكون من كذا وكذا وكذا من
+
+105
+00:06:12,320 --> 00:06:15,200
+ناصر ومن المستشفى الأندونيسي، من مستشفى أندورا،
+
+106
+00:06:15,200 --> 00:06:18,740
+بنكتب الأشياء، مش شرط يكون الكلام هذا كله مكتوب،
+
+107
+00:06:18,740 --> 00:06:22,560
+ممكن هنا تكون بس فقط مستشفى واحد وخلاص، ممكن يكون
+
+108
+00:06:22,560 --> 00:06:26,840
+center واحد في العلاج الطبيعي، okay، زي مثلاً مستشفى
+
+109
+00:06:26,840 --> 00:06:29,660
+العودة، الethical consideration، إيش الاعتبارات
+
+110
+00:06:29,660 --> 00:06:31,800
+الأخلاقية اللي أنا بدي أخدها؟ الethical
+
+111
+00:06:31,800 --> 00:06:35,920
+consideration الصحيح هي بتضمن عندي الأشياء اللي
+
+112
+00:06:35,920 --> 00:06:39,280
+بتكون موجودة من الموافقات اللي أنا بأخذها، وفي
+
+113
+00:06:39,280 --> 00:06:42,880
+الغالب الethical consideration بدها تكون موجودة
+
+114
+00:06:42,880 --> 00:06:45,820
+عندنا أن أنا بأخذ موافقة لجنة تلسينكي، بأخذ
+
+115
+00:06:45,820 --> 00:06:49,020
+موافقة القسم، بأخذ موافقة الجامعة، موافقة وزارة
+
+116
+00:06:49,020 --> 00:06:52,360
+الصحة، كل هذه الأشياء المكتوبة، فقط ما بدنا إلا أن
+
+117
+00:06:52,360 --> 00:06:56,300
+نغير القسم هنا، هيك النتائج بتكون جاهزة، الpilot
+
+118
+00:06:56,300 --> 00:06:58,700
+test بتظل زي ما هي، هذا في كل الأبحاث بتكون زي
+
+119
+00:06:58,700 --> 00:07:01,560
+ما هي موجودة، إنهم بياخدوا عشر استبانات على pilot
+
+120
+00:07:01,560 --> 00:07:04,000
+test، الvalidity، إن أنا بأبدأ أحكم هذه الاستبانة اللي
+
+121
+00:07:04,000 --> 00:07:07,800
+موجودة، بأبدأ أعرضها على expert في التخصصات وأنا
+
+122
+00:07:07,800 --> 00:07:11,940
+بأبدأ أشوف هذه البيانات اللي موجودة، هل هم بتأكد إنها
+
+123
+00:07:11,940 --> 00:07:15,800
+موجودة في الarchive ولا كل الماضي موجودين ولا لأ،
+
+124
+00:07:15,800 --> 00:07:20,230
+بنغير هنا بس الأقسام اللي عندنا موجودة، بعد ذلك
+
+125
+00:07:20,230 --> 00:07:24,310
+ننتقل على الreliability، هذه نفس الأشياء إن أنا بتوقع
+
+126
+00:07:24,310 --> 00:07:27,770
+إن يكون في عندي نسبة خطأ 5% وبنتظلها مكتوبة زي ما
+
+127
+00:07:27,770 --> 00:07:31,170
+هي، إنه أنا كل هذه الأشياء بدي أخد عندي الreliability،
+
+128
+00:07:31,170 --> 00:07:34,510
+طب ماهي الفرق بينها؟ إنه هذه معناته validity اللي
+
+129
+00:07:34,510 --> 00:07:38,990
+هي قابلية الاستبانة إن الناس تعبيها، والreliability هذه
+
+130
+00:07:38,990 --> 00:07:41,770
+معناته إنه لو عبتي استبانة أكثر من مرة بتعطي نفس
+
+131
+00:07:41,770 --> 00:07:45,030
+النتيجة، وهذه مسموح فيها في الإحصاء لعند 5%،
+
+132
+00:07:45,390 --> 00:07:48,530
+الاختبارات الإحصائية، هذا كلنا هنكتب نفس الاختبارات
+
+133
+00:07:48,530 --> 00:07:51,230
+الإحصائية، مطلب مننا نكتبها زي ما هي، هذا بالذات
+
+134
+00:07:51,230 --> 00:07:56,230
+خاصة بموضوع اللي هو الproposal، وبنلاقيها جاية في
+
+135
+00:07:56,230 --> 00:08:00,350
+كل proposal، وأحياناً بنطلع هنا فيها ممكن نشيل منها
+
+136
+00:08:00,350 --> 00:08:04,570
+الجزء الأخير هذا، ممكن نشيله لأنه ما لوش علاقة بتعلق
+
+137
+00:08:04,570 --> 00:08:07,450
+بالـsensitivity والspecificity والnegative
+
+138
+00:08:07,450 --> 00:08:10,410
+predicted value والpositive predicted value، وهذا
+
+139
+00:08:10,410 --> 00:08:13,770
+بأنصح كل الطلبة يشوفوه، ولكن لو حد أتعال مختبرات
+
+140
+00:08:13,770 --> 00:08:16,540
+مدمج، عندي الsensitivity والspecificity لاختبار
+
+141
+00:08:16,540 --> 00:08:20,780
+معين، بيبقى موجودة مع تغيير الscan اللي بيكون
+
+142
+00:08:20,780 --> 00:08:24,760
+موجود عندنا، أو هنا إيش الشغل اللي ممكن هو يشتغل
+
+143
+00:08:24,760 --> 00:08:30,740
+عليه، الlimitations of study، الlimitations of
+
+144
+00:08:30,740 --> 00:08:33,460
+study، إن إيش المحددات أو إيش الأشياء اللي ممكن
+
+145
+00:08:33,460 --> 00:08:37,950
+عندنا تؤثر على الدراسة أو تمنع الدراسة، زي إنه مافيش
+
+146
+00:08:37,950 --> 00:08:41,430
+ناس تعبي الاستبانة، مافيش وجهة محددة لنا نقرأه على
+
+147
+00:08:41,430 --> 00:08:45,230
+المكان، الموضوع الحين في عندنا أزمة كورونا، مش قادرين
+
+148
+00:08:45,230 --> 00:08:48,370
+نطلع من بيوتنا، كل هذه الشغلات اللي بنكتبلها، واحد
+
+149
+00:08:48,370 --> 00:08:51,410
+أو اثنين، ثلاثة بالكثير، بكفي في limitations of
+
+150
+00:08:51,410 --> 00:08:54,130
+study، الأول مكتوب كلنا بنكتبه، بنضيف كمان
+
+151
+00:08:54,130 --> 00:08:57,610
+واحد إنه أحنا مثلاً مش قادرين، فزي الظروف، صعوبة
+
+152
+00:08:57,610 --> 00:09:01,110
+المواصلات، الpatient مش سهل وصوله لهم، فكل هذه
+
+153
+00:09:01,110 --> 00:09:05,240
+الشغلات، هكذا نكون خلصنا، ويبقى علينا أن نضيف الخطة
+
+154
+00:09:05,240 --> 00:09:08,340
+البحثية، فهذه الخطة البحثية في كل الأبحاث هي جاهزة
+
+155
+00:09:08,340 --> 00:09:12,220
+وهتبقى موجودة مع كل طالب، نفسها هي هي، خليها
+
+156
+00:09:12,220 --> 00:09:15,140
+ما يغيرش فيها ولا حاجة، بنيجي على الbudget، الbudget
+
+157
+00:09:15,140 --> 00:09:18,420
+بس بيغير فيها، مكتوبة كل الأشياء الأساسية، بس إذا
+
+158
+00:09:18,420 --> 00:09:22,200
+أنا في مختبرات، بدي أعمل على سبيل المثال إنه بدي
+
+159
+00:09:22,200 --> 00:09:27,220
+أعمل بعض الفحوصات، بدي أكتب هنا الكتات وأروح هنا
+
+160
+00:09:27,220 --> 00:09:29,940
+أضيف، مثلاً لو كنت تريد أن تضيف كمان خانة، أضيف كمان
+
+161
+00:09:29,940 --> 00:09:33,460
+خانة، ولو بنضيف كمان خانة، بنقول insert وinsert من
+
+162
+00:09:33,460 --> 00:09:37,160
+هنا بنضيف هنا كمان خانة، بقول هنا رقم ستة، بتشتغل
+
+163
+00:09:37,160 --> 00:09:41,640
+كتات حق الكيت كذا وقداش على كام كرتونة، بدي بدي أجيب
+
+164
+00:09:41,640 --> 00:09:44,100
+culture، وبكتب culture، بدي أجيب مثلاً antibiotic،
+
+165
+00:09:44,100 --> 00:09:47,340
+بكتب antibiotic، بديش أجيب ولا حاجة، خلاص هدول
+
+166
+00:09:47,340 --> 00:09:51,760
+delete، فبتظل نفسها هي هي، فما تتغلبوا حالكوا فيها،
+
+167
+00:09:51,760 --> 00:09:55,200
+هي الأمور تمام، هيك بتكون يعني أحنا خلصنا، بس أخر
+
+168
+00:09:55,200 --> 00:09:58,540
+حاجة إن أنا بدي أكتب الطلب تبع لجنة تلسينكي، بكتب
+
+169
+00:09:58,540 --> 00:10:01,510
+عنوان البحث هناك، بكتب إيش القسم اللي موجود وإيش
+
+170
+00:10:01,510 --> 00:10:04,870
+التوقيع اللي موجود، وبكتب أسماء الطلبة مرتبة
+
+171
+00:10:04,870 --> 00:10:08,470
+أبتدي، أو الطلاب مرتبين، أبتدي إيه، بيكون chapter 3
+
+172
+00:10:08,470 --> 00:10:11,530
+خلص بكل سهولة، وبعدين بيجي مباشرة chapter
+
+173
+00:10:11,530 --> 00:10:15,930
+references، هيك بيكون خلصنا chapter 
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s_raw.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..78648e44dbfac685f200968abe89bbe43c9a7ce8
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/qN8fACh91_s_raw.srt
@@ -0,0 +1,704 @@
+1
+00:00:00,030 --> 00:00:03,390
+من خلال الفيديو هنتكلم على شبه تراثرية ال
+
+2
+00:00:03,390 --> 00:00:07,190
+materials and method كيف أحنا ممكن نكتبها الصحيح
+
+3
+00:00:07,190 --> 00:00:10,510
+شبه تراثرية هو من أهم الشباتر اللي أحنا ممكن
+
+4
+00:00:10,510 --> 00:00:14,070
+نكتبهم في البحث لأنه بحدد آلية جمع البيانات
+
+5
+00:00:14,070 --> 00:00:16,610
+والطريقة ال design لصالة ال design بحدد ال
+
+6
+00:00:16,610 --> 00:00:20,150
+population و بحدد ال sample size قداش هي بتكون و
+
+7
+00:00:20,150 --> 00:00:22,570
+بتحدد كذلك إيش نوع الأختبارات اللي أحصلي اللي ممكن
+
+8
+00:00:22,570 --> 00:00:25,550
+نستخدمها و اللي هنتكلم عنها بتفاصيلها
+
+9
+00:00:30,490 --> 00:00:35,650
+شبتر 3 هتكون في عندنا form و هيقدر كل طالب و طالبة
+
+10
+00:00:35,650 --> 00:00:39,310
+تنزل ال form اللي موجودة كل الطلبة هتكون نفس ال
+
+11
+00:00:39,310 --> 00:00:43,490
+form ولكن في أشياء بسيطة هنغيرها في الموضوع يعني
+
+12
+00:00:43,490 --> 00:00:47,550
+هنكون نكتب نفس الكلام مع بعض الكلمات البسيطة و
+
+13
+00:00:47,550 --> 00:00:52,090
+الشبتر مش هياخد أكتر من عشرة إلى تلت ساعة بتعديله
+
+14
+00:00:52,090 --> 00:00:55,990
+و كتابته يعني هو هيكون من عشر دقائق إلى تلت ساعة
+
+15
+00:00:55,990 --> 00:00:59,510
+بنكون مخلصين الشبتر ان شاء اللهأول حاجة نبدأ بال
+
+16
+00:00:59,510 --> 00:01:01,950
+style design هذا تعليف ماهو ال chapter اللي هو
+
+17
+00:01:01,950 --> 00:01:06,030
+هيحتويه ايش ممكن محتويات ال chapter تكون بعدين
+
+18
+00:01:06,030 --> 00:01:09,290
+بيجي ال style design نفس الشيء اللي موجود هنا
+
+19
+00:01:09,290 --> 00:01:12,650
+هنكتب نفس الكلام بس اذا كان انا مستخدم case
+
+20
+00:01:12,650 --> 00:01:15,670
+control هقول case control ف cross section هكتبها
+
+21
+00:01:15,670 --> 00:01:18,550
+cross section هبقى نفس الكلام اذا كان موجود عندى
+
+22
+00:01:18,550 --> 00:01:22,350
+هنا انا مستخدم experimental هكتب experimentalوأجي
+
+23
+00:01:22,350 --> 00:01:24,390
+هنا أكتب ال advantage و ال disadvantage ال
+
+24
+00:01:24,390 --> 00:01:27,470
+experimental اللي موجودة وإذا كان case control نفس
+
+25
+00:01:27,470 --> 00:01:30,730
+الأشياء و ال advantage و ال advantage بتاعتها ك
+
+26
+00:01:30,730 --> 00:01:33,590
+case control أحنا أخدناها و أتكلمنا عنها وإذا كانت
+
+27
+00:01:33,590 --> 00:01:36,830
+descriptive هتكون descriptive بس بالغالب أحنا
+
+28
+00:01:36,830 --> 00:01:41,710
+هتكون معظممعظمها هتكون across-sectional study لهيك
+
+29
+00:01:41,710 --> 00:01:44,470
+كتبنا تاعة across-sectional و جهزناها ثم هروح ال
+
+30
+00:01:44,470 --> 00:01:48,170
+target population ال target population هيكون الناس
+
+31
+00:01:48,170 --> 00:01:52,270
+اللي مشخصين بس هنغير كلمة lymphoma مشخصين كديابتك
+
+32
+00:01:52,270 --> 00:01:57,150
+مشخصين ك tenopathy مشخصين ك leukemia هم ايش
+
+33
+00:01:57,150 --> 00:02:01,190
+المشخصين مشخصين كdry eyes فكل هذه الشغلات هنغير
+
+34
+00:02:01,190 --> 00:02:04,930
+كلمة اللي موجودة وكمان هنقول هدول الناس مسجلين وين
+
+35
+00:02:04,930 --> 00:02:08,700
+في وزارة الصحة ولا في مركز خاصهنغيره، زي وزارة
+
+36
+00:02:08,700 --> 00:02:11,820
+الصحة بتبقى الاموات زي ما هي، إذا غيرها، بنغيرها
+
+37
+00:02:11,820 --> 00:02:15,840
+فبالتالي، بس بنغير الكلمات اللي مخطوطة بالأحمر أو
+
+38
+00:02:15,840 --> 00:02:18,680
+ملونة بالأحمر ال setting، أنا من أين بدي أخد
+
+39
+00:02:18,680 --> 00:02:21,960
+العينة؟ من الشفة؟ من الأوروبي؟ هل هي governmental
+
+40
+00:02:21,960 --> 00:02:25,400
+و لا non governmental؟ إذا كان نفس الكلام اللي
+
+41
+00:02:25,400 --> 00:02:30,560
+موجود و بس بدي ألغي التضليل اللي موجود باجي هنا و
+
+42
+00:02:30,560 --> 00:02:34,520
+باجي على إشارة الفرشاية اللي موجودة و بضغط عليها و
+
+43
+00:02:34,520 --> 00:02:38,650
+بعملها هيك، بروح الخطو لو كان نفس الكلام اللي
+
+44
+00:02:38,650 --> 00:02:42,710
+موجود هنا انا نفس المرضى لانفومة بنضغط على هذه و
+
+45
+00:02:42,710 --> 00:02:45,870
+بروح كاتبين على نفس الخط بتزعي نفس الكلام حتى لو
+
+46
+00:02:45,870 --> 00:02:48,950
+انا اتغلبت في الخطوط اللي موجودة كيف اشيلهم لو بده
+
+47
+00:02:48,950 --> 00:02:52,930
+اشيل اللي موجود سهل اشيلهم هاي الكلام المخطوط
+
+48
+00:02:52,930 --> 00:02:57,230
+بعلمه و باجي هنا عند الخط و بعمله زي هيك بروح بده
+
+49
+00:02:57,230 --> 00:03:00,830
+ارجعه تاني بضغط عليه مرة تانية فبرجع الكلام مرة
+
+50
+00:03:00,830 --> 00:03:04,630
+تانية ام او اتش بده اخليها يا باجي بالفرشاية و
+
+51
+00:03:04,630 --> 00:03:08,920
+بضغط و تجي نفسالقديم طب بديها نفس الكلام اللي
+
+52
+00:03:08,920 --> 00:03:12,360
+موجود فوق نفس الشيء و بروح ضغطين و معلمين و ضغطين
+
+53
+00:03:12,360 --> 00:03:15,180
+عليها بروح نفس الكلام اللي كان موجود ضلت نتفا
+
+54
+00:03:15,180 --> 00:03:18,420
+بسيطة بدي أعلمها okay و بنرجع نفس الكلام طب بدناش
+
+55
+00:03:18,420 --> 00:03:21,480
+الطريقة هذه في طريقة تانية و في طريقة تانية أن نفس
+
+56
+00:03:21,480 --> 00:03:24,580
+الكلام هذا اللي موجود بنيجي هنا بنلغي الخط اللي
+
+57
+00:03:24,580 --> 00:03:27,800
+موجود و بنيجي على ألوان و بنقوله بدنايا كلهم أسود
+
+58
+00:03:27,800 --> 00:03:31,260
+و بنرجع نفس الكلام اللي كان عندنا موجود بنظل
+
+59
+00:03:31,260 --> 00:03:33,740
+موجودين على كل الأشياء اللي موجودة أنت من وقت إيش
+
+60
+00:03:33,740 --> 00:03:37,810
+بدك تبدل بحث من شهرمن شهر تلاتي لشهر عشرة من شهر
+
+61
+00:03:37,810 --> 00:03:41,950
+تلاتي لشهر سبعة ايش الجسم اللي انت موجودة فيه او
+
+62
+00:03:41,950 --> 00:03:45,450
+اللي انت بدك تاخدي منه موافقة او بده يديك approval
+
+63
+00:03:45,450 --> 00:03:49,170
+هذا تقريبا كلها نفس الطلبة هيكتبوا زي بعض باختلاف
+
+64
+00:03:49,170 --> 00:03:53,330
+الشغلات اللي موجودة بندي على ال sampling من نوع
+
+65
+00:03:53,330 --> 00:03:56,150
+العين اللي بدنا ناخدها قولنا ان نجيب probability
+
+66
+00:03:56,150 --> 00:03:59,250
+sample صعب علينا وبندحك على بعض لو قولنا في حد
+
+67
+00:03:59,250 --> 00:04:01,570
+ممكن نجيب probability sample او random sample
+
+68
+00:04:02,000 --> 00:04:04,720
+فبالتالي بيظل نفس الكلام اللي موجود بس بنغير اسم
+
+69
+00:04:04,720 --> 00:04:09,660
+الـ disease و المكان و المسجلين و بنحدد الأماكن و
+
+70
+00:04:09,660 --> 00:04:12,580
+بناش نعيد تاني لو بدنا نلغي الكلام اللي موجود
+
+71
+00:04:12,580 --> 00:04:17,460
+بالتخطيط نشيله و نضغط هنا و بدنا نرجعه بروح بنقول
+
+72
+00:04:17,460 --> 00:04:20,860
+هيك بدنا نعمله و بنعمله delete و بنكمل كلامنا احنا
+
+73
+00:04:20,860 --> 00:04:23,600
+ايش اللي بنكتبه بالظبط ال disability criteria
+
+74
+00:04:23,600 --> 00:04:26,400
+مكسومة لقسمين inclusion criteria مين الناس اللي
+
+75
+00:04:26,400 --> 00:04:30,670
+هتكونوا في البحث كل الناس اللي عندهم سُكةوكل الناس
+
+76
+00:04:30,670 --> 00:04:33,870
+على سبيل المثال اللي عندهم autopathy ومشخصين
+
+77
+00:04:33,870 --> 00:04:37,930
+سابقين وموجودين في قسم الأورام في مستشفى الشفاء في
+
+78
+00:04:37,930 --> 00:04:42,390
+قسم ال oncology في قسم ال lab في قسم مثلا ال
+
+79
+00:04:42,390 --> 00:04:47,930
+physiotherapy كل هذه الشغلات ومسجلين وعملين فحوصات
+
+80
+00:04:47,930 --> 00:04:51,830
+وين كمان بنكتبها ال exclusion الكارثية قولنا ال
+
+81
+00:04:51,830 --> 00:04:55,010
+missing file ذات مش هناخدها أو ال patient اللي مش
+
+82
+00:04:55,010 --> 00:04:58,190
+موافقممكن الـ Pregnant، ممكن الـ Anemia على حسب
+
+83
+00:04:58,190 --> 00:05:00,650
+طبيعة البحث، أيش الأسياء اللي ممكن تعملوا
+
+84
+00:05:00,650 --> 00:05:03,870
+Confounder كل هذا بقول عندنا Executional Criteria
+
+85
+00:05:03,870 --> 00:05:06,770
+فالـ Executional Criteria هي كل شيء ممكن يعملوا
+
+86
+00:05:06,770 --> 00:05:11,010
+Confounding في النتيجة، بنضيفه طيب، أيش الأداة
+
+87
+00:05:11,010 --> 00:05:13,770
+اللي بدك تستخدميها؟ بتستخدم استمانة و مابكون ضائفة
+
+88
+00:05:13,770 --> 00:05:16,930
+فيها ال demographic data و ال personal data ال
+
+89
+00:05:16,930 --> 00:05:19,570
+demographic يعني male و لا female، بيشتغل، بيشتغلش
+
+90
+00:05:19,570 --> 00:05:23,370
+ال personal data، الاسم، العمر، الأشياء التانية
+
+91
+00:05:23,960 --> 00:05:26,500
+اللي بتضيف ال medical history للمريض، إيش عنده
+
+92
+00:05:26,500 --> 00:05:30,240
+تاريخ مرضية، بتضيف على سبيل المثال عدد الناس اللي
+
+93
+00:05:30,240 --> 00:05:34,880
+شخصوه، سواء هتشخصه إن هو عنده اعتلال في شبكة العين
+
+94
+00:05:34,880 --> 00:05:40,260
+أو عنده die eyes، كل هذه الشغلات بدي أكتبها، بدي
+
+95
+00:05:40,260 --> 00:05:44,140
+أستخدم أشياء مشخصة أو طرق بيصيغ في protocol محدد
+
+96
+00:05:44,140 --> 00:05:47,080
+بدي أكتبه، بدي أعمل عدة فحوصات، بدي أكتب هذه
+
+97
+00:05:47,080 --> 00:05:50,060
+الفحوصاتوكل هذه بتكون في الـ Instrumental دعوني
+
+98
+00:05:50,060 --> 00:05:52,920
+المختبرات بدي أعمل Culture دعوني المختبرات بدي
+
+99
+00:05:52,920 --> 00:05:55,540
+أعمل بعض الفحوصات الكيميائية دعوني المختبرات بدي
+
+100
+00:05:55,540 --> 00:05:58,720
+أخد نتاج من ملفات المرضى فكل هذه بتكتب في الـ
+
+101
+00:05:58,720 --> 00:06:01,180
+Instrumental خلصنا موضوع الـ Instrumental الـ Data
+
+102
+00:06:01,180 --> 00:06:04,640
+Collection الـ Data Collection أنا بدي أحضر
+
+103
+00:06:04,640 --> 00:06:07,980
+استبانة اللي علاقة بالـ Objective بعد إطلاعي على
+
+104
+00:06:07,980 --> 00:06:12,320
+دراسات سابقة و اللي هتكون من كذا و كذا و كذا من
+
+105
+00:06:12,320 --> 00:06:15,200
+ناصر و من المستشفى الأندونيسي من مستشفى أندورا
+
+106
+00:06:15,200 --> 00:06:18,740
+بنكتب الأشياءمش صارت يكون الكلام هذا كله مكتوب،
+
+107
+00:06:18,740 --> 00:06:22,560
+ممكن هنا تكون بس فقط مستشفى واحد وخلاص، ممكن يكون
+
+108
+00:06:22,560 --> 00:06:26,840
+center واحد في العلاج الطبيعي، okay زي مثلا مستشفى
+
+109
+00:06:26,840 --> 00:06:29,660
+العودة ال ethical consideration أيش الاعتبارات
+
+110
+00:06:29,660 --> 00:06:31,800
+الأخلاقية اللي أنا بدي أخدها؟ ال ethical
+
+111
+00:06:31,800 --> 00:06:35,920
+consideration الصحيح هي بتضمن عنديالأشياء اللي
+
+112
+00:06:35,920 --> 00:06:39,280
+بتكون موجودة من الموافقات اللي أنا بتاخدها وفي
+
+113
+00:06:39,280 --> 00:06:42,880
+الغالب ال ethical consideration بدها تكون موجودة
+
+114
+00:06:42,880 --> 00:06:45,820
+عندنا أن أنا بتاخد موافقة لجنة تليسينكي، بتاخد
+
+115
+00:06:45,820 --> 00:06:49,020
+موافقة القسم، بتاخد موافقة التنمية، موافقة وزارة
+
+116
+00:06:49,020 --> 00:06:52,360
+الصحة، كل هذه الأشياء المكتوبة، فقط ما بدنا إلا أن
+
+117
+00:06:52,360 --> 00:06:56,300
+نغير القسم هنا، هيك النتائج بتكون جاهزةالـ pilot
+
+118
+00:06:56,300 --> 00:06:58,700
+تستطيب و تضال زي ما هي هذا في كل الأبحاث بتكون زي
+
+119
+00:06:58,700 --> 00:07:01,560
+ما هي موجودة انهم بياخدوا عشر استبانات على pilot
+
+120
+00:07:01,560 --> 00:07:04,000
+ال validity ان انا بدأ احكم هذه الاستبانة اللي
+
+121
+00:07:04,000 --> 00:07:07,800
+موجودة بدأ اعرضها على expert في التخصيصات و انا
+
+122
+00:07:07,800 --> 00:07:11,940
+بدأ اشوف هذه البيانات اللي موجودة هل هم بتأكد انها
+
+123
+00:07:11,940 --> 00:07:15,800
+موجودة في ال archive ولا كل الماضي موجودين ولا لأ
+
+124
+00:07:15,800 --> 00:07:20,230
+بنغير هنا بس الأقسام اللي عندنا موجودةبعد ذلك
+
+125
+00:07:20,230 --> 00:07:24,310
+ننتقل على الability هذه نفس الأشياء أن أنا بتوقع
+
+126
+00:07:24,310 --> 00:07:27,770
+أن يكون في عند نسبة خطأ 5% وبنتظلها مكتوبة زي ما
+
+127
+00:07:27,770 --> 00:07:31,170
+هي أنه أنا كل هذه الأشياء بدي أخد عندي الability
+
+128
+00:07:31,170 --> 00:07:34,510
+طب ماهي الفرق بينها أنه هذه معناته validity اللي
+
+129
+00:07:34,510 --> 00:07:38,990
+هي قابلية الاستبانة أن الناس تعبيها وability هذه
+
+130
+00:07:38,990 --> 00:07:41,770
+معناته أنه لو عبتي استبانة أكثر من مرة بتعطي نفسي
+
+131
+00:07:41,770 --> 00:07:45,030
+النتيجة وهذه مسموح فيها في الأحصاء لعند 5%
+
+132
+00:07:45,390 --> 00:07:48,530
+الاختبارات الأحصائية هذا كلنا هنكتب نفس الاختبارات
+
+133
+00:07:48,530 --> 00:07:51,230
+الأحصائية مطلب مننا نكتبها زي ما هي هذا بالذات
+
+134
+00:07:51,230 --> 00:07:56,230
+خاصة بموضوع اللي هو ال proposal وبنلاقيها جاية في
+
+135
+00:07:56,230 --> 00:08:00,350
+كل proposal و أحيانا بنطلع هنا فيها ممكن نشيل منها
+
+136
+00:08:00,350 --> 00:08:04,570
+الصدر الأخير هذا ممكن نشيله لأنه مالوش علاقة بتعلق
+
+137
+00:08:04,570 --> 00:08:07,450
+بالي sensitivity و specificity و ال negative
+
+138
+00:08:07,450 --> 00:08:10,410
+predicted value و ال positive predicted value وهذا
+
+139
+00:08:10,410 --> 00:08:13,770
+بأنصح على كل الطلبة اشهده ولكن لو حد أتعال مختبرات
+
+140
+00:08:13,770 --> 00:08:16,540
+مدجيس عندىالـ sensitivity و specificity لاختبار
+
+141
+00:08:16,540 --> 00:08:20,780
+معين بيبقى موجودة مع تغيير الـ scan اللي بيكون
+
+142
+00:08:20,780 --> 00:08:24,760
+موجود عندنا أو هنا إيش الشغل اللي ممكن هو يشتغل
+
+143
+00:08:24,760 --> 00:08:30,740
+عليها ال limitation of study ال limitation of
+
+144
+00:08:30,740 --> 00:08:33,460
+study إن إيش المحددات أو إيش الأشياء اللي ممكن
+
+145
+00:08:33,460 --> 00:08:37,950
+عندنا تأثر على الدراسة أو تمنع الدراسةزي أنه مافيش
+
+146
+00:08:37,950 --> 00:08:41,430
+ناس تعبي الاستبانة، مافيش وجهة محددة لنا نقرأه على
+
+147
+00:08:41,430 --> 00:08:45,230
+المكان، الموضوع الحين في عنا أزمة كورونا مش قادرين
+
+148
+00:08:45,230 --> 00:08:48,370
+نطلع مني بيوت، كل هذه الشغلات اللي بنكتبلها، واحد
+
+149
+00:08:48,370 --> 00:08:51,410
+أو اتنين، تلاتة بالكتير، بكفي في limitation of
+
+150
+00:08:51,410 --> 00:08:54,130
+stability، اول واحد مكتوب كلنا بنكتبه، بنضيف كمان
+
+151
+00:08:54,130 --> 00:08:57,610
+واحد إنه احنا مثلا مش قادرين فزي الظروف، صعوبة
+
+152
+00:08:57,610 --> 00:09:01,110
+المواصلات، ال patient مش سهل وصوله لهم، فكل هذه
+
+153
+00:09:01,110 --> 00:09:05,240
+الشغلاتهكذا نكون خلصنا و يبقى علينا ان نضيف الخطة
+
+154
+00:09:05,240 --> 00:09:08,340
+البحثية فهذه الخطة البحثية في كل الأبحاث هي جاهزة
+
+155
+00:09:08,340 --> 00:09:12,220
+و هتبقى موجودة مع كل طالب نفسها هي هي خليها
+
+156
+00:09:12,220 --> 00:09:15,140
+مايغيرش فيها ولا حاجة بنجي على ال budget ال budget
+
+157
+00:09:15,140 --> 00:09:18,420
+بس بيغير فيها مكتوبة كل الأشياء الأساسية بس اذا
+
+158
+00:09:18,420 --> 00:09:22,200
+انا في مختبرات بدي اعمل على سبيل المثال انه بدي
+
+159
+00:09:22,200 --> 00:09:27,220
+اعمل بعض الفحصار بدي اكتب هنا الكتات و اروح هنا
+
+160
+00:09:27,220 --> 00:09:29,940
+اضيف مثلا لو كنت تريد ان تضيف كمان خانة اضيف كمان
+
+161
+00:09:29,940 --> 00:09:33,460
+خانةولو بنضيف كمان خناق بنقول و insert و insert من
+
+162
+00:09:33,460 --> 00:09:37,160
+هو بنضيف هنا كمان خناق بقول هنا رقم ستة بتشتغل
+
+163
+00:09:37,160 --> 00:09:41,640
+كتات حق الكت كذا و قداش ع كام كرتونة بدي بدي أجيب
+
+164
+00:09:41,640 --> 00:09:44,100
+culture و بكتب culture بدي أجيب مثلا antibiotic
+
+165
+00:09:44,100 --> 00:09:47,340
+بكتب antibiotic بديش أجيب ولا حاجة خلاص هدول
+
+166
+00:09:47,340 --> 00:09:51,760
+delete فبتظلها نفسها هي هي فما أتغلبوا حالكوا فيا
+
+167
+00:09:51,760 --> 00:09:55,200
+هي الأمور تمام هيك بتكون يعني احنا خلصنا بس أخر
+
+168
+00:09:55,200 --> 00:09:58,540
+حاجة أن أنا بدي أكتب الطلب تبع لجنة Telsinki بكتب
+
+169
+00:09:58,540 --> 00:10:01,510
+عنوان البحث هنابكتب إيش القسم اللي موجود و إيش
+
+170
+00:10:01,510 --> 00:10:04,870
+التقاط اللي موجود و بكتب أسماء الطلبات مرتبات
+
+171
+00:10:04,870 --> 00:10:08,470
+أبتدي أو الطلاب مرتبين أبتدي إيه بيكون chapter 3
+
+172
+00:10:08,470 --> 00:10:11,530
+خلص بكل سهولة و بعدين بيجي مباشرة chapter
+
+173
+00:10:11,530 --> 00:10:15,930
+reference كيك بيكون خلصناها chapter 3 و بارك الله
+
+174
+00:10:15,930 --> 00:10:18,670
+فيكوا و بنتمناكوا التوفيق و ان شاء الله يكون
+
+175
+00:10:18,670 --> 00:10:22,370
+الأمور بالنسبالكوا سهلة و مسهلة و السلام عليكم و
+
+176
+00:10:22,370 --> 00:10:23,430
+رحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/th5yujlFfqw_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/th5yujlFfqw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..16b7ab15a097ffdb0a29ed6fc785aaa12cee3401
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/th5yujlFfqw_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3179, "start": 2.73, "end": 31.79, "text": "بسم الله الرحمن الرحيم أعزائي الطلاب خلال هذا اللقاء سيتم الحديث عن chapter 5 متعلق بال discussion مناقشة نتائج البحث و chapter 6 المتعلق بال conclusions and recommendations الاستنتاجات والتوصيات وبعدين نتكلم على تلخيص عام لكل المصادق اللي قمنا في دراسته", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 5551, 3615, 11622, 16373, 1829, 41950, 15040, 3555, 16490, 1211, 6027, 23758, 13672, 4587, 16606, 8608, 36081, 2304, 21542, 16254, 12984, 18871, 7187, 1025, 44650, 30241, 4587, 20666, 5017, 3714, 8315, 4587, 8592, 3660, 8717, 2655, 16373, 7435, 29739, 5016, 12984, 4032, 7187, 1386, 9673, 2655, 30241, 4587, 20666, 22865, 293, 10434, 42963, 14851, 29399, 26108, 9307, 16070, 2655, 2407, 9381, 1829, 9307, 46599, 22488, 9957, 8717, 2655, 4117, 19528, 15844, 6055, 1211, 9778, 1829, 9381, 6225, 10943, 5296, 28820, 9673, 9381, 18513, 4587, 13672, 1829, 12174, 2304, 8315, 8978, 11778, 23557, 14851, 3224], "avg_logprob": -0.10524339185884365, "compression_ratio": 1.6586345381526104, "no_speech_prob": 0.00012946128845214844, "words": [{"start": 2.73, "end": 3.01, "word": "بسم", "probability": 0.920166015625}, {"start": 3.01, "end": 3.23, "word": " الله", "probability": 0.95263671875}, {"start": 3.23, "end": 3.59, "word": " الرحمن", "probability": 0.9303385416666666}, {"start": 3.59, "end": 4.07, "word": " الرحيم", "probability": 0.9923502604166666}, {"start": 4.07, "end": 5.85, "word": " أعزائي", "probability": 0.796435546875}, {"start": 5.85, "end": 6.45, "word": " الطلاب", "probability": 0.9749348958333334}, {"start": 6.45, "end": 7.51, "word": " خلال", "probability": 0.9733072916666666}, {"start": 7.51, "end": 7.81, "word": " هذا", "probability": 0.9482421875}, {"start": 7.81, "end": 8.37, "word": " اللقاء", "probability": 0.9930013020833334}, {"start": 8.37, "end": 10.13, "word": " سيتم", "probability": 0.98193359375}, {"start": 10.13, "end": 10.59, "word": " الحديث", 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"probability": 0.736083984375}, {"start": 1481.53, "end": 1481.87, "word": " عملت", "probability": 0.98046875}, {"start": 1481.87, "end": 1482.35, "word": " control", "probability": 0.873046875}, {"start": 1482.35, "end": 1482.61, "word": " أو", "probability": 0.765625}, {"start": 1482.61, "end": 1483.13, "word": " matching", "probability": 0.9287109375}, {"start": 1483.13, "end": 1483.57, "word": " اللي", "probability": 0.933349609375}, {"start": 1483.57, "end": 1483.87, "word": " هو", "probability": 0.93408203125}, {"start": 1483.87, "end": 1484.25, "word": " قلنا", "probability": 0.7060546875}, {"start": 1484.25, "end": 1484.63, "word": " بتكون", "probability": 0.942138671875}, {"start": 1484.63, "end": 1484.99, "word": " عبارة", "probability": 0.9915771484375}, {"start": 1484.99, "end": 1485.15, "word": " عن", "probability": 0.99462890625}, {"start": 1485.15, "end": 1485.51, "word": " control", "probability": 0.86962890625}, {"start": 1485.51, "end": 1486.05, "word": " variable", "probability": 0.9541015625}, {"start": 1486.05, "end": 1486.39, "word": " أو", "probability": 0.9072265625}, {"start": 1486.39, "end": 1486.67, "word": " عملت", "probability": 0.9886067708333334}, {"start": 1486.67, "end": 1487.15, "word": " matching", "probability": 0.9140625}], "temperature": 1.0}, {"id": 53, "seek": 149650, "start": 1487.78, "end": 1496.5, "text": "بوضحها كمان في البحث موضوع الـ Confounder مابكون مش مكتوب لأنه لو انا اكتشفته بدي اعمله control و احاوله control variable", "tokens": [3555, 2407, 11242, 5016, 11296, 9122, 2304, 7649, 8978, 29739, 5016, 12984, 3714, 2407, 11242, 45367, 2423, 39184, 11701, 554, 260, 3714, 16758, 30544, 37893, 3714, 4117, 2655, 37746, 5296, 33456, 3224, 45164, 1975, 8315, 1975, 4117, 2655, 8592, 5172, 47395, 4724, 16254, 1975, 25957, 43761, 1969, 4032, 1975, 5016, 995, 12610, 3224, 1969, 7006], "avg_logprob": -0.280412957072258, "compression_ratio": 1.3013698630136987, "no_speech_prob": 3.30805778503418e-05, "words": [{"start": 1487.78, 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population هي ال population كيف كانت معانا في كل مجموعة بنحاول نشكل ما بين ال table و ال graph في الرسومات اللي موجودة بأشكال واضحة ونحاول قدر الإمكان نكتب كيف طلعت كل واحد فيهم على شكل جداول إذا كان مجموعات وإذا كان أشياء بسيطة نخليها graph ونشكل بينهم", "tokens": [3555, 4117, 2655, 3555, 36632, 6156, 5016, 2407, 9381, 9307, 12174, 2304, 2655, 4724, 25957, 1211, 11296, 4032, 2304, 11242, 1211, 8315, 8717, 4117, 2655, 3555, 2423, 24850, 28242, 11296, 11933, 1829, 8592, 13672, 1829, 1975, 5016, 8315, 6225, 42213, 8315, 11296, 20666, 19913, 3555, 9566, 39182, 9957, 4724, 32887, 5016, 8717, 4117, 2655, 3555, 10874, 11622, 19986, 10632, 3542, 39896, 3542, 11933, 1829, 8592, 23032, 1211, 34268, 20449, 7649, 995, 44945, 4117, 2655, 3555, 4032, 9381, 5172, 24976, 4415, 39896, 2423, 4415, 9122, 33911, 25961, 2655, 20449, 7649, 995, 8978, 28242, 3714, 7435, 2304, 2407, 27884, 44945, 5016, 995, 12610, 8717, 8592, 28820, 19446, 49374, 2423, 3199, 4032, 2423, 4295, 8978, 34892, 3794, 20498, 9307, 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"end": 1669.5, "word": " وتطوير", "probability": 0.9053955078125}, {"start": 1669.5, "end": 1670.18, "word": " المجال", "probability": 0.99365234375}, {"start": 1670.18, "end": 1670.78, "word": " الصحي", "probability": 0.9871419270833334}], "temperature": 1.0}, {"id": 60, "seek": 169935, "start": 1671.03, "end": 1699.35, "text": "في النهاية بأشكر الجامعة الإسلامية و أخص منهم كلية علم الصحية أنهي أدتنا الفرصة أن ندرس طلبة متميزين أمثلكم و كذلك بأشكركم طلابي الأعزاء و زملائي في وزارة الصحة و أؤكد أنكم من أفضل المجموعات الطلابية اللي قمت بتدريسهم هذا المساق لقد وجدت منكم التزاما لا محدود", "tokens": [41185, 28239, 11296, 10632, 4724, 10721, 8592, 37983, 25724, 10943, 27884, 33688, 3794, 37440, 10632, 4032, 5551, 9778, 9381, 9154, 16095, 28242, 10632, 11203, 2304, 31767, 5016, 10632, 14739, 3224, 1829, 5551, 3215, 2655, 8315, 27188, 2288, 9381, 3660, 14739, 8717, 3215, 2288, 3794, 23032, 46152, 3660, 44650, 2304, 1829, 11622, 9957, 5551, 2304, 12984, 23275, 2304, 4032, 9122, 8848, 23275, 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1672.83, "word": " الإسلامية", "probability": 0.9791259765625}, {"start": 1672.83, "end": 1673.31, "word": " و", "probability": 0.662109375}, {"start": 1673.31, "end": 1673.65, "word": " أخص", "probability": 0.822265625}, {"start": 1673.65, "end": 1673.95, "word": " منهم", "probability": 0.9912109375}, {"start": 1673.95, "end": 1674.27, "word": " كلية", "probability": 0.6522216796875}, {"start": 1674.27, "end": 1674.53, "word": " علم", "probability": 0.72998046875}, {"start": 1674.53, "end": 1675.11, "word": " الصحية", "probability": 0.9744466145833334}, {"start": 1675.11, "end": 1675.99, "word": " أنهي", "probability": 0.6217447916666666}, {"start": 1675.99, "end": 1676.41, "word": " أدتنا", "probability": 0.936767578125}, {"start": 1676.41, "end": 1676.97, "word": " الفرصة", "probability": 0.9893798828125}, {"start": 1676.97, "end": 1677.19, "word": " أن", "probability": 0.69775390625}, {"start": 1677.19, "end": 1677.67, "word": " ندرس", "probability": 0.966796875}, {"start": 1677.67, "end": 1678.35, "word": " طلبة", "probability": 0.9552408854166666}, {"start": 1678.35, "end": 1679.57, "word": " متميزين", "probability": 0.960546875}, {"start": 1679.57, "end": 1680.35, "word": " أمثلكم", "probability": 0.88525390625}, {"start": 1680.35, "end": 1680.93, "word": " و", "probability": 0.93017578125}, {"start": 1680.93, "end": 1681.35, "word": " كذلك", "probability": 0.93408203125}, {"start": 1681.35, "end": 1682.13, "word": " بأشكركم", "probability": 0.95068359375}, {"start": 1682.13, "end": 1682.81, "word": " طلابي", "probability": 0.9581705729166666}, {"start": 1682.81, "end": 1683.63, "word": " الأعزاء", "probability": 0.9715576171875}, {"start": 1683.63, "end": 1684.47, "word": " و", "probability": 0.99658203125}, {"start": 1684.47, "end": 1685.33, "word": " زملائي", "probability": 0.859619140625}, {"start": 1685.33, "end": 1685.59, "word": " في", "probability": 0.97314453125}, {"start": 1685.59, "end": 1686.05, "word": " وزارة", "probability": 0.9949951171875}, {"start": 1686.05, "end": 1687.01, "word": " الصحة", "probability": 0.98193359375}, {"start": 1687.01, "end": 1687.27, "word": " و", "probability": 0.468017578125}, {"start": 1687.27, "end": 1687.89, "word": " أؤكد", "probability": 0.906005859375}, {"start": 1687.89, "end": 1688.65, "word": " أنكم", "probability": 0.9580078125}, {"start": 1688.65, "end": 1689.09, "word": " من", "probability": 0.99658203125}, {"start": 1689.09, "end": 1689.61, "word": " أفضل", "probability": 0.9903564453125}, {"start": 1689.61, "end": 1690.71, "word": " المجموعات", "probability": 0.9869140625}, {"start": 1690.71, "end": 1691.99, "word": " الطلابية", "probability": 0.97265625}, {"start": 1691.99, "end": 1692.95, "word": " اللي", "probability": 0.5361328125}, {"start": 1692.95, "end": 1693.41, "word": " قمت", "probability": 0.8629557291666666}, {"start": 1693.41, "end": 1694.31, "word": " بتدريسهم", "probability": 0.9755859375}, {"start": 1694.31, "end": 1694.73, "word": " هذا", 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1211, 2655, 20449, 16095, 25961, 14407, 15844, 11778, 47341, 3660, 6225, 6027, 10632, 9154, 9673, 3794, 19986, 12610, 10632, 36725, 9778, 15040, 4587, 6225, 6027, 10632, 4032, 6027, 2655, 11622, 10943, 20193, 3714, 24401, 23328, 5296, 24793, 9154, 1829, 16490, 6027, 9381, 32748, 3615, 16606, 47525, 2407, 10943, 16712, 38688, 1829, 4587, 16070, 3794, 3215, 18513, 4032, 2304, 5172, 13063, 31767, 5016, 3660, 16070, 3615, 31845, 10632, 5551, 8592, 37983, 24793, 10874, 2304, 40228, 995, 16070, 3794, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.08145111179587865, "compression_ratio": 1.865, "no_speech_prob": 0.0009031295776367188, "words": [{"start": 1700.05, "end": 1700.67, "word": "وجميع", "probability": 0.7642415364583334}, {"start": 1700.67, "end": 1701.35, "word": " الطلاب", "probability": 0.974609375}, {"start": 1701.35, "end": 1701.87, "word": " من", "probability": 0.89208984375}, {"start": 1701.87, "end": 1702.15, "word": " 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"word": " لا", "probability": 0.5380859375}, {"start": 1710.19, "end": 1710.73, "word": " محدود", "probability": 0.94970703125}, {"start": 1710.73, "end": 1711.49, "word": " لكم", "probability": 0.899658203125}, {"start": 1711.49, "end": 1711.79, "word": " مني", "probability": 0.93896484375}, {"start": 1711.79, "end": 1712.19, "word": " خالص", "probability": 0.99609375}, {"start": 1712.19, "end": 1712.73, "word": " الدعاء", "probability": 0.9337565104166666}, {"start": 1712.73, "end": 1713.43, "word": " بدوام", "probability": 0.7976888020833334}, {"start": 1713.43, "end": 1714.03, "word": " التوفيق", "probability": 0.979248046875}, {"start": 1714.03, "end": 1714.79, "word": " والسداد", "probability": 0.883056640625}, {"start": 1714.79, "end": 1716.07, "word": " ومفور", "probability": 0.921875}, {"start": 1716.07, "end": 1716.75, "word": " الصحة", "probability": 0.9685872395833334}, {"start": 1716.75, "end": 1717.53, "word": " والعافية", "probability": 0.8980712890625}, {"start": 1717.53, "end": 1718.37, "word": " أشكركم", "probability": 0.8538818359375}, {"start": 1718.37, "end": 1719.23, "word": " جميعا", "probability": 0.9461669921875}, {"start": 1719.23, "end": 1720.17, "word": " والسلام", "probability": 0.8766276041666666}, {"start": 1720.17, "end": 1720.83, "word": " عليكم", "probability": 0.96875}, {"start": 1720.83, "end": 1721.53, "word": " ورحمة", "probability": 0.9869384765625}, {"start": 1721.53, "end": 1721.87, "word": " الله", "probability": 0.97119140625}, {"start": 1721.87, "end": 1722.89, "word": " وبركاته", "probability": 0.9830078125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1724.3835, "duration_after_vad": 1682.2849999999983}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/v7WMhZlpb0E_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/v7WMhZlpb0E_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d5060b56f7e86958275bc513bbc121d3aa0940bf
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/v7WMhZlpb0E_postprocess.srt
@@ -0,0 +1,2088 @@
+1
+00:00:04,050 --> 00:00:08,970
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:08,970 --> 00:00:16,010
+الله وعلى آله وصحبه ومن اهتدى بهدى زملائنا الأعزاء
+
+3
+00:00:16,010 --> 00:00:24,150
+طلابنا الكرام السلام عليكم ورحمة الله وبركاته في
+
+4
+00:00:24,150 --> 00:00:29,730
+هذا اللقاء ان شاء الله سوف نستكمل الحديث في جزئية
+
+5
+00:00:29,730 --> 00:00:35,600
+الأحصاء الحيوي الـ Biostatisticsوسيتم الحديث عن
+
+6
+00:00:35,600 --> 00:00:43,080
+الإختبارات الأحصائية وكيفية اختيارها الإختبارات
+
+7
+00:00:43,080 --> 00:00:48,140
+الأحصائية بشكل عام مقسمة إلى قسمين قسم الأول
+
+8
+00:00:48,140 --> 00:00:55,220
+بنسميه الـ Parametric Test وهو يستخدم لمقياس
+
+9
+00:00:55,220 --> 00:01:00,240
+العلاقة بين المتغيرات لما تكون تتبع التوزيع
+
+10
+00:01:00,240 --> 00:01:05,540
+الطبيعيوفي عنا جزء تاني بنسميه non-parametric test
+
+11
+00:01:05,540 --> 00:01:09,780
+يستخدم لما بتكون ال data non-normal distribution
+
+12
+00:01:09,780 --> 00:01:14,120
+أو not normal distribution واتكلمنا في اللقاء
+
+13
+00:01:14,120 --> 00:01:18,920
+السابق على ال normality of data واتكلمنا إن ال
+
+14
+00:01:18,920 --> 00:01:22,720
+number لا يعني شيء إلا إذا عرفنا ال environment أو
+
+15
+00:01:22,720 --> 00:01:28,360
+ال situation اللي فيها الرقم كان وقلنا أهم حاجة هي
+
+16
+00:01:28,360 --> 00:01:35,590
+إنه أنا أقدر كباحثأحول الـ data لـ information بعد
+
+17
+00:01:35,590 --> 00:01:40,610
+ما أعمل تلخيص لل data وبعدين
+
+18
+00:01:40,610 --> 00:01:44,810
+أقدر أكتب عليها recommendation بهدف أني أاخد عليها
+
+19
+00:01:44,810 --> 00:01:49,630
+action واتكلمنا بالتفاصيل في هذا المجال وقلنا في
+
+20
+00:01:49,630 --> 00:01:53,010
+عندنا لوصف البيانات ال qualitative في عندنا ال
+
+21
+00:01:53,010 --> 00:01:55,930
+percentage و ال ratio وقلنا أنه في عندنا ال
+
+22
+00:01:55,930 --> 00:01:59,530
+quantitative ممكن نجيسها بال central tendency و ال
+
+23
+00:01:59,530 --> 00:02:02,670
+dispersionوقلنا إن الـ Central Tendency أو الـ
+
+24
+00:02:02,670 --> 00:02:06,710
+Central Location هي أربعة أنواع موجودة عندنا اللي
+
+25
+00:02:06,710 --> 00:02:10,290
+هي الـ Mean والـ Median والـ Mode والـ Mid-Range
+
+26
+00:02:10,290 --> 00:02:14,610
+ولكل واحدة مقابل إلها بيكون في Dispersion الـ Mean
+
+27
+00:02:14,610 --> 00:02:17,850
+بتاخد الـ Standard والـ Median بتاخد الـ Quartile
+
+28
+00:02:17,850 --> 00:02:23,470
+أو 25% tile لـ 75% tile والـ Mid-Range بتاخد الـ
+
+29
+00:02:23,470 --> 00:02:26,790
+Range والـ Mode بتاخد الـ Minimum والـ Maximum
+
+30
+00:02:27,500 --> 00:02:31,440
+سيكون إن شاء الله في هذا اللقاء الحديث على موضوع
+
+31
+00:02:31,440 --> 00:02:35,220
+الـ Parametric Test قبل ما نفهم موضوع الـ
+
+32
+00:02:35,220 --> 00:02:38,220
+Parametric Test وليش احنا بنستخدمه وكيف احنا
+
+33
+00:02:38,220 --> 00:02:43,580
+بنستخدمه بنرجع لجزئية الـ Objective of Study يبقى
+
+34
+00:02:43,580 --> 00:02:47,560
+قبل ما احدد نوع الاختبار اللي انا بدي اختاره بدي
+
+35
+00:02:47,560 --> 00:02:53,440
+اشوف البحث الخاص بالدراسة ونذكر دائما قاعدة ان الـ
+
+36
+00:02:53,440 --> 00:02:59,450
+Statistical Test هيلقياس علاقة بين متغيرين أنا في
+
+37
+00:02:59,450 --> 00:03:03,650
+عنده متغير X ومتغير Y وبدأ أشوف هل بينهم relation
+
+38
+00:03:03,650 --> 00:03:08,450
+و لا فيش بينهم relation و هل ال relation وصلت ل
+
+39
+00:03:08,450 --> 00:03:14,350
+statistically significant ولا لأ أول خطوة لتحديد
+
+40
+00:03:14,350 --> 00:03:19,790
+الاختبار الأحصائي هي الرجوع إلى الأهداف الخاصة
+
+41
+00:03:19,790 --> 00:03:30,020
+بالبحث ناخد مثالحي عنا بحث الباحث بده يقيص الـ
+
+42
+00:03:30,020 --> 00:03:33,880
+Vitamin D level in gestational diabetic patients
+
+43
+00:03:33,880 --> 00:03:38,620
+from Gaza strip بده يشوف مستوى Vitamin D عند
+
+44
+00:03:38,620 --> 00:03:45,780
+النساء المصابات بسكر الحمل في قطاع غزة وبعد الباحث
+
+45
+00:03:45,780 --> 00:03:48,960
+ما كتب له proposal وال objective الخاصة بالدراسة
+
+46
+00:03:48,960 --> 00:03:52,540
+بده يختار إيش أهم الإختبارات الأحصائية اللي بده
+
+47
+00:03:52,540 --> 00:03:57,040
+يعملها في البحثأول خطوة بده يقوم فيها الباحث بده
+
+48
+00:03:57,040 --> 00:04:00,940
+يشوف إيش الـ objective اللي موجود بنلاحظ إنه
+
+49
+00:04:00,940 --> 00:04:05,580
+الـGeneral objective اللي موجود كان نفس الـtitle
+
+50
+00:04:05,580 --> 00:04:08,960
+اللي موجود بس هو ضعف عليه to investigate the
+
+51
+00:04:08,960 --> 00:04:13,080
+relation between vitamin D level and gestational
+
+52
+00:04:13,080 --> 00:04:18,300
+diabetes mellitus in the women from Gaza strip هذا
+
+53
+00:04:18,300 --> 00:04:22,170
+الـGeneral objective الأولنشوف إيش كاتب الـ
+
+54
+00:04:22,170 --> 00:04:26,690
+Specific Objective بده يشوف الـ Serum Vitamin D in
+
+55
+00:04:26,690 --> 00:04:33,150
+Gestational Diabetic Woman and Control يبقى في
+
+56
+00:04:33,150 --> 00:04:39,410
+عندنا متغير هذا اسمه نوع الـ Serum و الـ Vitamin D
+
+57
+00:04:39,410 --> 00:04:47,350
+فنذكر دائما لاختيار الإختبار الإحصائي المحدد اللي
+
+58
+00:04:47,350 --> 00:04:52,080
+احنا هنتكلم عليهإنه أنا في كل objective بتكون في
+
+59
+00:04:52,080 --> 00:04:55,680
+عندي علاقة ما بين المتغيرين وأنا بدأ أختار إيش
+
+60
+00:04:55,680 --> 00:05:00,700
+الاختبار الأحصائي اللي بدأ أقوم فيه هنا في عندنا
+
+61
+00:05:00,700 --> 00:05:04,220
+ال cases والcontrol كvariable وفي عندنا vitamin D
+
+62
+00:05:04,220 --> 00:05:09,340
+كvariable تاني هنا نفس الحاجة عندنا type of sample
+
+63
+00:05:09,340 --> 00:05:13,720
+سواء كانت case أو control كvariable والهمoglobin
+
+64
+00:05:13,720 --> 00:05:19,700
+A1C كvariable عندنا الtype of sampleكـ Variable
+
+65
+00:05:19,700 --> 00:05:25,300
+Case و Control وجه الكوز كـ Variable عندنا كمان
+
+66
+00:05:25,300 --> 00:05:29,100
+الـ type of sample ك Case و ك Control موجودة
+
+67
+00:05:29,100 --> 00:05:33,820
+والأنسلين ك Variable كل واحدة فيها دول بلزمها
+
+68
+00:05:33,820 --> 00:05:38,100
+اختبار احصائي انقوم فيها قد يكونوا كلهم نفس
+
+69
+00:05:38,100 --> 00:05:43,550
+الاختبار الاحصائي وقد يتغير الاختبار الاحصائيوفقًا
+
+70
+00:05:43,550 --> 00:05:48,030
+لنوع الـ Variable سواء كان Equalitative Variable
+
+71
+00:05:48,030 --> 00:05:52,070
+اللي هو Categorical Variable أو Grouping Variable
+
+72
+00:05:52,070 --> 00:05:56,050
+أو Quantitative Variable اللي هو Numerical
+
+73
+00:05:56,050 --> 00:06:01,150
+Variable إله Unit، Number وإله Unit سواء كان
+
+74
+00:06:01,150 --> 00:06:06,260
+Continuous أو Discreteبالظهر أن هنا كمان في عندنا
+
+75
+00:06:06,260 --> 00:06:09,880
+الـ Liberty Profile كـ Variable وفي عندنا الـ Type
+
+76
+00:06:09,880 --> 00:06:12,780
+of Sample سواء كانت ك Case أو Control ك Variable
+
+77
+00:06:12,780 --> 00:06:16,200
+يبقى بالظهر أنه في الـ Objective اللي موجودة كلها
+
+78
+00:06:16,200 --> 00:06:21,720
+بتجيس علاقة ما بين متغيرين موجودين وبلزمني أتعرف
+
+79
+00:06:21,720 --> 00:06:26,140
+على اختبار إحصائي إيش هو الإختبار الإحصائي اللي
+
+80
+00:06:26,140 --> 00:06:32,260
+أنا بدي أستخدمه هنا في عندنا Vitamin D والـ
+
+81
+00:06:32,260 --> 00:06:37,360
+Gestational Diabetes اللي موجود سواء كان عندنا في
+
+82
+00:06:37,360 --> 00:06:41,560
+الناس اللي موجود عندهم Vitamin D Normal و لا High
+
+83
+00:06:41,560 --> 00:06:47,960
+و لا Low يبقى الـ Vitamin D Status High و Normal و
+
+84
+00:06:47,960 --> 00:06:53,400
+Low و الـ Variable التاني اللي هو الـ Cases اللي
+
+85
+00:06:53,400 --> 00:07:01,370
+هم Gestational Diabetes حتى نقدر كباحثينفي أبحاثنا
+
+86
+00:07:01,370 --> 00:07:07,590
+اللي بدنا نقوم فيها نحدد أي اختبار إحصائي ممكن
+
+87
+00:07:07,590 --> 00:07:14,070
+نعمله حتى يتم الكشف عن فروقات موجودة ما بين
+
+88
+00:07:14,070 --> 00:07:18,210
+variable والتاني أو relation موجودة أو association
+
+89
+00:07:18,210 --> 00:07:22,610
+موجود أو correlation موجود لازم نكون مركزين في
+
+90
+00:07:22,610 --> 00:07:27,630
+محاضرة اليوم حتى نتعرف على هذه الاختبارات بأنواعها
+
+91
+00:07:27,630 --> 00:07:28,530
+وبتفاصيلها
+
+92
+00:07:31,340 --> 00:07:36,300
+بشكل عام الإختبارات الإحصائية اللي بنجوم فيها
+
+93
+00:07:36,300 --> 00:07:43,540
+تتلخص في الجدول اللي أمامنا كله ولو أحنا حفظناه لا
+
+94
+00:07:43,540 --> 00:07:48,960
+يمكن يصعب علينا بعد ذلك أن نتصعب في تحقيق أي
+
+95
+00:07:48,960 --> 00:07:54,420
+objective كان عندنا موجود يبقى أقولنا قبل شوية إذا
+
+96
+00:07:54,420 --> 00:07:58,700
+كان عندناObjective of study والـ Objective of
+
+97
+00:07:58,700 --> 00:08:02,220
+study بالدقيقة relation between two variables بدنا
+
+98
+00:08:02,220 --> 00:08:06,460
+أول حاجة نتعرف على أنواع هذه الـ variable هل هو
+
+99
+00:08:06,460 --> 00:08:13,300
+variable qualitative ولا variable quantitative الـ
+
+100
+00:08:13,300 --> 00:08:17,300
+qualitative وصفي مالوش ونتو اتكلمنا عنه إذا كان
+
+101
+00:08:17,300 --> 00:08:22,250
+عندنا الـ variable الأول qualitativeوالتاني
+
+102
+00:08:22,250 --> 00:08:26,870
+qualitative الاختبار الأحصائي اللي بدى يستخدم في
+
+103
+00:08:26,870 --> 00:08:34,250
+هذه الحالة هو اسمه chi-square وإذا
+
+104
+00:08:34,250 --> 00:08:40,190
+كان ال variable الأول quantitative number والتاني
+
+105
+00:08:40,190 --> 00:08:45,170
+quantitative بدى يتم اختيار اختبار اسمه
+
+106
+00:08:45,170 --> 00:08:51,540
+correlation ناخد مثالإذا أنا عندي علاقة ما بين الـ
+
+107
+00:08:51,540 --> 00:08:55,760
+case و الـ control هذا اسمه type of sample case و
+
+108
+00:08:55,760 --> 00:08:59,440
+control هدولة qualitative ما هم مش unit اسمه case
+
+109
+00:08:59,440 --> 00:09:04,660
+و control بدي أجيزهم هدولة مع ال education level
+
+110
+00:09:04,660 --> 00:09:09,220
+مع مستوى التعليم ومستوى التعليم هل هو primary
+
+111
+00:09:09,220 --> 00:09:14,600
+school و لا secondary school و لا universityالـ
+
+112
+00:09:14,600 --> 00:09:17,640
+two variables هدول هما عبارة عن qualitative
+
+113
+00:09:17,640 --> 00:09:21,280
+variable فبالتالي بروح أستخدم اختبار اسمه
+
+114
+00:09:21,280 --> 00:09:28,620
+casequire المثال التاني أنا بدي أجيس العلاقة ما
+
+115
+00:09:28,620 --> 00:09:32,120
+بين variable quantitative والvariable التاني
+
+116
+00:09:32,120 --> 00:09:39,260
+quantitative زي الـ vitamin D whole unit رقمي سواء
+
+117
+00:09:39,260 --> 00:09:44,740
+كان بالنانو جرام لكل ملي لترأو كان بالبيكو جرام
+
+118
+00:09:44,740 --> 00:09:47,380
+لكل لتر أي أن كانت الـ unit بتاعته في ال unit في
+
+119
+00:09:47,380 --> 00:09:52,180
+الآخر وال variable التاني اللي بتضربته فيه على
+
+120
+00:09:52,180 --> 00:09:59,560
+سبيل المثال اللي هو الجليكوز الجليكوز كمان ال unit
+
+121
+00:09:59,560 --> 00:10:02,360
+من اللي جرام لكل DC لتر فصار عندنا ال variable
+
+122
+00:10:02,360 --> 00:10:07,260
+الأول quantitative والvariable التاني quantitative
+
+123
+00:10:07,260 --> 00:10:10,300
+هنا اسمه الاختبار ال correlation اللي انا بدي
+
+124
+00:10:10,300 --> 00:10:12,000
+اعمله في الاحصاء
+
+125
+00:10:15,900 --> 00:10:19,420
+السيناريو التالت، أنا عندي variable qualitative و
+
+126
+00:10:19,420 --> 00:10:23,560
+variable quantitative يعني ال case و ال control ك
+
+127
+00:10:23,560 --> 00:10:27,380
+qualitative، بدي أجيب السماعة ال vitamin D ك
+
+128
+00:10:27,380 --> 00:10:32,330
+quantitativeالـ variable لما بيكون qualitative
+
+129
+00:10:32,330 --> 00:10:36,710
+بيهمنا موجوهته الـ variable اللي موجود أكم جروب
+
+130
+00:10:36,710 --> 00:10:40,210
+موجود وقلنا في type of sample في عندنا case of
+
+131
+00:10:40,210 --> 00:10:46,150
+control يبقى two group بستخدم T ونذكر من اتنين two
+
+132
+00:10:46,150 --> 00:10:52,110
+هو T ولمّا يكون اكثر من اتنينأنا بدأ أشوف الـ
+
+133
+00:10:52,110 --> 00:10:55,510
+Vitamin D كـ Quantitative أن علاقته بالـ Education
+
+134
+00:10:55,510 --> 00:10:59,410
+Level كـ Qualitative الـ Education Level جواته
+
+135
+00:10:59,410 --> 00:11:04,910
+مجسم لأربع مجموعات فهنا بيسموه الاختبار اسمه F
+
+136
+00:11:04,910 --> 00:11:09,730
+-Test أو Anova Test آخر حاجة لما بيكون عندي
+
+137
+00:11:09,730 --> 00:11:13,970
+Variable وبدأ اتنبأ فيه من Variable تاني والـ
+
+138
+00:11:13,970 --> 00:11:16,630
+Variable اللي أمامي سواء كان qualitative ولا
+
+139
+00:11:16,630 --> 00:11:21,850
+quantitative بدأ اتنبأ فيه من Variableلما بكون
+
+140
+00:11:21,850 --> 00:11:26,410
+عندنا يوريه عالي كـ Quantitative بتنبأ ان
+
+141
+00:11:26,410 --> 00:11:29,890
+الكرياتينين يكون عندى عالى هذا الاختبار اسمه ال
+
+142
+00:11:29,890 --> 00:11:33,650
+regression أنا فيه عند ال variable و بتروح اتنبأ و
+
+143
+00:11:33,650 --> 00:11:39,910
+اعرف ايش ال variable اللى موجود عندنا ناخد مثال من
+
+144
+00:11:39,910 --> 00:11:44,330
+نفس البحث اللى جابته شوية اطلعنا عليه هي أمامنا ان
+
+145
+00:11:44,330 --> 00:11:48,050
+الباحث بدأ يكتب في chapter 4 كتب ان هو عنده 45
+
+146
+00:11:48,050 --> 00:11:53,750
+cases و 45 controlوبدأ يعلّق ويحلل في نتائج
+
+147
+00:11:53,750 --> 00:11:58,070
+الأحصاء اللي موجودة في الـ data بتاعته هو بعد ما
+
+148
+00:11:58,070 --> 00:12:04,250
+جمع 45 cases و 45 controls بدأ يعمل تحليل للبيانات
+
+149
+00:12:04,250 --> 00:12:09,070
+ويختار اختبارات أحصائية موجودة لما الباحث أجهين
+
+150
+00:12:09,070 --> 00:12:13,970
+الـ type of sample زي ما أحنا شايفين ال case و ال
+
+151
+00:12:13,970 --> 00:12:19,930
+control هذا ك variable بنسميه نوع العينةلما أجي
+
+152
+00:12:19,930 --> 00:12:25,590
+أربطها بـ Variable تاني Quantitative بدي أختار إيش
+
+153
+00:12:25,590 --> 00:12:29,530
+الاختبار الإحصائي اللي موجود فالباحث مظهر هنا قال
+
+154
+00:12:29,530 --> 00:12:32,990
+لك هدول أثنين عبارة عن qualitative و هدول أثنين
+
+155
+00:12:32,990 --> 00:12:37,750
+طالما أنهم أثنين و بدي أربطهم بـ Variable و الـ
+
+156
+00:12:37,750 --> 00:12:40,490
+Variable اللي موجود quantitative اللي هو الـ Age
+
+157
+00:12:40,490 --> 00:12:46,010
+الـ Unit فبالتالي أنا بدي أستخدم الـ t-test بناءً
+
+158
+00:12:46,010 --> 00:12:51,760
+على القاعدة اللي حكيناهاوكأنه الباحث أجى على الخط
+
+159
+00:12:51,760 --> 00:12:54,700
+اللي أمامنا واختار T-test لأنه عنده الـage
+
+160
+00:12:54,700 --> 00:12:58,680
+كـvariable وعنده الـtype of sample case وcontrol
+
+161
+00:12:58,680 --> 00:13:04,040
+فاختار الـT-test وللتركية، هذه كلها المقدمة اللي
+
+162
+00:13:04,040 --> 00:13:09,820
+بنحكيها لشرح الإختبارات الإحصائية، بس حتى أنت
+
+163
+00:13:09,820 --> 00:13:13,300
+كباحث تكون عارف واحنا بنشرح ليش، احنا بنشرح كل
+
+164
+00:13:13,300 --> 00:13:18,220
+test فيهم بالتفصيللما اجى الباحث بده يربط ال case
+
+165
+00:13:18,220 --> 00:13:22,600
+و ال control اللي موجودين بال weight قالك هدول
+
+166
+00:13:22,600 --> 00:13:27,140
+اتنين نفس النظام تبع ال edge فبالتالي بدي استخدم
+
+167
+00:13:27,140 --> 00:13:32,140
+ال T-test لما اجى على الطول نفس الحاجة قالك تنتين
+
+168
+00:13:32,140 --> 00:13:37,100
+هدول و بدنا نقارن ما بين متوسطين حسابيين عند ال
+
+169
+00:13:37,100 --> 00:13:39,960
+variable الاول qualitative وال qualitative جواته
+
+170
+00:13:39,960 --> 00:13:43,950
+اتنينوالـ Variable التاني Quantitative أو الـ Unit
+
+171
+00:13:43,950 --> 00:13:46,530
+يبقى أنا بدي استخدم الـ T-test لأن هو انا واحد
+
+172
+00:13:46,530 --> 00:13:51,410
+اتنين يبقى T-test نفس الموضوع في الـ Body Mass
+
+173
+00:13:51,410 --> 00:13:56,030
+Index لما اتكلم عن الـ Body Mass Index ولكن الباحث
+
+174
+00:13:56,030 --> 00:14:02,350
+لما أجى بده يقيص العلاقة ما بين الـ Type of Sample
+
+175
+00:14:02,350 --> 00:14:07,800
+ال Case و ال Control و ال Education وقف شويهجالك
+
+176
+00:14:07,800 --> 00:14:10,880
+الـ education هو عبارة عن qualitative variable
+
+177
+00:14:10,880 --> 00:14:15,680
+والـ type of sample case وcontrol كمان qualitative
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+178
+00:14:15,680 --> 00:14:19,920
+variable يبقى qualitative مع qualitative أنا بدي
+
+179
+00:14:19,920 --> 00:14:24,840
+استخدم لهم الـ chi-square test ما استخدم الـ T
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+180
+00:14:24,840 --> 00:14:30,440
+استخدم الـ chi-square test للمقارنة أو لربط
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+181
+00:14:30,440 --> 00:14:33,920
+العلاقة ما بين ال education وtype of sample اللي
+
+182
+00:14:33,920 --> 00:14:40,560
+هم ال case وcontrolنفس الشيء لمّا أجى هنا على
+
+183
+00:14:40,560 --> 00:14:45,640
+variable employment وأجى كمان نفس الحاجة استخدم
+
+184
+00:14:45,640 --> 00:14:50,200
+الـ CHI SEQUENCE لما أجى بده يعمل presenting للـ
+
+185
+00:14:50,200 --> 00:14:54,920
+age قالك الـ age هو عبارة عن quantitative data
+
+186
+00:14:54,920 --> 00:15:00,060
+وطالما أنه quantitative data بده استخدمله الـ mean
+
+187
+00:15:00,060 --> 00:15:05,440
+والستاندر وراح ضاف الـ mean والستاندرنفس الشيء الـ
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+188
+00:15:05,440 --> 00:15:08,940
+variable اللي موجودة لما أجعل ال education كونه ال
+
+189
+00:15:08,940 --> 00:15:14,160
+education عبارة عن qualitative variable جالك احنا
+
+190
+00:15:14,160 --> 00:15:18,060
+لما درسنا في ال bio statistics أخدنا ان ال
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+191
+00:15:18,060 --> 00:15:22,140
+qualitative variable بنعملها descriptive بال
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+192
+00:15:22,140 --> 00:15:28,840
+frequency أو ال percentage و ratioهو قال لك الـ
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+193
+00:15:28,840 --> 00:15:32,460
+sample اللي موجود هنا مش rare يعني أرقام كتيرة
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+194
+00:15:32,460 --> 00:15:36,800
+فبالتالي أنا بدي استخدم ال percentage لوصف هذه
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+195
+00:15:36,800 --> 00:15:40,920
+البيانات اللي أمامنا واستخدم ال frequency وال
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+196
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+percentage لأن ال data وال variable اللي موجود هو
+
+197
+00:15:45,140 --> 00:15:49,020
+عبارة عن qualitative variable يبقى ال presenting
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+198
+00:15:49,020 --> 00:15:53,460
+لل data اللي احنا أخدناها بتفيدنا في تصميم ال
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+199
+00:15:53,460 --> 00:16:00,430
+table أنه أنا بستخدم ال mean والstandardبالغالب مع
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+200
+00:16:00,430 --> 00:16:04,010
+الـ Quantitative وبستخدم الـ Frequency والـ
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+201
+00:16:04,010 --> 00:16:06,890
+Percentage زي ما حكينا المحاضرة السابقة بالـ
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+202
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+Qualitative وبستخدم الـ T-test على حسب القانون
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+203
+00:16:14,350 --> 00:16:19,510
+اللي اتكلمنا عنه قبل قليل يبقى عندما أتيت أحقق الـ
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+204
+00:16:19,510 --> 00:16:24,350
+Objective اللي موجودة الـ Vitamin D مع الـ two
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+205
+00:16:24,350 --> 00:16:28,980
+group اللي موجودين الـ T-testالـ two groups هو
+
+206
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+case أو control كـ variable مع كل واحد في هدول
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+207
+00:16:32,240 --> 00:16:36,160
+كمان تي تيست نبدأ بـ Profile الكنسترول و الـ
+
+208
+00:16:36,160 --> 00:16:40,580
+Triglyceride و الـ HDL و الـ LDL كمان مع الـ type
+
+209
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+of sample case أو control كـ variable الاتنين هدول
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+210
+00:16:43,280 --> 00:16:48,260
+يعتبروا variable نستخدم الـ T-test طيب نشوف عند
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+211
+00:16:48,260 --> 00:16:54,820
+الباحث لما قسم عندنا الـ vitamin D لتلت مجموعات
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+212
+00:16:54,820 --> 00:17:01,140
+سواءLow و Normal و High أو Deficient و
+
+213
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+Insufficient و Sufficient مع الـ type of group
+
+214
+00:17:05,640 --> 00:17:08,800
+اللي هم ال case و ال control أيش الأختبار اللي
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+215
+00:17:08,800 --> 00:17:15,940
+استخدمه في هذه الحالة لما جسمها لـ Low و Normal و
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+216
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+High أو Deficiency و Insufficient و Sufficient أو
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+217
+00:17:21,420 --> 00:17:24,440
+Type of sample case and control قال qualitative و
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+218
+00:17:24,440 --> 00:17:28,340
+qualitative يبقى أنا بدأ اعمل اختبار اسمه chi
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+219
+00:17:28,340 --> 00:17:33,800
+-square بناء القاعدة اللي احنا درسناها وهي القاعدة
+
+220
+00:17:33,800 --> 00:17:36,860
+بتقول qualitative مع qualitative بغض النظر على
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+221
+00:17:36,860 --> 00:17:42,820
+أعداد الجروب جواتهم هي chi-square test وهي ان ال
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+222
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+case و ال control مع التقسيمة تحت ال vitamin D
+
+223
+00:17:46,700 --> 00:17:53,560
+level استخدم الباحث الchi-square testأخر objective
+
+224
+00:17:53,560 --> 00:17:58,620
+في الدراسة لما هم وبدنا نشوف الـ Vitamin D مع
+
+225
+00:17:58,620 --> 00:18:02,820
+البرامتر اللي موجودة سواء كوليسترول وTriglyceride
+
+226
+00:18:02,820 --> 00:18:07,440
+وHDL وLDL وFast-reproducible glucose والمجلبين A
+
+227
+00:18:07,440 --> 00:18:11,040
+وC وباقي البرامتر اللي موجودة زي الأنسليم
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+228
+00:18:11,040 --> 00:18:14,540
+والكالسيوم والفوسفارت يبقى هو بدي أجيس العلاقة ما
+
+229
+00:18:14,540 --> 00:18:19,420
+بين Vitamin D والبرامتر اللي موجودة أمامنا سواء أن
+
+230
+00:18:19,940 --> 00:18:23,440
+الـ Library Profile أو الـ Study Parameter اللي
+
+231
+00:18:23,440 --> 00:18:27,300
+مدروسة فجال عبارة عن Quantitative و Quantitative
+
+232
+00:18:27,300 --> 00:18:30,700
+وبدنا نشوف ال Quantitative و Quantitative إيش
+
+233
+00:18:30,700 --> 00:18:36,620
+الاختبار الأحصائي اللي احنا هنستخدمه
+
+234
+00:18:36,620 --> 00:18:40,480
+ال Quantitative Variable الأول وال Quantitative
+
+235
+00:18:40,480 --> 00:18:44,260
+Variable التاني هو اختبار الـ A أو ما يسمى بالـ
+
+236
+00:18:44,260 --> 00:18:49,630
+Correlation Testوهي الباحث بتجيس علاقة ما بين الـ
+
+237
+00:18:49,630 --> 00:18:52,270
+two variables الـ quantitative و الـ quantitative
+
+238
+00:18:52,270 --> 00:18:56,070
+فبلاحظ أنه استخدم اختبار الـ Pearson correlation
+
+239
+00:18:56,070 --> 00:19:03,090
+test يبقى فيه البحث الخاص فينا اللي هنعمله اللي
+
+240
+00:19:03,090 --> 00:19:08,660
+يحدد نوع الاختبار الأحصائيدايماً هو نوع البيانات
+
+241
+00:19:08,660 --> 00:19:12,560
+هل هو qualitative ولا quantitative وبنشوف كل واحد
+
+242
+00:19:12,560 --> 00:19:17,260
+الأول والتاني وبنبدأ نتبع ال table اللي حكينا عنها
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+243
+00:19:17,260 --> 00:19:23,300
+ونختار الأختبار الأحصائي المناسب المثال الأخير على
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+244
+00:19:23,300 --> 00:19:27,780
+العلاقة ما بين ال qualitative variable لما يكون
+
+245
+00:19:27,780 --> 00:19:33,680
+أكتر من 2 مع quantitative variable، variable ال
+
+246
+00:19:33,680 --> 00:19:38,060
+unitوباللاحظ جيبنا متوسطاتي حسابيات وحتى نجيب
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+247
+00:19:38,060 --> 00:19:42,340
+الفروقات استخدمنا اختبار الـ F-test أو ما يسمى
+
+248
+00:19:42,340 --> 00:19:47,300
+الانوفا وهي عندنا الـ qualitative أكتر من اتنين زي
+
+249
+00:19:47,300 --> 00:19:52,360
+ال education اللي قبل شوية شفناها مع variable تاني
+
+250
+00:19:52,360 --> 00:19:56,240
+اللي هو quantitative زي الـ vitamin D اللي هي unit
+
+251
+00:19:56,240 --> 00:20:03,240
+بنستخدم اختبار ال F أو الانوفا كل ما سبقهو عبارة
+
+252
+00:20:03,240 --> 00:20:09,900
+عن مقدمة و Guideline للي احنا بنحكيه لاحقاً بس حتى
+
+253
+00:20:09,900 --> 00:20:14,520
+الباحث يعرف أهمية الإختبارات الإحصائية لما نشرح في
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+254
+00:20:14,520 --> 00:20:18,080
+كل محاضرة واحد من الإختبارات اللي موجودة يعرف
+
+255
+00:20:18,080 --> 00:20:23,260
+أهمية ليش هو بده يفهم الإختبار هذا لأنه بده يجي في
+
+256
+00:20:23,260 --> 00:20:26,020
+بحته يشوف إيش الـobjective موجود، إيش أنواع
+
+257
+00:20:26,020 --> 00:20:29,720
+الـvariable اللي موجودة وعليها يطبق الإختبار
+
+258
+00:20:29,720 --> 00:20:34,360
+الإحصائيبالبرنامج الـ SPSS اللي هنتكلم عنه مع كل
+
+259
+00:20:34,360 --> 00:20:40,180
+اختبار احصائي هنعمله في قاعدة مهمة لازم نكون
+
+260
+00:20:40,180 --> 00:20:45,520
+حافظينها زي أسامينا ان ال comparative study أو ال
+
+261
+00:20:45,520 --> 00:20:50,160
+compare study هذه فقط اللي بتملها الاختبارات
+
+262
+00:20:50,160 --> 00:20:54,380
+الأحصائية اللي اتكلمنا عنها توا كانت الـ Chi أو ال
+
+263
+00:20:54,380 --> 00:20:58,930
+T أو ال F أو ال R أو ال regressionفبالتالي الـ
+
+264
+00:20:58,930 --> 00:21:02,370
+Descriptive Study أنا باكتفي بالـ Descriptive سواء
+
+265
+00:21:02,370 --> 00:21:06,770
+بالـ Frequency و الـ Percentage أو الـ Mean و الـ
+
+266
+00:21:06,770 --> 00:21:12,050
+Standard بس مافيها مقارنة يبقى أنا لو خدت مجموعة
+
+267
+00:21:12,050 --> 00:21:17,190
+لحالي اللي هي الـ Control بدون ال cases و بدعم ال
+
+268
+00:21:17,190 --> 00:21:22,320
+Descriptive Knowledge هذا مش فيها Compareوبنفعش
+
+269
+00:21:22,320 --> 00:21:26,160
+نعمل لها تحليل أحصائي لأن هي عبارة عن مجموعة واحدة
+
+270
+00:21:26,160 --> 00:21:30,200
+هو Variable ولكن الـ Variable هذا اللي موجود جواته
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+271
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+جروب واحد اللي هو الـ Control لازم يكونوا تنتير في
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+272
+00:21:33,820 --> 00:21:40,900
+أكثر حتى أقدر أعمله اختبار أحصائي فبالتالي الـ
+
+273
+00:21:40,900 --> 00:21:45,900
+Descriptive Study بتم شيلها Statistical Test to Be
+
+274
+00:21:45,900 --> 00:21:50,290
+Valuedفقط بتتم الـ Statistical Test والـ V-Value
+
+275
+00:21:50,290 --> 00:21:54,470
+للـ comparative study بكل أنواعها سواء كانت
+
+276
+00:21:54,470 --> 00:21:58,190
+Observational Study أو Experimental Study في
+
+277
+00:21:58,190 --> 00:22:03,410
+software برنامج اسمه SVSS هو بيقوم عامل لكل
+
+278
+00:22:03,410 --> 00:22:08,390
+الاختبارات الأحصائية بكل سهولة فناخد مقدمة عن الـ
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+279
+00:22:08,390 --> 00:22:15,310
+SVSS وتركيبة البرنامج والتعريف بالبرنامج برنامج
+
+280
+00:22:15,310 --> 00:22:16,150
+الـ SVSS
+
+281
+00:22:18,610 --> 00:22:23,290
+هو أصلاً كانوا بيسموه Statistically Packaged for
+
+282
+00:22:23,290 --> 00:22:27,330
+the Social Science أول ما تم اكتشاف البرنامج
+
+283
+00:22:27,330 --> 00:22:33,070
+والبرنامج يستخدم لعمل كامل الاختبارات الأحصائية
+
+284
+00:22:33,070 --> 00:22:39,430
+وتحليل البيانات ولكن الآن بيسموا ال SPSS مش اختصار
+
+285
+00:22:39,430 --> 00:22:41,430
+Statistically Packaged for the Social Science
+
+286
+00:22:41,430 --> 00:22:45,350
+بيسموه Statistically Produced and Served Solutions
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+287
+00:22:46,650 --> 00:22:52,830
+في عندنا برامج أخرى كثيرة لتحليل البيانات من ضمن
+
+288
+00:22:52,830 --> 00:22:56,610
+هذه الـ Software اللي موجودة برنامج اسمه SAS
+
+289
+00:22:56,610 --> 00:23:03,970
+برنامج اسمه Stata برنامج اسمه EPN4 ولكن أحنا اللي
+
+290
+00:23:03,970 --> 00:23:08,310
+هنشرحه هو برنامج الـ SPSS اللي موجود عندنا ومتوفر
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+291
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+منه النسخة اللي بنقدر نزلهابرنامج listdata موجود
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+292
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+بنقدر نجيبه وبرنامج Libre info ولكن أسهلهم في
+
+293
+00:23:18,180 --> 00:23:23,960
+التحليل الأحصائي هو برنامج ال SPSS موجود عندنا على
+
+294
+00:23:23,960 --> 00:23:31,600
+الموديل رابط تحميل برنامج موجود كمان الرابط بنقدر
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+295
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+296
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+البرنامج موجود جوا البرنامج اللي هو كيف احنا نعمله
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+تثبيت للبرنامج وموجود الكراك تبع البرنامج فيه ملف
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+298
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+لحاله مكتوب عليها Redmi اللي هو هذا بناخده الكراك
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+299
+00:23:52,990 --> 00:23:58,030
+و بنضيفه لما بطلب منه في آخر تثبيت البرنامج أنه
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+300
+00:23:58,030 --> 00:24:02,530
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+عملية على البرنامج و هنتكلم الآن بصفة عملية على
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+يا بتكون عندنا موجودة ايقونة هنا ايقونة ال SPSS
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+305
+00:24:20,420 --> 00:24:26,840
+موجودة يا بنيجي هنا بنكتب في خانة سياسي ال SPSS
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+306
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+الايقونة تاعة ال IBM SPSS25 فبنضغط عليها وبنفتح
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+308
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+فيها البرنامج بأخد وقت بعدين بيفتح عندنا البرنامج
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+311
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+فيها two parts يعني جزئينأيش اسمه variable view
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+قبل أن أبدأ تحليل البيانات سأعرف كل الـ variables
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+319
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+323
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+بتهمناأول حاجة فيها هي Iconic file اللي ممكن من
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+324
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+خلالها نفتح ملاف أو نخزن ملاف أو نحفظ ملاف في
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+328
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+329
+00:26:24,340 --> 00:26:30,110
+فاحنا هنشرحلكمكيف أحنا ممكن نطبق هذا في أبحاثنا
+
+330
+00:26:30,110 --> 00:26:34,650
+الخاصة فينا أول حاجة في البحث بداجي أعرف كل
+
+331
+00:26:34,650 --> 00:26:37,890
+variable موجود في الاستبانة أضيفه في الـ name
+
+332
+00:26:37,890 --> 00:26:46,290
+وناخد مثال عملي أنه أنا عند استبانة وهي
+
+333
+00:26:46,290 --> 00:26:49,990
+نفترض وهي
+
+334
+00:26:49,990 --> 00:26:54,250
+الاستبانة اللي موجودة كل واحد في هدول اسمه
+
+335
+00:26:54,250 --> 00:26:57,890
+variableبناخد الأول شيء إذا أنا بدأ أدخل رقم
+
+336
+00:26:57,890 --> 00:27:04,730
+التليفون إذا بهمني أدخل الإسم، بدي أكتب الـ Name
+
+337
+00:27:04,730 --> 00:27:10,250
+إذا بدي أدخل الـ Age ولكن أول حاجة بتهمنا إنه نعمل
+
+338
+00:27:10,250 --> 00:27:15,050
+للاستبانة رقم اللي هو Serial Number ونقول إن
+
+339
+00:27:15,050 --> 00:27:20,790
+الاستبانة اللي موجودة هي رقم 1، 2، 3، 4 لما نوصل
+
+340
+00:27:20,790 --> 00:27:25,460
+للعدد اللي مطلوبفأول حاجة بدخل الـ Serial Number
+
+341
+00:27:25,460 --> 00:27:31,300
+إذا أنا بدي أكتبه بالإيد بكتبه فبنجي هنا و بنقوله
+
+342
+00:27:31,300 --> 00:27:35,940
+Serial Number أو بقى بكون عمله copy و بروح عمله
+
+343
+00:27:35,940 --> 00:27:39,560
+هنا رسق فبيجيبلي الـ Serial Number بقول الـ Serial
+
+344
+00:27:39,560 --> 00:27:43,620
+Number هو عبارة عن numerical data كتبها لحاله هو
+
+345
+00:27:43,620 --> 00:27:48,280
+يفترض افتراضي ان كل ال variable اللي موجودة على
+
+346
+00:27:48,280 --> 00:27:53,670
+شكل ال numerical data هذه عبارة عنTwo decimal بدك
+
+347
+00:27:53,670 --> 00:27:57,270
+تكتب فيها وإذا ما بدك تكتب فيها والا decimal وإذا
+
+348
+00:27:57,270 --> 00:28:05,650
+ما بدك تكتب فيها والا decimal وإذا ما بدك
+
+349
+00:28:05,650 --> 00:28:06,890
+تكتب فيها والا decimal وإذا ما بدك تكتب فيها والا
+
+350
+00:28:06,890 --> 00:28:07,310
+والا decimal وإذا ما بدك تكتب فيها والا decimal
+
+351
+00:28:07,310 --> 00:28:07,750
+وإذا ما بدك تكتب فيها والا decimal وإذا ما بدك
+
+352
+00:28:07,750 --> 00:28:07,870
+تكتب فيها والا decimal وإذا ما بدك تكتب فيها والا
+
+353
+00:28:07,870 --> 00:28:12,810
+decimal وإذا ما بدك تكتب فيها والا decimal وإذا ما
+
+354
+00:28:12,810 --> 00:28:18,310
+بدك تكتب فيها والا decimal وإذا ما بدك تكتب فيها
+
+355
+00:28:18,310 --> 00:28:22,680
+والا decimal وإذا مابقول أنا بقبل هنا كلمات ك code
+
+356
+00:28:22,680 --> 00:28:26,560
+بدون ما يكون فيها أي space حتى لو بدنا نكتب
+
+357
+00:28:26,560 --> 00:28:30,320
+singular number بدنا نبطع نكتبها وال space اللي
+
+358
+00:28:30,320 --> 00:28:34,440
+موجود نحطله underscore ويكون بالصورة هادى حتى
+
+359
+00:28:34,440 --> 00:28:42,320
+يقبلها البرنامج ولكن يفضل يكون زي code SN زي
+
+360
+00:28:42,320 --> 00:28:46,340
+fasting blood glucose FPG fasting blood glucose
+
+361
+00:28:46,340 --> 00:28:53,070
+وبكون موجود بالصورة هادىاللي بعدين مثلا أنا بدي
+
+362
+00:28:53,070 --> 00:28:58,670
+الـ Age و بدي ال education و بدي ال family history
+
+363
+00:28:58,670 --> 00:29:05,370
+هدول و ال smoking كل هدول بقدر أخدهم مرة واحدة أني
+
+364
+00:29:05,370 --> 00:29:10,270
+أنا بضللهم و بعملهم copy إذا أنا بدي أنسخهم نسخ من
+
+365
+00:29:10,270 --> 00:29:18,770
+الاستبانة أسهل و باجي هنا بضلل و بقوله لصدأول ما
+
+366
+00:29:18,770 --> 00:29:22,750
+أعمله هو لحاله بدأ هنا يكتب ك variable ويديهم
+
+367
+00:29:22,750 --> 00:29:27,630
+أرقام طب ليش ما لصقناهم مش هنا لأن في space موجودة
+
+368
+00:29:27,630 --> 00:29:30,810
+و لو عملنا هنا لصق تعريف ال variable مش هيقبلهم
+
+369
+00:29:30,810 --> 00:29:35,290
+فباجي أنا هنا بقوله بدي ال education مثلا إذا فيها
+
+370
+00:29:35,290 --> 00:29:41,150
+أي space بشيله ال family history مثلا أنا برمزه
+
+371
+00:29:41,150 --> 00:29:47,220
+عمز family history ال smokingوالـ Body Mass Index
+
+372
+00:29:47,220 --> 00:29:50,560
+والضياط لو لاحظنا أن هدوء اللي مافيهم Space ممكن
+
+373
+00:29:50,560 --> 00:29:55,040
+لو عملتلهم لصق وجبتهم بقبلهم، مافي أي مشكلة وهكذا
+
+374
+00:29:55,040 --> 00:30:01,480
+نكون عملنا code أو عملنا variable لكل سؤال في
+
+375
+00:30:01,480 --> 00:30:05,540
+الاستبانة نفس الشيء لو بدنا نعرف ال variable اللي
+
+376
+00:30:05,540 --> 00:30:09,940
+موجودين بنعملهم copy وبنجي عند ال SPSS وبنعملهم
+
+377
+00:30:09,940 --> 00:30:14,260
+كمان لصق وبنبدأ هنا نشوف الأشياء اللي فيها Space
+
+378
+00:30:14,890 --> 00:30:19,230
+ناخد بالنا وننسخ فيهم ونوديهم أو بنروح هنا ونعمل
+
+379
+00:30:19,230 --> 00:30:24,770
+لهم رموز ريتينوباثي Cardiovascular Disease
+
+380
+00:30:24,770 --> 00:30:28,590
+Neuropathy
+
+381
+00:30:28,590 --> 00:30:36,050
+يعني كاتبينه كرموز لـ Current Infection Skin
+
+382
+00:30:36,050 --> 00:30:42,230
+Lesion وقُرى
+
+383
+00:30:42,230 --> 00:30:43,630
+الـ Cavity Lesion
+
+384
+00:30:46,630 --> 00:30:51,390
+حيث أننا خلّصنا جزء الأول من الاستبانة كل الأشياء
+
+385
+00:30:51,390 --> 00:30:55,170
+الـ numerical بتظهر الـ education level والأشياء
+
+386
+00:30:55,170 --> 00:30:59,090
+هذه نبدأ نعملها فيها حاجة اسمها value الـ value
+
+387
+00:30:59,090 --> 00:31:02,290
+هنا بقى كل مرة مكتب primary school secondary
+
+388
+00:31:02,290 --> 00:31:06,710
+school university كل مرة أكتب yes و no بعمل code
+
+389
+00:31:06,710 --> 00:31:10,210
+مرة واحدة وبعدين بيصير الإدخال عن طريق أرقام وهو
+
+390
+00:31:10,210 --> 00:31:14,650
+البرنامج لحاله بيصير يعرفهم ويفهمهم أن هدولة أرقام
+
+391
+00:31:16,140 --> 00:31:20,820
+الـ H يظهر كـ Continuous لا يوجد هناك كود الـ
+
+392
+00:31:20,820 --> 00:31:24,580
+Education يفتح عقونة تقول أننا عارف أننا لدينا
+
+393
+00:31:24,580 --> 00:31:31,880
+VALUE و LABEL نأتي من الاستبانة ونعمل نسخ ونختب
+
+394
+00:31:31,880 --> 00:31:39,160
+أساس الـ SPSS واحد ونعمل لسق وهكذا يكون كتب لنا
+
+395
+00:31:39,160 --> 00:31:43,680
+أول كود اللي هو ال university اتنين ونذهب ونحصل
+
+396
+00:31:43,680 --> 00:31:48,290
+على ال secondary schoolوضيفينها والباقي اللي هم
+
+397
+00:31:48,290 --> 00:31:51,650
+تلاتة واربعة نفس الحاجة آخر الشيء بنقوله خمسة و
+
+398
+00:31:51,650 --> 00:31:58,570
+بنقوله اضفلنا و بنقوله okay لو بدنا نحفظ الملف
+
+399
+00:31:58,570 --> 00:32:03,230
+بنقول file save as و بنيجي هنا بنسميه أنه هذا
+
+400
+00:32:03,230 --> 00:32:08,930
+الملف بدنا نسميه مثلًا
+
+401
+00:32:08,930 --> 00:32:12,270
+aman sbss data
+
+402
+00:32:15,120 --> 00:32:20,840
+وبنكتب اسم نوع ال data اللي موجودة مثلا ال data
+
+403
+00:32:20,840 --> 00:32:26,140
+الخاصة بالضيوفيتس وبنقول سير بعدين بنجي نعمل ال
+
+404
+00:32:26,140 --> 00:32:32,820
+family history بنقول واحد عبارة عن yes واتنين
+
+405
+00:32:32,820 --> 00:32:37,740
+عبارة عن no لو
+
+406
+00:32:37,740 --> 00:32:41,500
+بنعمل الباقي كلهم ل smoking بس بنعمل copy و بنعمله
+
+407
+00:32:41,500 --> 00:32:46,080
+لصق وبنجي هنا عند الأشياء التانيةبنقول له كله copy
+
+408
+00:32:46,080 --> 00:32:50,480
+based ونفس الحاجة سواء الـ diet اللي موجود و ال
+
+409
+00:32:50,480 --> 00:32:57,240
+smoking ال body mass index ما هي أرقام هتتدخل لو
+
+410
+00:32:57,240 --> 00:33:00,560
+بدنا نضيف variable في الأشياء اللي موجودة أنا هنا
+
+411
+00:33:00,560 --> 00:33:04,720
+نسيت أضيف ال weight و ال height بقول له insert
+
+412
+00:33:04,720 --> 00:33:12,080
+variable فبضيفهم insert variable فبكتب هنا الطول
+
+413
+00:33:12,080 --> 00:33:17,640
+و الوزن و بنضيفهملو بدنا نضيف ال unit عسابين مثال
+
+414
+00:33:17,640 --> 00:33:23,100
+هنا بالصنطي بنضيفها واللي أنت بتكتبه هنا هو اللي
+
+415
+00:33:23,100 --> 00:33:27,360
+بدي يظهر في ال data لهيك يفضل تكون دائما مرتبة حتى
+
+416
+00:33:27,360 --> 00:33:32,240
+أول ما تدخل ال data تكون عندنا موجودة هنا عسابين
+
+417
+00:33:32,240 --> 00:33:38,260
+مثال بكيلو جرام ال
+
+418
+00:33:38,260 --> 00:33:47,970
+body mass index كيلو جرام لكل مترتربيع مثلًا وهيك
+
+419
+00:33:47,970 --> 00:33:52,870
+بيكون عندنا الملف جاهز ونعمله حفظ بلاحظ هنا
+
+420
+00:33:52,870 --> 00:33:56,190
+variable view أنا دخلت الاستبانة كلها موجودة بعد
+
+421
+00:33:56,190 --> 00:34:00,390
+ما دخلنا وعملنا code لكل حاجة الأمر تقريبًا بعد
+
+422
+00:34:00,390 --> 00:34:04,190
+هيك بيكون أسهل بكتير بدنا نروح نعبها الاستبانات
+
+423
+00:34:04,190 --> 00:34:08,070
+ونروح على حاجة اسمها data view بنحول على data view
+
+424
+00:34:10,230 --> 00:34:13,950
+من variable view بنحوّل عادة view بنقول له استبانة
+
+425
+00:34:13,950 --> 00:34:19,670
+رقم واحد كان العمر اللي موجود عندنا 43 ال
+
+426
+00:34:19,670 --> 00:34:22,770
+education كان university أول ما اكتب له رقم واحد
+
+427
+00:34:22,770 --> 00:34:28,170
+عطول مباشرة هو بكتبها واحد ولكن لو هنا بدي أحولها
+
+428
+00:34:28,170 --> 00:34:32,150
+أشوف ايش الواحد بتاعي في هنا ايقونة alphabetical
+
+429
+00:34:32,150 --> 00:34:36,090
+اللي هي الكلام أو ال number أول ما اضغط عليها
+
+430
+00:34:36,090 --> 00:34:39,940
+هيكتب له universityفاميلي هستوري نفترض أن هو في
+
+431
+00:34:39,940 --> 00:34:43,960
+عنده فاميلي هستوري لديابيتس لو أذهب مباشرة سيكتبها
+
+432
+00:34:43,960 --> 00:34:48,420
+yes نفترض أنه بدخنش سنكتب اتنين يعني no سيكتب
+
+433
+00:34:48,420 --> 00:34:56,240
+مباشرة no الطول كان مية وتمانين الوزن كان خمس
+
+434
+00:34:56,240 --> 00:34:59,540
+وتمانين عندنا ال body mass index نحسبها
+
+435
+00:34:59,540 --> 00:35:03,470
+calculationوبعدين بنقول إن هو ماعملش diet، هو في
+
+436
+00:35:03,470 --> 00:35:06,150
+عنده روتينوباثي، فمش عنده cardiovascular disease
+
+437
+00:35:06,150 --> 00:35:09,950
+ولا neuropathy ولا recurrent infection ولا skin
+
+438
+00:35:09,950 --> 00:35:13,250
+lesion، وفي عنده أخرى الـ cavity اللي هو حيث بنقول
+
+439
+00:35:13,250 --> 00:35:18,190
+دخلنا الاستبانات كل الاستبانات اللي موجودة من واحد
+
+440
+00:35:19,310 --> 00:35:23,810
+الى 50 او من واحد الى مية بتدخل بنفس الطريقة ولكن
+
+441
+00:35:23,810 --> 00:35:27,670
+انا ال code اللي عملته في الأول هو ريحني هي اتنين
+
+442
+00:35:27,670 --> 00:35:32,050
+هي العمر وليكن تلاتة وخمسين اول ما اجي بدل مكتب
+
+443
+00:35:32,050 --> 00:35:35,430
+secondary school اقعد اكتب في كل كلام اول ما اقول
+
+444
+00:35:35,430 --> 00:35:39,550
+اتنين هو مباشرة هحوللي على secondary schoolورح
+
+445
+00:35:39,550 --> 00:35:43,190
+يجلب لأنه أنا أساساً عامل code أنه أنا لما بكتب لك
+
+446
+00:35:43,190 --> 00:35:46,670
+رقم 2 أنت لحالك بتفهم أن هذا secondary school
+
+447
+00:35:46,670 --> 00:35:50,570
+ولمّا أقولك واحد هو yes ولمّا أقولك اتنين هو no
+
+448
+00:35:50,570 --> 00:35:54,130
+والأرقام ال continuous بتبطلها زي ما هي موجودة
+
+449
+00:35:54,130 --> 00:35:57,870
+ولمّا نقول اتنين في الأرقام مثلا هذا مش عنده أي
+
+450
+00:35:57,870 --> 00:36:02,130
+complications فبنكتب كلها اتنين مباشرة بروح عاملنا
+
+451
+00:36:02,130 --> 00:36:07,190
+إياهم كيك بكون تدخيل البيانات على SVSS تمهيدا
+
+452
+00:36:07,190 --> 00:36:12,890
+لتحليل الاستبانةنفترض أننا هدخلنا الاستبانة وانا
+
+453
+00:36:12,890 --> 00:36:16,730
+في عند type of data بدي case لحالي وcontrol لحالي
+
+454
+00:36:16,730 --> 00:36:21,050
+كيف بدي اضيفها؟ بنيجي هنا وين بدي اضيفها بالظبط؟
+
+455
+00:36:21,050 --> 00:36:24,610
+بقولي لكم قبل ال edge بنعلم عند ال edge و بنضغط
+
+456
+00:36:24,610 --> 00:36:27,930
+باليمين و بنقول insert variable هي أتي عند
+
+457
+00:36:27,930 --> 00:36:30,970
+variable طب كيف بدي أعرف اكتب type of sample؟
+
+458
+00:36:30,970 --> 00:36:34,930
+بنعمل double click فبحول النية مباشرة على ال
+
+459
+00:36:34,930 --> 00:36:38,370
+variable بنكتب type of sample
+
+460
+00:36:41,850 --> 00:36:47,050
+بنعرفها بنكتب الـ type و بنيجي هنا بنقول الـ type
+
+461
+00:36:47,050 --> 00:36:56,510
+of sample و
+
+462
+00:36:56,510 --> 00:36:59,190
+ممكن أكتب بدلها case و control أو أنا بده أسميهم
+
+463
+00:36:59,190 --> 00:37:08,370
+case و control مثلا cases و controls باجي
+
+464
+00:37:08,370 --> 00:37:13,160
+هنا بقول إنه لو أنا كتبتلك واحدعملها انها cases
+
+465
+00:37:13,160 --> 00:37:16,460
+ولو
+
+466
+00:37:16,460 --> 00:37:24,540
+كتبنا اثنين هعرف عليها انها Controls ونقول OK لو
+
+467
+00:37:24,540 --> 00:37:27,380
+جينا هنا عند ال serial number عند رقم واحد ضغطنا
+
+468
+00:37:27,380 --> 00:37:30,460
+double click بدل ما اروح على data view و اقلبهم من
+
+469
+00:37:30,460 --> 00:37:34,580
+هنا في طريقة أسهل انه انا باجي عند ال number هنا
+
+470
+00:37:34,580 --> 00:37:38,860
+بعمل double click فهو بروح مباشرة بيقلب على data
+
+471
+00:37:38,860 --> 00:37:44,560
+viewهنا بدأ أقول له واحد فبقول لي الواحد هي عبارة
+
+472
+00:37:44,560 --> 00:37:49,820
+عن cases مثلا لو كنت اختار من هنا وهنا الاتنين على
+
+473
+00:37:49,820 --> 00:37:53,420
+سبيل المثال control لاحظت ان كلمة controls مكتوبة
+
+474
+00:37:53,420 --> 00:37:59,200
+small كيف بنعدلها؟ بنيجي عند double click نضغط
+
+475
+00:37:59,200 --> 00:38:03,780
+بضوح تاني بنقول له هد يتعرف عليها ان هي capital
+
+476
+00:38:03,780 --> 00:38:09,360
+على أساس تطلع معانا في تحليل بيانات جاهزةفهو هيك
+
+477
+00:38:09,360 --> 00:38:12,920
+عمل وكانت دي أول ما ضغط عليها اللي جيته هو محولها
+
+478
+00:38:12,920 --> 00:38:15,820
+لحاله لأنه أنا في التعريف عدلت فتتعرف automatic
+
+479
+00:38:15,820 --> 00:38:19,660
+موجودة عندنا كل الاستبانات اللي أنا بلمهم يوميا
+
+480
+00:38:19,660 --> 00:38:24,620
+بأساس أدخلهم سواء cases أو control أو أي كان نوع
+
+481
+00:38:24,620 --> 00:38:28,960
+العينات والاستبانات وبدخلهم كلهيتهمنفترض أننا
+
+482
+00:38:28,960 --> 00:38:31,120
+عندنا في الحصارات الكيمية الـ fasting blood
+
+483
+00:38:31,120 --> 00:38:35,840
+glucose واليوريا والكرياتينين والفيتامين D والأمور
+
+484
+00:38:35,840 --> 00:38:39,160
+التانية كلها نضيفها بنجي على variable view ونضغط
+
+485
+00:38:39,160 --> 00:38:44,920
+عليها ونقول fasting blood glucose تعبر عليها ك
+
+486
+00:38:44,920 --> 00:38:52,380
+variable يوريا كرياتينين بنحاول نكتبهم رموز ولمّا
+
+487
+00:38:52,380 --> 00:38:55,760
+نكتبهم هنا نكتبهم مكملين مع ال unit نكتب هنا
+
+488
+00:38:55,760 --> 00:38:56,420
+homoglobin
+
+489
+00:39:02,400 --> 00:39:09,800
+A1C ونكتب vitamin D وبعدين يمكننا ناخدهم كلهم
+
+490
+00:39:09,800 --> 00:39:14,000
+ونعملهم copy ونسخهم هنا حتى نكتب معاهم ال unit
+
+491
+00:39:14,000 --> 00:39:20,000
+اللي احنا أخدناه لو نضيف الأخير كمان نفس الصورة
+
+492
+00:39:20,000 --> 00:39:25,200
+هنا مسموح اللي نحط SPS ونكتب مثلا ملي جرام لكل دي
+
+493
+00:39:25,200 --> 00:39:25,740
+سيلتر
+
+494
+00:39:29,200 --> 00:39:33,160
+وهذه لو أريد أن أكتبها أكتر من مرة بقول له لصق
+
+495
+00:39:33,160 --> 00:39:37,040
+وبنجي من هنا to space ونقول له لصق نفس الحاجة
+
+496
+00:39:37,040 --> 00:39:41,560
+مجلوين A ون C أنا بتاكد بيه ال percentage ال
+
+497
+00:39:41,560 --> 00:39:46,240
+vitamin D بدي أضع له unit تكون عبارة عن نانو جرام
+
+498
+00:39:46,240 --> 00:39:51,760
+لكل دي سي لتر هذه الأرقام اللي بتكتبها هنا
+
+499
+00:39:51,760 --> 00:39:57,180
+والأشياء اللي بتعرفها هي طريقتك لما تعمل تحليل
+
+500
+00:39:57,180 --> 00:40:01,450
+لبياناتالبحث، لأن ما تكتبه في ال label هو اللي
+
+501
+00:40:01,450 --> 00:40:06,890
+يظهر في ال table فاحنا بنحاول نكون كاتبين تفاصيل
+
+502
+00:40:06,890 --> 00:40:11,110
+كاملة زي ما احنا بدناها تكون ال unit موجودة فاللي
+
+503
+00:40:11,110 --> 00:40:14,230
+بنكتبه هنا في ال label هو اللي بيظهر معانا مباشرة
+
+504
+00:40:14,230 --> 00:40:17,910
+في ال table أخر شيء بيكون كل ال variable اللي
+
+505
+00:40:17,910 --> 00:40:22,440
+دخلتها اللي موجودةو رحت عبّيت كل الاستماعات سواء
+
+506
+00:40:22,440 --> 00:40:26,380
+case أو control في الأشياء اللي انا بدي أهم بالظبط
+
+507
+00:40:26,380 --> 00:40:29,820
+وهي مثلا ضفت ال area ضفت ال smoking ضفت الأشياء
+
+508
+00:40:29,820 --> 00:40:33,040
+التانية و كل هيتها وهي كل البيانات لو بدي أهم
+
+509
+00:40:33,040 --> 00:40:37,020
+أرقام بضغط على هيك بطلع أرقام وبدي أعرف التعريفات
+
+510
+00:40:37,020 --> 00:40:39,960
+اللي موجودة بدل ال code بنضغط تاني هنا فبتيجي
+
+511
+00:40:39,960 --> 00:40:41,500
+عندنا الأشياء المكتوبة
+
+512
+00:40:44,070 --> 00:40:47,490
+وقلنا لاحظنا أنه لو ال education أنا بدي أعدل اللي
+
+513
+00:40:47,490 --> 00:40:50,450
+موجود فيه university أخليها بالcapital بنضغط عليها
+
+514
+00:40:50,450 --> 00:40:54,170
+مباشرة بروح على كلمة university بنعدلها من
+
+515
+00:40:54,170 --> 00:40:59,270
+variable view لو أنا غلطان فيها، بقول له okay، هيك
+
+516
+00:40:59,270 --> 00:41:04,790
+بكون البحث والبيانات موجودة وجاهزة لعملية التحليل
+
+517
+00:41:04,790 --> 00:41:09,950
+الأحصائي اللي احنا هنتكلم عنه كمان شويةبخصوص باقى
+
+518
+00:41:09,950 --> 00:41:13,630
+الأيقونات اللى موجودة هنشرحها ولكن مع كل اختبار
+
+519
+00:41:13,630 --> 00:41:18,290
+أحصائي لأن لو أدناها مرة واحدة هننساها فكل اختبار
+
+520
+00:41:18,290 --> 00:41:21,930
+أحصائي بناخد منهم شوية شوية ان شاء الله بنكتفي
+
+521
+00:41:21,930 --> 00:41:26,050
+بهذا القدر وبشكركوا لحسن استماعكوا والسلام عليكم
+
+522
+00:41:26,050 --> 00:41:27,950
+ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4a927509b59239aba34cabcf9b72ca24ec04d65e
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE.srt
@@ -0,0 +1,1653 @@
+1
+00:00:04,300 --> 00:00:07,340
+بسم الله الرحمن الرحيم والصلاة والسلام على رسول
+
+2
+00:00:07,340 --> 00:00:13,260
+الله وعلى آله وصحبه ومن اعتدى بهداه، زملاء الأعزاء
+
+3
+00:00:13,260 --> 00:00:17,360
+نحييكم بتحية الإسلام السلام عليكم ورحمة الله
+
+4
+00:00:17,360 --> 00:00:26,050
+وبركاته، ونستكمل معكم كيفية كتابة chapter 3
+
+5
+00:00:26,050 --> 00:00:33,170
+بتكلم عن الـ materials and methods، بكون مكتوب فيه
+
+6
+00:00:33,170 --> 00:00:38,410
+أول شيء الـ study design، وإيش أنواع الـ design اللي
+
+7
+00:00:38,410 --> 00:00:43,590
+هنتكلم عنها بعد شوية بالتفصيل، بكون كمان مكتوب فيه
+
+8
+00:00:43,590 --> 00:00:46,990
+الـ study population، مين هم الناس اللي أنا بأجري
+
+9
+00:00:46,990 --> 00:00:51,230
+عليهم البحث أو بأخذ منهم الاستبيانات، بكون أيضا
+
+10
+00:00:51,230 --> 00:00:56,210
+مكتوب الـ sample size and sampling، كيف أنا بدي أحسب
+
+11
+00:00:56,210 --> 00:01:00,270
+الـ sample size، وتكون ممثلة للمجتمع اللي أنا بدي
+
+12
+00:01:00,270 --> 00:01:05,150
+آخذ منه الدراسة، بحكي كمان على الـ sampling، كيف أنا
+
+13
+00:01:05,150 --> 00:01:08,030
+بدي أختار الـ sampling، هل هي random sample
+
+14
+00:01:08,030 --> 00:01:11,310
+probability sample، ولا non probability sample، و
+
+15
+00:01:11,310 --> 00:01:16,250
+هنتكلم عليهم بالتفصيل بعد شوية، بحكي كمان على الـ
+
+16
+00:01:16,250 --> 00:01:21,560
+exclusion والـ inclusion criteria، بتكلم كمان على
+
+17
+00:01:21,560 --> 00:01:25,120
+الـ ethical consideration، نتكلم فيه كمان على الـ
+
+18
+00:01:25,120 --> 00:01:30,040
+data collection، والـ questionnaire، interview، و
+
+19
+00:01:30,040 --> 00:01:35,100
+كيفية عمل بعض الفحوصات المخبرية، وآخر حاجة بتكلم
+
+20
+00:01:35,100 --> 00:01:38,920
+على الـ statistical analysis، إيش أهم الاختبارات
+
+21
+00:01:38,920 --> 00:01:42,020
+الإحصائية اللي أنا بدي أستخدمها في الدراسة، واللي
+
+22
+00:01:42,020 --> 00:01:45,020
+هنتكلم عنهم بالتفصيل في جزئية الإحصاء
+
+23
+00:01:47,390 --> 00:01:50,370
+أول حاجة نتكلم على موضوع الـ sampling، الـ sampling
+
+24
+00:01:50,370 --> 00:01:55,190
+أنه أنا عندي population، والـ population هذا حجمه و
+
+25
+00:01:55,190 --> 00:01:59,790
+عدده كبير، وأنا مش قادر كباحث أني آخذ كل الناس
+
+26
+00:01:59,790 --> 00:02:03,970
+أجري عليهم الدراسة، لأن بكون مكلف أني آخذ كل
+
+27
+00:02:03,970 --> 00:02:07,490
+مرضى السكر اللي موجودين في قطاع غزة، وأتواصل معهم
+
+28
+00:02:07,490 --> 00:02:10,310
+وأعبّئ لهم استبيانات، وأعملهم الفحوصات المخبرية
+
+29
+00:02:10,310 --> 00:02:14,610
+اللازمة، وأقيس لهم الوزن، وآخذ منهم الطول، فهذا بده
+
+30
+00:02:14,610 --> 00:02:19,600
+كتير وقت وجهد،الحل الوحيد أنه أنا آخذ sample
+
+31
+00:02:19,600 --> 00:02:24,460
+ممثلة عن الـ population، اللي أقدر أعمّم النتائج اللي
+
+32
+00:02:24,460 --> 00:02:30,380
+موجودة على كل الـ population تماماً، نتذكر لما أنتم
+
+33
+00:02:30,380 --> 00:02:34,740
+فكرتوا تسجلوا ماجستير، ما تواصلتوا مع كل طلاب الـ
+
+34
+00:02:34,740 --> 00:02:37,300
+master اللي درسوا قبل هيك، وسألتوه عن نظام
+
+35
+00:02:37,300 --> 00:02:42,840
+الماجستير، أخدتوا sample عينة بسيطة من الناس اللي
+
+36
+00:02:42,840 --> 00:02:47,480
+أکملت master، ورحتوا سألتوهم عن الـ master، إيش
+
+37
+00:02:47,480 --> 00:02:52,340
+المميزات، وإيش بعض المعيقات اللي واجهتهم، ومن خلال الـ
+
+38
+00:02:52,340 --> 00:02:56,580
+sample هذه اللي أخدتوا، العشرة أو الخمسة عشر أو
+
+39
+00:02:56,580 --> 00:03:01,240
+الثلاثين أو العشرين اللي سألتوهم، روحتوا أنتم تأخذوا
+
+40
+00:03:01,240 --> 00:03:04,960
+قرار بالتسجيل للماجستير، بناءً على رأي الـ sample
+
+41
+00:03:04,960 --> 00:03:10,870
+اللي أخدتوه من ضمن الـ population، بس ما في حد عنده
+
+42
+00:03:10,870 --> 00:03:13,990
+قائمة بكل الناس اللي مسجلين master، وتواصل معاهم
+
+43
+00:03:13,990 --> 00:03:18,450
+جميعاً، وإنما اللي صار أننا أخذنا sample عدد محدود
+
+44
+00:03:18,450 --> 00:03:22,330
+وتواصلنا معهم، وبناءً على الرأي اللي أخذناه منهم
+
+45
+00:03:22,330 --> 00:03:26,010
+والأسئلة اللي سألناها، والإجابة اللي جاوبوا عليها، اتخذنا
+
+46
+00:03:26,010 --> 00:03:29,510
+الـ action أن نكمل الدراسات العليا، يبقى الـ sampling
+
+47
+00:03:29,510 --> 00:03:33,510
+هو عبارة عن مجموعة من الـ population، وهذه المجموعة
+
+48
+00:03:33,510 --> 00:03:39,810
+بأخذ منها معلومات، وهذه المعلومات بتخلّيني أنا آخذ
+
+49
+00:03:39,810 --> 00:03:44,350
+فكرة عامة عن الـ population، بدون ما أحتاج أني ألمّ
+
+50
+00:03:44,350 --> 00:03:49,890
+بكل البيانات اللي موجودة لدى الـ population، الـ
+
+51
+00:03:49,890 --> 00:03:54,350
+sample هي عبارة عن عدد قليل من الـ population، أنا
+
+52
+00:03:54,350 --> 00:03:59,650
+بآخذه بحيث أن هذا العدد يقدر يعكس الصورة الكاملة، أو يديني انطباع عام عن الـ population، من حيث
+
+53
+00:03:59,650 --> 00:04:06,370
+الخصائص العامة، وأن تكون هذه الـ sample
+
+54
+00:04:06,370 --> 00:04:10,210
+representative، أو قادرة على عمل representation للـ
+
+55
+00:04:10,210 --> 00:04:15,930
+population، يعني قادرة على تمثيل الـ population، ممكن
+
+56
+00:04:15,930 --> 00:04:20,930
+تكون الـ sample مخوذة من population، وهذا الـ
+
+57
+00:04:20,930 --> 00:04:24,610
+population قد يكون humans، أو يكون animals، ممكن
+
+58
+00:04:24,610 --> 00:04:28,030
+يكون plants، وممكن يكون كمان things، اللي هي أشياء
+
+59
+00:04:34,840 --> 00:04:40,480
+بقدر آخذ عينة من مرضى الزهايمر مثلاً، أو مرضى الكلى،
+
+60
+00:04:40,480 --> 00:04:45,120
+وهذول أسأل.. أسأل عن بعض النتائج المخبرية اللي
+
+61
+00:04:45,120 --> 00:04:48,420
+موجودة لهم، أعمل بعض الفحوصات المخبرية، أعبّئ منهم
+
+62
+00:04:48,420 --> 00:04:52,040
+استبيان، آخذ منهم المعلومات زي الـ height والـ
+
+63
+00:04:52,040 --> 00:04:55,660
+weight، وأجيب الـ body mass index، ممكن تكون animals
+
+64
+00:04:55,660 --> 00:04:58,700
+وهذه الـ animals أنا بدي أجري عليها بعض الفحوصات،
+
+65
+00:04:58,700 --> 00:05:02,080
+ممكن تكون الـ animals هذه طيور، أو تكون حيوانات، أنا
+
+66
+00:05:02,080 --> 00:05:05,340
+بسحب منهم عينات، ممكن تكون التجربة اللي موجودة عندي
+
+67
+00:05:05,340 --> 00:05:09,160
+experimental، أنا بدي أجيب بعض الفئران، وأحكم فيهم
+
+68
+00:05:09,160 --> 00:05:12,900
+نظاماً معيناً، وأشوف الـ effect تبعه، ممكن أكون كمان على
+
+69
+00:05:12,900 --> 00:05:16,900
+نباتات، بدي أشوف نبتة معينة، وهذه النبتة إيش الـ
+
+70
+00:05:16,900 --> 00:05:20,660
+effect اللي بيصير فيها، بأخذ هذه النبتة، مجموعة من
+
+71
+00:05:20,660 --> 00:05:24,120
+هذه النباتات، وبجعل هذه النباتات تخضع لبعض الفحوصات
+
+72
+00:05:24,120 --> 00:05:27,620
+المخبرية، وبقدر من خلالها أنها تعكس على باقي
+
+73
+00:05:27,620 --> 00:05:32,260
+النباتات اللي موجودة، ممكن تكون أشياء موجودة مثلاً،
+
+74
+00:05:32,260 --> 00:05:36,220
+أني أنا بدي أشوف برنامج معين، كيف آلية تحميل
+
+75
+00:05:36,220 --> 00:05:39,300
+البرنامج أو التطبيق اللي موجود على الجوال، فبكون
+
+76
+00:05:39,300 --> 00:05:42,320
+الجوال لا هو human، ولا هو animals، ولا هو plants، هو
+
+77
+00:05:42,320 --> 00:05:46,720
+بكون شيء موجود، جماد موجود، وبدأ أشوف هذا التطبيق
+
+78
+00:05:46,720 --> 00:05:50,900
+قد إيش بقدر يتحمله الجهاز، أو ما هي سرعة تحميله
+
+79
+00:05:50,900 --> 00:05:54,620
+على الجهاز، أو إيش الناس استفادت منه، فهو عبارة عن
+
+80
+00:05:54,620 --> 00:05:58,340
+أشياء بتكون موجودة، بنجري عليها الاختبار اللي كان
+
+81
+00:05:58,340 --> 00:06:05,640
+موجوداً، يبقى الـ sampling، الـ sample من مجموعة سابقة، أنا
+
+82
+00:06:05,640 --> 00:06:10,780
+بأخذ عينات ناس عندهم diabetic من الـ population،
+
+83
+00:06:12,360 --> 00:06:16,040
+السامبل من type 1 diabetes بيكون من الـ population
+
+84
+00:06:16,040 --> 00:06:20,840
+اللي هو type 1 diabetes، السامبل لـ type 2 بيكون من
+
+85
+00:06:20,840 --> 00:06:25,000
+population type 2، فأي sample بدها تكون من الـ
+
+86
+00:06:25,000 --> 00:06:27,880
+population اللي موجودة، يبقى أنا لو كان البحث عندي
+
+87
+00:06:27,880 --> 00:06:30,660
+على type 2 diabetes، بيكون الـ population هم type 2
+
+88
+00:06:30,660 --> 00:06:32,900
+diabetes، وأنا بأخذ منهم sample، لو كان الـ
+
+89
+00:06:32,900 --> 00:06:35,500
+population اللي أنا بأجري عليهم البحث، الناس اللي
+
+90
+00:06:35,500 --> 00:06:38,710
+عندهم diabetic retinopathy، فبالتالي بدي آخذ منهم
+
+91
+00:06:38,710 --> 00:06:41,590
+sample، وهذول الـ sample بيكون عندهم diabetic،
+
+92
+00:06:41,690 --> 00:06:47,230
+retinopathy، فبحدد الـ population من خلال الـ disease
+
+93
+00:06:47,230 --> 00:06:50,690
+اللي هي تحديد الـ population، أنه أنا بجيب اسم الـ
+
+94
+00:06:50,690 --> 00:06:53,790
+disease، وبعديها كلمة population، فبكون هم هذول الـ
+
+95
+00:06:53,790 --> 00:06:59,310
+population، بروح وبأخذ منهم sample، الهدف من أني
+
+96
+00:06:59,310 --> 00:07:02,810
+أنا آخذ الـ sampling، أنه هي تكون عينة ممثلة عن
+
+97
+00:07:02,810 --> 00:07:06,930
+المجتمع، أو عينة ممثلة عن الـ population، العينة بتكون
+
+98
+00:07:06,930 --> 00:07:10,090
+ممثلة حتى ما يكونش في عندنا biased، أنه ما فيش عندنا
+
+99
+00:07:10,090 --> 00:07:15,490
+أي تحيز، وكمان حتى نقدر نعمل تعميم للنتائج اللي موجودة
+
+100
+00:07:15,490 --> 00:07:21,390
+على الـ population، الـ sampling هدفها أول حاجة أنه
+
+101
+00:07:21,390 --> 00:07:25,290
+تكون عندنا ما فيها biased موجودة، ما فيش فيها
+
+102
+00:07:25,290 --> 00:07:30,200
+تحيز، وإذا كان فيها تحيز بتكون الـ sample not
+
+103
+00:07:30,200 --> 00:07:35,480
+representative، أنه تكون النتائج بقدر أعمّمها اللي
+
+104
+00:07:35,480 --> 00:07:39,080
+مخوذة عن الـ sample على كل population، والـ
+
+105
+00:07:39,080 --> 00:07:42,620
+advantage بتاعة الـ sample أنها بتقلل استهلاك الوقت
+
+106
+00:07:42,620 --> 00:07:47,300
+والنقود، اللي هي الفلوس، نأخذ
+
+107
+00:07:47,300 --> 00:07:52,520
+مثالاً على موضوع الـ sample وموضوع الـ population، لو
+
+108
+00:07:52,520 --> 00:07:55,560
+أنا بدي أدرس عند الـ gender، والنسبة اللي موجودة
+
+109
+00:07:56,230 --> 00:08:01,030
+ما بين الـ male والـ female في قطاع غزة، فهذا بيهمني
+
+110
+00:08:01,030 --> 00:08:04,630
+أني أنا لازم آخذ كل population، حتى أقدر أدرس هذه
+
+111
+00:08:04,630 --> 00:08:08,640
+الظاهرة، من مركز الإحصاء الفلسطيني، لو أنا بدي أدرس
+
+112
+00:08:08,640 --> 00:08:12,740
+الـ smoking اللي موجود في قطاع غزة، فممكن أبدأ هنا
+
+113
+00:08:12,740 --> 00:08:16,920
+آخذ sample بشكل عام، يعني آخذ من الشارع اللي موجود
+
+114
+00:08:16,920 --> 00:08:21,880
+من الناس اللي موجودين في الشارع، آخذ عينة عشوائية، و
+
+115
+00:08:21,880 --> 00:08:27,720
+أقول والله نسبتهم كانت مثلاً 25%، يبقى بنقدر نأخذ
+
+116
+00:08:27,720 --> 00:08:31,340
+عينة عشوائية من اللي موجودين، ونقول والله النسبة
+
+117
+00:08:31,340 --> 00:08:35,320
+كانت كذا في قطاع غزة، لو أنا بدي أدرس الـ smoking
+
+118
+00:08:35,320 --> 00:08:39,040
+في قطاع غزة، أبدأ آخذ عينة عشوائية، وأقول قد إيش
+
+119
+00:08:39,040 --> 00:08:43,220
+كانت النسبة اللي موجودة الـ smoker في قطاع غزة، لو
+
+120
+00:08:43,220 --> 00:08:45,680
+أنا بدي أدرسها في الـ adult، أبدأ آخذ الناس اللي فوق
+
+121
+00:08:45,680 --> 00:08:49,620
+الـ 18، لو أنا بدي أدرسها في الناس اللي في المدارس، أبدأ آخذ الناس اللي أقل من 18 مثلاً، لو
+
+122
+00:08:49,620 --> 00:08:54,500
+بقول أنا في الـ primary school أو في الـ secondary
+
+123
+00:08:54,500 --> 00:08:56,740
+school، أبدأ آخذ الفئة هذه كـ population، وآخذ منهم
+
+124
+00:08:56,740 --> 00:09:00,600
+كـ sample، لو بدي أدرس أنا الناس اللي بتتعاطى أدوية
+
+125
+00:09:05,100 --> 00:09:09,440
+ما بين طلاب المدارس، فبيكونوا كل طلاب المدارس عبارة
+
+126
+00:09:09,440 --> 00:09:13,260
+عن population، وبدي آخذ sample موجودة منهم، لو
+
+127
+00:09:13,260 --> 00:09:16,160
+بدي أدرس موضوع الـ abortion، الـ abortion مش معقول
+
+128
+00:09:16,160 --> 00:09:20,840
+يكون في كل قطاع غزة، نسبة الـ abortion بتكون موجودة
+
+129
+00:09:20,840 --> 00:09:23,340
+في الـ pregnant women، فبيكونوا عندنا الـ population
+
+130
+00:09:23,340 --> 00:09:27,210
+هم الـ pregnant women، لو بدنا ندرس الـ hepatitis C
+
+131
+00:09:27,210 --> 00:09:30,410
+اللي موجودة بين المزارعين، فبكون الـ population هم
+
+132
+00:09:30,410 --> 00:09:34,730
+المزارعين، وبأخذ منهم sample، وأعملهم hepatitis C،
+
+133
+00:09:34,730 --> 00:09:38,230
+وأشوف قد إيش الـ prevalence اللي كانت موجودة عندنا،
+
+134
+00:09:38,230 --> 00:09:41,910
+لو بدنا ندرس الـ depression اللي هو الضغط النفسي ما
+
+135
+00:09:41,910 --> 00:09:46,450
+بين الناس المتعلمين الفلسطينيين، فبكون الناس
+
+136
+00:09:46,450 --> 00:09:50,450
+المتعلمين، أو الطبقة المتعلمة هي الـ population، و
+
+137
+00:09:50,450 --> 00:09:53,770
+بتأخذ منها عينة، وأشوف قد إيش عندهم الـ depression
+
+138
+00:09:53,770 --> 00:09:57,830
+موجود، طريقة الـ sampling كيف أنا بدي آخذها، أو الـ
+
+139
+00:09:57,830 --> 00:10:01,490
+technique اللي بنأخذ فيه الـ sample، أول حاجة في
+
+140
+00:10:01,490 --> 00:10:04,530
+عندنا نوعين من الـ sampling، في عندنا probability
+
+141
+00:10:04,530 --> 00:10:08,030
+sampling، و non probability sampling، الـ probability
+
+142
+00:10:08,030 --> 00:10:13,230
+sample فيها عدة أنواع، الـ simple random sampling، و
+
+143
+00:10:13,230 --> 00:10:17,530
+الـ systemic sampling، الـ stratified sampling، والـ
+
+144
+00:10:17,530 --> 00:10:21,370
+cluster sample، والـ multistage sample، وهنتكلم
+
+145
+00:10:21,370 --> 00:10:25,990
+عنهم كلهم بالتفاصيل بعد شوية، ولكن قبل ما نتكلم عنهم
+
+146
+00:10:25,990 --> 00:10:29,530
+نتذكر أنه في عندنا نوع ثاني اسمه non probability
+
+147
+00:10:29,530 --> 00:10:34,130
+sampling، وهذا مقسوم إلى عدة أقسام، sequential
+
+148
+00:10:34,130 --> 00:10:38,430
+sampling، وفي عندنا الـ convenience sampling، وفي
+
+149
+00:10:38,430 --> 00:10:42,510
+عندنا الـ judgemental sampling، والـ quota sampling،
+
+150
+00:10:42,510 --> 00:10:47,670
+و snowball sampling، كل هذول هنتكلم عنهم واحدة
+
+151
+00:10:47,670 --> 00:10:52,980
+واحدة و بالتفصيل، نبدأ أول حاجة نفهم إيش يعني
+
+152
+00:10:52,980 --> 00:10:56,620
+probability sampling، probability sampling هذه
+
+153
+00:10:56,620 --> 00:11:00,320
+معناها أن كل واحد في الـ population بيكون له
+
+154
+00:11:00,320 --> 00:11:04,090
+chance أن يكون موجود في الـ sample، يبقى بتكون عندنا
+
+155
+00:11:04,090 --> 00:11:08,110
+الـ probability sampling هي أفضل نوع representative
+
+156
+00:11:08,110 --> 00:11:11,730
+أو representation للـ sample، وهي بتكون random
+
+157
+00:11:11,730 --> 00:11:16,630
+sample، العينة عشوائية، ومعنى probability sample أو
+
+158
+00:11:16,630 --> 00:11:22,090
+random samples، أن كل شخص في الـ population بيكون له
+
+159
+00:11:22,090 --> 00:11:27,560
+نفس الـ chance أنه يختار ضمن العينة، ونؤكد دائماً
+
+160
+00:11:27,560 --> 00:11:32,740
+ونؤكد دائماً أنها هي أفضل عينة ممكن نأخذها، لما بتكون
+
+161
+00:11:32,740 --> 00:11:38,840
+عندنا random sample أو probability sample، الطرق
+
+162
+00:11:38,840 --> 00:11:42,180
+اللي بتضمن أخذ الـ sampling لـ probability sample،
+
+163
+00:11:42,180 --> 00:11:45,920
+أول حاجة هي الـ simple random sample، والـ cluster
+
+164
+00:11:45,920 --> 00:11:50,260
+sample، والـ stratified sample، والـ systemic random
+
+165
+00:11:50,260 --> 00:11:54,360
+sample، والـ multistage random sample، يبقى random
+
+166
+00:11:54,360 --> 00:11:59,620
+sample بتكون simple، و cluster، و stratified، و
+
+167
+00:11:59,620 --> 00:12:01,600
+systemic، و multistage
+
+168
+00:12:03,670 --> 00:12:07,190
+باختصار، الـ simple random sample، بيكون كل الـ
+
+169
+00:12:07,190 --> 00:12:11,370
+population موجودين عندي، وأنا زي ورقة اليانصيب،
+
+170
+00:12:11,370 --> 00:12:14,870
+بختار منهم بشكل عشوائي، واللي بيطلع معايا في القرعة
+
+171
+00:12:14,870 --> 00:12:19,610
+هو اللي بأخذه أنا، هو كـ sample representative عن الـ
+
+172
+00:12:19,610 --> 00:12:25,230
+population، الـ disadvantage بتاعتها، واللي هي لها
+
+173
+00:12:25,230 --> 00:12:27,990
+advantages أصلاً، للـ simple random sample، وكل الـ
+
+174
+00:12:27,990 --> 00:12:31,510
+advantages بتاعتها، أنه هي أفضل نوع sample ممكن
+
+175
+00:12:31,510 --> 00:12:35,660
+نأخذه، الـ disadvantage اللي هي عيوبها، أنه أنا بحتاج
+
+176
+00:12:35,66
+
+223
+00:15:55,600 --> 00:15:59,680
+تلاتين سبعة، وسبعة و أربعين، سبعة و خمسين، سبعة و ستين، سبعة
+
+224
+00:15:59,680 --> 00:16:03,160
+و ثمانين، سبعة و تسعين، فبكون هذه الأسماء أنا اخترت
+
+225
+00:16:03,160 --> 00:16:09,090
+هيك بالحالة هذه، عشر عينات موجودة عندي بالـ cluster
+
+226
+00:16:09,090 --> 00:16:12,770
+random sample، أنه أنا فيه عندي المحافظات، و هذه
+
+227
+00:16:12,770 --> 00:16:18,300
+المحافظات بأختار منها بشكل عشوائي، بكون هذا الشكل
+
+228
+00:16:18,300 --> 00:16:22,600
+على شكل cluster، عندي خمس محافظات موجودة، و الخمس
+
+229
+00:16:22,600 --> 00:16:29,840
+محافظات في غزة: رفح، خان يونس، الوسطى، غزة الشمالية، بأختار
+
+230
+00:16:29,840 --> 00:16:33,340
+بشكل عشوائي ما بين المحافظات، فمثلاً بتطلع معايا
+
+231
+00:16:33,340 --> 00:16:38,940
+محافظة الوسطى، و محافظة الشمال، فبروح كمان بأخد عينة
+
+232
+00:16:38,940 --> 00:16:44,590
+عشوائية من المحافظات، فبكون عندي سحب، أو شكل سحب على
+
+233
+00:16:44,590 --> 00:16:49,350
+المحافظات، و كمان بكون عندي داخل المحافظة بنسحب
+
+234
+00:16:49,350 --> 00:16:55,090
+أسماء، و هذا بكون أسهل لأخذ العينات، على أساس أضمن أن
+
+235
+00:16:55,090 --> 00:16:58,630
+كل عينة الدراسة اللي موجودة عندي في البحث موجودة في
+
+236
+00:16:58,630 --> 00:17:04,390
+مكان واحد، و ما يقعد الواحد يلفلف على كل قطاع غزة، و
+
+237
+00:17:04,390 --> 00:17:09,710
+هذه الشيء بناخده لما بكون عندنا difficult، صعب أن
+
+238
+00:17:09,710 --> 00:17:14,490
+ناخد الـ simple random sample، و بكل الأحوال هو صعب
+
+239
+00:17:14,490 --> 00:17:19,220
+عندنا أن ناخد simple random sample، بـ procedure أنه
+
+240
+00:17:19,220 --> 00:17:23,240
+أنا بأختار عندي governorates، بأختار cluster جوا الـ
+
+241
+00:17:23,240 --> 00:17:26,900
+governorates، بعدين بأختار كمان units جوا الـ
+
+242
+00:17:26,900 --> 00:17:30,980
+governorates، زي ما اتكلمنا قبل شوية، و بعدين بسير
+
+243
+00:17:30,980 --> 00:17:34,480
+آخد بشكل عشوائي من داخل هذه الـ governorates اللي
+
+244
+00:17:34,480 --> 00:17:38,120
+أنا اخترتها، أو الـ unit اللي أنا اخترتها، حتى أجمع
+
+245
+00:17:38,120 --> 00:17:43,100
+العينة الدراسة اللي أنا بدي إياها، و هذا الـ cluster
+
+246
+00:17:43,100 --> 00:17:46,360
+random sample، بنقول عنها بالعربي هيك: العينة
+
+247
+00:17:46,360 --> 00:17:51,480
+العنقودية، stratified random sample، اللي هي العينة
+
+248
+00:17:51,480 --> 00:17:55,900
+الطبقية، أنا مثلاً في عندي male و female، و بدي
+
+249
+00:17:55,900 --> 00:17:59,860
+مجموعة من الـ male، و مجموعة من الـ female للبحث، لأنه
+
+250
+00:17:59,860 --> 00:18:04,100
+من ضمن أهداف الدراسة، بدي أقارن ما بين الـ male و الـ
+
+251
+00:18:04,100 --> 00:18:07,900
+female، فبروح بقسم العينة اللي موجودة عندي
+
+252
+00:18:07,900 --> 00:18:11,300
+على الـ strata، اللي هي طبقات، اللي هي male و female، و
+
+253
+00:18:11,300 --> 00:18:15,820
+بعدين بأخد شكل عشوائي، أو بأخد cluster على أساس
+
+254
+00:18:15,820 --> 00:18:19,720
+أضمن أحقق أهداف الدراسة، أو الـ study اللي بدي
+
+255
+00:18:19,720 --> 00:18:24,540
+أعملها، يبقى الـ procedure على حسب أهداف الدراسة، إذا
+
+256
+00:18:24,540 --> 00:18:28,660
+كان مهتم بالـ disease، أو مهتم بموضوع الـ gender، أو
+
+257
+00:18:28,660 --> 00:18:33,280
+مهتم بالـ education level، بدي أجسم الـ strata، و بعدين
+
+258
+00:18:33,280 --> 00:18:36,640
+بدي آخد عينة عشوائية جوا الـ strata، على شكل
+
+259
+00:18:36,640 --> 00:18:40,900
+simple random sample، و بعد ذلك أروح أجمعهم مع بعض،
+
+260
+00:18:40,900 --> 00:18:44,870
+و بتكون هذه عندي الـ sample، اللي هي stratified sample، أنا
+
+261
+00:18:44,870 --> 00:18:49,070
+وزعتهم لطبقات، و هذه الطبقات أنا روحت آخد منهم
+
+262
+00:18:49,070 --> 00:18:53,810
+حسب اللي أنا بدي إياه، في كل طبقة موجودة، مثلاً لو بدنا
+
+263
+00:18:53,810 --> 00:18:57,150
+ندرس الـ education، و في عندنا في أهداف الدراسة بدي
+
+264
+00:18:57,150 --> 00:19:02,590
+أقارن مستوى التركيز ما بين مستوى الدراسة، فبدي آخد
+
+265
+00:19:02,590 --> 00:19:06,650
+عندي الـ primary school، و الـ secondary school، و آخد
+
+266
+00:19:06,650 --> 00:19:09,070
+عندي كمان الـ preparatory school، و آخد الـ
+
+267
+00:19:09,070 --> 00:19:13,470
+university، و الـ diploma، و الـ high education، فبتروح
+
+268
+00:19:13,470 --> 00:19:18,310
+آخد من كل strata عينة موجودة، حتى أقدر أقارن فيه ما
+
+269
+00:19:18,310 --> 00:19:21,770
+بينهم، و هذه العينة بتكون نسبة و تناسب على حسب
+
+270
+00:19:21,770 --> 00:19:26,270
+الأعداد اللي موجودة، و لكن لـ cluster، أنا فيه عندي
+
+271
+00:19:26,270 --> 00:19:29,630
+ستة، و الستة عملت عليهم جرعة، و طلعوا الاثنتين هدول
+
+272
+00:19:29,630 --> 00:19:33,670
+روحت آخد عينة من الاثنتين، أو آخد الاثنتين كلهم على
+
+273
+00:19:33,670 --> 00:19:39,650
+حسب الـ sampling اللي بدنا إياه، أكيد من خلال اطلاع
+
+274
+00:19:39,650 --> 00:19:43,230
+أعرفنا أنه هذه عبارة عن specified sample، و هذه
+
+275
+00:19:43,230 --> 00:19:46,970
+عبارة عن cluster sample، لأنه أنا خدت العينة كلها
+
+276
+00:19:46,970 --> 00:19:50,290
+بعد ما عملت الأماكن هذه كلها، و عدّت المحافظات
+
+277
+00:19:50,290 --> 00:19:54,810
+فروحت آخد عينة كاملة من المحافظات، و لكن الـ strata
+
+278
+00:19:54,810 --> 00:19:58,590
+بأخد من كل واحدة، لازم آخد من كل واحدة، حتى أقدر
+
+279
+00:19:58,590 --> 00:20:02,490
+أقارن ما بين الأماكن اللي موجودة أمامي، الـ
+
+280
+00:20:02,490 --> 00:20:07,790
+multistage random sample، هي عبارة عن نوع من أنواع
+
+281
+00:20:07,790 --> 00:20:11,150
+random sample، بناخده لما يكون الـ population عندنا
+
+282
+00:20:11,150 --> 00:20:15,950
+عدده كبير، و يكون صعب جداً أن يكون فيه chance لكل
+
+283
+00:20:15,950 --> 00:20:20,650
+individual أن يكون داخل العينة، باختصار الـ
+
+284
+00:20:20,650 --> 00:20:25,290
+multistage random sample، بيكون عبارة عن عملية دمج
+
+285
+00:20:25,290 --> 00:20:30,030
+ما بين نوعين أو أكثر من الأنواع اللي موجودة، بنلاقي
+
+286
+00:20:30,030 --> 00:20:34,510
+فيه دمج ما بين الـ cluster، و الـ stratified، بنلاقي ما
+
+287
+00:20:34,510 --> 00:20:37,770
+بين الـ cluster، و الـ simple random sample، ما بين الـ
+
+288
+00:20:37,770 --> 00:20:40,710
+systematic، و الـ simple، بيكونوا أكثر من اثنين موجودين
+
+289
+00:20:40,710 --> 00:20:44,190
+من أمامنا، مدمجين في بعض في الـ sampling، فبنسميها
+
+290
+00:20:44,190 --> 00:20:47,470
+multistage، أول حاجة بناخد cluster من الـ population،
+
+291
+00:20:48,340 --> 00:20:51,760
+و هذا الـ cluster كمان بناخد كمان جواته كمان cluster،
+
+292
+00:20:51,760 --> 00:20:54,060
+يبقى بناخد الـ governorates، و بعدين بناخد الـ
+
+293
+00:20:54,060 --> 00:20:58,880
+citizens، بناخد الـ governorates، و بعدين بناخد الـ
+
+294
+00:20:58,880 --> 00:21:01,840
+citizens اللي موجود، يبقى أول شيء بناخد الـ cluster
+
+295
+00:21:01,840 --> 00:21:06,050
+كـ governorates، بعدين بناخد عندنا الأماكن اللي
+
+296
+00:21:06,050 --> 00:21:09,710
+موجودة، أو القرى اللي موجودة، أو المدن اللي موجودة
+
+297
+00:21:09,710 --> 00:21:13,310
+داخل الـ cluster الأولى اللي هي الـ governorates،
+
+298
+00:21:13,310 --> 00:21:17,270
+بعدين بنعمل random sample، و إذا أنا بدأت آخد بس
+
+299
+00:21:17,270 --> 00:21:21,350
+الأطفال، بعمل عندي strata، أنه أنا أقسم الأطفال
+
+300
+00:21:21,350 --> 00:21:25,280
+لحال، و بروح بأخد منهم sample، يبقى الـ procedure
+
+301
+00:21:25,280 --> 00:21:29,500
+تباعاً: أول حاجة بعمل cluster لـ governorate، و بروح
+
+302
+00:21:29,500 --> 00:21:34,480
+بأخد اثنتين cluster مثلاً زي خان يونس، فبروح بأخد اثنتين
+
+303
+00:21:34,480 --> 00:21:40,280
+cluster زي رفح، و الوسطى، و بعد ذلك بروح بنأخذ كمان
+
+304
+00:21:40,280 --> 00:21:44,800
+جوا الأماكن هذه كمان cluster، بنأخذ مثلاً المناطق
+
+305
+00:21:44,800 --> 00:21:47,880
+اللي موجودة في داخلها، و بنقسمها لعدة مناطق، و
+
+306
+00:21:47,880 --> 00:21:51,400
+بنختارها بشكل عشوائي، منطقتين، و بروح بأخذ عينة
+
+307
+00:21:51,400 --> 00:21:55,030
+عشوائية داخل هذه المناطق، من الأطفال اللي موجودين،
+
+308
+00:21:55,030 --> 00:21:58,650
+إذا كانت عينة البحث هي الأطفال، في عندنا النوع
+
+309
+00:21:58,650 --> 00:22:02,670
+الثاني: الـ non-probability sampling، اللي هو بنقول
+
+310
+00:22:02,670 --> 00:22:10,390
+عنه شيء بيخدم الهدف، و لكن لا تعتبر random sample،
+
+311
+00:22:10,390 --> 00:22:14,990
+أول نوع منه اللي هو الـ purposive sample، الـ
+
+312
+00:22:14,990 --> 00:22:19,590
+purposive sample بيستخدم لما يكون مستحيل، أو صعب
+
+313
+00:22:19,590 --> 00:22:25,640
+عليه أن آخذ simple random sample، لأنه ما يكونش عند
+
+314
+00:22:25,640 --> 00:22:29,620
+البيانات اللي موجودة بتاعة المرضى اللي أقدر أعمل
+
+315
+00:22:29,620 --> 00:22:34,220
+عليها random sample، أو أعمل عليها cluster، فبالتالي
+
+316
+00:22:34,220 --> 00:22:40,340
+ما يكونش أمامي اللي أنا آخده، و بأجي على المكان، و بأخد
+
+317
+00:22:40,340 --> 00:22:44,220
+عينة منه، على مستشفى بدي مرضى سكر، بروح مرضى السكر
+
+318
+00:22:44,220 --> 00:22:47,560
+اللي موجودين، بأخذ منهم، أنواع اللي برضه في sample،
+
+319
+00:22:47,560 --> 00:22:52,240
+أول حاجة بروح المستشفى، بنسميه sequential sample،
+
+320
+00:22:52,240 --> 00:22:56,540
+عينة متتالية، اللي بيجي.. المريض اللي بيجي بأعطي منه
+
+321
+00:22:56,540 --> 00:23:00,400
+استبانة، و بسحب منه عينة الدم، بنسميها sequential
+
+322
+00:23:00,400 --> 00:23:06,320
+sample، في نوع ثاني اسمه convenience sample، لو أنا
+
+323
+00:23:06,320 --> 00:23:10,160
+بروح في أيام معينة، ما بديش أروح كل يوم ورا بعض، حتى
+
+324
+00:23:10,160 --> 00:23:13,820
+آخذ ناس متتالية على مدار أسبوع، بروح يوم اثنين،
+
+325
+00:23:13,820 --> 00:23:18,160
+و يوم الخميس، و يوم السبت، على حسب الظروف اللي موجودة،
+
+326
+00:23:18,160 --> 00:23:21,830
+بنقول عنها convenience sample، في عندنا النوع الثالث،
+
+327
+00:23:21,830 --> 00:23:24,790
+اسمه judgmental sample، الـ judgmental sample،
+
+328
+00:23:24,790 --> 00:23:30,150
+هدول الناس بأخذ منهم العينة في يوم محدد، لأن هم
+
+329
+00:23:30,150 --> 00:23:35,870
+بيجوا فقط كل يوم اثنين على المستشفى، زي مثلاً زي مثلاً
+
+330
+00:23:35,870 --> 00:23:40,870
+مرضى الكلى، أو مراجعة أقسام الكلى، بتكون كل يوم
+
+331
+00:23:40,870 --> 00:23:44,790
+اثنين، لو أنا بدي آخذ من عينة من أمهات جلدية، و أشوف الـ
+
+332
+00:23:44,790 --> 00:23:48,470
+fungi اللي موجودة، و الـ prevalence بتاعة الفطريات، و
+
+333
+00:23:48,470 --> 00:23:52,090
+إيش أنواع اللي موجودة في الفطريات، فمعروفة أقسام
+
+334
+00:23:52,090 --> 00:23:55,530
+الجلدية اللي بتكون موجودة في مستشفيات قطاع غزة
+
+335
+00:23:55,530 --> 00:23:59,890
+بتفتح مثلاً.. بتفتح مثلاً يومين في الأسبوع، اللي هو
+
+336
+00:23:59,890 --> 00:24:04,110
+يوم الاثنين، و يوم الخميس، فبروح في الأيام هذه، بنقول
+
+337
+00:24:04,110 --> 00:24:10,070
+عنها judgmental sample، لأنها محكومة بأيام معينة، هذه
+
+338
+00:24:10,070 --> 00:24:13,890
+العينة اللي محكومة بأيام معينة، لو كان أنا بدي جزء
+
+339
+00:24:13,890 --> 00:24:19,330
+male، و جزء female، سميناها سابقاً strata، في الـ
+
+340
+00:24:19,330 --> 00:24:23,490
+probability sample، و لكن هنا بنسميها quota، يعني بقى
+
+341
+00:24:23,490 --> 00:24:27,370
+أنا جوا الـ sample اللي موجودة، الـ judgmental، أو الـ
+
+342
+00:24:27,370 --> 00:24:31,150
+convenience، أو الـ sequential sample، لما بدي أقسمها
+
+343
+00:24:31,150 --> 00:24:35,470
+لطبقات، بسميها quota، اللي هي زي الـ male، و الـ female،
+
+344
+00:24:36,360 --> 00:24:39,520
+في عندنا نوع من الـ sample بنسميها snowball sample،
+
+345
+00:24:39,520 --> 00:24:43,920
+اللي هي كرة الثلج المتدحرجة، أنه هو كل واحد
+
+346
+00:24:43,920 --> 00:24:48,180
+بيوديني للثاني، مثلاً في عندنا بعض الأمراض اللي
+
+347
+00:24:48,180 --> 00:24:53,960
+موجودة، صعب جداً أن أحصل على بيانات هؤلاء المرضى، زي
+
+348
+00:24:53,960 --> 00:24:59,900
+مثلاً الناس المتعاطين لمادة مخدرة، صعب جداً أروح على
+
+349
+00:24:59,900 --> 00:25:03,580
+وزارة الداخلية، أو وزارة الصحة، و آخد منهم كشوفات
+
+350
+00:25:03,580 --> 00:25:09,080
+الأسماء، فبكونش قدامي، أو أمامي، اللي أنا أعرف واحد، و
+
+351
+00:25:09,080 --> 00:25:12,480
+الشخص هذا أسأل: إذا بتعرف واحد ثاني؟ و هو يقولي: آه،
+
+352
+00:25:12,480 --> 00:25:16,340
+والله صحيح، في زميلي واحد، اثنين، ثلاثة، و بأخذ منه
+
+353
+00:25:16,340 --> 00:25:20,280
+جوال، و بتواصل معه، و الثاني بيوصلني للثالث، و الثالث
+
+354
+00:25:20,280 --> 00:25:24,560
+للرابع، فكل واحد بيوصلني للي بعده، فَهذا بنقول عنه
+
+355
+00:25:24,560 --> 00:25:28,840
+snowball sample، أن كل مريض بعطيني اسم اللي بعده، عَ
+
+356
+00:25:28,840 --> 00:25:33,700
+أمل الحصول على العينة اللي أنا بدي إياها في الدراسة، و
+
+357
+00:25:33,700 --> 00:25:37,020
+هيك بكون خلصنا كل أنواع الـ sampling اللي أنا بدي
+
+358
+00:25:37,020 --> 00:25:42,060
+آخذه في البحث، بشكل عام أنه إحنا دائماً كل أبحاثنا
+
+359
+00:25:42,060 --> 00:25:45,540
+اللي إحنا هنعملها، بتكون رايحة ناحية الـ non-
+
+360
+00:25:45,540 --> 00:25:48,840
+probability sample، لأنه هنا صعب نأخذ بيانات
+
+361
+00:25:48,840 --> 00:25:52,780
+المرضى، و نجسم لـ strata، و نعمل systematic review، و
+
+362
+00:25:52,780 --> 00:25:56,120
+نعمل cluster، في الغالب بتكون يا sequential sample،
+
+363
+00:25:56,120 --> 00:26:00,400
+يا convenience sample، يا إما judgmental sample، يا
+
+364
+00:26:00,400 --> 00:26:04,900
+إما quota sample، على حسب البحث اللي موجود، و على حسب
+
+365
+00:26:04,900 --> 00:26:08,480
+البيانات المتوفرة، و لكن في الغالب هي بتكون
+
+366
+00:26:08,480 --> 00:26:12,740
+convenience sampling، يبقى أنا بروح على المريض اللي
+
+367
+00:26:12,740 --> 00:26:17,520
+موجود، و بأخذه في الوقت اللي أنا بكون فاضٍ فيه، في الـ
+
+368
+00:26:17,520 --> 00:26:23,360
+sample size، اللي هي كيفية حساب العينة
+
+369
+00:26:23,360 --> 00:26:28,620
+الخاصة بالدراسة، و تكون هذه العينة ممثلة على الـ
+
+370
+00:26:28,620 --> 00:26:33,840
+population، فحتى أحسب الـ sample size، بلزم أول حاجة
+
+371
+00:26:33,840 --> 00:26:38,600
+أكون عارف إيش يعني sample size، الـ sample size
+
+372
+00:26:38,600 --> 00:26:43,820
+معناته أنه هي mathematical equation، هي معادلة موجودة
+
+373
+00:26:44,240 --> 00:26:49,680
+بتقول لي على أقل عدد من الـ population اللي أستخدمه، و
+
+374
+00:26:49,680 --> 00:26:54,180
+أكون هذا العدد ممثل للـ population، حتى أعرف
+
+375
+00:26:54,180 --> 00:26:58,620
+المعادلة، و أعرف أستخدم المعادلة، أول حاجة بدي أعرف
+
+376
+00:26:58,620 --> 00:27:01,320
+عندي إيش الـ dependent، و إيش الـ independent،
+
+377
+00:27:02,040 --> 00:27:04,800
+variables، الـ dependent و الـ independent variable اللي اتكلمنا
+
+378
+00:27:04,800 --> 00:27:08,860
+عنهم قبل، بدي أعرف هل الـ design اللي موجود عندي بدي
+
+379
+00:27:08,860 --> 00:27:13,720
+آخد pre و post، بدي آخد بس pre، ولا post، واحد فيهم،
+
+380
+00:27:13,720 --> 00:27:18,100
+كمان إيش أنواع الاختبارات اللي موجودة، كمية الأخطاء
+
+381
+00:27:18,100 --> 00:27:22,920
+اللي موجودة أثناء سحب العينات، أو أثناء تعبئة
+
+382
+00:27:22,920 --> 00:27:29,000
+الاستبيانات، قوة الدراسة، و effect size، أو result
+
+383
+00:27:29,000 --> 00:27:34,360
+اللي أنا بدي إياه، كيف بدي إياه يطلع، كل هذه العوامل بتلعب
+
+384
+00:27:34,360 --> 00:27:38,980
+دوراً كبيراً، كل هذه العوامل بتأثر على حساب الـ sample
+
+385
+00:27:38,980 --> 00:27:43,780
+size، نأخذ مثال أنه أنا بدأت أشوف الـ prevalence تحت
+
+386
+00:27:43,780 --> 00:27:49,410
+الـ HIV في قطاع غزة، و إحنا خدنا عينة عشوائية من قطاع
+
+387
+00:27:49,410 --> 00:27:54,530
+غزة 101، متوقع يطلع فيهم النسبة 0، فبالتالي الـ
+
+388
+00:27:54,530 --> 00:27:58,170
+primary outcome اللي موجود عندي، هم أساساً اللي
+
+389
+00:27:58,170 --> 00:28:02,170
+موجودين في قطاع غزة، إن وجدوا فهم rare، فبالتالي
+
+390
+00:28:02,170 --> 00:28:06,990
+حالات نادرة جداً، بتطلب مني آخذ sample كبيرة، حتى
+
+391
+00:28:06,990 --> 00:2
+
+445
+00:32:07,710 --> 00:32:11,910
+فحوصات مخبرية؟ فبتعتمد على طبيعة الشخص وإمكانياته
+
+446
+00:32:11,910 --> 00:32:17,420
+وأحياناً بتكون الـ sample size هذه الـ sample
+
+447
+00:32:17,420 --> 00:32:21,480
+size أنه أنا بكون قادر أن أجيب الـ kit والـ kit بيعمل
+
+448
+00:32:21,480 --> 00:32:26,880
+90 فحص فباخد 45 case و 45 control بدون الرجوع للـ
+
+449
+00:32:26,880 --> 00:32:31,100
+sample size اللي موجودة. عندنا مثال بيحكي على الـ
+
+450
+00:32:31,100 --> 00:32:34,620
+sample size هذا كـ exercise للإطلاع فقط، وهي عندنا
+
+451
+00:32:34,620 --> 00:32:38,980
+معادلة الـ sample size. في عندنا مثال بيقول أنه أنا
+
+452
+00:32:38,980 --> 00:32:42,460
+عندي الـ thyroid والـ thyroid. هدول الـ prevalence
+
+453
+00:32:42,460 --> 00:32:47,050
+كان عندهم 10% في قطاع غزة، وأنا عارف أن نسبة الـ
+
+454
+00:32:47,050 --> 00:32:51,030
+margin of error اللي موجودة من خلال الـ sample اللي
+
+455
+00:32:51,030 --> 00:32:55,890
+اتاخدت، إنها هي 2%. يبقى عشرة زائد أو ناقص اتنين، يبقى
+
+456
+00:32:55,890 --> 00:33:01,450
+النسبة بتكون من 8 إلى 12%، ومتوسطها 10%، لأن في ناس
+
+457
+00:33:01,450 --> 00:33:04,870
+بتقول عشرة، في ناس بتقول 11، في أشهر بيكون فيها 12،
+
+458
+00:33:04,870 --> 00:33:09,830
+في أشهر بيطلع فيها الـ prevalence مثلاً 8، فبنقول
+
+459
+00:33:09,830 --> 00:33:14,480
+والله عشرة زائد أو ناقص اتنين. بنبدأ نحسب ونطبق هي
+
+460
+00:33:14,480 --> 00:33:19,040
+الـ margin of error هي الـ z. الـ z معروفة بقانون، وهنتكلم
+
+461
+00:33:19,040 --> 00:33:23,100
+عنها جداً في الإحصاء، واحد و ستة وتسعين، وبنبدأ
+
+462
+00:33:23,100 --> 00:33:25,860
+نحسب على الـ prevalence اللي موجودة. هذه عشرة في
+
+463
+00:33:25,860 --> 00:33:30,700
+المئة، يعني اللي يعني اللي هي واحد من عشرة
+
+464
+00:33:30,700 --> 00:33:34,180
+هي نفس عشرة في المئة. بنطبق على المعادلة، وبنكتب الـ
+
+465
+00:33:34,180 --> 00:33:37,640
+sample size اللي موجودة، هي الـ n اللي موجود هنا، و
+
+466
+00:33:37,640 --> 00:33:42,220
+بنحسب قيمة الـ n، تطلع معانا تمانمية وأربعة وستين.
+
+467
+00:33:43,800 --> 00:33:48,680
+عندي برنامج الـ Epi Info، بقدر من خلاله أن أحسب كمية
+
+468
+00:33:48,680 --> 00:33:51,900
+الـ sample اللي أنا بدي إياها، واللي تكون
+
+469
+00:33:51,900 --> 00:33:56,420
+representative، ممثلة للمجتمع. البرنامج ممكن ينزلوا
+
+470
+00:33:56,420 --> 00:34:00,480
+تطبيق على الجوال. بنكتب Epi Info على الجوال، وبنزل التطبيق
+
+471
+00:34:00,480 --> 00:34:05,560
+أو من خلال الـ ... ننزله من خلال النت، موجود على جوجل. لو
+
+472
+00:34:05,560 --> 00:34:10,260
+كتبنا Epi Info download، بننزل برنامج Epi Info ونطبق
+
+473
+00:34:10,260 --> 00:34:14,380
+عليه الأشياء اللي احنا هنتكلم عنها هالوقت. باجي
+
+474
+00:34:14,380 --> 00:34:18,680
+البرنامج، البرنامج بيكون كاتب عينة افتراضية، الرقم
+
+475
+00:34:18,680 --> 00:34:23,690
+اللي موجود تقريباً مليون، وبكتب عشرة في المئة، والـ
+
+476
+00:34:23,690 --> 00:34:27,190
+confidence level اللي هي اتنين في المئة، اللي هي الـ
+
+477
+00:34:27,190 --> 00:34:31,630
+margin of error، بيطلع معايا تمانمية وأربعة وستين. الـ
+
+478
+00:34:31,630 --> 00:34:35,650
+sample size عند خمسة وتسعين في المئة. بعد ما يتحمل
+
+479
+00:34:35,650 --> 00:34:39,610
+البرنامج، بنروح بنضغط دبل كليك double click على Start
+
+480
+00:34:39,610 --> 00:34:44,990
+Calculate، بعدين بنروح بنضغط على الـ population
+
+481
+00:34:44,990 --> 00:34:50,790
+survey. هذا رقم بيكون رقم افتراضي، موجود تقريباً مليون.
+
+482
+00:34:50,790 --> 00:34:54,970
+لو احنا بنكتب اتنين مليون مثلاً على قطاع غزة، هيعني
+
+483
+00:34:54,970 --> 00:34:59,370
+اتنين مليون موجودين، هيعني تلت أسفار، وتلت أسفار
+
+484
+00:34:59,370 --> 00:35:04,970
+يبقى اتنين مليون هيعني عشرة في المئة، وهيعني اتنين
+
+485
+00:35:04,970 --> 00:35:09,110
+في المئة زي ما كان موجود في السؤال. بنلاحظ أنه
+
+486
+00:35:09,110 --> 00:35:13,650
+راح حسبنا عند خمسة وتسعين في المئة، تمانمية وأربعة
+
+487
+00:35:13,650 --> 00:35:18,900
+وستين، اللي هي الـ sample size كـ total. هنا بيقول لنا لو
+
+488
+00:35:18,900 --> 00:35:22,560
+أنت بدك إياهم يكونوا مجموعتين، مجموعة case ومجموعة
+
+489
+00:35:22,560 --> 00:35:25,280
+control. أنا المقصود بـ cluster، أنا بدي إياهم
+
+490
+00:35:25,280 --> 00:35:29,680
+مجموعتين، اتنين. هو بيروح مباشرة بيقول لنا أن كل مجموعة
+
+491
+00:35:29,680 --> 00:35:34,720
+عبارة عن اربعمية واتنين وتلاتين. لو بدنا إياهم كمان
+
+492
+00:35:34,720 --> 00:35:38,720
+يكونوا تلت مجموعات، بيقسمهم على تلاتة. لو بدنا إياهم
+
+493
+00:35:38,720 --> 00:35:42,680
+على عشر مجموعات، بيقسمهم على عشر مجموعات، اللي هو
+
+494
+00:35:42,680 --> 00:35:46,780
+بيقربهم لأقرب تقريب، اللي هي تمانمية وسبعين. هيك
+
+495
+00:35:46,780 --> 00:35:49,700
+بتكون الـ sample size، ولكن احنا في الغالب إذا
+
+496
+00:35:49,700 --> 00:35:53,000
+بنقيس الـ prevalence بيكون مجموعة واحدة، إذا
+
+497
+00:35:53,000 --> 00:35:57,980
+بنقيس عندنا risk factor بيكون مجمعتين،
+
+498
+00:35:57,980 --> 00:36:01,840
+مجموعة case ومجموعة control، يبقى موجود موضوع الـ
+
+499
+00:36:01,840 --> 00:36:05,720
+prevalence لازم يكون مجموعة واحدة، وأطلع منها الـ
+
+500
+00:36:05,720 --> 00:36:08,960
+prevalence. وإذا كان risk factor أو كان عندنا
+
+501
+00:36:08,960 --> 00:36:12,400
+complication أو كان عندنا أي حاجة، في الغالب ممكن
+
+502
+00:36:12,400 --> 00:36:16,620
+تكون هي عبارة عن risk factor، بتكون عبارة عن two
+
+503
+00:36:16,620 --> 00:36:20,480
+group. لو احنا بندرس الـ risk factor فمباشرة بيقسمنا
+
+504
+00:36:20,480 --> 00:36:24,740
+إياها الاثنين. هي الـ sampling، كيف احنا بنحسبها؟
+
+505
+00:36:24,740 --> 00:36:28,340
+البرنامج موجود، والبرنامج موجود من تطبيق على الجوال
+
+506
+00:36:28,340 --> 00:36:32,300
+بكل سهولة ممكن يتحمل، وكمان ممكن ينزلوا على الـ
+
+507
+00:36:32,300 --> 00:36:37,610
+laptop، ويظلوا موجودين على الـ laptop. طب كيف احنا ممكن
+
+508
+00:36:37,610 --> 00:36:41,510
+نجيب الـ prevalence اللي موجودة لأي disease موجود؟
+
+509
+00:36:41,510 --> 00:36:44,550
+ممكن نجيبها من articles منشورة، حكت على prevalence
+
+510
+00:36:44,550 --> 00:36:48,970
+لـ disease معين، ونستخدمها سواء في غزة أو خارج غزة
+
+511
+00:36:48,970 --> 00:36:54,770
+اللي هي بتكون النسبة موجودة كنسبة عالمية، كما نكون
+
+512
+00:36:54,770 --> 00:36:57,930
+خلصنا الـ sampling والـ sample size. بتمنى لكم
+
+513
+00:36:57,930 --> 00:37:01,810
+التوفيق، والسلام عليكم ورحمة الله وبركاته.
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..1d2fd849fc7be025bce819471aed899502d44aca
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/vwegyYr84ZE_raw.json
@@ -0,0 +1 @@
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أخدتوها العشرة أو الخمستاش أو التلتاش أو العشرين اللي سألتوهم روحتوا أنتم تاخدين قرار بالتسجيل للماجستير بناء على رأي ال sample اللي أخدتوه من ضمن ال population", "tokens": [10721, 9778, 3215, 2655, 14407, 6889, 6225, 9957, 3660, 4724, 3794, 1829, 9566, 3660, 9154, 2423, 8315, 3794, 13672, 1829, 1975, 24793, 1211, 2655, 4505, 4032, 32887, 33753, 14407, 8608, 10721, 1211, 2655, 2407, 16095, 18871, 2423, 4505, 11933, 1829, 8592, 9673, 1829, 11622, 9307, 4032, 28814, 1829, 8592, 45030, 11242, 9673, 3615, 1829, 4587, 9307, 13672, 1829, 4032, 26108, 3224, 2655, 16095, 4032, 27842, 16490, 1211, 6027, 2423, 6889, 29538, 13672, 1829, 5551, 9778, 3215, 2655, 2407, 11296, 18863, 8592, 25720, 34051, 33962, 2304, 14851, 33599, 34051, 16712, 1211, 2655, 33599, 34051, 18863, 46309, 9957, 13672, 1829, 8608, 10721, 1211, 2655, 2407, 16095, 12602, 2407, 33753, 14407, 14739, 39237, 6055, 47283, 3215, 9957, 12174, 2288, 9640, 20666, 2655, 3794, 7435, 26895, 5296, 19528, 26108, 14851, 13546, 44945, 16606, 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"probability": 0.97900390625}, {"start": 184.3, "end": 184.52, "word": " ال", "probability": 0.9736328125}, {"start": 184.52, "end": 184.96, "word": " sample", "probability": 0.96337890625}, {"start": 184.96, "end": 185.44, "word": " اللي", "probability": 0.9775390625}, {"start": 185.44, "end": 186.64, "word": " أخدتوه", "probability": 0.8324788411458334}, {"start": 186.64, "end": 186.8, "word": " من", "probability": 0.9775390625}, {"start": 186.8, "end": 187.08, "word": " ضمن", "probability": 0.9423828125}, {"start": 187.08, "end": 187.22, "word": " ال", "probability": 0.84912109375}, {"start": 187.22, "end": 187.58, "word": " population", "probability": 0.98779296875}], "temperature": 1.0}, {"id": 8, "seek": 21515, "start": 188.59, "end": 215.15, "text": "بس مافينا حد عنده قائمة بكل الناس اللي مسجلين master واتواصل معاهم جميعا وانما اللي صار اننا خدنا sample عدد محدود واتواصلنا معاهم وبناء على الرأي اللي أخدناه منهم والأسئلة اللي سألناها والإجابة اللي جوابوها اتخذنا ال action ان نكمل 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اللي موجودة على ال population ال sampling هدفها أول حاجة إنه تكون عندنا مافيش فيها biased موجودة، مافيش فيها تحيز", "tokens": [6027, 3615, 9957, 3660, 39894, 30544, 3714, 2304, 12984, 37977, 11331, 49975, 19446, 7251, 30544, 8592, 8978, 43242, 8315, 28035, 36145, 3224, 19446, 41185, 8592, 43242, 8315, 36632, 6055, 5016, 1829, 11622, 4032, 24793, 7649, 11331, 49975, 8717, 28543, 2288, 8717, 25957, 1211, 9154, 28239, 2655, 16373, 7435, 13672, 1829, 3714, 29245, 23328, 3660, 15844, 2423, 4415, 2423, 21179, 8032, 3215, 5172, 11296, 5551, 12610, 11331, 26108, 3660, 36145, 3224, 6055, 30544, 43242, 8315, 19446, 41185, 8592, 8978, 11296, 28035, 3714, 29245, 23328, 3660, 12399, 19446, 41185, 8592, 8978, 11296, 6055, 5016, 1829, 11622], "avg_logprob": -0.129440786022889, "compression_ratio": 1.8059701492537314, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 426.11, "end": 426.67, "word": "العينة", "probability": 0.8394775390625}, {"start": 426.67, "end": 426.93, "word": " بتكون", 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{"start": 430.95, "end": 432.33, "word": " وكمان", "probability": 0.857421875}, {"start": 432.33, "end": 433.15, "word": " حتى", "probability": 0.94677734375}, {"start": 433.15, "end": 433.75, "word": " نقدر", "probability": 0.9777018229166666}, {"start": 433.75, "end": 434.11, "word": " نعمل", "probability": 0.7477213541666666}, {"start": 434.11, "end": 434.23, "word": " من", "probability": 0.98828125}, {"start": 434.23, "end": 434.69, "word": " النتائج", "probability": 0.9375}, {"start": 434.69, "end": 434.87, "word": " اللي", "probability": 0.859375}, {"start": 434.87, "end": 435.49, "word": " موجودة", "probability": 0.98876953125}, {"start": 435.49, "end": 436.15, "word": " على", "probability": 0.916015625}, {"start": 436.15, "end": 436.49, "word": " ال", "probability": 0.95458984375}, {"start": 436.49, "end": 436.93, "word": " population", "probability": 0.98095703125}, {"start": 436.93, "end": 438.27, "word": " ال", "probability": 0.79248046875}, {"start": 438.27, "end": 438.67, "word": " sampling", "probability": 0.97021484375}, {"start": 438.67, "end": 439.31, "word": " هدفها", "probability": 0.99267578125}, {"start": 439.31, "end": 439.87, "word": " أول", "probability": 0.9384765625}, {"start": 439.87, "end": 440.47, "word": " حاجة", "probability": 0.99609375}, {"start": 440.47, "end": 441.39, "word": " إنه", "probability": 0.7120361328125}, {"start": 441.39, "end": 442.67, "word": " تكون", "probability": 0.974853515625}, {"start": 442.67, "end": 443.05, "word": " عندنا", "probability": 0.988525390625}, {"start": 443.05, "end": 443.39, "word": " مافيش", "probability": 0.9635416666666666}, {"start": 443.39, "end": 443.63, "word": " فيها", "probability": 0.924072265625}, {"start": 443.63, "end": 444.05, "word": " biased", "probability": 0.9189453125}, {"start": 444.05, "end": 444.83, "word": " موجودة،", "probability": 0.869677734375}, {"start": 444.83, "end": 445.09, "word": " مافيش", "probability": 0.9807942708333334}, {"start": 445.09, "end": 445.29, "word": " فيها", "probability": 0.98974609375}, {"start": 445.29, "end": 445.87, "word": " تحيز", "probability": 0.994873046875}], "temperature": 1.0}, {"id": 18, "seek": 47556, "start": 447.84, "end": 475.56, "text": "وإذا كان فيها تحيث بتكون ال sample not representative أنه تكون النتائج بقدر أعممها اللي مخوذة عن ال sample على كل population و ال advantage بتاعة ال sample أنها بتقلل استهلاك الوقت والنقود اللي هي الفلوس ناخد مثال على موضوع ال sample وموضوع ال population لو أنا بالضبط أدرس عند ال gender والنسبة اللي موجودة", "tokens": [2407, 28814, 15730, 25961, 8978, 11296, 6055, 5016, 1829, 12984, 39894, 30544, 2423, 6889, 406, 12424, 14739, 3224, 6055, 30544, 28239, 2655, 16373, 7435, 4724, 28543, 2288, 5551, 25957, 2304, 11296, 13672, 1829, 3714, 9778, 2407, 8848, 3660, 18871, 2423, 6889, 15844, 28242, 4415, 4032, 2423, 5002, 39894, 995, 27884, 2423, 6889, 14739, 11296, 39894, 4587, 1211, 1211, 44713, 3224, 15040, 4117, 2423, 30543, 2655, 16070, 1863, 4587, 23328, 13672, 1829, 39896, 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449.88, "end": 450.2, "word": " not", "probability": 0.89697265625}, {"start": 450.2, "end": 450.8, "word": " representative", "probability": 0.8564453125}, {"start": 450.8, "end": 452.54, "word": " أنه", "probability": 0.6708984375}, {"start": 452.54, "end": 452.9, "word": " تكون", "probability": 0.947509765625}, {"start": 452.9, "end": 453.82, "word": " النتائج", "probability": 0.9659423828125}, {"start": 453.82, "end": 454.3, "word": " بقدر", "probability": 0.9778645833333334}, {"start": 454.3, "end": 455.08, "word": " أعممها", "probability": 0.91015625}, {"start": 455.08, "end": 455.48, "word": " اللي", "probability": 0.8857421875}, {"start": 455.48, "end": 455.98, "word": " مخوذة", "probability": 0.86181640625}, {"start": 455.98, "end": 456.1, "word": " عن", "probability": 0.974609375}, {"start": 456.1, "end": 456.3, "word": " ال", "probability": 0.97998046875}, {"start": 456.3, "end": 456.66, "word": " sample", "probability": 0.95166015625}, {"start": 456.66, "end": 456.9, "word": " على", "probability": 0.89208984375}, {"start": 456.9, "end": 457.16, "word": " كل", "probability": 0.9951171875}, {"start": 457.16, "end": 457.72, "word": " population", "probability": 0.955078125}, {"start": 457.72, "end": 458.98, "word": " و", "probability": 0.84375}, {"start": 458.98, "end": 459.08, "word": " ال", "probability": 0.77783203125}, {"start": 459.08, "end": 459.58, "word": " advantage", "probability": 0.873046875}, {"start": 459.58, "end": 459.9, "word": " بتاعة", "probability": 0.75439453125}, {"start": 459.9, "end": 460.12, "word": " ال", "probability": 0.966796875}, {"start": 460.12, "end": 460.48, "word": " sample", "probability": 0.94091796875}, {"start": 460.48, "end": 460.82, "word": " أنها", "probability": 0.767578125}, {"start": 460.82, "end": 461.48, "word": " بتقلل", "probability": 0.9857177734375}, {"start": 461.48, "end": 462.12, "word": " استهلاك", "probability": 0.931884765625}, {"start": 462.12, "end": 462.62, "word": " الوقت", "probability": 0.98681640625}, {"start": 462.62, "end": 463.26, "word": " والنقود", "probability": 0.858154296875}, {"start": 463.26, "end": 463.52, "word": " اللي", "probability": 0.912841796875}, {"start": 463.52, "end": 463.7, "word": " هي", "probability": 0.93017578125}, {"start": 463.7, "end": 464.26, "word": " الفلوس", "probability": 0.9427083333333334}, {"start": 464.26, "end": 467.3, "word": " ناخد", "probability": 0.88134765625}, {"start": 467.3, "end": 467.82, "word": " مثال", "probability": 0.97314453125}, {"start": 467.82, "end": 468.18, "word": " على", "probability": 0.85791015625}, {"start": 468.18, "end": 468.78, "word": " موضوع", "probability": 0.9937744140625}, {"start": 468.78, "end": 470.02, "word": " ال", "probability": 0.97802734375}, {"start": 470.02, "end": 470.34, "word": " sample", "probability": 0.95263671875}, {"start": 470.34, "end": 470.92, "word": " وموضوع", "probability": 0.9443359375}, {"start": 470.92, "end": 471.02, "word": " ال", "probability": 0.951171875}, {"start": 471.02, "end": 471.54, "word": " population", "probability": 0.9736328125}, {"start": 471.54, "end": 472.52, "word": " لو", "probability": 0.92529296875}, {"start": 472.52, "end": 472.7, "word": " أنا", "probability": 0.87255859375}, {"start": 472.7, "end": 472.98, "word": " بالضبط", "probability": 0.85504150390625}, {"start": 472.98, "end": 473.2, "word": " أدرس", "probability": 0.9241943359375}, {"start": 473.2, "end": 473.42, "word": " عند", "probability": 0.9599609375}, {"start": 473.42, "end": 473.58, "word": " ال", "probability": 0.93310546875}, {"start": 473.58, "end": 473.88, "word": " gender", "probability": 0.943359375}, {"start": 473.88, "end": 474.78, "word": " والنسبة", "probability": 0.84844970703125}, {"start": 474.78, "end": 474.94, "word": " اللي", "probability": 0.952880859375}, {"start": 474.94, "end": 475.56, "word": " موجودة", "probability": 0.9906005859375}], "temperature": 1.0}, {"id": 19, "seek": 48685, "start": 476.23, "end": 486.85, "text": "ما بين ال male و ال female في قطاع غزة فهذا بهمني ان انا لازم اخد كل population حتى اقدر ادرس هذه الظاهرة من مركز الاحصاء الفلسطيني", "tokens": [15042, 49374, 2423, 7133, 4032, 2423, 6556, 8978, 12174, 9566, 45761, 32771, 11622, 3660, 6156, 3224, 15730, 4724, 16095, 22653, 16472, 1975, 8315, 5296, 31377, 2304, 1975, 9778, 3215, 28242, 4415, 11331, 49975, 1975, 28543, 2288, 1975, 3215, 2288, 3794, 29538, 6024, 116, 40294, 25720, 9154, 3714, 31747, 11622, 2423, 39319, 9381, 16606, 27188, 1211, 3794, 9566, 9957, 1829], "avg_logprob": -0.11927083544433117, "compression_ratio": 1.4025974025974026, "no_speech_prob": 7.3909759521484375e-06, "words": [{"start": 476.23, "end": 476.49, "word": "ما", "probability": 0.8916015625}, {"start": 476.49, "end": 476.77, "word": " بين", "probability": 0.994140625}, {"start": 476.77, "end": 476.93, "word": " ال", "probability": 0.947265625}, {"start": 476.93, "end": 477.17, "word": " male", "probability": 0.90478515625}, {"start": 477.17, "end": 477.31, "word": " و", "probability": 0.8466796875}, {"start": 477.31, "end": 477.41, "word": " ال", "probability": 0.7998046875}, {"start": 477.41, "end": 477.89, "word": " female", "probability": 0.93359375}, {"start": 477.89, "end": 478.69, "word": " في", "probability": 0.92626953125}, {"start": 478.69, "end": 479.03, "word": " قطاع", "probability": 0.7709147135416666}, {"start": 479.03, "end": 479.63, "word": " غزة", "probability": 0.9833984375}, {"start": 479.63, "end": 480.65, "word": " فهذا", "probability": 0.81005859375}, {"start": 480.65, "end": 481.03, "word": " بهمني", "probability": 0.9176432291666666}, {"start": 481.03, "end": 481.17, "word": " ان", "probability": 0.363037109375}, {"start": 481.17, "end": 481.45, "word": " انا", "probability": 0.889892578125}, {"start": 481.45, "end": 481.85, "word": " لازم", "probability": 0.9925130208333334}, {"start": 481.85, "end": 482.13, "word": " اخد", "probability": 0.8212890625}, {"start": 482.13, "end": 482.37, "word": " كل", "probability": 0.99072265625}, {"start": 482.37, "end": 482.95, "word": " population", "probability": 0.947265625}, {"start": 482.95, "end": 483.53, "word": " حتى", "probability": 0.821533203125}, {"start": 483.53, "end": 483.95, "word": " اقدر", "probability": 0.9348958333333334}, {"start": 483.95, "end": 484.35, "word": " ادرس", "probability": 0.9696044921875}, {"start": 484.35, "end": 484.63, "word": " هذه", "probability": 0.93505859375}, {"start": 484.63, "end": 485.19, "word": " الظاهرة", "probability": 0.9635009765625}, {"start": 485.19, "end": 485.41, "word": " من", "probability": 0.974609375}, {"start": 485.41, "end": 485.75, "word": " مركز", "probability": 0.9913736979166666}, {"start": 485.75, "end": 486.11, "word": " الاحصاء", "probability": 0.80926513671875}, {"start": 486.11, "end": 486.85, "word": " الفلسطيني", "probability": 0.9666341145833334}], "temperature": 1.0}, {"id": 20, "seek": 50598, "start": 487.62, "end": 505.98, "text": "لو انا بدى ادرس ال smoking اللى موجود فى قطاع غزة فممكن ابدا هنا اخد sample بشكل عام يعني اخد من الشارع اللى موجود من الميل اللى موجودين فى الشارع اخد عينة عشوائية و اقول والله نسبتهم كانت مثلا 25%", "tokens": [1211, 2407, 1975, 8315, 47525, 7578, 1975, 3215, 2288, 3794, 2423, 14055, 13672, 7578, 3714, 29245, 23328, 6156, 7578, 12174, 9566, 45761, 32771, 11622, 3660, 6156, 2304, 43020, 48127, 28259, 34105, 1975, 9778, 3215, 6889, 4724, 8592, 28820, 6225, 10943, 37495, 22653, 1975, 9778, 3215, 9154, 25124, 9640, 3615, 13672, 7578, 3714, 29245, 23328, 9154, 9673, 26895, 13672, 7578, 3714, 29245, 23328, 9957, 6156, 7578, 25124, 9640, 3615, 1975, 9778, 3215, 6225, 9957, 3660, 6225, 8592, 2407, 16373, 10632, 4032, 1975, 39648, 16070, 43761, 8717, 35457, 2655, 16095, 25961, 2655, 50113, 15040, 3552, 4], "avg_logprob": -0.11735197305679321, "compression_ratio": 1.7035175879396984, "no_speech_prob": 1.6689300537109375e-06, "words": [{"start": 487.62, "end": 487.88, "word": "لو", "probability": 0.994140625}, {"start": 487.88, "end": 488.02, "word": " انا", "probability": 0.6451416015625}, {"start": 488.02, "end": 488.3, "word": " بدى", "probability": 0.5072021484375}, {"start": 488.3, "end": 488.64, "word": " ادرس", "probability": 0.9014892578125}, {"start": 488.64, "end": 488.76, "word": " ال", "probability": 0.970703125}, {"start": 488.76, "end": 489.34, "word": " smoking", "probability": 0.91845703125}, {"start": 489.34, "end": 489.82, "word": " اللى", "probability": 0.946533203125}, {"start": 489.82, "end": 490.2, "word": " موجود", "probability": 0.994140625}, {"start": 490.2, "end": 490.36, "word": " فى", "probability": 0.841064453125}, {"start": 490.36, "end": 490.64, "word": " قطاع", "probability": 0.8134765625}, {"start": 490.64, "end": 491.12, "word": " غزة", "probability": 0.9736328125}, {"start": 491.12, "end": 492.0, "word": " فممكن", "probability": 0.9461263020833334}, {"start": 492.0, "end": 492.38, "word": " ابدا", "probability": 0.734375}, {"start": 492.38, "end": 492.74, "word": " هنا", "probability": 0.97412109375}, {"start": 492.74, "end": 493.32, "word": " اخد", "probability": 0.91357421875}, {"start": 493.32, "end": 493.88, "word": " sample", "probability": 0.908203125}, {"start": 493.88, "end": 494.54, "word": " بشكل", "probability": 0.9793294270833334}, {"start": 494.54, "end": 494.92, "word": " عام", "probability": 0.998046875}, {"start": 494.92, "end": 495.2, "word": " يعني", "probability": 0.6904296875}, {"start": 495.2, "end": 495.62, "word": " اخد", "probability": 0.7882486979166666}, {"start": 495.62, "end": 495.74, "word": " من", "probability": 0.97314453125}, {"start": 495.74, "end": 496.22, "word": " الشارع", "probability": 0.9954427083333334}, {"start": 496.22, "end": 496.38, "word": " اللى", "probability": 0.98876953125}, {"start": 496.38, "end": 496.92, "word": " موجود", "probability": 0.9952799479166666}, {"start": 496.92, "end": 497.5, "word": " من", "probability": 0.5986328125}, {"start": 497.5, "end": 497.94, "word": " الميل", "probability": 0.6826171875}, {"start": 497.94, "end": 498.14, "word": " اللى", "probability": 0.9365234375}, {"start": 498.14, "end": 498.84, "word": " موجودين", "probability": 0.9937744140625}, {"start": 498.84, "end": 499.24, "word": " فى", "probability": 0.96240234375}, {"start": 499.24, "end": 499.86, "word": " الشارع", "probability": 0.9949544270833334}, {"start": 499.86, "end": 500.6, "word": " اخد", "probability": 0.9140625}, {"start": 500.6, "end": 500.96, "word": " عينة", "probability": 0.8268229166666666}, {"start": 500.96, "end": 501.62, "word": " عشوائية", "probability": 0.99375}, {"start": 501.62, "end": 501.88, "word": " و", "probability": 0.97119140625}, {"start": 501.88, "end": 502.18, "word": " اقول", "probability": 0.89208984375}, {"start": 502.18, "end": 502.58, "word": " والله", "probability": 0.894775390625}, {"start": 502.58, "end": 503.18, "word": " نسبتهم", "probability": 0.982666015625}, {"start": 503.18, "end": 504.12, "word": " كانت", "probability": 0.978759765625}, {"start": 504.12, "end": 504.82, "word": " مثلا", "probability": 0.9853515625}, {"start": 504.82, "end": 505.48, "word": " 25", "probability": 0.62255859375}, {"start": 505.48, "end": 505.98, "word": "%", "probability": 0.9697265625}], "temperature": 1.0}, {"id": 21, "seek": 52252, "start": 506.58, "end": 522.52, "text": "يبقى بنقدر ناخد عينة عشوائية من اللي موجودين ونقول والله النسبة كانت كذا في قطاع غزة، لو أنا بدأ أدرس ال smoking في قطاع غزة، بدأ أاخد عينة عشوائية و أقول قداش كانت النسبة اللي موجودة ال smoker في قطاع غزة", "tokens": [1829, 3555, 4587, 7578, 44945, 28543, 2288, 8717, 47283, 3215, 6225, 9957, 3660, 6225, 8592, 2407, 16373, 10632, 9154, 13672, 1829, 3714, 29245, 23328, 9957, 4032, 1863, 39648, 16070, 43761, 28239, 35457, 3660, 25961, 2655, 9122, 15730, 8978, 12174, 9566, 45761, 32771, 11622, 3660, 12399, 45164, 41850, 47525, 10721, 5551, 3215, 2288, 3794, 2423, 14055, 8978, 12174, 9566, 45761, 32771, 11622, 3660, 12399, 47525, 10721, 5551, 47283, 3215, 6225, 9957, 3660, 6225, 8592, 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"end": 510.66, "word": " ونقول", "probability": 0.7727864583333334}, {"start": 510.66, "end": 510.92, "word": " والله", "probability": 0.839599609375}, {"start": 510.92, "end": 511.34, "word": " النسبة", "probability": 0.9275716145833334}, {"start": 511.34, "end": 511.86, "word": " كانت", "probability": 0.98876953125}, {"start": 511.86, "end": 512.42, "word": " كذا", "probability": 0.946044921875}, {"start": 512.42, "end": 512.98, "word": " في", "probability": 0.97705078125}, {"start": 512.98, "end": 513.26, "word": " قطاع", "probability": 0.7215169270833334}, {"start": 513.26, "end": 514.0, "word": " غزة،", "probability": 0.8455810546875}, {"start": 514.0, "end": 514.16, "word": " لو", "probability": 0.98828125}, {"start": 514.16, "end": 514.32, "word": " أنا", "probability": 0.677734375}, {"start": 514.32, "end": 514.6, "word": " بدأ", "probability": 0.687255859375}, {"start": 514.6, "end": 514.9, "word": " أدرس", "probability": 0.919189453125}, {"start": 514.9, "end": 515.02, "word": " ال", "probability": 0.89794921875}, {"start": 515.02, "end": 515.32, "word": " smoking", "probability": 0.90185546875}, {"start": 515.32, "end": 515.56, "word": " في", "probability": 0.98974609375}, {"start": 515.56, "end": 515.8, "word": " قطاع", "probability": 0.9259440104166666}, {"start": 515.8, "end": 516.42, "word": " غزة،", "probability": 0.94189453125}, {"start": 516.42, "end": 516.92, "word": " بدأ", "probability": 0.70263671875}, {"start": 516.92, "end": 517.06, "word": " أاخد", "probability": 0.87060546875}, {"start": 517.06, "end": 517.4, "word": " عينة", "probability": 0.9830729166666666}, {"start": 517.4, "end": 518.04, "word": " عشوائية", "probability": 0.99814453125}, {"start": 518.04, "end": 518.28, "word": " و", "probability": 0.9208984375}, {"start": 518.28, "end": 518.6, "word": " أقول", "probability": 0.82080078125}, {"start": 518.6, "end": 519.04, "word": " قداش", "probability": 0.6232096354166666}, {"start": 519.04, "end": 519.56, "word": " كانت", "probability": 0.992431640625}, {"start": 519.56, "end": 520.26, "word": " النسبة", "probability": 0.9436848958333334}, {"start": 520.26, "end": 520.52, "word": " اللي", "probability": 0.969482421875}, {"start": 520.52, "end": 521.04, "word": " موجودة", "probability": 0.9678955078125}, {"start": 521.04, "end": 521.12, "word": " ال", "probability": 0.63623046875}, {"start": 521.12, "end": 521.64, "word": " smoker", "probability": 0.825439453125}, {"start": 521.64, "end": 521.86, "word": " في", "probability": 0.99462890625}, {"start": 521.86, "end": 522.1, "word": " قطاع", "probability": 0.9078776041666666}, {"start": 522.1, "end": 522.52, "word": " غزة", "probability": 0.9972330729166666}], "temperature": 1.0}, {"id": 22, "seek": 54140, "start": 522.84, "end": 541.4, "text": "لو أنا بدأ أدرسها في الadult، بدأ أخد الناس اللي فوق ال 18، لو أنا بدأ أدرسها في الناس اللي ضلاب المدارس، بدأ أخد الناس اللي أقل من 18 مثلا، لو بقولت أنا في ال primary school أو في ال secondary school، بدأ أخد الفئة هذه ك population و أخد منهم ك sample", "tokens": [1211, 2407, 41850, 47525, 10721, 5551, 3215, 2288, 3794, 11296, 8978, 2423, 345, 723, 12399, 47525, 10721, 5551, 9778, 3215, 2423, 8315, 3794, 13672, 1829, 6156, 30543, 2423, 2443, 12399, 45164, 41850, 47525, 10721, 5551, 3215, 2288, 3794, 11296, 8978, 2423, 8315, 3794, 13672, 1829, 48812, 15040, 3555, 9673, 3215, 9640, 3794, 12399, 47525, 10721, 5551, 9778, 3215, 2423, 8315, 3794, 13672, 1829, 5551, 4587, 1211, 9154, 2443, 50113, 15040, 12399, 45164, 4724, 39648, 2655, 41850, 8978, 2423, 6194, 1395, 34051, 8978, 2423, 11396, 1395, 12399, 47525, 10721, 5551, 9778, 3215, 27188, 19986, 3660, 29538, 9122, 4415, 4032, 5551, 9778, 3215, 9154, 16095, 9122, 6889], "avg_logprob": -0.14932193705495797, "compression_ratio": 1.995, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 522.84, "end": 523.22, "word": "لو", "probability": 0.993408203125}, {"start": 523.22, "end": 523.36, "word": " أنا", "probability": 0.654296875}, {"start": 523.36, "end": 523.56, "word": " بدأ", "probability": 0.677734375}, {"start": 523.56, "end": 523.9, "word": " أدرسها", "probability": 0.9263671875}, {"start": 523.9, "end": 524.02, "word": " في", "probability": 0.978515625}, {"start": 524.02, "end": 524.54, "word": " الadult،", "probability": 0.563323974609375}, {"start": 524.54, "end": 524.8, "word": " بدأ", "probability": 0.736572265625}, {"start": 524.8, "end": 524.98, "word": " أخد", "probability": 0.783203125}, {"start": 524.98, "end": 525.28, "word": " الناس", "probability": 0.9850260416666666}, {"start": 525.28, "end": 525.42, "word": " اللي", "probability": 0.91748046875}, {"start": 525.42, "end": 525.68, "word": " فوق", "probability": 0.94970703125}, {"start": 525.68, "end": 525.78, "word": " ال", "probability": 0.73193359375}, {"start": 525.78, "end": 526.74, "word": " 18،", "probability": 0.6953125}, {"start": 526.74, "end": 527.0, "word": " لو", "probability": 0.95458984375}, {"start": 527.0, "end": 527.14, 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536.32, "end": 536.4, "word": " ال", "probability": 0.71484375}, {"start": 536.4, "end": 536.74, "word": " secondary", "probability": 0.9140625}, {"start": 536.74, "end": 537.66, "word": " school،", "probability": 0.93408203125}, {"start": 537.66, "end": 537.92, "word": " بدأ", "probability": 0.9169921875}, {"start": 537.92, "end": 538.22, "word": " أخد", "probability": 0.8409830729166666}, {"start": 538.22, "end": 538.56, "word": " الفئة", "probability": 0.9611002604166666}, {"start": 538.56, "end": 538.84, "word": " هذه", "probability": 0.81494140625}, {"start": 538.84, "end": 539.08, "word": " ك", "probability": 0.2095947265625}, {"start": 539.08, "end": 539.6, "word": " population", "probability": 0.892578125}, {"start": 539.6, "end": 539.92, "word": " و", "probability": 0.62890625}, {"start": 539.92, "end": 540.2, "word": " أخد", "probability": 0.9166666666666666}, {"start": 540.2, "end": 540.6, "word": " منهم", "probability": 0.991455078125}, {"start": 540.6, "end": 541.08, 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555.22, "word": " ال", "probability": 0.97216796875}, {"start": 555.22, "end": 555.62, "word": " abortion", "probability": 0.97998046875}, {"start": 555.62, "end": 555.86, "word": " مش", "probability": 0.9873046875}, {"start": 555.86, "end": 556.16, "word": " معقول", "probability": 0.9716796875}, {"start": 556.16, "end": 556.42, "word": " يكون", "probability": 0.927001953125}, {"start": 556.42, "end": 556.52, "word": " في", "probability": 0.93359375}, {"start": 556.52, "end": 557.08, "word": " كل", "probability": 0.73828125}, {"start": 557.08, "end": 557.38, "word": " قطع", "probability": 0.8448893229166666}, {"start": 557.38, "end": 558.5, "word": " غزة،", "probability": 0.9593505859375}, {"start": 558.5, "end": 558.8, "word": " نسبة", "probability": 0.9921875}, {"start": 558.8, "end": 558.92, "word": " ال", "probability": 0.99609375}, {"start": 558.92, "end": 559.38, "word": " abortion", "probability": 0.9794921875}, {"start": 559.38, "end": 559.92, "word": " بتكون", "probability": 0.96484375}, {"start": 559.92, "end": 560.84, "word": " موجودة", "probability": 0.9803466796875}, {"start": 560.84, "end": 561.0, "word": " في", "probability": 0.9775390625}, {"start": 561.0, "end": 561.12, "word": " ال", "probability": 0.93603515625}, {"start": 561.12, "end": 561.46, "word": " pregnant", "probability": 0.91748046875}, {"start": 561.46, "end": 561.88, "word": " women", "probability": 0.50537109375}, {"start": 561.88, "end": 562.54, "word": " فبيكونوا", "probability": 0.865234375}, {"start": 562.54, "end": 562.78, "word": " عندنا", "probability": 0.943603515625}, {"start": 562.78, "end": 562.86, "word": " ال", "probability": 0.98486328125}, {"start": 562.86, "end": 563.34, "word": " population", "probability": 0.9873046875}, {"start": 563.34, "end": 563.66, "word": " هم", "probability": 0.913818359375}, {"start": 563.66, "end": 563.84, "word": " ال", "probability": 0.97509765625}, {"start": 563.84, "end": 564.14, "word": " pregnant", "probability": 0.92578125}, 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{"start": 656.62, "end": 657.38, "word": " معناتها", "probability": 0.93603515625}, {"start": 657.38, "end": 657.88, "word": " أن", "probability": 0.367431640625}, {"start": 657.88, "end": 658.24, "word": " كل", "probability": 0.79736328125}, {"start": 658.24, "end": 658.72, "word": " واحد", "probability": 0.993896484375}, {"start": 658.72, "end": 658.88, "word": " في", "probability": 0.98291015625}, {"start": 658.88, "end": 658.96, "word": " ال", "probability": 0.81005859375}, {"start": 658.96, "end": 659.58, "word": " population", "probability": 0.98828125}, {"start": 659.58, "end": 660.14, "word": " بيكون", "probability": 0.810546875}, {"start": 660.14, "end": 660.32, "word": " له", "probability": 0.87890625}, {"start": 660.32, "end": 660.72, "word": " chance", "probability": 0.70263671875}, {"start": 660.72, "end": 660.96, "word": " أن", "probability": 0.58251953125}, {"start": 660.96, "end": 661.24, "word": " يكون", "probability": 0.933349609375}, {"start": 661.24, "end": 661.62, "word": " موجود", "probability": 0.986328125}, {"start": 661.62, "end": 661.76, "word": " في", "probability": 0.98876953125}, {"start": 661.76, "end": 661.86, "word": " ال", "probability": 0.927734375}, {"start": 661.86, "end": 662.22, "word": " sample", "probability": 0.923828125}], "temperature": 1.0}, {"id": 28, "seek": 68497, "start": 662.87, "end": 684.97, "text": "يبقى بتكون عندنا ال probability sampling هي أفضل نوع representative أو representation لل sample وهي بتكون random sample، العينة عشوائية ومعنى probability sample أو random samples أن كل شخص في ال population بيكون له نفس ال chance أنه يختار ضمن العينة", "tokens": [1829, 3555, 4587, 7578, 39894, 30544, 43242, 8315, 2423, 8482, 21179, 39896, 5551, 5172, 11242, 1211, 8717, 45367, 12424, 34051, 10290, 24976, 6889, 37037, 1829, 39894, 30544, 4974, 6889, 12399, 18863, 9957, 3660, 6225, 8592, 2407, 16373, 10632, 4032, 2304, 3615, 1863, 7578, 8482, 6889, 34051, 4974, 10938, 14739, 28242, 13412, 9778, 9381, 8978, 2423, 4415, 4724, 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"end": 668.11, "word": " representative", "probability": 0.892578125}, {"start": 668.11, "end": 668.53, "word": " أو", "probability": 0.861328125}, {"start": 668.53, "end": 669.31, "word": " representation", "probability": 0.93798828125}, {"start": 669.31, "end": 669.79, "word": " لل", "probability": 0.8583984375}, {"start": 669.79, "end": 670.29, "word": " sample", "probability": 0.492919921875}, {"start": 670.29, "end": 670.99, "word": " وهي", "probability": 0.7152099609375}, {"start": 670.99, "end": 671.39, "word": " بتكون", "probability": 0.9013671875}, {"start": 671.39, "end": 671.73, "word": " random", "probability": 0.873046875}, {"start": 671.73, "end": 672.39, "word": " sample،", "probability": 0.707275390625}, {"start": 672.39, "end": 672.73, "word": " العينة", "probability": 0.8243815104166666}, {"start": 672.73, "end": 673.37, "word": " عشوائية", "probability": 0.9958984375}, {"start": 673.37, "end": 674.53, "word": " ومعنى", "probability": 0.933984375}, {"start": 674.53, "end": 674.97, "word": " probability", "probability": 0.83447265625}, {"start": 674.97, "end": 675.65, "word": " sample", "probability": 0.80517578125}, {"start": 675.65, "end": 676.63, "word": " أو", "probability": 0.810546875}, {"start": 676.63, "end": 677.11, "word": " random", "probability": 0.89892578125}, {"start": 677.11, "end": 677.97, "word": " samples", "probability": 0.833984375}, {"start": 677.97, "end": 678.53, "word": " أن", "probability": 0.36767578125}, {"start": 678.53, "end": 679.01, "word": " كل", "probability": 0.69921875}, {"start": 679.01, "end": 680.03, "word": " شخص", "probability": 0.9959309895833334}, {"start": 680.03, "end": 680.23, "word": " في", "probability": 0.986328125}, {"start": 680.23, "end": 680.35, "word": " ال", "probability": 0.9638671875}, {"start": 680.35, "end": 681.03, "word": " population", "probability": 0.98681640625}, {"start": 681.03, "end": 681.93, "word": " بيكون", "probability": 0.837890625}, {"start": 681.93, "end": 682.09, "word": " له", "probability": 0.94091796875}, {"start": 682.09, "end": 682.39, "word": " نفس", "probability": 0.993408203125}, {"start": 682.39, "end": 682.59, "word": " ال", "probability": 0.59033203125}, {"start": 682.59, "end": 682.99, "word": " chance", "probability": 0.9560546875}, {"start": 682.99, "end": 683.35, "word": " أنه", "probability": 0.763427734375}, {"start": 683.35, "end": 683.95, "word": " يختار", "probability": 0.9910481770833334}, {"start": 683.95, "end": 684.35, "word": " ضمن", "probability": 0.9814453125}, {"start": 684.35, "end": 684.97, "word": " العينة", "probability": 0.96337890625}], "temperature": 1.0}, {"id": 29, "seek": 69672, "start": 686.14, "end": 696.72, "text": "ونأكد دائما ونأكد دائما أنه هي أفضل عينة ممكن ناخدها لما بتكون عندنا random sample أو probability sample", "tokens": [11536, 10721, 4117, 3215, 11778, 16373, 15042, 4032, 1863, 10721, 4117, 3215, 11778, 16373, 15042, 14739, 3224, 39896, 5551, 5172, 11242, 1211, 6225, 9957, 3660, 3714, 43020, 8717, 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بتكون simple و cluster و certified و systemic و multistage", "tokens": [6027, 9566, 2288, 4587, 13672, 1829, 39894, 1863, 41185, 11296, 5551, 9778, 8848, 2423, 21179, 5296, 8482, 6889, 5551, 12610, 11331, 26108, 3660, 39896, 2423, 2199, 4974, 6889, 4032, 2423, 13630, 6889, 4032, 2423, 18580, 6889, 4032, 2423, 23789, 4974, 6889, 4032, 2423, 2120, 468, 609, 4974, 6889, 7251, 3555, 4587, 7578, 4974, 6889, 39894, 30544, 2199, 4032, 13630, 4032, 18580, 4032, 23789, 4032, 2120, 468, 609], "avg_logprob": -0.238740805974778, "compression_ratio": 1.8901734104046244, "no_speech_prob": 7.748603820800781e-07, "words": [{"start": 698.3, "end": 698.84, "word": "الطرق", "probability": 0.8984375}, {"start": 698.84, "end": 699.0, "word": " اللي", "probability": 0.699951171875}, {"start": 699.0, "end": 699.56, "word": " بتنفيها", "probability": 0.85302734375}, {"start": 699.56, "end": 699.94, "word": " أخذ", "probability": 0.7262369791666666}, {"start": 699.94, "end": 700.3, "word": " ال", 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0.67041015625}, {"start": 705.4, "end": 705.5, "word": " ال", "probability": 0.68994140625}, {"start": 705.5, "end": 705.92, "word": " cluster", "probability": 0.95947265625}, {"start": 705.92, "end": 706.74, "word": " sample", "probability": 0.8857421875}, {"start": 706.74, "end": 707.14, "word": " و", "probability": 0.96630859375}, {"start": 707.14, "end": 707.22, "word": " ال", "probability": 0.37646484375}, {"start": 707.22, "end": 707.54, "word": " certified", "probability": 0.80078125}, {"start": 707.54, "end": 708.5, "word": " sample", "probability": 0.9228515625}, {"start": 708.5, "end": 709.08, "word": " و", "probability": 0.982421875}, {"start": 709.08, "end": 709.18, "word": " ال", "probability": 0.9013671875}, {"start": 709.18, "end": 709.58, "word": " systemic", "probability": 0.56396484375}, {"start": 709.58, "end": 710.26, "word": " random", "probability": 0.90380859375}, {"start": 710.26, "end": 710.84, "word": " sample", "probability": 0.88427734375}, {"start": 710.84, "end": 711.38, "word": " و", "probability": 0.98291015625}, {"start": 711.38, "end": 711.48, "word": " ال", "probability": 0.95068359375}, {"start": 711.48, "end": 712.26, "word": " multistage", "probability": 0.809814453125}, {"start": 712.26, "end": 712.8, "word": " random", "probability": 0.89404296875}, {"start": 712.8, "end": 713.24, "word": " sample", "probability": 0.90283203125}, {"start": 713.24, "end": 714.1, "word": " يبقى", "probability": 0.978271484375}, {"start": 714.1, "end": 714.36, "word": " random", "probability": 0.5869140625}, {"start": 714.36, "end": 714.84, "word": " sample", "probability": 0.92919921875}, {"start": 714.84, "end": 715.24, "word": " بتكون", "probability": 0.957763671875}, {"start": 715.24, "end": 716.8, "word": " simple", "probability": 0.9443359375}, {"start": 716.8, "end": 717.24, "word": " و", "probability": 0.35595703125}, {"start": 717.24, "end": 717.68, "word": " cluster", "probability": 0.85498046875}, {"start": 717.68, "end": 718.2, "word": " و", "probability": 0.41796875}, {"start": 718.2, "end": 718.78, "word": " certified", "probability": 0.755859375}, {"start": 718.78, "end": 719.62, "word": " و", "probability": 0.951171875}, {"start": 719.62, "end": 720.06, "word": " systemic", "probability": 0.60205078125}, {"start": 720.06, "end": 720.46, "word": " و", "probability": 0.9892578125}, {"start": 720.46, "end": 721.6, "word": " multistage", "probability": 0.8935546875}], "temperature": 1.0}, {"id": 31, "seek": 75195, "start": 723.67, "end": 751.95, "text": "باختصار ال simple random sample يكون كل ال population موجودين عندى وانا زى ورقة اليه نصيب بختار منهم بشكل عشوائى واللي بطلع معايا فى القرعة هو اللى باخده انا هو ك sample representative عن ال population ال disadvantage بتاعتها و اللى هى لها advantage اصلا لل simple random sample وكل ال advantage بتاعتها انه هي افضل نوع sample ممكن ناخده", "tokens": [3555, 47283, 2655, 9381, 9640, 2423, 2199, 4974, 6889, 7251, 30544, 28242, 2423, 4415, 3714, 29245, 23328, 9957, 43242, 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كل يوم ورا بعض حتى أخد ناس متتالية على مدار أسبوع بضروح يوم اتنين ويوم الخميس ويوم السبت على حسب الظروف اللي موجودة بنقول عنها convenient sample", "tokens": [41185, 8717, 45367, 6055, 7649, 1829, 24525, 2304, 3224, 10851, 6889, 45164, 41850, 4724, 11242, 32887, 5016, 8978, 36632, 10943, 20449, 9957, 3660, 4724, 16254, 8592, 5551, 32887, 5016, 28242, 7251, 20498, 4032, 23557, 45030, 11242, 11331, 49975, 5551, 9778, 3215, 8717, 32277, 44650, 2655, 6027, 10632, 15844, 3714, 3215, 9640, 5551, 35457, 45367, 4724, 11242, 32887, 5016, 7251, 20498, 1975, 2655, 1863, 9957, 4032, 1829, 20498, 33962, 2304, 1829, 3794, 4032, 1829, 20498, 21136, 3555, 2655, 15844, 11331, 35457, 6024, 116, 32887, 5172, 13672, 1829, 3714, 29245, 23328, 3660, 44945, 39648, 18871, 11296, 10851, 6889], "avg_logprob": -0.17074742759625935, "compression_ratio": 1.6981132075471699, "no_speech_prob": 1.5497207641601562e-06, "words": [{"start": 1382.94, "end": 1383.16, "word": "في", "probability": 0.451904296875}, {"start": 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"end": 1424.79, "word": " ال", "probability": 0.5673828125}, {"start": 1424.79, "end": 1425.11, "word": " fungi", "probability": 0.69287109375}, {"start": 1425.11, "end": 1425.43, "word": " اللى", "probability": 0.8486328125}, {"start": 1425.43, "end": 1426.09, "word": " موجودة", "probability": 0.990234375}], "temperature": 1.0}, {"id": 64, "seek": 144835, "start": 1426.59, "end": 1448.35, "text": "و ال prevalence بتاعة الفنغاي و إيش أنواع اللي موجودة في الفنغاي، فمعروفة أقصام الجلدية اللي بتكون موجودة في مستشفيات قطاع غزة بتفتح مثلا .. بتفتح مثلا يومين في الإسبوع اللي هو يوم الاتنين و يوم الخميس فبروح في الأيام هذه بنقول عنها judgmental sample لإنها محكومة بأيام معينة", "tokens": [2407, 2423, 42583, 39894, 995, 27884, 27188, 1863, 17082, 47302, 4032, 11933, 1829, 8592, 14739, 14407, 3615, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 27188, 1863, 17082, 47302, 12399, 6156, 2304, 3615, 32887, 5172, 3660, 5551, 4587, 9381, 10943, 25724, 1211, 3215, 10632, 13672, 1829, 39894, 30544, 3714, 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{"start": 1427.67, "end": 1428.33, "word": " الفنغاي", "probability": 0.75244140625}, {"start": 1428.33, "end": 1428.47, "word": " و", "probability": 0.93701171875}, {"start": 1428.47, "end": 1428.73, "word": " إيش", "probability": 0.7357584635416666}, {"start": 1428.73, "end": 1429.57, "word": " أنواع", "probability": 0.8299153645833334}, {"start": 1429.57, "end": 1429.71, "word": " اللي", "probability": 0.71728515625}, {"start": 1429.71, "end": 1430.09, "word": " موجودة", "probability": 0.9869384765625}, {"start": 1430.09, "end": 1430.19, "word": " في", "probability": 0.87451171875}, {"start": 1430.19, "end": 1431.25, "word": " الفنغاي،", "probability": 0.79912109375}, {"start": 1431.25, "end": 1431.69, "word": " فمعروفة", "probability": 0.8866373697916666}, {"start": 1431.69, "end": 1432.09, "word": " أقصام", "probability": 0.8629150390625}, {"start": 1432.09, "end": 1432.67, "word": " الجلدية", "probability": 0.78326416015625}, {"start": 1432.67, "end": 1432.81, "word": " اللي", "probability": 0.9482421875}, {"start": 1432.81, "end": 1433.15, "word": " بتكون", "probability": 0.969970703125}, {"start": 1433.15, "end": 1433.81, "word": " موجودة", "probability": 0.9825439453125}, {"start": 1433.81, "end": 1434.21, "word": " في", "probability": 0.984375}, {"start": 1434.21, "end": 1434.85, "word": " مستشفيات", "probability": 0.9640625}, {"start": 1434.85, "end": 1435.15, "word": " قطاع", "probability": 0.8798828125}, {"start": 1435.15, "end": 1435.53, "word": " غزة", "probability": 0.9830729166666666}, {"start": 1435.53, "end": 1435.95, "word": " بتفتح", "probability": 0.9608154296875}, {"start": 1435.95, "end": 1436.45, "word": " مثلا", "probability": 0.973388671875}, {"start": 1436.45, "end": 1436.93, "word": " ..", "probability": 0.59130859375}, {"start": 1436.93, "end": 1437.51, "word": " بتفتح", "probability": 0.9635009765625}, {"start": 1437.51, "end": 1437.99, "word": " مثلا", "probability": 0.991943359375}, {"start": 1437.99, "end": 1438.57, "word": " يومين", "probability": 0.9943033854166666}, {"start": 1438.57, "end": 1438.71, "word": " في", "probability": 0.96923828125}, {"start": 1438.71, "end": 1439.27, "word": " الإسبوع", "probability": 0.8517252604166666}, {"start": 1439.27, "end": 1439.69, "word": " اللي", "probability": 0.952392578125}, {"start": 1439.69, "end": 1439.89, "word": " هو", "probability": 0.98095703125}, {"start": 1439.89, "end": 1440.15, "word": " يوم", "probability": 0.994873046875}, {"start": 1440.15, "end": 1440.95, "word": " الاتنين", "probability": 0.71099853515625}, {"start": 1440.95, "end": 1441.13, "word": " و", "probability": 0.9921875}, {"start": 1441.13, "end": 1441.35, "word": " يوم", "probability": 0.95361328125}, {"start": 1441.35, "end": 1441.97, "word": " الخميس", "probability": 0.99169921875}, {"start": 1441.97, "end": 1442.75, "word": " فبروح", "probability": 0.8275146484375}, {"start": 1442.75, "end": 1442.87, "word": " في", "probability": 0.955078125}, {"start": 1442.87, "end": 1443.31, "word": " الأيام", "probability": 0.9640299479166666}, {"start": 1443.31, "end": 1443.69, "word": " هذه", "probability": 0.72119140625}, {"start": 1443.69, "end": 1444.11, "word": " بنقول", "probability": 0.9013671875}, {"start": 1444.11, "end": 1444.45, "word": " عنها", "probability": 0.995849609375}, {"start": 1444.45, "end": 1445.33, "word": " judgmental", "probability": 0.6827392578125}, {"start": 1445.33, "end": 1445.81, "word": " sample", "probability": 0.896484375}, {"start": 1445.81, "end": 1446.45, "word": " لإنها", "probability": 0.83984375}, {"start": 1446.45, "end": 1447.15, "word": " محكومة", "probability": 0.9455078125}, {"start": 1447.15, "end": 1447.71, "word": " بأيام", "probability": 0.958984375}, {"start": 1447.71, "end": 1448.35, "word": " معينة", "probability": 0.99609375}], "temperature": 1.0}, {"id": 65, "seek": 147547, "start": 1449.61, "end": 1475.47, "text": "هذه العينة اللي محكومة بأيام معينة لو كان أنا بدي جزء male و جزء female سمناها سابقا Stata في ال probability sample ولكن هنا بنسميها quota يعني بقى أنا جوا ال sample اللي موجودة ال judgemental أو ال convenient أو ال sequential sample لما بدى أقسمها لطبقات بسميها quota اللي هي زي ال male و ال female", "tokens": [3224, 24192, 18863, 9957, 3660, 13672, 1829, 3714, 5016, 4117, 20498, 3660, 4724, 10721, 1829, 10943, 20449, 9957, 3660, 45164, 25961, 41850, 4724, 16254, 10874, 11622, 38207, 7133, 4032, 10874, 11622, 38207, 6556, 8608, 2304, 8315, 11296, 8608, 16758, 4587, 995, 745, 3274, 8978, 2423, 8482, 6889, 35525, 19452, 34105, 44945, 38251, 1829, 11296, 45171, 37495, 22653, 4724, 4587, 7578, 41850, 10874, 14407, 2423, 6889, 13672, 1829, 3714, 29245, 23328, 3660, 2423, 6995, 15875, 34051, 2423, 10851, 34051, 2423, 42881, 6889, 5296, 15042, 47525, 7578, 5551, 4587, 38251, 11296, 5296, 9566, 3555, 4587, 9307, 4724, 38251, 1829, 11296, 45171, 13672, 1829, 39896, 30767, 1829, 2423, 7133, 4032, 2423, 6556], "avg_logprob": -0.14843750514767387, "compression_ratio": 1.7738095238095237, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 1449.61, "end": 1450.07, "word": "هذه", "probability": 0.951171875}, {"start": 1450.07, "end": 1450.49, "word": " العينة", "probability": 0.9236653645833334}, {"start": 1450.49, "end": 1450.63, "word": " اللي", "probability": 0.617919921875}, {"start": 1450.63, "end": 1451.13, "word": " محكومة", "probability": 0.9005859375}, {"start": 1451.13, "end": 1451.57, "word": " بأيام", "probability": 0.9503173828125}, {"start": 1451.57, "end": 1452.31, "word": " معينة", "probability": 0.9915364583333334}, {"start": 1452.31, "end": 1452.65, "word": " لو", "probability": 0.81298828125}, {"start": 1452.65, "end": 1452.93, "word": " كان", "probability": 0.93408203125}, {"start": 1452.93, "end": 1453.13, "word": " أنا", "probability": 0.58984375}, {"start": 1453.13, "end": 1453.43, "word": " بدي", "probability": 0.869140625}, {"start": 1453.43, "end": 1453.89, "word": " جزء", "probability": 0.9934895833333334}, {"start": 1453.89, "end": 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"end": 1461.41, "word": " هنا", "probability": 0.9560546875}, {"start": 1461.41, "end": 1462.15, "word": " بنسميها", "probability": 0.93212890625}, {"start": 1462.15, "end": 1462.89, "word": " quota", "probability": 0.88623046875}, {"start": 1462.89, "end": 1463.27, "word": " يعني", "probability": 0.9580078125}, {"start": 1463.27, "end": 1463.49, "word": " بقى", "probability": 0.73828125}, {"start": 1463.49, "end": 1463.71, "word": " أنا", "probability": 0.8310546875}, {"start": 1463.71, "end": 1464.21, "word": " جوا", "probability": 0.91552734375}, {"start": 1464.21, "end": 1464.51, "word": " ال", "probability": 0.96337890625}, {"start": 1464.51, "end": 1464.91, "word": " sample", "probability": 0.94775390625}, {"start": 1464.91, "end": 1465.19, "word": " اللي", "probability": 0.963134765625}, {"start": 1465.19, "end": 1466.19, "word": " موجودة", "probability": 0.9617919921875}, {"start": 1466.19, "end": 1466.37, "word": " ال", "probability": 0.68359375}, {"start": 1466.37, "end": 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1472.09, "end": 1472.97, "word": " بسميها", "probability": 0.9869384765625}, {"start": 1472.97, "end": 1473.47, "word": " quota", "probability": 0.9755859375}, {"start": 1473.47, "end": 1473.99, "word": " اللي", "probability": 0.96142578125}, {"start": 1473.99, "end": 1474.15, "word": " هي", "probability": 0.8310546875}, {"start": 1474.15, "end": 1474.35, "word": " زي", "probability": 0.9794921875}, {"start": 1474.35, "end": 1474.51, "word": " ال", "probability": 0.95849609375}, {"start": 1474.51, "end": 1474.83, "word": " male", "probability": 0.96533203125}, {"start": 1474.83, "end": 1475.09, "word": " و", "probability": 0.9208984375}, {"start": 1475.09, "end": 1475.21, "word": " ال", "probability": 0.85693359375}, {"start": 1475.21, "end": 1475.47, "word": " female", "probability": 0.93115234375}], "temperature": 1.0}, {"id": 66, "seek": 149802, "start": 1476.36, "end": 1498.02, "text": "في عندنا نوع من ال sample بنسميها snowball sample اللي هي قوات الثلج المتدحرج ان هو هدى كل واحد بيوديني للتانى مثلا في عندنا بعض الأمراض اللي موجودة صعب جدا ان احصل على بيانات هؤلاء المرضى زى مثلا الناس المتعاطين لموضوع لطمال", "tokens": [41185, 43242, 8315, 8717, 45367, 9154, 2423, 6889, 44945, 38251, 1829, 11296, 46143, 6889, 13672, 1829, 39896, 12174, 2407, 9307, 6024, 104, 1211, 7435, 9673, 2655, 3215, 5016, 47341, 16472, 31439, 8032, 3215, 7578, 28242, 36764, 24401, 4724, 1829, 23328, 9957, 1829, 24976, 2655, 7649, 7578, 50113, 15040, 8978, 43242, 8315, 45030, 11242, 16247, 29973, 46958, 13672, 1829, 3714, 29245, 23328, 3660, 20328, 3615, 3555, 10874, 28259, 16472, 1975, 5016, 36520, 15844, 4724, 1829, 7649, 9307, 8032, 33604, 1211, 16606, 9673, 43042, 7578, 30767, 7578, 50113, 15040, 2423, 8315, 3794, 9673, 2655, 3615, 41193, 9957, 32767, 2407, 11242, 45367, 5296, 9566, 2304, 6027], "avg_logprob": -0.12552584105959305, "compression_ratio": 1.792626728110599, "no_speech_prob": 2.0265579223632812e-06, "words": [{"start": 1476.36, "end": 1476.6, "word": "في", "probability": 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{"start": 1487.42, "end": 1487.98, "word": " الأمراض", "probability": 0.9763997395833334}, {"start": 1487.98, "end": 1488.18, "word": " اللي", "probability": 0.794189453125}, {"start": 1488.18, "end": 1488.88, "word": " موجودة", "probability": 0.98583984375}, {"start": 1488.88, "end": 1489.72, "word": " صعب", "probability": 0.9910481770833334}, {"start": 1489.72, "end": 1490.22, "word": " جدا", "probability": 0.996337890625}, {"start": 1490.22, "end": 1490.46, "word": " ان", "probability": 0.61376953125}, {"start": 1490.46, "end": 1491.1, "word": " احصل", "probability": 0.8863932291666666}, {"start": 1491.1, "end": 1491.42, "word": " على", "probability": 0.85400390625}, {"start": 1491.42, "end": 1492.18, "word": " بيانات", "probability": 0.981689453125}, {"start": 1492.18, "end": 1492.66, "word": " هؤلاء", "probability": 0.96533203125}, {"start": 1492.66, "end": 1493.26, "word": " المرضى", "probability": 0.98974609375}, {"start": 1493.26, "end": 1493.96, "word": " زى", "probability": 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"seek": 153832, "start": 1515.56, "end": 1538.32, "text": "و باخد منه جوال و بتواصل معاه و التاني بوصلني للتالت و التالت للرابع فكل واحد بوصلني للي بعدى فهذا بنقول عنه snowball sample ان كل مريض بعطيني اسم اللي بعدى ع أبال محصل العينة اللى أنا بدي إياها في الدراسة و هيك بكون خلصنا كل أنواع ال sampling اللى أنا بدي أخدهم في البحث", "tokens": [2407, 4724, 47283, 3215, 9154, 3224, 10874, 2407, 6027, 4032, 39894, 2407, 33546, 1211, 20449, 40294, 4032, 16712, 7649, 1829, 4724, 2407, 36520, 22653, 24976, 2655, 6027, 2655, 4032, 16712, 6027, 2655, 24976, 2288, 16758, 3615, 6156, 28820, 36764, 24401, 4724, 2407, 36520, 22653, 5296, 20292, 39182, 7578, 6156, 3224, 15730, 44945, 39648, 18871, 3224, 46143, 6889, 16472, 28242, 3714, 16572, 11242, 4724, 3615, 9566, 9957, 1829, 24525, 2304, 13672, 1829, 39182, 7578, 6225, 5551, 3555, 6027, 3714, 5016, 36520, 18863, 9957, 3660, 13672, 7578, 41850, 4724, 16254, 11933, 25528, 11296, 8978, 32748, 23557, 3794, 3660, 4032, 39896, 4117, 4724, 30544, 16490, 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أبحاثنا اللي احنا هنعملها بتكون رايحة ناحية ال non-probability sample لأنه هنا صعب ناخد بيانات المرضى و نجسم لستارته و نعمل systemic review و نعمل cluster", "tokens": [3555, 8592, 28820, 6225, 10943, 14739, 3224, 1975, 5016, 8315, 11778, 16373, 15042, 28242, 5551, 49628, 5718, 104, 8315, 13672, 1829, 1975, 5016, 8315, 8032, 1863, 25957, 1211, 11296, 39894, 30544, 12602, 47302, 5016, 3660, 8717, 39319, 10632, 2423, 2107, 12, 41990, 2310, 6889, 5296, 33456, 3224, 34105, 20328, 3615, 3555, 8717, 47283, 3215, 4724, 1829, 7649, 9307, 9673, 43042, 7578, 4032, 8717, 7435, 38251, 5296, 14851, 9640, 47395, 4032, 8717, 25957, 1211, 23789, 3131, 4032, 8717, 25957, 1211, 13630], "avg_logprob": -0.18798224719954126, "compression_ratio": 1.4820512820512821, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 1538.96, "end": 1539.44, "word": "بشكل", "probability": 0.96728515625}, {"start": 1539.44, "end": 1539.88, "word": " عام", "probability": 0.998046875}, {"start": 1539.88, "end": 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{"start": 1655.0, "end": 1655.56, "word": " كبير", "probability": 0.7985026041666666}, {"start": 1655.56, "end": 1656.18, "word": " كل", "probability": 0.52685546875}, {"start": 1656.18, "end": 1656.42, "word": " هذه", "probability": 0.9658203125}, {"start": 1656.42, "end": 1656.86, "word": " العوامل", "probability": 0.9874267578125}, {"start": 1656.86, "end": 1657.46, "word": " بتأثر", "probability": 0.9562174479166666}, {"start": 1657.46, "end": 1657.68, "word": " على", "probability": 0.9306640625}, {"start": 1657.68, "end": 1658.28, "word": " حساب", "probability": 0.98779296875}, {"start": 1658.28, "end": 1658.66, "word": " ال", "probability": 0.826171875}, {"start": 1658.66, "end": 1658.98, "word": " sample", "probability": 0.90673828125}, {"start": 1658.98, "end": 1659.72, "word": " size", "probability": 0.86279296875}, {"start": 1659.72, "end": 1660.72, "word": " ناخد", "probability": 0.8958333333333334}, {"start": 1660.72, "end": 1661.26, "word": " مثال", "probability": 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تقدير جيد جدا", "tokens": [9778, 15040, 5172, 19446, 7251, 30544, 2423, 6194, 9700, 8717, 35457, 3660, 6225, 6027, 10632, 50113, 15040, 45164, 12174, 1211, 8315, 16472, 8717, 35457, 3660, 21542, 33546, 1211, 9957, 15844, 6055, 28543, 13546, 10874, 25708, 10874, 28259], "avg_logprob": -0.09786184543841764, "compression_ratio": 1.2844827586206897, "no_speech_prob": 1.4901161193847656e-06, "words": [{"start": 1693.66, "end": 1694.12, "word": "خلاف", "probability": 0.9182942708333334}, {"start": 1694.12, "end": 1694.26, "word": " ما", "probability": 0.97607421875}, {"start": 1694.26, "end": 1694.62, "word": " يكون", "probability": 0.95947265625}, {"start": 1694.62, "end": 1694.74, "word": " ال", "probability": 0.8212890625}, {"start": 1694.74, "end": 1695.2, "word": " primary", "probability": 0.76806640625}, {"start": 1695.2, "end": 1695.62, "word": " outcome", "probability": 0.94580078125}, {"start": 1695.62, "end": 1696.22, "word": " نسبة", "probability": 0.9602864583333334}, {"start": 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"text": "في كلية العلوم الصحية فانا متوقع انهم يكونوا نسبة عالية اللي موجودة فلو أخدنا خمسين بشكل عشوائي هيكونوا ممثلين عن ال population اللي هم كل طلاب العلوم الصحية هلاقي فيهم على الأقل عشرين و 15 شخص ماخدين جيد جدا و كمان في مجموعة ماخدة امتياز و هي مثلا خمسة او ستة فبالتالي هلاقي في عندى primary outcome ظهر عندى", "tokens": [41185, 28242, 10632, 18863, 1211, 20498, 31767, 5016, 10632, 6156, 7649, 995, 44650, 30543, 3615, 16472, 16095, 7251, 30544, 14407, 8717, 35457, 3660, 6225, 6027, 10632, 13672, 1829, 3714, 29245, 23328, 3660, 6156, 1211, 2407, 5551, 9778, 3215, 8315, 16490, 2304, 3794, 9957, 4724, 8592, 28820, 6225, 8592, 2407, 16373, 1829, 8032, 1829, 30544, 14407, 3714, 2304, 12984, 1211, 9957, 18871, 2423, 4415, 13672, 1829, 8032, 2304, 28242, 23032, 15040, 3555, 18863, 1211, 20498, 31767, 5016, 10632, 8032, 15040, 38436, 8978, 16095, 15844, 16247, 4587, 1211, 6225, 46309, 9957, 4032, 2119, 13412, 9778, 9381, 3714, 47283, 3215, 9957, 10874, 25708, 10874, 28259, 4032, 9122, 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size", "probability": 0.87451171875}, {"start": 1956.54, "end": 1957.42, "word": " في", "probability": 0.78466796875}, {"start": 1957.42, "end": 1957.64, "word": " عندنا", "probability": 0.954345703125}, {"start": 1957.64, "end": 1957.96, "word": " مثال", "probability": 0.968017578125}, {"start": 1957.96, "end": 1958.38, "word": " بيقول", "probability": 0.9847005208333334}, {"start": 1958.38, "end": 1958.82, "word": " أنه", "probability": 0.834228515625}, {"start": 1958.82, "end": 1958.98, "word": " أنا", "probability": 0.79736328125}, {"start": 1958.98, "end": 1959.36, "word": " عندي", "probability": 0.7042236328125}, {"start": 1959.36, "end": 1959.68, "word": " ال", "probability": 0.89892578125}, {"start": 1959.68, "end": 1960.16, "word": " thyroid", "probability": 0.84130859375}, {"start": 1960.16, "end": 1960.56, "word": " و", "probability": 0.82958984375}, {"start": 1960.56, "end": 1960.66, "word": " ال", "probability": 0.9384765625}, {"start": 1960.66, "end": 1961.08, "word": " thyroid", "probability": 0.89453125}, {"start": 1961.08, "end": 1961.58, "word": " هدول", "probability": 0.9580078125}, {"start": 1961.58, "end": 1962.02, "word": " ال", "probability": 0.5126953125}, {"start": 1962.02, "end": 1962.46, "word": " prevalence", "probability": 0.92041015625}, {"start": 1962.46, "end": 1962.74, "word": " كان", "probability": 0.98046875}, {"start": 1962.74, "end": 1963.08, "word": " عندهم", "probability": 0.980224609375}, {"start": 1963.08, "end": 1963.3, "word": " 10", "probability": 0.927734375}, {"start": 1963.3, "end": 1963.8, "word": "%", "probability": 0.96826171875}, {"start": 1963.8, "end": 1964.0, "word": " في", "probability": 0.95361328125}, {"start": 1964.0, "end": 1964.26, "word": " قطاع", "probability": 0.7550455729166666}, {"start": 1964.26, "end": 1964.68, "word": " غزة", "probability": 0.9733072916666666}], "temperature": 1.0}, {"id": 87, "seek": 199187, "start": 1965.53, "end": 1991.87, "text": "و انا عارف ان نسبة ال margin of error اللى 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0.989501953125}, {"start": 1982.51, "end": 1982.79, "word": " بتقول", "probability": 0.9755859375}, {"start": 1982.79, "end": 1983.23, "word": " 11", "probability": 0.444580078125}, {"start": 1983.23, "end": 1983.71, "word": " في", "probability": 0.81103515625}, {"start": 1983.71, "end": 1984.05, "word": " أشهر", "probability": 0.79248046875}, {"start": 1984.05, "end": 1984.29, "word": " بيكون", "probability": 0.8509114583333334}, {"start": 1984.29, "end": 1984.51, "word": " فيها", "probability": 0.96875}, {"start": 1984.51, "end": 1984.87, "word": " 12", "probability": 0.68603515625}, {"start": 1984.87, "end": 1985.11, "word": " في", "probability": 0.79443359375}, {"start": 1985.11, "end": 1985.41, "word": " أشهر", "probability": 0.9654541015625}, {"start": 1985.41, "end": 1985.73, "word": " بيطلع", "probability": 0.810986328125}, {"start": 1985.73, "end": 1985.97, "word": " فيها", "probability": 0.927490234375}, {"start": 1985.97, "end": 1986.25, "word": " ال", "probability": 0.9541015625}, {"start": 1986.25, "end": 1986.77, "word": " prevalence", "probability": 0.9052734375}, {"start": 1986.77, "end": 1988.21, "word": " مثلا", "probability": 0.97607421875}, {"start": 1988.21, "end": 1988.73, "word": " 8", "probability": 0.4287109375}, {"start": 1988.73, "end": 1989.83, "word": " فبنقول", "probability": 0.9444580078125}, {"start": 1989.83, "end": 1990.21, "word": " والله", "probability": 0.7178955078125}, {"start": 1990.21, "end": 1990.81, "word": " عشرة", "probability": 0.9208984375}, {"start": 1990.81, "end": 1991.09, "word": " زاد", "probability": 0.9716796875}, {"start": 1991.09, "end": 1991.21, "word": " او", "probability": 0.89794921875}, {"start": 1991.21, "end": 1991.51, "word": " ناقص", "probability": 0.9962158203125}, {"start": 1991.51, "end": 1991.87, "word": " اتنين", "probability": 0.885009765625}], "temperature": 1.0}, {"id": 88, "seek": 202222, "start": 1992.46, "end": 2022.22, "text": "بنبدأ نحسب و نطبق هي ال margin or رو هي ال z ال z معروفة 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index 0000000000000000000000000000000000000000..bfc01ba2fcd9d18104a72fa7f91a94fa32dc937e
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@@ -0,0 +1 @@
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"word": " overview", "probability": 0.935546875}, {"start": 147.01, "end": 147.99, "word": " مقدمة", "probability": 0.9484049479166666}, {"start": 147.99, "end": 148.99, "word": " بسيطة", "probability": 0.99619140625}, {"start": 148.99, "end": 150.53, "word": " ال", "probability": 0.91455078125}, {"start": 150.53, "end": 150.83, "word": " general", "probability": 0.91357421875}, {"start": 150.83, "end": 151.57, "word": " objective", "probability": 0.8525390625}, {"start": 151.57, "end": 153.17, "word": " و", "probability": 0.6474609375}, {"start": 153.17, "end": 153.57, "word": " specific", "probability": 0.90234375}, {"start": 153.57, "end": 154.47, "word": " objectives", "probability": 0.810546875}, {"start": 154.47, "end": 155.77, "word": " و", "probability": 0.98095703125}, {"start": 155.77, "end": 156.15, "word": " significance", "probability": 0.5341796875}, {"start": 156.15, "end": 156.89, "word": " of", "probability": 0.98486328125}, {"start": 156.89, "end": 157.01, "word": " 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"probability": 0.9130859375}], "temperature": 1.0}, {"id": 34, "seek": 83309, "start": 804.11, "end": 833.09, "text": "أو متكلم على research hypothesis فبدأ أكون أنا عارف أن هو هذه ال hypothesis حصل عليها من ال objective بتاعت الدراسة أو من ال title الخاص بالبحث واتكلمنا قولنا أن ال hypothesis بتكون يا to tell وبنتكلم عنها في different موجود significant different أو بتكون one-tailed tests", "tokens": [10721, 2407, 44650, 4117, 19528, 15844, 2132, 17291, 6156, 3555, 3215, 10721, 5551, 30544, 41850, 6225, 9640, 5172, 14739, 31439, 29538, 2423, 17291, 11331, 36520, 25894, 11296, 9154, 2423, 10024, 39894, 995, 34268, 32748, 23557, 3794, 3660, 34051, 9154, 2423, 4876, 33962, 33546, 20666, 49628, 12984, 4032, 9307, 4117, 19528, 8315, 12174, 12610, 8315, 14739, 2423, 17291, 39894, 30544, 35186, 281, 980, 4032, 3555, 29399, 4117, 19528, 18871, 11296, 8978, 819, 3714, 29245, 23328, 4776, 819, 34051, 39894, 30544, 472, 12, 14430, 292, 6921], "avg_logprob": -0.20827205952476052, 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tests", "probability": 0.32421875}], "temperature": 1.0}, {"id": 35, "seek": 85402, "start": 833.74, "end": 854.02, "text": "واللي هي بتكون هذه بتحكي عنها higher than, greater than, more than او في tail اخر كمان بنسميه one tail او بتتكلم ال one tail .. او بتتكلم ال one tail test عن less than او lower than", "tokens": [2407, 6027, 20292, 39896, 39894, 30544, 29538, 39894, 5016, 4117, 1829, 18871, 11296, 2946, 813, 11, 5044, 813, 11, 544, 813, 1975, 2407, 8978, 6838, 1975, 34740, 9122, 2304, 7649, 44945, 38251, 1829, 3224, 472, 6838, 1975, 2407, 39894, 2655, 4117, 19528, 2423, 472, 6838, 4386, 1975, 2407, 39894, 2655, 4117, 19528, 2423, 472, 6838, 1500, 18871, 1570, 813, 1975, 2407, 3126, 813], "avg_logprob": -0.15930175152607262, "compression_ratio": 1.618421052631579, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 833.74, "end": 834.14, "word": "واللي", "probability": 0.8479817708333334}, {"start": 834.14, "end": 834.32, "word": " هي", "probability": 0.68896484375}, 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"word": " tail", "probability": 0.8232421875}, {"start": 841.52, "end": 842.1, "word": " اخر", "probability": 0.74462890625}, {"start": 842.1, "end": 842.46, "word": " كمان", "probability": 0.8756510416666666}, {"start": 842.46, "end": 843.12, "word": " بنسميه", "probability": 0.9713134765625}, {"start": 843.12, "end": 843.36, "word": " one", "probability": 0.9658203125}, {"start": 843.36, "end": 843.78, "word": " tail", "probability": 0.88037109375}, {"start": 843.78, "end": 844.46, "word": " او", "probability": 0.9384765625}, {"start": 844.46, "end": 845.24, "word": " بتتكلم", "probability": 0.986328125}, {"start": 845.24, "end": 845.74, "word": " ال", "probability": 0.986328125}, {"start": 845.74, "end": 846.0, "word": " one", "probability": 0.95654296875}, {"start": 846.0, "end": 846.38, "word": " tail", "probability": 0.865234375}, {"start": 846.38, "end": 847.6, "word": " ..", "probability": 0.65625}, {"start": 847.6, "end": 848.14, "word": " او", "probability": 0.96826171875}, {"start": 848.14, "end": 848.74, "word": " بتتكلم", "probability": 0.985595703125}, {"start": 848.74, "end": 848.86, "word": " ال", "probability": 0.9921875}, {"start": 848.86, "end": 849.12, "word": " one", "probability": 0.9677734375}, {"start": 849.12, "end": 849.38, "word": " tail", "probability": 0.86962890625}, {"start": 849.38, "end": 849.9, "word": " test", "probability": 0.9423828125}, {"start": 849.9, "end": 850.86, "word": " عن", "probability": 0.99365234375}, {"start": 850.86, "end": 851.98, "word": " less", "probability": 0.9638671875}, {"start": 851.98, "end": 852.5, "word": " than", "probability": 0.96875}, {"start": 852.5, "end": 853.12, "word": " او", "probability": 0.947509765625}, {"start": 853.12, "end": 853.56, "word": " lower", "probability": 0.287109375}, {"start": 853.56, "end": 854.02, "word": " than", "probability": 0.9716796875}], "temperature": 1.0}, {"id": 36, "seek": 88065, "start": 855.07, "end": 880.65, "text": "واتكلمنا كمان على ال family variable in 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1712.26, "end": 1712.76, "word": " الدراسة", "probability": 0.90966796875}, {"start": 1712.76, "end": 1713.0, "word": " الأولى", "probability": 0.9622395833333334}, {"start": 1713.0, "end": 1713.5, "word": " بالstyle", "probability": 0.6943359375}, {"start": 1713.5, "end": 1713.84, "word": " هذا", "probability": 0.533203125}, {"start": 1713.84, "end": 1714.38, "word": " لو", "probability": 0.95263671875}, {"start": 1714.38, "end": 1714.62, "word": " لقيت", "probability": 0.7351888020833334}, {"start": 1714.62, "end": 1714.9, "word": " كمان", "probability": 0.8805338541666666}, {"start": 1714.9, "end": 1715.26, "word": " دراسة", "probability": 0.985107421875}, {"start": 1715.26, "end": 1715.72, "word": " بالstyle", "probability": 0.902099609375}, {"start": 1715.72, "end": 1716.24, "word": " التاني", "probability": 0.9274088541666666}, {"start": 1716.24, "end": 1716.46, "word": " لو", "probability": 0.94091796875}, {"start": 1716.46, "end": 1716.72, "word": " كمان", "probability": 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"probability": 0.97265625}, {"start": 1722.08, "end": 1722.84, "word": " أول", "probability": 0.79296875}], "temperature": 1.0}, {"id": 74, "seek": 174716, "start": 1723.56, "end": 1747.16, "text": "related study بتكتبوها بعدين بتلاقي الأمور ماشية معاكم بتفاصيلها هيك احنا بنكون خلصنا كيفية كتابة chapter 2 بكامل تفاصيله بكامل محتوى أتمنى أنكوا تكونوا استفدتوا من طريقة كتابة chapter 2 و بتمنى لكم التوفيق والسلام عليكم ورحمة الله وبركاته", "tokens": [12004, 2979, 39894, 4117, 2655, 3555, 2407, 11296, 39182, 9957, 39894, 15040, 38436, 16247, 2304, 13063, 3714, 33599, 10632, 20449, 995, 24793, 39894, 5172, 33546, 26895, 11296, 39896, 4117, 1975, 5016, 8315, 44945, 30544, 16490, 1211, 9381, 8315, 9122, 33911, 10632, 9122, 2655, 16758, 3660, 7187, 568, 4724, 4117, 10943, 1211, 6055, 5172, 33546, 26895, 3224, 4724, 4117, 10943, 1211, 3714, 33753, 2407, 7578, 5551, 2655, 27842, 7578, 14739, 4117, 14407, 6055, 30544, 14407, 44713, 5172, 3215, 2655, 14407, 9154, 23032, 16572, 28671, 9122, 2655, 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0.9099934895833334}, {"start": 1727.62, "end": 1728.74, "word": " بتفاصيلها", "probability": 0.9658203125}, {"start": 1728.74, "end": 1729.96, "word": " هيك", "probability": 0.75341796875}, {"start": 1729.96, "end": 1730.1, "word": " احنا", "probability": 0.89501953125}, {"start": 1730.1, "end": 1730.36, "word": " بنكون", "probability": 0.826416015625}, {"start": 1730.36, "end": 1731.14, "word": " خلصنا", "probability": 0.9427490234375}, {"start": 1731.14, "end": 1731.92, "word": " كيفية", "probability": 0.9853515625}, {"start": 1731.92, "end": 1732.66, "word": " كتابة", "probability": 0.995361328125}, {"start": 1732.66, "end": 1733.34, "word": " chapter", "probability": 0.849609375}, {"start": 1733.34, "end": 1733.86, "word": " 2", "probability": 0.798828125}, {"start": 1733.86, "end": 1735.58, "word": " بكامل", "probability": 0.923828125}, {"start": 1735.58, "end": 1736.38, "word": " تفاصيله", "probability": 0.98671875}, {"start": 1736.38, "end": 1737.12, "word": " بكامل", "probability": 0.904296875}, {"start": 1737.12, "end": 1738.02, "word": " محتوى", "probability": 0.904296875}, {"start": 1738.02, "end": 1738.92, "word": " أتمنى", "probability": 0.775146484375}, {"start": 1738.92, "end": 1739.14, "word": " أنكوا", "probability": 0.6925455729166666}, {"start": 1739.14, "end": 1739.32, "word": " تكونوا", "probability": 0.9544270833333334}, {"start": 1739.32, "end": 1739.94, "word": " استفدتوا", "probability": 0.87041015625}, {"start": 1739.94, "end": 1740.68, "word": " من", "probability": 0.9931640625}, {"start": 1740.68, "end": 1741.5, "word": " طريقة", "probability": 0.9905598958333334}, {"start": 1741.5, "end": 1741.9, "word": " كتابة", "probability": 0.99462890625}, {"start": 1741.9, "end": 1742.12, "word": " chapter", "probability": 0.88818359375}, {"start": 1742.12, "end": 1742.5, "word": " 2", "probability": 0.9296875}, {"start": 1742.5, "end": 1742.84, "word": " و", "probability": 0.59228515625}, {"start": 1742.84, "end": 1743.2, "word": " بتمنى", "probability": 0.74169921875}, {"start": 1743.2, "end": 1743.36, "word": " لكم", "probability": 0.549072265625}, {"start": 1743.36, "end": 1743.96, "word": " التوفيق", "probability": 0.98974609375}, {"start": 1743.96, "end": 1744.54, "word": " والسلام", "probability": 0.8388671875}, {"start": 1744.54, "end": 1745.16, "word": " عليكم", "probability": 0.958251953125}, {"start": 1745.16, "end": 1745.88, "word": " ورحمة", "probability": 0.964111328125}, {"start": 1745.88, "end": 1746.24, "word": " الله", "probability": 0.9658203125}, {"start": 1746.24, "end": 1747.16, "word": " وبركاته", "probability": 0.9849609375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1747.6034375, "duration_after_vad": 1678.2768749999973}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_postprocess.srt b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6d01bea9b9f31713c6cd9d99249718117e256d13
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_postprocess.srt
@@ -0,0 +1,2096 @@
+1
+00:00:02,280 --> 00:00:05,080
+أعود بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:05,080 --> 00:00:10,120
+الرحيم ضلّابنا الأعزاء نكمل الحديث على الـ Data
+
+3
+00:00:10,120 --> 00:00:14,880
+Presenting واتكلمنا في اللقاء السابق أن الـ
+
+4
+00:00:14,880 --> 00:00:18,480
+Central Tendency أو الـ Central Location في معها
+
+5
+00:00:18,480 --> 00:00:21,440
+بتكون dispersion وبتكون للـ Quantitative Data
+
+6
+00:00:21,440 --> 00:00:25,240
+وقلنا إن الـ Quantitative Data بتتملها الـ Data
+
+7
+00:00:25,240 --> 00:00:28,260
+Presenting يا بالـ Mode يا بالـ Mid-Range يا بالـ
+
+8
+00:00:28,260 --> 00:00:32,210
+Mean أو ما يسمى بالـ Average أو الـ Medianوقلنا
+
+9
+00:00:32,210 --> 00:00:35,730
+بيكون هذه معاها في الـ Quantitative Data لازم تكون
+
+10
+00:00:35,730 --> 00:00:39,270
+مترافقة بـ Dispersion و اللي هو بيكون ماشي مع الـ
+
+11
+00:00:39,270 --> 00:00:42,890
+Mode الـ Minimum و الـ Maximum و بيكون مرافق لـ
+
+12
+00:00:42,890 --> 00:00:45,890
+Mid-Range اللي هو الـ Range و بيكون مرافق لـ Mean
+
+13
+00:00:45,890 --> 00:00:48,930
+أو الـ Average اللي هو الـ Standard Deviation و
+
+14
+00:00:48,930 --> 00:00:54,390
+بيكون مرافق لـ Median اللي هو 75بيرسنتايل و 25%
+
+15
+00:00:54,390 --> 00:01:00,730
+بيرسنتايل أو ما يسمى بـ Q1 و Q3 والـ Media نفسها
+
+16
+00:01:00,730 --> 00:01:07,830
+تسمى 50% بيرسنتايل أو تسمى Q2 واتكلمنا كيف بتم
+
+17
+00:01:07,830 --> 00:01:12,430
+حسابهم وقلنا إن الـ qualitative data يا بتم
+
+18
+00:01:12,430 --> 00:01:15,590
+presenting إلها بال ratio أو بال proportion
+
+19
+00:01:15,590 --> 00:01:18,070
+واتكلمنا كيف أليت حسابهم
+
+20
+00:01:20,660 --> 00:01:25,160
+وهذا بيكون ملخص المحاضرة السابقة الـ Qualitative
+
+21
+00:01:25,160 --> 00:01:32,300
+Data كل اللي اتكلمنا عنه قبل اللي هو الـ Mean والـ
+
+22
+00:01:32,300 --> 00:01:37,320
+Mode والـ Median والـ Midrange والـ Proportion
+
+23
+00:01:37,320 --> 00:01:44,180
+والـ Ratio كل هدول يعتبروا برامتر في عندنا الـ
+
+24
+00:01:44,180 --> 00:01:51,710
+Graph اللي هو بالدينةإنطباع أولي عن الـ Data يبقى
+
+25
+00:01:51,710 --> 00:01:55,230
+كل الـ Ratio والبرامتر والـ Central Tendency
+
+26
+00:01:55,230 --> 00:01:58,110
+الأربع أنواع تعالج الـ Qualitative كلها تعتبر
+
+27
+00:01:58,110 --> 00:02:04,190
+Mathematical Summary وبنسميها برامتر نتكلم عن الـ
+
+28
+00:02:04,190 --> 00:02:09,750
+Graph الـ Graph بحالة الـ Qualitative Data يبنسم
+
+29
+00:02:09,750 --> 00:02:15,130
+شكل اسمه Bar وبنلاحظ أن أعمدة موجودة عمودين بوضح
+
+30
+00:02:15,130 --> 00:02:21,300
+ال Male و Femaleكـ number أو proportion أو بنوصم
+
+31
+00:02:21,300 --> 00:02:25,940
+حاجة اسمها by و ال by هي معناها زي الفطيرة عاملة
+
+32
+00:02:25,940 --> 00:02:29,860
+وهي بتوضح قداش نسبة ال male و قداش نسبة ال female
+
+33
+00:02:31,110 --> 00:02:35,850
+فلو ان سألنا في امتحان أو في مقابلة الـ Graph اللي
+
+34
+00:02:35,850 --> 00:02:40,670
+قدامك اللي انت شايفه هذا يعتبر الـ Qualitative أو
+
+35
+00:02:40,670 --> 00:02:43,790
+الـ Quantitative Data بدنا نكون عارفين ان الـ
+
+36
+00:02:43,790 --> 00:02:48,630
+Graph هو عبارة عن قصمة بتوضح الـ Qualitative Data
+
+37
+00:02:48,630 --> 00:02:53,200
+سواء الـ bar أو الـ pieوما حد يتلخبط في الـ
+
+38
+00:02:53,200 --> 00:02:55,620
+Percentage يسوف الـ Percentage ويقول فيه الـ Unit
+
+39
+00:02:55,620 --> 00:02:58,580
+يبقى هادي عبارة عن الـ Quantitative لأنه فيه
+
+40
+00:02:58,580 --> 00:03:01,580
+Percentage وفيه Unit لأ احنا بنسألك، ما بنسألك عن
+
+41
+00:03:01,580 --> 00:03:05,540
+الأرقام السؤال اللي بنقولك الـ Graph الـ Graph
+
+42
+00:03:05,540 --> 00:03:08,660
+اللي موجود هذا بيعبر عن الـ Qualitative ولا الـ
+
+43
+00:03:08,660 --> 00:03:13,100
+Quantitative هو الـ Graph بيعبر عن الـ Qualitative
+
+44
+00:03:13,100 --> 00:03:18,760
+Data سواء كان الـ Pi أو الـ Bar وبنأكد
+
+45
+00:03:19,190 --> 00:03:24,150
+وبنقول إن الـ qualitative data لها عصومات ويلها
+
+46
+00:03:24,150 --> 00:03:28,690
+جراف محدد و ال quantitative data لها عصومات معينة
+
+47
+00:03:28,690 --> 00:03:35,330
+أحيان بنلاحظ إنه في الـ scale اللي موجود عندنا
+
+48
+00:03:35,330 --> 00:03:41,770
+بنتطلع لأول واحلة هيك بنلاحظ إنه ال male أعلى من
+
+49
+00:03:41,770 --> 00:03:47,510
+ال female على حسب الشكل اللي أمامنا وهذا قلنا
+
+50
+00:03:47,510 --> 00:03:52,940
+بيكون اسمه barولكن نفس الرسم اللي لو طلعنا فيها
+
+51
+00:03:52,940 --> 00:03:58,060
+بتكون مرسومة بالصورة هذه وكأنه مبين عندي في الرسم
+
+52
+00:03:58,060 --> 00:04:04,500
+اللي موجودة ان ال male تلت أضعاف ال female يعني
+
+53
+00:04:04,500 --> 00:04:08,500
+بالشكل هذا ان ال male عبارة عن تلت أضعاف ال female
+
+54
+00:04:08,500 --> 00:04:13,620
+بالشكل ولكن هذا الشكل نوع من أنواع الخداع البصري
+
+55
+00:04:13,620 --> 00:04:19,730
+يعني لاحظوا انه ببدأ من عند الرقم 6ولو بدأنا من
+
+56
+00:04:19,730 --> 00:04:23,210
+عند الرقم ست و جينا هنا بيكون هذا عبارة عن سبعة
+
+57
+00:04:23,210 --> 00:04:30,530
+ولو طلعنا فوق بيكون تلتاش فبيكون ال male تقريبا
+
+58
+00:04:30,530 --> 00:04:34,530
+ضعف ال female وليس ثلاث أضعاف وزي ما احنا شايفين
+
+59
+00:04:34,530 --> 00:04:39,550
+في الرسمة الشاهد في الموضوع انه انا بدأ اكون دائما
+
+60
+00:04:39,550 --> 00:04:44,080
+في ال graphحتى أحكي إنه أعطاني impression ولا ما
+
+61
+00:04:44,080 --> 00:04:47,760
+أعطاني إيش بدي أتأكد إنه بدا من الـ Zero فبتقول
+
+62
+00:04:47,760 --> 00:04:51,920
+الرسم هذا غلط و الرسم هذه الصحيحة اللي بدت من الـ
+
+63
+00:04:51,920 --> 00:04:56,260
+Zero اللي من خلالها بقدر أحول الـ Data اللي أمامي
+
+64
+00:04:56,260 --> 00:05:02,360
+لـ Information نتكلم عن Normality of Data الـ
+
+65
+00:05:02,360 --> 00:05:08,460
+Normality of Data هي عبارة عن توزيع طبيعي للبيانات
+
+66
+00:05:09,060 --> 00:05:15,400
+والتوزيع الطبيعي للبيانات يتم استخدامه لمعرفة
+
+67
+00:05:15,400 --> 00:05:20,660
+الإختبارات الإحصائية المراد استخدامها فبالتالي
+
+68
+00:05:20,660 --> 00:05:23,640
+التوزيع الطبيعي للبيانات بيقول هل البيانات هذه
+
+69
+00:05:23,640 --> 00:05:26,740
+عبارة عن Normal Distribution شكل الموزع الطبيعي
+
+70
+00:05:26,740 --> 00:05:32,580
+ولا هذه البيانات لا تتبع التوزيع الطبيعي وحنتكلم
+
+71
+00:05:32,580 --> 00:05:36,980
+إيش يعني توزيع طبيعي وتوزيع غير طبيعي للبيانات
+
+72
+00:05:36,980 --> 00:05:41,490
+والـ Dataبالعموم في ملاحظة مهمة هنا بناخد بالنا
+
+73
+00:05:41,490 --> 00:05:46,190
+منها الـ normality of data بتكون لل quantitative
+
+74
+00:05:46,190 --> 00:05:50,730
+data بينما ال qualitative data مافيش لها normality
+
+75
+00:05:50,730 --> 00:05:57,330
+لل data مافيش لها توزيع طبيعي للبيانات فطالما
+
+76
+00:05:57,330 --> 00:06:02,270
+سمعنا على normality of dataAutomatic أنا تفكيري
+
+77
+00:06:02,270 --> 00:06:05,430
+بالظروح إن البيانات اللي موجودة أو ال data عبارة
+
+78
+00:06:05,430 --> 00:06:09,470
+عن quantitative data إيش أهم وصفات ال normal
+
+79
+00:06:09,470 --> 00:06:13,310
+distribution data إنه بيكون عندنا بال shape على
+
+80
+00:06:13,310 --> 00:06:18,570
+شكل جرس بيكون عندنا شكل ال data symmetrical وبيكون
+
+81
+00:06:18,570 --> 00:06:22,550
+ال mean و ال median و ال mode بيكونوا تقريبا
+
+82
+00:06:22,550 --> 00:06:24,690
+متقاربين يعني أو بيكونوا equal
+
+83
+00:06:27,550 --> 00:06:33,030
+ناخد مثال كيف بتم رسم الـ Normal Distribution للـ
+
+84
+00:06:33,030 --> 00:06:39,370
+Quantitative Data نفترض إنه أنا عنده قيمة للـ
+
+85
+00:06:39,370 --> 00:06:44,830
+Fasting Blood Glucose وهذه القيم اللي موجودة مسجلة
+
+86
+00:06:44,830 --> 00:06:52,970
+لـ 100 حالة والـ 100 حالة زي ما أحنا شايفين مرتبين
+
+87
+00:06:52,970 --> 00:07:02,130
+ترتيب تصعديبداية من 66 وصولا لـ 120 رحنا
+
+88
+00:07:02,130 --> 00:07:08,220
+مجسمينهم وقلنا الناس الأقلأو يساوي 70 بدنا نشوفهم
+
+89
+00:07:08,220 --> 00:07:13,120
+أكم حالة الناس اللي من 71 ل 80 بدنا نشوف أكم حالة
+
+90
+00:07:13,120 --> 00:07:18,660
+اللي من 81 ل 90 بدنا نشوف أكم حالة واللي من 91 ل
+
+91
+00:07:18,660 --> 00:07:24,740
+100 أكم حالة ومن 101 ل110 أكم حالة ومن 111 ل120
+
+92
+00:07:24,740 --> 00:07:29,660
+أكم حالة من المائة حالة الموجودين فوجدنا إنه القيم
+
+93
+00:07:29,660 --> 00:07:33,420
+اللي أقل من 70 في ال data اللي موجودة ال quantity
+
+94
+00:07:33,420 --> 00:07:41,720
+هتفكان وراقمينوالقيم من 71 لعند 80 كانوا 14 رقم
+
+95
+00:07:41,720 --> 00:07:50,580
+والقيم من عند 81 لعند 90 كانوا 34 رقم والقيم من 91
+
+96
+00:07:50,580 --> 00:08:00,110
+لعند 100 كانوا تقريبا 34 رقموالقيام من عند 101
+
+97
+00:08:00,110 --> 00:08:05,210
+لعند 110 كانوا 13 رقم اللي أمامنا والقيام من عند
+
+98
+00:08:05,210 --> 00:08:11,850
+111 لعند 120 كانوا 3 أقم عملنا
+
+99
+00:08:11,850 --> 00:08:16,150
+جدول وعملنا الـ frequency للقيام اللي موجودة
+
+100
+00:08:16,150 --> 00:08:21,110
+وجمعناهم وطلعوا عندنا 100 حالة لما روحنا نقص مرسم
+
+101
+00:08:21,110 --> 00:08:29,460
+بياني وجدنا أنه 70 أو أقل رقمياًمن 71 لعند 80
+
+102
+00:08:29,460 --> 00:08:38,280
+كانوا 14 رقم وهي أقسمنا لعند 14 من 81 لعند 90
+
+103
+00:08:38,280 --> 00:08:45,640
+كانوا عندنا 34 رقم وهي عند 34 عملنا مربع وعند 91
+
+104
+00:08:45,640 --> 00:08:52,160
+ل100 كانوا كمان 34 ومن 101 ل110 كانوا عندنا
+
+105
+00:08:52,160 --> 00:08:59,570
+الأرقام اللي موجودين 13 رقمومن 111 لـ 120 كانوا
+
+106
+00:08:59,570 --> 00:09:04,610
+تلات أرقام هذا الشكل بنسميه الـ histogram أو
+
+107
+00:09:04,610 --> 00:09:10,270
+التوزيع الطبيعي للبيانات لو أجينا نرسم منحنى
+
+108
+00:09:10,270 --> 00:09:14,870
+الطبيعي للبيانات بنلاقيه بالشكل هذا هذا ما يقصد
+
+109
+00:09:14,870 --> 00:09:19,070
+بالـ normal distribution للبيانات ان احنا بنوزعهم
+
+110
+00:09:19,070 --> 00:09:22,970
+على range متساوي وبنشوف ال frequency بتاعتهم
+
+111
+00:09:22,970 --> 00:09:29,340
+وبنرسمهم بالشكل هذاالرسمة بشكل عام مش مطلوبة من
+
+112
+00:09:29,340 --> 00:09:34,760
+الطلبة يعملوها manual وإنما نعرف الفكرة الأساسية و
+
+113
+00:09:34,760 --> 00:09:39,500
+الهدف الأساسي من التوزيع الطبيعي إلى البيانات في
+
+114
+00:09:39,500 --> 00:09:44,860
+الشكل الأمامنا، بنلاحظ أن هو pill shape لو طلعنا
+
+115
+00:09:44,860 --> 00:09:49,560
+هنا بنلاقيه على شكل جرس لو قسمناه من النص، بكون
+
+116
+00:09:49,560 --> 00:09:54,540
+تقريبًا symmetrical اليمين والإشمال equal ولو
+
+117
+00:09:54,540 --> 00:09:59,930
+رجعنا على ال dataاللي موجودة، بتلاحظ إنه الـ Mean
+
+118
+00:09:59,930 --> 00:10:04,750
+والـ Median والـ Mode تقريبًا لو حسبناهم بطلعوا
+
+119
+00:10:04,750 --> 00:10:10,130
+equal ولاحظوا إن الـ 90 هنا هي أكثر القيم تقريبًا
+
+120
+00:10:10,130 --> 00:10:15,350
+تكرارًا ولو حسبنا الـ Mean هيطلع كمان 90 ولو حسبنا
+
+121
+00:10:15,350 --> 00:10:19,550
+الـ Median هيطلع تقريبًا 90 أو 91 يعني تقريبًا الـ
+
+122
+00:10:19,550 --> 00:10:25,270
+Median بطلع 91 قريب من الـ Mean والـ Mode بطلع 90
+
+123
+00:10:25,880 --> 00:10:32,780
+ليه بتكون الـ Data توزيعها طبيعي وهي اللي مقصود
+
+124
+00:10:32,780 --> 00:10:38,240
+بالـ Normal Distribution Data اللي بنقول تقريبًا
+
+125
+00:10:38,240 --> 00:10:44,980
+الـ Mean والـ Median والـ Mode متقاربين أحيانًا
+
+126
+00:10:44,980 --> 00:10:49,220
+بيكون عندنا التوزيع الطبيعي للبيانات مش جايب الـ
+
+127
+00:10:49,220 --> 00:10:55,650
+Chip ولا Symmetrical لأنهالـ Mode والـ Median والـ
+
+128
+00:10:55,650 --> 00:10:59,170
+Mean ليسوا متساويين لما تكون في حالة الـ Normal
+
+129
+00:10:59,170 --> 00:11:03,030
+Distribution التلاتة بيكونوا هنا متساويين التلاتة
+
+130
+00:11:03,030 --> 00:11:08,310
+بيكونوا جايين في وسط ال curve ولكن في الحالة هذا
+
+131
+00:11:08,310 --> 00:11:13,090
+بنقول عنهم Not Equal وهذا بنقول عنه التيواء في
+
+132
+00:11:13,090 --> 00:11:18,210
+المنحنة أو Sequences اللي هو التيواء المنحنة هنا
+
+133
+00:11:18,210 --> 00:11:22,620
+عندنا Normal Distributionهي عندنا الـ Sequences
+
+134
+00:11:22,620 --> 00:11:28,300
+اللي بيكون يا بيكون عندنا Positive يا بيكون عندنا
+
+135
+00:11:28,300 --> 00:11:33,100
+Negative و أسهل طريقة أني أعرف الـ Positive و الـ
+
+136
+00:11:33,100 --> 00:11:36,780
+Negative لو أنا نسيتهم أنه أنا بلاحظ الـ Positive
+
+137
+00:11:36,780 --> 00:11:41,820
+الـ Tail لطويل أو الـ Tail لطويل رايح ناحية
+
+138
+00:11:41,820 --> 00:11:47,020
+الأرقام الموجبة فبنسميها Positive Secured التواء
+
+139
+00:11:47,020 --> 00:11:52,330
+إيجابيأو بيكون الـ tail رايحة من ناحية الأرقام الـ
+
+140
+00:11:52,330 --> 00:11:57,110
+negative وبنسميها negative sequences وبيكون رايحة
+
+141
+00:11:57,110 --> 00:12:02,590
+الأرقام والالتواء تبع ال curve رايح ناحية الأرقام
+
+142
+00:12:02,590 --> 00:12:06,990
+السالبة اللي
+
+143
+00:12:06,990 --> 00:12:10,130
+هو ال tail اللي طويل أو ال tail اللي طويل رايح
+
+144
+00:12:10,130 --> 00:12:13,350
+ناحية الموجة بتكون positive وال tail اللي طويل
+
+145
+00:12:13,350 --> 00:12:18,810
+رايح ناحية السالب بتكون عندنا negativeأو بيكون هذه
+
+146
+00:12:18,810 --> 00:12:23,170
+بنسميها الـ left ناحية الشمال وهنا ال right ناحية
+
+147
+00:12:23,170 --> 00:12:27,710
+اليمين هنا
+
+148
+00:12:27,710 --> 00:12:32,750
+بنلاحظ أنه في الإلتواء بيكون عندنا tail أطول من
+
+149
+00:12:32,750 --> 00:12:35,890
+tail وبنلاحظ وقولنا اللي بيحدد left و right اللي
+
+150
+00:12:35,890 --> 00:12:39,350
+هو اتجاه ال tail في عندنا حاجة تانية في ال up
+
+151
+00:12:39,350 --> 00:12:42,490
+normal بتكون distribution اللي هي ال kurtosis ال
+
+152
+00:12:42,490 --> 00:12:47,220
+kurtosis هي عندنا اللي بالأزرق ال normalإذا كان
+
+153
+00:12:47,220 --> 00:12:52,540
+أعلى من الـ Normal المُنحنة بنقول عنه Leptocortic
+
+154
+00:12:52,540 --> 00:12:56,640
+Cortosis وإذا كان أقل من الـ Normal بنقول عنه
+
+155
+00:12:56,640 --> 00:13:01,260
+Leptocortic Cortosis وهذا اللي بيميزهم الشكل يعني
+
+156
+00:13:01,260 --> 00:13:06,180
+اللي بنطلع في شكل البيانات هو symmetrical ونفس
+
+157
+00:13:06,180 --> 00:13:08,100
+خصائص الـ Normal Distribution
+
+158
+00:13:11,400 --> 00:13:15,860
+إلا أننا نلاحظ أن شكل المنحنى مش Normal يأخذ على
+
+159
+00:13:15,860 --> 00:13:20,420
+شكل يا مفلطح يا ما يأخذ على شكل أعلى من الـ Normal
+
+160
+00:13:20,420 --> 00:13:25,300
+وهذه التلاتة هي قيمة الـ Quartosis لو كانت أعلى من
+
+161
+00:13:25,300 --> 00:13:30,060
+تلاتة بنقول عنها Leptocortic Cortosis ولو كانت أقل
+
+162
+00:13:30,060 --> 00:13:34,160
+من تلاتة بنقول عنها Leptocortic Cortosis ولو كانت
+
+163
+00:13:34,160 --> 00:13:38,240
+تلاتة بالظبط بنقول عنها Normal Cortosis أو Normal
+
+164
+00:13:38,240 --> 00:13:39,280
+Distribution
+
+165
+00:13:41,780 --> 00:13:45,120
+قيمة الاتحاد اللي لها معادلة أو لها حسبة بتنحسب و
+
+166
+00:13:45,120 --> 00:13:50,100
+بتنحسب على SPSS كمان اللي هو البرنامج تبع الأحصائي
+
+167
+00:13:50,100 --> 00:13:54,680
+اللي هنتكلم عنه هي اللي بتحدر قيمة الـ Quotations
+
+168
+00:13:54,680 --> 00:14:01,960
+بالعموم احنا اللي بهمنا بهمنا انه نعرف الـ
+
+169
+00:14:01,960 --> 00:14:05,120
+Negative والـ Positive من خلال الشكل والـ Tail
+
+170
+00:14:05,120 --> 00:14:08,500
+يعني لو طلعنا أجهزة شكل زي هذا نعرفه Positive ولا
+
+171
+00:14:08,500 --> 00:14:13,740
+Negative Left ولا Rightبهمنا لو جاءنا شكل منحنى
+
+172
+00:14:13,740 --> 00:14:18,680
+ماخد بشكل عمودي على الآخر وواضح أنه كورتوسيز اللي
+
+173
+00:14:18,680 --> 00:14:21,620
+بميز السيكوينسيز عن الكورتوسيز اللي هو symmetrical
+
+174
+00:14:21,620 --> 00:14:25,040
+لاحظوا هنا الاتنين مش symmetrical من عند القمة
+
+175
+00:14:25,040 --> 00:14:29,480
+ولكن الكورتوسيز بيكون عندنا symmetricalفلو هذا
+
+176
+00:14:29,480 --> 00:14:33,900
+الشكل قالك هذا sequences ولا kurtosis فقط من خلال
+
+177
+00:14:33,900 --> 00:14:38,840
+انه بنمسك رأس الكيارة وبنقسمها لنصفين إذا كانوا
+
+178
+00:14:38,840 --> 00:14:44,120
+not equal فهو sequences وإذا كانوا equal وجاي
+
+179
+00:14:44,120 --> 00:14:48,180
+المنحنة أعلى شوية أو ماخد على شكل مفلطح شوية
+
+180
+00:14:48,180 --> 00:14:55,140
+ولكنهم equal اتنين بيقول عنه kurtosis في
+
+181
+00:14:55,140 --> 00:15:00,960
+عندنا حاجة اسمها statisticalInferences أو التوقعات
+
+182
+00:15:00,960 --> 00:15:06,080
+الإحصائية هذه التوقعات الإحصائية من أهم الأشياء
+
+183
+00:15:06,080 --> 00:15:12,240
+المهمة في علم الأحصاء ناخد عليها مثال على نفس ال
+
+184
+00:15:12,240 --> 00:15:18,060
+case اللي قبل شوية رسمناه وبعدين بنرجع بنشرحه هي
+
+185
+00:15:18,060 --> 00:15:23,800
+ال 100 cases اللي موجودة وقلنا ان ال mean 90 واللي
+
+186
+00:15:23,800 --> 00:15:29,790
+هو يساويالـ Mode تقريبًا وقريب لـ Median اللي كان
+
+187
+00:15:29,790 --> 00:15:36,190
+تقريبًا 91 اللي هي 90 زي 92 تقسيم 2 تطلع 91 يعني
+
+188
+00:15:36,190 --> 00:15:40,590
+التلات أجارب من بعض جدًا لو جينا قولنا إن الـ mean
+
+189
+00:15:40,590 --> 00:15:46,790
+90 وال standard deviation كان عندي 10 ودائمًا لما
+
+190
+00:15:46,790 --> 00:15:50,630
+بشوف plus أو minus اللي بعد plus أو minus مباشرة
+
+191
+00:15:51,120 --> 00:15:54,880
+بدون ما حد يحكي لك هي لا هي Quartile ولا هي
+
+192
+00:15:54,880 --> 00:15:58,340
+Percentile ولا هي حاجة من الـ Dispersion هذه تعتبر
+
+193
+00:15:58,340 --> 00:16:01,500
+Standard Division لأن الـ Plus أو الـ Minus اللي
+
+194
+00:16:01,500 --> 00:16:04,300
+بعدها على طول بيجي الـ Standard Division واللي
+
+195
+00:16:04,300 --> 00:16:09,720
+قبليها لا هو Midrange ولا هو Median ولا هو بيكون
+
+196
+00:16:09,720 --> 00:16:12,860
+النمود هو عبارة عن الـ Mean أو الـ Average يبقى
+
+197
+00:16:12,860 --> 00:16:15,900
+الأول ما تشوف الـ Plus أو الـ Minus اللي قبليها
+
+198
+00:16:15,900 --> 00:16:20,920
+Mean واللي بعدها Standard Divisionبنجم نتطلع في
+
+199
+00:16:20,920 --> 00:16:24,980
+الأرقام اللي موجودة بعد ما حسبنا الـ mean والـ
+
+200
+00:16:24,980 --> 00:16:29,140
+standard طلع 90 plus أو minus 10 فبتخليني ننقص 10
+
+201
+00:16:29,140 --> 00:16:37,900
+ونزود 10 تطلع لنا range من 80 ل100 لأن زودنا 90
+
+202
+00:16:37,900 --> 00:16:44,520
+عشرة بطلع 100 ونقصنا من 90 عشرة بطلع 80 من 80 ل100
+
+203
+00:16:44,520 --> 00:16:50,420
+لو جينا أخدنا الأرقام من 80 ل100بنجدهم بمثله
+
+204
+00:16:50,420 --> 00:17:00,380
+تقريبًا 68% من الأرقام اللي هو الـ 34 والـ 34 68
+
+205
+00:17:00,380 --> 00:17:10,520
+رقم فأنا توقعت أنه فيما بين الـ 80 والـ 100 من 100
+
+206
+00:17:10,520 --> 00:17:15,500
+رقم 68 رقم بدون ما أشوفه عن طريق الـ mean والـ
+
+207
+00:17:15,500 --> 00:17:21,100
+standardطب لو الرقم اللي موجود هنا ضربناه في اتنين
+
+208
+00:17:21,100 --> 00:17:28,760
+بنقول انه اتنين فعشرة عشرين طب نزود عشرين عالي
+
+209
+00:17:28,760 --> 00:17:35,800
+التسعين بطلع مية و عشرة طب نقص عشرين بطلع سبعين من
+
+210
+00:17:35,800 --> 00:17:40,280
+سبعين لمية و عشرة لما ضربت القيمة هذه في اتنين
+
+211
+00:17:40,280 --> 00:17:47,610
+اتنين SD بدون ما اشوف الأرقامالأرقام اللي جاية ما
+
+212
+00:17:47,610 --> 00:17:55,170
+بين 70 ل110 تعتبر 95 رقم بدون ما تشوفه هذا اسمه
+
+213
+00:17:55,170 --> 00:18:01,310
+الـ Statistic Inference اللي هو التوقعات الأحصائية
+
+214
+00:18:01,310 --> 00:18:06,130
+بدون ما تشوف الأرقام انت بده تتوقعها طب لو ضربناها
+
+215
+00:18:06,130 --> 00:18:15,290
+في تلاتة تلاتة ضرب عشرة تلاتين نزود على التسعين
+
+216
+00:18:16,380 --> 00:18:20,860
+تلاتين بيطلع مية و عشرين طب و النقص تلاتين بيطلع
+
+217
+00:18:20,860 --> 00:18:26,340
+ستين من ستين ل مية و عشرين عندك تقريبا تسعة و
+
+218
+00:18:26,340 --> 00:18:29,420
+تسعين و سبعة في المية من الأرقام يعني مية في المية
+
+219
+00:18:29,420 --> 00:18:35,580
+بدون ما تطلع الأرقام اتوقعت انه من ستين لمية و
+
+220
+00:18:35,580 --> 00:18:40,140
+عشرين كل الأرقام موجودة و خمسة و تسعين في المية
+
+221
+00:18:40,140 --> 00:18:44,180
+منهم موجودين ما بين سبعين لمية و عشرة بدون ما تطلع
+
+222
+00:18:44,180 --> 00:18:51,210
+الأرقام عندهمو68% من الأرقام موجودين ما بين 80
+
+223
+00:18:51,210 --> 00:18:57,310
+لـ100 هذه كلها معادلة أفعية بيسموها التوقعات
+
+224
+00:18:57,310 --> 00:19:03,370
+الأفعية ويلها القوانين اللي هنتكلم عنهم فبالتالي
+
+225
+00:19:03,370 --> 00:19:08,270
+الهدف أنه أنا بحط الـStandard جنب الـMean أني أرجع
+
+226
+00:19:08,270 --> 00:19:11,850
+الـData أتوقعها مش الـData عبارة عن الـData اللي
+
+227
+00:19:11,850 --> 00:19:15,340
+نخصتها في Mean وStandardهو بالدرجة أتوقع كيف كان
+
+228
+00:19:15,340 --> 00:19:19,940
+شكلها كيف كان انتشار الأرقام هذه اللي موجودة بقدر
+
+229
+00:19:19,940 --> 00:19:23,620
+أتوقعها عن طريق القوانين اللي هنتكلم عنها حاليًا
+
+230
+00:19:23,620 --> 00:19:28,980
+ال statistical inferences أنه أنا ما بشوف ال
+
+231
+00:19:28,980 --> 00:19:34,360
+control و ال patient بقدر أتوقع التوزيع الطبيعي
+
+232
+00:19:34,360 --> 00:19:38,060
+للأرقام هذه من خلال ال mean و ال standard اللي
+
+233
+00:19:38,060 --> 00:19:42,900
+موجود أمامنا ننسى ال T و ننسى ال P value لما نصلهم
+
+234
+00:19:44,390 --> 00:19:51,290
+طيب لو جينا هنا قلنا ان علامات الـ Female في
+
+235
+00:19:51,290 --> 00:19:58,630
+امتحان معين 80 زاد أو ناقص عشرة يبقى عندنا الـ
+
+236
+00:19:58,630 --> 00:20:04,710
+Dispersion اللي هو العشرة والتمانين اللي هو الـ
+
+237
+00:20:04,710 --> 00:20:12,890
+Mean والـ Male 78.3الـ Average أو الـ Mean 78.3
+
+238
+00:20:12,890 --> 00:20:18,130
+والـ Dispersion اللي هو الـ Standard 12 في عندنا
+
+239
+00:20:18,130 --> 00:20:22,350
+في الأحصاء غير التلات خصائص الأولى اللي اتكلمنا
+
+240
+00:20:22,350 --> 00:20:27,950
+عنهم في كمان تلات قوانين هم اللي بيخلوني أتوقع
+
+241
+00:20:27,950 --> 00:20:33,490
+الأرقام وين هي بتكون بالظبط انه غير التلات خصائص
+
+242
+00:20:33,490 --> 00:20:39,060
+الأولى68% من الـ data بتكون within الـ mean زائد
+
+243
+00:20:39,060 --> 00:20:45,760
+أو ناقص 1SD زي ما تلو اتكلمنا قبل شوية انه 68% من
+
+244
+00:20:45,760 --> 00:20:52,620
+الأرقام كانت واقعة ما بين الـ 80 لعند الـ mean
+
+245
+00:20:52,620 --> 00:21:00,500
+اللي هي ما بين الـ 90 زائد أو ناقص 1SD
+
+246
+00:21:02,280 --> 00:21:07,240
+وهي كانوا موجودين 68% من البيانات موجودة ما بين
+
+247
+00:21:07,240 --> 00:21:15,500
+الـ 80 للمئة ملي إجرام هي 34 و34 اللي هي تساوي الـ
+
+248
+00:21:15,500 --> 00:21:24,520
+Main زاد أو ناقص 1 SD طب 95% من البيانات تساوي الـ
+
+249
+00:21:24,520 --> 00:21:30,200
+Main زاد أو ناقص 1.69 SD اللي هو الـ Standard يعني
+
+250
+00:21:30,200 --> 00:21:35,640
+تقريبا نقدر نقول هذه اتنينولو كانت اتنين صح و لو
+
+251
+00:21:35,640 --> 00:21:40,660
+كانت واحد وستة وتسعة وستة وتسعين بتكون صح فبنقول
+
+252
+00:21:40,660 --> 00:21:44,160
+خمسة وتسعين في المية من الأرقام بتكون جاية عند ال
+
+253
+00:21:44,160 --> 00:21:49,080
+mean زاد او ناقص اتنين SD خمسة وتسعين في المية من
+
+254
+00:21:49,080 --> 00:21:54,160
+البيانات بتكون within السبعين ل110 ميلي جرام اللي
+
+255
+00:21:54,160 --> 00:22:02,790
+هي تسعين زاد او ناقص اتنين SD اللي هي تسعينزائد أو
+
+256
+00:22:02,790 --> 00:22:07,870
+نارقص عشرين اللي هي نقص عشرين بتكون سبعين من
+
+257
+00:22:07,870 --> 00:22:12,150
+التسعين وزود على تسعين عشرين بتكون مية وعشرة وحتى
+
+258
+00:22:12,150 --> 00:22:16,690
+هذه في المختبرات
+
+259
+00:22:16,690 --> 00:22:21,370
+بنعتبرها قيمة الـ Normal Range يبقى لو عندي أرقام
+
+260
+00:22:21,370 --> 00:22:24,910
+وبدأ أجيبلهم الـ Normal Range الأمر سهلبدي أجيب
+
+261
+00:22:24,910 --> 00:22:28,930
+المتوسط تبعهم والانحراف المعيارة تبعهم وأقول الـ
+
+262
+00:22:28,930 --> 00:22:32,410
+Normal Range للبرامتر اللي موجود يساوي الـ 100
+
+263
+00:22:32,410 --> 00:22:38,070
+زياد أو ناقص 2SD وأحسب عند 95% من الـ Data بطلع
+
+264
+00:22:38,070 --> 00:22:42,750
+معايا الـ Normal Range طببتنا كل البيانات والي
+
+265
+00:22:42,750 --> 00:22:47,350
+موجودة بنقول 99.7% من البيانات يعني تقريبا 100%
+
+266
+00:22:47,350 --> 00:22:54,590
+موجودين within الـ 60 إلى الـ 120 ويساويكيف أجت
+
+267
+00:22:54,590 --> 00:23:00,150
+هذه انه 90 زاد أو ناقص التلاتة ضرب ال SD اللي هي
+
+268
+00:23:00,150 --> 00:23:05,710
+العشرة بيساوي 3 في 10 تلاتين يبقى 90 زاد أو ناقص
+
+269
+00:23:05,710 --> 00:23:11,810
+تلاتين بنزود عن 90 تلاتين بتطلع 120 وبننقص من 90
+
+270
+00:23:11,810 --> 00:23:18,710
+تلاتين بتطلع 60 لهيك بنلاقي بعض الكتب بتكتب ان ال
+
+271
+00:23:18,710 --> 00:23:22,230
+fasting blood glucose من 60 ل120 هو كل ما خدم عند
+
+272
+00:23:22,230 --> 00:23:28,070
+3 SDوالبعض الآخر بيكون ما خدهم عند 2 SD بطلع معاه
+
+273
+00:23:28,070 --> 00:23:33,050
+من 70 ل110 وهي فكرة النور مارنج في كل ال
+
+274
+00:23:33,050 --> 00:23:37,010
+biochemical parameter اللي احنا بنشوفها في حياتنا
+
+275
+00:23:38,060 --> 00:23:42,120
+يبقى كيف هو أساساً الفكرة جاية إنهم بيحسبوا الـ
+
+276
+00:23:42,120 --> 00:23:46,240
+Normal Range لكل الإختبارات المخبرية اللي بتكون
+
+277
+00:23:46,240 --> 00:23:50,420
+موجودة وبيحسبوا Normal Range لكل الفحوصات المخبرية
+
+278
+00:23:50,420 --> 00:23:54,580
+من خلال إنهم بياخدوا مجموعة من الناس الطبيعيين
+
+279
+00:23:54,580 --> 00:24:00,800
+بوصولهم القيمة تاعت الفحص وبياخدوا المتوسط الحسابي
+
+280
+00:24:00,800 --> 00:24:06,930
+وبيحسبوا انحراف المعياري وبيقولك إن القيمةللـ
+
+281
+00:24:06,930 --> 00:24:11,690
+Normal Range تساوي 95% من الـ Data ويساوي المية
+
+282
+00:24:11,690 --> 00:24:16,350
+زادة أو نقصين SD وبروحوا حاسبينها وانطلعين إن الـ
+
+283
+00:24:16,350 --> 00:24:20,270
+Normal Range اللي احنا بنشوفه في كل الفحوصات اللي
+
+284
+00:24:20,270 --> 00:24:25,670
+في المختلفة أساس فحص الـ Normal Range للـ Fasting
+
+285
+00:24:25,670 --> 00:24:29,330
+Blood Glucose انه راحوا أخدوا مجموعة من الناس
+
+286
+00:24:29,330 --> 00:24:36,130
+الهيلخي في الشارعوفحصوا لهم السكر وبعد ما فحصوا لـ
+
+287
+00:24:36,130 --> 00:24:41,550
+1001 أو 2001 طلع معهم المتوسط 90 فراحوا حسبوا
+
+288
+00:24:41,550 --> 00:24:44,710
+الانحراف المعياري طلع معهم الـ Standard deviation
+
+289
+00:24:44,710 --> 00:24:52,190
+عشرة فجالك بدأم أنه الـ mean 90 وال standard
+
+290
+00:24:52,190 --> 00:24:59,030
+deviation عشرة يبقى 95% of
+
+291
+00:24:59,030 --> 00:25:07,790
+data هذه تساويالـ Normal Range وبدنا
+
+292
+00:25:07,790 --> 00:25:11,750
+نحسب الـ
+
+293
+00:25:11,750 --> 00:25:18,730
+Normal Range من خلال اني بقول الـ mean زائد
+
+294
+00:25:18,730 --> 00:25:24,830
+اتنين من قيمة الـ Standard يبقى قيمة الـ Standard
+
+295
+00:25:24,830 --> 00:25:32,870
+مضوبة في اتنين ويساوي بطلع 110فجاب القيمة الـ
+
+296
+00:25:32,870 --> 00:25:38,650
+Maximum للنورم الـ Range حتى جيب القيمة الـ
+
+297
+00:25:38,650 --> 00:25:45,550
+Minimum قال لك يساوي التسعين بدل ما يحط زائد حط
+
+298
+00:25:45,550 --> 00:25:50,570
+ناقص والاتنين ضرب العشرة اللي هي قيمة الـ Standard
+
+299
+00:25:50,570 --> 00:25:56,850
+وقال انتر فطيع معاه النورم الـ Range للـ Fasting
+
+300
+00:25:56,850 --> 00:26:02,670
+Blood Records من 70 ل110نفس الشيء لما فحصوا فحص
+
+301
+00:26:02,670 --> 00:26:06,930
+الـ urea الـ urea طلع معهم الـ mean تبع ال
+
+302
+00:26:06,930 --> 00:26:12,010
+population ككل الناس الهلد تلاتين وطلع معهم ال
+
+303
+00:26:12,010 --> 00:26:17,710
+standard deviation 7.5 فجالك القيمة الطبيعية للـ
+
+304
+00:26:17,710 --> 00:26:24,910
+urea على حسب الأرقام الموجودة الحد الأدنى من الـ
+
+305
+00:26:24,910 --> 00:26:32,380
+normal range يساوي الـ mean ناقصأتنين مضوب في قيمة
+
+306
+00:26:32,380 --> 00:26:37,540
+الـ Standard انت طلع 15 وبدنا نجيب الحد الأعلى
+
+307
+00:26:37,540 --> 00:26:42,480
+للنورمال بدل ما يحط ناقص فقط حط زائد و جال اتنين
+
+308
+00:26:42,480 --> 00:26:50,980
+ضرب الـ SD فطلع معاه 45 وهي قيمة الـ Normal Range
+
+309
+00:26:50,980 --> 00:26:57,360
+تبع اليوريا هذا هو قانون في الإحصاء ان الـ Normal
+
+310
+00:26:57,360 --> 00:27:05,910
+Range يساويالـ Min زائد أو ناقص إتنين، هذه القيمة
+
+311
+00:27:05,910 --> 00:27:10,170
+تقريبًا إتنين SD هذا كيف بيحسبوا ان هو Normal
+
+312
+00:27:10,170 --> 00:27:14,910
+Range لكل الإختبارات الإحصائية اللي احنا بنعملها
+
+313
+00:27:14,910 --> 00:27:19,490
+وهذا قانون بدنا نحفظه وهو أهم قانون في الـ Slide
+
+314
+00:27:19,490 --> 00:27:25,370
+اللي موجودة وهو يعتبر أهم قانون في الـ Slide اللي
+
+315
+00:27:25,370 --> 00:27:30,890
+موجودة فانكدت بنقولان الـ 68% كويس ان نكون
+
+316
+00:27:30,890 --> 00:27:36,630
+عارفينها من البيانات و الـ 99% و الـ 99.7% ولكن
+
+317
+00:27:36,630 --> 00:27:41,250
+اهم قانون اللي هو الـ Normal Range اللي هو ان
+
+318
+00:27:41,250 --> 00:27:46,070
+Normal Range يساوي الـ 100 زاد او ناقص 2SD لو حد
+
+319
+00:27:46,070 --> 00:27:53,340
+بدي اعتبرها 96%، فالغالب تطلع تقريبا زي ما هييبقى
+
+320
+00:27:53,340 --> 00:27:57,800
+الهدف الأساسي من وجود الـ Main والـ Standard أنه
+
+321
+00:27:57,800 --> 00:28:03,060
+أنا أبدأ أتوقع الأرقام الأساسية كيف كانت عن طريق
+
+322
+00:28:03,060 --> 00:28:08,560
+الـ 1SD و2SD و3SD لأن هي عند الـ Main وهي عند الـ
+
+323
+00:28:08,560 --> 00:28:13,800
+Standard بقدر أرجع وأعمل توقع شكل البيانات كانت
+
+324
+00:28:13,800 --> 00:28:19,560
+أيش بالظبط عند الباحث نرجع للـ Slide اللي موجودة
+
+325
+00:28:19,560 --> 00:28:28,050
+أنه أنا فيه عنديStatistical Inferences هاي
+
+326
+00:28:28,050 --> 00:28:31,590
+عند الباحث جاب قيمة الجليكوز للناس الـ control
+
+327
+00:28:31,590 --> 00:28:35,770
+اللي هم الـ health الطبيعيين وهي عنده قيمة ال
+
+328
+00:28:35,770 --> 00:28:41,230
+patient هذه انت هتكون كاتب في باحثك لما تعمل باحث
+
+329
+00:28:41,230 --> 00:28:47,030
+نفس الأرقام هذههيسألك المناقش من خلال الـ Control
+
+330
+00:28:47,030 --> 00:28:50,770
+بتقدر تجيبلي النوع من الـ Range عندنا في غزة قداش
+
+331
+00:28:50,770 --> 00:28:53,490
+توقعاته ماشي مع الناس و لا مش ماشي مع الناس
+
+332
+00:28:53,490 --> 00:28:59,270
+بالنسبة للسوقة أه والله بنقدر نجيبها بنقول إنه 90
+
+333
+00:28:59,270 --> 00:29:06,510
+زاد أو ناقص 2 SD 22 فبتطلع عندنا من 68 إلى 112 على
+
+334
+00:29:06,510 --> 00:29:12,470
+حسب القيمة قريبة من القيم العالمية اللي بتقول من
+
+335
+00:29:12,470 --> 00:29:20,360
+70لمية وعشرة الـ Fasting Blood Glucose طب ليه طلعت
+
+336
+00:29:20,360 --> 00:29:24,120
+معاك انت من القل شوية؟ لأنه لما عملوا النمرة Range
+
+337
+00:29:24,120 --> 00:29:27,860
+أخدوا الـ Sample Size على أقل ألف بينما أنت كباحث
+
+338
+00:29:27,860 --> 00:29:32,920
+ماخد فقط عينة 150 تعتبر مقنعة بالألف قليلا، لأن
+
+339
+00:29:32,920 --> 00:29:37,280
+الـ Range وسع معاك شوية فكل ما زودنا الـ Sample
+
+340
+00:29:37,280 --> 00:29:42,300
+Size كل ما قل معنا Range وأقرب أن نكون accurate
+
+341
+00:29:43,820 --> 00:29:47,500
+جالك طبعا في القطاع الغزية في الـ 150 patients
+
+342
+00:29:47,500 --> 00:29:53,460
+اللي استخدمتهم معظم الناس جداش سكرهم كان هنقول
+
+343
+00:29:53,460 --> 00:30:00,760
+معظم الناس سكرهم كان أو 95% من الناس كانوا 2 في 30
+
+344
+00:30:00,760 --> 00:30:10,780
+جداش 60 لو ان نجفنا من الـ 170 الـ 60 بطلع معانا
+
+345
+00:30:10,780 --> 00:30:18,960
+110ولو زودنا عليهم 60 بطلع 230 يبقى عندنا 95% من
+
+346
+00:30:18,960 --> 00:30:22,300
+مرضى السكر اللي موجودين في قطاع غزة نسبة السكر
+
+347
+00:30:22,300 --> 00:30:29,300
+اللي موجودة عندهم من 110 لعند 230
+
+348
+00:30:29,300 --> 00:30:34,740
+هيك أنت توقعتها لو وقع السكر أو وقع فرصات السكر في
+
+349
+00:30:34,740 --> 00:30:40,280
+قطاع غزة وهذا تقريبا قيم حقيقيةجالك اتوقع على كل
+
+350
+00:30:40,280 --> 00:30:44,600
+الناس انا بدي اقول لكل الناس اللي كانوا عندك اقل
+
+351
+00:30:44,600 --> 00:30:50,180
+واحد كان جديش و اكتر واحد كان جديش الأمر بسيط ما
+
+352
+00:30:50,180 --> 00:30:55,360
+علي غير اني اضرب بدل من ربط في 2 عند 95 اضرب في 3
+
+353
+00:30:55,360 --> 00:31:01,660
+فبتكون التوقع عند 99.7 يعني تقريبا 100% بنقول 3 في
+
+354
+00:31:01,660 --> 00:31:08,160
+30 90 و بنزود 170
+
+355
+00:31:09,290 --> 00:31:19,790
+بنزود عليها 90 بتطلع القيمة 260 ولو نقصنا 90 من
+
+356
+00:31:19,790 --> 00:31:27,330
+170 بتطلع معانا 80 وكأنه كل الناس ال patient اللي
+
+357
+00:31:27,330 --> 00:31:35,860
+أنا أخدت منهم العينة 150 كان من 80 لعند 260ان أفهم
+
+358
+00:31:35,860 --> 00:31:38,900
+منك إن في ناس كانوا في الـ Normal، انت بتحكي فيه
+
+359
+00:31:38,900 --> 00:31:43,140
+80. صحيح إن فيه كانت ناس في الـ Normal، لأنه من
+
+360
+00:31:43,140 --> 00:31:45,380
+الطبيعي إن يكونوا فيه ناس محافظين على السُكّار
+
+361
+00:31:45,380 --> 00:31:48,520
+وباخدوا الأنسليب بانتظام أو باخدوا الحبوب بانتظام
+
+362
+00:31:48,520 --> 00:31:52,260
+أو ملتزمين بتعليمات الطبيب من ناحية الأكل،
+
+363
+00:31:52,260 --> 00:31:56,760
+فبالتالي يكون عندهم Normal. هي الهدف الأساسي من
+
+364
+00:31:56,760 --> 00:32:01,500
+وجود الـ Dispersion، مرافق للمين، حتى أقدر أتوقع
+
+365
+00:32:01,500 --> 00:32:07,960
+شكل البيانات الأساسية كانت إيه بالظبط.الأمر واضح
+
+366
+00:32:07,960 --> 00:32:16,080
+نوعًا ما ولكن ناخد مثال لزيادة التوضيح أنت
+
+367
+00:32:16,080 --> 00:32:20,860
+كطالب أو أنت كطالبة بعد ما خلصتي الـMasters روحت
+
+368
+00:32:20,860 --> 00:32:28,700
+تدرس في جامعة ولمّا روحنا ندرس في جامعة عندنا شعبة
+
+369
+00:32:28,700 --> 00:32:36,250
+Male وشعبة Femaleواسألك عميدي الكلية قداش العلامات
+
+370
+00:32:36,250 --> 00:32:43,850
+اللي موجودة قلتله 80 هو بالنسباله 80 لحالها ان كل
+
+371
+00:32:43,850 --> 00:32:50,410
+الطلبة جابه 80 طب 80 زاد او ناقص 10 ببدأ هو عنده
+
+372
+00:32:50,410 --> 00:32:58,810
+توقعات تتم بصورة أفضل أول حاجة بقولك أفهم منك ان
+
+373
+00:32:58,810 --> 00:33:08,050
+في طالبة جابت 100% طب كيف هو عرفرح ضارب العشرة في
+
+374
+00:33:08,050 --> 00:33:13,170
+اتنين فطلع معاها عشرين لما زودها على التمانين فكان
+
+375
+00:33:13,170 --> 00:33:20,370
+ال score مية و لما نقص العشرين من التمانين طلع
+
+376
+00:33:20,370 --> 00:33:28,390
+معاها من ستين لعند مية فكان 95% من الطلاب اللي
+
+377
+00:33:28,390 --> 00:33:33,830
+عندهجابوا من 60 لـ 100 وكأنه في حد جاب 60 وفي حد
+
+378
+00:33:33,830 --> 00:33:38,610
+جاب 100% نفس
+
+379
+00:33:38,610 --> 00:33:43,250
+الشيء بالنسبة للطلاب بيقدر يتوقع حتى أحنا في
+
+380
+00:33:43,250 --> 00:33:52,450
+علاماتنا لما طالب بيقوللي أنه أنا معدل التواكمي 90
+
+381
+00:33:52,450 --> 00:33:55,890
+والتشتت
+
+382
+00:33:55,890 --> 00:34:04,000
+تبع المواد اللي عندي كان 2بنقوله أول حاجة انت عندك
+
+383
+00:34:04,000 --> 00:34:13,660
+68% من العلامات كانت في الـ Range التالي 68% بنزود
+
+384
+00:34:13,660 --> 00:34:18,000
+عند 1 SD 2
+
+385
+00:34:18,000 --> 00:34:31,730
+تطلع معانا 92% و 88% هذا عند 68%من علاماتك اللي
+
+386
+00:34:31,730 --> 00:34:36,810
+انت خدتهم طب 95% من علامات المواد اللي انت ماخدهم
+
+387
+00:34:36,810 --> 00:34:44,510
+بدنا نضغط فى 2 بس بيصير 2 فى 2 أربعة وبنقول كانت
+
+388
+00:34:44,510 --> 00:34:54,950
+من 86 لعند 94 طب 99.7 من علامات اللي هو خدهم بس
+
+389
+00:34:54,950 --> 00:35:03,670
+نضغط فى 3 بتكون القيمة ما بينثلاثة في اتنين ستة ما
+
+390
+00:35:03,670 --> 00:35:06,970
+بين أربعة و تمانين لأننا نقصنا الست من التسعين
+
+391
+00:35:06,970 --> 00:35:14,970
+وأعلى قيمة كانت 96 نقول للطالب ان كل علاماتك كانت
+
+392
+00:35:14,970 --> 00:35:21,650
+من 84 ل 96 ولا عمرك جبت أقل من 84 ولا علامة عندك
+
+393
+00:35:21,650 --> 00:35:25,570
+كانت في المواد فوق 97 بدون ما أشوف الكشف عن علامات
+
+394
+00:35:25,570 --> 00:35:29,630
+عن طريق القوانين الإحصائية اللي موجودة
+
+395
+00:35:32,660 --> 00:35:36,400
+اللي موجودة في الـ slide لأن هي عندها قوانين أنا
+
+396
+00:35:36,400 --> 00:35:41,480
+حافظهم وبقدر أتوقع على أي أرقام طالما أنت قدّيتني
+
+397
+00:35:41,480 --> 00:35:48,240
+الـ mean والـ standard 68% قداش كانوا 95% عند 2 SD
+
+398
+00:35:48,240 --> 00:35:54,240
+99 عند 3 SD أرقام
+
+399
+00:35:54,240 --> 00:35:57,680
+تلاتة تقريبية يعني لو حد ما حافظ رقم هذا مافيش
+
+400
+00:35:57,680 --> 00:36:01,840
+مشكلة إذا حافظ واحد واثنين وتلاتةحتى في الـ
+
+401
+00:36:01,840 --> 00:36:07,080
+Controllات في الشراط اللي بنقسمها في المختبر أهم
+
+402
+00:36:07,080 --> 00:36:12,200
+بنقسم 1 و 2 و 3 وبنقسم الـ Normal Curve وبنقول
+
+403
+00:36:12,200 --> 00:36:16,320
+والله لأ الشراط اللي موجودة في الـ Quality Control
+
+404
+00:36:16,320 --> 00:36:20,560
+هل هي مقبولة ولا مش مقبولة في عندنا Shift و Drift
+
+405
+00:36:20,560 --> 00:36:26,320
+ولا فيش عندنا في الفحوصات أو في الـ Calibrator أو
+
+406
+00:36:26,320 --> 00:36:30,720
+في الـ Control اللي كان موجود وهي اللي مقصودبـ
+
+407
+00:36:30,720 --> 00:36:36,180
+Statistical Inferences في عندنا التوقعات الأحصائية
+
+408
+00:36:36,180 --> 00:36:41,400
+مقصومة إلى عدة أنواع أول حاجة، أنا بتتوقع الـ
+
+409
+00:36:41,400 --> 00:36:45,380
+Sample على نفس الأشياء اللي اتكلمنا عنها سابقاً
+
+410
+00:36:45,380 --> 00:36:48,820
+أنه أنا في عنده أقام وعنده قيم لـ Fasting Blood
+
+411
+00:36:48,820 --> 00:36:51,820
+Glucose وبتتوقع عليهم، عنده قيم لـ Ludia وبتتوقع
+
+412
+00:36:51,820 --> 00:36:54,740
+عليهم، وعنده كشف علامات بتتوقع عليها عن طريق الـ
+
+413
+00:36:54,740 --> 00:36:57,700
+Mean والـ Standard أحيان بتم التوقع على ال
+
+414
+00:36:57,700 --> 00:37:02,040
+populationوأحيانًا بتتم التوقع على الـdifference
+
+415
+00:37:02,040 --> 00:37:06,980
+ما بين ال population التوقع على الـ sample أنا
+
+416
+00:37:06,980 --> 00:37:10,180
+أخدت sample من ال population قستلهم ال fasting
+
+417
+00:37:10,180 --> 00:37:14,120
+blood glucose واليوريا خدت علامات الطلاب وخدت
+
+418
+00:37:14,120 --> 00:37:16,400
+علامة الطالب بتتوقع عليها ده بنسميها ال sample
+
+419
+00:37:16,400 --> 00:37:20,580
+التوقع على ال population معناته أنه التسعين اللي
+
+420
+00:37:20,580 --> 00:37:25,440
+طلعت هادي لو بدى أتوقع أنا أخدت أكثر من sample هل
+
+421
+00:37:25,440 --> 00:37:29,250
+كل مرة ممكن تطلع معايا تسعين؟ولا يمكن أن يظهر
+
+422
+00:37:29,250 --> 00:37:32,230
+المتوسط الحسابي، فانت لن تتوقع الـ Range، فانت
+
+423
+00:37:32,230 --> 00:37:36,790
+تتوقع اي متوسط حسابي، يعني لو الطلاب اللي موجودين
+
+424
+00:37:36,790 --> 00:37:46,450
+عندي، كل واحد عمل في المنطقة تاعته Normal Range لـ
+
+425
+00:37:46,450 --> 00:37:50,510
+Fasting Blood Glucose، فانت تتوقع ان هؤلاء الطلاب
+
+426
+00:37:50,510 --> 00:37:54,770
+ليسوا المتوسطات الحسابية، يعني Range المتوسطات
+
+427
+00:37:54,770 --> 00:37:56,910
+وليس Range تبع Normal Range،
+
+428
+00:37:59,560 --> 00:38:07,380
+زي طالب قلنا علاماته قبل شويه كان أن كل
+
+429
+00:38:07,380 --> 00:38:13,960
+هجاية ما بين 84 لعنصر 96 التسعين هذه لو أنا بتتوقع
+
+430
+00:38:13,960 --> 00:38:17,100
+لو الطالب عاد الفصل مرة تانية بتجيب تسعين أو تسعين
+
+431
+00:38:17,100 --> 00:38:20,620
+و نص ولا تمانية و تسعين ولا بتجيب واحد لتسعين ولا
+
+432
+00:38:20,620 --> 00:38:24,270
+بتجيب يعني بتتوقع على مين هذاوكأنني بدي أقول، لو
+
+433
+00:38:24,270 --> 00:38:28,370
+الطالب عاد الفصل كل علاماته بدأ مجاب في الفصل 90
+
+434
+00:38:28,370 --> 00:38:35,610
+هيجيب 90 لعند 91 كمعدل تراكمي، مش هيزيد عن 91،
+
+435
+00:38:35,610 --> 00:38:39,330
+ماليش فعلا قيمة، بدي أتوقع لو عاد الفصل، that this
+
+436
+00:38:39,330 --> 00:38:45,910
+بدي يكون المعدل التراكمي تبعه المرة الجاية هذا طرق
+
+437
+00:38:45,910 --> 00:38:49,850
+قرع بنسميه inferences على ال population
+
+438
+00:38:52,630 --> 00:38:57,510
+باختصار التوقع على الـ Sample من خلال الـ
+
+439
+00:38:57,510 --> 00:39:05,430
+Confidence interval اللي بتتم 1SD و 2SD و 3SD ولكن
+
+440
+00:39:05,430 --> 00:39:10,770
+التوقع على ال population نفس القوانين ولكن بدل SD
+
+441
+00:39:10,770 --> 00:39:16,510
+بدنا نخلي SE اللي هو الـ Standard R وقانون الـ
+
+442
+00:39:16,510 --> 00:39:21,300
+Standard R ان انا عنديبقول الـ standard deviation
+
+443
+00:39:21,300 --> 00:39:26,300
+على جذر الـ N هذا بنسميها الـ standard error of
+
+444
+00:39:26,300 --> 00:39:33,380
+mean فبالتالي بيكون إن ال inferences على ال
+
+445
+00:39:33,380 --> 00:39:37,100
+population بيفرق عن ال inferences على ال sample
+
+446
+00:39:37,100 --> 00:39:43,240
+فقط بالـ SE والـ SD وحتى
+
+447
+00:39:43,240 --> 00:39:49,060
+ناخد مثال أكتر توضيح بدنا نرجع لنفسي المثال السابق
+
+448
+00:39:49,970 --> 00:39:54,010
+هي الـ Normal Range للسُكة وهي Normal Range
+
+449
+00:39:54,010 --> 00:40:00,930
+لليوريا فبنجيب الـ SE قولنا
+
+450
+00:40:00,930 --> 00:40:04,910
+تساوي ال
+
+451
+00:40:04,910 --> 00:40:09,810
+standard deviation اللي هي العشرة مجسوم على ال
+
+452
+00:40:09,810 --> 00:40:16,170
+square root اللي هو الجذر التربيعي ونسكر ال course
+
+453
+00:40:17,220 --> 00:40:21,040
+ونقول له انت تطلع معنى الـ standard error تساوي
+
+454
+00:40:21,040 --> 00:40:26,680
+واحد طب لو بنطبق القوانين اللي قبل شويه اتكلمنا
+
+455
+00:40:26,680 --> 00:40:35,580
+عنها اللي هي 90 ناقص 2 ضرب ال standard error واحد
+
+456
+00:40:35,580 --> 00:40:43,720
+وتساوي 88
+
+457
+00:40:43,720 --> 00:40:51,730
+طب لو قلنا 90 زائدإتنين ضرب واحد اللي هي قيمة الـ
+
+458
+00:40:51,730 --> 00:40:56,550
+Standard Euro وعنا تساوي جدّاش اللي تكون تساوي 92
+
+459
+00:40:56,550 --> 00:41:03,370
+هاي عندنا قمتين طلعوا هذا بنسميها inferences على
+
+460
+00:41:03,370 --> 00:41:07,190
+ال population وهذا بنسميها inferences على ال
+
+461
+00:41:07,190 --> 00:41:11,430
+sample هذا تساوي النمرة range انه أنا عندي في
+
+462
+00:41:11,430 --> 00:41:15,690
+الناس اللي موجودين اللي سحبت منهم العينة 95% من
+
+463
+00:41:15,690 --> 00:41:21,030
+قيمهم كانت من 70لـ 110 هي تفسيرها الـ inferences
+
+464
+00:41:21,030 --> 00:41:24,050
+على الـ sample طب ال inferences على ال population
+
+465
+00:41:24,050 --> 00:41:29,610
+اللي من 88 ل 92 اللي
+
+466
+00:41:29,610 --> 00:41:35,690
+هي هذه حسبتها هذه معناتها أنه انا لو عدت حساب ال
+
+467
+00:41:35,690 --> 00:41:41,630
+normal range على سكان قطاع غزة 100 مرة يعني عملت
+
+468
+00:41:41,630 --> 00:41:48,240
+البحث 100 مرة95% من قيم المتوسط الحسابي هتكون من
+
+469
+00:41:48,240 --> 00:41:55,920
+88 إلى 92 نعيدها تاني لو أنا المشرف قال لي ارجع
+
+470
+00:41:55,920 --> 00:42:02,940
+اعيد ال normal range لأن انا مش وافق فيه ورجعت عدت
+
+471
+00:42:02,940 --> 00:42:07,120
+ال normal range 100 مرة كل مرة تاخد 150 150 150
+
+472
+00:42:07,120 --> 00:42:12,560
+150 ل 100 مرة وتاخد قيم المتوسط الحسابي في ال 100
+
+473
+00:42:12,560 --> 00:42:19,080
+مرة هدول95% من القيم داعة المتوسط الحسابي هتكون
+
+474
+00:42:19,080 --> 00:42:24,840
+جاية من 88 لـ 92 فمافيش داعي أعيدها تاني لأن الـ
+
+475
+00:42:24,840 --> 00:42:30,880
+Range عندي قريب جداً وهذا بيخليني أتأكد و أرتاح
+
+476
+00:42:30,880 --> 00:42:35,140
+لنتائج البحث اللي موجودة عندي وأتأكد و أرتاح لـ
+
+477
+00:42:35,140 --> 00:42:39,260
+Normal Range اللي أنا طلعته للناس يعتمدوه ولا ما
+
+478
+00:42:39,260 --> 00:42:44,730
+يعتمدوه فكل مكان عندناالـ Range بتاع الـ
+
+479
+00:42:44,730 --> 00:42:49,690
+Population كبيرة بيبدأ واحد يشك في النتائج لأنه
+
+480
+00:42:49,690 --> 00:42:52,890
+التشتت تبع علميا لو العادة أكتر من مرة هتطلع أكتر
+
+481
+00:42:52,890 --> 00:42:59,910
+من قيمة وكل مقترب من بعضه الـ Range زي ما شوفنا
+
+482
+00:42:59,910 --> 00:43:06,310
+قبل شوية 88 إلى 92 هيبدأ يرتاح المشرف للنتائج اللي
+
+483
+00:43:06,310 --> 00:43:10,050
+موجودة ويقول مافيش داعي أنه نعيد ونتأكد من النتائج
+
+484
+00:43:10,050 --> 00:43:15,000
+مرة تانيةفكل ما الـ Sample Variability اللي هو الـ
+
+485
+00:43:15,000 --> 00:43:17,520
+Standard Division مقصود بالـ Sample Variability
+
+486
+00:43:17,520 --> 00:43:20,480
+الـ Variability والـ Dispersion هي الـ Standard
+
+487
+00:43:20,480 --> 00:43:25,820
+Division قلت كل ما الـ Standard أو قل كل ما الـ
+
+488
+00:43:25,820 --> 00:43:32,480
+Confidence Interval صار ضيقة لو شفناها من 88 لـ 92
+
+489
+00:43:32,480 --> 00:43:37,940
+الحاجة التانية كل ما زالت عندنا الـ Sample Size
+
+490
+00:43:37,940 --> 00:43:44,020
+الـ Nرح تؤدي إن الـ Standard Error يكون قليل يبقى
+
+491
+00:43:44,020 --> 00:43:48,700
+المشرف لما بيقولنا زودوا العينات هو حتى يضمن الـ
+
+492
+00:43:48,700 --> 00:43:52,660
+Standard Error يطلع معاه قليل كلما الـ Confidence
+
+493
+00:43:52,660 --> 00:43:56,980
+Interval كمان كانت عندنا قريبة للقيمة الصحيحة
+
+494
+00:43:56,980 --> 00:44:04,560
+وكانت قريبة جدا من بعض وضيقة والعكس كلما انت قللت
+
+495
+00:44:04,560 --> 00:44:08,560
+في الـ Sample Sizeواخدت عدد فحوصات قليل بدل ما
+
+496
+00:44:08,560 --> 00:44:12,260
+تاخد اربعين زي ما قالك المشرفة اخد عشرة كل ما كان
+
+497
+00:44:12,260 --> 00:44:19,440
+عندك chance ان يكون عندنا ال standard or عالي لأن
+
+498
+00:44:19,440 --> 00:44:23,880
+كانت ال sample size قليلة جلبت هذه فانجلبت هذه كل
+
+499
+00:44:23,880 --> 00:44:26,660
+ما هذه كانت ال range تاع ال confidence interval
+
+500
+00:44:26,660 --> 00:44:33,040
+عندنا اوسع يبقى افضل شيء ان انا اخد sample size
+
+501
+00:44:33,040 --> 00:44:39,390
+كبيرةوأضمن فيش variability فبالتالي بتكون القيم
+
+502
+00:44:39,390 --> 00:44:46,090
+أقرب إلى الحقيقة وأقرب إلى الصدق بخصوص SEB
+
+503
+00:44:46,090 --> 00:44:49,410
+standard or low proportion هذي بتستخدم للـ
+
+504
+00:44:49,410 --> 00:44:55,870
+qualitative ذاتها ونادر جدا ما نستخدمها هي بس احنا
+
+505
+00:44:55,870 --> 00:44:59,530
+بنكون على الأقل عارفينها انه باخد ال proportion
+
+506
+00:44:59,530 --> 00:45:05,660
+للأولاني اللي هي من 100مقصومة على واحد ناقص الـ
+
+507
+00:45:05,660 --> 00:45:09,000
+proportion مقصومة على N فبطلع الـ standard error
+
+508
+00:45:09,000 --> 00:45:13,300
+لـ proportion وهي تستخدم هذا الـ standard error لـ
+
+509
+00:45:13,300 --> 00:45:17,800
+qualitative data ومش موضوع نحن نتكلم فيها وإنما
+
+510
+00:45:17,800 --> 00:45:22,380
+ذكرناها على الأقل حتى يكون الطالب سمع فيها يعني ما
+
+511
+00:45:22,380 --> 00:45:31,880
+حنسأله فيها في الامتحان يبقى مين أفضل أن أنا أقول
+
+512
+00:45:31,880 --> 00:45:39,610
+الـ normalRange 90 اللي هو طلع الـ mean بتاع ال
+
+513
+00:45:39,610 --> 00:45:46,110
+population ك point ولا اقول interval اللي هي من 70
+
+514
+00:45:46,110 --> 00:45:56,890
+ل110 هو الأفضل اقول من 70 ل110 لأنه more practical
+
+515
+00:45:56,890 --> 00:46:01,430
+يعنيعملية أكثر، لأنه لو قلت الـ Normal تسعين و
+
+516
+00:46:01,430 --> 00:46:05,750
+سكتت، لو طلع شخص تسعين، سيقولك أنا Abnormal، لو
+
+517
+00:46:05,750 --> 00:46:09,550
+قلت تسعين و سكتت و طلع شخص Fasting بوجه الكورين
+
+518
+00:46:09,550 --> 00:46:14,130
+التسعة وتمانين، سيقولك Abnormal،
+
+519
+00:46:14,130 --> 00:46:17,890
+لماذا الـPoint Estimator ليس كافي أن أقول تسعين،
+
+520
+00:46:17,890 --> 00:46:20,670
+زي ما طلع معايا المين، وخلاص، لأن مافيها
+
+521
+00:46:20,670 --> 00:46:23,070
+Variation، مافيها Dispersion،
+
+522
+00:46:27,210 --> 00:46:32,790
+سنكتفي بهذا القدر في هذه المحاضرة نتمنى لكم دوام
+
+523
+00:46:32,790 --> 00:46:38,270
+الصحة والعافية ودوام التوفيق والسداد والسلام عليكم
+
+524
+00:46:38,270 --> 00:46:40,210
+ورحمة الله وبركاته
+
diff --git a/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_raw.json b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9f2210297fdaeddd4a01e29bc0bcd3f3ae259cc8
--- /dev/null
+++ b/PL9fwy3NUQKwaDT6H70BkDxXAQq_sYMZ1m/ytNLJrVTdno_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3084, "start": 2.28, "end": 30.84, "text": "أعود بالله من الشيطان الرجيم بسم الله الرحمن الرحيم ضلّابنا الأعزاء نكمل الحديث على الـ Data Presenting واتكلمنا في اللقاء السابق أن الـ Central Tendency أو الـ Central Location في معها بتكون dispersion وبتكون للـ Quantitative Data وقلنا إن الـ Quantitative Data بتتملها الـ Data Presenting يا بالـ Mode يا بالـ Mid-Range يا بالـ Mean أو ما يسمى بالـ Average أو الـ Median", "tokens": [10721, 3615, 23328, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 48812, 1211, 11703, 16758, 8315, 16247, 3615, 11622, 16606, 8717, 24793, 1211, 21542, 16254, 12984, 15844, 2423, 39184, 11888, 33253, 278, 4032, 9307, 4117, 19528, 8315, 8978, 13672, 4587, 16606, 21136, 16758, 4587, 14739, 2423, 39184, 9701, 314, 521, 3020, 34051, 2423, 39184, 9701, 12859, 399, 8978, 20449, 11296, 39894, 30544, 24631, 313, 4032, 3555, 2655, 30544, 24976, 39184, 26968, 14275, 11888, 4032, 4587, 1211, 8315, 36145, 2423, 39184, 26968, 14275, 11888, 39894, 39237, 1211, 11296, 2423, 39184, 11888, 33253, 278, 35186, 20666, 39184, 20500, 35186, 20666, 39184, 7033, 12, 49, 933, 35186, 20666, 39184, 12302, 34051, 19446, 7251, 38251, 7578, 20666, 39184, 316, 3623, 34051, 2423, 39184, 3982, 952], "avg_logprob": -0.1863251951404084, "compression_ratio": 1.8839590443686007, "no_speech_prob": 1.4126300811767578e-05, "words": [{"start": 2.28, "end": 2.6, "word": "أعود", "probability": 0.61376953125}, {"start": 2.6, "end": 2.9, "word": " بالله", "probability": 0.960205078125}, {"start": 2.9, "end": 3.06, "word": " من", "probability": 0.9765625}, {"start": 3.06, "end": 3.52, "word": " الشيطان", "probability": 0.9835205078125}, {"start": 3.52, "end": 4.02, "word": " الرجيم", "probability": 0.9928385416666666}, {"start": 4.02, "end": 4.4, "word": " بسم", "probability": 0.859130859375}, {"start": 4.4, "end": 4.66, "word": " الله", "probability": 0.943359375}, {"start": 4.66, "end": 5.08, "word": " الرحمن", "probability": 0.9560546875}, {"start": 5.08, "end": 5.66, "word": " الرحيم", "probability": 0.9967447916666666}, {"start": 5.66, "end": 6.54, "word": " ضلّابنا", "probability": 0.6407470703125}, {"start": 6.54, "end": 7.26, "word": " الأعزاء", "probability": 0.9334716796875}, {"start": 7.26, "end": 8.06, "word": " نكمل", "probability": 0.9578450520833334}, {"start": 8.06, "end": 8.76, "word": " الحديث", "probability": 0.9920247395833334}, {"start": 8.76, "end": 9.52, "word": " على", "probability": 0.82373046875}, {"start": 9.52, "end": 9.94, "word": " الـ", "probability": 0.89013671875}, {"start": 9.94, "end": 10.12, "word": " Data", "probability": 0.78955078125}, {"start": 10.12, "end": 10.98, "word": " Presenting", "probability": 0.8095703125}, {"start": 10.98, "end": 13.26, "word": " واتكلمنا", "probability": 0.8160400390625}, {"start": 13.26, "end": 13.38, "word": " في", "probability": 0.9794921875}, {"start": 13.38, "end": 13.72, "word": " 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18.84, "end": 19.64, "word": " dispersion", "probability": 0.73486328125}, {"start": 19.64, "end": 20.18, "word": " وبتكون", "probability": 0.72528076171875}, {"start": 20.18, "end": 20.42, "word": " للـ", "probability": 0.6925048828125}, {"start": 20.42, "end": 21.02, "word": " Quantitative", "probability": 0.892333984375}, {"start": 21.02, "end": 21.44, "word": " Data", "probability": 0.900390625}, {"start": 21.44, "end": 22.38, "word": " وقلنا", "probability": 0.87548828125}, {"start": 22.38, "end": 22.56, "word": " إن", "probability": 0.47900390625}, {"start": 22.56, "end": 22.78, "word": " الـ", "probability": 0.822265625}, {"start": 22.78, "end": 23.26, "word": " Quantitative", "probability": 0.974365234375}, {"start": 23.26, "end": 23.76, "word": " Data", "probability": 0.9892578125}, {"start": 23.76, "end": 24.7, "word": " بتتملها", "probability": 0.72265625}, {"start": 24.7, "end": 25.08, "word": " الـ", "probability": 0.933837890625}, {"start": 25.08, "end": 25.24, "word": " 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{"start": 137.1, "end": 137.38, "word": " number", "probability": 0.11871337890625}, {"start": 137.38, "end": 137.84, "word": " أو", "probability": 0.72412109375}, {"start": 137.84, "end": 138.42, "word": " proportion", "probability": 0.82958984375}, {"start": 138.42, "end": 140.72, "word": " أو", "probability": 0.8056640625}, {"start": 140.72, "end": 141.3, "word": " بنوصم", "probability": 0.6741943359375}, {"start": 141.3, "end": 141.66, "word": " حاجة", "probability": 0.9654947916666666}, {"start": 141.66, "end": 142.02, "word": " اسمها", "probability": 0.9444986979166666}, {"start": 142.02, "end": 142.34, "word": " by", "probability": 0.56787109375}, {"start": 142.34, "end": 142.84, "word": " و", "probability": 0.2012939453125}, {"start": 142.84, "end": 142.94, "word": " ال", "probability": 0.300048828125}, {"start": 142.94, "end": 143.2, "word": " by", "probability": 0.56689453125}, {"start": 143.2, "end": 143.42, "word": " هي", "probability": 0.8876953125}, {"start": 143.42, 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"end": 382.55, "word": " تقريبا", "probability": 0.95576171875}, {"start": 382.55, "end": 383.43, "word": " متقاربين", "probability": 0.98544921875}, {"start": 383.43, "end": 383.79, "word": " يعني", "probability": 0.796875}, {"start": 383.79, "end": 384.03, "word": " أو", "probability": 0.89599609375}, {"start": 384.03, "end": 384.43, "word": " بيكونوا", "probability": 0.8875732421875}, {"start": 384.43, "end": 384.69, "word": " equal", "probability": 0.90380859375}], "temperature": 1.0}, {"id": 16, "seek": 41477, "start": 387.55, "end": 414.77, "text": "ناخد مثال كيف بتم رسم الـ Normal Distribution للـ Quantitative Data نفترض إنه أنا عنده قيمة للـ Fasting Blood Glucose وهذه القيم اللي موجودة مسجلة لـ 100 حالة والـ 100 حالة زي ما أحنا شايفين مرتبين ترتيب تصعدي", "tokens": [1863, 47283, 3215, 50113, 6027, 9122, 33911, 4724, 39237, 12602, 38251, 2423, 39184, 21277, 9840, 30783, 24976, 39184, 26968, 14275, 11888, 8717, 5172, 2655, 43042, 36145, 3224, 41850, 43242, 3224, 12174, 32640, 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Normal", "probability": 0.568359375}, {"start": 391.11, "end": 392.23, "word": " Distribution", "probability": 0.785400390625}, {"start": 392.23, "end": 393.03, "word": " للـ", "probability": 0.7244873046875}, {"start": 393.03, "end": 393.79, "word": " Quantitative", "probability": 0.941650390625}, {"start": 393.79, "end": 394.37, "word": " Data", "probability": 0.9228515625}, {"start": 394.37, "end": 396.09, "word": " نفترض", "probability": 0.86474609375}, {"start": 396.09, "end": 396.39, "word": " إنه", "probability": 0.614990234375}, {"start": 396.39, "end": 396.51, "word": " أنا", "probability": 0.83837890625}, {"start": 396.51, "end": 396.93, "word": " عنده", "probability": 0.651611328125}, {"start": 396.93, "end": 397.57, "word": " قيمة", "probability": 0.9951171875}, {"start": 397.57, "end": 399.37, "word": " للـ", "probability": 0.8759765625}, {"start": 399.37, "end": 399.75, "word": " Fasting", "probability": 0.743408203125}, {"start": 399.75, "end": 400.01, "word": " Blood", 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التيواء", "probability": 0.79803466796875}, {"start": 672.87, "end": 673.09, "word": " في", "probability": 0.9482421875}, {"start": 673.09, "end": 673.79, "word": " المنحنة", "probability": 0.96044921875}, {"start": 673.79, "end": 674.47, "word": " أو", "probability": 0.9072265625}, {"start": 674.47, "end": 675.25, "word": " Sequences", "probability": 0.7061767578125}, {"start": 675.25, "end": 675.55, "word": " اللي", "probability": 0.88623046875}, {"start": 675.55, "end": 675.83, "word": " هو", "probability": 0.98681640625}, {"start": 675.83, "end": 676.39, "word": " التيواء", "probability": 0.9814453125}, {"start": 676.39, "end": 677.25, "word": " المنحنة", "probability": 0.967578125}, {"start": 677.25, "end": 678.21, "word": " هنا", "probability": 0.720703125}, {"start": 678.21, "end": 678.67, "word": " عندنا", "probability": 0.66455078125}, {"start": 678.67, "end": 679.07, "word": " Normal", "probability": 0.53955078125}, {"start": 679.07, "end": 679.91, "word": " Distribution", "probability": 0.97412109375}], "temperature": 1.0}, {"id": 27, "seek": 70784, "start": 680.92, "end": 707.84, "text": "هي عندنا الـ Sequences اللي بيكون يا بيكون عندنا Positive يا بيكون عندنا Negative و أسهل طريقة أني أعرف الـ Positive و الـ Negative لو أنا نسيتهم أنه أنا بلاحظ الـ Positive الـ Tail لطويل أو الـ Tail لطويل رايح ناحية الأرقام الموجبة فبنسميها Positive Secured التواء إيجابي", "tokens": [3224, 1829, 43242, 8315, 2423, 39184, 46859, 2667, 13672, 1829, 4724, 1829, 30544, 35186, 4724, 1829, 30544, 43242, 8315, 46326, 35186, 4724, 1829, 30544, 43242, 8315, 43230, 4032, 5551, 3794, 3224, 1211, 23032, 16572, 28671, 14739, 1829, 5551, 3615, 28480, 2423, 39184, 46326, 4032, 2423, 39184, 43230, 45164, 41850, 8717, 3794, 36081, 16095, 14739, 3224, 41850, 4724, 15040, 5016, 19913, 2423, 39184, 46326, 2423, 39184, 46074, 5296, 9566, 2407, 26895, 34051, 2423, 39184, 46074, 5296, 9566, 2407, 26895, 12602, 47302, 5016, 8717, 39319, 10632, 16247, 2288, 4587, 10943, 9673, 29245, 49401, 6156, 3555, 1863, 38251, 1829, 11296, 46326, 3306, 3831, 16712, 2407, 16606, 11933, 1829, 7435, 16758, 1829], "avg_logprob": -0.17173164590783074, "compression_ratio": 1.8973214285714286, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 680.92, "end": 681.28, "word": "هي", "probability": 0.71533203125}, {"start": 681.28, "end": 681.8, "word": " عندنا", "probability": 0.7978515625}, {"start": 681.8, "end": 682.14, "word": " الـ", "probability": 0.736572265625}, {"start": 682.14, "end": 682.62, "word": " Sequences", "probability": 0.741455078125}, {"start": 682.62, "end": 682.84, "word": " اللي", "probability": 0.958251953125}, {"start": 682.84, "end": 683.42, "word": " بيكون", "probability": 0.9044596354166666}, {"start": 683.42, "end": 684.96, "word": " يا", "probability": 0.54443359375}, {"start": 684.96, "end": 685.38, "word": " بيكون", "probability": 0.9671223958333334}, {"start": 685.38, "end": 685.92, "word": " عندنا", "probability": 0.9873046875}, {"start": 685.92, "end": 686.62, "word": " Positive", "probability": 0.59130859375}, {"start": 686.62, "end": 687.54, "word": " يا", "probability": 0.796875}, {"start": 687.54, "end": 687.88, "word": " بيكون", "probability": 0.9757486979166666}, {"start": 687.88, "end": 688.3, "word": " عندنا", "probability": 0.9892578125}, {"start": 688.3, "end": 688.88, "word": " Negative", "probability": 0.93994140625}, {"start": 688.88, "end": 690.3, "word": " و", "probability": 0.379150390625}, {"start": 690.3, "end": 690.82, "word": " أسهل", "probability": 0.910400390625}, {"start": 690.82, "end": 691.4, "word": " طريقة", "probability": 0.97705078125}, {"start": 691.4, "end": 691.82, "word": " أني", "probability": 0.5986328125}, {"start": 691.82, "end": 692.16, "word": " أعرف", "probability": 0.9609375}, {"start": 692.16, "end": 692.4, "word": " الـ", "probability": 0.927001953125}, {"start": 692.4, "end": 692.66, "word": " Positive", "probability": 0.85498046875}, {"start": 692.66, "end": 692.94, "word": " و", "probability": 0.75732421875}, {"start": 692.94, "end": 693.1, "word": " الـ", "probability": 0.732666015625}, {"start": 693.1, "end": 693.38, "word": " Negative", "probability": 0.90283203125}, {"start": 693.38, "end": 693.66, "word": " لو", "probability": 0.95361328125}, {"start": 693.66, "end": 693.86, "word": " أنا", "probability": 0.59716796875}, {"start": 693.86, "end": 694.54, "word": " نسيتهم", "probability": 0.9068603515625}, {"start": 694.54, "end": 695.4, "word": " أنه", "probability": 0.7265625}, {"start": 695.4, "end": 695.58, "word": " أنا", "probability": 0.85986328125}, {"start": 695.58, "end": 696.16, "word": " بلاحظ", "probability": 0.9599609375}, {"start": 696.16, "end": 696.38, "word": " الـ", "probability": 0.917724609375}, {"start": 696.38, "end": 696.78, "word": " Positive", "probability": 0.8994140625}, {"start": 696.78, "end": 697.58, "word": " الـ", "probability": 0.70947265625}, {"start": 697.58, "end": 697.98, "word": " Tail", "probability": 0.37353515625}, {"start": 697.98, "end": 698.96, "word": " لطويل", "probability": 0.8685302734375}, {"start": 698.96, "end": 699.2, "word": " أو", "probability": 0.85546875}, {"start": 699.2, "end": 699.44, "word": " الـ", "probability": 0.929443359375}, {"start": 699.44, "end": 699.72, "word": " Tail", "probability": 0.69482421875}, {"start": 699.72, "end": 700.48, "word": " لطويل", "probability": 0.9283447265625}, {"start": 700.48, "end": 701.42, "word": " رايح", "probability": 0.9632161458333334}, {"start": 701.42, "end": 701.82, "word": " ناحية", "probability": 0.7644856770833334}, {"start": 701.82, "end": 702.38, "word": " الأرقام", "probability": 0.9901123046875}, {"start": 702.38, "end": 702.98, "word": " الموجبة", "probability": 0.9716796875}, {"start": 702.98, "end": 703.94, "word": " فبنسميها", "probability": 0.9678548177083334}, {"start": 703.94, "end": 704.52, "word": " Positive", "probability": 0.8798828125}, {"start": 704.52, "end": 705.76, "word": " Secured", "probability": 0.4671630859375}, {"start": 705.76, "end": 707.02, "word": " التواء", "probability": 0.7520345052083334}, {"start": 707.02, "end": 707.84, "word": " إيجابي", "probability": 0.95810546875}], "temperature": 1.0}, {"id": 28, "seek": 73571, "start": 708.75, "end": 735.71, "text": "أو بيكون الـ tail رايحة من ناحية الأرقام الـ negative وبنسميها negative sequences وبيكون رايحة الأرقام والالتواء تبع ال curve رايح ناحية الأرقام السالبة اللي هو ال tail اللي طويل أو ال tail اللي طويل رايح ناحية الموجة بتكون positive وال tail اللي طويل رايح ناحية السالب بتكون عندنا negative", "tokens": [10721, 2407, 4724, 1829, 30544, 2423, 39184, 6838, 12602, 47302, 5016, 3660, 9154, 8717, 39319, 10632, 16247, 2288, 4587, 10943, 2423, 39184, 3671, 46599, 1863, 38251, 1829, 11296, 3671, 22978, 4032, 21292, 30544, 12602, 47302, 5016, 3660, 16247, 2288, 4587, 10943, 4032, 6027, 6027, 2655, 2407, 16606, 6055, 3555, 3615, 2423, 7605, 12602, 47302, 5016, 8717, 39319, 10632, 16247, 2288, 4587, 10943, 21136, 6027, 49401, 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0.8522135416666666}, {"start": 711.51, "end": 712.11, "word": " الأرقام", "probability": 0.9803466796875}, {"start": 712.11, "end": 712.33, "word": " الـ", "probability": 0.804443359375}, {"start": 712.33, "end": 712.61, "word": " negative", "probability": 0.63037109375}, {"start": 712.61, "end": 713.63, "word": " وبنسميها", "probability": 0.831591796875}, {"start": 713.63, "end": 714.39, "word": " negative", "probability": 0.6865234375}, {"start": 714.39, "end": 715.89, "word": " sequences", "probability": 0.90869140625}, {"start": 715.89, "end": 716.71, "word": " وبيكون", "probability": 0.8221028645833334}, {"start": 716.71, "end": 717.11, "word": " رايحة", "probability": 0.98779296875}, {"start": 717.11, "end": 717.81, "word": " الأرقام", "probability": 0.9906005859375}, {"start": 717.81, "end": 718.95, "word": " والالتواء", "probability": 0.8101806640625}, {"start": 718.95, "end": 719.83, "word": " تبع", "probability": 0.9176432291666666}, {"start": 719.83, "end": 720.39, "word": " ال", "probability": 0.86767578125}, {"start": 720.39, "end": 720.93, "word": " curve", "probability": 0.80078125}, {"start": 720.93, "end": 721.45, "word": " رايح", "probability": 0.9607747395833334}, {"start": 721.45, "end": 721.77, "word": " ناحية", "probability": 0.8668619791666666}, {"start": 721.77, "end": 722.59, "word": " الأرقام", "probability": 0.9937744140625}, {"start": 722.59, "end": 723.77, "word": " السالبة", "probability": 0.9124348958333334}, {"start": 723.77, "end": 726.99, "word": " اللي", "probability": 0.918212890625}, {"start": 726.99, "end": 727.37, "word": " هو", "probability": 0.990234375}, {"start": 727.37, "end": 727.89, "word": " ال", "probability": 0.93115234375}, {"start": 727.89, "end": 728.11, "word": " tail", "probability": 0.429931640625}, {"start": 728.11, "end": 728.33, "word": " اللي", "probability": 0.955322265625}, {"start": 728.33, "end": 728.81, "word": " طويل", "probability": 0.9588216145833334}, {"start": 728.81, "end": 728.99, "word": " أو", "probability": 0.463623046875}, {"start": 728.99, "end": 729.19, "word": " ال", "probability": 0.6728515625}, {"start": 729.19, "end": 729.37, "word": " tail", "probability": 0.5615234375}, {"start": 729.37, "end": 729.55, "word": " اللي", "probability": 0.981201171875}, {"start": 729.55, "end": 729.83, "word": " طويل", "probability": 0.943359375}, {"start": 729.83, "end": 730.13, "word": " رايح", "probability": 0.9646809895833334}, {"start": 730.13, "end": 730.43, "word": " ناحية", "probability": 0.9646809895833334}, {"start": 730.43, "end": 731.07, "word": " الموجة", "probability": 0.9676106770833334}, {"start": 731.07, "end": 731.65, "word": " بتكون", "probability": 0.8095703125}, {"start": 731.65, "end": 732.07, "word": " positive", "probability": 0.90576171875}, {"start": 732.07, "end": 732.59, "word": " وال", "probability": 0.650390625}, {"start": 732.59, "end": 732.83, "word": " tail", "probability": 0.58251953125}, {"start": 732.83, "end": 733.03, "word": " اللي", "probability": 0.994384765625}, {"start": 733.03, "end": 733.35, "word": " طويل", "probability": 0.9562174479166666}, {"start": 733.35, "end": 733.71, "word": " رايح", "probability": 0.9744466145833334}, {"start": 733.71, "end": 734.01, "word": " ناحية", "probability": 0.9734700520833334}, {"start": 734.01, "end": 734.63, "word": " السالب", "probability": 0.9501953125}, {"start": 734.63, "end": 735.11, "word": " بتكون", "probability": 0.916259765625}, {"start": 735.11, "end": 735.41, "word": " عندنا", "probability": 0.87548828125}, {"start": 735.41, "end": 735.71, "word": " negative", "probability": 0.87451171875}], "temperature": 1.0}, {"id": 29, "seek": 76557, "start": 737.47, "end": 765.57, "text": "أو بيكون هذه بنسميها الـ left ناحية الشمال وهنا ال right ناحية اليمين هنا بنلاحظ أنه في الإلتواء بيكون عندنا tail أطول من tail وبنلاحظ وقولنا اللي بيحدد left و right اللي هو اتجاه ال tail في عندنا حاجة تانية في ال up normal بتكون distribution اللي هي ال kurtosis ال kurtosis هي عندنا اللي 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"probability": 0.7371826171875}, {"start": 758.35, "end": 758.61, "word": " حاجة", "probability": 0.98193359375}, {"start": 758.61, "end": 758.95, "word": " تانية", "probability": 0.9759114583333334}, {"start": 758.95, "end": 759.11, "word": " في", "probability": 0.92333984375}, {"start": 759.11, "end": 759.21, "word": " ال", "probability": 0.9375}, {"start": 759.21, "end": 759.35, "word": " up", "probability": 0.234375}, {"start": 759.35, "end": 759.77, "word": " normal", "probability": 0.734375}, {"start": 759.77, "end": 760.21, "word": " بتكون", "probability": 0.839599609375}, {"start": 760.21, "end": 760.93, "word": " distribution", "probability": 0.6708984375}, {"start": 760.93, "end": 761.29, "word": " اللي", "probability": 0.93310546875}, {"start": 761.29, "end": 761.43, "word": " هي", "probability": 0.74560546875}, {"start": 761.43, "end": 761.59, "word": " ال", "probability": 0.458740234375}, {"start": 761.59, "end": 762.09, "word": " kurtosis", "probability": 0.5758056640625}, {"start": 762.09, "end": 762.49, "word": " ال", "probability": 0.489990234375}, {"start": 762.49, "end": 763.27, "word": " kurtosis", "probability": 0.935302734375}, {"start": 763.27, "end": 764.13, "word": " هي", "probability": 0.93994140625}, {"start": 764.13, "end": 764.41, "word": " عندنا", "probability": 0.97900390625}, {"start": 764.41, "end": 764.53, "word": " اللي", "probability": 0.98095703125}, {"start": 764.53, "end": 765.05, "word": " بالأزرق", "probability": 0.86416015625}, {"start": 765.05, "end": 765.21, "word": " ال", "probability": 0.76025390625}, {"start": 765.21, "end": 765.57, "word": " normal", "probability": 0.78125}], "temperature": 1.0}, {"id": 30, "seek": 78810, "start": 766.48, "end": 788.1, "text": "إذا كان أعلى من الـ Normal المُنحنة بنقول عنه Leptocortic Cortosis وإذا كان أقل من الـ Normal بنقول عنه Leptocortic Cortosis وهذا اللي بيميزهم الشكل يعني اللي بنطلع في شكل البيانات هو symmetrical ونفس خصائص الـ Normal Distribution", "tokens": 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{"start": 768.06, "end": 768.8, "word": " الـ", "probability": 0.885009765625}, {"start": 768.8, "end": 769.32, "word": " Normal", "probability": 0.7490234375}, {"start": 769.32, "end": 770.6, "word": " المُنحنة", "probability": 0.779541015625}, {"start": 770.6, "end": 770.98, "word": " بنقول", "probability": 0.76220703125}, {"start": 770.98, "end": 771.46, "word": " عنه", "probability": 0.958740234375}, {"start": 771.46, "end": 772.54, "word": " Leptocortic", "probability": 0.4497802734375}, {"start": 772.54, "end": 773.2, "word": " Cortosis", "probability": 0.737548828125}, {"start": 773.2, "end": 774.34, "word": " وإذا", "probability": 0.9256184895833334}, {"start": 774.34, "end": 774.62, "word": " كان", "probability": 0.9892578125}, {"start": 774.62, "end": 775.04, "word": " أقل", "probability": 0.994140625}, {"start": 775.04, "end": 775.26, "word": " من", "probability": 0.99560546875}, {"start": 775.26, "end": 775.52, "word": " الـ", "probability": 0.869384765625}, {"start": 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0.7941080729166666}, {"start": 838.26, "end": 839.48, "word": " انه", "probability": 0.7490234375}, {"start": 839.48, "end": 840.02, "word": " نعرف", "probability": 0.9850260416666666}, {"start": 840.02, "end": 841.96, "word": " الـ", "probability": 0.8564453125}, {"start": 841.96, "end": 842.2, "word": " Negative", "probability": 0.61865234375}, {"start": 842.2, "end": 842.52, "word": " والـ", "probability": 0.63427734375}, {"start": 842.52, "end": 843.0, "word": " Positive", "probability": 0.83642578125}, {"start": 843.0, "end": 843.58, "word": " من", "probability": 0.99072265625}, {"start": 843.58, "end": 843.96, "word": " خلال", "probability": 0.99755859375}, {"start": 843.96, "end": 844.46, "word": " الشكل", "probability": 0.978515625}, {"start": 844.46, "end": 844.78, "word": " والـ", "probability": 0.838623046875}, {"start": 844.78, "end": 845.12, "word": " Tail", "probability": 0.73046875}, {"start": 845.12, "end": 845.7, "word": " يعني", "probability": 0.867919921875}, {"start": 845.7, "end": 845.86, "word": " لو", "probability": 0.96728515625}, {"start": 845.86, "end": 846.4, "word": " طلعنا", "probability": 0.928955078125}, {"start": 846.4, "end": 846.72, "word": " أجهزة", "probability": 0.79560546875}, {"start": 846.72, "end": 847.04, "word": " شكل", "probability": 0.966064453125}, {"start": 847.04, "end": 847.24, "word": " زي", "probability": 0.951904296875}, {"start": 847.24, "end": 847.52, "word": " هذا", "probability": 0.9287109375}, {"start": 847.52, "end": 848.0, "word": " نعرفه", "probability": 0.89013671875}, {"start": 848.0, "end": 848.28, "word": " Positive", "probability": 0.89208984375}, {"start": 848.28, "end": 848.5, "word": " ولا", "probability": 0.65380859375}, {"start": 848.5, "end": 848.96, "word": " Negative", "probability": 0.95751953125}, {"start": 848.96, "end": 850.32, "word": " Left", "probability": 0.53076171875}, {"start": 850.32, "end": 850.64, "word": " ولا", "probability": 0.94189453125}, {"start": 850.64, "end": 851.1, "word": " Right", "probability": 0.9716796875}], "temperature": 1.0}, {"id": 33, "seek": 86826, "start": 851.68, "end": 868.26, "text": "بهمنا لو جاءنا شكل منحنى ماخد بشكل عمودي على الآخر وواضح أنه كورتوسيز اللي بميز السيكوينسيز عن الكورتوسيز اللي هو symmetrical لاحظوا هنا الاتنين مش symmetrical من عند القمة ولكن الكورتوسيز بيكون عندنا symmetrical", "tokens": [3555, 16095, 8315, 45164, 10874, 16606, 8315, 13412, 28820, 9154, 5016, 1863, 7578, 3714, 47283, 3215, 4724, 8592, 28820, 6225, 2304, 2407, 16254, 15844, 6024, 95, 34740, 4032, 2407, 46958, 5016, 14739, 3224, 9122, 13063, 2655, 41779, 1829, 11622, 13672, 1829, 4724, 2304, 1829, 11622, 21136, 1829, 4117, 2407, 9957, 3794, 1829, 11622, 18871, 33251, 13063, 2655, 41779, 1829, 11622, 13672, 1829, 31439, 40360, 20193, 5016, 19913, 14407, 34105, 2423, 9307, 1863, 9957, 37893, 40360, 9154, 43242, 25062, 46007, 35525, 19452, 33251, 13063, 2655, 41779, 1829, 11622, 4724, 1829, 30544, 43242, 8315, 40360], "avg_logprob": 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0.8818359375}, {"start": 856.16, "end": 856.82, "word": " أنه", "probability": 0.533447265625}, {"start": 856.82, "end": 857.86, "word": " كورتوسيز", "probability": 0.591796875}, {"start": 857.86, "end": 858.68, "word": " اللي", "probability": 0.699462890625}, {"start": 858.68, "end": 859.06, "word": " بميز", "probability": 0.78369140625}, {"start": 859.06, "end": 859.72, "word": " السيكوينسيز", "probability": 0.760772705078125}, {"start": 859.72, "end": 859.86, "word": " عن", "probability": 0.96875}, {"start": 859.86, "end": 860.64, "word": " الكورتوسيز", "probability": 0.9381510416666666}, {"start": 860.64, "end": 860.84, "word": " اللي", "probability": 0.94482421875}, {"start": 860.84, "end": 861.0, "word": " هو", "probability": 0.9619140625}, {"start": 861.0, "end": 861.62, "word": " symmetrical", "probability": 0.298583984375}, {"start": 861.62, "end": 862.46, "word": " لاحظوا", "probability": 0.820068359375}, {"start": 862.46, "end": 862.64, "word": " هنا", "probability": 0.83837890625}, {"start": 862.64, "end": 863.62, "word": " الاتنين", "probability": 0.655670166015625}, {"start": 863.62, "end": 863.8, "word": " مش", "probability": 0.544921875}, {"start": 863.8, "end": 864.26, "word": " symmetrical", "probability": 0.91845703125}, {"start": 864.26, "end": 864.46, "word": " من", "probability": 0.48779296875}, {"start": 864.46, "end": 864.62, "word": " عند", "probability": 0.951171875}, {"start": 864.62, "end": 865.04, "word": " القمة", "probability": 0.9931640625}, {"start": 865.04, "end": 865.98, "word": " ولكن", "probability": 0.88427734375}, {"start": 865.98, "end": 866.92, "word": " الكورتوسيز", "probability": 0.9173990885416666}, {"start": 866.92, "end": 867.28, "word": " بيكون", "probability": 0.6847330729166666}, {"start": 867.28, "end": 867.68, "word": " عندنا", "probability": 0.835205078125}, {"start": 867.68, "end": 868.26, "word": " symmetrical", "probability": 0.833984375}], "temperature": 1.0}, {"id": 34, "seek": 89768, "start": 868.94, "end": 897.68, "text": "فلو هذا الشكل قالك هذا sequences ولا kurtosis فقط من خلال انه بنمسك رأس الكيارة وبنقسمها لنصفين إذا كانوا not equal فهو sequences وإذا كانوا equal وجاي المنحنة أعلى شوية أو ماخد على شكل مفلطح شوية ولكنهم equal اتنين بيقول عنه kurtosis في عندنا حاجة اسمها statistical", "tokens": [5172, 1211, 2407, 23758, 25124, 28820, 50239, 4117, 23758, 22978, 49429, 34701, 8211, 6156, 47432, 9154, 16490, 1211, 6027, 16472, 3224, 44945, 2304, 3794, 4117, 12602, 10721, 3794, 33251, 1829, 9640, 3660, 46599, 1863, 4587, 38251, 11296, 5296, 1863, 9381, 5172, 9957, 11933, 15730, 25961, 14407, 406, 2681, 6156, 3224, 2407, 22978, 4032, 28814, 15730, 25961, 14407, 2681, 4032, 7435, 47302, 9673, 1863, 5016, 1863, 3660, 5551, 3615, 23942, 13412, 2407, 10632, 34051, 3714, 47283, 3215, 15844, 13412, 28820, 3714, 5172, 1211, 9566, 5016, 13412, 2407, 10632, 35525, 19452, 16095, 2681, 1975, 2655, 1863, 9957, 4724, 1829, 39648, 18871, 3224, 34701, 8211, 8978, 43242, 8315, 11331, 26108, 3660, 24525, 2304, 11296, 22820], "avg_logprob": -0.2906526464276609, "compression_ratio": 1.7479338842975207, "no_speech_prob": 0.0, "words": [{"start": 868.94, "end": 869.3, "word": "فلو", "probability": 0.4937744140625}, {"start": 869.3, "end": 869.48, "word": " هذا", "probability": 0.12744140625}, {"start": 869.48, "end": 869.9, "word": " الشكل", "probability": 0.878662109375}, {"start": 869.9, "end": 870.48, "word": " قالك", "probability": 0.33721923828125}, {"start": 870.48, "end": 870.68, "word": " هذا", "probability": 0.60009765625}, {"start": 870.68, "end": 871.22, "word": " sequences", "probability": 0.486083984375}, {"start": 871.22, "end": 871.52, "word": " ولا", "probability": 0.6787109375}, {"start": 871.52, "end": 872.18, "word": " kurtosis", "probability": 0.6197509765625}, {"start": 872.18, "end": 873.18, "word": " فقط", "probability": 0.943359375}, {"start": 873.18, "end": 873.44, "word": " من", "probability": 0.9560546875}, {"start": 873.44, "end": 873.9, "word": " خلال", "probability": 0.9934895833333334}, {"start": 873.9, "end": 874.2, "word": " انه", "probability": 0.36505126953125}, {"start": 874.2, "end": 874.62, "word": " بنمسك", "probability": 0.8980712890625}, {"start": 874.62, "end": 875.06, "word": " رأس", "probability": 0.9513346354166666}, {"start": 875.06, "end": 876.92, "word": " الكيارة", "probability": 0.55523681640625}, {"start": 876.92, "end": 877.44, "word": " وبنقسمها", "probability": 0.82314453125}, {"start": 877.44, "end": 878.18, "word": " لنصفين", "probability": 0.83642578125}, {"start": 878.18, "end": 878.5, "word": " إذا", "probability": 0.7061767578125}, {"start": 878.5, "end": 878.84, "word": " كانوا", "probability": 0.923583984375}, {"start": 878.84, "end": 879.02, "word": " not", "probability": 0.634765625}, {"start": 879.02, "end": 879.42, "word": " equal", "probability": 0.87451171875}, {"start": 879.42, "end": 880.34, "word": " فهو", "probability": 0.9617513020833334}, {"start": 880.34, "end": 881.04, "word": " sequences", "probability": 0.8828125}, {"start": 881.04, "end": 881.96, "word": " وإذا", "probability": 0.923828125}, {"start": 881.96, "end": 882.38, "word": " كانوا", "probability": 0.962890625}, {"start": 882.38, "end": 882.92, "word": " equal", "probability": 0.9345703125}, {"start": 882.92, "end": 884.12, "word": " وجاي", "probability": 0.6668294270833334}, {"start": 884.12, "end": 885.02, "word": " المنحنة", "probability": 0.86982421875}, {"start": 885.02, "end": 885.58, "word": " أعلى", "probability": 0.9093424479166666}, {"start": 885.58, "end": 886.08, "word": " شوية", "probability": 0.8009440104166666}, {"start": 886.08, "end": 886.34, "word": " أو", "probability": 0.84228515625}, {"start": 886.34, "end": 886.7, "word": " ماخد", "probability": 0.5830078125}, {"start": 886.7, "end": 886.84, "word": " على", "probability": 0.8154296875}, {"start": 886.84, "end": 887.16, "word": " شكل", "probability": 0.98876953125}, {"start": 887.16, "end": 887.7, "word": " مفلطح", "probability": 0.93798828125}, {"start": 887.7, "end": 888.18, "word": " شوية", "probability": 0.9197591145833334}, {"start": 888.18, "end": 889.26, "word": " ولكنهم", "probability": 0.7957356770833334}, {"start": 889.26, "end": 889.62, "word": " equal", "probability": 0.740234375}, {"start": 889.62, "end": 890.1, "word": " اتنين", "probability": 0.80096435546875}, {"start": 890.1, "end": 890.42, "word": " بيقول", "probability": 0.7140299479166666}, {"start": 890.42, "end": 890.8, "word": " عنه", "probability": 0.6363525390625}, {"start": 890.8, "end": 891.48, "word": " kurtosis", "probability": 0.847412109375}, {"start": 891.48, "end": 895.14, "word": " في", "probability": 0.67333984375}, {"start": 895.14, "end": 895.62, "word": " عندنا", "probability": 0.931884765625}, {"start": 895.62, "end": 896.28, "word": " حاجة", "probability": 0.9920247395833334}, {"start": 896.28, "end": 896.8, "word": " اسمها", "probability": 0.9440104166666666}, {"start": 896.8, "end": 897.68, "word": " statistical", "probability": 0.90380859375}], "temperature": 1.0}, {"id": 35, "seek": 92452, "start": 898.2, "end": 924.52, "text": "Inferences أو التوقعات الإحصائية هذه التوقعات الإحصائية من أهم الأشياء المهمة في علم الأحصاء ناخد عليها مثال على نفس ال case اللي قبل شوية رسمناه وبعدين بنرجع بنشرحه هي ال 100 cases اللي موجودة وقلنا ان ال mean 90 واللي هو يساوي", "tokens": [4575, 612, 2667, 34051, 16712, 30543, 3615, 9307, 33688, 5016, 9381, 16373, 10632, 29538, 16712, 30543, 3615, 9307, 33688, 5016, 9381, 16373, 10632, 9154, 5551, 16095, 16247, 8592, 1829, 16606, 9673, 16095, 3660, 8978, 11203, 2304, 16247, 5016, 9381, 16606, 8717, 47283, 3215, 25894, 11296, 50113, 6027, 15844, 8717, 36178, 2423, 1389, 13672, 1829, 12174, 36150, 13412, 2407, 10632, 12602, 38251, 8315, 3224, 46599, 22488, 9957, 44945, 47341, 3615, 44945, 46309, 5016, 3224, 39896, 2423, 2319, 3331, 13672, 1829, 3714, 29245, 23328, 3660, 4032, 4587, 1211, 8315, 16472, 2423, 914, 4289, 16070, 20292, 31439, 7251, 3794, 995, 45865], "avg_logprob": -0.21227904612367804, "compression_ratio": 1.775229357798165, "no_speech_prob": 2.4437904357910156e-06, "words": [{"start": 898.2, "end": 899.06, "word": "Inferences", "probability": 0.6221923828125}, {"start": 899.06, "end": 900.16, "word": " أو", "probability": 0.91259765625}, {"start": 900.16, "end": 900.96, "word": " التوقعات", "probability": 0.96630859375}, {"start": 900.96, "end": 901.68, "word": " الإحصائية", "probability": 0.93134765625}, {"start": 901.68, "end": 903.02, "word": " هذه", "probability": 0.5322265625}, {"start": 903.02, "end": 903.66, "word": " التوقعات", "probability": 0.9893798828125}, {"start": 903.66, "end": 904.48, "word": " الإحصائية", "probability": 0.98486328125}, {"start": 904.48, "end": 905.02, "word": " من", "probability": 0.69580078125}, {"start": 905.02, "end": 905.34, "word": " أهم", "probability": 0.985595703125}, {"start": 905.34, "end": 906.08, "word": " الأشياء", "probability": 0.993896484375}, {"start": 906.08, "end": 906.66, "word": " المهمة", "probability": 0.9876302083333334}, {"start": 906.66, "end": 906.78, "word": " في", "probability": 0.96484375}, {"start": 906.78, "end": 907.06, "word": " علم", "probability": 0.943603515625}, {"start": 907.06, "end": 907.62, "word": " الأحصاء", "probability": 0.78033447265625}, {"start": 907.62, "end": 909.84, "word": " ناخد", "probability": 0.7677408854166666}, {"start": 909.84, "end": 910.16, "word": " عليها", "probability": 0.990966796875}, {"start": 910.16, "end": 910.78, "word": " مثال", "probability": 0.962158203125}, {"start": 910.78, "end": 911.22, "word": " على", "probability": 0.88037109375}, {"start": 911.22, "end": 911.68, "word": " نفس", "probability": 0.9443359375}, {"start": 911.68, "end": 912.24, "word": " ال", "probability": 0.85498046875}, {"start": 912.24, "end": 912.82, "word": " case", "probability": 0.2705078125}, {"start": 912.82, "end": 913.08, "word": " اللي", "probability": 0.880859375}, {"start": 913.08, "end": 913.32, "word": " قبل", "probability": 0.97509765625}, {"start": 913.32, "end": 913.84, "word": " شوية", "probability": 0.8180338541666666}, {"start": 913.84, "end": 914.86, "word": " رسمناه", "probability": 0.918701171875}, {"start": 914.86, "end": 915.54, "word": " وبعدين", "probability": 0.8693033854166666}, {"start": 915.54, "end": 916.2, "word": " بنرجع", "probability": 0.921875}, {"start": 916.2, "end": 917.34, "word": " بنشرحه", "probability": 0.804443359375}, {"start": 917.34, "end": 918.06, "word": " هي", "probability": 0.381103515625}, {"start": 918.06, "end": 918.22, "word": " ال", "probability": 0.5263671875}, {"start": 918.22, "end": 918.42, "word": " 100", "probability": 0.54541015625}, {"start": 918.42, "end": 918.78, "word": " cases", "probability": 0.923828125}, {"start": 918.78, "end": 918.98, "word": " اللي", "probability": 0.6517333984375}, {"start": 918.98, "end": 919.98, "word": " موجودة", "probability": 0.9892578125}, {"start": 919.98, "end": 921.6, "word": " وقلنا", "probability": 0.7861328125}, {"start": 921.6, "end": 921.82, "word": " ان", "probability": 0.376953125}, {"start": 921.82, "end": 921.98, "word": " ال", "probability": 0.67724609375}, {"start": 921.98, "end": 922.24, "word": " mean", "probability": 0.64404296875}, {"start": 922.24, "end": 922.8, "word": " 90", "probability": 0.654296875}, {"start": 922.8, "end": 923.8, "word": " واللي", "probability": 0.6546630859375}, {"start": 923.8, "end": 923.98, "word": " هو", "probability": 0.66552734375}, {"start": 923.98, "end": 924.52, "word": " يساوي", "probability": 0.7413330078125}], "temperature": 1.0}, {"id": 36, "seek": 95063, "start": 924.83, "end": 950.63, "text": "الـ Mode تقريبًا وقريب لـ Median اللي كان تقريبًا 91 اللي هي 90 زي 92 تقسيم 2 تطلع 91 يعني التلات أجارب من بعض جدًا لو جينا قولنا إن الـ mean 90 وال standard deviation كان عندي 10 ودائمًا لما بشوف plus أو minus اللي بعد plus أو minus مباشرة", "tokens": [6027, 39184, 20500, 6055, 4587, 16572, 3555, 14111, 995, 4032, 4587, 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2605.68, "end": 2605.82, "word": " الـ", "probability": 0.943603515625}, {"start": 2605.82, "end": 2606.3, "word": " Confidence", "probability": 0.933349609375}, {"start": 2606.3, "end": 2607.06, "word": " Interval", "probability": 0.9052734375}, {"start": 2607.06, "end": 2607.64, "word": " صار", "probability": 0.955810546875}, {"start": 2607.64, "end": 2608.28, "word": " ضيقة", "probability": 0.6693115234375}, {"start": 2608.28, "end": 2608.7, "word": " لو", "probability": 0.345947265625}, {"start": 2608.7, "end": 2609.32, "word": " شفناها", "probability": 0.9249267578125}, {"start": 2609.32, "end": 2609.82, "word": " من", "probability": 0.89990234375}, {"start": 2609.82, "end": 2610.4, "word": " 88", "probability": 0.9326171875}, {"start": 2610.4, "end": 2611.7, "word": " لـ", "probability": 0.676025390625}, {"start": 2611.7, "end": 2612.48, "word": " 92", "probability": 0.9560546875}, {"start": 2612.48, "end": 2614.96, "word": " الحاجة", "probability": 0.95263671875}, {"start": 2614.96, "end": 2615.48, "word": " التانية", "probability": 0.9412434895833334}, {"start": 2615.48, "end": 2616.1, "word": " كل", "probability": 0.86181640625}, {"start": 2616.1, "end": 2616.28, "word": " ما", "probability": 0.9638671875}, {"start": 2616.28, "end": 2616.72, "word": " زالت", "probability": 0.9095052083333334}, {"start": 2616.72, "end": 2616.98, "word": " عندنا", "probability": 0.9453125}, {"start": 2616.98, "end": 2617.1, "word": " الـ", "probability": 0.87353515625}, {"start": 2617.1, "end": 2617.42, "word": " Sample", "probability": 0.934326171875}, {"start": 2617.42, "end": 2617.94, "word": " Size", "probability": 0.93017578125}, {"start": 2617.94, "end": 2619.32, "word": " الـ", "probability": 0.902099609375}, {"start": 2619.32, "end": 2619.52, "word": " N", "probability": 0.81591796875}], "temperature": 1.0}, {"id": 96, "seek": 264560, "start": 2620.48, "end": 2645.6, "text": "رح تؤدي إن الـ Standard Error يكون قليل يبقى المشرف لما بيقولنا زودوا العينات هو حتى يضمن 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Size", "probability": 0.876953125}], "temperature": 1.0}, {"id": 97, "seek": 267356, "start": 2646.44, "end": 2673.56, "text": "واخدت عدد فحوصات قليل بدل ما تاخد اربعين زي ما قالك المشرفة اخد عشرة كل ما كان عندك chance ان يكون عندنا ال standard or عالي لأن كانت ال sample size قليلة جلبت هذه فانجلبت هذه كل ما هذه كانت ال range تاع ال confidence interval عندنا اوسع يبقى افضل شيء ان انا اخد sample size كبيرة", "tokens": [2407, 47283, 3215, 2655, 6225, 3215, 3215, 6156, 5016, 2407, 9381, 9307, 12174, 20292, 1211, 47525, 1211, 19446, 6055, 47283, 3215, 1975, 25513, 3615, 9957, 30767, 1829, 19446, 50239, 4117, 9673, 8592, 28480, 3660, 1975, 9778, 3215, 6225, 8592, 25720, 28242, 19446, 25961, 43242, 4117, 2931, 16472, 7251, 30544, 43242, 8315, 2423, 3832, 420, 6225, 6027, 1829, 5296, 33456, 25961, 2655, 2423, 6889, 2744, 12174, 20292, 37977, 10874, 46152, 2655, 29538, 6156, 7649, 7435, 46152, 2655, 29538, 28242, 19446, 29538, 25961, 2655, 2423, 3613, 6055, 45761, 2423, 6687, 15035, 43242, 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